Periprosthetic fractures associated with total hip arthroplasty are becoming increasingly more common. The purpose of study is to review the treatment of periprosthetic fractures of total hip arthroplasty. A limitated number of cases is proposed. Careful intraoperative technique and tissue handling are crucial to reduce periprosthetic fractures. Once identified, however, any number of well described the treatment options are available for the surgeons. Carefully approached, and using sound treatment principles, these fractures can be appropriately addressed, thus ensuring adequate patient results. In this review, there are not outcome and tables.
{"title":"Periprosthetic fractures of total hip arthroplasty: a review of literature with a point of view","authors":"S. Bernardino","doi":"10.33140/mcr.07.10.07","DOIUrl":"https://doi.org/10.33140/mcr.07.10.07","url":null,"abstract":"Periprosthetic fractures associated with total hip arthroplasty are becoming increasingly more common. The purpose of study is to review the treatment of periprosthetic fractures of total hip arthroplasty. A limitated number of cases is proposed. Careful intraoperative technique and tissue handling are crucial to reduce periprosthetic fractures. Once identified, however, any number of well described the treatment options are available for the surgeons. Carefully approached, and using sound treatment principles, these fractures can be appropriately addressed, thus ensuring adequate patient results. In this review, there are not outcome and tables.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129892679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seeds, kernels, sprouts and their oils are potent healing agents. They are insufficiently appreciated and used in the context of common medicine. However, since they are inexpensive and have almost no side effects, they should be used more frequently. Acquiring them is possible for everyone who strives for a health-conscious lifestyle. Since today, as a result of the multitude of negative environmental effects, it is almost impossible to stay healthy without upgrading one’s diet and using dietary supplements, this should be widely propagated.
{"title":"Seeds, kernels, germs, sprouts and their oils as potent remedies","authors":"","doi":"10.33140/mcr.07.10.09","DOIUrl":"https://doi.org/10.33140/mcr.07.10.09","url":null,"abstract":"Seeds, kernels, sprouts and their oils are potent healing agents. They are insufficiently appreciated and used in the context of common medicine. However, since they are inexpensive and have almost no side effects, they should be used more frequently. Acquiring them is possible for everyone who strives for a health-conscious lifestyle. Since today, as a result of the multitude of negative environmental effects, it is almost impossible to stay healthy without upgrading one’s diet and using dietary supplements, this should be widely propagated.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121081429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain syndromes usually progress spatially in a stepwise fashion. Myofascial trigger points, a best-studied feature of myofascial pain syndrome and a very common finding on clinical examination of people with various chronic pain syndromes, occur in an active or latent form, consistent with the clinical features of myofascial pain syndrome, and progress from a less painful state to a more painful one. The clinical presentation apparently encompasses a continuum from barely detectable clinical phenomena of latent trigger points to a complex chronic pain syndrome with currently unsatisfactory treatment options. The mechanisms of trigger point development, transition, and maintenance are not well understood. This review discusses the existing mechanistic evidence and proposes a new conceptualization based on disruption of growth/repair/energy utilisation in the neuromuscular system as one of the possible mechanistic backgrounds of the MPS phenomenon. Accordingly, research opportunities that should be explored in the future are discussed.
{"title":"Mechanisms of myofascial pain in the context of metabolism, redox stress and inflammation: a narrative review","authors":"","doi":"10.33140/mcr.07.10.04","DOIUrl":"https://doi.org/10.33140/mcr.07.10.04","url":null,"abstract":"Pain syndromes usually progress spatially in a stepwise fashion. Myofascial trigger points, a best-studied feature of myofascial pain syndrome and a very common finding on clinical examination of people with various chronic pain syndromes, occur in an active or latent form, consistent with the clinical features of myofascial pain syndrome, and progress from a less painful state to a more painful one. The clinical presentation apparently encompasses a continuum from barely detectable clinical phenomena of latent trigger points to a complex chronic pain syndrome with currently unsatisfactory treatment options. The mechanisms of trigger point development, transition, and maintenance are not well understood. This review discusses the existing mechanistic evidence and proposes a new conceptualization based on disruption of growth/repair/energy utilisation in the neuromuscular system as one of the possible mechanistic backgrounds of the MPS phenomenon. Accordingly, research opportunities that should be explored in the future are discussed.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134079474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sander Kola, I. Kola, Kristina Gjoka, AnxhelaGjini
Introduction: Osteoporosis is a disease of bone metabolism, which is characterized by the silent and progressive reduction of bone density and is followed by a risk for fractures that can be fatal to the patient. The causes leading to this disease are endogenous and exogenous, but it is mainly related to the decrease in vitamin D level. Aim: Our study is the review and presentation of a more complete picture regarding osteoporosis and the effect of vitamin D on osteoporosis. Material and Method: Is a literary review of studies published in PubMed, Medline, WebMD, on the topic of vitamin D and its correlation with osteoporosis, an essential indicator with a wide range of applications in diagnosis and analysis of this illness. The scientific studies referenced, highlight the effectiveness of diagnosing osteoporosis through a bone density scan with a dual energy X-ray (DEXA), which provides the most accurate assessment to date on bone density. According to ‘International Osteoporosis Foundation’ statistics conducted for EU countries, Switzerland, UK the estimated number of individuals with osteoporosis above 50 years old in 2019 was 32 million, from which 25.5 million were of the gender female and 6.5 millionmale, deriving the conclusion that females are more prone to osteoporosis. Apart from diagnosis of osteoporosis,in the studies referenced,of great importance is the role of vitamin D levels and its correspondence with osteoporosis. In a study by Michael Holick Vitamin D deficiency. N Engl J Med. a vitamin D deficiency is defined by concentration of 25(OH)D less than 10ng/mL and an insufficiency of 20-30 ng/mL. At last, treatments and recommendations for osteoporosis regarding vitamin D deficiency have elaborated to supplementary diets, bisphosphonates treatments and even hormone replacement therapy. Conclusion: 25-OH-Vitamin D is essential for vitamin D status. To prevent the rapid progress of osteoporosis, factors that need immediate attention such as diet, lifestyle and an early diagnosis through DEXA are to be a priority, especially in risk patients.
{"title":"Correlation of vitamin D with osteoporosis","authors":"Sander Kola, I. Kola, Kristina Gjoka, AnxhelaGjini","doi":"10.33140/mcr.07.10.01","DOIUrl":"https://doi.org/10.33140/mcr.07.10.01","url":null,"abstract":"Introduction: Osteoporosis is a disease of bone metabolism, which is characterized by the silent and progressive reduction of bone density and is followed by a risk for fractures that can be fatal to the patient. The causes leading to this disease are endogenous and exogenous, but it is mainly related to the decrease in vitamin D level. Aim: Our study is the review and presentation of a more complete picture regarding osteoporosis and the effect of vitamin D on osteoporosis. Material and Method: Is a literary review of studies published in PubMed, Medline, WebMD, on the topic of vitamin D and its correlation with osteoporosis, an essential indicator with a wide range of applications in diagnosis and analysis of this illness. The scientific studies referenced, highlight the effectiveness of diagnosing osteoporosis through a bone density scan with a dual energy X-ray (DEXA), which provides the most accurate assessment to date on bone density. According to ‘International Osteoporosis Foundation’ statistics conducted for EU countries, Switzerland, UK the estimated number of individuals with osteoporosis above 50 years old in 2019 was 32 million, from which 25.5 million were of the gender female and 6.5 millionmale, deriving the conclusion that females are more prone to osteoporosis. Apart from diagnosis of osteoporosis,in the studies referenced,of great importance is the role of vitamin D levels and its correspondence with osteoporosis. In a study by Michael Holick Vitamin D deficiency. N Engl J Med. a vitamin D deficiency is defined by concentration of 25(OH)D less than 10ng/mL and an insufficiency of 20-30 ng/mL. At last, treatments and recommendations for osteoporosis regarding vitamin D deficiency have elaborated to supplementary diets, bisphosphonates treatments and even hormone replacement therapy. Conclusion: 25-OH-Vitamin D is essential for vitamin D status. To prevent the rapid progress of osteoporosis, factors that need immediate attention such as diet, lifestyle and an early diagnosis through DEXA are to be a priority, especially in risk patients.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126153328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Kola, Sander Kola, D. Mata, Esmeralda Novruzaj, Rea Sherifi
Introduction: Adhesive capsulitis is pathology of the gleno-humeral joint that causes joint pain and immobility. The cause in most cases is unknown. Conservative treatment is good but still unclear, ESWT is an adjunctive and effective therapy for treatment. Objectives: To analyze the effectiveness of Shock-Wave therapy (ESWT) in the treatment of pain and ROM in frozen shoulder. Method: We based on 7 studies, taken from medical websites (PubMed,Medline, WebMD, MedScope). Patients diagnosed with adhesive capsulitis in all studies taken in reference were randomly divided into two groups. In studies [1], Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis and [3], Extracorporeal Shockwave Therapy Improves Functional Outcomes of Adhesive Capsulitis of the Shoulder in Patients With Diabetes one group was treated with ESWT, the other with oral AINS In studies [2]. The efficacy of radial extracorporeal shockwave therapy in shoulder adhesive capsulitis: a prospective, randomised, double-blind, placebo-controlled, clinical study one group was treated with ESWT, and the other with placebo treatment. In study [4], the effects of extracorporeal shock wave therapy on frozen shoulder patients’ pain and functions. All patients received NSAIDs once a day. The subjects of this study were divided into the conservative physical therapy group one group was treated with ESWT, All subjects were treated 2 times a week for 6 weeks. In within-group comparisons of VAS and PSFS, both ESWT and CPT groups showed significant decreases in VAS and PSFS. In comparisons between VAS and PSFS groups, ESWTG showed much lower results compared to CPTG. In studies [6], Efficacy of Extracorporeal Shockwave Therapy in Frozen Shoulder and [7] Shock Wave Therapy and Ultrasound Therapy plus Exercises for Frozen Shoulder Joint Clients, one group was treated with ESWT, the other with conservative physical therapy Results: For the studies considered it was observed that: patients treated with ESWT have an earlier and more noticeable improvement in pain and functionality, articular ROM compared to the effect from other treatments such as: (placebo, AINS, conservative treatment, ultrasound) applied to patients. Conclusions: Based on the above studies, it is concluded that ESWT is more effective in treating pain and functionality, articular ROM, compared to other treatments applied to the groups of patients diagnosed with adhesive capsulitis.
{"title":"Diagnosis and treatment of frozen shoulder with shock-wave therapy","authors":"I. Kola, Sander Kola, D. Mata, Esmeralda Novruzaj, Rea Sherifi","doi":"10.33140/mcr.07.10.02","DOIUrl":"https://doi.org/10.33140/mcr.07.10.02","url":null,"abstract":"Introduction: Adhesive capsulitis is pathology of the gleno-humeral joint that causes joint pain and immobility. The cause in most cases is unknown. Conservative treatment is good but still unclear, ESWT is an adjunctive and effective therapy for treatment. Objectives: To analyze the effectiveness of Shock-Wave therapy (ESWT) in the treatment of pain and ROM in frozen shoulder. Method: We based on 7 studies, taken from medical websites (PubMed,Medline, WebMD, MedScope). Patients diagnosed with adhesive capsulitis in all studies taken in reference were randomly divided into two groups. In studies [1], Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis and [3], Extracorporeal Shockwave Therapy Improves Functional Outcomes of Adhesive Capsulitis of the Shoulder in Patients With Diabetes one group was treated with ESWT, the other with oral AINS In studies [2]. The efficacy of radial extracorporeal shockwave therapy in shoulder adhesive capsulitis: a prospective, randomised, double-blind, placebo-controlled, clinical study one group was treated with ESWT, and the other with placebo treatment. In study [4], the effects of extracorporeal shock wave therapy on frozen shoulder patients’ pain and functions. All patients received NSAIDs once a day. The subjects of this study were divided into the conservative physical therapy group one group was treated with ESWT, All subjects were treated 2 times a week for 6 weeks. In within-group comparisons of VAS and PSFS, both ESWT and CPT groups showed significant decreases in VAS and PSFS. In comparisons between VAS and PSFS groups, ESWTG showed much lower results compared to CPTG. In studies [6], Efficacy of Extracorporeal Shockwave Therapy in Frozen Shoulder and [7] Shock Wave Therapy and Ultrasound Therapy plus Exercises for Frozen Shoulder Joint Clients, one group was treated with ESWT, the other with conservative physical therapy Results: For the studies considered it was observed that: patients treated with ESWT have an earlier and more noticeable improvement in pain and functionality, articular ROM compared to the effect from other treatments such as: (placebo, AINS, conservative treatment, ultrasound) applied to patients. Conclusions: Based on the above studies, it is concluded that ESWT is more effective in treating pain and functionality, articular ROM, compared to other treatments applied to the groups of patients diagnosed with adhesive capsulitis.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128533376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: The article deals with clinical picture of Lyme arthritis (LA) and clinical features distinguishing this form of arthritis from other forms. The description of the characteristic features of arthritis based on laboratory and instrumental examinations of children was presented in the article. The clinical manifestation of LA is very changeable what makes diagnosis difficult to define. The aim of our study was to prove that LA should be treated with antibiotic therapy. Material and Methods: The authors present two cases of arthritis in children on the background of the tick bite, and systemic juvenile idiopathic arthritis (SJIA). Lyme arthritis (LA) was found in 7.0% of 200 examined children. Сase study presentation as a basis for discussion, a literature search of MEDLINE and Scopus database. A review of the examination of biomarkers among patients with LA and Rheumatoid arthritis according to MEDLINE via OVID, EMBASE, and Web of Science databases was conducted systematically and 21 examinations were taken for qualitative analysis. Results: Clinical characteristics was defined by an increase in body temperature, persistent monoarthritis and synovitis. Serological studies (Elisa and Immunoblot assays) were predominant factors for establishment the diagnosis even in case of the absence of epidemiological history. Conclusions: 1. The investigation proved that LA is manifested by increasing body temperature, persistent mono arthritis, and synovitis. 2. There were presented that serological studies (Elisa and Immunoblot) are determining factors for diagnosis verification even in case of the absence of epidemiological history. 3. It was proved that genetic examination on HLA antigen B27 is necessary for differential diagnosis of arthritis. 4. The given investigation based on laboratory and instrumental examinations of children showed that Lyme arthritis treatment envisages antibiotic therapy and rheumatoid arthritis and requires non-steroid plus antibiotic therapy
目的:探讨莱姆病(LA)的临床表现及区别于其他关节炎的临床特点。本文介绍了基于儿童实验室和仪器检查的关节炎特征的描述。LA的临床表现多变，诊断困难。我们研究的目的是证明LA应该用抗生素治疗。材料和方法:作者报告两例儿童关节炎的背景蜱叮咬，和系统性青少年特发性关节炎(SJIA)。200名接受检查的儿童中有7.0%发现莱姆病。Сase研究报告作为讨论基础，文献检索MEDLINE和Scopus数据库。根据MEDLINE通过OVID、EMBASE和Web of Science数据库对LA和类风湿关节炎患者的生物标志物检查进行系统回顾，并采取21项检查进行定性分析。结果:临床特征为体温升高，持续性单关节炎和滑膜炎。即使在没有流行病学史的情况下，血清学研究(Elisa和免疫印迹测定)也是确定诊断的主要因素。结论:1。调查证实LA表现为体温升高、持续性单关节关节炎和滑膜炎。2. 有人提出，即使在没有流行病学史的情况下，血清学研究(Elisa和免疫印迹)也是诊断验证的决定性因素。3.证实HLA抗原B27的遗传检查是鉴别诊断关节炎的必要条件。4. 基于实验室和仪器检查的儿童调查显示，莱姆病治疗设想抗生素治疗和类风湿关节炎，需要非类固醇加抗生素治疗
{"title":"Clinical characteristics of patients with lyme arthritis diagnosed in children from Ternopil region","authors":"","doi":"10.33140/mcr.07.10.05","DOIUrl":"https://doi.org/10.33140/mcr.07.10.05","url":null,"abstract":"Objectives: The article deals with clinical picture of Lyme arthritis (LA) and clinical features distinguishing this form of arthritis from other forms. The description of the characteristic features of arthritis based on laboratory and instrumental examinations of children was presented in the article. The clinical manifestation of LA is very changeable what makes diagnosis difficult to define. The aim of our study was to prove that LA should be treated with antibiotic therapy. Material and Methods: The authors present two cases of arthritis in children on the background of the tick bite, and systemic juvenile idiopathic arthritis (SJIA). Lyme arthritis (LA) was found in 7.0% of 200 examined children. Сase study presentation as a basis for discussion, a literature search of MEDLINE and Scopus database. A review of the examination of biomarkers among patients with LA and Rheumatoid arthritis according to MEDLINE via OVID, EMBASE, and Web of Science databases was conducted systematically and 21 examinations were taken for qualitative analysis. Results: Clinical characteristics was defined by an increase in body temperature, persistent monoarthritis and synovitis. Serological studies (Elisa and Immunoblot assays) were predominant factors for establishment the diagnosis even in case of the absence of epidemiological history. Conclusions: 1. The investigation proved that LA is manifested by increasing body temperature, persistent mono arthritis, and synovitis. 2. There were presented that serological studies (Elisa and Immunoblot) are determining factors for diagnosis verification even in case of the absence of epidemiological history. 3. It was proved that genetic examination on HLA antigen B27 is necessary for differential diagnosis of arthritis. 4. The given investigation based on laboratory and instrumental examinations of children showed that Lyme arthritis treatment envisages antibiotic therapy and rheumatoid arthritis and requires non-steroid plus antibiotic therapy","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125419792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patient P.S. (male, born 1948) presented in April 2022 with a diagnosis of right lung carcinoma with multiple metastases to the brain. The biopsy had revealed a non-small cell lung carcinoma. He refused a usual chemotherapy because he had read on the Internet that the probability of cure with this diagnosis was only 1-2%. This was certainly right.
{"title":"Increased incidence of unexpected death due to spike proteins- case report","authors":"","doi":"10.33140/mcr.07.10.06","DOIUrl":"https://doi.org/10.33140/mcr.07.10.06","url":null,"abstract":"Patient P.S. (male, born 1948) presented in April 2022 with a diagnosis of right lung carcinoma with multiple metastases to the brain. The biopsy had revealed a non-small cell lung carcinoma. He refused a usual chemotherapy because he had read on the Internet that the probability of cure with this diagnosis was only 1-2%. This was certainly right.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134359578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: A new era of orthopedic surgery is happening nowadays. innovative procedures like video surgery; Ultrasound Guided Interventions; Pain interventionist orthopedics procedures; plastic surgery (cellulites subcision treatment); hydrodissection injections; dry needling; thermography assisted pain procedures and acupuncture started to be widely performed [3]. Objective: The aim of the research is to assess the possibility of a needle knife surgical device to perform portals of knee video arthroscopic surgical interventions and to evaluate the two diferentes needle-knife surgical devices [7-9]. Method: 200 consecutive knee Video Arthroscopies performed by the same team were divided in two groups: A and B. Group A: the lateral portal used a hypodermic needle 40X12 (18Gx 1’1/2) for portal performance. Group B submitted a lateral portal using a metal guide for intravenous catheter 14Gx2’’. The medial portal, a 11 blade knife, was used for both cases.Comparison of two groups by assessing wound healing time; superficial and deep infection; pain, cosmesis by a third person nurse.A surgeon’s opinion for friendly use comparing group A or B was made [8, 9]. Results: There were nor superficial or deep knee infections. No wound healing problems, same time of healing. No difference in pain related to the wound. Cosmesis were similar. The surgeon’s choice was the metal guide for intravenous catheter 14Gx2’’ is more friendly due to the rigidity in comparison to a hypodermic needle 40X12 (18Gx 1’1/2). Conclusion: The two needles seem suitable for knee video arthroscopy surgical interventions. The surgeon’s choice was the metal guide for intravenous catheter 14Gx2’’ is more friendly due to the rigidity in comparison to the 40x12 needle [7-9].
{"title":"Arthroscopic needle knife for knee video arthroscopic surgical portals","authors":"F.F.D.A. Ravaglia, A. C. Junior","doi":"10.33140/mcr.07.09.03","DOIUrl":"https://doi.org/10.33140/mcr.07.09.03","url":null,"abstract":"Introduction: A new era of orthopedic surgery is happening nowadays. innovative procedures like video surgery; Ultrasound Guided Interventions; Pain interventionist orthopedics procedures; plastic surgery (cellulites subcision treatment); hydrodissection injections; dry needling; thermography assisted pain procedures and acupuncture started to be widely performed [3]. Objective: The aim of the research is to assess the possibility of a needle knife surgical device to perform portals of knee video arthroscopic surgical interventions and to evaluate the two diferentes needle-knife surgical devices [7-9]. Method: 200 consecutive knee Video Arthroscopies performed by the same team were divided in two groups: A and B. Group A: the lateral portal used a hypodermic needle 40X12 (18Gx 1’1/2) for portal performance. Group B submitted a lateral portal using a metal guide for intravenous catheter 14Gx2’’. The medial portal, a 11 blade knife, was used for both cases.Comparison of two groups by assessing wound healing time; superficial and deep infection; pain, cosmesis by a third person nurse.A surgeon’s opinion for friendly use comparing group A or B was made [8, 9]. Results: There were nor superficial or deep knee infections. No wound healing problems, same time of healing. No difference in pain related to the wound. Cosmesis were similar. The surgeon’s choice was the metal guide for intravenous catheter 14Gx2’’ is more friendly due to the rigidity in comparison to a hypodermic needle 40X12 (18Gx 1’1/2). Conclusion: The two needles seem suitable for knee video arthroscopy surgical interventions. The surgeon’s choice was the metal guide for intravenous catheter 14Gx2’’ is more friendly due to the rigidity in comparison to the 40x12 needle [7-9].","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117011236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Infectious peritonitis is a challenging condition to continuing peritoneal dialysis (PD) in many end-stage renal disease patients. A cloudy peritoneal effluent or abdominal pain is the most common symptoms of peritonitis, which would be confirmed with peritoneal leukocytosis. However, not all cloudy effluent and peritoneal leukocytosis are infectious in etiology. Here, we report a case of peritoneal leukocytosis related to a forgotten intrauterine device (IUD), where antibiotic therapy failed to achieve a clinical change. This case report and literature review provides insight into a rare but significant presentation of aseptic peritonitis and highlights the need to consider IUD interaction with PD dialysate as a reason for aseptic peritonitis.
{"title":"Forgotten intrauterine device inducing aseptic peritonitis in newly started peritoneal dialysis","authors":"","doi":"10.33140/mcr.07.09.01","DOIUrl":"https://doi.org/10.33140/mcr.07.09.01","url":null,"abstract":"Infectious peritonitis is a challenging condition to continuing peritoneal dialysis (PD) in many end-stage renal disease patients. A cloudy peritoneal effluent or abdominal pain is the most common symptoms of peritonitis, which would be confirmed with peritoneal leukocytosis. However, not all cloudy effluent and peritoneal leukocytosis are infectious in etiology. Here, we report a case of peritoneal leukocytosis related to a forgotten intrauterine device (IUD), where antibiotic therapy failed to achieve a clinical change. This case report and literature review provides insight into a rare but significant presentation of aseptic peritonitis and highlights the need to consider IUD interaction with PD dialysate as a reason for aseptic peritonitis.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130281230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Gagliardi, Veronica Gagliardi, Angelo Butturini, G. Ferraro, F. Ceccherelli
Neuropathic pain is associated with a functional abnormality of the nervous system due to a direct lesion or disease of the somatosensory system, leading to a continuous pattern of pointless and detrimental pain signal: the pain itself rather than the predisposing condition becomes the main pathological element. In this framework, capsaicin has been used in several clinical settings as a topical medication to treat neuropathic pain. We report three cases of persistent neuropathic pain who underwent our protocol: three applications of the capsaicin 8% patch separated by one month. In all the reported cases, the outcome has been a significant reduction of the symptoms, and the pain relief has maintained, staggered only by sporadic episodes of exacerbation. The treatment is safe and effective in reducing the intensity of the pain, being a valid therapy for the treatment of the chronic neuropathic pain, administered in association with other drugs.
{"title":"Persistent neuropathic pain treated with capsaicin patches: a novel promising approach","authors":"G. Gagliardi, Veronica Gagliardi, Angelo Butturini, G. Ferraro, F. Ceccherelli","doi":"10.33140/mcr.07.09.02","DOIUrl":"https://doi.org/10.33140/mcr.07.09.02","url":null,"abstract":"Neuropathic pain is associated with a functional abnormality of the nervous system due to a direct lesion or disease of the somatosensory system, leading to a continuous pattern of pointless and detrimental pain signal: the pain itself rather than the predisposing condition becomes the main pathological element. In this framework, capsaicin has been used in several clinical settings as a topical medication to treat neuropathic pain. We report three cases of persistent neuropathic pain who underwent our protocol: three applications of the capsaicin 8% patch separated by one month. In all the reported cases, the outcome has been a significant reduction of the symptoms, and the pain relief has maintained, staggered only by sporadic episodes of exacerbation. The treatment is safe and effective in reducing the intensity of the pain, being a valid therapy for the treatment of the chronic neuropathic pain, administered in association with other drugs.","PeriodicalId":186238,"journal":{"name":"Medical & Clinical Research","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130950156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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