scholarly journals Role of CT enterography in evaluation of small bowel disorders

2019 ◽  
Vol 7 (2) ◽  
pp. 537
Author(s):  
Ritu N. Misra ◽  
Sunil Kr. Bajaj
Keyword(s):  
Small Bowel ◽  
Predictive Value ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Ct Enterography ◽  
Cross Sectional ◽  
Bowel Diseases ◽  
Contrast Ct

Background: Small bowel pathologies are an enigma for clinicians and difficult to assess and evaluate for clinicians. In order to establish the efficacy of MDCT Enterography in diagnostic characterisation of small bowel lesions, the current study was undertaken.Methods: A prospective observational cross-sectional study was carried out in a tertiary care hospital. 30 patients with clinically suspected small bowel disease underwent CT enterography using iso-osmotic mannitol as neutral enteral contrast. CT enterography diagnoses were compared with clinical, surgical and histopathological results.Results: CT enterography showed a sensitivity (95.83%), specificity (100%), positive predictive value (100%), negative predictive value (85.71%), accuracy (96.66%) in diagnosis of small bowel diseases.Conclusions: CTE is a non-invasive well tolerated and reliable imaging modality for the depiction of small-bowel diseases. It provides excellent visualization of luminal, mural and extraintestinal findings.

Ultrasound Employed to Detect Breast Lumps among Symptomatic Patients in Tertiary Care Hospital

2020 ◽  
Vol 10 (4) ◽  
pp. 296-300
Author(s):  
Ameet Jesrani ◽  
Pari Gul ◽  
Nida Khan ◽  
Seema Nayab ◽  
Fahmida Naheed
Keyword(s):  
Predictive Value ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Ultra Sound ◽  
Categorical Variables ◽  
Breast Lesions ◽  
Care Hospital ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Breast Lumps

Objective: To assess different pathological breast lesions in ultra sound in a subgroup of population. Study design and setting: It was a cross sectional study conducted at Bolan Medical Complex Hospital Quetta, Pakistan from June 2018 to January 2019. Methodology: Total 103 patients with breast swelling, pain and discharge were targeted. Gray scale and Doppler Ultrasound of breast followed by FNAC/biopsy of breast lesion was performed. Data presented as mean ± standard deviation for continuous variables and frequency with percentages for categorical variables. Results: Out of 48 clinically palpable lumps US detected all of 48 lumps and additionally 12 clinically non palpable masses were detected on US examination. Thus, overall sensitivity of ultrasound in detecting breast lumps was 100%. Fibroadenoma of the breast was diagnosed accurately in 80.3% of women. Ultrasound reliably differentiated cystic from solid breast masses (100%). The sensitivity of ultrasound for detecting breast carcinoma was 63.4% with a positive predictive value of 87.5%, a negative predictive value of 99.5% and accuracy of 58.33%. US findings most suggestive of benign lesions were oval or round shape in 88.3%, well defined margin in 84%, absent lobulation in 86.04% and wider than taller ratio in 90.69% of the cases.US findings of most predictive for malignancy were of irregular shape in 81.8%, ill-defined margin in 90.9% and length to height ratio in 63.6% of cases. Conclusion: Ultrasound is simple, cheap, safe and relatively accessible imaging modality for evaluation of breast pathologies. Due to its high sensitivity in diagnosing benign breast lesions particularly cystic lesions and fibroadenoma unnecessary interventions can be avoided

scholarly journals Evaluation Of Phenotypic Methods For Detection Of Carbapenem Resistance In Isolates Of Pseudomonas Aeruginosa In A Tertiary Care Hospital

2019 ◽  
Vol 09 (03) ◽  
pp. 165-169
Author(s):  
Shaista Bakhat ◽  
Yasmeen Taj ◽  
Faisal Hanif ◽  
Muhammad Faisal Faheem
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Predictive Value ◽  
Research Study ◽  
Tertiary Care ◽  
Carbapenem Resistance ◽  
Cross Sectional Study ◽  
Routine Practice ◽  
Care Hospital ◽  
Cross Sectional ◽  
Phenotypic Methods

Objective: To assess the effectiveness of Modified Hodge test (MHT) and Modified carbapenemase inactivation method (mCIM) for detection of carbapenemase enzyme produced by Pseudomonas aeruginosa strains that code for resistance towards carbapenem. Study Design and Setting: This observational cross sectional study was carried out from January 18 to January 19 in microbiology department of PNS SHIFA Karachi. Methodology: 140 isolates of Pseudomonas aeruginosa were cultured from pus samples of hospitalized patients from different wards like ENT, Surgery, Burn Unit, Plastic Surgery, ICU, Medicine, Pediatrics and family ward. These isolates were tested carbapenem resistance by two phenotypic methods namely MHT and mCIM test. This data was analyzed by using SPSS Version 23.0. Results: In our research study mCIM method showed 100% sensitivity, 99.1% specificity, positive predictive value 96.1% and negative predictive value 100% as compare to Modified Hodge Test which gave 77% sensitivity, 99.1% specificity, 95.2% PPV and 100% NPV. Conclusion: mCIM test is simple, accurate and more reliable method for detection of carbapenemase production as compared with MHT. It is recommended, cabapenemase producing isolates should be tested as a routine practice by all clinical labs laboratory.

scholarly journals Urine analysis in KUB calculi in a tertiary care hospital

2021 ◽  
Vol 9 (7) ◽  
pp. 1950
Author(s):  
Sonti Sulochana ◽  
Jenifer Fatima ◽  
Jalavadi Rahul Siddartha ◽  
Subash Kolappan N. V.
Keyword(s):  
Urine Analysis ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Clinical Pathology ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Urine Examination ◽  
Accurate Imaging

Background: This study was conducted to study the complete urine examination in patients presented with stones in kidney ureter and bladder.Methods: A retrospective study was done in patients with KUB stones who are attended OP or admitted in Saveetha Medical College and Hospital from January 2019 to December 2019. The data was collected from the Department of Urology, Radiology and Clinical pathology and entered in excel sheet, analysed descriptively. In our study 1000 cases were found to be CT-KUB and their urine samples are examined by dipstick method, microscopic examination and computed tomography (kidney ureter bladder) remain the most accurate imaging modality to detect kidney stones and to direct management.Results: A cross-sectional study was conducted in 1000 patients with KUB stones and their urine examination was done. CT-KUB stones are found in the kidney of 540 patients, ureter- 440 patients, bladder- 20 patients respectively. In our study 17-70 years age group of patients were presented with stones and their urine examination showed RBC (30%), protein (21%), pus cells and leukocytes (26%).Conclusions: The present study found abnormal components are present in urine of KUB stone patients such as Red blood cells, Protein, Pus cells and leukocytes present. Hence it is mandatory to check the urine examination in-KUB Stone patients to prevent the further consequences in kidney, ureter and bladder.

scholarly journals Is Ultrasound a Viable Imaging Modality for the Diagnosis of Hepatocellular Carcinoma? A Cross-Sectional Study

2021 ◽  
Vol 15 (1) ◽  
pp. 9-11
Author(s):  
Reeta Rani ◽  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Predictive Value ◽  
Tertiary Care ◽  
False Negative ◽  
Cross Sectional Study ◽  
Arterial Phase ◽  
Care Hospital ◽  
Sectional Study ◽  
Mri Scan ◽  
Cross Sectional

Background: Radiologists are always questioning the use of an imagine modality as compared to the other, this study helps answer that question for the diagnosis of Hepatocellular carcinoma. Objective: To compare the use of MRI imaging technique with ultrasonography for the diagnosis of hepatocellular carcinoma. Study Design: The type of study is a Prospective Cross-Sectional study. Settings: A large tertiary care hospital in Karachi, Pakistan. Duration: One year from July 2018 to July 2019. Methodology: The inclusion criteria was all the patients who were referred to us with symptoms for concern for hepatic tumors. For the MRI we used a 1.5 tesla machine, and for the ultrasound we used a conventional grey scale ultrasonography with a probe of 5 MHz. We performed multiphasic contrast enhanced MRI’s, with images taken both before the injection of the contrast and afterwards in the various phases such as the arterial phase, portal venous phase and finally the delayed phase respectively. Results: The study population consisted of n=110 patients having a mean age of 46.5 +/- 5.50 years. There were n= 78 (70.90%) males and n= 32 (20.09%) females. N= 101 (91.81%) patients had a diagnosis of hepatocellular carcinoma as per MRI scan, for ultrasound n= 47 (42.72%) patients were diagnosed as true positive, n= 2 (1.81%) were false positive, n= 54 (49.09%) were false negative, while n= 7 (6.36%) cases were truly negative. The specificity was 77.77% the sensitivity was 46.53%, the positive predictive value was 95.91%, negative predictive value was 11.4%, and accuracy was 49.09% respectively. Conclusion: We found that the specificity of ultrasound as a diagnostic modality for hepatocellular carcinoma as compared to the MRI scan is good, however it is only able to correctly identify about half the patients, hence care should be taken when interpreting the results of ultrasound for hepatocellular carcinoma.

scholarly journals Study of the role of hysteroscopy with dilation and curettage in post- menopausal bleeding: a cross sectional study

2020 ◽  
Vol 9 (5) ◽  
pp. 1954
Author(s):  
Atul Padmawar ◽  
Ankita Khande
Keyword(s):  
Predictive Value ◽  
Tertiary Care ◽  
Abnormal Uterine Bleeding ◽  
Cross Sectional Study ◽  
Uterine Bleeding ◽  
Care Hospital ◽  
Cross Sectional ◽  
Dilation And Curettage ◽  
Post Menopausal

Background: Abnormal uterine bleeding is defined as any type of bleeding in which the duration, frequency or amount is excessive for an individual patient. Hysteroscopy has ushered a new era in the evaluation of abnormal uterine bleeding. With this background, we conducted a study to find the role of hysteroscopy with dilation and curettage in post-menopausal bleeding.Methods: It was an observational study conducted in the department of obstetrics and gynecology of a tertiary care hospital in Maharashtra. Post-menopausal patients with abnormal uterine bleeding, admitted in the period of March 2018 to September 2019 were included in the study. A pretested and predesigned questionnaire was used to collect the data. Hysteroscopy with dilation and curettage was done and samples were sent for histopathology.Results: Bleeding was present in all the 30 cases. About 33.33% had pain abdomen, 56.67% had hot flushes, 10.00% had mass and 10% had other symptoms in the present study. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of hysteroscopy in diagnosing malignancy was 75%, 96.15%, 75%, 96.15% and 93.33% respectively.Conclusions: To conclude the most common cause of abnormal uterine bleeding in post-menopausal women in our study was polyp. The sensitivity and specificity of the hysteroscopy in diagnosing the malignant lesions is 75% and 96.15% respectively which corroborated with other study findings. Hysteroscopy with dilation and curettage is better alternative to hysterectomy and biopsy in most of the cases. 

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

A Cross-sectional Study of Undiagnosed Fever in a Rural Population at a Tertiary Care Hospital of West Bengal

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  
Keyword(s):  
Rural Population ◽  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The pattern of thyroiditis in multiple sclerosis: a cross-sectional study in a tertiary care hospital in Egypt

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Nearmeen M. Rashad ◽  
Marwa G. Amer ◽  
Waleed M. Reda Ashour ◽  
Hassan M. Hassanin
Keyword(s):  
Multiple Sclerosis ◽  
Interferon Beta ◽  
Demyelinating Disease ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cmv Infection ◽  
Cross Sectional ◽  
Disease Modifying Drugs

Abstract Background Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with varied clinical features. Disease-modifying drugs (DMDs) of MS associated with different types of thyroiditis. In this cross-sectional study, we aimed to assess the prevalence of thyroid dysfunction in MS and to investigate the association between DMDs and the risk of thyroiditis in MS. A cross-sectional study included 100 patients with relapsing-remitting multiple sclerosis (RRMS) in relapse, and the diagnosed was according to revised McDonald’s criteria 2010. Results Our results revealed that the prevalence of thyroiditis was 40%; autoimmune (34%) and infective (6%) among patients with RRMS in relapse and cerebellar symptoms were significantly higher in patients with thyroiditis compared to patients without thyroiditis. Regarding the association between DMDs and thyroiditis, the prevalence of patients treated with interferon-beta-1b was higher in MS patients with thyroiditis compared to MS patients without thyroiditis. However, the prevalence of patients treated with interferon-beta-1a was lower in MS patients with thyroiditis compared to MS patients without thyroiditis. In addition, we found CMV infection was more common in patients treated by interferon beta-1b and candida infection was common in patients treated by fingolimod. Conclusions Thyroiditis is commonly observed in patients with RRMS in relapse and higher prevalence of patients treated with interferon-beta-1b which is commonly associated with thyroiditis and CMV infection; however, candida thyroid infection was common in MS patients treated by fingolimod.

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