scholarly journals Saddle Block as an Option of the Anesthesia Technique for Prostate Puncture Biopsy

2019 ◽  
pp. 31-36
Author(s):  
F. N. Shaymardankulov ◽  
A. M. Karamyshev
Keyword(s):  
Comparative Analysis ◽  
Spinal Anesthesia ◽  
Motor Block ◽  
Study Groups ◽  
Subjective Assessment ◽  
Significant Difference ◽  
Puncture Biopsy ◽  
Group 15 ◽  
Anesthesia Technique

Objective: to identify the most effective and safest anesthesia technique for prostate puncture biopsy by means of the comparative analysis of the parameters of hemodynamics, postoperative motor block, and anesthesia, as well as the patient's subjective assessment of the quality of anesthesia. Material and methods: 30 male patients were divided into 2 clinical groups depending on the anesthesia technique. In the 1st group (15 patients), puncture biopsies (BP) were done under saddle spinal anesthesia, in the 2nd group (15 patients) - with the application of traditional spinal anesthesia (SA). The comparative analysis of hemodynamic indices, motor block, the efficiency of anesthesia and the patient satisfaction with the quality of anesthesia was performed. Results. No statistically significant difference between the hemodynamic indices, intraoperative anesthesia and subjective assessment of the quality of anesthesia by the patients was revealed, but at the same time the comparison of the postoperative motor block between the study groups found some statistically significant differences.

scholarly journals Impact on Quality of Life of Patients Treated by Different File Systems for Root Canal Treatment

2021 ◽  
Author(s):  
L.S. Priyanka ◽  
Lakshmi Nidhi Rao ◽  
Aditya Shetty ◽  
Mithra N. Hegde ◽  
Chitharanjan Shetty
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Postoperative Pain ◽  
Root Canal ◽  
File Systems ◽  
Study Groups ◽  
Significant Difference ◽  
Related Quality ◽  
The Impact

Abstract Introduction The outcomes of oral health conditions and therapy for those conditions are described by the term “oral health-related quality of life.” Oral health-related quality of life is recognized by the World Health Organization as an important part of the Global Oral Health Program. The study aims to compare the impact of three root canal preparation systems on patients’ quality of life and correlate postoperative pain with the impact on the quality of life. Materials and Methods A survey was performed in which 90 patients were randomly assigned to three groups based on the root canal preparation system: (1) ProTaper Gold (Dentsply, Tulsa Dental Specialties, Tulsa, Oklahoma, United States), (2) Neoendo flex (Neoendo, India),and (3) Hyflex EDM/CM (Coltene Whaledent) that included 30 participants in each group. Data collection included the implementation of a demographic data questionnaire, Oral Health Impact Profile 14 (quality of life), and visual analogue scale(pain). The questionnaire was given after root canal treatment in the first 24 hours. The data obtained were statistically analyzed. Results No significant differences were found in the quality of life among study groups. Group 1 demonstrated a highly significant difference in the postoperative pain with p value of 2.67. Conclusion Within the limitations of the present study, Protaper Gold showed a highly significant difference in postoperative pain when compared with other file systems. No significant differences were found in the quality of life among the study groups.

Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis

2016 ◽  
Vol 17 (7) ◽  
pp. 582-586 ◽  
Author(s):  
Jyoti Sachdeva ◽  
Anurag Sarin ◽  
Ajai Gupta ◽  
Shobhit Sachdeva
Keyword(s):  
Comparative Analysis ◽  
Clinical Significance ◽  
Analysis Of Variance ◽  
Root Canal ◽  
Root Canal Therapy ◽  
Quality Of Treatment ◽  
Significant Difference ◽  
Level Of Significance

ABSTRACT Introduction Success of root canal therapy (RCT) is largely dependent upon the quality of biomechanical preparation and obturation of the pulp canal. Improperly cleaned or shaped root canal, regardless of the type of obturation method and obturating material, cannot lead to the success of endodontic therapy. Hence, we conducted a clinical comparative analysis of two obturating techniques. Materials and methods A total of 140 patients receiving RCT at the department of Endodontic were included in the present study. The average follow-up time for the patients was 29 months (18–38 months). Patients were grouped into two depending on the type of obturating technique used. Evaluation of the clinical and radiographic follow-up records of the patients was done and analysis was made. One-way analysis of variance (ANOVA) was used for assessing the level of significance. Results The average age of the patients undergoing obturation with carrier-based obturation (CO) technique and lateral compaction (LC) technique was 43 and 48 years respectively. While comparing failure and success of the teeth at the time of follow-up, nonsignificant results were obtained. Significant difference was seen, while comparing the presence of voids and type of teeth in which endodontic therapy was performed using different obturating techniques. Conclusion Endodontic therapy done with LC obturating technique or with CO technique shows prognostic difference on the outcome or quality of treatment therapy. Clinical significance Quality of obturation is more important rather than type while performing endodontic therapy for better prognosis. How to cite this article Sarin A, Gupta P, Sachdeva J, Gupta A, Sachdeva S, Nagpal R. Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis. J Contemp Dent Pract 2016;17(7):582-586.

scholarly journals Comparing the duration of spinal anesthesia with bupivacaine between drug-dependent and non-dependent patients

2018 ◽  
Vol 5 (10) ◽  
pp. 2721-2725
Author(s):  
Faranak Beirami ◽  
Masoum Khoshfetrat ◽  
Hadi Khosravi ◽  
Aliakbar Keykha
Keyword(s):  
Spinal Anesthesia ◽  
Patient Group ◽  
Study Groups ◽  
Drug Abusers ◽  
Significant Difference ◽  
Lower Pain ◽  
Quasi Experimental ◽  
Drug Dependent ◽  
And Gender ◽  
Dependent Patient

Background & Aim: Drug abusers have much lower pain threshold, in a way that the duration of the effect of anesthesia on controlling their pain is still not fully known. Therefore, this study aimed to compare the duration of spinal anesthesia induced with bupivacaine between drug-dependent and non-dependent individuals. Methods: This quasi-experimental study was conducted on two 60-member groups consisting of drug-dependent and non-dependent patients undergoing lowerlimb orthopedic surgery. Patients were selected via simple convenience sampling and underwent a similar procedure of spinal anesthesia using the same needle and medicine by an anesthesiologist, who was unaware of the patients' placement in the study groups. After surgery, the duration of patients' anesthesia was correspondingly measured in both groups and compared using the independent t-test. Results: In this research study, no significant difference was observed between the groups in terms of age and gender. The mean duration of opium abuse in the drug-dependent patient group was reported to be 7.5+/-1.3 years. In addition, the duration of spinal anesthesia in the drug-dependent patient group was shorter, compared to the non-dependent group (P=0.0001). Conclusion: According to the results of the study, intrathecal bupivacaine is not a durable anesthesia, for performing surgeries that might last more than an hour, in drug-dependent patients.  

scholarly journals Subjective assessment of mastication as parameter for successful prosthetic therapy

2009 ◽  
Vol 56 (4) ◽  
pp. 187-193 ◽  
Author(s):  
Bojana Milekic ◽  
Tatjana Puskar ◽  
Dubravka Markovic
Keyword(s):  
Subjective Assessment ◽  
Dental Prosthesis ◽  
Comfort Level ◽  
Functional Rehabilitation ◽  
Functional Methods ◽  
Significant Difference ◽  
Before And After ◽  
Good Statistic ◽  
Novi Sad

Introduction. Success in functional rehabilitation of the craniomandibular system in patients without teeth, which have total prosthesis, can be assessed using different clinical and functional methods. Subjective assessment, motivation, comfort level and functional efficacy are important elements for adaptation to dental prosthesis as well as base for success in prosthetic therapy. The aim of this study was to evaluate the importance of subjective assessment of the mastication in people with new dental prosthesis as well as to assess the value of that parameter in determining the successful prosthetic therapy. Material and Methods. Study was conducted at the Dental Clinic in Novi Sad. Thirty patients (16 males and 14 females) with average age of 62.5 years who received total prosthesis were included. Analysis was done according to the data from the medical records and conducted survey in the form of questionnaire which was adjusted to our clinical examinations. Results. Results showed that 96.6% of the patients were satisfied with new prosthesis. Subjective assessment of the quality of their mastication before therapy showed that 63.4% consider their mastication as unsatisfied, 26.6% satisfied while 10% of toothless patients thought their mastication was good. Statistic analysis showed there was significant difference in subjective assessment before and after the therapy (p<0.01). In fact, there was significant connection between subjective assessment of the mastication and satisfaction with new prosthesis and therapy at all (p<0.01). Conclusion. Patients satisfaction with total prosthesis and subjective assessment of mastication are in direct correlation with successful prosthetic treatment. Results of subjective assessment of the mastication are important and can be used as a parameter for success along with precise survey.

scholarly journals Comparison of Hemodynamic Response following Spinal Anesthesia between Controlled Hypertensive and Normotensive Patients Undergoing Surgery below the Umbilicus: An Observational Prospective Cohort Study

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Leake Gebrargs ◽  
Bereket Gebremeskel ◽  
Bacha Aberra ◽  
Assefa Hika ◽  
Yusuf Yimer ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cohort Study ◽  
Spinal Anesthesia ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Study Groups ◽  
Categorical Variables ◽  
Time Interval ◽  
Significant Difference

Background. Hypotension and bradycardia are the most common complications associated with spinal anesthesia and more common in patients with a history of hypertension. Regular use of antihypertensive medications can prevent these complications. The occurrence of hypotension under spinal anesthesia among controlled hypertensive and normotensive patients with age 40 years and above is still debated. The objective of the study was to compare blood pressure and heart rate changes following spinal anesthesia between controlled hypertensive and normotensive patients undergoing surgery below the umbilicus at Black lion hospital, Addis Ababa, Ethiopia, 2020. Method. A hospital-based prospective cohort study was conducted. A total of 110 elective patients with controlled hypertension (55) and normotensive (55) patients who underwent surgery with spinal anesthesia at black lion hospital during the study period were included. The sample was selected using a systematic random sampling technique. Continuous data of independent and dependent variables were analyzed using an independent sample t-test for normally distributed and Mann–Whitney U-test for nonnormally distributed between the study groups. Categorical variables between the study groups were analyzed using the chi-square test. Descriptive data were displayed using tables and figures. For continuous and categorical variables, a p value <0.05 was considered statistically significant. Results. The incidence of hypotension in the controlled hypertension group (23.6%) was higher than the normotensive group (7.3%) with p value of 0.018. The occurrence of bradycardia was seen to be 12.7% in each group with a p value >0.05. There was a statistically significant difference in the mean systolic blood pressure, mean arterial pressure, mean heart rate, and vasopressor consumption at the measurement time interval between controlled hypertension and normotensive groups. Conclusion. Under spinal anesthesia, patients with controlled hypertension are more likely to develop hypotension than normotensive patients, but on the occurrence of bradycardia, there was no statistically significant difference between the two groups.

scholarly journals Case Study: A Comparative Analysis Of Financial And Quality Indicators Of Nursing Homes That Have Closed And Nursing Homes That Have Remained Open

2011 ◽  
Vol 4 (11) ◽  
pp. 27
Author(s):  
Jim Morey ◽  
Ken Wallis ◽  
Hoseoup Lee ◽  
Gary Scherzer ◽  
Robert Orilio
Keyword(s):  
New York ◽  
Comparative Analysis ◽  
Nursing Homes ◽  
Quality Index ◽  
Institutional Care ◽  
Financial Variables ◽  
Significant Difference ◽  
Care Index

Eight New York nursing homes, 4 open and 4 closed, were chosen at random for analysis. They were examined to determine if a relationship between age of assets, fiscal viability and quality of care existed. Three years of data for each nursing home was selected Several financial variables were used to construct a fiscal viability index; and a patient care index was created from selected measures that are used to measure specific aspects of institutional care. The premise was that the constructed indices will demonstrate a significant difference between closed nursing homes and homes remaining open. The analysis found that fiscal viability index could be a significant factor to differentiate the two groups of nursing homes, but the quality index showed no significant difference between the two groups.

scholarly journals Evaluation of efficacy and safety of terbinafine and itraconazole in superficial mycoses: a prospective, randomized, controlled and cost-effective analysis study

2020 ◽  
Vol 9 (8) ◽  
pp. 1222
Author(s):  
D. Aruna ◽  
M. Padmaja ◽  
S. P. Vijayalakshmi
Keyword(s):  
Cost Effective ◽  
Clinical Score ◽  
Study Groups ◽  
Fungal Culture ◽  
Open Label ◽  
Superficial Mycoses ◽  
Significant Difference ◽  
The Mean

Background: Superficial mycoses are common worldwide. Dermatophytic infections can greatly affect quality of life. Several newer antimycotic agents, have been reported effective and safe. Hence this study was planned to analyse effectiveness as well as cost effectiveness of these treatments.Methods: It were a prospective, randomized, parallel, open label, comparative study. Fifty patients were included in the study and divided into 2 groups. They were randomized to receive either oral terbinafine 250 mg or itraconazole 100 mg once daily for 4 weeks. Scaling, erythema and pruritus were rated as clinical score 0 to 3: 0 - absent, 1 - mild, 2 - moderate, and 3 - severe for the above three target symptoms. Total symptom score was assessed. Pruritus was also graded on visual analogue scale (VAS). Mycological cure was assessed by skin scraping with KOH mounts and fungal culture. Clinical efficacy scoring and VAS were assessed before the study and at each follow up visit at 2 and 4 weeks. Patients were followed up for another 4 weeks after completion of the treatment.Results: There was highly significant decrease p<000.1 in the mean total symptoms scores in both the study groups from baseline. No significant difference in the mean total symptoms score was observed when compared between groups. ADRs were more in terbinafine group.Conclusions: Both terbinafine and itraconazole are effective and safe against superficial mycoses, but adverse effects are more with terbinafine. Itraconazole was found to be cost effective compared to terbinafine.

scholarly journals EXPERIENCE OF THE USE OF LEVOBUPIVACAINE FOR SPINAL ANESTHESIA IN UROLOGICAL INTERVENTIONS

2018 ◽  
Vol 12 (1) ◽  
pp. 30-36
Author(s):  
Roman V. Garyaev ◽  
V. E Gruzdev ◽  
I. A Rychkov
Keyword(s):  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Motor Block ◽  
Study Groups ◽  
Arterial Hypotension ◽  
Motor Blockade ◽  
Sensory Blockade ◽  
Neurologic Symptoms ◽  
Slow Development ◽  
Second Degree

The prospective study included data obtained during the surgical treatment of 55 urological patients. In the X10 group (n = 25) for spinal anesthesia used 2 ml of a 0.5% isobaric solution of levobupivacaine (10 mg), in the X15 group (n = 30) - 3 ml of a similar solution (15 mg). Results. The time to the motor blockade of Bromage I in the study groups was 9 ± 3 min versus 8 ± 3 min, p = 0.154, to Bromage III - 18 ± 7 min versus 13 ± 3 min, p = 0.001. In group X10 motor blockade did not develop in 1, reached only the first degree - in 1, only the second degree - in 5 patients. In the X15 group, all patients underwent motor blockade of the third degree, except for 2 patients, in whom block reached only the second degree. The maximum level of sensory blockade in the group X10 was Th8, X15 - Th9. In the X10 group, the upper blockade level, not exceeding Th11, was observed in 11 (44%), and in the X15 group - in 17 (57%) patients. In 6 cases of the X10 group (24%) and 5 cases of the X15 group (17%) had to add sedation or general anesthesia. The duration of motor blockade before the beginning of recovery was 163 ± 57 min versus 195 ± 66 min, p = 0.076, until the motor block regressed completely - 219 ± 66 min versus 290 ± 90 min, p = 0.002. Arterial hypotension was observed in one patient group X10 (4%) and 0 group X15, bradycardia in 7 (28%) and 7 (23%) patients, respectively. There were no transient neurologic symptoms in any cases. Conclusions. Spinal anesthesia with isobaric levobupivacaine was characterized by a slow development of the complete motor block, unpredictably low upper level of the sensory blockade and a long-lasting motor block. It can be used in patients with high risk of arterial hypotension or transient neurologic symptoms, provided sufficient time is available before the operation, the possibility of sedation and / or the addition of general anesthesia.

scholarly journals Servqual Gap and Comparative Analysis of Service Quality Perception: Determination Framework and Critical Factors for Submission of Service Quality in the Public Health Center (Puskesmas) in Sukawati District, Gianyar Region, Bali - Indonesia

2018 ◽  
Vol 9 (11) ◽  
pp. 21127-21137
Author(s):  
Ni Putu Cempaka Dharmadewi Atmaja ◽  
Ni Made Satya Utami
Keyword(s):  
Public Health ◽  
Comparative Analysis ◽  
Service Quality ◽  
Health Center ◽  
Quality Of Services ◽  
Critical Factors ◽  
Public Health Center ◽  
The Public ◽  
Significant Difference

This study aims to find out the critical factors in delivering the quality of services at the Public Health Center (Puskesmas) in Sukawati District. Determination of critical factors based on Servqual Gap is a comparison between expectations and perceptions of the quality of service perceived by patients/ public health visitors. The research method is using qualitative descriptive analysis. The critical factor is determined by making a Cartesian diagram which is sourced from Serqual GAP. Data was obtained from the distribution of questionnaires to 200 respondents. The results of the data analysis concluded that there were 10 indicators in the Puskesmas Sukawati I that were categorized as critical factors that had to be corrected immediately. While Puskesmas Sukawati II there are 2 indicators that must immediately be improved. The comparative analysis shows that there is a significant difference between patient expectations and perceptions of perceived service quality. This result is certainly a consideration for the management of the Puskesmas to be able to assess the accuracy of the services provided to the community so that it can improve the quality of services in the future.

scholarly journals Women’s quality of life dynamics in postpartum period

2017 ◽  
Vol 8 (6) ◽  
pp. 125-130
Author(s):  
Maria A. Korgozha
Keyword(s):  
Quality Of Life ◽  
Postpartum Period ◽  
Population Data ◽  
Study Groups ◽  
Subjective Assessment ◽  
Research Subjects ◽  
Third Trimester ◽  
The Third ◽  
Perinatal Center

The article presents the results of the study of characteristics and dynamics of the women’s quality of life in the third trimester of pregnancy and six weeks after delivery. The study involved 240 women, patients of the Perinatal Center of Saint Petersburg State Pediatric Medical University, during the third trimester of pregnancy and six weeks after the delivery. Research subjects were divided into three study groups, depending on the presence and severity of negative emotional manifestations in women in the third trimester of pregnancy. It was revealed that the indicators of physical, mental and social functioning in women, who underwent negative emotional manifestations of different severity in the third trimester of pregnancy, are below the average population data. It is shown that the intensity of negative emotional manifestations in women in the third trimester of pregnancy does not affect the subjective assessment of the overall health and life status. The appearance of negative emotional manifestations of different severity in women in the third trimester of pregnancy significantly reduces the subjective assessment of pregnant women’s own physical functioning in the context of daily and professional activities. It was revealed that for women underwent mild negative emotional manifestations in the third trimester of pregnancy, the situation of labor is the most stressful and has a significant impact on the quality of life in the late postpartum period. This category of women is at risk and needs more thorough medical support and professional psychological assistance.

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