scholarly journals Carboxyhemoglobin Detection in the Periorificial Tissues as an Accurate Method for Identifying the Gunshot Entrance Wound

2019 ◽  
Vol 70 (4) ◽  
pp. 1239-1241
Author(s):  
Camelia-Oana Muresan ◽  
Roxana Zavoi ◽  
Veronica Ciocan ◽  
Raluca Dumache ◽  
Ramona Parvanescu ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Short Range ◽  
Gunshot Wounds ◽  
Accurate Method ◽  
Study Group ◽  
Entry And Exit ◽  
Forensic Expertise ◽  
Exit Wound ◽  
Entrance Wound ◽  
The Difference

One of the main objectives of the forensic expertise in gunshot injuries is establishing the direction of the shooting. The first step of the process is represented by studying the macroscopic differences in the morphology of the entrance and exit wounds, which in most cases suffice for the differential diagnosis between entrance and exit wound. In some cases, making the difference by using morphology alone is not possible, because the two wounds may present common or peculiar features. In these cases, analytical investigations can help in solving this important aspect of the case investigation. The detection of carboxyhemoglobin (COHb) in the perilesional tissues is one of the differentiation criteria between entry and exit wound. In some cases of short range shooting included in our study group, we determined the COHb concentration in blood sampled from the entrance wound. COHb values ranged between 10% and 60%. Given the known chemical stability of COHb, its determination can also prove useful in the examination of putrefied bodies, where the morphology of the gunshot wounds is more or less altered, depending on the stage of putrefaction.

scholarly journals Influence of gustatory and olfactory perception in the oral phase of swallowing in smokers

CoDAS ◽  
2014 ◽  
Vol 26 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Karoline Weber dos Santos ◽  
Simone Soares Echeveste ◽  
Deisi Cristina Gollo Marques Vidor
Keyword(s):  
Differential Diagnosis ◽  
Correlation Coefficient ◽  
Average Degree ◽  
Study Group ◽  
Olfactory Perception ◽  
Spearman Correlation ◽  
Taste Test ◽  
Sensory Changes ◽  
The Difference ◽  
Sensory Tests

Purpose: To analyze the difference between nonsmokers and smokers on the changes in the perceptions of smell and taste and to verify the influence of these aspects in the emergence of compensatory movements during swallowing. Methods: To evaluate these aspects, capabilities of olfactory and gustatory recognition were observed, as well as the compensation swallowing. Twenty-four patients were evaluated in each study group aged from 18 years, grouped in a stratified way. The olfactory evaluation consisted in presenting seven essences and one of three options should be chosen. For the taste test, 16 flavors were offered in a non-sequential and decreasing way in amount of solute. Swallowing solid and liquid was evaluated, in which aspects of compensation perioral muscles were observed. Results: Worst performance in olfactory and gustatory tests among smokers (p≤0.01) was found. Through the results of χ2 and Fisher's exact tests, it was found that the contraction of the mentalis muscle is less observed in non-smokers, and smokers have an average degree of statistically significant change compared to nonsmokers. Furthermore, through the Spearman correlation coefficient, it was found that the worsening in the sensory tests implies increased compensation during swallowing in smokers. Conclusion: These data allowed us to verify that the sensory changes have influence on swallowing pattern, indicating that these changes are aspects that should be considered in the differential diagnosis of changes in swallowing.

The effects of information platform-based nursing on preventing venous thromboembolism (VTE) in patients with hip fractures (Preprint)

2020 ◽  
Author(s):  
Yuan Gao ◽  
Xiaojie Fu ◽  
Mingxing Lei ◽  
Pengbin Yin ◽  
Qingmei Wang ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Subgroup Analysis ◽  
Nursing Intervention ◽  
Control Group ◽  
Study Group ◽  
Drug Compliance ◽  
Information Platform ◽  
The Difference ◽  
Length Of Hospitalization

BACKGROUND Mobile apps are becoming increasingly relevant to health care. Apps have been used to improve symptoms, quality of life, and adherence for oral drugs in patients with cancers, pregnancy, or chronic diseases, and the results were satisfying . OBJECTIVE This study aims to develop an information platform with the help of a mobile app and then evaluate whether information platform-based nursing can improve patient’s drug compliance and reduce the incidence of VTE in patients with hip fractures. METHODS We retrospectively analyzed hip fracture patients performed with traditional prevention and intervention of VTE (control group) between January 2008 and November 2012, and prospectively analyzed hip fracture patients conducted with nursing intervention based on the information platform (study group) between January 2016 and September 2017. The information platform can be divided into medical and nursing care end and the patient’s end. Based on the information platform, we could implement risk assessments, monitoring management and early warnings, preventions and treatments, health educations, follow-up and other aspects of nursing interventions for patients. We compared basic characteristics, outcomes including drug compliance, VTE occurrence, and mean length of hospitalization between the two groups. Besides, a subgroup analysis was performed in the study group according to different drug compliances. RESULTS Regarding baseline data, patients in the study group had more morbidities than those in the control group (P<0.05). The difference of drug compliance between the two groups was statistically significant (P<0.001): 64.7% of the patients in the control group had poor drug compliance and only 6.1% patients had poor drug compliance in the study group. In terms of VTE, 126 patients (10.7%) in the control group had VTE, while only 35 patients (7.1%) in the study group had VTE, and the difference was statistically significant (P=0.024). Moreover, the average length of hospitalization in the study group was also significantly lower than that in the control group (10.4 d vs. 13.7 d, P=0.000). Subgroup analysis of the study group showed that the incidence of VTE in patients with non-compliance, partial compliance, and good compliance was 56.7%, 5.8% and 2.8%, respectively (P=0.000). CONCLUSIONS Poor drug compliance leads to higher VTE occurrence. The information platform-based nursing can effectively improve the compliance of patients with hip fracture and thus significantly reduce the incidence of VTE.

scholarly journals Introduction and feeding practices of solid food in preterm infants born in Salzburg!

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Edda Hofstätter ◽  
Verena Köttstorfer ◽  
Patricia Stroicz ◽  
Sebastian Schütz ◽  
Lorenz Auer-Hackenberg ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Preterm Infants ◽  
Complementary Feeding ◽  
Study Group ◽  
Early Weaning ◽  
Structured Interviews ◽  
Term Infants ◽  
The Mean ◽  
The Difference

Abstract Background It is shown that meeting the increased nutritional demand of preterm infants from birth is not only important for survival but essentially contributes to the infants` overall development and long-term health. While there are established guidelines for weaning term infants, evidence regarding preterm infants is scarce and less precise. The aim of this study was to identify the current practices on introducing solids to preterm infants amongst caregivers in Salzburg and determine potential reasons for early weaning. Methods Altogether 68 infants born between 24 0/7 and 36 6/7 weeks were recruited and detailed structured interviews with the caregivers were conducted at 17 weeks corrected age. Weight, height and head circumference were collected. Results 52% of the study group received solids before the recommended 17 weeks corrected age. For this group the mean age being 13.77 ± 1.11 weeks corrected age. Premature introduction of solids significantly correlates with exclusively and early formula-feeding. 34% were weaned due to recommendation by their paediatrician. 23% of the preterm infants even received solids before 12 weeks corrected age, putting them at risks for developing obesity, celiac disease and diabetes. Conclusions This study shows the necessity for clear guidelines regarding the introduction of complementary feeding in preterm infants as well as the importance of their implementation. Caregivers should receive information on this topic early enough and they should fully understand the difference between chronological and corrected age.

Analysis of the Impact of Personalized Nursing Service and Hospice Care on the Quality of Life of Elderly Cancer Patients

2021 ◽  
Vol 7 (4) ◽  
pp. 469-473
Author(s):  
Ting Fang ◽  
Nian Wang ◽  
Meng Chen ◽  
Hongmei Ma
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Hospice Care ◽  
Pain Treatment ◽  
Control Group ◽  
Study Group ◽  
The Difference ◽  
The Impact

Objective Explore the impact of personalized nursing services and hospice care on the quality of life of elderly patients with advanced cancer. Method We selected 80 elderly cancer patients admitted to our hospital from September 2020 to May 2021, and divided these patients into a study group and a control group using a random number table method. The patients in the control group used conventional nursing methods to treat and care for the patients, and the patients in the study group used hospice care measures and combined personalized nursing measures. The quality of life and pain treatment effects of the two groups of patients before and after treatment were compared. Result Before treatment, the quality-of-life scores of the two groups of patients were low, and there was no statistical difference (P>0.05); After treatment, the quality of life of the two groups of patients improved, but compared with the control group, the improvement was more obvious in the study group, and the difference was statistically significant (P<0.05). In terms of pain treatment effect, the total effective rate of pain treatment in the study group was 87.5%, which was significantly better than the 62.5% in the control group. The difference was statistically significant (P<0.05). Conclusion Personalized nursing services and hospice care are conducive to improving the survival and treatment of elderly patients with advanced cancer, and can be used as a clinical application program for the care of advanced cancer patients.

An accurate method to include lubrication forces in numerical simulations of dense Stokesian suspensions

2015 ◽  
Vol 769 ◽  
pp. 369-386 ◽  
Author(s):  
A. Lefebvre-Lepot ◽  
B. Merlet ◽  
T. N. Nguyen
Keyword(s):  
Short Range ◽  
Degrees Of Freedom ◽  
Computational Cost ◽  
Parameter Tuning ◽  
Accurate Method ◽  
Spherical Particles ◽  
Particle Model ◽  
Stokesian Dynamics ◽  
New Feature ◽  
The Many

We address the problem of computing the hydrodynamic forces and torques among $N$ solid spherical particles moving with given rotational and translational velocities in Stokes flow. We consider the original fluid–particle model without introducing new hypotheses or models. Our method includes the singular lubrication interactions which may occur when some particles come close to one another. The main new feature is that short-range interactions are propagated to the whole flow, including accurately the many-body lubrication interactions. The method builds on a pre-existing fluid solver and is flexible with respect to the choice of this solver. The error is the error generated by the fluid solver when computing non-singular flows (i.e. with negligible short-range interactions). Therefore, only a small number of degrees of freedom are required and we obtain very accurate simulations within a reasonable computational cost. Our method is closely related to a method proposed by Sangani & Mo (Phys. Fluids, vol. 6, 1994, pp. 1653–1662) but, in contrast with the latter, it does not require parameter tuning. We compare our method with the Stokesian dynamics of Durlofsky et al. (J. Fluid Mech., vol. 180, 1987, pp. 21–49) and show the higher accuracy of the former (both by analysis and by numerical experiments).

scholarly journals The Presence of Visual Neglect after Thrombolytic Treatment in Patients with Right Hemisphere Stroke

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
J. E. Kettunen ◽  
M. Nurmi ◽  
A.-M. Koivisto ◽  
P. Dastidar ◽  
M. Jehkonen
Keyword(s):  
Right Hemisphere ◽  
Stroke Severity ◽  
Study Group ◽  
Thrombolytic Treatment ◽  
Visual Neglect ◽  
Stroke Patients ◽  
Neuropsychological Examination ◽  
The Difference ◽  
Right Hemisphere Stroke

Visual neglect (VN) is a common consequence of right hemisphere (RH) stroke. The aims of this study were to explore the presence of VN after RH stroke in the patients with (T+) or without (T−) thrombolytic treatment, and to determine whether thrombolysis is a predictor of VN. The study group consisted of 77 RH infarct patients. VN was evaluated with six conventional subtests of the Behavioural Inattention Test (BIT). Stroke severity was assessed using the National Institute of Health Stroke Scale (NIHSS). In the neuropsychological examination, 22% of all RH stroke patients had VN. VN was present in 15% of the patients in the T+ group and in 28% of the patients in the T− group, but the difference was not statistically significant. Despite that, patients in the T− group had a higher risk of VN than patients in the T+ group. Our results suggest that thrombolysis independently predicted absence of VN.

scholarly journals True and Pseudo Cholinesterase levels in short and long-term of pesticides exposures

2020 ◽  
pp. 9-12
Author(s):  
Mohammed Abdul Rahman ◽  
Raghunatha Rao D ◽  
Vasantha L
Keyword(s):  
Whole Blood ◽  
Acute Poisoning ◽  
Mean Value ◽  
Serum Cholinesterase ◽  
Control Group ◽  
Study Group ◽  
Chronic Poisoning ◽  
The Mean ◽  
The Difference ◽  
And Control

The present study is aimed to study and analyze the true and pseudo Cholinesterase levels in the subjects exposed to pesticides during short term by intentional or accidental intake and long term exposure due to their occupation were studied at Department of Biochemistry, SVS medical college and hospital mahbubnagar district. Whole blood cholinesterase levels and Pseudo cholinesterase levels were estimated. 150 people were taken as controls who had no medical illness and a total number of 300 cases of pesticide poisoning were selected, aged between 20 to 55 years, which consist of 150 acute poisoning and 150 chronic poisoning subjects in Mahbubnagar district, were taken as case study, the detailed case history and the type of organophosphorus pesticide taken were recorded. Mean and standard deviation (S.D) of all variables were calculated and compared with those of controls. Statistical significance was assessed and P-value <0.05 were considered significant.           During acute poisoning the mean value of Whole blood cholinesterase/True cholinesterase (U / L) in acute poisoning cases on first day was 1.267± 0.612 on 3th day was 1.651±0.647, on 7th day was 2.221±0.684 and at the end of 6 months was 3.970±0.404.The difference between the study group and control group (4.0 ± 0.39) was found to be statistically significant in1st, 3rd, 7th day but not significant at the end of 6 months. The mean value of serum cholinesterase/pseudo cholinesterase (U/L) in acute poisoning cases on first day was 2213.05 ± 1749.81, on 3th day was 2862.3 ± 2025.6, on 7th day was 4008.4 ± 2355.9 and at the end of 6 months was 7708.34 ± 880.72.The difference between the study group and control group (7991.97 ± 1276.5) was found to be statistically significant in1st, 3rd, 7th day but not significant at the end of 6 months. During chronic poisoning (exposure) the mean value of Whole blood cholinesterase (U/L) in controls is 4.0 ± 0.39 as compared to 3.019 ± 0.848 in cases of chronic poisoning. The difference between the study group and control group was found to be statistically significant. The mean value of serum cholinesterase/pseudo cholinesterase (U/L) in controls was 7991.97 ± 1276.5 as compared to 6214 ± 1189 in cases of chronic poisoning. The difference between the study group and control group was found to be statistically significant.

scholarly journals The Role of P53 in Sepsis-Induced Cardiomyopathy

2021 ◽  
Vol 26 (3) ◽  
pp. 45-47
Author(s):  
Peter Michael Reil ◽  
Teodor Traian Maghiar ◽  
Karlheinz Seidl ◽  
Claudia Teodora Judea Pusta ◽  
Ciprian Borza ◽  
...  
Keyword(s):  
Cardiac Tissue ◽  
Medical Problem ◽  
Statistical Correlation ◽  
Control Group ◽  
Study Group ◽  
Septic Cardiomyopathy ◽  
Pulmonary Infections ◽  
P53 Expression ◽  
The Difference

Abstract Septic cardiomyopathy remains a difficult medical problem to manage in critically ill patients. With all currently available therapeutic options, the mortality rate in these patients remains high. Our study included 29 patients diagnosed clinically with sepsis. A control group was used to compare the results. In all patients, p53 expression was assessed in cardiac tissue obtained from these patients and a statistical correlation was made with clinical data. The different expression rates of p53 do not correlate with patient’s age, having appropriate means in years, but with an increasing tendency with increasing expression (p=0.2110). The pulmonary infections are responsible for the majority of the septic state in the study group (over 55%). The difference between the infection sites is statistically significant (p<0.0001).

scholarly journals Movement parameters of persons with disabilities on evacuation by lifts

2020 ◽  
Vol 5 ◽  
Author(s):  
Martin Szénay ◽  
Martin Lopušniak
Keyword(s):  
Slovak Republic ◽  
Entry And Exit ◽  
In Situ Experiment ◽  
Persons With Disabilities ◽  
The Difference ◽  
Bounded Area ◽  
Movement Parameters ◽  
The Moment ◽  
The Individual ◽  
Leg Fracture

In 2010 it was defined five challenges for the solution of evacuation of persons in buildings to 2020. One of the challenges is to implement helpfull technologies during evacuations from buildings – lifts. Needed steps for fulfilling this challenge are also quantification of missing data which are dealing with evacuation of persons with disabilities. From 2002 all public buildings in Slovak Republic have to be also accessible to persons with disabilities, but it is also a global problem. In present exists just small number of informations of movement parameters of persons with disabilities during evacuation by lift. There for, this work was focused on collecting these informations. The data collection was realized by using an in-situ experiment. The aim of the work was to quantify the phase stages of evacuation by elevators for persons with disabilities (speed, time, movement and capacity parameters). Person's movements were monitored during the measurements, arrival to lift, cabin entry and exit from the cabin, including leaving the bounded area. Arrival to lift included movement in the bounded area in front of the lift, until the moment of pushing the button was pressed to call the lift. The time of cabin entering includes the time from the beginning of opening the lift doors to the beginning of closing of the lift doors. The exit from the cabin includes the time from opening the lift doors, passing through the lift doors to leaving the bounded area. In total, ten participating persons in the experiments imitated wheelchair movement and movement with leg fracture. Measurements were made on two lifts, where person evacuating himself or with the help of another person. Everyone performed each measurement three times. A total of 720 measurements were performed in the work. According to the results of the experiment it can be stated that cabin entry is longer for a person on the wheelchair than for a person with a leg fracture, but the difference is even bigger during exit from the cabin, including leaving the bounded area. During the experiment, various movement techniques have been observed that may affect their overall the time of cabin entry and exit from the cabin. Obtained results can extend existing evacuation model to the possibility of using the lift. The obtained results quantify the individual phase stages of entering to the lift and exiting of the lift for persons with limited movement.

scholarly journals Ultrasonic elastography and conventional ultrasound in the diagnosis of thyroid micro-nodules

2019 ◽  
Vol 35 (6) ◽  
Author(s):  
Jinming Wang ◽  
Wenbing Wei ◽  
Rui Guo
Keyword(s):  
Differential Diagnosis ◽  
Roc Curve ◽  
Thyroid Nodules ◽  
Ultrasound Elastography ◽  
Surgical Pathology ◽  
Maximum Diameter ◽  
Clinical Value ◽  
Conventional Ultrasound ◽  
Missed Diagnosis ◽  
The Difference

Objective: To investigate the clinical value of conventional ultrasound, ultrasound elastography and conventional ultrasound combined with ultrasound elastography in differential diagnosis of benign and malignant thyroid micro-nodules. Methods: Eighty-six patients who were found with thyroid micro-nodules with the maximum diameter no more than 10 mm in the physical examination in our hospital from June 2015 to December 2017 were selected, and 102 nodules were included. All patients were confirmed with thyroid micro-nodules by puncture or surgical pathology and underwent conventional ultrasound and ultrasound elastography. Taking the surgical pathological results as a control, the value of conventional ultrasound, ultrasound elastography and conventional ultrasound combined with ultrasound elastography in differential diagnosis of benign and malignant thyroid micro-nodules were compared. A receiver operating characteristic (ROC) curve was drawn, and the area under the ROC curve was calculated. Results: One hundred and two thyroid nodules were detected by surgical pathology, including 75 benign nodules (73.53%) and 27 malignant nodules (26.47%). The sensitivity and diagnostic accordance rate of ultrasound elastography were significantly higher than those of conventional ultrasound in the diagnosis of thyroid microcarcinoma, and the missed diagnosis rate of ultrasound elastography was significantly lower than that of conventional ultrasound; the difference was statistically significant (P<0.05). However, the difference between the two methods was not statistically significant in terms of diagnostic specificity and misdiagnosis rate (P>0.05). The areas under the ROC curve in the diagnosis of benign and malignant thyroid nodules by conventional ultrasound and ultrasound elastography were 0.735 and 0.743 respectively. Conclusion: Conventional ultrasound can be used as a routine examination technique in differential diagnosis of benign and malignant thyroid nodules, while ultrasound elastography can improve the sensitivity and diagnostic rate in the diagnosis of thyroid micro carcinoma. It can help to reduce the clinical missed diagnosis, which also can be be used as an effective supplement for conventional ultrasound. doi: https://doi.org/10.12669/pjms.35.6.777 How to cite this:Wang J, Wei W, Guo R. Ultrasonic elastography and conventional ultrasound in the diagnosis of thyroid micro-nodules. Pak J Med Sci. 2019;35(6):1526-1531. doi: https://doi.org/10.12669/pjms.35.6.777 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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