scholarly journals Quality of Scar after Total Thyroidectomy: A Single Blinded Randomized Trial Comparing Octyl-Cyanoacrylate and Subcuticular Absorbable Suture

ISRN Surgery ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Fabrizio Consorti ◽  
Rosaria Mancuso ◽  
Annalisa Piccolo ◽  
Eugenio Pretore ◽  
Alfredo Antonaci

Objective. To compare the quality of resulting scar at 6 weeks after total thyroidectomy with the use of the tissue adhesive octyl-cyanoacrylate or subcuticular absorbable suture for the closure of cervicotomy. Material and Methods. There are 50 patients undergoing a cervicotomy for total thyroidectomy. Twenty-five patients were randomly assigned to closure with tissue adhesive and 25 with subcuticular absorbable suture. At week 6 the scar was evaluated by blinded assessors with the Italian version of POSAS questionnaire, a validated wound scale composed of an observer’s and a patient’s subscale. Results. Assessment of scar appearance showed a statistically significant difference () in favor of subcuticular suture with respect to tissue adhesive on observer’s assessment. The difference on patients’ self-assessment was not significant. A multivariate analysis of six qualitative features of scars showed a significant influence on assessment for hyperpigmentation and relief of scar. The Italian version of POSAS proved to be reliable. Conclusion. Though tissue adhesive represents a valid method of skin closure, subcuticular absorbable suture provides a better aesthetic outcome in small cervical incisions in the early phase after thyroid surgery.

2017 ◽  
Vol 15 (5) ◽  
pp. 652-666 ◽  
Author(s):  
Ayodeji Emmanuel Oke ◽  
Clinton Ohis Aigbavboa ◽  
Marcia M. Raphiri

Purpose There are several types of accommodation available to students of higher education institutions, and it is the responsibility of the institutions to focus on factors that can attract and retain students to their residences. This study aims to investigate satisfaction of higher institutions students with on-campus accommodation with an emphasis on the ethnicity of the students. Design/methodology/approach Using convenience sampling method, questionnaires were administered to students of selected residences in the study area. Mean item score was used to rank identified factors, whereas mean gap and Kruskal–Wallis K-test were adopted to examine the difference in opinion of students from various ethnic groups. Findings Overall, major features that make students dissatisfied with university-owned accommodations are enforcement of rule that compels all students to move out with their belongings during each recess, the effectiveness of the lift system, the size of wardrobe and closet, laundry service in the residence, numbers of electrical sockets and window quality. Considering dwelling unit features, neighbourhood, environmental, building quality and services provided by residence management, this study reveals that there is a significant difference in the satisfaction of students of diverse ethnic groups with their accommodation. Research limitations/implications The study was limited to on-campus residences owned by higher education institutions in South Africa. However, the findings of the study can be adopted for off-campus residences, and such owned by private individuals, agencies and other bodies provided are approved by the institutions. Originality/value The findings of this study will help management of higher education institutions to improve quality of services in their residences for the satisfaction of their students. Developers, contractors and other stakeholders involved in construction of these residences will also find the findings useful in designing and construction of the facilities.


2021 ◽  
Author(s):  
Snezana M Jovicic

Abstract Background: Understanding the effect of pre-analytical factors is important for data quality of bio-specimens and health status. The study examines the effect of 9-days fluid intake and 2-time sampling on concentration changes of 7-Urine and 17-Blood variables. Material and Method: SPSS software v23.0 applies to data processing. The group of 23 healthy subjects divide based on water intake and gender. Results: A statistically significant difference(p<0.01) between 1st/2nd sampling is confirmed for Freezing point depression, Sodium, Potassium, Creatinine Urea and Urate in Urine and Urea, Urate, Glucose, Hematocrit, Thrombocyte in Blood. The difference between water intake after 1st sampling is confirmed (p<0.01) for Freezing point depression, Sodium, Urate and(p<0.05) for Potassium(p<0.05), Chloride(p<0.05), Creatinine(p<0.05), Urate, Urea in Urine and Potassium(p<0.01) and Chloride(p<0.05) in Blood. Difference between gender exists for Urea(p<0.05) in Urine after 2nd sampling and Urate(P<0.01), Glucose(p<0.01/0.05), Ht(p<0.01/0.05) after 1st and 2nd sampling and MCHC(p<0.01) after 2nd sampling in Blood samples.Conclusion: Water intake increases blood and urine biomarker range after sampling.


2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Cohen MV ◽  
◽  
de Fátima Teixeira P ◽  
Vaisman M ◽  
Vaisman F ◽  
...  

Background: Low risk thyroid cancer can be treated with lobectomy or total thyroidectomy. Studies have shown that the risk of recurrence does not differ between the two surgeries, although there are higher rates of complications with total thyroidectomy. Our study aimed to find if there were differences in quality of life and thyroid function in the two treatments. Methods: Low risk DTC survivors answered three QoL questionnaires (EQ5D3L, SF36, and EORTC QLQ C30) and had their thyroid function evaluated. Results: Twenty-six lobectomy patients and 101 total thyroidectomy were included. Hypoparathyroidism occurred more in the total thyroidectomy, and TSH was more likely to be on target (0.5-2.0) in lobectomy. There was no difference between groups regarding QoL, but there was a significant difference regarding thyroid function. In SF36 form, TSH off target led to more physical limitations, pain, less vitality, and worse social aspects. Abnormal total T3 level was associated with pain, less vitality, and worse mental health. In the EORTC QLQ C30, off target TSH led to worse role functioning, fatigue, and nausea. EQ5D form showed that worse utility index was found when TT3 was not in normal range. Conclusion: This study showed there was a difference among thyroid function, specially TSH depending on type of surgery. When uncontrolled, TSH was associated with worse aspects of the quality of life. Therefore, lobectomy patients have a better thyroid function control and less surgical complications which might have an impact in some aspects of the quality of life when compared to total thyroidectomy.


2020 ◽  
Vol 4 (1) ◽  
pp. 59-67
Author(s):  
Eka Swarnadi Luh ◽  
Ketut Budi Susrusa ◽  
Ida Ayu Listia Dewi

LPDs are non-bank financial institutions that are regulated and approved by the Regional Regulations of the Province of Bali. The management of LPD is fully handed over to the relevant Pakraman village. In line with the rapid development of LPDs, it turns out that on the other hand it shows diverse performance, so that LPDs need to pay attention to the level of product quality and customer interest in the products offered.            The purpose of the study was to determine the comparison of product quality and interest in saving at the Tajun Traditional Village LPD with the Traditional Village of Tegal. The number of samples from Tajun Adat Village LPD was 98 people and the LPD of Tegal Traditional Village was 84 people. The research data were analyzed by the Mann-Whitney Test. The results showed that there was a significant difference between the quality of the products of the Adat Village of Tajun LPD and the Traditional Village of Tegal. This difference is indicated by indicators of physical evidence, reliability, responsiveness and empathy. The product quality of Tajun Adat Village's LPD is better than the traditional village of Tegal. There is a significant difference between the interest in saving the traditional village of Tajun LPD and the traditional village of Tegal. The difference is in the indicator of confidence. Interest in Saving Tajun Indigenous Village LPD is higher than the Traditional Village of Tegal.


2019 ◽  
Author(s):  
Farzaneh AKBARI ◽  
sousan Heydarpour ◽  
Nader Salari

Abstract BACKGROUND Sleep disorder, brings in many physical, behavioral, and mental problems. Applying continuous care model leads to proper recognition of the patient’s problems and involves the patient in solving health problems. This study aimed to determine the effect of continuous care model on the quality of sleep in menopausal women. METHODS AND MATERIALS A random clinical trial study was carried out with participation of 110 menopausal women visiting Kermanshah-based clinics (the west of Iran) in 2017. The participants were randomly assigned to intervention (n=55) and control (n=55) groups. The control group received the routine cares and in addition to the routine cares the intervention group attended four weekly group consultation sessions (60-90min). The quality of sleep in the two groups was assessed using Pittsburg Sleep Quality Index before, immediately after, and one month after the intervention. Data analyses were done using independent t-test, ANOVA with frequent measures, Friedman’s test, Wilcoxon’s post hoc test, and X2 test in SPSS (24). RESULTS The mean scores of quality of sleep before and after the intervention were significantly different in the intervention group (p=0.001). There was no significant difference between the two groups in terms of quality of sleep before (p=0.140) and immediately after the intervention (p=0.168). However, one month after, the difference between the two groups was significant (P<0.001). CONCLUSION Implementation of the continuous care model led to an improvement of quality of sleep in the menopausal women.


Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 124
Author(s):  
Daniel López-López ◽  
Roi Painceira-Villar ◽  
Vanesa García-Paz ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Marta Elena Losa-Iglesias ◽  
...  

Background: Asthma may be considered as a non-communicable condition associated with higher bronchial responsiveness that may impair quality of life (QoL). Purpose: The research aim was to compare scores of depression, as well as general and foot health-related QoL, in patients who suffered from asthma with respect to healthy subjects. Methods: A total sample of 152 subjects, median age of 37.00 ± 16.00 years, were recruited from a respiratory and allergy department of a hospital and divided into patients with asthma (n = 76) and healthy subjects (n = 76). The scores of the Spanish foot health status questionnaire (SFHSQ) domains as well as the Spanish Beck’s Depression Inventory (BDI) scores and categories were collected. Results: The only statistically significant difference (p < 0.05) was shown for the difference of the FHSQ footwear domain establishing that patients who suffered from asthma presented a worse QoL related to foot health for footwear (lower FHSQ scores) compared to healthy matched-paired participants (higher FHSQ scores). Regarding the rest of the outcome measurements, there were no statistically significant differences (p > 0.05) for the other FHSQ domains scores as well as the BDI scores and categories. Conclusions: Patients with allergic asthma presented impairment of the QoL related to foot health for footwear, which seemed to be linked to the presence of asthma.


1966 ◽  
Vol 17 (2) ◽  
pp. 201 ◽  
Author(s):  
RW Moore

Comparisons have been made of the milk quality of ewes of two strains of Merino, strong-wool (S) and medium-wool Peppin (B), and of two breeds, strong-wool Merino and Corriedale (C). The strains were compared in two ways – for ewes suckling single lambs and for ewes suckling a pair of twins containing one lamb of each strain, and the breeds were compared for ewes suckling single lambs. The strain comparisons were made in 1960–61 and the breed comparison in 1961–62. Ewes of the S and B strains during the first 10 weeks of lactation had milk with mean fat percentages of 6.0 and 6.5 respectively when suckling singles, and 6.4 and 7.2 when suckling twins. The corresponding percentages for solids-not-fat (S.N.F.) for the period 45–72 days after parturition were 9.5 and 9.3 for singles, 9.9 and 10.2 for twins. The C breed and the S strain yielded milk with respective mean fat percentages of 8.6 and 9.4, and mean S.N.F. of 10.1 and 10.6, during the first 20 days of lactation. The only statistically significant difference among these breed and strain comparisons was the breed difference in S.N.F. In Merino ewes suckling twins the fat percentage was higher than in those suckling singles over 10 weeks of lactation (6.8 v. 6.2), while the percentage of S.N.F. for the period 45–72 days after parturition was also higher (10.1 v. 9.4). The difference in fat was not significant, but the difference in S.N.F. was. When adjusted for the higher amount of whole milk produced by ewes suckling twins, the relative amounts of fat and S.N.F. secreted become 116 : 100 and 112 : 100. There is thus a suggestion that the extra sucking stimulus which leads to a greater production of whole milk also increases the secretion of fat and S.N.F. When the 10-week lactation period was divided into three subperiods, the fat percentages showed a significant increase with time since parturition for Merino ewes suckling singles (5.7 : 5.8 : 7.2) or twins (5.7 : 6.8 : 7.9). Even when these figures were adjusted for amount of whole milk, the relative total amounts of fat secreted were 100 : 105 : 102 and 100 : 111 : 104. Lamb growth rate was no more highly correlated with the constituents of milk quality than with the total amount of whole milk. No important differences in milk quality were found between the genetic groups examined, but these were all related, the Corriedale breed being half Merino. The possibility remains that breeds differing more widely in their genetic background might also differ in milk quality.


2008 ◽  
Vol 6 (1) ◽  
pp. 8-15
Author(s):  
WIWIN UNDARI ◽  
ARI SUSILOWATI ◽  
IRAWAN SUGORO

Undari W, Susilowati A, Sugoro I. 2008. Production of biomass of yeast cell R1 and R2 using sweet potato and cassava extract substrates in fermentor type air-lift scale 18 liters. Biofarmasi 6: 8-15. Increasing production and quality of meat and milk can be done by attention to nutrition, reproduction and health and livestock management. This research was conducted with the following objectives: (i) to determine the difference of production of biomass of yeast cell R1 by using sweet potato and cassava extract substrates in fermentor type air-lift scales 18 liters with R2; (ii) to determine the difference of difference of production rate of biomass of yeast cell R1 by using sweet potato and cassava extract in fermentor type air-lift scales 18 liters and the consumption of glucose with R2; (iii) to determine the difference of yield x/s of yeast cell R1 by using sweet potato and cassava extract substrates in fermentor type air-lift scales 18 liters with R2; and (iv) to determine the difference of production efficiency of biomass of yeast cell R1 by using sweet potato and cassava extract substances in fermentor type air-lift scales 18 liters with R2. The research was conducted in July-September 2006 at the Nutrition, Reproduction and Wellness Laboratory of the Center for Applications of Isotope and Radiation Technology - National Nuclear Energy Agency (PATIR-BATAN), South Jakarta. Based on the results of research, it can be determined that the production of biomass of yeast cell R1 and R2 on sweet potato and cassava extract substrate were 0.65 g/L, 0.83g/L, 0.63 g/L and 0.88 g/L, respectively. In the production of biomass between yeast R1 and R2, there was no significant difference, either sweet potato or cassava extract. The production rate of biomass of yeast cell R1 and R2 and the consumption of glucose on sweet potato and cassava extract substrates were 0.04 g/L/day and 0.86 g/L/day, respectively; 0.06 g/L/day and 0.51 g/L/day, respectively; 0.05 g/L/day and 0.19 g/L/day, respectively; 0.08 g/L/day and 0.28 g/L/day, respectively. The rate of biomass production and the consumption of glucose between yeast R1 and R2 showed that there was no significant difference, both on sweet potato and cassava extract substrates. The yield x/s of yeast R1 and R2 on sweet potato and cassava extract substrates were 0.43 g/g, 0.61 g/g, 0.29 g/g and 0.31 g/g, respectively. The yield x/s between yeast R1 and R2 showed that there was no significant difference, both on sweet potato and cassava extract substrates. The production efficiency of biomass of yeast cell R1 and R2 on sweet potato and cassava extract substrates were 86.23%, 122.34%, 57.46% and 61.18%, respectively. The production efficiency of biomass between yeast R1 and R2 showed there was no significant difference, both on sweet potato and cassava extract substrates.


Author(s):  
Sukma Adelina Ray ◽  
Abdurahman Adisaputera ◽  
Isda Pramuniati

The aims of this study to find out the quality of E-learning based on learning media using Moodle LMS on text of observation. This type of research is development research in the field of education known as Research and Development (R&D). Development research (development research) is research that is used to produce certain products and test the effectiveness of these products (Tegeh and I.M, 2013). The result of this study show that The quality of e-learning based learning media using LMS Moodle which was developed as a learning media on the observation report text material is stated to be a useful and effective contribution in improving the quality of learning outcomes of 10th grade TJA1 Vocational School Telkom Shandy Putra Medan. This is because there is a significant difference in the learning outcomes of the average value of students before using e-learning based learning media (pre-test) ie 57.0 or only about 52% are able to exceed KKM and after using e-based learning media learning using LMS Moodle (post-test) the average value of students increased to 77.0% or can be interpreted as 100% of students able to exceed the KKM. Based on these data the difference is increased by 20% or can be interpreted student learning outcomes increased by 58%.


2019 ◽  
Vol 19 (1) ◽  
pp. 89
Author(s):  
Tuhu Perwitasari

One of factors that affect the growth of child is the nutritional status which determines the success in improving the quality of human resources. The health care and food in early life is crucial one to the growth and development of the child. This study aim to seek wheter the difference in child parenting between Jambi Malay and Javanese to the growth of children 6-24 months in Muaro Jambi District of Jambi Province is occured.The design of this study is observational analytic with cross sectional. The samples of the study were taken at two Working Areas of Health Care ; Muara Kumpeh for Jambi Malay and Markanding for Javanese Tribe. The population is children aged 6-24 months in both Working Areas of helath care and the number of samples taken in each area is 100 children. The data was collected through interviews and observations by researchers assisted by midwives in the helath care. Data processing was done using SPSS and data analysis using Mantel-Haenszel test.In this research, there is no disparity in parenting feeding methods (p = 0,227), while the analysis cannot be conducted on health parenting because there was a value of 0. Furthermore, there is no difference in parenting hygiene (p = 0.828), and there is a significant difference in parenting psychosocial stimulation (p = 0.000) in Jambi Malay and Javanese. In this study it can be concluded that there is a significant difference in the growth of the child 6-24 month at the Jambi Malay and Javanese. In addition, there is no difference in Jambi Malays and Javanese parenting to the grow of the child aged 6-24 month. So that,It is suggested to provide counseling and health  counseling to the mother and also involves other family members such as father.


Sign in / Sign up

Export Citation Format

Share Document