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https://www.readbyqxmd.com/read/29217944/analysis-and-economic-implication-of-x-ray-film-reject-in-diagnostic-radiology-department-of-jimma-university-specialized-hospital-southwest-ethiopia
#1
Mesfin Zewdu, Elias Kadir, Melkamu Berhane
Background: Patients usually undergo repeated X-ray examinations after their initial X-ray radiographs are rejected due to poor image quality. This subjects the patients to excess radiation exposure and extra cost.It is therefore investigating the magnitude and causes of reject is mandatory. This study aimed to assess the reject rate of X-ray films and its economic implication in order to obtain information for further recommendations on image quality, cost and radiation exposure. Method: A cross-sectional study approaches was employed...
July 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/29208374/the-application-of-3d-printing-in-the-formulation-of-multilayered-fast-dissolving-oral-films
#2
Touraj Ehtezazi, Marwan Algellay, Yamir Islam, Matt Roberts, Nicola M Dempster, Satyajit D Sarker
Fast dissolving oral films (FDFs) provide an alternative approach to increase consumer acceptance by advantage of rapid dissolution and administration without water. Usually FDFs require taste-masking agents. However, inclusion of these excipients could make developing the formulation a challenging task. Hence, this work employed fused-deposition modelling three-dimensional (FDM 3D) printing to produce single-layered (SLFDFs), or multilayered (MLFDFs) films, with taste-masking layers being separated from drug layer...
December 2, 2017: Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29198375/the-value-of-binder-off-imaging-to-identify-occult-and-unexpected-pelvic-ring-injuries
#3
James A C Fagg, Mehool R Acharya, Tim J S Chesser, Anthony J Ward
AIMS: To determine the effectiveness of 'binder-off' plain pelvic radiographs in the assessment of pelvic ring injuries. PATIENTS AND METHODS: All patients requiring operative intervention at our tertiary referral pelvic unit/major trauma centre for high-energy pelvic injuries between April 2012 and December 2014 were retrospectively identified. Pre-operative pelvic imaging with and without pelvic binder was reviewed with respect to fracture pattern and pelvic stability...
November 21, 2017: Injury
https://www.readbyqxmd.com/read/29197838/leg-length-discrepancy-the-importance-of-a-complete-history-and-examination
#4
Duncan Coffey, Sarah Patricia Hudson-Phillips, Sarkhell Saadi Radha, Simon Ball
A 26-year-old woman with a 1-year history of right knee pain had failed to respond to analgesia and activity modification in the community. Her general practitioner referred her to the orthopaedic department for specialist review. A thorough history revealed that she had multiple orthopaedic interventions as a child. The patient had significant postoperative infection of the left knee following knee surgery at 7 years of age. Examination demonstrated the presence of a limp, scoliosis and suspected leg length discrepancy...
December 2, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29157541/imaging-of-dentoalveolar-and-jaw-trauma
#5
REVIEW
Reyhaneh Alimohammadi
Prior to the invention of cone beam CT, use of 2-D plain film imaging for trauma involving the mandible was common practice, with CT imaging opted for in cases of more complex situations, especially in the maxilla and related structures. Cone beam CT has emerged as a reasonable and reliable alternative considering radiation dosage, image quality, and comfort for the patient. This article presents an overview of the patterns of dental and maxillofacial fractures using conventional and advanced imaging techniques illustrated with multiple clinical examples selected from the author's oral and maxillofacial radiology practice database...
January 2018: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/29147883/clinical-and-radiological-diagnosis-of-gallstone-ileus-a-mini-review
#6
Liisa Chang, Minna Chang, Hanna M Chang, Aina I Chang, Fuju Chang
Gallstone ileus is a rare cause of bowel obstruction, which mainly affects the elderly population. The associated mortality is estimated to be up to 30%. The presentation of gallstone ileus is notoriously non-specific, and this often contributes to the delay in diagnosis. The diagnosis of gallstone ileus relies on a radiological approach, and herein we discuss the benefits and drawbacks of the use of different modalities of radiological imaging: plain abdominal films, computed tomography, magnetic resonance imaging, and ultrasound scanning...
November 16, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/29130878/a-novel-technique-utilizing-a-vastus-lateralis-anchor-in-treatment-of-chronic-patellar-dislocation-after-total-knee-arthroplasty
#7
Allison Mayfield, Vamsi Singaraju, Afshin A Anoushiravani, Zain Sayeed, Jamal K Saleh, Khaled J Saleh
Extensor mechanism complications involving the patella frequently result in total knee arthroplasty (TKA) failure. Postoperative patellar dislocation may be caused by soft tissue imbalance, improper sizing, and position of the prosthesis. This report describes a case of revision TKA requiring several rounds of soft tissue releases in an effort to treat the patient's chronic patellar dislocation. In the process, a novel surgical approach was developed for the surgical management of refractory chronic patellar dislocations...
October 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29119123/indication-for-computed-tomography-scan-in-shoulder-instability-sensitivity-and-specificity-of-standard-radiographs-to-predict-bone-defects-after-traumatic-anterior-glenohumeral-instability
#8
Audrey Delage Royle, Frédéric Balg, Martin J Bouliane, Fanny Canet-Silvestri, Laurianne Garant-Saine, David M Sheps, Peter Lapner, Dominique M Rouleau
Background: Quantifying glenohumeral bone loss is key in preoperative surgical planning for a successful Bankart repair. Hypothesis: Simple radiographs can accurately measure bone defects in cases of recurrent shoulder instability. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A true anteroposterior (AP) view, alone and in combination with an axillary view, was used to evaluate the diagnostic properties of radiographs compared with computed tomography (CT) scan, the current gold standard, to predict significant bone defects in 70 patients...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29117839/fight-bite-injuries-aggressive-tendencies-associated-with-smaller-second-to-fourth-digit-ratio
#9
Cormac W Joyce, Andrew O' Regan, Jack L Kelly, Michael O' Shaughnessy
BACKGROUND: Fight bite injuries are typically sustained by young, combative males and are the direct consequence of an aggressive act. Second to fourth digit ratios (2D:4D) are dependent on prenatal androgen exposure and lower ratios have been shown to be linked to various psychological and physical traits, including aggression. The aim of this study was to examine the 2D:4D ratios in a cohort of patients with fight bite injuries and compare these to an age and gender-matched control group...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29110733/sigmoid-volvulus-in-children-a-case-report
#10
Fayza Haider, Nabeel Al Asheeri, Barrak Ayoub, Eizat Abrar, Jawad Khamis, Hasan Isa, Husain Nasser, Fatima Al Hashimi
BACKGROUND: Sigmoid volvulus is frequently reported in the "volvulus belt" (Middle East, Africa, the Indian subcontinent, Turkey, and South America) and is the third leading cause of large bowel obstruction in North America. It is an uncommon problem in children and adolescents, and is rarely considered a diagnosis in this group. A high index of suspicion is necessary to diagnose sigmoid volvulus in children. CASE PRESENTATION: We present a 13-year-old Arabian girl who came with features suggestive of intestinal obstruction...
November 7, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29109890/gossypiboma-resection-after-eight-years-in-a-patient-with-rheumatoid-arthritis-and-diabetes
#11
Kenley Unruh, Hsien Sing Sam Hsieh
Gossypiboma is the term used to refer to a mass formed by surgical material left in the body cavity after surgery. We present the case of a middle-aged woman with a history of rheumatoid arthritis controlled with corticosteroids and biologic therapies, uncontrolled type II diabetes mellitus, and cesarean section with postoperative bleeding eight years earlier, who presents with right lower quadrant abdominal pain and is found to have a gossypiboma from her previous operation. A subsequent operation is undertaken to remove the gossypiboma...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/29101691/a-national-assessment-of-the-effect-of-intensive-agro-land-use-practices-on-nonpoint-source-pollution-using-emission-scenarios-and-geo-spatial-data
#12
Dong Zhuo, Liming Liu, Huirong Yu, Chengcheng Yuan
China's intensive agriculture has led to a broad range of adverse impacts upon ecosystems and thereby caused environmental quality degradation. One of the fundamental problems that face land managers when dealing with agricultural nonpoint source (NPS) pollution is to quantitatively assess the NPS pollution loads from different sources at a national scale. In this study, export scenarios and geo-spatial data were used to calculate the agricultural NPS pollution loads of nutrient, pesticide, plastic film residue, and crop straw burning in China...
November 3, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29089162/tumor-like-conditions-of-the-hand-and-upper-extremity
#13
REVIEW
Courtney E Sherman, Peter M Murray
Tumor-like conditions of the hand and upper extremity typically present as masses and can be confused as more serious conditions. The differential diagnosis of these lesions can cross over with many more commonly recognized benign and malignant upper limb tumors, and it is, therefore, important for the hand surgeon to be familiar with tumor-like conditions. The diagnosis of these lesions often can be made on clinical grounds supported by a careful physical examination and plain film radiography. Advanced imaging and excisional biopsy may be needed in many circumstances to secure the diagnosis given their similarity with bone and soft tissue sarcomas...
October 28, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29079916/formulation-of-99m-technetium-labeled-leuprolide-loaded-liposomes-and-its-biodistribution-study-in-new-zealand-white-female-rabbits-for-assessment-of-its-uterine-targeting-efficiency
#14
Arpita Patel, Amit Tyagi, Rakesh Kumar Sharma, Hetal Thakkar
Leuprolide acetate (LPA), a GnRH analogue, is drug of choice for treatment of uterine fibroids and endometriosis. The current marketed formulations of LPA show severe systemic side effects. This project aims to formulate LPA loaded liposomes to be administered by vaginal route for uterine targeting. Liposomes were prepared by thin film hydration method using 1:1 M ratio of DSPC: Cholesterol and characterized for vesicle size, zeta potential, entrapment efficiency, and loading. Radiolabeling of LPA was performed by direct labeling with reduced technetium-99m...
October 27, 2017: Drug Delivery and Translational Research
https://www.readbyqxmd.com/read/29075421/cone-beam-computed-tomography-diagnostic-imaging-of-intra-osseous-mucoepidermoid-carcinoma-in-the-mandible
#15
Andre-Luiz-Ferreira Costa, Thasia-Luiz-Dias Ferreira, Haroldo-Arid Soares, Ana-Carla-Raphaelli Nahas-Scocate, Gonzalo-André-Parra Montesinos, Paulo-Henrique Braz-Silva
Intra-osseous mucoepidermoid carcinoma in the mandible is a rarely reported entity, comprising only 2-3% of all mucoepidermoid carcinomas. Unilocular and/or multilocular radiolucency is characteristic of mucoepidermoid carcinoma, but has a radiographic appearance similar to that of odontogenic benign and malignant tumors and thus cannot be accurately diagnosed on plain films. This article describes a case of a 36-year-old man with intra-osseous mucoepidermoid carcinoma in the left mandible. For a detailed analysis, both panoramic radiograph and cone beam computed tomograph were taken...
September 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29043142/costimulation-pathway-blockade-in-kidney-transplant-recipients-with-de-novo-rheumatoid-arthritis
#16
Mohamed Sheta, Samy Riad, Udayakumar Deepak, Naim Issa, Mark Birkenbach, Hassan N Ibrahim, Aleksandra Kukla
The best approach to treatment of de-novo rheumatoid arthritis in solid organ transplant recipients on typical immunosuppression is not well established. The use of biologics targeting specific cell types, cytokines, and immunological pathways has been gaining interest in the treatment of both, auto- and alloimmunity. We present a case of de-novo rheumatoid arthritis in a kidney transplant recipient 10 years post-transplant while receiving cyclosporine, mycophenolate mofetil, and also prednisone. Initial presentation included features of polymyalgia rheumatica and nephrotic range proteinuria...
2017: Clinical Nephrology. Case Studies
https://www.readbyqxmd.com/read/29041910/takotsubo-cardiomyopathy-in-a-patient-with-ileus-a-case-report
#17
Chen-Yu C Guo, Nan-Sung Chou
BACKGROUND: Takotsubo cardiomyopathy (TCM) is a form of stress-induced cardiomyopathy featured by the dilatation of the apex of the left ventricle during systole. Whereas the pathogenesis of this disorder is not well understood, it usually occurs after an emotional or physical stress such as acute asthma, surgery, chemotherapy, and stroke. However, its occurrence in ileus patients is rarely reported. We hereby report probably the first case of TCM after ileus in the literature and discuss its implications...
October 17, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28990818/serum-%C3%AE-melanocyte-stimulating-hormone-may-act-as-a-protective-biomarker-for-non-traumatic-osteonecrosis-of-the-femoral-head
#18
Zheng Mao, Gang Liu, Jing-Jie Chen, Dan Liu, Min-Peng Xu, Chang Zhao, Hai-Tao Yang, Yong-Bin Yue
Background The α-melanocyte-stimulating hormone (α-MSH), an endogenous neuropeptide derived from proopiomelanocortin (POMC), has been identified to suppress inflammation and prevent osteoblast damage. Objective The present study was aimed to investigate the role of serum α-MSH in non-traumatic osteonecrosis of the femoral head (ONFH). Methods Seventy-nine patients diagnosed with non-traumatic ONFH and 79 sex- and age-matched healthy controls were enrolled in the study. Serum α-MSH concentrations were examined with a double antibody radioimmunoassay...
January 1, 2017: Annals of Clinical Biochemistry
https://www.readbyqxmd.com/read/28980482/the-utility-of-plain-films-for-nonoperative-fifth-metacarpal-fractures-are-follow-up-radiographs-necessary
#19
Nathanael Heckmann, Marie N Dusch, William C Pannell, Michael Bauschard, Ram K Alluri, Lakshmanan Sivasundaram, Alidad Ghiassi
BACKGROUND: Fifth metacarpal fractures are often treated nonoperatively with serial radiographs; however, the utility of these radiographs in altering clinical management has not been investigated. We hypothesize that follow-up plain films will not alter clinical management and are therefore unnecessary for most patients. METHODS: Between 2007 and 2014, patients with a fifth metacarpal fracture at our level I trauma center were retrospectively reviewed. Patients with inadequate documentation or imaging, ipsilateral upper extremity injuries, or who underwent initial surgical fixation were excluded...
October 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28972793/potential-discrepancy-between-plain-films-and-ct-scans-in-brooker-classification-of-heterotopic-ossification
#20
Tao Mary Jiayi, Probyn Linda, Poon Michael, Kreder Hans, Nousiainen Markku, Jenkinson Richard, Wan Bo Angela, Tsao May, Barnes Elizabeth, Chow Edward
OBJECTIVES: The Brooker classification is a commonly used tool to characterize the extent of heterotopic ossification (HTO), which is the dystrophic formation of mature lamellar bone in non-osseous tissues such as muscles, connective tissue or nerves. We aim to provide illustrative cases to describe the limitations and challenges of this system. METHODS: A retrospective review was conducted in all patients who had retrieved hip and/or pelvic radiotherapy for HTO prophylaxis at Sunnybrook Health Sciences Centre between July 1998 and August 2016...
December 2017: British Journal of Radiology
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