scholarly journals MUCOSECTOMY IN COMPLICATED APPENDICITIS

2021 ◽  
Vol 71 (2) ◽  
pp. 711-14
Author(s):  
Syeda Rifaat Qamar Naqvi ◽  
Fahad Ali Khan ◽  
Ayesha Khan ◽  
Babar Sultan ◽  
Anam Haider ◽  
...  

Objective: To describe the technique and results of mucosectomy; A surgical technique that is easy to perform, and has a lower morbidity and complication rate as compared to standard appendectomy in cases of complicated appendicitis. Study Design: Quasi-experimental study. Place and Duration of Study: Surgical - A Unit, Ayub Teaching Hospital, in Abbottabad, from Mar 2017 to Mar 2019. Methodology: Patients included were those who presented with appendicular mass, phlegmon, recurrent appendicitis, appendicitis in uncommon locations, presence of adhesions, those cases of appendicular mass and phlegmon which was either not responding to medical treatment, or diagnosed per operatively being clinically not palpable or not seen on ultrasound. Per operative and post-operative variables were documented and analyzed. In mucosectomy, thesubserosal portion of the appendix i-emuscularis and mucosa of the appendix was dissected out from the serosa after ligation of the appendicular base, or ligation done after delivering the appendix out of the serosa. The serosa that was adherent to the surrounding gut, omentum or other viscera was left intact. Results: A total of 192 patients were included in this study, half of which underwent standard appendectomy and a mucosectomy was performed on the rest. The mean time of surgery was 30 ± 1.2min as compared to the standard appendectomy group (55min ± 3.6). More than half of the patients undergoing standard appendectomy required extension of the incision (56.2%), only 8% required so from those on whom mucosectomy was performed. Per operative hemorrhage was seen in 32.2%, however inmucosectomy group only 1%.

2021 ◽  
Vol 1 (1) ◽  
pp. 31-36
Author(s):  
Novia Sari ◽  
Lucky Herawati ◽  
Agus K. Rubaya

Objective: To determine the effect of husband's support in the implementation of oxytocin massage by midwife on the production and time of colostrum secretion among post C-Section delivery women.Methods: A quasi-experimental study with a post-test only group design at hospital in DIY in April-June 2020. The samples consisted of 32 respondents, 16 post C-Section delivery women with oxytocin massage who received husband's support and 16 respondents with oxytocin massage without husband’s support. The preparation of husband’s support was conducted through training by midwife to the husbands using a booklet for 80 minutes. Data analysis in this study used univariate, Independent t-test, and MANOVA with a significance level of 95%.Results: Evaluation showed that 68.75% of post C-Section delivery women received good husband’s support. The mean colostrum production in the oxytocin massage group by midwife with husband's support was 3.61 cc and the mean time of colostrum secretion was 4.13 hours better than oxytocin massage without husband's support.Conclusion: Husband's support in the implementation of oxytocin massage by midwife had an effect on the production and time of colostrum secretion among post C-Section delivery women with p-value <0.0001.


2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Cristina Furtado Volcov ◽  
Eliana Moreira Pinheiro ◽  
Miriam Harumi Tsunemi ◽  
Fernanda Gaspar do Amaral ◽  
Ariane Ferreira Machado Avelar ◽  
...  

ABSTRACT Objectives: to compare the parameters of the activity/rest cycle of early postpartum breastfeeding women under a controlled and uncontrolled long wavelength ray light regimen. Methods: quasi-experimental study with breastfeeding women and their babies during postnatal rooming-in, São Paulo, Brazil. Participants were allocated to either an experimental (intervention) or a comparison group. The intervention involved exposure of the woman in a controlled room with artificial long wavelength ray light at night. Each woman’s level of 6-sulfatoxymelatonin at 24 hours and activity/rest times was analyzed. Results: the mean activity/rest times of women in the experimental and comparison groups were similar. The mean percentages of total load of 6-sulfatoxymelatonin during the day and night were similar (p=0.09). At 24 hours, the experimental group presented a significantly lower mean percentage of total load compared to the comparison group (p=0.04). Conclusions: women who stayed in the room with long-wavelength artificial light showed no difference in activity/rest and 6-sulfatoxymelatonin levels in the early postpartum period.


2020 ◽  
Vol 12 (1) ◽  
pp. 115-121
Author(s):  
Andi Asrina ◽  
Arsyad Aryadi ◽  
Nilawati Andi

This study aims to determine the comparison of prostaglandin and endorphin levels in adolescents with primary dysmenorrhea with and without warm (37-40oC) and cold (18-20oC) hydrotherapy. This quasi-experimental study with a post-test only controls group design was carried out in Islamic Boarding Schools with a sample of 36 young girls divided into 3 groups: 12 teens given warm hydrotherapy, 12 teens given cold hydrotherapy and 12 teens not given intervention (control). Blood plasma is taken after an intervention is given on the first day of menstruation. Examination of prostaglandin and endorphins levels using the enzyme-linked immunosorbent assay (ELISA) kit method. After cold hydrotherapy, the mean levels of prostaglandins in the cold hydrotherapy group were twice higher (569 pg/ml) compared to controls (394 pg/ml). The mean prostaglandin level in the warm hydrotherapy group also showed an increase prostaglandin (437 pg/ml) compared to the control (394 pg/ml). In addition to increasing levels of prostaglandins, increased levels of endorphins also occurred in the group given warm hydrotherapy (154 pg/ml) and the group was given cold hydrotherapy (187 pg/ml) compared to the control (119 pg/ml) p = 0.001. The conclusion in this study is that warm and cold hydrotherapy can increase levels of prostaglandins and endorphins in adolescents with primary dysmenorrhea. However, cold hydrotherapy increases endorphin levels higher than warm hydrotherapy. Key words: Prostaglandin, Endorphin, Hydrotherapy, Primary Dismenorrhea.


Author(s):  
Kirti M. Hurakadli ◽  
L. L. Pujari ◽  
Prashant G.

Background: Vaginal hysterectomy -the signature operation of gynecologic profession, is a hallmark of gynecological extirpative hysterectomy surgery and surgical excellance1. In the era of minimal invasive surgery, Nondescent vaginal hysterectomy has evolved over the years and is opted over abdominal route. It is because of lower morbidity, less postoperative pain, more rapid   return to normal activities and lesser hospital stay associated with this route of surgery. Practice of hydrodissection with diluted adrenalin has been noticed by few surgeons.Methods: We did a retrospective analysis of 267 cases of vaginal hysterectomies in our hospital over a period of three years, regarding the benefit of hydro dissection in reducing the blood loss and time of surgery, so as to incorporate this technique on routine basis.Results: Of 267 cases, NDVH was done in 107 (40.1%) cases, and 160 (59.9%) patients underwent vaginal hysterectomy with PFR. Of 267 cases, 121 (45.3%) cases had hydro dissection. In 146 (54.7%) cases hydro dissection was not done. The mean blood loss was significantly reduced in cases with hydro dissection to a mean of 1.07 mops when compared to cases with no hydro dissection-mean of 1.71 mops. Duration of surgery was also significantly reduced to a mean of 39.9 minutes in cases with hydro dissection when compared to cases with no hydro dissection with a mean of 46.3 minutes. There was no significant change in duration of hospital stay.Conclusions: Hydro dissection with diluted adrenaline should be routinely practice by all vaginal surgeons to reduce the duration of surgery and intraoperative blood loss.


1968 ◽  
Vol 46 (10) ◽  
pp. S9-S12 ◽  
Author(s):  
A. J. Baxter ◽  
A. A. Watson ◽  
J. G. Wilson

Using a method described previously (Baxter et al. 1966), an experimental study has been made of the time distribution of energy from the shower front of large extensive air showers detected by the Haverah Park 500-m array. Data are given on the mean time of arrival of energy in showers at axial distances over the range 250–950 m for all zenith angles, while average time distributions of the energy in the shower front are presented for some typical distance and zenith angle intervals. Experimental observations are compared with a theoretical prediction; a real discrepancy appears to exist between theory and experiment since about 25% more energy is observed in the 25 ns after the first detectable signal than is predicted. The result suggests a higher or more concentrated origin for muons than normally assumed.Assessment of measurement errors, particularly those arising from the sampling of a diffuse shower front by detectors of finite size, suggests that no intrinsic differences in the properties of the majority of air showers have yet been detected by this method.


2002 ◽  
Vol 10 (3) ◽  
pp. 42-51
Author(s):  
Raimundo Nonato R. Medeiros ◽  
José Wilson Rodriguez ◽  
Roberto Basile Jr. ◽  
Clelgen Luis Bonetti ◽  
Carlos Alberto dos Santos ◽  
...  

The authors present sixteen patients with congenital kyphosis treated by posterior spinal arthrodesis. A homologous or autogenous iliac bone graft was used. The patients walked with Risser-Cotrel body cast in the 6 months of postoperatory period. The mean time of follow-up was 58,25 months and the mean age of the patients at time of surgery was 9,3 years. The mean angular value of the congenital kyphosis before surgery was 50,44º Cobb and after ther surgery it was 46,94º Cobb. One of the patients who had curve of 69º Cobb, presented pseudoarthrosis. The final results were good in 10, regular in 4 and bad in 2 patients. The need of the diagnostic and precocious treatment is recommended by authors.


2021 ◽  
Author(s):  
Anis Pourdavarani ◽  
Jamileh Farokhzadian ◽  
Mansooreh Azizzadeh Forouz ◽  
Sedigheh Khodabandeh Shahraki

Abstract Background: Anxiety and depression are the most common psychological disorders in the aging period. One of the ways to deal with anxiety and depression and increase happiness in the elderly is to train positive thinking. Therefore, the present study aimed to investigate positive thinking skills training on anxiety and happiness in the elderly.Methods: In this quasi-experimental study, 48 elderly people referred to two comprehensive health service centers in Kerman in southeastern Iran were selected by convenience sampling method and randomly assigned into intervention groups (n = 24) and control (n = 24). The data collection tools included the Beck Anxiety Inventory and the Oxford Happiness Inventory. Questionnaires were filled out before the intervention, then positive thinking training was held in eight sessions of 90 minutes. After training program, the was conducted one month after it, the follow-up tools.Results: The results showed that the mean score of anxiety before positive thinking training was (13.58 ± 8.61) and (19.25± 11.67) in the intervention and the control group, respectively. After positive thinking training, the mean scores were (4.50 ±4.07) and (15.54±9.04) in the intervention and control group, respectively. After the intervention, which significantly reduced anxiety the intervention, group (t= 8.10, P<0.001). The mean score of happiness before the test was (26.58±12.40) and (37.91 ± 5.57) in the intervention and control groups, respectively. However, the posttest happiness scores of the intervention and control groups were (62.91± 4.66) and (35.62 ±10.62), respectively. The results showed that implementing positive thinking training increased happiness significantly (t=-4.08, P<0.001).Conclusion: Since positive thinking training effect reducing anxiety and increasing happiness in the elderly. Due to the growing trend of the elderly population, the positive thinking training approach can be used as a suitable, cost-effective, and efficient method in reducing anxiety and increasing happiness in the elderly.


2018 ◽  
Vol 7 (3) ◽  
pp. 324-330
Author(s):  
Mahsa Askarian ◽  
Iran Jahanbin ◽  
Fatemeh Vizeshfar ◽  
Zahra Yazdanpanahi ◽  
Hamideh Mohseni

Objectives: Osteoporosis is one of the major problems of the healthcare system and is a common debilitating metabolic disease among women. Pender’s health promotion model which is a conceptual framework and describes a wide range of health behavior was selected to assess the behavioral changes in this study. Materials and Methods: A total of 122 women aged between 30 and 45 were selected to take part in this quasi-experimental study. The samples were split into experimental and control groups using the block randomization method (block size of 4). The educational program, based on Pender’s model, was performed weekly. Pender’s questionnaire on preventive behaviors of osteoporosis was filled out before and two months after interventions by both groups. SPSS software version 18.0 was used for data analysis. Results: In terms of qualitative and quantitative data (demographic characteristics), there was no meaningful difference between the two groups (P>0.05). The mean difference (MD) in the score of the perceived benefits and barriers, perceived self-efficacy, programming, competing demand, and their commitment to a plan of actions increased in the experimental group after the intervention (P<0.001). However, there was no significant increase in the mean score of social support in the experimental group after the intervention (P>0.05). Conclusions: It can be assumed that teaching preventive behaviors of osteoporosis through Pender’s health promotion model was effective. Considering the findings, it is obvious that continuing this program can maintain and consolidate the changes which have been made in behaviors.


2021 ◽  
Vol 23 (1) ◽  
pp. 11-17
Author(s):  
George Nnamdi Atuanya ◽  
Osayimwen Osas Ero ◽  
Raphael Uchenna Enyinnaya Akpalaba

Purpose: This study was conducted to ascertain the effect of retinal defocusing or retinal blur on lateral heterophoria at far and near.Methods: This was a quasi-experimental study involving 57 participants aged 5 to 35 years, who were selected based on the inclusion criteria of being myopes and emmetropes who had a normal general and ocular health. The Von Graefe technique was used for measuring phoria under standard testing conditions.Results: The mean baseline lateral phoria for emmetropes were 0.53 ± 1.14∆ exophoria and 2.47 ± 2.08∆ exophoria at far and near respectively, while after defocusing, it was 2.80 ± 0.88∆ exophoria and 4.34 ± 1.70∆ exophoria at far and near respectively. For myopes, the baseline lateral phoria was 1.52 ± 1.09∆ exophoria and 4.76 ± 1.13∆ exophoria at far and near respectively while after defocussing, it was 3.39 ± 0.92∆ exophoria at far and 7.60 ± 1.00∆ exophoria at near. The mean difference in lateral phoria was found to be significant at the 95% confidence level (P = 0.000). There was no statistically significant difference in lateral phoria change at far (P = 0.072), while the near phoria difference was significant (P = 0.002).Conclusion: Gas Retinal defocusing with +2.50D resulted in a shift towards exophoria at both far and near, with myopes experiencing more exophoric shift. This is because they are less sensitive to the presence of blur. This will enable practitioners to be cautious of the inhibition of accommodation due to higher exophoria at near when prescribing lenses. Keywords: Retinal Defocus, Myopia, Emmetropia, Near lateral phoria, Distance lateral phoria.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Azar Babaahmadi ◽  
Elham Maraghi ◽  
Soraya Moradi ◽  
Shima Younespour

Background: Biostatistics course is considered essential for nursing education. Thus, conceptual learning in biostatistics is highly critical for postgraduate nursing students. A large proportion of students identify this course as the most anxiety-inducing course. The largest part of students’ anxiety in the semester in which they take biostatistics course is manifested in the form of statistics anxiety in addition to test anxiety. Objectives: To evaluate the effectiveness of the peer learning method in biostatistics course among postgraduate nursing students’ final score and test and statistics anxiety. Methods: This quasi-experimental study was conducted during the first semester of the academic year 2019 - 2020 in the Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences. Students were divided into two separate classes according to their courses. In one class, biostatistics course was taught by peers, and the lecture method as the conventional method was used for teaching in the other class. Test and statistics anxiety questionnaires were completed by the students of both groups before the educational intervention and at the end of the semester. Data was analyzed by SPSS 20 using nonparametric tests. Results: The mean final score in the lecture and peer learning groups were respectively 9.9 ± 4.60 and 11.55 ± 4.76 (P = 0.245). At the end of the course, the mean scores of statistics and test anxiety decreased in the intervention group in comparison to the conventional group. Conclusions: Using the peer learning method in biostatistics course has a positive effect on reducing test and statistics anxiety and increasing final scores in postgraduate nursing students.


Sign in / Sign up

Export Citation Format

Share Document