A hospital based cross sectional study of acute pancreatitis with special reference to computed tomographic evaluation

Background: All suspected cases of acute pancreatitis should undergo CT scan. It is non invasive and reliable. CT scan is able to give complete picture of acute pancreatitis. The objective of the presentMethods: The present study was hospital based. 60 cases with evidence of acute pancreatitis were included. They were studied for 3 years from June 2015 to May 2018. CT scan was performed in all cases. CT features of the pancreas were noted and described.Results: Acute pancreatitis incidence was four times more in males compared to females i.e. 80% vs. 20%. CT scan showed that pancreatic gland was normal only in 16.7% of the cases. The contour was irregular in 66.7% of the cases. Eight cases showed necrosis. Less than 30% three patients (10%) had grade A acute pancreatitis. 28 cases were showing Phlegmonous changes. In 24 cases it was observed that lesser sac was affected.Conclusions: Authors conclude that for grading and staging of the pancreatitis of acute nature, CT scan is must and is very helpful to the clinicians. CT scan helps not only in precise diagnosis but also in predicting the proper prognosis of the patients who are affected by the pancreatitis of acute in nature.

Download Full-text

Role of CT (Computed Tomography) in the Evaluation of Fungal Diseases in Paranasal Sinus

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v31i4.21002 ◽

2014 ◽

Vol 31 (4) ◽

pp. 189-193

Author(s):

T Islam ◽

SA Azad ◽

ME Karim ◽

L Khondker ◽

K Rahman

Keyword(s):

Fungal Infection ◽

Ct Scan ◽

Paranasal Sinus ◽

Predictive Value ◽

Cross Sectional Study ◽

Fungal Diseases ◽

Cross Sectional ◽

Computed Tomographic ◽

Histopathological Result

A cross sectional study carried out with patients having suspected paranasal sinus (PNS) mass during January 2009 to October 2010 to evaluate the fungal diseases in PNS by computed tomographic(CT) image and comparison of the findings of this modality with histopathological result. Among the total 76 patients, the mean age of the patients was 35.95 ± 18.24 and common complaints of the patients were nasal obstruction (73.7%) and maximum 53.9% patients had PNS mass in maxillary sinuses. Out of all cases 10 were diagnosed as having fungal infection/mass by CT scan and confirmed by histopathological evaluation. Two cases were diagnosed as having fungal infection/mass by CT scan but not confirmed by histopathological findings. Of 64 cases of other than fungal infection/mass, which were diagnosed by CT scan, six were confirmed as having fungal infection/mass and 58 were other than having fungal infection/mass by histopathology. Sensitivity of CT scan to diagnose fungal infection/mass was 62.5%, specificity 96.7%, positive predictive value 83.3%, negative predictive value 90.6% and accuracy 89.5%. CT scan of the fungal diseases in paranasal sinus provides more information and better image quality and CT diagnosis correlate well with the findings of histopathology. DOI: http://dx.doi.org/10.3329/jbcps.v31i4.21002 J Bangladesh Coll Phys Surg 2013; 31: 189-193

Download Full-text

Midline anomalies and organic psychosis: congenital or degenerative? A cross-sectional study of 62 patients with Andermann syndrome

European Psychiatry ◽

10.1017/s0924933800003035 ◽

1992 ◽

Vol 7 (3) ◽

pp. 109-113 ◽

Cited By ~ 2

Author(s):

MJ Filteau ◽

E Pourcher ◽

RH Bouchard ◽

P Baruch ◽

J Mathieu ◽

...

Keyword(s):

Early Childhood ◽

Ct Scan ◽

Cross Sectional Study ◽

Dementia Praecox ◽

Ventricular Size ◽

Sectional Study ◽

Organic Psychosis ◽

Cross Sectional ◽

Schizophrenic Patients ◽

Degenerative Processes

Brain alterations have been sought since the beginning of the century to explain the ‘dementia’ of dementia præcox. Kraepelin suggested in 1913 that it might have its internal origins in early childhood, while Southard (1915) considered likely a congenital or early acquired basis for the development of the disease. Afterwards, degenerative processes were described for decades until neurodevelopmental theories emerged recently (Lewis, 1988).Using pneumoencephalography, Jacobi and Winkler (1927) first reported that some patients with schizophrenia presented enlarged ventricles. Johnstone et al (1976, 1978), in CT-scan studies, observed an increase in mean lateral ventricular size in a group of institutionalized schizophrenic patients. This finding has been replicated by other studies (Weinberger et al, 1983) but challenged by others (Gluck et al, 1980; Jernigan et al, 1982).

Download Full-text

Role of Computed Tomography in Imaging and Classification of Acute Pancreatitis based on Revised Atlanta Classification: A 1-year Hospital-based Cross-sectional Study

International Journal of Contemporary Medicine Surgery and Radiology ◽

10.21276/ijcmsr.2018.3.2.34 ◽

2018 ◽

Vol 3 (2) ◽

Author(s):

Virupaxi. V. Hattiholi ◽

Sandhya A Yadav

Keyword(s):

Computed Tomography ◽

Acute Pancreatitis ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Download Full-text

Serotype Distribution of Streptococcus pneumoniae Carriage ‎in Six-Month-Old Infants: A Cross-sectional Study During 2017-18, Tehran, ‎Iran

Archives of Pediatric Infectious Diseases ◽

10.5812/pedinfect.112705 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Shirin Sayyahfar ◽

Abdoulreza Esteghamati ◽

Seyed Alireza Fahimzad ◽

Safura Hajisadeghi Isfahani ◽

Ali Nazari Alam ◽

...

Keyword(s):

Streptococcus Pneumoniae ◽

Multiplex Pcr ◽

Positive Culture ◽

Cross Sectional Study ◽

Sectional Study ◽

Serotype Distribution ◽

Cross Sectional ◽

Non Invasive ◽

Healthy Infants ◽

Invasive Infections

Background: Streptococcus pneumoniae is recognized as one of the main pathogens inducing several invasive and non-invasive infections in children. Objective: The present study aimed to evaluate the serotype distribution of S. pneumoniae in six–month–old carriers. Methods: This study encompassed 600 six-month-old healthy infants whose pharyngeal swap samples were collected and then cultured to isolate S. pneumoniae. Twenty- five different serotypes were defined on positive culture samples by multiplex PCR. Results: In this study, 13 cases (2.2%) were positive S. pneumonia. The most common isolated serotypes of S. pneumoniae were serotypes 23F (n = 6, 1%) and 3 (n = 3, 0.5%), respectively. Notably, the most frequent serotype in formula-fed infants (n = 300) was Serotype 23F (n = 5, 1.7%); however, Serotype 3 (n = 3, 1%) was the most frequent one in breastfed participants (n = 300). According to the findings, the overall coverage of PCV10, PCV13, and PPSV23 on the S. pneumoniae serotypes at the age of six months was 50%, 73%, and 85%, respectively. Conclusions: At this age, the type of feeding could not significantly affect the frequency rate of S. pneumoniae colonization, while the serotype distributions in the two breastfed and formula-fed groups were different.

Download Full-text

EFFECTIVE DOSE FOR RADIOLOGICAL PROCEDURES IN AN EMERGENCY DEPARTMENT: A CROSS-SECTIONAL STUDY

Radiation Protection Dosimetry ◽

10.1093/rpd/ncaa013 ◽

2020 ◽

Vol 189 (1) ◽

pp. 63-68

Author(s):

Maryam Naseri ◽

Mohammad Shahsavan ◽

Faeze Salahshour ◽

Soheil Peiman ◽

Seyed Farshad Allameh ◽

...

Keyword(s):

Emergency Department ◽

Ct Scan ◽

Effective Dose ◽

Final Diagnosis ◽

Cross Sectional Study ◽

Sectional Study ◽

Exposure Risk ◽

Cross Sectional ◽

Higher Ed ◽

Radiological Procedures

Abstract The extent of radiation exposure in emergency settings is not well documented; here, the corresponding effective dose (ED) is provided. In 500 patients admitted in row to the emergency department, ED was compared in patients according to complaints and their visiting physicians. Out of all, 220 patients aged 43.5 ± 22.2 years (admission: 2.0 ± 1.6 days) had at least an imaging. The main reasons for admission were trauma (10.5%) and then orthopedic problems (8.6%). EDs from CT and radiography were 1.66 ± 3.59 and 0.71 ± 1.67 mSv, respectively (from all 2.29 ± 4.12). Patients with abdominal (5.8 ± 5.2 mSv; p < 0.002) and pelvic (12.0 ± 6.3 mSv; p < 0.007) complaints received higher ED from CT and radiography and, also, patients visited by surgeons (7.94 ± 6.9 mSv). CT scan was the main source for ED to patients. Irrespective of the final diagnosis, patients with abdominopelvic complaints and those visited by surgeons are at higher exposure risk.

Download Full-text

Exhaled volatile substances in children suffering from type 1 diabetes mellitus: results from a cross-sectional study

Scientific Reports ◽

10.1038/s41598-019-52165-x ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 2

Author(s):

Phillip Trefz ◽

Juliane Obermeier ◽

Ruth Lehbrink ◽

Jochen K. Schubert ◽

Wolfram Miekisch ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Metabolic Control ◽

Cross Sectional Study ◽

Healthy Controls ◽

Sectional Study ◽

Cross Sectional ◽

Non Invasive

Abstract Monitoring metabolic adaptation to type 1 diabetes mellitus in children is challenging. Analysis of volatile organic compounds (VOCs) in exhaled breath is non-invasive and appears as a promising tool. However, data on breath VOC profiles in pediatric patients are limited. We conducted a cross-sectional study and applied quantitative analysis of exhaled VOCs in children suffering from type 1 diabetes mellitus (T1DM) (n = 53) and healthy controls (n = 60). Both groups were matched for sex and age. For breath gas analysis, a very sensitive direct mass spectrometric technique (PTR-TOF) was applied. The duration of disease, the mode of insulin application (continuous subcutaneous insulin infusion vs. multiple daily insulin injection) and long-term metabolic control were considered as classifiers in patients. The concentration of exhaled VOCs differed between T1DM patients and healthy children. In particular, T1DM patients exhaled significantly higher amounts of ethanol, isopropanol, dimethylsulfid, isoprene and pentanal compared to healthy controls (171, 1223, 19.6, 112 and 13.5 ppbV vs. 82.4, 784, 11.3, 49.6, and 5.30 ppbV). The most remarkable differences in concentrations were found in patients with poor metabolic control, i.e. those with a mean HbA1c above 8%. In conclusion, non-invasive breath testing may support the discovery of basic metabolic mechanisms and adaptation early in the progress of T1DM.

Download Full-text