A New Technique of Osteosynthesis in Case of the Posterior Facet Fracture of the Distal Tibial Metaepiphysis

The authors presented the results of surgical treatment of 103 patients with posterior facet fractures of the distal tibial metaepiphysis, treated at the BNICTO from 2014 to 2021. 58 (56.3%) patients made up the control group, who underwent osteosynthesis of the posterior facet fractures of the distal tibial metaepiphysis using previously known methods. In the postoperative period, the ankle joint was immobilized with a plaster cast and the patients received rehabilitation according to the traditional method. The main group included 45 (43.7%) patients. He underwent osteosynthesis of the posterior margin fracture using a new technique, postoperative rehabilitation was carried out using an improved rehabilitation technique. Complex treatment of patients with posterior facet fractures of the distal tibial metaepiphysis, including a new method of osteosynthesis of the posterior facet fractures of the distal tibial metaepiphysis made it possible to increase the number of excellent treatment results from 8.7% to 16.3% 3 times (1.9%), good results from 56.5% to 70.3% 2 times (1.2%), reduce the percentage of unsatisfactory results from 17.3% to 5.4% – in 2 times (by 3.2%) (p <0.001), the average length of hospital stay is 1.5 times (from 11.5 to 7.6 days) (p <0.001) and to increase the efficiency of restoring the function of the ankle joint in 1, 2 times (p <0.001) compared with patients in the control group.

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Optimization of Esophageal Ultrasound under Artificial Fish Swarm Algorithm and Its Adoption in Treatment of Ventricular Septal Defect

Scientific Programming ◽

10.1155/2021/7126251 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Zhi Li ◽

Guihe Chen ◽

Feng Wang

Keyword(s):

Ventricular Septal Defect ◽

Hospital Stay ◽

Septal Defect ◽

Average Length ◽

Length Of Hospital Stay ◽

Control Group ◽

Artificial Fish Swarm Algorithm ◽

Artificial Fish Swarm ◽

Swarm Algorithm ◽

Experimental Group

This work was aimed at exploring the adoption value of the optimized and upgraded esophageal ultrasound in the treatment of patients with ventricular septal defect (VSD) by artificial fish swarm algorithm. A model was built based on artificial fish swarm algorithm. A random ultrasonic optical signal in the database was decomposed several times and sparsity was optimized to complete partial optimization, which was then extended to global optimization. A total of 100 patients with ventricular septal defect were divided into control group who underwent cardiopulmonary bypass under the guidance of three-dimensional thoracic ultrasound and experimental group of ventricular septal defect occlusion under the guidance of esophageal ultrasound based on artificial fish swarm algorithm. The results showed that the number of successful cases in the experimental group was 12 cases of perimembranous type, 10 cases of septal type, 7 cases of simple membranous type, 13 cases of muscular type, 4 cases of subdry type, and 2 cases of ridge type. The average length of operation after surgery was 70.65 minutes, the average length of ventilator ventilation was 125.8 minutes, and the average length of intensive care unit was 377.9 minutes. The average length of hospital stay after surgery was 5.6 days, and the average total length of hospital stay was 8.2 days, which were better than the control group in many aspects, with statistical significance ( P < 0.05 ). In short, the artificial fish swarm algorithm for esophageal ultrasound-guided ventricular septal defect closure had short operation time and good postoperative effect, which was of high application value in the clinical treatment of patients with ventricular septal defect.

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Studies on cephalometric prediction for surgical correction of mandibular deformities. Part II. A new technique for paper surgery by application of combination with occlusal splint and plaster cast of the mandibular dental arch.

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.35.16 ◽

1989 ◽

Vol 35 (1) ◽

pp. 16-30

Author(s):

MITSUO NISHIDA

Keyword(s):

Plaster Cast ◽

Surgical Correction ◽

New Technique ◽

Dental Arch ◽

Occlusal Splint ◽

A New Technique

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Bilateral Facet to Spinous Process Fusion: A New Technique for Posterior Spinal Fusion after Trauma

Neurosurgery ◽

10.1227/00006123-198307000-00001 ◽

1983 ◽

Vol 13 (1) ◽

pp. 1-4 ◽

Cited By ~ 32

Author(s):

David W. Cahill ◽

Roberto Bellegarrigue ◽

Thomas B. Ducker

Keyword(s):

Spinous Process ◽

Posterior Spinal Fusion ◽

New Technique ◽

Fracture Dislocation ◽

Rotational Stability ◽

Neural Arch ◽

Surgical Fusion ◽

Facet Fracture ◽

A New Technique ◽

Excellent Stability

Abstract A variety of options exist for the treatment of fracture/dislocation of the cervical spine, including prolonged traction immobilization, immobilization in an external device, and open surgical fusion. In cases of facet dislocation and flexion/compression injuries, the authors have found that surgical fusion is the most useful. However, in cases of facet fracture or disruption of the posterior neural arch, routine interspinous wiring techniques do not provide adequate rotational stability and may allow postsurgical redislocation before bony fusion. For these cases, a new technique using bilateral facet to spine wire loops has been developed. In the 25 cases reported here, the technique provided excellent stability against anterior horizontal displacements and rotational dislocations despite unilateral or bilateral facet fracture or disruption of the posterior neural arch.

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The clinical application of kangaroo mother care in neonates after surgery for duodenal obstruction

10.21203/rs.3.rs-244801/v1 ◽

2021 ◽

Author(s):

Li-Bo Zhu ◽

Yan-Hua Xu ◽

Jin-Fen Li ◽

Xue Hu ◽

Chun-Yan Lu ◽

...

Keyword(s):

Hospital Stay ◽

Clinical Application ◽

Duodenal Obstruction ◽

Pediatric Patients ◽

Average Length ◽

Length Of Hospital Stay ◽

Kangaroo Mother Care ◽

Conventional Care ◽

Control Group ◽

Observation Group

Abstract Background: The present study aimed to explore the effectiveness of clinical application of kangaroo mother care (KMC) in neonates after surgery for duodenal obstruction in achieving total enteral nutrition (TEN) and shortening the length of hospital stay.Methods: A prospective study of 60 cases of surgery for duodenal obstruction in pediatric patients in the neonatal intensive care unit of Kunming Children's Hospital between January 2018 and December 2019 was conducted. The study subjects included 15 cases with intestinal malrotation, 18 cases with circular pancreas, 10 cases with a duodenal septum, and 17 cases with duodenal atresia or duodenal stenosis. According to the single and double numbers of the operation date, the subjects were randomly divided into the control group and observation group, with 30 cases in each group. The conventional care of enhanced recovery after surgery (ERAS) was carried out in the control group, and KMC based on ERAS conventional care was implemented in the observation group. The difference in the duration to achieve TEN and the length of hospital stay between the two groups of patients after care was compared and analyzed.Results: The average duration to achieve TEN for neonates with duodenal obstruction in the control group was 14.23 ± 3.17 days, while that in the observation group was 12.27 ± 1.15 days. The average length of hospital stay in the control group was 17.22 ± 4.71 days, while that in the observation group was 13.34 ± 2.70 days. There was a significant difference in the duration to achieve TEN and the average length of hospital stay between the two groups (P < 0.05). The duration to achieve TEN and the length of hospital stay in pediatric patients were significantly shorter in the observation group than in the control group.Conclusions: KMC has important clinical significance and application value in shortening the duration to achieve TEN and the length of hospital stay in neonates after surgery for duodenal obstruction.

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Clinical rationale for the treatment tactics of term patients diagnosed with transient neonatal tachypnoea without parenteral nutrition

Уральский медицинский журнал ◽

10.52420/2071-5943-2021-20-5-29-34 ◽

2021 ◽

Vol 20 (5) ◽

pp. 29-34

Author(s):

N. V. Kalyakova ◽

E. V. Shestak ◽

D. S. Dodrov

Keyword(s):

Parenteral Nutrition ◽

Hospital Stay ◽

Average Length ◽

Total Duration ◽

Length Of Hospital Stay ◽

Venous Access ◽

Rapid Expansion ◽

Control Group ◽

Vacuum Extraction ◽

Significant Difference

Introduction. To analyze the efficacy and safety of treatment tactics for term patients diagnosed with TTN in an ICU without venous access and parenteral nutrition.Materials and methods. The study gives a retrospective analysis of the medical records of 241 ICU patients from January 2020 to March 2021. 83 children meet general criteria for inclusion in the study.Results and Discussion. While comparing the study group and the control group, no significant difference was detected in the incidence of risk factors during pregnancy and childbirth, such as gestational diabetes, ARVI during pregnancy, chorioamnionitis, preeclampsia, and the frequency of a prolonged anhydrous period, the frequency of induced labor, delivery by caesarean section, fetal distress and the use of vacuum extraction. Despite the same initial level of severity of respiratory disorders, when the child was admitted to the ICU, the duration of CPAP therapy was significantly higher in the control group: 7.5 (5.5-12) versus 5 (4-6) hours p = 5×10-5. The average length of hospital stay in the ICU and the total length of hospital stay was significantly higher in the control group (p = 4×10-11 and p = 0.006, respectively), as well as the need for treatment in the Neonatal Pathology unit conditions (p = 0.001).Conclusion. Analyzing the tactics of treating term patients diagnosed with TTN, the study proved that children without venous access require less time for respiratory therapy with CPAP in the NICU, the total duration of hospitalization in the NICU is significantly lower, as well as the need for additional treatment in the Neonatal Pathology unit. The study revealed that the early onset of enteral nutrition and the rapid expansion of the feeding portion, provided with child’s stable health condition, enable to avoid the installation of venous access and the prescription of parenteral nutrition at the ICU stage.

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EFEKTIVITAS PEMBERIAN CGF 40% DALAM MEMPERCEPAT PENINGKATAN TROMBOSIT PADA PENDERITA DEMAM BERDARAH DENGUE

Jurnal Gizi dan Pangan ◽

10.25182/jgp.2010.5.3.130-138 ◽

2010 ◽

Vol 5 (3) ◽

pp. 130

Author(s):

Adi Teruna Effendi ◽

M Sediono ◽

HS Suksmono ◽

B Erwanto ◽

Yekti Hartati Effendi ◽

...

Keyword(s):

Standard Therapy ◽

Average Length ◽

Clinical Status ◽

Intervention Group ◽

Length Of Hospital Stay ◽

Control Group ◽

Quadratic Regression ◽

Font Size ◽

And Control ◽

Symptoms And Signs

Aim of this study was to evaluate the effectiveness of CGF 40% in hastening the recuperation, as indicated by reduced length of hospital stay, improvement in clinical status, increase in platelets, and reduction in the hemoconcentration. The study group comprised of 84 consecutive DHF patients, 42 male and 42 female subjects, who were randomized into the control group receiving the WHO standard therapy and the intervention group receiving CGF 40% and the standard therapy. Hemoglobin, hematocrite and thrombocyte counts were taken daily until the subjects were free of the symptoms and signs of DHF, and the thrombocyte count read >100.000. The results were analyzed statistically, student t test and quadratic regression, using SPSS 16 software. The average length of recuperation time in the intervention and control groups were 2.76 days and 4.43 days respectively (p=0.000). Recuperation times of subjects with thrombocyte counts <50,000 and >50,000 of the intervention group (3,09 and 2,37 days) and the control group (4,2 and 4,5 days) were different significantly (p=0.016 and 0.000). When analized specifically in the treatment group, the recuperation time of those with thrombocyte counts <50,000U (2.37 days) did not differ to those with >50,000 (3.09 days) with p=0.112. Using quadratic regression, the increase in thrombocytes, reduction in hemoglobin concentrations and hematocrite were faster in the intervention group when compared to the control group, with R2 almost reaching 1. The study disclosed that administration of CGF 40% could reduce the recuperation time and improved the hemoconcentration, which presumably demonstrated the concept of regenerative medicine as indicated by the repairmen of vascular permeability.

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Impact of involuntary out-patient commitment on reducing hospital services: 2-year follow-up

BJPsych Bulletin ◽

10.1192/pb.bp.114.047464 ◽

2015 ◽

Vol 39 (4) ◽

pp. 196-199 ◽

Cited By ~ 3

Author(s):

Laura Castells-Aulet ◽

Miguel Hernández-Viadel ◽

Jesús Jiménez-Martos ◽

Carlos Cañete-Nicolás ◽

Carmen Bellido-Rodríguez ◽

...

Keyword(s):

Average Length ◽

Mental Healthcare ◽

Length Of Hospital Stay ◽

Healthcare Services ◽

Control Group ◽

Hospital Services ◽

Control Case ◽

Retrospective Case ◽

Cast Doubt

Aims and methodTo evaluate whether involuntary out-patient commitment (OPC) in patients with severe mental disorder reduces their use of hospital services. This is a retrospective case-control study comparing a group of patients on OPC (n = 75) and a control group (n = 75) which was composed of patients whose sociodemographic variables and clinical characteristics were similar to those of the OPC group. Each control case is paired with an OPC case, so the control case must have an involuntary admission in the month that the index OPC case admission occurred. Emergency room visits, admissions and average length of hospital stay over a 2-year follow-up after the initiation of OPC were compared.ResultsNo statistically significant evidence was found in the use of mental healthcare services between the two groups. Different reasons for admission found between the groups limit similarity when comparing the two.Clinical implicationsThe findings cast doubt over the effectiveness of this legal measure to reduce emergency visits, the number of admissions and the length of stay in the hospital.

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