In adults treated with hemodialysis, poorer dental health was associated with early death, whereas preventive dental health practices were associated with longer survival.
Ergonomics is the science of best suiting the worker to his job, or to make the setting and surroundings favorable for the laparoscopic surgeon. The term was formally defi ned in 1949 and has brought benefi t and safety to many areas of human endeavor.1 The importance of ergonomics in the setting of laparoscopy cannot be overemphasized. Studies have shown that correct ergonomics can reduce suturing time.2 Pressurerelated chronic pain has been shown to be relieved by the use of ergonomically designed products.3 This article on ergonomics reviews the basic concepts and techniques, for example, triangulation, optimal coaxial alignment, drawbacks for the surgeon and the patient, and how to overcome these diffi culties by recent advances in technology.
Background: Chronic kidney disease (CKD) is a long term condition caused by damage to both kidneys. The benefits of arteriovenous fistulas over other forms of chronic access are: Arteriovenous fistulas are associated with decreased morbidity and mortality among hemodialysis patients compared with arteriovenous grafts and central venous catheters. Objectives of the study were o choose the proper sites for formation of arteriovenous fistula, to find out the success rate at various sites and to study the complications of arteriovenous fistula.Methods: This prospective study was carried out on total 150 patients over the duration of two years. The fistulae were created using radial artery and cephalic vein side to side (Radiocephalic AVF) and brachial artery and cephalic vein side to side anastomosis (Brachiocephalic AVF). Doppler studies were done before and after every procedure to demonstrate the velocity, volume of blood flow, depth from the skin, diameter of vessels and to access the time of maturation of AVF. Patients were followed up to first dialysis by AVF to assess the overall outcomes and various complications.Results: Brachiocephalic AVF matured earlier than Radiocephalic AVF (mean maturation time Brachiocephalic 38.02 days and Radiocephalic 43.26 days) which was statistically significant. Brachiocephalic AVF matured earlier than Radiocephalic AVF with more flow rate. Complication rate was more at wrist (Radiocephalic AVF with 66.67% of overall complication) than at elbow (Brachiocephalic AVF with 33.33% of overall complication).Conclusions: We concluded that the Brachiocephalic AVF maturation time was significantly less than the maturation time of Radiocephalic AVF and rate of complication was less in Brachiocephalic AVF. The utility of pre-operative colour Doppler to select the vessels for AVF creation was found to be as an essential parameter of pre-operative work up.
Aims And Objectives:To study the Efficacy of Vitamin C therapy on burn patients. Material And Methods:We enrolled 20adult patients with severe burns (more than 30%) from January 2020 to October 2021 at Plastic Surgery and Burns Hospital, Dhule. Patients with co- morbidities and with pre existing diseases were excluded from the study. Results: Fluid requirement in Group A was 3.74 ± 0.57 ml/kg/% of burns and in Group B was 2.46 ± 0.54 ml/kg/% of burns.Urine output was 1.05 ± 0.28 ml/kg/h in Group A, and in Group B,it was 1.42 ± 0.39 ml/kg/h. Fluid retention and body weight gain were lower in Group B.MDA levels were significantly lower at 36 h in Group B. Discussion:The initial fluid resuscitation in major burn trauma is intravenous infusion of crystalloids solutions to correct hypovolemia and to improve peripheral tissue perfusion.[14] The accepted norms are to monitor the adequacy of resuscitation with urine output of 0.5–1.0 ml/kg/h of body weight and stable hemodynamic status. There have been reports of over resuscitation of burn patients leading to problems such as anasarca,abdominal compartment syndrome, prolonged mechanical ventilation,and pneumonias.This has been termed as “fluid creep”phenomenon. Conclusions: In our study, we found that when high dose Vitamin C (12-15gram) is given as adjuvant therapy in resuscitating the burn patients in the first 48 h,it decreases fluid requirement,increases urine output,and decreases fluid retention in body.
Accurate diagnosis and staging are crucial in defining an effective plan of management in intra-abdominal malignancies. Despite the availability of a wide array of imaging techniques, a high incidence of nontherapeutic procedures have been observed. Laparoscopy finds its utility in reducing this discrepancy by an accurate assessment of the extent of the disease. This review article explores applications of laparoscopy in the staging and diagnosis of abdominal malignancy and its comparative advantages against imaging studies and conventional laparotomy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.