Electrosurgical energy. Is it a risk factor for post-thyroidectomy hypocalcaemia?

2021 ◽  
pp. 23
Author(s):  
Keyword(s):  
Risk Factor ◽  
Total Thyroidectomy ◽  
Protective Factor ◽  
Harmonic Scalpel ◽  
Malignant Tumors ◽  
Significant Difference ◽  
Different Types ◽  
Additional Protection ◽  
Males And Females ◽  
Postoperative Hypocalcaemia

Aim and objective: The aim of this study was to investigate a relationship between the different types of electrosurgical energy (monopolar, bipolar, and ultrasonic-harmonic scalpel) and postoperative hypocalcaemia after total thyroidectomy. Additionally, to analyze the frequency of postoperative hypocalcaemia, according to age group, gender, and pathological diagnosis. Materials and Methods: An observational, retrospective and correlational study was carried out in a series of patients who underwent total thyroidectomy in a public and a private hospital in Quito, Ecuador, South America, from January 2016 to July 2019. Results: Among 665 patients, post-thyroidectomy hypocalcaemia was observed in 127 (18.8%) patients. There was no significant difference between males and females. Hypocalcaemia was significantly higher in patients aged between 26 and 35 years, patients operated for malignant tumors and in patients in whom at least one parathyroid gland was removed. Postoperative hypocalcaemia occurred in 52.2% of patients (n = 24) [RR: 3.14; 95% CI: 2.26-4.36; p: 0.001] in the bipolar group, 29.2% (n = 7) [RR: 1.56; 95% CI: 0.82-2.97; p: 0.087] in the harmonic group, 17.3% (n = 34) [RR: 0.87; 95% CI: 0.61-1.24; p: 0.219] in the monopolar group, and 15.2% (n= 60) [RR: 0.61; 95% CI 0.45-0.84; p: 0.001] in the monopolar + harmonic group. Conclusions and clinical significance: The use of a bipolar device appears to be a risk factor for hypocalcaemia, while the use of monopolar + harmonic seems to be a protective factor. Although, when analyzing monopolar + harmonic vs monopolar alone, the addition of the harmonic scalpel didn’t provide statistically significant additional protection against hypocalcaemia.

scholarly journals HAND INFECTIONS

2006 ◽  
Vol 13 (02) ◽  
pp. 279-283
Author(s):  
ABDUL NASIR
Keyword(s):  
Elderly Patients ◽  
Working Hours ◽  
Left Hand ◽  
Hand Infection ◽  
Significant Difference ◽  
Different Types ◽  
Immunosuppressed Patients ◽  
Hand Involvement ◽  
Males And Females ◽  
Infecting Organisms

Hand infections are the prime cause of loss of working hours for manualworkers and housewives. The objective was to study different types of hand infections, infecting organisms and to findout different residual complications. This prospective study was carried out at C.M.H., Peshawar from March 1, 2000to March 1, 2003. All patients above 12 years were included in the study. Diabetics, immunosuppressed patients, drugaddicts, and patients on steroid or cytotoxic therapy, were excluded from the study. Other exclusion criteria were crushinjuries, burns, compound fractures and skin lacerations. The diagnosis of hand infection was based on history,physical and roentgenographic examinations of the hand. All the patients were put on Cloxacillin & Gentacin and theiraffected hands were elevated. In cases of suppuration, surgical drainage was done & pus was sent for C/S. Earlyphysiotherapy was instituted & residual complications were recorded..Relative frequencies of different types of handinfections in 176 cases included Paronychia (22.16%), Cellulitis (21.02%), Felon (19.32%), Proximal & Middle VolarSpace infection (16.48%), web space infection (14.77%), Thenar Space Abscess (3.41%) and midpalmar abscess1.70%). Frequencies of hand infections in adolescents, young, middle and elderly patients were 14.77%, 52.84%, 25%and 7.39% respectively. There was no significant difference in frequencies of hand infection amongst males andfemales. The percentages of right hand and left hand involvement were 57.38% and 42.61% respectively. The ratiobetween manual workers and other patients of hand infections was 2.5:1. Staphylococcus aureus was detected as asingle offending organism in most of the cultures(62.59%) and stiffness was the leading complication(14.20%). Thefrequency of complications was significantly more in elderly patients (53.28%) but there was no significant differenceof complications amongst males and females.

Comparison Between Using Monocryl Suture and Polypropylene Suture in Closer of Alar Base Excision in Rhinoplasty

2020 ◽  
pp. 229255032096965
Author(s):  
Saud A. Aldhabaan ◽  
Jibril Y. Hudise ◽  
Badi F. Aldosari
Keyword(s):  
Wound Closure ◽  
University Hospital ◽  
Kingdom Of Saudi Arabia ◽  
Alar Base ◽  
P 75 ◽  
Significant Difference ◽  
Different Types ◽  
King Abdulaziz University ◽  
Males And Females ◽  
Base Excision

Background: Rhinoplasty is one of the most common surgery that act as a challenge for consistent outstanding results. Alar base reduction is a technique of rhinoplasty that is prescribed in many conditions. Wound closure requires using of sutures and there are several types of sutures for this purpose; however, good scar results are necessary for patients’satisfaction. Aim: To evaluate alar base resection scar results after surgical resection using different types of suturing material. Methods: This is a retrospective cohort study that was conducted at King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia. The study was performed by reviewing patient’s records and performing post-operative photography for patient who underwent alar base resection. The patients were divided into 2 groups, the first group of patients had the alar base wound closed with interrupted Polypropylene 6/0 and the other group wound was closed with monocryl 6/0 sutures. Visual analogs scale was used to investigate basal views. Results: The study included 80 patients divided into 2 groups, each group included 40 patients, in the first group (Polypropylene group) there were 25% males and 75% females with a total mean age of 32 years, whereas in the second group (monocryl) there were 15% and 85% males and females, respectively. There were 85% and 82.5% unnoticeable scar reported by the first and second group, respectively; however there was no significant difference between the 2 groups ( P = .75). Conclusion: Both Polypropylene and monocryl suture result in the same result for closing alar base wound post surgically.

scholarly journals Meta-Analysis of the Relationship between the APOE Gene and the Onset of Parkinson’s Disease Dementia

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Suisui Pang ◽  
Jia Li ◽  
Yingyu Zhang ◽  
Jiajun Chen
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Risk Factor ◽  
Protective Factor ◽  
Meta Analysis ◽  
Parkinson’S Disease Dementia ◽  
Geographical Regions ◽  
Significant Difference ◽  
The Relationship

Purpose. To clarify the relationship between certain genotypes or alleles of the APOE gene and the onset risk of Parkinson’s disease dementia (PDD). Methods. The PubMed, Cochrane, Embase, CBM, CNKI, and Wanfang databases were searched to identify all case-control studies and cohort studies published before October 30, 2017, that investigated the association between the APOE gene and the onset of PDD. Manual information retrieval was also performed. All studies that met the quality requirements were included in a meta-analysis performed using RevMan 5.3 software. Results. The meta-analysis included 17 studies, with a total of 820 patients in the PDD group and 1,922 in the non-PDD group. The influence of the APOE gene on PDD onset was analyzed from three aspects: five genotypes vs. ε3/3, ε2+/ε4+ vs. ε3/3, and ε4+ vs. ε4−. The risk factors for PDD may include the genotypes ε3/4 (OR 1.47, 95% CI 1.14–1.89) and ε4/4 (OR 2.93, 95% CI 1.20–7.14). In patients with PDD, there was no significant difference in the distribution of ε2+ vs. ε3/3 (OR 1.35, 95% CI 0.97–1.87, P=0.07). The risk of PDD was 1.61 times greater in ε4+ compared with ε3/3 (OR 1.61, 95% CI 1.24–2.08, P=0.0003). As the results indicated that ε2+ did not play a role as a risk factor or a protective factor, we divided the population into ε4+ and ε4− for the meta-analysis and found that, among patients with Parkinson’s disease, the dementia risk of those with ε4+ was 1.72 times greater than that of those with ε4− (OR 1.72, 95% CI 1.41–2.10, P<0.00001). Subgroup analysis in accordance with different geographical regions revealed that ε4+ was a risk factor for PDD in people from all regions. Conclusions. Among the APOE genotypes, ε2+ is neither a risk factor nor a protective factor for PDD, while ε4+ is a risk factor for PDD. The present results are applicable to Asian, European, and American patients with Parkinson’s disease. Regarding the single APOE genotypes, ε3/4 and ε4/4 may be risk factors for PDD; however, further studies with large sample sizes are needed to verify this.

scholarly journals Low Self-Rated Health as A Risk Factor for Depression in South Korea: A Survey of Young Males and Females

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 452
Author(s):  
Yunyoung Kim ◽  
Eunsu Jang
Keyword(s):  
Risk Factor ◽  
South Korea ◽  
Economic Status ◽  
Cross Sectional Study ◽  
General Information ◽  
Cross Sectional ◽  
Young Males ◽  
Self Rated Health ◽  
Significant Difference ◽  
Males And Females

This is a cross-sectional study aimed to examine whether low self-rated health (SRH) is a risk factor for depression among young males and females. Data from the SRH, quality of life (QoL) and depression questionnaires as well as general information, were collected from 512 males and females aged 20–29 years in South Korea. Chi-square test was used to analyze the distribution of depression between the high and low SRH groups. Logistic regression was used to analyze the relationship between SRH and depression after adjusting for covariates. There were 32.6% males and 30.1% females who were at risk for depression. A significant difference in the distribution of depression between the low and high SRH groups in both males and females was found. The low SRH group had a higher prevalence of depression than the high SRH group in both males and females in the crude analysis. However, when the BMI, economic status, and mental component score were adjusted, the OR of the low SRH group was still significant in males. Low SRH may be a risk factor for depression especially in males. Further studies to improve SRH by developing preventive measures against depression status while considering gender characteristics are needed.

scholarly journals Focus Harmonic Scalpel Compared to Conventional Haemostasis in Open Total Thyroidectomy: A Prospective Randomized Trial

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Emanuele Ferri ◽  
Enrico Armato ◽  
Giacomo Spinato ◽  
Roberto Spinato
Keyword(s):  
Postoperative Pain ◽  
Hospital Stay ◽  
Randomized Trial ◽  
Total Thyroidectomy ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Thyroid Volume ◽  
Prospective Randomized Trial ◽  
Drainage Volume ◽  
Significant Difference

The aim of this prospective randomized trial was to compare operative factors, postoperative outcomes and surgical complications of open total thyroidectomy when using the Harmonic Scalpel (HS) versus Conventional Haemostasis (CH).Methods. 100 consecutive patients underwent open total thyroidectomy were randomized into two groups: group CH (Conventional Haemostasis) and group HS (Harmonic Scalpel). We recorded the following: age, sex, pathology, thyroid volume, haemostatic technique, operative time, drainage volume, thyroid weight, postoperative pain, postoperative complications, and hospital stay. The results were analyzed using the Student’sttest and test.Results. No significant difference was found between the two groups concerning mean thyroid weight and mean hospital stay. The mean operative time was significantly shorter in the HS group. The total drainage fluid volume was lower in HS group. Two (4%) transient recurrent laryngeal nerve palsies were observed in CH group and no one (0%) in the HS group. Postoperative transient hypocalcemia occurred more frequently in the CH group. HS group experienced significantly less postoperative pain at 24 and 48 hours.Conclusions. In patients undergoing thyroidectomy, HS is a reliable and safe tool. Comparing with CH techniques, its use reduces operative times, postoperative pain, drainage volume and transient hypocalcemia.

scholarly journals Sex-based Short-term Memory of Vocabulary Trained with Pease and Pease’s Multimodality

2012 ◽  
Vol 2 (4) ◽  
pp. 208
Author(s):  
Hasan Arifuddin
Keyword(s):  
Short Term Memory ◽  
Memory Training ◽  
Short Term ◽  
Chi Square ◽  
Term Memory ◽  
Significant Difference ◽  
Different Types ◽  
Males And Females ◽  
The Difference ◽  
Modality Preference

Abstract Rose and Nicholl’s  view dealing with the effectiveness of multisensory learning seems contradictory with Pease and Pease’s theory regarding with gender-based multitasking. The present study aims at: 1)  determining the significance of the difference of STM of English vocabulary between males and females learned through different types of modalities; 2) testing  whether multimodality lowers  males’  STM of English vocabulary; and 3) exploring the trainees’ modality preference and their reasons based on sex.  This mix-methods study involved 60 subjects drawn through Allocation Random Sampling. Data were collected with tests, a structured questionnaire, an interview, a tape-recorder, observations and note-taking. They were analyzed with Two-way Anova, Chi-square (χ2) and cyclical qualitative analysis. It shows that: 1) there is a significant difference of  STM of English vocabulary between males and females trained with different types of modalities; 2) multimodality did not lower males’ STM of English vocabulary; and 3) Pease and Pease’s theory is not accepted. The effectiveness of a certain type of modality, their learning habits, and their school regulations  contribute to their  modality preference. Key words:  multitasking, multimodality, sex, short-term memory, training, development

scholarly journals CHARACTERIZATION AND DETECTION OF NORMAL LIVER TEXTURE USING ULTRASOUND

2018 ◽  
Vol 6 (11) ◽  
pp. 427-430
Author(s):  
Ashraf Mustafa ◽  
Mohamad Elfadil Mohamed Gar Elnabi ◽  
Mona Ahmed ◽  
Abdelmoneim Sulieman
Keyword(s):  
Normal Liver ◽  
Post Transplantation ◽  
Main Research ◽  
Young Males ◽  
Significant Difference ◽  
Different Types ◽  
Liver Transplantations ◽  
Diseased Liver ◽  
Males And Females

The main research conducted to know the importance of duplex Ultrasonography in the control, follow-up & the diagnosis of the different types of liver post-transplantation problems. Three hundred normal liver Doppler scan done to be as a reference (liver span and echotexure by the naked eye; not by image processing programme - IPP; in young expected normal patients in relation to normal liver transplanted patients- not a diseased liver, cirrhosis or hepatitis) to the Sudanese normal livers before starting the research, and about 65 Sudanese patients found with liver transplantations from them only 45 were available for liver Doppler scan. The data had been collected from the 300 normal objects population are the students of faculty of medicine in Al Rabat University (ages between 16-22 yrs., 48 % M; 52% F); the study done during the period from 1st April 2016 to 30th July 2017. The liver span is in the range (9.5-13.9 cm), the majority is of homogenous echo - level grading. The Statistical Package for Social Science – SPSS version 20.0 is used; no significant difference found between young males and females, however, that the upper limit of the liver span is a little bit more than the international values.

scholarly journals Trend of geographical distribution of stomach cancer in Iran from 2004 to 2014

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Farid Moradian ◽  
Mohammad Fararouei ◽  
Maryam Karami ◽  
Mousa Ghelichi-Ghojogh ◽  
Zahra Gheibi ◽  
...  
Keyword(s):  
Developed Countries ◽  
Incidence Rates ◽  
Common Location ◽  
Significant Difference ◽  
Different Types ◽  
Study Population ◽  
Males And Females ◽  
Incident Cases ◽  
Different Parts ◽  
Developing And Developed Countries

Abstract Background Among different common types of cancer, gastric cancer (GC) is a worldwide health priority in both developing and developed countries. The aim of this study was to map the distribution of incident cases of GC in Iran to provide a geographical presentation of the incidence of the disease. Methods This study used the Iranian National Cancer Registry (INCR) data from 2004 to 2014. We calculated the crude and age-standardized incidence rates of GC for each province and also defined the frequency distribution of different types and locations of GC by the provinces. Results According to the results of the present study, the patients were predominantly male 49,907 (70.0%) and the most prevalent type of tumour was A1 (almost 96.4%) and C3‌ (2.0%). Also, a significant difference was observed between males and females in the distribution of the types of tumour (P < 0.001). In addition, a comparison of the distribution of the types of GC in Iran suggested that a significant difference exists between the provinces (P < 0.001). A significant difference was observed when the distribution of the location of GC tumors was compared between males and females and provinces (P < 0.001). Accordingly, pylori and cardia are the most common location of GC cancer among the study population (28.1% and 31.3% respectively). Conclusions The results of the current study suggested a higher rate of GC incidence in Iran when compared to the global figure in both females and males. Our study also revealed significant disparities between provinces with regard to the distribution of types, and location of GC. This may suggest involving different factors in GC in different parts of Iran. Further studies are needed to better understand the epidemiology and etiology of the disease in Iran.

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