scholarly journals Evaluation esthetic and functional outcomes after rhinoplasty

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Falah Abdulla Hussein Hawrami ◽  
Zanyar M. Amin ◽  
Muhammad Mahmood ◽  
Rebwar A. Hama
Keyword(s):  
Outcome Evaluation ◽  
P Value ◽  
Open Rhinoplasty ◽  
Public And Private ◽  
Validated Questionnaire ◽  
Before And After ◽  
Post Operation ◽  
The Mean ◽  
A Prospective Study ◽  
And Function

Objective: The aim of this study was to determine patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire, before and after rhinoplasty surgery. Methods: A prospective study was conducted of all adult patients that underwent open rhinoplasty including other nasal procedures like septoplasty or turbinoplasty between September 2018 and August 2019 in both public and private hospital (Sulaimani Surgical Teaching Hospital and Faruk Medical City).The Rhinoplasty Outcome Evaluation (ROE) questionnaire was used to study the patients' view. Results: 100 patients participated in this study by completing the questionnaires and the follow-up period. The main reasons for rhinoplasty in our patients were: aesthetic 54% (n=54), functional 2 %( n=2), and a combination of both in 44% (n=44) patients The mean ROE score of all patients pre operation was 51.8 (males: 49.04, females 54.74.) and the mean score post operation was 75.22(males 75.64, females 74.81) at six months with no statistically significant gender differences p value=0.79 However, both genders showed a statistically significant improvement between the preoperative and postoperative scores (mean difference = 23.42, P<0.017).In the pre-operative stage, patients recorded worse score for anxious and insecure (p < 0.05). There were no difference for gender, age, cause or literacy level in the mean post-operative scores (p > 0.05). Conclusions: We found that patients who consider themselves anxious before surgery were less satisfied with the result of the procedure. Additionally Rhinoplasty surgery significantly improved patient quality of life regarding nose shape and function.

scholarly journals Changes in patient’s life after rhinoplasty

2021 ◽  
Vol 8 (4) ◽  
pp. 1260
Author(s):  
Ankit Disawal ◽  
Sunil Srivastava
Keyword(s):  
Patient Satisfaction ◽  
Psychological Health ◽  
Outcome Evaluation ◽  
Open Rhinoplasty ◽  
Patient’S Satisfaction ◽  
Self Confidence ◽  
Validated Questionnaire ◽  
Primary Rhinoplasty ◽  
Revision Rhinoplasty ◽  
Before And After

Background: Aesthetic surgeries are performed to improve individual’s satisfaction with their appearance and also to improve their psychological health by improving self-confidence and self-esteem. Our study aimed to ascertain patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire before and after rhinoplasty surgery.Methods: The prospective study was conducted at Department of Plastic and Reconstructive surgery, SMS hospital Jaipur India from October 2018 to February 2020. The rhinoplasty outcome evaluation ROE questionnaire was used to study patient’s satisfaction. Patients underwent open rhinoplasty, closed rhinoplasty, primary rhinoplasty, revision rhinoplasty and additional nasal surgery such as septoplasty as per required. Data were collected from 70 patients before and 6 month after surgery. Results before and after surgery were compared.Results: 70 out of 83 patients completed questionnaires. Most common age group is from 16 to 45 year. Most common reason for rhinoplasty in our study is aesthetic (58.5%), both aesthetic and functional (28.5%), functional (12.8%). Preoperative and postoperative ROE score shows significant improvement after 6 month in functional and aesthetic aspect. Mean preoperative score of all patients were 33.6 and the mean postoperative score were 80.4. Difference in improvement of scores was not significant when groups were divided on the basis of sex, age, concomitant nasal procedure, primary or revision surgery, open or closed rhinoplasty.Conclusions: Rhinoplasty surgery significantly improved patient quality of life regarding nose function and appearance. ROE questionnaire proves reliable equipment for estimating patient satisfaction.

Comparative Study of Organizational Measures on Helmet Use Rate in Trang Hospital Personnel

2021 ◽  
Vol 104 (2) ◽  
pp. 247-251
Keyword(s):  
Video Camera ◽  
P Value ◽  
Policy Measure ◽  
Chi Square ◽  
Helmet Use ◽  
Before And After ◽  
Chi Square Test ◽  
Policy Measures ◽  
The Mean ◽  
A Prospective Study

Objective: To compare the efficacy of organizational measures on helmet use rate of the motorcycle driver and rider in Trang Hospital. Materials and Methods: The present study was a prospective study comparing the helmet use rate before and after the measures including helmet policy, supportive and incentive organizational measure, and penalizing organizational measure. The personnel of Trang Hospital included 1,441 people. There were 637 drive-only personnel, 143 ride-only personnel and 443 drive-ride personnel. The helmet use rate was collected at the front gate of the hospital by closed circuit video camera monitoring during 07:00 am to 08:30 am every day for one week before and after the various measures. The mean helmet use rates were compared by the chi-square test was considered significant at the p value of less than 0.05. Results: The increased rate of helmet use in driver after the supportive and incentive organizational measure and the penalizing organizational measure compared to the helmet use rate before the policy measures were statistically significant (p<0.001). Unlike the increased rate of helmet use in driver and rider after the policy measure compared to the helmet use rate before the policy measure were not statistically significant (p=0.220, 0.470, consecutively). The increased helmet use of the rider after the penalizing organizational measure was statistically significant when compared to the helmet use rate before the policy (p<0.001), and the supportive and incentive measure (p=0.019). However, the increased rate of helmet use in driver after the penalizing organizational measure compared to the helmet use rate after the supportive and incentive organizational measure were not statistically significant (p=0.990). Conclusion: Only the policy measure has not significantly increased the rate of helmet use in both drivers and riders. The supportive and incentive organizational measure have significantly increased the helmet use rate in the drivers, but not significantly increased the rate of helmet use in the riders. However, the penalizing organizational measure has significantly increased the rate of helmet use in the riders, but not significantly increased the rate of helmet use in the drivers. Keywords: Helmet implementation, Organizational measure, Head injury prevention, Motorcycle accident, Helmet use rate

scholarly journals Effectiveness of Integrated Teaching Module among Final Year Medical students

2016 ◽  
Vol 06 (02) ◽  
pp. 024-026
Author(s):  
Akshatha Rao Aroor ◽  
Dileep K. S. ◽  
Rama Prakasha Saya ◽  
Sudheendra Rao
Keyword(s):  
Medical Students ◽  
Medical Curriculum ◽  
Teaching Method ◽  
Tertiary Care ◽  
General Medicine ◽  
P Value ◽  
College Hospital ◽  
Before And After ◽  
The Mean ◽  
A Prospective Study

AbstractBackground: Didactic lectures and the current practice of teaching in Medical colleges has many limitations. Correlation and integration of knowledge into practice becomes difficult in the absence of integrated teaching at appropriate levels in medical curriculum.Aim: To assess the effectiveness of the vertical integrated teaching method among the final year MBBS students and to study the attitude towards integrated teaching. Materials and Methods: This is a prospective study conducted among 102 final year MBBS students at a tertiary care medical college hospital in South India. The teaching was implemented by the active participation of faculty from the departments of Physiology, Pathology and General Medicine on a single topic. Students' knowledge about the subject before and after the session was evaluated by a questionnaire of 20 questions (Pre-test and Post-test). The mean score before and after the session was compared using the paired't' test. The students were also asked to give their feedback about the usefulness of this method in improving their knowledge.Results: The mean scores before and after the session were 8.8± 2.87 and 16.88±1.23 (p value < 0.001). Majority of the students (97.1%) opined the need for integrated teaching to be a part of medical curriculum. Most of them (54.9%) felt the need for integrated teaching to be conducted monthly. On self-grading the knowledge on a scale of 1 to 10 before and after the session, the mean scores were 4.73±1.84 and 7.83±1.86 respectively (p value < 0.001). Conclusion: The integrated teaching was found to be an effective method of teaching. Medical students had a positive attitude towards integrated teaching.

scholarly journals A prospective study of clinicoepidemiology, metabolic and hormonal profile of women with hirsutism in Konaseema region of Andhra Pradesh

2021 ◽  
Vol 10 (10) ◽  
pp. 3875
Author(s):  
M. Smitha
Keyword(s):  
Insulin Resistance ◽  
Cushing Syndrome ◽  
Mean Value ◽  
P Value ◽  
Hormonal Profile ◽  
Number Of Patients ◽  
Menstrual Irregularities ◽  
Before And After ◽  
The Mean ◽  
A Prospective Study

Background: Hirsutism is defined as presence of excess coarse hairs appear in male pattern in women.There is various aetiology of hirsutism like Idiopathic hirsutism, PCOS, androgen secreting ovarian tumours, menopause, CAH, Cushing’s syndrome, drugs which increases testosterone level, insulin resistance and tumour secreting androgen. We have designed present study with an aim to study the clinicoepidemiology, metabolic and hormonal profile of women with hirsutism in Konaseema region of Andhra Pradesh.Methods: All patients with hirsutism attending gynaecology outpatient department were selected for study based on inclusion and exclusion criteria. After that patient were examined clinically, BMI was calculated for each patient. Patients were clinically evaluated for signs of excess androgen secretion, Cushing syndrome, metabolic syndrome and hyperprolactinemia. Modified Ferriman-Gallwey scoring system was used for evaluating and quantifying hirsutism.Results: The mean Fasting plasma insulin12.42±2.41 (mIU/dl), the mean of HOMA-IR was 3.14±1.18. The mean value of dehydroepiandrosteronesulphate (DHEAS) 355.78±15.41 mcg/dl. There was statistically significant reduction in modified Ferriman-Gallwey scoring in before and after treatment (12.38± 1.55 vs. 9.62±1.6), the p value was 0.00001. The number of patients with menstrual irregularities were reduced from 63.3% to 20% after treatment and this difference is statistically significant (p=0.04).Conclusions: Hirsutism is associated with insulin resistance and DHEAS concentration was high. Modified Ferriman-Gallwey score was significantly reduced and there was significant weight loss and improvement in menstrual irregularities after treatment.

scholarly journals Aplikasi Web Cek Riska sebagai Upaya Meningkatkan Pengetahuan Ibu Mendeteksi Dini Risiko Tinggi Kehamilan

2020 ◽  
Vol 4 (1) ◽  
pp. 215-221
Author(s):  
Ni Luh Putu Martini ◽  
Irna Nursanti ◽  
Giri Widakdo
Keyword(s):  
High Risk ◽  
Experimental Design ◽  
Web Application ◽  
P Value ◽  
Group Design ◽  
Risk Pregnancy ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean ◽  
In Pregnancy

This study aimed to determine the effect of the risk checks web application on the knowledge of mothers to detect high risk early in pregnancy. The research design used in this study was a quasi-experimental design with one group design without control. The results showed that the mean difference before and after the intervention was 13.00, with a p-value of 0.000. In conclusion, the risk check web application can increase mothers' knowledge to detect high risk early in pregnancy.   Keywords: Web Application, High-Risk Pregnancy

scholarly journals Comparative Effectiveness of Papaya Leaf Stew (Carica Papaya Linn) With Turmeric Acid (Curcuma Domestica Val-Tamarindus Indica) Against Primary Dysmenorrhea

2018 ◽  
Vol 1 (2) ◽  
pp. 120-127
Author(s):  
Yunita Liana
Keyword(s):  
Young Women ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Average Score ◽  
Control Group ◽  
P Value ◽  
Primary Dysmenorrhea ◽  
Control Group Design ◽  
Before And After ◽  
The Mean

Young women often feel primary dysmenorrhoea because the hormonal cycles experienced are not stable, this can disrupt the concentration and activity of young women. The principle of back to nature is increasingly popular today, the side effects of chemical drugs can cause new problems, it is one of the driving force of the development of traditional medicine. Papaya leaves contain Vitamin E which can reduce dysmenorrhea. In addition, turmeric acids also contain curcumine and anthocyanins that inhibit cyclooxygenase, thereby reducing the occurrence of inflammation during uterine contractions. The aim of this research is to know the effectiveness of papaya leaf stew with acidic turmeric to primary dysmenorrhea. Type of Research is an experimental study with a Pretest-Posttest Control Group Design design. The sample is 30 people. The research was conducted on December 27, 2017 s.d February 24, 2018 at SMP Negeri 46 Palembang. Instrument to measure pain Numeric Rating Scale. The statistical test used by Wilcoxon and Mann Whitney U. Average score of pain before papaya leaves stem 5.40 ± 0.73 while the mean score of pain after given turmeric acid 5.33 ± 0.61 The mean score of pain after being given papaya leaves stew 3.60 ± 0.91 while the mean score of pain after given turmeric acid 4.06 ± 0.79. There was a difference of mean score of dysmenorrhea pain before and after given papaya leaf stem p value = 0.000. There is difference of mean score of dysmenorrhea pain before and after given turmeric acid p value = 0,002. There was no difference of mean score of dysmenorrhea pain before and after given papaya leaf sting and turmeric acid p value = 0,217. The decoction of papaya leaf and turmeric acid have the same effectiveness in reducing primary dysmenorrhea pain.

scholarly journals P277 RV remodeling by echo parameters in endurance and strength sport training

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Moshkani Farahani ◽  
M Shirdel
Keyword(s):  
Endurance Exercise ◽  
Performance Status ◽  
Exercise Group ◽  
Strength Group ◽  
Sport Training ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
And Gender ◽  
And Function

Abstract Introduction With regular and long-term exercises, the heart undergoes changes that are called the adaptation of the heart in response to exercise or physiological changes, which contrasts with the pathological changes caused by hypertension and aortic valve stenosis. However, the exact effects of exercise on the structure and function of the heart depend on the type, intensity and duration of exercise, the amount of physical fitness, inheritance, and gender. Materials and Methods In this prospective clinical trial study, 40 subjects, including 20 in the endurance exercise group and 20 in the exercise group, were evaluated. Echocardiography was performed for all of these subjects before and after the exercises that was performed professionally for 8 weeks under the supervision of the trainer and the changes were recorded. The data were analyzed statistically by SPSS20 software. A significant level of 0.05 was considered. Results The mean ± standard deviation of the age was 20/80 ± 1/42 years. Significant decrease in mean RVSM was observed only in the strength group (P = 0.008). There was no significant difference in the endurance group . There was no significant difference between the two groups before the test in the mean TAPSE (P = 0.46). The mean of TAPSE in the endurance group was 0.22 ± 1.99 and in the strength group was 0.31 ± 1.95. There was no significant difference between the two groups (P 0.46). There was no significant difference between the two groups before the test in the mean E / e (P = 0.51). The mean E / e "in the endurance group was 0.47 ± 4.75 and in the strength group was 0.54 ± 5.50, and there was a significant difference between the two groups (P &lt;0.001). The mean SWDT in the endurance group was 0.12 ± 0.95 and in the strength group was 0.11 ± 1.06, and there was a significant difference between the two groups (P = 0.002). There was a significant increase in mean SWDT in the strength group after the test (P &lt;0.001) .There was a significant increase in mean PAP in the strength group (P = 0.007) . There was a significant increase in mean LV mass index in the strength group (P &lt;0.001),with no significant difference between the two groups in mean FAC. Conclusion It seems that any kind of strength and endurance exercise affects the performance status, however, strength exercises have more effects which causes RV dysfunction. All indexes measured changed within normal level except for PAP that had abnormal changes after endurance exercise .

scholarly journals PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO

2019 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi
Keyword(s):  
The Elderly ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
P Value ◽  
Common Symptom ◽  
Parasympathetic System ◽  
Significant Difference ◽  
Before And After ◽  
Autogenic Relaxation ◽  
The Mean

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.

scholarly journals Reading performances of low vision children after using low vision aid

2018 ◽  
Vol 146 (9-10) ◽  
pp. 534-537
Author(s):  
Zorica Toncic ◽  
Natasa Jovovic ◽  
Nada Sakotic ◽  
Veselinka Milovic ◽  
Katarina Janicijevic ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Low Vision ◽  
Reading Speed ◽  
Pediatric Population ◽  
Reading Performance ◽  
Optic Nerve Atrophy ◽  
Stargardt Disease ◽  
Before And After ◽  
The Mean ◽  
A Prospective Study

Introduction/Objective. The objectives of the paper are to assess the causes of low vision (LV) in pediatric population in Montenegro and to evaluate the influence of low vision aids (LVA) on reading performance regarding the speed of reading and the understanding of the read text. Methods. A prospective study was conducted on 40 ?treatable? LV children what represent all registered LV children in Montenegro. All participants read the same text before and after using LVA. Reading rate was calculated as the number of words read per minute. Functional speed of reading was calculated as the ratio of the rate of reading and the understanding of the read text multiplied by 100. Results. The study comprised 40 LV children with the mean age of 12.60 ? 4.06 years (20 boys and 20 girls). The most common cause of LV in children were premature retinopathy (10/40 or 25%), retinitis pigmentosa (8/40 or 20%), optic nerve anomaly (5/40 or 13%), degenerative myopia (4/40 or 10%), macular dysgenesis (4/40 or 10%), Stargardt disease (3/40 or 7%), optic nerve atrophy (2/40 or 5%), and albinism (2/40 or 5%). Nystagmus was found in 11 LV children or 28% of the group. LVA were prescribed to all of them. Reading speed before vs. after LVA use was 36.58 ? 35.60 vs. 73.83 ? 27.05 words/minute (p < 0.001), while functional reading was 26.00 ? 30.43 vs. 59.41 ? 29.34 (p < 0.001). Conclusion. LV children demonstrate a significant improvement in reading performance by using LVA.

scholarly journals Hematological profiles of visceral leishmaniasis patients before and after treatment of anti-leishmanial drugs at University of Gondar Hospital; Leishmania Research and Treatment Center Northwest, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elias Shiferaw ◽  
Fadil Murad ◽  
Mitikie Tigabie ◽  
Mareye Abebaw ◽  
Tadele Alemu ◽  
...  
Keyword(s):  
Visceral Leishmaniasis ◽  
Blood Cell ◽  
Pearson Correlation ◽  
Hematological Parameters ◽  
Parasite Load ◽  
Treatment Center ◽  
Rank Test ◽  
P Value ◽  
Before And After ◽  
The Mean

Abstract Background Visceral leshimaniasis is a parasitic disease characterized by systemic infection of phagocytic cells and an intense inflammatory response. The progression of the disease or treatment may have an effect on hematological parameters of these patients'. Thus, the current study sought to compare the hematological profiles of visceral leishmaniasis patients before and after treatment with anti-leishmaniasis drugs. Method An institutional-based retrospective cohort study was conducted among visceral leishmaniasis patients admitted to the University of Gondar comprehensive specialized referral hospital leishmaniasis research and treatment centre between September 2013 and August 2018. Hematological profiles were extracted from the laboratory registration book before and after treatment. Data were entered to Epi-info and exported to SPSS for analysis. Descriptive statistics were summarized using frequency and percentage to present with the table. The mean, standard deviation, median, and interquartile range were used to present the data. Furthermore, using the paired t-test and the Wilcoxon Signed rank test, the mean difference for normally and non-normally distributed data was compared. Spearman and Pearson correlation analysis were used to describe the relationship between hematological parameters and various variables. A P value of 0.05 was considered statistically significant. Result With the exception of the absolute neutrophil count, all post-treatment hematological parameters show a significant increase when compared to pre-treatment levels. Prior to treatment, the prevalence of anemia, leukopenia, and thrombocytopenia was 85.5, 83.4, and 75.8%, respectively, whereas it was 58.3, 38.2, and 19.2% following treatment. Furthermore, parasite load was found to have a statistically significant negative correlation with hematological profiles, specifically with white blood cell and red blood cell parameters. Conclusion According to our findings, patients with visceral leishmaniasis had improved hematological profiles after treatment. The effect of treatment on parasite proliferation and concentration within visceral organs, in which the parasite load could directly affect the patient's hematological profiles, may be associated with the change in hematological profiles.

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