Srp Ark Celok Lek
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Clinical Trial
[Transcutaneous electrical nerve stimulation therapy in reduction of orofacial pain].
Patients with craniomandibular disorders suffer from hypertonic, fatigued and painful masticatory muscles.This condition can lead to limitation of mandibular jaw movements. All of these symptoms and signs are included in myofascial pain dysfunction syndrome.Transcutaneous electrical nerve stimulation (TENS) has been used for treatment of these patients. ⋯ TENS therapy was confirmed as therapeutic procedure in orofacial muscle relaxation and pain reduction.
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Case Reports
Second look procedure for large burn defect by banana peel pericranial flap based on one artery.
Scalp and calvarial defects may result from trauma, thermal or electrical burns, resection of benign or malignant tumors, infections or radionecrosis. Reconstruction of large scalp defects is a demanding procedure. The reconstructive "ladder" are applicable to scalp and calvarial defects reconstruction. ⋯ Designing of large-scale flaps is very hazardous, especially in elderly people. Scalp reconstruction based on one artery has to be planned in detail and performed when the possibility of complication is reduced to minimum. Our case report underlines possible reconstruction as delayed procedure even with the exposed bone (second look procedure), as well as the reconstruction of half scalp with the local flap based on one pericranial artery.
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In relation to pre-hospital treatment of patients with cardiac arrest (CA) in the field where resuscitation is often started by nonprofessionals, resuscitation in hospital is most commonly performed by well-trained personnel. ⋯ In our study, the outcome of CPR was better in patients who were younger and with non-surgical diseases, which are prognostic factors that we cannot control. Factors associated with better outcome of IHCA patients were: continuous monitoring, shorter time until the delivery of the first DC and ALS. This means that better education of medical staff, better organization and up-to-dated technical equipment are needed.