scholarly journals LIVER BIOPSY

2011 ◽  
Vol 18 (04) ◽  
pp. 709-714
Author(s):  
FUAD AHMAD SIDDIQI ◽  
RIZWANA KITCHLEW ◽  
ASIF HASHMI

Objective: To study the safety and efficacy of Surecut needle in obtaining the liver tissue by percutaneous liver biopsy. Design: Single centered prospective hospital based study. Place and duration of study: Department of Internal medicine (Unit-1) & Family ward, Combined military hospital Lahore for more than one year from August 2002 to March 2004. Materials and Methods: One hundred and fifty patients of either gender having asymptomatic hepatitis C carrier state, healthy blood donors, with positive HCV-PCR were included in study. The patients liver biopsy was done with Surecut needle 16G with patient breath suspended in expiration from the periphery of right lobe of liver. Result: Majority of patients, 135 ( 90% ) were male and 15 (10%) were female. The mean age was 30.3 years with range of 25-55years. In 146(97.31%)patients successful biopsy was done while the biopsy was non-diagnostic in 4(2.69%) patients. Mean core length of liver tissue obtained was Mean+sd(1.2+0.42cm) and histopathologic diagnosis was made in 97.31% cases. Total number of attempts were 1-2. In 99% single attempt was done. No major complications related to procedure was seen. Conclusions: liver biopsy with Surecut needle is safe and effective in establishing the diagnosis of Chronic hepatitis.

1961 ◽  
Vol 52 (4) ◽  
pp. 795-814 ◽  
Author(s):  
J. P. Glasgow ◽  
B. J. Duffy

SummaryIn order to evaluate Morris traps as a method of investigating populations of Glossina pallidipes Aust., and to compare them with fly-rounds, a series of catches was made by both methods in and adjacent to an area of evergreen thicket covering about three sq. miles in the Lambwe Valley, South Nyanza District, Kenya. During the period of the investigations (February 1955-February 1958), the mean monthly apparent density (catches of non-teneral males per 10,000 yd. traversed) determined from a fly-round 5,200 yd. long traversing the thicket varied from 70 to 1,300, and the mean monthly trap catch, determined from 26 traps along a similar traverse but over a shorter period, varied from 190 to 670. Catches by the two methods showed similar fluctuations but were not significantly correlated, and it is not certain that real changes in population occurred. The distribution of G. pallidipes between the three main vegetation communities sampled appeared different when studied by traps, or by other methods (fly-rounds, and searching for resting flies). The two latter methods were in agreement, but traps gave different results, perhaps because one of the vegetation communities may have had a high proportion of productive trapping sites.Dispersal of G. pallidipes into the surrounding, sparsely wooded grassland was studied by traps arranged in lines extending east and west of the thicket and at right angles to its edge. Traps appeared not to attract flies over a distance as great as 100 yd., but to catch only those that chanced to be in their immediate vicinity. Total catches in three traps over 10 months at distances of 5–100–300–500 and 900 yd. west of the thicket edge were 15,417–965–153–89 and 56, respectively; smaller numbers were taken up to 2,500 yd., the greatest distance investigated. Dispersal was greatest in the wet, cool half of the year.In catches of G. pallidipes made in six consecutive two-hour periods daily for one year in two batteries, each of seven traps, and on two short fly-rounds, one of each along the east and the other along the west edge of the thicket, the traps yielded 78 per cent, females and the fly-rounds only 17 per cent. There was a marked tendency for females to be caught earlier in the day than males by either method, and for the pattern of catches to be earlier on fly-rounds than in traps. No difference in age, estimated by wing fray, was found between flies caught, by either method, at different times of day.The total number of G. pallidipes caught by two traps operating 11 hours per day for 10 days at the thicket edge was over four times that caught there concurrently by a stationary party of three men.It is concluded that traps are valuable because they catch a high proportion of females, thus affording information not given by fly-rounds, and operate continuously, at a higher over-all catching rate than that of men, thus facilitating the study of sparse populations. Nevertheless, site effects and day-to-day variability are both large with traps, so that reproducible results are difficult to obtain.


1993 ◽  
Vol 109 (1) ◽  
pp. 26-34 ◽  
Author(s):  
Eric M. Kraus

The clothespin partial ossicular replacement prosthesis (PORP) is designed to Increase Joint stability during incus replacement ossiculoplasty. Fundamental modifications have been made in the Schuring ossicle-cup, which include a forked well, increased well wall thickness and length, and a flexible tip disk added to the shaft. The forked well functions like a straight clothespin rather than an inverted cup. The forked well enables the clothespin prothesis to slide down over the stapes superstructure, between the facial nerve canal and the promontory, to form a stable, mortise-and-tenon prosthesis-stapedial joint. Joint stability is enhanced because the inferior tine of the forked well is able to lever against the inferior surface of the stapes superstructure, creating a counterforce to gravity. This is in contrast to the more unstable ball-and-socket joint created by most partial ossicular replacement prostheses when they articulate with the stapes capitulum. The addition of a flexible disk to the shaft tip produces a tight, stable union between the prosthesis and the ossicular cap by increasing resistance at the shaft-ossicle interface. Fluoroplastic composition maximizes Intraoperative versatility and reliability while the ossicle cap minimizes extrusions. One-year hearing results for twelve chronic ear patients with mobile stapes undergoing clothespin ossiculoplasty during intact canal wall tympanomastoidectomy revealed postoperative air-bone gaps within 20 dB in 92% of cases. The mean postoperative air-bone gap was 8.9 dB, and the mean Improvement in air-bone gap was 14.4 dB. These results are attributable to greater prosthesis stability provided by the time-tested mortise-and-tenon joint concept rather than a ball-and-socket joint in a reconstructive situation in which stability is critical.


2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S565-68
Author(s):  
Ghazanfar Ali ◽  
Sikandar Ali Khan ◽  
Habib Ur Rehman ◽  
Atif Rafique ◽  
Ghulam Fareed ◽  
...  

Objective: To find out the outcome of the ear Reconstruction and its association with improvement in psychological wellbeing along with physical benefits. Study Design: A cross-sectional study. Place and Duration of Study: Department of Plastic Surgery and ENT, Combined Military Hospital Quetta and Multan in liaison with the department of Psychiatry, from Jan 2017 to Jan 2021. Methodology: A sample size of 108 was estimated while keeping level of significance 5%, confidence level 90%, estimated true proportion 63% based on the observation made in the study by Steffen, and 5% of absolute precision. Specific performas were filled by the patient pre and post operatively and data analysis was performed using SPSS-20. Results: The mean age was 20 ± 8.75 years with a range of 12-29 years. Thirteen (11.11%) were male and ninety-five (87.8%) were females, 14 (12.9%) were married, 94 (86%) were un-married and all (100%) had social support. Fifty-two (48.1%) had primary education. Ninety-four (94%) were un-employed. Fifty-five (50.9%) of participants had congenital ear defect. Ninetyeight (90.7%) of the participants showed confidence in surgical procedure and would go for the same procedure if required, 5 (4.6%) said no to the same procedure while 8 (7.4%) did not know whether to opt for same procedure. Conclusion: Ear Reconstruction is a very rewarding procedure for surgeon and patients. Apart from aesthetic and functional improvement it also enhances the self-esteem of the patients.


1968 ◽  
Vol 8 (31) ◽  
pp. 158 ◽  
Author(s):  
JW McDonald ◽  
J Eckel

These studies were made in the Inverleigh district of Victoria where a sheep breeding problem has occurred among summer-mated ewes in some years since 1947. The possibility of onion grass (Romulea rosea L.) poisoning being responsible for this problem was investigated. The botanical composition of the diet selected by four sheep, fitted with oesophageal fistulas and grazing an onion grass dominant pasture on a problem property, was determined approximately every two weeks during the late summer and autumn of two years. One year (1965) was a problem year and the other year (1966) was a non-problem year for sheep reproduction on this property and in this district. The experimental sheep ate appreciable amounts of both dry and green onion grass, especially in the late summer and immediately after the autumn rains. The mean percentage of dry onion grass in the diet before the autumn break was 20 in 1965 and 31 in 1966 ; and after the autumn break the mean per cent of green onion grass was 16 in 1965 and 28 in 1966. Overall, the sheep did not show a dietary preference for onion grass as twice these levels were present in the dry or green pasture species. The major difference in onion grass intake between the two years was that, because of the late autumn break in 1965, the fistulated animals ate dry onion grass (and onion grass seed) for six weeks longer than in 1966.


2021 ◽  
Vol 71 (5) ◽  
pp. 1567-70
Author(s):  
Naveed Ahmed ◽  
Mian Sarfraz Gul ◽  
Hafiz Khalid Pervaiz ◽  
Iftikhar Ahmed ◽  
Mujahid Zulfiqar Ali ◽  
...  

Objective: To determine the impact of endemicity of ascariasis in the manifestation of acute appendicitis. Study Design: Prospective observational study. Place and Duration of Study: General Surgery Department, Combined Military Hospital Skardu, from May 2012 to Apr 2015. Methodology: Patients presenting with symptoms of acute appendicitis were included in the study. Patients were diagnosed after taking detailed history, clinical examination and blood chemistry. All the patients underwent open appendectomy under general anesthesia. Per-operatively presence of worms was assessed in terminal ileum and after that in the lumen of the appendix initially by palpation and then by opening its lumen after it was removed. Histopathologic diagnosis could not be confirmed due to its non-availability as the surgeries were performed in a remote and resource constraint area of the country. Results: A total of 224 patients were included in the study. Out of these, 143 (63.8%) were male and 81 (36.1%) female patients. The mean age of patients was 22 ± 6 years. Per-operatively, 21 (9.3%) patients had worms in both ileum and appendicular lumen while 22 (9.8%) patients had worms only in the terminal ileum and there were no worms seen in either ileum or appendix in 181 (80.8%) patients. Conclusion: There is a relation of parasitic infestation especially Ascaris lumbricoides in the manifestation of acute appendicitis in endemic areas.


2014 ◽  
Vol 9 (4) ◽  
pp. 30-35
Author(s):  
S Datta ◽  
S Maiti ◽  
G Das ◽  
A Chatterjee ◽  
P Ghosh

Background The diagnosis of classical Kawasaki Disease was based on clinical criteria. The conventional criteria is particularly useful in preventing over diagnosis, but at the same time it may result in failure to recognize the incomplete form of Kawasaki Disease. Objective To suspect incomplete Kawasaki Disease, because early diagnosis and proper treatment may reduce substantial risk of developing coronary artery abnormality which is one of the leading causes of acquired heart disease in children. Method Nine cases of incomplete Kawasaki Disease were diagnosed over a period of one year. The diagnosis of incomplete Kawasaki Disease was based on fever for five days with less than four classical clinical features and cardiac abnormality detected by 2D- echocardiography. A repeat echocardiography was done after 6 weeks of onset of illness. The patients were treated with Intravenous Immunoglobulin and/or aspirin. Result The mean age of the patients was 3.83 years and the mean duration of symptoms before diagnosis was 12.1 days. Apart from other criteria all of our patients had edema and extreme irritability. All the patients had abnormal echocardiographic finding. Five patients received only aspirin due to nonaffordability of Intravenous Immunoglobulin and four patients received both aspirin and Intravenous Immunoglobulin, but the outcome was excellent in all the cases. Conclusion Incomplete Kawasaki Disease can be diagnosed with more awareness and aspirin alone may be used as a second line therapy in case of non affordability of Intravenous Immunoglobulin. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 30-35 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10234


Symmetry ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 457
Author(s):  
Isabel María Introzzi ◽  
María Marta Richard’s ◽  
Yesica Aydmune ◽  
Eliana Vanesa Zamora ◽  
Florencia Stelzer ◽  
...  

Recent studies suggest that the developmental curves in adolescence, related to the development of executive functions, could be fitted to a non-linear trajectory of development with progressions and retrogressions. Therefore, the present study proposes to analyze the pattern of development in Perceptual Inhibition (PI), considering all stages of adolescence (early, middle, and late) in intervals of one year. To this aim, we worked with a sample of 275 participants between 10 and 25 years, who performed a joint visual and search task (to measure PI). We have fitted ex-Gaussian functions to the probability distributions of the mean response time across the sample and performed a covariance analysis (ANCOVA). The results showed that the 10- to 13-year-old groups performed similarly in the task and differ from the 14- to 19-year-old participants. We found significant differences between the older group and all the rest of the groups. We discuss the important changes that can be observed in relation to the nonlinear trajectory of development that would show the PI during adolescence.


1971 ◽  
Vol 16 (3) ◽  
pp. 173-182 ◽  
Author(s):  
Gavin Shaw ◽  
Bernard Groden ◽  
Evelyn Hastings

The establishment, staffing and structure and observations made in the first year of the existence of coronary care in an intensive care unit in a general hospital are recorded. Two hundred and twenty eight patients were admitted during the year in whom the diagnosis of myocardial infarction was confirmed. There were 29 deaths in the unit and 14 deaths occurred in the wards of the hospital after discharge from the unit. 49.1 per cent of the patients were admitted within 4 hours of the onset of symptoms and the mean duration of stay in the unit was 86.5 hours. The type of arrhythmia detected in the unit, and the treatment given to the patients both before and after admission to the intensive care unit are described.


Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 19-27 ◽  
Author(s):  
J. A. Casaletto ◽  
V. Rajaratnam

Surgical process re-engineering is a methodology where the entire surgical process is systematically analysed and re-designed. The process starts with mapping of the current process followed by in-depth analysis of the existing process. A new process is drafted with the aim of making the whole procedure more efficient. The new process is then discussed with all the staff involved in the operating room. Following implementation of the process, surgical process re-engineering should ideally be routinely carried out to continuously improve the procedure. We present an example of surgical process re-engineering which we carried out on the procedure of carpal tunnel release. We used carpal tunnel release as a model as it is a very common operation, with predictable intra-operative findings, and the patient is likely to benefit directly from procedure time reduction. A preliminary mapping of three procedures was done followed by a detailed timed mapping of five routine carpal tunnel decompression procedures. The mapped process was analysed in detail and a number of changes were made in the process. After implementing the new process, a further five procedures were mapped and timed again. In comparison to the original process, we achieved a reduction of 20% in the mean procedure time and a reduction of 42% in the number of steps from 66 to 37.


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