Exploring postoperative outcomes for ingrown toenails. NaOH vs wedge resection techniques.

BACKGROUND: Ingrown (or ingrowing) toenail is a commonly used term for onychocryptosis, in which the nail becomes inserted into the lateral fold of the toe. The resulting effect on a person's health, well-being, and ability to work suggests the importance of clear treatment guidance, but little consensus exists. OBJECTIVE: To explore postoperative recovery after surgery for ingrown toenails using chemical (sodium hydroxide (NaOH)) or mechanical (wedge resection) matricectomy and thus contribute to understanding within the field on which to base treatment guidelines. METHODS: One hundred sixty-one procedures were undertaken, 94 using NaOH and 67 using wedge resection. Four measures of postoperative recovery were recorded: recurrence, infection, time to discharge, and number of postoperative visits. RESULTS: Patients treated with NaOH had lower rates of recurrence (p = .048) and infection (p = .03) than those treated with wedge resection, and time to discharge was shorter (p = .02), but they had more postoperative visits (p = .003). CONCLUSION: Low rates of recurrence and infection and short postoperative recovery time were found after both procedures, with a small advantage with treatment with NaOH. The authors argue for the value of clinical intervention using matricectomy in early stages to avoid complications resulting from granulation tissue growth.

[Analysis of the effect of physical group activities in patients with acquired brain injury in the subacute phase]. / Analisis del efecto de las actividades fisicas grupales en pacientes con daño cerebral adquirido en fase subaguda.

INTRODUCTION: The term acquired brain injury (ABI) refers to any kind of non-degenerative injury that occurs in the brain. Group physical activities (GPA) are an effective treatment that improves the functional capacity. AIMS: To analyse the efficacy of a GPA programme in persons with ABI in the subacute phase so that they can be re-integrated physically in the community. PATIENTS AND METHODS: Thirty-three patients with ABI, aged 33.18 ± 10.39 years, took part in a 10-week GPA programme (circuit workshops, simple equilibrium, dual equilibrium, dual displacement and physical-sports activities). At the start and the end of the programme the following variables were evaluated: speed (10-metre walking speed test), resistance (six-minute walk test), dynamic balance (Step Test), functional capacity (Timed Up and Go), safety perception scale (Activities-specific Balance Confidence Scale) and Physical Activity and Disability Survey (PADS), the average per hour intensity of the activity and the number of steps outside the rehabilitation centre (using physical activity monitors). The t test for related samples was used to evaluate the differences among the variables. RESULTS: Significant differences were found (p <= 0.05) in the variables speed, resistance, balance, functional capacity, perception of safety, perception of general activity performance (question 3 of the PADS) and number of steps. CONCLUSIONS: GPA programmes improve physical capacities, perception of safety, performance of activity in general and the number of steps, which can lead to greater participation in the community.

TITLE: Analisis del efecto de las actividades fisicas grupales en pacientes con daño cerebral adquirido en fase subaguda.Introduccion. El daño cerebral adquirido (DCA) hace referencia a cualquier tipo de lesion no degenerativa que se produce en el cerebro. Las actividades fisicas grupales (AFG) se presentan como un tratamiento efectivo para la mejora de la capacidad funcional. Objetivo. Analizar la eficacia de un programa de AFG en personas con DCA en fase subaguda para su integracion fisica en la comunidad. Pacientes y metodos. Treinta y tres pacientes con DCA, con una edad de 33,18 ± 10,39 años, participaron en un programa de AFG (talleres de circuito, equilibrio simple, equilibrio dual, desplazamiento dual y actividades fisico-deportivas) de 10 semanas. Al comenzar y concluir el programa se evaluaron las variables de velocidad (prueba de velocidad de la marcha en 10 metros), resistencia (prueba de marcha de seis minutos), equilibrio dinamico (Step Test), capacidad funcional (Timed Up and Go), escala de percepcion de seguridad (Activities-specific Balance Confidence Scale) y Physical Activity and Disability Survey (PADS), el promedio por hora de la intensidad de la actividad y el numero de pasos fuera del centro de rehabilitacion (usando monitores de actividad fisica). La prueba t para muestras relacionadas se utilizo para evaluar las diferencias en las variables. Resultados. Se hallaron diferencias significativas (p <= 0,05) en las variables de velocidad, resistencia, equilibrio, capacidad funcional, percepcion de seguridad, percepcion de realizacion de actividad general (pregunta 3 del PADS) y numero de pasos. Conclusion. Los programas de AFG mejoran las capacidades fisicas, percepcion de seguridad, realizacion de actividad en general y numero de pasos, lo que puede conllevar una mayor participacion en la comunidad.

Análisis del efecto de las actividades físicas grupales en pacientes con daño cerebral adquirido en fase subaguda / Analysis of the effect of physical group activities in patients with acquired brain injury in the subacute phase

Introducción. El daño cerebral adquirido (DCA) hace referencia a cualquier tipo de lesión no degenerativa que se produce en el cerebro. Las actividades físicas grupales (AFG) se presentan como un tratamiento efectivo para la mejora de la capacidad funcional. Objetivo. Analizar la eficacia de un programa de AFG en personas con DCA en fase subaguda para su integración física en la comunidad. Pacientes y métodos. Treinta y tres pacientes con DCA, con una edad de 33,18 ± 10,39 años, participaron en un programa de AFG (talleres de circuito, equilibrio simple, equilibrio dual, desplazamiento dual y actividades físico-deportivas) de 10 semanas. Al comenzar y concluir el programa se evaluaron las variables de velocidad (prueba de velocidad de la marcha en 10 metros), resistencia (prueba de marcha de seis minutos), equilibrio dinámico (Step Test), capacidad funcional (Timed Up & Go), escala de percepción de seguridad (Activities-specific Balance Confidence Scale) y Physical Activity and Disability Survey (PADS), el promedio por hora de la intensidad de la actividad y el número de pasos fuera del centro de rehabilitación (usando monitores de actividad física). La prueba t para muestras relacionadas se utilizó para evaluar las diferencias en las variables. Resultados. Se hallaron diferencias significativas (p ≤ 0,05) en las variables de velocidad, resistencia, equilibrio, capacidad funcional, percepción de seguridad, percepción de realización de actividad general (pregunta 3 del PADS) y número de pasos. Conclusión. Los programas de AFG mejoran las capacidades físicas, percepción de seguridad, realización de actividad en general y número de pasos, lo que puede conllevar una mayor participación en la comunidad (AU)

Introduction. The term acquired brain injury (ABI) refers to any kind of non-degenerative injury that occurs in the brain. Group physical activities (GPA) are an effective treatment that improves the functional capacity. Aims. To analyse the efficacy of a GPA programme in persons with ABI in the subacute phase so that they can be reintegrated physically in the community.Patients and methods. Thirty-three patients with ABI, aged 33.18 ± 10.39 years, took part in a 10-week GPA programme (circuit workshops, simple equilibrium, dual equilibrium, dual displacement and physical-sports activities). At the start and the end of the programme the following variables were evaluated: speed (10-metre walking speed test), resistance (sixminute walk test), dynamic balance (Step Test), functional capacity (Timed Up & Go), safety perception scale (Activitiesspecific Balance Confidence Scale) and Physical Activity and Disability Survey (PADS), the average per hour intensity of the ctivity and the number of steps outside the rehabilitation centre (using physical activity monitors). The t test for related samples was used to evaluate the differences among the variables. Results. Significant differences were found (p ≤ 0.05) in the variables speed, resistance, balance, functional capacity, perception of safety, perception of general activity performance (question 3 of the PADS) and number of steps. Conclusions. GPA programmes improve physical capacities, perception of safety, performance of activity in general and the number of steps, which can lead to greater participation in the community (AU)