scholarly journals Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Rodrigo Ribeiro Vieiralves ◽  
Paulo Henrique Pereira Conte ◽  
Eduardo Medina Felici ◽  
Nádia Cristina Pinheiro Rodrigues ◽  
Tomás Accioly de souza ◽  
...  
Keyword(s):  
Average Length ◽  
Intervention Group ◽  
Urethral Meatus ◽  
New Classification ◽  
Average Width ◽  
Front Position ◽  
Determining Factors ◽  
Group A ◽  
The One ◽  
Group B

Objective. To analyze the penile and urethral meatus biometry and its correlation with meatoplasty during endoscopic resections. We also propose a new classification for urethral meatus morphology.Materials and Methods. We prospectively studied 105 patients who underwent prostate and bladder transurethral resections. We performed standardized measurement of penile and urethral meatus biometry followed by penile photo in the front position. The need to perform meatoplasty or dilatation during resectoscope introduction was registered. Data were analyzed comparing the correlation between two groups: without intervention (Group A) and with intervention (Group B).Results. We observed in Group A and Group B, respectively, the average length of urethral meatus of 1.07 cm versus 0.75 cm (p<0.001) and average width of urethral meatus of 0.59 cm versus 0.38 cm (p<0.001). Considering the morphology of the urethral meatus, we propose a new classification, in the following groups: (a) typical; (b) slit; (c) point-like; (d) horseshoe; and (e) megameatus. The point-like meatus was the one that most needed intervention, followed by the slit and the typical meatus (p<0.001).Conclusions. Point-like and slit-shaped urethral meatus, as well as reduced length and width of the urethral meatus, are the determining factors.

scholarly journals The Pandemic and Changes in the Self-Perception of Teacher Digital Competences of Infant Grade Students: A Cross Sectional Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4756
Author(s):  
Rosalía Romero-Tena ◽  
Carmen Llorente-Cejudo ◽  
María Puig-Gutiérrez ◽  
Raquel Barragán-Sánchez
Keyword(s):  
Intervention Group ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Digital Competence ◽  
Cross Sectional ◽  
Self Perceptions ◽  
Group A ◽  
Different Dimensions ◽  
The Difference ◽  
Group B

Without having a reaction time, the pandemic has caused an unprecedented transformation in universities around the world, leading to a revolution from structured models anchored in the conception of transmission of training towards a teaching approach-learning saved thanks to the incorporation of technology. This study aims to verify whether the pandemic situation has influenced the digital competence self-perception of students. Comparing two groups during the academic years 2019/2020 and 2020/2021, the instrument used is the questionnaire for digital competence “DigCompEdu Check-In” for future teachers. After the educational intervention, group A (before COVID-19) presented higher self-perceptions of competence than group B (during COVID-19); the pandemic situation caused by COVID-19 has negatively influenced students’ self-perception of their digital skills in the pretest in the different dimensions under study. Before receiving the training, the group that did not experience the pandemic enjoyed a higher self-perception of their competencies than the group that experienced the pandemic. The data obtained indicate that the difference exists, and that it is statistically significant, and may be a consequence of the clear relationship between self-perception and the way in which students face reality through their personal and subjective vision.

Novel staging protocol for non-small-cell lung cancers according to MRP-1/CD9 and KAI1/CD82 gene expression.

1998 ◽  
Vol 16 (4) ◽  
pp. 1397-1406 ◽  
Author(s):  
M Adachi ◽  
T Taki ◽  
T Konishi ◽  
C I Huang ◽  
M Higashiyama ◽  
...  
Keyword(s):  
Small Cell ◽  
Nodal Status ◽  
Pcr Analysis ◽  
Significant Prognostic Factor ◽  
Small Cell Lung ◽  
New Classification ◽  
Lung Cancers ◽  
Group A ◽  
Group B ◽  
Better Than

PURPOSE The transmembrane-4 superfamily (TM4SF) is a recently discovered family of genes. Of the TM4SF members, MRP-1/CD9, KAI1/CD82, and ME491/CD63 have been reported to modulate tumor progression or metastasis. In this study, we investigated the relationships between these three genes, MRP-1, KAI1, and ME491, in patients with non-small-cell lung cancers (NSCLCs). Moreover, we assessed the prognostic value of evaluating the expressions of MRP-1, KAI1, and ME491 simultaneously in NSCLCs. PATIENTS AND METHODS One hundred seventy-two patients up to stage IIIB NSCLC underwent radical surgery during the period of January 1991 through June 1994. Using a quantitative reverse-transcriptase polymerase chain reaction (RT-PCR) analysis, we studied the expression of MRP-1, KAI1, and ME491 genes in these patients. RESULTS We found that 109 patients (63.4%) had MRP-1-positive tumors and 42 patients (24.4%) had KAl1-positive tumors. Conversely, all 172 patients expressed ME491. No relationship was found between MRP-1 expression and KAI1 expression. We classified these patients into three groups. The 36 patients who were positive for both MRP-1 and KAI1 were defined as group A; the 79 patients with reduced expression of either MRP-1 or KAI1 were defined as group B, and the remaining 57 patients with reduced expression of both MRP-1 and KAI1 were defined as group C. This new classification was correlated with nodal status, tumor status, and pathologic stage (P = .0056, P = .0003, and P < .0001, respectively). In NSCLC patients, the 5-year survival rate of group A patients was significantly better than that of group B patients and much better than that of group C patients (86.8%, 53.9%, and 31.5%, respectively; P < .0001). Cox multivariate regression analysis showed that this new classification in NSCLCs was a significant prognostic factor, as was the nodal status (P < .0001). CONCLUSION Our results suggest that a low MRP-1 and KAI1 expression by tumors of the lung may be associated with poor prognosis. It is conceivable that the evaluation for MRP-1 and KAI1 expression may identify node-negative lung cancer patients who are at high risk for early disease recurrence, and thus need intensive adjuvant therapy.

scholarly journals A COMPARATIVE STUDY OF YOGIC AND AYURVEDIC INTERVENTION IN THE MANAGEMENT OF TAMAKA SHWASA.

2019 ◽  
Vol 7 (5) ◽  
Author(s):  
Dr Arpan A. Bhatt ◽  
Dr Shweta Pandey ◽  
Dr Brajesh Singh ◽  
Dr Gauravi Vyas ◽  
Dr Gyanendra Datta Shukla ◽  
...  
Keyword(s):  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Industrial Development ◽  
Large Scale ◽  
Intervention Group ◽  
Yoga Intervention ◽  
Asthmatic Patients ◽  
Group A ◽  
Expiratory Flow ◽  
Group B

Asthma is one of the commonest respiratory disease (as Jamnagar situated on sea coast has more moisture present in the air and polluting environment is increasing due to rapid industrial development i.e. industries using various chemicals/ pollutants, increases the incidences of Respiratory tract diseases) as well as a significant disease burden worldwide costing billions of dollars. The WHO estimates that there are between 15 and 20 million people with Asthma in India. The increase is likely to be particularly dramatic in India, which is projected to become the world’s most populous nation by 2050. An absolute 2% increase in the prevalence of Asthma in India would result in an additional 20 million people with the disease.  Anti-asthmatic drugs that are available in the market are expensive and have adverse effects. Thus, it is wise to look for an adjunct therapy to alleviate these problems. Therefore, the main aim of this study is to see the effect of Yoga on patterns of clinical features, peak expiratory flow rates and use of drugs in Asthmatic patients. Yoga intervention group (Group A) showed 70.58% reduction in the use of emergency medicine while it was 68.09% in Ayurvedic conventional group (Group B). There was a 24.93% increment in the PEFR in the Group A while only 16.49% in the Group B. There was statistically significant reduction in frequency and duration of Asthma attacks in both the Groups. Yoga exercise among Asthmatic patients resulted in a decreased number of attacks and use of drugs. It also shows significant improvement in the peak expiratory flow rate in Yoga intervention Group. Further large scale study is recommended. Keywords: Asthma, Yoga, Expiratory flow rate.

scholarly journals The Impact of Complex Preoperative Preparation of Patients with Aortic Heart Diseases on the Level of Postoperative Anemia

2020 ◽  
pp. 37-42
Author(s):  
B. M. Gumeniuk ◽  
V. V. Popov ◽  
A. K. Logutov ◽  
E. V. Aksenov
Keyword(s):  
Surgical Treatment ◽  
Serum Iron ◽  
Heart Diseases ◽  
Heart Defects ◽  
Intervention Group ◽  
Artificial Circulation ◽  
Normal Range ◽  
Group A ◽  
Group B ◽  
The Impact

In patients undergoing surgical treatment of aortic heart defects under artificial circulation, pre-operative correction of serum iron levels, and application of blood-saving techniques during surgery reduce the level of postoperative anemia. The aim. To investigate the combined influence of preoperative correction of serum iron levels and blood-saving techniques in the early postoperative anemia in the surgical treatment of aortic heart defects under artificial circulation. Material and methods. This study involves 133 patients with acquired aortic heart diseases undergoing surgical treatment under artificial circulation and aims at identifying the combined effect of preoperative correction of serum iron (III) hydroxide levels and blood-saving techniques on the level of postoperative anemia. The levels of iron, transport enzymes, blood corpuscles, Hb and Ht were investigated. All the patients were divided into 3 groups. Group A (control group) included 52 patients in whom iron levels were within the normal range and donated blood components were used during the intervention. Group B (study group) included 43 patients in whom iron levels were within the normal range and blood-saving techniques were used during the intervention. Group C (adjustment group) included 38 patients with low iron levels and anemia, which was interpreted as anemia of chronic disease (ACD). Preoperative correction of serum iron levels and intraoperative blood-saving techniques were applied in this group. Results. For the purpose of perioperative anemia correction, transfusion of 539.8 ± 9.1 ml (p¤0.05) of packed red blood cells and 582.4 ± 77.2 ml (p¤0.05) of fresh frozen plasma was given in Group A patients. In the Group B, the use of blood-saving techniques during the intervention allowed us to obtain good clinical effect without perioperative transfusion of blood products. It was established that in Group C preoperative correction of serum iron enabled to achieve 5.6 times higher level of serum iron (p¤0.05), 2 times higher transferrin saturation, and 7.3 times higher ferritin activity (p¤0.05), as well as increase preoperative Hb level by 9.5 % and decrease postoperative anemia by 8.7 %. Conclusions. Correction of low baseline serum iron in patients with chronic anemia (ACD) provides 5.6 times increase in preoperative serum iron (SI) (p¤0.05), increases hemoglobin by 9.5% (p¤0.05), and reduces the level of postoperative anemia in patients undergoing surgical treatment of aortic heart defects under artificial circulation with the use of blood-saving techniques and without the use of donor blood and Cell Saver.

scholarly journals The Medical Management of Arsha with Chirabilwadi Quatha and Kaseesadi Thaila Sthanika Abhyanga

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Nagesh Gandagi ◽  
Shubhangi Patil
Keyword(s):  
Medical Management ◽  
Common Disease ◽  
Subjective Symptoms ◽  
Group A ◽  
Effect Of Treatment ◽  
The One ◽  
Group B ◽  
Total Study Period ◽  
Randomized Method

Arsha (Piles) is the one of the most common disease encountered in clinical and surgical practice. Arsha incidence increases with advancing age, at least 50% of people over the age of 50 years have some degree of haemorrhoidal symptoms. In this study an attempt has been made to treat the “disease” with Chirabilwadi quatha (Panartha) and Kaseesadi thaila (Sthanika abhyanga). Total thirty patients were selected by simple randomized method and allocated into three groups called Group A, B, C. Each group had ten patients. Group A. treated with Chirabilwadi quatha(Panartha), Group B. treated with Kaseesadi thaila and Group C. treated with combination of Chirabilwadi quatha and Kaseesadi thaila. Total study period was nighty days in that thirty days was treatment and sixty days was fallow-up. The effect of treatment was observed both in subjective symptoms and objective parameters. Non significant, Significant and highly significant results were observed in subjective parameters, objective parameters and overall in all three groups.

scholarly journals Hippocampal vascularization: Proposal for a new classification

2020 ◽  
Vol 11 ◽  
pp. 378
Author(s):  
Gustavo Rassier Isolan ◽  
Marco Antonio Stefani ◽  
Felipe Luis Schneider ◽  
Humberto Alves Claudino ◽  
Yang Han Yu ◽  
...  
Keyword(s):  
Posterior Cerebral Artery ◽  
Occipital Artery ◽  
Anterior Choroidal Artery ◽  
New Classification ◽  
Brain Hemispheres ◽  
Group A ◽  
Anterior Choroidal ◽  
Group B ◽  
Group D ◽  
Choroidal Artery

Background: Anatomy of the hippocampal arterial supply is key to successful surgeries in this area. The goal of the current study is to present the results we obtained from our microsurgical dissections of the temporal lobe and to propose a new classification for the hippocampal arteries (HAs). Methods: Fifty-six brain hemispheres were analyzed. All dissections in this study were made using 3–40× at the surgical microscope. Results: The hippocampal arterial vasculature can be divided into six groups, according to their frequencies: Group A: mixed arterial vasculature originating from the anterior choroidal artery anterior choroidal artery, posterior cerebral artery (PCA), anterior infratemporal artery (AIA), and splenic artery (SA). Group B: Main origin at the temporal branches – main inferotemporal trunk, middle inferotemporal artery, posterior inferotemporal artery, AIA, or main branch of PCA. Group C: AIA as the main branch of the hippocampus. Group D: HAs originating from the main branch of PCA. Group E: A single hippocampal artery with the origin at the main branch of PCA. This single artery covered all of the structure and is named Ushimura’s artery. Group F: The hippocampal vessels arose exclusively from the parieto-occipital artery, calcarine artery (CA), and the SA. Conclusion: This study proposes a new classification for the hippocampal vascularization, according to the origin of HAs. One of the groups has not yet been described in the literature – in which the HAs arise from the parieto-occipital artery, SA, and CA.

scholarly journals Outcome of implementing Surgical Safety Checklist in Pediatric Surgery in Tertiary Level hospital

2021 ◽  
Vol 23 (1) ◽  
pp. 60-65
Author(s):  
Jasmine Bajracharya ◽  
R Shrestha ◽  
HR Joshi ◽  
RP Adhikari
Keyword(s):  
Intervention Group ◽  
World Health ◽  
Care Group ◽  
Tertiary Level ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Operative Care ◽  
Group A ◽  
Group B ◽  
Level Hospital

The World Health Organization (WHO) implemented the Surgical Safety Checklist (SSCL) as a part of Safe Surgery Saves Lives campaign. Even after 12 years of implementation of WHO SSCL, available literature is still lacking from developing countries, where the potentially greatest impact could have been observed. A prospective randomized controlled trial done in Tertiary level hospital from September 2018 – February 2020 enrolled pediatric patients aged 0 day to 15 years. The patients were randomly allocated into groups by lottery as Group A - control and Group B – Intervention group. Group A was given the basic pre-operative care. Group B were enrolled in the safety checklist. The data were collected in the printed forms and analyzed. The patients were followed for surgical site infections (SSI). Compliance of the safety checklist was assessed with completion of the checklist fully or partially. Total cases enrolled were 310 with 155 in each group. Age of patients ranged from 1 day to 15 years. SSI was present in 35 patients in group A and 29 patients in group B. The Outcome of implementation of SSC on appearance of SSI was not significant. SSI was decreased on checklist implementation with OR of 0.78 (95% CI 0.45 – 1.37). Outcome of SSC compliance shown by OR was 0.39 (95% CI 0.15 – 0.99). Use of SSCL decreases the postoperative complications and improves the outcome. Compliance is the key to success of the implementation of the checklist.

Increased aortic PGI2 and plasma lyso-PAF in the unclipped one-kidney hypertensive rat

1986 ◽  
Vol 251 (6) ◽  
pp. H1361-H1364 ◽  
Author(s):  
H. M. McGowan ◽  
R. Vandongen ◽  
J. P. Codde ◽  
K. D. Croft
Keyword(s):  
Blood Pressure ◽  
Hydrolysis Product ◽  
Platelet Activating Factor ◽  
Hypertensive Rats ◽  
Hypertensive Rat ◽  
Group A ◽  
The One ◽  
Group B ◽  
Group D

Previous studies have implicated vasodilatory prostaglandins (PGs) in the reversal of hypertension following unclipping in the one-kidney, one-clip (1K,1C) hypertensive rat. The capacity of the aorta to synthesize prostacyclin (PGI2) was compared in clipped (group A, n = 9), unclipped (group B, n = 8 and group D, n = 9), and sham-unclipped (group C, n = 9) 1K,1C hypertensive rats. The involvement of platelet-activating factor (PAF), a potent renal antihypertensive phospholipid, in the reversal of renal clip hypertension was also examined. Hypertensive rats [systolic blood pressure (BP) greater than 180 mmHg] were fed a synthetic diet for 4 wk, after which group A was killed immediately, group C was sham-unclipped, and groups B and D unclipped and killed 24 h later. Blood was drawn for the measurement of plasma lyso-PAF (the precursor of PAF) and the aorta removed for determination of 6-ketoprostaglandin F1 alpha (6-keto-PGF1 alpha, the stable hydrolysis product of PGI2). BP fell substantially in the unclipped rats (groups B and D) but did not change in the sham-unclipped rats (group C). Mean aortic 6-keto-PGF1 alpha was increased in the unclipped groups [group B, 15.4 +/- 2.4 (SE) ng/mg; group D, 10.8 +/- 2 ng/mg] compared with group A (7.7 +/- 1 ng/mg) and group C (7.1 +/- 1 ng/mg) (H = 13.74, P less than 0.01). Plasma lyso-PAF was also significantly increased in the unclipped (group D, 261 +/- 26 ng/ml) vs. the sham-unclipped group (group C, 211 +/- 23 ng/ml, P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

scholarly journals An intervention for improving the lifestyle habits of kindergarten children in Israel: a cluster-randomised controlled trial investigation

2014 ◽  
Vol 18 (9) ◽  
pp. 1537-1544 ◽  
Author(s):  
Liat Lerner-Geva ◽  
Elinor Bar-Zvi ◽  
Gila Levitan ◽  
Valentina Boyko ◽  
Brian Reichman ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Cluster Randomised Controlled Trial ◽  
Nutritional Knowledge ◽  
Intervention Programme ◽  
Cluster Randomised ◽  
Daily Energy ◽  
Group A ◽  
Group B ◽  
Randomised Controlled

AbstractObjectiveTo assess the effectiveness of an intervention programme to improve kindergarten children's eating and leisure habits in Israel.DesignA cluster-randomised controlled trial.SettingSix full-day kindergartens in Israel were randomly divided into three groups. Group A received the full intervention programme, which included lessons on good eating habits and daily physical exercise. Group B received a partial intervention of lessons only. Group C, the reference group, did not receive any intervention.SubjectsChildren aged 4–6 years (n 204) were recruited for the study.MethodsObjective data for weight and height were collected to calculate BMI Z-scores. Activity, sedentary time, sleeping hours and daily energy intake were assessed via a parental questionnaire. Nutritional knowledge was assessed by a single dietitian using a questionnaire addressed to the children. Assessments were done at baseline and at the end of the intervention.ResultsAfter adjustment for baseline levels we observed a significant reduction in daily energy intake for the full intervention group A (P = 0·03). A positive intervention effect was demonstrated on nutritional knowledge in the partial intervention group B (P = 0·03), although no significant change was demonstrated for BMI Z-score.ConclusionsThe study supports the incorporation of education on healthy lifestyle habits and physical activity into the curricula of kindergartens.

Plaque Removal Efficacy of Dental floss Compare to Water Jet Following Single Use

2021 ◽  
Vol 15 (12) ◽  
pp. 3439-3441
Author(s):  
Syed Midhat Batool ◽  
Madiha Rasheed ◽  
Kawish Syed ◽  
Afaq Farooq ◽  
Zain Ayub ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Water Jet ◽  
Tooth Brushing ◽  
Control Group ◽  
Dental Floss ◽  
Plaque Removal ◽  
Group A ◽  
The Mean ◽  
Group B

Background: Dental plaque (biofilm) is a well-known contributor to the onset and progression of many dental illnesses. Plaque is a natural biofilm that develops on oral surfaces and contains a wide variety of organisms. As a result, it is critical to control plaque formation, particularly in the young population, by implementing effective preventive strategies. Objective: To assess and compare plaque removal efficacy of water flosser and string floss in patients. Study design: Randomized controlled trial Place and Duration of study: Department of Periodontology, Sardar Begum Dental College, Gandhara University from 1st March 2019 to 31st May 2019. Methodology: Seventy patients were enrolled. Patients were randomly allocated to one of two groups, group A (using dental floss) as the control group and group B (using waterpik) as the intervention group, using the lottery technique. Patients were randomly allocated to one of two groups, group A (control group), using dental floss and group B (intervention group), using waterpik utilizing the lottery technique. All participants were taught correct brushing technique utilizing the Modified Bass technique and manufacturer's instructions for using waterpik as well as normal flossing instructions for using Dental floss. Results: The mean age presentation was 34.23±6.78 years. The females were 42 (60%) males were 28 (40%). The mean percentage showed that those using water flosser with tooth brushing had low plaque score than using string floss with tooth brushing. The independent t test showed that water flosser is significantly more effective (p=0.001) in plaque reduction than conventional string floss. Conclusion: A water flosser coupled with hand brushing is more effective in eliminating plaque than string floss. Plaque removal was 20-30% higher in the group that used a water flosser. Key words: Efficacy, Dental floss, Water jet

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