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Functional Outcomes in Suprapatellar Nailing for the Treatment of Tibial Shaft Fractures - Preliminary Results
Get PDFIntroduction: The purpose of this study was to evaluate the functional outcomes of suprapatellar intramedullary nailing for the treatment of tibial shaft fractures.Material and Methods: The present retrospective study included 10 cases aged more than 20 years, who were operated for tibial shaft fractures over the last 3 years with suprapatellar tibial nailing. Patients were retrospectively followed up with all their previous surgical records and radiographs.Results: The mean age was 41.57±16.51 with a range of 20-72 years. The mean operating time was 81±10.15 minutes. Mean blood loss was 110±20.5 ml. Meantime for the union was 15.15±1.35 weeks. No deep infection was noted. 1 patient had anterior knee pain. The mean Lysholm knee score was 87.91 ± 5.75.Conclusion: The suprapatellar approach is good and safe technique for nailing in the tibial fractures
Early Neonatal Mortality’s Determinants in the Neonatology Department of Mohamed V Hospital in Tangier, Morocco
Get PDFObjective: This study aims to identify the determinants of early neonatal mortality in the neonatology department of Mohamed V hospital in Tangier.Material and methods: This is a prospective study including all newborns hospitalized and deceased in the pediatric department of the hospital Mohammed V from June 1 to December 31, 2019. The recorded cases were processed and analyzed by SPSS software.Results: 529 newborns were hospitalized in the pediatric department during the study period, of which 92 died (17.39%) between 0 and 7 days. Four leading causes justified this frequency: prematurity occupies first place (59%), followed by perinatal asphyxia (22%), neonatal infection (15%) in third place, congenital malformations (3%) in fourth place. Parturients aged between 20 and 35 years are the most affected (76%). The majority of women (71.4%) in our series had not undergone prenatal consultation (PNC) or had done so in insufficient numbers.Conclusion: Neonatal mortality remains high. Improvement of this situation requires education of women, reinforcement of surveillance before, during pregnancy, during delivery, and the postpartum period, as well as effective management of premature newborns in the first week of life, should improve the neonatal prognosis by reducing the intra-hospital incidence of neonatal mortality in our setting
Examination of Bronchial Reactivity in Workers Exposed to Microparticles PM2.5 and PM10 during Coal Surface Mining in the Bellaqevc Power Plants of Kosovo
No full textThe impact of air pollution with microparticles (PM2.5 and PM10) on the respiratory systems of workers engaged in thesurface mining of coal at the Bellaqevc power plants of Kosovo is studied in this paper. The parameters of lung functionare defined via body plethysmography. The resistance of the airways (Raw) was recorded, intrathoracic gas volume (ITGV) was measured, and the specific resistanceof the airways (SRaw) and specific conductance (SGaw) were calculated. The research was performed withintwo groups: a control group and experimental group. The control group consisted of 28 healthy people, whereas the experimental group consisted of 50 workers engaged in the surface mining of coal at the Bellaqevc power plants of Kosovo.The results obtained from this research indicated that the mean specific resistance (SRaw) was significantly increased in the experimental group (p<0.01) compared to the control group (p>0.1). The study also found that smoking favors the adverse effects of air pollution caused by coalsurface mining at the Bellaqevc power plants (p<0.01).Measurements of the respiratory systems were made prior to and following provocation with histamine–aerosol (1 mg/ml) in the control and experimental groups. Changes between these two groups following this provocation with histamine–aerosol were found to be statistically significant (p<0.01).In order to cause a respiratory pathology from air pollution, it is required a lot of time, such pollution can permanently cause respiratory system disorders. These scientific findings suggest that the long-term exposure of workers to microparticles PM2.5 and PM10 during the processof surface mining coal at the Bellaqevc power plants of Kosovo poses a risk to their health by causing increased bronchial reactivity, bronchial asthma, orchronic obstructive pulmonary disease (COPD)
Alternative Techniques for Hepp-Couinaud Roux-Y Hepatico-Jejunostomy: A Brief Review
No full textTo propose alternative techniques in performing Roux-Y Hapatico-Jejunostomy (RYHJ) during treatment of biliary tree diseases. We have retrospectively evaluated PUBMED articles to analyze various modified techniques in RYHJ to research an easy technique to log into biliary tree. Modified RYHJ is a safe, feasible and simple technique to permit an alternative method of anastomosis re-esploration
An MRI of the Olfactory Tract in a Case of Post-COVID-19 Persistent Anosmia
Get PDFAnosmia is a prevalent and pathognomonic symptom in patients with Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2), often accompanied by changes of taste or dysgeusia. It is also one of the symptoms that lasts the most even after the recovery. The studies that examine the migration path and timing of SARS-CoV-2 are needed in order to determinate the ideal timing for realizing an MRI so as to possibly find an abnormal signal on the olfactory bulb. 
Non-Syndrome Case of Multiple Erupted Supernumerary Teeth and Wisdom Tooth Anodontia
Get PDFSupernumerary teeth can be detected during a routine clinical or radiographic examination. They are defined as any tooth or tooth substances that are excess of the usual configuration of twenty deciduous and thirty-two permanent teeth (1). Supernumerary teeth can cause several complications. It depends on the location or stage of their formation, such as: preventing or delaying the eruption of associated permanent teeth, crowding or malocclusion The main aim of orthodontic treatment of supernumerary teeth is to restore adequate dental aesthetics and functions. After the clinical, radiographic and tomographic diagnosis, the orthodontic treatment of supernumerary teeth will depend on several factors. Such as; the location, proximity to vital anatomical structures, space availability in the arch, shape and the amount of supporting periodontal tissue. Reports in Western Region in Saudi Arabia showed that the range of the prevalence of supernumerary teeth was 0.1–3.8% of the population. The current finding, however, was 0.3%, a finding that is not in concert with what was reported by Fardi et al. in which the prevalence of supernumerary teeth was 1.8%.This case reported a unilateral four premolars erupted to occlusion in the right mandibular arch for non-syndrome patient
Anaesthesia for Reconstruction Surgery Post Mandibulectomy in a Patient with a Predicted Difficult Airway: A Case Report
Get PDFIntroduction: Mandibular surgeries, edentulous mandible, use of dentures, and aging all predispose to residual mandibular ridge resorption and thinning. The edentulous state of the mandible makes the tongue occlude the upper airway. All these, contribute to difficulty in managing the airway. An adequate pre-operative review helped classify this index patient as high risk for difficult airway and adequate steps were taken to facilitate optimal airway management.Case report: We present a 53 years old woman with mandibular deformity, anterior neck mass and inadequate mouth opening who has had a segmental mandibulectomy and a soft tissue closure of reconstruction plate. She was scheduled for mandibular reconstruction.She was successfully intubated using a size 4.5 Intubating Laryngeal Mask Airway (ILMA) through which a size 6.0 ID classic endotracheal tube was introduced for ventilation. A gum elastic bougie was then inserted through the endotracheal tube, both the ILMA and classic endotracheal tube were withdrawn. An armored tube size 6.5 ID was then rail roaded.Conclusion: The successful anaesthetic management of this difficult airway patient was facilitated by a thorough pre-anaesthetic plan, concise and skilled anaesthetic management strategy with a well organized team work
The Effects of Age on Weight Loss after Sleeve Gastrectomy
Get PDFIntroduction: Laparoscopic sleeve gastrectomy is a primary treatment of obesity among older adults and its satisfactory outcomes would be the main reason behind the popularity of this procedure. We aim to evaluate the impact of age on excess weight loss in adult morbidly obese subjects older than 60 years old following LSG.Methods: In this retrospective survey, 3,072 subjects were included in the study that underwent LSG in Erfan Hospital. Screening follow-up period was 12 months. The level of statistical significance was set at P < 0.05. We hired comorbid conditions to avoid bias results including hypertension, diabetes mellitus and dyslipidemia. Results: Of 3072 patients, 1879 cases were females (61.2%) and 1193 subjects were males (38.8 %). Mean %EBMIL of the group 12 months after surgery was 78.9 %. In younger than 60 years old group, mean %EBMIL 12 months postoperative 83 % and patients over 60 years demonstrated mean %EBMIL 74.9 %. There was an obvious difference among age groups in presence of diabetes mellitus and hypertension in the older group which was more frequent. Conclusion: To sum up, laparoscopic sleeve gastrectomy is safe procedure for older groups. Albeit, %EBMIL was significantly lower in older group compared to younger subjects, but resolution in comorbidities was satisfactory
Identification of Nasal Carriage of Staphylococcus aureus among Nursing Students during Curricular Clinical Internships: An Observational Study
Get PDFStaphylococcus aureus is considered one of the most frequently isolated bacteria in the community and in the hospital environment, being associated with several infections. Healthcare professionals represent a group vulnerable to Staphylococcus aureus and MRSA colonization, therefore being potential disseminators of these microorganisms during their care activities. The aim of this study was to evaluate the dynamics of S. aureus and MRSA nasal colonization among nursing students over the four years of university attendance, including pre-clinical exposure and at different moments during clinical rotations. Samples were collected from students from the 1st, 2nd, 3rd and 4th year. The study identified 55.9% MSSA positive samples and 31.4% MRSA positive samples from the total studied population. Simultaneous carriage of MRSA and MSSA was observed in students from all years of the nursing degree, but a highest MSSA colonization (61.5%) was linked to a lower MRSA colonization (30.8%). MRSA colonization seems to be dependent on the type of clinical internship, since the group attending internship in emergency rooms and surgery wards presented a significant increase in the amount of MRSA samples. Nursing students should be educated on the risks involved in carrying S. aureus and MRSA and informed about infection control measures
A Minimally Invasive Treatment of Dental Fluorosis: A Case Report
Get PDFL'action carioprotectrice du fluor par voie topique est reconnue depuis plus d’une cinquantaine d’année. Ce dernier est devenu aujourd’hui, l'un des piliers de la prévention de la maladie carieuse. Toutefois, l’ingestion excessive de cet oligo-élément durant les premières années de la formation des dents peut entrainer l’apparition d’une fluorose dentaire. Il s’agit d’une anomalie de structure acquise pré-éruptive caractérisée par un aspect polymorphe variant en fonction de la sévérité d’atteinte. Elle peut engendrer, dans certains cas, en fonction de son impact sur la couleur et l'aspect de surface de l'émail dentaire, un préjudice esthétique et fonctionnel majeur. Pour pallier cette problématique, la dentisterie moderne propose un vaste champ thérapeutique allant de l’éclaircissement aux restaurations prothétiques. L’objectif principal est d’adopter une thérapeutique adaptée selon chaque situation tout en étant le moins invasif possible. C’est dans cette optique que ce travail se propose de présenter la gestion thérapeutique d’une fluorose dentaire chez une patiente âgée de 14 ans. Le traitement a consisté en la combinaison de deux méthodes : la micro-abrasion et l’éclaircissement externe ambulatoire ce qui a permis d’obtenir un résultat très satisfaisant pour la patiente, tout en respectant le principe d’économie tissulaire