47: Renal Vein Sampling: Technique and Case Scenarios

Summary Objective: To increase awareness on the severe impact of the nutcracker syndrome in women with undiagnosed disease. Patients and methods: We reviewed the medical literature and analyzed six representative series with 73 patients with nutcracker syndrome. Women with left flank pain, dyspareunia, dysuria, dysmenorrhea, micro- or macrohaematuria and pelvic congestion symptoms, should be carefully investigated for evidence of meso aortic left renal vein compression. A good number of our colleagues do not believe in the existence of the nutcracker syndrome and send these patients in a long pilgrimage in search of someone who can help them to get relief to their pain. New and improved imaging techniques can assist in the diagnosis but retrograde reno-gonadal phlebography and renocaval gradient are the most reliable diagnostic tools. Results: Among an assortment of treatment techniques, renal vein transposition and endovenous stenting were the two most commonly used procedures. There are no long term studies on renal vein stenting in children and young adults. Its use in these cases should be carefully considered. The nutcracker syndrome may present with pelvic congestion symptoms and its diagnosis missed. The patient's age, severity of symptoms and haemo dynamic renal studies should guide the treatment. Conclusion: An increased awareness of the existence of the nutcracker syndrome may prevent many unfortunate undiagnosed women from spending many months and often years of suffering.

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The nutcracker phenomenon of the left renal vein (NCP) – improved understanding as “midline congestion syndrome“ by dynamic color-Doppler sonographic tissue perfusion measurement

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/s-2007-988867 ◽

2007 ◽

Vol 28 (S 1) ◽

Author(s):

T Scholbach

Keyword(s):

Renal Vein ◽

Color Doppler ◽

Left Renal Vein ◽

Tissue Perfusion ◽

Perfusion Measurement ◽

Nutcracker Phenomenon

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Role of Teachers in Building the Concept of Sustainable Development: Success or Failure

Journal of Applied Research and Multidisciplinary Studies ◽

10.32350/jarms/2020/0101/906 ◽

2020 ◽

Vol 1 (1) ◽

Author(s):

Ayaz Muhammad Khan ◽

Amber Jamshaid ◽

Tayyibah Roohi ◽

Amna Ramzan

Keyword(s):

Sustainable Development ◽

Primary School ◽

Sampling Technique ◽

School Teachers ◽

Primary School Teachers ◽

Primary Level ◽

Significant Difference ◽

Role Of Teachers ◽

Major Factors

Sustainable Development (SD) is a rich, challenging and thought-provoking construct in social sciences. The main purpose of this paper was to identify and explore the role played by primary school teachers in building up the idea of sustainable development (SD) among students. This paper was intended to identify that how a teacher can successfully execute the concept of SD by influencing students’ minds at the primary level. Quantitative survey technique were utilized for data collection. All the primary school teachers of Lahore division comprised the population of the study. Through multistage sampling technique, 352 primary school teachers were selected as participants of the study. A self-developed SD questionnaire incorporating four major factors (teachers’ awareness, pedagogy, curricular and co-curricular activities) with Cronbach’s alpha value = .93 was used to measure the role of teachers in building the sustainability concept among students at primary level. The results indicated a significant mean score difference among SD scores of teachers, sector wise (private and public). Furthermore, the results also reconnoitered the significant difference (p=.04) between the mean scores of female and male teachers in building up the SD concept in students’ minds.

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PERCEIVED EFFECTS OF STREET HAWKING ON THE WELL-BEING OF CHILDREN IN ANYIGBA, DEKINA LOCAL GOVERNMENT AREA OF KOGI STATE, NIGERIA

Pakistan Journal of Public Health ◽

10.32413/pjph.v8i1.138 ◽

2018 ◽

Vol 8 (1) ◽

pp. 01-07

Author(s):

Alfred Eboh

Keyword(s):

Local Government ◽

Survey Design ◽

Sampling Technique ◽

Well Being ◽

Local Government Area ◽

Negative Consequences ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Perceived Effects ◽

The Government

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.

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Nurse’s knowledge and Awareness Regarding Cervical Cancer and its Prevention in Different Hospitals of Quetta, Pakistan

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2018.v04i01.06 ◽

2017 ◽

Vol 4 (1) ◽

pp. 436-441

Author(s):

Saba Haider ◽

Noman Ul Haq ◽

Sohail Riaz ◽

Aqeel Nasim ◽

Muhammad Saood ◽

...

Keyword(s):

Cervical Cancer ◽

Family History ◽

Sampling Technique ◽

Knowledge Score ◽

Validity And Reliability ◽

Contributing Factors ◽

Cross Sectional ◽

Adequate Knowledge ◽

Current Area ◽

One Year

Objective: This study aimed to assess the knowledge and awareness regarding cervical cancer and its prevention among nurses working in different hospitals of Quetta, Pakistan. Methodology: The cross sectional, descriptive study was conducted by using structured questionnaire in different hospitals of Quetta from January to September 2016. Convenient sampling technique was applied by targeting all the nurses working in different hospitals of Quetta city. Study questionnaire was developed and tested for validity and reliability. Descriptive and inferential statistics (Mann Whitney U test and Kruskal Wallis tests, p<0.05) were used to assess the significance among study variables and were performed by using IBM SPSS v.20. Results: Out of 415 distributed questionnaires 324 were returned (response rate of 78%). The mean Age of respondents was 28.18 ±9.5 years. Majority (n=127, 43.3%) of participants were interns and had no or less than one year of experience (n=128, 43.7%) with negative family history of any cancer (n=275, 93.9%). Mean knowledge score was 18.52±4.84with majority (n=258, 88.1%) had adequate knowledge regarding cervical cancer. Respondent sage, current area of practice, qualification, Institute of degree and past family history were contributing factors (p > 0.05) in adequate knowledge in this study. The results also reviled that not only 68.3% (n=200) and 65.5% (n=192) respondents knew that cervical cancer is vaccine preventable and availability of the vaccine for it. Conclusions: Nurses working in different hospitals of Quetta city had better understanding of the disease cervical cancer and its prevention. Yet many of the respondent are not aware of it vaccine and its availability.

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