Is Bladder Ultrasound Indicated as Part of the Routine Investigation of Haematuria?

Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 209-213
Author(s):  
V E Purnell ◽  
S Desai ◽  
J Husain ◽  
J Dodgeon
Keyword(s):  
Prospective Study ◽  
Gold Standard ◽  
Intravenous Urography ◽  
Appointment Scheduling ◽  
Kappa Score ◽  
Time Burden ◽  
Ultrasound Findings ◽  
Group A ◽  
Bladder Pathology ◽  
A Prospective Study

Many patients presenting with haematuria undergo intravenous urography, renal tract ultrasound and cystoscopy. Renal tract ultrasound includes imaging of the bladder, which can significantly increase scan times by necessitating bladder filling, which can impact negatively on appointment scheduling. Little published literature exists on whether ultrasound of the bladder in the presence of haematuria is of any clinical benefit. This study aims to redress this by comparing bladder ultrasound to the gold standard of cystoscopy and also by assessing temporal implications in this patient group. A prospective study was undertaken where 96 consecutive urology-referred patients had their bladder ultrasound findings compared with the findings of cystoscopy under the headings of mass, trabeculation, diverticulum, stone and fistula. Ultrasound had poor sensitivity (47.8%), but good specificity (94.5%) in detecting the predefined bladder pathologies with a poor Kappa score of 0.33 when compared with cystoscopy. In addition, there was a significant time burden placed on the list by including bladder scanning as part of the renal tract sonographic assessment. In conclusion, bladder ultrasound is not shown to be a clinically useful adjunct to cystoscopy for the detection of bladder pathology. We would recommend that, in the setting of haematuria, ultrasound be used only for upper tract assessment.

scholarly journals A Prospective Study of Vitamin D Supplement in Thyroidectomy Patients Based on Relative Decline of Parathyroid Hormone

2021 ◽  
Vol 12 ◽  
Author(s):  
Qing Hao ◽  
Yun Qin ◽  
Wanjun Zhao ◽  
Lingyun Zhang ◽  
Han Luo
Keyword(s):  
Vitamin D ◽  
Parathyroid Hormone ◽  
High Risk ◽  
Prospective Study ◽  
Oral Calcium ◽  
Group A ◽  
Relative Decline ◽  
A Prospective Study ◽  
Vitamin D Supplement ◽  
Intravenous Calcium

Background: In postthyroidectomy patients, hypocalcemia is the most common complication to prolong hospital stay and decrease patients’ satisfaction. Based on current evidence, it is recommended to supply vitamin D to patients with high risk of developing hypocalcemia. However, how to stratify the risk of patients remains challenging.Aim: We conducted a prospective study to evaluate the effect of vitamin D supplement (calcitriol) on high-risk hypocalcemia patients based on relative decline of parathyroid hormone (RDP).Method: RDP was calculated by the difference between preoperative and postoperative first-day PTH divided by preoperative PTH and presented as percentage. Patients who underwent total thyroidectomy in addition to bilateral central compartment dissection were enrolled prospectively and were divided into two cohorts: Cohort I: patients with RDP ≤70% and Cohort II: patients with RDP >70%. Patients in Cohort I were then randomly assigned to Group A or B, and patients in Cohort II were randomly assigned to Group C or D. All groups received oral calcium, and patients in Groups B and D also received calcitriol. All patients were followed for one year. In the study, standard procedure dictates that only oral calcium is given to patients whose RDP ≤70% and that oral calcium and calcitriol are given to patients whose RDP >70%. Therefore, Cohort I Group A and Cohort II Group D are controls in this study.Results: The incidence of clinical hypocalcemia in Groups A and D (the controls) was 11.0% (10/91), and 17.6% (16/91) required additional intravenous calcium. Of note, no patients developed permanent hypocalcemia. Furthermore, calcitriol supplement did not have significant impact on clinical outcomes between Group A and B in Cohort I. By contrast, calcitriol supplement distinctly improved clinical outcome by comparing Groups C and D (Cohort II), as marked by clinical hypocalcemia, need of requiring intravenous calcium, and long-termed decreased levels of PTH.Conclusion: Supplying calcitriol based on RDP cutoff of 70% may be a wise practice in thyroidectomy patients, and RDP 70% may be a useful predictor to stratify high-risk patients.

scholarly journals 424: Uterocervical angle does not predict spontaneous preterm birth in either a low-risk or high-risk group: A prospective study

2018 ◽  
Vol 218 (1) ◽  
pp. S258
Author(s):  
Courtney Olson-Chen ◽  
Kam Szlachetka ◽  
Dzhamala Gilmandyar ◽  
Erica Faske ◽  
Elizabeth Fountaine ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Prospective Study ◽  
Risk Group ◽  
High Risk Group ◽  
Low Risk ◽  
Spontaneous Preterm Birth ◽  
Group A ◽  
A Prospective Study

Assessment of Osteochondral Lesions of the Talus with Ultrasonography a Prospective Study with Computed Tomography Arthrography as the Gold Standard

2020 ◽  
Vol 2 (5) ◽  
pp. 504-510
Author(s):  
Sofiane Boudahmane ◽  
Thibaut Dubreuil ◽  
Lionel Pesquer ◽  
Guillaume Cordier ◽  
Stéphane Guillo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Gold Standard ◽  
Osteochondral Lesions ◽  
A Prospective Study

scholarly journals PROSPECTIVE STUDY OF INJURIES OCCURRED DURING BRAZILIAN FOOTBALL CHAMPIONSHIP IN 2019

2021 ◽  
Vol 29 (4) ◽  
pp. 207-210
Author(s):  
GUSTAVO GONÇALVES ARLIANI ◽  
PAULO HENRIQUE SCHMIDT LARA ◽  
GABRIEL FURLAN MARGATO ◽  
DIOGO CRISTIANO NETTO ◽  
MOISÉS COHEN ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Gold Standard ◽  
Common Type ◽  
Muscle Strain ◽  
Muscle Injuries ◽  
Level Of Evidence ◽  
Mapping System ◽  
A Prospective Study ◽  
Type Of Injury

ABSTRACT Objective: To determine the incidence and risk factors for injuries that occurred during the matches of the Brazilian Football Championship. Methods: A prospective study was carried out with the collection of data referring to injuries that occurred during the 2019 Brazilian Football Championship. The injuries were recorded by the responsible physician of each team, through an online injury mapping system. Results: Among the 645 athletes who were included in the study, 214 (33.2%) of the players had at least one injury during the tournament. In total, 257 injuries were recorded during the Brazilian Championship, with an average of 0.68 injuries per game. 59.1% of the injured athletes were over 26 years old. The most common type of injury was muscle strain (37.7%) and forwards were the most affected (33.6%). Conclusion: Muscle injuries were the most frequent in the tournament, with the thigh muscles being the most affected. Most of the affected players were over 26 years old, there were 20.5 injuries for every 1000 hours of play and the incidence of injuries was approximately 33%, with attackers being the most affected (33.6%). Level of Evidence III, Study of nonconsecutive patients; without consistently applied reference “gold” standard.

scholarly journals Oral cavity swabbing for diagnosis of group a Streptococcus: a prospective study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Limor Adler ◽  
Miriam Parizade ◽  
Gideon Koren ◽  
Ilan Yehoshua
Keyword(s):  
Oral Cavity ◽  
Prospective Study ◽  
Group A Streptococcus ◽  
Group A ◽  
A Prospective Study ◽  
Streptococcus A

scholarly journals Evaluation of risk of malignancy index in adnexal masses at a tertiary hospital: a prospective study

2020 ◽  
Vol 9 (3) ◽  
pp. 922
Author(s):  
Ritanjali Behera ◽  
Paramita Pradhan ◽  
Bharati Misra
Keyword(s):  
Prospective Study ◽  
Gold Standard ◽  
Surgical Planning ◽  
Tertiary Hospital ◽  
Adnexal Masses ◽  
Medical College ◽  
Risk Of Malignancy ◽  
Risk Of Malignancy Index ◽  
The Mean ◽  
A Prospective Study

Background: The discrimination between benign and malignant adnexal masses is important in deciding clinical management and optimal surgical planning. The aim of the study was to evaluate the effectiveness of risk of malignancy index (RMI) to identify cases with high potential of ovarian malignancy at a tertiary hospital.Methods: This prospective study was conducted over a period of two years from September 2017 to August 2019 at obstetrics and gynecology department of M. K. C. G. Medical College and Hospital, Berhampur. A total case of 130 patients with adnexal masses who underwent surgical treatment were included as histopathological report was taken as gold standard to calculate accuracy of RMI.Results: Of the total masses, 85 (65.4%) were benign and 45 (34.6%) were malignant. The mean age of patients was 41.03±14 years. The best cut off value for the RMI-3 was 225 with highest area under the ROC curve 87%, sensitivity of 75.55%, specificity of 98.82%, PPV of 97.14%, NPV of 88.42% and an accuracy of 90.76%.Conclusions: The present study demonstrated that RMI was a reliable method in detecting malignant ovarian tumors. The RMI is a simple and practically applicable tool in preoperative discrimination between benign and malignant adnexal masses in non-specialized gynecologic departments, particularly in developing countries.

Continuous Ambulatory Peritoneal Dialysis with Three-Liter Exchanges: A Prospective Study

1984 ◽  
Vol 4 (2) ◽  
pp. 82-85 ◽  
Author(s):  
Donald Kim ◽  
Ramesh Khanna ◽  
George Wu ◽  
Sheila Clayton ◽  
Dimitrios G. Oreopoulos
Keyword(s):  
Prospective Study ◽  
Surface Area ◽  
Body Surface Area ◽  
Body Surface ◽  
Shortness Of Breath ◽  
Group A ◽  
Scrotal Swelling ◽  
Group B ◽  
A Prospective Study

In a prospective study all new patients entering our CAPD program were dialyzed with three-liter exchanges during the first training day and continued with this volume if they tolerated it. Of 47 new patients, 17 (36%) (Group A) tolerated three-liter exchanges, whereas the remaining 30 (Group B) were treated with 4 x two-liter exchanges per day. Group A contained 14 men and three women with an average age of 47 years and a mean body surface area of 1.7 m2. Group B had 15 men and 15 women with an average age of 52 years and a mean body surface area of 1.6 m2. The average follow-up period was 6.4 and 7.1 months respectively. In Group A, eight pa. tients continued on three-liter CAPD, six were transplanted, and three were converted to two-liter exchanges because of penile and scrotal swelling, nausea and vomiting, and shortness of breath. The two groups showed no difference in biochemical and B.P. control. The 24-hour protein losses in the dialysate were also similar. The incidence of peritonitis in Group A was one episode every 55 patient months, significantly lower (p < 0.05) than that in Group B -one episode every 14 patient months.

REVISITING SUPRACLAVICULAR ARTERY FLAP FOR HEAD AND NECK ONCOLOGIC RECONSTRUCTION.

2021 ◽  
pp. 220-222
Author(s):  
Pranay Bhandari ◽  
Ameya Bihani ◽  
Pratiksha Pawar
Keyword(s):  
Prospective Study ◽  
Head And Neck ◽  
Buccal Mucosa ◽  
Gold Standard ◽  
Donor Site ◽  
Wound Dehiscence ◽  
Donor Site Morbidity ◽  
Partial Necrosis ◽  
Pros And Cons ◽  
A Prospective Study

Background: Head and neck oncologic resections defects are often difcult to reconstruct and are time consuming. An ideal ap should have qualities of both regional and free ap. Our aim in this study is to compare pros and cons of supraclavicular artery ap in comparison to other available ap. This report is a prospective study of cases that underwent supraclavicular artery ap of which, 5 are males and 3 are females. All cases were of carcinoma of Buccal mucosa. 5 cases were completely successful with no complication. One patient had partial necrosis, o Result: ne another patient had distal marginal necrosis with wound dehiscence and one patient had pus discharge with wound dehiscence and orocutaneous stula. No signicant donor site morbidity is seen. This ap has potential to Conclusion: become gold standard in reconstruction of head and neck defects.

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