ABSTRACT
To assess fetal outcome in postdate pregnancies [40 weeks and beyond] with women having amniotic fluid index [AFI] < 6 cm and between 6-15cm using greyscale ultrasound. Cross-sectional comparative study. CMH Rawalpindi from 26 October 2006 to 09 May 2007. A total of 60 patients were studied. The antenatal fetal surveillance in these patients was based on ultrasound assessment of AFI after 40 weeks. An abnormal AFI was defined as less than 6 cm, between 6-8 cm as equivocal and more than or equal to 8 as normal. Patients were equally divided into two groups of 30 each based on AFI as group I having AFI <6 cm and group II with AFI of 6-15 cms. Delivery mode, fetal distress and early neonatal complications were main assessment parameters for the fetus. Rate of caesarean section [50%] in the women with AFI< 6 cm was found significantly higher than 17% rate of caesarean section of the women having AFI > 6 cm .Proportion of early neonatal complications was also significantly higher in the women with AFI< 6 cm. AFI assessment by ultrasound is a reliable fetal surveillance test. It may allow the conservative approach till 42 weeks to reduce the caesarean section rate and neonatal complications
ABSTRACT
The objective of this study was to evaluate hepatic vein flow patterns in adults with acute viral hepatitis and to compare the findings with a control group of healthy people using Doppler ultrasound. Cross-sectional comparative study Radiology Department Military Hospital and Combined Military Hospital Rawalpindi from 15 May 2007 to 15 November 2007. Eighty patients who underwent doppler ultrasound at Military Hospital and Combined Military Hospital Rawalpindi during the study period were divided into two groups of 40 each. Cases were selected from the Out Patient Departments of Military Hospital and Combined Military Hospital Rawalpindi. Group I comprised patients with diagnosis of acute viral hepatitis based on clinical and laboratory findings. Group II included the control group comprising 40 healthy volunteers. Doppler ultrasound of hepatic veins was carried out in both the groups of patients. Abnormal wave pattern of hepatic veins on Doppler ultrasound was noted in 35 [87.5%] in group I and in 1[0.25%] of group II. One patient having abnormal Doppler wave pattern in group II subsequently developed acute viral hepatitis. Doppler ultrasound assessment of wave pattern in hepatic veins is an accurate method to differentiate a diseased liver from a normal one. Doppler ultrasound of hepatic veins is a good technique to study disease status of liver
ABSTRACT
To study the awareness of swine flu among general population, medical students and medical professionals Descriptive study. Place and Duration of Study: Study was carried out in the department of Pathology [Microbiology], Army Medical College, the Military Hospital [MH] and Combined Military Hospital, Rawalpindi, from 17th January 2010 to 24th January 2010. Materials and A total of 519 people were included in this study, 228 were medical students, 181 were doctors and 110 were non health care professionals. A questionnaire with closed questions regarding the awareness of the basics of swine flu was required to be filled by all participants. It was found that the general population was totally unaware to the extent that 1/3rd had never heard of this disease. The survey of medical students showed reasonable knowledge in the senior classes [80-85%] knew the main features of the disease], whereas the 2nd year students had the awareness around 40-45%. Among the medical professionals the knowledge was excellent in the seniors, whereas the trainees and house officers had suboptimal knowledge of swine flu. The result of this study show a significant gap between the seniors specialists and the juniors and this gap warrants immediate bridging. The general public also need to be informed by various means more comprehensively