scholarly journals Physiological Amputation of Limb (Limb Gangrene) after Tourniquet Application for 12 days following Snake Bite

2018 ◽  
Vol 1 (2) ◽  
pp. 101-104
Author(s):  
Ashok Kumar Yadav ◽  
R. Bhandari ◽  
A.K. Agrahari ◽  
R. Gupta ◽  
M.K. Shah
Keyword(s):  
Rural Areas ◽  
Traditional Healer ◽  
Surgical Intervention ◽  
Snake Bite ◽  
Shortness Of Breath ◽  
Left Forearm ◽  
Left Hand ◽  
Left Elbow ◽  
Long Time ◽  
Unusual Finding

Background: Application of tourniquet and herbs has been practiced since a long time in patients with different reptiles’ and arthropods’ bite at rural areas of the country, despite various cases of cellulitis and gangrene. Objective: To report a case of limb gangrene following tourniquet and herb application for snake bite. Case: A 20-years old farmer, who was bitten by a snake, presented to the Emergency department with complaints of blackish discoloration of his left forearm and hand. After clinical evaluation and investigations, patient underwent surgical intervention. Twelve days following snake bite, patient felt pain, noticed bleeding from bite site, swelling over his left hand, palpitation, shortness of breath and inability to speak. For which, he sought help from a traditional healer who applied a tourniquet over his left elbow and some herbs over the bite site. He noticed blackening of his fingers, which rapidly progressed to involve his left hand and forearm up to the site of tourniquet. He underwent surgery for the gangrenous limb. Conclusion: Development of gangrene following tourniquet is an unusual finding in modern day medicine. This case report shows the danger related to tourniquet application and need for measures to prevent such incidents in future.

Thoracic Outlet Compression Syndrome Caused by a Schwannoma of the C7 Nerve Root

1997 ◽  
Vol 22 (5) ◽  
pp. 662-663 ◽  
Author(s):  
E. ATASOY
Keyword(s):  
Nerve Root ◽  
Carpal Tunnel Release ◽  
Pathological Examination ◽  
Clinical Impression ◽  
Scalene Muscle ◽  
Left Hand ◽  
Compression Syndrome ◽  
Left Elbow ◽  
Nocturnal Pain ◽  
Anterior Scalene Muscle

This is the first report of a schwannoma originating from the C7 nerve root causing thoracic outlet compression syndrome. The patient was a 30-year-old woman with a 3-year history of numbness on the radial side of the left hand, left arm tiredness, nocturnal pain in the left forearm and pain in the left elbow, shoulder and neck. Conservative treatment and previous operations, including carpal tunnel release and first rib resection, provided no relief. A left scalenectomy was performed. During the removal of the anterior scalene muscle, a mass approximately 3 cm long and 1.5 cm in diameter was noted under the anterior scalene muscle involving the C7 nerve root. The tumour was encapsulated and covered with attenuated and stretched nerve fascicles. It was completely excised without disturbing the nerve fascicles. The clinical impression was schwannoma, which was confirmed on pathological examination.

How Far Scientific is Snakebite Prevention and First Aid Treatment in School Textbook?

2019 ◽  
Vol 31 (1) ◽  
pp. 39-40
Author(s):  
Faiha Fairouz ◽  
Rumana Rashid ◽  
Abdullah Abu Sayeed
Keyword(s):  
Health Problem ◽  
Rural Areas ◽  
Elementary Science ◽  
First Aid ◽  
Primary Treatment ◽  
National Guidelines ◽  
Long Time ◽  
Class Viii ◽  
The Subject ◽  
School Books

Background: Snakebite is an old health problem in rural areas. In Bangladesh, the snakebite issue is included in school syllabus, in curriculum since long time, so that people can take/get immediate first aid treatment and can prevent snakebite. The success of snakebite treatment depends more on providing first aid treatment immediately after snakebite by learning and by sending the patients quickly to hospital. Snakebite is a preventable health problem indeed. If it can be prevented the rate of snakebite will also decrease. In the recently published snake bite management Guideline by WHO it has been targeted to reduce 50% of mortality & disability due to snakebite by 2030.1 Methods: a. The snakebite topic or issue has been thoroughly reviewed in the secondary and higher secondary school books. b. National Guidelines on snakebite in providing/ giving first aid treatment has been reviewed.2 c. The correlation between the topic to learn the subject and the national guidelines have been reviewed and given taken into account. d. The similarity or correlation between the national guidelines and the topic in the prevention of snakebite in the book have been observed & reviewed. It was a descriptive/narrative research study. Results: In the book of class IV in Primary and Secondary level students, ‘Elementary Science, (‘Prathomiik Bigghan’) page no. 86 and in book of class VIII Home Science (‘Gharjhastha Biggan’) page no. 16 the Snakebite issue/topic is mentioned.2,3 There are 22 information on the first aid/primary treatment of Snakebite among which 5 (five) are nonscientific rather harmful. (Table & Picture) Bangladesh J Medicine Jan 2020; 31(1) : 39-40

scholarly journals Envenomation by neotropical Opisthoglyphous colubrid Thamnodynastes cf. pallidus Linné, 1758 (Serpentes:Colubridae) in Venezuela

2004 ◽  
Vol 46 (5) ◽  
pp. 287-290 ◽  
Author(s):  
Fresnel Diaz ◽  
Luis F. Navarrete ◽  
Jaime Pefaur ◽  
Alexis Rodriguez-Acosta
Keyword(s):  
Case Report ◽  
Marked Improvement ◽  
Middle Finger ◽  
Snake Bite ◽  
Venomous Snake ◽  
Left Hand ◽  
At Home

This is a case report of a "non-venomous" snake bite in a herpetologist observed at the Sciences Faculty of the Universidad de los Andes (Mérida, Venezuela). The patient was bitten on the middle finger of the left hand, and shows signs of pronounced local manifestations of envenomation such as bleeding from the tooth imprint, swelling and warmth. He was treated with local care, analgesics, and steroids. He was dismissed from the hospital and observed at home during five days with marked improvement of envenomation. The snake was brought to the medical consult and identified as a Thamnodynastes cf. pallidus specimen. This report represents the first T. pallidus accident described in a human.

Acute Pituitary Apoplexy following Snake Bite: A Rare but Treatable Complication

2017 ◽  
Vol 16 (06) ◽  
pp. 397-399
Author(s):  
Narendrakumar Barad
Keyword(s):  
Public Health ◽  
Acute Kidney Injury ◽  
Developing Countries ◽  
Rural Areas ◽  
Pituitary Apoplexy ◽  
Kidney Injury ◽  
Snake Bite ◽  
Important Public Health ◽  
Russell’S Viper ◽  
Public Health Hazards

AbstractPoisonous snake bite is one of the important public health hazards in developing countries, such as India, where majority of the population resides in rural areas. Among various poisonous species of snakes, Russell's viper venom causes neurotoxicity, myotoxicity, hemolysis, and coagulopathies leading to shock and acute kidney injury. Pituitary apoplexy causing acute hypopituitarism is an extremely rare but treatable complication following viper bite. Here in, we report the case of a 14-year-old boy admitted with Russell's viper bite complicated by disseminated intravascular coagulation (DIC), acute kidney injury, and pituitary apoplexy with secondary acute hypopituitarism.

scholarly journals The Siberian Polonia in the second half of the 19th - early 20th century in the Polish historiography

2018 ◽  
Vol 8 (1) ◽  
pp. 11-20
Author(s):  
Vladimir Shaidurov
Keyword(s):  
20Th Century ◽  
Rural Areas ◽  
Historical Memory ◽  
Economic Life ◽  
Early 20Th Century ◽  
Late 20Th Century ◽  
Revolutionary Movement ◽  
Long Time ◽  
History Of ◽  
The Russian Empire

The period between the 19th – early 20th century witnessed waves of actively forming Polish communities in Russia’s rural areas. A major factor that contributed to the process was the repressive policy by the Russian Empire towards those involved in the Polish national liberation and revolutionary movement. Large communities were founded in Siberia, the Volga region, Caucasus, and European North of Russia (Arkhangelsk). One of the largest communities emerged in Siberia. By the early 20th century, the Polonia in the region consisted of tens of thousands of people. The Polish population was engaged in Siberia’s economic life and was an important stakeholder in business. Among the most well-known Polish-Siberian entrepreneurs was Alfons Poklewski-Koziell who was called the “Vodka King of Siberia” by his contemporaries. Poles, who returned from Siberian exile and penal labor, left recollections of their staying in Siberia or notes on the region starting already from the middle of the 19th century. It was this literature that was the main source of information about the life of the Siberian full for a long time. Exile undoubtedly became a significant factor that was responsible for Russia’s negative image in the historical memory of Poles. This was reflected in publications based on the martyrological approach in the Polish historiography. Glorification of the struggle of Poles to restore their statehood was a central standpoint adopted not only in memoirs, but also in scientific studies that appeared the second half of the 19th – early 20th century. The martyrological approach dominated the Polish historiography until 1970s. It was not until the late 20th century that serious scientific research started utilizing the civilizational approach, which broke the mold of the Polish historical science. This is currently a leading approach. This enables us to objectively reconstruct the history of the Siberian Polonia in the imperial period of the Russian history. The article is intended to analyze publications by Polish authors on the history of the Polish community in Siberia the 19th – early 20th century. It focuses on memoirs and research works, which had an impact on the reconstruction of the Siberian Polonia’s history. The paper is written using the retrospective, genetic, and comparative methods.re.

scholarly journals Study of clinical and demographic profile of patients diagnosed with secretory otitis media

2017 ◽  
Vol 3 (3) ◽  
pp. 715
Author(s):  
Ajeet Kumar Khilnani ◽  
Viral Prajapati
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Complete Recovery ◽  
Treatment Modalities ◽  
Common Symptom ◽  
Secretory Otitis Media ◽  
Long Time ◽  
Bilateral Deafness

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>Secretory Otitis Media (SOM) is a common otological condition in children presenting most commonly with hearing loss. If untreated for long time, it can affect the language development of child. Its causes are multifactorial and treatment depends on the etiology. Various treatment modalities (medical and surgical) are available and they are administered in isolation or in combination. The objectives of the study were the present study was conducted with the objectives of knowing the most common age group affected by SOM, the common etiological factors of SOM and the outcome of various modalities of treatment of SOM.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong>This prospective study was conducted at a tertiary care teaching hospital of North Gujarat. IEC approval and consent from the patients were taken. 40 patients diagnosed with SOM were included in the study and their clinical and demographic details and treatment outcomes were studied.  </p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong>Of the 40 patients, 65% were males. SOM was common in young children. Most of the cases (55%) were below 10 years of age. In 80% of cases SOM was bilateral. Deafness was the most common symptom (95%) with which patients presented with, followed by URTI and pain. All patients had impaired tympanic membrane mobility. Retraction of tympanic membrane was the next common otoscopic finding (85%). Initial management was medical and 18 patients required surgical intervention.</p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>SOM is a common ear disorder in children. Initial medical treatment has a definitive role and should be tried in all cases before surgical intervention is contemplated. A variety of surgical procedures are available which can be used depending on the indication. Complete recovery is expected to occur in most of the cases by a period of 3-6 months.</p>

scholarly journals Rivea Hypocrateriformis (Desr.) Choisy: A Review of its Ethnomedicinal Uses, Phytochemistry and Biological Activities

2021 ◽  
Author(s):  
Mohammad Mukim ◽  
Atul Kabra ◽  
Christophe Hano ◽  
Samantha Drouet ◽  
Duangjai Tungmunnithum ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Organic Compounds ◽  
Skin Disease ◽  
Biological Activities ◽  
Snake Bite ◽  
Pharmacological Activities ◽  
Traditional Uses ◽  
Phytochemical Investigation ◽  
Long Time ◽  
Ethnomedicinal Uses

Rivea hypocrateriformis (Desr.) Choisy is a robust woody climbing shrub of the genus Rivea which is found in India, Nepal, Sri Lanka, Pakistan, Bangladesh, Myanmar and Thailand. R. hypocrateriformis is a promising medicinal herb with enormous helpful and wellbeing advancing impacts. R. hypocrateriformis has been utilized as a customary medication for a long time to treat rheumatic pain, fever, urogenital problem, snake bite, cough, piles, malaria, and skin disease. Apart from the traditional uses its leaves and young shoots are cooked and eaten as a vegetable and for preparation of bread with millet flour. This review comprehensively summarizes the up-to-date information on the botanical characterization, distribution, traditional uses, phytochemistry, pharmacology and toxicity study of R. hypocrateriformis. Phytochemical investigation has been revealed that alkaloids, glycosides, coumarins, flavonoids, xanthones, stilbenes, and other organic compounds are contained in R. hypocrateriformis. Crude extracts and isolated compounds have exhibited numerous pharmacological activities such as anovulatory effect, antifertility activity, antiarthritic, antimicrobial, anticancer, antioxidant, hepatoprotective, antilithiatic, antimitotic. R. hypocrateriformis is a promising restorative spice with monstrous remedial and wellbeing advancing impacts. Along these lines, further investigations on the bioactive mixtures and systems of R. hypocrateriformis are justified. Extra clinical and toxicological examinations are expected to assess its wellbeing.

scholarly journals Experience of using hypnosis in eye surgery

1929 ◽  
Vol 25 (1) ◽  
pp. 57-64
Author(s):  
T. Krylov
Keyword(s):  
Surgical Intervention ◽  
Eye Surgery ◽  
Long Time

Achieving painlessness and numbness is a very essential moment in any surgical intervention, which is why for a long time the minds of many surgeons have been intensely occupied with this issue, and even to this day, research in this area continues at an unabated pace.

scholarly journals Population, and its social and religious composition in Ivanovo and Yaroslavl regions on the eve of the Axis aggression against the USSR (according to the censuses of the USSR in 1937 and 1939)

2021 ◽  
Vol 27 (1) ◽  
pp. 74-78
Author(s):  
Natalya S. Maiorova
Keyword(s):  
World War Ii ◽  
Rural Areas ◽  
Urban Population ◽  
Daily Life ◽  
World War ◽  
Religious Policy ◽  
The Core ◽  
Long Time ◽  
High Level ◽  
Anxiety And Fear

The article is devoted to the analysis of the results of population censuses conducted in the USSR in 1937 and 1939, in relation to Ivanovo and Yaroslavl regions. The research is based on census materials that had been classified for a long time and published only in the 1990s. Of all the various aspects of the censuses, the author's attention was focused on only three – population, its social structure, and religious composition. Based on the results of the censuses, conclusions are drawn about the prevalence of women in the region, both in rural areas and in cities. It was women who, in the conditions of World War II, became the strong rear, on whose shoulders the front was supported by food, uniforms, and weapons. The urban population was greater in Ivanovo Region, which was explained by its characteristic high rates of industrialisation. The 1937 census recorded a fairly high level of religiosity, despite the largely anti-religious policy that had been carried out for almost 20 years. The war led to an increase in religiosity, probably because often only faith could become the core around which daily life was built, full of deprivation, anxiety and fear for loved ones.

Current state of heart surgery in relation to some views on modern surgical science

1927 ◽  
Vol 23 (3) ◽  
pp. 340-347
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Internal Medicine ◽  
Gastrointestinal Tract ◽  
Biliary Tract ◽  
Heart Surgery ◽  
Surgical Intervention ◽  
Progressive Movement ◽  
Current State ◽  
Long Time ◽  
Sphere Of Influence

Modern surgery is taking over more and more organs, recapturing more and more areas of internal medicine. We see that in its great progressive movement surgery gradually involves within its sphere of influence a whole range of diseases that previously belonged exclusively to the sphere of internal medicine, such as some diseases of the gastrointestinal tract, biliary tract, lungs, etc. We see that even those organs, which until so recently were considered inaccessible to the art of the surgeon, are beginning to be subject to surgical intervention. Such last inviolable organ, on which the hand of the surgeon has not encroached for a long time, is the heart.

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