يعرض 1 - 10 نتائج من 43 نتيجة بحث عن '"Bagarhatta, Meenu"', وقت الاستعلام: 0.68s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 12, p1480-1490, 11p

    مصطلحات جغرافية: JAIPUR (India)

    مستخلص: Background: Pulmonary embolism (PE) is a critical cardiovascular and pulmonary derangement and third most common cause of cardiovascular death. PE is a "great masquerader" because of non-specific presentation. In patients with suspected pulmonary embolism (PE) CT-pulmonary angiography (CTPA) is frequently performed and its relationship with Qanadli score (QS/clot burden score) assists the clinicians in early diagnosis and management. Our study highlights to determine the correlation between Q-score and parameters of right ventricular dysfunction (RVD) on CTPA in patients with acute pulmonary embolism. Materials and Methods: A prospective observational study done on 100 patients with radiologically confirmed diagnosis of PE in department of radiodiagnosis at SMS Medical College, Jaipur, rajasthan during one year period. Total of hundred (100) patients with radiologically confirmed diagnosis of PE were included whose clinical details, Q-score and RVD parameters [Right ventricle/left ventricle diameter (RV/LV) ratio, interventricular septum morphology, Superior vena cava (SVC) diameter, Azygos vein diameter, pulmonary artery/aorta diameter (PA/Ao) ratio and IVC reflux were recorded. Correlation between QScore and RVD parameters were determined, and logistic regression analysis was applied to assess Q-score as a predictor of RV-dysfunction. Results: A strong positive correlation was found between Q-score and RV/LV ratio, bowing of interventricular septum (r>0.7, p<0.05). Positive correlation between Q-score and PA/Ao ratio, SVC diameter, azygos vein diameter was also there after gender and age-based stratification. No significant correlation was found between Q-score and IVC reflux. ROC curve for QS showed a cut-off of 15 to precisely predict RVD. Conclusion: Qanadli score (QS) =15 correlates well with indicators of right ventricular dysfunction of CTPA in patients with acute pulmonary embolism and confers a poor prognosis with higher Q-scores. [ABSTRACT FROM AUTHOR]

    : Copyright of Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research) is the property of Journal of Cardiovascular Disease Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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    دورية أكاديمية

    المصدر: The Arab Journal of Interventional Radiology ; volume 05, issue 02, page 110-113 ; ISSN 2542-7075 2542-7083

    الوصف: Pseudoaneurysms of extracranial internal carotid artery (ICA) are rare in children. Main causes include trauma, iatrogenic causes, and neck space infection. Prompt diagnosis and management is vital, in view of life-threatening complications like fatal airway hemorrhage and stroke. Endovascular management has currently become the preferred treatment strategy due to its minimally invasive nature and lower complication rates. We report a rare case of mycotic pseudoaneurysm of extracranial ICA in a 4-year-old child as a complication of neck space infection, which was successfully managed with endovascular parent artery occlusion.

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    دورية أكاديمية

    المصدر: Indian Journal of Radiology and Imaging ; volume 31, issue S 01, page S94-S100 ; ISSN 0971-3026 1998-3808

    الوصف: Objective: To analyze radiological changes in portable chest radiographs in coronavirus disease-19(COVID-19) patients to optimize the management of hospitalized patients. Methods: We retrospectively reviewed 638 portable radiographs of 422 hospitalized COVID-19 patients with RT-PCR confirmed COVID-19 infection. All the radiographs were reported in a structured format by two experienced radiologists. A severity score was assigned to every Chest Xray (CXR) and correlation was done with the CT scans whenever available. Results: Out of 422 baseline portable radiographs assessed,the ratio of male: female patients was 337:85 that is 79.8% were males and 20.14% were females.The mean age was 50.5 years and the range was 17–84 years.Of these 422 patients, 187 patients (44.3%) had abnormal baseline CXR. 161 out of 187 (86%) had either typical or indeterminate findings for COVID-19 pneumonia, rest 26 (13.9%) patients had CXR findings not consistent with COVID-19, like pleural effusion, hydropneumothorax, or lung cavity.Most commonly observed CXR findings in COVID 19 pneumonia were bilateral, multifocal air space opacities (consolidation and ground-glass opacities) predominantly involving lower zones and peripheral lung fields. X-ray identifiable lung changes of COVID-19 were mostly seen at 9-11 days after symptom onset. Conclusion: The presence of multifocal air-space opacities with bilateral, peripheral distribution on chest radiograph is highly suggestive of COVID-19 pneumonia in this pandemic setting.Portable chest radiography is a widely available and quicktool for estimating the evolution and assessing the severity of lung involvement of COVID-19 pneumonia in hospitalized symptomatic patients.

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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Insights into Imaging ; volume 10, issue 1 ; ISSN 1869-4101

    مصطلحات موضوعية: Radiology, Nuclear Medicine and imaging

    الوصف: Purpose Peripheral neuropathies are a group of disorders which affect the peripheral nervous system which have been conventionally diagnosed using electrodiagnostic studies. This study was carried out to assess the role of imaging in diagnosing peripheral mononeuropathy as exact anatomical localisation of the pathology is possible using high-resolution ultrasound and MR neurography, the modalities assessed in this study. Method A hospital-based prospective analytical study was carried out in a resource-limited setting on 180 peripheral nerves in 131 patients with symptoms of peripheral mononeuropathy after taking IRB approval. Each patient underwent high-resolution ultrasound examination and MR neurography, findings of which were then compared and statistically analysed assuming electrodiagnostic findings as the gold standard. Results Overall, the diagnostic accuracy was highest for the proton density fat-saturated MR sequence (93.89%) followed by high-resolution ultrasound (80%). The sensitivity was highest for proton density fat-saturated sequence while the T1 MR sequence had the highest specificity. Combined diagnostic accuracy of both modalities was calculated to be 93.33% with a negative predictive value of 80%. High-resolution ultrasound and MRI equally detected the cases with nerve discontinuity, while neuromas were better identified on MRI. Conclusion With the advent of higher frequency probes and improved MR field strength, imaging of peripheral nerves is possible with better accuracy. Imaging assessment of nerves allows anatomical delineation with identification of exact site of involvement. This comparative study demonstrates the role of imaging in diagnosing peripheral nerve pathologies with the accuracy of MRI as high as 93.89% which may serve as an imaging gold standard. High-resolution ultrasound, being quicker, cost effective and a comparable accuracy of 80% can serve as a reliable screening tool. This study incorporates a larger study group and compares HRUS with MRI, taking NCV as gold ...

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    دورية أكاديمية

    المصدر: Indian Journal of Otolaryngology & Head & Neck Surgery; Jun2023, Vol. 75 Issue 2, p523-528, 6p

    مستخلص: The aim of this study was to find out the association of sinonasal candidiasis and Covid-19 infection. A prospective observational study was conducted at a tertiary care centre from April to September 2021, involving all patients with invasive candidiasis of the paranasal sinuses having a history of Covid-19 infection. A total of 18 patients of covid associated sinonasal candidiasis among the 475 cases of fungal rhinosinusitis were studied. All patients had involvement of nose and sinuses and 2 patients had orbital involvement with no loss of vision, while 3 had intracranial extensions and 1 had pulmonary involvement. Mandible was involved in 1 patient alone, while the maxilla and palate were involved in 5 patients. 15 patients were hypertensive, 12 diabetics and 1 had aplastic anaemia. Cultures showed that 8 patients had C. parapsilosis, 5 had C. albicans, 3 had C. tropicalis and 2 had mixed fungal infections. All patients underwent surgical debridement and antifungal administration. They were followed up for a minimum of 3 months. There was only one mortality (with aplastic anaemia), rest 17 were disease free at the time of writing this article. This is perhaps the first case series of post covid sinonasal candidiasis in the world. Invasive sinonasal candidiasis is a newer sequela of COVID-19 infection. Uncontrolled diabetes and over-zealous use of steroids at the time of Covid-19 are few of the known risk factors. Early surgical intervention and anti-fungal treatment should be sought for management. [ABSTRACT FROM AUTHOR]

    : Copyright of Indian Journal of Otolaryngology & Head & Neck Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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    دورية أكاديمية