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Retrospective Study on Outcome of In-Patient Treatment of Severe Acute Malnutrition in Jimma University Specialized Hospital from September 2011-September 2012 2011年9月- 2012年9月吉马大学专科医院重症急性营养不良住院治疗结果回顾性研究
Pub Date : 2014-01-01 DOI: 10.18488/JOURNAL.98/2014.1.1/98.1.18.27
Chalachew Misganaw, Metasebia Mesfin, M. Tesfaye, Andualem Derese
Background: Malnutrition often affects young children and contributes to more than 60% of deaths in children in developing countries. Aggressive hospital based management of sever acute malnutrition is recommended to meet the acceptable standards regarding outcome of the treatment. This study aimed to assess the treatment outcome of severely malnourished children treated in Jimma university specialized hospital (JUSH).Methods: Retrospective reviews of charts of severely malnourished children admitted at JUSH from September 2011 to September 2012 were made. In this study, a total of 173 cards were selected using systematic sampling technique. The numbers of discharges cured, defaulted, and average length of stay in days (d) were reviewed. Multivariate logistic regression was applied to identify and control potential confounders. P-value
背景:营养不良往往影响幼儿,是发展中国家60%以上儿童死亡的原因。建议对严重急性营养不良进行积极的医院管理,以达到治疗结果的可接受标准。本研究旨在评估在吉马大学专科医院治疗的严重营养不良儿童的治疗效果。方法:回顾性分析2011年9月至2012年9月在联合医院收治的严重营养不良儿童病历。本研究采用系统抽样方法,共抽取173张卡片。出院治愈、违约和平均住院天数(d)的数量进行了审查。应用多元逻辑回归来识别和控制潜在的混杂因素。假定值
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引用次数: 12
Treatment of Adamantinoma in Tibial Diaphysis by Hemicortical Resection and Strut Allograft 半皮质切除及异体支架移植治疗胫骨骨干金刚烷瘤
Pub Date : 2014-01-01 DOI: 10.18488/JOURNAL.98/2014.1.2/98.2.47.52
M. N. Karalezli, I. H. Korucu, Oğuzhan Pekince, S. Toker
Introduction: Adamantinoma is a primary low-grade, malignant bone tumor, of unknown histogenesis which is a rare neoplasm, comprise only 0.1–0.5% of all primary bonetumors. It is slightly more common in men than women, with a ratio of 5:4. Wide tumour resection and limb salvage is the treatment of choice. Case report: A 24 year female reffered with chief complaints of pain and limping lasting for approximately 2 years. Plain X-ray showed an expansile multicystic lesion at the diaphysis of the left tibia anterior cortex with periosteal reaction . We used an oscillating bone saw to perform a total resection of the lesion preserving the anterior cortex. Tibial defect created with this resection was replaced with a 14 cm. long strut cadaveric femoral allograft that fixed to tibia with a dynamic commpresive plate (DCP) and screws. Discussion: In surgical treatment of Adamantinoma, total resection was not performed and remain intact posterior cortex to increased the patient satisfaction, at the same time, bone fixation and early weight bearing at the postoperative. We believe that the defect will be able to union with appropriate fixation of the allograft also be long size.
金刚烷瘤是一种原发性低级别恶性骨肿瘤,组织成因不明,是一种罕见的肿瘤,仅占所有原发性骨肿瘤的0.1-0.5%。男性比女性更常见,比例为5:4。广泛肿瘤切除保肢是首选的治疗方法。病例报告:一名24岁女性,主诉疼痛和跛行持续约2年。x线平片示左侧胫骨前皮质骨干处扩张性多囊病变伴骨膜反应。我们使用振荡骨锯进行病变的全切除,保留了前皮质。切除后形成的胫骨缺损用一个14厘米的。用动态加压钢板(DCP)和螺钉固定胫骨的长支撑尸股同种异体移植物。讨论:在金刚烷瘤的手术治疗中,不进行全切除术,保留完整的后皮质,以提高患者的满意度,同时在术后进行骨固定和早期负重。我们相信,在同种异体移植体的适当固定下,该缺损将能够愈合。
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引用次数: 0
Anthropometric Parameters as Predictors of Peak Expiratory Flow Rate in Central Indian Children 5-15 Years 人体测量参数作为中部印度5-15岁儿童呼气流量峰值的预测因子
Pub Date : 1900-01-01 DOI: 10.18488/JOURNAL.98/2014.1.1/98.1.6.12
S. Pawar, V. Shende, S. Waghmare, Mt Jivtode
The development of pulmonary function and growth of physical parameters are concurrent in children. Hence, measurement of lung function is essential for evaluation of physical development of children and adolescent with respiratory disease. A cross sectional study was conducted on 200 primary, middle and high school children of 5-15 years. Their anthropometric parameters and peak expiratory flow rate (PEFR) were recorded and multiple regression equations for predicting PEFR from anthropometric variables were derived. Highly significant positive correlation (P
儿童肺功能的发展与体格参数的增长是同步的。因此,肺功能的测量对于评估患有呼吸道疾病的儿童和青少年的身体发育至关重要。对200名5-15岁的小学、初中和高中儿童进行了横断面研究。记录他们的人体测量参数和呼气流量峰值(PEFR),并推导出由人体测量变量预测PEFR的多元回归方程。极显著正相关(P
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引用次数: 3
Acute Renal Failure, Electrolyte and Acid-Base Changes in Three Cases with Ileostomy 回肠造口术后急性肾功能衰竭、电解质及酸碱变化3例
Pub Date : 1900-01-01 DOI: 10.18488/JOURNAL.98/2014.1.2/98.2.53.56
F. Erdur, Y. Soyoral, H. Emre, H. Begenik, Esra Turan Canbaz, O. Kemik
Ileostomy is a standard surgical procedure performed in order to protect the anastomosis and reduce the complication risk in colorectal surgery. Dehydration is one of the most important complications of ileostomy and dehydration-induced renal failure. We present three ileostomy cases that had undergone bowel resection for small bowel perforation, two of which due to mesenteric ischemia, and the other one due to a gunshot injury, all three developing acute renal failure. As ileostomy patients carry the risk of life-threatening renal failure and electrolyte and acid-base changes due to dehydration, clinicians should follow-up these patients closely considering the possible complications of ileostomy.
回肠造口术是一种标准的手术方法,目的是保护吻合口,减少结直肠手术并发症的发生。脱水是回肠造口术和脱水致肾功能衰竭最重要的并发症之一。我们报告了三例因小肠穿孔而行肠切除术的回肠造口病例,其中两例是由于肠系膜缺血,另一例是由于枪伤,这三例都发生了急性肾功能衰竭。由于回肠造口患者存在危及生命的肾功能衰竭风险,并且由于脱水导致电解质和酸碱改变,临床医生应密切随访这些患者,并考虑回肠造口可能出现的并发症。
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引用次数: 1
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Journal of Diagnostics
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