Current Issue : July - September Volume : 2019 Issue Number : 3 Articles : 5 Articles
Background: Accidental urinary tract particularly bladder injury during cesarean\ndelivery has a significant maternal morbidity, as it may lead to extended\noperative time, infection of urinary tract and sometimes development\nof urinary tract fistulae. Objective: To find out the efficacy of urinary bladder\ninflation immediately prior to cesarean section (CS) procedure in minimizing\nincidence of accidently urinary tract injury in high risk patients. Setting: Obstetrics\nand Gynecology Department, Faculty of Medicine, South Valley University,\nQena, Egypt. Duration: From August 2017 to November 2018. Study\nDesign: A prospective randomized controlled trial. Methods: Seventy six\npregnant women recruited from attendants of outpatient antenatal care unit\nof obstetrics and gynecology department who planned for cesarean delivery\nand carried one or more risk factors for urinary tract injury. Patients randomly\nwere classified into 2 groups (group I included 38 cases, underwent\nbladder inflation using triple way Foleyâ??s catheter immediately before CS and\ngroup II included 38 cases, and underwent bladder deflation with 2 ways Foleyâ??s\ncatheter immediately before CS. Results: The overall incidence of urinary\ntract injury was significantly higher in group II (7 cases = 18.4%) than in group I\n (2 cases = 5.2%) with p value < 0.001. The incidence of urinary bladder\ninjury was moderately significantly higher in group II (5 cases = 13.1%)\nthan group I (2 cases = 5.2%) with p value < 0.01; ureteric or combined vesico-\nureteric injuries had been reported only in group II (1 case = 2.6% and 1\ncase = 2.6%) respectively with no case reported in group I (p < 0.001). There\nwas a highly statistically significant difference between group I and group II\nas regard to hospital stay (p < 0.001) but mildly significant differences in\noperative time and remote urinary tract fistulae (p < 0.05). Conclusions: \nThere was significant reduction in urinary bladder injury, ureteric injury, operative\ntime and hospital stay. Urinary bladder inflation immediately before cesarean\nsection should be applied in patients who have any risk factor of dense\nbladder adhesion as a protective procedure against urinary tract injuries....
The anti-inflammatory properties of high-density lipoproteins (HDL) are lost in uremia.\nThese HDL may show pro-inflammatory features partially as a result of changed protein composition.\nAlterations of polymorphonuclear leukocytes (PMNLs) in chronic kidney disease (CKD) may\ncontribute to chronic inflammation and high vascular risk. We investigated if HDL from uremic\npatients is related to systemic inflammation by interfering with PMNL function. PMNL apoptosis\nwas investigated by assessing morphological features and DNA content. CD11b surface expression\nwas quantified by flow cytometry. Oxidative burst was measured via cytochrome c reduction assay.\nChemotaxis was assessed by using an under-agarose migration assay. We found that HDL from\nCKD and hemodialysis (HD) patients significantly attenuated PMNL apoptosis, whereas HDL\nisolated from healthy subjects had no effect on PMNL apoptosis. The use of signal transduction\ninhibitors indicated that uremic HDL exerts anti-apoptotic effects by activating pathways involving\nphosphoinositide 3-kinase and extracellular-signal regulated kinase. Healthy HDL attenuated the\nsurface expression of CD11b, whereas HDL from CKD and HD patients had no effect. All tested\nisolates increased the stimulation of oxidative burst, but did not affect PMNL chemotactic movement.\nIn conclusion, HDL may contribute to the systemic inflammation in uremic patients by modulating\nPMNL functions....
Multiple myeloma is on the list of neoplasia that may be associated with human\nimmunodeficiency virus infection. It is an affection that aggravates the\nprognosis in these particular patients. We present the case of a patient with\nmultiple myeloma and HIV infection, revealed by renal failure. This was a\n59-year-old patient who was received to the Department of nephrology for\nrenal failure associated with severe aregenerative pancytopenia. In etiological\ninvestigations, multiple myeloma associated with HIV1 infection was found.\nThe evolution was unfavorable, marked by the death of the patient caused by\ndigestive haemorrhage before the start of antiretroviral treatment and chemotherapy....
We analyzed the capacities of pertinent parameters (determined by single-energy\nnon-contrast computed tomography [NCCT])and urinary pH to predict uric acid stones. We reviewed\nthe medical records of 501 patients whose stones were removed surgically or passed spontaneously\nbetween December 2014 and April 2016. Qualifying participants (n = 420) were stratified by the nature\nof the stone (calcium oxalate, uric acid, or infectious). Based on NCCT, we determined maximal stone\nlength (MSL), mean stone density (MSD), and stone heterogeneity index (SHI) using Hounsfield units\n(HU) and calculated the variant coefficient of stone density (VCSD = SHI/MSD *100). Urinary pH\nwas also ascertained. Mean patient age was.................
Background: There is paucity of information on the community-based prevalence and severity of lower urinary\ntract symptoms (LUTS) in men who are 40 years and older in the southeast region of Nigeria. This study seeks to\ndetermine the community-based prevalence of LUTS and the relationship between LUTS, and body mass index\n(BMI) and mid-abdominal circumference (MAC) in men.\nMethods: An interviewer-administered, questionnaire-based survey. Three of nine settlement clusters were\nrandomly selected while systematic random sampling of 1 in 3 eligible subjects was used to select participants.\nAnalysis was done using SPSS® version 20.\nResults: One thousand three hundred and nineteen duly completed questionnaires were analyzed. The respondents are\nwithin ages 40-92 years with mean age���....
Loading....