scholarly journals Single stitch Open interval appendectomy; when and why

2021 ◽  
pp. 32
Author(s):  
◽  
Keyword(s):  
Acute Abdomen ◽  
Surgical Management ◽  
Open Appendectomy ◽  
Open Interval ◽  
Interval Appendectomy ◽  
Developed Country ◽  
Common Cause ◽  
Small Incision ◽  
Classical Procedure

Appendicitis is a very common cause of acute abdomen. Most of the patient admit in surgical emergency. Diagnosis usually made clinically, sonography sometimes may be helpful. Regarding management there is still controversy exists. Developed country usually performed laparoscopy appendectomy while in developing country surgical management is still in debate. Different surgeons have different opinion either emergency open or laparoscopy appendectomy or interval appendectomy. Even in open appendectomy there is still debate between classical procedure vs small incision. This study favors single stitch surgery rather than classical and laparoscopy appendectomy. this case study supports even better cosmetic and outcome than laparoscopy appendectomy.

Traumatic Digital Amputations of the Foot Inflicted by Pet Cat upon Individual with Diabetic Peripheral Neuropathy

2013 ◽  
Vol 103 (5) ◽  
pp. 441-444 ◽  
Author(s):  
William Hoffman ◽  
Kenneth Donovan
Keyword(s):  
Peripheral Neuropathy ◽  
Lower Extremity ◽  
Diabetic Peripheral Neuropathy ◽  
Relevant Literature ◽  
Pet Ownership ◽  
Common Cause ◽  
Potential Risks

Diabetic peripheral neuropathy (DPN) is a common cause of many lower-extremity complications. This case study illustrates the potential perils of pet ownership associated with diabetes and neuropathy. The case describes an incident resulting in traumatic digital amputations inflicted by a patient’s pet feline while she was sleeping. In presenting this case, the potential risks of pet ownership for patients with DPN are discussed along with a review of the relevant literature. (J Am Podiatr Med Assoc 103(5): 441–444, 2013)

RELIABILITY ASSESSMENT OF SAFETY INSTRUMENTED SYSTEMS IN THE OIL AND GAS INDUSTRY: A PRACTICAL APPROACH AND A CASE STUDY

2009 ◽  
Vol 16 (02) ◽  
pp. 187-212 ◽  
Author(s):  
MARY ANN LUNDTEIGEN ◽  
MARVIN RAUSAND
Keyword(s):  
Oil And Gas ◽  
Fault Tree ◽  
Reliability Assessment ◽  
Fault Tree Analysis ◽  
Practical Approach ◽  
Suggested Approach ◽  
Tree Analysis ◽  
Common Cause ◽  
Common Cause Failures

This article presents a practical approach to reliability assessment of a complex safety instrumented system that is susceptible to common cause failures. The approach is based on fault tree analysis where the common cause failures are included by post-processing the minimal cut sets. The approach is illustrated by a case study of a safety instrumented function of a workover control system that is used during maintenance interventions into subsea oil and gas wells. The case study shows that the approach is well suited for identifying potential failures in complex systems and for including design engineers in the verification of the reliability analyses. Unlike many software tools for fault tree analysis, the approach gives conservative estimates for reliability. The suggested approach represents a useful extension to current reliability analysis methods.

Determine the Outcome of Traumatic Extradural Hematoma and to Compare the Outcome of Small and Large Size Extradural Hematoma

2021 ◽  
Vol 15 (10) ◽  
pp. 3363-3365
Author(s):  
Muhammad Pervez Khan ◽  
Muhammad Anwar
Keyword(s):  
Glasgow Outcome Score ◽  
Extradural Hematoma ◽  
Hematoma Volume ◽  
Common Cause ◽  
Descriptive Case Study ◽  
Large Size ◽  
Outcome Score ◽  
Male Patients

Objective: The aim of this study is to determine the outcome of traumatic extradural hematoma and to compare the outcome of small and large size extradural hematoma. Study Design: Descriptive case study Place and Duration: Study was conducted at the department of Neurosurgery, Saidu Teaching Hospital, Saidu Sharif, Swat for duration of two years from January 2016 to December 2017. Methods: Total one hundred and forty patients of both genders with ages 2-70 years were presented. Patients had traumatic extradural hematoma within duration first 24 hours were included and admitted through the emergency department. Detailed demographics of enrolled cases age, sex, GCS on arrival and cause of injury were recorded after taking informed written consent. CT scan of all the patients was done for diagnosis. Glasgow Outcome Score (GOS) was used for determination of outcomes. SPSS 23.0 version was used to analyze the data. Results: There were 110 (78.6%) male patients and 30 (21.4%) patients were females. Mean age of the patients was 32.78±10.43 years. RTA was the most common cause found in 84 (60%) followed by falling 29 (20.7%) and assault in 27 (19.3%). Small size hematoma volume among 100 (71.4%) cases and large size was in 40 (28.6%) patients. According to Glasgow outcome score, 24 (17.1%) cases had 1-3 score and 116 (82.9%) cases had 4-5 score. Mean GOS was 4.01±1.12. We found successful outcomes among 116 (82.9%) cases in which majority of the patients were from small size extradural hematoma. Conclusion: We concluded in this study that a significant relationship exists between the volume of extradural hematoma and both the clinical and functional outcome. Prognosis becomes increasingly worse with rising extradural hematoma size. Keywords: Traumatic Brain Injury, Extradural Hematoma, Glasgow Outcome Score

Detection of Pepsin in Oral Secretions of Infants with and without Laryngomalacia

2019 ◽  
Vol 129 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Miles J. Klimara ◽  
Tina L. Samuels ◽  
Nikki Johnston ◽  
Robert H. Chun ◽  
Michael E. McCormick
Keyword(s):  
Surgical Management ◽  
Laryngopharyngeal Reflux ◽  
Operative Management ◽  
Outpatient Setting ◽  
Oral Secretion ◽  
Oral Secretions ◽  
Common Cause ◽  
Future Studies ◽  
Flexible Laryngoscopy ◽  
Noninvasive Marker

Objectives: Laryngomalacia is a common cause of stridor in infants and is associated with laryngopharyngeal reflux (LPR). Although pepsin in operative supraglottic lavage specimens is associated with severe laryngomalacia, detection of pepsin in oral secretions has not been demonstrated in an outpatient setting. Methods: Children <2 years old with laryngomalacia diagnosed by flexible laryngoscopy and children without stridor were selected. Oral secretion samples were obtained in clinic from all subjects. Pepsin, IL-1β, and IL-8 enzyme-linked immunosorbent assays were performed to determine presence of LPR. Results: Sixteen laryngomalacia and sixteen controls were enrolled. Pepsin was detected more frequently in oral secretions of patients with laryngomalacia (13/16) than in controls (2/16; P < .001). Four patients with laryngomalacia developed symptoms requiring supraglottoplasty. Presence and level of salivary pepsin was not significantly associated with need for surgical management, nor were the levels or presence of IL-1β or IL-8 significantly associated with presence or level of pepsin, diagnosis of laryngomalacia, or need for operative management. Conclusion: Pepsin in saliva appears to be associated with laryngomalacia, suggesting a role for salivary pepsin as a noninvasive marker of LPR in patients with laryngomalacia. Future studies will determine the utility of this test in laryngomalacia.

A Case Study of Response to Price in an Under-Developed Country

1959 ◽  
Vol 69 (276) ◽  
pp. 800 ◽  
Author(s):  
P. T. Bauer ◽  
B. S. Yamey
Keyword(s):  
Developed Country

scholarly journals Case Study: The Surgical Management of Angiokeratoma Resulting from Radiotherapy for Penile Cancer

2009 ◽  
Vol 9 ◽  
pp. 339-342 ◽  
Author(s):  
Rowland Rees ◽  
Alex Freeman ◽  
Peter Malone ◽  
Giulio Garaffa ◽  
Asif Muneer ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Skin Lesion ◽  
Surgical Management ◽  
Penile Cancer ◽  
External Genitalia ◽  
External Beam Radiation ◽  
Surgical Reconstruction ◽  
External Beam ◽  
Beam Radiation

Angiokeratoma is a rare, benign skin lesion and a recognised complication of radiation therapy. Here we describe a case of extensive angiokeratoma of the groin and external genitalia resulting from external beam radiation to that area in a patient with penile carcinoma. Furthermore, we outline the management of this problem by surgical reconstruction.

scholarly journals Nurse Leadership in a Small Hospital in the Less Developed Country: Is It Needs or Circumstances?

2019 ◽  
Vol 34 (s1) ◽  
pp. s154-s154
Author(s):  
Odeda Benin-Goren ◽  
Yossi Baratz ◽  
Fatoumata Binta Diallo
Keyword(s):  
Pediatric Patients ◽  
Head Nurse ◽  
Small Hospital ◽  
Developed Country ◽  
Daily Work ◽  
Nurse Leadership ◽  
Number Of Patients ◽  
Ambulatory Patients ◽  
Less Developed Country

Introduction:Clinic Communal de Miniera is a small hospital located in the poor Dixinn district in Guinea Conakry. The hospital functions with seven general physicians, three surgeons, one gynecologist, one dentist, and fifteen nurses. The facility provides small admitting wards for medical, gynecologist (mostly maternity), and pediatric patients. The average number of patients per day is about forty, including acute and ambulatory patients. Although there is a medical director, the daily work is run by the Head Nurse (HN) who is specialized (on spot) as an Emergency Nurse. Management of all emergency patients is based on her experience, personality and the reality of the organization.Results:The circumstances emphasized the gaps between the managerial needs and existent reality, and raised the HN role to a team leader. The work will present the situation in the hospital as a case study related to “non-conventional” management due to a “deferent” situation and will highlight questions related to capabilities and risk factors.

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