Recovery Status Of Patients Research Articles

The Application of Intraoperative Ultrasound with Burr Hole Probe in Minimally Invasive Diagnosis and Treatment in Neurosurgery

ObjectiveTo summarize the preliminary application experience of intraoperative ultrasound with burr hole probe in minimally invasive neurosurgery and to explore its application value. Methods31 patients who underwent intraoperative ultrasound guided puncture with burr hole probe in our center from August 2018 to May 2024 were collected, including 16 cases of ventriculoperitoneal shunt operation, 6 cases of assisted stereotactic needle biopsy, 3 cases of intracranial pressure probe implantation in lateral ventricle, 3 cases of brain abscess puncture for external drainage, and 3 cases of intracranial cyst puncture and peritoneal drainage. During the procedures, the burr hole probe was used to locate the intracranial targets and guide the puncture. The postoperative CT scans or combined postoperative pathological results could verify the accuracy of puncture. In addition, the intervention effect and recovery status of patients were also recorded. ResultsThe intraoperative ultrasound with burr hole probe could clearly display all the purposed targets and accurately guide the puncture procedures in all cases. All patients achieved satisfactory diagnostic and therapeutic results without new neurological dysfunction and serious complications. ConclusionsThe intraoperative ultrasound with burr hole probe is an effective device for demonstrating intracranial structures. It not only enables minimally invasive and precise diagnosis or treatment of many neurosurgical diseases, but also is simple and safe to operate, which has important promotional value in the neurosurgery.

Investigation of the Effects of Self-Efficacy Levels on Recovery Status of Patients Who Undergoing Coronary Artery Bypass Graft Surgery

Investigation of the Effects of Self-Efficacy Levels on Recovery Status of Patients Who Undergoing Coronary Artery Bypass Graft Surgery

Perceived stress and coping strategies among emergency department nurses and emergency medical services staff during the fifth wave of COVID-19 in Iran: A cross-sectional correlational study

Background and PurposeEmergency department (ED) nurses and emergency medical services (EMS) staff as the main parts of care on the front line of treatment during the outbreak of COVID-19 experienced great challenges in their work and life, which caused them a lot of stress. Since limited studies have investigated perceived stress and coping strategies among ED nurses and EMS staff in Iran, this study was conducted to investigate perceived stress and coping strategies among ED nurses and EMS staff during the outbreak of the fifth wave of COVID-19 in Ardabil, Iran. Materials and methodsThis descriptive-analytical cross-sectional study was conducted on 327 ED nurses and EMS staff in 2021. The samples were selected by convenient sampling method, and data were collected by demographic and perceived stressors and coping strategies against the outbreak of COVID-19 questionnaires. Data were analyzed by SPSS (version 22) using descriptive (frequency, percentage, mean, and standard deviation) and analytical (Pearson correlation, t-test, and ANOVA) statistical tests and multiple linear regression analysis. ResultsThe most stressful factors were related to the transmission of the disease to the family and seeing the death of COVID-19 patients in front of their eyes. The most commonly used coping strategies were strict personal protective measures for all hospitalized patients and the use of clothes that the hospital prepared separately to reduce the transmission of the virus. The results of multiple linear regression showed employees' emotions (β = 0.429, p < 0.001), gender (β = 0.225, p < 0.001), coping strategies (β = 0.209, p < 0.001), stress-reducing factors (β = 0.124, p = 0.014), worry (β = −0.182, p < 0.001), and workplace (β = -0.149, p = 0.045) were effective predictors of perceived stress. ConclusionCoping methods such as following strict personal protective measures, using special clothes, and seeing the recovery status of patients and colleagues were effective factors in reducing the perceived stress of health workers. Therefore, it is necessary to provide health workers with training on coping strategies and psychological support in the current crisis and possible epidemics in the future.

Comparison of C-reactive protein and Vitamin D3 level among Patients of Allergic Rhinitis while on treatment with either Nasal Fluticasone or Combination Therapy of Montelukast and Levocetirizine: A Randomized Control Study

We conducted the present study to compare the vitamin D3 status and C-reactive protein (CRP) among allergic rhinitis patients who were on treatment with either intranasal Fluticasone or oral Levocetrizine and Montelukast therapy. Material and Methods: The study was a prospective randomized, single blinded, comparative, parallel group study, with two intervention groups conducted at Civil Hospital Jogindernagar of Himachal Pradesh, India. A total of Fifty patients diagnosed with allergic rhinitis was randomly allocated to either Group A receiving oral Montelukast and Levocetrizine or Group B receiving Fluticasone propionate aqueous nasal spray and followed up for 6 weeks. Vitamin D status and C-reactive protein (CRP) after 6 weeks was taken as primary outcome variables. Results: Among Group A , Recovery at 6 weeks was occurred in 9 (36%) patients while in Group B Recovery at 6 weeks was occurred in 17(68 %) patients.(p value 0.046). There was statistically significant lower mean CRP level was found in group B as compared to Group A (p value 0.003). Although, lower mean Vit D3 level was found in group B as compared to Group A but this difference was not found to be statistically significant. (p value 0.218). Although, lower mean CRP and higher mean Vit D3 level was found in recovered patients in group A as compared to who were not recovered but this difference was not found to be statistically significant(p value 0.198 and 0.324 respectively). Similarly,higher mean CRP and Vit D3 level was found in recovered patients in group B as compared to who were not recovered but this difference was not found to be statistically significant.( p value 0.804 andp value 0.418). Similarly ,in recovered patients there was no statistical significant difference in mean CRP and Vit D3 level(P value 0.9536 and 0.2486 respectively) in both groups, although the mean CRP and Vit D3 level were higher in Group A as compared to group B. But in non recovered patients, the mean CRP level was statistically higher in Group A as compared to group B(P value0.0029) while there was no statistical significant difference in Vit D3 level in both groups.(p value-0.8919). Conclusion: Study concluded that there was no statistical significant difference in mean Vitamin D3 and CRP levels in both groups as well as there was no significant association between Vitamin D3 and CRP levels and recovery status of patients in both groups.

Preparation of Nano-Silver Dressing for Application on Postoperative Rehabilitation Nursing of Patients with Gastrointestinal Surgery

This study was to explore the effect of nursing and repairing methods of nano-silver dressing (NSD) on the postoperative rehabilitation of gastrointestinal surgery (GIS) patients. For preparation of the nano-silver dressing, ammonia water was added to the solution containing silver particles to generate ammonium nitrate, and the coating solution was then uniformly coated on the surface of the substrate layer, and pre-baked at 100–180 °C to finally obtain a medical dressing. 80 GIS patients admitted to the hospital were selected and randomly divided into the control group treated with ordinary dressing (40 cases, group OD) and the observation group treated with NSD (40 cases, group NSD). The treatment effect and postoperative recovery results of the two groups of patients were compared, and the performance of the NSD was tested. The results showed that it was found that the recovery status of patients in group NSD was better (P &lt; 0.05), and the NSD had good bacteria killing effect and microbial barrier effect. In conclusion, NSD could continue to act on the wound surface, improve the body’s immunity, and promote the rapid recovery of postoperative incisions, with obvious clinical effect.

Application of Multifunctional Nanomaterials Combined with Sports Rehabilitation Training in the Diagnosis and Treatment of Cardiovascular Diseases

This article aims to study the application of multi-functional nano-materials combined with sports rehabilitation training in the diagnosis and treatment of cardiovascular diseases. This paper uses multi-functional nano-materials combined with sports rehabilitation training methods to record the physical condition of patients with cardiovascular diseases after the illness. Use intelligent monitoring system to design network nodes, and use network technology to carry out real-time data transmission of the physical conditions of patients with cardiovascular diseases, so as to ensure the real-time transmission of patients' physical conditions, to achieve real-time understanding of the recovery status of patients with cardiovascular diseases, and whether they adapt This therapy. Then compared with the traditional cardiovascular patients' own feelings, to judge the feasibility of multifunctional nanotechnology combined with sports rehabilitation training, so as to the multifunctional nanotechnology combined with sports rehabilitation training in cardiovascular medicine Technology improvements and upgrades. Research data shows that multi-functional nanomaterials combined with sports rehabilitation training can greatly increase the speed of new blood vessel disease review. Research data shows that multifunctional nanomaterials combined with sports rehabilitation training combine disease-related protein and nucleic acid molecules in the body with precision-targeted nanomedicine, and at the same time transfer function-related organic macromolecules and peptides to the site of effect to protect them It is degraded by enzymes and not immune to rejection, so that they cross biological barriers, and then achieve the effect of diagnosis and treatment of cardiovascular disease. It has improved the recovery rate by about 20% and has an important role in promoting the diagnosis and treatment of cardiovascular diseases.

Comparison of the efficacy of fluvoxamine and desmopressin-oxybutynin combination in the treatment of nocturnal enuresis: A clinical trial

IntroductionPrimary nocturnal enuresis (PNE), with a prevalence of 5-30%, is a common and important disease in children. The aim of the present study was to investigate the efficacy of fluvoxamine in the treatment of refractory PNE and to compare it with standard desmopressin-oxybutynin treatment.Method:A total of 30 children aged above 8 years with PNE referred to the Nephrology Clinic of Dr. Sheikh Hospital (Mashhad) who were resistant to the first line of behavioral and drug treatment and did not have any other psychological disorders were enrolled in the present pilot clinical trial. Patients were divided into fluvoxamine (25 mg at bedtime for one month) and combination therapy (desmopressin, 10μg intranasal) and oxybutynin (0.1 mg/kg for one month). The recovery status of patients in the two groups was investigated and compared as the main outcome of the study based on the number of wet nights during one month.Results:A total of 30 patients with PNE were included in the present study. Three patients of the treatment group were excluded from the study due to lack of referral and follow-up. At the end of follow-up in the fluvoxamine treatment group, full recovery was observed in 8 patients (66.7%), partial recovery in 2 patients (16.7%), and no recovery in 2 patients (16.7%). Also, the desmopressin-oxybutynin treatment resulted in full recovery in 7 patients (46.7%), partial recovery in 4 patients (26.7%), and no recovery in 4 patients (26.7%), but there was no significant difference between the two groups in terms of therapeutic results (P> 0.05).

Patient-Reported Outcomes Are Associated With Enhanced Recovery Status in Patients With Bladder Cancer Undergoing Radical Cystectomy.

Bladder cancer is a disease of the elderly that is associated with high morbidity in those treated with radical cystectomy. In this observational study of patients with bladder cancer undergoing radical cystectomy, we analyzed and compared patient-reported outcomes from those treated with Enhanced Recovery After Surgery (ERAS) methods versus those who received traditional perioperative care. We enrolled patients who underwent radical cystectomy at a high-volume tertiary care referral center from November 2013 to December 2016, when the ERAS concept was being introduced into postoperative care at our institution. Patients reported symptom outcomes using the MD Anderson Symptom Inventory preoperatively and on postoperative days 1 to 5. Mann-Whitney U tests were used to compare symptom burden between the ERAS and traditional-care groups. General linear mixed-effects models were used for longitudinal data; linear regression models were used for multivariable analysis. Patients (N = 383) reported dry mouth, disturbed sleep, drowsiness, fatigue, pain, and lack of appetite as the most severe symptoms. Compared with the traditional-care group, the ERAS group had significantly less pain (est. = -0.98, P = .005), drowsiness (est. = -0.91, P = .009), dry mouth (est. = -1.21, P = .002), disturbed sleep (est. = -0.97, P = .01), and interference with functioning (est. = -0.70, P = .022) (adjusted for age, sex, surgical technique, and neoadjuvant chemotherapy status). These results suggest that ERAS practice significantly reduced immediate postoperative symptom burden in bladder cancer patients recovering from radical cystectomy, supporting the use of patient-reported symptom burden as an outcome measure in perioperative care.

소복축어탕가감방과 온침요법으로 호전된 월경통 환자 8례에 대한 보고

ABSTRACT Clinical Study for Eight Cases of Dysmenorrhea Treated bySobokchukeo-tang-gagambang and Warm Needle TherapyTteul-E-Bom An, Dong-Chul KimDept. of Oriental Ob & Gy, College of Oriental Medicine, Daeguhaany UniversityObjectives: This paper was aim to report the effects of Sobokchukeo-tang-gagambang and warm needle therapy on the dysmenorrhea patients.Methods: The patients having treated with Sobokchukeo-tang-gagambang and warm needle therapy, from January 1st in 2014 until May 31st in 2016, was enrolled in this study. We collected and analyzed their age, accessory complaint except dysmenorrhea, treatment period, dosage of herbal medicine, diag nosed gynecological disease, remedies' effectiveness, etc.Results: All of the patients treated with Sobokchukeo-tang-gagambang and warm needle therapy in this study were recovered. Also, correla tion between the characteristic and recovery status of patients was not confirmed.Conclusions: Sobokchukeo-tang-gagambang and warm needle therapy is effective on patients having variable gynecological diseases. But the cas es are very deficient, so we need to study about availability of Sobokchukeo-tang and warm needle therapy on dysmenorrhea more systematically.Key Words: Sobokchukeo-tang , Dysmenorrhea, Warm Needle Therapy, Blood-Stasis

Comparison of Binary Models for the Associated Factors Affecting Recovery Status of Vesico-vaginal Obstetrics Fistula Patients: A Case of Mettu Hamlin Fistula Center, South West Ethiopian

Background: Obstetric fistula or vaginal fistula is a medical condition in which a fistula (hole) develops between either the rectum or vagina or between the bladder and vagina after severe or failed childbirth, when adequate medical care is not available. It is the most tragic of preventable childbirth complications in the developing world, as affected women are often abandoned by their husbands and family, and forced to live in shame. Objective: The main objective the study was to determine an appropriate binary model for the recovery status of the vesico-vaginal patients. Furthermore, the study explores factors affecting the recovery status of the patients during the time period of the study. Methods: The study consists of 206 vesico-vaginal fistula patients having all required information who were taking treatment at Mettu Hamlin Fistula center from November 2010 to June 2014. The chi-square test of association was employed to explore the association between the recovery status and categorical independent variables. After exploring the association between the variables, different binary models were employed to have an appropriate model for the recovery status of the patients based on Akaki information criteria of the model. Results: The chi-square test of association showed that width of fistula length of fistula and bladder size categories were significantly associated with recovery status of the patients at 5% of level of significance. The study showed among the candidate binary models logistic model was considers an appropriate model. Furthermore, the fitted model showed width, length of fistula and bladder size categories were the factors that have significant effect on the recovery status of the patients at 5% level of significance. Conclusion: Logistic regression model was the better fit of the data whereas the fistula patients with width and length fistula category group between three up to five centimeter were less likely to be recovered comparison with the fistula patients group with width and length of fistula less than or equal to two centimeters. Similarly, the none bladder size category patients where less likely recover in comparison with fair bladder size fair bladder size group patients.

Rocuronium continuous infusion versus intermittent bolus for maintaining suitable muscle relaxation and recovery status without using a peripheral nerve stimulator during anesthesia

Introduction The objective of anesthesia has always been to enable correction of surgical pathology with the best technique and minimum risk to the patient. The aim of the present study was to determine clinically, without using a peripheral nerve stimulator, whether continuous infusion or intermittent bolus dosing of rocuronium bromide yielded a better clinical condition during general anesthesia. Patients and methods The study was carried out on 60 adult patients. A common technique of general anesthesia was used in all patients. Patients were randomized to receive either a continuous infusion (group I, n = 30) or intermittent bolus dosing (group II, n = 30) of rocuronium bromide. Intraoperatively (a), hemodynamic parameters (heart rate and arterial pressure), (b) clinical relaxation by a grading technique, (c) total drug requirement, (d) recovery status by modified Steward score were assessed and were compared between the two groups. Results The mean heart rate and mean arterial pressure at different time intervals after intubation with rocuronium were not significantly different between the two groups. The total drug requirement was significantly greater in patients who received an intermittent bolus dose of rocuronium than those who received a continuous infusion. Clinical relaxation and recovery status in patients receiving rocuronium infusion were significantly better. Conclusion Rocuronium infusion offers a better and stable degree of relaxation compared with intermittent bolus dosing for intermediate duration of operation, which can be assessed using the clinical relaxation grading system. Rocuronium is a rapidly acting and hemodynamically stable nondepolarizing muscle relaxant with fewer drug requirements and provides better quality of recovery status during a continuous infusion.