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Evaluation of Suspected Renal Colic Patients With Unenhanced Low-Dose Multidetector Computed Tomography Mdct

Thesis Info

Author

Twahirwa, Nebayosi

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

2008

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728050579

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Acute renal colic is probably one of the most excruciatingly painful event a person can endure. [1]. Though this is typical of urinary tract calculi, it’s important to note that non-calculus and non-genitourinary conditions can present in a similar manner. Unenhanced helical CT (CT KUB), originally described by Smith et al [2] in 1995, is one single radiological test that has proven successful in the valuation of patients presenting with renal colic. This technique has been shown to be more accurate compared to abdominal radiography [3,4], ultrasound and has replaced excretory urography in the detection of urinary tract calculi in many situations [5]. Currently CT KUB has become the clear test of choice for imaging patients with suspected renal colic for a variety of reasons including its speed, non utilization of contrast, high accuracy for diagnosis or exclusion of stone and determination of stone burden, size and location; assessment of obstructive effects of the stone; identification of significant alternative and additional diagnoses; utility in guiding appropriate patient management [6, 7&8]. Therefore it has gained widespread acceptance among radiologists, emergency department physicians, and urologists. However because of the associated radiation dose, various protocols have been studied in an attempt to reduce this dose and found to be equally accurate [6, 7, 8 &9]. The purpose of this study is therefore to evaluate the diagnostic performance of a low radiation protocol in the patient population referred to our department, by comparing CT KUB findings and clinical outcome(s).
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فانی دنیا

فانی دنیا

جدوں دا تو رب رب کہنا بھل گئی
دُکھاں دی اُجاڑ وچ کونج وانگوں رل گئی

ویلا ہتھوں جان لگا پیا نوں منا لَے
پیا دے دوارے بہہ کے درشن پا لَے
جس ٹور پیا ٹورے من اوہ رضا لَے
ایویں جانیں جیویں تقدیر تیری کھل گئی

اوکھی سوکھی جیویں توں ایہہ زندگی نبھائی اے
موت ویلے لوکاں تینوں کفنی پوائی اے
بھین بھائی سارے تیرے پان گے دہائی اے
جیس ویلے روح تیری وطناں نوں جُل گئی

مال تے اولاد والی یاد تینوں آوے گی
اوس ویلے جان تیری بڑا پچھتاوے گی
چنگی کیتی نیکی جہڑی اوہو کم آوے گی
دل والی میل توبہ نال دھل گئی

لبھیا کی تینوں اس دنیا مکار توں
چھڈ سوہنے رب نوں تے ہوئی بڑی خوار توں
کسے نہیں او پچھنا جو ہوویں گی بیمار توں
ایویں کوڑی دنیا دی چمک اُتے ڈُل گئی

قادری دیؔ ایہہ گل توں پلے بنھ لَے
دنیا ناں رج کے تے ہک واری کھن لَے
گور وچ آوے گا سکون گل من لَے
جدوں اوتھے جنتاں دی وا گھل گئی

The Effect of Married Age on the Health of Mother and Baby in Campalagian District

The determinants of child marriage are triggered by complex social, economic, cultural, political and legal disparities. This research method used a cross sectional study. The research sample was 192 women who were married in 2018-2019 in the Campalagian District. This study aims to determine the effect of the age of marriage on the health of ibn and infants in the District of Campalagian. Chi-square test was used to analyze data. The results of the bivariate analysis showed that the age of marriage had an effect on the health of the newborn (p value = 0.003). However, the age of marriage on maternal health during pregnancy, maternal health at delivery, use of contraceptive methods, service standards for birth weight, and support from husbands do not have a significant effect. After conducting bivariate analysis using moderator variables, the results showed that. There is an effect of the age of marriage based on the age of the husband (p value = 0.017) and the husband's education (p value = 0.024) on maternal health at delivery. There is an effect of the age at marriage based on the husband's age (p value = 0.023), the wife's education (p = 0.008), and the husband's education (p = 0.009), on the health of the newborn. It can be concluded that the age of marriage has an effect on the health of the mother and baby and/or if it includes the age and education factors of both the respondent and the partner.

Exact Solutions of Different Motions of Non-Newtonian Fluids With/Without Fractional Derivatives

In the present thesis, we will present the analytical studies of some fluid flow models. We wish to analyze two main scenarios, one of which deals with non-fractional (or- dinary) models and the other with fractional models for the flow of non-Newtonian fluids. We use classical computational techniques capable of accurately operating in order to obtain exact analytical solutions. Our studies include Couette flows of a Maxwell fluid under slip conditions between the fluid and walls. The motion of the bottom plate is assumed to be a rectilinear translation in its plane while, the upper plate is at rest. Two particular cases, namely translation with constant velocity and sinusoidal oscillations of the bottom plate are considered. Next, unsteady motions of Oldroyd–B fluids over an infinite plate between two side walls will be investigated. The motion of the fluid is due to the bottom plate that applies two types of shears to fluid. Extending our studies, we look at the unsteady magnetohydrodynamic (MHD) flow of fractional Oldroyd–B fluid between two side walls perpendicular to a plate. Expressions of the obtained solutions are presented in a series form in terms of the generalized G functions. Finally, the unsteady flow of an Oldroyd–B fluid with frac- tional derivative model between two infinite coaxial circular cylinders is studied. The motion of the fluid is produced by the inner cylinder that, at time t = 0+ , applies a time dependent longitudinal shear stress to the fluid. Expressions of the obtained results are presented in a series form in terms of the generalized G and R functions. In all the flow models, we obtained the exact analytical solutions for motions with technical relevance, both for the velocity field and the shear stress(es). These solu- tions corresponding to some flows in which either velocity or the shear stress is given on the boundary are established for different kinds of non-Newtonian fluids as well as for fractional models. The exact analytical solutions that have been presented in all the fluid flow models satisfy all imposed initial and boundary conditions. Further on, the flow properties of models and the comparison to other models are highlighted with graphical illustrations.