ABSTRACT
Introduction: The diagnosis of intussusception can be challenging in children due to the fact that the findings of clinical evaluations are nonspecific and most of the patients present with unclear history. Therefore, in this systematic review and meta-analysis, we aimed to investigate the diagnostic accuracy of ultrasonography for detection of intussusception and also compare the efficacy of point-of-care ultrasound (POCUS) with radiologist-performed ultrasound (RADUS). Methods: Two independent reviewers systematically searched different online electronic databases including MEDLINE, Scopus, Web of Science, Google Scholar, Embase, and Cochrane from inception to December 1, 2022 to identify published papers reporting accuracy of ultrasonography for diagnosis of intussusception. The quality assessment of the included studies was investigated using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 tool. Results: A total of 1446 records were retrieved in the initial search of databases. After screening the titles, a total of 344 studies were retrieved for the detailed assessment of full-text. Finally, 37 studies were included in qualitative and quantitative analysis. The pooled sensitivity and specificity of ultrasonography for diagnosis of intussusception were 0.96 (95% CI: 0.95-0.97) and 0.97 (95% CI: 0.97-0.98), respectively. The pooled positive likelihood ratio (PLR) and negative likelihood ratio (NLR) were 24.57 (95% CI: 8.26-73.03) and 0.05 (95% CI: 0.04-0.08), respectively. The area under the hierarchical summary receiver operating characteristic (HSROC) curve was 0.989. Mete-regression showed that there is no significant difference between diagnostic performance of POCUS and RADUS (p = 0.06 and rDOR (diagnostic odds ratio) = 4.38 (95% CI: 0.92-20.89)). Conclusion: This meta-analysis shows that ultrasonography has excellent sensitivity, specificity, and accuracy for diagnosis of intussusception in pediatric patients. Moreover, we found that diagnostic performance of POCUS is similar to that of RADUS for diagnosis of intussusception.
ABSTRACT
Introduction: Phobia is a mental disorder that can occur following rape and pose a serious threat to women's health. The aim of this study was to determine the frequency of paranoia in female victims of rape referred to Isfahan Forensic Medicine Center in 2014. Methods: This descriptive study included 93 women rape victims referred to Isfahan Forensic Medicine Center who were randomly selected. The study tool was the demographic information and mental health questionnaire scl-90. Descriptive statistics and Spearman correlation, independent t test, one-way analysis of variance in SPSS version 17 were used to analyze the data. Results: This study showed that there was a significant positive correlation between rape and phobia (P < 0.001) so that the prevalence of phobia in people who were raped was moderate to high. Also 9.1% (8 people) of mild phobias (scores 1-0), 79.5% (70 people) moderate phobias (scores 1-1) and 11.4% (10 people) phobias in the range Severe (scores 4-3) reported. Of the seven sub-indices in the phobia section, 52.3% (46 people) had very unreasonable fears. Approximately 52.3% (46 people) were afraid of traveling, 46.6% (41 people) were afraid of being alone. Going, 38.6% (34 people) fear of the market, 51.1% (45 people) anxiety, 12.5% (11 people) feeling of alienation, 1.1% (1 person) fear of fainting in total. Conclusion: Due to the increasing number of rapes in women and the recognition of rape as a factor disrupting mental health, strategies and resources should be provided to prevent rape against women and its adverse consequences, including phobia and early diagnosis and treatment of this complication and other complications Be allocated.
