FRESH GRADUATE UROLOGIST IN EASTERN INDONESIA: FIRST YEAR SURGERY EXPERIENCE

Objective: In present days, endourology is the hallmark of urology, including in developing countries. This study reviews the surgical experiences of a urology practitioner in the first year of his practice in the underdeveloped province in Indonesia. Material & Methods: This research is a descriptive study that retrieval patients data from the medical record during June 2018 - May 2019. Results: Total of 401 operations were obtained. There were 328 male (81.8%) and 73 female (18.2%) with the average of patients age were 52+17.77 years old. The most common diagnoses were BPH 113 cases (28.2%). bladder stone 83 cases (20.7%), and ureteral stone 52 cases (13%). The most common surgical procedures performed were TURP 120 operations (29.9%), Ureterorenoscopy (URS) 64 operations (16%), and Vesicolithotripsy 58 operations (14.5%). The upper tract procedures were 84 operations (20.9%), mainly URS 64 operations (16%). Whereas the lower procedures were 317 operations (79.1%) mainly TURP 120 operations (29.9%). The complications were bleeding post-TURP 5 cases which require blood clot evacuation (1.2%), bleeding post open nephrolithotomy 1 case which requires blood transfusion (0.2%), and TURP syndrome 1 case (0.2%) with mortality 2 patient (0.4%). All kidney stones were handled by open surgery due to lack of PCNL and ESWL set devices. Conclusion: First year urologist who are interested in serving in such areas may benefit from prioritizing the availability of upper and lower set to performed basic standard care for surgical urology without leaving the hallmark of urology.

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Audit of antenatal screening for syphilis and HIV in migrant and refugee women on the Thai-Myanmar border: a descriptive study

F1000Research ◽

10.12688/f1000research.4190.2 ◽

2015 ◽

Vol 3 ◽

pp. 123 ◽

Cited By ~ 8

Author(s):

Rose McGready ◽

Joy Kang ◽

Isabella Watts ◽

Mary Ellen G Tyrosvoutis ◽

Miriam B. Torchinsky ◽

...

Keyword(s):

Descriptive Study ◽

First Year ◽

Antenatal Screening ◽

Testing Strategies ◽

Syphilis Testing ◽

Increased Risk ◽

Syphilis Screening ◽

Potential Impact ◽

Low Prevalence ◽

Positive Results

Objective: The antenatal prevalence of syphilis and HIV/AIDS in migrants and refugees is poorly documented. The aim of this study was to audit the first year of routine syphilis screening in the same population and reassess the trends in HIV rates.Methods: From August 2012 to July 2013, 3600 pregnant women were screened for HIV (ELISA) and syphilis (VDRL with TPHA confirmation) at clinics along the Thai-Myanmar border.Results: Seroprevalence for HIV 0.47% (95% CI 0.30-0.76) (17/3,599), and syphilis 0.39% (95% CI 0.23-0.65) (14/3,592), were low. Syphilis was significantly lower in refugees (0.07% 95% CI 0.01-0.38) (1/1,469), than in migrants (0.61% 95% CI 0.36-1.04) (13/2,123). The three active (VDRL≥1:8 and TPHA reactive) syphilis cases with VDRL titres of 1:32 were easy to counsel and treat. Women with low VDRL titres (>75% were < 1:8) and TPHA reactive results, in the absence of symptoms and both the woman and her husband having only one sexual partner in their lifetime, and the inability to determine the true cause of the positive results presented ethical difficulties for counsellors.Conclusion: As HIV and syphilis testing becomes available in more and more settings, the potential impact of false positive results should be considered, especially in populations with low prevalence for these diseases. This uncertainty must be considered in order to counsel patients and partners accurately and safely about the results of these tests, without exposing women to increased risk for abuse or abandonment. Our findings highlight the complexities of counselling patients about these tests and the global need for more conclusive syphilis testing strategies.

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Prevalence of oral habits in children

Revista Brasileira de Odontologia ◽

10.18363/rbo.v74n4.p.272 ◽

2017 ◽

Vol 74 (4) ◽

pp. 272

Author(s):

Pedro Diniz Rebouças Rebouças ◽

Levy Sombra de Oliveira ◽

Henrique Matos Costa Lima ◽

Lorena Walesca Macedo Rodrigues ◽

Regina Glaucia Lucena Aguiar Ferreira

Keyword(s):

Descriptive Study ◽

First Year ◽

Age Group ◽

Absolute Frequency ◽

Chi Square ◽

Oral Habits ◽

Chi Square Test ◽

Quantitative Descriptive ◽

Epidemiological Profile ◽

Structured Questionnaire

Objective: this quantitative descriptive study aimed to evaluate the presence of deleterious oral habits and associated factors in children attending the Amadeu Barros Leal day care in Fortaleza, CE, Brazil. Material and Methods: the sample consisted of 75 children (51% of girls) aged 0 to 5 years. Data were collected through the application of a structured questionnaire to the parents or guardians and analyzed statistically with Fisher’s exact or Chi-square test, considering a 95% confidence interval. The results were expressed as absolute frequency and percentage. Results: 89% of the children participating in the study were breastfed, and 43.5% of them were breastfed at least until the first year of age. As much as 19% of the children slept with their mouths open and 39% used a pacifier, 56.7% of which used it constantly during the day and at night. About 91% of children used a feeding bottle, and most of bottles (79%) did not have an orthodontic nipple. In addition, 60% of children aged 24-36 months had the deleterious habit of grinding their teeth. Conclusion: in the present study, we investigated children from 0 to 5 years old and observed that this age group is predisposed to deleterious oral habits. In this way, more studies that trace a safe epidemiological profile aiming to reduce these harmful habits are extremely necessary.

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LAPAROSCOPY;

The Professional Medical Journal ◽

10.29309/tpmj/2012.19.01.1938 ◽

2012 ◽

Vol 19 (01) ◽

pp. 033-039

Author(s):

NAZIA MUSSARAT ◽

SIAMA QURESHI ◽

AWAIS SHUJA ◽

Mehnaaz Roohi

Keyword(s):

Abdominal Pain ◽

Gold Standard ◽

Open Surgery ◽

Diagnostic Laparoscopy ◽

Data Entry ◽

Lower Abdominal Pain ◽

Descriptive Study ◽

Lower Abdomen ◽

Patient Case ◽

Polycystic Ovarian Disease

Introduction: Diagnostic Laparoscopy is considered to be the gold standard for the evaluation of the pelvis and is considered asafe procedure. Diagnostic Laparoscopy is a technique in the routine investigation and treatment of infertility as well as other gynecologicalproblems. Objectives: To determine, Laparoscopic findings in different gynecological conditions, different causes of infertility andcomplications of laparoscopy Design: Retrospective, descriptive study. Material And Methods: We reviewed case records of all patients whounderwent laparoscopy for their different Gynecological problems. Data were collected from patient case records in a data entry sheet Results:In our study a total of Thirty patients under went laparoscopy for investigation of different gynecological problems. There were 17 patients whohave primary infertility and 6 have secondary infertility while 7 presented with Lower abdominal pain. In our study the leading cause of primaryinfertility was Polycystic Ovarian Disease(29%).Other causes were bilateral tubal blockade (23.53 %) ,17% has PID and fibroid uteri, While onepatients shown Endometriosis as well as one patient had no obvious pathology.(5.88 %).On laparoscopic examination of secondaryinfertility 50% shown Tubal blocked while 16.67 shown Fibroid uterus and PID.One patient had normal pelvic findings(16.67). Regardingpatients presented with pain lower abdomen 57.15% has ovarian cyst,28.58% has Ectopic pregnancy while one case(14.29%) had hetrotropicpregnancy. In 24 patients had no complication and recovery was smooth. laparoscopy had to be converted into Laparotomy due to significanthemorrhage in two patient and wound infection was observed in two patients. One patient presented with post operative fever and onepresented with abdominal pain. Conclusions: Laparoscopy is a valuable diagnostic tool for females in different gynecological problems. Thebenefit of the laparoscopy to open surgery include less pain, less scarring, less disability and quicker recovery.

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Diaries of Nursing Students during the COVID-19 Pandemic: A Qualitative Descriptive Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168556 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8556

Author(s):

Serpil Türkleş ◽

Münevver Boğahan ◽

Hilal Altundal ◽

Zeliha Yaman ◽

Mualla Yılmaz

Keyword(s):

Nursing Students ◽

Student Nurses ◽

Descriptive Study ◽

First Year ◽

Coping Methods ◽

The Face ◽

Qualitative Descriptive ◽

Negative Coping ◽

Fear And Anxiety ◽

In The Beginning

Little is known about the experiences of nursing students during the pandemic process. This research was conducted to determine the feelings, thoughts, and experiences of nursing students during the COVID-19 pandemic process. This qualitative study was conducted with 47 first-year nursing students of a faculty that experienced the COVID-19 pandemic between 3–30 April 2020. Student nurses stated that they felt fear and anxiety; they liked this situation in the beginning due to the constraints during the pandemic process, but due to the prolongation of this process, they experienced boredom due to monotonous extraordinary days of doing the same things every day and realized that every moment before the pandemic was very valuable. In addition, the students stated that rich and poor are equal in the face of the virus and that all humanity has learned solidarity by leaving wars, fights, and superiority efforts. In this process, it was found that nursing students have negative coping methods, such as not being able to manage time well due to constraints at home and spending too much time on the phone, internet, and computer. In this context, empowering nursing students to cope with challenging emotions and thoughts starting from their educational life will contribute to the development of both students and the profession.

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Transperitoneal Laparoscopic Ureterolithotomy for Large Distal Ureteric Stone: The first Experience in Hasan Sadikin Hospital, Bandung

Jurnal llmu Bedah Indonesia ◽

10.46800/jibi-ikabi.v43i1.76 ◽

2014 ◽

Vol 43 (1) ◽

pp. 61-64

Author(s):

Bacilius Agung Priyosantoso ◽

Sawkar Vijay Pramod

Keyword(s):

Endoscopic Treatment ◽

Open Surgery ◽

Ureteral Stone ◽

Anatomical Landmarks ◽

Ureteric Stone ◽

Transperitoneal Approach ◽

Distal Ureter ◽

Distal Ureteral Stone ◽

Prior Surgery ◽

Duration Of Operation

Background. Laparoscopic ureterolithotomy has become an alternative to open surgery for removing large stones that is not amenable to endoscopic treatment. In most of the published literature, laparoscopic ap- proach for lower ureteric stone is described to be less successful than middle and upper ureter. Identifica- tion in anatomical landmarks and exposing the distal ureter has been the major boundaries in establishing laparoscopic distal ureteral stone. We hope to provide clarity and feasibility that may increase our knowledge in laparoscopic ureterolithotomy for large distal ureteral stone. Aim. The obbjective is to share our experience in laparoscopic ureterolithotomy for large distal ureteric stone with transperitoneal approach Methods. A 37 years old male has been diagnosed with a right hydronephrosis due to proximal ureterolithiasis and stone at left calyx inferior, first and stone migrated to right distal ureter on 12 hours prior surgery. He underwent laparoscopic ureterolithotomy with transperitoneal approach. Results. We successfully perform laparoscopic ureterolithotomy with transperitoneal approach on a 37 y.o male patient who diagnosed with a a right hydronephrosis due to distal ureterolithiasis and stone at left calyx inferior. Duration of operation was 45 minutes. Patient was discharged at 2nd postoperative day without any complications. Conclusion. A Transperitoneal laparoscopic ureterolithotomy for distal ureteric stone is a safe and feasible technique that should be an options on every patients who plan to undergo distal ureterolithotomy especially large stone

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Open stone surgery for kidney stones

10.1093/med/9780199659579.003.0023 ◽

2017 ◽

Author(s):

Gastón M. Astroza ◽

Ghalib Jibara ◽

Michael E. Lipkin ◽

Glenn M. Preminger

Keyword(s):

Shock Wave ◽

Minimally Invasive ◽

Kidney Stones ◽

Open Surgery ◽

Ureteropelvic Junction Obstruction ◽

Minimally Invasive Therapy ◽

Ureteropelvic Junction ◽

Open Approach ◽

Invasive Therapy ◽

Wave Technology

The open approach for stone surgery is currently used infrequently in patients undergoing stone removal. Currently an associated anatomic abnormality, a failure of or a contraindication to minimally invasive therapy, or a large and complex stone are the infrequent indications for open surgery. For these indications, laparoscopic or robotic approaches have almost completely replaced open procedures in the hands of skilled laparoscopic surgeons. Pyelolithotomy was supplanted almost 20 years ago by the advent of percutaneous and shock wave technology. Currently, the only indications for this procedure are a failure of or contraindication to other techniques, or the presence of an associated abnormality such as ureteropelvic junction obstruction, which could then be managed simultaneously.

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A simple and effective method for bladder blood clot evacuation using hydrogen peroxide

Journal of International Medical Research ◽

10.1177/0300060520924546 ◽

2020 ◽

Vol 48 (5) ◽

pp. 030006052092454

Author(s):

Ming Xu ◽

Lu Jin ◽

Yuxi Shan ◽

Jin Zhu ◽

Boxin Xue

Keyword(s):

Hydrogen Peroxide ◽

Urinary Retention ◽

Blood Clot ◽

Foley Catheter ◽

Large Diameter ◽

Emergency Evacuation ◽

Hydrogen Peroxide Solution ◽

Bladder Irrigation ◽

Blood Clots ◽

Clot Evacuation

Objective Urinary retention caused by bladder clots can be frustrating because such blood clots are difficult to remove. We established a novel technique in which hydrogen peroxide is applied to evacuate bladder clots. Methods In this single-center retrospective study, we evaluated 31 patients with retention of blood clots in the bladder who underwent emergency evacuation using hydrogen peroxide. Results The patients comprised 17 men and 14 women with mean age of 61.2 years (range, 42–82 years). Hydrogen peroxide solution and a 20-Fr three-cavity Foley catheter with large-diameter side holes were used for manual bladder irrigation in all patients. The bladder blood clots were successfully removed in 27 patients. The remaining four patients could not tolerate the symptoms of urinary retention and had to resort to surgery. Conclusion Hydrogen peroxide solution for manual bladder irrigation can improve the efficiency of bladder blood clot evacuation. This is a simple and effective option for managing bladder clot retention.

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Prejudiced Attitudes of Nursing Students in Southern Spain Toward Migrant Patients

Journal of Transcultural Nursing ◽

10.1177/1043659620976803 ◽

2020 ◽

pp. 104365962097680

Author(s):

Inmaculada Alemany-Arrebola ◽

Fernando J. Plaza del Pino ◽

María A. Sánchez-Ojeda

Keyword(s):

Health Care ◽

Nursing Education ◽

Nursing Students ◽

Descriptive Study ◽

Public Health Care ◽

First Year ◽

Migrant Population ◽

Culturally Congruent ◽

Ex Post ◽

Ex Post Facto

Introduction The increase in the migrant population in Spain has transformed the cultural profile of public health care users. The purpose of this study is to recognize the subtle and blatant prejudices nursing students have toward migrant patients. Method An ex post facto descriptive study, using a transversal design ( N = 1,393). Results Males showed a higher degree of prejudice ( p < .05). Students in their first year have more subtle prejudices than those in their fourth year ( p < .005). Blatant prejudice increases from the first year to the fourth year of the degree program ( p < .05). Regarding context, there were differences found between subtle and blatant prejudice (both, p < .05), as students in areas with high migratory pressure showed more prejudiced attitudes toward migrant patients. Discussion Students display subtle prejudices, which is why education in culturally congruent health care must be integrated across all levels of nursing education, with the objective of diminishing prejudice against the migrant population.

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Saxifraga ligulata sebagai Alternatif Pengobatan Batu Ginjal

10.31227/osf.io/rzwk7 ◽

2019 ◽

Author(s):

Stefany Marcellia

Keyword(s):

Clinical Trials ◽

Uric Acid ◽

Side Effects ◽

Kidney Stones ◽

Open Surgery ◽

Potassium Oxalate ◽

Complex Process ◽

Other Substances

Kidney stones are a condition where there are stones or crystals in urinary tract (ureter, bladder, kidneys). It’s because of the results of a complex process from several photochemical processes. This situation occurs, because of the accumulation of compounds such as calcium, uric acid, potassium oxalate, or other substances in the form of crystals. Urine that contains these substances will be difficult to filter by the kidneys, which will then settle and potentially become kidney stones. Medications and treatments that have been applied for kidney stones so far such as ESWL, PNL, open surgery and chemical drugs. These treatments need a lot of money and also have side effects. Continuous consumption of chemical drugs can cause other complications and using shock waves will cause damage to the kidneys. Data from in vitro, in vivo, and clinical trials reveal that the use of herbs such as Saxifraga ligulata as an alternative treatment can be useful and have smaller side effects.

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Analysis of Thrombotic Adverse Reactions of COVID-19 AstraZeneca Vaccine reported to EudraVigilance database

10.1101/2021.03.19.21253980 ◽

2021 ◽

Author(s):

Mansour Tobaiqy ◽

Hajer Elkout ◽

Katie MacLure

Keyword(s):

Adverse Reactions ◽

Blood Clot ◽

Descriptive Study ◽

World Health ◽

European Medicines Agency ◽

Research Groups ◽

Spontaneous Reports ◽

Pharmacovigilance Risk Assessment Committee ◽

Assessment Committee ◽

Health Organization

The development of safe, effective, affordable vaccines against COVID-19 remains the cornerstone to mitigating this pandemic. Early December 2020, multiple research groups had designed potential vaccines. From 11 March 2021, several European countries temporarily suspended the use of the Oxford-AstraZeneca vaccine amid reports of blood clot events and death of a vaccinated person, despite the European Medicines Agency and the World Health Organization assurance that there was no indication that vaccination was linked. This study aimed to identify and analyse the thrombotic adverse reactions associated with Oxford-AstraZeneca vaccine. This was a retrospective descriptive study using spontaneous reports submitted to the EudraVigilance database in the period from 17 February to 12 March 2021. There were 54,571 adverse reaction reports of which 28 were associated with thrombotic adverse reactions. Three fatalities were related to Pulmonary Embolism and 1 fatality to Thrombosis. With 17 million people having had the AstraZeneca vaccine, these are extremely rare events. The EMA Pharmacovigilance Risk Assessment Committee (18 March 2021) concluded that the vaccine was safe, effective and the benefits outweighed the risks. Conducting further analyses based on more detailed thrombotic adverse event reports, including patients characteristics and comorbidities, may enable assessment of the causality with higher specificity.

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