scholarly journals Study of Lesions in Bronchial Brush and Wash Cytology

2021 ◽  
pp. 29-34
Author(s):  
S. Kavya ◽  
V. M. Shobini Vishali ◽  
M. Sridevi
Keyword(s):  
Bronchoalveolar Lavage ◽  
Medical Records ◽  
Light Microscope ◽  
Descriptive Study ◽  
Cytological Diagnosis ◽  
Medical College ◽  
Points Of Interest ◽  
Clinical Diagnoses ◽  
Risk Of Malignancy

Aims: The aim of the study is to compare and evaluate the efficacy of bronchial brush and wash cytology in diagnosing neoplastic and non- neoplastic bronchopulmonary lesions and to relate the cytological findings with the clinical diagnoses. Study Design: Retrospective descriptive study. Place and Duration of Study: Saveetha Medical College and Hospital, between January 2019 and December 2019. Methodology: Cases with both Bronchoalveolar lavage (BAL) and Bronchial brush (BB) samples (35) were included in the study. The slides were stained with Hematoxylin & Eosin stain, Papanicolaou stain, and were studied under the light microscope. The clinical points of interest were obtained from the case records at the medical records division, and histopathological findings from the histopathology registers at the Department of Pathology. Results: A total of 35 cases were studied. Follow up with histopathology after a cytological diagnosis revealed that the sensitivity of diagnosing malignancy from BAL specimen and bronchial brush sample was 58% and 92% respectively. Conclusion: The study confirms that the efficacy in assessing the risk of malignancy by  respiratory cytology using a bronchial brush specimen is higher than the bronchoalveolar lavage specimen.

scholarly journals Descriptive Study of Pediatric Patients with Ileum Stoma at Inpatient Installation of Dr. Soetomo General Hospital Surabaya

2021 ◽  
Vol 12 (1) ◽  
pp. 1
Author(s):  
Farihazqa Hafez Mikala ◽  
Alpha Fardah Athiyyah ◽  
I Gusti Bagus Adria Hariastawa ◽  
I Gusti Made Reza Gunadi Ranuh
Keyword(s):  
Body Weight ◽  
General Hospital ◽  
Medical Records ◽  
Pediatric Patients ◽  
Intestinal Atresia ◽  
Descriptive Study ◽  
Average Weight ◽  
Normal Body Mass Index ◽  
Male Patients

Introduction: Ileostomy is needed as an important part of the management of several congenital disorders of the intestine. One of the indication of ileostomy in children is short bowel syndrome, which is caused by intestinal atresia such as ileal atresia and intussusception. Ileostomy is a surgery procedure which consists of creating holes on abdominal walls to release stool. The objective of this study was to determine the description of pediatric patients who underwent ileostomy in Dr. Soetomo General Hospital Surabaya. Methods: This was a retrospective descriptive study on medical records in the Central Medical Record Department of Pediatrics and General Surgery Dr. Soetomo General Hospital Surabaya from January 2017 to December 2018. Results: There were 26 pediatric patients who underwent ileostomy in Dr. Soetomo General Hospital Surabaya. Samples from male patients consisted of 57.7%, while female patients consisted of 42.3% with the most common age group was neonates with 57.7%, infants 30.8%, and toddlers 11.5%. There were 30.7% patients with 2.0-2.9 kg body weight, 27% with 3.0-3.9 kg body weight, and 42.3% with more than 4 kg body weight. The outcome showed that repair was needed, or the patient was discharged with periodic follow-up after ileostomy. Conclusion: Ileostomy was performed mostly in neonates with average weight within normal body mass index (BMI) and the highest incidence of pediatric patient with ileum stoma was in pediatric patients.

scholarly journals The Documentation and Characteristics of Hospitalized IPV Patients Using Electronic Medical Records Data: a Follow-Up Descriptive Study

2019 ◽  
Vol 34 (7) ◽  
pp. 611-619
Author(s):  
Salla Kivelä ◽  
Tuija Leppäkoski ◽  
Janne Ruohoniemi ◽  
Hannu Puolijoki ◽  
Eija Paavilainen
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Descriptive Study

scholarly journals Diagnostics of stomach cancer in Russia: fi rst results of the multicenter study “RADIUS” (Early diagnosis of stomach cancer in dyspepsia)

2020 ◽  
Vol 174 (5) ◽  
pp. 8-20
Author(s):  
L. B. Lazebnik ◽  
E. A. Lyalyukova ◽  
I. V. Dolgalev ◽  
E. N. Chernysheva ◽  
V. L. Stasenko ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Stomach Cancer ◽  
Medical Records ◽  
Malignant Neoplasm ◽  
Descriptive Study ◽  
Neoplastic Disease ◽  
Primary Health ◽  
Malignant Neoplasia ◽  
Gastric Malignancy

The aim of the study was to evaluate the timeliness and eff ectiveness of the diagnosis of precancerous diseases and early forms of gastric cancer in primary health care. Materials and methods. A multicenter retrospective descriptive study was conducted with an analysis of the medical records of 426 patients who were diagnosed with malignant neoplasm of the stomach at the time of going to outpatient facilities. We used data from 125 outpatient facilities in 7 centers for the period from 2009 to 2019. Results. The average age of patients with a fi rst established diagnosis of malignant neoplasia was 61,7 (95% CI 58.6 ÷ 64.8) years. The prevailing form of malignant neoplastic disease was the option “Adenocarcinoma, intestinal cancer” — 77,7%, diff use type cancer — 12,7%, other histological types — 9,6%. The diagnosis of malignant neoplastic disease at the III and IV stages of the disease was fi rst established in 67,4% of patients. The number of years lived by patients with a diagnosis of gastric gastric cancer was 2,0 years. Over a 10-year follow-up, 75% of patients died. Risk factors for gastric cancer were identifi ed in 41% of respondents. Signs of dyspepsia syndrome were observed in 31,5% of patients, and they appeared on average 4,6 (95% CI 4,4 ÷ 4,8) years before the diagnosis of gastric malignancy. Among people with gastric cancer, dyspepsia symptoms occur every day in every third patient. The features of the manifestations of dyspepsia in the observed patients were: daily manifestations of symptoms (33,3%), symptoms at night — 9,4%, an increase in the intensity of dyspepsia (21,3%), the lack of a clinical response to the therapy (proton pump inhibitors, prokinetics, eradication of Helicobacter pylori infection) in 58% of cases. Anxiety symptoms were recorded 2,4 years before a diagnosis of stomach cancer.

scholarly journals A descriptive study of the patients with orbital complication of acute and chronic sinusitis

2018 ◽  
Vol 4 (4) ◽  
pp. 990
Author(s):  
Ahamed Nauphal Pullarat ◽  
Mohamed Faisal C. K. ◽  
Muraleedhran P. Nampoothiri ◽  
Suma R.
Keyword(s):  
Chronic Sinusitis ◽  
Descriptive Study ◽  
Diabetic Control ◽  
Fungal Culture ◽  
Fungal Sinusitis ◽  
Preseptal Cellulitis ◽  
Medical College ◽  
Uncontrolled Diabetes ◽  
Orbital Complication

<p class="abstract"><strong>Background:</strong> This is a descriptive study of all of the patients with orbital complication of acute and chronic sinusitis presented in ENT and Ophthalmology department, Government Medical College Calicut, Kerala from January 2013 to September 2014. The purpose of this study is to evaluate clinical and radiological presentation, outcome of treatment and postsurgical complications of diagnosed case of orbital complications of acute and chronic sinusitis.</p><p class="abstract"><strong>Methods:</strong> All the patients were subjected to thorough clinical examination, ophthalmological evaluation and radiological evaluation. Computerized tomography of paranasal sinuses both axial and coronal planes, MRI in selected cases, histopathology, fungal culture, a semistructured proforma are the study tools in this study. All the patients in this study received appropriate medical and surgical treatment and done a follow up evaluation at first month and at 3 months.  </p><p class="abstract"><strong>Results:</strong> Preseptal cellulitis is the most common complication in our study. Fungal sinusitis due to uncontrolled diabetes mellitus is the most common condition causing orbital complication in our study.</p><p class="abstract"><strong>Conclusions:</strong> Strict diabetic control, appropriate surgical and medical management and a vigilant follow up resulted in good outcome.</p>

scholarly journals Vesiculobullous autoimmune diseases with oral mucosa manifestations: retrospective and follow-up study

2018 ◽  
Vol 66 (1) ◽  
pp. 42-49
Author(s):  
Rani Iani Costa GONÇALO ◽  
Mara Luana Batista SEVERO ◽  
Ana Miryam Costa de MEDEIROS ◽  
Patrícia Teixeira de OLIVEIRA ◽  
Éricka Janine Dantas Da SILVEIRA
Keyword(s):  
Retrospective Study ◽  
Medical Records ◽  
Total Sample ◽  
Descriptive Study ◽  
Clobetasol Propionate ◽  
Sociodemographic Characteristics ◽  
Oral Lesions ◽  
Follow Up Study ◽  
The Mean

ABSTRACT Objective: To conduct a retrospective study on a series of cases of PV and BMMP with manifestations in the oral cavity in order to ascertain prevalence, sociodemographic characteristics, diagnostic maneuvers, treatment and follow-up. Methods: This is a retrospective, descriptive study in which clinical data were collected from the medical records of all cases of PV and BMMP registered and diagnosed, between 1995 and 2015, in the Oral Diagnostic Service of the UFRN Department of Dentistry. Results: The mean age of the total sample (n = 36) was 41.64, with females the most frequent (n = 26; 72.22%) and the cheek mucosa being the site most affected (n = 20; 27.40%). Eight patients (22.22%), including 5 cases of PV and 3 BMMP, were clinically reevaluated. All patients exhibited lesions at the time of follow-up. Prednisone (n=7; 87.5%) and clobetasol propionate (n=8, 100%) were the most widely used drugs in the systemic and topical treatment, respectively. The follow-up period ranged from 5 months to 5 years. Conclusion: The clinical profile of patients in this study was similar to that evidenced in the literature. However, it was found that the oral lesions were more resistant to the treatment used on the patients evaluated.

J 5 — A Data Processing System for Medical Information

1967 ◽  
Vol 06 (01) ◽  
pp. 1-6
Author(s):  
P. Hall ◽  
Ch. Mellner ◽  
T. Danielsson
Keyword(s):  
Medical Records ◽  
Medical Information ◽  
Health Care Systems ◽  
Processing System ◽  
Linear Pattern ◽  
Flexible Form ◽  
Care Systems ◽  
Pattern Recognition Analysis ◽  
Numeric Information

A system for medical information has been developed. The system is a general and flexible one which without reprogramming or new programs can accept any alphabetic and/or numeric information. Coded concepts and natural language can be read, stored, decoded and written out. Medical records or parts of records (diagnosis, operations, therapy, laboratory tests, symptoms etc.) can be retrieved and selected. The system can process simple statistics but even make linear pattern recognition analysis.The system described has been used for in-patients, outpatients and individuals in health examinations.The use of computers in hospitals, health examinations or health care systems is a problem of storing information in a general and flexible form. This problem has been solved, and now it is possible to add new routines like booking and follow-up-systems.

Outcome of Percutaneous Nephrostomy in Children With Ureteropelvic Junction Obstruction

2020 ◽  
Vol 20 (2) ◽  
pp. 61-64
Author(s):  
Mohammad Mahfuzur Rahman Chowdhury ◽  
Rifat Zaman ◽  
Md Amanur Rasul ◽  
Akm Shahadat Hossain ◽  
Shafiqul Alam Chowdhury ◽  
...  
Keyword(s):  
Renal Function ◽  
Low Dose ◽  
Ureteropelvic Junction Obstruction ◽  
Percutaneous Nephrostomy ◽  
Ureteropelvic Junction ◽  
College Hospital ◽  
Medical College ◽  
Split Renal Function

Introduction and objectives: Congenital ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis. Management protocols are based on the presence of symptoms and when the patient is asymptomatic the function of the affected kidney determines the line of treatment. Percutaneous nephrostomy (PCN) became a widely accepted procedure in children in the 1990s. The aim of the study was to evaluate the results of performing percutaneous nephrostomy (PCN) in all patients with UPJO and split renal function (SRF) of less than 10% in the affected kidney, because the management of such cases is still under debate. Methods:This prospective clinical trial was carried out at Dhaka Medical College Hospital from January 2014 to December 2016. Eighteen consecutive patients who underwent PCN for the treatment of unilateral UPJO were evaluated prospectively. In these children, ultrasonography was used for puncture and catheter insertion. Local anesthesia with sedation or general anesthesia was used for puncture. Pig tail catheters were employed. The PCN remained in situ for at least 4 weeks, during which patients received low-dose cephalosporin prophylaxis. Repeat renography was done after 4 weeks. When there was no significant improvement in split renal function (10% or greater) and PCN drainage (greater than 200 ml per day) then nephrectomies were performed otherwise pyeloplasties were performed. The patients were followed up after pyeloplasty with renograms at 3 months and 6 months post operatively. Results: All the patients had severe hydronephrosis during diagnosis and 14 patients with unilateral UPJO were improved after PCN drainage and underwent pyeloplasty. The rest four patients that did not show improvement in the SRF and total volume of urine output underwent nephrectomy. In the patients with unilateral UPJO who improved after PCN drainage, the SRF was increased to 26.4% ±8.6% (mean± SD) after four weeks and pyeloplasty was performed. At three and six months follow-up, SRF value was 29.2% ±8.5% and 30.8.2% ±8.8% respectively. Conclusion: Before planning of nephrectomy in poorly functioning kidneys (SRF < 10%) due to congenital UPJO, PCN drainage should be done to asses improvement of renal function. Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.61-64

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

Treatment of Pilonidal Sinus by Limberg Flap-Only Hope of Cure (Study of 50 Cases)

2020 ◽  
Vol 22 (2) ◽  
pp. 89-94
Author(s):  
Nasir Uddin Mahmud ◽  
ABM Khurshid Alam ◽  
Mohammad Altaf Hossain Chawdhury ◽  
Mohammad Abul Khair
Keyword(s):  
Pilonidal Sinus ◽  
Skin Barrier ◽  
Limberg Flap ◽  
College Hospital ◽  
Medical College ◽  
Flap Technique ◽  
Unpleasant Smell ◽  
Lower Morbidity ◽  
Computer Operator

Background : Pilonidal sinus was first described by Dr. A.W. Anderson in 1847 and is often seen in the intergluteal region. It is a disease of mainly younger male and rarely affects after 40. Main causes for the formation of this sinus are hirsutism, sweating in the area, repeated maceration due to trauma, leading to breakage of the skin barrier, attracting hair inside which initiates a foreign body reaction leading to infection with abscess or sinus formation. Most common embarrassing situation is discharging sinus. The diagnosis is mainly on clinical ground. Though there are a lot of modalities of treatment but recurrence is still a challenge. We have adopted Limberg flap technique since 2012 with a least recurrent chance. Objectives : To prove that this procedure will be end up with lower morbidity & least chance of recurrence Methods : This prospective study was done jointly by the Department of Surgery of Central Medical College and Comilla Medical College Hospital. In this series 50 patients were selected from July 2012 to June 2017. Results : Out of 50 patients operated by Limberg flap technique 42(84%) were males and 8(16%) were females. Mean age was 27.3 years (range 18–37years). Of them,12(24%) were driver, 6(12%) police, 6(12%) teacher, 6(12%) student, 5(10%) worker, 4(8%) millitary army, 4(8%) housewife, 4 (8%)service holder, 2(4%) computer operator, 1(2%) doctor and 1(2%) were barber. In our study most common mode of presentation were chronic discharging sinuses 15(30%), beside this 12(24%) had multiple sinuses, 10(20%) had multiple pits,7(14%) had acute abscess and 6(12%) had unpleasant smell. Associated hirsutism were present in 30(60%) and absent in 20(40%) patients. One (2%) male patient had wound gap & discharge and six(12%) patients had flap edema. We have found no recurrence in follow up period. Conclusion : Pilonidal sinus is a notoriously recurrent disease, so treatment by this flap technique is the only hope of cure with lower morbidity. Journal of Surgical Sciences (2018) Vol. 22 (2) : 89-94

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