Role of CT scan in the evaluation of lung tumor with cytopathilogical correlation

Lung cancer is an important & widespread disease that contributes a major health problem worldwide. Lung cancer kills over 1 million people per year. Cigarette smoking is the major cause of lung cancer. CT scan is the principal radiological examination adjunct to X-Ray chest examination in diagnosis & management of lung cancer. The main Objective of the study was to assess the diagnostic usefulness of CT scan in evaluating & characterize the different types of lung tumors and to correlate CT findings of lung tumors with that of cytopathology. This study was carried out in the department of Radiology & Imaging, Dhaka medical college hospital, Dhaka during the period from 1st January 2007 to March 2008. It was a cross sectional study. Total 51 patients were selected conveniently, detailed history particularly symptoms related to lung tumors was carefully elicited to obtain maximum possible information regarding the illness. Possible diagnosis was established by the combination of history, physical examination, laboratory & radiological investigations. Then patients were underwent CT examination of lung. Cytopathological sample were obtained from the lesion by guided aspiration. Collected FNAC samples were send for cytopathology & collected reports were compared with CT scan reports. Sensitivity of CT to diagnose lung tumor was 97.4%, specificity 76.9% & accuracy 92.2 %.Faridpur Med. Coll. J. 2014;9(1): 37-41

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Comparing Predictive power of CT-scan Findings among the Malignant Hepatic Mass patients

Journal of Science Foundation ◽

10.3329/jsf.v12i1.23457 ◽

2015 ◽

Vol 12 (1) ◽

pp. 2-6

Author(s):

Wahida Begum ◽

Ahmed Hossain ◽

Waziha A Jahan ◽

Mahbuba Shirin ◽

M Abdullah Yusuf ◽

...

Keyword(s):

Ct Scan ◽

Vena Cava ◽

Cross Sectional Study ◽

Medical College Hospital ◽

College Hospital ◽

Cross Sectional ◽

Predictive Values ◽

Medical College ◽

Hepatic Mass ◽

Sensitivity Specificity

Background: CT-scan is useful for the detection of hepatic mass. Objective: The purpose of the present study was to see the predictive values of CT scan in the diagnosis of malignant hepatic mass. Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging at Mymensingh Medical College Hospital (MMCH), Mymensingh, Banghabandhu Sheikh Mujib Medical University (BSMMU), Dhaka and Dhaka Medical College Hospital (DMCH), Dhaka during the period of 1st January 2006 to 31st December 2007. Patients admitted in the Department of Medicine and Department of Hepatobiliary of MMCH, BSMMU, and DMCH with the clinical diagnosis of fever, abdominal pain, anorexia, nausea/vomiting, loss of appetite, jaundice, weight loss and ascites were selected as study population. CT scan and histopathology were performed to all the patients. Result: A total number of 50 patients were recruited for this study.. The sensitivity for multiplicity was 71.4%, specificity was 63.6%, accuracy was 68%, PPV was 71.4% and NPV was 63.6%. The sensitivity for hypodensity as a sign of malignancy was 60.7%, specificity was 18.2%, accuracy was 42.0%, PPV was 48.6% and NPV was 26.7%. The sensitivity, specificity, PPV, NPV and accuracy of contrast enhancement were 100.0%, 22.7%, 62.2%, 100.0% and 66.0% respectively. Again the sensitivity, specificity, PPV, NPV and accuracy of detection of pressure effect on biliary apparatus by CT-scan were 100.0%, 22.7%, 62.2%, 100.0% and 66.0% respectively. Again the sensitivity, specificity, PPV, NPV and accuracy of detection of Lymphadenopathy by CT-scan were 35.7%, 95.5%, 90.9%, 53.8% and 62.0% respectively. The sensitivity, specificity, PPV, NPV and accuracy of detection of Portal vein invasion by CT-scan were 14.3%, 100.0%, 100.0%, 47.8% and 52.0% respectively. The sensitivity, specificity, PPV, NPV and accuracy of detection of hepatic vein invasion by CT-scan were 10.7%, 100.0%, 100.0%, 46.8% and 50.0% respectively. The sensitivity, specificity, PPV, NPV and accuracy of detection of inferior vena cava (IVC) invasion by CT-scan were 7.1%, 100.0%, 100.0%, 45.8% and 48.0% respectively. Conclusion: CT is a useful diagnostic tool for the detection of malignant hepatic masses.Journal of Science Foundation, 2014;12(1):2-6

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Prevalence of Anaemia among Pregnant Women in a Rural Area of Bangladesh: Impact of Socio-economic Factors, Food Intake, and Micronutrient Supplementation

American Journal of Pure and Applied Biosciences ◽

10.34104/ajpab.0200107 ◽

2020 ◽

pp. 1-7

Keyword(s):

Pregnant Women ◽

Formal Education ◽

Economic Status ◽

Cross Sectional Study ◽

College Hospital ◽

Cross Sectional ◽

Major Health Problem ◽

Lower Middle Class ◽

Medical College ◽

Anaemia In Pregnancy

Anaemia during pregnancy is a major health problem throughout the world. The prevalence of anaemia in pregnancy is 41.8% globally and 46% in Bangladesh. It affects both the mother and the baby simultaneously. Women often become anaemic during pregnancy because the demand for iron is increased due to the physiological need for pregnancy. This cross-sectional study was carried out in Savar Gonoshasthaya Kendra project area in Dhaka district. Ninety-Five pregnant women of different gestational ages were selected purposively. Haemoglobin level was estimated by cyanomeath haemoglobin method in the laboratory of Gonoshasthaya Samaj Vittik Medical College Hospital, Savar. Among 95 pregnant women, 41.1% was in 20-24 years age group. The mean age of the respondents was 23.74 years. In terms of socio-economic status, 54.7% of the respondents came from lower middle-class family. 7.4% of the respondents had no formal education, 54.7% had primary level education and only 6.3% had higher education. Maximum of the respondents (88.4%) were housewife. This study revealed that the prevalence of anaemia among pregnant women was 51.6%. Among 51.6 % of the anaemic respondents, 23.2% were mildly anaemic, 26.3% were moderately anaemic and 2.1% were severely anaemic.

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Performance of CT Scan in diagnosis of Sinonasal mass

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v24i2.44176 ◽

2019 ◽

Vol 24 (2) ◽

pp. 149-155

Author(s):

Lodh Dipankar ◽

Islam Nazmul ◽

Talukder Debesh ◽

Majumder Rita ◽

Arafat Shahriar ◽

...

Keyword(s):

Ct Scan ◽

Histopathological Examination ◽

Malignant Tumour ◽

Cross Sectional Study ◽

College Hospital ◽

Cross Sectional ◽

Female Ratio ◽

Medical College ◽

Sinonasal Mass ◽

Histopathological Results

Objective: To establish CT scan as a sensitive modality in the diagnosis of sinonasal mass by correlating with the findings of histopathological examination Methods: This cross sectional study was conducted in Dhaka Medical College Hospital (DMCH) from 01/07/2013 to 30/06/2014. A total of 32 cases were studied. Results: In this study male and female ratio was 1.4:1. So, the incidence of sinonasal mass slightly higher in male (59.3%) compared to the female (40.6%). Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Conclusion: Computed tomography (CT) scan examination of the sinonasal mass correlate well in most of the cases with histopathological results. It is therefore can be concluded that CT examination of nose and paranasal sinuses is a useful modality in the evaluation of sinonasal mass. Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 149-155

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Diagnostic Performance of CT Scan in Sinonasal Mass

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v23i2.45163 ◽

2020 ◽

Vol 23 (2) ◽

pp. 164-170

Author(s):

Dipankar Lodh ◽

Islam Nazmul ◽

Talukder Debesh ◽

Majumder Rita ◽

Arafat Shahriar ◽

...

Keyword(s):

Ct Scan ◽

Histopathological Examination ◽

Anatomical Variations ◽

Malignant Tumour ◽

Cross Sectional Study ◽

College Hospital ◽

Cross Sectional ◽

Female Ratio ◽

Medical College ◽

Sinonasal Mass

Background: CT imaging of nose and paranasal sinuses is to confirm the diagnosis, localize the disease, characterize the extent of pathology and describe any anatomical variations. A careful histopathological examination (HPE) is nesessary to decide the nature of a specific lesion. Objective: To observe performance of CT scan as a sensitive modality in the diagnosis of sinonasal mass by comparing with the findings of histopathological examination. Methods: This cross sectional study in Dhaka Medical College Hospital (DMCH). From 01/ 07/2013 to 30/06/2014 (One year), 42 patients were selected. Resuls: Here male and female ratio was found 1.4:1 So, the incidence of sinonasal growth slightly higher in male (59.3%) compared to the female (40.6%).Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 164-170

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Hilar and Mediastinal Involvement in Bronchogenic Carcinoma: CT Evaluation and Histopathologic Correlation

Bangladesh Journal of Nuclear Medicine ◽

10.3329/bjnm.v19i1.35578 ◽

2018 ◽

Vol 19 (1) ◽

pp. 32-37

Author(s):

Sayed Jamiul Hossain ◽

Md Rakibul Hassan ◽

Md Shafiqur Rahman ◽

Md Abu Baker Siddique ◽

Md Sahajahan

Keyword(s):

Ct Scan ◽

Bronchogenic Carcinoma ◽

Needle Aspiration ◽

Cross Sectional Study ◽

College Hospital ◽

Cross Sectional ◽

Ct Guided ◽

Medical College ◽

Ct Evaluation ◽

Mediastinal Involvement

This cross sectional study was done to assess the diagnostic accuracy of Computed Tomography (CT) in the evaluation of hilar and mediastinal involvement in bronchogenic carcinoma. A total of 104 patients with bronchial mass lesion were included in the study. Thorough history, clinical examinations, X-ray chest, CT chest and CT guided fine needle aspiration cytology (FNAC) were done. This study was carried out in the department of Radiology and Imaging of Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH) from July 2009 to June 2010. Diagnosis of hilar and mediastinal involvement in bronchogenic carcinoma by CT scan was highly sensitive and specific. CT findings of the present study correlated well in most of the cases with the CT guided FNAC results. It can therefore be concluded that CT scan is a useful modality in the evaluation of hilar and mediastinal involvement in bronchogenic carcinoma.Bangladesh J. Nuclear Med. 19(1): 32-37, January 2016

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Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

Bangladesh Journal of Medical Microbiology ◽

10.3329/bjmm.v6i1.19354 ◽

2012 ◽

Vol 6 (1) ◽

pp. 11-13

Author(s):

Sushmita Roy ◽

S.M. Shamsuzzaman ◽

K.Z. Mamun

Keyword(s):

Stool Sample ◽

Rapid Detection ◽

Cross Sectional Study ◽

Rapid Diagnosis ◽

Age Group ◽

College Hospital ◽

Cross Sectional ◽

Rotavirus Infection ◽

Medical College ◽

Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

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Usage of telecommunication technology in perpetration of sexual assault- A study conducted on reported victims in a Tertiary Medical College Hospital OCC

Community Based Medical Journal ◽

10.3329/cbmj.v9i2.56985 ◽

2021 ◽

Vol 9 (2) ◽

pp. 3-7

Author(s):

Iffath Farooqui ◽

Md Shamsul Islam ◽

Rahat Amin Chowdhury ◽

ATM Hasibul Hasan

Keyword(s):

Communication Technology ◽

Low Income ◽

Socioeconomic Development ◽

Smart Phone ◽

Cross Sectional Study ◽

Sexual Assaults ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Low Income Families

The sexual assaults and its consequences are increasing along with socioeconomic development of the country. Rise of modern communication technology add fuel to the flame. This descriptive cross-sectional study aimed to evaluate the role of communication technology in sexual assaults in Bangladesh. There were 87 victims included in this study. All were female of 6 years to 40 years of age, mean age was 15.67 (± 6.69) year. Most of the victims were below 20 years of age and came from low income families. About 76% mobile used were smart phone. Among them 46% were owned by the victims herself, 26% gifted by the assailants to the victims. Talking through mobile (37%) was the main communication route between the assailants and the victims; followed by direct verbal (31%), mixed verbal and mobile talking (26%) and others (6%). Regarding methods of communication, they only talk in 42% cases and 36% cases used mixed method (talking, SMS and video chatting). The assailant paid all the costs in 62% cases. Mobile phone came as a blessing in communication, but inchoate use makes it a curse to our society. Parents should be cautious about their children's mobile usage (especially smart phone) daily. Government also should make some policy on using mobile technology by the younger citizens. CBMJ 2020 July: Vol. 09 No. 02 P: 03-07

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Cough Variant Asthma in Medical Outpatient Department of a Tertiary Care Hospital in Bangladesh

Journal of Enam Medical College ◽

10.3329/jemc.v3i1.13871 ◽

2013 ◽

Vol 3 (1) ◽

pp. 29-31

Author(s):

Swapna Bhattacharjee ◽

Shekhar Bhattacharjee ◽

Rukhsana Parvin

Keyword(s):

Chronic Cough ◽

Tertiary Care ◽

Complete Recovery ◽

Cross Sectional Study ◽

Outpatient Department ◽

Care Hospital ◽

College Hospital ◽

Cross Sectional ◽

Cough Variant Asthma ◽

Medical College

Background: Cough variant asthma (CVA) is a subset of asthma where the only symptom is chronic persistent cough. Many cases go unrecognized due to lack of proper evaluation. Response to asthma medication with features supportive of airway hypersensitivity helps in management of this disease. Objective: To find out the proportion of cough variant asthma among the patients attending medicine outpatient department of Enam Medical College, Savar, Dhaka. Materials and Methods: This cross sectional study was conducted in Enam Medical College Hospital, Savar, Dhaka over a period of two years from July 2009 to July 2011. Cough variant asthma was diagnosed mainly on clinical ground as chronic cough without wheezing, fever, weight loss, shortness of breath or sputum or any other apparent cause that persisted for more than eight weeks with absolutely normal physical examination of chest, normal chest radiography and blood count except raised eosinophil count and IgE level. Patients who met these criteria were given 2 weeks course of inhaler beclomethasone propionate and were assessed for improvement. Those who improved after steroid inhalation were categorised as having cough variant asthma. Results: Out of purposively selected 148 patients complaining only of chronic dry cough for more than eight weeks, 92 patients met the primary selection criteria for cough variant asthma. These 92 patients were given 2 weeks trial of 250 ìgm beclomethasone inhalation twice daily. Seventy nine patients reported almost complete recovery from chronic cough after 2 weeks and were categorized as having CVA. Thirteen patients did not improve and were not categorized as CVA. Conclusion: These findings suggest that cough variant asthma is the most common among the patients with chronic cough not due to any apparent cause. The efficacy of inhaled corticosteroid suggests that early intervention is effective in the treatment of this disease. DOI: http://dx.doi.org/10.3329/jemc.v3i1.13871 J Enam Med Col 2013; 3(1): 29-31

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Frequency of Metabolic Abnormalities of Vesical Calculus in Children Younger than 10 Yrs of Age

10.53350/pjmhs211561243 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1243-1245

Author(s):

H.U Rahman ◽

S. F. Shah ◽

A. J. Sheikh ◽

I. U. Memon ◽

W. S. Bhatti ◽

...

Keyword(s):

Cross Sectional Study ◽

P Value ◽

Metabolic Abnormalities ◽

Urine Ph ◽

College Hospital ◽

Cross Sectional ◽

Vesical Calculus ◽

Medical College ◽

Presenting Symptoms ◽

Calcium Magnesium

Aim: To assess the metabolic abnormalities in children younger than 10 years of age with vesical calculus. Study design: Retrospective cross-sectional study Place and duration of study: Department of Urology, Khairpur Medical College Hospital, Khairpur from 1st October 2014 to 30th September 2016. Methodology: Two hundred and six children age <10 years of age and either gender presented with vesical calculus were enrolled. Demographic information like age, gender, residence, serum electrolytes, calcium, magnesium, phosphate, uric acid, blood, and urine pH were recorded for the purpose of metabolic workup. Results: The mean age was 4.76±1.22 years and 157 (76.2%) were males and 49 (23.8%) were females. The frequency of metabolic abnormalities was observed in 153 (74.3%) of the patients. A significantly higher prevalence of metabolic abnormalities was observed with male gender (p-value 0.006), dark colored urine as presenting symptoms (p-value 0.022), frequent urination (p-value 0.045), and hematuria (p-value 0.016). Of 153 patients with metabolic abnormalities, hypercalciuria was observed in 45 (29.4%), hypocitraturia in 73 (47.7%), hyperoxaluria in 21 (13.7%), and hyperuricosuria in 14 (9.2%) patients. Conclusion: The frequency of metabolic abnormalities was high among children with vesical calculus. Moreover, hypocitraturia in these children was observed in majority followed by hypercalciuria, hyperoxaluria, and hyperuricosuria. Keywords: Metabolic abnormalities, Children, Vesical calculus

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ROLE OF ABSOLUTE EOSINOPHIL COUNT AS A MODALITY OF INVESTIGATION IN SUSPECTED CASES OF HELMINTHIC INFESTATION IN CHILDREN AGED BETWEEN 5 TO 15 YEARS WITH COMPARISON TO STOOL ROUTINE AND MICROSCOPY

10.36106/gjra/6111669 ◽

2021 ◽

pp. 112-113

Author(s):

Meghashree N ◽

Rohini D ◽

Mahendar Reddy M ◽

A.M Koppad

Keyword(s):

Eosinophil Count ◽

Stool Specimen ◽

Cross Sectional Study ◽

Research Centre ◽

P Value ◽

College Hospital ◽

Cross Sectional ◽

Mean Values ◽

Medical College ◽

Absolute Eosinophil Count

Introduction: Eosinophilia is a well-known host immune response in helminthic infestation. This study was carried out to investigate whether a correlation exists between absolute eosinophil count in children with stool specimen positive for helminthic infestation. Aim And Objective: To determine average raised absolute eosinophil count in children who were having various helminthic infestation with stool specimen positive. Materials And Methods: A hospital based cross sectional study done at Navodaya medical college hospital and research centre during 2019 October to 2020 September for a period of 12 months. Both blood and stool samples were obtained from a total of 69 suspected children after examined, categorised into 2 groups. Among them 24 cases were positive of helminthic infestation and 45 cases were negative. T-test and descriptive statistics were used to analyse the data. Results: The study revealed that children infested with helminths found to have higher absolute eosinophil count (mean 4644/µl (95%CI; 3474-4212) than not infested (mean 801/µl (95%CI; 616-945) with p value <0.001. In this helminth's family; nematodes, trematodes, cestodes showed mean values of absolute eosinophil count were 5206/µl (4806-7151/µl), 4930/µl (4500-5382/µl) and 2179/µl (2500-1669/µl) respectively. Conclusions: Raised absolute eosinophil count has been observed in stool specimen positive cases of helminths, especially more in nematodes. Therefore, should be considered for a single dose of albendazole.

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