PubMed · 5548305
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I J Davies. 1971-03-13. Emergency tracheostomy.. https://doi.org/10.1136/bmj.1.5749.607-a
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OBJECTIVE: To analyze the relationship between the rate of the in-hospital medical staff SARS infection and the measure of isolation which including the application of the emergency-isolation radiology information system (EIRIS) in polyclinic. METHODS: The groups were classified according to the application of the prevention and protection measure. Group A referred to the stage before the declaration of infectious area was made. Group B was defined as the stage in which the application of common measures of the prevention and protection were made, but the isolation measure was not taken (the suspected or diagnosed cases had the chest X ray film examination in the department of radiology). Group C was the stage after the startup of the isolation measure including the application of EIRIS. the number of the diagnosed cases, the medical staffs exposed, and the diagnosed cases of medical staffs were recorded. RESULTS: In group A, the infectious rate of in-hospital medical staffs showed a marked ascending trend with the regression coefficient of 0.000545, P = 0.04. The rate showed a little descending trend in Group B compared with that in Group A with the regression coefficient of 0.000164, P = 0.140. While marked descending trend compared with group A was demonstrated in group C with the regression coefficient of 0.000037, P = 0.02. CONCLUSION: The trend of the in-hospital medical staffs infection rate changed with different style of prevention and protection measures. With the application of the common measure of the prevention and protection, the rate was significantly lower than that in group A. After the application of the isolation measures including EIRIS, the rate showed the descending trend much further.
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OBJECTIVES: To determine the effectiveness of immediate surgical exploration in salvaging perinatal testicular torsion. METHODS: A retrospective analysis from 1995 to 2000 of boys younger than 30 days of age with surgically documented extravaginal testicular torsion was conducted. All cases were diagnosed after a normal testicular examination by a neonatologist, and all patients underwent urgent exploration to confirm the exact diagnosis and attempt testicular salvage by detorsion with bilateral orchiopexy. If a nonviable testis was determined intraoperatively, it was removed and contralateral orchiopexy was performed. Success was determined by physical examination at 6 months of follow-up. RESULTS: Ten patients with 10 affected testes were identified and a total of 4 (40%) were salvaged. All the studied testes were right-sided, and of the 4 salvaged testes, all were palpably normal and equal in size to their mate at the 6-month follow-up examination. Of the 6 removed testes, 1 was potentially viable by permanent pathologic section analysis despite preoperative ultrasonography demonstrating no flow and a negative intraoperative bleed test. CONCLUSIONS: Boys younger than 30 days old presenting with clinical findings suggestive of extravaginal testicular torsion who are expeditiously explored surgically may have a salvageable event in at least 40% to 50%. These statistics are similar to the salvage rates found with the similar management approach of intravaginal torsion.