12 research outputs found
Prevalencia de hemorragia post amigdalectomía en niños y adultos
INTRODUCCIÓN: La amigdalectomía es el procedimiento más antiguo y frecuente de la Otorrinolaringología. Su realización no está exenta de complicaciones, siendo la más grave la hemorragia del lecho quirúrgico, pudiendo requerir internación y/o reintervención.
OBJETIVO: Determinar prevalencia de sangrado postquirúrgico en pacientes amigdalectomizados con o sin adenoidectomía.
MATERIAL Y METODO: Estudio observacional, retrospectivo y descriptivo que se llevó a cabo en el servicio de Otorrinolaringología de la Clínica Universitaria Reina Fabiola y en el que se incluyeron pacientes amigdalectomizados desde el uno de enero del año 2017 al 31 de diciembre del año 2021. Variables del estudio: edad, sexo, presencia de sangrado, el tiempo de aparición del sangrado, la necesidad de reintervención, el motivo de la cirugía, la técnica quirúrgica utilizada y la de hemostasia, de que fosa amigdalina sangraron, si hubo transgresión de medidas higiénico dietéticas o fue un sangrado espontaneo. El análisis estadístico para las variables cuantitativas se calculó medidas de centralización y dispersión (media y desvío estándar), y para las variables categóricas se calcularon las distribuciones absolutas y porcentuales.
RESULTADOS: Se estudiaron un total de 1392 casos, de los cuales 27 (1,94 %) presentaron sangrado. La media de edad de los pacientes fue de 19,7 años, con una desviación estándar (DE) de 11,2 años. De estos pacientes, 18 (66,7 %) eran de sexo masculino. De la totalidad de los casos de sangrado, 22 (81,5 %) fueron desencadenados espontáneamente. El sangrado ocurrió con mayor frecuencia antes de las 48 horas del postoperatorio en 13 (50%) pacientes. Diecisiete (63%) pacientes requirieron reintervención para controlar el sangrado. La técnica quirúrgica de amigdalectomía más utilizada fue la técnica sin utilización de energía térmica.
CONCLUSIÓN: El estudio realizado encontró una prevalencia de sangrado postoperatorio del 1,94 %, especialmente en hombres jóvenes. La mayoría de los sangrados ocurrieron dentro de las primeras 48 horas, requiriendo algunos pacientes reintervención quirúrgica. Las técnicas quirúrgicas más usadas fueron la disección fría y la electrocauterización, empleando compresión, sutura y cauterización bipolar para la hemostasia
Disfonia e disfagia pós intubação orotraqueal
In this paper, we explain the importance of suspecting foreign bodies in the aerodigestive tract in previously healthy children who present with acute or chronic symptoms, with or without a history of aspiration/ingestion of a foreign body or airway instrumentation. En este trabajo explicamos la importancia de la sospecha de cuerpos extraños en la vía aerodigestiva en niños previamente sanos que comienzan con síntomas de forma aguda o crónica con o sin antecedentes de aspiración/ingestión de cuerpo extraño o de instrumentación de la vía aérea. Neste trabalho, explicamos a importância da suspeita de corpos estranhos nas vias aéreas e digestivas em crianças previamente saudáveis que apresentam sintomas agudos ou crónicos, com ou sem histórico de aspiração/ingestão de corpos estranhos ou de instrumentação das vias aéreas.
Innocents Beware: Has Bennis v. Michigan Made Asset Forfeiture Too Easy?
This note examines the historical justifications of asset forfeiture as well as the justifications behind its more recent uses. The note begins by analyzing the rationale of precedents that have upheld asset forfeiture then that rationale is applied to the facts of Bennis v. Michigan. After establishing that the exigencies historically thought necessary to justify asset forfeiture are not present in Bennis, the author determines the Supreme Court improperly applied precedent and instead should have conducted a due process analysis. The author argues that had the Supreme Court conducted that analysis, the Court would have held Michigan\u27s asset forfeiture scheme to be irrational and, therefore, invalid. The note ends with a brief discussion on the practical impact of Bennis
A Second Specimen Record of Red-Shouldered Hawk (\u3ci\u3eButeo lineatus\u3c/i\u3e) from Nebraska
On 9 February 1989, while walking in a wooded area of the Sass Farm (Nebraska: Otoe County; extreme northwest corner of county, T9N, R9E, Section 5), Robert and Hope Sass and Liz Otradovsky discovered a dead hawk they could not identify. Telephone conversations with Liz Otradovsky and instructions on how to legally transport the hawk to the University of Nebraska Museum (UNSM) resulted in delivery of the specimen. The specimen was well preserved and showed little or no sign of deterioration, drying, or scavenging by predators that would result from laying outside for a long period of time. It is probable that the bird had not been dead long when found. Identification of the specimen proved initially difficult for the author as well. Consultation of The Birds of Minnesota (Roberts, 1955) and its key to the species of birds of Minnesota revealed the specimen to be an immature Red-shouldered Hawl (Buteo lineatus)
Book Reviews of \u3ci\u3eBird Navigation: The Solution of a Mystery?\u3c/i\u3e, \u3ci\u3eThe Last of the Curlews\u3c/i\u3e, \u3ci\u3eA Naturalist\u27s Sketchbook\u3c/i\u3e, \u3ci\u3eBird Walk Through the Bible\u3c/i\u3e, \u3ci\u3eLife Histories of North American Petrels and Pelicans and their Allies\u3c/i\u3e and \u3ci\u3eLove of Loons\u3c/i\u3e
Bird Navigation: The Solution of a Mystery?, R. Robin Baker, 1984, Holmes & Meier Publishers, Inc., New York. vi + 256 pp., ISBN 0-340-33416-9, softcover, no price given. Originally published by Hodder & Stoughton Ltd. in Great Britain but handled in the United States by Holmes & Meier Publishers, Inc., Import Division, IUB Building, 30 Irving Place, New York, NY 10003.
R. Robin Baker, Reader in Zoology at the University of Manchester, is a noted authority on avian navigation. The word solution in the title of this book is somewhat misleading because this book does not solve the mystery of how birds navigate. However, this book is the most thorough, up-to-date review of the various theories on how birds navigate, and integrates these theories to give the reader an idea of how birds might really navigate. The author does an excellent job of presenting all the different ideas in an easily understood and easy to read style. Discussions of each theory include some of the history behind the research, how each theory fits with other theories, how each theory might work on short and long distance movements, and what research needs to be conducted in the future to help clarify how birds navigate. The book explains how birds might navigate under one set of conditions and switch to another navigation technique when conditions change. A fascinating topic presented in a very readable manner.
The Last of the Curlews, Fred Bodsworth, illustrated by T. M. Shortt, x + 144 pp., 6 x 9, Dodd Mead & Co., N.Y. 8.95 soft cover.
This is a reprint, with a foreword by Dr. Harold D. Mahan, and as part of the Edwin Way Teale Library of Nature Classics, of a book originally published in 1955. At that time it was thought (fortunately, incorrectly) that the Eskimo Curlew was extinct, and this is the story of a year in the life of the last bird. Ascribing human-type thoughts and reactions to the bird helps to carry the story along and doesn\u27t seem to be overdone. It is interesting reading and the illustrations are very nice, and, presently at least, one can keep in the back of his mind that the Eskimo Curlews are still in existence. The author is careful to distinguish between Hudsonian Curlews and Whimbrels , but A. O. U. combined them after the book was written
A Black-Bellied Whistling Duck Specimen from Nebraska
On 29 October 1989 John Andersen of Ong, Nebraska, shot and killed an adult male Black-bellied Whistling-Duck while duck hunting at Hansen Waterfowl Production Area, 3 miles north and 1 mile west of Ong, Clay Co., Nebraska (T6N R5W Section 35). Andersen\u27s brother-in-law, Stewart Porterfield of Lincoln, was present at the time and tentatively identified the specimen but returned to their vehicle to get a bird book for reference (Porterfield, pers. comm. 2 November 1989). Mr. Porterfield took the frozen, intact duck specimen to the Nebraska Game and Parks Commission office in Lincoln where it was recommended that the specimen be deposited at the University of Nebraska State Museum (UNSM).
The frozen specimen was delivered and donated to UNSM (Accession Z-1989-55) by Mr. Porterfield on 2 November 1989. The specimen was prepared as a standard study skin and partial skeleton by the author on 7 November 1989 and catalogued into Division of Zoology\u27s collections as UNSM ZM-16079.
Dendrocygna autumnalis (Linnaeus), the Black-bellied Whistling-Duck, is not on the official list of birds in Nebraska (N.O.U.R.C., 1988, 1989) and was not listed as even hypothetical in a critically evaluated list of Nebraska birds (Bray et al., 1986). However, Black-bellied Whistling-Ducks, whose normal range is from southern Arizona and southern Texas south to southern Brazil and Argentina, have wandered north, including to Kansas, Iowa, and Michigan (AO.U., 1983). There are three records of this species in Kansas (Thompson & Ely, 1989) and a recent sighting in Minnesota that is under consideration of the Minnesota Ornithologists\u27 Union Records Committee (Tveten, 1989). A written description and photographs of UNSM ZM-16079 have been submitted to the Nebraska Ornithologists\u27 Union Records Committee for consideration
Factors Related to Extralaryngeal Spread in Juvenile Recurrent Respiratory Papillomatosis
Granular cell tumor of the vocal cord: Case Report and Literature Review
INTRODUCTION AND IMPORTANCE: Granular cell tumors (GCT) are rare neoplasms. The most common places are the head and neck. The larynx accounts for 3‐10% of cases. PRESENTATION OF CASE: We present the case of a man who consulted our Department of Otorhinolaryngology due to long-term progressive dysphonia without dyspnea or dysphagia. Fibrolaryngoscopy revealed a tumor that affected the left vocal cord. The tumor was surgically resected. The histopathological report revealed a laryngeal GCT. Fourteen months after surgery, the patient had no recurrence. CLINICAL DISCUSSION: Patients with GCT of the larynx typically have persistent hoarseness, stridor, dysphagia and otalgia, but can also be asymptomatic. A definitive diagnosis is provided by histopathology with immunohistochemistry, and the treatment of choice is surgical resection. Unlike the literature, our report concerns a young man. CONCLUSION: Granular cell tumor is a rare tumor of the larynx and should be considered a differential diagnosis in all adult men with long-standing dysphonia
Remembering Paul Johnsgard
Paul A. Johnsgard (1931–2021) was a friend of many, an artist, prolific author, teacher, and humble admirer of all living creatures. It was impossible to find someone at Nebraska Audubon Society or Nebraska Ornithologists’ Union meetings who did not know Paul Johnsgard. His more than 100 published books made him known not just in a community of ornithologists, birdwatchers, and bird lovers in the United States but also abroad. He was a world-renowned ornithologist and naturalist who remained deeply embedded in his local culture and its prairie environment.
We invited about 75 people to write a short memory of Paul. We received about 40 responses, which are published in this book, along with Paul Johnsgard’s own writing on his life. Contributors to this volume include George Archibald, Cherrie Beam-Callaway, Jo D Blessing, Charles Brown, Linda Brown, Jackie Canterbury, John Carlini, Ron Cisar, David Duey, Richard Edwards, Michael Forsberg, Karine Gil, Sue Guild, Twyla Hansen, Chris Helzer, John Janovy, Allison Johnson, Michelle Johnson, Joel Jorgensen, Fujiyo Koizumi, Josef Kren, Thomas Labedz, Kam-Ching Leung, Thomas Mangelsen, Martin Massengale, Julie Masters, Marilyn McNabb, W. Don Nelson, Neal Ratzlaff, Arlys Reitan, James Rosowski, Paul Royster, William Scharf, Rachel Simpson, Tiffany Talbot, Rick Wright, and Christy Yuncker Happ.
Cover: Paul Johnsgard at Cedar Point Biological Station, July 2006. Photo by Linda Brown
With 60 color photographs
ISBN 978-1-60962-289-3 ebook
doi: 10.32873/unl.dc.zea.1500https://digitalcommons.unl.edu/zeabook/1142/thumbnail.jp
