scholarly journals Revisiting the Urge to Operate: One-year Neurophysiological Follow-up in Severe CTS

2020 ◽  
Vol 6 (1) ◽  
pp. 21-28
Author(s):  
Alireza Ashraf ◽  
◽  
Zahra Hooshanginezhad ◽  
Attiyeh Vasaghi ◽  
Nima Derakhshan ◽  
...  
Keyword(s):  
Hand Function ◽  
Symptom Relief ◽  
Sensory Nerve ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sensory Nerve Action ◽  
One Year ◽  
The One ◽  
Low Amplitude

Background and Aim: Several approaches have been proposed for the treatment of Carpal Tunnel Syndrome (CTS) based on its severity. The aim of this study is to determine the optimal management for severe CTS. Methods and Materials/Patients: This cross-sectional study was conducted for 22 months from August 2017 to June 2019 in a referral rehabilitation clinic in southern Iran. A total of 117 hands diagnosed with severe CTS were included in 78 patients according to Electrodiagnostic Study (EDX) reports (considering Sensory Proximal Latency (SPL) >3.6 msec, Sensory Distal Latency (SDL) >5.3 msec, Sensory Nerve Conduction Velocity (SNCV) <30 m/sec, Distal Motor Latency (DML) >6.5 msec as being severe) who refused to undergo surgery. Boston questionnaire was filled out and conventional EDX was carried out at the first and the 1-year follow-up visits. Results: In patients with a detectable Sensory Nerve Action Potential (SNAP), motor amplitude (P<0.002) and latency (P<0.01), SPL (P<0.003) and SNCV (P<0.006), and Boston parameters improved significantly in the one-year follow-up visit compared with the results at the first visit. However, improvement in patients with absent or low amplitude SNAP at the first visit was only observed in proximal sensory latency (P<0.005) and amplitude (P<0.003). Conclusion: There is a considerable chance for non-surgical improvement of patients with severe CTS in terms of symptom relief, hand function, and EDX parameters in those with detectable SNAP at the first visit; however, patients with undetectable SNAP have little, if any, the chance for improvement with conservative measures.

scholarly journals Evaluation of outpatient discharge in patients with cutaneous melanoma

2015 ◽  
Vol 42 (2) ◽  
pp. 70-74
Author(s):  
Nurimar C. Fernandes ◽  
Flauberto de Sousa Marinho
Keyword(s):  
Cutaneous Melanoma ◽  
Cross Sectional Study ◽  
The Other ◽  
Stage Iiic ◽  
Cross Sectional ◽  
Melanoma In Situ ◽  
Stage Ia ◽  
The One

OBJECTIVE: to evaluate discharge in a group of patients with cutaneous melanoma according to recently established criteria. METHODS: we conducted an observational, cross-sectional study with 32 patients at the Hospital Universitário Clementino Fraga Filho (HUCFF) / Universidade Federal do Rio de Janeiro (UFRJ), between 1995 and 2013, in the following stages: IA (17 cases, 53.12%), IB (4 cases, 12.5%), IIA (3 cases, 9.37%), IIC (1 case, 3.12%), IIIB (1 case, 3.12%), IIIC (3 cases, 9.37%), melanomas in situ (2 cases, 6.25%), Tx (1 case, 3.12%). RESULTS: the follow-up time varied from one to 20 years (stage IA), five to 15 years (stage IB), six to 17 years (stage IIA), 20 years (stage IIC), 23 years (stage IIIB) and 14 to 18 years (stage IIIC). One melanoma in situ (subungueal) was discharged in the fourth year of follow-up and the other was promptly discharged. The Tx melanoma was followed for 12 years. We observed no relapses or recurrences in the period. CONCLUSION: although a controversial issue, it was possible to endorse the discharge of the patients since our follow-up time had already exceeded the one recommended by the other authors.

Prevalence of neck pain in migraine and tension-type headache: A population study

Cephalalgia ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 211-219 ◽  
Author(s):  
Sait Ashina ◽  
Lars Bendtsen ◽  
Ann C Lyngberg ◽  
Richard B Lipton ◽  
Nazrin Hajiyeva ◽  
...  
Keyword(s):  
Neck Pain ◽  
Primary Headache ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Cross Sectional ◽  
Type Headache ◽  
One Year ◽  
The One ◽  
Reported Data

Background We assessed the prevalence of neck pain in the population in relation to headache. Methods In a cross-sectional study, a total of 797 individuals completed a headache interview and provided self-reported data on neck pain. We identified migraine, TTH or both migraine and TTH (M+TTH) groups. Pericranial tenderness was recorded in 496 individuals. A total tenderness score (TTS) was calculated as the sum of local scores with a maximum score of 48. Results The one-year prevalence of neck pain was 68.4% and higher in those with vs. without primary headache (85.7% vs. 56.7%; adjusted OR 3.0, 95% CI 2.0–4.4, p < 0.001). Adjusting for age, gender, education and poor self-rated health, in comparison with those without headaches, the prevalence of neck pain (56.7%) was significantly higher in those with M+TTH (89.3%), pure TTH (88.4%) and pure migraine (76.2%) ( p < 0.05 for all three group comparisons). Individuals with neck pain had higher TTS than individuals without neck pain (15.1 ± 10.5 vs. 8.4 ± 8.0, p < 0.001). Conclusions Neck pain is highly prevalent in the general population and even more prevalent in individuals with primary headaches. Prevalence is highest in coexistent M+TTH, followed by pure TTH and migraine. Myofascial tenderness is significantly increased in individuals with neck pain.

scholarly journals Routine consultations for dermatology problems in adults in general practice: cross-sectional study

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703397
Author(s):  
Emma Le Roux ◽  
Peter Edwards ◽  
Emily Sanderson ◽  
Rebecca Barnes ◽  
Matthew Ridd
Keyword(s):  
General Practice ◽  
Total Duration ◽  
Cross Sectional Study ◽  
Self Management ◽  
Cross Sectional ◽  
Problem Types ◽  
Management Advice ◽  
The One ◽  
Mean Time

BackgroundDermatological conditions present frequently in general practice, and treatment failure is common due to low adherence with treatments. There has been little research exploring GP consultations for skin problems.AimTo describe consultations for skin problems in adults including shared decision making (SDM) around treatment decisions, delivery of self-management advice, and follow-up.MethodData were extracted from the One in a Million Study, an archive of 327 videorecorded routine GP adult consultations and linked data. A coding instrument was developed and refined, which was applied to all consultations where a skin problem was identified as having been discussed. SDM was assessed using OPTION. Twenty per cent of the consultations were double coded and inter-rater reliability assessed. Data were analysed using Stata, with descriptive statistics reported.ResultsIn total 45 consultations (13.8%) were examined, featuring a mean of 2.2 problems. Of the 100 problem types, 51 were dermatological. Mean time spent on skin problems was 4:16 minutes (29.6% of total duration of consultations with ≥2 problems). SDM for skin problems was low, with mean OPTION score of 10.7 (range 0–35). Self-management advice was given for 47.1% of skin problems (verbal only). Most skin problems (84.3%) were not referred to secondary care; 32.6% of skin problems not referred were seen again in primary care within 12 weeks of the index consultation, of which 35.6% were unplanned.ConclusionSkin problems commonly present alongside other complaints. SDM and self-management advice are uncommon. While most dermatological problems are not referred, patients often re-consult for the same problem.

scholarly journals Recurrence Rate and Risk Factors for the Recurrence of Ovarian Endometriosis after Laparoscopic Ovarian Cystectomy

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Sornsittipong Wacharachawana ◽  
Paweena Phaliwong ◽  
Sinart Prommas ◽  
Buppa Smanchat ◽  
Kornkarn Bhamarapravatana ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Treatment ◽  
Recurrence Rate ◽  
Cross Sectional Study ◽  
Ovarian Endometriosis ◽  
Cross Sectional ◽  
Ovarian Cystectomy ◽  
Laparoscopic Cystectomy ◽  
One Year

The aim of this study was to identify the recurrence rate and risk factors for the recurrence of ovarian endometriosis (OE) after laparoscopic cystectomy. This was a retrospective cross-sectional study. Subjects were OE cases who underwent laparoscopic ovarian cystectomy at Bhumibol Adulyadej Hospital (BAH). The period of this study was from January 2008 to December 2017. Ovarian histopathology and at least one-year follow-up after surgery were the prerequisite requirements. A total of 106 OE cases were included in the study. Subjects were classified into recurrence and nonrecurrence groups. It comprised of 24 and 82 cases, respectively. The mean age of the participant was 32.4 years old. The demographic characters of both groups were comparable. The recurrence rate after laparoscopic OE surgery in the present study was 22.6% (24/106). The average largest diameter of OE in the present study was 54.5 mm. Postoperative medical treatment (OR 3.15, 95% CI 1.14-8.74, p = 0.02 ) and postoperative pregnancy (OR 2.86, 95% CI 1.03-7.93, p = 0.04 ) were associated factors for recurrence decrement. The recurrence rate of OE after laparoscopic cystectomy was 22.6%. Postoperative medical treatment and postoperative pregnancy were a significant factor that lowered OE recurrence.

scholarly journals Oligosymptomatic and giant basilar artery dolichoectasia discovered after a stroke: case report

2007 ◽  
Vol 65 (2A) ◽  
pp. 345-347 ◽  
Author(s):  
Cynthia Resende Campos ◽  
Hugo Leonardo Doria-Netto ◽  
Antonio Marcos de Souza-Filho ◽  
Hilton Mariano da Silva Júnior
Keyword(s):  
Hearing Loss ◽  
Functional Recovery ◽  
Basilar Artery ◽  
Cross Sectional ◽  
Vertebrobasilar Dolichoectasia ◽  
Basilar Arteries ◽  
History Of ◽  
One Year ◽  
The One

The most frequently diagnosed complication of vertebrobasilar dolichoectasia (VBD) is the compression of structures adjacent to the vertebral and basilar arteries. A giant VBD with only slight compressive symptoms is unusual. In this setting, the diagnosis of VBD may be casually revealed after the occurrence of a posterior circulation stroke, another potential complication. We report a 48-year-old woman who presented a two-month history of continuous buzz and a slight right-sided hearing loss that was followed by a cerebellar ischemic stroke. Brain CT and MRI revealed a marked compression of the brainstem due to an ectatic, tortuous and partially thrombosed basilar artery (BA). The largest cross-sectional diameter of BA was 18 mm. The patient had a good functional recovery within the two-month follow-up after stroke with modified Rankin scale score (mRSS)=2. At the one-year follow-up, patient still kept the complaints of continuous buzz, slight right-sided hearing loss and the mRSS was the same. We call attention for an unusual giant VBD that caused an impressive brainstem compression with displacement of important structures in an oligosymptomatic patient. Diagnosis was made only after the occurrence of a stroke. Despite of the good functional recovery after stroke, the presence of significant atherosclerotic changes and the large BA diameter may indicate a poor outcome. However, after one year, she remains oligosymptomatic.

scholarly journals One Year is Not Enough to Adapt with a New Traditional Culture: Looking into the Cultural Heritage Elements and Practices Among Immigrants in Malaysia

2020 ◽  
Vol 8 (1) ◽  
pp. 66
Author(s):  
Nasir Yusoff ◽  
Sabarisah Hashim ◽  
Hue San Kuay ◽  
Faruque Reza
Keyword(s):  
Traditional Culture ◽  
Cross Sectional Study ◽  
Traditional Food ◽  
Cultural Environment ◽  
International Graduate Students ◽  
Self Assessment ◽  
Cross Sectional ◽  
International Graduate ◽  
One Year ◽  
The One

Adapting to a new traditional cultural environment has noteworthy implications for emotional manifestations, especially among immigrants who migrated to a new place. This study aimed to examine the effect of living duration (one-year cut-off period) among immigrants in Malaysia on their emotional manifestation towards the traditional culture of the ethnic majority. This study also examined the element of cultural items (games, clothes, or food) most affected during their adaptation in the new traditional culture environment. About 119 international graduate students (male; n=72, 61%) from a public university in West Malaysia who met the inclusion criteria took part in this cross-sectional study. They were selected using convenient sampling method. Using visualisation approach, two groups of immigrants with different living duration (less than a year versus a year or more) were asked to respond to the pictures of Malay traditional items (traditional food, game and clothes) that were projected onto the screen. While viewing the pictures, participants rated their emotional state of valence from one (low valence/high pleasantness) to nine (high valence/high pleasantness) according to the non-verbal pictorial measure of Self-Assessment Manikin Scale. Socio-demographic and acculturation scores were also collected. The study found the one-year duration of living in the country as insufficient for the immigrants to adapt to the new cultural environment. Traditional food seems to be the most affected cultural item. The tendency of immigrants to practice the Malay tradition explained 4% of the variance of immigrants’ emotional manifestation towards Malay traditional food. To conclude, the duration of living in a country is crucial to adapt to a new traditional culture. Unsurprisingly perhaps, traditional food in the particular country brought more emotional property than other cultural items.

scholarly journals Alcohol consumption in young people between 18 and 24 years according to sociodemographic characteristics

2013 ◽  
Vol 21 (5) ◽  
pp. 1144-1150 ◽  
Author(s):  
Maria Belen Villace ◽  
Alicia Ruth Fernandez ◽  
Moacyr Lobo da Costa Junior
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Young People ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Area Of Concern ◽  
One Year ◽  
The One

OBJECTIVE: to identify alcohol consumption in young people between 18 and 24 years of age in the province of Córdoba who participated in the National Survey of Risk Factors, according to sociodemographic characteristics. METHOD: a quantitative, analytic and cross-sectional study was undertaken in a sample of 240 young people. The alcohol consumption and sociodemographic characteristics were analyzed using bivariate analysis, risk ratio and confidence intervals. RESULTS: the lifetime prevalence of alcohol consumption corresponded to 79.17%, the one-year prevalence to 72.91% and the one-month prevalence to 57.08%, while episodic abuse and regular hazardous consumption corresponded to 25.55% and 24.19%. Consumption levels in the last month were higher among males (p=0.0028), single people (p=0.0001), with a secondary education degree (p=0.0306). CONCLUSION: in the province of Córdoba, drugs use, including alcohol, has not been an area of research interest in recent years, although alcohol abuse is associated with other risk factors, like accidents and violence, and is a factor of comorbidity and early mortality. Therefore, alcohol consumption in young people represents an area of concern and, once characterized, preventive actions should be adopted.

scholarly journals Barodontalgia among Aircrew of Bangladesh Air Force

2020 ◽  
Vol 15 (2) ◽  
pp. 186-188
Author(s):  
Md Masudur Rahman ◽  
Mizanur Rahman Khan ◽  
Mohammad Ahmed Ahsan ◽  
Mohammad Khairul Alam ◽  
Md Abdul Wahab
Keyword(s):  
Air Force ◽  
Atmospheric Pressure ◽  
Cross Sectional Study ◽  
Moderate Pain ◽  
Sectional Study ◽  
Cross Sectional ◽  
One Year ◽  
Pressure Changes ◽  
Study Participants

subjected to atmospheric pressure changes and have an influence on flights. Barodontalgia is caused whenever the pulp is exposed to differential pressure gradient. Objective:  To see the barodontalgia among aircrew of Bangladesh Air Force. Methodology: A cross-sectional study was carried out in Dental wing medical squadron BAF base Basher Dhaka. The study participants were recruited during one year among all the pilots and crewmembers attending departments specializing in medical follow-up at the study period from the Bangladesh Air Force. Results: Among the 50 barodontalgia group, most 39(78%) of the respondents were found technical and military flying whereas 50 without barodontalgia group 38(76%) specifically in military flying. In barodontalgia, 62% respondents were found in moderate pain (4-6), 26% in mild pain (1-3) and 32% in severe pain (7-10). In barodontalgia, 50% respondents were descent of barodontalgia, 52% were altitude where barodontalgia was reported to appear during the flight was <4000 meters and 70% were flight speed was 500-1000 km/h. Most of the respondents were found specifically in commercial flights in patients with barodontalgia. Majority pain intensity was found moderately in barodontalgia JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 186-188

scholarly journals Why Patients Use Traditional Medicine in Burn

2021 ◽  
Vol 6 (11) ◽  
pp. 840-844
Author(s):  
Mohammad Qtait, MSN, RN ◽  
Farid Abu Liel MSN, RN ◽  
Salwa Massad PHD ◽  
Ayman Asfour RN
Keyword(s):  
Traditional Medicine ◽  
Conventional Medicine ◽  
Demographic Variable ◽  
Cross Sectional Study ◽  
The Body ◽  
Cross Sectional ◽  
Traditional Therapy ◽  
Rapid Healing ◽  
One Year ◽  
The One

Background: People from different cultural and thinking backgrounds have used different forms of Traditional Medicine as a means to managing their diseases or trauma. Objective: To know why people use the traditional medicine in burn. Methods: Use questionnaire and divided tow section first demographic variable second section contain 13 items and divided three subsection to know why people go traditional therapy (1) they are dissatisfied in some way with conventional treatment; (2) the patients' values, customs and (3) Beliefs and think. Additional predictor variables explored included demographics. Design : Cross-sectional study was conducted in main governmental hospital contain burn unite south of Palestine during the one year January 2020 to 31 December 2020 with burns and use traditional therapy admitted to burn unite any percent. Result: admitted to burn unite in Hebron government hospital 290 patient in 2020 with percent 29% of admission use traditional therapy. The study participants were; 53.0% males, child and more than 50%, and 46.1% from participant use alternative medicine before. According to information to use 22% from participants, know from friends, 53.3% know from internet, 16.8 form media as radio and TV, 15% know from family, 7% from participants know from health care worker as physician and nurses, the main dissatisfaction with conventional medicine with percent 53%, the second cause the patients' values, customs with percent 46%, the third cause Beliefs and think 45%. Conclusion: For use can, summary first for burn is convinced that traditional therapy is best than convention medicine, due not leave scar and rapid healing based on experiment in. Society and elderly. Another explanation for using traditional medicine in burn think as philosophy no side effect for medication the mixture that uses from nature not contain chemical material, and thought the body it's myself can use anything to treatment the body.

scholarly journals Antibody response in individuals affected with Sars-Cov-2 infection: temporal trends and qualitative and quantitative differences in symptomatic and asymptomatic subjects. A Cross Sectional Analysis. Ab-Covid Study

2021 ◽  
Author(s):  
Iosief Abraha ◽  
Antonella Germani ◽  
Erica Pasquarelli ◽  
Sofia Pascolini ◽  
Rossana Antonietti ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Temporal Trends ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Cross Sectional ◽  
Entire Cohort ◽  
One Year ◽  
Asymptomatic Subjects

Objectives To describe clinical characteristics and treatment used in subjects who had Sars-Cov-2 infection during the first pandemic and to assess the correlation between serological titers and clinical characteristics; to evaluate the persistence of anti-Sars-Cov-2 titers over a follow-up of 12. Design Cross-sectional study. Setting Residents in Azienda USL Umbria 2. Participants Consecutive subjects aged 15 to 75 who from February, 2020, to March 2021 were discharged with the diagnosis of Sars-Cov-2 from the hospitals of the AUSL Umbria 2, or resulted positive to a PCR test for Sars-Cov-2 infection with or without symptoms. Participants were classified according to clinical findings. SARS-CoV-2 serologic testing for antibodies targeting the Nucleocapside and Spike proteins were determined. Results Of 184 eligible subjects, 149 were available for evaluation: 17 were classified as Oligo/asymptomatic, 107 as Symptomatic (with no hospital admission), 25 as Hospital. While fever resulted common to all the groups, headache or musculoskeletal pain was common to symptomatic participants whereas cough and dyspnea was present in all the hospital admitted. Participants with significant signs and symptoms were more likely to use antibiotics, hydroxychloroquine, heparin and steroids. Compared to Oligo/asymptomatic participants, Symptomatic and Hospital admitted participants had higher levels of anti-S titers at every follow-up (median titer at 12 month follow-up: 29 vs 94 vs 116 respectively; P < 0.001). At 12 months follow-up, anti-S titers persisted above the threshold for at least 12 months in all Hospital admitted participants, in 90% of the Symptomatic participants and 83% in the oligo/asymptomatic participants; in 30% of participants the titer raised significantly probably due to reinfection. Anti-N antibody titer tended to decrease over time and in 62% of the entire cohort resulted negative. None of the participants reported clinical reinfection with Sars-Cov-2 virus. Conclusion - Anti-S and anti-N antibody titers correlates well with disease severity. While anti-N decline overtime, anti-S antibodies persist for at least one year and most probably provide protection from reinfection.

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