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( Ahmed Zaghloul Fouad ),( Iman Riad M. Abdel-aal ),( Mohamed Rabie Mohamed Ali Gadelrab ),( Hany Mohammed El-hadi Shoukat Mohammed ) 대한통증학회 2021 The Korean Journal of Pain Vol.34 No.2
Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following nonrecurrent inguinal herniorrhaphy.
Mohamed A. Aboamer,Ahmed A. Aboamer,Doaa H. Elgohary,Tarek M. Alqahtani,Ahmed Abdel-Hadi,Samiya M. Al-Mutairi,Tarek M. El-Bagory,Khaled M. Alshareef,Nader A. Rahman Mohamed 대한기계학회 2022 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.36 No.12
The aim of this research is to investigate the sterilizing effect of UVB radiation on the degradation and oxidation of low- and high-density polyethylene specimens using ASTM 638 and 695. Polyethylene is a reliable, efficient, and low-cost biomaterial and an alternative to various bone transplants. Twenty high-density polyethylene (HDPE) specimens and twenty low-density polyethylene (LDPE) specimens were used for tensile and compression testing. The dosage of 13.5 J/cm 2 was chosen with an exposure time of 48 minutes during the sterilization process. In terms of mechanical tensile properties, LDPE has a lower effect compared with HDPE. The p-value of yield stress equals 3.008×10 -4 , the p-value of ultimate stress equals 2.5×10 -4 , and the p-value of break stress equals 0.0075.
Wankhade Bhushan Sudhakar,Alrais Zeyad Faoor,Ghaya Zeyad Alrais,Hadi Ammar Mohamed Abdel,Naidu Gopala Arun Kumar,Abbas Mohammed Shahid,Kheir Ahmed Tarek Youssef Aboul,Hadad Hasan,Sharma Sundareswaran 대한중환자의학회 2023 Acute and Critical Care Vol.38 No.2
Background Polytrauma from road accidents is a common cause of hospital admissions and deaths, frequently leading to acute kidney injury (AKI) and impacting patient outcomes. Methods This retrospective, single-center study included polytrauma victims with an Injury Severity Score (ISS) >25 at a tertiary healthcare center in Dubai. Results The incidence of AKI in polytrauma victims is 30.5%, associated with higher Carlson comorbidity index (P=0.021) and ISS (P=0.001). Logistic regression shows a significant relationship between ISS and AKI (odds ratio [OR], 1.191; 95% confidence interval [CI], 1.150–1.233; P<0.05). The main causes of trauma-induced AKI are hemorrhagic shock (P=0.001), need for massive transfusion (P<0.001), rhabdomyolysis (P=0.001), and abdominal compartment syndrome (ACS; P<0.001). On multivariate logistic regression AKI can be predicated by higher ISS (OR, 1.08; 95% CI, 1.00–1.17; P=0.05) and low mixed venous oxygen saturation (OR, 1.13; 95% CI, 1.05–1.22; P<0.001). The development of AKI after polytrauma increases length of stay (LOS)-hospital (P=0.006), LOS-intensive care unit (ICU; P=0.003), need for mechanical ventilation (MV) (P<0.001), ventilator days (P=0.001), and mortality (P<0.001). Conclusions After polytrauma, the occurrence of AKI leads to prolonged hospital and ICU stays, increased need for mechanical ventilation, more ventilator days, and a higher mortality rate. AKI could significantly impact their prognosis.