Usefulness of information from x-ray request forms to the radiologists at radiology department, Nnamdi Azikiwe University Teaching Hospital, Nnewi.

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.

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Setting up an arthroplasty care practitioner-led virtual clinic for follow-up of orthopaedic patients

British Journal of Nursing ◽

10.12968/bjon.2019.28.20.1326 ◽

2019 ◽

Vol 28 (20) ◽

pp. 1326-1330 ◽

Cited By ~ 2

Author(s):

Sharon Ferdinandus ◽

Lindsay K Smith ◽

Hemant Pandit ◽

Martin H Stone

Keyword(s):

Patient Satisfaction ◽

Teaching Hospital ◽

Waiting Times ◽

Cost Savings ◽

University Teaching ◽

Local Hospital ◽

X Ray ◽

Orthopaedic Patients ◽

Set Up

This article provides an overview of the set up for an arthroplasty care practitioner (ACP)-led virtual orthopaedic clinic (VOC). Suitable patients attend a local hospital for an X-ray and complete a questionnaire, but do not physically attend a clinic. This has been running successfully in a university teaching hospital and has led to cost savings, a reduction in outpatient waiting times and high levels of patient satisfaction. Similar clinics have the potential to become normal practice across the NHS. This article outlines the steps necessary to implement a successful VOC. The lessons learnt during this exercise may be useful for other ACPs when setting up a VOC.

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Taking the Fear Out of Investigations

Children Australia ◽

10.1017/s0312897000012789 ◽

1981 ◽

Vol 6 (1) ◽

pp. 12-13

Author(s):

Paul L. Sprague

Keyword(s):

Medical Student ◽

Teaching Hospital ◽

Renal Damage ◽

Radiology Department ◽

X Ray ◽

Urinary Infections ◽

Large Teaching Hospital ◽

Examination Room

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.

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Spectrum Of Chest X-Ray Findings Among Human Immunodeficiency Virus Positive Individuals In A Nigerian Tertiary Hospital

SAARC Journal of Tuberculosis Lung Diseases and HIV/AIDS ◽

10.3126/saarctb.v10i2.9710 ◽

2014 ◽

Vol 10 (2) ◽

pp. 27-34 ◽

Cited By ~ 1

Author(s):

Rachael Adeyanju Akinola ◽

TM Balogun ◽

AA Adeniyi ◽

JAA Onakoya ◽

IO Fabeyibi

Keyword(s):

Immune System ◽

Teaching Hospital ◽

Cd4 Count ◽

University Teaching ◽

Hiv Positive ◽

X Rays ◽

Cd4 Counts ◽

X Ray ◽

Ciency Virus ◽

Chest X Ray

Introduction: Human immunodefi ciency virus infection damages the immune system making those affected more susceptible to opportunistic infections and malignancies which are common in the chest. This study sought to determine the pattern of chest X-ray lesions and the corresponding CD4 counts of HIV positive patients reporting in the antiretroviral clinic of this teaching hospital for the fi rst time. Methodology: Consecutive HIV positive patients that attended the antiretroviral clinic of the Lagos State University Teaching Hospital, (LASUTH) from September 2009 to January 2011 were recruited. Their chest x-rays were assessed for the presence of pulmonary lesions and baseline CD 4 counts were done to assess their degree of immunosuppression. Data were analyzed using the Statistical Package for Social Sciences, version 16.0. Results: There were 211 subjects, 151 females and 60 males with a M:F ratio of 1:2.5 The mean age of participants was 36.5±11.9. Mean baseline CD4 count for the subjects was 279±220.7 cells/mm3. Almost two thirds (64.9%) cases had normal chest x-rays with their mean CD4 count as 277.65±228.54 cells/mm3. The commonest lesions seen in the lungs include pulmonary infi ltrations, 55 (26.1%), cardiomegaly, 24 (11.4%), pulmonary consolidation, 21 (10%) and lymphadenopathy, 14 (6.6%). The commonest radiological diagnosis made were Atypical pneumonitis, 39 (18.5%), pulmonary TB, 13 (6.2%), pneumonia 13 (6.2%) and cardiomegaly13 (6.2%) respectively.Patients with chest findings had lower mean CD4 counts, 239 cells/mm3 when compared to those without, 244 cells/mm3. Conclusion: Pulmonary infiltration was the commonest lesion, while the commonest diagnosis was atypical pneumonitis. Patients with chest x-ray lesions were found to have lower CD4 counts with probable worse destruction of their immune system. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(2); 27-34 DOI: http://dx.doi.org/10.3126/saarctb.v10i2.9710

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Chest X-Ray Findings Among Adult Patients Attending Usmanu Danfodiyo University Teaching Hospital Sokoto Northwestern Nigeria

Annals of Clinical and Experimental Medicine ◽

10.47838/acem.26011977.127122020.asmeda.1.12 ◽

2020 ◽

Author(s):

Mohammed Abacha ◽

Isma'il Salima ◽

Sadiq Abubakar Audu ◽

Abubakar Umar ◽

Gurama Aminu Dahiru ◽

...

Keyword(s):

Teaching Hospital ◽

Hypertensive Heart Disease ◽

Adult Patients ◽

University Teaching ◽

Pathologic Finding ◽

X Rays ◽

X Ray ◽

Number Of Patients ◽

Male Preponderance ◽

Chest X Ray

Background: Chest x-ray is the most frequently performed diagnostic examination particularly in patients with respiratory and cardiac diseases and for routine medical checkup and planning for surgery. A study on the image quality of chest x-rays had been conducted but the findings on the chest x-rays have not been studied in this tertiary health institution. This study aimed at revealing the most common pathologies and sex distribution of the pathologies on chest x-rays of adult patients attending the hospital. Materials and Methods: A retrospective study of 190 adult (aged 18 and above) patients’ chest x-ray reports was conducted using the existing reported documents of chest x-rays from the archives of Radiology Department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto from January 2018 - October 2019 using data capture sheet as instrument for data collection. Data was analyzed using Microsoft excel version 2010. Results: Out of the 190 chest x-rays, 54% were for male while 46% were for female patients with the highest number of patients in the 29-38 years age group. Most of the radiographs studied were normal examinations (38.95%). Moreover, the most common pathology was hypertensive heart failure (26.84%) with male preponderance (13.68%). Conclusion: Hypertensive heart disease is the most common pathologic finding of adult chest x-ray in the study area with elderly male preponderance.

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Determinants of Successful Tuberculosis Treatment Outcome in a State University Teaching Hospital in South East, Nigeria: A 5 Year Retrospective Study

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2019/v39i130195 ◽

2019 ◽

pp. 1-8

Author(s):

Chinonyelu J. Orji ◽

Onyinye H. Chime ◽

Edmund N. Ossai

Keyword(s):

Treatment Outcome ◽

Teaching Hospital ◽

Treatment Success ◽

Tuberculosis Treatment ◽

University Teaching ◽

World Health ◽

State University ◽

Female Ratio ◽

X Ray ◽

Chest X Ray

Aim: The 2018 World Health Organization Global Tuberculosis Report enlisted Nigeria as one of the seven countries worldwide that accounted for 64% of all new cases of tuberculosis. The aim of this study was to assess the magnitude and determinants of tuberculosis treatment outcomes at a Tertiary Hospital in South East, Nigeria. Study Design: Retrospective cohort. Place and Duration: The Enugu State University Teaching Hospital Directly Observed Treatment Center, between April 2009 and March 2013. Methods: Completely filled data were extracted from tuberculosis treatment cards and registers of 445 clients (255 males, 190 females; age range 0-90 years) who assessed care at the DOTS clinic. Tuberculosis treatment success outcome is defined as cured or completed TB treatment. Results: Of 445 registered patients, majority was males (57.3%), lived in urban areas (68.1%), and were newly diagnosed (97.8%). Of the 93.7% with pulmonary tuberculosis, 62% were smear negatives cases (62%). While the male to female ratio of the clients was 1.3:1, their mean age was 42 ± 16.7 years. About half (50.6%) had chest x-ray findings that were not diagnostic of Tuberculosis. While TB/HIV co-infection rate was 32.8%; 16% and 19.3% had commenced anti -retroviral and co-trimoxazole preventive treatment respectively. Treatment success was reported in 67.9% of all clients and was associated with being older than 14 year (AOR=12.0, 95% CI: 2.5 – 58.0) and having positive chest findings (AOR = 2.6, 95% CI: 0.3-0.6). Conclusions: The TB success rate in was 67.9% Being older than 14 years, having PTB and positive chest x ray findings were the predictors of good treatment outcome in this study. There is an urgent need to track and report the treatment outcome of patients who are lost to follow up since they constitute 20% of missed cases in this center.

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1485. Mobile Bedside Ultrasound (mBSUS) and Use of an Artificial Intelligence Algorithm for Diagnosis of Pediatric Pneumonia in Limited Resource Settings

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.1666 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S744-S744

Author(s):

ingrid Y Camelo ◽

Christopher Gill ◽

Rachel Pieciak

Keyword(s):

Artificial Intelligence ◽

Teaching Hospital ◽

Gold Standard ◽

Limited Resource ◽

Learning System ◽

University Teaching ◽

Bedside Ultrasound ◽

X Ray ◽

Chest X Ray ◽

The University

Abstract Background In low and middle-income countries (LMICs) pneumonia is by far the leading cause of death among children < 5 years of age. A key factor is the challenge of pneumonia diagnosis. Chest X-Ray is the gold standard for pneumonia diagnoses but exposes children to ionizing radiation and is mainly restricted to hospital settings. advances in artificial intelligence (AI) render possible the automated interpretation of mobile bedside US (mBSUS) images on a smartphone, obviating the need for a radiologist. Ultraspund findings in pneumonia Artificial intelligence feature recognition Methods We measured the accuracy of mBSUS for the diagnosis of pneumonia using chest X-Ray as the gold standard. Children 1-59 mo presenting at the University Teaching Hospital in Lusaka, Zambia with ages ranging from aged 1-59 months and meeting WHO criteria for severe/very severe pneumonia were enrolled. Clinical data is collected in RedCap. Digital X-Rays were done at the University Teaching Hospital and saved as JPEG images. Pulmonary mBSUS images are taken using a butterfly, a mobile device system, and stored in the butterfly iCloud of the Butterfly app and transmitted to an iOS phone or tablet. Images are stored locally and saved to a secured/encrypted cloud platform for remote viewing with a HIPAA (Health Insurance Portability and Accountability Act) compliant secure cloud. Images are currently extracted from the clips stored in the butterfly icloud, radiologists annotate the images that have abnormal findings and they are then sent to the AI lab where they are analyzed and organized to build a platform of similar images that could be recognized by the machine learning system. Imaging correlation CXR Vs mobile bedside ultrasound mBSUS Butterfly ultrasound system Results Of the 11 patients enrolled so far, ll have been having ultrasound images that correlated with chest x-ray findings. In three of those patients, the ultrasound has shown pulmonary findings not recognized or hardly seen on chest x-ray. The artificial intelligence lab is developing a pull of images that will be used to recognize patterns of consolidation from mBSUS images. Protocol fro obtaining images Conclusion Mobile pulmonary ultrasound mBSUS is a feasible, non radiation technique that could be used in limited-resource settings to diagnose pneumonia in children. Images obtained from mBSUS can be used to build a pattern of recognition based on consolidation findings. Disclosures All Authors: No reported disclosures

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Hematological changes after Röntgenray exposure in radiologic technologists

Zanco Journal of Medical Sciences ◽

10.15218/zjms.2021.016 ◽

2021 ◽

Vol 25 (2) ◽

pp. 526-531

Author(s):

Govand Tawfeeq ◽

Rawaz Tawfeeq ◽

Aram Ommar ◽

Shakar Ali

Keyword(s):

Oxidative Stress ◽

Teaching Hospital ◽

Blood Cells ◽

White Blood Cells ◽

The Body ◽

Radiology Department ◽

Control Group ◽

Convenience Sample ◽

X Ray ◽

Radiologic Technologists

Background and objective: In view of the known health hazards of X-ray radiation, this study focuses on the outlined effect of prolonged accidental or work-related Röntgenray exposure to hematological parameters such as red blood cells (RBCs), white blood cells (WBCs), platelets count as well as serum malondialdehyde (MDA) and glutathione in X-ray technicians. Methods: In this cross-sectional study with a comparison group, blood samples were collected over six months period from X-ray technician assistants across Rizgary teaching hospital, maternity teaching hospital, Nanakaly hospital, Erbil teaching hospital, Ashty hospital, Hundreen hospital, and Harem hospital. A convenience sample was chosen for collecting subjects exposed to X-ray at the radiology department in the hospitals mentioned above. The results were analyzed and compared with a second control group of healthy unexposed individuals. Results: It was determined that prolonged Röntgenray exposure could lead to an increase in the amount of oxidative stress as denoted by the decrease in the levels of reduced glutathione in the plasma of our test subjects. Conclusion: Although there were changes in the mean levels of plasma RBC, WBC, platelets, and malondialdehyde, the differences of these parameters between the two groups were not significant statistically. However, there was a significant reduction in glutathione levels in plasma samples of the subjects, indicating elevated oxidative stress levels within the body. Keywords: X-ray; Blood cells; Malondialdehyde; Glutathione.

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