scholarly journals Comparative study of single dose versus multiple doses of antibiotic prophylaxis in caesarean delivery

Author(s):  
Prathima S. ◽  
Savitha C. ◽  
Tejeswini KK ◽  
A GS

Background: The aim of this study was to compare the low dose of vaginal misoprostol and dinoprostone gel for the induction of labour at term of pregnancy.Methods: Retrospective comparative study was undertaken on 300 subjects with 2 parallel treatment groups. Data were analyzed using Graphpad Instat 3 McIntosh software by Student’s t test, Mann–Whitney U test, the Chi-squared test or fisher’s exact test.Results: Comparatively narrow spectrum low cost cefotaxime is as effective as more expensive commonly used amoxicillin-clavulanic acid with no significant difference of infectious morbidity.Conclusions: Less costly cefotaxime should be preferred compared to more costly triple drug regimen for prophylaxis at caesarean section.

2020 ◽  
Vol 28 (3) ◽  
pp. 128-130
Author(s):  
PHILIP MCKEAG ◽  
ANDREW SPENCE ◽  
BRIAN HANRATTY

ABSTRACT Objective: An observational study was carried out to determine the rate of acute kidney injury (AKI) following surgery for hip fracture at our institution and to look for factors associated with AKI. Methods: Preoperative creatinine values were compared to post-operative results for all patients who underwent surgery for hip fracture at our institution between 1st January 2015 and 30th September 2016. AKI was defined as an increase in postoperative creatinine, greater than or equal to 1.5 times the preoperative value within 7 days. Chi-squared test and Student’s t-test were used to look for factors associated with AKI. Results: Out of 500 patients, 96 developed an AKI (19.2%). Patients with chronic kidney disease (CKD) were more likely to develop AKI (30.8%) that those without it (17.2%, p = 0.018). Similarly, patients with 2 or more comorbidities were more likely to develop AKI (22.0%) than those without it (12.4%, p = 0.009). No statistically significant association was observed between type of surgery and AKI. Conclusion: A large proportion of patients following surgery for hip fracture developed AKI. Patients with CKD and the presence of 2 or more comorbidities had significantly higher rates of AKI. Level III evidence, Retrospective comparative study.


2021 ◽  
Vol 33 (2) ◽  
pp. 118
Author(s):  
J. E. Hernández Pichardo ◽  
M. R. Del Moral Reyes ◽  
M. E. Kjelland ◽  
J. L. Rodríguez Suastegui

Domestic cat invitro embryo production (IVEP) begins with IVM of oocytes to produce mature oocytes; that is, MII. The domestic cat (Felis catus) has been used as a model to carry out assisted reproductive technology (ART) research for application in wild feline species that may be threatened or endangered. The objective of this research was to evaluate oocyte maturation of domestic cats in different reproductive stages: (1) prepubertal, (2) oestrus, (3) pregnant, and (4) anoestrus. The present study was carried out at the Universidad Autónoma Metropolitana Unidad Xochimilco in Mexico City. Unless otherwise stated, all reagents used were from Sigma-Aldrich. The domestic cat ovaries were obtained from a veterinary clinic using salpingo-oophorectomy hysterectomy (OSH). Ovaries were classified as one of the following: (1) prepubertal (female cats under 6 months of age); (2) in oestrus (one or more 2-mm mature follicles); (3) pregnant (presence of fetuses with one or more corpora lutea; and (4) anoestric (ovaries without follicular activity). The ovaries were transported (<2h) in NaCl solution (0.157M) with ampicillin (10 000 IU mL−1), streptomycin (10 000 µg mL−1) and amphotericin (25µg mL−1) to the laboratory. The cumulus–oocyte complexes (COCs) were obtained by ovary microdissection with modified Tyrode’s medium supplemented with sodium lactate (10mM), HEPES (0.50mM) and polyvinyl alcohol (0.01%). COCs were washed twice with TCM-199 medium with Earle’s salts supplemented with bovine serum albumin (BSA, 3mg mL−1), cysteine (0.1mg mL−1), HEPES (1.4mg mL−1), sodium pyruvate (0.25mg mL−1), sodium lactate (0.6mg mL−1), L-glutamine (0.15mg mL−1) and gentamicin (0.055mg mL−1). The wash medium was also used for IVM, but supplemented with human menopausal hormone (Merional® IBSA; 4.5IU mL−1). Oocyte maturation was performed with TCM-199 medium supplemented with BSA, in an atmosphere of 38.5°C, 5% CO2, 95% air, and humidity at saturation for 48h. To evaluate IVM, 300μg mL−1 of hyaluronidase was used to remove the granulosa cells for 5min at 38°C. Next, the oocytes were fixed with paraformaldehyde (4%) for 15 min; washed with a mounting solution (Imacel, invitro); then, 1.5μg mL−1 of 4’,6 diamidino-2-phenylindole dihydrochloride (DAPI) was added. The stained oocytes were evaluated under a microscope (Eclipse E600, Nikon) equipped with a fluorescence lamp and a UV filter (excitation: 330–380nm). The Student’s t-test and the Chi-squared test (χ2) were used for statistical analyses (α=P<0.05). A total of 210 ovaries were obtained from 105 female cats: prepubertal (n=38), oestrus (n=25), pregnant (n=18), and anoestrus (n=24), with a total of 1405 oocytes recovered. The meiotic maturation between the different reproductive stages after 48h of culture was similar in prepubertal (48%), oestrus (46%), pregnant (43%), and anoestrus (45%) groups and did not show a significant difference (P>0.05). This study shows that the domestic cat reproductive stage does not significantly affect the production of mature oocytes for use in ART.


2014 ◽  
Vol 26 (1) ◽  
pp. 140
Author(s):  
F. A. Diaz ◽  
D. L. Paccamonti ◽  
K. R. Bondioli ◽  
G. T. Gentry

The cryopreservation of equine expanded blastocysts (>300 μm) has been largely unsuccessful primarily due to the low permeability of the embryo to cryoprotectants. This low permeability has been attributed to the acellular glycoprotein capsule that develops when an embryo approaches approximately 300 μm in diameter. Mechanical alternatives may provide a means to overcome the capsule barrier and the relative large embryo size to successfully cryopreserve equine embryos. The objective of this experiment was to compare re-expansion rates of vitrified equine expanded blastocysts following either direct or indirect mechanical introduction of cryoprotectants using a coaxial microinjection system (Dracula pipette). Twenty-six Day-8 expanded blastocysts were subjected to capsule puncture, cryoprotectant injection, and blastocoele fluid extraction (direct treatment) or capsule puncture and blastocoele fluid extraction (indirect treatment) before cryopreservation. The Dracula pipette incorporates the injection pipette within the holding pipette, facilitating aspiration of blastocoele fluid or injection of cryoprotectant in a single unit. A standard vitrification protocol using a final concentration of 3.4 M glycerol and 4.6 M ethylene glycol at cryopreservation was used. Vitrified embryo re-expansion was assessed following in vitro culture at 24, 48, and 72 h post-warming. Differences across treatments were analysed using the Student's t-test for re-expansion and the chi-squared test of independence for capsule loss. Pre-vitrification embryo mean diameter (mean ± standard error) for direct and indirect treatment groups were not different, 979 ± 85.6 μm and 912 ± 101.4 μm, respectively (P = 0.62). Post-vitrification embryo mean diameters were not different for the direct and indirect treatments (688 ± 63 and 662 ± 75 μm, respectively; P = 0.79). Following 72 h of in vitro culture, there was no difference in mean embryo diameter (1813.16 ± 209 μm v. 1383.88 ± 198 μm; P = 0.21), or re-expansion rates (69 v. 69%) for direct and indirect treatment groups, respectively. However, partial or total capsule loss was 69% (9/13) for direct treatment embryos compared with 30% (4/13) for indirect treatment embryos (P = 0.049). Results from this experiment demonstrate that capsule puncture and blastocoele fluid extraction before vitrification resulted in high re-expansion rates of Day-8 equine expanded blastocysts after warming. More importantly, the relatively large percentage of capsule failure when directly introducing cryoprotectant into the embryo may interfere with maternal recognition of pregnancy following embryo transfer. Nonetheless, based on the embryonic re-expansion rate of vitrified equine embryos following the indirect technique, we anticipate that a relatively high pregnancy rate can be obtained if this technique is used.


2013 ◽  
Vol 25 (1) ◽  
pp. 226
Author(s):  
Y. Nakamura ◽  
A. Ideta ◽  
A. Shirasawa ◽  
K. Hayama ◽  
S. Sakai ◽  
...  

Evaluation of postpartum fertility in cows is important for the efficient management of reproduction. DG29™ enzyme-linked immunosorbent assay (ELISA) kit (Conception, Animal Reproduction Technologies, Canada) measures the level of pregnancy–related glycoproteins in blood that are linked to pregnancy in the bovine species. The proteins are known to persist in the postpartum period. Here, we investigated whether the postpartum fertility in Holstein dairy cows can be evaluated through the use of the DG29 kit. We confirmed that genital organs of lactating Holstein cows (n = 119, from Days 56 to 688 postpartum) were normal by a 5.0/7.5-MHz linear array transducer (Tringa, Pie Medical Equipment B.V., Maastricht, The Netherlands), then a progesterone releasing intravaginal device (PRID; CEVA Sante Animale, Libourne, France) was inserted (Day 0) and maintained for 9 days. On Day 7, PGF2α was administered (2 mL Dalmazine, Kyoritsu Seiyaku, Tokyo, Japan). Blood samples were collected from the tail vein or artery into vacuum tubes at the time of PRID insertion. Serum was separated and stored at –30°C until the ELISA was performed. Oestrus (Day 0) was detected by visual observation. Fresh embryos recovered from Japanese Black cows were transferred to 119 recipient cows in various parities (primiparous = 70, biparous = 27, and multiparous = 22) on Days 6 to 8 of oestrous cycle. Pregnancy was diagnosed between Days 40 to 60 by transrectal ultrasonography. The statistical significance of any differences between various parities was assessed by chi-squared and Student’s t-tests. The pregnancy rate was higher for primiparous cows than for biparous and multiparous cows (64.3, 55.6, and 54.5%, respectively), while concentrations of the pregnancy-related glycoproteins in primiparous cows (135.0 ± 29.8 pg mL–1) were significantly lower than those of biparous (389.4 ± 175.9 pg mL–1) and multiparous cows (399.2 ± 203.1 pg mL–1, mean ± SEM; P < 0.05). In primiparous and multiparous cows, the concentrations of pregnancy-related glycoproteins were significantly lower in pregnant cows compared with nonpregnant cows (primiparous: 81.1 ± 29.9 v. 232.6 ± 59.8 pg mL–1; P < 0.05; multiparous: 20.8 ± 16.2 v. 853.4 ± 411.5 pg mL–1; P < 0.05). However, there was no significant difference between pregnant and nonpregnant biparous cows. In conclusion, the DG29 kit may be useful for the prediction of postpartum fertility in lactating Holstein cows. Further studies are needed to test the validity of this observation by using a greater number of various parties’ cows.


Given the high prevalence of Helicobacter pylori infection in Iran, eradicating it with an effective, low-cost, and easy diet is one of the challenges ahead The aim of this study was designed to compare the effect of "levofloxacin-based regimen “with” clarithromycin-based regimen” in the treatment of Helicobacter pylori. This quasi-experimental study was performed on 161 patients with Helicobacter pylori infection referred to the gastrointestinal clinic of Vali-asr Hospital in Birjand. Patients were randomly divided into two groups A (levofloxacin, pantoprazole and amoxicillin) and B (amoxicillin, pantoprazole, clarithromycin and bismuth sub citrate) and were treated for 14 days. 4 weeks after the end of treatment, the urease breath test was performed to check for eradication In levofloxacin group, 67 patients (91.8%) and in clarithromycin group 55 patients (70.5%), eradication was performed which was statistically significant. (p=0.001). Also, there was no statistically significant difference between the two groups in terms of complications (p=0.3). The results showed that the levofloxacin-based regimen could be used as an alternative to four clarithromycin-based therapies due to its greater efficacy in eradicating Helicobacter pylori despite the lower number of drugs and similar side effects.


BioMedicine ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. 9 ◽  
Author(s):  
Morteza Dehghan ◽  
Shirin Asgharian ◽  
Elena Khalesi ◽  
Ali Ahmadi ◽  
Zahra Lorigooini

Background: Osteoarthritis is a syndrome characterized by joint pain and reduced performance and efficien- cy in patient. Thymus daenensis has been used since old times for the treatment of bone and joint deformities and pain in traditional medicine. Purpose: This study was conducted to examine traditional usages and pharmacological features of T. daen- ensis with respect to the effect of the plant in patients with osteoarthritis. Methods: 120 patients with osteoarthritis were divided into 3 groups. Patients in each group were treated by 5% Thymus daenensis gel, 1% diclofenac gel, or placebo for 6 weeks, along with oral celecoxib capsules. Patients were assessed in different intervals, based on the VAS score for assessment of pain in the joint and different dimensions of WOMAC questionnaire. Results: Pain level (P < 0.005), stiffness during the day (P < 0.05), morning stiffness (P < 0.05) and physi- cal performance (P < 0.05) were significantly different among the groups. Conclusions: Thymus daenensis gel improves the symptoms in patients equal and without significant difference than diclofenac group. It can be argued that its use can produce a satisfactory effect on patients with osteoarthritis due to its low cost, easy access, the plant’s natively occurring in Iran.


2016 ◽  
Vol 6 (1) ◽  
pp. 15-18
Author(s):  
Amol Mhatre ◽  
VK Ravindranath ◽  
Girish Karandikar ◽  
Alok Rajendra Shah

ABSTRACT Objective The aim of this study was to assess the reliability and accuracy of several types of lateral cephalometric attributes commonly used: Angular measurements, linear measurements, and ratio when using digital cephalometric software (Nemoceph) with manual tracing method. Materials and Methods Sample size consisted of 26 lateral cephalometric radiographs. All cephalograms were subjected to both manual and digital cephalometric analysis by the same examiner. Digital analyses were performed on Nemotec digital imaging software. Cephalograms were assessed for a total of 17 cephalometric attributes. The results were assessed using Student's t-test. Results Six out of 17 measurements, i.e., sella, nasion, B point, ANB, incisor mandibular plane angle, mandibular plane angle, L1-NB, and Jarabak ratio, showed statistically significant difference between the manual and digital methods. Conclusion Digital measurements obtained with Nemotec digital imaging software were found to be comparable to the manual method for most of the variables used in clinical practice. How to cite this article Shah AR, Karandikar G, Ravindranath VK, Sonawane M, Mhatre A. A Comparative Study of Reliability and Accuracy of Manual and Digital Lateral Cephalometric Tracing. J Contemp D ent 2016;6(1):15-18.


2002 ◽  
Vol 92 (3) ◽  
pp. 143-148 ◽  
Author(s):  
Maureen B. Jennings ◽  
Loretta Logan ◽  
Donna M. Alfieri ◽  
Charles F. Ross ◽  
Susan Goodwin ◽  
...  

Xerotic skin is a pattern of reaction to a variety of disorders that have abnormalities of desquamation in common. This double-blind, randomized clinical trial investigated the effect of Lactinol (Pedinol Pharmaceuticals, Farmingdale, New York) versus Lac-Hydrin 12% (Bristol-Myers Squibb, Princeton, New Jersey) lotion in mild to moderate foot xerosis. Clinical assessment of xerosis was performed at baseline visit, and the designated sites were evaluated at 2 and 4 weeks after treatment began. Of the 53 patients enrolled, 18 were excluded from analysis. Although both treatment groups had significantly improved xerosis scores after 2 and 4 weeks of treatment, no statistically significant difference was observed. Of the 44% of patients who did express a preference, 72% preferred Lactinol, which may account for the 20% increase in its overall use in the study. (J Am Podiatr Med Assoc 92(3): 143-148, 2002)


2016 ◽  
Vol 11 (2) ◽  
pp. 3540-3551
Author(s):  
Taghreed A. Mohammed ◽  
Mona A. Mohamed

A selective and new spectrophotometric method is described for determination of three antiepileptic drugs; namely lamotrigine (LAM), gabapentin (GAB), and oxcarbazepine (OXC) in drug substances and in drug products using vanillin reagent as the chromogenic agent. The method is based on a coupling reaction between the cited drugs and vanillin reagent in acidic condition. Under optimized conditions, the yellow colored products were measured at 405, 396, and 400 nm respectively. Beer’s law was obeyed at (0.4 – 10), (0.1-10), and (0.5-11) μg/mL, and  the calculated molar absorptivity values are 2.52 x 104, 1.74 x 104, and 2.54 x 104 L/mol/cm for LAM, GAB, and OXC respectively. Sandell sensitivity, the limit of detection (LOD) and limit of quantification (LOQ) were calculated. No interference was observed from common additives found in drug products. The presented method was validated according to ICH guidelines. Statistical comparison of the results was performed using Student's t-test and F-ratio at 95% confidence level, and there was no significant difference between the reference and proposed method with regard to accuracy and precision. The method offers the advantages of rapidity, simplicity and sensitivity and low cost and can be easily applied to resource poor settings without the need for expensive instrumentation and reagents.


2020 ◽  
Vol 1 (1) ◽  
pp. 16-26 ◽  
Author(s):  
Tyler Prochnow ◽  
M. Renee Umstattd Meyer ◽  
Christina N. Bridges Hamilton ◽  
Keshia M. Pollack Porter

Children are significantly less active during summer months and rural children may face unique barriers to engaging in physical activity (PA). Play Streets is a low-cost way communities can provide safe play opportunities by activating public spaces. Four low-income rural communities received mini-grants to implement four three-hour Play Streets throughout summer 2017 for a total of 16 Play Streets. System for Observing Play and Recreation in Communities (SOPARC) and iSOPARC® were used to assess PA. Chi-squared tests of homogeneity determined significant differences in the proportion of children observed as active based on sex and target area type. Binomial logistic regression was used to determine if target area characteristics (i.e., type, equipped, supervised, organized) and presence of other active children or adults increased the odds of observing a child as active. In total, 1,750 children were observed across all 16 Play Streets; roughly half of all children (48.6% of males, 48.7% of females) were observed as active. There was no significant difference in proportion of children observed as active based on sex of the child (OR=0.99, 95% CI:0.82-1.20). Significant differences in the proportion of active children were found between target area categories. Males were significantly more likely to be observed as active in areas which were equipped or organized. All children were significantly more likely to be active if there was another active child present in the same area. These results add to the growing literature surrounding successful implementation of Play Streets in rural settings, social influence, and active play.


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