Research of the Difference and Value of Immunohistochemical Technique and Conventional Technique in Pathological Diagnosis of Tumor

2020 ◽  
2018 ◽  
Vol 8 (1) ◽  
Author(s):  
ANAK AGUNG AYU SRI MARTINI . ◽  
PROF.DR. NASWAN SUHARSONO, M.Pd. . ◽  
DR. I MADE KIRNA, M.Si. .

Penelitian ini bertujuan untuk mendeskripsikan perbedaan motivasi belajar dan keterampilan menulis secara bersama-sama diantara siswa yang mengikuti teknik mind mapping dengan siswa yang mengikuti teknik pembelajaran menulis konvensional, perbedaan motivasi belajar antara siswa yang mengikuti teknik mind mapping dengan siswa yang mengikuti teknik pembelajaran menulis konvensional, dan perbedaan keterampilan menulis antara siswa yang mengikuti teknik mind mapping dengan siswa yang mengikuti teknik pembelajaran menulis konvensional. Populasi penelitian ini adalah siswa kelas VIII SMP Negeri 4 Abang dengan 2 kelas dipilih sebagai sampel. Pemilihan sampel dilakukan dengan teknik Random Sampling. Penelitian ini merupakan penelitian quasi experiment dengan rancangan Non Equivalent Pretest-Posttest Control Group Design. Pengumpulan data dilakukan menggunakan angket motivasi belajar menulis dan tes keterampilan menulis. Data yang diperoleh dianalisis dengan MANCOVA dengan menggunakan motivasi belajar awal dan keterampilan menulis awal sebagai kovariat. Pengujian hipotesis dilakukan pada taraf signifikansi 5%. Hasil penelitian menunjukkan bahwa: pertama terdapat perbedaan yang signifikan pada motivasi belajar dan keterampilan menulis secara bersama-sama antara siswa yang mengikuti teknik mind mapping dengan siswa yang mengikuti teknik pembelajaran menulis konvensional; kedua terdapat perbedaan yang signifikan pada motivasi belajar antara siswa yang mengikuti teknik mind mapping dengan siswa yang mengikuti teknik pembelajaran menulis konvensional; ketiga terdapat perbedaan yang signifikan pada keterampilan menulis antara siswa yang mengikuti teknik mind mapping dengan siswa yang mengikuti teknik pembelajaran menulis konvensional.Kata Kunci : Teknik Mind Mapping, Motivasi Belajar, Keterampilan Menulis This study aimed at describing the difference in learning motivation and writing skill simultaneously of the students who learned by mind mapping technique and those who learned by conventional technique, the difference in learning motivation of the students who learned by mind mapping technique and those who learned by conventional technique, the difference in writing skill of the students who learned by mind mapping technique and those who learned by conventional technique. This is a quasi-experimental research with non-equivalent pretest-posttest control group designed. The population of the study was eighth grade students consisting of three classes. The selection of the sample for this study was based on random sampling technique, two classes were selected as the sample, one as the experimental group and the other was the control group. The data was collected by administering students’ learning motivation questionaire and writing test. The data was analyzed by using MANCOVA in which pre-students’ learning motivation and pre-students’ writing skill used as covariat. The hypothesis was tested at 5% level of significance. The results indicated that (1) there was a significant difference in learning motivation and writing skill simultaneously of the students who learned by mind mapping technique and by conventional technique, (2) there was a significant difference learning motivation in writing of the students who learned by mind mapping technique and by conventional technique, (3) there was a significant difference in writing skill of the students who learned mind mapping technique and by conventional technique.keyword : Mind Mapping Technique, Learning Motivation, Writing Skill


2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Carolina Talini ◽  
Letícia Alves Antunes ◽  
Bruna Cecília Neves de Carvalho ◽  
Karin Lucilda Schultz ◽  
Maria Helena Camargo Peralta Del Valle ◽  
...  

ABSTRACT Objective To evaluate post-operative complications of circumcision requiring surgical reintervention. Methods Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016. Results A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Complications requiring surgical reintervention were found in 3.27% of patients. When separated by surgical technique, 3.4% of circumcisions using Plastibell device required reoperation, as compared to 3% of conventional technique (p=0.79). Preputial stenosis was most frequently found in classic circumcision, with statistical significance (p<0.001). Bleeding was more frequent when using Plastibell device, but the difference was not statistically different (p=0.37). Patients’ age was also evaluated to investigate if this variable influenced on the postoperative outcome, but no significant difference was found. Conclusion There was no statistically significant difference when comparing complications between the different techniques performed at this hospital. Preputial stenosis was most frequently found in the classic circumcision, while bleeding was more prevalent when using Plastibell device. Patients’ age did not influence in complications.


2013 ◽  
Vol 6 (1) ◽  
pp. 58-60 ◽  
Author(s):  
Arpit Agrawal ◽  
Anuj Goyal ◽  
SPS Yadav ◽  
Rupender K Ranga

ABSTRACT Background The present study was undertaken to compare the efficacy of endoscopic removal with conventional techniques in nasal myiasis patients. Materials and methods Out of 144, 72 nasal myiasis patients treated using Hopkins rigid nasal endoscope and visible caudal end of maggots was grasped with Blakesley forceps and removed during endoscopy. Rests were identified from crawling movements or the visible caudal end was buried in necrotic material. Complete clearance of cavernous cavity of maggots in affected nasal cavity from anterior nares to choanae was done and same was repeated on other side if needed. Results The mean age in two groups was 57.5 years (range 40-60) in nasal myiasis patients whereas there were 20% males and 80% females. Mean duration of nasal symptom in both groups was 2 days. Endoscopically mean 120 maggots (range: 90-160) were removed in first sitting as compared to conventional technique where mean of 80 (range: 40-90) were achieved. The mean duration of endoscopic treatment was 2 days whereas in control group it was 5 days. The difference was statistically significant (p < 0.001). Conclusion Nasal endoscopic procedure is superior to the manual extraction method for removal of maggots. The larvae located in deep and inaccessible areas can be identified and removed easily. The disease was controlled in shorter time and in fewer sittings. Further the quick and complete eradication of myiasis ensures less damage to the intranasal tissues. How to cite this article Ranga RK, Yadav SPS, Goyal A, Agrawal A. Endoscopic Management of Nasal Myiasis: A 10 years Experience. Clin Rhinol An Int J 2013;6(1):58-60.


2020 ◽  
Author(s):  
Tianwei Zhang ◽  
E Cai ◽  
Zhenxiang Zhang ◽  
Hongmei Dou

Abstract BackgroundThe purpose of our present work was to compare robotic-assisted UKA and conventional UKA regarding the clinical and radiographic results at 5-year follow-up.MethodsForty-one medial UKAs were conducted with robotic assistance (group ROA) between January 2010 and January 2015, and these subjects were matched with 44 subjects undergoing medial UKAs using the same prosthesis, implanted by conventional technique (group CON). In a 5-year follow-up, subjects were clinically evaluated by using Knee Society functional (KSF), Knee Society clinical (KSC), and Knee Society pain (KSP) scores. Radiographic assessments with regards to coronal mechanical axis (CMA) and condylar twist angle (CTA) were compared between group ROA and group CON.ResultsIn the evaluation, the mechanical limb alignment was significantly increased after operation in each group. The implantation accuracy of the coronal mechanical axis was similar in both groups. As for the evaluation of femoral rotation, the internal rotation in group ROA was remarkably less than that in group CON. The difference was not significant in KSP, KSF, KSC scores between group ROA and group CON.ConclusionOur results showed that robotic assistance improves component position without gaining superior CMA or increasing clinical results versus conventional UKA at 5-year follow-up. To conclude, using robotic assistance in UKA is recommended as compared to conventional UKA. Long-term follow-up will be needed to draw conclusion about the overall outcomes of robotic assistance as compared with conventional technique.Trial registrationCurrent Controlled Trials ChiCTR2000033918. Registered 16 June 2020.


Author(s):  
Nithya Krishnakumar ◽  
N. K. Bashir ◽  
Girish Raj

<p class="abstract"><strong>Background:</strong> Adenoidectomy is one of the most common surgeries done in children. Over the years many techniques have evolved like powered adenoidectomy, radiofrequency ablation, electro cautery etc. Use of endoscopes has enabled surgeons to perform adenoidectomy under direct vision. The objectives of the study were to compare blood loss of conventional and endoscopic assisted powered adenoidectomy.</p><p class="abstract"><strong>Methods:</strong> In this a prospective observational study of 30 children attending ENT department in MES Medical College was done. In the conventional technique, adenoidectomy was done using St Claire Thomson adenoid curette. In powered adenoidectomy technique, micro debrider was used under guidance of 0<sup>0</sup> nasal endoscope (2.7 mm). Intra operatively blood loss during surgery were looked for and noted in both groups.  </p><p class="abstract"><strong>Results:</strong> In the study of 30 children divided in to 2 groups who are comparable statistically. Average blood loss in patients who underwent CA was 38.53 ml and in patients who underwent EAA was 28.27 ml, with standard deviation of 4.704 and 3.863 respectively. The difference in mean blood loss was 10.26 ml.</p><p class="abstract"><strong>Conclusions:</strong> Endoscopic assisted powered adenoidectomy has lower blood loss as compared to conventional adenoidectomy.</p>


2020 ◽  
Vol 18 (2) ◽  
pp. 62-67
Author(s):  
Y. Dhakal ◽  
B. Bhattarai ◽  
S. Khatiwada ◽  
A. Subedi

Background Preoxygenation is performed before induction of anaesthesia which increases oxygen reserve and provides delayed onset of hypoxia during period of apnea. Several techniques such as positive airway pressure and head-up tilt during preoxygenation have shown to prolong safe apnea period compared to conventional technique. However, uniform recommendations have not yet been made. Objective To find out the effect of combination of 5 cmH2O continuous positive airway pressure (CPAP) and 25° head up position during preoxygenation on safe apnea period. Method In this comparative study 60 non-obese adult patients were divided into three equal groups; Group C receiving preoxygenation in conventional technique, Group S receiving preoxygenation with 5 cmH2O continuous positive airway pressure in supine position and Group H receiving preoxygenation in 25° head-up position with 5 cmH2O continuous positive airway pressure . After 3 min of preoxygenation, intubation was performed after induction of anaesthesia with propofol, fentanyl and succinylcholine. After confirming the tracheal intubation by direct visualization, all patients were administered vecuronium to maintain neuromuscular blockade. Post-intubation, patients in all groups were left in same position with the tracheal tube exposed to atmosphere and without being ventilated till the SpO2 dropped to 92%. The primary outcome compared between the groups was the safe apnea period (time from loss of consciousness to fall of SpO2 to 92%). Result The duration of safe apnea period was longer (p < 0.05) in Group H patients (405.9 ± 106.69 s) as compared to the Group C (296.9 ± 99.01s) and Group S (319.65 ± 71.54s). Although the duration of safe apnea period was longer in the Group S as compared to Group C the difference was not statistically significant. Conclusion Preoxygenation in 25° head-up position with 5 cmH2O continuous positive airway pressure significantly prolongs safe apnea period in non-obese adults compared to supine position, with or without 5 cmH2O continuous positive airway pressure.


Background: Nasogastric tube (NGT) placement can be accomplished using a blind technique, but the failure rate is high, especially in anesthetized and tracheally intubated patients. Practically, mouth opening with a direct laryngoscopy is the alternative method attempted for guiding the NGT under direct visualization. However, limitations of this approach include the narrowing of the oral space and limited periglottic view, which should be resolved by using videolaryngoscope. Objective: To compare the success rate of a videolaryngoscope (C-MAC D-Blade; Karl Storz, Tuttlingen, Germany) with a direct laryngoscope for NGT insertion. Materials and Methods: Eighty-four adult patients were enrolled in the study and randomized into two groups, the videolaryngoscopy group and the direct laryngoscopy group. After induction of anesthesia and tracheal intubation, the participants in the videolaryngoscopy group and direct laryngoscopy group underwent laryngoscopy using a C-MAC D-Blade and Macintosh blade, respectively. The time from entrance of the NGT into the nostril until confirmation of the proper tip position was recorded and defined as successful insertion. The number of attempts was defined as the number of times the tube was withdrawn from the nostril and reinserted. Placement more than three times was defined as procedure failure. Bleeding was also observed. Results: The videolaryngoscopy group had a significantly higher success rate at the first attempt than the direct laryngoscopy group (78.57% versus 30.95%, respectively; p<0.001). The mean time for NGT insertion in the videolaryngoscopy group was significantly shorter than in the direct laryngoscopy group (80 versus 170 seconds, respectively, p<0.01). Direct laryngoscopy failed in five cases, however, all were successful by subsequent videolaryngoscopy. Videolaryngoscopy failed in two cases, but tube insertion was eventually successful by placement of a guide wire in the NGT. Bleeding occurred in 40.48% and 4.76% of patients in the direct laryngoscopy and videolaryngoscopy groups, respectively. The difference was statistically significant. Conclusion: Videolaryngoscopy is easier and faster for NGT placement and is associated with a lower incidence of bleeding complications and a higher success rate. Therefore, this method should be considered as an alternative option when encountering difficulty inserting the NGT using the conventional technique. Keywords: Videolaryngoscopy, Direct aryngoscopy, Nasogastric tube placement


2021 ◽  
Vol 21 ◽  
pp. e223816
Author(s):  
Cynthia Kassis ◽  
Pierre Khoury ◽  
Karim Corbani ◽  
Charbel Mansour ◽  
Louis Hardan ◽  
...  

Direct pulp capping induces a local inflammatory process. Several biomaterials have been used for this procedure. The aim of this study was to compare the dentinal bridge thickness using three different pulp capping biomaterials with the conventional technique (high speed diamond bur) or Er-Yag laser, 1 month after pulp effraction. Materials and Methods: Forty two Class V cavities were prepared on the buccal surface of 4 maxillary incisors and 2 mandibular incisors of New Zealand rabbits. Specimens were divided into 6 treatment groups. Teeth were treated with: In Group 1: Er-Yag laser and Biodentine® (Septodont), in Group 2: Er: Yag laser and calcium hydroxide (Dycal® Dentsply), in Group 3: Er: Yag laser and adhesive system (Prime& Bond® NT Dentsply), in Group 4: high speed diamond bur and Biodentine® (Septodont), in Group 5: high speed diamond bur and calcium hydroxide (Dycal® Dentsply), and in Group 6: high speed diamond bur and adhesive system (Prime& Bond® NT Dentsply). The preparation was done with copious irrigation. The animals were sacrificed at 30 days and the teeth were extracted and prepared for histological analysis. Results: In the group of « laser Er-Yag », iatrogenic pulpal wounds treated with Biodentine® were covered with a thick hard tissue barrier after 1 month. The difference was not significant with the groups of Dycal® used with Er: Yag laser and high speed diamond bur. Prime& Bond® NT Dentsply specimens showed a thin dentinal bridge layer. Conclusion: At 1 month, Er-Yag laser proved to be useful with Biodentine® for direct pulp capping procedures.


2020 ◽  
Vol 2 (1) ◽  
pp. 30-46
Author(s):  
Rochana Purba Nurfauzi ◽  
Joko Priyana

This research aims to: (1) describe the effect of GIR as a part of extensive reading; (2) compare the effectiveness between GIR and conventional learning; and (3) compare the effectiveness between GIR variation 1 and 2 on motivation, vocabulary knowledge and reading comprehension ability. The data were analyzed using: (1) the one sample t-test to investigate the effect of GIR; (2) the Helmert Contrast to investigate the difference in the effectiveness of GIR as well as the conventional technique; (3) the post-hoc test involving the Tukey to analyze which was more effective between GIR and conventional technique in students’ motivation, vocabulary knowledge and reading comprehension ability. The results of the study show that: (1) GIR has a significant effect on all dependent variables; (2) GIR is more effective than the control group in improving all dependent variables, except GIR variation 1 in reading comprehension ability has equal effect with conventional technique; (3) there is no difference in the effectiveness of GIR variation 1 and 2 in terms of improving students’ motivation, vocabulary knowledge, and reading comprehension skills.  Key words: GIR, extensive reading, motivation, vocabulary knowledge, reading comprehension ability


2019 ◽  
Author(s):  
Yogesh Dhakal ◽  
Balkrishna Bhattarai ◽  
Sindhu Khatiwada ◽  
Asish Subedi

Abstract Background Though conventional preoxygenation provides extended safe apnoeic period during endotracheal intubation, it is associated with atelectasis of lungs immediately after induction. Therefore, alternatives such as positive airway pressure and head-up tilt during preoxygenation have been explored but uniform recommendations have not yet been made. In the present study we aimed to find out the effect of combination of 5 cmH2O CPAP and 25° head up position during preoxygenation on non-hypoxic apnea period. Methods In this randomized controlled trial, 60 non-obese healthy adult patients were randomly divided into three groups; Group C receiving preoxygenation in conventional technique, Group S receiving preoxygenation in supine position with 5 cmH2O CPAP and Group H receiving preoxygenation in 25° head-up position with 5 cmH2O CPAP. After 3 min of preoxygenation, anesthesia was induced and trachea intubated. After confirming the tracheal intubation by direct visualization, all patients were administered vecuronium to maintain neuromuscular blockade and midazolam to prevent awareness. Post-induction, patients in all groups were left apneic in supine position with the tracheal tube exposed to atmosphere till the SpO2 dropped to 92%. The primary outcome compared between the groups was the non-hypoxic apnoeic period (time to fall SpO2 to 92%). Results The duration of non-hypoxic apnea period was longer (p<0.05) in Group H patients (405.90±106.69 s) as compared to the Group C (296.90±99.01 s) and Group S (319.65±71.54 s). Although the duration of non-hypoxic apnea was clinically longer in the Group S as compared to Group C the difference was not statistically significant. There were no remarkable adverse events observed in any group. Conclusion Preoxygenation in 25° head-up position with 5 cmH2O CPAP significantly prolongs non-hypoxic apnea period in non-obese healthy adults compared to supine position, with or without 5 cmH2O CPAP.


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