Showing posts with label Clinical Case Studies. Show all posts
Showing posts with label Clinical Case Studies. Show all posts

Thursday, 27 September 2018

Hospital Acquired Infection: Role of Hand Washing: SCSOAJ - Lupine Publishers



The  World  Health  Organization  (WHO)  has  declared  October 15 as Global Hand washing Day, with the aim of raising awareness on the importance of this art and to inculcate the tenet of its basic principles. In fostering this principle, the WHO introduced five critical moments of hand hygiene practice. These include washing hands   before   touching   a   patient,   before   performing   cleaning
procedures, after coming in contact with infectious materials such as body fluid (urine, feces, sputum), after touching a patient, and after  touching  a  patient  surroundings.  In  hospitals  often,  greater attention  is  placed  on  the  doctors  and  nurses  however,  other  supporting staffs such as the ward attendant, clinical assistant, and laboratory attendants play vital role to patient recovery [1]. Ward attendants  are  involved  in  hazardous  jobs  which  expose  them  to  the  risk  of  infection;  they  also  handle  patients  and  their  items;  hence, they may become vehicle for spread of nosocomial infection, so  knowledge  of  the  principles  of  hand  hygiene  and  handwashing  should be paramount in this category of health workers. Similarly, laboratory  attendants  are  exposed  to  infectious  biproducts; them  to health hazard [2].

Tuesday, 25 September 2018

Process for Preparation of Vitamin C and Method for Determination of Vitamin C in Tablets: SCSOAJ - Lupine Publishers







Procedure for calcium ascorbate (VITAMIN-C) includes such technological steps as reaction of ascorbic acid on calcium carbonate in water. In recent years, the determination of vitamin C has become an important subject in the field of biochemistry and commercial foods. This is because vitamin C plays an important role in maintaining human health. Due to the importance of vitamin C in human beings, the quantitative analysis of vitamin C has gained a significant increase in several areas of analytical chemistry such as pharmaceutical and food applications. There are numerous methods for the determination of vitamin C in a variety of natural samples, biological fluids and pharmaceutical formulations. The prepartaion method and methods for the determination of vitamin C are spectrophotometric methods and non-spectrophotometric methods (Arya and Mahajan, 1997). For non-spectrophotometric methods are such as high-performance liquid chromatography (HPLC), titration, enzymatic method and fluorometry (Arya, Mahajan and Jain, 2000). Direct spectrophotometry also has been applied to determine the vitamin C content in soft drinks, fruit juices, and cordials after correction for background absorption in the UV region.

Sydnone, Münchnone, Montréalone, Mogone, Montelukast, Quebecol and Palau’amine- Enhanced Precatalyst Preparation Stabilization and Initiation (EPPSI) Nano Molecules: SCSOAJ - Lupine Publishers







In the current editorial, we study Sydnone, Münchnone, Montréalone, Mogone, Montelukast, Quebecol and Palau’amine- Enhanced Precatalyst Preparation Stabilization and Initiation (EPPSI) Nano molecules (Figure 1) incorporation into the Nano Polymeric Matrix (NPM) by immersion of the Nano Polymeric Modified Electrode (NPME) as molecular enzymes and drug targets for human cancer cells, tissues and tumors treatment under synchrotron and synchrocyclotron radiations. In this regard, the development of Chemical Modified Electrodes (CEMs) is at present an area of great interest. 

The History of Opcab (Off Pump) Coronary Surgery: SCSOAJ - Lupine Publishers



After the advent of the heart-lung machine, few surgeons continued to use the OPCAB technique, Among those were Benetti and Buffolo from South America, who published in the early 1990s the first two large series on OPCAB surgery [1-3]. Several surgical approaches were tested, such as full sternotomy, no spreading sternotomy including left, anterolateral, Posterolateral and right anterolateral thoracotomies, as well as partial sternotomy [3]. The video-assisted techniques in the nineties allowed us, for the first time, to dissect the left internal thoracic artery (LITA) without opening the pleura cavity. The LITA was anastomosed to the left anterior descending (LAD) through a small left anterior thoracotomy and the MIDCAB operation was create [4-6].


Friday, 21 September 2018

An Unusual Case of Pre-Auricular Myiasis: SCSOAJ - Lupine Publishers




Background: Myiasis-the feeding of fly larvae on living mammals has various clinical presentations depending on involved tissues or organs. The most recognised causative organism Dermatobia hominis. It involves various sites, rarity in this case report is the site of involvement and in turn occurrence of an underlying malignancy.

Case report: 68 year old lady, presented with an ulcer over the right side of the pre-auricular region for 1 year. On examination, it was infested with maggots larvae, which later on had a underlying squamous cell carcinoma with basal cell carcinoma. Patient underwent treatment for the same. Details of the case and the management is been presented.

Conclusion: Myiasis transmitted by Human Botfly, infests all cavities mainly ENT sites, in debilitated individuals. But its occurrence in a open space of the body, and its association is a rarity and has been reported in this case. Author concludes, that all myiasis should be managed meticulously.



Mini OPCAB Coronary Artery Bypass Surgery Plus Medical Treatment: An Option for High Risk Coronary Patients: SCSOAJ - Lupine Publishers


MINI OPCAB surgery (Xiphoid Approach) is a surgical technique in which the left internal mammary artery is bypassed to the Anterior Descending Artery (ADA) by a medial inferior sternotomy Fourteen high risk patients with multiple coronary disease with a preoperative logistic Euroscore of 10.86 were operated and follow up with medical treatment and strictly control of risks factors MACE at 80 months was 0% and Survival at 7 years 82% (KM) Although is an alternative the combination of Mini OPCAB operation plus medical treatment in high risk. Patients with multiple vessels coronary disease, more experience is needed to confirm this initials results. Statistical analysis applied the student test (SPSS program), with p<0.05 were considered significant

Double Malignancies: A Rare Entity: SCSOAJ - Lupine Publishers


Patients which have diagnosed with a cancer, have a life time risk for developing another de novo malignancy depending on various inherited environmental and iatrogenic risk factors. Cancer victims could survive longer due to settling treatment modalities, and then would likely develop a new metachronous malignancy [1]. The incidence of multiple primary malignancies has not been rare at all. Screening procedures have especially been useful for the early detection of associated tumors, whereas careful monitoring of patients has treated for primary cancer, and then a good communication between patients and medical care team would certify not only an early detection for secondary tumors, but only finally & subsequently, an appropriate management [2].

Thursday, 23 August 2018

Sternal Cleft: Appropriate Approach to Diagnosis and Treatment: (SCSOAJ) - Lupine Publishers

Sternal Cleft: Appropriate Approach to Diagnosis and Treatment by Yasser Ali Kamal* in Surgery & Case Studies: Open Access Journal (SCSOAJ)  in Lupine Publishers


Sternal cleft (SC) is a rare congenital anomaly of the chest wall, isolated or combined with other malformations. We try to provide an appropriate stepwise approach for the diagnosis and treatment of SC. Prenatal ultrasound diagnosis can be obtained after the 18th week of gestation. At birth, diagnosis is based on the findings of clinical examination, chest x-ray, computed tomography and additional investigations for the associated anomalies. Primary approximation of the sternal bars is preferred before the age of 3 months. For older cases and rigid chest wall, the surgical correction can be achieved using prosthetic materials, autologous grafts, or biologic implants. The surgical decision depends on the age of patient, rigidity of the chest wall, and presence of other abnormalities in the chest wall.

http://www.lupinepublishers.com/scsoaj/abstracts/SCSOAJ.MS.ID.000112.php
http://www.lupinepublishers.com/scsoaj/pdf/SCSOAJ.MS.ID.000112.pdf
http://www.lupinepublishers.com/scsoaj/fulltext/SCSOAJ.MS.ID.000112.php

Wednesday, 22 August 2018

Intestinal Obstruction by Blind Vove Iess Riobamba Hospital 2014: (SCSOAJ) - Lupine Publishers

Intestinal Obstruction by Blind Vove Iess Riobamba Hospital 2014 by Diego Fabricio Erazo Mogrovejo, Sandra Gómez in Surgery & Case Studies: Open Access Journal (SCSOAJ) in  Lupine Publishers


Introduction: Cecal volvulus is the second most common volvulus among colonic volvulus, usually presenting as bowel obstruction.
Case Presentation: A 65 year old female presented with abdominal pain, nausea, vomiting, abdominal distension and abscense of flatus and stool Erect Abdominal radiograph showed marked colonic distension with air-fluid levels. Urgent surgical treatment is decided.
Conclusion: Cecal volvulus should always be considered as a possible cause of mechanical ileus. Radiographs and CT are invaluable in the diagnosis of this condition.

http://www.lupinepublishers.com/scsoaj/abstracts/SCSOAJ.MS.ID.000108.php
http://www.lupinepublishers.com/scsoaj/pdf/SCSOAJ.MS.ID.000108.pdf
http://www.lupinepublishers.com/scsoaj/fulltext/SCSOAJ.MS.ID.000108.php

Mini OPCAB Coronary Artery Bypass Surgery Plus Medical Treatment: An Option for High Risk Coronary Patients: (SCSOAJ) - Lupine Publishers

Mini OPCAB Coronary Artery Bypass Surgery Plus Medical Treatment: An Option for High Risk Coronary Patients by Federico Benetti and Natalia Scialacomo in Surgery & Case Studies: Open Access Journal (SCSOAJ) in Lupine Publishers

MINI OPCAB surgery (Xiphoid Approach) is a surgical technique in which the left internal mammary artery is bypassed to the Anterior Descending Artery (ADA) by a medial inferior sternotomy Fourteen high risk patients with multiple coronary disease with a preoperative logistic Euroscore of 10.86 were operated and follow up with medical treatment and strictly control of risks factors MACE at 80 months was 0% and Survival at 7 years 82% (KM) Although is an alternative the combination of Mini OPCAB operation plus medical treatment in high risk. Patients with multiple vessels coronary disease, more experience is needed to confirm this initials results. Statistical analysis applied the student test (SPSS program), with p<0.05 were considered significant

http://www.lupinepublishers.com/scsoaj/abstracts/SCSOAJ.MS.ID.000106.php
http://www.lupinepublishers.com/scsoaj/pdf/SCSOAJ.MS.ID.000106.pdf
http://www.lupinepublishers.com/scsoaj/fulltext/SCSOAJ.MS.ID.000106.php

Monday, 20 August 2018

Mipo - A Biological Method for Fixation of Complex Fractures of Tibia: (SCSOAJ) - Lupine Publishers

Mipo - A Biological Method for Fixation of Complex Fractures of Tibia by Rohan Bhimani in Surgery & Case Studies: Open Access Journal (SCSOAJ) in Lupine Publishers

Introduction: Management of proximal and distal tibial fractures is challenging because of the complexity of injury, limited muscle coverage and poor vacularity. Surgical management of tibial fractures includes multiple options: external fixation, IM nailing, ORIF and minimally invasive plate osteosynthesis (MIPO). Open reduction and internal fixation with a plate may end in wide dissection and tissue devascularization. Fixation of tibial fractures with MIPO allows protection of soft tissue and blood supply. This is a report of a series of prospectively studied closed proximal and distal tibial fractures treated with MIPO.
Materials and Methods: A total of 20 patients with closed proximal or distal tibial or fractures were enrolled in the study between 2016 and 2017 and completed follow-up. Demographic characteristics, mechanism of injury, time required for union, range of motion and complications were recorded. Eleven patients had proximal tibial fractures and nine had distal tibial fractures. Patients were followed up to 2 and 6 weeks and then at intervals of 4 to 6 weeks until 12 months.
Results: Mean age of the patients was 39.5 years (range 18-65 years). Thirteen cases were the consequence of high-energy trauma and seven were the result of low-energy trauma. The clinical and radiological outcome were excellent in 13 patients, good in 6 patients and fair in 1 patient. The average time for fracture union was 16.4 weeks, ranging from 16 to 20 weeks. None of our patients developed any complications.
Conclusion: MIPO is a reliable method of management for tibial fractures; it provides a high union rate and good functional outcome with minimal soft tissue problems.

http://www.lupinepublishers.com/scsoaj/abstracts/SCSOAJ.MS.ID.000103.php
http://www.lupinepublishers.com/scsoaj/pdf/SCSOAJ.MS.ID.000103.pdf
http://www.lupinepublishers.com/scsoaj/fulltext/SCSOAJ.MS.ID.000103.php

Scientific Student Societies: A Way of Scientific Research Vocations Boosting : (SCSOAJ) - Lupine Publishers

 Student Societies: A Way of Scientific Research Vocations Boosting by V Coulic in Surgery & Case Studies: Open Access Journal (SCSOAJ) in Lupine Publishers


Born in Russia at the end of the XIXth century the Scientific Student Societies have developed a rather original way of initiation and involvement of the young in the scientific research during High School and University cursus. All through the XXth century and up to now, they have given several generations of Russian scientists an adequate pre formation consisting not only of skill acquisition in their future speciality but also in planning, realization and organization of scientific research and sharing of its results. Their popularity was also due to the high degree of initiative and autonomy left to the students.

http://www.lupinepublishers.com/scsoaj/abstracts/SCSOAJ.MS.ID.000101.php
http://www.lupinepublishers.com/scsoaj/pdf/SCSOAJ.MS.ID.000101.pdf
http://www.lupinepublishers.com/scsoaj/fulltext/SCSOAJ.MS.ID.000101.php