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USE OF NUTRIENT RISK IN CRITICALLY ILL SCORE TO ASSESS NUTRITIONAL RISK IN MECHANICALLY VENTILATED PATIENTS 使用重症患者营养风险评分评估机械通气患者的营养风险
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-14 DOI: 10.54112/bcsrj.v2024i1.895
MA Ali, W. Ishtiaq, SU Din, MM Sajjad, S. Ali, J. Khan
{"title":"USE OF NUTRIENT RISK IN CRITICALLY ILL SCORE TO ASSESS NUTRITIONAL RISK IN MECHANICALLY VENTILATED PATIENTS","authors":"MA Ali, W. Ishtiaq, SU Din, MM Sajjad, S. Ali, J. Khan","doi":"10.54112/bcsrj.v2024i1.895","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.895","url":null,"abstract":"Ensuring proper nutritional support is crucial for critically ill patients. This nutritional deficit is closely associated with heightened susceptibility to nosocomial infections, delayed wound healing, and an escalated risk of mortality. Objective: The objective of this study is to evaluate the effectiveness of the Nutrient Risk in Critically Ill (NUTRIC) score in assessing the nutritional risk of mechanically ventilated patients.  Method: It is a cross-sectional study. It is conducted at the Department of Critical Care Medicine, Shifa International Hospital, Islamabad from 1st Jan 2024 to 30 May 2024. The calculated sample size was 381 selected by non-probability consecutive sampling. The study utilized the modified Nutritional Risk in the Critically Ill (mNUTRIC) score to assess nutritional risk in mechanically ventilated (MV) patients. Data will be analyzed using SPSS 24.0. A P value of ≤ 5 will be significant Result: The study included a total of 381 participants, with a mean age of 55.7 ± 17.5 years and, a BMI was 23.7 ± 3.5. 219 (57.48%) had low nutritional risk (NUTRIC score ≤4), while 162 (42.51%) had high nutritional risk (NUTRIC score ≥5). Patients in the high nutritional risk group had a longer stay in the intensive care unit (ICU),  had fewer ventilator-free days and had higher mortality rates compared to those in the low nutritional risk group (8.5 ± 4.1 days vs. 5.2 ± 3.9 days, p-value < 0.01). Conclusion: The study highlights the significance of the NUTRIC score as a valuable tool for the estimation of nutritional risk among mechanically ventilated patients in the ICU setting","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"45 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141339693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COMPARISON OF SURGICAL WOUND CLOSURE BY STAPLES AND SUTURES 用订书机和缝合线缝合手术伤口的比较
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-06 DOI: 10.54112/bcsrj.v2024i1.889
Skh Shah, S. Fayaz, FR Shahid, MB Asad, SH Lone, Sara Mohydin
{"title":"COMPARISON OF SURGICAL WOUND CLOSURE BY STAPLES AND SUTURES","authors":"Skh Shah, S. Fayaz, FR Shahid, MB Asad, SH Lone, Sara Mohydin","doi":"10.54112/bcsrj.v2024i1.889","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.889","url":null,"abstract":"Surgical wound closure methods play a critical role in postoperative outcomes, with potential implications for infection rates, wound healing, and patient satisfaction. In this study, we aimed to compare the outcomes of surgical wound closure using staples versus sutures in clean elective abdominal surgeries. Objective: This prospective study aimed to assess the surgical site infection rate, closure time, and other postoperative outcomes associated with staple versus suture closure methods in clean elective abdominal surgeries. Methods: This prospective cohort study was conducted at the Pakistan Institute of Medical Sciences Hospital involving 236 patients undergoing clean elective abdominal surgeries from January 2024 to April 30, 2024. The patients were divided into two groups: the staple group (n=110) and the suture group (n=126). Baseline characteristics, including age, gender, BMI, smoking status, and comorbidities, were recorded for both groups. Surgical parameters such as mean operating time and closure time were measured. Postoperative outcomes, including surgical site infection, prolonged wound discharge (> four days), abscess formation, wound dehiscence, pain (assessed using Visual Analogue Score), and cosmetic appearance, were compared between the two groups using appropriate statistical methods. Results: The mean age of patients in the staple group was 52.45 ± 15.41 years, while in the suture group, it was 56.34 ± 14.69 years (p = 0.99). There were no significant differences in baseline characteristics between the two groups. The mean operating time was 91.13 ± 12.8 minutes in the staple group and 88.48 ± 25.55 minutes in the suture group (p = 0.17). However, the closure time was significantly shorter in the staple group (6.6 ± 1.4 minutes) compared to the suture group (15.1 ± 3.2 minutes) (p = 0.004). There were no significant differences in the rates of surgical site infection, abscess formation, or wound dehiscence between the two groups. However, the incidence of prolonged wound discharge (>4 days) was significantly higher in the staple group (11 cases) compared to the suture group (4 cases) (p = 0.001). Patients in the staple group also reported higher pain scores (Visual Analogue Score ≥ 3) compared to the suture group (p = 0.021). Additionally, the two groups had no significant difference in cosmetic appearance (p = 0.12). Conclusion: In clean elective abdominal surgeries, staple closure resulted in shorter closure times but was associated with a higher incidence of prolonged wound discharge and higher pain scores compared to suture closure. Both methods demonstrated comparable rates of surgical site infection, abscess formation, wound dehiscence, and cosmetic appearance.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"109 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141377083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS AMONG PATIENTS WITH PROXIMAL TIBIA FRACTURES 胫骨近端骨折患者微创经皮钢板骨合成术的功能结果
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-06 DOI: 10.54112/bcsrj.v2024i1.891
M. Saeed, M. Inam, SU Haq
{"title":"FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS AMONG PATIENTS WITH PROXIMAL TIBIA FRACTURES","authors":"M. Saeed, M. Inam, SU Haq","doi":"10.54112/bcsrj.v2024i1.891","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.891","url":null,"abstract":"Proximal tibia fractures are complex injuries that pose significant challenges in orthopaedic surgery. Minimally invasive percutaneous plate osteosynthesis (MIPPO) has been increasingly adopted as a treatment method due to its potential benefits in reducing soft tissue damage and promoting faster recovery. Objective: To assess the functional outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) among patients with proximal tibia fractures. Methods: A prospective cohort study was conducted in a tertiary care hospital over a period of two years, from January 2021 to December 2022. Thirty-five patients presenting with proximal tibia fractures were treated using the MIPPO technique. The Schatzker classification was used to categorize the fractures. Functional outcomes were assessed using the Knee Society Score (KSS) at six months postoperatively. Data were analyzed using descriptive statistics and chi-square tests to determine the significance of outcomes. Results: The most frequent type of fracture, according to Schatzker's classification, was type I, followed by type II and type III. An excellent outcome was observed in 21 patients (60%), good outcomes in 8 patients (22.9%), fair outcomes in 5 patients (14.3%), and poor outcomes in 1 patient (2.9%). Postoperative complications included infection in 2 patients (5.7%). Conclusion: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a safe and effective technique for managing proximal tibia fractures, yielding excellent functional outcomes in most patients.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141377957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FREQUENCY OF PORT SITE INFECTION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY 腹腔镜胆囊切除术患者术孔部位感染的频率
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-05 DOI: 10.54112/bcsrj.v2024i1.877
S. Faris, MH Safi
{"title":"FREQUENCY OF PORT SITE INFECTION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY","authors":"S. Faris, MH Safi","doi":"10.54112/bcsrj.v2024i1.877","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.877","url":null,"abstract":"Laparoscopic cholecystectomy is a common surgical procedure for the treatment of gallstones. Although considered minimally invasive, port site infections (PSI) remain a concern, potentially impacting patient outcomes and recovery times. Understanding the frequency and risk factors associated with PSI is essential for improving surgical practices and patient safety. Objective: To assess the frequency of port site infection in patients undergoing laparoscopic cholecystectomy. Methods: A cross-sectional study was conducted in the surgery department from January 2, 2024, to April 2, 2024. The study enrolled 120 patients presenting for laparoscopic cholecystectomy. The mean age of the patients was 34.30 ± 9.57 years, and the mean BMI was 25.32 ± 2.21 kg/m². The frequency of PSI was determined, and its association with BMI was analysed using statistical methods, with a significance level set at P < 0.05. Results: The PSI frequency was 6.7% (8 out of 120 patients). There was a notable association between increasing BMI and the occurrence of PSI (P = 0.005). Conclusion: The frequency of PSI in patients undergoing laparoscopic cholecystectomy in this study was 6.7%, suggesting that the procedure is relatively safe for gallbladder removal. Higher BMI was significantly associated with an increased risk of PSI, indicating the need for targeted strategies to mitigate this risk in patients with elevated BMI.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"291 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TO PERFORM SERIAL ELECTROCARDIOGRAM (ECG) ANALYSES IN PATIENTS WITH SUBTLE ECG CHANGES AND EVALUATE THE PERFORMANCE OF THE FOUR-VARIABLE FORMULA IN DETECTING LEFT ANTERIOR DESCENDING (LAD) CORONARY ARTERY OCCLUSION ON CORONARY ANGIOGRAM 对有细微心电图变化的患者进行连续心电图分析,并评估四变量公式在冠状动脉造影中检测左前降支冠状动脉闭塞的性能
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-05 DOI: 10.54112/bcsrj.v2024i1.886
S. Ahmad, MB Siddique, RU Khan, Mor Rana, H. Siddique, M. Masoom
{"title":"TO PERFORM SERIAL ELECTROCARDIOGRAM (ECG) ANALYSES IN PATIENTS WITH SUBTLE ECG CHANGES AND EVALUATE THE PERFORMANCE OF THE FOUR-VARIABLE FORMULA IN DETECTING LEFT ANTERIOR DESCENDING (LAD) CORONARY ARTERY OCCLUSION ON CORONARY ANGIOGRAM","authors":"S. Ahmad, MB Siddique, RU Khan, Mor Rana, H. Siddique, M. Masoom","doi":"10.54112/bcsrj.v2024i1.886","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.886","url":null,"abstract":"Acute coronary syndrome (ACS) is a critical condition that often presents with symptoms such as ‘chest pain,’ ‘shortness of breath,’ and diaphoresis, signaling a potential underlying coronary artery disease. Among the various coronary arteries, the Left Anterior Descending (LAD) artery is particularly interesting due to its significant role in supplying blood to a large portion of the heart muscle. Objectives: To assess the efficacy of the ‘four-variable formula’ in identifying left anterior descending (LAD) coronary artery occlusion, ‘serial electrocardiogram (ECG) analyses’ should be performed on individuals exhibiting minor alterations in the ‘anterior leads.’ Methodology: ‘This study was a cross-sectional study conducted at the Armed Forces Institute of Cardiology’ (AFIC) from Jan 2023 to June 2023. The primary aim was to ‘evaluate the predictive performance of the Four-Variable Formula in detecting Left Anterior Descending (LAD) coronary artery occlusion’ using serial electrocardiogram (ECG) analyses. Upon presentation, a standard 12-lead ECG was performed on each patient. Serial ECGs were conducted at 30-minute intervals for the first two hours or until a definitive diagnosis was made. Following the ECG analyses, ‘all patients were taken to the catheterization lab for coronary angiography within 24 hours of presentation’. The angiographic results served as the gold standard for diagnosing LAD occlusion. An experienced interventional cardiologist, blinded to the ECG findings, performed and interpreted the angiograms. Results: The study included 360 patients, with a mean age of 62 ±11 years (range 32-80 years). The cohort comprised 219 males (62%) and 141 females (38%). Common risk factors included hypertension (69%), diabetes mellitus (46%), smoking (51%), and a family history of coronary artery disease (29%). Coronary angiography identified LAD occlusion in 139 patients (38%) and no significant LAD occlusion in 221 patients (62%). The results suggested that the Four-Variable Formula could be integrated into routine clinical practice to enhance early detection of significant coronary artery disease, particularly in settings where immediate access to coronary angiography is limited. Future studies with more extensive, multicenter cohorts could further validate these findings and potentially lead to widespread adoption of this predictive tool. Conclusion: Our findings suggest that the Four-Variable Formula holds promise as a non-invasive diagnostic tool in emergency settings, aiding ‘in the early identification of patients at risk’ of significant coronary artery disease. By incorporating the formula into clinical practice algorithms, healthcare providers may expedite triage decisions and facilitate timely interventions, ultimately improving patient outcomes.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"49 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EFFECT OF SEVERITY AND ETIOLOGY OF CHRONIC KIDNEY DISEASE IN PATIENTS WITH HEART FAILURE WITH MILDLY REDUCED EJECTION FRACTION 射血分数轻度降低的心力衰竭患者慢性肾病的严重程度和病因的影响
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-05 DOI: 10.54112/bcsrj.v2024i1.888
HS Ramzan, A. Rawat, G. Mustafa, S. Sattar, A. Shaheen, Aaa Abdelgani, N. Lodhi, Z. Ramzan
{"title":"EFFECT OF SEVERITY AND ETIOLOGY OF CHRONIC KIDNEY DISEASE IN PATIENTS WITH HEART FAILURE WITH MILDLY REDUCED EJECTION FRACTION","authors":"HS Ramzan, A. Rawat, G. Mustafa, S. Sattar, A. Shaheen, Aaa Abdelgani, N. Lodhi, Z. Ramzan","doi":"10.54112/bcsrj.v2024i1.888","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.888","url":null,"abstract":"This study explores the impact of chronic kidney disease (CKD) severity and etiology on patients with heart failure with mildly reduced ejection fraction (HFmrEF). Understanding these relationships is crucial for optimizing management strategies and improving patient outcomes. Methods: A cross-sectional study was conducted involving 550 patients diagnosed with HFmrEF. Patients were categorized based on CKD severity (stages 1 to 5) and etiology (diabetic nephropathy, hypertensive nephrosclerosis, glomerulonephritis, and others). Data on demographics, clinical characteristics, laboratory findings, and echocardiographic parameters were collected and analyzed. Results: Data were collected from 550 patients according to the study's criteria. The mean age of the patients was 62.5 ± 10.8 years. Of 550, 320 (58.2%) were male, and 230 (41.8%) were female. According to the NYHA classification, 40 (7.3%) belong to Class I, 290 (52.7%) to Class II, 200 (36.4%) to Class III, and 20 (3.6%) to Class IV. Advanced CKD stage (OR 2.5, 95% CI 1.6-3.8), diabetic nephropathy (OR 1.8, 95% CI 1.1-3.0), and lower eGFR (OR 2.2, 95% CI 1.5-3.2) were all associated with increased risk of mortality and hospitalizations. Conclusions: It is concluded that the severity and etiology of chronic kidney disease significantly impact the outcomes of patients with heart failure with mildly reduced ejection fraction. Advanced CKD stages and diabetic nephropathy are associated with higher mortality rates and more frequent hospitalizations.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"49 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141383028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ESWL EFFICACY FOR VARIOUS DENSITY STONES (HU) ON PLAIN CT SCAN 普通 CT 扫描中不同密度结石(hu)的 ESWL 疗效
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-05 DOI: 10.54112/bcsrj.v2024i1.823
AU Rehman, S. Ullah, SF Haider, A. Sajjad
{"title":"ESWL EFFICACY FOR VARIOUS DENSITY STONES (HU) ON PLAIN CT SCAN","authors":"AU Rehman, S. Ullah, SF Haider, A. Sajjad","doi":"10.54112/bcsrj.v2024i1.823","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.823","url":null,"abstract":"Extracorporeal Shock Wave Lithotripsy (ESWL) is a keystone in the harmless management of urinary tract stones, offering a viable alternative to surgical mediation for patients pained by urolithiasis. Objectives: The study aims to find the ESWL efficacy for various density stones (HU) on plain CT scans. Methods: This observational study was conducted at CMH Lahore from February 17, 2024, to May 16, 2024. Data were collected from 180 patients suffering from renal stones. Males represented 60% (108 patients), while females 40% (72 patients). Predominantly, stones were located in the renal pelvis (45%), followed by the upper ureter (30%) and lower ureter (25%). The mean stone size was 10 mm, ranging from 5 to 20 mm, with a corresponding mean stone density of 900 Hounsfield Units (HU) as measured on Plain CT Scan. Results: Data were collected from 180 patients. The mean age of the patients was 50.98±2.34 years. There were 60% male and 40% female patients. According to stone location, 45% are located at the renal pelvis, 30 at the upper ureter and 25% at the lower ureter. A mean reduction in the stone size of 65% post-treatment underscores the procedure's ability to facilitate stone disintegration. Stone-free rates varied based on stone density, with higher rates observed for stones with lower densities: 85% for stones ≤ 700 HU, 75% for stones > 700 HU and ≤ 1000 HU, and 65% for stones > 1000 HU. Conclusion: It is concluded that an accurate assessment of stone density and ESWL score is vital in directing treatment decisions and upgrading outcomes for patients going through ESWL for urinary stones. These findings highlight the importance of personalised treatment approaches and the potential of the ESWL score as an essential tool in clinical practice.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
OUTCOMES OF URETERORENOSCOPY WITH PNEUMATIC LITHOCLAST FOR URETERIC STONE MANAGEMENT AT A REGIONAL CENTER: A RETROSPECTIVE STUDY 一个地区中心的输尿管造影术与气动碎石机治疗输尿管结石的结果:一项回顾性研究
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-05 DOI: 10.54112/bcsrj.v2024i1.878
I. Shahzad, M. Manzoor, KH Awan, MA Yousuf, GM Pathan, S. Kumar
{"title":"OUTCOMES OF URETERORENOSCOPY WITH PNEUMATIC LITHOCLAST FOR URETERIC STONE MANAGEMENT AT A REGIONAL CENTER: A RETROSPECTIVE STUDY","authors":"I. Shahzad, M. Manzoor, KH Awan, MA Yousuf, GM Pathan, S. Kumar","doi":"10.54112/bcsrj.v2024i1.878","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.878","url":null,"abstract":"The management of ureteric stones has significantly evolved with the advancement of minimally invasive techniques. Ureterorenoscopy (URS) with pneumatic lithoclast has become favored due to its efficacy and safety, providing high success rates across various stone locations. Objective: To share our experiences and outcomes of treating ureteric stones using ureterorenoscopy and pneumatic lithoclast at our regional center. Methods: From 2014 to 2022, 220 patients with ureteral calculi at our regional center underwent 221 URS procedures using a pneumatic lithoclast. Preoperative evaluation included plain radiography, ultrasound scan, intravenous urography, and CT KUB. Postoperative assessments with plain film radiography and, if necessary, ultrasound or CT KUB were conducted immediately or a few days after the procedure. Results: The overall stone-free rate achieved was 95.4%. Specific success rates based on stone location were 88.4% for upper, 97% for middle, and 100% for lower ureteral stones. The primary cause of treatment failure, occurring in 4.5% of cases, was stone migration. Conclusion: Ureteroscopic intra-corporeal lithotripsy is a reliable and safe treatment modality for ureteric stones of various sizes and locations, demonstrating high efficacy when performed by experienced practitioners.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"24 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
INTERNATIONAL PROSTATE SYMPTOM SCORE (IPSS) CORRELATION WITH SONOGRAPHIC PROSTATE SIZE 国际前列腺症状评分(IPSS)与前列腺声像图尺寸的相关性
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-04 DOI: 10.54112/bcsrj.v2024i1.827
AU Rehman, S. Ullah, SF Haider, Y. Ahmed, A. Sajjad
{"title":"INTERNATIONAL PROSTATE SYMPTOM SCORE (IPSS) CORRELATION WITH SONOGRAPHIC PROSTATE SIZE","authors":"AU Rehman, S. Ullah, SF Haider, Y. Ahmed, A. Sajjad","doi":"10.54112/bcsrj.v2024i1.827","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.827","url":null,"abstract":"The International Prostate Symptom Score (IPSS) is a broadly used questionnaire designed to assess the severity of lower urinary tract symptoms (LUTS) in men, particularly those related to harmless prostatic hyperplasia (BPH). Objectives: The primary aim of this study is to find the International Prostate Symptom Score (IPSS) and its correlation with sonography and prostate size. Methods: This cross-sectional study was conducted at CMH Lahore February 17, 2024, to May 16, 2024. Data were collected from 250 patients. Male patients aged>40 years who presented with LUTS were included in the study. Patients with a history of prostate cancer, bladder dysfunction and prostate surgery were excluded from the study. Data were collected through a systematically designed questionnaire. All the study participants completed the IPSS questionnaire to find the severity and urinary symptoms. Results: Data were collected from 250 patients according to the study's inclusion criteria. The mean age of the patients was 62.4 ± 8.6 years, and the mean BMI was 27.1 ± 3.2 kg/m2. The mean PSA was 6.8 ± 2.5 ng/mL, and the mean IPSS score was 19.5 ± 6.8. there, 140 (56%) patients were smokers, and 125 (50%) also suffering from hypertension. Patients with IPSS scores ranging from 0-7 exhibited a mean PV of 32.5 ± 5.6 mL, with a Pearson correlation coefficient (r) of 0.25 (p = 0.038). As IPSS scores increased to the 22-35 range, the mean PV rose to 54.3 ± 9.2 mL, with a more robust correlation coefficient of 0.75 (p < 0.001). Conclusion: It is concluded that there is a significant positive correlation between the International Prostate Symptom Score (IPSS) and prostate volume (PV) in patients with benign prostatic hyperplasia (BPH).","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":"50 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ASSESSMENT OF COMBINING ABILITY FOR YIELD AND YIELD RELATED TRAITS IN SPRING WHEAT (TRITICUM AESTIVUM L.) 春小麦(Triticum aestivum L.)产量及产量相关性状组合能力的评估
Biological and Clinical Sciences Research Journal Pub Date : 2024-06-04 DOI: 10.54112/bcsrj.v2024i1.857
US Rana, MO Farooq, W. Abbas, B. Nasir, MS Ahmad, M. Imtiaz
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