scholarly journals Retrospective study of myiasis in ruminants at Babuganj Upazilla Veterinary Hospital of Barisal district

2018 ◽  
Vol 5 (1) ◽  
pp. 57-64
Author(s):  
Most Tahmina Khan ◽  
Md Tahmid Rahman Pavel ◽  
Imam Hasan ◽  
Md Monowarul Islam ◽  
Md Muket Mahmud ◽  
...  
Keyword(s):  
Retrospective Study ◽  
High Risk ◽  
Descriptive Analysis ◽  
Wound Management ◽  
Occurrence Rate ◽  
Treatment Protocols ◽  
Local Breed ◽  
Duration Of Illness ◽  
Veterinary Hospital ◽  
Structured Questionnaire

The study was conducted to know the occurrence of myiasis in cattle and goats at Babuganj Upazilla Veterinary Hospital, Barisal, Bangladesh. A total of 160 animals were examined. Among them 46 animals were found to be myiasis infested. A structured questionnaire was used to collect data on species, breed, age, sex, body condition of the animal, onset and duration of illness, affected sites of myiasis. The study was conducted during March 2014 to May 2015. All the data that were collected were entered into MS excel. Descriptive analysis was done by column and pie charts. It was possible to follow the response of treatment using two treatment protocols. The overall occurrence of myiasis was 28.75% where 39.13% in cattle and 60.87% in goat. The occurrence was higher in cross breed cattle (55.56%) than the local (44.44%). Similarly the occurrence rate was higher in cross breed goat (42.86%) than local breed (28.57%). Less than 6 months aged animals (71.73%) and females (cattle-61.11% and goat-64.29%) were more prone to myiasis. The frequency of maggot infestation was higher in navel region (54.35%) followed by vaginal (28.26%) and rectal (10.87%) regions respectively. The percentage of recovery to Inj. SP vet, Inj. Asta vet and Inj. Vermic were 67.86%. Myiasis is the major problem in livestock production in our country. Animals at high risk should be managed properly to avoid wound and special attention on wound management should be given after castration and parturition to prevent myiasis.Res. Agric., Livest. Fish.5(1): 57-64, April 2018

scholarly journals Reproductive emergencies in the bitch: a retrospective study

2018 ◽  
Vol 66 (4) ◽  
pp. 231 ◽  
Author(s):  
A. MARTINS-BESSA ◽  
L. CARDOSO ◽  
T. COSTA ◽  
R. MOTA ◽  
A. ROCHA ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Medical Treatment ◽  
Treatment Protocols ◽  
Epidemiological Features ◽  
Uterine Inertia ◽  
Veterinary Hospital ◽  
French Bulldog ◽  
Yorkshire Terrier ◽  
Standardized Diagnostic ◽  
Clinical Cases

This study aimed at analyzing reproductive emergencies (RE) in bitches brought in to a general veterinary hospital during a 24 month-period; evaluating their clinical-epidemiological features; and assessing the results of applied therapy. RE accounted for 11.8% of all female dog emergency clinical cases. Pyometra and dystocia accounted for 56.0% and 32% of the RE, with three (Newfoundland, Siberian Husky, Chow-Chow) and nine breeds (Boston Terrier, French Bulldog, Bernese Mountain Dog, Yorkshire Terrier, St. Bernard, Maltese, Chihuahua, Doberman and Boxer) found at higher risk of pyometra and dystocia, respectively. Fifty-four (96.4%) cases of pyometra were surgically managed, with a mortality of 13.0%. Primary uterine inertia (19 cases) was the main cause (59.4%) of dystocia. Medical treatment was attempted in 23 cases of dystocia (71.9%) but found to be effective in only two of them, leading to a high percentage of caesarian sections (30/32 cases, 93.8%). Both pyometra and dystocia had a high percentage of success following surgery. The use of standardized diagnostic and treatment protocols for the approach of RE allowed favorable outcomes.

scholarly journals Perioperative use of serum creatinine and postoperative acute kidney injury: a single-centre, observational retrospective study to explore physicians’ perception and practice

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Gianluca Villa ◽  
Silvia De Rosa ◽  
Caterina Scirè Calabrisotto ◽  
Alessandro Nerini ◽  
Thomas Saitta ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Retrospective Study ◽  
High Risk ◽  
Abdominal Surgery ◽  
Serum Creatinine ◽  
Malignant Disease ◽  
Kidney Injury ◽  
Major Surgery ◽  
Single Centre

Abstract Background Postoperative acute kidney injury (PO-AKI) is a leading cause of short- and long-term morbidity and mortality, as well as progression to chronic kidney disease (CKD). The aim of this study was to explore the physicians’ attitude toward the use of perioperative serum creatinine (sCr) for the identification of patients at risk for PO-AKI and long-term CKD. We also evaluated the incidence and risk factors associated with PO-AKI and renal function deterioration in patients undergoing major surgery for malignant disease. Methods Adult oncological patients who underwent major abdominal surgery from November 2016 to February 2017 were considered for this single-centre, observational retrospective study. Routinely available sCr values were used to define AKI in the first three postoperative days. Long-term kidney dysfunction (LT-KDys) was defined as a reduction in the estimated glomerular filtration rate by more than 10 ml/min/m2 at 12 months postoperatively. A questionnaire was administered to 125 physicians caring for the enrolled patients to collect information on local attitudes regarding the use of sCr perioperatively and its relationship with PO-AKI. Results A total of 423 patients were observed. sCr was not available in 59 patients (13.9%); the remaining 364 (86.1%) had at least one sCr value measured to allow for detection of postoperative kidney impairment. Among these, PO-AKI was diagnosed in 8.2% of cases. Of the 334 patients who had a sCr result available at 12-month follow-up, 56 (16.8%) developed LT-KDys. Data on long-term kidney function were not available for 21% of patients. Interestingly, 33 of 423 patients (7.8%) did not have a sCr result available in the immediate postoperative period or long term. All the physicians who participated in the survey (83 out of 125) recognised that postoperative assessment of sCr is required after major oncological abdominal surgery, particularly in those patients at high risk for PO-AKI and LT-KDys. Conclusion PO-AKI after major surgery for malignant disease is common, but clinical practice of measuring sCr is variable. As a result, the exact incidence of PO-AKI and long-term renal prognosis are unclear, including in high-risk patients. Trial registration ClinicalTrials.gov, NCT04341974.

Screening at ports of entry for Ebola Virus Disease in England—a descriptive analysis of screening assessment data, 2014–2015

2020 ◽  
Author(s):  
Nicki L Boddington ◽  
Sophia Steinberger ◽  
Richard G Pebody
Keyword(s):  
Public Health ◽  
High Risk ◽  
Secondary Care ◽  
Ebola Virus ◽  
Virus Disease ◽  
Descriptive Analysis ◽  
Health Assessment ◽  
Ebola Virus Disease ◽  
Screening Assessment

Abstract Background In response to the outbreak of Ebola Virus Disease (EVD) in West Africa in 2014 and evidence of spread to other countries, pre-entry screening was introduced by PHE at five major ports of entry in the England. Methods All passengers that entered the England via the five ports returning from Liberia, Guinea and Sierra Leonne were required to complete a Health Assessment Form and have their temperature taken. The numbers, characteristics and outcomes of these passengers were analysed. Results Between 14 October 2014 and 13 October 2015, a total of 12 648 passengers from affected countries had been screened. The majority of passengers were assessed as having no direct contact with EVD cases or high-risk events (12 069, 95.4%), although 535 (4.2%) passengers were assessed as requiring public health follow-up. In total, 39 passengers were referred directly to secondary care, although none were diagnosed with EVD. One high-risk passenger was later referred to secondary care and diagnosed with EVD. Conclusions Collection of these screening data enabled timely monitoring of the numbers and characteristics of passengers screened for EVD, facilitated resourcing decisions and acted as a mechanism to inform passengers of the necessary public health actions.

scholarly journals The effects of a preoperative multidisciplinary conference on outcomes for high-risk patients with challenging surgical treatment options: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masayoshi Koike ◽  
Mie Yoshimura ◽  
Yasushi Mio ◽  
Shoichi Uezono
Keyword(s):  
Patient Safety ◽  
Retrospective Study ◽  
High Risk ◽  
Treatment Plan ◽  
Treatment Options ◽  
High Risk Patients ◽  
Appropriate Treatment ◽  
Risk Patients ◽  
Treatment Plans ◽  
Multidisciplinary Conference

Abstract Background Surgical options for patients vary with age and comorbidities, advances in medical technology and patients’ wishes. This complexity can make it difficult for surgeons to determine appropriate treatment plans independently. At our institution, final decisions regarding treatment for patients are made at multidisciplinary meetings, termed High-Risk Conferences, led by the Patient Safety Committee. Methods In this retrospective study, we assessed the reasons for convening High-Risk Conferences, the final decisions made and treatment outcomes using conference records and patient medical records for conferences conducted at our institution from April 2010 to March 2018. Results A total of 410 High-Risk Conferences were conducted for 406 patients during the study period. The department with the most conferences was cardiovascular surgery (24%), and the reasons for convening conferences included the presence of severe comorbidities (51%), highly difficult surgeries (41%) and nonmedical/personal issues (8%). Treatment changes were made for 49 patients (12%), including surgical modifications for 20 patients and surgery cancellation for 29. The most common surgical modification was procedure reduction (16 patients); 4 deaths were reported. Follow-up was available for 21 patients for whom surgery was cancelled, with 11 deaths reported. Conclusions Given that some change to the treatment plan was made for 12% of the patients discussed at the High-Risk Conferences, we conclude that participants of these conferences did not always agree with the original surgical plan and that the multidisciplinary decision-making process of the conferences served to allow for modifications. Many of the modifications involved reductions in procedures to reflect a more conservative approach, which might have decreased perioperative mortality and the incidence of complications as well as unnecessary surgeries. High-risk patients have complex issues, and it is difficult to verify statistically whether outcomes are associated with changes in course of treatment. Nevertheless, these conferences might be useful from a patient safety perspective and minimize the potential for legal disputes.

scholarly journals Evaluation of Prognostic Factors for Palatal Fistulas after Cleft Lip and Palate Surgery in a North-Western Romanian Population over a 10-Year Period

2021 ◽  
Vol 18 (14) ◽  
pp. 7305
Author(s):  
Daiana Antoaneta Opris ◽  
Horia Opris ◽  
Cristian Dinu ◽  
Simion Bran ◽  
Grigore Baciut ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Retrospective Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Timing Of Surgery ◽  
Surgical Correction ◽  
County Hospital ◽  
Occurrence Rate ◽  
Surgical Corrections ◽  
North Western

Cleft lip and palate is the most frequent birth anomaly, with increasing reported rates of complications, such as palate fistulae. Current studies concerning the occurrence rate of cleft lip and palate (CLP) report 2 to 10 cases in 10,000 births. The purpose of this study was to investigate the existence of factors that could predict the occurrence of fistulae after cleft lip and palate surgery. A retrospective study was performed by collecting and analyzing data from all patients who were operated for cleft lip and/or palate in the Maxillo-Facial Department of the Emergency Clinical County Hospital of Cluj-Napoca, Romania, between 2010 and 2020. We investigated the existing evidence for possible links between the number of fistulae observed after the primary palatoplasty and the age at which the primary palatoplasty was performed, the sex of the patient, the type of cleft, the timing of the surgical corrections, and the presence of comorbidities. A total of 137 cases were included for analysis. A significant link between the number of fistulae and the type of cleft was found (with fistulae occurring more frequently after the surgical correction of CLP—p < 0.001). No evidence was found for the existence of significant links between the number of fistulae and the patient’s sex, the timing of surgery, or the presence of comorbidities. This study concluded that the incidence of palatal fistulae appears to be influenced by the type of cleft (CLP), but not by the sex of the patient, the timing of surgery, or the presence of comorbidities.

Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review

2020 ◽  
Vol 46 (08) ◽  
pp. 895-907
Author(s):  
Nina D. Anfinogenova ◽  
Oksana Y. Vasiltseva ◽  
Alexander V. Vrublevsky ◽  
Irina N. Vorozhtsova ◽  
Sergey V. Popov ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Embolism ◽  
High Risk ◽  
Transesophageal Echocardiography ◽  
Three Dimensional ◽  
Right Atrial ◽  
Treatment Protocols ◽  
High Risk Patients ◽  
Risk Patients ◽  
The Right

AbstractPrompt diagnosis of pulmonary embolism (PE) remains challenging, which often results in a delayed or inappropriate treatment of this life-threatening condition. Mobile thrombus in the right cardiac chambers is a neglected cause of PE. It poses an immediate risk to life and is associated with an unfavorable outcome and high mortality. Thrombus residing in the right atrial appendage (RAA) is an underestimated cause of PE, especially in patients with atrial fibrillation. This article reviews achievements and challenges of detection and management of the right atrial thrombus with emphasis on RAA thrombus. The capabilities of transthoracic and transesophageal echocardiography and advantages of three-dimensional and two-dimensional echocardiography are reviewed. Strengths of cardiac magnetic resonance imaging (CMR), computed tomography, and cardiac ventriculography are summarized. We suggest that a targeted search for RAA thrombus is necessary in high-risk patients with PE and atrial fibrillation using transesophageal echocardiography and/or CMR when available independently on the duration of the disease. High-risk patients may also benefit from transthoracic echocardiography with right parasternal approach. The examination of high-risk patients should involve compression ultrasonography of lower extremity veins along with the above-mentioned technologies. Algorithms for RAA thrombus risk assessment and protocols aimed at identification of patients with RAA thrombosis, who will potentially benefit from treatment, are warranted. The development of treatment protocols specific for the diverse populations of patients with right cardiac thrombosis is important.

Morbidity and Mortality of Carotid Endarterectomy under Local Anesthesia: A Retrospective Study

Neurosurgery ◽  
1988 ◽  
Vol 23 (4) ◽  
pp. 445-450 ◽  
Author(s):  
Mario Zuccarello ◽  
Hwa-shain Yeh ◽  
John M. Tew
Keyword(s):  
Retrospective Study ◽  
High Risk ◽  
Carotid Endarterectomy ◽  
Local Anesthesia ◽  
Perioperative Complications ◽  
Minor Stroke ◽  
Perioperative Mortality ◽  
Occlusive Vascular Disease ◽  
Risk Patients ◽  
Ischemic Attack

Abstract It has been shown that carotid endarterectomy reduces the incidence of stroke in patients with symptomatic extracranial occlusive vascular disease in the absence of major perioperative complications such as stroke or death. We present a retrospective study of 106 carotid endarterectomies performed under local anesthesia in 100 patients in whom transient ischemic attack (TIA) or minor stroke had occurred. Nonfatal stroke occurred in 2%, and TIA occurred in 1%. There was no perioperative mortality. Our study suggests that, under local anesthesia, even high risk patients can be operated safely and the majority of carotid endarterectomies can be performed without the use of an indwelling shunt. Meticulous surgical technique is of great importance for achieving low perioperative complications.

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