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Coronary-Cameral Fistula, Thebesian Veins, and Anomalous Coronary Spider vein in Cardiac Computed Tomography.
, Chicago, USA). Pearson's correlation and two-sided significance levels were determined. Results 1. Significant negative correlation between Qmax and PVRUSG (r = -0.404, P = 0.027); PMUSG (r = -0.655, P = less then 0.001) and IPSS (r = -0.563, P = 0.001). 2. buy Liraglutide Significant positive correlation between Pdet and PVRUSG (r = 0.535, P = 0.002); PMUSG (r = 0.719, P = less then 0.001) and IPSS (r = 0.649, P = less then 0.001). 3. Significant negative correlation between BC and PVRUSG (r = -0.490, P = 0.006); PMUSG (r = -0.654, P = less then 0.001) and IPSS (r = -0.667, P = less then 0.001). Conclusions UDS has a significant correlation with IPSS and USG findings and urodynamic parameters give a more specific diagnosis in BPH patients when it is combined with USG and IPSS. Copyright © 2020 Journal of Family Medicine and Primary Care.Background Digital imaging has the potential to improve diagnostic accuracy and make quantitative diagnoses. In the recent decades, software for radiographic analysis has been investigated and developed for the detection of lesions and the quantitative assessment of the depth of a caries lesion. In addition, the accuracy of diagnosis may also be enhanced by programs that filter the images. These programs can adjust the brightness and contrast, determine the gray level, invert the shades of gray, and apply pseudocolors. Few studies compared different types of digital images in the diagnosis of changes in the tooth crown. Aim The main aim of this study was to assess the the diagnostic accuracy of a direct digital radiography (DDR)-CMOS image with four types of filtered images for the detection of occlusal caries. Materials and Methods Fifty randomly selected patients' teeth were clinically examined and digitally radiographed. Radiographed images are converted into four filter images with the help of software. Filtered images were then selected for inter- and intraobserver examination and the result was subjected to statistical analysis. Conclusion DDR-CMOS and negative image were found to be more useful in diagnosing occlusal caries. Copyright © 2020 Journal of Family Medicine and Primary Care.Background Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes and is responsible for morbidity and disability among diabetic patients. Objectives The aim of this study was to assess the prevalence of painful DPN and its associated risk factors in patients with diabetes mellitus. Materials and Methods A cross-sectional study was conducted among 430 diabetic patients attending primary healthcare centres (PHC) in AL Madinah city, Saudi Arabia. The validated Douleur Neuropathique-4 (DN4) questionnaire was used to identify the presence of painful DPN. Results The majority were female (54.7%) and had type 2 diabetes mellitus (74.9%). The prevalence of DPN was 30.1% in type 2 diabetic patients and 25.9% in type 1 diabetic patients with an overall prevalence of 29.1%. DPN was associated significantly with age, duration of diabetes milieus, uncontrolled A1c, and positive family history of diabetes mellitus (P less then 0.05). All the investigated comorbidities were also associated significantly with DPN (P less then 0.05). Conclusions The prevalence of DPN was 25.9% and was associated with age duration of DM and uncontrolled HbA1c. PHC physicians treating diabetes should be more aware of the importance of screening for DPN and the treatment plan. Copyright © 2020 Journal of Family Medicine and Primary Care.Background Although intravenous (IV) thrombolysis is an effective treatment for patients with acute ischemic stroke (AIS), it remains underused by neurologists worldwide. This study assessed the knowledge and attitudes toward IV thrombolysis in patients with AIS among neurology residents in Saudi Arabia. Materials and Methods An online survey was conducted using a sample of 81 neurology residents in and around Saudi Arabia. Statistical analysis included descriptive studies and Chi-square or Fisher's exact test. Results Of the 81 respondents, 50 (61.7%) were males and 31 (38.3%) females. Regarding IV thrombolysis use in AIS patients; 61.7% thought that they would consider it, a vast majority about 72.8% showed positive attitudes toward performing IV thrombolysis for AIS patients, 69.1% thought that IV thrombolysis is safe, 79.0% did not think that they have good knowledge about IV thrombolysis, and 53.1% felt not confident about their ability to employ IV thrombolysis. Confidence with knowledge was associated with the residency stage (P = 0.000). Attitudes toward IV thrombolysis was found associated with sex (P = 0.044) and residency stage (P = 0.002). Residents from the central region were more likely to have positive attitudes (P = 0.043). Conclusion The surveyed neurology residents showed a positive attitude towards the safety and use of IV thrombolysis for AIS patients. However, knowledge and confidence along with knowledge about the treatment are lacking. Therefore, theoretical and practical training is warranted to improve knowledge about IV thrombolysis. Copyright © 2020 Journal of Family Medicine and Primary Care.Background Tooth loss has a negative impact on the person's life so this study was done to assess the impact of tooth loss on oral-health-related quality of life (OHRQoL) in adult patients seeking dental care in private university dental clinics using Arabic version of 14-item Oral Health Impact Profile (OHIP-14) questionnaire in Saudi Arabia. Materials and Methods A cross-sectional study was conducted among 152 patients seeking dental care at a private university dental clinics in Riyadh city, Saudi Arabia. A structured and close-ended OHIP-14 questionnaire was self-administered by the study participants. Descriptive statistics, Kruskal-Wallis, Mann-Whitney, and Spearman's correlation tests were applied to the data. Results Patients with categories 1-5, 6-10, and >10 teeth loss showed a mean OHIP-14 scores of 10.51 ± 10.36, 13.46 ± 10.06, and 21.46 ± 14.41, respectively. A statistically significant difference in OHIP-14 score was observed among different categories of tooth loss (P = 0.005). Participants with >10 teeth loss showed significantly higher OHIP-14 score compared with 1-5 and 6-10 teeth loss categories (P less then 0.
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