scholarly journals ANALISIS FAKTOR KEJADIAN PHLEBITIS DENGAN SIMULASI MODEL FISIS ALAT TERAPI INTRAVENA

2019 ◽  
Vol 3 (1) ◽  
pp. 21
Author(s):  
Menik Dwi Kurniatie
Keyword(s):  
Diastolic Pressure ◽  
Maximum Height ◽  
Intravenous Fluids ◽  
Intravenous Therapy ◽  
Fluid Infusion ◽  
History Of ◽  
Fluid Drop ◽  
Mechanical Factors ◽  
Physical Phenomena ◽  
Drop Rate

Intravenous therapy through long-term infusion is at risk for complications such as phlebitis. The influence of medical factors with a history of hypertension and mechanical factors based on the location of the position of infusion is the main study of the causes of phlebitis.One of the causes of phlebitis is the flow of intravenous fluids which is not proportional to the volume of infusion fluid. Intravenous Therapy Devices with the aim of assessing the physical phenomena modeling experiments intravenous therapy with the theory of fluid mechanics and prove the existence of linkage patient's blood pressure and height of intravenous fluid drop rate. The research method is experimental with the physical modeling of intravenous therapeutic devices.             Physical model of intravenous therapy devices using a manometer to measure the pressure tube as diastolic pressure and variation on fluid infusion used was NaCl 0.9% and Glucose 5%. The results of this research was obtained diastolic pressure below 80 mmHg produced a drop rate of fluid infusion is almost constant with a maximum height of a standard intravena pole 1meter, while at an altitude above the altitude variation of normal use by 90 mmHg diastolic pressure with height variations of 1.1 to 1.3 meters yield  drop rate a linear of infusion liquid to height variations. So to prevent turbulence of intravenous fluids (the cause of phlebitis) by increasing the location standard for infusion

Neglected woman with hyperemesis gravidarum leading to Wernicke encephalopathy

2020 ◽  
Vol 13 (12) ◽  
pp. e238545
Author(s):  
Papa Dasari ◽  
Smitha Priyadarshini
Keyword(s):  
Grey Matter ◽  
Hyperemesis Gravidarum ◽  
Intravenous Fluids ◽  
State Of Health ◽  
Wernicke Encephalopathy ◽  
Periaqueductal Grey ◽  
Mri Brain ◽  
Good State ◽  
Periaqueductal Grey Matter ◽  
History Of

A teenage primigravida at 13 weeks of gestation presented with hyperemesis gravidarum of 45 days and a history of giddiness and inability to walk due to involuntary movements of limbs and eyes since 2 days. She was treated with intravenous fluids, thiamine and antiemetics. MRI brain showed hyperintensities in bilateral dorsomedial thalami, periaqueductal grey matter in T2-weighted and FLAIR images. A diagnosis of Wernicke encephalopathy was made and she was managed in intensive care unit and received injection thiamine as per the guidelines and her weakness and ataxia improved over 3 weeks and she was discharged at 17 weeks of pregnancy in good state of health.

Salicylate toxicity from chronic bismuth subsalicylate use

2020 ◽  
Vol 13 (11) ◽  
pp. e236929
Author(s):  
Sheliza Halani ◽  
Peter E Wu
Keyword(s):  
Emergency Department ◽  
Adverse Effects ◽  
Hearing Impairment ◽  
Reference Range ◽  
The Elderly ◽  
Intravenous Fluids ◽  
Over The Counter ◽  
Bismuth Subsalicylate ◽  
Salicylate Concentration ◽  
History Of

A 79-year-old man presented to the emergency department with a 1-week history of worsening confusion, falls and hearing impairment. An initial workup for infectious, metabolic and structural causes was unrevealing. However, further history discovered that he had been ingesting one to two bottles of Pepto-Bismol (bismuth subsalicylate) daily for gastro-oesophageal reflux symptoms. On his second day of admission, the plasma salicylate concentration was 2.08 mmol/L (reference range 1.10–2.20 mmol/L), despite no sources of salicylate in hospital. He was diagnosed with chronic salicylate toxicity and Pepto-Bismol use was discontinued. The patient was treated supportively with isotonic intravenous fluids only and plasma salicylate concentration fell to less than 0.36 mmol/L. Concurrently, all his symptoms resolved. This case highlights the potential adverse effects of over-the-counter medications. The diagnosis of chronic salicylate toxicity is challenging, specifically in the elderly and in undifferentiated presentations, as it can be missed if not suspected.

scholarly journals Microbiology, Histopathology, and Radiographic Findings in Silent Sinus Syndrome

2021 ◽  
pp. 194589242198916
Author(s):  
Henry D. Zheng ◽  
Jeffrey C. Mecham ◽  
Yassmeen Abdel-Aty ◽  
Devyani Lal ◽  
Michael J. Marino
Keyword(s):  
Maxillary Sinusitis ◽  
Dental Disease ◽  
Radiographic Findings ◽  
Silent Sinus Syndrome ◽  
Microbiological Characteristics ◽  
Phone Survey ◽  
Computed Tomography Scans ◽  
History Of ◽  
Mechanical Factors ◽  
Chronic Maxillary Sinusitis

Background The histopathology and microbiology associated with silent sinus syndrome (SSS) have not been well described. Objective This study details the histopathological and microbiological characteristics in addition to radiographic findings of SSS in comparison to those of chronic maxillary sinusitis (CRS). Methods 42 patients diagnosed with SSS at Mayo Clinic Hospital in Arizona were identified. Paranasal computed tomography scans of the 42 SSS patients as well as 42 matched CRS patients were analyzed in order to assess differences in the prevalence of septal spurs/deviation. 20 of the SSS patients and 19 of the matched CRS patients also had histopathology and microbiology reports, which were compiled and summarized. Additionally, 19 SSS and 19 matched CRS patients were contacted via phone survey for a more complete patient history regarding maxillary dental disease/surgery. Results SSS patients have a significantly higher prevalence of septal spurs/deviation than CRS patients. The microbiomes of SSS patients more closely resemble those of healthy controls than those of CRS patients. Analysis of the histopathology of SSS reveals chronic, non-specific inflammation similar to that seen in non-eosinophilic CRS without polyps. SSS patients were significantly more likely to have a history of maxillary dental disease requiring surgery. Conclusion These data support the hypothesis that the pathogenesis of SSS is more likely due to anatomical/mechanical factors than inflammatory/microbiological factors.

Diagnosis of dengue fever in a patient with early pregnancy loss

2021 ◽  
Vol 14 (8) ◽  
pp. e243968
Author(s):  
Naomi N Adjei ◽  
Anna Y Lynn ◽  
Ernest Topran ◽  
Oluwatosin O Adeyemo
Keyword(s):  
Neonatal Death ◽  
Vaginal Bleeding ◽  
Pregnancy Loss ◽  
Clinical Evidence ◽  
Adverse Outcomes ◽  
Intravenous Fluids ◽  
Early Pregnancy Loss ◽  
Orbital Pain ◽  
History Of

Dengue is a mosquito-borne virus that causes an influenza-like illness ranging in severity from asymptomatic to fatal. Dengue in pregnancy has been associated with adverse outcomes including miscarriage, preterm birth and fetal and neonatal death. We present the case of a multiparous woman who presented at 9 weeks’ gestation with vaginal bleeding and abdominal cramping after a 1 month stay in Mexico. She was initially diagnosed with miscarriage with plan for outpatient follow-up. She was readmitted 3 days later with fever, retro-orbital pain, arthralgia, rash, pancytopenia and transaminitis and managed with intravenous fluids and acetaminophen. Of note, dengue serology was initially negative but retesting 2 days later was positive. It is imperative that clinicians have heightened suspicion for dengue in pregnant women with history of travel to or residence in a dengue-endemic area and consistent clinical evidence.

scholarly journals Evaluation of blood pressure in school children aged 12-16 years

2017 ◽  
Vol 4 (4) ◽  
pp. 1218
Author(s):  
Balakrishnan Nadesan ◽  
Mani Madhavan Sachithananthamoorthi ◽  
Sivaraman Thirumalaikumarasamy ◽  
Ezhilarasu Ramalingam
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Diastolic Blood Pressure ◽  
School Children ◽  
Diastolic Pressure ◽  
Systolic Pressure ◽  
Cross Sectional ◽  
Significant Difference ◽  
History Of ◽  
Family History Of Hypertension

Background: Hypertension is considered as a major health issue in developed as well as developing countries and its possible origin during childhood prompts pediatricians to routinely include measurement of blood pressure (BP) as an integral part of pediatric physical examination. The objectives of the study were to evaluate the normal range of blood pressure in adolescent school going students of 12-16 years, prevalence of hypertension and relationship of BP with variables like age, body mass index (BMI), socioeconomic status and family history of hypertension.Methods: A cross sectional study was undertaken for a period of one year in adolescent school children in age groups between 12-16 years. Detailed clinical examination was done in 1060 adolescent school children and BP was recorded in right upper limb and correlation of BP with BMI, family history of hypertension and diabetes were studied.Results: Mean systolic and diastolic pressure showed linear relationship with age. There was a highly statistically significant difference between mean systolic and diastolic blood pressure between lower and middle socio-economic class. Prevalence of obesity in our study was 1.13%, overweight was 7.83%. Prevalence of hypertension in obese children was 33.33% and in overweight children 18.07%. Family history of hypertension and diabetes carry a significant correlation with elevated systolic and diastolic blood pressure in adolescents.Conclusions: This study revealed that socio economic factors play a significant role in determining the blood pressure of the individual. Children of middle class have significantly elevated mean systolic pressure and mean diastolic pressure than low socio-economic groups. 

Medicine relevant to dentistry

2014 ◽  
pp. 503-573
Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul
Keyword(s):  
Neurological Disorders ◽  
Pain Control ◽  
Anaphylactic Shock ◽  
Gastrointestinal Disease ◽  
Acute Chest Pain ◽  
Skin Neoplasms ◽  
Intravenous Fluids ◽  
History Of ◽  
Haematological Disorders ◽  
Surgery Management

Contents. Anaemia. Haematological malignancy. Other haematological disorders. Cardiovascular disease. Respiratory disease. Gastrointestinal disease. Hepatic disease. Renal disorders. Endocrine disease. Endocrine-related problems. Bone disease. Diseases of connective tissue, muscle, and joints. Neurological disorders. More neurological disorders. Skin neoplasms. Dermatology. Psychiatry. The immunocompromised patient. Useful emergency kit. Fainting. Acute chest pain. Cardiorespiratory arrest. Anaphylactic shock and other drug reactions. Collapse in a patient with a history of corticosteroid use. Fits. Hypoglycaemia. Acute asthma. Inhaled foreign bodies. If in doubt. Management of the dental in-patient. Venepuncture and arterial puncture. Intravenous fluids. Blood transfusion. Catheterization. Enteral and parenteral feeding. Pain control. Prophylaxis. Management of the diabetic patient undergoing surgery. Management of patients requiring steroid supplementation. Common post-operative problems.

VII.—Note on Mr. I. C. Russell's Paper on the Jordan-Arabah and the Dead Sea

1888 ◽  
Vol 5 (11) ◽  
pp. 502-504
Author(s):  
Edward Hull
Keyword(s):  
North America ◽  
Rock Salt ◽  
Dead Sea ◽  
Salt Rock ◽  
The World ◽  
History Of ◽  
The Dead ◽  
Physical Features ◽  
Physical Phenomena ◽  
Geological Magazine

I Have been very much interested in reading Mr. Russell's two communications published in the Geological Magazine for August and September last. The analogy which he draws between the history of the Dead Sea valley and that of some of the lake valleys in the western part of North America is instructive as showing how similar physical features can be accounted for on similar principles of interpretation over all parts of the world. Mr. Eussell very properly draws attention to the paper by his colleague Mr. G. K. Gilbert on “The Topographical Features of Lake Shores,” in which principles of interpretation of physical phenomena are laid down applicable to lakes both of America and the Jordan-Arabah valley. With some of Mr. Russell's inferences regarding special epochs in the history of this valley I am very much disposed to agree; more particularly in reference to the mode of formation of the Salt Mountain, Jebel Usdum; or rather, of the salt-rock which forms the lower part of its mass. If this interpretation be correct, it removes the difficulty of understanding why the rock-salt is confined to one small corner of the lake, which, at the time the salt was in course of formation, was vastly more extensive than at present.

The emergence of the principle of symmetry in physics

2004 ◽  
Vol 35 (1) ◽  
pp. 35-65 ◽  
Author(s):  
SHAUL KATZIR
Keyword(s):  
Phenomenological Approach ◽  
Causal Processes ◽  
Physical Chemical ◽  
Pierre Curie ◽  
History Of ◽  
French Tradition ◽  
Qualitative Argument ◽  
Interdisciplinary Study ◽  
Physical Phenomena ◽  
Asymmetric Matter

ABSTRACT: In 1894 Pierre Curie formulated rules for relations between physical phenomena and their symmetry. The symmetry concept originated in the geometrical study of crystals, which it served as a well-defined concept from the 1830s. Its extension as a rule for all physics was a gradual and slow process in which applications, though often partial, preceded the formulation and clear conceptualization of the rules. Two traditions that involved ““interdisciplinary”” study were prominent in applying consideration of symmetry to physics. One is a French tradition of physical crystallography that linked crystalline structure and form to their physical, chemical and even biological qualities, which drew back to Haüüy, and included Delafosse, Pasteur, Senarmont, and Curie. This tradition (until Curie) employed qualitative argument in deducing physical properties. A mathematical approach characterizes the second tradition of Franz Neumann and his students. During the 1880s two members of this tradition, Minnigerode and Voigt, formulated rules of symmetry and implicitly recognized their significance. Yet, until 1894 both traditions studied only crystalline or other asymmetric matter. Then, Curie, who drew on the two traditions, extended the rules of symmetry to any physical system including fields and forces. Although originated in a specific idealistic ontological context, symmetry served also adherents of molecular materialism and was eventually found most effective for a phenomenological approach, which avoided any commitment to a specific view of nature or causal processes. Therefore, the rule of symmetry resembles the principles of thermodynamics. Its emergence suggests parallels to the history of energy conservation.

scholarly journals A Spotlight on Liquefaction: Evidence from Clinical Settings and Experimental Models in Tuberculosis

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Pere-Joan Cardona
Keyword(s):  
Immune Response ◽  
Natural History ◽  
Experimental Models ◽  
Point Of View ◽  
Clinical Settings ◽  
Cavity Formation ◽  
Stochastic Effect ◽  
History Of ◽  
Mechanical Factors ◽  
Active Disease

Liquefaction is one of the most intriguing aspects of human tuberculosis. It is a major cause of the transition from the infection to active disease (tuberculosis, TB) as well as the transmission ofM. tuberculosisto other persons. This paper reviews the natural history of liquefaction in humans from a pathological and radiological point of view and discusses how the experimental models available can be used to address the topic of liquefaction and cavity formation. Different concepts that have been related to liquefaction, from the influence of immune response to mechanical factors, are reviewed. Synchronic necrosis or apoptosis of infected macrophages in a close area, together with an ineffective fibrosis, appears to be clue in this process, in which macrophages, the immune response, and bacillary load interact usually in a particular scenario: the upper lobes of the lung. The summary would be that even if being a stochastic effect, liquefaction would result if the organization of the intragranulomatous necrosis (by means of fibrosis) would be disturbed.

Sign in / Sign up

Export Citation Format

Share Document