Correction of microtia with constriction features using a superficial temporal fascial flap combined with a rib cartilage graft

Background Microtia with constricted features is characterized by a short helical length of variable severity, upper antihelical or scaphal deficiency, and a downfolded upper ear. No consensus has been reached regarding the most appropriate surgical method for this condition. In this study, we aimed to introduce a simple and safe surgical method for the correction or reconstruction of upper helix ear deformities.Methods Between February 2011 and June 2014, eight patients with microtia with constricted upper helix ear deformity underwent reconstruction of the ear deformity. The upper ear helical framework was constructed by carving and curving the eighth rib cartilage harvested from the ipsilateral chest wall, covering this cartilage with a superficial temporal fascial flap, and adjusting the skin graft to align with the ear contour. To evaluate their satisfaction, patients were asked to complete a questionnaire regarding ear shape, symmetry, position, color, and overall outcome scored on a 5-point scale at 12 months postoperatively.Results None of the patients experienced severe complications in the reconstructed ear. The preoperative and postoperative vertical ear length ratios were 0.88 and 1.02, respectively. And the mean patient satisfaction scores for shape, symmetry, position, color, and overall outcome were 4.2, 4.5, 4.7, 4.4, and 4.6 out of 5 points, respectively. All patients expressed a high level of satisfaction at 12 months postoperatively.Conclusions Our technique provides a good alternative method for the reconstruction of moderate constricted upper helix ear deformities in patients who meet the surgical indications with satisfactory outcomes and few complications.

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THE HERBAL MEDICINE CONTAINING OF IVY LEAF DRY EXTRACT IN THE TREATMENT OF PRODUCTIVE COUGH IN CHILDREN

Wiadomości Lekarskie ◽

10.36740/wlek202004108 ◽

2020 ◽

Vol 73 (4) ◽

pp. 668-673

Author(s):

Magdalena Olszanecka-Glinianowicz ◽

Zbigniew Doniec ◽

Karina Schönknecht ◽

Agnieszka Almgren-Rachtan

Keyword(s):

Herbal Medicine ◽

Good Alternative ◽

Daily Activities ◽

Therapeutic Effects ◽

Productive Cough ◽

Dry Extract ◽

Outpatient Visits ◽

Primary Health ◽

Level Of Satisfaction ◽

High Level

The aim: The assessment of the therapeutic effects of the herbal medicine containing of ivy leaf dry extract administered twice a day in children with productive cough and their guardians’ satisfaction with the use of this syrup. Material and methods: A multicenter, observational survey was conducted by 268 doctors working in Primary Health Care. The survey was conducted during two routine, consecutive outpatient visits (including first supplemented retrospectively) resulting from the needs of therapy. Results: The study group consisted of 5162 patients treated for productive cough with the herbal medicine containing of ivy leaf dry extract administered twice a day. In 75.7%, productive cough was intense, in 61.6% it occurred at night, in 49.8% it was very common (several times per hour), and in 62.7% it affected daily activity. Most often the syrup containing of ivy leaf dry extract was used in doses twice a day for 2 ml or 4 ml. During observation the percentage of children with intensive, very common, night and affected daily activities cough decreased significantly. Very satisfied with a therapeutic effect of the preparation containing of ivy leaf dry extract administered twice a day were 68.2% of children guardians. Conclusions: The use of the herbal medicine containing of ivy leaf dry extract administered twice a day may be a good alternative to current therapeutic regimens in the treatment of productive cough in children. This recommendation is supported by effectiveness comparable to other medicines and a high level of satisfaction with its use by patients and guardians of chidren.

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Investigating the satisfaction level of physicians in regards to implementing medical picture archiving and communication system (PACS)

10.21203/rs.2.17033/v2 ◽

2020 ◽

Author(s):

Reza Abbasi ◽

Monireh Sadeqi Jabali ◽

Hamidreza Tadayon

Keyword(s):

Significant Relationship ◽

Statistical Tests ◽

University Hospitals ◽

Level Of Satisfaction ◽

Functional Features ◽

The Mean ◽

Picture Archiving And Communication ◽

Kerman City ◽

High Level ◽

Self Administered Questionnaire

Abstract Background: User's satisfaction with PACS is considered as one of the important criteria for assessing success in using PACS. The objective of this study is to determine the level of satisfaction in PACS’ users and also comparing its functional features with traditional film-based systems. Methods: This analytical study was conducted in 2017. Residents at three large university hospitals in Kerman city were included. We used self-administered questionnaire that was consisted of three parts include: demographic information, individuals' satisfaction, comparing features of the two digital and traditional imaging systems. Validity of this questionnaire was approved by specialists and its reliability was obtained as 86%. Data analysis was done with using descriptive statistics and after checking the normality of data, data compared with the spearman, the Mann Whitney U and the Kruskal-Wallis statistical tests. Results: The mean of the participants' ages 31.4 (±4.4) years old and 59% of the participants were females. Mean of overall physicians’ satisfaction with PACS' score has no significant relationship with the variables of age (P=0.611), experience in using PACS (P=0.301), type of specialty (P=0.093), level of interpretation of images using PACS (P=0.762), however it did show a significant relationship with their computer skills (P=0.022). Conclusions: The mean for physicians’ satisfaction with PACS was at a moderate to high level, yet there are still problems in successfully implementing these systems and establishing interoperability between them . PACS has not fully met all the demands of physicians and has not achieved its predetermined objectives such as all-access from different locations .

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Investigating the satisfaction level of physicians in regards to implementing medical picture archiving and communication system (PACS)

10.21203/rs.2.17033/v1 ◽

2019 ◽

Author(s):

Reza Abbasi ◽

Monireh Sadeqi Jabali ◽

Hamidreza Tadayon

Keyword(s):

Significant Relationship ◽

Analytical Study ◽

University Hospitals ◽

Level Of Satisfaction ◽

Functional Features ◽

The Mean ◽

Picture Archiving And Communication ◽

Kerman City ◽

High Level ◽

Self Administered Questionnaire

Abstract Background User's satisfaction with PACS is considered as one of the important criteria for assessing success in using PACS. The objective of this study is to determine the level of satisfaction in PACS’ users and also comparing its functional features with traditional film-based systems.Methods This analytical study was conducted in 2017. Residents at three large university hospitals in Kerman city were included. We used self-administered questionnaire that was consisted of three parts include: demographic information, individuals' satisfaction, comparing features of the two digital and traditional imaging systems. Validity of this questionnaire was approved by specialists and its reliability was obtained as 86%. Data analysis was done with using descriptive statistics and after checking the normality of data, data compared with the spearman, the Mann Whitney U and the Kruskal-Wallis statistical tests.Results The mean of the participants' ages 31.4 (± 4.4) years old and approximately 59% of the participants were females. Mean of overall physicians’ satisfaction with PACS' score has no significant relationship (P>0.05) with the variables of age, experience in using PACS, type of specialty, level of interpretation of images using PACS, however it did show a significant relationship with their computer skills (P<0.05).Conclusions The mean for physicians’ satisfaction with PACS was at a moderate to high level, yet there are still problems in successfully implementing these systems and establishing interoperability between them. PACS has not fully met all the demands of physicians and has not achieved its predetermined objectives such as all-access from different locations.

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Medicines use review service in community pharmacies in Spain: REVISA project

International Journal of Clinical Pharmacy ◽

10.1007/s11096-020-01158-2 ◽

2020 ◽

Author(s):

Nuria García-Agua Soler ◽

Eugenia Gómez-Bermúdez ◽

Vicente J. Baixauli-Fernández ◽

Sara Bellver-Beltrán ◽

Javier Velasco-Martínez ◽

...

Keyword(s):

Willingness To Pay ◽

Structured Interview ◽

Community Pharmacies ◽

Cross Sectional ◽

Convenience Sample ◽

Level Of Satisfaction ◽

Medicines Use ◽

The Mean ◽

High Level ◽

Medicines Use Review

Abstract Background Community pharmacy services play an important role in controlling some factors related to medicine use and patients can benefit from these services to improve the adherence and knowledge of their medications, besides to reduce medicine-related problems. Objective The aim of the REVISA project is to carry out a study on preliminary implementation of the medicines use review service in Spanish community pharmacies. Setting Sixty-four community pharmacies from all regions of Spain. Method A preliminary implementation, cross-sectional multicentre study was conducted using a convenience sample of voluntary community pharmacies. A structured interview enabled to pharmacists to obtain a better understanding of patient’s medicines use. Main outcome measure Medicines use review-related time and cost, satisfaction and willingness to pay. Results A total of 495 patients were enrolled. The mean age of the patients was 66.1 years, with the majority females (56.4%) and a mean consumption of 5.7 medicines. A total of 2811 medicines were evaluated and 550 referral recommendations were made (29.8% to Primary Care). The mean time employed by the pharmacists in the medicines use review service was 52.8 min (medicines use review-related cost of €17.27). Most patients expressed a high level of satisfaction with this service (98.5%) and a willingness to pay for it (84%). Conclusion Medicines use review service in community pharmacies in Spain can be delivered, that it appears to be acceptable to patients and that most patients said they would be willing to pay for it. This service may offer an opportunity to promote inter-professional collaboration between pharmacists and general practitioners.

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Decision making power of college girls in relation to clothing

Indian Journal of Positive Psychology ◽

10.15614/ijpp.v9i01.11746 ◽

2018 ◽

Vol 9 (01) ◽

Author(s):

Parul Gill ◽

Poonam Malik ◽

Pankaj Gill

Keyword(s):

Decision Making ◽

Satisfaction Level ◽

College Going ◽

Level Of Satisfaction ◽

High Level ◽

Garment Design ◽

Structured Questionnaire

The present study was undertaken to explore the decision making patterns of college girls in relation to clothing and their satisfaction level with these decision making patterns. Thirty under graduate college girls from Panipat city were approached to record their responses regarding decision making in relation to clothing and satisfaction level through a well structured questionnaire. It was found that most of the girls (56.66%) themselves made the decisions about the type of garment (Indian, western or both) they wear and majority of girls (70%) were highly satisfied with this decision making. Parents performed the role of buyers for their college going daughters' garments in most of the cases (63.33%) and the 73.33% girls had high level of satisfaction with this. In most of the cases (60%) the decision about the garment design was made by the girls themselves and they were highly satisfied with it. Keywords: clothing, college, girls, decision making.

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DFT Benchmark Study of the O--O Bond Dissociation Energy in Peroxides Validated with High-Level Ab-Initio Calculations

10.26434/chemrxiv.8217221.v1 ◽

2019 ◽

Author(s):

Danilo Carmona ◽

Pablo Jaque ◽

Esteban Vöhringer-Martinez

Keyword(s):

Reference Value ◽

Basis Set ◽

Basis Sets ◽

Mean Deviation ◽

Bond Dissociation ◽

Dissociation Energies ◽

The Mean ◽

Experimental Values ◽

High Level ◽

Almost All

<div><div><div><p>Peroxides play a central role in many chemical and biological pro- cesses such as the Fenton reaction. The relevance of these compounds lies in the low stability of the O–O bond which upon dissociation results in radical species able to initiate various chemical or biological processes. In this work, a set of 64 DFT functional-basis set combinations has been validated in terms of their capability to describe bond dissociation energies (BDE) for the O–O bond in a database of 14 ROOH peroxides for which experimental values ofBDE are available. Moreover, the electronic contributions to the BDE were obtained for four of the peroxides and the anion H2O2− at the CBS limit at CCSD(T) level with Dunning’s basis sets up to triple–ζ quality provid- ing a reference value for the hydrogen peroxide anion as a model. Almost all the functionals considered here yielded mean absolute deviations around 5.0 kcal mol−1. The smallest values were observed for the ωB97 family and the Minnesota M11 functional with a marked basis set dependence. Despite the mean deviation, order relations among BDE experimental values of peroxides were also considered. The ωB97 family was able to reproduce the relations correctly whereas other functionals presented a marked dependence on the chemical nature of the R group. Interestingly, M11 functional did not show a very good agreement with the established order despite its good performance in the mean error. The obtained results support the use of similar validation strategies for proper prediction of BDE or other molecular properties by DF Tmethods in subsequent related studies.</p></div></div></div>

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The way of value of Correlation of genomic DNA microsatellite loci and live weight of Chukchi reindeer

Genetika i razvedenie zhivotnyh ◽

10.31043/2410-2733-2020-3-27-32 ◽

2020 ◽

pp. 27-32

Author(s):

V. Dodokhov ◽

N. Pavlova ◽

T. Rumyantseva ◽

L. Kalashnikova

Keyword(s):

Microsatellite Markers ◽

Agricultural Production ◽

Live Weight ◽

Biodiversity Loss ◽

Tribal Community ◽

High Germination ◽

Wide Range ◽

The Mean ◽

High Level ◽

Dna Microsatellite

The article presents the genetic characteristic of the Chukchi reindeer breed. The object of the study was of the Chukchi reindeer. In recent years, the number of reindeer of the Chukchi breed has declined sharply. Reduced reindeer numbers could lead to biodiversity loss. The Chukchi breed of deer has good meat qualities, has high germination viability and is adapted in adverse tundra conditions of Yakutia. Herding of the Chukchi breed of deer in Yakutia are engaged only in the Nizhnekolymsky district. There are four generic communities and the largest of which is the agricultural production cooperative of nomadic tribal community «Turvaurgin», which was chosen to assess the genetic processes of breed using microsatellite markers: Rt6, BMS1788, Rt 30, Rt1, Rt9, FCB193, Rt7, BMS745, C 143, Rt24, OheQ, C217, C32, NVHRT16, T40, C276. It was found that microsatellite markers have a wide range of alleles and generally have a high informative value for identifying of genetic differences between animals and groups of animal. The number of identified alleles is one of the indicators of the genetic diversity of the population. The total number of detected alleles was 127. The Chukchi breed of deer is characterized by a high level of heterozygosity, and the random crossing system prevails over inbreeding in the population. On average, there were 7.9 alleles (Na) per locus, and the mean number of effective alleles (Ne) was 4.1. The index of fixation averaged 0.001. The polymorphism index (PIC) ranged from 0.217 to 0.946, with an average of 0.695.

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PENGARUH CITRA PERUSAHAAN DAN KEPERCAYAAN TERHADAP KEPUASAN PASIEN PADA RUMAH SAKIT MITRA MEDIKA NAROM KABUPATEN BEKASI

Eqien: Jurnal Ekonomi dan Bisnis ◽

10.34308/eqien.v7i1.111 ◽

2020 ◽

Vol 7 (1) ◽

pp. 41-49

Author(s):

Ajat Sudrajat

Keyword(s):

Patient Satisfaction ◽

Health Services ◽

Corporate Image ◽

Ordinal Scale ◽

Survey Method ◽

Microsoft Excel ◽

Analysis Techniques ◽

Level Of Satisfaction ◽

Verification Methods ◽

High Level

Patient satisfaction at the hospital is a benchmark that is a benchmark for patients in getting health care. Each hospital must run a variety of strategies so that patients feel satisfied with health services, one of the strategies is through a good corporate image and trust, where a good corporate image can increase trust. So that affecting patient satisfaction Mitra Medika Narom Hospital Kabupaten Bekasi. This research was conducted with descriptive and verification methods, namely knowing, analyzing, explaining and testing hypotheses, and making conclusions and suggestions. The sample in this study amounted to 240 respondents using the Eksplanary Survey method. Data analysis techniques used are ordinal scale techniques and path analysis using the Method of Successive Interval (MSI) tool, Microsoft Excel 2016 computer programs and SPSS 16. The results of this study reveal that the company's image at the Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that Mitra Medika Narom Hospital has built and made a good company image so that it is better known to all people. Furthermore, trust in Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that Mitra Medika Narom Hospital has succeeded in building a good and optimal Trust so that patients trust Mitra Medika Narom Hospital to obtain health services. Then the patient satisfaction at the Mitra Medika Narom Hospital in Kabupaten Bekasi is in the agreed criteria, meaning that the patients as respondents feel a high level of satisfaction after completing treatment at the Mitra Medika Narom Hospital. There is a positive, strong and two-way correlation between company image and trust variables of 0.646. There is a partial influence of company image on patient satisfaction at Mitra Medika Narom Hospital significantly by 11.98%. There is a partial influence of trust on patient satisfaction at Mitra Medika Narom Hospital significantly by 25.08%. Then there is a simultan influence of corporate image and trust on patient satisfaction at Mitra Medika Narom Hospital positively and significantly by 37.06% while the remaining 62.94% is contributed by other variables not examined

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Comparative study between fascia lata and temporalis fascia in myringoplasty

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-020-00052-y ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Ayman Ali Abdel Fattah ◽

Abdel Hay Rashad Elasy ◽

Ahmed Helmy Hoseini ◽

Tarek Abdel Rahman Abdel Hafez

Keyword(s):

Tympanic Membrane ◽

Good Alternative ◽

Fascia Lata ◽

The Body ◽

Temporalis Fascia ◽

Fascia Graft ◽

Fascia Lata Graft ◽

Group A ◽

The Mean ◽

Group B

Abstract Background Repair of a perforated tympanic membrane (myringoplasty) can facilitate normal middle ear function, resist infection, and help re-establish normal hearing. Autogenous graft materials are the most popular graft materials used in myringoplasty because of their easy acceptability by the body. This study is conducted to compare between temporalis fascia graft and fascia lata graft in myringoplasty for patients with tubo-tympanic dry perforation. Results A total of 60 patients with persistent dry tympanic membrane perforation were included in our study during the period from January 2018 to May 2020. Patients underwent myringoplasty with temporalis fascia (30 patients as group A) or fascia lata (30 patients as group B). Patients were scheduled for follow-up visits concerning graft status, ear discharge, and audiograms. The mean postoperative air-bone gap in group A was 17.5 ± 4 after 1 month and 8.6 ± 6.9 after 3 months, while in group B, the mean postoperative air-bone gap was 17.6 ± 4.9 after 1 month and 9.4 ± 7.5 after 3 months. There was 90% success in graft uptake in group A, while there was 80% success in group B. Conclusion Using temporalis fascia is still the best and most trustworthy technique of myringoplasty compared to fascia lata graft. However, fascia lata can be a good alternative to temporalis fascia especially in cases of revision myringoplasty, ears having large perforation, or near-total perforation where the chances of residual perforation are high because of the limited margin of remnant tympanic membrane overlapping the graft.

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AB0189 LIPOPROTEIN ABNORMALITIES IN RHEUMATOID ARTHRITIS PATIENTS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.4152 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1119.1-1119

Author(s):

L. Nacef ◽

Y. Besbes ◽

Y. Mabrouk ◽

H. Ferjani ◽

K. Maatallah ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Demographic Data ◽

Calcium Score ◽

Healthy Person ◽

Mean Value ◽

Immunological Parameters ◽

American College Of Rheumatology ◽

Patient Consent ◽

The Mean ◽

High Level

Background:The lipid paradox is termed the decreased cholesterol level in rheumatoid arthritis (RA). Nevertheless, the apolipoprotein levels are usually higher than a healthy person and are predictors of cardiovascular events.Objectives:We aimed to describe lipid abnormalities in RA patients and to look for predictor factors of these changes.Methods:The prospective study was carried out on patients with RA who met the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria. These patients were followed in the rheumatology department of the Kassab Institute.We collected the socio-demographic data, biological and immunological parameters.The lipid assessment included: a measurement of total cholesterol (TC), HDL, LDL, and triglycerides (TG). Lipoproteins APOA1 and APOB were measured. All data were collected after patient consent.Results:Of the 47 patients recruited, 78.7% were female. The mean age was 52.5 ±11.06 [32-76]. The average RA progressed from 86.25 ±63 months [5-288] and was erosive in 81.6% of cases. The rheumatoid factor (RF) was positive in 57.8% of patients, and citrullinated antipeptide antibodies (ACPA) were present in 62.2%. Eight patients had a previous CV history.Mean TC was 4.42 ±1.3 [1.2-7.58], mean HDL was 1.38 ±0.73 [0.18-4.10], mean LDL was 2.55 ±1.16 [0.24-5.54]. The mean TG value was 1.28 ±0.6 [0.24-5.54]. TC elevation was found in 9.1% of cases, HDL in 21.3% of cases, LDL in 5.5% of cases, and TG in 16.4% of cases. Mean APOB/APOA1 ratio was 0.67 ±0.18 [0,46-1,11]. LDL elevation was associated to a high DAS28 (p=0.06, r=0.512). APOA1 was associated to a low DAS28 (p=0.04, r=-0.642).The mean value of APO A1 was 1.36 ±0.21 [0.84-1.81], that of APOB was 0.90 ±0.22 [0.58-1.40]. APOA1 values were lower in patients with high-level LDL (p=0.767). The APOB value was associated with lipid disturbance without significant correlation (p=0.291).Conclusion:Lipid test abnormalities can be found in RA patients outside of any known CV risk factors. APOA1 seems to have a protective effect. Screening and treatment of these abnormalities can prevent CV risk.References:[1]Miguel Bernardes and al. Coronary artery calcium score in female rheumatoid arthritis patients: Associations with apolipoproteins and disease biomarkers. Int J Rheum Dis. 2019;00:1–16.[2]Anna So dergren and al. Biomarkers associated with cardiovascular disease in patients with early rheumatoid arthritis. PLOS ONE. August 5, 2019.Disclosure of Interests:None declared

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