Comparison of superficial surgical site infection following use of diathermyand scalpel for making skin incision in inguinal hernioplasty

The method of making surgical incision remains a complex problem. Although controversial, the use of diathermy instead of scalpel for skin incision and underlying tissue dissection is gradually gaining wide acceptance. This is due to the observation that no change in wound complication rate or postoperative pain is reportedwith the use ofDiathermy. However, the fear of excessive scarring and poorwound healing has curtailed itswidespread use for skin incision. The objective of the study is to compare superficial surgical site infection (SSSI) in diathermy and scalpel skin incision in inguinal hernioplasty. Quasi experimental study. Study was conducted at Surgical Unit II, Holy Family Hospital. Rawalpindi from1 Jan. 2008 to 30 September. 2008. Atotal of 80 patients who presented with inguinal hernias were included in the study. Patientswere divided in two groups. Group1: In 40 patients skin incisionwasmadewithDiathermy,Group 2: The other 40 had skin incisionwith scalpel. Themean age of patients in the intervention group (Group 1)was 50 years while in the control group (Group 2) itwas 46 years. 48% patients in Group 1 and 55% in the Group 2 had indirect inguinal hernias. SSSI was noted in 12.5% cases in Group 1 whereas in Group 2 it was 17.5% but this difference was not found to be statistically significant (p value=0.378). The use of diathermy for making skin incisions is as safe as scalpel and there is no significant difference amongst both regardingwound infection. Keywords: Diathermy incision, electrocautery, scalpel skin incision, superficial surgical site infectio

Development and Experimental Investigation on Delay Time Consistency of Modified Si/PbO/Pb3O4/FG Pyrotechnic Delay Composition

In the present study, experimental investigation was carried out on the delay time consistency of modified Si/PbO/Pb3O4/FG pyrotechnic delay composition in a delay tube. Where Si is the fuel, PbO/Pb3O4 are oxidizers and Fish Glue (FG) is the binder. Ingredient mixing and loading pressure were studied. Results revealed that homogenous mixing of the delay composition is a very critical parameter for controlling the time consistency of pyrotechnic delay composition. The delay time accuracy was improved from 25% to about 7.42% by ensuring homogenous mixing of the ingredients. Results also show that loading pressure ranged from 30,000 to 65,000 psi did not affect much the delay time of this pyrotechnic composition and the burning rate

Progressive resistance training improving gait performance and mobility in acute and chronic stroke patients

Stroke, a neurological disorder, leads to long-term disability thereby greatly affecting gait and mobility. The purpose of the current study was to investigate the effects of progressive resistance training in both acute and chronic stroke patients. A quasi interventional study was designed and 46 stroke patients were recruited through convenience sampling technique. Sample size was calculated using epi-tool. Patients who had cognitive problems, balance impairments and contractures were excluded from the study. The study was conducted from January to June 2018, at Rafsan Rehab & Research Centre, Peshawar. Progressive resistance exercises starting at 50 % of one repetition maximum (RM) were performed three days/week and for a total duration of nine weeks. Blind assessor measured readings at baseline and after nine weeks. Gait dynamic index (GDI), Six-Meter Walk Test (SMWT) and Five Times Sit-to-Stand (FTSTS) tools were used to collect the required data. The data was analysed at baseline and after nine weeks on SPSS-20. After nine weeks of intervention significant improvement was recorded in patients on GDI (p<0.001), SMWT score (P<0.001) and FTSTS (p<0.001). Progressive resistance training improves mobility limitations and gait in both acute and chronic stroke patients.måsjekke

Pengaruh Temperatur dan Laju Aliran Gas CO2 pada Sintesis Kalsium Karbonat Presipitat dengan Metode Bubbling

Kalsium karbonat presipitat mempunyai tiga jenis bentuk kristal yaitu kalsit, vaterit, dan aragonit. Pengaruh temperatur dan laju aliran gas CO2 terhadap pembentukan fase dan morfologi PCC telah dipelajari. Penelitian ini menggunakan batu kapur alam dan metode bubbling. Pada proses karbonasi variasi temperatur reaksi yang digunakan adalah 300C, 500C, dan 700C sedangkan pada masing-masing variasi temperatur dilakukan variasi laju aliran gas CO2 yaitu 2, 5, dan 7 SCFH. Selama proses karbonasi temperatur dan kecepatan pengadukan dijaga konstan. Endapan yang terbentuk disaring kemudian dikeringkan. Karakterisasi yang dilakukan mengggunakan XRD dan SEM. Dari hasil sintesis dapat disimpulkan bahwa vaterit terbentuk pada temperatur rendah dengan laju aliran gas CO2 tinggi, aragonit terbentuk pada temperatur tinggi dengan laju aliran gas CO2 rendah, sedangkan kalsit tebentuk pada setiap variasi perlakuan yang dilakukan karena kalsit merupakan fase yang paling stabil

Breast Gangrene

<p>Abstract</p> <p>Background</p> <p>Breast gangrene is rare in surgical practice. Gangrene of breast can be idiopathic or secondary to some causative factor. Antibiotics and debridement are used for management. Acute inflammatory infiltrate, severe necrosis of breast tissue, necrotizing arteritis, and venous thrombosis is observed on histopathology. The aim of was to study patients who had breast gangrene.</p> <p>Methods</p> <p>A prospective study of 10 patients who had breast gangrene over a period of 6 years were analyzed</p> <p>Results</p> <p>All the patients in the study group were female. Total of 10 patients were encountered who had breast gangrene. Six patients presented with breast gangrene on the right breast whereas four had on left breast. Out of 10 patients, three had breast abscess after teeth bite followed by gangrene, one had iatrogenic trauma by needle aspiration of erythematous area of breast under septic conditions. Four had history of application of belladonna on cutaneous breast abscess and had then gangrene. All were lactating female. Amongst the rest two were elderly, one of which was a diabetic who had gangrene of breast and had no application of belladonna. All except one had debridement under cover of broad spectrum antibiotics. Three patients had grafting to cover the raw area.</p> <p>Conclusion</p> <p>Breast gangrene occurs rarely. Etiology is variable and mutifactorial. Teeth bite while lactation and the iatrogenic trauma by needle aspiration of breast abscess under unsterlised conditions could be causative. Uncontrolled diabetes can be one more causative factor for the breast gangrene. Belladonna application as a topical agent could be inciting factor. Sometimes gangrene of breast can be idiopathic. Treatment is antibiotics and debridement.</p

THE MODEL OF JUSTICE AND COMMITMENT IN THE EVALUATION OF STUDENT’S PERFORMANCE

This study aimed to examine the importance of justice in students’ performance evaluation which might foster students’ commitment to lecturers, and as a consequence students would perform well. The research was conducted on students from departments of Sebelas Maret University who had undertaken com-petency-based learning; and used stratified sampling. Regression analysis was used to test the hypotheses. The results showed that students’ commitment to lecturers did not significantly influence students’ performance. Distributive and procedural justice in controlled commitment did not significantly influence students’ performance. On the other hand, procedural and distributive justice significantly influenced students’ com-mitment to lecturers

Performance Enhancement of Centrifugal Compressor with Addition of Splitter Blade Close to Pressure Surface

This paper exemplified a way to increase pressure ratio and improve efficiency with addition of multi splitters in centrifugal impeller with a vaneless diffuser. DDA 404-III back swept impeller of centrifugal compressor, studied through experiment is modified with the addition of splitters blades and a sample impeller is designed and analyzed with big splitter close to pressure surface and small splitter close to suction surface. Keeping all flow conditions and impeller definitions, same as experimentally validated impeller, in order to investigate effects of the location of the splitters between two main blades. It was observed that total pressure ratio is increased from 4.1 to 4.5 with 2 % increase in efficiency with big splitter close to pressure surface of main blade and small splitter close to suction surface of main blade. It was observed that relative Mach number reduces at inlet of modified impeller

Hilltop Non-Gaussianity

We study non-Gaussianity induced by a pseudo Nambu-Goldstone boson with a cosine-type scalar potential. We focus on how the non-Gaussianity is affected when the pseudo Nambu-Goldstone boson rolls down from near the top of the scalar potential where the deviation from a quadratic potential is large. We find that the resultant non-Gaussianity is similar to that obtained in the quadratic potential, if the pseudo Nambu-Goldstone boson accounts for the curvature perturbation; the non-Gaussianity is enhanced, otherwise.Comment: 12 pages, 3 figures; References added; to appear in JCA

Curvaton and the inhomogeneous end of inflation

We study the primordial density perturbations and non-Gaussianities generated from the combined effects of an inhomogeneous end of inflation and curvaton decay in hybrid inflation. This dual role is played by a single isocurvature field which is massless during inflation but acquire a mass at the end of inflation via the waterfall phase transition. We calculate the resulting primordial non-Gaussianity characterized by the non-linearity parameter, $f_{NL}$, recovering the usual end-of-inflation result when the field decays promptly and the usual curvaton result if the field decays sufficiently late.Comment: 13 pages, 5 figure