scholarly journals Method of selective resonance stimulation in the treatment of acute adhesive small bowel obstruction.

2018 ◽  
Vol 96 (4) ◽  
pp. 348-353
Author(s):  
V. I. Pikuza ◽  
O. Kh. Khalidov ◽  
Vladimir Sergeevich Fomin ◽  
V. N. Yakovenko ◽  
V. M. Fomina
Keyword(s):  
Intestinal Obstruction ◽  
Standard Therapy ◽  
Mean Value ◽  
Abdominal Pressure ◽  
Adhesive Small Bowel Obstruction ◽  
Peristaltic Activity ◽  
Group 2 ◽  
Adhesive Intestinal Obstruction ◽  
Stimulation Of ◽  
Group 1

Aim. Demonstration of the technique of resonant stimulation of peristaltic activity in patients with acute adhesive intestinal obstruction with the aim of correcting enteral insufficiency. Material and methods. The outcome of treatment of 46 patients with adhesive intestinal obstruction (2015-2016) is analyzed. The 1st group (21 patients - prospectively) and the 2nd group (25 patients - retrospectively) are fully commensurable. In the 2nd group - standard therapy. Patients of group 1 for the correction of enteral insufficiency, prevention of progression of intraperitoneal hypertension, stimulation of peristaltic activity, in addition to standard therapy, sessions of resonant stimulation were conducted. Results. By the end of the first session (about 70% of patients), and at the 2 nd session in group 1, responses of all stimulated departments were obtained, with synchronization of sensitivity and preservation of activity in background stimulation regimes. The maximum sensitivity increased to M110 ± 13 mcV. In the course of enterography, the passage to the distal ileum was 6.2 ± 2.1 hours in Group 1 and 8.1 ± 2.3 hours (p≤0.05) in Group 2. By the end of the second day of treatment, by all patients in 1 Group the transvesical-measured pressure was 5.8 ± 1.3 mm Hg, while the mean value of abdominal pressure in group 2 was 10.3 ± 3.9 mm Hg (р≤0,05), and 7 patients showed signs of grade 1 hypertension. Conclusion. These data allow us to look optimistically at the improvement of the results of surgical treatment of acute adhesive intestinal obstruction, avoiding excessive and sometimes vain surgical activity, reducing the risk of further trauma to the peritoneum and the formation of adhesions.

scholarly journals Percutaneous resonance stimulation in complex correction of intraabdominal hypertension and dynamic intestinal obstruction in patients with severe acute pancreatitis

2018 ◽  
Vol 23 (3) ◽  
pp. 23-30
Author(s):  
O. K. Khalidov ◽  
V. S. Fomin ◽  
A. N. Gudkov ◽  
G. O. Zayratyants ◽  
G. P. Dmitrienko ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Visual Analogue Scale ◽  
Intestinal Obstruction ◽  
Severe Acute Pancreatitis ◽  
Analogue Scale ◽  
Disease Onset ◽  
Abdominal Pressure ◽  
Abdominal Hypertension ◽  
Group 2 ◽  
Group 1

Aim. To evaluate an effectiveness of non-invasive stimulation of gastrointestinal peristaltic activity in complex correction of motor-evacuation disorders and intra-abdominal hypertension in patients with severe acute pancreatitis.Material and methods. There were 85 patients with severe acute pancreatitis. Patients were divided into two groups: group 1 (n = 43) – percutaneous resonance stimulation; group 2 (n = 42) – routine treatment of acute pancreatitis with intraperitoneal hypertension syndrome and dynamic intestinal obstruction according to normative documents. Intra-abdominal pressure was measured in 1, 3, 5, 7 days after disease onset. Abdominal perfusion pressure and filtration gradient were additionally calculated. Moreover, outcomes were assessed after 1, 3, 5, and 7 days according to visual-analogue scale.Results. There were faster regression of intraperitoneal hypertension followed by normalization of abdominal pressure after 7 days in group 1 compared with group 2 (p ≤ 0.05). Data of visual-analogue scale confirmed patients’ good tolerability of resonance stimulation including absent local discomfort during electrodes deployment and better state of health compared with group 2 (p ≤ 0.05). Infectious complications rate was 20.9% in group 1, 38.1% – in group 2. Sepsis developed in 3 (7%) patients of group 1 and in 7 (16.6%) patients of group 2. Overall mortality was 7% and 14.3% in both groups, respectively. Сonclusion. Percutaneous resonance stimulation is able to improve outcomes in patients with severe acute pancreatitis.

scholarly journals Development of the spine following pinealectomy or sensorimotor cortical area damage

2013 ◽  
Vol 82 (4) ◽  
pp. 411-414
Author(s):  
Richard Chaloupka ◽  
Milan Dvořák ◽  
František Tichý ◽  
Jiří Veselý ◽  
Alois Nečas
Keyword(s):  
Cortical Area ◽  
Mean Value ◽  
Albino Rats ◽  
Sham Operation ◽  
Growing Rats ◽  
Growing Rat ◽  
Group 2 ◽  
Wistar Albino Rats ◽  
New Hypothesis ◽  
Group 1

The aim of this experimental study was to assess the spine development in growing rats following pinealectomy or partial sensorimotor cortical area damage. A total of 68 Wistar albino rats (Rattus norvegicus v. alba f. domestica) aged 3–4 weeks were divided into four groups. In group 1 (n = 22) pinealectomy was performed, in group 2 (n = 24) the sensorymotor cortical area 2 × 1 × 1 mm below the coronal suture was removed. Sham operation consisted of a craniotomy (n = 11) and a craniotomy with a durotomy (n = 11). All surgeries were performed from the left side. The rats were killed four months after surgery and radiography was then made. Scoliosis, C2-T7 lordosis and T7-S1 kyphosis were measured.The brains of rats after sensorimotor cortical area removal were isolated and investigated including histological examination (light microscope). Scoliosis of 9–14 degrees (mean value 10.8) was developed in five animals after pinealectomy; in rats after removal of the sensorimotor cortical area scoliosis of 10–24 degrees (mean value 15.9) was observed in eight animals. The scoliotic curves were non structural. Our results indicate the importance of cortical area damage, together with craniotomy and durotomy in the development of growing rat spine. These damages could cause a disorder of balance between smaller inhibitory and greater facilitating area of central nervous system, controlling the muscular tone and resulting in the development of increased lordosis and kyphosis and non structural scoliosis due to muscle imbalance. Thus the new hypothesis of scoliosis aetiology was introduced.

scholarly journals Intestinal Obstruction due to Bezoar in Elderly Patients: Risk Factors and Treatment Results

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Fatih Altintoprak ◽  
Eyup Gemici ◽  
Yasin Alper Yildiz ◽  
Mustafa Yener Uzunoglu ◽  
Taner Kivilcim
Keyword(s):  
Risk Factors ◽  
Peptic Ulcer ◽  
Surgical Technique ◽  
Abdominal Surgery ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
History Of ◽  
Group 2 ◽  
Length Of Hospitalization ◽  
Group 1

Purpose. Bezoars are foreign particles from the accumulation of indigestible materials in the gastrointestinal system and a rare cause of mechanical intestinal obstruction. We aimed at investigating differences in risk factors for the development of intestinal obstruction associated with bezoar in elderly patients.Methods. Hospital records of patients who underwent surgery associated with phytobezoar between January 2004 and May 2016 were retrospectively evaluated. Patients were divided into two groups [<65 years (Group 1) and ≥65 years (Group 2)]. Data were examined regarding presence of comorbidity, history of abdominal surgery, operation time, bezoar site, surgical technique, length of hospitalization, morbidity, and mortality.Results. Of 121 patients enrolled, 48 (39.7%) were male and 73 (60.3%) were female (range: 24-86 years). Group 1 consisted of 69 patients aged < 65, while Group 2 consisted of 52 patients aged ≥ 65. Comorbidity was reported in 52 (42.9%) patients (mostly diabetes mellitus, 20.7%), while 60 patients (49.6%) had history of abdominal surgery (mostly peptic ulcer, 27.3%). No statistical differences were found between the two groups in terms of sex, bezoar site, surgical technique preferred, history of abdominal surgical intervention, pre- and postoperative CT examination, morbidity rates, and length of hospitalization. But, ratio of peptic ulcer operations history, presence of total comorbidity, and time of surgery decision was higher in Group 2 patients.Conclusion. In bezoar-related intestinal obstruction, duration and outcome of treatment are not affected by age distribution. Possibility of bezoar should primarily be considered in elderly patients with history of peptic ulcer operation.

scholarly journals CLINICAL EFFECTIVENESS OF ANTRAL IN PATIENTS WITH CHRONIC PANCREATITIS

2020 ◽  
Vol 20 (2) ◽  
pp. 102-107
Author(s):  
O. S. Khukhina ◽  
I. V. Dudka ◽  
T. V. Dudka ◽  
V. S. Smandych
Keyword(s):  
Chronic Pancreatitis ◽  
Standard Therapy ◽  
Blood Lipid ◽  
Clinical Effectiveness ◽  
Inhibitory System ◽  
Reactive Protein ◽  
Integrated Therapy ◽  
Group 2 ◽  
Group 1 ◽  
Dynamic Indicators

The studies on the pathogenesis of chronic pancreatitis (CP) have proven the important role of systemic inflammation, factors of proteinase-inhibitory system with increasing damaging effects of systemic proteolysis, disturbance of oxidant-antioxidant homeostasis, changes in blood lipid and protein spectroscopic processes that collectively contribute to inhibition of reparative processes and the activation of pancreatic fibrosis processes. The aim of this study was to determine the effectiveness of applying Antral medicine in the treatment of CP in the exacerbation phase on the basis of a comprehensive assessment of clinical course of CP and structural and functional disorders of the pancreas. Material and methods. 52 patients with CP of mixed aetiology were examined in the exacerbation phase of moderate severity. The first group (group 1, control) included 24 people, who received standard treatment within 30 days. The main group (group 2) involved 28 people, who in addition to the standard therapy took Antral (Pharmak OAO, Kyiv) in a dose of 1 tablet (200 mg) 3 times a day for 30 days. The comparison group consisted of 30 healthy individuals of the same age and sex. Results. In 4 weeks since the beginning of the therapy, the astheno-vegetative syndrome was found as significantly less manifested in only 2 people (7.1%) of the 2 groups, whereas in the 1 group it remained in 17 patients. At the same time in all patients of group 2 (100.0%) the pain and feeling of heaviness in the epigastric region, pain in the left and right subcostal area were disappeared, they did not complain of nausea. The restoration of physical performance in 100.0% of patients in the 2 group can be regarded as a positive manifestation of the therapy efficacy. Analyzing the indicators, which characterize the phase of CP exacerbation, it is necessary to note the patients of the 2 group demonstrated higher efficacy of their treatment program. Thus, dynamic indicators of blood α-amylase activity against the background of hyperfermentemia diagnosed prior the treatment and in the phase of CP exacerbation significantly decreased in both groups of observation on the 30th day of the therapy; the syndrome of enzyme rejection in the blood was eliminated in 100% of patients of the 2 groups; whereas in group 1 this was observed only in 58.3% of the patients. The dynamic of indicators of the inflammation syndrome in patients with CP (by blood C-reactive protein content) indicates its complete elimination in 96.4% of the patients in group 2 vs. 29.2% of the patients in group 1. Analysis of the dynamic indicators of elastase-1 content in the faeces of the patients with CP on the 30th day of the therapy indicates a significant increase in this indicator in only group 2. Restoration of the secretory capacity of the pancreas was observed in 78.6% of patients in group 2 vs. 20.8% of the patients in group 1. Conclusions. Complex therapy of patients with chronic pancreatitis with applying Antral in addition to the integrated therapy has led to faster, when compared with only standard therapy, achieving clinical remission of chronic pancreatitis, elimination of inflammatory pancreatic oedema, hyperfermentemia and inflammation, restoration of the external secretion of the pancreas.

scholarly journals Incidence and hormonal stimulation of cows with ovarian hypotrophy

2020 ◽  
Vol 77 (2) ◽  
pp. 171
Author(s):  
Daniel BEREAN ◽  
Liviu Marian BOGDAN ◽  
Ileana BOGDAN ◽  
Anamaria BLAGA PETREAN ◽  
Mihai CENARIU ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Artificial Insemination ◽  
Subcutaneous Injection ◽  
Hormonal Stimulation ◽  
Slippery Surface ◽  
Group 2 ◽  
Stimulation Of ◽  
Group 1

The purpose of this research was to establish the incidence and to compare the efficiency of two products used for the hormonal stimulation of ovarian hypotrophy. Gynaecological investigations were performed in 2 farms. The animals with ovarian hypotrophy (ovaries smaller than normal and with a slippery surface) were divided in 2 equal groups depending on the protocol applied: Progesterone (Prid Delta, CEVA) and Progesterone (Dehydroxyprogesterone 10%, Faculty of Veterinary Medicine Cluj-Napoca). In case of group 1 the treatment was performed with Prid Delta (CEVA), vaginal use, 1.55 g of progesterone/animal for 7 days. For the animals of group 2 the treatment was performed with Dehydroxyprogesterone, subcutaneous injection, 1.5 g of dehydroxyprogesterone/animal for 7 days. For each group were observed: the estrous signals, the interval of estrous apparition, the number of gestation obtained after the first artificial insemination.

scholarly journals A study to assess the macular thickness and visual outcome before and after cataract surgery

2021 ◽  
Author(s):  
Abhishek Salwan ◽  
Shakeen Singh
Keyword(s):  
Cataract Surgery ◽  
Sampling Technique ◽  
Visual Outcome ◽  
Mean Value ◽  
Mean Difference ◽  
Macular Thickness ◽  
P Value ◽  
Small Incision Cataract Surgery ◽  
Group 2 ◽  
Group 1

Background: Cystoid macular edema (CME) is the formation of fluid-filled cystoid spaces between the outer plexiform and inner nuclear layers of the retina. It may present as a complication of routine cataract surgery including phacoemulsification (PHACO) and small incision cataract surgery (SICS).Methods: An observational study of uncomplicated cataract surgery with assessment by ophthalmoscopy, slit Lamp, Snellen chart and OCT during pre- and post-operative period. 100 patients were selected by inclusion criteria and using convenient sampling technique and were divided into two groups of 50 each in PHACO and SICS groups.Results: During preoperative observation in SICS/group-1, mean value and SD of macular thickness was 223.38±12.61 and in PHACO/group-2 it was 224.14±12.69. Mean value, mean difference and p value of visual acuity in group 1 was 0.258, during 12 weeks 0.788 with mean difference -0.53 and p=0.000 and in group 2 it was 0.269, during 12 weeks 0.844 with mean difference -0.58 and p=0.000. Mean value, SD, mean difference and p value of macular thickness in SICS during 1 week was 238.28±12.29, during 12 weeks 227.04±12.58 with mean difference 11.24000 and p=0.000 and in PHACO mean value, SD, mean difference with p value during 1 week was 231.90±12.42, during 12 weeks was 225.02±11.74 with mean difference 6.88000 and p=0.000.Conclusions: A subclinical increase in post-operative macular thickness was recorded which returned nearly to baseline values during the 12 weeks follow up and did not affect visual outcome.

scholarly journals Vliyanie sulodeksida na funktsional'noe sostoyanie endoteliya u bol'nykh s sakharnym diabetom i diabeticheskoyretinopatiey

2011 ◽  
Vol 14 (2) ◽  
pp. 66-68
Author(s):  
Natalya Alexandrovna Gavrilova ◽  
Olga Evgen'evna Tishchenko
Keyword(s):  
Nitric Oxide ◽  
Endothelial Function ◽  
Functional State ◽  
Vascular Wall ◽  
Vasoactive Factors ◽  
Endothelial Factors ◽  
Group 2 ◽  
Willebrand Factor ◽  
Stimulation Of ◽  
Group 1

Aim. To study effect of sulodexide (Vessel Due F) on the functional state of endothelium in patients with diabetic retinopathy. Materials and methods. A total of 37 patients with DR were divided in 2 groups and treated with sulodexide. Group 1 comprised 16 patients withnon-proliferative DR, group 2 included 21 patients with preproliferative DR. The functional state of endothelium was estimated from the plasma andserum levels of endothelial factors (sVCAM, endothelin, nitric oxide, t-PA, Willebrand factor). Results. The measurement of the initial levels of endothelial factors in both groups revealed significant changes in endothelin, nitric oxide, and sVCAMsuggesting disturbances of endothelial function due to DR. Sulodexide therapy normalized it regardless of DR stage and thereby improved functionalactivity of retina. Conclusion. This study has demonstrated beneficial effect of sulodexide on endothelial function in patients with DR due to correction of the productionof vasoactive factors (endothelin, nitric oxide) and stimulation of fibrinolytic activity of the vascular wall (t-PA).

scholarly journals Comparison of combined intra-articular and sub-acromial injection with intra-articular injection in adhesive capsulitis

2021 ◽  
Vol 10 (1) ◽  
pp. 33-38
Author(s):  
Rajeev Raj Manandhar ◽  
Krishna Raj Khanal ◽  
Himal Khanal ◽  
Saroj Gautam
Keyword(s):  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Shoulder Function ◽  
Mean Value ◽  
Constant Murley Score ◽  
Significant Difference ◽  
Clinical Benefits ◽  
The Mean ◽  
Group 2 ◽  
Group 1

Background: The pain and limitation of shoulder function can disrupt daily activities of patients for months to years. Adhesive capsulitis is considered a self-limiting disease but the duration remains uncertain. The brunt of the disease is focussed on the inflamed joint capsule. On this basis, use of corticosteroid injection is justified. However, injection method is not conclusive. Objectives: To compare clinical benefits of intra-articular injection alone versus combined intra-articular and subacromial injections in management of adhesive capsulitis. Methods: Fifty-nine patients with diagnostic criteria for adhesive capsulitis were included in the study from March 2019 to September 2020. Patients were divided into two groups; patients who underwent intra-articular (IA) injection alone (Group 1) and those who received both intra-articular and sub-acromial (IA+SA) injection (Group 2). The injections were landmark guided. Patients were followed up at three, six, and 12 weeks. Pain was recorded using visual analogue scale (VAS) and subjective function using Constant-Murley score. Results: Twenty-eight patients were included in Group 1 (IA) and 31 in Group 2 (IA+SA). Thirty-six patients were female (18 each in Group 1 and Group 2) and 23 patients were male (Group 1 = 13; Group 2 = 10). In the twelfth week, VAS score was reduced in both the groups. On comparing the mean value of Constant-Murley score between the two groups there is significant difference in value recorded at the sixth and twelfth week. Conclusion: The IA+SA injection provides significant reduction in pain and better function in the short term over the IA injection.

scholarly journals A Clinical Study to assess the Efficacy of Commonly Available Denture Adhesive Materials in Mandibular Dentures

2013 ◽  
Vol 3 (4) ◽  
pp. 125-130 ◽  
Author(s):  
Bhupender Yadav ◽  
Puja Malhotra ◽  
Harish Yadav ◽  
Sumit Singh Phukela
Keyword(s):  
Clinical Study ◽  
Adhesive Bond ◽  
Mean Value ◽  
Denture Adhesive ◽  
Denture Adhesives ◽  
Group 2 ◽  
Edentulous Patients ◽  
Age Range ◽  
Adhesive Materials ◽  
Group 1

ABSTRACT Retention in mandibular dentures has always been a challenge for the treating dentist. Denture adhesives are known to improve the adhesive bond between the denture and the underlying tissues. However, denture adhesives still remain unexplored and not much is known about the efficacy of these materials in mandibular dentures especially in patients with poor foundations. The present study was carried out to compare the efficacy of different commercially available denture adhesives in relation to their retentive ability in patients with good well formed mandibular ridges and in patients with resorbed and flat mandibular ridges. Seventy edentulous patients, age range between 50 to 70 years, were selected. The patients were divided into 2 groups; group 1 comprised of 35 patients with good well formed mandibular ridges and group 2 consisted of 35 patients having low well rounded mandibular ridges. The adhesion and cohesion that developed between the dentures and the underlying tissues when the various materials were interposed between them was evaluated with the help of a test apparatus in newtons. Mean value of retention in denture without adhesive was 9.93 N and 24.53 N in resorbed and well formed ridges respectively. Use of denture adhesive materials led to a higher value of retention as opposed to when the dentures were used without adhesives. This was true for patients with good well formed mandibular ridges as well as for patients with poor foundations. Among the various denture adhesive powders tested, Fittydent showed better results, i.e. 29.56 and 33.05 in resorbed and well-formed ridges respectively as opposed to fixon which showed values of 16.47 and 27.70 respectively. How to cite this article Malhotra P, Yadav B, Yadav H, Phukela SS. A Clinical Study to assess the Efficacy of Commonly Available Denture Adhesive Materials in Mandibular Dentures. Int J Prosthodont Restor Dent 2013;3(4):125-130.

scholarly journals Comparison of Microleakage of Pedo Jacket Crowns and Stainless Steel Crowns Cemented with Different Cements

2019 ◽  
Author(s):  
Mona Sohrabi ◽  
Sara Ghadimi ◽  
Bahman Seraj
Keyword(s):  
Stainless Steel ◽  
Mean Value ◽  
Resin Cement ◽  
Glass Ionomer ◽  
Luting Cements ◽  
Group 4 ◽  
Tooth Preparation ◽  
Group 2 ◽  
Group 1

Objectives: This study aimed to assess the microleakage of Pedo Jacket crowns compared to stainless steel crowns (SSCs) cemented with different luting cements. Materials and Methods: In this in-vitro experimental study, 80 primary molars were randomly divided into four groups of 20 each. Groups 1 and 2 were subjected to standard tooth preparation for SSC. Crowns in group 1 were cemented with glass ionomer (GI), and crowns in group 2 were cemented with a resin-modified glass ionomer (RMGI) cement. In groups 3 and 4, minimal tooth preparation was performed for Pedo Jacket crowns, and the crowns were cemented with RMGI and Panavia resin cement, respectively. Microleakage was measured at mesial and distal surfaces in micrometers (µm), and the mean value for each tooth was calculated. One-way analysis of variance (ANOVA) was applied to compare the microleakage of the four groups. Results: Group 3 (Pedo Jacket cemented with RMGI) showed the highest microleakage (1523.83±250.32 µm) with significant differences with the remaining three groups (P<0.001). Microleakage in group 4 (Pedo Jacket cemented with Panavia) was significantly lower than that in the other three groups (301.25±219.53 µm, P<0.001). Groups 1 (SSCs cemented with GI) and 2 (SSCs cemented with RMGI) were not significantly different in terms of microleakage (P=0.49) although group 1 showed slightly higher microleakage than group 2 (598.43±260.85 µm versus 500.25±124.74 µm). Conclusions: Pedo Jacket crowns can serve as an acceptable esthetic alternative to SSCs if cemented with resin cements.  

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