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Diagnosis of ECG arrhythmias in wireless telecardiology

Since many years ago, studies in the medical remote monitoring at home has taken a great consideration and care in wireless communication technology. The set of these studies is linked to needy people as aged ones, physically disabled in short time, in order to the adaptation with their environment domestically and build up their in capabilities. In this point of view, it is important to make a diagnostic in a real time and managed really the given data of patients between medical personnel with the permanent safety insurance of critical edge patients. Furthermore, the need to make a speed diagnostic of patients and to distinguish their health state with efficacy permits the gain of time in their taking off. Our attention has been aimed on the option of a relevant work. It concerns an function on a mobile terminal (MIDlet) for monitoring patient in a non-hospital environment. This article evokes a complete structural design of an economic wireless communication system with the implementation of an efficient algorithm, adapted to the mobile terminal, allowing to the doctor to have the results of analysis of ECG information wirelessly

A retrospective analytic study of clino-histopathological correlation of ovarian mass

Background: Ovarian tumours account for 30% of all cancers of female genital tract. The study of histology of ovarian masses therefore is of prime importance. The objective of the study was the clinical and histopathological presentation of ovarian masses.Methods: This is a retrospective analysis of 44 patients with ovarian masses from January 2014 to December 2014 at P. D. U. Medical College, Rajkot. Patients with ovarian masses who were surgically managed were included in the study. Patients with non-ovarian masses and those who were conservatively managed were excluded. The data was collected in Excel Sheet and analyzed by descriptive statistics and Chi-Square Test.Results: Incidence of Ovarian masses was 20.85 % in our Institute. Among 44 cases 54.5 % were neoplastic. Among the neoplasms 95.83% were benign and 4.16% were malignant. Mean age of presentation of benign neoplasm was 38years and that of malignant was 50 years. Incidence of non-neoplastic ovarian masses was 45.5 %. Mean age of presentation of non-neoplastic ovarian masses was 31 years. Pain in abdomen was the most common clinical presentation of both neoplastic and non-neoplastic ovarian masses. Mucinous Cystadenoma and Teratoma-Dermoid Cyst were the commonest benign tumor followed by Serous Cystadenoma.Conclusions: In our study, non-neoplastic ovarian masses presented in equal proportions as that of neoplastic ovarian masses. 31-40 years age group showed the highest propensity of occurrence of Ovarian Masses. Mucinous Cystadenoma was highly emerged most common benign Ovarian Mass in this study

Correlation between prostate specific antigen and prostate volume with disease symptom severity assessed by international prostate symptom score

Background: Benign prostatic hyperplasia (BPH) is clinically defined as prostate adenoma, resulting in bladder outlet obstruction (BOO), which may eventually harm the bladder and even kidneys. For differential diagnosis of male LUTS, uroflowmetry can be used together with non-invasive ultrasound to ascertain the flow rate and IPP. PSA is also an important indicator for differential diagnosis. International prostate symptoms score (IPSS) is used to assess the severity of the symptoms for clinical BPH. There is also a recommendation to consider the quality of life (QoL) index, where a QoL score of ≥3 is considered as worrisome. Methods: This was a retro-prospective study based on secondary and primary data collection and analysis, pertaining to BPH patients who visited the study site previously as well as those who are coming for regular follow-up since 2019. Patient enrolment was done at a teaching hospital Shree Krishna Hospital affiliated to the Pramukh Swami Medical College, Bhaikaka University, Karamsad. About 100 patients presenting with lower urinary tract symptoms (LUTS) and histo-pathologically proven cases of BPH were enrolled to pursue research objectives. All patients were followed up to a period of 3-months after initiating the treatment and disease severity through IPSS and quality of life upon completion of treatment were also assessed. Results: PSA is also an important indicator for differential diagnosis, which is generally less than 1 μg/l in patients in absence of clinically confirmed BPH. In our study, mean prostate volume was reported to be 43.46±19.35 cc. A positive correlation was observed between prostate volume and serum PSA with disease severity. Conclusions: Our study evaluated the IPSS to predict the disease severity and correlated it with quality of life, prostate volume and serum PSA. Our findings were in line with currently available evidences, and suggested that QoL, prostate volume and serum PSA are better predictors of disease severity, IPSS

Differences in Social Perceptions Between Digital Single Lens Reflex Camera and Cell Phone Selfie Images

Background: In light of the current selfie craze, driven primarily by social media platforms, there is an absolute need among facial plastic surgeons to consider the role of these social platforms in patient counseling regarding their cosmetic requirements.Objectives: Is there a difference in how people are perceived when their image is viewed as a selfie as opposed to a digital single lens reflex (DSLR) camera image? This objective was studied by utilizing a web-based survey to explore differences in third-party perceptions, if any, between portrait photograph using a DSLR camera and a selfie.Design, Setting, Participants:: This research was performed via a survey study. Five types of portrait images of a female participant were taken for the survey: (1) image taken with the DSLR camera [a Nikon® D7200 DSLR camera fitted with a Sigma® DG Macro (70 mm 1:2.8) lens] at a distance of 3'from the subject, (2) selfie taken with an iPhoneX® at 12″ from the subject with a Snapchat® filter, (3) selfie at 12″ without a Snapchat filter, (4) selfie at 24″ with a Snapchat filter, and (5) selfie at 24″ without a Snapchat filter. Utilizing the Qualtrics survey platform (Qualtrics LLC), questions were based on the five images, where the respondent choose an image each for the youngest, oldest, and “most” or “least” for approachability, attractiveness, confidence, health, feminine, intelligent, and successful.Results: The survey was distributed to 223 respondents aged at least 18 years. Pearson χ2 test found significant differences (p < 0.05) in the distribution of the proportion of responses in 14 out of 16 questions in the survey. The proportion of responses to questions for “youngest” and “most approachable” was highest for selfie at distance 24″ with filter; questions for “most attractive,” “most healthy,” and “most feminine” were highest for selfie at distance 12″ with filter; those for “oldest,” “most confident,” “most intelligent,” “most successful” and “least approachable,” “least attractive,” “least healthy,” “least feminine,” and “least successful” were highest for images taken with a DSLR camera. The only insignificant differences were seen in responses to questions for “least confident” (p = 0.5) and “least intelligent” (p = 0.55).Conclusions: Selfie images with filters are exclusively associated with aesthetic qualities, whereas DSLR images are associated with inherent characteristics of an individual.</div

A retrospective analytic study of clino-histopathological correlation of ovarian mass

Background: Ovarian tumours account for 30% of all cancers of female genital tract. The study of histology of ovarian masses therefore is of prime importance. The objective of the study was the clinical and histopathological presentation of ovarian masses.Methods: This is a retrospective analysis of 44 patients with ovarian masses from January 2014 to December 2014 at P. D. U. Medical College, Rajkot. Patients with ovarian masses who were surgically managed were included in the study. Patients with non-ovarian masses and those who were conservatively managed were excluded. The data was collected in Excel Sheet and analyzed by descriptive statistics and Chi-Square Test.Results: Incidence of Ovarian masses was 20.85 % in our Institute. Among 44 cases 54.5 % were neoplastic. Among the neoplasms 95.83% were benign and 4.16% were malignant. Mean age of presentation of benign neoplasm was 38years and that of malignant was 50 years. Incidence of non-neoplastic ovarian masses was 45.5 %. Mean age of presentation of non-neoplastic ovarian masses was 31 years. Pain in abdomen was the most common clinical presentation of both neoplastic and non-neoplastic ovarian masses. Mucinous Cystadenoma and Teratoma-Dermoid Cyst were the commonest benign tumor followed by Serous Cystadenoma.Conclusions: In our study, non-neoplastic ovarian masses presented in equal proportions as that of neoplastic ovarian masses. 31-40 years age group showed the highest propensity of occurrence of Ovarian Masses. Mucinous Cystadenoma was highly emerged most common benign Ovarian Mass in this study

Use of invasive cardiopulmonary exercise testing to diagnose preload reserve failure in patients with liver disease

Abstract In this case series, we describe the use of invasive cardiopulmonary exercise testing (iCPET) to diagnose heart failure due to preload reserve failure in two patients with progressive dyspnoea. We demonstrate that underlying liver disease contributes to preload reserve failure as a cause of exertional dysfunction. In liver diseases such as non‐alcoholic fatty liver disease (NAFLD), fibrotic changes to the sinusoidal liver architecture occur leading to an increased transhepatic sinusoidal pressure gradient. Even at the earliest stage of hepatic fibrosis in patients with NAFLD, changes in hepatic blood flow are seen due to outflow block in the sinusoidal area. In this way, changes to the sinusoidal liver architecture can lead to limitations in preload reserve. This case series describes two patients with exertional dyspnoea found to have preload failure on iCPET due to underlying liver disease