Urgent surgery – the role of computed tomography

2019 ◽  
Vol 22 (6) ◽  
pp. 59-68
Author(s):  
A. V. Arablinskiy ◽  
V. B. Rumer
Keyword(s):  
Computed Tomography ◽  
Acute Abdomen ◽  
Radiology Department ◽  
Hollow Viscus ◽  
Female Ratio ◽  
Urgent Surgery ◽  
Short Time ◽  
Male To Female

Introduction.Acute abdomen is a complex condition that demands urgent diagnostics and treatment.The proposeof the study based on data we got in the Radiology Department of S.P. Botkin Municipal Clinical Hospital is to evaluate the role of computed tomography in acute abdomen diagnostics.Materials and methods. 637 acute abdomen patient`s data were retrospectively analyzed, provided in the term from January 2017 to January 2018. The average age was 53 years old, from 18 to 98 y.o. Male to female ratio was 1:1,51, male – 383, female – 254. Inclusion criteria was acute abdomen clinical presentation.Results.The most frequently seen conditions were ileus – 226 cases (35.5%), acute pancreatitis/pancreonecrosis – 185 cases (29%), ureteral occlusion with stones – 83 cases (13%), blunt abdominal trauma – 57 cases (9%), renal abscesses and inflammation diseases – 56 cases (9%). Liver abscesses – 13 cases (2%), mesenteric ischemia – 10 cases (1.5%), acute appendicitis – 4 (0,5%), aortic dissection – 2 cases (0,3%), hollow viscus perforation – 1 case (0.2%).Conclusion.CT with high accuracy and in a short time identify the reason of acute abdomen in all shown cases that highly improve the quality of medical management.

scholarly journals Role of Multi Detector Computed Tomography Cervicocerebral Angiography in Evaluation of Patients with Stroke

2020 ◽  
Vol 8 (1) ◽  
pp. 93-99
Author(s):  
Balaji Varaprasad Mallula ◽  
Jithender Reddy Chintala ◽  
Srinadh Boppanna ◽  
S. Annapurna
Keyword(s):  
Prospective Observational Study ◽  
Hemorrhagic Stroke ◽  
Accurate Diagnosis ◽  
Age Group ◽  
Common Risk Factor ◽  
Female Ratio ◽  
The World ◽  
Male To Female ◽  
Multi Detector Computed Tomography

Background: Stroke is the second single most common cause of death in the world causing approximately 6.7 million deaths each year. It has a greater disability impact on an individual than any other chronic disease. The aim of the study is to review the value of CTA in detection and evaluation of non-traumatic cervicocerebral vascular disease (stroke). Subjects & Methods: A prospective observational study conducted in the Department of Radiodiagnosis, Kamineni Hospitals, L.B. Nagar, Hyderabad over 60 patients during April 2016 to May 2017. Results: Out of 60 patients, 35(58.3%) patients had ischemic stroke, 25(41.6%) had hemorrhagic stroke. Overall stroke was seen mostly in the age group of 61-70 (28.3%) years, with a Male to female ratio of 3:2. Conclusion: Hypertension was the most common risk factor associated with this disease, followed by diabetes. CTA helps in accurate diagnosis, risk stratification and planning management protocols.

scholarly journals Management of Adult Renal Tumours: Review of Nine (9) Years Experience

2020 ◽  
Vol 2 (5) ◽  
Author(s):  
Ngwobia Peter Agwu ◽  
Abdullahi Khalid ◽  
Uzodimma Ejike Onwuasoanya ◽  
Abdullahi Abdulwahab-Ahmed ◽  
Abubakar Sadiq Muhammad ◽  
...  
Keyword(s):  
Late Presentation ◽  
Molecular Therapy ◽  
Female Ratio ◽  
Review Period ◽  
Urological Malignancies ◽  
Clinical Presentations ◽  
Renal Tumours ◽  
Male To Female ◽  
Management Challenge

Background: Renal tumours appear to be relatively uncommon in our routine urological practice compared to other urological malignancies of bladder and prostate origins. Their presentations are often late despite increasing availability and affordability of routine imaging modalities for early detection. This therefore poses management challenge in our environment. This study aims to review our 9-year experience with the management of renal tumours at the Urology Unit of a tertiary health facility in North-western Nigeria Methodology: A retrospective review of 20 patients managed for renal tumour at our facility from September 2009 to August 2017. Data of all adult patients managed for renal tumours was retrieved and analyzed using SPSS 20.0 version for windows. The results were presented in percentages and mean ± SD as well as charts. Results: Twenty (20) patients were managed for renal tumours during the review period. The mean age of patients was 39.94 ± 12.19 years with median of 35 years and male to female ratio of 1:2. Nineteen (19) patient (95%) and 1(5%) had malignant and benign renal tumours respectively. Clinical presentations were flank mass seen in 18 patients (90%), flank pain 16 (80%), haematuria 10(50%), cough 2(10%), and pleural effusion 2(10%). Only clinical stages III and IV tumour were seen. 70% were clear cell variety while 5% was angiomyolipoma. Sixteen (80%) of patients had radical nephrectomy and two (10%) with inoperable tumour benefited from targeted molecular therapy preoperatively using Sorafenib. Conclusion: Late presentation of patients with renal tumours to our facility despite the availability of imaging facilities such as ultrasound scanning is still the norm. This makes surgery which offers best chance of survival and quality of life difficult and challenging. Targeted therapy using sorafenib, if available and affordable in our environment will be useful in management of patients with inoperable tumours.

scholarly journals Review of the Guidelines For Radiology Practice During COVID -19 Pandemic by Nepal Radiologists’ Association

2020 ◽  
Vol 10 (1) ◽  
pp. 38-45
Author(s):  
Anamika Jha ◽  
Sundar Suwal ◽  
Dan Bahadur Karki ◽  
Ram Kumar Ghimire
Keyword(s):  
Computed Tomography ◽  
Virus Disease ◽  
Clinical History ◽  
Radiology Department ◽  
Medical Council ◽  
X Ray ◽  
Safety Issues ◽  
Chest X Ray ◽  
Diagnostic Modalities

Nepal is also affected by Corona Virus Disease (COVID-19) pandemic which is likely to last for several months. The Reverse Transcriptase-Polymerase Chain Reaction is the current gold standard diagnostic test. Chest X-ray or Computed Tomography scan is considered inappropriate according to most society recommendations for screening though are emerging as frontline diagnostic modalities in conjunction with clinical history and laboratory parameters.Multiple guidelines have been released by prominent radiological societies worldwide to facilitate preparedness of radiology department in the war against COVID-19. Based on these, the Nepal Radiologists’ Association has proposed its guidelines, endorsed by the Nepal Medical Council, practical in our context, with the aim to limit exposure to the infection while ensuring best use of imaging, protection of health care personnel and other patients and maintenance of uninterrupted radiology department operations.This review article aims to summarize the highlights from various guidelines focusing on role of chest X-ray and Computed Tomography including the indications, specific findings, reporting format and important differentials and also addresses the safety issues.

scholarly journals Role of air way stenting (Duman- silica stent) in benign stricture trachea management

2019 ◽  
Vol 6 (1) ◽  
pp. 71
Author(s):  
Kiran Grandhi ◽  
Jayasri Helen Gali ◽  
Kokiwar P. R.
Keyword(s):  
Ventilatory Support ◽  
Mechanical Ventilatory Support ◽  
Benign Stricture ◽  
Female Ratio ◽  
Phosphorus Poisoning ◽  
Female Case ◽  
Male To Female ◽  
Tracheal Stricture

Background: Tracheal strictures are known to recur after dilatation, so they need stenting to prevent recurrence. The objective was to study role of air way stenting (Duman- silica stent) in benign stricture trachea management.Methods: A hospital based prospective study was carried out among 15 cases (as these cases are very rare, author could study only 15 cases) presented with various clinical features suggestive of tracheal strictures. They were examined and managed by putting tracheal stent for up to eight months period. All cases were followed at regular intervals till 14months after the stent was placed. The outcome was studied.Results: The tracheal strictures have been found to be more in the age group of 25-30 years.  The male to female ratio was 4:1 i.e. for everyone female case there were four male cases. Thus, the tracheal strictures have been more common among the males compared to the females. All of the patients presented with severe stridor, breathing difficulty, and poor exercise tolerance. Most common cause of tracheal stricture was prolonged mechanical  ventilatory support >8 days due to organo phosphorus poisoning in past 3months and all of them were males.  All cases had good outcome at the end of 14months of follow up. All cases had normal findings. No one developed foreign body reaction, nor did no one develop granuloma formation at the stent site. After stent removal flexible bronchoscopy repeated after 3rd month and 6th month.Conclusions: Tracheal stenting is very useful procedure in the management of air way strictures.

scholarly journals REHABILITATION AGRICULTURE AREA COVERED BY SINABUNG VOLCANIC ASH

2015 ◽  
Vol 2 (3) ◽  
pp. 220-227
Author(s):  
Agustoni Tarigan
Keyword(s):  
Volcanic Ash ◽  
Agricultural Land ◽  
Soil Conditions ◽  
Medium Thickness ◽  
Mountain Area ◽  
Short Time ◽  
Physical And Chemical ◽  
Normal Processing

The eruption of Mount Sinabung consistently and material issued increasingly large volume has caused plant and agricultural land damaged. Agricultural land damage was caused by the material issued mountain area is 10.945,24 ha. The role of technology and the results of research that has been done to agricultural lands caused the eruption of Mount Sinabung to be recommendations for the improvement of agricultural land. Efforts to improve the aspects of physical and chemical land are conservation, rehabilitation land of sand and the increase in the quality of the land. The thickness of volcanic ash after an eruption of covering agricultural land can be divided into 4 classes, namely: thin (the thickness < 2 cm), medium (thickness 2- 5 cm and thick (> 5 cm). Efforts for the recovery and rehabilitation land on each cluster based on the thickness of the dungeon ashes were normal processing with a hoe or plow, fertilizing with of organic matter and to the lava, dungeon needs to be done the conservation and land rehabilitation by an annual plant / the forest. The rehabilitation of agricultural land that badly damaged by eruption material may not be restored in a short time because of soil conditions which are acid, rocky and sandy. Thus the programs carried out by gradually and different treatment in accordance with their condition agricultural land.

scholarly journals Audit of the workload in a maxillofacial and oral surgical unit in Johannesburg

2021 ◽  
Vol 76 (04) ◽  
pp. 194-200
Author(s):  
Kamal Sukha ◽  
Mzubanzi Mabongo
Keyword(s):  
High Volume ◽  
Treatment Modalities ◽  
Global Studies ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Female Ratio ◽  
Respective Treatment ◽  
Male To Female ◽  
Surgical Unit

Maxillofacial and oral surgical (MFOS) audits are able to provide data to both current and prospective patients regarding the quality of care an institution is capable of providing. The more frequently performed MFOS procedures can be determined and the allocation of funding and resources can therefore be achieved more appropriately. To conduct an audit to evaluate the workload and scopeof practice of the MFOS unit of the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) for the year 2015 by quantifying MFOS conditions and the respective treatment modalities. The study was retrospective and cross-sectional. Data was retrieved from the patient logbook of the unit which was then entered into a Microsoft Excel Spreadsheet. Pie graphs and bar charts representing the data were then generated. A total of 1 750 patients were treated in the unit. The male to female ratio was 1.3:1 and the majority of these patients were in their 3rd and 4th age decade. Most patients required a tooth extraction mainly for an impacted 3rd molar. Dentoalveolar surgery was the most commonly performed procedure followed by the treatment of facial fractures. Pathological and other MFOS conditions were less commonly encountered. The CMJAH MFOS unit treats a high volume of patients according to comparisons with global studies.

scholarly journals Implementasi Model Timmons dalam pembinaan startup berbasis teknologi pada inkubator bisnis

2019 ◽  
Vol 19 (1) ◽  
pp. 35-48
Author(s):  
Cut Irna Setiawati ◽  
Putri Meuthia Pratiwi
Keyword(s):  
Product Development ◽  
Business Model ◽  
Qualitative Method ◽  
Working Hours ◽  
Selling Price ◽  
Market Demand ◽  
Short Time ◽  
Model Approach

In 2013 Indonesia has developed Bandung Techno Park (BTP) as the business incubator and develop Startup Corner (SC) program. SC has four main phrases, such as Registration, Selection through Presentation, Pre Incubation, and Implementing Incubation Process. However, SC has not been maximized in identifying aspects of opportunities, teams and resources. The purpose of this research is to know the role of SC in developing in relation with opportunity, team, and resources aspects. This research used descriptive qualitative method, with Timmons Model approach. The sample of this research is SC members and BTP supervisor by using structural interview with informans. As the results, the role of SC on the dimension of idea has played for product development, business model, and selling price. Market demand dimension is directing customer translation so that can assist in reaching customer opportunity and expanding market reach. Furthermore the role of SC in developing startup of team aspect based on leader dimension and team quality. The SC through training program has purposed to shape the entrepreneurial character during Pre Incubation activities. In creating the quality of the team submitted by setting an advisable work discipline in accordance with the BTP working hours other than that Startup Corner helps in disseminating recruitment information for startup requiring members. The role of SC in developing startup from the aspect of resources has provided physical facilities, then assistance to make the legality of a business entity, patent but there is no funding for the sustainability of a startup, then diverted in incubation or other programs. SC arranges all the sections for startup participants and has a good results but the final maitenance would take effort from the startups itself, because BTP only supports them and building the business model in techonology in short time.

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