scholarly journals Hysteroscopic Evaluation of Uterine Cavity after Conservative Management of Placenta Accreta

2021 ◽  
pp. 17-25
Author(s):  
Mohammed A. Saker ◽  
Shereef L. Elshwaikh ◽  
Ayman A. Eldorf ◽  
Manal M. AbdAlla
Keyword(s):  
Correlation Coefficient ◽  
Negative Correlation ◽  
Conservative Management ◽  
Placenta Accreta ◽  
Uterine Cavity ◽  
Significant Negative Correlation ◽  
P Value ◽  
Cervical Stenosis ◽  
Intrauterine Adhesions ◽  
Placenta Accrete

Background: Placenta accrete occurs when there is abnormal attachment of the placenta to the uterine wall either partially or totally. Placenta accreta had many complications mainly intraoperative and postpartum including injury to local organs (e.g. bowel, bladder, ureters) and neurovascular structures in the retroperitoneum. The aim of the present study was to evaluate the uterine cavity after conservative management of placenta accreta by using hysteroscope. Materials and Methods: This is prospective study was carried on 40 pregnant at Tanta University Hospital with age >35 years, to detect Presence or absence of intra uterine changes after conservative management of placenta accrete by hysteroscopy, easiness of performing diagnostic hysteroscopy and Correlation between intrauterine changes and operative data. Results: Hysteroscopic examination of the participants showed that 30.0% with incidences of Cervical stenosis, 15.0% with uterine cavity irregularity, 15.0% with intrauterine adhesions, 10.0% with endometrial fibrosis, 5.0% with scar dehiscence and 5.0% with Remnant. There was a statistically significant positive correlation between development of cervical stenosis and endometrial thickness by US (correlation coefficient r = 0.323 with p value 0.042) .There was a statistically significant negative correlation between Endometrial fibrosis and scar thickness (correlation coefficient r = -0.538 with p value <0.001). There was a statistically significant negative correlation between Intra uterine adhesions and scar thickness (correlation coefficient r = -0.470 with p value 0.002). There was a statistically significant negative correlation between uterine cavity irregularity and duration of CS  (correlation coefficient r = -0.320 with p value 0.044). Conclusion: The frequency of abnormal hysteroscopic findings after conservative management of placenta accreta is high, for at least several months after the procedure. The most frequently found abnormalities, associated with conservative treatment, are cervical stenosis, uterine cavity irregularity and Intrauterine adhesions.

Correlation of Implant Stability between two Non-Invasive Methods Using Submerged and non submerged healing protocols; A randomized clinical trail

2020 ◽  
Author(s):  
Marwa Abdel AAL ◽  
Mahmoud El Far ◽  
Nora Mohamed Sheta ◽  
Ahmed Fayyad ◽  
Eman El Desouky ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Negative Correlation ◽  
Significant Negative Correlation ◽  
Female Group ◽  
Implant Stability ◽  
Non Invasive ◽  
Male Group ◽  
Primary Implant ◽  
Edentulous Mandible ◽  
The Difference

Various invasive and non-invasive methods have been used for measuring primary implant stability. Periotest damping device, and resonance frequency analysis (RFA) with the Osstell device have been classified as non-invasive methods.In this clinical randomized trial, a general correlation of primary implant stability was recorded using both the Osstell and Periotest device at the day of implant installation and 3 month after healing for the submerged and non submerged   loading protocols. The gender of included patients were investigated in the correlation of the two devices.Eighty completely edentulous patients were recruited, all patients were of age ranging from 50 to 69 years old. A single implant was installed in the midline of the completely edentulous mandible to improve retention of their lower denture. After implant installation, Implant Stability was recorded using the osstel and periotest device. Patients were then randomized into two groups using sealed envelopes; Submerged (S), and Non Submerged (NS). All ISQ and PTV were recorded at the day of implant installation, and 3 month after healing for both groups.When the ISQ was correlated to the (PTV), there was a moderate negative statistically significant correlation between the two readings, correlation coefficient= -0.466, p=0.000 . There tends to be a weak negative correlation between the two devices in the male group ,while there tends to be no correlation between the two devices in the female group After 3 month healing, there was no statistically significant correlation of the readings with in both groups ;NS and S ; Correlation coefficient =-0.014, -0.430, p=0.942, 0.052 respectively.   A strong negative statistically significant correlation between the two devices for the female group for both, NS and the S group. While there was no statistically significant correlation with in the male group for both groups.The present study concluded that there is a significant negative correlation between the two devices when recording primary implant stability, while this significance is lost after 3 month of loading when recording secondary implant stability. Gender would affect the implant stability recording, this would mainly due to the difference in bone density between the male and female group.

scholarly journals Penetrometer tests on 109 pit latrines in Kibera, Nairobi, Kenya

Water SA ◽  
2018 ◽  
Vol 44 (3 July) ◽  
Author(s):  
D Seal ◽  
RT Bown ◽  
AH Parker
Keyword(s):  
Correlation Coefficient ◽  
Liquid Layer ◽  
Negative Correlation ◽  
Rank Correlation ◽  
Significant Negative Correlation ◽  
Depth Of Penetration ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient ◽  
Pit Latrine ◽  
Thick Crust

Pit latrine contents can have varying consistencies that make the pits challenging to empty. It has been assumed that solids sink to the bottom of the pit with a more liquid layer above this and a scum on the top. This implies that it would be possible to remove the uppermost layers with a pump. However, recent studies have found alternative sludge profiles, including a thick crust on the top. This paper presents penetrometer data from a large number (109) of pit latrines in Kibera, Nairobi, Kenya. The penetrometer consists of a weight, dropped onto an anvil that drives a cone into the pit. The depth of penetration following each impact was measured. This was converted into plots of depth in the pits against penetration. Each pit was analysed using Spearman’s rank correlation coefficient, and categorised into positive or negative correlation, significant or non-significant. Significant, negative correlation was assumed to correspond to pits where the solids had sunk to the bottom. 38% of pits were classified in this way, which suggested that while it is common that the number of impacts required to penetrate the sludge increases with depth in the pit, this is not always the case. Pit emptiers should be prepared to deal with pits with a variety of sludge profiles, including those with a solids layer at the top.

scholarly journals Hubungan Kecerdasan Emosional terhadap Tingkat Depresi Mahasiswa Fakultas Kedokteran Universitas Tarumanagara

2021 ◽  
Vol 2 (8) ◽  
pp. 1071-1079
Author(s):  
Teddy Tjahyanto ◽  
Ni Kanaya ◽  
Grace Keren ◽  
Eunike Angellina Mulyadi ◽  
Kevin Sanjaya Listiono
Keyword(s):  
Emotional Intelligence ◽  
Negative Correlation ◽  
Preventive Measure ◽  
Simple Random Sampling ◽  
Significant Negative Correlation ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

The World Health Organization (WHO) recognize the COVID-19 pandemic as an imminent global threat. To dampen the spread of the highly-contagious virus, the Indonesian government has imposed several social-distancing and government regulations. Nonetheless, these regulations result in peripheral effects; many people are subject to loneliness, fear, and anxiety—all of which leads to depression. Statistical evidence show that depression is very much prevalent in Indonesians—reaching a staggering 62% as of August 2020. Multiple studies have proven the negative correlation between emotional intelligence—which is the ability to regulate and control emotions—and depression. Consequently, this study aims to determine the relationship between emotional intelligence and depression in medical students of Universitas Tarumanagara batch 2019. Using a descriptive analytic research design with a cross-sectional approach, we obtained data through simple random sampling a total of 154 respondents who answered an emotional intelligence questionnaire used as a proxy in determining the level of emotional intelligence. Statistical analysis using the chi-square test confirmed that there is a significant negative correlation between emotional intelligence and depression during the COVID-19 pandemic, yielding a p-value of 0.003. In conclusion, students can improve their level of emotional intelligence as a preventive measure of depression during the COVID-19 pandemic.

scholarly journals Placenta Accreta Syndrome- A Calamitous Diagnosis

2021 ◽  
Vol 4 (7) ◽  
pp. 01-04
Author(s):  
Kanika Chopra
Keyword(s):  
Conservative Management ◽  
Placenta Accreta ◽  
Standard Procedure ◽  
Effective Management ◽  
Life Threatening ◽  
Established Role ◽  
Placenta Accrete ◽  
Underlying Risk ◽  
The Ideal

Increasing incidence of Placenta accrete syndrome has become a worrisome issue due to its associated life-threatening complications for both the mother and the fetus. The ideal management for PAS disorder remains the matter of debate still. The critical step in its effective management being its suspicion knowing the underlying risk factors and its diagnosis in antenatal period. Still, cesarean hysterectomy remains the gold standard procedure with many newer conservative approaches under evaluation. Our basic aim behind writing this review is to highlight the recent changes in classifying and diagnosing PAS owing to the ever-increasing incidence of this catastrophic entity. Also, it will emphasize the well-established role of radical over conservative management and also all modalities used in conservative management so far.

scholarly journals Vitamin D Status in Neonatal Pulmonary Infections: Relationship to Inflammatory Indicators

2019 ◽  
Vol 7 (23) ◽  
pp. 3970-3974 ◽  
Author(s):  
Ghada M. El-Kassas ◽  
Maged A. El Wakeel ◽  
Mona A. Elabd ◽  
Alyaa H. Kamhawy ◽  
Mohamed Abdel Atti ◽  
...  
Keyword(s):  
Vitamin D ◽  
Mechanical Ventilation ◽  
Hospital Stay ◽  
Negative Correlation ◽  
Serum Vitamin ◽  
Significant Negative Correlation ◽  
P Value ◽  
Pentraxin 3 ◽  
Serum Vitamin D ◽  
Significant Difference

AIM: The study aimed to evaluate serum vitamin D concentrations among neonates with pneumonia. METHODS: This case-control study enrolled 33 neonates with pneumonia in addition to 30 healthy controls. CBC, CRP, Serum vitamin D and Pentraxin 3 levels were measured for all participants. RESULTS: There was significant difference between patients and controls regarding Hemoglobin levels, TLC and CRP (p value < 0.01, = 0.002, < 0.01 respectively). Patients with pneumonia showed significant lower levels of Vit. D (9 ± 2.1) compared to controls (14.1 ± 2.8), P value < 0.01. However, patient group had significant higher levels of Pentraxin 3 (29.1 ± 4.8) compared with controls (12.6 ± 3), P value < 0.01. Moreover, mechanically ventilated patients revealed significant lower vit D (7.7 ± 1.8) and higher pentraxin 3 (32.2 ± 2.6) compared to patients on free oxygen (9.1 ± 2.1, 26.4 ± 3.7 respectively), P value = 0.05, 0.02 respectively. Regarding hospital stay, it had significant positive correlation with serum pentraxin 3 (r = 0.6, P value < 0.01) and significant negative correlation with serum vit D (r = -0.4, P value = 0.04). Finally a significant negative correlation between serum levels of vitamin D and Pentraxin 3 was found (r = -0.4, P value = 0.01). CONCLUSION: Lower concentration of serum vitamin D may be significantly associated with neonatal pneumonia. It also can predict the need for mechanical ventilation and duration of hospital stay in neonatal pneumonia. Similarly, higher levels of Pentraxin 3 may be used as an indicator for mechanical ventilation need and a longer hospital stay in neonates with pneumonia.

scholarly journals Six-Minute Walk Test and its Correlation with Spirometry in Stable COPD Patients

2021 ◽  
Author(s):  
B. Sai Krishna ◽  
Amrut Kumar Mohapatra ◽  
Debasis Behera ◽  
Suman Kumar Jagaty ◽  
Saswat Subhankar ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Negative Correlation ◽  
Significant Negative Correlation ◽  
Chronic Obstructive ◽  
P Value ◽  
Walk Test ◽  
Predisposing Factor ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Minute Walk

Abstract Objectives An impaired exercise tolerance, the main feature in chronic obstructive pulmonary disease (COPD), occurs due to multiple factors. The 6-minute walk test (6MWT) is easy to perform, well-tolerated, and more reflective of activities of daily living. The facility of spirometry is unavailable in many areas of India, where 6MWT can be done easily. This study aims to compare the six-minute walk distance (6MWD) with various demographic, clinical, and spirometry parameters. Materials and Methods A total of 118 consecutive stable COPD patients fitting the criteria were included in the study. Spirometry was performed in these patients before and after giving a short-acting bronchodilator. 6MWT was performed according to the ATS guidelines. All patients underwent the 6MWT after 10 minutes of spirometry. Statistical analysis was done using GraphPad calculator and SPSS 24.0. Statistical Analysis All data were clubbed together in a single Excel chart. Statistical analysis was done using SPSS 24.0. Descriptive data are presented as mean ± standard deviation (SD). Qualitative data are presented as a percentage. Analysis of variance (ANOVA) was used to compare between means. The linear regression model was used to compare between variables. A p-value less than 0.05 was considered significant. Results The majority of the patients were > 60 years of age (mean age = 62.99 ± 6.68 years) and comprised males and females in the ratio 5.9:1. Smoking was determined to be the most important predisposing factor for the development of COPD. There was a significant negative correlation between 6MWD, age, and smoking index (p = 0.0075 and 0.0295 respectively). The 6MWD showed a significant positive correlation with FEV1 (in liters), FEV1 (%), FVC (in liters), and FVC (%). The 6MWD (meters) and % predicted 6MWD showed a significant negative correlation with a drop in SpO2 after the 6MWT (r = –0.36; p = 0.000769, r = –0.3; p = 0.004, respectively). Conclusion 6MWT can be used in cases of COPD where spirometry is unavailable as it correlates significantly with various parameters of the latter.

scholarly journals OPTICAL COHERENCE TOMOGRAPHY (OCT);

2014 ◽  
Vol 21 (06) ◽  
pp. 1264-1271
Author(s):  
Qamar Qamar Mehboob ◽  
M.H Qazi ◽  
Muhammad Arif
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Macular Edema ◽  
Correlation Coefficient ◽  
Negative Correlation ◽  
Significant Negative Correlation ◽  
Research Centre ◽  
Optical Coherence ◽  
Department Of Ophthalmology ◽  
The Right

Objectives: To see the consequences of diabetic macular edema as assessed by optical coherence tomography (OCT) and visual acuity (V/A). Design: A prospective observational study. Patients were selected by simple random technique. Duration: Jan 2012 - Dec 2013. Material and Methods: A total of one hundred patients (200 eyes) of ages forty two to sixty three years with an average age of 51.04 ± 6.26 years of either sex were included. All these patients were examined in the outpatient department and were diagnosed as diabetic with macular edema and no opacity in refractive media. Their V/A was checked. OCT was performed in the Diagnostic & Research Centre, Department of Ophthalmology, Allied Hospital, Faisalabad. Results: Out of 200 eyes on OCT our findings were Diffuse Retinal Thickening in 199 eyes (99.5%), Cystoid Macular Edema in 119 eyes (59.5%), Subretinal Fluid in 48 eyes (24%), Epiretinal Membrane in 15 eyes(7.5%), Vitreomacular Traction in 11 eyes (5.5%) and Taut Posterior Hyaloid Membrane in 4 eyes(2%). The visual acuity on the right side was 0.29±0.19 and on left side it was 0.38±0.11. The macular thickness was 437.10±82.57 microns on the right side and 414.01±69.35 microns on the left side. The best-corrected visual acuity was significantly correlated with central foveal thickness. Our results showed, on the right side, a significant negative correlation (correlation coefficient: -0.355, p<0.01) between them. On the left side, a significant negative correlation (correlation coefficient: -0.362, p<0.01) was recorded.

scholarly journals Correlation coefficient and path analysis studies in tomato (Solanum lycopersicum L.)

2021 ◽  
Vol 23 (2) ◽  
pp. 175-180
Author(s):  
RAJEEV KUMAR ◽  
Keyword(s):  
Path Analysis ◽  
Solanum Lycopersicum ◽  
Correlation Coefficient ◽  
Negative Correlation ◽  
Significant Negative Correlation ◽  
Fruit Weight ◽  
Fruit Yield ◽  
Solanum Lycopersicum L ◽  
Positive Correlations ◽  
Positive Direct

The investigation was carried out at the Horticulture Research Farm of the B.B.A. University, Lucknow (UP), India during rabi season of 2017-18 and 2018-19 to. Study the correlation coefficient and path analysis in tomato (Solanum lycopersicum L.). The twenty genotypes were evaluated in randomized block design with three replication. Genotypic correlation coefficient was indicated that fruit yield (q ha-1) exhibited highly significant positive correlations with average fruit weight (1.042), fruits per plant (0.996), branches per plant (0.831) and fruits per cluster (0.749). It also registered significant negative correlation with days to 50 % flowering (-0.835). However, phenotypic correlation coefficient indicated that fruit yield (q ha-1) had highly significant positive correlations with fruits per plant (0.977), clusters per plant (0.893), average fruit weight (0.729) whereas, significant negative correlation with days to 50 % flowering (-0.178). Path analysis revealed that the traits like fruit yield kg/plot (1.430) and fruit yield per plant (0.034) exhibited positive direct effects on fruit yield and these traits also recorded positive correlation with yield. This suggested that direct selection based on these traits will be rewarding for crop yield improvement.

scholarly journals PLACENTA ACCRETA

2018 ◽  
Vol 25 (02) ◽  
pp. 335-339
Author(s):  
Afshan Ambreen ◽  
Farhat ul Ain Ahmed ◽  
Sobia Zafar ◽  
Abeer Saeed ◽  
Sundus Mushtaq ◽  
...  
Keyword(s):  
Informed Consent ◽  
Conservative Management ◽  
Placenta Accreta ◽  
Uterine Cavity ◽  
Placental Tissue ◽  
Morbidity And Mortality ◽  
Future Fertility ◽  
Obstetrical Emergency

Placenta accreta is an obstetrical emergency associated with significantmaternal morbidity and mortality. Traditionally, hysterectomy at the time of cesarean sectionhas been the mainstay of therapy especially in cases where diagnosis is made antenatally. Inrecent years different conservative treatments for partly or totally adherent placental tissue inthe uterine cavity have been reported in patients willing to preserve fertility. We report a case ofsuccessfully managed placenta accreta with methotrexate in our department. The patient washaemodynamically stable, had desire for future fertility and gave informed consent to all thepossible risks of conservative management including repeated episodes of bleeding, multipleblood transfusions, pain, infection, delayed hysterectomy and prolonged follow up. We useda regimen of two doses of methotrexate given a week apart. Further studies are required tostudy the effectiveness of methotrexate and to establish its dose and schedule in conservativemanagement of placenta accreta.

scholarly journals Hubungan Spiritualitas dengan Kesepian pada Lansia di UPT Pelayanan Sosial Tresna Werdha (PSTW)

2018 ◽  
Vol 6 (3) ◽  
pp. 438
Author(s):  
Ulfi Bini’Matillah ◽  
Latifa Aini Susumaningrum ◽  
Muhammad Zulfatul A`la
Keyword(s):  
Coping Strategy ◽  
Negative Correlation ◽  
Random Sampling ◽  
Life Quality ◽  
Simple Random Sampling ◽  
Significant Negative Correlation ◽  
Psychological Disorder ◽  
P Value ◽  
Significance Level ◽  
Analytic Design

Elderly is a condition where someone experience a lot of changes, for instance psychological change.Loneliness is a elderly psychological disorder elderly that can be overcome with spirituality. This studyaimed to analyze the correlation between spirituality and loneliness in elderly in the Pelayanan SosialTresna Werdha (PSTW) Jember. This research applied an observasional analytic design with crosssectional approach. 91 respondents are gained by employing simple random sampling using SpiritualWell-Being Scale (SWBS)(r=0,895) and UCLA Loneliness Scale (r=0,94). Data were analyzed byusing Spearmen correlation test with significance level of 0.05. The result of the spirituality variablereserach shows 71,00 median and ± 45-86, meanwhile on loneliness variable 38,00 median and ± 20-69. There was a significant negative correlation between spirituality ang loneliness (p value: 0.000 ; r:-0,718). Spirituality become one of coping strategy to overcome elderly’s loneliness. Spiritualitybecome power to elderly in facing problem and increasing life quality so can decrease their loneliness.The study shows that the importance of increasing the spirituality to decrease loneliness level onelderly who live at Panti Werdha.Keywords: elderly, spirituality, loneliness

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