Prospective Study
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2022 ◽  
Vol 42 (2) ◽  
pp. 286-289
Shinae Yu ◽  
Sae Am Song ◽  
Kyung Ran Jun ◽  
Ha Young Park ◽  
Jeong Nyeo Lee

2021 ◽  
Vol 30 (4) ◽  
pp. 287-293
Rezzan Eren Sadioglu ◽  
Merve Aktar ◽  
Berker Duman ◽  
Sim Kutlay ◽  

2021 ◽  
Vol 4 (1) ◽  
Lawal B. Abdullahi ◽  
Mohammad A. Mohammad ◽  
Lofty-John C. Anyanwu ◽  
Mohammad S. Aliyu ◽  
Bilya I. Liman

Intussusception is defined as the telescoping of a segment of the gastrointestinal tract within the lumen of the adjacent segment usually proximal to distal. It is a common cause of intestinal obstruction in children, rarely it can occur in adult. This condition is reported in both developed and developing countries, however there are few publications in Nigeria about the incidence, presentation and outcome of its management, most especially in children. This is a prospective study of pediatric patients managed in single center Kano over a period of 18months. The demographic data, clinical features, treatment and outcome of the management were evaluated and analyzed using SPSS version 23. Between June 2018 to December 2019, twenty-five children were managed with intussuception at Aminu Kano Teaching Hospital, there were 16 males and 9 females. The age of the patients ranges between 5 months to 6 years with most of patients in the ager range between 6 and 12 months. All of the 25 patients had exploratory laparotomy with manual reduction in 12 patients, while 13 patients had resection and anastomosis. Non-operative reduction using normal saline under ultrasound guidance was attempted for 2 patients, which was not successful. The length of hospital stay ranged between 4 days and 22 days. Few complications were observed which includes surgical site infection, wound dehiscence, postoperative ileus. One patient was re-operated for recurrent intussuception. Two patients died post operatively, while 23 patients were discharged home alive. Intussuception is still a common cause of intestinal obstruction in children in Kano. Late presentation was found to be associated with higher morbidity (complications).

2021 ◽  

Abstract Objectives:To verify the Correlation between the Neonatal Infant Pain Scale (NIPS) and Premature Infant Pain Profile – Revised (PIPP-R), the internal consistency of each scale, and assess the reliability between evaluators in the assessment of pain during the aspiration procedure in premature newborns. Methods: an observational, prospective study. Participated in the study, 50 infants who met the following criteria for inclusion: Newborn (NB) preterm (GA> 26 weeks and <36 weeks and five days) with low birth weight (<2500 g), hemodynamically stable, with minimal sedation or without sedation or mechanical ventilation in CPAP or catheter nose of O2 or the air environment that needed to perform the procedure of vacuum in the period of hospitalization. The evaluation of the newborns occurred during three different aspiration procedures; aspiration 1 (no intervention), aspiration 2 (use of gentle touch), and aspiration 3 (use of sucrose). They have applied two evaluation instruments, NIPS and PIPP-R. that Cronbach's alpha determined the internal consistency, reliability between evaluators by the coefficient of Correlation intraclass, validity competitor by Spearman test. Results: Internal Consistency was high for NIPS (r= 0.824) and moderate for PIPP-R (0.655). Reliability between raters was high respectively in the three conditions 0.991; 0.987; 0.993 on the NIPS scale and 0.997; 0.986; 0.977 on the PIPP-R scale. One observed concurrent validity Only in the first aspiration. Conclusion: the NIPS seems to have a better utility clinic than PIPP-R; however, the two scales showed good reliability among the evaluators, and internal consistency, being a good choice for evaluation of pain during the procedure of aspiration.

Jionghui Gu ◽  
Tong Tong ◽  
Chang He ◽  
Min Xu ◽  
Xin Yang ◽  

2021 ◽  
Elise Deluche ◽  
Henri Salle ◽  
Sophie Leobon ◽  
Teeva Facchini-Joguet ◽  
Alexandre Troussel ◽  

Abstract Background: Delivering bad news is difficult and requires specific training, but this training can be accomplished through high-fidelity simulation (HFS). This prospective study was conducted to objectively evaluate the emotional impact of HFS as an effective tool to develop clinical proficiency.Methods: This prospective feasibility study was conducted from January 2021 to May 2021. Students received a 1- or 2-day training course. The emotional impact of the intervention was evaluated by self-questionnaire and by an Affect-tag wristband that analysed Emotional power (EP), Emotional density (ED), and Cognitive load (CL).Results: The study population included 46 students with a median age of 25 years (range 21–34 years). Participants were emotionally and effectively involved in the HFS training without being completely overpowered by emotions, which may be an inherent feature of the training format. Students who participated twice improved their EP (p < 0.001) and decreased their ED (p = 0.005). CL remained stable (p = 0.751). The mean time of the first and second training increased (1:41 vs. 2:16, p = 0.02). Skills improved as assessed by self-questionnaires and by outsiders (actor/nurse).Conclusion: HFS is a good method for this type of training, considering the emotional impact. Training in delivering bad news was improved through objective practice and self-assessment by participants.

2021 ◽  
Vol 8 (3) ◽  
pp. 213-218
Md. Jawed Akhtar ◽  
Raag Reeti ◽  
Binod Kumar ◽  
Rajiv Ranjan Sinha ◽  
Avanish Kumar

: Knee deformities can be reliably assessed by using morphometric parameters of upper end of tibia. Total knee arthroplasties are done to treat many types of arthritis and injuries involving knee joint. So, there is a need to have data of various morphometric parameters of upper end of tibia in order to have better surgical outcomes. The present study was attempted to provide values of different parameters in the population of Bihar.: The present study was a cross-sectional and prospective study conducted on 50 tibia of unknown gender and age in the Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna. Fully ossified, dried, macerated and thoroughly cleaned tibia were taken to measure different parameters of upper end with the help of digital vernier calliper. The data thus obtained were tabulated and analysed statistically using Microsoft excel software.: It was found that the diameters of medial condyle were more than the lateral condyle. The antero-posterior diameter was more than the transverse diameter in case of both the condyles. But the difference between the right and the left side was not statistically significant.: The present study will help in providing a baseline data for designing of the prosthesis used in total knee replacement surgeries. It will also be helpful to anthropologists and forensic experts.

2021 ◽  
Adriana Sierra ◽  
Sol Otero ◽  
Eva Rodriguez ◽  
Anna Faura ◽  
Maria Vera ◽  

The GenoDiabMar registry is a prospective study aims to provide data on demographic, biochemical and clinical changes, from a real-world population of Type 2 DM (T2D) patients. This registry is addressed to find new biomarkers related to the micro and macrovascular complications of T2D, especially focused on diabetic nephropathy. The registry includes longitudinal serum and urine samples, DNA bank, as well as data on 227 metabolomics profiles, 77 Immunoglobulin G glycomics traits and others emerging biomarkers. 650 patients aged 69.56 +/- 9.31 with different grades of chronic kidney disease; (G1-2 50.3%, G3 31.4%, G4 10.8% and G5 7.5%) were followed up for 4.96 (+/-0.43) years. Regardless of albuminuria, women lost 0.93 (0.40-1.46) glomerular filtration units per year less than men. 17% of the participant experienced rapid progression of renal function, 75.2% men, with differential risk factors between sexes; severe macroalbuminuria >300mg/g for men OR[IQ] 2.40 [1.29:4.44] and concomitant peripheral vascular disease 3.32 [1.10:9.57] for women. An overall mortality of 23% was detected (38% due to Cardiovascular aetiology). This cohort is postulated as a great tool for scientific collaboration for studies, whether they are focused on T2D, or whether they are interested in comparing differential markers between diabetic and non-diabetic populations

2021 ◽  
Vol 8 ◽  
Tijn P. J. Jansen ◽  
Suzette E. Elias-Smale ◽  
Stijn van den Oord ◽  
Helmut Gehlmann ◽  
Aukelien Dimitiriu-Leen ◽  

Introduction: Invasive coronary function testing (CFT) has become the recommended diagnostic tool to assess the various endotypes of coronary vasomotor dysfunction in patients with angina and no obstructive coronary artery disease (ANOCA), which has implications for therapy and prognosis. Although the expanding performance of CFT is leading to increased knowledge of coronary vasomotor dysfunction, little is known about sex-related differences in the results of comprehensive CFT.Methods: We conducted a prospective study of all consecutive patients with ANOCA that underwent clinically indicated CFT in a tertiary interventional from February 2019 to February 2021. CFT consisted of acetylcholine testing to diagnose epicardial or microvascular spasm, and adenosine testing to diagnose CMD. CMD was defined as an index of microvascular resistance (IMR) ≥ 25 and/or coronary flow reserve (CFR) &lt; 2.0.Results: In total, 228 women and 38 men underwent CFT. No differences in traditional risk factors were seen, but women had a higher prevalence of migraine (45 vs. 14%, p = 0.001). Men more often had a history of percutaneous coronary intervention (12 vs. 49%, p = 0.001). We found no difference in clinical presentation. Coronary vasomotor dysfunction was present in 95% of men and 88% of women (p = 0.25), but males show more often epicardial spasm and less microvascular spasm than women (63 vs. 42% and 29 vs. 40% respectively, p = 0.039). Impaired CFR was more prevalent among females (6 vs 20%, p = 0.033). IMR [median of 23 (15–32) vs. 19 (13–25), p = 0.08] did not differ between the sexes.Conclusion: Men undergoing CFT show a comparable prevalence of coronary vascular dysfunction as women. However, men have a higher prevalence of epicardial spasm and a lower prevalence of microvascular spasm compared with women. An impaired CFR was more often present in women, with an equally impairment of IMR.

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