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A Survey of Tracheostomy Care in Kuwait: Are Nurses Adequately Informed? 科威特气管切开术护理调查:护士是否充分了解情况?
Pub Date : 2021-05-13 DOI: 10.19080/gjo.2021.24.556137
Khaled Alajmi
Introduction: Tracheostomy is a common surgical procedure with specific indications. The complications patients with a tracheostomy suffer from depends greatly on the post-operative care they receive. In Kuwait, this is provided by the nursing staff. Therefore, we aim to evaluate their knowledge in providing care for patients with a tracheostomy. Methods : Following extensive literature review, a questionnaire consisting of six questions covering main aspects of tracheostomy care was constructed; this was distributed among three major hospitals targeting the nursing staff. The nurses were asked to answer with a ‘yes’ or ‘no’ only. The participants were divided into staff nurses (who are responsible for patients in their respective allocated wards) and senior nurses (head nurse of the ward) and results from each group were quantified and processed. Graphical representation of the results was also created. Results: 239 (96%) out of 270 of the nursing staff responded to the questionnaire. There were 19 senior nurses and 239 staff nurses. The participant was asked six questions assessing their knowledge of main principles in the management of tracheostomy tube. Most of the staff nurses answered ‘no’ to the questions asked whereas the contrary was true for the senior nurses where most answered with ‘yes’. Conclusion : In view of this lack of knowledge amongst most nursing staff, evidence-based guidelines should be implemented accompanied by advanced training of the staff to improve the care provided to patients with tracheostomy tubes. A questionnaire-based survey was conducted to evaluate the current practice of tracheostomy care by nurses in hospital wards, intensive care, and coronary care units of various hospitals in Kuwait, along with the possibility of implementing current international standards of tracheostomy care as a means of improving overall care and reducing the rate of complications.
简介:气管切开术是一种常见的外科手术,有特定的适应症。气管切开术患者的并发症在很大程度上取决于他们接受的术后护理。在科威特,这由护理人员提供。因此,我们旨在评估他们在气管切开术患者提供护理方面的知识。方法:在广泛查阅文献的基础上,编制一份包含6个问题的问卷,涵盖气管切开术护理的主要方面;这是在三家主要医院分发的,目标是护理人员。护士们被要求只回答“是”或“不是”。参与者被分为普通护士(负责各自病房的病人)和高级护士(病房的护士长),每组的结果都被量化和处理。还创建了结果的图形表示。结果:270名护理人员中有239人(96%)回复问卷。护士长19人,护士长239人。参与者被问及六个问题,评估他们对气管造口管管理的主要原则的知识。大多数普通护士回答“否”,而大多数高级护士回答“是”的情况正好相反。结论:鉴于大多数护理人员缺乏相关知识,应实施循证指南,并对护理人员进行先进的培训,以提高对气管切开术患者的护理水平。进行了一项基于问卷的调查,以评估科威特各医院医院病房、重症监护室和冠状动脉监护室护士目前的气管切开术护理做法,以及实施现行国际气管切开术护理标准作为改善整体护理和减少并发症发生率的可能性。
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引用次数: 0
Perception of Caudal Septal Dislocation and Practices of Otolaryngologists in Saudi Arabia 沙特阿拉伯耳鼻喉科医生对尾隔脱位的感知和实践
Pub Date : 2021-05-06 DOI: 10.19080/gjo.2021.24.556136
Ibrahim AlQuniabut
Introduction: The nasal septum is the internal part of the nose, which holds a vital role in maintaining the functional and structural integrity. Considering its anterior location, the caudal septum is subjected to trauma, which makes it vulnerable to dislocation. This study aims to study the current practices and perception of otolaryngologists in Saudi Arabia in dealing with such cases. Methodology: A survey study targeted otolaryngologists in Saudi Arabia. Results: A total of 77 surgeons answered the survey. Septal repositioning was the most com-mon technique used by the participants. Asymmetrical nostrils and nasal obstruction were the two most common patient complaints. 67% of participants felt comfortable dealing with such cases and 32% were uncomfortable and refer cases to facial plastic specialists. Significant correlations were found between the area of specialization and the desired surgical outcome, with a p-value of 0.001. Facial plastic specialists target functional and aesthetic outcomes, while non-facial plastic focus on functional outcomes. In addition, a significant difference was found in terms of comfort level and competency between non-facial plastic and facial-plastic otolaryngologists, with a p-value of 0.004 favoring the latter. Conclusion: Discrepancies were found in terms of practices, perception, and comfort level in dealing with caudal septal dislocation among otolaryngologists in Saudi Arabia, suggesting that various surgical techniques are used in correcting caudal dislocation and that there is a diversity of cases presented in residency programs.
鼻中隔是鼻子的内部部分,在维持鼻子的功能和结构完整性方面起着至关重要的作用。考虑到其前面的位置,尾间隔受到创伤,这使得它容易脱位。本研究旨在研究沙特阿拉伯耳鼻喉科医生在处理此类病例时的当前做法和看法。方法:一项针对沙特阿拉伯耳鼻喉科医生的调查研究。结果:共有77名外科医生回答了调查。中隔重新定位是参与者最常用的技术。鼻孔不对称和鼻塞是两种最常见的患者主诉。67%的参与者觉得处理这种情况很舒服,32%的人感到不舒服,并将病例转介给面部整形专家。专业领域与预期手术结果之间存在显著相关性,p值为0.001。面部整形专家的目标是功能和美学效果,而非面部整形专家的重点是功能效果。此外,非面部整形和面部整形耳鼻喉科医生在舒适度和能力方面存在显著差异,p值为0.004,有利于后者。结论:沙特阿拉伯耳鼻喉科医生在处理尾隔脱位的实践、认知和舒适度方面存在差异,这表明在纠正尾隔脱位时使用了各种手术技术,并且住院医师项目中呈现的病例多种多样。
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引用次数: 0
Extranodal Malignant Lymphoma Originating from the Parapharyngeal Space: Two Cases 起源于咽旁间隙的结外恶性淋巴瘤2例
Pub Date : 2021-04-26 DOI: 10.19080/gjo.2021.24.556135
Ichiroh Fukumoto
Parapharyngeal space tumors develop deep inside the body and present with a wide variety of histological types, making them difficult to diagnose and treat. Here, we report two cases of lymphomas originating from the parapharyngeal space. Case 1: A 47-year-old man complaining of right facial numbness and right ear pain was found to have a tumor extending from the right parapharyngeal space to the skull base on magnetic resonance imaging. He underwent a biopsy under general anesthesia and was diagnosed with diffuse large B cell lymphoma. Case 2: A 60-year-old man presenting with left neck pain underwent a nasopharyngeal biopsy under general anesthesia for a tumor in the left parapharyngeal space, although a diagnosis could not be reached. After biopsy, the tumor enlarged dramatically and extended into the neck and skull base along the parapharyngeal space. A needle biopsy from below the left ear led to a diagnosis of diffuse large B cell lymphoma. Both patients underwent R-CHOP therapy and survived; their tumors were found to have disappeared on imaging investigations. Parapharyngeal space tumors, which extend diffusely along the parapharyngeal space to the neck and skull base, it is highly likely to be malignant lymphomas if the patient complains of intense pain.
咽旁间隙肿瘤发生于体内深部,组织学类型多样,难以诊断和治疗。在此,我们报告两例起源于咽旁间隙的淋巴瘤。病例1:47岁男性,主诉右侧面部麻木,右耳疼痛,磁共振成像发现肿瘤从右侧咽旁间隙延伸至颅底。他在全身麻醉下接受了活检,并被诊断为弥漫性大B细胞淋巴瘤。病例2:一名60岁男性,因左侧咽旁间隙肿瘤,在全身麻醉下行鼻咽活检,但无法确诊。活检后,肿瘤显著增大并沿咽旁间隙延伸至颈部和颅底。左耳下穿刺活检诊断为弥漫性大B细胞淋巴瘤。两例患者均接受R-CHOP治疗并存活;他们的肿瘤在影像学检查中发现已经消失。咽旁间隙肿瘤,沿咽旁间隙弥漫性延伸至颈部和颅底,如果患者主诉剧烈疼痛,则极有可能是恶性淋巴瘤。
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引用次数: 0
Epidemioclinical Aspects of the Oral Cavity Cancers in Ziguinchor, South of Senegal 塞内加尔南部Ziguinchor口腔癌的流行病学和临床特征
Pub Date : 2021-04-20 DOI: 10.19080/gjo.2021.24.556134
Ndadi Tchiengang K Junie
Introduction: The oral cavity cancer or oral cancer (OC) is a malignant neoplasia that is part of the UADT’s cancers (Upper aero digestives tract). It represents 25 to 30% on average. Tobacco, potentiated by alcohol, remains the main risk factor. Men seem to be twice as affected as women are and nearly 95% of patients are between 40 and 60 years old. The objective of this study was to determine the epidemioclinical profile of the oral cavity cancers in Ziguinchor in southern Senegal. Patients and Methodology: We conducted a retrospective transversal study in the ENT and cervicofacial surgery department of the Ziguinchor Regional Hospital over a period of 10 years. Our target population consisted of patients of all ages whose records showed oral cavity cancer with histological confirmation. Data were recorded and analyzed using IBM statistical package for social (SPSS) version 24.0 software. Results: This study included 20 patients that have oral cavity cancer with histological confirmation. The ages of the patients ranged from 17 years to 78 years. Female subjects were the most numerous, at 80% (n = 16) of the total population. Eighty percent (n = 16) of the subjects presented a macroscopic aspect of ulcerative budding tumor. Forty-five percent (n = 9) of the patients received were smoking and 45% (n = 9) of the patients combined tobacco and alcohol. Squamous cell carcinoma was the only histological type found. It was well differentiated in 50% (of the cases (n = 10), only in women. Conclusion: oral cavity cancers present epidemio clinical particularities in Ziguinchor. Indeed, in our context, they affect women more than men. The therapeutic attitude towards this clinical entity must consider the specificities of the population. These new data are helping to update data on UADT’s cancer in Senegal.
口腔癌或口腔癌(OC)是一种恶性肿瘤,是UADT癌症(上气道消化道)的一部分。平均占25%到30%。烟草,加上酒精,仍然是主要的危险因素。男性受到的影响似乎是女性的两倍,近95%的患者年龄在40至60岁之间。本研究的目的是确定塞内加尔南部Ziguinchor口腔癌的流行病学临床概况。患者和方法:我们在紫金窝地区医院耳鼻喉科和颈面外科进行了为期10年的回顾性横向研究。我们的目标人群包括所有年龄的患者,他们的记录显示有组织学证实的口腔癌。数据记录和分析采用IBM统计软件包(SPSS) 24.0版软件。结果:本研究纳入20例经组织学证实的口腔癌患者。患者年龄从17岁到78岁不等。女性受试者最多,占总人口的80% (n = 16)。80% (n = 16)的患者表现为溃疡性芽殖肿瘤的宏观表现。45% (n = 9)的患者吸烟,45% (n = 9)的患者同时吸烟和饮酒。鳞状细胞癌是唯一发现的组织学类型。50%的病例(n = 10)分化良好,仅在女性中。结论:紫金县口腔癌具有流行病学和临床特点。事实上,在我们的背景下,它们对女性的影响大于男性。对这种临床实体的治疗态度必须考虑到人群的特殊性。这些新数据有助于更新塞内加尔UADT癌症的数据。
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引用次数: 0
Auditory Working Memory Capacity in Congenitally Blind Children: Comparative Study with Normal 先天性失明儿童听觉工作记忆容量与正常儿童的比较研究
Pub Date : 2021-04-06 DOI: 10.19080/gjo.2021.24.556133
N. N
to these studies, there have been many studies have found no added advantage for blind individuals [11-16]. It is a well-known fact that the occipital lobe gets activated when processing visual stimuli in normal healthy sighted individuals. In blind individuals it has been found that it is active during verbal processing [17] and performance of memory tasks [7,18]. These results suggest that the advantages found in the be-havioural tests may rely on cross-modal plasticity that enables visual areas to encode stimuli and tasks of other modalities in early blind individuals. Recent studies found that congenitally blind and early blind subjects perform better than late-blind subjects and normal on several auditory perception task [19-21]. These studies point to the plasticity of the sensory systems when an individual is confronted with the loss of a particular modality. However, these studies do not inform us about the use and plasticity of the working memory system, but only about the in-teresting possibility of plasticity of one of the components, i.e., the visuospatial sketch pad that might be replaced by another sensory modality. Congenitally blind individuals have been shown to compensate for their loss of sight by developing extraordinary abilities in their remaining senses. An ongoing debate regarding whether blind individuals can compensate for their sensory handicap by developing exceptional abilities in their remaining senses (com-pensatory hypothesis), or by becoming severely handicapped (the deficit hypothesis) has yielded contrasting positions. Owing to such findings the present study was designed to assess the au ditory memory abilities in congenitally blind children to throw a light on the research concerning the compensation for the loss of sight through other normal modality information and to comment on the plasticity of working memory system in blind.
对于这些研究,已经有很多研究没有发现盲人个体的额外优势[11-16]。众所周知,在正常健康视力的个体中,枕叶在处理视觉刺激时被激活。在盲人个体中,它被发现在言语处理[17]和记忆任务的表现[7,18]中是活跃的。这些结果表明,在行为-行为测试中发现的优势可能依赖于跨模态可塑性,使视觉区域能够编码早期失明个体的其他模态的刺激和任务。最近的研究发现,先天失明和早期失明受试者在一些听觉感知任务上的表现优于晚期失明受试者和正常人[19-21]。这些研究指出,当个体面临失去一种特定的形态时,感觉系统的可塑性。然而,这些研究并没有告诉我们工作记忆系统的使用和可塑性,而只是关于其中一个组成部分的可塑性的有趣可能性,即视觉空间草图可能被另一种感觉方式所取代。研究表明,先天失明的人可以通过在剩余感官上发展非凡的能力来弥补他们的视力损失。关于盲人是否可以通过发展其剩余感官的特殊能力(补偿假说)或通过变得严重残疾(缺陷假说)来补偿他们的感官缺陷,目前正在进行的辩论产生了截然不同的观点。鉴于此,本研究旨在对先天失明儿童的听觉记忆能力进行评估,为通过其他正常模态信息来补偿视力丧失的研究提供线索,并对盲人工作记忆系统的可塑性进行评论。
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引用次数: 0
Antibacterials Drugs: Prescriptive Appropriety in the Covid-19 Emergency 抗菌药物:Covid-19紧急情况下的处方性
Pub Date : 2021-03-03 DOI: 10.19080/gjo.2021.24.556131
C. Procacci
The new coronavirus disease 2019 (COVID-19) is a highly contagious zoonosis produced by SARS-CoV-2, it is spread from human to human via respiratory secretions. It is a public health emergency that has strained health systems around the world and could also have negative implications for the fight against antimicrobial resistance. As we well know, during the first months of the pandemic, empirical therapies with antibiotics were conducted, especially in hospitals, for patients suffering from coronavirus infection, this is a fact that has opened a great debate, especially for the risks of antibiotics resistance. From the medical records analyzed, today it appears that over 90% of patients with Covid-19 receive empiric antibiotic therapy, this because, in these months of emergency, attention to this phenomenon was not a priority. Among the negative effects of the pandemic on the fight against hospital infections we must also consider the overload of the diagnostic laboratories, which has made the work on the surveillance of pathogens harder.
新型冠状病毒病2019 (COVID-19)是由SARS-CoV-2产生的高度传染性人畜共患病,它通过呼吸道分泌物在人与人之间传播。这是一场突发公共卫生事件,给世界各地的卫生系统带来了压力,也可能对抗击抗菌素耐药性产生负面影响。众所周知,在大流行的头几个月里,特别是在医院里,对冠状病毒感染的患者进行了抗生素的经验性治疗,这一事实引发了一场激烈的辩论,特别是关于抗生素耐药性的风险。从分析的医疗记录来看,今天似乎有90%以上的Covid-19患者接受了经验性抗生素治疗,这是因为在这几个月的紧急情况下,对这一现象的关注并不是优先事项。在大流行病对防治医院感染的不利影响中,我们还必须考虑到诊断实验室的超负荷,这使得监测病原体的工作更加困难。
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引用次数: 0
The Effectiveness of Cochlear Implants in Patients with Inner Ear Malformation 内耳畸形患者人工耳蜗植入的疗效观察
Pub Date : 2021-02-22 DOI: 10.19080/gjo.2021.24.556129
Lina Alefranji
Cochlear implant (CI) is a surgical solution for patients who suffer from unilateral or bilateral severe to profound sensorineural hearing loss (SNHL) and is one of the most challenging ear surgeries as it needs a highly professional surgeon to perform it. This is especially the case for patients who have inner ear malformations (IEM), facial nerve abnormalities, cerebrospinal fluid leakage (CSF), gusher, or difficulty in finding the cochlea itself. Surgeons during the operation must be ready for any difficulties and then are required to modify the surgical approach or choose special electrodes according to the IEM. Several clinical studies have shown a significant improvement in auditory and speech perception performance after performing CI surgery for pediatric and adult patients who suffer from severe to profound SNHL in one ear or both sides of the ears. Abstract
人工耳蜗(CI)是单侧或双侧重度至重度感音神经性听力损失(SNHL)患者的手术解决方案,是最具挑战性的耳部手术之一,需要高度专业的外科医生来完成。对于内耳畸形(IEM)、面神经异常、脑脊液漏(CSF)、喷涌或难以找到耳蜗本身的患者尤其如此。外科医生在手术过程中必须做好应对任何困难的准备,然后根据IEM调整手术入路或选择特殊电极。一些临床研究表明,对单耳或双耳重度至重度SNHL的儿童和成人患者进行CI手术后,听觉和言语感知表现有显著改善。摘要
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引用次数: 0
Epiglottitis and Complicated Epiglottitis – A Narrative Review 会厌炎与复杂性会厌炎-述评
Pub Date : 2021-02-22 DOI: 10.19080/gjo.2021.24.556130
J. Jabbour
Epiglottitis is a life-threatening emergency if not diagnosed early and managed by a multi-disciplinary approach. Early symptoms and signs are used to diagnose epiglottitis. Imaging can be helpful if clinically safe to perform and supported by close monitoring. Imaging is an adjunct if the airway is patent and with close monitoring. Despite decreasing incidence of epiglottitis in children secondary to vaccination, there is an increasing incidence of epiglottitis and epiglottic abscess formation in adults over the last two decades. Management involves establishing an airway, broad spectrum antibiotics and possible surgical management of complicated epiglottic abscess. We aimed to systematically review the literature to provide a succinct overview on workup and treatment of epiglottitis and its complications.
会厌炎是一种危及生命的紧急情况,如果不及早诊断和管理的多学科方法。早期症状和体征可用于会厌炎的诊断。如果临床安全且有密切监测支持,影像学检查是有帮助的。如果气道通畅并密切监测,则影像学是辅助手段。尽管继发于疫苗接种的儿童会厌炎发病率有所下降,但在过去二十年中,成人会厌炎和会厌脓肿的发病率却在增加。管理包括建立气道,广谱抗生素和可能的手术治疗复杂会厌脓肿。我们的目的是系统地回顾文献,提供会厌炎及其并发症的检查和治疗的简要概述。
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引用次数: 0
The Potential Influence of Medial Sinus wall Exposure During Lateral Sinus Floor Elevation Procedure on the Blood Supply to the Grafted Material: A Cohort Study 外侧窦底抬高术中内侧窦壁暴露对移植物供血的潜在影响:一项队列研究
Pub Date : 2021-02-11 DOI: 10.19080/gjo.2021.24.556128
P. Raz
Edentulous posterior maxillary ridges tend to present with alveolar bone disuse atrophy as well as sinus pneumatization; the second is characterized by osteoclastic activity below the sinus membrane [1-2]. To enable implant placement and restoration of the posterior maxilla, lateral sinus floor elevation (LSFE) with bone augmentation is commonly used. The surgical approach is derived from anatomical factors, especially the sinus width and the residual alveolar ridge volume. Systematic reviews have claimed implant survival rates greater than 90% following LSFE [3-5]. Lateral maxillary sinus wall antrostomy was first described by Tatum [6] and later modified by Boyne and James [7]. This procedure is challenging, requiring careful presurgical planning. Cones beam computed tomography (CBCT) is recommended as part of the presurgical evaluation [8-9]. The maxillary sinus is Abstract
无牙上颌后脊多表现为牙槽骨废用性萎缩及鼻窦气化;第二种以窦膜下破骨细胞活动为特征[1-2]。为了使种植体植入和修复后上颌骨,外侧窦底提升(LSFE)与骨增强是常用的。手术入路取决于解剖因素,尤其是窦宽度和残留的牙槽嵴体积。系统评价表明,LSFE后种植体存活率大于90%[3-5]。上颌外侧窦壁口造口术最早由Tatum[6]提出,后来Boyne和James[7]对其进行了改进。这个过程是具有挑战性的,需要仔细的术前计划。锥束计算机断层扫描(CBCT)被推荐作为术前评估的一部分[8-9]。上颌窦是抽象的
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引用次数: 0
Treatment Problem of the Upper Aero Digestive Tract’s Cancers at the Regional Hospital Center of Ziguinchor in Southern Senegal 塞内加尔南部Ziguinchor地区医院中心上呼吸道消化道肿瘤的治疗问题
Pub Date : 2021-02-03 DOI: 10.19080/gjo.2021.24.556127
J NdadiTK
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引用次数: 1
期刊
Global Journal of Otolaryngology
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