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Removable Partial Denture Design in Dental Practice: Epidemiological Study in the Rabat-Sale-Kenitra Region (Part 2)
No full textIntroduction: Despite the enrichment of our therapeutic panoply by integrating implants and CAD/CAM techniques, the removable partial denture (RPD) with metallic infrastructure will remain an unavoidable alternative in rehabilitating partial edentulous teeth. The purpose of this survey, divided into three parts, is to evaluate the knowledge, attitudes, and practices of dentists in private practice in the Rabat-Sale-Kenitra region regarding the design of RPDs to provide information on the means of communication with laboratory technicians and investigate possible correlations between the failure of the prosthetic project and certain adopted practices.Materials and Methods: The study had a sample of 101 dentists practicing in the Rabat-Sale-Kenitrato region to whom we sent an anonymous 4-page printed questionnaire containing 28 questions on the design of metal frames in PAPM. A descriptive and analytical statistical study was conducted to process the data.Results: Following the results of the statistical study, only 8% of the practitioners performed more than ten partial removable prostheses per month, 17% did not perform a clinical examination, 20% did not perform a study model, and 69% did not perform the RPD design by themselves and entrusted this task to the dental technician. In comparison, 89% did not use a Dental Surveyor.Conclusion: This survey showed that many practitioners do not follow the rules of good practice and lack knowledge of RPD design. Therefore, postgraduate training is envisaged to help practitioners implement these good practices and improve this knowledge. However, it was noted that only 58% of the practitioners in our sample were interested in such training
Efficacy of Lower Limb Constraint-Induced Therapy for Hemiplegia in Stroke Patients during Maintenance Period
No full textA lower extremity constraint-induced (CI) movement therapy protocol developed at the University of Alabama was used to treat three stroke patients suffering from hemiplegia. Upon intervention, both walking speed and stability improved, reliance on assistance from an accompanying individual or support device decreased, and both improvements to standing position during daily activities and walking activity were seen
La Chirurgie de la Gynécomastie ; Point de Vue du Chirurgien Thoracique.
No full textIntroduction : La gynécomastie correspond à la prolifération bénigne du tissu glandulaire mammaire chez l’homme. Elle peut être secondaire à une pathologie grave dont le constat nécessite la mise en route d’une démarche étiologique. Bien que le traitement médical puisse être une option, le traitement chirurgical représente actuellement la solution idéale, avec des résultats très satisfaisant.Patients et méthodes : Durant une période de cinq ans (2017, 2021), 09 patients ayant une gynécomastie ont été opérés, colligés au service de chirurgie thoracique CHU Hassan II FES. Les techniques chirurgicales comprenaient la mastectomie sous-cutanée, la liposuccion ou l’association des deux.Résultats : L'âge moyen était de 25 ans. Le motif de consultation était le problème esthétique dans 100%. La mastodynie et la phobie de cancer n’ont été reportées dans aucun cas. 50% avaient une gynécomastie bilatérale, 37.5% avaient une gynécomastie unilatérale droite, ainsi que 12.5% avait une gynécomastie unilatérale gauche. Le grade IIb de Simon (4 patients, 50%) était le plus fréquent. Une mastectomie sous-cutanée était utilisée chez 6 patients, une association mastectomie et liposuccion chez 2 patients, une mastectomie avec réimplantation du mamelon chez 1 patient, et une mastectomie bilatérale chez un patient. Des complications postopératoires sont survenues chez 25% de nos patients. Un cas d’hématome (12.5%), 01 cas de nécrose péri-aréolaire (12.5%). La totalité des patients étaient satisfaits des résultats esthétiques.Conclusion : Bien que l’efficacité́ du traitement médical n’ait pas encore été́ établie, le traitement chirurgical en fonction du grade évolutif de la maladie représente actuellement la solution idéale qui permet de retrouver une silhouette masculine évidente, quittant une ambivalence qui peut peser dans leur activité́ socio- professionnelle
La reconstruction sternale : un problème posé lors de la prise en charge des tumeurs du sternum dans les pays à ressources limitées.
No full textPrimary malignant tumors of the sternum are rare, and are difficult to treat due to the anatomical proximity of the mediastinal vascular structures and the limited surgical margins that can be achieved. The wall reconstruction is the most difficult part of the management. Many techniques have been described, ranging from musculo-cutaneous flaps to increasingly sophisticated prostheses. The authors report a case of a primary sternal tumor and the problem posed during wall reconstruction in a context of limited resources
Cerebro-Meningeal Hemorrhage Revealing a Pheochromocytoma in a Child
Get PDFPheochromocytoma is a sporadic tumor of the adrenal medulla that occurs in children. A complication can reveal a diagnosis delay in cases due to its polymorphic symptomatology. We report the case of a child admitted for cerebral-meningeal hemorrhage caused by a pheochromocytoma confirmed by a CT scan and urinary dosage of catecholamines
The Predictive Value of Noninvasive Urodynamic Parameters for the Curative Effect of TURP
Get PDFPurpose: This study explores the predictive value of noninvasive urodynamic parameters for the efficacy of transurethral resection of the prostate (TURP). Methods: A total of 121 cases were divided into two groups. Benign prostatic hyperplasia (BPH) patients were assessed retrospectively and were divided into good prognosis (group A) and poor prognosis (group B) according to the degree of improvement in maximum urinary flow rate and the changes in ultrasound and noninvasive urodynamic parameters between the two groups were explored. Results: The PV, IPP, and PVR of group A were lower than those of group B (p < 0.05), and the Qmax of group A was more excellent than that of group B (p < 0.05). The difference was statistically significant (p < 0.05). There was no significant difference in DWT, age, and IPSS (p > 0.05). The ROC curve analyzes the diagnostic efficacy of each parameter in the diagnosis of the effectiveness of TURP. The results are ranked in order of 1/Qmax (AUC = 0.777), PV (AUC = 0.715), PVR (AUC = 0.642), and IPP (AUC = 0.629), of which 1/Qmax has the best diagnostic efficiency with AUC = 0.777, the best cutoff value is 0.12, the sensitivity is 0.81, and the specificity is 0.571. Conclusion: Preoperative application of noninvasive urodynamic parameters in BPH patients can better predict postoperative efficacy; especially, Qmax has the best predictive effect
True-Combined Endodontic-Periodontal Lesion: A Sequential Endodontic Treatment
Get PDFA combined endodontic-periodontal lesion is defined by the coexistence of endodontic and periodontal infection in the same tooth, both of which attack and destroy the attachment system. This complicates therapeutic management because treating both infections simultaneously would be inconvenient in clinical practice. As a result, periodontal and endodontic treatment stages must be sequenced. The general objective of this article is to shed light on the role of the endodontic approach in treating combined endodontic-periodontal lesions and underline its influence on the prognosis of this condition specifically
Pathogens and Antibiogram of Blood Stream Isolates in Neonatal Sepsis: Findings from a Tertiary Care Hospital, Bangladesh
Get PDFBackground: Neonatal sepsis is associated with increased mortality and morbidity, including neurodevelopmental impairment and prolonged hospital stay. The organism responsible for neonatal sepsis may vary across geographical boundaries, even from institution to institution, and with the time of illness; thus, periodic surveillance is necessary. Therefore, the present study was conducted to determine the common pathogens and their antibiotic sensitivity pattern. Objectives: This study isolates the bacterial agents causing neonatal sepsis and determines the sensitivity pattern of the causative bacterial agents. Methods: This cross-sectional study was carried out in the neonatal intensive care unit of BSMMU from December 2012 to July 2013. Neonates (0–28 days) who were admitted to the neonatal intensive care unit with suspected sepsis were included in this study. After admission, written informed consent from parents was obtained, the baby received emergency care, and then septic screening along with blood culture and antimicrobial sensitivity testing was conducted. All data were compiled, tabulated, and then analyzed using SPSS V.12 according to the study's objectives. Results: A total of 94 newborn babies with suspected sepsis were included in this study. Most babies (54.3%) were admitted within 24 hours after birth, 86.17% were preterm, and 81.92% of babies' birth weight was <2500 gm. There was a preponderance of male babies over females, 53% male and 47% female. Among the suspected septic newborns, 27.66% of babies had culture-positive sepsis and 73.41% had culture-negative sepsis. Among the culture-positive cases, 72% of babies developed late-onset sepsis and 28% developed early-onset sepsis. The isolates from blood culture were Klebsiella pneumoniae in 9 (34%) cases, E. coli and Acinetobacter were found in 6 (23%) cases, Staphylococcus was found in 2 (8%) cases, and Pseudomonas, Enterobacter, and Citrobacter were found in 1 (4%) case. Gram-negative organisms were more predominant than Gram-positive bacteria. The commonly isolated organisms were most sensitive to imipenem, ciprofloxacin, colistin, and netilmicin. Almost all organisms were resistant to ampicillin and gentamicin. Conclusion: Klebsiella pneumoniae is the most common organism responsible for neonatal sepsis in BSMMU. There is an overall decline in antibiotic susceptibility to commonly isolated bacterial pathogens
Electrolyte Abnormalities in Neonates with Septicaemia: A Hospital-Based Study
Get PDFIntroduction: Despite the continuing struggle, Bangladesh's under-five mortality rate is still high. However, Bangladesh has significantly reduced childhood mortality from 173 per thousand. The high level of neonatal deaths in Bangladesh is a great concern among all health professionals. Objective: This study aims to determine the frequency and pattern of electrolyte imbalance in neonates with septicemia and their impact on mortality and morbidity. Methods: All neonates suffering from septicemia and admitted to Bangabandhu Sheikh Mujib Medical University (BSMMU) from 1 January 2011 to 15 September 2011 who fulfilled the inclusion criteria were evaluated. Results: During the study period, a total of 120 neonates were admitted with the diagnosis of septicemia in the Department of Neonatology, BSMMU, Dhaka, Bangladesh. Among the neonates, the mean age was 9.26 ± 4.58 days, mean weight 2282.68 ± 580.40 gm, and mean gestational age 35.68 ± 2.40 weeks; 66 were males (55%), and 54 were females (45%). Electrolyte abnormalities were found in 42 (35%) neonates with septicemia. Among the electrolyte abnormalities, hyponatremia was found in 24 (20%) neonates, hypernatremia in 12 (10%), hypokalemia in 17 (14.2%), hyperkalemia in 19 (15.8%), and mixed abnormalities in 18 (15%) cases. Neonates with dyselectrolytemia were found to be significantly associated with prolonged hospital stay compared to those with normal electrolyte levels (p < 0.05). Hyponatremia, hypokalemia, and mixed electrolyte abnormalities were significantly associated with higher mortality (p < 0.05). However, hypernatremia and hyperkalemia were not significantly associated with higher mortality (p > 0.05). Conclusion: Electrolyte abnormalities are common in neonates with septicemia. They contribute considerably to the higher mortality and prolonged hospital stay of neonates irrespective of the primary disease
A Case Study of 20 Cases of Traumatic Injury to Pinna Resulting in Perichondritis with Review of the Literature
Get PDFPerichondritis of the external ear is a frightening and disfiguring complication of the traumatized ear leading to residual deformity in cases. Here, we have 20 cases of posttraumatic perichondritis, out of which nine were diagnosed in the earliest stages and treated with oral antibiotics only, and seven were diagnosed after abscess formation and treated in the hospital setting with intravenous antibiotics. Four were diagnosed after abscess formation and treated with surgical intervention and intravenous antibiotics. The challenge lies in early diagnosis, proper analysis of the responsible aetiological factors, bacteriological agents involved, attempting to classify and stage this disease, and formulating a treatment protocol that should be advocated for the different disease stages