This modified Plastibell device, prevents the most series complication of bleeding. It is fast and ensures excellent cosmoses compared with the standard Plastibell template circumcision. Also it is easy to perform and allows the paediatric surgeon to achieve consistently excellent cosmetic results. Moreover, the shorter operating time makes circumcision by the modified Plastibell device a more practical method. The technique will be described in detail.
Background. Proximal hypospadias, with significant curvature, is one of the most challenging anomalies. Great diversity and a large number of procedures described over the last 4 decades confirmed the fact that no single procedure has been universally accepted or successful. So, the aim of this study is to evaluate double-faced tubularized preputial flap (DFPF) versus transverse tubularized inner preputial flap (Duckett’s procedure) as regards surgical outcomes, complications rate, and cosmetic results for repair of penoscrotal hypospadias with chordee. Patients and Methods. This was a prospective comparative study on 144 children with primary penoscrotal hypospadias with moderate or severe chordee, conducted at New Damietta and Assuit hospitals, Al-Azhar University, from March 2016 to March 2022. The patients were randomly divided into two equal groups; group A (n = 72) underwent DFPF, and group B (n = 72) underwent Duckett’s procedure. Results. No significant difference was identified as regards demographic data. The follow-up period ranged from 20 to 66 months (mean of 28 months after DFPF and 31 months after Duckett’s repair), and the complication rate was 20.1% (29 of 144 children). There were statistically significant differences between the two groups as regards the urethral stricture, penile rotation, and total complication rate. HOSE score was adopted for assessment of surgical outcomes, urine stream, and cosmetic results. Conclusions. The DFPF technique is feasible and reliable for one-stage repair of penoscrotal hypospadias with chordee and can be considered as a good option as it ensures better surgical and cosmetic outcomes with lower incidence of complications.
Introduction: Metacarpal fractures are frequent, and many of them can be managed non-surgically with the proper reduction and immobilisation. As with any hand fracture, the major goals are to achieve anatomic and stable reduction, bone union, and early mobilisation. Objective: The aim of the present study was to evaluate the outcome of bouquet technique in management of unstable metacarpals fractures as isolated or multiple shaft metacarpal fractures, irreducible or unstable fracture, greater than 30 degree fracture angulation, greater than 10 degree rotational deformity, and extensive (more than 5 mm) metacarpal shortening. Patients and methods: A prospective follow up study was carried out on 20 patients with metacarpal factures, managed
This study aimed to investigate final-year English major Saudi student teachers' competency to teach English as a foreign language (EFL) in schools after they graduate. There were two research objectives: identifying final-year student teachers' actual preparedness to teach EFL; exploring their perceptions of preparedness to teach EFL after graduation. An interpretive approach was employed to explore their actual preparedness to teach English as evidenced in established metrics such as Cambridge Teaching Knowledge Test (TKT) in relation to their perceptions of competency. This qualitative process was complimented by focus group discussions to explore student perceptions of their ability to teach EFL upon graduation. A total of 26 final-year student teachers were chosen to represent the sample of this study. All student teachers completed the TKT, from which six candidates were selected for the focus group discussions. The results of the TKT revealed that most of the student teachers fall into Band 2 (as per the established Band Descriptors of the TKT), which means that their teaching knowledge is satisfactory. The focus group discussions further indicated that most participants felt that the B.A. programme only partially prepared them to teach English upon graduation. Student teachers' views varied regarding their competency to teach the four language skills with most student teachers perceiving themselves as not prepared to start EFL teaching upon graduation. The broader implications of these findings suggest that a curriculum review and pedagogical best practice needs to be implemented in the BA programme at the university which is intended to produce competent EFL teachers.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.