Suchergebnisse

Objectives: To determine the sonographic association of endometrial thickness at the proliferative phase in infertile females. Study Design: This Cross-sectional observational. Place and duration: Government Nawaz Sharif Hospital yakki gate Lahore 10st March 2017 to 10th September 2018. Methodology: This Cross-sectional observational study was conducted at Government Nawaz Sharif Hospital yakki gate Lahore 10st March 2017 to 10th September 2018. Ultrasound (Mindray (Dc-3)) with the convex transducer, frequency ranging 3-6 Mhz was used. All 103 participants were scanned trans abdominally in the supine position with full urinary bladder. Result: By using independent sample test with the help of SPSS 25 that evaluates Levine's Test for Equality of Variances and t-test for Equality of Means. The t-test for Equality of Means shows there was a statistically significant association between endometrial thickness and infertility. Conclusion: Thick endometrium is more favorable for implantation as compared to thin endometrium. By comparing the mean of endometrial thickness, it was observed that the mean endometrial thickness in fertile females was greater than infertile females.

Background: Nonionic, low osmolar agents are now used nearly universally for intravenous (IV) contrast administration in computed tomography. The osmolarity of a contrast agent is considered to be responsible for adverse effects in patients injected with contrast media. With the increase in its utilization, acute adverse reactions are suspected to rise substantially. Regardless of the usage of low osmolar non-ionic agents to reduce adverse effects, a large number of reactions are still experienced by patients. However, the frequency of immediate adverse contrast reactions to various low osmolar non‐ionic iodinated contrast media is not well studied. A basic understanding of the occurrence, risk factors and clinical features of these reactions is important as it can help in ensuring optimal patient care. Objective: To determine the frequency and severity of acute adverse reactions related to administration of low osmolar iodinated contrast media to patients during contrast-enhanced computed tomography scans. Methods: A cross-sectional study of intravascular doses of low osmolar non-ionic iodinated contrast media administered from October 2018 to February 2018 was conducted on patients undergoing CT examinations at Combined Military Hospital, Lahore. Acute adverse effects were characterized by using the data collected. These effects were investigated for determining the frequency and severity of reactions. Results: A total of 328 low osmolar iodinated contrast doses were administered to patients coming for CT examinations. 209 cases of acute adverse effects (63.72%) were identified. 90 out of 139 (64.75%) females, 117 out of 189 (61.90%) males were affected. Mild reactions were in the majority with the most common being nausea, sweating, and change in taste. Two cases of moderate reactions and no severe/fatal reactions were found over the study period. One case necessitated transfer to the emergency for urgent care. Female patients were affected more than males. Conclusion: Acute adverse reactions to the ...

Background: Commonly fetal parameter for gestational age (GA) assessment have pitfall mostly in progressive pregnancy and pregnancy complicated by fetal structure abnormality. Objective: Correlating of gestational age in the second and third trimesters with umbilical cord diameter. Methods: A cross-sectional sonographic study of 370 pregnant women with gestational age from 14 weeks to 40 weeks was done in Government Tehsil Headquarters Hospital Kahn a nau Lahore, Ferozpur Road, Lahore. The gestational age was first estimated using Naegele's GA estimation formula based on the starting date of the last menstrual period of each subject. Fetal parameters like biparietal diameter, femur length, circumference of the head and abdominal circumference have been used to estimate gestational age. The umbilical cord diameter has been measured to find a correlation between gestation age and umbilical cord diameter. Results: The fetal parameters and umbilical cord diameter increase in the fetus as the gestational age increases. There seems to be a linear relationship and significant statistical correlation (p<0.05) in between umbilical cord diameter and the gestational age estimation. The umbilical cord diameter appeared to increase by the rate of 1mm/week between 14TH to 40TH weeks of the gestational period. Conclusions: The umbilical cord diameter has a strong linear relationship with commonly used parameters for the assessment of fetal gestational age and is able to use as a reliable method to evaluate fetal growth as well as prediction of gestational age.