Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study

Ameloblastoma is a benign, but locally aggressive odontogenic neoplasm, whose appropriate therapeutic management remains highly debatable. The aim of this study was to evaluate the reliability and effectiveness of the two conservative surgical therapeutic protocols (curettage with peripheral ostectomy only and curettage plus cryotherapy) for the management of ameloblastomas. About 53 cases of the ameloblastomas treated in 9 years were retrospectively analyzed regarding their clinical, histopathologic, radiographic, and therapeutic data. The results and the postoperative complications related to both the therapeutic protocols were also statistically investigated. A slight female preponderance was seen (1.12:1.0) with a mean age of 27.1 years. The posterior mandible was the most affected site and dental involvement was frequently found. Multilocular lesions causing the alterations of the bone cortices were the most common radiographic findings. Recurrences were seen in 9.4% of the cases and although the patients submitted to curettage plus cryotherapy have shown an increased incidence of wound dehiscence, infection, and paresthesia, only bone sequestration proved to be significantly more frequent in this group compared to the patients treated by curettage with peripheral ostectomy only. The incidence of the recurrences following the conservative management is low and cryotherapy use as an adjuvant tool must be rationally considered.

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Perceived quality of surgical care in association with patient-related factors and correlation to reported postoperative complications in Finland: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-037708 ◽

2020 ◽

Vol 10 (11) ◽

pp. e037708

Author(s):

Ira Helena Saarinen ◽

Jaana-Maija Koivisto ◽

Antti Kaipia ◽

Elina Haavisto

Keyword(s):

Quality Of Care ◽

Postoperative Complications ◽

Cross Sectional Study ◽

Perceived Quality ◽

Living Alone ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Perceived Quality Of Care

ObjectiveTo study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care.DesignA correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications.SettingThe data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period.Participants436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)).MethodsPerceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge.Main outcome measuresPatient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications.ResultsThe overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications.ConclusionPatient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.

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Sputum smear positivity grade and chest X-ray findings in tuberculosis: A cross-sectional study

Russian Journal of Infection and Immunity ◽

10.15789/2220-7619-ssp-1709 ◽

2021 ◽

Author(s):

R. Behzadmehr ◽

E. Nejadkehkha

Keyword(s):

Cross Sectional Study ◽

Health Concern ◽

Sputum Smear ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Radiographic Findings ◽

X Ray ◽

High Prevalence ◽

Chest X Ray

Despite many advances in the diagnosis, screening, and rapid treatment of tuberculosis, it is still a public health concern in the world. Due to the importance of this issue in diagnosis and reduction of transmission of infection and treatment of the disease especially where this study is conducted due to the high prevalence of tuberculosis, this study was done to determine The relationship between sputum smear positivity grade and chest X-ray findings in pulmonary tuberculosis patients in a hospital in southeast of Iran. This cross-sectional study was performed on all patients with pulmonary TB referencing the health centers in Zabol city, southeast of Iran from 1 January 2015 to 30 December 2020. Sputum smear and radiographic findings of the chest X-ray were evaluated. Data was collected using a form of information and finally analyzed by SPSS 22. Out of 101 patients examined in the present study, 71 were women and 30 were men. The mean age of the patients was 62.68 ± 13.61 years. The frequency of opacity in patients with grades 1, 2, and 3 was 71.4, 78.5, and 76.5%, respectively. Frequency of cavitation in patients with Grade 1, 2 and 3 was 11.5%, 28.5% and 52.9% respectively (P value 0.001). The frequency of reticulonodular presentations in patients with grade 1, 2, and 3 was 24.2, 7.1, and 0%, respectively. In general, the results of this study showed that, with increasing grading of smears (1+, 2+, and 3+), the frequency of cavitation presentation increased significantly and the frequency of reticulonodular presentations decreased significantly. In general, the results of this study showed that, with increasing grading of smears (, the frequency of Cavitation presentation increased significantly and the frequency of reticulonodular presentations decreased significantly. The findings of the present study can help physicians better diagnose TB.

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Poor Adherence to National Clinical Management Guidelines: A Population-Based, Cross-Sectional Study of the Surgical Management of Melanoma in New South Wales, Australia

Annals of Surgical Oncology ◽

10.1245/s10434-017-5890-7 ◽

2017 ◽

Vol 24 (8) ◽

pp. 2080-2088 ◽

Cited By ~ 10

Author(s):

Alexander H. R. Varey ◽

Christine M. Madronio ◽

Anne E. Cust ◽

Chris Goumas ◽

Graham J. Mann ◽

...

Keyword(s):

Surgical Management ◽

Clinical Management ◽

New South ◽

Population Based ◽

Cross Sectional Study ◽

Poor Adherence ◽

Sectional Study ◽

Cross Sectional ◽

Management Guidelines ◽

South Wales

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Standardized Phase Angle as a Prognostic and Nutritional Status Tool for Pancreatic Cancer Patients Undergoing Pancreaticoduodenectomy: A Cross-sectional Study (P12-025-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz035.p12-025-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Wei Chen ◽

Shengnan Zhou

Keyword(s):

Pancreatic Cancer ◽

Postoperative Complications ◽

Nutritional Status ◽

Cancer Patients ◽

Phase Angle ◽

Cross Sectional Study ◽

Nutritional Risk ◽

Sectional Study ◽

Cross Sectional ◽

Nrs 2002

Abstract Objectives This study investigated the use of standardized phase angle (SPA), determined by bioelectrical impedance analysis (BIA), as a nutrition status tool and prognostic factor for complications associated with pancreaticoduodenectomy (PD) in pancreatic cancer patients. Methods A cross-sectional study was conducted with 49 participants. All participants were assessed for nutritional risk and nutritional status using Nutritional Risk Screening 2002 (NRS-2002), Subjective Global Assessment (SGA) tools, Global Leadership Initiative on Malnutrition (GLIM) tool and BIA. The Clavien-Dindo classification method for surgical complications was used to identify and classify postoperative complications. Independent-samples T-tests, chi-square tests and Spearman correlation analyses were used to evaluate the association between SPA, nutrition and postoperative complications. Results A total of 49 patients were enrolled, and 20 patients (40%) had postoperative complications. The SPA value for the nourished group was significantly higher than the SPA value for the malnourished group (P = 0.021, 0.019, 0.023). Patients who were below the SPA cut-off values (−1.015, −1.065, and −0.69) were more likely to have postoperative complications (P = 0.009), whereas NRS-2002, SGA, and GLIM scores were not associated with postoperative complications. The SPA value of the group with complications was significantly lower than that of the group without complications (P = 0.004). The SPA threshold value for predicting postoperative complications in pancreatic cancer was −1.095 (AUC 0.737; 95% CI, 0.59, 0.88; P = 0.005). Conclusions The SPA is a prognostic indicator of postoperative complications in pancreatic cancer patients undergoing PD and is an effective tool for assessing nutritional status in pancreatic cancer patients. Funding Sources none. Supporting Tables, Images and/or Graphs

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HIV, appendectomy and postoperative complications at a reference hospital in Northwest Tanzania: cross-sectional study

AIDS Research and Therapy ◽

10.1186/1742-6405-7-47 ◽

2010 ◽

Vol 7 (1) ◽

pp. 47 ◽

Cited By ~ 7

Author(s):

Geofrey C Giiti ◽

Humphrey D Mazigo ◽

Jorg Heukelbach ◽

William Mahalu

Keyword(s):

Postoperative Complications ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Reference Hospital

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Study on prevalence and surgical management of haemorrhoids in a tertiary care teaching hospital in a rural area

International Surgery Journal ◽

10.18203/2349-2902.isj20181033 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1263

Author(s):

A. Farook ◽

A. Periasamy ◽

S. Arvind ◽

I. Kannan

Keyword(s):

Anal Canal ◽

Surgical Management ◽

Surgical Complications ◽

Prevalence Rate ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Surgical Ward ◽

Male Patients

Background: Haemorrhoids, which is also termed as piles characterized by the enlarged and bulged blood vessels surrounding the supporting tissues present in the anal canal of an individual. In the present study, an attempt has been made to find the prevalence of haemorrhoids and surgical management done in our geographical area.Methods: The present study was retrospective, cross-sectional study from the period of 1st January 2013 to 31st December 2017. A total of 351 haemorrhoids patients were admitted in inpatient surgical ward during that period. The demographic details of all the patients were noted from the medical records.Results: 219 (62%) patients were male and 132 (38%) were females. Most of the patients are predominantly adults above the age of 21 years. The post-operative stay in hospital is almost less than 10 days as it indicates that most of the patients were discharged without any complication.Conclusions: The male patients are predominant compared to female patients. The surgical complications are less. The exact prevalence rate may be high as some patients may either undergo a self-treatment or native medicine treatment.

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