Journal articles on the topic 'Gippsland Base Hospital History'
To see the other types of publications on this topic, follow the link: Gippsland Base Hospital History.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Gippsland Base Hospital History.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Lanigan, K. P., G. Bunn, and J. Rindschwentner. "LONGTOM—CONFIRMATION OF A NEW PLAY IN OFFSHORE GIPPSLAND." APPEA Journal 47, no. 1 (2007): 91. http://dx.doi.org/10.1071/aj06005.
Full textAbstract:
The Longtom gas field was discovered in 1995, when the Longtom–1/ST1 wildcat well in the northern part of the offshore Gippsland Basin encountered dry gas in tight sandstones towards the base of the Latrobe Group, in what is now called the Admiral Formation of the Emperor Subgroup. In 2004 the Longtom–2/ST1 exploration well confirmed significant vertical and lateral extension of these prospective gas sands, and also provided very encouraging production test and core data. The recent Longtom–3 wells have demonstrated the viability of this new play by confirming significant lateral continuity of the thicker gas sands and demonstrating high gas flow rates. The history of the field’s discovery and appraisal illustrates how a multi-disciplinary and interactive approach, guided by innovative seismic inversion techniques and real-time petrophysical data, resulted in the successful planning and execution of the Longtom–3 drilling and evaluation program. The results of the wells and the outline of the field development plan illustrate how Longtom represents new production potential in this mature basin.
2
Lobo de Araújo, Maria Marta. "O 'retrato' do hospital da Misericórdia de Vila Viçosa (Portugal) em 1870." Asclepio 71, no. 1 (June 19, 2019): 251. http://dx.doi.org/10.3989/asclepio.2019.03.
Full textAbstract:
[pt] O nosso estudo analisa o hospital da Misericórdia de Vila Viçosa em 1870 com base na descrição elaborada pelo administrador do concelho nessa data. Os elementos fornecidos procuram conhecer a instituição a que está ligado –a Misericórdia–, e contribuir para uma melhor administração. Com base nesta fonte é possível conhecer o hospital, bem como a política seguida pela confraria no tocante à saúde. O seu estudo dá a conhecer o funcionamento da instituição, desde os seus espaços aos doentes, apresentando um hospital Municipal de traça quinhentista, embora adaptado às necessidades do século XIX. Integra ainda as sugestões do administrador do concelho, embora estas não sejam implementadas devido à escassez de receitas com que o hospital se debatia, as quais eram as responsáveis pelo estado de degradação em que alguns dos seus espaços se encontravam, mas sobretudo pelo corte no internamento de doentes e da assistência aos que se curavam em suas casas.
3
Miranda, Carlos Alberto Cunha. "A teoria da degeneração e suas implicações no Hospital de Doenças Nervosas e Mentais. Recife, PE /1920." Revista Tempo e Argumento 13, no. 33 (August 2, 2021): e0115. http://dx.doi.org/10.5965/2175180313332021e0115.
Full textAbstract:
Neste artigo, inicialmente apresentaremos o conceito de degeneração desenvolvido por Benedict-Augustin Morel, Valentin Magnan e Emil Kraepelin, bem como suas repercussões na psiquiatria brasileira nos primeiros anos do século XX. Com base nesses pressupostos, discorreremos sobre a trajetória de vida de pessoas consideradas portadoras de transtornos mentais e do saber psiquiátrico no Hospital de Doenças Nervosas e Mentais do Recife, através da análise de alguns prontuários dos anos de 1920 com pacientes diagnosticados como portadores de Episódio Delirante de Degeneração. O suporte desta pesquisa está no trabalho desenvolvido no acervo do Hospital Ulysses Pernambucano, em que foi realizado o resgate da documentação, a catalogação e a edição de um inventário de todos os livros entre os anos de 1926 a 1970, no total de 1013 volumes, cada um com cinquenta prontuários. A análise dessas importantes fontes, juntamente com o aporte teórico, permitiu a elaboração desse artigo. Palavras-chave: Hospital; psiquiatria; degenerados; eugenia.
4
Aguiar Júnior, Samuel, Wesley Pereira Andrade, Glauco Baiocchi, Gustavo Cardoso Guimarães, Isabela Werneck Cunha, Daniel Alvarez Estrada, Sergio Hideki Suzuki, Luiz Paulo Kowalski, and Ademar Lopes. "Natural history and surgical treatment of chordoma: a retrospective cohort study." Sao Paulo Medical Journal 132, no. 5 (2014): 297–302. http://dx.doi.org/10.1590/1516-3180.2014.1325628.
Full textAbstract:
CONTEXT AND OBJECTIVE: Chordoma is a rare tumor with a high risk of locoregional recurrences. The aim of this study was analyze the long-term results from treating this pathological condition.DESIGN AND SETTING: Cohort study in a single hospital in São Paulo, Brazil.METHODS: This was a retrospective cohort study on 42 patients with chordoma who were treated at Hospital A. C. Camargo between 1980 and 2006. The hospital records were reviewed and a descriptive analysis was performed on the clinical-pathological variables. Survival curves were estimated using the Kaplan-Meier method and these were compared using the log-rank test.RESULTS: Nineteen patients were men and 23 were women. Twenty-five tumors (59.5%) were located in the sacrum, eleven (26.2%) in the skull base and six (14.3%) in the mobile spine. Surgery was performed on 28 patients (66.7%). The resection was considered to have negative margins in 14 cases and positive margins in 14 cases. The five-year overall survival (OS) was 45.4%. For surgical patients, the five-year OS was 64.3% (82.2% for negative margins and 51.9% for positive margins). In the inoperable group, OS was 37.7% at 24 months and 0% at five years.CONCLUSION: Complete resection is related to local control and definitively has a positive impact on long-term survival.
5
Mendonça, Gulnar Azevedo S., and José Eluf-Neto. "Hospital visitors as controls in case-control studies." Revista de Saúde Pública 35, no. 5 (October 2001): 436–42. http://dx.doi.org/10.1590/s0034-89102001000500005.
Full textAbstract:
OBJECTIVE: Selecting controls is one of the most difficult tasks in the design of case-control studies. Hospital controls may be inadequate and random controls drawn from the base population may be unavailable. The aim was to assess the use of hospital visitors as controls in a case-control study on the association of organochlorinated compounds and other risk factors for breast cancer conducted in the main hospital of the "Instituto Nacional de Câncer" -- INCA (National Cancer Institute) in Rio de Janeiro (Brazil). METHODS: The study included 177 incident cases and 377 controls recruited among female visitors. Three different models of control group composition were compared: Model 1, with all selected visitors; Model 2, excluding women visiting relatives with breast cancer; and Model 3, excluding all women visiting relatives with any type of cancer. Odds ratios (OR) and 95% confidence intervals were calculated to test the associations. RESULTS: Age-adjusted OR for breast cancer associated with risk factors other than family history of cancer, except smoking and breast size, were similar in the three models. Regarding family history of all cancers, except for breast cancer, there was a decreased risk in Models 1 and 2, while in Model 3 there was an increased risk, but not statistically significant. Family history of breast cancer was a risk factor in Models 2 and 3, but no association was found in Model 1. In multivariate analysis a significant risk of breast cancer was found when there was a family history of breast cancer in Models 2 and 3 but not in Model 1. CONCLUSIONS: These results indicate that while investigating risk factors unrelated to family history of cancer, the use of hospital visitors as controls may be a valid and feasible alternative.
6
Peyriere, Hélène, Stéphanie Cassan, Edith Floutard, Sophie Riviere, Jean-Pierre Blayac, Dominique Hillaire-Buys, Alain Le Quellec, and Sylvie Hansel. "Adverse Drug Events Associated with Hospital Admission." Annals of Pharmacotherapy 37, no. 1 (January 2003): 5–11. http://dx.doi.org/10.1345/aph.1c126.
Full textAbstract:
OBJECTIVE To increase the knowledge base on the frequency, causality, and avoidability of adverse drug events (ADEs) as a cause for admission in internal medicine or when occurring during hospitalization. METHODS A prospective study was performed for 6 periods of 8 days each. Epidemiologic data (e.g., age, gender, medical history), drug utilization, and adverse drug reactions on patients hospitalized during these periods were collected by a pharmacy student. RESULTS A total of 156 patients (70 men and 86 women) were included in the study. The patients’ mean age ± SD was 66.5 ± 18.1 years and mean length of stay was 13.2 ± 9 days. Renal and hepatic insufficiency and previous history of drug intolerance were observed in 17.9%, 10.2%, and 2% of the hospitalized patients, respectively. Thirty-eight ADEs occurred in 32 patients; in 15 cases, ADEs were identified as the reason for admission, 10 cases occurred during hospitalization, and 13 cases were present at admission, but were not the cause of admission. The most frequent ADEs involved the neurologic (23.6%), renal (15.7%), and hematologic (13.1%) systems. Among these 38 ADEs, 22 were considered avoidable (57.9%); 20 of these were associated with therapeutic errors (inappropriate administration, drug–drug interactions, dosage error, drug not stopped despite the onset of ADEs). Patients with ADEs stayed longer in the hospital and took more drugs both before and during their hospital stay (p < 0.05). CONCLUSIONS Most of the ADEs observed in this study were avoidable. The risk/benefit ratio of administered drugs could be improved with better knowledge of the patients’ medical history and the risk factors of ADEs.
7
Sozinov, Aleksey S., and Ivan A. Mitrofanov. "History of the kazan psychophysiological laboratory headed by V.M. Bekhterev (1885–1893)." Neurology Bulletin LIII, no. 3 (December 4, 2021): 71–83. http://dx.doi.org/10.17816/nb77936.
Full textAbstract:
Based on archival data and literary sources, the article presents the history of the Kazan psychophysiological laboratory of V.M. Bekhterev during the years of his work in Kazan (18851893). The circumstances of the creation of the psychophysiological laboratory, its locations (during the years of Bekhterevs work, it changed two rooms) and equipment are described. The main scientific directions of V.M. Bekhterev and his students during the Kazan period of activity, the history of their appointment to the positions of residents and assistants of the Department of Psychiatry are analysed. The reasons and history of creation of a psychophysiological laboratory at the clinical base of the University in the Kazan District Hospital are described.
8
Mansouri, Alireza, George Klironomos, Shervin Taslimi, Alex Kilian, Fred Gentili, Osaama H. Khan, Kenneth Aldape, and Gelareh Zadeh. "Surgically resected skull base meningiomas demonstrate a divergent postoperative recurrence pattern compared with non–skull base meningiomas." Journal of Neurosurgery 125, no. 2 (August 2016): 431–40. http://dx.doi.org/10.3171/2015.7.jns15546.
Full textAbstract:
OBJECTIVE The objective of this study was to identify the natural history and clinical predictors of postoperative recurrence of skull base and non–skull base meningiomas. METHODS The authors performed a retrospective hospital-based study of all patients with meningioma referred to their institution from September 1993 to January 2014. The cohort constituted both patients with a first-time presentation and those with evidence of recurrence. Kaplan-Meier curves were constructed for analysis of recurrence and differences were assessed using the log-rank test. Cox proportional hazard regression was used to identify potential predictors of recurrence. RESULTS Overall, 398 intracranial meningiomas were reviewed, including 269 (68%) non–skull base and 129 (32%) skull base meningiomas (median follow-up 30.2 months, interquartile range [IQR] 8.5–76 months). The 10-year recurrence-free survival rates for patients with gross-total resection (GTR) and subtotal resection (STR) were 90% and 43%, respectively. Skull base tumors were associated with a lower proliferation index (0.041 vs 0.062, p = 0.001), higher likelihood of WHO Grade I (85.3% vs 69.1%, p = 0.003), and younger patient age (55.2 vs 58.3 years, p = 0.01). Meningiomas in all locations demonstrated an average recurrence rate of 30% at 100 months of follow-up. Subsequently, the recurrence of skull base meningiomas plateaued whereas non–skull base lesions had an 80% recurrence rate at 230 months follow-up (p = 0.02). On univariate analysis, a prior history of recurrence (p < 0.001), initial WHO grade following resection (p < 0.001), and the inability to obtain GTR (p < 0.001) were predictors of future recurrence. On multivariate analysis a prior history of recurrence (p = 0.02) and an STR (p < 0.01) were independent predictors of a recurrence. Assessing only patients with primary presentations, STR and WHO Grades II and III were independent predictors of recurrence (p < 0.001 for both). CONCLUSIONS Patients with skull base meningiomas present at a younger age and have less aggressive lesions overall. Extent of resection is a key predictor of recurrence and long-term follow-up of meningiomas is necessary, especially for non–skull base tumors. In skull base meningiomas, recurrence risk plateaus approximately 100 months after surgery, suggesting that for this specific cohort, follow-up after 100 months can be less frequent.
9
Harris, Joanna, Kenneth Walsh, and Susan Dodds. "Are Contact Precautions ethically justifiable in contemporary hospital care?" Nursing Ethics 26, no. 2 (June 15, 2017): 611–24. http://dx.doi.org/10.1177/0969733017709335.
Full textAbstract:
Hospital infection control practices known as Contact Precautions are recommended for the management of people with pathogens such as methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococci. Background: The patient is isolated, and staff are required to wear gloves, and a gown or apron when providing care. A notice is displayed to remind staff of these requirements and an ‘alert’ message is placed in the patient’s medical record. Objective: The aim of this article is to discuss and explore whether practices used in hospitals to reduce the transmission of endemic antibiotic-resistant organisms are ethically justified in today’s healthcare environment in the developed world. In order to do this, the history of the development of these practices is summarised, and the evidence base for their effectiveness is reviewed. Key bioethics principles are then discussed and contextualised from the perspective of hospital infection prevention and control, and an ethically superior model for the prevention and control of healthcare associated infection is proposed.
10
Nogueira Pereira, Catarina, and Diogo Guedes Vidal. "De asilo a hospital dos Tifosos: O caso do asilo António Almeida da Costa na primeira metade do século XX. Génese, dinâmicas e funcionalidades." Asclepio 72, no. 2 (November 17, 2020): p318. http://dx.doi.org/10.3989/asclepio.2020.19.
Full textAbstract:
[pt] O presente trabalho tem como objetivos principais analisar a génese, as dinâmicas e as funcionalidades do Asilo António Almeida da Costa, fundado no início do século XX em Vila Nova de Gaia, localidade perto da cidade do Porto, no norte de Portugal, na assistência na velhice, inicialmente idealizada para os velhos operários do complexo industrial de Cerâmica e de Fundição das Devesas, e na sua iniciativa pontual: a transformação num hospital dos Tifosos aquando a epidemia que se fez sentir na cidade. Para responder a estes objetivos efectuou-se um exercício de reconstrução histórica através do acervo do benemérito, nomeadamente com base nas atas da comissão administrativa, nos regulamentos e estatutos internos e, também, no livro de inválidos internados no Asilo. Com base na informação encontrada foi possível descrever as dinâmicas da instituição na assistência à velhice, em especial no lugar das Devesas em Vila Nova de Gaia, enquadrando o importante contributo da mesma na causa pública do combate à epidemia do tifo exantemático.
11
Starostenko, Yulia D. "The Hospital Town of «the First Garden City in Russia» near Prozorovka: the History of Design and Construction (1912-1930)." Scientific journal “ACADEMIA. ARCHITECTURE AND CONSTRUCTION”, no. 2 (June 28, 2018): 40–49. http://dx.doi.org/10.22337/2077-9038-2018-2-40-49.
Full textAbstract:
The article is devoted to the buildings of the hospital town
an implemented fragment of one of the most famous town planning projects of early 20th century. «The first Garden City in Russia» at Prozorovka (now Kratovo), which was to include not only the hospital town, but a set of other major public buildings, was designed by civil engineer V. N. Semyonov, by order of the Board of Directors of Joint-stock company of the Moscow-Kazan Railway for this company employees. The initiator of the project was the Chairman of The Board of Directors N.K. von Meck. The article on base on a wide range of archival sources, recreates the history of designing the hospital town in 1912-1913 and contains previously unknown facts and materials. Among these materials is the original project of the hospital town (primary drawings of this project published in the article the first time) and the discussions papiers of the project in the Ministry of Railways in 1913. It also provides information about the construction process of the buildings of the hospital town in 1915-1918. For the first time on archival documents is fixed the condition of buildings at the time of completion of the first constructions phase in 1918. Special attention is paid to the hospital complex fate in 1924-1930, when the buildings were rebuilt and adapted for accommodation of the tuberculosis sanatorium of Cusstrah No. 1. The revealed papiers make it possible to understand how during completing of the buildings in the second half of the 1920s, there preserves neoclassical facades, designed by architect A.I. Tamanov (Tamanyan) in 1913.
12
Correa, Sílvio Marcus de Souza. "“Hipnóticos” na metrópole: africanos no Hospital Colonial de Lisboa nas primeiras décadas do século XX." História, Ciências, Saúde-Manguinhos 27, no. 4 (October 2020): 1125–47. http://dx.doi.org/10.1590/s0104-59702020000500006.
Full textAbstract:
Resumo No início do século XX, alguns médicos portugueses foram à África estudar a chamada doença do sono. Entre eles estava Ayres Kopke, membro da primeira missão médica à África Ocidental Portuguesa. De regresso a Lisboa, o professor da Escola de Medicina Tropical continuou suas pesquisas, inclusive por meio da observação de doentes trazidos para a metrópole. Desde 1903, as repartições de saúde nas colônias estavam incumbidas de enviar doentes com determinadas patologias exóticas para o Hospital Colonial de Lisboa. Com base em documentos desse hospital, incluindo fotografias dos doentes, então chamados de hipnóticos, o artigo aborda a importância das experiências com humanos na metrópole para o avanço da medicina tropical durante o colonialismo.
13
Xiao, Hong, Xingguo Fang, and Hai Zhang. "Analysis of Factors Related to Recurrence of Colorectal Adenomatous Polyps After Endoscopic Treatment." Tobacco Regulatory Science 7, no. 5 (September 30, 2021): 2924–28. http://dx.doi.org/10.18001/trs.7.5.1.60.
Full textAbstract:
Objective: To study and analyze the related factors of recurrence after endoscopic treatment of colorectal adenomatous polyps. Methods: From March 2017 to March 2018, a total of 600 colorectal adenomatous polyps treated with endoscopy in our hospital were selected as the study objects. The clinical data of all patients were analyzed retrospectively, including gender, age, occupation, income, drinking history, smoking history, whether they were infected with Helicobacter pylori, polyp location, polyp number, adenoma type, adenoma base, gland Tumor diameter, atypical hyperplasia, history of diabetes mellitus, history of hypertension, dyslipidemia (cholesteremia, low-density lipoprotein, hypertriglyceridemia), treatment methods, the relationship between the above risk factors and recurrence were analyzed, and the relevant factors of recurrence of colorectal adenomatous polyps were screened. Result: Age, occupation, income, drinking, smoking, polyp type, polyp diameter, Helicobacter pylori infection, treatment, diabetes, hypertension, adenoma type, adenoma base, atypical hyperplasia and dyslipidemia were all related factors (P < 0.05). Conclusion: Patients with colorectal adenomatous polyps undergo recurrence after endoscopic treatment with age, occupation, income, alcohol consumption, smoking, polyp type, Helicobacter pylori infection, treatment, diabetes, hypertension, adenoma type, adenoma base, A typical hyperplasia and dyslipidemia are associated. The more the above factors occur, the greater the chance of recurrence. The corresponding preventive measures should be taken for the above factors.
14
Connor, David E., Prashant Chittiboina, and Anil Nanda. "From Pergamon to Army Base Hospital No. 5: the history and significance of the galea aponeurotica in the evolution of neurosurgery." Journal of Neurosurgery 121, no. 2 (August 2014): 333–37. http://dx.doi.org/10.3171/2014.3.jns13148.
Full textAbstract:
The authors trace the etymology and historical significance of galea or epicranial aponeurosis. In ancient Greece, galea referred to a helmet worn by soldiers, typically made of animal hide or leather. Throughout antiquity, physicians referred to all soft tissue between the skin and the skull as panniculus, a standard established by Galen of Pergamon. A manual of surgery in the Middle Ages referred to the entire scalp as a “great panicle that is called pericranium.” During the early Renaissance, Leonardo da Vinci famously and stylistically analogized the dissection of the cranium with the peeling of an onion. Not until 1724 would the tendinous sheath connecting the frontalis and occipitalis muscles be defined as “Galea tendinosa cranii.” By 1741, the convention of referring to the galea as an aponeurosis was well established. Harvey Cushing's wartime experiences at Army Base Hospital No. 5 reinforced the surgical significance of the galea. Operative mortality was significantly diminished due to “closure of the wounds with buried sutures in the galea.” This operative nuance was then passed from teacher to pupil and has now become one of the tenets of modern neurosurgical practice.
15
Brzheskiy, Vladimir Vsevolodovich, and O. V. Konikova. "THE SELECTED PAGES OF THE HISTORY OF PEDIATRIC OPHTHALMOLOGY IN SAINT PETERSBURG." Russian Pediatric Ophthalmology 12, no. 2 (June 15, 2017): 62–72. http://dx.doi.org/10.18821/1993-1859-2017-12-2-62-72.
Full textAbstract:
The history of pediatric ophthalmology in Saint Petersburg dates back to the opening of the city children’s hospital “in memory of the sacred coronation of their Imperil Majesties” under the patronage of Nikolas II, Emperor of Russia, in 1905. Based at this facility, the Russia’s first department of pediatric ophthalmology was founded in 1935 to be affiliated with Leningrad Pediatric Medical Institute. The department was successively headed by professors V.V. Chirkovsky, L.A. Dymshits, V.I. Grigor’eva, A.I. Gorban’, and E.E. Somov. The present head of the department is professor V.V. Brzheskiy. One more department of pediatric ophthalmology was opened in 1983 based at the Leningrad Institute of Advanced Medical Training. It was successively headed by the associate professor V.V. Kolotov, professors S.S. Saporovsky and R.L. Troyanovsky, E.I. Saidasheva, d-r med. sci. At present, an extensive network of children’s clinics and specialized kindergartens for the children suffering from visual impairment successfully operates in Saint-Petersburg, besides two schools for the blind and visually impaired children, the eye diagnostic centre for the children and adults, and three pediatric ophthalmological hospitals. The city pediatric ophthalmology service is headed by R.V. Ershova. N.N. Sadovnikova is in charge of the Ophthalmological Department of the Clinic of Saint Petersburg State Pediatric Medical University. The Ophthalmological Department of K.A. Raukhfus municipal city hospital No 19 is headed by A.V. Baranov, PhD, and the Department of Eye Microsurgery at the Leningrad regional Children’s Clinical Hospital by O.V. Diskalenko. The present-day clinical, scientific, and educational potential of the Saint-Petersburg pediatric ophthalmological community formed at the base of many-year experience of the preceding generations of physicians continues to further increase which creates conditions for the formulation and successful achievement of the new ambitious goals.
16
Wibowo, Syaeful Agung, Suharto Wijanarko, Erwin Aritama Ismail, and Muhammad David Perdana Putra. "Total Penectomy and Perineal Urethrostomy Management of Penile Squamous Cell Carcinoma with Paraffinoma in Single Center Hospital: A Rare Case Report." Open Access Macedonian Journal of Medical Sciences 9, no. C (May 14, 2021): 55–58. http://dx.doi.org/10.3889/oamjms.2021.5996.
Full textAbstract:
BACKGROUND: Penile cancer is a rare condition, affecting less than 1% of the adult male population [1]. The risk of penile cancer increases significantly with age, poor hygiene, and the presence of the prepuce. The most common type encountered is squamous cell carcinoma (SCC). Clinically penile cancer appears as small lesions with induration and erythema or as large infiltrative ulcerative lesions. As the disease progresses, complaints such as itching, bleeding, discharge, foul odor, and pain occurred. CASE REPORT: A 63-year-old man with poor hygiene and has a history of diabetes mellitus had penis ulcers since 5 years ago. On physical examination, an ulcer with the size of 12 × 12 × 10 cm was found growing pus (-). Biopsy had done and confirmed SCC as a result. Pelvic multiple slice CT shows growth covering the entire shaft of the penis down to the base. The patient had a previous history of using silicone injection 35 years ago and causing Sclerofibromatosis. The patient was planned to undergo surgery with clinical diagnosis T4N0M0. Total penectomy was performed with an elliptical incision around the base with a margin of 2 cm. Sclerofibromatosis and the surrounding tissue were excised to the base of the penis followed by perineal urethrostomy. There was no problem postoperatively. The patient went home after staying in the hospital for 96 h. The surgical specimen revealed SCC with free of tumor excision margin. CONCLUSIONS: Injections with silicone to enlarge the penis cannot be justified. The process can trigger a chronic inflammatory reaction associated with penile malignancy. Total penectomy and wide excision with urethral perineostomy could be optimal initial treatment.
17
Nabi, Muhammad, Erum Habib, Rubina Ahmed, Muhammad Yaseen, Nasir Ali, and Shah Abdur Rahim. "Musculoskeletal Disorders in Pakistani Women during Pregnancy: A Population Base Study." American Journal of Health, Medicine and Nursing Practice 7, no. 11 (September 28, 2022): 22–29. http://dx.doi.org/10.47672/ajhmn.1202.
Full textAbstract:
Introduction: Changes in posture, blood physiology, weight increase, changes in musculotendinous strength, and joints and ligaments laxity are only some of the physical changes that occur during pregnancy. According to several studies, pregnancy-related back discomfort affects 25% to 75% of women. The primary goal of this research is to provide a comprehensive picture of women's musculoskeletal issues during pregnancy and identify the most prevalent triggers of pregnancy-related musculoskeletal discomfort.
Methodology: From Jan 2019 to Jan 2020, the Department of Orthopedic Surgery Territory Care Hospital performed this investigation. In this research, 92 women were enrolled after the IRB (Institutional Review Board) of the Territory Care Hospital approved the study's ethical standards. This research monitored patients throughout their pregnancies to see if they had any musculoskeletal issues. Pregnant women between the ages of 18 and 45 who had a term pregnancy (37-42 weeks) were included in the research. The authors didn't include women with any history of rheumatoid arthritis, osteoarthritis, or SLE, a systemic autoimmune disease.
Findings: Participants in the research were 32.18 years old on average with a standard deviation of 7.82 years. Moreover, half of the participants were college graduates, 71. (76.44%) while pregnant, participants gained an average weight of 14.70 and 7.82 kg. Only four (4 %) of these women engaged in aerobic activity. Most study participants reported musculoskeletal complaints at night with 75 reporting nighttime symptoms (85%). There were 82 (90%) people with low back pain, 10 (10%) participants with arthralgia, 35 (40%) participants with arthritis, and 32 (35%) participants with neck pain in the study. Pregnancy-related musculoskeletal issues substantially drain the health care system's budget. Arthritis and neck discomfort is among the most prevalent musculoskeletal complaints. Pregnancy-related weight gain and inactivity exacerbate these issues. The findings of this research need to be validated in more extensive trials.
18
Hashimoto, Naoya, Carter S. Rabo, Yoshiko Okita, Manabu Kinoshita, Naoki Kagawa, Yasunori Fujimoto, Eiichi Morii, et al. "Slower growth of skull base meningiomas compared with non–skull base meningiomas based on volumetric and biological studies." Journal of Neurosurgery 116, no. 3 (March 2012): 574–80. http://dx.doi.org/10.3171/2011.11.jns11999.
Full textAbstract:
Object The precise natural history of incidentally discovered meningiomas (IDMs) remains unknown. It has been reported that for symptomatic meningiomas, tumor location can be used to predict growth. As to whether the same is true for IDMs has not been reported. This study aims to answer this question and provide biological evidence for this assumption by extending the study to involve symptomatic cases. Methods A total of 113 IDMs were analyzed by fine volumetry. A comparison of growth rates and patterns between skull base and non–skull base IDMs was made. Subsequently, materials obtained from 210 patients with symptomatic meningiomas who were treated in the authors' hospital during the same period were included for a biological comparison between skull base and non–skull base tumors using the MIB-1 index. Results The 110 patients with IDMs included 93 females and 17 males, with a mean follow-up period of 46.9 months. There were 38 skull base (34%) and 75 non–skull base (66%) meningiomas. Forty-two (37%) did not exhibit growth of more than 15% of the volume, whereas 71 (63%) showed growth. Only 15 (39.5%) of 38 skull base meningiomas showed growth, whereas 56 (74.7%) of 75 non–skull base meningiomas showed growth (p = 0.0004). In the 71 IDMs (15 skull base and 56 non–skull base), there was no statistical difference between the 2 groups in terms of mean age, sex, follow-up period, or initial tumor volume. However, the percentage of growth (p = 0.002) was significantly lower and the doubling time (p = 0.008) was significantly higher in the skull base than in the non–skull base tumor group. In subsequently analyzed materials from 94 skull base and 116 non–skull base symptomatic meningiomas, the mean MIB-1 index for skull base tumors was markedly low (2.09%), compared with that for non–skull base tumors (2.74%; p = 0.013). Conclusions Skull base IDMs tend not to grow, which is different from non–skull base tumors. Even when IDMs grow, the rate of growth is significantly lower than that of non–skull base tumors. The same conclusion with regard to biological behavior was confirmed in symptomatic cases based on MIB-1 index analyses. The authors' findings may impact the understanding of the natural history of IDMs, as well as strategies for management and treatment of IDMs and symptomatic meningiomas.
19
Srinivas, Pratiksha, Joel Nwosu, Aloaye Foy-Yamah, and Clement Okiemute Ejohwomu. "Carotid artery dissection: a case of recurrence." BMJ Case Reports 14, no. 5 (May 2021): e241718. http://dx.doi.org/10.1136/bcr-2021-241718.
Full textAbstract:
A 53-year-old healthy man with history of left internal carotid artery dissection in 2006 presented with right-sided facial pain with paraesthesia associated with taste and speech disturbances. A CT angiogram was done without further delay considering the patient’s history of dissection, and revealed a non-occlusive right-sided internal carotid artery dissection at the skull base level. The neurologist, neurosurgeons and stroke team were involved in the care, and the patient was immediately moved to a tertiary hospital for further intervention. Brain MRI and magnetic resonance angiography did not reveal further progression of the dissection and the patient was therefore medically managed.
20
Lloyd, Chris. "Vocational Evaluation in a Forensic Psychiatric Setting." Canadian Journal of Occupational Therapy 53, no. 1 (February 1986): 31–35. http://dx.doi.org/10.1177/000841748605300107.
Full textAbstract:
The Forensic Unit of the Alberta Hospital Edmonton has moved from evaluating the performance of a client in a work setting by observation to providing a comprehensive data base on the client through the use of a work history, interest screening and commercial work evaluation systems. A standardized approach, to evaluation has enabled the Occupational Therapists to develop a unique treatment programme for the individual client as a result of the evaluation process and provided reliable data in returning the client to competitive employment.
21
Queiroz, Kelly Mariana Pimentel, Hugo Demesio Maia Torquato Paredes, Ana Carolina Souza Costa, Mariana Oliveira Couto Silva, Fernanda Valentim Costa, Luciana Aguiar Velasco Lima, Cleber Nascimento Carmo, Jane Carlos Santana Capelli, and Vivian Oliveira Sousa Corrêa. "Infecções congênitas em um hospital público de referência em Macaé, Rio de Janeiro, no biênio 2016-2017." Revista de Saúde Pública do Paraná 4, no. 4 (December 23, 2021): 29–43. http://dx.doi.org/10.32811/25954482-2021v4n4p29.
Full textAbstract:
As infecções congênitas estão relacionadas à mortalidade fetal e neonatal e fazem parte dos Indicadores de Risco para a Deficiência Auditiva previstos na Triagem Auditiva Neonatal. O estudo objetiva descrever a proporção de infecções congênitas no Programa de Triagem Auditiva Neonatal do Hospital Público Municipal de Macaé, Rio de Janeiro. Realizou-se um estudo retrospectivo, descritivo, de base secundária, a partir dos registros de neonatos obtidos no setor de Fonoaudiologia, entre 2016 e 2017. No biênio, detectaram-se 114 neonatos com infecções congênitas, 36,0% (n=41) em 2016, e 64,0% (n=73) em 2017. Destes, 46,3% e 46,6% apresentavam sífilis congênita; 29,3% e 24,7% o vírus da imunodeficiência humana; 17,1% e 15,1% toxoplasmose, em 2016 e 2017, respectivamente. O aumento de infecção por citomegalovírus no período passou de 2016 (2,4%) para 2017 (8,2%). Conclui-se que as infecções congênitas de maior proporção foram a sífilis congênita, o vírus da imunodeficiência humana e a toxoplasmose.
22
Ferraioli, Massimiliano, and Alberto Mandara. "Base Isolation for Seismic Retrofitting of a Multiple Building Structure: Design, Construction, and Assessment." Mathematical Problems in Engineering 2017 (2017): 1–24. http://dx.doi.org/10.1155/2017/4645834.
Full textAbstract:
The paper deals with the seismic retrofit of a multiple building structure belonging to the Hospital Centre of Avellino (Italy). At first, the paper presents the preliminary investigations, the in situ measurements and laboratory tests, and the seismic assessment of the existing fixed-base structures. Having studied different strategies, base isolation proved to be the more appropriate, also for the possibility offered by the geometry of the building to easily create an isolation interface at the ground level. The paper presents the design project, the construction process, and the details of the isolation intervention. Some specific issues of base isolation for seismic retrofitting of multiple building structures were lightened. Finally, the seismic assessment of the base-isolated building was carried out. The seismic response was evaluated through nonlinear time-history analysis, using the well-known Bouc-Wen model as the constitutive law of the isolation bearings. For reliable dynamic analyses, a suite of natural accelerograms compatible with acceleration spectra of Italian Code was first selected and then applied along both horizontal directions. The results were finally used to address some of the critical issues of the seismic response of the base-isolated multiple building structure: accidental torsional effects and potential poundings during strong earthquakes.
23
Linden, Diana L., and Larry A. Greene. "Charles Alston's Harlem Hospital Murals: Cultural Politics in Depression Era Harlem." Prospects 26 (October 2001): 391–421. http://dx.doi.org/10.1017/s0361233300000983.
Full textAbstract:
In 1936, the Works Progress Administration/Federal Art Project (WPA/FAP, 1935–43) appointed New York City artist Charles Alston (1907–77) to be the first African American to supervise a New Deal mural project. Alston, five other artists, and their assistants designed narrative, celebratory images of Harlem, African-American life, children's fairy tales, and stories for New York's Harlem Hospital. In paired panels exploring the theme of healing, Alston depicted an African past beyond exotic and barbaric stereotypes in Magic in Medicine for the foyer of Harlem Hospital Women's Pavilion, and a racially egalitarian American present in its companion panel Modern Medicine (each 17 × 9 feet) (Figure 1). Initially, white hospital authorities rejected the works on the basis that they “contain too much Negro subject matter,” which would make them unappealing to residents of Harlem. This judgment angered Alston, since his designs were consistent with project guidelines. Because the building was a hospital in Harlem, Alston selected the theme of medicine and depicted black figures in his two panels. Yet the seeming suitability of images that looked like the people who used Harlem Hospital and referred to their collective history met with loud objections from Harlem Hospital's white administration. While it was common for muralists to base their subject matter on the local community and its history, and in fact the WPA/FAP encouraged artists to do so, officials tried to cancel Alston's commission on these very grounds. Their attempt to prevent artistic self-representation in the 1930s followed on the heels of prolonged racist hiring policies at Harlem Hospital. Alston ultimately painted his mural designs as planned; final approval of the murals did not come until 1940.
24
Nakaguchi, Hiroshi, Takeo Tanishima, and Norio Yoshimasu. "Factors in the natural history of chronic subdural hematomas that influence their postoperative recurrence." Journal of Neurosurgery 95, no. 2 (August 2001): 256–62. http://dx.doi.org/10.3171/jns.2001.95.2.0256.
Full textAbstract:
Object. Factors affecting the postoperative recurrence of chronic subdural hematomas (CSDHs) have not been sufficiently investigated. The authors have attempted to determine features of CSDHs that are associated with a high or low recurrence rate on the basis of the natural history of these lesions and their intracranial extension. Methods. One hundred six patients (82 men and 24 women) harboring 126 CSDHs who were treated at Tokyo Kosei Nenkin Hospital between January 1989 and April 1998 were studied. Types of CSDHs were classified according to hematoma density and internal architecture, and the intracranial extension of the hematomas were investigated. The postoperative recurrence rate was calculated for each factor. Based on the internal architecture and density of each hematoma, the CSDHs were classified into four types, including homogeneous, laminar, separated, and trabecular types. The recurrence rate associated with the separated type was high, whereas that associated with the trabecular type was low. Chronic subdural hematomas are believed to develop initially as the homogeneous type, after which they sometimes progress to the laminar type. A mature CSDH is represented by the separated stage and the hematoma eventually passes through the trabecular stage during absorption. Based on the intracranial extension of each hematoma, CSDHs were classified into three types, including convexity, cranial base, and interhemispheric types. The recurrence rate of cranial base CSDHs was high and that of convexity CSDHs was low. Conclusions. Classification of CSDHs according to the internal architecture and intracranial extension may be useful for predicting the risk of postoperative recurrence.
25
Edner, Göran, and Håkan Almqvist. "THE STOCKHOLM 20-YEAR FOLLOW-UP OF ANEURYSMAL SUBARACHNOID HEMORRHAGE OUTCOME." Neurosurgery 60, no. 6 (June 1, 2007): 1017–24. http://dx.doi.org/10.1227/01.neu.0000255458.07140.e6.
Full textAbstract:
Abstract OBJECTIVE To assess the clinical and radiological long-term outcome after aneurysmal subarachnoid hemorrhage (SAH) in a defined referral area regarding recurrent SAH and de novo aneurysm formation. METHODS One hundred and two 1-year survivors after aneurysmal SAH, who were treated at the Neurosurgical Clinic, South Hospital, Stockholm, Sweden, between 1983 and 1985, were followed for 20 years. Forty-nine surviving patients were reevaluated. Hospital records and death certificates were scrutinized for all 53 nonsurviving patients. Clinical history penetration, Mini Mental Status, Rankin Disability Score, and Barthel Index were used to evaluate the outcome. Computed tomographic angiography was used to investigate the cerebral arteries. RESULTS One hundred and two patients were traced. Fifty-three patients were deceased. One patient had a hospital record of sustaining an aneurysmal SAH from a known but not clipped aneurysm. Three patients had nonaneurysmal intracerebral hemorrhage and two sustained traumatic SAH. There were 49 surviving patients. Six refused follow-up. None of these patients had hospital records of intracranial disease. Three of the 43 remaining patients could not be tested. None of the survivors had experienced a new SAH. Aneurysm base remnants were observed in 1% (eight patients, 790 person-years of follow-up) and de novo aneurysms were observed in 0.9% (seven patients, 790 person-years of follow-up). CONCLUSION From this epidemiological survey of patients with aneurysmal SAH, it was found that none of the patients experienced a recurrent subarachnoid bleed from the treated aneurysm during a 20-year follow-up period. Thus, a routine extreme long-term follow-up period is not necessary. De novo aneurysm formation and possible enlargements of aneurysm base remnants were observed in almost 2% of patients per person year and should, therefore, be subject of a routine, long-term follow-up.
26
Netto, Bruno, Otavio Bejzman Piltcher, Camila Degen Meotti, Jaqueline Lemieszek, and Gustavo Rassier Isolan. "Computed tomography imaging study of the superior attachment of the uncinate process." Rhinology journal 53, no. 2 (June 1, 2015): 187–91. http://dx.doi.org/10.4193/rhino14.174.
Full textAbstract:
Background: The superior attachment of the uncinate process (SAUP) is an important landmark in the nasofrontal recess, but its anatomical distribution is still unclear. The objective of this study was to assess the location and number of superior attachments of the uncinate process on computed tomography (CT) images. Methodology: A cross-sectional, retrospective study conducted at the Department of Radiology, Hospital de Clinicas de Porto Alegre, Brazil. Sinus CT scans of adult patients with no history of sinonasal surgery, craniofacial fractures, malignant neoplasms, or malformations were examined for identification of the site of SAUP. Results: 152 CT scans (304 sides) were assessed. The SAUP was appropriately identified in 292 sides (96%). Six distinct SAUP patterns were identified: to the lamina papyracea or anterior ethmoidal cells (193, 63.48%); to the middle turbinate (19, 6.25%); to the skull base (19, 6.25%); to the lamina papyracea and middle turbinate (29, 9.53%); to the lamina papyracea and skull base (29, 9.53%); and to the skull base and middle turbinate (3, 0.98%). Conclusion: The site of superior attachment of the uncinate process is highly variable, but is in contact with the lateral nasal wall in 82.5% of the cases.
27
Chepik, G. S., T. N. Karpova, and I. K. Soldatov. "SANATORIUM-PREVENTION «MOUNTAIN WATER» (TO THE QUESTION OF DEVELOPMENT OF THE HEALTH RESORT BASE OF PRIMORSKY KRAI)." Marine Medicine 6, no. 5(S) (January 20, 2021): 96–100. http://dx.doi.org/10.22328/2413-5747-2020-6-s-92-95.
Full textAbstract:
The article provides a mention of the Russian Soviet geographer and traveler V. K. Arsenyev about mineral springs in the Ussuri taiga, briefly outlines the history of the opening of a sanatorium in Gornovodny (Sandagou). The role of the command of the Vladimir-Olginsky military naval base of the Pacific Fleet in the opening of the sanatorium is highlighted (information from the book of the graduate of the Naval Medical Academy, captain of the medical service A. M. Kopanev was used), as well as the study and application in the treatment of patients with mineral water by a naval doctor the therapeutic department of the 18th Naval Hospital of the 750th Logistics Department of the Pacific Fleet, Lieutenant Colonel of the Medical Service I. F. Andreev. The main characteristics, chemical formula and chemical composition of mineral water from the Gornovodnoye spring are given. The medical base, profiles of diseases, accommodation, nutrition, recreation, summer and winter outdoor air temperatures are presented.
28
Sangwarn, Matthana, and Kanjana Naromrum. "Factors Influencing on the Duration of Breastfeeding in Ramathibodi Hospital Personnel." Ramathibodi Medical Journal 43, no. 3 (September 30, 2020): 15–26. http://dx.doi.org/10.33165/rmj.2020.43.3.218806.
Full textAbstract:
Background: Breast milk is the best food for newborn and the important base in physical mental intellectual and emotional development.
Objective: To identify rate of exclusive breastfeeding at least 6 months and to influencing factors on duration of breastfeeding in Ramathibodi Hospital personnel.
Methods: This study was a cross-sectional study. Participants were 483 Ramathibodi Hospital personnels who gave birth at Ramathibodi Hospital from October 1, 2012, to September 30, 2015. Instruments were demographic data and breastfeeding history questionnaires. Data were analyzed by descriptive statistics and the correlation between the factors associated with breastfeeding used chi-square test and multiple logistic regression analysis.
Results: Questionnaires were returned 329 (68%). Exclusive breastfeeding for first 6 months was 20%. The finding showed that age, level of education, occupation, average family income per month, duration of breastfeeding intention, breastfeeding instruction at antenatal care clinic, and personnel have breast milk before discharge were related to the duration of breastfeeding for more than or equal 6 months (P < .05). Occupation and duration of breastfeeding intention predicted the duration of breastfeeding in Ramathibodi Hospital personnel 17.2%.
Conclusions: This study showed that high age, high level of education, maternal occupation, high family income, duration of breastfeeding intention, breastfeeding instruction at antenatal care clinic, and personnel having breast milk before discharge related to the duration of breastfeeding for equal or more than 6 months. The predictable factors on the duration of breastfeeding for equal or more than 6 months were occupation and duration of breastfeeding intention.
29
Islam, Md Nazmul, Mohammad Mamun Siddiqui, Sabrina Hossain, Anup Kumar Chowdhury, Mohammad Shahariar Arafat, and Mohammad Ibrahim Khalil. "Emergency Tracheostomy in a Tertiary Level Hospital in Bangladesh: Indications and Complications." Bangladesh Journal of Otorhinolaryngology 22, no. 2 (January 23, 2020): 96–101. http://dx.doi.org/10.3329/bjo.v22i2.45095.
Full textAbstract:
Objective: To see the common indications, pattern of complications (during and post operative) of emergency tracheostomy in the tertiary level hospital in Bangladesh. It also gives the idea for minimizing the complications.
Methods: This cross sectional study was carried out in the Department of Otolaryngology & Head- Neck surgery of Dhaka Medical College Hospital, Dhaka, from 14th April 2015 to 14th October 2015. This study includes all emergency patients irrespective of age and sex whose tracheostomy was done in emergency operation theatre of ENT department of Dhaka Medical College and Hospital.
Results: The study reveals that the commonest indications of emergency tracheostomy were diagnosed case of carcinoma of larynx & base of tongue (30%) followed by post-irradiated carcinoma larynx (24%). Next common indications were stridor in undiagnosed case (18%), difficulty in intubation during surgery (10%), history of road traffic accident (6%), cut throat injury (6%), foreign body in throat (2%), laryngeal edema and blunt trauma in neck (2%) respectively. Commonest complications during the procedure were apnoea (12%), haemorrhage (18%), injury to surrounding structure (10%), cardiac arrest (4%) & respiratory arrest (2%). Common complications in early post operative period were surgical emphysema (10%), crusting or blockage (4%), tube dislodgement (4%), &stomal infection (2%). Late post operative complications were stomal granulation tissue (4%), pneumonia (2%), stomal infection (2%), tracheocutaneous fistula (2%), & tracheomalasia (2%).
Bangladesh J Otorhinolaryngol; October 2016; 22(2): 96-101
30
Khan, Zahidullah, Inamullah Khan, and Fazle Subhan. "HYPERCHOLESTEROLEMIA;." Professional Medical Journal 21, no. 01 (February 10, 2014): 111–15. http://dx.doi.org/10.29309/tpmj/2014.21.01.1924.
Full textAbstract:
Objective: To compare the efficacy of Simvastatin with Atorvastatin in loweringLow Density Lipoprotein Cholesterol (LDL-C) in patients with Hypercholesterolemia in a tertiarycare hospital. Design: Prospective, observational, single center study. Setting: Department ofMedicine, Khyber Teaching Hospital, Peshawar. Period: December 2011 to December 2012.Subjects and Methods: A total of 200 cases having base line fasting LDL-C level of ≥ 130 mg/dland meeting the inclusion criteria were included in the study through both outpatient department(OPD) and admitted patient. After detailed history and clinical examination, all patients weredivided randomly into two groups, A and B. Patients in Group A were given Simvastatin20mg/day and Group B received Atorvastatin 20mg/day. Fasting blood samples were taken fromthe selected patients in the start of study and after 12 weeks. Results: A total of 200 subjects witha serum LDL-C level ≥ 130 mg/dL were included in the study. They were divided into 2 groupsrandomly, 100 in each group. Each group comprised of 75 male and 25 female. The mean age ingroup A was 52 years and in group B it was 54 years. The age ranges between 40 years and 73years. Mean base LDL-C level was 165 mg/dl in group A and 170mg/dl in group B. Simvastatin 20mg/dl reduced LDL-C level by 26% and Atorvastatin 20mg/dl reduced LDL-C level by 33% after 12weeks of treatment. Conclusions: Atorvastatin is a more effective drug to reduce serum LDLcholesterolthan Simvastatin in the same doses.
31
Moeller, Jeremy J., Sudeep Shivakumar, Mary Davis, and Charles E. Maxner. "Occipital Condyle Syndrome as the First Sign of Metastatic Cancer." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 34, no. 4 (November 2007): 456–59. http://dx.doi.org/10.1017/s0317167100007356.
Full textAbstract:
Background:Occipital condyle syndrome is characterized by severe, unilateral, occipital headache and ipsilateral twelfth-nerve palsy. It is associated with skull-base metastasis.Cases:We identified two patients with sub-acute onset of severe, unilateral, occipital headache and ipsilateral tongue paralysis. The first patient was a 58-year-old woman with a history of limited stage small-cell lung cancer in clinical remission. The second patient was an otherwise healthy 36-year-old man. Neither patient had any other findings on general medical or neurological examination. One patient had only equivocal findings on initial magnetic resonance imaging (MRI), and the other patient's MRI was normal. Although initial work-up for metastatic disease was normal, the first patient developed severe bone pain over the next few months, and follow-up investigations demonstrated metastases to her spine, tibia, skull base and brain. The second patient improved initially, but was admitted to hospital three months later with constitutional symptoms and pancytopenia. Bone marrow and lymph node biopsies were consistent with Stage IVB Hodgkin's lymphoma.Conclusion:Occipital condyle syndrome can be the first presentation of disseminated malignancy. Initial imaging of the brain and skull base may be normal, and recognition of this syndrome warrants thorough investigation and close follow-up.
32
Wu, Yali, Mingfu Gong, Dong Zhang, and Chun Zhang. "Educational impact of the mini-Clinical Evaluation Exercise in resident standardization training: a comparative study between resident and professional degree postgraduate trainees." Journal of International Medical Research 48, no. 5 (May 2020): 030006052092005. http://dx.doi.org/10.1177/0300060520920052.
Full textAbstract:
Objective We aimed to explore differences in the educational impact of the mini-Clinical Evaluation Exercise (mini-CEX) on resident (RE) and professional degree postgraduate (PDPG) trainees, as well as influencing factors, to provide suggestions for hospital managers, trainers, and trainees. Methods We performed a retrospective analysis of all scores among first-year resident standardization training trainees registered during 2017 to 2019 at Xinqiao Hospital of Army Medical University, to identify differences in mini-CEX outcomes between REs and PDPGs. Results We collected data of 154 registered trainees for retrospective analysis, including 57 PDPG trainees and 97 RE trainees. The mean (standard deviation) overall performance score of PDPGs was 84.18 (4.25), which was higher than that of REs (81.48 (3.35)). In terms of domain analysis, PDPG trainees performed significantly better than REs in history taking, physical examination, clinical diagnosis/treatment regimen, and the knowledge examination; communication skills/humanistic care were comparable between the groups. Conclusions PDPGs performed better than REs in overall competency, history taking, physical examination, clinical diagnosis/treatment regimen, and the knowledge examination. A better knowledge base, supervisor-dominated one-to-one teaching mode, higher self-esteem and learning goals, and more sophisticated responses to feedback were potential contributors to a superior educational impact of the mini-CEX.
33
Teerakuldej, Tidatip, and Pichitpong Soontornpipit. "Dental Guidelines with Decision Support System for Hypertension and Stroke Patients." Applied Mechanics and Materials 781 (August 2015): 583–86. http://dx.doi.org/10.4028/www.scientific.net/amm.781.583.
Full textAbstract:
The research aims to design and develop the clinical decision support system (CDSS) for supporting clinical practice guideline (CPG) for the dental treatment. The system is created for patients who have hypertension and stroke diseases as they are the third and fourth causes of death in Thailand. Based on patient information retrieved from database in the hospital information system, the system generates the decision support flow using if-then rule base to provide dental precaution of individual patient along with clinical practice guidelines. The system presents stage of hypertension disease, treatment guidelines of each stage, history of stroke occurrence, medicine prescribing data, antiplatelet drug causes of long time bleeding and beta-blocker anti-hypertension drug causes of postural hypotension.
34
Tang, Ru, Song Mao, Hai Lin, Hai-Bo Ye, Da-Wei Li, Zheng-Nong Chen, Kai-Ming Su, and Wei-Tian Zhang. "Surgical Treatment and Outcomes for Sinonasal and Skull Base Phosphaturic Mesenchymal Tumors." Otolaryngology–Head and Neck Surgery 162, no. 5 (March 3, 2020): 674–82. http://dx.doi.org/10.1177/0194599820904055.
Full textAbstract:
Objective To describe our clinical experience with surgical treatments for sinonasal phosphaturic mesenchymal tumors diagnosed at our institution. Study Design Retrospective case series. Setting Affiliated Sixth People’s Hospital, Shanghai Jiao Tong University. Subjects and Methods We retrospectively reviewed the medical records of 10 patients diagnosed with phosphaturic mesenchymal tumors associated with tumor-induced osteomalacia between December 2014 and October 2019. Results There were 4 men and 6 women with a disease course of 1 to 19 years. All patients exhibited hypophosphatemia and tumor-induced osteomalacia. The tumor was located in the sinonasal region, frontal bone, and temporal bone in 8 patients, 1 patient, and 1 patient, respectively. Technetium-99m octreotide scintigraphy was used for tumor localization in 4 cases. Six patients underwent endoscopic resection; the remaining 4 underwent unilateral transorbital anterior and posterior ethmoid artery ligation + endoscopic resection, endoscopic resection + skull base repair, internal carotid artery stenting + transcatheter arterial embolization + temporal bone tumor excision + adipose tissue plugging, and endoscopic resection + transfrontal craniotomy (n = 1 each). Two patients had a history of incomplete endoscopic resection. All patients achieved clinical remission and normalized biochemical indices after surgery. Only 1 patient developed recurrence and died of a brain hernia. Conclusions A diagnosis of sinonasal phosphaturic mesenchymal tumors should be based on a combination of clinical, imaging, and pathological findings. Technetium-99m octreotide scintigraphy helps in locating the tumor. Complete surgical excision guarantees clinical remission, and preoperative transcatheter arterial embolization or feeding artery ligation may reduce intraoperative bleeding in cases of highly vascularized tumors.
35
Mahmood, Zahid, Tariq Feroze Khawaja, Anjum Iqbal, Abdul Rashid Khan, and Naveed Arshad. "Clinical and electrocardiographic profile of patients presenting with acute coronary syndrome in emergency department in a Tertiary Care Hospital." Professional Medical Journal 27, no. 08 (August 10, 2020): 1669–74. http://dx.doi.org/10.29309/tpmj/2020.27.08.4437.
Full textAbstract:
Objectives: To assess the clinical characteristics and diagnosis of ACS for timely, management and further prevention from coronary events. Study Design: Cross sectional study. Setting: Emergency Department (ED) of Punjab Institute of Cardiology (PIC) Lahore. Period: November 2017 to January 2018. Material & Methods: Included 170 diagnosed patients of ACS of both sexes presenting within approximately four hours of symptoms. At presentation ECG and initial blood samples were taken from all patients for base line and Troponin T estimation. All the patients included in the study were properly examined and complete history was taken. Blood samples of patients for diagnosis of NSTEMI were also drawn at 8hrs of arrival. The patients were categorized into STEMI, NSTEMI and UA on the basis of history, ECG and cardiac Troponin T. Results were analyzed statistically. A p-value ≤ 0.05 was considered statistically significant. Results: A total of 170 patients with established diagnosis of ACS were included. The mean age of the patients was 56 years. There was a very strong male predominance (81.76%). The major modifiable risk factors were hypertension (54.71%) and smoking (35.88%), followed by hyperlipidemia (35.29%) and diabetes (32.35%). A previous history of IHD in patients and family history of IHD were equally present (37.65%). A large proportion of patients belonged to middle class (54.12%) and lower (41.18%). Typical pain chest pain was present in 90% and majority of patients enrolled in this study had a diagnosis of myocardial infarction 77.05% and the remainder had unstable angina. We found a higher percentage of ST elevation MI in the patients with MI (84.73%), majority had anterior AMI. Of all patients, 1.77% expired during hospital stay. Conclusion: The majority of ACS patients in our country are male with STEMI. The major risk factors are hypertension, family history of IHD, smoking, hyperlipidemia and diabetes. 90% patients present with typical chest pain while remaining 10% atypical symptoms which must be of prime consideration to assess ACS.
36
Koltsova, N. S., D. V. Pechkurov, G. A. Makovetskaya, L. I. Zakharova, and G. Yu Poretskova. "A CHILD UPCOUNTRY DOCTOR - BY THE LABOR AND MERCY OF GOD." Russian Pediatric Journal 21, no. 2 (April 30, 2019): 121–26. http://dx.doi.org/10.18821/1560-9561-2018-21-2-121-126.
Full textAbstract:
Data on the history of children’s health in the Samara region and the establishment of the Pediatric Faculty of the Samara State Medical University are presented. The initiator of the creation of the Pediatric Faculty in 1970 was prof. A.I. Miloserdova, who was in charge of the Department of Children’s diseases from 1957 to 1981. She both actively used the clinics of the regional children’s hospital as a base for the training pediatricians and made a great contribution to the development of the pediatric service of the Samara region. For many years her leadership of the Department of Children’s Diseases contributed to the formation of unforgettable principles of the activity not only of the Department but also of the regional children’s hospital: love for pediatrics, academicism, benevolence, decency, aspiration for new knowledge. A.I. Miloserdova prepared a whole galaxy of brilliant students, who both head the Departments of the Pediatric Faculty and implement new technologies for teaching, diagnosis, and treatment in all branches of the pediatric service of the city and the region.
37
Oseni-Momodu, Edwin, Hassan Shehu, and Jaejeok Lee. "Management of acute sigmoid volvulus in a tertiary hospital north central nigeria: The place of advanced radiodiagnostics." Clinical surgery research communications 5, no. 3 (September 29, 2021): 19–26. http://dx.doi.org/10.31491/csrc.2021.09.079.
Full textAbstract:
Background: Volvulus involves the twisting of an air-liquid stool-filled thin-walled segment of an intestine around its necessarily narrow mesenterial base, thereby strangulating the blood vessels, which often causes necrosis of this redundant intestinal segment. Intestinal volvulus had always been supposed to be a disease of the blacks from West African and the Bushmen natives of South Africa. The West African subset became the index region. Surgery was the best treatment for the full-blown disease. Conservative methods of management have only just been developed and studied in the Scandinavian countries. Scandinavian early rectosigmoidoscopic reductions of the twisted colonic segment have offered some valuable alternative helps. Methods: We studied the documents of all the 44 patients who had a presumptive diagnosis of acute or subacute colonic volvulus and were admitted to surgical management. Biostatistics, exact history taking of the patients, carefully structured physical examination, and a good digital scout X-ray investigation of the abdomen helped to make a rapid diagnosis. Laparotomies confirmed such a diagnosis. We did not regularly attempt to do recto-sigmoidoscopic untwisting of the volvuli. All had Hartmann’s procedure surgeries with terminal colostomies. Results: Of the 41 patients admitted to surgical management, 31 were males and 10 were females with a ratio of 3:1. The timing of surgery influenced mortalities and morbidities greatly. Conclusion: The diagnosis of acute volvulus was simple. We needed to record the medical history, took the proper physical examination, correctly explained the examination results, and only studied the abdominal X-ray film without resorting to advanced computer tomography.
38
Nazarenko, L. G., and K. M. Nedorezov. "Optimization of clinical approach to women with a history of caesarean section." HEALTH OF WOMAN, no. 7(113) (September 30, 2016): 62–65. http://dx.doi.org/10.15574/hw.2016.113.62.
Full textAbstract:
The artikle presents study allowance reducing the frequency of cesarean delivery (CD) by implementing practices vaginal birth in women after caesarean section (VBAC), with improved functional test for status uterine scar. The objective: to determine the influence of the number VBAC the overall level of the CD, the opportunity to refine prognosis for success VBAC based functional evaluation of the uterus and fetal at full-term pregnancy. Patients and methods. Was held cohort study material for hospital of 2 lewel of perinatal care for 2008-2015., in terms of introducing VBAC practices, and (2) a investigation of two groups of women for assessing perfusion in cervix and low segment of uterine Doppler influenced by contraction test. Results. Implementation VBAC institution 2 of perinatal care resulting in lower frequency in 25%. Successful attempt of VBAC have 51.6%, unsuccessful in 9.3% of the women with a uterine scar, elective repeat the CD performed in 39.1%. There is increasing lewel in the percentage of women with a history of the CD in the study cohort - from 4.1% in 2008 to 6.5% in 2014. Posted pathogenetic base for hemodynamic assessment cervics and low segment of uterine areas in contracting test as adequate modern approach to prognosis successful attempt successful attempts for the mother and fetus. Conclusions. The proposed test can objectively assess the chances of successful attempt VBAC to form arguments to try VBAC or repeat CD. Key words: cesarean section, uterine cervix, vaginal delivery, prognosos.
39
Tariq, Maham, Sara Malik, Mehwish Changeez, Saad Javed, Ramlah Ghazanfor, and Ghulam Khadija. "Perforated appendicitis: Can it be a bedside diagnosis?" Professional Medical Journal 27, no. 11 (November 10, 2020): 2289–94. http://dx.doi.org/10.29309/tpmj/2020.27.11.4339.
Full textAbstract:
Appendicitis remains one of the most common causes of acute abdomen worldwide. It presents as a spectrum of disease ranging from an acutely inflamed appendix to a perforated one. Where acutely inflamed can be managed conservatively, a perforated appendix always needs surgery to prevent complications like pelvic abscesses. Bedside diagnosis remains relevant in our setup. Objectives: To determine whether history, clinical examination, and basic laboratory investigations can help in confident bedside diagnosis of perforated appendicitis especially in the absence of sophisticated diagnostic modalities. Study Design: Retrospective Case-control study. Setting: Surgical Unit-1, Holy Family Hospital. Period: Jan 2016 to Dec 2016. Material & Methods: Conducted at Hospital records of patients who underwent open appendectomy in the year 2016 were reviewed. Two groups of 100 patients each were made based on per operative findings. Appendices having macroscopic holes in the base or tip were labeled as perforated. Group A had acutely inflamed appendix and group b had perforated appendix. Patients’ demographic details were taken from hospital admission tickets. Findings of history and examination were retrieved from treating resident and operating surgeon's notes. Data were analyzed through SPSS. Results: Out of 200 patients the total number of males was 102 (51%) and females were 98 (49%). Mean age was 24.13+9.73 in males and 18.7+ 6.4 in females of group A and 26.0+10.1 in males and 20.56+7.53 in females of Group B. Group B showed a significant delay in presentation to emergency after the onset of pain (P = 0.022). Upon history and clinical examination, the presence of anorexia, malaise, generalized abdominal pain, guarding, mass in right iliac fossa were significantly associated with perforation. Whereas gender, fever, vomiting, and dysuria showed no association with perforation. Conclusion: Bedside conventional methods of history taking and examination remain a useful tool in anticipating perforated appendicitis. This helps surgeons in planning incisions and prioritizing patients on heavy operating lists. This remains especially relevant in resource-constrained setups where sophisticated modalities like CT scans are largely unavailable.
40
Ammar, Ahmed Siddique, Ali Hadi, Umbreen Anwar, Farwa Inayat, Sana Batool, and Syed Asghar Naqi. "A Rare Case of Pneumoperitoneum due to Perforation at Tip of Appendix." Journal of Gandhara Medical and Dental Science 9, no. 2 (April 6, 2022): 75–77. http://dx.doi.org/10.37762/jgmds.9-2.298.
Full textAbstract:
Pneumoperitoneum caused by a perforated appendix is extremely rare. We encountered a case of a 24 years old male presented in the emergency department of EAST surgical ward of MAYO Hospital Lahore with a history of epigastric pain for 10 days, which later became generalized. Chest X-ray showed free air under the right hemidiaphragm. On the basis of clinical examination and radiological correlations diagnosis of duodenal ulcer perforation was made. On exploration of abdomen through midline incision it was found to be a perforated appendix at its tip. The body and base of the appendix was normal. No per operative and postoperative complications were encountered and the patient discharged on the second postoperative day. Biopsy of appendix showed acute inflammation of appendix.
41
Pereira, Mariana Leite, Edson Marchiori, Gláucia Zanetti, Guilherme Abdalla, Nina Ventura, Carolina Pesce Lamas Constantino, Viviane Brandão, et al. "Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings." Case Reports in Medicine 2010 (2010): 1–4. http://dx.doi.org/10.1155/2010/961984.
Full textAbstract:
We describe the case of a 45-year-old male with pulmonary paracoccidioidomycosis and spontaneous pneumothorax. The patient presented to the hospital with sudden and intense chest pain accompanied by dyspnea and had a six-month history of dry cough, weight loss, and progressive dyspnea on exertion. Chest X-ray showed a small right pneumothorax, bilateral nonhomogeneous opacities, and emphysematous areas in the lung base. Chest computed tomography showed consolidation in both lungs, with architectural distortion, nodules, interlobular septal thickening, and emphysema, in addition to the right pneumothorax. A lung biopsy revealed yeast consistent withParacoccidioides brasiliensis. No drainage was needed, and the lung was re-expanded. The patient was treated with antifungal drugs, showed mild improvement, and was referred to outpatient care.
42
Zaheen, Zakia, Reema Akhter, Misha Khalid, Rozina Mujeeb Sahito, Rekha, and Yasmeen Joyo. "Effectiveness of B-lynch suture technique for treatment of high risk women for postpartum haemorrhage at Liaquat Medical University Hospital Hyderabad." Professional Medical Journal 27, no. 03 (March 10, 2020): 523–29. http://dx.doi.org/10.29309/tpmj/2020.27.03.3422.
Full textAbstract:
Postpartum haemorrhage (PPH) is an incident in pregnant women and due to this reason women are delivered by vaginally or cesarean section. Globally most of the women die due to this significant reason. Several methods are being used to prevent hysterectomy when “uterotonic” drugs are fail in the management of postpartum haemorrhage. Objectives: To determine the effectiveness of B-lynch suture technique for treatment of high risk women with postpartum haemorrhage at Liaquat medical University Hospital Hyderabad. Study Design: Descriptive cases series. Setting: Department of the obstetric/Gynaecolgoy at Liaquat University hospital Hyderabad. Period: 6 months from 1st January to 30th June 2018. Material & Methods: There were fifty patients who were found high risk for PPH on history and clinical examination was included in this study. A detailed medical history and base line equitable investigation was done. They were operated irrespective of the surgical procedure by which B-Lynch suture technique was applied. Effectiveness was noted and all other data was entered on predesigned proforma attached with. Results: The average age of the patients was 31.54±6.54 years and Average blood loss the PPH patients were 931.38±32.994 ml. Effectiveness of B-lynch suture technique for treatment of high risk women with postpartum haemorrhage was 88% as presented. Conclusion: In this study we found that “B-Lynch suture” technique is safe and effective for the management of postpartum hemorrhage.
43
Sisodiya, Sanjay, and Badri Prasad Patel. "Feasibility of laparoscopic repair of peptic ulcer perforation." International Surgery Journal 8, no. 5 (April 28, 2021): 1526. http://dx.doi.org/10.18203/2349-2902.isj20211821.
Full textAbstract:
Background: Perforation is a common complication of peptic ulcer disease and presents as Perforation peritonitis. It has the highest number of mortality among all complications (≈15%). In spite of modern progress in the management, it is still a life-threatening catastrophe. Emergency surgery for complicated cases required in 7% of hospitalized peptic ulcer disease patients. Factors such as >24 hours of history, concomitant disease, shock, post operated wound infections, all are associated with increase in mortality and morbidity.Methods: A Prospective, observational, single hospital base study done during the period from 2016 to 2020 in the Department of Surgery, Gandhi medical college Bhopal. Sample size was taken 63Results: 52 out 63 cases presented with perforation peritonitis included under study period, 11 cases were excluded due to death and absconding of cases. In rest 52 cases, 15 of them went through laparoscopic repair, 28.85% of the cases were shifted directly to ORG.Conclusions: Laparoscopic repair of peptic ulcer perforation is feasible if patient presents early to the hospital. All perforation peritonitis should give fair chance to repair laparoscopically if patient’s general condition and anesthetic permits. This is a good alternative for conventional open surgery with less post-operative pain, early return to normal activities, less hospital stays and few postoperative wound infections. Thus it can significantly decrease the economic burden.
44
Melnikova, Liubov. "Bakhchisarai Dormition Skete is the Basis of the “Russian Athos” in Crimea: Revival and New Status of the Monastery in the Middle of the 19th Century." ISTORIYA 12, no. 8 (106) (2021): 0. http://dx.doi.org/10.18254/s207987840016304-3.
Full textAbstract:
The article examines the prerequisites of the appearance, the process of development and the beginning of the implementation of the church-state project of Archbishop Innokenty (Borisov) of Kherson and Tauride “Russian, or Crimean, Athos”, aimed at restoring ancient Christian monasteries on the Crimean peninsula and introducing hermit lifestyle in them according to the charter developed according to the Athos model. The article considers the revival in the middle of the 19th century of the Bakhchisarai Dormition Skete, which became the base of the spiritual center created in the Crimea. The article presents new archival documents on the history of the skete during the Crimean War of 1853—1856. (the affiliation of hieromonk Ioannikiy (Savinov), who was awarded the Order of St. George, to the skete is established; the activities of other monks in the infirmaries are shown; the myth of the existence of a military hospital within the walls of the monastery itself is debunked).
45
Tapp, James, Fiona Warren, Chris Fife-Schaw, Derek Perkins, and Estelle Moore. "Essential elements of treatment and care in high secure forensic inpatient services: an expert consensus study." Journal of Forensic Practice 18, no. 3 (August 8, 2016): 189–203. http://dx.doi.org/10.1108/jfp-07-2015-0041.
Full textAbstract:
Purpose – The evidence base for what works with forensic patients in high-security inpatient settings has typically focused on outcome research and not included clinical expertise from practice-based experience, which is an important facet of evidence-based practice. The purpose of this paper is to establish whether experts with clinical and/or research experience in this setting could reach consensus on elements of high-security hospital services that would be essential to the rehabilitation of forensic patients. Design/methodology/approach – A three-round Delphi survey was conducted to achieve this aim. Experts were invited to rate agreement with elements of practice and interventions derived from existing research evidence and patient perspectives on what worked. Experts were also invited to propose elements of hospital treatment based on their individual knowledge and experience. Findings – In the first round 54 experts reached consensus on 27 (out of 39) elements that included physical (e.g. use of CCTV), procedural (e.g. managing restricted items) and relational practices (e.g. promoting therapeutic alliances), and to a lesser extent-specific medical, psychological and social interventions. In total, 16 additional elements were also proposed by experts. In round 2 experts (n=45) were unable to reach a consensus on how essential each of the described practices were. In round 3 (n=35), where group consensus feedback from round 2 was provided, consensus was still not reached. Research limitations/implications – Patient case complexity, interventions with overlapping outcomes and a chequered evidence base history for this population are offered as explanations for this finding alongside limitations with the Delphi method. Practical implications – Based on the consensus for essential elements derived from research evidence and patient experience, high-secure hospital services might consider those practices and interventions that experts agreed were therapeutic options for reducing risk of offending, improving interpersonal skills and therapeutic interactions with patients, and mental health restoration. Originality/value – The study triangulates what works research evidence from this type of forensic setting and is the first to use a Delphi survey in an attempt to collate this information.
46
Araya, Tesfalem, Emnet Ebnemelek, and Rahel Getachew. "Prevalence and Associated Factors of Aggressive Behavior among Patients with Schizophrenia at Ayder Comprehensive Specialized Hospital, Ethiopia." BioMed Research International 2020 (March 24, 2020): 1–8. http://dx.doi.org/10.1155/2020/7571939.
Full textAbstract:
Introduction. Mental illness and aggression are often seen as inextricably linked. There is a growing body of evidence on aggressive behavior towards others by people with schizophrenia. Even though there is no study conducted in this study area, this study will help to identify the factors associated with aggressive behavior to be dealt early and as a base line for further study. Therefore, this study was designed to determine the prevalence of aggressive behavior and associated factors among people with schizophrenia. Method. An institutional-based cross-sectional study was conducted at Ayder Comprehensive Specialized Hospital from May 6 to 31, 2019, among 403 participants who were selected by a systematic random sampling technique. Data was collected by an interview technique by using the Modified Overt Aggression Scale, entered and analyzed by using EPI-INFO version 3.5.3 and Statistical Package for Social Science version 20, respectively. The association between variables was analyzed using bivariate and multivariate logistic regression analyses, and the level of significance of association was determined at a P value < 0.05. Results. A total of 403 schizophrenia patients were included making the response rate 95.4%. The prevalence of aggressive behavior was 26.6%. Significant associated factors for aggressive behavior were being male (AOR=2.61, 95% CI (1.21, 5.61)), unemployment (AOR=8.03, 95% CI (3.08, 25.95)), previous history of aggression (AOR=6.22, 95% CI (2.75, 14.10)), psychotic symptoms (AOR=8.12, 95% CI (3.11, 21.14)), drug nonadherence (AOR=6.41, 95% CI (3.02, 13.63)), poor social support (AOR=3.11, 95% CI (1.35, 7.17)), and alcohol use (AOR=2.40, 95% CI (1.02, 5.66)). Conclusion. Prevalence of aggressive behavior is high among schizophrenia patients. Professionals have to identify clearly predictors of aggressive behavior giving special emphasis when treating male schizophrenia patients, who are unemployed, lack social support, with previous history of aggression, and alcohol users.
47
Ruttkay, Tamas, Michael Scheid, Julia Gotte, and Nicolas Doll. "Endoscopic Resection of a Giant Left Atrial Appendage." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 10, no. 4 (July 2015): 282–84. http://dx.doi.org/10.1097/imi.0000000000000172.
Full textAbstract:
A 23-year-old woman with a history of arterial hypertension presented to our institution complaining of dyspnea and chest pain. Her workup including echocardiography and magnetic resonance imaging revealed an aneurysm of the left atrial appendage. No thrombus was identified in the aneurysm or left atrial appendage, and the patient was in sinus rhythm. She was started on prophylactic anticoagulation, and surgical resection of the aneurysm was recommended as a definitive treatment of this lesion. The surgery was performed using a minimally invasive left-sided thoracoscopy approach. The entire left atrial appendage including the aneurysm was removed at its base using an articulating endoscopic stapler device. On postoperative echocardiography, no residual left atrial appendage tissue was evident. The patient could be taken off oral anticoagulation and left the hospital in good condition.
48
Martínez Gaona, Karla del Cisne, David Esteban Barzallo Sánchez, and Mónica Eulalia Galarza Armijos. "Apendicitis aguda de presentación atípica, un reto diagnóstico. Reporte de caso y revisión de la literatura." Revista Médica del Hospital José Carrasco Arteaga 13, no. 1 (September 15, 2021): 61–65. http://dx.doi.org/10.14410/2021.13.1.cc.10.
Full textAbstract:
BACKGROUND: Atypical appendicitis corresponds to approximately 39.3% of all appendicitis cases. Typically located appendicitis begins with acute pain around the belly button, which will later migrate to the right iliac fossa; however, the patient’s condition must be oriented in details that arise from a meticulous anamnesis, considering the patients history and the development of the symptoms. CASE REPORTS: 17-year-old male patient with history of right hepatectomy 15 years ago. He presented with five day evolution continuous abdominal pain, located in the right upper quadrant, nausea, vomiting and fever. Complementary laboratory tests evidenced: leukocytosis, neutrophilia, elevated procalcitonin and CRP. Tomography was suggestive of an inflammatory process in the lower right thoracic region and the right upper quadrant. A diagnostic laparoscopy was performed, it was converted into an exploratory laparotomy, showing purulent fluid in the right parietocolic gutter, adhesions, appendicular plastron in the right sub and retrohepatic region formed by the cecum, distal ileum, omentum and appendix. Retrohepatic appendix with perforation in the middle third, appendicular base and poor quality cecum. An appendectomy, cavity lavage was performed, with placement of a drain. EVOLUTION: During the postoperative period, the patient had a poor clinical evolution, with health care associated pneumonia, in addition to the need for a second surgical intervention due to the formation of a sub-hepatic collection. After 13 days of hospital care, after the second surgical intervention, he presented an adequate recovery and was discharged from the hospital. CONCLUSION: Physicians must have a high clinical suspicion of atypical location appendicitis in the presence of acute abdomen; since a late diagnosis of this cases increases the risk of complications, with perforation and peritonitis and prolonged hospital stay. The first-line treatment for complicated appendicitis is surgical intervention.
49
Kutepov, S. M., and Z. I. Gorbunova. "History of the Traumatology, orthopedics and military surgery department at the Ural State University (on the 130th anniversary of V.D. Chaklin's birth)." Ural Medical Journal 21, no. 2 (May 7, 2022): 38–42. http://dx.doi.org/10.52420/2071-5943-2022-21-2-38-42.
Full textAbstract:
The work presents information about V.D. Chaklin, corresponding member of the USSR Academy of Medical Sciences, laureate of the USSR State Prize, honored scientist of the RSFSR, Professor, about the chair of traumatology, orthopedics and military surgery at the Ural State Medical University in 1934, the clinical base of which became the Research Institute of Traumatology. The staff of the department under the guidance of Professor V.D. Chaklin carried out pedagogical and scientific activities, made a great contribution to the development of methods of reconstructive surgery. There are monographs by V.D. Chaklin and theses defended by the staff of the department. From the beginning of Great Patriotic War professor V.D. Chaklin was appointed the main traumatologist of Evacuation Hospital Administration of Sverdlovsk Regional Dispensary, headed the courses of medical personnel improvement in traumatology and orthopedics, was the adviser of Evacuation Hospitals, continuing to direct the work of UNITO and the department. V.D. Chaklin during his work in Sverdlovsk created the institute and chair of traumatology and orthopedics, the formation of the Ural scientific school of traumatology and orthopedics began, he brought up pupils — doctors and candidates of sciences, left 13 monographs for future generations.
50
Piatt, Joseph H. "Adults with myelomeningocele and other forms of spinal dysraphism: hospital care in the United States since the turn of the millennium." Journal of Neurosurgery: Spine 25, no. 1 (July 2016): 69–77. http://dx.doi.org/10.3171/2015.9.spine15771.
Full textAbstract:
OBJECTIVE The natural history and management of myelomeningocele (MM) in children is fairly well understood. There is a deficiency of knowledge regarding the care of adults, however, even though there are now more adults than children living with MM. The purpose of this study was to characterize the hospital care of adults with MM and hydrocephalus on a nationwide population base. Adults with other forms of spina bifida (SB) were studied for contrast. METHODS The Nationwide Inpatient Sample for the years 2001, 2004, 2007, and 2010 was queried for admissions with diagnostic ICD-9-CM codes for MM with hydrocephalus and for other forms of SB. RESULTS There were 4657 admissions of patients with MM and 12,369 admissions of patients with SB in the sample. Nationwide rates of admission increased steadily for both MM and SB patients throughout the study period. Hospital charges increased faster than the health care component of the Consumer Price Index. Patients with MM were younger than patients with SB, but annual admissions of MM patients older than 40 years increased significantly during the study period. With respect to hospital death and discharge home, outcomes of surgery for hydrocephalus were superior at high-volume hospitals. Patients with MM and SB were admitted to the hospital more frequently than the general population for surgery to treat degenerative spine disease. CONCLUSIONS Patients with MM and SB continue to require neurosurgical attention in adulthood, and the demand for services for older patients with MM is increasing. Management of hydrocephalus at high-volume centers is advantageous for this population. Patients with MM or SB may experience high rates of degenerative spine disease.