RESUMEN
BACKGROUND: The aim of this study was to determine whether the lateralization distance causes differences in the flattening ratio of the natal cleft, early complications, or recurrence rates in patients with sacrococcygeal pilonidal sinus disease undergoing the modified Limberg flap. METHODS: This clinical study was conducted from March 2012 to April 2013. Forty patients with sacrococcygeal pilonidal sinus disease were divided into two groups of 20 patients, each according to the lateralization distance of the lower part of the Limberg flap incision (Group I, 1 cm lateralized; Group II, 2 cm lateralized). Early wound complications, recurrence rates, and the flattening ratio of the natal cleft were evaluated. RESULTS: No statistically significant differences in operating time (mean 42.2 ± 5.7 and 42.3 ± 6.4 min, respectively; p = 0.855), drain removal time [median 3 (range 2-10) and 4 (range 2-14) days, respectively; p = 0.1], or length of hospitalization [median 1 (range 1-3) and 1 (range 1-4) days, respectively; p = 0.775] were found between the groups. The mean follow-up period was 12.8 ± 3.7 months. Recurrence was observed in only one patient of Group II. There were no statistically significant differences in the flattening ratio of the natal cleft, overall wound complications, or recurrence between the two groups. CONCLUSIONS: No statistically significant differences in early complications or recurrence rates were found between the two different lateralization distances in the modified Limberg flap procedure. Therefore, we conclude that 1-cm lateralization of the lower part of the incision is sufficient.
Asunto(s)
Seno Pilonidal/cirugía , Colgajos Quirúrgicos/cirugía , Adolescente , Adulto , Femenino , Estudios de Seguimiento , Humanos , Tiempo de Internación , Masculino , Tempo Operativo , Complicaciones Posoperatorias , Estudios Prospectivos , Recurrencia , Región Sacrococcígea , Técnicas de Sutura , Cicatrización de Heridas , Adulto JovenRESUMEN
BACKGROUND: Subacromial impingement syndrome (SIS) is the most common reason for shoulder pain. Ultrasound and laser are the physical therapy modalities, in conservative treatment of SIS. AIM: The aim of this study was to define and compare the efficacy of ultrasound, laser and exercise in the treatment of SIS. DESIGN: This was a randomized controlled trial with-pre and post-treatment evaluations SETTING: Out-patients referred to physical medicine and rehabilitation unit. POPULATION: This study was performed on 52 patients with SIS. The patients were randomly allocated into three groups METHODS: The patients were treated five days a week for three weeks with hotpack+ultrasound+exercise (the first group); hotpack+laser+exercise (the second group), or hotpack+exercise (the third group). The pre and post treatment ranges of motion were measured in the patients. The visual analogue scale (VAS) was used to evaluate the severity of pain. Constant scoring was used to evaluate the shoulder functions and the results were compared after the treatment. RESULTS: When the post-treatment results of the groups were compared with the pretreatment results, there was a statistically significant improvement in each of the three groups, in the pain, the range of motion and the functional improvement at the shoulder (P<0.05). However, the inter-group comparison did not reveal any statistically significant difference in the parameters indicating improvement (P>0.05). CONCLUSION: The results of this study demonstrated that ultrasound and laser treatments were not superior to each other in the treatment of SIS. CLINICAL REHABILITATION IMPACT: . Exercise treatment forms the base for the conservative treatment.
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Terapia por Ejercicio/métodos , Terapia por Láser/métodos , Síndrome de Abducción Dolorosa del Hombro/terapia , Terapia por Ultrasonido/métodos , Análisis de Varianza , Distribución de Chi-Cuadrado , Femenino , Calor , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Rango del Movimiento Articular/fisiología , Síndrome de Abducción Dolorosa del Hombro/fisiopatología , Resultado del TratamientoRESUMEN
BACKGROUND: In this study, we aimed to evaluate the efficacy of rehabilitation in patients with acute transverse myelitis (ATM). METHOD: The patients were included in rehabilitation program in the rehabilitation unit. Spasticity of the patients was evaluated by modified Ashworth scale at baseline and at the end of treatment. The functional independence measurement (FIM), Barthel index and functional ambulatory scale (FAS) values were as well evaluated at baseline and at the end of the treatment, and the results were compared to evaluate the efficacy of the rehabilitation program. RESULTS: A total of 13 patients (6 males, 7 females) with transverse myelitis were included in the study. The mean +/- SD of age of the patients was 14.30 +/- 3.14. The mean +/- SD of duration of disease was 4.5 +/- 1.85 weeks. There was statistically significant difference in modified Ashworth scale, FIM, and FAS values when the baseline and after treatment values were compared, which indicated improvement due to treatment (p < 0.05). CONCLUSIONS: We concluded that in patients with ATM, rehabilitation of patients contributes to clinical and functional improvement of the disease (Tab. 2, Fig. 1, Ref. 23).
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Mielitis Transversa/rehabilitación , Adolescente , Niño , Femenino , Humanos , Masculino , Modalidades de Fisioterapia , Adulto JovenRESUMEN
Selective catalytic reduction of NO with NH3 over high weight percentage CeO2-zeolites showed excellent NOx conversions at very high space velocities under simulated exhaust gas conditions in the presence of H2O.
RESUMEN
CeO2-HFerrierite catalysts, prepared by physically mixing the components, showed very high conversions of NO under dry and wet conditions and excellent regeneration properties of the coked catalyst in the presence of water.
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Contaminantes Atmosféricos , Cerio , Óxidos de Nitrógeno/aislamiento & purificación , Zeolitas , Contaminación del Aire/prevención & control , Alquenos , Catálisis , Indicadores y ReactivosRESUMEN
OBJECTIVE: Subacromial impingement syndrome (SIS) is a frequent cause of shoulder pain. The aim of this study was to investigate the diagnostic values of clinical diagnostic tests, in patients with SIS. METHODS: 72 female, 48 male patients with shoulder pain were included in the study. Five had bilateral shoulder pain, so 125 painful shoulders were evaluated. Details were recorded about the patients' ages and sexes, as well as characteristics of pain and related problems. Detailed physical examination and routine laboratory tests were performed. Conventional radiography and subsequent magnetic resonance imaging of the shoulder region of all patients were performed. Patients were divided into two groups according to the results of subacromial injection test, a reference standard test for SIS. Test positive patients constituted SIS group and test negative patients the non-SIS group. Sensitivity, specificity, accuracy, positive and negative predictive values of some clinical diagnostic tests such as Neer, Hawkins, horizontal adduction, painful arc, drop arm, Yergason and Speed tests for SIS were determined by using 2 x 2 table. RESULTS: The most sensitive diagnostic tests were found to be Hawkins test (92.1%), Neer test (88.7%) and horizontal adduction test (82.0%). Tests with highest specificity were drop arm test (97.2%), Yergason test (86.1%) and painful arc test (80.5%) consecutively. CONCLUSION: The highly sensitive tests seem to have low specificity values and the highly specific ones to have low sensitivity values. Although this finding suggests that these diagnostic tests are insufficient for certain diagnosis, it is suggested they play an important part in clinical evaluation.