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Complications of epidural adhesiolysis
Get PDFFishchenko Iakiv, Piontkovskyi Valentyn, Zlativ Volodimir. Complications of epidural adhesiolysis. Journal of Education, Health and Sport. 2016;6(2):183-189. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46408
http://ojs.ukw.edu.pl/index.php/johs/article/view/3384
https://pbn.nauka.gov.pl/works/716072
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).
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© The Author (s) 2016;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland
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(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016.
Complications of epidural adhesiolysis
Iakiv Fishchenko
SI "Institute of traumatology and orthopedics NAMS of Ukraine"
Valentyn Piontkovskyi
Rivne rigional hospital Ukraine
Volodimir Zlativ
Rivne rigional hospital, Ukraine
Complications of epidural adhesiolysis
Epidural adhesiolysis is a minimally invasive procedure used to treat neuro-compression pain of the lumbosacral part of spine with degenerative diseases. Thanks to being minimally invasive and to its high efficiency, the rate of this procedure in recent years has increased significantly. On a material of 760 patients we analyzed the mistakes and complications related to epidural adhesiolysis. The complications of varying severity were observed in our 297 (30.0%) patients. Of these, the complications which did not require any modifications of treatment strategies, or its minor correction occurred in 277 (36.4%) patients; complications requiring reinstallation of the catheter were observed in 15 (1.9%) patients; complications of moderate severity, as epidural hematoma, epiduritis we noted in 5 (0.6%) patients; threatening complication of spontaneous rupture of the dura mater followed by the catheter hypertonic solution of sodium chloride, we observed in one (0.1%) case.
Key words: epidural adhesiolysis, neuro-compression pain, complications
Why terminology matters: distinguishing unilateral corpectomy from posterior vertebral column resection
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Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Особливості застосування кінезотерапії у пацієнтів після хірургічної корекції лійкоподібної деформації грудної клітки
No full textSurgical treatment of “pectus excavatum” by Nuss technique is a safe procedure that is successfully used in young people. However, after surgery, these patients face complications that limit their ability to engage in physical labor or sports.
Aim. Develop a rehabilitation program for patients who underwent surgical correction of pectus excavatum using Nuss technique.
Material and methods. 85 patients with pectus excavatum deformity were examined and underwent minimally invasive correction according to Nuss technique.
Results. In 82 (96,47 %) patients we managed to achieve the perfect cosmetic result. In 78 (91,76 %) patients we used one fixator, in 5 (5,88 %) – 2 fixators, and in 2 (2,35 %) patients – 3 fixators. Among the complications, 17 (20 %) patients had pneumothorax, 3 (3,53 %) – hemothorax followed by pleural puncture, pneumonia was diagnosed in 2 (2,35 %) patients, pleural effusion – in 2 (2,35 %), empyema – in 1 (1,18 %), sulfur – in 1 (1,18 %), deep infection – in 1 (1,18 %). One patient (1,18 %) underwent a second operation due to the dislocation of the fixator.
Conclusions. In the postoperative period, it is recommended to avoid bending or rotating the body, limit participation in sports activities during the first 3 months after the operation. During the first 8 weeks, patients were recommended to perform breathing exercises with a small amplitude (for the prevention of respiratory complications), and 3 months after surgery – exercises to strengthen postural and abdominal muscles, to improve the amplitude of movements in the shoulder joints. The use of exercises helps to reduce the risk of post operative complications and improve the functional capabilities of patients with pectus excavatum in a shorter time.Хирургическое лечение “pectus excavatum” по методике Nuss является безопасной процедурой, успешно применяющейся у лиц молодого возраста. Однако после операции эти пациенты сталкиваются с осложнениями, ограничивающими их способность заниматься физическим трудом или спортом.
Цель. Разработать программу реабилитации пациентов, перенесших хирургическую коррекцию воронкообразной деформации грудной клетки методом Nuss.
Материал и методы. Обследовано 85 пациентов с воронкообразной деформацией грудной клетки, которым проведена минимально инвазивная коррекция по методу Nuss.
Результаты. У 82 (96,47 %) пациентов нам удалось достичь идеального косметического результата. У 78 (91,76 %) использовали один фиксатор, у 5 (5,88 %) – 2 фиксатора, у 2 (2,35 %) – 3 фиксатора. Среди осложнений у 17 (20 %) определяли наличие пневмоторакса, у 3 (3,53 %) определяли гемоторакс с последующей плевральной пункцией, пневмонию диагностировали у 2 (2,35 %) пациентов, плевральный выпот – у 2 (2,35 %), эмпиему – у 1 (1,18 %), серому – у 1 (1,18 %), глубокую инфекцию – у 1 (1,18 %). Один пациент (1,18 %) перенёс повторную операцию из-за вывиха фиксатора.
Выводы. В послеоперационном периоде пациентам рекомендовано: в течение первых 3-х месяцев после операции избегать сгибания или ротации туловища, ограничить участие в спортивной деятельности. В течение первых 8 недель пациентам рекомендовано выполнение дыхательных упражнений с небольшой амплитудой (для профилактики респираторных осложнений), а через 3 месяца после операции – упражнений для укрепления постуральных мышц и мышц брюшного пресса, на улучшение амплитуды движений в плечевых суставах. Применение упражнений помогает уменьшить риск послеоперационных осложнений и повысить функциональные возможности пациентов с диагнозом “pectus excavatum” в более короткие сроки.Хірургічне лікування “pectus excavatum” за методикою Nuss є безпечною процедурою, яка успішно застосовується в осіб молодого віку. Однак після операції ці пацієнти стикаються з ускладненнями, що обмежують їх здатність займатися фізичною працею або спортом.
Мета. Розробити програму реабілітації пацієнтів, які перенесли хірургічну корекцію лійкоподібної деформації грудної клітки за методом Nuss.
Матеріали і методи. Обстежено 85 пацієнтів з лійкоподібною деформацією грудної клітки, яким проведена мінімально інвазивна корекція за методом Nuss.
Результати. У 82 (96,47 %) пацієнтів нам вдалося досягти ідеального косметичного результату. У 78 (91,76 %) використовували один фіксатор, у 5 (5,88 %) – 2 фіксатори, у 2 (2,35 %) – 3 фіксатори. Серед ускладнень у 17 (20 %) визначали наявність пневмотораксу, у 3 (3,53 %) визначали гемоторакс із подальшою плевральною пункцією, пневмонію діагностували у 2 (2,35 %) пацієнтів, плевральний випіт – у 2 (2,35 %), емпієму – у 1 (1,18 %), серому – у 1 (1,18 %), глибоку інфекцію – у 1 (1,18 %). Один пацієнт (1,18 %) переніс повторну операцію через вивих фіксатора.
Висновки. У післяопераційному періоді пацієнтам рекомендовано: протягом перших 3-х місяців після операції уникати згинання або ротації тулуба, обмежити участь у спортивній діяльності. Протягом перших 8 тижнів пацієнтам рекомендовано виконання дихальних вправ з невеликою амплітудою (для профілактики респіраторних ускладнень), а через 3 місяці після операції – вправ для зміцнення постуральних м’язів і м’язів черевного пресу, на поліпшення амплітуди рухів у плечових суглобах. Застосування вправ допомагає зменшити ризик післяопераційних ускладнень і підвищити функціональні можливості пацієнтів з діагнозом “pectus excavatum” у коротші терміни
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