Objective: To determine rate of nasal colonization in Patients suffering from bacteraemia caused by methicillin resistant Staphylococcus aureus. Methods: This descriptive cross sectional study was carried out in a tertiary ca re, University Teaching Hospital (Shaikh Zayed Hospital, Lahore) from October 2010 to August 2011. Nasal swabs were taken from patients suffering from MRSA bacteraemia and were plated on mannitol salt agar plates to isolate Staphylococcus aureus (S. aureus) which were then tested for oxacillin susceptibility. Results: Nasal colonization was present in 52.5% of patients suffering from MRSA bacteraemia. Conclusion: Nasal colonization rates with MRSA were high among patients suffering from MRSA bacteraemia especially in those undergoing dialysis or surgical procedures. Therefore, screening and nasal decolonization should be practiced in hospitals.
Objective:The aim of this pilot study was to evaluate the safety and efficacy of ultrasound guided surgical evacuation of uterus compared to the conventional blind method of evacuation of retained products of conception (ERPC) currently being practised. It is not known whether routine use of intraoperative transvaginal ultrasound (TVS) improves the outcome of surgical management of first trimester miscarriage and surgical termination of pregnancy (TOP) in both primary as well as repeat procedures. Methods: A retrospective analysis over a six-month period was performed in a teaching hospital in London, UK in women who had either undergone surgical, medical or conservative management of miscarriage or TOP in the first trimester. The inclusion criteria were women who had retained products of conception (RPOC) after initial treatment of first trimester miscarriage or TOP and needed subsequent surgical evacuation of uterus. Outcome measures were the incidence of incomplete evacuation requiring further treatment and persistent vaginal bleeding. Results: Of 240 women, 30 had RPOC after initial treatment. 27% (8/30) opted for conservative management with weekly TVS, 33% (10/30) had repeat ERPC under TVS guidance and 40% (12/30) had ERPC without TVS. Amongst the TVS guided ERPC group, none required further intervention. In those who had ERPC without TVS guidance, 2 had RPOC requiring a third evacuation. Conclusion: Surgical evacuation under TVS guidance was associated with lower rate of complications compared to the conventional procedure without ultrasound. As this was a small, retrospective study, further prospective randomised controlled trials would be useful in showing further significance of these findings. P12.08 Prediction of fetal loss following ultrasound diagnosis of a live fetus at 6-10 weeks of gestationObjective: The purpose of this study was to evaluate the prediction value of demographic characteristics and ultrasound findings in subsequent fetal loss in pregnancies with live fetuses at 6-10 weeks of gestation. Methods: This was a prospective observational study of 428 pregnant women attending transvaginal examination at 6-10 weeks' gestation. The relation of demographic characteristics and ultrasound findings at the time of initial examination to subsequent fetal loss was assessed. Results: In the 491 singleton pregnancies with live fetuses and complete follow up, there were 34 (6.92%) fetal losses. There was statistically a significant increase incidence of fetal loss with increased maternal age, lower gestational age, history of vaginal bleeding, fetal bradycardia relative to crown-rump length, small gestational sac and large yolk sac. Conclusion: Maternal age, gestational age, history of vaginal bleeding and ultrasound findings of small gestational sac, large yolk sac and fetal bradycardia relative to crown-rump length have prognostic value for subsequent fetal loss in pregnancies with a live fetus at 6-10 weeks' gestation. P12.09 3D sonography in gestational and placental volume measurements in women ...
Background: The prevalence of poisoning has increased, costing many valuable lives, as has the progress in research and technology, agriculture, and the industrial sector. Chemicals created to safeguard agricultural products from pests and rodents helped preserve the environment. People who are starving are becoming a threat to other people's lives. Objective: This research aims to assess the frequency and pattern of poisoning. Design: Retrospective Study. Setting: Peoples Medical College Hospital in Nawabshah, Shaheed Benazirabad, Sindh. Duration: From May 1, 2021, to May 30, 2022. Methodology: The current study was conducted in the past. All suspected poisoning deaths that were presented to Peoples Medical College Hospital in Nawabshah, Shaheed Benazirabad, Sindh for a medical-legal autopsy within the course of a year, from May 1, 2021, to May 30, 2022, would be investigated. Inquest reports, hospital records, autopsy reports, and chemical examiner's analysis reports of viscera and bodily fluids were used to compile information on suspected poisoning instances. Age, sex, religion, place of residence, marital status, education, occupation, financial situation, mental state, date and conditions of poisoning, location of treatment, and the most prevalent agent responsible for deadly poisoning are among the different epidemiological data that are examined. Conclusion: Poisoning is predicted to decline as a result of measures to enhance socioeconomic conditions through changes in employment, health care, education, and economic as well as scientific assistance for farmers. It is anticipated that proper education of the general public and farmers regarding the storage, handling, and usage of pesticides and insects will lower the frequency of poisoning. Keywords: Poisoning, Suicide, Medico-legal
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