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Placement of an intrauterine device within 48 hours after early medical abortion-a randomized controlled trial.

BACKGROUND: Intrauterine devices are safe, well-tolerated, and known to reduce the risk of unwanted pregnancies. At medical abortion, intrau … estational sac was found. Three patients in the intervention group and 2 in the control group had a vacuum aspiration. No difference was found in intrauterine device expulsion rates between the groups. Expulsion during the first 6 months after abortion was experienced by 9 of 97 (9.3%) patients in the intervention group and 4 of 89 (4.5%; P=.25) in the c …

[Repair of complex wounds on hands after burns or trauma].

Objective: To explore the repair methods and effects of the complex wounds on hands after burns or trauma. Methods: From January 2008 to Dec … f deep tissue exposure. Five patients with small area exposure were treated with artificial dermis+ vacuum sealing drainage (VSD)+ autogenous skin grafting. Thirty-eight patients with unilateral large area exposure on palm or dorsum were treated with segmented ligation of abdominal thin flaps (with area of 8 cm×7 cm to 15 cm×9 cm). Two patients with bila …

[Analysis of causes and treatment methods of complication of early acute kidney injury in four severely burned patients].

Objective: To analyze the causes of complication of early acute kidney injury (AKI) in four severely burned patients, and to explore the rel … med by temporarily covering wounds with Jieya dressing skin or pig skin, multiple debridements, and vacuum sealing drainage. Fresh granulation wounds and other wounds underwent staged eschar excision and shaving were covered with autologous Meek skin graft, particulate skin graft, reticular skin graft and small skin graft respectively. The treatment outc …

Intravenous co-amoxiclav to prevent infection after operative vaginal delivery: the ANODE RCT.

BACKGROUND: Sepsis is a leading cause of direct and indirect maternal death in both the UK and globally. All forms of operative delivery are … l previous trial of prophylactic antibiotics following operative vaginal birth (forceps or ventouse/vacuum extraction) and, given the small study size and extreme result, suggested that further robust evidence is needed. OBJECTIVES: To investigate whether or not a single dose of prophylactic antibiotic following operative vaginal birth is clinically eff …

Medical and surgical abortion for women living with HIV.

BACKGROUND: The World Health Organization (WHO) guidelines for safe abortion recommend medical abortion with mifepristone and misoprostol or surgical abortion with vacuum aspiration or dilation and evacuation as safe and effective options for women. However, no specific clinical considerations are stipulated within these guidelines for women living with HIV. Concerns have been raised that women living with HIV may be at greater risk of adverse abortion outcomes compared to HIV-uninfected women due to immunosuppression, high rates of co-infection with other sexually transmitted infections, and …

Erectile rehabilitation with intracavernous alprostadil after radical prostatectomy: refusal and dropout rates.

UNLABELLED: Study Type--Therapy (outcomes) Level of Evidence 2a. What's known on the subject? and What does the study add? Erectile dysfunct … hes have been used, such as intracavernous prostaglandin E1 (PGE1), phosphodiesterase-5 inhibitors, vacuum devices and penile prostheses. Although many studies have addressed the main questions about efficacy of different approaches to ED, there is a lack of data about adherence to therapy and the main reasons why patients drop out of these treatment pro …

Физиотерапия половых дисфункций у пациентов с множественным склерозом: обзор клинических испытаний.

Множественный склероз (MS) представляет собой провокационное аутоиммунное расстройство, которое в первую очередь затрагивает центральную нервную систему, приводящее к значительной инвалидности у молодых людей, причем среди женщин отмечается более высокий уровень заболеваемости. Разнородное клиническое представление MS создает значительные проблемы с диагностикой и лечением. В последние годы значительное внимание уделяется повышению качества жизни пациентов, страдающих НР, при этом одним из ключевых компонентов этой оценки является сексуальное здоровье. В литературе говорится, что сексуальные д

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… Clitoral Vacuum Suction/Vibratory Stimulation Marcalee, Khurram, and others conducted a randomized trial to evaluate the effectiveness of two therapies for the treatment of neurogenic orgasmic dysfunction in women: clitoral vacuum suction and vibratory stimulation [ 29 ]. … In the experimental group, women used clitoral vacuum suction devices while the other group used vibratory stimulation. The goal of the intervention was to improve orgasmic ability. Effectiveness was evaluated using questionnaires and self-reports. …

[Exposure characteristics and health risk assessment of 97 typical chemical pollutants in human serum].

Rapid industrial and agricultural developments in China have led to the wide use and discharge of chemical products and pesticides, resultin … SPE cartridge and rinsed with 3 mL of methanol-water (6∶1, v/v). The SPE cartridge was subsequently vacuumed. The analytes were eluted with 3 mL of dichloromethane followed by 3 mL of n-hexane. The eluent was concentrated to near dryness under a gentle nitrogen stream and reconstituted with 100 μL of acetone. The samples were determined by GC-MS/MS and s …

Surveillance for waterborne-disease outbreaks--United States, 1995-1996.

PROBLEM/CONDITION: Since 1971, CDC and the U.S. Environmental Protection Agency have maintained a collaborative surveillance system for coll … hree of the four outbreaks caused by contamination from a cross-connection, an improperly installed vacuum breaker or a faulty backflow prevention device was identified; no protection against backsiphonage was found for the fourth outbreak. Thirty-seven outbreaks from 17 states were attributed to recreational water exposure and affected an estimated 9,12 …

[Survey of methods of cleaning, decontamination, disinfection and sterilization in dental health services in tropical areas].

The International Aid for Ontology (IAO) carried out this survey of hygiene in the dental health services of 5 French-speaking African count … was cleaned or disinfected daily in 68% of centers, mostly with soap (43%) or diluted bleach (23%). Vacuum equipment was cleaned with soap (50%) or diluted bleach (57%), with some surgeries using a combination of the two. Hand pieces and turbines were cleaned and disinfected after each use with alcohol (35%) or diluted bleach (26%) and were sterilized in …

Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT.

BACKGROUND: Major trauma is the leading cause of death in people aged < 45 years. Patients with major trauma usually have lower-limb fractur … absorbent dressing covered with a semipermeable membrane is connected to a pump to create a partial vacuum over the wound, versus standard dressings not involving negative pressure (n = 763). Trial participants and the treating surgeon could not be blinded to treatment allocation. MAIN OUTCOME MEASURES: Deep surgical site infection at 30 days was the pr …

Negative-pressure wound therapy versus standard dressings for adults with an open lower limb fracture: the WOLLF RCT.

BACKGROUND: Open fractures of the lower limb occur when a broken bone penetrates the skin and is exposed to the outside environment. These a … ze was placed over the surface of the wound and connected to a suction pump which created a partial vacuum over the dressing versus standard dressings not involving negative pressure (n = 234). MAIN OUTCOME MEASURES: Disability Rating Index (DRI) - a score of 0 (no disability) to 100 (completely disabled) at 12 months was the primary outcome measure, wi …

Регенеративная терапия на основе коллагена в критическом ишемическом диабиотическом ульце: доклад по делу о лимб-алкоголе.

58-летний мужчина с диабетом, конечной стадией почечных заболеваний и тяжелой периферической артерией страдал от хронической ишемической язвы ступни до одного года традиционной терапии. Инъекционная регенеративная терапия на основе коллагена привела к полной эпителиализации в течение трех месяцев и к долговременному спасению конечностей даже после техногенного рецидива, требующего реваскуляции.

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… Time point Event > 1 year prior Chronic, nonhealing plantar foot ulcer; conventional therapy (broad‐spectrum antibiotics, repeated debridement, vacuum‐assisted closure, advanced dressings) all unsuccessful. Recurrent multidrug‐resistant infections. … Broad‐spectrum intravenous and oral antibiotics guided by repeated wound cultures Repeated surgical debridement and vacuum‐assisted closure (VAC) therapy Multiple topical agents, including silver‐impregnated dressings, hydrogels, and antimicrobial gauze. …

Определение концепций физической активности, которые имеют клиническое значение для пациентов и лиц, обеспечивающих уход: систематический обзор качественных исследований.

Физическая активность (ПА) необходима для общего здоровья. Неоптимальная ПА связана с снижением качества жизни (QOL) и преждевременной смертью. При проведении клинических исследований и разработке терапевтических методов определение тех аспектов ПО, которые имеют значение для пациентов и лиц, обеспечивающих уход, имеет важнейшее значение для разработки специальных мероприятий, выявления индивидуальных контекстуальных факторов и повышения степени удовлетворенности пациентов и их участия в обеспечении их собственного благополучия. По мере быстрого развития цифровых технологий здравоохранения (ДТ

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… (person with DMD) “[I fear] getting down [to] where I can't live by myself.”… “The vacuum cleaner de‐winded me; sweeping is just as bad. I can't bend over … I can't raise my arms up or I lose my air, so I'm just really a helpless person.” … (person with DMD) “[I fear] getting down [to] where I can't live by myself.”… “The vacuum cleaner de‐winded me; sweeping is just as bad. I can't bend over … I can't raise my arms up or I lose my air, so I'm just really a helpless person.” …

[Determination of 40 carbonyl compounds in ambient air by high performance liquid chromatography-triple quadrupole mass spectrometry].

Carbonyl compounds （CCs） are a pivotal class of oxygenated volatile organic compounds in ambient air， which are mainly derived from natural … urally flowed through the DNPH cartridges in the opposite direction to the sampling direction） in a vacuum drying chamber， and then filtered through a 0.22 μm organic filter membrane and transferred to 1.5 mL brown sample bottles prior to instrumental analysis. Chromatographic separation was performed using a Sepax BR-C18 column （250 mm×4.6 mm， 5 μm） wit …

[Clinical efficacy of applying orthoplastic principle in treating Gustilo type ⅢB open ankle joint fractures].

Objective: To investigate the clinical efficacy of applying orthoplastic principle in treating Gustilo type ⅢB open ankle joint fractures. M … temporary stabilization. Nerves and tendons were repaired, and the remaining wound was covered with vacuum sealing drainage dressing. Phase Ⅰ-Stage 2: on days 3 to 7 after injury, the wound was debrided again, and the antibiotic bone cement was replaced. The internal fixation was adjusted or retained according to the fracture status, and an anterolateral …

A Detailed Study on using Novel LM 25 Aluminium Alloy Hybrid Metal Matrix Nanocomposite for Nuclear Applications.

AIM: This article describes the use of graphite (Gr) and boron carbide (B4C) as multiple nanoparticle reinforcements in LM25 aluminum alloy. … strength, high wear resistance, high microhardness, high thermal and electrical conductivity, high vacuum environmental resistance, and low coefficient of thermal expansion under static and dynamic conditions are all demands for the hybrid metal matrix composites utilized in nuclear applications. OBJECTIVE: Stir casting is used to create the novel LM 2 …

[Clinical effects of free descending branch tissue flap of lateral circumflex femoral artery in repairing Wagner grade 3 or 4 diabetic foot wounds].

Objective: To investigate the clinical effects of free descending branch tissue flap of lateral circumflex femoral artery in repairing Wagner grade 3 or 4 diabetic foot wounds. Methods: A retrospective observational study was conducted. From October 2019 to January 2022, 12 patients (10 males and 2 females, aged 38-66 years, with an average of 52 years) with diabetic foot wounds who met the inclusion criteria were admitted to the First People's Hospital of Yulin, of whom 5 cases being Wagner grade 3 and 7 cases being Wagner grade 4. Wound debridement and vacuum sealing drainage were performed …

[Effects of comprehensive treatment of infected wounds in patients with iatrogenic Cushing's syndrome].

Objective: To investigate the characteristics and comprehensive treatment of infected wounds in patients with iatrogenic Cushing's syndrome. … ultidisciplinary assisted diagnosis and treatment, and the wounds were treated with debridement and vacuum sealing drainage, according to the size, severity of infection, suture tension, and bone and tendon tissue exposure of wounds, direct suture or autologous skin and/or artificial dermis and/or autologous tissue flap transplantation was selected for w …