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Recent management of extrapyramidal syndrome in antipsychotic use 抗精神病药应用中锥体外系综合征的近期处理
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.31434
Reisha Farahmadilah, Fazil Amris
Antipsychotic drugs are crucial for treating mental illnesses but can cause various side effects due to their non-selectivity and high affinity. A study has shown that the prevalence of extrapyramidal side effects among patients with schizophrenia spectrum disorder on antipsychotic medication was 42.6%, with specific side effects including tardive dyskinesia, parkinsonism, and akathisia. These symptoms can significantly impact individuals' quality of life, so effective management is crucial to minimize their impact. Recent advances in the management of EPS include the use of atypical/second-generation antipsychotics and anticholinergic medications. These have been shown to be effective in managing EPS and have a better safety profile than first-generation antipsychotics. Other important strategies for managing EPS include using lower doses of antipsychotics, combination therapy, anticholinergic drugs, and non-pharmacological interventions such as physical therapy, lifestyle modifications, andaddressing potential non-adherence to treatment.
抗精神病药物对治疗精神疾病至关重要,但由于其非选择性和高亲和力,可能导致各种副作用。一项研究表明,抗精神病药物治疗的精神分裂症谱系障碍患者锥体外系副作用发生率为42.6%,具体副作用包括迟发性运动障碍、帕金森症和静坐症。这些症状会严重影响个人的生活质量,因此有效的管理对于最小化其影响至关重要。最近在EPS管理方面的进展包括使用非典型/第二代抗精神病药物和抗胆碱能药物。这些已被证明是有效的管理EPS和具有更好的安全性比第一代抗精神病药物。管理EPS的其他重要策略包括使用低剂量抗精神病药物、联合治疗、抗胆碱能药物和非药物干预,如物理治疗、生活方式改变和解决潜在的不坚持治疗。
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引用次数: 0
The application of ergonomics to improve work productivity 运用人体工程学来提高工作效率
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.33566
Liza Salawati, Ibnu Abbas
Ergonomics in the workplace is an aspect that must be considered, because it has potential hazards such as work position, inappropriate body posture when doing work, design of work tools, workplaces that are not in accordance with labor anthropometry, and lifting loads that exceed work capacity. By implementing ergonomics in the workplace, a safe and comfortable work system, work environment, and work equipment will be created for all workers. So that workers can avoid injury or accidents while working, but it can also avoid occupational diseases. Therefore, work facilities must be designed ergonomically so that it has an impact on increasing work productivity.
工作场所的人体工程学是必须考虑的一个方面,因为它有潜在的危害,如工作位置,工作时不适当的身体姿势,工作工具的设计,不符合劳动人体测量的工作场所,以及超过工作能力的起重负荷。通过在工作场所实施人体工程学,将为所有工人创造一个安全舒适的工作系统、工作环境和工作设备。使工人在工作时可以避免受伤或事故,同时也可以避免职业病。因此,工作设施的设计必须符合人体工程学,这样才能对提高工作效率产生影响。
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引用次数: 0
Experience of health workers in improving patient safety in hospitals through interprofessional collaboration: study qualitative 卫生工作者通过跨专业合作改善医院患者安全的经验:定性研究
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.31603
Keumalasari - Keumalasari, Setyowati Setyowati, Krisna Yetti, Enie Novieastari
Introduction: Patient safety is a global problem because patient safety incidents that occurare estimated to be 134 million incidents due to unsafe care and 2.6 million resulting indeath. Indonesia recorded a patient safety incident rate of 23.5%, so interprofessionalcollaboration is necessary to minimize this condition.Objective: This study aims to identify the experience of health workers in improvingpatient safety in hospitals through interprofessional collaboration. The method in this studyis a qualitative design with an interpretive descriptive approach.Methods: The method in this study is a qualitative design with an interpretive descriptiveapproach. The method in this study is qualitative with a descriptive-interpretative approachdesign. Implementation method with FGD on five professional health workers.Result: The results of the study contained 8 (eight) themes showing the experience ofhealth workers in improving patient safety in hospitals through interprofessionalcollaboration including understanding health workers in improving patient safety,implementation of patient safety for health workers in interprofessional collaboration,hospital management support, obstacles and expectations health workers in improvingpatient safety through interprofessional collaboration.Conclusion: The results of the study contained the experience of health workers on theimplementation of patient safety in hospitals through interprofessional collaboration,namely identifying actions in providing services with uniform documentation and alsocoordinating actions according to Standart Operastional Procedur (SOPs), creatingcommunication according to Situation, Background, Assessment, Recommendation (SBAR),joint commitment in providing services in hospitals, uniform training in hospitals, reducingbarriers in both personal and management services, awareness, interest and motivationfrom each profession, facilities that support the implementation of patient safety open andtransparent system, monitoring evaluation regulary and facilitating staff.
患者安全是一个全球性问题,因为由于不安全护理而发生的患者安全事件估计有1.34亿起,造成260万例死亡。印度尼西亚记录的患者安全事故率为23.5%,因此有必要进行跨专业合作以尽量减少这种情况。目的:本研究旨在了解卫生工作者在通过跨专业合作提高医院患者安全方面的经验。本研究的方法是一个定性设计与解释描述性的方法。方法:本研究采用定性设计和解释描述方法。本研究的方法是定性的,采用描述-解释的方法设计。对5名专业卫生工作者进行FGD的实施方法。结果:研究结果包含8个主题,展示了卫生工作者通过跨专业合作改善医院患者安全的经验,包括了解卫生工作者在改善患者安全方面的工作,卫生工作者在跨专业合作中实施患者安全,医院管理支持,卫生工作者在通过跨专业合作改善患者安全方面的障碍和期望。结论:研究结果包含了卫生工作者通过跨专业合作在医院实施患者安全的经验,即通过统一的文件确定提供服务的行动,并根据标准操作程序(SOPs)协调行动,根据情况,背景,评估,建议(SBAR)建立沟通,在医院提供服务的联合承诺,在医院的统一培训,减少个人和管理服务方面的障碍,每个专业的意识、兴趣和动机,支持实施患者安全公开透明系统的设施,定期监测评估并为工作人员提供便利。
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引用次数: 0
The relationship between pesticide exposure and neuropathy in farmers in Wuluhan district 武鹿汉区农民农药暴露与神经病变的关系
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.33668
Cindy Graciella, Muhammad Ihwan Narwanto, Muhammad Afiful Jauhani
Farmers rely heavily on pesticides to protect crops from pests. Pesticides exposure will inhibit the acetylcholinesterase enzyme and will cause cholinergic symptoms which manifest as neuropathy. The research was conducted in March-April 2023 in Wuluhan District, Jember Regency. Pesticide exposure was evaluated through interviews using a pesticide exposure questionnaire, while neuropathy was evaluated through interviews and physical examination using the Diabetic Neuropathy Symptom Score-Indonesian version (DNS-Ina) and Diabetic Neuropathy Examination-Indonesian version (DNE-Ina) questionnaires. Univariate data analysis and bivariate analysis using the Chi-Square test. The results of this study showed that most of the study subjects had worked 10 years, the frequency of using pesticides ≤2 times per week, the duration of using pesticides ≤3 hours per day, the use of PPE is lacking. Bivariate analysis showed that neuropathy occurred in the farmer group, and there was a significant relationship between length of service and neuropathy, as well as the completeness of PPE use and neuropathy. However, there was no relationship between the frequency of pesticide use and neuropathy and the duration of pesticide use and neuropathy. The conclusion of this study is that the variable length of service and the completeness of the use of PPE have a relationship with the symptoms of neuropathy in farmers. While the variables of frequency and duration of use of pesticides are not related to neuropathy in farmers.
农民严重依赖农药来保护作物免受虫害。农药暴露会抑制乙酰胆碱酯酶,引起胆碱能症状,表现为神经病变。研究于2023年3 - 4月在武汉市武卢汉区进行。采用农药暴露问卷,通过访谈评估农药暴露程度;采用糖尿病神经病变症状评分-印尼版(DNS-Ina)和糖尿病神经病变检查-印尼版(DNE-Ina)问卷,通过访谈和体检评估神经病变程度。单因素数据分析和双因素分析采用卡方检验。本研究结果表明,大部分研究对象工作年限为10年,每周使用农药次数≤2次,每天使用农药时间≤3小时,缺乏PPE的使用。双变量分析显示,农民组出现神经病变,且工龄与神经病变、PPE使用的完全性与神经病变存在显著相关。然而,农药使用频率与神经病变和农药使用时间与神经病变之间没有关系。本研究的结论是,不同的服务年限和PPE使用的完整性与农民神经病变的症状有关系。而农药使用频率和持续时间的变量与农民的神经病变无关。
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引用次数: 0
The influence of cocoa fruit husk extract on the degradation of eps (extracellular polymeric substance) in Lactobacillus acidophilus biofilm 可可果壳提取物对嗜酸乳杆菌生物膜细胞外聚合物质降解的影响
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.33656
Azimah Regita
Introduction: Dental caries is characterized by progressive demineralization and plaque formation by Lactobacillus acidophilus bacteria due to biofilm formation as a microbial defense mechanism that binds to EPS. To address this issue, cocoa fruit husks extract is utilized as it contains active flavonoids with antibacterial properties. Objective: Demonstrate that cocoa fruit husk extract can degrade Lactobacillus acidophilus bacterial EPS biofilm and determine the optimal concentration of cocoa fruit husk extract. Methods: Cocoa Fruit Husk Extract Preparation was followed by Lactobacillus acidophilus bacterial preparation. Dilution was performed to achieve a concentration of 106 Bacteria/mL. Microtiter plates with flat-bottom 24 wells were sealed. They were then divided into two groups: one as a control without cocoa fruit husk extract and the other with cocoa fruit husk extract at concentrations of 1.56%; 3.125%; 4.69%; 6.25%; and 7.8%, and incubated at 35°C for 24 hours. Subsequently, they were aspirated, washed 4 times with phosphate-buffered saline, stained with dextran alexa fluor 647, and rinsed with distilled water. Biofilm sections, 0.5 mm thick, were placed on glass slides, and EPS Biofilm was measured using CLSM at 40x magnification. Results: The division into microtiter plates showed that the 7.8% concentration had the highest potential with a value of X ± SD = 8.3366 ± 1.76364 in degrading EPS biofilm compared to others. This is in line with previous research, indicating that higher extract concentrations lead to better biofilm degradation activity. Conclusion: Cocoa fruit husk extract can degrade Lactobacillus acidophilus bacterial EPS biofilm, with the most optimal concentration being 7.8%.
简介:龋齿的特点是嗜酸乳杆菌在生物膜形成过程中与EPS结合形成菌斑。为了解决这个问题,可可果壳提取物被利用,因为它含有具有抗菌特性的活性类黄酮。目的:研究可可果壳提取物对嗜酸乳杆菌EPS生物膜的降解作用,确定可可果壳提取物的最佳浓度。方法:采用可可果壳提取物制剂和嗜酸乳杆菌制剂。稀释至浓度为106个细菌/mL。平底24孔微滴板密封。然后将它们分为两组,一组作为对照组,不添加可可果壳提取物,另一组添加浓度为1.56%的可可果壳提取物;3.125%;4.69%;6.25%;7.8%, 35℃孵育24小时。随后抽吸,用磷酸盐缓冲盐水洗涤4次,用葡聚糖alexa flu647染色,用蒸馏水冲洗。将0.5 mm厚的生物膜切片置于载玻片上,用40倍放大倍率CLSM测量EPS生物膜。结果:微滴板划分结果显示,7.8%浓度对EPS生物膜的降解电位最高,其值为X±SD = 8.3366±1.76364。这与以往的研究结果一致,表明提取物浓度越高,生物膜降解活性越好。结论:可可果壳提取物可降解嗜酸乳杆菌EPS生物膜,其最佳浓度为7.8%。
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引用次数: 0
Relationship between age, and gender with COVID-19 treatment period for patients with mental disorders at the Aceh Mental Hospital in 2021 2021年亚齐精神病院精神障碍患者的治疗期
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.31252
Novita Andayani, Zulfa Zahra, Malawati Malawati, Muhsin Muhsin, Muhammad Haekal Sungkar
Introduction: COVID-19 can infect anyone from children to the elderly and is not closed tothe possibility of occurring in people with mental disordersObjectives: This study aims to identify the relationship between age and gender to theCOVID-19 treatment period in patients with mental disorders at the Aceh Mental HospitalMethods Materials: This type of research is observational analytic with a cross-sectional design with a total of 106 subjects. Data obtained from medical records were analyzed using the Spearman's Rank testResults: Research on patients with mental disorders at the Aceh Mental Hospital in 2021shows that the COVID-19 treatment period 14 days is mostly found in the adult age groupand the COVID-19 treatment period ≥ 14 days is mostly found in the pre-elderly age group.In the gender group, the COVID-19 treatment period 14 days and ≥ 14 days, the malegroup was more than the female group.Conclusion: It was concluded that there was a significant influence between age and themass of COVID-19 treatment with a p value = 0.000 (p ≤0.05) and there was no significantinfluence between gender and the COVID-19 treatment period with p = 0.082 (p0.05). Thisstudy recommends further research, especially in patients with mental disorders who havebeen vaccinated against COVID-19.
前言:COVID-19可以感染从儿童到老年人的任何人,并且不排除在精神障碍患者中发生的可能性。目的:本研究旨在确定年龄和性别与亚齐精神病院精神障碍患者COVID-19治疗期的关系。方法材料:该类型研究采用观察性分析,采用横断面设计,共有106名受试者。结果:对亚齐精神病院2021年精神障碍患者的研究表明,COVID-19治疗期为14天的患者多见于成年年龄组,治疗期≥14天的患者多见于老年前期年龄组。在性别组中,治疗期14天和≥14天,男性组多于女性组。结论:年龄与新冠肺炎治疗人数有显著影响,p值= 0.000 (p≤0.05);性别与新冠肺炎治疗时间无显著影响,p值= 0.082 (p0.05)。这项研究建议进一步研究,特别是对已接种COVID-19疫苗的精神障碍患者。
{"title":"Relationship between age, and gender with COVID-19 treatment period for patients with mental disorders at the Aceh Mental Hospital in 2021","authors":"Novita Andayani, Zulfa Zahra, Malawati Malawati, Muhsin Muhsin, Muhammad Haekal Sungkar","doi":"10.24815/jks.v23i2.31252","DOIUrl":"https://doi.org/10.24815/jks.v23i2.31252","url":null,"abstract":"Introduction: COVID-19 can infect anyone from children to the elderly and is not closed tothe possibility of occurring in people with mental disordersObjectives: This study aims to identify the relationship between age and gender to theCOVID-19 treatment period in patients with mental disorders at the Aceh Mental HospitalMethods Materials: This type of research is observational analytic with a cross-sectional design with a total of 106 subjects. Data obtained from medical records were analyzed using the Spearman's Rank testResults: Research on patients with mental disorders at the Aceh Mental Hospital in 2021shows that the COVID-19 treatment period 14 days is mostly found in the adult age groupand the COVID-19 treatment period ≥ 14 days is mostly found in the pre-elderly age group.In the gender group, the COVID-19 treatment period 14 days and ≥ 14 days, the malegroup was more than the female group.Conclusion: It was concluded that there was a significant influence between age and themass of COVID-19 treatment with a p value = 0.000 (p ≤0.05) and there was no significantinfluence between gender and the COVID-19 treatment period with p = 0.082 (p0.05). Thisstudy recommends further research, especially in patients with mental disorders who havebeen vaccinated against COVID-19.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"51 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134436","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}
引用次数: 0
The possible role of plant derived essential oils against fatigue in post-acute sequelae COVID-19: a literature review based on evidence of essential oils on fatigue 植物源性精油抗疲劳在COVID-19急性后后遗症中的可能作用:基于精油抗疲劳证据的文献综述
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.32626
Fauzi Satria, Tri Widyawati, Irfah Tut Alawiyah Rambe, Muhammad Yusuf, Monica Dwi Jalma
Introduction: Persistent symptoms of COVID-19 were discovered in certain individuals even after the initial onset of the illness. Fatigue is among the issues observed in people who have Post-Acute Sequelae Covid-19 (PASC). However, available treatment choices for fatigue in PASC have been constrained so far. In several patient groups, essential oils (EO) extracted from plants have been demonstrated to lessen fatigue. This review's objective is to provide all available data on the advantages of plant-derived EO for fatigue and their capacity to heal PASC that is related to fatigue. The application of EO derived from plants, like Lavender, Sweet Orange; a blend of Lavender, Rosemary, Juniper, and Cananga; an assortment of Ravensara, Frankincense, and Sandalwood; a combination of Peppermint leaves; Evening Primrose, Clove Bud, Black Pepper, Bergamot, and White Grapefruit, has demonstrated to reduce fatigue across various groups of patients when compared to a control group.Conclusion: Considering the existing evidence, EO derived from plants might play a role and offer potential benefits in alleviating fatigue in individuals with PASC.
在某些个体中,即使在最初发病后,也发现了持续的COVID-19症状。疲劳是急性后后遗症Covid-19 (PASC)患者观察到的问题之一。然而,迄今为止,PASC疲劳的可用治疗选择受到限制。在一些患者群体中,从植物中提取的精油(EO)已被证明可以减轻疲劳。这篇综述的目的是提供关于植物源性EO治疗疲劳的优势及其治疗与疲劳相关的PASC的能力的所有可用数据。应用从植物中提取的EO,如薰衣草、甜橙;薰衣草、迷迭香、杜松和卡南加的混合物;各式各样的鸦沙、乳香和檀香;薄荷叶的混合物;与对照组相比,月见草、丁香芽、黑胡椒、佛手柑和白葡萄柚已被证明可以减轻不同组患者的疲劳。结论:考虑到现有的证据,来自植物的EO可能在缓解PASC患者的疲劳方面发挥作用并提供潜在的益处。
{"title":"The possible role of plant derived essential oils against fatigue in post-acute sequelae COVID-19: a literature review based on evidence of essential oils on fatigue","authors":"Fauzi Satria, Tri Widyawati, Irfah Tut Alawiyah Rambe, Muhammad Yusuf, Monica Dwi Jalma","doi":"10.24815/jks.v23i2.32626","DOIUrl":"https://doi.org/10.24815/jks.v23i2.32626","url":null,"abstract":"Introduction: Persistent symptoms of COVID-19 were discovered in certain individuals even after the initial onset of the illness. Fatigue is among the issues observed in people who have Post-Acute Sequelae Covid-19 (PASC). However, available treatment choices for fatigue in PASC have been constrained so far. In several patient groups, essential oils (EO) extracted from plants have been demonstrated to lessen fatigue. This review's objective is to provide all available data on the advantages of plant-derived EO for fatigue and their capacity to heal PASC that is related to fatigue. The application of EO derived from plants, like Lavender, Sweet Orange; a blend of Lavender, Rosemary, Juniper, and Cananga; an assortment of Ravensara, Frankincense, and Sandalwood; a combination of Peppermint leaves; Evening Primrose, Clove Bud, Black Pepper, Bergamot, and White Grapefruit, has demonstrated to reduce fatigue across various groups of patients when compared to a control group.Conclusion: Considering the existing evidence, EO derived from plants might play a role and offer potential benefits in alleviating fatigue in individuals with PASC.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134444","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}
引用次数: 0
Correlation between chronic disease management program (prolanis) activities and health status of hypertension patients at Muara Satu community health center, Lhokseumawe city Lhokseumawe市Muara Satu社区卫生中心高血压患者慢性疾病管理计划(prolanis)活动与健康状况的相关性
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.31600
Yuziani - Yuziani, Rizka Sofia
The Chronic Disease Management Program (Prolanis) is a program intended for people with chronic diseases such as hypertension which is quite effective but there are still many hypertensive patients who have not used the program. Hypertension is one of the causes of premature death due to the high rate of complications, the incidence of hypertension in the world continues to increase, especially in Indonesia. An increase in the incidence of hypertension will determine a person's health status. The purpose of this study was to identify the Chronic Disease Management Program (Prolanis), to identify the health status of Prolanis participants with hypertension, and to determine the relationship between Prolanis activities and the health status of hypertensive patients at the Muara Satu Subdistrict Health Center, Lhokseumawe City. The research method used a cross sectional research design, to analyze the relationship between Prolanis and the health status of hypertensive patients using the Chi Square test. The results showed the characteristics of the majority of Prolanis participants with hypertension were early elderly (46-55 years), female gender, not working, elementary school education, and marital status, as well as long suffering from hypertension with short duration occupying the highest position. The description of the degree of hypertension is more in the category of first-degree hypertension, most of the elderly who participate in Prolanis are in the good category (65.7%) and have the most health status in the good category (74.3%). The elderly who participate in Prolanis in the sufficient category will have sufficient health status (100%). Likewise, the elderly who participate in Prolanis in the good category will have a good health status (88.5). The conclusion of this study shows that there is a significant relationship between participating in Prolanis activities and the health status of the elderly.
慢性疾病管理计划(Prolanis)是一个针对高血压等慢性疾病患者的计划,它非常有效,但仍有许多高血压患者没有使用该计划。高血压是导致过早死亡的原因之一,由于并发症发生率高,高血压的发病率在世界范围内不断增加,特别是在印度尼西亚。高血压发病率的增加将决定一个人的健康状况。本研究的目的是确定慢性疾病管理计划(Prolanis),确定Prolanis参与者的高血压健康状况,并确定Prolanis活动与Lhokseumawe市Muara Satu街道卫生中心高血压患者健康状况之间的关系。研究方法采用横断面研究设计,采用卡方检验分析Prolanis与高血压患者健康状况的关系。结果显示,Prolanis高血压患者以老年早期(46 ~ 55岁)、女性、无业、小学文化程度、婚姻状况为主,长期高血压患者以病程短者居多。高血压程度的描述多在一级高血压类别,参与Prolanis的老年人大部分处于良好类别(65.7%),健康状况处于良好类别的老年人最多(74.3%)。在充分类别中参加Prolanis的老年人将具有充分的健康状况(100%)。同样,参加Prolanis的老年人健康状况良好(88.5)。本研究的结论表明,参加Prolanis活动与老年人的健康状况有显著的关系。
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引用次数: 0
Spontaneous improvement of lateral spondylolisthesis on scoliosis after correction of scoliosis deformity 脊柱侧凸畸形矫正后侧椎体滑脱的自发性改善
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.32010
Saddalqous Saddalqous
Introduction: By definition, scoliosis is a three-dimensional deformity of the spine. From the etiologic, scoliosis can be divided into three kinds, congenital scoliosis, neuromuscular scoliosis, and the most common type, idiopathic scoliosis. Several patients experience spondylolisthesis concomitant with scoliosis. Understanding the pathoanatomic of these two abnormalities is very important to achieve optimal treatment. The problem lies in the extent to which vertebral instrumentation is necessary.Case presentation: The authors describe five idiopathic scoliosis patients with spondylolisthesis. We also used the Lenke classification to categorize these patients. The patient came with the complaint of a crooked back. All patients did not complain of back pain. The patients were diagnosed with idiopathic scoliosis from the physical and radiological examination. Concomitant spondylolisthesis was found in all five patients. The surgeon decided to perform deformity correction surgery followed by posterior stabilization fusion for scoliosis. There is no specific corrective surgery for the patients' spondylolisthesis.Discussion and Conclusion: Scoliosis has its challenges for orthopedic spine surgeons. Many things must be assessed in scoliosis, such as history, physical examination, full spine x-ray evaluation, Lenke classification, and instrumentation measures. Spondylolisthesis associated with scoliosis generally occurs in the lower lumbar segment. The pathoanatomic of spondylolisthesis concomitant with scoliosis was divided into two kinds and can be grouped according to three theories. Each of these theories will lead to appropriate treatment actions. Deformity correction is aimed at one pathoanatomic but improves both abnormalities if the appropriate treatment is taken.
导读:根据定义,脊柱侧凸是脊柱的三维畸形。从病因上讲,脊柱侧凸可分为三种,先天性脊柱侧凸,神经肌肉型脊柱侧凸,以及最常见的类型,特发性脊柱侧凸。一些患者经历脊柱滑脱伴脊柱侧凸。了解这两种异常的病理解剖对获得最佳治疗非常重要。问题在于椎体内固定的必要程度。病例介绍:作者描述了5例伴有脊柱滑脱的特发性脊柱侧凸患者。我们还使用Lenke分类法对这些患者进行分类。病人来的时候自诉背部弯曲。所有患者均无背痛主诉。通过体格检查和影像学检查诊断为特发性脊柱侧凸。5例患者均伴有脊柱滑脱。外科医生决定进行畸形矫正手术,然后进行后路稳定融合治疗脊柱侧凸。对于患者的脊柱滑脱没有专门的矫正手术。讨论与结论:脊柱侧凸是骨科医生面临的挑战。脊柱侧凸必须评估很多东西,如病史、体格检查、全脊柱x线评估、Lenke分类和器械测量。伴有脊柱侧凸的脊柱滑脱通常发生在下腰椎节段。脊柱滑脱合并脊柱侧凸的病理解剖分为两类,并可根据三种理论进行分组。每一种理论都将导致适当的治疗行动。畸形矫正是针对一种病理解剖,但改善两种异常,如果采取适当的治疗。
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引用次数: 0
Thermal welding frenotomy on neglected tongue tie: a case report 热焊接截骨术治疗忽视舌结1例
Pub Date : 2023-10-30 DOI: 10.24815/jks.v23i2.31560
Rizka Fakhriani, Fadli Robby Amsriza
Introduction: Tongue tie, also known as ankyloglossia, is characterized by a small lingualfrenum that often prevents the tongue from moving. It is a rare congenital mouthabnormality that might lead to functional problems such as improper swallowing, speechdifficulty, and psychological stress. This study's purpose of providing an unusual incidenceof neglected tongue tie with thermal welding frenotomy.Case Presentation: A 4 years old male patient was bought by his parent to the Departmentof Otorhinolaryngology-Head and Neck Surgery with the chief complaint of offensivespeech. The patient cannot speak the word F, R, T, L, D. Additionally, the parent said that hewas unable to chew solid meals. There was a history when the patient was a baby; hismother could not breastfeed him. According to the clinical examination, the patient had atongue tie with a thick frenum, limited tongue movements like protrusion, and elevation ofthe tongue tip. A bifid or heart-shaped structure was seen on the front tongue tip.Discussion: The patient underwent a thermal welding frenotomy under intravenoussedation. This approach's effectiveness relies on using heat and pressure to block bloodarteries. This study established the novel technology as a secure procedure for tongue tie.After a frenotomy procedure, patients show an improved ability to articulate consonantsbetter.Conclusion: This study supports thermal welding frenotomy as an efficient and securetreatment for children with tongue tie.
舌系带,又称强直症,其特点是舌系带很小,经常阻止舌头移动。这是一种罕见的先天性口腔畸形,可能会导致吞咽不当、言语困难和心理压力等功能问题。本研究的目的是提供热焊接截骨术中罕见的忽视舌结发生率。病例介绍:一名4岁男性患者由其父母带至耳鼻咽喉头颈外科就诊,主诉为言语冒犯。病人不会说F, R, T, L, d。此外,家长说他不能咀嚼固体食物。病人还是婴儿时就有病史;他的母亲不能用母乳喂养他。根据临床检查,患者舌系带厚,舌活动受限,如突出,舌尖抬高。在前舌尖上可见两裂或心形结构。讨论:患者在静脉镇静下接受了热焊接截骨术。这种方法的有效性依赖于使用热和压力来阻塞血液循环。本研究确立了新技术作为一种安全的舌结手术。在接受截骨手术后,患者的辅音发音能力得到改善。结论:本研究支持热焊接截骨术是治疗儿童舌系带的有效和安全的方法。
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引用次数: 0
期刊
JKS Jurnal Kedokteran Syiah Kuala
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