scholarly journals Tamsulosin in the management of distal ureteric calculi

2015 ◽  
Vol 1 (2) ◽  
pp. 19-22 ◽  
Author(s):  
Narayan Thapa ◽  
Bharat Bhandari ◽  
Bhairab Kumar Hamal
Keyword(s):  
Cross Sectional Study ◽  
Urinary Stone ◽  
Ureteral Stones ◽  
Sectional Study ◽  
Cross Sectional ◽  
X Ray ◽  
Group I ◽  
Ureteric Calculi ◽  
The Mean ◽  
Mean Time

Introductions: Ureteral stones account for 20% urinary stone. Two third of ureteral stones are seen in lower third of ureter. Medical expulsive therapy is effective for such stones. This study was designed to observe the efficacy of ‘tamsulosin’ a selective alpha-1 adrenoreceptor antagonist in the management of lower ureteric stone.Methods: A cross sectional study of 70 cases of distal ureteral stones of sizes 5 to 10 mm was taken in the Department of Surgery of Shree Birendra Hospital, Nepalese Army Institute of Health Sciences (NAIHS) from January 2011 to 2013. Patients were randomly divided into tamsulosin and analgesic only groups. Stone expulsion at the end of three weeks was confirmed by X-ray or Ultrasonography.Results: Out of 70 patients, stone clearance rate in tamsulosin group was 28 in 35 cases (80%) and 21 in 35 cases (60%) in group II with analgesic only. The mean time of stone expulsion was 8.3 days in group I and 13.5 days in group II.Conclusions: In this study the use of tamsulosin in treatment of lower ureteral stones less than 10 mm was safe and effective.

scholarly journals Judicial demand of medications through the Federal Justice of the State of Paraná

2017 ◽  
Vol 15 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Renato Mitsunori Nisihara ◽  
Ana Carolina Possebom ◽  
Luiza de Martino Cruvinel Borges ◽  
Ana Claudia Athanasio Shwetz ◽  
Fernanda Francis Benevides Bettes
Keyword(s):  
Cross Sectional Study ◽  
The State ◽  
Brand Name ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Public ◽  
Online System ◽  
Broad Variety ◽  
The Mean ◽  
Mean Time

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted. Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.

scholarly journals Diet and Women Fertility: A Descriptive Cross-sectional Study

2016 ◽  
Vol 7 (3) ◽  
pp. 82-88
Author(s):  
Ruaa E Alabd ◽  
Kefah H Abdulmajeed ◽  
Hayder G Oufi
Keyword(s):  
Cross Sectional Study ◽  
Dietary Factors ◽  
Control Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Infertile Women ◽  
Group I ◽  
The Mean ◽  
Infertile Group

ABSTRACT Aims This work was designed to assess the role of diet and dietary habits on women fertility. Materials and methods This study was carried out in seven different centers and hospitals in Baghdad in the period between January and September 2014. Participants were 400 adult women selected conveniently; their age ranged from 17 to 47 years and they were divided into two groups. Group I included 300 fertile women and group II included 100 infertile women. A specific questionnaire had been designed and used for data collection Results It was found that there was a significant difference in weight and body mass index (BMI) between the infertile group and control group. The mean of weights was 73.07 vs 69.06 kg for infertile and the control group respectively, while the mean BMI was 28.83 vs 26.70 for the infertile group and the control group respectively. Moreover, the infertile women consumed more of carbonated beverages, tea, chicken, and fish than the control group, while they consumed less milk and red meat than the control group. Also, the infertile group consumed less corn oil and olive oil than the control group (5 and 0% vs 21 and 2%) respectively, while they used to consume more solid fat and combined fat than the control group (2 and 6% vs 0 and 2.7%) respectively. Conclusion Although treatment options for infertility are available, their high cost and frequency of adverse events have motivated the identification of dietary factors related to infertility. The current study identified diet as one of the modifiable risk factors that potentially impacts fertility in the selected groups; hence, it is important to focus more on the role of diet in women fertility and increase the awareness of women to it, along with suggesting more educational programs at the primary health care level. How to cite this article Alabd RE, Abdulmajeed KH, Oufi HG. Diet and Women Fertility: A Descriptive Cross-sectional Study. Int J Infertil Fetal Med 2016;7(3):82-88.

scholarly journals Pediatrician's knowledge on the management of the infant who cries excessively in the first months of life

2014 ◽  
Vol 32 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Ana Carolina C. Marcon ◽  
Mário César Vieira ◽  
Mauro Batista de Morais
Keyword(s):  
Diagnostic Tests ◽  
Ph Monitoring ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Brazilian Society ◽  
Esophageal Ph ◽  
Infant Colic ◽  
The Mean ◽  
Mean Time

OBJECTIVE: To evaluate the attitude, the practice and the knowledge of pediatricians regarding the management of the infant who cries excessively in the first months of life.METHODS: Descriptive cross-sectional study that enrolled pediatricians (n=132) randomly interviewed at a Pediatric meeting in Brazil, in August 2012. The data were collected by a self-administered standardized form after reading the hypothetical case of an infant who cried excessively.RESULTS: The majority of the participants were females, the mean age was 39 years and the average mean time working in the specialty was 14 years; 52.2% were Board Certified by the Brazilian Society of Pediatrics. The diagnosis most often considered was gastroesophageal reflux disease (62.9%), followed by infant colic (23.5%) and cow's milk allergy (6.8%). The diagnostic test most frequently mentioned was 24-hour esophageal pH-monitoring (21.9%). The medications most frequently indicated were domperidone (30.3%), the combination of domperidone with ranitidine (12.1%) and paracetamol (6%).CONCLUSIONS: In the approach of the infant who cries excessively, diagnostic tests are frequently requested and unnecessary medical treatment is usually recommended.

THE DIAGNOSTIC VALUE OF CONVENTIONAL TUBERCULOSIS DIAGNOSTIC PROCEDURE COMPARED WITH GENE X-PERT MTB/RIF: A CROSS-SECTIONAL STUDY

2020 ◽  
pp. 138-141
Author(s):  
KETUT SURYANA ◽  
HAMONG SUHARSONO ◽  
IDA BAGUS NGURAH RAI
Keyword(s):  
Sensitivity And Specificity ◽  
Diagnostic Procedure ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
X Ray ◽  
The Social ◽  
Chest X Ray ◽  
The Mean

Objectives: The objectives of the study were to evaluate the diagnostic value of conventional tuberculosis (TB) diagnostic procedure compared with Gene X-pert Mycobacterium tuberculosis/rifampicin (MTB/RIF). Methods: A cross-sectional study conducted from January to December 2018. The accuracy of conventional TB diagnostic procedure: TB screening, chest X-ray, and sputum Ziehl-Neelsen (ZN) staining was compared to Gene X-pert MTB/RIF using 2 × 2 table. p < 0.05 were taken as statistically significant. The collected data were processed using Statistical Package for the Social Science software version 26.0. Results: A total of 117 participants suspected TB was found 44 (37.60%) confirmed TB. Among the suspected TB cases, 86 (73.50%) were male and 31 (26.50%) were female with the mean age of 43.86±16.47 years. The sensitivity and specificity of TB screening (prolonged cough) were 84.00% and 12.00%, respectively. Chest X-ray had the sensitivity and specificity (91.00%) and (10.00%). The sensitivity and specificity of sputum ZN were 57.00% and 99.00%. Conclusions: Conventional TB diagnostic procedure has a high accuracy compared with Gene X-pert MTB/RIF. Therefore, it is still recommended as a TB diagnostic procedure routinely in era of Gene X-pert MTB/RIF, especially in Primary Health Care with limited settings.

Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study

2020 ◽  
Vol 22 (7) ◽  
Author(s):  
Pir-Hossein Kolivand ◽  
Hassanali Faraji Sabokbar ◽  
Peyman Saberian ◽  
Mahdi Bahmanabadi ◽  
Parisa Hasani-Sharamin ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Cross Sectional Study ◽  
Time Of Arrival ◽  
Sectional Study ◽  
Stroke Patients ◽  
The West ◽  
Cross Sectional ◽  
The Mean ◽  
Stroke Center ◽  
Mean Time

Objectives: We intended to map the geographical distribution of patients with acute stroke who called the Tehran EMS center based on the geographic information of the incident location on a map. The distributions of these centers and patients’ access within a standard period were evaluated. Methods: A cross-sectional study based on the registered data was conducted on suspected acute stroke patients > 18 years of age that were transferred by EMS. The analysis was performed based on pointing the patients’ locations and locating the hospitals in ArcGIS software plus a review of the polygons and focal points. Results: Totally, 1,606 patients suspected to stroke with a mean age of 64.89 ± 17.48 years were evaluated, of whom 947 (58.6%) were male. The mean time of arrival of an ambulance in the patient’s location from the EMS station was 11.94 ± 6.67 minutes, and the longest time was 69.32 minutes. The mean time from the patient’s location to the stroke center was 17.79 ± 11.42 minutes (range 2.4 - 83.70 minutes). Stroke centers in Tehran are not distributed in a balanced manner, and they are concentrated on the central and northern parts of Tehran, limiting access to hospital services. Conclusions: The multiplicity of hospitals in the west and center of Tehran led to an increase in access times in eastern Tehran. It emphasizes the necessity of revision of service locating, especially because the east of Tehran has a denser texture than the west.

scholarly journals Results of a PREM to measure the rare disease patients’ caregivers experience: A Spanish cross-sectional study

2020 ◽  
Author(s):  
Mercedes Guilabert Mora ◽  
Alba Martínez-García ◽  
Marina Sala-González ◽  
Olga Solas ◽  
José Joaquín Mira
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Response Rate ◽  
Paediatric Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Optimal Care ◽  
Cross Sectional ◽  
The Mean ◽  
Mean Time

Abstract Objective To measure the experience of the person suffering from a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience).Results A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2-3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services.Conclusions There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

scholarly journals Normative Values for Londrina ADL Protocol in Healthy Individuals in Age Group of 40–60 Years among Indian Population: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Uttanoor Sreedevi ◽  
Gopala Krishna Alaparthi ◽  
Shyam krishnan ◽  
Kalyana Chakravarthy Bairapareddy ◽  
R. Anand ◽  
...  
Keyword(s):  
Indian Population ◽  
Cross Sectional Study ◽  
Normative Values ◽  
Age Group ◽  
Healthy Individuals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reference Equation ◽  
The Mean ◽  
Mean Time

Background. Due to increase in the life expectancy and changes related to aging, it is important to assess ADL (activities of daily living) in older adults. However, there is no standardized protocol available to assess ADLs. Considering the limitations of the available tools, a new protocol named Londrina ADL protocol was developed for which normative values are unavailable in different ethnic groups. Objective. To develop the normative value and reference equation for the Londrina ADL protocol on the basis of anthropometric and demographic variables in healthy individuals in the age group of 40–60 years among the Indian population. Methods. This cross-sectional study was conducted with 282 healthy individuals of both the genders between the age group of 40 and 60 and they were divided into 2 groups: 40–49 and 50–60. Each subject was made to perform the Londrina ADL protocol twice with a 30 min interval between the two protocols. The protocol is composed of 5 activities and the best out of the 2 performances were recorded. Results. The mean time taken among 40–49 years by females is 3.50 ± 0.50 min and by males is 3.73 ± 0.43 min. The mean time taken among 50–60 years by females is 4.25 ± 0.20 min and by males is 4.36 ± 0.18 min. The reference equation to predict reference values for the Londrina ADL protocol was as follows: equation (1): Londrina ADL predicted = 1.205 + (0.054 × age (years)) + (0.001 × height (cm)); equation (2): Londrina ADL predicted = 1.374 + (0.054 × age (years)) + (−0.003 × BMI). Conclusion. The reference equation for the time to complete the Londrina ADL protocol was based on age and BMI as independent variables and can be useful for predicting the performance of healthy individuals.

scholarly journals ANKLE AND MIDFOOT FRACTURES;

2017 ◽  
Vol 24 (11) ◽  
pp. 1680-1684
Author(s):  
Mohammad Shabir ◽  
Shahid Iqbal ◽  
Muhammad Inam ◽  
Arif Shehzad ◽  
Ihsanullah -
Keyword(s):  
Study Design ◽  
Local Population ◽  
Research Work ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
X Ray ◽  
Foot Fracture ◽  
The Mean

Objectives: To determine the diagnostic accuracy of Ottawa rule in ankle andmidfoot fracture keeping x-ray as gold standard. Study Design: Descriptive study. Setting:Department of Orthopedics, Lady Reading Hospital Peshawar. Period: June 2014 to May 2016.Materials and Methods: Through a Cross Sectional Study Design, a total of 175 patientspresenting with suspicion of ankle/mid foot fracture were selected in a consecutive mannerfrom the OPD and subjected to detection of fracture through Ottawa Ankle Rule followed byX-ray to confirm the diagnosis of fracture. Results: The mean age group of patients in ourstudy was 36.1+10.4 years. There were 85.7% males and 14.3% were females. The sensitivityanalysis shows OAR has a sensitivity of 81.2% and specificity 61.9%., positive predictive valueof the OAR is 79.1% and negative predictive value is 65.0% keeping X-ray as a gold standard.Conclusion: The overall sensitivity and specificity of the OAR lies within an acceptable rangein our local population however, we still recommend further research work over it beforerecommendations as a routine screening test for the fracture of ankle or mid foot.

Reference Values for Glittre Activities of the Daily Living Test in Healthy Subjects Among Indian Population- A Cross-Sectional Study

2019 ◽  
Vol 15 (1) ◽  
pp. 16-20
Author(s):  
Falguni Paul ◽  
Gopala Krishna Alaparthi ◽  
Shyam Krishnan ◽  
Anand Ramakrishna ◽  
Vishak Acharya ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Indian Population ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reference Equations ◽  
The Mean ◽  
Mean Time

Background: The Glittre ADL test was done to assess the functional capacity of patients with COPD. 6 MWT was used to check for functional capacity, but there was a limitation of upper limb work or activities other than walking. Objective: To develop reference equations for Glittre ADL test on the basis of anthropometric and demographic variables in healthy individual among Indian population. Methods: This cross-sectional study was conducted with 423 healthy participants of either gender between 20-70 years. Participants were divided into 5 groups based on age. Each participant underwent anthropometric assessment & two glitter ADL tests. Two out of the best performance out of two was considered and the minimum time spend was taken. Results: The mean time spent by males in different age groups was 20-30 years 3.18±0.56, 30-40 years 3.36±0.17, 40-50 years 3.46±0.18, 50-60 years 3.53±0.15, 60-70 years 4.02±0.27.For females in different age groups the mean time was 20-30 years 3.31±0.14, 30-40 years 3.41±0.13, 40-50 years 3.48±0.13, 50-60 years 3.75±0.28, 60-70 years 4.30±0.19. Equation 1 : Glittre ADL-test predicted =3.399+(0.018×age years)+(-0.004×height cm), Equation 2 : Glittre ADL-test predicted =2.805+(-0.002× BMI)+(0.018×age year). Conclusion: The reference equations for the time to complete the Glittre ADL-test were based on age, BMI, height as independent variables and can be useful for predicting the performance of adult individuals.

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

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