scholarly journals A prospective study of cases of urolithiasis with reference to risk factors, surgery and outcomes

2018 ◽  
Vol 5 (12) ◽  
pp. 3826
Author(s):  
Ramalinga Reddy Rachamalla ◽  
Rajasekhar Konduru
Keyword(s):  
Demographic Data ◽  
Renal Calculi ◽  
Good Alternative ◽  
Urinary Stone ◽  
Stone Disease ◽  
P Value ◽  
Common Symptom ◽  
Ethical Committee Approval ◽  
One Year ◽  
A Prospective Study

Background: Urinary stone disease or Urolithiasis is on a surge of increase with an incidence of 6.3% among men and 4.1% among women. The site of development of the calculi is variable and dependable on various factors. The aim of study was to identify the various predisposing and causative factors, with clinical presentations and complications and to identify identifying various modalities of treatment.Methods: A prospective observational study was conducted for a period of one year after ethical committee approval. All the cases of Urolithiasis confirmed by ultra-sonogram was included and socio demographic data, clinical and laboratory investigations were performed on all the cases and the data was entered in Microsoft excel and analyzed. Surgical approach to all the cases were recorded.Results: 150 cases with 64% males and 36% females were included in the study and mean age was 38.21 years. Pain abdomen was the most common symptom. Calculus was most common on right side with upper pole of the kidney being most common site of calculus in the study. Mean size of calculus in the study was 12.5mm. Statistically significant association was found with Diabetes mellitus, Obesity and low water intake (P value <0.05) in the study. Ureteroscopy (URS) was performed in 36 cases (24%), PCNL in 22 cases (14.67%), ECSWL in 46 (30.67%), cystolithotomy in 34 (22.67%) and urethral extraction in 12 cases (8%).Conclusions: For renal calculi, PCNL is the best treatment modality as of now, but it is associated with greater post-operative morbidity. For stone less than 1cm size, ECSWL is a good alternative to PCNL, but has poor clearance rate and thus greater need for auxiliary procedure. For ureteral calculi, both ECSWL and ureteroscopy have given good results but ECSWL is better tolerated by the patients.

Evaluation of Breast Lumps by Ultrasound and Correlation with Histological Findings

2020 ◽  
Vol 23 (1) ◽  
pp. 10-12
Author(s):  
Nelema Jahan ◽  
Md. Mamunur Rahman ◽  
Mohammad Shahidul Alam ◽  
Md Saiful Islam
Keyword(s):  
Histopathological Examination ◽  
Breast Diseases ◽  
Histopathological Study ◽  
Common Symptom ◽  
Breast Lump ◽  
Histopathological Findings ◽  
Malignant Breast ◽  
Breast Lumps ◽  
One Year ◽  
A Prospective Study

Background: A breast lump is the most common symptom associated with both benign and malignant breast diseases. Therefore, a distinction of benign from malignant lump is of importance for proper management. Though a definitive diagnosis is possible with imaging for all the lesions, histopathological study is proven essential for confirming the diagnosis. Objective: The objective of this study was to evaluate the role of USG and histopathological findings of different breast lump in diagnosis and their comparison. Methods: A prospective study was conducted over a period of one year from January 2017 to December 2017. A total of 116 patients were included in this study. All breast lumps underwent surgery and the ultrasound findings of these lumps were compared with the histopathological findings. Data were collected from these patients by a preformed questionnaire and finally the data were analyzed. Results: Out of 116 patients only 21 cases were reported as malignant in ultrasound report but histopathology revealed 31 malignant patients. On histopathological examination 10 benign cases turned out to be malignant. Conclusion: The present study was undertaken to evaluate in diagnosing breast mass lesions individually by ultrasound and compared with histopathology for definitive management of a patient. Journal of Surgical Sciences (2019) Vol. 23 (1) : 10-12

scholarly journals The difference in outcome of patients with open inguinal hernia repair by using delayed absorbable sutures instead of non-absorbable sutures for mesh fixation

2020 ◽  
Vol 8 (1) ◽  
pp. 24
Author(s):  
Ali G. Mohammed Redha ◽  
Adil A. Jaber ◽  
Aqeel M. Nasser
Keyword(s):  
Hernia Repair ◽  
Mesh Fixation ◽  
Good Alternative ◽  
P Value ◽  
Absorbable Sutures ◽  
Significant Difference ◽  
The Difference ◽  
Group 2 ◽  
One Year ◽  
Group 1

Background: Different methods are found for mesh fixation in inguinal hernioplasty both open and laparoscopic. In open technique, sutures have been the method of choice for their reduced costs and surgeons’ habits. Whether absorbable instead of non-absorbable sutures can be used still a matter of debate in view of hernia recurrence and post-operative complications.Methods: This is a prospective done on 158 male patients with uncomplicated unilateral inguinal hernias. Two groups of 69 patients were evaluated after periods up to 1 year after open hernioplasty by using delayed absorbable sutures in one group (group 1) and non-absorbable sutures in the other group (group 2) for fixation of mesh.Results: In spite of a noticeable reduction in complication in the group 1 in term of number and percentage when compared with group 2 mainly chronic pain, there is no significant difference (p value>0.05). However, these results are associated with zero recurrence in both groups during a period of one year follow up.Conclusions: Delayed absorbable sutures are good alternative of non-absorbable sutures in open mesh hernia repair associated with less complications and almost no increase in chance of recurrence.  

scholarly journals Intraoperative Complications Are Significantly Less in Pcnl in the Treatment of Large Renal Calculi : A Prospective Randomized Controlled Trial

2020 ◽  
Vol 17 (2) ◽  
pp. 71-74
Author(s):  
Syed Alfasani ◽  
Zamanul Islam Bhuiyan
Keyword(s):  
Hospital Stay ◽  
Kidney Stone ◽  
Open Surgery ◽  
Controlled Trial ◽  
Intraoperative Complications ◽  
Renal Calculi ◽  
Stone Disease ◽  
Controlled Clinical Trial ◽  
P Value ◽  
Significant Difference

Objective: To compare the safety and efficacy of percutaneous nephrolithotomy (PCNL) and open surgery in the treatment of patients having large kidney stone(>2 cm ). Materials & Methods: A Randomised controlled clinical trial (RCT ) of 80 patients diagnosed with kidney stone disease admitted in the NIKDU during the period of Jan’ to Dec’2009 were divided conveniently into two groups. Intervention was done in the form PCNL(40) and open surgery (40). Clinical outcome like, peroperativecomplications,durationof surgery,mean hospital stay,convalescence period, amount of analgesia required to relief pain, stone clearance rate were reviewed and compared between the groups. There was no significant difference in preoperative variables such as age,sex, stone size in cm, stone number- single/multiple and stag horn Stone. Results: There were statistically significant difference in the parameters between the groups,( PCNL vs open surgery [mean ± SD]): duration of operation (min), 97.90 ± 24.89 vs 136.62 ± 23.54, postoperative hospital stay (days) ,4.77 ± 3.98 vs 9.55 ± 3.65, mean time return to work (days) , 3.09 ± 1.21vs 6.25 ± 1.53, ( p value is <0.001). Intraoperative complications like bleeding requiring blood transfusion are significantly lower in PCNL (11 cases 34.1%) than in open surgery( 18 cases 45.0%), (Chi-square = 4.82; p = 0.049). Conclusion: PCNL is relatively safe & better treatment option than open surgery in the treatment of large renal calculi, It has definite advantages of statistically less peroperative bleeding and lower morbidity. Bangladesh Journal of Urology, Vol. 17, No. 2, July 2014 p.71-74

PP29 Improving buckle up in EMS study (iBEST)

2021 ◽  
Vol 38 (9) ◽  
pp. A12.3-A13
Author(s):  
Maneeporn Thavaravej ◽  
Dhanadol Rojanasarntikul
Keyword(s):  
Traffic Safety ◽  
Statistical Significance ◽  
Demographic Data ◽  
Seat Belt ◽  
P Value ◽  
Highway Traffic ◽  
National Highway Traffic Safety ◽  
Severity Of Injury ◽  
Incident Rate ◽  
A Prospective Study

BackgroundAccording to NHTSA (National Highway Traffic Safety Administration), data collected from 1992-2011 showed that 84 percent of EMS provider was not restrained while working; increasing the severity of injury when an ambulance crashes or abruptly stop.ObjectivesTo increase the awareness of EMS providers focusing on safety belt usage during their work.MethodThe study design is a prospective study including fifteen of physicians, nurses, paramedics, ambulance driver, and nurse aid from King Chulalongkorn Memorial Hospital, whom went on duty from April to October 2020. The collected data includes demographic data, occupation and its safety, reasons for not using seat belt. The data related to seat belt usage collected were then described and analysed by Mixed-effects Poisson Regression method and interpreted as Incident Rate Ratio (IRR) with 95% confidence interval (95% CI) and p-value.Result3 out of 15 (20%) did not use seat belt in the period before warning stickers were posted in the ambulance. When compared to 1 month after warning stickers were posted, the number of sample using seatbelt while working/travelling in the ambulance elevated to 11 out of 15 (73.33%) [IRR (95%CI) =3.66 (95% CI: 1.02, 13.13), p = 0.046].While at 3 months and 6 months, 10 out of 15 (66.77%) and 6 out of 15 (40%) still adhere to seat belt use, respectively. There is no statistical significance with the rate of seatbelt usage comparing between one, three, and six months after the warning stickers were posted. The most common reason for not using seatbelt is 1) seat cover covering the seatbelt 2) obstructing work 3) cannot reach equipment.ConclusionWarning stickers posted in the ambulance can increase awareness for seatbelt use of King Chulalongkorn Hospital’s EMS personnel while working.

scholarly journals AB0174 FATIGUE IN RHEUMATOID ARTHRITIS: A CASE-CONTROL STUDY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1113.2-1113
Author(s):  
A. Fazaa ◽  
H. Boussaa ◽  
K. Ouenniche ◽  
S. Miladi ◽  
M. Sellami ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Demographic Data ◽  
Tender Joint Count ◽  
P Value ◽  
Common Symptom ◽  
Healthy Controls ◽  
Tender Joint ◽  
Cross Sectional ◽  
The Mean

Background:Fatigue is a common symptom in many chronic inflammatory diseases, including rheumatoid arthritis (RA). It is considered one of the most frustrating, uncontrollable, and overwhelming symptoms. However, most of rheumatologists do not assess fatigue despite its clinical significance and its impact on patients’ lives.Objectives:The aims of this study were to determine whether RA patients express more fatigue than healthy controls, and to analyze its correlation with disease activity.Methods:We conducted a cross-sectional study including patients with RA (ACR/EULAR 2010) and healthy controls matched for sex and age. Patients with other acute or chronic diseases that may induce fatigue (such as cancer, infection or depression) were excluded. Demographic data and the following clinical parameters were collected: pain Visual Analog Scale (VAS), Global Patient Assessment (GPA), tender joint count (TJC) and swollen joint count (SJC), Erythrocyte Sedimentation Rate (ESR), C Protein Reactive (CRP), Disease Activity Score 28 (DAS28), and Health Assessment Questionnaire (HAQ). Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) which is a short 13-item questionnaire validated in RA. The score FACIT-F ranges between 0 and 52. Fatigue was considered mild if the FACIT-F score was ≥40, moderate if 20≤FACIT-F<40 and severe if 0≤FACIT-F<20. A p value inferior to 0.05 was considered significant.Results:We included 100 RA patients (84 women and 16 men) with a mean age of 49.5±10 years old [18-65]. The mean disease duration was 87.3 months [1-360]. The mean pain VAS was 49 cm [0-100] and the mean GPA was 47.8 cm [0-100]. The mean TJC and SJC were 5.3 [0-36] and 1 [0-9] respectively. The mean levels of ESR and CRP were 38.1 mm [10-120] and 10.8 mg/l [2-61] respectively. The mean DAS28 ESR was 3.68 [1.90-8.33] and the mean HAQ score was 0.90 [0-2.75].Thirty-nine healthy controls were enrolled including 35 women and 4 men with a mean age of 51.2 years old [30-64].The mean FACIT-F score was 27.1 [0-51] in RA patients versus 46.2 [0-52] in healthy controls (p<0.001). Among RA patients, 57% had moderate fatigue and 26% had severe fatigue.A significant negative correlation was noted between the FACIT-F score and the following parameters in RA patients: TJC (r=-0.568, p<0.001), SJC (r=-0.274, p<0.001), pain VAS (r=-0.605, p<0.001), GPA (r=-0.658, p<0.001), ESR (r=-0.405, p<0.001), CRP (r=-0.149, p<0.001), DAS28 (r=-0.837, p<0.001) and HAQ (r=-0.634, p<0.001).Conclusion:Fatigue was significantly more observed in RA patients. This symptom was correlated with disease activity and disability. It is important to recognize and manage fatigue in order to improve patients’ quality of life.Disclosure of Interests:None declared

scholarly journals Konsumsi Makanan yang Berisiko terhadap Kejadian Batu Saluran Kemih

2018 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Elly Trisnawati ◽  
Jumenah Jumenah
Keyword(s):  
Urinary Tract ◽  
Food Consumption ◽  
Vegetable Consumption ◽  
Urinary Stone ◽  
Stone Disease ◽  
P Value ◽  
Chi Square ◽  
Urinary Stone Disease ◽  
Purposive Sampling ◽  
Urinary Tract Stones

Abstract: Food Consumption Risk Against The Incidence Of Urinary Tract Stones. BSK (Urinary track stone; Urolithiasis) is a health problem that had long been known and ranked in the third place of Urology. Based on the data in the RSUD Dr. Soedarso Pontianak BSK case data always has increased each year. In 2014 as much as 31.236 cases. In  2015 the proportion of urinary stone disease was 36.182%. While in the period January-November of 2016 the proportion of urinary stone disease was 44.75%. BSK has greater risk suffered by men. Men have the anatomy of the urinary tract is longer than the female. In addition, in the male urine calcium levels are higher, compounded if you have the habit of holding urinate and bad eating patterns.  The purpose of this study is to determine the relationship between food consumption at the risk of urinary tract stones. Type of this research is a case-control design. The Sample research is 96 respondents (48 cases and 48 controls) taken with purposive sampling technique. Statistical tests using the chi-square with a confidence level of 95%. The results of this study indicate that factors into the risk of formation of BSK is a source of protein consumption consumption (P Value = 0.051, OR: 2,616 (1,083-6,321)), vegetable consumption (P Value = 0.040, OR: 2.571 mg (1,124-5,884)). It is recommended to the Provincial Hospital Dr. Soedarso Pontianak convene regular health promotion by making use of television media available in the waiting room of a patient primarily about the foods that can cause the formation of such BSK the consumption of high protein and vegetable sources contain oxalate.Abstrak: Konsumsi Makanan Yang Berisiko Terhadap Kejadian Batu Saluran Kemih. Batu Saluan Kemih (BSK) merupakan masalah kesehatan yang sudah lama dikenal dan menempati urutan ketiga di bidang Urologi. Berdasarkan data di RSUD Dr. Soedarso Pontianak data kasus BSK selalu mengalami peningkatan setiap tahunnya, yaitu sebanyak 31,23% tahun 2014, sebanyak 36,18% tahun 2015 dan sebanyak 44,75% pada bulan Januari-November 2016. BSK memiliki risiko lebih besar diderita oleh laki-laki. Laki-laki memiliki anatomi saluran kemih lebih panjang dari perempuan. Selain itu, dalam urine laki-laki kadar kalsium lebih tinggi, diperparah jika memiliki kebiasaan menahan buang air kecil dan pola makan yang kurang baik. Tujuan penelitian ini adalah untuk mengetahui hubungan dan besar risiko antara konsumsi makanan dengan batu saluran kemih.  Jenis penelitian ini adalah desain kasus kontrol. Sampel penelitian sebanyak 96 responden (48 kasus dan 48 kontrol) yang diambil dengan teknik purposive sampling. Uji statistik menggunakan chi-square dengan tingkat kepercayaan 95%. Hasil penelitian ini menunjukan faktor yang menjadi risiko terbentuknya BSK adalah konsumsi konsumsi sumber protein (p value = 0,051, OR: 2,616 (1,083-6,321)), konsumsi sayur ( p-value = 0,040, OR: 2,571(1,124-5,884)). Disarankan kepada RSUD Dr. Soedarso Pontianak untuk mengadakan promosi kesehatan secara berkala dengan memanfaatkan media televisi yang tersedia di ruang tunggu pasien terutama mengenai makanan-makanan yang dapat menyebabkan terbentuknya BSK seperti konsumsi sumber protein tinggi dan sayur mengandung oksalat.

scholarly journals Acute biliary pancreatitis: a prospective observational hospital-based study

2020 ◽  
Vol 7 (7) ◽  
pp. 2116
Author(s):  
Harsha B. Kodliwadmath ◽  
B. Srinivas Pai ◽  
Manasa Ubarale
Keyword(s):  
Severe Disease ◽  
Management Strategies ◽  
Gall Stone ◽  
Cost Effective ◽  
Stone Disease ◽  
Common Symptom ◽  
Biliary Pancreatitis ◽  
Acute Biliary Pancreatitis ◽  
Gall Stone Disease ◽  
One Year

Background: Acute biliary pancreatitis (ABP) is one of the most serious complications of gall stone disease with a high risk of morbidity and mortality. Hence accurate diagnosis and prompt management of ABP is very crucial. Different management strategies exist regarding indications and timing for interventions, endoscopic retrograde cholangio-pancreaticography (ERCP) and cholecystectomy.Methods: Ours is a prospective observational study of the different clinical presentations and management strategies and their respective outcomes in our hospital. All cases of ABP admitted over a period of one year were included in the study. The clinical presentation, severity and course of the disease, imaging studies, duration of ICU and hospital stay and timing of ERCP and cholecystectomy were studied.Results: A total of 56 cases were included in the study. Average age was 45 years. Pain abdomen was the most common symptom at presentation. About 82% patients had mild to moderate disease while the rest had severe disease. The mean duration of intensive care unit stay was 8 days. ERCP was done in 6 cases. Cholecystectomy during the same admission was dine in 20 cases. There were 2 deaths during the course of the study.Conclusions: Early intervention definitely reduces morbidity, mortality and recurrent admissions in cases of acute biliary pancreatitis. Same admission laparoscopic cholecystectomy is preferable in mild ABP. All cases of severe ABP must undergo early ERCP irrespective of biliary obstruction. This also helps in reducing readmissions due to pancreatic-biliary complications and is cost-effective.

scholarly journals The Prevalence of Overweight and Obesity in Under One–Year-Old Infants in Yazd, Iran

2021 ◽  
Author(s):  
Fatemeh Jafari ◽  
Azadeh Nadjarzadeh ◽  
Hassan Mozaffari-Khosravi ◽  
Mohammad Ali Mohsenpour
Keyword(s):  
Birth Order ◽  
Demographic Data ◽  
Overweight And Obesity ◽  
Breastfeeding Duration ◽  
P Value ◽  
Cluster Sampling ◽  
Related Factor ◽  
Cross Sectional ◽  
Controllable Factors ◽  
One Year

Background: Exceeded weight during the first 1000 days of life can lead to adulthood obesity and health-related problems. In the present study, we aimed to find the prevalence of overweight and obesity and their related demographic factors in the first year of life in Yazd. Methods: In a cross-sectional study, recorded data of 600 infants were collected from health records of eight health centers of Yazd city using the cluster sampling method. Demographic data and socioeconomic status of the family, breastfeeding duration, and birth order were used. Anthropometrics, including height and weight were interpreted by the categorization developed by WHO as length for age and weight for age. P-value < 0.05 was considered significant. Results: The prevalence of overweight and obesity was estimated at 7.3% and 3.5%, respectively. No significant differences were observed between boys (n = 307) and girls (n = 300) (P = 0.15) for weight, while girls had insignificant lower weight (g) (3028.87 ± 496.30 for girls and 3173.72 ± 456.61 for boys). Among different possible determinants, birth order was associated with body mass index status(P = 0.04). Conclusions: A relatively high prevalence of overweight and obesity was observed among infants under one year of age. Although only the order of birth was observed as a related factor, other controllable factors should be considered and monitored by parents and the healthcare system. Further studies are suggested to investigate the related controllable factors.

scholarly journals Are inflatable play structures really safe for our children?

2018 ◽  
Vol 12 (3) ◽  
pp. 282-287 ◽  
Author(s):  
L. Corominas ◽  
A. Fernandez-Ansorena ◽  
P. Martinez-Cepas ◽  
J. Sanpera ◽  
A. Obieta
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Demographic Data ◽  
Anatomical Location ◽  
Level Of Evidence ◽  
Adult Supervision ◽  
Female Children ◽  
One Year ◽  
A Prospective Study ◽  
And Control

PurposeThe frequency of injuries sustained while playing on inflatable toys such as bouncy castles have rapidly increased. These supposedly safe structures are likely unsafe. The objective of this review was to investigate the risk that these attractions represent and the necessary measures to minimize risk of accidents.MethodsWe conducted a prospective study of 114 patients over a period of one year (2015 to 2016). Demographic data collected included: age, gender, anatomical location and side of involvement as well as supervision of the child whilst on the bouncy castle. The extracted data include mechanism of injury and risk factors, i.e. lack of supervision of the child, amounts of users jumping at the same time.ResultsThe injuries were slightly more frequent in male than female children; 2:1 up to six years of age. From the age of ten to 14 years the ration evened to 1:1, the higher incidence in female children was between the ages of six to eight years. The most common injuries were to the humerus, followed by the distal radius. Only 28% of the parents said they were supervising while the child was jumping.ConclusionInjuries associated with inflatable bouncers have increased over time. The main risk factors: were lack of effective adult supervision and the shared use by an excessive number of participants of different ages and weights. These considerations lead to the conclusion that there is a necessity to enhance child health surveillance and to consider limiting bouncer usage to children over the age of six years, to prevent and control injuries and to minimize their consequences.Level of EvidenceII - prospective study

scholarly journals Prevalence, Etiology, and Risk Factors of Tinea Pedis and Tinea Unguium in Tunisia

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Nourchène Toukabri ◽  
Cyrine Dhieb ◽  
Dalenda El Euch ◽  
Mustapha Rouissi ◽  
Mourad Mokni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tinea Pedis ◽  
Demographic Data ◽  
Public Health Problem ◽  
Epidemiological Studies ◽  
Tinea Unguium ◽  
Mycological Diagnosis ◽  
Tunisian Patients ◽  
One Year ◽  
A Prospective Study

Background. Foot mycoses are a frequent disease that represents a public health problem worldwide.Objectives. This study aims to evaluate the epidemiology of foot mycoses among Tunisian patients, in order to determine the fungal etiological agents and to identify possible risk factors.Patients and Methods. A prospective study of three hundred and ninety-two patients was undertaken during one year (2013-2014). All subjects were asked to collect demographic data related to the risk factors of foot mycoses. A complete mycological diagnosis was carried out on all patients.Results. A total of 485 samples were collected; tinea pedis and tinea unguium were confirmed in 88.2% of cases. Dermatophytes were isolated in 70.5% and the most frequent pathogen wasTrichophyton rubrum(98.1%), followed by yeasts (17.7%) commonlyCandida parapsilosis. Non-dermatophyte molds (NDMs) were observed in 8.02% cases andFusariumsp. was the frequent genus (29.1%). The main predisposing factors of fungal foot infections were practicing ritual washing (56.6%) and frequentation of communal showers (50.5%).Conclusion. This is a recent survey of foot mycoses in Tunisia. Epidemiological studies can be useful to eradicate these infections and to provide further measures of hygiene and education.

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