Precise evaluation of gestational age is essential for quality maternity care. Ultrasonography is the most readily available and reliable method to establish gestational age. This study aims to use the length of the fetal kidney as a reliable parameter to measure gestational age in late second and third trimesters. Objective: To determine the relationship between fetal kidney length and gestational age in weeks during the late 2nd and 3rd trimester of normal pregnancy. Methods: It was a prospective cross-sectional study conducted on 105 singleton normal pregnant females between 24th and 40th weeks of gestation who came to the obstetrics and gynecology department at a private sector hospital in Kharian, Pakistan. The duration of the study was four months. Bi-parietal diameter, femur length, and fetal kidney lengths were measured. Statistical analyses were applied using SPSS version 22.0. Results: A moderately significant positive correlation was identified between different gestational age measuring parameters and fetal kidney length. The correlation was significant at the level of 0.01. The correlational values of GA according to LMP with FKLL and FKLR were (r= .85**) and (r= .87**) respectively. GA with BPD indicates a moderately significant positive correlation with FKLL and FKLR (r= .94**) and (r=.94**). GA with FL also shows a moderately significant positive correlation with FKLL and FKLR (r= .83**) and (r= .83**), respectively. Conclusion: In conclusion, fetal kidney length in millimeters correlates well with gestational age in weeks and shows linear growth with gestational age throughout pregnancy. Gestational age estimated from fetal kidney length gives improved dating of fetal age
Background: The knee is the body's largest joint, and it can be affected by a variety of conditions including meniscal tears, ligament and bone damage, ulcerations, ruptures, and dislocations. Magnetic resonance imaging (MRI) is defined as a screening tool for identifying Knee Pathologies without the need for arthroscopy. Objective: To determine the frequency of knee joint pathologies on Magnetic Resonance Imaging (MRI) in Lahore, Pakistan. Material and Methods: Data was collected following inclusion criteria using convenient sampling technique. A total of 140 Patients undergone Knee MRI scans on MRI Machine 1.5T Phillips. Data was collected from Radiology Department of Sharif Medical city and analyzed on SPSS version 22. Frequencies of Knee pathologies were mentioned. For Categorical Data like Age Groups and Gender Mean, Median and Standard Deviation was applied. Results: Results were based on 140 Participants who had Knee Scan. In which the Male Patients were 57.1% and 42.9% Females. The highest frequency was in 36-45 among four Age groups having 54.3%. In Knee Pathologies the common Meniscal Injuries in Medial & Lateral have Longitudinal Tear as 18.6% & Horizontal tear as 12.9%. In Collateral Ligaments MCL have 7% Mesniscofemoral and LCL has 5.7% Mesniscofemoral Ligament Injuries. In ACL injuries 21.4% have complete rupture and 10% Partial Rupture in PCL. Patella has 27.1% chondromalacia while popliteal tendon has complete rupture of 8.6%. 15.7 Patients have Irregular Cartilage and 12.9% Ulceration. General and Local Synovitis in Synovia was 8.6%. Conclusion: In conclusion MRI diagnosis will enable patients to avoid arthroscopic interventional contrast procedures. The finding of this research supports the use of magnetic resonance imaging (MRI) in the diagnosis of internal knee diseases.
Background: Basis of recurring chest radiography and admission to sanatorium started at some stage in World War 2, for the prognosis of pulmonary tuberculosis in asymptomatic sufferers/soldiers of battle. Meanwhile the declining incidence of Tuberculosis and discovery of recent screening exams result in decrease in chest radiographs screening method. Chest radiographs account for majority of clinical expenditures international. Objective: The objective of this study is to determine the prevalence of chest radiographs PA view in general population of Mirpur Azad Kashmir. Methodology: This cross-sectional study was performed in District Mirpur. The data has been collected from patients at radiology department of DHQ Hospital Mirpur. The study duration was three months after the approval of supervisors. Total 180 patients participated in this study. This included males and females. Convenient sampling technique was used for the collection of data during October 2021-December 2021. Conclusion: In our study mostly patients came with symptoms if cough and according to radiographic findings must patient have cardiomegaly. It is concluded that all patients with the symptoms of SOB ,cough and fever must not have chest infection there could be another cause of these symptoms .Most patients were with cardiomegaly so prevalence if cardiomegaly is higher than chest infections like TB and other infections.
Background: A entire of 10% of Chronic Obstructive pulmonary disease (COPD) are never Smokers because of occupational history positive like biogas and air pollution. And 90% of patients are Smokers. Smoking is main cause of COPD in worldwide. Aim: To determine the role of X-Rays in the Detection of Structural Changes Related to COPD in smokers and nonsmokers. Material and Method: This cross-sectional study was conceded out in Radiological department DHQ Medical institution Gujranwala. The duration of study was 4 months i.e. January 2022 to May 2022. Total no of patients was conduct in Radiology department with COPD are 100. Exclusion criteria included all patients who are not with COPD. Results: Total number of participants are 100 in out of which 10% are non-Smokers and 90% are Smokers. In which we evaluate the structural changes related to COPD. The Result shows hyper- inflated lungs (100%) occupy in smokers and never-smokers. And focal bullae are not occupying in smokers and never-smokers and Flattening of diaphragm are (8%) in non-smokers and (92%) in smokers Increase chest size in never-smokers are (1%) and in smokers are (99%) present. Tubular heart is (63%) in smokers and (37%) in non-smokers. Conclusion: In this prospective study 100 patients of COPD are involved of both genders. In which males are more common than females. The overall study rate of COPD in this study is 10/90 with higher occurrence in males in smokers.
Background: Uterus is a pear shaped muscular retroperitoneal organ. It has three layers Endometrium, myometrium and perimetrium. Aim: To determine the sonographic size of normal uterus in pre and post-menopausal women and its correlation with BMI. Material And Method: This study consists of 150 women (115 parous &35 nulliparous) had sonography with abdominal and /or pelvic problem non-relating to uterus in both parous and nulliparous women. Uterine measurements are assessed and associated with age, height, and weight and correlated with pre and post-menopausal women. Results: The result showed that the size of uterus (length×width×height) from 11to 30 years is (7 ×3 ×4), from 31 to 40 is (7× 4 × 5), from 41 to 50 years is (7×4 × 5), and from 50 to 6o years is (7 × 3 ×4). From 60 to 90 year’s uterus length decreases. In 60 to 70 years is (6.1 × 2 ×2), from 71 to 80 years is (4 ×3×2) from 81 to 90 years is (5 × 2 × 3). In my study there was insignificant correlation of uterus dimensions with BMI. Conclusion: On the beginning of the current work next inference was strained. The uterine length rises with rise in age in from 11 to 60 years and reduction in 61 to 90 years’ age. Negative correlation between uterine length and BMI. There is insignificant correlation of uterus dimensions with BMI.
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