scholarly journals Comparative Study of Role of Laparoscopic Vs Conventional Management in Peritonitis

2020 ◽  
Vol 3 (2) ◽  
pp. 21-24
Author(s):  
Nishit R Santoki ◽  
Mahalaxmi Pillai ◽  
Gyaneshwar Rao
Keyword(s):  
Urinary Catheter ◽  
Medical Science ◽  
Total Duration ◽  
Colon Perforation ◽  
Duodenal Perforation ◽  
Early Ambulation ◽  
Acute Peritonitis ◽  
Single Centre Study ◽  
Sigmoid Colon Perforation

Background : A very commonly encountered case in the field of general surgery is peritonitis. In our study, we analyse 100 cases of acute peritonitis due to various causes, being managed conventionally and laparoscopicaly. Subjects and Methods: The observational, continuous, prospective, single centre study was carried out at Gujarat Adani Institute of Medical Science at GK General Hospital Bhuj. The study was conducted for a total duration of 27 months from October 2017- December 2019 (Patients were enrolled in the study and followed up till the day of admission to the day of the discharge). Total 100 patients are enrolled in the study but there were no intervention done. We compare the outcomes in terms of postoperative pain, removal of ryles tube, urinary catheter, drains, early ambulation and duration of hospital stay. Results: Maximum patients were diagnosed as having pre pyloric peptic (pyloric with antral perforation) perforation (45%) followed by jejunal perforation (17%). successful laparoscopic surgery without conversion was done in 92%. study total 4 cases of laparoscopic managed group needed to convert in open including 2 duodenal perforation cases, 1 sigmoid colon perforation case and 1 ascending colon perforation. Conclusion: Laparascopic intervention to be better of the two provided availability of skill and setup.

Pre-emptive Analgesia for Postoperative Pain Relief in Children – Role of Paracetamol

2009 ◽  
pp. 9-16
Author(s):  
Rubina Yasmin ◽  
AKM Akhtaruzzaman ◽  
Paresh Chandra Sarker ◽  
Neaz Ahmed ◽  
Ranadhir Kumar Kundu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Postoperative Pain ◽  
Diclofenac Sodium ◽  
Total Duration ◽  
Pain Scale ◽  
Prospective Clinical Study ◽  
High Dose ◽  
Induction Of Anaesthesia

This prospective clinical study was carried out in the Dept. of Anaesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka, during the period of May 2003 to July 2003. The study was done to emphasize the importance of giving analgesics preemptively instead of waiting for the child to complain of pain and to produce smooth recovery after surgery by decreasing immediate postoperative pain in children by a simple, safe acceptable drug. The children scheduled for tonsillectomy under general anaesthesia were recruited in this study. The analgesic efficiency of rectal paracetamol in two doses, 25 mg/kg bodywt.(Gr-P25) and 50 mg/kg. bodywt. (Gr-P50) were compared with Diclofenac Sodium suppository 1mg/ kg body weight (Gr-D) given half an hour before induction of anaesthesia. Pain scoring was done by TPPPS (Toddler Pre-schooler postoperative pain scale). Heart rate and blood pressure were stable in Gr-P50 and Gr-D. Time of first demand of analgesic was delayed in Gr-P50 and Gr-D. Total paracetamol consumption in 24 hours was less in Gr-P50(181±14.25) and Gr-D (212±25) than Gr-P25(318± 26.39). Total duration of analgesia in Gr- P50 (657±9.94) mins. and in Gr- D(502±10.63) mins. and in Gr-P25(288±23.17) mins. Pre-emptive high dose rectal paracetamol appears to be more effective than diclofenac sodium suppository for postoperative analgesia in children undergoing tonsillectomy. Journal of BSA, Vol. 18, No. 1 & 2, 2005 p.9-16

Quantitative Conditions and Convergent Operations That Are Compatible With the Universe as a Persistent Generator of Successive Simulations

2016 ◽  
Vol 12 (1) ◽  
pp. 4178-4187
Author(s):  
Michael A Persinger ◽  
Stanley A Koren
Keyword(s):  
Structural Organization ◽  
Total Duration ◽  
Human Cognition ◽  
Intrinsic Properties ◽  
Basic Assumptions ◽  
Electron Orbit ◽  
Quantitative Analyses ◽  
Massive Information ◽  
The Universe

                The capacity for computer-like simulations to be generated by massive information processing from electron-spin potentials supports Bostrom’s hypothesis that matter and human cognition might reflect simulations. Quantitative analyses of the basic assumptions indicate the universe may display properties of a simulation where photons behave as pixels and gravitons control the structural organization. The Lorentz solution for the square of the light and entanglement velocities converges with the duration of a single electron orbit that ultimately defines properties of matter. The approximately one trillion potential states within the same space with respect to the final epoch of the universe indicate that a different simulation, each with intrinsic properties, has been and will be generated as a type of tractrix defined by ±2 to 3 days (total duration 5 to 6 days). It may define the causal limits within a simulation. Because of the intrinsic role of photons as the pixel unit, phenomena within which flux densities are enhanced, such as human cognition (particularly dreaming) and the cerebral regions associated with those functions, create the conditions for entanglement or excess correlations between contiguous simulations. The consistent quantitative convergence of operations indicates potential validity for this approach. The emergent solutions offer alternative explanations for the limits of predictions for multivariate phenomena that could be coupled to more distal simulations.

The plague in Moscow in 1771 and a new coronavirus infection: what they have in common

2021 ◽  
pp. 62-77
Author(s):  
Leonid Anatolievich Denisov ◽  
Mikhail Sergeevich Pakhomov
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Effective Treatment ◽  
Medical Science ◽  
Historical Event ◽  
Prevention Measures ◽  
Physical And Mental Health ◽  
Coronavirus Infection ◽  
The City

The article is devoted to a historical event that occurred 250 years ago in Moscow. The authors draw analogies between the plague epidemic and the current situation associated with a new coronavirus infection, and note what unites these events. It shows the dedicated work of doctors in the conditions of complete ambiguity of the causes and spread of these infections, in the absence of effective treatment methods, what was the behavior of the population, how prevention measures were developed, and what is the role of the authorities of Moscow and St. Petersburg in the fight. How the state of medical science and the level of health care, referred to by economists as the non — material sphere, can affect the physical and mental health of the population and the economic situation of the city, country and the whole World.

scholarly journals Irrational use of Eucalyptus oil in dentistry: a case report

1970 ◽  
Vol 10 (2) ◽  
pp. 121-124
Author(s):  
RS Shishir ◽  
C Renita ◽  
AR Kumuda ◽  
BG Subhas
Keyword(s):  
Case Report ◽  
Medical Science ◽  
Herbal Medicines ◽  
Dental Pain ◽  
Rural India ◽  
Herbal Drug ◽  
Self Medication ◽  
Eucalyptus Oil ◽  
Acacia Catechu

Use of herbal medicaments for dental pain is a practice still followed in some parts of rural India. Most often these herbal medicines are readily available to the rural without the prescription from an authorized practitioner. Eucalyptus oil is one such herbal drug which is widely used for a number of ailments. An unusual and a rare case of chemical injury secondary to the use of eucalyptus oil has been presented here. We have also described the management of the injury with herbal medication. This case report tends to highlights the dangers of self medication and also stresses on the role of herbal medications in dentistry. Keywords: Eucalyptus oil; chemical ulcers; acacia catechu; dentistry. DOI: http://dx.doi.org/10.3329/bjms.v10i2.7807 Bangladesh Journal of Medical Science Vol.10 No.2 Apr’11 pp.121-124

scholarly journals The Royal Portuguese Cabinet of Reading: a space for medical science in the 19th century

Almanack ◽  
2016 ◽  
pp. 241-286
Author(s):  
Monique de Siqueira Gonçalves ◽  
Tânia Bessone
Keyword(s):  
19Th Century ◽  
Medical Science ◽  
Target Audience ◽  
Relative Importance ◽  
Science Field ◽  
The 19Th Century ◽  
General Collection

Abstract: This work presents an analysis on the role of the Royal Portuguese Cabinet of Reading during the second half of the 19th century regarding the collection and safekeeping of medical science books. By analyzing the books contained in the 1906 catalog by Ramiz Galvão (consisting of the institution's collection since 1837), we intend to understand the relative importance of the medical science collection found in the general collection of the Royal Portuguese Cabinet of Reading, and whether it was updated and relevant amidst the constitution of Brazil's medical science field. It is also intended to discover the preponderant idiom among its works and at which target audience they were aimed at, therefore, whether its guard matched the institution's outline of lusophone culture preservation.

scholarly journals Evaluating the Role of Staphylococcus aureus Nasal PCR in Pediatric Head and Neck Infections

2021 ◽  
Vol 26 (7) ◽  
pp. 734-739
Author(s):  
Chandni Patel ◽  
Guru Bhoojhawon ◽  
Lukasz Weiner ◽  
Danelle Wilson ◽  
Derek Zhorne ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Treatment Failure ◽  
Head And Neck ◽  
Pediatric Patients ◽  
Total Duration ◽  
Kidney Injury ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Head And Neck Infections

OBJECTIVE Vancomycin is often empirically used in the management of head and neck infections (HNIs) in children. The objective of this study was to determine the utility of Staphylococcus aureus (SA) nasal PCR to facilitate de-escalation of vancomycin for pediatric HNIs. METHODS This was a single-center, retrospective cohort study of pediatric patients who received empiric intravenous vancomycin for a diagnosis of HNIs between January 2010 and December 2019. Subjects were excluded if they met any of the following: confirmed/suspected coinfection of another site, dialysis, immunocompromised status, admission to the NICU, alternative diagnosis that did not require antibiotics, or readmission for HNIs within 30 days of previous admission. The primary outcome was time to de-escalation of vancomycin. Total duration of antibiotics, treatment failure, hospital length of stay (LOS), and incidence of acute kidney injury (AKI) were also assessed. RESULTS Of the 575 patients identified, 124 patients received an SA nasal PCR. The median time to de-escalation was 39.5 hours in those patients compared with 53.7 hours in patients who did not have a SA nasal PCR (p = 0.002). No difference was noted in total duration of all methicillin-resistant Staphylococcus aureus antibiotics, hospital LOS, treatment failure, and AKI. CONCLUSIONS In a large cohort of pediatric patients with HNIs, those who underwent testing with an SA nasal PCR spent less time receiving intravenous vancomycin, although their LOS was not significantly reduced. Further investigation is needed to better define the role of SA nasal PCRs in determining antibiotic therapy for HNIs.

scholarly journals Sigmoid Colon Perforation Occurred in 12 years after Renal Transplantation

2006 ◽  
Vol 39 (5) ◽  
pp. 620-625 ◽  
Author(s):  
Hiroaki Takeshita ◽  
Takashi Tsuji ◽  
Terumitsu Sawai ◽  
Shigekazu Hidaka ◽  
Shinichi Shibazaki ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Sigmoid Colon ◽  
Colon Perforation ◽  
Sigmoid Colon Perforation

scholarly journals Erasing the Social from Social Science: The Intellectual Costs of Boundary-Work and the Canadian Institute of Health Research

2014 ◽  
Vol 39 (3) ◽  
pp. 393-420 ◽  
Author(s):  
Katelin E. Albert
Keyword(s):  
Social Science ◽  
Health Research ◽  
Research Funding ◽  
Boundary Work ◽  
Medical Science ◽  
Social Science Research ◽  
Science Research ◽  
Canadian Institute ◽  
The Social

In 2009, Canadian social science research funding underwent a transition. Social science health-research was shifted from the Social Science and Humanities Research Council (SSHRC) to the Canadian Institute of Health Research (CIHR), an agency previously dominated by natural and medical science. This paper examines the role of health-research funding structures in legitimizing and/or delimiting what counts as ‘good’ social science health research. Engaging Gieryn’s (1983) notion of ‘boundary-work’ and interviews with qualitative social science graduate students, it investigates how applicants developed proposals for CIHR. Findings show that despite claiming to be interdisciplinary, the practical mechanisms through which CIHR funding is distributed reinforce rigid boundaries of what counts as legitimate health research. These boundaries are reinforced by applicants who felt pressure to prioritize what they perceived was what funders wanted (accommodating natural-science research culture), resulting in erased, elided, and disguised social science theories and methods common for ‘good social science.’

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