1
|
Alloubani A, Al-Ruzzieh M, Khawaja N, Akhu-Zaheya L. Genomic Literacy among Nurses in Jordan: A Population-based Study. J Cancer Educ 2023; 38:1948-1954. [PMID: 37656393 DOI: 10.1007/s13187-023-02365-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/24/2023] [Indexed: 09/02/2023]
Abstract
The current study aimed to measure genomic literacy among Jordanian nurses by evaluating their understanding of key genomic concepts and how they view genomics in nursing practice. Descriptive, Cross-sectional, and Correlational designs were used in this study. A descriptive design was used using the Genomic Nursing Concept Inventory (GNCI©), a 31-item instrument. Data were collected from a total of 751 participants. A total of 406 participants were female, and 395 (52.6%) were single. The mean score of the genome basics was 2.33, ranging from 0 to 13. The mean score of the knowledge about mutation was 0.57, ranging from 0 to 3. At the same time, the mean score for inheritance and genomic healthcare was 1.74 and 1.53, respectively. Nurses working in the oncology center had the highest genomic knowledge score (mean = 7.05, SD = 4.24) compared with nurses in other healthcare sectors (p = < .001). There is a low level of genomic literacy among Jordanian nurses. Nurses must have sufficient genomic literacy to provide the best nursing care to patients, their families, and the community. Jordanian nurse authorities must develop competencies representing a minimum standard of care to provide competent genomic and genetically focused care.
Collapse
Affiliation(s)
| | | | | | - Laila Akhu-Zaheya
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| |
Collapse
|
2
|
Buratti BJ, Thomas PC, Roussos E, Howett C, Seiß M, Hendrix AR, Helfenstein P, Brown RH, Clark RN, Denk T, Filacchione G, Hoffmann H, Jones GH, Khawaja N, Kollmann P, Krupp N, Lunine J, Momary TW, Paranicas C, Postberg F, Sachse M, Spahn F, Spencer J, Srama R, Albin T, Baines KH, Ciarniello M, Economou T, Hsu HW, Kempf S, Krimigis SM, Mitchell D, Moragas-Klostermeyer G, Nicholson PD, Porco CC, Rosenberg H, Simolka J, Soderblom LA. Close Cassini flybys of Saturn’s ring moons Pan, Daphnis, Atlas, Pandora, and Epimetheus. Science 2019; 364:science.aat2349. [DOI: 10.1126/science.aat2349] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Accepted: 03/12/2019] [Indexed: 11/02/2022]
Abstract
Saturn’s main ring system is associated with a set of small moons that either are embedded within it or interact with the rings to alter their shape and composition. Five close flybys of the moons Pan, Daphnis, Atlas, Pandora, and Epimetheus were performed between December 2016 and April 2017 during the ring-grazing orbits of the Cassini mission. Data on the moons’ morphology, structure, particle environment, and composition were returned, along with images in the ultraviolet and thermal infrared. We find that the optical properties of the moons’ surfaces are determined by two competing processes: contamination by a red material formed in Saturn’s main ring system and accretion of bright icy particles or water vapor from volcanic plumes originating on the moon Enceladus.
Collapse
Affiliation(s)
- B. J. Buratti
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109, USA
| | - P. C. Thomas
- Cornell Center for Astrophysics and Planetary Science, Cornell University, Ithaca, NY 14853, USA
| | - E. Roussos
- Max Planck Institute for Solar System Research, 37077 Göttingen, Germany
| | - C. Howett
- Southwest Research Institute, Boulder, CO 80302, USA
| | - M. Seiß
- Department of Physics and Astronomy, University of Potsdam, 14476 Potsdam, Germany
| | | | - P. Helfenstein
- Cornell Center for Astrophysics and Planetary Science, Cornell University, Ithaca, NY 14853, USA
| | - R. H. Brown
- Lunar and Planetary Lab, University of Arizona, Tucson, AZ 85721, USA
| | - R. N. Clark
- Planetary Sciences Institute, Tucson, AZ 85719, USA
| | - T. Denk
- Institute of Geological Sciences, Freie Universität Berlin, 12249 Berlin, Germany
| | | | - H. Hoffmann
- Department of Physics and Astronomy, University of Potsdam, 14476 Potsdam, Germany
| | | | - N. Khawaja
- Institute of Geological Sciences, Freie Universität Berlin, 12249 Berlin, Germany
- Institute of Earth Sciences, University of Heidelberg, 69120 Heidelberg, Germany
| | - P. Kollmann
- Institute of Earth Sciences, University of Heidelberg, 69120 Heidelberg, Germany
| | - N. Krupp
- Max Planck Institute for Solar System Research, 37077 Göttingen, Germany
| | - J. Lunine
- Cornell Center for Astrophysics and Planetary Science, Cornell University, Ithaca, NY 14853, USA
| | - T. W. Momary
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109, USA
| | - C. Paranicas
- Applied Physics Laboratory, Johns Hopkins University, Laurel, MD 20723, USA
| | - F. Postberg
- Institute of Geological Sciences, Freie Universität Berlin, 12249 Berlin, Germany
- Institute of Earth Sciences, University of Heidelberg, 69120 Heidelberg, Germany
| | - M. Sachse
- Department of Physics and Astronomy, University of Potsdam, 14476 Potsdam, Germany
| | - F. Spahn
- Department of Physics and Astronomy, University of Potsdam, 14476 Potsdam, Germany
| | - J. Spencer
- Southwest Research Institute, Boulder, CO 80302, USA
| | - R. Srama
- University of Stuttgart, 70569 Stuttgart, Germany
| | - T. Albin
- University of Stuttgart, 70569 Stuttgart, Germany
| | - K. H. Baines
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA 91109, USA
| | | | - T. Economou
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - H.-W. Hsu
- Physics Department, University of Colorado, Boulder, CO 80303, USA
| | - S. Kempf
- Physics Department, University of Colorado, Boulder, CO 80303, USA
| | - S. M. Krimigis
- Applied Physics Laboratory, Johns Hopkins University, Laurel, MD 20723, USA
| | - D. Mitchell
- Applied Physics Laboratory, Johns Hopkins University, Laurel, MD 20723, USA
| | | | - P. D. Nicholson
- Cornell Center for Astrophysics and Planetary Science, Cornell University, Ithaca, NY 14853, USA
| | - C. C. Porco
- Space Sciences Institute, Boulder, CO 80301, USA, and Department of Astronomy, University of California, Berkeley, CA 94720, USA
| | - H. Rosenberg
- Institute of Geological Sciences, Freie Universität Berlin, 12249 Berlin, Germany
| | - J. Simolka
- University of Stuttgart, 70569 Stuttgart, Germany
| | | |
Collapse
|
3
|
Macluskey M, Shepherd S, Carter E, Bulsara Y, Durham JA, Bell A, Dargue A, Emanuel C, Freeman C, Jones J, Khawaja N, Leeson R, Marley J, Andiappan M, Millsopp L, Nayyer N, Renton T, Taylor K, Thomson P, Toedtling V. A national follow-up survey of UK graduates opinion of undergraduate oral surgery teaching. Eur J Dent Educ 2016; 20:174-179. [PMID: 26121937 DOI: 10.1111/eje.12158] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/22/2015] [Indexed: 06/04/2023]
Abstract
INTRODUCTION A national follow-up survey was undertaken to determine whether dental graduates from 2009 perceived that their undergraduate oral surgery education had equipped them for general dental practice 4 years after graduating. MATERIALS AND METHODS Graduates from the same 13 United Kingdom dental schools who had taken part in the original survey were invited to take part in this follow-up online survey. Their contact details were identified via the general dental council register, social media and alumni groups. RESULTS In total, 161 responded (2009b) which represents 16% of the graduates of the original survey in 2009a. A similar percentage of these respondents perceived that the teaching in oral surgery had given them sufficient knowledge to undertake independent practice (83% and 79% in 2009a and 2009b, respectively). Most respondents (99% in both years) reported confidence in undertaking simple forceps exodontia. Confidence in surgical exodontia was poor in both surveys, but one area that appeared improved in the follow-up related to the sectioning of teeth (84% in 2009b compared with 49% in 2009a). Areas of weakness identified in 2009 were reported to be improved in the follow-up. CONCLUSION This follow-up survey supports the findings of the original survey. Future longitudinal studies would allow institutions to identify possible weaknesses in their curriculum and to track the career development of their graduates and facilitate robust data collection.
Collapse
MESH Headings
- Clinical Competence
- Competency-Based Education
- Curriculum
- Education, Dental/organization & administration
- Education, Dental/statistics & numerical data
- Education, Dental, Graduate/standards
- Education, Medical, Undergraduate/standards
- Female
- Follow-Up Studies
- General Practice, Dental
- Humans
- Male
- Schools, Dental
- Students, Dental/psychology
- Students, Dental/statistics & numerical data
- Surgery, Oral/education
- Teaching
- United Kingdom
Collapse
Affiliation(s)
- M Macluskey
- Unit of Oral Surgery and Medicine, Univeristy of Dundee, Dundee, UK
| | - S Shepherd
- Unit of Oral Surgery and Medicine, Univeristy of Dundee, Dundee, UK
| | - E Carter
- Oral Surgery, Barts and The London School of Medicine and Dentistry, London, UK
| | - Y Bulsara
- Oral Surgery, The School of Dentistry, Birmingham, UK
| | - J A Durham
- Oral and Maxillofacial Sciences, Newcastle University, Newcastle, UK
| | - A Bell
- Glasgow University, Glasgow, UK
| | - A Dargue
- Oral Surgery, School of Oral and Dental Sciences, Bristol, UK
| | - C Emanuel
- Oral Surgery, Cardiff University School of Dentistry, Cardiff, UK
| | - C Freeman
- Oral Surgery, University of Sheffield School of Dentistry, Sheffield, UK
| | - J Jones
- Department of Oral and Maxillofacial Surgery, Institute of Dentistry Barts and The London School of Medicine and Dentistry, London, UK
| | - N Khawaja
- Oral Surgery, Guys Kings and St Thomas' Dental Institute, London, UK
| | - R Leeson
- Oral Surgery, Eastman Dental Institute, London, UK
| | - J Marley
- Oral Surgery, Queens University of Belfast, Belfast, UK
| | - M Andiappan
- Dental Institute, King's College London, London, UK
| | - L Millsopp
- Oral Surgery, School of Dentistry, University of Liverpool, Liverpool, UK
| | - N Nayyer
- Unit of Oral Surgery and Medicine, Univeristy of Dundee, Dundee, UK
| | - T Renton
- Oral surgery, Kings College London Dental Institute, London, UK
| | - K Taylor
- Oral Surgery, School of Dentistry, University of Liverpool, Liverpool, UK
| | - P Thomson
- Oral and Maxillofacial Sciences, Newcastle University, Newcastle, UK
| | - V Toedtling
- Oral surgery, The School of Dentistry, The University of Manchester, Manchester, UK
| |
Collapse
|
4
|
Altobelli N, Postberg F, Fiege K, Trieloff M, Kimura H, Sterken VJ, Hsu HW, Hillier J, Khawaja N, Moragas-Klostermeyer G, Blum J, Burton M, Srama R, Kempf S, Gruen E. Flux and composition of interstellar dust at Saturn from Cassini's Cosmic Dust Analyzer. Science 2016; 352:312-8. [PMID: 27081064 DOI: 10.1126/science.aac6397] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 03/03/2016] [Indexed: 11/02/2022]
Abstract
Interstellar dust (ISD) is the condensed phase of the interstellar medium. In situ data from the Cosmic Dust Analyzer on board the Cassini spacecraft reveal that the Saturnian system is passed by ISD grains from our immediate interstellar neighborhood, the local interstellar cloud. We determine the mass distribution of 36 interstellar grains, their elemental composition, and a lower limit for the ISD flux at Saturn. Mass spectra and grain dynamics suggest the presence of magnesium-rich grains of silicate and oxide composition, partly with iron inclusions. Major rock-forming elements (magnesium, silicon, iron, and calcium) are present in cosmic abundances, with only small grain-to-grain variations, but sulfur and carbon are depleted. The ISD grains in the solar neighborhood appear to be homogenized, likely by repeated processing in the interstellar medium.
Collapse
Affiliation(s)
- N Altobelli
- European Space Agency, European Space Astronomy Centre, Madrid, Spain.
| | - F Postberg
- Institut für Geowissenschaften, University of Heidelberg, Heidelberg, Germany. Institut für Raumfahrtsysteme, University of Stuttgart, Stuttgart, Germany
| | - K Fiege
- Institut für Geowissenschaften, University of Heidelberg, Heidelberg, Germany. Georgia Institute of Technology, School of Chemistry and Biochemistry, Atlanta, GA, USA
| | - M Trieloff
- Institut für Geowissenschaften, University of Heidelberg, Heidelberg, Germany. Klaus-Tschira-Labor für Kosmochemie, University of Heidelberg, Heidelberg, Germany
| | - H Kimura
- Kobe University, Kobe, Hyōgo, Japan
| | - V J Sterken
- International Space Sciences Institute, Bern, Switzerland
| | - H-W Hsu
- University of Boulder, Boulder, CO, USA
| | | | - N Khawaja
- Institut für Raumfahrtsysteme, University of Stuttgart, Stuttgart, Germany
| | | | - J Blum
- Technische Universität Braunschweig, Institut für Geophysik und Extraterrestrische Physik, Braunschweig, Germany
| | - M Burton
- Jet Propulsion Laboratory, Pasadena, CA, USA
| | - R Srama
- Institut für Raumfahrtsysteme, University of Stuttgart, Stuttgart, Germany
| | - S Kempf
- University of Boulder, Boulder, CO, USA
| | - E Gruen
- Institut für Geowissenschaften, University of Heidelberg, Heidelberg, Germany. Institut für Raumfahrtsysteme, University of Stuttgart, Stuttgart, Germany. University of Boulder, Boulder, CO, USA
| |
Collapse
|
5
|
Farahid OH, Khawaja N, Shennak MM, Batieha A, El-Khateeb M, Ajlouni K. Prevalence of coeliac disease among adult patients with autoimmune hypothyroidism in Jordan. East Mediterr Health J 2014; 20:51-55. [PMID: 24932934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/03/2012] [Accepted: 09/24/2012] [Indexed: 06/03/2023]
Abstract
The prevalence of coeliac disease among patients with autoimmune hypothyroidism has not been studied before in Jordan and other Arab countries. A cross-sectional record-based review was made of all adult autoimmune hypothyroidism patients who attended a referral centre in Jordan, during an 8-month period. Coeliac disease in these patients was diagnosed by the attending physician based on positive serological tests for anti-endomysial antibodies IgA and IgG followed by duodenal biopsy to confirm the diagnosis of coeliac disease. Of 914 patients recruited, 117 (12.8%) were seropositive for coeliac disease. Of 87 seropositive patients who underwent duodenal biopsy, 39 had positive histological findings of coeliac disease (44.8%). Extrapolating from these findings the overall rate of coeliac disease among autoimmune hypothyroidism patients was estimated to be 5.7%. In multivariate logistic regression coeliac disease was significantly associated with older age (> 40 years), presence of other autoimmune diseases, vitamin B12 deficiency and anaemia.
Collapse
Affiliation(s)
- O H Farahid
- National Centre for Diabetes, Endocrinology and Genetics, Amman, Jordan
| | - N Khawaja
- National Centre for Diabetes, Endocrinology and Genetics, Amman, Jordan
| | - M M Shennak
- Department of Gastroenterology and Liver Disease, Faculty of Medicine, University of Jordan, Amman, Jordan
| | - A Batieha
- Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - M El-Khateeb
- National Centre for Diabetes, Endocrinology and Genetics, Amman, Jordan
| | - K Ajlouni
- National Centre for Diabetes, Endocrinology and Genetics, Amman, Jordan
| |
Collapse
|
6
|
Nawaz Z, Mushtaq F, Mousa D, Rehman E, Sulaiman M, Aslam N, Khawaja N. Pattern of glomerular disease in the Saudi population: a single-center, five-year retrospective study. Saudi J Kidney Dis Transpl 2014; 24:1265-70. [PMID: 24231502 DOI: 10.4103/1319-2442.121288] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Glomerular diseases continue to be the leading cause of end-stage renal disease (ESRD) globally. Hence, it is important to recognize the pattern of glomerular diseases in different geographical areas in order to understand the patho-biology, incidence and progression of the disorder. Published studies from different centers in Saudi Arabia have reported contradicting results. In this retrospective study, we report our experience at the Armed Forces Hospital, Riyadh, Saudi Arabia. A total of 348 native renal biopsies performed at our center on patients with proteinuria >1 g, hematuria and/or renal impairment during a period of 5 years (between January 2005 and December 2009) were studied by a histopathologist using light microscopy, immunofluorescence and electron microscopy, and were categorized. Results showed that primary glomerular disease accounted for 55.1% of all renal biopsies. The most common histological lesion was focal and segmental glomerulosclerosis (FSGS) (27.6%), followed by minimal change disease (MCD) (17.7%) and membrano-proliferative glomerulonephritis (MPGN) (13.0%). Secondary glomerular disease accounted for 37.9% of the glomerular diseases, with lupus nephritis (LN) being the most common lesion (54.5%), followed by hypertensive nephrosclerosis (22%), post-infectious glomerulonephritis (7.5%), diabetic nephropathy (DN) (6.8%) and vasculitides (4.5%). Four percent of all biopsies turned out to be ESRD while biopsy was inadequate in 2.8% of the cases. In conclusion, our study showed that FSGS was the most common primary GN encountered, while LN was the most common secondary GN. We encountered 14 cases of crescentic glomerulonephritis. Also, the prevalence of MPGN, MCD, IgA nephropathy and membranous GN was many folds higher in males when compared with the Western data. We believe that it is mandatory to maintain a Saudi Arabian Renal Biopsy Registry to understand better the pattern of glomerular disease in the Saudi population and to follow any change in trend.
Collapse
Affiliation(s)
- Z Nawaz
- Department of Nephrology, Armed Forces Hospital, Riyadh, Saudi Arabia
| | | | | | | | | | | | | |
Collapse
|
7
|
Farahid O, Khawaja N, Shennak M, Batieha A, El Khateeb M, Ajlouni K. Prevalence of coeliac disease among adult patients with autoimmune hypothyroidism in Jordan. East Mediterr Health J 2014. [DOI: 10.26719/2014.20.1.51] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
8
|
|
9
|
Krause K, Howard M, Khawaja N, Massat N, Huggins J, Schumann G, Williams S, Renton T. 118 MAGNETIC RESONANCE PERFUSION IMAGING DEMONSTRATES CEREBRAL REPRESENTATION OF ONGOING PAIN FOLLOWING THIRD MOLAR EXTRACTION. Eur J Pain 2009. [DOI: 10.1016/s1090-3801(09)60121-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- K. Krause
- MRC‐SGDP Centre King's College London, London, United Kingdom
- Centre for Neuroimaging Sciences, Institute of Psychiatry, King's College London, London, United Kingdom
| | - M. Howard
- Centre for Neuroimaging Sciences, Institute of Psychiatry, King's College London, London, United Kingdom
| | - N. Khawaja
- King's College London Oral Surgery Department, London, United Kingdom
| | - N. Massat
- Pfizer Ltd, Sandwich, United Kingdom
| | | | - G. Schumann
- MRC‐SGDP Centre King's College London, London, United Kingdom
| | - S. Williams
- Centre for Neuroimaging Sciences, Institute of Psychiatry, King's College London, London, United Kingdom
| | - T. Renton
- King's College London Oral Surgery Department, London, United Kingdom
| |
Collapse
|
10
|
|
11
|
Mc Millan H, Smaarani S, Walsh T, Khawaja N, Collins C, Byrne P, Geary M. Smoking and alcohol in pregnancy. Survey in the immediate post-partum period. Ir Med J 2006; 99:283. [PMID: 17144242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
This was a questionnaire-based study of 151 postnatal women. We found 42% of women were smokers prior to pregnancy and only 37% of these women succeeded in quitting smoking during pregnancy. Success in quitting was significantly related to the number of cigarettes smoked (p<0.05). However, 71% of pregnant smokers were aware of the associated risks. Alcohol was consumed by 89% of women and 10% admitted to binge drinking during pregnancy. Only 44% of the study group were aware of the associated risks of alcohol. We propose that we need to change our social acceptance of these behaviours before pregnancy, and provide support to those women during pregnancy.
Collapse
Affiliation(s)
- H Mc Millan
- RCSI Unit, Rotunda Hospital, Parnell Sq., Dublin
| | | | | | | | | | | | | |
Collapse
|
12
|
Nisar A, Shabbir J, Tubassam MA, Shah AR, Khawaja N, Kavanagh EG, Grace PA, Burke PE. Local Anaesthetic Flush Reduces Postoperative Pain and Haematoma Formation After Great Saphenous Vein Stripping—A Randomised Controlled Trial. Eur J Vasc Endovasc Surg 2006; 31:325-31. [PMID: 16236532 DOI: 10.1016/j.ejvs.2005.08.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2005] [Accepted: 08/14/2005] [Indexed: 10/25/2022]
Abstract
OBJECTIVES To observe the effect of local anaesthetic flush through the great saphenous vein (GSV) tunnel on postoperative pain and haematoma formation following saphenous vein stripping operations. DESIGN Prospective, double-blind, randomised, control trial. METHODS One hundred patients were randomized to receive 20 ml of local anaesthetic (bupivacaine 0.25% + adrenaline) or saline control flush through the GSV tunnel after stripping in a double-blind study. Visual analogue pain scores were used to measure postoperative pain daily for the 1st week, then at 3 weeks and 6 weeks. Patients were examined during the 1st, 3rd and 6th week for haematoma formation. RESULTS In the control group the median postoperative pain score was 4 (range 0-7) in the immediate postoperative period compared to a median of 1 (range 0-4) in the LA group (p<0.001). The median pain score on day-4 was 4 (range 1-6) (control) vs. 1 (range 0-3) (LA group) (p<0.001, Mann-Whitney Utest) and on day-6 it was 1 (range 0-5) (control) vs. 0 (range 0-5) (LA group) (p<0.001, Mann-Whitney). Twelve patients (24%) developed a haematoma in the GSV tunnel in the control group compared to three patients (6%) in the LA group (p = 0.007). CONCLUSION Flushing of the GSV tunnel with bupivacaine plus adrenaline significantly reduces postoperative pain and haematoma formation in patients undergoing GSV stripping for varicose veins.
Collapse
Affiliation(s)
- A Nisar
- Department of Vascular Surgery, Mid-Western Regional and St John's Hospitals, Limerick, Ireland.
| | | | | | | | | | | | | | | |
Collapse
|
13
|
Khawaja N, Walsh T, Coulter-Smith S, Geary MPP. A survey of induction of labour practice in a primigravida with prolonged pregnancy. Ir Med J 2005; 98:218-9. [PMID: 16185022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
|
14
|
Abstract
A parturient with a 14-year history of autoimmune progesterone dermatitis presented in labour at 36 weeks' gestation. She had suffered recurrent episodes of angioedema over a long period and had been scheduled for elective caesarean hysterectomy and bilateral oophorectomy at 37 weeks' gestation. In most cases surgical oophorectomy provides prolonged relief from the recurrent angioedema and dermatological manifestations that are typical of autoimmune progesterone dermatitis. Spinal anaesthesia was chosen in order to avoid airway manipulation, a factor frequently implicated in the development of angioedema. Delivery was uneventful and the obstetricians proceeded to hysterectomy and oophorectomy. Forty minutes after delivery the patient experienced an attack of angioedema, she was markedly hypotensive and was given fluids, ephedrine and phenylephrine with good effect. As she remained normotensive, she was given intramuscular rather than intravenous epinephrine to provide a slower release. She recovered well and stabilised without the need for intubation or ventilation. This case reinforces the rationale for regional anaesthesia in these patients and demonstrates how intramuscular epinephrine contributed towards a positive outcome.
Collapse
Affiliation(s)
- J O'Rourke
- Department of Anaesthesia, The Rotunda Hospital, Dublin, Ireland.
| | | | | | | |
Collapse
|
15
|
Khawaja N, Walsh T, Donovan M, McKenna P, Geary M. The Mirena Intrauterine System--reliable contraception for the 21st century. Ir Med J 2004; 97:229. [PMID: 15532967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
|
16
|
Walsh T, Lyons F, Sinha SK, Khawaja N, Harrison M, Boyd W, Couglan M. Giant cell arteritis of the female genital tract. Ir Med J 2004; 97:23. [PMID: 15055921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
|
17
|
Walsh T, O'Brien D, Khawaja N, Ryan R, Lenehan P. Bowel evisceration. Ir Med J 2004; 97:20-1. [PMID: 15055918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
|