Objective The purpose of the study was to investigate effective surgical procedure for perirolandic epilepsy and the predictor for good outcomes. Methods We collected 21 subjects who underwent epilepsy surgeries conse...Objective The purpose of the study was to investigate effective surgical procedure for perirolandic epilepsy and the predictor for good outcomes. Methods We collected 21 subjects who underwent epilepsy surgeries consecutively in Beijing Institute of Functional展开更多
Background: Open prostatectomy is the most commonly available surgical procedure for benign prostatic hyperplasia and this is the case in most countries in West African even with all the limitations of the procedure. ...Background: Open prostatectomy is the most commonly available surgical procedure for benign prostatic hyperplasia and this is the case in most countries in West African even with all the limitations of the procedure. Objective: The objective is to determine the pattern and outcomes of open prostatectomy in Lomé. Patients & Methods: From December 2011 to November 2012, we conducted a descriptive cross-sectional study on a series of patients treated for prostate adenoma. Dysuria was assessed using the International Prostate Symptom Score (IPSS). The history of each patient was recorded, as well as paraclinical data. All patients were surgically treated via abdominal incision procedure. The data obtained included the patients’ demographics, clinical features, the IPSS scores, investigations, type of open prostatectomy, outcome and follow-up. The data were analyzed for means and frequencies using Epi Info version 3.5.3. Results: Fifty-four consecutive patients underwent surgery consecutively, their ages ranging from 40 to 92 years, with an average of 67.27 ± 12.50 years. In all, 46 (85.2%) patients presented with obstructive symptoms and 26 (48.1%) presented with urinary retention. The average prostate volume was 114.31 ± 20.11 cm3 with a range of 31 - 485 cm3. The average blood loss at surgery was 425.92 ± 38.2 ml with an average operating time of 66.05 ± 15.75 mins and the main complications were hemorrhaging and clot retention in 7 (13%), epididymo-orchitis in 9 (16.7%), and urinary incontinence in 6 (11.1%) patients. IPSS scores were under 7 in 92% of patients three months after surgery and the mortality rate was 3.7%. Conclusion: This study has shown that open prostatectomy in our environment is still the commonest surgical option for benign prostatic hyperplasia with good outcomes though with manageable complications.展开更多
The authors reported a case of trauma with uterus rupture at 35 weeks gestation with fetal death in uterus with a trauma of the right</span></span><span><span><span style="font-family:&...The authors reported a case of trauma with uterus rupture at 35 weeks gestation with fetal death in uterus with a trauma of the right</span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">limb injuries during a serious road accident. </span><b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> the aim is to show the increasing of road accident with the motorized tricycle and their many risks for pregnant woman. </span><b><span style="font-family:Verdana;">Case Presentation:</span></b><span style="font-family:Verdana;"> our patient was thrown from the back cargo of a motorized tricycle (three-wheeled vehicle) after a collision with a truck in a rural area from 150 km to Bobo-Dioulasso. She sustained a closed abdominal injury and a severe right lower limb open injury. At admission in our depart</span><span style="font-family:Verdana;">ment in the Teaching Hospital, she was conscious, shocked with hemodyn</span><span style="font-family:Verdana;">amic instability, including low blood pressure (75/52 mmHg), rapid heart rate (140 pulses per minute), rapid breath rate (40 per minute), and cold extremities. Abdominal examination was painful with uterine hypertonia, 28 cm height uterus, and no fetal heart heartbeat. A laparotomy in</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">urgency revealed a rupture of the uterus fundus with a dead fetus. A conservative surgical treatment was performed. An open trauma to the right limb was managed by the orthopedists with a good outcome. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Accident trauma during pregnancy is becoming more and more frequent with the increase in means of transport in urban and inter urban areas. The transport ways of the pregnant woman must take into account her safety and that of the fetus.展开更多
Background and Objectives:This study aimed to investigate nutritional status of hospitalized Chinese patients according to the Global Leadership Initiative on Malnutrition(GLIM)and the European Society of Clinical Nu ...Background and Objectives:This study aimed to investigate nutritional status of hospitalized Chinese patients according to the Global Leadership Initiative on Malnutrition(GLIM)and the European Society of Clinical Nu trition and Metabolism(ESPEN)criteria and to identify the effects of nutritional characteristics and nutritional support on clinical good outcome.Methods and Study Design:Inpatients participated in Chinese nutritionDay 2010-2020 surveys were included.Malnutrition was defined according to the ESPEN and GLIM criteria after be ing risk evaluated by Malnutrition Universal Screening Tool(MUST).Cumulative incidence curves were plotted for 30-day good outcomes in patients according to the ESPEN and GLIM criteria.Cox regression models were used to determine the factors associated with good outcomes in the univariate and multivariable analyses.Results:The prevalence of malnutrition defined by the GLIM criteria(22.8%)was higher than that defined by the ESPEN criteria(16.2%).Patients with malnutrition defined by the ESPEN and GLIM criteria had a significantly pro longed median length of hospital stay(LOS)after nutritionDay compared with non-malnutrition patients(8 days vs.6 days,p<0.001).Inpatients defined as nutritionally at-risk by the MUST or malnutrition defined by the ES PEN criteria and the GLIM criteria,and patients with pre-operative conditions,decreased mobility,prolonged LOS over three weeks before nutritionDay,as well as those receiving nutritional support had a reduced chance of good outcome.Conclusions:The patients with nutritional risk or malnutrition and those who received nutritional support were significantly associated with decreased good 30-day outcomes,highlighting the necessity for stand ardized nutrition training in the healthcare setting.展开更多
文摘Objective The purpose of the study was to investigate effective surgical procedure for perirolandic epilepsy and the predictor for good outcomes. Methods We collected 21 subjects who underwent epilepsy surgeries consecutively in Beijing Institute of Functional
文摘Background: Open prostatectomy is the most commonly available surgical procedure for benign prostatic hyperplasia and this is the case in most countries in West African even with all the limitations of the procedure. Objective: The objective is to determine the pattern and outcomes of open prostatectomy in Lomé. Patients & Methods: From December 2011 to November 2012, we conducted a descriptive cross-sectional study on a series of patients treated for prostate adenoma. Dysuria was assessed using the International Prostate Symptom Score (IPSS). The history of each patient was recorded, as well as paraclinical data. All patients were surgically treated via abdominal incision procedure. The data obtained included the patients’ demographics, clinical features, the IPSS scores, investigations, type of open prostatectomy, outcome and follow-up. The data were analyzed for means and frequencies using Epi Info version 3.5.3. Results: Fifty-four consecutive patients underwent surgery consecutively, their ages ranging from 40 to 92 years, with an average of 67.27 ± 12.50 years. In all, 46 (85.2%) patients presented with obstructive symptoms and 26 (48.1%) presented with urinary retention. The average prostate volume was 114.31 ± 20.11 cm3 with a range of 31 - 485 cm3. The average blood loss at surgery was 425.92 ± 38.2 ml with an average operating time of 66.05 ± 15.75 mins and the main complications were hemorrhaging and clot retention in 7 (13%), epididymo-orchitis in 9 (16.7%), and urinary incontinence in 6 (11.1%) patients. IPSS scores were under 7 in 92% of patients three months after surgery and the mortality rate was 3.7%. Conclusion: This study has shown that open prostatectomy in our environment is still the commonest surgical option for benign prostatic hyperplasia with good outcomes though with manageable complications.
文摘The authors reported a case of trauma with uterus rupture at 35 weeks gestation with fetal death in uterus with a trauma of the right</span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">limb injuries during a serious road accident. </span><b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> the aim is to show the increasing of road accident with the motorized tricycle and their many risks for pregnant woman. </span><b><span style="font-family:Verdana;">Case Presentation:</span></b><span style="font-family:Verdana;"> our patient was thrown from the back cargo of a motorized tricycle (three-wheeled vehicle) after a collision with a truck in a rural area from 150 km to Bobo-Dioulasso. She sustained a closed abdominal injury and a severe right lower limb open injury. At admission in our depart</span><span style="font-family:Verdana;">ment in the Teaching Hospital, she was conscious, shocked with hemodyn</span><span style="font-family:Verdana;">amic instability, including low blood pressure (75/52 mmHg), rapid heart rate (140 pulses per minute), rapid breath rate (40 per minute), and cold extremities. Abdominal examination was painful with uterine hypertonia, 28 cm height uterus, and no fetal heart heartbeat. A laparotomy in</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">urgency revealed a rupture of the uterus fundus with a dead fetus. A conservative surgical treatment was performed. An open trauma to the right limb was managed by the orthopedists with a good outcome. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Accident trauma during pregnancy is becoming more and more frequent with the increase in means of transport in urban and inter urban areas. The transport ways of the pregnant woman must take into account her safety and that of the fetus.
基金supported by the National Science and Tech nology Research Funding for Public Welfare Medical Projects(201502022)the National Natural Science Foundation of China(81770531,82170575)+3 种基金the Science Foundation of Outstanding Youth in Jiangsu Province(BK20170009)and“The 13th Five-Year Plan”Foundation of Jiangsu Province for Medical Key Talents(ZDRCA2016091)Jiangsu Province science and tech nology program social development-Clinical frontier technology project(BE2022822)Medical Innovation Center of Jiangsu Province(CXZX202217)Hospital Management Project of Jinling Hospital(2023LCZLXB047).
文摘Background and Objectives:This study aimed to investigate nutritional status of hospitalized Chinese patients according to the Global Leadership Initiative on Malnutrition(GLIM)and the European Society of Clinical Nu trition and Metabolism(ESPEN)criteria and to identify the effects of nutritional characteristics and nutritional support on clinical good outcome.Methods and Study Design:Inpatients participated in Chinese nutritionDay 2010-2020 surveys were included.Malnutrition was defined according to the ESPEN and GLIM criteria after be ing risk evaluated by Malnutrition Universal Screening Tool(MUST).Cumulative incidence curves were plotted for 30-day good outcomes in patients according to the ESPEN and GLIM criteria.Cox regression models were used to determine the factors associated with good outcomes in the univariate and multivariable analyses.Results:The prevalence of malnutrition defined by the GLIM criteria(22.8%)was higher than that defined by the ESPEN criteria(16.2%).Patients with malnutrition defined by the ESPEN and GLIM criteria had a significantly pro longed median length of hospital stay(LOS)after nutritionDay compared with non-malnutrition patients(8 days vs.6 days,p<0.001).Inpatients defined as nutritionally at-risk by the MUST or malnutrition defined by the ES PEN criteria and the GLIM criteria,and patients with pre-operative conditions,decreased mobility,prolonged LOS over three weeks before nutritionDay,as well as those receiving nutritional support had a reduced chance of good outcome.Conclusions:The patients with nutritional risk or malnutrition and those who received nutritional support were significantly associated with decreased good 30-day outcomes,highlighting the necessity for stand ardized nutrition training in the healthcare setting.
