scholarly journals RELATION BETWEEN COMPLICATING FACTORS OF HYPOSPADIA AND COMPLICATIONS AFTER TIP: A RETROSPECTIVE STUDY

2016 ◽  
Vol 23 (2) ◽  
Author(s):  
Johannes Aritonang ◽  
Arry Rodjani ◽  
Irfan Wahyudi

Objective: This study aims to find an association between hypospadias complicating factor for complications that occurred after hypospadias reconstruction, focusing on tubularized incised plate (TIP) as reconstruction techniques are most commonly used. Material & methods: The study data was obtained from medical records of urologic hypospadias patients in Cipto Mangunkusumo General Hospital, Jakarta. Samples are those who underwent hypospadias reconstruction in Cipto Mangunkusumo General Hospital, since April 2002 until May 2014 with a total sampling method. Data were analyzed using SPSS ver 14. Results: We collected 127 patients who underwent the TIP technique with a mean patient age and treatment duration was 7.58 years and 10.95 days. Fistule is the most common complication in patients with post-TIP hypospadias accounting for as high as 32 (25.2%). Bivariate analysis showed a significant correlation between the location of the hypospadias meatus (distal) with torsion of the penis (n = 2; p 0.019). Conclusion: On the basis of the technical complications TIP, such as fistules, meatus stenosis, urethral stricture, torsion of the penis, and glans dehiscence, then the indication for TIP should be clear or selective.

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Ananias Malak

Abstract: Non-infectious skin disease is a skin disease that is not caused by pathogenic bacteria or by transmission. Many non-infectious skin diseases showed different manifestations in infants and children. This study aimed to obtain the patterns of non-infectious skin diseases in children at Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011. This was a retrospective study. Data of the annual cases, gender, and ages were obtained from the medical records. From a total of 595 patients in 2009-2011 there were 323 (54.29%) children with non-infectious skin diseases, females (167 patients, 51.70%) were more frequent than males, and most commonly in the age group of 5 to 14 years (59.13%). Conclusion: Non-infectious skin diseases were still common in Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011.Keywords: non-infectious skin diseases, childrenAbstrak: Penyakit kulit non-infeksi adalah penyakit kulit yang tidak disebabkan oleh kuman patogen ataupun ditularkan. Banyak penyakit kulit non-infeksi memperlihatkan manifestasi yang berbeda pada bayi dan anak-anak. Penelitian ini bertujuan untuk mengetahui pola penyakit kulit non-infeksi pada anak di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode 2009-2011.Metode Penelitian dilakukan secara retrospektif pada pasien anak dengan penyakit kulit non-infeksi yang datang ke Poliklinik Kulit dan Kelamin pada tahun 2009-2011. Data diperoleh dari rekam medik mengenai jumlah kasus pertahun, jenis kelamin, dan umur. Hasil penelitian memperlihatkan dari sejumlah 595 kunjungan pada tahun 2009-2011 terdapat 323 (54,29%) pasien anak dengan penyakit kulit non-infeksi, distribusi jenis kelamin memperlihatkan perempuan yang terbanyak 167 (51,70%), dan ter banyak pada kelompok umur 5-14 tahun (59,13%). Simpulan: Penyakit kulit non-infeksi masih sering dijumpai pada pasien anak di RSUP Prof. Dr. R. D. Kandou Manado.Kata kunci: penyakit kulit non-infeksi, anak


2019 ◽  
Vol 186 (3) ◽  
pp. 92-92
Author(s):  
Fernando Malalana ◽  
Jo L Ireland ◽  
Gina Pinchbeck ◽  
Cathy M McGowan

BackgroundUveitis appears to be less prevalent in the UK compared with other parts of the world and studies characterising the disease in the UK are lacking. The objectives of this retrospective study were to describe acute and recurrent cases presenting for management of uveitis in a referral hospital on the North West of England and compare the signalment of horses presenting with uveitis with the equine hospital population during the same period.MethodsMedical records of horses presented to the referral Equine Hospital, University of Liverpool with signs of uveitis between 2008 and 2018 were reviewed and clinical details extracted.ResultsSeventy horses presented with uveitis; 33 were classified as acute and 37 as recurrent cases. Sixteen of the horses were affected bilaterally. More bilateral cases were classified as recurrent than acute (P=0.04). No differences in age or sex were noted between acute and recurrent cases, or between cases and the general hospital population. Warmbloods and Appaloosas were over-represented when compared with the general hospital population (P<0.001). Twenty-one horses (30 per cent, 95 per cent CI 20.5 to 41.4) underwent surgery for the control of the uveitis. Fourteen of the 70 horses (20.0 per cent, 95 per cent CI 12.3 to 30.8) underwent enucleation.ConclusionWhile relatively uncommon in the UK, uveitis can affect horses from a relatively young age. The disease appears to have a relatively higher frequency than expected in Warmbloods and Appaloosas. It is more likely that a recurrent case will have both eyes affected.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2251-2257
Author(s):  
Gabriella de Andrade Boska ◽  
Márcia Aparecida Ferreira de Oliveira ◽  
Heloísa Garcia Claro ◽  
Thalita Silva Gomes de Araujo ◽  
Paula Hayasi Pinho

ABSTRACT Objective: To analyze and characterize the use of night beds in a Psychosocial Attention Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas – CAPS ad). Method: It is a quantitative, documental, descriptive and retrospective study. Data were gathered from 565 medical records. An analysis of continuous variables was performed. Results: When admitted to the beds, most users (87.6%) consumed multiple substances daily and were vulnerable, specially in street situation (68.3%). These users were admitted on an average of two times, undergoing a previous evaluation by the nurse (85.8%), usually for detoxication or due to the vulnerable condition. They stayed in the center for an average of seven days and 31.1% did not finish what was proposed. For a few cases, hospital support was needed. Overall, discharges were planned, but the return happened without booking. Conclusion: Social issues cut through the use of night beds, however, it is a therapeutic resource that meets significant demands and is present in the daily lives of vulnerable users as a comprehensive care.


Author(s):  
Cris Renata Grou Volpe ◽  
Eveline Maria Magalhães de Melo ◽  
Lucas Barbosa de Aguiar ◽  
Diana Lúcia Moura Pinho ◽  
Marina Morato Stival

ABSTRACT Objective: to compare electronic and manual prescriptions of a public hospital of Brasilia, identifying risk factors for the occurrence of medication errors. Method: descriptive-exploratory, comparative and retrospective study. Data collection occurred from July 2012 to January 2013, using an instrument for the review of the information contained in medical records related to the medication process. A total of 190 manual and 199 electronic records composed the sample, with 2027 prescriptions each. Results: compared to the manual prescription, a significant reduction was observed in the risk factors after implantation of the electronic prescription, in items such as "lack of the form of dilution" (71.1% to 22.3%) and "prescription with brand name" (99.5% to 31.5%). Conversely, the risk factors "no check" and "lack of CRM of the prescriber" increased. The lack of the allergy registration and the occurrences related to medication were the same for both groups. Conclusion: generally, the use of the electronic prescription system was associated with a significant reduction in risk factors for medication errors, concerning the following aspects: illegibility, prescription with brand name and presence of essential items that provide a safe and effective prescription.


2011 ◽  
Vol 5 (3) ◽  
pp. 611
Author(s):  
Moisés Kogien ◽  
Carlos Alberto Teixeira

ABSTRACTObjectives: to describe the most frequent causes for realization of thoracotomies and the epidemiological profile of individuals submitted of its. Method: this is about a retrospective study from quantitative approach conducted by medical records of a large general hospital of region Center-Western of Paraná (PR) were analysed in from June 2005 to july 2006. The study has been approved by the Research Ethics Committee of the Universidade Estadual do Centro-Oeste in Paraná (BR), in accordance to registration number 019/2006. Results: it were studied 50 cases, 56% were men; the age-group where the most number of cases were concentred was between 40 and 49 years old (22%), the average age was 42,5 years. Most of the case studied (50%) was closed thoracotomy drainage; 42% was thoracotomized for exhibit pleural empyema and 22% for exhibit pleural effusion. Conclusion: males aged up to 49 years old predominated among the thoracotomized patients in the study sample. The lateral thoracotomies were the main thoracic incisions made for treatment of pleural effusions and empyemas.  Descriptors: thoracotomy; thoracic surgery; epidemiology descriptive.RESUMOObjetivo: descrever as causas mais frequentes para a realização de toracotomias e traçar o perfil epidemiológico dos indivíduos submetidos a este procedimento. Método: estudo retrospectivo com abordagem quantitativa através de análise de prontuários médicos em um hospital de grande porte da região Centro-Oeste do Paraná no período entre junho/2005 e junho/2006. O trabalho foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Estadual do Centro-Oeste, sob registro n.019/2006. Resultados: foram estudados 50 casos, destes, 56% constituem-se de homens; a faixa etária onde se concentraram o maior número de casos foi entre 40 e 49 anos (22%), com idade média de 42,5 anos. A maioria dos casos analisados (50%) correspondeu a toracotomias com drenagem fechada; 42% foram toracotomizados por apresentarem empiema pleural e 22% por apresentarem derrame pleural. Conclusão: indivíduos do sexo masculino na faixa etária de até 49 anos de idade predominaram entre os pacientes toracotomizados da amostra do estudo, todos procedentes da região estudada. As toracotomias laterais foram as principais incisões torácicas realizadas em indicação ao tratamento de derrames e empiemas pleurais. Descritores: toracotomia; cirurgia torácica; epidemiologia descritiva.RESUMENObjetivos: describir las causas más frecuentes para la realización de toracotomías y trazar el perfil epidemiológico de los individuos sometidos a esto procedimiento. Método: estudio retrospectivo con abordaje cuantitativa a través de análisis de archivos médicos en un hospital de gran porte de la región Centro-Oeste del Paraná en el período entre junio/2005 y junio/2006. El estudio fue aprobado por el Comité de Etica en Investigación de la Universidad Estadual del Centro-Oeste, sob protocolo n. 019/2006. Resultados: fueron estudiados 50 casos, de estos, 56% se constituyen de hombres; la faja etaria donde se concentraron el mayor número de casos fue entre 40 y 49 años (22%) con edad media de 42,5 años. La mayoría de los casos estudiados (50%) correspondió a toracotomías con drenaje cerrada; 42% fueron toracotomizados por presentaren empiema pleural y 22% por presentaren derrame pleural. Conclusión: hombres en la faja etaria hasta 49 años predominarán entre los toracotomizados en la amostrad del estudio, todos procedentes de la región estudiada. Las toracotomías laterales fueran las principales incisiones torácicas realizadas en indicación al tratamiento de derrames y empiemas pleurales.  Descriptores: toracotomía; cirúgia torácica; epidemiología descriptiva.


2019 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Esthiningrum Dewi Agustin ◽  
Mamiek Dwi Putro ◽  
Herry Purbayu

Aim: This study aims to study the profile of patients with gastric perforation caused by peptic ulcer. Method: This is a retrospective study by obtaining patients data from medical records in the Medical Record Centre of Dr. Soetomo General Hospital during the period of January - December 2016 and analyzed descriptively. Result: 66 patients were identified (45 male and 21 female), most of them were between age 60 - 69 years old, and live in Surabaya (45.45%). 30.3% of patients No malignancy was found during the anatomic-pathological examination. 30.3% of patients have a long term NSAID taking, while 53.03% of patients came with a habit of traditional medicine consumption. Perforations were mostly located 1 - 5 cm pre-pyloric and between the range 0.5 - 1 cm in diameter (56.6% and 69.7%, respectively). Conclusion: With the lack of information, it still needs further studies with more completed data for better accuracy.


e-GIGI ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Masagus Hardadi

Abstract: Teeth play some significant role in mastication. The lower efficiency of mastication is mostly caused by tooth loss. Tooth extraction is closely linked to problems such as caries, periodontal, diseases, and other dental diseases. This was a retrospective study. Samples were obtained by using total sampling method. Data of the medical records of tooth extraction in dental health center at Clinic Tinumbala Aertembaga District of Bitung in 2013 were used in this study. The results showed that tooth extraction cases with radix gangrene and periodontal diseases had the same frequencies (41.2%). Based on gender, males (51.9%) had a higher frequency of tooth extraction than females. Adults (26-65 years) belonged to the highest group with tooth extraction (70.3%). Type of teeth that mostly extracted is 46 by 17.7%. Keywords: tooth extraction     Abstrak: Gigi merupakan organ terpenting pada manusia. Terjadinya kehilangan gigi akan menyebabkan penurunan efisiensi pengunyahan. Pencabutan gigi berhubungan erat dengan masalah karies, penyakit periodontal, dan penyakit-penyakit lainnya. Penelitian ini bersifat retrospektif dan pengambilan sampel dilakukan dengan metode total sampling dengan cara mendata rekam medik tindakan pencabutan gigi di poli gigi Puskesmas Tinumbala Kecamatan Aertembaga Kota Bitung pada tahun 2013. Hasil penelitian menunjukkan kasus pencabutan gigi dengan diagnosis gangren radiks dan penyakit periodontal mempunyai frekuensi yang sama yaitu sebesar 41,2%. Berdasarkan jenis kelamin laki-laki (51,9%) memiliki frekuensi pencabutan gigi yang lebih tinggi dibandingkan perempuan. Kelompok usia dewasa penuh (26-65 tahun) menunjukkan frekuensi pencabutan gigi yang paling tinggi dibandingkan kelompok usia lainnya, yakni sebesar 70,3%. Jenis gigi yang paling banyak dicabut ialah gigi 46 sebesar 17,7%. Kata kunci: pencabutan gigi


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Natasha Maryono ◽  
John Wantania ◽  
Rudy Lengkong

Abstract: Preeclampsia is still the main cause of morbidity and mortality in obstetric service in Indonesia. In preeclampsia treatment, routine diagnostic and prognostic laboratory tests are carried out, and progresivity of preeclampsia is observed. This study aimed to find out the description of hemogram and the liver function test of severe preeclampsia patients at Prof. Dr. R. D. Kandou General Hospital in 2013. This was a descriptive and retrospective study by using medical records of Obstetry and Gynecology Department in 2013. Out of 41 cases of severe preeclampsia, it was found that severe preeclampsia patients mostly had haemoglobin ranging from 10.0-12.0 g/dl. The leucocytes counts were 10.000-15.000/mm3, and thrombocyte counts 150.000-450.000/Mel. SGOT was less than 33 u/L, and SGPT was less than 43 u/L. Most impending eclampsia cases had haemoglobin >12 g/dl, leucocyte counts >15.000/mm3, and thrombocyte counts 150.000-450.000/Mel. Most severe preeclampsia cases without complication had trombocytes counts 150.000-450.000/Mel and SGPT <43 u/L. Most cases of severe preeclampsia without other complications had haemoglobin and thrombocytes counts within normal limit, however leucocyte counts increases slightly.Keywords: preeclampsia, hemogram, liver function testAbstrak: Preeklampsia saat ini masih merupakan penyebab utama morbiditas dan mortalitas dalam pelayanan obstetri di Indonesia. Dalam penanganan preeklampsia secara rutin dilakukan pemeriksaan laboratorium test diagnostik, prognostik dan memantau progresivitas dari penyakit preeklampsia. Penelitian ini bertujuan untuk mengetahui gambaran hemogram dan tes fungsi hati pada penderita preeklampsia berat di BLU RSUP Prof. DR. R. D. Kandou Manado tahun 2013. Penelitian ini bersifat deskriptif retrospektif yaitu dengan menggunakan catatan rekam medik kasus obstetrik di Bagian Obstetri Ginekologi tahun 2013. Dari 41 kasus Preeklampsia Berat, didapatkan paling banyak pada hemoglobin di rentang nilai 10.0-12.0 g/dl, leukosit di rentang nilai 10.000-15.000 mm3, trombosit di rentang nilai 150.000 – 450.000/Mel darah, SGOT di rentang nilai <33 u/L, dan SGPT di nilai <43 u/L. Impending eklampsia terbanyak mempunyai nilai hemoglobin >12 g/dl, nilai leukosit >15.000 mm3 dan rentang nilai 150.000 – 450.000/Mel darah untuk trombosit. Preeklampsia tanpa komplikasi, pada trombosit dengan rentang nilai 150.000 – 450.000/Mel darah dan terbanyak pada SGPT dengan nilai <43 u/L. Kadar hemoglobin dan trombosit pada Preeklampsia Berat tanpa komplikasi lain sebagian besar dalam batas normal, kecuali leukosit sedikit meningkatKata kunci :preeklampsia, hemogram, tes fungsi hati


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Marillyn M. Tamburian ◽  
Emma Sy. Moeis ◽  
Fandy Gosal

Abstract : Hypertension is chrocnic medical condition which the blood pressure has elevated above 140mmHg systolic and 90 mmHg diastolic. Hypertension is one of top 10 of the causes of death worldwide. It is because hypertension affects in damaged of some organs like heart, brain, renal, retinal, ect.The purpose of this study is to give the information about profile of hypertensive patients and about antihypertensive drugs which most commonly used in Prof. Dr. R. D. Kandou General Hospital Manado.This is descriptive retrospective study. The data had been taken from medical records in Nephrology and Hypertension Clinic at Prof. Dr. R. D. Kandou General Hospital Manado.Keywords : Hypertension, Complication, Antihypertensive drugsAbstrak : Hipertensi merupakan kondisi dimana tekanan darah sistol diatas 140 mmHg dan tekanan darah diastol diatas 90 mmHg.Hipertensi menjadi salah satu penyebab kematian terbanyak didunia karena hipertensi dapat mempengaruhi kerusakan pada organ-organ target yang lain seperti organ jantung, otak, ginjal, mata dan lain-lain.Tujuan penelitian ini untuk memberikan gambaran tentang profil pasien hipertensi serta jenis obat antihipertensi yang digunakan di poliklinik ginjal-hipertensi RSUP Prof. Dr. R. D. Kandou Manado periode Oktober 2014 - Maret 2015.Penelitian ini merupakan jenis penelitian deskriptif retrospektif dengan data sekunder di poliklinik ginjal-hipertensi RSUP. Prof. Dr. R. D. Kandou Manado periode Oktober 2014 - Maret 2015. Sampel penelitian sebanyak 311 pasien.Kata Kunci : Hipertensi, Komplikasi, Obat Antihipertensi


VASA ◽  
2017 ◽  
Vol 46 (6) ◽  
pp. 477-483
Author(s):  
Robert Karl Clemens ◽  
Frederic Baumann ◽  
Marc Husmann ◽  
Thomas Oleg Meier ◽  
Christoph Thalhammer ◽  
...  

Abstract. Background: Congenital venous malformations are frequently treated with sclerotherapy. Primary treatment goal is to control the often size-related symptoms. Functional impairment and aesthetical aspects as well as satisfaction have rarely been evaluated. Patients and methods: Medical records of patients who underwent sclerotherapy of spongiform venous malformations were reviewed and included in this retrospective study. The outcome of sclerotherapy as self-reported by patients was assessed in a 21 item questionnaire. Results: Questionnaires were sent to 166 patients with a total of 327 procedures. Seventy-seven patients (48 %) with a total of 159 procedures (50 %) responded to the survey. Fifty-seven percent of patients were male. The age ranged from 1 to 38.1 years with a median age of 16.4 years. The lower extremities were the most common treated area. Limitations caused by the venous malformation improved in the majority of patients (e.g. pain improvement 87 %, improvement of swelling 83 %) but also worsening of symptoms occurred in a minority of cases. Seventy-seven per cent would undergo sclerotherapy again. Conclusions: Sclerotherapy for treatment of venous malformations results in significant reduction of symptoms. Multiple treatments are often needed, but patients are willing to undergo them.


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