scholarly journals Endoscopic Management of Pediatric Nasolacrimal Anomalies

2014 ◽  
Vol 7 (1) ◽  
pp. 16-19
Keyword(s):  
Drainage System ◽  
Entire Length ◽  
Endoscopic Approach ◽  
Endoscopic Management ◽  
Common Cause ◽  
Technical Challenge ◽  
The Third ◽  
Endoscopic Dcr

ABSTRACT The nasolacrimal drainage system begins development in the third fetal months from a cord of epithelium found between the maxillary and frontal nasal recesses. Canalization of this cord along its entire length leads to its communication with the inferior nasal meatus by the sixth fetal month. Failure of canalization is the most common cause of nasolacrimal drainage obstruction use of endoscopes in children is evolving, may it be endoscopic DCR or other congenital problems. In spite of the smaller anatomic dimensions posing a technical challenge, the endonasal endoscopic approach to nasolacrimal obstruction in children not only avoids a scar, it preserves the function of the lacrimal pump also. How to cite this article Bansal S, Gupta AK. Endoscopic Management of Pediatric Nasolacrimal Anomalies. Clin Rhinol An Int J 2014;7(1):16-19.

Endoscopic management of cysticercal cysts within the lateral and third ventricles

2000 ◽  
Vol 92 (1) ◽  
pp. 14-23 ◽  
Author(s):  
Marvin Bergsneider ◽  
Langston T. Holly ◽  
Jae Hong Lee ◽  
Wesley A. King ◽  
John G. Frazee
Keyword(s):  
Obstructive Hydrocephalus ◽  
Third Ventricle ◽  
Endoscopic Approach ◽  
Endoscopic Management ◽  
Third Ventriculostomy ◽  
General Description ◽  
Content Type ◽  
The Third ◽  
Lateral Ventricles ◽  
Fine Print

Object. In this report the authors review their 3-year experience with the endoscopic management of patients with hydrocephalus who harbored cysticercal cysts within the third and lateral ventricles. The management plan was to utilize an endoscopic approach to remove the cysts and to incorporate techniques useful in treating obstructive hydrocephalus. The ultimate goals were to avoid having to place a complication-prone cerebrospinal fluid shunt and to eliminate the risk of complications related to cyst degeneration.Methods. A retrospective analysis of 10 patients with hydrocephalus and cysticercal cysts within the third or lateral ventricles who were endoscopically managed was performed. A general description of the instrumentation and technique used for removal of the intraventricular cysts is given. At presentation, neuroimaging revealed findings suggestive of obstructive hydrocephalus in eight patients.Seven of the 10 patients treated endoscopically were spared the necessity of shunt placement. Three successful third ventriculostomies and one therapeutic septum pellucidotomy were performed. Despite frequent rupture of the cyst walls during removal of the cysts, there were no cases of ventriculitis. The endoscopic approach allowed successful removal of a cyst situated in the roof of the anterior third ventricle. One patient suffered from recurrent shunt obstructions secondary to a shunt-induced migration of cysts from the posterior fossa to the lateral ventricles.Conclusions. The endoscopic removal of third and lateral ventricle cysticercal cysts, combined with a third ventriculostomy or septum pellucidotomy in selected cases, is an effective treatment in patients with hydrocephalus and should be considered the primary treatment for this condition.

scholarly journals Endoscopic management of cysticercal cysts within the lateral and third ventricles

1999 ◽  
Vol 6 (4) ◽  
pp. E9 ◽  
Author(s):  
Marvin Bergsneider ◽  
Langston T. Holly ◽  
Jae Hong Lee ◽  
Wesley A. King ◽  
John G. Frazee
Keyword(s):  
Obstructive Hydrocephalus ◽  
Third Ventricle ◽  
Management Plan ◽  
Primary Treatment ◽  
Endoscopic Approach ◽  
Endoscopic Management ◽  
Third Ventriculostomy ◽  
General Description ◽  
The Third ◽  
Lateral Ventricles

In this report the authors review their 3-year experience with the endoscopic management of patients with hydrocephalus who harbored cysticercal cysts within the third and lateral ventricles. The management plan was to utilize an endoscopic approach to remove the cysts and to incorporate techniques useful in treating obstructive hydrocephalus. The ultimate goals were to avoid having to place a complication-prone cerebrospinal fluid shunt and to eliminate the risk of complications related to cyst degeneration. A retrospective analysis of 10 endoscopically managed patients with hydrocephalus and cysticercal cysts within the third or lateral ventricles was performed. A general description of the instrumentation and the technique used for removal of the intraventricular cysts is given. At presention, neuroimaging revealed findings suggestive of obstructive hydrocephalus in eight patients. Seven of the 10 patients treated endoscopically were spared the necessity of shunt placement. Three successful third ventriculostomies and one therapeutic septum pellucidotomy were performed. Despite frequent rupture of the cyst walls during removal of the cyst, there were no cases of ventriculitis. The endoscopic approach successfully allowed removal of a cyst situated in the roof of the anterior third ventricle. One patient suffered from recurrent shunt obstructions secondary to a shunt-induced migration of cysts from the posterior fossa to the lateral ventricles. The endoscopic removal of third and lateral ventricle cysticercal cysts, combined with a third ventriculostomy or septum pellucidotomy in selected cases, is an effective treatment in patients with hydrocephalus and should be considered the primary treatment for this condition.

A generic method of design of on-site stormwater detention storages

1995 ◽  
Vol 32 (1) ◽  
pp. 93-99 ◽  
Author(s):  
Donald Ian Phillips
Keyword(s):  
Design Theory ◽  
Drainage System ◽  
Entire Length ◽  
Community Assets ◽  
Drainage Design ◽  
Urban Consolidation ◽  
Universal Application ◽  
Method Of Design

On-site stormwater detention is widely used in Australia as a means of controlling the increased storm discharges from urban consolidation projects. However, unless the maximum permissible site discharge is correctly determined, the local piped drainage system may be overloaded. This paper presents a generic methodology that integrates detention storage behaviour with drainage design theory in such a manner as to protect the entire length of the downstream drainage system. Its generic nature facilitates its universal application to all systems, protecting these valuable community assets throughout their service lives.

scholarly journals Platelet counts during pregnancy in Chinese women

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Li-Xia Zhang ◽  
Ning Dong ◽  
Rui-Xia Yang ◽  
Ang Li ◽  
Xuan-Mei Luo ◽  
...  
Keyword(s):  
Chinese Women ◽  
Third Trimester ◽  
Bleeding Events ◽  
Common Cause ◽  
Platelet Counts ◽  
The Third ◽  
Uncomplicated Pregnancy ◽  
Gestational Thrombocytopenia ◽  
The Mean ◽  
Medical University

AbstractObjectivesGestational thrombocytopenia (GT) is the most common cause of thrombocytopenia during pregnancy. However, the occurrence and severity of thrombocytopenia throughout pregnancy in Chinese women are not fully defined.MethodsWe analyzed platelet counts in Chinese women who received prenatal care and/or delivered at the First Affiliated Hospital with Nanjing Medical University between January 2, 2018 and July 19, 2018 in China. These platelet counts were compared with those of nonpregnant women in the same study period.ResultsThe platelet counts of all women continued to decrease significantly each trimester (p < 0.0001). The mean platelet counts of the 818 women who had pregnancy-related complications were lower than those of the 796 women who had uncomplicated pregnancies during the third trimester (p = 0.047). At the time of delivery, platelet counts less than 150 × 109/L were more common in women with pregnancy-related complications than in women with uncomplicated pregnancy (26.7% vs. 19.7%, p = 0.03).ConclusionsPlatelet counts decrease throughout pregnancy in Chinese women and platelet counts less than 150 × 109/L were more common in women with pregnancy-related complications than in women with uncomplicated pregnancy. The pregnant women should be paid more attention for thrombocytopenia to avoid the occurrence of bleeding events.

Carpal joint injuries in cats – an epidemiological study

2013 ◽  
Vol 26 (05) ◽  
pp. 333-339 ◽  
Author(s):  
M. Brunnberg ◽  
M. Gross ◽  
H. Nietz ◽  
B. Nakladal ◽  
F. vom Hagen ◽  
...  
Keyword(s):  
Epidemiological Study ◽  
Clinical Significance ◽  
Limited Data ◽  
Carpometacarpal Joint ◽  
Common Cause ◽  
High Rise ◽  
The Third ◽  
Joint Injuries ◽  
Carpal Joint ◽  
Orthopaedic Injuries

SummaryObjective: Injuries of the carpal joint are rare in cats. The most common cause is a fall from a height, known as ‘high-rise syndrome’. So far, only limited data about carpal joint injuries (CJI) in cats are available. The aim of this study was to investigate the epidemiology, aetiology, location, and type of CJI in cats.Methods: Case records of cats diagnosed with CJI between 1998 and 2010 were retrospectively analysed. Data concerning signalment, history and type of CJI, accompanying systemic injuries and further orthopaedic injuries were collected.Results: During the study period, 73 cats were diagnosed with CJI (87 injured carpal joints) and the prevalence in our hospital population was 0.26% (73 out of 28,482). Cats with CJI were more likely to be presented in the period from April-October (85%, p = 0.003) compared with the rest of the year. Carpal joint injuries were caused by a fall from a height in 72.6% of the cases. Of all carpal joints, the ante-brachiocarpal joint was predominantly injured (50.6%, p = 0.001) and this was commonly caused by a fall from the fourth floor or higher (p = 0.002). The carpometacarpal joint was predominantly affected by a fall from heights up to the third floor (p = 0.004).Clinical significance: The data of this study confirm previous data with respect to time of occurrence and cause of injury. Of note, the height of the fall appears to influence the location of the injury within the carpus of cats.

scholarly journals Are we missing an epidemic of HIV-associated nephropathy?

1996 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
J A Winston ◽  
P E Klotman
Keyword(s):  
Health Care Providers ◽  
Diagnostic Category ◽  
National Registry ◽  
National Institutes Of Health ◽  
Care Providers ◽  
Serological Screening ◽  
Common Cause ◽  
The Third ◽  
Aids Epidemic ◽  
Changing Demographics

HIV-associated nephropathy is infrequently cited as a common cause of ESRD. It is likely, however, that by the end of the decade, HIV-associated nephropathy will be the third leading cause of ESRD in African Americans between the ages of 20 and 64. Underreporting for reasons of confidentiality and a failure to track this specific diagnostic category nationally may account for the nephrology community's inattention. As a result of this community's failure to define this issue, national agencies are poorly prepared to recognize and anticipate the changing demographics of the AIDS epidemic as it affects the practice of nephrology. The study presented here concluded: that a national registry should be created to track the incidence of HIV-associated nephropathy as a cause of ESRD; that renal biopsies should be routinely performed to confirm the clinical diagnosis of HIV-associated nephropathy; that anonymous serological screening of all patients and health care providers in dialysis units be reconsidered in order to maintain vigilance for potential unit outbreaks; that the National Institutes of Health and the Office of AIDS Research be better appraised of the importance of this issue by the nephrology community; and that special attention be directed toward the underlying cause(s) of HIV-associated nephropathy and the cofactor(s) that determine the predilection of this disease in blacks.

Méthodes de mesure du transfert cutané des radionucléides au travers d'un épiderme intact ou lésé, application à la radiotoxicologie

2002 ◽  
Vol 80 (7) ◽  
pp. 733-741
Author(s):  
H Tymen ◽  
G Rateau ◽  
K Guillet ◽  
B Ramounet-Le Gall ◽  
P Gérasimo ◽  
...  
Keyword(s):  
Percutaneous Absorption ◽  
Experimental Methods ◽  
Industrial Accident ◽  
Common Cause ◽  
The Third ◽  
Nuclear Workers ◽  
Radionuclide Contamination ◽  
Skin Contamination ◽  
Accident Conditions

Although skin contamination by radionuclides is the most common cause of nuclear workers accidents, few studies dealing with the penetration of radioactive contamination through the skin are available. This work is a review of experimental methods that allow to assess transfer of radionuclides through the skin in occupational conditions, with or without skin trauma. The first section describes the different methods applied for skin transfer assessment of chemicals used in pharmacology. Major radionuclide contamination accidents can be associated with skin traumas. Thus, the second section describes the adaptation of these methods to radiotoxicology. Finally, the third section is an in vivo investigation of cobalt transfer (57CoCl2) through undamaged and damaged skin which simulates different industrial accident conditions (excoriation, acid or alcalin burn, scalding, branding).Key words: skin lesion, cobalt, percutaneous absorption, skin radiocontamination, Franz's cell.

Stroke

2020 ◽  
pp. 383-388
Author(s):  
Perry Elliott ◽  
Pier D. Lambiase ◽  
Dhavendra Kumar
Keyword(s):  
Sickle Cell Disease ◽  
Fabry Disease ◽  
Cause Of Death ◽  
Sickle Cell ◽  
Single Gene ◽  
Cerebral Haemorrhage ◽  
Developed Countries ◽  
Common Cause ◽  
The Third ◽  
Moya Moya Disease

Stroke is the third most common cause of death, and the most common cause of disability in developed countries. This chapter examines the genetics of stroke, and single gene causes (although stroke is often just one component of the phenotype). It then describes Anderson—Fabry disease, CADASIL, RVCL, autosomal-dominant porencephaly and infantile hemiparesis, hereditary cerebral haemorrhage with amyloidosis, Moya-Moya disease, sickle cell disease, and MELAS.

scholarly journals Severe and enduring somatoform disorders: recognition and management

2016 ◽  
Vol 22 (2) ◽  
pp. 87-96 ◽  
Author(s):  
Christopher Bass ◽  
Steve Pearce
Keyword(s):  
Healthcare Costs ◽  
Somatoform Disorders ◽  
Tertiary Care ◽  
Physical Symptoms ◽  
Treatment Pathways ◽  
Common Cause ◽  
The Third ◽  
Care Services ◽  
Iatrogenic Harm

SummaryPatients with severe and enduring somatoform disorders (SESD) characteristically present with multiple, recurrent and frequently changing physical symptoms that have usually been present for several years before referral to a psychiatrist/psychologist. Many patients report long histories of contact with both primary and tertiary care services, have undergone repeated fruitless investigations and have high levels of disability. SESD are responsible for disproportionately high healthcare costs and are the third most common cause of workplace absence. Identification of patients with SESD by psychiatrists requires particular skills: collaboration with colleagues is vital and there are risks of iatrogenic harm. We describe the obstacles encountered in identifying these patients as well as methods of assessment and management. Treatment pathways best suited to managing this large and as yet untended group of patients are described.

scholarly journals Ekstirpasi Hemangioma di Dinding Lateral Hidung dengan Pendekatan Endoskopi

2012 ◽  
Vol 1 (3) ◽  
Author(s):  
Bestari J Budiman ◽  
Al Hafiz
Keyword(s):  
Surgical Technique ◽  
Paranasal Sinuses ◽  
Benign Tumor ◽  
Lateral Wall ◽  
Complete Removal ◽  
Endoscopic Approach ◽  
Endoscopic Management ◽  
Vascular Neoplasm ◽  
Healthy Mucosa

Abstrak Pendahuluan: Hemangioma di dinding lateral hidung merupakan kasus tumor jinak pembuluh darah yang jarang angka kejadiannya. Metode: Pendekatan endoskopi memberikan hasil yang lebih baik pada penatalaksanaan kasus tumor jinak di daerah hidung dan sinus paranasal. Pada kasus-kasus tertentu, pendekatan endoskopi memberikan beberapa keuntungan lebih, seperti dapat mengangkat massa tumor dengan morbiditas yang rendah dan menghindari kerusakan yang tidak perlu pada mukosa dan struktur anatomi yang sehat. Diskusi: Telah dilakukan pengangkatan hemangioma di dinding lateral hidung dengan pendekatan endoskopi pada seorang pasien wanita berusia 33 tahun. Kata kunci: hemangioma, dinding lateral hidung, pendekatan endoskopi Abstract Introduction: The hemangioma in the lateral wall of the nose is an uncommon benign vascular neoplasm. Methods: The endoscopic approach can be succesfully employed for the treatment of benign tumor of the nose and paranasal sinuses. In selected cases, this surgical technique allows the complete removal of the tumor with less morbidity, and avoidance of unnecessary resection of healthy mucosa and anatomy structures. Discussion: A case of endoscopic management of a hemangioma in the lateral wall of the nose in a 33 years old girl is reported. Keywords:hemangioma, lateral wall of the nose, endoscopic approach

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