RESUMEN
OBJECTIVE: To assess benefits of surgical intervention at an early age and focus on surgical techniques using exclusively autologous cartilage grafts. METHODS: Five children aged 8-15 years, treated between March 2016 and 2020, underwent augmentation rhinoplasty using autologous cartilage, with post-operative follow up ranging from 1.5 to 2 years. Photographs and Rhinoplasty Outcome Evaluation questionnaire scores were examined. RESULTS: Augmentation was achieved without complications. No restricted skin or mucosal pockets were encountered. Patients showed improved confidence and perspective with regard to self-image, and were less socially self-conscious. There was significant improvement in all Rhinoplasty Outcome Evaluation questionnaire scores. CONCLUSION: Early surgery allows augmentation with easier release of skin and mucosal pockets, and without the tension otherwise encountered if primary augmentation is performed at a later age. It offers a chance to improve confidence and self-perception in a growing child conscious about their appearance, which may make them socially withdrawn. Autologous cartilage gives better results than bone grafts, and is comparable with silicone but without its complications.
Asunto(s)
Cartílago/trasplante , Anomalías Maxilofaciales/cirugía , Rinoplastia/métodos , Adolescente , Niño , Intervención Médica Temprana , Femenino , Humanos , Masculino , Trasplante AutólogoRESUMEN
Diagnosis of drug resistance tuberculosis (TB) by the gold standard method is labour intensive and time consuming. Hence, there is an urgent need for introduction of rapid diagnostic techniques. Line probe assay (LPA) and cartridge-based nucleic acid amplification test (CBNAAT) have been introduced in India under Revised National Tuberculosis Control Program. Spot and morning sputum samples of previously treated patients by anti-TB drugs were subjected to LPA or CBNAAT. Total 682/1253 (54.4%) were diagnosed as rifampicin-resistant. The patients could be diagnosed early by molecular methods and put on second line treatment.
Asunto(s)
Antituberculosos/farmacología , Farmacorresistencia Bacteriana , Técnicas de Diagnóstico Molecular/métodos , Rifampin/farmacología , Tuberculosis Resistente a Múltiples Medicamentos/microbiología , Diagnóstico Precoz , Humanos , India , Estudios RetrospectivosRESUMEN
With the emergence of Transfusion Medicine Department the definition of Blood Bank has changed. Today, it is not just a bank to collect & issue blood, it prepares and supplies individual blood component, to the patients as and when the need arises during the course of treatment. The planning & management of any blood bank depends on number of functions it is required to serve and the number of units of demand of blood & blood products. This has also changed the role of nursing from skilled nursing care to managing the blood bank services. Hence, there is a need for the nursing personnel to know about the recent advances in planning and management of transfusion medicine, so that they can handle this dual responsibility as a Nurse and a manager.
Asunto(s)
Bancos de Sangre/organización & administración , Enfermeras Administradoras , Rol de la Enfermera , Personal de Enfermería en Hospital/organización & administración , Donantes de Sangre , Transfusión Sanguínea/métodos , Transfusión Sanguínea/enfermería , Documentación , Planificación Hospitalaria/organización & administración , Humanos , Personal de Enfermería en Hospital/tendencias , Reacción a la TransfusiónRESUMEN
The article highlights the lack of training facilities for hospital management in the entire North Eastern Region, explores the quantum of need of the training in the region by identifying hospitals, other health institutions and manpower in the region which require, for their qualitative and quantitative improvement, the expertise in hospital management, and recommends suitable courses of hospital management to start with.