Journal of Medical - Clinical Research & Reviews最新文献_第4页

Prone vs Supine PCNL: What about the Cost? 俯卧vs仰卧PCNL:成本如何?

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-12-30 DOI: 10.33425/2639-944x.1067

P. Satyagraha, H. Alluza, B. Daryanto, Pradana Nurhadi

{"title":"Prone vs Supine PCNL: What about the Cost?","authors":"P. Satyagraha, H. Alluza, B. Daryanto, Pradana Nurhadi","doi":"10.33425/2639-944x.1067","DOIUrl":"https://doi.org/10.33425/2639-944x.1067","url":null,"abstract":"Introduction & Objectives: Prone position has been the standard for PCNL in years, whereas the supine position has recently started to gain popularity. The study for surgical outcomes still vary and study for cost-effectiveness are still lacking. We aimed to compare the surgical outcomes and cost effectiveness of prone versus supine PCNL in our institution. Material & Methods: This study was done retrospectively by analyzing medical records on 51 patients underwent PCNL in Saiful Anwar General Hospital Malang from January 2016 until October 2017. The outcomes of stone free rate, body mass index (BMI), stone size, operative time, anaesthetic time, length of stay (LOS) in hospital and complications were compared. For Cost Effectiveness Study, total cost, anesthesia and disposable equipment was recorded. Results and Discussion: There was no significant difference in both groups characteristics. The supine group had lower blood loss (0.54 mg/dl vs 1.37 mg/dl, p=0.001), shorter mean operative time (57 minutes vs 78 minutes, p=0.001), shorter mean anesthetic time (71 minutes vs 107 minutes, p<0.001). Supine group was associated with significantly cheaper disposable equipment used for surgery (4,985,636 IDR in prone vs 4,229,770 IDR in supine (p<0.001)) and anesthesia (353,454 IDR in prone vs 105,120 IDR in supine (p<0.001)), and cheaper total cost (17,623,363 IDR in prone vs 15,175,305 in supine (p = 0.038)). Conclusion: In our study, supine position has lower blood loss, shorter operative and anaestethic time. The supine PCNL is also more cost-effective in our institution compared to prone PCNL. We suggest that the PCNL in the supine position is a promising alternative.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134456856","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: 2

The Monu-Mental Code & Wellness Commandments of Vedic Wisdom for Evolution of Mankind 关于人类进化的吠陀智慧的精神法典和健康戒律

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-12-30 DOI: 10.33425/2639-944x.1072

Mickey Mehta

{"title":"The Monu-Mental Code & Wellness Commandments of Vedic Wisdom for Evolution of Mankind","authors":"Mickey Mehta","doi":"10.33425/2639-944x.1072","DOIUrl":"https://doi.org/10.33425/2639-944x.1072","url":null,"abstract":"For time immemorial we have been blessed with long lifespans owing to our vedic inspired lifestyle habits. But over the last few hundred years we humans have deteriorated ourselves into paranoid humanoids and have wreaked absolute havoc on our physical and mental health as well as wellness in our relentless pursuit of all things money and success. But with the growing awareness and re-discoveries of the treasures of ancient knowledge and wisdom, today’s leading scientists are once again accepting that our ancestors were truly enlightened beings when it came to holistic health and life sciences. The ‘Monu-Mental Code’ is created by Dr. Mickey Mehta over three and a half decades of research and study of diverse ancient civilizations and cultural legacies from Vedas to Zen, from Greek to Oriental and from Tao to Tantra. This code consists of ten monu-mental health commandments that will enrich and empower you to lead your life with this ancient wellness wisdom for the next millennium to come! The Ten Pillars of Monu-Mental Code: 1. Starting your day with breath for breakfast. 2. Adopting cosmic nutrition to experience the real food for gods. 3. Crafting wonder workouts for the body, mind and soul. 4. Learning zen rituals to hone mental faculties and unleashing your mind-power. 5. Using neurobics to perform par excellence. 6. Growing out of paranoid humanoid syndrome. 7. Mastering the art of response over reactions. 8. Transforming from dis-ease to ease naturally. 9. Experiencing super-to sound sleep. 10. Comatose to Repose-Moving beyond mindfulness to mindlessness in shoonyam meditations. These Ten Commandments form the code of living a truly monumental life throbbing with physical and mental dexterity for the futuristic humans of this millennium nextwho must evolve beyond smart efficient machines to invincible wise beings once again.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114265132","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

Diode’s Laser in Office Endoscopic Surgery Center for Nasal Obstruction and Snoring 二极管激光在鼻塞和打鼾的内窥镜手术中心

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-12-30 DOI: 10.33425/2639-944X.1068

Sajidxa Mariño, Jesús Láres, W. Gonzalez

引用次数: 0

Relation Between Osteoarthritis Grading Scale with Cartilage Ultrasonographic in Knee Osteoarthritis Patient at RSU Al Fauzan Period of 2016-2017 2016-2017年RSU Al fazan期膝关节骨性关节炎患者骨关节炎分级量表与软骨超声检查的关系

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-12-30 DOI: 10.33425/2639-944X.1066

B. Supartono, Riza Amalia, I. Satya, S. Wiyono

引用次数: 2

Cerebellar Ataxia but Normal Neuroimaging: Now What? 小脑共济失调但神经影像学正常:现在该怎么办?

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-12-30 DOI: 10.33425/2639-944X.1070

S. Esmail

引用次数: 0

Caesarean Scar Pregnancy: A Case Report 瘢痕剖宫产妊娠1例报告

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-10-30 DOI: 10.33425/2639-944x.1064

Michel Mattos, Tatiana Amorim, A. Filho

引用次数: 1

Diagnostic Challenge: Occupational Rhinitis 诊断挑战:职业性鼻炎

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-10-30 DOI: 10.33425/2639-944X.1058

O. Sílvia, R. João, J. Maria, L. Noémia, Matos Sara, L. Nuno

{"title":"Diagnostic Challenge: Occupational Rhinitis","authors":"O. Sílvia, R. João, J. Maria, L. Noémia, Matos Sara, L. Nuno","doi":"10.33425/2639-944X.1058","DOIUrl":"https://doi.org/10.33425/2639-944X.1058","url":null,"abstract":"Occupational rhinitis is a work-related disease that results from nasal exposure to toxic and harmful substances in the workplace. Both allergic and nonallergic mechanisms may be involved. It has a very typical presentation and worsens with continued exposure. There is a very wide list of substances that cause this disease, mainly products associated with ammonia. The diagnosis is made based on the clinical manifestations and the first line treatment is the cessation of exposure. The authors present a case report of a 52-year-old woman, who worked as laboratory assistant in techniques of biology, physics and chemistry, in a secondary school, for 20 years. Preparation of ammoniacal solutions and solutes in association with the manipulation of the products without personal protective equipment, led to the development of a clinical picture compatible with the diagnosis of occupational rhinitis. In the clinical history, the symptomatology described by the patient worsened in periods of labor exposure and was absent in vacation periods, which is typical of occupational pathology. Several treatments were attempted, medical and surgical, before occupational rhinitis was suspected. However, improvement of the clinical picture with work reallocation, led to the assumption that occupational rhinitis was the most likely diagnosis. This case demonstrates that the diagnosis of occupational rhinitis can be easily missed, if we ignore the occupational exposure of patients, which can lead to unnecessary and costly medical interventions, since the only effective treatment is the cessation of exposure to the causal agent.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124425229","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 Safety Concerns of Night Shift Schedule: Implications for Family, Homes and Human Health 夜班安排的安全问题:对家庭、住宅和人类健康的影响

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-10-30 DOI: 10.33425/2639-944X.1060

Bankole K. Fasanya, Regina Pope-Ford, M. Shofoluwe, O. Olaniyi

{"title":"The Safety Concerns of Night Shift Schedule: Implications for Family, Homes and Human Health","authors":"Bankole K. Fasanya, Regina Pope-Ford, M. Shofoluwe, O. Olaniyi","doi":"10.33425/2639-944X.1060","DOIUrl":"https://doi.org/10.33425/2639-944X.1060","url":null,"abstract":"Wealth does not correlate with health, neither does the ability to work longer hours and the night shift determine the level of one’s wealth. It is important to consider health and safety first when accepting new job schedules or offers. This study investigates how night shift schedules have contributed to workers’ poor well-being, quality of life and marriages. One-hundred ninety-one night shift workers voluntarily participated in the study. Respondents were grouped into three age categories: 18-34, 35-54, and 55-74. Responses were quantified and statistical analyses were run on the data. Results revealed that 24% of the respondents responded to be depressed and 57% indicated to have low energy after working a night shift schedule. The risk of divorce among the married respondents was found to be 1-person in every 5-workers. Poor appetite revealed 1 out of every 3-workers and 1 out of 2-workers have the risk of losing interest in their usual activities. Approximately seventeen percent reported having very bad quality of life, while 39% declared to have average quality of life. Thirty percent of the respondents revealed having concentration problems after working night shift. The paired t-test result revealed that a night shift schedule has a statistically significant effect on the workers’ well-being who work on night shift (t = 16.13, df = 190, p < 0.0001). The level of divorce, poor quality of life, less interest in usual activities and health issues as a result of workers’ schedule suggest the need for better work schedule structuring. The findings from this study highlight potential damages night shift schedule has done to human well-being and life style in general. Findings from this study could help families to better avert or handle health issues at home and with their spouses.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127409149","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: 1

Case Report of Caustic Esophageal Strictures treated with Endoscopic Dilation 内镜下扩张治疗腐蚀性食管狭窄1例报告

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-10-30 DOI: 10.33425/2639-944X.1061

L. Antunes, M. Madden

引用次数: 0

Surgical Management of Varicose Veins (New Modalities Introduction) A Jersey Prospect 静脉曲张的外科治疗(新模式介绍)泽西展望

Journal of Medical - Clinical Research & Reviews Pub Date : 2018-10-30 DOI: 10.33425/2639-944x.1059

M. Aleem

{"title":"Surgical Management of Varicose Veins (New Modalities Introduction) A Jersey Prospect","authors":"M. Aleem","doi":"10.33425/2639-944x.1059","DOIUrl":"https://doi.org/10.33425/2639-944x.1059","url":null,"abstract":"Radiofrequency segmental thermal ablation of great and small saphenous vein with Closure FAST Catheter is superior, widely accepted alternative to conventional ligation and stripping of great and small saphenous Vein in the treatment of lower extremity venous insufficiency. Purpose: This study evaluated endovenous closure for superficial venous insufficiency due to great and short saphenous vein incompetency at Jersey General Hospital. Patient and Methods: During thirty months period patients with symptomatic venous insufficiency were studied, total patient treated were three hundred and sixty two. Patient followed up in clinic after six weeks to report the clinical outcome of treatment and also to register any immediate and late complication from the procedure and recurrence rate. Result: Total number of saphenous vein endovenous closure with Fast closure technique operation performed three hundred and sixty two, with good outcome in three hundred ten patients and poor out come in forty five patients. Conclusion: There are significant advantages in endovascular obliteration of saphenous vein, minimally invasive technique based on endothelial ablation are progressively supplanting conventional surgery in the treatment of varicose veins.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122964655","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