Association of total gestational weight gain and maternal and perinatal outcomes among pregnant patients using the institute of medicine 2009 gestational weight gain guidelines in a tertiary hospital / Philippine Journal of Obstetrics and Gynecology

Background@#The aim of the study was to determine the association between total gestational weight gain (TGWG) and maternal and perinatal outcomes based on the Institute of Medicine 2009 gestational weight gain (GWG) guidelines among pregnant patients of the department of obstetrics and gynecology in a tertiary hospital@*Methodology@#Our analysis was carried out in a private hospital in Metro Manila, specifically in a tertiary hospital, in a prospective cohort study that included 565 pregnant women from June 1, 2020, to April 30, 2021. Body mass index (BMI) at initial prenatal visit <14 weeks’ age of gestation and upon admission, birth weight, comorbidities were all assessed and recorded. Our main outcome measures were TGWG, perinatal outcomes (small for gestational age, large for gestational age, intrauterine fetal demise, and admission to neonatal intensive care unit), and maternal outcomes (gestational diabetes mellitus, gestational hypertension, preeclampsia/eclampsia, and preterm birth). The baseline anthropometric, maternal and neonatal outcomes were analyzed using mean, standard deviation, range and chi‑square test was used to correlate total gestational weight gain against maternal and perinatal outcomes and a P‑value less than 0.05 was statistically significant@*Results@#In this study, the mean BMI was 23.6 kg/m2, and based on BMI classification, 8% were underweight, whereas 28.1% and 9% were overweight and obese, respectively. Based on the recommendations of TGWG on each BMI category, using Chi‑square test, there was a significant association of having excess GWG and inadequate GWG against maternal and perinatal outcomes@*Conclusion@#Based on the study, women having excess or inadequate TGWG has effects on maternal and perinatal outcomes. Furthermore, women that are classified as overweight and obese in the first trimester have a higher risk of developing comorbidities

Resident involvement in the prostatic urethral lift: implementing innovative technology in an academic setting / 亚洲男科学杂志(英文版)

Adoption of the prostatic urethral lift (PUL) as a treatment for benign prostatic hyperplasia highlights the importance of training residents with novel technology without compromising patient care. This study examines the effect of resident involvement during PUL on patient and procedural outcomes. Retrospective chart review was conducted on all consecutive PUL cases performed by a single academic urologist between October 2017 and November 2019. Trainees in post-graduate year (PGY) 1-3 are considered junior residents, while those in PGY 4-6 are senior residents. The International Prostate Symptom Score (IPSS) and quality of life (QOL) scores were used to measure outcomes. Simple and mixed-effects linear regression models were used to compare differences. There were 110 patients with a median age of 66.4 years. Residents were involved in 73 cases (66.4%), and senior residents were involved in 31 of those cases. Resident involvement was not associated with adverse perioperative outcomes with respect to the number of implants fired, the percentage of implants successfully placed, or the postoperative catheterization rate. After adjustment for confounding factors, junior residents were associated with significantly longer case length compared to the attending alone (+12.6 min, P = 0.003) but senior residents were not (+2.4 min, P = 0.59). IPSS and QOL scores were not significantly affected by resident involvement (P = 0.12 and P = 0.21, respectively). The presence of surgeons-in-training, particularly those in the early stages, prolongs PUL case length but does not appear to have an adverse impact on patient outcomes.

Characteristics and survival of ovarian cancer patients treated with neoadjuvant chemotherapy but not undergoing interval debulking surgery / 부인종양

Measurement and analysis of cochlea in children with congenital sensorineural hearing loss with normal inner ear structure / 临床耳鼻咽喉头颈外科杂志

The cochlea of children with congenital sensorineural hearing loss with normal inner ear structure was measured and analyzed by high-resolution temporal bone CT(HRCT) imaging technique,its application value before cochlear implantation was evaluated and the appropriate electrode was selected.We collected temporal bone HRCT images of 120 patients with congenital sensorineural hearing loss,according to gender divided into two groups,including 60 males and 60 females.We used the PACS software to measure the distance A(the largest distance from the round window to the lateral wall) and the distance H(height of the cochlea) and calculate the cochlear duct length. Reproducibility of these data were evaluated and the results between the different groups were compared.Measurement of parameter values between the intraobserver and interobserver showed great reproducibility. In the male children group,the measured values are shown as distance A［(8.55±0.31)mm］,distance H［(4.57±0.28)mm］and the cochlear duct length(CDL)［(27.59±1.23)mm］; and in the female children group, the measured values are shown as distance A［(8.45±0.32)mm］,distance H［(4.42±0.34)mm］and the cochlear duct length(CDL)［(27.20±1.17)mm.The A,H,and CDL of the male cochlea were greater than those of the female, the difference was statistically significant(<0.05).Measuring the distance A and distance H of the cochlea and calculating the cochlear duct length CDL can be used to select a suitable length of electrode or to customize a personalized electrode. This is a simple and effective assessment method before cochlear implantation..

feasibility study of dynamic verification for tumor target delineation and dose delivery using a six degrees of freedom motion phantom

Background: the dynamic phantom is one of the best tools to study the impact of motion on tumor target delineation and absorbed dose verification during dose delivery

Materials and Methods: this study, a 6-DOF [degrees of freedom] phantom was designed following the stacked serial kinematics and assembled by six commercial motion stages to generate 6-DOF motion, which were RotX [pitch, around X], RotY [roll, around Y], TransZ [anterior-posterior], RotZ [yaw, around Z], TransY [superior-inferior] and TransX [left-right]. Tumor targets were designed by six plastic spheres for the delineation test. Also, an ionization chamber array detector and RW3 solid water were combined to measure the absorbed dose for dose verification tests

Results: the maximum translation speeds for LineX and LineY were 50mm/s and 35mm/s for LineZ, while the maximum rotation speeds for RotX, RotY, RotZ were 5.33° per second, 6degree per second and 15degree per second respectively. Spiral-CT and 4D-CT images acquired in the static and dynamic states successfully showed the influences of tumor motion on target delineation. In the absorbed dose verification, all cases did not pass the gamma test; the pass rate for the 6-DOF motion case was only 34.2% and the pass rates of all other cases were less than 90%

Conclusion: the phantom designed in this study is able to simulate complex tumor motion and can be used to study the influence of tumor motion in radiotherapy

Seroprevalence and risk factors for Toxoplasma gondii in sheep and goats in Jinzhou, Northeastern China

In the present study, serum samples from 402 sheep and 216 goats were collected from 5 counties in Jinzhou from August to October 2012 and antibodies to Toxoplasma gondii were detected by modified agglutination test (MAT). Overall, 104 (16.8%) had antibodies to T. gondii with antibody titres of 1:25 to 1:800. Seropositive samples were distributed in all the 5 counties and seroprevalences of T. gondii varied significantly with flock size, age and rearing system, but not with breed, gender and farm location. The seroprevalences in small farms (18.3%, 95/518, 95% confidence interval [CI], 15.0-21.7%) were statistically higher than that in large farms (9%, 9/100, 95% CI, 3.4-14.6%) (P < 0.05), older animals were statistically higher than that in younger animals (P < 0.01). The prevalence in extensively and semiintensively raised samples was statistically higher than that in intensively raised animals (P < 0.01). Small flock size and extensive rearing system are the potential risk factors for the prevalence of Toxoplasma infection in sheep and goats in Jinzhou. This is the first report of T. gondii infection in sheep and goats in Jinzhou, northeastern China, and of an association of seropositivity to T. gondii and the risk factors.

model to predict the behavior of UASB reactors

A model describing the main processes occurring in the UASB reactor was developed; in order to maintain simplicity and applicability of the model, only the fundamental aspects were considered. In the model, the reactor is divided in several well-stirred reactors coupled in series and it comprises substrate degradation, biomass growth and the reactions that take place within the granules. The important contribution of the paper is the development of a model taking into account the mass transfer through the film around the granules, the intra-particle diffusion, and the degradation reaction. The model enables the determination of the removal efficiency of the substrate and the increase of both the height of the sludge bed and the granule size with time. The simulated results of an experimental UASB reactor treating sugar-cane mill waste water were found to be in good agreement with the performance of the reactor. The sensitivity analysis shows that the performance of the reactor is determined by several parameters. The most important parameters are: the bioconversion rate, the mass transfer coefficient in the film, the intra-particle diffusivity, the volumetric fraction of biomass in the reactor, and the number of CSTR considered. These parameters should therefore be carefully determined. The model could be a useful tool in the optimization and development of UASB reactors

Ecotoxicity of chloramphenicol and Hg acting on the root elongation of crops in north China

Single and joint toxicity of chloramphenicol and Hg acting on wheat [Triticum aestivum L.] Chinese cabbage [Brassica campestris L.] and corn [Zea mays L.] were investigated. The results showed positive correlations between root elongation inhibition of three plants and concentrations of pollutants added to soil [P<0.01] in test concentration range. In terms of root elongation, wheat was the most sensitive to toxicity of chloramphenicol with an IC[50] [concentration when 50% plants show inhibition] value as high as 26.8 mg/kg and also was the most sensitive one to the toxicity of Hg with the IC[50] value as high as 300.8 mg/ kg. The toxicity of chloramphenicol to the plants is stronger than that of Hg. Chloramphenicol and Hg had an antagonistic effect on the inhibition of root elongation of the three plants when the concentration of added Hg reached 30 mg/kg. Chloramphenicol and Hg had significantly synergistic effects on the inhibition of root elongation when Hg concentration was up to 200 mg/kg [P<0.05]

Fundamental study of degradation of dichlorodiphenyltrichloroethane in soil by laccase from white rot fungi

This research describes application of laccase from white-rot fungi [polyporus] to remove dichlorodiphenyltrichloroethane in soil. The degradation kinetics of dichlorodiphenyltrichloroethane in soil was also investigated by laboratory batch experiments. The results showed that laccase from white-rot fungi can effectively degrade dichlorodiphenyltrichloroethane and the degradation of total dichlorodiphenyltrichloroethane [the sum of the four dichlorodiphenyltrichloroethane compounds in a sample] was pseudo-first-order kinetics. The residues of almost all the dichlorodiphenyltrichloroethane components and total dichlorodiphenyltrichloroethane in soils treated with laccase decreased rapidly during first 15 days and then kept at a stable level during next 10 days. The residues of total dichlorodiphenyltrichloroethane in soils with different dosages laccase decreased by about 21-32%, 29-45%, 35-51% and 36-51% after 5, 10, 15 and 25 days of incubation, respectively. The half-life of total dichlorodiphenyltrichloroethane in soils with different dosages laccase ranged from 24.75 to 41.75 days. The residues of total dichlorodiphenyltrichloroethane in three different types of soils decreased by 25-29%, 39-43%, 44-47% and 47-52% after 5, 10, 15 and 25 days of incubation with laccase, respectively. The half-life of total dichlorodiphenyltrichloroethane in different types of soil ranged from 24.71 to 27.68 days. The residues of total dichlorodiphenyltrichloroethane in soils with different pH levels decreased by 18-24%, 29-39%, 36-39% and 39-50% after 5, 10, 15 and 25 days of incubation with laccase, respectively. The half-life of total dichlorodiphenyltrichloroethane ranged from 25.63 to 36.42 days. Laccase can be an efficient and safe agent for remediation of dichlorodiphenyltrichloroethane-contaminated soil

Development of the systematic object event data model for integrated point source pollution management

Previous works on database integration focused mainly on the creation of transformation interfaces between incompatible databases built up by different departments of the Taiwan Environmental Protection Administration, ignoring the demands of systematically and flexibly integrated information for advanced pollution control of point sources. To provide a systematic framework for flexible integration of distributed data, this paper presents a general model as the systematic object event data model based on systems thinking, to improve the integration capability of databases. The conceptual database framework for integrated pollution control was proposed as a result of the application of the systematic object event data model. The fundamental part of the systematic object event data model, creation of the object registry database, was put into practice from the year 2008. The object database of pollution source is available to factories in 2009, which helps factories to create and Taiwan environmental protection administration to maintain the consistent object data through the electronic application processes of permits. To construct various event databases that systematically connect to object database would be the following step to more efficiently provide systematic information from systematic data integration

A Comparative Study of Gene Array of Cell Cycle Modulators in Human Corneal Epithelial Cells Stimulated with Epidermal Growth Factor(EGF), Hepatocyte Growth Factor(HGF), or Keratinocyte Growth Factor(KGF)

PURPOSE: To identify and differentiate genes that are up-regulated or down-regulated in human corneal epithelial cells in response to epidermal growth factor(EGF), hepatocyte growth factor(HGF) or keratinocyte growth factor(KGF). METHODS: Primary cultures of human corneal epithelial cell(HCE) were treated with 25 ng/ml of EGF, 25 ng/ml HGF, 25 ng/ml KGF, or vehicle in serum-free medium for 8 hours. Total RNA was isolated with TRIZOL(GIBCO, NY), and treated with DNAse I.P 32-labeled complementary DNA(cDNA) probes were synthesized using 6 ug of total RNA made from HCE cells. Equivalent counts of P 32-labeled cDNA probes were hybridized with the membrane of Atlas human cell cycle array at 68degreesC overnight. After sequential washing, the membranes were exposed to X-ray film for three days. These results were analyzed using Atlas Image TM 1.1 Software. RNAse protection assay was used to confirm one of known genes on the array, which was up-regulated by EGF, KGF, and HGF in the human corneal epithelial cells. RESULTS: Autoradiographic analysis showed that out of 111 genes analyzed, 22 were up- or down-regulated in EGF, 26 in HGF and 7 in KGF compared to untreated corneal epithelial cell. After different signal intensity was normalized more than 2000 by Atlas Image TM 1.1 Software, 12 genes were up-regulated and 10 genes down-regulated in EGF. HGF have 6 up-regulated genes and 1 down-regulated gene and KGF had all up-regulated 7 genes. EGF, HGF and KGF all up-regulated the expression of cyclin D1(BCL-1 oncogene) and serine/threonine-protein kinase PITALRE in the primary cultured human corneal epithelial cells. EGF and KGF both up-regulated E2F-1 pRB-binding protein gene. HGF and KGF up-regulated cyclin D2 gene. Proto-oncogene raf was down-regulated by EGF and HGF. CONCLUSIONS: The three growth factors seemed to have similar effects on the genes that contribute to cell cycle control. Studies to analyze the significance of the differences among these growth factors are ongoing.