TO EVALUATE THE OUTCOME OF THE EXTERNAL EAR TRAUMA TREATMENT AT HUE CENTRAL HOSPITAL AND HUE UNIVERSITY HOSPITAL

2017 ◽  
pp. 81-87
Author(s):  
Duc Long Tran ◽  
Tu The Nguyen ◽  
Lam Phuoc Vo ◽  
Thanh Thai Le
Keyword(s):  
External Auditory Canal ◽  
Clinical Intervention ◽  
Descriptive Study ◽  
Common Type ◽  
University Hospital ◽  
Trauma Treatment ◽  
External Ear ◽  
Central Hospital ◽  
Minor Injuries ◽  
Auricular Trauma

Background: The external ear trauma is the most common in emergencies. Early diagnosis and treatment lead to the better outcome. Aim: To evaluate the outcome of the external ear trauma treatment. Patients and methods: A prospective descriptive study on 64 patients with 67 ears diagnosed with the external ear trauma by clinical intervention. Results: Ages 16-30 accounted for 46.9% majority. Males (84.4%) more than females (15.6%). Most of patients wereearly treated ≤ 6 hours (76.6%). Auricular trauma (68.7%) were more common than external auditory canal trauma (31.3%). The most common sites of auricular trauma were the upper haft of auricular (43.5%). Cartilage auditory canal trauma were more common with 57.1%. The most common type of injuries were skin lacerations revealed cartilage, bone (43.3%). Minor injuries were the most common with 52.2%. The mainly treatment was excision, suture (55.2%). The time for healing with <7 dayswas the most (65.7%). The majority of the external ear trauma without complications (91%). Most of the symptoms improved after 1 week and 1 month of treatment. Good results were the most common after 1 week of treatment (65.7%), and increased after 1 month of treatment (77.6%). Conclusions: The more minor of the injuries and the earlier treatment of the external ear trauma lead to the better outcome of 1 month treatment. Key words: The external ear trauma, the auricular trauma, the external auditory canal trauma

CLINICAL AND PARA-CLINICAL CHARACTERISTICS OF SICK NEWBORN BABIES TREATED AT PEDIATRIC DEPARTMENT OF HUE UNIVERSITY HOSPITAL

2011 ◽  
pp. 112-117
Author(s):  
Thi Kieu Nhi Nguyen
Keyword(s):  
Respiratory Distress ◽  
Congenital Malformation ◽  
Clinical Characteristics ◽  
Descriptive Study ◽  
Neonatal Unit ◽  
University Hospital ◽  
Pediatric Department ◽  
Sick Newborn ◽  
Observational Descriptive Study

Objectives: 1. Describe neonatal classification of WHO. 2. Identify some principal clinical and paraclinical signs of term, preterm, post term babies. Patients and method: an observational descriptive study of 233 newborns hospitalized in neonatal unit at Hue university‘ s hospital was done during 12 months from 01/01/2009 to 31/12/2009 for describing neonatal classification and identifying principal clinical and paraclinical signs. Results: Premature (16.74%); Term babies (45.5%); Post term (37.76%); Premature: asphyxia (43.59%), hypothermia (25.64%), vomit (30.77%), jaundice (61.54%), congenital malformation (17.95%); CRP > 10mg/l (53.85%); anemia Hb < 15g/dl (12.82%). Term babies: poor feeding (21.7%); fever (24.53%); CRP > 10mg/l (53.77%); Hyperleucocytes/ Leucopenia (35.85%). Post term: respiratory distress (34%); lethargy (29.55%); vomit (26.14%); polycuthemia (1.14%); hypoglycemia (22.73%). Conclusion: each of neonatal type classified by WHO presente different clinical and paraclinical. Signs. The purpose of this research is to help to treat neonatal pathology more effectively.

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

A STUDY ON THE VARIATION IN CA 72-4 LEVELS OF THE GASTRIC CANCER’S PATIENTS BEFORE AND AFTER SURGERY TREATMENT

2011 ◽  
pp. 81-87
Author(s):  
Thi Thu Huong Hoang ◽  
Minh Vuong Nguyen
Keyword(s):  
Gastric Cancer ◽  
Study Groups ◽  
University Hospital ◽  
Control Group ◽  
Central Hospital ◽  
Before And After

Objectives: Studying on the variation in CA 72-4 levels of the gastric cancer’s patients before and after 10 days and 30 days surgery treatment. Materials and methods: The studying group included 42 gastric cancer’s patients who were examinated and treated in cancerology service of Hue University Hospital and gastroenterology service of Hue Central Hospital. The control group included 30 healthy normal examinated at Hue University Hospital. The study groups were clinical, endoscopic anatopathologic examination diagnosed with gastric cancer and quantitative levels of CA 72-4 in three times points: before surgerying, after surgerying 10 days and 30 days postoperatively. Rerults: The concentration of CA 72-4 in gastric cancer’s patients was 10.06 ± 16.49 U/ml. Clearly higher than the control group 1.2 ± 0.4 U/ml(p <0.01). The rate increased levels of CA 72-4 in gastric cancer’s patients before surgerying was 27.5% and the control group was 0%. After 10 days of surgery, CA 72-4 level was 5.56 ± 8.55 U/ml; 82.5% of patients have reduced levels of CA 72-4 and 17.5% no changes; there are 0% increased cases. After 30 days of surgery, CA 72-4 level was 3.79 ± 6,52 U/ml. CA 72-4 level 10 days after surgering have decreased significantly compared to before surgery (p < 0.05) and 30 days after surgery have decreased significantly compared to after 10 days (p < 0.05). 30 days postoperatively, 90% patients had reduced levels of CA 72-4, 10% no changes, no patient had increased levels of CA 72-4 and no patient be relapsed after 30 days of treatment. Conclusions: CA 72-4 concentrations before surgerying increased 27.5%, after surgery 10 days and 30 days reduced step by step, no case have increased CA 72-4 levels, no case relapsed after 30 days.

Is the Acidic pH of the External Auditory Canal Playing a Significant Role in the Treatment of Acute Otitis Externa?

2018 ◽  
Vol 69 (8) ◽  
pp. 2304-2305
Author(s):  
Oana Ruxandra Iana ◽  
Dragos Cristian Stefanescu ◽  
Viorel Zainea ◽  
Razvan Hainarosie
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Proton Pumps ◽  
Acidic Ph ◽  
External Ear ◽  
Ph Values ◽  
The World ◽  
Subcutaneous Tissues ◽  
Low Levels ◽  
Value Changes

Variable pH values for skin have been reported in the literature, all within the acidic range, varying from 4.0 up to 7. 0. The origin of the acidic pH remains conjectural, and several factors have been incriminated with this role, such as eccrine and sebaceous secretions as well as proton pumps. Keeping low levels of pH prevents microbial dispersal as well as multiplication. The skin in the external auditory canal is also covered with this acidic mantle with antimicrobial value. Changes of pH in the external ear can lead to acute otitis externa. This condition is defined by the inflammation and infection of the cutaneous and subcutaneous tissues of the external auditory canal. 10% of the world�s population may suffer from acute otitis externa at least once in their lifetime. This paper aims to consolidate the relevance of an acidic pH in the healthy external ear and its relation to the pathogenesis and treatment of otitis externa through a prospective and interventional clinical study on 80 patients who presented to the outpatient department at Prof. Dr D. Hociota ENT Institute in Buch

Prevalence of external auditory canal exostoses in Australian surfboard riders

2004 ◽  
Vol 118 (5) ◽  
pp. 348-351 ◽  
Author(s):  
William Hurst ◽  
Michael Bailey ◽  
Benjamin Hurst
Keyword(s):  
External Auditory Canal ◽  
Cold Water ◽  
Control Group ◽  
External Ear ◽  
Ear Canal ◽  
External Ear Canal ◽  
Rate Of Growth

This paper assessed 300 surfboard riders, comprising 229 males and 71 females to determine the prevalence and rate of growth of exostoses in this population. A group of cold water swimmers and a control group were also examined. Significant obstruction, defined as two thirds or more occlusion of the ear canal was noted in 90 of the male surfers and 10 female surfers. This degree of occlusion was found in seven of the 32 cold water swimmers. A male surfer who has surfed regularly for 20 years or more has a one in two chance of developing significant obstruction of the external ear canal resulting from exostoses and this is a three in seven chance for females.

Peacekeepers suffered combat-related injuries in Mali: a retrospective, descriptive study

2018 ◽  
Vol 166 (3) ◽  
pp. 161-166
Author(s):  
Zhao Yongqiang ◽  
H Dousheng ◽  
L Yanning ◽  
M Xin ◽  
W Kunping
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Descriptive Study ◽  
Body Parts ◽  
Medical Treatment Facility ◽  
Chinese Military ◽  
Overseas Operations ◽  
Minor Injuries ◽  
Improvised Explosive ◽  
Explosive Devices

PurposeTo describe the combat-related injuries cured by Chinese Level 2 medical treatment facility (CHN L2) in Mali from 1 March 2016 to 1 March 2018, including type of weapon, mortality, nature of injuries, degree and location of injuries and surgical procedures.Methods A retrospective, descriptive study of 176 injured cases that met the terrorist attacks was conducted. The medical data were collected by an electronic database system. All collected data were entered into an Excel spreadsheet for calculation.ResultsWe found that improvised explosive devices (114/176, 65%) were the most commonly used weapons of attack in Mali. 68.75% of the injuries (121/176) were classified as 'minor injuries according to Abbreviated Injury Scale score. As one patient may suffer multiple injuries, each location and nature of injuries was counted separately. Surface injuries were the top (116/197, 58.88%), followed by orthopaedic injuries (52/197, 26.39%) and internal injuries (29/197, 14.72%). The extremities were the most frequently injured body parts (144/197, 73.09%). We operated 175 surgeries to deal with the 176 combat-related injuries, which accounted for 40.05% of all 437 surgeries. The surgical debridement to remove fragments of explosive was the most frequently performed surgery. We also admitted 20 cases (18/176, 34%) into intensive care unit and transferred 40 cases to Level 3 medical facility.Conclusion Peacekeepers taking protective measures for head and trunk frequently got surface injuries. And their unprotected extremities often got injured. The fragment removal was the top surgery and the damage control surgery was the highly technical nature surgery we performed. Chinese military should offer advanced surgical training course to military surgeons who carry out overseas operations.

scholarly journals Melanocytic Nevus in the External Auditory Canal with Keratin Accumulation

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Junhui Jeong ◽  
Kyuin Lee ◽  
Hyun Seung Choi
Keyword(s):  
Hearing Loss ◽  
Malignant Transformation ◽  
External Auditory Canal ◽  
Melanocytic Nevus ◽  
Common Type ◽  
Skin Tumor ◽  
Microscopic Surgery

Nevus is a benign melanocytic neoplasm and the most common type of skin tumor. It may occur anywhere on the skin, but it is rare in the external auditory canal (EAC). We present a case of melanocytic nevus in the EAC with keratin accumulation. In microscopic surgery, the mass was excised completely, and the wax and keratin material medial portion of the EAC behind the mass was removed. In this patient, a melanocytic nevus in the EAC caused symptoms of hearing loss and wax and keratin buildup. For melanocytic nevus in the EAC, excision and pathologic confirmation should be performed if there are symptoms or when malignant transformation is suspected.

scholarly journals Gambaran Kepuasan Pasien terhadap Pelayanan Klinik Perioperatif Terintegrasi di RSUP Prof. Dr. R. D. Kandou

e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Muliana E. Datu ◽  
Lucky T. Kumaat ◽  
Barry I. Kambey
Keyword(s):  
Quality Of Service ◽  
Patient Satisfaction ◽  
Direct Evidence ◽  
Descriptive Study ◽  
Education Level ◽  
High School Education ◽  
Central Hospital ◽  
Calculation Results ◽  
Very High

Abstract: Satisfaction is closely related with expected service and reality of the service available at the hospital. Satisfaction will be achieved if the performance is in line with the expectation of the patient. This study was aimed to obtain an overview of patient satisfaction towards the service provided by the Integrated Perioperative Clinic of Prof. Dr. R. D. Kandou Hospital. This was a descriptive study using questionnaire. Respondents were patients/families who received services at the clinic. The results showed a total of 100 respondents involved in this study, consisting of 30 females (30%) and 70 males (70%). Most respondents aged early to late adulthood numbering as many as 46 respondents (46%). The majority of respondents numbering 44 respondents (44%) had high school education level. Based on the analysis, high calculation results were obtained categorized as very good or very satisfied. In conclusion, the level of patient satisfaction towards the service provided by the Integrated Perioperative Clinic of Prof. R. D. Kandou Central Hospital based on the quality of service scale measuring direct evidence (tangibles), reliability, comprehension (responsiveness), assurance, and empathy was very high. It means that patients are very satisfied with the services provided by the clinic.Keywords: patient satisfaction, quality of service, perioperative clinic Abstrak: Kepuasan sangat berkaitan dengan pelayanan yang diharapkan dan kenyataan pelayanan yang telah diberikan di rumah sakit. Kepuasan akan terpenuhi bila pelayanan yang diberikan dirasakan telah sesuai dengan harapan pasien. Penelitian ini bertujuan untuk mengetahui gambaran kepuasan pasien terhadap pelayanan klinik perioperatif terintegrasi di RSUP Prof Dr. R. D. Kandou. Jenis penelitian ialah deskriptif dengan menggunakan kuesio-ner. Responden penelitian ialah pasien yang mendapatkan pelayanan di klinik perioperatif. Hasil penelitian mendapatkan total 100 responden yang terdiri dari 30 orang perempuan (30%) dan 70 orang laki-laki (70%). Responden berusia dewasa awal dan dewasa akhir yang terbanyak yaitu 46 orang (46%). Sebagian besar responden memiliki tingkat pendidikan SMA sebanyak 44 orang (44%). Hasil analisis mendapatkan hasil perhitungan yang tinggi dan masuk dalam kategori sangat baik atau sangat puas. Simpulan penelitian ini ialah tingkat kepuasan pasien terhadap pelayanan klinik perioperatif terintegrasi di RSUP Prof. Dr. R. D. Kandou Manado berdasarkan skala kualitas pelayanan yaitu bukti langsung (tangibles), kehandalan (reliability), daya tangkap (responsiveness), jaminan (assurance), dan empati (empathy) sangat tinggi yang berarti pasien merasa sangat puas atas pelayanan yang diberikan oleh klinik perioperatif terintegrasi.Kata kunci: kepuasan pasien, kualitas pelayanan, klinik perioperatif

scholarly journals Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs

2020 ◽  
Vol 11 (1) ◽  
pp. 0335
Author(s):  
Luciana SANTOS ◽  
Thalita JACOBY ◽  
Sandro NESS ◽  
Gérson GUERRA ◽  
Carlos A. WAYHS
Keyword(s):  
Error Rate ◽  
Descriptive Study ◽  
University Hospital ◽  
Drug Preparation ◽  
Prescribing Errors ◽  
Prescription Error ◽  
Validation Phase ◽  
Injectable Drugs ◽  
Pharmaceutical Interventions

Objective: To describe the prescribing errors involving antineoplastics and others drugs in a centre for the preparation of injectable drugs at a university hospital. Method: A retrospective descriptive study was carried out based on the records of a drug preparation center with prescribing errors identified in the pharmaceutical validation phase prior to drug preparation in the period from 2016 to 2017.Results: A total of 1516 prescriptions/month were evaluated and 562 prescribing errors were identified and the prescription error rate involving medications was 1.5%. Of the drugs most involved in errors are cisplatin (37.5%), etoposide (14.1%), carboplatin (8.9%), cyclophosphamide (5.7%) and oxaliplatin (4.1%). Most of the errors were related to the diluents associated with the preparations, either in the absence of this information or in the prescription of volumes outside the concentration range required by the preparation of the drug with 56% and 22.6% respectively. In 94.3% of the prescriptions identified with errors, pharmaceutical interventions were necessary for its correction before preparation with adhesion in 99.6% of the cases. Conclusion: Although prescribing errors are described in the literature, the study presents the fragility of the prescriber system, even when it is computerized, and the importance of organized barriers or processes to avoid errors of prescription and manipulation in a centre for the preparation of injectable drugs

scholarly journals Features of external auditory canal anatomy

2021 ◽  
Vol 20 (1) ◽  
pp. 72-77
Author(s):  
I. A. Anikin ◽  
◽  
S. A. Eremin ◽  
A. E. Shinkareva ◽  
S. I. Sitnikov ◽  
...  
Keyword(s):  
Auditory System ◽  
Sound Wave ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
External Ear ◽  
Tympanic Cavity ◽  
Ear Canal ◽  
Ear Diseases ◽  
Clinical Observations ◽  
The Relationship

The external auditory canal is not only a part of the external ear, but also an integral part of the human auditory system, which conducts and amplifies the sound wave. In the field of otosurgery, it is often the priority access to the tympanic cavity, and therefore it is necessary to clearly understand the features of its anatomy. The dimensions and anatomy of the external auditory canal are extremely variable: the length is 2–3,5 cm, the diameter ranges from 5-9 mm, it is somewhat curved in the horizontal and frontal planes and consists of a membranous cartilaginous part and a bony part, between which there is the most the bottleneck – the isthmus. The ear canal is covered with skin, the thickness and structure of which depends on the section of the ear canal. The membranous cartilaginous section contains sebaceous and sulfur glands. Studies identify several forms of the bony part of the ear canal: conical, hourglass-shaped, ovoid, reverse conical, and cylindrical. The endoscopic scale (CES) for the visibility of the tympanic membrane was also proposed for the convenience of assessment. It has been suggested that the shape of the external auditory canal is an etiological factor in chronic otitis externa. Unambiguous interpretations of the relationship between ear diseases and the shape of the external auditory canal have not yet been obtained, but modern developments tend to consider its importance in the development of ear diseases. Clinical observations show that certain anatomical forms of it may be involved in the pathogenesis of chronic inflammation, since they interfere with proper self-cleaning.

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