scholarly journals EAR RECONSTRUCTION SURGERY: OUTCOME ANALYSIS OF 108 PATIENTS

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S565-68
Author(s):  
Ghazanfar Ali ◽  
Sikandar Ali Khan ◽  
Habib Ur Rehman ◽  
Atif Rafique ◽  
Ghulam Fareed ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Functional Improvement ◽  
Military Hospital ◽  
Outcome Analysis ◽  
Ear Reconstruction ◽  
Cross Sectional ◽  
Surgery Outcome ◽  
The Mean ◽  
Level Of Significance ◽  
Made In

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.

scholarly journals Factors associated with renal dysfunction in hepatitis C-related cirrhosis and its correlation with Child-Pugh score

2019 ◽  
Vol 6 (1) ◽  
pp. e000286 ◽  
Author(s):  
Hamza Waqar Bhatti ◽  
Umama Tahir ◽  
Noman Ahmed Chaudhary ◽  
Sania Bhatti ◽  
Muhammad Hafeez ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Hepatitis C ◽  
Serum Creatinine ◽  
Renal Dysfunction ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Cross Sectional ◽  
Disease Epidemiology ◽  
Factors Associated ◽  
Level Of Significance

ObjectivesTo assess factors associated with renal dysfunction (RD) in hepatitis C virus (HCV) cirrhosis, correlate renal parameters with Child-Pugh score (CPS) and find a cut-off value of CPS to determine RD.Materials and methodsIt was a cross-sectional study that included 70 cases of liver cirrhosis secondary to HCV from a period of 6 months at Combined Military Hospital, Multan. Diagnosis of HCV was confirmed by serological assay and liver cirrhosis by ultrasonography. CPS was determined and lab reports were taken. Patients were divided into two groups as not having RD (serum creatinine≤1.5 mg/dL) and having RD (serum creatinine≥1.5 mg/dL). Estimated glomerular filtration rate (eGFR) was calculated by chronic kidney disease epidemiology collaboration (CKD-EPI) formula. Data were analyzed using SPSS V.23.0. χ2, Kruskal-Wallis test and Pearson coefficient of correlation were applied. ROC curve was drawn to evaluate cut-off value of CPS for the presence of RD. Level of significance was set at p<0.05.ResultsPatients with CP grade B or C develop RD as compared to patients with CP grade A (p=0.000). Mean age, urea, creatinine and eGFR varies significantly among patients who develop RD and patients who do not (p=0.02, p=0.000, p=0.000 and p=0.000, respectively). eGFR negatively correlates with CPS (r=−0.359, p=0.002). Creatinine, urea and ALBI score positively correlates with CPS (r=+0.417, p=0.000; r=+0.757, p=0.000; r=+0.362, p=0.002, respectively).ConclusionAscites and encephalopathy are associated with RD in HCV cirrhosis.

scholarly journals Normal value of pulsatility index of umbilical artery in second and third trimester of pregnancy

2013 ◽  
Vol 39 (1) ◽  
pp. 42-44 ◽  
Author(s):  
MA Ferdous ◽  
MM Sharif ◽  
AS Mohiuddin ◽  
F Shegufta
Keyword(s):  
Gestational Age ◽  
Pulsatility Index ◽  
Umbilical Artery ◽  
Negative Relationship ◽  
Cross Sectional Study ◽  
Third Trimester ◽  
Cross Sectional ◽  
Mean Values ◽  
The Mean ◽  
Level Of Significance

This cross sectional study was carried out on 60 pregnant Bangladeshi women in the department of Radiology and Imaging, BIRDEM for measurement of Pulsatility Index (PI) of umbilical artery of their fetuses by duplex colour Doppler sonography during 2nd and 3rd trimester of pregnancies. Considering total 2nd and 3rd trimesters the mean PI value of umbilical artery was 1.24 (SD±0.27). While considering the gestational in separate trimesters, study showed that the value of PI in 2nd trimester was 1.33 (SD±0.29) and in 3rd trimester PI was 1.18 (SD±0.25). Paired t test shows there was a highly significant (t=35.79, df=59, Level of significance=0.001) difference between mean values of PI in different gestational ages. It was observed that there was gradual decrease of PI value with increase of gestational age (r= -0.207) but this decrease of PI was not statistically significant (p=0.113). Regression analysis between dependent PI value and independent gestational age showed linear negative relationship but this was not statistically significant (p=0.11). This study revealed that the Pulsatility index of umbilical artery was decreased with increase of gestational age from 2nd to 3rd trimester. DOI: http://dx.doi.org/10.3329/bmrcb.v39i1.15809 Bangladesh Med Res Counc Bull 2013; 39: 42-44

scholarly journals Perfil de idosos usuários de Teleassistência

2019 ◽  
Vol 7 (2) ◽  
pp. 33083
Author(s):  
Bruna Borba Neves ◽  
José Roberto Goldim
Keyword(s):  
Educational Level ◽  
Cross Sectional Study ◽  
Assistive Technologies ◽  
Sectional Study ◽  
Porto Alegre ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
The Mean ◽  
The City ◽  
Made In

OBJECTIVES: Describe the sample of elderly, who use teleassistance, as well as personal, family and sociodemographic variables. METHODS: This is a cross-sectional study of the type of prevalent cases. Made in the home of the participants, aged over 60 years, living in the city of Porto Alegre and users of teleassistance. RESULTS: The sample consisted of 25 elderly. The mean age of the group was 82.24 years. Most of the participants were women (92%), widows (60%), who live alone (84%), with a mean educational level of 13.58 years. The size of families varied from one individual to 14 people, with an average of 7.3 individuals per family. CONCLUSIONS: The participants of this study, all users of teleassistance, although they have relatives, live alone. The option of using assistive technologies, such as teleassistance, may be ensuring greater security and independence for these people.

scholarly journals ASSOCIATION OF HUMAN CHORIONIC GONADOTROPHIN WITH PREGNANCY INDUCED HYPERTENSION

2020 ◽  
Vol 70 (6) ◽  
pp. 1712-16
Author(s):  
Nayab Afzal Chatha ◽  
Humaira Osman Jaffery ◽  
Saima Qamar ◽  
Nilofar Mustafa ◽  
Rizwana Kamran ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cross Sectional Study ◽  
Chorionic Gonadotrophin ◽  
Human Chorionic Gonadotrophin ◽  
Military Hospital ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
The Mean ◽  
Beta Human Chorionic Gonadotrophin

Objective: To determine the positive predictive value of beta Human Chorionic Gonadotrophin in early secondtrimester for predicting pregnancy induced hypertension. Study Design: Cross-sectional study. Place and Duration of Study: Department of Obstetrics and Gynaecology Combined Military Hospital, Lahore,from Jun 2017 to Nov 2017. Methodology: A total of 214 female pregnant patients met the criteria for inclusion in this study. Patients withbeta human chorionic gonadotrophin (βHcg) levels ≥2 MoM were followed at 22, 26, 30 and 34 weeks of gestation. Blood pressure was monitored. Pregnancy induced hypertension (PIH) was labelled after 20 weeks (as per dating scan) of gestation in patients who did not have proteinuria (≥300 mg 24 hour urine sample) and had a systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg (blood pressure readings taken at two separate points in time four hours apart). Results: Patients ranged between 18-35 years of age, with the mean age being 27.3 ± 4.3 years. Mean gestational age was observed to be 15.6 ± 1.8 weeks. Mean BMI was 23.8 ± 3.2 kg/m2. Out of 214 patients, 30 patients (14%) had beta human chorionic gonadotrophin level >2 MoM. Out of these 30 patients, 25 patients (83.3%) developed PIH. There were 100 primigravida (46.7%) and 114 multigravidas (53.3%). Beta human chorionic gonadotrophin in predicting pregnancy induced hypertension showed sensi-tivity of 96.1%, a specificity of 97.3%, with a PPV83.3%, a NPV 99.4% and diagnostic accuracy of 97.2%.

scholarly journals TOXOPLASMOSIS: SEROLOGIC PROFILE OF PREGNANT WOMEN AT THE BRAZZAVILLE UNIVERSITY CENTRE HOSPITAL (CHUB)

2019 ◽  
Vol 7 (9) ◽  
pp. 281-287
Author(s):  
Sékangué Obili G ◽  
Ossibi Ibara BR ◽  
Potokoué Mpia NSB ◽  
Adoua Doukaga T ◽  
Itoua C
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Recent Infection ◽  
Cross Sectional ◽  
Obligate Intracellular ◽  
The Mean ◽  
Equivocal Result ◽  
Level Of Significance ◽  
Centre Hospital

Introduction: Toxoplasmosis is a disease caused by an obligate intracellular coccidia Toxoplasma gondii, which is transmitted by cats. In pregnant women, it is a concern because of the severe complications to the foetus. The objective of this study is to determine the toxoplasma serologic profile in pregnant women at the Brazzaville University Centre Hospital (CHUB). Materials and Methods: This is a cross-sectional study from September 2015 to March 2016 (6 months) which includes sera from pregnant women received at the Parasitology Mycology laboratory of the CHUB for Toxoplasma serology. Immunoglobulins G and M searches were done by immuno-analysis (Biomerieux, Mini-Vidas technology). The data was analysed by the IBM SPSS version 20 software. The comparisons of proportion is done by the khi 2 test. The level of significance of statistical data were fixed at 5%. Results: The mean age of pregnant women included in our study was 27, 8+/- 6,84 with the extremes ages of 15 and 44 years. Toxoplasma seroprevalence in this study is 47,2% (68/144). The types of immunoglobulins (Ig) retrieved were IgG alone in 45,1% of cases (65/144), IgG associated to IgM in 2,8% of cases (4/144). Serological profiles were: no immunity (52,1%) immunised (41%), recent infection (1,4%) active infection (2,8%) equivocal result (2,8%). Conclusion: Toxoplasmosis is a zoonosis which represents a real public health issue in our environment, even when the level of immunised pregnant women seems high.

scholarly journals Prevalence of benign and malignant tumors in thyroidectomy specimens

2020 ◽  
Vol 5 (1) ◽  
pp. e12-e12
Author(s):  
Maryam Derakhshan ◽  
Azar Baradaran ◽  
Faranak Kamrad ◽  
Amir Hossein Pezeshki ◽  
Amirreza Rafiei javazm
Keyword(s):  
Thyroid Surgery ◽  
Significant Relationship ◽  
Malignant Tumors ◽  
Cross Sectional Study ◽  
Thyroid Tumors ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Mean ◽  
Level Of Significance

Introduction: The most common type of endocrine malignancy is thyroid cancer (TC). TC is the 7th, 14th, and 11th most common cancer in women, men, and both sexes, respectively. Objectives: The aim of this research was to establish the frequency of benign and malignant tumors in thyroid surgery specimens performed in Al-Zahra hospital in Isfahan from 2011 to 2017. Patients and Methods: This is a retrospective descriptive cross-sectional study. 1345 patients who underwent thyroid surgery were enrolled using census sampling. Data were analyzed using SPSS software (IBM statistics for windows, version 16) using descriptive statistics, mean, standard deviation, frequency, chi-square, and ANOVA. A significance level of less than 0.05 was analyzed. Results: Of 1345 participants, 237 (17.6%) were males, and 1108 (82.4%) were females. The mean age of benign patients was 46.48, malignant 39.31, and healthy patients for 37.50 years. Since the level of significance is less than 0.05, there is a significant relationship between the mean age of patients and the frequency of thyroid surgery specimens. The most prevalent benign and malignant thyroid tumors were goiter (76.8%) and papillary carcinoma (92.6%), respectively. Conclusion: The results showed that there was a significant relationship between age, gender, and benign and malignant type. Also, the most prevalent benign and malignant thyroid tumors were goiter and papillary, respectively.

Exploring Factors Regarding Transit-related Walking and Walking Duration

2016 ◽  
Vol 13 (11) ◽  
pp. 1220-1229 ◽  
Author(s):  
Chia-Yuan Yu ◽  
Hsien-Chang Lin
Keyword(s):  
Low Income ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Walking Behavior ◽  
Household Travel Survey ◽  
The Mean ◽  
Household Travel ◽  
National Household Travel Survey ◽  
Step Selection ◽  
Made In

Background:Transit-related walking provides a potential opportunity to promote general walking behavior, yet few studies have examined this issue. Since people’s decisions tend to vary as they walk between home and transit and between transit and destination, this study separated trips made in each direction.Purpose:This study identified the associations between sociodemographics and the 2-step process of transit-related walking: 1) whether transit users walked for home-transit trip or transitdestination trip, and 2) the walking duration for home-transit trip or transit-destination trip among those who walked.Methods:This cross-sectional study used the 2009 National Household Travel Survey and used the Heckman 2-step selection model by including 4042 respondents (10,105 trips) who walked all portions for home-transit trip and 3756 (8075 trips) for transitdestination trip.Results:The mean walking duration for home-transit trips (7.60 minutes) was shorter than transit-destination trips (7.87 minutes). Hispanics were more likely to walk for both directions and had higher walking durations than did whites. Respondents living in low-income households were more likely to walk for home-transit trip, but not for transit-destination trips.Conclusions:This study illustrated several implications regarding to transit-related walking, such as creating short home-transit distances and targeting whites in promoting transit-related walking.

scholarly journals ULTRASOUND MEASUREMENTS OF ROTATOR CUFF TENDONS IN MALE ADULTS

2021 ◽  
Vol 71 (5) ◽  
pp. 1529-33
Author(s):  
Khawaja Muhammad Baqir Hassan ◽  
Atiq Ur Rehman Slehria ◽  
Tathir Baqir Hassan ◽  
Shakil Sarwar ◽  
Irfan Najam Sheen ◽  
...  
Keyword(s):  
Social Sciences ◽  
Rotator Cuff ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Healthy Male ◽  
Male Population ◽  
Cross Sectional ◽  
The Social ◽  
Insignificant Difference ◽  
The Mean

Objective: To establish the normative ultrasound values of tendons of rotator cuff muscles in local healthy male population. Study Design: Cross sectional study. Place and Duration of Study: Department of Radiology, Combined Military Hospital Malir, from Oct 2019 to Mar 2020. Methodology: The sample of study was 456 shoulders of 228 patients. All the patients went under ultrasound shoulder in standard positions. Data analyzed with statistical analysis program (‘Statistical Package for the Social Sciences” version 23). Results: In right dominance the mean thickness of the supraspinatus, infraspinatus, subscapularis and biceps tendons were tendon 4.63 ± 0.45 mm, 3.90 ± 0.73 mm, 4.55 ± 0.74 mm and 3.55 ± 0.54 mm respectively. The acromio-humeral interval was 12.63 ± 2.005 mm. In left dominance the mean thickness of the supraspinatus, infraspinatus, subscapularis and biceps tendons were 4.88 ± 0.69 mm, 4.17 ± 0.63 mm, 5.04 ± 0.26 mm and 3.62 ± 0.45 mm respectively. The acromio-humeral interval was 13.65 ± 2.98mm. Conclusion: The study showed that there was insignificant difference between the dominant and non-dominant shoulders.

scholarly journals FREQUENCY OF INCREASED PLASMA C-PEPTIDE LEVELS IN COLORECTAL CANCER PATIENTS

2021 ◽  
Vol 71 (6) ◽  
pp. 2180-83
Author(s):  
Muhammad Hasan Saleem ◽  
Shazia Nisar ◽  
Muhammad Zulqurnain Saleem ◽  
Husnain Saleem ◽  
Shoaib Mukhtar ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Colorectal Carcinoma ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Cross Sectional ◽  
C Peptide ◽  
Peptide Level ◽  
History Of ◽  
The Mean ◽  
Colorectal Cancer Patients

Objective: To assess the increased frequency of serum C-peptide levels in patients of colorectal carcinoma. Study Design: Cross sectional study. Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Jul 2018 to Jan 2019. Methodology: A total of 100 cases of colorectal carcinoma were enrolled. Blood samples were obtained to assess C-peptide level. The C-peptide serum concentrations were deliberate through the Cobas 6000 by using the electro-chemi-luminescence immunoassay (ECLIA) method. If level of C-peptide was >2 pmol/mL, then it was noted. Results: The mean age of all patients was 58.3 ± 5.4 years. There was a total of 136 (68%) females and 64 (32%) were males. The mean BMI of patients was 28.96 ± 12.31 kg/m2. The family history of colorectal carcinoma was positive in 6 (6%) cases. The mean C-peptide level was 4.55 ± 2.37 pmol/L. There were 33 (33%) patients with raised C-peptide level while 67 (67%) had normal c-peptide level. Conclusion: It is concluded that increased C-peptide level is high in patients with colorectal cancer.

scholarly journals Cat fit and bull fight: Assessment of aggression in medical students as a prelude to conduct violence in future

2020 ◽  
Vol 8 (4) ◽  
pp. 178-182
Author(s):  
Jenash Acharya ◽  
Geshu Lama ◽  
Jemish Acharya ◽  
Naresh Manandhar ◽  
Abhishek Pant
Keyword(s):  
Medical Students ◽  
Physical Aggression ◽  
Cross Sectional Study ◽  
Verbal Aggression ◽  
Cross Sectional ◽  
Level Of Education ◽  
Cognitive Component ◽  
Aggression Questionnaire ◽  
The Mean ◽  
Level Of Significance

Background: The intensity of aggression present in any person determines his/her threat to conduct violent and impulsive act against members of the society or else family, friends or foes, which necessitates a crucial analytical instrument for identification of such behaviour in smaller groups of societies. Objectives: To assess a group of medical students from Kathmandu, Nepal for potential risk they bear to conduct violence in future medical practice. Methodology: A self-administered pre-validated Bush and Perry Aggression Questionnaire was used in this descriptive cross-sectional study to analyse emotional and cognitive component among 235 medical students of Nepal between February and May 2019. A Likert-type bipolar scale was used for response format ranging from one (extremely uncharacteristic) to five (extremely characteristic). Questionnaire explored four factors: physical aggression, verbal aggression, anger and hostility. Mean scores of aggression were computed and compared with gender and level of education by conducting independent t-test with level of significance at 0.05. Results: The mean scores were 20.73± 6.33, 13.97± 3.87, 18.79± 5.20 and 20.17±6.68, for physical aggression, verbal aggression, anger and hostility respectively. Males had higher score of physical aggression statistically significant at p<0.05. The mean Bush and Aggression Perry Questionnaire score was calculated to be 71.66± 15.71, but insignificant (p>0.05) when compared between sexes, and level of education (second semester and seventh semester students). Conclusion: Male medical students were more prone to hostility and physical aggression than female students who were more liable (statistically insignificant) to verbal aggression and anger.

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