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biliary drainage</title> <meta name="description" content="Search results for: preoperative biliary drainage"> <meta name="keywords" content="preoperative biliary drainage"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button 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action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="preoperative biliary drainage"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 561</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: preoperative biliary drainage</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">561</span> Time to Pancreatic Surgery after Preoperative Biliary Drainage in Periampullary Cancers: A Systematic Review and Meta‑Analysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maatouk%20Mohamed">Maatouk Mohamed</a>, <a href="https://publications.waset.org/abstracts/search?q=Nouira%20Mariem"> Nouira Mariem</a>, <a href="https://publications.waset.org/abstracts/search?q=Hamdi%20Kbir%20Gh"> Hamdi Kbir Gh</a>, <a href="https://publications.waset.org/abstracts/search?q=Mahjoubi%20M.%20F."> Mahjoubi M. F.</a>, <a href="https://publications.waset.org/abstracts/search?q=Ben%20Moussa%20M."> Ben Moussa M.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background and aim: Preoperative biliary drainage (PBD) has been introduced to lower bilirubin levels and to control the negative effects of obstructive jaundice in patients with malignant obstructive jaundice undergoing pancreaticoduodenectomy (PD). The optimal time interval between PBD and PD is still not clear. Delaying surgery by 4 to 6 weeks is the commonly accepted practice. However, delayed PD has been shown to decrease the rate of resection and adversely affect the tumor grading and prognosis. Thus, the purpose of our systematic review and meta-analysis was to evaluate the optimal period for PBD prior to PD: short or prolonged in terms of postoperative morbidity and survival outcomes. Methods: Trials were searched in PubMed, Science Direct, Google Scholar, and Cochrane Library until November 2022. Studies using PBD in patients with malignant obstructive jaundice that compared short duration group (SDG) (surgery performed within 3-4 weeks) with prolonged duration group (PDG) (at least 3-4 weeks after PBD) were included in this study. The risk of bias was assessed using the Rob v2 and Robins-I tools. The priori protocol was published in PROSPERO (ID: CRD42022381405). Results: Seven studies comprising 1625 patients (SDG 870, PDG 882) were included. All studies were non-randomized, and only one was prospective. No significant differences were observed between the SDG and PDG in mortality (OR= 0.59; 95% CI [0.30, 1.17], p=0.13), major morbidity (Chi² = 30.28, p <0.00001; I² = 87%), pancreatic fistula (Chi² = 6.61, p = 0.25); I² = 24%), post pancreatectomy haemorrhage (OR= 1.16; 95% CI [0.67, 2.01], p=0.59), positive drainage culture (OR= 0.36; 95% CI [0.10, 1.32], p=0.12), septic complications (OR= 0.78; 95% CI [0.23, 2.72], p=0.70), wound infection (OR= 0.08, p=0.07), operative time (MD= 0.21; p=0.21). Conclusion: Early surgery within 3 or 4 weeks after biliary drainage is both safe and effective. Thus, it is reasonable to suggest early surgery following PBD for patients having resectable periampullary cancers. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20biliary%20drainage" title="preoperative biliary drainage">preoperative biliary drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=pancreatic%20cancer" title=" pancreatic cancer"> pancreatic cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=pancreatic%20surgery" title=" pancreatic surgery"> pancreatic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=complication" title=" complication"> complication</a> </p> <a href="https://publications.waset.org/abstracts/164419/time-to-pancreatic-surgery-after-preoperative-biliary-drainage-in-periampullary-cancers-a-systematic-review-and-metaanalysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/164419.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">67</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">560</span> MRCP as a Pre-Operative Tool for Predicting Variant Biliary Anatomy in Living Related Liver Donors</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Awais%20Ahmed">Awais Ahmed</a>, <a href="https://publications.waset.org/abstracts/search?q=Atif%20Rana"> Atif Rana</a>, <a href="https://publications.waset.org/abstracts/search?q=Haseeb%20Zia"> Haseeb Zia</a>, <a href="https://publications.waset.org/abstracts/search?q=Maham%20Jahangir"> Maham Jahangir</a>, <a href="https://publications.waset.org/abstracts/search?q=Rashed%20Nazir"> Rashed Nazir</a>, <a href="https://publications.waset.org/abstracts/search?q=Faisal%20Dar"> Faisal Dar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: Biliary complications represent the most common cause of morbidity in living related liver donor transplantation and detailed preoperative evaluation of biliary anatomic variants is crucial for safe patient selection and improved surgical outcomes. Purpose of this study is to determine the accuracy of preoperative MRCP in predicting biliary variations when compared to intraoperative cholangiography in living related liver donors. Materials and Methods: From 44 potential donors, 40 consecutive living related liver donors (13 females and 28 males) underwent donor hepatectomy at our centre from April 2012 to August 2013. MRCP and IOC of all patients were retrospectively reviewed separately by two radiologists and a transplant surgeon.MRCP was performed on 1.5 Tesla MR magnets using breath-hold heavily T2 weighted radial slab technique. One patient was excluded due to suboptimal MRCP. The accuracy of MRCP for variant biliary anatomy was calculated. Results: MRCP accurately predicted the biliary anatomy in 38 of 39 cases (97 %). Standard biliary anatomy was predicted by MRCP in 25 (64 %) donors (100% sensitivity). Variant biliary anatomy was noted in 14 (36 %) IOCs of which MRCP predicted precise anatomy of 13 variants (93 % sensitivity). The two most common variations were drainage of the RPSD into the LHD (50%) and the triple confluence of the RASD, RPSD and LHD (21%). Conclusion: MRCP is a sensitive imaging tool for precise pre-operative mapping of biliary variations which is critical to surgical decision making in living related liver transplantation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=intraoperative%20cholangiogram" title="intraoperative cholangiogram">intraoperative cholangiogram</a>, <a href="https://publications.waset.org/abstracts/search?q=liver%20transplantation" title=" liver transplantation"> liver transplantation</a>, <a href="https://publications.waset.org/abstracts/search?q=living%20related%20donors" title=" living related donors"> living related donors</a>, <a href="https://publications.waset.org/abstracts/search?q=magnetic%20resonance%20cholangio-pancreaticogram%20%28MRCP%29" title=" magnetic resonance cholangio-pancreaticogram (MRCP)"> magnetic resonance cholangio-pancreaticogram (MRCP)</a> </p> <a href="https://publications.waset.org/abstracts/1679/mrcp-as-a-pre-operative-tool-for-predicting-variant-biliary-anatomy-in-living-related-liver-donors" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/1679.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">397</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">559</span> A Comparison of Outcomes of Endoscopic Retrograde Cholangiopancreatography vs. Percutaneous Transhepatic Biliary Drainage in the Management of Obstructive Jaundice from Hepatobiliary Tuberculosis: The Philippine General Hospital Experience</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Margaret%20Elaine%20J.%20Villamayor">Margaret Elaine J. Villamayor</a>, <a href="https://publications.waset.org/abstracts/search?q=Lobert%20A.%20Padua"> Lobert A. Padua</a>, <a href="https://publications.waset.org/abstracts/search?q=Neil%20S.%20Bacaltos"> Neil S. Bacaltos</a>, <a href="https://publications.waset.org/abstracts/search?q=Virgilio%20P.%20Ba%C3%B1ez"> Virgilio P. Bañez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Significance: This study aimed to determine the prevalence of Hepatobiliary Tuberculosis (HBTB) with biliary obstruction and to compare the outcomes of ERCP versus PTBD in these patients. Methodology: This is a cross-sectional study involving patients from PGH who underwent biliary drainage from HBTB from January 2009 to June 2014. HBTB was defined as having evidence of TB (culture, smear, PCR, histology) or clinical diagnosis with the triad of jaundice, fever, and calcifications on imaging with other causes of jaundice excluded. The primary outcome was successful drainage and secondary outcomes were mean hospital stay and complications. Simple logistic regression was used to identify factors associated with success of drainage, z-test for two proportions to compare outcomes of ERCP versus PTBD and t-test to compare mean hospital stay post-procedure. Results: There were 441 patients who underwent ERCP and PTBD, 19 fulfilled the inclusion criteria. 11 underwent ERCP while 8 had PTBD. There were more successful cases in PTBD versus ERCP but this was not statistically significant (p-value 0.3615). Factors such as age, gender, location and nature of obstruction, vices, coexisting pulmonary or other extrapulmonary TB and presence of portal hypertension did not affect success rates in these patients. The PTBD group had longer mean hospital stay but this was not significant (p-value 0.1880). There were no complications reported in both groups. Conclusion: HBTB comprises 4.3% of the patients undergoing biliary drainage in PGH. Both ERCP and PTBD are equally safe and effective in the management of biliary obstruction from HBTB. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cross-sectional" title="cross-sectional">cross-sectional</a>, <a href="https://publications.waset.org/abstracts/search?q=hepatobiliary%20tuberculosis" title=" hepatobiliary tuberculosis"> hepatobiliary tuberculosis</a>, <a href="https://publications.waset.org/abstracts/search?q=obstructive%20jaundice" title=" obstructive jaundice"> obstructive jaundice</a>, <a href="https://publications.waset.org/abstracts/search?q=endoscopic%20retrograde%20cholangiopancreatography" title=" endoscopic retrograde cholangiopancreatography"> endoscopic retrograde cholangiopancreatography</a>, <a href="https://publications.waset.org/abstracts/search?q=percutaneous%20transhepatic%20biliary%20drainage" title=" percutaneous transhepatic biliary drainage "> percutaneous transhepatic biliary drainage </a> </p> <a href="https://publications.waset.org/abstracts/26346/a-comparison-of-outcomes-of-endoscopic-retrograde-cholangiopancreatography-vs-percutaneous-transhepatic-biliary-drainage-in-the-management-of-obstructive-jaundice-from-hepatobiliary-tuberculosis-the-philippine-general-hospital-experience" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/26346.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">444</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">558</span> Predictors of Pericardial Effusion Requiring Drainage Following Coronary Artery Bypass Graft Surgery: A Retrospective Analysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nicholas%20McNamara">Nicholas McNamara</a>, <a href="https://publications.waset.org/abstracts/search?q=John%20Brookes"> John Brookes</a>, <a href="https://publications.waset.org/abstracts/search?q=Michael%20Williams"> Michael Williams</a>, <a href="https://publications.waset.org/abstracts/search?q=Manish%20Mathew"> Manish Mathew</a>, <a href="https://publications.waset.org/abstracts/search?q=Elizabeth%20Brookes"> Elizabeth Brookes</a>, <a href="https://publications.waset.org/abstracts/search?q=Tristan%20Yan"> Tristan Yan</a>, <a href="https://publications.waset.org/abstracts/search?q=Paul%20Bannon"> Paul Bannon</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: Pericardial effusions are an uncommon but potentially fatal complication after cardiac surgery. The goal of this study was to describe the incidence and risk factors associated with the development of pericardial effusion requiring drainage after coronary artery bypass graft surgery (CABG). Methods: A retrospective analysis was undertaken using prospectively collected data. All adult patients who underwent CABG at our institution between 1st January 2017 and 31st December 2018 were included. Pericardial effusion was diagnosed using transthoracic echocardiography (TTE) performed for clinical suspicion of pre-tamponade or tamponade. Drainage was undertaken if considered clinically necessary and performed via a sub-xiphoid incision, pericardiocentesis, or via re-sternotomy at the discretion of the treating surgeon. Patient demographics, operative characteristics, anticoagulant exposure, and postoperative outcomes were examined to identify those variables associated with the development of pericardial effusion requiring drainage. Tests of association were performed using the Fischer exact test for dichotomous variables and the Student t-test for continuous variables. Logistic regression models were used to determine univariate predictors of pericardial effusion requiring drainage. Results: Between January 1st, 2017, and December 31st, 2018, a total of 408 patients underwent CABG at our institution, and eight (1.9%) required drainage of pericardial effusion. There was no difference in age, gender, or the proportion of patients on preoperative therapeutic heparin between the study and control groups. Univariate analysis identified preoperative atrial arrhythmia (37.5% vs 8.8%, p = 0.03), reduced left ventricular ejection fraction (47% vs 56%, p = 0.04), longer cardiopulmonary bypass (130 vs 84 min, p < 0.01) and cross-clamp (107 vs 62 min, p < 0.01) times, higher drain output in the first four postoperative hours (420 vs 213 mL, p <0.01), postoperative atrial fibrillation (100% vs 32%, p < 0.01), and pleural effusion requiring drainage (87.5% vs 12.5%, p < 0.01) to be associated with development of pericardial effusion requiring drainage. Conclusion: In this study, the incidence of pericardial effusion requiring drainage was 1.9%. Several factors, mainly related to preoperative or postoperative arrhythmia, length of surgery, and pleural effusion requiring drainage, were identified to be associated with developing clinically significant pericardial effusions. High clinical suspicion and low threshold for transthoracic echo are pertinent to ensure this potentially lethal condition is not missed. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=coronary%20artery%20bypass" title="coronary artery bypass">coronary artery bypass</a>, <a href="https://publications.waset.org/abstracts/search?q=pericardial%20effusion" title=" pericardial effusion"> pericardial effusion</a>, <a href="https://publications.waset.org/abstracts/search?q=pericardiocentesis" title=" pericardiocentesis"> pericardiocentesis</a>, <a href="https://publications.waset.org/abstracts/search?q=tamponade" title=" tamponade"> tamponade</a>, <a href="https://publications.waset.org/abstracts/search?q=sub-xiphoid%20drainage" title=" sub-xiphoid drainage"> sub-xiphoid drainage</a> </p> <a href="https://publications.waset.org/abstracts/135844/predictors-of-pericardial-effusion-requiring-drainage-following-coronary-artery-bypass-graft-surgery-a-retrospective-analysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/135844.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">161</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">557</span> Incidence of Post Endoscopic Retrograde Cholangiopancreatography Biliary Ascariasis Diagnosed on Ultrasound</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shehzad%20Khan">Shehzad Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Jehangir%20Khan"> Jehangir Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Shah%20Babar"> Shah Babar</a>, <a href="https://publications.waset.org/abstracts/search?q=Rashid%20Mahmood"> Rashid Mahmood</a>, <a href="https://publications.waset.org/abstracts/search?q=Rizwan%20Khan"> Rizwan Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Sanya%20Hadi"> Sanya Hadi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Ascaris lumbricoides are familiar with the roundworm that causes biliary infections in humans. Nevertheless, ascariasis is primarily found in the jejunum and transferred in numerous body parts with the intake of Ascaris lumbricoides present in food and water. These study methods were implemented at the Saidu Teaching Hospital Radiology Department from December 2021 to January 2023. This study includes the participants suffering from biliary ascariasis admitted or visited Saidu Teaching Hospital in that time frame. Clinical assessment of the participants was done based on the appearance of signs and symptoms present in them. The participant's laboratory test was done to determine the level of basic body parameters. After that ultrasonography was used to diagnose the presence and appearance of worms. Endoscopic retrograde cholangiopancreatography (ERCP) was used to extract worms from biliary channels, and the incidence of post-ERCP biliary ascariasis was accessed with ultrasonography. This study's results show the presence of numerous types of worms in the biliary channels of patients. Also, the level of body parameters, for instance, neutrophil, hemoglobin, and others, were compared at the time of admission and at the time of discharge from the hospital. Furthermore, the incidence of post-ERCP biliary ascariasis was reported as 4% in females, and 1% in males, respectively. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ascaris" title="Ascaris">Ascaris</a>, <a href="https://publications.waset.org/abstracts/search?q=biliary" title=" biliary"> biliary</a>, <a href="https://publications.waset.org/abstracts/search?q=ERCP" title=" ERCP"> ERCP</a>, <a href="https://publications.waset.org/abstracts/search?q=ultrasound" title=" ultrasound"> ultrasound</a> </p> <a href="https://publications.waset.org/abstracts/165591/incidence-of-post-endoscopic-retrograde-cholangiopancreatography-biliary-ascariasis-diagnosed-on-ultrasound" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/165591.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">101</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">556</span> The Overlooked Problem Among Surgical Patients: Preoperative Anxiety at Ethiopian University Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yohtahe%20Woldegerima%20Berhe">Yohtahe Woldegerima Berhe</a>, <a href="https://publications.waset.org/abstracts/search?q=Tadesse%20Belayneh%20Melkie"> Tadesse Belayneh Melkie</a>, <a href="https://publications.waset.org/abstracts/search?q=Girmay%20Fitiwi%20Lema"> Girmay Fitiwi Lema</a>, <a href="https://publications.waset.org/abstracts/search?q=Marye%20Getnet"> Marye Getnet</a>, <a href="https://publications.waset.org/abstracts/search?q=Wubie%20Birlie%20Chekol"> Wubie Birlie Chekol</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Anxiety was repeatedly reported as the worst aspect of the perioperative time. The objective of this study was to assess the prevalence of preoperative anxiety among adult surgical patients at the University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia. Methodology: Hospital-based cross-sectional study was conducted among surgical patients at the university hospital. After obtaining ethical approval, 407 surgical patients were approached during the preoperative period. Preoperative anxiety was assessed by the State-Trait Anxiety Inventory. The association between variables was determined by using binary logistic regression analysis. The strength of association was described in adjusted odds ratio (AOR) and a p-value < 0.05 at a 95% confidence interval which was considered statistically significant. Results: A total of 400 patients were included in this study, with a 98.3% response rate. Preoperative anxiety was observed among 237 (59.3%) patients, and the median (IQR) STAI score was 50 (40 – 56.7). age ≥ 60 years (AOR: 5.7, CI: 1.6 – 20.4, P: 0.007), emergency surgery (AOR: 2.5, CI: 1.3 – 4.7, P: 0.005), preoperative pain (AOR: 2.6, CI: 1.2 – 5.4, P: 0.005), and rural residency (AOR: 1.8, CI: 1.1 – 2.9, P: 0.031) were found significantly associated with preoperative anxiety. Conclusions: The prevalence of preoperative anxiety among surgical patients was high. Older age (≥ 60 years), emergency surgery, preoperative pain, and rural residency were found to be significantly associated with preoperative anxiety. Assessment for preoperative anxiety should be a routine component of preoperative assessment of both elective and emergency surgical patients. Preoperative pain should be appropriately managed as it can help to reduce preoperative anxiety. Optimal anxiety reduction methods should be investigated and implemented in the hospital. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20anxiety" title="preoperative anxiety">preoperative anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety" title=" anxiety"> anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety%20of%20anesthesia%20and%20surgery" title=" anxiety of anesthesia and surgery"> anxiety of anesthesia and surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=state-trait%20anxiety%20%20inventory" title=" state-trait anxiety inventory"> state-trait anxiety inventory</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20care" title=" preoperative care"> preoperative care</a> </p> <a href="https://publications.waset.org/abstracts/193666/the-overlooked-problem-among-surgical-patients-preoperative-anxiety-at-ethiopian-university-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/193666.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">15</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">555</span> Pervious Concrete for Road Intersection Drainage</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ivana%20Bari%C5%A1i%C4%87">Ivana Barišić</a>, <a href="https://publications.waset.org/abstracts/search?q=Ivanka%20Netinger%20Grube%C5%A1a"> Ivanka Netinger Grubeša</a>, <a href="https://publications.waset.org/abstracts/search?q=Ines%20Barjaktari%C4%87"> Ines Barjaktarić</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Road performance and traffic safety are highly influenced by improper water drainage system performance, particularly within intersection areas. So, the aim of the presented paper is the evaluation of pervious concrete made with two types and two aggregate fractions for potential utilization in intersection drainage areas. Although the studied pervious concrete mixtures achieved proper drainage but lower strength characteristics, this pervious concrete has a good potential for enhancing pavement drainage systems if it is embedded on limited intersection areas. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=drainage" title="drainage">drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=intersection" title=" intersection"> intersection</a>, <a href="https://publications.waset.org/abstracts/search?q=pervious%20concrete" title=" pervious concrete"> pervious concrete</a>, <a href="https://publications.waset.org/abstracts/search?q=road" title=" road"> road</a> </p> <a href="https://publications.waset.org/abstracts/58848/pervious-concrete-for-road-intersection-drainage" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/58848.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">392</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">554</span> Duplicated Common Bile Duct: A Recipe for Injury</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=David%20Armany">David Armany</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthew%20Allaway"> Matthew Allaway</a>, <a href="https://publications.waset.org/abstracts/search?q=Preet%20Gosal"> Preet Gosal</a>, <a href="https://publications.waset.org/abstracts/search?q=Senarath%20Edirimanne"> Senarath Edirimanne</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A potentially devastating complication of routine laparoscopic cholecystectomy includes iatrogenic bile duct injuries, which represent a stable incidence rate of 0.3% over the past three decades. Whilst related to several relative risks such as surgeon experience and patient factors (older age, male sex), misinterpretation of biliary tree anatomy remains the most common cause, accounting for 80% of iatrogenic Common Bile Duct injuries. Whilst extremely rare, a duplicate common bile duct anomaly remains a potential variation to encounter during biliary surgery, with 30 recognised cases in the worldwide literature, of which type Vb accounts for 4. We report the case of a rare type Vb variation encountered during intra-operative laparoscopic cholecystectomy and confirmed on cholangiogram. To our knowledge, this is the first documented Type Vb case encountered in an Australian population. Given these anomalies are asymptomatic and can perpetuate iatrogenic common bile duct injuries, awareness of all subtypes is crucial. Irrevocably, preoperative Magnetic Resonance Cholangiopancreatography can help recognise these anomalies before the operating theatre; however, their widespread adoption is limited by expensive and availability. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=duplicated%20common%20bile%20duct" title="duplicated common bile duct">duplicated common bile duct</a>, <a href="https://publications.waset.org/abstracts/search?q=type%20Vb" title=" type Vb"> type Vb</a>, <a href="https://publications.waset.org/abstracts/search?q=cholecystitis" title=" cholecystitis"> cholecystitis</a>, <a href="https://publications.waset.org/abstracts/search?q=MRCP" title=" MRCP"> MRCP</a>, <a href="https://publications.waset.org/abstracts/search?q=cholangiogram" title=" cholangiogram"> cholangiogram</a>, <a href="https://publications.waset.org/abstracts/search?q=iatrogenic%20CBD" title=" iatrogenic CBD"> iatrogenic CBD</a> </p> <a href="https://publications.waset.org/abstracts/154545/duplicated-common-bile-duct-a-recipe-for-injury" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/154545.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">90</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">553</span> An Audit on Optimum Utilisation of Preoperative Clinic</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vidya%20Iyer">Vidya Iyer</a>, <a href="https://publications.waset.org/abstracts/search?q=Suresh%20Babu%20Loganathan"> Suresh Babu Loganathan</a>, <a href="https://publications.waset.org/abstracts/search?q=Yuan%20Hwa%20Lee"> Yuan Hwa Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Kwong%20Fah%20Koh"> Kwong Fah Koh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: It has been recommended that every patient undergoes careful preoperative evaluation in a preoperative clinic to improve theatre utilization, reduce bed occupancy and avoid unnecessary cancellation due to inadequate optimisation, communication and administrative errors. It also gives an opportunity to counsel patients regarding different aspects of anaesthesia. Methodology: A retrospective audit of all the patients seen in preoperative assessment clinic, referral letters of all the patients postponed / referred to other sub specialities in the perioperative period from June 2012 - June 2013 was done. In our clinic, we retrieved patient records who were awaiting surgery pending clearance by other sub specialities. Those patients, who could continue with their scheduled date of surgery after having been referred, were not included in the file. We also studied details of same day cancellations from the data base, during the same study period. The reasons for cancellation were examined and defined as avoidable and unavoidable. Results: Less than 0.5% was postponed from the scheduled day of surgery. Less than 0.5% was cancelled on the day of surgery. Conclusions: Patients who undergo pre anaesthetic evaluation in a well-established clinic results in adequate preoperative patient optimisation, avoids unnecessary preoperative admission, efficient theatre utilisation and greater patient satisfaction. The benefits are the result of guidelines and timely update of them which are used by the junior doctors and trainees who run the clinic and a dedicated specialist to supervise them. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=preoperative%20assessment" title="preoperative assessment">preoperative assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=clinic" title=" clinic"> clinic</a>, <a href="https://publications.waset.org/abstracts/search?q=referrals" title=" referrals"> referrals</a>, <a href="https://publications.waset.org/abstracts/search?q=cancellation" title=" cancellation"> cancellation</a> </p> <a href="https://publications.waset.org/abstracts/37748/an-audit-on-optimum-utilisation-of-preoperative-clinic" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37748.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">331</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">552</span> Management of Acute Biliary Pathology at Gozo General Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Kristian%20Bugeja">Kristian Bugeja</a>, <a href="https://publications.waset.org/abstracts/search?q=Upeshala%20A.%20Jayawardena"> Upeshala A. Jayawardena</a>, <a href="https://publications.waset.org/abstracts/search?q=Clarissa%20Fenech"> Clarissa Fenech</a>, <a href="https://publications.waset.org/abstracts/search?q=Mark%20Zammit%20Vincenti"> Mark Zammit Vincenti</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Biliary colic, acute cholecystitis, and gallstone pancreatitis are some of the most common surgical presentations at Gozo General Hospital (GGH). National Institute for Health and Care Excellence (NICE) guidelines advise that suitable patients with acute biliary problems should be offered a laparoscopic cholecystectomy within one week of diagnosis. There has traditionally been difficulty in achieving this mainly due to the reluctance of some surgeons to operate in the acute setting, limited, timely access to MRCP and ERCP, and organizational issues. Methodology: A retrospective study was performed involving all biliary pathology-related admissions to GGH during the two-year period of 2019 and 2020. Patients’ files and electronic case summary (ECS) were used for data collection, which included demographic data, primary diagnosis, co-morbidities, management, waiting time to surgery, length of stay, readmissions, and reason for readmissions. NICE clinical guidance 188 – Gallstone disease were used as the standard. Results: 51 patients were included in the study. The mean age was 58 years, and 35 (68.6%) were female. The main diagnoses on admission were biliary colic in 31 (60.8%), acute cholecystitis in 10 (19.6%). Others included gallstone pancreatitis in 3 (5.89%), chronic cholecystitis in 2 (3.92%), gall bladder malignancy in 4 (7.84%), and ascending cholangitis in 1 (1.97%). Management included laparoscopic cholecystectomy in 34 (66.7%); conservative in 8 (15.7%) and ERCP in 6 (11.7%). The mean waiting time for laparoscopic cholecystectomy for patients with acute cholecystitis was 74 days – range being between 3 and 146 days since the date of diagnosis. Only one patient who was diagnosed with acute cholecystitis and managed with laparoscopic cholecystectomy was done so within the 7-day time frame. Hospital re-admissions were reported in 5 patients (9.8%) due to vomiting (1), ascending cholangitis (1), and gallstone pancreatitis (3). Discussion: Guidelines were not met for patients presenting to Gozo General Hospital with acute biliary pathology. This resulted in 5 patients being re-admitted to hospital while waiting for definitive surgery. The local issues resulting in the delay to surgery need to be identified and steps are taken to facilitate the provision of urgent cholecystectomy for suitable patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=biliary%20colic" title="biliary colic">biliary colic</a>, <a href="https://publications.waset.org/abstracts/search?q=acute%20cholecystits" title=" acute cholecystits"> acute cholecystits</a>, <a href="https://publications.waset.org/abstracts/search?q=laparoscopic%20cholecystectomy" title=" laparoscopic cholecystectomy"> laparoscopic cholecystectomy</a>, <a href="https://publications.waset.org/abstracts/search?q=conservative%20management" title=" conservative management"> conservative management</a> </p> <a href="https://publications.waset.org/abstracts/137714/management-of-acute-biliary-pathology-at-gozo-general-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/137714.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">161</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">551</span> The Analysis of Acute Pancreatitis Patients in a University Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Adnan%20Sahin">Adnan Sahin</a>, <a href="https://publications.waset.org/abstracts/search?q=Ufuk%20Uylas"> Ufuk Uylas</a>, <a href="https://publications.waset.org/abstracts/search?q=Ercument%20Pasaoglu"> Ercument Pasaoglu</a>, <a href="https://publications.waset.org/abstracts/search?q=Tarik%20Caga"> Tarik Caga</a>, <a href="https://publications.waset.org/abstracts/search?q=Enver%20Ihtiyar"> Enver Ihtiyar</a>, <a href="https://publications.waset.org/abstracts/search?q=Serdar%20Erkasap"> Serdar Erkasap</a>, <a href="https://publications.waset.org/abstracts/search?q=Ersin%20Ates"> Ersin Ates</a>, <a href="https://publications.waset.org/abstracts/search?q=Fatih%20Yasar"> Fatih Yasar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: In this study, it was evaluated the demographic features, etiological factors and the management of acute pancreatitis. Methods: 106 patient hospitalized due to acute pancreatitis were retrospectively examined from 1 January 2015 to 31 December 2015 in Department of General Surgery of ESOGUMF. The data of gender, signs and symptoms, etiological factors, WBC, AST, ALT, Amilase, USG and CT findings treatment options ERCP, and complications, mortality rate were analysed. Results: The mean age of patients were 58.8 (53 men and 53 women). The causes of acute pancreatitis were as follows: gallbladder stone was 89, hyperlipidemia was 5 and idiopathic were 16 patients. Severe pancreatitis was developed in 16 patients in the biliary pancreatitis group and ERCP was performed. Cholecystectomy was performed to all biliary pancreatitis group patients after acute pancreatitis subside. The mean hospital stay period was 9.33 (2-37) day. Discussion and conclusion: Severe acute pancreatitis is a mortal disease. The most common etiological cause of acute pancreatitis is biliary origin. The first line treatment modality of acute pancreatitis is medical. Cholecystectomy should be planned to the all-biliary caused acute pancreatitis patients after the attack subside. ERCP is a useful treatment modality in the case of clinical worsening and suspicion of acute cholangitis. ERCP procedure used 16 patients in our series and these patients have a good morbidity and mean hospital period is lower than the others. We suppose that ERCP procedure should be planned selectively and conservatively. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=acute%20pancreatitis" title="acute pancreatitis">acute pancreatitis</a>, <a href="https://publications.waset.org/abstracts/search?q=ERCP" title=" ERCP"> ERCP</a>, <a href="https://publications.waset.org/abstracts/search?q=morbidity" title=" morbidity"> morbidity</a>, <a href="https://publications.waset.org/abstracts/search?q=treatment" title=" treatment"> treatment</a> </p> <a href="https://publications.waset.org/abstracts/48195/the-analysis-of-acute-pancreatitis-patients-in-a-university-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/48195.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">345</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">550</span> Endoscopic Ultrasound-Guided Choledochoduodenostomy in an Advanced Extrahepatic Cholangiocarcinoma</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Diego%20Carrasco">Diego Carrasco</a>, <a href="https://publications.waset.org/abstracts/search?q=Catarina%20Freitas"> Catarina Freitas</a>, <a href="https://publications.waset.org/abstracts/search?q=Hugo%20Rio%20Tinto"> Hugo Rio Tinto</a>, <a href="https://publications.waset.org/abstracts/search?q=Ricardo%20Rio%20Tinto"> Ricardo Rio Tinto</a>, <a href="https://publications.waset.org/abstracts/search?q=Nuno%20Couto"> Nuno Couto</a>, <a href="https://publications.waset.org/abstracts/search?q=Joaquim%20Gago"> Joaquim Gago</a>, <a href="https://publications.waset.org/abstracts/search?q=Carlos%20Carvalho"> Carlos Carvalho</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CD) to drain the gallbladder can be a palliative care procedure for non-surgical oncologic patients with cholelithiasis and cholangitis process. Case description: A 59-years old Caucasian male diagnosed with extrahepatic cholangiocarcinoma with multiple liver, lung and peritoneum metastasis, unresponsive to treatment with gemcitabine/cisplatin, presented in the institution with fever, hypotension, and severe upper right abdominal pain secondary to cholelithiasis and cholangitis process. The patient was admitted and started on large spectrum antibiotics plus fluid-challenge. Afterward, a percutaneous transhepatic biliary drainage (PTBD) was performed to drain the gallbladder. This procedure temporarily stabilized the patient. However, the definitive solution required gallbladder removal. Since the patient exhibited an advanced oncologic disease and poor response to the chemotherapy, he was not a candidate for surgical intervention. Diagnostic Pathways: A self-expanding metal stent was placed from the duodenum into the bile duct by endoscopic ultrasound-guided. The stent allowed efficient drainage of the contrast from the gallbladder at the end of the endoscopic procedure. Conclusion and Discussion: The stent allowed efficient drainage of the contrast from the gallbladder at the end of the endoscopic procedure and successfully reversed the cholangitis process. EUS-CD is an effective and safe technique and can be used as a palliative care procedure for non-surgical oncologic patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=palliative%20care" title="palliative care">palliative care</a>, <a href="https://publications.waset.org/abstracts/search?q=cholangiocarcinoma" title=" cholangiocarcinoma"> cholangiocarcinoma</a>, <a href="https://publications.waset.org/abstracts/search?q=choledochoduodenostomy" title=" choledochoduodenostomy"> choledochoduodenostomy</a>, <a href="https://publications.waset.org/abstracts/search?q=endoscopic%20ultrasound-guided" title=" endoscopic ultrasound-guided"> endoscopic ultrasound-guided</a> </p> <a href="https://publications.waset.org/abstracts/140682/endoscopic-ultrasound-guided-choledochoduodenostomy-in-an-advanced-extrahepatic-cholangiocarcinoma" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/140682.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">185</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">549</span> The Effect of Proper Drainage on the Cost of Building and Repairing Roads </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Seyed%20Abbas%20Tabatabaei">Seyed Abbas Tabatabaei</a>, <a href="https://publications.waset.org/abstracts/search?q=Saeid%20Amini"> Saeid Amini</a>, <a href="https://publications.waset.org/abstracts/search?q=Hamid%20Reza%20Ghafouri"> Hamid Reza Ghafouri</a> </p> <p class="card-text"><strong>Abstract:</strong></p> One of the most important factors in flexible pavement failure is the lack of proper drainage along the roads. Water on the Paving Systems is one of the main parameters of pavement failure. Though, if water is discharged without delay and prior to discharge in order to prevent damaging the pavement the lifetime of the pavement will be considerably increased. In this study, duration of water stay and materials properties in pavement systems and the effects of aggregate gradation, and hydraulic conductivity of the drainage rate and Effects of subsurface drainage systems, drainage and reduction in the lifetime of the pavement have been studied. The study conducted in accordance with the terms offered can be concluded as under. The more hydraulic conductivity the less drainage time and the use of sub-surface drainage system causes two to three times of the pavement lifetime. In this research it has been tried by study and calculate the drained and undrained pavements lifetime by considering the effectiveness of water and drainage coefficient on flexible materials modulus and by using KENLAYER software to compare the present value cost of these pavements has been paid for a 20 year lifetime design. In this study, 14 pavement sections have been considered, of which 7 sections have been drained and 7 other not. Results show that drained pavements have more initial costs but the failure severity is so little in them and have longer lifetime for a 20 year lifetime design, the drained pavements seem so economic. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=drainage" title="drainage">drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=base%20and%20sub-base" title=" base and sub-base"> base and sub-base</a>, <a href="https://publications.waset.org/abstracts/search?q=elasticity%20modulus" title=" elasticity modulus"> elasticity modulus</a>, <a href="https://publications.waset.org/abstracts/search?q=aggregation" title=" aggregation"> aggregation</a> </p> <a href="https://publications.waset.org/abstracts/1249/the-effect-of-proper-drainage-on-the-cost-of-building-and-repairing-roads" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/1249.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">369</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">548</span> Perception Study on the Environmental Ramifications of Inadequate Drainage Systems in Jere Local Government Area, Borno State, Nigeria</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammed%20Bukar%20Maina">Mohammed Bukar Maina</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohammed%20Alhaji%20Bukar"> Mohammed Alhaji Bukar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Flooding is a significant threat to human lives, particularly in low- and middle-income nations. This study focuses on the environmental implications of inadequate drainage systems in the Jere Local Government Area of Borno State, Nigeria. By examining community awareness, understanding, and perceived impacts of the absence of drainage systems, as well as exploring potential solutions, this research aims to address the existing knowledge gap. The study focuses on the Fori and 202/303 Quarters, chosen for their lack of drainage infrastructure and environmental challenges. Primary data was collected through questionnaires and observations supplemented by secondary sources. The findings highlight the need for increased awareness of drainage systems and the consequences of inadequate infrastructure. The community faces challenges like flooding, water-logging, contamination of drinking water, waterborne diseases, and property damage, necessitating the implementation of proper drainage systems. Recommendations include prioritizing new drainage systems, awareness campaigns, community participation, involvement of local government and leaders, and regular maintenance. Long-term planning is crucial for integrating drainage infrastructure into future development. Implementing these recommendations will establish sustainable and resilient drainage systems, mitigating environmental hazards. This research provides valuable insights for policymakers, stakeholders, and communities in addressing insufficient drainage systems and safeguarding the community's well-being. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=environment" title="environment">environment</a>, <a href="https://publications.waset.org/abstracts/search?q=drainage%20systems" title=" drainage systems"> drainage systems</a>, <a href="https://publications.waset.org/abstracts/search?q=flooding" title=" flooding"> flooding</a>, <a href="https://publications.waset.org/abstracts/search?q=lack" title=" lack"> lack</a> </p> <a href="https://publications.waset.org/abstracts/190743/perception-study-on-the-environmental-ramifications-of-inadequate-drainage-systems-in-jere-local-government-area-borno-state-nigeria" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/190743.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">26</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">547</span> Degradation Model for UK Railway Drainage System</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yiqi%20Wu">Yiqi Wu</a>, <a href="https://publications.waset.org/abstracts/search?q=Simon%20Tait"> Simon Tait</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrew%20Nichols"> Andrew Nichols</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Management of UK railway drainage assets is challenging due to the large amounts of historical assets with long asset life cycles. A major concern for asset managers is to maintain the required performance economically and efficiently while complying with the relevant regulation and legislation. As the majority of the drainage assets are buried underground and are often difficult or costly to examine, it is important for asset managers to understand and model the degradation process in order to foresee the upcoming reduction in asset performance and conduct proactive maintenance accordingly. In this research, a Markov chain approach is used to model the deterioration process of rail drainage assets. The study is based on historical condition scores and characteristics of drainage assets across the whole railway network in England, Scotland, and Wales. The model is used to examine the effect of various characteristics on the probabilities of degradation, for example, the regional difference in probabilities of degradation, and how material and shape can influence the deterioration process for chambers, channels, and pipes. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=deterioration" title="deterioration">deterioration</a>, <a href="https://publications.waset.org/abstracts/search?q=degradation" title=" degradation"> degradation</a>, <a href="https://publications.waset.org/abstracts/search?q=markov%20models" title=" markov models"> markov models</a>, <a href="https://publications.waset.org/abstracts/search?q=probability" title=" probability"> probability</a>, <a href="https://publications.waset.org/abstracts/search?q=railway%20drainage" title=" railway drainage"> railway drainage</a> </p> <a href="https://publications.waset.org/abstracts/103696/degradation-model-for-uk-railway-drainage-system" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/103696.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">221</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">546</span> Hydraulic Performance of Urban Drainage System Using SWMM: A Case Study of Siti Khadijah Retention Pond in Palembang City</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Muhammad%20B.%20Al%20Amin">Muhammad B. Al Amin</a>, <a href="https://publications.waset.org/abstracts/search?q=Nyimas%20S.%20Rika"> Nyimas S. Rika</a>, <a href="https://publications.waset.org/abstracts/search?q=Dwi%20F.%20Yanto"> Dwi F. Yanto</a>, <a href="https://publications.waset.org/abstracts/search?q=Marcelina"> Marcelina</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Siti Khadijah retention pond is located beside of Siti Khadijah Islamic Hospital on Demang Lebar Daun Street in Palembang City. This retention pond is functioned as storage for runoff from drainage channels in the surrounding area before entering Sekanak River, which is one of Musi River tributaries. However, in recent years, the developments in the surrounding area into paved area trigger to increase runoff discharge that causes the pond can no longer store it adequately. This study aimed to investigate the hydraulic performance of drainage system in the area around Siti Khadijah retention pond. A SWMM model was used to simulate runoff discharge into the pond and out from the pond, so the water level fluctuation within the pond and its capacity could be determined. Besides that, the water depth within drainage channels was simulated as well. The results showed that capacity of retention pond and some drainage channels already inadequate, so the area around it potentially to be flooded. Thus, it is necessary to increase the capacity of the retention pond and drainage channels. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=flood" title="flood">flood</a>, <a href="https://publications.waset.org/abstracts/search?q=retention%20pond" title=" retention pond"> retention pond</a>, <a href="https://publications.waset.org/abstracts/search?q=SWMM" title=" SWMM"> SWMM</a>, <a href="https://publications.waset.org/abstracts/search?q=urban%20drainage%20system" title=" urban drainage system"> urban drainage system</a> </p> <a href="https://publications.waset.org/abstracts/36591/hydraulic-performance-of-urban-drainage-system-using-swmm-a-case-study-of-siti-khadijah-retention-pond-in-palembang-city" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/36591.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">446</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">545</span> Value Engineering and Its Impact on Drainage Design Optimization for Penang International Airport Expansion</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=R.M.%20Asyraf">R.M. Asyraf</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Norazah"> A. Norazah</a>, <a href="https://publications.waset.org/abstracts/search?q=S.M.%20Khairuddin"> S.M. Khairuddin</a>, <a href="https://publications.waset.org/abstracts/search?q=B.%20Noraziah"> B. Noraziah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Designing a system at present requires a vital, challenging task; to ensure the design philosophy is maintained in economical ways. This paper perceived the value engineering (VE) approach applied in infrastructure works, namely stormwater drainage. This method is adopted in line as consultants have completed the detailed design. Function Analysis System Technique (FAST) diagram and VE job plan, information, function analysis, creative judgement, development, and recommendation phase are used to scrutinize the initial design of stormwater drainage. An estimated cost reduction using the VE approach of 2% over the initial proposal was obtained. This cost reduction is obtained from the design optimization of the drainage foundation and structural system, where the pile design and drainage base structure are optimized. Likewise, the design of the on-site detention tank (OSD) pump was revised and contribute to the cost reduction obtained. This case study shows that the VE approach can be an important tool in optimizing the design to reduce costs. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=value%20engineering" title="value engineering">value engineering</a>, <a href="https://publications.waset.org/abstracts/search?q=function%20analysis%20system%20technique" title=" function analysis system technique"> function analysis system technique</a>, <a href="https://publications.waset.org/abstracts/search?q=stormwater%20drainage" title=" stormwater drainage"> stormwater drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=cost%20reduction" title=" cost reduction"> cost reduction</a> </p> <a href="https://publications.waset.org/abstracts/122180/value-engineering-and-its-impact-on-drainage-design-optimization-for-penang-international-airport-expansion" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/122180.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">145</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">544</span> Strategic Evaluation of Existing Drainage System in Apalit, Pampanga</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jennifer%20de%20Jesus">Jennifer de Jesus</a>, <a href="https://publications.waset.org/abstracts/search?q=Ares%20Baron%20Talusan"> Ares Baron Talusan</a>, <a href="https://publications.waset.org/abstracts/search?q=Steven%20Valerio"> Steven Valerio</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper aims to conduct an evaluation of the drainage system in a specific village in Apalit, Pampanga using the geographic information system to easily identify inadequate drainage lines that needs rehabilitation to aid in flooding problem in the area. The researchers will be utilizing two methods and software to be able to strategically assess each drainage line in the village– the two methods were the rational method and the Manning's Formula for Open Channel Flow and compared it to each other, and the software to be used was Google Earth Pro by 2020 Google LLC. The results must satisfy the statement QManning > QRational to be able to see if the specific line and section is adequate; otherwise, it is inadequate; dimensions needed to be recomputed until it became adequate. The use of the software is the visualization of data collected from the computations to clearly see in which areas the drainage lines were adequate or not. The researchers were then able to conclude that the drainage system should be considered inadequate, seeing as most of the lines are unable to accommodate certain intensities of rainfall. The researchers have also concluded that line rehabilitation is a must to proceed. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=strategic%20evaluation" title="strategic evaluation">strategic evaluation</a>, <a href="https://publications.waset.org/abstracts/search?q=drainage%20system" title=" drainage system"> drainage system</a>, <a href="https://publications.waset.org/abstracts/search?q=as-built%20plans" title=" as-built plans"> as-built plans</a>, <a href="https://publications.waset.org/abstracts/search?q=inadequacy" title=" inadequacy"> inadequacy</a>, <a href="https://publications.waset.org/abstracts/search?q=rainfall%20intensity-duration-frequency%20data" title=" rainfall intensity-duration-frequency data"> rainfall intensity-duration-frequency data</a>, <a href="https://publications.waset.org/abstracts/search?q=rational%20method" title=" rational method"> rational method</a>, <a href="https://publications.waset.org/abstracts/search?q=manning%E2%80%99s%20equation%20for%20open%20channel%20flow" title=" manning’s equation for open channel flow"> manning’s equation for open channel flow</a> </p> <a href="https://publications.waset.org/abstracts/145918/strategic-evaluation-of-existing-drainage-system-in-apalit-pampanga" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/145918.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">128</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">543</span> Assessment of Drainage Water Quality in South Africa: Case Study of Vaal-Harts Irrigation Scheme</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Josiah%20A.%20Adeyemo">Josiah A. Adeyemo</a>, <a href="https://publications.waset.org/abstracts/search?q=Fred%20A.%20O.%20Otieno"> Fred A. O. Otieno</a>, <a href="https://publications.waset.org/abstracts/search?q=Olumuyiwa%20I.%20Ojo"> Olumuyiwa I. Ojo</a> </p> <p class="card-text"><strong>Abstract:</strong></p> South Africa is water-stressed being a semi-arid country with limited annual rainfall supply and a lack of perennial streams. The future implications of population growth combined with the uncertainty of climate change are likely to have significant financial, human and ecological impacts on already scarce water resources. The waste water from the drainage canals of the Vaal-Harts irrigation scheme (VHS) located in Jan Kempdorp, a farming community in South Africa, were investigated for possible irrigation re-use and their effects on the immediate environment. Three major drains within the scheme were identified and sampled. Drainage water samples were analysed to determine its characteristics. The water samples analyzed had pH values in the range of 5.5 and 6.4 which is below the normal range for irrigation water and very low to moderate salinity (electrical conductivity 0.09-0.82 dS/m). The adjusted sodium adsorption ratio values in all the samples were also very low (<0.2), indicating very low sodicity hazards. The nitrate concentration in most of the samples was high, ranging from 4.8 to 53 mg/l. The reuse of the drainage water for irrigation is possible, but with further treatment. Some suggestions were offered in the safe management of drainage water in VHS. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=drainage%20canal" title="drainage canal">drainage canal</a>, <a href="https://publications.waset.org/abstracts/search?q=water%20quality" title=" water quality"> water quality</a>, <a href="https://publications.waset.org/abstracts/search?q=irrigation" title=" irrigation"> irrigation</a>, <a href="https://publications.waset.org/abstracts/search?q=pollutants" title=" pollutants"> pollutants</a>, <a href="https://publications.waset.org/abstracts/search?q=environment" title=" environment"> environment</a> </p> <a href="https://publications.waset.org/abstracts/8288/assessment-of-drainage-water-quality-in-south-africa-case-study-of-vaal-harts-irrigation-scheme" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/8288.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">335</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">542</span> Acid Mine Drainage Remediation Using Silane and Phosphate Coatings</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=M.%20Chiliza">M. Chiliza</a>, <a href="https://publications.waset.org/abstracts/search?q=H.%20P.%20Mbukwane"> H. P. Mbukwane</a>, <a href="https://publications.waset.org/abstracts/search?q=P%20Masita"> P Masita</a>, <a href="https://publications.waset.org/abstracts/search?q=H.%20Rutto"> H. Rutto</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Acid mine drainage (AMD) one of the main pollutants of water in many countries that have mining activities. AMD results from the oxidation of pyrite and other metal sulfides. When these metals gets exposed to moisture and oxygen, leaching takes place releasing sulphate and Iron. Acid drainage is often noted by 'yellow boy,' an orange-yellow substance that occurs when the pH of acidic mine-influenced water raises above pH 3, so that the previously dissolved iron precipitates out. The possibility of using environmentally friendly silane and phosphate based coatings on pyrite to remediate acid mine drainage and prevention at source was investigated. The results showed that both coatings reduced chemical oxidation of pyrite based on Fe and sulphate release. Furthermore, it was found that silane based coating performs better when coating synthesis take place in a basic hydrolysis than in an acidic state. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=acid%20mine%20drainage" title="acid mine drainage">acid mine drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=pyrite" title=" pyrite"> pyrite</a>, <a href="https://publications.waset.org/abstracts/search?q=silane" title=" silane"> silane</a>, <a href="https://publications.waset.org/abstracts/search?q=phosphate" title=" phosphate"> phosphate</a> </p> <a href="https://publications.waset.org/abstracts/59866/acid-mine-drainage-remediation-using-silane-and-phosphate-coatings" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/59866.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">342</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">541</span> Impact of Urbanization on Natural Drainage Pattern in District of Larkana, Sindh Pakistan </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sumaira%20Zafar">Sumaira Zafar</a>, <a href="https://publications.waset.org/abstracts/search?q=Arjumand%20Zaidi"> Arjumand Zaidi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> During past few years, several floods have adversely affected the areas along lower Indus River. Besides other climate related anomalies, rapidly increasing urbanization and blockage of natural drains due to siltation or encroachments are two other critical causes that may be responsible for these disasters. Due to flat topography of river Indus plains and blockage of natural waterways, drainage of storm water takes time adversely affecting the crop health and soil properties of the area. Government of Sindh is taking a keen interest in revival of natural drainage network in the province and has initiated this work under Sindh Irrigation and Drainage Authority. In this paper, geospatial techniques are used to analyze landuse/land-cover changes of Larkana district over the past three decades (1980-present) and their impact on natural drainage system. Satellite derived Digital Elevation Model (DEM) and topographic sheets (recent and 1950) are used to delineate natural drainage pattern of the district. The urban landuse map developed in this study is further overlaid on drainage line layer to identify the critical areas where the natural floodwater flows are being inhibited by urbanization. Rainfall and flow data are utilized to identify areas of heavy flow, whereas, satellite data including Landsat 7 and Google Earth are used to map previous floods extent and landuse/cover of the study area. Alternatives to natural drainage systems are also suggested wherever possible. The output maps of natural drainage pattern can be used to develop a decision support system for urban planners, Sindh development authorities and flood mitigation and management agencies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=geospatial%20techniques" title="geospatial techniques">geospatial techniques</a>, <a href="https://publications.waset.org/abstracts/search?q=satellite%20data" title=" satellite data"> satellite data</a>, <a href="https://publications.waset.org/abstracts/search?q=natural%20drainage" title=" natural drainage"> natural drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=flood" title=" flood"> flood</a>, <a href="https://publications.waset.org/abstracts/search?q=urbanization" title=" urbanization "> urbanization </a> </p> <a href="https://publications.waset.org/abstracts/17986/impact-of-urbanization-on-natural-drainage-pattern-in-district-of-larkana-sindh-pakistan" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/17986.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">508</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">540</span> Endoscopic Treatment of Patients with Large Bile Duct Stones</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yuri%20Teterin">Yuri Teterin</a>, <a href="https://publications.waset.org/abstracts/search?q=Lomali%20Generdukaev"> Lomali Generdukaev</a>, <a href="https://publications.waset.org/abstracts/search?q=Dmitry%20Blagovestnov"> Dmitry Blagovestnov</a>, <a href="https://publications.waset.org/abstracts/search?q=Peter%20Yartcev"> Peter Yartcev</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Under the definition "large biliary stones," we referred to stones over 1.5 cm, in which standard transpapillary litho extraction techniques were unsuccessful. Electrohydraulic and laser contact lithotripsy under SpyGlass control have been actively applied for the last decade in order to improve endoscopic treatment results. Aims and Methods: Between January 2019 and July 2022, the N.V. Sklifosovsky Research Institute of Emergency Care treated 706 patients diagnosed with choledocholithiasis who underwent biliary stones removed from the common bile duct. Of them, in 57 (8, 1%) patients, the use of a Dormia basket or Biliary stone extraction balloon was technically unsuccessful due to the size of the stones (more than 15 mm in diameter), which required their destruction. Mechanical lithotripsy was used in 35 patients, and electrohydraulic and laser lithotripsy under SpyGlass direct visualization system - in 26 patients. Results: The efficiency of mechanical lithotripsy was 72%. Complications in this group were observed in 2 patients. In both cases, on day one after lithotripsy, acute pancreatitis developed, which resolved on day three with conservative therapy (Clavin-Dindo type 2). The efficiency of contact lithotripsy was in 100% of patients. Complications were not observed in this group. Bilirubin level in this group normalized on the 3rd-4th day. Conclusion: Our study showed the efficacy and safety of electrohydraulic and laser lithotripsy under SpyGlass control in a well-defined group of patients with large bile duct stones. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=contact%20lithotripsy" title="contact lithotripsy">contact lithotripsy</a>, <a href="https://publications.waset.org/abstracts/search?q=choledocholithiasis" title=" choledocholithiasis"> choledocholithiasis</a>, <a href="https://publications.waset.org/abstracts/search?q=SpyGlass" title=" SpyGlass"> SpyGlass</a>, <a href="https://publications.waset.org/abstracts/search?q=cholangioscopy" title=" cholangioscopy"> cholangioscopy</a>, <a href="https://publications.waset.org/abstracts/search?q=laser" title=" laser"> laser</a>, <a href="https://publications.waset.org/abstracts/search?q=electrohydraulic%20system" title=" electrohydraulic system"> electrohydraulic system</a>, <a href="https://publications.waset.org/abstracts/search?q=ERCP" title=" ERCP"> ERCP</a> </p> <a href="https://publications.waset.org/abstracts/159352/endoscopic-treatment-of-patients-with-large-bile-duct-stones" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/159352.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">80</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">539</span> Fluctuation of Serum Creatinine: Preoperative and Postoperative Evaluation of Chronic Kidney Disease Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chowdhury%20Md.%20Navim%20Kabir">Chowdhury Md. Navim Kabir</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Renal impairment is one of the most severe non-communicable diseases around the world. Especially patients with diagnosed/newly diagnosed renal impairment who need surgery are more focused on preoperative and postoperative preparation. Serum creatinine is the prime biochemical marker for assessing renal function, and the level of impairment is widely measured by this marker as well as Glomerular Filtration Rate (GFR). Objective: Factors responsible for fluctuating serum creatinine during preoperative and postoperative periods and minimizing the process of serum creatinine is the ultimate goal of this study. Method: 37 patients participated in this cross-sectional study who were previously diagnosed/newly diagnosed. They were admitted to different tertiary-level hospitals for emergency or elective surgery. Fifteen patients were admitted in the renal function impairment stage and 22 were admitted as normal patients’. Values of creatinine at the pre-admission stage and 2nd/3rd post-admission follow-up were compared. Results: 0.41 was the average of 22 patients' creatinine between pre-admission and 2nd/3rd follow-up. The responsible factor like prolonged staying, immobilization, co-morbidities, different preoperative antibiotics and Non-Steroidal Anti Inflammatory Drugs (NSAIDs) were also inducers for creatinine elevation. After postoperative hemodialysis rapid decrease of creatinine is seen in normal patients, but this decrease is very much minor in Chronic Kidney Disease (CKD) diagnosed patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CKD" title="CKD">CKD</a>, <a href="https://publications.waset.org/abstracts/search?q=Meropenam" title=" Meropenam"> Meropenam</a>, <a href="https://publications.waset.org/abstracts/search?q=NSAID" title=" NSAID"> NSAID</a>, <a href="https://publications.waset.org/abstracts/search?q=comorbidities" title=" comorbidities"> comorbidities</a>, <a href="https://publications.waset.org/abstracts/search?q=immobilized" title=" immobilized"> immobilized</a> </p> <a href="https://publications.waset.org/abstracts/162981/fluctuation-of-serum-creatinine-preoperative-and-postoperative-evaluation-of-chronic-kidney-disease-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162981.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">73</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">538</span> Effect of Smartphone Applications on Patients' Knowledge of Surgery-Related Adverse Events during Hospitalization</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Eunjoo%20%20Lee">Eunjoo Lee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: As the number of surgeries increases, the incidence of adverse events is likely to become more prevalent. Patients who are somewhat knowledgeable about surgery-related adverse events are more likely to engage in safety initiatives to prevent them. Objectives: To evaluate the impact of a smartphone application developed during the study to enhance patients’ knowledge of surgery-related adverse events during hospitalization. Design: Non-randomized, one group, measured pre- and post-intervention. Participants: Thirty-six hospitalized patients admitted to the orthopedics unit of a general hospital in South Korea. Methods. First, a smartphone application to enhance patients’ knowledge of surgery-related adverse events was developed through an iterative process, which included a literature review, expert consultation, and pilot testing. The application was installed on participants’ smartphones, and research assistants taught the participants to use it. Twenty-five true/false questions were used to assess patients’ knowledge of preoperative precautions (eight items), surgical site infection (five items), Foley catheter management (four items), drainage management (four items), and anesthesia-related complications (four items). Results: Overall, the percentage of correct answers increased significantly, from 57.02% to 73.82%, although answers related to a few specific topics did not increase that much. Although the patients’ understanding of drainage management and the Foley catheter did increase substantially after they used the smartphone application, it was still relatively low. Conclusions: The smartphone application developed during this study enhanced the patients’ knowledge of surgery-related adverse events during hospitalization. However, nurses must make an additional effort to help patients to understand certain topics, including drainage and Foley catheter management. Relevance to clinical practice: Insufficient patient knowledge increases the risk of adverse events during hospitalization. Nurses should take active steps to enhance patients’ knowledge of a range of safety issues during hospitalization, in order to decrease the number of surgery-related adverse events. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=patient%20education" title="patient education">patient education</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20participation" title=" patient participation"> patient participation</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20safety" title=" patient safety"> patient safety</a>, <a href="https://publications.waset.org/abstracts/search?q=smartphone%20application" title=" smartphone application"> smartphone application</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20errors" title=" surgical errors "> surgical errors </a> </p> <a href="https://publications.waset.org/abstracts/88546/effect-of-smartphone-applications-on-patients-knowledge-of-surgery-related-adverse-events-during-hospitalization" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/88546.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">245</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">537</span> The Role of Knowledge and Institutional Challenges to the Adoption of Sustainable Urban Drainage in Saudi Arabia: Implications for Sustainable Environmental Development</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ali%20Alahmari">Ali Alahmari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Saudi Arabia is facing increasing challenges in managing urban drainage, due to a combination of factors including climate change and urban expansion. Traditional drainage systems are unable to cope with demand, resulting in flooding and damage to property. Consequently, new ways of dealing with this issue need to be found and Sustainable Urban Drainage Systems (SUDS) appear to be a possible solution. This paper suggests that knowledge is a central issue in the adoption of Sustainable Urban Drainage approaches, as revealed through qualitative research with representative officials and professionals from key government departments and organisations in Riyadh. Semi-structured interviews were conducted with twenty-six participants. The interviews explored the challenges of adopting sustainable drainage approaches, and grounded theory analysis was used to examine the role of knowledge. However, a number of barriers have been identified with regard to the adoption of sustainable drainage approaches, such as the marginal status of sustainability in drainage decisions; lack of technical standards for other unconventional drainage solutions, and lack of consideration by decision makers of contributions from environmental and geographical studies. Due to centralisation, decision-making processes are complex and time-consuming, resulting in the discouragement of the adoption of new knowledge and approaches. Stakeholders with knowledge of sustainable approaches are often excluded from the hierarchical system of urban planning and drainage management. In addition, the multiplicity of actors involved in the implementation of the drainage system, as well as the different technical standards involved, often causes problems around coordination and cooperation. Although those with procedural and explicit knowledge have revealed a range of opportunities, such as a significant increase in government support for rainwater drainage in urban areas, they also identified a number of obstacles. These are mainly related to the lack of specialists in sustainable approaches, and a reluctance to involve external experts. Therefore, recommendations for overcoming some of these challenges are presented, which include enhancing the decision-making process through applying decentralisation and promoting awareness of sustainability through establishing educational and outreach programmes. This may serve to increase knowledge and facilitate the adoption of sustainable drainage approaches to promote sustainable development in the context of Saudi Arabia. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=climate%20change" title="climate change">climate change</a>, <a href="https://publications.waset.org/abstracts/search?q=decision-making%20processes" title=" decision-making processes"> decision-making processes</a>, <a href="https://publications.waset.org/abstracts/search?q=new%20knowledge%20and%20approaches" title=" new knowledge and approaches"> new knowledge and approaches</a>, <a href="https://publications.waset.org/abstracts/search?q=resistance%20to%20change" title=" resistance to change"> resistance to change</a>, <a href="https://publications.waset.org/abstracts/search?q=Saudi%20Arabia" title=" Saudi Arabia"> Saudi Arabia</a>, <a href="https://publications.waset.org/abstracts/search?q=SUDS" title=" SUDS"> SUDS</a>, <a href="https://publications.waset.org/abstracts/search?q=urban%20expansion" title=" urban expansion"> urban expansion</a> </p> <a href="https://publications.waset.org/abstracts/94792/the-role-of-knowledge-and-institutional-challenges-to-the-adoption-of-sustainable-urban-drainage-in-saudi-arabia-implications-for-sustainable-environmental-development" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/94792.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">149</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">536</span> Impact of Preoperative Physiotherapy Care in Total Hip Arthroplasty in Slovakia and Austria</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Peter%20Kutis">Peter Kutis</a>, <a href="https://publications.waset.org/abstracts/search?q=Vladimir%20Littva"> Vladimir Littva</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nowadays, it is necessary to ensure that this reduction in costs is not at the expense of the quality of health care and future medical success. In general, physiotherapy for total hip joint arthroplasty is considered to be a routine matter that deals mainly with mobility training, increased muscular strength, and basic day-to-day activities such as bed-to-chair transition, standing, and walking. Within the KEGA project no. 003KU-4-2021, we decided to investigate preoperative physiotherapy care in Slovakia and Austria in total hip arthroplasty patients to shortened overall recovery. Research Sample and Methods: The sample comprised 498 respondents –patients who were indicated to total hip arthroplasty on the territory of Slovakia and Austria. There were 130 women in Slovakia and 135 women in Austria. The numbers of men were 120 in Slovakia and 113 men in Austria. The age of respondents was between 40 and 85 years of age. As a method of our research, we chose a non-standardized questionnaire, which consisted of three parts. The first part for the initial examination of the patient contained the identification of the patient according to the assigned number and subsequently 19 questions conditioned by the physical examination and evaluation of the patients. The second part of our questionnaire was completed after the patient's hospitalization and contained 10 questions that were conditioned by the patient's examination. The last third part for the overall assessment of the patient's state of health consisted of 12 questions conditioned by the patient's examination. This part was performed at the last meeting with the patient at the end of the treatment. All data were statistically processed by SPSS 25. Results: All data were evaluated at a significance level of p = 0.05. From the comparison of patients who underwent preoperative preparation, we can clearly state that the total duration of treatment is significantly shorter. A t-test of two mean values with uneven variance was used to verify the validity of the assumption. The total duration of treatment in patients with preoperative preparation was on average 92,635 days and without preoperative preparation was on average 135,884 days (t-Stat = 44,52784, t Critical one-tail = 1,648187415, t Critical two-tail = 1,965157). Conclusion: The results obtained during the research show the importance of adequate preoperative physiotherapeutic preparation of the patient. The results of total hip joint arthroplasty studies showed a significant reduction in a hospital stay as well as shortened total treatment time. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=THA" title="THA">THA</a>, <a href="https://publications.waset.org/abstracts/search?q=physiotherapy" title=" physiotherapy"> physiotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=recovery" title=" recovery"> recovery</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20physiotherapy%20care" title=" preoperative physiotherapy care"> preoperative physiotherapy care</a> </p> <a href="https://publications.waset.org/abstracts/141859/impact-of-preoperative-physiotherapy-care-in-total-hip-arthroplasty-in-slovakia-and-austria" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/141859.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">178</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">535</span> Preoperative versus Postoperative Radiation Therapy in Patients with Soft Tissue Sarcoma of the Extremity</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=AliAkbar%20Hafezi">AliAkbar Hafezi</a>, <a href="https://publications.waset.org/abstracts/search?q=Jalal%20Taherian"> Jalal Taherian</a>, <a href="https://publications.waset.org/abstracts/search?q=Jamshid%20Abedi"> Jamshid Abedi</a>, <a href="https://publications.waset.org/abstracts/search?q=Mahsa%20Elahi"> Mahsa Elahi</a>, <a href="https://publications.waset.org/abstracts/search?q=Behnam%20Kadkhodaei"> Behnam Kadkhodaei</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Soft tissue sarcomas (STS) are generally treated with a combination of limb preservation surgery and radiation therapy. Today, preoperative radiation therapy is considered for accurate treatment volume and smaller field size. Therefore, this study was performed to compare preoperative with postoperative radiation therapy in patients with extremity STS. Methods: In this non-randomized clinical trial, patients with localized extremity STS referred to the orthopedic clinics in Iran from 2021 to 2023 were studied. Patients were randomly divided into two groups: preoperative and postoperative radiation therapy. The two groups of patients were compared in terms of acute (wound dehiscence and infection) and late (limb edema, subcutaneous fibrosis, and joint stiffness) complications and their severity, as well as local recurrence and other one-year outcomes. Results: A total of 80 patients with localized extremity STS were evaluated in two treatment groups. The groups were matched in terms of age, sex, history of diabetes mellitus, hypertension, smoking, involved side, involved extremity, lesion location, and tumor histopathology. The acute complications of treatment in the two groups of patients did not differ significantly (P > 0.05). Of the late complications, only joint stiffness between the two groups had significant statistical differences (P < 0.001). The severity of all three late complications in the postoperative radiation therapy group was significantly higher (P < 0.05). There was no significant difference between the two groups in terms of the rate of local recurrence of other one-year outcomes (P > 0.05). Conclusion: This study showed that in patients with localized extremity STS, the two therapeutic approaches of adjuvant and neoadjuvant radiation therapy did not differ significantly in terms of local recurrence and distant metastasis during the one-year follow-up period and due to fewer late complications in preoperative radiotherapy group, this treatment approach can be a better choice than postoperative radiation therapy. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=soft%20tissue%20sarcoma" title="soft tissue sarcoma">soft tissue sarcoma</a>, <a href="https://publications.waset.org/abstracts/search?q=extremity" title=" extremity"> extremity</a>, <a href="https://publications.waset.org/abstracts/search?q=preoperative%20radiation%20therapy" title=" preoperative radiation therapy"> preoperative radiation therapy</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20radiation%20therapy" title=" postoperative radiation therapy"> postoperative radiation therapy</a> </p> <a href="https://publications.waset.org/abstracts/185610/preoperative-versus-postoperative-radiation-therapy-in-patients-with-soft-tissue-sarcoma-of-the-extremity" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185610.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">44</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">534</span> An Assessment of Drainage Network System in Nigeria Urban Areas using Geographical Information Systems: A Case Study of Bida, Niger State</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yusuf%20Hussaini%20Atulukwu">Yusuf Hussaini Atulukwu</a>, <a href="https://publications.waset.org/abstracts/search?q=Daramola%20Japheth"> Daramola Japheth</a>, <a href="https://publications.waset.org/abstracts/search?q=Tabitit%20S.%20Tabiti"> Tabitit S. Tabiti</a>, <a href="https://publications.waset.org/abstracts/search?q=Daramola%20Elizabeth%20Lara"> Daramola Elizabeth Lara</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In view of the recent limitations faced by the township concerning poorly constructed and in some cases non - existence of drainage facilities that resulted into incessant flooding in some parts of the community poses threat to life,property and the environment. The research seeks to address this issue by showing the spatial distribution of drainage network in Bida Urban using Geographic information System techniques. Relevant features were extracted from existing Bida based Map using un-screen digitization and x, y, z, data of existing drainages were acquired using handheld Global Positioning System (GPS). These data were uploaded into ArcGIS 9.2, software, and stored in the relational database structure that was used to produce the spatial data drainage network of the township. The result revealed that about 40 % of the drainages are blocked with sand and refuse, 35 % water-logged as a result of building across erosion channels and dilapidated bridges as a result of lack of drainage along major roads. The study thus concluded that drainage network systems in Bida community are not in good working condition and urgent measures must be initiated in order to avoid future disasters especially with the raining season setting in. Based on the above findings, the study therefore recommends that people within the locality should avoid dumping municipal waste within the drainage path while sand blocked or weed blocked drains should be clear by the authority concerned. In the same vein the authority should ensured that contract of drainage construction be awarded to professionals and all the natural drainages caused by erosion should be addressed to avoid future disasters. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=drainage%20network" title="drainage network">drainage network</a>, <a href="https://publications.waset.org/abstracts/search?q=spatial" title=" spatial"> spatial</a>, <a href="https://publications.waset.org/abstracts/search?q=digitization" title=" digitization"> digitization</a>, <a href="https://publications.waset.org/abstracts/search?q=relational%20database" title=" relational database"> relational database</a>, <a href="https://publications.waset.org/abstracts/search?q=waste" title=" waste"> waste</a> </p> <a href="https://publications.waset.org/abstracts/32733/an-assessment-of-drainage-network-system-in-nigeria-urban-areas-using-geographical-information-systems-a-case-study-of-bida-niger-state" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/32733.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">334</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">533</span> Study on the Effect of Pre-Operative Patient Education on Post-Operative Outcomes </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chaudhary%20Itisha">Chaudhary Itisha</a>, <a href="https://publications.waset.org/abstracts/search?q=Shankar%20Manu"> Shankar Manu </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Patient satisfaction represents a crucial aspect in the evaluation of health care services. Preoperative teaching provides the patient with pertinent information concerning the surgical process and the intended surgical procedure as well as anticipated patient behavior (anxiety, fear), expected sensation, and the probable outcomes. Although patient education is part of Accreditation protocols, it is not uniform at most places. The aim of this study was to try to assess the benefit of preoperative patient education on selected post-operative outcome parameters; mainly, post-operative pain scores, requirement of additional analgesia, return to activity of daily living and overall patient satisfaction, and try to standardize few education protocols. Dependent variables were measured before and after the treatment on a study population of 302 volunteers. Educational intervention was provided by the Investigator in the preoperative period to the study group through personal counseling. An information booklet contained detailed information was also provided. Statistical Analysis was done using Chi square test, Mann Whitney u test and Fischer Exact Test on a total of 302 subjects. P value <0.05 was considered as level of statistical significance and p<0.01 was considered as highly significant. This study suggested that patients who are given a structured, individualized and elaborate preoperative education and counseling have a better ability to cope up with postoperative pain in the immediate post-operative period. However, there was not much difference when the patients have had almost complete recovery. There was no difference in the requirement of additional analgesia among the two groups. There is a positive effect of preoperative counseling on expected return to the activities of daily living and normal work schedule. However, no effect was observed on the activities in the immediate post-operative period. There is no difference in the overall satisfaction score among the two groups of patients. Thus this study concludes that there is a positive benefit as suggested by the results for pre-operative patient education. Although the difference in various parameters studied might not be significant over a long term basis, they definitely point towards the benefits of preoperative patient education.  <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=patient%20education" title="patient education">patient education</a>, <a href="https://publications.waset.org/abstracts/search?q=post-operative%20pain" title=" post-operative pain"> post-operative pain</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20outcomes" title=" postoperative outcomes"> postoperative outcomes</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20satisfaction" title=" patient satisfaction"> patient satisfaction</a> </p> <a href="https://publications.waset.org/abstracts/51642/study-on-the-effect-of-pre-operative-patient-education-on-post-operative-outcomes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51642.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">339</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">532</span> Sepiolite as a Processing Aid in Fibre Reinforced Cement Produced in Hatschek Machine</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=R.%20P%C3%A9rez%20Castells">R. Pérez Castells</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20M.%20Carbajo"> J. M. Carbajo</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Sepiolite is used as a processing aid in the manufacture of fibre cement from the start of the replacement of asbestos in the 80s. Sepiolite increases the inter-laminar bond between cement layers and improves homogeneity of the slurries. A new type of sepiolite processed product, Wollatrop TF/C, has been checked as a retention agent for fine particles in the production of fibre cement in a Hatschek machine. The effect of Wollatrop T/FC on filtering and fine particle losses was studied as well as the interaction with anionic polyacrylamide and microsilica. The design of the experiments were factorial and the VDT equipment used for measuring retention and drainage was modified Rapid Köethen laboratory sheet former. Wollatrop TF/C increased the fine particle retention improving the economy of the process and reducing the accumulation of solids in recycled process water. At the same time, drainage time increased sharply at high concentration, however drainage time can be improved by adjusting APAM concentration. Wollatrop TF/C and microsilica are having very small interactions among them. Microsilica does not control fine particle losses while Wollatrop TF/C does efficiently. Further research on APAM type (molecular weight and anionic character) is advisable to improve drainage. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=drainage" title="drainage">drainage</a>, <a href="https://publications.waset.org/abstracts/search?q=fibre-reinforced%20cement" title=" fibre-reinforced cement"> fibre-reinforced cement</a>, <a href="https://publications.waset.org/abstracts/search?q=fine%20particle%20losses" title=" fine particle losses"> fine particle losses</a>, <a href="https://publications.waset.org/abstracts/search?q=flocculation" title=" flocculation"> flocculation</a>, <a href="https://publications.waset.org/abstracts/search?q=microsilica" title=" microsilica"> microsilica</a>, <a href="https://publications.waset.org/abstracts/search?q=sepiolite" title=" sepiolite"> sepiolite</a> </p> <a 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