scholarly journals Incidence of anesthetic and surgical complications in laryngeal laser surgeries

Introduction: Carbon dioxide (CO2) laser is an available technological tool for laryngeal surgeons. Given the importance of laser outcomesand complications, this research was conducted to identify the complications associated with laser surgery in the patients referring to the5th Azar Medical-Educational Center in Gorgan, Iran, from 2013 to 2017. Methods: This descriptive cross-sectional study was conducted on 85 patients with laryngeal lesions who underwent microscopic surgerywith CO2 laser at the 5th Azar Medical Educational Center in Gorgan, Iran, from 2013 to 2017. The patients were examined for the associated short-term complications 1, 7, and 21 days after the operation. They were also examined after 3 months to determine the long-term complications and patient satisfaction with sound quality. The data were analyzed in SPSS software (version 16). A p-value less than 0.05 was considered statistically signifificant. Results: Out of the 85 patients undergoing laser surgery, 60 (70.6%) cases were male. None of the patients experienced short-term complications. In terms of long-term complications, 2 (2.35%) cases, who had failed to perform the follow-up, had recurrent lesions after 3 months of surgery. In addition, 18 (21.8%) subjects had recurrent hoarseness, 18.8% (n=16) and 2.35% (n=2) of whom were detected with laryngeal carcinoma and recurrence, respectively. However, a total of 67 (78.91%) cases did not suffer from long-term complications. In this study, out of 85 patients undergoing larynx surgery, 69 (81.2%) cases had benign pathology, while the rest (n=16, 18.8%) had malignant pathology. Conclusions: It seems that a CO2 lasersurgery that follows scientific principles can produce good outcomes.

2012 ◽  
Vol 3 (2) ◽  
pp. 41-43
Author(s):  
Farzana Rabee Choudhury ◽  
Maliha Rashid ◽  
Ratu Rumana ◽  
ABM Zakir Uddin ◽  
Nilufar Nasrin Ava

Background: Genital prolapse is a common gynaecological problem in developing country like Bangladesh.Objectives: The aim of this study was to evaluate the advantages of short term catheterization in comparison to long term catheterization after genital prolapse surgery. Methodology: This was a prospective analytical cross sectional study being carried out from 1st July 2005 to 30th July 2006 in the Department of Gynaecology & Obstetrics of Sir Salimullah Medical College & Mitford Hospital. A total of 200 patients undergoing genital prolapse surgery were selected for this study. Patients were divided into two groups. In short term catheterization group the urinary catheter was withdrawal within one day after surgery and in the short term catheterization group the catheter was remained in situ for 5 days after surgery. Result: Positive urine culture was found in 16% in long term catheterization group compared with 6% in short term group (P=0.02). Mean duration of hospital stay was 6.98 days in long term catheterization group and 4.68 days in short term catheterization group (P<0.01). Residual volume was more than 200 ml and need for re-catheterization occurred in 3% in group whereas it was 10% in case group (P=0.04). Conclusion: This study permits to conclude that short term catheterization is better than long term catheterization. J Shaheed Suhrawardy Med Coll, 2011;3 (2): 41-43 DOI: http://dx.doi.org/10.3329/jssmc.v3i2.12077


2019 ◽  
Vol 31 (3) ◽  
pp. 167
Author(s):  
Ankita Goyal ◽  
Vatchala Rani ◽  
Bhadravathi Cheluvaiah Manjunath ◽  
Kanupriya Rathore

Introduction: Purpose of this research is to assess the relationship between long-term pediatric liquid medicines (PLMs) consumption and dental caries in 2–12-years-old chronically ill children. Methods: A cross-sectional study was performed in a public pediatric hospital in India for a period of 6 months. A total of 455 children aged 2–12 years old with various chronic diseases who were receiving PLMs for more than 6 months were selected as the subjects in this study and compared with 531 children of similar age group and diseases who received other forms of medication. Dental caries was measured by DMFT/dmft and data collected were analyzed with SPSS (17th version) using statistical tests such as t-test and one-way ANOVA. Univariable logistic regression was used where the significance was fixed at a a p value of less than 0.001. Results: Children on PLMs had an increased risk of dental caries than those on other forms of medications (OR: 3.142, 95% CI: 2.37–4.15, p < 0.001). The prevalence of dental caries was higher (77.8%) in children consuming PLMs when compared to other forms of medication (52.7%). The mean DMFT and dmft scores were significantly higher in the study group when compared to the control group (p = 0.001). Conclusion: Long-term consumption of pediatric liquid medicines containing sucrose as a risk factor for dental caries among chronically ill children. sugar free options has to be used during prescription to prevent medication-triggered caries.Keywords: Paediatric liquid medicine, medication-triggered caries, sugar-free medication


2020 ◽  
Author(s):  
Elham Alidadi Shamsabadi ◽  
Mitra Savabi-Esfahani ◽  
Ali Hashemianfar

Abstract Background Proper nutrition is essential for infant growth and health. Exclusive breastfeeding is the best pattern for feeding infants in the first 6 months of life. On the other hand, lactation patterns may be influenced by cultural factors. The present study aimed to determine relationships of cultural dimensions and lactation patterns.Methods The present cross-sectional study was conducted on 452 mothers with 6-month and younger infants. Hofstede's cultural dimensions, Power Distance, Individualism vs. collectivism, Masculinity vs. Femininity, Uncertainty Avoidance, Long-Term vs. Short-Term Orientation, and Indulgence vs. Restraint were assessed using a self-administered structured questionnaire. Data was analyzed using descriptive and analytical tests (independent t-test, Eta, phi and Cramer coefficients) and SPSS 18 at a significance level of less than 0.05.Results In the masculinity-femininity dimension, the mean score of exclusive breastfeeding pattern was higher than the non-exclusive breastfeeding (3± 0.48, 2.48±0.50) and there were statistical significant differences between groups (P = 0.03). However, despite different mean scores of power distance, individualism-collectivism, uncertainty avoidance, long term- short term orientation, indulgence- restraint in different breastfeeding patterns, the differences were not statistically significant.Conclusions Masculinity-femininity as a cultural dimension was associated with lactation patterns, so that mothers with greater orientation towards masculinity had higher focus on gender roles of a woman such as breastfeeding and they had greater exclusive breastfeeding. Therefore, some cultural dimensions should be taken into consideration in training and counseling for maternal breastfeeding.


Author(s):  
Tolulope O. Afolaranmi ◽  
Zuwaira I. Hassan ◽  
Joy L. Mbak ◽  
Davou W. Luka ◽  
Takzhir N. Audu ◽  
...  

Background: Compliance with prescribed treatment and retention in care are key components in the management of chronic diseases which is vital in averting the long term complications that could arise from such conditions. Failure to comply with treatment recommendations is often associated with poor retention in care. In view of this, this study was conducted to determine the level of treatment compliance and retention in care among patients with hypertension and diabetes in Jos University Teaching Hospital.Methods: This was a cross sectional study conducted among 290 eligible respondents between September and November 2017 using quantitative method of data collection. SPSS version 20 was used for data analysis with adjusted odds ratio and 95% confidence interval used as point and interval estimates while p-value of ≤0.05 was considered statistically significant.Results: The mean age of the respondents was 54.5±13.1 years with 43.8% of the respondents found to have satisfactorily complied with prescribed treatment while 117 (40.3%) were uninterruptedly retained in care within the last 6 months' clinic appointments  prior to the study.Conclusions: This study has demonstrated the levels of compliance with treatment and retention in care bringing to bear the need to provide structured interventions targeted at attaining improvement in compliance with treatment and retention in care among individuals on long term care.


2021 ◽  
Vol 8 (7) ◽  
pp. 223-227
Author(s):  
Rani Nallathamby ◽  
Boban Babu ◽  
Meril Ann Soman

Objective: To study about the awareness of toxic effects of Formaldehyde in Chronic users Design: Questionnaire study. Questionnaires were sent to chronic formaldehyde users and responses were analysed. Setting: Large teaching hospital-various medical colleges in south Karnataka and Kerala. Results: Most of the participants are aware about the adverse effects of formaldehyde but they are unaware of the major carcinogenic and teratogenic risks. Most of the participants don’t know the safe limit of exposure to formaldehyde and most of them don’t care whether the exhaust fans are working or windows are open. Majority of the participants had experienced the short term effects of formaldehyde whereas only 67 had experienced long term sequelae. Keywords: Formaldehyde, Carcinogen, Embalming.


2014 ◽  
Vol 27 (3) ◽  
pp. 520-531 ◽  
Author(s):  
Erik Lindberg

Purpose – This paper seeks to explore how principals use their time when the requirement exceeds the activities are desirable. In the scholarly debate it has been pointed out the heads think that too much time is devoted for the financial and administrative issues, or to solve acute problems. This means that there is not enough time to work with educational issues. The purpose of this paper is to clarify how principals use the time they have devoted for the educational area and what activities they prioritize. It will also increase the knowledge of reasons behind their prioritizing and reflect on some of the consequences. Results relate to the question if introduction of performance measures has increased a short-term perspective on student performance or if it works as a suitable tool for the principals to achieve the schools goals and to create more effective schools in the long run. The question if stakeholders can get required insight by the performance measures as they are designed today and if the principals got the right incentives is raised. Design/methodology/approach – A quantitative approach is used and a mail questionnaire was distributed to the principals in all upper secondary schools in Sweden and a comparative cross-sectional study was conducted. Findings – Principals’ perceptions suggest that, their prioritization when working with educational issues is influenced by a more short-term perspective and that they prioritize teaching, which have a much faster impact on student outcome, over long-term school development which facilitate the conditions for the former. These findings increase the insight into the need, for as well stakeholders as principals, to develop performance measures to stimulate change when needed. Practical implications – These findings have implications on the direction of the development of performance measures. The result points out the lack of transparence for stakeholders and uncovers the need to know when change and long-term development is ongoing or not. The study show how principals need incentives for prioritizing these activities and that this can be done by the stakeholder by designing required measurements for as well teaching as long-term school development when change is needed or to maintain a successful process. Originality/value – This paper fulfills an identified need to study how the performance measures of today can be complemented with measures for stakeholders for increased insight in ongoing activities with development and required change for long-term school success.


Author(s):  
Amit Kumar Saxena

Introduction: Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) spread mainly through respiratory droplets and contact routes. Long-term use of spectacles may prevent repeated touching and rubbing of the eyes. Aim: To know the association between infection with SARS-CoV-2 and wearing of spectacles. Materials and Methods: A cross-sectional study was conducted in which 304 patients of Coronavirus Disease-2019 (COVID-19) were selected. Their spectacles wearing behaviour were assessed through a questionnaire. Spectacles wearing behaviour of general population were obtained from older studies (for comparison). Risk of COVID-19 was calculated in long-term spectacles wearers as well as in persons not using spectacles. Chi-Square test was used for statistical analysis. Results: In this study, total 58 patients showed the behaviour of using spectacles continuously during day time and always on outdoor activities. The risk of COVID-19 was found 0.48 in spectacles wearing population as compared to 1.35 in population not using spectacles. The calculated Risk Ratio (RR) was 0.36. It indicates that the risk of COVID-19 was 2-3 times less in spectacles wearing population than the population not using spectacles. The protective effectiveness of the spectacles was found statistically significant (p-value=0.00113). Conclusion: The present study showed that the risk of COVID-19 was about 2-3 times less in spectacles wearing population than the population not wearing those. The nasolacrimal duct may be a route of virus transmission from conjunctival sac to the nasopharynx.


Author(s):  
Adelia Suryani Jonathan ◽  
Mulyadi Mulyadi

Ergonomic is compatibility between working tools and workers who not suitable can cause workers to feel uncomfortable and decreased worker of productivity. One from things related of ergonomics is work position. In this case such as long standing, lifting, pushing, sitting position, etc. Workers of body activity that is not good in the long term will cause Low back pain (LBP) or Lower Back Pain (NPB).The aim of this study was to analyze the factors associated with the incidence of Low Back Pain in PT. Maruki International Indonesia Makassar .. This research is an observational analytic study with a cross sectional study design, a total sample of 58 people and using a purposive sampling method and data analysis is tested by conducting a statistical test that is chi square.The results showed there was no relation between age and the incidence of low back pain with P-value is 0.697> 0.05, there was a relation between duration time of work and the incidence of low back pain with P-value is 0.004 <0.05 and there was a relation between work ergonomics with the incidence of low back pain with P-value is 0.012 <0.05.Based on the results of this study concluded there ere no relation between the variables with the incidence of low back pain in workers at PT. Maruki International Indonesia Makssar in the factory section 1. Suggestions It is expected that workers improve their working methods of paying attention to health by applying ergonomic work principles to avoid injury, and other occupational diseases.Keywords: Low Back Pain, Age, Duration Of Work, Ergonomics


Author(s):  
Guru Deo ◽  
Itagi R. Kumar ◽  
Thaiyar M. Srinivasan ◽  
Kuldeep K. Kushwah

Abstract: Anapanasati is one of the meditation techniques discussed in Buddhism. In this meditation, one focuses one’s attention on bodily sensations caused by incoming and outgoing breath. This study aims to track the cumulative effect of long-term meditators (LTM) and short-term meditators (STM) using electrophotonic imaging (EPI).: To execute the current study, 432 subjects (264 men and 168 women with mean age of 34.36: In both LTM and STM, lower values of stress (activation coefficient) were found in woman meditators as compared to men. In both groups, highly significant gender-related differences were observed in integral area parameter, which measures the overall health of an individual. Integral entropy (index of disorderliness of subtle energy in the body) was fluctuating in both groups in both directions for both genders. It was increasing in LTM group and decreasing in STM group with increasing length of practice.: Women of LTM and STM demonstrated lesser stress than men. Both groups showed cumulative health-related improvement. Moreover, in gender-related analysis woman meditators exhibited more positive improvement in EPI parameters than men.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Reham Elkhateeb ◽  
Ayman Abdelmeged ◽  
Samar Ahmad ◽  
Ahmad Mahran ◽  
Walaa Yehia Abdelzaher ◽  
...  

Abstract Background Domestic violence is a common problem that is related to many serious short-term and long-term health hazards around the world. Methods During obtaining the medical history from the participants, the questions used to assess the abuse were derived from the widely used Abuse Assessment Screen (AAS). Potential risk factors including a variety of socio-demographic and reproductive health-relation indicators were assessed. The influence of violence on the pregnancy outcome was determined by the continuous follow-up till giving birth. Results 513 pregnant women were included. The prevalence of violence among them was 50.8%. The prevalence of physical, sexual, verbal, and emotional abuse was 30.2, 20, 41.7, and 45.4% respectively. Exposure to violence during pregnancy had significant effects on the women and their pregnancy outcome in the form of development of vaginal infection (P-value =0.036), vaginal bleeding (P-value = 0.008), preterm labour (P-value = 0.003), premature rupture of membrane (P-value = 0.001). Conclusion Violence against pregnant women in Minia Governorate, Egypt is common especially emotional violence and it has many adverse effects on the women and their pregnancy outcome. One of the most important risk factors is the fear of the husband which makes violence a continuous vicious circle.


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