Safety of latex urinary catheters for the short time drainage

In this study, we attempt to identify the most appropriate catheter [silicone vs. latex] for short-term urinary catheterization. We compared the post-operative clinico-pathological complications between latex and silicone for short term catheterization in rabbits with hypospadias. Forty rabbits were used in our study to compare complications of catheterization. They were divided in two groups. Hypospadias like defect was created by a 1 cm long excision of the ventral urethra. For urethroplasty, we used tubularized incised plate technique. Latex and silicon catheters were used in groups 1 and 2, respectively. Post-operatively, routine laboratory urine test and complications [allergy, infection, bleeding] were compared in groups. A total of 40 rabbits underwent hypospadias repair. Findings showed that there were no significant differences between groups based on urine test indices [P = NS]. Urinary tract infection rate was 10% [2 rabbits] in latex and 0% in silicone groups [P = NS]. There were no significant differences between groups regarding of cystitis grades between study groups [P = NS]. It seems that urinary tract catheterization with latex catheters is a safe, feasible, and in-expensive procedure for short-term post-operative course in hypospadias surgery in patients without latex hypersensitivity

Designing trauma registry system using a logical framework approach / 中华创伤杂志(英文版)

While trauma registries provide the mechanisms to collect comprehensive, timely and accurate data related to the injuries and evaluate trauma care systems, they have not been established in most developing countries. On the other hand, in complex projects that have large aims, a logical framework approach (LFA) can help summarize and describe the multiple branches of the project systematically, and elucidate the main goals, extensive objectives, activities and expected outcomes. Therefore a LFA can be used to design and guide trauma registry project management, to integrate the cultural, clinical and capacity variations among countries; and to ensure early alignment of the project's design and evaluation.

Evaluation of high-sensitivity C-reactive protein in acute asthma

High sensitivity C-reactive protein [hs-CRP] is an inflammatory marker known to be related to inflammation, infection, and cardiovascular diseases. The aim of this study was to evaluate hs-CRP level in serum of asthmatics and its relationship with pulmonary function tests, serum IgE levels, and peripheral blood white blood cell [WBC] counts. The under study subjects were 108 patients with acute asthma and 93 healthy volunteers. The levels of hs-CRP of 108 patients with acute bronchial asthma and 93 non-asthmatic control subjects were measured. Spirometry, serum immunoglobulin-E [IgE] measurement, and WBC counts were done for patient and control groups. The mean serum hs-CRP levels were significantly higher in patients with acute asthma compared with controls [5.47 +/- 7.33 mg/l versus 1.46 +/- 1.89 mg/l, p<0.001]. Among asthmatic patients, mean hs-CRP levels were not correlated with indices of pulmonary function tests [forced expiratory volume in one second, forced vital capacity and forced mid-expiratory flow], serum IgE level, eosinophil count or WBC count. Serum C-reactive protein levels measured by high-sensitivity assays increase in acute asthma and may be useful as a diagnostic tool for detecting and monitoring inflammation in these patients. In our study on patients with acute asthma, no significant correlation was revealed between hs-CRP and pulmonary function tests, total serum IgE, or peripheral blood white blood cell counts