Sapporo Medical Journal

Abstract : Testicular torsion is one of the most common urological emergencies in the world. Improper recognition and management of the disease could lead to irreversible damage to the testicular organ. Currently, there has not been any studies in Indonesia reporting the characteristics of testicular torsion. Therefore, we aimed to evaluate the clinical profile of testicular torsion patients in Dr. Soetomo general hospital over the past four years. This is a retrospective descriptive study evaluating testicular torsion patients admitted to the Urology ward of Dr. Soetomo General Hospital between January 2016 and February 2020. Relevant collected data included: Patient’s age, Location of torsion, pain onset, history of trauma, and management. A total of 17 patients were admitted to the hospital in the past 4 years. The highest number of cases occurred among patients aged 10 to 12 years old (47%). Most patients suffered from pain in their left testicular area (76.5%) and came to the emergency room six hours after the pain had started (82.4%). Most patients were treated with orchidectomy of the affected testis and orchidopexy of the contralateral testis due to unsalvageable testis (82.4%). Testicular torsion cases in Dr. Soetomo general hospital mostly occur among adolescence with the left side affected among the majority of cases. Most patients came after six hours, which led to irreversible damage requiring ipsilateral orchidectomy and orchidopexy of the affected contralateral side.

Abstract : Internal urethrotomy is one of the most commonly performed urethral stricture surgeries. However, the efficacy of urethrotomy is still being questioned due to its high stricture recurrence rate. Several adjunctive treatments for internal urethrotomy have been widely studied to reduce the recurrence of urethral strictures, one of which is triamcinolone. We aimed to analyze the effect of triamcinolone in reducing urethral stricture recurrence rate. A systematic search was conducted in PUBMED, Science Direct, and Google Scholar databases to identify relevant randomized controlled trials (RCTs) of triamcinolone in patients with urethral stricture undergoing urethrotomy. This review has been conducted according to the PRISMA guideline and the protocol has been registered to the PROSPERO database (CRD42020202254). Six RCTs were eligible for this study. A total of 373 urethral stricture patients were included in this review. Pooled results of the included studies showed a significant difference between the triamcinolone and control group, indicating a lower recurrence rate in the triamcinolone group (OR = 0.49 95% CI 0.31-0.77, p = 0.002). Significant difference was seen in the ointment with clean intermittent catheterization (CIC) intervention subgroup (OR = 0.47 CI 95% 0.26-0.82, p=0.009), but not the submucosal injection subgroup (p>0.05). The maximum urinary flow rate (Qmax) was similar between the treatment and control groups (p>0.05) during the sixth- and twelfth-month follow-

Abstract : The 2019 novel coronavirus disease (COVID-19) caused by SARS-CoV-2 infected human rapidly to the entire world causing pandemic leads many people got stress and anxiety. Pregnant women have a high risk of coronavirus infections due to their body change conditions. Therefore, pregnant women's condition and their physiological with/without COVID-19 infection might be influenced by the pandemic situation. This study is non-experimental study involving reviews of selected relevant articles from Pubmed and Google Scholar database; and selected completed clinical trials data from clinicaltrials.gov. In this review, we addressed obstetric management in a COVID-19 pandemic situation that includes infectious agent and diagnosis, disease transmission, symptoms, and their severity level, and the psychology of pregnant women. The results of obstetric management analysis showed that the timing visits of antenatal should be done in minimal contact; social distancing and personal protective equipment (PPE) in the antenatal care, delivery and postnatal care should be conducted. Pregnant women who positive COVID-19 should get treatment and observation, involving body temperature, heart rate, blood pressure, respiratory rate, oxygen saturation, blood analysis, and imaging. Trials data indicated the number of completed trials and their focus of study. Thus, obstetric management in the pandemic COVID-19 should be planned ahead, and professional health workers must be trained for assisting patient

Abstract : Aim: In this study, we aim to measure the prevalence of using activity trackers in students at health colleges in Jeddah, Saudi Arabia and to compare the physical activity between the students who are wearing such these devices. Method: We performed a cross-sectional study among students who are enrolled in the academic year 2016–2020. We included all health college students. Arab Teens Lifestyle Study questionnaire (ATLS) was used to assess the self-reported physical activity. Results: In total, 258 students with a mean age of 23.36± 1.77 were included; 131 (50.8 %) of them were male. Majority of students (172, 66.7 %) were studying medicine, and more than half of them (52.3 %) are on their 6th year. As per our findings, 44.2 % of the total participants do not engage in physical activity. The percentage of using fitness tracker was 32.6 %; moreover, only 33 (51.5 %) students reportedly use it for 24 hours. The average number of steps, distance, and time per day was 5621.6 ± 3623.72, 8.93 ± 15.99, and 6.59 ± 9.82, respectively. According to gender, there was a significant difference in average time (hour) per day, showing higher time per day for female than male (8.97 ± 11.81 vs. 4.46 ± 6.97, p = 0.019). Conclusions: Our result showed that a third of the participants were using fitness trackers from both genders, and females were doing longer physical activity than males. Students’ awareness on the importance of engaging in physical activity should be further promoted.

Abstract : Background: COVID-19 first appeared as a cluster of pneumonia patients with no known cause in Wuhan, Hubei Province, China. Objectives: The study aimed to identify the attitude of women university student's towards vaccine and intension against COVID-19 Methodology: A descriptive study design was constructive to achieve the objectives of the present study for the period of (1-12-2020) throughout (25-2-2021),used to identify the attitude of Women University Student's towards vaccine and Intension against COVID-19. The setting of the study is carried out in Iraq. In University of Mosul is a public university situated in Mosul. The sample of the study a probability (simple random sample) of (N=100) undergraduate women student in different specialties would be selected. Data obtained by interview technique and analyzed by descriptive statistics such as number, mean, frequency, standard deviation. Results: the study finding indicated that the most respondents' attitudes levels towards vaccine and Intension against COVID-19 were moderate attitude (32%),(57%) poor attitude, and (11%) good attitude level. Conclusion: This study found that women university students do not have a sufficient basic attitude toward the COVID-19 vaccine, and that there is a need to explain topics relevant to the COVID-19 vaccine. In this regard, professional and non-governmental organizations should collaborate.