283 research outputs found
Struktur Komunitas Gastropoda di Perairan Pesisir Negeri Seith, Maluku Tengah
Gastropoda laut memegang peranan penting dalam ekosistem laut terutama sebagai salah satu parameter untuk menilai kesehatan lingkungan laut. Perairan pesisir Negeri Seith, Maluku Tengah memiliki komunitas perairan pantai yang penting terutama komunitas gastropoda. Penelitian ini dilakukan di perairan pantai Negeri Seith dengan tujuan untuk mengidentifikasi spesies gastropoda, menganalissi kelimpahan, densitas ekologi, dan frekuensi kehadiran spesies gastropoda, serta menganalisis indeks-indeks ekologi komunitas termasuk indeks keanakearagaman, indeks keseragaman, dan indeks dominansi gastropoda. Sampling dilakukan dengan metode transek garis dengan ukuran kuadran sebesar 2x2 meter pada 11 transek. Sebanyak 1311 specimen gastropoda yang tergolong dalam 15 spesies gastropoda, dan dikelompokan dalam 4 ordo, 7 famili, dan 9 genus dengan total 1311 individu. Clypeomorus moniliferus memiliki nilai kepadatan, kelimpahan dan frekuensi kehadiran tertinggi, masing-masing nilai kepadatan sebesar 9,45 ind/m², kelimpahan = 384438 individu, dan frekuensi kehadiran = 85,87%. Nerita exuvia, Conus decurtata, dan Pyrene testudinaria memiliki nilai kepadatan, kelimpahan dan frekuensi kehadiran terendah. Indeks keanekaragaman spesies (H`) gastropoda pada lokasi penelitian adalah H` = 1,29, indeks keseragaman (E) = 0,47, dan indeks dominansi (D) = 0,46. Hasil ini menunjukkan bahwa struktur komunitas gastropoda di ekosistem lamun Negeri Seith tergolong rendah, namun didominasi oleh spesies tertent
An approach for assessment of tumor volume from mammography in locally advanced breast cancer
The editorial board regrets the mistake made in the MJMS Vol. 15 No. 1
(January 2008), page 37 - 41 with the title An approach for assessment
of tumour volume from mammography in locally advanced breast cancer by
Gupreet Singh from Medical Physics Unit, Department of Radiodiagnosis,
Institute Rotary Cancer Hospital, All India Institute of Medical
Sciences, New Delhi110029, India. The authors actually responsible for
this manuscript titled “An approach for assessment of tumour
volume from mammography in locally advanced breast cancer” are
Gupreet Singh, Sanjay Thulkar*, Ashu Seith*, Rajinder Parshad** and
Pratik Kumar. There are no changes in the content and the corresponding
authors address. The email is as it is below. Corresponding Author :
Dr. Pratik Kumar (Ph.D). Medical Physics Unit, Department of
Radiodiagnosis, Institute Rotary Cancer Hospital, All India Institute
of Medical Sciences, New Delhi-110029, India. Tel: + 01126594448 Fax: +
91-11-26588663 Email: [email protected]
An approach for assessment of tumor volume from mammography in locally advanced breast cancer
The editorial board regrets the mistake made in the MJMS Vol. 15 No. 1
(January 2008), page 37 - 41 with the title An approach for assessment
of tumour volume from mammography in locally advanced breast cancer by
Gupreet Singh from Medical Physics Unit, Department of Radiodiagnosis,
Institute Rotary Cancer Hospital, All India Institute of Medical
Sciences, New Delhi110029, India. The authors actually responsible for
this manuscript titled “An approach for assessment of tumour
volume from mammography in locally advanced breast cancer” are
Gupreet Singh, Sanjay Thulkar*, Ashu Seith*, Rajinder Parshad** and
Pratik Kumar. There are no changes in the content and the corresponding
authors address. The email is as it is below. Corresponding Author :
Dr. Pratik Kumar (Ph.D). Medical Physics Unit, Department of
Radiodiagnosis, Institute Rotary Cancer Hospital, All India Institute
of Medical Sciences, New Delhi-110029, India. Tel: + 01126594448 Fax: +
91-11-26588663 Email: [email protected]
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Chwedleu Seith Doethon Rufein: A Single Manuscript Edition of the Middle Welsh Text of The Seven Sages of Rome, from Oxford, Jesus College Manuscript 20, Including Translation and Notes.
This is a new edition and translation of Chwedleu Seith Doethon Rufein, the Middle
Welsh version of the popular medieval tales known as ‘The Seven Sages of Rome’.
The text found in J MS 111 has already been published in modern Welsh, which
limits its usefulness for those who are not fluent in that language. The only English
translation available is an archaic, nineteenth century version which needs
updating. This has been addressed here. Certain concepts are questioned, such as
Lewis’s suggestion that the tales were the original work of a Welsh cleric and
therefore constitute the first Welsh novel His opinion that J MS 20 is the oldest
extant Welsh version of the tale is also investigated.
The Welsh redaction itself is characterised by the usual medieval Welsh practice
of abbreviation and concision. Here the translation of French Sept Sages is
curtailed by the omission of direct speech and extraneous detail. Any deviation,
such as borrowings from traditional Welsh tales, is therefore the more
noteworthy. The pointed use of native literary tradition suggests that the author
was an educated man, one not only fluent in French, as evidenced from his
adaptation of the Sept Sages, but one well-versed in his own literary heritage. His
exclusion of the scatological elements present in the French parent version may
point to his religious calling but could also indicate that he was writing for a
mixed audience: not only for men but also for women and children.
The base text used here is the one found in Jesus MS 20, housed at the Bodleian
Library, Oxford, though the two other manuscript witnesses, Jesus MS 111 (Llyfr
Coch Hergest) and NLW Llanstephan MS 2, are also discussed. This present
edition includes a brief history of the transmission of the tales from their Eastern
origins to the West: to France and then on to Wales. This is followed by an
overview of the cultural and historical background of the period, placing the tales
in context.
The conclusion drawn is that, though Chwedleu Seith Doethon Rufein, the Welsh
redaction of the Sept Sages Romae, is but one small part of the international
corpus of this literary tradition, it is a highly individual and therefore invaluable
member of the genre
Acute vitamin D toxicity in an infant
We report vitamin D toxicity in an infant following consecutive administration use of a large dose of vitamin D, causing symptomatic hypercalcemia, which was successfully managed with injectable calcitonin. However, the child developed bilateral medullary nephrocalcinosis which persisted 42 mon after the initial episode
Second Year Medical Students
Mounted b & w photograph. Back row: W. V. Rowe, A. J. T. Thomas, A. G. A. Tregonning, W. I. Seith, R. T. Auricht, L. J. P. Rice, B. D. Cowling, R. R. Magarey, R. H. Jarvis, P. M. Koop. Third row: R. Barnes, R. B. Pitcher, F. S. H. Doman, I. M. Steele, G. Hasenohr, B. S. McCarthy, N. P. Fletcher, D. M. Eldridge, A. C. Behrndt, J. A. Brisbout, J. McNeil. Second row: J. L. Waddy, I. H. Hobbs, M. W. Dunstone, C. Croucher, R. B. Bennett, N. J. Way, J. D. Le Souef, D. L. Jones, D. A. Hicks, I. K. Furler, J. P. Maddern, P. S. Hetzel, R. R. Bowey. Front row: G. A. Jose, D. N. Robinson, Miss K. M. O'Dea, Miss H. Kelman, Miss R. D. Pavy, Dr. K. J. Posener, Prof. F. Goldby, Miss A. P. Cherry, Miss L. P. Harms, Miss G. Archer, D. Spry, K. E. Nicholls, B. R. Walsh
Factors associated with short term outcomes of hypospadias repair at the University Teaching Hospital, Lusaka, Zambia
ThesisHypospadias is a common congenital penile abnormality with an incidence of 1 in 250 per live
male births. It occurs as a birth defect resulting in the urethral opening being located anywhere
from the glans along the ventral aspect of the shaft of the penis up to the scrotum or perineum in
extreme cases. In its moderate to severe forms surgery is always advocated because affected
individuals fail to pass urine while standing, the penis is cosmetically different from others and
importantly causes subfertility in adulthood. However surgery is not without complications. An
audit done locally at UTH, Lusaka in the year 2017 showed high complication rates of 10 percent
for distal hypospadias and 67% for proximal hypospadias. The objective of this study was to
determine the short-term complications and factors that are associated with this outcome at UTH
Lusaka. In this study we hypothesized that small glans size, narrow urethral plate, PDS suture for
urethroplasty, age more than 18months at operation and Haemoglobin level are not associated with
increased complication rate.
This was a consecutive (total enumerative) observational cohort study done at D-block and Clinic
7 at UTH Lusaka over a period of nine months. A total of 41 patients were enrolled and their
demographic data, hemoglobin, maximum glans width size and urethral plate size before creating
glans wing or midline plate incision were noted and measured. Logistic regression assessed
urethroplasty complications (urethrocutaneous fistula, glans dehiscence, infection, penile torsion,
persistent chordee) on urethral plate size, glans size, hemoglobin, suture material and catheter
problems.
The average age of participants was 34months. Distal hypospadias was the most common type at
61%, while middle hypospadias was 27% and proximal hypospadias 12%.The complication rate
was 34%. The most common complication seen was urethrocutaneous fistula 9(53%). The other
complications seen included 2(11.8%) glanular dehiscence, 2(11.8%) infection 1(6%) persistent
chordee and 1(6%) penile torsion. The risk factors for post-operative complications included, the
location of the urethral opening. The more proximal the site of the hypospadias the higher the
complication rate. Complications were strongly associated with hemoglobin levels of less than
11.5g/dl (p=0.001) and catheter blockage or dislodgment (p=0.008). There was no association of
complications with Social economic status, Age at time of repair, glans width size or suture
material. Contrary to the finding of many authors wider urethral plate in this study was associated
with higher complication rate.
The conclusion was that short term complication rate at the UTH Lusaka Zambia is at 34%. The
most common complication is urethrocutaneous fistula while the main factors associated with
increased complications are hemoglobin less than 11.5g/dl, blocked and dislodgment urethral
catheters, proximal hypospadias type. The recommendation from this study is hypospadias repair
to be done with a hemoglobin of 12g/dl or more and post operatively a close catheter care is
imperative.
Keywords : Hypospadias, short term outcomes, complications, complication rate,
Urethrocutaneous fistula, glanular dehiscence, persistent chordee, penile torsion
Factors associated with short term outcomes of hypospadias repair at the University Teaching Hospital, Lusaka, Zambia
ThesisHypospadias is a common congenital penile abnormality with an incidence of 1 in 250 per live
male births. It occurs as a birth defect resulting in the urethral opening being located anywhere
from the glans along the ventral aspect of the shaft of the penis up to the scrotum or perineum in
extreme cases. In its moderate to severe forms surgery is always advocated because affected
individuals fail to pass urine while standing, the penis is cosmetically different from others and
importantly causes subfertility in adulthood. However surgery is not without complications. An
audit done locally at UTH, Lusaka in the year 2017 showed high complication rates of 10 percent
for distal hypospadias and 67% for proximal hypospadias. The objective of this study was to
determine the short-term complications and factors that are associated with this outcome at UTH
Lusaka. In this study we hypothesized that small glans size, narrow urethral plate, PDS suture for
urethroplasty, age more than 18months at operation and Haemoglobin level are not associated with
increased complication rate.
This was a consecutive (total enumerative) observational cohort study done at D-block and Clinic
7 at UTH Lusaka over a period of nine months. A total of 41 patients were enrolled and their
demographic data, hemoglobin, maximum glans width size and urethral plate size before creating
glans wing or midline plate incision were noted and measured. Logistic regression assessed
urethroplasty complications (urethrocutaneous fistula, glans dehiscence, infection, penile torsion,
persistent chordee) on urethral plate size, glans size, hemoglobin, suture material and catheter
problems.
The average age of participants was 34months. Distal hypospadias was the most common type at
61%, while middle hypospadias was 27% and proximal hypospadias 12%.The complication rate
was 34%. The most common complication seen was urethrocutaneous fistula 9(53%). The other
complications seen included 2(11.8%) glanular dehiscence, 2(11.8%) infection 1(6%) persistent
chordee and 1(6%) penile torsion. The risk factors for post-operative complications included, the
location of the urethral opening. The more proximal the site of the hypospadias the higher the
complication rate. Complications were strongly associated with hemoglobin levels of less than
11.5g/dl (p=0.001) and catheter blockage or dislodgment (p=0.008). There was no association of
complications with Social economic status, Age at time of repair, glans width size or suture
material. Contrary to the finding of many authors wider urethral plate in this study was associated
with higher complication rate.
The conclusion was that short term complication rate at the UTH Lusaka Zambia is at 34%. The
most common complication is urethrocutaneous fistula while the main factors associated with
increased complications are hemoglobin less than 11.5g/dl, blocked and dislodgment urethral
catheters, proximal hypospadias type. The recommendation from this study is hypospadias repair
to be done with a hemoglobin of 12g/dl or more and post operatively a close catheter care is
imperative.
Keywords : Hypospadias, short term outcomes, complications, complication rate,
Urethrocutaneous fistula, glanular dehiscence, persistent chordee, penile torsion
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