Publications by authors named "Sam E"

Many autistic people want to work but have trouble finding jobs they like and can stick with. Most research tries to help more autistic people get jobs, but does not look at whether those jobs are fulfilling, or how people progress once they start working. We spoke to 18 autistic people about their experiences at work, and their ideas about success at work.

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  • Typhoid fever is a major public health issue in Ghana, leading to improper antibiotic use, yet there's limited data on the reliability of the Typhidot rapid diagnostic test for confirming the disease.
  • A study conducted in Southern Ghana with 258 participants evaluated the Typhidot test against blood and stool cultures, finding it had low sensitivity (35% for blood) and specificity (45% for stool), indicating it may not accurately diagnose typhoid fever.
  • The research also revealed that most Salmonella enterica isolates came from stool samples, highlighting a chance to address typhoid transmission during acute infections, but emphasizes the need for better diagnostic methods to prevent antibiotic misuse.
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In order to prevent infectious complications following endourological procedure of upper urinary tract stones, it is essential to determine which patients are at high risk of developing this complication. We aimed to identify predictors that may cause systemic inflammatory response syndrome (SIRS) after the endourological procedure of upper urinary tract stones. Patients who underwent percutaneous nephrolithotomy (PNL), flexible ureteroscopy (F-URS), or semirigid ureteroscopy (SR-URS) in our center between January 2011 and June 2020 were evaluated retrospectively.

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  • The study explored if using a ureteral access sheath (UAS) during kidney surgery reduces the risk of acute kidney injury by measuring myo-inositol oxygenase (MIOX) levels.
  • Patients were divided into two groups: one that used the UAS and one that did not, with blood samples taken before and after surgery to assess MIOX levels.
  • Results showed no significant differences in MIOX changes between the two groups, indicating that low intrarenal pressure can be maintained without UAS, suggesting its necessity may be questioned.
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Introduction: Approximately 5% of bladder stones occur in women and are usually associated with foreign bodies or urinary stasis. Spontaneous migration of the intrauterine device (IUD) into the bladder is a rare complication. In this report, we present 2 cases of migrated IUD who had undergone surgery at our clinic due to bladder stones.

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Autism can be considered both a personal and social identity. Identifying the factors contributing to positive Autistic identity development is crucial given the potential implications for mental health and wellbeing. In this systematic review, we aimed to synthesize quantitative literature on Autistic identity to identify the (individual and environmental) factors associated with Autistic identity, and to ascertain the relationship between Autistic identity and mental health and wellbeing.

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The study focused on development of mathematical modeling and numerical simulation technique for selected heavy metal transport in Uyo municipal solid waste dumpsite in Akwa Ibom State to investigate the level in depth to which leachate from the dumpsite extends and the quantity of leachate at various depth of the dumpsite soil. Uyo waste dumpsite is operating open dumping system where provisions are not made for preservation and conservation of soil and water quality, hence, the need for this study. Three monitoring pits within Uyo waste dumpsite were constructed and infiltration runs were measured, and soil samples were collected beside infiltration points from nine designated depths ranging from 0 to 0.

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Background: To compare the models obtained with classical statistical methods and machine learning (ML) algorithms to predict postoperative infective complications (PICs) after retrograde intrarenal surgery (RIRS).

Material And Methods: Patients who underwent RIRS between January 2014 and December 2020 were retrospectively screened. Patients who did not develop PICs were classified as Group 1 and patients who developed as Group 2.

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Priapism is a rare condition in the newborn. The aim of this study was to investigate the demographic, etiologic and clinical features of neonatal priapism. We retrospectively analysed the data of 11 patients diagnosed with neonatal priapism in the neonatal intensive care unit between 2000 and 2019.

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Introduction: Considering the oncological outcomes, understanding the preoperative factors associated with and predicting advanced stage and T3a upstage will help in risk assessment and selection of the right treatment.

Material And Method: Patients with postoperative pathology of Renal Cell Carcinoma (RCC) and stage T1-2 N0M0 were included in the study. Demographic and pathological characteristics of the patients, Neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and De Ritis- the ratio of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were recorded.

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  • Premature ejaculation (PE) is a common sexual dysfunction impacting the quality of life, and this study aimed to assess the effectiveness and safety of combining biofeedback-guided pelvic floor therapy (BFT) with dapoxetine 30 mg.
  • In the study, 65 patients with lifelong PE were divided into three groups: one received BFT, one received dapoxetine, and the third received both treatments, with their ejaculatory latency times measured before and after treatment.
  • Results showed that the combination therapy significantly improved ejaculatory latency times compared to either treatment alone, indicating it is an effective option for managing lifelong PE with minimal side effects.
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Introduction: In this study, we aimed to measure the change in penile stiffness by evaluating corpus cavernosum (CC) with shear wave elastography (SWE) in patients with chronic obstructive pulmonary disease (COPD).

Material And Methods: Seventy outpatient patients aged 50-80 years who were diagnosed with COPD were evaluated using SWE. Patients were divided into 2 groups according to the International Index of Erectile Function-5 (IIEF-5) questionnaire (IIEF-5 >17: Group A, IIEF-5 <17: Group B).

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Objective: This study employs a data mining approach to discover hidden groups of crash-risk factors leading to each bus/minibus crash severity level on pothole-ridden/poor roads categorized under different lighting conditions namely daylight, night with streetlights turned on, and night with streetlights turned off/no streetlights.

Methods: The bus/minibus data employed contained 2,832 crashes observed on poor roads between 2011 and 2015, with variables such as the weather, driver, vehicle, roadway, and temporal characteristics. The data was grouped into three based on lighting condition, and the association rule data mining approach was applied.

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Purpose: To compare the effectiveness of biofeedback-assisted pelvic floor muscle training (PFMT) and PFMT alone on voiding parameters in women with dysfunctional voiding (DV).

Materials And Methods: The patients in group 1 (34 patients) were treated with biofeedback-assisted PFMT, and the patients in group 2 (34 patients) were treated with PFMT alone for 12 weeks. The 24-hour frequency, average voided volume, maximum urine flow rate (Qmax), average urine flow rate (Qave), post-void residual urine volume (PVR), and the validated Turkish Urogenital Distress Inventory (UDI-6) symptom scores were recorded before and after 12 weeks of treatment.

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Objective: It is not known to date how many patients admitted to urology outpatient clinics are willing to use telemedicine. We aimed to investigate knowledge levels and attitudes concerning the utilization of teleurology by patients applying to urology outpatient clinics.

Methods: This prospective multicentre survey study included 334 patients aged 18-65 years who applied to an urology outpatient clinics.

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Percutaneous nephrolithotomy (PNL) surgeries are performed with different patient positions, anesthesia methods and different-sized access sheaths in order to reduce the complication rates. Supine positioned PNL can be performed safely in the high-risk group patients with comorbidities. Herein, we present a patient who had a past surgical history of right pneumonectomy and underwent a supine PNL procedure under regional anesthesia for a staghorn renal stone in the right kidney.

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Objective: To investigate the effect of SARS CoV-2 on serum total PSA levels in men with BPH diagnosed with COVID-19.

Methods: The PSA (Kit: Immunoassay Program- Cycle 18, Siemens Atellica IM Analyzer) levels in patients who had had a PSA check at least 3 months, but no more than 6 months, prior to diagnosis of acute COVID-19 infection, were examined retrospectively. PSA levels were measured and recorded from these patients on the first day of diagnosis of COVID-19.

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Travel by bus is an efficient, cost-effective, safe and preferred means of intercity transport in many advanced countries. On the contrary, there is huge public sentiment about the safety records of intercity buses in low- and middle-income countries given the increasing bus-involved road traffic crashes and high fatality rates. This study sought to model the injury severity of intercity bus transport in Ghana using the random parameters multinomial logit with heterogeneity in means and variances modelling technique to account for unobserved heterogeneity in the dataset.

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Article Synopsis
  • The study examines the potential impact of testosterone levels on the severity and outcomes of COVID-19 in male patients, suggesting that lower testosterone may be linked to worse outcomes.
  • Among 358 male COVID-19 patients, those with severe cases showed significantly lower testosterone levels compared to those with mild-moderate infections, as well as lower levels in those requiring intensive care or who did not survive.
  • The findings indicate that testosterone levels could be an important factor in understanding sex-related differences in COVID-19 severity and outcomes, warranting further investigation into hypogonadism's role.
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Developing countries are primarily associated with poor roadway and lighting infrastructure challenges, which has a considerable effect on their traffic accident fatality rates. These rates are further increased as bus/minibus drivers indulge in risky driving, mainly during weekends when traffic and police surveillance is low to maximise profits. Although these factors have been mentioned in the literature as key indicators influencing accident severity of buses/minibuses, there is currently no study that explored the complex mechanisms underpinning the simultaneous effect of pavement and light conditions on the generation of accident severity outcomes while considering weekly temporal stability of the accident-risk factors.

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Radical prostatectomy (RP) is the first-line treatment modality for prostate cancer and can be performed using retropubic or minimally invasive techniques. New technologies such as the da Vinci robotic system and three-dimensional (3D) laparoscopic imaging system have been developed to overcome the challenges of conventional laparoscopy. This study aimed to compare the perioperative, oncological, and functional outcomes of robot-assisted laparoscopic RP (RALP) and 3D laparoscopic RP (3D LRP).

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Objective: In this study, we aimed to determine the factors predicting the duration and successof semirigid ureteroscopy performed for the treatment of ureteral stones in different localizations. MATERIALS AND METHODS: Medical records of the patients whom under went semirigid ureteroscopy for urolithiasis in our centre between January 2015 and December 2019 were retrospectively reviewed. The study group composed of 170 patients and divided into three subgroups; of which 54 in proximal ureter (31.

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Background: One of the underlying reasons for shock wave lithotripsy (SWL) resistance is the ureteral stone impaction. This study aimed to investigate the accuracy of the hypothesis, suggesting that SWL per se can be the reason for ureteral stone impaction.

Methods: One hundred and seventy-six patients were enrolled in the study.

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Introduction: Lactate is an easily measurable laboratory parameter that is considered a potentially useful prognostic marker for determining risk in emergency department patients. The aim of this study was to investigate the role of serum lactate in the patients who were admitted to the emergency department at the time of admission.

Methods: Patients who were admitted to the emergency department for various reasons between June 2017 and January 2018 were included in the study.

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Introduction: Penile fracture arises as a result of a unilateral or bilateral rupture of the tunica albuginea of the corpus cavernosum. It is a rare condition that requires urgent surgical intervention. In this study, we aimed to determine the effectiveness of surgical treatment in penile fracture and its effect on complications.

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