COVID-19 Prediction Infrastructure Using Deep Learning

Coronavirus can lead to respiratory illnesses ranging from mild to severe, and even death, which makes early detection critical. However, current COVID-19 (Coronavirus Disease 2019) detection methods are not only expensive but also time-consuming. This poses a challenge, especially with an increasing number of patients and demand for testing kits. Waiting for test results for a few days is not ideal, as the outbreak can spread quickly in the meantime. To address this issue, we propose a COVID-19 prediction infrastructure using deep learning. This innovative android-based application uses a Convolutional Neural Network model, trained on a custom dataset with an accuracy of 97 percent, to predict whether COVID-19 is present or not. With this fast and low-cost approach, users can quickly detect COVID-19 and take appropriate actions to reduce the risk of transmission

Student satisfaction level among allied health sciences students at King Edward Medical University

The purpose of this study was to evaluate student satisfaction with their program, academic environment and administrative services in terms of its effectiveness on their professional attitudes, lives and career. A total of 261 students of allied health sciences program at King Edward Medical University, were examined in terms of personal satisfaction by means of a specifically designed student satisfaction survey. A qualitative analysis approach was used to interpret the data generated by a three‐part survey form circulated to the four proceeding sessions of allied health sciences program and satisfaction of students in 12 major disciplines was evaluated. The data was entered in statistical product and service solutions (SPSS) version 22 using quantitative variables and descriptive statistics including frequency distribution tables and diagrams. The study revealed a student satisfaction of only 22.1% with their program with different levels of recommendation in different sub-disciplines. A total of 20.9% students agreed to the library facilities, 53.9% with computer lab, 35% with administrative support, 29.6% with sports facilities and 49% with teaching methodologies. The present study concludes that most of the students had little satisfaction concerning their field of study. So, it is necessary to make an attempt for continuous development of quality services

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Outcome of Laparoscopic Total Extra Peritoneal Versus Lichtenstein Repair For Treatment of Inguinal Hernia: A Randomized Control Trial

OBJECTIVES: To compare the outcome of laparoscopic total extra peritoneal (TEP) repair versus Lichtenstein repair (LR) of inguinal hernia in terms of post-operative pain, hematoma, seroma, wound infection and early recurrence. METHODOLOGY: This randomized control trial was conducted at Surgical Unit III, General Hospital Lahore, Pakistan during the period June 2017 to May 2018. Male patients aged up to 50 years diagnosed with unilateral, reducible primary inguinal hernia were randomized into two groups, Group A (TEP) and Group B (LR), with 38 patients each. Data was collected prospectively on structured proforma. Patients were regularly followed up for one year for early postoperative complications. Statistical analysis was done using SPSS version 26. RESULTS: Out of 76 patients, mean age for TEP was 36.72±4.50 years and LR was 34.42±6.8 years. No significant difference was found in both the groups in terms of short-term postoperative complications. LR group had comparatively high rate of postoperative complications; hematoma formation (n=3/38; 7.9%), wound infection (n=3/38; 7.9%) and seroma formation (n=1/38; 2.6%). Postoperative pain with Visual Analogue Score in TEP group on the 1st day, 3rd day, 7th day and 1 month follow up was less as compared to LR group. CONCLUSION: The present study concludes that TEP is better than LR in inguinal hernia in terms of less postoperative pain after 1 month. However, no statistical difference was found in seroma and hematoma formation and wound infection. &nbsp

Acute respiratory failure in Pakistani patients: risk factors associated with mortality

Objective: To assess the outcome and risk factors associated with mortality in patients with acute respiratory failure (ARF). Design: Observational study. Place and Duration of Study: The Aga Khan University Hospital, Karachi, between January 1997 and June 2001. Patients and Methods: All adult patients admitted with a medical cause of acute respiratory failure were reviewed. The primary outcome measure was mortality and secondary outcome measures were factors associated with mortality in ARF. Multiple logistic regression analysis was used to identify the independent risk factors for mortality. Results: A total of 270 patients were admitted with ARF. Hypercapnic respiratory failure was seen in 186 (69%) and hypoxemic in 84 (31%) cases. Pneumonia and COPD exacerbation were the most common underlying causes of ARF. Ventilator support was required in 93 (34.4%) patients. Hospital mortality was 28%. Chronic renal failure, malignancy, hypokalemia, severe acidosis (pH \u3c7.25) septicemia and ARDS independently correlated with mortality. Mortality rate increased sharply (84%) with the presence of three or more risk factors Conclusion: Acute respiratory failure has a high mortality rate (28%). Development of ARDS or septicemia was associated with high mortality. Presence of more than one risk factor significantly increased the mortality rate

Primary defect of ileal mesentery presenting as internal herniation and strangulation of the small bowel: Case Report

Primary internal hernia is a rare entity of acute intestinal obstruction. Delay in diagnosis and surgical intervention can cause ischaemia or gangrene of the small bowel and result in high morbidity and mortality. A 14-year-old boy presented to the emergency department with acute intestinal obstruction. On exploration, 3-4cm mesenteric defect was noted in the ileal region. Strangulated loops of the small bowel had gone through the mesenteric defect in a complicated way. Primary anastomosis was done after resection of the gangrenous small bowel. Key words: Primary internal hernia, Acute intestinal obstruction

Left Sided Appendicitis — A Surgical Dilemma: Case Report

Published in May - 202

Ruptured splenic abscess: a rare case entity

Ruptured splenic abscess has been reported as a rare clinical entity in literature. We present the case of a middle aged female with peritonitis due to a ruptured splenic abscess. Emergency splenectomy was done and broad spectrum antibiotic was given postoperatively. However, the patient could not survive and died on the 4th postoperative day. We propose that a ruptured splenic abscess should always be considered in the differential diagnosis of peritonitis, especially in an immunocompromised individual. Key Words: splenic abscess, immunocompromised, splenectomy. Continuous..