scholarly journals Prediction of the relationship of cesarean section scar niche and postmenstrual spotting: is there any relation?

2022 ◽  
Vol 53 (1) ◽  
Author(s):  
Kirollos Wagdy Bandry ◽  
Hisham Abou-Taleb ◽  
Gehan S. Seifeldein ◽  
Mohamad Gaber Taha ◽  
Omran Khodary Qenawy
Keyword(s):  
Cesarean Section ◽  
Gold Standard Method ◽  
Group A ◽  
Magnetic Resonance Imaging Mri ◽  
Group B ◽  
Relationship Of ◽  
The Relationship ◽  
B 31 ◽  
Scar Width

Abstract Background Postmenstrual spotting has recently been related to a discontinuation of the myometrium at the site of a previous cesarean section called "CS scar niche". There was no consensus regarding the gold standard method for the assessment of the niche. Recently, Magnetic resonance imaging (MRI) has shown promise in the evaluation of the niche. Our study aims to assess the role of MRI in the evaluation of the CS scar niche characters and its association with post-menstrual spotting. Results A total of 65 patients with CS niche were prospectively included in this study and subdivided into two groups, according to presence or absence of postmenstrual spotting (Group A; 34 patients with postmenstrual spotting and Group B; 31 patients without spotting). All patients were examined using a 1.5 T MRI unit. CS scar niche volume was significantly higher among women with post-menstrual spotting (0.57 ± 0.07 vs. 0.07 ± 0.05 (cm3); P < 0.001). Also, women with post-menstrual spotting have significantly higher scar length (9.38 ± 3.06 vs. 5.02 ± 2.10 (mm); P < 0.001), scar depth (6.95 ± 3.16 vs. 3.23 ± 0.99 (mm); P < 0.001), scar width (15.78 ± 3.94 vs. 9.87 ± 1.84 (mm); P < 0.001) in comparison to those without post-menstrual spotting. Scar depth (> 7.4 mm) had 81% sensitivity and 97% specificity for prediction of post-menstrual spotting with overall accuracy was 88.7%. While scar width (> 12.8 mm) had 71% sensitivity and 97% specificity for prediction of post-menstrual spotting with overall accuracy was 83.3%. Scar volume (> 0.15 cm3) had 97% sensitivity and 100% specificity for prediction of post-menstrual spotting with overall accuracy was 98.4%. Conclusion MRI measures (CS scar volume, depth, and width) are predictors for postmenstrual spotting in patients with CS scar niche, and scar volume is the most powerful predictor.

The Role of Xylitol Gum Chewing in Restoring Postoperative Bowel Activity After Cesarean Section

2015 ◽  
Vol 18 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Jian Tao Lee ◽  
Mei-Hui Hsieh ◽  
Po-Jen Cheng ◽  
Jr-Rung Lin
Keyword(s):  
Cesarean Section ◽  
Chewing Gum ◽  
Control Group ◽  
Bowel Sounds ◽  
Gum Chewing ◽  
Group A ◽  
The Times ◽  
Group B ◽  
Post Hoc

Aims: The goal of this study was to evaluate the effects of xylitol gum chewing on gastrointestinal recovery after cesarean section. Methods: Women who underwent cesarean section ( N = 120) were randomly allocated into Group A (xylitol gum), Group B (nonxylitol gum), or the control group (no chewing gum). Every 2 hr post-cesarean section and until first flatus, Groups A and B received two pellets of chewing gum and were asked to chew for 15 min. The times to first bowel sounds, first flatus, and first defecation were then compared among the three groups. Results: Group A had the shortest mean time to first bowel sounds (6.9 ± 1.7 hr), followed by Group B (8 ± 1.6 hr) and the control group (12.8 ± 2.5 hr; one-way analysis of variance, p < .001; Scheffe’s post hoc comparisons, p < .05). The gum-chewing groups demonstrated a faster return of flatus than the control group did ( p < .001), but the time to flatus did not differ significantly between the gum-chewing groups. Additionally, the differences in the time to first defecation were not significant. Conclusion: After cesarean section, chewing gum increased participants’ return of bowel activity, as measured by the appearance of bowel sounds and the passage of flatus. In this context, xylitol-containing gum may be superior to xylitol-free gum.

scholarly journals Cohesion and Coherence in the Writings of Iranain EFL Students

2014 ◽  
Vol 2 (1) ◽  
pp. 41-50
Author(s):  
Mohammad Ali Arab Zouzani
Keyword(s):  
Degree Of Coherence ◽  
Efl Students ◽  
Group A ◽  
Group B ◽  
Relationship Of ◽  
The Relationship ◽  
Chain Interaction

This study was conducted in to investigate the relationship of cohesive chains and chain interaction to the coherence of texts. To do this, the following procedure was followed. First, 95 EFL students were asked to write a composition on a particular topic. These texts were scored by three experienced raters based on their perceived degree of coherence. The texts were then ordered from high to low. Thirty high-rated texts were labeled as group A, and thirty low-rated texts were labeled as group B. These texts were analyzed for the presence and frequency of cohesive chain and chain interaction based on the model proposed by Hassan (1989). After collecting the data and statistically analyzing them, the results showed that the texts getting higher coherence scores had a higher proportion of relevant tokens to peripheral ones and a higher proportion of central tokens to non-central ones in comparison to the low-rated texts. Therefore, cohesive chain and chain interaction can be used as an indicator of coherence and has pedagogical and theoretical implications.  

SKIN INFECTIONS AND ACUTE NEPHRITIS IN AMERICAN INDIAN CHILDREN

PEDIATRICS ◽  
1967 ◽  
Vol 39 (2) ◽  
pp. 263-279
Author(s):  
Bascom F. Anthony ◽  
Lawrence V. Perlman ◽  
Lewis W. Wannamaker
Keyword(s):  
Normal Population ◽  
Skin Lesions ◽  
Skin Infections ◽  
Upper Respiratory Tract ◽  
Indian Children ◽  
Superficial Skin ◽  
Group A ◽  
Relationship Of ◽  
The Relationship

Serial observations were obtained over an 18-month period of 270 Indian children with pyoderma. Beta-hemolytic streptococci, predominantly group A, and coagulasepositive staphylococci were recovered from the majority of lesions (80% and 70%, respectively), both on the initial and on subsequent cultures. The predominant agglutination patterns of streptococcal strains were similar to those described in other studies of superficial skin infections. Another agglutination pattern, 17/23/47, not previously observed to be prevalent in streptococci from skin lesions, was identified in a significant number of skin cultures. In addition, the hitherto undescribed association of M-types, including type 41 and a new M-type, with strains of T-agglutination pattern 3/13/B3264 was found. In striking contrast to the streptococcal strains, established "impetigo" strains of Staph. aureus (type 71 or other group II strains) were in the minority. Throat cultures of children with pyoderma suggested a limited relationship between infection or colonization of the pharynx and infection of the skin, while nasal streptococci were more closely correlated with and possibly derived from the flora of the skin lesions. Titers of ASO were not often elevated over control values in children with pyoderma, while anti-DNAse B titers were more commonly increased. Group A streptococci isolated from skin lesions prior to or at the time acute nephritis was recognized included type 12 (M and T) and strains classified by T-agglutination as 5/27/44, 11 and 4. The role of infection or colonization of the upper respiratory tract in the relationship of pyoderma to nephritis was not clarified in these studies. Moreover, in view of the frequency of change of group A streptococcal strains in skin lesions, as shown in serial observations in this study, the nephritogenic significance of streptococci recovered from skin lesions at the time of recognition of nephritis must remain in some doubt. Questions concerning the pathogenesis of endemic nephritis associated with pyoderma can probably be most reliably answered by frequent, prospective observations of a normal population with significant occurrence of streptococcal skin infections.

Advanced High-Coverage Targeted Metabolomics Method (SWATHtoMRM) for Exploring the Relationship of Follicular Fluid Components with Age

2020 ◽  
Vol 16 (3) ◽  
pp. 291-302
Author(s):  
Jingyan Song ◽  
Tianqi Wang ◽  
Jiayin Guo ◽  
Ying Guo ◽  
Xiaoming Wang ◽  
...  
Keyword(s):  
Follicular Fluid ◽  
Human Follicular Fluid ◽  
High Coverage ◽  
Group A ◽  
Components Analysis ◽  
Group B ◽  
Relationship Of ◽  
The Relationship ◽  
Group D ◽  
Huge Challenge

Background: The complexity of follicular fluid metabolome presents a huge challenge for qualitative and quantitative metabolite profiling and discovery of the comprehensive biomarkers. Objective: In order to address this challenge, novel SWATHtoMRM metabolomics method was used for providing broad coverage and excellent quantitative capability to discover the human follicular fluid metabolites related to age and evaluate their relationship with pregnancy outcome and oocyte senescence. Methods: The patients were divided into four groups according to age, including group A (28 cases, 21- 27 years old), group B (42 cases, 28-34 years old), group C (31 cases, 35-41 years old), and group D (24 cases, 42-48 years old). Follicular fluid samples from 125 IVF patients were analyzed. The differential ions among the four groups were identified by principal components analysis according to accurate mass, isotope ratio, and tandem mass spectroscopic spectra. Then, the differential metabolic pathways were further identified by a KEGG cluster analysis. Results: A total of 18 metabolites in the follicular fluid differed among the four groups, including amino acids, lipids, hormones, and vitamins. A total of 15 metabolites, including 6-oxohexanoate, phenylalanine, proline, hexadecanoic acid, linoleate, arachidonate, oleic acid, docosahexaenoic acid, LysoPC(16:1), LysoPC(20:5), LysoPC (20:3), 25-hydroxyvitamin D3, 5-dehydroepisterol, 27- hydroxycholesterol, and 5beta-cholestane-3alpha,7alpha,12alpha,23,25-pentol, were down-regulated with age and 3 metabolites, including LysoPC(18:3), LysoPC(18:1), and 13,14-dihydroretinol, were upregulated with age. Conclusion: Our study provides useful information for revealing the relationship between age and female reproductive capability.

Lumbar Canal Stenosis: A Prospective Clinicoradiologic Analysis

2020 ◽  
Vol 81 (05) ◽  
pp. 387-391
Author(s):  
Nikhil Jain ◽  
Shankar Acharya ◽  
Nitin Maruti Adsul ◽  
Mukesh Kumar Haritwal ◽  
Manoj Kumar ◽  
...  
Keyword(s):  
Back Pain ◽  
Spinal Canal ◽  
Neurogenic Claudication ◽  
Canal Stenosis ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
Relationship Of ◽  
The Relationship

Abstract Background Although spinal canal narrowing is thought to be the defining feature for the clinical diagnosis of lumbar canal stenosis, the degree of spinal canal stenosis necessary to elicit neurologic symptoms is not clear. Several studies have been performed to detect an association between a narrow spinal canal and clinical symptoms. Through our prospective study, we compared the radiologic criteria with the clinical criteria using the Oswestry Disability Index (ODI) and assessed how they correlate. Materials and Methods We used the qualitative grading (morphological classification system on magnetic resonance imaging [MRI]) system, dural sac cross-sectional area (DSCA), and sedimentation sign on MRI images and compared them with the Self-Paced Walking Ability (Self-Paced Walking Test) and ODI of the patients in the study. The systems were applied to 85 patients divided into three groups: group A: 43 patients with neurogenic claudication and able to walk < 30 minutes; group B: 11 patients with neurogenic claudication and able to walk > 30 minutes; and group C: 31 patients with simple back pain and no signs of neurologic claudication. Results The mean ODI was 21.19 in group C, 46.50 in group B, and 61.95 in group A. The difference was statistically significant. The mean DSCA was 164.42 mm2 in group C, 49.94 mm2 in group B, and 35.07 mm2 in group A. The difference was statistically significant. The sedimentation sign was negative in 96.8% patients in group C, 54.5% patients in group B, and 32.6% patients in group A. The difference was statistically significant. Group C had 9.3% patients in morphology grade A3, 51.6% in grade A2, and 38.7% patients in grade A1. Group B had 63.6% patients in grade C, 18.2% patients in grade B, 9.1% in grade A4, and 9.1% in grade A3. Group A had 18.6% patients in grade D, 39.5% in grade C, 27.9% in grade B, 11.6% in grade A4, and 2.3% in grade A3. The mean DSCA of group C was significantly different from group A and group B, but the difference of the mean DSCA between group A and group B was not statistically significant. The relationship of ODI to DSCA, ODI to sedimentation sign, and ODI to morphological grading for group C and group A was not statistically significant. The relationship of morphological grading to DSCA was statistically significant for all three groups. Conclusion DSCA, morphological grading, and sedimentation sign are good to excellent radiologic indicators differentiating patients with simple back pain from those with lumbar spinal stenosis. Clinically, ODI is an excellent indicator of the severity of stenosis. But ODI statistically has no significant correlation to any of these radiologic parameters.

scholarly journals The Relationship of Thinking Style and Motivation Features of Sales and Advertising Managers

2020 ◽  
Vol 10 (3) ◽  
pp. 68 ◽  
Author(s):  
Alla Belousova ◽  
Yulia Mochalova
Keyword(s):  
Rank Correlation ◽  
Correlation Method ◽  
Thinking Styles ◽  
Thinking Style ◽  
Need For Achievement ◽  
Rank Correlation Method ◽  
Group A ◽  
Group B ◽  
Relationship Of ◽  
The Relationship

The thinking of a manager is conditioned by their motivational features which determine their personal professional success and the effectiveness of the organization’s activities. In this study, we assumed that two groups of sales and advertising managers had differences in the relationships between thinking style and their motivational qualities, as well as their individual need for achievement. We used the following sources: The methodology of A. Belousova for the diagnosis of thinking styles, the “scale of control over action” by J. Kuhl, and “the need for achievement” by Yu.A. Orlov. The selection consisted of 61 people, 25 to 30 years of age, of which 41 were men and 20 were women, from organizations engaged in the sale of a technical group of goods (also known as Group A) and advertising services (also known as Group B), in Rostov-on-Don. The Spearman rank correlation method was used for quantitative data processing. In group Group A, the analysis showed the presence of statistically significant connections. A critical style of thinking has a significant relationship with the level of clarity about the need for achievements and practical thinking is statistically significantly interrelated with control over action in a situation of failure. Whereas, in Group B, an initiative, managerial, and practical style of thinking has a significant correlation with the need for achievement.

scholarly journals Improvement of Binocular Summation in Intermittent Exotropia Following Successful Postoperative Alignment

2020 ◽  
Author(s):  
YUEPING LI ◽  
Juan Ding ◽  
Wei Zhang
Keyword(s):  
Visual Acuity ◽  
Binocular Summation ◽  
Intermittent Exotropia ◽  
Low Contrast ◽  
Central Fusion ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
Relationship Of ◽  
The Relationship

Abstract Purpose: To investigate the improvement of binocular summation (BiS) for the high (100%) contrast and different low contrasts (10%, 5%, 2.5%) and the relationship of BiS with stereopsis and central fusion in patients with intermittent exotropia (IXT) after strabismic surgeries.Design: Prospective studyParticipants: Seventy-six patients with IXT aging 9 to 40 years with poor control at distance before strabismus surgeries. Methods: To analyze preoperative and postoperative BiS records and the proportions of patients with different BiS for the high (100%) contrast and the low contrasts (10%, 5%, 2.5%). The score of visual acuity (log Mar) was recorded when patient recognizing the full line with full refraction correction. BiS was classified into three situations depending on whether binocular visual acuity (BVA) was better, worse or equal to that of the better-seeing eye . The results of distant random dots stereograph(RDS) were grouped into A, unable to recognize; B, moderate, 200”≤RDS≤400” and C, good, RDS<200”.Results: The patients with binocular summation were increased from 9.2% to 40.8% for 100%contrast, from 17.1% to 53.9% for 10% contrast, from 21.1% to 76.1% for 5% contrast, from 21.1% to 72.4% for 2.5% contrast after surgeries, respectively. Tested using 2.5% contrast, (1) more patients presented binocular summation in the groups B and C ; (2) postoperative improvements of BVA in group B(1.5±1.03 lines) and group C (1.57±1.26 lines) differed significantly with that in the group A (0.74±1.00 line); (3)more patients presented binocular summation and the improvement of BVA was 1.43±1.16 lines in the group with central fusion after surgeries.Conclusions: BiS for high contrast and different low contrasts can be improved in IXT after successful surgical treatment. It may be associated with obtaining central fusion, recovering stereopsis at distance and good alignment after the surgeries. BiS for 2.5% contrast was improved significantly and sensitive to the good stereopsis and central fusion. Improvement of BiS, particularly for low contrast, has benefit for the daily activities in the real environment. BiS could be as supplementary assessment of binocular function for the patients with IXT before and after treatment.

scholarly journals DEATH ANXIETY AND RELIGION/S

2020 ◽  
Author(s):  
Naveed Shibli ◽  
Tahira Yaqoob
Keyword(s):  
Death Anxiety ◽  
Daily Experience ◽  
Human Presence ◽  
Negatively Associated ◽  
Group A ◽  
Similar Area ◽  
Group B ◽  
Role Of Religion ◽  
The Relationship

<p>The relationship between death anxiety and religion/s explored, it was assumed that the role of religion could be associated with death anxiety in a fixed manner or it could vary. Following tests were used Death Anxiety Scale, Daily Experience Spirituality Scale and Centrality of Religiosity Scale. 100 subjects falling between 40-60 years of age belonging to similar area and followers of two different religions, 50 belonging to religion one in Group-A and 50 belonging to religion two in Group-B were tested. The results reflected that religiosity was significantly and positively correlated with faith (p < .01), negatively associated with death anxiety (p < .01) and negatively correlated with death anxiety (p < .01). The revealing finding that came in light was the significant differences of religiosity, faith and death anxiety between Religion-A and Religion-B. It was also observed that faith was significantly higher among Religion-A respondents as compared to Religion-B respondents. Finding suggests further explorations in the direction to explore and address an inevitable part of human presence.</p>

scholarly journals DEATH ANXIETY AND RELIGION/S

2020 ◽  
Author(s):  
Naveed Shibli ◽  
Tahira Yaqoob
Keyword(s):  
Death Anxiety ◽  
Daily Experience ◽  
Human Presence ◽  
Negatively Associated ◽  
Group A ◽  
Similar Area ◽  
Group B ◽  
Role Of Religion ◽  
The Relationship

<p>The relationship between death anxiety and religion/s explored, it was assumed that the role of religion could be associated with death anxiety in a fixed manner or it could vary. Following tests were used Death Anxiety Scale, Daily Experience Spirituality Scale and Centrality of Religiosity Scale. 100 subjects falling between 40-60 years of age belonging to similar area and followers of two different religions, 50 belonging to religion one in Group-A and 50 belonging to religion two in Group-B were tested. The results reflected that religiosity was significantly and positively correlated with faith (p < .01), negatively associated with death anxiety (p < .01) and negatively correlated with death anxiety (p < .01). The revealing finding that came in light was the significant differences of religiosity, faith and death anxiety between Religion-A and Religion-B. It was also observed that faith was significantly higher among Religion-A respondents as compared to Religion-B respondents. Finding suggests further explorations in the direction to explore and address an inevitable part of human presence.</p>

scholarly journals APPENDECTOMY IN THE TIMES OF COVID-19: COMPARATIVE STUDY OF TWO GROUPS OF PATIENTS BETWEEN SIMILAR PERIODS OF TIME - 2019 VS 2020

2020 ◽  
Vol 2 (1) ◽  
pp. 6-11
Author(s):  
C. Ungureanu ◽  
R. Mirică ◽  
R. Iosifescu ◽  
M. Zamfir ◽  
M. Mardare ◽  
...  
Keyword(s):  
Delayed Presentation ◽  
Emergency Hospital Service ◽  
Group A ◽  
The Times ◽  
One Year ◽  
Group B ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship ◽  
Surgery Center

Acute pathology of the cecal appendix - appendicitis, is a condition that does not take into account the pandemic period. The aim of this study is to retrospectively analyze the relationship of care for two groups of patients who underwent appendectomy in COVID-19 period and one year before, same period of time, in emergency hospital service. We performed a retrospective analysis on the patients admitted in our surgery center by comparing two groups for each period analysed: group A, for the period March-May 2019 and group B for the period March-May 2020 (corresponding to COVID-19 pandemic). We compared the groups analysing features that prove the change in age, incidence, grade (severity) of appendicitis, delay of surgery, length of surgery, postoperative complications and hospitalization time. CT scan was made for each patient. In the group B, PCR COVID-19 testing was made (all patients were negative for COVID-19). Our study consisted of 52 patients, group A-32 patients (61.53%) and group B-22 patients (38.47%). The Covid-19 pandemic influenced the incidence of appendicitis and we noted a delayed presentation which led to more complicated appendicitis than same period of the previous year. The impact also was noted on length of surgery, due to use of PPE (personal protective equipment) and also modified anatomy of the region related to inflammation. The severity of appendicitis was higher in the COVID-19 period when compared to 2019 similar period of time. Further research is required to draw more conclusions on this period.

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