VP22.14: Table 1. FR group Median GA at FR (range) n (%) Total unintended loss <24w IUFD >24w Livebirth <32w Livebirth <37w Livebirth >37w Median GA at birth (IQR) < GA 14+0 13.1 (11.0, 13.9)
Amniotic fluid volume (AFV) is estimated in almost all the antenatal scans referred for ultrasonography (USG). It has proven to be a very good predictor for poor pregnancy outcomes. Several standard text books have quoted normal range of amniotic fluid index (AFI). These reference range may not be applicable to all the population as over the years different studies have shown that it varies among different population. Since such variations has been postulated, our aim is to formulate a reference range of gestational age specific AFI in normal pregnancy among Nepalese women. Therefore, a cross-sectional study was carried out among 537 normal pregnancies who attended the out-patient department of Nepal Medical College Teaching Hospital. Women with any maternal and fetal complications were excluded from the study. Subsequently median, the 5th, 50th and the 95th percentile values were calculated for each gestational week and were compared with studies among other population. Among the 537 women enrolled in the study, the mean maternal age was 26.5 years with the estimated fetal weight (EFW) at term pregnancy ranged from 2372 grams to 3750 grams with the mean being 3261 grams. The mean AFI at preterm was found to be 12.6 cm ± 2.36 and at term 11.0 cm ± 2.82. The percentiles values for first to 99th percentile of the entire data was calculated and the normal range of the AFI was estimated to be between 6 – 17 cm. As studies have shown the variance in AFI range among different population. It is imperative to formulate a reference of AFI among different population. In our study we found they are lower as compared to the Caucasian population, similar to Indian population and higher than the Chinese population.
Primary testicular germ cell tumors (PGCT) can be classified as seminomatous and non-seminomatous germ-cell tumor (NSGCT) types. Mixed germ cell tumors (MGCT), a subtype of NSGCT, contain more than one germ cell components. Here, we present a rare case of a MGCT composed of yolk sack tumor and teratoma which had a continuous large abdominal and retroperitoneal extension. A 43 years old male presented with complaints of discomfort and swelling over the right inguinoscrotal region. Ultrasonography (USG) showed a large ill-defined heteroechoic mass in the right inguinoscrotal region with vascularity and without separate visualization of right testis. Subsequent contrast enhanced Computed Tomography (CT) showed large enhancing mass in the right scrotal sac which was continuous with large abdominopelvic and retroperitoneal mass through the right inguinal canal. Tru-Cut biopsy of the scrotal mass showed MGCT with yolk sac and teratoma component. Patient underwent 6 cycles of chemotherapy followed by Right Radical Inguinal Orchidectomy.
Introduction: COVID-19 is a highly contagious viral disease which escalated into a global pandemic since its outbreak on 31 December 2019. Chest X-rays are the most common investigation in suspected cases to diagnose and manage pneumonia. The aim of this study was to find out the mean Brixia severity scores among symptomatic COVID-19 patients in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among the chest X-rays of symptomatic COVID-19-positive patients of a tertiary care centre. Data from 1 May 2021 to 31 July 2021 were collected between 1 August 2022 and 1 January 2023 from the hospital records. Ethical approval was taken from Institutional Review Committee (Reference number: 01-079/080). Patients with reverse transcriptase polymerase chain reaction with symptoms of COVID-19 were included in this study. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among the total of 300 patients, the mean Brixia severity score was 7.15±5.07 and out of 235 patients with abnormal chest X-ray, the mean Brixia severity score was 9.13±3.84. A total of 68 (22.66%) patients had mild, 115 (38.33%) had moderate and 52 (17.33%) had severe scores. Conclusions: The mean Brixia severity score among symptomatic COVID-19 patients was found to be higher than the other studies done in similar settings.
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