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TITLE:

UNEDUCATED PATIENTS AND RATE OF MINIMAL HEPATIC ENCEPALOPATHY IN WITH REMUNERATED CIRRHOSIS

AUTHORS:

Dr.Aamir Shahzad, Dr Tasleem Akram, Dr Mahnoor Khan

ABSTRACT:

Objective: The objective of this study and research is to find out the rate of occurrence of MHE (Minimal Hepatic Encephalopathy) among uneducated patients suffering from remunerated cirrhosis. Methodology: One hundred and six was the estimation of sample size. Uneducated patients suffering from compensated cirrhosis present with F4 Score on Shear Wave Elastography, were recruited for this research work after obtaining their verbal consent. Recruited patients underwent two tests for identification of the MHE, NCT-A (Number Connection Test-A) and BDT (Block Design Test). We labelled the patients as positive for MHE who obtained ≥ thirty seconds. Result: Overall, detection of more patients carried out by BDT and it gave high staging in Stage-2 and Stage-3 in comparison with the NCT-A test method. Among total one hundred and ten recruited patients, 10.90% patients were alcoholics and there was no detection of hepatic viral infection in 8.20% patients. Total 48.20% patients were present with positive HCV whereas there was positive HBV in 13.60% patients. We detected MHE in 65.50% (n: 72) patients. We found the main differences MHE Stage-2 andStage-3 by 2 methods of tests. Conclusion: In uneducated patients with the utilization of BDT and NCT-A test procedures, the detection of MHE is possible. KEY WORDS: HBV, infection, HCV, staging, MHE, NCT-A, BDT, compensated cirrhosis, occurrence, rate, consent, differences, positive, utilization.

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