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Evaluating the Diagnostic Performance of an Initial Transvaginal Sonogram Tvs in Patients With Suspected Ectopic Pregnancy

Thesis Info

Author

Bett, Zablon

Department

Imaging and Diagnostic Radiology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2009

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728049668

Similar


Purpose of the study: To evaluate the diagnostic performance of an initial transvaginal sonogram (TVS) in patients with suspected ectopic pregnancy (EP). Objectives: 1) To determine the accuracy, sensitivity, specificity, positive and negative predictive values of an initial TVS scan in patients with suspected EP. 2) To determine the diagnostic utility of TVS findings as predictors of EP. Methodology: This was a descriptive, prospective study of 131 consecutive mothers who had TVS for clinical suspicion of EP at the Aga Khan University hospital over a 12 month period between November 2007 and October 2008. The scans were performed in our radiology department by sonographers, residents and consultant radiologists. The mothers were followed-up to determine their clinical or surgical outcome, which was then used as a reference standard. The accuracy, sensitivity, specificity, positive predictive value and negative predictive value for the initial TVS and sonographic predictors of EP were calculated. The study was approved by the University Research and Ethics Committee. Results: The accuracy of an initial TVS in this study was 96% (126 / 131). Sensitivity, specificity, PPV and NPV of initial TVS was 84% (21 / 25), 99% (105 / 106), 95.5% (21 / 22) and 96.3% (105 / 109) respectively. The prevalence of EP in our study was 19.08 % (25 / 131). In this study, 69.4% (91/131) of mothers had intrauterine pregnancies while 10.4% of them were not gravid. Adnexal mass, hemoperitoneum and tubal ring sign had high specificities but low sensitivities. Presence of an extrauterine gestational sac with or without an embryo was associated with 100% specificity and PPV. Conclusion: This study demonstrates that initial TVS is a highly accurate and reliable tool in the evaluation of mothers with clinical suspicion of ectopic pregnancy. With the high accuracy, specificity and predictive values more than 95% of mothers will be evaluated correctly.
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حب الوطنی

حب الوطنی
نحمدہ ونصلی علی رسولہ الکریم امّا بعد فاعوذ بااللہ من الشیطن الرجیم
بسم اللہ الرحمن الرحیم
معزز اساتذہ کرام اور میرے ہم مکتب ساتھیو!
آج مجھے جس موضوع پر اظہار خیال کرنا ہے وہ ہے:’’حب الوطنی ‘‘
صدرِذی وقار!
جہاں تک حب اور محبت کا تعلق ہے تو کائنات رنگ و بو میں جتنا ذکر محبت کا ہوتا ہے شاید کوئی اور اصطلاح اتنی استعمال نہ ہوتی ہو ،کبھی کوئی اولاد سے محبت کا ذکر کرتا ہے۔ کبھی خوشبو سے محبت کا ذکر کیا جاتا ہے، کبھی دوستوں سے محبت کی پتنگیں بڑھائی جاتی ہیں،کبھی جائیداد سے محبت کا ذکر خیر ہوتا ہے بلکہ جائیداد کی محبت میں تو کشت و خون کا سلسلہ بھی روا رکھا جا تا ہے، سیم وزر سے محبت کی جاتی ہے۔ سونے چاندی کے اضانے میں اپنی تمام توانائیاں صرف کی جاتی ہیں، کوئی اولاد سے محبت کرتا ہے، کوئی مال سے محبت کرتا ہے، کوئی جان سے محبت کرتا ہے، اور وہ شخص کتنا خوش نصیب ہے جس کو اللہ اور اس کے رسولؐسے محبت ہوتی ہے۔
معزز سامعین!
بحیثیت مسلمان ہماری حقیقی محبت کا تقاضا یہی ہے کہ ہماری محبت کے جملہ پہلو سرورِ کائنات کی ذات با برکات کے لیے ہوں۔ اور آپؐ کے ساتھ محبت اس بات کی بھی متقاضی ہے کہ آپ کے ہر قول وفعل کو من وعن تسلیم کیا جائے اور پھر ہر زاویے سے اس پر عمل کرنے کی کوشش کی جائے ، اس میں ہماری دنیوی و اُخروی کامیابی ہے۔ سرکارِ دو عالمؐ کا ارشاد گرامی قدر ہے کہ حب الوطن من الایمان کہ وطن سے محبت ایمان سے ہے۔
صدرِذی وقار!
وطن کی محبت ایمان سے ہے اس کا اگر بنظر عمیق جائزہ لیں تو اسلام کے جملہ احکام بالخصوص اسی محبت کی تکمیل کے خواہاں ہیں۔...

Disparity in Political Participation on Social Media Public Sphere among Male and Female Students

Social media has become a key term in new participatory political discourse. Previous studies argued that youth is least interested in democracies and politics; hence, this study aims to explore the role of social media in increasing political participation among male and female university students. Data was collected from a sample of 340 students, chosen from equal gender proportion of five universities with purposive sampling technique to conduct quantitative survey research. The findings of study revealed a positive relationship between political participation and social media usage of students. It also confirms that majority respondents were using social media for political information but the trend is more popular among the male students as compared to females. Male participants were more involved in discussing politics and posting political content on social media, while females were more active in actionable politics like casting vote. The study concludes that social media is playing a significant role in enhancing political participation among university students and predicts a better future of democracies in social media world as new technology provides the language that young voters understand. It also realized that measures are required to attract female students towards participatory politics in Pakistan. ______

Biodiversity & Biogeography of Mantodea in Pakistan

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