Vladimir Zaichick
Vladimir Zaichick
Institution: Radionuclide Diagnostics Department, Medical Radiological Research Centre,
Email: vzaichick@gmail.com
Role of chemical elements (ChE) in etiology and pathogenesis of Riedel’s disease (RD) is unclear. The aim of this exploratory study was to assess whether
there were significant changes in thyroid tissue levels of eight ChE (Br, Ca Cl, I, K, Mg, Mn, and Na) are present in the fibrotic transformed...
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Role of chemical elements (ChE) in etiology and pathogenesis of Riedel’s disease (RD) is unclear. The aim of this exploratory study was to assess whether
there were significant changes in thyroid tissue levels of eight ChE (Br, Ca Cl, I, K, Mg, Mn, and Na) are present in the fibrotic transformed thyroid. Eight
ChE of thyroid tissue were determined in 6 patients with RD. The control group included thyroid tissue samples from 105 healthy individuals. Measurements
were conducted using non-destructive instrumental neutron activation analysis with high-resolution spectrometry of short-lived radionuclides. Reduced
mean values of Ca and I content in 6.3 and 6.7 times, respectively, while elevated level of Br in 5.1 times were found in thyroid with RD in comparison with
normal level. Because considerable changes in some ChE contents in tissue of thyroid with RD were found, it is reasonable to assume that the levels of these
ChE in affected thyroid tissue can be used as RD markers. However, this topic needs additional studies.
Less
2 years ago
Phuong Le Dang,
Phuong Le Dang
Institution: iversity Medical Center at Ho Chi Minh City, 215 Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, Viet Nam
Email: phuong.dl@umc.edu.vn
Anh Minh Nguyen
Anh Minh Nguyen
Institution: iversity Medical Center at Ho Chi Minh City, 215 Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, Viet Nam
Email: anh.nm@umc.edu.vn
Introduction: Interlaminar Endoscopic Lumbar Disckectomy has been found to offer symptomatic alleviation
comparable to open disckectomy while reducing blood loss, postoperative discomfort, complications, hospital
stay, and narcotic use. General anesthesia decreases intraoperative stress, but surge...
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Introduction: Interlaminar Endoscopic Lumbar Disckectomy has been found to offer symptomatic alleviation
comparable to open disckectomy while reducing blood loss, postoperative discomfort, complications, hospital
stay, and narcotic use. General anesthesia decreases intraoperative stress, but surgeons may not be sure whether
they injure nerve roots. Free-run electromyography may protect nerve roots that are thought to be in danger from
surgery.
Methods: Patients with L4L5 or L5S1 lumbar disc herniation were treated with IELD. EMG was monitored via
needle electrodes in lateral vastus lateralis, anterior tibialis, abductor hallucis muscles. Surgeons were asked to
halt the surgery and adjust their manipulation right when abnormal EMG appeared on the screen. The severity of
signs and symptoms were noted pre- and post-operatively.
Results: In all 26 cases, the median of visual analogue scale (VAS) of low back pain was 4.5. That of radicular pain
was 7. Two patients had motor weakness at L4 or S1 muscles. One patient has sensory loss at L5 dermatome. The
level of disc herniation was 46% at L4L5 and 56% at L5S1. The complications included only superficial infection
in two patients that were effectively managed with antibiotics. During postoperative follow-up, all patients
recovered completely without any neurological deficit. f-EMG signal included uneventful (9 patients), burst/
spike (10 patients), A-train (3 patients, and C-train (4 patients)
Conclusion: Free-run EMG is a protective mean in IELD. All surgeons will profit from this technique in the early
stages of their learning curve. To examine the outcomes, further comparative research and prospective, ran-
domized, controlled trials should be undertaken.
Less
2 years ago
Helena Rosen,
Helena Rosen
Institution: Department of Health Sciences, Faculty of Medicine, Lund University,
Email: helena.rosen@med.lu.se
Eva Perrson,
Eva Perrson
Institution: Department of Health Sciences, Faculty of Medicine, Lund University,
Email: helena.rosen@med.lu.se
Rebecca Perrson,
Rebecca Perrson
Institution: Department of Health Sciences, Faculty of Medicine, Lund University,
Email: helena.rosen@med.lu.se
Eva Drevenhorn
Eva Drevenhorn
Institution: Department of Health Sciences, Faculty of Medicine, Lund University,
Email: helena.rosen@med.lu.se
Background among the 1–1.5 billion persons with hypertension globally only, 20–30% have controlled blood pressure (BP). The most important problem identified is non-adherence to treatment, i.e., failure to change lifestyle and to take prescribed medication. Knowledge about the reasons for this i...
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Background among the 1–1.5 billion persons with hypertension globally only, 20–30% have controlled blood pressure (BP). The most important problem identified is non-adherence to treatment, i.e., failure to change lifestyle and to take prescribed medication. Knowledge about the reasons for this is limited. Objectives The aim of the study was to explore people's experiences of having hypertension. Design Inductive design based on qualitative interviews. Settings The south of Sweden. Participants Twelve adults diagnosed with hypertension and treated in primary care were interviewed. Methods The transcribed interviews were analysed using content analysis, which rendered three categories. Results The individuals adapted to their diagnosis in different ways. Collaboration with the staff gave security, but the persons still perceived anxiety and uncertainty. Conclusions To meet the needs of people with hypertension, strategies such as person-centred counselling and care, using digital interventions, following national guidelines and starting nurse-led clinics, may be of help. These strategies can give a foundation for increased self-efficacy, which is crucial for persons to be able to change lifestyle and adhere to prescribed medication in order to achieve BP control.
Less
2 years ago