Maternal hydronephrosis in pregnant women without ureteral stones and characteristics of symptomatic cases who need treatment: A single-center prospective study with 1026 pregnant women

Purpose: The aim of this study is to determine the proportion of maternal hydronephrosis and symptomatic cases requiring treatment in pregnant women without ureteral stones and the characteristics of these cases. Materials and methods: Between February 2018 and April 2019, all pregnant women followed for pregnancy in obstetrics and outpatient policlinic were evaluated prospectively. Maternal hydronephrosis rate, degree of hydronephrosis and side, symptomatic hydronephrosis rate, maximum renal anteroposterior diameter of renal pelvis and visual analogue scale were detected. Symptomatic patients were treated conservatively or surgically. Findings in both treatment groups were analyzed by t-test or Chi-squared test. Pearson or Spermean’s tests were used for correlation analyzes. Results: A total of 1026 pregnant women aged 18-45 (27.7 ± 5.2 years) were followed prospectively. The rate of maternal hydronephrosis was 28.7% and the rate of symptomatic hydronephrosis was 4.7%. Of the patients with symptomatic hydronephrosis, 73.4% (3.5% of total) were treated conservatively and 26.5% (1.3% of total) were treated surgically. There was a positive correlation between hydronephrosis and gestational week (p < 0.001), visual analogue scale (p < 0.001) and hematuria (p < 0.05). There was a negative correlation between hydronephrosis and maternal age (p < 0.05) and number of pregnancies (p < 0,001). The anteroposterior diameter of renal pelvis (p < 0.001), visual analogue scale (p < 0.05) and fetal body weight values (p < 0.05) on the right side were higher in the surgical treatment group than the conservative group. Conclusions: The majority of cases with maternal hydronephrosis in pregnant women without ureteral stones are asymptomatic. Most symptomatic cases can also be treated conservatively. In cases requiring surgical treatment (1.3%), fetal body weight, visual analogue scale and anteroposterior renal pelvis diameter are higher.

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Prophylaxis of obstetric and perinatal pathology at women with pathological increase of body weight during pregnancy

HEALTH OF WOMAN ◽

10.15574/hw.2018.129.77 ◽

2018 ◽

pp. 7-79

Author(s):

S.Yu. Vdovichenko ◽

◽

T.D. Fakhrutdinova ◽

Keyword(s):

Health Care ◽

Body Weight ◽

Pregnant Women ◽

Key Words ◽

Perinatal Outcomes ◽

Perinatal Complications ◽

Perinatal Pathology ◽

Fetoplacental Complex ◽

The Right ◽

Selection Of

The objective: depression of obstetric and perinatal complications at pregnant women with pathological increase of body weight during pregnancy on the basis of studying of clinical-functional, endocrinologic, metabolic, morphological features of condition of fetoplacental complex and development of advanced algorithm of treatment-and-prophylactic actions. Materials and methods. We conducted examination of 264 patients who consisted on the account concerning pregnancy in female consultations of Kiev. By a method of selection of 178 women were included in retrospective research and 86 – in prospective. The main group was made by 39 pregnant women with whom led individual discussions, control – 142 women, that received traditional references in female consultation. Results. Use of the algorithm improved by us allows to improve obstetric (decrease of frequency of a preeclampsia by 12.3%; anomalies of a patrimonial deyalnost for 8.4%) and perinatal outcomes (depression of level of an asphyxia at a delivery for 9.4% and post-natal adaptation for 7.8%) deliveries of women with an excessive increase of body weight during pregnancy. Conclusion. The received results grant the right to recommend the algorithm improved by us for wide use in practical health care. Key words: obstetric and perinatal pathology, pathological increase of body weight, prophylaxis.

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The Evaluation of the Clinical Effects of Botulinum Toxin on Nocturnal Bruxism

Pain Research and Management ◽

10.1155/2017/6264146 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 8

Author(s):

Fatih Asutay ◽

Yusuf Atalay ◽

Hilal Asutay ◽

Ahmet Hüseyin Acar

Keyword(s):

Retrospective Study ◽

Botulinum Toxin ◽

Visual Analogue Scale ◽

Conservative Treatment ◽

Analogue Scale ◽

Single Injection ◽

Botulinum Toxin A ◽

Clinical Effects ◽

Pain Scores ◽

The Right

Objectives. Nocturnal bruxism can be managed by botulinum toxin (Botox®) in patients who have not responded to conservative treatment. The aim of this study was to evaluate the efficacy of botulinum toxin A (BTXA) in the treatment of nocturnal bruxism. Material and Methods. The retrospective study comprised 25 female patients, aged 23–55 years (mean 35.84±8.41 years). All patients received a single injection of BTXA in the right and left masseters. Evaluation was made by Visual Analogue Scale (VAS) values, complaint duration, onset of effect, and duration of effectiveness. Results. BTXA produced significant improvements in pain scores. Only 2 adverse events (8%) were recorded. Conclusion. BTX-A is effective in the treatment of nocturnal bruxism.

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Electroacupuncture Therapy for Arthralgia and Raynaud's Phenomenon in a Patient with Systemic Lupus Erythematosus

Acupuncture in Medicine ◽

10.1136/aim.2009.001529 ◽

2010 ◽

Vol 28 (1) ◽

pp. 49-51 ◽

Cited By ~ 5

Author(s):

Nozomi Donoyama ◽

Norio Ohkoshi

Keyword(s):

Systemic Lupus Erythematosus ◽

Visual Analogue Scale ◽

Lupus Erythematosus ◽

Analogue Scale ◽

Raynaud’S Phenomenon ◽

Raynaud's Phenomenon ◽

Systemic Lupus ◽

Cold Provocation ◽

Temperature Recovery ◽

The Right

A 45-year-old woman with systemic lupus erythematosus presented with multiple arthralgia, coldness in fingers and toes, and Raynaud's phenomenon. Electroacupuncture (EA) therapy was performed in two courses (14 treatment sessions) 1 month apart. A needle was inserted in the proximal (or medial) side of the painful joint and another needle was inserted in the distal (or lateral) side of the same joint and a 50 Hz stimulus was applied (3 s bursts with 1 s gaps) for 15 min. A visual analogue scale was used to evaluate pain intensity. Cold provocation testing was conducted before and after EA sessions to determine the vasomotor response. Visual analogue scale scores were lower after EA sessions than before. Before starting EA, the skin temperature of the right mid fingertip was 27.9°C and that of the left mid fingertip was 28.3°C. In contrast, after the EA sessions, the skin temperature of the right mid fingertip was 34.8°C and that of the left mid fingertip was 34.7°C. In the last EA session, the patient reported that the cold in her fingers and toes had eased and Raynaud's phenomenon, in which nail colour tone changed from white to red, had disappeared. In the cold-provocation test, before EA, the temperature recovery rates of mid fingertips after cold exposure reached over 80% in 20 min. In contrast, after EA had been completed, the temperature recovery rate exceeded 80% in 10 min, thus the delay of temperature recovery was alleviated.

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The Polish version of the Michigan Hand Outcomes Questionnaire: Cross-cultural adaptation, reliability, construct validity, and measurement error

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193417729579 ◽

2017 ◽

Vol 43 (2) ◽

pp. 199-208 ◽

Cited By ~ 6

Author(s):

Mateusz Koziej ◽

Marek Trybus ◽

Anna Mydłowska ◽

Kinga Sałapa ◽

Maksymilian Gniadek ◽

...

Keyword(s):

Visual Analogue Scale ◽

Construct Validity ◽

Analogue Scale ◽

Intraclass Correlation ◽

Quality Criteria ◽

Measurement Properties ◽

Left Hand ◽

Bland Altman Method ◽

The Right ◽

Grip Test

The aims of this study were to translate the Michigan Hand Outcomes Questionnaire into the Polish language and to test the measurement properties of its quality criteria. A total of 120 patients with hand complaints completed the Polish Michigan Hand Outcomes Questionnaire and the Disabilities of the Arm, Shoulder, and Hand questionnaire on the first assessment, along with the grip test, pinch test, and pain sore assessed using a visual analogue scale during activity. After 7 days, 76 patients completed the Michigan Hand Outcomes Questionnaire the second time. The Cronbach alpha of the Michigan Hand Outcomes Questionnaire subscales ranged from 0.79 to 0.96. The intraclass correlation coefficient varied from 0.82–0.97, and the Bland–Altman method indicated the Michigan Hand Outcomes Questionnaire total score limit of agreement was −13.2–12.3 and −9.18–9.62 for the right and left hand, respectively. The construct validity revealed a moderate to strong correlation between every subscale of the Polish Michigan Hand Outcomes Questionnaire and Disabilities of the Arm, Shoulder, and Hand, but they only correlated with the grip test and the visual analogue scale, and neither correlated with the pinch test. The study demonstrated properties similar to the original version, validating the belief that the use of this questionnaire in medical practice in Poland is justified.

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Microvascular decompression of the pterygopalatine ganglion in patients with refractory cluster headache

Cephalalgia ◽

10.1177/0333102411413160 ◽

2011 ◽

Vol 31 (11) ◽

pp. 1236-1239 ◽

Cited By ~ 3

Author(s):

KPQ Oomen ◽

AJM van Wijck ◽

GJ Hordijk ◽

JA de Ru

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Visual Analogue Scale ◽

Cluster Headache ◽

Microvascular Decompression ◽

Preliminary Data ◽

Analogue Scale ◽

Temporal Muscle ◽

Pterygopalatine Ganglion

Background: Cluster headache is an invalidating form of headache. Although cluster headache can be managed pharmacologically, some patients require surgical treatment with varying results. Microvascular decompression of the pterygopalatine ganglion could be an alternative to traditional surgical management in patients with cluster headache. Methods: Microvascular decompression of the pterygopalatine ganglion was performed in three patients with refractory cluster headache. The pterygopalatine artery was ligated and a temporal muscle graft was placed between the artery and the ganglion. Results: No differences were found between the presurgical period and 1 week, 1 month, 3 months, and 6 months postoperatively with respect to attack duration and frequency, visual analogue scale score during attacks and in remission periods, duration of remissions, and quality of life. Conclusion: These preliminary data suggest that microvascular decompression of the pterygopalatine ganglion does not provide pain reduction or improvement of quality of life in patients with refractory cluster headache.

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Vascularized ulnar periosteal pedicled flap for forearm nonunion in children

Journal of Hand Surgery (European Volume) ◽

10.1177/17531934211026399 ◽

2021 ◽

pp. 175319342110263

Author(s):

Sergi Barrera-Ochoa ◽

Rita Sapage ◽

Sergi Alabau-Rodriguez ◽

Tryno Muñoz-Perdomo ◽

Jorge Knörr ◽

...

Keyword(s):

Surgical Treatment ◽

Visual Analogue Scale ◽

Analogue Scale ◽

Pedicled Flap ◽

Level Of Evidence ◽

Radioulnar Synostosis ◽

Versatile Technique ◽

Preoperative Status ◽

The Mean ◽

Mean Time

We report our experience with the use of a vascularized ulnar periosteal pedicled flap to treat forearm nonunion in children. Seven children underwent surgical treatment of radial diaphysis nonunion with this technique. The mean duration of nonunion prior to the flap was 9 months. Significant postoperative improvements were observed in pain severity (mean visual analogue scale score of 0.6), Quick Disabilities of the Arm, Shoulder, and Hand (mean score of 7.1) and grip strength (89% higher than preoperative status). Union was achieved in all patients, with a mean time to union of 3 months. One patient developed distal radioulnar synostosis as a postoperative complication. A vascularized ulnar periosteal pedicled flap is a reliable and versatile technique for treating forearm nonunion in children, associated with both good outcomes and low donor morbidity. Level of evidence: IV

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Ureteral Stent Placement Using a Double J-Catheter in the Treatment of Ectopic Ureter in a Dog

Acta Scientiae Veterinariae ◽

10.22456/1679-9216.103036 ◽

2020 ◽

Vol 48 ◽

Author(s):

Guilherme Sembenelli ◽

Jose Sergio Costa Junior ◽

Monica Carolina Nery Wittmaack ◽

Gabriel Luiz Montanhim ◽

Luis Gustavo Gosuen Gonçalves Dias ◽

...

Keyword(s):

Computed Tomography ◽

Urinary Tract ◽

Surgical Treatment ◽

Renal Pelvis ◽

Stent Placement ◽

Ureteral Stent ◽

Urethral Obstruction ◽

Ectopic Ureter ◽

The Right ◽

Tract Infections

Background: Ectopic ureter is a congenital anomaly in which the final segment of one or both ureteral orifices is located distal to the bladder trigone. It may be classified as intra- or extramural. Surgical treatment of ectopic ureters in dogs is recommended and the approach varies with the classification. In the postoperative period, complications are common. When stenosis of the new ureteral ostium occurs, immediate repeated surgery is recommended. This study aimed at using the double J catheter placement following neoureterostomy to treat urethral obstruction secondary to the surgical treatment of an intramural ectopic ureter in a dog.Case: An 8-month-old female French bulldog with dysuria and urinary incontinence was seen at a private veterinary hospital in Jaboticabal, São Paulo. The patient had previously been diagnosed with an intramural ectopic ureter on the right side following imaging tests (ultrasound, computed tomography, and abdominal radiography, excretory urography) and had undergone neoureterostomy and closure of the intramural pathway approximately a year ago. Ultrasonographic examination showed dilation of the caudal portion of the ureter and hydroureter, which was suggestive of right ureteral stenosis. Computed tomography was also performed to evaluate the kidneys, ureters, and bladder; an increase in the diameter of the right ureter in its middle portion and close to the bladder triangle was observed. A new surgical intervention was indicated and performed. The ureteral route was identified in a region of the bladder trigone, incised, and probed with a urethral probe No. 04. The intramural course in the proximal urethra was identified and probed with a 16G epidural catheter. It was necessary to perform a neoureterostomy. A longitudinal incision (spatulation) of approximately 5 mm was made in the distal portion of the right ureter to increase the circumference of the anastomosis. The double J 4.7 French (Fr) catheter was inserted through the new ureter ostium into the bladder and advanced into the right kidney in a retrograde manner. Once the proximal end of the double J catheter reached the renal pelvis, the guidewire was withdrawn slowly to allow the catheter to bend in the areas of the renal pelvis and the trigone. The distal end of the double J catheter that extended beyond the bladder lumen was sectioned for better bladder closure. The patient underwent clinical evaluation and laboratory tests (complete blood count and serum creatinine concentration, urine test with bacteriological culture and susceptibility test) 2 weeks after the procedure and, subsequently, every 3 months. Ultrasonography of the urinary tract was performed every 2 months.Discussion: We used a double J catheter in the patient due to a previous obstruction of the ureter ostium after the first surgical procedure. In this way, complications such as postoperative obstructions due to ureteritis and ureteral constriction were avoided and ureteral anastomosis was facilitated. It has been reported that animals subjected to ureteral stent placement have high incidences of dysuria and urinary tract infection, and low incidences of stent migration and occlusion. In this case, no signs of occlusion or obstruction of the implant were identified, but there was a recurrence of urinary tract infections. These frequently cause urethral obstruction associated with the healing of the new ureteral ostium. Patient follow-up and findings associated with the long-term insertion of the double J catheter provide support for the clinical relevance of the present report.

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A mix methods evaluation of the effectiveness of a group-based prenatal yoga programme on perceived stress in pregnant women

10.21203/rs.3.rs-48031/v1 ◽

2020 ◽

Author(s):

Zehra Baykal Akmese ◽

Sezer Er Güneri

Keyword(s):

Visual Analogue Scale ◽

Pregnant Women ◽

Stress Management ◽

Perceived Stress ◽

Analogue Scale ◽

Control Groups ◽

Stress Perception ◽

General Adaptation ◽

Stress Score ◽

And Control

Abstract Background Yoga is recommended as a behavioural self-management strategy for stress. However, the evidence of how it affects women's stress perception is not much studied. Hence the present study was taken to assess the perceived stress score and to explore the experiences of pregnant women of stress management before and after prenatal yoga programme according to Selye's General Adaptation Syndrome Theory. Methods This study was made using concurrent triangulation mixed method design. Quantitative part of the study was made pretest-posttest with control group experimental study, qualitative part of the study was made phenomenological method. Quantitative data were gathered from 31 pregnant women in both yoga and control groups. As for qualitative data, 21 and 15 pregnant women were interviewed in the first and second interviews, respectively. Pregnant Woman Description Form was used as a data collection tool; a visual analogue scale was used for measuring stress score; and the interviews were made through Semi-Structured Interview Form. The themes were determined according to the stages of Selye's General Adaptation Syndrome Theory. Thematic approach was used to assess the data. Results The difference among the first, second and third visual analogue scale stress perception mean scores of pregnant women in the prenatal yoga programme and control groups was statistically significant. The women mostly used the expressions relaxation, decrease in stress perception and learning to cope with stress to describe stress perception after prenatal yoga programme. All women told that their stress perception decreased, and they learned how to cope with stress in pregnancy. Discussion This study demonstrated yoga was acceptable to stressed pregnant women. There was a significant decrease in stress perception of pregnant women. The women had a chance to express the physical and mental effects of yoga on stress management.

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Non invasive Management of Post Dural Puncture Headache - A Comparison

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v13i2.18292 ◽

2014 ◽

Vol 13 (2) ◽

pp. 114-118 ◽

Cited By ~ 3

Author(s):

Jayashree Sen ◽

Bitan Sen

Keyword(s):

Visual Analogue Scale ◽

Analogue Scale ◽

Dural Puncture ◽

Medical Science ◽

The Other ◽

Post Dural Puncture Headache ◽

Conservative Group ◽

Non Invasive ◽

To Receive ◽

Invasive Management

Aim: To evaluate the efficacy of oral Theophylline for the management of post dural puncture headache (PDPH). Material and Method: Forty patients with PDPH, whose surgeries were done under spinal anaesthesia, were selected randomly and divided into two groups of 20 each. One group to receive conservative treatment and the other group Theophylline (400 mg) only orally. Intensity of headache was analysed using a visual analogue scale (VAS) of pain. Assessment was done immediately before (0 h) and at 8, 16 and 24th hr of drug administration. Result: Significantly better relief of PDPH was found in Theophylline (9.3±5.7) than the conservative group (56.7 ±10.2) (p<0.001). Recurrence of headache was found in 2 patients (10 %) at 16th hr and 2 (10%) at 24th hr in the Theophylline group compared to 12 (60%) and 14 (70%) patients respectively in the other group. Conclusion: The study concludes that Theophylline in the management of post dural puncture headache may be considered the best choice over the conventional approach. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18292 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.114-118

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Study of the peculiarities of combined opisthorchosis and helicobacteriosis

Russian Journal of Parasitology ◽

10.31016/1998-8435-2021-15-1-79-84 ◽

2021 ◽

Vol 15 (1) ◽

pp. 79-84

Author(s):

O. I. Bibik ◽

T. E. Pomytkina ◽

O. I. Pivovar

Keyword(s):

Helicobacter Pylori ◽

Body Weight ◽

Abdominal Pain ◽

Visual Analogue Scale ◽

Blood Test ◽

Analogue Scale ◽

Clinical Symptoms ◽

Enrichment Method ◽

Opisthorchis Felineus ◽

H Pylori

The purpose of the research is identifying patients with helicobacteriosis and opisthorchosis, and determining regular features of the course of combined diseases.Materials and methods. The study involved 50 patients in the Gastroenterology Department with helicobacteriosis diagnosed. Helicobacter pylori was confirmed by the HP test during fibrogastroduodenoscopy. Opisthorchis felineus was detected in patients using the study of feces by the Kato technique and enrichment method. The patients were divided into 2 groups of 25 people each. The first group only consisted of patients with H. pylori. The second group consisted of patients in whom H. pуlori and O. felineus were identified. Initially, the levels of aminotransferases and bilirubin were assessed using a biochemical blood test on a MIURA 200 apparatus. The manifestation of such clinical symptoms as abdominal pain was assessed using a visual analogue scale (VAS). Further, the eradication of H. pylori during therapy was assessed based on the Maastricht V recommendations for 14 days, including the use of three drugs: omeprazole at a dose of 20 mg 2 times a day, clarithromycin – 500 mg 2 times a day, amoxicillin – 1000 mg 2 times a day, and the effectivity of treatment of patients of the second group with opisthorchosis with the use of praziquantel at a dose of 60 mg/kg of body weight during the day three times every 4 hours.Results and discussion. In the second group of patients with combined pathology, pain intensity was estimated at 4–5 scores in 20 people (80%), and at 2–3 scores in 25 people (100%) in the first group. The severity of nausea was also higher in 100% of patients in the second group. Values for AST and ALT in blood were higher in patients of the second group – by an average of 50–100% in 18 people (72%); increase in the level of bilirubin by 15% in 23 people (92%). Combined pathology (opisthorchosis and helicobacteriosis) is accompanied by more pronounced clinical symptoms (abdominal pain and nausea). In patients with opisthorchosis and H. pуlori, aminotransferases increased up to three reference values and bilirubin increased by 15% were noted. For helicobacteriosis and opisthorchosis, longer treatment was required. The presence of H. pylori at the same time with opisthorchosis did not affect the efficacy of antiparasitic therapy.

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