Objective: To determine the diagnostic accuracy of MRI in diagnosing placenta accrete with post-operative histopathological findings considered a gold standard. Study Design: Cross-sectional study. Place and Duration of study: Combined Military Hospital, Kharian Pakistan, from Jan to Dec 2020.Methodology: In total, 119 individuals suspected of placenta accreta were evaluated with the help of magnetic resonance imaging (MRI). However, confirmation for 71 patients was obtained based on clinical criteria at the time of delivery. Results: The mean age of women was 28.67±5.64 years, and the mean gestational age for the foetus was 33.14±1.74 weeks. The present study showed that MRI has 90(141%) sensitivity, 91(66%) specificity, 94(11%) positive predictive value (PPV), and 86(27%) negative predictive value (NPV) and diagnostic accuracy of 90(75%) for diagnosing placental accreta. Conclusion: It is concluded that the use of MRI should be encouraged as an efficient and primary diagnostic tool for placenta accreta.

Objective: To assess the role of unenhanced multidetector computed tomography (CT) of kidneys, ureters and bladder (KUB) in the initial imaging of suspected acute renal colic. Study Design: Retrospective longitudinal study. Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, from Jan 2020 to Jan 2021. Methodology: One hundred and thirty-eight cases of suspected acute renal colic underwent CT-KUB. The demographic,radiological, clinical, and follow-up data were recorded for each patient. Results: There were 88(51.8%) males and 82(48.2%) females in the present study, with a mean age of 50.86±18.57 years. Out of 170 patients, only 138(81.17%) were indicated with acute findings, whereas 32(18.82%) individuals showed no acute findings.The mean stone size was found to be 4.77±0.98mm. Most of the stones had a location near the pelvic brim (n=47; 34.15%). Conclusion: The use of CT KUB should be encouraged for the evaluation of renal colic.Keywords: Acute renal colic, Computed tomography (CT), Computed tomography of Kidneys, ureter and bladder (CT-KUB).

Objective: To assess awareness and practices applied by health care workers to achieve patient safety during phlebotomy and ultrasound biopsy. Study Design: Cross-sectional study Place and duration of study: The present study was conducted from Jan 2019 to Jan 2020 at Combined Military Hospital (CMH), Kharian, Pakistan. Patients and Methods: The health care providers were interrogated about their knowledge and practices regarding patient safety with respect to phlebotomy and ultrasound biopsy. The responses of participants were evaluated through correlation analysis by SPSS v.17. Results: The results show that awareness and practice implementation for patient safety in phlebotomy and ultrasound biopsy enhance in accordance to age, education and experience. The findings of present study suggest that physicians and nurses tend to have better awareness and practices of patient safety as compared to other health care workers. However, all the health care workers included in present study showed adequate level of awareness and practice implementation. Conclusion: The managers and co-workers need to support the health care workers’ groups that tend to show lower levels of awareness and practice implantation in patient safety. This will not only enhance their competence but also help in better and secure provision of health care.