scholarly journals The presence of trapped fluid on ultrasound as high predictive value for intestinal necrosis in pediatric intussusception

2021 ◽  
Vol 8 (1) ◽  
pp. 053-059
Author(s):  
Indrastuti Normahayu ◽  
Whenny Pramusinta ◽  
Widanto ◽  
Sri Andarini ◽  
Yuyun Yueniwati
Keyword(s):  
Intestinal Ischemia ◽  
Abdominal Ultrasound ◽  
Pediatric Emergency ◽  
Cross Sectional ◽  
Intestinal Necrosis ◽  
First Choice ◽  
Necrotic Bowel ◽  
Cross Sectional Design ◽  
Operative Findings ◽  
Sensitivity Specificity

Introduction: Intussusception is a pediatric emergency. If it is not treated immediately, the obstruction process can cause arterial obstruction and leads to intestinal necrosis. Not all patient shows classic syndrome triad. Thus, imaging is needed to make the diagnosis. Ultrasonography is the first choice of imaging in children because it is easy, without radiation and sedation. It has high accuracy for the diagnosis of intussusception. Ultrasonographic features of intussusception including target or doughnut sign and pseudo kidney sign. The presence of trapped fluid in intussusception, correlated with intestinal ischemia and necrosis found in surgery. This research aimed to assess sensitivity, specificity, and accuracy of trapped fluid in ultrasound examination compared with the intra-operative findings reported by surgeons in the form of intestinal necrosis in pediatric patients with intussusception in Saiful Anwar Hospital, Malang. Material and Methods: This research was observational analytic with a cross-sectional design. It used retrospective data of abdominal ultrasound results and surgical operating reports in 30 patients who were diagnosed with intussusception. Results: Trapped fluid depiction on ultrasound has a sensitivity of 80%, a specificity of 75%, and an accuracy of 76% with regards to necrotic bowel as compared to intra-operative findings. Conclusion: Trapped fluid in intussusception is a good predictor of intestinal necrosis in cases of intussusception in children.

scholarly journals Diagnostic Value of Left Ventricular Early Inflow-Outflow Index in Determining Severity of Mitral Regurgitation

2017 ◽  
pp. 64-71
Author(s):  
Vera Yulia ◽  
Mefri Yanni ◽  
Didik Hariyanto
Keyword(s):  
Mitral Regurgitation ◽  
Ejection Fraction ◽  
Diagnostic Value ◽  
Geometric Error ◽  
Left Ventricular ◽  
Cross Sectional ◽  
Spectral Doppler ◽  
Common Etiology ◽  
Cross Sectional Design ◽  
Sensitivity Specificity

Background: Determining severity of mitral regurgitation (MR) is very important, asit is related with prognosis and management of the disease. Currently, there is no goldstandard exists for quantification of MR severity using echocardiography. AmericanSociety of Echocardiography (ASE) guidelines recommend several parameters basedon integrative criteria using color and spectral Doppler and anatomic measurement.Left Ventricular Early Inflow Outflow Index (LVEIO Index) was proposed as one parameterto assess the severity of MR by omitting geometric error from regurgitantvolume method. Thus, LVEIO index offers a simple, easy and accurate measurementin determining severity of MR.Methods: This study was a diagnostic test research with cross-sectional design. Thesubjects were all patients with organic mitral regurgitation who underwent echocardiographyexamination to measure severity of MR using the LVEIO index as well asother parameters measurements based on parameters of ASE guidelines. Diagnostictest was used to determine the sensitivity, specificity, positive predictive value, negativepredictive value and accuracy of LVEIO index.Results: Of 49 patients in this study, 23 of them have severe MR and 26 are non-severeMR patients. The proportion of gender between two groups almost similar with an agerange from 56 to 61 years and the most common etiology finding was degenerative MR.Echocardiography examination showed the ejection fraction in severe MR was 63±4.2%and 64±3.9% in non-severe MR. The value of LAVI, MPAP, E-wave, VC, EROA andLVEIO index increased parallel with severity of MR (LAVI; 67±18.2 vs. 40±14.2 ml/m2,MPAP; 28±12.8 vs. 20±12.6 mmHg, E-wave 1.5±0.3 vs. 1±0.2 m/s, VC 0.8±0.3 vs.0.5±0.1 cm, EROA 0.4±0.1 vs 0,2±0,1cm2, LVEIO 9±2,4 vs. 5±1,8). The sensitivity,specificity, and accuracy of LVEIO index for diagnosis of severe MR were 86%, 84%,and 89%, respectively.Conclusion: LVEIO can be proposed as a relatively simple, easy and accurate methodin determining severity of MR.

scholarly journals The Sensitivity and Specificity of Chicago Sky Blue (CSB) Dye in Comparisson with Potassium Hydroxide (KOH) Method for Superficial Dermatomycosis

2020 ◽  
Vol 16 (2) ◽  
pp. 155
Author(s):  
Amalia Nadiasari ◽  
Diana Tri Ratnasari ◽  
Masfufatun Masfufatun
Keyword(s):  
Sensitivity And Specificity ◽  
Potassium Hydroxide ◽  
Pityriasis Versicolor ◽  
Color Contrast ◽  
Research Subjects ◽  
Cross Sectional ◽  
Proper Diagnosis ◽  
Cross Sectional Design ◽  
Sensitivity Specificity ◽  
Higher Sensitivity

Abstract: Superficial dermatomycosis is a skin, nail and hair infection caused by fungal pathogen. Based on the pathogen, this infection can be divided into dermatophytosis, pityriasis versicolor and superficial candidiasis. The rapid and proper diagnosis is necessary to determine the initial theraphy and prevent the treatment delay. Superficial dermatomycosis diagnosis can be performed using anamnesis, physical examination or supporting investigation. The routine investigation method commonly use Potassium Hydroxide (KOH) because the KOH method is easy to be performed, rapid, simple and affordable. Chicago Sky Blue (CSB) is a dye to give a better color contrast to the fungi so the fungi would be easier to be detected. Objectives of this research is to observe the sensitivity and specifity difference of Chicago Sky Blue (CSB) dye and Potassium Hydroxide (KOH) methods for Superficial Dermatomycosis. The research was performed using cross sectional design analitical obsevation with 30 research subjects. The subjects consist of 15 superficial dermatomycosis patients and 15 non-superficial dermatomycosis patients. The samples were taken from the patients lesion swabs. The samples were checked using KOH and CSB, then observed by the medical analyst. The superficial dermatomycosis samples consist of mostly dermathophytosis (53.33%), then pityriasis versicolor (26.67%) and superficial candidiasis (20%). The sensitivity and specificity of KOH were 86.67% and 100%, respectively. The sensitivity and specificity of CSB were 93.33% and 100%, respectively. The CSB dye method has a higher sensitivity than KOH. The fungal elements are nicely dyed and more easily detected using CSB dye.  Keywords: KOH, Chicago Sky Blue, sensitivity, specificity, superficial dermatomycosis

scholarly journals P.148 Children and teenagers with hydrocephalus: Are narrowed dural sinuses better predictors of shunt-failure than ventriculomegaly?

2021 ◽  
Vol 48 (s3) ◽  
pp. S62-S62
Author(s):  
B Rohr ◽  
J Sorensen ◽  
B Gong ◽  
O Jansen ◽  
A Rohr
Keyword(s):  
Gold Standard ◽  
Dural Sinus ◽  
Fisher Exact Test ◽  
Shunt Failure ◽  
Cross Sectional ◽  
Exact Test ◽  
Dural Sinuses ◽  
Kappa Test ◽  
Operative Findings ◽  
Sensitivity Specificity

Background: Intracranial hypertension secondary to shunt-failure is a feared complication requiring cross-sectional imaging for diagnosis. We compared dural sinus narrowing and ventriculomegaly as predictors of shunt-failure. Methods: 60 head MRIs and 60 MR venographies of hydrocephalus patients age 0-18 years (n=25) were analyzed. MRI studies were included when f/u clinical data combined with intra-operative findings proved shunt-failure (positive Gold standard) or when MRI was available when the child was well (negative Gold standard). The absence or presence of concerning hydrocephalus was diagnosed. On MRV, the major dural sinuses were independently analyzed with respect to >50% narrowing, suggesting compression by increased CSF pressure. Ventriculomegaly and significant dural sinus narrowing was correlated to the presence/absence of shunt failure as per Gold standard. Results: Sinus narrowing substantially correlated with proven shunt-failure (Cohen’s kappa test 0.635/p<=0.00001 as per Fisher exact test) while ventriculomegaly correlated poorly (0.258/p=0.0751). Sensitivity/specificity was 0.69/0.92 for sinus narrowing and 0.43/0.81 for ventriculomegaly. Conclusions: In this patient cohort, dural sinus narrowing more reliably predicted shunt-failure compared to ventriculomegaly.

To relocate internationally or not to relocate internationally: a Taiwanese case study

2018 ◽  
Vol 6 (2) ◽  
pp. 226-240 ◽  
Author(s):  
Chun-Hsiao Wang
Keyword(s):  
Organizational Support ◽  
International Assignments ◽  
International Assignment ◽  
Cross Sectional ◽  
Content Type ◽  
Multinational Organizations ◽  
Processing Theory ◽  
First Choice ◽  
Cross Sectional Design

PurposeMultinational organizations are often unable to send their first-choice candidates on international assignments because employees are unwilling to relocate internationally. The purpose of this paper is to understand how organizations can effectively increase employees’ willingness to relocate internationally.Design/methodology/approachThe study sample consisted of 229 employees who have not previously worked abroad in a large and global-minded Taiwanese bank.FindingsThis study found that when employees perceived international assignment experience to be valuable to their career and valued by their organization, they reported a higher level of willingness to relocate internationally. Moreover, this study also found the perceived organizational support (POS) on career and adjustment as moderators.Research limitations/implicationsThe use of one company in Taiwan as the source of the sample may limit the generalizability of the results. The cross-sectional design of this study also makes it impossible to examine the causality among variables.Practical implicationsTo enhance employees’ willingness to relocate internationally, organizations should ensure that they communicate clearly that organizations value employees’ international assignment experience before, during, and after the assignment.Originality/valueThis study uses social informational processing theory to examine the effects of international assignment value on employee willingness to relocate internationally, as well as the effects of POS for international assignment on employee willingness to relocate internationally.

scholarly journals A comparative study of Chicago Sky Blue and ParkerTM ink blue black potassium hidroxide in the diagnosis of dermatophytes

2019 ◽  
Author(s):  
Netty Sukmawati ◽  
R. Rahmadewi ◽  
Evy Ervianti
Keyword(s):  
Standard Test ◽  
Color Contrast ◽  
Kappa Score ◽  
Cross Sectional ◽  
Mcnemar Test ◽  
Experienced Observer ◽  
Infected Area ◽  
Blue Stain ◽  
Cross Sectional Design ◽  
Sensitivity Specificity

Parker ink blue black potassium hydroxide (KOH) is a regular stain for the diagnosis of dermatophytoses. KOH giving less color contrast to the fungal element. The Chicago Sky Blue (CSB) solution is a new contrast have various sensitivity and specificity values. This is analytical observational,cross sectional design study conducted at Dermatomycology Division of Outpatient Clinic, Dr. Soetomo General Hospital. 40 samples from lesion and perilesional infected area, diagnosed dermatophytoses with culture positive was include in this study. All two tests were performed examined by KOH and CSB. The slides were examined after incubation in x 10 and x 40 magnifications by experienced observer. The sensitivity, specificity and McNemar test of CSB and KOH was calculated using culture as the standard test. The sensitivities, specificities, PPV, NPV of the Chicago sky blue and KOH respectively are 95% and 100%, 95,24% and 100%, 100% and 100%, with McNemar test p = 1 and Kappa score is 0,950. The Chicago Sky Blue stain provides a good color contrast and IT could be a alternative staining for the dermatophytoses.

scholarly journals Validity of neutrophil lymphocyte count ratio in neonatal sepsis

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Heriyanto Lim ◽  
Made Sukmawati ◽  
Wayan Dharma Artana ◽  
Made Kardana ◽  
Putu Junara Putra
Keyword(s):  
Health Care ◽  
Neonatal Sepsis ◽  
Medical Records ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Count Ratio ◽  
Care Facilities ◽  
Cross Sectional Design ◽  
Limited Health ◽  
Sensitivity Specificity

Sepsis is a major problem in neonatal care that has not been resolved. This condition is becoming one of major cause of morbidity and mortality in neonates especially in developing countries. Neutrophil lymphocytes count ratio (NLCR) is a new marker of infection that is easy, rapid method and less expensive that can be done in limited health care facilities. A retrospective study with cross sectional design was conducted on 84 neonates with sepsis. The data was collected from medical records from April 2018 to September 2018 in Perinatology Division Sanglah hospital. ROC curve is was done to determine the value cut-off point, sensitivity and specificity of NLCR. With cut-off point of 2.31 NLCR has prevalence, sensitivity, specificity, positive predictive value (PPV) and negative pedictive value (NPV) of 26.1%, 81.8%, 66.1%, 46.1% and 91.1%. NLCR is potential to be used in the diagnosis of neonatal sepsis.

scholarly journals Diagnostic utility of abdominal ultrasound in the evaluation of abdomino-pelvic lesions at Bugando Medical Centre in Mwanza, Tanzania

2018 ◽  
Vol 20 (3) ◽  
Author(s):  
Mohamed S. Binde ◽  
Godrey Kasanga ◽  
Phillipo L. Chalya ◽  
William Mahalu
Keyword(s):  
Predictive Value ◽  
Gold Standard ◽  
Abdominal Ultrasound ◽  
Medical Centre ◽  
Diagnostic Utility ◽  
Bugando Medical ◽  
Operative Findings ◽  
Sensitivity Specificity ◽  
Bugando Medical Centre ◽  
Pelvic Lesions

Background: Despite the fact that abdominal ultrasound has been widely used in many centres in Tanzania as a primary diagnostic imaging for patients with abdomino-pelvic lesions, its diagnostic utility has not yet been assessed in Tanzania, and therefore its use as an alternative diagnostic tool in patients with abdomino-pelvic lesions is not justified. This study aimed to determine the utility of abdominal ultrasound in the diagnosis of abdomino-pelvic lesions in our local setting.Methods: This was a cross sectional study to evaluate the diagnostic utility of abdominal ultrasound in patients presenting with abdomino-pelvic lesions at Bugando Medical Centre between January 2017 and July 2017. Abdominal ultrasonographic findings were cross-tabulated against operative findings (the gold standard). Then, the sensitivity, specificity, accuracy, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and accuracy were calculated to determine the diagnostic utility of abdominal ultrasound.Results: A total of 146 patients (M: F ratio = 1: 2.2) were studied. The mean age at diagnosis was 39.3 years. The diagnostic utility of abdominal ultrasound in terms of sensitivity, specificity, PPV, NPV and accuracy were 39.4-100%, 0-100%, 64.7-100%, 0-100% and 40.8-100% respectively.  The kappa statistic (қ) showed good to excellent agreement with the operative findings, the gold standard (қ = 0.75-1.00).Conclusion: The diagnostic utility of abdominal ultrasound in detecting abdomino-pelvic lesions is much lower than that seen in developed countries, hence, abdominal ultrasound is not a reliable tool in detecting abdomino-pelvic lesions at Bugando Medical Centre and therefore its use should be supplemented with abdominal CT scan in selected cases.

scholarly journals Desempeño del índice proteína/creatinina para predecir proteinuria significativa en pacientes con sospecha de preeclampsia

2020 ◽  
Vol 80 (04) ◽  
pp. 268-279
Author(s):  
Johana Santa María ◽  
◽  
Mariela Zavaleta
Keyword(s):  
Area Under The Curve ◽  
Spearman Correlation ◽  
Outpatient Management ◽  
Excellent Correlation ◽  
Likelihood Ratios ◽  
Cross Sectional ◽  
Negative Prediction ◽  
Test Study ◽  
Cross Sectional Design ◽  
Sensitivity Specificity

Objective: To assess the performance of the protein/creatinine index to predict proteinuria significantly and secondarily, to find the best cut-off point that had better sensitivity and specificity. Methods: Diagnostic test study developed in a cross-sectional design of patients exposed to the hypertensive syndrome of pregnancy who did or did not develop posterior preeclampsia. 173 patients were selected non-probabilistically. The new cutoff of protein/creatinine index was found using the ROC curve, we calculated sensitivity, specificity, positive and negative prediction value, positive and negative likelihood ratios and find the Spearman correlation with 24 hours urine proteinuria. Data analysis was performed using STATA software version 13. Results: The new cutoff was 0.39 with 68.3% sensitivity, specificity 73.5%, positive prediction value 91.3%, negative prediction value 36.2%, likelihood ratios (+) 2.58, likelihood ratios (-) 0.43 and an area under the curve of 0.7799. Excellent correlation was obtained with 24 hours proteinuria (rs =0.9308, p=0.000). Conclusion: Although the new cutoff for the protein/creatinine index is different from conventional, this conventional this is more specific and therefore may be useful in the outpatient management on patients with low suspicious of preeclampsia in our population. Keywords: Preeclampsia, Protein/Creatinine index, 24 hours proteinuria.

Relationship of Self-Compassion, Hope, and Emotional Control to Perceived Burdensomeness, Thwarted Belongingness, and Suicidal Ideation

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Laura R. Umphrey ◽  
John C. Sherblom ◽  
Paulina Swiatkowski
Keyword(s):  
College Students ◽  
Suicidal Ideation ◽  
Emotional Control ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
Self Compassion ◽  
Positive Feelings ◽  
Cross Sectional Design ◽  
Relationship Of

Abstract. Background: Cultivating positive feelings of self in relationships with others can affect perceptions of belongingness and burdensomeness. Aims: The present study examines the relationships of self-compassion, hope, and emotional control to thwarted belongingness, perceived burdensomeness, and suicidal ideation. Method: Participants were 481 college students who completed scales measuring self-compassion, hope, emotional control, thwarted belongingness, perceived burdensomeness, and suicidal ideation. Results: Correlation and parallel mediation analysis results show relationships between self-compassion, hope, and emotional control with perceived burdensomeness, thwarted belongingness, and suicidal ideation. Limitations: The study is limited by its cross-sectional design, sample demographics, and inability to distinguish between individuals with suicidal ideation and those who attempt suicide. Conclusion: The results show that the relationships of self-compassion, hope, and emotional control to perceived burdensomeness, thwarted belongingness, and suicidal ideation are worth further investigation.

Rorschach-CS Scores of Six Groups of Patients

2013 ◽  
Vol 34 (1) ◽  
pp. 24-55 ◽  
Author(s):  
Caspar C. Berghout ◽  
Jolien Zevalkink ◽  
Abraham N. J. Pieters ◽  
Gregory J. Meyer
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Organizations ◽  
Total Sample ◽  
Psychoanalytic Psychotherapy ◽  
Cross Sectional ◽  
Treatment Groups ◽  
Treatment Type ◽  
Psychotherapy Groups ◽  
Cross Sectional Design

In this study we used a quasiexperimental, cross-sectional design with six cohorts differing in phase of treatment (pretreatment, posttreatment, 2-year posttreatment) and treatment type (psychoanalysis and psychoanalytic psychotherapy) and investigated scores on 39 Rorschach-CS variables. The total sample consisted of 176 participants from four mental health care organizations in The Netherlands. We first examined pretreatment differences between patients entering psychoanalysis and patients entering psychoanalytic psychotherapy. The two treatment groups did not seem to differ substantially before treatment, with the exception of the level of ideational problems. Next, we studied the outcome of psychoanalysis and psychoanalytic psychotherapy by comparing the Rorschach-CS scores of the six groups of patients. In general, we found significant differences between pretreatment and posttreatment on a relatively small number of Rorschach-CS variables. More pre/post differences were found between the psychoanalytic psychotherapy groups than between the psychoanalysis groups. More research is needed to examine whether analyzing clusters of variables might reveal other results.

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