Facial analysis using a new clinical device : The Kattan Facio-meter

The aim of the study was to attempt to set average faciometric standards for Egyptians using the Kattan Facio-meter. The sample consisted of 180 faculty students with age range 17-25 years. It was divided into three groups; Angle Class I, II and III. Class II was further subdivided into divisions 1 and 2. Linear and angular facial measurements in relation to K plane were taken using the Kattan facio-meter. The measurements were correlated to Angle?s classification and between genders. On comparing the different classes, Class II division 1 showed the statistically highest mean value for Orbitale-soft tissue A; p=0.042, Class II divisions 1 and 2 for Orbitale- Labrale superius; p=0.002 and soft tissue ANB; p<0.001. Females showed significantly higher mean value than males for the upper incisor/K plane; p=0.031. Males showed significantly higher mean value for the inter-incisal angle than females; p=0.001. Within the limitations of the current study, it was found that both linear and angular soft tissue measurements conformed to the antroposterior skeletal relation of the jaws and that Class II division 1 was due to protruded maxilla. Males had more prominent lips and deeper mentolabial sulcus. Egyptians had less prominent noses than Caucasians. The Kattan Facio-meter was a valuable tool for clinical analysis without the hazards of irradiation

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

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The relationship between traditional dress and bacterial contamination in the hospital setting-a cross sectional study

Background/Introduction: Healthcare worker uniforms are a potential reservoir for microorganisms, and thus contaminated dress may transmit pathogenic organisms in hospital settings. This study aims at isolating the bacteria from traditional dresses used in a tertiary care hospital, Saudi Arabia, and compares them with whitecoat. Also, this study explores the relationship between bacterial contamination and type of department, type of provider specialty, and dress textile material. Methods: A Descriptive Analytic cross-sectional study was conducted. Multiple culture swabs were obtained from these traditional dresses and whitecoats of the healthcare workers and were analyzed for the rate of bacterial contamination. This study also compares the bacterial contamination rates between medical workers and non-medical personnel like the administrative staff. A Sample size of 742 swabs from 139 participants,from multiple sites was obtained.Data analysis was presented as mean± SD, or as median and range according to the type of distribution of each variable. The Chi-square test was used to test for the association and/or difference between two categorical variables and p-value for statistical significance. Results: It was seen that bacterial contamination of 29.7% was seen in traditional dress compared to 22.5% of those wearing Whitecoat. Concerning the type of traditional dress, the highest rate of bacterial contamination was observed with Thop (40%), followed by Niqab (36.1%). Regarding the source textile material, the mixed type had the highest rate of bacterial contamination (35.7%). Conclusion: The traditional dress showed to be higher in the rate of bacterial contamination in comparison to whitecoats. Also, we found that the type of department and type provider specialty concerning bacterial contamination has a no different effect when compared to others. in our results, the administrative staff carries the same results as healthcare workers regarding bacterial contamination highlighting that they can share in the risk of bacterial transmission

Consensus and Diversity in the Management of Varicocele for Male Infertility: Results of a Global Practice Survey and Comparison with Guidelines and Recommendations

Varicocele is a common problem among infertile men. Varicocele repair (VR) is frequently performed to improve semen parameters and the chances of pregnancy. However, there is a lack of consensus about the diagnosis, indications for VR and its outcomes. The aim of this study was to explore global practice patterns on the management of varicocele in the context of male infertility

Consensus and diversity in the management of varicocele for male infertility: Results of a global practice survey and comparison with guidelines and recommendations

Purpose: Varicocele is a common problem among infertile men. Varicocele repair (VR) is frequently performed to improve semen parameters and the chances of pregnancy. However, there is a lack of consensus about the diagnosis, indications for VR and its outcomes. The aim of this study was to explore global practice patterns on the management of varicocele in the context of male infertility. Materials and Methods: Sixty practicing urologists/andrologists from 23 countries contributed 382 multiple-choice-questions pertaining to varicocele management. These were condensed into an online questionnaire that was forwarded to clinicians involved in male infertility management through direct invitation. The results were analyzed for disagreement and agreement in practice patterns and, compared with the latest guidelines of international professional societies (American Urological Association [AUA], American Society for Reproductive Medicine [ASRM], and European Association of Urology [EAU]), and with evidence emerging from recent systematic reviews and meta-analyses. Additionally, an expert opinion on each topic was provided based on the consensus of 16 experts in the field. Results: The questionnaire was answered by 574 clinicians from 59 countries. The majority of respondents were urologists/uro-andrologists. A wide diversity of opinion was seen in every aspect of varicocele diagnosis, indications for repair, choice of technique, management of sub-clinical varicocele and the role of VR in azoospermia. A significant proportion of the responses were at odds with the recommendations of AUA, ASRM, and EAU. A large number of clinical situations were identified where no guidelines are available. Conclusions: This study is the largest global survey performed to date on the clinical management of varicocele for male infertility. It demonstrates: 1) a wide disagreement in the approach to varicocele management, 2) large gaps in the clinical practice guidelines from professional societies, and 3) the need for further studies on several aspects of varicocele management in infertile men