Clearance of Renal Stone in PCNL Under Spinal Anaesthesia

Objective: To evaluate the Outcome of PCNL under spinal Anaesthesia. Material and Method: A total of 74 patients with renal stone disease were treated by PCNL under spinal anasthesia. Total study period was from January 2013 to October 2019. Pre operative and post operative variables and complications were recorded. Result: Age range from 25 years to 65 years, mean 41.37 ± 33 yrs. Male female ratio was 6.4:1 stone size ranges from 15mm to 40mm, majority was 21.33mm. Mean operative time was 69±4.2 min. Total stone clearance was 15.60%. Only 10.82% patients were suffering from grade I complications and mean hospital stay was 3.1±0.6 days. Conclusion: Percutaneous nephrolithotomy is effective and safe under spinal anesthesia with shorter hospital stay and minimal complication. Bangladesh Journal of Urology, Vol. 23, No. 2, July 2020 p.154-157

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Clinicopathological features of pilomatricoma cases: Analysis of 21 cases

Journal of Pathology of Nepal ◽

10.3126/jpn.v4i7.10293 ◽

2014 ◽

Vol 4 (7) ◽

pp. 530-533

Author(s):

D Ghartimagar ◽

A Ghosh ◽

K Gautam ◽

S Thapa ◽

SR Shrestha ◽

...

Keyword(s):

Hair Follicle ◽

Needle Aspiration ◽

Common Finding ◽

Clinical Impression ◽

Aspiration Cytology ◽

Female Ratio ◽

Male Female Ratio ◽

Needle Aspiration Cytology ◽

Age Range ◽

Slow Growing

Background: Pilomatricoma is a slow-growing, asymptomatic tumour originating from outer sheath cells of hair follicle. In this study, we describe the clinical presentation and histopathological features of pilomatricoma. Materials and Methods: This was a hospital based retrospective study carried out in all patients who were diagnosed as pilomatricoma over a period of January 2001 to December 2013. The study was done in department of pathology, Manipal Teaching Hospital, Nepal. Results: A total of 21 cases of pilomatricoma were reported with age range of 9-53 years (mean age 23.7) and male female ratio of 1:1.1. The most common site of occurrence was neck and preauricular region. The size of the tumour ranged from 0.3 to 4.7cm with a mean of 1.2cm. Multiple occurrences were seen in 3 patients and ossifying pilomarticoma was seen in 4 cases. Conclusion: Pilomatricoma is a benign skin neoplasm of hair follicle matrix cells. Calcification is a common finding while dystrophic ossification also can occur in the tumour. Histopathology gives the definite diagnosis as fine needle aspiration cytology and clinical impression may be misleading. DOI: http://dx.doi.org/10.3126/jpn.v4i7.10293 Journal of Pathology of Nepal (2014) Vol. 4, 530-533

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Multiple Fatal Intoxications Caused by Improper Consumption of an Alcoholic Para-Pharmaceutical Product

Revista de Chimie ◽

10.37358/rc.19.7.7363 ◽

2019 ◽

Vol 70 (7) ◽

pp. 2471-2476

Author(s):

Camelia Liana Buhas ◽

Bogdan Adrian Buhas ◽

Lucia Georgeta Daina ◽

Bianca Hanganu ◽

Irina Smaranda Manoilescu ◽

...

Keyword(s):

Pharmaceutical Products ◽

Pharmaceutical Product ◽

Chronic Ethanol ◽

Deep Coma ◽

Female Ratio ◽

Examination Result ◽

Chronic Ethanol Consumption ◽

Male Female Ratio ◽

Severe Intoxication ◽

Age Range

Ingestion of cheap para-pharmaceuticals (such as disinfectants, deodorizing solutions, etc.) which are designed only for external use is an unfortunate habit encountered in the recent decades in the economically disadvantaged areas of Romania inhabited by poor, uninformed, and sanitary uneducated population. These para-pharmaceutical products are based on different concentrations of ethanol. Occasionally, the manufacturer modifies the product formula, or worse omits on the label that the ethanol was replaced with methanol, resulting in mass poisoning with a large number of casualties. The authors present a case of mass poisoning by methanol that occurred during one month and resulted in 40 cases of methanol intoxication. Only 5 out of the 40 victims survived the intoxication. All the dead victims underwent medico-legal autopsy which revealed only general features, liable to poisoning. The toxicological examination result was positive for methanol in all the cases. All the intoxicated victims were homeless; they were heavy ethanol consumers, especially of the product rubbing alcohol. The male: female ratio was 31:4 and the age range was between 25 and 70 years old, with an average of 50 years. All the victims were hospitalized in deep coma, showing obvious pathological changes specific to chronic ethanol consumption. Conclusions: some alcoholic para-pharmaceutical products manufactured for external use are ingested by chronic ethanol drinkers. When these products contain methanol, they can cause severe intoxication followed by an impressively large number of deaths.

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Glissonean pedicle approach using Takasaki method in liver resection at Hue Central Hospital

Journal of Clinical Medicine- Hue Central Hospital ◽

10.38103/jcmhch.2019.54.2 ◽

2019 ◽

pp. 8-11

Author(s):

Van Linh Ho

Keyword(s):

Operative Time ◽

Hepatic Duct ◽

Postoperative Mortality ◽

Descriptive Study ◽

Common Hepatic Duct ◽

Effective Technique ◽

Female Ratio ◽

Male Female Ratio ◽

Glissonean Pedicle ◽

The Mean

Objective: To apply hepatectomy using Takasaki procedure to control Glissonean pedicle. Methods: A prospective, descriptive study on 31 patients undergoing hepatectomy using Takasaki Glissonean pedicle approach. Results: The mean age was 55 ± 11.7 (39 – 73 years), male/female ratio was 7.3. The mean operative time was 115 ± 37 minutes. The mean blood loss was 271 ± 119 ml. There was one case of common hepatic duct injury (3.6%). Postoperative complications occurred in 7(22.4%) patients. There was no postoperative mortality. Conclusions: Hepatectomy using Takasaki Glissonean pedicle approach was safe and effective technique. Keywords: Glissonean pedicle approach, hepatectomy

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Early Outcome of Laparoscopic Abdominoperineal Resection, Our Experience in Bangabandhu Sheikh Mujib Medical University

Faridpur Medical College Journal ◽

10.3329/fmcj.v8i2.20281 ◽

2014 ◽

Vol 8 (2) ◽

pp. 53-55

Author(s):

Mohammed Tanvir Jalal ◽

Shahadot Hossain Sheikh ◽

Md Rayhanur Rahman ◽

Mesbah Uddin Noman ◽

Jesmin Akhter Leena ◽

...

Keyword(s):

Abdominoperineal Resection ◽

Operative Procedure ◽

Operation Time ◽

Postoperative Outcomes ◽

Female Ratio ◽

Early Outcome ◽

Male Female Ratio ◽

Laparoscopic Abdominoperineal Resection ◽

Medical University ◽

Age Range

Anorectal malignancies that require abdominoperineal resection (APR) is very common. Laparoscopic APR can be a better option. Laparoscopic APR has been seldom studied. This study aims to evaluate perioperative and early postoperative outcomes of laparoscopic APRs performed for the treatment of ano-rectal carcinomas. Patients operated for ano-rectal carcinoma between June 2011 to June 2013 in Bangabandhu Sheikh Mujib Medical University (BSMMU) were observed. Demographics, tumor and procedure-related parameters, perioperative results, early postoperative outcomes and survival were observed. Total 22 patients were under went laparoscopic APR. Male: Female ratio was 15:7 (68.18%: 31.82%). Age range was from 30-65 years with a mean age of 36.55 years. Mean operation time was 165 minutes and mean post-operative hospital stay was 6.8 days. Overall complication rate was 45.45%. Laparoscopic APR is a safe, effective and technically feasible procedure. It can be a better operative procedure than open APR. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20281 Faridpur Med. Coll. J. 2013;8(2): 53-55

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Outcomes of Retrograde Intra-Renal Surgery

Nepalese Medical Journal ◽

10.3126/nmj.v2i2.26478 ◽

2019 ◽

Vol 2 (2) ◽

pp. 220-223 ◽

Cited By ~ 1

Author(s):

Samir Shrestha ◽

Pukar Maskey

Keyword(s):

Postoperative Pain ◽

Hospital Stay ◽

Renal Stone ◽

Operative Time ◽

Renal Calculi ◽

Renal Surgery ◽

Surgical Morbidity ◽

Retrograde Intrarenal Surgery ◽

Stone Clearance ◽

The Mean

Introduction: Miniaturization of endoscopic instruments has gained wide popularity in the treatment of renal calculi. Retrograde intra-renal surgery and holmium laser in combination has already proven its superiority when compared to other modalities in the treatment of renal calculi. This study was conducted to assess the outcome of retrograde intra-renal surgery in renal stone disease.Materials and Methods: This retrospective study analyzed the outcome of retrograde intra-renal surgery in renal stone less than 2 cm size in the adults above 18 years of age from September 2018 to August 2019 at Patan Hospital, Nepal. The outcome was assessed descriptively on postoperative pain and fever, stone localization, stone size, stone clearance, urosepsis, operative time, hospital stay, mortality, need of the second procedure.Results: A total of 62 patients underwent retrograde intrarenal surgery, out of which 48 cases were included. The mean age of the study population was 32.4± 14 years (19-68 years). Similarly, the mean operative time was 68± 12 (48-124 minutes) and mean hospital-stay was 3.2± 1.1 days. Postoperative pain and fever were observed in 14 (29.16%) & 4(8.33%) patients respectively. Hematuria occurred in 6(12.50%) and urosepsis in 2(4.16%) of the patients. Complete stone clearance was achieved in 34(70.83%) and residual stones were present in 8(16.66%) and clinically insignificant radiological fragments were present in 6(12.50%) patients.Conclusions: Retrograde intrarenal surgery is a technically safe and effective procedure for the treatment of renal calculi, with minimal post-surgical morbidity.

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Cognitive Style of Humanities, Commerce and Science Students – A Study on Higher Secondary Students from West Bengal

International Journal of Indian Psychology ◽

10.25215/0302.136 ◽

2016 ◽

Vol 3 (2) ◽

Author(s):

Sukrita Mukherjee ◽

Dr. Ishita Chatterjee

Keyword(s):

Cognitive Style ◽

Secondary Students ◽

Economic Status ◽

Science Students ◽

School Students ◽

Female Ratio ◽

Male Female Ratio ◽

Educational Guidance ◽

And Gender ◽

Age Range

Cognitive style or thinking style is a term used in cognitive psychology to describe the way individuals think, perceive and remember information. The present study aims to understand the cognitive style adapted by higher secondary students. The study sample consists of 90 higher secondary school students (30 each from science, humanities and commerce background). The male female ratio was 50:50. The age range was from 16-18 years. They were all from middle socio-economic status. They were administered an adapted version of cognitive style questionnaire by Ancona, Kochan, Scully, Van maanen and Westney. The results indicate for the dimension of Sensing there was significant effect of stream of study and gender. For the Intuition dimension again there was a significant effect of stream and gender. For Perceiving dimension also there was a significant effect of stream and gender. Sensing was highest for the science stream and lowest for the Humanities. Again Intuition was highest for the Humanities stream and lowest for the Science stream. The males have always scored highest in the dimension of Perceiving than their female counterparts both in Humanities and Science stream. And the female irrespective of the stream of study has scored higher in the Intuitive dimension. The present study is helpful in the field of designing educational guidance and curriculum for the Higher Secondary Students.

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URINARY STONE COMPOSITION ANALYSIS IN INDONESIAN POPULATION: A SINGLE MAJOR CENTRE ANALYSIS

Indonesian Journal of Urology ◽

10.32421/juri.v25i2.406 ◽

2018 ◽

Vol 25 (2) ◽

Author(s):

Her Bayu Widyasmara ◽

Ponco Birowo ◽

Nur Rasyid

Keyword(s):

Calcium Oxalate ◽

Urinary Stone ◽

Stone Disease ◽

Composition Analysis ◽

Stone Composition ◽

Female Ratio ◽

Urinary Stone Disease ◽

Indonesian Population ◽

Male Female Ratio ◽

Stone Type

Objective: To evaluate the urinary stone composition of Indonesian population. Material & Methods: This is a retrospective study analyzing total 277 urinary stone, obtained from urinary stone patient that underwent treatment in Cipto Mangunkusumo Hospital Jakarta in period 2000-2013. Results: Urinary stone disease is more common in male, with male : female ratio 1.8 : 1, with both in male and female patient, the incidence are highest at 51-60 years old. Calcium containing stone is predominant in this study with calcium oxalate as the most frequent stone with 61% overall, 43.7% in male and 17.3% in female and founded most frequent in 51-60 years old. Uric acid become the second most common stone after calcium containing stone with 9.0% overall, 6.5% in male and 2.5% in female. Infection associated stone such as struvite is 5.8% and Amonium urate 0.7%. In our study, struvite is founded more in male 3.6% than in female 2.2%. Cystine is a rare stone which is only founded 0.7%, in young age at 21-30 years old. Conclusion: Calcium oxalate is the most frequently stone type in our country as it is worldwide. This study revealed information of stone composition in Indonesian population, that could be beneficial for strategies and management to prevent urinary stone disease and recurrence.

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Prevalence of Lymphoma Cancer in Punjab, Pakistan

International Journal of Applied Sciences and Biotechnology ◽

10.3126/ijasbt.v3i2.12756 ◽

2015 ◽

Vol 3 (2) ◽

pp. 342-346

Author(s):

Muhammad Zohaib Nawaz ◽

Muhammad Bilal ◽

Muhammad Aamer Mehmood ◽

Muhammad Asgher

Keyword(s):

Health Program ◽

Cancer Type ◽

Future Health ◽

Female Ratio ◽

Low Socioeconomic ◽

Leading Role ◽

High Magnitude ◽

Male Female Ratio ◽

Age Range ◽

Registry Record

Pakistan has a high magnitude of cancer from its independence. The burden of lymphoma cancer continues to increase in Pakistan. The low socioeconomic districts of Punjab such as those in Faisalabad most severely affected by lymphoma. The objective of this study was to analyze the lymphoma cancer registry record of patients from the districts in Faisalabad in order to achieve a net lymphoma incidence for use in raising future health program against cancer. The medical records of 110 patients registered at the Punjab Institute of Nuclear Medicine in Faisalabad were investigated. Information regarding age, gender, socioeconomic status, affected sites and cancer type were obtained. Among 110 cases of lymphoma cancer, the male: female ratio was 3:1, with an age range of 5-85 years. Of the 110 patients, 74% were male and 26% were female. Similar to the subtype distribution of lymphoma in the different areas of Faisalabad and its surroundings, Non-Hodgkin’s lymphoma (NHL) was more frequent, 74 cases (67%) than Hodgkin’s disease (HD), 36 cases (33%).The leading cancers were breast 36% (n=248), lymphoma 16% (n=110), and prostate cancer 10% (n=68). The growing burden of cancer especially lymphoma in Faisalabad is extremely alarming. Since the current work was an initial investigation, it could play a leading role in prevention and future planning regarding the battle against lymphoma in Pakistan.Int J Appl Sci Biotechnol, Vol 3(2): 342-346 DOI: http://dx.doi.org/10.3126/ijasbt.v3i2.12756

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Cystic Echinococcosis of the Bone in Kazakhstan

Case Reports in Infectious Diseases ◽

10.1155/2018/9682508 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Tommaso Manciulli ◽

Aigerim Mustapayeva ◽

Konrad Juszkiewicz ◽

Ekaterina Sokolenko ◽

Zhaksylik Maulenov ◽

...

Keyword(s):

Hospital Stay ◽

Cystic Echinococcosis ◽

Malignant Tumors ◽

Long Bones ◽

Female Ratio ◽

X Ray ◽

Male Female Ratio ◽

The Mean

Cystic echinococcosis (CE) is a parasitic zoonosis caused by E. granulosus primarily affecting the liver and lungs. CE of the bone is by far the most debilitating form of the disease and is very difficult to manage as it mimics malignant tumors. We reviewed bone CE cases admitted to a reference oncological hospital in Kazakhstan from January 2010 to February 2017. Among eight patients, the mean age was 33.5 years, and the male/female ratio was 1 : 3. Patients were examined by X-ray (8/8), CT (7/8), and MRI (3/8). CE was in the spine (2 cases), pelvis (3 cases), and long bones (humerus, tibia, and femur; one case for each). All patients were treated surgically. No perioperative albendazole was administered. No patient received albendazole afterwards. The mean hospital stay was 25 days. Interventions are urgently needed to assess the burden of CE in Kazakhstan and to inform clinicians of the existence of the disease.

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Demographic Analysis Of 90 Polycythemia Vera Egyptian Cases : An Egyptian Reference Center Experience

Blood ◽

10.1182/blood.v122.21.5245.5245 ◽

2013 ◽

Vol 122 (21) ◽

pp. 5245-5245

Author(s):

Mervat Mattar ◽

Nihad Tawfik ◽

Noha Elhosseiny ◽

Mohamed Morad

Keyword(s):

Hepatitis C Virus ◽

Hepatitis C ◽

Polycythemia Vera ◽

Gastrointestinal Symptoms ◽

Female Ratio ◽

Reference Center ◽

Vein Thrombosis ◽

Male Female Ratio ◽

Lost To Follow Up ◽

Age Range

Abstract Objective We report 90 cases of Polycythemia Vera ( PV )during the period between 2003 and 2013 followed up in an adult Cairo hematology reference center Results Among 90 PV cases registered between 2003 and 2013, sixty eight cases (75.6%) of whompresented in the last three years alone. The age range was between 19 and 72 years with a mean of 53.5 years and 25 cases ( 27.78%) presented in the age group between 50-55 years. Male : female ratio was 1.3:1.Fifty per cent of patients were urban while 50% lived in the country. Symptoms included headache (24 cases) (26.67%), tinnitus (7 cases) (7.78%), fatigue (14 cases) (15.56%), weight loss (5 cases)(5.56%), fever and sweating( 7 cases)( 7.78%) , bone or joint pains (22 cases)(24.44%), parasthesias (13 cases)(14.44%), pruritis(7 cases) (7.78%) or abdominal discomfort (16 cases)(17.78% (Fig 1) Figure (1) : Incidence Of Symptoms Among 90 Egyptian PV Cases Severity of symptoms was assessed by a simple score of zero (none), +1 (mild),+ 2 (moderate) and +3 (severe) (table1) Nine cases (10%) presented by venous thrombosis , 4 of whom had portal vein thrombosis (4.44%) Cerebro-vascular strokes were noted in 5 cases (5.56%) and acute myocardial infarction in 2 cases (2.22%). Splenomegaly was noted in 29 cases (32.22%) of cases and hepatomegaly in 13 cases (14.44%). Associated conditions included hypertension in 24 cases (26.67%), gastrointestinal symptoms in 16 cases(17.78%) Diabetes mellitus in 15 cases (16.67%),Hepatitis C virus infection in 6 cases ( 6.67%), Hepatitis B in 2 cases ( 2.26%), coronory heart disease in 5 cases (5 .56%) and renal problems in 3 cases ( 3.33%). Bleeding episodes included 6 (6.67%) GI and 3(3.33%) gum bleeds. Familial MPN, Cancer prostate, intestinal Schistosomiasis and post-liver transplant done post- hepatitis C virus cirrhosis were reported in one case each. Twenty two cases(24.44%) were controlled on Hydroxyuria only,16 cases 17.78%) on venesection plus hydroxyuria,16 cases(17.78%) on venesection only. Progression was noted in 13 cases (14.44%) with marrow fibrosis in five cases (5.56%) and 14 cases (15.56%) were lost to follow-up. Mortality was seen in 10% (nine cases). Conclusion PV among Egyptians may have distinct presentations regarding incidence, age and presentation.Simpler methods of symptom severity assessments may be more suitable for Egyptian patients. Disclosures: Mattar: Novartis, BMS, Amgen: Honoraria.

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