Browsing by Author "Lohani, Benu"
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Publication Inadequate Completion of Computed Tomography Request Forms of Patients Visiting the Department of Radiology in a Tertiary Care Centre(Nepal Medical Association, 2023) Sah, Ramswarth; Lohani, Benu; Singh, Yogendra PrasadAbstract Introduction: From both medical and legal points of view, it is vital that computed tomography request forms should be adequately filled up. It is the responsibility of physicians to collect adequate clinical information that justifies the computed tomography examination and the ethical responsibility of radiological technologists and radiologists is to perform only the justified radiological examinations. Thus, a properly filled request form is crucial for understanding the clinical problem, using the proper protocol for avoiding unnecessary radiation exposure and providing concise radiological reports. The aim of this study was to find out the prevalence of inadequate completion of computed tomography request forms of patients visiting the Department of Radiology of a tertiary care centre. Methods: This descriptive study was performed in the Department of Radiology from 22 April 2021 to 21 April 2022 after receiving ethical approval from the Institutional Review Committee. Computed tomography request forms from emergency, ward and outpatient Departments were used in the study whereas that from other hospitals and clinics were excluded. A convience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Out of 470 computed tomography examination forms, the prevalence of inadequate computed tomography request forms was 195 (41.49%) (37.03-45.94, 95% Confidence Interval). Conclusions: The prevalence of the inadequacy of completion of computed tomography examination forms was higher than other similar studies done in similar settings.Publication Ultrasound Assessment of Gestational Age Using Fetal Binocular Distance in Uncomplicated Pregnancies, Correlating with Standard Fetal Biometry Parameters at a Tertiary Care Hospital in Nepal(Perinatal Society of Nepal (PESON), 2023) Khanal, Umesh; Katwal, Shailendra; Suhail, Afla; Lohani, BenuABSTRACT Background: Fetal biometry, typically using parameters like biparietal diameter (BPD), Head circumference (HC), abdominal circumference (AC), and Femur length (FL), estimate gestational age. Recent literature highlights the utility of orbital dimensions, particularly fetal binocular distance (FBD) for precise fetal gestational age estimation (FGAE). Due to a lack of published data on FBD in Nepal, this study aimed to fill this gap by assessing GA using FBD from 18th week in healthy women with uncomplicated pregnancies. Methods: Obstetric USG was performed in 288 women with uncomplicated pregnancy to evaluate the efficacy of FBD as a measure to calculate the predicted GA. GA ranged from 18 weeks to term. Only patients with known clinical GA, previous history of normal menstrual cycle, and who fit the inclusion criteria were included in the study. Results: The correlation between FBD in mm and gestational age (GA)in weeks was analyzed. The correlation was highly significant (r=0.987, p<0.001), assisting in compiling a nomogram of FBD and GA for Nepalese women. A highly significant correlation was also found between the FBD and other parameters as well. Conclusion: Fetal binocular distance correlates linearly with clinical gestational age and positively with other standard fetal biometry parameters such as biparietal diameter, head circumference, abdominal circumference, and femur length. Thus, fetal binocular distance proves to be a reliable parameter for determining gestational age. Keywords: Gestational age, Fetal Binocular distance (FBD), Ultrasonography (USG)