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Home > Evaluation of Pyeloplasty Among Children With Pelvouretric Junction Stenosis at French Medical Institute for Mothers and Children, Kabul, Afghanistan

Evaluation of Pyeloplasty Among Children With Pelvouretric Junction Stenosis at French Medical Institute for Mothers and Children, Kabul, Afghanistan

Thesis Info

Author

Saie, Yalda Obaidy

Department

French Medical Institute for Children (FMIC)

Program

Diploma

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Paediatric Surgery

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676727861777

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Introduction: PUJO is one the most common pathology in paediatric urology. It is the most common cause of Hydronephrosis that may progress to irreversible damage to the kidney if not resolved. Aim: The study is to evaluate outcome of pyeloplasty and find out the association of demographic characteristics and clinical factor on outcome of pyeloplasty among children at FMIC, Kabul, Afghanistan. Methodology: A hospital based retrospective Case Series study design was conducted at French Medical Institute for Mothers and Children, Kabul, Afghanistan. Records of 150 participants who were admitted at surgery department under diagnosis of UPJO reviewed from first January, 2010 till last December 2015, among them 110 patients based on inclusion and exclusion criteria enrolled in the study. Chi square, one way ANOVA and paired t- test were run to determine the association of factors with outcome of Pyeloplasty. Results: Our study findings have identified that among 110 patients, 90 (88.1%) were males. Most of patients had problem on left side 79 (71.8%), right kidney in 23 (20.9%) and bilateral involvement in 8 (7.3%), all except one who diagnosed prenatally were diagnosed in postnatal period. The diagnostic tools used in this study were US and IVU. The most common complaints reported were flank pain 45.5%. Around 9 (8%) of patients had associated anomaly; most common obstructive cause were narrow ureter 86 (78.1%). Urinary tract infection was identified in 13 (11.8) patients. Hydronephrosis grading was according SFU grading system as Grade 1 (1) grade 2 (13) Grade 3 (58) and grade 4 (44) patients. Out of 110 patients, 90 had undergone Pyeloplasty procedure, while 20 patients with complete destroyed kidney had undergone nephrectomy. Patients were divided into two groups (< 2 years and > 2 years) according to their age. The follow up modality were US parameters (anteroposterior diameter of pelvis and percentage of improvement in pelvis diameter. PI more than 15 was considered as successful outcome. The overall success rate of Pyeloplasty procedure was 82%. This study revealed the factors that affect the outcome of Pyeloplasty included: degree of hydronephrosis before operation and presence or absence of UTI. Conclusion: UPJO is one of the most common pathology in paediatric urology; in chronic case, it may progress to irreversible damage of kidneys, Aarly operation causes better outcome, as this study finds out, it improves the renal function, which approved this finding by improved in creatinine clearance level. Perusing international literature
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ہیرا چوری دی سزا

ہیرا چوری دی سزا

پرانے وقتاں دی گل اے کہ اک ملک اتے بہلول نامی بادشاہ حکومت کردا سی۔ بادشاہ اپنی رعایا دا بہت زیادہ خیال رکھدا تے ہر قسم دیاں سہولتاں اوہناں نوں فراہم کرن دی کوشش کردا۔ ساری رعایا اوس توں بہت خوش سی۔ اوہ اک وڈے خزانے دا مالک وی سی۔ رعایا وچوں جدوں کسے کوئی لوڑ پیندی یاں مسئلہ ہوندا تاں اوہ بادشاہ نال رابطہ کردا۔ بادشاہ نوں ہر طریقے نال اوس مدد کردا۔ ساری رعایا بہت خوشحال سی۔ ملک وچ امن دا مان وی حالت بہت بہتر سی۔

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The Health and Sanitary Status of Mamanwa Indigenous People in Selected Areas in Caraga Region

This study aims to determine the health and sanitary status of the Mamanwa indigenous people in selected areas in CARAGA Region. The respondents were the Mamanwa people who are residents of Cantugas, Mainit, Surigao del Norte community, and Kitcharao, Agusan del Norte community. The study used descriptive research design utilizing questionnaire and personal interview in gathering the data. The total population of the respondents is 69 and respondents from both communities were selected based on simple random design.   The study used percentage and mode/majority criterion, weighted mean, and Kendal-tau correlation. The findings showed that in the extent of health and sanitation education which was divided into three factors: Factor 1 which is the regularity of adopting health and sanitation practices shows a mean rating described as always except for item 9. Factor 2 was about exposure to health and sanitation campaign and education show a mean rating of sometimes. Factor 3 is about awareness on health and sanitation show a mean rating of sometimes. On the economic status of Mamanwa people which was the (factor 1) economic status of Mamanwa parents, 75.4% of the Mamanwa parents send their children to school and 64.9% of Mamanwa parents’ allocated budget for clothing and other personal necessities. On social status of the location (factor 2), only 35.1% of the respondents said that they have proper waste disposal and segregation.  The results showed that Mamanwa children regardless of sex and age were undernourished and there is a significant relationship between the regularity of adopting health and sanitation practices with hygiene on health care where it had an R-value of 0.47 and 0.35 respectively. Lastly, only economic factor on the social status of the location had a significant relationship on the health status of Mamanwa children in terms of BMI which had an R-value -0.20 and p-value 0.049.

Synthesis and Characterization of Mg and Ge Doped Cu0. 5Tl0. 5 Ba2can-1Cuno2n+4-Δ N = 3, 4, 5 Superconductors

Different series of polycrystalline superconductor, Cu0.5Tl0.5Ba2Ca4-xMgxCu5O14-δ (x = 0, 1, 2 and 3), (Cu0.5Tl0.5)Ba2Ca2Cu3-yGeyO10-d (y = 0, 0.5, 0.75 and 1.0) and (Cu0.5Tl0.5)Ba2Ca3(Cu4-yGey)O12-d (y = 0, 0.3, 0.6 and 0.9) have been synthesized by solid-state reaction method. The structure and physical properties were investigated by powder X-ray diffraction (XRD), resistivity, ac-susceptibility and Fourier transform infrared absorption spectroscopy (FTIR). X-ray diffraction scans of polycrystalline samples of Cu0.5Tl0.5Ba2Ca4-xMgxCu5O14-δ (x = 0, 1, 2 and 3) samples show tetragonal structure following P4/mmm space group. The dominant phase in x = 0 sample is CuTl- 1234 while the remaining all Mg doped samples show the projected CuTl-1245 phase with a small inclusion of impurity phases. It suggests that the presence of Mg plays a very vital role in synthesis of five planar CuTl-1245 compounds. With the partial substitution of Ca with Mg in the samples, the CuO2 planes become uniformly doped due to improved inter-planer coupling which results in the enhancement of Tc (R = 0) as well as the magnitude of diamagnetism. Further superconducting properties of the samples have been enhanced by carrying out annealing experiments in nitrogen air and oxygen atmospheres. The enhanced superconductivity in different annealing environments have been attributed to the optimization of carrier density in the OPs and the IPs. Oxygen annealed samples show the best superconductivity among all, which have been attributed to the optimization of carrier concentration in the CuO2 planes and improved weak link behavior due to the intercalation of the oxygen in the unit cell and at the intra-grain and inter-grain sites. Superconductivity in the Cu0.5Tl0.5Ba2Ca2Mg2Cu5O14-d superconductor has been optimized by varying both time and temperature during the air annealing experiments by attaining Tc ~ 132 K. In (Cu0.5Tl0.5)Ba2Ca2Cu3-yGeyO10-d (y = 0, 0.5, 0.75 and 1.0) samples, synthesized at 860oC, y = 0 and 0.5 show the CuTl-1223 tetragonal phase but y = 0.75 and 1.0 develop CuTl-1234 as the dominant phase. It indicates that the substitution of Ge lowers the synthesis temperature and for single phase sample, temperature less than 860oC seems more plausible. Four planar Ge doped (Cu0.5Tl0.5)Ba2Ca3(Cu4-yGey)O12-d (y = 0, 0.3, 0.6 0.9) superconductors were prepared at 870oC rather than 880oC and investigated for their superconducting properties. X-ray diffraction scans of the samples confirm the CuTl-1234 phase. Increased Ge substitution at the Cu planar sites has been found to suppress the superconducting properties of the samples. Possible causes include the impurity scattering and the carrier depletion due the replacement of Cu2+ ions with Ge4+ ions. The superconductivity has been restored by carrier doping through annealing processes. FTIR analysis has also been conducted and the role Ge in the variations of different phonon modes has been discussed. Also the effect of oxygen annealing on these phonon modes have been observed and analyzed. The fluctuation induced conductivity of Cu0.5Tl0.5Ba2Ca4−xMgxCu5O14−δ (x = 1, 2) and Cu0.5Tl0.5Ba2Ca2Cu2M1O10-d (M =Si, Sn, Ge) superconductor samples has been done. FIC data of the as-prepared Cu0.5Tl0.5Ba2Ca4−xMgxCu5O14−δ (x = 1) sample does not fit with 2D, 3D AL equations, but for x = 2 and the oxygen annealed samples seem to fit well with 2DAL, 3D AL equations with two distinct cross over temperatures. In the samples the interlayer coupling strength J is found to increase with increased Mg content and oxygen post annealing. Higher concentration of Mg seems to lower the anisotropy along the c-axis and thus improves the inter-planer coupling. It results in 2D to 3D cross over of the conductivity and enhancement of the interlayer coupling strength J. The 2D to 3D cross over and higher J values in post annealed samples can be attributed to the change in the carrier concentration in the CuO2 planes, and improved weak link behavior, brought about by the intercalation of the oxygen in the charge reservoir layer. The excess- conductivity data of Cu0.5Tl0.5Ba2Ca2Cu2M1O10-d (M = Si, Sn and Ge) samples also shows two cross over temperatures and three distinct exponents. Si and Sn doped samples with almost same critical temperature have not shown much diversity in different parameters such as room temperature resistivity, transition width, a (rN 0 K) etc. Similarly not much difference is seen in the dimensionality exponents and the corresponding temperature ranges. The Ge doped sample with lower critical temperature has shown different FIC parameters with large transition width. Ge doped sample has shown higher 3D character; in this sample 2D fluctuations are found in very small temperature range. Here a possible link between the confinement of the 2D fluctuations to a narrow temperature window and the lower critical temperature of the Ge doped sample can be conjectured but not claimed.