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Evaluation and Comparison of the Efficacy of Chemo-Mechanical, Mechanical Methods of Caries Removal under Self-Illuminated Light Microscope and Stereomicroscope – An In Vitro Study 化学-机械、机械除龋方法在自光显微镜和体视显微镜下的效果评价与比较——体外研究
Pub Date : 2023-10-03 DOI: 10.14260/jemds.v12i9.488
None Rohith Shinde, None Naresh Krishna Reddy, None Sri Mouna Govardhani Kottapalli, None Sahithi Nammaniwar, None Sanganand Gavle, None Pranitha Shinde
BACKGROUND There are different caries removal methods including conventional rotary caries removal, atraumatic restorative therapy, air abrasion, lasers, and chemo-mechanical caries removal (CMCR). Chemo-mechanical caries removal is an alternative treatment for active caries, that involves the caries removal of only infected dental tissue and acts by the dissolution of carious lesions with natural or synthetic agents. Aim Comparison of chemo-mechanical material (CariSolv) and the mechanical method (Smart bur & Carbide bur) of caries removal under a self-illuminated microscope and stereomicroscope in terms of efficacy and time duration. METHODS Tooth was sectioned in 4 parts and grouped into 4 as group 1, group 2, group 3, and group 4. Each group was treated with different caries removal methods of carbide bur, smart bur, CariSolv and control group. Examined under self-illuminated and stereomicroscope at 10 different points from middle to periphery. RESULTS Carbide bur specimens have a negligible amount of affected dentin and there is a destruction of dentinal tubules when compared to the smart bur group & CariSolv group. Showing affected dentin thickness in 4 groups at 10 different positions from the middle part of the lesion to the periphery (i.e., towards CEJ & cusp tip) by using a stereomicroscope. CONCLUSIONS The CariSolv group demonstrated the presence of affected dentine higher and took twice the time to remove caries but was easy to induce and conserved the healthy tooth structure when compared to carbide and smart bur groups. Less amount of affected dentine was seen in the carbide bur group but there was a destruction of sound dentine.
背景# x0D;除龋方法有传统的旋转除龋、非创伤性修复治疗、空气磨损、激光和化学机械除龋(CMCR)等。化学-机械除龋是活动性龋齿的一种替代治疗方法,它只涉及去除受感染的牙组织,并通过使用天然或合成药物溶解龋齿病变来起作用。目标# x0D;化学机械材料(CariSolv)与机械方法(Smart bur &在自光显微镜和体视显微镜下对硬质合金的除龋效果和持续时间的研究。 方法# x0D;将牙切成4个部分,分为1组、2组、3组、4组。各组分别采用硬质合金除龋器、智能除龋器、CariSolv除龋器和对照组。在自照明和体视显微镜下检查从中部到外围的10个不同点。 结果# x0D;与智能钎组相比,硬质合金钎试件受影响的牙本质可以忽略不计,并且存在牙本质小管的破坏。CariSolv组。显示4组从病灶中部到周围(即向CEJ方向)10个不同位置受影响的牙本质厚度;尖端),使用立体显微镜。 结论# x0D;CariSolv组牙本质受影响程度较高,除龋时间是硬质合金组和智能牙组的两倍,但易于诱导并保持健康的牙齿结构。碳化物组受影响的牙本质较少,但完好的牙本质有破坏。
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 There are different caries removal methods including conventional rotary caries removal, atraumatic restorative therapy, air abrasion, lasers, and chemo-mechanical caries removal (CMCR). Chemo-mechanical caries removal is an alternative treatment for active caries, that involves the caries removal of only infected dental tissue and acts by the dissolution of carious lesions with natural or synthetic agents.
 Aim
 Comparison of chemo-mechanical material (CariSolv) and the mechanical method (Smart bur & Carbide bur) of caries removal under a self-illuminated microscope and stereomicroscope in terms of efficacy and time duration.
 METHODS
 Tooth was sectioned in 4 parts and grouped into 4 as group 1, group 2, group 3, and group 4. Each group was treated with different caries removal methods of carbide bur, smart bur, CariSolv and control group. Examined under self-illuminated and stereomicroscope at 10 different points from middle to periphery.
 RESULTS
 Carbide bur specimens have a negligible amount of affected dentin and there is a destruction of dentinal tubules when compared to the smart bur group & CariSolv group. Showing affected dentin thickness in 4 groups at 10 different positions from the middle part of the lesion to the periphery (i.e., towards CEJ & cusp tip) by using a stereomicroscope.
 CONCLUSIONS
 The CariSolv group demonstrated the presence of affected dentine higher and took twice the time to remove caries but was easy to induce and conserved the healthy tooth structure when compared to carbide and smart bur groups. Less amount of affected dentine was seen in the carbide bur group but there was a destruction of sound dentine.
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引用次数: 0
Schatzki’s Ring in Asian Group of Patients 亚洲患者的Schatzki环
Pub Date : 2023-10-03 DOI: 10.14260/jemds.v12i9.494
None Vithal D. Udagatti, None Dinesh Rajendran Kumar, None Gautam S., None Nagaraj T.M., None Girish F. Hongal
Schatzki's lower esophageal rings appear as thin membranous structures which do not contain any muscularis propria; resulting in a constricting ring at the esophagogastric junction, they are mostly asymptomatic. However, patients present with symptoms of dysphagia to solids and liquids and a sense of impaction of food. Diagnosis can be easily overlooked and can be confirmed by endoscopic inspection of the esophagogastric junction. 3 cases of Schatzki ring diagnosed on oesophagal endoscopy and its management are presented.
食管下环呈薄膜结构,不含固有肌层;在食管-胃交界处形成收缩环,多数无症状。然而,患者出现固体和液体吞咽困难的症状,并有食物嵌塞感。诊断很容易被忽视,可以通过内镜检查食管胃交界处来证实。本文报道3例食管内镜诊断的沙氏环及其处理方法。
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引用次数: 0
Façade of Fungi Uncovered by Pathologists - A Case Report 病理学家发现的真菌表面- 1例报告
Pub Date : 2023-10-03 DOI: 10.14260/jemds.v12i9.490
None Kumaran Chinnappa, None Sangeetha N.
A 47-year-old female presented with progressive recurrent swelling in the left leg for the past 4 years which is cystic in consistency and painless on palpation measuring 3 x 3 cm, adherent to deep planes. Patient had undergone incision and drainage for the same before 1 year. She is a known case of Type 2 Diabetes mellitus for 7 years and is on regular medication. No H/o trauma, fever, lymphadenopathy and any other adjacent skin lesions.
47岁女性,左腿进行性复发性肿胀4年,触诊3 × 3 cm,囊性粘连,无痛,深平面粘连。患者于1年前行切口引流术。她是一个已知的2型糖尿病病例,已有7年,并定期服药。无H/o外伤、发热、淋巴结病及其他邻近皮肤病变。
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引用次数: 0
Haemangioma in ENT & Head and Neck-Region – Case Reports 耳鼻喉科血管瘤;头部和颈部-病例报告
Pub Date : 2023-10-03 DOI: 10.14260/jemds.v12i9.491
None Vithal D. Udagatti, None Dinesh Rajendran Kumar, None Alka Balraj, None Sindhuja Dudala, None Saritha K,, None Nagaraj T. M.
Haemangioma is one of the most common benign tumours in the ENT & Head and Neck region accounting for about 60% of haemangiomas arising from the head and neck region, either in children or adults & can arise from the larynx, nose, tongue, external auditory canal & face, which can be of capillary, cavernous and mixed subtypes. A retrospective review of 3 patients who underwent evaluation and treatment at a tertiary referral hospital from 2020 to 2023 are presented, which were confirmed to be haemangiomas on histopathological examination. All 3 patients presented on an outpatient basis, were evaluated based on history, an endoscopic and radiological investigation followed by surgical intervention & histopathological examination which confirmed the diagnosis of haemangioma (Laryngeal Haemangioma arising from laryngeal ventricle -sclerotic haemangioma, Nasal Haemangioma 1 case of nasal septum vestibule capillary haemangioma and 1 case of external auditory canal lobular capillary haemangioma). The patient was followed up for over one year and had no recurrence.
血管瘤是耳鼻喉科最常见的良性肿瘤之一。头颈部血管瘤约占头颈部血管瘤的60%,无论是儿童还是成人。可发源于喉、鼻、舌、外耳道;面,可分为毛细型、海绵型和混合型。 本文回顾性分析了2020年至2023年在某三级转诊医院接受评估和治疗的3例经组织病理学检查证实为血管瘤的患者。所有3例患者均在门诊就诊,根据病史、内窥镜和放射检查进行评估,随后进行手术干预。经组织病理学检查确诊为血管瘤(喉室血管瘤-硬化性血管瘤,鼻血管瘤,鼻中隔前庭毛细血管瘤1例,外耳道小叶毛细血管瘤1例)。患者随访一年多,无复发。
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 A retrospective review of 3 patients who underwent evaluation and treatment at a tertiary referral hospital from 2020 to 2023 are presented, which were confirmed to be haemangiomas on histopathological examination. All 3 patients presented on an outpatient basis, were evaluated based on history, an endoscopic and radiological investigation followed by surgical intervention & histopathological examination which confirmed the diagnosis of haemangioma (Laryngeal Haemangioma arising from laryngeal ventricle -sclerotic haemangioma, Nasal Haemangioma 1 case of nasal septum vestibule capillary haemangioma and 1 case of external auditory canal lobular capillary haemangioma). The patient was followed up for over one year and had no recurrence.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696399","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
NABL Accreditation - Advantages and Disadvantages and Its Process in India NABL认证-优势和劣势及其在印度的过程
Pub Date : 2023-08-31 DOI: 10.14260/jemds.v12i8.469
Ravi Ranjan Singh, Kumari Pallavi
BACKGROUND Accreditation is a means of self-regulation and peer review adopted by an institution or an organization. It is a voluntary process of being certified as meeting minimum requirements designated by an accrediting agency. ISO 15189 standard is an international standard that specifies requirements for quality management in medical laboratories. It is intended to promote the quality and competence of medical laboratories and to provide a framework for continual improvement. The National Accreditation Board for Testing and Calibration Laboratories (NABL) operates as an autonomous organization functioning under the governance of the Department of Science and Technology, Government of India. The primary objective of this initiative is to offer an independent evaluation of the proficiency and excellence in testing and calibration laboratories affiliated with governmental authorities, industry associations, and the private sector. The NABL provides laboratory accreditation services adhering to the ISO 15189 guidelines. Although there exist certain limitations to the accreditation process such as financial expenses, time constraints, stringent regulations, and an emphasis on adherence rather than enhancement, the advantages of accreditation generally outbalance these challenges. Accreditation serves as a means of providing guarantee with respect to the dependability and precision of laboratory outcomes, a fundamental imperative for a multitude of crucial purposes which include but are not limited to the realm of healthcare, environmental evaluation, and product safety assessment.
背景认证是一个机构或组织采用的自我监管和同行评审的手段。这是一个自愿的过程,被认证为符合认证机构指定的最低要求。ISO 15189标准是一项国际标准,规定了医学实验室的质量管理要求。它旨在提高医学实验室的质量和能力,并为持续改进提供一个框架。国家测试和校准实验室认证委员会(NABL)是一个自治组织,在印度政府科学技术部的管理下运作。该倡议的主要目标是对隶属于政府当局、行业协会和私营部门的测试和校准实验室的熟练程度和卓越性进行独立评估。NABL提供符合ISO 15189指南的实验室认证服务。尽管认证过程存在某些限制,如财务费用、时间限制、严格的法规以及强调遵守而非加强,但认证的优势通常超过了这些挑战。认证是为实验室结果的可靠性和准确性提供保证的一种手段,这是许多关键目的的基本要求,包括但不限于医疗保健、环境评估和产品安全评估领域。
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引用次数: 0
A Case of Disseminated Cysticercosis with Cardiac Involvement 弥漫性囊尾蚴病合并心脏受累1例
Pub Date : 2023-08-31 DOI: 10.14260/jemds.v12i8.471
Devi Sasi Ram, Vamsi Krishna Kotagiri, Sujana Gogineni
Cardiac involvement in disseminated cysticercosis is a rare presentation. Here we report a case of 32-year-old male who presented with a seizure disorder and was found to have disseminated cysticercosis involving central nervous system, cardiac, intraocular and skeletal muscles. Disseminated cysticercosis (DCC) is defined as multiple cystic/enhancing cysticercal lesions (>3) in the brain, along with evidence of involvement in another body part, such as the skin, subcutaneous tissues, skeletal muscles, eyes, or other visceral organs.[1] Cysticercosis is a parasitic infection that results from the ingestion of pork tapeworm ova, Taenia solium. The ingested worm ova then hatch in the gastrointestinal tract, penetrate the small intestine, and spread hematogenously to essentially any organ.[2]
弥散性囊虫病累及心脏是一种罕见的表现。在这里我们报告一个32岁的男性谁提出了癫痫发作障碍,被发现有弥散性囊虫病累及中枢神经系统,心脏,眼内和骨骼肌。弥散性囊虫病(DCC)被定义为脑内多发囊性/增强性囊虫病(>3),并有累及其他身体部位的证据,如皮肤、皮下组织、骨骼肌、眼睛或其他内脏器官囊虫病是一种由摄入猪肉绦虫卵引起的寄生虫感染。被摄入的虫卵随后在胃肠道中孵化,穿透小肠,并通过血液扩散到几乎任何器官
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引用次数: 0
Optic Nerve Sheath Diameter as a Predictor of Raised Intracranial Pressure Findings on Orbital Ultrasound 视神经鞘直径作为眼眶超声颅内压升高的预测指标
Pub Date : 2023-08-31 DOI: 10.14260/jemds.v12i8.465
Polasa Aditya, Lokesh Kumar T., Armel Arputha Sivarajan, Yadav K.R.
BACKGROUND Several studies have found an association between raised intracranial pressure (ICP) and optic nerve sheath diameter (ONSD) in conditions with severe head injury and intracranial bleeding. Idiopathic intracranial hypertension is also a cause of elevated ICP. Because the meninges and subarachnoid space around the optic nerve are continuous, a rise in ICP can be detected with an increase in ONSD. The objectives of this study were to correlate Optic Nerve Sheath Diameter (ONSD) with features suggestive of raised intracranial pressure on CT / MRI of the Brain and describe the features suggestive of raised intracranial pressure on CT/MRI Brain in clinically suspected patients. METHODS This was a case control study carried out in the Department of Radio-diagnosis at MGMCRI for suspected raised intracranial pressure evaluation. All these patients were subjected to ultrasound examination of the eye and the optic sheath diameter was measured while the patients were in supine posture. ONSD was measured on Mind ray DC8, and/or GE S7 Expert using High frequency linear probe on the closed upper eyelid with adequate aqueous gel as a coupling agent. ONSD was also measured in Philips 1.5T MRI and Ge optima 128 slice CT. Patients were followed up on whether they were treated surgically or medically and if they developed clinical signs of raised ICP such as headache, vomiting, raised blood pressure, double vision, confusion or loss of consciousness. RESULTS The raised ICP was observed in 30.67 % of study patients and the optic nerve sheath distension was observed in 37.33% of patients. The diagnostic accuracy of determining the optic nerve sheath diameter was equal such as area under curve, sensitivity and specificity as 0.833, 66.67% and 100 % respectively in both methods. CONCLUSIONS ONSD has emerged as an interesting option for measuring intracranial hypertension in brain-injured states, owing to its simplicity, non-invasive nature, and accessibility.
一些研究发现,在严重颅脑损伤和颅内出血的情况下,颅内压升高(ICP)和视神经鞘直径(ONSD)之间存在关联。特发性颅内高压也是颅内压升高的一个原因。由于视神经周围的脑膜和蛛网膜下腔是连续的,因此可以随着ONSD的增加而检测到ICP的升高。本研究的目的是将视神经鞘直径(ONSD)与CT/MRI提示颅内压升高的特征联系起来,并描述临床疑似患者CT/MRI提示颅内压升高的特征。方法:这是一项病例对照研究,在MGMCRI放射诊断科进行疑似颅内压升高的评估。所有患者均采用仰卧位行眼超声检查,测量视神经鞘直径。在Mind ray DC8和/或GE S7 Expert上,使用高频线性探头在闭上眼睑上测量ONSD,并使用适当的水凝胶作为偶联剂。同时在Philips 1.5T MRI和Ge optima 128层CT上测量ONSD。研究人员对患者进行了随访,了解他们是否接受了手术或药物治疗,以及他们是否出现了颅内压升高的临床症状,如头痛、呕吐、血压升高、重影、意识不清或丧失。结果30.67%的患者出现颅内压升高,37.33%的患者出现视神经鞘扩张。两种方法测定视神经鞘直径的曲线下面积、灵敏度和特异度等诊断准确率均为0.833、66.67%和100%。结论:由于简单、无创和可及性,ONSD已成为测量脑损伤状态下颅内高压的一种有趣的选择。
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引用次数: 0
Investigation of Relationship between Playing the Piano Capability and the Second-to-Fourth Digit (2D:4D) Ratio 钢琴演奏能力与二、四位数(2D:4D)比例关系的研究
Pub Date : 2023-08-31 DOI: 10.14260/jemds.v12i8.466
Ayşe Gül Kabakci, Memduha Gülhal Bozkir
BACKGROUND In the field of piano playing, the suitability of physical characteristics of individuals, especially at the beginner level, is one of the first criteria considered important for educators. In many studies examining the physical fitness of individuals in sports fields, the importance of the relationship between physical fitness and ability has been revealed. In addition, there are studies examining the physical fitness for playing any instrument in the field of music. However, studies examining the physical characteristics of beginner piano players are very limited. Therefore, the purpose of our study was to investigate the relationship between the physical properties of the hand and the ability to play the piano. In addition, our study is the first to examine the relationship between the second digit and fourth digit ratio and the state of being successful in playing the piano. We also intended to contribute to the literature on this subject. METHODS Among the students who participated in the ballet and piano special talent exam held at Cukurova University State Conservatory in the 2013 and 2015 academic years, students who participated in the piano special talent exam were included in the study. In this exam, the suitability of the candidate to play the piano was evaluated in terms of musical and physical competence. In our study, the second digit and fourth digit length parameters, which include the physical characteristics of the hand, were evaluated. Length measurements were made with a digital display caliper. Students between the ages of 8 and 11 who participated in the piano talent exam were divided into two groups as those who were successful and those who were unsuccessful in the talent test. RESULTS The number of successful girls was 20 and the average length of the second digit 6.00±0.50 cm, mean fourth digit length; 5.90±0.40 cm, the number of unsuccessful girls was 17, the average of the second length; 5.98±0.48 cm, and the mean fourth digit length was 5.89±0.48 cm. The number of successful men was 15, and the mean length of the second digit; 6.55±0.36 cm, mean fourth digit length; 6.61±0.47 cm, the number of unsuccessful men was 17, the mean length of the second digit; 6.46±0.52 cm, mean fourth digit length; 6.52±0.55 cm were found. CONCLUSIONS There was no significant relationship between the piano playing ability and the second digit and fourth digit length ratios. We think that this is due to the evaluation of factors such as the level of development of the sensorimotor and neuromuscular system, the level of auditory proficiency, and coordination, not only with the anatomical suitability factors, in the scoring of the talent exam. Therefore, we can say that being successful in playing the piano does not depend only on digit lengths.
背景在钢琴演奏领域,个人身体特征的适合性,尤其是在初学者阶段,是教育工作者认为重要的首要标准之一。在许多关于体育领域中个人身体素质的研究中,身体素质和能力之间关系的重要性已经得到了揭示。此外,还有研究考察了在音乐领域演奏任何乐器的身体素质。然而,对初学者钢琴演奏者身体特征的研究非常有限。因此,我们研究的目的是调查手的物理特性与钢琴演奏能力之间的关系。此外,我们的研究首次考察了二位数和四位数比率与钢琴演奏成功状态之间的关系。我们还打算为这方面的文献做出贡献。方法在2013和2015学年参加库库洛娃大学国立音乐学院芭蕾舞和钢琴专项人才考试的学生中,将参加钢琴专项人才测试的学生纳入研究。在这次考试中,从音乐和身体能力方面评估了考生是否适合弹钢琴。在我们的研究中,评估了第二个手指和第四个手指的长度参数,包括手的物理特征。使用数字显示卡尺进行长度测量。参加钢琴才艺考试的年龄在8-11岁之间的学生被分为两组,即在才艺考试中成功的和不成功的。结果成功女孩20名,第二指平均长度6.00±0.50cm,第四指平均长度;5.90±0.40厘米,不成功的女孩人数为17人,为第二长度的平均值;5.98±0.48厘米,第四指平均长度为5.89±0.48 cm。成功的男性人数为15人,第二指平均长度;6.55±0.36cm,平均第四指长度;6.61±0.47cm,不成功的男性人数为17人,即第二指的平均长度;6.46±0.52cm,平均第四位数字长度;6.52±0.55cm。结论钢琴演奏能力与第二位和第四位长度比之间无显著关系。我们认为,这是因为在才艺考试的评分中,不仅考虑了解剖学上的适合性因素,还考虑了感觉运动和神经肌肉系统的发育水平、听觉熟练程度和协调性等因素。因此,我们可以说,钢琴演奏的成功不仅仅取决于数字的长度。
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引用次数: 0
Isolated Renal Multifocal Epithelioid Angiomyolipoma Leading to Non-Functioning Kidney in a Case of Tuberous Sclerosis Complex with Piebaldism 结节性硬化症合并Piebaldism的孤立性肾多灶上皮样血管平滑肌脂肪瘤导致肾功能障碍1例
Pub Date : 2023-08-31 DOI: 10.14260/jemds.v12i8.470
Rohit Sanjay Deshpande, Uttam Kumar Mete
A 19-year-old gentleman presented to the outpatient department with chief complaint of a right loin mass which had been increasing in size since the past 1 year and had been insidious in onset, causing right loin pain, discomfort, early satiety, along with loss of weight and loss of appetite. Patient was a known case of tuberous sclerosis complex with piebaldism since childhood and had related clinical features like Ash-leaf macules on the trunk, retinal hamartomas along with a recurrent intra-oral disfiguring hamartoma (histopathologically proven acanthosis with hyperkeratosis).
一位19岁的男士到门诊就诊,主诉为右腰肿物,自过去1年以来肿物不断增大,发病时有隐蔽性,引起右腰疼痛、不适、早期饱腹感、体重减轻和食欲不振。患者自幼为结节性硬化症合并斑疹病的已知病例,其相关临床特征为躯干灰叶斑、视网膜错构瘤伴复发性口内毁容错构瘤(经组织病理学证实为棘皮病伴角化过度)。
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引用次数: 0
Pediatric Foreign Body Ingestion - Expectations and Outcomes 儿童异物摄入-期望和结果
Pub Date : 2023-08-31 DOI: 10.14260/jemds.v12i8.468
Khawaja Bilal Waheed, Muneera Abdulhameed Albassam, Shayma Abdullah Aloumi, Afnan Abdullah Alshehri, Sarah Abdulaziz Almoaibed, Zechariah Jebakumar Arulanantham
BACKGROUND Lockdowns, travel restrictions, and homeschooling during the COVID-19 period contributed to an increased number of foreign bodies being swallowed by children. This single-center study was initiated to determine the incidence of foreign body ingestion in the pediatric age group during the 2-year period of COVID-19 and compare it with an earlier 3-year period in Saudi Arabia. METHODS Medical records and abdominal radiographs of children under 14 were reviewed for the history of foreign body ingestion. The frequency of foreign body ingestion, size, shape, type, and outcomes during the COVID-19 pandemic was compared with similar events in the 3 years before the COVID-19 pandemic from November 2016 to November 2019. RESULTS Of the n = 161 records, n = 86 cases were reported during the COVID-19 pandemic, and n = 75 in the pre-pandemic period. Most of the ingested foreign bodies were less than 2 cm in size (57.8%), with the prevalence of non-metallic objects (87.6%) and the outcome being spontaneous expulsion (83.2%). There was a significant association between spontaneous expulsion cases and the size of the objects (p = 0.001), number of objects (p = 0.0005), and shape (p = 0.01). An analysis of demographic data showed that more boys than girls were registered, with a predominance of children under the age of five. CONCLUSIONS Treating children who have swallowed foreign bodies require a multi-professional approach with the participation of physicians, nurses, poison control specialists, radiologic technologists, ambulance personnel, and others to provide continuous, child-friendly care and follow-up. Parents and caregivers should be aware of how to keep children away from small items that can be harmful if swallowed, especially coins, disc batteries, small magnets, and other high-risk items.
背景新冠肺炎期间的封锁、旅行限制和在家上学导致儿童吞咽异物的数量增加。这项单中心研究旨在确定新冠肺炎2年期间儿科年龄组异物摄入的发生率,并将其与沙特阿拉伯3年前的情况进行比较。方法回顾14岁以下儿童的病历和腹部x线片,了解其异物摄入史。将新冠肺炎大流行期间异物摄入的频率、大小、形状、类型和结果与新冠肺炎大流行前3年(2016年11月至2019年11月)的类似事件进行了比较。结果在n=161份记录中,n=86例病例是在新冠肺炎大流行期间报告的,n=75例是在大流行前期间报告的。大多数摄入的异物大小小于2厘米(57.8%),非金属物体的发生率(87.6%)和自发排出的结果(83.2%)。自发排出病例与物体大小(p=0.001)、物体数量(p=0.0005)、,对人口统计数据的分析表明,登记的男孩多于女孩,其中五岁以下儿童占多数。结论治疗吞咽异物的儿童需要多专业的方法,包括医生、护士、毒物控制专家、放射科医生、救护人员和其他人员的参与,以提供持续的、对儿童友好的护理和随访。父母和看护人应该意识到如何让孩子远离吞下可能有害的小物品,尤其是硬币、圆盘电池、小磁铁和其他高风险物品。
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引用次数: 0
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Journal of Evolution of Medical and Dental Sciences-JEMDS
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