Subject(s)
Diverticulitis/complications , Intestinal Perforation/complications , Osteomyelitis/etiology , Osteonecrosis/etiology , Sigmoid Diseases/complications , Acetabulum , Adult , Diverticulitis/diagnosis , Diverticulitis/therapy , Femur , Humans , Intestinal Perforation/diagnosis , Intestinal Perforation/therapy , Male , Osteomyelitis/diagnosis , Osteomyelitis/therapy , Osteonecrosis/diagnosis , Osteonecrosis/therapy , Sigmoid Diseases/diagnosis , Sigmoid Diseases/therapySubject(s)
Arthritis, Rheumatoid/complications , Fasciitis, Necrotizing/etiology , Fasciitis, Necrotizing/therapy , Staphylococcal Infections/etiology , Staphylococcal Infections/therapy , Staphylococcus epidermidis , Surgical Wound Infection/etiology , Surgical Wound Infection/therapy , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Debridement , Diabetes Complications , Female , Humans , Middle AgedABSTRACT
This case study describes the management of a patient with rheumatoid arthritis and diabetes mellitus who presented with necrotising fasciitis.
ABSTRACT
In a prospective study on 35 wounded persons we examined the effects of ozone on how well split-thickness skin grafts took in war wounds. Each of the 35 wounded persons hat at least two similar gunshot wounds, one on the lower leg or forearm and the other on the upper leg or upper arm. During the first 10 days all wounds were treated with 10% NaCl water solution dressings until the moment when healthy granulations were observed. Thereafter, the defects were covered with split-thickness skin grafts according to Thiersch. For technical reasons we treated grafts on the lower leg and forearm with ozone following the usual scheme. Grafts on the upper leg or upper arm were treated in the conventional way and they served as a control group. The results obtained in the group followed up are presented by percentage of graft takes after 10 days and accordingly compared with the results obtained in the control group. There was a higher percentage of takes in ozone-treated split-thickness skin grafts. More than 74.3% of the split-thickness skin grafts treated with ozone had a take of more than 75% of the covered surface as apposed to only 40% of the grafts treated with the conventional method. The results in these two groups were compared with a chi square matched pair test. Difference in take of the skin grafts in these two groups was statistically significant at P < 0.01.
Subject(s)
Arm Injuries/surgery , Leg Injuries/surgery , Ozone/administration & dosage , Skin Transplantation , Warfare , Wound Healing/drug effects , Wounds, Gunshot/surgery , Adult , Croatia , External Fixators , Graft Survival/drug effects , Humans , Male , Prospective Studies , Wound Infection/surgeryABSTRACT
The results of measurement of bone mass in three areas (lumbar spine, femoral neck and radius) where osteoporotic fractures most commonly occur are presented. The sample of 103 women was divided into three groups: premenopausal, early menopausal (up to 5 years of menopause) and late menopausal (more than 5 years of menopause). Both menopausal groups were additionally divided in two subgroups regarding the previous fractures. A statistically significant difference (p < 0.01) was found between bone mineral density (lumbar spine, femoral neck) and bone mineral content (radius) among all the groups. No difference was established for bone mass between postmenopausal women with and without fractures (> 0.05) by using the Kruskal-Wallis analysis of variance. A significant negative correlation (p < 0.01) was found between bone mass in all three tested regions on one side vs age of women as well as the period of menopause on the other. These results indicate that bone mass is significantly decreased in postmenopausal women. Therefore, the authors recommend densitometry to be employed in all postmenopausal women.
