Influence of Oral Care with Yunnan Baiyao on Post-Operative Pain in Severe Obstructive Sleep Apnea-Hypopnea Syndrome Patients
Yan Liu,
Guilin Liu,
Song Zhang,
Haiying Jiang,
Hui Wen,
Jiali Zha,
Qingran Lin
Issue:
Volume 10, Issue 4, July 2022
Pages:
88-91
Received:
25 June 2022
Accepted:
10 July 2022
Published:
20 July 2022
DOI:
10.11648/j.ajcem.20221004.11
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Abstract: (1) Background: Obstructive sleep apnea-hypopnea syndrome (OSAHS) refers to a clinical syndrome in which a series of pathophysiological changes occur in the body due to various causes of repeated apnea and/or hypopnea, hypercapnia, and sleep interruption in sleep. Surgery is an important way to treat OSAHS. Postoperative oral care causes wound pain. However, effective oral care is an important measure to prevent wound infection and ensure wound healing. Our goal is to study the influence of oral care with Yunnan Baiyao on post-operative pain of severe obstructive sleep apnea-hypopnea syndrome patients. (2) Methods: Randomization was used to separate 108 severe OSAHS patients into experimental (n = 54) and control groups (n = 54). Post-operatively, conventional mouth care was used for the control group and oral care with Yunnan Baiyao was used for the experimental group, then the pain scores in the resting and swallowing states was assessed in both groups of patients before and after mouth care. (3) Results: From the third day post-operatively, the resting state pain in the experimental group was relieved compared with the control group (P < 0.05). From the fourth day post-operatively, therest and swallowing state pain in the experimental group was relieved compared with the control group (P < 0.05). (4) Conclusion: Oral care with Yunnan Baiyao significantly relieved pain, prevented surgical site infections, bleeding and other complications, and promoted recovery.
Abstract: (1) Background: Obstructive sleep apnea-hypopnea syndrome (OSAHS) refers to a clinical syndrome in which a series of pathophysiological changes occur in the body due to various causes of repeated apnea and/or hypopnea, hypercapnia, and sleep interruption in sleep. Surgery is an important way to treat OSAHS. Postoperative oral care causes wound pain...
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Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature)
Gulomidin Minkhodzhievich Khodzhimatov,
Sardorbek Mamasobir Ugli Yakhyoev
Issue:
Volume 10, Issue 4, July 2022
Pages:
92-97
Received:
30 April 2022
Accepted:
24 May 2022
Published:
17 August 2022
DOI:
10.11648/j.ajcem.20221004.12
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Abstract: Thoracoabdominal traumatism is one of the topical problem of modern medicine due to its wide prevalence, the most severe course and unfavorable outcome. This article presents an overview of the epidemiology, diagnosis, and surgical treatment of patients with thoracoabdominal injuries. It shown that, current incidence of thoracoabdominal injuries is reached to 13.7-16.4% of all chest and abdominal injuries. Lethality inthoracoabdominal injuries range from 3.13% to 20%. In most cases these are patients of working age, with an average age of 27.5-34.8 years, men to comprise (71.2%). Nowadays, the amount of patients with thoracoabdominal injuries tends to increase in the Uzbekistan and other economically developing countries of the world because of raising of transportation, construction and crime. Video-thoracoscopy and video-laparoscopy are one of the widespread methods of diagnosing and treatment of thoracoabdominal traumas. According to many authors, specificity of video-laparoscopy and video-thoracoscopy is 100%, the sensitivity is 87.5–99.3%, and the predictive efficiency is 96.8 percent and the need for widespread use for performing minimally invasive medical manipulations as a reasonable alternative to open operations, indications for emergency and urgent thoracotomy and laparotomy, some new methods of operative surgical technique are proposed. However, in case of profuse bleeding into the pleural or abdominal cavity is indication to thoracotomy and laparotomy. Therefore researchers continue to search for promising ways to improve outcomes for patients with thoracoabdominal injuries. Researchers define rapid and accurate diagnostics aimed primarily at determining the volume of injuries of the chest, abdomen and diaphragm with subsequent selection of the best sequence of therapeutic measures.
Abstract: Thoracoabdominal traumatism is one of the topical problem of modern medicine due to its wide prevalence, the most severe course and unfavorable outcome. This article presents an overview of the epidemiology, diagnosis, and surgical treatment of patients with thoracoabdominal injuries. It shown that, current incidence of thoracoabdominal injuries is...
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RT-PCR Time to Negative Conversion Among COVID-19 Patients in State Isolation Centers North Eastern Nigeria
Jacob Amos Dunga,
Umar Dahuwa,
Yakubu Adamu,
Nura Hamidu Alkali,
Yusuf Bara Jibrin,
Sabiu Abdu Gwalabe,
Innocent Vakkai,
Ballah Abubakar,
Mohammad Alkali,
Jafiada Jacob Musa,
Umar Sabo Mustapha,
Auwal Abuabakar,
Yarima Yusuf Sulaiman,
Sati Awang,
Haruna Usman Liman,
Kefas Paul Zawaya,
Sule Jalva Bathnna,
Sulaiman Ya’u Hamid,
Shamaki Rimantso Manzo,
Yunana Ezekiel Dickson,
Omeh Pwaluwareino Fidelis
Issue:
Volume 10, Issue 4, July 2022
Pages:
98-106
Received:
16 November 2021
Accepted:
8 December 2021
Published:
17 August 2022
DOI:
10.11648/j.ajcem.20221004.13
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Abstract: This study is aimed at determining the real time reverse transcriptase polymerase chain reaction (RT-PCR) time to negative conversion among COVID-19 patients in the isolation camps in northeast Nigeria. All patients who were confirmed COVID positive from February 2020 till January 2021 were considered for this study. All patients were tested using RT-PCR. COVID-19 was confirmed by detecting SARS-CoV-2 RNA in throat swab samples. A total of 319 patients that met the criteria were used for this study, data for repeat RT-PCR was obtained from the patient’s records. Of thee 319 patients there were more patients between the ages of 16-30 and 31 to 45 which represent 90 (28%) and 79 (24.8) respectively. History of recent travels within 14 days before diagnoses was the highest identifiable risk factor among the study population 169 (46.9). Symptoms of Fever 81 (19.9%), cough 77 (18.9%) and sore throat 40 (9.8%) were among the commonest presenting symptoms, while other symptoms like Sneezing, sputum, rhinorrhea, diarrhoea, Anosmia, vomiting and ageusia were also seen at varying frequencies. There were 22% of cases with co-morbidity, the most common among which were hypertension 43 (60.6%), diabetes 16 (22.5%), chronic kidney disease 4 (5.6%), heart failure 3 (4.2%), Ischemic heart disease 2 (2.8%) and chronic diseases 3 (4.2%). Within 3 weeks of isolation 86.2% of patients had negative RT-PCR repeat test and 306 (96%) had their symptoms resolved and a negative repeat RT-PCR at the end of the 6 weeks isolation period. There were 4.1% (13) mortality (p=0.001). In conclusion we found a median 2 weeks (14 days) period of negative conversion among affected patients, old age, presence of co- morbid conditions and sex are identifiable risks for delayed conversion and mortality among patients. Most patients converted within the first 3 weeks of isolation and prompt management. Therefore early presentation, prompt management and close monitoring of patients, that are aged and or with co-morbidities is paramount in reducing morbidity and mortality among SARS CoV 2 patients.
Abstract: This study is aimed at determining the real time reverse transcriptase polymerase chain reaction (RT-PCR) time to negative conversion among COVID-19 patients in the isolation camps in northeast Nigeria. All patients who were confirmed COVID positive from February 2020 till January 2021 were considered for this study. All patients were tested using ...
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