scholarly journals Surgical correction of posttraumatic nasal deformities in adolescent athletes

2021 ◽  
Author(s):  
IV Zyabkin ◽  
NS Grachev ◽  
SV Frolov ◽  
GA Polev ◽  
AM Magomedova ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
The Body ◽  
Professional Athletes ◽  
Nasal Breathing ◽  
Post Surgery ◽  
External Nose ◽  
Before And After ◽  
Post Traumatic ◽  
Surgical Option

Nasal breathing is of great importance for professional athletes because of the peculiarities of carbon dioxide metabolism in the body. Problems with nasal breathing caused by post-traumatic deformities of the nose can be successfully corrected with the help of rhinoseptoplasty, but the possibility of performing this surgery on patients under 18 years of age is a discussed matter. This study aimed to analyze the results of the effect functional rhinoseptoplasty has on nasal breathing, consider rhinoseptoplasty as the preferred method of treatment for adolescents with post-traumatic deformities of the structures of the nose. The study involved 15 professional athletes aged 15–18 years with post-traumatic deformities of the external nose and troubled nasal breathing. Five of them (33.3%) were female, 10 (66.7%) were male; all underwent open rhinoseptoplasty. The NOSE and SCHNOS questionnaires were used to assess the symptoms of nasal obstruction before and after surgery. Post-surgery, all patients subjectively noted that their nasal breathing improved, which was confirmed by the filled questionnaires. There were no significant complications registered during the follow-up period. Functional rhinoseptoplasty is a viable surgical option for adolescents under 18 years of age.

scholarly journals Protocol on Comparative Clinical Efficacy of Tryushanadi Guggul and Navaka Guggul in Sthoulya (Overweight)

2021 ◽  
pp. 169-175
Author(s):  
Ashvini Dineshrao Pardhekar ◽  
Sadhana Misar(Wajpeyi) ◽  
Vinod Ade
Keyword(s):  
Clinical Efficacy ◽  
The Body ◽  
Control Group ◽  
Arm Circumference ◽  
Before And After ◽  
Group A ◽  
Excessive Intake ◽  
Group B ◽  
Excessive Accumulation

Background: Sthoulya is Medovaha Strotodushtijanya vyadhi, which includes abnormal and excessive accumulation of Medodhatu in the body. This is caused by lack of physical and mental activity, daytime sleep, excessive intake of madhur (sweet), snigdha ahar (oily diet) results in  increase Kaphadosha and meda which results in Sthoulya (overweight) having symptoms of mild dysponea, thirst, drowsiness, excess sleep, appetite, offensive smell from the body, incapability to work and incapability to participate in sexual intercourse. Aim: Comparative clinical efficacy of Tryushanadi Guggul and Navaka Guggul in Sthoulya (overweight). Materials and methods: Total 60 patients of Sthoulya will enrolled and will divided into two groups (each group contains 30). Patients in group A (experimental group) will be given 1 gram Tryushanadi Guggul two times a day after meal with honey and in group B (control group)1 gram Navaka Guggul will administered two times a day after meal with honey for 30 days. Dietary changes and walking (30 minutes) will be advised to patients of both groups. Follow up will be taken on 15th day and 30th day. Assessment of subjective parameters like kshudrashwasa (exertional dyspnoea), swedadhikya (perspiration), atikshudha (increased appetite), nidradhikya (increased sleep) and objective parameters like body weight, B.M.I., mid arm circumference, waist-hip ratio and lipid profile will be done before and after treatment. Results: Subjective and objectives outcomes will be assessed by statistical analysis. Conclusion: It will be drawn from the result obtained.

scholarly journals Chord Mu (µ) and Chord Alpha (α) Length Changes in Fuchs Endothelial Corneal Dystrophy before and after Descemet Membrane Endothelial Keratoplasty (DMEK) Surgery

2021 ◽  
Vol 10 (21) ◽  
pp. 4844
Author(s):  
Carlos Rocha-de-Lossada ◽  
José-María Sánchez-González ◽  
Davide Borroni ◽  
Víctor Llorens-Bellés ◽  
Rahul Rachwani-Anil ◽  
...  
Keyword(s):  
Corneal Dystrophy ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Descemet Membrane ◽  
Post Surgery ◽  
Before And After ◽  
Length Changes ◽  
Corneal Apex ◽  
Center Distance

This paper will evaluate chord mu and alpha length in patients with Fuchs endothelial corneal dystrophy (FECD) and its changes following Descemet membrane endothelial keratoplasty (DMEK). Patients with FECD that underwent DMEK surgery were included in this retrospective study. Scheimpflug Tomography was carried out in order to calculate chord mu and chord alpha lengths prior to surgery and at 3 and 12 months postoperative. This study included 27 eyes from 27 patients. Significant changes in chord mu were observed within the first three months (from 0.47 ± 0.32 to 0.29 ± 0.21 mm, p < 0.01) and remained stable 12 months postoperative (0.30 ± 0.21 mm, p > 0.05). However, chord alpha remained stable throughout the 12 months post surgery (from 0.53 ± 0.19 to 0.49 ± 0.14 mm, p > 0.05). In addition to the pupillary center distance from the corneal apex (from 0.35 ± 0.25 to 0.34 ± 0.20 mm, p > 0.05) also remain stable. In FECD patients undergoing DMEK surgery, chord mu length decreased, and chord alpha length remained stable after 12 months of follow-up.

scholarly journals Evaluation of disc degeneration adjacent to AOspine A fractures: pre- and post-operative MRI analysis

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 33
Author(s):  
Laura Marie-Hardy ◽  
Nicolas Barut ◽  
Hedi Sari Ali ◽  
Marc Khalifé ◽  
Hugues Pascal-Moussellard
Keyword(s):  
Great Majority ◽  
Type A ◽  
The Body ◽  
Thoracolumbar Fractures ◽  
Secondary Degeneration ◽  
Bone Injury ◽  
Post Traumatic ◽  
Level Fusion

Introduction: The management of type A thoracolumbar fractures varies from conservative treatment to multiple level fusion. Indeed, although Magerl defined the type A fracture as a strictly bone injury, several authors suggested associated disc lesions or degeneration after trauma. However, the preservation of mobility of the adjacent discs should be a major issue. This study was conducted to analyze the presence of immediate post-traumatic disc injuries and to know if discs degenerate after receiving treatment. Methods: We retrospectively reviewed the files of 27 patients with an AOspine A fracture, corresponding to 34 fractures (64 discs) with pre and post-operative MRI (mean follow-up: 32.4 months). Based on Pfirrmann’s and Oner’s classifications of disc injuries, two observers analyzed independently the type of lesion in the discs adjacent to the fractured vertebra in immediate post-trauma and at the last follow-up. Results: The immediate post-traumatic analysis according to Pfirrmann’s classification found 97% of the cranial adjacent discs and 100% of the caudal discs classified Pfirrmann 3 or less. The analysis on the secondary MRI revealed that 78% of cranial adjacent discs and 88% of caudal adjacent discs still were classified Pfirrmann 3 or less. Conclusions: Since, the great majority of type A fractures does not cause immediate disc injuries, these fractures are, as described by Magerl, strictly bony injuries. The quality of the body reduction seems to prevent secondary degeneration. These results may encourage surgeons not to perform arthrodesis on type A fractures even for A3 and A4.

Respiratory Function of the Swim-Bladders of the Primitive Fish Polypterus Senegalus

1970 ◽  
Vol 52 (1) ◽  
pp. 27-37
Author(s):  
A. M. ABDEL MAGID ◽  
Z. VOKAC ◽  
NASR EL DIN AHMED
Keyword(s):  
Carbon Dioxide ◽  
Respiratory Function ◽  
Sharp Increase ◽  
Tap Water ◽  
Carbon Dioxide Tension ◽  
The Body ◽  
Atmospheric Air ◽  
Before And After ◽  
Polypterus Senegalus ◽  
The Right

1. The respiratory function of the swim-bladders of Polypterus senegalus was investigated. Experiments were carried out in tap water with an oxygen tension of about 140 mm. Hg. 2. Both swim-bladders were cannulated through the body-walls of the unrestricted fish. Gas samples were analysed for their oxygen and carbon dioxide content before and after the fish visited the surface. 3. A sharp increase in oxygen and a decrease in carbon dioxide tension was always observed after inhalation. This proves that atmospheric air is actually inspired into the bladders. 4. After inspiration, the amount of oxygen in the bladders decreased rapidly. This shows that oxygen is taken up by the blood, even when the oxygen content of the water is normal. 5. Inspiration of air is preceded by expiration which, on the average, reduces the volume of the bladders to about 40%. 6. The uneven distribution of inhaled air in the right bladder is shown to be due to anatomical configuration.

scholarly journals Promising Option for Treatment of Striae Alba: Fractionated Microneedle Radiofrequency in Combination with Fractional Carbon Dioxide Laser

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Farahnaz Fatemi Naeini ◽  
Shadi Behfar ◽  
Bahareh Abtahi-Naeini ◽  
Shima Keyvan ◽  
Mohsen Pourazizi
Keyword(s):  
Carbon Dioxide ◽  
Surface Area ◽  
Clinical Improvement ◽  
Carbon Dioxide Laser ◽  
Treatment Groups ◽  
Before And After ◽  
Fractional Carbon Dioxide Laser ◽  
The Mean ◽  
Consistent Treatment

Background. A consistent treatment has not been proposed for treatment of Striae Alba (SA). The present study was designed to compare the fractionated microneedle radiofrequency (FMR) alone and in combination with fractional carbon dioxide laser (FMR + CO2) in the treatment of SA.Methods. Forty-eight pairs of SA from six patients were selected. Right or left SAs were randomly assigned to one of the treatment groups. The surface area of the SA before and after treatment and clinical improvement using a four-point scale were measured at the baseline, after one and three months.Results. The mean age of the patients was30.17±5.19years. The mean difference of the surface area between pre- and posttreatment in the FMR + CO2group was significantly higher than that in the FMR group (p=0.003). Clinical improvement scales showed significantly higher improvement in the FMR + CO2group than in the FMR group in the first and second follow-up (p=0.002and 0.004, resp.). There were no major persistence side-effects in both groups.Conclusions. The results showed that FMR + CO2laser was more effective than FMR alone in the treatment of SA.

scholarly journals SURGICAL CORRECTION OF POST-TRAUMATIC KYPHOSIS WITH OSTEOTOMIES IN THE SPINE

2019 ◽  
Vol 18 (1) ◽  
pp. 60-63 ◽  
Author(s):  
José María Jiménez Avila ◽  
Omar Sánchez García ◽  
Paula Aranguren Vergara ◽  
Arelhi Catalina González Cisneros
Keyword(s):  
Sagittal Balance ◽  
The Body ◽  
Level Of Evidence ◽  
Significant Difference ◽  
Before And After ◽  
Spinopelvic Balance ◽  
Post Traumatic ◽  
L1 And L2 ◽  
Indications And Complications

ABSTRACT Objective: To analyze the clinical and radiological evolution, indications and complications of the types of osteotomies in patients with disturbed sagittal balance (SB) resulting from post-traumatic kyphosis. The SB can be measured with a plumb line from the center of the body of C7 to S1, which allows recognizing the misalignment. The imbalance can be corrected by osteotomy. Methods: Thirty patients with SB loss due to post-traumatic kyphosis were studied from January 2014 to December 2017. SPO, PSO and VCR were performed to evaluate the degree of kyphosis before and after surgery, the Oswestry questionnaire was applied and the degree of correction, the days of hospital stay and transoperative bleeding were assessed. Results: Age, 50 years, SD = 14, follow-up time: 2-3 years. We performed 11 (36.7%) osteotomies of S-P, 17 (56.7%) pedicle subtractions and 2 (6.6%) vertebrectomies. Most of the lesions were found between levels L1 and L2; the complications were dehiscence of the surgical wound in 4 patients (13.3%) and infection in 2 (6.6%). The minimum surgical time was 3 hours; the Oswestry questionnaire did not showed statistically significant difference during the preoperative period, however, considerable improvement was observed 2 years after surgery. Conclusions: The use of corrective vertebral osteotomies significantly re-establishes the spinopelvic balance altered by different pathologies. It allows correcting in a single surgery the sagittal balance, achieving corrections from 10° to 40°, depending on the type of osteotomy performed, being a safe and effective procedure, which allows to restore the spinopelvic balance, improving the quality of life of the patients. Level of Evidence IIb; Prospective cohort study.

scholarly journals POS1496-HPR IS NUTRITIONAL FOLLOW-UP IN PATIENTS LIVING WITH RHEUMATOID ARTHRITIS BETTER WITH TELECONSULTATION? - EXPERIENCE BEFORE AND AFTER PANDEMIC

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1032.2-1033
Author(s):  
I. Mozo ◽  
M. Marquez ◽  
O. Valencia
Keyword(s):  
Rheumatoid Arthritis ◽  
Remote Monitoring ◽  
Eating Habits ◽  
Feeding Habits ◽  
The Body ◽  
Santa Fe ◽  
Face To Face ◽  
Specialized Center ◽  
Before And After

Background:Nutritional follow-up as part of the integral attention for patients living with rheumatoid arthritis (RA) has been limited due to the COVID-19 pandemic. It made necessary to implement a remote monitoring for the care of the patients and to evaluate the outcomes of the changes in the care model.Objectives:To identify the effects of the telemonitoring intervention within the pandemic scenario and the outcomes of the traditional face-to-face nutrition consultation.Methods:A retrospective analysis of health records and the administrative data base of the patient’s follow-up, between 2019 and 2020, was developed at the arthritis specialized center of the Santa Fe de Bogotá Foundation in Bogotá, Colombia. The outcomes measured include the number of visits per year and the proportion of patients who attend their nutritional follow-up by telemonitoring in 2020 vs patients attending to face-to-face nutrition consultation. Differences in the Body Max Index (BMI) and the changes based on eating habits, defined by the quality of food consumption per day, were also measured.Results:A total of 212 patients from 2020 and 179 from 2019 were analyzed; An increase of 61.5% in the number of consultations, using nutritional telemonitoring per year, was identified in 2020 (n=412) compared to 2019 (n=255). In patients followed from 2019 to 2020, 13% (10/77) experienced an increase of more than 2 units of their BMI, while 22% (17/77) showed a decrease; in 2% of patients was not possible to evaluate their current weight; in the same way, 49% (103/212) in 2020 showed a positive change in their feeding habits compared with a 12% (21/179) in 2019. 135 new patients were recruited for nutritional telemonitoring 2020.Conclusion:Nutritional telemonitoring to follow-up patients with RA has increased considerably in terms of consultations per year and changes in the feeding habits. However, more evaluation is required for this model.References:[1]Melanie J Martin, Nora Ng, Laura Blackler, Toby Garrood, P227 Remote monitoring of patients with RA: a user-centred design approach, Rheumatology, Volume 59, Issue Supplement_2, April 2020, keaa111.221, https://doi.org/10.1093/rheumatology/keaa111.221[2]Principio del formularioDisclosure of Interests:None declared

scholarly journals Correlation between Hemispherectomy and Hemiparesis in Drug Resistant Epilepsy

2021 ◽  
Vol 11 (1) ◽  
pp. 32-38
Author(s):  
Al Khateeb Mashael ◽  
Haris Maryam ◽  
Razack Raidah Ayesha
Keyword(s):  
Refractory Epilepsy ◽  
Treatment Options ◽  
Complete Removal ◽  
The Body ◽  
Research Centre ◽  
P Value ◽  
Post Surgery ◽  
Before And After ◽  
Clinically Significant ◽  
Drug Resistant Epilepsy

Background and Purpose: Refractory epilepsy is when seizures are unresponsive to two or more medications. Hemispherectomy, one of the treatment options, is the complete removal or functional disconnection of a cerebral hemisphere. Hemiparesis, a symptom of epilepsy, is defined as weakness of one side of the body. Patients with refractory epilepsy, who experience extreme seizure frequency, are subjected to hemispherectomy. This study focuses on finding the correlation between hemispherectomy and hemiparesis, discovering a pattern in its severity levels before and after surgery.Methods: Data was collected from 59 epileptic patients suffering from refractory epilepsy, who underwent hemispherectomy, at the King Faisal Specialist Hospital and Research Centre, from 1998 to 2014. Each patient was monitored over a period of 1-year post-surgery. In this study, we wanted to further explore the correlation between hemispherectomy and hemiparesis.Results: Upon analyzing the sample size, the level of hemiparesis pre and post hemispherectomy remained the same for 32 patients, of which 13 patients had mild levels pre-surgery and 19 patients had moderate to severe levels pre-surgery. However, 20 of the patients who had moderate to severe levels of hemiparesis before the surgery had either no hemiparesis or a mild level after surgery, which signified an improvement in their severity level. On the other hand, seven of the patients went from having no hemiparesis before the surgery to having moderate or severe levels of hemiparesis post-surgery. Although the results were clinically significant, they were not statistically significant as the p-value obtained was 0.31.Conclusions: After analyzing the results, it can be concluded that hemispherectomy does decrease the severity of hemiparesis in an epileptic patient, thereby improving his/her quality of life drastically.

The effects of CO2 inhalation in patients with chronic post-traumatic stress disorder (PTSD)

2011 ◽  
Vol 26 (S2) ◽  
pp. 168-168
Author(s):  
C. Muhtz ◽  
J. Daneshi ◽  
M. Braun ◽  
M. Kellner
Keyword(s):  
Carbon Dioxide ◽  
Panic Disorder ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Before And After ◽  
Post Traumatic ◽  
Few Data

IntroductionPanic disorder and post-traumatic stress disorder (PTSD), which is currently classified as an anxiety disorder in DSM-IV, share some clinical characteristics. Emerging evidence suggests that CO2-induced fear reactivity is associated with anxiety disorders, especially panic disorder. However, there are only very few data available about the sensitivity of patients with PTSD to carbon dioxide.AimTo examine the psychometric effects of CO2 on panic anxiety and PTSD symptoms in subjects with PTSD.MethodsIn 10 patients with PTSD, 10 sex- and age-matched healthy subjects and additional 8 patients with panic disorder we assessed anxiety, panic, dissociative and PTSD symptoms before and after a single vital capacity inhalation of 35% CO2.ResultsInhalation of a single deep breath of 35% of carbon dioxide resulted in significant panicogenic and anxiogenic effects in PTSD patients versus healthy controls, which were similar to the well known responses of patients with panic disorder. Furthermore, significant pro-dissociative effects and significant provocation of post-traumatic flashbacks and PTSD symptoms were observed in PTSD patients.ConclusionsThese data provide novel evidence that panic disorder and PTSD share a common hypersensitivity to CO2 and thus might belong to the same spectrum of vulnerability.

scholarly journals P088 SURGEON AS A RISK FACTOR OF REDUCED EURAHS QOL SCORE AFTER HERNIA REPAIR

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Jakub Woleský ◽  
Barbora Jíšová ◽  
Barbora East
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Internal Audit ◽  
Major Complication ◽  
Incisional Hernia Repair ◽  
Hernia Surgery ◽  
Post Surgery ◽  
Before And After

Abstract Aim Our aim was to analyze patient’s reported EuraHS QoL (quality of life) scores before and after hernia surgery. And find whether the result is surgeon dependent or not, because hernia repair often serves as a training surgery for young surgeons or is performed by surgeons with no hernia interest. However, even a simple groin hernia repair can lead to life-long pain or reduced QoL and the risk of complications following incisional hernia repair is much higher. Material and Methods We have utilized the EuraHS database and its QoL questionnaire and prospectively entered all patients undergoing any hernia repair at our department since Jan. 2019. Results 519 patients have been included. Many patients in the incisional hernia cohort have reported no or very little symptoms before the operation. Only 251 have completed their 1 month follow-up with the QoL questionnaire. 63 patients have been contacted and questioned 1 year post-surgery to this date. In 6 cases the QoL scores are lower than pre-repair. 45 patients had a record of major complication or reoccurrence requiring surgery so far. Unfortunately 31 of those did not fill up the QoL questionnaire. 37 were operated on by resident with a supervision of a surgeon without a hernia interest. Conclusions Results of hernia repair are surgeon dependent and an internal audit of current practices is needed at many general surgery departments.

Sign in / Sign up

Export Citation Format

Share Document