scholarly journals Chest Mobility Exercise with Staked Breathing Versus Chest Mobility Exercises with Incentive Spirometery On Chest Expansion with Pleural Effusion Patient: A Comparative Study

2021 ◽  
Vol 9 (4) ◽  
pp. 3949-3953
Author(s):  
Minhaj Tahir ◽  
◽  
Tahzeeb Fatima ◽  
Devendra Trivedi ◽  
Manjit Kumar ◽  
...  
Keyword(s):  
Flow Cytometry ◽  
Pleural Effusion ◽  
P Value ◽  
Chest Expansion ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
Pleura Effusion ◽  
Respiratory Conditions ◽  
Incentive Spirometry

Background: Pleural effusion is one of the commonly seen respiratory conditions in India with approximately 1 million people being diagnosed each year. Twenty to forty percent of hospitalized patients with bacterial pneumonia develop pleural effusion. In India unlike western countries, tuberculosis pleura effusion is common. The pleural cavity is involved in approximately 5% of all patients with tuberculosis. Since there was no literature regarding the effectiveness chest mobility exercise with staked breathing or chest mobility exercises with incentive spirometery in pleural effusion. There was a need to find out as to which approach are the best ones to implement. Objective: To compare the efficacy of chest mobility exercise with stacked breathing versus chest mobility exercise with incentive spirometery on chest expansion in patients with pleural effusion. Materials and Method: 20 patients with pleural effusion were selected by easy sampling and randomly assigned into two groups (10 patients each groups). Group A received chest mobility exercises and intensive spirometery and group B received chest mobility exercises and stacked breathing. Both groups were instructed to perform the intervention 3 time per day, 8 to 10 time per session for one week. Chest expansion was measured by thoracic flow cytometry before and after one week of intervention. Result: In group A chest expansion increase from 2.68 to 2.87 which was statistically significant (P value < 0.0023). In Group B the chest expansion increases from 2.94 to 3.09 which was not statistically significant (P value < 0.216). Conclusion: It was concluded from the result that both chest mobility exercises with intensive spirometery and chest mobility exercise with stacked breathing are equally effective in improving the chest expansion in subject with pleural effusion. KEY WORDS: Pleural effusion, Chest mobility exercises, Incentive Spirometry, Stacked breathing, Thoracic flow cytometry.

scholarly journals Survival and echocardiographic evaluation of dogs with idiopathic dilated cardiomyopathy treated with carvedilol

2010 ◽  
Vol 62 (3) ◽  
pp. 555-563 ◽  
Author(s):  
E.C. Soares ◽  
G.G. Pereira ◽  
L.C. Petrus ◽  
M. Leomil Neto ◽  
F.L. Yamaki ◽  
...  
Keyword(s):  
Dilated Cardiomyopathy ◽  
Ventricular Remodeling ◽  
Left Ventricular ◽  
Idiopathic Dilated Cardiomyopathy ◽  
P Value ◽  
Echocardiographic Evaluation ◽  
Before And After ◽  
Group A ◽  
The Stability ◽  
Group B

Sixty dogs with idiopathic dilated cardiomyopathy were randomly treated with traditional therapy - digitalis, diuretics, angiotensin-converting inhibitors - (group A) or treated with these drugs plus carvedilol (group B). Echocardiographic variables were measured before and after 3, 13, 26, and 52 weeks of treatment or until death. Comparisons between groups and time were performed. No significant differences between groups were found in the most of the echocardiographic variables. The left ventricular end-systolic diameter indexed to body surface area (LVESDi) increased significantly in the group A dogs compared to the group B animals. The survival of groups A and B dogs were not different (P-value=0.1137). In conclusion, the stability of the LVESDi observed in the group treated with carvedilol may represent the beneficial effect over the ventricular remodeling.

scholarly journals EFFECTIVENESS OF NEURAL MOBILIZATION AND STRETCHING EXERCISE FOR THE MANAGEMENT OF SCIATICA

2014 ◽  
Vol 3 (2) ◽  
pp. 11-15
Author(s):  
Sidra Zahid ◽  
Ghazala Noor Nizami
Keyword(s):  
Conventional Therapy ◽  
Controlled Trial ◽  
Treatment Options ◽  
Tertiary Care ◽  
P Value ◽  
Below The Knee ◽  
Pain Disability ◽  
Before And After ◽  
Group A ◽  
Group B

OBJECTIVE To find out the effectiveness of neural mobilization and stretching exercise for the management of sciatica BACKGROUND Sciatica is described as pain, radiating to the leg below the knee joint and caused by irritation of the sciatic nerve or nerve trunk. There are many treatment options for the management of sciatica, including stretching exercise and neural mobilization. MATERIAL AND METHODS This study was a Randomized Controlled Trial. 94 patients from physical therapy OPD of tertiary care hospitals, were participated in this study. Hence, 47 patients were randomly allocated into each group A and B. Before and after the nine treatment sessions, both groups were assessed with VAS, SLR ROM and Quebec back pain disability scale. In group A, neural mobilization with conventional therapy (heat and TENS) was applied, while stretching exercise with same conventional therapy was applied to group B. RESULTS It was observed that both treatments were helpful in reducing the symptoms. The analysis showed significant improvement (p-value <0.05) in the SLR to 60.851o±6.86oand Quebec score to 23.617±3.125, after the stretching exercise. Hence, both treatments were equally effective in reducing pain (p-value >0.05). CONCLUSION Stretching exercise is more effective in the improvement of SLR and disability. Furthermore, both techniques are helpful in the management of pain. KEY WORDS Sciatica, Stretching, Neural Mobilization, Straight Leg Raising, Visual Analogue Scale, TENS.

scholarly journals AN EFFECT OF POSTURAL DRAINAGE ON MANAGEMENT OF PNEUMONIA

2020 ◽  
Vol 8 (12) ◽  
pp. 759-761
Author(s):  
Tahzeeb Fatima ◽  
◽  
Minhaj Tahir ◽  
Devendra Trivedi ◽  
◽  
...  
Keyword(s):  
T Test ◽  
P Value ◽  
Age Group ◽  
Physiotherapy Treatment ◽  
Postural Drainage ◽  
Before And After ◽  
Group A ◽  
Group B

Objective:To compare the patients with pneumonia with and without postural drainage and to measure the amount of sputum produced before and after physiotherapy treatment. Material and Method:This study was carried out at Lilamani Hospital, Kanpur. Total 7 patients was placed into two groups i.e. Group A and Group B. Group A included 4 patients, 3 females and 1 male with the age group is between 25-60. While Group B having 3 patients, 1 female and 2 males with the age group is between 26-62 years. Group A was received chest mobilization techniques, two times a day.While Group B received postural drainage in different positions with chest mobilisation twice a day. The amount of sputum before and after the physiotherapy techniques, the p-value was calculated for both groups by t-test and data was analysed through SPSS. Results: In this study, amount of sputum was significantly reduced in Group B as comparison to Group A. Conclusion: Postural drainage techniques with chest mobilisation are much effective. It also helps in reducing the amount of sputum in pneumonia patients.

scholarly journals UJI EFEK AFRODISIAK EKSTRAK BIJI PINANG MUDA (Areca Catechu L) PADA TIKUS JANTAN

2020 ◽  
Vol 8 (1) ◽  
pp. 34-39
Author(s):  
Ave Olivia Rahman ◽  
Erny Kusdiyah ◽  
Herlambang Herlambang ◽  
Aldo Victoria
Keyword(s):  
Wilcoxon Test ◽  
Female Rats ◽  
Male Rats ◽  
P Value ◽  
Betel Nut ◽  
Areca Catechu ◽  
Before And After ◽  
Group A ◽  
Herbal Plants ◽  
Group B

ABSTRACT Background: polyphenols and alkaloids in herbal plants could have aphrodisiac effect.  Betel nut (Areca catechu L) contain polyphenol and alkaloid. Alkaloid of betel nut has aphrodisiac effect, but also has side effect to many organs. Data of aphrodisiac effect of betel nut’s polyphenols is limited. This study aim to determine aphrodisiac effect of extraction of betel nut’s polyphenols in rats Method:  twelve rats, Sprague dawney, aged 2-3 months, weight 150-200 gram were divided into 2 group randomly. Group A were given  the extract with doses 100mg/kgWB and  group B were given extract with doses 200mg/kgWB  daily for 35 days. The aphrodisiacs effect determined by difference of mounting frequency before and after treatment. Male rats were mated with female rats which were in estrous phase and were recorded for 7 days.  Wilcoxon test were used for statistical analysis with p value < 0,05. Result: extract from extractio’s method that was used in this study had 39,8%(w/w) of polyphenols and 0,98% (w/w) of alkaloids. Both groups had decreasing of mounting’s frequency after treatment (p>0,05). Conclusions:  Extract of betel nut from this study had 39,8% (w/w) of polyphenols and had no aphrodisiacs effect in male rats. Keywords: Areca Catechu L, Betel nut, polyohenols, alkaloids, Rats, Aphrodisiac, Mounting.   ABSTRAK Latarbelakang: senyawa polifenol atau alkaloid suatu tanaman dapat mempunyai efek afrodisiak. Biji pinang (Areca catechu L) mempunyai kandungan polifenol dan alkaloid. Alkaloid biji pinang telah diketahui mempunyai efek afrodisiak, akan tetapi juga mempunyai banyak efek samping. Efek afrodisiak polifenol biji pinang belum diketahui. Penelitian ini bertujuan untuk melihat efek afrodisiak ekstrak polifenol biji pinang muda terhadap tikus putih. Metode: dua belas ekor tikus  Sprague dawney berumur 2-3 bulan, berat 150-200 gram dibagi secara random menjadi 2 kelompok yaitu Kelompok A diberikan ekstrak biji pinang dosis 100 mg/ kgBB, dan kelompok B diberikan dosis 200 mg/ kgBB setiap hari selama 35 hari. Efek afrodisiak dilihat dari perbedaan rerata frekuensi tunggangan sebelum dan sesudah perlakuan. Jantan dikawinkan dengan betina fase estrus dan direkam masing-masing selama 7 hari. Uji statistik menggunakan Wilcoxon dengan p<0,05. Hasil: ekstrak hasil ekstraksi yang digunakan pada penelitian ini mempunyai kandungan polifenol 39,8%(b/b) dan alkaloid 0,98% (b/b). Kedua kelompok terdapat penurunan rerata frekuensi  tunggangan setelah perlakuan (p >0,05). Kesimpulan: Ekstrak Biji Pinang Muda pada penelitian ini mempunyai kandungan 39,8% polifenol dan tidak mempunyai efek afrodisiak  pada tikus jantan. Kata kunci:  Areca Catechu L, biji pinang, polifenol, alkaloid, tikus, afrodisiak, tunggangan

Role of Aminophylline Intravesical Instillation on Enhancing Ureteral Dilatation prior to Ureteroscopy

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Mohamed Saafan ◽  
Mohamed Ismail Shabayek ◽  
Marwa Mamdouh Mohamed ◽  
Mostafa Mabrouk Bayomi Ali
Keyword(s):  
Intravesical Instillation ◽  
Controlled Study ◽  
P Value ◽  
Pressure Monitor ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Before And After ◽  
Group A ◽  
Ureteral Dilatation ◽  
Group B

Abstract Background Semi-rigid uretroscopy (URS) is a common intervention approach for lower ureteric stones. Ureteral dilatation is frequently needed before URS to enable ureter accessing. Aminophylline is known by its muscle relaxant effect and has been suggested to be effective in ureteral dilation. Objectives To evaluate the effect of intravesical administration of aminophylline on ureteroscopy and to measure intraureteral pressure Methods This prospective randomized controlled study included 50 before and after aminophylline injection. patients with lower ureteral calculi. In group A, the ureter was dilated by intravesical aminophylline whereas in group B balloon dilator was used. Intraureteral pressure was measured using pressure transducer connected to invasive pressure monitor. Results No statistically significant difference was noticed between both groups in operative time, intra operative complication, need for ureteral stenting or stone free rate. However, post-operative pain and haematuria were statistically significantly higher among balloon group compared to aminophylline group. In group A, there was statistically significant decrease in intraureteral pressure after injection of aminophylline (7.80 ± 1.71) compared to before injection (12.2 ± 1.85) with p-value &lt; 0.001. Conclusion Aminophylline is effective in ureteral dilatation when intravesically injected with less frequent post-operative pain and hematuria.

A Useful Flow Cytometry Panel To Exclude Myelodysplastic Syndrome.

Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 4848-4848
Author(s):  
Ling Zhang ◽  
Jean R. Lopatequi ◽  
Sharron E. Kelly ◽  
Tobi Neer ◽  
Stephen Lee
Keyword(s):  
Bone Marrow ◽  
Flow Cytometry ◽  
Test Group ◽  
Bone Marrow Examination ◽  
Normal Group ◽  
P Value ◽  
Aberrant Expression ◽  
Cd10 Expression ◽  
Group A ◽  
Group B

Abstract Background: Myelodysplastic syndromes (MDS) are a heterogeneous group of hematopoietic disorders, which can be difficult to diagnose based only on morphologic bone marrow examination. Karyotyping can be useful in diagnosing borderline cases. However, only 40% of patients with MDS have an abnormal karyotype. Flow cytometry(FCM) approaches have been described but not clearly defined in MDS due to use of different criteria. We devised a 10-parameter FCM panel, mainly including myeloid and erythroid maturation markers, to differentiate MDS marrows from normal marrows. Design: Bone marrow from 91 patients with cytopenia(s) or anemia were included in the study(10/2005–7/2006). Cases were divided into 3 groups: normal, not morphologically suspicious for MDS, 46 cases, equivocal, morphologically suggestive but not diagnostic of MDS, 20 cases, morphologically diagnostic of MDS, 25 cases. 10 FCM paremeters were performed and scored: hypogranularity,aberrant expression of CD56,lack of CD10 expression,decreased CD64 expression,&lack of CD13 or CD33 expression,&abnormal CD13/CD16 or CD16/CD11b pattern,increase of CD 34 expression gating on all cells excluding erythrocytes,decreased expression of CD71/Glycophorin gating on erythroid precursors. Karyotypings were analyzed. Results: and (see Table 1 and 2). Karyotyping were anlayzed in 86 cases. Cytogenetic abnormalities were found in 2.2% (1/44) of normal group, 5.3% (1/19) of equivocal group and 34.8% (8/43) of MDS group. In MDS group 7 of 8 patients (87.5%) who had both morphologic and cytogenetic diagnosis of MDS were scored &gt;=3 of 8 FCM parameters. Conclusions: Study showed the 8-parameter FCM panel was more predictive of MDS than 10-parameters one. Both CD13/CD16 & CD16/CD11b patterns were considered to be non-specific. In 8-parameter panel, zero score tended to rule out MDS, while score &gt;=3 suggested MDS. The most specific FCM parameters were hypogranularity, CD34, aberrant expression of CD56 or lack of CD10 expression by mature granulocytes. CD71/Glycophorin A might be useful in identifying dysplasia in erythroid lineage. Table 1. Comparison of FCM Parameters in Patients with/without MDS Parameters/Group Normal Group(A)(n=46) Equivocal Group(B)(n=20) MDS Group(C)(n=25) CHITEST(P value)(GRoup A vs C) * These two parameters were deleted in the 8-parameter panel due to their high frequency seen in normal group. Hypogranularity 4 (8.7%) 6 (30%) 18 (72%) 0.0001 CD56 0 (0.0%) 1 (5%) 6 (24%) 0.0005 CD10 7 (15.2%) 7 (35%) 15 (60%) 0.0001 CD64 6 (13.1%) 2 (10%) 6 (24%) 0.2396 CD13 0 (0.0%) 0 (0.0%) 2 (8.0%) 0.0516 CD33 0 (0.0%) 2 (10 %) 0 (0%) 0 CD13/CD16* 23 (50.0%) 7 (35%) 21 (84%) 0.0047 CD34 8 (17.4%) 7 (35%) 13 (52%) 0.0026 CD71 2 (4.3%) 5 (25%) 12 (48%) 0.0001 CD16/CD11b* 27 (58.7%) 8 (40%) 22 (88%) 0.0107 Table 2. Scoring with 8 FCM Parameters in Patients with/without MDS Score/Group Normal Group (A)* (n=46) Equivocal Group (B)* (n=20) MDS Group (C)* (n=25) * Fish Exact T Test: Group A vs C: p&lt;0.0001, A vs B: p=0.0006, B vs C: p=&lt;0.0001 Score=0 21 (45.7%) 3 (15%) 0 (0.0%) Score=1–2 25 (543 %) 14 (70%) 8 (32 %) Score&gt;3 0 (0.0%) 3 (15%) 17 (68%) *Mean score +/− SD 0.65+/−1.06 1.55+/−1.54 2.8+/−1.65

scholarly journals Effectiveness between Salam Leaf Booking Water and Red Ginger Towards Reducing Acid Levels in Patients of Gout Arthritis

2021 ◽  
Vol 2 (1) ◽  
pp. 6-11
Author(s):  
Hartono ◽  
Chicilia Puspita Darmaningrum
Keyword(s):  
Uric Acid ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Test Analysis ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
Red Ginger ◽  
Boiled Water

Background. The prevalence of Gout Arthritis in the world is 34.2%. Gout Arthritis is characterized by an increase in uric acid levels >7.2 mg/dl in men and >6 mg/dl in women. This disease can be treated pharmacologically and non-pharmacologically, one of which is bay leaf and red ginger. Research purposes. The purpose of this study was to determine the effectiveness of boiled water of bay leaves and red ginger on reducing uric acid levels in patients with gout arthritis. Methods. This research method is a pre-experimental static-group comparison design. The sampling technique used purposive sampling. A sample of 60 respondents was divided into two groups of 30 respondents each, group A intervention boiled bay leaf water for 7 days, group B intervention boiled red ginger water for 7 days. Both groups were observed uric acid levels before and after the procedure using the GCU tool. Result: The results of the paired t-test analysis of group A p = 0.000 and group B p = 0.005 p value <0.05 which means there is a difference between before and after intervention A and intervention B were given. The results of the Independent t-test analysis showed that there was a difference in uric acid levels. after intervention A and intervention B with p = 0.004. The results showed that boiled water of bay leaves was more effective than boiled water of red ginger in reducing uric acid levels. Conclusion. Boiled water of bay leaves is more effective than boiled water of red ginger in reducing uric acid levels in gout arthritis patients

scholarly journals Airway Clearance in Bronchiectasis: A Randomized Control Trial of N-Acetylcysteine with 3% hypertonic saline

2019 ◽  
Vol 8 (3) ◽  
pp. 146-150 ◽  
Author(s):  
Muhammad Imran Shehzad ◽  
Muhammad Atiq Ul Mannan ◽  
Masood Alam ◽  
Abdul Rauf ◽  
Muhammad Imran Sharif
Keyword(s):  
Acute Exacerbation ◽  
Hypertonic Saline ◽  
Control Group ◽  
P Value ◽  
Airway Clearance ◽  
Before And After ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B

Background: N-Acetylcysteine and 3% hypertonic saline are being used effectively for sputum clearance in chronic cases of bronchiectasis for quite some time. However, their use in acute condition of the disease seems to be underexplored. The objective of our study is to compare the role of nebulized N-acetylcysteine and 3% hypertonic saline in clearing the airway in patients with acute exacerbation of bronchiectasis. Material and Methods: A total of 136 confirmed cases of bronchiectasis were enrolled in this study. This randomized controlled trial was done in chest ward of Nishtar Hospital Multan from January 2015 to March 2017. Sampling was done by non-probability consecutive sampling and patients were divided into two groups A and B by lottery method. Verbal informed consent was taken from all participants. Group A participants received nebulization of N acetylcysteine mixed in normal saline for ten minutes, while group B participants were nebulized with 10ml of 3% hypertonic saline for ten minutes. Group B was active control group in the study. Data was collected on pre-designed Proforma, and analyzed by SPSS version 22. Numerical variables such as saturation, weight of sputum, age and blood pressure was analyzed by using t test. These were considered significant if the p value was equal or less than 0 .05. For qualitative variables chi square test was applied. Results: The mean O2 saturation of Group A, before and after treatment, was 92.11±3.07% and 94.47±2.18%, respectively. The difference was statistically significant (p value =0.001). The sputum weight of Group A, before and after treatment, was 2.63±2.39 g and 7.41±1.38 g, respectively. The difference was statistically significant (p value =0.001). The frequency of rhonchi of Group A, before and after treatment, was 52% and 76%, respectively. The difference was statistically significant (p value =0.003). While, for Group B, the mean O2 saturation, before and after treatment, was 92.36±3.13% and 93.49±2.27%, respectively. The difference was statistically significant (p value =0.012). The sputum weight, before and after treatment, was 3.11±2.01 g and 5.56±1.02 g, respectively. The frequency of rhonchi, before and after treatment, was 45% and 74% respectively. Again, the difference was statistically significant. Conclusion: Both nebulized N-acetylcysteine and 3% hypertonic saline cause airway clearance by enhancing sputum expectoration in patients with acute exacerbation of bronchiectasis equally. Both these agents also improve oxygen saturation in acute exacerbation of bronchiectasis significantly.

scholarly journals Correlation of vitamin D level with its related biochemical parameters and impact of different treatment regimens on their correction

2020 ◽  
Vol 8 (1) ◽  
pp. 86
Author(s):  
Amit Gupta ◽  
Sachin Kumar
Keyword(s):  
Biochemical Parameters ◽  
Inverse Correlation ◽  
Ultraviolet Rays ◽  
P Value ◽  
Significant Inverse Correlation ◽  
Treatment Groups ◽  
Treatment Regimens ◽  
Before And After ◽  
Group A ◽  
Group B

Background: Vit D is a fat-soluble vitamin that is produced when ultraviolet rays from sunlight strike the skin and trigger vit D synthesis. Aims and Objectives of the study were to find out the correlation of vit D level with its related biochemical parameters and impact of two different treatment regimens on their correction. Methods: A total of 107 patients were followed up out of which 89 were vit D deficient and rest were vit D insufficient. Results: Mean age of the patients was 6.11±4.49 and males comprised 66%. Mean BMI of children included in group A, B and C was 19.40±2.69, 19.60±3.18 and 20.95±3.72 kg/m2 respectively. Vit D levels at baseline had a significant inverse correlation with ALP (r=-0.27, p value=0.008).  Before and after comparison of mean serum calcium levels revealed significant improvement in both the treatment groups. Severity of vit D deficiency, at baseline, 9.10, 77.30 and 13.60% of patients had vit D levels of less than 5, 5 to 15 and more than 15 for group A respectively. In group B at baseline, 6.70, 71.10 and 22.20% of patients had vit D levels of less than 5, 5 to 15 and more than 15 respectively.Conclusions: Present study found that 60,000 IU/week and dose of 2000 IU/day for infants or 5000 IU/day for 1 to 18 years of age, along with 500 to 800 mg oral calcium for 6 to 8 weeks can result in correction of vit D deficiency.

scholarly journals SURGICAL GOWN FABRIC;

2017 ◽  
Vol 24 (07) ◽  
pp. 966-971
Author(s):  
Farzana Kishwar ◽  
Fatima Ali
Keyword(s):  
P Value ◽  
Surface Wetting ◽  
Private Hospitals ◽  
Study Materials ◽  
Before And After ◽  
Group A ◽  
Surgical Gown ◽  
Group B ◽  
Almost All ◽  
Surgical Gowns

Objectives: 1. To find out the affect of surface wetting of existing surgical gownfabric before and after laundering (among three groups of hospitals). 2. To compare the resultsof surface wetting of existing surgical gowns among three groups of hospitals. Study Design:The study has Experimental design. Period: March, 2017- June, 2017. Setting: This fabricwas collected from different govt. and private hospitals under study. Materials and Methods:The surgical gown fabric was used as sample for experiments. All the experimental work wasdone at PCSIR Labs. Lahore. Result and Conclusion: According to the above graph figure 04the resistance of fabric to surface wetting (spray test) was absolutely same in Group B and C.However, in Group A, the values were slightly greater than other two groups from new gown to10th laundering intervals and became null in further laundering, similar to group A and B. Theresistance to surface wetting nullified in almost all groups after 5th laundry and no statisticaldifference was observed in resistance of fabric in all groups i.e. (p-value=0.423). These gownsdid not match any international standard or parameter either. After repeated launderings mostof the gowns were torn and became discolored. Among three groups under study group Ashowed highest ratings in ISO-Spray test where as for weft yarns group c failed the test.

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