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Objective. To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eating, physical activity, and sleep behavior among nursing staff in India. Methods.A crosssectional descriptive E-survey was conducted among 942 nursing staff. The validated electronic survey questionnaire was used to assess the changes in lifestyle-related etiquette before and during COVID-19 Pandemic. Results. A total of 942 responses (mean age 29.01±5.7years) were collected, 53% of the respondents were men. A slight decline in healthy meal consumption pattern (p<0.0001) and a restriction of unhealthy food items were observed (p<0.0001), and also reduction in physical activity coupled with decreased participation in leisure-related activities was seen (p<0.0001). The stress and anxiety slightly increase during COVID19 pandemics (p<0.0001). Additionally, social support extended by family and friends to maintain healthy lifestyle-related behaviors also significantly decreased during COVID-19 PANDEMIC pandemics compared to before (p<0.0001). Although the COVID-19 Pandemic slightly reduced the intake of healthy meals and deterred participants from consuming unhealthy food, this this may have led to individual weight loss. Conclusion. In general, there was a negative impact on, lifestyle like diet, sleep and mental health was observed. A detailed understanding of these factors can help to develop interventions to mitigate the harmful lifestyle-related etiquette that has manifested during COVID-19 Pandemic.
Objetivo. Analizar el impacto de la pandemia por COVID-19 en las etiquetas relacionadas con el estilo de vida (alimentación, actividad física y comportamiento del sueño) entre enfermeras de la India. Método. Se realizó un estudio de corte transversal en el que participaron 942 enfermeros de todo el país. Se utilizó un cuestionario electrónico validado para evaluar los cambios en los estilos de vida antes y durante la pandemia por COVID-19. Resultados. La edad media fue de 29.01±5.7años, 53% fueron hombres. En comparación con antes de la pandemia por COVID-19, durante la misma se observó un ligero descenso en el patrón de consumo de comidas saludables (p<0.0001) y se observó una restricción de alimentos poco saludables (p<0.0001, además de una reducción de la actividad física junto con una menor participación en actividades relacionadas con el ocio (p<0.0001). El estrés y la ansiedad aumentaron ligeramente (p<0.0001). Además, el apoyo social prestado por la familia y los amigos para mantener comportamientos saludables relacionados con el estilo de vida también disminuyó significativamente durante la pandemia en comparación a antes (p<0.0001). Aunque la pandemia por COVID-19 redujo ligeramente la ingesta de comidas saludables y disuadió a los participantes de consumir alimentos poco saludables, esto puede haber conducido a una pérdida de peso individual. Conclusión. En general, se observó un impacto negativo en el estilo de vida, como la dieta, el sueño y la salud mental. Una comprensión detallada de estos factores puede ayudar a desarrollar intervenciones para mitigar la etiqueta nociva relacionada con el estilo de vida que se ha manifestado durante la pandemia COVID-19 en los enfermeros en India.
Objetivo. Analisar o impacto da pandemia de COVID-19 nos rótulos do estilo de vida (dieta, atividade física e comportamento do sono) entre enfermeiras na Índia. Método. Foi realizado um estudo transversal do qual participaram 942 enfermeiros de todo o país. Um questionário eletrônico validado foi usado para avaliar as mudanças no estilo de vida antes e durante a pandemia de COVID-19. Resultados.A média de idade foi de 29.01±5.7 anos, 53% eram homens. Comparado com antes da pandemia de COVID-19, observou-se uma leve diminuição no padrão de consumo de refeições saudáveis durante a pandemia (p<0.0001), além de redução da atividade física e menor participação em atividades relacionadas ao lazer (p<0.0001). O estresse e a ansiedade aumentaram ligeiramente (p<0.0001). Além disso, o apoio social fornecido pela família e amigos para manter comportamentos de estilo de vida saudável também diminuiu significativamente durante a pandemia em comparação com antes dela (p<0.0001). Conclusão. Em geral, foi observado um impacto negativo no estilo de vida, como dieta, sono e saúde mental. Uma compreensão detalhada desses fatores pode ajudar a desenvolver intervenções para mitigar a etiqueta prejudicial relacionada ao estilo de vida que se manifestou durante a pandemia de COVID-19 entre enfermeiras na Índia.
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Healthy Lifestyle , COVID-19 , Sleep Quality , Nursing StaffABSTRACT
Background/Aims@#Gastric varices (GV) are present in 25% of cirrhotic patients with high rates of rebleeding and mortality. Data on endoscopic ultrasound (EUS)-guided treatment in severe liver disease (model for end stage liver disease sodium [MELD-Na] >18 and Child-Turcotte-Pugh [CTP] C with GV) are scarce. Thus, we performed a retrospective comparison of endoscopic glue injection with EUS-guided therapy in cirrhotic patients with large GV. @*Methods@#A retrospective study was performed in the tertiary hospitals of India. A total of 80 patients were recruited. The inclusion criteria were gastroesophageal varices type 2, isolated gastric varices type 1, bleeding within 6 weeks, size of GV >10 mm, and a MELD-Na >18. Treatment outcomes and complications of endoscopic glue injection and EUS-guided GV therapy were compared. @*Results@#In this study, the patients’ age, sex, liver disease severity (CTP, MELD-Na) and clinical parameters were comparable. The median number of procedures, injected glue volume, complications, and GV obturation were better in the EUS group, respectively. On subgroup analysis of the EUS method (e.g., direct gastric fundus vs. paragastric collateral [PGC] coil placement), PGC coil placement showed decreased coil requirement, less injected glue volume, decreased luminal coil extrusion, and increased successful GV obturation. @*Conclusions@#EUS-guided treatment is more efficient and safer, and requires a smaller number of treatment sessions, as compared to endoscopic treatment in severe liver disease patients with large GV. Furthermore, PGC coil placement increases the complete obliteration of GV.
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Background/Aims@#Non-alcoholic fatty liver disease (NAFLD) is associated with the development of cardiovascular disease. While existing studies have examined cardiac remodeling in NAFLD, there has been less emphasis on the development of carotid atherosclerosis and stroke. We sought to conduct a meta-analysis to quantify the prevalence, risk factors, and degree of risk increment of carotid atherosclerosis and stroke in NAFLD. @*Methods@#Embase and Medline were searched for articles relating to NAFLD, carotid atherosclerosis, and stroke. Proportional data was analysed using a generalized linear mixed model. Pairwise meta-analysis was conducted to obtain odds ratio or weighted mean difference for comparison between patients with and without NAFLD. @*Results@#From pooled analysis of 30 studies involving 7,951 patients with NAFLD, 35.02% (95% confidence interval [CI], 27.36–43.53%) had carotid atherosclerosis with an odds ratio of 3.20 (95% CI, 2.37–4.32; P<0.0001). Pooled analysis of 25,839 patients with NAFLD found the prevalence of stroke to be 5.04% (95% CI, 2.74–9.09%) with an odds ratio of 1.88 (95% CI, 1.23–2.88; P=0.02) compared to non-NAFLD. The degree of steatosis assessed by ultrasonography in NAFLD was closely associated with risk of carotid atherosclerosis and stroke. Older age significantly increased the risk of developing carotid atherosclerosis, but not stroke in NAFLD. @*Conclusions@#This meta-analysis shows that a stepwise increment of steatosis of NAFLD can significantly increase the risk of carotid atherosclerosis and stroke development in NAFLD. Patients more than a third sufferred from carotid atherosclerosis and routine assessment of carotid atherosclerosis is quintessential in NAFLD.
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Background@#and Purpose Mechanical thrombectomy (MT) is an effective treatment for patients with basilar artery occlusion (BAO) acute ischemic stroke. It remains unclear whether bridging intravenous thrombolysis (IVT) prior to MT confers any benefit. This study compared the outcomes of acute BAO patients who were treated with direct MT versus combined IVT plus MT. @*Methods@#This multicenter retrospective cohort study included patients who were treated for acute BAO from eight comprehensive stroke centers between January 2015 and December 2019. Patients received direct MT or combined bridging IVT plus MT. Primary outcome was favorable functional outcome defined as modified Rankin Scale 0–3 measured at 90 days. Secondary outcome measures included mortality and symptomatic intracranial hemorrhage (sICH). @*Results@#Among 322 patients, 127 (39.4%) patients underwent bridging IVT followed by MT and 195 (60.6%) underwent direct MT. The mean±standard deviation age was 67.5±14.1 years, 64.0% were male and median National Institutes of Health Stroke Scale was 16 (interquartile range, 8 to 25). At 90-day, the rate of favorable functional outcome was similar between the bridging IVT and direct MT groups (39.4% vs. 34.4%, P=0.361). On multivariable analyses, bridging IVT was not asComorbidisociated with favorable functional outcome, mortality or sICH. In subgroup analyses, patients with underlying atherosclerosis treated with bridging IVT compared to direct MT had a higher rate of favorable functional outcome at 90 days (37.2% vs. 15.5%, P=0.013). @*Conclusions@#Functional outcomes were similar in BAO patients treated with bridging IVT versus direct MT. In the subgroup of patients with underlying large-artery atherosclerosis stroke mechanism, bridging IVT may potentially confer benefit and this warrants further investigation.
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Objective@#Cervical cancer (CC) is a major public health problem in women, and its early detection can help reduce morbidity and mortality. The objective of this study was to compare serum levels of soluble major histocompatibility complex class I-related chain A (sMICA) levels in various body fluids between women diagnosed with CC and healthy women. @*Methods@#A case-control study was conducted at a tertiary care hospital and a cancer center in Kolhapur, India. Overall, 150 individuals (100 CC patients and 50 healthy women) participated after providing informed written consent. Demographic data, histopathology history, parity, and tumor, node, and metastasis (TNM) staging data were collected. Pap smears, saliva, blood, and urine samples were collected. Pap smears were examined microscopically, and sMICA levels in all samples were determined by enzyme-linked immunoassay (ELISA). @*Results@#The mean age of women with cervical cancer was 49.86±8.18 years. Squamous cell carcinoma (70%) was the most common histological variant in CC patients. Serum soluble sMICA levels differed significantly with parity and TNM staging (P<0.05). Mean levels of sMICA were significantly different in samples (CC cases vs. healthy patients; saliva: 166.721±108.718 vs. 0.039±0.005 pg/mL; urine: 82.921±45.580 vs. 0.010±0.005 pg/mL; serum: 35.756±10.799 vs. 0.039±0.005 pg/mL, P<0.001). @*Conclusion@#Levels of sMICA in body fluids can be considered as a diagnostic or prognostic tool to determine disease progression or tumor regression.
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INTRODUCTION@#Diabetes increases the risk of ischaemic stroke especially among Asians. This study aims to investigate contemporaneous long-term cardiovascular outcomes of ischaemic stroke patients with diabetes in a multi-ethnic Asian cohort.@*METHODS@#Consecutive patients with ischaemic stroke were recruited from the National University Hospital, Singapore. Data on age, gender, ethnicity, risk factors (including diabetes status and body mass index [BMI]), stroke severity and mechanisms were collected. These patients were followed up until the day of the first cardiovascular event or July 2016, whichever was earlier. The primary endpoint was the time from enrolment to the first occurrence of a composite of cerebrovascular and coronary artery events.@*RESULTS@#Between July 2011 and December 2013, 720 patients (mean age 60.6 years, 71% men, 43% with diabetes, median National Institute Health Stroke Severity scale 2) were enrolled and followed up. A total of 175 cardiovascular events occurred during a median follow-up of 3.25 years (6.90 events per 1,000 person-month), comprising 133 cerebrovascular and 42 coronary artery events. The adjusted hazard ratio of diabetes was 1.50 (95% CI 1.08-2.10). In a multivariable Cox proportional hazards model, Malay and Indian ethnicities, BMI <23kg/m2 and a prior diagnosis of diabetes were identified as independent predictors of recurrent cardiovascular events.@*CONCLUSION@#Our study provides quantitative data on the event rates of ischaemic stroke patients with diabetes. These findings provide insights on stroke predictors in a multi-ethnic Asian population, which may have implications in the design of future interventional studies.
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Background@#and Purpose Although onset-to-treatment time is associated with early clinical recovery in acute ischemic stroke (AIS) patients treated with intravenous tissue plasminogen activator (tPA), the effect of the timing of tPA-induced recanalization on functional outcomes remains debatable. @*Methods@#We conducted a multicenter, prospective observational cohort study to determine whether early (within 1-hour from tPA-bolus) complete or partial recanalization assessed during 2-hour real-time transcranial Doppler monitoring is associated with improved outcomes in patients with proximal occlusions. Outcome events included dramatic clinical recovery (DCR) within 2 and 24-hours from tPA-bolus, 3-month mortality, favorable functional outcome (FFO) and functional independence (FI) defined as modified Rankin Scale (mRS) scores of 0–1 and 0–2 respectively. @*Results@#We enrolled 480 AIS patients (mean age 66±15 years, 60% men, baseline National Institutes of Health Stroke Scale score 15). Patients with early recanalization (53%) had significantly (P<0.001) higher rates of DCR at 2-hour (54% vs. 10%) and 24-hour (63% vs. 22%), 3-month FFO (67% vs. 28%) and FI (81% vs. 39%). Three-month mortality rates (6% vs. 17%) and distribution of 3-month mRS scores were significantly lower in the early recanalization group. After adjusting for potential confounders, early recanalization was independently associated with higher odds of 3-month FFO (odds ratio [OR], 6.19; 95% confidence interval [CI], 3.88 to 9.88) and lower likelihood of 3-month mortality (OR, 0.34; 95% CI, 0.17 to 0.67). Onset to treatment time correlated to the elapsed time between tPA-bolus and recanalization (unstandardized linear regression coefficient, 0.13; 95% CI, 0.06 to 0.19). @*Conclusions@#Earlier tPA treatment after stroke onset is associated with faster tPA-induced recanalization. Earlier onset-to-recanalization time results in improved functional recovery and survival in AIS patients with proximal intracranial occlusions.
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The anthropometry of nose is an important index to identify a pure race from mixed races . Nasal index isa very sensitive index in nasal anthropometry, as it varies with sex, race and habitat of the person. Theanthropometry of face in general and nose in particular has been used in forensic investigations,reconstructive surgeries and genetic counselling. To study the nasal index in different zones of Jammu andKashmir. 120 students of first professional MBBS Government Medical College Jammu were used assubjects. All of them were in the age group of 18 to 22 years. The length and breadth of the nose wasmeasured by means of digital calliper and the nasal index was calculated using the formula NASAL. Theresults so obtained were tabulated and analysed. LTS. Sexual dimorphism was seen in all the recordedparameters. Anthropometric variation for nasal index is seen in different zones of Jammu and Kashmir.Mean nasal index was 65.98+9.36 for males and 72.15+11.30 for females. Most common type of nasalform in both males and females is leptorrhine or moderately narrow nose.Nasal index plays a significantrole in determining sex and race and so is helpful to forensic investigators .It is also useful for plasticsurgeons while performing rhinoplasty of a particular region as it shows ethnic specificity.
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Rapid progress in tissue engineering research in past decades has opened up vast possibilities to tackle the challenges of generating tissues or organs that mimic native structures. The success of tissue en-gineered constructs largely depends on the incorporation of a stable vascular network that eventually anastomoses with the host vasculature to support the various biological functions of embedded cells. In recent years, significant progress has been achieved with respect to extrusion, laser, micro-molding, and electrospinning-based techniques that allow the fabrication of any geometry in a layer-by-layer fashion. Moreover, decellularized matrix, self-assembled structures, and cell sheets have been explored to replace the biopolymers needed for scaffold fabrication. While the techniques have evolved to create specific tissues or organs with outstanding geometric precision, formation of interconnected, functional, and perfused vascular networks remains a challenge. This article briefly reviews recent progress in 3D fab-rication approaches used to fabricate vascular networks with incorporated cells, angiogenic factors, proteins, and/or peptides. The influence of the fabricated network on blood vessel formation, and the various features, merits, and shortcomings of the various fabrication techniques are discussed and summarized.
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Background: DNA damage is one of the major consequences of radiation exposure onto the biological systems. A series of compounds including flavanoids were found to render DNA protection against radiation damage. In this study we elucidated the potential of rutin and rutin hydrate to protect plasmid DNA against damage induced by irradiation. Materials and Methods: DPPH and hydroxyl radical scavenging assays were performed to assess the antiradical potential of rutin and rutin hydrate. Absorption measurements were performed to assess binding parameters of rutin and rutin hydrate with calf thymus [CT]-DNA. Plasmid relaxation assay was performed to compare the radio protective potential of rutin and rutin hydrate against gamma irradiation mediated oxidative damage of pET28 plasmid DNA. Results: DPPH· assay indicated fast reaction kinetics for rutin and rutin hydrate. However antiradical parameter in terms of EC[50] suggested better scavenging capacity for rutin hydrate as compared to rutin. Hydroxyl radical scavenging assay further suggested that both the compounds displayed significant reduction in hydroxyl radicals. Absorption binding study with CT-DNA suggested that rutin hydrate has better binding constant value [K[a] = 8.257 x 10[4] M[-1]] compared to K[a] = 1.834 x 10[4] M[-1] for rutin. Plasmid relaxation study demonstrated that plasmid DNA remains predominantly in super-coiled form in the presence of both rutin and rutin hydrate after exposure to 100 Gy of gamma-radiation. Conclusion: The mechanistic studies suggested that binding and scavenging capacity of rutin hydrate and rutin contributes towards DNA radioprotection. This study may be helpful in devising potent radioprotector molecules helpful for the radiotherapy treatment
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The use of liposome as an adjuvant and a vaccine carrier has been cited previously in the literature. It has also been shown to be effective in enhancing the immunogenicity of vaccine candidates. BALB/c mice immunized subcutaneously with outer membrane protein [OMP] of Brucella abortus S19 vaccine strain entrapped in a commercial cationic liposome [S19-OMP-liposome] for vaccine delivery, showed enhanced protection [P<0.05] compared to groups of mice inoculated with S19 OMP alone, S19 live B. abortus vaccine and liposome alone, when challenged intra-peritoneally with virulent B. abortus strain 544 at 30 days post-immunization [DPI]. The S19-OMP-liposome preparation was found to be safer compared to the live B. abortus S19 vaccine at 15 days post challenge [DPC], as evidenced by the significant difference in spleen weight between S19-OMP-liposome, S19 OMP and S19 live as well as the liposome control groups [P<0.01]. Antibody isotype response profiles of the experimental groups indicated that the immune response was Th1 cell mediated. The protective advantage conferred to mice immunized with S19-OMP entrapped in liposome over those immunized with the live B. abortus S19 version, could probably be related to the significantly different response of IgG2b at 30 DPI [P<0.01], IgG2a [P<0.01], IgG2b [P<0.01] and IgG3 [P<0.05] at the DPC stages, respectively
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This research was conducted to study the follicular dynamics, hormonal, biochemical profile and fertility response in acyclic and norgestomet+PMSG treated acyclic buffaloes in summer. The study animals were divided into two groups: group I [control [n=8]: no treatment] and II [treatment group [n=15]]. In group II, seven animals were used for follicular biochemical and hormonal profile and eight animals for fertility studies following Crestar[registered sign] [Intervet, France] treatment [day 0: Crestar[registered sign] insertion; day 8: 500 IU PMSG; day 9: Crestar[registered sign] removal; day 11 AI]. Follicular fluid stradiol [E2] and progesterone [P4] in acyclic and pre-ovulatory follicle in study groups was significantly [P<0.01] higher than peripheral level. Peripheral E2 concentration, during pre-ovulatory period in group II was higher [P<0.05] than group I. Significant correlation between serum and follicular E2 was deduced [r=0.888; P<0.01] as significant difference in serum cholesterol content was shown between groups. Lower follicular total protein [P<0.05] in acyclic animals and higher follicular glucose [P<0.05] in treated group were concluded. Significant correlation [r=-0.770; P<0.05] was observed between follicular cholesterol and triglycerides. Follicular characteristics, post PMSG administration, differed significantly [0.83 +/- 0.20 vs 1.32 +/- 0.12; P<0.01] in all buffaloes exhibiting estrus, out of which four conceived. In conclusion, follicular hormonal and biochemical profile exhibits alteration in protein and glucose level between summer acyclic and treated buffaloes. However, peripheral E2 along with fertility response showed significant difference [P<0.01] between the study groups with significant correlation in E2, cholesterol and triglycerides between peripheral and follicular compartment
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The present work aimed at studying growth pattern and carcass traits in pearl grey guinea fowl fed on dietary Neem [Azadirachta indica] leaf powder [NLP] over a period of 12 weeks. Day old guinea fowl keets [n=120] were randomly assigned to four treatment groups, each with 3 replicates. The first treatment was designated as control [T[0]] in which no supplement was added to the feed, while in treatments T[1], T[2] and T[3], NLP was provided as 1, 2 and 3 g per kg of feed, respectively. The results revealed a significant increase in body weight at 12 weeks; 1229.7 for T[1], 1249.8 for T[2], and 1266.2 g T[3] compared to 1220.0 g for the control group [P<0.05]. The results also showed that the supplementation of NLP significantly increased feed intake [P
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Animals , Azadirachta , Plant Leaves , Growth Substances , PowdersABSTRACT
Background. Patients with HIV/AIDS are at a high risk of being infected with toxin-producing strains of Clostridium difficile (C. difficile) because of frequent hospitalization, exposure to antibiotics and antibiotic prophylaxis for opportunistic infections. There are little data from India on the prevalence of C. difficile infection in such patients. Methods. We assessed the occurrence of C. difficile infections in HIV-positive patients with diarrhoea by looking for the presence of its toxin as well as by culturing. Enzyme immunoassay (EIA, Premier toxins A and B; Meridian Diagnostic Inc.) was used to detect toxin from 237 fresh stool samples collected from HIV-positive patients with diarrhoea. Culture was done on cycloserine–cefoxitin–fructose agar and brain– heart infusion agar. Results. C. difficile was found in 12 of 237 (5.1%, 95% CI 2.64%–8.68%) HIV-positive patients with diarrhoea (9 patients were positive by EIA and 3 by culture). The presence of C. difficile in patients who had received antiretroviral therapy (7/66 [10.6%]) was significantly higher (p<0.016) compared with those who had not (5/171 [3%]). Of the 12 patients positive for C. difficile, 7 were on antiretroviral therapy for a mean (SD) of 34.4 months with mean CD4+ count of 186 (98.81) cells/cmm and 5 patients were anti-retroviral-naïve with mean CD4+ count of 181 (68.7) cells/cmm. All the 12 patients were on antibiotics for previous 2 months and 4 of 12 had been hospitalized in the previous 30 days. Conclusion. C. difficile infections occurred more frequently in patients who had received antiretroviral therapy. Our study population had a lower frequency of C. difficile infections compared to previous studies.
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Adolescent , Adult , Aged , Aged, 80 and over , Anti-Retroviral Agents/therapeutic use , Clostridioides difficile/drug effects , Clostridioides difficile/isolation & purification , Coinfection/epidemiology , Coinfection/prevention & control , Cross-Sectional Studies , Diarrhea/drug therapy , Diarrhea/epidemiology , Diarrhea/microbiology , Enterocolitis, Pseudomembranous/drug therapy , Enterocolitis, Pseudomembranous/epidemiology , Enterocolitis, Pseudomembranous/prevention & control , Female , HIV Infections/drug therapy , HIV Infections/epidemiology , Humans , Male , Middle Aged , Prevalence , Risk Factors , Young AdultABSTRACT
Energy is an essential ingredient in the socioeconomic development and economic growth of any country. Energy is available in two different forms, nonrenewable [coal, fuel, natural gas] and renewable [solar, wind, hydro, wave]. Wind energy is the most abundantly available clean form of renewable energy. The impetus for the continual harnessing of wind energy across the world arises in reaction to the fast depletion of the reserves of conventional fuels and the danger of global warming due to greenhouse gas emissions. Wind energy is utilized for a variety of functions ranging from windmills to pumping water and sailing boats. Vertical Axis Wind Turbines [VAWTs] would be appropriate for tapping into low speed wind to produce power in a smallscale manner, which would be useful in remote places where electricity is scare, especially in developing countries. However, VAWTs are not gaining in popularity due to their low power coefficient,hence the need for research in this area to enhance the performance of VAWTs. In this paper, some aspects of VAWTs, such as design and performance have been reviewed with regard to Savonius, H-Darrieus and combined Savonius-Darrieus turbines.
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Long anterior urethral strictures are fairly common in developing world and the treatment is equally challenging To assess the results and efficacy of Monsieur's Tunica Albuginea Urethroplasty [TAU] for anterior urethral stricture. We analyzed the results in 10 consecutive patients with pan-anterior urethral stricture, who underwent Monsieur's urethroplasty. The procedure involves mobilization of strictured urethra and laying it open with a dorsal slit. Edges of the slit-open urethra are sutured to edges of the urethral groove to the tunica of corporal bodies with catheter in situ. Results were assessed postoperatively 3, 6, 9 and 12 months. Patients were categorized as success and failure by comparative analysis of patient satisfaction along with urethroscopy, retrograde urethrogram, uroflowmetry. All patients were taken for post-operative urethroscopic analysis at 6 months to allow better understanding of both successful and failed cases. Mean follow-up of 15.2 [11-19] months showed an 80% success rate. Mean uroflow rate showed Qmax 24.5 cc/sec with 8 cases showing no residual or recurrent stricture. Two cases failed and required intervention. Urethroscopic visualization of the reconstruction site showed wide, patent and distensible neourethra appearing epithelized over roof formed by tunica albuginea of the corpora cavernosa in successful cases. Monsieur's TAU is effective technique in treatment of anterior urethral stricture especially cases with unavailable buccal mucosa, with results fairly acceptable at the end of one year
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Humans , Mouth Mucosa , Treatment OutcomeABSTRACT
Mental health services are far from satisfactory in the Eastern Mediterranean Region. The Global Mental Health Assessment Tool-Primary Care version [GMHAT/PC] is a semi-structured, computerized clinical assessment tool that was developed to assist health workers in making quick, convenient and comprehensive standardized mental health assessments. A study was carried out in the United Arab Emirates to evaluate the validity and feasibility of the Arabic version of the GMHAT/PC. Mental health nurses administered the GMHAT/PC Arabic version to 50 patients in mental health and rehabilitation settings and their GMHAT/PC diagnosis was compared with the psychiatrist's independent ICD-10 based clinical diagnosis on the same patients. The nurses found GMHAT/PC easy to administer in an average of 16 minutes. The GMHAT/PC-based diagnosis had a good agreement with the psychiatrist's diagnosis [kappa = 0.91] and a high sensitivity [97%] and specificity [94%]
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Humans , Male , Female , Mental Disorders/diagnosis , Diagnosis, Computer-Assisted/nursing , Feasibility Studies , Reproducibility of Results , Mediterranean Region , Mental Health Services , International Classification of Diseases , Sensitivity and Specificity , Psychiatric Status Rating ScalesABSTRACT
Since a very long time, a significant number of patients have been seeking treatment at Complementary and Alternative Medicine health facilities, but the disease burden at these facilities has never been assessed and documented. Present cross-sectional study was carried out at Ayurvedic tertiary care hospital to document and to assess the rationale of disease reporting at Ayurvedic institutions of the northern state of India from January 2011 to October 2011. Almost half of the patients' morbidities were not classified at all into any of the disease categories. The common reported morbidities at study hospital were: Respiratory [10.5%], neuromuscular [9.5%], digestive [9.2%] and circulatory [9.1%] disorders. As the majority of diseases were unclassified, so mainstreaming of the effective disease surveillance would be required to understand the morbidity pattern and successful treatment practices at health facilities