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Surgery Department (surgery + department)
Selected AbstractsCombined Medical and Surgical Treatment of Intracardiac Hydatid Cysts in 11 PatientsJOURNAL OF CARDIAC SURGERY, Issue 2 2010Alireza Molavipour M.D. We report 11 cases of cardiac hydatidosis who were treated medically and surgically. Patients and methods: Eleven patients diagnosed with cardiac echinococcosis were referred to the Cardiac Surgery Department of Shahid Madani Hospital from 1992 to 2004. Symptoms included dyspnea, palpitation, limb ischemia, fever, weight loss, hemiplegia, and loss of consciousness. Patients underwent surgical removal of the cyst followed by medical treatment until the titer of echinococcus hemaglutination test came to normal. Results: Hospital stay and recovery time were uneventful in nine patients. One patient died due to acute renal failure before hospital discharge (9%) and another patient experienced cerebral hydatidosis 12 months after surgery (probably due to cyst embolism). The other nine patients had no complications during five years of follow-up. Conclusion: Surgical excision using cardiopulmonary bypass combined with medical therapy provides the most optimal treatment for cardiac echinococcosis.,(J Card Surg 2010;25:143-146) [source] Pulmonary aspiration of a two-unit bridge during a deep sleepJOURNAL OF ORAL REHABILITATION, Issue 6 2005Ö. K. BA summary, Aspiration of teeth and dental restorations is a recognized, yet an infrequent happening in the literature. Main reasons of aspiration are maxillofacial trauma, dental treatment procedures or ethanol intoxication and dementia. The present case of a 2-unit bridge aspiration is however, not related with any trauma, dental procedure or systemic disease. A 37-year-old male patient had aspirated his bridge while sleeping and the bridge remained unidentified for 1 year despite the radiographic controls. He was then referred to the Chest Diseases Department of School of Medicine, Ege University and the radio-opaque object in the right intermediate bronchus was diagnosed to be an aspirated dental prosthesis. Subsequent to the failure of the rigid bronchoscopy, the patient was referred to the Thoracic Surgery Department and had to be operated for retrieval of the foreign body. [source] Quality of life in Swedish workers exposed to hand,arm vibrationOCCUPATIONAL THERAPY INTERNATIONAL, Issue 3 2007Ragnhild Cederlund Abstract The objective of the present study was to analyse whether differences existed among workers exposed to hand,arm vibration (HAV) with regard to quality of life (QoL) issues. One hundred and eight male workers from a heavy manufacturing plant, with and without HAV symptoms, and workers referred to a hand surgery department with severe HAV symptoms participated in the study. The participants attended a clinical interview, were given a physical examination of the hands and administered the Göteborg Quality of Life instrument and the Evaluation of Daily Activity Questionnaire (EDAQ). Results indicated that workers referred to a hand surgery department with more severe HAV symptoms described a lower quality of life, defined here as lower subjective well-being, more symptoms of ill-health and difficulties with activities of daily living (ADL), than workers with no HAV symptoms. Workers from a heavy manufacturing plant with HAV symptoms experienced more difficulties with ADL, especially while working outdoors in cold weather, than workers with no HAV symptoms. Limitations of the present study include the use of a subjective scale to describe HAV symptoms. Further research is recommended on a larger sample of workers at risk for HAV symptoms to develop preventative ergonomic strategies. Copyright © 2007 John Wiley & Sons, Ltd. [source] Use of intravenous sedation in the management of patients with high blood pressureORAL SURGERY, Issue 3 2009S. Woolcombe Abstract Aim:, We aim to determine the prevalence of undiagnosed/poorly controlled hypertension and study the population demographics. We also aim to study the effects of intravenous midazolam on peri-operative blood pressure and pulse. Finally, we aim to assess the value of screening for hypertension and determine the degree of white coat hypertension. Material and methods:, A cohort of 83 patients with a pre-assessment blood pressure recording ,160/100 mmHg was studied. Oral surgery treatment was performed under intravenous sedation with midazolam or local anaesthesia alone where sedation was contraindicated. Blood pressure and pulse were monitored throughout surgery. Following treatment, patients were advised to attend their General Practitioner (GP) for assessment of their blood pressure and information regarding the outcome of this visit was requested. Results:, Seventy-three percent of the cohort had no previous diagnosis of hypertension. The use of intravenous midazolam significantly reduced peri-operative blood pressure compared with local anaesthesia alone [reduction in systolic blood pressure (BP) of 40 mmHg and diastolic BP of 21 mmHg]. Fifty percent of those who attended their GP received active treatment for hypertension at the first visit. A further 25% were kept under review. Blood pressure measurements at hospital pre-assessment were substantially higher than those recorded by GPs. Conclusion:, A clear indication exists for the use of intravenous sedation with midazolam for oral surgery procedures in patients with high blood pressure. There is a significant prevalence of undiagnosed and poorly controlled hypertension. Blood pressure screening in the dental setting is a valuable tool for identifying hypertensive patients. White coat hypertension is significantly greater in the oral surgery department than at the GP surgery. [source] Coconut palm-related injuries in the pacific islandsANZ JOURNAL OF SURGERY, Issue 1 2001J. S. Mulford Introduction: Coconut palms are an integral part of life in the Solomon Islands, given the widespread dependence of subsistence agriculture. Injuries related to the coconut palm are thus inevitable. Hospital records from the Central Referral Hospital were reviewed to identify (i) how commonly the coconut palm is implicated in injuries referred to the surgery department; (ii) which patients are being injured; and (iii) the type of injuries sustained. Methods: The present study reviews all patients referred to the Department of Surgery and Orthopaedics between January 1994 and December 1999 who had a coconut palm-related injury. This was possible due to the trauma epidemiology form, which records the patient details, cause of injury, fracture details and other injury information. Results: A total of 3.4% of all injuries presenting to the surgical department was related to the coconut palm. Eighty-five patients fell from the coconut palm, 16 patients had a coconut fruit fall on them, three patients had a coconut palm fall on them and one patient kicked a coconut palm. The majority of patients who were injured by falling from a coconut palm were young (aged 6,25 years). Eleven of the 16 patients struck by falling fruit were under 25 years of age. The majority of injuries sustained were fractures. Patients falling from coconut palms sustained mainly upper limb fractures (60.1% of all fractures) or spinal fractures (16.3%). Patients injured by falling fruit sustained skull or upper limb fractures. All skull fractures occurred in patients under the age of 10 years. Conclusion: This is the largest review of coconut palm-related injuries. It highlights some epidemiological facts that raise considerations for preventative health measures in the Solomon Islands. Parents and young children must be warned of the dangers of playing beneath coconut trees. Boy and girls should be warned of the dangers of collecting fruit. With an increasing amount of schooling becoming available the Solomon Islands is an ideal place to direct an education programme about the dangers of coconut palms as well as many other primary health issues. Because subsistence farming plays a crucial role in the life of most Solomon Islanders, injuries that result in loss of function are crippling both to the patient and the village. Any preventative measure to reduce the rates of injury will be important. [source] The contribution of MD,PhD training to academic orthopaedic facultiesJOURNAL OF ORTHOPAEDIC RESEARCH, Issue 4 2001John M. Clark Little is known about the distribution of research-trained physicians across the various specialties. To document the extent to which MD,PhD programs are a source of research-trained faculty for orthopaedic departments, this study examined the specialty choices of graduates of the Medical Scientist Training Program (MSTP) from 1964 to 1994. The MSTP, a combined MD,PhD program supported by the National Institute of General Medical Sciences, (NIGMS), produces roughly 25% of all MD,PhDs in the US. Methods. Copies of the appendices from training grant applications containing information on MSTP graduates were obtained from the NIGMS. Also, a questionnaire was mailed to 116 university-affiliated orthopaedic surgery departments asking how many faculty were MD's, PhDs or MD,PhDs. Results. Records were obtained for all MST programs. Information on postdoctoral training and/or a current position was reported for 1615 graduates who earned both MD and PhD. Of these graduates, 277 chose non-clinical paths. The other 1338 entered a residency or internship. Of these, 593 were still in residency training, 566 were academic faculty members and 130 were in private practice. In the records, 12 (0.9%) were listed as orthopaedic surgical residents (6) or faculty (6). At this time, all 12 have completed training, and 11 are in academic practice. Eighty-three departments replied to the questionnaire. In that sample of 1761 faculty positions, 1478 were MDs, 217 were PhDs and 36 (2.0%) were MD-PhDs. Conclusion. Despite robust support of MD,PhD programs, the number of dual degree recipients on orthopaedic faculties is small when compared to the relative size of the specialty. Other sources of research-trained staff should perhaps be developed. © 2001 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved. [source] | ||||||||||