A NEW OPERATIVE PROCEDURE IN THE TREATMENT OF SPASTIC PARALYSIS AND ITS EXPERIMENTAL BASIS

1924 ◽  
Vol 1 (4) ◽  
pp. 77-86 ◽  
Author(s):  
N. D. Royle
1972 ◽  
Vol 11 (03) ◽  
pp. 152-162 ◽  
Author(s):  
P. GAYNON ◽  
R. L. WONG

With the objective of providing easier access to pathology specimens, slides and kodachromes with linkage to x-ray and the remainder of the patient’s medical records, an automated natural language parsing routine, based on dictionary look-up, was written for Surgical Pathology document-pairs, each consisting of a Request for Examination (authored by clinicians) and its corresponding report (authored by pathologists). These documents were input to the system in free-text English without manual editing or coding.Two types of indices were prepared. The first was an »inverted« file, available for on-line retrieval, for display of the content of the document-pairs, frequency counts of cases or listing of cases in table format. Retrievable items are patient’s and specimen’s identification data, date of operation, name of clinician and pathologist, etc. The English content of the operative procedure, clinical findings and pathologic diagnoses can be retrieved through logical combination of key words. The second type of index was a catalog. Three catalog files — »operation«, »clinical«, and »pathology« — were prepared by alphabetization of lines formed by the rotation of phrases, headed by keywords. These keywords were automatically selected and standardized by the parsing routine and the phrases were extracted from each sentence of each input document. Over 2,500 document-pairs have been entered and are currently being utilized for purpose of medical education.


2020 ◽  
Vol 3 (3) ◽  
pp. 42-50
Author(s):  
Theresa Rahmadhani ◽  
Nyimas Fatimah ◽  
Eka Febri Zulissetiana

The effect of hydrotherapy on pain intensity and functional ability in lumbar disk herniation (LDH) patients thatundergo non-operative procedure; pre-experimental study at medical rehabilitation installation of RSUPdr. Mohammad Hoesin Palembang. Lumbar disk herniation (LDH) is the most common disease that becaused low backpain and functional disability. Some studies mentioned that hydrotherapy is an effective treatment for low back pain.Therefore, this study was conducted to determine the effect of hydrotherapy on reducing pain intensity and improvingfunctional ability in LDH patients. This study was a pre-experimental study with one group pretest-posttest design. Datawas collected by direct interviews to the patients using visual analogue scale (VAS) to measure pain intensity andModified Oswestry Low Back Pain Disability Questionnaire to assess functional ability before and after underwenthydrotherapy once a week for 4 weeks. The data then undergo Shapiro-Wilk normality test and continue with Paired t-Test or Wilcoxon test. From 30 subjects, it was found that there are effects of hydrotherapy on reducing pain intensity(p<0,001) and improving functional ability (p<0,001) in LDH patients that undergo non-operative procedure at theMedical Rehabilitation Installation of RSUP Dr. Mohammad Hoesin Palembang. There are effects of hydrotherapy onpain intensity and functional ability in LDH patients that undergo non-operative procedure.


2020 ◽  
Vol 99 (7) ◽  

Introduction: Vagus nerve stimulation is a palliative treatment for patients with refractory epilepsy to reduce the frequency and intensity of seizures. A bipolar helical electrode is placed around the left vagus nerve at the cervical level and is connected to the pulse generator placed in a subcutaneous pocket, most commonly in the subclavian region. Methods: Between March 1998 and October 2019, we performed 196 procedures related to the vagal nerve stimulation at the Neurosurgery Department in Motol University Hospital. Of these, 126 patients were vagal nerve stimulator implantation surgeries for intractable epilepsy. The cases included 69 female and 57 male patients with mean age at the time of the implantation surgery 22±12.4 years (range 2.1−58.4 years). Results: Nine patients (7.1%) were afflicted by complications related to implantation. Surgical complications included postoperative infection in 1.6%, VNS-associated arrhythmias in 1.6%, jugular vein bleeding in 0.8% and vocal cord paresis in 2.4%. One patient with vocal cord palsy also suffered from severe dysphagia. One patient (0.8%) did not tolerate extra stimulation with magnet due to a prolonged spasm in his throat. The extra added benefit of vagus stimulation in one patient was a significant reduction of previously regular severe headaches. Conclusion: Vagus nerve stimulation is an appropriate treatment for patients with drug-resistant epilepsy who are not candidates for focal resective surgery. Implantation of the vagus nerve stimulator is a relatively safe operative procedure.


Author(s):  
Dr. Sunil Kumar Mehra, Dr. Dinesh Kumar Barolia, Dr. Arun Kumar Gupta, Dr. Vinita Chaturv

Intussusception is the most common cause of intestinal obstruction in infants and children in < 1yr of age (1). Intussusception cases usually reported late therefore operative procedure was inevitable and results in significant morbidity and mortality. By this study we emphasized on timely transfer of intussusception case to a pediatric surgical center so as to decrease surgical risk. The surgical morbidity was low in those who were admitted early or directly to our center.  Methods - We retrospectively reviewed cases of intussusception in children <15 years. Children were treated from October 2015 to December 2107 at pediatric surgery department of SMS medical college Jaipur Rajasthan. Age, sex, month of admission, symptom with duration, diagnostic methods, and treatment modalities were recorded and analyzed.  Results - We studied 300 patients with intussusception.272 (90%) were treated surgically. We recently started ultrasonography guided pneumatic reduction and 24(85.7%) out of 28 treated successfully by it. Out of the patients requiring surgery 202 (67.34%) patients were reduced by per-operative manual reduction and in 60(22%) patients resection and anastomosis with 10(3.6%) treated with resection and ileostomy. 25.34% cases have delayed diagnosis and lately  transferred from peripheral hospitals requiring resection and diversion. Conclusion - In conclusion, Intussusception cases usually reported late therefore high likelihood of surgical management. The patients who underwent resection have longer duration of hospital stay.


Author(s):  
O.A. Lisovskaya ◽  
◽  
T.A. Pavlenko ◽  
O.V. Beznos ◽  
N.B. Chesnokova ◽  
...  

Актуальность. Перспективным направлением в терапии ишемических процессов является фармакологическая регуляция ренин-ангиотензиновая система (РАС), а также изучение возможности восстановления нарушенной гемодинамики глаза путем местного применения ингибиторов ангиотензин-превращающего фермента (АПФ). Цель. Изучить возможность восстановления нарушенной гемодинамики глаза путем местного применения ингибиторов АПФ. Материал и методы. В работе было задействовано 15 кроликов. Для создания экспериментальной модели ишемии глаза кроликам проводили субконъюнктивальную инъекцию в каждый глаз по 0,2 мл сосудосуживающего препарата Мезатон. Для количественной оценки степени ишемии применяли метод офтальмоплетизмографии (ОПГ).Проводили однократную инстилляцию раствора эналаприлата (1,25мг/мл) в OD -опытный глаз, в контрольный глаз (OS) - фосфатный буфер. ОПГ на всех этапах эксперимента проводили одновременно на обоих глазах животных до субконъюктивальной инъекции и каждые 60 мин после, в течение 180 мин. Осуществляли взятие внутриглазной жидкости (ВГЖ) из передней камеры обоих глаз. В образцах ВГЖ определяли уровень активности АПФ по начальным скоростям гидролиза субстрата Cbz-Phe-His-Leu. Результаты. В результате уровень минутный объем кровотока (МОК) опытного глаза под влиянием инстилляций ингибитора АПФ в интервале от 60 до 180 мин превышал значения МОК в контрольном глазу без лечения на 15-42%. Также после инстилляция эналаприлата достоверно снижаласьактивность АПФ (р<0,01) на 50% и 75% относительно контрольных значений. Выводы. Увеличение глазного кровотока на фоне ишемии и снижение активности АПФ в ВГЖ свидетельствует о противоишемическом действии ингибитора АПФ, что указывает на способность ингибитора преодолевать тканевые барьеры роговицы и оказывать влияние на локальную ренин-ангиотензиновую систему глаза.


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