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Fulltext Anticipating Urinary Retention Following Total Hip and Total Knee Replacements

Hamed Y, Ramesh A, Taylor R, Michaud R

Malays Orthop J, 2020 Nov;14(3):110-113.
PMID: 33403070 DOI: 10.5704/MOJ.2011.017

Introduction: Urinary retention is a widely recognised postoperative complication. Although anecdotally lower limb arthroplasty is linked with high rates of urinary retention, there are no current accepted standards for determining which patients are at higher risk and should therefore be offered intra operative catheterisation.
Materials and Methods: One hundred patients, 55 females and 45 males, who underwent uncomplicated total hip or total knee replacements at Furness General Hospital were recruited between January and April 2017.
Results: Post-operative urinary retention was seen frequently, with 38 patients (38%) requiring post-operative catheterisation. Twenty-one males (46%) developed postoperative retention compared to 17 (30%) of females, representing a statistically significant increase in risk seen in male patients. (p 0.009). Post-operative urinary retention requiring catheterisation was associated with increasing age, with those over 75 years having a significantly higher risk than those less than 75 years irrespective of gender (p 0.04). There was no significant difference in urinary retention rates between patients who had general (n=21) or spinal anaesthetic (n=79) with 33% of GA patients and 39% of spinal anaesthetic patients requiring catheterisation (p 0.17).
Conclusion: There are increased rates of urinary retention seen in lower limb arthroplasty patients than those described in the general surgical population, with male patients and all those over 75 years of age having a significantly higher risk. Clinically, it may therefore be sensible to consider offering routine intra operative catheterisation to this cohort of patients.
Fulltext Soret and Dufour effects on MHD squeezing flow of Jeffrey fluid in horizontal channel with thermal radiation

Mat Noor NA, Shafie S, Hamed YS, Admon MA

PLoS One, 2022;17(5):e0266494.
PMID: 35587920 DOI: 10.1371/journal.pone.0266494

The fluid flow with chemical reaction is one of well-known research areas in the field of computational fluid dynamic. It is potentially useful in the modelling of flow on a nuclear reactor. Motivated by the implementation of the flow in the industrial application, the aim of this study is to explore the time-dependent squeeze flow of magnetohydrodynamic Jeffrey fluid over permeable medium in the influences of Soret and Dufour, heat source/sink and chemical reaction. The presence of joule heating, joule dissipation and radiative heat transfer are analyzed. The flow is induced due to compress of two surfaces. Conversion of partial differential equations (PDEs) into ordinary differential equations (ODEs) is accomplished by imposing similarity variables. Then, the governing equations are resolved using Keller-box approach. The present outcomes are compared with previously outcomes in the literature to validate the precision of present outcomes. Both outcomes are shown in close agreement. The tabular and graphical results demonstrate that wall shear stress and velocity profile accelerate with the surfaces moving towards one another. Moreover, the concentration, temperature and velocity profiles decreasing for the increment of Hartmann numbers and Jeffrey fluid parameters. The impacts of heat generation/absorption, joule dissipation and Dufour numbers enhance the heat transfer rate and temperature profile. In contrast, the temperature profile drops and the heat transfer rate boosts when thermal radiation increases. The concentration profile decelerates, and the mass transfer rate elevates with raise in Soret number. Also, the mass transfer rate rises for destructive chemical reaction and contrary result is noted for convective chemical reaction.

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