RESUMO
Objective: To validate diagnosis of acute appendicitis using grey scale ultrasound. Study Design: Cross sectional validation
Material and Methods: All the patients were referred to the sonography section of Emergency Radiology Department for suspected diagnosis of acute appendicitis. All patients of suspected appendicitis had ultrasound of abdomen. Indication of any above stated criteria resulted in appendicectomy of the patient. Patients were operated by conventional method of appendicectomy. Results regarding appendix by ultrasonography and surgical outcome were recorded on the proforma. Data entry and analysis were done by using SPSS 21. Place and Duration of Study: The study was conducted at Radiology Department, Armed Forces Institute of Radiology and Imaging [AFIRI] Rawalpindi, from Mar 2013 to Aug 2013
Results: Mean age of patients was 21.39 +/- 4.332 years. There were 77 [48.1%] male and 83 [51.9%] female patients. Clinically, there were 126 [79%] patients positive for appendicitis and on ultrasound findings 121 [76%] patients had appendicitis. Surgical outcome showed 125 [78%] patients as positive. Sensitivity and specificity of ultrasound for the diagnosis of appendix was 87.20% and 65.71%. While positive predictive value [PPV] and negative predictive value [NPV] of ultrasonography was 90.80% and 58.97% respectively. Overall diagnostic accuracy of ultrasound was 82.5%
Conclusion: In patients who present with clinically suspected acute appendicitis, imaging with ultrasound was effective technique to confirm the clinical diagnosis
RESUMO
Objective: To measure the mean camper planes I, II and III with reference to the occlusal plane to determine the smallest angle in Prosthodontic rehabilitation
Methodology: This study was carried out in the department of Prosthodontics, de' Montmorency College of Dentistry and Punjab Dental Hospital, Lahore from 19th May to 18th November 2012. Total 50 patients were included. Cephalometric radiographs were taken. On Cephalogram angles were measured between Camper's I, II, and III with occlusal plane. All measurements were calculated and data analysis was done by using SPSS version 17
Result:Mean Camper plane I-OP was 1.67 degree ±0.94, Camper plane II-OP was 2.60 degree +/- 1.07 and mean for Camper plane III-OP was 3.60 degree +/- 1.19
Conclusion: According to this study, angle between Camper's I [superior border of the tragus to the lowest point of ala] was most precise in orienting the occlusal plane
RESUMO
Objective: To observe relationship of chronic dental and oral morbidity with cardiovascular disease in Pakistani population
Materials and Methods: All indoor cardiac patients aged 40 and above, clinically and angiographically diagnosed with CHD at Islam Central Hospital, Sialkot, were included in the study. Demographic and clinical data [Age, Gender, Smoking, and Diabetes] were noted from patients' hospital record files. Missing teeth were examined and number of teeth missing was estimated from the number of teeth remaining in the mouth upon clinical examination. Attendants without a history of cardiac disease, of the cardiac patients who agreed to be included in the study, were examined for comparison of tooth loss
Results: Nine hundred and thirty six cardiac patients and 595 healthy attendants with mean age of 51.9 +/- 8.4 years were examined. Chronic periodontal disease and mean [+/-SD] tooth loss was significantly [P < 0.001] higher in cardiac patients. Odds ratio [OR] = 1.543 was found in cardiac patients when compared with healthy controls [95%CI = 1.985-2.851]. Tooth loss was significantly [P < 0.001] associated with both males and female cardiac patients especially along with diabetes and smoking
Conclusion: Chronic periodontal disease and tooth loss were found to be significantly higher in cardiac disease patients in comparison to healthy controls. Other risk factors found were age, gender, smoking and diabetes