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pre-operative</title> <meta name="description" content="Search results for: pre-operative"> <meta name="keywords" content="pre-operative"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block d-lg-none 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action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="pre-operative"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 134</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: pre-operative</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">134</span> The Overlooked Problem Among Surgical Patients: Preoperative Anxiety at Ethiopian University Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yohtahe%20Woldegerima%20Berhe">Yohtahe Woldegerima Berhe</a>, <a href="https://publications.waset.org/abstracts/search?q=Tadesse%20Belayneh%20Melkie"> Tadesse Belayneh Melkie</a>, <a href="https://publications.waset.org/abstracts/search?q=Girmay%20Fitiwi%20Lema"> Girmay Fitiwi Lema</a>, <a href="https://publications.waset.org/abstracts/search?q=Marye%20Getnet"> Marye Getnet</a>, <a href="https://publications.waset.org/abstracts/search?q=Wubie%20Birlie%20Chekol"> Wubie Birlie Chekol</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Anxiety was repeatedly reported as the worst aspect of the perioperative time. The objective of this study was to assess the prevalence of preoperative anxiety among adult surgical patients at the University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia. Methodology: Hospital-based cross-sectional study was conducted among surgical patients at the university hospital. After obtaining ethical approval, 407 surgical patients were approached during the preoperative period. Preoperative anxiety was assessed by the State-Trait Anxiety Inventory. The association between variables was determined by using binary logistic regression analysis. The strength of association was described in adjusted odds ratio (AOR) and a p-value < 0.05 at a 95% confidence interval which was considered statistically significant. Results: A total of 400 patients were included in this study, with a 98.3% response rate. Preoperative anxiety was observed among 237 (59.3%) patients, and the median (IQR) STAI score was 50 (40 – 56.7). age ≥ 60 years (AOR: 5.7, CI: 1.6 – 20.4, P: 0.007), emergency surgery (AOR: 2.5, CI: 1.3 – 4.7, P: 0.005), preoperative pain (AOR: 2.6, CI: 1.2 – 5.4, P: 0.005), and rural residency (AOR: 1.8, CI: 1.1 – 2.9, P: 0.031) were found significantly associated with preoperative anxiety. Conclusions: The prevalence of preoperative anxiety among surgical patients was high. Older age (≥ 60 years), emergency surgery, preoperative pain, and rural residency were found to be significantly associated with preoperative anxiety. Assessment for preoperative anxiety should be a routine component of preoperative assessment of both elective and emergency surgical patients. Preoperative pain should be appropriately managed as it can help to reduce preoperative anxiety. Optimal anxiety reduction methods should be investigated and implemented in the hospital. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20anxiety" title="preoperative anxiety">preoperative anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety" title=" anxiety"> anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety%20of%20anesthesia%20and%20surgery" title=" anxiety of anesthesia and surgery"> anxiety of anesthesia and surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=state-trait%20anxiety%20%20inventory" title=" state-trait anxiety inventory"> state-trait anxiety inventory</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20care" title=" preoperative care"> preoperative care</a> </p> <a href="https://publications.waset.org/abstracts/193666/the-overlooked-problem-among-surgical-patients-preoperative-anxiety-at-ethiopian-university-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/193666.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">14</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">133</span> An Audit on Optimum Utilisation of Preoperative Clinic</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vidya%20Iyer">Vidya Iyer</a>, <a href="https://publications.waset.org/abstracts/search?q=Suresh%20Babu%20Loganathan"> Suresh Babu Loganathan</a>, <a href="https://publications.waset.org/abstracts/search?q=Yuan%20Hwa%20Lee"> Yuan Hwa Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Kwong%20Fah%20Koh"> Kwong Fah Koh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: It has been recommended that every patient undergoes careful preoperative evaluation in a preoperative clinic to improve theatre utilization, reduce bed occupancy and avoid unnecessary cancellation due to inadequate optimisation, communication and administrative errors. It also gives an opportunity to counsel patients regarding different aspects of anaesthesia. Methodology: A retrospective audit of all the patients seen in preoperative assessment clinic, referral letters of all the patients postponed / referred to other sub specialities in the perioperative period from June 2012 - June 2013 was done. In our clinic, we retrieved patient records who were awaiting surgery pending clearance by other sub specialities. Those patients, who could continue with their scheduled date of surgery after having been referred, were not included in the file. We also studied details of same day cancellations from the data base, during the same study period. The reasons for cancellation were examined and defined as avoidable and unavoidable. Results: Less than 0.5% was postponed from the scheduled day of surgery. Less than 0.5% was cancelled on the day of surgery. Conclusions: Patients who undergo pre anaesthetic evaluation in a well-established clinic results in adequate preoperative patient optimisation, avoids unnecessary preoperative admission, efficient theatre utilisation and greater patient satisfaction. The benefits are the result of guidelines and timely update of them which are used by the junior doctors and trainees who run the clinic and a dedicated specialist to supervise them. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20assessment" title="preoperative assessment">preoperative assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=clinic" title=" clinic"> clinic</a>, <a href="https://publications.waset.org/abstracts/search?q=referrals" title=" referrals"> referrals</a>, <a href="https://publications.waset.org/abstracts/search?q=cancellation" title=" cancellation"> cancellation</a> </p> <a href="https://publications.waset.org/abstracts/37748/an-audit-on-optimum-utilisation-of-preoperative-clinic" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37748.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">331</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">132</span> Fluctuation of Serum Creatinine: Preoperative and Postoperative Evaluation of Chronic Kidney Disease Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chowdhury%20Md.%20Navim%20Kabir">Chowdhury Md. Navim Kabir</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Renal impairment is one of the most severe non-communicable diseases around the world. Especially patients with diagnosed/newly diagnosed renal impairment who need surgery are more focused on preoperative and postoperative preparation. Serum creatinine is the prime biochemical marker for assessing renal function, and the level of impairment is widely measured by this marker as well as Glomerular Filtration Rate (GFR). Objective: Factors responsible for fluctuating serum creatinine during preoperative and postoperative periods and minimizing the process of serum creatinine is the ultimate goal of this study. Method: 37 patients participated in this cross-sectional study who were previously diagnosed/newly diagnosed. They were admitted to different tertiary-level hospitals for emergency or elective surgery. Fifteen patients were admitted in the renal function impairment stage and 22 were admitted as normal patients’. Values of creatinine at the pre-admission stage and 2nd/3rd post-admission follow-up were compared. Results: 0.41 was the average of 22 patients' creatinine between pre-admission and 2nd/3rd follow-up. The responsible factor like prolonged staying, immobilization, co-morbidities, different preoperative antibiotics and Non-Steroidal Anti Inflammatory Drugs (NSAIDs) were also inducers for creatinine elevation. After postoperative hemodialysis rapid decrease of creatinine is seen in normal patients, but this decrease is very much minor in Chronic Kidney Disease (CKD) diagnosed patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CKD" title="CKD">CKD</a>, <a href="https://publications.waset.org/abstracts/search?q=Meropenam" title=" Meropenam"> Meropenam</a>, <a href="https://publications.waset.org/abstracts/search?q=NSAID" title=" NSAID"> NSAID</a>, <a href="https://publications.waset.org/abstracts/search?q=comorbidities" title=" comorbidities"> comorbidities</a>, <a href="https://publications.waset.org/abstracts/search?q=immobilized" title=" immobilized"> immobilized</a> </p> <a href="https://publications.waset.org/abstracts/162981/fluctuation-of-serum-creatinine-preoperative-and-postoperative-evaluation-of-chronic-kidney-disease-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162981.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">73</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">131</span> Impact of Preoperative Physiotherapy Care in Total Hip Arthroplasty in Slovakia and Austria</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Peter%20Kutis">Peter Kutis</a>, <a href="https://publications.waset.org/abstracts/search?q=Vladimir%20Littva"> Vladimir Littva</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nowadays, it is necessary to ensure that this reduction in costs is not at the expense of the quality of health care and future medical success. In general, physiotherapy for total hip joint arthroplasty is considered to be a routine matter that deals mainly with mobility training, increased muscular strength, and basic day-to-day activities such as bed-to-chair transition, standing, and walking. Within the KEGA project no. 003KU-4-2021, we decided to investigate preoperative physiotherapy care in Slovakia and Austria in total hip arthroplasty patients to shortened overall recovery. Research Sample and Methods: The sample comprised 498 respondents –patients who were indicated to total hip arthroplasty on the territory of Slovakia and Austria. There were 130 women in Slovakia and 135 women in Austria. The numbers of men were 120 in Slovakia and 113 men in Austria. The age of respondents was between 40 and 85 years of age. As a method of our research, we chose a non-standardized questionnaire, which consisted of three parts. The first part for the initial examination of the patient contained the identification of the patient according to the assigned number and subsequently 19 questions conditioned by the physical examination and evaluation of the patients. The second part of our questionnaire was completed after the patient's hospitalization and contained 10 questions that were conditioned by the patient's examination. The last third part for the overall assessment of the patient's state of health consisted of 12 questions conditioned by the patient's examination. This part was performed at the last meeting with the patient at the end of the treatment. All data were statistically processed by SPSS 25. Results: All data were evaluated at a significance level of p = 0.05. From the comparison of patients who underwent preoperative preparation, we can clearly state that the total duration of treatment is significantly shorter. A t-test of two mean values with uneven variance was used to verify the validity of the assumption. The total duration of treatment in patients with preoperative preparation was on average 92,635 days and without preoperative preparation was on average 135,884 days (t-Stat = 44,52784, t Critical one-tail = 1,648187415, t Critical two-tail = 1,965157). Conclusion: The results obtained during the research show the importance of adequate preoperative physiotherapeutic preparation of the patient. The results of total hip joint arthroplasty studies showed a significant reduction in a hospital stay as well as shortened total treatment time. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=THA" title="THA">THA</a>, <a href="https://publications.waset.org/abstracts/search?q=physiotherapy" title=" physiotherapy"> physiotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=recovery" title=" recovery"> recovery</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20physiotherapy%20care" title=" preoperative physiotherapy care"> preoperative physiotherapy care</a> </p> <a href="https://publications.waset.org/abstracts/141859/impact-of-preoperative-physiotherapy-care-in-total-hip-arthroplasty-in-slovakia-and-austria" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/141859.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">178</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">130</span> Preoperative versus Postoperative Radiation Therapy in Patients with Soft Tissue Sarcoma of the Extremity</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=AliAkbar%20Hafezi">AliAkbar Hafezi</a>, <a href="https://publications.waset.org/abstracts/search?q=Jalal%20Taherian"> Jalal Taherian</a>, <a href="https://publications.waset.org/abstracts/search?q=Jamshid%20Abedi"> Jamshid Abedi</a>, <a href="https://publications.waset.org/abstracts/search?q=Mahsa%20Elahi"> Mahsa Elahi</a>, <a href="https://publications.waset.org/abstracts/search?q=Behnam%20Kadkhodaei"> Behnam Kadkhodaei</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Soft tissue sarcomas (STS) are generally treated with a combination of limb preservation surgery and radiation therapy. Today, preoperative radiation therapy is considered for accurate treatment volume and smaller field size. Therefore, this study was performed to compare preoperative with postoperative radiation therapy in patients with extremity STS. Methods: In this non-randomized clinical trial, patients with localized extremity STS referred to the orthopedic clinics in Iran from 2021 to 2023 were studied. Patients were randomly divided into two groups: preoperative and postoperative radiation therapy. The two groups of patients were compared in terms of acute (wound dehiscence and infection) and late (limb edema, subcutaneous fibrosis, and joint stiffness) complications and their severity, as well as local recurrence and other one-year outcomes. Results: A total of 80 patients with localized extremity STS were evaluated in two treatment groups. The groups were matched in terms of age, sex, history of diabetes mellitus, hypertension, smoking, involved side, involved extremity, lesion location, and tumor histopathology. The acute complications of treatment in the two groups of patients did not differ significantly (P > 0.05). Of the late complications, only joint stiffness between the two groups had significant statistical differences (P < 0.001). The severity of all three late complications in the postoperative radiation therapy group was significantly higher (P < 0.05). There was no significant difference between the two groups in terms of the rate of local recurrence of other one-year outcomes (P > 0.05). Conclusion: This study showed that in patients with localized extremity STS, the two therapeutic approaches of adjuvant and neoadjuvant radiation therapy did not differ significantly in terms of local recurrence and distant metastasis during the one-year follow-up period and due to fewer late complications in preoperative radiotherapy group, this treatment approach can be a better choice than postoperative radiation therapy. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=soft%20tissue%20sarcoma" title="soft tissue sarcoma">soft tissue sarcoma</a>, <a href="https://publications.waset.org/abstracts/search?q=extremity" title=" extremity"> extremity</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20radiation%20therapy" title=" preoperative radiation therapy"> preoperative radiation therapy</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20radiation%20therapy" title=" postoperative radiation therapy"> postoperative radiation therapy</a> </p> <a href="https://publications.waset.org/abstracts/185610/preoperative-versus-postoperative-radiation-therapy-in-patients-with-soft-tissue-sarcoma-of-the-extremity" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185610.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">44</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">129</span> Study on the Effect of Pre-Operative Patient Education on Post-Operative Outcomes </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chaudhary%20Itisha">Chaudhary Itisha</a>, <a href="https://publications.waset.org/abstracts/search?q=Shankar%20Manu"> Shankar Manu </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Patient satisfaction represents a crucial aspect in the evaluation of health care services. Preoperative teaching provides the patient with pertinent information concerning the surgical process and the intended surgical procedure as well as anticipated patient behavior (anxiety, fear), expected sensation, and the probable outcomes. Although patient education is part of Accreditation protocols, it is not uniform at most places. The aim of this study was to try to assess the benefit of preoperative patient education on selected post-operative outcome parameters; mainly, post-operative pain scores, requirement of additional analgesia, return to activity of daily living and overall patient satisfaction, and try to standardize few education protocols. Dependent variables were measured before and after the treatment on a study population of 302 volunteers. Educational intervention was provided by the Investigator in the preoperative period to the study group through personal counseling. An information booklet contained detailed information was also provided. Statistical Analysis was done using Chi square test, Mann Whitney u test and Fischer Exact Test on a total of 302 subjects. P value <0.05 was considered as level of statistical significance and p<0.01 was considered as highly significant. This study suggested that patients who are given a structured, individualized and elaborate preoperative education and counseling have a better ability to cope up with postoperative pain in the immediate post-operative period. However, there was not much difference when the patients have had almost complete recovery. There was no difference in the requirement of additional analgesia among the two groups. There is a positive effect of preoperative counseling on expected return to the activities of daily living and normal work schedule. However, no effect was observed on the activities in the immediate post-operative period. There is no difference in the overall satisfaction score among the two groups of patients. Thus this study concludes that there is a positive benefit as suggested by the results for pre-operative patient education. Although the difference in various parameters studied might not be significant over a long term basis, they definitely point towards the benefits of preoperative patient education.  <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=patient%20education" title="patient education">patient education</a>, <a href="https://publications.waset.org/abstracts/search?q=post-operative%20pain" title=" post-operative pain"> post-operative pain</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20outcomes" title=" postoperative outcomes"> postoperative outcomes</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20satisfaction" title=" patient satisfaction"> patient satisfaction</a> </p> <a href="https://publications.waset.org/abstracts/51642/study-on-the-effect-of-pre-operative-patient-education-on-post-operative-outcomes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51642.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">339</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">128</span> Association of Preoperative Pain Catastrophizing with Postoperative Pain after Lower Limb Trauma Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Asish%20Subedi">Asish Subedi</a>, <a href="https://publications.waset.org/abstracts/search?q=Krishna%20Pokharel"> Krishna Pokharel</a>, <a href="https://publications.waset.org/abstracts/search?q=Birendra%20Prasad%20Sah"> Birendra Prasad Sah</a>, <a href="https://publications.waset.org/abstracts/search?q=Pashupati%20Chaudhary"> Pashupati Chaudhary</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives: To evaluate an association between preoperative Nepali pain catastrophizing scale (N-PCS) scores and postoperative pain intensity and total opioid consumption. Methods: In this prospective cohort study we enrolled 135 patients with an American Society of Anaesthesiologists physical status I or II, aged between 18 and 65 years, and scheduled for surgery for lower-extremity fracture under spinal anaesthesia. Maximum postoperative pain reported during the 24 h was classified into two groups, no-mild pain group (Numeric rating scale [NRS] scores 1 to 3) and a moderate-severe pain group (NRS 4-10). The Spearman correlation coefficient was used to compare the association between the baseline N-PCS scores and outcome variables, i.e., the maximum NRS pain score and the total tramadol consumption within the first 24 h after surgery. Logistic regression models were used to identify the predictors for the intensity of postoperative pain. Results: As four patients violated the protocol, the data of 131 patients were analysed. Mean N-PCS scores reported by the moderate-severe pain group was 27.39 ±9.50 compared to 18.64 ±10 mean N-PCS scores by the no-mild pain group (p<0.001). Preoperative PCS scores correlated positively with postoperative pain intensity (r =0.39, [95% CI 0.23-0.52], p<0.001) and total tramadol consumption (r =0.32, [95% CI 0.16-0.47], p<0.001). An increase in catastrophizing scores was associated with postoperative moderate-severe pain (odds ratio, 1.08 [95% confidence interval, 1.02-1.15], p=0.006) after adjusting for gender, ethnicity and preoperative anxiety. Conclusion: Patients who reported higher pain catastrophizing preoperatively were at increased risk of experiencing moderate-severe postoperative pain. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=nepali" title="nepali">nepali</a>, <a href="https://publications.waset.org/abstracts/search?q=pain%20catastrophizing" title=" pain catastrophizing"> pain catastrophizing</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20pain" title=" postoperative pain"> postoperative pain</a>, <a href="https://publications.waset.org/abstracts/search?q=trauma" title=" trauma"> trauma</a> </p> <a href="https://publications.waset.org/abstracts/138601/association-of-preoperative-pain-catastrophizing-with-postoperative-pain-after-lower-limb-trauma-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/138601.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">120</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">127</span> Comparison of the Effects of Alprazolam and Zaleplon on Anxiety Levels in Patients Undergoing Abdominal Gynecological Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shekoufeh%20Behdad">Shekoufeh Behdad</a>, <a href="https://publications.waset.org/abstracts/search?q=Amirhossein%20Yadegari"> Amirhossein Yadegari</a>, <a href="https://publications.waset.org/abstracts/search?q=Leila%20Ghodrati"> Leila Ghodrati</a>, <a href="https://publications.waset.org/abstracts/search?q=Saman%20Yadegari"> Saman Yadegari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Context: Preoperative anxiety is a common psychological reaction experienced by all patients undergoing surgery. It can have negative effects on the patient's well-being and even impact surgical outcomes. Therefore, finding effective interventions to reduce preoperative anxiety is important in improving patient care. Research Aim: The aim of this study is to compare the effects of oral administration of zaleplon (5 mg) and alprazolam (0.5 mg) on preoperative anxiety levels in women undergoing gynecological abdominal surgery. Methodology: This study is a double-blind, randomized clinical trial conducted after receiving approval from the university's ethics committee and obtaining written informed consent from the patients. The night before the surgery, patients were randomly assigned to receive either 0.5 mg of alprazolam or 5 mg of zaleplon orally. Anxiety levels, measured using a 10-cm visual analog scale, and hemodynamic variables (blood pressure and heart rate) were assessed before drug administration and on the morning of the operation after the patient entered the pre-operation room. Findings: The study found that there were no significant differences in mean anxiety levels or hemodynamic variables before and after administration of either drug in both groups (P value > 0.05). This suggests that both 0.5 mg of alprazolam and 5 mg of zaleplon effectively reduce preoperative anxiety in women undergoing abdominal surgery without serious side effects. Theoretical Importance: This study contributes to the understanding of the effectiveness of alprazolam and zaleplon in reducing preoperative anxiety. It adds to the existing literature on pharmacological interventions for anxiety management, specifically in the context of gynecological abdominal surgery. Data Collection: Data for this study were collected through the assessment of anxiety levels using a visual analog scale and measuring hemodynamic variables, including systolic, diastolic, and mean arterial blood pressures, as well as heart rate. These measurements were taken before drug administration and on the morning of the surgery. Analysis Procedures: Statistical analysis was performed to compare the mean anxiety levels and hemodynamic variables before and after drug administration in the two groups. The significance of the differences was determined using appropriate statistical tests. Questions Addressed: This study aimed to answer the question of whether there are differences in the effects of alprazolam and zaleplon on preoperative anxiety levels in women undergoing gynecological abdominal surgery. Conclusion: The oral administration of both 0.5 mg of alprazolam and 5 mg of zaleplon the night before surgery effectively reduces preoperative anxiety in women undergoing abdominal surgery. These findings have important implications for the management of preoperative anxiety and can contribute to improving the overall surgical experience for patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=zaleplon" title="zaleplon">zaleplon</a>, <a href="https://publications.waset.org/abstracts/search?q=alprazolam" title=" alprazolam"> alprazolam</a>, <a href="https://publications.waset.org/abstracts/search?q=premedication" title=" premedication"> premedication</a>, <a href="https://publications.waset.org/abstracts/search?q=abdominal%20surgery" title=" abdominal surgery"> abdominal surgery</a> </p> <a href="https://publications.waset.org/abstracts/169133/comparison-of-the-effects-of-alprazolam-and-zaleplon-on-anxiety-levels-in-patients-undergoing-abdominal-gynecological-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/169133.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">80</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">126</span> Preoperative Anxiety Evaluation: Comparing the Visual Facial Anxiety Scale/Yumul Faces Anxiety Scale, Numerical Verbal Rating Scale, Categorization Scale, and the State-Trait Anxiety Inventory</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Roya%20Yumul">Roya Yumul</a>, <a href="https://publications.waset.org/abstracts/search?q=Chse"> Chse</a>, <a href="https://publications.waset.org/abstracts/search?q=Ofelia%20Loani%20Elvir%20Lazo"> Ofelia Loani Elvir Lazo</a>, <a href="https://publications.waset.org/abstracts/search?q=David%20Chernobylsky"> David Chernobylsky</a>, <a href="https://publications.waset.org/abstracts/search?q=Omar%20Durra"> Omar Durra</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Preoperative anxiety has been shown to be caused by the fear associated with surgical and anesthetic complications; however, the current gold standard for assessing patient anxiety, the STAI, is problematic to use in the preoperative setting given the duration and concentration required to complete the 40-item extensive questionnaire. Our primary aim in the study is to investigate the correlation of the Visual Facial Anxiety Scale (VFAS) and Numerical Verbal Rating Scale (NVRS) to State-Trait Anxiety Inventory (STAI) to determine the optimal anxiety scale to use in the perioperative setting. Methods: A clinical study of patients undergoing various surgeries was conducted utilizing each of the preoperative anxiety scales. Inclusion criteria included patients undergoing elective surgeries, while exclusion criteria included patients with anesthesia contraindications, inability to comprehend instructions, impaired judgement, substance abuse history, and those pregnant or lactating. 293 patients were analyzed in terms of demographics, anxiety scale survey results, and anesthesia data via Spearman Coefficients, Chi-Squared Analysis, and Fischer’s exact test utilized for comparison analysis. Results: Statistical analysis showed that VFAS had a higher correlation to STAI than NVRS (rs=0.66, p<0.0001 vs. rs=0.64, p<0.0001). The combined VFAS-Categorization Scores showed the highest correlation with the gold standard (rs=0.72, p<0.0001). Subgroup analysis showed similar results. STAI evaluation time (247.7 ± 54.81 sec) far exceeds VFAS (7.29 ± 1.61 sec), NVRS (7.23 ± 1.60 sec), and Categorization scales (7.29 ± 1.99 sec). Patients preferred VFAS (54.4%), Categorization (11.6%), and NVRS (8.8%). Anesthesiologists preferred VFAS (63.9%), NVRS (22.1%), and Categorization Scales (14.0%). Of note, the top five causes of preoperative anxiety were determined to be waiting (56.5%), pain (42.5%), family concerns (40.5%), no information about surgery (40.1%), or anesthesia (31.6%). Conclusions: Combined VFAS-Categorization Score (VCS) demonstrates the highest correlation to the gold standard, STAI. Both VFAS and Categorization tests also take significantly less time than STAI, which is critical in the preoperative setting. Among both patients and anesthesiologists, VFAS was the most preferred scale. This forms the basis of the Yumul FACES Anxiety Scale, designed for quick quantization and assessment in the preoperative setting while maintaining a high correlation to the golden standard. Additional studies using the formulated Yumul FACES Anxiety Scale are merited. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=numerical%20verbal%20anxiety%20scale" title="numerical verbal anxiety scale">numerical verbal anxiety scale</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20anxiety" title=" preoperative anxiety"> preoperative anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=state-trait%20anxiety%20inventory" title=" state-trait anxiety inventory"> state-trait anxiety inventory</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20facial%20anxiety%20scale" title=" visual facial anxiety scale"> visual facial anxiety scale</a> </p> <a href="https://publications.waset.org/abstracts/148676/preoperative-anxiety-evaluation-comparing-the-visual-facial-anxiety-scaleyumul-faces-anxiety-scale-numerical-verbal-rating-scale-categorization-scale-and-the-state-trait-anxiety-inventory" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/148676.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">140</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">125</span> Comparison of the Yumul Faces Anxiety Scale to the Categorization Scale, the Numerical Verbal Rating Scale, and the State-Trait Anxiety Inventory for Preoperative Anxiety Evaluation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ofelia%20Loani%20Elvir%20Lazo">Ofelia Loani Elvir Lazo</a>, <a href="https://publications.waset.org/abstracts/search?q=Roya%20Yumul"> Roya Yumul</a>, <a href="https://publications.waset.org/abstracts/search?q=David%20Chernobylsky"> David Chernobylsky</a>, <a href="https://publications.waset.org/abstracts/search?q=Omar%20Durra"> Omar Durra</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: It is crucial to detect the patient’s existing anxiety to assist patients in a perioperative setting which is to be caused by the fear associated with surgical and anesthetic complications. However, the current gold standard for assessing patient anxiety, the STAI, is problematic to use in the preoperative setting, given the duration and concentration required to complete the 40-item questionnaire. Our primary aim in the study is to investigate the correlation of the Yumul Visual Facial Anxiety Scale (VFAS) and Numerical Verbal Rating Scale (NVRS) to State-Trait Anxiety Inventory (STAI) to determine the optimal anxiety scale to use in the perioperative setting. Methods: A clinical study of patients undergoing various surgeries was conducted utilizing each of the preoperative anxiety scales. Inclusion criteria included patients undergoing elective surgeries, while exclusion criteria included patients with anesthesia contraindications, inability to comprehend instructions, impaired judgement, substance abuse history, and those pregnant or lactating. 293 patients were analyzed in terms of demographics, anxiety scale survey results, and anesthesia data via Spearman Coefficients, Chi-Squared Analysis, and Fischer’s exact test utilized for comparative analysis. Results: Statistical analysis showed that VFAS had a higher correlation to STAI than NVRS (rs=0.66, p<0.0001 vs. rs=0.64, p<0.0001). The combined VFAS-Categorization Scores showed the highest correlation with the gold standard (rs=0.72, p<0.0001). Subgroup analysis showed similar results. STAI evaluation time (247.7 ± 54.81 sec) far exceeds VFAS (7.29 ± 1.61 sec), NVRS (7.23 ± 1.60 sec), and Categorization scales (7.29 ± 1.99 sec). Patients preferred VFAS (54.4%), Categorization (11.6%), and NVRS (8.8%). Anesthesiologists preferred VFAS (63.9%), NVRS (22.1%), and Categorization Scales (14.0%). Of note, the top five causes of preoperative anxiety were determined to be waiting (56.5%), pain (42.5%), family concerns (40.5%), no information about surgery (40.1%), or anesthesia (31.6%). Conclusıons: Both VFAS and Categorization tests also take significantly less time than STAI, which is critical in the preoperative setting. Combined VFAS-Categorization Score (VCS) demonstrates the highest correlation to the gold standard, STAI. Among both patients and anesthesiologists, VFAS was the most preferred scale. This forms the basis of the Yumul Faces Anxiety Scale, designed for quick quantization and assessment in the preoperative setting while maintaining a high correlation to the golden standard. Additional studies using the formulated Yumul Faces Anxiety Scale are merited. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=numerical%20verbal%20anxiety%20scale" title="numerical verbal anxiety scale">numerical verbal anxiety scale</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20anxiety" title=" preoperative anxiety"> preoperative anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=state-trait%20anxiety%20inventory" title=" state-trait anxiety inventory"> state-trait anxiety inventory</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20facial%20anxiety%20scale" title=" visual facial anxiety scale"> visual facial anxiety scale</a> </p> <a href="https://publications.waset.org/abstracts/149278/comparison-of-the-yumul-faces-anxiety-scale-to-the-categorization-scale-the-numerical-verbal-rating-scale-and-the-state-trait-anxiety-inventory-for-preoperative-anxiety-evaluation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/149278.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">117</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">124</span> Myomectomy and Blood Loss: A Quality Improvement Project</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ena%20Arora">Ena Arora</a>, <a href="https://publications.waset.org/abstracts/search?q=Rong%20Fan"> Rong Fan</a>, <a href="https://publications.waset.org/abstracts/search?q=Aleksandr%20Fuks"> Aleksandr Fuks</a>, <a href="https://publications.waset.org/abstracts/search?q=Kolawole%20Felix%20Akinnawonu"> Kolawole Felix Akinnawonu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Leiomyomas are benign tumors that are derived from the overgrowth of uterine smooth muscle cells. Women with symptomatic leiomyomas who desire future fertility, myomectomy should be the standard surgical treatment. Perioperative hemorrhage is a common complication in myomectomy. We performed the study to investigate blood transfusion rate in abdominal myomectomies, risk factors influencing blood loss and modalities to improve perioperative blood loss. Methods: Retrospective chart review was done for patients who underwent myomectomy from 2016 to 2022 at Queens hospital center, New York. We looked at preoperative patient demographics, clinical characteristics, intraoperative variables, and postoperative outcomes. Mann-Whitney U test were used for parametric and non-parametric continuous variable comparisons, respectively. Results: A total of 159 myomectomies were performed between 2016 and 2022, including 1 laparoscopic, 65 vaginal and 93 abdominal. 44 patients received blood transfusion during or within 72 hours of abdominal myomectomy. The blood transfusion rate was 47.3%. Blood transfusion rate was found to be twice higher than the average documented rate in literature which is 20%. Risk factors identified were black race, preoperative hematocrit<30%, preoperative blood transfusion within 72 hours, large fibroid burden, prolonged surgical time, and abdominal approach. Conclusion: Preoperative optimization with iron supplements or GnRH agonists is important for patients undergoing myomectomy. Interventions to decrease intra operative blood loss should include cell saver, tourniquet, vasopressin, misoprostol, tranexamic acid and gelatin-thrombin matrix hemostatic sealant. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=myomectomy" title="myomectomy">myomectomy</a>, <a href="https://publications.waset.org/abstracts/search?q=perioperative%20blood%20loss" title=" perioperative blood loss"> perioperative blood loss</a>, <a href="https://publications.waset.org/abstracts/search?q=cell%20saver" title=" cell saver"> cell saver</a>, <a href="https://publications.waset.org/abstracts/search?q=tranexamic%20acid" title=" tranexamic acid"> tranexamic acid</a> </p> <a href="https://publications.waset.org/abstracts/162776/myomectomy-and-blood-loss-a-quality-improvement-project" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162776.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">85</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">123</span> Preoperative Parental Anxiety is not Associated with Postoperative Emergence Agitation in Children Undergoing Adenoidectomy and/or Tonsillectomy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=S.%20%C3%96cal">S. Öcal</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Erakg%C3%BCn"> A. Erakgün</a>, <a href="https://publications.waset.org/abstracts/search?q=E.%20Y%C3%BCksel"> E. Yüksel</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20N.%20Deniz"> M. N. Deniz</a>, <a href="https://publications.waset.org/abstracts/search?q=E.%20%20Erhan"> E. Erhan</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20%C3%87ertu%C4%9F"> A. Çertuğ</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Emergence agitation (EA) is defined as a dissociated state of consciousness during the early post-anesthesia period in which the child is inconsolable, irritable, uncompromising or uncooperative, typically thrashing, crying, moaning, or incoherent, and not recognizing or identifying familiar and known objects or people. Some studies found preoperative parental anxiety to be a predictor of EA. Methods: Seventy-four children, between the ages of 3-12 undergoing adenoidectomy/tonsillectomy at Ege University Hospital, were studied. Anesthesia was induced and maintained using 2% sevoflurane in 50% oxygen and 50% air following a premedicative dose of 0.5mg/kg oral midazolam. After the children were taken into the operating theater, the mothers were given the State-Trait Anxiety Inventory (STAI) questionnaire. To evaluate EA, Post Anesthetic Emergence Delirium (PAED) score of the children were noted every 10min during the first 30min of the postoperative period. EA was defined with a highest PAED score of ≥ 10, and non-EA with a highest PAED score of ≤ 9. Results: In this study, the incidence of postoperative EA was 31% (34% under the age of 6 and 19% over). Mothers of children with EA were found not to be significantly more anxious on STAI compared to mothers of non-EA children. Conclusions: Contrary to some earlier studies, we were unable to find an association between preoperative parental anxiety and postoperative EA. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=parental%20anxiety" title="parental anxiety">parental anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=emergence%20agittion" title=" emergence agittion"> emergence agittion</a>, <a href="https://publications.waset.org/abstracts/search?q=Post%20Anesthetic%20Emergence%20Delirium" title=" Post Anesthetic Emergence Delirium"> Post Anesthetic Emergence Delirium</a>, <a href="https://publications.waset.org/abstracts/search?q=anesthesia" title=" anesthesia"> anesthesia</a> </p> <a href="https://publications.waset.org/abstracts/29527/preoperative-parental-anxiety-is-not-associated-with-postoperative-emergence-agitation-in-children-undergoing-adenoidectomy-andor-tonsillectomy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/29527.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">342</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">122</span> Emergency Surgery in the Elderly, What Particularities</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mekroud%20Amel">Mekroud Amel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction The rate of use by the elderly of emergency departments, operating rooms and intensive care units has increased worldwide. Emergency surgery is a context where evaluation is often insufficient, with incomplete information gathering. The aim of this work is to shed light on the frequent use of emergency surgeries by the elderly and their characteristics, as well as on the lack of geriatric assessment scores in the emergency room. Material : Prospective, observational and descriptive, monocentric study. Patients aged 65 and over, admitted for emergency surgery in the operating room, were counted. Emergency operating room including visceral surgery, urology, traumatology and neurosurgery. Parameters studied: Patient characteristics, degree of autonomy, type of surgical pathology, operative management times, preoperative evaluation, postoperative outcome Results : 192 patients were identified over 12 months, from 09.01.2017 to 08.31.2018 Age from 65 to 101 years, 79.81 years +/- 8.38. With predominance of the age group between [65-75 years] 41.1% Female predominance, Sexratio = 0.81 Elderly subjects with total motor autonomy are in the majority at 57.8% Subjects without pathological ATCD represent 12.5% of cases Those who are on only one type of medication or without any treatment are at 36.9% Discussion : The emergency operative care of the elderly patient for a surgical or traumatological pathology is characterized by many specificities linked first to the emergency context, where the evaluation is often insufficient, besides the fact that the elderly patient has particularities requiring reception in centers with experience in the care of this category of patient, or, failing that, a center which uses the minimum of geriatric evaluation scores which are simplified for the emergency departments. In our hospital, we have not yet made this evaluation routine in the emergency room and this delay in the introduction of these scores can be directly attributed to the covid 19 pandemic. Besides the standard preoperative assessment, only 43.2% of patients were assessed in the preoperative period by an anesthesiologist. Traumatological emergencies come first 68.2% followed by visceral emergencies 19.2% (including proctological, urological emergencies), neurosurgical emergencies 7.8% and finally peripheral emergency surgery all acts combined 4.7%. Hospital stay at 9.6 +/- 16.8 days, average operability time of 4.5 +/- 3 days. Death rate at 7.29% Conclusion This work has demonstrated the major impact of emergency surgery, which remains curable for the most part, on the elderly patient despite total motor and cognitive autonomy preoperatively. The improvement of the preoperative evaluation, the reduction of the operating time and enhanced recovery after surgery, with personalized protocols, are the only guarantee for the resumption of preoperative autonomy in these patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency%20surgery" title="emergency surgery">emergency surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=elderly%20patients" title=" elderly patients"> elderly patients</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20geriatric%20scores" title=" preoperative geriatric scores"> preoperative geriatric scores</a>, <a href="https://publications.waset.org/abstracts/search?q=curable%20emergency%20surgical%20pathologies" title=" curable emergency surgical pathologies"> curable emergency surgical pathologies</a> </p> <a href="https://publications.waset.org/abstracts/160136/emergency-surgery-in-the-elderly-what-particularities" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160136.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">78</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">121</span> Anaesthetic Management of a Huge Oropharyngeal Mass</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vasudha%20%20Govil">Vasudha Govil</a>, <a href="https://publications.waset.org/abstracts/search?q=Suresh%20Singhal"> Suresh Singhal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Patients with oropharyngeal masses pose a challenge for an anaesthetist in terms of ventilation and tracheal intubation. Thus, preoperative assessment and preparation become an integral part of managing such anticipated difficult airway cases. Case report: A 45- year old female presented with growth in the oropharynx causing dysphagia and hoarseness of voice. Clinical examination and investigations predicted a difficult airway. It was managed with fibreoptic nasotracheal intubation with a successful perioperative outcome. Tracheostomy was kept as plan B in case of the CVCI situation. Conclusion: Careful preoperative examination and assessment is required to prepare oneself for difficult airway. Fibreoptic bronchoscope-guided nasotracheal intubation in a spontaneously breathing patient is a safe and successful airway management technique in difficult airway cases. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=airway" title="airway">airway</a>, <a href="https://publications.waset.org/abstracts/search?q=difficult" title=" difficult"> difficult</a>, <a href="https://publications.waset.org/abstracts/search?q=mass" title=" mass"> mass</a>, <a href="https://publications.waset.org/abstracts/search?q=oropharyngeal" title=" oropharyngeal"> oropharyngeal</a> </p> <a href="https://publications.waset.org/abstracts/134748/anaesthetic-management-of-a-huge-oropharyngeal-mass" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/134748.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">192</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">120</span> Preoperative 3D Planning and Reconstruction of Mandibular Defects for Patients with Oral Cavity Tumors</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Janis%20Zarins">Janis Zarins</a>, <a href="https://publications.waset.org/abstracts/search?q=Kristaps%20Blums"> Kristaps Blums</a>, <a href="https://publications.waset.org/abstracts/search?q=Oskars%20Radzins"> Oskars Radzins</a>, <a href="https://publications.waset.org/abstracts/search?q=Renars%20Deksnis"> Renars Deksnis</a>, <a href="https://publications.waset.org/abstracts/search?q=Atis%20Svare"> Atis Svare</a>, <a href="https://publications.waset.org/abstracts/search?q=Santa%20Salaka"> Santa Salaka</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Wide tumor resection remains the first choice method for tumors of the oral cavity. Nevertheless, remained tissue defect impacts patients functional and aesthetical outcome, which could be improved using microvascular tissue transfers. Mandibular reconstruction is challenging due to the complexity of composite tissue defects and occlusal relationships for normal eating, chewing, and pain free jaw motions. Individual 3-D virtual planning would provide better symmetry and functional outcome. The main goal of preoperative planning is to develop a customized surgical approach with patient specific cutting guides of the mandible, osteotomy guides of the fibula, pre-bended osteosynthesis plates to perform more precise reconstruction, to decrease the surgery time and reach the best outcome. Our study is based on the analysis of 32 patients operated on between 2019 to 2021. All patients underwent mandible reconstruction with vascularized fibula flaps. Patients characteristics, surgery profile, survival, functional outcome, and quality of life was evaluated. Preoperative planning provided a significant decrease of surgery time and the best arrangement of bone closely similar as before the surgery. In cases of bone asymmetry, deformity and malposition, a new mandible was created using 3D planning to restore the appearance of lower jaw anatomy and functionality. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=mandibular" title="mandibular">mandibular</a>, <a href="https://publications.waset.org/abstracts/search?q=3D%20planning" title=" 3D planning"> 3D planning</a>, <a href="https://publications.waset.org/abstracts/search?q=cutting%20guides" title=" cutting guides"> cutting guides</a>, <a href="https://publications.waset.org/abstracts/search?q=fibula%20flap" title=" fibula flap"> fibula flap</a>, <a href="https://publications.waset.org/abstracts/search?q=reconstruction" title=" reconstruction"> reconstruction</a> </p> <a href="https://publications.waset.org/abstracts/145543/preoperative-3d-planning-and-reconstruction-of-mandibular-defects-for-patients-with-oral-cavity-tumors" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/145543.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">126</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">119</span> Accuracy of Small Field of View CBCT in Determining Endodontic Working Length</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=N.%20L.%20S.%20Ahmad">N. L. S. Ahmad</a>, <a href="https://publications.waset.org/abstracts/search?q=Y.%20L.%20Thong"> Y. L. Thong</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20Nambiar"> P. Nambiar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> An <em>in vitro</em> study was carried out to evaluate the feasibility of small field of view (FOV) cone beam computed tomography (CBCT) in determining endodontic working length. The objectives were to determine the accuracy of CBCT in measuring the estimated preoperative working lengths (EPWL), endodontic working lengths (EWL) and file lengths. Access cavities were prepared in 27 molars. For each root canal, the baseline electronic working length was determined using an EAL (Raypex 5). The teeth were then divided into overextended, non-modified and underextended groups and the lengths were adjusted accordingly. Imaging and measurements were made using the respective software of the RVG (Kodak RVG 6100) and CBCT units (Kodak 9000 3D). Root apices were then shaved and the apical constrictions viewed under magnification to measure the control working lengths. The paired t-test showed a statistically significant difference between CBCT EPWL and control length but the difference was too small to be clinically significant. From the Bland Altman analysis, the CBCT method had the widest range of 95% limits of agreement, reflecting its greater potential of error. In measuring file lengths, RVG had a bigger window of 95% limits of agreement compared to CBCT. Conclusions: (1) The clinically insignificant underestimation of the preoperative working length using small FOV CBCT showed that it is acceptable for use in the estimation of preoperative working length. (2) Small FOV CBCT may be used in working length determination but it is not as accurate as the currently practiced method of using the EAL. (3) It is also more accurate than RVG in measuring file lengths. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=accuracy" title="accuracy">accuracy</a>, <a href="https://publications.waset.org/abstracts/search?q=CBCT" title=" CBCT"> CBCT</a>, <a href="https://publications.waset.org/abstracts/search?q=endodontics" title=" endodontics"> endodontics</a>, <a href="https://publications.waset.org/abstracts/search?q=measurement" title=" measurement"> measurement</a> </p> <a href="https://publications.waset.org/abstracts/42708/accuracy-of-small-field-of-view-cbct-in-determining-endodontic-working-length" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/42708.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">308</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">118</span> Preoperative Weight Management Education and Its Influence on Bariatric Surgery Patient Weights</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Meghana%20Pandit">Meghana Pandit</a>, <a href="https://publications.waset.org/abstracts/search?q=Abhishek%20Chakraborty"> Abhishek Chakraborty</a> </p> <p class="card-text"><strong>Abstract:</strong></p> There are a multitude of factors that influence the clinical success of bariatric surgery. This study seeks to determine the efficacy of preoperative weight management education. The Food and Fitness Program at Mount Sinai serves to educate patients on topics such as stress management, sleep habits, body image, nutrition, and exercise 5-6 months before their surgeries to slowly decrease their weight. Each month, patients are weighed, and a different topic is presented. To evaluate the longitudinal effects of these lectures, patient’s weights are evaluated at the first appointment, before an informative lecture is presented. Weights are then reevaluated at the last appointment before the surgery. The weights were statistically analyzed using a paired t-test and the results demonstrated a statistically significant difference (p < .0001, n=55). Thus, it is reasonable to conclude that the education paradigm employed successfully empowered patients to maintain and reduce their gross BMI before clinical intervention. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bariatric" title="bariatric">bariatric</a>, <a href="https://publications.waset.org/abstracts/search?q=surgery" title=" surgery"> surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=weight" title=" weight"> weight</a>, <a href="https://publications.waset.org/abstracts/search?q=education" title=" education"> education</a> </p> <a href="https://publications.waset.org/abstracts/129055/preoperative-weight-management-education-and-its-influence-on-bariatric-surgery-patient-weights" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/129055.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">134</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">117</span> Visual and Clinical Outcome in Patients with Corneal Lacerations</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Avantika%20Verma">Avantika Verma</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In industrialized nations, corneal lacerations are one of the most common reason for hospitalization. This study was designed to study visual and clinical outcome in patients presenting with full thickness corneal lacerations in Indian population and to ascertain the impact of various preoperative and operative factors influencing prognosis after repair of corneal lacerations. Males in third decade with injuries at work with metallic objects were common. Lens damage, hyphema, vitreous hemorrhage, retinal detachment and endophthalmitis were seen. All the patients underwent primary repair within first 24 hours of presentation. At 3 months, 74.3% had a good visual outcome. About 5.7% of patients had no perception of light.In conclusion, various demographic and preoperative factors like age, time of presentation, vision at presentation, length of corneal wound, involvement of visual axis, associated ocular features like hyphaema, lenticular changes, vitreous haemorrhage and retinal detachment are significant prognostic indicators for final visual outcome. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=corneal%20laceration" title="corneal laceration">corneal laceration</a>, <a href="https://publications.waset.org/abstracts/search?q=corneal%20wound%20repair" title=" corneal wound repair"> corneal wound repair</a>, <a href="https://publications.waset.org/abstracts/search?q=injury" title=" injury"> injury</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20outcome" title=" visual outcome"> visual outcome</a> </p> <a href="https://publications.waset.org/abstracts/70121/visual-and-clinical-outcome-in-patients-with-corneal-lacerations" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/70121.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">356</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">116</span> Time to Pancreatic Surgery after Preoperative Biliary Drainage in Periampullary Cancers: A Systematic Review and Meta‑Analysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maatouk%20Mohamed">Maatouk Mohamed</a>, <a href="https://publications.waset.org/abstracts/search?q=Nouira%20Mariem"> Nouira Mariem</a>, <a href="https://publications.waset.org/abstracts/search?q=Hamdi%20Kbir%20Gh"> Hamdi Kbir Gh</a>, <a href="https://publications.waset.org/abstracts/search?q=Mahjoubi%20M.%20F."> Mahjoubi M. F.</a>, <a href="https://publications.waset.org/abstracts/search?q=Ben%20Moussa%20M."> Ben Moussa M.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background and aim: Preoperative biliary drainage (PBD) has been introduced to lower bilirubin levels and to control the negative effects of obstructive jaundice in patients with malignant obstructive jaundice undergoing pancreaticoduodenectomy (PD). The optimal time interval between PBD and PD is still not clear. Delaying surgery by 4 to 6 weeks is the commonly accepted practice. However, delayed PD has been shown to decrease the rate of resection and adversely affect the tumor grading and prognosis. Thus, the purpose of our systematic review and meta-analysis was to evaluate the optimal period for PBD prior to PD: short or prolonged in terms of postoperative morbidity and survival outcomes. Methods: Trials were searched in PubMed, Science Direct, Google Scholar, and Cochrane Library until November 2022. Studies using PBD in patients with malignant obstructive jaundice that compared short duration group (SDG) (surgery performed within 3-4 weeks) with prolonged duration group (PDG) (at least 3-4 weeks after PBD) were included in this study. The risk of bias was assessed using the Rob v2 and Robins-I tools. The priori protocol was published in PROSPERO (ID: CRD42022381405). Results: Seven studies comprising 1625 patients (SDG 870, PDG 882) were included. All studies were non-randomized, and only one was prospective. No significant differences were observed between the SDG and PDG in mortality (OR= 0.59; 95% CI [0.30, 1.17], p=0.13), major morbidity (Chi² = 30.28, p <0.00001; I² = 87%), pancreatic fistula (Chi² = 6.61, p = 0.25); I² = 24%), post pancreatectomy haemorrhage (OR= 1.16; 95% CI [0.67, 2.01], p=0.59), positive drainage culture (OR= 0.36; 95% CI [0.10, 1.32], p=0.12), septic complications (OR= 0.78; 95% CI [0.23, 2.72], p=0.70), wound infection (OR= 0.08, p=0.07), operative time (MD= 0.21; p=0.21). Conclusion: Early surgery within 3 or 4 weeks after biliary drainage is both safe and effective. Thus, it is reasonable to suggest early surgery following PBD for patients having resectable periampullary cancers. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20biliary%20drainage" title="preoperative biliary drainage">preoperative biliary drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=pancreatic%20cancer" title=" pancreatic cancer"> pancreatic cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=pancreatic%20surgery" title=" pancreatic surgery"> pancreatic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=complication" title=" complication"> complication</a> </p> <a href="https://publications.waset.org/abstracts/164419/time-to-pancreatic-surgery-after-preoperative-biliary-drainage-in-periampullary-cancers-a-systematic-review-and-metaanalysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/164419.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">67</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">115</span> Trends in Preoperative Self-Disclosure of Cannabis Use in Adult and Adolescent Orthopedic Surgical Patients: An Institutional Retrospective Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Spencer%20Liu">Spencer Liu</a>, <a href="https://publications.waset.org/abstracts/search?q=William%20Chan"> William Chan</a>, <a href="https://publications.waset.org/abstracts/search?q=Marlena%20Komatz"> Marlena Komatz</a>, <a href="https://publications.waset.org/abstracts/search?q=Tommy%20Ramos"> Tommy Ramos</a>, <a href="https://publications.waset.org/abstracts/search?q=Mark%20Trentalange"> Mark Trentalange</a>, <a href="https://publications.waset.org/abstracts/search?q=Faye%20Rim"> Faye Rim</a>, <a href="https://publications.waset.org/abstracts/search?q=Dae%20Kim"> Dae Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Mary%20Kelly"> Mary Kelly</a>, <a href="https://publications.waset.org/abstracts/search?q=Samuel%20Schuessler"> Samuel Schuessler</a>, <a href="https://publications.waset.org/abstracts/search?q=Roberta%20Stack"> Roberta Stack</a>, <a href="https://publications.waset.org/abstracts/search?q=Justas%20Lauzadis"> Justas Lauzadis</a>, <a href="https://publications.waset.org/abstracts/search?q=Kathryn%20DelPizzo"> Kathryn DelPizzo</a>, <a href="https://publications.waset.org/abstracts/search?q=Seth%20Waldman"> Seth Waldman</a>, <a href="https://publications.waset.org/abstracts/search?q=Alexandra%20Sideris"> Alexandra Sideris</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background & Significance: The increasing prevalence of cannabis use in the United States has important safety considerations in the perioperative setting, as chronic or heavy preoperative cannabis use may increase the risk of intraoperative complications, postoperative nausea and vomiting (PONV), increased postoperative pain levels, and acute side effects associated with cannabis use cessation. In this retrospective chart review study, we sought to determine the prevalence of self-reported cannabis use in the past 5-years at a single institution in New York City. We hypothesized that there is an increasing prevalence of preoperative self-reported cannabis use among adult and adolescent patients undergoing orthopedic surgery. Methods: After IRB approval for this retrospective study, surgical cases performed on patients 12 years of age and older at the hospital’s main campus and two ambulatory surgery centers between January 1st, 2018, and December 31st, 2023, with preoperatively self-disclosed cannabis use entered in the social history intake form were identified using the tool SlicerDicer in Epic. Case and patient characteristics were extracted, and trends in utilization over time were assessed by the Cochran-Armitage trend test. Results: Overall, the prevalence of self-reported cannabis use increased from 6.6% in 2018 to 10.6% in 2023. By age group, the prevalence of self-reported cannabis use among adolescents remained consistently low (2018: 2.6%, 2023: 2.6%) but increased with significant evidence for a linear trend (p < 0.05) within every adult age group. Among adults, patients who were 18-24 years old (2018: 18%, 2023: 20.5%) and 25-34 years old (2018: 15.9%, 2023: 24.2%) had the highest prevalences of disclosure, whereas patients who were 75 years of age or older had the lowest prevalence of disclosure (2018: 1.9%, 2023: 4.6%). Patients who were 25-34 years old had the highest percent difference in disclosure rates of 8.3%, which corresponded to a 52.2% increase from 2018 to 2023. The adult age group with the highest percent change was patients who were 75 years of age or older, with a difference of 2.7%, which corresponded to a 142.1% increase from 2018 to 2023. Conclusions: These trends in preoperative self-reported cannabis use among patients undergoing orthopedic surgery have important implications for perioperative care and clinical outcomes. Efforts are underway to refine and standardize cannabis use data capture at our institution. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthopedic%20surgery" title="orthopedic surgery">orthopedic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=cannabis" title=" cannabis"> cannabis</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20pain" title=" postoperative pain"> postoperative pain</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20nausea" title=" postoperative nausea"> postoperative nausea</a> </p> <a href="https://publications.waset.org/abstracts/186668/trends-in-preoperative-self-disclosure-of-cannabis-use-in-adult-and-adolescent-orthopedic-surgical-patients-an-institutional-retrospective-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/186668.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">44</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">114</span> Combined Tarsal Coalition Resection and Arthroereisis in Treatment of Symptomatic Rigid Flat Foot in Pediatric Population</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Michael%20Zaidman">Michael Zaidman</a>, <a href="https://publications.waset.org/abstracts/search?q=Naum%20Simanovsky"> Naum Simanovsky</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction. Symptomatic tarsal coalition with rigid flat foot often demands operative solution. An isolated coalition resection does not guarantee pain relief; correction of co-existing foot deformity may be required. The objective of the study was to analyze the results of combination of tarsal coalition resection and arthroereisis. Patients and methods. We retrospectively reviewed medical records and radiographs of children operatively treated in our institution for symptomatic calcaneonavicular or talocalcaneal coalition between the years 2019 and 2022. Eight patients (twelve feet), 4 boys and 4 girls with mean age 11.2 years, were included in the study. In six patients (10 feet) calcaneonavicular coalition was diagnosed, two patients (two feet) sustained talonavicular coalition. To quantify degrees of foot deformity, we used calcaneal pitch angle, lateral talar-first metatarsal (Meary's) angle, and talonavicular coverage angle. The clinical results were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle Hindfoot Score. Results. The mean follow-up was 28 month. The preoperative mean talonavicular coverage angle was 17,75º as compared with postoperative mean angle of 5.4º. The calcaneal pitch angle improved from mean 6,8º to 16,4º. The mean preoperative Meary’s angle of -11.3º improved to mean 2.8º. The preoperative mean AOFAS score improved from 54.7 to 93.1 points post-operatively. In nine of twelve feet, overall clinical outcome judged by AOFAS scale was excellent (90-100 points), in three feet was good (80-90 points). Six patients (ten feet) obviously improved their subtalar range of motion. Conclusion. For symptomatic stiff or rigid flat feet associated with tarsal coalition, the combination of coalition resection and arthroereisis leads to normalization of radiographic parameters, clinical and functional improvement with good patient’s satisfaction and likely to be more effective than the isolated procedures. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=rigid%20flat%20foot" title="rigid flat foot">rigid flat foot</a>, <a href="https://publications.waset.org/abstracts/search?q=tarsal%20coalition%20resection" title=" tarsal coalition resection"> tarsal coalition resection</a>, <a href="https://publications.waset.org/abstracts/search?q=arthroereisis" title=" arthroereisis"> arthroereisis</a>, <a href="https://publications.waset.org/abstracts/search?q=outcome" title=" outcome"> outcome</a> </p> <a href="https://publications.waset.org/abstracts/174910/combined-tarsal-coalition-resection-and-arthroereisis-in-treatment-of-symptomatic-rigid-flat-foot-in-pediatric-population" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/174910.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">64</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">113</span> Total Knee Arthroplasty in a Haemophilia: A Patient with High Titre of Inhibitor Using Recombinant Factor VIIa</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20J.%20Mortazavi">Mohammad J. Mortazavi</a>, <a href="https://publications.waset.org/abstracts/search?q=Arvin%20Najafi"> Arvin Najafi</a>, <a href="https://publications.waset.org/abstracts/search?q=Pejman%20Mansouri"> Pejman Mansouri </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Hemophilia A is simply described as deficiency of factor VIII(FVIII) and patients with this disorder have bleeding complications in different organs. By using the recombinant factor VIII in these patients, elective orthopedic surgeries have been done approximately in 40 last years. About 10-30 % of these patients have bleeding complications in their surgeries even by using recombinant factor VIII because of their inhibitor against FVIII molecule. Preoperative haemostatic management in these patients is challenging. We treated a 28-year-old male patient with hemophilia A with FVIII inhibitor which had been detected when he was14 years old (with the titer 54 Bethesda unit(BU)) scheduled for total knee arthroplasty (TKA). We use 90 µg/kg rFVIIa just before the surgery and every 2 hours during surgery. The patient did not have any significant hemorrhage during the surgery and after that. For the 2 days after surgery, the rFVIIa repeated every 2 hours as the same as preoperative dosage(90 µg/kg) and for another 2 days of postoperative admission it continued every 4 hours. After 4th day, the rFVIIa continued every 6 hours with the same dosage until the sixth day from the surgery, and finally the patient were discharged about two weeks after surgery. Seven days after the discharge, he came back for the follow up visit. On the follow up examination, the site of the surgery had neither infection hemarthroses signs. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hemophilia" title="hemophilia">hemophilia</a>, <a href="https://publications.waset.org/abstracts/search?q=factor%20VIII%20inhibitor" title=" factor VIII inhibitor"> factor VIII inhibitor</a>, <a href="https://publications.waset.org/abstracts/search?q=total%20knee%20replacement" title=" total knee replacement"> total knee replacement</a>, <a href="https://publications.waset.org/abstracts/search?q=rFVIIa" title=" rFVIIa"> rFVIIa</a> </p> <a href="https://publications.waset.org/abstracts/37428/total-knee-arthroplasty-in-a-haemophilia-a-patient-with-high-titre-of-inhibitor-using-recombinant-factor-viia" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37428.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">440</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">112</span> A Preliminary Analysis of The Effect After Cochlear Implantation in the Unilateral Hearing Loss</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Haiqiao%20Du">Haiqiao Du</a>, <a href="https://publications.waset.org/abstracts/search?q=Qian%20Wang"> Qian Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Shuwei%20Wang"> Shuwei Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Jianan%20Li"> Jianan Li</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: The aim is to evaluate the effect of cochlear implantation (CI) in patients with unilateral hearing loss, with a view to providing data support for the selection of therapeutic interventions for patients with single-sided deafness (SSD)/asymmetric hearing loss (AHL) and the broadening of the indications for CI. Methods: The study subjects were patients with unilateral hearing loss who underwent cochlear implantation surgery in our hospital in August 2022 and were willing to cooperate with the test and were divided into 2 groups: SSD group and AHL group. The enrolled patients were followed up for hearing level, tinnitus changes, speech recognition ability, sound source localization ability, and quality of life at five-time points: preoperatively, and 1, 3, 6, and 12 months after postoperative start-up. Results: As of June 30, 2024, a total of nine patients completed follow-up, including four in the SSD group and five in the AHL group. The mean postoperative hearing aid thresholds on the CI side were 31.56 dB HL and 34.75 dB HL in the two groups, respectively. Of the four patients with preoperative tinnitus symptoms (three patients in the SSD group and one patient in the AHL group), all showed a degree of reduction in Tinnitus Handicap Inventory (THI) scores, except for one patient who showed no change. In both the SSD and AHL groups, the sound source localization results (expressed as RMS error values, with smaller values indicating better ability) were 66.87° and 77.41° preoperatively and 29.34° and 54.60° 12 months after postoperative start-up, respectively, which showed that the ability to localize the sound source improved significantly with longer implantation time. The level of speech recognition was assessed by 3 test methods: speech recognition rate of monosyllabic words in a quiet environment and speech recognition rate of different sound source directions at 0° and 90° (implantation side) in a noisy environment. The results of the 3 tests were 99.0%, 72.0%, and 36.0% in the preoperative SSD group and 96.0%, 83.6%, and 73.8% in the AHL group, respectively, whereas they fluctuated in the postoperative period 3 months after start-up, and stabilized at 12 months after start-up to 99.0%, 100.0%, and 100.0% in the SSD group and 99.5%, 96.0%, and 99.0%. Quality of life was subjectively evaluated by three tests: the Speech Spatial Quality of Sound Auditory Scale (SSQ-12), the Quality-of-Life Bilateral Listening Questionnaire (QLBHE), and the Nijmegen Cochlear Implantation Inventory (NCIQ). The results of the SSQ-12 (with a 10-point score out of 10) showed that the scores of preoperative and postoperative 12 months after start-up were 6.35 and 6.46 in the SSD group, while they were 5.61 and 9.83 in the AHL group. The QLBHE scores (100 points out of 100) were 61.0 and 76.0 in the SSD group and 53.4 and 63.7 in the AHL group for the preoperative versus the postoperative 12 months after start-up. Conclusion: Patients with unilateral hearing loss can benefit from cochlear implantation: CI implantation is effective in compensating for the hearing on the affected side and reduces the accompanying tinnitus symptoms; there is a significant improvement in sound source localization and speech recognition in the presence of noise; and the quality of life is improved. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=single-sided%20deafness" title="single-sided deafness">single-sided deafness</a>, <a href="https://publications.waset.org/abstracts/search?q=asymmetric%20hearing%20loss" title=" asymmetric hearing loss"> asymmetric hearing loss</a>, <a href="https://publications.waset.org/abstracts/search?q=cochlear%20implant" title=" cochlear implant"> cochlear implant</a>, <a href="https://publications.waset.org/abstracts/search?q=unilateral%20hearing%20loss" title=" unilateral hearing loss"> unilateral hearing loss</a> </p> <a href="https://publications.waset.org/abstracts/192544/a-preliminary-analysis-of-the-effect-after-cochlear-implantation-in-the-unilateral-hearing-loss" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/192544.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">14</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">111</span> 128-Multidetector CT for Assessment of Optimal Depth of Electrode Array Insertion in Cochlear Implant Operations</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Amina%20Sultan">Amina Sultan</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Ghonim"> Mohamed Ghonim</a>, <a href="https://publications.waset.org/abstracts/search?q=Eman%20Oweida"> Eman Oweida</a>, <a href="https://publications.waset.org/abstracts/search?q=Aya%20%20Abdelaziz"> Aya Abdelaziz</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: To assess the diagnostic reliability of multi-detector CT in pre and post-operative evaluation of cochlear implant candidates. Material and Methods: The study includes 40 patients (18 males and 22 females); mean age 5.6 years. They were classified into two groups: Group A (20 patients): cochlear implant device was Nucleus-22 and Group B (20 patients): the device was MED-EL. Cochlear length (CL) and cochlear height (CH) were measured pre-operatively by 128-multidetector CT. Electrode length (EL) and insertion depth angle (α) were measured post-operatively by MDCT. Results: For Group A mean CL was 9.1 mm ± 0.4 SD; mean CH was 4.1 ± 0.3 SD; mean EL was 18 ± 2.7 SD; mean α angle was 299.05 ± 37 SD. Significant statistical correlation (P < 0.05) was found between preoperative CL and post-operative EL (r²=0.6); as well as EL and α angle (r²=0.7). Group B's mean CL was 9.1 mm ± 0.3 SD; mean CH was 4.1 ± 0.4 SD; mean EL was 27 ± 2.1 SD; mean α angle was 287.6 ± 41.7 SD. Significant statistical correlation was found between CL and EL (r²= 0.6) and α angle (r²=0.5). Also, a strong correlation was found between EL and α angle (r²=0.8). Significant statistical difference was detected between the two devices as regards to the electrode length. Conclusion: Multidetector CT is a reliable tool for preoperative planning and post-operative evaluation of the outcomes of cochlear implant operations. Cochlear length is a valuable prognostic parameter for prediction of the depth of electrode array insertion which can influence criteria of device selection. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=angle%20of%20insertion%20%28%CE%B1%20angle%29" title="angle of insertion (α angle)">angle of insertion (α angle)</a>, <a href="https://publications.waset.org/abstracts/search?q=cochlear%20implant%20%28CI%29" title=" cochlear implant (CI)"> cochlear implant (CI)</a>, <a href="https://publications.waset.org/abstracts/search?q=cochlear%20length%20%28CL%29" title=" cochlear length (CL)"> cochlear length (CL)</a>, <a href="https://publications.waset.org/abstracts/search?q=Multidetector%20Computed%20Tomography%20%28MDCT%29" title=" Multidetector Computed Tomography (MDCT)"> Multidetector Computed Tomography (MDCT)</a> </p> <a href="https://publications.waset.org/abstracts/78950/128-multidetector-ct-for-assessment-of-optimal-depth-of-electrode-array-insertion-in-cochlear-implant-operations" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/78950.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">193</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">110</span> ¹⁸F-FDG PET/CT Impact on Staging of Pancreatic Cancer</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jiri%20Kysucan">Jiri Kysucan</a>, <a href="https://publications.waset.org/abstracts/search?q=Dusan%20Klos"> Dusan Klos</a>, <a href="https://publications.waset.org/abstracts/search?q=Katherine%20Vomackova"> Katherine Vomackova</a>, <a href="https://publications.waset.org/abstracts/search?q=Pavel%20Koranda"> Pavel Koranda</a>, <a href="https://publications.waset.org/abstracts/search?q=Martin%20Lovecek"> Martin Lovecek</a>, <a href="https://publications.waset.org/abstracts/search?q=Cestmir%20Neoral"> Cestmir Neoral</a>, <a href="https://publications.waset.org/abstracts/search?q=Roman%20Havlik"> Roman Havlik</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Aim: The prognosis of patients with pancreatic cancer is poor. The median of survival after establishing diagnosis is 3-11 months without surgical treatment, 13-20 months with surgical treatment depending on the disease stage, 5-year survival is less than 5%. Radical surgical resection remains the only hope of curing the disease. Early diagnosis with valid establishment of tumor resectability is, therefore, the most important aim for patients with pancreatic cancer. The aim of the work is to evaluate the contribution and define the role of 18F-FDG PET/CT in preoperative staging. Material and Methods: In 195 patients (103 males, 92 females, median age 66,7 years, 32-88 years) with a suspect pancreatic lesion, as part of the standard preoperative staging, in addition to standard examination methods (ultrasonography, contrast spiral CT, endoscopic ultrasonography, endoscopic ultrasonographic biopsy), a hybrid 18F-FDG PET/CT was performed. All PET/CT findings were subsequently compared with standard staging (CT, EUS, EUS FNA), with peroperative findings and definitive histology in the operated patients as reference standards. Interpretation defined the extent of the tumor according to TNM classification. Limitations of resectability were local advancement (T4) and presence of distant metastases (M1). Results: PET/CT was performed in a total of 195 patients with a suspect pancreatic lesion. In 153 patients, pancreatic carcinoma was confirmed and of these patients, 72 were not indicated for radical surgical procedure due to local inoperability or generalization of the disease. The sensitivity of PET/CT in detecting the primary lesion was 92.2%, specificity was 90.5%. A false negative finding in 12 patients, a false positive finding was seen in 4 cases, positive predictive value (PPV) 97.2%, negative predictive value (NPV) 76,0%. In evaluating regional lymph nodes, sensitivity was 51.9%, specificity 58.3%, PPV 58,3%, NPV 51.9%. In detecting distant metastases, PET/CT reached a sensitivity of 82.8%, specificity was 97.8%, PPV 96.9%, NPV 87.0%. PET/CT found distant metastases in 12 patients, which were not detected by standard methods. In 15 patients (15.6%) with potentially radically resectable findings, the procedure was contraindicated based on PET/CT findings and the treatment strategy was changed. Conclusion: PET/CT is a highly sensitive and specific method useful in preoperative staging of pancreatic cancer. It improves the selection of patients for radical surgical procedures, who can benefit from it and decreases the number of incorrectly indicated operations. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cancer" title="cancer">cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=PET%2FCT" title=" PET/CT"> PET/CT</a>, <a href="https://publications.waset.org/abstracts/search?q=staging" title=" staging"> staging</a>, <a href="https://publications.waset.org/abstracts/search?q=surgery" title=" surgery"> surgery</a> </p> <a href="https://publications.waset.org/abstracts/53701/18f-fdg-petct-impact-on-staging-of-pancreatic-cancer" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/53701.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">247</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">109</span> Role of Preoperative and Postoperative Endovaginal Ultrasound and 24-Hour Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=J.%20B.%20Sharma">J. B. Sharma</a>, <a href="https://publications.waset.org/abstracts/search?q=Vivek%20Kakkar"> Vivek Kakkar</a>, <a href="https://publications.waset.org/abstracts/search?q=Sunesh%20Kumar"> Sunesh Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20K.%20Roy"> K. K. Roy</a>, <a href="https://publications.waset.org/abstracts/search?q=Rajesh%20Kumari"> Rajesh Kumari</a>, <a href="https://publications.waset.org/abstracts/search?q=Kavita%20Pandey"> Kavita Pandey</a>, <a href="https://publications.waset.org/abstracts/search?q=Smriti%20Hari"> Smriti Hari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Stress urinary incontinence (SUI) is a common problem affecting the quality of life of women. Methods: It is a prospective study conducted over 40 women of SUI by endovaginal ultrasound on rest and Valsalva preoperatively and six months postoperatively for levator hiatus, pubovisceral thickness, urethral length, and bladder neck position. A 24-hour pad test was also performed on all women at the same time for grading of SUI. Treatment given was medical in 4 (10%), Burch colposuspension in 18 (45%), and tension-free obturator tape in 18 (45%). Results: Mean age, parity, and body mass index in the study were 41.60 years, 2.73, and 24.2 kg/m², respectively. All 40 (100%) patients had SUI, with the mean duration of symptoms being 4.04 years. On the 24-hour pad test, mild SUI was in 4 (10%), moderate SUI in 33 (82.5%), and severe SUI in 3 (7.5%), with mean preoperative 24-hour pad test being 36.69 gm which significantly reduced to 9.79 gm postoperatively (p 0.001). There was a significant change in levator hiatus and pubovisceral thickness with the treatment of SUI. Overall urethral length increased, but there was a significant decrease in urethral length on Valsalva after the treatment (0.40 versus 0.28 cm, p 0.04) and a significant reduction in bladder neck descent after Valsalva after treatment (0.41 cm versus 0.27 cm, p 0.001). Conclusion: Endovaginal ultrasound and 24-hour pad test are useful diagnostic modalities for SUI diagnosis and to see the impact of treatment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=stress%20urinary%20incontinence" title="stress urinary incontinence">stress urinary incontinence</a>, <a href="https://publications.waset.org/abstracts/search?q=endovaginal%20ultrasound" title=" endovaginal ultrasound"> endovaginal ultrasound</a>, <a href="https://publications.waset.org/abstracts/search?q=24-hours%20pad%20test" title=" 24-hours pad test"> 24-hours pad test</a>, <a href="https://publications.waset.org/abstracts/search?q=pubovisceral%20muscle%20thickness" title=" pubovisceral muscle thickness"> pubovisceral muscle thickness</a> </p> <a href="https://publications.waset.org/abstracts/162013/role-of-preoperative-and-postoperative-endovaginal-ultrasound-and-24-hour-pad-test-in-evaluation-of-efficacy-of-various-treatment-modalities-for-stress-urinary-incontinence" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162013.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">93</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">108</span> Salter Pelvic Osteotomy for the Treatment of Developmental Dysplasia of the Hip: Assessment of Postoperative Results and Risk Factors</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Suvorov%20Vasyl">Suvorov Vasyl</a>, <a href="https://publications.waset.org/abstracts/search?q=Filipchuk%20Viktor"> Filipchuk Viktor</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: If non-surgical treatment of developmental dysplasia of the hip (DDH) fails or if DDH is late-detected, surgery is necessary. Salter pelvic osteotomy (SPO) is an effective surgical option for such cases. The objectives of this study were to assess the results after SPO, evaluate risk factors, and reveal those radiological parameters that may correlate with the results. Mid- and long-term postoperative results after SPO in 17 patients (22 hip joints) were analyzed. Risk factors included those that do not depend on the surgeon (patient's age, value of the acetabular index (AI) preoperatively, DDH Tonnis grade) and those that depend on the surgeon (amount of AI correction). To radiological parameters which may correlate with the amount of AI correction, we referred distance "d" and the lateral rotation angle. Results: SPO allows performing AI correction in ranges 24.1 ± 6.5°. Excellent and good clinical results were obtained in 95.5% of patients; excellent and good radiological results in 86.4% of patients. Risk factors that do not depend on the surgeon were older patient’s age and higher preoperative AI values (p < 0.05). The risk factor that depends on the surgeon was the amount of AI correction (p < 0.05). The distance "d" was recognized as a radiological parameter that may indicate sufficient AI correction (p < 0.05). Conclusion: In older patients with a higher preoperative AI value, the results will be predictably worse. The surgeon may influence the result with a greater amount of AI correction (which may also be indicated radiologically by the distance "d" values). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=developmental%20dysplasia%20of%20the%20hip" title="developmental dysplasia of the hip">developmental dysplasia of the hip</a>, <a href="https://publications.waset.org/abstracts/search?q=results" title=" results"> results</a>, <a href="https://publications.waset.org/abstracts/search?q=risk%20factor" title=" risk factor"> risk factor</a>, <a href="https://publications.waset.org/abstracts/search?q=pelvic%20osteotomy" title=" pelvic osteotomy"> pelvic osteotomy</a>, <a href="https://publications.waset.org/abstracts/search?q=salter%20osteotomy" title=" salter osteotomy"> salter osteotomy</a> </p> <a href="https://publications.waset.org/abstracts/147537/salter-pelvic-osteotomy-for-the-treatment-of-developmental-dysplasia-of-the-hip-assessment-of-postoperative-results-and-risk-factors" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/147537.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">130</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">107</span> Localization of Frontal and Temporal Speech Areas in Brain Tumor Patients by Their Structural Connections with Probabilistic Tractography</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=B.Shukir">B.Shukir</a>, <a href="https://publications.waset.org/abstracts/search?q=H.Woo"> H.Woo</a>, <a href="https://publications.waset.org/abstracts/search?q=P.Barzo"> P.Barzo</a>, <a href="https://publications.waset.org/abstracts/search?q=D.Kis"> D.Kis</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Preoperative brain mapping in tumors involving the speech areas has an important role to reduce surgical risks. Functional magnetic resonance imaging (fMRI) is the gold standard method to localize cortical speech areas preoperatively, but its availability in clinical routine is difficult. Diffusion MRI based probabilistic tractography is available in head MRI. It’s used to segment cortical subregions by their structural connectivity. In our study, we used probabilistic tractography to localize the frontal and temporal cortical speech areas. 15 patients with left frontal tumor were enrolled to our study. Speech fMRI and diffusion MRI acquired preoperatively. The standard automated anatomical labelling atlas 3 (AAL3) cortical atlas used to define 76 left frontal and 118 left temporal potential speech areas. 4 types of tractography were run according to the structural connection of these regions to the left arcuate fascicle (FA) to localize those cortical areas which have speech functions: 1, frontal through FA; 2, frontal with FA; 3, temporal to FA; 4, temporal with FA connections were determined. Thresholds of 1%, 5%, 10% and 15% applied. At each level, the number of affected frontal and temporal regions by fMRI and tractography were defined, the sensitivity and specificity were calculated. At the level of 1% threshold showed the best results. Sensitivity was 61,631,4% and 67,1523,12%, specificity was 87,210,4% and 75,611,37% for frontal and temporal regions, respectively. From our study, we conclude that probabilistic tractography is a reliable preoperative technique to localize cortical speech areas. However, its results are not feasible that the neurosurgeon rely on during the operation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=brain%20mapping" title="brain mapping">brain mapping</a>, <a href="https://publications.waset.org/abstracts/search?q=brain%20tumor" title=" brain tumor"> brain tumor</a>, <a href="https://publications.waset.org/abstracts/search?q=fMRI" title=" fMRI"> fMRI</a>, <a href="https://publications.waset.org/abstracts/search?q=probabilistic%20tractography" title=" probabilistic tractography"> probabilistic tractography</a> </p> <a href="https://publications.waset.org/abstracts/165964/localization-of-frontal-and-temporal-speech-areas-in-brain-tumor-patients-by-their-structural-connections-with-probabilistic-tractography" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/165964.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">166</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">106</span> Preoperative Smoking Cessation Audit: A Single Centre Experience from Metropolitan Melbourne</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ya-Chu%20May%20Tsai">Ya-Chu May Tsai</a>, <a href="https://publications.waset.org/abstracts/search?q=Ibrahim%20Yacoub"> Ibrahim Yacoub</a>, <a href="https://publications.waset.org/abstracts/search?q=Eoin%20Casey"> Eoin Casey</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The Australian and New Zealand College of Anaesthetists (ANZCA) advises that smoking should not be permitted within 12 hours of surgery. There is little information in the medical literature regarding patients awareness of perioperative smoking cessation recommendations nor their appreciation of how smoking might negatively impact their perioperative course. The aim of the study is to assess the prevalence of current smokers presenting to Werribee Mercy Hospital (WMH) and to evaluate if pre-operative provision of both written and verbal pre-operative advice was, 1: Effective in improving patient awareness of the benefits of pre-operative smoking cessation, 2: Associated with an increase in the number of elective surgical patients who stop smoking at least 12 hours pre-operatively. Methods: The initial survey included all patients who presented to WMH for elective surgical procedures from 19 – 30 September 2016 using a standardized questionnaire focused on patients’ smoking history and their awareness of smoking cessation preoperatively. The intervention consisted of a standard pre-operative phone call to all patients advising them of the increased perioperative risks associated with smoking, and advised patients to cease 12 hours prior. In addition, written information on smoking cessation strategies were sent out in mail at least 1 week prior to planned procedure date to all patients. Questionnaire-based study after the intervention was conducted on day of elective procedure from 10 – 21 October 2016 inclusive. Primary outcomes measured were patient’s awareness of smoking cessation and proportion of smokers who quit >12 hours, considered a clinically meaning duration to reduce anaesthetics complications. Comparison of pre and post intervention results were made using SPSS 21.0. Results: In the pre-intervention group (n=156), 36 (22.4%) patients were current smokers, 46 were ex-smokers (29.5%) and 74 were non-smokers (48.1%). Of the smokers, 12 (33%) reported having been informed of smoking cessation prior to operation and 8 (22%) were aware of increased intra- and perioperative adverse events associated with smoking. In the post-intervention group n= 177, 38 (21.5%) patients were current smokers, 39 were ex-smokers (22.0%) and 100 were non-smokers (56.5%). Of the smokers, 32 (88.9%) reported having been informed of smoking cessation prior to operation and 35 (97.2%) reported being aware of increased intra- and perioperative adverse events associated with smoking. The median time since last smoke in the pre-intervention group was 5.5 hours (Q1-Q3 = 2-14) compared with 13 hours (Q1-Q3 = 5-24) in post intervention group. Amongst the smokers, smoking cessation at least 12 hours prior to surgery significantly increased from 27.8% pre-intervention to 52.6% post intervention (P=0.03). Conclusion: A standard preoperative phone call and written instruction on smoking cessation guidelines at time of waitlist placement increase preoperative smoking cessation rates by almost 2-fold. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anaesthesia" title="anaesthesia">anaesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=audit" title=" audit"> audit</a>, <a href="https://publications.waset.org/abstracts/search?q=perioperative%20medicine" title=" perioperative medicine"> perioperative medicine</a>, <a href="https://publications.waset.org/abstracts/search?q=smoking%20cessation" title=" smoking cessation"> smoking cessation</a> </p> <a href="https://publications.waset.org/abstracts/66902/preoperative-smoking-cessation-audit-a-single-centre-experience-from-metropolitan-melbourne" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/66902.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">305</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">105</span> The Efficacy of Preoperative Thermal Pulsation Treatment in Reducing Post Cataract Surgery Dry Eye Disease: A Systematic Review and Meta-analysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lugean%20K.%20Alomari">Lugean K. Alomari</a>, <a href="https://publications.waset.org/abstracts/search?q=Rahaf%20K.%20Sharif"> Rahaf K. Sharif</a>, <a href="https://publications.waset.org/abstracts/search?q=Basil%20K.%20Alomari"> Basil K. Alomari</a>, <a href="https://publications.waset.org/abstracts/search?q=Hind%20M.%20Aljabri"> Hind M. Aljabri</a>, <a href="https://publications.waset.org/abstracts/search?q=Faisal%20F.%20Aljahdali"> Faisal F. Aljahdali</a>, <a href="https://publications.waset.org/abstracts/search?q=Amal%20A.%20Alomari"> Amal A. Alomari</a>, <a href="https://publications.waset.org/abstracts/search?q=Saeed%20A.%20Alghamdi"> Saeed A. Alghamdi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: The thermal pulsation system is a therapy that uses heat and massage to treat dry eye disease; thus, some trials have been published to compare it with the conventional treatment. The aim of this study is to conduct a systematic review and meta-analysis comparing the efficacy of thermal pulsation systems with conventional treatment in patients undergoing cataract surgery. Methods: Medline, Embase, and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched for eligible trials. We included three randomized controlled trials (RCTs) that compared the thermal pulsation system with the conventional treatment in patients undergoing cataract surgery. A table of characteristics was plotted, and the Quality of the studies was assessed using the Cochrane risk-of-bias tool for randomized trials (RoB 2). Forest plots were plotted using the Random-effect Inverse Variance method. χ2 test and the Higgins-I-squared (I2) model were used to assess heterogeneity. A total of 201 cataract surgery patients were included, with 105 undergoing preoperative pulsation therapy and 96 receiving conventional treatment. Demographic analysis revealed comparable distributions across groups. Results: All the studies in our analysis are of good quality with a low risk of bias. A total of 201 patients were included in the analysis, out of which 105 underwent pulsation therapy, and 95 were in the control group. Tear Break-up Time (TBUT) analysis revealed no significant baseline differences, except pulsation therapy being better at 1 month. (SMD 0.42 [95%CI 0.14 - 0.70] p=0.004). This positive trend continued at three months (SMD 0.52 [95% CI (0.20 – 0.84)] p=0.002). Corneal fluorescein staining scores and Meibomian gland-yielding secretion scores showed no significant differences at baseline. However, at one month, pulsation therapy significantly improved Meibomian gland function (SMD -0.86 [95% CI (-1.20 - -0.53)] p<0.00001), indicating a reduced risk of dry eye syndrome. Conclusion: Preoperative pulsation therapy appears to enhance post-cataract surgery outcomes, particularly in terms of tear film stability and Meibomian gland secretory function. The sustained positive effects observed at one and three months post-surgery suggest the potential for long-term benefits. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=lipiflow" title="lipiflow">lipiflow</a>, <a href="https://publications.waset.org/abstracts/search?q=cataract" title=" cataract"> cataract</a>, <a href="https://publications.waset.org/abstracts/search?q=thermal%20pulsation" title=" thermal pulsation"> thermal pulsation</a>, <a href="https://publications.waset.org/abstracts/search?q=dry%20eye" title=" dry eye"> dry eye</a> </p> <a href="https://publications.waset.org/abstracts/188844/the-efficacy-of-preoperative-thermal-pulsation-treatment-in-reducing-post-cataract-surgery-dry-eye-disease-a-systematic-review-and-meta-analysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/188844.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info 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