Perception of type 2 diabetes mellitus clients on applications in Bima Regional General Hospital

Background:Repeat hospitalization is a process for a patient who needs to return to hospital as a result of inability to control and take care of their disease. The objective of study is to gather deeper understanding about the meaning experience of repeat hospitalization process among diabetes mellitus type 2 patients. The study is qualitative research within phenomenology method by using deep interview instruments. In this study, the research seeks the experience of diabetes mellitus type 2 patients who are being treated with repeat hospitalization process. Methods:The study applies descriptive phenomenology approach. By using the method, the subject could be explored, analyzed, and explained directly about their experience of repeat hospitalization. The size of sample, in descriptive study, is essential in order to reveal the saturation data. The participants collecting procedure is using the snowball sampling technique.Results:The age of participants are ranging from 40-79 years old. The level of education among participants are varies, from elementary schools to senior high schools. The occupation type are housewife, farmers or merchants.The participants’ income is ranging between 750.000-2.000.000 rupiah/month.Conclusions:The result reveals four findings among 10 participants: 1) the characteristics of participants 2) the lack of knowledge from diabetes mellitus(DM)management, 3) quality of service, 4) hope of recovery.

Role of magnetic resonance imaging in evaluation of cerebellopontine angle tumors

Objective: to determine the role of MRI in evaluation of different Cerebellopontine angle tumors, and differentiation between them

Materials and Method: This study was conducted in the period between January 2009 and December 2012. Fifty four patients with CPA masses were selected on bases of neurotological complains that related to CPA

Results: Cerebellopontine angle masses in this study were classified into two groups: acoustic neuromas and non acoustic neuromas CPA masses. Twenty eight of cases [51.8%] were acoustic neuromas in which 26 cases were unilateral acoustic neuromas and 2 cases with bilateral neuromas, the remaining 26 cases [48.2%] were other non acoustic CPA masses. These included, one trigeminal neuroma [1.9%], 6 [11.1%] cases were CPA meningiomas, 6 [11.1] cases were epidermoid, 3 [5.6%] cases were arachnoid cyst, 2 [3.7%] cases were glomus jugulare tumors, 3 [5.6%] cases metastatic tumors and 5 [9.2%] cases were intraaxial and intraventricular tumors extending to the CPA, this included 2 cases cerebellar hemangioblastoma, 1 case pontine glioma and 2 cases were fourth ventricular ependymoma

Conclusion: MR imaging is considered the imaging method of choice to assess CPA tumors and to distinguish between them

Acute ischemic cerebrovascular accident and new onset voiding dysfunction: a prospective correlation of CT findings with urodynamic findings

New onset voiding dysfunction after a stroke is a difficult problem for all persons involved in the care of those patients. We evaluated the effects of an acute cerebrovascular accident on the lower urinary tract and correlated the site, size and side of cerebrovascular accident with the urodynamic findings. This study included 103 patients [56 males and 47 females] with acute cerebrovascular accident from September 2001 to August 2003. All patients with disturbance of conscious level or mental changes or previous history of stroke were excluded from the study, The included patients were assessed neurologically and urologically. Computerized Tomography [CT] was done for all patients. A total of 56 patients underwent urodynamic study with electromyography within one week of cerebrovascular accident. Patients were divided into 5 different groups based on urodynamic findings. 59.2% of the patients had urinary.symptoms and the most common symptom was incontinence [42.6%], followed by retention [41%]. We found a correlation between voiding disturbance with hemiparesis [P<0.01], not with hemianopia. Urodynamic studies of 56 patients revealed that 31 patients [55.4%] had detrusor hyperreflexia and 17 patients [39.1] had detrusor areflexia. The majority of the lesions responsible for detrusor hyperreflexia were from frontoparietal region and internal capsule whereas thalamic, pontine and cerebelluar lesions were associated more with detrusor hyporeflexia. There was no effect of laterality or dominance on the urinary symptoms or urodynamic findings

revolution of MR imaging in evaluation of posterior fossa tumors, is there still a value of CT examination in this respect, an initial-experience comparative study in Assiut University

Althrough a period of time extending from January to December 2001, fifty-one patients [32 males and 19 females] and of ages ranged from 2 months to 70 years were selectively included in our study for the clinical suspicion of posterior fossa space occupying lesions [SOL]. All patients submitted to full clinical assessment that was followed by a dual sitting radiologic work-up including CT scanning [using a Toshiba CT machine] and multiplanar MR imaging [using a Gyroscan MR machine] where comparison of the obtained CT and MR findings was performed depending on the proof obtained from final operative and histopathologic reports to assess the well-established role of the former [CT] to that of superadded latter procedure [MR] in the light of our experience in this respect. According to the histopathologic results, it was noted that cerebellar astrocytomas were the most frequent [18] ones representing 35.8% followed by 12 medulloblastomas [23.6%], 8 brain-stem gliomas [15.7%], 3 meningiomas [5.7%], 3 acoustic neuromas, 3 hemangioblastomas [5.7%], 2 ependymomas [3.9%] and 2 choroid plexus papillomas [CPPs] [3.9%]. It was noted that MR imaging has notably improved the tumour detectability regarding its borders and relation to the surrounding tissues that were sometimes improperly assessed on CT images due to petrous bones imaging artifacts and regarding its ability to detect the CSF seedlings of a tumour that was seen only on contrast-enhanced MR images in six of our patients due to its highest inherent resolution and soft tissue discrimination ability and to the unlimited multiplanar imaging capabilities, although detection of calcification is still a unique advantage of CT over MR imaging in this respect. In our study, the compared overall accuracy of MR to CT was 99.32% to 98.42% respectively. We concluded that when both procedures are available for usage, MR should be that of choice

Role of spiral CT angiography and duplex ultrasound in the evaluation of carotid artery stenosis

Seventy carotid arteries were examined; forty-nine arteries showed insignificant lesions on both tests and were excluded and twenty-one carotids demonstrated varying degrees of stenosis on CT angiography. Duplex ultrasound missed a stenotic lesion affecting the distal internal carotid artery [ICA] in one case. The degree of CT angiographic stenosis was overestimated by duplex scanning in three other cases. Further, an ICA that was shown on duplex scanning to be totally occlusive proved on CT imaging to be a pre-occlusive one. The degree of stenosis was identical on both CT angiography and duplex ultrasound in the remaining 16 arteries

Comparative study between magnetic resonance imaging [MRI] and arthroscopy in evaluation of curciate and menisical injuries of the knee

Over a period of one year 42 patients with knee joints trauma were evaluated by MRI and arthroscopy. The study was performed at Radiology Department and cases were referred from Orthopedics Department, Assiut University Hospital. Fourty patients were males and 2 were females. The age of the patients ranged from 19 to 48 years with mean age 29.3 years All the patients had a history of trauma to the knee joint and they were presented with joint pain, swelling, clicking or sense of instability. MRI and arthroscopy were done for all patients. Correlation of the findings of MRI and arthroscopy were done in all cases. The arthroscopic diagnosis was positive in 39 cases and negative in 3 cases. The positive cases include 18 cases of ACL, 5 cases of PCL tears, 8 MM tears and 8 LM tears. The MR was positive in 42 cases. These include 18 cases of ACL tears. 5 cases of PCL tears, 10 cases MM tears and 9 cases LM tears. Both MRI and arthroscopy have the same results in diagnosis of ACL, PCL tears, but they differ in the diagnosis of some cases of meniscal tears where arthroscopy is more accurate. We concluded that MRI is accurate in the diagnosis of cruciate and meniscal injuries of the knee and its accuracy should decrease the need for arthroscopy as a diagnostic tool and direct its use for therapeutic use