Pathological Nipple discharge: a comparison between breast ultrasound and mammography

Background:Nipple discharge is a relatively common complaint of females in reproductive age and after menopause. Objectives: The aim of this stud was to compare the radiological findings of mammography and ultrasound in women with pathological nipple discharge of different pathology.  Methods:  mammography and ultrasound was done for a total of 50 patients attending the National center of Early detection of Breast cancer with pathological nipple discharge. Ultrasound guided FNA was performed for all cases, and histopathology was available for eleven case. Results: ultrasound was able to provide clue of possible underlying cause for all pathological nipple discharge whereas mammography was negative in 54%. Ultrasound was more sensitive in diagnosing malignant breast lesions associated with pathological nipple discharge (85.7%) but less specific (88.3%) as compared with mammography which had (71.4%) sensitivity and (90.6%) specificity. Negative predictive value of ultrasound was 97.4% , mammography was 95.1% and of non-bloody nipple discharge was 94%. Conclusion: Ultrasound is essential to complete pathological nipple discharge workup, particularly when mammography is normal, to rule out the possibility of neoplastic changes and to provide clues for nonneoplastic etiology that may guide the management

Selected Indicators of Al-Najaf Road Network: Public Transportation Noise and Pollution

It is urgently necessary to improve the state of transportation and related infrastructure, especially given that the most important indicators of urban development gauge a city's progress. One of the most influential of these indicators is what is known as "smart transport, " which refers to transportation that utilizes modern communication and information technology technologies to address various challenges in various transportation sectors. The holy city of Najaf smart transportation strategy seeks to reduce dangerous levels of traffic-related noise and air pollution while enhancing various aspects of mobility and traffic flow indicators. This study aims to evaluate the performance of the existing traffic network and public transport in Najaf City and its interference with noise and air pollution at selected points for data gathering by using field measurements using cameras, noise meters, and pollution measurement devices. The study states that the public transport sector in Al-Najaf city is significantly poor as private cars are dominant by about 65% of traffic mix with values of pollution and noise above the standards. One of the most effective solutions to traffic problems is the implementation of intelligent transportation systems. Part of these strategies is establishing a tram network and raising road classes’ strategies by proposing some geometric design editing, U-turns reducing, and raised ramps additions

Selected Indicators of Al-Najaf Road Network: Public Transportation Noise and Pollution

It is urgently necessary to improve the state of transportation and related infrastructure, especially given that the most important indicators of urban development gauge a city's progress. One of the most influential of these indicators is what is known as "smart transport, " which refers to transportation that utilizes modern communication and information technology technologies to address various challenges in various transportation sectors. The holy city of Najaf smart transportation strategy seeks to reduce dangerous levels of traffic-related noise and air pollution while enhancing various aspects of mobility and traffic flow indicators. This study aims to evaluate the performance of the existing traffic network and public transport in Najaf City and its interference with noise and air pollution at selected points for data gathering by using field measurements using cameras, noise meters, and pollution measurement devices. The study states that the public transport sector in Al-Najaf city is significantly poor as private cars are dominant by about 65% of traffic mix with values of pollution and noise above the standards. One of the most effective solutions to traffic problems is the implementation of intelligent transportation systems. Part of these strategies is establishing a tram network and raising road classes’ strategies by proposing some geometric design editing, U-turns reducing, and raised ramps additions