Morphology of renal pelvis and clearance of lower pole stones following ESWL

Introduction and objective A prerequisite for successful outcome of extracorporeal shock wave lithotripsy (ESWL) is effective stone fragmentation. Despite successful stone fragmentation, complete clearance of stone fragments cannot be achieved patient, due to various factors. The aim of this prospective study was to determine morphological factors that affect clearance following successful stone fragmentation by ESWL. Material and methods In the period October 1999 and January 2001, 60 patients (45 male and 15 female) with single lower pole kidney stones have been treated using lithotripter Lithostar 2000TM. Parameters of radiographic anatomy, measured on intravenous pyelography, included infundibular width and length, infundibuloureteral infundibulopelvic angles. After the follow-up period of 3 months, patients were divided into two groups regarding clearance status: Group I consisted of stone free patients, and group II of those with residual fragments. Results Average values of measured parameters in group I vs group II were as follows: infundibular length 27.70?5.48 mm vs 30.25?3.95mm (p=0.045, Mann-Whitney test); infundibular width 5.98?3.28 mm vs 4.70?1.30 mm (p=0.018, Mann-Whitney test); infundibulopelvic angle 52.92?20.76o vs 34.10?8.19o (p=0.00001, Mann-Whitney test); infundibuloureteral angle 48.00?21.13o vs 30.70?7.49o (p=0.00001, Mann-Whitney test). Conclusion This study revealed that parameters of infundibulopelvic anatomy were significantly different in the examined groups. The success of clearance of fragments following ESWL procedure can be predicted using these morphologic parameters.

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Platelet rich plasma versus extracorporeal shock wave therapy in patients with non-calcific supraspinatous tears

Egyptian Rheumatology and Rehabilitation ◽

10.1186/s43166-020-00020-7 ◽

2020 ◽

Vol 47 (1) ◽

Author(s):

Samah M. Alian ◽

Rabab S. Zaghlol ◽

Sahar S. Khalil

Keyword(s):

Shock Wave ◽

Outcome Measures ◽

Platelet Rich Plasma ◽

Extracorporeal Shock Wave Therapy ◽

Shock Wave Therapy ◽

Tendon Tear ◽

Extracorporeal Shock Wave ◽

Group I ◽

Group Ii

Abstract Background To compare the clinical efficacy of platelet rich plasma (PRP) subacromial injection and extracorporeal shock wave therapy (ESWT) on refractory non-calcific partial thickness supraspinatous tendon tear. Results Significant improvement in all outcome measures achieved in both groups at 4 weeks follow-up period (the end of treatment course) (P< 0.05). At 12 weeks follow-up period, group I, showed significant improvement in all outcome measures compared to baseline and group II; however, in group II, there was no significant difference compared to baseline; moreover, deterioration in the previous improvement was noticed. Conclusion Both PRP (group I) and ESWT (group II) are effective therapeutic methods in the management of refractory non-calcific partial thickness supraspinatous tendon tear; however, PRP (group I) has better long-term effects on both pain and function.

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PERBANDINGAN KINERJA BERAHI KAMBING KACANG DAN KAMBING PERANAKAN ETAWAH (PE) YANG MENGALAMI INDUKSI BERAHI DENGAN PGF2 ALFA (Comparison of Estrous Performance between Kacang and PE Goats Following Estrous Induction with PGF2 Alpha)

Jurnal Medika Veterinaria ◽

10.21157/j.med.vet..v10i1.4040 ◽

2016 ◽

Vol 10 (1) ◽

pp. 55

Author(s):

Syafruddin Syafruddin ◽

Juli Melia ◽

Teuku Armansyah ◽

Tongku Nizwan Siregar ◽

Siti Rizki Hardyana Siregar ◽

...

Keyword(s):

T Test ◽

Scoring Method ◽

Whitney Test ◽

Mann Whitney Test ◽

Group I ◽

Regular Cycle ◽

Group Ii ◽

Cycle Group

The experiment was conducted to compare estrous performance between kacang and PE goats after estrous inducted with PGF2 alpha (PGF2α). Fifteen female goats were used in this study and divided into two groups. Characteristics of goat used are clinically healthy, never giving birth, 1,5-3,0 years of age, and have undergone at least two times the regular cycle. Group I (KI) consisted of 10 kacang goats and group II (KII) consisted of 5 PE goats. All goats in both groups were estrous synchronized with 1 ml PGF2a intramuscularly. Estrous observation was done visually three times a day at 8 a.m., 12 p.m., and 4 p.m. Assessment of estrous intensity based on scoring method. The data of intensity and onset were analyzed by Mann Whitney test and estrous duration analyzed by t test. The result showed that intensity, onset, and duration of estrous in KI vs KII were 2.47±0.21 vs 2.25±0.00, 38.20±2.39 vs 84.40±8.53 hours, and 40.40±2.27 vs 46.40±4.56 hours respectively. It concluded that there was different estrous performance between kacang and PE goats following estrous synchronized with PGF2α.

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FISSURE SEALANT INTERFACE MICROLEAKAGE USING ONE STEP ADHESIVES

ODONTO Dental Journal ◽

10.30659/odj.1.1.49-52 ◽

2014 ◽

Vol 1 (1) ◽

pp. 49

Author(s):

Sandy Christiono

Keyword(s):

Blue Dye ◽

Fissure Sealant ◽

Whitney Test ◽

Dye Penetration ◽

Mann Whitney Test ◽

Group I ◽

Significant Difference ◽

One Step ◽

Group Ii

Background:This study evaluated the efficacy of a one step adhesives in reducing microleakage after water storage and thermocycling. Method: eighteen freshly extracted caries-free human premolars were used. The teeth were randomly divided into two groups; Group I: control etch adhesive (GC),Group II: G Bond One step adhesive (GC) The teeth were restored using helioseal Vivadent. Group II Each layer was cured using the Spectrum 800 curing light (Dentsply/Caulk) for 20 seconds at 600mW/cm2. The teeth were stored in artifisial saliva for 7 days in incubator. Samples were thermocycled 250x between 5°C and 55°C with a dwell of 30 seconds, then placed in a 0.5% methylene blue dye solution for 24 hours at 37°C. Samples were sectioned longitudinally and evaluated for microleakage at the occlusal and gingival margins under a microscope at 40x magnification. Dye penetration was scored: 0: no microleakage visible, score 1: microleakage up to half of the fissure, score 2: microleakage more than half of the fissure. Result: Mann-Whitney test was used to demonstrate significantly more dye penetration in Group I and Group II. When comparing the scores for two group, the Mann Whitney test showed no significant difference in dye penetration for etch and One step adhesive (p>0.05). Conclusion: Based on the results of this study, it can be concluded that etch and one step adhesive in the fissure sealant no significant difference to reduce of microleakage in study in vitro.

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Extracorporeal shock wave as adjuvant therapy for wrist and hand spasticity in post-stroke patients: a randomized controlled trial

Egyptian Rheumatology and Rehabilitation ◽

10.1186/s43166-021-00068-z ◽

2021 ◽

Vol 48 (1) ◽

Author(s):

Samar Abd Alhamed Tabra ◽

Mohammad Ibrahim Zaghloul ◽

Doaa Shawky Alashkar

Keyword(s):

Shock Wave ◽

Upper Limb ◽

Extracorporeal Shock Wave Therapy ◽

Shock Wave Therapy ◽

Stroke Patients ◽

Extracorporeal Shock Wave ◽

Group I ◽

Limb Spasticity ◽

Group Ii

Abstract Background Stroke patients often present with upper limb spasticity which impairs the functional status of patients. Recently, extracorporeal shock wave therapy (ESWT) is reported to be a safe, non-invasive, alternative treatment for spasticity. Many articles have been published on the effect of ESWT on lower limb spasticity, but only few of them had focused on upper limb spasticity, so the aim of this study is to evaluate the clinical and electrophysiological effect of ESWT on wrist and hand spasticity of chronic stroke patients and its impact on functional performance. In this monocentric study, forty chronic stroke patients with upper limb spasticity were recruited and randomly allocated into two groups. Both groups continued to receive conventional stroke rehabilitative program, while group I received three sessions of radial extracorporeal shock wave therapy (rESWT) 1 week apart. Results There was a significant decrease in wrist and hand spasticity after treatment and at follow-up in group I compared to group II (Modified Ashworth Scale after rESWT 1.45 ± 0.16, 2.90 ± 0.18 and follow-up 1.55 ± 0.13, 3.00 ± .0.15 in groups I and II, respectively). Also, there was a significant improvement of wrist control and hand function after treatment and at follow-up in group I compared to group II (p < 0.001). The improvement of pinch grip was noticed at follow-up with a significant difference relative to baseline in group I (p < 0.05). Hmax/Mmax ratio was significantly decreased at follow-up in group I compared to group II (p < 0.001). Conclusion ESWT is a valuable adjuvant treatment for spasticity of the hand and wrist in stroke patients which is reflected as improvement of functional activity. Trial registration ClinicalTrials.gov, NCT04312581. Registered on 18 March 2020.

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Comparative Assessment of Autogenous Cancellous Bone Graft and Bovine-Derived Demineralized Bone Matrix for Secondary Alveolar Bone Grafting in Patients With Unilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1177/10556656211025197 ◽

2021 ◽

pp. 105566562110251

Author(s):

Vijay Kumar ◽

Vidya Rattan ◽

Sachin Rai ◽

Satinder Pal Singh ◽

Jai Kumar Mahajan

Keyword(s):

Bone Graft ◽

Iliac Crest ◽

Demineralized Bone Matrix ◽

Bone Matrix ◽

Volumetric Analysis ◽

Group I ◽

Alveolar Bone Grafting ◽

Group Ii ◽

Demineralized Bone

Objective: Comparison between bovine-derived demineralized bone matrix (DMBM) and iliac crest graft over long term for secondary alveolar bone grafting (SABG) in patients with unilateral cleft lip and palate (UCLP) in terms of radiological and clinical outcomes. Design: Prospective, randomized, parallel groups, double-blind, controlled trial. Setting: Unit of Oral and Maxillofacial Surgery, Oral Health Science Centre, Postgraduate Institute of Medical Education & Research, Chandigarh. Participants: Twenty patients with UCLP. Interventions: Patients were allocated into group I (Iliac crest bone graft) and group II (DMBM) for SABG. Outcomes were assessed at 2 weeks, 6 months, and then after mean follow-up period of 63 months. Outcomes Measures: Volumetric analysis of the grafted bone in the alveolar cleft site was done through cone beam computed tomography using Cavalieri principle and modified assessment tool. Clinical assessment was performed in terms of pain, swelling, duration of hospital stay, cost of surgery, alar base symmetry, and donor site morbidity associated with iliac crest harvesting. Results: Volumetric analysis through Cavalieri principle revealed comparable bone uptake at follow-up of 6 months between group I (70%) and group II (69%). Modified assessment tool showed no significant difference between horizontal and vertical bone scores over short- and long-term follow-up. In group II, there was higher cost of surgery, but no donor site morbidity unlike group I. Conclusions: Demineralized bone matrix proved analogous to iliac crest bone graft as per volumetric analysis over shorter period. However, although statistically insignificant, net bone volume achieved was lower than the iliac crest graft at longer follow-up.

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RECURRENCE RATE AFTER REPEAT TRANSURETHRAL RESECTION AMONG PATIENTS WITH NEWLY DIAGNOSED T1 BLADDER CANCER

10.36106/ijar/7213765 ◽

2021 ◽

pp. 51-54

Author(s):

Md. Shafiqur Rahman ◽

Sanjeeb Bhakta Bista ◽

Md. Sayedul Islam ◽

A. S. M. Shafiul Azam ◽

Md. Shamim Hossain ◽

...

Keyword(s):

Bladder Cancer ◽

Recurrence Rate ◽

Transurethral Resection ◽

Tumor Recurrence ◽

Controlled Trial ◽

Intravesical Therapy ◽

Newly Diagnosed ◽

Group I ◽

Group Ii

Background: Transurethral resection of the bladder tumor (TURBT) is the cornerstone of diagnosis and TURBT followed by selective adjuvant intravesical chemotherapy or immunotherapy is the gold standard of treatment for the patients with non-muscle invasive bladder cancer (NMIBC). Even after complete resection of the tumor there is high risk of residual tumor and subsequent recurrence and progression of the disease. The recurrence of T1 tumor is found to be around 71 % within 5 years and High grade T1 lesions recur in more than 80% of the cases and progress in 50% of the patients within 3 years. Disease status at 3 months after initial resection is an important predictor of subsequent recurrence and progression. To assess the tumor recurrence rat Objective: e among patients with newly diagnosed T1 bladder cancer between repeat transurethral resection group and single TURBT group. Ra Type of study: ndomized controlled trial. Place of study: Department of urology, BSMMU, Dhaka, Bangladesh. This Randomi Materials And Methods: zed Controlled Trial was conducted in urology department of BSMMU, Dhaka, Bangladesh from February 2017 till September 2018. A total of 50 patients, diagnosed as a case of T1 bladder cancer and who fulll the selection criteria were randomly divided in two groups consisting of 25 patients in each group. After informed consent, repeat TUR was done after 4 weeks of the initial TURBT for only 22 patients in group I since 3 of the patients did not show up on the scheduled date of surgery. Whereas, repeat TUR was not done for other 25 patients in group II. All the patients in both the groups were further treated with intravesical therapy according to the histopathological report. The patients in both the groups were followed up at 3 months and 6 months of the initial intervention where detailed history was taken, relevant investigations were done and check cystoscopy was done. TURBT was done for recurrent tumors. Out of 22 patients in group I, 2 patients were excluded for follow up on the basis of repeat TUR ndings. Whereas in group II, 2 patients missed the follow up and one of them missed the normal scheduled dose of intravesical therapy. Hence, 22 patients completed the study in group II. The baseline variables like age and Results: sex were similar in both the groups with higher male predominance. There was no statistical signicant difference in tumor characteristics such as size, number and grade of the tumor between the two groups. Out of 22 patients in group I who underwent repeat TUR at 4 weeks of initial TUR, residual disease was found in 8 (36.36%) patients. One of the patient was found to have T2 disease and 1 patient had CIS during repeat TUR. These 2 patients were not followed up since the treatment strategy changed after the results of repeat TUR. After 6 months of follow up of all the patients, 2 (10%) out of 20 patients in group I were found to have tumor recurrence however, in group II, 9 (40.9%) patients had tumor recurrence. The tumor recurrence rate between the two groups was found to be statistically signicant (p=0.023). In the light of ndings of this Conclusion: study, it can be concluded that performing repeat transurethral resection in patients with newly diagnosed T1 bladder cancer at 4 weeks of initial TURBT, helps to detect signicant number of residual tumor and reduce early recurrence rate of the tumor.

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Good Operative Effects of Patellofemoral Arthroplasty Combined With the Tibial Tubercle Transfer for Isolated Patellofemoral Arthritis Patients With an Increased Tibial Tuberosity-Trochlear Groove Distance

10.21203/rs.3.rs-291693/v1 ◽

2021 ◽

Author(s):

Conglei Dong ◽

Chao Zhao ◽

Ming Li ◽

Huijun Kang ◽

Kang Piao ◽

...

Keyword(s):

Patellofemoral Joint ◽

Tibial Tuberosity ◽

Tibial Tubercle ◽

Trochlear Groove ◽

Patellofemoral Arthritis ◽

Patellofemoral Arthroplasty ◽

Group I ◽

Tibial Tubercle Transfer ◽

Group Ii

Abstract BackgroundThe objective of present study was to investigate the operative effect of patellofemoral arthroplasty combined with the tibial tubercle transfer for isolated patellofemoral arthritis patients with an increased tibial tuberosity-trochlear groove distance (>20mm). MethodsA prospective study was performed between November 2012 and December 2017. Finally, thirty-six cases, with a mean age of 61.1 ± 7.3 years, were admitted to our study. A total of 17 patients underwent patellofemoral arthroplasty combined with tibial tubercle transfer, and 19 patients underwent patellofemoral arthroplasty only. All eligible patients had CT scans preoperatively and at 12 months follow-up, to assess the stability of the patellofemoral joint on axial slices. In addition, the demographic and clinical features of all the patients were asked. Knee balance was assessed with the single leg stance test and timed get up and go, and functionality was evaluated with stair climbing test and the Western Ontario and McMaster Universities Osteoarthritis Index score. (P>0.05) ResultsPreoperatively, the data regarding the knee balance and functionality were not significantly different between the two Groups (P>0.05). Many measurements showed significant differences between the two groups at the last follow-up. Significant differences were seen in well-known measurements such as the SLST (Group I, 28.9 s (SD 7.5); Group II, 20.3 s (SD 5.9); p < 0.001), TGUG (Group I, 13.4 s (SD 3.2); Group II, 16.8 s (SD 3.1); p < 0.001), and SCT (Group I, 18.6 s (SD 6.8); Group II, 24.5 s (SD 8.7); p < 0.001). Additionally, the median WOMAC score was improved from 62.7 (SD 11.2) preoperatively to 25.7 (SD 8.2) one year postoperatively in Group I and from 64.1 (SD 10.7) to 36.2 (SD 9.7) in Group II, which were also significantly different between the groups. ConclusionsFor such special IPA patients with an increased TT-TG (>20mm), the combined operation of PFA combined with TTT can better restore the involutional relationship of patellofemoral joint and further improve the balance and function of knee joint.

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Do stone size and impaction influence therapeutic approach to proximal ureteral stones?

Vojnosanitetski pregled ◽

10.2298/vsp0902129r ◽

2009 ◽

Vol 66 (2) ◽

pp. 129-133 ◽

Cited By ~ 1

Author(s):

Slobodan Radulovic ◽

Aleksandra Vuksanovic ◽

Dragica Milenkovic-Petronic ◽

Bozo Vavic

Keyword(s):

Therapeutic Approach ◽

Ureteral Stone ◽

Treatment Success ◽

Ureteral Stones ◽

Stone Size ◽

Extracorporeal Shock Wave ◽

Group I ◽

Significant Difference ◽

Group Ii ◽

Proximal Ureteral Stone

Background/Aim. Primary therapeutic approach to lumbar ureteral stones is still contraversial. The aim of the study was to investigate the influence of stone impaction and size on the effectiveness of proximal ureteral stone lithotripsy. Methods. A total of 123 patients with proximal ureteral stones were investigated in this prospective study performed in a 10- month period. The patients were divided into the group I - 86 patients treated with extracorporeal shock wave lithotripsy (ESWL) and the group II - 37 patients treated with 'Swiss' Lithoclast. In the group I, 49 stones (57%) were classified as impacted, while 20 stones (23.3%) were larger than 100 mm2. In the group II, 26 stones (70.3%) were impacted, and 11 stones (29.7%) were larger than 100 mm2. Stones were defined as impacted by the radiographic, echosonographic as well as endoscopic findings in the group II of patients. Stone size was presented in mm2. Chemical composition of stones were almost the same in both groups of the patients. Results. Generally, there was no statistically significant difference in the treatment success between the groups. However, stones larger than 100 mm2 were statistically more successfully treated endoscopically, while there was no statistical difference in the treatment success of impacted stones between these two groups. Conclusion. ESWL can by considered as primary first therapeutic approach in treatment of all proximal ureteral stones except for stones larger than 100 mm2 that should primarily be treated endoscopically.

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A Seven-year Follow-up Study of Patient Satisfaction with Three-implant-retained Mandibular Overdentures

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.5896 ◽

2021 ◽

Vol 9 (D) ◽

pp. 103-107

Author(s):

Hisham Samir ElGabry

Keyword(s):

Long Term Results ◽

Complete Dentures ◽

Patients Satisfaction ◽

Follow Up Study ◽

Group I ◽

Significant Difference ◽

Male Patients ◽

Group Ii ◽

Anterior Mandible

PURPOSE: This study aimed to compare patients’ satisfaction with mandibular overdentures retained by three-splinted implants versus conventional complete denture wearers during a 7-year follow-up study period. MATERIALS AND METHODS: Thirty edentulous male patients (mean age: 60 years) were carefully selected and divided into two equal groups. All patients received a new set of complete dentures. Group I patients received three implants in the anterior mandible and were connected after 3 months with bars, clips, and loaded. Group II patients received conventional complete dentures. Patients’ satisfaction was recorded for both groups at 3 weeks (baseline) and after 1, 3, 5, and 7 years. Patients were then asked to grade their overdentures/dentures on a visual analog scale and written questionnaire to evaluate their overall satisfaction. RESULTS: Satisfaction scores of Group I patients were found to be statistically significantly higher than that of Group II patients (p < 0.05) at 3, 5, and 7 years follow-up, meanwhile, no statistically significant difference was found at baseline or after 12 months. CONCLUSION: The long-term results suggest that three-implant-retained mandibular overdenture with a clip-bar attachment appears to be a successful rehabilitation strategy which is superior to conventional dentures for patients with advanced ridge resorption.

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Microsurgical C-2 ganglionectomy for chronic intractable occipital pain

Journal of Neurosurgery ◽

10.3171/jns.1998.89.3.0359 ◽

1998 ◽

Vol 89 (3) ◽

pp. 359-365 ◽

Cited By ~ 57

Author(s):

Andres M. Lozano ◽

Graham Vanderlinden ◽

Robert Bachoo ◽

Peter Rothbart

Keyword(s):

Axonal Regeneration ◽

Excellent Result ◽

Spontaneous Pain ◽

Content Type ◽

Group I ◽

Experienced Pain ◽

Pain Outcome ◽

Group Ii ◽

Fine Print

Object. The authors evaluated the effectiveness of microsurgical C-2 ganglionectomy in 39 patients with medically refractory chronic occipital pain. In this procedure the neurons transmitting sensory inputs from the occiput are removed and, unlike peripheral nerve ablation, axonal regeneration is not possible. Methods. The patients in this series had symptoms for 1 to 43 years. In 22 patients the occipital pain was caused by trauma; in 17 patients the pain was spontaneous. Pain relief failed in 17 patients who had undergone a previous occipital neurectomy or C-2 rhizolysis. Twenty-three patients experienced pain that was described as shocklike, electric, shooting, jabbing, stabbing, sharp, or exploding (Group I). Eight patients described their pain as dull, pounding, aching, throbbing, or pressurelike (Group II). The patients underwent unilateral or bilateral C-2 open microsurgical ganglionectomies. The postoperative follow-up period ranged from 19 to 48 months. Nineteen patients experienced an excellent result (> 90% reduction in pain). Pain caused by trauma or that described using Group I terms responded best to ganglionectomy (80% good or excellent response). In contrast, the majority of the patients with nontraumatic pain or those described using Group II descriptors did not achieve favorable results. Conclusions. The authors conclude that: 1) patients who suffer from chronic occipital pain after having sustained injury obtain worthwhile benefit from microsurgical C-2 ganglionectomy; 2) patients suffering from migraine, tension, and vascular headaches involving the occipital area are most often not helped by this operation; and 3) terms such as “shock,” “electric,” “shooting,” “jabbing,” and “sharp” used to describe occipital pain predict a favorable pain outcome following a C-2 ganglionectomy.

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