Clinical Course and Disease`s Outcome Aspects of COVID-19 Pediatric Patients in Ibn Al-Khateeb Isolation Hospital

Background: Corona virus disease 2019 (COVID-19) is a communicable disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified in December 2019 in Wuhan, China, and has since spread globally, leading to an ongoing pandemic. Aim of study: to review the clinical, lab investigation and imaging techniques, in pediatric age group affected COVID-19 to help medical experts better understand and supply timely diagnosis and treatment. Subjects and methods: this study is a retrospective descriptive clinical study. The medical records of patients were analyzed. Information’s recorded include demographic data, exposure history, symptoms, signs, laboratory findings, chest x- ray, and chest computed tomographic (CT) scans. Data were obtained with data collection forms from paper medical records. Results: there were 76 COVID-19 pediatric patients, 46.1% of those patients were within the age group 6 -10 years. The female to male ratio was 1:1, and 92.1% of them were living within the urbane area. About 60.5% of patients were pupils. Seventy-one (93.4%) patients of them had no comorbidity. Twenty (26.3%) patients were asymptomatic. Regarding the duration of hospital stay, 39(51.31) patients had <7 days. All of the patients were nonsmokers. All patients had recovered and discharged from hospital after 2 negative real technique-polymerase chain reaction (RT-PCR) tests, no death was reported. Only 16(21.1%) patients had severe symptoms. Conclusions: the most common symptoms were fever, Cough, Loss of appetite, Shortness of breath & Fatigue. There was a statistically significant association between white blood cells counts, neutrophil number, Chest X-Ray results, with case severity and a statistically significant association between form of treatment in patients who received Oxygen, Oseltamivir, Azithromycin, Paracetamol, Dexamethasone, and case severity.

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Profil hasil pemeriksaan foto toraks pada pasien pneumotoraks di Bagian / SMF Radiologi FK Unsrat RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2015 – Agustus 2016

e-CliniC ◽

10.35790/ecl.4.2.2016.14397 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Windy D.P. Masengi ◽

Elvie Loho ◽

Vonny Tubagus

Keyword(s):

Medical Records ◽

Spontaneous Pneumothorax ◽

Pleural Cavity ◽

Secondary Data ◽

Descriptive Study ◽

Age Group ◽

X Ray ◽

Secondary Spontaneous Pneumothorax ◽

Chest X Ray ◽

The Right

Abstract: Radiology examination especially chest x-ray can enforce various kinds of pulmonary diseases inter alia pneumothorax. Pneumothorax is defined as the presence of air in the pleural cavity. The causes of pneumothorax are very diverse ranging from idiopathic, infection, trauma, and iatrogenic. This study was aimed to obtain the profile of chest x-ray in patients with pneumothorax. This was a retrospective descriptive study by using secondary data from the medical records at the Department of Radiology Prof. Dr. R. D. Kandou Hospital Manado from January 2015 to August 2016. Samples were the medical records of patients that were radiologically diagnosed as pneumothorax. There were 41 patients that were diagnosed radiologically as pneumothorax. The majority of cases were male (90.2%), age group >50 years (36.6%), location of lesion in the right hemithorax (53.7%), and secondary spontaneous pneumothorax as the etiology (43,9 %). Conclusion: In this study, pneumothorax was more common among males, age group of ≥50 years, and secondary spontaneous pneumothorax as the etiology of pneumothorax.Keywords: pneumothorax, radiology, chest x-ray Abstrak: Pemeriksaan radiologi khususnya foto toraks dapat menegakkan berbagai macam diagnosis penyakit paru, salah satunya ialah pneumotoraks. Pneumotoraks adalah terdapatnya udara bebas didalam rongga pleura dengan penyebab yang sangat beragam mulai dari idiopatik, infeksi, trauma, maupun iatrogenik. Penelitian ini bertujuan untuk mengetahui profil hasil pemeriksaan foto toraks pada pasien pneumotoraks. Jenis penelitian ialah deskriptif retrospektif dengan pengambilan data di Bagian Radiologi RSUP Prof. Dr. R. D. Kandou Manado pada bulan Januari 2015 sampai dengan Agustus 2016. Sampel yaitu data rekam medik pasien yang didiagnosis pneumotoraks secara radiologis sebanyak 41 pasien. Yang tersering ditemukan ialah pasien laki-laki sebanyak 37 orang (90,2%), kelompok usia >50 tahun sebanyak 15 orang (36,6%), lokasi lesi hemitoraks deksra sebanyak 22 kasus (53,7%), serta etiologi pneumotoraks spontan sekunder sebanyak 18 kasus (43,9%). Simpulan: Pada penelitian ini didapatkan pneumotoraks paling banyak pada laki-laki, kelompok usia ≥50 tahun, dengan pneumotoraks spontan sekunder sebagai etiologi tersering. Kata kunci: pneumotoraks, radiologi, foto toraks

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Identifikasi Penderita COVID-19 Berdasarkan Chest X-Ray Menggunakan Algoritma Jaringan Syaraf Tiruan Backpropagation

Jurnal Sistim Informasi dan Teknologi ◽

10.37034/jsisfotek.v3i4.169 ◽

2021 ◽

pp. 195-200

Author(s):

Heru Rahmat Wibawa Putra ◽

Y Yuhandri

Keyword(s):

Virus Disease ◽

Imaging Techniques ◽

Training Data ◽

World Health ◽

X Ray ◽

Initial Stage ◽

The World ◽

Chest X Ray ◽

Artificial Neural Network Ann ◽

Health Organization

Corona Virus Disease 2019 (COVID-19) is an infectious respiratory disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV2). This disease first appeared in Wuhan, China and spread throughout the world. COVID-19 has had a major impact on public health around the world. On March 9, 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. Early identification of people with COVID-19 can help limit the wider spread. One of the factors behind the rapid spread of the disease is the long clinical trial time. Rapid clinical testing is a challenge facing the spread of COVID-19. Most countries, including Indonesia, face the problem of lack of detection equipment and experts in diagnosing this disease. Chest X-Ray is one of the medical imaging techniques and also an alternative to identify the symptoms of pneumonia caused by COVID-19. This study aims to identify pneumonia caused by COVID-19 and other diseases based on Chest X-Ray. 107 Chest X-Ray images used as material for this study were obtained from the General Hospital of Ibnu Sina Padang Indonesia, which consisted of 27 images of pneumonia caused by COVID-19, 51 images with other diseases and 29 images of normal lungs. Then pre-processing is carried out as an initial stage and then feature extraction is carried out. Furthermore, the learning and identification process is carried out using the Backpropagation Artificial Neural Network (ANN) algorithm. In this study, 92 images were used as training data, and 15 images were used as test data. The results of calculations carried out using a network with a pattern of 16-100-100-100-2 obtained an accuracy value of 73%. The results of the identification prediction can be used as consideration in establishing a diagnosis of COVID-19 sufferers, but cannot be used as an absolute reference.

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GAMBARAN HASIL PEMERIKSAAN FOTO TORAKS PADA PASIEN BARU YANG MELAKUKAN PEMERIKSAAN TORAKS FOTO DI BAGIAN/SMF RADIOLOGI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JUNI-OKTOBER 2014

e-CliniC ◽

10.35790/ecl.3.1.2015.6514 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Dewi Risnawati ◽

Ramli Haji Ali ◽

Vonny Tubagus

Keyword(s):

Medical Records ◽

Middle Age ◽

Secondary Data ◽

Age Group ◽

X Ray ◽

The Past ◽

Abnormal Chest ◽

Substantial Progress ◽

Chest X Ray ◽

Examination Techniques

Abstract: Radiological examination of the thorax is a very important examination. Substantial progress and knowledge during the past decade in the thoracic radiologic examination techniques cause this examination becomes a routine necessity. Radiographic examinations has become the main reference to determine abnormalities that occur in the thoracic cavity. This study aimed to describe the radiographic results in new patients in the Department of Radiology Prof. Dr R.D. Kandou Hospital Manado period June 1st to October 31st 2014. This was a retrospective descriptive study using secondary data which were the medical record accessed at the Department of Radiology period of June 1st to October 31st 2014. Overall, radiographic examinations of new patients were 2012 people; abnormal picture 49%, normal picture 25%, and incomplete medical records 26%. More new patients performing radiographic examinations were among women (51.4%) and the most frequent was the middle age group (53.60%). Mostly abnormal chest X-ray showed pulmonary tuberculosis (36.3% ). Conclusion: New patients at the Department of Radiology showed more abnormal results, more frequent among women, especially in the middle age.Keywords: thoracic photo examination, New PatientsAbstract: Radiological examination of the thorax is a very important examination. Substantial progress and knowledge during the past decade in the thoracic radiologic examination techniques cause this examination becomes a routine necessity. Radiographic examinations has become the main reference to determine abnormalities that occur in the thoracic cavity. This study aimed to describe the radiographic results in new patients in the Department of Radiology Prof. Dr R.D. Kandou Hospital Manado period June 1st to October 31st 2014. This was a retrospective descriptive study using secondary data which were the medical record accessed at the Department of Radiology period of June 1st to October 31st 2014. Overall, radiographic examinations of new patients were 2012 people; abnormal picture 49%, normal picture 25%, and incomplete medical records 26%. More new patients performing radiographic examinations were among women (51.4%) and the most frequent was the middle age group (53.60%). Mostly abnormal chest X-ray showed pulmonary tuberculosis (36.3% ). Conclusion: New patients at the Department of Radiology showed more abnormal results, more frequent among women, especially in the middle age. Keywords: thoracic photo examination, New Patients Abstrak: Pemeriksaan radiologik toraks merupakan pemeriksaan yang sangat penting. Kemajuan yang pesat selama dasawarsa terakhir dalam teknik pemeriksaan radiologic toraks dan pengetahuan untuk menilai suatu rongenogram toraks menyebabkan pemeriksaan toraks dengan sinar-x menjadi suatu keharusan rutin. Pemeriksaan foto toraks sudah menjadi acuan utama untuk mengetahui kelainan-kelainan yang terjadi di rongga toraks. Tujuan penelitian ini untuk mengetahui gambaran hasil foto toraks pada pasien baru di Bagian Radiologi FK UNSRAT/SMF Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode 1 Juni-31 Oktober 2014. Penelitian ini merupakan penelitian deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan medik yang terdapat di Bagian Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode 1 Juni- 31 Oktober 2014. Keseluruhan pasien baru yang melakukan pemeriksaan foto toraks berjumlah 2012 orang yang menunjukkan gambaran abnormal (49%), gambaran normal (25%), sisanya adalah data rekam medik yang tidak lengkap (26%). Pasien baru yang lebih banyak melakukan pemeriksaan foto toraks terdapat pada perempuan (51,4%) dan terbanyak pada kelompok umur dewasa madya (53,60%) dan gambaran foto toraks abnormal didapatkan terbanyak adalah TB Paru (36,3%). Simpulan: Pasien baru yang melakukan pemeriksaan di bagian Radiologi lebih banyak menunjukkan gambaran abnormal dan lebih sering pada perempuan terutama usia dewasa madya. Kata kunci: pemeriksaan foto toraks, pasien baru: Pemeriksaan radiologik toraks merupakan pemeriksaan yang sangat penting. Kemajuan yang pesat selama dasawarsa terakhir dalam teknik pemeriksaan radiologic toraks dan pengetahuan untuk menilai suatu rongenogram toraks menyebabkan pemeriksaan toraks dengan sinar-x menjadi suatu keharusan rutin. Pemeriksaan foto toraks sudah menjadi acuan utama untuk mengetahui kelainan-kelainan yang terjadi di rongga toraks. Tujuan penelitian ini untuk mengetahui gambaran hasil foto toraks pada pasien baru di Bagian Radiologi FK UNSRAT/SMF Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode 1 Juni-31 Oktober 2014. Penelitian ini merupakan penelitian deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan medik yang terdapat di Bagian Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode 1 Juni- 31 Oktober 2014. Keseluruhan pasien baru yang melakukan pemeriksaan foto toraks berjumlah 2012 orang yang menunjukkan gambaran abnormal (49%), gambaran normal (25%), sisanya adalah data rekam medik yang tidak lengkap (26%). Pasien baru yang lebih banyak melakukan pemeriksaan foto toraks terdapat pada perempuan (51,4%) dan terbanyak pada kelompok umur dewasa madya (53,60%) dan gambaran foto toraks abnormal didapatkan terbanyak adalah TB Paru (36,3%). Simpulan: Pasien baru yang melakukan pemeriksaan di bagian Radiologi lebih banyak menunjukkan gambaran abnormal dan lebih sering pada perempuan terutama usia dewasa madya.Kata kunci: pemeriksaan foto toraks, pasien baru

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A proposed equation estimating the length of peripherally inserted central catheter in hand for NICU hospitalized preterm neonates

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2021.11.1.0313 ◽

2021 ◽

Vol 11 (1) ◽

pp. 044-050

Author(s):

MahbodKaveh ◽

Mohammad SadeghArabhosseini ◽

Mohammad Reza Zarkesh ◽

MokaramehHaghjoo ◽

MaedehRaznahan ◽

...

Keyword(s):

Birth Weight ◽

Pilot Study ◽

Medical Records ◽

Regression Coefficient ◽

Demographic Data ◽

Preterm Neonates ◽

Optimal Length ◽

X Ray ◽

Chest X Ray ◽

Final Length

Background: Although PICC plays a crucial role in preterm neonates, it may cause several complications. A pilot study was conducted to propose a useful equation in identifying the safe length of catheter during the first attempt of catheterization. Methods: A pilot study was carried out and NICU admitted preterm neonates requiring PICC insertion entered the study. PICC was inserted for neonates by an expert NICU nurse. After catheterization, a chest X-ray examination with contrast was done to determine the location of canola. All neonates' demographic data were extracted from medical records. Age of neonate at catheterization, the duration of catheterization period as well as data regarding the first and final sizes of the inserted PICC were also recorded. Finally, the associations between the lengths of catheters with neonates' demographic factors were assessed to propose an equation estimating the optimal length of inserted PICC. Results: One hundred preterm neonates requiring PICC entered the study. The results have shown significant associations between the first length of inserted catheter in the hand with head circumference (p=0.019; r=0.293) as well as the final length of inserted catheter in the hand with birth weight (p=0.015; r=0.304). There was a linear correlation between the length of inserted catheter in the hand with neonate's birth weight (p=0.029); however, based on the value of R2=0.167, this relationship was weak. According to these findings an equation was proposed as follows; Inserted length in hand (cm) = 17.98 + 0.618body weight (gr). Conclusion: Our results showed a positive correlation between the inserted lengths of PICC in the hand with neonate's body weight. Our findings proposed an equation; however, the regression coefficient was not significantly notable.

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Entrance Surface Dose (ESD) Measurement During Pediatric Chest X-Rays

Journal of Radiation and Nuclear Medicine ◽

10.14302/issn.2766-8630.jrnm-20-3288 ◽

2020 ◽

Vol 1 (11) ◽

pp. 23-28

Author(s):

Roya Davoodi ◽

Mohammad Reza Eydian ◽

Reza Rezazadeh- Farokh ◽

Asma Maraei

Keyword(s):

Pediatric Patients ◽

Demographic Data ◽

Age Groups ◽

X Rays ◽

Surface Dose ◽

X Ray ◽

Dose Area Product ◽

Entrance Surface Dose ◽

Significant Difference ◽

Chest X Ray

Introduction Given the high radiation tissue sensitivity of pediatric patients, it is necessary to monitor their received dose in order to optimize radiation protection. The first aim of this study was to evaluate of the entrance surface dose (ESD) in pediatric patients undergoing chest x-ray at the main hospital of Dezful, Iran. The second aim was to compare our results with the established dose reference levels (DRL). Materials and Methods The studied population included 204 pediatric patients less than 15 year who were referred to chest x-ray. A calibrated dose area product meter (DAP-meter) with permanent installation on x-ray unit was used to radiation dose measurements. For each patient, the demographic data, exposure parameters and the dose read by DAP-meter were recorded and ESD was calculated using standard mathematical formula. Results The average value of ESD was 119 μGy in patients less than 15 years. This value was 51.3, 122.3, 131.5 and 171.2 μGy for the age groups less than 1 year, 1 to 5 year, 5 to 10 year and 10 to 15 year, respectively. A statistical significant difference was seen between ESD values in different age groups (P<0.001), whereas no statistical difference was seen between ESD values in girls and boys (P =0.993). Conclusion Pediatric patients in hospital investigated (except age group less than 1 year) are subjected to unnecessary radiation exposure, especially due to use of non-optimize x-ray protocols.

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Identifikasi Penderita COVID-19 Berdasarkan Chest X-Ray Menggunakan Algoritma Jaringan Syaraf Tiruan Backpropagation

Jurnal Sistim Informasi dan Teknologi ◽

10.37034/jsisfotek.v3i4.65 ◽

2021 ◽

pp. 197-202

Author(s):

Heru Rahmat Wibawa Putra ◽

Y Yuhandri

Keyword(s):

Virus Disease ◽

Imaging Techniques ◽

Training Data ◽

World Health ◽

X Ray ◽

Initial Stage ◽

The World ◽

Chest X Ray ◽

Artificial Neural Network Ann ◽

Health Organization

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Routine Chest X-ray Examination?

PEDIATRICS ◽

10.1542/peds.62.5.859c ◽

1978 ◽

Vol 62 (5) ◽

pp. 859-860

Author(s):

David H. Baker ◽

Walter E. Berdon

Keyword(s):

Age Group ◽

X Ray ◽

Chest X Ray ◽

Routine Chest ◽

Preoperative Chest

In reference to the article by Sane et al. entitled "Value of Preoperative Chest X-ray Examinations in Children" (Pediatrics 60:669, November 1977), we would like to know if the authors broke down the abnormalities by age group—for instance, five-year segments. If so, did a preponderance of abnormalities of any variety occur at any particular age? We believe that should be stated, as it would strengthen their thesis if there was no difference between 0 and 19 years of age.

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CHEST X RAY SCORE AND CLINICAL SEVERITY IN COVID-19 PATIENTS

10.36106/ijsr/2506669 ◽

2021 ◽

pp. 31-32

Author(s):

Sheeba Rana ◽

Vicky Bakshi ◽

Yavini Rawat ◽

Zaid Bin Afroz

Keyword(s):

Retrospective Study ◽

Medical Records ◽

Scoring Systems ◽

Clinical Severity ◽

X Rays ◽

Antigen Test ◽

X Ray ◽

Classi Cation ◽

Chest X Ray ◽

Male Subjects

INTRODUCTION: Various chest X-ray scoring systems have been discovered and are employed to correlate with clinical severity, outcome and progression of diseases. With, the coronavirus outbreak, few chest radiograph classication were formulated, like the BSTI classication and the Brixia chest X-ray score. Brixia CXR scoring is used for assessing the clinical severity and outcome of COVID-19. This study aims to compare the Brixia CXR score with clinical severity of COVID-19 patients. MATERIAL& METHODS:This was a retrospective study in which medical records of patients aged 18 years or above, who tested for RTPCR or st st Rapid Antigen Test (RAT) for COVID positive from 1 February 2021 to 31 July 2021 (6 months) were taken. These subjects were stratied into mild, moderate and severe patients according to the ICMR guidelines. Chest X Rays were obtained and lesions were classied according to Brixia scoring system. RESULTS: Out of these 375 patients, 123 (32.8%) were female and 252 (67.2%) were male subjects. The average brixia score was 11.12. Average Brixia CXR score for mild, moderate and severe diseased subjects were 5.23, 11.20, and 14.43 respectively. DISCUSSION:The extent of chest x-ray involvement is proportional to the clinical severity of the patient. Although, a perplexing nding was that the average Brixia score of the female subjects were slightly higher than their male counterparts in the same clinical groups. CONCLUSION: Brixia CXR score correlates well with the clinical severity of the COVID-19.

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Value of Preoperative Chest X-ray Examinations in Children

PEDIATRICS ◽

10.1542/peds.60.5.669 ◽

1977 ◽

Vol 60 (5) ◽

pp. 669-672

Author(s):

Shashikant M. Sane ◽

Robert A. Worsing ◽

Cornelius W. Wiens ◽

Rajiv K. Sharma

Keyword(s):

Prospective Study ◽

Pediatric Patients ◽

Anesthetic Technique ◽

Chest Film ◽

X Ray ◽

Patients Âgés ◽

Chest X Ray ◽

A Prospective Study ◽

Preoperative Chest

To assess the value of routine preoperative chest x-ray films in pediatric patients, a prospective study of 1,500 patients, ages newborn to 19 years, was undertaken. Of all the patients, 7.5% demonstrated at least one roentgenographic abnormality, with 4.7% of the patients demonstrating a totally unsuspected significant roentgenographic anomaly. In 3.8% of the patients, surgery was either postponed or cancelled or the anesthetic technique was altered as a result of the roentgenographic finding. It is believed that the routine preoperative chest film is justified if the film is evaluated before surgery and the results clinically followed up.

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