scholarly journals Characteristics of surgical treatment of patients with comorbidities in scoliotic disease

2021 ◽  
Vol 98 (11-12) ◽  
pp. 781-787
Author(s):  
E. A. Andronnikov ◽  
N. G. Mikhalkina ◽  
T. V. Alekseeva ◽  
N. V. Gogulina
Keyword(s):  
Surgical Treatment ◽  
Vertebral Deformity ◽  
Adult Population ◽  
Spinal Column ◽  
Early Postoperative Period ◽  
The Body ◽  
Rigid Fixation ◽  
Postoperative Rehabilitation ◽  
Extent Of Disease

A large number of studies deal with the study of the etiology and pathogenesis of scoliotic disease, since it is the most common disease among all the pathologies of the supporting-motor system. Scoliosis is more common in patients aged 4 to 17. Its frequency in the adult population reaches 18.2 cases per 1000 of population. The developed and widely applicable non-surgical therapy of moderate, progressive, and severe extent of disease do not always lead to positive outcomes. A variety of surgical methods for treating scoliosis is successfully used nowadays. Modern types of fixing hardware, including two-leg growing systems, most often used in practice, allow simultaneous correction of vertebral deformity in three planes and reliably stabilize the spinal column in a position closest to the physiological one. Since most organs and systems of the body are affected by scoliosis, it is necessary to take into account the characteristics of the comorbid background of patients for successful surgical treatment and effective postoperative rehabilitation. Comorbidity creates special requirements for surgical and rehabilitation approach to achieve biomechanically correct fitting of the structure and its rigid fixation on the supporting osseous structures. The aim of the study was to identify the most common comorbidities in patients with scoliosis admitted for surgical treatment, to highlight the features of surgical treatment and rehabilitation of these groups of patients. Material and methods. We studied 118 case histories of patients admitted for surgical treatment of scoliosis, monitoring characteristics of the periods of treatment and rehabilitation after surgical correction of vertebral deformity. Results. Degenerative vertebral diseases, cardiovascular development abnormalities and diseases of the gastrointestinal tract were noted with the highest frequency as diseases associated with scoliosis. The characteristics of surgical approach in the correction of vertebral deformity depending on the identified comorbidity are generalized. Conclusions. The revealed comorbidity pattern indicates the fundamental generality of the etiology of scoliosis and these diseases, as well as the pathogenetic role of vertebral deformities in the development of a number of diseases. This fact must be taken into account when planning approaches to surgical interference and individual rehabilitation program in the early postoperative period.

scholarly journals Stage results of the use of orthoses in children after surgical treatment of congenital spine deformity (Preliminary report)

2021 ◽  
Vol 9 (1) ◽  
pp. 41-50
Author(s):  
Ignatij А. Redchenko ◽  
Sergei V. Vissarionov ◽  
Maxim G. Gusev ◽  
Grigoriy A. Lein ◽  
Ivan V. Pavlov
Keyword(s):  
Surgical Treatment ◽  
Scientific Evidence ◽  
Spinal Column ◽  
The Body ◽  
Congenital Deformity ◽  
Spine Deformity ◽  
Metal Structures ◽  
X Ray ◽  
One Year ◽  
Treatment Use

BACKGROUND: After surgical treatment of congenital spinal deformities, we can see the progression of deformities of the spinal column segments free from metal structures, which leads to the need for reoperation. Without sufficient scientific evidence, several specialists after surgical treatment use various orthoses on the body to prevent scoliotic compensatory changes. AIM: This study aims to assess the results of body orthosis after surgical treatment of children with congenital spinal deformity with the impaired formation of the vertebrae, using orthoses, compensatory deformity after one year of treatment. MATERIALS AND METHODS: Twenty-five patients aged 2 to 12 years (10 boys and 15 girls) after surgical treatment of congenital deformity of the spine in the thoracic regions (13) and lumbar regions (12), wearing body orthoses. The results were assessed at 3, 6, and 12 months using thermal sensors for the orthosis wearing time by X-ray and statistical methods. RESULTS: After three months of wearing the brace, we saw a correction of about 50% of the value of the initial compensatory deformity. After six months, both thoracic and lumbar, the correction was 60%. After one year, when performing an X-ray image without an orthosis, in thoracic deformities without a brace, the correction stabilized and remained at the level of 40%. In lumbar deformities without a brace, the original deformity returned, i.e., the correction occurred but was not fixed without the orthosis. Only one of 25 patients (4%) required a second operation to increase the fixations duration. CONCLUSION: The results of observing a group of patients (25 children) for one year after surgical treatment of congenital spine deformity showed a positive effect of a functionally corrective orthosis on the body to correct secondary deformities.

scholarly journals ROLE OF MANIPUR CHAKRA ACTIVATION IN TREATMENT OF DIABETES MELLITUS

2021 ◽  
Vol 5 (01) ◽  
Author(s):  
Dr. yasmeen khan ◽  
VINOD CHOUDHARI
Keyword(s):  
Diabetes Mellitus ◽  
Psychological Health ◽  
Energy Flow ◽  
Spinal Column ◽  
Endocrine System ◽  
The Body ◽  
Unavoidable Stress ◽  
Treatment Of Diabetes ◽  
Flow Through

Chakras are the circular vortex of energy lying across the seven different points on your spinal column. On a physical level, chakras are associated with the major nerve plexuses and endocrine glands in the body. Many asanas have particularly powerful and beneficial effect on one or more of these glands or plexuses. Chakras are not the physical entity and reside in energy body, but help us to understand the body functions and emotions. As they are psychoactive energy centers in human body they are directly related to physiological and psychological health of human being. The unavoidable stress in lifestyle has blocked the entire chakra system and imbalance in the energy flow causes various diseases. We have the great ancient knowledge with us to regulate the energy flow through chakras and get cured from various disorders related to that chakra. Mechanism of yoga effects is the most visible in the systems of chakras and nadis, which specifically and directly correlates with nervous and endocrine system. This study is a small effort to prove the effect and application of Manipur chakra activation in management of life style disorders especially diabetes mellitus.

scholarly journals Stationary replacement technologies in the surgical treatment of simultaneous pathology in gynecological patients

2018 ◽  
pp. 64-71
Author(s):  
A. N. Shikhmetov ◽  
L. A. Osin ◽  
A. M. Zadikyan ◽  
A. A. Pazichev
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Early Postoperative Period ◽  
Subsequent Treatment ◽  
The Body ◽  
Operating Table ◽  
Operating Team ◽  
Simultaneous Operations ◽  
Repeated Surgery

The authors analyzed the results of simultaneous operations in 238 patients with regard to the combined surgical and gynecological pathology performed in the hospital-replacing environment of the ВСDС of PAO «Gazprom». Previously, all patients were assigned to the sequence of stages, the location of trocars, taking into account the additional stages of the operation, the position of the monitor, the location of the operating team, the position of the patient on the operating table during each stage. Performing simultaneous laparoscopic operations does not lead to an increase in the number of intra- and postoperative complications in comparison with isolated interventions and is not accompanied by great technical difficulties, but causes a somewhat longer duration (on average, 20.6 ± 1.5 min), which, in our opinion , is not critical for anesthesia. There were no significant differences in the course of the early postoperative period and the intensity of the functional systems of the body. Advantages of simultaneous operations are undeniable: two or three surgical diseases are cured simultaneously, progression or serious complication of the disease is prevented, operative treatment of which would be postponed for a later period, the risk of repeated surgery and anesthesia is eliminated, the time of total stay of the patient in the hospital and subsequent treatment is reduced, economic efficiency of treatment is increased.

When public relations can heal: An embodied theory of silence for public communication

2021 ◽  
pp. 2046147X2110140
Author(s):  
Cristina Archetti
Keyword(s):  
Public Relations ◽  
Adult Population ◽  
Strategic Communication ◽  
Developed Countries ◽  
The Body ◽  
Public Communication ◽  
Narrative Construction ◽  
The Media

This article extends the conceptualization of silence in public relations beyond strategic communication. It develops a new theoretical framework to explain the mechanisms through which suffering and pain felt inside the body translate into silence, exclusion from public debate, and communication gaps in health communication. This happens through intermediate steps that involve, among others, the role of the media in the narrative construction of the body and the self. This framework advances an understanding of public relations oriented towards civil society and is based on the empirical case study of involuntary childlessness (i.e. not having children not by choice): even in the age of ubiquitous communication, despite affecting about 25% of the adult population of virtually all developed countries, this issue is shrouded in taboo and seldom heard of. The analysis makes the case for a more material, indeed embodied, approach to conceptualizing silence in public relations.

scholarly journals The role of stress-induced dyssynchrony obtained from nuclear modalities in evaluation of high-risk patients after surgical treatment of ischemic cardiomyopathy

2021 ◽  
Vol 22 (Supplement_3) ◽  
Author(s):  
V Shipulin ◽  
K Zavadovsky ◽  
S Andreev ◽  
A Pryakhin ◽  
VM Shipulin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Prognostic Value ◽  
Ischemic Cardiomyopathy ◽  
Early Postoperative Period ◽  
Risk Patients ◽  
Induced Changes ◽  
Dobutamine Dose ◽  
Better Than

Abstract Funding Acknowledgements Type of funding sources: None. Background Mechanical dyssynchrony (MD) is a well-known parameter witch has prognostic value [1]. Stress tests can be used to unmask MD. However, stress-induced changes in left ventricle (LV) MD by data of nuclear imaging modalities are not well-understood, especially its predictive value [2]. Purpose. To assess the role of stress-induced changes of LV MD obtained by nuclear modalities in evaluating high-risk patients after surgical treatment of ischemic cardiomyopathy (ICM). Methods. Sixty-nine patients with ICM were enrolled. Before surgical treatment all patients underwent gated myocardial perfusion imaging (gMPI) (Tc99m-MIBI; 2 days stress-rest protocol, adenosine 140mkg/kg/min) and gated blood pool SPECT (gBPS) (rest – stress, dobutamine doses of 5/10/15 µg/kg/min). After surgical treatment patients were divided into 2 groups: with (n = 21) and without (n = 48) complicated course of early postoperative period (death, intra-aortic balloon pump, extra inotropic support). The following parameters were estimated: summed stress score (SSS), summed rest score (SRS), summed different score (SDS); phase mean, phase standard deviation (PSD) and histogram bandwidth (HBW) (% from cycle for MPI; degrees for gBPS); phase entropy (%, only by gBPS). Stress-induced changes (Δ) were calculated for MPI indices as [stress value-rest value], for gBPS indices as [value on each dobutamine dose-rest value]. For gBPS the maximum changes of MD were calculated as well. Results. Rest gBPS MD correlated with SRS better than rest gMPI (gMPI: PSD r = 0.31, p = 0.005; HBW r = 0.28, p = 0.008; gBPS: PSD r = 0.47, p < 0.001; HBW r = 0.36, p = 0.006; entropy r = 0.39, p = 0.003). Stress gBPS MD correlated better with post stress gMPI MD at the dobutamine dose of 5µg/kg/min. An following increase of the dobutamine dose led to a decrease in the r-value, but it remained significant for all indices (tab.1). Stress-induced MD changes didn’t correlate between gMPI and gBPS. Mann-Whitney test showed significant differences in SDS (p = 0.02) between the groups. Both methods didn’t show any differences at rest study. Stress-induced changes of MD showed differences between groups in only ΔEntropy rest-10µg/kg/min (p = 0.02) and maximum ΔEntropy (p = 0.01) by gBPS, as well as Δphase mean (p = 0.03) by gMPI. Logistic regression analysis showed that only maximum ΔEntropy has prognostic value in prediction of the course of early postoperative period (OR 1.2 95%CI 1.04; 1.37). ROC-analysis showed sensitivity of 80% and specificity of 55% with AUC of 0.7 for cut-off value >0. Conclusion. LVMD obtained from gBPS is associated with SRS better than those obtained from gMPI. Dyssynchrony indices obtained from gMPI with adenosine stress-test have a week to moderate correlation with those obtained from dobutamine gBPS, and correlation decrease with increasing of dobutamine dose. Only maximum ΔEntropy obtained from dobutamine gBPS is associated with the adverse course of early postoperative period in patients with ICM.

scholarly journals The The role of Sarvang sundar rasa Orally and Mahamash tail locally in the management of Amavata WSR to Rheumatoid Arthritis –A case study.

2021 ◽  
Vol 5 (04) ◽  
Author(s):  
Swati Sukhdeo Tayade ◽  
Subhash Jamdhade
Keyword(s):  
Rheumatoid Arthritis ◽  
Spinal Column ◽  
The Body ◽  
Essential Factor ◽  
Fatty Food ◽  
Loss Of Appetite ◽  
Cardinal Symptoms ◽  
First Time

Amavata is term derives from the word as Ama and vata.Ama is a type of metabolic toxin; it is an essential factor in development of pathology.Mandagni (low digestive fire) produce Ama in the body,when ama get associated with vitiated vata and starts circulating in the body accupies in shleshmal sthana(asthi sandhi) results in painful disease Amavata. Madhavakara (900 AD) has identified first time the disease.Amavata as seprate entity and discribed the disease in detail.Madhavakara describes etiopathology of amavata that the person with weak digestion (Mandagni) if he is posseses a secondary life (nishchalasya)or if he indulges into virrudha aaharaand vihara e.g.excessive exercise after taking heavy and fatty food,ama is produced and vata get vitiated. This ama provoks by vata (Vayuna preritah),Circulates in the body especially towards shleshmal sthanas. the resultant of cardinal symptoms of amvata are painful swelling of the joints (sarujashotham ) of hands,feet,ankle,knee,hip,Spinal column,and stiffness(jadyata),fever( Jwara),loss of appetite (aruchi),indigestion (apaka),Constipation(vibandhata),gurguling(antrakujanam)etc. this impairs the day to day functions of person.in spite of presence of NSAID,DMRD,steroids etc. the rheumatology remains refractory to treatment but Ayurvedic drug which are therapeutically safe and effectiveness.

scholarly journals The Role of Orthodontic Treatment and Prosthetics during the Recovery Period after Surgical Treatment

2021 ◽  
pp. 156-162
Author(s):  
Timerlan Aslambekovich Kadiyev ◽  
Muslim Kazbekovich Aigumov ◽  
Tatyana Timokhina ◽  
Kirill Dmitrievich Baranov ◽  
Marina Mikhailovna Krekova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Recovery Period ◽  
Interdisciplinary Approach ◽  
Postoperative Rehabilitation ◽  
Appropriate Treatment ◽  
Final Treatment

The present paper considers the role of orthodontic treatment and prosthetics in the recovery period after surgical treatment of an injury to the maxillofacial area. Analyzing the sources within the framework of the research topic, the author cconcludes tthat surgical treatment of maxillofacial trauma and postoperative rehabilitation often requires an interdisciplinary approach, which makes it a difficult task. This is due to the fact that these injuries usually affect several structures of the oral cavity and face, including hard and soft tissues, often causing malocclusion. Thus, the clinical picture and the appropriate treatment strategy may vary greatly from one person to another. Therefore, before drawing up a final treatment plan, a thorough and thoughtful multidisciplinary assessment of each patient is necessary.

scholarly journals Basilar Invagination: Surgical Treatment by Novel Anterior Implant

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Sushil V Patkar ◽  
Pradnya Patkar
Keyword(s):  
Surgical Treatment ◽  
Basilar Invagination ◽  
Atlantoaxial Dislocation ◽  
The Body ◽  
Atlantoaxial Instability ◽  
Rigid Fixation ◽  
Titanium Plate ◽  
X Ray ◽  
Atlantoaxial Fixation ◽  
Cost Efficient

Introduction: Anterior retropharyngeal realignment, distraction, and atlantoaxial fixation are an option for the treatment of symptomatic basilar invagination (BI). The anterior implants for distraction and fixation for atlantoaxial joints are still evolving. We share our experience using a novel implant which can easily, safely, and rigidly fix both lateral masses to the body of the axis. Methods: After exposing both the atlantoaxial joints anteriorly, the joints were prepared, distracted with wedge shaped autologous tricorticate bone grafts and realigned to correct the cervicomedullary strain. The atlantoaxial joints were fixed using a novel titanium plate by passing screws upwards and laterally into the lateral masses of the atlas and centrally into the body of the axis. Post-operative imaging showed effective correction of BI and atlantoaxial dislocation. Post-operative dynamic X-ray images confirmed maintenance of rigid fixation at 6 months. Conclusion: This new plate screw construct is safe, easy, cost-efficient, and biomechanically appealing option for the treatment of symptomatic BI. Keywords: Basilar invagination, atlantoaxial dislocation, vertebral artery injury, atlantoaxial fixation, atlantoaxial instability.

scholarly journals PECULIARITIES OF THE REHABILITATION PROGRAM IN ELDERLY PATIENTS IN THE POST-OPERATIVE PERIOD WITH ACUTE CALCULOUS CHOLECYSTITIS

2021 ◽  
pp. 108-113
Author(s):  
I. K. Churpiy ◽  
V. K. Churpiy ◽  
K. L. Churpiy ◽  
N. R. Golod ◽  
L. P. Fedorivska
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Rehabilitation Program ◽  
Early Postoperative Period ◽  
The Body ◽  
Maximum Efficiency ◽  
Surgical Trauma ◽  
Acute Calculous Cholecystitis ◽  
Calculous Cholecystitis

Currently, the elderly and senile account for 10 to 25% of all hospitalized for acute calculous cholecystitis. High operative-anesthetic risk, concomitant diseases and low resistance to surgical trauma are the cause of high frequency of postoperative complications and fatalities in this category of patients. In recent years, a reduction in postoperative mortality in acute cholecystitis, which is currently 0.28-2.9%, with gangrenous cholecystitis, it is higher to 17.8%. The aim of the study is to analyze and develop a rehabilitation program in the postoperative period in elderly and senile patients after surgery with acute calculous cholecystitis. Materials and methods We conducted an analysis of surgical treatment of 53 elderly and senile patients with acute calculous cholecystitis. In all patients, this diagnosis was confirmed intraoperatively and histologically. The age of all patients ranged from 61 to 89 years (mean 72.4 ± 8.7 years). Among the examined sick men there were 12 (22.6%), women - 41 (77.4%). The main criteria for assessing and creating a rehabilitation program in patients after surgery with acute calculous cholecystitis were the following processes: improving the general condition of patients, restoring intestinal motility, restoring or improving all impaired cardiovascular and respiratory functions, prevention of general complications (cardiovascular, respiratory, urinary, digestive and other systems), local (from the wound), normalization of blood parameters, One of the important components of successful surgical treatment of patients in the postoperative period is the timely restoration of respiratory, cardiovascular, digestive system after surgery. a guarantee of prevention of probable postoperative complications which are formed in the first 3-5 days after surgery. Objectives of the rehabilitation program in the early postoperative period in elderly and senile patients with acute calculous cholecystitis: to reduce the impact of drugs and accelerate the excretion of toxic substances from the body; restore adequate respiration and oxygen saturation; improve external respiration function, bronchial patency and bronchial drainage function; stabilize central hemodynamics to reduce peripheral circulatory disorders; prevent complications from the gastrointestinal tract, thromboembolic complications; prevent complications from the postoperative wound. Conclusions: Development of a rehabilitation program is a mandatory component in operated patients. Particular attention is paid to elderly and senile patients, who require a set of rehabilitation measures to be minimal, but sufficient to restore lost or reduced body functions in the early postoperative period, but at the same time, it should not exceed the patient's capabilities and ensure maximum efficiency. restoration. Start a rehabilitation program (breathing exercises, kinesiotherapy, massage, inhalation in combination with physiotherapy procedures) should be 12 - 16 hours after surgery. Prospects for further development Continue to develop a rehabilitation program for elderly and senile patients, taking into account the functional capabilities of the body in the long period of rehabilitation.

scholarly journals Venous resections and reconstructions in surgery of pancreatic cancer

2020 ◽  
Vol 28 (3) ◽  
pp. 340-349
Author(s):  
Oleg I. Kit ◽  
Oksana V. Katelnitskaya ◽  
Andrey A. Maslov ◽  
Yuriy A. Gevorkyan ◽  
Evgeniy N. Kolesnikov
Keyword(s):  
Pancreatic Cancer ◽  
Surgical Treatment ◽  
Palliative Chemotherapy ◽  
Average Diameter ◽  
Early Postoperative Period ◽  
The Body ◽  
Portal System ◽  
Control Group ◽  
Tumor Infiltration ◽  
Venous Resection

Aim. To evaluate results of venous resections in tumor infiltration of venous wall in pancreatic cancer (PC). Materials and Methods. The study included 74 patients with PC and tumor invasion of the wall of the mesenteric-portal system (T3 N0-1 M0). The control group included patients (n=53), receiving palliative chemotherapy. The average age of patients in the group of surgical treatment was 61.89.8 years, in the control group 63.210.1 years (р0.05), the average diameter of the tumor was 39 mm and 43 mm, respectively (р0.05). In 62 cases of the group of surgical treatment the tumor was located in the head of pancreas (P), the patients were conducted pancreaticoduodenal resection with venous resection. In the rest of cases (n=12) the tumor was located in the body of P, corporocaudal resection of P was conducted with venous resection. Results. In the early postoperative period 2.7% of patients developed thrombosis of the reconstruction zone, 1.4% developed bleeding. 30-Day postoperative lethality was 4.1%. Median survival in surgical treatment of PC with venous resection was higher in comparison with palliative chemotherapy: 19 months vs 13 months, р0.05. In the group of venous resection the lowest annual survival (46.2%) was noted in patients with marginal resection of the vein. No significant differences were found in the parameters of survival with use of direct venous anastomose and venous prosthetics (66.7% vs 63.2%, p0.05). Conclusions. Angioplastic interventions permitting to achieve microscopically complete resection of the tumor in PC with tumor infiltration of mesenteric-portal system, permit to improve survival of patients in comparison with palliative chemotherapy.

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