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Sample records for calculi 12-years experience

  1. TAPS condensers - 12 years of operating experience

    Energy Technology Data Exchange (ETDEWEB)

    Srinivasan, V.S. (Tarapur Atomic Power Station (India))

    This paper describes briefly the 12 years of operating experience of TAPS condensers, which have aluminium brass tubes and use sea water from Arabian sea for cooling. The abnormal tube failure rates led to a thorough investigation of the causes. The remedial measures adopted to arrest and bring down the failure rate are elaborated. In addition to improved preventive maintenance practices, additional measures like ferrous ion addition, partial zonal retubing are also brought out.

  2. [Experiences with transparenchymal coral calculi removal under local hypothermia].

    Science.gov (United States)

    Albert, L; Zacher, W; Meyer, S

    1984-06-01

    Under certain conditions genuine coral calculi are an absolute offication for nephrotomy. In order to achieve complete hygienization of the cavity ischaemia times of more than 25-30 min are often necessary. Controlled surface cooling proved to be very good for improving ischaemia tolerance and reducing post-ischaemic loss of function in 21 necessary nephrotomies out of a total of 651 operations for concrements in the calyx system of the renal pelvis (= 3.2%; = 32.8% of all nephrotomies). A kidney thermometer with a temperature feeler developed by us allows fine control of the hypothermia induced by means of plastic bags filled with ice crystals. The technique of operation together with its advantages and disadvantages are described.

  3. MEDICAL EXPULSIVE THERAPY OF URETERIC CALCULI - OUR EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Ramesh

    2015-09-01

    Full Text Available INTRODUCTION: Uretric stones can be treated with multiple modalities including medical therapy, uretroscopy, shockwave lithotripsy (SWS, percutaneous nephrolithotomy, open/laparoscopic stone removal, and/or combinations of these modalities. The aim is to study the effectivene ss of medical management of uretric stones and to compare the effectiveness of Tamsulosin and Tamsulosin with steroid . MATERIALS & METHODS: 120 Patients who came with acute uretric colic were categorized into III categories of less than 5mm, 5mm to 7mm and more than 7mm based on NCCT. They were consecutively allotted to one of the three groups, the group I patients received Anti - Biotics with NSAIDs group II received Tamsulosin in addition Anti - Biotics and NSAIDs and III rd group received Anti - Biotics, Tamsu losin, NSAIDs in addition Deflazacart 30mg for a period of 10 days. The results were evaluated at the end of 10 days medical treatment. RESULTS : 90 out of 120 patients were re - evaluated at the end of 10 days. The calculi of 7mm should be removed as the chances of passage is <20%. The medical treatment with Tamsulosin or Tamsulosin with Deflazacart does not offer significant benefit.

  4. Rescue missions for totally buried avalanche victims: conclusions from 12 years of experience.

    Science.gov (United States)

    Hohlrieder, Matthias; Thaler, Stephanie; Wuertl, Walter; Voelckel, Wolfgang; Ulmer, Hanno; Brugger, Hermann; Mair, Peter

    2008-01-01

    The planning and execution of avalanche rescue missions to search for totally buried avalanche victims are mostly based on personal experience and preference, as evidence-based information from literature is almost completely missing. Hence, the aim of this study was to identify major factors determining the survival probability of totally buried victims during avalanche rescue missions carried out by organized rescue teams (Austrian Mountain Rescue Service, Tyrol). During the 12-year period studied, 109 totally buried persons (56 off-piste, 53 backcountry), were rescued or recovered; 18.3% survived to hospital discharge. Median depth of burial was 1.25 m; median duration of burial was 85 min. The majority (61.6%) of the rescue missions were conducted under considerably dangerous avalanche conditions. The probability of survival was highest when located visually and lowest for those located by avalanche transceiver; survival did not significantly differ between those found by rescue dogs and those located with avalanche probes. Multivariate analysis revealed short duration of burial and off-piste terrain to be the two independent predictors of survival. Whenever companion rescue fails, snow burial in an avalanche is associated with extraordinarily high mortality. Searching the avalanche debris with probe lines seems to be equally effective as compared to searching with rescue dogs. The potential hazard for rescuers during avalanche rescue missions comes mainly from self-triggered avalanches, hence thorough mission planning and critical risk-benefit assessment are of utmost importance for risk reduction.

  5. Conclusions from 12 Years Operational Experience of the Cryoplants for the Superconducting Magnets of the LEP Experiments

    CERN Document Server

    Barth, K; Delikaris, D; Passardi, Giorgio

    2002-01-01

    The Large Electron Positron Collider (LEP) has ended its last physics run in November 2000, and it is at present being dismantled to liberate the tunnel for the Large Hadron Collider (LHC) project to be completed by end of 2005. The cryogenic systems for the superconducting solenoid and focusing quadrupoles for the two LEP experiments, ALEPH and DELPHI, each supplying a cooling power of 800 W/4.5 K entropy equivalent, have accumulated more then 100'000 hours of running time. The paper summarises the 12 years cryogenic experience in the various operating modes: cool-down, steady state, recovery after energy fast dump, utilities failures and warm-up of the superconducting magnets. The detailed operation statistics is presented and compared to the other CERN cryogenic systems. Emphasis is given to the technical analysis of the fault conditions and of their consequences on the helium refrigeration production time in view of the future operation of the LHC cryogenics.

  6. Predictors of prognosis in neonates with congenital diaphragmatic hernia: experience of 12 years

    Directory of Open Access Journals (Sweden)

    Catarina Granjo Morais

    2017-01-01

    Full Text Available Introduction: Congenital diaphragmatic hernia (CDH is a severe malformation, displaying relevant mortality and morbidity rates in newborns.Aim: To characterize clinically and demographically all neonatal cases of CDH admitted to a level III Neonatal Intensive Care Unit during a 12-year period and to evaluate the predictive value of baseline characteristics on mortality and morbidity at discharge.Methods: Maternal/infant clinical and electronic records were ret-rospectively reviewed. All neonates with posterolateral CDH admitted between January 2003 and December 2014 were included.Results: Fifty-three newborns were included. Overall mortality during hospitalization was 22/53 (41.5%. Clinical characteristics associated with mortality were the presence of intrathoracic liver (p = 0.005, intrathoracic stomach (p = 0.015, elevated arterial pCO2 or lower pH values at admission (respectively, p = 0.001 and p < 0.001, pre-ductal oxygen saturation < 85% at admission (p = 0.012 and surgical repair with prosthetic patch (p = 0.041. Morbidity at discharge was reported in 7 (22.6% survivors. Stomach herniation and sepsis were associated with higher morbidity (respectively, p = 0.012 and p = 0.029. In a logistic regression, patch repair was the only variable with predictive value for death during hospitalization, with an odds ratio (OR of 15 (95% CI 0.98-228.9, and intrathoracic stomach was a predictor of morbidity at discharge (OR = 15.7, 95% CI 1.4-174.2.Conclusion: Structural characteristics, namely defect size and presence of intrathoracic stomach, remain the primary determinants of neonatal prognosis in CDH. Although post-natal approaches have progressively proven their value in increasing survival and improving management of high-risk cases, future researches should continue focusing on the definition of foetal anatomical markers of severity and prenatal treatment of CDH.

  7. 12 years' experience with intraoperative radiotherapy (IORT) of malignant gliomas

    Energy Technology Data Exchange (ETDEWEB)

    Schueller, P.; Micke, O.; Moustakis, C.; Bruns, F.; Schuck, A.; Willich, N. [University Hospital Muenster (Germany). Dept. of Radiotherapy and Radiation Oncology; Palkovic, S.; Schroeder, J.; Wassmann, H. [University Hospital Muenster (Germany). Dept. of Neurosurgery

    2005-08-01

    Background: Even after surgery and radiotherapy, malignant gliomas still have a poor prognosis. The authors report on their experience with IORT in 71 patients. Patients and methods: From May 1992 to February 2004, 71 patients with malignant gliomas were treated with IORT. 26 patients suffered from grade III gliomas, 45 patients from glioblastomas (GBM). IORT was carried out using a standard electron tube and 9- to 18-MeV electrons. 52/71 patients who were primarily treated received 20 Gy IORT + 60 Gy postoperative radiotherapy, 19/71 patients with recurrences only received IORT (20-25 Gy). Results: The complication rates were 1.4% for wound infections and 5.6% for hemorrhage. Median disease-specific survival amounted to 14.9 months (gliomass III) and 14.2 months (GBM). The 2-year survival rates amounted to 26.9% (gliomas III) and 6.8% (GBM; p=0.0296). Total versus subtotal resection had no significant influence on survival (p=0.0741), nor had age, sex, tumor site, performance status, size, primary versus recurrence, and radiation dose. A comparison to a conventionally treated patient group did not show a significant survival improvement. 3 months after treatment, initial symptoms had improved in 59% (hemiparesis), 50% (aphasia), 50% (hemianopsia), and 60% (convulsions). Conclusion: IORT has been shown to be feasible; perioperative complication rates were not increased. Survival was generally not improved compared to a historical control group. Recurrences achieved the same survival as primary tumors, and GBM also had a slightly increased survival, thus being possible indications for IORT. (orig.)

  8. Endovascular Management of Acute Embolic Occlusion of the Superior Mesenteric Artery: A 12-Year Single-Centre Experience

    Energy Technology Data Exchange (ETDEWEB)

    Raupach, J., E-mail: janraupach@seznam.cz; Lojik, M., E-mail: miroslav.lojik@fnhk.cz; Chovanec, V., E-mail: chovanec.v@seznam.cz; Renc, O., E-mail: ondrejrenc@seznam.cz [Faculty of Medicine at Charles University and University Hospital, Department of Radiology (Czech Republic); Strýček, M., E-mail: m.strycek@gmail.com [Faculty of Medicine at Charles University (Czech Republic); Dvořák, P., E-mail: petr.dvorak@fnhk.cz; Hoffmann, P., E-mail: hoffmpet@fnhk.cz [Faculty of Medicine at Charles University and University Hospital, Department of Radiology (Czech Republic); Guňka, I., E-mail: gunka@email.cz; Ferko, A., E-mail: a.ferko@seznam.cz [Faculty of Medicine at Charles University and University Hospital, Department of Surgery (Czech Republic); Ryška, P., E-mail: ryska@fnhk.cz [Faculty of Medicine at Charles University and University Hospital, Department of Radiology (Czech Republic); Omran, N., E-mail: nidal81@gmail.com [Faculty of Medicine at Charles University and University Hospital, Department of Cardiac Surgery (Czech Republic); Krajina, A., E-mail: krajina@fnhk.cz; Čabelková, P., E-mail: pavla.cabelkova@fnhk.cz [Faculty of Medicine at Charles University and University Hospital, Department of Radiology (Czech Republic); Čermáková, E., E-mail: cermakovae@lfhk.cuni.cz [Faculty of Medicine at Charles University, Computer Technology Center (Czech Republic); Malý, R., E-mail: malyr@volny.cz [Faculty of Medicine at Charles University and University Hospital, Department of Medicine (Czech Republic)

    2016-02-15

    PurposeRetrospective evaluation of 12-year experience with endovascular management of acute mesenteric ischemia (AMI) due to embolic occlusion of the superior mesenteric artery (SMA).Materials and methodsFrom 2003 to 2014, we analysed the in-hospital mortality of 37 patients with acute mesenteric embolism who underwent primary endovascular therapy with subsequent on-demand laparotomy. Transcatheter embolus aspiration was used in all 37 patients (19 women, 18 men, median age 76 years) with embolic occlusion of the SMA. Adjunctive local thrombolysis (n = 2) and stenting (n = 2) were also utilised.ResultsWe achieved complete recanalization of the SMA stem in 91.9 %. One patient was successfully treated by surgical embolectomy due to a failed endovascular approach. Subsequent exploratory laparotomy was performed in 73.0 % (n = 27), and necrotic bowel resection in 40.5 %. The total in-hospital mortality was 27.0 %.ConclusionPrimary endovascular therapy for acute embolic SMA occlusion with on-demand laparotomy is a recommended algorithm used in our centre to treat SMA occlusion. This combined approach for the treatment of AMI is associated with in-hospital mortality rate of 27.0 %.

  9. Carbon dioxide stimulation of photosynthesis in Liquidambar styraciflua is not sustained during a 12-year field experiment.

    Science.gov (United States)

    Warren, Jeffrey M; Jensen, Anna M; Medlyn, Belinda E; Norby, Richard J; Tissue, David T

    2014-11-17

    Elevated atmospheric CO2 (eCO2) often increases photosynthetic CO2 assimilation (A) in field studies of temperate tree species. However, there is evidence that A may decline through time due to biochemical and morphological acclimation, and environmental constraints. Indeed, at the free-air CO2 enrichment (FACE) study in Oak Ridge, Tennessee, A was increased in 12-year-old sweetgum trees following 2 years of ∼40 % enhancement of CO2. A was re-assessed a decade later to determine if the initial enhancement of photosynthesis by eCO2 was sustained through time. Measurements were conducted at prevailing CO2 and temperature on detached, re-hydrated branches using a portable gas exchange system. Photosynthetic CO2 response curves (A versus the CO2 concentration in the intercellular air space (Ci); or A-Ci curves) were contrasted with earlier measurements using leaf photosynthesis model equations. Relationships between light-saturated photosynthesis (Asat), maximum electron transport rate (Jmax), maximum Rubisco activity (Vcmax), chlorophyll content and foliar nitrogen (N) were assessed. In 1999, Asat for eCO2 treatments was 15.4 ± 0.8 μmol m(-2) s(-1), 22 % higher than aCO2 treatments (P Asat declined to Asat = 6.9 or 5.7 ± 0.7 μmol m(-2) s(-1) for eCO2 or aCO2, respectively). In 1999, there was no treatment effect on area-based foliar N; however, by 2008, N content in eCO2 foliage was 17 % less than that in aCO2 foliage. Photosynthetic N-use efficiency (Asat : N) was greater in eCO2 in 1999 resulting in greater Asat despite similar N content, but the enhanced efficiency in eCO2 trees was lost as foliar N declined to sub-optimal levels. There was no treatment difference in the declining linear relationships between Jmax or Vcmax with declining N, or in the ratio of Jmax : Vcmax through time. Results suggest that the initial enhancement of photosynthesis to elevated CO2 will not be sustained through time if N becomes limited.

  10. Holmium laser lithotripsy of bladder calculi

    Science.gov (United States)

    Beaghler, Marc A.; Poon, Michael W.

    1998-07-01

    Although the overall incidence of bladder calculi has been decreasing, it is still a significant disease affecting adults and children. Prior treatment options have included open cystolitholapaxy, blind lithotripsy, extracorporeal shock wave lithotripsy, and visual lithotripsy with ultrasonic or electrohydraulic probes. The holmium laser has been found to be extremely effective in the treatment of upper tract calculi. This technology has also been applied to the treatment of bladder calculi. We report our experience with the holmium laser in the treatment of bladder calculi. Twenty- five patients over a year and a half had their bladder calculi treated with the Holmium laser. This study was retrospective in nature. Patient demographics, stone burden, and intraoperative and post-operative complications were noted. The mean stone burden was 31 mm with a range of 10 to 60 mm. Preoperative diagnosis was made with either an ultrasound, plain film of the abdomen or intravenous pyelogram. Cystoscopy was then performed to confirm the presence and determine the size of the stone. The patients were then taken to the operating room and given a regional or general anesthetic. A rigid cystoscope was placed into the bladder and the bladder stone was then vaporized using the holmium laser. Remaining fragments were washed out. Adjunctive procedures were performed on 10 patients. These included transurethral resection of the prostate, transurethral incision of the prostate, optic internal urethrotomy, and incision of ureteroceles. No major complications occurred and all patients were rendered stone free. We conclude that the Holmium laser is an effective and safe modality for the treatment of bladder calculi. It was able to vaporize all bladder calculi and provides a single modality of treating other associated genitourinary pathology.

  11. [Unusual elements in renal calculi].

    Science.gov (United States)

    Rodríguez-Miñón Cifuentes, J L; Salvador, E; Traba Villameytide, M L

    2006-01-01

    A group of 54 renal calculi were spontaneously passed renal stone after a nephritic colic. Two groups of calculi were found: papillary and non-papillary calculi. All calculi were analyzed by infrared spectroscopy and electronic microscopy scan (EMS) and EDAX. When the stones were analyzed with EDAX, elements such as C, N, O, Na, S, Mg, Al, Si, Cl, K, Ca, Mn, Fe, Ni, Zn were detected. The possible origin of these elements is discussed in this work.

  12. Nursing Experience of Gout Calculi in Patients Undergoing Resection%痛风结石切除术患者的护理体会

    Institute of Scientific and Technical Information of China (English)

    徐慧慧

    2014-01-01

    目的:分析痛风结石切除术后的护理措施。方法分析我科对2013年05月~12月进行的4例痛风结石手术切除患者进行手术前后的护理措施,总结在心理、术前准备、术后恢复方面的护理经验。结果经严密护理,患者对痛风疾病有了深刻的了解,术后恢复快,住院时间短,对护理工作满意。结论认为术前加强患者的心理护理,健康宣教,术后密切观察生命体征的变化,指导患者功能锻炼是患者顺利康复的保证。%Objective Tto analyze the gout calculi after resection of nursing measures. Methods Analysis of our department in 2013 05 months to 2013 December 4 cases of gout calculi operation excision were nursing before and after operation, summarized in the psychological, preoperative preparation, postoperative recovery nursing experience. Results Through careful nursing, patients have a deep understanding of the gout disease, faster postoperative recovery, shorter hospitalization time, satisfaction to nursing work. Conclusion Preoperative mental nursing, the patient's health education, change after close observation of vital signs, guide the patients to exercise is to ensure the successful rehabilitation of the patients.

  13. Verification of Stochastic Process Calculi

    DEFF Research Database (Denmark)

    Skrypnyuk, Nataliya

    Stochastic process calculi represent widely accepted formalisms within Computer Science for modelling nondeterministic stochastic systems in a compositional way. Similar to process calculi in general, they are suited for modelling systems in a hierarchical manner, by explicitly specifying...... subsystems as well as their interdependences and communication channels. Stochastic process calculi incorporate both the quantified uncertainty on probabilities or durations of events and nondeterministic choices between several possible continuations of the system behaviour. Modelling of a system is often...

  14. States in Process Calculi

    Directory of Open Access Journals (Sweden)

    Christoph Wagner

    2014-08-01

    Full Text Available Formal reasoning about distributed algorithms (like Consensus typically requires to analyze global states in a traditional state-based style. This is in contrast to the traditional action-based reasoning of process calculi. Nevertheless, we use domain-specific variants of the latter, as they are convenient modeling languages in which the local code of processes can be programmed explicitly, with the local state information usually managed via parameter lists of process constants. However, domain-specific process calculi are often equipped with (unlabeled reduction semantics, building upon a rich and convenient notion of structural congruence. Unfortunately, the price for this convenience is that the analysis is cumbersome: the set of reachable states is modulo structural congruence, and the processes' state information is very hard to identify. We extract from congruence classes of reachable states individual state-informative representatives that we supply with a proper formal semantics. As a result, we can now freely switch between the process calculus terms and their representatives, and we can use the stateful representatives to perform assertional reasoning on process calculus models.

  15. Dissolution of struvite calculi by hemiacidrin solution.

    Science.gov (United States)

    Massaro, F J; Weiner, B; Sant, G R; Meares, E M

    1983-01-01

    Struvite calculi result from urinary tract infections secondary to urease-producing bacteria. To prevent recurrent infection and stone formation complete removal of struvite calculi is recommended. Two illustrative reports of patients with renal struvite calculi are presented in which 10% hemiacidrin (Renacidin) irrigation was instituted for stone dissolution. After surgical removal of the calculi a nephrostomy tube was placed in the renal pelvis. With confirmation of residual struvite calculi, 10% hemiacidrin irrigation was initiated. Urine cultures, electrolytes and nephrotomograms were performed and adverse effects monitored. Using strict aseptic technique and appropriate precautions, hemiacidrin irrigation safely dissolves struvite calculi.

  16. [Protective special shoes for diabetics. Personal experience with a group of high risk diabetics during a 2 and 1/2 year period].

    Science.gov (United States)

    Záhumenský, E; Adamíková, A

    1993-09-01

    A group of 60 type II diabetics with the risk of development of ulceration of the feet was provided with protective specialized footwear. In the course of 2.5 years in 45 patients who could be evaluated the frequency of relapses of previous ulcerations, the development of first ulcerations and the effect on indicators of immediate high risk of a defect (formation of decubital ulcers, blisters) was investigated, as well as the general biomechanical comfort. In 10 patients with relapsing defects relapses developed twice (20%), no primary ulceration developed. As compared with common footwear, the protective footwear had a favourable effect on the formation of sores and blisters 25 patients (55.5%/ 45/100%) reported improvement of the general comfort when walking. 28 (62.2%) patients make use of the favourable experience with the specialized footwear when selecting shoes or when modifiying standard footwear. A surprising finding was delayed fatigue when walking reported by 35 (77.8%) patients, mitigation of dysaesthesias by 23 (51%), pain in the joints by 14 (31.1%), improved stability by 35 (77.8%) of the patients. With regard of the improvement of some subjective complaints the use of protective footwear can be considered a symptomatic-therapeutic element. According to clinical results specialized footwear has a favourable and protective effect on already damaged feet with a reduced tolerance for combined (mechanical, ischaemic, neurotrophic, infectious) insults. Consistent with data of authors from abroad after a 2-5-year follow-up there was a cca 50% reduction in the number of relapses of ulcerations and amputations as compared with common not modified footwear.

  17. Percutaneous dissolution of renal calculi.

    Science.gov (United States)

    Dretler, S P; Pfister, R C

    1983-01-01

    The use of percutaneous nephrostomy catheters has allowed access to intrarenal urinary calculi for dissolution. Renacidin is the successful agent for dissolving struvite stones. THAM-E is the most effective agent for the intrarenal dissolution of cystine stone. Calcium oxalate stones are still resistant to dissolution techniques.

  18. Calculi of meta-variables

    Institute of Scientific and Technical Information of China (English)

    Masahiko SATO; Takafumi SAKURAI; Yukiyoshi KAMEYAMA; Atsushi IGARASH

    2008-01-01

    The notion of meta-variable plays a fun-damental role when we define formal systems such as logical and computational calculi. Yet it has been usually understood only informally as is seen in most textbooks of logic. Based on our observations of the usages of meta-variables in textbooks, we propose two formal systems that have the notion of meta-variable. In both calculi, each variable is given a level (non-negative integer), which classifies variables into object variables (level 0), meta-variables (level 1), metameta-variables (level 2) and so on. Then, simple arity systems are. used to exclude meaningless terms like a meta-level function operating on the metameta-level. A main difference of the two calculi lies in the definitions of substitution. The first calculus uses textual substitution, which can often be found in definitions of quantified formulae: when a term is substituted for a meta-variable, free object-level variables in the term may be captured. The second cal-culus is based on the observation that predicates can be regarded as meta-level functions on object-level terms, hence uses capture-avoiding substitution. We show that both calculi enjoy a number of properties including Church-Rosser and Strong Normalization, which are indispensable when we use them as frameworks to define logical systems.

  19. Differential calculi on noncommutative bundles

    OpenAIRE

    Pflaum, Markus J.; Schauenburg, Peter

    1996-01-01

    We introduce a category of noncommutative bundles. To establish geometry in this category we construct suitable noncommutative differential calculi on these bundles and study their basic properties. Furthermore we define the notion of a connection with respect to a differential calculus and consider questions of existence and uniqueness. At the end these constructions are applied to basic examples of noncommutative bundles over a coquasitriangular Hopf algebra.

  20. How accurate is unenhanced multidetector-row CT (MDCT) for localization of renal calculi?

    Energy Technology Data Exchange (ETDEWEB)

    Goetschi, Stefan, E-mail: goetschi@gmx.net [Institute of Radiology, Triemli Hospital, Birmensdorferstrasse 497, 8063 Zuerich (Switzerland); Umbehr, Martin, E-mail: martin.umbehr@triemli.ch [Urology Clinic, Department of Surgery, Triemli Hospital, Birmensdorferstrasse 497, 8063 Zuerich (Switzerland); Ullrich, Stephan, E-mail: stephan.ullrich@triemli.ch [Institute of Radiology, Triemli Hospital, Birmensdorferstrasse 497, 8063 Zuerich (Switzerland); Glenck, Michael, E-mail: michael.glenck@triemli.ch [Institute of Radiology, Triemli Hospital, Birmensdorferstrasse 497, 8063 Zuerich (Switzerland); Suter, Stefan, E-mail: stefan.suter@triemli.ch [Urology Clinic, Department of Surgery, Triemli Hospital, Birmensdorferstrasse 497, 8063 Zuerich (Switzerland); Weishaupt, Dominik, E-mail: dominik.weishaupt@triemli.ch [Institute of Radiology, Triemli Hospital, Birmensdorferstrasse 497, 8063 Zuerich (Switzerland)

    2012-11-15

    Purpose: To investigate the correlation between unenhanced MDCT and intraoperative findings with regard to the exact anatomical location of renal calculi. Design, setting, and participants: Fifty-nine patients who underwent unenhanced MDCT for suspected urinary stone disease, and who underwent subsequent flexible ureterorenoscopy (URS) as treatment of nephrolithiasis were included in this retrospective study. All MDCT data sets were independently reviewed by three observers with different degrees of experience in reading CT. Each observer was asked to indicate presence and exact anatomical location of any calcification within pyelocaliceal system, renal papilla or renal cortex. Results were compared to intraoperative findings which have been defined as standard of reference. Calculi not described at surgery, but present on MDCT data were counted as renal cortex calcifications. Results: Overall 166 calculi in 59 kidneys have been detected on MDCT, 100 (60.2%) were located in the pyelocaliceal system and 66 (39.8%) in the renal parenchyma. Of the 100 pyelocaliceal calculi, 84 (84%) were correctly located on CT data sets by observer 1, 62 (62%) by observer 2, and 71 (71%) by observer 3. Sensitivity/specificity was 90-94% and 50-100% if only pyelocaliceal calculi measuring >4 mm in size were considered. For pyelocaliceal calculi {<=}4 mm in size diagnostic performance of MDCT was inferior. Conclusion: Compared to flexible URS, unenhanced MDCT is accurate for distinction between pyelocaliceal calculi and renal parenchyma calcifications if renal calculi are >4 mm in size. For smaller renal calculi, unenhanced MDCT is less accurate and distinction between a pyelocaliceal calculus and renal parenchyma calcification is difficult.

  1. 318 Cases of Ureteral Calculi Ultrasound Diagnosis Experience%318例输尿管结石超声诊断体会

    Institute of Scientific and Technical Information of China (English)

    孙秀丽; 于涛

    2012-01-01

    Objective: To evaluate the color doppler ultrasonography in the diagnosis value of ureteral calculi. Methods: In our hospital for the treatment of ureteral stones in 318 cases, of which 198 cases were male, female 120 cases, aged 17~69 years old, the GE Vivid7 color doppler ultrasound diagnostic instrument to the diagnosis. Results: the 318 cases are all the medication, gravel or surgery for stone confirmed. Accept ultrasound in patients 306 example actually ureter stone, misdiagnosis in 12 cases. Ultrasound performance as the main performance of the ureter water for no echo with strong echo light appeared at the far end, accompanied by the rear of sound, part of the stone color doppler figure visible "hui tail levy" strong light group with arc light band or avoid looking frumpy fine narrow light band, stone size of 0.3~1 .8 cm. Conclusion: color doppler ultrasound examination of the quick and convenient, and is now the preferred method of ureteral calculi.%目的 评价彩色多普勒超声对输尿管结石的诊断价值.方法 选取在我院进行诊治的输尿管结石患者318 例,其中男198 例,女120 例,年龄17~69 岁,采用GE Vivid7 彩色多普勒超声诊断仪对其进行诊断.结果 接318 例患者均经服药、碎石或手术后证实为结石.接受超声检查患者中306 例证实为输尿管结石,漏诊12 例.超声表现为主要表现为积水的输尿管无回声带远段出现强回声光团,伴有后方声影,部分结石彩色血流图可见"慧尾征"强光团呈弧形细狭光带或粗厚光带,结石大小为0.3~1.8cm.结论 彩色多普勒超声检查快捷方便,是目前输尿管结石的首选方法.

  2. Non-contrast thin-section helical CT of urinary tract calculi in children

    Energy Technology Data Exchange (ETDEWEB)

    Strouse, Peter J. [Section of Pediatric Radiology, University of Michigan Medical Center, Ann Arbor, MI (United States); Bates, Gregory D. [Department of Radiology, Columbus Children' s Hospital, Columbus, OH (United States); Bloom, David A. [Department of Pediatric Imaging, Children' s Hospital of Michigan, Detroit, MI (United States); Goodsitt, Mitchell M. [Department of Radiology, University of Michigan Medical Center, Ann Arbor, MI (United States)

    2002-05-01

    Background: Non-contrast thin-section helical CT has gained acceptance for the diagnosis of urinary tract calculi in adults, but experience with the technique in children is limited. Purpose: To evaluate the utility of non-contrast thin section helical CT for the diagnosis of urinary tract calculi in children. Materials and methods: Radiology databases at three pediatric institutions were searched to identify all pediatric patients evaluated by ''renal stone'' protocol CT scans (no oral or intravenous contrast, scans covering the entire urinary tract obtained in helical mode with narrow collimation (< 5 mm)). CT scans were reviewed for the primary finding of urinary tract calculi, for secondary signs of acute urinary tract obstruction and for evidence of alternative diagnoses. Medical records were reviewed to determine clinical presentation and to confirm the eventual diagnosis. Results: One hundred thirty-seven scans of 113 children (mean age: 11.2 years) were studied. Thirty-eight of 94 examinations (40%) performed on 82 children for acute pain and/or hematuria showed ureteral calculi. Alternative diagnoses were suggested by CT on 16 scans (17%). Twenty-eight scans were performed on 10 asymptomatic children with known calculus disease confirming renal stone burden on 21 scans (75%) and persistent ureteral calculi on 6 scans (21%). Upper tract calculi were demonstrated on 10 of 15 scans (67%) performed to evaluate for calculi in patients with known non-calculus genitourinary tract abnormalities. Conclusions: Non-contrast thin section helical CT is a useful method to diagnose urinary tract calculi in children. Radiation dose in this retrospective study may exceed the lowest possible radiation dose for diagnostic accuracy. Further research is needed to optimize CT imaging parameters, while maintaining diagnostic accuracy and minimizing radiation dose. (orig.)

  3. Perflubron residua: 12 years following therapy

    Energy Technology Data Exchange (ETDEWEB)

    Servaes, Sabah; Epelman, Monica [Children' s Hospital of Philadelphia, Department of Radiology, Philadelphia, PA (United States)

    2009-04-15

    Partial liquid ventilation therapy utilizing perfluorocarbons has been used for patients with severe respiratory distress. Perfluorocarbons such as perflubron have been demonstrated to clear from the lungs shortly after therapy. We present a 13-year-old boy with residual perflubron in his lungs, 12 years following therapy with perflubron. The imaging features are important to recognize as these patients return for additional care and imaging. (orig.)

  4. Flow Logic for Process Calculi

    DEFF Research Database (Denmark)

    Nielson, Hanne Riis; Nielson, Flemming; Pilegaard, Henrik

    2012-01-01

    Flow Logic is an approach to statically determining the behavior of programs and processes. It borrows methods and techniques from Abstract Interpretation, Data Flow Analysis and Constraint Based Analysis while presenting the analysis in a style more reminiscent of Type Systems. Traditionally...... developed for programming languages, this article provides a tutorial development of the approach of Flow Logic for process calculi based on a decade of research. We first develop a simple analysis for the π-calculus; this consists of the specification, semantic soundness (in the form of subject reduction...... and adequacy results), and a Moore Family result showing that a least solution always exists, as well as providing insights on how to implement the analysis. We then show how to strengthen the analysis technology by introducing reachability components, interaction points, and localized environments...

  5. Primary dissolution therapy of struvite calculi.

    Science.gov (United States)

    Dretler, S P; Pfister, R C

    1984-05-01

    Percutaneous nephrostomy and hemiacidrin were used as primary treatment of magnesium ammonium phosphate calculi in 32 surgical candidates. Of 28 patients who actually received hemiacidrin 24 (85 per cent) had successful treatment (no surgery necessary), including 19 (68 per cent) who had total stone dissolution. There were no significant complications. Patients have been followed for 3 months to 7 years. Percutaneous nephrostomy with hemiacidrin infusion is another possible treatment in the growing alternatives available for patients with urinary struvite calculi.

  6. Renal pelvic calculi and neoplasm. New indication for treatment of asymptomatic renal pelvic calculi?

    DEFF Research Database (Denmark)

    Vibitis, H; Jørgensen, J B

    1990-01-01

    Metaplasia of the renal pelvis caused by chronic irritation, calculi, infection is a reversible pre-malignant condition. The application of ESWL on renal calculi as a safe treatment in relation to metaplasia is discussed and a case history is presented....

  7. Giant primary vaginal calculus secondary to vesicovaginal fistula with partial vaginal outlet obstruction in a 12-year-old girl.

    Science.gov (United States)

    Chen, Shushang; Ge, Rong; Zhu, Lingfeng; Yang, Shunliang; Wu, Weizhen; Yang, Yin; Tan, Jianming

    2011-10-01

    A vesicovaginal fistula with vagina obstruction associated with vaginal calculi is an extremely rare medical condition. We report a giant primary vaginal calculus resulting from vesicovaginal fistula with partial vaginal outlet obstruction secondary to perineum trauma and surgery in a 12-year-old girl. Episiotomy was performed and the adhesive labia minora was split. After the removal of a giant calculus in the vagina, approximately 8 cm in diameter, the fistula tract was completely excised, followed by the repair of the vesicovagina fistula and the vagina. The patient was symptom-free at 6-month follow-up examination.

  8. [Diabetic retinopathy complications--12-year retrospective study].

    Science.gov (United States)

    Ignat, Florica; Davidescu, Livia

    2002-01-01

    It is analyzed, on a retrospective study on 12 years, the incidence of diabetus melitus cases, hospitalized in the Ophthalmologic Clinic from Craiova with special mention to the frequency of the diabetic retinopathy, of it's complications and in an accordance to other general diseases, especially cardiovascular's, which contributes to the aggravation of the diabetic ocular in juries evolution. The study underlines the high incidence of the new founded cases with diabetus melitus in complicated diabetes retinopathy stage; the high frequency of ocular complications is explained, according to our statistic facts and through an insufficient treatment, sometimes incorrect and many other cases total neglected by the patients.

  9. Management of Pancreatic Calculi: An Update

    Science.gov (United States)

    Tandan, Manu; Talukdar, Rupjyoti; Reddy, Duvvur Nageshwar

    2016-01-01

    Pancreatolithiasis, or pancreatic calculi (PC), is a sequel of chronic pancreatitis (CP) and may occur in the main ducts, side branches or parenchyma. Calculi are the end result, irrespective of the etiology of CP. PC contains an inner nidus surrounded by successive layers of calcium carbonate. These calculi obstruct the pancreatic ducts and produce ductal hypertension, which leads to pain, the cardinal feature of CP. Both endoscopic therapy and surgery aim to clear these calculi and decrease ductal hypertension. In small PC, endoscopic retrograde cholangiopancreatography (ERCP) followed by sphincterotomy and extraction is the treatment of choice. Large calculi require fragmentation by extracorporeal shock wave lithotripsy (ESWL) prior to their extraction or spontaneous expulsion. In properly selected cases, ESWL followed by ERCP is the standard of care for the management of large PC. Long-term outcomes following ESWL have demonstrated good pain relief in approximately 60% of patients. However, ESWL has limitations. Per oral pancreatoscopy and intraductal lithotripsy represent techniques in evolution, and in current practice their use is limited to centers with considerable expertise. Surgery should be offered to all patients with extensive PC, associated multiple ductal strictures or following failed endotherapy. PMID:27784844

  10. Changing trends in the treatment of Graves' disease with radioiodine: a 12-year experience in a university hospital; Mudancas evolutivas no tratamento da doenca de Graves com iodo radioativo: 12 anos de experiencia em um hospital universitario

    Energy Technology Data Exchange (ETDEWEB)

    Souza, Marcus Vinicius Leitao de [Instituto Estadual de Diabetes e Endocrinologia (IEDE), Rio de Janeiro, RJ (Brazil)], e-mail: marcusleitao@gmail.com; Souza, Honomar Ferreira de [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil). Faculdade de Medicina. Dept. de Endocrinologia; Buescu, Alexandru; Vaisman, Mario [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Faculdade de Medicina. Dept. de Endocrinologia

    2009-03-15

    Objective: To evaluate the changes in clinical parameters and in the approach to patients submitted to radioiodine therapy for Graves' disease. Materials and methods: Dossiers of 226 patients submitted to radioiodine therapy for Graves' disease in the period between January 1990 and December 2001 were retrospectively evaluated. For the purposes of statistical analysis, the 12-year period was subdivided into three periods of 4 years, with a comparison of clinical and laboratory variables in these periods. Results: The authors have observed that the total number of patients referred for radioiodine therapy as well as the percentage of female patients presented a significant increase (from 62% to 86%; p = 0.005). The percentage of patients pretreated with methimazole before radioiodine therapy increased significantly (from 9.1% to 35.6%; p = 0.03). The mean radioiodine dose delivered has also presented a significant increase (from 7.6 mCi to 12.7 mCi; p = 0.000003) with a direct reflection on a higher percentage of patients cured one year after the radioiodine therapy (from 55.6% to 83.7%; p = 0.004). Conclusion: Radioiodine therapy has increasingly been accepted for treatment of patients with Graves' disease and the doses delivered have increased to achieve a permanent cure as well as a reduction of the chances of recurrence. (author)

  11. Stochastic Simulation of Process Calculi for Biology

    CERN Document Server

    Phillips, Andrew; Paulevé, Loïc; 10.4204/EPTCS.40.1

    2010-01-01

    Biological systems typically involve large numbers of components with complex, highly parallel interactions and intrinsic stochasticity. To model this complexity, numerous programming languages based on process calculi have been developed, many of which are expressive enough to generate unbounded numbers of molecular species and reactions. As a result of this expressiveness, such calculi cannot rely on standard reaction-based simulation methods, which require fixed numbers of species and reactions. Rather than implementing custom stochastic simulation algorithms for each process calculus, we propose to use a generic abstract machine that can be instantiated to a range of process calculi and a range of reaction-based simulation algorithms. The abstract machine functions as a just-in-time compiler, which dynamically updates the set of possible reactions and chooses the next reaction in an iterative cycle. In this short paper we give a brief summary of the generic abstract machine, and show how it can be instant...

  12. A criterion for separating process calculi

    CERN Document Server

    Banti, Federico; Tiezzi, Francesco; 10.4204/EPTCS.41.2

    2010-01-01

    We introduce a new criterion, replacement freeness, to discern the relative expressiveness of process calculi. Intuitively, a calculus is strongly replacement free if replacing, within an enclosing context, a process that cannot perform any visible action by an arbitrary process never inhibits the capability of the resulting process to perform a visible action. We prove that there exists no compositional and interaction sensitive encoding of a not strongly replacement free calculus into any strongly replacement free one. We then define a weaker version of replacement freeness, by only considering replacement of closed processes, and prove that, if we additionally require the encoding to preserve name independence, it is not even possible to encode a non replacement free calculus into a weakly replacement free one. As a consequence of our encodability results, we get that many calculi equipped with priority are not replacement free and hence are not encodable into mainstream calculi like CCS and pi-calculus, t...

  13. Mobility in process calculi and natural computing

    CERN Document Server

    Aman, Bogdan

    2011-01-01

    The design of formal calculi in which fundamental concepts underlying interactive systems can be described and studied has been a central theme of theoretical computer science in recent decades, while membrane computing, a rule-based formalism inspired by biological cells, is a more recent field that belongs to the general area of natural computing. This is the first book to establish a link between these two research directions while treating mobility as the central topic. In the first chapter the authors offer a formal description of mobility in process calculi, noting the entities that move

  14. Stochastic Simulation of Process Calculi for Biology

    Directory of Open Access Journals (Sweden)

    Andrew Phillips

    2010-10-01

    Full Text Available Biological systems typically involve large numbers of components with complex, highly parallel interactions and intrinsic stochasticity. To model this complexity, numerous programming languages based on process calculi have been developed, many of which are expressive enough to generate unbounded numbers of molecular species and reactions. As a result of this expressiveness, such calculi cannot rely on standard reaction-based simulation methods, which require fixed numbers of species and reactions. Rather than implementing custom stochastic simulation algorithms for each process calculus, we propose to use a generic abstract machine that can be instantiated to a range of process calculi and a range of reaction-based simulation algorithms. The abstract machine functions as a just-in-time compiler, which dynamically updates the set of possible reactions and chooses the next reaction in an iterative cycle. In this short paper we give a brief summary of the generic abstract machine, and show how it can be instantiated with the stochastic simulation algorithm known as Gillespie's Direct Method. We also discuss the wider implications of such an abstract machine, and outline how it can be used to simulate multiple calculi simultaneously within a common framework.

  15. [Functional evaluation in patients with kidney calculi].

    Science.gov (United States)

    Stojimirović, B

    1998-01-01

    Nephrolithiasis is a common disorder and a significant problem because of incidence, recurrence and severe consequences. Stone disease is a surgical as well as a medical problem. Major progress has been made recently in understanding the pathophysiological disturbances responsible for stone formation as well as in the techniques of stone removal. The introduction of extracorporeal shock wave lithotripsy has considerably reduced the need for surgery. Improvements in methods of kidney stone removal have not diminished the need for the application of an effective prophylactic program. The internist should take a complete history of stone events (number, composition, location and outcome of stone event), family history of stones, dietary habits (focusing on the consumption of animal protein, salt and dairy products), medications and physical examination. Radiopaque stones should be documented by plane X-ray films. Ultrasonography should be used to image calculi that are nonopaque, and to easily distinguish them from masses such as tumour or blood clot. Computed tomography is also an excellent method for imaging nonopaque renal calculi but higher cost and radiation exposure are disadvantages [2]. Crystallographic analysis is the essential diagnostic procedure. If available, previous stones should also be examined. "In stone disease, everything is measurement. What the laboratory cannot tell you, you will not know; what it tells you in error, you will not correct by using your instincts, your medical experience, or your art [3]". Reliable diagnostic protocols are available for the identification of different causes of stones. The complexity of protocols depend on the severity of nephrolithiasis. Patients with a single stone episode undergo simple protocol, and extensive detailed protocol is used for patients with recurrent stone disease, or patients at increased risk. Simple protocol, besides the already mentioned history of stone events, radiographic investigation and

  16. Experience of PTCSL in treatment of complicated biliary calculi (30 cases)%经皮肝取石处理复杂性肝胆管结石体会(附30例报道)

    Institute of Scientific and Technical Information of China (English)

    汪新天; 袁武雄; 李浩; 陈晨; 蒋超; 朱朝庚; 段文斌; 肖志亚; 何自力

    2016-01-01

    目的 探讨经皮肝取石处理复杂性肝胆管结石的方法及疗效.方法 回顾性探讨该科30例经皮肝取石处理复杂性肝胆管结石资料.分析患者资料、手术疗效、手术并发症及随访情况.结果 30例经皮肝取石处理均顺利完成,术中术后无大出血及手术死亡病例.其中16例取净结石,术后无明显胆瘘和胆汁性腹膜炎等情况.结论 经皮肝取石处理复杂肝胆管结石安全、可靠,围手术并发症低,在一定范围内值得推广.%Objective To discuss the technique and clinical effects of percutaneous transhepatic cholangioscopic lithotomy (PTCSL) in treatment of complicated biliary calculi. Methods Clinical data of 30 patients that used PTCSL to deal with complicated biliary calculi were retrospectively reviewed. The general data, clinical efficacy, postopera-tive complications and follow-up surveys were analyzed. Results All the patients were successfully performed PTC-SL, there are no massive haemorrhage and death during and after operation. It is net extraction in 16 cases, without biliary leakage and bile peritonitis. Conclusion PTCSL in treatment of complicated biliary calculi is safe, with less perioperative complications. It worth of popularizing and applied clinically.

  17. Extracorporeal shock wave lithotripsy of urinary calculi. Results from the first 306 patients treated at the Copenhagen Municipal Stone Center with a second generation lithotriptor

    DEFF Research Database (Denmark)

    Andersen, J T; Mogensen, P

    1991-01-01

    The first Danish experience with Extracorporeal Shock Wave Lithotripsy (ESWL) using a second generation Lithotriptor (Siemens Lithostar) is reported. 306 patients underwent 392 treatments for 363 stones. There were 339 renal calculi including 5 staghorn calculi and 54 ureteral calculi. Treatments...... were performed under local analgesia (82%) or epidural or general anesthesia (18%) when invasive procedures had to be done in connection with the treatment. Stone fragmentation was achieved with 2487 +/- 1262 shocks. The first months stone clearance rate was 45%; 26% had fragments less than 6 mm; 29...

  18. Results of urinary dissolution therapy for radiolucent calculi

    Directory of Open Access Journals (Sweden)

    Sinha Maneesh

    2013-01-01

    Full Text Available Purpose In this paper we present our experience with dissolution therapy of radiolucent calculi. Materials and Methods This was a retrospective analysis of patients who were offered urinary dissolution therapy between January 2010 and June 2011. Patients were treated with tablets containing potassium citrate and magnesium oxide. Partial dissolution was defined as at least a 50% reduction in stone size. Patients with complete or partial dissolution were classified in the successful dissolution group. Patients with no change, inadequate reduction, increase in stone size and those unable to tolerate alkali therapy were classified as failures. Patient sex, stenting before alkalinization, stone size, urine pH at presentation and serum uric acid levels were analyzed using Fisher t-test for an association with successful dissolution. Results Out of 67, 48 patients reported for follow up. 10 (15% had complete dissolution and 13 (19% had partial dissolution. Alkalinization was unsuccessful in achieving dissolution in 25 (37%. Stenting before alkalinization, patient weight ( 75kg and serum uric acid levels (≤ 6 vs. > 6 were the only factors to significantly affected dissolution rates (p = 0.039, p 0.035, p 0.01 respectively. CONCLUSIONS A policy of offering dissolution therapy to patients with radiolucent calculi had a successful outcome in 34% of patients.

  19. Internalization of Calcium Oxalate Calculi Developed in Narrow Cavities

    Directory of Open Access Journals (Sweden)

    Fèlix Grases

    2014-03-01

    Full Text Available We describe the case of a patient with calcium oxalate monohydrate and calcium oxalate dihydrate calculi occluded in cavities. All those calculi were located inside narrow cavities covered with a thin epithelium that permits their visualization. Urinary biochemical analysis showed high calciuria, not hypercalciuria, hypocitraturia, and a ratio [calcium]/[citrate] >0.33. The existence of cavities of very low urodynamic efficacy was decisive in the formation of such calculi. It is important to emphasize that we observed a thin epithelium covering such cavities, demonstrating that this epithelium may be formed after the development of the calculi through a re-epithelialization process.

  20. Cyclic and Inductive Calculi are equivalent

    CERN Document Server

    Voicu, Razvan

    2011-01-01

    Brotherston and Simpson [citation] have formalized and investigated cyclic reasoning, reaching the important conclusion that it is at least as powerful as inductive reasoning (specifically, they showed that each inductive proof can be translated into a cyclic proof). We add to their investigation by proving the converse of this result, namely that each inductive proof can be translated into an inductive one. This, in effect, establishes the equivalence between first order cyclic and inductive calculi.

  1. Bladder calculi complicating intermittent clean catheterization.

    Science.gov (United States)

    Amendola, M A; Sonda, L P; Diokno, A C; Vidyasagar, M

    1983-10-01

    Eight male patients on clean intermittent catheterization programs for neurogenic bladder dysfunction developed vesical calculi around pubic hairs inadvertently introduced into the bladder, acting as a nidus for incrustation. In three patients, the radiographic appearance of serpentine calcifications in the pelvis was highly consistent with calcareous deposits on strands of hair. Familiarity with this radiologic appearance should suggest the diagnosis in the appropriate clinical setting and help avoid misinterpretation of these calcifications, atypical of usual bladder stones.

  2. Laryngeal Cancer: 12-Year Experience of a Single Center.

    Science.gov (United States)

    Calkovsky, V; Wallenfels, P; Calkovska, A; Hajtman, A

    2016-01-01

    Laryngeal cancer is about the twentieth most common cancer in the world and more than 150,000 new cases are diagnosed annually. The aim of the study was to evaluate the history, diagnostics, treatment outcomes, and prognosis in patients with laryngeal cancer in Northern Slovakia. We analyzed retrospectively 227 patients (207 males, 20 females) with laryngeal carcinoma treated in the period 2003-2014 at the Clinic of Otorhinolaryngology and Head and Neck Surgery of the Jessenius Faculty of Medicine and Martin University Hospital in Martin, Slovakia. The majority of patients were in the sixth (38.0 %) and seventh decade of life (30.8 %). Two hundred and seventeen patients (95.6 %) were smokers or ex-smokers. Sixty-six percent of patients were diagnosed with glottic or transglottic carcinoma, related probably to the anatomical structure of the larynx and exposure to inhalation pollutants. It is alarming that the majority of patients with malignant laryngeal disease were admitted to the hospital in advanced stages. In 151 (66.5 %) of patients, the extent of infiltration was T3 or T4, and 156 (68 %) patients were in disease stage III and IV. The incidence and mortality of laryngeal cancer suggest the need to intensify the prevention and to search for an early clinical stage of laryngeal cancer using a targeted screening.

  3. Recurrent bilateral renal calculi in a tetraplegic patient

    DEFF Research Database (Denmark)

    Vaidyanathan, S; Soni, B M; Biering-Sorensen, F;

    1998-01-01

    annual urological evaluation. Urinary tract calculi, if detected, should be dealt with promptly to prevent renal damage due to urinary obstruction and urosepsis. Renal calculi can be treated effectively and safely by ESWL in spinal cord injury patients, thus avoiding the need for an invasive procedure...

  4. Actor Network Procedures as Psi-calculi for Security Ceremonies

    Directory of Open Access Journals (Sweden)

    Cristian Prisacariu

    2014-04-01

    Full Text Available The actor network procedures of Pavlovic and Meadows are a recent graphical formalism developed for describing security ceremonies and for reasoning about their security properties. The present work studies the relations of the actor network procedures (ANP to the recent psi-calculi framework. Psi-calculi is a parametric formalism where calculi like spi- or applied-pi are found as instances. Psi-calculi are operational and largely non-graphical, but have strong foundation based on the theory of nominal sets and process algebras. One purpose of the present work is to give a semantics to ANP through psi-calculi. Another aim was to give a graphical language for a psi-calculus instance for security ceremonies. At the same time, this work provides more insight into the details of the ANPs formalization and the graphical representation.

  5. A standardisation proof for algebraic pattern calculi

    CERN Document Server

    Kesner, Delia; Ríos, Alejandro; 10.4204/EPTCS.49.5

    2011-01-01

    This work gives some insights and results on standardisation for call-by-name pattern calculi. More precisely, we define standard reductions for a pattern calculus with constructor-based data terms and patterns. This notion is based on reduction steps that are needed to match an argument with respect to a given pattern. We prove the Standardisation Theorem by using the technique developed by Takahashi and Crary for lambda-calculus. The proof is based on the fact that any development can be specified as a sequence of head steps followed by internal reductions, i.e. reductions in which no head steps are involved.

  6. Concurrency Models with Causality and Events as Psi-calculi

    Directory of Open Access Journals (Sweden)

    Håkon Normann

    2014-10-01

    Full Text Available Psi-calculi are a parametric framework for nominal calculi, where standard calculi are found as instances, like the pi-calculus, or the cryptographic spi-calculus and applied-pi. Psi-calculi have an interleaving operational semantics, with a strong foundation on the theory of nominal sets and process algebras. Much of the expressive power of psi-calculi comes from their logical part, i.e., assertions, conditions, and entailment, which are left quite open thus accommodating a wide range of logics. We are interested in how this expressiveness can deal with event-based models of concurrency. We thus take the popular prime event structures model and give an encoding into an instance of psi-calculi. We also take the recent and expressive model of Dynamic Condition Response Graphs (in which event structures are strictly included and give an encoding into another corresponding instance of psi-calculi. The encodings that we achieve look rather natural and intuitive. Additional results about these encodings give us more confidence in their correctness.

  7. Medical Care and Your 6- to 12-Year-Old

    Science.gov (United States)

    ... compared with other kids the same age and gender. The doctor will take a medical and family ... Talking to Your Child About Puberty Understanding Puberty Communication and Your 6- to 12-Year-Old Contact ...

  8. SEM and X-ray microanalysis of human prostatic calculi

    Energy Technology Data Exchange (ETDEWEB)

    Vilches, J.; Lopez, A.; De Palacio, L.; Munoz, C.; Gomez, J.

    1982-02-01

    Calculi removed from human prostates affected with nodular hyperplasia were analyzed with scanning electron microscopy and EDAX system. The general spectrum was made up of Na, Al, Mg, S, P, Ca and Zn. Two types of stone were identified morphostructurally and microanalytically: calculi type I of nodular surface with high peaks of S, and calculi type II polyfaceted with high peaks of P and Ca. Their formation from corpora amylacea and/or exogenous constituents is discussed. The superficial deposit of Zn suggests its incorporation from the prostatic liquid and does not seem to play an important role in the genesis.

  9. Inhibition of urinary calculi -- a spectroscopic study

    Science.gov (United States)

    Manciu, Felicia; Govani, Jayesh; Durrer, William; Reza, Layra; Pinales, Luis

    2008-10-01

    Although a considerable number of investigations have already been undertaken and many causes such as life habits, metabolic disorders, and genetic factors have been noted as sources that accelerate calculi depositions and aggregations, there are still plenty of unanswered questions regarding efficient inhibition and treatment mechanisms. Thus, in an attempt to acquire more insights, we propose here a detailed scientific study of kidney stone formation and growth inhibition based on a traditional medicine approach with Rotula Aquatica Lour (RAL) herbal extracts. A simplified single diffusion gel growth technique was used for synthesizing the samples for the present study. The unexpected Zn presence in the sample with RAL inhibitor, as revealed by XPS measurements, explains the inhibition process and the dramatic reflectance of the incident light observed in the infrared transmission studies. Raman data demonstrate potential binding of the inhibitor with the oxygen of the kidney stone. Photoluminescence results corroborate to provide additional evidence of Zn-related inhibition.

  10. Nonlocal Operational Calculi for Dunkl Operators

    Directory of Open Access Journals (Sweden)

    Ivan H. Dimovski

    2009-03-01

    Full Text Available The one-dimensional Dunkl operator $D_k$ with a non-negative parameter $k$, is considered under an arbitrary nonlocal boundary value condition. The right inverse operator of $D_k$, satisfying this condition is studied. An operational calculus of Mikusinski type is developed. In the frames of this operational calculi an extension of the Heaviside algorithm for solution of nonlocal Cauchy boundary value problems for Dunkl functional-differential equations $P(D_ku = f$ with a given polynomial $P$ is proposed. The solution of these equations in mean-periodic functions reduces to such problems. Necessary and sufficient condition for existence of unique solution in mean-periodic functions is found.

  11. 输尿管镜下气压弹道碎石治疗输尿管结石的临床疗效分析%Clinical experience of Ureteroscopic Pneumatic Lithotripsy in the Treatment of Ureteral Calculi

    Institute of Scientific and Technical Information of China (English)

    曾明祥

    2013-01-01

    目的探讨输尿管镜下气压弹道碎石治疗输尿管结石的疗效。方法对我院2009年10月至2011年12月76例输尿管结石患者行输尿管镜下气压弹道碎石术。结果输尿管镜下气压弹道碎石治疗输尿管结石76例中。一次性成功碎石的有73例(96.1%),2例因液压灌注压力高被冲至肾盂内,术后行体外冲击波碎石术(ESWL)后碎石成功,1例因输尿管下段狭窄输尿管镜无法通过转开放手术。结论输尿管镜下气压弹道碎石术具有疗效确切,成功率高、并发症少的特点,是输尿管中段,下段结石的有效方法。%Objective To probe the clinical effects of Ureteroscopic Pneumatic Lithotripsy in the treatment of ureteral calculi.Methods To the 76 patients who got ureteral calculus and treated in our hospital,by the using of rigid Ureteroscopic Pneumatic lithotripsy to process lithotripsy.Results In tiffs group which includes 76 patients,73 cascs were healed,the success rate were 96.1%.Conclusions Ureteroscopic Pneumatic Lithotripsy was highly effective and safety for the treatment of ureteral calculus.

  12. Large bilateral star-shaped calculi in the seminal vesicles.

    Directory of Open Access Journals (Sweden)

    Namjoshi S

    2002-04-01

    Full Text Available Calculi in the seminal vesicles (SV are extremely rare. A patient having large bilateral star-shaped calculi in the SV is reported. They were seen on plain x-ray and confirmed by computed tomography. On the reconstructed CT scans the large stone on the right side measured about 35 X 35 X 50 mm and the one on the left, 30 X 20 X 45 mm. They were not felt on rectal examination, as they were situated laterally.

  13. TREATMENT WITH TAMSULOSIN IN PATIENTS WITH DISTAL URETERAL CALCULI

    OpenAIRE

    Jagodic, K.; Bizjak, I.; Erklavec, M.; Poteko, S.; Korosec-Jagodic, H.

    2008-01-01

    Background: Symptomatic ureteral calculi are one of the most important issues in urologist emergency clinical settings. Spontaneous passage of distal ureteral calculi is usually achieved with good hydration and spasmoanalgetic drugs. alpha-blocker therapy may facilitate and accelerate the spontaneous passage of ureteral stones.Patients and methodsIn retrospective study we analyzed patients with renal colic admitted to our department in 2006. All of them had clinical examination, urine and blo...

  14. Staghorn calculi and xanthogranulomatous pyelonephritis associated with transitional cell carcinoma

    Directory of Open Access Journals (Sweden)

    Chao-Wei Tseng

    2015-03-01

    Full Text Available Untreated staghorn calculi can cause xanthogranulomatous pyelonephritis (XGP, diminished renal function, and renal malignancy. Squamous cell carcinoma (SCC of the upper urinary tract is associated with kidney stones and chronic infection, but their association with transitional cell carcinoma (TCC has not been proven and has rarely been reported in literature. We present a rare case of staghorn calculi and XGP associated with TCC.

  15. Percutaneous ultrasonic lithotripsy of symptomatic renal calculi in children

    Energy Technology Data Exchange (ETDEWEB)

    Papanicolaou, N.; Pfister, R.C.; Yoder, I.C.; Young, H.H. II; Herrin, J.T.

    1986-01-01

    Percutaneous ultrasonic lithotripsy of upper urinary tract lithiasis is a well-established procedure in adults. We successfully applied this technique to completely remove symptomatic renal calculi in two children with idiopathic hypercalciuria. The procedure was well tolerated and no complications occurred. Both patients were discharged within 4 days of the lithotripsy. This method is an alternative to surgery for the removal of large or impacted calculi from the upper urinary tracts of pediatric patients. (orig.).

  16. Site of impaction of ureteric calculi requiring surgical intervention.

    Science.gov (United States)

    El-Barky, Ehab; Ali, Yusuf; Sahsah, Mohammed; Terra, Ali A; Kehinde, Elijah O

    2014-02-01

    Textbooks describe three narrowest anatomic sites in the ureter as the most likely places for ureteral calculi to lodge, these are: the pelvi-ureteric junction (PUJ), the point where the ureters cross over the iliac vessels and the ureterovesical junction (UVJ). The purpose of this study is to determine whether calculi causing ureteric obstruction and requiring surgical treatment are found mostly at these three narrowest anatomic points of the ureter. Three hundred consecutive patients with impacted ureteric calculi who required surgical intervention were studied. The location of the impacted calculus on the day of surgical intervention was categorized according to nine predetermined levels outlined in a designed diagram based on findings on non-contrast CT of kidneys, ureters and bladder. Two peaks in stone distribution in the ureters were encountered; the first was above the ischial spine in the proximal part of the lower third ureter (84 patients, 28%), while the second was at the level between L3 and L4 lumbar vertebrae (66 patients, 22%). Overall, the location of impacted calculi was as follows, 53, 34, 10 and 3% in the lower third ureter, upper third ureter, PUJ and mid ureter, respectively. This study demonstrates two peaks of calculi distribution in the ureter where ureteric calculi become impacted: the upper ureter below the PUJ and a second in the lower ureter, more proximal than the UVJ. There was an absence of the peak in stone location over the iliac vessels, that is, the mid ureter.

  17. [Secular trends of caries prevalence among 6 and 12 year-old youths in the Netherlands].

    NARCIS (Netherlands)

    Truin, G.J.; Schuller, A.A.; Poorterman, J.H.G.; Mulder, J.

    2010-01-01

    In order to gain insight into the development of caries prevalence and caries experience among Dutch youth, a meta-analysis was carried out on epidemiological caries data collected in 5 and 6 and 11 and 12 year-olds between 1980 and 2009. From the present analysis it appears that after the mid-1980'

  18. The incidence and location of prostatic calculi on noncontrast computed tomography images in patients with renal calculi.

    Science.gov (United States)

    Balasar, Mehmet; Poyraz, Necdet; Göğer, Yunus Emre; Unal, Yunus; Pişkin, Mehmet Mesut

    2015-08-01

    In this study, the incidence and location of prostatic calculi on noncontrast abdominal computed tomography (NCACT) images of patients with and without renal stones were investigated. Between 2006 and 2013, NCACT images were taken of 133 patients treated for renal stones (Group I) and of 100 age-matched control patients with putative urinary stone disease (Group II) in our clinic. The incidence and location of prostatic calculi on these images were determined. The location of prostatic calculus was classified as type A if they were located in the main prostatic ducts, and type B if they were located outside the ducts. Prostatic calculi were present in 44.4% of patients in Group I and 21.0% of patients in Group II. The incidence of prostatic calculi was significantly higher in patients with urinary stones compared with those without (Pincidence of prostatic calculi is more prevalent in patients with renal stones. On NCACT images, prostatic calculi were mostly detected in the main prostatic ducts, which were defined as type A.

  19. Shelf acetabuloplasty for Perthes' disease: 12-year follow-up.

    NARCIS (Netherlands)

    Geest, I.C.M. van der; Kooijman, H.M.; Spruit, M.; Anderson, P.G.; Smet, P.A.G.M. de

    2001-01-01

    The goal of all therapies for Perthes' disease is to achieve an optimal shape of the acetabulum and an optimal coverage of the femoral head. Thirty patients who were included in this follow-up study (mean follow-up 12 years) underwent a shelf acetabuloplasty for Catterall group III or IV. The mean I

  20. Management experience of acute renal failure induced by unilateral ureteral calculi obstruction%一侧输尿管结石梗阻致急性肾功能衰竭的治疗经验

    Institute of Scientific and Technical Information of China (English)

    谭付清; 沈柏华; 谢立平; 孟宏舟; 方丹波; 汪超军

    2013-01-01

    Objective To explore the causes and treatment options of acute renal failure induced by unilateral ureteral calculi obstruction.Methods The clinical data of 12 cases of acute renal failure induced by unilateral ureteral calculi obstruction between August 2008 and July 2012 were reviewed retrospectively.There were 5 males and 7 females with an average age of 65.7 years.Their clinical data and treatment options were retrospectively analyzed and summarized.Seven cases showed right side ureteral calculus with hydronephrosis while another 5 presented left side ureteral calculus with hydronephrosis.Serum creatinine was higher than 310 μmol/L in 12 cases.Anuria appeared in 4 cases for 1-7 days while oliguria in 8 cases for 2-10 days.High fever was present in 11 cases,the highest of whom was 40 ℃.White blood cell count increased in 10 cases (> 10 × 109/L) and decreased in 2 cases (<4 × 109/L).Results The therapeutic options included insertion of double J stent for internal drainage (n =1),percutaneous nephrostomy for external drainage (n =10) and open operation (n =1).Traditional treatments were performed to manage ureteral calculus in the above 11 cases with drainage.All cases had improved renal function after comprehensive treatment of anti-infection,antishock,rinsing stones and relieving obstruction.All 12 cases were treated successfully.Conclusions Unilateral ureteral calculus may impair contralateral renal function and cause acute renal failure due to the absorption of toxin at obstructive side.The keys of management are eliminating toxin and relieving obstruction.%目的 总结一侧输尿管结石梗阻继发急性肾功能衰竭的原因及治疗经验,提高诊治的及时性.方法 回顾性分析了浙江大学附属第一医院2008年8月至2012年7月诊治的一侧输尿管结石梗阻继发急性肾功能衰竭12例患者的临床资料,探讨其发病原因、治疗措施及转归.12例患者中,男5例,女7例,平均年龄65.7岁.其中,右

  1. Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren

    OpenAIRE

    Chaiana Piovesan; Fausto Medeiros Mendes; José Leopoldo Ferreira Antunes; Thiago Machado Ardenghi

    2011-01-01

    We assessed the inequality in the distribution of dental caries and the association between indicators of socioeconomic status and caries experience in a representative sample of schoolchildren. This study followed a cross-sectional design, with a sample of 792 schoolchildren aged 12 years, representative of this age group in Santa Maria, RS, Brazil. Guardians answered questions on socioeconomic status and a dental examination provided information on the dental caries experience (DMF-T). Ineq...

  2. Extensive prostatic calculi in alkaptonuria: An unusual manifestation of rare disease

    Directory of Open Access Journals (Sweden)

    Gaurav Sali

    2015-07-01

    Full Text Available Extensive prostatic calculi in a young man should always elicit the suspicion of alkaptonuria. Although prostatic calculi are seen in chronic prostatitis, chronic pelvic pain syndrome and benign prostate hyperplasia, none of these have prostatic calculi or calcification as extensive as in alkaptonuria. A 36 years young man who had severed obstructive lower urinary tract symptoms with extensive prostatic calculi was found to be alkaptonuric on further evaluation.

  3. Extensive prostatic calculi in alkaptonuria: An unusual manifestation of rare disease

    OpenAIRE

    Gaurav Sali; Appu Thomas; Ginil Kumar; Balagopalan Nair; Kalvampara Sanjeevan; Georgie Mathew; Kannan Nair

    2015-01-01

    Extensive prostatic calculi in a young man should always elicit the suspicion of alkaptonuria. Although prostatic calculi are seen in chronic prostatitis, chronic pelvic pain syndrome and benign prostate hyperplasia, none of these have prostatic calculi or calcification as extensive as in alkaptonuria. A 36 years young man who had severed obstructive lower urinary tract symptoms with extensive prostatic calculi was found to be alkaptonuric on further evaluation.

  4. Existence families, functional calculi and evolution equations

    CERN Document Server

    deLaubenfels, Ralph

    1994-01-01

    This book presents an operator-theoretic approach to ill-posed evolution equations. It presents the basic theory, and the more surprising examples, of generalizations of strongly continuous semigroups known as 'existent families' and 'regularized semigroups'. These families of operators may be used either to produce all initial data for which a solution in the original space exists, or to construct a maximal subspace on which the problem is well-posed. Regularized semigroups are also used to construct functional, or operational, calculi for unbounded operators. The book takes an intuitive and constructive approach by emphasizing the interaction between functional calculus constructions and evolution equations. One thinks of a semigroup generated by A as etA and thinks of a regularized semigroup generated by A as etA g(A), producing solutions of the abstract Cauchy problem for initial data in the image of g(A). Material that is scattered throughout numerous papers is brought together and presented in a fresh, ...

  5. Aeromedical certification of aircrew and controllers with renal calculi.

    Science.gov (United States)

    Drane, A Michael C; Navathe, Pooshan; Clem, Peter

    2013-10-01

    Acute renal colic is an incapacitating condition. Advances in understanding the pathogenesis of calculi and their detection and treatment require a new approach to aeromedical risk assessment. Can this new information support the stratification of aeromedical risk into "High" and "Low" categories, and fulfill the paramount responsibility of the Civil Aviation Safety Authority, Australia's aviation regulator, which isthe maintenance of aviation safety? This article reviews the epidemiology of calculi and finds 2-10% annual risk of a symptomatic event following incidental detection of a calculus. While calculi 4 mm or less in size may not require surgical intervention, this does not equate to a pain-free passage. Similarly, calculus recurrence rates may vary in different anatomical locations, but no location can be considered "safe." The recognition of parenchymal calcification and Randall's plaques as precursors to the development of calculi places such individuals at elevated risk of developing calculi. More recently evidence has supported a link between metabolic syndrome and calculus formation. In an occupational group where there is potential for elevated radiation exposure, appropriate imaging is of particular importance. CT, X-ray, and ultrasound modalities are reviewed with recommendations presented for aeromedical assessment and surveillance based on identification of those at high risk of colic and minimization of investigational radiation exposure.

  6. Chernobyl, 12 years later; Tchernobyl, douze ans apres

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    This report draws an account of the consequences of Chernobyl accident 12 years after the disaster. It is made up of 7 chapters whose titles are: (1) Some figures about Chernobyl accident, (2) The Chernobyl nuclear power plant, (3) Sanitary consequences of Chernobyl accident, (4) The management of contaminated lands, (5) The impact in France of Chernobyl fallout, (6) The Franco-German cooperation, and (7) Glossary.

  7. First case report of staghorn calculi successfully removed by mini-endoscopic combined intrarenal surgery in a 2-year-old boy.

    Science.gov (United States)

    Taguchi, Kazumi; Hamamoto, Shuzo; Okada, Atsushi; Mizuno, Kentaro; Tozawa, Keiichi; Hayashi, Yutaro; Kohri, Kenjiro; Yasui, Takahiro

    2015-10-01

    Less-invasive therapy for pediatric urolithiasis is available due to the miniaturization of equipment and improved optics; however, surgical treatment strategies, especially for large calculi, remain controversial. We describe here our experience of treating a 2-year-old boy with left renal staghorn calculi with a single session of mini-endoscopic combined intrarenal surgery in the prone split-leg position with pre-ureteral stenting and the directional enhanced flow imaging ultrasound technique. This is the first report of successful pediatric mini-endoscopic combined intrarenal surgery without any major complications. We believe this technique provides an important therapeutic option for large renal calculus in pediatric patients.

  8. Treatment of giant ureterocele calculi by Holmium Laser Lithotripsy

    Directory of Open Access Journals (Sweden)

    Haluk Söylemez

    2009-01-01

    Full Text Available Aim: Most ureteral stones pass spontaneously. But patients who have a calculi in an ureterocele could not pass their stone, because of narrow ureteral orifice. These stones may remain asymptomatic until hematuria or obstruction occurs.Materials and Methods: Holmium laser has many uses in urology, including soft tissue incision and calculus fragmentation. These properties are ideal for endoscopic management of the ureterocele calculusResults: We present a young patient who has no spesific and severe symptoms with a hypofunctional left kidney because of giant calculi in an ureterocele Conclusion: Its imaging characteristics on intravenous pyelography and endoscopic treatment were emphasized.

  9. Labelled Lambda-calculi with Explicit Copy and Erase

    Directory of Open Access Journals (Sweden)

    Maribel Fernández

    2010-03-01

    Full Text Available We present two rewriting systems that define labelled explicit substitution lambda-calculi. Our work is motivated by the close correspondence between Levy's labelled lambda-calculus and paths in proof-nets, which played an important role in the understanding of the Geometry of Interaction. The structure of the labels in Levy's labelled lambda-calculus relates to the multiplicative information of paths; the novelty of our work is that we design labelled explicit substitution calculi that also keep track of exponential information present in call-by-value and call-by-name translations of the lambda-calculus into linear logic proof-nets.

  10. [Clinical exam of children from 3 to 12 years].

    Science.gov (United States)

    Bourrillon, Antoine; Benoist, Grégoire

    2011-04-01

    The specific aims of clinical exams of children from 3 to 12 years of age are to assess: growth including weight and height, and body mass index (BMI) to prevent obesity, neurodevelopment both motor and intellectual including sensorial impairment to detect early learning disabilities, immunization adequacy by assessing routine schedule of vaccination and booster. The GP or paediatrician should cooperate with specialised services and nursery or primary schools to match the system of education to the needs of a given child, particularly in case of learning disabilities (normally, entry into kindergarden at 6 years of age).

  11. Dissolution of Ureteral Uric Acid Calculi with Local Litholytic Irrigation

    Institute of Scientific and Technical Information of China (English)

    CHEN Zhiqiang; YAO Linfang; YE Zhangqun; YANG Weimin

    2005-01-01

    Summary: This study was designed to evaluate the efficacy of local litholytic irrigation (LLI) in the treatment of ureteral uric acid calculi. Fourteen cases of ureteral uric acid calculi were diagnosed by abdominal plain radiography (KUB),retrograde urography,ultrasonography(B-mode ultrasound),spiral computerized tomography(CT) and blood biochemical examinations. A ureteral catheter was passed retrogradely across ureteral calculi by cystoscopy. LLI with tromethamine-E(THAM-E) was performed via the ureteral catheter after the improvement of renal function and general situation and the control of urinary tract infection under the condition of intravenous application of antibiotics. The irrigation rate varied from 1000 to 1500 ml per day. Retrograde pyelography demonstrated complete dissolution of all the stones,13 cases within 10 days and 1 within 12 days. Mild hematuria was observed in the majority of the cases and temporary aggravated lumbago in 1 case,with no other side effects. It is concluded that LLI is a practical and effective method in the treatment of ureteral uric acid calculi for its advantages of shorter duration,lower cost,less physical suffering and no severe complications.

  12. Oral Health Status Among 6- and 12-year-old Jordanian Schoolchildren

    DEFF Research Database (Denmark)

    Rajab, Lamis Darwish; Petersen, Poul Erik; Baqain, Zaid

    2014-01-01

    Purpose: No nationwide oral health survey has previously been carried out in Jordan. The aims of the study were to assess the burden of dental caries and gingival health among children aged 6 and 12 years in relation to sociodemographic factors and to ascertain the trend over time in the occurrence...... caries and gingival health status. WHO methodology and criteria were applied. Structured questionnaires were used to collect information about oral hygiene, dental visits, consumption of sugars and parents' level of education. Results: The caries prevalence rates were 76.4% in 6-year-olds and 45.5% in 12......, the mean caries experience and the amount of untreated dental caries increased over time. Moreover, 17.7% of 6-year-old children and 49.1% of the 12-year-olds had gingival bleeding. Significant differences in gingival health were found by sex, location, geographical areas and socioeconomic group...

  13. [Oral hygiene customs in 6-12 year old schoolchildren].

    Science.gov (United States)

    Hernández-Martínez, César Tadeo; Medina-Solís, Carlo Eduardo; Robles-Bermeo, Norma Leticia; Mendoza-Rodríguez, Martha; Veras-Hernández, Miriam; De la Rosa-Santillana, Rubén; Escoffié-Ramírez, Mauricio; Márquez-Rodríguez, Sonia

    2014-01-01

    OBJECTIVE. To characterize utilization of oral hygiene devices and customs in schoolchildren. MATERIAL AND METHODS. We performed a cross-sectional study in 1,404 schoolchildren (6- 12 year olds) from 14 public schools in Pachuca, Hidalgo, México, using a questionnaire for sociodemographic variables and 1) Tooth brushing frequency (customs were 85.5% tooth brushing, 90.9% toothpaste, 19.4% flossing, and 28.2% mouthwash. Only 11.8% of participants reported utilization in all 4 categories. We observed differences (p < 0.05) across sexes only in the use of toothpaste, as women used it more often. Differences across age were observed (p < 0.05) for tooth brushing (younger children brushed more often) and flossing (older children flossed more often). CONCLUSIONS. Tooth brushing was the oral hygiene practice more often performed in this sample, with other frequencies being relatively low. There were differences by age and sex across some variables.

  14. Neurogenic muscle hypertrophy in a 12-year-old girl.

    Science.gov (United States)

    Zutelija Fattorini, Matija; Gagro, Alenka; Dapic, Tomislav; Krakar, Goran; Marjanovic, Josip

    2017-01-01

    Muscular hypertrophy secondary to denervation is very rare, but well-documented phenomena in adults. This is the first report of a child with neurogenic unilateral hypertrophy due to S1 radiculopathy. A 12-year-old girl presented with left calf hypertrophy and negative history of low back pain or trauma. The serum creatinine kinase level and inflammatory markers were normal. Magnetic resonance imaging showed muscle hypertrophy of the left gastrocnemius and revealed a protruded lumbar disc at the L5-S1 level. The protruded disc abuts the S1 root on the left side. Electromyography showed mild left S1 radiculopathy. Passive stretching and work load might clarify the origin of neurogenic hypertrophy but there is still a need for further evidence. Clinical, laboratory, magnetic resonance imaging and electromyography findings showed that S1 radiculopathy could be a cause of unilateral calf swelling in youth even in the absence of a history of back or leg pain.

  15. COPD and microalbuminuria: a 12-year follow-up study.

    Science.gov (United States)

    Romundstad, Solfrid; Naustdal, Thor; Romundstad, Pål Richard; Sorger, Hanne; Langhammer, Arnulf

    2014-04-01

    Chronic obstructive pulmonary disease (COPD), low lung function independent of diagnosis and markers of inflammation are all associated with increased morbidity and mortality. Microalbuminuria, reflecting endothelial dysfunction, could be a relevant inflammatory marker of potential systemic effects of COPD. We hypothesised that there was a positive association between microalbuminuria and mortality in individuals with COPD. We conducted a 12-year follow-up study of 3129 participants in the second survey of the Nord-Trøndelag Health Study (HUNT), Norway. At baseline, albuminuria was analysed in three urine samples and spirometry was performed. Among the participants, 136 had COPD and microalbuminuria, defined as a urinary albumin/creatinine ratio between 2.5 and 30.0 mg·mmol(-1). The main outcome measures were hazard ratio of all-cause mortality according to microalbuminuria. Compared to those with COPD without microalbuminuria, the adjusted hazard ratio for all-cause mortality in those with COPD and microalbuminuria was 1.54, 95% CI 1.16-2.04. This result was similar after excluding cardiovascular disease at baseline. Classifying COPD severity by Global Initiative for Chronic Obstructive Lung Disease, there was a positive association trend with increasing severity stages. Microalbuminuria is associated with all-cause mortality in individuals with COPD and could be a relevant tool in identification of patients with poor prognosis.

  16. 急诊首选B超定位ESWL治疗输尿管结石%Preferred B-positioning emergency ESWL treatment of ureteral calculi

    Institute of Scientific and Technical Information of China (English)

    夏远峰

    2014-01-01

    目的:总结急诊首选B超定位ESWL治疗输尿管结石的临床经验。方法:回顾分析2010年5月~2014年3月急诊首选第五代JC-Eswl-B型体外碎石机治疗2328例输尿管结石患者临床资料。结果:ESWL治疗输尿管结石成功率97.2%(1次成功率86.3%)。结论:急诊首选B超定位ESWL治疗输尿管结石是有效的,但要严格掌握适应证,以提高治疗效果。%Objective:To summarize the preferred B ~positioning emergency ESWL treatment of ureteral calculi clinical experience . Methods:Analysis from May 2010-November 2014 B-positioning emergency preferred using electromagnetic shock wave lithotripsy ma -chine2328 cases of clinical data in patients with ureteral calculi .Results:ESWL treatment of ureteral calculi success rate of 97.2% ( a success rate of 86.3%).Conclusion:Preferred B-positioning emergency ESWL treatment of ureteral calculi was effective , but to strictly indications to improve the therapeutic effect .

  17. The relative cost-effectiveness of PCNL and ESWL for medium sized (2 cms renal calculi in a tertiary care urological referral centre

    Directory of Open Access Journals (Sweden)

    Pradeep P Rao

    2001-01-01

    Full Text Available There is a paucity of cost-effectiveness studies in India comparing PCNL and ESWL in the treatment of renal cal-culi. We are dependent on costing studies from western literature, although the nature of expenses in developed countries is quite different from those in India. This study compares the two procedures with regards to cost-effec-tiveness & efficacy in clearing medium-sized renal calculi (2.0 cms at our institute. All costs borne by the patient & the institute were taken into account, including equip-ment costs, stay charges & cost of travel incurred, for re-peat visits to the institute. The groups compared had similar stone characteristics & were from our early experience with the two methods. All costing was done at 1998 rates by submitting case sheets to a fresh billing. PCNL, was significantly more efficient at clearing calculi (94% vs 69% than ESWL, but patients needed hospitalization. The re-quirement of ancillary procedures was significantly less with PCNL than ESWL (1 vs 35 and ESWL was more expensive although the difference was not statistically sig-nificant. High initial cost of a lithotripter along with the need for repeated visits to the hospital for clearance of the calculus contribute to the increased cost of ESWL. PCNL ensures clearance of calculi at a single hospital admission with minimal morbidity.

  18. Influence of facilities of ski preparation on the bodily condition of teenagers 11-12 years.

    Directory of Open Access Journals (Sweden)

    Vorona V.V.

    2011-04-01

    Full Text Available The indexes of bodily condition of teenagers were determined. A dynamics and increase of the explored indexes were analyzed in the process of ski preparation in the system of lessons of the physical culture of schoolchildren. The 156 teenagers at the age 11-12 years old took part in the experiment. The positive effect of ski training in the bodily condition of the investigated teenagers is proved. Reliable intercommunication was determined between the ski movements and indexes of bodily condition, which characterize work of the cardiovascular system.

  19. Ureteroscopy assisted retrograde nephrostomy for complete staghorn renal calculi.

    Science.gov (United States)

    Kawahara, Takashi; Ito, Hiroki; Terao, Hideyuki; Ogawa, Takehiko; Uemura, Hiroji; Kubota, Yoshinobu; Matsuzaki, Junichi

    2012-09-01

    Complete staghorn calculi are typically managed with percutaneous nephrolithotomy (PCNL). However, dilating nephrostomy and inserting a nephro access sheath can be difficult to perform without hydronephrosis. We reported the procedure of ureteroscopy-assisted retrograde nephrostomy (UARN) during PCNL. UARN is effective without dilating the renal collecting system in cases of complete staghorn calculi. A 63-year old female with a left complete staghorn renal calculus was referred to our hospital. Under general and epidural anesthesia, the patient was placed in a modified-Valdivia position. A flexible ureteroscope was inserted and a Lawson retrograde nephrostomy puncture wire was advanced into the flexible ureteroscope. The puncture wire was forwarded along the route from the renal pelvis to the exit skin. Calculus fragmentation was done using a pneumatic lithotripter and the Ho: YAG laser. UARN during PCNL was effective for the treatment of a complete staghorn calculus.

  20. Bacterial spectrum of urine in staghorn calculi nephrolithiasis

    Directory of Open Access Journals (Sweden)

    Kogan М.I

    2011-09-01

    Full Text Available Purpose: to study the role of the bacterial spectrum of urine in the development and clinical course of staghorn calculi nephrolithiasis. Patients and Methods. From 2008 to 2010 in the urological department of Rostov State Medical University urine culture was assessed in 86 patients with staghorn calculi. Mean age was 50,4±5,9 (25-73 years. Results: Most of the patients with staghorn calculus (89,5% have microbial contamination of urine, which has a high correlation with leucocituria, and the spectrum of microorganisms often has the various bacterial associations, which caused more infection complications during treatment. Conclusion: In the urine urease-producing bacteria, E. Coli, gram-positive organisms, nonclostridial anaerobic bacteria were predominated

  1. Determination of Lead in Human Calculi and Its Effects on Renal Function of Lead Occupational Workers

    Directory of Open Access Journals (Sweden)

    F. Memon

    2016-06-01

    Full Text Available Seventy five samples of renal and eighteen samples of supra gingival calculi of lead recycling workers were collected over the period of seven years (2008-2014 and studied for the accumulation of lead. The results were compared with those of non exposed subjects. The lead content of calculi was investigated for its dependence on type and composition of calculi, blood lead, job status and duration of exposure. The effect of blood lead and renal calculi was also investigated in relation to kidney function of respective subjects. The mean lead levels of various types of calculi were found to follow the order as phosphate > oxalate > urate .> cystine while single principal group of supra gingival calculi resulted in lower levels of metal. The lead content of calculi positively correlated with phosphate content of both of the renal (r = 0.655 and supra gingival calculi (r= 0.866, Impaired renal function was more pronounced in active workers and depended on blood lead levels in addition to presence of metal in renal calculi

  2. Treatment of giant ureterocele calculi by Holmium Laser Lithotripsy

    OpenAIRE

    Haluk Söylemez; Bülent Altınoluk; Murat Y. Uğraş

    2009-01-01

    Aim: Most ureteral stones pass spontaneously. But patients who have a calculi in an ureterocele could not pass their stone, because of narrow ureteral orifice. These stones may remain asymptomatic until hematuria or obstruction occurs.Materials and Methods: Holmium laser has many uses in urology, including soft tissue incision and calculus fragmentation. These properties are ideal for endoscopic management of the ureterocele calculusResults: We present a young patient who has no spesific and ...

  3. The efficacy of tamsulosin in lower ureteral calculi

    Directory of Open Access Journals (Sweden)

    Griwan M

    2010-01-01

    Full Text Available Context: There has been a paradigm shift in the management of ureteral calculi in the last decade with the introduction of new less invasive methods, such as ureterorenoscopy and extracorporeal shock wave lithotripsy (ESWL. Aims: Recent studies have reported excellent results with medical expulsive therapy (MET for distal ureteral calculi, both in terms of stone expulsion and control of ureteral colic pain. Settings and Design: We conducted a comparative study in between watchful waiting and MET with tamsulosin. Materials and Methods: We conducted a comparative study in between watchful waiting (Group I and MET with tamsulosin (Group II in 60 patients, with a follow up of 28 days. Statistical Analysis: Independent ′t′ test and chi-square test. Results: Group II showed a statistically significant advantage in terms of the stone expulsion rate. The mean number of episodes of pain, mean days to stone expulsion and mean amount of analgesic dosage used were statistically significantly lower in Group II (P value is 0.007, 0.01 and 0.007, respectively as compared to Group I. Conclusions: It is concluded that MET should be considered for uncomplicated distal ureteral calculi before ureteroscopy or extracorporeal lithotripsy. Tamsulosin has been found to increase and hasten stone expulsion rates, decrease acute attacks by acting as a spasmolytic, reduces mean days to stone expulsion and decreases analgesic dose usage.

  4. Factors affecting calcium oxalate dihydrate fragmented calculi regrowth

    Directory of Open Access Journals (Sweden)

    Sanchis P

    2006-07-01

    Full Text Available Abstract Background The use of extracorporeal shock wave lithotripsy (ESWL to treat calcium oxalate dihydrate (COD renal calculi gives excellent fragmentation results. However, the retention of post-ESWL fragments within the kidney remains an important health problem. This study examined the effect of various urinary conditions and crystallization inhibitors on the regrowth of spontaneously-passed post-ESWL COD calculi fragments. Methods Post-ESWL COD calculi fragments were incubated in chambers containing synthetic urine varying in pH and calcium concentration: pH = 5.5 normocalciuria (3.75 mM, pH = 5.5 hypercalciuria (6.25 mM, pH = 6.5 normocalciuria (3.75 mM or pH = 6.5 hypercalciuria (6.25 mM. Fragment growth was evaluated by measuring increases in weight. Fragment growth was standardized by calculating the relative mass increase. Results Calcium oxalate monohydrate (COM crystals formed on COD renal calculi fragments under all conditions. Under pH = 5.5 normocalciuria conditions, only COM crystals formed (growth rate = 0.22 ± 0.04 μg/mg·h. Under pH = 5.5 hypercalciuria and under pH = 6.5 normocalciuria conditions, COM crystals and a small number of new COD crystals formed (growth rate = 0.32 ± 0.03 μg/mg·h and 0.35 ± 0.05 μg/mg·h, respectively. Under pH = 6.5 hypercalciuria conditions, large amounts of COD, COM, hydroxyapatite and brushite crystals formed (growth rate = 3.87 ± 0. 34 μg/mg·h. A study of three crystallization inhibitors demonstrated that phytate completely inhibited fragment growth (2.27 μM at pH = 5.5 and 4.55 μM at pH = 6.5, both under hypercalciuria conditions, while 69.0 μM pyrophosphate caused an 87% reduction in mass under pH = 6.5 hypercalciuria conditions. In contrast, 5.29 mM citrate did not inhibit fragment mass increase under pH = 6.5 hypercalciuria conditions. Conclusion The growth rate of COD calculi fragments under pH = 6.5 hypercalciuria conditions was approximately ten times that observed under

  5. Possible etiology of calculi formation in salivary glands: biophysical analysis of calculus.

    Science.gov (United States)

    Mimura, Masafumi; Tanaka, Nobuyuki; Ichinose, Shizuko; Kimijima, Yutaka; Amagasa, Teruo

    2005-09-01

    Sialolithiasis is one of the common diseases of the salivary glands. It was speculated that, in the process of calculi formation, degenerative substances are emitted by saliva and calcification then occurs around these substances, and finally calculi are formed. However, the exact mechanism of the formation of calculi is still unclear. In this study, we identify some possible etiologies of calculi formation in salivary glands through biophysical analysis. Calculi from 13 patients with submandibular sialolithiasis were investigated by transmission electron microscopy, scanning electron microscopy, X-ray microanalyzer, and electron diffraction. Transmission electron microscopic observation of calculi was performed in the submandibular gland (n = 13). In 3 of the 13 cases, a number of mitochondria-like structures and lysosomes were found near calcified materials. Scanning electron microscopic examination of these materials revealed that there were lamellar and concentric structures and that the degree of calcification was different among the calculi. X-ray microanalysis disclosed the component elements in the calculi to be Ca, P, S, Na, etc., and the main constituents were Ca and P. The calcium-to-phosphorus ratio was 1.60-1.89. Analysis of the area including mitochondria-like structures, lysosomes, and the fibrous structures by electron diffraction revealed the presence of hydroxyapatite and calcified materials. It is speculated that mitochondria and lysosomal bodies from the ductal system of the submandibular gland are an etiological source for calcification in the salivary gland.

  6. A Syntactic Correspondence between Context-Sensitive Calculi and Abstract Machines

    DEFF Research Database (Denmark)

    Biernacka, Malgorzata; Danvy, Olivier

    2005-01-01

    We present a systematic construction of environment-based abstract machines from context-sensitive calculi of explicit substitutions, and we illustrate it with ten calculi and machines for applicative order with an abort operation, normal order with generalized reduction and call/cc, the lambda-mu-calculus...

  7. A Syntactic Correspondence between Context-Sensitive Calculi and Abstract Machines

    DEFF Research Database (Denmark)

    Biernacka, Malgorzata; Danvy, Olivier

    2007-01-01

    We present a systematic construction of environment-based abstract machines from context-sensitive calculi of explicit substitutions, and we illustrate it with ten calculi and machines for applicative order with an abort operation, normal order with generalized reduction and call/cc, the lambda-mu-calculus...

  8. Unenhanced CT findings can predict the development of urinary calculi in stone-free patients

    Energy Technology Data Exchange (ETDEWEB)

    Ciudin, Alexandru; Luque Galvez, Maria Pilar; Franco de Castro, Agustin; Garcia-Cruz, Eduardo; Alcover Garcia, Juan; Alvarez-Vijande Garcia, Jose Ricardo; Alcaraz Asensio, Antonio [Hospital Clinic Barcelona, Urology Department, Barcelona (Spain); Salvador Izquierdo, Rafael; Nicolau, Carlos [Hospital Clinic Barcelona, Radiology Department, Barcelona (Spain)

    2012-09-15

    To determine if calcium deposits in the papillae can be identified by unenhanced computed tomography (uCT) even before renal stones develop. A retrospective review of 413 patients with calculi identified 31 patients (stone-forming group) with a history of urinary tract calculi with a calculus demonstrated by uCT and a stone-free uCT before calculi had developed. The control group (n = 31) was composed of live kidney donors with no history of calculi and a stone-free uCT. CT attenuation was measured in all CTs using two regions of interest of 0.05 cm{sup 2} and 0.1 cm{sup 2} over the tip and the neighbouring area of the papillae. Student's and Wilcoxon t-tests were used for comparing results in the two groups. The attenuation of the tip of the papilla was higher in the stone-forming group when compared to the controls after (45.2 HU versus 32.1 HU, P = 0.001) and even before frank calculi had developed (44.2 HU versus 32.1 HU, P = 0.003). There was no significant difference in papillary attenuation in the stone group before and after calculi had developed (45.2 HU versus 44.2 HU, P = 0.82). Stone-forming patients exhibit higher papillary density even before calculi develop. This could define a population at risk of developing calculi. (orig.)

  9. Expectation prior to human papilloma virus vaccination: 11 to 12-Year-old girls' written narratives.

    Science.gov (United States)

    Forsner, M; Nilsson, S; Finnström, B; Mörelius, E

    2016-09-01

    Expectations prior to needle-related procedures can influence individuals' decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study's aim to investigate how 11 to 12-year-old girls narrate about their expectations prior to HPV vaccination. A total of 27 girls aged 11 to 12 years participated in this qualitative narrative study by writing short narratives describing their expectations. The requirement for inclusion was to have accepted HPV vaccination. Data were subjected to qualitative content analysis. Findings showed the following expectations: going to hurt, going to be scared and going to turn out fine. The expectations were based on the girls' previous experiences, knowledge and self-image. The latent content revealed that the girls tried to transform uneasiness to confidence. The conclusion drawn from this study is that most girls of this age seem confident about their ability to cope with possible unpleasantness related to vaccinations. However, nurses need to find strategies to help those children who feel uneasy about needle-related procedures.

  10. Papillary and Nonpapillary Calcium Oxalate Monohydrate Renal Calculi: Comparative Study of Etiologic Factors

    Directory of Open Access Journals (Sweden)

    Enrique Pieras

    2006-01-01

    Full Text Available Calcium oxalate monohydrate (COM renal calculi can be classified into two groups: papillary and nonpapillary. In this paper, a comparative study between etiologic factors of COM papillary and nonpapillary calculi is performed. The study included 40 patients with COM renal calculi. The urine of these individuals was analyzed. Case history, lifestyle, and dietetic habits were obtained.No significant differences between urinary biochemical data of both groups were observed; 50% of COM papillary stone formers and 40% of COM nonpapillary stone formers had urolithiasis family history. A low consumption of phytate-rich products was observed for both groups. A relationship between profession with occupational exposure to cytotoxic products and COM papillary renal lithiasis was detected.The results suggest that COM papillary calculi would be associated to papillary epithelium alterations together with a crystallization inhibitors deficit, whereas COM nonpapillary calculi would be associated to the presence of heterogeneous nucleants and a crystallization inhibitors deficit.

  11. Types of Renal Calculi and Management Regimen for Chinese Minimally Invasive Percutaneous Nephrolithotomy.

    Science.gov (United States)

    Gu, Si-Ping; Zeng, Guo-Hua; You, Zhi-Yuan; Lu, Yi-Jin; Huang, Yun-Teng; Wang, Qing-Mao; He, Zhao-Hui

    2015-12-01

    Strict selection of patients for minimally invasive percutaneous nephrolithotomy could effectively improve the success rate of surgery. This study aimed to understand the required skills and the efficacy of mini-PCNL in the treatment of five types of upper ureteral calculi. Data collected after X-ray analysis and B mode ultrasound from 633 patients with upper ureteral and renal pelvis calculi who underwent B ultrasound-guided lithotomy was reviewed, including the following: type I, upper ureteral or renal pelvis calculi with moderate hydronephrosis (154 cases); type II, upper ureteral or renal pelvis calculi with severe hydronephrosis (157 cases); type III, upper ureteral or renal pelvis calculi without hydronephrosis (61 cases); type IV, renal pelvis calculi, one or two renal calyx calculi (206 cases); and type V, renal staghorn calculi (55 cases). Operations on 611 cases were successful. The treatment method for five patients was converted to open surgery. Twelve cases were treated by indwelling double-J tube retro-catheterization and extracorporeal shock wave lithotripsy. Five patients gave up the treatment. The rate of calculus clearance was 82.3 %, and the rate of residual calculus was 17.6 %. Selective renal artery embolization was performed in nine cases. Hydropneumothorax occurred in nine cases. No intestinal fistula occurred, and no patient had to undergo nephrectomy. The difficulty and the curative effect of the operation were different because the types of calculi varied. Selection of the procedure based on the different types of calculi could effectively improve the success rate of the procedure, reduce complications, and shorten the learning curve.

  12. Spectral triples and differential calculi related to the Kronecker foliation

    Science.gov (United States)

    Matthes, R.; Richter, O.; Rudolph, G.

    2003-04-01

    Following the ideas of Connes and Moscovici, we describe two spectral triples related to the Kronecker foliation, whose generalized Dirac operators are related to first and second order signature operators. We also consider the corresponding differential calculi Ω D, which are drastically different in the two cases. For the second order signature operator we calculate the Chern character of the spectral triple and the Dixmier trace of certain powers of its Dirac operator. As a side-remark, we give a description of a known calculus on the two-dimensional noncommutative torus in terms of generators and relations.

  13. [Dissolution therapy of struvite calculi with solution G].

    Science.gov (United States)

    Hosomi, M; Maeda, O; Matsumiya, K; Koide, T; Takaha, M; Oka, T; Sonoda, T

    1988-07-01

    In 6 patients (9 kidneys) irrigation with Solution G in the renal pelvis was performed for the dissolution of their infectious stones. Staghorn calculi larger than 30 mm in diameter were observed in all patients. In two kidneys all stones were dissolved and the rest were dissolved into small fragments that constituted no problem in those kidneys. Irrigation was done with no major side effects or complications. The dissolution of infectious stones with Solution G is another possible treatment that could be first chosen among percutaneous nephrolithotripsy, extracorporeal shock wave lithotripsy and other treatments.

  14. Ultrasonic fragmentation in the treatment of male urethral calculi.

    Science.gov (United States)

    Durazi, M H; Samiei, M R

    1988-11-01

    In the last 8 months, 7 patients have presented with acute retention of urine due to impacted urethral stones. Four stones were in the posterior urethra, 2 in the penile urethra and 1 proximal to the external urethral meatus. The patients were managed as emergencies. Stone fragmentation by ultrasound (US) through a 24F obliquely offset eyepiece nephroscope was achieved with minimal urethral trauma. Follow-up was for 6 months and no evidence of urethral stricture or recurrent stones was found. It was concluded that US fragmentation of urethral calculi is a safe and efficient procedure with minimal complications when used in the management of impacted urethral stones.

  15. Ureolytic Citrobacter freundii infection of the urine as a cause of dissolution of cystine renal calculi.

    Science.gov (United States)

    Gutierrez Millet, V; Praga, M; Miranda, B; Bello, I; Ruilope, L; Diaz Gonzalez, R; Leyva, O; Alcazar, J M; Barrientos, A; Rodicio, J L

    1985-03-01

    We report a case of cystinuria with staghorn renal lithiasis in a solitary right kidney and chronic renal failure. Right nephropyelolithotomy was performed and although 29 renal calculi were extracted many stones remained in situ. A permanent nephrostomy was left in the kidney. Several months later the urine was infected chronically with a ureolytic Citrobacter freundii bacteria and urinary pH oscillated between 8.0 and 9.2. Spontaneous dissolution of the cystine calculi was observed and many tiny fragments of cystine were expulsed through the nephrostomy, following which renal function improved. Despite the conditions favoring struvite calculi, formation did not occur.

  16. Promoting Oral Health in 6-12 Year-Old Students: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Mehdi Hazavehei

    2015-03-01

    Full Text Available Background and Objectives: The group of 6-12 year-old students are the main target of oral health programs due to the high prevalence of dental caries and the formation of permanent teeth during this age and the lifestyle-shaping nature of the period. Schools provide the easiest and most effective means of accessing this group. The present study was conducted to examine the impact of school-based interventions on improved oral health in 6-12 year-old students. Materials and Methods: The present systematic review searched for its English and Persian keywords in databases such as the Scopus, Proquest, Science Direct, Pubmed, Springer, Biomed Central, Google Scholar, IranMedex and SID and examined studies published between January 2004 and September 2014 about educational interventions aiming to prevent oral diseases and promote associated health behaviors in students. Results: The 17 studies selected for examination were divided into two categories: first, assessing an education based on self-care behaviors and preventive services second, assessing an education based on self-care behaviors only. Those interventions that were consistent in nature, involved the parents and the school personnel, used behavior change models, used a combination of several training methods, used practical experiences and provided preventive services were more effective in promoting knowledge and health behaviors and reducing dental caries and plaque in this group of children. Conclusion: Providing consistent community-based education, using a combination of several organized educational programs, following up on the children's progress, using behavior change theories and models and providing prevention services are the most effective measures for achieving the desired goals.

  17. Persistent Inflammation and Endothelial Activation in HIV-1 Infected Patients after 12 Years of Antiretroviral Therapy

    DEFF Research Database (Denmark)

    Rönsholt, Frederikke F; Ullum, Henrik; Katzenstein, Terese L;

    2013-01-01

    The study investigated markers of inflammation and endothelial activation in HIV infected patients after 12 years of successful combination antiretroviral treatment (cART).......The study investigated markers of inflammation and endothelial activation in HIV infected patients after 12 years of successful combination antiretroviral treatment (cART)....

  18. Medullary Sponge Kidney and Urinary Calculi Aeromedical Concerns

    Science.gov (United States)

    Jones, Jeffrey A.; Cherian, Sebastian F.; Barr, Yael R.; Stocco, Amber

    2008-01-01

    Medullary Sponge Kidney (MSK) is a benign disorder associated with renal stones in 60% of patients. Patients frequently have episodic painless hematuria but are otherwise asymptomatic unless renal calculi or infections complicate the disease. Nephrolithiasis is a relative, but frequently enforced, contraindication to space or other high performance flight. Two case reports of asymptomatic NASA flight crew with MSK and three cases of military aviators diagnosed with MSK are reviewed, all cases resulted in waiver and return to flight status after treatment and a vigorous follow up and prophylaxis protocol. MSK in aviation and space flight necessitates a highly case-by-case dependent evaluation and treatment process to rule out other potential confounding factors that might also contribute to stone formation and in order to re-qualify the aviator for flight duties.

  19. Spectroscopic analysis of urinary calculi and inhibition of their growth

    Science.gov (United States)

    Manciu, Felicia; Durrer, William; Govani, Jayesh; Reza, Layra; Pinales, Luis

    2009-10-01

    We present here a study of kidney stone formation and growth inhibition based on a traditional medicine approach with Aquatica Lour (RAL) herbal extracts. Kidney stone material systems were synthesized in vitro using a simplified single diffusion gel growth technique. With the objective of revealing the mechanism of inhibition of calculi formation by RAL extracts, samples prepared without the presence of extract, and with the presence of extract, were analyzed using Raman, photoluminescence, and XPS. The unexpected presence of Zn revealed by XPS in a sample prepared with RAL provides an explanation for the inhibition process, and also explains the dramatic reflectance of incident light observed in attempts to obtain infrared transmission data. Raman data are consistent with the binding of the inhibitor to the oxygen of the kidney stone. Photoluminescence data corroborate with the other results to provide additional evidence of Zn-related inhibition.

  20. Acute urinary retention in women due to urethral calculi: A rare case

    OpenAIRE

    2014-01-01

    We present a case of a 51-year-old woman with acute urinary retention caused by a urethral calculus. Urethral calculi in women are extremely rare and are usually formed in association with underlying genitourinary pathology. In this case, however, no pathology was detected via thorough urological evaluation. We discuss the pathogenesis, clinical presentation and treatment of urethral calculi. To our knowledge, this is the second reported case of a primary urethral calculus in a female with an...

  1. 肝切除术联合术中胆道镜治疗17例肝内胆管结石的疗效分析%The therapy experience of liver resection combined intraoperative choledochoscope for intrahepatic biliary calculi in 17 cases

    Institute of Scientific and Technical Information of China (English)

    赵本泉; 吴伟; 项建斌; 马中林

    2015-01-01

    目的:探讨肝切除术联合术中胆道镜治疗肝内胆管结石的临床疗效。方法回顾性分析该院肝胆外科2005~2014年行肝切除术联合术中胆道镜治疗肝内胆管结石17例患者的临床资料,根据肝内胆管结石的分布,其中左外叶6例,左半肝5例,右肝第Ⅵ段3例,第Ⅶ段1例,第Ⅷ段1例,左外叶合并右后叶下段1例。17例患者均采用传统肝叶或肝段切除术(单钳法联合第一肝门阻断技术),其中左外叶切除6例,左半肝切除5例,右肝第Ⅵ段切除3例,第Ⅶ段切除1例,第Ⅷ段切除1例,左外叶联合右后叶下段切除1例,同时行胆总管切开取石、T管引流附加手术10例,所有患者术中均常规行胆道镜检查。结果17例患者均治愈,无严重并发症,无远期结石复发。结论肝切除术联合术中胆道镜是治疗肝内胆管结石积极、有效、彻底的方法。%Objective To investigate the clinical efficacy of liver resection combined intraoperative choledochoscope for intra‐hepatic biliary calculi .Methods A retrospective analysis of clinical data in seventeen patients with intrahepatic biliary calculi ,who have been received liver resection combined intraoperative choledochoscope in the department of hepatobiliary surgery during 2005 to 2014 was conducted .According to the distribution of intrahepatic bile duct stones ,six cases located in left liver lobe ,five cases lo‐cated in left half liver ,three cases located in liver section Ⅵ ,one case located in liver section Ⅶ ,one case located in liver section Ⅷ , one case located in left liver lobe associated with right posterior lobe lower segment .Seventeen cases were treated with hepatolobec‐tomy or segmental liver resection (single clamp method combined first hilar occlusion) ,among which six cases received hepatic left lateral lobectomy ,five cases received left hemihepatectomy ,three cases received partial hepatic resection in

  2. Experience of Minimally Invasive Percutaneous Nephrolithotomy Guided by B Ultrasound and X-ray in the Treatment of Complicated Renal Calculi%B超联合X线引导定位下微创经皮肾镜治疗复杂性肾结石的体会

    Institute of Scientific and Technical Information of China (English)

    魏淑英

    2015-01-01

    目的:研究 B 超联合 X 线引导定位下微创经皮肾镜治疗复杂性肾结石的效果。方法选择2012年3月~2014年3月来我院治疗的复杂性肾结石患者166例,随机分成对照组和治疗组,每组各83例,对照组患者采用 X 线引导定位下微创经皮肾镜治疗,治疗组患者采用 B超联合 X 线引导定位下微创经皮肾镜治疗,观察两组患者的穿刺效果及手术时间、结石清除率等指标。结果治疗组患者的穿刺时间、穿刺出血量少于对照组患者,1针穿刺成功率高于对照组患者,差异具有统计学意义(P <0.05);治疗组患者的平均手术时间及住院时间少于对照组患者,结石的清除率高于对照组患者,差异具有统计学意义(P <0.05)。治疗后仅对照组患者出现2例不良情况。结论对复杂性肾结石的患者采用 B 超联合 X 线引导定位下微创经皮肾镜治疗,能有效地减少手术时间,提高治疗的成功率,并发症较少。%Objective To study the effect of minimal y invasive percutaneous endoscopic guided by ultrasound combined with X-ray guidance in the treatment of complex renal calculi. Methods From March 2012 to March 2014,166 patients with complex renal calculi were randomly divided into control group and treatment group,83 cases in each group. The control group were treated with X ray guided percutaneous endoscopic treatment. Results In the treatment group,the puncture time and bleeding volume were significantly less than those in the control group,the success rate was significantly higher than the control group,the difference was statistical y significant(P < 0.05). The average operation time and hospitalization time of the treatment group were significantly less than those of the control group,the removal rate of stone was significantly higher than that of the control group(P < 0.05).After treatment,the control group was treated with 2 cases of adverse conditions

  3. Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city.

    Science.gov (United States)

    Jordão, Lidia Moraes Ribeiro; Vasconcelos, Daniela Nobre; Moreira, Rafael da Silveira; Freire, Maria do Carmo Matias

    2015-01-01

    The aim of this study was to describe malocclusion prevalence and its association with individual and contextual factors among Brazilian 12-year-old schoolchildren. This cross-sectional study included data from an oral health survey carried out in Goiânia, Brazil (n = 2,075), and data from the files of the local health authority. The data were collected through oral clinical examinations. The Dental Aesthetic Index (DAI) was used to assess occlusion. The presence of malocclusion (DAI > 25) was used as the dependent variable. The individual independent variables consisted of adolescents' sex and race and their mothers' level of schooling. The clinical variables were caries experience and presence of adverse periodontal condition (calculus and/or gingival bleeding). The contextual variables included type of school and the location of schools in the city's health districts. The Rao-Scott test and multilevel logistic regression were performed. The prevalence of malocclusion was 40.1%. In the final model, significantly higher rates of malocclusion were found among those who attended schools located in less affluent health districts and whose mothers had fewer years of education. Rates were also higher among those presenting calculus and/or gingival bleeding. Malocclusion demonstrated a high prevalence rate and the inequalities in its distribution were determined by individual and contextual factors.

  4. Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city

    Directory of Open Access Journals (Sweden)

    Lidia Moraes Ribeiro JORDÃO

    2015-01-01

    Full Text Available The aim of this study was to describe malocclusion prevalence and its association with individual and contextual factors among Brazilian 12-year-old schoolchildren. This cross-sectional study included data from an oral health survey carried out in Goiânia, Brazil (n = 2,075, and data from the files of the local health authority. The data were collected through oral clinical examinations. The Dental Aesthetic Index (DAI was used to assess occlusion. The presence of malocclusion (DAI > 25 was used as the dependent variable. The individual independent variables consisted of adolescents’ sex and race and their mothers’ level of schooling. The clinical variables were caries experience and presence of adverse periodontal condition (calculus and/or gingival bleeding. The contextual variables included type of school and the location of schools in the city’s health districts. The Rao-Scott test and multilevel logistic regression were performed. The prevalence of malocclusion was 40.1%. In the final model, significantly higher rates of malocclusion were found among those who attended schools located in less affluent health districts and whose mothers had fewer years of education. Rates were also higher among those presenting calculus and/or gingival bleeding. Malocclusion demonstrated a high prevalence rate and the inequalities in its distribution were determined by individual and contextual factors.

  5. Candida infection of the central nervous system following neurosurgery: a 12-year review.

    LENUS (Irish Health Repository)

    O'Brien, Deirdre

    2012-02-01

    BACKGROUND: Candida infection of the central nervous system (CNS) following neurosurgery is relatively unusual but is associated with significant morbidity and mortality. We present our experience with this infection in adults and discuss clinical characteristics, treatment options, and outcome. METHODS: All episodes of Candida isolated from the central nervous system were identified by searching our laboratory database. Review of the cases was performed by means of a retrospective chart review. RESULTS: Eleven episodes of Candida CSF infection following neurosurgery were identified over a 12-year period. Candida albicans was the predominant species isolated (n = 8, 73%). All infections were associated with foreign intracranial material, nine with external ventricular drains (82%), one with a ventriculoperitoneal shunt, one with a lumbar drain, and one with Gliadel wafers (1,3-bis [2-chloroethyl]-1-nitrosurea). Fluconazole or liposomal amphotericin B were the most common anti-fungal agents used. The mortality rate identified in our series was 27%. CONCLUSIONS: Candida infection following neurosurgery remains a relatively rare occurrence but one that causes significant mortality. These are complex infections, the management of which benefits from a close liaison between the clinical microbiologist and neurosurgeon. Prompt initiation of antifungal agents and removal of infected devices offers the best hope of a cure.

  6. Pulmonary metastases 12 years after a mastectomy for borderline phyllodes tumor

    Institute of Scientific and Technical Information of China (English)

    NIE Xiao-meng; WANG Yang; YAO Xiao-peng

    2011-01-01

    Phyllodes tumor is a rare breast tumor.A 45-year-old woman who underwent left mastectomy 12 years ago was found to have infiltrates in both lungs in a health examination.Combining histological examinations of the lung and breast samples,the diagnosis of borderline phyllodes tumor metastases to the lung was made.It is the longest interval to our knowledge that the metastases occurred 12 years after primary phyllodes tumor.

  7. Living related donor liver transplantation in Iranian children: a 12- year experience

    Science.gov (United States)

    Hassanzade, Jafar; Mohsen Dehghani, Seyed; Bahador, Ali; Ali Malek-Hosseini, Seyed

    2013-01-01

    Aim The aim of this study was to describe our results and investigate the survival of below-18-year-old patients undergoing LRDLT and the factors affecting this. Background Living Related Donor Liver Transplantation (LRDLT) has become a good option to provide suitable grafts for children with liver diseases. Using this method, children who have no chance for life can live a much longer life. Patients and methods The present study is a historical cohort study carried on 191 patients below-18-year-sold who had undergone LRDLT for the first time in the Namazi hospital liver transplantation center. Survival rate of the patients was assessed using Kaplan-Meier method. The effect of factors related to the recipients, donors, and the transplantation process on the patients’ survival was also investigated. Results 1, 3, 5 and 11-year survival of patients was 71%, 66%, 65%, and 65%, respectively. In the univariate analysis, age, weight at transplantation, PELD/MELD score, existence of post-transplant complications were found to be effective factors on the patients’ survival. In the multivariate analysis, weight at transplantation, PELD/MELD score, and existence of post-transplant complications were the prognostic variables. Conclusion LRDLT is now well established with satisfactory results in our center. Although the survival rate of the patients is lower than the survival rate reported in other studies, but the survival of the patients who had survived 1 month after the transplantation was comparable to other studies. PMID:24834270

  8. Perioperative challenges and surgical treatment of large simple, and infectious liver cyst - a 12-year experience.

    Directory of Open Access Journals (Sweden)

    Yuichiro Maruyama

    Full Text Available BACKGROUND: Cystic lesions of the liver consist of a heterogeneous group of disorders that can present diagnostic and therapeutic challenges. METHODS: A retrospective review of all medical records of adult patients diagnosed with large (>7 cm cystic lesions of the liver between January 2000 and December 2011, at Kurume University Hospital. Cases with polycystic disease were excluded. RESULTS: Twenty three patients were identified. The mean size was 13.9 cm (range, 7-22cm. The majority of simple cysts were found in women (females: males, 2: 21. In 19 patients, the cyst was removed surgically by wide deroofing (laparoscopically in 16 cases, combined with ethanol sclerotherapy in 13 cases. Infection of the liver cyst occurred in one patient, who later underwent central bi-segmentectomy. CONCLUSION: Simple large cysts of the liver can be successfully treated by laparoscopic deroofing and alcohol sclerotherapy. Large hepatic cyst considered to need drainage should be removed surgically to avoid possible infection.

  9. Acanthamoeba Keratitis: A 12-Year Experience Covering a Wide Spectrum of Presentations, Diagnoses, and Outcomes

    Directory of Open Access Journals (Sweden)

    Michael A. Page

    2013-01-01

    Full Text Available Purpose. To review characteristics of confocal microscopy, clinical presentation, and clinical outcome in 372 cases of Acanthamoeba keratitis (AK from 1999 to 2011. Methods. A retrospective case review was performed on 372 cases of AK diagnosed by confocal microscopy (CFM at a single institution in Portland, Oregon, from 1999 to 2011. A numbered grading system was devised for describing the relative microscopic severity of the AK infections detected. Results. “grade 1,” 94 as “grade 2,” 40 as “grade 3,” and 62 as “grade 4.” Peak incidences occurred during 2000–2002 and 2005–2007. Seasonal variation was noted, with a peak during summer months. For the 231 cases with complete records, 64% indicated a history of soft contact lens use. Nine progressed to multiple failed penetrating keratoplasties (PKPs or enucleation. Conclusion. We report an average of 31 new cases of AK per year from 1999 to 2011. This figure equates to 10.3 new cases/1,000,000/year for the Portland metropolitan area. Patients diagnosed with AK exhibited a wide spectrum of clinical and microscopic characteristics. Soft contact lens use remained the single largest risk factor.

  10. Multiple osteochondromas (MO in the forearm: a 12-year single-centre experience

    Directory of Open Access Journals (Sweden)

    John Ham

    2016-10-01

    Full Text Available Abstract Multiple osteochondromas (MO are a rare autosomal dominant disorder characterized by the presence of osteochondromas located on the long bones and axial skeleton. Patients present with growth disturbances and angular deformities of the long bones as well as limited motion of affected joints. Forearm involvement is found in a considerable number of patients and may vary from the presence of a simple osteochondroma to severe forearm deformities and radial head dislocation. Patients encounter a variety of problems and symptoms e.g., pain, functional impairment, loss of strength and cosmetic concerns. Several surgical procedures are offered from excision of symptomatic osteochondromas to challenging reconstructions of forearm deformities. We describe visualizing, planning and treating these forearm deformities in MO and, in particular, a detailed account of the surgical correction of Masada type I and Masada type II MO forearm deformities.

  11. Submarine pipeline inspection: The 12 years experience of TRANSMED and future developments

    Energy Technology Data Exchange (ETDEWEB)

    Iovenitti, L.; Venturi, M. [Snamprogetti S.p.A., Fano (Italy). Offshore Division; Albano, G.; Touisi, E.H. [Mariconsult S.p.A., Milan (Italy)

    1994-12-31

    TRANSMED is a submarine pipeline gas transportation system crossing the Sicily Channel, in the Mediterranean Sea, at a maximum water depth of 610 m. It went into operation in 1981. Initially composed of three lines, it has been increased to five lines and to a total length of 780 Km in the last year. In the present paper criteria, methodology and equipment used for the periodic inspection surveys of TRANSMED and for the management of gathered data are presented. The twelve years inspection activity and the relevant results of data analysis, mainly the historical evolution of scour induced free spans and the incidence of other hazards, are illustrated. Moreover, the critical aspects concerning data acquisition, processing and management are analyzed and the planned developments are presented.

  12. [Computer-assisted total knee arthroplasty: 12 years experience in Grenoble].

    Science.gov (United States)

    Saragaglia, Dominique

    2009-01-01

    Computer-assisted total knee arthroplasty was developed in Grenoble in the mid-1990s. The first human implantation was performed on 21 January 1997, with no particular problems. Since this date more than 200,000 patients have been implanted with our device all over the world. The device is passive (not active like a robot), and requires no pre- or perioperative imaging. It is based on kinematics and palpation, the surgeon remaining in charge at all times. The computer helps to identify the lower leg axis, to accurately fix the bone cutting guides, and to check the ligament balance. These steps are not easy to perform with conventional ancillaries. The effectiveness of computer-assisted total knee replacement is well documented, although it is too early to claim that a "well-aligned" prothesis will have a better survival rate. Long-term follow-up studies are needed, with modern prostheses, to confirm the results of historical studies.

  13. Dental caries experience in 12-year-old schoolchildren in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Silvia Cypriano

    2008-08-01

    Full Text Available The aim of this study was to evaluate the prevalence of caries-free children using DMFT and significant caries (SiC indexes in different caries prevalence groups in cities of the region of Campinas, São Paulo State, Brazil. The methodology proposed by the World Health Organization (1997 was used for caries diagnosis in 2,378 individuals. According to the DMFT index obtained in each evaluated city, 3 prevalence groups with representative samples were formed, being classified as low, moderate and high. SiC index was used to classify the one third of the population with the highest caries prevalence. In the low prevalence group, 32.4% of the children were caries free (DMFT=0, with mean DMFT of 2.29 and SiC index of 4.93. In the moderate prevalence group, 21.8% of the children were caries free, with mean DMFT of 3.36 and SiC of 6.74. Only 6.9% of the children in the high prevalence group were caries free and the mean DMFT was 5.54 (SiC=9.62. There was a great heterogeneity in dental caries distribution within the studied population, as well as a high caries prevalence considering the 3 classifications. Other indexes besides DMFT could be used to improve oral health assessment during establishment of the treatment plan and intervention.

  14. An analysis of salivary gland neoplasms: a 12-year, single-institution experience in Turkey.

    Science.gov (United States)

    Etit, Demet; Ekinci, Nese; Tan, Ayca; Altinel, Deniz; Dag, Filiz

    2012-03-01

    The epidemiology of salivary gland tumors worldwide is not very well defined. Although many studies on this subject have been undertaken, the data are generally focused on specific topics such as parotid gland neoplasms or tumors of the major salivary glands. We conducted a study to establish the prevalence and distribution of benign and malignant neoplasms of both the major and minor salivary glands at a single institution. We reviewed 244,204 cases that had come through our pathology department from January 1994 through December 2005 and found 235 cases of a salivary gland neoplasm (0.09%). The female-to-male ratio was 1.04:1, and the mean age of the patients was 47 years. Of the 235 neoplasms, 159 (67.66%) were located in the parotid gland, 34 (14.47%) in the submandibular gland, and 42 (17.87%) in the minor salivary glands. A total of 146 tumors (62.13%) were benign and 89 (37.87%) were malignant. Pleomorphic adenoma was the most common neoplasm, occurring in 98 cases (41.70%). The most common malignancy was mucoepidermoid carcinoma, with 27 cases (11.49%). Our data demonstrate that the characteristics of salivary gland tumors in a Turkish population at a single institution are similar to those reported in the literature worldwide.

  15. Association between schizophrenia and urinary calculi: a population-based case-control study.

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    Shih-Ping Liu

    Full Text Available BACKGROUND: People with schizophrenia have been demonstrated to have higher overall morbidity and all-cause mortality rates from general medical conditions. However, little attention has been given to the urinary system of people with schizophrenia. As no direct evidence has been reported demonstrating a link between schizophrenia and urinary calculi, this study utilized a population-based case-control study design to investigate the possibility of an association between schizophrenia and the occurrence of urinary calculi. METHOD: This study used data from the Taiwan Longitudinal Health Insurance Database. Cases consisted of 53,965 urinary calculi patients newly diagnosed between 2002 and 2008. In total, 269,825 controls were randomly selected and matched with the cases in terms of age and sex. Each person was traced to discern whether he had previously received a diagnosis of schizophrenia. Conditional logistic regression models were performed for the analysis. RESULTS: A total of 3,119 (1.0% subjects had been diagnosed with schizophrenia prior to the index date. This included 0.7% of the patients with urinary calculi, and 1.0% of the controls. A prior diagnosis of schizophrenia was independently associated with a 30% decrease (95% CI = 0.62-0.76 in the occurrence of urinary calculi. The reduction was even more remarkable in males (38%, 95% CI = 0.55-0.71 and in elder individuals independent of gender (48% in those aged >69, 95% CI = 0.36-0.77. CONCLUSION: Our findings suggest that there is an inverse association between schizophrenia and urinary calculi. Future studies are needed to elucidate the mechanisms by which schizophrenia negatively associates with urinary calculi.

  16. Nondestructive analysis of urinary calculi using micro computed tomography

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    Lingeman James E

    2004-12-01

    Full Text Available Abstract Background Micro computed tomography (micro CT has been shown to provide exceptionally high quality imaging of the fine structural detail within urinary calculi. We tested the idea that micro CT might also be used to identify the mineral composition of urinary stones non-destructively. Methods Micro CT x-ray attenuation values were measured for mineral that was positively identified by infrared microspectroscopy (FT-IR. To do this, human urinary stones were sectioned with a diamond wire saw. The cut surface was explored by FT-IR and regions of pure mineral were evaluated by micro CT to correlate x-ray attenuation values with mineral content. Additionally, intact stones were imaged with micro CT to visualize internal morphology and map the distribution of specific mineral components in 3-D. Results Micro CT images taken just beneath the cut surface of urinary stones showed excellent resolution of structural detail that could be correlated with structure visible in the optical image mode of FT-IR. Regions of pure mineral were not difficult to find by FT-IR for most stones and such regions could be localized on micro CT images of the cut surface. This was not true, however, for two brushite stones tested; in these, brushite was closely intermixed with calcium oxalate. Micro CT x-ray attenuation values were collected for six minerals that could be found in regions that appeared to be pure, including uric acid (3515 – 4995 micro CT attenuation units, AU, struvite (7242 – 7969 AU, cystine (8619 – 9921 AU, calcium oxalate dihydrate (13815 – 15797 AU, calcium oxalate monohydrate (16297 – 18449 AU, and hydroxyapatite (21144 – 23121 AU. These AU values did not overlap. Analysis of intact stones showed excellent resolution of structural detail and could discriminate multiple mineral types within heterogeneous stones. Conclusions Micro CT gives excellent structural detail of urinary stones, and these results demonstrate the feasibility

  17. Outcomes of urethral calculi patients in an endemic region and an undiagnosed primary fossa navicularis calculus.

    Science.gov (United States)

    Verit, Ayhan; Savas, Murat; Ciftci, Halil; Unal, Dogan; Yeni, Ercan; Kaya, Mete

    2006-02-01

    Urethral calculus is a rare form of urolithiasis with an incidence lower than 0.3%. We determined the outcomes of 15 patients with urethral stone, of which 8 were pediatric, including an undiagnosed primary fossa navicularis calculus. Fifteen consecutive male patients, of whom eight were children, with urethral calculi were assessed between 2000 and 2005 with a mean of 19 months' follow-up. All stones were fusiform in shape and solitary. Acute urinary retention, interrupted or weak stream, pain (penile, urethral, perineal) and gross hematuria were the main presenting symptoms in 7 (46.7%), 4 (26.7%), 3 (20%) and 1 (6.6%) patient, respectively. Six of them had accompanying urethral pathologies such as stenosis (primary or with hypospadias) and diverticulum. Two patients were associated with upper urinary tract calculi but none of them secondary to bladder calculi. A 50-year-old patient with a primary urethral stone disease had urethral meatal stenosis accompanied by lifelong lower urinary tract symptoms. Unlike the past reports, urethral stones secondary to bladder calculi were decreasing, especially in the pediatric population. However, the pediatric patients in their first decade are still under risk secondary to the upper urinary tract calculi or the primary ones.

  18. "THE ROLE OF HARDNESS OF POTABLE WATER IN THE FORMATION OF URINARY CALCULI IN UROMIEH, Iran"

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    K.Imandel

    1995-06-01

    Full Text Available The formation of renal and urinary calculi is not due to a single cause but occurs as a multifactor entity, by which some of them still are unknown. Three theories of Stones formation including nucleation, stone matrix and inhibition of crystallization do not accuse water hardness as a main cause of the formation of urinary calculi 120 patients suffering from renal and urinary calculi and the same number of control persons were studied in the city of Uromieh. The analysis of uroliths and water samples fulfilled the laboratory Standard methods Chi-square test was done on the results obtained The results of water analyses showed that the total hardness of Calcium and Magnesium were 300, 69, 32 mg/I as CaCo3 , TDS , 410 mg/I, electrical conductivity 600 us/cm and water classified as very hard. The abundance of uroliths were, oxalate, cystjne, uric acid infectious respectively, There was no statistical significant association between water hardness and urinary calculi of patients under study with respect to age and sex. The abundance blood groups in patients were A , 0 , AB and B respectively and the occurrence of 3 renal calculi mentioned above were more in men than Women The formation of renal stones were most occurred in summer season. The most abundant was calcium oxalate, the incidence was between the ages 30 to 50 years old and calcium stones were 2.7 times more in men than woman.

  19. The feasibility of using microwave-induced thermoacoustic tomography for detection and evaluation of renal calculi.

    Science.gov (United States)

    Cao, Caijun; Nie, Liming; Lou, Cunguang; Xing, Da

    2010-09-01

    Imaging of renal calculi is important for patients who suffered a urinary calculus prior to treatment. The available imaging techniques include plain x-ray, ultrasound scan, intravenous urogram, computed tomography, etc. However, the visualization of a uric acid calculus (radiolucent calculi) is difficult and often impossible by the above imaging methods. In this paper, a new detection method based on microwave-induced thermoacoustic tomography was developed to detect the renal calculi. Thermoacoustic images of calcium oxalate and uric acid calculus were compared with their x-ray images. The microwave absorption differences among the calcium oxalate calculus, uric acid calculus and normal kidney tissue could be evaluated by the amplitude of the thermoacoustic signals. The calculi hidden in the swine kidney were clearly imaged with excellent contrast and resolution in the three orthogonal thermoacoustic images. The results indicate that thermoacoustic imaging may be developed as a complementary method for detecting renal calculi, and its low cost and effective feature shows high potential for clinical applications.

  20. Combined minimally invasive percutaneous nephrolithotomy and retrograde intrarenal surgery for staghorn calculi in patients with solitary kidney.

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    Dehui Lai

    Full Text Available BACKGROUND: To present our experience with simultaneous combined minimally invasive percutaneous nephrolithotomy (MPCNL and retrograde intrarenal surgery (RIRS to manage patients with staghorn calculi in solitary kidney, and evaluate the safety, efficiency and feasibility of this approach. METHODOLOGY/PRINCIPAL FINDINGS: The study included 20 patients with staghorn calculi in solitary kidney. Demographic characteristics, stone location and surface area were recorded. After informed consent, the patients underwent one stage MPCNL firstly. Combined second stage MPCNL and RIRS simultaneously were performed at postoperative 5-7 days. Operative parameters, stone-free rate (SFR, stone analyses and complications were evaluated. Serum creatinine (Scr, glomerular filtration rate (GFR and chronic kidney disease (CKD were measured preoperatively, postoperatively at 1 month, and each follow-up visit. All patients had staghorn stones involving multiple calyces. The mean stone burden was 1099.9 ± 843.95 mm(2. All patients had only one percutaneous access tract. The mean whole operative duration was 154.37 ± 32.45 min. The mean blood loss was 64 (12-140 ml. The final SFR was 90%. During the 1-month follow-up study period, four patients improved in CKD stage. Two patients who had CKD (stage 5 still needed dialysis postoperatively. Mean Scr of the rest patients preoperatively was 187.16 ± 94.12 compared to 140.99 ± 57.92 umol/L by the end of 1-month follow-up period (p = 0.019. The same findings were observed in GFR in that preoperatively it was 43.80 ± 24.74 ml/min and by the end of the 1-month follow-up it was 49.55 ± 21.18 ml/min (p = 0.05. CONCLUSIONS/SIGNIFICANCE: Combined MPCNL and RIRS management effectively decrease the number and size of percutaneous access tracts, which is safe, feasible, and efficient for managing staghorn calculi in solitary kidney with satisfactory SFR and reducing blood loss, potential morbidity associated with multiple

  1. First-order differential calculi over multi-braided quantum groups

    CERN Document Server

    Durdevic, M

    1996-01-01

    A differential calculus of the first order over multi-braided quantum groups is developed. In analogy with the standard theory, left/right-covariant and bicovariant differential structures are introduced and investigated. Furthermore, antipodally covariant calculi are studied. The concept of the *-structure on a multi-braided quantum group is formulated, and in particular the structure of left-covariant *-covariant calculi is analyzed. A special attention is given to differential calculi covariant with respect to the action of the associated braid system. In particular it is shown that the left/right braided-covariance appears as a consequence of the left/right-covariance relative to the group action. Braided counterparts of all basic results of the standard theory are found.

  2. Proceedings Fourth Workshop on Membrane Computing and Biologically Inspired Process Calculi 2010

    CERN Document Server

    Ciobanu, Gabriel; 10.4204/EPTCS.40

    2010-01-01

    The 4th Workshop on Membrane Computing and Biologically Inspired Process Calculi (MeCBIC 2010) is organized in Jena as a satellite event of the Eleventh International Conference on Membrane Computing (CMC11). Biological membranes play a fundamental role in the complex reactions which take place in cells of living organisms. The importance of this role has been considered in two different types of formalisms introduced recently. Membrane systems were introduced as a class of distributed parallel computing devices inspired by the observation that any biological system is a complex hierarchical structure, with a flow of biochemical substances and information that underlies their functioning. The modeling and analysis of biological systems has also attracted considerable interest of the process algebra research community. Thus the notions of membranes and compartments have been explicitly represented in a family of calculi, such as ambients and brane calculi. A cross fertilization of these two research areas has ...

  3. Implementation of Compulsory Study 12 Year Policy to Increase Education Quality in Kudus Regency

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    Asih Widi Lestari

    2015-02-01

    Full Text Available Education is an important instrument in improving the human resources quality. Kudus Regency has implemented compulsory study since 2010 through Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 (Twelve Years. While, Central Government issued compulsory study 12 year policy in June 2013 through Ministry of Education and Culture Regulation Number 80/2013 about Universal Secondary Education. Obviously, this is a bold step of Kudus Regency Government in improving the education quality at Kudus Regency. The research objectives are: to know, analyze, and describe about Implementation of compulsory study 12 years policy to increase education in Kudus Regency; and to know, analyze, and describe about supporting and inhibiting factors toward implementation of compulsory study 12 years policy to increase education quality in Kudus Regency. This research resulted that the implementation compulsory study 12 years policy in Kudus Regency has been successfully, viewed from the actor that completely carry out their duties and responsibilities; the existence of funding and programs from Kudus Regency Government and Central Government is supporting the mechanism implementation in accordance with the provisions. The compulsory study 12 years policy in Kudus Regency had positive impact in improving the education quality at Kudus Regency, it is seen from the increase of Gross Enrollment Ratio (GER for secondary education from 60% in 2008 to 80,59% in 2013. The success in improving the education quality is also seen from achievement of Kudus Regency in obtained champions in various championships. The supporting factors are The content of the Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 Years and the Minister of Education and Culture Regulation Number 80/ 2013 about Universal Secondary Education which clear and easy to understand; the willingness of Kudus Society in receiving the compulsory study 12 years policy

  4. PROSPECTIVE STUDY OF TAMSULOSIN IN THE MANAGEMENT OF CALCULI IN LOWER THIRD OF URETER

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    Arunabha

    2015-04-01

    Full Text Available INTRODUCTION: Urinary calculus disease is one of the 3 most common urological diseases . It affects about 12 % of the world population and has become a worldwide health problem . Of all the urinary tract stones 20% are ureteral stones , of which 70% are found in the lower third of ureter . Patients with ureteric calculi have wide range of complications which includes acute pain necessitating hospitalization , urinary tract infection , anuria , acute renal failure , chronic renal failure , hydronephrosis , pyonephrosis , pyelonephritis . The objective of the study is , t o study the effect of Tamsulosin in the passage of calculi in the lower one third of the ureter compared to NSAIDs and oral and IV fluids . MATERI AL AND METHOD: This study included a total of 82 patients between the study period from Nov 20 10 to May 201 3 . 42 patients were chosen randomly and advised to take plenty of oral fluids and treated with NSAIDs ( Diclofenac sodium and the other 40 patients w ere treated with Tamsulosin ( alpha blocker 0 . 4mg HS for one month along with oral fluids and NSAIDs ( Diclofenac sodium . RESULTS: Majority of the patients were in the age group of 20 - 40 yrs . The mean size of the calculus was 6 . 62 cms on the right side and 6 . 07 cms on the left side . Out of the 40 patients who were on alpha 1 blocker ( Tamsulosin 31 patients had passed the calculi and 9 patients had no results with a success rate of 77 . 5% . In the 42 patients who were not on Tamsulosin , 8 patients passed the calculi and 34 patients did not pass the calculi . 9 patients among the 42 underwent ureterorenoscopy ( URS . CONCLUSION : Tamsulosin is an effective and safe drug in the management of calculi in the lower 1/3 rd of the ureter . Most patients with ureteric calc uli were rendered stone free with endourological procedures if conservative treatment failed .

  5. US and MDCT findings in a caudal blind ending bifid ureter with calculi

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    Caglar Uzun

    2011-09-01

    Full Text Available Herein we present a rare ureteric duplication anomaly; blind ending bifid ureter with calculi which is asymptomatic unless complicated by infection, reflux, calculi or malignancy. The diagnosis is often missed at intravenous urography (IVU and US because the ipsilateral ureter and kidney are grossly normal. In this case the diagnosis was established with ultrasound (US and mainly with multidetector computerized tomography (MDCT imaging using multiplanar reformats and 3-D reconstructions which were unique to this case. MDCT scans not only revealed the exact diagnosis and anatomic relationships but also ruled out other pathologies included in the differential diagnosis as well, such as ureter and bladder diverticula.

  6. US and MDCT findings in a caudal blind ending bifid ureter with calculi

    Directory of Open Access Journals (Sweden)

    Evren Ustuner

    2011-11-01

    Full Text Available Herein we present a rare ureteric duplication anomaly; blind ending bifid ureter with calculi which is asymptomatic unless complicated by infection, reflux, calculi or malignancy. The diagnosis is often missed at intravenous urography (IVU and US because the ipsilateral ureter and kidney are grossly normal. In this case the diagnosis was established with ultrasound (US and mainly with multidetector computerized tomography (MDCT imaging using multiplanar reformats and 3-D reconstructions which were unique to this case. MDCT scans not only revealed the exact diagnosis and anatomic relationships but also ruled out other pathologies included in the differential diagnosis as well, such as ureter and bladder diverticula.

  7. Combined oral and local therapy for the dissolution of urinary calculi.

    Science.gov (United States)

    Götz, F; Frang, D; Hübler, J; Nagy, Z

    1982-01-01

    The factors underlying the formation of Ca-phosphate and struvite calculi, as well as the present possibilities for oral and local therapy, their advantages and drawbacks are discussed in the light of published evidence. In this context a clinical case of multiple injuries is reported in which practically complete chemolitholysis has been achieved by combined oral and local therapy. The rapid growth of the calculi and their alarming tendency to recurrence in case of inadequate treatment is emphasized. The therapeutic method used in this case is regarded as suitable for practical purposes.

  8. Flexible Ureteroscopic Management of Horseshoe Kidney Renal Calculi

    Directory of Open Access Journals (Sweden)

    Jie Ding

    2015-08-01

    Full Text Available ABSTRACTPurpose:To evaluate the clinical efficacy of flexible ureteroscope (F-URS combined with holmium laser lithotripter in treating renal calculi in horseshoe kidney.Materials and Methods:From November 2010 to December 2013, the medical history and charts of sixteen patients (mean age 42.9±11.6 years, range 26-66 years, including 13 males and 3 females were analyzed retrospectively. Mean stone burden was 29±8 mm (range 17-42 mm2. Mean stone digitized surface area (DSA was 321±94 mm2 (range 180-538 mm2. Under spinal anesthesia in a modified lithotomy position with the head down, rigid ureteroscope was placed firstly into the ureter to reach the level of the pelvis, a zebra guide wire was inserted and following the removal of the rigid ureteroscope, an ureteral access sheath was positioned along the guide wire, then passed the URF P-5 flexible ureteroscope into the renal cavities over the guidewire. After locating the stones, holmium laser lithotripsy was performed.Results:The average operative time was 92±16 minutes (range 74-127 min.. No major complications were encountered. Ten patients obtained stone-free status with one session, four obtained stone-free status after two sessions. Single session stone-free rate was 62.5%, overall stone-free rate was 87.5%. Two patients have small residual stones in the lower pole.Conclusions:F-URS combined with holmium laser lithotripter and nitinol basket, is safe and effective in dealing with moderate stone diameter (<30 mm in HSKs with high clearance rates and low complication rates.

  9. Understanding Bullying: Using Role-Play with 12-Year-Old Boys in Cyprus

    Science.gov (United States)

    Kaloyirou, Chrystalla; Lindsay, Geoff

    2014-01-01

    This study examines the use of role-play in order to investigate bullies' intentions, feelings and perceptions through identification and projection. The study was conducted with nine 12-year-old boys that presented high levels of bullying behaviour, according to their teachers and peers, from three state primary schools in Nicosia, Cyprus, with…

  10. Nocturnal enuresis and minor neurological dysfunction at 12 years : a follow-up study

    NARCIS (Netherlands)

    Lunsing, R J; Hadders-Algra, M; Touwen, B C; Huisjes, H J

    1991-01-01

    On follow-up at 12 years to assess the relationship between minor neurological dysfunction (MND) and primary nocturnal enuresis (NE), the frequency of NE was found to be significantly higher in children with MND (N = 167) than in those who were neurologically normal (N = 174). There was no relations

  11. NOCTURNAL ENURESIS AND MINOR NEUROLOGICAL DYSFUNCTION AT 12 YEARS - A FOLLOW-UP-STUDY

    NARCIS (Netherlands)

    Lunsing, R J; Hadders-Algra, M; Touwen, B C; Huisjes, H J

    1991-01-01

    On follow-up at 12 years to assess the relationship between minor neurological dysfunction (MND) and primary nocturnal enuresis (NE), the frequency of NE was found to be significantly higher in children with MND (N = 167) than in those who were neurologically normal (N = 174). There was no relations

  12. MINOR NEUROLOGICAL DYSFUNCTION FROM BIRTH TO 12 YEARS .2. PUBERTY IS RELATED TO DECREASED DYSFUNCTION

    NARCIS (Netherlands)

    LUNSING, RJ; HADDERSALGRA, M; HUISJES, HJ; TOUWEN, BCL

    1992-01-01

    To determine whether puberty is related to decreased minor neurological dysfunction (MND), 174 children from the Groningen Perinatal Project who had had MND at nine years were re-examined at 12 years. No signs of MND could be demonstrated in 39 of the children, 33 of whom showed at least three signs

  13. Subfoveal choroidal thickness in 1323 children aged 11-12 years and association with puberty

    DEFF Research Database (Denmark)

    Li, Xiao Qiang; Jeppesen, Pia; Larsen, Michael;

    2014-01-01

    Purpose: To investigate subfoveal choroidal thickness and ocular and systemic associated factors in a population-based cohort of children. Methods: Cross-sectional, observational study where 1323 healthy 11 and 12 year-old children were examined with enhanced-depth imaging spectral domain optical...

  14. Changing oral health status of 6- and 12-year-old schoolchildren in Portugal

    DEFF Research Database (Denmark)

    de Almeida, César Mexia; Petersen, Poul Erik; André, Sónia Jesus

    2003-01-01

    AIMS: To assess the actual oral health status of Portuguese schoolchildren aged 6 and 12 years according to gender and urbanisation, to highlight the trend over time in dental caries prevalence of children, to assess the dental care habits and the provision of preventive services to children, and...

  15. Aortic valve replacement with the Nicks annulus enlargement procedure 12 years after mitral valve replacement.

    Science.gov (United States)

    Kazama, S; Kurata, A; Yamashita, Y

    1999-10-01

    An aortic valve replacement was successfully performed employing the Nicks annulus enlargement procedure in a case of aortic valve stenosis with small annulus 12 years after mitral valve replacement. Previous mitral valve replacement does not preclude feasibility of the Nicks procedure.

  16. Knowledge of Love: Narratives of Romance Told by 12-Year-Old Children

    Science.gov (United States)

    Haldar, Marit

    2013-01-01

    This article reports research on young people's conceptualisations of love and romance through a gender perspective. The data are stories written by 12-year-old girls and boys in Norway who were asked to fantasise about their future love life. Their narratives are explored through discourse analysis and semiotics and analysed within a…

  17. Porcine surfactant (Curosurf) for acute respiratory failure after near-drowning in 12 year old.

    Science.gov (United States)

    Onarheim, H; Vik, V

    2004-07-01

    This case report describes rapid and persistent improvement after one single dose of porcine surfactant (Curosurf) 0.5 ml/kg(-1) (40 mg/kg) intratracheally for adult respiratory distress syndrome (ARDS) with severe oxygenation failure 8 h after freshwater near-drowning in a 12-year-old girl.

  18. Late retroperitoneal recurrence of hepatocellular carcinoma 12 years after initial diagnosis

    Institute of Scientific and Technical Information of China (English)

    Tiffany; Cho-Lam; Wong; Ka-Fai; To; Simon; See-Ming; Hou; Sidney; Kam-Hung; Yip; Chi-Fai; Ng

    2010-01-01

    Hepatocellular carcinoma (HCC) is an aggressive tumor with poor long-term prognosis.Here,we present an unusual patient with a solitary recurrence of HCC in the right kidney 12 years after the initial diagnosis.This illustrates the importance of considering late recurrence in patients with a history of HCC and the management of these metastases.

  19. Parenting clinically anxious versus healthy control children aged 4-12 years

    NARCIS (Netherlands)

    van der Sluis, C.M.; van Steensel, F.J.A.; Bögels, S.M.

    2015-01-01

    This study investigated whether parenting behaviors differed between parents of 68 clinically anxious children and 106 healthy control children aged 4-12 years. The effects of parent gender, child gender and child age on parenting were explored. Mothers and fathers completed a questionnaire to asses

  20. Minor neurological dysfunction from birth to 12 years. II : Puberty is related to decreased dysfunction

    NARCIS (Netherlands)

    Lunsing, R J; Hadders-Algra, M; Huisjes, H J; Touwen, B C

    1992-01-01

    To determine whether puberty is related to decreased minor neurological dysfunction (MND), 174 children from the Groningen Perinatal Project who had had MND at nine years were re-examined at 12 years. No signs of MND could be demonstrated in 39 of the children, 33 of whom showed at least three signs

  1. The Integration of Theory with Practice: A 12-Year Case Study.

    Science.gov (United States)

    Lorig, Kate; Gonzalez, Virginia

    1992-01-01

    Over its 12-year history, an arthritis patient education program evolved from a basis not grounded in theory to one tightly linked to it. As cycles of research, intervention, and evaluation produced new results, the self-management program was revised and improved. (SK)

  2. Obstructive urolithiasis, unilateral hydronephrosis, and probable nephrolithiasis in a 12-year-old Clydesdale gelding.

    Science.gov (United States)

    Macbeth, Bryan J

    2008-03-01

    A 12-year-old Clydesdale gelding was presented for colic and dysuria. Obstructive urolithiasis and chronic renal disease were diagnosed via transurethral endoscopy and percutaneous ultrasonography. Nephroliths, hydronephrosis, and peri-ureteral fibrosis were present. Surgical intervention was declined and the gelding was managed medically with antibiotics and dietary modification.

  3. Minimally invasive percutaneous nephrolithotomy guided by ultrasonography to treat upper urinary tract calculi complicated with severe spinal deformity

    Science.gov (United States)

    He, Zhaohui; Zhang, Caixia; Zeng, Guohua

    2016-01-01

    ABSTRACT Objective: To report our experience of minimally invasive percutaneous nephrolithotomy(MPCNL) in managing upper urinary tract calculi complicated with severe spinal deformity. Materials and Methods: Between August 2001 to December 2012, 16 upper urinary calculi in 13 patients with severe spinal deformity were treated by MPCNL. Preoperative investigation of the respiratory function, evaluation of anatomy by intravenous urography (IVU) and CT scan, and preoperative kidney ultrasonagraphy with simulation of the percutaneous puncture were performed in all patients. The percutaneous puncture was guided by ultrasonography. Results: A total of 19 MPCNL procedures were performed in 16 kidneys, with an average 1.2 procedures in each kidney. Three kidneys needed two sessions of MPCNL, and 2 kidneys needed combined treatment with retrograde flexible ureterscopic lithotripsy. All procedures were successfully completed with no major complications during or after surgery. The mean (range) operative duration was 67 (20-150) min and the mean postoperative haemoglobin drop was 1.0 (0.2-3.1) g/dL. Complete stone-free status was achieved in 14 kidneys. At a mean follow-up of 48(3-86) months, recurrence of small lower calyx stone was detected in one patient. Recurrent UTI was documented by urine culture in two patients and managed with sensitive antibiotics. Conclusion: PCNL for patients with severe spinal deformities is challenging. Ultrasonography-assisted puncture can allow safe and successfully establishment of PCN tract through a narrow safety margin of puncture and avoid the injury to the adjacent organs. However, the operation should be performed in tertiary centers with significant expertise in managing complex urolithiasis. PMID:27509373

  4. Minimally invasive percutaneous nephrolithotomy guided by ultrasonography to treat upper urinary tract calculi complicated with severe spinal deformity

    Directory of Open Access Journals (Sweden)

    Zhaohui He

    Full Text Available ABSTRACT Objective: To report our experience of minimally invasive percutaneous nephrolithotomy(MPCNL in managing upper urinary tract calculi complicated with severe spinal deformity. Materials and Methods: Between August 2001 to December 2012, 16 upper urinary calculi in 13 patients with severe spinal deformity were treated by MPCNL. Preoperative investigation of the respiratory function, evaluation of anatomy by intravenous urography (IVU and CT scan, and preoperative kidney ultrasonagraphy with simulation of the percutaneous puncture were performed in all patients. The percutaneous puncture was guided by ultrasonography. Results: A total of 19 MPCNL procedures were performed in 16 kidneys, with an average 1.2 procedures in each kidney. Three kidneys needed two sessions of MPCNL, and 2 kidneys needed combined treatment with retrograde flexible ureterscopic lithotripsy. All procedures were successfully completed with no major complications during or after surgery. The mean (range operative duration was 67 (20-150 min and the mean postoperative haemoglobin drop was 1.0 (0.2-3.1 g/dL. Complete stone-free status was achieved in 14 kidneys. At a mean follow-up of 48(3-86 months, recurrence of small lower calyx stone was detected in one patient. Recurrent UTI was documented by urine culture in two patients and managed with sensitive antibiotics. Conclusion: PCNL for patients with severe spinal deformities is challenging. Ultrasonography-assisted puncture can allow safe and successfully establishment of PCN tract through a narrow safety margin of puncture and avoid the injury to the adjacent organs. However, the operation should be performed in tertiary centers with significant expertise in managing complex urolithiasis.

  5. Contributions to the qualification of the ''CRISTAL'' criticality calculi scheme: interpretation of critical experiments. Elaboration of a characterization system of neutronic configurations; Contributions a la qualification du schema de calcul de criticite ''cristal'': interpretation d'experiences critiques. Elaboration d'un systeme de caracterisation des configurations neutroniques

    Energy Technology Data Exchange (ETDEWEB)

    Gagnier, E

    1999-06-01

    This thesis work is about the validation of the new criticality-safety package CRISTAL and contributes to the modernization and the improvement of the computational tools. The first part presents neutronic elements, the objectives of safety criticality studies and the package CRISTAL. Then, the validation work concerned two series of experiments involving uranyl solutions (UO{sub 2}F{sub 2}) and UO{sub 2} powders. For these experiments, the differences between the computation results and the experimental results were analysed. It was highlighted interesting physical phenomena such of the compensations of errors between the approximate representation by the 99 energy group structure on the first resonance of oxygen and the anisotropy of the diffusion simulation as well as the influence of uranium 234 in high enriched solutions in uranium 235. Once the work of the experimental qualification carried out, raises the question of the use the base of qualification and the ''calculation-experiment'' variations which are referred to it. It is often difficult to establish the link between the ''studied configuration'' and the experiments of the base of qualification. The presented characterisation system proposes to answer in a way automatic and quantified this difficulty: - in bringing an answer on the package qualification for the studied configuration, - in giving an estimate of the package bias. To answer these points, it was defined a set of 35 characteristic neutronic parameters representing the behaviour of the medium. To process the information brought by these parameters and to use it to answer the objectives of the system, we called upon statistical methods (Principal Components Analysis and Sliced Inverse Regression). The results obtained in the feasibility studies showed the relevance of these methods for the considered objectives. (author)

  6. Perspectives on decision making about human papillomavirus vaccination among 11- to 12-year-old girls and their mothers.

    Science.gov (United States)

    Griffioen, Anne M; Glynn, Susan; Mullins, Tanya K; Zimet, Gregory D; Rosenthal, Susan L; Fortenberry, J Dennis; Kahn, Jessica A

    2012-06-01

    Introduction. The aims of this qualitative study were to explore (a) the factors influencing mothers' decisions to vaccinate 11- to 12-year-old daughters against human papillomavirus (HPV) and (b) the mothers' and daughters' perspectives about HPV vaccine-related decision making. Methods. Participants were girls (N = 33) who had received an HPV vaccine and their mothers (N = 32), recruited from suburban and urban pediatric practices. Semistructured interviews were conducted with girls and mothers separately, and data were analyzed using framework analysis. Results. The primary factors influencing mothers' decisions to vaccinate daughters against HPV were (a) mother's beliefs and experiences; (b) interactions with clinicians, friends, and family members; and (c) exposure to media reports/marketing. Most daughters believed the decision to be vaccinated was a mutual one, although most mothers believed the decision was theirs. Conclusions. This study provides novel insights into perspectives on decision making about HPV vaccination among mothers and 11- to12-year-old daughters, which can be used in interventions to improve vaccination rates.

  7. On the expressiveness and decidability of higher-order process calculi

    NARCIS (Netherlands)

    Lanese, Ivan; Perez, Jorge A.; Sangiorgi, Davide; Schmitt, Alan

    2011-01-01

    In higher-order process calculi, the values exchanged in communications may contain processes. A core calculus of higher-order concurrency is studied; it has only the operators necessary to express higher-order communications: input prefix, process output, and parallel composition. By exhibiting a d

  8. Declarative event based models of concurrency and refinement in psi-calculi

    DEFF Research Database (Denmark)

    Normann, Håkon; Johansen, Christian; Hildebrandt, Thomas

    2015-01-01

    -calculi representation of Dynamic Condition Response Graphs, which conservatively extends prime event structures to allow finite representations of (omega) regular finite (and infinite) behaviours and have been shown to support run-time adaptation and refinement. We end by outlining the final aim of this research, which...

  9. From exponential coordinates to bicovariant differential calculi on matrix quantum groups

    NARCIS (Netherlands)

    Hijligenberg, N.W. van den; Martini, R.

    1995-01-01

    A procedure to obtain bicovariant differential calculi on matrix quantum groups is presented. The construction is based on the description of the matrix quantum group as a quantized universal enveloping algebra by the use of exponential coordinates. The procedure is illustrated by applying it to the

  10. A Case of Randall's Plugs Associated to Calcium Oxalate Dihydrate Calculi

    Directory of Open Access Journals (Sweden)

    Felix Grases

    2016-07-01

    Full Text Available A case of a patient who developed multiple calcium oxalate dihydrate calculi, some of them connected to intratubular calcifications (Randall's plugs, is presented. Randall's plugs were isolated and studied. The mechanism of Randall's plug development is also suggested.

  11. Management of Ureteric Calculi in Dhule City of North-western Maharashtra

    Directory of Open Access Journals (Sweden)

    Lokesh Patni

    2013-01-01

    Full Text Available Background: Urolithiasis, usually affecting people in the prime of life, causes significant morbidity and loss of productivity. Uretericstones account for 2/3rd of all urinary calculi brought to attention of doctors. The damaging effects of the calculi may result in obstruction with dilatation of the urinary tract, leading to stasis and severe infection. Aims and Objectives: To evaluate patients with urinary stones with regards to the incidence, age, sex,clinical presentation, site, size, side, management and their complications. Material and Methods:It was a prospective study carried out by Department of Surgery at Annasaheb Chudaman Patil Memorial Medical College, and Hospital Dhule for a period of two years. Patients were selected after they were diagnosed as having ureteric calculi. The patients were treated by conservative or surgical methods, and the outcome was monitored. Statistical analysis of the data was done for obtaining results.Result: The majority of the patients were males with peak age group in the second and third decade. Pain in abdomen or loin tenderness was the most common presenting symptom. Most of the patients were treated by conservative medical management. Endourological procedures were the most commonly performed surgical intervention. Conclusion: Most of the patients with ureteric calculi present with painin abdomen and majority can be treated by medical management. With the availability of better facilities the requirement for open surgery is decreasing and endourological procedures are becoming the means of surgical intervention.Complications are minimal with surgical expertise for endourological procedures.

  12. Ureteropyeloscopy and homium: YAG laser lithotripsy for treatment of ureteral calculi (report of 356 cases)

    Science.gov (United States)

    Wu, Zhong; Din, Qiang; Jiang, Hao-wen; Zen, Jing-cun; Yu, Jiang; Zhang, Yuanfang

    2005-07-01

    Objective: To evaluate the efficacy and safety of holmium YAG laser lithotripsy for the treatment of ureteral calculi. Methods: A total of 356 patients underwent ureteropyeloscopic lithotripsy using holmium YAG laser with a semirigid uretesopyeloscope, 93 upper, 135 middle, and 128 lower ureteral stones were treated. Results: The overall successful fragmentation rate for all ureteral stones in a single session achieved 98% (349/356). The successful fragmentation rate stratified by stone location was 95% 88/93 in the upper ureter, 99% (134/135) in the mid ureter , and 99%(127/128) in the distal ureter. 12 cases with bilateral ureteral stones which caused acute renal failure and anuria were treated rapidly and effectively by the holmium YAG laser lithotripsy. No complications such as perforation and severe trauma were encountered during the operations. 2 weeks 17months (with an average of 6.8 month ) follow up postoperatively revealed that the overall stone-free rate was 98%(343/349) and no ureteral stenosis was found. Conclusions Holmium YAG laser lithotripsy is a highly effective, minimally invasive and safe therapy for ureteral calculi. It is indicated as a first choice of treatment for patients with ureteral calculi, especially for the ones with mid- lower levels of ureteral calculi.

  13. Therapeutic effects of potassium sodium hydrogen citrate on melamine-induced urinary calculi in China

    Institute of Scientific and Technical Information of China (English)

    GAO Jie; SHEN Ying; SUN Ning; JIA Li-qun; PAN Yue-song; SUN Qiang

    2010-01-01

    Background In 2008, a sharp increase of the number of children diagnosed with urinary calculi was observed in China, 9433 children were diagnosed as having melamine-induced urinary calculi at outpatient clinic in Beijing Children's Hospital. This study examined the therapeutic efficacy of potassium sodium hydrogen citrate (PSHC) used to treat melamine-induced urinary stones in Chinese children who consumed melamine-containing infant formula. Methods Seventy-two infants and children (average age (18.2±7.7) months) who were diagnosed with urinary calculi were icuidomly divided into three treatment groups using the SAS Plan program. Group 1 was given a low dose (1 g/d) of PSHC, group 2 was given high dose of PSHC (2 g/d) and group 3 was given no PSHC (control group). The dose of drug was adjusted according to the baseline urinary pH. This study analyzed the influence of the dose of PSHC, the age of patients, stone size and position, and urinary pH on the level of efficacy of PSHC (cured, effectively treated or not cured).Results After 1-6 months of therapy, 19 patients from group 1, five patients from group 2 and six patients from group 3 were cured. Five patients from group 1, five patients from group 2 and four patients from group 3 were effectively treated. There were significant differences in therapeutic efficacy between the two treatment doses after 3 and 6 months as measured by the increase in the successful expulsion rate and time of melamine-induced urinary calculi. After 6 months the mean time of expulsion of urinary calculi in groups 1 and 2 was significantly shorter than in the control group. Conclusions PSHC can significantly increase the successful expulsion rate and time of melamine-induced urinary calculi. The therapeutic efficacy is affected by PSHC dose, treatment duration, calculi position, and urinary pH. There is no relationship between the therapeutic efficacy and the stone size or patient age.

  14. Parenting clinically anxious versus healthy control children aged 4-12 years.

    Science.gov (United States)

    van der Sluis, C M; van Steensel, F J A; Bögels, S M

    2015-05-01

    This study investigated whether parenting behaviors differed between parents of 68 clinically anxious children and 106 healthy control children aged 4-12 years. The effects of parent gender, child gender and child age on parenting were explored. Mothers and fathers completed a questionnaire to assess parenting behaviors in for children hypothetically anxious situations. Results showed that parents of clinically anxious children reported more anxiety-enhancing parenting (reinforcement of dependency and punishment) as well as more positive parenting (positive reinforcement). For the clinical sample, fathers reported using more modeling/reassurance than mothers, and parents reported using more force with their 4-7-year-olds than with their 8-12-year-olds. No interaction effects were found for child gender with child anxiety status on parenting. Results indicate that for intervention, it is important to measure parenting behaviors, and to take into account father and mother differences and the age of the child.

  15. Loss of control eating disorder in children age 12 years and younger: proposed research criteria.

    Science.gov (United States)

    Tanofsky-Kraff, Marian; Marcus, Marsha D; Yanovski, Susan Z; Yanovski, Jack A

    2008-08-01

    Binge eating is common in middle childhood (6-12 years) and often presents in concert with disordered eating attitudes, emotional distress, overweight and adiposity. Binge eating is also predictive of excessive weight gain and is associated with energy intake. However, few children meet DSM-IV-TR criteria for binge eating disorder, thereby making treatment recommendations a challenge. We propose criteria for a new diagnosis, Loss of Control Eating Disorder in Children age 12 years and younger, for further study. The criteria put forward are a revision of Marcus and Kalarchian's [Marcus, M.D., & Kalarchian, M.A. (2003). Binge eating in children and adolescents. International Journal of Eating Disorders, 34 Suppl, S47-S57.] provisional binge eating disorder research criteria for children 14 years and younger, and are based upon the evolving literature in children with binge and loss of control eating episodes. A rationale for the new criteria set is provided, and future research directions are proposed.

  16. Characteristics of DUI recidivists: a 12-year follow-up study of first time DUI offenders.

    Science.gov (United States)

    Cavaiola, Alan A; Strohmetz, David B; Abreo, Sandra D

    2007-04-01

    77 individuals convicted of a drinking and driving (DUI) offense were screened for recidivism approximately 12 years following their first offense. At the time of the initial DUI conviction, participants were administered the MAST and the MMPI-2. Participants' drinking history and driving history and arrest at the time of screening and at a 12-year follow-up were also reviewed. The results indicate that, among DUI recidivists, on average 6 years elapsed between their first and second DUI offenses. Driving history prior to the first DUI offense was predictive of later recidivism. The only significant finding from the MAST and MMPI results was that repeat offenders tended to have higher scores on the L and K validity scales of the MMPI. These results are discussed in the context of Jessor's Problem-Behavior Theory and as well their clinical implications for screening and treatment decisions involving first time DUI offenders.

  17. Risperidone-induced enuresis in a 12-year-old child

    Directory of Open Access Journals (Sweden)

    Reetika Dikshit

    2017-01-01

    Full Text Available Risperidone has been documented to be effective in the management of behavior problems, aggression, and conduct disorder in children. While metabolic side effects like weight gain and obesity have been attributed to Risperidone use in children, side effects of the drug related to the urinary bladder are rare. We present a case of Risperidone-induced enuresis in a 12-year-old boy with conduct disorder that resolved completely after stopping the medication.

  18. Risperidone-induced Enuresis in a 12-year-old Child

    Science.gov (United States)

    Dikshit, Reetika; Karia, Sagar; De Sousa, Avinash

    2017-01-01

    Risperidone has been documented to be effective in the management of behavior problems, aggression, and conduct disorder in children. While metabolic side effects like weight gain and obesity have been attributed to Risperidone use in children, side effects of the drug related to the urinary bladder are rare. We present a case of Risperidone-induced enuresis in a 12-year-old boy with conduct disorder that resolved completely after stopping the medication. PMID:28149096

  19. Solitary Atypical Adenomatous Hyperplasia in a 12-Year-Old Girl.

    Science.gov (United States)

    Jin, Moran; Lee, Yang-Haeng; Kim, Bomi; Yoon, Young Chul; Wi, Jin Hong

    2016-04-01

    Atypical adenomatous hyperplasia is a premalignant lesion reflecting a focal proliferation of atypical cells. These lesions are usually observed as incidental findings in lungs that have been resected due to other conditions, such as lung cancer. We report the youngest case of atypical adenomatous hyperplasia on record in a 12-year-old girl. In this patient, the lesion was found in association with pneumothorax.

  20. Metaphoric Car Drawings By a 12-Year-Old Congenitally Blind Girl.

    Science.gov (United States)

    Chao, Hsin-Yi; Kennedy, John M

    2015-12-01

    A 12-year-old congenitally-blind girl drew a car moving, stationary, and braking. For stationary, she put the wheels inside the car and, for braking, drew the wheels as rough rectangles. At the age verbal metaphor is understood (Winner, 1988), the girl invented metaphoric drawings. In these, what is shown is not what is meant. In late childhood, metaphor may be understood similarly in pictures and words and by the sighted and blind.

  1. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years

    OpenAIRE

    Louise Amália de Moura; Iohanna Maria Guimarães Dias; Lilian Varanda Pereira

    2016-01-01

    Abstract Objective: to estimate the prevalence and factors associated with preoperative anxiety in children who wait for outpatient surgery. Method: cross-sectional analysis of baseline data of a prospective cohort study that investigates the predictors of postoperative pain in children aged 5-12 years submitted to inguinal and umbilical hernia repair. It was selected 210 children, which were interviewed in the preoperative holding area of a general hospital. Anxiety was evaluated using the...

  2. Liver abscess due to Klebsiella pneumoniae in a healthy 12-year-old boy

    Directory of Open Access Journals (Sweden)

    Da Hye Yoon

    2013-11-01

    Full Text Available Pyogenic liver abscess (PLA is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the literature on this subject.

  3. Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago

    OpenAIRE

    Zhou, Jian-Cang; Xu, Qiu-ping; Shen, Lai-gen; Pan, Kong-han; Mou, Yi-Ping

    2009-01-01

    Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the...

  4. School screening and point prevalence of adolescent idiopathic scoliosis in 4000 Norwegian children aged 12 years

    Directory of Open Access Journals (Sweden)

    Brox Jens

    2011-10-01

    Full Text Available Abstract Background School screening for adolescent idiopathic scoliosis (AIS is discussed. The aim of the present study was to describe the point prevalence of AIS and to evaluate the effectiveness of school screening in 12-year- old children. Methods Community nurses and physical therapists in the Southern Health region of Norway including about 12000 school children aged 12 years were invited to participate. All participating community nurses and physical therapists fulfilled an educational course to improve their knowledge about AIS and learn the screening procedure including the Adam Forward Bending Test and measurement of gibbus using a scoliometer. Results Sub-regions including 4000 school children participated. The prevalence of idiopathic scoliosis defined as a positive Adam Forward Bending Test, gibbus > 7° and primary major curve on radiographs > 10°, was 0.55%. Five children (0.13% had a major curve > 20°. Bracing was not indicated in any child; all children were post menarche; four had Risser sign of 4, and one with Risser 1 did not have curve progression > 5° at later follow-up. In one of these 5 children however, the major curve progressed to 45° within 7 months after screening and the girl was operated. Conclusion The point prevalence of AIS in 12- year old children is in agreement or slightly lower than previous studies. The screening model employed demonstrates acceptable sensitivity and specificity and low referral rates. Screening at the age of 12 years only was not effective for detecting patients with indication for brace treatment.

  5. P-ANCA vasculitic neuropathy with 12-year latency between onset of neuropathy and systemic symptoms

    Directory of Open Access Journals (Sweden)

    Greenberg Steven A

    2002-10-01

    Full Text Available Abstract Background The differential diagnosis of chronic progressive multifocal asymmetric neuropathies is challenging. Vasculitic neuropathies, multifocal forms of chronic inflammatory demyelinating polyneuropathy, multifocal motor neuropathies, and asymmetric lower motor neuron disorders are important considerations. Case presentation We report a patient with an unusually long 12-year course of nonsystemic vasculitic neuropathy prior to the development of systemic manifestations. Conclusion We discuss some of the difficulties involved in the diagnosis of chronic progressive multifocal asymmetric neuropathies.

  6. Oral hygiene, periodontal status and treatment needs among 12-year-old students, Castro, Chile, 2014.

    Directory of Open Access Journals (Sweden)

    Mariana Wauters

    2015-02-01

    Full Text Available The present study aims to determine the level of oral hygiene, periodontal status and treatment needs, indicating if there are differences between men and women, in 12-year-old students from Castro, Los Lagos region, during March and April of 2014. A cross-sectional study was carried out. A total of 242 12-year-old students from municipal and subsidized private schools in Castro were selected through a stratified random sample representative of each school. Students were evaluated by a calibrated examiner to determine the Simplified Oral Hygiene Index (OHI-S and the Community Periodontal Index of Treatment Needs (CPITN. Data were transferred to a Microsoft Excel spreadsheet and statistically analyzed to calculate the amount and percentage of the variables. Mann-Whitney U-test was used for comparison between genders. From the total, 59.5% of the students have regular hygiene. Also, 86.4% of the assessed adolescents have gingivitis and 13.6% of them have periodontitis. The periodontal treatment need indicates that 58% of the students require oral hygiene instructions and scaling. No statistically significant differences were found for gender. There is a higher prevalence of periodontal diseases associated with regular oral hygiene than the regional and national reference in 12-year-old adolescents in Castro. Then, it is necessary to teach and promote specific public health strategies based on epidemiological data

  7. Comparative study of minimally invasive endoscopic surgery and extracorporeal shock wave lithotripsy (ESWL) for proximal ureteral calculi in pilots

    OpenAIRE

    Guo, He-Qing; Li, Jian-Ye; Zhou, Gao-Biao; Mu, Da-Wei; Jing-min YAN; Wang, Guang-Feng; Sun, Bin; Liu, Hong-Ming; Ji-zhang XING; Hong, Quan

    2014-01-01

    Objective To observe and compare the therapeutic effect of extracorporeal shock wave lithotripsy (ESWL) and minimally invasive endoscopic surgery (URL/PCNL) for proximal urinary calculi in pilots. Methods A retrospective analysis was conducted for the clinical data of 115 pilots who had received ESWL, URL and PCNL for the treatment of proximal urinary tract calculi from Sep, 2005 to Sep, 2012. The patients were divided into two groups according to the way of treatment: ESWL group (n=83) and U...

  8. Pseudoangiomatous stromal hyperplasia of the breast: a case report of a 12-year-old girl

    Directory of Open Access Journals (Sweden)

    Eman Almohawes, MD

    2015-10-01

    Full Text Available Pseudoangiomatous stromal hyperplasia (PASH of the breast is a benign lesion, characterized by a dense proliferation of stromal mesenchymal cells of myofibroblastic origin forming empty, slit-like channels. We report PASH in a 12-year-old girl with a huge rapidly enlarged right breast. Biopsy of the mass showed histopathologic features characteristic of PASH. Immunohistochemical studies revealed diffuse positive membranous immunoreactivity to CD34. Although it is a benign lesion, lumpectomy was performed to minimize the damage from developing breast tissue.

  9. Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago

    Institute of Scientific and Technical Information of China (English)

    Jian-cang ZHOU; Qiu-ping XU; Lai-gen SHEN; Kong-han PAN; Yi-ping MOU

    2009-01-01

    Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient's death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival.

  10. A giant trichobezoar causing rapunzel syndrome in a 12-year-old female

    Directory of Open Access Journals (Sweden)

    Nadeem Ul Nazeer Kawoosa

    2011-01-01

    Full Text Available Bezoar is a tightly packed collection of undigested material that is unable to exit the stomach. Most bezoars are of indigestible organic matter such as hair-trichobezoars; or vegetable and fruit-phytobezoars; or a combination of both. Trichobezoars commonly occur in patients with psychiatric disturbances who chew and swallow their own hair. In very rare cases, the Rapunzel syndrome hair extends through the pylorus into the small bowel causing symptom and sign of partial or complete gastric outlet obstruction. A case report of trichobezoar in the stomach causing Rapunzel syndrome in a 12-year-old female is reported.

  11. ASSESSMENT OF ORAL HYGIENE HABITS IN CHILDREN 6 TO 12 YEARS.

    OpenAIRE

    Liliya Doichinova; Nadezhda Mitova

    2014-01-01

    INTRODUCTION: Oral hygiene is an essential element of health education programs for schoolchildren. AIM: The study aims to assess the skills when conducting oral hygiene of a group of schoolchildren and to conduct training in its rules. MATERIAL AND METHODS: The study covers 30 children aged 6-12 years. The training was conducted by the methods of the visual pedagogy and implementation of the technique “Say, show, do”. The assessment of the oral-hygiene status was held by the simplified...

  12. Primary renal undifferentiated sarcoma as an infiltrative mass in a 12 year old boy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yong Hee; Kim, Myung Joon; Lee, Mi Jung [Dept. of Radiology and Research Institute of Radiological Science, Severance Children' s Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of); Kim, Se Hwa [Dept. of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2015-09-15

    Undifferentiated sarcomas are rare tumors not classified into any sarcoma subtype. Due to their rarity, imaging findings of undifferentiated sarcomas are poorly characterized. The purpose of this report was to present imaging findings of a pathologically confirmed undifferentiated sarcoma originated from the left kidney of a 12-year-old boy. The mass was infiltrative involving the renal pelvis. It mimicked massive hilar lymphadenopathy with a preserved renal contour visible by both ultrasonography and CT. Renal vein thrombosis was also observed. Although undifferentiated sarcomas are rare, they should be considered in differential diagnosis of infiltrative renal masses with renal pelvis invasion in children.

  13. Traumatic anterior hip dislocation in a 12-year-old child

    Institute of Scientific and Technical Information of China (English)

    Vinay Gupta; Maneet Kaur; Zile Singh Kundu; Aseem Kaplia; Deepinderjit Singh

    2013-01-01

    Hip dislocation in children can occur congenitally in isolation or in conjunction with other congenital abnormalities.Traumatic hip dislocations in children are relatively uncommon and anterior dislocation of hip joint is even rarer.We report such a case following unusual mode of injury in a 12-year-old child.The patient underwent successful emergent closed reduction of left hip.The clinical course and follow-up assessment of the patient was otherwise uneventful.At 2 years' follow-up there was no evidence of osteoarthritis,coxa magna,heterotrophic calcification,in congruency of the joints or avascular necrosis of the head of femur.

  14. Giant Cell Arteritis in a 12-Year-Old Girl Presenting with Nephrotic Syndrome

    Directory of Open Access Journals (Sweden)

    Zeinab A. El-Sayed

    2014-01-01

    Full Text Available Giant cell arteritis (GCA is rare in children. The kidneys are generally spared. We present a case of GCA in a 12-year-old girl with severe headache and tender scalp especially over the right temporal area. The right superficial temporal artery was cord like and nodular and the pulsations were barely felt. Several small tender nodular swellings were felt in the occipital area. She had been previously diagnosed as a case of nephrotic syndrome due to underlying membranoproliferative glomerulonephritis. This report is aimed at drawing attention to this rare form of vasculitis in children aiming at decreasing its morbidities.

  15. Scanning electron microscopy and electron probe microanalyses of the crystalline components of human and animal dental calculi.

    Science.gov (United States)

    LeGeros, R Z; Orly, I; LeGeros, J P; Gomez, C; Kazimiroff, J; Tarpley, T; Kerebel, B

    1988-03-01

    A review of the use of scanning electron microscopy (SEM) and electron probe microanalyses in the study of dental calculus showed that such studies provided confirmatory and supplementary data on the morphological features of human dental calculi but gave only limited information on the identity of the crystalline or inorganic components. This study aimed to explore the potential of combined SEM and microanalyses in the identification of the crystalline components of the human and animal dental calculi. Human and animal calculi were analyzed. Identification of the crystalline components were made based on the combined information of the morphology (SEM) and Ca/P molar ratios of the crystals with the morphology and Ca/P molar ratio of synthetic calcium phosphates (brushite or DCPD; octacalcium phosphate, OCP; Mg-substituted whitlockite, beta-TCMP; CO3-substituted apatite, (CHA); and calcite. SEM showed similarities in morphological features of human and animal dental calculi but differences in the forms of crystals present. Microanalyses and crystal morphology data suggested the presence of CaCO3 (calcite) and CHA in the animal (cat, dog, tiger) and of OCP, beta-TCMP and CHA in human dental calculi. X-ray diffraction and infrared (IR) absorption analyses confirmed these results. This exploratory study demonstrated that by taking into consideration what is known about the crystalline components of human and animal dental calculi, combined SEM and microanalyses can provide qualitative identification.

  16. Scanning electron microscopy and electron probe microanalyses of the crystalline components of human and animal dental calculi

    Energy Technology Data Exchange (ETDEWEB)

    LeGeros, R.Z.; Orly, I.; LeGeros, J.P.; Gomez, C.; Kazimiroff, J.; Tarpley, T.; Kerebel, B.

    1988-03-01

    A review of the use of scanning electron microscopy (SEM) and electron probe microanalyses in the study of dental calculus showed that such studies provided confirmatory and supplementary data on the morphological features of human dental calculi but gave only limited information on the identity of the crystalline or inorganic components. This study aimed to explore the potential of combined SEM and microanalyses in the identification of the crystalline components of the human and animal dental calculi. Human and animal calculi were analyzed. Identification of the crystalline components were made based on the combined information of the morphology (SEM) and Ca/P molar ratios of the crystals with the morphology and Ca/P molar ratio of synthetic calcium phosphates (brushite or DCPD; octacalcium phosphate, OCP; Mg-substituted whitlockite, beta-TCMP; CO/sub 3/-substituted apatite, (CHA); and calcite. SEM showed similarities in morphological features of human and animal dental calculi but differences in the forms of crystals present. Microanalyses and crystal morphology data suggested the presence of CaCO/sub 3/ (calcite) and CHA in the animal (cat, dog, tiger) and of OCP, beta-TCMP and CHA in human dental calculi. X-ray diffraction and infrared (IR) absorption analyses confirmed these results. This exploratory study demonstrated that by taking into consideration what is known about the crystalline components of human and animal dental calculi, combined SEM and microanalyses can provide qualitative identification.

  17. Formant frequencies of Malay vowels produced by Malay children aged between 7 and 12 years.

    Science.gov (United States)

    Ting, Hua-Nong; Zourmand, Alireza; Chia, See-Yan; Yong, Boon-Fei; Abdul Hamid, Badrulzaman

    2012-09-01

    The formant frequencies of Malaysian Malay children have not been well studied. This article investigates the first four formant frequencies of sustained vowels in 360 Malay children aged between 7 and 12 years using acoustical analysis. Generally, Malay female children had higher formant frequencies than those of their male counterparts. However, no significant differences in all four formant frequencies were observed between the Malay male and female children in most of the vowels and age groups. Significant differences in all formant frequencies were found across the Malay vowels in both Malay male and female children for all age groups except for F4 in female children aged 12 years. Generally, the Malaysian Malay children showed a nonsystematic decrement in formant frequencies with age. Low levels of significant differences in formant frequencies were observed across the age groups in most of the vowels for F1, F3, and F4 in Malay male children and F1 and F4 in Malay female children.

  18. Validity of an Athletic Skills Track among 6- to 12-year-old children.

    Science.gov (United States)

    Hoeboer, Joris; De Vries, Sanne; Krijger-Hombergen, Michiel; Wormhoudt, René; Drent, Annelies; Krabben, Kay; Savelsbergh, Geert

    2016-11-01

    The purpose of this study was to examine the feasibility and validity of an Athletic Skills Track (AST) to assess fundamental movement skills among 6- to 12-year-old children in a physical education setting. Four hundred sixty-three Dutch children (211 girls, 252 boys) completed three tests: the Körperkoordinationstest für Kinder (KTK) and two Athletic Skills Tracks (AST-1, AST-2). The validity of AST-1 and AST-2 was examined by correlating the time (s) needed to complete the tracks and the KTK Motor Quotient (MQ). Overall, there was a low correlation between AST-1 and the KTK MQ (r = -0.474 (P year-olds. The results indicate that fundamental movement skills of 6- to 12-year-old children can be assessed with a quick, convenient and low-cost motor competence test in a physical education setting, i.e., an Athletic Skills Track. Future studies should further assess the reliability, discriminative ability and validity of age-specific versions of the AST.

  19. Prevalence of epileptiform discharges in healthy 11- and 12-year-old children.

    Science.gov (United States)

    Grant, Arthur C; Chau, Larissa; Arya, Kapil; Schneider, Margaret

    2016-09-01

    We sought to determine the prevalence of interictal epileptiform discharges (IEDs) in healthy 11- and 12-year-old children. Sixth grade students with no history of seizure, or neurologic or psychiatric disease, were enrolled in a longitudinal physical activity intervention study. Per study protocol, each student had two EEG recordings approximately 6months apart. Epileptiform discharges were present in 4 (2.9%) of 140 students: centrotemporal in three and generalized in one. In three children, the discharges were still present six months later. None of the children had developed seizures a minimum of one year after the second EEG. These results are consistent with those of two landmark European studies performed nearly a half century ago, before the modern era of digital EEG. Healthy 11- and 12-year-old children with no history of seizure may have centrotemporal or generalized epileptiform discharges on EEG, which can persist for at least 6months. Based on both our results and those of the two prior European studies, such discharges, if found incidentally in otherwise healthy children in this age group, should not prompt further evaluation or treatment.

  20. [Variations in tooth decay rates among children 5 and 12 years old in Minas Gerais, Brazil].

    Science.gov (United States)

    Lucas, Simone Dutra; Portela, Margareth Crisóstomo; Mendonça, Lisette Lobato

    2005-01-01

    The aim of this ecological study was to analyze to what extent World Health Organization goals were met in relation to dental caries in 2000 in Minas Gerais State, Brazil, identifying factors associated with variation in DMFT and the occurrence of DMFT < or = 3 among 12-year-old children and in the percentage of caries-free 5-year-olds. Secondary data from different sources were used. Linear regression and multiple logistic regression techniques were applied to the analysis of the numerical and dichotomous dependent variables. Socioeconomic and dental services supply/utilization indicators were used as potential explanatory variables. The goals expressed by DMFT < or = 3 at 12 years and a minimum of 50% caries-free 5-year-olds were met by 37% and 9% of the State's municipalities, respectively. In general the dependent variables were associated with socioeconomic level, and no associations were identified with dental care. The results should not be generalized, but they do suggest inequities in oral health and the role played by socioeconomic factors and water fluoridation.

  1. Clinical evaluation of buccal mucosal lesions in hospitalized children from 3 to 12 years-old

    Directory of Open Access Journals (Sweden)

    Silvana Amado Libério

    2008-01-01

    Full Text Available Objective: To determine the presence of oral mucosa alterations in children from 3 to 12 year of age, hospitalized in the period from January to May 2004. Methods: A clinical evaluation was made of the oral mucosa alterations in 165 hospitalized children from 3 to 12 of age, in the period from January to May 2004, of both genders, interned in the three wings of the mother and child ospital “Hospital Universitário Materno Infantil” of the Federal University of Maranhão.Results: The most frequent alterations were encrusted tongue (61.82%, pseudomembranous candidiasis (5.45% and recurrent herpeticinfection (3.64%, no difference being found with regard to their presence in the age groups (3 to 6 years of age and 7 to 12 years ofage, however, boys were more affected (85.90% than girls (71.26%.Conclusion: Of the 165 children examined, 78.18% exhibited alterations and in certain cases, more than one alteration was observed at the time of the exam.

  2. Assessing DMFT index in 12 years old students attending hearing impaired schools in Tehran

    Directory of Open Access Journals (Sweden)

    Shahrabi M

    2007-01-01

    Full Text Available Background and Aim: Extensive studies on the epidemiology of teeth and oral diseases are an important part of health care programs specially for hearing impaired groups. For adequate programming in this field, proper situation analysis is mandatory. The aim of this study was to assess the DMFT (decayed missed filled teeth of 12 years old students attending hearing impaired schools in Tehran and exploring the relation between sex, hygiene and hearing threshold with the index. Materials and Methods: This cross sectional descriptive study was based on examining 12 years old (± 6 month students (117 cases attending hearing impaired schools in Tehran. A questionnaire was filled for each case. T, Chi-square and Kruskall-Wallis tests were used to analyze the results with p<0.05 as the limit of significance. Results: The mean DMFT in these students was 3.07. Mean DMFT in students with very severe hearing loss was 2.99. Mean ranked DMFT in girls and boys was similar (56.09 in boys and 61.96 in girls. Mean ranked DMFT in students who didn’t use floss (66.40 was higher than those who used floss (46.71. Mean ranked DMFT in students who seldom brushed, was the highest (72.82 and in students who brushed once a day was the lowest (51.26. Conclusion: The DMFT index in hearing disabled children was 3.07. Regular brushing and flossing reduced the index.

  3. Vaccination coverage of children aged 4-12 years old in the prefecture of Evritania

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    Yannis Getsios

    2012-01-01

    Full Text Available The last two decades a huge progress has taken place in the field of the primary prevention of infections and many new vaccines have been introduced in the compulsory vaccination program. There is evidence, however, that immunization coverage against some infectious diseases is not adequate. Aim: It was to investigate the level of immunization coverage of Greek and Immigrants' children aged 4-12 years old in the prefecture of Evritania regarding vaccines against pertussis-diphtheria-tetanus (DTaP, poliomyelitis (IPV and measles–mumps–rubella (MMR. Material and methods: The sample of the study consisted of the pupils of all nursing and elementary schools of the prefecture of Evritania , aged 4-12 years old. Children's personal Health Cards were used to evaluate the adequacy of vaccine doses. X2 was usedfor comparisons. Statistics was processed with SPPS 17.0. Results: The boys of the sample were 469 (51.9% and the girls 434 (48.1%. Full vaccination coverage with DTaP, MMR and IPV was 87.3%, 79.9%, and 97.6% respectively. No statistically significant differences were observed between Greek and Immigrants' children. Conclusion: Vaccination coverage against measles, mumps and rubella was inadequate. Immigrants' and Greek children are equally covered. Vaccination coverage with MMR is troublesome.

  4. ORAL HEALTH STATUS OF 9 TO 12 YEAR OLD SCHOOL GOING CHILDREN IN URBAN MEERUT

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    Saurabh Sharma

    2013-05-01

    Full Text Available Background: Oral health is an integral part of general health. Oral Health status has a direct impact on general health and conversely, general health influences oral health. It has also become clear that causative and risk factors in oral diseases are often the same as those implicated in the major general diseases.Hence this study was done to estimate the prevalence, type and degree of oral diseases in the study area. Materials and Method: It is a cross- sectional study design conducted among schools in , Multan Nagar which is the field practice area of department of Community Medicine, SMC (Subharti Medical College, Meerut.A total of 534 school going children aged 9 to 12 years old were examined using standard WHO Oral Health Survey methods. Results: One third of the study population (34.3% had good oral hygiene according to oral hygiene index simplified. The overall prevalence of gingivitis among children was 53.4 percent.The prevalence of dental caries among 9 to 12 year old school going children was 60.1 %. The mean DMFT score of the study population was 0.89.The index study findings revealed a strong relationship between oral health status and socio economic status and mother’s educational status. Conclusion: The overall prevalence of dental caries was high in the study subjects.Mother’s educational status has a significant role in improving the oral health status of children.

  5. Evaluation oral hygiene index in the 12-years-old students

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    Masoomeh Shirzai

    2011-10-01

    Full Text Available Background: Periodontal disease and dental caries are one of the most important factors of tooth loss and the most common oral health problem, therefore the present study was performed to assess oral hygiene index in the 12-years-old students in Zahedan city.Material and Method: In this descriptive-analytical study, Zahedan city (2009 was divided based on socio-economical situation in to two areas and 10 school (boys & girls school from each area, and 47 students from each school, were selected randomly. Oral hygiene status of 942 12-years-old male and female students was assessed with OHI-S index. Data were analyzed by SPSS software version-15 (t-test and chi-square. Results: The mean OHI-S was 1.43±0.72 and 44.7% persons had well OHI-S, 50.3% had medium OHI-S and 5% had poor OHI-S. The mean OHI-S was 1.42 in boys and 1.44 in girls. Correlation between OHI-S with father occupation (p=0.03 and sequences of tooth brushing (p=0.001 was significant. Conclusion: Oral hygiene status of studied students was in the middle and people who brushes their teeth more time, had higher OHI-S indices

  6. Suture granuloma of the abdominal wall with intraabdominal extension 12 years after open appendectomy

    Institute of Scientific and Technical Information of China (English)

    Goran Augustin; Dragan Korolija; Mate Skegro; Jasminka Jakic-Razumovic Goran

    2009-01-01

    Most complications after appendectomy occur within ten days;however,we report the unusual case of a suture granuloma 12 years after open appendectomy.The afebrile 75-year-old woman presented with a slightly painful palpable mass in the right lower abdomen.There was no nausea or vomiting and bowel movements were normal.She lost 10 kg during the 3 mo before presentation.The patient had undergone an appendectomy 12 years previously.Physical examination revealed a tender mass,10 cm in diameter,under the appendectomy scar.The preoperative laboratory findings,tumor markers and plain abdominal radiographs were normal.Multi-slice computed tomography scanning showed an inhomogenous abdominal mass with minimal vascularization in the right lower abdomen 8.6 cm×8 cm×9 cm in size which communicated with the abdominal wall.The abdominalwall was thickened,weak and bulging.The abdominalwall mass did not communicate with the cecumor the ascending colon.Complete excision of the abdominalwall mass was performed via median laparotomy.Histopathological examination revealed a granuloma with a central abscess.This case report demonstrates that a preoperative diagnosis of abdominal wall mass after open appendectomy warrants the use of a wide spectrum of diagnostic modalities and consequently different treatment options.

  7. Changes in Growth Pattern after Adenotonsillectomy in Children under 12 Years Old

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    Farnaz Hashemian

    2010-10-01

    Full Text Available The aim of the present study was to determine the effects of adenotonsillectomy on height, weight and body mass index (BMI in children under 12 years old, with or without airway obstruction and evaluation of the risk of overweight in them. In this case-control study, 120 children with the age of 2-12 years old were studied; 60 children as case group who underwent adenotonsillectomy and 60 healthy children as control group. After collecting the data related to appetite status and sleep breathing disorder of the case group, height, weight and BMI have been measured for all children in two stages; preoperatively and 6 months later. Also in the case group, BMI percentiles, pre and postoperatively have been calculated. Patients with Low appetite in the initiation and at the end of the study in the case group were 80% and 8.3% respectively (P=0.01. Mean of height, weight and BMI variation after 6 months were significantly different between case and control groups (P

  8. Child custody mediation and litigation: custody, contact, and coparenting 12 years after initial dispute resolution.

    Science.gov (United States)

    Emery, R E; Laumann-Billings, L; Waldron, M C; Sbarra, D A; Dillon, P

    2001-04-01

    Long-term follow-up data were obtained on families who had been randomly assigned to mediate or litigate their child custody disputes. In comparison with families who litigated custody, nonresidential parents who mediated were more involved in multiple areas of their children's lives, maintained more contact with their children, and had a greater influence in coparenting 12 years after the resolution of their custody disputes. The increased involvement of nonresidential parents who mediated did not lead to an associated increase in coparenting conflict. Parents who mediated also made more changes in their children's living arrangements over the years. For the most part, the changes apparently reflect increased cooperation and flexibility. Satisfaction declined for parents (especially fathers) in both groups over time, but fathers remained much more satisfied if they mediated rather than litigated custody. Few differences in satisfaction were found between mothers in the 2 groups. The 12-year follow-up data indicate that, even in contested cases. mediation encourages both parents to remain involved in their children's lives after divorce without increasing coparenting conflict.

  9. Individual and maternal determinants of self-reported dental health among Turkish school children aged 10-12 years

    DEFF Research Database (Denmark)

    Cinar, A B; Kosku, N; Sandalli, N;

    2008-01-01

    To assess the influence of maternal and individual characteristics on self-reported dental health of Turkish school children aged 10-12 years with different socio-economic backgrounds.......To assess the influence of maternal and individual characteristics on self-reported dental health of Turkish school children aged 10-12 years with different socio-economic backgrounds....

  10. Cystic calculi removal in African spurred Tortoise (Geochelone sulcata using transplstron coeliotomy

    Directory of Open Access Journals (Sweden)

    Azlan Che' Amat

    Full Text Available The present report was carried out to manage a case of calculi in the bladder of African spurred tortoise. A 6 year old African spurred tortoise presented with history of anorexia and whitish discharged from the vent. Upon physical examination, the tortoise were 10% dehydrated, hindlegs muscle wasting and whitish materials came out from the vent. Plain radiograph revealed increased radiopacity in the bladder and also both right and left kidney. Contrast gastrointestinal radiograph showed less possibility of foreign body. Inconclusive radiological findings required the decision to proceed with exploratory transplastron coeliotomy by using dental burr. About 4 cm solid, hard whitish mass was removed from the bladder and both kidney was congested with whitish material. The findings were suggestive for urates crystal calculi based on histology result. [Vet. World 2012; 5(8.000: 489-492

  11. Swapping: a natural bridge between named and indexed explicit substitution calculi

    CERN Document Server

    Mendelzon, Ariel; Ziliani, Beta; 10.4204/EPTCS.49.1

    2011-01-01

    This article is devoted to the presentation of lambda_rex, an explicit substitution calculus with de Bruijn indexes and a simple notation. By being isomorphic to lambda_ex - a recent formalism with variable names -, lambda_rex accomplishes simulation of beta-reduction (Sim), preservation of beta-strong normalization (PSN) and meta-confluence (MC), among other desirable properties. Our calculus is based on a novel presentation of lambda_dB, using a swap notion that was originally devised by de Bruijn. Besides lambda_rex, two other indexed calculi isomorphic to lambda_x and lambda_xgc are presented, demonstrating the potential of our technique when applied to the design of indexed versions of known named calculi.

  12. [Microscopic investigation of the partial stages of dissolution processes in urinary calculi (author's transl)].

    Science.gov (United States)

    Seyfarth, H H; Hahne, B; Rostek, F P; Sluka, G; Eismann, D

    1975-11-14

    The formation of urinary calculi cannot yet be prevented with certainty. Consequently the dissolution of stones remains a focus of medical interest. The speed of solution of a calculus is not a quantity typical of the substance, but depends largely on the structural formation of the urinary calculi. With very different types of structure (e.g. Whewellite and Weddellite stones) the rate of dissolution can therefore fluctuate between wide limits in spite of similar phase composition. Consequently, type of structure, course of solution and rate of solution can be clearly correlated. Stones with relatively uniform structure formation (e.g. Struvite stones) on the other hand show largely similar solution rates. Medically, it is of interest that in certain structural types, solution may lead to disintegration of the stone into isolated solution residues.

  13. Primary Giant Cell Malignant Fibrous Histiocytoma of the Kidney with Staghorn Calculi

    Directory of Open Access Journals (Sweden)

    Chen C

    2003-01-01

    Full Text Available Malignant fibrous histiocytomas (MFH as primary renal tumours are rare, with less than 50 cases described in the literature. We report a case of primary renal MFH of giant cell type in a 56-year-old man, who presented with bilateral dull flank pain, intermittent gross haematuria and body weight loss (6 kg in 3 months. Intravenous urography, computerized tomography (CT and magnetic resonance image (MRI showed right ureteral stones with mild hydronephrosis, and a solid mass at the lower pole of the left kidney associated with staghorn calculi, as well as tumour thrombi in the left renal vein and inferior vena cava. Left radical nephrectomy and evacuation of tumour thrombi from the left renal vein and inferior vena cava were performed. Histopathologic examination revealed malignant fibrous histiocytoma (MFH of giant cell type. To the best of our knowledge, this is the first report of primary renal MFH associated with staghorn calculi.

  14. Spectroscopic study of the inhibition of calcium oxalate calculi by Larrea tridentata

    Science.gov (United States)

    Pinales, Luis Alonso

    The causes of urolithiasis include such influences as diet, metabolic disorders, and genetic factors which have been documented as sources that aggravate urinary calculi depositions and aggregations, and, implicitly, as causes of urolithiasis. This study endeavors to detail the scientific mechanisms involved in calcium oxalate calculi formation, and, more importantly, their inhibition under growth conditions imposed by the traditional medicinal approach using the herbal extract, Larrea tridentata. The calculi were synthesized without and with Larrea tridentata infusion by employing the single diffusion gel technique. A visible decrease in calcium oxalate crystal growth with increasing amounts of Larrea tridentata herbal infusion was observed in photomicrographs, as well as a color change from white-transparent for pure crystals to light orange-brown for crystals with inhibitor. Analysis of the samples, which includes Raman, infrared absorption, scanning electron microscopy (SEM), and X-ray powder diffraction (XRD) techniques, demonstrate an overall transition in morphology of the crystals from monohydrate without herbal extract to dihydrate with inhibitor. Furthermore, the resulting data from Raman and infrared absorption support the possibilities of the influences, in this complex process, of NDGA and its derivative compounds from Larrea tridentata, and of the bonding of the magnesium of the inhibitor with the oxalate ion on the surface of the calculi crystals. This assumption corroborates well with the micrographs obtained under higher magnification, which show that the separated small crystallites consist of darker brownish cores, which we attribute to the dominance of growth inhibition by NDGA, surrounded by light transparent thin shells, which possibly correspond to passivation of the crystals by magnesium oxalate. The SEM results reveal the transformation from the dominant monoclinic structure of the calcium oxalate crystals grown alone to the tetragonal

  15. Towards a Theory of Bisimulation for the Higher-Order Process Calculi

    Institute of Scientific and Technical Information of China (English)

    Yong-JianLi; Xin-XinLiu

    2004-01-01

    In this paper, a labelled transition semantics for higher-order process calculi is studied. The labelled transition semantics is relatively clean and simple, and corresponding bisimulation equivalence can be easily formulated based on it. And the congruence properties of the bisimulation equivalence can be proved easily. To show the correspondence between the proposed semantics and the well-established ones, the bisimulation is characterized as a version of barbed equivalence and a version of context bisimulation.

  16. Towards a Theory of Bisimulation for the Higher-Order Process Calculi

    Institute of Scientific and Technical Information of China (English)

    Yong-Jian Li; Xin-Xin Liu

    2004-01-01

    In this paper, a labelled transition semantics for higher-order process calculi is studied. The labelled transition semantics is relatively clean and simple, and corresponding bisimulation equivalence can be easily formulated based on it. And the congruence properties of the bisimulation equivalence can be proved easily.To show the correspondence between the proposed semantics and the well-established ones, the bisimulation is characterized as a version of barbed equivalence and a version of context bisimulation.

  17. SAFETY AND EFFICACY OF PERCUTANEOUS NEPHROLITHOTOMY IN INFANTS PRESENTING WITH OBSTRUCTIVE RENAL CALCULI AND ANURIA

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    Yugesh

    2015-04-01

    Full Text Available BACKGROUND : Urolithiasis in infancy is rare but important health issue. Etiology is multi factorial . Optimal management of pediatric stone disease is still evolving . Infants with bilateral obstructive renal stones are unique group of patients in whom prompt evaluation and management is necessary. AI MS AND OBJECTIVE: To evaluate safety and efficacy of PCNL in infants presenting with bilateral obstructive renal calculi and anuria . MATERIALS AND METHOD S: From N ov . 2012 to M arch 2014, 18 renal units with calculi in 9 infants (6 boys, 3 girls were treated with PCNL ( P ercutaneous N ephrolithotomy at our institution. All infants presented with anuria, rised serum creatinin (mean 6.1mg/dl and uremic symptoms due to bilateral obstructive renal calculi. All patients managed initially with peritoneal dialysis a t nephrology u nit, followed by bilateral DJ (D ouble J stenting, then bilateral PCNL performed in two sittings. Mean age 8.5 months (4m to 12m, mean stone burden 1.7 cm (0.6cm to 3.0 cm, 20 F pediatric nephroscope through 22F percutaneous access was used . Stones were fragmented with pneumatic lithotripter. RESULTS: Mean operative time was 60.22 mins (30 mins to 90 mins. Complete stone clearance was done in all cases without need for second look PCNL. Mean post op serum creatinin is 0.6 mg/dl. No patient r equired blood transfusion, developed urosepsis, or had a procedure related complications. CONCLUSION: When performed by experienced urologists, PCNL is safe and effective procedure in infants presenting with bilateral obstructive renal calculi and anuria, provided these patients managed preoperatively with peritoneal dialysis and DJ stenting to optimise renal function and to relieve sepsis.

  18. Er:YAG removal of subgingival calculi: efficiency, temperature, and surface quality

    Science.gov (United States)

    Stock, Karl; Hibst, Raimund; Keller, Ulrich

    1996-12-01

    Aim of this study was to evaluate a handpiece with a special fiber tip for Er:YAG laser removal of subgingival calculus. The morphological changes of the treated areas were observed by light microscopy and SEM. To evaluate the efficiency, the time for complete removal of the calculi was measured. The temperature development in the pulp during laser treatment was investigated by a thermocouple inserted into a root canal. After calculi ablation, only smooth ablation traces are visible. The depth of the ablation traces is about 100 micrometers . Roughness of the treated area is similar to the untreated area. The ablation efficiency depends strongly on the shape and location of the calculi and varies between 4.6 and 20 mm2/min. During non stop preparation the maximum occurred temperature in pulp was 7.8 K. The results show that the Er:YAG laser with the used fiber delivery systems and handpiece is suitable for effective and sparing removal of subgingival calculus in periodontal treatment.

  19. Retroperitoneoscopic pyelolithotomy: a good alternative treatment for renal pelvic calculi in children

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    Bruno Nicolino Cezarino

    Full Text Available ABSTRACT Introduction: Nephrolitiasis, once considered an adult disease, has become increasingly prevalent in children, with an increase from 6% to 10 % annually in past 25 years. Kidney stones in pediatric population can result from metabolic diseases in up to 50% of children affected. Other factors associated with litiasis are infection, dietary factors, and anatomic malformations of urinary tract. Standard treatment procedures for pediatric population are similar to adult population. Extracorporeal shock wave lithotripsy (ESWL, ureterorenoscopy (URS, percutaneous nepfrolithotomy (PCNL, as well as laparoscopic and retroperitoneoscopic approaches can be indicated in selected cases. The advantages of laparoscopic or retroperitoneoscopic approaches are shorter mean operation time, no trauma of renal parenchyma, lower bleeding risk, and higher stone-free rates, especially in pelvic calculi with extrarenal pelvis, where the stone is removed intact. Patient and Methods: A 10 year-old girl presented with right abdominal flank pain, macroscopic hematuria, with previous history of urinary infections‥ Further investigation showed an 1,5 centimeter calculi in right kidney pelvis. A previous ureterorenoscopy was tried with no success, and a double J catheter was placed. After discussing options, a retroperitoneoscopic pielolithotomy was performed. Results: The procedure occurred with no complications, and the calculi was completely removed. The foley catheter was removed in first postoperative day and she was discharged 2 days after surgery. Double J stent was removed after 2 weeks. Conclusions: Retroperitoneoscopic pielolithotomy is a feasible and safe procedure in children, with same outcomes of the procedure for adult population.

  20. AN UNASCENDED RIGHT KIDNEY WITH LEFT SIDED URETERIC CALCULI: A CADAVERIC CASE REPORT

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    Meril Ann Soman

    2014-06-01

    Full Text Available Anomalies of the urinary system constitute approximately 30% of all the congenital malformations. There are various associated anomalies involving number, size, shape, position and vascularity of the kidneys. Unascended kidneys refers to a halt in the migration of the kidneys during their normal embryological development. Defect in the ascent of the kidneys are closely related with variations in the branching pattern of aorta. Here we report a case of an unilateral unascended right kidney in a male cadaver encountered during routine medical dissection. A left sided ureteric calculi was also seen as an incidental finding in the same cadaver. Ureterolithiasis occurs worldwide in all sets of population with 80% of the stones found in the male sex in the age group of 30- 60 years. There are various factors which favour the formation of ureteric calculi which includes geographical, socio-economical as well as the mineral content of water consumed and some general medical causes. An attempt has been made to document the causes for this variation and the preventive measures that can be adopted to prevent the formation of ureteric calculi.

  1. [Prevalence of sedentary lifestyle and associated factors in adolescents 10 to 12 years of age].

    Science.gov (United States)

    Hallal, Pedro Curi; Bertoldi, Andréa Dâmaso; Gonçalves, Helen; Victora, Cesar Gomes

    2006-06-01

    Physical activity in adolescence is associated with several health benefits, including a direct influence on adolescent morbidity and an indirect effect on adult health mediated by physical activity levels in adulthood. This study assessed the prevalence of sedentary lifestyle and associated variables in 4,452 adolescents aged 10-12 years, belonging to the 1993 Pelotas Birth Cohort Study, representing 87.5% of the original cohort. Sedentary lifestyle, defined as sedentary lifestyle was positively associated with female gender, socioeconomic status, maternal physical inactivity, and television viewing, but inversely correlated with time spent playing videogames. Adolescents with low socioeconomic status were more likely to walk or bicycle to and from school. Effective strategies against sedentary lifestyle in adolescence are needed because of its high prevalence and association with physical inactivity in adulthood.

  2. Calcified aneurysm of the abdominal aorta 12 years after umbilical artery catheterization

    Energy Technology Data Exchange (ETDEWEB)

    Blondiaux, Eleonore; Miquel, Julie [Rouen University Hospital Charles Nicolle, Department of Radiology, Rouen (France); Thomas, Pascale; Watelet, Jacques [Rouen University Hospital Charles Nicolle, Department of Vascular Surgery, Rouen (France); Laloum, Denis [Caen University Hospital, Pediatric Intensive Care Unit, Department of Neonatal Medicine, Caen (France); Dacher, Jean-Nicolas [Rouen University Hospital Charles Nicolle, Department of Radiology, Rouen (France); UFR Medecine et Pharmacie, Laboratoire Quant-If, Rouen Cedex 01 (France)

    2008-02-15

    We report a 12-year-old boy who presented with abdominal pain and who was found to have an aneurysm of the abdominal aorta (AAA). The patient was born from a quadruplet pregnancy induced by in vitro fertilization. Postnatal transient respiratory distress required assisted ventilation that had been monitored by two consecutive umbilical arterial catheters (UAC). AAA is a rare condition in childhood. Infection and/or trauma are known to be the most frequent causes. Most of the reported cases have occurred in children in whom a UAC had been placed during the neonatal period. In this patient the delay between UAC placement and diagnosis was considerable. At the time of this report the patient had remained well during a follow-up of 8 years after treatment. (orig.)

  3. Choroidal thickness in relation to birth parameters in 11- to 12-year-old children

    DEFF Research Database (Denmark)

    Li, Xiao Q; Munkholm, Anja; Larsen, Michael;

    2015-01-01

    to -1] μm, P = 0.04) compared with appropriate for gestation children. Longer birth length was associated with a thicker subfoveal choroid (2 [1-4] μm/cm, P = 0.005). Macular choroidal thickness at 16 extrafoveal locations was measured in a subset of children and found to have the same associations......PURPOSE: To examine choroidal thickness in a population-based child cohort in relation to birth parameters. METHODS: The Copenhagen Child Cohort 2000 Eye Study examined 1406 children aged 11 to 12 years using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT), ocular...... biometry and measurement of height, weight, refraction, and self-reported pubertal development status. Birth parameters were obtained from the Danish Medical Birth Registry. RESULTS: The subfoveal choroid in low birth weight children (

  4. Persistent inflammation and endothelial activation in HIV-1 infected patients after 12 years of antiretroviral therapy.

    Directory of Open Access Journals (Sweden)

    Frederikke F Rönsholt

    Full Text Available OBJECTIVE: The study investigated markers of inflammation and endothelial activation in HIV infected patients after 12 years of successful combination antiretroviral treatment (cART. METHODS: Inflammation and endothelial activation were assessed by measuring levels of immunoglobulins, β2-microglobulin, interleukin (IL 8, tumor necrosis factor α (TNFα, vascular cell adhesion molecule-1 (sVCAM-1, intercellular adhesion molecule-1 (sICAM-1, sE-Selectin, and sP-Selectin. RESULTS: HIV infected patients had higher levels of β2-microglobulin, IL-8, TNFα, and sICAM-1 than uninfected controls, and HIV infected patients lacked correlation between platelet counts and sP-Selectin levels found in uninfected controls. CONCLUSION: Discrete signs of systemic and vascular inflammation persist even after very long term cART.

  5. Enterococcal cerebellopontine angle abscess in a 12-year-old female

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    Sonavane Alka

    2010-01-01

    Full Text Available Despite advances in imaging and antibiotic treatment, brain abscess is still encountered occasionally. Various aerobic and anaerobic bacteria have been reported as causative agents of brain abscess but only a few cases of enterococcal brain abscesses have been reported. Here we report a case of brain abscess in a 12-year-old female patient, who presented with a history of fever, chills, headache, convulsions since seven days and history of altered sensorium and aphasia since the last two days . The patient had chronic suppurative otitis media of both ears following trauma and presented with ear discharge. The diagnosis of brain abscess was done by computerized tomography scan and the pus was aspirated by left suboccipital burr hole operation. Enterococcus species was cultured from the aspirated pus sample. The patient responded to surgical drainage and antibiotic treatment.

  6. Annular lichenoid dermatitis of youth--a further case in a 12-year-old girl.

    Science.gov (United States)

    Kleikamp, Stefanie; Kutzner, Heinz; Frosch, Peter J

    2008-08-01

    Annular lichenoid dermatitis of youth was first described by Annessi et al. in 2003. Clinical criteria are persistent erythematous macules and annular lesions with a red-brown edge and a central hypopigmentation usually found on the flanks and groins of children and adolescents. Histologically, the disease is characterized by a lichenoid interface dermatitis with necrotic keratinocytes at the tip of the rete ridges. In our case a 12-year old girl developed annular red-brown macules with papules at the borders in an inframammary location. The histology of the lesion's border showed a lichenoid lymphocytic infiltrate with apoptotic keratinocytes at the tip of rete ridges. The lesions cleared with 0.03% tacrolimus ointment. Annular lichenoid dermatitis of youth is probably a new entity in the group of lichenoid dermatoses.

  7. Dental caries prevalence and risk factors among 12-year old schoolchildren from Baghdad, Iraq

    DEFF Research Database (Denmark)

    Ahmed, Nibras A M; Astrøm, Anne N; Skaug, Nils

    2007-01-01

    AIM: To examine the prevalence of dental caries in 12-year-old schoolchildren from Baghdad after the end of the United Nations' economic sanctions and to investigate related dental caries risk factors including gender, socio-demographic factors, oral hygiene and sugar intake. DESIGN: A cross...... mothers with low education, living in a low socio-economic area and brushing at least once-a-day. Positive oral hygiene practices were higher for girls. Western sweet snacks were preferred and sweet tea was frequently consumed. The fluoride content in drinking water was too low for caries prevention....... CONCLUSION: It is important to maintain the low prevalence of caries among children by increasing awareness and promoting oral health care strategies....

  8. Bloom′s syndrome in a 12-year-old Iranian girl

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    Tayebi Naeimeh

    2008-01-01

    Full Text Available Background: Bloom′s syndrome, an autosomal recessive inherited disorder, belongs to the group of chromosomal breakage syndromes. The clinical diagnosis of BS is confirmed cytogenetically. Its frequency in the general population is unknown but it is common in eastern European Ashkenazi Jews . Case Report: A 12-year-old girl was referred to us because of short stature. She was the second child of the first cousin marriage. She had a slender body frame, short stature, and microcephaly. Her face was long and narrow with prominent nose, and malar and mandibular hypoplasia. The spots of hyper and hypo pigmentation were observed in the trunk and limbs. Telangectasia spots were observed in some areas of the trunk. Additionally, generalized hirsutism was present in the whole body. Cytogenetic findings revealed an abnormality in the structural chromosome. Conclusion: This is the first BS case that has been reported in Iranian female population.

  9. Prevalence of molar incisor hypomineralization in school children aged 8-12 years in Chennai

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    Savitha Deepthi Yannam

    2016-01-01

    Full Text Available Objective: To investigate the prevalence and severity of molar incisor hypomineralization (MIH. Materials and Methods: A sample of 2,864 students aged 8-12 years were selected from government and private schools in Chennai. MIH was diagnosed clinically based on the diagnostic criteria established by the European Academy of Pediatric Dentistry (EAPD 2003. Results: A total of 277 children (9.7% had MIH. There was statistically significant difference in prevalence related to age but there was no statistical difference in prevalence with respect to gender. Conclusion: Prevalence of MIH was 9.7% in the child population residing in Chennai. Males and females were equally affected. The rate of occurrence and severity of MIH are more in the right mandibular first molar. The severity of MIH is more in molars compared to incisors (P < 0.001 and is more in government schools compared to private schools (P = 0.002.

  10. Risk factors for obesity in 6 to 12-year-old children

    Directory of Open Access Journals (Sweden)

    Andy Japutra

    2015-01-01

    Full Text Available Background The causes of obesity in children are multifactorial, including genetics, physiology, metabolism, psychology, socioeconomic status, lifestyle, and culture. Objective To assess for relationships between obesity in 6 to 12-year-old children and maternal nutritional status, maternal education, eating breakfast, eating fast food, physical activity, TV watching, and playing video games. Methods This case-control study included students of Sejahtera Public School aged 6 to 12 years. Questionnaires were distributed to their parents for data on maternal education, eating breakfast, eating fast food, physical activity, TV watching and playing video games. Maternal nutritional status was assessed by one of the researchers. Univariate analysis with Chi–square test was used to assess every risk factor. Those with a P value of <0.25 were subjected to multivariate analysis, performed using multiple logistic regression analysis. Results From June to July 2013, 60 obese children and 60 well-nourished children, as a control group, were enrolled in the study. Obese mothers tended to have obese children [odds ratio/OR 252.48; 95%CI 33.4 to 1908.4]. Children who ate fast food 6–8 times/week, had low physical activity, and watched TV more than 8 hours/week had significantly higher risk for obesity [OR 12.94, 95%CI 1.7 to 100.7; and OR 266.94, 95% CI 7.8 to 9137.7; OR 21.44, 95%CI 2.68 to 171.61; respectively]. Maternal education, eating breakfast, and playing video games were not significant risk factors for childhood obesity. Conclusion Maternal obesity, eating fast food 6-8 times per week, low physical activity and watching TV more than 8 hours/week are risk factors for childhood obesity. [Paediatr Indones. 2015;55:35-9.].

  11. Evaluation of First Permanent Molars DMFT in 12 Years Old Children in Hamadan City ( 2005

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    T. Massom

    2007-07-01

    Full Text Available Introduction & Objective: DMFT Index is the best epidemiologic caries index in dentistry and can show the state of oral and dental hygiene in one society. By considering this index we can design suitable preventive and treatment program for total population of a society. The aim of this descriptive analytical study was evaluation of DMF6 index in 12 years old children in Hamadan city.Materials & Methods: Using explorer and mirror under natural light, 4 permanent first molars of 480 twelve years old students were examined from the aspect of decay, missing and filling; then DMF6 was accounted for each subject. The statistical analysis was done by SPSS 12 and Pearson, Chi- square test. Results: The mean of DMF6 was 2.17±1.39. DMF6 in girls (2.22 was more than boys (2.12 but this difference was not statistically significant. 72.9% of girls and 72.5% of boys had carries in their first permanent molars. 1.3% of girls and 2.5% of boys had one missing first molar. The difference between girls and boys in missing and decayed teeth was not statistically significant. 22.5% of girls and 11.7% of boys had filling teeth and only this difference was statistically significant. 26% of population had no sound teeth and only 18.8% of them had 4 sound first permanent molors. 72.7% of population had caries and 1.9% had missing and 17.1% had filled teeth. Conclusion: Analysis of DMF6 showed that untreated caries is the most important problem in 12 years old children in Hamadan.

  12. Landsat-7 ETM+: 12 years on-orbit reflective-band radiometric performance

    Science.gov (United States)

    Markham, B.L.; Haque, M.O.; Barsi, J.A.; Micijevic, E.; Helder, D.L.; Thome, K.J.; Aaron, D.; Czapla-Myers, J. S.

    2012-01-01

    The Landsat-7 ETM+ sensor has been operating on orbit for more than 12 years, and characterizations of its performance have been ongoing over this period. In general, the radiometric performance of the instrument has been remarkably stable: 1) noise performance has degraded by 2% or less overall, with a few detectors displaying step changes in noise of 2% or less; 2) coherent noise frequencies and magnitudes have generally been stable, though the within-scan amplitude variation of the 20 kHz noise in bands 1 and 8 disappeared with the failure of the scan line corrector and a new similar frequency noise (now about 18 kHz) has appeared in two detectors in band 5 and increased in magnitude with time; 3) bias stability has been better than 0.25 DN out of a normal value of 15 DN in high gain; 4) relative gains, the differences in response between the detectors in the band, have generally changed by 0.1% or less over the mission, with the exception of a few detectors with a step response change of 1% or less; and 5) gain stability averaged across all detectors in a band, which is related to the stability of the absolute calibration, has been more stable than the techniques used to measure it. Due to the inability to confirm changes in the gain (beyond a few detectors that have been corrected back to the band average), ETM+ reflective band data continues to be calibrated with the prelaunch measured gains. In the worst case, some bands may have changed as much as 2% in uncompensated absolute calibration over the 12 years.

  13. Soil CO2 efflux from mountainous windthrow areas: dynamics over 12 years post-disturbance

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    M. Mayer

    2014-05-01

    Full Text Available Windthrow driven changes in carbon (C allocation and soil microclimate can affect soil carbon dioxide (CO2 efflux (Fsoil of forest ecosystems. Although Fsoil is the dominant C flux following stand-replacing disturbance, the effects of catastrophic windthrow on Fsoil are still poorly understood. We measured Fsoil at a montane mixed forest site and at a subalpine spruce forest site from 2009 until 2012. Both sites consisted of undisturbed forest stands and two adjacent windthrow areas which differed in time since disturbance. The combination of chronosequence and direct time-series approaches enabled us to investigate Fsoil dynamics over 12 years post-disturbance. In the initial phase after disturbance (1–6 years, Fsoil rates did not differ significantly from those of the undisturbed stands, but in the later phase (9–12 years after disturbance Fsoil rates were significantly higher than corresponding undisturbed stand values. The higher Fsoil rates in the later phase post-disturbance are likely explained by a dense vegetation cover and correspondingly higher autotrophic respiration rates. Soil temperature increased significantly following windthrow (by 2.9–4.8 °C especially in the initial phase post-disturbance when vegetation cover was sparse. A significant part (20–36% of Fsoil from the windthrow areas was thus attributed to disturbance induced changes in soil temperature. According to our estimates, ~500 to 700 g C m−2yr−1 are released via Fsoil from south-facing forest sites in the Austrian Calcareous Alps in the initial 6 years after windthrow. With high game pressure suppressing primary production in these areas, post-disturbance loss of ecosystem C to the atmosphere is likely to be substantial unless management is proactive in regenerating such sites. An increase in the frequency of forest disturbance by windthrow could therefore decrease soil C stocks and positively feedback on rising atmospheric CO2 concentrations.

  14. Immediate and long term evolution of valve replacement in children less than 12 years old

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    Atik Fernando Antibas

    1999-01-01

    Full Text Available OBJECTIVE: The aim of this work was the follow-up and evaluation of valve replacement in children under 12 years of age. METHODS: Forty-four children less than 12 years old were underwent valve replacement at INCOR-HCFMUSP between January 1986 and December 1992. Forty (91% were rheumatic, 39 (88.7% were in functional classes II or IV, 19 (43.2% were operated upon on an emergency basis, and 6 (13.6% had atrial fibrillation. Biological prostheses (BP were employed in 26 patients (59.1%, and mechanical prostheses (MP in 18 (40.9%. Mitral valves were replaced in 30 (68.7%, aortic valves in 8 (18.2%, a tricuspid valve in 1 (2.3%, and double (aortic and mitral valves in 5 (11.4 of the patients. RESULTS: Hospital mortality was of 4.5% (2 cases. The mean follow-up period was 5.8 years. Re-operations occurred in 63.3% of the patients with BP and in 12.5% of those with MP (p=0.002. Infectious endocarditis was present in 26.3% of the BP, but in none of the cases of MP (p=0.049. Thrombosis occurred in 2 (12.5% and hemorrhage in one (6.5% of the patients with a MP. Delayed mortality occurred in 5 (11.9% of the patients over a mean period of 2.6 years; four had had BP and one had a MP (NS. Actuarial survival and re-operation-free curves after 10 years were respectively, 82.5±7.7 (SD% and 20.6±15.9%. CONCLUSION: Patients with MP required fewer re-operation, had less infectious endocarditis and lower late mortality rates compared with patients with bioprostheses. The former, therefore, appear to be the best valve replacement for pediatric patients.

  15. Risk factors for obesity in 6 to 12-year-old children

    Directory of Open Access Journals (Sweden)

    Andy Japutra

    2016-07-01

    Full Text Available Background The causes of obesity in children are multifactorial, including genetics, physiology, metabolism, psychology, socioeconomic status, lifestyle, and culture. Objective To assess for relationships between obesity in 6 to 12-year-old children and maternal nutritional status, maternal education, eating breakfast, eating fast food, physical activity, TV watching, and playing video games. Methods This case-control study included students of Sejahtera Public School aged 6 to 12 years. Questionnaires were distributed to their parents for data on maternal education, eating breakfast, eating fast food, physical activity, TV watching and playing video games. Maternal nutritional status was assessed by one of the researchers. Univariate analysis with Chi–square test was used to assess every risk factor. Those with a P value of <0.25 were subjected to multivariate analysis, performed using multiple logistic regression analysis. Results From June to July 2013, 60 obese children and 60 wellnourished children, as a control group, were enrolled in the study. Obese mothers tended to have obese children [odds ratio/OR 252.48; 95%CI 33.4 to 1908.4]. Children who ate fast food 6–8 times/week, had low physical activity, and watched TV more than 8 hours/week had significantly higher risk for obesity [OR 12.94, 95%CI 1.7 to 100.7; and OR 266.94, 95% CI 7.8 to 9137.7; OR 21.44, 95%CI 2.68 to 171.61; respectively]. Maternal education, eating breakfast, and playing video games were not significant risk factors for childhood obesity. Conclusion Maternal obesity, eating fast food 6-8 times per week, low physical activity and watching TV more than 8 hours/ week are risk factors for childhood obesity.

  16. Changes in Growth Pattern after Adenotonsillectomy in Children under 12 Years Old

    Directory of Open Access Journals (Sweden)

    Farnaz Hashemian

    2010-09-01

    Full Text Available "nThe aim of the present study was to determine the effects of adenotonsillectomy on height, weight and body mass index (BMI in children under 12 years old, with or without airway obstruction and evaluation of the risk of overweight in them. In this case-control study, 120 children with the age of 2-12 years old were studied; 60 children as case group who underwent adenotonsillectomy and 60 healthy children as control group. After collecting the data related to appetite status and sleep breathing disorder of the case group, height, weight and BMI have been measured for all children in two stages; preoperatively and 6 months later. Also in the case group, BMI percentiles, pre and postoperatively have been calculated. Patients with Low appetite in the initiation and at the end of the study in the case group were 80% and 8.3% respectively (P=0.01. Mean of height, weight and BMI variation after 6 months were significantly different between case and control groups (P<0.05. BMI percentiles in the case group preoperatively were: 20% underweight, 67% healthy weight, 10% at risk of over weight, 3% over weight. Postoperatively, after 6 months BMI percentiles in order of above frequency were: 10%, 57%, 22% and 11% (P=0.02. Analysis of the results showed that adenotonsillectomy can lead to increase of height, weight, BMI and appetite not only in the children with low weight due to airway obstruction but also in the normal weight and over weight children. Therefore risk of overweight should be mentioned as a probable undesirable outcome of adenotonsillectomy.

  17. Dental Caries and Related Factors among 7-12 Year-old School Children in Yasuj, Iran, in 2014

    Directory of Open Access Journals (Sweden)

    M Yousofi

    2015-12-01

    Full Text Available Introduction and objective: Tooth caries is the most prevalent infectious disease in children. The purpose of this study was to assess carries experience indexes and related factors among 7-12 year-old school children in Yasuj, Iran, in 2014. Materials and methods: In the present Cross-sectional and analytical study, using a two-stage random sampling, 460 students from primary schools of Yasuj city and surrounding villages were selected. The children were clinically examined at their school by a professional calibrated dentistry team. Their demographic and socioeconomic status, mouth health behaviors and teeth carries status and consumed nutritional materials were gathered by a questioner and a dental chart. The data were analyzed using inferential statistical methods. The SPSS software version 22 was used to extract the outputs and &alpha=0.05 was considered as the significant level. Results: The dental caries prevalence of deciduous, permanent and total of  two type of dents were  75.2, 41.1 and  89.8 percent, respectively and the dmft, DMFT and dmft+DMFT indexes were 3.57, 0.87, and 4.44, respectively.. The caries prevalence of permanent teeth and DMFT in girls were significantly higher than boys (p=0.046, but the caries prevalence in total of dents in boys was significantly higher than girls ( p=0.32. Furthermore, the dental caries prevalence in permanent teeth and DMFT in children resident in rural areas were significantly higher than those in urban areas (p0.1.  Conclusions: Prevalence and severity score of dental caries among 7 - 12 year-old Yasuj students were higher than the WHO standards. The tooth caries experiences were more prevalent in boys and in children resident in rural areas, increased with age and decreased with BMI and less prevalent in children with higher family socioeconomic status. Tooth brushing and flossing and consuming dairy foods were protective agents in occurring tooth caries in primary school children in

  18. Prostatic calculi influence the antimicrobial efficacy in men with chronic bacterial prostatitis

    Institute of Scientific and Technical Information of China (English)

    Wei-Ping Zhao; Yong-Tao Li; Jun Chen; Zhi-Gen Zhang; Hai Jiang; Dan Xia; Shuo Wang; Ping Wang

    2012-01-01

    We studied the efficacy of culture-specific antibiotic therapy for chronic bacterial prostatitis (CBP) patients with or without prostatic calculi.This study included 101 patients (21-62 years old) who met the consensus criteria for CBP (National Institutes of Health category Ⅱ).According to the results of transrectal ultrasonography (TRUS),all patients were divided into two groups:Group 1,CBP with prostatic calculi,n=39; Group 2,CBP without prostatic calculi,n=62.All patients received optimal antimicrobial therapy for 4 weeks and followed up for a minimum of 3 months (range:3-8 months).In addition to expressed prostatic secretions (EPS) and urine culture,all patients were asked to complete the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and the subjective global assessment (SGA).The microbiological eradication rate at the end of treatment were 32/39 (82.1%) and 54/62 (87.1%),while the rates for continued eradication at the end of study were 17/39 (43.6%) and 45/62 (72.6%) in Group 1 and Group 2 (P<0.01 ),respectively.We observed a decrease in the total NIH-CPSI score median values from 24 to 1 9 in Group 1 and from 24 to 11 in Group 2.The pain subscore (P<0.01),urinary sunscore (P<0.05) and quality of life (QoL; P<0.05) as well as the total NIH-CPSI score (P<0.01) were significantly improved after antimicrobial treatment in Group 2 compared to Group 1.Response,defined as a decrease of the NIH-CPSI total score by at least 50%,was seen in Group 1 versus Group 2 in 38.5% and 58.1% (P<0.01 ),respectively.Our results showed that prostatic calculi influence the antimicrobial efficacy in men with CBP.There was a noticeable decrease in the cure rate of CBP patients with prostatic calculi due to relapse after antimicrobial therapy.

  19. The development of the illusion of control and sense of agency in 7- to-12-year old children and adults.

    Science.gov (United States)

    van Elk, Michiel; Rutjens, Bastiaan T; van der Pligt, Joop

    2015-12-01

    The illusion of control can be defined as the erroneous belief that one's actions cause a specific outcome, whereas sense of agency refers to the subjective feeling of authorship over one's actions. In the present study we investigated the development of illusory control and sense of agency. A novel card-guessing game was developed in which 7- to-12-year old children (Study 1) and adults (Study 2) were required to select a card, and we manipulated the congruence of the outcome with their initial choice (i.e., congruent or incongruent) and the valence of the outcome that was presented (i.e., positive or negative). We found that illusory control and the self-attribution bias (i.e., the bias to attribute positive outcomes to oneself) in the card guessing game decreased, as children get older. In contrast, for both children and adults sense of agency in the task was similarly affected by outcome congruency, suggesting that the ability to relate predicted to observed action outcomes reflects a basic mechanism that helps people to sustain a sense of agency. Thus, while the illusion of control decreases as we get older, the experience of agency as a function of outcome congruency seems to be more stable across development.

  20. Mismatch negativity (MMN) and sensory auditory processing in children aged 9-12 years presenting with putative antecedents of schizophrenia.

    Science.gov (United States)

    Bruggemann, Jason M; Stockill, Helen V; Lenroot, Rhoshel K; Laurens, Kristin R

    2013-09-01

    Identification of markers of abnormal brain function in children at-risk of schizophrenia may inform early intervention and prevention programs. Individuals with schizophrenia are characterised by attenuation of MMN amplitude, which indexes automatic auditory sensory processing. The current aim was to examine whether children who may be at increased risk of schizophrenia due to their presenting multiple putative antecedents of schizophrenia (ASz) are similarly characterised by MMN amplitude reductions, relative to typically developing (TD) children. EEG was recorded from 22 ASz and 24 TD children aged 9 to 12 years (matched on age, sex, and IQ) during a passive auditory oddball task (15% duration deviant). ASz children were those presenting: (1) speech and/or motor development lags/problems; (2) social, emotional, or behavioural problems in the clinical range; and (3) psychotic-like experiences. TD children presented no antecedents, and had no family history of a schizophrenia spectrum disorder. MMN amplitude, but not latency, was significantly greater at frontal sites in the ASz group than in the TD group. Although the MMN exhibited by the children at risk of schizophrenia was unlike that of their typically developing peers, it also differed from the reduced MMN amplitude observed in adults with schizophrenia. This may reflect developmental and disease effects in a pre-prodromal phase of psychosis onset. Longitudinal follow-up is necessary to establish the developmental trajectory of MMN in at-risk children.

  1. Occupational exposure and 12-year spirometric changes among Paris area workers.

    Science.gov (United States)

    Kauffmann, F; Drouet, D; Lellouch, J; Brille, D

    1982-08-01

    A follow-up study over 12 years was conducted among 556 men aged 30 to 54 in 1960 and working at that time in factories around Paris (France). Various occupational exposures were recorded at the time of the 1960 survey after a technical study of each workplace. The annual rate of decline of FEV1 during 12 years was estimated for each subject from the measurements in 1960 and 1972. This rate (the FEV1 slope) was related independently of FEV1 level (which reflects the loss since the beginning of adult life) and of smoking habits to occupational exposure to dust, gases, and heat. FEV1 slope was significantly related to inhalation of mineral dust (even in the absence of silica) as well as to grain dust, and the slope was steeper with increased intensity of exposure to dust. Analysis of job changes showed that among heavily exposed subjects, those who changed jobs had a less steep slope than those who did not. Our results support the hypothesis of a causal role of exposure to dust in the development of chronic airflow obstruction and of a benefit when exposure to dust ceases. Exposure to dust, gas, and heat usually occurred together so data on gas and heat were analysed after taking account of exposure to dust. The influence of heat on FEV1 decline showed a clear trend. Results suggest that exposure to gases associated with exposure to dust or heat or both had a deleterious effect. After adjusting for age, smoking, and FEV1 level (ASLA) the following average slopes were obtained: 44 ml/a (for exposure to none or to only a slight amount of dust, or to gases alone), 51 ml/a (heat), 53 ml/a (noticeable dust), 55 ml/a (noticeable dust and heat), 60 ml/a (noticeable dust, heat, and high concentration of gases). Independently of the occupational exposures, ASLA FEV1 slopes among manual workers were related to skill, being 44 ml/a for skilled and 51 ml/a for unskilled men. Independently of social class and occupational exposures recorded, there were differences in FEV1 slopes

  2. Mozart effect on dental anxiety in 6–12 year old children

    Directory of Open Access Journals (Sweden)

    Arlette Suzy Setiawan

    2010-03-01

    Full Text Available Background: Children anxiety in dental treatment often becomes a barrier for dentist to perform optimum dental treatment procedure. Various methods to manage anxiety and fear in children have been applied including listening to classical music during dental treatment. One of the classical music usually used is music by Mozart. Purpose: This study is aimed to discover the role of classical music by Mozart in dental anxiety changes. Method: This study was a quasi experimental study using purposive sampling method. The samples consist of 30 children between 6-12 years old group who were treated at the Pediatric Dentistry Clinic, Dental Hospital, Faculty of Dentistry Padjadjaran University. The anxiety data was collected using Visual Analogue Scale (VAS before and after listening on the classical music during treatment. Result: The result of this study showed that there were 23 children (76.67% of subjects who present decreased anxiety, 7 children (23.33% of subjects did not present decreased anxiety and none of of subjects showed increased anxiety. Conclusion: It was concluded that listening to music by Mozart during dental treatment can reduce anxiety in 6-12 year old children.Latar belakang: Kecemasan pada anak saat perawatan gigi seringkali merupakan penghalang bagi dokter gigi untuk melaksanakan prosedurperawatan gigi yang optimal. Berbagai metode untuk mengatasi kecemasan dan rasa takutpada anak telah dilakukan termasuk mendengarkan musik klasik selama perawatan gigi. Salah satu musik klasik yang banyak digunakan adalah music oleh Mozart. Tujuan: Penelitian ini ditujukan untuk menemukan peran music klasik Mozart dalam perubahan kecemasan pada perawatan gigi. Metode: Penelitian ini adalah kuasi eksperimental menggunakan metode pengambilan sampel purposif. Sampel terdiri dari 30 anak antara 6-12 tahun yang dirawat di Klinik Kedokteran Gigi Anak, Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Padjadjaran. Data kecemasan diambil

  3. Maternal fish oil supplementation in pregnancy: a 12 year follow-up of a randomised controlled trial.

    Science.gov (United States)

    Meldrum, Suzanne; Dunstan, Janet A; Foster, Jonathan K; Simmer, Karen; Prescott, Susan L

    2015-03-20

    A number of trials have been undertaken to assess whether the intake of omega-3 long-chain polyunsaturated fatty acids (n-3 LCPUFA) during pregnancy can influence the neurological development of the offspring, yet no consensus from these trials has been reached. We aimed to investigate the long-term effects (12 years) of fish oil supplementation in pregnancy on neurodevelopment, including cognition, language and fine motor skills. In a follow up of a previously published randomised controlled trial of 98 pregnant women, their children were assessed at 12 years of age using a battery of neurodevelopmental assessments. Fifty participants were assessed at 12 years, with 25 participant's mothers receiving fish oil supplementation, and 25 receiving control capsules. There were no significant differences for any of the assessment measures completed. Our data indicate that fish oil supplementation during pregnancy does not influence the cognition, language or fine motor skills of children in late primary school (12 years of age).

  4. Factors affecting utilization of dental care among 6–12-year-old school children in Bangarpet taluk, Karnataka

    Directory of Open Access Journals (Sweden)

    C Priyadarshini

    2015-01-01

    Full Text Available Introduction: Oral diseases qualify as major public health problems owing to their high prevalence and incidence worldwide. Access to oral healthcare refers to patient's ability to obtain or utilize oral healthcare. Aim: To assess the dentition status and treatment needs among 6–12-year-old school children and to assess the factors affecting utilization of dental care among parents. Materials and Methods: A cross-sectional survey was conducted among 420 school children (6–12 years in Bangarpet taluk. Factors affecting utilization of dental care were assessed using a validated questionnaire and dentition status and treatment needs was recorded according to WHO 1997 proforma. Descriptive and inferential statistics were used. Results: The proportion of children with dmft was 62 (30% and 54 (26% in urban and rural children, respectively whereas the proportion of children with DMFT was 48 (23% and 79 (38% in urban and rural children, respectively. Among urban children 99 (47% did not need any treatment when compared to 87 (41% rural children. Around 32 (15.2% needed one surface filling in urban children and 20 (9.52% in rural children. About 30 (14.28% urban and 40 (19.04 in rural children needed preventive care, respectively. Most of the parents were not aware of fluoride content in the toothpaste. Parents agreed that maintenance of oral health is their duty. There was a significant difference between urban and rural parents for the barriers "no time to visit" (P = 0.0002, "affects my work" (P = 0.048 and "scared of injection" (P = 0.0033. Dental visits were found to be low in both urban 37 (18% and rural 56 (27% children. Conclusion: The caries experience was similar among urban and rural children. Most of the children required restorative and preventive care. Fear of injection and lack of time to visit dentist were the major barriers to parents for utilization of dental care. Hence, integrated approach is suggested to strengthen preventive and

  5. Prevalence of Malocclusion among 10-12-year-old Schoolchildren in Kozhikode District, Kerala: An Epidemiological Study

    OpenAIRE

    Narayanan, Retna Kumari; Jeseem, MT; Kumar, TV Anupam

    2016-01-01

    ABSTRACT Background: A malocclusion is an irregularity of the teeth or a malrelationship of the dental arches beyond the range of what is accepted as normal. Objectives: To determine the prevalence of malocclusion in children aged 10-12 years in Kozhikode district of Kerala, South India. Materials and methods: A descriptive cross-sectional study was conducted among schoolchildren aged 10-12 years in six schools in Kozhikode district of Kerala, South India. A total of 2,366 children satisfied ...

  6. Idiopathic Calcinosis Cutis over Elbow in a 12-Year Old Child

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    S. K. Venkatesh Gupta

    2013-01-01

    Full Text Available Calcinosis cutis is an uncommon disorder caused by an abnormal deposit of calcium phosphate in the skin in various parts of the body. Four main types of calcinosis cutis have been recognized according to etiology: associated with localized or widespread tissue changes or damage (dystrophic calcification, that associated with an abnormal calcium and phosphorus metabolism (metastatic calcification, not associated with any tissue damage or demonstrable metabolic disorder (idiopathic calcification, and Iatrogenic. Very few cases of idiopathic calcinosis cutis are reported in early childhood in the literature. We report one such case of idiopathic calcinosis cutis over elbow in a 12-year-old female child. Histological examinations of the lesions resected in this case reveal calcium deposits in the dermis, surrounded by foreign body giant cells. Idiopathic calcinosis cutis is a rare phenomenon and occurs in the absence of known tissue injury or systemic metabolic defect. It is important to delineate it from other calcification disorders for further plan of management. Medical therapy in calcinosis cutis is of limited benefit in pediatric age group and poses a challenging problem of postsurgical management.

  7. Gingival Condition in Children Aged From 6 to 12 Years Old: Clinical and Microbiological Aspects

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    Ane Stella Salgado XAVIER

    2007-03-01

    Full Text Available Objective: The aim of this study was to evaluate the gingival condition and the occurrence of periodontopathogens in 93 children aged from 6 to 12 years old in Araçatuba, Brazil. Method: Clinical examination was performed in accordance to Schour and Massler (1947 while the subgingival plaque samples were obtained though sterilized paper point that were placed into health and inflamed gingival crevice of tooth 54 or 14, 61 or 11, 26, 75 or 35, 82 or 42 and 46, where they were kept for 60 seconds and tranferred to tubes containing 5 ml of thioglicolate broth. Microorganisms were isolated on blood agar and CVE an agar after incubation under anaerobiosis, at 37ºC, for 10 days. The identification of the isolates was based on their morphological, cellular and biochemical features. Results: 91.40% shows gingivitis while 70.97% presented mild gingivitis. Only 8.6% didn’t presented gingivitis. It was verified that the most of children presented mild gengivitis and was had some periodontopathogens. Conclusion: The gingivitis deteriored with age and only F. nucleatum was related with the deterioration of gengival status.

  8. Presumed Idiopathic Central Serous Chorioretinopathy in a 12-Year-Old Girl

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    Juan P. Velazquez-Martin

    2012-01-01

    Full Text Available Idiopathic central serous chorioretinopathy (CSC typically affects middle-aged males. To date, only one case of idiopathic CSC in a prepubertal subject has been reported. Atypical idiopathic CSC presentation may be challenging to diagnose. Exclusion of secondary causes of serous retinal detachment (SRD is warranted. We describe the atypical case of a 12-year-old female with a circumscribed SRD that resolved spontaneously and with fluorescein angiography (FA findings that were compatible with idiopathic CSC. Optical coherence tomography (OCT and systemic assessment were performed to exclude other etiologies. FA demonstrated multiple focal leaks in early phases, with subretinal leakage and pooling in late phases. OCT showed a localized circumscribed retinal detachment. Complete blood count was within normal limits. Serum cortisol was normal (22.1 µg/dl and mean arterial blood pressure was 100/60 mm Hg, thereby excluding secondary causes of CSC. This is the second reported case of idiopathic CSC in a prepubertal female and the first one documented by FA and OCT, as well as other studies to exclude secondary causes. Albeit rare, idiopathic CSC should be considered in the differential diagnosis of SRD in this (prepubertal age group, after excluding secondary ocular or systemic etiologies.

  9. Feasibility of transcranial direct current stimulation use in children aged 5 to 12 years.

    Science.gov (United States)

    Andrade, Agnes Carvalho; Magnavita, Guilherme Moreira; Allegro, Juleilda Valéria Brasil Nunes; Neto, Carlos Eduardo Borges Passos; Lucena, Rita de Cássia Saldanha; Fregni, Felipe

    2014-10-01

    Transcranial direct current stimulation is a noninvasive brain stimulation technique that has been studied for the treatment of neuropsychiatric disorders in adults, with minimal side effects. The objective of this study is to report the feasibility, tolerability, and the short-term adverse effects of transcranial direct current stimulation in children from 5 to 12 years of age. It is a naturalistic study of 14 children who underwent 10 sessions of transcranial direct current stimulation as an alternative, off-label, and open-label treatment for various languages disorders. Frequency, intensity, adverse effects, and perception of improvement reported by parents were collected. The main side effects detected were tingling (28.6%) and itching (28.6%), acute mood changes (42.9%), and irritability (35.7%). Transcranial direct current stimulation is a feasible and tolerable technique in children, although studies regarding plastic and cognitive changes in children are needed to confirm its safety. In conclusion, this is a naturalistic report in which we considered transcranial direct current stimulation as feasible in children.

  10. The Age Peculiarities of 10 to 12 Year-Old School-children

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    B. B. Badmayeva

    2015-02-01

    Full Text Available The paper considers the problem of children’s development transformation from the standpoints of different authors. The changes in the age borders and childhood structure along with their causes are demonstrated. The childhood crisis is described, its place in the child’s development process identified. The author emphasizes the visible discord between the worlds of adults and children: being less involved in upbringing process nowadays, adults appear to be less exact in their attitude to children; their demands lack clearness and specificity. Both teachers and adults demonstrate helplessness and aloofness, which reflects in children’s consciousness and their attitude to adults, and results in the lost sense of responsibility, infantilism, egoism and moral emptiness of growing generation. The author carried out the comparative analysis of age peculiarities of middle class schoolchildren from comprehensive school. Three development stages were singled out for 10 to 12 year-olds: local caprices, rights understanding, and affirmative functional stage. The personality formation trends concerning the modern day school children are outlined, the external and internal factors determining this formation enumerated. The following influencing phenomena are mentioned, in particular: the essential socio-economic changes, fast spreading of mass-media and computer technologies, low level of parental motivation, replacement of the value-normative system (social anomie etc. The necessity of creating socio-pedagogic conditions relating to the age peculiarities of modern school children is substantiated. 

  11. The Age Peculiarities of 10 to 12 Year-Old School-children

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    B. B. Badmayeva

    2012-01-01

    Full Text Available The paper considers the problem of children’s development transformation from the standpoints of different authors. The changes in the age borders and childhood structure along with their causes are demonstrated. The childhood crisis is described, its place in the child’s development process identified. The author emphasizes the visible discord between the worlds of adults and children: being less involved in upbringing process nowadays, adults appear to be less exact in their attitude to children; their demands lack clearness and specificity. Both teachers and adults demonstrate helplessness and aloofness, which reflects in children’s consciousness and their attitude to adults, and results in the lost sense of responsibility, infantilism, egoism and moral emptiness of growing generation. The author carried out the comparative analysis of age peculiarities of middle class schoolchildren from comprehensive school. Three development stages were singled out for 10 to 12 year-olds: local caprices, rights understanding, and affirmative functional stage. The personality formation trends concerning the modern day school children are outlined, the external and internal factors determining this formation enumerated. The following influencing phenomena are mentioned, in particular: the essential socio-economic changes, fast spreading of mass-media and computer technologies, low level of parental motivation, replacement of the value-normative system (social anomie etc. The necessity of creating socio-pedagogic conditions relating to the age peculiarities of modern school children is substantiated. 

  12. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years

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    Louise Amália de Moura

    2016-01-01

    Full Text Available Abstract Objective: to estimate the prevalence and factors associated with preoperative anxiety in children who wait for outpatient surgery. Method: cross-sectional analysis of baseline data of a prospective cohort study that investigates the predictors of postoperative pain in children aged 5-12 years submitted to inguinal and umbilical hernia repair. It was selected 210 children, which were interviewed in the preoperative holding area of a general hospital. Anxiety was evaluated using the modified Yale Preoperative Anxiety Scale (mYPAS. Sociodemographic and clinical variables were analyzed as exposure and anxiety (mYPAS final score>30 as outcome. Logistic regression was used to identify factors associated with preoperative anxiety. Results: forty-two percent (42.0% of children presented preoperative anxiety (CI95%: 35.7%-48.6%, with mean scores equal to 30.1 (SD=8.4. Factors associated with preoperative anxiety were: age group of 5-6 years (OR=2.28; p=0.007 and socioeconomic status classified as class C (OR=2.39; p=0.016. Conclusion: the evaluation of children who wait for outpatient surgery should be multidimensional and comprise information on age and socioeconomic status, in order to help in the identification and early treatment of preoperative anxiety.

  13. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years 1

    Science.gov (United States)

    de Moura, Louise Amália; Dias, Iohanna Maria Guimarães; Pereira, Lilian Varanda

    2016-01-01

    Abstract Objective: to estimate the prevalence and factors associated with preoperative anxiety in children who wait for outpatient surgery. Method: cross-sectional analysis of baseline data of a prospective cohort study that investigates the predictors of postoperative pain in children aged 5-12 years submitted to inguinal and umbilical hernia repair. It was selected 210 children, which were interviewed in the preoperative holding area of a general hospital. Anxiety was evaluated using the modified Yale Preoperative Anxiety Scale (mYPAS). Sociodemographic and clinical variables were analyzed as exposure and anxiety (mYPAS final score>30) as outcome. Logistic regression was used to identify factors associated with preoperative anxiety. Results: forty-two percent (42.0%) of children presented preoperative anxiety (CI95%: 35.7%-48.6%), with mean scores equal to 30.1 (SD=8.4). Factors associated with preoperative anxiety were: age group of 5-6 years (OR=2.28; p=0.007) and socioeconomic status classified as class C (OR=2.39; p=0.016). Conclusion: the evaluation of children who wait for outpatient surgery should be multidimensional and comprise information on age and socioeconomic status, in order to help in the identification and early treatment of preoperative anxiety. PMID:27305179

  14. Making rainfall features fun: scientific activities for teaching children aged 5-12 years

    Science.gov (United States)

    Gires, Auguste; Muller, Catherine L.; le Gueut, Marie-Agathe; Schertzer, Daniel

    2016-05-01

    Research projects now rely on an array of different channels to increase impact, including high-level scientific output, tools, and equipment, but also communication, outreach, and educational activities. This paper focuses on education for children aged 5-12 years and presents activities that aim to help them (and their teachers) grasp some of the complex underlying issues in environmental science. More generally, it helps children to become familiarized with science and scientists, with the aim to enhance scientific culture and promote careers in this field. The activities developed are focused on rainfall: (a) designing and using a disdrometer to observe the variety of drop sizes; (b) careful recording of successive dry and rainy days and reproducing patterns using a simple model based on fractal random multiplicative cascades; and (c) collaboratively writing a children's book about rainfall. These activities are discussed in the context of current state-of-the-art pedagogical practices and goals set by project funders, especially in a European Union framework.

  15. Orthodontic treatment need in a group of 9-12-year-old Brazilian schoolchildren

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    Patricia Fernanda Dias

    2009-06-01

    Full Text Available The present study aimed to evaluate the need for orthodontic treatment in Brazilian schoolchildren presenting both late mixed dentition and early permanent dentition as well as to determine the possible factors associated with this necessity. Our randomly selected sample consisted of 407 schoolchildren aged between 9 and 12 years from Nova Friburgo (State of Rio de Janeiro, Brazil. All the children were evaluated according to the two components of the Index of Orthodontic Treatment Need (IOTN, namely, the Dental Health Component (DHC and the Aesthetic Component (AC. Data analysis involved multiple logistic regression. Definite need for orthodontic treatment was found in 34.2% and 11.3% of the children according to, respectively, DHC and AC. The most prevalent malocclusions included the following: contact point displacement (crowding, crossbite, and increased overjet. Male gender, permanent dentition and aesthetic reasons were factors associated with a great need for orthodontic treatment. It was concluded that about one-third of the children evaluated had a definite need for orthodontic treatment. This necessity was greater in the permanent dentition, thus emphasizing the importance of an early identification of malocclusions and a timely referral of patients for treatment. The correlation between AC and DHC was considered important since they involve distinctive characteristics.

  16. White Matter Changes in Two Leber's Hereditary Optic Neuropathy Pedigrees: 12-Year Follow-Up.

    Science.gov (United States)

    Jančić, Jasna; Dejanović, Ivana; Radovanović, Saša; Ostojić, Jelena; Kozić, Duško; Đurić-Jovičić, Milica; Samardžić, Janko; Ćetković, Mila; Kostić, Vladimir

    2016-01-01

    We are presenting two Leber's hereditary optic neuropathy (LHON) pedigrees with abnormal magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy (H-MRS) findings but without neurological manifestation associated with LHON. The study included 14 LHON patients and 41 asymptomatic family members from 12 genealogically unrelated families. MRI showed white matter involvement and H-MRS exhibited metabolic anomalies within 12 LHON families. Main outcome measures were abnormal MRI and H-MRS findings in two pedigrees. MRI of the proband of the first pedigree showed a single demyelinating lesion in the right cerebellar hemisphere, while the proband of the second family displayed multiple supratentorial and infratentorial lesions, compatible with the demyelinating process, and both the absolute choline (Cho) concentration and Cho/creatinine ratio were increased. MRI and H-MRS profiles of both affected and unaffected mitochondrial DNA mutation carriers suggest more widespread central nervous involvement in LHON. Although even after 12 years our patients did not develop neurological symptoms, MRI could still be used to detect possible changes during the disease progression.

  17. Presumed Idiopathic Central Serous Chorioretinopathy in a 12-Year-Old Girl

    Science.gov (United States)

    Velazquez-Martin, Juan P.; Fulda, Emiliano; Domville, Daniela; Graue-Wiechers, Federico; Krema, Hatem

    2012-01-01

    Idiopathic central serous chorioretinopathy (CSC) typically affects middle-aged males. To date, only one case of idiopathic CSC in a prepubertal subject has been reported. Atypical idiopathic CSC presentation may be challenging to diagnose. Exclusion of secondary causes of serous retinal detachment (SRD) is warranted. We describe the atypical case of a 12-year-old female with a circumscribed SRD that resolved spontaneously and with fluorescein angiography (FA) findings that were compatible with idiopathic CSC. Optical coherence tomography (OCT) and systemic assessment were performed to exclude other etiologies. FA demonstrated multiple focal leaks in early phases, with subretinal leakage and pooling in late phases. OCT showed a localized circumscribed retinal detachment. Complete blood count was within normal limits. Serum cortisol was normal (22.1 μg/dl) and mean arterial blood pressure was 100/60 mm Hg, thereby excluding secondary causes of CSC. This is the second reported case of idiopathic CSC in a prepubertal female and the first one documented by FA and OCT, as well as other studies to exclude secondary causes. Albeit rare, idiopathic CSC should be considered in the differential diagnosis of SRD in this (prepubertal) age group, after excluding secondary ocular or systemic etiologies. PMID:22615694

  18. ASSESSMENT OF ORAL HYGIENE HABITS IN CHILDREN 6 TO 12 YEARS.

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    Liliya Doichinova

    2014-12-01

    Full Text Available INTRODUCTION: Oral hygiene is an essential element of health education programs for schoolchildren. AIM: The study aims to assess the skills when conducting oral hygiene of a group of schoolchildren and to conduct training in its rules. MATERIAL AND METHODS: The study covers 30 children aged 6-12 years. The training was conducted by the methods of the visual pedagogy and implementation of the technique “Say, show, do”. The assessment of the oral-hygiene status was held by the simplified oral hygiene index-Greene & Vermillion. RESULTS AND CONCLUSION: The children do not have proper oral hygiene habits. The daily oral care is inadequate. The number of cleaned tooth surfaces during oral hygiene practice is small. Children have no developed proper oral hygiene skills, and brush only the vestibular surfaces of the teeth (80%, 13.3% the vestibular and the occlusal, and 6.7% only cover lingual surfaces too. The unsatisfactory oral hygiene status is also a result of using only one type of toothbrush movements. The improvement of children's health knowledge should play key role in correcting their oral hygiene technique.

  19. Diet quality, social determinants, and weight status in Puerto Rican children aged 12 years.

    Science.gov (United States)

    Torres, Roxana; Santos, Elvia; Orraca, Luis; Elias, Augusto; Palacios, Cristina

    2014-08-01

    Diet quality may be influenced by social determinants and weight status. This has not been studied in Puerto Rico; therefore, our cross-sectional study examined whether diet quality, assessed by the Healthy Eating Index-2005 (HEI-2005), differs by social determinants (sex, school type, and region) and weight status in children in Puerto Rico. As part of an island-wide study to evaluate oral health in 1,550 children aged 12 years, dietary intake was assessed in a representative subset (n=796) using a 24-hour diet recall. Diet quality was evaluated from the diet recall results using the HEI-2005. Overall mean HEI-2005 score was 40.9, out of a total maximum score of 100. Girls had significantly higher scores for whole fruit, total vegetables, whole grains, and sodium but lower scores for total grains and milk compared with boys (Pdiet quality were associated with the social determinants studied and with weight status in our sample. Overall diet quality needs improvement in Puerto Rican children so that it is better aligned with dietary recommendations.

  20. Tachycardia-Induced Cardiomyopathy in a 12-Year-Old Child With Long QT Syndrome

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    Ghandi

    2016-05-01

    Full Text Available Introduction Tachycardia-induced cardiomyopathy (TIC is a ventricular dysfunction secondary to chronic and persistent tachycardia that can regress partially or completely following heart rate normalization. Paroxysmal atrial tachycardia and permanent junctional reciprocating tachycardia are two types of frequent arrhythmias that can cause cardiomyopathy in children. Case Presentation A 12-year-old child with obesity (body mass index > 26.8 was admitted with fatigue, pallor and tachypnea to the clinic. He had palpitation for the past 24 hours. On the cardiac auscultation, holosystolic 2/6 murmur was heard in the apex as well as gallop rhythm. Electrocardiogram revealed heart rate of 150 - 160 bpm and negative P waves in II, III and AVF leads. The echocardiography revealed dilated cardiomyopathy with an ejection fraction of 30%. Conclusions Diagnosis of tachycardia-induced cardiomyopathy in children is important, since appropriate treatment improves the prognosis. Every child with recurrent and persistent palpitation with the first episode of congestive heart failure should be evaluated for tachycardia- induced cardiomyopathy.

  1. Linking fungal communities to wood density loss after 12 years of log decay.

    Science.gov (United States)

    Kubartová, Ariana; Ottosson, Elisabet; Stenlid, Jan

    2015-05-01

    Changes in biodiversity might alter decomposition processes and, consequently, carbon and nutrient cycling. We examined fungal diversity and density loss in experimental Norway spruce logs after 12 years of decay in a hemiboreal forest. Between 28 and 50% of the original wood biomass remained, depending on the fungal community composition in the log, operational taxonomic unit (OTU) richness had only a minor effect on the log biomass. Although the communities were OTU rich (190-340 OTUs per log), the majority of OTUs were infrequent or rare; wood degradation therefore depended mostly on the most abundant OTUs and their decomposing abilities. The least decayed logs were characterized by continuous dominance of an earlier colonizer and by high within-log community diversity, which was significantly related to sample variables (position in log, density and moisture). In the most decayed logs, the earlier colonizers were generally replaced by white-rot species able to exploit the highly decomposed wood. The communities were relatively spatially uniform within whole logs, independent of the sample variables, whereas among-log diversity was high. Importance of fungal community composition in decomposition processes should be taken into account when studying and modeling carbon dynamics in forest ecosystems.

  2. 12-Year within-wound study of the effectiveness of custom pressure garment therapy.

    Science.gov (United States)

    Engrav, L H; Heimbach, D M; Rivara, F P; Moore, M L; Wang, J; Carrougher, G J; Costa, B; Numhom, S; Calderon, J; Gibran, N S

    2010-11-01

    Pressure garment therapy is standard of care for prevention and treatment of hypertrophic scarring after burn injury. Nevertheless there is little objective data that confirms effectiveness. The purpose of this study was to determine the effectiveness of pressure garment therapy with objective data obtained with a randomized within-wound comparison. We enrolled consecutive patients with forearm injuries over a 12-year period. The subjects wore custom garments with normal and low compression randomized to either the proximal or distal zones. Hardness, color and thickness of wounds were objectively measured using appropriate devices; clinical appearance was measured by a panel masked to the identity of the pressure treated area. Wounds treated with normal compression were significantly softer, thinner, and had improved clinical appearance. There was no interaction of any effect with patient ethnicity. However, these findings were clinically evident only with moderate to severe scarring. We conclude that pressure garment therapy is effective, but that the clinical benefit is restricted to those patients with moderate or severe scarring.

  3. Landfills as critical infrastructures: analysis of observational datasets after 12 years of non-invasive monitoring

    Science.gov (United States)

    Scozzari, Andrea; Raco, Brunella; Battaglini, Raffaele

    2016-04-01

    This work presents the results of more than ten years of observations, performed on a regular basis, on a municipal solid waste disposal located in Italy. Observational data are generated by the combination of non-invasive techniques, involving the direct measurement of biogas release to the atmosphere and thermal infrared imaging. In fact, part of the generated biogas tends to escape from the landfill surface even when collecting systems are installed and properly working. Thus, methodologies for estimating the behaviour of a landfill system by means of direct and/or indirect measurement systems have been developed in the last decades. It is nowadays known that these infrastructures produce more than 20% of the total anthropogenic methane released to the atmosphere, justifying the need for a systematic and efficient monitoring of such infrastructures. During the last 12 years, observational data regarding a solid waste disposal site located in Tuscany (Italy) have been collected on a regular basis. The collected datasets consist in direct measurements of gas flux with the accumulation chamber method, combined with the detection of thermal anomalies by infrared radiometry. This work discusses the evolution of the estimated performance of the landfill system, its trends, the benefits and the critical aspects of such relatively long-term monitoring activity.

  4. Weed seed bank response to 12 years of different fertilization systems.

    Science.gov (United States)

    De Cauwer, B; Van den Berge, K; Cougnon, M; Bulcke, R; Reheul, D

    2010-01-01

    Fertilizer amendments can impact weed populations in a variety of ways. This study evaluated the effects of 12 year-long applications of different fertilization systems on size and composition of the weed seed bank in a conventionally managed maize monoculture field. Fertilization systems included all factorial combinations of two dairy cattle slurry rates, three vegetable, fruit and garden waste (VFG) compost rates, and three synthetic N fertilizer rates. Soil samples were taken in each subplot in May 2008 after sowing and prior to herbicide application. Residues recovered from soil samples were tested for weed seedling emergence to characterize soil seed banks. Total weed seed bank density was affected by mineral N fertilization but not by compost or animal slurry application. Weed seed bank composition was related to compost amendment and mineral N fertilization. Annual compost amendments reduced seed bank density of some persistent species (e.g., Chenopodium album and Solanum nigrum) irrespective of mineral N fertilization. Compost is a promising tool for incorporation into integrated weed control strategies aimed at reducing weed seed bank persistence.

  5. Manifestation of malnutrition among Sunni Muslim Girls of Delhi (6-12 years

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    Astha Bansal

    2013-04-01

    Full Text Available Background: Obesity and undernutrition are the opposite extremes on the scale of adiposity, both of which are the manifestation of malnutrition .Childhood obesity are a global epidemic involving both developed and developing countries. It is a state of over-nutrition with long term complications such as dyslipidemia, hypertension, and coronary artery disease and type-2 diabetes. Underweight is the result of under nutrition and conceptualized in term of thinness which is also an important problem among children of developing countries like India, leading to reduction in growth and development of every body organ especially the Central Nervous System. Long term under-nutrition causes failure in linear growth (height of the child. Objective: To assess the nutritional status among Sunni Muslim girls based on recently developed body mass index (BMI cutoff points for children and adolescents. Methods The study subjects were selected form educational institutes of Delhi, India. A total of 370 girls aged 6-12 years were measured and included in the present study. Height and weight were measured and BMI was computed using standard formula. New age and sex specific international cutoff points were utilized to assess nutritional status. Result: In general the mean BMI increased with increasing age. The overall prevalence of thinness, normal weight and overweight were 38.37%, 50% and 11.62% respectively. Present study finds the nutritional stress among girls as evident from the thinness/underweight prevalent among them.

  6. Manifestation of malnutrition among Sunni Muslim Girls of Delhi (6-12 years

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    Astha Bansal

    2013-04-01

    Full Text Available Background: Obesity and undernutrition are the opposite extremes on the scale of adiposity, both of which are the manifestation of malnutrition. Childhood obesity is a global epidemic involving both developed and developing countries. It is a state of over-nutrition with long term complications such as dyslipidemia, hypertension, and coronary artery disease and type-2 diabetes. Underweight is the result of under nutrition and conceptualized in term of thinness which is also an important problem among children of developing countries like India, leading to reduction in growth and development of every body organ especially the Central Nervous System. Long term under-nutrition causes failure in linear growth (height of the child. Objective: To assess the nutritional status among Sunni Muslim girls based on recently developed body mass index (BMI cut-off points for children and adolescents. Methods: The study subjects were selected from educational institutes of Delhi, India. A total of 370 girls aged 6-12 years were measured and included in the present study. Height and weight were measured and BMI was computed using standard formula. New age and sex specific international cut-off points were utilized to assess nutritional status. Result: In general, the mean BMI increased with increasing age. The overall prevalence of thinness, normal weight and overweight were 38.37%, 50% and 11.62%, respectively. Present study finds the nutritional stress among girls as evident from the thinness/underweight prevalent among them.

  7. Heritability of Stroop and flanker performance in 12-year old children

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    Polderman Tinca JC

    2004-12-01

    Full Text Available Abstract Background There is great interest in appropriate phenotypes that serve as indicator of genetically transmitted frontal (dysfunction, such as ADHD. Here we investigate the ability to deal with response conflict, and we ask to what extent performance variation on response interference tasks is caused by genetic variation. We tested a large sample of 12-year old monozygotic and dizygotic twins on two well-known and closely related response interference tasks; the color Stroop task and the Eriksen flanker task. Using structural equation modelling we assessed the heritability of several performance indices derived from those tasks. Results In the Stroop task we found high heritabilities of overall reaction time and – more important – Stroop interference (h2 = nearly 50 %. In contrast, we found little evidence of heritability on flanker performance. For both tasks no effects of sex on performance variation were found. Conclusions These results suggest that normal variation in Stroop performance is influenced by underlying genetic variation. Given that Stroop performance is often hampered not only in people suffering from frontal dysfunction, but also in their unaffected relatives, we conclude that this variable may constitute a suitable endophenotype for future genetic studies. We discuss several reasons for the absence of genetic effects on the flanker task.

  8. Dental fluorosis and urinary fluoride in 10-12 years old adolescents of Bushehr port

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    Giti Javan

    2006-02-01

    Full Text Available Background: Fluoride increases tooth resistance to dental caries, but mild toxicity due to excessive ingestion of fluoride can cause dental fluorosis. Drinking water naturally contains fluoride and is a major source of fluoride. In Bushehr port, drinking water is supplied from limestone springs with normal fluoride levels but dental fluorosis is observed. Methods: A total of 95 native school children (between the ages of 10-12 years old were randomly selected from four Bushehr port regions. Dental fluorosis, height and weight were examined. Probable attributing factors of dental fluorosis were also questioned. A 16 to 18 hours urinary fluoride concentration was measured with a fluoride ion selective electrode. Results: Dental fluorosis in four upper incisors was apparent in 52.6 % of the subjects. The urinary fluoride concentration was 2.18 mg/lit. Fluoride concentration in drinking water of schools ranged from 0.41 to 0.58 mg/lit. Forty percent of subjects were caries free. Conclusion: In spite of the normal range of fluoride concentration in the drinking water of Bushehr, dental fluorosis and urinary fluoride concentration are higher than the recommended ranges. Therefore, it is necessary to further investigate the amount and effects of fluoride ingestion in residents of Bushehr province.

  9. A 12-year (1987-1998) Ensemble Simulation of the US Climate with a Variable Resolution Stretched Grid GCM

    Science.gov (United States)

    Fox-Rabinovitz, Michael S.; Takacs, Lawrence L.; Govindaraju, Ravi C.

    2002-01-01

    The variable-resolution stretched-grid (SG) GEOS (Goddard Earth Observing System) GCM has been used for limited ensemble integrations with a relatively coarse, 60 to 100 km, regional resolution over the U.S. The experiments have been run for the 12-year period, 1987-1998, that includes the recent ENSO cycles. Initial conditions 1-2 days apart are used for ensemble members. The goal of the experiments is analyzing the long-term SG-GCM ensemble integrations in terms of their potential in reducing the uncertainties of regional climate simulation while producing realistic mesoscales. The ensemble integration results are analyzed for both prognostic and diagnostic fields. A special attention is devoted to analyzing the variability of precipitation over the U.S. The internal variability of the SG-GCM has been assessed. The ensemble means appear to be closer to the verifying analyses than the individual ensemble members. The ensemble means capture realistic mesoscale patterns, especially those of induced by orography. Two ENSO cycles have been analyzed in terms their impact on the U.S. climate, especially on precipitation. The ability of the SG-GCM simulations to produce regional climate anomalies has been confirmed. However, the optimal size of the ensembles depending on fine regional resolution used, is still to be determined. The SG-GCM ensemble simulations are performed as a preparation or a preliminary stage for the international SGMIP (Stretched-Grid Model Intercomparison Project) that is under way with participation of the major centers and groups employing the SG-approach for regional climate modeling.

  10. Outcomes of flexible ureteroscopic lithotripsy with holmium laser for upper urinary tract calculi

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    Marcello Cocuzza

    2008-03-01

    Full Text Available OBJECTIVE: To assess the perioperative and financial outcomes of flexible ureteroscopic lithotripsy with holmium laser for upper tract calculi in 44 patients. MATERIALS AND METHODS: Between February 2004 and September 2006, 44 patients treated for upper tract stone with flexible ureteroscopic lithotripsy were evaluated. Renal stones were associated with collecting system obstruction in 15 (34% patients, failed extracorporeal shock-wave lithotripsy (SWL occurred in 14 (32% patients, unilateral multiple stones in 18 (41% patients, and multiple bilateral stones in 3 (7%. In 29 (66% patients, the stone was located in the inferior calyx. Perioperative and financial outcomes were also evaluated. RESULTS: 50 procedures were performed in 44 patients. The mean stone burden on preoperative CT scan was 11.5 ± 5.8 mm. The mean operative time was 61.3 ± 29.4 min. The stone free rate was 93.1% after one procedure and 97.7% after a second procedure, with overall complication rate of 8%. Therapeutic success occurred in 92% and 93% of patients with lower pole stones and SWL failure, respectively. Treatment failure of a single session was associated with presence of a stone size larger than 15 mm (p = 0.007, but not associated with inferior calyx location (p = 0.09. Surgical disposables were responsible for 78% of overall costs. CONCLUSION: Flexible ureteroscopy using holmium laser is a safe and effective option for the treatment of upper urinary tract calculi. In addition, it can be considered an attractive option as salvage therapy after SWL failure or kidney calculi associated with ureteral stones. Stone size larger than 15 mm is associated with single session treatment failure.

  11. Comparison of the trauma degree after retroperitoneoscopy and percutaneous nephtoscopy treatment of complicated upper ureteral calculi

    Institute of Scientific and Technical Information of China (English)

    Shu-Run Zhao; Zhan-Peng Lu

    2016-01-01

    Objective:To compare the trauma degree after retroperitoneoscopy and percutaneous nephtoscopy treatment of complicated upper ureteral calculi.Methods:A total of 82 cases of patients with complicated upper ureteral calculi who received surgical treatment in our hospital from July 2013 to January 2015 were included for study. According to the different surgical methods, included subjects were randomly divided into observation group 41 cases and control group 41 cases. Control group received percutaneous nephtoscopy treatment, observation group received retroperitoneoscopy treatment, and then differences in early postoperative coagulation indicators, blood glucose and insulin levels, stress protein levels as well as PI3K/Akt and p38MAPK signaling pathway expression were compared between two groups.Results:Early postoperative PLCR, PDW, APTT and D-D values of observation group were lower than those of control group while Ca2+ value was higher than that of control group; early postoperative GLU, fasting lactate, fasting lactate/pyruvic acid and HOMA-IR values of observation group were lower than those of control group while HOMA-β value was higher than that of control group; early postoperative HSP70, DNA ligaseⅣ, JAB1 and ATF4 expression levels of observation group were higher than those of control group whileβ-tubulin and IFIT1 expression levels were lower than those of control group; early postoperative p38MAPK mRNA and protein expression levels of observation group were lower than those of control group while PI3K and Akt mRNA and protein expression levels were higher than those of control group.Conclusion: Retroperitoneoscopy treatment of patients with complicated upper ureteral calculi causes less injury to patients and less effect on internal environment, and helps to patients’ early postoperative rehabilitation.

  12. Common site of urinary calculi in kidney, ureter and bladder region.

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    Chand, R B; Shah, A K; Pant, D K; Paudel, S

    2013-03-01

    Urolithiasis is an ancient disease with global distribution. It refers to stones originating anywhere in the urinary system. Urinary calculi or stones are the most common cause of acute urinary system obstruction. The study was aimed with finding out the common site of urinary calculus in kidney ureter bladder (KUB) region. This was a prospective cross-sectional study conducted from June 2012 to September 2012 at Tribhuvan University, Teaching Hospital, Maharajgunj. A total 240 urolitiasis patients were enrolled for plain KUB examination. Site of urinary calculus was identified by observing KUB film of the subjects under the supervision of radiologist. The data were analyzed prospectively with outcome measures of gender & stone location. Out of 240 patients, 138 were male and 102 were female with male to female ratio of 1.35:1. The age ranged from 9 to 83 years. Out of total 240 patients, 71.9% (187) patients belonged to productive age group (20-60 years). Total number of urinary calculi was 345 in which 208 were found in male patients and 137 were found in female patients. Of total 345 calculi, 237 were renal stones, 47 were ureteric stones, 22 of the stones were found in pelviureteric junction (PUJ), 33 of stones were found in vesicoureteric junction (VUJ), and 6 were in bladder. In conclusion, urinary stone disease is a major public health problem in a developing country like Nepal with male and productive age group predominance. Kidney stones are most common. Distal ureter is the most common site of ureteric stone.

  13. Comparative efficacy of tamsulosin versus nifedipine for distal ureteral calculi: a meta-analysis

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    Wang H

    2016-03-01

    Full Text Available Hai Wang, Li Bo Man, Guang Lin Huang, Gui Zhong Li, Jian Wei WangDepartment of Urology, Beijing Jishuitan Hospital, Beijing, People’s Republic of China Objective: The aim of this study was to systematically compare the therapeutic effect and safety of tamsulosin with nifedipine in medical expulsive therapy for distal ureteral calculi.Methods: Databases, including PubMed, EMBASE, the Cochrane Library, and Clinical Trial Register Centers, were comprehensively searched. Relevant randomized controlled trials (RCTs were selected, and quality assessment was performed according to the Cochrane Handbook. RevMan software was used to analyze the outcome measures, which consisted of expulsion rate, expulsion time, and complications.Results: Twelve RCTs consisting of 4,961 patients were included (tamsulosin group, 2,489 cases; nifedipine group, 2,472 cases. Compared with nifedipine, tamsulosin significantly increased the expulsion rate (risk ratio =1.29, 95% CI [1.25, 1.33], P<0.0001 and reduced the expulsion time (standard mean difference =-0.39, 95% CI [−0.72, −0.05], P=0.02. Regarding safety, tamsulosin was associated with fewer complications than nifedipine (risk ratio =0.45, 95% CI [0.28, 0.72], P=0.0008, and further subgroup analysis showed that tamsulosin was associated with a lower risk of both mild and moderate-to-severe complications.Conclusion: On the bias of current evidence, tamsulosin showed an overall superiority to nifedipine for distal ureteral calculi <10 mm in aspects of expulsion rate, expulsion time, and safety. Tamsulosin was supposed to be the first drug to be recommended to patients willing to receive medical expulsive therapy.Keywords: tamsulosin, nifedipine, medical expulsive therapy, MET, lower urinary calculi

  14. A 12-year ecological study of hip fracture rates among older Taiwanese adults.

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    Chan, Ding-Cheng; Lee, Yow-Shan; Wu, Ya-Ju; Tsou, Hsiao-Hui; Chen, Cheng-Ting; Hwang, Jawl-Shan; Tsai, Keh-Sung; Yang, Rong-Sen

    2013-11-01

    Hip fracture rates in Taiwan are among the highest in the world. The aim of this study was to describe the trends of hip fracture hospitalizations among Taiwanese elderly (aged ≥ 65 years) and the trends of antiosteoporosis medication expenditure from 1999 to 2010. We conducted an ecological study using inpatient health care-utilization data from the Department of Health, and medication expenditure data from the IMS Health, Taiwan. The International Classification of Disease, Clinical Modification, 9th version, code 820 was used to identify hip fracture hospitalizations. Medications included alendronate, calcitonin, ibandronate, raloxifene, strontium ranelate, teriparatide, and zoledronic acid. Year 2010 was assigned as the reference point for age-standardized rates, currency exchange (to the US dollar), and discount rates. Over the 12-year study period, age-standardized hip fracture hospitalizations decreased by 2.7 % annually (p for trend < 0.001) for Taiwanese elders. The decline was more obvious among those aged ≥75 years (6.1 %). However, the number of hip fracture hospitalizations increased from 14,342 to 18,023. Total hospitalization costs increased by US$0.6 ± 0.2 million annually (p for trend = 0.002); however, the per capita costs decreased by US$23.0 ± 8.0 (p for trend = 0.017). The total medication expenditure increased 7.2-fold, from US$8.1 million to US$58.9 million, accounting for an increase in the overall pharmaceutical market by fivefold, from 3.4 to 15.9 ‰ (both p for trend < 0.001). From 1999 to 2010, there was a decline in hip fracture rates among elderly Taiwanese adults with a concomitant increase in antiosteoporosis medication expenditure.

  15. Quality of life in paediatric population from 8 to 12 years with asthma

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    Gabriela Maldonado Guzmán

    2007-09-01

    Full Text Available The quality of life in patients with chronic problems as the asthma, at present performs major importance in view of the increase of the life expectancy. Nevertheless, often this one does not accompany of conditions biopsicosocial acceptable, that allow to the person to enjoy good emotional condition, as well as the accomplishment of his or her physical, social and school activities. The objective of this study is to know the quality life of the physical, emotional, social, and scholar valuation. Methodology: This study was realized with a number of 124 children sample in ages of 8 to 12 years old with asthma diagnostic.Results: The most damage aspects within quality life dimension were run, work out; lower energy and feeling pain. Emotional aspects were be worried about the future and insomnia, respect to social dimension the problem was children can’t keep in the same condition than others while they are playing; and about school dimension the problem was school absence because of their need of going to the doctor or hospital. Discussion: The aspects of the physical dimension that were more affected to are the follow: run, to do exercise, to have little energy, and to feel pain. Both first ones have relation with the (reported by the Spanish Society of Neumología and Paediatrics (s.f., Where they brought (reported that the children more affected because of the asthma to were those that run and to do exercise. With regard to having little energy and feeling pain, this can owe to persistent accesses of cough, that really they cause weakness and pain in the thoracic box. Conclusions: These results suggest that it is important to stimulate the self-esteem of the children who endure asthma across his participation in an equipment or group.

  16. A 12-year Activity Cycle for the Nearby Planet Host Star HD 219134

    Science.gov (United States)

    Johnson, Marshall C.; Endl, Michael; Cochran, William D.; Meschiari, Stefano; Robertson, Paul; MacQueen, Phillip J.; Brugamyer, Erik J.; Caldwell, Caroline; Hatzes, Artie P.; Ramírez, Ivan; Wittenmyer, Robert A.

    2016-04-01

    The nearby (6.5 pc) star HD 219134 was recently shown by Motalebi et al. and Vogt et al. to host several planets, the innermost of which is transiting. We present 27 years of radial velocity (RV) observations of this star from the McDonald Observatory Planet Search program, and 19 years of stellar activity data. We detect a long-period activity cycle measured in the Ca ii SHK index, with a period of 4230 ± 100 days (11.7 years), very similar to the 11 year solar activity cycle. Although the period of the Saturn-mass planet HD 219134 h is close to half that of the activity cycle, we argue that it is not an artifact due to stellar activity. We also find a significant periodicity in the SHK data due to stellar rotation with a period of 22.8 days. This is identical to the period of planet f identified by Vogt et al., suggesting that this RV signal might be caused by rotational modulation of stellar activity rather than a planet. Analysis of our RVs allows us to detect the long-period planet HD 219134 h and the transiting super-Earth HD 219134 b. Finally, we use our long time baseline to constrain the presence of longer period planets in the system, excluding to 1σ objects with M{sin}i\\gt 0.36{M}J at 12 years (corresponding to the orbital period of Jupiter) and M{sin}i\\gt 0.72{M}J at a period of 16.4 years (assuming a circular orbit for an outer companion).

  17. Prevalence of enamel fluorosis in 12-year-olds in two Swiss cantons.

    Science.gov (United States)

    Büchel, Kathrin; Gerwig, Patric; Weber, Catherine; Minnig, Peter; Wiehl, Peter; Schild, Samuel; Meyer, Jürg

    2011-01-01

    The neighbouring cantons Basel-Stadt and Basel-Landschaft had introduced different fluoridation schemes for caries prevention: Basel-Stadt provided drinking water fluoridated at 0.8-1 ppm F since 1962, while Basel-Landschaft introduced fluoridated domestic salt (250 ppm F since 1983). Representative samples of 12-year-old schoolchildren (6th-graders) were studied to evaluate the prevalence of (I) dental fluorosis (FOP) using the Thylstrup-Fejerskov (TF) index, (II) non fluoride-associated enamel opacities (non-FOP), and (III) hypoplasia of the incisors. Standardised frontal colour photographs were taken and assessed by four examiners after projection. Of 373 schoolchildren studied in 1999 in Basel-Stadt 119 (31.9%) showed fluoride-associated enamel opacities, i. e. 66 (17.7%) a very mild form (TF score 1), 47 (12.6%) a mild form (TF score 2), five scored TF3 and one TF5. In addition, non-FOP were diagnosed in 115 (30.8%) and hypoplasia in 47 (12.6%) children. Among the 448 children evaluated in 2001 in Basel-Landschaft 143 (31.9%) showed FOP, namely 74 (16.5%) scored TF1, 54 (12.2%) scored TF2, 12 (2.7%) scored TF3, and three (0.7%) scored TF5. Non-FOP were found among 93 (20.8%) and hypoplasia among 56 (12.5%) children. Thus, in spite of different fluoridation schemes in the two cantons, the prevalences of FOP were identical. Most fluoride-associated enamel opacities were mild or very mild. They did not represent an aesthetic problem and certainly not a public health concern.

  18. Prevalence of iodine deficiency disorders among 6 - 12 years school children of Gulbarga city

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    Raveesh P M

    2014-12-01

    Full Text Available Introduction: Iodine Deficiency Disorders is among the easiest and least expensive of all nutrient disorders to prevent. Salt iodization is currently the most widely used strategy to control and eliminate Iodine Deficiency Disorders. The Central Government has issued the notification banning the sale of non-iodated salt for direct human consumption in the entire country with effect from 17th May, 2006 under the Prevention of Food Adulteration Act 1954.  Rationale: 6 out of 17 districts surveyed in Karnataka were endemic to Iodine deficiency with goiter prevalence rates in the range of 10.67–41.11%. In Gulbarga more than 90% of the families were consuming salt with Iodine content less than 15 ppm.  Objectives: To assess the magnitude of the Iodine Deficiency Disorders among the children. To determine the Iodine content of the salt used at houses of the children and to find out the availability of adequately iodized salt at the retail shops. Materials and Methods: A cross sectional study among 6-12 Years School Children conducted in Gulbarga city. Cluster sampling methodology and surveillance methods for iodine deficiency disorders as recommended by WHO/ICCIDD were used. The study included 1620 school children with equal proportion of girls and boys. The salt samples were tested on spot with MBI kit provided by UNICEF, and Iodine concentration was recorded as 0, <15 and >15 ppm. Results:  The overall prevalence of goitre was 4.32%, there was no significant gender variation in total goitre prevalence. The association between anaemia and the prevalence of total goitre was statistically significant. Proportion of the children consuming adequately iodised salt was 51.1%. Among salt samples collected from retail shops, only 44.62% samples were adequately iodised. Conclusion: prevalence of goitre was 4.32% which is below the cut-off to indicate endemicity of IDD. Adequately iodised salt availability and consumption among household is not

  19. INDICATION OF CARIES FREE PREVALENCE AMONG 12 YEARS OLD STUDENTS IN IZEH CITY

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    M MOUSAVINASAB

    2003-09-01

    Full Text Available Introduction: Caries is a factor of teeth missing and its prevalence and also its expenditure are very light in Iran. Treatment ways need a lot of time, but they have little success, so it is important to prevent caries. Now if we want to have a successful model, having person's statistics is important and useful for our Research purposes. This research was done to detect caries free prevalence in students twelve year of age in Izeh city and it contained 2groups of girls and boys. It was done to indicate the connection between caries free prevalence and individual oral hygiene with brushing times, numbers during 24 hours. Methods: This research is a kind of epidemiological and descriptive study. It was done in Izeh city in 78-79 educational years. Its only document, was selection the 12 years old students. Informations collected by clinical inspections and interrogatory J method Sample volume was 400 students according to this formula N=Z2(1-p/ d2. We use Chi-square statistics test and also its soft disk (SPSS or statitistics program was about social science. Conclusion: Caries free prevalence within the whole sample was 16.5%and it was 17.5% within the girls and 15-5% within boys. According to brushing times numbers, 25% brushed once a day, 47% brushed twice and 5.5% brushed three time a day and 22.5% never brushed their teeth. Discussin and conclusion: According to the obtained dates, caries prevalence related to sex difference was meaningless and they had no connection with each other there was a meaningful connection between brushing times, numbers and oral hygiene situation which caries free developed by increasing anyone of them.

  20. Whole-grain food consumption in Singaporean children aged 6-12 years.

    Science.gov (United States)

    Neo, Jia En; Binte Mohamed Salleh, Saihah; Toh, Yun Xuan; How, Kesslyn Yan Ling; Tee, Mervin; Mann, Kay; Hopkins, Sinead; Thielecke, Frank; Seal, Chris J; Brownlee, Iain A

    2016-01-01

    Public health bodies in many countries are attempting to increase population-wide habitual consumption of whole grains. Limited data on dietary habits exist in Singaporean children. The present study therefore aimed to assess whole grain consumption patterns in Singaporean children and compare these with dietary intake, physical activity and health parameters. Dietary intake (assessed by duplicate, multipass, 24-h food recalls), physical activity (by questionnaire) and anthropometric measurements were collected from a cross-section of 561 Singaporean children aged 6-12 years. Intake of whole grains was evaluated using estimates of portion size and international food composition data. Only 38·3 % of participants reported consuming whole grains during the dietary data collection days. Median intake of whole grains in consumers was 15·3 (interquartile range 5·4-34·8) g/d. The most commonly consumed whole-grain food groups were rice (29·5 %), wholemeal bread (28·9 %) and ready-to-eat breakfast cereals (18·8 %). A significantly lower proportion of Malay children (seven out of fifty-eight; P whole grains than children of other ethnicities. Only 6 % of all children consumed the amount of whole grains most commonly associated with improved health outcomes (48 g/d). There was no relationship between whole grain consumption patterns and BMI, waist circumference or physical activity but higher whole grain intake was associated with increased fruit, vegetable and dairy product consumption (P whole grain foods is low at a population level and infrequent in Singaporean children. Future drives to increase whole-grain food consumption in this population are likely to require input from multiple stakeholders.

  1. Soil microbial biomass and function are altered by 12 years of crop rotation

    Science.gov (United States)

    McDaniel, Marshall D.; Grandy, A. Stuart

    2016-11-01

    Declines in plant diversity will likely reduce soil microbial biomass, alter microbial functions, and threaten the provisioning of soil ecosystem services. We examined whether increasing temporal plant biodiversity in agroecosystems (by rotating crops) can partially reverse these trends and enhance soil microbial biomass and function. We quantified seasonal patterns in soil microbial biomass, respiration rates, extracellular enzyme activity, and catabolic potential three times over one growing season in a 12-year crop rotation study at the W. K. Kellogg Biological Station LTER. Rotation treatments varied from one to five crops in a 3-year rotation cycle, but all soils were sampled under a corn year. We hypothesized that crop diversity would increase microbial biomass, activity, and catabolic evenness (a measure of functional diversity). Inorganic N, the stoichiometry of microbial biomass and dissolved organic C and N varied seasonally, likely reflecting fluctuations in soil resources during the growing season. Soils from biodiverse cropping systems increased microbial biomass C by 28-112 % and N by 18-58 % compared to low-diversity systems. Rotations increased potential C mineralization by as much as 53 %, and potential N mineralization by 72 %, and both were related to substantially higher hydrolase and lower oxidase enzyme activities. The catabolic potential of the soil microbial community showed no, or slightly lower, catabolic evenness in more diverse rotations. However, the catabolic potential indicated that soil microbial communities were functionally distinct, and microbes from monoculture corn preferentially used simple substrates like carboxylic acids, relative to more diverse cropping systems. By isolating plant biodiversity from differences in fertilization and tillage, our study illustrates that crop biodiversity has overarching effects on soil microbial biomass and function that last throughout the growing season. In simplified agricultural systems

  2. Linear Accelerator-Based Radiosurgery Alone for Arteriovenous Malformation: More Than 12 Years of Observation

    Energy Technology Data Exchange (ETDEWEB)

    Matsuo, Takayuki, E-mail: takayuki@nagasaki-u.ac.jp; Kamada, Kensaku; Izumo, Tsuyoshi; Hayashi, Nobuyuki; Nagata, Izumi

    2014-07-01

    Purpose: Although radiosurgery is an accepted treatment method for intracranial arteriovenous malformations (AVMs), its long-term therapeutic effects have not been sufficiently evaluated, and many reports of long-term observations are from gamma-knife facilities. Furthermore, there are few reported results of treatment using only linear accelerator (LINAC)-based radiosurgery (LBRS). Methods and Materials: Over a period of more than 12 years, we followed the long-term results of LBRS treatment performed in 51 AVM patients. Results: The actuarial obliteration rates, after a single radiosurgery session, at 3, 5, 10, and 15 years were 46.9%, 54.0%, 64.4%, and 68.0%, respectively; when subsequent radiosurgeries were included, the rates were 46.9%, 61.3%, 74.2%, and 90.3%, respectively. Obliteration rates were significantly related to target volumes ≥4 cm{sup 3}, marginal doses ≥12 Gy, Spetzler-Martin grades (1 vs other), and AVM scores ≥1.5; multivariate analyses revealed a significant difference for target volumes ≥4 cm{sup 3}. The postprocedural actuarial symptomatic radiation injury rates, after a single radiation surgery session, at 5, 10, and 15 years were 12.3%, 16.8%, and 19.1%, respectively. Volumes ≥4 cm{sup 3}, location (lobular or other), AVM scores ≥1.5, and the number of radiosurgery were related to radiation injury incidence; multivariate analyses revealed significant differences associated with volumes ≥4 cm{sup 3} and location (lobular or other). Conclusions: Positive results can be obtained with LBRS when performed with a target volume ≤4 cm{sup 3}, an AVM score ≤1.5, and ≥12 Gy radiation. Bleeding and radiation injuries may appear even 10 years after treatment, necessitating long-term observation.

  3. CLINICAL PROFILE AND OUTCOME OF URINARY TRACT INFECTIONS IN CHILDREN AGED 1 - 12 YEARS

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    Manohar

    2015-04-01

    Full Text Available BACKGROUND: Urinary tract is a common site of infection in the pediatric population. Unlike generally benign course of urinary tract infection (UTI in the adult population, UTI in the pediatric population is well recognized as a cause of acute morbidity and chronic medical conditions like hypertension and renal insufficiency in adulthood. As a result, it is crucial to have a clear understanding of clinical profile of UTI in children. AIMS AND OBJECTIVES: 1. to study the clinical presentation of UTI in children. 2. To identify the common microorganisms causing UTI in children. 3. To evaluate the risk factors for UTI in children. SETTINGS AND DESIGN: Hospital based prospective study conducted from October 2010 to September 2011 in Department of Pediatrics at S.V.R.R Gov ernment General Hospital, a tertiary care hospital affiliated to S.V . Medical College, Tirupati, Andhra Pradesh. METHODS AND MATERIAL: INCLUSION CRITERIA: All children in the age group of 1 to12 years admitted in hospital with a probable urinary tract inf ection and later confirmed by a positive urine culture. EXCLUSION CRITERIA: Those children who received partial treatment with antibiotics prior to admission and those with any neurological abnormality of urinary bladder. Informed written consent was taken from parents of children and data was collected in pre - designed pro - forma. RESULTS: Significant pyuria was present in all patients. Most common organisms isolated on urine culture were Escherichia coli and Klebsiella pneumoniae. Both were sensitive to thi rd generation Cephalosporins, Piperacillin - Tazobacta m and Amikacin. VUR was a significant risk factor for UTI (P1year, UTI is much more common in girls than boys. Escherichia coli and Klebsiella pneumoniae are the most common organisms causing UTI in children. Ultrasound examination of abdomen is a sensitive test to detect. Vesicoureteral reflux is a common predisposing factor for UTI in both boys and girls.

  4. [Infection-induced urinary calculi in children; current therapeutic schedule and prevention of recurrence].

    Science.gov (United States)

    Bach, D; Brühl, P; Hesse, A

    1988-01-01

    Infection stones have an outstanding position in childhood urolithiasis. In non-infection stones one can mostly find a certain--for example metabolic--causes of stone formation. In infection stones, the urease-producing and thus urea-cleaving properties of some gram-negative bacteria are responsible for alkalization of the urine and lead especially in combination with disturbances of urine transport to the staghorn calculi. Therefore in such children early diagnosis, adequate therapy and consequent maintenance is the crucial point for good life quality in future. Preliminary condition for therapeutic success is a close coworking between pediatric nephrologist, pediatric urologist, family doctor and parents.

  5. Treatment of small lower pole calculi--SWL vs. URS vs. PNL?

    Science.gov (United States)

    Knoll, Thomas; Tasca, Andrea; Buchholz, Noor P

    2011-03-01

    According to current guideline recommendations extracorporeal shock wave lithotripsy (SWL) remains the first choice treatment for small and mid-sized renal calculi. However, the results of SWL treatment for lower pole stones can be disappointing whilst more invasive endoscopic modalities, such as flexible ureterorenoscopy (fURS) and percutaneous nephrolithotomy (PNL) are often considered more effective. This article summarizes a point-counterpoint discussion at the 9th eULIS symposium in Como, Italy, and discusses the potential advantages and disadvantages of the different therapeutic approaches.

  6. Hemiacidrin irrigation in the management of struvite calculi: long-term results.

    Science.gov (United States)

    Sant, G R; Blaivas, J G; Meares, E M

    1983-12-01

    Renacidin (10 per cent hemiacidrin) irrigation has been used in the management of renal struvite calculi in 25 patients. Of these patients 22 were free of stone after irrigation: 16 after dissolution of residual stone fragments postoperatively, 4 after prophylactic postoperative irrigation and 2 after primary, nonsurgical percutaneous dissolution. Recurrent urinary tract infections owing to the original urease-producing bacteria occurred in 14 per cent of these patients and recurrent nephrolithiasis occurred in 9 per cent during an average followup period of 66 months.

  7. Case series demonstrating the clinical utility of dual energy computed tomography in patients requiring stents for urinary calculi.

    Science.gov (United States)

    Jepperson, Maria A; Thiel, David D; Cernigliaro, Joseph G; Broderick, Gregory A; Haley, William E

    2014-02-01

    Dual energy computed tomography (DECT) utilizes the material change in attenuation when imaged at two different energies to determine the composition of urinary calculi as uric acid or non-uric acid. We discuss a series of case reports illustrating DECT's ability to provide immediate determination of uric acid versus non-uric acid calculi and facilitate more informed clinical decision-making. Further, these cases demonstrate a unique population of patients with ureteral stents and percutaneous nephrostomy tubes that benefit from DECT's ability to create a virtual color contrast between an indwelling device and the stone material and thereby significantly impacting patient morbidity.

  8. Fracture Risk After Bariatric Surgery: A 12-Year Nationwide Cohort Study.

    Science.gov (United States)

    Lu, Chia-Wen; Chang, Yu-Kang; Chang, Hao-Hsiang; Kuo, Chia-Sheng; Huang, Chi-Ting; Hsu, Chih-Cheng; Huang, Kuo-Chin

    2015-12-01

    Bariatric surgery has been shown to impair bone health. This study aimed to investigate the fracture risk in patients after bariatric surgery versus propensity score-matched controls. The authors used the National Health Insurance Research Database of Taiwan and identified 2064 patients who underwent bariatric surgery during 2001 to 2009. These patients were matched to 5027 obese patients who did not receive bariatric surgery, using propensity score matching accounting for age, sex, Charlson Comorbidity Index, diabetes, hypertension, hyperlipidemia and the year morbid obesity was diagnosed. The authors followed the surgical and control cohorts to death, any diagnosis of fracture, or December 31, 2012, whichever occurred first. Cox proportional hazard regression models were used to calculate relative rates of fractures in the surgical group and control group. At the end of the 12-year study period, there were 183 fractures in the surgical group (mean follow-up 4.8 years) and 374 fractures in the matched control group (mean follow-up 4.9 years). Overall, there was a 1.21-fold [95% confidence interval (CI): 1.02-1.43] significantly increased risk of fracture in the surgical group compared with the control group. Stratified by surgical procedures, malabsorptive procedures showed a significantly higher fracture risk (1.47, 95% CI: 1.01-2.15). The Kaplan-Meier estimated fracture rates were 1.60% at 1 year, 2.37% at 2 years, 1.69% at 5 years, and 2.06% after 5 years for the surgical patients, compared with 1.51%, 1.65%, 1.53%, and 1.42%, respectively, for the matched controls. Adjusted analysis showed a trend towards an increased fracture risk, 1 to 2 years after bariatric surgery. (1.42, 95% CI: 0.99-2.05). Bariatric surgery was significantly associated with an increased risk of fractures, mainly with malabsorptive procedures, with a trend of an increased fracture risk 1 to 2 years after surgery. These results provide further evidence for the adverse effects of bariatric

  9. Septic arthritis: a 12 years retrospective study in a rheumatological university clinic

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    L. Riato

    2011-09-01

    Full Text Available Background: Septic arthritis is a disabling and potentially life-threatening condition that requires prompt diagnosis and treatment. The most important risk factors are joint prosthesis, pre-existing joint disease and immunosuppressive drugs. The aim of our study therefore was to revaluate all septic arthritis cases discharged from our Rheumatologic Unit in the last 12 years, to assess the risk factors, the clinical and laboratory characteristics, the causative microorganisms and its possible increase in frequency. Methods: The medical records of 42 consecutive patients with septic arthritis discharged from our Rheumatology Unit between January 1995 and December 2006 were reviewed. The patients ranged in age from 23 to 90 and there isn’t gender predominance. Septic arthritis was diagnosed based on the finding of purulent material in the joint space and/or the isolation of a bacterial pathogen from joint fluid. Demographic data, risk factors, co-morbidity, clinical manifestations, time interval between symptoms onset and diagnosis, treatment and laboratory data including serum white blood cell count, erythrocyte sedimentation rate (ESR, C reactive protein (CRP, synovial white blood cells and culture results were analysed. We considered these parameters in the whole population and in two different age groups (≤60, >60 and tried to determine if there was a change of microorganisms involved in septic arthritis during the years. Results: Of 42 patients, 47% were aged 60 and younger. Only 10 patients were admitted to our unit before 2001. A predisposing factor was recorded in 90,5% of cases: 15 patients had rheumatoid arthritis, 8 were diabetic, 6 had seronegative arthritis, 4 had a connective tissue disease, 8 patients had a prosthetic infection and 3 were subjected recently to arthrocentesis. We found that patients aged 60 and younger were more frequently affected by joint disease and had a synovial white blood cell count lower than patients

  10. ORO‐DENTAL STATUS OF SCHOOL CHILDREN AGED BETWEEN 7‐12 YEARS, IN THE RURAL AREAS OF DOLJ COUNTY

    Directory of Open Access Journals (Sweden)

    Marilena BĂTĂIOSU

    2013-06-01

    Full Text Available Introduction: The World Health Organization has a long tradition on the methodology and monitorization of oral health epidemiological investigations, even in the field of dental caries. According to the targets to be attained in 2020, at the age of 6 years, 80% of children should be cavity‐free and, at the age of 12, DMFT should be no more than 1.5. Based on WHO targets for 2020, an epidemio‐ logical study was performed on school children affected by dental caries, aged between 7‐12 years, from the rural areas of the Dolj County. Methodology: The study protocol included conventional and meticulous visual clinical examination of students, according to WHO methodology, in the Pedodontic Clinics of Craiova ‐ Faculty of Medical Dentistry. Also calculated was the DMFT index, by analy‐ sis of the DT, MT, FT components, as well as the dmft index, by analysis of the dt, mt, ft components. Results: The mean indices of carious experience in temporary den‐ tition decrease with age, due to the progressive disappear‐ ance of milk teeth. The DMFT index values are given, in particular, by components that indicate the number of teeth affected by caries and not of the blocked ones. Con‐ clusions: The results obtained emphasize the need for den‐ tal health education programs at national and community level, the kindergartens and schools having a great poten‐ tial to influence dental health care habits in children. Also emphasized was the need for regional prevention pro‐ grams, as part of an overall national program, which has to consider the socio‐economic and cultural factors.

  11. Decreasing uptake of predictive testing for Huntington's disease in a German centre: 12 years' experience (1993-2004).

    Science.gov (United States)

    Bernhardt, Christiane; Schwan, Anne-Marie; Kraus, Peter; Epplen, Joerg Thomas; Kunstmann, Erdmute

    2009-03-01

    In this retrospective study, we examined changes in decision-making for and against the predictive genetic test for Huntington's disease including 478 persons at risk who had undergone genetic counselling in one centre in Germany between 1993 and 2004. At the outset of the counselling procedure the majority of subjects (71%) wanted to make use of the test, yet the actual demand of the predictive test result declined from 67 to 38% over the years. In addition, the time interval between counselling session and blood withdrawal was reduced, as determined by the counselees: in 2000-2004 the majority of persons at risk made the appointment for blood withdrawal after the shortest possible time span. Demographic factors of the cohort remained comparatively stable in the investigated time period. An association was evident between the ratio of test usage and the counselling person. These and other possible factors influencing the time flow of predictive DNA testing are discussed. Further studies are necessary to investigate whether changes of test demand rates are a general phenomenon.

  12. A survey on spinal cord injuries resulting from stabbings; a case series study of 12 years' experience

    Directory of Open Access Journals (Sweden)

    Alireza Ahmadi

    2013-01-01

    Full Text Available BACKGROUND: Penetrating spinal cord injuries (SCIs are an uncommon injury and not reported very frequently. SCIs cause sensory, motor and genitourinary system problems or a combination of sensorimotor dysfunctions. These are among the most debilitating kinds of disorders and negatively affect quality of life, not only for the patient, but also for their family members. Therefore, the present study aims to evaluate complete or incomplete SCIs and the course of the injury and the prognosis for SCIs caused by stab wounds. METHODS: This case-series design study was performed on 57 patients attending the emergency department of Taleqani Trauma Center (Kermanshah, Iran due to SCIs caused by violent encounters involving sharp objects such as a knife, dagger, whittle and Bowie knife between 1999 and 2011. An assessment of sensory and motor functions was performed as part of the neurological examination on admission, and during the treatment, using the Frankel Classification grading system, and the results were recorded. RESULTS: The average age of patients was 27 years (SD= 7.9, Range=17 to 46 years. The results of the study showed a proportion of cervical, thoracic and lumbar injuries of 23 (40%, 24 (42% and 10 (18%, respectively. There was no case of cerebrospinal fluid leakage (CSF or infection at the wound site in the subjects. Regarding the extent of the SCI, the combined neurological assessment showed that several patients (43% had a complete SCI with no sensory and motor functions in the sacral segments and the segments below the site of injury. In 32 patients (57% incomplete injuries were observed; i.e. they showed only some degrees of sensory-motor functions that were below the neurological level. CONCLUSION: Both complete and incomplete SCIs are of great importance because the prognosis of SCI is directly associated with the location and extent of injury. It should be considered that partial recovery from SCIs is possible in few cases of complete injuries. Therefore, all the patients should be treated carefully and seriously.

  13. Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

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    Ünal Biçakci

    2016-01-01

    Full Text Available Introduction: The aim of this study was to evaluate patients with end stage renal failure (ESRD who underwent chronic peritoneal dialysis (CPD. The clinical outcomes of laparoscopic and open placements of catheters were compared. Materials and Methods: We reviewed 49 (18 male and 31 female children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014. Results: Thirty-three patients were with open placement and 16 patients were with laparoscopic placement. The rate of the peritonitis is significantly less in patients with laparoscopic access than open access (n = 4 v sn = 25 (P<0.01. Patients with peritonitis were younger than those who had no attack of peritonitis (10.95 ± 0.8 years vs 13.4 ± 0.85 years. According to the development of complications, significant difference has not been found between the open (n = 9 and laparoscopic (n = 3 approaches except the peritonitis. Catheter survival rate for the first year was 95%, and for five years was 87.5%. There was no difference between open and laparoscopic group according to catheter survival rate. The mean kt/V which indicates the effectiveness of peritoneal dialysis was mean 2.26 ± 0.08. No difference was found between laparoscopic and open methods according to kt/V. Conclusion: Laparoscopic placement of CPD results in lower peritonitis rate. Catheter survival rate was excellent in both groups. Single port laparoscopic access for CPD catheter insertion is an effective and safe method.

  14. Single port laparoscopic and open surgical accesses of chronic peritoneal dialysis in children: A single center experience over 12 years

    Science.gov (United States)

    Bıçakcı, Ünal; Genç, Gürkan; Tander, Burak; Günaydın, Mithat; Demirel, Dilek; Özkaya, Ozan; Rızalar, Rıza; Arıtürk, Ender; Bernay, Ferit

    2016-01-01

    INTRODUCTION: The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared. MATERIALS AND METHODS: We reviewed 49 (18 male and 31 female) children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014. RESULTS: Thirty-three patients were with open placement and 16 patients were with laparoscopic placement. The rate of the peritonitis is significantly less in patients with laparoscopic access than open access (n = 4 vs n = 25) (P V which indicates the effectiveness of peritoneal dialysis was mean 2.26 ± 0.08. No difference was found between laparoscopic and open methods according to kt/V. CONCLUSION: Laparoscopic placement of CPD results in lower peritonitis rate. Catheter survival rate was excellent in both groups. Single port laparoscopic access for CPD catheter insertion is an effective and safe method. PMID:27073310

  15. Indispensable value of clinical trials in the modernization of traditional Chinese medicine: 12 years' experience at CUHK and future perspectives.

    Science.gov (United States)

    Liang, Willmann; Yew, David T; Hon, Kam Lun; Wong, Chun Kwok; Kwok, Timothy C Y; Leung, Ping Chung

    2014-01-01

    The last decade has seen a wealth of information reporting the beneficial effects of Chinese herbal medicines. While a lot more studies were done using in vitro and in vivo research platforms, much fewer investigations were conducted according to evidence-based requirements in clinical settings. The Institute of Chinese Medicine at the Chinese University of Hong Kong (CUHK) has had the opportunity to collaborate with clinicians over the years to initiate and conduct dozens of clinical trials investigating and verifying the therapeutic values of Chinese herbs in selected disease conditions. Of the many disorders, we chose to focus on those that are known for their difficulties achieving perfect results with conventional treatment methods. Examples include non-healing ulcers, allergic conditions, degenerative diseases and cancer. Protective effects of the herbs in such chronic diseases as coronary artery disease and osteoporosis were also part of our focus. Even in healthy individuals and those recovering from chemotherapy, Chinese herbs could help with the immune system and were studied in our clinical trials as well. This paper aims to highlight the important findings from these clinical studies while at the same time, stressing the indispensable value of clinical trials in modernizing the use of Chinese herbs in present-day medicine.

  16. Risk factors for eating disorder symptoms at 12 years of age: A 6-year longitudinal cohort study.

    Science.gov (United States)

    Evans, Elizabeth H; Adamson, Ashley J; Basterfield, Laura; Le Couteur, Ann; Reilly, Jessica K; Reilly, John J; Parkinson, Kathryn N

    2017-01-01

    Eating disorders pose risks to health and wellbeing in young adolescents, but prospective studies of risk factors are scarce and this has impeded prevention efforts. This longitudinal study aimed to examine risk factors for eating disorder symptoms in a population-based birth cohort of young adolescents at 12 years. Participants from the Gateshead Millennium Study birth cohort (n = 516; 262 girls and 254 boys) completed self-report questionnaire measures of eating disorder symptoms and putative risk factors at age 7 years, 9 years and 12 years, including dietary restraint, depressive symptoms and body dissatisfaction. Body mass index (BMI) was also measured at each age. Within-time correlates of eating disorder symptoms at 12 years of age were greater body dissatisfaction for both sexes and, for girls only, higher depressive symptoms. For both sexes, higher eating disorder symptoms at 9 years old significantly predicted higher eating disorder symptoms at 12 years old. Dietary restraint at 7 years old predicted boys' eating disorder symptoms at age 12, but not girls'. Factors that did not predict eating disorder symptoms at 12 years of age were BMI (any age), girls' dietary restraint at 7 years and body dissatisfaction at 7 and 9 years of age for both sexes. In this population-based study, different patterns of predictors and correlates of eating disorder symptoms were found for girls and boys. Body dissatisfaction, a purported risk factor for eating disorder symptoms in young adolescents, developed concurrently with eating disorder symptoms rather than preceding them. However, restraint at age 7 and eating disorder symptoms at age 9 years did predict 12-year eating disorder symptoms. Overall, our findings suggest that efforts to prevent disordered eating might beneficially focus on preadolescent populations.

  17. Ureteroscopy-assisted retrograde nephrostomy for lower calyx calculi in horseshoe kidney: two case reports

    Directory of Open Access Journals (Sweden)

    Kawahara Takashi

    2012-07-01

    Full Text Available Abstract Introduction We previously reported on the effectiveness of ureteroscopy-assisted retrograde nephrostomy during percutaneous nephrolithotomy and report two cases of lower calyx calculi in horseshoe kidney that were successfully treated with ureteroscopy-assisted retrograde nephrostomy. During the ureteroscopy-assisted retrograde nephrostomy procedure, a ureteroscope is advanced in the desired calyx and a Lawson retrograde nephrostomy puncture wire is inserted. The wire is advanced through the calyx to exit the skin. The wire is then used for the percutaneous dilation. Case presentation Case 1 was a 68-year-old man who was shown on radiography to have left lower calyx calculi (19 × 15mm, 7 × 5mm, and 7 × 3mm in horseshoe kidney. Case 2 was a 36-year-old woman shown on radiography to have a left lower calyx calculus (10 × 8mm in horseshoe kidney. Conclusions Both patients were stone-free after ureteroscopy-assisted retrograde nephrostomy during percutaneous nephrolithotomy. Ureteroscopy-assisted retrograde nephrostomy is a promising procedure for safely and effectively treating lower calyx stones in horseshoe kidney.

  18. Sodium, Saturated Fat, and Sugar Added Intake of The Diet of Children 2-12 Years Old

    OpenAIRE

    Angga Hardiansyah; Hardinsyah Hardinsyah; Dadang Sukandar

    2015-01-01

    The aims of the study were to analyze intake of sodium, saturated fat (SFA), and added sugar of children 2-12 years old. For this purpose, 38.890 children 2-12 years old from the food consumption data of the basic health survey of the Ministry of Health were analyzed. The intake of sodium, SFA, and added sugar were calculated by using food composition table (FCT) of Indonesia and USDA, and from nutrition facts of labeled foods.The sodium and SFA calculated include both natural resources and w...

  19. Candida infection of the central nervous system following neurosurgery: a 12-year review.

    LENUS (Irish Health Repository)

    O'Brien, Deirdre

    2011-06-01

    Candida infection of the central nervous system (CNS) following neurosurgery is relatively unusual but is associated with significant morbidity and mortality. We present our experience with this infection in adults and discuss clinical characteristics, treatment options, and outcome.

  20. The Dual Action of Varunadi Kwath in Renal Calculi as well as Uterine Fibroid- A Case Study

    Directory of Open Access Journals (Sweden)

    Padavi D. M.

    2015-09-01

    Full Text Available Mutrashmari (Renal Calculi is very common disorder. This distressing urinary disorder affects around 5-7 million people in India [11]. The chances of recurrence are always high and the surgery having disadvantage of high cost. The available treatment in modern science is only conservative and surgical in this present study an effort was made to evaluate the role of Varunadi Kwath in Mutrashmari. The main aim of this particular study was inclined towards the disintegration, dissolution, dislodgement and expulsion of renal calculi. The contents of Varunadi Kwath are easily available, economical and are easy to administer, which are having Anti-inflammatory, Diuretic and Antilithic properties. A case of renal calculi with uterine fibroid was diagnosed and the treatment was given for a period of 9 months. The size of the calculus was studied by periodic ultrasonography; the symptoms Mutrakruchrata (Dysuria, Shula (Pain in abdomen, Sadaha Mutrata (Burning micturition are significantly reduced within less than 45 days and total expulsion of calculi in less than 180 days.

  1. Reliability of the Quality of Upper Extremity Skills Test for Children with Cerebral Palsy Aged 2 to 12 Years

    Science.gov (United States)

    Thorley, Megan; Lannin, Natasha; Cusick, Anne; Novak, Iona; Boyd, Roslyn

    2012-01-01

    Aim: To investigate reliability of the Quality of Upper Extremity Skills Test (QUEST) scores for children with cerebral palsy (CP) aged 2-12 years. Method: Thirty-one QUESTs from 24 children with CP were rated once by two raters and twice by one rater. Internal consistency of total scores, inter- and intra-rater reliability findings for total,…

  2. Maternal Fish Oil Supplementation in Pregnancy: A 12 Year Follow-Up of a Randomised Controlled Trial

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    Suzanne Meldrum

    2015-03-01

    Full Text Available A number of trials have been undertaken to assess whether the intake of omega-3 long-chain polyunsaturated fatty acids (n-3 LCPUFA during pregnancy can influence the neurological development of the offspring, yet no consensus from these trials has been reached. We aimed to investigate the long-term effects (12 years of fish oil supplementation in pregnancy on neurodevelopment, including cognition, language and fine motor skills. In a follow up of a previously published randomised controlled trial of 98 pregnant women, their children were assessed at 12 years of age using a battery of neurodevelopmental assessments. Fifty participants were assessed at 12 years, with 25 participant’s mothers receiving fish oil supplementation, and 25 receiving control capsules. There were no significant differences for any of the assessment measures completed. Our data indicate that fish oil supplementation during pregnancy does not influence the cognition, language or fine motor skills of children in late primary school (12 years of age.

  3. Comparing the Magnitude of Two Fractions with Common Components: Which Representations Are Used by 10- and 12-Year-Olds?

    Science.gov (United States)

    Meert, Gaelle; Gregoire, Jacques; Noel, Marie-Pascale

    2010-01-01

    This study tested whether 10- and 12-year-olds who can correctly compare the magnitudes of fractions with common components access the magnitudes of the whole fractions rather than only compare the magnitudes of their components. Time for comparing two fractions was predicted by the numerical distance between the whole fractions, suggesting an…

  4. Reflections on 12 Years of Research into ICT-in-Education and the Learning Sciences in Singapore

    Science.gov (United States)

    Hung, David; Huang, Jun Song

    2016-01-01

    This article reflects on the landscape of ICT-mediated learning research in Singapore schools over the past 12 years. This ICT (information and communications technology) journey is situated in the context of the Singapore education Masterplans and the inception of substantive research funding in this area of work since 2003. The article questions…

  5. Description of the difference in plaque index between normal and autistic children age 6-12 years

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    Arinda M Nadya

    2013-07-01

    Full Text Available Background: Oral hygiene status can be seen from the plaque index contained in the mouth. Children aged 6-12 years are school age, they can be taught about oral health care independently. The research objective was to obtain data about description of the differences in plaque index between normal and autistic children aged 6-12 years in Yayasan Autisme Ourdream, Lembaga Pendidikan Autisme Prananda, and SDN Banjarsari in the Bandung city. Materials and Methods: This study was a descriptive analytic. The population was all the students at SDN Banjarsari and autistic children aged 6-12 years in both the foundation. Samplings were collected by simple random sampling, the number of samples obtained normal and autistic children each were 21 persons. Clinical examinations for plaque index using Patient Hygiene Performance (PHP index of Podshadley and Halley. The data were analyzed with independent t-test. Results: The results showed an average of plaque index normal and autistic children aged 6-12 years was 2.06 with a standard deviation of 0.573 and 3.23 with a standard deviation of 0.473. C onclusion: The conclusions showed that there were significant differences in plaque index between normal and autistic children, these values are equally moderate category by Patient Hygiene Performance (PHP index of Podshadley and Halley.

  6. The Effects of Indexical and Phonetic Variation on Vowel Perception in Typically Developing 9- to 12-Year-Old Children

    Science.gov (United States)

    Jacewicz, Ewa; Fox, Robert Allen

    2014-01-01

    Purpose: The purpose of this study was to investigate how linguistic knowledge interacts with indexical knowledge in older children's perception under demanding listening conditions created by extensive talker variability. Method: Twenty-five 9- to 12-year-old children, 12 from North Carolina (NC) and 13 from Wisconsin (WI), identified 12 vowels…

  7. Teacher Ratings of Academic Achievement of Children between 6 and 12 Years Old from Intact and Non-Intact Families

    Science.gov (United States)

    Molepo, Lephodisa S.; Maunganidze, Levison; Mudhovozi, Pilot; Sodi, Tholene

    2010-01-01

    We investigated teacher ratings of the impact of parental divorce on academic achievement of children between 6 and 12 years old up to 12 months after their parents divorced. A purposive sample of 120 children attending four different primary schools in a small South African town took part in the study. One third (n = 40) of the children had…

  8. Ureteroscopy for treatment of obstructing ureteral calculi in pregnant women: Single center experience

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    T.K. Fathelbab

    2016-06-01

    Conclusion: Ureteroscopy is a safe and effective therapeutic option for the treatment of obstructing ureteral stones in pregnancy with stone-free and complication rates comparable to the non-pregnant population.

  9. First experience with blind lithotripsy of ureteral calculi by ruby laser

    Science.gov (United States)

    Pupkova, Ludmila S.; Reznikov, Leonid L.; Sokolovsky, Alexander A.; Mursin, A. G.; Soms, Leonid N.; Berenberg, Vladimir A.; Polikarpov, Sergey S.; Parkhomchuk, N. A.; Voskresensky, M. A.

    1994-05-01

    For the last two years we have applied continuous dual-wavelength Nd:YAG 20 - 60 W power laser to various urologic operations. Transmission of laser irradiation via a flexible quartz fiber permitted operating at any depth of the wound. High-intensity irradiation of 1.06 mkm wavelength was effective in making thin incisions into a variety of tissues, including skin, subcutaneous fat, aponeurosis, muscles, urinary bladder wall, prostate gland, renal pelvis, renal capsule and parenchyma, and urethra. The incisions were especially effective if the contact method was used. Operational access was accomplished in 3 - 5 minutes. At the same time, hemostasis occurred in small diameter vessels. More reliable hemostasis could be achieved by means of 1.32 mkm wavelength. With the present laser device, we carried out 57 different urologic operations in our clinic. Examples of such operations include prostatectomy, pyelolithotomy, ureterolithotomy, nephrectomy, resection of renal cysts, condylomata acuminata of the urogenital organs, and papilloma of the urethra and bladder. The results suggest that a combination of these two wavelengths may prove most effective. Advantages of this approach include a decreased blood loss and decreased surgical time, asepsis, good short- and long-term results, and no complications.

  10. Ventilation function changes in patients with Duchenne muscular dystrophy under and over 12 years of age Analysis of 65 cases

    Institute of Scientific and Technical Information of China (English)

    Zhiping Li; Yifeng Luo; Jianqiang Huang; Lihong Peng; Xiaoli Yao

    2008-01-01

    BACKGROUND: Previous studies indicate that vital capacity in patients with Duchenne muscular dystrophy increases with age when they are under 12 years old, and decreases from 13 or 14 years of age;however, recent studies indicate that the vital capacity in patients with Duchenne muscular dystrophy begins to decrease even before 12 years of age.OBJECTIVE: To verify if the vital capacity in patients with Duchenne muscular dystrophy decreases before the age of 12 years and to observe the effect of rehabilitation exercise on vital capacity.DESIGN, TIME AND SETTING: The case analysis was performed at the Department of Neurology,The First Affiliated Hospital of Sun Yat-Sen University (Guangzhou, Guangdong Province, China) from December 2004 to January 2006.PARTICIPANTS: Sixty-five male patients diagnosed as having Duchenne muscular dystrophy and who underwent pulmonary ventilation function examination at the Department of Neurology, The First Affiliated Hospital of Sun Yat-Sen University (Guangzhou, Guangdong Province, China) from December 2004 to January 2006; ages ranged from 6 to 22 years old.METHODS: The ventilation function of 65 patients was determined using a Sensor Medics 2100pulmonary function test apparatus (USA), and the data obtained were subjected to statistical analysis comparing patients under 12 years of age and those above 13 years of age, and comparing those who performed rehabilitation exercise with those who did not.MAIN OUTCOME MEASURES: Forced vital capacity (FVC); forced expiratory volume in one second (FEV1); maximal voluntary ventilation (MMV); the ratio of forced expiratory volume in one second and forced vital capacity (FEV1/FVC); each measured value as a percentage of the corresponding predicted value.RESULTS: There were no significant differences in FVC, FEV1 and MMV between patients under 12 years of age and those above 13 years of age (P > 0.05). The FVC, FEV1 and MMV values, as percentages of the predicted values, were, in patients under

  11. First experience with a modified Siemens Lithostar shock wave system.

    Science.gov (United States)

    Volmer, K D; Köhler, G; Folberth, W; Planz, K

    1991-01-01

    A Siemens Lithostar shock wave system was modified and investigated clinically. The modified system yields increased focal pressure and energy density. The first clinical experience in renal calculi shows a significant reduction in shock wave numbers per treatment. Higher energy output enables better treatment results for difficult stones such as staghorn and infections calculi. Despite the higher energy output more than 90% of treatments could be performed without anesthesia or analgesia. No significant side effects could be detected. The service life of the modified shock wave system increased by a factor of two.

  12. Evaluation of oral and dental health of 6-12 year-old students in Kermanshah city

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Nokhostin

    2013-09-01

    Full Text Available Background: Oral and dental health are among the most important aspects of individual health. Thus, it is necessary to determine community’s oral health status. Various epidemiological studies are required at different levels to assess the efficacy of preventive, oral and dental health control programs in a society. Complications such as nutritional adverse effects, periodontal diseases and adverse psychological effects of dental caries and etc. could be prevented by in-time diagnosis and treatment. This study aimed to assess DMF, dmf index and periodontal status in 6-12 year-old students in Kermanshah City in 2009. Material and Methods: This was a descriptive cross-sectional study. Data were collected through interview and dental clinical examination using disposable dental explorer, dental mirror, periodontal probe, a flash light and a marker. Data were entered into a questionnaire containing demographic characteristics and oral and dental health status of subjects (WHO oral health assessments form. A total of 1050 students aged 6 to 12 years were evaluated for their oral health status in Kermanshah City. Data were analyzed using SPSS version 14 software. T-test and chi square test were also used for analysis. Results: A total of 50% of boys and 52% of girls were susceptible to dent facial problems due to caries, extraction, premature loss of deciduous teeth, and congenital or acquired maxillofacial problems following conditions like mouth breathing due to adenoid and etc. Overall, 18.3% of 6 year old students were caries free. Among middle school students, DMFT was 1.65±1.82 and 3.88±2.72 among female and male 12 year old students, respectively. In general, 19.8% of elementary and 16.8% of 12 year old students had clinically healthy gingiva 21.6% of 6 to 12 year old students did not brush their teeth. A significant correlation was found between the frequency of tooth brushing per day and mean dmft, mean DMFT and gingival health (P<0

  13. PRE-AND POST-OPERATIVE CORTICAL FUNCTION OF THE KIDNEY WITH STAGHORN CALCULI ASSESSED BY 99mTc-DMSA RENAL SCINTIGRAPHY

    OpenAIRE

    川村, 寿一

    1982-01-01

    99mTc-DMSA renal scintigraphy consisting of the cortical image and DMSA renal uptake was used to assess the pre- and post-operative renal function in 39 patients with staghorn calculi or complicated calculi occupying more than 2 major calices. Extended pyelolithotomy was performed on 14 patients, nephrolithotomy on 14 patients, pyelolithotomy combined with nephrotomy on 7 patients, and partial nephrectomy on 4 patients. Nine out of 14 patients who underwent pyelolithotomy and 4 out of 14 pati...

  14. Zdravljenje s tamsulozinom pri kamnih v spodnji tretjini sečevoda: Treatment with tamsulosin in patients with distal ureteral calculi:

    OpenAIRE

    Bizjak, Igor; Erklavec, Marko; Jagodič, Klemen; Korošec, Helena; Poteko, Sandi

    2008-01-01

    Background Symptomatic ureteral calculi are one of the most important issues in urologist emergency clinical settings. Spontaneous passage of distal ureteral calculi is usually achieved with good hydration and spasmoanalgetic drugs. á-blocker therapy may facilitate and accelerate the spontaneous passageof ureteral stones.Patients and In retrospective study we analyzed patients with renal colic admitted to our department in methods 2006. All of them had clinical examination, urine and blood an...

  15. Helical CT evaluation of the chemical composition of urinary tract calculi with a discriminant analysis of CT-attenuation values and density

    Energy Technology Data Exchange (ETDEWEB)

    Bellin, Marie-France; Meric, Jean-Baptiste [AP-HP, Department of Radiology, Hopital Paul-Brousse, Villejuif Cedex (France); Renard-Penna, Raphaelle; Grenier, Philippe [AP-HP, Department of Radiology, Hopital Pitie-Salpetriere, Paris Cedex 13 (France); Conort, Pierre; Richard, Francois [AP-HP, Department of Urology, Hopital Pitie-Salpetriere, Paris Cedex 13 (France); Bissery, Anne; Mallet, Alain [AP-HP, Department of Biostatistics, Hopital Pitie-Salpetriere, Paris Cedex 13 (France); Daudon, Michel [AP-HP, Department of Biochemistry, Hopital Necker, Paris Cedex 15 (France)

    2004-11-01

    The aim of this study was to evaluate the efficacy of helical CT using a combination of CT-attenuation values and visual assessment of stone density as well as discriminant linear analysis to predict the chemical composition of urinary calculi. One hundred human urinary calculi were obtained from a stone-analysis laboratory and placed in 20 excised pig kidneys. They were scanned at 80, 120 and 140 kV with 3-mm collimation. Average, highest and lowest CT-attenuation values and CT variability were recorded. The internal calculus structure was assessed using a wide window setting, and visual assessment of stone density was recorded. A stepwise discriminant linear analysis was performed. The following three variables were discriminant: highest CT-attenuation value, visual density, and highest CT-attenuation value/area ratio, all at 80 kV. The probability of correctly classifying stone composition with these three variables was 0.64, ranging from 0.54 for mixed calculi to 0.69 for pure calculi. The probabilities of correctly classifying calculus composition were: 0.91 for calcium oxalate monohydrate and brushite, 0.89 for cystine, 0.85 for uric acid, 0.11 for calcium oxalate dihydrate, 0.10 for hydroxyapatite, and 0.07 for struvite calculi. When the first two ranks of highest probability for the accurate classification of each calculus type were taken into account, 81% of the calculi were correctly classified. Assessment at 80 kV of the highest CT-attenuation value, visual density and the highest CT-attenuation value/area ratio accurately predicts the chemical composition of 64-81% of urinary calculi. When the first two ranks of highest probability for the accurate classification of each calculus type were taken into account, all cystine, calcium oxalate monohydrate and brushite calculi were correctly classified. (orig.)

  16. Effect of short burst activities on sprint and agility performance in 11- to 12-year-old boys.

    Science.gov (United States)

    Pettersen, Svein A; Mathisen, Gunnar E

    2012-04-01

    There are limited data on how coordinative sprint drills and maximal short burst activities affects children's sprint and agility performance. The purpose of the present study was to investigate the effect of short burst activities on sprint and agility performance in 11- to 12-year-old boys. A training group (TG) of 14 boys followed a 6-week, 1-hour·week(-1), training program consisting of different short burst competitive sprinting activities. Eleven boys of similar age served as controls (control group [CG]). Pre- and posttests assessed 10-m sprint, 20-m sprint, and agility performance. Results revealed significant performance improvement in all tests within TG (p sprint test. Furthermore, the relationships between the performances in straight-line sprint and agility showed a significant transfer effect (r = 0.68-0.75, p sprint and agility performance in 11- to 12-year-old boys.

  17. T cell subset distribution in HIV-1 infected patients after 12 years of treatment induced viraemic suppression

    DEFF Research Database (Denmark)

    Rönsholt, Frederikke F; Ullum, Henrik; Katzenstein, Terese L;

    2012-01-01

    OBJECTIVE:: Residual immune activation and skewed T cell maturation may contribute to excess comorbidity and mortality in successfully treated HIV infected patients and long term effects of combination antiretroviral therapy (cART) on immune reconstitution remain a debated issue. We investigated...... quantitative T cell reconstitution and activation and its association to residual viraemia in patients with 12 years of viraemic suppression. DESIGN:: Blood samples collected cross-sectionally from 71 HIV infected patients with cART induced viraemic suppression through 12 years were compared to samples from 16...... healthy controls. METHODS:: Several different subsets of naïve, memory and activated T cells were analyzed in fresh whole blood by 6-color flowcytometry and ultra sensitive quantification of HIV RNA was performed. RESULTS:: HIV-infected patients (HIV+) had lower absolute and relative CD4 T cell counts...

  18. Comparative evaluation of hand wrist radiographs with cervical vertebrae for skeletal maturation in 10-12 years old children

    OpenAIRE

    Kamal M.; Ragini; Goyal S

    2006-01-01

    A comparative evaluation of hand wrist and cervical vertebrae was done to know the validity of cervical vertebrae as maturity indicators. A sample of 50 subjects (25 females and 25 males) in the age group of 10-12 years were selected on criteria of normal occlusion and the result showed that cervical vertebrae can be used with the same confidence as hand wrist radiographs to evaluate skeletal maturity, thus avoiding the need for an additional radiograph.

  19. Comparative evaluation of hand wrist radiographs with cervical vertebrae for skeletal maturation in 10-12 years old children

    Directory of Open Access Journals (Sweden)

    Kamal M

    2006-09-01

    Full Text Available A comparative evaluation of hand wrist and cervical vertebrae was done to know the validity of cervical vertebrae as maturity indicators. A sample of 50 subjects (25 females and 25 males in the age group of 10-12 years were selected on criteria of normal occlusion and the result showed that cervical vertebrae can be used with the same confidence as hand wrist radiographs to evaluate skeletal maturity, thus avoiding the need for an additional radiograph.

  20. Normative Data for the Words-in-Noise Test for 6- to 12-Year-Old Children

    Science.gov (United States)

    Wilson, Richard H.; Farmer, Nicole M.; Gandhi, Avni; Shelburne, Emily; Weaver, Jamie

    2010-01-01

    Purpose: To establish normative data for children on the Words-in-Noise Test (WIN; R. H. Wilson, 2003; R. H. Wilson & R. McArdle, 2007). Method: Forty-two children in each of 7 age groups, ranging in age from 6 to 12 years (n = 294), and 24 young adults (age range: 18-27 years) with normal hearing for pure tones participated. All listeners…

  1. The successful use of extracorporeal photopheresis in a 12-year-old patient with refractory epidermolysis bullosa acquisita

    DEFF Research Database (Denmark)

    Liszewski, Walter; Omland, Silje Haukali; Gniadecki, Robert

    2015-01-01

    Epidermolysis bullosa acquisita is a rare autoimmune bullous disease of the mucosa and skin characterized by the presence of anti-collagen VII antibodies at the dermoepidermal junction. Most patients respond to immunosuppressive or antiinflammatory agents, although patients whose condition is ref...... is refractory to these therapies will require more aggressive treatment. We present a 12-year-old girl with refractory epidermolysis bullosa acquisita who responded to extracorporeal photopheresis....

  2. [Phyllodes tumor in a 12-year old teenage girl: about a case and review of the literature].

    Science.gov (United States)

    Issara, Karima; Houjami, Majdouline; Sahraoui, Souha; Bouchbika, Zineb; Benchakroun, Nadia; Jouhadi, Hassan; Tawfiq, Nezha; Benider, Abdellatif

    2016-01-01

    Phyllodes tumors of the breast are very rare and are exceptional in children and adolescents; their treatment is based on surgery and radiotherapy, with a good prognosis. We report the case of a 12-year old teenage girl presenting with a mass in the left breast. The diagnosis of a phyllodes tumor was confirmed on the basis of clinical, imaging and histological examinations. Treatment consisted of a large tumorectomy without adjuvant therapy, with good evolution during a 2-year follow-up.

  3. A cautionary tale: anaphylaxis to isosulfan blue dye after 12 years and 3339 cases of lymphatic mapping.

    Science.gov (United States)

    Kaufman, Gabriel; Guth, Amber A; Pachter, H Leon; Roses, Daniel F

    2008-02-01

    Sentinel node biopsy has become the standard method for lymphatic staging in early-stage breast cancer and melanomas. The most commonly used technique uses both a radioactive tracer as well as blue dye, usually isosulfan blue. In this report, we discuss two episodes of anaphylaxis to isosulfan blue during lymphatic mapping, occurring 12 years and 3339 lymphatic mapping cases after adoption of the technique, and discuss management issues raised by these events.

  4. Normative and perceived orthodontic needs among 12 year old school children in Chennai, India - A comparative study

    OpenAIRE

    I Meignana Arumugham; S. Sarvanan; Joseph John; P. Sreedhar Reddy

    2010-01-01

    Four schools were selected randomly and all 12 year old children were included in the study. A total of 613 school children (334 boys and 279 girls) were examined. A self-administered pre-tested questionnaire about perceived need to have their teeth straightened was elicited. Clinical examination was carried using Dental Aesthetic Index (DAI). Chi-square test was done to test the association between normative orthodontic need and perceived orthodontic need. Minor or no anomaly was seen in 350...

  5. Stable expression and phenotypic impact of attacin E transgene in orchard grown apple trees over a 12 year period

    Directory of Open Access Journals (Sweden)

    Aldwinckle Herb S

    2010-06-01

    Full Text Available Abstract Background Transgenic trees currently are being produced by Agrobacterium-mediated transformation and biolistics. The future use of transformed trees on a commercial basis depends upon thorough evaluation of the potential environmental and public health risk of the modified plants, transgene stability over a prolonged period of time and the effect of the gene on tree and fruit characteristics. We studied the stability of expression and the effect on resistance to the fire blight disease of the lytic protein gene, attacin E, in the apple cultivar 'Galaxy' grown in the field for 12 years. Results Using Southern and western blot analysis, we compared transgene copy number and observed stability of expression of this gene in the leaves and fruit in several transformed lines during a 12 year period. No silenced transgenic plant was detected. Also the expression of this gene resulted in an increase in resistance to fire blight throughout 12 years of orchard trial and did not affect fruit shape, size, acidity, firmness, weight or sugar level, tree morphology, leaf shape or flower morphology or color compared to the control. Conclusion Overall, these results suggest that transgene expression in perennial species, such as fruit trees, remains stable in time and space, over extended periods and in different organs. This report shows that it is possible to improve a desirable trait in apple, such as the resistance to a pathogen, through genetic engineering, without adverse alteration of fruit characteristics and tree shape.

  6. Etiological features of borderline personality related characteristics in a birth cohort of 12-year-old children.

    Science.gov (United States)

    Belsky, Daniel W; Caspi, Avshalom; Arseneault, Louise; Bleidorn, Wiebke; Fonagy, Peter; Goodman, Marianne; Houts, Renate; Moffitt, Terrie E

    2012-02-01

    It has been reported that borderline personality related characteristics can be observed in children, and that these characteristics are associated with increased risk for the development of borderline personality disorder. It is not clear whether borderline personality related characteristics in children share etiological features with adult borderline personality disorder. We investigated the etiology of borderline personality related characteristics in a longitudinal cohort study of 1,116 pairs of same-sex twins followed from birth through age 12 years. Borderline personality related characteristics measured at age 12 years were highly heritable, were more common in children who had exhibited poor cognitive function, impulsivity, and more behavioral and emotional problems at age 5 years, and co-occurred with symptoms of conduct disorder, depression, anxiety, and psychosis. Exposure to harsh treatment in the family environment through age 10 years predicted borderline personality related characteristics at age 12 years. This association showed evidence of environmental mediation and was stronger among children with a family history of psychiatric illness, consistent with diathesis-stress models of borderline etiology. Results indicate that borderline personality related characteristics in children share etiological features with borderline personality disorder in adults and suggest that inherited and environmental risk factors make independent and interactive contributions to borderline etiology.

  7. Etiological features of borderline personality related characteristics in a birth cohort of 12-year-old children

    Science.gov (United States)

    BELSKY, DANIEL W.; CASPI, AVSHALOM; ARSENEAULT, LOUISE; BLEIDORN, WIEBKE; FONAGY, PETER; GOODMAN, MARIANNE; HOUTS, RENATE; MOFFITT, TERRIE E.

    2012-01-01

    It has been reported that borderline personality related characteristics can be observed in children, and that these characteristics are associated with increased risk for the development of borderline personality disorder. It is not clear whether borderline personality related characteristics in children share etiological features with adult borderline personality disorder. We investigated the etiology of borderline personality related characteristics in a longitudinal cohort study of 1,116 pairs of same-sex twins followed from birth through age 12 years. Borderline personality related characteristics measured at age 12 years were highly heritable, were more common in children who had exhibited poor cognitive function, impulsivity, and more behavioral and emotional problems at age 5 years, and co-occurred with symptoms of conduct disorder, depression, anxiety, and psychosis. Exposure to harsh treatment in the family environment through age 10 years predicted borderline personality related characteristics at age 12 years. This association showed evidence of environmental mediation and was stronger among children with a family history of psychiatric illness, consistent with diathesis–stress models of borderline etiology. Results indicate that borderline personality related characteristics in children share etiological features with borderline personality disorder in adults and suggest that inherited and environmental risk factors make independent and interactive contributions to borderline etiology. PMID:22293008

  8. 12 Years of the National Quality Award of the Slovak Republic

    Directory of Open Access Journals (Sweden)

    Monika Jurkovičová

    2012-10-01

    Full Text Available The objective of the article is to present twelve years of the National Quality Award of the Slovak Republic, survey results of the awarded organisations and their benefits for the success of the organisation. The basis is previous knowledge of recognition based on the EFQM Excellence Model and CAF Model in the Slovak Republic. The questionnaire survey has been used completed with respondent’s allegation. The aim of the survey was to gain proposals for improvements for the following annual sets of the National Quality Awards of the Slovak Republic to raise quality awareness and competitiveness of Slovak private and public organisations. The following findings were main conclusions. The most effective way of how to approach potential competition participants it to approach them with a direct email information. Expectations of most organisations entering the competition have been met. The quality model implementation and site visit based recommendations were main benefits of participating in the competition that resulted in success and added value in different areas of the organisation and its performance. Organisations that have an experience of at least one year participation in the competition claim its importance. It is also confirmed by the fact that organisations that became winners of its category in the past, backtrack to the competition after three and more years to benchmark their improvements and advancement. The competition is a strong tool that is able to assist an organisation on its journey to success and excellence.

  9. Prediction of compliance with MRI procedures among children of ages 3 years to 12 years

    Energy Technology Data Exchange (ETDEWEB)

    Cahoon, Glenn D. [The Royal Children' s Hospital Melbourne, Medical Imaging Department, Parkville (Australia); Davison, Tanya E. [Monash University, Melbourne (Australia)

    2014-10-15

    A number of children are unable to comply with an MRI procedure and require general anesthetic. However, we lack information about which factors are associated with MRI compliance in young children. To determine the strongest predictors of MRI compliance, focusing on variables that can be easily rated by patients' parents. A sample of 205 children ages 3-11 years (mean age 6.6 years) who were at risk of non-compliance were recruited from a children's hospital. Their parents completed a behavior assessment scale for children as well as a questionnaire that assessed their expectations of compliance and perception of their child's typical medical compliance. The children subsequently completed a mock MRI with an educational play therapist and a clinical MRI, with the quality of the scan scored by the MRI technologist. Overall, 88.3% of children complied with the clinical scan and achieved diagnostic images, with age unrelated to compliance in this well-prepared patient group. The strongest predictors of MRI compliance were parental expectations and ratings of how well the child typically copes with medical procedures. Non-compliance was related to child attention problems and to poor adaptability among children. A total of 64 preschool-age children (91.4%) and 110 school-age children (95.7%) were correctly classified as compliant or non-compliant based on these predictor variables. A child's temperament, medical experiences and parental expectations provide important information in predicting which children successfully comply with an MRI procedure and which require general anesthesia. Further study is needed to explore the utility of these variables in predicting compliance at sites that do not have access to an MRI simulator. (orig.)

  10. Large-volume liposuction: a review of 631 consecutive cases over 12 years.

    Science.gov (United States)

    Commons, G W; Halperin, B; Chang, C C

    2001-11-01

    were good, with a 2- to 6-inch drop from preoperative measurements, depending on the area treated. Ten percent of patients experienced minor skin contour irregularities, with most of these patients not requiring any additional surgical procedures. One year after surgery, 80 percent of patients maintained stable postoperative weights. No serious complications were experienced in this series. The majority of the complications consisted of minor skin injuries and burns, allergic reactions to garments, and postoperative seromas. The more serious complications included four patients who developed mild pulmonary edema and one patient who developed pneumonia postoperatively. These patients were treated appropriately and went on to have uneventful recoveries. The results show that large-volume liposuction can be a safe and effective procedure when patients are carefully selected and when anesthetic and surgical techniques are properly performed. Meticulous fluid balance calculations are necessary to avoid volume abnormalities, and experience is mandatory when performing the largest aspirations. Cosmetic benefits are excellent, and overall complication rates are low.

  11. Influence of ultrasonic adsorption lithotripsy by percutaneous nephroscope on inflammation mediators and stress hormones of patients with infectious renal calculi

    Institute of Scientific and Technical Information of China (English)

    Dong Lu; Xiao-Lei Jiang; Ming-Hui Wu; Yun-Jun Wu; Qiang Yuan

    2016-01-01

    Objective:To investigate the influence of ultrasonic adsorption lithotripsy by percutaneous nephroscope on inflammation mediators and stress hormones of the patients with infectious renal calculi. Methods:A total of 62 patients with infectious renal calculi in our hospital from January 2014 to June 2015 were selected as the study object,and they were randomly divided into control group(pneumatic ballistic lithotripsy by percutaneous nephroscope group) 31 cases and observation group(ultrasonic adsorption lithotripsy by percutaneous nephroscope group) 31 cases,then the serum expression levels of inflammation mediators and stress hormones of two groups before the treatment and at 12 h-24 h and 48 h after the treatment were compared. Results:The serum expression levels of inflammation mediators and stress hormones of two groups before the treatment were compared,all P>0.05,and the serum expression levels of observation group at 12 h-24 h and 48 h after the treatment were significantly lower than those of control group,while the expression levels of two groups after the treatment were all significantly higher than those before the treatment,all P<0.05. Conclusions:The inflammation mediators and stress hormones of patients with infectious renal calculi who are treated with pneumatic ballistic lithotripsy by percutaneous nephroscope are relatively lower,and it shows that the trauma and bad stress for the body are better controlled, so its clinical application value are relatively higher.

  12. Symptomatic small non-obstructing lower ureteric calculi: comparison of ureteroscopy and extra corporeal shock wave lithotripsy.

    Directory of Open Access Journals (Sweden)

    Andankar M

    2001-07-01

    Full Text Available OBJECTIVE: To compare the success, efficacy and complications of ureteroscopy (URS and extra corporeal shock wave lithotripsy (ESWL for the treatment of symptomatic small non obstructing lower ureteric calculi. SUBJECTS AND METHODS: This prospective non-randomised study was conducted simultaneously at two urological referral centres, included 280 patients with symptomatic small (4-10 mm lower ureteric calculi (situated below the sacroiliac joint, with good renal function on intravenous urography. Patients were offered both the treatment options. One hundred and sixty patients chose ureteroscopy, whereas 120 patients were treated by ESWL. Standard techniques of ureteroscopy and ESWL were employed. Patients were followed-up to assess the success rates and complications of the two procedures. RESULTS: Ureteroscopy achieved complete stone clearance in one session in 95% of patients. In six patients ureteroscopy had failed initially and was later accomplished in second session improving the success rate to 98.7%. Two patients had a proximal migration of calculus that needed ESWL. Of the 120 patients treated by ESWL, 90% achieved stone free status at three months. Ureteroscopy was needed for twelve patients (10% where ESWL failed to achieve stone clearance. There were no significant ESWL related complications. ESWL was administered on outpatient basis, while patients needed hospitalisation and anaesthesia for ureteroscopy. CONCLUSION: ESWL can be the primary mode of treatment for symptomatic small non-obstructing lower ureteric calculi as it is minimally invasive and safe. Ureteroscopy can be offered to patients who demand immediate relief or when ESWL fails.

  13. Erosive tooth wear among 12-year-old schoolchildren: a population-based cross-sectional study in Montevideo, Uruguay.

    Science.gov (United States)

    Alvarez Loureiro, Licet; Fabruccini Fager, Anunzziatta; Alves, Luana Severo; Alvarez Vaz, Ramón; Maltz, Marisa

    2015-01-01

    The aim of this study was to assess the prevalence, extent, severity, intraoral distribution and risk indicators for erosive tooth wear (ETW) among 12-year-old schoolchildren from Montevideo, Uruguay. A population-based, cross-sectional survey was conducted using a representative sample of 1,136 12-year-old schoolchildren attending public and private schools. Parents answered questions on socioeconomic status and general health. Schoolchildren answered questions on dietary and oral hygiene habits. Two calibrated examiners recorded ETW on permanent teeth according to the Basic Erosive Wear Examination (BEWE) score system. Logistic regression models were performed to assess the association between the predictor variables and the prevalence of ETW (overall and severe ETW). Odds ratios (OR) and the respective 95% confidence intervals (CI) were estimated. The prevalence of ETW was 52.9%, being mild erosion (BEWE = 1) in the vast majority of cases (48.5%). Severe erosion (BEWE ≥2) was detected in 4.4% of schoolchildren. The overall prevalence of ETW differed significantly between categories of gender and socioeconomic status, but only between gender in the severe ETW analysis. The overall extent of ETW was significantly different between categories of gender, socioeconomic status, and swish before swallow. The extent of severe ETW differed between categories of swish before swallow and brushing frequency. In the logistic regression analysis, no association was found between the studied variables and the overall prevalence of ETW. Males were more likely to have severe ETW than females (OR = 3.22, 95% CI = 1.50-6.89). ETW may be considered a public health problem among 12-year-old-Uruguayan schoolchildren.

  14. Prevalence of Malocclusion among 10-12-year-old Schoolchildren in Kozhikode District, Kerala: An Epidemiological Study

    Science.gov (United States)

    Jeseem, MT; Kumar, TV Anupam

    2016-01-01

    ABSTRACT Background: A malocclusion is an irregularity of the teeth or a malrelationship of the dental arches beyond the range of what is accepted as normal. Objectives: To determine the prevalence of malocclusion in children aged 10-12 years in Kozhikode district of Kerala, South India. Materials and methods: A descriptive cross-sectional study was conducted among schoolchildren aged 10-12 years in six schools in Kozhikode district of Kerala, South India. A total of 2,366 children satisfied the inclusion criteria. Occlusal characteristics like crossbite, open bite, deep bite, protrusion of teeth, midline deviations, midline diastema and tooth rotation were recorded. The data were tabulated and analyzed using Chi-square test. Results: The results revealed that the overall prevalence of malocclusion was 83.3%. Of this, 69.8% of the children had Angle’s class I malocclusion, 9.3% had class II malocclusion (division 1 = 8.85%, division 2 = 0.5%) and 4.1% had class III malocclusion; 23.2% showed an increased overjet (>3 mm), 0.4% reverse overjet, 35.6% increased overbite (>3 mm), 0.29% open bite, 7.2% crossbite with 4.6% crossbite of complete anterior teeth, 63.3% deviation of midline, 0.76% midline diastema and 3.25% rotated tooth. No significant differences in gender distributions of malocclusions were noted except for increased overjet and overbite. Conclusion: There is high prevalence of malocclusion among schoolchildren in Kozhikode district of Kerala. Early interception and early correction of these malocclusions will eliminate the potential irregularities and malpositions in the developing dentofacial complex. How to cite this article: Narayanan RK, Jeseem MT, Kumar TVA. Prevalence of Malocclusion among 10-12-year-old Schoolchildren in Kozhikode District, Kerala: An Epidemiological Study. Int J Clin Pediatr Dent 2016;9(1):50-55. PMID:27274156

  15. BMI and waist circumference; cross-sectional and prospective associations with blood pressure and cholesterol in 12-year-olds.

    Directory of Open Access Journals (Sweden)

    Marga B M Bekkers

    Full Text Available OBJECTIVE: Childhood and adolescent overweight, defined by body mass index (BMI are associated with an increased risk of cardiovascular disease in later life. Abdominal adiposity may be more important in associations with cardiovascular diseases but waist circumference (WC has been rarely studied in children. We studied associations between BMI and WC and blood pressure (BP and cholesterol in 12-year-old children and prospectively changes in BMI or WC status between age 8 and 12 years and BP and cholesterol at age 12. STUDY DESIGN: Weight, height, WC, BP and cholesterol concentrations were measured in 1432 children at age 12 years. Linear regression was used to study the associations between high BMI and large WC (>90(th percentile and BP and cholesterol. RESULTS: Systolic BP was 4.9 mmHg higher (95% (CI 2.5, 7.2 in girls and 4.2 mmHg (95%CI 1.9, 6.5 in boys with a high BMI. Large WC was also associated with higher systolic BP in girls (3.7 mmHg (95%CI 1.3, 6.1 and boys (3.5 mmHg (95%CI 1.2, 5.8. Diastolic BP and cholesterol concentrations were significantly positively (HDL cholesterol negatively associated with high BMI and large WC, too. Normal weight children with a history of overweight did not have higher blood pressure levels or adverse cholesterol concentrations than children that were normal weight at both ages. CONCLUSION: A high BMI and large WC were associated with higher BP levels and adverse cholesterol concentrations. WC should be taken into account when examining cardiovascular risk factors in children.

  16. Epidemiological study on Buccal Health in the 12 years old population of Health Care Area VIII in Cienfuegos.

    Directory of Open Access Journals (Sweden)

    Yumaidi Colina Sánchez

    2007-08-01

    Full Text Available Background: The 12 years-old children population is worldwide taken as a reference age to compare the buccal health condition of different countries, by means of various indicators that measure the presence of the main buccal diseases. The knowledge of these epidemiological profiles generates information to guide the services planning policies of the Primary Health Care. Objective: To characterize 12 years-old population's buccal health condition. Methods: Cross- sectional descriptive correlative study with a stratified probabilistic sample of 90 children starting from a universe conformed by the 269 adolescents that constitute the total of the 12 years old population of the Health Care Area VIII in Cienfuegos municipality. Pearson’s chi-square and Mantel-Haenszel lineal tendency tests were used with the determination of the relative risk and reliance intervals of 95%. Results: The decay prevalence reached 54, 4%. The COP-D index was 2, 45 being the decayed component the major percentage with 4.6%. The periodontal disease was more frequent in boys than in girls, with 54, 9% and 30, 8% respectively. 80,9% of the segments is healthy. In those affected, the calculation prevailed in 11,7%. It was determined that faulty obturations, inheritance and faulty buccal hygiene were the most affecting risk factors for children with decays, while in the periodontal disease it was faulty buccal hygiene. Malocclusions presented a prevalence rate of 40%. Out of which, 55,6% required secondary level attention. Those with habits present a risk 2 times superior of making sick. The sick epidemiological category was present in 77,8% of the total. Conclusions: We emphasize the prevention need as core issue of the primary medical care in the world today; being the General-Integral Dentist a transforming agent that according to his/her formation is capable to assume the existent health problem and to modify it positively, acting from the earliest ages.

  17. Six-minute walk test: reference values and prediction equation in healthy boys aged 5 to 12 years.

    Directory of Open Access Journals (Sweden)

    Nathalie Goemans

    Full Text Available OBJECTIVE: This study aimed to (1 generate normative data in healthy boys aged 5-12 years for the six-minute walk test (6MWT, an outcome measure currently used in clinical trials in Duchenne muscular dystrophy (DMD, (2 to describe the relation with anthropometric variables and myometry, and (3 to compare our data with published equations. METHODS: The 6MWT was conducted in 442 boys according to a standardized protocol, as currently used in clinical trials in DMD. Maximal voluntary isometric contractions for knee flexion and extension were recorded with a hand-held myometer. RESULTS: The 6MWD increased significantly with age, from 478.0 ± 44.1 m at age 5, to 650.0 ± 76.8 m at age 12, with the steepest increase between 5 and 8 years. Age- and height related percentile curves of the 6MWD were developed. Correlations with anthropometric variables were fair to good (age r = 0.60, height r = 0.57, weight r = 0.44. Myometric variables (knee flexors and extensors showed correlations of 0.46 and 0.50 respectively. When dividing into two age categories (5-8 years, 9-12 years, these magnitudes of correlations only applied to the younger age group. Additionally, predicted values were calculated according to available reference equations (Geiger and Ben Saad, indicating an overestimation by those equations. Finally, the Geiger equation was refitted to our population. CONCLUSION: The percentile curves according to age and height provide a useful tool in the assessment of ambulatory capacity in boys aged 5 to 12 years. Significant correlations with anthropometric variables and myometry were only found in the 5-8 years age group. The Geiger prediction equation, currently used to assess ambulatory capacity in DMD was refitted to obtain a more accurate prediction model based on a large sample with a homogenous distribution across the age categories 5 to 12 years and applying the methodology as currently used in clinical trials in DMD.

  18. Six-Minute Walk Test: Reference Values and Prediction Equation in Healthy Boys Aged 5 to12 Years

    Science.gov (United States)

    Goemans, Nathalie; Klingels, Katrijn; van den Hauwe, Marleen; Boons, Stefanie; Verstraete, Liese; Peeters, Charlotte; Feys, Hilde; Buyse, Gunnar

    2013-01-01

    OBJECTIVE This study aimed to (1) generate normative data in healthy boys aged 5–12 years for the six-minute walk test (6MWT), an outcome measure currently used in clinical trials in Duchenne muscular dystrophy (DMD), (2) to describe the relation with anthropometric variables and myometry, and (3) to compare our data with published equations. METHODS The 6MWT was conducted in 442 boys according to a standardized protocol, as currently used in clinical trials in DMD. Maximal voluntary isometric contractions for knee flexion and extension were recorded with a hand-held myometer. RESULTS The 6MWD increased significantly with age, from 478.0±44.1 m at age 5, to 650.0±76.8 m at age 12, with the steepest increase between 5 and 8 years. Age- and height related percentile curves of the 6MWD were developed. Correlations with anthropometric variables were fair to good (age r = 0.60, height r = 0.57, weight r = 0.44). Myometric variables (knee flexors and extensors) showed correlations of 0.46 and 0.50 respectively. When dividing into two age categories (5–8 years, 9–12 years), these magnitudes of correlations only applied to the younger age group. Additionally, predicted values were calculated according to available reference equations (Geiger and Ben Saad), indicating an overestimation by those equations. Finally, the Geiger equation was refitted to our population. CONCLUSION The percentile curves according to age and height provide a useful tool in the assessment of ambulatory capacity in boys aged 5 to 12 years. Significant correlations with anthropometric variables and myometry were only found in the 5–8 years age group. The Geiger prediction equation, currently used to assess ambulatory capacity in DMD was refitted to obtain a more accurate prediction model based on a large sample with a homogenous distribution across the age categories 5 to 12 years and applying the methodology as currently used in clinical trials in DMD. PMID:24391899

  19. A Rare Case of Tamarind Seed Induced Oral Submucous Fibrosis in a 12-Year-Old Indian Boy.

    Science.gov (United States)

    Kamat, Mamata Sharad; Puranik, Rudrayya Shivanand; Hallur, Neelkamal Halappa; Kumar, Varsha Vimal; Kamat, Sharad Basavaraj

    2016-06-01

    Oral Submucous Fibrosis (OSMF) is a chronic debilitating, potentially malignant disorder of the oral cavity. It is characterized by restricted mouth opening which results due to abnormal accumulation of collagen in the sub-epithelial layers leading to dense fibrous bands in the mouth. The pathogenesis of the disease is believed to be multifactorial. However, literature reports suggest a strong association of OSMF and arecanut chewing habit. The present paper presents a case of OSMF in a 12-year-old boy without arecanut chewing habit, but with a heavy practice of chewing tamarind seeds.

  20. Features of physiological responses on organism of football players aged 10-12 years in exercise using different training methods

    Directory of Open Access Journals (Sweden)

    Abdula A. B.

    2014-01-01

    Full Text Available Purpose : To evaluate the effect of various special exercises football players’ organism in different modes. Material : The study involved 24 young players aged 10-12 years. Results : There is a large range of load parameters for elite athletes, which necessitates evaluation exercise intensity football for young players. Found that depending on the method chosen football special exercises have different effects on the body force young players. Conclusions : It was found that by using the method of competitive gaming and heart rate and energy increases with increasing number of players. The analysis shows the existence of significant differences in terms of heart rate for game and interval method.

  1. The Contribution of the New South Wales Primary Schools Sports Association towards Developing Talent in Australian 12-Year-Old Female Swimmers

    Science.gov (United States)

    Light, Richard

    2012-01-01

    This article reports on a case study that inquired into the influence of the New South Wales Primary Schools Sports Association competitive swimming structure on the development of talented 12-year old female swimmers. The study focused on ten 12-year old girls in the New South Wales team that contested the 2009 national swimming championships…

  2. Combined micro-and standard percutaneous nephrolithotomy for complex renal calculi

    Science.gov (United States)

    Buldu, İbrahim; Tepeler, Abdulkadir; Karatağ, Tuna; İnan, Ramazan; Armağan, Abdullah; İstanbulluoğlu, Okan

    2016-01-01

    Objective We aimed to present the technique of combination of standard percutaneous nephrolithotomy (PNL) with microperc for achieving higher success rates without increasing complication rates in the management of complex renal calculi. Material and methods The patients who underwent microperc procedure as a complementary procedure to standard PNL for complex kidney stones in two reference hospitals between 2013 and 2015, were evaluated retrospectively. Results All patients underwent a total of two accesses one for standard PNL and one for microperc. The mean stone size was measured as 54.3 mm. The procedures were completed after an average operative time of 88.2 minutes and fluoroscopy time of 5.3 minutes. Stone free status was achieved in 18 cases (78.2%) and small residual fragments (≤4 mm) were detected in 3 cases (13.1%). Complications were seen in three patients (13%) as hemorrhage in one and postoperative fever in two patients. Conclusion Despite the limitations of this study, the combination of standard PNL and microperc might reduce the complication rates and increase the success rates when treating complex kidney stones. Future prospective and comparative studies are needed. PMID:27635289

  3. Scintigraphy and Doppler ultrasonography for the evaluation of obstructive urinary calculi

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    L. Gandolpho

    2001-06-01

    Full Text Available Forty-seven patients with unilateral obstructive calculi (12 males and 35 females were submitted to 99mTc-diethylene triamine pentaacetic acid (DTPA or 99mTc-dimercaptosuccinic acid (DMSA scans for assessment of renal function. The scans revealed unilateral functional deficit in 68 and 66% of the patients, respectively. A calculus size of 1.1 to 2.0 cm was significantly associated with deficit detected by DTPA, but duration of obstruction and calculus localization were not. After relief of the obstruction, the mean percent renal function of the affected kidney was found to be significantly increased from 25 ± 12% to 29 ± 12% in DTPA and from 21 ± 15% to 24 ± 12% in DMSA. Initial Doppler ultrasonography performed in 35 patients detected an increased resistive index in 10 (29%. In the remaining patients with a normal resistive index, ureteral urinary jet was observed, indicating partial obstruction. The high frequency of renal function impairment detected by DTPA and of tubulointerstitial damage detected by DMSA as well as the slight amelioration of unilateral renal function after relief of obstruction suggest that scintigraphy assessment may help evaluate the unilateral percentage of renal function and monitor renal function recovery when it occurs. The presence of a urinary jet detected by Doppler ultrasonography further indicates the severity of obstruction and the recovery prognosis.

  4. Photothermal ablation is the primary mechanism in holmium:YAG laser lithotripsy of urinary calculi

    Science.gov (United States)

    Glickman, Randolph D.; Teichman, Joel M. H.; Corbin, Nicole S.; Vassar, George J.; Weintraub, Susan T.; Chan, Kin Foong; Welch, Ashley J.

    1999-09-01

    Because of the >= 250 microsecond(s) pulsewidth emitted by the Ho:YAG laser used in clinical lithotripsy, it is unlikely that stress confinement occurs within the irradiated stones. Experimental data supports a thermal mechanism for Ho:YAG laser stone ablation. Previous work has shown that stone fragmentation occurs soon after the onset of the laser pulse, is uncorrelated to cavitation bubble formation or collapse, and is associated with low pressures. Moreover, lithotripsy proceeds fastest with desiccated stones in air (data based on laser ablation of calcium oxalate monohydrate stones), indicating that direct absorption of the laser radiation by the stone material is required for the most efficient ablation. Lowering the initial temperature of calculi reduces the stone mass-loss following 20 J of delivered laser energy: 2.2 +/- 1.1 mg vs 5.2 +/- 1.6 mg for calcium oxalate monohydrate (COM) stones (-80 vs 23 degree(s)C), and 0.8 +/- 0.4 mg vs 2.2 +/- 1.1 mg for cystine stones (-80 vs 23 degree(s)C), p cystine; Ca2O7P2 from calcium hydrogen phosphate dihydrate, and cyanide and alloxan from uric acid. All of these observations are most consistent with a photothermal breakdown process induced by Ho:YAG laser lithotripsy.

  5. Identification of mineral compositions in some renal calculi by FT Raman and IR spectral analysis

    Science.gov (United States)

    Tonannavar, J.; Deshpande, Gouri; Yenagi, Jayashree; Patil, Siddanagouda B.; Patil, Nikhil A.; Mulimani, B. G.

    2016-02-01

    We present in this paper accurate and reliable Raman and IR spectral identification of mineral constituents in nine samples of renal calculi (kidney stones) removed from patients suffering from nephrolithiasis. The identified mineral components include Calcium Oxalate Monohydrate (COM, whewellite), Calcium Oxalate Dihydrate (COD, weddellite), Magnesium Ammonium Phosphate Hexahydrate (MAPH, struvite), Calcium Hydrogen Phosphate Dihydrate (CHPD, brushite), Pentacalcium Hydroxy Triphosphate (PCHT, hydroxyapatite) and Uric Acid (UA). The identification is based on a satisfactory assignment of all the observed IR and Raman bands (3500-400 cm- 1) to chemical functional groups of mineral components in the samples, aided by spectral analysis of pure materials of COM, MAPH, CHPD and UA. It is found that the eight samples are composed of COM as the common component, the other mineral species as common components are: MAPH in five samples, PCHT in three samples, COD in three samples, UA in three samples and CHPD in two samples. One sample is wholly composed of UA as a single component; this inference is supported by the good agreement between ab initio density functional theoretical spectra and experimental spectral measurements of both sample and pure material. A combined application of Raman and IR techniques has shown that, where the IR is ambiguous, the Raman analysis can differentiate COD from COM and PCHT from MAPH.

  6. Tratamiento no quirúrgico de la litiasis biliar Non-Surgical treatment of biliary calculi

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    Felipe Franco

    1992-01-01

    Full Text Available

    Se describen diversos procedimientos para el tratamiento no quirúrgico de la colelitiasis: la administración de ácidos billares orales, la litotripsia extracorpórea, la colecistostomía percutánea, la escleroterapia de la vesícula y la litotripsia mecánica; se consignan las indicaciones, ventajas, desventajas y limitaciones de cada uno de ellos.

    Several procedures are described for non-surgical treatment of biliary calculi, namely: oral administration of bile acids, extracorporeal shock-wave lithotrypsy I percutaneous cholecystostomy I gallbladder sclerotherapy

    and mechanicallithotrypsy. lndications, advantages, disadvantages and limitations of each procedure are discussed.

  7. Effects of Reduced Tillage on Crop Yield, Plant Available Nutrients and Soil Organic Matter in a 12-Year Long-Term Trial under Organic Management

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    Wilhelm Claupein

    2013-09-01

    Full Text Available A field experiment was performed in Southwest Germany to examine the effects of long-term reduced tillage (2000–2012. Tillage treatments were deep moldboard plow: DP, 25 cm; double-layer plow; DLP, 15 + 10 cm, shallow moldboard plow: SP, 15 cm and chisel plow: CP, 15 cm, each of them with or without preceding stubble tillage. The mean yields of a typical eight-year crop rotation were 22% lower with CP compared to DP, and 3% lower with SP and DLP. Stubble tillage increased yields by 11% across all treatments. Soil nutrients were high with all tillage strategies and amounted for 34–57 mg kg−1 P and 48–113 mg kg−1 K (0–60 cm soil depth. Humus budgets showed a high carbon input via crops but this was not reflected in the actual Corg content of the soil. Corg decreased as soil depth increased from 13.7 g kg−1 (0–20 cm to 4.3 g kg−1 (40–60 cm across all treatments. After 12 years of experiment, SP and CP resulted in significantly higher Corg content in 0–20 cm soil depth, compared to DP and DLP. Stubble tillage had no significant effect on Corg. Stubble tillage combined with reduced primary tillage can sustain yield levels without compromising beneficial effects from reduced tillage on Corg and available nutrient content.

  8. The relative age effect on anthropometric characteristics and motor performances in Turkish children aged between 8 and 12 years

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    Haslofça Ercan

    2016-01-01

    Full Text Available This study was carried out to investigate the effect of relative age on anthropometric properties and motor performance in Turkish children (girls n=423, boys n=601. Anthropometric measurement sites and techniques have been set out by the ISAK (International Society for the Advancement of Kinanthropometry. A group of tests involved in Eurofit Test Battery and other standard tests were used. For each age, the data of those who were born within the first three months and the last three months of the year were compared. The MedCalc Statistics Program was used for the differentiation and variation percentages between two periods were studied (p≤ 0.001, p= 0.05. Consequently effect of relative age was observed on anthropometric characteristics and motor performances of Turkish girls and boys between 8 and 12 years old. Researchers, trainers, families, sports managers and organizers are advised to consider Effect of Relative Age.

  9. Massive low-grade fibromyxoid sarcoma presenting as acute respiratory distress in a 12-year-old girl

    Energy Technology Data Exchange (ETDEWEB)

    Steiner, Michael A.; Giles, Henry W. [University of Mississippi, Department of Diagnostic Radiology, Jackson, MS (United States); Daley, William P. [University of Mississippi, Department of Pathology, Jackson, MS (United States)

    2009-04-15

    Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft-tissue sarcoma that usually presents in young adults as a painless, slow-growing mass. Evans first described LGFMS in 1987 as a spindle-cell sarcoma with bland histological features and paradoxically aggressive behavior. Although young adults are most frequently affected, recent reports describe pediatric cases being increasingly more common. Males and females are affected approximately equally and common locations include the deep soft tissue of the lower extremity, particularly the thigh and trunk. Primary occurrence within the chest cavity is exceedingly rare. Local recurrence and metastasis are not uncommon and present the clinician and radiologist with challenges regarding follow-up recommendations. Review of the literature reveals many cases of slowly progressive symptoms related to a mass effect. We present a healthy 12-year-old African-American girl who interestingly developed acute symptoms of shortness of breath and chest pain while playing with her brother. (orig.)

  10. Primary hemorrhagic stroke in a 12-year-old female with sickle cell disease and normal transcranial Doppler.

    Science.gov (United States)

    Wolf, Michael; Cangemi, Carla; Drachtman, Richard; Masterson, Margaret

    2008-06-01

    Stroke is a well-known complication of sickle cell disease (SCD). It is estimated to occur in approximately 11% of patients with SCD by the age of 20. The most frequent cause of cerebrovascular accident (CVA) is blockage of the intracranial internal carotid and middle cerebral arteries. Hemorrhagic stroke is less common, occurring in approximately 3% of children by age 20. Transcranial Doppler (TCD) is the standard test for prediction of stroke risk in children with sickle cell anemia. The authors present a case of a 12-year-old female with SCD transferred to their institution after suffering a catastrophic intracranial hemorrhage. Her most recent TCD was normal 6 months prior to her admission.

  11. A case of a cholesterol granuloma occluding the external auditory canal in a 12-year-old girl.

    Science.gov (United States)

    Kong, Ji Sun; Kim, Mee-Seon; Lee, Kyu-Yup

    2014-09-01

    Cholesterol granulomas are benign granulomatous lesions caused by tissue reaction to a foreign body such as cholesterol crystals. These crystals have been are associated with pathological conditions of pneumatized spaces, including those causing inadequate aeration, obstruction of drainage, and hemorrhage in pneumatized spaces, and where materials trapping materials, such as hemosiderin or cholesterol become trapped, and then forming a cholesterol granuloma. Cholesterol granulomas are frequently found in the temporal bones, with the middle ear, mastoid caverna, and petrous apex being the most commonly affected sites. As there have been few reported cases of cholesterol granulomas presenting as a mass in the external acoustic canal (EAC), a cholesterol granuloma occluding the entire EAC in a pediatric patient is considered quite rare. We encountered a large cholesterol granuloma occupying the entire EAC, resulting in total EAC occlusion in a 12-year-old girl. The granuloma was diagnosed via medical imaging and surgically excised.

  12. TOMOGRAPHIC ANALYSIS OF T-1 VERTEBRA TO INSERT LAMINAR SCREWS IN CHILDREN FROM 0 TO 12 YEARS

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    Luiz Roberto Delboni Marchese

    2015-12-01

    Full Text Available Objective : Tomographic analysis of the T1 vertebra in children from 0 to 12 years of age, in order to obtain anatomical parameters that assist intralaminar fixation in this pediatric population. Methods : Retrospectively analysis of the spine with CT (cervical and thoracic of individuals aged between 0 and 12 years old, of both sexes, without anatomical deformities. The CT scans were evaluated separately, on each side, for length and thickness of the laminas as well as spinolaminar angle. The morphometric analysis was performed with iSite PACS Philips Healthcare Informatics(r program and the values were expressed in millimeters (mm. The variables were correlated with age groups and sex of individuals. Statistical analysis was performed using t test and the results were considered significant when p<0.05. Results : By means of tomographic analysis of 24 patients it was found that age has no correlation with the angle of attack for intralaminar screws T1. However, the length and thickness of the T1 lamina increase proportionally with age. The total average length of the laminas was 28.62 ± 4.42 mm. The total average thickness was 4.75 ± 0.95 mm (3.2 to 6.5. Conclusion : This study shows relevant data on the use of Tran laminar screws currently commercially available with a minimum thickness of 3.5 mm. It is thus possible to say in this sample, they can be used in 87.5% of all laminas, being applicable in all lamina in patients older than 44 months of age.

  13. Impact of oral health education on plaque scores with and without periodic reinforcement among 12-year-old school children

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    M Padma Reddy

    2016-01-01

    Full Text Available Introduction: As many oral health problems are preventable, creating awareness at a very early age has an impact on their health-related behaviors. Aim: To assess the impact of oral health education on plaque scores with and without periodic reinforcement among 12-year-old school children. Materials and Methods: An experimental study was conducted among 12-year-old children of Manchi School, Balapur in Hyderabad. The study sample comprised 140 children that was further divided randomly into study and control groups with 70 children in each. The study was conducted for a period of 1 month with clinical examination being carried out at baseline and on 30th day using Turesky, Gilmore, and Glickman modification of Quigley–Hein Plaque Index (1970. The study group received oral health education at the baseline and on the 15th day from the baseline, whereas control group received oral health education only at the baseline. Statistical analysis was done using Wilcoxon matched paired test. Results: Mean difference in the plaque scores among groups based on gender from baseline to follow-up examination (30th day revealed that males in the study and control groups had a difference of 1.09 ± 0.3, 0.59 ± 0.3, respectively (P = 0.001. On the other hand, females in the study and control groups had 1.47 ± 0.2, 0.76 ± 0.2 difference which was statistically more significant (P = 0.0001. The study and control groups showed 61.7% and 32.6% reduction in the mean plaque scores from baseline to follow-up examination (30th day. Conclusion: Study group with reinforcement showed a prominent reduction in the mean plaque scores than control group.

  14. Multinutrient supplement as treatment: literature review and case report of a 12-year-old boy with bipolar disorder.

    Science.gov (United States)

    Frazier, Elisabeth A; Fristad, Mary A; Arnold, L Eugene

    2009-08-01

    Early-onset bipolar disorder has significant morbidity and mortality. Development of safe, effective treatments to which patients will adhere is critical. Pharmacologic interventions for childhood bipolar spectrum disorders are limited and are associated with significant risk for adverse events. Diet and nutrition research suggests vitamins, minerals, and other nutrients are important underpinnings of general physical and mental health; furthermore, they may even be useful in treating mood dysregulation by providing a more favorable risk-benefit ratio than contemporary psychotropic agents. This article reviews the literature on multinutrient supplementation and mental health, and examines a case study of a 12-year-old boy with bipolar disorder and co-morbid diagnoses treated for 6 years with conventional medication and finally a multinutrient supplement. The multinutrient supplement in this case study is EMPowerplus (EMP+), a 36-ingredient supplement containing 16 minerals, 14 vitamins, 3 amino acids, and 3 antioxidants. It was used to treat a 12-year-old boy initially diagnosed with bipolar disorder not otherwise specified (BP-NOS) at age 6, and whose diagnosis evolved by age 10 to bipolar I (BP-I), mixed, with psychotic features. He also met criteria for generalized anxiety disorder by age 8 and obsessive-compulsive disorder by age 10. After 6 years of conventional treatment (ages 6-12), he received 14 months of EMP+. Symptom manifestation over 7 years is described in conjunction with treatment history. EMP+ resulted in outcome superior to conventional treatment. This report adds to accumulating preliminary evidence that further basic science and clinical studies of multinutrient supplements are warranted.

  15. Mentzer index as a screening tool for iron deficiency anemia in 6-12-year-old children

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    Sri Lestari S. Alam

    2014-09-01

    Full Text Available Background There is a high prevalence of iron deficiency anemia (IDA in Indonesia. Iron deficiency anemia impairs the growth and development process in children. The reference standard to diagnose IDA is serum ferritin level. Since this test is expensive and rare not widely available, an inexpensive, simpler test is needed. The Mentzer index (mean corpuscular volume/red blood cell or MCV/RBC has been used to identify hypochromic-microcytic anemia with good validity. Objective To assess the validity of the Mentzer index for diagnosing IDA by comparing Mentzer indexes to serum ferritin and to define an optimal Mentzer index cut off point with good sensitivity and specificity. Methods The study was a diagnostic test with cross-sectional design. Subjects were collected by multistage, random sampling, from April to May 2013 at 18 elementary schools in Palembang. The study had a survey phase and diagnostic test phase. Subjects were aged 6-12 years with hypochromic-microcytic anemia. We examined complete blood counts to diagnose hypochromic-microcytic anemia, calculated Mentzer indexes, and measured serum ferritin levels of our subjects. We analyzed the validity of index compared to serum ferritin level for diagnosing IDA. Results There were 100 children in our study, consisting of 51 boys and 49 girls with a mean age of 9.1 (SD 2.02 years. From the receiver-operator curve (ROC curve analysis, the area under the curve (AUC was 91.9% for a Mentzer index cutoff point of 13.51. Diagnostic test analysis revealed a sensitivity of 93%, specificity 84%, and accuracy 90%. Conclusion Mentzer index has good validity as an inexpensive and simple screen for IDA in 6-12-year-old children with hypochromic-microcytic anemia [Paediatr Indones. 2014;54:294-8.].

  16. Protective effect of Urtica dioica methanol extract against experimentally induced urinary calculi in rats.

    Science.gov (United States)

    Zhang, Haiying; Li, Ning; Li, Kun; Li, Peng

    2014-12-01

    Renal calculi formation is one of the most common urological disorders. Urinary stone disease is a common disease, which affects 10‑12% of the population in industrialized countries. In males, the highest prevalence of the disease occurs between the age of 20 and 40 years, while in females, the highest incidence of the disease occurs later. Previous studies have shown that long‑term exposure to oxalate is toxic to renal epithelial cells and results in oxidative stress. In the present study, a methanolic extract of aerial parts of Urtica dioica was screened for antiurolithiatic activity against ethylene glycol and ammonium chloride‑induced calcium oxalate renal stones in male rats. In the control rats, ethylene glycol and ammonium chloride administration was observed to cause an increase in urinary calcium, oxalate and creatinine levels, as well as an increase in renal calcium and oxalate deposition. Histopathological observations revealed calcium oxalate microcrystal deposits in the kidney sections of the rats treated with ethylene glycol and ammonium chloride, indicating the induction of lithiasis. In the test rats, treatment with the methanolic extract of Urtica dioica was found to decrease the elevated levels of urinary calcium, oxalate and creatinine, and significantly decrease the renal deposition of calcium and oxalate. Furthermore, renal histological observations revealed a significant reduction in calcium oxalate crystal deposition in the test rats. Phytochemical analysis of the Urtica dioica extract was also performed using liquid chromatography‑electrospray ionization tandem mass spectrometry and high-performance liquid chromatography with photodiode array detection, to determine the chemical composition of the extract. The eight chemical constituents identified in the extract were protocatechuic acid, salicylic acid, luteolin, gossypetin, rutin, kaempferol‑3‑O‑rutinoside, kaempferol‑3‑O‑glucoside and chlorogenic acid. In conclusion

  17. Physical activity levels and energy expenditure of 9-year-old – 12-year-old overweight and obese children

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    Anita E. Pienaar

    2011-02-01

    Full Text Available The high occurrence of overweight and obesity amongst children is a disturbing health problem worldwide. Possible causes of increasing childhood obesity are inactivity and energy imbalances. The aim of this study was to analyse the total energy expenditure (TEEand physical activity levels in 9-year-old – 12-year-old overweight and obese children during a weekday and a weekend day, as well as during a weekday morning and afternoon. Twenty-four 9-year-old – 12-year-old children (seven boys and 17 girls, of whom nine were overweight and 15 were obese, were selected from seven public primary schools for this study. Body mass index (BMI cut-off points were used to distinguish between overweight and obese. Each participant wore an ACTICAL™ monitor to determine their physical activity levels and TEE. It was found that the TEE of the children did not differ between a week day and a weekend day, although the TEE of the week day afternoon differed significantly from that of the weekday morning. Unlike the overweight children, none of the obese children met the requirements of 60 minutes of moderate-intensity physical activity per day. Strategies should be found to increase the activity levels of overweight and, especially, obese children, specifically during the mornings and over weekends.

    Opsomming

    Die hoë voorkoms van oorgewig en obesiteit onder kinders is wêreldwyd ’n kommerwekkende gesondheidsprobleem. Fisieke onaktiwiteit en energiewanbalanse word as moontlike oorsake van die probleem beskou. Die doel van hierdie studie was om die totale energieverbruik (TEV en fisieke-aktiwiteitsvlakke van 9-jarige – 12-jarige oorgewig- en obese kinders tydens ‘n totale weeksdag en naweekdag te ontleed, asook tydens die oggend en middag van ‘n weeksdag. Vier-en-twintig 9-jarige – 12-jarige kinders (sewe seuns en 17 dogters, waarvan nege oorgewig en 15 obees was, is uit sewe publieke laerskole vir die studie gekies

  18. Prevalence of Tics Among 6- to 12-Year-Old Schoolchildren in the Itagui Municipality, Colombia, in 2010.

    Science.gov (United States)

    Giraldo, Blair Ortiz; David, María; Sánchez, Yaneth; Miranda, Johanna; Sierra, Javier Mauricio; Cornejo, José William

    2013-11-01

    Tics are the most frequent movement disorder in children and they are most prevalent during the school-age years. Most tics are transitory; however, certain tics can be chronic, causing negative repercussions at school, within the family, and socially. In some cases, tics are associated with obsessive compulsive disorder, attention-deficit hyperactivity disorder (ADHD) and other conditions that require diagnosis and prompt treatment. In South America, there are no indexed studies determining the prevalence of tics in school-age children. The aim of this study was to establish the prevalence of tics in schoolchildren aged 6 to 12 years. From 16 000 students aged 6 to 12 years who were enrolled in first to fifth grade, a sample of 346 school-aged children was chosen via a multistage sampling process that randomized the educational systems in terms of proportional size and the stratification between public and private schools and adjusted for the design effect. The students were screened and those who were positive for tics underwent clinical evaluations and semistructured interviews by the researchers to determine the prevalence of the disease. The parents and teachers of 323 students returned our surveys (93.3%). One hundred thirty-eight students (42.7%) were considered positive for tics based on parents' and teachers' reports. The clinical evaluation established a 17.97% prevalence of tics (58 students), and 25 students (43.2%) also met diagnostic criteria for ADHD. Of the students with tics, 27.6% presented with transitory tics, and 72.4% presented with chronic tics. Gilles de la Tourette syndrome was detected in 11 of the children (3.4%). The average age of child with tics was 9 ± 1.5 years, and the majority of the children with tics attended third grade at a basic primary school. Children from public and private schools were equally likely to present with tics. Tics are noteworthy in our field and are associated with other neurobehavioral disorders, such as

  19. Prevalence of Traumatic Dental Injuries to Anterior Teeth of 12-Year-Old School Children in Kashmir, India

    Science.gov (United States)

    Ain, Tasneem S.; Lingesha Telgi, Ravishankar; Sultan, Saima; Tangade, Pradeep; Ravishankar Telgi, Chaitra; Tirth, Amit; Kumar Pal, Sumit; Gowhar, Owais; Tandon, Vaibhav

    2016-01-01

    Background Traumatic dental injuries to anterior teeth are a significant public health problem, not only because their prevalence is relatively high, but also because they have considerable impact on children’s daily lives. Traumatic dental injuries (TDIs) cause physical and psychological discomfort, pain and other negative impacts, such as tendency to avoid laughing or smiling, which can affect social relationships. Objectives This study aimed to assess the prevalence of traumatic dental injuries to anterior teeth among 12-year-old school children in Kashmir, India. Patients and Methods A cross-sectional study was conducted in private and government schools of India among 1600 schoolchildren aged 12 years. In addition to recording of the type of trauma (using Ellis and Davey classification of fractures, 1970), over jet, Angle’s molar relation and lip competence were also recorded. The socioeconomic status and academic performance of the study subjects were registered. The data obtained were compiled systematically and then statistically analyzed. The statistical significance for the association between the traumatic injury and the variables was analyzed using the chi-square test. Logistic regression was used to identify potential risk predictors of TDIs. Results The overall prevalence of TDI to anterior teeth was found to be 9.3%. The TDI to anterior teeth in male was more than female, but the difference was statistically nonsignificant (P sports were the most common causes of trauma in the present study. The highest potential risk factor for the occurrence of trauma was over jet. Academic performance was found to be significantly associated to TDI to anterior teeth, when analyzed in a multiple regression model. Conclusions It was concluded that the prevalence of traumatic dental injuries was 9.3%. Traumatic dental injuries among children exhibit complex interaction between the victims’ oral conditions and their behavior. Therefore, prevention should

  20. ORAL VERSUS NASAL VASOPRESSIN IN THE TREATMENT OF NOCTURNAL ENURESIS IN 5- TO 12-YEAR-OLD CHILDREN

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    Abbas TAGHAVI ARDAKANI

    2010-06-01

    Full Text Available ObjectiveNocturnal enuresis is a common childhood problem and has various treatments.This study was carried out to compare oral and nasal vasopressin in the treatment of nocturnal enuresis in 5- to 12-year-old children who were referred to the Shahid Beheshti Clinic in 2008.Materials & MethodsThis study included 100 children (62 males and 38 females with nocturnal enuresis. One group (50 patients received 20 mcg nasal vasopressin which increased up to 40 mcg, depending on the patients' response. The other group (50 patients received 0.2 mg oral vasopressin which increased up to 0.4 mg.The patients were followed up for one month after response to the last dose of drug. Data were recorded in prepared forms and analyzed using Chi-Square and Fisher Test.ResultsThe success rate with oral and nasal method was 80% and 92%, respectively (P=0.08. Only 2% of the children had complications during the treatment; one child treated orally developed gastroenteritis and another child treated with the nasal method developed convulsions (P=1. Sixteen percent of the children treated with the oral method and 28% of the children treated with the nasal method had recurrence (P=0.148.ConclusionOral and nasal forms of vasopressin have equal therapeutic effects. However, oral form of the treatment has fewer serious side effects and is easier to use. Therefore, the use of oral medicine is recommended.

  1. The use of seatbelts in Port Moresby 12 years after the seatbelt legislation in Papua New Guinea.

    Science.gov (United States)

    Benjamin, Amos L

    2007-01-01

    The aim of this study was to assess the rate of seatbelt use by drivers and front-seat passengers in Port Moresby, 12 years after the seatbelt legislation in 1993. Before the legislation, the rate of seatbelt usage was only 13.3% for drivers and 11.4% for front-seat passengers. Use of seatbelts was assessed by observers at the main city roundabout. 50% of male drivers, 78% of female drivers, 49% of Papua New Guinean drivers and 69% of expatriate drivers wore seatbelts. Among the young drivers (teenagers aged < 20 years) 55% wore seatbelts. Of the front-seat passengers, 37% of males and 58% of females wore seatbelts. Female drivers and female front-seat passengers were more likely to wear seatbelts than males (OR 2.55 [95% CI 1.53-4.23] and 2.34 [95% CI 1.32-4.14]). The front-seat passengers were more likely to be wearing seatbelts if the drivers wore theirs (OR 2.70 [95% CI 1.60-4.55]). Proportionately more drivers and front-seat passengers were wearing seatbelts than during the pre-legislation period, but more seatbelt education and awareness is needed because of the increasing number of road traffic accidents in Papua New Guinea.

  2. Individual and Contextual Determinants of Periodontal Health in 12-Year-Old Schoolchildren in a Brazilian Capital City

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    Lidia Moraes Ribeiro Jordão

    2012-01-01

    Full Text Available The study aimed to describe periodontal health status and its association with individual and contextual factors among 12-year-old schoolchildren in a midwest Brazilian capital city. This cross-sectional study included data from an oral health survey carried out in 2010 in the city of Goiania, Brazil and secondary data obtained from the local health authority. Data were collected through oral clinical examinations and interviews. For assessment of periodontal status two components of the community periodontal index (CPI were used: calculus and bleeding after probing. Dependent variable was presence of any periodontal condition. Independent individual variables were the children’s sex and color/race, and their mother’s level of schooling. Contextual variables were related to the schools (type and existence of toothbrushing program and its geographic location in the health districts. Rao-Scott test and multilevel Poisson analysis were performed. The prevalence of calculus and/or bleeding was 7%. Brown color, public schools, and those located in health district with intermediate socioeconomic indicators were associated to a higher prevalence of this condition. The prevalence of adverse periodontal condition was low and the inequalities in its distribution were determined by individual as well as contextual factors related to the schools and the geographic area.

  3. Oral health status of 5 years and 12 years school going children in Chennai city - An epidemiological study

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    Mahesh Kumar P

    2005-03-01

    Full Text Available India, a developing country, faces many challenges in rendering oral health needs. The majority of Indian population resides in rural areas of which more than 40% constitute children. The purpose of this study was to assess the oral health status of 5 years and 12 years school going children in Chennai city. The study population consisted of 1200 school children of both the sexes (600 private and 600 corporation school children in 30 schools, which had been selected randomly. The survey is based on WHO, 1999 Oral Health Assessment, which has been modified by including gingival assessment, enamel opacities/ hypoplasia for 5 years. Evaluation of the oral health status of these children revealed, dental caries is the most prevalent disease affecting permanent teeth, more than primary teeth and more in corporation than in private schools, thereby, correlating with the socioeconomic status. It may be concluded that the greatest need of dental health education is at an early age including proper instruction of oral hygiene practices and school based preventive programs, which would help in improving preventive dental behaviour and attitude which is beneficial for life time.

  4. A 12-year review of Staphylococcus aureus bloodstream infections in haemodialysis patients: more work to be done.

    LENUS (Irish Health Repository)

    Fitzgerald, S F

    2012-02-01

    Staphylococcus aureus bloodstream infections (BSI) are a significant cause of morbidity and mortality in haemodialysis patients. This study describes a 12-year retrospective review of S. aureus BSI in a large haemodialysis centre in a tertiary referral hospital. The overall rate of S. aureus BSI was 17.9 per 100 patient-years (range 9.7-36.8). The rate of meticillin-resistant S. aureus (MRSA) BSI was 5.6 per 100 patient-years (range 0.9-13.8). Infective complications occurred in 11% of episodes, the most common being infective endocarditis (7.6%). Ten percent of patients died within 30 days of S. aureus being isolated from blood. Most cases of S. aureus BSI (83%) were related to vascular catheters. The provision of lower-risk vascular access, such as arteriovenous fistulae, and reduced use of intravascular catheters should be priorities in all haemodialysis units. Where alternative vascular access cannot be established, interventions to reduce the risk of catheter-related infections should be implemented to reduce morbidity and mortality in this vulnerable patient group.

  5. Primary Leiomyosarcoma of the Mandibular Alveolar Mucosa of a 12-Year-Old Child from Ethiopia: A Case Report.

    Science.gov (United States)

    Kenea, Tewodros Tefera; Kebede, Betel Abebe; Gozjuze, Fekadu Mesele; Kiros, Hagos; Wilde, Frank

    2017-03-01

    Leiomyosarcomas (LMSs) are rare malignant mesenchymal tumors which show smooth-muscle differentiation. Most LMSs involving the oral tissues primarily affect the maxillary sinus, the maxillary or mandibular bone. We present a case of LMS of the mandibular alveolar mucosa, arising in a 12-year-old male child from Ethiopia. A malignant spindle cell-like neoplasm was diagnosed on clinical and radiographic findings as well as on incisional biopsy. The tumor was resected with wide margins. The following histopathologic examination with additional immunohistochemical studies secured the diagnosis LMS. Microscopically, the spindle-shaped tumor cells were arranged in an interlacing fascicular pattern and contained oval to elongated, blunt-ended (cigar-shaped) nuclei. The immunohistochemical examination showed immunoreactive tumor cells for vimentin, actin, desmin, and H-caldesmon, which is pathognomonic for LMS. Immunohistochemical studies are mandatory to differentiate the LMS from other similar spindle cell neoplastic lesions. Radical resection with safety margins and a lifelong periodic follow-up has to be recommended.

  6. Influence of Mature Overstory Trees on Adjacent 12-Year Regeneration and the Woody Understory: Aggregated Retention versus Intact Forest

    Directory of Open Access Journals (Sweden)

    Miranda T. Curzon

    2017-01-01

    Full Text Available Retention harvesting, an approach that intentionally retains legacy features such as mature overstory trees, provides options for achieving ecological objectives. At the same time, retained overstory trees may compete with the nearby recovering understory for resources, and much remains to be learned about potential trade-offs with regeneration objectives, particularly over extended time periods. We assessed the influence of aggregated retention (reserved mature overstory and understory patches versus intact forest on structure and productivity (standing biomass of the adjacent woody understory and regeneration 12 years after harvest in northern Minnesota, USA. Each site was dominated by Populus tremuloides Michx., a species that regenerates prolifically via root sprouts following disturbance. Overall, fewer differences than expected occurred between the effects of intact forest and aggregated retention on regeneration, despite the small size (0.1 ha of aggregates. Instead, harvest status and distance from harvest edge had a greater influence on structure and standing woody biomass. Proximity to aggregates reduced large sapling biomass (all species, combined relative to open conditions, but only up to 5 m into harvested areas. This suggests the trade-off for achieving productivity objectives might be minimal if managers use retention aggregates in this region to achieve ecological objectives and meet management guidelines.

  7. Bilateral distal radius fractures in a 12-year-old boy after household electrical shock: case report and literature summary.

    Science.gov (United States)

    Stone, Norman; Karamitopoulos, Mara; Edelstein, David; Hashem, Jenifer; Tucci, James

    2014-01-01

    Background. Fracture resulting from household electric shock is uncommon. When it occurs, it is usually the result of a fall; however, electricity itself can cause sufficient tetany to produce a fracture. We present the case of bilateral fractures of the distal radii of a 12-year-old boy which were sustained after accidental shock. The literature regarding fractures after domestic electric shock is also reviewed. Methods. An Ovid-Medline search was conducted. The resultant articles and their bibliographies were surveyed for cases describing fractures resulting from a typical household-level voltage (110-220 V, 50-60 Hertz) and not a fall after the shock. Twenty-one articles describing 22 patients were identified. Results. Twenty-two cases were identified. Thirteen were unilateral injuries; 9 were bilateral. Proximal humerus fractures were most frequent (8 cases), followed by scapula fractures (7 cases), forearm fractures (4 cases), femoral neck fractures (2 cases), and vertebral body fracture (1 case). Eight of the 22 cases were diagnosed days to weeks after the injury. Conclusions. Fracture after electric shock is uncommon. It should be suspected in patients with persistent pain, particularly in the shoulder or forearm area. Distal radius fractures that occur during electrocution are likely due to tetany.

  8. Posterior Nutcracker Syndrome with Left Renal Vein Duplication: A Rare Cause of Haematuria in a 12-Year-Old Boy

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    J. Preza Fernandes

    2012-01-01

    Full Text Available The nutcracker syndrome (NCS is a rare cause of haematuria. It embraces an extended nonpathognomonic spectrum of symptoms that imply a difficult diagnosis. Ultimately it may be associated with substantial morbidity and even life-threatening events. We report a rare cause if a 12-year-old boy who presented with a history of frequent intermittent episodes of painless constant haematuria. The cystoscopy showed a bloody urine ejaculate from the left ureter meatus. The Doppler ultrasonography showed turbulent pattern of venous blood flow of the posterior renal vein branch behind the aorta. The abdominopelvic computer tomography (apCT revealed left renal vein (LRV duplication with a dilated retroaortic branch, entrapped between the aorta and the vertebral column, promoting the renal nutcracker syndrome. The patient was initially hospitalized and managed with oral iron supplements and continuous saline bladder irrigation, not requiring additional treatment. The child is currently asymptomatic, with haemoglobin value returning to normal and therefore proposed to conservative management with close followup. The authors present a case report of episodic haematuria caused by a rare entity—posterior nutcracker syndrome with renal vein duplication.

  9. V723 Cassiopeia still on in X-rays: A bright Super Soft Source 12 years after outburst

    CERN Document Server

    Ness, J U-; Starrfield, S; Osborne, J P; Page, K L; Beardmore, A P; Wagner, R M; Woodward, C E

    2008-01-01

    We find that the classical nova V723 Cas (1995) is still an active X-ray source more than 12 years after outburst and analyze seven X-ray observations carried out with Swift between 2006 January 31 and 2007 December 3. The average count rate is 0.022+/-0.01 cts s^{-1} but the source is variable within a factor of two of the mean and does not show any signs of turning off. We present supporting optical observations which show that between 2001 and 2006 an underlying hot source was present with steadily increasing temperature. In order to confirm that the X-ray emission is from V723 Cas, we extract a ROSAT observation taken in 1990 and find that there was no X-ray source at the position of the nova. The Swift XRT spectra resemble those of the Super Soft X-ray binary Sources (SSS) which is confirmed by RXTE survey data which show no X-ray emission above 2 keV between 1996 and 2007. Using blackbody fits we constrain the effective temperature to between T_eff=(2.6-4.6)x10^5 K and a bolometric luminosity >5x10^35 e...

  10. Remission from Depression among Adults with Arthritis: A 12-Year Followup of a Population-Based Study

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    Esme Fuller-Thomson

    2014-01-01

    Full Text Available Individuals with arthritis are vulnerable to depression. In this study, we calculated time to remission from depression in a representative community-based sample of depressed Canadians with arthritis who were followed for 12 years. We conducted secondary analysis of a longitudinal panel study, the National Population Health Survey, which was begun in 1994/95 and has included biennial assessment of depression since that time. Our analysis focused on a total of 216 respondents with arthritis who were depressed at baseline. The mean time to remission from depression was calculated using the Kaplan-Meier procedure and compared across categories of each of the potential predictors. The percentage of those no longer screening positive for depression was calculated at two years after baseline. At two years after baseline, 71% of the sample had achieved remission from depression. Time to remission was significantly longer for those depressed adults who were under the age of 55, those who reported more chronic pain at baseline, those with comorbid migraine, and those who experienced childhood physical abuse or parental addictions. These findings highlight the importance of screening for these factors to improve the targeting of interventions to depressed patients with arthritis.

  11. Blunted Cortisol Responses to Stress Signal Social and Behavioral Problems Among Maltreated/Bullied 12-Year-Old Children

    Science.gov (United States)

    Ouellet-Morin, Isabelle; Odgers, Candice L.; Danese, Andrea; Bowes, Lucy; Shakoor, Sania; Papadopoulos, Andrew S.; Caspi, Avshalom; Moffitt, Terrie E.; Arseneault, Louise

    2013-01-01

    Background Evidence from animal and human studies suggests that early-life stress such as physical maltreatment has long-lasting effects on the hypothalamic-pituitary-adrenal (HPA) axis and is associated with blunted HPA axis reactivity in adulthood. Few studies have investigated whether blunted HPA axis reactivity observed in children exposed to early-life stress signals social, emotional, and behavioral problems. Methods Participants were 190 12-year-old children (50.5% males) recruited from the Environmental Risk Longitudinal Twin Study, a nationally representative 1994 to 1995 cohort of families with twins. Cortisol responses to psychosocial stress were measured in maltreated/ bullied (n = 64) and comparison children (n = 126). We ascertained maltreatment and bullying victimization using mothers’ reports and assessed children’s social, emotional, and behavioral problems at ages 5 and 12 using mothers’ and teachers’ reports. Results Piecewise multilevel growth curve analyses indicated that maltreated/bullied and comparison children showed distinct cortisol responses to stress. Specifically, maltreated/bullied children had lower cortisol responses than comparison children who exhibited a significant increase. Lower cortisol responses were, in turn, associated with more social and behavioral problems among maltreated/bullied children. Conclusions These findings provide support for the influence of childhood harm on blunted HPAaxis reactivity and its potential impacton children’s functioning. Our findings emphasize the need to integrate stress biomarkers in guiding prevention efforts for young victims. PMID:21839988

  12. Incidence and remission of lower urinary tract symptoms during 12 years after the first delivery: A cohort study

    DEFF Research Database (Denmark)

    Viktrup, L.; Lose, G.

    2008-01-01

    delivery. Results: From 3 months to 5 years after first delivery the incidence of stress urinary incontinence, urge urinary incontinence, urgency, diurnal frequency and nocturia was 56 of 213 cases (26.3%), 33 of 219 (15.1%), 33 of 206 (16.0%), 49 of 219 (22.4%) and 6 of 225 (2.7%), respectively. Remission...... of stress urinary incontinence, urge urinary incontinence, urgency, diurnal frequency and nocturia during the same period occurred in 1 of 11 cases (9.1%), 2 of 5 (40%), 2 of 5 (40%), 4 of 7 (57.1%) and I of 1 (100%), respectively. From 5 to 12 years after the first delivery the incidence of stress urinary...... incontinence, urge urinary incontinence, urgency, diurnal frequency and nocturia was 40 of 158 cases (25.3%), 25 of 188 (13.3%), 24 of 175 (13.7%), 40 of 174 (23.0%) and 13 of 220 (5.9%), respectively. Remission of stress urinary incontinence, urge urinary incontinence, urgency, diurnal frequency and nocturia...

  13. An Investigation on the Correlation between DMFT and OHI- S Indices on 12- Year- Old School Girls in Kashan

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    H.Afshar

    2004-03-01

    Full Text Available Statement of Problem: DMFT and OHI- S indices are two of the most important quantitative factors, measuring tooth health and oral hygiene, respectively.Propose: The aim of this study was to study of correlation between these indices in 12-year old school girls of Kashan.Materials and Methods: A cross sectional study on the correlation between these indices were carried out on 242, twelve year- old school girls in Kashan and the results, have been presented in this paper.Results: The findings were as follows:Average and standard deviation of decayed, missed and filled teeth were (1.12, 1.5, (0.05,0.25 and (0.28, 0.92, respectively. Average and standard deviation of DMFT was 1.45 and 1.73, respectively, with 45.5 percent of the cases being caries free (DMFT= O. OHI- S index, on the other hand, showed an average of 1.46 with a standard deviation of 0.42.Conclusion: The result of the c2.test, carried out on the measured data, showed no correlation between the DMFT and OHI-S indices.

  14. Normative and perceived orthodontic needs among 12 year old school children in Chennai, India - A comparative study

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    I. Meignana Arumugham

    2010-11-01

    Full Text Available Four schools were selected randomly and all 12 year old children were included in the study. A total of 613 school children (334 boys and 279 girls were examined. A self-administered pre-tested questionnaire about perceived need to have their teeth straightened was elicited. Clinical examination was carried using Dental Aesthetic Index (DAI. Chi-square test was done to test the association between normative orthodontic need and perceived orthodontic need. Minor or no anomaly was seen in 350 (57.1% subjects of which 162 (46.3% perceived orthodontic treatment, definite malocclusion was seen in 158 (25.8% subjects of which 75 (47.5% perceived orthodontic treatment, severe malocclusion was seen in 69(11.3 subjects of which 33 (47.8 perceived orthodontic treatment, handicapping malocclusion was seen in 36(5.9% subjects of which 27(75% perceived orthodontic treatment The normative orthodontic needs and perceived orthodontic needs was statistically significant. The assessment of perceived need should be included in the epidemiological studies to the estimate demand for orthodontic treatment in particular regions.

  15. The Correlation Between Body Mass Index and Oral Health in 12-Year-Old Students in Tehran During 2011

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    Nakhostin

    2016-07-01

    Full Text Available Background The growing prevalence of being overweight and obesity in children has raised significant public health concerns. Obesity is considered a risk factor for several chronic health conditions and is associated with increased mortality. In addition, recent studies have shown an association between obesity and periodontal disease. Objectives The present study sought to assess the correlation of body mass index (BMI with periodontal disease. Materials and Methods A total of 1,024 12-year-old elementary school students were selected by cluster sampling from five regions of Tehran. BMI was used as a measure of being overweight and obesity, and the oral hygiene index (OHI was used to assess periodontal disease. A linear regression model was applied to estimate the association between BMI and OHI. The parents’ level of education and family income were also evaluated. Results A significant association was found between BMI and OHI (P = 0.001. Also, a significant reverse correlation was detected between the parents’ education level with OHI (P < 0.05. Conclusions Obesity is not a potential risk factor for periodontal disease in children of low-income families. However, periodontal disease is associated with increased BMI. Promotion of healthy nutrition and adequate physical activity may prevent the progression of periodontal disease.

  16. Factors related to dental health in 12-year-old children: a cross-sectional study in pupils Factors related to dental health in 12-year-old children: a cross-sectional study in pupils

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    Ernesto Smyth

    2005-04-01

    Full Text Available Objective: The aim of this study was to identify factors related to the prevalence of caries in 12-year-old schoolchildren. Methods: A cross-sectional study was carried out using a representative sample (n = 1217 of the population of 12-year-old schoolchildren in Galiza (northwest Spain. Independent variables were measured through a questionnaire, and dependent variables were determined through oral examination. Multiple and logistic regression were applied. Results: The decayed, missing and filled permanent teeth/decayed, filled primary teeth (DMFT-dft value in the sample was 1.83 (95% confidence interval [CI], 1.67-1.98, the DMFT value was 1.53 (95% CI, 1.37-1.67, and the prevalence of caries was 61% (95% CI, 57.7-64.5. The prevalence of caries was directly related to a low frequency of brushing, greater use of toothpaste, and a higher consumption of sweets. The prevalence of caries was higher in rural than in urban areas. In contrast, the higher the mother's level of education and the greater the subject's knowledge of dental health, the lower the prevalence of caries. Conclusions: The main goals of dental health programmes should be to achieve quality brushing every day in children, to reduce the consumption of sweets, and to increase knowledge of dental health.Objetivo: Identificar los factores asociados a la prevalencia de caries en escolares de 12 años. Métodos: Estudio transversal sobre una muestra (n = 1.217 de escolares de 12 años de Galicia. Las variables independientes se midieron mediante un cuestionario y las dependientes, a través de exploración bucal. En el análisis estadístico se aplicaron regresión logística y regresión lineal múltiple. Resultados: El índice CAO-co en la muestra fue 1,83 (intervalo de confianza [IC] del 95%, 1,67-1,98, el índice CAO 1,53 (IC del 95%, 1,37-1,67, mientras que la prevalencia de caries se situó en el 61% (IC del 95%, 57,7-64,5. La prevalencia de caries estuvo directamente asociada a

  17. 十二年國民基本教育財務規劃的虛與實【Special issue: 12-Year Basic Education】Rhetoric and Reality of 12-Year Basic Education Financing in Taiwan

    Directory of Open Access Journals (Sweden)

    許添明 Tian-Ming Sheu

    2014-03-01

    Full Text Available 九年國民教育業於1968 年施行,迄今將屆46 年。為提升整體國民素質,近二十餘年更進一步推動延長國民基本教育至12 年,且於2014 年正式實施。本研究試從教育財政角度,析論十二年國民基本教育的財務規劃是否足以撐起此一世紀大業,並得出以下結論:一、義務教育最大特質在普及、強迫與免費,我國九年國民教育雖也免收學費,但囿於財政收支相關法令,地方教育經費至今仍患寡,國中小仍收取代收代辦費,有違義務教育完全免費的精神,十二年國民基本教育財務規劃並未處理該議題。二、十二年國民基本教育揭櫫「成就每一個孩子」的教育願景,教育部也針對偏鄉及弱勢學生推動多項補助方案;然國中小學生學 習成就依舊存在城鄉差距,十二年國民基本教育也未增加經費以達成該願景。三、我國高中職每生支出只是已開發國家的七成,十二年國民基本教育計畫將八成新增經費用於高中職,有其必要;然超過半數的經費用於推動高中職免學費,只是將原來的家戶支出改由政府支出,對於提高後中經費並無助益,也造成經費排擠無法做更有效的用途。四、學前教育雖也實施免學費方案,但理論與實證研究都證實學前教育應比高中職優先義務化。根據上述發現,研究者據以提出教育財政相關建議,以利十二年國民基本教育順利推動。 Nearly 46 years have passed since a 9-year national education system was implemented in Taiwan in 1968. The 9-year system will now be extended to 12 years and renamed “12-Year Basic Education.” From the perspective of school finance, we analyzed and discussed whether the government can afford this tremendous change. It was summarized that (1 primary education should be compulsory, free, and accessible to all. However, because of fiscal regulations

  18. The value of ultrasound-monitoring calculi drifting in transureteroscopic pneumatic lithotripsy for upper ureteral calculi%输尿管镜气压弹道碎石治疗输尿管上段结石时B超监测结石漂移的价值探讨

    Institute of Scientific and Technical Information of China (English)

    曹刚; 郑如华; 金永有; 陈尧康; 虞利民

    2014-01-01

    目的:探讨输尿管镜气压弹道碎石术(URSL)治疗输尿管上段结石时B超监测结石漂移的临床价值。方法对40例输尿管上段结石患者行URSL治疗时采用床边B超实时监测术中结石漂移情况。结果原位碎石成功32例(80.0%),结石一次清除23例(57.5%),碎石失败8例(20.0%)。进镜时B超发现结石整枚漂移9例(9/40),其中1例移入肾内;碎石时B超早于输尿管镜发现结石整枚漂移12例(12/36),其中2例移入肾内;结石粉碎后B超发现有结石碎片逆向漂移16例(16/32),其中5例共7枚碎片漂移入肾内,其余漂移碎片最后均被输尿管镜证实并在B超引导下成功清除。结论 URSL治疗输尿管上段结石时,B超监测能早于输尿管镜发现结石漂移,有助于减少结石漂移入肾内的风险。%Objective To evaluate the application of ultrasound- monitoring calculi drifting in transureteroscopic pneu-matic lithotripsy (URSL) for upper ureteral calculi. Methods From January 2010 to December 2012, a total of 40 patients with upper ureteral calculi underwent pneumatic lithotripsy through rigid ureteroscope, and intraoperative drifting stones were moni-tored by bedside ultrasonography(US) in our hospital. Results Among 40 cases of ureteral calculi, rate of successful fragmen-tation in situ was 80.0%(32/40), and the stones were cleared away immediately after a single procedure in 23 patients (57.5%) and 8 patients failed, among whom calculi integral drifted into the kidney pelvis in 3 cases. Before ureteroscope entering ureter and calculi were found, calculi integral drifting were detected by US in 9 patients(9/40). During stones broke, 12 cases with cal-culi integral drifting and 16 cases with calculi debris drifting were detected by US in time, and a total of 7 calculi debrises drifted into the kidney in 5 patients, the others debrises were cleaned away under ultrasound- guidance. Al the drifting stones

  19. Ureteroscopy and holmium:YAG laser lithotripsy: an emerging definitive management strategy for symptomatic ureteral calculi in pregnancy

    Science.gov (United States)

    Watterson, James D.; Girvan, Andrew R.; Beiko, Darren T.; Nott, Linda; Wollin, Timothy A.; Razvi, Hassan A.; Denstedt, John D.

    2003-06-01

    Objectives: Symptomatic urolithiasis in pregnancy that does not respond to conservative measures has traditionally been managed with ureteral stent insertion or percutaneous nephrostomy (PCN). Holmium:yttrium-aluminum-garnet (YAG) laser lithotripsy using state-of-the-art ureteroscopes represents an emerging strategy for definitive stone management in pregnancy. The purpose of this study was to review the results of holmium laser lithotripsy in a cohort of patients who presented with symptomatic urolithiasis in pregnancy. Methods: A retrospective analysis was conducted at 2 tertiary stone centers from January 1996 to August 2001 to identify pregnant patients who were treated with ureteroscopic holmium laser lithotripsy for symptomatic urolithiasis or encrusted stents. Eight patients with a total of 10 symptomatic ureteral calculi and 2 encrusted ureteral stents were treated. Mean gestational age at presentation was 22 weeks. Mean stone size was 8.1 mm. Stones were located in the proximal ureter/ureteropelvic junction (UPJ) (3), mid ureter (1), and distal ureter (6). Results: Complete stone fragmentation and/or removal of encrusted ureteral stents were achieved in all patients using the holmium:YAG laser. The overall procedural success rate was 91%. The overall stone-free rate was 89%. No obstetrical or urological complications were encountered. Conclusions: Ureteroscopy and holmium laser lithotripsy can be performed safely in all stages of pregnancy providing definitive management of symptomatic ureteral calculi. The procedure can be done with minimal or no fluoroscopy and avoids the undesirable features of stents or nephrostomy tubes.

  20. Evaluation of land surface model simulations of evapotranspiration over a 12 year crop succession: impact of the soil hydraulic properties

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    S. Garrigues

    2014-10-01

    Full Text Available Evapotranspiration has been recognized as one of the most uncertain term in the surface water balance simulated by land surface models. In this study, the SURFEX/ISBA-A-gs simulations of evapotranspiration are assessed at local scale over a 12 year Mediterranean crop succession. The model is evaluated in its standard implementation which relies on the use of the ISBA pedotransfer estimates of the soil properties. The originality of this work consists in explicitly representing the succession of crop cycles and inter-crop bare soil periods in the simulations and assessing its impact on the dynamic of simulated and measured evapotranspiration over a long period of time. The analysis focuses on key soil parameters which drive the simulation of evapotranspiration, namely the rooting depth, the soil moisture at saturation, the soil moisture at field capacity and the soil moisture at wilting point. The simulations achieved with the standard values of these parameters are compared to those achieved with the in situ values. The portability of the ISBA pedotransfer functions is evaluated over a typical Mediterranean crop site. Various in situ estimates of the soil parameters are considered and distinct parametrization strategies are tested to represent the evapotranspiration dynamic over the crop succession. This work shows that evapotranspiration mainly results from the soil evaporation when it is continuously simulated over a Mediterranean crop succession. The evapotranspiration simulated with the standard surface and soil parameters of the model is largely underestimated. The deficit in cumulative evapotranspiration amounts to 24% over 12 years. The bias in daily daytime evapotranspiration is −0.24 mm day−1. The ISBA pedotransfer estimates of the soil moisture at saturation and at wilting point are overestimated which explains most of the evapotranspiration underestimation. The overestimation of the soil moisture at wilting point causes the

  1. EARLINET dust observations vs. BSC-DREAM8b modeled profiles: 12-year-long systematic comparison at Potenza, Italy

    Science.gov (United States)

    Mona, L.; Papagiannopoulos, N.; Basart, S.; Baldasano, J.; Binietoglou, I.; Cornacchia, C.; Pappalardo, G.

    2014-08-01

    In this paper, we report the first systematic comparison of 12-year modeled dust extinction profiles vs. Raman lidar measurements. We use the BSC-DREAM8b model, one of the most widely used dust regional models in the Mediterranean, and Potenza EARLINET lidar profiles for Saharan dust cases, the largest one-site database of dust extinction profiles. A total of 310 dust cases were compared for the May 2000-July 2012 period. The model reconstructs the measured layers well: profiles are correlated within 5% of significance for 60% of the cases and the dust layer center of mass as measured by lidar and modeled by BSC-DREAM8b differ on average 0.3 ± 1.0 km. Events with a dust optical depth lower than 0.1 account for 70% of uncorrelated profiles. Although there is good agreement in terms of profile shape and the order of magnitude of extinction values, the model overestimates the occurrence of dust layer top above 10 km. Comparison with extinction profiles measured by the Raman lidar shows that BSC-DREAM8b typically underestimates the dust extinction coefficient, in particular below 3 km. Lowest model-observation differences (below 17%) correspond to a lidar ratio at 532 nm and Ångström exponent at 355/532 nm of 60 ± 13 and 0.1 ± 0.6 sr, respectively. These are in agreement with values typically observed and modeled for pure desert dust. However, the highest differences (higher than 85%) are typically related to greater Ångström values (0.5 ± 0.6), denoting smaller particles. All these aspects indicate that the level of agreement decreases with an increase in mixing/modification processes.

  2. ORAL VERSUS NASAL VASOPRESSIN IN THE TREATMENT OF NOCTURNAL ENURESIS IN 5- TO 12-YEAR-OLD CHILDREN

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    Abbas TAGHAVI ARDAKANI

    2010-07-01

    Full Text Available ObjectiveNocturnal enuresis is a common childhood problem and has various  treatments.This study was carried out to compare oral and nasal vasopressin in the treatment of nocturnal enuresis in 5- to 12-year-old children who were referred to the Shahid Beheshti Clinic in 2008.Materials & MethodsThis study included 100 children (62 males and 38 females with nocturnal enuresis. One group (50 patients received 20 mcg nasal vasopressin which increased up to 40 mcg, depending on the patients' response. The other group (50 patients received 0.2 mg oral vasopressin which increased up to 0.4 mg.The patients were followed up for one month after response to the last dose of drug. Data were recorded in prepared forms and analyzed using Chi-Square and Fisher Test.ResultsThe success rate with oral and nasal method was 80% and 92%, respectively (P=0.08. Only 2% of the children had complications during the treatment; one child treated orally developed gastroenteritis and another child treated with the nasal method developed convulsions (P=1. Sixteen percent of the children treated with the oral method and 28% of the children treated with the nasal method had recurrence (P=0.148.ConclusionOral and nasal forms of vasopressin have equal therapeutic effects. However, oral form of the treatment has fewer serious side effects and is easier to use. Therefore, the use of oral medicine is recommended.Keywords:Nasal vasopressin, Nocturnal enuresis, Oral vasopressin

  3. Effect of Axial Eye Length on Retinal Vessel Parameters in 6 to 12-Year-Old Malay Girls

    Science.gov (United States)

    Tai, Evelyn Li Min; Li, Ling-Jun; Wan-Hazabbah, Wan Hitam; Wong, Tien-Yin; Shatriah, Ismail

    2017-01-01

    Purpose Retinal vessel analysis is affected by both systemic and ocular factors. Malays are the major ethnicity in South East Asia. Data on the retinal microvasculature in Malays is limited, especially among children. We aim to evaluate the influence of ocular biometry on retinal vessel parameters in young Malay girls. Methods This was a cross-sectional, hospital-based study involving 86 Malay girls aged 6 to 12 years old in Hospital Universiti Sains Malaysia from 2015–2016. Ocular examination, refraction, biometry, retinal photography, and anthropometric measurements were performed. The central retinal arteriolar equivalent (CRAE), central retinal venular equivalent (CRVE) and overall fractal dimension (Df) were measured using validated computer-based methods (Singapore I vessel analyzer, SIVA version 3.0, Singapore). The associations of ocular biometry and CRAE, CRVE and Df were analyzed using multivariable analysis. Results The mean CRAE, CRVE and Df in Malay girls were 171.40 (14.40) um, 248.02 (16.95) um and 1.42 (0.05) respectively. Each 1 mm increase in axial length was associated with a reduction of 4.25 um in the CRAE (p = 0.03) and a reduction of 0.02 in the Df (p = 0.02), after adjustment for age, blood pressure and body mass index. No association was observed between axial length and CRVE. Anterior chamber depth and corneal curvature had no association with CRAE, CRVE or Df. Conclusion Axial length affects retinal vessel measurements. Narrower retinal arterioles and reduced retinal fractal dimension were observed in Malay girls with longer axial lengths. PMID:28107389

  4. Prevalence of anemia in children 1 to 12 years of age: results from a nationwide probabilistic survey in Mexico

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    Villalpando Salvador

    2003-01-01

    Full Text Available OBJECTIVE: To describe the epidemiology and analyze factors associated with iron deficiency anemia in a probabilistic sample of the Encuesta Nacional de Nutrición 1999 (ENN-99 [National Nutritional Survey 1999 (NNS-99]. MATERIAL AND METHODS: The sample included 8 111 children aged 1 to 12 years, and was nationaly representative by rural and urban strata and by four geographical regions. Capillary hemoglobin was measured using a portable photometer (HemoCue. The analysis of the determining factors of anemia was performed by odds ratios derived from a logistic regression model and multiple regression models. RESULTS: The prevalence of anemia was 50% in infants <2 years of age, with no significant differences between urban and rural strata or among regions. It varied between 14 and 22% in 6-11 year-old children and was higher in the South region and among the indigenous children. Dietary intake of iron was 50% of the recommended daily allowance in children <2 years of age, but not in older children. Phytate (»500-800 mg/d and tannin (»19 mg/d intakes were very high in children over 7 years of age. Hemoglobin was positively associated with nutritional status of children (p=0.01, socioeconomic status (p range 0.05-0.001, duration of lactation in children under 2 years of age (p=0.1, and iron and calcium intake (p=0.02, but not with folic acid or vitamin B12 intake. Hemoglobin was negatively associated with maternal education (p=0.01 in older children, but not in those under 2 years of age. CONCLUSIONS: We present evidence of an alarming national epidemic of anemia, particularly marked in children 12 to 24 months of age. The control of anemia should be considered as an urgent national concern given its grave consequences on the physical and mental development of these children and on their long-term health.

  5. Increased risk of depression in patients with acquired sensory hearing loss: A 12-year follow-up study.

    Science.gov (United States)

    Hsu, Wei-Ting; Hsu, Chih-Chao; Wen, Ming-Hsun; Lin, Hong-Ching; Tsai, Hsun-Tien; Su, Peijen; Sun, Chi-Te; Lin, Cheng-Li; Hsu, Chung-Yi; Chang, Kuang-Hsi; Hsu, Yi-Chao

    2016-11-01

    Acquired sensory hearing loss (SHL) is suggested to be associated with depression. However, some studies have reported conflicting results. Our study investigated the relationship between the prevalence of SHL and the incidence of depression over 12 years of follow-up by using data from the Taiwan National Health Insurance Research Database (NHIRD). We sought to determine the association between SHL and subsequent development of depression and discuss the pathophysiological mechanism underlying the association.Patients with SHL were identified from the NHIRD (SHL cohort). A non-SHL cohort, comprising patients without SHL frequency-matched with the SHL patients according to age group, sex, and the year of diagnosis of SHL at the ratio of 1:4, was constructed, and the incidence of depression was evaluated in both cohorts. A multivariable model was adjusted for age, sex, and comorbidity.The SHL cohort and non-SHL cohort comprised 5043 patients with SHL and 20,172 patients without SHL, respectively. The incidences density rates were 9.50 and 4.78 per 1000 person-years in the SHL cohort and non-SHL cohort, respectively. After adjustment for age, sex, and comorbidities, the risk of depression was higher in the SHL cohort than in the non-SHL cohort (hazard ratio = 1.73, 95% confidence interval = 1.49-2.00).Acquired SHL may increase the risk of subsequent depression. The results demonstrated that SHL was an independent risk factor regardless of sex, age, and comorbidities. Moreover, a strong association between hearing loss and subsequent depression among Taiwanese adults of all ages, particularly those aged ≤49 and >65 years and without using steroids for the treatment of SHL was observed. Prospective clinical and biomedical studies on the relationship between hearing loss and depression are warranted for determining the etiopathology.

  6. A 12-year survey of methicillin-resistant Staphylococcus aureus infections in Greece: ST80-IV epidemic?

    Science.gov (United States)

    Drougka, E; Foka, A; Liakopoulos, A; Doudoulakakis, A; Jelastopulu, E; Chini, V; Spiliopoulou, A; Levidiotou, S; Panagea, T; Vogiatzi, A; Lebessi, E; Petinaki, E; Spiliopoulou, I

    2014-11-01

    Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of both healthcare-associated MRSA (HA-MRSA) and community-associated MRSA (CA-MRSA) infections. Severe MRSA infections have been associated with the virulence factor Panton-Valentine leukocidin (PVL). The aim of this study was to investigate susceptibility patterns, the presence of toxin genes, including that encoding PVL, and clonality among MRSA isolates collected from patients in Greece over a 12-year period. MRSA isolates were collected from January 2001 to December 2012 from six different hospitals. Antibiotic susceptibility was determined with the disk diffusion method and the Etest. The presence of the toxic shock syndrome toxin-1 gene (tst), the enterotoxin gene cluster (egc) and the PVL gene was tested with PCR. The genotypic characteristics of the strains were analysed by SCCmec and agr typing, and clonality was determined with pulsed-field gel electrophoresis and multilocus sequence typing. An increasing rate of MRSA among S. aureus infections was detected up to 2008. The majority of PVL-positive MRSA isolates belonged to a single clone, sequence type (ST)80-IV, which was disseminated both in the community and in hospitals, especially during the warmest months of the year. Carriage of tst was associated with ST30-IV, whereas egc was distributed in different clones. CA-MRSA isolates were recovered mainly from skin and soft tissue infections, whereas HA-MRSA isolates were associated with surgical and wound infections. During the period 2001-2012, ST80-IV predominated in the community and infiltrated the hospital settings in Greece, successfully replacing other PVL-positive clones. The predominance of ST239-III in HA-MRSA infections was constant, whereas new clones have also emerged. Polyclonality was statistically significantly higher among CA-MRSA isolates and isolates from adult patients.

  7. Moderate versus severe early life stress: Associations with stress reactivity and regulation in 10–12-year-old children

    Science.gov (United States)

    Gunnar, Megan R.; Frenn, Kristin; Wewerka, Sandi S.; Van Ryzin, Mark J.

    2009-01-01

    Summary Early life stress (ELS) is expected to increase reactivity of the hypothalamic–pituitary–adrenocortical (HPA) axis; however, several recent studies have shown diminished cortisol reactivity among adults and children with ELS exposure. The goal of this study was to examine cortisol activity in 10–12-year-old internationally adopted children to determine if moderate and severe ELS have different impacts on the HPA axis. Salivary cortisol and two measures of autonomic activity were collected in response to the Trier Social Stress Test for Children (TSST-C). Three groups reflecting moderate, severe, and little ELS were studied: early adopted children who came predominantly from foster care overseas (early adopted/foster care (EA/FC), n = 44), later adopted children cared for predominantly in orphanages overseas (late adopted/post-institutionalized (LA/PI), n = 42) and non-adopted (NA) children reared continuously by their middle- to upper-income parents in the United States (n = 38). Diminished cortisol activity was noted for the EA/FC group (moderate ELS), while the LA/PI group (severe ELS) did not differ from the NA group. Overall, few children showed cortisol elevations to the TSST-C in any group. The presence/absence of severe growth delay at adoption proved to be a critical predictive factor in cortisol activity. Regardless of growth delay, however, LA/PI children exhibited higher sympathetic tone than did NA children. These results suggest that moderate ELS is associated with diminished cortisol activity; however, marked individual differences in cortisol activity among the LA/PI children suggest that child factors modify the impact of severe ELS. Lack of effects of severe ELS even for growth delayed children may reflect the restorative effects of adoption or the generally low responsiveness of this age group to the TSST-C. PMID:18835102

  8. Analysis of posaconazole as oral antifungal prophylaxis in pediatric patients under 12 years of age following allogeneic stem cell transplantation

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    Döring Michaela

    2012-10-01

    Full Text Available Abstract Background Pediatric patients undergoing hematopoietic stem cell transplantation (HSCT are at high risk of acquiring fungal infections. Antifungal prophylaxis shortly after transplantation is therefore indicated, but data for pediatric patients under 12 years of age are scarce. To address this issue, we retrospectively assessed the safety, feasibility, and initial efficacy of prophylactic posaconazole in children. Methods 60 consecutive pediatric patients with a median age of 6.0 years who underwent allogeneic HSCT between August 2007 and July 2010 received antifungal prophylaxis with posaconazole in the outpatient setting. 28 pediatric patients received an oral suspension at 5 mg/kg body weight b.i.d., and 32 pediatric patients received the suspension at 4 mg/kg body weight t.i.d. The observation period lasted from start of treatment with posaconazole until its termination (maximum of 200 days post-transplant. Results Pediatric patients who received posaconazole at 4 mg/kg body weight t.i.d. had a median trough level of 383 μg/L. Patients who received posaconazole at 5 mg/kg body weight b.i.d. had a median trough level of 134 μg/L. Both regimens were well tolerated without severe side effects. In addition, no proven or probable invasive mycosis was observed. Conclusion Posaconazole was a well-tolerated, safe, and effective oral antifungal prophylaxis in pediatric patients who underwent high-dose chemotherapy and HSCT. Posaconazole at a dosage of 12 mg/kg body weight divided in three doses produced consistently higher morning trough levels than in patients who received posaconazole 5 mg/kg body weight b.i.d. Larger prospective trials are needed to obtain reliable guidelines for antifungal prophylaxis in children after HSCT.

  9. The associations between peak O2 consumption and leptin in 10- to 12-year-old boys.

    Science.gov (United States)

    Cicchella, Antonio; Stefanelli, Claudio; Purge, Priit; Lätt, Evelin; Saar, Meeli; Jürimäe, Toivo

    2013-07-01

    The aim of this study was to assess the associations of circulating levels of leptin with the peak O(2) consumption (VO(2)peak ) in 10- to 12-year-old boys of different BMI selected by Cole et al. (BMJ, 320,2000,1-6): total group (n = 248), normal (n = 190), overweight (n = 34) and obese (n = 24). We hypothesized that there is a close relationship in overweight and obese subgroups of boys with relative VO(2)peak kg (-1) (ml min(-1) kg(-1)) and leptin. Most of the subjects were Tanner stage 2. Peak O(2) consumption was measured directly using an increasing incremental protocol until volitional exhaustion on an electronically braked cycle ergometer. The expired gas was sampled continuously breadth-by-breadth mode for the measurement of oxygen consumption (MetaMax, Germany). Blood samples were obtained after an overnight fast from an antecubital vein for leptin measurements. Peak O(2) consumption (l min(-1)) was higher or lower (ml min(-1) kg(-1)) in overweight and obese groups, compared with normal BMI group. Leptin was higher in overweight and obese groups, compared with normal BMI group. Peak O(2) consumption (l min(-1)) correlated significantly with leptin only in total group (n = 248, r = 0·196). Contrary, relative VO(2)peak kg (-1) correlated significantly and negatively with leptin. The relationship was highest on the total group (r = -0·674). We can conclude that leptin first of all correlated negatively with relative peak O(2) consumption. Absolute VO(2)peak correlated with leptin only in total group.

  10. Treatment of lower urethral calculi with extracorporeal shock-wave lithotripsy and pneumatic ureteroscopic lithotripsy: a comparison of effectiveness and complications

    Institute of Scientific and Technical Information of China (English)

    钟惟德; 曾广翘; 蔡岳斌; 戴奇山; 胡建波; 魏鸿蔼

    2003-01-01

    Objective To determine the efficacy and incidence of complications of extracorporeal shock-wave lithotripsy (ESWL) compared with pneumatic ureteroscopic lithotripsy (URSL) in the treatment of lower uretheral calculi. Methods From August 1997 to June 1999, 210 patients with lower ureteric calculi were treated with ESWL and the other 180 with URSL. The stones were fragmented with pneumatic lithotripter. The outcome was assessed by evacuation, retreatment and complication rates.Results ESWL for lower ureteric calculi resulted in a stone evacuation rate of 78.1%, compared with 93.3% for URSL (P<0.05). ESWL had a retreatment rate of 11.9% and a perforation rate of 0, while URSL caused perforation of ureters in 3.3% of patients and a refreatment of 2.2%. Conclusion For the management of lower ureteric calculi, ESWL provides a non-invasive, simple and safe option, and URSL has a higher stone evacuation rate but causes ureter perforation more frequently than ESWL does. Both ESWL and URSL have their respective advantages. It is recommended, however, that URSL be extensively developed for better treatment efficacy, given that the operator has an adequate technical background.

  11. A rare case of asymptomatic bilateral submandibular gland sialolithiasis: a giant, fistulized calculus on the right and multiple calculi on the left.

    Science.gov (United States)

    Emir, Hatice; Kaptan, Zeynep Kizilkaya; Uzunkulaoglu, Hakki; Dogan, Sedat

    2010-10-01

    Sialolithiasis is the most common disease of the submandibular gland; sialoliths account for at least 80% of all salivary duct calculi. We present a rare case of asymptomatic bilateral submandibular gland sialoliths. On the right, the patient had a giant (35 × 35 mm) sialolith that had fistulized into the oral cavity. In the left submandibular gland, he had 30 differently sized sialoliths.

  12. Evaluation of the efficacy of tamsulosin with or without deflazacort for stone clearance after extracorporeal shockwave lithotripsy for upper ureteral and renal calculi

    Directory of Open Access Journals (Sweden)

    Rajeev T. P.

    2016-02-01

    Conclusions: Addition of alpha-blocker tamsulosin along with deflazacort post ESWL for renal and upper ureteric calculi increases the stone expulsion rate and reduces the expulsion duration as shown by highly statistically significant results in group C. [Int J Res Med Sci 2016; 4(2.000: 643-648

  13. Time of highest tuberculosis death risk and associated factors: an observation of 12 years in Northern Thailand

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    Saiyud Moolphate

    2011-02-01

    Full Text Available Saiyud Moolphate1,2, Myo Nyein Aung1,3, Oranuch Nampaisan1, Supalert Nedsuwan4, Pacharee Kantipong5, Narin Suriyon6, Chamnarn Hansudewechakul6, Hideki Yanai7, Norio Yamada2, Nobukatsu Ishikawa21TB/HIV Research Foundation, Chiang Rai, Thailand; 2Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association (RIT-JATA, Tokyo, Japan; 3Department of Pharmacology, University of Medicine, Mandalay, Myanmar; 4Department of Preventive and Social Medicine, Chiang Rai Regional Hospital, Chiang Rai, Thailand; 5Department of Health Service System Development, Chiang Rai Regional Hospital, Chiang Rai, Thailand; 6Provincial Health Office, Chiang Rai, Thailand; 7Department of Clinical Laboratory, Fukujuji Hospital, Tokyo, JapanPurpose: Northern Thailand is a tuberculosis (TB endemic area with a high TB death rate. We aimed to establish the time of highest death risk during TB treatment, and to identify the risk factors taking place during that period of high risk.Patients and methods: We explored the TB surveillance data of the Chiang Rai province, Northern Thailand, retrospectively for 12 years. A total of 19,174 TB patients (including 5,009 deaths were investigated from 1997 to 2008, and the proportion of deaths in each month of TB treatment was compared. Furthermore, multiple logistic regression analysis was performed to identify the characteristics of patients who died in the first month of TB treatment. A total of 5,626 TB patients from 2005 to 2008 were included in this regression analysis.Result: The numbers of deaths in the first month of TB treatment were 38%, 39%, and 46% in the years 1997–2000, 2001–2004, and 2005–2008, respectively. The first month of TB treatment is the time of the maximum number of deaths. Moreover, advancing age, HIV infection, and being a Thai citizen were significant factors contributing to these earlier deaths in the course of TB treatment.Conclusion: Our findings have pointed to the specific time period and

  14. Dental fluorosis: prevalence and associated factors in 12-year-old schoolchildren in Goiânia, Goiás

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    Lidia Moraes Ribeiro Jordão

    2015-09-01

    Full Text Available OBJECTIVE: To describe the prevalence of dental fluorosis, to investigate its association with individual and contextual variables among 12-year-old schoolchildren, and to determine whether there were changes in the prevalence of this condition from 2003 to 2010.METHODS: This cross-sectional study used data from an oral health survey carried out in Goiânia, Goiás, in 2010 (n = 2,075, and secondary data from the files of the local health authority. Clinical data were collected through oral examinations in public and private schools. The dependent variable was the presence of dental fluorosis, assessed using the Dean Index. The independent individual variables were sociodemographic characteristics (the child's gender and race, and the mother's level of schooling and those related to clinical conditions (caries experience, evaluated using Decayed, Missing, and Filled teeth index; and presence of periodontal calculus and/or bleeding, evaluated using Community Periodontal Index. The contextual variables were linked to the school (type and existence of toothbrushing program and its geographic location in the city's health districts. The Rao-Scott test was performed, and the percentage difference between the prevalences in the period from 2003 to 2010 was calculated.RESULTS: The prevalence of dental fluorosis in 2010 was 18.7%, being distributed as very mild (11.2%, mild (4.4%, moderate (2.6%, and severe (0.5%. No significant association was found between prevalence of dental fluorosis and the investigated variables. The prevalence of fluorosis increased 230% from 2003 to 2010, and such difference was significant.CONCLUSIONS: The prevalence of dental fluorosis was low, predominantly of the very mild degree, has increased over a 7-year period, and was not associated with the individual or contextual factors studied.

  15. Enhanced Recognition and Recall of New Words in 7- and 12-Year-Olds Following a Period of Offline Consolidation

    Science.gov (United States)

    Brown, Helen; Weighall, Anna; Henderson, Lisa M.; Gaskell, M. Gareth

    2012-01-01

    Recent studies of adults have found evidence for consolidation effects in the acquisition of novel words, but little is known about whether such effects are found developmentally. In two experiments, we familiarized children with novel nonwords (e.g., "biscal") and tested their recognition and recall of these items. In Experiment 1, 7-year-olds…

  16. Dental Health Status of 12-Year-Old Students from Public Schools and Tooth Loss of Adults from the City of Popayan (Cauca, Colombia), 2009

    OpenAIRE

    2010-01-01

    Purpose: Determine the dental health status of a population of 12-years-old students from public schools and the tooth loss percentage of adults in the city of Popayan (Cauca, Colombia). Methods: This cross-sectional study was carried out in 967 12-years-old schoolchildren corresponding to 20% of the population, according to the National Bureau of Statistics, projection for 2008, and 1,406 adults (p=0.05). The decayed, missing and filled teeth Index (DMFT) was established by following the Wor...

  17. EBV-positive B cell cerebral lymphoma 12 years after sex-mismatched kidney transplantation: post-transplant lymphoproliferative disorder or donor-derived lymphoma?

    LENUS (Irish Health Repository)

    Phelan, Paul J

    2010-06-01

    We present a follow-up case report of possible transmission of lymphoma 12 years after deceased-donor renal transplantation from a male donor who was found at autopsy to have had an occult lymphoma. The female recipient underwent prompt transplant nephrectomy. However, 12 years later, she presented with cerebral B cell lymphoma. A donor origin for the cerebral lymphoma was supported by in situ hybridization demonstration of a Y chromosome in the lymphoma. There was a dramatic resolution of the cerebral lesions with tapering of immunosuppression and introduction of rituximab treatment. The finding of a Y chromosome in the cerebral lymphoma does not exclude a host contribution to lymphoma development.

  18. Evaluation of the Effectiveness of Working Memory Improvement Exercises on Increasing the Attention and School Performance in 9-12 Year Old Children with Attention Deficit

    OpenAIRE

    Atefeh Fakharinezhad; Farzaneh Niknezhadi; Yousef Gorji

    2014-01-01

    The Purpose of the present study is evaluation of the effectiveness of working memory improvement exercises on increasing the attention and school performance in 9-12 year old children with attention deficit. This is a quasi-experimental study which is of pretest-posttest type, with follow-up by a control group. The statistical population of this research includes the 9-12 year old students of Esfahan Province schools with 6 symptoms of attention deficit, who were chosen by multistage cluster...

  19. Determinantes de salud oral en población de 12 años Oral health determinant in 12 year-old population

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    C Fernández González

    2011-12-01

    Full Text Available Objetivo: Determinar la prevalencia de caries y factores asociados con historia de caries y autopercepción de salud oral de escolares de 12 años de establecimientos educacionales municipalizados, comparando población urbana y rural en la Región del Maule, Chile. Material y Método: Estudio transversal en una muestra por conveniencia de 285 escolares de cuatro comunas de la Región. El examen clínico fue realizado por un examinador calibrado. Se midieron variables demográficas, índice COPD, Índice de higiene oral, autopercepción del estado de salud oral y última visita al dentista. Resultados: La prevalencia de caries fue 63.9%, sin diferencias significativa por sexo y área residencia. Los niños tienen 3.17 (95% IC 1.62-6.20 veces más riesgo de tener un COPD=0 en relación a las niñas; la higiene oral también se asoció a un COPD=0 (OR=0.24 95% IC 0.10-0.57. La higiene oral se asoció al área de residencia y nivel socioeconómico (NSE; los jóvenes urbanos tienen 5.6 veces más riesgo de tener una higiene óptima (95% IC 2.68-11.95 que los rurales y los jóvenes de NSE medio y bajo están protegidos de tener una higiene óptima (OR= 0.17 95% IC 0.04-0.66. La autopercepción de salud oral no se asoció a las variables estudiadas. Conclusiones: Los niños de establecimientos rurales presentaron los peores indicadores de salud oral. Los resultados evidencian inequidades de salud de los adolescentes de 12 años de los establecimientos educacionales municipalizados estudiados que ameritan el diseño de estrategias promocionales y preventivas acorde a sus necesidades.Aim: To determine caries prevalence and risk factor associated to caries experience and oral health self perception in 12 year-old school children. The study makes comparisons between urban and rural children of Maule Region, Chile. Subjets and Methods: Cross sectional study in a convenience sample of 285 school children from four counties. Oral examinations were carried

  20. /sup 99m/Tc-DTPA renography before and after extracorporeal shock wave lithotripsy for renal calculi

    Energy Technology Data Exchange (ETDEWEB)

    Ohtake, Eiji; Murata, Hajime; Kanemura, Mikio; Yokoyama, Masao

    1988-09-01

    This study was undertaken to evaluate /sup 99m/Tc-DTPA renography before and after extracorporeal shock wave lithotripsy (ESWL). Twelve patients with renal calculi were examined in this study. In three patients, bilateral kidneys were treated with ESWL. Sequential renal images of the vascular phase, and the functional and excretory phases were taken using a gamma camera (ZLC 7500, Siemens), after intravenous injection of 555 MBq of /sup 99m/Tc-DTPA. Renograms were generated using data stored every 10 seconds for a period of 30 minutes by computer (Scintipac-2400, Shimadzu). Some treated kidneys were enlarged and/or showed uniform retention of radioactivity on sequential images, within a week after ESWL. Renogram patterns after ESWL were varied in each patient. The renogram findings after ESWL seemed to be affected by the presence or absence of stone fragments in the urinary tract.

  1. Influence of ureter mirror holmium laser lithotripsy on blood rheology and oxidative stress in patients with upper ureteral calculi

    Institute of Scientific and Technical Information of China (English)

    Guo-Dong Chen; Jian Dong; Jun Ding; Guo-Bo Li; Chen-Xi Zhou

    2016-01-01

    Objective:To explore the influence of ureter mirror holmium laser lithotripsy on blood rheology and oxidative stress in patients with upper ureteral calculi.Methods:A total of 113 cases patients who underwent surgical treatment of ureter mirror holmium laser lithotripsy were divided into observation group (n=76) and the control group (n=37) according to different therapeutic methods. Patients in the observation group were treated by ureteroscopy holmium laser lithotripsy treatment and patients in control group were treated by open surgery treatment. Venous blood was collected ro test the blood rheology and oxidative stress indicators respectively in the preoperative and postoperative 1 d, 7 d after treatment.Results:The postoperative backlog of red blood cells increased performance first decreased after treatment in two groups, the plasma viscosity and whole blood viscosity, high shear viscosity of whole blood were increased after the stable trend, the postoperative hematocritg, plasma viscosity, whole blood viscosity, high shear viscosity of whole blood were significantly lower than the control group in the observation group 1 d and 7 d after operation; The postoperative Cor, MDA in two groups showed a rising trend, SOD showed a decreasing trend, the difference was statistically significant; MDA in observation group 1 d and 7 d after operation was significantly lower than the control group, SOD was significantly higher than control group in the same point in time.Conclusions:Patients with upper ureteral calculi treated by surgical treatment may cause abnormal blood rheology and oxidative stress. And compared with open surgery, ureteroscopy holmium laser lithotripsy is of smaller side effect, and is beneficial for postoperative recovery.

  2. The Development of Co-Speech Gesture and Its Semantic Integration with Speech in 6- to 12-Year-Old Children with Autism Spectrum Disorders

    Science.gov (United States)

    So, Wing-Chee; Wong, Miranda Kit-Yi; Lui, Ming; Yip, Virginia

    2015-01-01

    Previous work leaves open the question of whether children with autism spectrum disorders aged 6-12?years have delay in producing gestures compared to their typically developing peers. This study examined gestural production among school-aged children in a naturalistic context and how their gestures are semantically related to the accompanying…

  3. A silent public health crisis: untreated caries and dental infections among 6- and 12-year-old children in the Philippine National Oral Health Survey 2006.

    Science.gov (United States)

    Monse, Bella; Benzian, Habib; Araojo, Juan; Holmgren, Christopher; van Palenstein Helderman, Wim; Naliponguit, Ella-Cecilia; Heinrich-Weltzien, Roswitha

    2015-03-01

    The oral health status of 6- and 12-year-old Filipino children was assessed in a representative national sample of 2030 6-year-old and 2022 12-year-old children, using WHO Basic Methods for Oral Health Surveys (4th edition, 1997) and the PUFA (pulpal involvement [P/p], ulceration caused by dislocated tooth fragments [U/u], fistula [F/f], and abscess [A/a]) index. A subsample of 242 12-year-old children was included to assess backward comparability between the 1998 Oral Health Survey that used WHO Basic Methods (3rd edition, 1987). The results showed that 97% of 6-year-old children had caries (mean dmft 8.4), 85% showed dental infection (mean pufa 3.4), 20% reported pain when examined. In all, 82% of 12-year-old children had caries (mean DMFT 2.9), 56% prevalence of pulp involvement (mean PUFA 1.0), and 16% reported pain when examined. Differences in methodology between the 1998 and the 2006 surveys are likely to have had an effect on the observed reduction in DMFT, indicating that the real caries prevalence had not changed much and remains very high.

  4. Clinical presentation of Churg-Strauss syndrome in children. A 12-year-old-boy with ANCA-negative Churg-Strauss syndrome.

    NARCIS (Netherlands)

    F.G.E.M. Razenberg (Femke); J.W.C.M. Heynens (Jan); G. Jan de Vries (Geeuwke); L. Duijts (Liesbeth); J.C. de Jongste (Johan); J. de Blic; P.P.R. Rosias (Philippe)

    2012-01-01

    textabstractChurg-Strauss syndrome is an uncommon multisystem disorder characterized by asthma, eosinophilia and vasculitis. We report on a 12-year-old boy with asthma and deterioration of his general condition, who was eventually diagnosed with an ANCA-negative Churg-Strauss syndrome. The propositu

  5. Basic Number Processing Deficits in ADHD: A Broad Examination of Elementary and Complex Number Processing Skills in 9- to 12-Year-Old Children with ADHD-C

    Science.gov (United States)

    Kaufmann, Liane; Nuerk, Hans-Christoph

    2008-01-01

    ADHD (attention-deficit hyperactivity disorder) and academic difficulties are frequently associated, but to date this link is poorly understood. In order to explore which components of number processing and calculation skills may be disturbed in children with ADHD we presented a series of respective tasks to 9- to 12-year-old children with…

  6. The APPLE Project: An Investigation of the Barriers and Promoters of Healthy Eating and Physical Activity in New Zealand Children Aged 5-12 Years

    Science.gov (United States)

    Williden, Micalla; Taylor, Rachael W; McAuley, Kirsten A; Simpson, Jean C; Oakley, Maggie; Mann, Jim I

    2006-01-01

    Objective: To use the Analysis Grid for Environments Linked to Obesity (ANGELO) framework to determine the barriers and promoters of healthy eating and physical activity in children aged 5-12 years, as a basis for the development of a pilot community-based programme for preventing obesity in children (APPLE project: A Pilot Programme for Lifestyle…

  7. Self-rated health in the last 12 years of life compared to matched surviving controls: the Health and Retirement Study.

    Science.gov (United States)

    Stenholm, Sari; Pentti, Jaana; Kawachi, Ichiro; Westerlund, Hugo; Kivimäki, Mika; Vahtera, Jussi

    2014-01-01

    Self-rated health (SRH) is a valid measure of health status and associated with mortality. Based on individual-level biannual repeat data on SRH we sought to characterize the natural history of poor SRH during the 12 years prior to death in men and women in different age groups. We conducted a retrospective analysis of the Health and Retirement Study participants who died between 1998 and 2010 and had at least two SRH measurements in the 12 years prior to death. We used a nested case-control design to compare SRH trajectories of deceased men and women aged 30-64, 65-79 and 80 years versus surviving participants. The cases comprised 3,350 deceased participants who were matched to surviving controls (n = 8,127). SRH was dichotomized into good vs. poor health. Men and women dying at age 65-79 and ≥ 80 years had 1.5 to 3 times higher prevalence of poor SRH already 11-12 years prior to death compared to surviving controls. The risk estimates remained statistically significant even after adjusting for life-style related risk factors and diagnosed diseases. Prevalence of poor SRH before death was lowest among those aged ≥ 80 years and highest in 30-64 year-olds. In conclusion, men and women who subsequently die perceive their health worse already 11-12 years prior to death compared to their surviving controls.

  8. Comparison of Health-Related Quality of Life among 10- to 12-Year-Old Children with Chronic Illnesses and Healthy Children: The Parents' Perspective

    Science.gov (United States)

    Svavarsdottir, Erla Kolbrun; Orlygsdottir, Brynja

    2006-01-01

    The purpose of this study was to evaluate mothers' and fathers' perception of their child's health-related quality of life (HRQOL) among 10- to 12-year-old Icelandic children with or without chronic health condition or illness. A total of 912 Icelandic parents (510 mothers and 402 fathers) and 480 children (209 boys and 271 girls) participated in…

  9. Prevalence of dental caries, periodontitis, and oral hygiene status among 12-year-old schoolchildren having normal occlusion and malocclusion in Mathura city: A comparative epidemiological study

    Directory of Open Access Journals (Sweden)

    Geetika Arora

    2015-01-01

    Conclusion: It was observed from the present study that normal occlusion and malocclusion had no or weak significant effect on overall caries and periodontitis prevalence whereas oral hygiene status had a strong effect on overall periodontitis prevalence but not in relation to prevalence of dental caries in 12-year-old school children in Mathura city.

  10. Differences in physical fitness and gross motor coordination in boys aged 6-12 years specializing in one versus sampling more than one sport.

    NARCIS (Netherlands)

    Fransen, J.; Pion, J.; Vandendriessche, J.; Vandorpe, B.; Vaeyens, R.; Lenoir, M.; Philippaerts, R.M.

    2012-01-01

    The Developmental Model of Sports Participation proposes two pathways towards expertise in sports between 6 and 12 years of age: early specialization and early diversification. This study investigated the effect of sampling various sports and of spending many or few hours in sports on fitness and gr

  11. Validity and Reliability Study of the Self-Efficacy Scale in Rendering Piano Education to Children of 6-12 Years

    Science.gov (United States)

    Ekinci, Hatice

    2014-01-01

    This study was conducted in order to develop a valid and reliable scale that can be used in measuring self-efficacy of candidate music teachers in rendering piano education to children of 6-12 years. To this end, a pool of 51 items was created by using the literature, and taking the opinions of piano professors and piano instructors working with…

  12. The Children’s DEBQ (DEBQ-C) for assessment of restrained, emotional and external eating in 7-12 year old children

    NARCIS (Netherlands)

    Strien, T. van; Oosterveld, P.

    2008-01-01

    OBJECTIVE: Construct an age adapted version of the Dutch Eating Behaviour Questionnaire (DEBQ) for measurement of restrained, emotional and external eating in 7- to 12-year-old children: the DEBQ-C. xxx METHOD: The DEBQ-C was constructed and tested for its reliability, factorial validity, factorial

  13. COMPETENCE AND BEHAVIORAL-PROBLEMS IN 6-YEAR-OLD TO 12-YEAR-OLD CHILDREN IN FLANDERS (BELGIUM) AND HOLLAND - A CROSS-NATIONAL COMPARISON

    NARCIS (Netherlands)

    HELLINCKX, W; GRIETENS, H; VERHULST, F

    1994-01-01

    The Child Behavior Checklist (Achenbach, 1991) was used to obtain data on 1,120 Flemish and 1,122 Dutch children, ages 6 to 12 years. These data were analyzed in a cross-national comparison. Several small differences between nationalities were found for competence: Dutch children scored significantl

  14. To What Extent Does Participation in Extracurricular Music Affect the Future Aspirations of 11-12-Year-Olds? A Small-Scale Investigation

    Science.gov (United States)

    Denny, Eleanor

    2007-01-01

    I undertook this project as a 12-year-old student while studying research methods at the Children's Research Centre at the Open University. It has already been shown that doing music improves children's Mathematics and English scores. The aim of this study was to find out if it also raises the aspirations of the children taking part. A…

  15. Diagnosis of uric acid calculi by dual energy CT: with ex vivo calculi spectroscopy as the reference standard%双能CT对离体泌尿系尿酸结石的诊断价值

    Institute of Scientific and Technical Information of China (English)

    范兵; 邱建星; 王霄英; 郭小超; 董健; 张蓓; 龚侃; 黄海超

    2012-01-01

    Objective:To prospectively determine the capability of dual energy CT Gemstone spectral imaging and advanced post-processing techniques to identify uric acid calculi, with ex vivo urinary calculi spectroscopy as the reference standard. Methods: Sixty-three urinary stones were obtained by endoscopic lithotripsy. The chemical composition of the stones was confirmed by spectroscopy (including 9 cases of uric acid calculus,54 cases of non-uric acid stones). These urinary calculi were placed in the fresh porcine kidney pelvis dipped in physiological saline. Both routine CT scan and dual energy CT scan were performed. All the images of 63 urinary calculi were analyzed at workstation. CT value of the calculi was measured on the images of routine scan,40keV monoenergic (MONO) images,and 140keV MONO images,respectively. Effective Z (Eff-Z) was measured for each calculus. The spectral HU curve and histogram of 63 urinary calculi were created. Kruskal-Wallis U test and ROC curve analysis were used to evaluate the capability of these parameters to differentiate the urinary calculi components. Results:CT values of uric acid stones were as follows:(403±112)HU on routine scan images, (341±127)HU on 40keV MONO images,(404± 119) HU on 140keV MONO images. CT values of non-uric acid stones were as follows: (854 ± 335) HU on routine scan images, (1689±853) HU on 40keV MONO images, (445 ± 130) HU on 140keV MONO images. The CT values of uric acid stone and non-uric acid stone were different on both routine scan (P< 0. 01) and 40keV MONO images (P<0. 01). But the CT values of uric acid stone and non-uric acid stone were not significantly different (P=0. 436) on 140keV MONO images. Eff-Z of uric acid stones and non-uric acid stones were significantly different (P<0. 01). Seven in 9 (77. 8%) uric acid stones demonstrated rising spectral energy curve,whereas the other 56 non-uric acid stones all demonstrated reversed spectral energy curve. Conclusion: Dual energy CT is a promising

  16. 上尿路结石患者腔内术后并发尿脓毒血症的护理%Nursing care for urosepsis after endoscopic surgery for patients with upper urinary tract calculi

    Institute of Scientific and Technical Information of China (English)

    刘丽欢

    2016-01-01

    目的 尿脓毒血症是上尿路结石术后众多严重并发症中的一个,严重威胁患者的生命安全,通过分析此类病人的护理及结果,探讨上尿路结石患者腔内术后并发尿脓毒血症的护理经验.方法 回顾性分析2011年4月至2015年11月于本科室行经皮肾镜取石术术后并发尿脓毒血症而转入ICU的患者的临床资料,分析患者手术前后病情变化和采取的治疗护理措施,总结早期识别上尿路结石腔内术后并发尿脓毒血症患者的护理经验.结果 72例患者经及时、有序、规范及有效的对症治疗和积极护理均痊愈出院,平均住院时间为(14.79±16.20)d,体温恢复正常的时间为(24.54±24.23)h.结论 上尿路结石腔内术后应密切观察患者病情,及早发现和及时处理尿脓毒血症,同时做好心理康复护理,才能最大化尿脓毒血症患者治疗效果,改善其预后和提高其生存率.%Objective Urosepsis is a severe complication after surgery for upper urinary tract calculi and is a great threat on the patients's life safety.This study aimed to explore the nursing care for postoperative urosepsis after endoscopic surgery for patients with upper urinary tract calculi analyzing the nursing experience and results.Methods The clinical data of 72 patients complicated with urosepsis after taking percutaneous nephrolithotomy (PCNL) at our department from April,2011 to November,2015 and transferred to ICU were retrospectively analyzed.The patients' disease conditions and the nursing measures were analyzed.The nursing experience of early observation of urosepsis patients after PCNL was summarized.Results All the 72 patients recovered and discharged from hospital after timely and efficient symptomatic tr.eatment and active nursing care.The hospital stay was (14.79±16.20) d.The time for body temperature recovering to normal was (24.54±24.23) h.Conclusions Patients with upper urinary calculi should be closely observed after surgery

  17. The effect of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans count in 6- to 12-year-old school children: An in vivo study

    Directory of Open Access Journals (Sweden)

    Neeraja R

    2008-05-01

    Full Text Available Objectives: Treating a carious tooth in children with high caries experience by providing a restoration does not cure the disease. If the unfavorable oral environment that caused the cavity persists so will the disease and more restorations will be required in future. Treating the oral infection by reducing the number of cariogenic microorganisms and establishing a favorable oral environment to promote predominantly remineralization of tooth structure over time will stop the caries process. The present study was conducted: (1 To evaluate the efficacy of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans when used as an adjunct to restoration. (2 To compare the anti-microbial effect of 1% povidone-iodine and 0.2% chlorhexidine mouth rinses on plaque S. mutans count. Study Design: Forty-five study participants in the age group of 6-12 years with dmft (decay component of three or four were selected from one government school in Bangalore city. They were divided into three groups after the restorative treatment. Group-A, Group-B, and Group-C received 1% povidone-iodine mouth rinse, 0.2% chlorhexidine mouth rinse and placebo mouth rinse, respectively, twice daily for 14 days. The plaque sample was collected and S. mutans count was estimated at six phases: (1 Baseline, (2 3 weeks after restoration, (3 First day after mouth rinse therapy, (4 15 days after mouth rinse therapy, (5 1 month and (6 3 months after mouth rinse therapy Results: After the restoration the percentage change in S. mutans count was 28.4%. Immediately after mouth rinse therapy there was significant reduction in S. mutans count in all the three groups. After which the count started to increase gradually and after 3 months the bacterial counts in the povidone-iodine group and placebo group were almost near the postrestorative count. Conclusion: Mouth rinses can be used as adjunct to restoration for short duration as temporary measure in reduction of S

  18. Factors associated with commencing smoking in 12-year-old students in Catalonia (Spain: a cross-sectional population-based study

    Directory of Open Access Journals (Sweden)

    Basora Josep

    2010-11-01

    Full Text Available Abstract Background Over the last decade notable progress has been made in developed countries on monitoring smoking although experimenting with cigarettes and smoking in young people remains a serious public health problem. This paper reports a cross-sectional study at the beginning of the 3-year follow-up community study TA_BES. The aim was to study the prevalence of smoking in addition to determining predictive factors for when smoking commences in a representative population of 12-year-old first year compulsory secondary education students. Methods Twenty-nine secondary schools (N = 29 from an area of Catalonia participated in the study. In these schools 2245 students answered a questionnaire to study the attitudes, behaviors, and tobacco consumption in the subject's surrounding circle and family in relation to smoking; carbon monoxide measurements were taken by means of co-oximetry on 2 different occasions. A smoker was defined as a student who had smoked daily or occasionally in the last 30 days. For non-smokers the criteria of not considering was set up for those who answered that in the future they would not be smokers and considering those who answered that they did not rule out becoming a smoker in the future. Results Among the total 2245 students included in the analysis 157(7% were classified as smokers. Among non-smokers we differentiated between those not considering smoking 1757 (78.3% and those considering smoking 288 (12.8%. Age is among the factors related to commencing smoking. The risk of becoming a smoker increases 2.27 times/year. The influence of the group of friends with a very high risk for boys OR 149.5 and lower, albeit high, in girls OR 38.1. Tobacco consumption of parents produces different effects in young people. A smoking father does not produce alterations in the smoking behavior of young people. However having a smoking mother or former smoking is a risk factor for boys and a protective factor for girls. We

  19. Appendicular pseudodiverticula and acute appendicitis: Our 12-year experience Pseudodivertículos apendiculares y apendicitis aguda: Nuestra experiencia en 12 años

    Directory of Open Access Journals (Sweden)

    María del Carmen Manzanares-Campillo

    2011-11-01

    Full Text Available Introduction: the presence of diverticula and their complications in the cecal appendix is an uncommon disease. We present a series of 13 patients with this condition, and perform a review of the literature. Patients and method: we carried out a retrospective study of patients undergoing appendectomy for acute appendicitis in the last twelve years in our department. The pathological examination of these episodes revealed 13 cases with a diagnosis of diverticular disease, all of them consisting of pseudodiverticula. Their clinical manifestations, laboratory results, imaging tests, and histology were analyzed, and findings were compared to those in the previous literature. Results: the incidence of diverticular disease in our setting was 13 cases (0.8% among 1634 appendectomies for acute appendicitis. Diverticulitis was found in 8 patients (61.5%, and diverticulosis (38.5% in 5. Appendicular perforation was more common in patients with diverticular disease (53.8% as compared to those without this condition (31.1%. Conclusions: complicated diverticular disease in the vermiform appendix of adult patients may result in insidious, recurrent manifestations that may confound preoperative diagnosis. A higher risk for appendicular perforation renders appendectomy the therapy of choice, even prophylactically when the condition is incidentally identified preoperatively.Introducción: la presencia de divertículos y sus complicaciones en el apéndice cecal constituyen una entidad infrecuente. Presentamos una serie de 13 pacientes con esta patología y realizamos una revisión de la literatura. Pacientes y método: realizamos un estudio retrospectivo de los pacientes apendicectomizados por apendicitis aguda en los últimos doce años en nuestro servicio. El examen anatomopatológico de estos episodios reveló el diagnóstico de 13 casos con enfermedad diverticular, todos ellos pseudodivertículos. Se analizaron la clínica, pruebas analíticas, de imagen y la histología de los mismos, comparando los resultados con la literatura precedente. Resultados: la incidencia de enfermedad diverticular en nuestro medio fue de 13 casos (0,8% de 1634 apendicectomías realizadas por apendicitis aguda. En 8 pacientes se halló diverticulitis (61,5% y en 5 diverticulosis (38,5%. La perforación apendicular fue más frecuente en los pacientes con enfermedad diverticular (53,8% que en su ausencia (31,1%. Conclusiones: la enfermedad diverticular complicada en el apéndice vermiforme en pacientes de edad adulta puede originar una clínica insidiosa y recurrente, que dificulta el diagnóstico preoperatorio certero. El mayor riesgo de perforación apendicular relacionado con su presencia sitúa a la apendicectomía como el tratamiento de elección, incluso de forma profiláctica cuando su hallazgo intraoperatorio sea incidental.

  20. The results of 6 1/2 years of artificial fluoridation of drinking water in The Netherlands : The tiel—Culemborg experiment

    NARCIS (Netherlands)

    Backer Dirks, O.; Houwink, B.; Kwant, G.W.

    1961-01-01

    In order to assess the effect of water fluoridation on dental caries under Dutch living conditions (food, water consumption, etc.) the drinking water of Tiel was fluoridated since 1953 at 1·1 mg/l. The nearby city of Culemborg served as control (±0·1 mg natural fluoride per litre of water). The prin

  1. The synergistic role of embeddedness and capabilities in industrial symbiosis: illustration based upon 12 years of experiences in the Rotterdam Harbour and Industry Complex

    NARCIS (Netherlands)

    L.W. Baas (Leo); D. Huisingh

    2009-01-01

    textabstractIndustrial Ecology (IE) is a known concept worldwide; however, its dissemination is not an easy process. Industrial routines are embedded in unsustainable practices that are difficult to change. The complexity and uncertainties of new concepts are often approached with ignorance and misp

  2. Extracorporeal Shock Wave Therapy before Urethral Calculi in Situ%体外冲击波治疗原位前尿道结石

    Institute of Scientific and Technical Information of China (English)

    游加芹; 沈金秀

    2015-01-01

    Objective To analyze extracorporeal shock wave lithotripsy Eswl treatment effect for the treatment of urethral calculi before.Methods Selection in our hospital between January 2011 and January 2013, 23 patients with former urethral calculi in situ as the research object, al patients prone position, the implementation of extracorporeal shock wave lithotripsy treatment.Results 23 cases of urethral calculi before al the pieces, success rate 100%, no serious complications. Postoperative folow-up of 12 months, without the occurrence of impotence and urethral stricture.Conclusion Urethral calculi before taking Eswl treatment effect is significant, economic, convenient and damage in patients with smal, safe and reliable, has the value of clinical application.%目的 分析探讨体外冲击波碎石术Eswl治疗前尿道结石的治疗效果.方法 选取本院2011年1月~2013年1月收治的原位前尿道结石患者23例为本组研究对象,所有患者采用俯卧位,实施体外冲击波碎石治疗.结果 23例前尿道结石均全部粉碎,成功率100%,无严重并发症.术后随访12个月,无阳痿与尿道狭窄的发生.结论 前尿道结石采取Eswl治疗效果显著,经济方便,对患者的损伤小,安全可靠,具有临床推广应用的价值.

  3. [Practical experiences with antegrade local chemolysis of struvite/apatite, uric acid and cystine calculi in the kidney].

    Science.gov (United States)

    Weirich, W; Frohneberg, D; Ackermann, D; Alken, P

    1984-03-01

    In 18 patients (20 kidneys) with struvite/apatite-, uric acid- and cystine stones antegrade local chemolysis was performed via percutaneous or operative nephrostomy. Complete stone dissolution was achieved in 11 kidneys, while in six kidneys partial dissolution of stones was performed. In these six cases added instrumental manipulations shortened the time of therapy. In three cases chemolysis was unsuccessful. Average irrigation time was 21 days per renal unit. Only minor complications like dysuria and skin rashes were seen. Due to long time of irrigation we recommend chemolitholysis mainly as an additional form of therapy in case of residual stones after operative or percutaneous nephrolithotomy.

  4. The etiology of science performance: decreasing heritability and increasing importance of the shared environment from 9 to 12 years of age.

    Science.gov (United States)

    Haworth, Claire M A; Dale, Philip S; Plomin, Robert

    2009-01-01

    During childhood and adolescence, increases in heritability and decreases in shared environmental influences have typically been found for cognitive abilities. A sample of more than 2,500 pairs of twins from the Twins Early Development Study was used to investigate whether a similar pattern would be found for science performance from 9 to 12 years. Science performance was based on teacher-assessed U.K. National Curriculum standards. Science at 9 years showed high heritability (64%) and modest shared environmental (16%) estimates. In contrast to the expected developmental pattern, heritability was significantly lower at 12 years (47%) and shared environmental influences were significantly higher (32%). Understanding what these increasingly important shared environmental influences are could lead to interventions that encourage engagement in science throughout the lifespan.

  5. [Prevalence of first permanent molar loss in 6 to 12-year-old students of both sexes in Ribeirão Preto].

    Science.gov (United States)

    Ferlin, L H; Daruge, A D; Daruge, R J; Rancan, S V

    1989-01-01

    The authors study the prevalence of lost of the first permanent molars in 6 to 12 years old schoolchildren of medium and low social-economic levels, in both sexes, from Ribeirão Preto, SP., on right and left hemiarcs, and both maxilars. The results indicate that teeth los was significantly higher in females, and in both sexes the teeth lost was higher in the lower maxilar. No differences were also observed between hemiarchs.

  6. Dental caries and dental fluorosis in 7-12-year-old schoolchildren in Catalão, Goiás, Brazil

    OpenAIRE

    Bardal, Priscila Ariede Petinuci; OLYMPIO, Kelly Polido Kaneshiro; Buzalaf, Marília Afonso Rabelo; BASTOS, José Roberto Magalhães

    2005-01-01

    INTRODUCTION: Over the last two decades, the prevalence of dental caries in children has decreased and the prevalence of dental fluorosis has increased. Knowledge on the epidemiologic conditions of a population is fundamental for the planning of health programs. OBJECTIVES: To determine the prevalence of dental caries and dental fluorosis among schoolchildren, in Catalão, Goiás, Brazil. METHODS: A random sample of 432 schoolchildren aged 7-12-years old was obtained. WHO (1997) criteria for de...

  7. Personal factors that influence the development of resilience in children aged between 7 and 12 years to develop in extreme poverty

    OpenAIRE

    2012-01-01

    The following investigation was realized with the objective to characterize the personal factors that influence in the development of resilience in 200 children aged between 7 and 12 years in families linked to the program Red UNIDOS in the city of Ibague, for this was applied the inventory of resiliency factors proposed by Salgado (2005), which evaluate the level of self-esteem, empathy, autonomy, humor and creativity. The results show that the sample is in the middle of the factors evaluate...

  8. Relationship of musculoskeletal pain with physical and functional variables and with postural changes in school children from 6 to 12 years of age

    OpenAIRE

    Daniela S. L. Pereira; Castro,Shamyr S.; Dernival Bertoncello; Renata Damião; Walsh,Isabel A. P.

    2013-01-01

    BACKGROUND: Painful disorders can affect children and adolescents, causing distress and significant demand for health services. OBJECTIVE: To identify the prevalence of musculoskeletal pain and its relation to age, sex, body mass index (BMI), how to carry school supplies, postures used in ADLs, outside school physical exercises and postural changes in students. METHOD: Cross-sectional exploratory study with a convenience sample consisted of 262 schoolchildren aged 6 to 12 years (137 ...

  9. Surgical Excision Without Radiation for Ductal Carcinoma in Situ of the Breast: 12-Year Results From the ECOG-ACRIN E5194 Study

    Science.gov (United States)

    Solin, Lawrence J.; Gray, Robert; Hughes, Lorie L.; Wood, William C.; Lowen, Mary Ann; Badve, Sunil S.; Baehner, Frederick L.; Ingle, James N.; Perez, Edith A.; Recht, Abram; Sparano, Joseph A.; Davidson, Nancy E.

    2015-01-01

    Purpose To determine the 12-year risk of developing an ipsilateral breast event (IBE) for women with ductal carcinoma in situ (DCIS) of the breast treated with surgical excision (lumpectomy) without radiation. Patients and Methods A prospective clinical trial was performed for women with DCIS who were selected for low-risk clinical and pathologic characteristics. Patients were enrolled onto one of two study cohorts (not randomly assigned): cohort 1: low- or intermediate-grade DCIS, tumor size 2.5 cm or smaller (n = 561); or cohort 2: high-grade DCIS, tumor size 1 cm or smaller (n = 104). Protocol specifications included excision of the DCIS tumor with a minimum negative margin width of at least 3 mm. Tamoxifen (not randomly assigned) was given to 30% of the patients. An IBE was defined as local recurrence of DCIS or invasive carcinoma in the treated breast. Median follow-up time was 12.3 years. Results There were 99 IBEs, of which 51 (52%) were invasive. The IBE and invasive IBE rates increased over time in both cohorts. The 12-year rates of developing an IBE were 14.4% for cohort 1 and 24.6% for cohort 2 (P = .003). The 12-year rates of developing an invasive IBE were 7.5% and 13.4%, respectively (P = .08). On multivariable analysis, study cohort and tumor size were both significantly associated with developing an IBE (P = .009 and P = .03, respectively). Conclusion For patients with DCIS selected for favorable clinical and pathologic characteristics and treated with excision without radiation, the risks of developing an IBE and an invasive IBE increased through 12 years of follow-up, without plateau. These data help inform the treatment decision-making process for patients and their physicians. PMID:26371148

  10. Comparative study of minimally invasive endoscopic surgery and extracorporeal shock wave lithotripsy (ESWL for proximal ureteral calculi in pilots

    Directory of Open Access Journals (Sweden)

    He-qing GUO

    2014-01-01

    Full Text Available Objective To observe and compare the therapeutic effect of extracorporeal shock wave lithotripsy (ESWL and minimally invasive endoscopic surgery (URL/PCNL for proximal urinary calculi in pilots. Methods A retrospective analysis was conducted for the clinical data of 115 pilots who had received ESWL, URL and PCNL for the treatment of proximal urinary tract calculi from Sep, 2005 to Sep, 2012. The patients were divided into two groups according to the way of treatment: ESWL group (n=83 and URL/PCNL group (n=32. In ESWL group, the patients received ESWL for a maximum of 3 times. In URL/PCNL group, the patients received URS or PCNL after ESWL for 3 times without lithecbole. Results All the patients were male and the mean age was 36.1±9.1 years. The average diameter of the stones was 0.68±0.22cm in ESWL group and 0.78±0.25cm in URL/PCNL group. There was no significant difference in stone diameter between the two groups (P=0.526. The rate of qualification for flying was 68.7% in ESWL group and 81.3% in URL/PCNL group (URL 80.0%, PCNL 100%, showing a significant difference (P=0.002. In ESWL group, the rate of qualification for flying of pilots harboring renal and proximal ureteral stone, middle ureteral stone and distal ureteral stone was 64.3%, 88.9% and 33.3% respectively, with a significant difference (P=0.023. The rate of flying qualification of pilots harboring proximal ureteral stone, middle ureteral stone and distal ureteral stone was 71.4%, 86.7% and 87.5% respectively after URL, and there was no significant difference (P=0.174. Among the five patients who received URL but did not achieve satisfactory effect, two had stones retreated to the renal pelvis during the operation, and in two patients distal ureter was too narrow to allow passage of ureteroscope, and the ureteroscope was enveloped by inflammatory polyp in one patient. Conclusion URL/PCNL maybe more effective than ESWL in the treatment of proximal urinary calculus in pilots

  11. Significance of acoustic shadowing and comet tail artifacts in diagnosis of urinary calculi%超声伪像声影彗尾征在尿结石诊断中的意义

    Institute of Scientific and Technical Information of China (English)

    陈光勇; 林雨冬; 黄维; 范武林

    2012-01-01

    Objective To evaluate the significance of acoustic shadowing and comet tail artifacts in detection of urinary calculi. Methods 238 cases of urinary calculi were researched,including the mineral composition and the size( height and width) of calculi,the occurrence of acoustic shadowing and comet tail artifacts,then analyzed those relevant relationships by Statistical Analysis System. Results (1) There was no statistical relationship between the acoustic shadowing artifacts and urinary calculi mineral composition}P0. 05); (3(There was no statistical relationship between the occurrence of comet tail artifacts and urinary calculi width or height(P>0. 05). Conclusion (l)The occurrence of acoustic shadowing and comet tail artifacts is no relationship with urinary calculi mineral composition,and can not be used to predict urinary calculi mineral composition; (2)There is a directly relationship between the occurrence of acoustic shadowing artifacts and urinary calculi height, but there is no relationship between the occurrence of comet tail artifacts and urinary calculi width or height.%目的 研究超声伪像中的声影、彗尾征在尿结石超声影像检查中的意义.方法 对238例尿石症患者的尿结石成分、大小及超声检查时声影、彗尾征出现情况进行统计学评估,分析其相关性.结果 (1)声影的出现与尿结石成分无关(P>0.05);(2)声影与结石最大厚度有关(P<0.05),而声影与结石最大宽度无关(P>0.05);(3)彗尾征与结石的最大宽度及最大厚度均无关(P>0.05).结论 (1)声影的出现与尿结石的成分无关,不能用于判定结石成分;(2)声影的出现与尿结石的厚度有直接的关系,但彗尾征的出现与尿结石的厚度和宽度无关.

  12. Melamine-induced infant urinary calculi: a report on 24 cases and a 1-year follow-up.

    Science.gov (United States)

    Zhang, Xiangbo; Bai, Jinliang; Ma, Pengcheng; Ma, Jianhua; Wan, Jianghou; Jiang, Bin

    2010-10-01

    Melamine has been the main factor leading to infant urinary calculi occurring on a rather wide scale in China in 2008, which were the results of a rapid aggradation of metabolites such as cyanuric acid diamide, cyanuric acid, etc., causing uric acid stone to accumulate. Here, we present a report on 24 infants who were admitted to our department, their ages ranging from 3 to 10 months. All of these infants had a confirmed history of having been fed with the "Sanlu" brand milk powder, which contained excessive levels of melamine, with the highest being 2,563 mg/kg. The diagnosis, medical treatment and follow-up by ultrasonography at 1, 3, 6, 12 months were reported. 22 cases of these infants were rehabilitated after medical treatment and 1 infant underwent pyelolithotomy for relieving an obvious ureter obstruction. No recurrence was found in these babies thereafter. Another infant died from rapidly worsening renal failure. Therefore, this series of cases have demonstrated that melamine contained in the "Sanlu" milk powder was the main cause of these urinary stones. Urine alkalinization and stone liberalization were the most effective treatments. Fast diagnosis and treatment of acute obstructive urolithiasis may prevent the development of acute renal failure, which is associated with high morbidity and mortality rates.

  13. DAMPAK DEFISIENSI IODIUM MATERNAL PADA PERSISTENSI DISFUNGSI NEUROPSIKOLOGIS ANAK USIA 12 TAHUN (EFFECT OF MATERNAL IODINE DEFICIENCY ON THE PERSISTENCE OF NEUROLOGICAL DYSFUNCTIONS IN CHILDREN AGED 12 YEARS

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    Basuki Budiman

    2012-06-01

    Full Text Available ABSTRACT Study on the last effect of neuropsychologic dysfunction due to iodine deficiency during gestation is still scarce. This study is to confirm the persistence of neuropsychological dysfunctions at 12-year-old of children born from pregnant mothers with iodine deficiency in endemic iodine deficient area. The study is 13-year-cohort design. Iodine status (Total T4, TSH and UIE of pregnant mothers at initial study, neonatal (TSH and 12 year-old iodine status (fT4, TSH are performed. Neurological dysfunction of infants is examined every 6 weeks until the child age is 24 months. Neuropsychological dysfunction of children 12 years of age such as minimal brain dysfunction and psychological battery of Wechsler Intelligence Scale for Children (WISC are also administered. A screening to determine case and reference using is done using mini mental status examination (MMSE. Score MMSE of 28 or less are implemented as cases while others as reference. The relationship of neurological and cognitive dysfunction with both maternal iodine status and neurological dysfunction at 2 months of neonates age are elaborated. The persistency risk of neurological dysfunction at 12 years of age is 8% (95%ci: 1-15%. Maternal and neonatal iodine status (as indicated by TSH, T4 are the risk factors for the persistency at 12-years. However, delays of neurological development in two-month old infants are found as directly risk factors. Median Total IQ score for all participants are far lower than the lowest limit of normal range. A very significant difference (p=0.000 are found in Total IQ score between cases and references. Discrepancy analysis of IQV-IQP indicates brain lesions in subtle form, such as diadokhokinesis, praxis, memory, distractibility and lowered IQ score. Neuropsychological dysfunctions due maternal iodine deficiency are still persistence at 12 years. Maternal T4 during gestation is not only influences on the persistency but also impaires directly on the

  14. A study of oral hygiene status and prevalence of gingival diseases in 9 and 12-year-old school children of a northern hilly state, India

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    Deepak Chauhan

    2012-01-01

    Full Text Available Background: The gingival and overall oral health status is affected by the changes in lifestyle, dietary habits, and aberrant oral hygiene practices. Objectives: To determine the prevalence of gingival diseases among school children of Himachal Pradesh. Materials and Methods: A cross-sectional study was conducted among a sample of 1188 school children in the age group of 9 and 12 years from randomly selected schools of rural and urban areas of Himachal Pradesh and they were included as study subjects. The survey was carried out according to the WHO Oral Health Assessment Form (modified. Community periodontal index was used to assess gingival health, using three indicators: Healthy, gingival bleeding, and calculus. Plaque index was used to assess oral hygiene as poor, fair, and good. Statistical Analysis: SPSS version 15. Results: A total of 1188 children were examined, of these 650 (54.8% were males and 538 (45.2% were females. A total of 564 belonged to the 9 and 624 to 12 years age group. The overall prevalence of gingival disease was 22.9%. The majority (14.2% were presented with calculus and 8.7% showed gingival bleeding ( P < 0.0000001. The most affected 24.3% with gingivitis were females in comparison to 21.7% males that is not statistically significant, P < 0.5. Age wise prevalence showed a linear increase; 12-year-old children were affected more 34.8% as compared to 9.8% in 9-year-old children. Conclusion: There is a need for reinforcement of dental services to difficult and hard areas.

  15. Cephalometric analysis of hard and soft tissues in a 12-year-old syndromic child: A case report and update on dentofacial features of Crouzon syndrome

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    K Nagaraju

    2011-01-01

    Full Text Available Crouzon syndrome or craniofacial dysostosis is a rare syndrome characterized by craniosynostosis, midfacial hypoplasia and exophthalmia. The abnormalities found in this syndrome change too much from case to case depending on the suture fusion order. We report a case of a 12 year old child and a mother showing variations in the dentofacial tissues clinically and radiographically. Subsequently, the application of digital software [Dolphin Imaging 11] enabled us to solve out the case as Crouzon syndrome by analyzing the skeletal and soft tissue alterations. An update of the effects of this syndrome on various systems and dentofacial features with emphasis on tooth abnormalities is documented.

  16. Occlusion in 6-12 year old mouth breathers of the Child’s Clinic of the Faculty of Dentistry of the University of Antioquia

    OpenAIRE

    2015-01-01

    Introduction: the objective of this analysis was to determine the characteristics of occlusion in mouth breathing children, who are treated in the Child’s Clinic of the Faculty of Dentistry of the University of Antioquia. Methods: a cross-sectional descriptive study in 100 6-12 year old mouth breathing patients, who went for the first time to the Child’s Clinic (iv to vii semester), who had no prior therapeutic surgeries, identified with a checklist. Upon a medical examination, the following ...

  17. Coparenting conflict, nonacceptance, and depression among divorced adults: results from a 12-year follow-up study of child custody mediation using multiple imputation.

    Science.gov (United States)

    Sbarra, David A; Emery, Robert E

    2005-01-01

    Using statistically imputed data to increase available power, this article reevaluated the long-term effects of divorce mediation on adults' psychological adjustment and investigated the relations among coparenting custody conflict, nonacceptance of marital termination, and depression at 2 occasions over a decade apart following marital dissolution. Group comparisons revealed that fathers and parents who mediated their custody disputes reported significantly more nonacceptance at the 12-year follow-up assessment. Significant interactions were observed by gender in regression models predicting nonacceptance at the follow-up; mothers' nonacceptance was positively associated with concurrent depression, whereas fathers' nonacceptance was positively associated with early nonacceptance and negatively associated with concurrent conflict.

  18. 双源 CT 双能量技术在泌尿系结石诊断中的应用价值%Application value of dual energy technique of dual source CT in the diagnosis of urinary calculi

    Institute of Scientific and Technical Information of China (English)

    高江晖; 马洪宇; 郭文伟; 于庆康

    2016-01-01

    目的:探讨双源 CT 双能量技术在尿路结石组成分析中的预测价值。方法对30例泌尿系统结石患者行双源 CT 双能量扫描,对结石组成成份进行分析,将结果与红外光谱法分析的结石组成相比,计算双源 CT 分析尿酸盐结石、非尿酸盐结石的特异度与灵敏度,判断预测结石的准确性。结果30例泌尿系结石中尿酸盐类结石10例,非尿酸盐类结石20例,尿酸盐结石、非尿酸盐结石在140 kV 能量下 CT 值分别为(312.5±55.5)HU、(650.6±255.5)HU,在100 kV 能量下 CT 值分别为(328.5±50.5)HU、(960.8±180.5)HU,尿酸盐结石、非尿酸盐结石在两种能量下的差值分别为(16.5±5.1)HU、(310.2±26.7)HU,比值分别为(1.05±0.01)HU、(1.47±0.02) HU,尿酸盐结石差值、比值明显低于非尿酸盐结石(P <0.05),双源 CT 可切确辨别尿酸盐类结石与非尿酸盐类结石,其灵敏度、特异度分别为90%、95%。结论双源 CT 双能量成像技术能在尿路结石治疗前对其组成进行分析,对认识结石的成因及预防结石形成有很大帮助。%Objective To investigate the clinical value of dual source dual energy CT( DS-DECT)in predict chemical component of urinary calculi. Methods Selected 30 cases with urinary cal-culi underwent dual source Flash CT,analysed the component of the calculi,compared the results and in-frared spectroscopy analysis of calculi composition,calculated the specificity and sensitivity of urate cal-culi,non urate calculus by dual source CT analysis,and judged the forecasting accuracy of the calculi. Results Among the 30 urinary calculi patients,10 cases had uric acid calculi and 20 cases had non-u-ric acid calculi. Uric acid calculi and non-uric acid calculi under 140 kV energy:CT values were (312. 5 ± 55. 5)HU,(650. 6 ± 255. 5)HU;under 100 kV energy:CT values were(328. 5 ± 50. 5) HU,(960. 8 ± 180. 5)HU;the difference of acid

  19. Postdramatic Theatre, 12 years later

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    Hans-Thies Lehmann

    2013-09-01

    Full Text Available This text takes stock of the twelve years of emergence of the practice and term Postdramatic and some of its developments and issues in the performing arts. It discusses the changes through which the contemporary scene has gone since 1999 and consequently the changes we should consider when reading and analysing the concept of postdramatic; among them, the focus on collaborative work; new relations between theatre and society; the focus on dance; and the return of words. Finally, the text raises the question of whether or not the term postdramatic should be reconsidered.

  20. DENTAL FLUOROSIS AND ITS RELATION TO SOCIOECONOMIC STATUS, PARENTS' KNOWLEDGE AND AWARENESS AMONG 12-YEAR-OLD SCHOOL CHILDREN IN QUETTA, PAKISTAN.

    Science.gov (United States)

    Sami, Erum; Vichayanrat, Tippanart; Satitvipawee, Pratana

    2015-03-01

    This study aimed to determine the prevalence of dental fluorosis and its relationship to socioeconomic status, knowledge, and awareness among 12-year-old school children in Quetta, Pakistan. A cross sectional study was conducted among 349 school children aged 12 years in Quetta, Pakistan. By interviewing children and questionnaire for parents, socioeconomic status, knowledge, and awareness of fluorosis were collected. Dental fluorosis was examined using Dean's Index and Community Fluorosis Index. Prevalence of dental fluorosis was high (63.6%) among children with a majority of moderate and mild degree at 32.1% and 27.5%, respectively. The community fluorosis index was 1.6. While most children and parents had low-to-moderate levels of fluorosis knowledge, the majority of them worried about dental fluorosis. Most parents (84.8%) were uncertain about the condition of fluorosis in their children, and 87.4% did not know about fluorosis before. Dental fluorosis was found significantly associated with gender, family income, and parents' awareness (p ≤ 0.05). Multivariate analysis indicated that gender, and parent's awareness significantly predicted children's dental fluorosis. Knowledge and basic information regarding dental fluorosis is lacking in the community. Efforts in dissemination and communication about dental fluorosis should be increased in order to raise awareness and prevent the dental fluorosis in Pakistan.

  1. A longitudinal three-center study of craniofacial morphology at 6 and 12 years of age in patients with complete bilateral cleft lip and palate.

    Science.gov (United States)

    Bartzela, Theodosia; Katsaros, Christos; Rønning, Elisabeth; Rizell, Sara; Semb, Gunvor; Bronkhorst, Ewald; Halazonetis, Demetrios; Kuijpers-Jagtman, Anne Marie

    2012-08-01

    In this longitudinal study, the craniofacial morphology and evaluated soft tissue profile changes, at 6 and 12 years of age in patients with complete bilateral cleft lip and palate (CBCLP) were compared. Lateral cephalograms from 148 patients with CBCLP, treated consecutively at three European cleft centers, Gothenburg (n (A) = 37), Nijmegen (n (B) = 26), and Oslo (n (C) = 85), were evaluated. Eighteen hard tissue and ten soft tissue landmarks were digitized. Paired t test, Pearson's correlation coefficients, and multiple regression models were applied for statistical analysis. ANOVA and Tukey-B, as a post hoc test, were used to evaluate the increments and compare centers. Hard and soft tissue data were superimposed using the generalized Procrustes analysis. For Nijmegen, the increments of the variables SNA, ANB, SN-NL, SN-ML, NL-ML, Snss, and Snpg were significantly different than the two other centers (p = 0.041 to cleft centers followed different treatment protocols, but the main differences in craniofacial morphology until 12 years of age were the growth pattern and the maxillary and upper incisor variables. Follow-up of these patients until facial growth has ceased, which may elucidate components for improving treatment outcome.

  2. Relationship between Untreated Dental Caries and Weight and Height of 6- to 12-Year-Old Primary School Children in Bangladesh

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    Masuma Pervin Mishu

    2013-01-01

    Full Text Available Background. Children in low-income developing countries are likely to suffer from undergrowth. Dental caries is another common problem in these countries. Aim. To examine the association between untreated dental caries in primary and permanent teeth with age-adjusted height and weight among 6–12-year-old children in Bangladesh. Design. Social, behavioural, and clinical data were collected from 1699 children in nine different randomly selected primary schools in socially deprived areas of Bangladesh. The associations of age-adjusted weight and height and being underweight with dental caries were examined adjusting for sex, area of residence, socioeconomic position, skipping meals, tooth cleaning, and doctor visits. Results. 26% of the children were underweight and 55% had untreated dental caries. Children with at least one decayed tooth were significantly underweight with odds ratios 1.6 (95% CI 1.1, 2.3 and 1.5 (95% CI 1.1, 2.0 for 6–8-years and 9–12-year-old children, respectively, in the adjusted model. The number of decayed teeth was inversely and significantly associated with the standardized age-adjusted weight. Conclusions. The findings highlight the association between untreated dental caries and being underweight in primary school children in socially deprived areas in low-income developing countries and emphasize the need to integrate oral and general health policies with social policies.

  3. The Effectiveness of Acceptance and Commitment Therapy for Children with Chronic Pain (CHACT on the Function of 7 to 12 Year-Old children

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    Soheila Ghomian

    2014-07-01

    Full Text Available Purpose: The purpose of this study is to evaluate the effect of Acceptance and Commitment Therapy for Children with Chronic Pain (CHACT on the function of 7 to 12 year-old children. Thus, the basic problem of the current study is whether CHACT can improve the function level of 7 to 12 year-old children with chronic pain? Method: According to the criteria of chronic pain, a number of children with chronic pain were selected by available sampling method from specialty and subspecialty pediatric hospitals of Tehran. Then, among the children, 20 children who according to their parents prepared to participate in this study and met the inclusion criteria, were selected. They were placed in the experimental group (n = 10 and control group (n = 10. The child and parent versions of Function Disability Inventory (FDI were answered by children and parents in both groups at the pre-test, post-test, first and second follow-up. Result: The result showed that the experimental group compared with the control group showed significant change in function in multiple stages. These changes continued after the treatment, first and secondary follow-up. Conclusion: Regarding the impact of CHACT on the function of children with chronic pain, it can be said that this protocol can be used in clinical fields, especially in the area of improving the function that appears that is one of the most vulnerable areas that children with chronic pain are faced with it.

  4. The Effectiveness of Acceptance and Commitment Therapy for Children with Chronic Pain on the Quality of Life on 7 to 12 Year-Old Children

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    Soheila Ghomian

    2014-08-01

    Full Text Available Backgrounds: The purpose of this study is to evaluate the effect of Acceptance and Commitment Therapy for Children with Chronic Pain (CHACT on quality of life of 7 to 12 year-old children. Thus, the basic problem of the current study is whether CHACT can increase the quality of life on 7 to 12 year-old children with chronic pain?   Materials and Methods: According to the criteria of chronic pain, a number of children suffering from chronic pain were selected by available sampling method from specialty and subspecialty pediatric hospitals of Tehran. Then, among the children, 20 children who according to their parents were prepared to participate in this study and met the inclusion criteria, were selected and were placed in the experimental group (n=10, and the control group (n=10. The KID Screen was administered in both groups at the pre-test, post-test, first and second follow-up.   Results: The results showed that the experimental group compared with the control group showed significant change in quality of life in multiple stages( P

  5. Preventive and interceptive orthodontics for the 5 to 12 year-old. Functional appliances: the Nite-Guide and Occlus-o-Guide techniques.

    Science.gov (United States)

    Kleinerman, V; Bergersen, E O

    2011-04-01

    hree orthodontic procedures are described that are used to prevent, intercept, and correct malocclusions at three distinct stages of dental development. Each stage of development (5 to 7 years, 8 to 12 years, and 12 years through adulthood) uses an appliance selected from a series of several preformed sizes. All have predicted socket dimensions to receive unerupted, erupting or fully erupted teeth. These sockets are prearranged in a perfect Class I occlusion. In the first group of appliances, specifically designed for the 5 to 7 year-old (called Nite-Guide), one selects a single size that is large enough to accommodate the teeth after they become straight. This appliance is worn passively while sleeping and simply guides the incoming incisors to straighten themselves using only their own force of eruption. Once straight, the adult collagenous fibers form and thereby prevent most future relapse from occurring. At the same time, the incoming incisors are prevented from over-erupting into a deep overbite and the mandible is advanced to correct any excess overjet. Similarly-designed appliances are also used to correct malocclusions in the mixed and adult dentitions. To obtain optimum results at these ages, active wear of about two hours per day is required. The treatment time is very fast (1 to 12 months in most cases) and the same appliance is also used as the retainer of choice. Most malocclusion problems such as crowding, rotations, overbite, overjet and TMD are 80 to 95% corrected in those wearing the appliance as directed.

  6. ASUPAN KALSIUM DAN VITAMIN D PADA ANAK INDONESIA USIA 2 – 12 TAHUN [Calcium and Vitamin D Intake of Indonesian Children 2-12 Years Old

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    Victoria Valentina*

    2014-09-01

    Full Text Available Food consumption is playing an important role for nutritional status of children 2-12 years old. During growth and development phase, body needs macro and micro nutrients even more than later phase. The process can not be catched up at later stage therefore it is very important to pay attention to food consumption during this phase. This study used secondary data of South East Asian Nutrition Surveys (SEANUTS 2011-2012 which was covered recapitulation profile data of 300 children age 2-12 years old representative of 48 districts in Indonesia. The study showed that Indonesian children consuming less calcium and vitamin D-rich foods than the recommended daily allowance (RDA. It does not reflects on the result of anthropometry data, vitamin D on the blood and bone mass density since the dietary recall 24 hours shows only food consumption in that specific day while nutritional status shows a result of longer process. However, vitamin D in blood has a significant correlation with bone mass density of tibia bone (p<0.05. Deficiency of calcium and mainly vitamin D is a new finding at this time. Therefore, the study showed that fortification of calcium and vitamin min D in food become important to improve nutritional status of Indonesian children. 20% of RDA per serving size twice a day is recommended as well for fortification level of Calcium and Vitamin D.

  7. Oral health-related knowledge, attitudes and habits in relation to perceived oral symptoms among 12-year-old school children.

    Science.gov (United States)

    Mattila, Marja-Leena; Tolvanen, Mimmi; Kivelä, Johanna; Pienihäkkinen, Kaisu; Lahti, Satu; Merne-Grafström, Marina

    2016-07-01

    Objective The aim of the study was to investigate oral health-related knowledge, attitudes and habits and their relationship to perceived oral symptoms among 12-year-olds and differences between boys and girls. Material and methods The study population consisted of children (n = 588) in 15 randomly selected elementary schools in Turku, Finland. Associations between oral health-related habits, knowledge and attitudes with perceived oral symptoms and gender differences were evaluated with χ(2)-test, Mann-Whitney U-test and logistic regression analysis. Results Oral health promoting habits but not knowledge or attitudes associated significantly with absence of oral symptoms. Girls reported a higher percentage of several health promotional habits than boys. Girls reported more frequently gingival bleeding and less frequently dental calculus than boys did. The most common oral symptom was gingival bleeding. Conclusions The present findings suggest some gender-related differences in oral health habits, attitudes, as well as perceived oral symptoms in 12-year-olds. There seems, however, not to be gender differences in relation to knowledge or the association of health habits with perceived oral symptoms. It is important to maintain health promotion at schools and additional efforts should be aimed at translating knowledge into action.

  8. B超诊断输尿管结石的价值%Diagnostic value of B type ultrasound in ureteral calculi

    Institute of Scientific and Technical Information of China (English)

    李成

    2010-01-01

    Objective To evaluate the diagnostic value of B type ultrasound in ureteral calculi. Methods B type ultrasound examination were performed on 100 cases with ureteral calculi who were confirmed by open surgery, extracorporeal shock wave lithotripsy and comprehensive therapy. Results The diagnostic accuracy was 94. 00% in 100 cases,no false positive was found,and the rate of missed diagnosis was 6.00% (6 cases). Conclusion B type ultrasound has a high application value in the diagnosis of ureteral calculi, which has low false positive rate and can clear display negative stone. It can also afford some accurate clues for diagnosis and clinical treatment in tihe according to abdomenal B type ultrasound and it will be preferred in way for diagnosis of acute nephrite colic especially in basic hospitals.%目的 评价B超在输尿管结石中的诊断价值.方法 对100例经手术取石、体外震波碎石和综合疗法排石证实为输尿管结石患者进行B超检查诊断分析.结果 本组100例输尿管结石患者中,B超诊断正确率为94.00%,无假阳性,漏诊6例,占6.00%.结论 B超诊断输尿管结石假阳性率低,可清晰显示X线阴性结石,有较高的临床应用价值和为临床及时准确地提供诊断和治疗依据,是急性肾绞痛的首选检查方法,特别是在基层医疗单位为首选检查方法.

  9. Therapeutic effect evaluation of TUPKEP combined with percutaneous cystotomy and nephroscopic EMS minimally invasive therapy for benign prostatic hyperplasia with multiple large bladder calculi

    Institute of Scientific and Technical Information of China (English)

    Zhi-Hu Zhu; Bing-Xun He; Hou-Bin Kang

    2016-01-01

    Objective:To study the therapeutic effect of TUPKEP combined with nephroscopic EMS pneumatic minimally invasive therapy for benign prostatic hyperplasia with multiple large bladder calculi.Methods: Benign prostatic hyperplasia patients with multiple (large) bladder calculi who received surgical treatment in our hospital from May 2012 to October 2015 were selected as the research subjects and randomly divided into TUPKEP group and TURP group, and then perioperative situation, serum PSA levels, liver and kidney function and the degree of inflammation were compared between two groups.Results: During operation, the amount of bleeding and the weight of removed prostate of TUPKEP group were significantly lower than those of TURP group; during postoperative recovery, the time of retention catheterization of TUPKEP group was shorter than that of TURP group; 1 d, 3 d and 7 d after operation, serum PSA levels of both groups were significantly higher than those before operation and serum PSA levels of TUPKEP group were significantly lower than those of TURP group; 3 days after operation, ALT, AST, BUN and Scr levels of TUPKEP group and TURP group were not different, and IL-1β and IL-18 levels in serum as well as mRNA levels of NLPR3, ACS, Caspase-1, IL-1β and IL-18 in peripheral blood mononuclear cells of TUPKEP group were significantly lower than those of TURP group.Conclusion: TUPKEP combined with nephroscopic EMS pneumatic minimally invasive therapy for benign prostatic hyperplasia with multiple large bladder calculi causes less damage, has better resection effect on the hyperplastic gland tissue than TURP, and has equivalent long-term curative effect to TURP.

  10. Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos

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    Petersen Poul

    2009-11-01

    Full Text Available Abstract Background In recent decades low-income countries experienced an increasing trend in dental caries among children, particularly recorded in 12-year olds, which is the principal WHO indicator age group for children. This increases the risks of negative affects on children's life. Some data exist on the oral health status of children in low-income countries of Southeast Asia. However, information on how oral health is associated with socio-behavioural factors is almost not available. The aims of this study were to: assess the level of oral health of Lao 12-year-olds in urban and semi-urban settings; study the impact of poor oral health on quality of life; analyse the association between oral health and socio-behavioural factors; investigate the relation between obesity and oral health. Methods A cross sectional study of 12-year old schoolchildren chosen by multistage random sampling in Vientiane, Lao P.D.R (hereafter Laos. The final study population comprised 621 children. The study consisted of: clinical registration of caries and periodontal status, and scores for dental trauma according to WHO; structured questionnaire; measurement of anthropometric data. Frequency distributions for bi-variate analysis and logistic regression for multivariate analysis were used for assessment of statistical association between variables. Results Mean DMFT was 1.8 (SEM = 0.09 while caries prevalence was 56% (CI95 = 52-60. Prevalence of gingival bleeding was 99% (CI95 = 98-100 with 47% (CI95 = 45-49 of present teeth affected. Trauma was observed in 7% (CI95 = 5-9 of the children. High decay was seen in children with dental visits and frequent consumption of sweet drinks. Missed school classes, tooth ache and several impairments of daily life activities were associated with a high dD-component. No associations were found between Body Mass Index (BMI and oral health or common risk factors. The multivariate analyses revealed high risk for caries for

  11. Primary care consultation, hospital admission, sick leave and disability pension owing to neck and low back pain: a 12-year prospective cohort study in a rural population

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    Holmberg Sara AC

    2006-08-01

    Full Text Available Abstract Background Neck and low back pain are common musculoskeletal complaints generating large societal costs in Western populations. In this study we evaluate the magnitude of long-term health outcomes for neck and low back pain, taking possible confounders into account. Method A cohort of 2,351 Swedish male farmers and rural non-farmers (40–60 years old was established in 1989. In the first survey, conducted in 1990–91, 1,782 men participated. A 12-year follow-up survey was made in 2002–03 and 1,405 men participated at both times. After exclusion of 58 individuals reporting a specific back diagnosis in 1990–91, the study cohort encompassed 1,347 men. The health outcomes primary care consultation, hospital admission, sick leave and disability pension were assessed in structured interviews in 2002–03 (survey 2. Symptoms and potential confounders were assessed at survey 1, with the exception of rating of depression and anxiety, which was assessed at survey 2. Multiple logistic regression generating odds ratios (OR with 95% confidence intervals (95% CI was performed to adjust the associations between reported symptoms and health outcomes for potential confounders (age, farming, workload, education, demand and control at work, body mass index, smoking, snuff use, alcohol consumption, psychiatric symptoms and specific back diagnoses during follow up. Results Of the 836 men reporting current neck and/or low back pain at survey 1, 21% had had at least one primary care consultation for neck or low back problems, 7% had been on sick leave and 4% had disability pension owing to the condition during the 12 year follow up. Current neck and/or low back pain at survey 1 predicted primary care consultations (OR = 4.10, 95% CI 2.24–7.49 and sick leave (OR = 3.22, 95% CI 1.13–9.22 after potential confounders were considered. Lower education and more psychiatric symptoms were independently related to sick leave. Lower education and snuff use

  12. Ureteroscopic pneumatic lithotripsy for treatment of complicated ureteral calculi%输尿管镜气压弹道碎石术治疗复杂性输尿管结石

    Institute of Scientific and Technical Information of China (English)

    王文生; 薛建; 俞小明; 张钢; 李鑫; 李保国; 唐科伟

    2011-01-01

    目的 探讨输尿管镜气压弹道碎石术治疗复杂性输尿管结石的疗效.方法 采用输尿管镜气压弹道碎石术治疗复杂性输尿管结石56例,其中输尿管上段结石15例,中下段结石41例,体外冲击波碎石术(ESWL)失败25例,合并高热8例.结果 56例患者中,中下段结石均一次完全粉碎,成功率100.0%(41/41).上段结石一次完全粉碎10例,成功率66.7%(10/15).3例结石术中移位至肾脏,后辅以ESWL治疗1~2次,1例进镜困难终止手术,1例因输尿管穿孔改行开放手术.术后4周结石总清除率87.5%(49/56).8例合并高热者均急诊手术,7例一次结石粉碎成功,1例结石移位至肾脏,但梗阻均经手术得以解除,术后高热停止.输尿管穿孔发生率为1.8%(1/56).结论 输尿管镜气压弹道碎石术治疗复杂性输尿管结石安全、有效.%Objective To evaluate the therapeutic efficacy of ureteroscopic pneumatic lithotripsy for treatment of complicated ureteral calculi. Methods Clinical data of 56 cases with complicated ureteral calculi who were treated with ureteroscopic pneumatic lithotripsy was reviewed. Among them 15 cases were proximal ureteral calculi,41 cases were middle and distal ureteral calculi. Treatment by extracorporeal shockwave lithotripsy (ESWL) failed in 25 cases,8 cases complicated with fever. Results In 41 cases with middle and distal ureteral calculi, successful lithotripsy was achieved after the first treatment session,the success rate was 100.0% (41/41). In 15 cases with proximal ureteral calculi ,successful lithotripsy was achieved in 10 cases after the first treatment session,the success rate was 66.7%(l0/15). Calculi migrated to kidney in 3 cases who treated by ESWL for 1-2 times. The failure was due to ureteral kink in 1 case and due to ureteral perforation that required surgical repair in another case. Forty-nine cases were calculi-free after 4 weeks,the calculi-free rate was 87.5%(49/56). Emergency operation was performed in 8

  13. Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos

    DEFF Research Database (Denmark)

    Jürgensen, Nanna; Petersen, Poul Erik

    2009-01-01

    -49) of present teeth affected. Trauma was observed in 7% (CI95 = 5-9) of the children. High decay was seen in children with dental visits and frequent consumption of sweet drinks. Missed school classes, tooth ache and several impairments of daily life activities were associated with a high d...... was found for children with good or average perception of own oral health. High risk for gingival bleeding was seen in semi-urban children and boys. CONCLUSION: Although the caries level is low it causes considerable negative impact on daily life. School based health promotion should be implemented......; study the impact of poor oral health on quality of life; analyse the association between oral health and socio-behavioural factors; investigate the relation between obesity and oral health. METHODS: A cross sectional study of 12-year old schoolchildren chosen by multistage random sampling in Vientiane...

  14. [Self-evaluation of the quality of life of children aged 6 to 12 years old: analysis of the concept and development of a prototype tool].

    Science.gov (United States)

    Gayral-Taminh, M; Bravi, C; Depond, M; Pourre, F; Maffre, T; Raynaud, J P; Grandjean, H

    2005-03-01

    The objective of this work was to assess the quality of life of children aged 6 to 12 years old. The authors present the different conceptual and operational steps which lead to the construction of a prototype tool. It was a generic tool composed of 63 items which covered the classically described areas of life. Its originality was due to the method of construction used which included children's involvement, to the pictorial representation of real-life situations for children, and to its adaptation for gender. The evaluation of this tool showed a good level of acceptability but statistical analysis revealed some metrological inadequacies leading to the reconsideration of the initial concepts and their methods of exploration. Therefore a new tool was constructed whose validation is presented in a second article in the next issue.

  15. Reading comprehension among typically developing Swedish-speaking 10-12-year-olds: examining subgroups differentiated in terms of language and decoding skills.

    Science.gov (United States)

    Asberg, Jakob; Carlsson, Marika; Oderstam, Ann-Marie; Miniscalco, Carmela

    2010-12-01

    Based on data from 156 typically developing 10-12-year-olds from Sweden, reading comprehension skills were studied in three subgroups: those classified with specific poor word decoding skills (n = 10), those with specific poor language comprehension (n = 12), and those with mixed difficulties in word decoding and language comprehension (n = 11). The mixed poor group achieved significantly lower scores than both specific groups in reading comprehension, and was the only group displaying poor reading comprehension test results relative to the performance of the full sample. Results are indicative of the necessity of a combined effect of poor word decoding and language in reading comprehension difficulties for this group. Implications and limitations are discussed.

  16. Continuous Gravity Monitoring in South America with Superconducting and Absolute Gravimeters: More than 12 years time series at station TIGO/Concepcion (Chile)

    Science.gov (United States)

    Wziontek, Hartmut; Falk, Reinhard; Hase, Hayo; Armin, Böer; Andreas, Güntner; Rongjiang, Wang

    2016-04-01

    As part of the Transportable Integrated Geodetic Observatory (TIGO) of BKG, the superconducting gravimeter SG 038 was set up in December 2002 at station Concepcion / Chile to record temporal gravity variations with highest precision. Since May 2006 the time series was supported by weekly observations with the absolute gravimeter FG5-227, proving the large seasonal variations of up to 30 μGal and establishing a gravity reference station in South America. With the move of the whole observatory to the new location near to La Plata / Argentina the series was terminated. Results of almost continuously monitoring gravity variations for more than 12 years are presented. Seasonal variations are interpreted with respect of global and local water storage changes and the impact of the 8.8 Maule Earthquake in February 2010 is discussed.

  17. Ungual fibroma in 12-year-old boy with hypomelanotic macules, intellectual disability and attention deficit hyperactivity disorder—possible tuberous sclerosis

    Directory of Open Access Journals (Sweden)

    Nedeljka Glavan

    2016-08-01

    Full Text Available Objective: To report a case of a 12-year-old boy with intellectual disability and attention deficit hyperactivity disorder, who came to surgery for an examination due to a minor bulge on the left thumb, which had been growing for the previous month. His mother denied any trauma. Methods: After the removal of the clinically ambiguous bulge and a pathohistological confirmation that it was a periungual fibroma, complete patient analysis was performed due to the presence of hypomelanotic macules and a suspected tuberous sclerosis. Results: Considering the presence of hypomelanotic macules, as one of the main criteria, possible TS diagnosis was set. Conclusion: Early detection of the symptoms of TS enables a timely provision of protocols for further patient monitoring, which affects the patient’s morbidity and mortality.

  18. Idiopathic infantile arterial calcification in a 12-year-old girl presenting as chronic mesenteric ischemia: imaging findings and angioplasty results

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Edwin; Owen, Richard [University of Alberta, Department of Radiology and Diagnostic Imaging, Edmonton (Canada); Bruce, Garth [University of Saskatchewan, Department of Pediatrics, Royal University Hospital, Saskatoon (Canada); Wiebe, Sheldon [University of Saskatchewan, Department of Medical Imaging, Royal University Hospital, Saskatoon (Canada)

    2011-11-15

    We report an unusual case of chronic mesenteric ischemia presenting in a 12-year-old girl with idiopathic infantile arterial calcinosis (IIAC). This is the first reported case in the literature of chronic mesenteric ischemia in the setting of IIAC. The girl presented with a classical history of postprandial abdominal pain. Imaging demonstrated significant stenoses of the celiac axis, superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). Angioplasty of the celiac axis and SMA was attempted, with successful dilation of the SMA only. At 3-, 6- and 12-month follow-ups, the child's symptoms had almost resolved. This case report has three important ramifications: chronic mesenteric ischemia is a possible clinical presentation in children with IACC, pre-angioplasty imaging is important in guiding treatment approach, and angioplasty was effective in this case of chronic mesenteric ischemia and offers hope for other similarly affected children. (orig.)

  19. A microcystic adnexal carcinoma in the auditory canal 15 years after radiotherapy of a 12-year-old boy with nasopharynx carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Beer, K.T.; Buehler, S.S.; Greiner, R. [Dept. of Radiation Oncology, Inselspital, Univ. of Bern, Bern (Switzerland); Mullis, P. [Dept. of Pediatric Endocrinology, Inselspital, Univ. of Bern, Bern (Switzerland); Laeng, R.H. [Inst. of Pathology, Kantosspital Aarau, Aarau (Switzerland)

    2005-06-01

    Background: radiogenic malignancies require cure of the primary disease and a prolonged survival. The introduction of high-volt technology in the 1950s and 1960s made radical radiotherapy feasible and successful in terms of higher cure rates and longer survival. We are already in a time when a higher number of patients with radiogenic secondary malignancies must be expected. Case report: a 12-year-old boy is reported who suffered from an advanced nasopharynx carcinoma and was treated with radical irradiation in 1983. 15 years later he developed a rare microcystic adnexal carcinoma of the auditory canal inside the volume of the target dose. The secondary malignant neoplasm was resected and required another radiation treatment (1 Gy b.i.d.) due to involved margins. Discussion and literature review: the entity of microcystic carcinoma is discussed with a review of the literature on biology, diagnosis, and treatment. (orig.)

  20. Primary erythromelalgia in a 12-year-old boy: positive response to sodium channel blockers despite negative SCN9A mutations.

    Science.gov (United States)

    Jakob, A; Creutzfeldt, R; Staszewski, O; Winterpacht, A; Berner, R; Hufnagel, M

    2012-09-01

    Erythromelalgia is a rare disorder characterized by recurrent pain attacks, swelling and redness in the distal extremities. The primary forms of the disorder are caused by mutations in voltage-gated sodium channels. Treatment is difficult and controlled therapeutic studies offer little to no guidance. We report on a 12-year-old boy and his first occurrence of primary erythromelalgia. Genetic findings for mutations in the SCN9A gene, which encodes for the α-subunit of sodium channel NaV1.7, were negative. Although initial treatment with sodium nitroprusside was ineffective, subsequent medication with lidocaine and mexiletine, in combination with gabapentin, was successful. Despite negative findings for mutations in the sodium channels, the use of sodium channel blockers should be considered in these patients.

  1. Process and product in writing--a methodological contribution to the assessment of written narratives in 8-12-year-old Swedish children using ScriptLog.

    Science.gov (United States)

    Asker-Arnason, Lena; Wengelin, Asa; Sahlén, Birgitta

    2008-01-01

    Twenty-seven children, with typical language development (TLD), 8-10 years old and 10-12 years old, were assessed with keystroke-logging in order to investigate their narrative writing. Measures of the writing process and the written product were used. One purpose was to explore how children produce written narratives in on-line production, and to relate the writing process to the written product. The results showed that those children who produced the final text faster, also wrote stories that comprised of more words. In the group of older children, children with better narrative ability used less pause time than those with worse ability, and the girls were faster writers than the boys. We believe that keystroke-logging gives valuable information for the assessment of young children's writing and that it is a potentially valid assessment tool for children from about 10 years of age.

  2. Food Choices and Coronary Heart Disease: A Population Based Cohort Study of Rural Swedish Men with 12 Years of Follow-up

    Directory of Open Access Journals (Sweden)

    Sara Holmberg

    2009-10-01

    Full Text Available Coronary heart disease is associated with diet. Nutritional recommendations are frequently provided, but few long term studies on the effect of food choices on heart disease are available. We followed coronary heart disease morbidity and mortality in a cohort of rural men (N = 1,752 participating in a prospective observational study. Dietary choices were assessed at baseline with a 15-item food questionnaire. 138 men were hospitalized or deceased owing to coronary heart disease during the 12 year follow-up. Daily intake of fruit and vegetables was associated with a lower risk of coronary heart disease when combined with a high dairy fat consumption (odds ratio 0.39, 95% CI 0.21-0.73, but not when combined with a low dairy fat consumption (odds ratio 1.70, 95% CI 0.97-2.98. Choosing wholemeal bread or eating fish at least twice a week showed no association with the outcome.

  3. Clinical and radiological 12-year follow-up of full arch maxilla prosthetic restoration supported by dental implants positioned through guide flapless surgery.

    Science.gov (United States)

    Soardi, C M; Bramanti, E; Cicciù, M

    2014-03-01

    The computer-guided flapless surgery for implant placement using stereolithographic templates is going to be considered a daily practice technique. The advantages of this kind of surgery are related with its no flap opening, with the precision of the implant positioning and with the possibility of having a quick rehabilitation and low post-surgical discomfort. The introduction of digital planning programs has made it possible to place dental implants in preplanned positions and being immediately functionally loaded by using prefabricated prostheses. This case presented a 12-year follow-up of a maxillary prosthesis supported by dental implant immediately loading and positioned with the first kind of guided flapless surgery technique. Aim of this paper was to report how the guide surgery implant position technique can be considered a predictable and safe technique giving the surgeon excellent long-term results.

  4. [The endoprosthetic management of biliary calculi larger than 20 mm: the long-term results].

    Science.gov (United States)

    Farca, A; Rodríguez, G; Mundo, F; Moreno, M

    1991-01-01

    We present our experiences in fifteen high-risk surgical patients, with large bile duct stones, treated with endoscopic home-made biliary stents. We observed good immediate and mediate results in all patients, with a 19.9 months follow-up. In one case, acute cholangitis developed after 25 months and the patient died. Other three died of unrelated causes. None of the patients required surgery. We conclude that endoscopic stenting is a useful procedure in the treatment of large bile duct stones in poor-risk surgical patients.

  5. Cervical vestibular evoked myogenic potentials in children with spastic cerebral palsy and normal children with 7-12 years of age

    Directory of Open Access Journals (Sweden)

    Nazila Akbarfahimi

    2014-10-01

    Full Text Available Background and Aim: Cervical vestibular-evoked myogenic potential (cVEMP is one of the diagnostic tests used in assessing vestibular function. Two aims of this study were to investigate implications of cervical vestibular evoked myogenic potential in children with spastic cerebral palsy (7-12 years, and to compare vestibular function in these children and normal children.Methods: In this cross-sectional study, myogenic potential was recorded in 31 children with spastic cerebral palsy (8 girls, 23 boys,7-12 years of age, with mean age of 8.77 years old and standard deviation of 1.52 years and 31 normal children (13 girls, 18 boys with mean age of 8.77 years and standard deviation of 1.52 years. Cervical vestibular evoked myogenic potential was recorded with 500 Hz tone burst. The recorded parameters included p13 and n23 latency, p13-n23 pick to pick amplitude, and threshold.Results: Myogenic Potential was recorded in 31 normal children. They had bilateral responses. In children with cerebral palsy, 21 children showed bilateral responses, 3 children had only right-sided responses, 8 children had only left-sided responses, and two children did not show any responses. The statistical significant differences were shown between the two groups in n23, p13-n23 pick to pick amplitude, and threshold (p<0.05.Conclusion: These findings showed that cervical vestibular evoked myogenic potential can be used in children with cerebral palsy. There were significant differences in myogenic potential parameters between the two groups. More studies are needed to investigate the causes of these differences.

  6. Oral health-related KAP among 11- to 12-year-old school children in a government-aided missionary school of Bangalore city

    Directory of Open Access Journals (Sweden)

    Harikiran A

    2008-01-01

    Full Text Available Background: To organize community-oriented oral health promotion programs systematic analysis of the oral health situation would be needed, including information on oral health knowledge, attitudes, and practices (KAP. Aim: The aim of this study was to assess knowledge, attitude, and practice (KAP toward oral health among 11 to 12-year-old school children in a government-aided missionary school of Bangalore city. Materials and Methods: The study group comprised of 212 children (Male: 108; Female; 104 who were in the age group of 11-12 years studying in a government-aided missionary school of Bangalore city. Data on oral health KAP were collected by means of a self-administered questionnaire. Statistical significance was determined by Chi-square test. Results: This survey found that only 38.5% of the children brush their teeth two or more times a day. Pain and discomfort from teeth (35.1% were common while dental visits were infrequent. Fear of the dentist was the main cause of irregular visit in 46.1% of study participants. High proportion of study participants reported having hidden sugar at least once a day: soft drinks (32.1%, milk with sugar (65.9%, and tea with sugar (56.1%. It was found that 5.4% and 3.9% of study participants smoke and chew tobacco, respectively. Conclusion: Results of this study suggest that oral health KAP of study participants are poor and needs to be improved. Systematic community-oriented oral health promotion programs are needed to improve oral health KAP of school children.

  7. Faecal calprotectin concentrations in apparently healthy children aged 0-12 years in urban Kampala, Uganda: a community-based survey

    Directory of Open Access Journals (Sweden)

    Grahnquist Lena

    2011-02-01

    Full Text Available Abstract Background Calprotectin is a calcium and zinc binding protein, abundant in neutrophils and is extremely stable in faeces. Faecal calprotectin is used as a non-specific marker for gastrointestinal inflammation. It has a good diagnostic precision to distinguish between irritable bowel syndrome and inflammatory bowel disease. Studies have established normal concentrations in healthy children; all these studies have been performed in high-income countries. The objective of this study was to determine the concentration of faecal calprotectin in apparently healthy children aged 0-12 years in urban Kampala, Uganda. Method We tested 302 apparently healthy children aged, age 0-12 years (162 female, 140 male in urban Kampala, Uganda. The children were recruited consecutively by door-to-door visits. Faecal calprotectin was analyzed using a quantitative enzyme-linked immunosorbent assay. Faeces were also tested for Helicobacter pylori (H. pylori antigen, for growth of enteropathogens and microscopy was performed to assess protozoa and helminths. A short standardized interview with socio-demographic information and medical history was obtained to assess health status of the children. Results In the different age groups the median faecal calprotectin concentrations were 249 mg/kg in 0 H. pylori or having other pathogens in the stool. Conclusion Concentrations of faecal calprotectin among healthy children, living in urban Ugandan, a low-income country, are comparable to those in healthy children living in high-income countries. In children older than 4 years, the faecal calprotectin concentration is low. In healthy infants faecal calprotectin is high. The suggested cut-off concentrations in the literature can be used in apparently healthy Ugandan children. This finding also shows that healthy children living under poor circumstances do not have a constant inflammation in the gut. We see an opportunity to use this relatively inexpensive test for

  8. Demography and life history of wild red titi monkeys (Callicebus discolor) and equatorial sakis (Pithecia aequatorialis) in Amazonian Ecuador: A 12-year study.

    Science.gov (United States)

    Van Belle, Sarie; Fernandez-Duque, Eduardo; Di Fiore, Anthony

    2016-02-01

    We investigated demographic patterns and life history traits from several groups of red titi monkeys (Callicebus discolor) and equatorial sakis (Pithecia aequatorialis) monitored throughout the first 12 years (November 2003 through May 2015) of an ongoing research project in the Yasuní National Park and Biosphere Reserve, Ecuador. The saki groups ranged in size between two and six individuals, comprising either one adult male and one adult female or multiple adult-sized males or females, plus immatures. Deviations from a pair-living structure resulted when two different daughters of the resident female grew up and successfully reproduced in their natal group and when an adult-sized male temporarily immigrated into the group when it already contained an adult male. The titi groups also ranged in size between two and six individuals, but almost exclusively lived in groups with one adult individual of each sex. No titi offspring were observed to breed in their natal groups, and both male and female offspring dispersed when they were between 2.1 and 5.0 years old. In both titi and saki groups, vacant breeding positions resulting from the disappearance of an adult group member were promptly occupied by immigrants of the same sex as the disappeared group member. We recorded nine saki and 28 titi births. Eighty-three percent of the titi births occurred between September and January, suggesting reproductive seasonality. The mean interbirth interval after an infant survived its first 6 months was 21.3 ± SE 1.9 months (N = 3) for sakis and 14.5 ± SE 1.5 months (N = 14) for titis. Saki infant survival was 70%, and juvenile survival 57%. Titi infant survival was 88%, and juvenile survival was 53%. This 12-year study provides important insights into the functioning and maintenance of pair-living and social monogamy in two little-known platyrrhine species.

  9. Digit Sucking Habit and Association with Dental Caries and Oral Hygiene Status of Children Aged 6 Months to 12 Years Resident in Semi-Urban Nigeria.

    Directory of Open Access Journals (Sweden)

    Kikelomo Adebanke Kolawole

    Full Text Available Non-nutritive sucking (NNS is a common behavior in childhood. The association between digit sucking, dental caries and oral health has been studied with inconclusive results. The objectives of this study were to determine the prevalence of, and the association between digit sucking, caries and oral hygiene status of children age six months to 12 years, resident in Ile-Ife, Osun State, Nigeria.A cross-sectional study was conducted in Ife Central Local Government Area of Osun State. Data were collected through a household survey using a multi-stage sampling procedure from children between six months and 12 years. Details of each child's socio-demographic characteristics, digit sucking habits, caries status and oral health status were collected. The association between digit sucking, caries status and oral hygiene status was determined using Chi square and Logistic regression.The mean age of the 992 study participants was 5.8 ± (3.2 years. The prevalence of digit sucking, caries and poor oral hygiene were 7.2%, 10.5% and 2.4% respectively. The mean dmft score was 0.22 ± (0.80, mean DMFT score was 0.04 ± (0.30 while mean Oral Hygiene Index score was 1.27 ± (0.73. Digit sucking increased the odds of having caries (OR: 1.28; CI: 0.58-2.81 but decreased the odds of having poor oral hygiene (OR: 0.58; CI: 0.34-1.01 insignificantly.Digit sucking was not a significant predictor of caries and oral hygiene status, although the odds of having caries increased while the odds of having poor oral hygiene decreased with digit sucking.

  10. Food consumption and nutritional and biochemical status of 0·5-12-year-old Indonesian children: the SEANUTS study.

    Science.gov (United States)

    Sandjaja, Sandjaja; Budiman, Basuki; Harahap, Heryudarini; Ernawati, Fitrah; Soekatri, Moesijanti; Widodo, Yekti; Sumedi, Edith; Rustan, Effendi; Sofia, Gustina; Syarief, Sainstiani N; Khouw, Ilse

    2013-09-01

    Indonesia is currently facing the double burden of malnutrition. While undernutrition is still a major public health problem, the prevalence of overnutrition is increasing. The objective of the South East Asian Nutrition Survey (SEANUTS) was to provide up-to-date data on nutritional status, food consumption and biochemical parameters related to nutrition for children aged 0·5-12 years. The SEANUTS study in Indonesia was conducted in a nationwide representative sample of 7·211 children using multistage cluster sampling based on probability proportional to size, stratified for geographical location, in forty-eight out of 440 districts/cities. The results show that the growth (weight for age, height for age, weight for height and BMI for age) of Indonesian pre-school- and school-aged children is below the WHO standards. The older the children, the more the deviation from the WHO standard curves. Underweight was more prevalent in rural areas (28·9 v. 19·2%) and overweight/obesity was observed to be more widespread in urban areas (5·6 v. 3·2%). The prevalence varied with age groups and sexes. The overall prevalence of stunting was 25·2 and 39·2% in urban and rural areas, respectively. The prevalence of anaemia was nearly 55% in children aged 0·5-1·9 years and ranged from 10·6 to 15·5% in children aged 2-12 years. Fe deficiency was observed in 4·1-8·8% of the children. The percentage of children with dietary intakes of energy, protein, and vitamins A and C below the Indonesian RDA was high and differed across urban and rural areas and age groups.

  11. A school-based intervention to reduce overweight and inactivity in children aged 6–12 years: study design of a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Reuvers Ivo

    2008-07-01

    Full Text Available Abstract Background Effective interventions to prevent overweight and obesity in children are urgently needed especially in inner-city neighbourhoods where prevalence of overweight and inactivity among primary school children is high. A school based intervention was developed aiming at the reduction of overweight and inactivity in these children by addressing both behavioural and environmental determinants. Methods/design The main components of the intervention (Lekker Fit! are the re-establishment of a professional physical education teacher; three (instead of two PE classes per week; additional sport and play activities outside school hours; fitness testing; classroom education on healthy nutrition, active living and healthy lifestyle choices; and the involvement of parents. The effectiveness of the intervention is evaluated through a cluster randomized controlled trial in 20 primary schools among grades 3 through 8 (6–12 year olds. Primary outcome measures are BMI, waist circumference and fitness. Secondary outcome measures are assessed in a subgroup of grade 6–8 pupils (9–12 year olds through classroom questionnaires and constitute of nutrition and physical activity behaviours and behavioural determinants. Multilevel regression analyses are used to study differences in outcomes between children in the intervention schools and in control schools, taking clustering of children within schools into account. Discussion Hypotheses are that the intervention results in a lower prevalence of children being overweight and an improved mean fitness score, in comparison with a control group where the intervention is not implemented. The results of our study will contribute to the discussion on the role of physical education and physical activity in the school curriculum. Trial registration [ISRCTN84383524

  12. Clinical results of Hi-tech Knee II total knee arthroplasty in patients with rheumatoid athritis: 5- to 12-year follow-up

    Directory of Open Access Journals (Sweden)

    Yamanaka Hajime

    2012-02-01

    Full Text Available Abstract Background Total knee arthroplasty (TKA is a common form of treatment to relieve pain and improve function in cases of rheumatoid arthritis (RA. Good clinical outcomes have been reported with a variety of TKA prostheses. The cementless Hi-Tech Knee II cruciate-retaining (CR-type prosthesis, which has 6 fins at the anterior of the femoral component, posterior cruciate ligament (PCL retention, flat-on-flat surface component geometry, all-polyethylene patella, strong initial fixation by the center screw of the tibial base plate, 10 layers of titanium alloy fiber mesh, and direct compression molded ultra high molecular weight polyethylene (UHMWPE, is appropriate for TKA in the Japanese knee. The present study was performed to evaluate the clinical results of primary TKA in RA using the cementless Hi-Tech Knee II CR-type prosthesis. Materials and methods We performed 32 consecutive primary TKAs using cementless Hi-Tech Knee II CR-type prosthesis in 31 RA patients. The average follow-up period was 8 years 3 months. Clinical evaluations were performed according to the American Knee Society (KS system, knee score, function score, radiographic evaluation, and complications. Results The mean postoperative maximum flexion angle was 115.6°, and the KS knee score and function score improved to 88 and 70 after surgery, respectively. Complications, such as infection, occurred in 1 patient and revision surgery was performed. There were no cases of loosening in this cohort, and prosthesis survival rate was 96.9% at 12 years postoperatively. Conclusion These results suggest that TKA using the cementless Hi-Tech Knee II CR-type prosthesis is a very effective form of treatment in RA patients at 5 to 12 years postoperatively. Further long-term follow-up studies are required to determine the ultimate utility of this type of prosthesis.

  13. 头孢曲松钠相关双侧输尿管结石%Ceftriaxone sodium associated with bilateral ureteral calculi

    Institute of Scientific and Technical Information of China (English)

    陈锐; 岳明; 刘小勇

    2013-01-01

    1例26岁女性患者因上呼吸道感染静脉滴注头孢曲松钠2 g,1次/d.第4天突然出现下腹持续性胀痛,腹部超声及CT检查提示双侧输尿管结石.给予对症支持治疗.第5天患者尿中排出少许沉渣.当天腹痛缓解,尿频、尿急症状消失.第6天复查CT,双侧输尿管结石消失.%A 26-year-old female patient received an Ⅳ infusion of ceftriaxone 2 g once daily for upper respiratory tract infection.On day 4,the patient developed persistent distending pain in her lower abdomen.Abdominal ultrasonography and CT examinations revealed bilateral ureteral calculi.The patient received symptomatic treatments and supportive therapy.On day 5,little sediment was excreted in the urine.On the same day,the abdominal pain was alleviated and symptoms of urinary frequency and urgency disappeared.On day 6,CT reexamination showed that the bilateral ureteral calculi disappeared.

  14. Epidemiological Survey of Renal Calculi in Adult Yao Population in Guangxi%广西瑶族成年人肾结石流行病学调查

    Institute of Scientific and Technical Information of China (English)

    汤宗源; 江顺建; 李江; 李秀清; 钟明涛; 黄日波; 李萍; 邹爱俐

    2015-01-01

    目的:分析广西恭城瑶族自治县瑶族成年人肾结石的患病状况及其影响因素。方法采用整群分层随机抽样方法,于2012年10—12月选取广西恭城瑶族自治县7个社区、31个村屯共3475例常住瑶族人为调查对象。采用自行设计的调查问卷,调查研究对象人口学资料、生活饮食习惯、疾病史。并采用肾脏 B 超确诊肾结石患者。采用单因素分析和多因素 Logistic 回归分析肾结石的影响因素。结果3475例调查对象中肾结石患者418例,患病率为12.0%(418/3475)。不同性别、年龄、职业、文化程度、婚姻状况、年收入、体质指数(BMI)者肾结石患病率比较,差异有统计学意义(P <0.05)。是否吸烟、是否饮酒、不同饮用水源、睡前是否饮水、饮用水是否煮沸及不同频率食用新鲜绿色蔬菜、豆类制品、柿子、动物内脏者肾结石患病率比较,差异均有统计学意义(P <0.05)。既往是否有胆结石、肾炎、泌尿系结石者肾结石患病率比较,差异有统计学意义( P <0.05)。多因素 Logistic 回归分析结果显示:年龄、性别、职业、文化程度、年收入、饮用水源、饮用水煮沸、食柿子、食新鲜绿色蔬菜、食豆类制品、食动物内脏及既往有肾炎、泌尿系结石史是肾结石的影响因素(P <0.05)。结论该地区瑶族成年人肾结石患病率较高,与饮食等多种因素有关,应针对高危因素开展肾结石的防治工作。%Objective To investigate the prevalence of renal calculi in adult Yao population in Gongcheng Yao Autonomous County of Guangxi and its influencing factors. Methods By using stratified cluster random sampling method,we enrolled 3 475 Yao permanent residents from 7 communities and 31 villages of Gongcheng County from October to December in 2012. A self - designed questionnaire was employed to investigate on demographic data,life habit

  15. [The combination of extracorporeal lithotripsy and percutaneous nephrostomy in the treatment of obstructive ureteral urate calculi].

    Science.gov (United States)

    Del Boca, C; Ferrari, C; Dotti, E; Corsi, G; Guardamagna, A; Giuberti, A C; Colloi, D

    1994-04-01

    The authors report their experience with combined percutaneous nephrostomy and extracorporeal shock-wave lithotripsy to treat obstructive uratic ureteral stones. The role of nephrostomy is stressed as a diagnosis and treatment method before, during and after lithotripsy. Thus, the method proved especially useful to drain obstructed kidneys and restore peristalsis, to evacuate septic urine, to facilitate the elimination of lithiasic fragments, to perform anterograde pyelography before, during and after lithotripsy and finally to allow pharmacological litholysis. Fourteen patients were successfully treated with combined extracorporeal lithotripsy and percutaneous nephrostomy and the results compared with those obtained with other techniques--e.g., ureteroscopy, whose value appears lower because the method requires general anesthesia and is more traumatic to the ureter. The authors conclude that combined extracorporeal lithotripsy and percutaneous nephrostomy make the best technique to treat obstructive uric acid stones thanks to their positive results, low invasiveness and to patients compliance.

  16. Qinghai urinary calculi in composition analysis and prevention%青海地区泌尿系结石成分分析及防治

    Institute of Scientific and Technical Information of China (English)

    张欣雨; 蔡辉霞

    2012-01-01

    目的:研究青海地区581例泌尿系结石化学构成,为临床预防、治疗提供依据.方法:化学反应测定581例泌尿系结石标本,研究其成分,并结合临床资料进行比较.结果:在581例尿石中混合结石占70.56%(410/581),其中草酸盐结石59.89%,磷酸盐结石34.59%,碳酸盐结石24.61%,尿酸结石26.33%;单纯结石17.42%.上尿路结石473例,下尿路结石108例,上、下尿路结石之比为4.36:1,肾、输尿管结石主要以草酸钙和磷酸钙混合结石及单纯草酸钙结石为主,膀胱结石主要以尿酸结石为主,尿路结石部位和化学成份构成密切相关,肾、膀胱结石与其化学成份构成经统计学检验差异有显著性(P<0.05),提示上、下尿路结石的发病机理不同.结论:结石成分分析对于了解结石成因、预防结石形成和复发具有重要的意义.%Objective To study the 581 cases of qinghai region urinary calculi chemical composition, for clinical prevention, treatment, provides the basis. Methods 581 cases of chemical reaction determination of urinary calculi specimens, and study the composition, and combined with clinical data are compared. Results Among 581 cases in urine mixed stones accounted for 70.56%(410/581), of which 59.89% salt oxalate stone, phosphate stone 34.59%, 24.61% carbonate stone, stone uric acid 26.33%; Simple stone 17.42%. Urinary calculi in 473 cases, urinary calculi under 108 cases, on under the ratio of urinary calculus 4.36:1, kidney, ureter stone mainly calcium oxalate stone and calcium phosphate and mixed pure calcium oxalate stone is given priority to, bladder calculi mainly uric acid as stone, urinary calculus parts and chemical composition constitute a closely related, the kidney, bladder calculus and its chemical composition form after statistics inspection (P<0.05), hintunder the pathogenesis of urinary calculus is different. Conclusion stone composition analysis to understand the stone cause, prevention

  17. 结石肾并肾癌的诊断和治疗%Diagnosis and treatment of renal calculi associated with renal cell carcinoma

    Institute of Scientific and Technical Information of China (English)

    周光; 宋超; 喻翔翔; 杨嗣星

    2011-01-01

    Objective To investigate the diagnosis and treatment of renal calculi associated with renal cell carcinoma ( RCC). Methods The clinical data of 9 cases of renal calculi associated with RCC were retrospectively analyzed. Results The diagnosis were confirmed in 2 cases before open surgery. The remaining were diagnosed during or after operation ;4 cases with doubtful focus were confirmed RCC by in-tra - operative frozen section ,3 were confirmed by pathology after nephrectomy. All 7 confirmed cases were performed radical nephrorectomy. All cases underwent follow up:2 cases were dead of metastasis of RCC within 1 year,and no recurrence or metastasis was noted in other 7 cases during follow up. Conclusion The pre - diagnosis of renal calculi associated with RCC is difficult. Patients with renal calculi over 50 years of age or with a long standing history of urolithiasis within the background of an atypical or asympto-matic presentation should be screened for the possibility of an occult renal cancer by using appropriate in-vestigations. Once the diagnosis is confirmed, radical nephrorectomy rather than treatment of renal calculi should be performed as soon as possible.%目的 探讨结石肾合并肾癌的诊断与治疗策略.方法 回顾分析9例结石肾合并肾癌患者的病例资料及诊治经过.结果 9例患者中2例术前检查已发现结石肾合并肾占位病变行根治性肾切除;另7例中4例因结石手术术中发现可疑病灶行快速冰冻切片病检证实为肾细胞癌而行根治性肾切除,3例因结石肾积水合并感染形成脓肾行患肾切除,术后病理证实为肾癌.对所有患者进行随访,2例术后1年内死于癌肿转移,其他患者在随访期间未发现肾癌复发或转移.结论 结石肾合并肾癌诊断较困难,对50岁以上肾结石患者或长期肾结石并非典型性症状患者,应考虑结石合并肾癌的可能,应联合多种检查方法对其进行检查,争取术前明确诊断.对术

  18. Large subcapsular hematoma following ureteroscopic laser lithotripsy of renal calculi in a spina bifida patient: lessons we learn

    Directory of Open Access Journals (Sweden)

    Vaidyanathan S

    2016-08-01

    % to 17%. Follow-up CT revealed reduction in the size of subcapsular hematoma, no hydronephrosis, and several residual calculi.Conclusion: Risk of subcapsular hematoma following ureteroscopic lithotripsy can be reduced by avoiding prolonged endoscopy and performing ureteroscopy under low pressure. When a paraplegic patient develops features of infection after ureteroscopy, renal imaging should be carried out promptly. Extended perioperative medical care is required for spinal cord injury patients because of their propensity to develop sepsis. Antibiotics should be prescribed on the basis of recent urine microbiology results. Spinal cord injury patients should be treated by senior, experienced doctors and cared for in a spinal injuries unit in order to minimize complications. Keywords: spina bifida, paraplegia, ureteroscopy, lithotripsy, subcapsular hematoma, prevention

  19. RANDOMIZED TRIAL OF THE SAFETY AND EFFICACY OF TAMSULOSIN AND SILODOSIN IN MEDICAL EXPULSIVE THERAPY FOR DISTAL THIRD URETERIC CALCULI

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    Rajanna

    2014-11-01

    Full Text Available INTRODUCTION: Urolithiasis is a common condition that affects approximately 5% to 10% of the population and the incidence of Urolithiasis is rising. Ureteric stones account for 20% of urinary tract stones and about 70% of them are found in the lower third of the ureter at presentation. Recent literatures show the efficacy of various drugs and minimally invasive procedures for the management of lower third ureteral stones. We performed a randomized, prospective study to assess and compare the efficacy of tamsulosin and silodosin as medical expulsive therapy for lower third ureteral stones. SETTING AND DURATION: Department of Surgery, Hassan Institute of Medical Sciences/ Teaching Hospital, Hassan. from August 2013 to August 2014. MATERIALS AND METHODS: The prospective data of 60 symptomatic patients with unilateral, lower third ureteral calculi of less than ≤10 mm were randomly allocated for out- patient treatment with tamsulosin and silodosin groups Patients aged ≥ 18 years with a single, unilateral, symptomatic, radio-opaque ureteric stone of 10 mm or smaller in the largest dimension located between the lower border of the sacroiliac joint and vesico-ureteric junction were included. For Group I tamsulosin a daily single dose of 0.4 mg for 28days and for Group II a daily single dose of silodosin 8mg was given. Nonsteroidal anti-inflammatory drugs were used on demand for both the groups. All the patients were told to observe passage of stone by filtering urine stream. The primary end point was the expulsion of the stone and the secondary end points were expulsion time, analgesic use, socioeconomic status, need for hospitalization, endoscopic treatment and drug side effects were documented. RESULTS: The stone expulsion rates in patients treated with tamsulosin and silodosin were 83.3% and 86.6% respectively. Mean stone expulsion times in tamsulosin group and silodosin group were 6.8 and 6.2 days respectively. Mean number of pain episodes were

  20. A Comparative Study on the Suitability of Smartphones and IMU for Mobile, Unsupervised Energy Expenditure Calculi.

    Science.gov (United States)

    Ruiz-Zafra, Angel; Orantes-González, Eva; Noguera, Manuel; Benghazi, Kawtar; Heredia-Jimenez, Jose

    2015-07-27

    The metabolic equivalent of task (MET) is currently the most used indicator for measuring the energy expenditure (EE) of a physical activity (PA) and has become an important measure for determining and supervising a person's state of health. The use of new devices which are capable of measuring inertial movements by means of built-in accelerometers enable the PA to be measured objectively on the basis of the reckoning of "counts". These devices are also known as inertial measurement units (IMUs) and each count is an aggregated value indicating the intensity of a movement and can be used in conjunction with other parameters to determine the MET rate of a particular physical activity and thus it's associated EE. Various types of inertial devices currently exist that enable count calculus and physical activity to be monitored. The advent of mobile devices, such as smartphones, with empowered computation capabilities and integrated inertial sensors, has enabled EE to be measure in a distributed, ubiquitous and natural way, thereby overcoming the reluctance of users and practitioners associated with in-lab studies. From the point of view of the process analysis and infrastructure needed to manage data from inertial devices, there are also various differences in count computing: extra devices are required, out-of-device processing, etc. This paper presents a study to discover whether the estimation of energy expenditure is dependent on the accelerometer of the device used in measurements and to discover the suitability of each device for performing certain physical activities. In order to achieve this objective, we have conducted several experiments with different subjects on the basis of the performance of various daily activities with different smartphones and IMUs.

  1. A Comparative Study on the Suitability of Smartphones and IMU for Mobile, Unsupervised Energy Expenditure Calculi

    Directory of Open Access Journals (Sweden)

    Angel Ruiz-Zafra

    2015-07-01

    Full Text Available The metabolic equivalent of task (MET is currently the most used indicator for measuring the energy expenditure (EE of a physical activity (PA and has become an important measure for determining and supervising a person’s state of health. The use of new devices which are capable of measuring inertial movements by means of built-in accelerometers enable the PA to be measured objectively on the basis of the reckoning of “counts”. These devices are also known as inertial measurement units (IMUs and each count is an aggregated value indicating the intensity of a movement and can be used in conjunction with other parameters to determine the MET rate of a particular physical activity and thus it’s associated EE. Various types of inertial devices currently exist that enable count calculus and physical activity to be monitored. The advent of mobile devices, such as smartphones, with empowered computation capabilities and integrated inertial sensors, has enabled EE to be measure in a distributed, ubiquitous and natural way, thereby overcoming the reluctance of users and practitioners associated with in-lab studies. From the point of view of the process analysis and infrastructure needed to manage data from inertial devices, there are also various differences in count computing: extra devices are required, out-of-device processing, etc. This paper presents a study to discover whether the estimation of energy expenditure is dependent on the accelerometer of the device used in measurements and to discover the suitability of each device for performing certain physical activities. In order to achieve this objective, we have conducted several experiments with different subjects on the basis of the performance of various daily activities with different smartphones and IMUs.

  2. Adherence to treatment guidelines for acute diarrhoea in children up to 12 years in Ujjain, India - a cross-sectional prescription analysis

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    Marrone Gaetano

    2011-01-01

    Full Text Available Abstract Background Diarrhoea accounts for 20% of all paediatric deaths in India. Despite WHO recommendations and IAP (Indian Academy of Paediatrics and Government of India treatment guidelines, few children suffering from acute diarrhoea in India receive low osmolarity oral rehydration solution (ORS and zinc from health care providers. The aim of this study was to analyse practitioners' prescriptions for acute diarrhoea for adherence to treatment guidelines and further to determine the factors affecting prescribing for diarrhoea in Ujjain, India. Methods This cross-sectional study was conducted in pharmacies and major hospitals of Ujjain, India. We included prescriptions from all practitioners, including those from modern medicine, Ayurveda, Homeopathy as well as informal health-care providers (IHPs. The data collection instrument was designed to include all the possible medications that are given for an episode of acute diarrhoea to children up to 12 years of age. Pharmacy assistants and resident medical officers transferred the information regarding the current diarrhoeal episode and the treatment given from the prescriptions and inpatient case sheets, respectively, to the data collection instrument. Results Information was collected from 843 diarrhoea prescriptions. We found only 6 prescriptions having the recommended treatment that is ORS along with Zinc, with no additional probiotics, antibiotics, racecadotril or antiemetics (except Domperidone for vomiting. ORS alone was prescribed in 58% of the prescriptions; while ORS with zinc was prescribed in 22% of prescriptions, however these also contained other drugs not included in the guidelines. Antibiotics were prescribed in 71% of prescriptions. Broad-spectrum antibiotics were prescribed and often in illogical fixed-dose combinations. One such illogical combination, ofloxacin with ornidazole, was the most frequent oral antibiotic prescribed (22% of antibiotics prescribed. Practitioners from

  3. OUTCOME OF CHILDREN AT 1-2 YEARS AND MATERNAL MORB IDITY AFTER CESAREAN SECTION VS VAGINAL BIRTH FOR BREECH PRESENTATION AT OR NEAR TERM

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    Jyoti Ramesh

    2013-02-01

    Full Text Available ABSTRACT: Back ground: In 2000 an international multicentric randomized co ntrol trial of planned vaginal delivery vs planned elective caesarea n section for uncomplicated term breech presentation confirmed that perinatal mortality and s erious neonatal morbidity were significantly lower in planned caesarean group. Seco ndary analysis of Term Breech Trial showed that prelabour caesarean and caesarean during early labour were associated with lowest adverse perinatal outcome due to labour or de livery and that vaginal delivery had the highest risk of adverse outcome AIMS: The purpose of this study is to determine the outco me of children at 1-2 years and maternal morbidity after caesarean section vs. vaginal birth for breech presentation at or near term. SETTINGS AND DESIGN: Prospective observational study from 1 st January 2008-30 th June 2009( 18 months at Institute of Maternal & Child Health , Govt. Medical College Kozhikode. METHODS AND MATERIAL: Outcome of 45 assisted breech deliveries during this period analyzed from case rec ords. 90 Cesarean deliveries during the same period randomly selected as control. STATISTICAL ANALYSIS USED: Data analyzed using SPSS version 16.0.Chi square test was used to compare the outcome. A p value <0.05 was considered to indicate statistical significance. RESULTS : Vaginal delivery group- Five minute Apgar <7 (p=0.019, NICU admission (p=0.00001(RR 4.71 , 95% CI 2.33 to 9.91,Neonatal morbidity (p=0.012RR 2.627,95% CI 1.216 to 5.678 , Prolonged hospitalisation (p=0.005 RR = 2.962 ,95% CI 1.354 to 6.478 statistically signific ant in vaginal delivery group .Caesarean Section group-Elective 30(33.3% Emergency 60(66.6% Neonatal complication( p=0.03 RR=2.57 ,95% CI 1.06 to 6.2, NICU admission ( p=0.01 3 RR=2.86 ,95% CI 1.21 to 6.76. were statistically significant in elective section grou p Maternal morbidity was not associated with type of CS p=0.2 RR = 1.39 ,95% CI 0.447 to 4.307. However the perinatal mortality was not significantly different in either group p=0.167 (RR 2.67,95%CI 0.62 to 11.41 CONCLUSION: There is an inherent risk of increased immediate ne onatal morbidity with vaginal breech delivery. But at 1-2 year follow up t he maternal and infant outcome is not significantly different in the two groups.

  4. The beneficial effects of game-based exercise using age-appropriate tennis lessons on the executive functions of 6-12-year-old children.

    Science.gov (United States)

    Ishihara, Toru; Sugasawa, Shigemi; Matsuda, Yusuke; Mizuno, Masao

    2017-03-06

    This study evaluated the effects of two different types of tennis lessons-those involving a technique-based approach (TBA) and those involving a game-based approach (PLAY+STAY [P+S])-on the executive functions (EFs) of junior tennis players. Eighty-one tennis players (6-12 years old) were recruited and assigned to one of three groups: TBA, P+S, or watching TV (CONT). Subjects completed evaluations of EFs (inhibitory control, working memory, and cognitive flexibility) before and after 50min programs. The overall score for EFs improved significantly for both the P+S and TBA groups but not for the CONT group; indeed the CONT group showed no improvement in overall EFs. Furthermore, the overall EF score improved more for P+S participants than for those in TBA. Looking at components of EFs, the pattern for inhibitory control reflected the pattern for the overall EF index: Improvement in the P+S and TBA groups but not in the CONT group. Only the P+S group improved in working memory. Thus, playing tennis and practicing isolated tennis skills both improved EFs of junior players more than did watching TV, and game-based tennis lessons seem to hold more promise for improving EFs than drills of tennis skills.

  5. Sex Differences in Using Spatial and Verbal Abilities Influence Route Learning Performance in a Virtual Environment: A Comparison of 6- to 12-Year Old Boys and Girls

    Science.gov (United States)

    Merrill, Edward C.; Yang, Yingying; Roskos, Beverly; Steele, Sara

    2016-01-01

    Previous studies have reported sex differences in wayfinding performance among adults. Men are typically better at using Euclidean information and survey strategies while women are better at using landmark information and route strategies. However, relatively few studies have examined sex differences in wayfinding in children. This research investigated relationships between route learning performance and two general abilities: spatial ability and verbal memory in 153 boys and girls between 6- to 12-years-old. Children completed a battery of spatial ability tasks (a two-dimension mental rotation task, a paper folding task, a visuo-spatial working memory task, and a Piagetian water level task) and a verbal memory task. In the route learning task, they had to learn a route through a series of hallways presented via computer. Boys had better overall route learning performance than did girls. In fact, the difference between boys and girls was constant across the age range tested. Structural equation modeling of the children’s performance revealed that spatial abilities and verbal memory were significant contributors to route learning performance. However, there were different patterns of correlates for boys and girls. For boys, spatial abilities contributed to route learning while verbal memory did not. In contrast, for girls both spatial abilities and verbal memory contributed to their route learning performance. This difference may reflect the precursor of a strategic difference between boys and girls in wayfinding that is commonly observed in adults. PMID:26941701

  6. Obesity and related factors in 7-12 year-old elementary school students during 2009-2010 in Sari, Iran

    Directory of Open Access Journals (Sweden)

    Salar Behzadnia

    2012-02-01

    Full Text Available Aim To define the prevalence of obesity and its related factors in 2-7 year-old elementary school students in Sari city (Mazandaran, Iran. Methods In this descriptive cross sectional study, which was conducted in the 2009-2010 period, the study population included7-12 year-old first to fifth grade elementary school students in Sari. Sampling was multi-stage and stratified randomization at level of the target students. Student’s height and weight were measured using stediometer and digital scales. Body Mass Index (BMI was calculated. A questionnaire about feeding habits and socio-economic status(SES of families was used. Data collection was performed using phone interview with parents also the questionnaire’s records. Analysis was done in SPSS16 using appropriate statistical tests, p85% and 78 (12% were obese (BMI> 95%. Higher prevalence of obesity in the children with good socio economic status was found (p=0.001. Significant relationship between usage of fast food and obesity, and between school grade and obesity (p= 0.001 was found. Conclusion The overall prevalence of obesity in studied children was high, which suggests the need for serious attention in the health system, extensive studies, also designing and implementation of interventions with regard to childhood obesity.

  7. Prevalence, intensity and extent of Oral Impacts on Daily Performances associated with self-perceived malocclusion in 11-12-year-old children

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    Flores-Mir Carlos

    2007-05-01

    Full Text Available Abstract Background To determine the prevalence, intensity and extent of the Oral Impacts on Daily Performances associated with self-perceived malocclusion among Peruvian schoolchildren. Methods Eight hundred and five children aged 11 to 12 years attending 4 of 7 randomly selected schools linked to a Health Centre in Lima, Peru, participated in the study. The Spanish (PeruChild-OIDP was used to assess the prevalence, intensity and extent of oral impacts on 8 daily performances (eating, speaking, teeth cleaning, sleeping, smiling, studying, emotion and social contact. Self-perceived malocclusion included complaints about position of teeth, spacing of teeth and deformity of mouth or face. The prevalence of oral impacts was compared by covariables using the Chi-square test, whereas the intensity and extent of oral impacts were compared by covariables through the Mann-Whitney test. Results Only 15.5% of children reported impacts associated with self-perceived malocclusion during the last 3 months. Of them, 18.4% reported impacts of severe or very severe intensity and 76.0% reported impacts on only one daily performance. Psychosocial activities such as smiling, emotion and social contact were the most frequently and severely impacted everyday activities. Conclusion Impacts of self-perceived malocclusion primarily affected psychological and social everyday activities. These findings provide further evidence to support the importance of psychological and social components of oral health on children's lives.

  8. Mental health service use by patients with dysthymic disorder: treatment use and dropout in a 7 1/2-year naturalistic follow-up study.

    Science.gov (United States)

    McFarland, Brian R; Klein, Daniel N

    2005-01-01

    Little is known about long-term treatment use among patients with dysthymia. This paper describes patterns of treatment use by 85 outpatients with dysthymic disorder and a comparison group of 36 outpatients with nonchronic (episodic) major depression in a naturalistic follow-up. Patients with dysthymia had higher rates of treatment use across 7 1/2 years compared with patients with episodic major depression. Baseline variables that predicted which patients with dysthymia dropped out of treatment before recovering from dysthymic disorder included age, ethnicity, Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition Axis II pathology as obtained from informant reports, higher self-reported autonomy, and receiving psychotherapy alone as compared to receiving a combination of psychotherapy and medication. Dysthymic disorder places a significant burden on the mental health services system, yet many outpatients with dysthymia may be receiving inadequate treatment. Younger patients, ethnic minority patients, and patients with personality disorders may be at increased risk of dropping out from treatment for depression. Combination treatments may increase treatment retention.

  9. A novel (paternally inherited) duplication 13q31.3q32.3 in a 12-year-old patient with facial dysmorphism and developmental delay.

    Science.gov (United States)

    Atack, E; Fairtlough, H; Smith, K; Balasubramanian, M

    2014-08-01

    We report a 12-year-old boy referred to the Clinical Genetics service in view of facial dysmorphism, learning difficulties and autistic spectrum disorder. 60K arrayCGH revealed an 8.2-Mb duplication on chromosome 13q31.3q32.3, which was paternally inherited. This specific duplication on chromosome 13 has not been previously reported in the medical literature, and there are no familial or de novo patients with the same duplication breakpoints. This region contains 24 OMIM genes, including the glypicans GPC5 and GPC6, and the ZIC2 gene. We discuss the relevance of this chromosome imbalance and discuss the impact of this duplication on our patient's phenotype. Given that the duplication on 13q was paternally inherited, and although initially thought to be of uncertain significance, on exploring the family history further, it became apparent that the father had learning difficulties as a child and previous surgery for congenital diaphragmatic hernia. Here we explore the phenotype in association with this novel duplication on chromosome 13q and add to the existing literature on array findings within this region.

  10. Associations between home- and family-related factors and fruit juice and soft drink intake among 10- to 12-year old children. The ENERGY project.

    Science.gov (United States)

    Van Lippevelde, Wendy; te Velde, Saskia J; Verloigne, Maïté; De Bourdeaudhuij, Ilse; Manios, Yannis; Bere, Elling; Jan, Nataša; Fernández-Alvira, Juan M; Chinapaw, Mai J M; Bringolf-Isler, Bettina; Kovacs, Eva; Brug, Johannes; Maes, Lea

    2013-02-01

    The aim of this study is to investigate associations of family-related factors with children's fruit drink/juice and soft drink consumption. A cross-sectional survey among 10- to 12-year-old children and their parents in eight European countries was conducted to gather this data. Key variables of interest were children's self-reported fruit drink/juice and soft drink intake per day (outcome) and family-related factors (based on parents' report) related to these two behaviors (modeling, automaticity, availability, monitoring, permissiveness, negotiating, communicating health beliefs, avoid negative modeling, self-efficacy, rewarding, and family consumption). 7915 Children (52% girls; mean age=11.7 ± 0.8 years) and 6512 parents (83% women; mean age=41.4 ± 5.3 years) completed the questionnaire. Multilevel regression analyses were used to examine the aforementioned associations. Three of the 11 family-related factors (modeling, availability, and family consumption) were positively associated with children's fruit drink/juice and soft drink intake. Additionally, three family-related factors (permissiveness, monitoring, and self-efficacy) were solely associated with soft drink intake and one family-related factor (communicating health beliefs) was related to fruit drink/juice intake. Future interventions targeting children's fruit drink/juice and soft drink intake should focus on the home environment, parents and their practices, especially on parents' fruit drink/juice and soft drink intake and availability of these beverages at home.

  11. Do Elite and Amateur Soccer Players Outperform Non-Athletes on Neurocognitive Functioning? A Study Among 8-12 Year Old Children

    Science.gov (United States)

    Verburgh, Lot; Scherder, Erik J. A.; Van Lange, Paul A. M.; Oosterlaan, Jaap

    2016-01-01

    Aim Research suggested a positive association between physical fitness and neurocognitive functioning in children. Aim of the present study is to investigate possible dose-response relationships between diverse daily physical activities and a broad range of neurocognitive functions in preadolescent children. Furthermore, the relationship between several sedentary behaviours, including TV-watching, gaming and computer time, and neurocognitive functioning will be investigated in this group of children. Methods A total of 168 preadolescent boys, aged 8 to 12 years, were recruited from various locations, including primary schools, an amateur soccer club, and a professional soccer club, to increase variability in the amount of participation in sports. All children performed neurocognitive tasks measuring inhibition, short term memory, working memory, attention and information processing speed. Regression analyses examined the predictive power of a broad range of physical activities, including sports, active transport to school, physical education (PE), outdoor play, and sedentary behaviour such as TV-watching and gaming, for neurocognitive functioning. Results Time spent in sports significantly accounted for the variance in inhibition, short term memory, working memory and lapses of attention, where more time spent in sports was associated with better performance. Outdoor play was also positively associated with working memory. In contrast, time spent on the computer was negatively associated with inhibition. Conclusions Results of the current study suggest a positive relationship between participation in sports and several important neurocognitive functions. Interventions are recommended to increase sports participation and to reduce sedentary behaviour in preadolescent children. PMID:27906965

  12. Eating Problems and Overlap with ADHD and Autism Spectrum Disorders in a Nationwide Twin Study of 9- and 12-Year-Old Children

    Directory of Open Access Journals (Sweden)

    Maria Råstam

    2013-01-01

    Full Text Available Aim. To establish the prevalence of restrictive eating problems, the overlap and association with attention-deficit/hyperactivity disorder (ADHD, and autism spectrum disorders (ASD and to estimate the heritability of eating problems in a general population sample of twins aged 9 and 12. Methods. Parents of all Swedish 9- and 12-year-old twin pairs born between 1993 and 1998 (n=12,366 were interviewed regarding symptoms of ADHD, ASD, and eating problems (EAT-P. Intraclass correlations and structural equation modelling were used for evaluating the influence of genetic and environmental factors. Cross-twin, cross-trait correlations were used to indicate a possible overlap between conditions. Results. The prevalence of eating problems was 0.6% in the study population and was significantly higher in children with ADHD and/or ASD. Among children with eating problems, 40% were screened positive for ADHD and/or ASD. Social interaction problems were strongly associated with EAT-P in girls, and impulsivity and activity problems with EAT-P in boys. The cross-twin, cross-trait correlations suggested low correlations between EAT-P and ADHD or EAT-P and ASD. Genetic effects accounted for 44% of the variation in liability for eating problems. Conclusions. In the group with eating problems, there was a clear overrepresentation of individuals with ADHD and/or ASD symptoms.

  13. Eating problems and overlap with ADHD and autism spectrum disorders in a nationwide twin study of 9- and 12-year-old children.

    Science.gov (United States)

    Råstam, Maria; Täljemark, Jakob; Tajnia, Armin; Lundström, Sebastian; Gustafsson, Peik; Lichtenstein, Paul; Gillberg, Christopher; Anckarsäter, Henrik; Kerekes, Nóra

    2013-01-01

    AIM. To establish the prevalence of restrictive eating problems, the overlap and association with attention-deficit/hyperactivity disorder (ADHD), and autism spectrum disorders (ASD) and to estimate the heritability of eating problems in a general population sample of twins aged 9 and 12. METHODS. Parents of all Swedish 9- and 12-year-old twin pairs born between 1993 and 1998 (n = 12,366) were interviewed regarding symptoms of ADHD, ASD, and eating problems (EAT-P). Intraclass correlations and structural equation modelling were used for evaluating the influence of genetic and environmental factors. Cross-twin, cross-trait correlations were used to indicate a possible overlap between conditions. RESULTS. The prevalence of eating problems was 0.6% in the study population and was significantly higher in children with ADHD and/or ASD. Among children with eating problems, 40% were screened positive for ADHD and/or ASD. Social interaction problems were strongly associated with EAT-P in girls, and impulsivity and activity problems with EAT-P in boys. The cross-twin, cross-trait correlations suggested low correlations between EAT-P and ADHD or EAT-P and ASD. Genetic effects accounted for 44% of the variation in liability for eating problems. CONCLUSIONS. In the group with eating problems, there was a clear overrepresentation of individuals with ADHD and/or ASD symptoms.

  14. Major Congenital Metabolic Disorders in the First 12 years of Life in 79,100 Consecutively Born Children in Qazvin Province

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    Abolfazl Movafagh

    2011-09-01

    Full Text Available ObjectiveDeficient enzyme activity may cause congenital metabolic defects. These defectsare inherited in an autosomal recessive, autosomal dominant, and X-linkedpatterns. This study was aimed at investigating the occurrence of metabolicdiseases in Qazvin Province.Materials & MethodsThis cross-sectional study was performed on 79,100 children aged 12 years orless between 2000 and 2010. Clinical manifestations, laboratory findings, and allother essential information were assessed to precisely diagnose the metabolicdiseases. The sorted information on congenital metabolic defects of the patients,information included in a checklist, and data were analyzed usnig SPSS.ResultsA total of 57 metabolic disorders were recorded. The difference in the prevalenceof metabolic disorders between male (29 cases and female (28 cases wasnot statistically significant. The most frequent congenital metabolic disorderamong our patients was phenylketonuria (PKU; 5 per 1,000 cases, and the leastcommon disorder was galactosemia (3 per 1,000 cases.ConclusionTimely detection and management of congenital metabolic disorders canhelp save the affected children. Prenatal screening programs, molecular genetherapy, and counseling for consanguineous marriage can play important rolesin reducing the rate of metabolic disorders in this province.Keywords: Congenital metabolic disorders; prevalence; population; Qazvin

  15. Major Congenital Metabolic Disorders in the First 12 years of Life in 79,100 Consecutively Born Children in Qazvin Province

    Directory of Open Access Journals (Sweden)

    Abolfazl Movafagh

    2011-06-01

    Full Text Available ObjectiveDeficient enzyme activity may cause congenital metabolic defects. These defectsare inherited in an autosomal recessive, autosomal dominant, and X-linkedpatterns. This study was aimed at investigating the occurrence of metabolicdiseases in Qazvin Province.Materials & MethodsThis cross-sectional study was performed on 79,100 children aged 12 years orless between 2000 and 2010. Clinical manifestations, laboratory findings, and allother essential information were assessed to precisely diagnose the metabolicdiseases. The sorted information on congenital metabolic defects of the patients,information included in a checklist, and data were analyzed usnig SPSS.ResultsA total of 57 metabolic disorders were recorded. The difference in the prevalenceof metabolic disorders between male (29 cases and female (28 cases wasnot statistically significant. The most frequent congenital metabolic disorderamong our patients was phenylketonuria (PKU; 5 per 1,000 cases, and the leastcommon disorder was galactosemia (3 per 1,000 cases.ConclusionTimely detection and management of congenital metabolic disorders canhelp save the affected children. Prenatal screening programs, molecular genetherapy, and counseling for consanguineous marriage can play important rolesin reducing the rate of metabolic disorders in this province.

  16. 甲状旁腺增生致反复泌尿系结石1例报告并文献复习%Repeated urinary calculi caused from parathyroid hyperplasia:a case report and literature review

    Institute of Scientific and Technical Information of China (English)

    徐丰; 陈亮

    2013-01-01

    To Summary the experience on diagnosis and treatment of urinary calculi caused from parathyroid hyperplasia,and to improve awareness and therapeutic level of urological physicians.Methods:The clinical data of a patient with repeated urinary stones due to parathyroid hyperplasia was retrospectively analyzed as follow:urinary calculi occurred frequently with both upper limbs pain for more than ten years,repeated extracorporeal shock wave lithotripsy (ESWL),ureteroscopic lithotripsy(URSL) and related orthopedic treatment were used,and the symptom control was not ideal.This case was suggested to be hyperparathyroidism according to a detailed medical history obtained from the patient at this time by our urology department.The diagnosis was confirmed further by the laboratory examinations and the surgery was conducted by thyroid and breast department.Results:After parathyroidectomy,the patient symptom was relieved and pathological result was disclosed to be parathyroid hyperplasia.The patient went ahead to receive stones clearance in bilateral ureters in urology department.Followed up for two years,no recurrence was reported on stone and bone pain.Conclusions:The urologists should consider the possibility of hyperparathyroidism when encountered patients with repeated stones.The parathyroid hormone test can help diagnose.The pattern of multidisciplinary team may be in use of improving the patient's therapeutic effect.%目的:总结甲状旁腺增生导致的反复泌尿系结石的诊断和治疗经验,提高泌尿外科医师对此病的认识、分析和治疗水平.方法:回顾性分析1例由甲状旁腺增生导致的反复泌尿系结石患者的临床资料:因反复泌尿系结石伴双上肢骨痛十余年,反复行体外冲击波碎石、输尿管镜碎石及相关骨科治疗,症状控制不理想.本次就诊时在详细追问病史下经科室会诊考虑为甲状旁腺机能亢进导致的泌尿系结石,遂经实验室检查证实.联合甲状腺乳腺外

  17. The clinical analysis of 300 Patients with Lower Ureteral Calculi%输尿管下段结石300例临床分析

    Institute of Scientific and Technical Information of China (English)

    王欣

    2012-01-01

    目的 探讨输尿管下段结石的治疗方法.方法 回顾性分析300例输尿管下段结石患者的临床资料.300例输尿管下段结石患者中,采用体外冲击波碎石术(ESWL)治疗171例,输尿管镜气压弹道碎石术(URL)治疗95例,腹腔镜输尿管切开取石术治疗34例.结果 ESWL治疗171例患者,1个月后结石排净率为91.81%(151/171);URL治疗95例,输尿管下段结石取净率为86.32%( 82/95);腹腔镜输尿管切开取石取净率为100%(34/34).结论 ESWL可作为输尿管下段结石的首选方法,但当结石长径≥1 cm时,URL的疗效明显优于ESWL;对于合并输尿管下段狭窄或输尿管息肉,结石嵌顿严重,周围形成肉芽组织包裹的输尿管下段结石的治疗,腹腔镜输尿管切开取石术疗效确切.%Objective To evaluate the treatment of lower ureteral calculi.Methods Clinical data of 300 cases of lower ureteral calculi were retrospectively analyzed.Among the 300 patients with lower ureteral calculi,171 patients were treated with extracorporeal shock wave lithotripsy (ESWL),95 patients were treated with ureteroscopic lithotripsy (URL),34 patients were treated with laparoscopic ureterolithotomy.Results The clearances of the calculus was 91.81% with the treatment of ESWL,86.32% with the treatment of URL and 100% with the treatment of laparoscopic ureterolithotomy after one month of the treatments.Conclusion ESWL is the preferred methods for the treatment of lower ureteral stones.But when the stones≥ 1 cm,URL is superior to ESWL in efficacy; Laparoscopic ureterolithotomy is effective for the treatment of lower ureteral stones which combined with ureteral stricture or ureteral polyps,and with serious incarceration,granulation tissue wrapped around the stone.

  18. Ureteral Stent Placement for Ureteral Calculi during Pregnancy:An Analysis of 50 Cases%输尿管支架置入术治疗孕期输尿管结石50例临床分析

    Institute of Scientific and Technical Information of China (English)

    王进峰; 卢晓明; 王礼平; 尹九湖

    2015-01-01

    ABSTRACT:Objective To explorer the value of ureteral stent placement in the treatment of ure-teral calculi during pregnancy.Methods Clinical data of 50 patients who underwent ureteral stent placement for ureteral calculi during pregnancy were retrospectively analyzed.Auxiliary examina-tion confirmed that all patients had ureteral calculi complicated by renal colic and failed to respond to conservative drug treatment.Among the 50 patients,25 had right ureteral calculi,22 had left u-reteral calculi,3 had bilateral ureteral calculi,31 had middle/upper ureteral calculi,and 19 had lower ureteral calculi.Results Thirty-seven patients successfully underwent cystoscopic catheter-ization after topical anesthesia.Twelve patients underwent successful ureteroscopic catheterization after failed cystoscopic catheterization.One patient underwent successful percutaneous renal an-terograde catheterization under local anaesthesia after failed retrograde catheterization.After treatment,renal colic was relieved obviously and hydronephrosis was alleviated to varying degrees with no threatened abortion in all patients.Postoperative reexamination showed that ureteral stents were placed appropriately in 48 patients and were located in upper ureter in 1 patient.In ad-dition,ureteral stents fell out in 1 patient when urinary catheter was removed on postoperative day 3.However,ureteral stents were appropriately placed after recatheterization in this patient. Conclusion Ureteral stent placement is a simple,effective,safe and reliable treatment for ureteral calculi during pregnancy.%目的:探讨输尿管支架置入术在治疗孕期输尿管结石中的应用价值。方法对50例输尿管支架置入术治疗的孕期输尿管结石患者的临床资料进行回顾性分析。50例患者均经辅助检查证实输尿管结石,同时合并肾绞痛,经药物保守治疗无效,其中右输尿管结石25例、左输尿管结石22例、双侧输尿管结石3例,31例

  19. High-level activities of daily living and disease-specific mortality during a 12-year follow-up of an octogenarian population

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    Takata Y

    2013-06-01

    Full Text Available Yutaka Takata,1 Toshihiro Ansai,2 Inho Soh,2 Shuji Awano,2 Ikuo Nakamichi,1 Sumio Akifusa,3 Kenichi Goto,1 Akihiro Yoshida,2 Hiroki Fujii,1 Ritsuko Fujisawa,1 Kazuo Sonoki31Division of General Internal Medicine, 2Division of Community Oral Health Science, 3Department of Oral Health and Environment, School of Oral Health Science, Kyushu Dental University, Kitakyushu, JapanBackground: Little is known about the relationship between disease-specific mortality and high-level activities of daily living in the elderly. We examined whether mortality is associated with high-level activities of daily living in an octogenarian population.Methods: We conducted a population-based cross-sectional and prospective cohort study in 693 older persons aged 80 years and living in Japan’s Fukuoka Prefecture. We then evaluated the association between 12-year disease-specific mortality and high-level functional capacity as measured by the Tokyo Metropolitan Institute of Gerontology Index of Competence, which is a standardized multidimensional 13-item instrument; items 1 through 5 are classified as instrumental self-maintenance activity, items 6 through 9 as intellectual activity, items 10 through 13 as social roles activity, and all 13 items together yield total functional capacity.Results: By the 12-year follow-up of the 693 participants, 413 had died, 242 survived, and 38 were unable to be located. Of the 413 who died, 105 died of cardiovascular disease, 73 of respiratory tract disease, 71 of cancer, and 39 of senility. Of the other 125 deaths, 59 were due to other diseases, and the cause of death for 66 participants is not known. The hazard ratio (HR for all-cause mortality, adjusted for confounding factors with multivariate Cox analyses, fell by 6% (HR 0.937, 95% confidence interval [CI] 0.899–0.978, P = 0.003 with each one-point increase in participants’ scores on the Tokyo Metropolitan Institute of Gerontology Index of total functional capacity. With one

  20. Clinical effect of extracorporeal shock wave lithotripsy combined with drug therapy in the treatment of lower ureteral calculi%体外冲击波碎石联合药物治疗输尿管下段结石的临床效果

    Institute of Scientific and Technical Information of China (English)

    王洪海; 谭琳

    2015-01-01

    Objective To explore the clinical effect of extracorporeal shock wave lithotripsy combined with terazosin hydrochloride in the treatment of lower ureteral calculi. Methods 184 patients with lower ureteral calculi in the urinary system in our hospital from November 2012 to November 2014 were selected and randomly divided into the control group and the experiment group,92 patients in each group.The control group was treated with extracorporeal shock wave lithotripsy alone,the experiment group was treated with extracorporeal shock wave lithotripsy combined with terazosin hydrochloride.The clinical effect in two groups was compared. Results The cure rate and the total effective rate in the experiment group was higher than that in the control group,with significant difference (P<0.05).The application rate of painkiller in the experiment group was lower than that in the control group,with significant difference (P<0.05). Con-clusion The effect of extracorporeal shock wave lithotripsy combined with terazosin hydrochloride in the treatment of lower ureteral calculi in the urinary system is significant,which can eliminate the stones inside patients’body,reduce patients’pain.%目的:探讨体外冲击波碎石联合盐酸特拉唑嗪治疗输尿管下段结石的临床效果。方法选取2012年11月~2014年11月本院收治的184例泌尿系统输尿管下段结石患者作为研究对象,随机分为对照组和试验组,各92例。对照组采用体外冲击波碎石治疗,试验组采用体外冲击波碎石联合盐酸特拉唑嗪治疗,比较两组的临床效果。结果试验组的治愈率与总有效率显著高于对照组,差异有统计学意义(P<0.05)。试验组的止痛药物使用率显著低于对照组,差异有统计学意义(P<0.05)。结论体外冲击波碎石联合盐酸特拉唑嗪治疗输尿管下段结石效果显著,能更好地清除患者体内的碎石,减少患者病痛。

  1. PLAYgrounds: Effect of a PE playground program in primary schools on PA levels during recess in 6 to 12 year old children. Design of a prospective controlled trial

    Directory of Open Access Journals (Sweden)

    Verhagen Evert ALM

    2011-05-01

    Full Text Available Abstract Background The relative number of children meeting the minimal required dose of daily physical activity remains execrably low. It has been estimated that in 2015 one out of five children will be overweight. Therefore, low levels of physical activity during early childhood may compromise the current and future health and well-being of the population, and promoting physical activity in younger children is a major public health priority. This study is to gain insight into effects of a Physical Education based playground program on the PA levels during recess in primary school children aged 6-12. Methods/design The effectiveness of the intervention program will be evaluated using a prospective controlled trial design in which schools will be matched, with a follow-up of one school year. The research population will consist of 6-12 year old primary school children. The intervention program will be aimed at improving physical activity levels and will consist of a multi-component alteration of the schools' playground. In addition, playground usage will be increased through altered time management of recess times, as well as a modification of the Physical Education content. Discussion The effects of the intervention on physical activity levels during recess (primary outcome measure, overall daily physical activity and changes in physical fitness (secondary outcome measures will be assessed. Results of this study could possibly lead to changes in the current playground system of primary schools and provide structured health promotion for future public health. Trial registration Netherlands Trial Register (NTR: NTR2386

  2. Comparison of two blanket surveys of arsenic in tubewells conducted 12 years apart in a 25 km2 area of Bangladesh

    Science.gov (United States)

    van Geen, Alexander; Sumon, Ershad B. A.; Pitcher, Lynnette; Mey, Jacob L.; Ahsan, Habibul; Graziano, Joseph H.; Ahmed, Kazi Matin

    2014-01-01

    The arsenic (As) content of groundwater pumped from all tubewells within 61 contiguous villages of Araihazar, Bangladesh, was determined a first time in 2000–01 with laboratory measurements and a second time in 2012–13 using the ITS Arsenic Econo-Quick kit. The two surveys indicate that the total number of tubewells within the area almost doubled from 5,560 to 10,879 over 12 years. The evolution of the distribution of well ages between the two surveys is consistent with a simple model that combines an annual increase of 42 wells/year in the rate of installations within the 61 villages starting in 1980 and a 7%/year rate of abandonment of wells as a function of well age. Colored placards were posted on each pumphead in 2012–2013 on the basis of the kit results relative to the WHO guideline for As and the Bangladesh standard for As in drinking water: blue for As ≤10 µg/L, green >10–50 µg/L, and red: >50 µg/L. According to quality-control samples collected from 502 tubewells for comparing the kit results with laboratory measurements, not a single well labeled blue in 2012–13 should have been labeled red and vice-versa. Field-kit testing in 2012–13 did not change the status of wells relative to the Bangladesh standard of 876 (87%) out of 1,007 wells with a placard based on laboratory measurements in 2000–01 still attached to the pumphead. The high proportion of tubewells believed by households to be unsafe (66% out of 2,041) that were still used for drinking and cooking in 2012–13 underlines the need for more widespread testing to identify low-As wells as an alternative source of drinking water. PMID:24438870

  3. Evaluation of the UP4FUN intervention: a cluster randomized trial to reduce and break up sitting time in European 10-12-year-old children.

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    Frøydis N Vik

    Full Text Available The UP4FUN intervention is a family-involved school-based intervention aiming at reducing and breaking up sitting time at home (with special emphasis on screen time, and breaking up sitting time in school among 10-12 year olds in Europe. The purpose of the present paper was to evaluate its short term effects.A total of 3147 pupils from Belgium, Germany, Greece, Hungary and Norway participated in a school-randomized controlled trial. The intervention included 1-2 school lessons per week for a period of six weeks, along with assignments for the children and their parents. Screen time and breaking up sitting time were registered by self-report and total sedentary time and breaking up sitting time by accelerometry. The effect of the intervention on these behaviors was evaluated by multilevel regression analyses. All analyses were adjusted for baseline values and gender. Significance level was p≤0.01. No significant intervention effects were observed, neither for self-reported TV/DVD or computer/game console time, nor for accelerometer-assessed total sedentary time and number of breaks in sitting time. The intervention group, however, reported more positive attitudes towards (β = 0.25 (95% CI 0.11, 0.38 and preferences/liking for (β = 0.20 (95% CI 0.08, 0.32 breaking up sitting time than the control group.No significant intervention effect on self-reported screen time or accelerometer-assessed sedentary time or breaks in sitting time was observed, but positive effects on beliefs regarding breaking up sitting time were found in favor of the intervention group. Overall, these results do not warrant wider dissemination of the present UP4FUN intervention.International Standard Randomized Controlled Trial Number Registry ISRCTN34562078.

  4. A study on some motoric and anthropometric attributes of competitive and non - competitive taekwondo athletes between the age group 9 - 12 years

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    Duygu SEVİNÇ

    2015-08-01

    Full Text Available Aim: The aim of this study is to examine some motoric and antrophometric attributes of competitive and non - competitive taekwondo athletes within the age group 9 - 12 years and to det ermine the difference between those two groups. Material and method: 31 competitive and 29 non - competitive licensed taekwondo athletes voluntarily participated in the study. The average ages, heights and weight of competitive and non - competitive athletes w ere 11,16±,93 year, 150,58±17,14 cm and 43,80± 13,97 kg, 9,62±,82 year, 137,31±8,80 cm and 35,24±8,28 kg respectively. Both groups have been practising regularly taekwondo for 2,5 years, 2 days a week and two hours a day. Flamingo balance test, test of dis k touching, sit and reach flexibility test, long jump while standing still, 30 sec sit - up test, bent arm pull - up test and 10x5m push up run, right and left hand grip strength test and 20 m shuttle run of the Eurofit test battery were used. Body fat percen t, body fat mass, fat free mass, body mass index values were measured. Such antrophometric attributes as hand length, calf and femur circumference, arm length, biceps circumference in flexion, arm span length were measured. Results: Results of statistical analyses showed a significant difference between two groups in terms of motoric scores (p<0,01, p<0,001, antrophometric characteristics ( p<0,01, p<0,001, and fat free mass ( p<0,001 in favor of the competitive group. Conclusion: Compared with the no n - competitive group, significant differences in competitive group can be explained by their active participation in competitions.

  5. Relationship of musculoskeletal pain with physical and functional variables and with postural changes in school children from 6 to 12 years of age

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    Daniela S. L. Pereira

    2013-08-01

    Full Text Available BACKGROUND: Painful disorders can affect children and adolescents, causing distress and significant demand for health services. OBJECTIVE: To identify the prevalence of musculoskeletal pain and its relation to age, sex, body mass index (BMI, how to carry school supplies, postures used in ADLs, outside school physical exercises and postural changes in students. METHOD: Cross-sectional exploratory study with a convenience sample consisted of 262 schoolchildren aged 6 to 12 years (137 female. Data collection was conducted by questionnaire containing personal data, presence and location of pain, means of transportation and illustrative figures for choosing the way of carrying school supplies and postures ADL's. Postural evaluation was performed by observational analysis and body mass index calculated from information on height, weight, age and sex. Descriptive analysis was carried out with numbers and percentages. For inferential statistics, comparison of average age according to the presence of pain was performed by Kruskal-Wallis with Dunn's post-test. Categorical variables were compared with chi-square test. RESULTS: The presence of musculoskeletal pain was reported by 51.1% of the students and 38.93% had pain in only one region. The most affected regions were legs, spine, arms and shoulders. The pain increased with age and with physical activity. CONCLUSIONS: In the our sample, 51.1% of students reported pain and 38.93% reported pain in only one region. There was no association between the presence of pain and sex, BMI, how to carry school supplies, postures used in ADLs and postural changes. The increasing age and physical exercise influenced significantly the presence of pain.

  6. Parenting Styles, Feeding Styles, Feeding Practices, and Weight Status in 4-12 Year-Old Children: A Systematic Review of the Literature.

    Science.gov (United States)

    Shloim, Netalie; Edelson, Lisa R; Martin, Nathalie; Hetherington, Marion M

    2015-01-01

    Childhood is a critical period in the development of obesity. Eating patterns established early in life track into later life. Therefore, parental approaches to feeding in their general parenting style, feeding styles, and specific feeding practices will have a profound impact on how children eat and grow. A systematic research review following PRISMA guidelines was conducted to identify, discuss and integrate recent research investigating the relationship between parenting styles, feeding styles, feeding practices, and body mass index (BMI) in children. Medline (Ovid), PsycINFO, Web of Science, and Food Science and Technology Abstracts were systematically searched using sensitive search strategies. Studies were limited to papers published in English between 2010 and February 2015 with participants aged 4-12 years old with outcomes including obesity, change in weight, or BMI. The search yielded 31 relevant quantitative peer-reviewed papers meeting all inclusion criteria: seven longitudinal, 23 cross-sectional, one randomized control trial. Associations between parenting style and child BMI were strongest and most consistent within the longitudinal studies. Uninvolved, indulgent or highly protective parenting was associated with higher child BMI, whereas authoritative parenting was associated with a healthy BMI. Similarly for feeding styles, indulgent feeding was consistently associated with risk of obesity within cross-sectional studies. Specific feeding practices such as restriction and pressure to eat were linked to BMI, especially within cross-sectional studies. Where child traits were measured, the feeding practice appeared to be responsive to the child, therefore restriction was applied to children with a high BMI and pressure to eat applied to children with a lower BMI. Behaviors and styles that are specific to the feeding context are consistently associated with child BMI. However, since obesity emerges over time, it is through longitudinal, carefully

  7. Parenting styles, feeding styles, feeding practices and weight status in 4-12 year-old children: A systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Netalie eShloim

    2015-12-01

    Full Text Available Childhood is a critical period in the development of obesity. Eating patterns established early in life track into later life. Therefore, parental approaches to feeding in their general parenting style, feeding styles and specific feeding practices will have a profound impact on how children eat and grow. A systematic research review following PRISMA guidelines was conducted to identify, discuss and integrate recent research investigating the relationship between parenting styles, feeding styles, feeding practices and body mass index (BMI in children. Medline (Ovid, PsycINFO, Web of Science and Food Science and Technology Abstracts were systematically searched using sensitive search strategies. Studies were limited to papers published in English between 2010 and February 2015 with participants aged 4 to 12 years old with outcomes including obesity, change in weight, or BMI. The search yielded 31 relevant quantitative peer-reviewed papers meeting all inclusion criteria: 7 longitudinal, 23 cross-sectional, 1 randomised control trial.. Associations between parenting style and child BMI were strongest and most consistent within the longitudinal studies. Uninvolved, indulgent or highly protective parenting was associated with higher child BMI, whereas authoritative parenting was associated with a healthy BMI. Similarly for feeding styles, indulgent feeding was consistently associated with risk of obesity within cross-sectional studies. Specific feeding practices such as restriction and pressure to eat were linked to BMI, especially within cross-sectional studies. Where child traits were measured, the feeding practice appeared to be responsive to the child, therefore restriction was applied to children with a high BMI and pressure to eat applied to children with a lower BMI. Behaviours and styles that are specific to the feeding context are consistently associated with child BMI. However, since obesity emerges over time, it is through longitudinal

  8. Stability in and correlation between factors influencing genetic quality of seed lots in seed orchard of Pinus tabuliformis Carr. over a 12-year span.

    Science.gov (United States)

    Li, Wei; Wang, Xiaoru; Li, Yue

    2011-01-01

    Coniferous seed orchards require a long period from initial seed harvest to stable seed production. Differential reproductive success and asynchrony are among the main factors for orchard crops year-to-year variation in terms of parental gametic contribution and ultimately the genetic gain. It is fundamental in both making predictions about the genetic composition of the seed crop and decisions about orchard roguing and improved seed orchard establishment. In this paper, a primary Chinese pine seed orchard with 49 clones is investigated for stability, variation and correlation analysis of factors which influence genetic quality of the seed lots from initial seed harvest to the stable seed production over a 12 years span. Results indicated that the reproductive synchrony index of pollen shedding has shown to be higher than that of the strobili receptivity, and both can be drastically influenced by the ambient climate factors. Reproductive synchrony index of the clones has certain relative stability and it could be used as an indication of the seed orchard status during maturity stage; clones in the studied orchard have shown extreme differences in terms of the gametic and genetic contribution to the seed crop at the orchard's early production phase specifically when they severe as either female or male parents. Those differences are closely related to clonal sex tendency at the time of orchard's initial reproduction. Clonal gamete contribution as male and female parent often has a negative correlation. Clone utilization as pollen, seed or both pollen and seed donors should consider the role it would play in the seed crop; due to numerous factors influencing on the mating system in seed orchards, clonal genetic contribution as male parent is uncertain, and it has major influence on the genetic composition in the seed orchard during the initial reproductive and seed production phase.

  9. Stability in and correlation between factors influencing genetic quality of seed lots in seed orchard of Pinus tabuliformis Carr. over a 12-year span.

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    Wei Li

    Full Text Available Coniferous seed orchards require a long period from initial seed harvest to stable seed production. Differential reproductive success and asynchrony are among the main factors for orchard crops year-to-year variation in terms of parental gametic contribution and ultimately the genetic gain. It is fundamental in both making predictions about the genetic composition of the seed crop and decisions about orchard roguing and improved seed orchard establishment. In this paper, a primary Chinese pine seed orchard with 49 clones is investigated for stability, variation and correlation analysis of factors which influence genetic quality of the seed lots from initial seed harvest to the stable seed production over a 12 years span. Results indicated that the reproductive synchrony index of pollen shedding has shown to be higher than that of the strobili receptivity, and both can be drastically influenced by the ambient climate factors. Reproductive synchrony index of the clones has certain relative stability and it could be used as an indication of the seed orchard status during maturity stage; clones in the studied orchard have shown extreme differences in terms of the gametic and genetic contribution to the seed crop at the orchard's early production phase specifically when they severe as either female or male parents. Those differences are closely related to clonal sex tendency at the time of orchard's initial reproduction. Clonal gamete contribution as male and female parent often has a negative correlation. Clone utilization as pollen, seed or both pollen and seed donors should consider the role it would play in the seed crop; due to numerous factors influencing on the mating system in seed orchards, clonal genetic contribution as male parent is uncertain, and it has major influence on the genetic composition in the seed orchard during the initial reproductive and seed production phase.

  10. PLAYgrounds: Effect of a PE playground program in primary schools on PA levels during recess in 6 to 12 year old children. Design of a prospective controlled trial

    Science.gov (United States)

    2011-01-01

    Background The relative number of children meeting the minimal required dose of daily physical activity remains execrably low. It has been estimated that in 2015 one out of five children will be overweight. Therefore, low levels of physical activity during early childhood may compromise the current and future health and well-being of the population, and promoting physical activity in younger children is a major public health priority. This study is to gain insight into effects of a Physical Education based playground program on the PA levels during recess in primary school children aged 6-12. Methods/design The effectiveness of the intervention program will be evaluated using a prospective controlled trial design in which schools will be matched, with a follow-up of one school year. The research population will consist of 6-12 year old primary school children. The intervention program will be aimed at improving physical activity levels and will consist of a multi-component alteration of the schools' playground. In addition, playground usage will be increased through altered time management of recess times, as well as a modification of the Physical Education content. Discussion The effects of the intervention on physical activity levels during recess (primary outcome measure), overall daily physical activity and changes in physical fitness (secondary outcome measures) will be assessed. Results of this study could possibly lead to changes in the current playground system of primary schools and provide structured health promotion for future public health. Trial registration Netherlands Trial Register (NTR): NTR2386 PMID:21548998

  11. Prevalence and Factors Associated with Goitre among 6-12-year-old Children in a Rural Area of Karnataka in South India.

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    Manjunath, Bhanu; Suman, G; Hemanth, T; Shivaraj, N S; Murthy, N S

    2016-01-01

    In India, endemic goitre is present in sub-Himalayan region and in pockets in states of Andhra Pradesh, Karnataka and Gujarat. Being a public health problem amenable for prevention, the assessment of prevalence of endemic goitre in an area helps in understanding whether the preventive strategies under National Iodine Deficiency Disorder Control Program (NIDDCP) have any impact on the control of endemic goitre. Hence, the current study was carried out to determine the prevalence, distribution and factors associated with iodine deficiency goitre among 6-12-year-old children in a rural area in south Karnataka. A cross-sectional study was conducted among 838 children, using a questionnaire adopted from Iodized Salt Program Assessment Tool and the tools prescribed by WHO for goitre survey. The prevalence of goitre in the study area was 21.9% (95% CI 19.2-24.8). There was higher prevalence of goitre among those having salt iodine 15 ppm (P = 0.01; OR 1.59; 95% CI 1.10-2.29). In 10% of the children, urinary iodine excretion (UIE) was assessed and prevalence was higher among those with goitre. The study area was found to be moderately endemic for goitre based on the WHO criteria. Higher prevalence of goitre was found to be still associated with consumption of low iodized salt (<15 ppm) necessitating emphasis on monitoring of salt iodine levels in the study area. Though NIDDCP is being implemented since five decades in India, the burden of iodine deficiency disorders (IDDs) is still high demanding further impetus to the monitoring systems of the programme.

  12. The impact of development o f the special coordination abilities on the general skill ability for table tennis juniors under 12 years old

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    Shawkat Gaber Radwan

    2014-06-01

    Full Text Available Indicates each of Muhama d Allawi (2002, Essam Abdul Khaliq (2003, and Walf Droge (2002 that the coordination abilities are closely related to the development of technical motor skills, and that pra ctitioner athletic activity which determines the quality of this abilities should be developed, where the player can not master the technical skills in the special activity in case lack of special coordination abilities for this activity. Both Manf red Must er (1986, Jürgen Schmicker (2000, Wolfgang and others (2000 and Wohlgefahrt, Karlheinz (2004 refers that the special coordination abilities for table tennis include each of: 1 - The motor adaptation and adjustment ability, 2 - The ability to differentiat e , 3 - reaction speed ability, 4 - orientation ability, 5 - balance ability, 6 - coupling ability, 7 - The ability to sense the rhythm. The aim of this study is design training program to development the special coordination abilities of table tennis and identi fies the impact of this program on the general skill ability for table tennis juniors under 12 years old. The researcher used the experimental method into two groups one experimental and the other control group the strength of each of them is 8 of table te nnis juniors in Ismailia city in Egypt. The duration of the program is three months, three training units a week the duration of each training unit is 90 minutes. The most important results of this study was the training program led to improvement the spec ial coordination abilities of table tennis for the experimental group, which led to high level of the general skill ability in table tennis for the experimental group more than the control group .

  13. Prenatal androgenization affects gender-related behavior but not gender identity in 5-12-year-old girls with congenital adrenal hyperplasia.

    Science.gov (United States)

    Meyer-Bahlburg, Heino F L; Dolezal, Curtis; Baker, Susan W; Carlson, Ann D; Obeid, Jihad S; New, Maria I

    2004-04-01

    Gender assignment of children with intersexuality and related conditions has recently become highly controversial. On the basis of extensive animal research and a few human case reports, some authors have proposed the putative masculinization of the brain by prenatal hormones-indicated by the degree of genital masculinization-as the decisive criterion of gender assignment and have derived the recommendation that 46,XX newborns with congenital adrenal hyperplasia (CAH) and full genital masculinization should be assigned to the male gender. The purpose of this study was to test in CAH girls of middle childhood the assumption that prenatal androgens determine the development of gender identity. Fifteen girls with CAH (range of genital Prader stage, 2-4/5), 30 control girls, and 16 control boys (age range, 5-12 years) underwent 2 gender-play observation sessions, and a gender identity interview yielding scales of gender confusion/dysphoria. About half a year earlier, mothers had completed 2 questionnaires concerning their children's gender-related behavior. The results showed that, as expected, CAH girls scored more masculine than control girls on all scales measuring gender-related behavior, with robust effect sizes. By contrast, neither conventionally significant differences nor trends were found on the 3 scales of the gender identity interview. We conclude that prenatal androgenization of 46,XX fetuses leads to marked masculinization of later gender-related behavior, but the absence of any increased gender-identity confusion/dysphoria does not indicate a direct determination of gender identity by prenatal androgens and does not, therefore, support a male gender assignment at birth of the most markedly masculinized girls.

  14. PRIMARY VESICOURETERIC REFLUX IN CHILDREN BETWEEN 1 MONTH AND 12 YEARS WITH URINARY TRACT INFECTION ADM ITTED IN A TERTIARY CARE HOSPITAL

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    Subbiah

    2013-04-01

    Full Text Available ABSTRACT: OBJECTIVE: To determine the proportion of primary vesicoureteric reflux in children between 1 month and 12 years with urinary tract infection admitted in a tertiary care hospital. METHODOLOGY: A Hospital based descriptive cross sectional study was conducted between May 2010 and October 2011 in the Department of pediatrics, Chennai Medical College Hospital, Trichy. Convenient sampling technique was a pplied to select the study subjects. Renal ultrasound and voiding cystourethrography (VCUG exa minations were performed in all confirmed cases of first UTI under 5 years of age a nd recurrent UTI at any age. Any children with underlying anatomic abnormalities of urinary t ract or neurogenic abnormalities were excluded from the study. The severity of reflux expressed as a grade, which is based on the system established by the International Reflux Stud y in Children. The data was analyzed by proportions and chi – square test using SPSS statisti cal package version 11 at 95% confidence interval. P value Grade 2 were not seen. The sensitivity and specificity of ultrasound in detecting VUR were 36.4% and 100% res pectively. CONCLUSION: Since the Vesicoureteric Reflux appears to be more common in the recurrent UTI, Voiding cystourethrogram (VCUG is recommended in all the cases of recurrent UTI, so that prophylaxis can be entertained to prevent renal scarring and chronic glomerular insuf ficiency. Even in the first UTI, if the child is no t ORIGINAL ARTICLE Journal of Evolution of Medical and Dental Sciences/ Volume 2/ Issue 14/ April 8, 2013 Page- 2406 shown improvement as expected, VCUG can be done. Si nce USG is safe noninvasive it is recommended in all confirmed cases of UTI

  15. The effect of beverages varying in glycaemic load on postprandial glucose responses, appetite and cognition in 10-12-year-old school children.

    Science.gov (United States)

    Brindal, Emily; Baird, Danielle; Slater, Amy; Danthiir, Vanessa; Wilson, Carlene; Bowen, Jane; Noakes, Manny

    2013-08-28

    Reducing glycaemic index (GI) and glycaemic load (GL) inconsistently improves aspects of cognitive function and appetite in children. Whether altering the GL by lowering carbohydrate relative to protein and fat has a role in these effects is unknown. Therefore, we assessed the differential effects of beverages varying in GL and dairy composition on appetite, energy intake and cognitive function in children. A total of forty children (10–12 years) completed a double-blind, randomised, crossover trial, receiving three isoenergetic drinks (approximately 1100 kJ): a glucose beverage (GI 100, GL 65), a full milk beverage (GI 27, GL 5) and a half milk/glucose beverage (GI 84, GL 35). For 3 h post-consumption, subjective appetite and cognitive performance (speed of processing, memory, attention and perceptual speed) were measured hourly. At completion, each child was provided a buffet-style lunch and energy intake was calculated. Blood glucose was objectively measured using the Continuous Glucose Monitoring System. Blood glucose AUC values were significantly different between the drinks (P,0·001), but did not sustain above the baseline for 3 h for any drink. Mixed modelling revealed no effect of beverage on subjective appetite or energy intake. Participant sex and drink GL significantly interacted for short-term memory (P,0·001). When girls consumed either milk-containing beverage, they recalled 0·7–0·8 more words compared with 0·5 less words after the glucose drink (P#0·014). Altering GL of drinks by reducing carbohydrate and increasing protein did not affect appetite or cognition in children. Girls may demonstrate improved short-term memory after consuming beverages with higher protein and lower GL.

  16. Parenting Styles, Feeding Styles, Feeding Practices, and Weight Status in 4–12 Year-Old Children: A Systematic Review of the Literature

    Science.gov (United States)

    Shloim, Netalie; Edelson, Lisa R.; Martin, Nathalie; Hetherington, Marion M.

    2015-01-01

    Childhood is a critical period in the development of obesity. Eating patterns established early in life track into later life. Therefore, parental approaches to feeding in their general parenting style, feeding styles, and specific feeding practices will have a profound impact on how children eat and grow. A systematic research review following PRISMA guidelines was conducted to identify, discuss and integrate recent research investigating the relationship between parenting styles, feeding styles, feeding practices, and body mass index (BMI) in children. Medline (Ovid), PsycINFO, Web of Science, and Food Science and Technology Abstracts were systematically searched using sensitive search strategies. Studies were limited to papers published in English between 2010 and February 2015 with participants aged 4–12 years old with outcomes including obesity, change in weight, or BMI. The search yielded 31 relevant quantitative peer-reviewed papers meeting all inclusion criteria: seven longitudinal, 23 cross-sectional, one randomized control trial. Associations between parenting style and child BMI were strongest and most consistent within the longitudinal studies. Uninvolved, indulgent or highly protective parenting was associated with higher child BMI, whereas authoritative parenting was associated with a healthy BMI. Similarly for feeding styles, indulgent feeding was consistently associated with risk of obesity within cross-sectional studies. Specific feeding practices such as restriction and pressure to eat were linked to BMI, especially within cross-sectional studies. Where child traits were measured, the feeding practice appeared to be responsive to the child, therefore restriction was applied to children with a high BMI and pressure to eat applied to children with a lower BMI. Behaviors and styles that are specific to the feeding context are consistently associated with child BMI. However, since obesity emerges over time, it is through longitudinal, carefully

  17. Better Survival of Total Knee Replacement in Patients Older Than 70 Years: A Prospective Study with 8 To 12 Years Follow-Up

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    Ricardo Fernandez-Fernandez

    2015-01-01

    Full Text Available  Background: Modern knee designs have popularized its use in younger patients due to its better performance. There remains uncertainty whether higher demands of these patients can affect implant survivorship.    Purpose: To assess whether modern knee designs have provided similar results in patients younger than 70 years versus older patients. Methods: We included 203 consecutive patients (236 knees who underwent knee replacement for osteoarthritis with a mean follow-up of 11.4 years (range: 8.8 to 12. The mean age was 70 years (range: 31 to 85. Knee replacements were stratified into two groups: 109 were younger than 70 years and 127 were older than 70 years (70 years of age is the mandatory retirement age. Results: There were no significant pre-operative differences between groups with regards to knee alignment, alpha or beta angles, knee score or function score. Fourteen implants were radiographically loose at last follow up visit. Groups were matched in terms of demographic data. We found that patients older than 70 years had significantly better mean survivorship at 12 years. (97% vs. 88%; P=0.010. Patients under 70 years presented with a higher rate of polyethylene wear which was further associated with radiolucent lines in the femur and tibia as well as the presence of osteolysis. There was also an association between migration and presence of osteolysis. Conclusions: Patients over 70 years old undergoing cemented total knee replacement for osteoarthritis showed better implant survivorship versus patients under 70 years old.

  18. Change in HbA1c levels between the age of 8 years and the age of 12 years in Dutch children without diabetes: the PIAMA birth cohort study.

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    Hanneke Jansen

    Full Text Available HbA1c is associated with cardiovascular risk in persons without diabetes and cardiovascular risk accumulates over the life course. Therefore, insight in factors determining HbA1c from childhood onwards is important. We investigated (lifestyle determinants of HbA1c at age 12 years and the effects of growth on change in HbA1c and the tracking of HbA1c between the age of 8 and 12 years.Anthropometric measurements were taken and HbA1c levels were assessed in 955 children without diabetes aged around 12 years participating in the PIAMA birth cohort study. In 363 of these children HbA1c was also measured at age 8 years. Data on parents and children were collected prospectively by questionnaires.We found no significant association between known risk factors for diabetes and HbA1c at age 12 years. Mean(SD change in HbA1c between ages 8 and 12 years was 0.6(0.7 mmol/mol per year (or 0.1(0.1 %/yr. Anthropometric measures at age 8 and their change between age 8 and 12 years were not associated with the change in HbA1c. 68.9% of the children remained in the same quintile or had an HbA1c one quintile higher or lower at age 8 years compared to age 12 years.The lack of association between known risk factors for diabetes and HbA1c suggest that HbA1c in children without diabetes is relatively unaffected by factors associated with glycaemia. HbA1c at age 8 years is by far the most important predictor of HbA1c at age 12. Therefore, the ranking of HbA1c levels appear to be fairly stable over time.

  19. [Complications of urinary calculi].

    Science.gov (United States)

    Joual, A; Fekak, H; Rabii, R; el Moussasoui, A; Benjelloun, S

    1996-01-01

    Urinary stones is a frequent disease whose renal complications can engage both functional and vital prognosis. We report 769 complicated cases observed 10 years. The diagnosis was made by intravenous urography and ultrasonography. 607 cases were mechanical complications, 582 hydronephrosis, 25 anuria, 262 were infectious complications, 82 chronic pyelonephritis, 60 pyonephrosis, 10 perinephric abscess. Treatment included adapted antibiotic therapy, ureteral catheter in case of anuria ; surgical extraction of the stone nephrectomy was performed in 100 patients. Results were generally good. 9 patients had endstage chronic renal failure. The high frequency of urinary stone complications is due to the fact that most patients consult late. The diagnosis must obviously be made.

  20. [Urinary calculi and infection].

    Science.gov (United States)

    Trinchieri, Alberto

    2014-01-01

    Infection urinary stones resulting from urease-producing bacteria are composed by struvite and/or carbonate apatite. Bacterial urease splits urea and promotes the formation of ammonia and carbon dioxide leading to urine alkalinization and formation of phosphate salts. Proteus species are urease-producers, whereas a limited number of strains of other Gram negative and positive species may produce urease. Ureaplasma urealyticum and Corynebacterium urealyticum are urease-producers that are not isolated by conventional urine cultures, but require specific tests for identification. Primary treatment requires surgical removal of stones as complete as possible. Extracorporeal and endoscopic treatments are usually preferred, while open surgery is actually limited to few selected cases. Residual stones or fragments should be treated by chemolysis via ureteral catheter or nephrostomy or administration of citrate salts in order to achieve a stone-free renal unit. Postoperatively, recurrent urinary tract infection should be treated with appropriate antibiotic treatment although long-term antibiotic prophylaxis can cause resistance. Urinary acidification has been proposed for the prophylaxis of infection stones, but long-term acidification is difficult to achieve in urine infected by urease-producing bacteria. Urease inhibitors lead to prevention and/or dissolution of stones and encrustations in patients with infection by urea-splitting bacteria, but their use is limited by their toxicity. The administration of citrate salts involves an increase of the value of nucleation pH (pHn), that is the pH value at which calcium and magnesium phosphate crystallization occurs, in a greater way than the corresponding increase in the urinary pH due to its alkalinizing effect and resulting in a reduction of the risk of struvite crystallization. In conclusion prevention of the recurrence of infection stones can be achieved by an integrated approach tailored on the single patient. Complete clearance of the stone must be achieved by primary surgical procedure and residual fragments should be extensively treated. In the case of persistent infection, conservative measures, such as acidification and urease inhibitors or citrate administration, should be adopted to minimize its effect on urinary saturation with respect to struvite.