International journal of developmental research最新文献

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Management of children afflicted with hirschsprung’s disease: a narrative review 儿童先天性巨结肠病的治疗:叙述性回顾
International journal of developmental research Pub Date : 2023-08-30 DOI: 10.37118/ijdr.27136.08.2023
{"title":"Management of children afflicted with hirschsprung’s disease: a narrative review","authors":"","doi":"10.37118/ijdr.27136.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27136.08.2023","url":null,"abstract":"Introduction: Hirschsprung's disease is a genetic anomaly with an incidence of 1 in 5000 births, predominantly affecting females at a ratio of 1:4. It is characterized by the absence of ganglion cells in the enteric nervous system in the distal segment of the gastrointestinal tract. Approximately 90% of individuals with Hirschsprung's disease present with symptoms in the neonatal period. Classic symptoms include abdominal distension (>90%), vomiting (>85%), which can be bilious, and the absence of meconium passage in the first 24 hours of life (>60%). Diagnosis is established through biopsies (gold standard), contrast enema, and anorectal manometry. While awaiting the results of rectal biopsy, saline rectal irrigations should be initiated one to three times daily to achieve functional bowel obstruction relief and enable enteral feeding until the pull-through operation. There are many surgical approaches for Hirschsprung's disease, including transabdominal approach (TAB) and transanal pull-through (TERPT). TAB mainly includes Swenson, Duhamel, Duhamel and Soave techniques. Swenson involves the removal of the affected area entirely with a termino-terminal anastomosis to the anal canal. In Duhamel, the normal colon is usually brought through the posterior rectal space and anastomosed with the contralateral rectum. In Soave, saline is injected into the rectum after circularly cutting the rectal muscular layer, leaving the mucosa intact at the level of the dentate line. Later, De La Torre-Mondragon proposed a new treatment called single-stage TERPT, a minimally invasive surgery with an anal approach that eliminates abdominal adhesions and pelvic nerve injury. The most commonly performed operation is the Duhamel procedure. The benefits of Duhamel include decreased stool frequency and increased consistency, but they must be balanced with the risk of pouch dilation and stool stasis. TERPT is superior to TAB in terms of hospital stay and constipation. However, there are still a large number of randomized studies to be verified, and more trials are expected to be conducted in the future to determine the best surgery. Among the postoperative complications are enterocolitis, dermatitis, fecal incontinence, and obstruction, with enterocolitis having the highest morbidity and mortality. Alternative treatments, although lacking evidence to prove their efficacy, include botulinum toxin, probiotics, and laser therapy. Objective: To synthesize the main and most up-to-date knowledge on the management of children with Hirschsprung's disease, from diagnosis to definitive treatment. Methods: This study is a narrative review. To carry out this work, systematic reviews, meta-analyses, and cohort studies published in the last five years (2018 to 2022) were searched in the PUBMED scientific database. The keywords used were \"Hirschsprung disease\" and \"Surgical treatment.\" Sixteen articles were found in the database.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136239507","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
Complete plastome sequence of castanopsis hainanensis merr.1922: an endemic species in hainan 海南栲质体全序列。1922:海南特有种
International journal of developmental research Pub Date : 2023-08-30 DOI: 10.37118/ijdr.27012.08.2023
{"title":"Complete plastome sequence of castanopsis hainanensis merr.1922: an endemic species in hainan","authors":"","doi":"10.37118/ijdr.27012.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27012.08.2023","url":null,"abstract":"This Castanopsis hainanensis Merr.1922, a tree species native to Hainan province, possesses desirable characteristics such as firmness, density, and resistance to water and humidity. It is commonly used in the construction of beams, columns, floors, furniture, and agricultural tools. In this study, we present a comprehensive analysis of the complete plastome of C. hainanensis. The total length of the plastome is 160,826 bp, which includes a Large Single-Copy (LSC) region, a Small Single-Copy (SSC) region, and two Inverted Repeats (IRs). The lengths of the IR regions are 90,471 bp, 18,957 bp, and 25,699 bp, respectively. The plastome contains a total of 261 genes, including 130 protein-coding genes (with sixteen genes duplicated in the IR), 37 tRNA genes (with seven genes duplicated in the IR), and eight rRNA genes (5S rRNA, 4.5S rRNA, 16S rRNA, and 23S rRNA). The overall G/C content in the plastome of C. hainanensis is 35.9%. This comprehensive analysis provides valuable insights into the genetic composition and organization of the plastome of C. hainanensis, contributing to our understanding of the evolutionary and functional aspects of this species.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136239501","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
Epiploic appendagitis: A case reports and a Sistematic Review 网膜阑尾炎1例报告及系统回顾
International journal of developmental research Pub Date : 2023-08-30 DOI: 10.37118/ijdr.27095.08.2023
{"title":"Epiploic appendagitis: A case reports and a Sistematic Review","authors":"","doi":"10.37118/ijdr.27095.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27095.08.2023","url":null,"abstract":"Epiploic appendagitis is a rare entity of abdominal pain, often being confused with common acute abdominal pathologies, such as appendicitis and diverticulitis. Its pathophysiology is based on a torsion process of the vascular pedicle of the epiploic appendix. The correct diagnosis is essential, in order to avoid unnecessary therapeutic interventions, with computerized axial tomography being the diagnostic method of choice. In most cases, therapy is symptomatic, with spontaneous remission occurring within a few days using medication to control symptoms and sometimes antibiotics. The authors present the report of a clinical case of a 37-year-old female patient who came to the consultation for abdominal pain in the lower quadrants, with epiploic appendagitis being published. Conservative management has been demonstrated. Anatomy, pathophysiology, clinical presentation, radiological evaluation, and emergency management of epiploic appendagitis are reviewed in this article.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136239504","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
Efficiency and effectiveness of the quality of service of employees in providing services to the community. “duarte da costa 员工在为社会提供服务时的服务质量和效率。“duarte da costa
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.26984.08.2023
{"title":"Efficiency and effectiveness of the quality of service of employees in providing services to the community. “duarte da costa","authors":"","doi":"10.37118/ijdr.26984.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.26984.08.2023","url":null,"abstract":"Public service is part of an urgent activity for those who are responsible for holding the bureaucracy and politicians who hold power in public institutions to ensure good work performance, but also need support from the ability of employees to serve the community to achieve this goal, Therefore, civil servants need transparency, responsibility and accountability in achieving the goal of efficient and efficacy in public services. Service is an activity that is done to provide benefits to others, this activity occurs because there is interaction between the two parties or activities carried out by the organization to be a servant for others or those who are lucky. The quality of service should not be measured based on a person's thoughts by observation but can be measured through the community that has received services from the organization itselft. This study uses a descriptive qualitative approach, collecting data through interview instruments, observation and documents, in order to find out the efficiency and efficacy,qualityof the work of the administrative employees in providing services to the community of Ossu sub-district, Viqueque municipality, the data analysis of this research uses a data analysis model according to the model. intraction by Milles and Hubberman, Sugiyono’s book, 2001: 247. The results of this study showed that, the administrative staff of the Ossu sub-district in providing services to the community, it can be said that the quality of their service is not maximized according to the needs of the community in administrative matters, because two administrative employees do not necessarily serve a large number of people. despite limited human resources and lack of training, the results of their work are of quality because they are supported by adequate facilities. From the results of this research, it is concluded that, lack of human resources, lack of training for civil servants, the condition of the subdistrict administration office that is severely damaged, civil servants who live far from where they work, a centralized political administration system, lack of public awareness, All of these matters have implications for the quality of work of civil servants in serving the community.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136283575","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
Síndrome de guillain-barré induzida pela bactéria campylobacter 弯曲杆菌引起的guillain- barre综合征
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.27011.08.2023
{"title":"Síndrome de guillain-barré induzida pela bactéria campylobacter","authors":"","doi":"10.37118/ijdr.27011.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27011.08.2023","url":null,"abstract":"Introdução: A Síndrome de Guillain-Barré (SGB) é uma neuropatia, de caráter autoimune, responsável por diminuição dos reflexos profundos e fraqueza motora progressiva. Nesse sentido, objetiva-se analisar e coletar dados da SGB induzida pela bactéria Campylobacter. Métodos: É uma revisão integrativa qualitativa e retrospectiva. Utilizaram-se as bases de dados PubMed, MEDLINE, Scielo, UpToDate, BVS e LILACS. Os descritores foram “Síndrome de Guillain Barré”, “Campylobacter jejuni”, “Epidemiologia” e “Manifestações Clínicas”, baseados nos Descritores em Ciências da Saúde (DEcS). Um total de 25 artigos foram encontrados. Resultados: Observou-se que a SGB está associada a uma infecção anterior (70%), sendo a enterite por Campylobacter jejuni a mais comum (50%). Esse patógeno geralmente é relacionado com a ingestão de aves cozidas, bem como o contato com animais de fazenda. A SGB é desencadeada pelo agente infeccioso, e progride agudamente com os sintomas neurológicos, como fraqueza progressiva dos membros e arreflexia. A progressão ocorre de dias a semanas, com a redução dos anticorpos e uma recuperação lenta ocorrendo de maneira concomitante. Clinicamente, há variantes da SGB, as quais diferem entre si de acordo com os tipos de nervos periféricos acometidos. Discussão: Na maioria dos casos, a SGB é induzida por infecções respiratórias ou entéricas, sendo a última relacionada com a Campylobacter jejuni. É ligeriamente mais comum em homens, e menos comum em crianças menores de dois anos de idade. Neste grupo, é a causa mais comum de paralisia flácida aguda. No Brasil, é uma doença de notificação obrigatória em Cascavel (Paraná), devido à incidência acima do limite recomendado de 1 caso/100.000 habitantes. Inicialmente, manifesta-se com paresia bilateral e diminuição de reflexos nos membros inferiores. Quadriparesia pode ocorrer de forma abrupta em algumas variantes da síndrome, bem como o acometimento de fibras sensitivas. Outros sintomas acompanhados são parestesias nas mãos e pés, dor nos membros inferiores e na região lombar. Os piores prognósticos da síndrome decorrem a complicações respiratórias devido ao acometimento dos músculos respiratórios (mortalidade de 5% a 7% por insuficiência respiratória, embolia pulmonar, arritmias e sepse hospitalar). No que tange aos nervos acometidos e suas manifestações, podemos ter disfagia, oftalmoparesia, alterações no paladar e dificuldade na fonação e na articulação de palavras. Ademais, arritmias podem estar relacionadas em decorrência da parte autônoma afetada do sistema nervoso. Conclusão: A infecção por C. jejuni é a principal causa da infecção no mundo, por isso a adoção de medidas de higiene podem reduzir a incidência. Além disso, o diagnóstico e reconhecimento precoce são necessários, especialmente devido ao seu diagnóstico clínico complexo.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136283378","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
Modélisation de la dynamique des unités d’occupation des terres dans la commune rurale de kouka (Burkina Faso) kouka农村公社土地占用单位动态建模(布基纳法索)
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.27031.08.2023
{"title":"Modélisation de la dynamique des unités d’occupation des terres dans la commune rurale de kouka (Burkina Faso)","authors":"","doi":"10.37118/ijdr.27031.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27031.08.2023","url":null,"abstract":"L’exploitation des ressources naturelles (végétation-sol) pour des activités anthropiques dans la commune rurale de Kouka, au nord-ouest du Burkina Faso, ne suivent pas une rationalité pour une durabilité des écosystèmes. La présente étude vise à modéliser les changements spatio-temporels des unités d’occupation des terres, dans le contexte des pratiques diverses observées en matière d’exploitation des ressources naturelles. Les modèlesCA_Markov et LCM sous IDRISI ont été utilisé pour modéliser la dynamique spatio-temporelle à l’horizon 2050. Les résultats des analyses montrent que les unités d’occupation des terres seront dominées par les espaces agricoles et l’habitat au détriment de la végétation naturelle si les pratiques actuelles d’exploitation des ressources naturelles sont maintenues ou améliorées. Le scénario optimiste avec LCM, montre qu’en 2050, les espaces agricoles occuperont 50,99% (soit 37036,05 ha), les savanes arbustives 44,98% de la superficie communale ; par rapport à leurs proportions de 2020 qui étaient respectivement de 63,93% et 31,71%. Quant au scénario pessimiste avec CA_Markov, en 2050, les espaces agricoles représenteront 75,48% et les savanes arbustives 20,08 % du territoire communal. La pression anthropique sur les formations naturelles combinée à la variabilité climatique sera les principales causes de ces changements paysagers. La mise en place d’une nouvelle politique plus adéquate de mode d’utilisation des terres basant sur l’agroécologie permettra de modifier cette trajectoire de la dynamique des unités physiographique.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136283382","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 woman in the optical of edith stein 戴着伊迪丝·斯坦眼镜的女人
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.27027.08.2023
{"title":"The woman in the optical of edith stein","authors":"","doi":"10.37118/ijdr.27027.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27027.08.2023","url":null,"abstract":"This article focuses on the thought of Edith Stein (1891 – 1942). As a specific object, the study turns to the treatment given by her to the woman's condition and, more specifically, to her education. The research problem is effective in the question of how the philosopher treated the female condition and her formative process. From the context of her works, a broad concern with the human being is revealed, which spreads, later and gradually, in reflections that establish an innovative approach to the female condition. Inserted in the context of phenomenology close to Christianity, an element of decisive importance, the author seeks to compose the framework of valuing women from their own condition, Stein does not break with the male perspective, but she seeks to propose a harmonious formation that corresponds to human nature as a male species and as a female species it is necessary to remember that we are at the beginning of feminist movements . Edith Stein reflects on Gender Equality. Thus, at first, an incursion is made to place the theme of women in Stein's historical and philosophical context, later, phenomenology is explored as a working method and, from there, as a final part, it is dedicated to make explicit the dramas of vocation, education and gender issues.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136283384","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 effectiveness of strict adherence to ergonomic principles on injury prevention and work performance in metal industry workers 严格遵守人体工程学原则对金属工业工人伤害预防和工作绩效的有效性
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.26986.08.2023
{"title":"The effectiveness of strict adherence to ergonomic principles on injury prevention and work performance in metal industry workers","authors":"","doi":"10.37118/ijdr.26986.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.26986.08.2023","url":null,"abstract":"Introduction: The primary strategy to prevent musculoskeletal trauma is the use of ergonomic principles to modify hand tools and to improve workstation design and work practices. To reduce the chance of injury, work tasks should be designed to limit exposure to ergonomic risk factors. Objective: To determine the effectiveness of strict adherence to ergonomic principles on injury prevention and work performance in metal industry workers by assessing musculoskeletal questionnaire and grip strength. Method: Total of 50 subjects were divided equally into 2 groups by random sampling after checking the criteria for selection. Group A experimental (n= 25) and group B control (n=25). The experimental group underwent 1month of strict ergonomic principles whereas the control group underwent normal working protocol. The pre and post measurements were measured by using grip strength and musculoskeletal health questionnaire (msk-hq). Result: The mean MSK-hq post score in Experimental Group was 53.24 with a standard deviation 2.50 and the mean MSK-hq post score in Control Group was 48.08 with a standard deviation 4.63 which was statistically significant (p value <0.00012). The mean Grip(kg)post score in Experimental Group was 45.83 with a standard deviation 0.55 and the mean Grip(kg) post score in Control Group was 45.08 with a standard deviation 1.39 which was statistically significant (p value <0.01546). Hence Experimental group was found to be better than the control group. Conclusion: Based the study's findings and review of supporting evidence, this study concludes that applying ergonomic principles has substantial evidence suggesting that ergonomics can help prevent musculoskeletal injuries and improve grip strength among metal industry workers.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136283573","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
O manejo da dor na atenção primária em saude 初级卫生保健中的疼痛管理
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.26563.08.2023
{"title":"O manejo da dor na atenção primária em saude","authors":"","doi":"10.37118/ijdr.26563.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.26563.08.2023","url":null,"abstract":"A Internacional Association for the Study of Pain (IASP), Define a dor como uma condição de difícil compreensão, sendo multifatorial. Alem disso, classifica-se a dor como aguda, quando há a sua prevalência por até três meses e a dor crônica quando a sua prevalência é continua. O tratamento de dor deve ser realizado a nível ambulatorial na Atenção Primaria de Saude (APS), podendo utilizar Praticas Integrativas e Complementares em Saude (PICS), como a psicoterapia, técnicas de retamente, acupuntura e auriculoterapia, sendo métodos não farmacológicos que amenizam a dor sem efeitos colaterais que uma medicação pode desencadear. Nesse sentido, esse trabalho tem como objetivo principal, demonstrar de forma sistemática como é realizado o manejo da dor no Brasil na atenção primária em saúde.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136283379","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
Surgical versus conservative management of ankle fractures in diabetics 糖尿病患者踝关节骨折的手术与保守治疗
International journal of developmental research Pub Date : 2023-08-29 DOI: 10.37118/ijdr.27115.08.2023
{"title":"Surgical versus conservative management of ankle fractures in diabetics","authors":"","doi":"10.37118/ijdr.27115.08.2023","DOIUrl":"https://doi.org/10.37118/ijdr.27115.08.2023","url":null,"abstract":"Background: To assess the likelihood of complications when dealing with ankle fractures in individuals diagnosed with diabetes. Here, we present the outcomes of treating 20 patients who had sustained displaced malleolar fractures. Patients and Methods: between June 2022 and September 2022,20 patients having ankle fracture had been managed. Results: We classified treatment-related issues as minor or significant. A minor complication was defined as a superficial infection or necrosis at the wound's edge, whereas a significant complication included a profound infection, necrosis at the wound's edge, dehiscence requiring surgical intervention, amputation, malunion, or death. Cases of postoperative erythema that did not require treatment were omitted from our analysis. Conclusion: Diabetic individuals who sustain ankle fractures often face a significantly increased likelihood of encountering surgical complications. Particularly among older diabetic patients with lower activity levels, especially those reliant on insulin, it may be more advisable to accept less-than-optimal alignment and imperfect healing rather than exposing them to the potential serious complications associated with surgical procedures. In diabetic patients with displaced ankle fractures managed non-surgically, imperfect alignment and healing were common outcomes, but they typically resulted in minimal discomfort. In such situations, choosing non-operative treatment might be the preferred approach due to the substantial risks associated with surgical interventions and the willingness of older patients with less active lifestyles to tolerate less-than-ideal alignment.","PeriodicalId":476282,"journal":{"name":"International journal of developmental research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136284085","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
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