MEDIS – International Journal of Medical Sciences and Research最新文献

{"title":"EFFECTIVENESS OF PHYSICAL THERAPY AND REHABILITATION IN IMPROVING MOTOR SKILLS AND MENTAL FUNCTION IN CHILDREN WITH CEREBRAL PALSY","authors":"Lence Nikolovska, Besart Ismani","doi":"10.35120/medisij020423n","DOIUrl":"https://doi.org/10.35120/medisij020423n","url":null,"abstract":"Cerebral palsy was first described by William John Little in 1846. There are many definitions of cerebral palsy that vary from author to author. However, we can say that cerebral palsy (CP) is a chronic non-progressive brain damage, postural and body motility disorder. Apart from sensorimotor abnormalities, some cases are accompanied by mental disorders as well as disorders of cognitive functions. It can occur during pregnancy, at birth or during the postnatal period, ie. prenatal, perinatal and postnatal - equally in both sexes. There are different classifications of cerebral palsy: according to changes in muscle tone, according to topographic features and according to the severity of the clinical picture.According to changes in muscle tone, they are divided into: Spastic form, Athetoid form, Ataxic form, Hypotonic form and Mixed form. According to the topography they are classified as: Diplegia, Quadriplegia, Hemiplegia, Triplegia and Monoplegia Physical therapy program is determined based on the clinical form of the disease. When determining a rehabilitation program, the principle of an individual approach is followed. Rehabilitation includes: physical medicine, kinesitherapy, reflex exercises according to Vojta, manual massage, thermotherapy, education of parents for rehabilitation at home; orthopedic aids; special education techniques. The aim of this study is to determine the role and impact of Physical Medicine and Rehabilitation in the treatment of children with Cerebral Palsy in early childhood. The research was conducted at the University of Southeast Europe - (Stul University) at the Faculty of Health Sciences in the Department of Physical Therapy and Rehabilitation, over a period of 6 months, from the beginning of April to the end of September 2023. 61 patients with cerebral palsy are included in the research, of which 28 are male, and the remaining 33 patients are female. The patients included in the research are classified into groups according to: gender, age and clinical form of cerebral palsy. The treatment of Cerebral Palsy (CP) has a complex character and includes medical, pedagogical and social rehabilitation. The individual tasks of the rehabilitation are determined after a functional examination of the motor abilities, where the main role is played by muscle tone, normal and pathological reflex motor activity, in the period up to 1 year of age. The goal of treatment with Physical Therapy and Rehabilitation is to achieve correct and timely development of movements and correction of pathological movement stereotypes (models), which occurred as a result of brain tissue damage. As for the motor deficit, kinesitherapy plays a major role. Established modern methods for kinesitherapy are the specialized methods for neuromuscular re-education of Vojta and Bobath. The Rood and Rabat methods werw also be used to facilitate the required movements and train coordination. Physical therapy and rehabilitation combined with kinesitherapy ha","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"9 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138584922","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}

{"title":"ASSESMENT OF QUALITY OF LIFE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND DIABETIC POLYNEUROPATHY","authors":"Nikolay Kostadinov, Tzvetelina Totomirova","doi":"10.35120/medisij020325k","DOIUrl":"https://doi.org/10.35120/medisij020325k","url":null,"abstract":"Diabetes mellitus is a chronic disease that has a great effect on the quality of life of patients. It is one of the most progressively increasing chronic diseases of the 21st century. Modern medical practice defines the disease as an important risk factor for the development of severe debilitating complications, reduced quality of life. Predominant among the health-related complications reducing the quality of life is diabetic neuropathy. It is a serious and frequent complication of diabetes mellitus, with a chronic progressive course of development, which without adequate treatment can lead to potentially life-threatening complications, significant morbidity and increased mortality among people with diabetes. The aim of the present study was to assess satisfaction and health-related quality of life in individuals suffering from type 2 diabetes and a realized neurological complication. Researched and surveyed during the period November 2022 – April 2023, there are 20 patients, respectively 10 men and 10 women with type 2 diabetes mellitus and a diagnosed complication - diabetic neuropathy. With the help of a questionnaire consisting of 69 questions, divided into 3 groups of previously formulated questions, the patients were surveyed. Medical records were also used. Regarding general health, 80%(8) of men and 80%(8) of women rated it as good. 20%(2) of men and 20%(2) of women rated it as poor. 60% (6) of men and 20% (2) of women have no difficulty in daily walking of more than 1 mile (1.6 km) as a result of the disease and the complication. 40%(4) of women report very limited motor activity as a result of the polyneuropathy. 40%(4) of men and 40%(4) of women reported minor difficulties in motor activity. When asked if they had experienced pain in the last 4 weeks, 40%(4) of men answered that it was mild. 40% (4) of men and 100% (10) of women reported moderate pain, 20% (2) of men reported experiencing very severe pain in the past 4 weeks. Patients with DM and a realized neurological complication are not only physically sick, but also have a lower self-assessment of quality of life, compared to the healthy population. Diabetes has an effect on patients' quality of life. Pain, discomfort and impaired mobility are among the most common complaints that alter the quality of life.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154058","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}

{"title":"OCCLUSAL SPLINTS, RETAINERS AND THE RELATION BETWEEN THEM – A REVIEW ARTICLE","authors":"Dobromira Shopova, Desislava Bakova, Miroslava Yordanova, Svetlana Yordanova","doi":"10.35120/medisij020331s","DOIUrl":"https://doi.org/10.35120/medisij020331s","url":null,"abstract":"This article reviews different types of occlusal splints and retainers, and current trends of their creation by digital technologies. They were systematically searched by key words, single or combined. The key words were: bruxism, retainer, modification of occlusal splints, modification of retainers, 3D printing, CAD/CAM. It was used peer-reviewed articles published in Google scholar until July 2023. The articles were in English with available at least abstract with clear conclusion part. Paid for the reader articles are not included in the review. In this article are presented main and additional types of occlusal splints, different types of retainers and their modifications, the contact point between splints and retainers and their digital creation.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154063","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}

{"title":"ASSESSMENT OF PATIENT SATISFACTION WITH THE QUALITY OF DENTAL SERVICES PROVIDED BY STUDENTS OF DENTAL MEDICINE","authors":"Gergana Georgieva","doi":"10.35120/medisij020361g","DOIUrl":"https://doi.org/10.35120/medisij020361g","url":null,"abstract":"In today's competitive world, the quality of dental services provided is extremely important. Dental service providers around the world consider patient satisfaction to be an important and fundamental factor in providing dental services. Patient satisfaction by the provided dental services is defined in the literature as the achieved match between the patient's expectations, his needs and the actual dental care provided to him/her. Understanding the importance of the concept dedicated to the quality of dental services and surveying the satisfaction of patients receiving these services is very important. Oral diseases are considered major health problems due to their high incidence and prevalence worldwide Aim:. The aim of the present study was to assess patient satisfaction by dental services provided by dental students. Materials and methods: Sociological survey has been carried out. For the respondents’ convenience participating in the research, the opportunity to choose between two options for filling out the survey card is provided: a paper survey card and Online questionnaire created in Google Forms. A survey was conducted on a voluntary basis in May-July 2023. The results of the survey are presented in table and graphic form, which are accompanied by analyzes and conclusions. For the purposes of the research, 358 patients treated by fourth, fifth- and sixth year students in the facility of the Faculty of Dental Medicine at the Medical University of Varna - were surveyed. Results: The results show a positive correlation between the quality of dental services provided by dental students and patient satisfaction. Conclusion: Measuring the quality of dental services has an important role in managing the dental care provided, diagnosing the problem and evaluating the effectiveness of the service. Patient satisfaction is one of the key indicators in the quality of services provided in the dental practice. The results of the conducted study dedicated to patient satisfaction with the provided dental services are an indicator for evaluating the quality of dental care provided by dental medicine students, based on a survey of patients' attitudes and opinions.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153870","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}

{"title":"OCCUPATIONAL EXPOSURE TO NOISE DURING AIRPORT GROUND HANDLING - IMPACT AND RECOMMENDATIONS TO REDUCE THE OCCUPATIONAL RISK OF DAMAGE TO THE HEALTH OF WORKERS. CURRENT STATE OF LEGISLATION IN THE FIELD OF NOISE PREVENTION IN THE WORKPLACE IN BULGARIA","authors":"Dorina Manahilova","doi":"10.35120/medisij020339m","DOIUrl":"https://doi.org/10.35120/medisij020339m","url":null,"abstract":"Those working in the ground handling of aircraft at the airport in the process of performing their activities are exposed to the impact of a complex of harmful and dangerous risk factors, including noise. Noise in the working environment above 85 dB(A) is one of the first unfavorable factors at the airport that affect the functional state of various organs and systems in the human body. Exposure to noise in the work environment at or above 85 dB(A) can cause a number of complaints related to the central and autonomic nervous systems, disorders in the vestibular and auditory apparatus up to permanent hearing loss, reduced work capacity, impaired concentration, fatigue, difficulty in verbal communication, the ability to hear warning signals, respond to environmental sounds, etc. All this affects the general safety and is a prerequisite for the occurrence of aviation accidents caused by the human factor. The purpose of the present study is to present the results of research conducted on noise at the airport itself and its impact on ground staff, by deriving good practices and examples, to make general conclusions and proposals with a practical orientation for the introduction of a standard for health monitoring and prevention of the risk of noise exposure among airport ground handling workers. The methods used are documentary, formal-logical with analysis of official documents, systematic review of articles and data in the surveyed area. The results of the survey show the lack of clear legal rules and standards in the Republic of Bulgaria regarding the health screening of hearing for those working in environments with excessive noise levels, including for ground handling operators at airports. Therefore, solutions to this problem must be implemented, in particular through the introduction of a standard and the introduction of clear criteria for health monitoring, engineering, ergonomic knowledge and preventive measures. Hearing prevention, early screening and health monitoring among workers at excessive levels of noise in the work environment should be a priority of every legislation, responsibility and obligation of every employer.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153873","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}

{"title":"EFFECTIVE DOCTOR-PATIENT COMMUNICATION A KEY FACTOR FOR ASSESSING PATIENT SATISFACTION WITH DENTAL SERVICES PROVIDED","authors":"Gergana Georgieva","doi":"10.35120/medisij020345g","DOIUrl":"https://doi.org/10.35120/medisij020345g","url":null,"abstract":"In recent years, great progress has been made in the communication between dental practitioners and their patients. In the 21 st century, communication has become an essential and necessary clinical skill for every dental professional. Communication skills are a skill that every medical professional must master in order to build the best possible relationships with patients. This includes the ability to form a certain idea about the patient's oral disease, altering the patient's mood (minimizing fear, anxiety, increasing confidence, hope for favorable treatment results), influencing the patient's lifestyle and behavior in order to carry out the recommendations given by the dental specialist treating him. They are described in the scientific literature the different models of the relationship between the doctor and the patient, as well as the research of authors regarding the importance of good communication about the patient's dental treatment procedure satisfaction. Aim: The present study aims to investigate the impact of efficient communication towards patient satisfaction with the quality of dental services provided. Materials and methods: Sociological survey has been carried out. For the respondents’ convenience participating in the research, the opportunity to choose between two options for filling out the survey card is provided: a paper survey card and Online questionnaire created in Google Forms. A survey was conducted on a voluntary basis in May-July 2023. The results of the survey are presented in table and graphic form, which are accompanied by analyzes and conclusions. For the purposes of the research, 358 patients treated by fourth, fifth- and sixth year students in the facility of the Faculty of Dental Medicine at the Medical University of Varna - were surveyed. Results: There is a positive correlation observed from the survey between effective doctor-patient communication and patient satisfaction with the quality of dental services provided. Good communication with the patient strengthens the trust in the dentist and helps the patient anxiety of the upcoming dental manipulations. Conclusion: Quality dental services are the basis for the success of the diagnostic - treatment process of any dental practice. Communication with the patient and his relatives is the duty of every dentist, which is of great importance for preserving the mental health of the patient. Great attention is paid to the development of communication skills by dental practitioners. According to a number of studies, effective communication with patients is at the heart of the success of any dental practice. Following some basic rules in communication is a key factor in a good relationship between the dentist and the patient.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"352 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153705","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}

{"title":"KEY FACTORS FOR SAFE AND RATIONAL SECURITY OF BLOOD AND BLOOD COMPONENTS","authors":"Aleksandra Penjišević, Branislav Sančanin","doi":"10.35120/medisij020319p","DOIUrl":"https://doi.org/10.35120/medisij020319p","url":null,"abstract":"The use of human blood for therapeutic purposes requires the continuous construction of safety and quality systems, in order to minimize potential risks during the process of collection, processing, circulation and final use. Safety, security, rationality, and reliability are important prerequisites for the continuous provision of blood products, regardless of their purpose. Health institutions for blood and blood products should have an organized quality system that will be compatible with strategic goals, while at the same time emphasizing the self-sufficiency of a particular community. In this context, it is necessary to establish a stable and applicable mechanism for issuing permits and accreditation by certified institutions, from this field, which would ensure their operation in accordance with current regulations. Modern blood transfusion practice must provide guarantees to voluntary blood donors regarding the security and confidentiality of all data related to the health of each individual. The key factors, on which safe and rational provision of blood and blood products are based, are visible through continuous activities associated with the promotion of voluntary and unpaid blood donation, thus contributing, in a specific way, to raising and maintaining high standards. Medical and other personnel involved in the process of collection, examination, processing, storage and circulation of human blood and blood components should be qualified and should undergo continuous education. The future development of transfusiology will be based on teamwork and interdisciplinary cooperation, as well as continuous monitoring and application of regulations from this field. The implementation of the Type and Screen method, i.e., blood group typing and antibody screening, should become a standard in the rationalization of the need for blood, which ensures a greater number of available blood units, increases self-sufficiency and directly contributes to the preservation of the health of donors and recipients of blood and blood components.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153864","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}

{"title":"THE NEED FOR ADDITIONAL TRAINING OF NURSES WORKING IN THE DIALISIS TREATMENT FIELD","authors":"Galya Georgieva, Pavlinka Dobrilova","doi":"10.35120/medisij020353g","DOIUrl":"https://doi.org/10.35120/medisij020353g","url":null,"abstract":"According to the EU health strategy “Together for Health: A Strategic Approach for the EU”, health care specialists have a crucial role in maintaining the proper function of the entire health care system. Today, the education system gives health care specialists the opportunity to develop in different professional fields. Nursing care for patients undergoing renal replacement therapy is specific and requires that nurses have excellent theoretical knowledge and practical skills in the field of nephrology and the extra-renal blood purification methods, and be qualified to administer intensive and specialized procedures. The goal of this research is to study the necessity for nurses working in dialysis facilities attaining additional knowledge and skills on dialysis treatment in this specific field. Materials and methods:  For the purposes of this research, 78 nurses working in dialysis facilities in Northwest Bulgaria participated in a survey, which was conducted by distributing a self-developed anonymous questionnaire in the 2020-2022 period. Results: The activity of the nurses caring for dialysis treatment patients is different from the activity in other health care facilities. Conclusion: Dialysis treatment requires that health care professionals have specific knowledge and skills. Currently, it is a fact that this discipline is not being taught in higher education institutions. The research detected a need for additional training in the renal replacement therapy field.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153869","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}

{"title":"BENEFITS OF BALNEO AND MUD TREATMENT FOR LATE SEQUENCES OF COVID-19","authors":"Galina Мratskova","doi":"10.35120/medisij020311m","DOIUrl":"https://doi.org/10.35120/medisij020311m","url":null,"abstract":"Balneotherapy is one of the most used therapies, where natural factors are applied for treatment and prevention. It is used in various pathological conditions, with evidence of a good effect in rheumatic and neurological diseases, and in recent years also in patients recovering from COVID-19. The therapeutic factors that are used include: natural mineral or thermal waters, natural peloids (mud) and other environmental therapeutic factors. The pandemic of COVID-19 turned out to be a significant factor that led to changes in lifestyle and habits and, accordingly, the use of balneotherapy procedures for prevention and treatment. Balneotherapy (SPA-therapy) is recommended by the European SPA association after COVID-19, for better recovery of health and limitation of long-term symptoms in patients with post-COVID-19 syndrome (PCS). It is suggested that balneo-climate-treatment can improve lung function, increase the physical activity capacity and the performance of therapeutic exercises as well as the quality of life of patients in the recovery phase after COVID-19. The purpose of the present review is to investigate the benefits and effectiveness of both balneo and mud therapy in patients with long-term post-COVID-19 sequelae. Materials and methods: For the purpose of the present study, a review was made of the known scientific articles published in the world databases (Google Scholar, Pubmed, Science Direct Web of Science, Scopus, and literary sources in Cyrillic). The results were searched for the following keywords: post-COVID-19 condition, long-term effects of COVID-19, post-COVID-19 syndrome (PCS), rehabilitation, balneotherapy, SPA therapy, peloidotherapy, mud treatment, lye therapy, treatment with Rapa (highly concentrated solution of salts (most often NaCl)). Results: The review of the scientific literature published in specific medical journals found evidence for the therapeutic effectiveness and benefits of balneo and mud therapy in patients with long-term consequences of COVID-19. The described application methods are characterized by variety in the application methodology, both for external (baths, bathtubs, showers, therapeutic SPA applications) and for internal application (mainly through inhalations). On the other hand, different recommendations were found regarding the type and chemical characteristics of mineral (thermal) water and therapeutic mud that are preferred for therapy. Overwhelmingly, studies recommend combining balneo (SPA) and mud therapy with resort and climate treatment, moderate physical activity and a dietary regimen tailored to the individual characteristics of patients. Conclusion: Balneo (SPA) treatment, therapies with natural and preformed physical factors could have a preventive role, in order to improve the body’s reactivity to the adverse factors of the external environment and pathogenic microorganisms and to increase insusceptibility to infectious diseases.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135153874","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}

{"title":"DAMAGE CONTROL IN ORTHOPEDICS","authors":"Saša Jovanović, Denović Predrag","doi":"10.35120/medisij020307j","DOIUrl":"https://doi.org/10.35120/medisij020307j","url":null,"abstract":"Introduction: DAMAGE CONTROL - in orthopedic surgery and traumatology, it is indicated for fresh fractures, especially for trauma with open bone fractures. In all these fresh fractures, hemodynamic instability of the body occurs. In these cases, a minimally invasive procedure is recommended, which initially aims to temporarily stabilize the fractures and control bleeding Material and methods: In our work, we will present the official literature that deals with the issue of damage control in orthopedics. Discussion: One of the leading causes of death in people under 40 is polytrauma. Fractures of the diaphysis of the tibia, femur, and pelvis are the most common fractures that are stabilized using external fixation. Bilateral fractures of the femoral diaphysis are associated with a poor prognosis in terms of mortality and fat embolism syndrome.Hemodynamically stable patients should always undergo definitive fracture fixation. Any prolonged intervention in hemodynamically unstable patients worsens the favorable outcome. Then the immune response can be triggered and increased, which is identified with the clinical condition “Second trauma”. Therefore, these patients should be immediately subjected to DAMAGE CONTROL with temporary stabilization and then delayed definitive fixation for a period of 5-10 days from damage control, i.e. in the second act. Orthopedic surgeons should be very careful and recognize the triangle of death - acidosis, hypothermia and coagulopathy, which are interconnected and eventually become irreversible and lead to death as the final outcome. Damage control surgery in orthopedics includes three stages: the first stage of treatment involves controlling bleeding, reducing contamination, and achieving temporary fracture fixation. The time in which all this is done should be as short as 1-2 hours. The second phase involves the stabilization of vital parameters in the ICU as well as the reanimation of the child with the prescription of the necessary therapy as well as blood replacement The aim: The aim of our work is to demonstrate the outcome and feasibility of damage control in orthopedic surgery for both adults and children with multiple limb injuries and polytraumatized patients Conclusion: Polytrauma is a condition of the body that requires immediate action and a special approach because the patient’s life is at risk in a high percentage. The principles used to manage patients with multiple injuries including head, lower leg. Early fracture fixation led to earlier mobilization of patients and thus And reduced the percentage of complications, wound infections as well as reducing treatment costs. DAMAGE CONTROL is not only used in traumatized adult patients. It is also necessary to do it in children’s patients.","PeriodicalId":494529,"journal":{"name":"MEDIS – International Journal of Medical Sciences and Research","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154065","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}