scholarly journals Infections of Permanent Transvenous Pacemakers - Etiology, Medical Treatment and Optimal Surgical Techniques

10.5772/22364 ◽  
2011 ◽  
Author(s):  
Maria A. ◽  
Juan Galvez-Acebal ◽  
Omar A. ◽  
Nuria Miranda-Balbuena ◽  
Jose M.
Keyword(s):  
Medical Treatment ◽  
Surgical Techniques

Treating the Sick and Wounded

2013 ◽  
pp. 293-311
Author(s):  
Christine F. Salazar
Keyword(s):  
Medical Treatment ◽  
Late Antiquity ◽  
Medical Literature ◽  
Surgical Techniques ◽  
Medical Knowledge ◽  
Classical Greece

This chapter discusses the wounds caused by warfare. Treating those who had been wounded in combat was a way of acquiring medical knowledge and of developing new surgical techniques. The majority of wounds—made by swords, spears, javelins, or arrows—will have been to the arms and legs. The most fatal were those penetrating the chest, abdomen, or head. The possible treatments for these wounds are reported. It can be stated that the medical treatment of casualties itself did not change very drastically in the roughly ten centuries between classical Greece and late antiquity, based on its reflection in medical literature. The main changes were arterial ligature, more adventurous surgery, and a trend toward polypharmacy from Hellenistic times onwards.

The Efficacy and Morbidity of Different Surgical Treatment Techniques for Chronic Anal Fissure: An Academic Colorectal Experience

2014 ◽  
Vol 80 (3) ◽  
pp. 241-244 ◽  
Author(s):  
Yuliya Yurko ◽  
Jay A. Crockett ◽  
Patrick J. Culumovic
Keyword(s):  
Medical Treatment ◽  
Healing Rate ◽  
Surgical Techniques ◽  
Healing Time ◽  
Complete Healing ◽  
Additional Treatment ◽  
Similar Time ◽  
Hospital System ◽  
Significant Difference ◽  
Flatus Incontinence

Up to 40 per cent of chronic fissures will fail to heal with medical treatment alone. Open (OLIS) and closed (CLIS) lateral internal sphincterotomies are considered by many to be the treatment of choice for chronic anal fissures (CAF). The aim of this study was to compare the efficacy and clinical outcomes of different surgical techniques for treatment of CAF. We performed a retrospective chart review of 387 patients with CAF who underwent surgical intervention performed by colorectal surgeons between 2006 and 2012 at Greenville Hospital System. Of 387 patients, 199 underwent OLIS, 124 CLIS, and 64 patients underwent fissurectomy alone (FE). We investigated the effect of the surgical technique on time of healing, rate of flatus incontinence, wound infection, recurrence, and the need for additional intervention. There was no statistically significant difference among patients undergoing OLIS, CLIS, and FE in demographic characteristic, time of healing, rate of wound infections, and fecal continence, or recurrence rate. Comparison of a combined lateral internal sphincterotomy (LIS) group with FE showed that there is similar time of healing ( P = 0.58), no statistical difference in flatus incontinence rate ( P = 0.61), urinary retention ( P = 1.0), fissure recurrence ( P = 0.11), and prolonged healing ( P = 0.2). Patients in FE group more likely required additional treatment to complete wound healing ( P = 0.02). LIS is a safe and effective technique for treatment of CAF. Although there was no difference in complications rate and healing time, patients in the FE group required additional surgical or medical treatment more frequently to achieve complete healing.

Parents' Perception of Diagnostic Reports and Conferences

1983 ◽  
Vol 14 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Betty U. Watson ◽  
Ronald W. Thompson
Keyword(s):  
Medical Treatment ◽  
Diagnostic Information ◽  
Learning Language ◽  
Speech Learning ◽  
Hearing Problems

The purpose of this study was to evaluate parents' reactions and understanding of diagnostic information from written reports and conferences in a clinic which provides multidisciplinary evaluations for children with speech, learning, language, and hearing problems. Previous studies and anecdotal reports suggested that many parents do not receive appropriate diagnostic information about their children. In the present study questionnaires were mailed to parents who had received reports of evaluations and most of whom had attended hour-long conferences covering the findings. Questionnaires were also sent to professionals who had received reports. Fifty-seven percent of the parents, and 63% of the professionals returned the questionnaires. Ninety percent of the parents indicated that they had understood the results as they were presented in the conference. Ninety-three percent of the professionals and 89% of the parents stated they understood the conclusions of the written reports .Further, 83% of the parents and 80% of the professionals reported that the findings had made a change in the child's educational or medical treatment. The percentage of parents who reported understanding the findings was greater than expected. The specific informing techniques used in this study are discussed.

Gastric Band Bypass Beats Medical Treatment

2005 ◽  
Vol 38 (2) ◽  
pp. 68
Author(s):  
Jane Salodof MACNeil
Keyword(s):  
Medical Treatment ◽  
Gastric Band
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