scholarly journals Postoperative Complication and Depression: A Literature Review

2021 ◽  
Vol 1 (2) ◽  
pp. 35-37
Author(s):  
Sendy Aditya Nugraha
Keyword(s):  
Postoperative Pain ◽  
Literature Review ◽  
Depressive Disorders ◽  
Malignant Tumors ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Patient Morbidity ◽  
Hospitalization Costs ◽  
History Of ◽  
Persistent Postoperative Pain

Surgical procedure is a significant factor for patients and is associated withdepression. The literature review aims to identify depressive conditions inpatients with a history of postoperative hospitalization. Depressive conditions,anesthesia and surgery can lead to a high increase in patient morbidity andmortality. Major depressive disorder is a common complication, which can leadto increased morbidity and mortality. Depressive disorders can cause patients todevelop certain diseases that occur postoperatively, especially in patients whohave malignant tumors or carcinomas that will undergo surgery. Depression isassociated with cognitive impairment, which is exacerbated by postoperativeevents. There is evidence that postoperative pain is seriously depressing anddepression causes pain to worsen. Depression is also said to be a strong predictorand correlates with persistent postoperative pain. Some studies say depressionis an objective risk factor that can lead to a long recovery after surgery.Depression can also occur in patients admitted to the intensive care unit, whichis associated with high morbidity and mortality rates, thereby increasing thepossibility of additional hospitalization costs.

Postoperative Complication and Depression: A Literature Review

2021 ◽  
Vol 1 (2) ◽  
pp. 35-37
Author(s):  
Sendy Aditya Nugraha
Keyword(s):  
Postoperative Pain ◽  
Literature Review ◽  
Depressive Disorders ◽  
Malignant Tumors ◽  
Strong Predictor ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Patient Morbidity ◽  
Hospitalization Costs ◽  
History Of

Surgical procedure is a significant factor for patients and is associated with depression. The literature review aims to identify depressive conditions in patients with a history of postoperative hospitalization. Depressive conditions, anesthesia and surgery can lead to a high increase in patient morbidity and mortality. Major depressive disorder is a common complication, which can lead to increased morbidity and mortality. Depressive disorders can cause patients to develop certain diseases that occur postoperatively, especially in patients who have malignant tumors or carcinomas that will undergo surgery. Depression is associated with cognitive impairment, which is exacerbated by postoperative events. There is evidence that postoperative pain is seriously depressing and depression causes pain to worsen. Depression is also said to be a strong predictor and correlates with persistent postoperative pain. Some studies say depression is an objective risk factor that can lead to a long recovery after surgery. Depression can also occur in patients admitted to the intensive care unit, which is associated with high morbidity and mortality rates, thereby increasing the possibility of additional hospitalization costs.

scholarly journals Potential of Allicin, Ajoene and Quercetin Contained in Garlic (Allium sativum) as a Promising Anti-Malarial

2021 ◽  
Vol 1 (1) ◽  
pp. 16-21
Author(s):  
Raynald Bagy ◽  
Josef Sem Berth Tuda ◽  
Dimas Prakoso ◽  
Tristan Kantohe
Keyword(s):  
Infectious Disease ◽  
Drug Resistance ◽  
Mortality Rate ◽  
Literature Review ◽  
Allium Sativum ◽  
Relevant Literature ◽  
Anopheles Mosquito ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Active Substances

Malaria is an infectious disease with a high morbidity and mortality rate caused by Plasmodium and is transmitted through the Anopheles mosquito. Garlic (Allium sativum) has active substances that can be used as medicinal ingredients. Several active substances, namely allicin, ajoene, and quercetin contained in garlic have the potential to act as an effective and safe anti plasmodium for the host. This writing is a literature review using relevant literature. The results of the study concluded that the active ingredients in garlic have potential to be a new antimalarial agent, and it is hoped that it can be a cheaper and more effective malaria treatment so that drug resistance and morbidity and mortality from malaria can be reduced.

scholarly journals Predictors of Persistent Postoperative Pain at Minimum Two-years After Arthroscopic Treatment of Femoroacetabular Impingement

2019 ◽  
Vol 7 (3_suppl2) ◽  
pp. 2325967119S0020
Author(s):  
Austin V. Stone ◽  
Philip Malloy ◽  
William H. Neal ◽  
Edward Beck ◽  
Brian Robert Waterman ◽  
...  
Keyword(s):  
Mental Health ◽  
Postoperative Pain ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Persistent Pain ◽  
Anxiety And Depression ◽  
Femoroacetabular Impingement Syndrome ◽  
Patient Reported ◽  
History Of ◽  
Persistent Postoperative Pain

Objectives: To evaluate predictors for persistent postoperative pain following hip arthroscopy for femoroacetabular impingement syndrome (FAIS). We hypothesized that patients with chronic preoperative pain, smokers, and those with co-morbid mental health disease would have greater persistent postoperative pain. Methods: Patients undergoing hip arthroscopy for FAIS were identified in a prospectively collected database with a minimum of two-year follow-up with patient reported outcomes (PROs). Previous open hip surgery and diagnoses other than FAIS were excluded. Patients were grouped by VAS-Pain scores as limited (≤30) and persistent (>30). Patient factors and outcomes were analyzed with univariate and correlation analyses to build a logistic regression to identify predictors of postoperative pain. Results: The limited pain (n=514) and persistent pain (n=174) groups totaled 688 patients (449 females). The persistent pain group was significantly older with a greater proportion of revision arthroscopy, worker’s compensation cases, smokers, hypertension, a history of a psychiatric diagnosis and preoperative narcotic use. Both collegiate sport participation [odds ratio (OR) -6.09 (95% CI: -1.23--30.3, p=0.027) and frequent running (OR -1.75, 95% CI: -1.09--2.81; p=0.021) decreased risk for pain. Smokers were 2.22 times more likely to have persistent pain (p=0.032; 95% CI: 1.07-4.46). A history of anxiety and depression is associated with 2.87 greater risk for persistent pain (p=0.030; 95% CI: 1.11-7.45). Conclusion: Independent predictors for persistent postoperative pain include current smoking and mental health history positive for anxiety and depression. Running as a primary form of exercise and high-level athletic participation are protective against persistent pain. Additional risk factors for increased pain include increased age, workers’ compensation claim, previous comorbid disease treated with surgery, and decreased preoperative PROs. Our analysis demonstrated significant improvements in both pain and functional PROs in both the limited pain and persistent pain groups; however, those with persistent pain demonstrated significantly inferior PROs.

scholarly journals Analysis of the epidemiological profile of patients with traumas: A literature review

2021 ◽  
Vol 8 (4) ◽  
pp. 202-208
Author(s):  
Gustavo Sousa Andrade ◽  
Daniella Antunes Pereira Rocha ◽  
Bruna Da Silva Gusmão ◽  
Beatriz Sousa Andrade Batista ◽  
Hellen Santos Novas ◽  
...  
Keyword(s):  
Literature Review ◽  
Public Health Problem ◽  
Lower Limbs ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
The World ◽  
Labor System ◽  
Epidemiological Profile ◽  
Motorcycle Accidents ◽  
The Impact

Trauma is a public health problem, with a high morbidity and mortality profile that generates high costs for health systems all over the world. Several factors can trigger the different types of trauma, which may require specific treatments, often even surgical procedures, and may also cause incapacity for work. In light of this, this research was intended to evaluate the epidemiological profile of patients with traumas in different regions of the world. To this end, a systematic literature review was performed by searching the Scielo database, using the descriptors “trauma” and “epidemiology”, finding a total of 270 articles. Subsequently, filters were applied, which allowed 92 scientific articles to be obtained. The titles and abstracts of these articles were analyzed; and, from that, 15 articles were selected, which were read in full and then discussed. The literature analysis allowed us to characterize the epidemiological profile of traumas in Brazil and in other countries around the world, detecting that most trauma affects men at a young age, which can affect the labor system; that the low level of education can influence the trauma profile; and that factors such as car and motorcycle accidents, falls and physical aggressions are the main etiological factors of cranioencephalic, maxillofacial, thoracic, upper limbs and lower limbs traumas, among others. Thus, there is a need to formulate better preventive measures and pre- and in-hospital treatments, aiming at reducing the impact on trauma morbidity and mortality.

scholarly journals EP.TU.192Phlegmasia cerulea dolens associated with lung abscess

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ban Ibrahim ◽  
Raviprasad Kattimani
Keyword(s):  
Ejection Fraction ◽  
Femoral Vein ◽  
District General Hospital ◽  
Lung Abscess ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Phlegmasia Cerulea Dolens

Abstract Introduction Phelgmasia cerulea dolens (PCD) is a rare limb and life-threatening condition caused by extensive of deep veins thrombosis of the extremities and it is classically associated with extensive oedema, severe pain and skin mottling which may lead to compartment syndrome, venous gangrene, and death. Case presentation We present a rare case of phlegmasia cerulea dolens associated with lung abscess. A 40-year-old male with background history of right femoral vein thrombosis, cardiomyopathy with ejection fraction of only 10% presented with three days history of progressive swelling, pain and purple discoloration of right leg to the accident and emergency department at a district general hospital. He was treated with therapeutic low molecular weight heparin. He was found to have lung abscess 2 weeks after admission for which he was treated with broad spectrum intra venous antibiotics. In view of his poor ejection fraction, he was treated without any surgical intervention for PCD. Patient succumbed after 3 months of presentation. PCD is a rare vascular emergency condition if not recognized early and treated aggressively may lead to high morbidity and mortality. Conclusion Phlegmasia cerulea dolens is an acute limb and life-threatening condition. Early diagnosis and aggressive intervention with thrombolysis and thrombectomy is necessary to prevent morbidity and mortality.

scholarly journals Skull Base Osteomyelitis in the Emergency Department: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Mustafa Burak Sayhan ◽  
Cemil Kavalci ◽  
Ozgur Sogüt ◽  
Eylem Sezenler
Keyword(s):  
Emergency Department ◽  
Skull Base ◽  
Vital Signs ◽  
Morbidity And Mortality ◽  
Cranial Computed Tomography ◽  
Lytic Lesion ◽  
High Morbidity ◽  
Skull Base Osteomyelitis ◽  
Normal Limits ◽  
History Of

Skull base osteomyelitis (SBO) is a rare clinical presentation and usually occurs as a complication of trauma or sinusitis. A 5-year-old child presented to the emergency department with a three-week history of fever associated with drowsiness and left parietal headache, and a week's history of swelling on the left frontoparietal soft tissue. He had suffered a penetrating scalp injury four month ago. On physical examination, there was a tender swelling with purulent stream on the lateral half of his scalp. His vital signs are within normal limits. Plain X-ray of the skull showed a lytic lesion on the left frontoparietal bone. A cranial computed tomography (CT) scan demonstrated a large subgaleal abscess at the left frontoparietal region. SBO possesses a high morbidity and mortality; therefore, prompt diagnosis and appropriate treatment are mandatory to prevent further complications and to reduce morbidity and mortality significantly.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

Management of oesophageal anastomosis dehiscence after oesophagectomy for oesophageal cancer

2020 ◽  
Vol 99 (5) ◽  
pp. 200-206
Keyword(s):  
Oesophageal Cancer ◽  
Surgical Procedure ◽  
Anastomotic Dehiscence ◽  
Gastric Conduit ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Therapeutic Algorithm

Oesophagectomy is being used in treatment of several oesophageal diseases, most commonly in treatment of oesophageal cancer. It is a major surgical procedure that may result in various complications. One of the most severe complications is anastomotic dehiscence between the gastric conduit and the oesophageal remnant. Anastomotic dehiscence after esophagectomy is directly linked to high morbidity and mortality. We propose a therapeutic algorithm of this complication based on published literature and our experience by retrospective evaluationof 164 patients who underwent oesophagectomy for oesophageal cancer. Anastomotic dehiscence was present in 29 cases.

Modern aspects of tactics in the genital herpes viral infection (literature review)

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 67-73
Author(s):  
T Yu Pestrikova ◽  
E A Yurasova ◽  
I V Yurasov ◽  
A V Kotelnikova
Keyword(s):  
Literature Review ◽  
Viral Infection ◽  
Genital Herpes ◽  
Fetal Death ◽  
Malignant Tumors ◽  
Adult Population ◽  
Viral Disease ◽  
Intrauterine Fetal Death ◽  
Complicated Course ◽  
Simplex Virus

Genital herpes affects all population groups. 98% of the adult population worldwide have antibodies to the herpes simplex virus (HSV-1 or 2). This viral infection is a significant medical and social problem. HSV can lead to a complicated course of pregnancy, causing miscarriages, premature birth, intrauterine fetal death, systemic viral disease in newborns. There is evidence that HSV has a connection with malignant tumors of the prostate and cervix, contributing to their development. This literature review contains modern aspects of epidemiology, etiology, pathogenesis, clinic, diagnosis, treatment of genital herpes, including its recurring forms with valacyclovir (Valvir). Indications for hospitalization of patients with genital herpes were noted and the prognosis of this pathology was determined. The tactics of managing pregnant women with this pathology is presented.

Profiles of Psychosocial and Clinical Functioning in Adolescence and Risk for Later Depression

2019 ◽  
Author(s):  
Thomas M Olino ◽  
Daniel Klein ◽  
John Seeley
Keyword(s):  
Psychosocial Functioning ◽  
Adolescent Depression ◽  
Depressive Disorders ◽  
Self Report ◽  
Initial Assessment ◽  
Predictive Utility ◽  
Regression Methods ◽  
History Of ◽  
History Of Depression

Background: Most studies examining predictors of onset of depression focus on variable centered regression methods that focus on effects of multiple predictors. In contrast, person-centered approaches develop profiles of factors and these profiles can be examined as predictors of onset. Here, we developed profiles of adolescent psychosocial and clinical functioning among adolescents without a history of major depression. Methods: Data come from a subsample of participants from the Oregon Adolescent Depression Project who completed self-report measures of functioning in adolescence and completed diagnostic and self-report measures at follow-up assessments up to approximately 15 years after baseline. Results: We identified four profiles of psychosocial and clinical functioning: Thriving; Average Functioning; Externalizing Vulnerability and Family Stress; and Internalizing Vulnerability at the baseline assessment of participants without a history of depression at the initial assessment in mid- adolescence. Classes differed in the likelihood of onset and course of depressive disorders, experience of later anxiety and substance use disorders, and psychosocial functioning in adulthood. Moreover, the predictive utility of these classes was maintained when controlling for multiple other established risk factors for depressive disorders. Conclusions: This work highlights the utility of examining multiple factors simultaneously to understand risk for depression.

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