Acute Urinary Retention Due to Incarcerated Uterus With Adenomyosis: A Case Report.

Acute urinary retention caused by uterine incarceration due to adenomyosis is a rare phenomenon with limited documented cases. This report details the case of a 38-year-old female with acute urinary retention. A pelvic MRI revealed an enlarged retroverted uterus with a mass on the posterior left of the myometrium, indicative of adenomyosis. The size and anatomical location of the mass suggested uterine incarceration with direct pressure on the urinary bladder neck, leading to urinary retention. The patient underwent total abdominal hysterectomy, bilateral salpingectomy, and adhesiolysis. Subsequent follow-ups at one and three months post-surgery showed the resolution of urinary symptoms, underscoring the importance of considering adenomyosis as a potential cause of urinary retention in women with lower urinary tract symptoms. Timely recognition and appropriate intervention are crucial for mitigating complications and improving outcomes in these patients, as illustrated in this case.

Effect of different preparation designs of minimally invasive occlusal onlays on the accuracy of different intraoral scanners: An in vitro study.

PURPOSE: The aim of this in vitro study was to assess and compare three different preparation designs of minimally invasive occlusal onlays on the trueness and precision of three different intraoral scanners under two different scanning conditions. MATERIALS AND METHODS: Three maxillary premolars were prepared in three different designs and divided accordingly into three groups, Group 1: Anatomical (n = 60), Group 2: Flat (n = 60), and Group 3: Ferrule (n = 60). The samples were then further divided into subgroups according to scanners as subgroup A: Medit i500 (n = 20), subgroup B: 3Shape TRIOS 4 (n = 20), and subgroup C: Cerec Primescan (n = 20). Last, the samples were further divided according to scanning conditions: Division i: As prepared (n = 10) and Division ii: Sprayed - scan spray (n = 10). An industrial 3D scanner was used to obtain the reference STL files. Accuracy was assessed in terms of trueness and precision and recorded in terms of root mean square in micrometers. Numerical data were explored for normality using Shapiro-Wilk test and were analyzed using 3-way ANOVA followed by Tukey's post hoc test. RESULTS: Regarding trueness, 3-way ANOVA showed that all tested variables had a significant effect on trueness. Significant interactions were found between the different variables (p < 0.001). For preparation design the highest value was found in ferrule preparation (27.88 ± 7.11), followed by flat preparation (22.99 ± 7.56), while the lowest value was found in anatomical preparation (18.83 ± 5.71) (p < 0.001). For scanner type, the highest value was found in Primescan (25.36 ± 10.66), followed by TRIOS 4 (22.75 ± 5.98), while the lowest value was found in Medit i500 (21.59 ± 5.03) (p < 0.001). As for the scanning condition, sprayed samples (26.54 ± 8.24) had a significantly higher value than non-sprayed samples (19.93 ± 5.53) (p < 0.001). Regarding precision, both preparation design and scanner type had a significant effect on precision. Scanning conditions had no significant effect. There was a significant interaction between the three tested variables (p = 0.012). CONCLUSIONS: Anatomical preparation of minimally invasive occlusal onlays produced the most accurate scans. Within the tested preparation designs, Medit i500 and 3Shape TRIOS 4 have better trueness than Cerec Primescan. Cerec Primescan is more precise than 3Shape TRIOS 4 and Medit i500 Scan spray application causes a higher deviation in the trueness of the tested intraoral scanners while it does not affect their precision.

Evaluation of isolated probiotics on the efficacy of immune system in male and female Wistar rats.

Probiotics were isolated from fruits and vegetables. Microscopic, biochemical, and molecular tests were carried out for the characterization of strains of probiotics. To assess the effects of isolated probiotics on immunity, male and female (15 + 15) Wistar rats (n = 3) were randomly distributed into 5 groups: 0-day, negative control, positive control (commercially available Lactobacillus acidophilus-14), laboratory isolated probiotics with accession numbers; Lactobacillus plantarum (MZ707748) and Lactobacillus plantarum (MZ729681), respectively. After hematological investigations, the amounts of IgA and IgG in male and female groups were significantly different (p < 0.05). At the same time, the values of Alanine-transaminase (ALT) and Aspartate-aminotransferase (AST) in both genders were average, and there were no differences (p > 0.05). Male probiotic-treated groups had decreased levels of interleukin-6, bilirubin, and creatinine, but female probiotic-treated groups had a slight rise in bilirubin and creatinine values (p = 0.05). Cellular blood count levels of Hematocrit (HCT) and white blood cells (WBC) in male groups showed considerable differences (p < 0.05), while there were no differences (p > 0.05) in female groups. Levels of Red blood cells (RBC) and mean corpuscular hemoglobin concentration (MCHC) showed distinct changes (p < 0.05) in female groups, while these values were insignificant changes (p > 0.05) among male groups. There were considerable differences between the control and groups that were given probiotics. Histopathological results showed no damage to the liver and thymus. A fecal examination of rats was used to examine the viability and survival of Lactobacilli. Based on blood tests, it was observed that the immune system was boosted and improved in probiotic-treated groups compared to control groups.

Evaluation of sodium citrate anticoagulant for the Resolution of edta-dependent pseudo Thrombocytopenia.

BACKGROUND: EDTA-dependent pseudo thrombocytopenia (EDTA-PTCP) refers to a falsely low platelet count occurring in the presence of ethylene diamine tetra-acetic acid (EDTA) anticoagulant during blood sample collection, which results in the formation of platelet clumps in vitro. This phenomenon has significant clinical implications, including unnecessary administration of platelets. Our study aims to evaluate the efficacy of sodium citrate anticoagulant for the resolution of EDTAPTCP. METHODS: This retrospective study was conducted in the haematology laboratory of Shifa International Hospital (SIH), Pakistan. Patients with pseudo thrombocytopenia (i.e. platelet count less than 150,000/ul with platelet clumps seen on peripheral smear) were included in this study if they had blood samples drawn in both EDTA and sodium citrate tubes less than 48 hours apart. Data was analyzed using IBM® SPSS Software Version 22. RESULTS: A total of 151 study participants were included in this study. The mean age was 48.95±20.69 years and the majority were female (52.3%). Wilcoxon signed-rank test showed that there was a statistically significant difference in platelet count measured in both tubes (Z = -3.223, p=0.001). Overall, blood samples processed in sodium citrate tubes showed lower platelet count than EDTA samples. Sodium citrate anticoagulant was able to correct EDTA-PTCP in 47 (31.1%) of the cases. CONCLUSIONS: Sodium citrate anticoagulant was only able to resolve one-third of our EDTA-PTCP cases. Our findings do not support the use of sodium citrate as a suitable alternative for correction of EDTA-PTCP.

A Case Of Precursor B-Acute Lymphoblastic Leukaemia Masquerading As Hypereosinophilia And Space Occupying Lesion In A 14-Year-Old Boy.

Peripheral blood eosinophilia is associated with a variety of benign and neoplastic conditions. Rarely, marked eosinophilia can mask an underlying Acute Leukaemia, delaying the correct diagnosis and treatment. Here, we report a case of 14-year-old boy, who presented with marked eosinophilia and space occupying lesion in the brain. Bone marrow biopsy and biopsy of brain lesion were performed to assess the underlying disorder, revealing the unexpected diagnosis of Precursor B- Acute Lymphoblastic Leukaemia in this patient. Cytogenetic studies revealed a normal male karyotype. This case highlights the significance of considering the rare possibility of Acute Lymphoblastic Leukaemia among the differential diagnosis of persistent eosinophilia in order to facilitate prompt and appropriate treatment.