Taking the Fear Out of Investigations

1981 ◽  
Vol 6 (1) ◽  
pp. 12-13
Author(s):  
Paul L. Sprague
Keyword(s):  
Medical Student ◽  
Teaching Hospital ◽  
Renal Damage ◽  
Radiology Department ◽  
X Ray ◽  
Urinary Infections ◽  
Large Teaching Hospital ◽  
Examination Room

In 1970 a medical student walked out of an examination room in a Radiology Department of a large teaching hospital saying, “I think that is barbaric, holding down a screaming child to have a bladder x-ray”. At the time I thought she was over-reacting. After all, the child needed to have an x-ray examination of the bladder (MCU) and a kidney x-ray (IVP) to assess whether there were any organic abnormalities predisposing her two urinary infections with possible renal damage.Some time later a mother returned to her referring paediatrician with a very distorted account of what had happened to her three year old daughter undergoing an x-ray examination of the bladder and kidneys.

scholarly journals Are Routine Postoperative X-rays Needed Following Surgery for Hallux Valgus? An Evaluation of their Use After Scarf Osteotomy

2007 ◽  
Vol 89 (3) ◽  
pp. 281-284 ◽  
Author(s):  
Richard J Murphy ◽  
Christopher M Blundell
Keyword(s):  
Hallux Valgus ◽  
Teaching Hospital ◽  
Retrospective Data ◽  
X Rays ◽  
X Ray ◽  
Orthopaedic Surgeons ◽  
Scarf Osteotomy ◽  
Standard Management ◽  
Large Teaching Hospital

INTRODUCTION Postoperative X-rays, following a scarf osteotomy, are generally carried out as routine. The aim of this study was to assess the value of performing such investigations. PATIENTS AND METHODS Retrospective data were collected regarding all scarf osteotomies performed by three consultant orthopaedic surgeons at a large teaching hospital. A review of routine postoperative X-rays was carried out. RESULTS A total of 274 scarf osteotomies were included in the study. Of these, 95% were followed by at least one routine postoperative X-ray. In total, 412 X-rays were performed of which 11% were not commented upon by a radiologist or a surgeon. Of the X-rays with comments from both specialists, only one case was reported as abnormal by both radiologist and surgeon, with no change in management made as a result of these reports. In two cases, changes to standard management were made on the basis of the routine postoperative X-rays and only one of these was implemented solely on the basis of the routine postoperative images. CONCLUSIONS The value of postoperative X-rays following a scarf osteotomy is questionable. We propose, on the basis of this study, that, unless clinically indicated, the routine use of postoperative X-rays following a scarf osteotomy should be abandoned.

scholarly journals Patients and Patients’ Relatives Perception of Cleanliness in Radiology Department of a Nigerian Teaching Hospital

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mohammed Abacha ◽  
Isah Mustapha Nma ◽  
Sadiq Abubakar Audu ◽  
Abubakar Umar ◽  
Mohammed Dahiru ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Hospital Environment ◽  
Radiology Department ◽  
X Rays ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Examination Room

Background: Cleanliness and dirt are a dichotomy to categorize a particular environment especially hospital settings in which cleanliness pave a great linkage to patient satisfaction on quality of care and reduction of infection. Dirt creates negative thought on the quality of services being rendered to patients in the hospital environment. Objectives: To assess the perception of patients and their relatives on the level of cleanliness in radiology department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto and to determine which amongst the diagnostic rooms is the cleanest (Computed Tomography (CT) room, Routine X-rays room or contrast exams room (fluoroscopy)). Materials and Method: A descriptive cross-sectional study was conducted, 100 questionnaires were distributed to the respondents of which 66 in Routine xray room, 23 in CT suit and 11 in contrast examination room. Out of the 100 questionnaires nine were not returned and the remaining 91 were analysed. The questionnaire contains fifteen statements in total apart from the socio-demographic component. The count of responses was considered and for each type of response (SA, A, N, D, and SD) the percentage were calculated using statistical package for social sciences (SPSS) version 23.0. Results: Sixty percent of the respondents were patients while 40% were relatives of patients that were critically ill. The modal age range of the respondents was 25-34years, 58% were married, while 48.4% were civil servants. The result of our study shows that the respondents have adequate knowledge on cleanliness with a mean score of 4.3, they perceived radiology department as a clean environment for diagnosis and visitation but need further improvement. According to the findings, CT room was the cleanest (87.0%) followed by contrast examination room 64.0% and routine X-rays room was the least 47.0%. It also revealed that lack of manpower is the cause of inadequate sanitation. Conclusion: Radiology Department in Usmanu Danfodiyo University Teaching Hospital is clean and the CT suit is the cleanest.

scholarly journals Hematological changes after Röntgenray exposure in radiologic technologists

2021 ◽  
Vol 25 (2) ◽  
pp. 526-531
Author(s):  
Govand Tawfeeq ◽  
Rawaz Tawfeeq ◽  
Aram Ommar ◽  
Shakar Ali
Keyword(s):  
Oxidative Stress ◽  
Teaching Hospital ◽  
Blood Cells ◽  
White Blood Cells ◽  
The Body ◽  
Radiology Department ◽  
Control Group ◽  
Convenience Sample ◽  
X Ray ◽  
Radiologic Technologists

Background and objective: In view of the known health hazards of X-ray radiation, this study focuses on the outlined effect of prolonged accidental or work-related Röntgenray exposure to hematological parameters such as red blood cells (RBCs), white blood cells (WBCs), platelets count as well as serum malondialdehyde (MDA) and glutathione in X-ray technicians. Methods: In this cross-sectional study with a comparison group, blood samples were collected over six months period from X-ray technician assistants across Rizgary teaching hospital, maternity teaching hospital, Nanakaly hospital, Erbil teaching hospital, Ashty hospital, Hundreen hospital, and Harem hospital. A convenience sample was chosen for collecting subjects exposed to X-ray at the radiology department in the hospitals mentioned above. The results were analyzed and compared with a second control group of healthy unexposed individuals. Results: It was determined that prolonged Röntgenray exposure could lead to an increase in the amount of oxidative stress as denoted by the decrease in the levels of reduced glutathione in the plasma of our test subjects. Conclusion: Although there were changes in the mean levels of plasma RBC, WBC, platelets, and malondialdehyde, the differences of these parameters between the two groups were not significant statistically. However, there was a significant reduction in glutathione levels in plasma samples of the subjects, indicating elevated oxidative stress levels within the body. Keywords: X-ray; Blood cells; Malondialdehyde; Glutathione.

scholarly journals Screening for Tuberculosis in Health Care Workers: Experience in an Italian Teaching Hospital

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Christian Napoli ◽  
Filippo Ferretti ◽  
Filippo Di Ninno ◽  
Riccardo Orioli ◽  
Alessandra Marani ◽  
...  
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Health Care Workers ◽  
Screening Tests ◽  
Specificity And Sensitivity ◽  
Large Teaching Hospital ◽  
Care Workers ◽  
Low Incidence ◽  
Positive Results

Health care workers (HCW) are particularly at risk of acquiring tuberculosis (TB), even in countries with low TB incidence. Therefore, TB screening in HCW is a useful prevention strategy in countries with both low and high TB incidence. Tuberculin skin test (TST) is widely used although it suffers of low specificity; on the contrary, the in vitro enzyme immunoassay tests (IGRA) show superior specificity and sensitivity but are more expensive. The present study reports the results of a three-year TB surveillance among HCW in a large teaching hospital in Rome, using TST (by standard Mantoux technique) and IGRA (by QuantiFERON-TB) as first- and second-level screening tests, respectively. Out of 2290 HCW enrolled, 141 (6.1%) had a positive TST; among them, 99 (70.2%) underwent the IGRA and 16 tested positive (16.1%). The frequency of HCW tested positive for TB seems not far from other experiences in low incidence countries. Our results confirm the higher specificity of IGRA, but, due to its higher cost, TST can be considered a good first level screening test, whose positive results should be further confirmed by IGRA before the patients undergo X-ray diagnosis and/or chemotherapy.

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