scholarly journals A Comparative Study of Rapid Salmonella‑IgM Test (Typhi-dot M) and Widal Test in the Diagnosis of Enteric Fever in a Tertiary Hospital

2018 ◽  
Vol 7 (04) ◽  
pp. 2897-2902
Author(s):  
V. Mallikarjun Rao
Keyword(s):  
Comparative Study ◽  
Enteric Fever ◽  
Tertiary Hospital ◽  
Widal Test

scholarly journals The Impact of Breast Clinic on the Mastectomy and Axillary Clearance Rates at a Tertiary Hospital in an Eastern Caribbean Nation: A Comparative Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Shariful Islam ◽  
Imran Aziz ◽  
Jitendra Shah ◽  
Jacob Oba ◽  
Patrick Harnarayan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Comparative Study ◽  
Clearance Rate ◽  
Tertiary Hospital ◽  
Breast Cancer Surgery ◽  
Breast Clinic ◽  
Oncoplastic Breast Surgery ◽  
Axillary Clearance ◽  
Retrospective Comparative Study ◽  
The Impact

Background. Breast cancer is the leading form of cancer in women in Trinidad and Tobago. Traditionally the practice of mastectomy or wide local excision with or without axillary clearance was applied to most of these patients. This is often associated with significant morbidity and a poor cosmetic outcome with both negatively impacting the patients quality of life. The aim of our study was to assess the mastectomy and axillary clearance rate before and after the introduction of a specialty breast clinic in September 2012. Design and Methods. This is a retrospective comparative study of all female patients who underwent breast cancer surgery at our tertiary hospital 3 years prior to and 3 years after starting of breast clinic (between January 2010 and December 2015). Patients were identified from the surgical log books of our hospital. There are 5 surgical units at our hospital and in one of those units the lead surgeon had a special interest in surgical oncoplastic breast surgery. That unit formed the breast clinic in August 2012. Results. There were 532 women (256 before breast clinic and 276 after breast clinic era) with histologically verified breast cancer operated on between January 2010 and December 2015. The overall mastectomy rate was reduced from 62% to 51% (0.7 to 0.4) and the axillary clearance rate from 66.79% versus 37.31% (0.6 to 0.4) after the introduction of the clinic with p values of 0.007 and 0.009, respectively. Conclusions. The introduction of breast clinic has significantly reduced the mastectomy and axillary clearance rate at our teaching hospital.

scholarly journals An investigation of the normal agglutinins for typhoid and paratyphoid bacilli in human sera in Victoria, and the interpretation of the Widal test

1938 ◽  
Vol 38 (5) ◽  
pp. 566-574 ◽  
Author(s):  
T. S. Gregory ◽  
Nancy Atkinson
Keyword(s):  
Typhoid Fever ◽  
Enteric Fever ◽  
Local Level ◽  
Widal Test ◽  
Human Sera

1. Five hundred samples of sera sent for the Wassermann test were tested for the presence of H and O agglutinins for Bact. typhosum, Bact. paratyphosum A and Bact. paratyphosum B. Histories were obtained of nearly all those persons whose sera gave H agglutination at dilutions of 1:40 or higher, or O agglutination at 1:80 or higher. It was found that at least 20 people in this series had been inoculated or had suffered from enteric fever. The remaining 480 were considered to be normal. This assumption is likely to be correct in this community where typhoid is the only enteric fever which occurs, and that rarely, and where inoculation is not commonly practised.2. The results are tabulated so as to show all the combinations of agglutinins which occurred at serum dilutions from 1:20 to 1:1280. Out of sixty-three possible combinations of agglutinins twenty-three were found to occur.3. The interpretation of the results for single agglutinins and for certain combinations of agglutinins is discussed, and also the application of these results to the diagnosis of typhoid fever in this community and enteric fever elsewhere.4. A comparison of the local “level” of normal agglutinins with that of other communities is made, and the origin of normal and co-agglutinins discussed.

scholarly journals A Comparative Study of Varieties of B. coli isolated from “Typhoid” and Normal Dejecta

1901 ◽  
Vol 1 (2) ◽  
pp. 202-213 ◽  
Author(s):  
W. H. Horrocks
Keyword(s):  
Comparative Study ◽  
Enteric Fever ◽  
Healthy People ◽  
The Other ◽  
Cultural Characteristics ◽  
Water Supplies ◽  
Healthy Men ◽  
The Third

The want of success which has so persistently attended the efforts of most bacteriologists to isolate the B. typhosus from water supplies suspected to have caused enteric fever, suggested a study of the varieties of B. coli which are associated with the B. typhosus in the dejecta of patients suffering from enteric fever. It was hoped that the organisms in question might show cultural characteristics or reactions to specific sera, which would enable them to be distinguished from the varieties of B. coli present in the dejecta of healthy people; so that even if the B. typhosus were not detected, the presence of these special organisms might afford reasonable grounds for the belief that the water under examination had been fouled by the specific dejecta of cases of enteric fever. With this object in view 150 organisms have been examined; of these 80 were isolated from the stools of cases of enteric fever and 70 from the stools of healthy men. The enteric fever cases were five in number, one being a severe relapse, and the other four severe cases which terminated fatally. The stools were obtained during the third and fourth weeks of the disease and also, in the fatal cases, from the intestines after death had occurred.

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