IntroductionJuvenile nasal angiofibroma (JNA) is a highly vascular tumor of the nasopharynx. Endovascular embolization followed by surgery is the treatment of choice. This study aimed to determine that single catheter technique with Gelfoam is an effective and safe technique for embolization to reduce the financial burden on patients in a developing country. Materials and methodsWe retrospectively reviewed the imaging, surgical, and histopathological records of 108 patients who underwent preoperative endovascular tumor embolization followed by surgical resection between March 2017 and March 2021. ResultsAfter embolization no major complication was observed in any patient. Complete devascularization of tumor was done in 87.8%. Intraoperative blood loss resulting in transfusion was almost the same as with other embolization techniques. ConclusionSingle catheter with Gelfoam is a cost-effective and safe technique for JNA embolization.
Background Cryptorchidism, undescended testes, is a pathological condition that is due to failure of descent of testes in the scrotum. This study was aimed to determine the diagnostic accuracy of diffusion-weighted magnetic resonance imaging (DW-MRI) in localization of undescended testes taking laparoscopic findings as the gold standard. Methods A cross-sectional study was conducted in the radiology department of a tertiary care hospital from September 27, 2018 to September 26, 2019. A total of 416 patients were included. Abdomen-pelvic and scrotal ultrasound were performed. Preoperative abdominal and pelvic DW-MRI was performed with a 1.5-T MRI system using a body coil. All study patients underwent laparoscopic exploration. Intra-abdominal atrophic testes were treated with laparoscopic orchiectomy and orchiectomy samples were taken for histopathologic examination. DW-MRI findings were correlated with laparoscopic findings. A 2 x 2 table was used to calculate the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of DW-MRI taking laparoscopy as the gold standard. Results The mean age was 17.08 ± 7.99 years and the mean BMI was 19.36 ± 4.96 kg/m 2 . In our study, 34.1% of cases were diagnosed as undescended testes localized by DWI-MRI and 51% of cases were diagnosed as undescended testes localized via laparoscopy. Sensitivity, specificity, PPV, NPV and accuracy were 65.1%, 98%, 97.2%, 73% and 81.3% respectively. Conclusion DW-MRI improves the detection of undescended testes. DW-MRI can be a recommended imaging tool to increase the preoperative diagnostic accuracy of MRI in localizing nonpalpable undescended testes.
Preterm labor affects around thirteen million of births worldwide annually and is more observed in developing nations as compared to developed world. While 2 to 3% of pregnancies develop preterm premature rupture of membranes (PPROM) that result in increased morbidity and mortality of mother and child. Pregnancy induced hypertension and ante partum hemorrhage remained other important factors to develop preterm labor. Once diagnosed, needs expert consultation and management. Objective: To determine the frequency of urinary tract infection(UTI) in women with preterm premature rupture of membranes. Methods: This Cross Sectional study was done in department of Obstetrics and Gynecology, ATH, Abbotabad. From 30th August 2019 to 29th February 2019. We included 202 patients fulfilling the inclusion criteria. Informed consent was taken. The data were collected on prepared proforma. Results: In our study 202 patients with mean age of 25.93 ± 4.70 years were included. Mean gestational age was 33.09 ± 1.69 weeks. Mean parity was 2.36 ± 0.92. In our study, frequency of urinary tract infection (UTI) in women with PPROM was found in 09 (4.46%) patients. Conclusion: This study concluded that frequency of UTI in women with PPROM was found in 4.46% patients.
Background: family planning methods are influenced by a variety of interrelated factors such as age at marriage, education, economic status, religion, number of living children, knowledge about contraceptives, availability, accessibilityand quality of services In spite of many programmes, couples are not aware of contraceptive methods even though they are wish to follow small family norm and still there is a gap between knowledge, attitude and practice. In a developing country like India, despite widely available contraception methods, still there is poor acceptance due to ignorance or fearof complications using them. Methodology: The present cross sectional study was conducted at PHC, field practice area of Department of community medicine, Jawahar Lal Nehru medical college and Hospital Bhagalpur. Study duration of two years. According to DLHS-3 prevalence of contraceptive acceptance in Bihar state was 63.2%. Sample size is calculated by taking prevalence rate of contraceptive use (63.2%) at 5% significance level and 10% allowable error. There are 28 anganawadi centers in ourstudy area. A list of eligible couples was obtained from each anganawadi and 10 eligible couples was selected randomly by Stratified Random Sampling. Results; The total prevalence of contraceptive use in the study area was 58.6%. It was found that practice of family planning methods was high among Hindu (87.2%) compared to Muslims (12.8%). It has been found that 40% of study population was from nuclear family. Forty six percent of the acceptors of contraceptives were held from nuclear family ascompared to 32% from joint family. Conclusion: The Female literacy rate is exceptionally higher than national average. Early marriage is a prominent featurein the study area. Different factors namely age at marriage, type of family, number of living children, literacy status of female partner, and socioeconomic status significantly affect contraceptive behaviour of the studypopulation. Keywords: Eligible couple, contraception, sterilization.
Cesarean section is thought to be one of most common surgical method for delivery of baby, perhaps most frequent procedure by obstetricians. The most important factor after Cesarean section to return to normal life functions and look after new born is Infectious morbidity. Objective: To compare the Effectiveness of preoperative vaginal cleansing with an antiseptic solution among cesarean patients. Methods: This Comparative study was done in department of Obstetrics and Gynecology, Sheikh Zayed Hospital Chandka Medical College Larkana from 20 June 2019 and the last at 19 December 2019.we included 336 patients fulfilling the inclusion criteria. Informed consent was taken. The data were collected on prepared proforma in two groups as A group (intervention group) and B (control group) respectively. Results: Study includes 336 patients with mean age of 26.29±4.7 and 26.52±5.9 years, divided in two groups 168 in each group A and B respectively. Out of 336, 14(4.2%) developed endometritis, 8(2.4%) developed wound infection and 16(4.8%) developed fever. The composite morbidity was 11.3%; with 26.3% of group A and 73.6% of group B. Conclusions: This study showed that the use of 10% Povidone iodine was significant in reducing post op morbidity. Cleansing of vagina with an antiseptic solution is easy intervention before cesarean section
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