Role of ultrasound and CT scan in thearapetic outcome of blunt abdominal trauma in tertiary care hospital, Goa Medical College

2019 ◽  
Vol 12 (1) ◽  
pp. 18-21
Author(s):  
Veeresh H M ◽  
◽  
Rajesh T Patil ◽  
Keyword(s):  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical College

ROLE OF CT SCAN OF PARANASAL AIR SINUSES FOR DIAGNOSTIC EVALUATION OF SINONASAL PATHOLOGY IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA.

2021 ◽  
pp. 17-19
Author(s):  
Sk. Jishan Shine Alam ◽  
Swadha Priya Basu ◽  
Sayantan Roy ◽  
Md. Sajid
Keyword(s):  
Predictive Value ◽  
Chronic Sinusitis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sinus Surgery ◽  
Fungal Sinusitis ◽  
Care Hospital ◽  
Eastern India ◽  
Medical College

This study aims to evaluate the sensitivity and specicity of CT in diagnosis of sinonasal diseases along with the spectrum of Paranasal sinus diseases oncomputerized tomography (CT) and correlate their clinical and histopathological ndings. 40patients who have undergone endoscopic sinus surgery, their relevant histopathological and surgical reports are included in Radiodiagnosis department of Nil Ratan Sircar Medical College. Chronic sinusitis has 100% sensitivity,94% specicity, 96% positive predictive value (PPV) and 100% negative predictive value (NPV). For fungal sinusitis the sensitivity was 66%,specicity was 97.4%, PPV 66% and NPV 97.4%. Polyps have sensitivity of 90.9%, specicity of 94%, PPV 90% and NPV 100% Benign neoplasms have sensitivity of 100%, specicity of 100%, PPV 100% and NPV 100%. CT may be used as gold standardimaging modality for evaluating the PNS diseases.

scholarly journals Medicine counseling services at Tertiary care Hospital in Nepal

2013 ◽  
Vol 1 (1) ◽  
pp. 14-20
Author(s):  
O Bajracharya ◽  
PR Shankar ◽  
N Jha ◽  
A Banstola ◽  
R Shrestha ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Counseling Services ◽  
Care Hospital ◽  
Patient Needs ◽  
Medical Sciences ◽  
Statistical Software ◽  
Medical College ◽  
Patient Representative

Background and Objectives: Patient needs specific guidelines from their pharmacist in support of better compliance of their medicine used. Counseling of the patient and patient representative is important for improving the therapeutic out comes. Counseling patients can improve their understanding regarding medication, disease and life style modifications which in turn improves compliance. Material and Methods: Patients and/or patient party were counseled as per the Omnibus Budget Reconciliation Act-1990 guidelines. The data was collected as per OBRA-90 during the period of eighteen month and was analyzed using statistical software SPSS version 17. Results: Three hundred and fifty patients were counseled during the study period. Majority of the counseled patients were females [75.9%]. Mean counseling time taken by the pharmacist was 7.43 minute. Minimum time taken to counsel the patient was 6-10 minutes in 58.41% of the counseled, followed by less than 5 minutes in 19.68% and 11-15 minutes in 8.89%. About 10.47% were counseled for more than 15 minutes by the pharmacist. Greater numbers of the patients referred to the Medicine Counseling Center (MCC) were from Obstetrics and Gynecology departments and most of them were directed by doctors [50.47%]. Conclusion: This study highlights that role of doctor is important to encourage patient to attend counseling services. Counseling is the integral part that not only help patient to understand the use of their medicine but also to improve their therapeutic out comes. The effect of counseling on compliance should be studied in future. DOI: http://dx.doi.org/10.3126/jmcjms.v1i1.7881 Janaki Medical College Journal of Medical Sciences (2013) Vol. 1 (1):14-20

scholarly journals ANALYSIS OF BLUNT ABDOMINAL TRAUMA CASES AT TERTIARY CARE HOSPITAL BIKANER (RAJASTHAN)

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Deepak Singh Panwar ◽  
Ashok Kumar
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Operative Management ◽  
Care Hospital ◽  
Young Males ◽  
Medical College ◽  
Blunt Abdominal Injury

Background: In view of increasing number of vehicles and consequently road traffic accidents, this dissertation has been chosen to study the cases of blunt abdominal trauma with reference to the patients presenting at P.B.M. hospital, attached to S.P. Medical College, Bikaner. Methods: Prospective hospital-based study was conducted on all the patients of blunt abdominal injury admitted in the department of surgery, S.P. Medical College and P.B.M. Hospital, Bikaner. Results: Majority of the patients presented with abdominal pain (86%) and abdominal tenderness (81%). Conclusion: We concluded that young Males are predominantly affected.  Road traffic accident forms the most common mode of injury.  Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt trauma, Age, Sex

TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ca 125 ◽  
Care Hospital ◽  
Serum Samples ◽  
Roc Curve Analysis ◽  
Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

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