1,202 research outputs found

    Comparison of safety and efficacy of tamsulosin, tadalafil, combinations and deflazacort in lower ureteric orifice negotiation by large size uretero- scope (8/9.8 Fr) prior to intracorporeal lithotripsy

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    Objective: To compare the safety and efficacy of tamsulosin, tadalafil, deflazacort and combination of tamsulosin with tadalafil in lower ureteric orifice negotiation by large size ureteroscope (8/9.8 Fr) prior to intracorporeal lithotripsy.Patients and methods: In this prospective study, 180 patients presented with ureteric stone of size 8–15 mm were randomly assigned to 5 groups: tamsulosin (group A), tadalafil (group B), deflazacort (group C), combination of tamsulosin with tadalafil (group D) and placebo (group E). After 10 days of drug therapy 168 patients were underwent ureteroscopy and findings like endoscopic configuration of ureteric orifice, need for ureteric dilatation, ureteroscope negotiation, operating time, drug related side effect and procedural complication were noted in each group.Results: All four groups (A, B, C, D) were significantly better than group E in terms of ureteric orifice appearance (wide) during endoscopy. Negotiation of ureteric orifice was easy in group A (70.59%), B (58.82%) and D (78.13%) as compare to group E (31.43%) which was statistically significant. Group A (32.35%) and D (34.38%) were statistically better with group E (62.86%) in terms of ureteral dilatation. Operative time was less in all four groups as compared to group E. All patients well tolerated the drugs with no serious side effects.Conclusion: Both tamsulosin and tamsulosin with tadalafil helps in forward propagation of large sizeureteroscope as compared to other groups with less operative time without any significant complications.So, we can conclude that tamsulosin alone can be helpful for lower ureteric orifice negotiation duringintracorporeal lithotripsy with minimal side effects.Keywords: Hematuria; Negotiation; Ureteroscop

    Laparoscopic Surgeries during Pregnancy - Related Anaesthetic Concerns

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    Pregnancy is no longer considered a contraindication to laparoscopic surgery. The advantages include less exposure of the fetus to possibly toxic agents, smaller incisions, decreased pain, less need for analgesics, more rapid recovery and mobilization. By understanding the physiological and pharmacological changes during pregnancy, surgery and related anesthesia risk can be minimized on mother and fetus. Appendicitis, cholecystitis, ovarian torsion and trauma are among the more common indications for surgical intervention. Less commonly, cardiac and neurological procedures are undertaken during pregnancy

    A Posteriori Error Estimates for Nonconforming Approximations of Evolutionary Convection-Diffusion Problems

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    We derive computable upper bounds for the difference between an exact solution of the evolutionary convection-diffusion problem and an approximation of this solution. The estimates are obtained by certain transformations of the integral identity that defines the generalized solution. These estimates depend on neither special properties of the exact solution nor its approximation, and involve only global constants coming from embedding inequalities. The estimates are first derived for functions in the corresponding energy space, and then possible extensions to classes of piecewise continuous approximations are discussed.Comment: 10 page

    Anomalous change in leakage and displacement currents after electrical poling on lead-free ferroelectric ceramics

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    We report the polarization, displacement current and leakage current behavior of a trivalent nonpolar cation Al cation substituted lead free ferroelectric NBT-BT electroceramics with tetragonal phase and P4mm space group symmetry. Nearly three orders of magnitude decrease in leakage current were observed under electrical poling, which significantly improves microstructure, polarization, and displacement current. Effective poling neutralizes the domain pinning, traps charges at grain boundaries and fills oxygen vacancies with free charge carriers in matrix, thus saturated macroscopic polarization in contrast to that in upoled samples. E-poling changes bananas type polarization loops to real ferroelectric loops.Comment: 18 pages, 5 figure

    Pseudohypoparathyroidism Presenting as Congestive Cardiac Failure

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    Hypocalcaemia can have a variety of manifestations including cardiovascular changes. Hypocalcemic cardiomyopathy has been reported in hypoparathyroidism and vitamin D deficiency but association of hypocalcemic cardiomyopathy in pseudohypo-parathyroidism has been reported scarcely in literature. We describe here a case of PHP presenting as congestive cardiac failure
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