scholarly journals Prospective randomized comparison of a 22G core needle using standard versus capillary suction for EUS-guided sampling of solid pancreatic masses

2017 ◽  
Vol 05 (06) ◽  
pp. E505-E512 ◽  
Author(s):  
Brian Weston ◽  
William Ross ◽  
Manoop Bhutani ◽  
Jeffrey Lee ◽  
Mala Pande ◽  
...  

Abstract Background and study aims The optimal technique for sampling pancreatic lesions with a 22 G Procore needle (pc) is unknown. The aims of this study were to evaluate the 22 Gpc using standard suction technique (SST) and capillary suction technique (CST) and compare diagnostic adequacy of 22 Gpc with the standard 25 G needle. Patients and methods Sixty consecutive patients referred for EUS-FNA of a solid pancreatic mass were prospectively evaluated. All patients underwent 2 passes with a standard 25 G needle for cytologic analysis. The first group of 30 patients underwent a single pass with the 22 Gpc needle using SST for cytology and histology. The second group underwent a single pass with the 22 Gpc needle using CST. The sequence of passes was randomized. The diagnostic adequacy of each pass was graded by 2 cytopathologists blinded to technique and needle type for comparison. Results For a cytologic diagnosis with 22 Gpc, an adequate sample was obtained in 82.8 % SST vs. 80.0 % CST (P = 0.79). For a histologic diagnosis with 22 Gpc, an adequate sample was obtained in 70.4 % SST vs. 69.0 % CST (P = 0.91). A single pass with 22 Gpc provided comparable results to a single pass with the 25 G needle for a cytologic diagnosis; both were superior to a single 22 Gpc pass for a histologic diagnosis. Two passes with the 25 G needle provided a diagnostic specimen in 95.0 % vs 81.4 % with one pass using 22 Gpc (P = 0.01). Conclusions No significant difference in diagnostic adequacy was observed between techniques for the 22 Gpc. Two passes with a 25 G needle performed better than 1 pass with 22 Gpc. (NCT01598194)Meeting presentations: Digestive Disease Week 2015

Author(s):  
Hanny Tioho ◽  
Maykel A.J Karauwan

The minimum size of coral transplants, Acropora formosa, was assessed to support their survival and growth. For this, 150 coral fragments of different sizes (5, 10, 15 cm) were transplanted close to the donor colony. Their survivorship and growth were observed for 12 months. At the end of the observation time, 90% of 15 cm-transplanted coral fragments survived, while the others (10cm and 5 cm) did 86% and 82% respectively. The average growth rate of 5 cm-coral fragments was 0.860 cm/month, while 10 and 15 cm-fragments were 0.984 cm/month and 1.108 cm/month respectively. One-way ANOVA showed that there was significant difference (p<0.05) among the three (5, 10, 15 cm) transplant initial sizes in which the longest fragment size tended to survive longer than the smaller one.  However, the smaller transplants grew better than the bigger one, 10.318 cm/year (206%) for 5 cm-transplant, 11.803 cm/year (118%) for 10 cm-transplant, and 13.299 cm/year (89%) for 15 cm-transplant, respectively. Ukuran minimal fragmen karang Acropora formosa yang ditransplantasi diduga untuk mendukung ketahanan hidup dan pertumbuhannya. Untuk itu, 150 fragmen karang ditransplantasi ke lokasi yang berdekatan dengan koloni induknya.  Ketahanan hidup dan pertumbuhan semua fragmen karang yang ditransplantasi diamati selama 12 bulan.  Pada akhir pengamatan, 90% dari fragmen karang berukuran 15 cm yang ditransplantasi dapat bertahan hidup, sedangkan yang lainnya (ukuran 10 cm dan 5 cm) masing-masing sebesar 86% dan 82%.  Rata-rata laju pertumbuhan fragmen karang dengan ukuran awal 5 cm adalah 0,860 cm/bulan, sedangkan ukuran fragmen 10 dan 15 cm masing-masing adalah 0,984 cm/bulan and 1,108 cm/bulan. ANOVA satu arah menunjukkan adanya perbedaan yang nyata (p<0.05) antara ketiga ukuran fragmen yang berbeda, di mana ukuran fragmen karang yang lebih panjang cenderung mempunyai ketahanan hidup yang lebih baik. Namun demikian, ukuran transplant yang lebih kecil memiliki pertumbuhan lebih baik dibandingkan dengan ukuran yang lebih besar, yakni10,318 cm/tahun (206%) untuk transplant berukuran 5 cm, 11,803 cm/tahun (118%) untuk 10 cm, dan 13,299 cm/tahun (89%) untuk ukuran 15 cm.


2017 ◽  
Vol 17 (1) ◽  
pp. 93-98
Author(s):  
Zheng Yue ◽  
Zhang Wen-Cheng ◽  
Wu Ze-Yu ◽  
Fu Chuan-Xiang ◽  
Gao Han ◽  
...  

The purpose of this study was to evaluate the anti-fatigue activity of maca hydroalcoholic extract (ME), which mainly contains macamides and polysaccharides. ME was prepared by circumfluence extraction with enzymatic pre-treatment. Anti-fatigue activity of ME was investigated in weight-loaded forced swimming mice, with pure macamides and commercially available maca tablet as positive control. Compared with normal group, pure macamides treatment group could prolong the swimming time to exhaustion, but there was no statistically significant difference (P > 0.05); while ME (middle-dose and high-dose groups) could effectively prolong the swimming durations (P < 0.05). Supplementation with pure macamides significantly decreased blood lactic acid (BLA), whereas ME significantly increased hepatic glycogen (HG), decreased BLA, and blood urea nitrogen (BUN) compared with those in normal control (P < 0.05). The results suggested that the anti-fatigue effect of ME was better than that of pure macamides, which can be explained by the increase of glycogen storage and the reduction of metabolites accumulation.


Author(s):  
Nisha Chandel ◽  
Seema Chopra

The present study was undertaken to find out emotional intelligence and academic achievement of male and female adolescents. The sample consists of 82 students( 41 male and 41 female adolescents) from different schools in Hamirpur district of Himachal Pradesh. Emotional intelligence was assessed with the help of Emotional Intelligence Scale developed by Singh and Narain (2014) and academic achievement score were taken from the school records. The results revealed that there exists a significant difference in emotional intelligence of male and female adolescents. It was found that there existed significant difference in academic achievement of female adolescents and male adolescents. The mean emotional intelligence of female adolescents was better than of male adolescents. On the dimensions of emotional intelligence, it was found that there was no significant difference between male and female adolescents on understanding emotions, empathy and handling relations dimensions of emotional intelligence; while it was reported that there was significant difference between male and female adolescents on understanding motivation dimension of emotional intelligence On the other hand, it was found that there existed significant difference in academic achievement of female adolescents and male adolescents.


2021 ◽  
Vol 11 (2) ◽  
pp. 200-206
Author(s):  
Gennaro Auletta ◽  
Annamaria Franzè ◽  
Carla Laria ◽  
Carmine Piccolo ◽  
Carmine Papa ◽  
...  

Background: The aim of this study was to compare, in users of bimodal cochlear implants, the performance obtained using their own hearing aids (adjusted with the standard NAL-NL1 fitting formula) with the performance using the Phonak Naìda Link Ultra Power hearing aid adjusted with both NAL-NL1 and a new bimodal system (Adaptive Phonak Digital Bimodal (APDB)) developed by Advanced Bionics and Phonak Corporations. Methods: Eleven bimodal users (Naìda CI Q70 + contralateral hearing aid) were enrolled in our study. The users’ own hearing aids were replaced with the Phonak Naìda Link Ultra Power and fitted following the new formula. Speech intelligibility was assessed in quiet and noisy conditions, and comparisons were made with the results obtained with the users’ previous hearing aids and with the Naída Link hearing aids fitted with the NAL-NL1 generic prescription formula. Results: Using Phonak Naìda Link Ultra Power hearing aids with the Adaptive Phonak Digital Bimodal fitting formula, performance was significantly better than that with the users’ own rehabilitation systems, especially in challenging hearing situations for all analyzed subjects. Conclusions: Speech intelligibility tests in quiet settings did not reveal a significant difference in performance between the new fitting formula and NAL-NL1 fittings (using the Naída Link hearing aids), whereas the performance difference between the two fittings was very significant in noisy test conditions.


1995 ◽  
Vol 80 (3_suppl) ◽  
pp. 1075-1082 ◽  
Author(s):  
Salvatore De Marco ◽  
Roxanne M. Harrell

A comparative study was undertaken to assess the relative magnitude of the effects of linguistic context on the perception of word-juncture boundaries in 30 young school-aged children, 30 older school-aged children, and 30 adults. Minimally contrasted two-word phrases differing in word-juncture boundaries were embedded in a meaningful sentence context, nonmeaningful sentence context, and in neutral phrase context. Groups performed similarly in the neutral phrase context, and two older groups performed better than the young group in the meaningful context. The poorest performances occurred during the nonmeaningful context, with a significant difference among age groups. Heavier reliance upon top-down processing and less developed linguistic and metalinguistic competence may account for the observed differences among groups.


2013 ◽  
Vol 26 (22) ◽  
pp. 9090-9114 ◽  
Author(s):  
Waqar Younas ◽  
Youmin Tang

Abstract In this study, the predictability of the Pacific–North American (PNA) pattern is evaluated on time scales from days to months using state-of-the-art dynamical multiple-model ensembles including the Canadian Historical Forecast Project (HFP2) ensemble, the Development of a European Multimodel Ensemble System for Seasonal-to-Interannual Prediction (DEMETER) ensemble, and the Ensemble-Based Predictions of Climate Changes and their Impacts (ENSEMBLES). Some interesting findings in this study include (i) multiple-model ensemble (MME) skill was better than most of the individual models; (ii) both actual prediction skill and potential predictability increased as the averaging time scale increased from days to months; (iii) there is no significant difference in actual skill between coupled and uncoupled models, in contrast with the potential predictability where coupled models performed better than uncoupled models; (iv) relative entropy (REA) is an effective measure in characterizing the potential predictability of individual prediction, whereas the mutual information (MI) is a reliable indicator of overall prediction skill; and (v) compared with conventional potential predictability measures of the signal-to-noise ratio, the MI-based measures characterized more potential predictability when the ensemble spread varied over initial conditions. Further analysis found that the signal component dominated the dispersion component in REA for PNA potential predictability from days to seasons. Also, the PNA predictability is highly related to the signal of the tropical sea surface temperature (SST), and SST–PNA correlation patterns resemble the typical ENSO structure, suggesting that ENSO is the main source of PNA seasonal predictability. The predictable component analysis (PrCA) of atmospheric variability further confirmed the above conclusion; that is, PNA is one of the most predictable patterns in the climate variability over the Northern Hemisphere, which originates mainly from the ENSO forcing.


2020 ◽  
Vol 18 (1) ◽  
pp. 77-89
Author(s):  
J.N. Ingweye ◽  
J. Mfon ◽  
G.A. Kalio ◽  
F.I. Ologbose

Performance and organoleptic indices of rabbits fed plantain, oil palm and calopogonium leaves was assessed using 48, eight weeks old bucks. They were allotted to four groups of 12 animals and three replicates of four animals each. Group A (control) was fed calopogonium leaf while groups B, C, and D were fed plantain leaf, oil palm leaf, and 50% oil palm + 50% plantain leaves, respectively. Animals consumed fixed amount of commercial pellets while forages and water were given ad libitum. Completely randomized design, one-way analysis of variance was used. Proximate analysis of pellets and forages as well as feed intake, weight gain and feed conversion ratio were assessed. At the end of the experiment, meat from one rabbit per treatment was used for sensory evaluation by 20 semi-trained panelists using 7-point hedonic scale. Data were analyzed using SPSS software. Significant means were separated using Least Significant Difference. Crude protein, crude fibre, ether extract, nitrogen free extract and ash contents of the leaves ranged from 25.11±1.50 (calopogonium) to 4.90±0.92 (oil palm), 38.40±2.12 (oil palm) to 15.38±0.07 (plantain), 9.71±0.01 (plantain) to 2.30±0.01 (oil palm), 47.80±0.56 (oil palm) to 32.27±0.02 (calopogonium) and 11.93±0.02 (plantain) to 2.99±0.01 (oil palm), respectively. Groups A and B had the highest (p<0.05) final weight and weight gains while groups A, B and C had the highest (p<0.05) forage intake. Feed conversion ratios of groups A and B were better (lower) than others. Forages had no effect on meat colour and texture. Groups B and D meats tasted better than others. Group D meat aroma was better than those fed single forages. Meats from groups C and D were the juiciest while meats from groups A, C and D were the most acceptable. Consideration of final weights, weight gains, feed conversion ratio and taste of meat would require that plantain leaves be used to feed meat rabbits. Keywords: Organoleptic indices, Dry season feeding, Forage


2007 ◽  
Vol 1 (4) ◽  
pp. 396-401
Author(s):  
Cristiane Garcia da Costa Armentano ◽  
Julieta Quayle

Abstract The three words-three shapes test is a brief bedside technique for assessment of learning and memory using verbal and non-verbal material. To the best of our knowledge, performance of Brazilian elderly on this test has not yet been reported. Objective: To evaluate the performance of normal Brazilian elderly on the three words-three shapes test. Method: A total of 50 adult patients, 25 males and 25 females, with age ranging from 55 to 81 years (66.0±7.10 years), 1 to 8 years of schooling, different economic conditions and living in the São José do Rio Preto municipality, State of São Paulo, were evaluated. Results: There was no statistically significant difference between performance of males and females. Performance on incidental recall was significantly lower than in delayed recall. The performance in the learning phase improved following at least two further presentations of the stimuli. Approximately 50% of the participants did not remember the six stimuli and had to proceed to the recognition stage. The performance in the recognition stage was significantly better than during spontaneous recall. Patients with low educational level (less years of schooling) had poorer performance on the recall of shapes and on the total score of the test. Conclusions: The three words-three shapes test is rapid, efficient and straightforward to apply in the elderly, but low educational level was associated with poorer performance on this test. Normal elderly individuals had greater difficulty in the encoding process and in searching for stored information.


2012 ◽  
Vol 1 (3) ◽  
pp. 263 ◽  
Author(s):  
A. O. Danquah ◽  
A. N. Amoah ◽  
M. Steiner-Asiedu ◽  
C. Opare-Obisaw

The Ghana Demographic Health Survey indicates that the major nutritional challenges in Ghana among school children are protein-energy malnutrition and micro-nutrient deficiencies. School Feeding Programmes are one of the main interventions addressing malnutrition and its related effects on children’s health and education. The purpose of this study was to assess the influence of Ghana School Feeding Programme on nutritional status of school children in Atwima-Nwabiagya District of Ashanti Region, Ghana. A total of 234 pupils between 9 and 17 years of age, comprising 114 participants and 120 non-participants from three participating and three non-participating schools, respectively, with similar characteristics, took part in the study. It was hypothesized that the nutritional status of participants was better than that of non-participants. Results did not indicate any association between the school lunch and nutritional status. There was no statistically significant difference in the nutritional status of participants and non-participants. The programme did not impact the nutritional status of participants.


1995 ◽  
Vol 113 (1) ◽  
pp. 701-705
Author(s):  
Nelson Wolosker ◽  
Ruben Miguel Ayzin Rosoky ◽  
Baptista Muraco Neto ◽  
Berilo Langer

When a melito-diabetic patient presents trophic infected injury on the limb, it is essential an evaluation of the circulatory conditions for therapeutic procedures orientation. In some circumstances, although arterial pulsation is absent, there is no ischemia of tissues. In these cases, the maintenance treatment, with eventual resection of the necrosed and infected tissues may be adopted. Evolution of 70 diabetic patients with trophic injuries on extremities were submitted to a maintenance treatment. Age of patients varied from 28 to 88 years, with an average of 56.8. The most occurrence was verified in women, with 42 cases. Diabetes non-dependant on insuline (type II) was observed in 64 patients (91.5%), being the remaining 6 patients of type I. Diabetic retinopathy was observed in 14 (20%) of the patients, neuropathy in 22 (31%) and nephropathy in 8 patients (11.4%). All the patients presented arterial pulsation until the popliteal region. They were divided in 2 groups, considering trunk arteries of legs: Group I, pervial legs arteries, composed by 48 patients; Group II, occluded legs arteries, with 22 patients. In what refers to the anatomic local of the injuries, patients were classified in three groups: Group A, formed by 32 patients (45.7%), presenting injuries in one or two toes only, without affecting the metatarsic region; Group B, formed by 16 patients (22.9%), trophic injuries affecting the metatarsic region and Group C, formed by 22 patients (31.4%), injuries affecting the calcaneous region. Injuries in both of the groups were caused by mechanical traumatism. Duration of the injury in the inferior member varied from 7 to 48 days, resulting in a 12 days average. Analyzing pervicacity in trunk arterias and evolution of patients, it may be observed that there has been a significantly better result in those with all the pulses present (81.3% x 45.5%)(p<0,01). Studying the injury locals associated to the evaluation of the cases, we may observe that for injuries in the extreme digital, result is significantly better than in locals more nearly. When distal pulses are absent, there is no significant difference in the result of the treatment, being performed in distal injuries or in the more near ones (p>0,05)(Table IV).


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