scholarly journals Assessment of Radiation Leakage from Diagnostic Rooms of Radiology Department of a Teaching Hospital in Kano, Northwestern Nigeria

2020 ◽  
Vol 8 (1) ◽  
pp. 135-143
Author(s):  
Joseph Zira ◽  
Uba Zikirullahi ◽  
Idris Garba ◽  
Mohammed Sidi ◽  
Mohammed Umar ◽  
...  
2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mohammed Abacha ◽  
Isah Mustapha Nma ◽  
Sadiq Abubakar Audu ◽  
Abubakar Umar ◽  
Mohammed Dahiru ◽  
...  

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.


2018 ◽  
Vol 08 (04) ◽  
pp. 299-306
Author(s):  
J. Owusu-Banahene ◽  
E. O. Darko ◽  
D. F. Charles ◽  
A. Maruf ◽  
I. Hanan ◽  
...  

1981 ◽  
Vol 6 (1) ◽  
pp. 12-13
Author(s):  
Paul L. Sprague

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.


Author(s):  
Dhara Patel ◽  
Ajita Pillai ◽  
Farah Kausar

Background: Contrast agents have long been used for the imaging of anatomic boundaries and to explore normal and abnormal findings in X-ray based imaging technique. These agents are not completely devoid of risk. Adverse effects from administration of contrast media vary from minor physiological disturbance to rare life threatening situation.Methods: A cross-sectional retrospective observational study over one-year duration from 1st August 2015 to 31st July 2016 was conducted at radiology department of a Pandit Deendayal Upadhyay Government Medical College and Teaching hospital, Rajkot, Gujarat. Adverse drug reactions were analyzed to study the nature of reactions caused by iodinated contrast agents. The temporal relationship of time of administration of contrast agents to the occurrence of adverse reaction was analyzed and classified as immediate or delayed type of reaction.Results: Out of 868 patients that were analysed 15 out of 497 male patients and 11 out of 371 female patients developed adverse reaction. Age range of patients that developed reactions was 20-55 years. Most common adverse drug reaction occurred in our study was nausea and vomiting which was treated by parenteral Ondansetron. All the reactions were found to be ‘probable’ in causality as per WHO causality assessment scale and Naranjo’s algorithm.Conclusions: Physicians performing diagnostic or therapeutic procedures with contrast agents must be aware of the risk, preventability & treatment so that reactions can be prevented. Sensitization of physicians is required to increase reporting of adverse drug reactions occurred due to radiocontrast agents.


2020 ◽  
Vol 34 (1) ◽  
pp. 29-36
Author(s):  
F U Idigo ◽  
N I Chijioke ◽  
A C Anakwue ◽  
U B Nwogu

Background: Quality of service, as perceived by patients in any healthcare facility is to a great extent, dependent on the waiting time. Reducing patients' waiting time increases patients' satisfaction and improves system efficiency. Purpose: To measure and analyze the waiting time of patients at the service points in the ultrasound unit of a Nigerian tertiary hospital and to determine the mean examination time for the different ultrasound investigations carried out. Methods: This prospective cross-sectional study was carried out in the ultrasound unit of the Radiology department at the University of Nigeria Teaching Hospital (UNTH) Ituku/Ozalla, Enugu. The waiting and examination times of patients were measured directly through observation of system operations. The waiting time at the various service points identified as costing, update, payment and examination were recorded. Mean, range and standard deviation of waiting and service times formed the descriptive statistics for the. For inferential statistics, ANOVA test was carried out to test for significance in the different service point waiting times, and the different examination times for the different investigations. Results: Mean waiting time was 3 hours 31 seconds and average exam time was 26 minutes 31 seconds. Analysis of variance on the service point where patients wait the most showed that the point after making the payment was the most significant. There was no significant difference found in the amount of time spent on different examinations (P < 0.05). Conclusion: Timely delivery of services is of optimum importance, considering the need for patient-centred service. With the information provided on the waiting time at the different service points in a typical teaching hospital ultrasound unit, departmental managers will be guided in the planning of the departmental operations, to enhance patient satisfaction and system efficiency.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Sidra Saeed ◽  
Abdul Majid ◽  
Zeenat Adil ◽  
Mahnoor Rehman ◽  
Anisa Sandal ◽  
...  

Background: Post-anticancer chemotherapy changes in lung parenchyma is an important and challenging aetiology for radiologists presenting not uncommonly in cancer patients. Early diagnosis of post-chemotherapy lung toxicity have serious implications on patient's health.Objective: To evaluate post-chemotherapy cancer patients for pulmonary toxicity and establish their association with frequency of chemotherapy cycles and time lapse since last cycle.Material and Methods: This retrospective study was conducted in Kuwait teaching Hospital from January 2018 till December 2018. A total of 204 patients were evaluated with age ranging from 3 to 78 years including 63 male and 141 female patients. Chest CT scan had been done on16 slice Toshiba CT scanner in Radiology department of Kuwait Teaching Hospital. Images were evaluated in axial, coronal and sagittal planes and in lung and soft tissue window on workstation. Data like patient age ,gender , malignancy , number of chemotherapy cycles received , time lapse since last chemotherapy cycle, common CT manifestations of lung toxicity and CT lung findings unrelated to chemotherapy regimens ;was collected and subjected to statistical analysis. Results: Out of the total 204 patients, who already had anticancer therapy, 135 patients (66.2%) did not show any pulmonary abnormality on CT chest . 11 patients (5.4%) showed chemotherapy related pulmonary findings on CT. 46 patients (22.5%) showed CT chest findings which were incidental and irrelevant to chemotherapy.12 patients (5.9%) had both chemotherapy related pulmonary toxicity changes and incidental findings. The types of post chemotherapy CT lung changes were divided into ground-glass haze, ground glass haze with bronchiectasis, ground glass haze with septal thickening giving crazy paving appearance, patches of consolidation and reticular thickening. 10 patients had sole finding of ground glass haze only (43.5%) whereas 4 patient showed ground glass haze with bronchiectatic changes(17.4 %) and 2 patients depicted a crazy paving appearance (8.7%). Significant association (p=0.00) was noted between number of chemotherapy cycles and above mentioned CT lung findings .No positive correlation was present between time lapse since last chemotherapy cycle and these CT lung findings. Conclusion: Ground glass attenuation was found to be the most profounding feature of post chemotherapy lung CT changes.


Gut ◽  
1999 ◽  
Vol 44 (1) ◽  
pp. 123-126 ◽  
Author(s):  
C P Jamieson ◽  
E R E Denton ◽  
W R Burnham

Aims(1) To establish whether gastroenterologists wish to train in abdominal ultrasound according to the Royal College of Radiologists’ document,Guidance for the training in ultrasound of medical non-radiologists. (2) To determine whether the ultrasound workload generated by gastroenterologists differs from that by other clinicians.MethodsA postal questionnaire was sent to all 278 gastroenterology trainees. The indications and findings of 100 consecutive gastroenterologist requested scans were compared with 100 scans requested sequentially by other clinicians through a teaching hospital radiology department.Results82% of the survey forms were returned. 77% of trainees wished to train in abdominal ultrasound and 68% were prepared to train in the manner outlined in the guideline document. However, 86% felt that they would ideally prefer not to assess renal or pelvic pathology, restricting to hepatobiliary diagnosis only. 73% of trainees did not anticipate that a further scan by a radiologist would be required. Comparison of gastroenterology scans with those requested by other clinicians revealed a relative excess of hepatobiliary indications and findings, and a notable paucity of renal and pelvic pathology in gastroenterology practice.ConclusionsThere is general interest in abdominal ultrasound training among gastroenterology trainees and broad acceptance of the guideline document. However, most trainees perceive a focus of training restricted to hepatobiliary disease to be most appropriate. The case mix study provides support for this viewpoint. It is suggested that a more focused ultrasound training for gastroenterologists be considered.


2021 ◽  
Vol 16 (1) ◽  
pp. 115-119
Author(s):  
Ayeshna Gurung ◽  
Reetu Baral ◽  
Binit Koirala ◽  
Suman Kumar Shrestha

Aims: To analyze the Chest CT Scan and association of the severity score with the serum biomarkers D- dimer, C-reactive protein (CRP), Lactate dehydrogenase (LDH) and Ferritin levels. Methods: This is a retrospective study done from the database of Department of Radiology and Department of Pathology at Nobel medical college and teaching hospital during the peak of the second wave of the pandemic from 1st April 2021 to 31 st May 2021. Data for the Chest CT scan and lab parameters were analyzed and correlated. Ethical approval was obtained from the Institutional review committee of Nobel Medical College and Teaching Hospital. Descriptive statistical analysis was performed. Results: A total of 263 cases of Chest CT scan were done in 2 months period who were diagnosed as cases of COVID 19. In this study the severity and scores were taken from the database in the Radiology department. The lab parameters like D-dimer, CRP, LDH and Ferritin levels were studied from the database in the lab. Age of the patients ranged from 19 to 89 years with maximum cases 68 (25.8%) seen in the age group of 50-59 years. According to the chest CT Scan the severity score was in between 11-15 in 92 (48.3%) cases. Fifty six cases showed abnormal levels of D-dimer, Ferritin, CRP and LDH. D-dimer was raised in 26 (46.4%), LDH was raised in 48 (87.2%) while Ferritin and CRP was also raised in all 56 cases. Conclusions: There was a positive correlation between the biomarkers and the Chest CT severity score. The severity of the disease with involvement of the lungs can be estimated by correlating with the lab parameters.


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