Combined abdominal transpubic perineal urethroplasty is a safe procedure in children and adults. It allows wide exposure to create a tension-free urethral anastomosis without significantly affecting continence or potency. Complications of pubic resection are now rarely seen.
Hostile conditions in the perineum of patients with complex posterior urethral disruption mitigate against a good result. However, the safety and success of combined abdominal transpubic perineal urethroplasty make it the procedure of choice for these difficult strictures.
Necessary steps to ensure that we are prepared well to face the challenge and threat posed by the growing pandemic of COVID-19 the Coronavirus with active support of the peoples of India. We have been able to contain the spread of the Virus in our country. The most important factor is preventing the spread of the virus locally is to empower the citizens with the right information and taking precaution as per the advisories.
Steganography is the skill of hiding the existence of data in other transmission medium to attain secret communication. It does not restore cryptography but quite boost the security using its abstruse features.In this paper we have surveyed on a Steganography and cryptography techniques which provide highly secure skin tone data hiding.Biometric characteristic used to apply steganography is skin tone region of images. Here important data is implanted within skin region of image which will give an outstanding secure location for data hiding.For this skin tone detection is need to be performed. Different steps of data hiding can be applied by cropping an image interactively. Cropping of an image improved security than hiding data without cropping the whole image, so cropped region works as a key at decoding region.Cryptography algorithm is used to convert the secret messages to an unreadable form before embedding; which provides a strong backbone for data security. This survey paper focuses on illuminating the technique to secure data or message with authenticity and non repudiation.So with this object oriented steganogaphy we track skin tone objects in image with the higher security and satisfactory PSNR .Modern steganography's goal is to keep its mere presence undetectable.
Background and Objectives: Though medical expulsive therapy for ureteric stones is increasingly used these days, some recent randomized controlled trials have questioned its benefit. This study evaluates the result of treatment of ureteric stones with tamsulosin.
Materials and Methods: This prospective study involved ultrasonographically confirmed cases of uncomplicated unilateral ureteric stones. All patients received tamsulocin 0.4 mg daily for 2 to 6 weeks. The primary end point was stone expulsion. The secondary endpoints were the use of analgesics and adverse events.
Results: One hundred and sixty two patients completed the study. Ninety seven patients were male and male to female ratio was 3:2. The mean age was 34.9 ± 9.8 (range: 18-71) years. The mean stone size was 6.17 ± 1.68 (range: 3.3-11.2) mm. By the end of 2, 4 and 6 weeks, cumulative stone expulsion rate was 110 (69.1%), 121 (74.7%) and 126 (77.8%) respectively. For the 49 stones of size £ 5 mm, the expulsion rate was 47 (95.9%) by the end of 6 weeks. The expulsion rates for stones of size > 5 - 7 mm, > 7 – 9 mm and ³ 9 mm were 59 (85.5%), 17 (53.1%) and 3 (25%) respectively by the end of 6 weeks. Lower ureteric stones had the highest expulsion rate of 106 (87.6%) by the end of 6 weeks, and the rate was lowest for upper ureteric stones (34.6%). Ten (6.1%) patients required additional analgesics during the course of treatment. Eleven (6.8%) patients complained of mild light-headedness and dizziness which subsided in a few days.
Conclusion: Tamsulocin appears to facilitate expulsion of ureteric stones especially the distal ones. The benefit of tamsulocin seems to be maximum for the stones of size up to 9 mm. Further large scale randomized controlled trial should better define the real benefit and more rationale use of tamsulocin in routine clinical practice.
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