scholarly journals Correlation of laparoscopic finding with ultrasonography and hysterosalpingography findings in females with infertility

2021 ◽  
Vol 8 (4) ◽  
pp. 437-442
Author(s):  
Garima Bagga Arora ◽  
Ritesh Bodade ◽  
Asmita Dhurve ◽  
Lohit S Vaishnao ◽  
Gourav Bagga
Keyword(s):  
Diagnostic Laparoscopy ◽  
Interpersonal Relationship ◽  
Primary Amenorrhea ◽  
Secondary Infertility ◽  
Large Size ◽  
The Mean ◽  
One Year ◽  
Disturbed Relationships ◽  
Laparoscopic Finding

Infertility is best defined as the inability to conceive after one year of unprotected regular intercourse or many couples, infertility and its treatment cause a serious strain on their interpersonal relationship, and cause disturbed relationships with other people.Diagnostic laparoscopy is generally not a part of initialinfertility evaluation, however, number of reports haveshown that it is effective procedure for evaluation of long- term infertility. A total of 207 patients were studied from at GMCH, Gondia, Maharashtra. Total 207 patients had primary/secondary infertility and 5 patients had primary amenorrhea were selected for study. Uterus, ovaries, tubes and cul de sac were inspected and findings noted. Next chromopertubation test was done with 10-15 ml of 1% aqueous methylene blue via the leech-Wilkinson cannula was inserted and findings noted and statistical Analysis was done.India showed the mean age of infertility was 28.4years. 81.16% subjects had primary whereas 16.43% had secondary infertility.In the present study maximum 165 (79.7%) had normal size uterus. Out of which 8 (3.86%) had bicornuate uterus.6.28% subjects had large size uterus. Out of which 5.80% had fibroid and 0.48% had adenomyosis.Diagnostic Laparoscopy and hysteroscopy is a better modality for diagnosing uterine, tubal and ovarian causes of infertility compared to hysterosalpingography and ultrasonography. Most of the patients had normal ultrasonographic, hysterosalpingographic and laparoscopic findings. Out of the rest, Structural adhesions were the most common cause of infertility among women in reproductive group.

scholarly journals One-Year Visual and Refractive Outcomes following LASIK for Myopia and Myopic Astigmatism with MEL 90 versus Schwind Amaris 750S Excimer Laser: A Comparative Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Sheetal Brar ◽  
Dishitha P. Rathod ◽  
C. R. Roopashree ◽  
Sri Ganesh
Keyword(s):  
Comparative Study ◽  
Clinical Outcomes ◽  
Excimer Laser ◽  
Infectious Keratitis ◽  
Safety And Efficacy ◽  
Refractive Outcomes ◽  
The Mean ◽  
One Year ◽  
Myopic Astigmatism

Purpose. To compare clinical outcomes following LASIK for myopia performed with MEL 90 vs. Schwind Amaris 750S excimer laser. Methods. Data were collected retrospectively for patients who underwent Femto-LASIK, using the MEL 90 and Schwind Amaris 750S excimer laser for correction of myopia and myopic astigmatism within the range of −1.00 to −10.00 D SE from January 2013 till June 2018. Outcomes were analysed at 12 months for safety, efficacy, enhancement rate, and long-term complications. Results. A total of 328 eyes of 328 patients were analysed. One hundred and sixty-three eyes were treated with Schwind Amaris and the remaining 165 eyes with the MEL 90 laser. Twelve months postoperatively, the mean UDVA, CDVA, residual SE, and cylinder in the Amaris group were −0.10 ± 0.09 logMAR, −0.14 ± 0.06 logMAR, −0.21 ± 0.22 D, −0.13 ± 0.18 D versus −0.05 ± 0.07 logMAR, −0.09 ± 0.08 logMAR, −0.23 ± 0.23 D, and −0.14 ± 0.21 D for the MEL 90 group ( p values >0.05). For the Amaris group, safety and efficacy indices were 1.12 and 1.02, whereas for the MEL 90 group, these indices were 1.08 and 1.00, respectively. No eye in either group had any postop flap-related complications, infectious keratitis, diffuse lamellar keratitis, or keratectasia. Two eyes in the Amaris and 4 eyes in MEL 90 group required enhancement for the progression of myopia. Conclusion. At 12 months, both Schwind Amaris 750S and MEL 90 lasers demonstrated comparable clinical outcomes for myopic LASIK in a single surgeon setting.

Identifying Effectors of Outcomes in Patients with Large Umbilical Hernias

2016 ◽  
Vol 82 (7) ◽  
pp. 613-621 ◽  
Author(s):  
Steven A. Groene ◽  
Davis W. Heniford ◽  
Tanushree Prasad ◽  
Amy E. Lincourt ◽  
Vedra A. Augenstein
Keyword(s):  
Umbilical Hernia ◽  
Defect Size ◽  
Long Term Outcomes ◽  
Preoperative Pain ◽  
The Mean ◽  
The Difference ◽  
One Year

Quality of life (QOL) has become an important focus of hernia repair outcomes. This study aims to identify factors which lead to ideal outcomes (asymptomatic and without recurrence) in large umbilical hernias (defect size ≥9 cm2). Review of the prospective International Hernia Mesh Registry was performed. The Carolinas Comfort Scale was used to measure QOL at 1-, 6-, and 12-month follow-up. Demographics, operative details, complications, and QOL data were evaluated using standard statistical methods. Forty-four large umbilical hernia repairs were analyzed. Demographics included: average age 53.6 ± 12.0 and body mass index 34.9 ± 7.2 kg/m2. The mean defect size was 21.7 ± 16.9 cm2, and 72.7 per cent were performed laparoscopically. Complications included hematoma (2.3%), seroma (12.6%), and recurrence (9.1%). Follow-up and ideal outcomes were one month = 28.2 per cent, six months = 42.9 per cent, one year = 55.6 per cent. All patients who remained symptomatic at one and two years were significantly symptomatic before surgery. Symptomatic preoperative activity limitation was a significant predictor of nonideal outcomes at one year ( P = 0.02). Symptomatic preoperative pain was associated with nonideal outcomes at one year, though the difference was not statistically significant ( P = 0.06). Operative technique, mesh choice, and fixation technique did not impact recurrence or QOL. Repair of umbilical hernia with defects ≥9 cm2 had a surprising low rate of ideal outcomes (asymptomatic and no recurrence). All patients with nonideal long-term outcomes had preoperative pain and activity limitations. These data may suggest that umbilical hernia should be repaired when they are small and asymptomatic.

Liver function tests and one year risperidone treatment in children and adolescents

2011 ◽  
Vol 26 (S2) ◽  
pp. 280-280
Author(s):  
A. Erdogan ◽  
N. Yurteri ◽  
A.E. Tufan ◽  
H. Ankarali ◽  
E. Demirci
Keyword(s):  
Liver Function ◽  
Children And Adolescents ◽  
Liver Enzymes ◽  
Antipsychotic Agent ◽  
Liver Function Tests ◽  
Function Tests ◽  
The Mean ◽  
One Year ◽  
Risperidone Treatment

ObjectiveRisperidone is an atypical antipsychotic agent, despite its many advantages and widespread use, there is increasing attention to the adverse effects associated with long-term exposure to this drug.We aimed to investigate the changes in the liver function tests (LFTs) associated with one year risperidone treatment in children and adolescents.MethodsOne hundred youths who treated with risperidone more than one year were included in the study. For this study, patients’ baseline and follow-up weight and hepatobiliary function tests including alanine aminotransferases(ALT) and aspartat aminotransferases (AST), gamma gluatamyl transerase (GGT), alkaline phosphatase (ALP) and serum bilirubin levels were measured baseline, after the treatment period of six months and one year.ResultsAsymptomatic liver function test abnormalities mostly ALP elevation was found in subjects treated with risperidone. The mean levels of liver enzymes and billuribin of the patients were significantly higher after one year of treatment than the baseline. Also the mean levels of liver enzymes and billuribin of the patients were significantly higher after one year of treatment than the six months. There was significant association between changes in weight, risperidone dose and liver enzymes and billuribin levels.ConclusionsThese findings suggest that risperidone treatment in the long term commonly leads to liver function changes however it rarely may induce a serious hepatic toxicity at therapeutic doses in children and adolescents.

The effectiveness of TBL with real patients in neurology education in terms of knowledge retention, in-class engagement, and learner reactions

2017 ◽  
Vol 41 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Mustafa Kemal Alimoglu ◽  
Selda Yardım ◽  
Hilmi Uysal
Keyword(s):  
Student Satisfaction ◽  
Retention Test ◽  
Knowledge Retention ◽  
Learner Engagement ◽  
The Mean ◽  
Exam Scores ◽  
One Year ◽  
Academic Year ◽  
Real Patients

In our medical school, we changed from a lecture-based method to a team-based learning (TBL) method to teach “polyneuropathies” in the neurology clerkship starting from the 2014 to 2015 academic year. Real patients were used instead of written scenarios in TBL sessions. This study aimed to compare former lecture-based and the current TBL methods in terms of knowledge retention, in-class learner engagement, and learner reactions. First, we determined in-class engagement and satisfaction of the students for the lectures given in the 2013–2014 academic year. The following year, besides the same criteria, we also determined individual (IRAT) and group readiness test (GRAT) scores in the TBL group. End-of-clerkship exam scores for both groups were recorded. Additionally, opinions of patients about their experiences throughout the TBL process were determined. One year later (2015 for lecture and 2016 for TBL), both groups sat for an MCQ test to determine their knowledge retention levels. We found no difference between groups regarding end-of-clerkship exam scores. The mean knowledge retention test score of the TBL group was significantly higher than that of the lecture group (5.85 ± 1.74 vs. 3.28 ± 1.70). The differences between IRAT, GRAT, and retention test scores in the TBL group were significant. The mean student satisfaction score on a five-point scale was 3.01 ± 0.9 (median = 3) in the lecture group and 4.11 ± 1.1 (median = 4) in the TBL group. Our results seem encouraging for use of TBL performed with real patients in neurology education to achieve better long-term knowledge retention and higher in-class engagement and student satisfaction.

THE PROFILE OF MULTIPLE SCLEROSIS IN GENERAL PRACTICE

2015 ◽  
Vol 86 (11) ◽  
pp. e4.6-e4
Author(s):  
Sophie Binks ◽  
Liz Green
Keyword(s):  
Multiple Sclerosis ◽  
Primary Care ◽  
Team Approach ◽  
Improvement Project ◽  
Flu Vaccination ◽  
The Mean ◽  
One Year ◽  
Primary Care Professionals

IntroductionMultiple sclerosis (MS) is a long-term neurological condition requiring a multi-disciplinary team approach. Recently, NICE highlighted the role of primary care professionals in MS management through an updated clinical guideline. This quality improvement project investigated aspects of MS patient care in a large Brighton GP practice.MethodElectronic GP records were searched to identify all currently registered patients with a diagnosis of MS. Details of initial presentation, epidemiology and care received over a one-year period were examined.ResultsThere were 19 patients, representing a prevalence of 186 per 100,000. Most patients first presented in GP with sensory disturbance, optic neuritis or motor symptoms. The mean number of primary care contacts per patient per year was 4.3, compared to 0.4 contacts per person per year with a neurologist and 0.5 with the MS nurse. 46% of GP consultations were wholly or partially related to the patient's MS. Around half of patients took up proactive interventions such as flu vaccination (47%) and Vitamin D monitoring (50%).ConclusionsPrimary care professionals are significant contributors to the care of people with MS with frequent patient contact. During this project, patients were reminded of preventive care opportunities and this will be re-audited in 2015.

scholarly journals Sinus heart rate post pulmonary vein ablation and long-term risk of recurrences

2020 ◽  
Author(s):  
Gesa von Olshausen ◽  
Ott Saluveer ◽  
Jonas Schwieler ◽  
Nikola Drca ◽  
Hamid Bastani ◽  
...  
Keyword(s):  
Heart Rate ◽  
Pulmonary Vein ◽  
Heart Rate Change ◽  
Rate Change ◽  
Study Cohort ◽  
The Mean ◽  
One Year ◽  
The One ◽  
The Impact

Abstract Purpose Cather ablation is known to influence the autonomic nervous system. This study sought to investigate the association of sinus heart rate pre-/post-ablation and recurrences in patients with atrial fibrillation undergoing pulmonary vein isolation (PVI). Methods Between January 2012 and December 2017, data of 482 patients undergoing their first PVI were included. Sinus heart rate was recorded before (PRE), directly post-ablation (POST) and 3 months post-ablation (3 M). All patients were screened for atrial tachyarrhythmia recurrences during the one-year follow-up. Results In the total study cohort, the mean resting sinus heart rate at PRE [mean 57.9 bpm (95% CI 57.1–58.7 bpm)] increased by over 10 bpm to POST [mean 69.4 bpm (95% CI 68.5–70.3 bpm); p < 0.001] followed by a slight decrease at 3 M [mean 67.3 bpm (95% CI 66.4–68.2 bpm)] but still remaining higher compared to PRE (p < 0.001). This pattern was observed in patients with and without recurrences at POST and 3 M (both p < 0.001 compared to PRE). However, at 3 M the mean sinus heart rate was significantly lower in patients with compared to patients without recurrences (p = 0.031). In this regard, patients with a heart rate change < 11 bpm (PRE to 3 M) or, as an alternative parameter, patients with a heart rate < 60 bpm at 3 M had a significantly higher risk of recurrences compared to the remaining patients (Hazard ratio (HR) 1.82 (95% CI 1.32–2.49), p < 0.001 and HR 1.64 (95% CI 1.20–2.25), p = 0.002, respectively). Conclusion Our study confirms the impact of PVI on cardiac autonomic function with a significant sinus heart rate increase post-ablation. Patients with a sinus heart rate change < 11 bpm (PRE to 3 M) are at higher risk for recurrences during one-year post-PVI.

scholarly journals Long-Term Temporal Variability of the Freshwater Discharge and Water Levels at Patos Lagoon, Rio Grande do Sul, Brazil

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
G. P. Barros ◽  
W. C. Marques
Keyword(s):  
Ocean Circulation ◽  
Temporal Variability ◽  
Water Levels ◽  
Freshwater Discharge ◽  
Patos Lagoon ◽  
Mean Values ◽  
Physical Forcing ◽  
The Mean ◽  
One Year

The aim of this study is to investigate the importance of freshwater discharge as a physical forcing in Patos Lagoon at timescales longer than one year, as well as identify the temporal variability of the dominant processes in freshwater discharge and water levels along the Patos Lagoon. Due to its proximity to the mouth, the water level at the estuary is influenced by the remote effects associated with the adjacent ocean circulation and wave climatology, reducing the observed correlation. At the lagoonar region a high correlation is expected because interannual data is being used, reducing the influence of the wind. Cross wavelet technique is applied to examine the coherence and phase between interannual time-series (South Oscillation Index, freshwater discharge and water levels). The freshwater discharge of the main tributaries and water levels in Patos Lagoon are influenced by ENSO on interannual scales (cycles between 3.8 and 6 years). Therefore, El Niño events are associated with high mean values of freshwater discharge and water levels above the mean. On the other hand, La Niña events are associated with low mean values of freshwater discharge and water levels below the mean.

scholarly journals Flexor Hallucis Longus Tendon Transfer for Reconstruction of Chronically Ruptured Achilles Tendons

2009 ◽  
Vol 17 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Ravindra H Mahajan ◽  
Rakesh B Dalal
Keyword(s):  
Wound Healing ◽  
Tendon Transfer ◽  
Flexor Hallucis Longus ◽  
Related Complication ◽  
Hind Foot ◽  
The Mean ◽  
American Orthopaedic ◽  
One Year

Purpose. To report the mid-term results of flexor hallucis longus (FHL) tendon transfer for reconstruction of chronically ruptured Achilles tendons. Methods. 24 men and 12 women aged 56 to 78 (mean, 70) years underwent FHL tendon transfer for reconstruction of chronically ruptured Achilles tendons by a single surgeon. Ruptures were secondary to trauma (n=20), long-term steroid intake (n=12), or chronic renal failure (n=6). Two patients had bilateral ruptures. The mean interval from rupture to surgery was 15 (range, 12–24) weeks. Pre- and post-operative American Orthopaedic Foot and Ankle Society (AOFAS) hind foot scores were compared. Wound healing, push-off, and patient satisfaction were evaluated. Results. The mean follow-up period was one year. The mean AOFAS scores were 69 (range, 58–76) preoperatively and 88 (range, 79–94) postoperatively; the mean improvement was 19 (p<0.001). 28 patients had excellent and 8 had fair results. 33 patients graded their outcome as ‘very satisfactory’ and 3 as ‘satisfactory’. Five patients developed wound healing complications but only one needed debridement. There was no fixation-related complication or sural nerve injury. Conclusions. Transfer of the FHL for reconstruction of chronically ruptured Achilles tendons is effective, safe and easily performed in patients with low-to-moderate demands.

Stuttering Therapy: The Relation Between Attitude Change and Long-Term Outcome

1978 ◽  
Vol 43 (3) ◽  
pp. 392-400 ◽  
Author(s):  
Barry Guitar ◽  
Colin Bass
Keyword(s):  
Behavior Change ◽  
Attitude Change ◽  
Therapy Outcome ◽  
Clinical Implications ◽  
Term Outcome ◽  
Long Term Outcome ◽  
The Mean ◽  
One Year

Previous research has indicated that attitude change generally follows behavior change in operant stuttering therapy programs. This study sought to examine the longterm therapy outcome of stutterers whose communication attitudes were not substantially normalized after fluency establishment and generalization. Posttransfer attitude scores of 20 stutterers were used to classify them into one of two groups: those whose communication attitudes had been modified to show less abnormality than the mean level for normal speakers, and those whose attitudes had not. Follow-up interviews with the 20 stutterers one year later indicated that those whose posttransfer attitudes were not substantially normalized stuttered significantly more. Theoretical and clinical implications are discussed.

LONG-TERM INVESTIGATIONS ON CHEMICAL AND MICROBIAL CHANGES OF A SLIGHTLY OIL POLLUTED BEACH1

1983 ◽  
Vol 1983 (1) ◽  
pp. 477-483 ◽  
Author(s):  
Günter Gassmann ◽  
Wilfried Gunkel
Keyword(s):  
Sandy Beach ◽  
Hydrocarbon Contamination ◽  
Glass Capillary ◽  
Mean Values ◽  
Degrading Bacteria ◽  
Mud Flat ◽  
The Mean ◽  
Overall Ratio ◽  
One Year

ABSTRACT A sandy and muddy beach polluted by Arabian light crude oil in 1974 was investigated in 1974, 1975, and 1981. The shift of the hydrocarbon contamination from the sand to the mud has been determined by infrared spectroscopy and glass capillary gas chromatography. In 14 months, the mean values of the hydrocarbon content in the sandy beach declined from 203 milligrams per liter (mg/l) to 10 mg/l. However, those of the mud flat increased by 300 percent (from 37 mg/l to 108 mg/l). Six years later, the fossil fuel hydrocarbon concentration had decreased to 0.6 mg/l and 8 mg/l for the sandy and muddy beach, respectively. Nevertheless, both areas still reflect the former polluting event. This was established definitively by the trace analysis of acyclic isoprenoid alkanes (norpristane, pristane, phytane) which indicates oil contamination by detection of mature diastereoisomers. The bacteria reflect the fate of the hydrocarbons. The numbers of oil degraders rapidly increased by several orders of magnitude within the first weeks and reached maximum values well above 1011 per liter of sediment. Simultaneously, the overall ratio of oil-degrading bacteria to normal heterotrophs topped 270 percent, decreasing gradually to the normal background value within one year. The highest ratio of oil degraders was found in the sandy beach shortly after the spill and in the muddy beach after several months.

Sign in / Sign up

Export Citation Format

Share Document