BACKGROUND Pus Cavity in liver has been known cause of morbidity since the time of Hippocrates (400 BC). It is a common entity in the differential diagnosis of upper abdominal pain. The increasing incidence of Hepatic Abscesses reflects development and uses of more accurate diagnostic techniques like radioisotopes scan and subsequently ultrasonography and CT scan. Treatment of the liver abscess of any aetiology has been made simple and less morbid in the recent years. Percutaneous drainage of liver abscess and thereafter percutaneous pigtail drainage under ultrasonological guidance has been an important advancement in the treatment of liver abscesses as compared to conventional open drainage or conservative medicinal treatment. This study aims to investigate the effectiveness, morbidity and complication rates of Percutaneous Needle Aspiration in comparison to percutaneous continuous pig tail catheter drainage in the treatment of hepatic abscesses. The objectives of this study were-1. to evaluate the clinical presentation, 2. to assess and compare the effectiveness of percutaneous continuous catheter drainage in comparison to needle aspiration in the treatment of liver abscesses. MATERIALS AND METHODS This prospective comparative study was conducted jointly at Rama Medical College and Regency Hospital, Kanpur from November 2014 to October 2018 on 100 patients of liver abscess, randomized equally into two groups, percutaneous needle aspiration group (PNA) and pigtail catheter drainage group (PCD). For percutaneous needle aspiration, lumbar puncture needle (size 18G to 21G) was used, while the size of pigtail catheter (8f to 12f) was chosen according to thickness of pus assessed by ultrasonography. Both procedures were done under local anaesthesia with 2% Xylocaine. The effectiveness of either treatment was measured in terms of duration of hospital stay, days to achieve clinical improvement, 50% reduction in abscess cavity size and total/near total resolution of abscess cavity. Independent t-test was used to analyse these parameters. Only those patients having liver abscess/abscesses greater than 6 cm in at least one dimension, liquefied & drainable were included in this study. Statistical Analysis-Data was analysed by statistical software package SPSS version 21.0 (SPSS Inc. Chicago, IL, USA). The primary aetiology of abscess as per ultrasonological diagnosis recorded to compare the incidence of different causes of liver abscess in our area. The average (mean) value of duration of hospital stay, time taken for clinical signs of recovery (symptoms like pain, fever, laboratory parameters), mean duration of 50% reduction in size of abscess cavity and duration for near total or total resolution of abscess cavity in two groups as per ultrasonologic measurements of cavity dimensions have been compared. The average postoperative antibiotic treatment duration was noted. All data was analysed to compare the efficacy of two modes of treatment, using independent sample 't' test. The 'p' value < 0.000 is considered significant...
INTRODUCTIONThe main goal of blood transfusion services (BTS) is to ensure the availability of adequate and safe supply of blood and blood products globally. Voluntary nonremunerated blood donations are recommended to achieve this goal as these are at low risk for transfusion transmitted infections. 1 Donor selection is a stringent process which assesses the suitability of prospective donors. It safeguards the health of both the recipient and the donor. It also ensures the safety of blood and maintain sufficient blood supply by preventing the unnecessary loss of suitable donors. ABSTRACTBackground: To analyze various reasons for blood donor deferral and to study its long term impact on potential prospective blood donors. Methods: A total of 26029, otherwise healthy, prospective blood donors were studied retrospectively over a period of 5 years. WHO blood donor selection criteria and counseling guidelines were used for donor selection. Donor deferral data was evaluated with respect to age, sex and cause of deferral which was further analyzed as temporary or permanent deferral. Results: 1448 (5.56%) blood donors were deferred for various reasons. 1232 (4.89%) of total male donors and 216 (26.83%) of total female blood donors were deferred.1378 (95.16%) donors were deferred on temporary basis and only 70 (4.84 %) donors were permanently deferred. Anemia (42.26%) was observed to be the most common cause of temporary donor deferral while hypertension with cardiac disorder (1.93%) was the most common cause of permanent deferral. All the temporary deferred donors (1378) were called after the period of deferment. Out of total 1378 temporarily deferred donors, only 129 donors returned later for voluntary donation. Conclusions: Establishment of effective measures is needed in regard to consider the effect of donor deferrals on future availability of donor and donor return and to monitor necessity and effectiveness of deferrals and their reasons. As percentage of temporary deferral is higher, they should be efficiently managed, counseled, educated and encouraged for future donation which can compensate the increasing demand of blood donors.
Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. In the literature there is no report of a foreign body causing trismus following a road accident, this rare case is an exception. We present a case of isolated presentation of trismus following a road accident. This case report stresses on the thorough evaluation of patients presenting with trismus following a road accident.
costs incurred for being on sick-leave for 6 to 8 weeks, this scrubbing technique could certainly be described as cost-effective. Reference Parienti JJ, Thibon P, Heller R et al. (2002). Hand-rubbing with an aqueous alcoholic solution vs. traditional surgical hand-scrubbing and 30-day surgical site infection rates: a randomised equivalence study. JAMA, 288: 722-727. Fig 2 (a) Putting on the forearm-length Obstetric Gauntlet. (b) Two layers prepared, discard sterile glove, ready to put on gown. (c) Following usual sterile routine, with gown covering cast entirely over hand. (d) Putting on operating gloves: ready for action!
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.