scholarly journals Evaluation of anesthetic effect of ropivacaine in surgery of chronic periapical lessions

2010 ◽  
Vol 63 (5-6) ◽  
pp. 366-370 ◽  
Author(s):  
Milos Tijanic ◽  
Nikola Buric ◽  
Goran Jovanovic
Keyword(s):  
Local Anesthetic ◽  
Soft Tissues ◽  
Rating Scale ◽  
Control Group ◽  
Surgical Removal ◽  
Average Value ◽  
Anesthetic Effect ◽  
Intraoral Approach ◽  
Visual Analogous Scale

Introduction. Ropivacaine is used in orthopedcs, gyneacology, surgery, ophtamology, whereas experience about its usage in dentistry is still limited. The aim of this research was to compare the anesthetic effect between local anesthetics ropivacaine and bupivacaine, in surgical disposals of chronical periapical lessions in maxilla. Material and methods. The study included the patients that had indications for surgical removal of chronical periapical lessions at one of the frontal teeth of upper jaw. The total total number of examinees was 60, and they were devided in two groups. Ropivacaine chloride (0.75%) was used as a local anesthetic in one group (Naropin? 0,75%; Astra Zeneca), and in the other one bupivacaine chloride (0.5%) (Vexelit? 0,5%; Zdravlje). The autors applied 1,8 ml of block anesthesia for the n. infraorbitalis (intraoral approach) as well as 0,2 ml of the local anesthetic from the palatine side for the final branches of n. nasopalatinus in order to observe the folloving anesthetic parameters. I. Beginning of anesthesia was followed by the appearence of upper lip numbness. II. Pain rating scale according to Sisk was used for the objective measurement of the anesthesia quality. III. The pain intensity during the intervention was measured by visual analogous scale, on which the patient denoted the intensity of pain he had felt during the intervention. IV. Duration of anesthetic effect - it is followed by soft tissues numbness. Results and discussion. After the ropivacaine application anesthesia effect started in 1.57 min. and after the usage of bupivacaine in 1.67 min. The mean duration of soft tissue numbness after the application of ropivacaine was 321 minutes. Bupivacaine had a shorter anesthetic effect - 296.5 minutes. The quality of anesthesia after the usage of ropivacaine was assessed by the surgeons with average mark - 1.76. Interventions in which this anesthetic was used were performed with minimal pain and without additional anesthesia. The quality of anesthesia after the usage of bupivacaine (3.03) was statistically much worse (p<0.01) in comparison to ropivacaine. In visual analogous scale where patients denoted the intensity of pain during the intervention with ropivacaine the marked average value was 30.1 mm while the average value with usage of bupivacaine was 41.7 mm. The patients from the control group, where bupivacaine was used, had much stronger pain, statistically significant (p<0.05) in comparison to the group where ropivacaine was used. Our results show that the quality of anesthesia that was attained with 0,5% bupivacaine was much worse than the quality of anesthesia after the application of 0,75% ropivacaine. Conclusion. Ropivacaine has a potential to replace bupivacaine completely in cases when there is the indication for its usage in oral surgery (longlasting intervention, interventions followed by intensive postoperational pain, nerve blockade).

scholarly journals EVALUATION OF PATIENT’S QUALITY LIFE WITH JOINT AND MUSCLE DYSFUNCTION

2020 ◽  
Vol 73 (7) ◽  
pp. 1350-1354
Author(s):  
Igor V. Yaishen ◽  
Karina Y. Andrienko ◽  
Irina O. Pereshivaylova ◽  
Leah G. Salia ◽  
Elena O. Berezhna
Keyword(s):  
Quality Of Life ◽  
Rating Scales ◽  
Rating Scale ◽  
Control Group ◽  
Orthopedic Treatment ◽  
Subjective Analysis ◽  
Average Value ◽  
National Medical ◽  
Quality Life

The aim: was the evaluation the patient’s quality of life with muscular and joint dysfunction of TMJ with using a modified profile questionnaire at various stages of orthopedic treatment. The study was conducted at the Department of Orthopedic Dentistry on the base of University Dental Center in Kharkiv National Medical University. Materials and methods: We conducted a clinical examination and subjective analysis of 125 patients aged 20 to 60 years (mean age 38.5 ± 3), and 80 of them with a reliable diagnosis of dysfunction of TMJ and a control group of 45 patients of the same age without pathology of TMJ. Our profile questionnaire is intended for filling by the respondent (patient) at the three control stages of orthopedic treatment under the supervision of an orthopedic dentist (before the start of treatment, 1.5 months after the beginning of treatment and 3 months). The data obtained were subjected to a scaling process, converted into percentages to facilitate statistical analysis. Results: The worst values before and after treatment were found in the 3rd and 4th age subgroups (30.5 ± 0.60 and 42.0 ± 0.7 points, respectively), with a mean of 10 and 13%, respectively, according to the proposed rating scale. In this case, the indicators have changed 1.3 times in the direction of increase. The highest level of QL was observed in patients of the 2nd (98.7 ± 0.8 points) and the 1st subgroups (102.3 ± 0.4 points), the average value for the three stages of treatment was 78% and 92% rating scales. Before of orthopedic treatment, the values were approximately the same. Conclusions: The using of profile questionnaire of quality of life in patients with muscular and joint dysfunction of the TMJ is appropriate. The questionnaire can be used to evaluate the dynamics of orthopedic treatment of this complex pathology, and it can also be used as a prognostic criterion for the end of the disease. KEY WORDS: temporomandibular joint, muscular and joint dysfunction, analysis, quality of life, orthopedic treatment, modified profile questionnaire

Cesarean section incisional infiltration with lidocaine and Epinephrine versus Lidocaine alone in reducing postoperative pain. A randomized controlled double-blinded clinical trial

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hazem F El-Shahawy ◽  
Sherif F El-Mekkawi ◽  
. Haitham F Mohmmed ◽  
Hend M Afifi
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Breast Feeding ◽  
Local Anesthetic ◽  
Elective Caesarean Section ◽  
Control Group ◽  
Cesarean Section Delivery ◽  
Anesthetic Effect

Abstract Background Cesarean section delivery is becoming more frequent. Childbirth is an emotion-filled event and the mother needs to bond with her newborn baby as early as possible. Any intervention that leads to improvement in pain relief is worthy of investigation Aim of the Work to assess the efficacy and safety adding ef Epinephrine to lidocaine 2% in dose-related manner 1:200.000 in prolongation of anesthetic effect of lidocaine as a local anesthetic to reduce post; caesarean section pain after general anesthesia. Patients and Methods A total number of 200 women planned for elective caesarean section at Shams University Maternity Hospital Was recruited, 2 groups were randomized with a study group included 100 women received lidocaine 2% and epinephrine in dose-related manner and a control group included 100 women received lidocaine 2% only. Results women who received lidocaine and epinephrine were more satisfied and hadsignificant more time after caesarean section free of pain in comparison to women who received lidocaine only by 120 minutes. Also. adding Of epinephrine helped in decrease in amount of analgesic consumption after caesarean section. Women who received lidocaine and epinephrine started breast feeding and mobilization earlier than women who received lidocaine only. Epinephrine prolonged the action of lidocaine as a local anesthetic, this prolongation of action of local anesthetic had a significant effect in early mobilization and breast feeding and decrease in cost of analgesics. Nobody in our candidate had a post-operative infection, past operative pyrexia, Allergic reactions tar general anesthesia or complications with local anesthesia. Conclusion Adding of epinephrine to local anesthetics (such as lidocaine 2% in dose-related manner 1:200.0000) prolonged anesthetic effect by more than double of its original anesthetic time, This prolongation on anesthetic effect of local anesthesia by epinephrine helps in eariy mobilization; early breast feeding and less hospital duration stays. No complications (local nor systemic) developed with local infiltration of post-caesarean section incision with lidocaine 2% even aficr adding epinephrine in dose-related manner 1:200.000

scholarly journals Quality of Student Paper Sources Improves after Individual Consultation with Librarians

2013 ◽  
Vol 8 (2) ◽  
pp. 239 ◽  
Author(s):  
Laura Newton Miller
Keyword(s):  
Citation Analysis ◽  
Rating Scale ◽  
Academic Library ◽  
Research Paper ◽  
English Composition ◽  
Control Group ◽  
American University ◽  
Student Paper ◽  
Individual Consultation

Objective – To determine whether the quality of sources used for a research paper will improve after a student receives one-on-one instruction with a librarian. To test citation analysis and a rating scale as means for measuring effectiveness of one-on-one consultations. Design – Citation analysis. Setting – Academic library of a large American university. Subjects – Papers from 10 courses were evaluated. In total, 76 students were asked to meet with librarians. Of these, 61 actually participated. Another 36 students from the control group were not asked to meet with a librarian (although 1 partook in a consultation). Methods – Librarians invited faculty to participate in a new service to help improve quality of student research papers. Eligible courses included those with a required research paper component where papers could be evaluated at different times in the project. Faculty instructed students in the class to meet with the librarian after a first draft of a paper was written. Students from seven courses were asked to meet with a librarian. Courses included English Composition (2), Geography (1), Child Development (1), Occupational Therapy (1), Marketing (1) and Women Writers (1). Three courses acted as control groups (all English Composition). After meeting with students to make recommendations, librarians used a rating scale (measuring relevancy, authority, appropriate dates and scope) to review the quality of sources in both drafts and final papers. Main Results – One-on-one consultations with a librarian resulted in sources being of a higher quality in the final paper. With the exception of authority, the differences between draft and final paper were statistically significant in all measures (overall quality, relevance, dates and scope). Those in the control group showed no improvement in quality of sources between draft and final paper. Conclusion – Quality of sources in final paper improves after one-on-one consultations with librarians. The use of a rating scale is helpful in objectively measuring quality of sources, although there is potential for subjective interpretation.

Assessment of pain, care burden, depression level, sleep quality, fatigue and quality of life in the mothers of children with cerebral palsy

2019 ◽  
Vol 23 (3) ◽  
pp. 483-494 ◽  
Author(s):  
Ilknur Albayrak ◽  
Ayten Biber ◽  
Ahmet Çalışkan ◽  
Funda Levendoglu
Keyword(s):  
Sleep Quality ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Control Group ◽  
Care Burden ◽  
Sf 36 ◽  
Numerical Rating ◽  
Depression Level ◽  
Pain Care

The aim of this study were to evaluate pain, care burden, depression level, sleep quality, fatigue and quality of life (QoL) among a group of mothers of children with cerebral palsy (CP) and to compare their results with a group of healthy controls. The study involved 101 mothers who had children with CP and 67 mothers who had a healthy child as the control group. Pain, care burden, depression level, sleep quality, fatigue and QoL of all the participants were evaluated by the numerical rating scale, the Zarit care burden scale (ZCBS), the beck depression inventory (BDI), the Pittsburgh sleep quality index (PSQI), the checklist individual strength (CIS) and the short form-36 (SF-36), respectively. Numerical rating scale value was 3.57 ± 2.96 in the patient group. When the two groups were compared, the CP group showed higher scores for ZCBS, BDI, PSQI, total CIS and SF-36 subscales of general health and vitality whereas the scores for role physical, role emotional, mental health and mental component summary were found to be lower in the patients, compared to the control group. Reducing caregiving burden of the mothers’ by other family members and increasing psychosocial supports may help improve the mother’s health status.

scholarly journals Efficacy of microsurgical tumor removal for treatment of patients with intracanalicular vestibular schwannoma presenting with disabling vestibular symptoms

2017 ◽  
Vol 126 (5) ◽  
pp. 1514-1519 ◽  
Author(s):  
Madjid Samii ◽  
Hussam Metwali ◽  
Venelin Gerganov
Keyword(s):  
Quality Of Life ◽  
Vestibular Schwannoma ◽  
Symptom Relief ◽  
Vestibular Dysfunction ◽  
Control Group ◽  
Surgical Removal ◽  
Asymptomatic Patients ◽  
Significant Difference ◽  
Vestibular Symptoms

OBJECTIVEThe aim of this study was to analyze the efficacy and risks of microsurgery via the hearing-preserving retrosigmoid approach in patients with intracanalicular vestibular schwannoma (VS) suffering from disabling vestibular symptoms, with special attention to vertigo.METHODSThis is a retrospective analysis of 19 patients with intracanalicular VS and disabling vestibular dysfunction as the main or only symptom (Group A). All of the patients reported having had disabling vertigo attacks. Subjective evaluation of the impairment of patients was performed before surgery, 3 weeks after surgery, 3 months after surgery, and 1 year after surgery, using the Dizziness Handicap Inventory (DHI). The main outcome measures were improvement in quality of life as measured using the DHI, and general and functional outcomes, in particular facial function and hearing. Patient age, preoperative tumor size, preoperative DHI score, and preservation of the nontumorous vestibular nerve were tested using a multivariate regression analysis to determine factors affecting the postoperative DHI score. The Mann-Whitney U-test was used to compare the postoperative DHI score at 3 weeks, 3 months, and 1 year after surgery with a control group of 19 randomly selected patients with intracanalicular VSs, who presented without vestibular symptoms (Group B). The occurrence of early postoperative discrete vertigo attacks was also compared between groups.RESULTSThe preoperative DHI score was ≥ 54 in all patients. All patients reported having had disabling rotational vertigo before surgery. The only significant factor to affect the DHI outcome 3 weeks and 3 months after surgery was the preoperative DHI score. The DHI outcome after 1 year was not affected by the preoperative DHI score. Compared with the control group, the DHI score at 3 weeks and 3 months after surgery was significantly worse. There was no significant difference between the groups after 1 year. Vertigo was improved in all patients and completely resolved after 1 year in 17 patients.CONCLUSIONSDisabling vestibular dysfunction that affects quality of life should be considered an indication for surgery, even in otherwise asymptomatic patients with intracanalicular VS. Surgical removal of the tumor is safe and very effective in regard to symptom relief. All patients had excellent facial nerve function within 1 year after surgery, with a very good chance of hearing preservation.

scholarly journals The Effectiveness of Acupuncture for Dysphagia after Stroke: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-18
Author(s):  
Lida Zhong ◽  
Jing Wang ◽  
Fang Li ◽  
Xiao Bao ◽  
Huiyu Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rating Scale ◽  
Meta Analysis ◽  
Control Group ◽  
Test Results ◽  
Evaluation Standards ◽  
Bias Risk ◽  
Swallowing Assessment ◽  
Better Than

Objectives. This study reviewed and evaluated existing evidence of the efficacy of acupuncture as a clinical treatment for dysphagia after stroke. Methods. Five English and four Chinese databases were searched from inception to March 2020. All randomized controlled trials (RCTs) incorporating acupuncture or acupuncture combined with other interventions for the treatment of dysphagia after stroke were enrolled. All data were independently assessed and extracted by two authors. The bias risk assessment recommended by the Cochrane Collaboration's tool was used to assess the quality of the selected studies. This meta-analysis was conducted by using RevMan 5.3. Pooled analyses were calculated by the mean difference (MD) and 95% confidence interval (CI). Heterogeneity was assessed by the I2 test. Results. Thirty-five studies involving 3024 patients were analyzed. The meta-analysis showed that the therapeutic efficacy of acupuncture combined with other interventions was better than that of the control group for the standardized swallowing assessment (SSA) score (MD = −3.78, 95% CI: −4.64 to −2.91, P < 0.00001 ), Ichiro Fujishima rating scale (IFRS) score (MD = 1.68, 95% CI: 1.16 to 2.20, P < 0.00001 ), videofluoroscopic swallowing study (VFSS) score (MD = 2.26, 95% CI: 1.77 to 2.74, P < 0.00001 ), and water swallowing test (WST) score (MD = −1.21, 95% CI: −1.85 to −0.57, P =   0.0002 ). In studies reporting adverse effects, no serious outcome from an adverse event was confirmed. Conclusion. This systematic review indicated that acupuncture could be an effective therapy for treating dysphagia after stroke although stricter evaluation standards and rigorously designed RCTs are needed.

scholarly journals Effects of strength, stretching and balance home exercise program on quality of life of people with knee osteoarthritis

2018 ◽  
Vol 8 (1) ◽  
pp. 35-41
Author(s):  
Amila Kapetanović ◽  
Adila Horić ◽  
Dijana Avdic ◽  
Amila Jaganjac ◽  
Emina Softić
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Exercise Program ◽  
Moderate Intensity ◽  
Home Exercise ◽  
Control Group ◽  
Study Group ◽  
Home Exercise Program ◽  
Average Value

Introduction: The aim of this study was to assess effects of strength, stretching and balance home exercise program (moderate intensity, performed once a day, five times a week) on quality of life of people with knee osteoarthritis. Methods: Participants with knee osteoarthritis performed physical therapy for a period of two weeks at the Department for Physical Medicine and Rehabilitation. The study group (n=30) continued to perform exercise program at home while the control group (n=30) did not continue the exercise program. The participants in the study group performed strength, stretching and balance exercises of moderate intensity, once a day, five times a week, for a total of eight weeks. The Short Form-36 Health Questionnaire (SF-36) was used to examine the effects of exercise program. Results: There was no the difference between the average value of quality of life in all examined areas (physical functioning, role limitations due to physical problems, role limitations due to emotional problems, vitality/energy, mental health, social functioning, physical pain, perception of general health) at the beginning of the study between the study group and control group (p>0.05 in all eight areas). The difference between the average value of quality of life at the beginning and end of the study was statistically significantly higher in the study group compared to the control group (physical functioning p=0.0001; role limitations due to physical problems p=0.0001; role limitations due to emotional problems p=0.0001; vitality/energy p=0.0001; mental health p=0.0001; social functioning p=0.0001; bodily pain p=0.0001; perception of general health p=0.0001). Conclusion: Home exercise program consisting of strength, stretching and balance exercises, of moderate intensity, performed once a day, five times a week is effective in improving quality of life of people with knee osteoarthritis.

scholarly journals COMPARISON BETWEEN DEXAMETHASONE AND COOL JAW WRAP ON POSTOPERATIVE PAIN AFTER SURGICAL REMOVAL OF LOWER WISDOM TEETH

2017 ◽  
Vol 9 (4) ◽  
pp. 33
Author(s):  
Nasma M. Al-fahad ◽  
Wael Sheet Shallawe
Keyword(s):  
Quality Of Life ◽  
Postoperative Pain ◽  
Third Molar ◽  
Control Group ◽  
Surgical Removal ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
Surgical Extraction ◽  
Wisdom Teeth

Objective: The aim is to compare between the effect of cool jaw wraps and dexamethasone injection on postoperative pain and evaluate the quality of life after surgical removal of lower wisdom tooth.Methods: Extraction of impacted lower third molar will surgically operate (by the same difficulty of surgical extraction and same operator) on 30 patients, which divide into three groups, each group have 10 patients.We will instruct the patients in cool jaw wrap group to put cool jaw wrap after the operation. While the second group give dexamethasone injection after the operation. The last group which is the control group will left them with the usual instruction postoperatively.This study evaluates the facial pain, swelling, and trismus on days 1,2 and 7 postoperatively. Objective measurements of swelling, pain, and trismus were undertaken at days 1, 2 and 7. The quality of life questionnaire was estimated at day 7 postoperatively.Results: Cool jaw wrap showed no significant differences on the postoperative pain when it used after surgical removal of the lower third molar BUT have significant differences on the Quality of life of patients.Conclusion: Cool jaw face wrap can be recommended as a safe method that participates in some degree to reduce postoperative pain, it easy to handle, comfort, avoiding damage by freezing due to the barrier between cool jaw and skin and the patient can avoid the side effect of dexamethasone and the phobia from the injection.

Further Experiments in Language Translation

1973 ◽  
Vol 19 ◽  
pp. 29-52 ◽  
Author(s):  
H. Wallace Sinaiko ◽  
R.George Klare
Keyword(s):  
Rating Scale ◽  
Reading Speed ◽  
Language Translation ◽  
Control Group ◽  
Highly Qualified ◽  
Cloze Procedure ◽  
Series Of Experiments ◽  
Control Instruction ◽  
Comprehension Tests

Abstract Language translation by computer has been proposed as a solution to the backlog of training and operational manuals awaiting translation by more conventional means. This study reports one of a series of experiments to assess the quality of translations produced by human translators and computers. The type of material under study was technical text (i.e., maintenance manuals) and the translation was from English to Vietnamese. Utility or readability of the translations was assessed by reading comprehension tests, the cloze procedure (in which readers filled in blanks where words had been systematically deleted) and a rating scale for judging clarity. Time to perform each of these tasks was also measured. The subjects were 141 Vietnamese Navy officer candidates and a control group of 57 U.S. Navy officer candidates. A 500-word passage, from a U.S. Navy casualty control instruction, was translated by computer into a rough (un-edited) and a finished (post-edited) version; also, highly competent human translators prepared a Vietnamese text. Some Vietnamese subjects served as controls and took all tests based on the English, or untranslated, version. Major conclusions were: (1) Translations produced by highly qualified humans were consistently more comprehensible than those produced by computer, whether edited or un-edited; post-edited versions of computer produced text were more comprehensible than unedited ones; most differences were not statistically significant; (2) Vietnamese Navy officer candidates were able to read text in English as well as its best Vietnamese version and their test scores were about as high as those of American control subjects. Reading speed was not affected by mode of translation.

Decreased anxiety after Dawood fasting in the pre-elderly and elderly

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Ika Fidianingsih ◽  
Nur Aisyah Jamil ◽  
Russy Novita Andriani ◽  
Wira Muhammad Rindra
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Ketone Bodies ◽  
The Elderly ◽  
World Health Organisation ◽  
World Health ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference

Abstract Background A high prevalence of anxiety in the elderly often leads to decreased quality of life (QOL). A restrictive diet can increase the production of ketone bodies that encourage mood enhancement, neural protection and pain reduction. This study aimed to identify whether Dawood fasting could increase the QOL of the elderly by reducing anxiety. Methods This research was a quasi-experimental study involving a pretest–post-test control group design. The subjects were pre-elderly and elderly or healthy people aged more than 50, and a consecutive sampling method was employed. The fasting group observed the fast of Dawood, in which they abstained from eating, drinking, or having sexual intercourse from the break of dawn to dusk with the expressed intent to fast every other day. The fast was observed for 22 days (11 fasting days). Anxiety was examined using the Hamilton Rating Scale for Anxiety (HRS-A), while QOL was identified using the Indonesian version of the World Health Organisation Quality of Life (WHOQOL). Results A total of 48 respondents participated in this study with 24 respondents observing the fast of Dawood and 24 others not fasting. Results showed that the 22 days of Dawood fast reduced respondents’ complaints about anxiety by 4.37% and was significantly different from the non-fasting group (p=0.001). There was an increase in the QOL of the fasting group (p=0.019), although no significant difference was found when compared to the non-fasting group. Conclusions The fast of Dawood reduced anxiety in the pre-elderly and elderly.

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