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Sunil Kumar, Puneet Prakash, Mohit Kumar Joshi, Vinita Rathi
CECT scan is considered essential for selective non-operative management (SNOM) of patients with abdominal trauma. However, CECT has its own hazards and limitations. We evaluated the safety and efficacy of selective non-operative management of patients with abdominal trauma without the mandatory use of CECT scan in a prospective study. Patients with peritonitis and ongoing intra-abdominal bleed were excluded. Consenting FAST positive, hemodynamically stable patients with blunt and penetrating abdominal trauma between 18 and 60 years of age were included and admitted for SNOM and detailed ultrasonography of the abdomen (in all) with or without CECT abdomen (selectively)...
October 2017: Indian Journal of Surgery
Ilona Batko, Barbara K Kościelniak, Ilona Al-Mutari, Krzysztof Kobylarz
BACKGROUND: One of the most frequently performed emergency surgical procedures in children is an appendectomy. The aim of this study was to determine the benefits of supplementing standard, general anaesthesia with the ultrasound-guided right TAP block. METHODS: We analyzed the medical records of 90 children of both sexes, aged 4-16 years with a body mass of 16-78 kg who underwent general anaesthesia for open appendectomy. Sixty-two individuals were anaesthetized using the standard method, while 28 patients had an additional right-sided TAP block under ultrasound guidance...
2017: Anaesthesiology Intensive Therapy
Kenichiro Yamagata, Dan Wichterle, Tomáš Roubícek, Patrik Jarkovský, Yuriko Sato, Takamichi Kogure, Petr Peichl, Petr Konecný, Helena Jansová, Pavel Kucera, Bashar Aldhoon, Robert Cihák, Yoichi Sugimura, Josef Kautzner
Aims: Complications of catheter ablation for atrial fibrillation (AF) are frequently related to vascular access. We hypothesized that ultrasound-guided (USG) venipuncture may facilitate the procedure and reduce complication rates. Methods and results: We conducted a multicentre, randomized trial in patients undergoing catheter ablation for AF on uninterrupted anticoagulation therapy. The study enrolled consecutive 320 patients (age: 63 ± 8 years; male: 62%) and were randomized to USG or conventional venipuncture in 1:1 fashion...
May 30, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Keisuke Matsubara, Tomofumi Matsushita, Yuto Tashiro, Seishiro Tasaka, Takuya Sonoda, Yasuaki Nakayama, Yuki Yokota, Yusuke Suzuki, Mirei Kawagoe, Tomoki Aoyama
BACKGROUND: Forefoot structure is important to understand some foot problems such as hallux valgus and metatarsalgia. Ultrasonography (US) is a highly portable, noninvasive, low cost, and fast imaging method, especially when compared to magnetic resonance imaging (MRI), computed tomography (CT), and radiography. As the use of US for evaluating forefoot bony structure has not been validated, except for the presence of synovitis, erosions and bursitis within the forefoot in people with inflammatory arthritis, the purpose of this study was to determine whether US is a reliable method for evaluating forefoot structure...
2017: Journal of Foot and Ankle Research
Kin Wa Wong, Hok Hang Chan, Chi Pang Wong, Ming Yin Chan, Jeffrey Cheuk Wai Chau, Tai Wai Wong
OBJECTIVES: Previous studies have shown that ultrasonography (USG), as an alternative to radiography, has a good accuracy in confirming nasogastric tube (NGT) position. Color flow detection of air insufflation is a novel approach in verifying NGT position. In our study, we aimed at evaluating its sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy in confirming the NGT position, as compared with 2-dimensional (2D) USG. METHODS: The study was conducted on adult patients over a period of 38months in an emergency department in Hong Kong...
February 2017: American Journal of Emergency Medicine
Jadwiga Snarska, Maciej Michalak, Piotr Masiulaniec, Krzysztof Jacyna, Artur Zalewski
This study presented a septic shock occurring with striking speed during the percutaneous drainage of a large abscess of the liver in an 18-year-old female patient after an appendectomy performed 3 months earlier using the laparoscopic method because of its phlegmonous and gangraenosus inflammation. The post-operative course was complicated by increased suppuration in places after removal of the trocars. After including the intravenous antibiotic therapy and under the USG control, the percutaneous drainage of the abscess was performed...
October 1, 2016: Polski Przeglad Chirurgiczny
Chenxi Zhang, Zhaochu Hu, Wen Zhang, Yongsheng Liu, Keqing Zong, Ming Li, Haihong Chen, Shenghong Hu
Sample preparation of whole-rock powders is the major limitation for their accurate and precise elemental analysis by laser ablation inductively-coupled plasma mass spectrometry (ICPMS). In this study, a green, efficient, and simplified fusion technique using a high energy infrared laser was developed for major and trace elemental analysis. Fusion takes only tens of milliseconds for each sample. Compared to the pressed pellet sample preparation, the analytical precision of the developed laser fusion technique is higher by an order of magnitude for most elements in granodiorite GSP-2...
October 18, 2016: Analytical Chemistry
Ayşegül Altunkeser, Muslu Kazım Körez
OBJECTIVES: Ramadan is a holy month in which eating and drinking are forbidden from dawn to sunset. In this study, we investigated using ultrasonography (USG) whether fasting in summer (as occurred in Ramadan 2014) had an influence on the volume of amniotic fluid during pregnancy. MATERIALS AND METHODS: The study included 119 pregnant women in total who were admitted to our department with a request of obstetric USG between June 28, 2014, and July 27, 2014. The fasting group included 61 pregnant women and the control group of 58 pregnant women...
2016: Journal of Clinical Imaging Science
Sekifa B Polat, Oguzhan Oğuz, Muhammed Sacikara, Fatma Neslihan Cuhaci, Berna Evranos, Reyhan Ersoy, Bekir Cakir
OBJECTIVE: To investigate the prevalance of hypothyroidism, thyroid autoimmunity, and ultrasonographic features in polycystic ovary syndrome (PCOS) patients and compare them with a control group, and to detect correlation of thyroid volume [TV] with luteinizing hormone (LH), insulin-like growth factor binding protein-3 (IGFBP-3), and IGF-1 in patients with PCOS. STUDY DESIGN: Seventy PCOS patients' and 84 age-matched controls were enrolled. The patient and control groups were compared according to hormonal parameters, anthropometric measures, TV, echogenicity on ultrasonogram, and autoimmunity...
January 2016: Journal of Reproductive Medicine
Oguzhan Ekizoglu, Elif Hocaoglu, Ercan Inci, Ismail Ozgur Can, Sema Aksoy, Cemal Kazimoglu
Radiation exposure during forensic age estimation is associated with ethical implications. It is important to prevent repetitive radiation exposure when conducting advanced ultrasonography (USG) and magnetic resonance imaging (MRI). The purpose of this study was to investigate the utility of 3.0-T MRI in determining the degree of ossification of the distal femoral and proximal tibial epiphyses in a group of Turkish population. We retrospectively evaluated coronal T2-weighted and turbo spin-echo sequences taken upon MRI of 503 patients (305 males, 198 females; age 10-30 years) using a five-stage method...
March 2016: Forensic Science International
Krzysztof Szade, Monika Zukowska, Agata Szade, Guillaume Collet, Damian Kloska, Claudine Kieda, Alicja Jozkowicz, Jozef Dulak
Subcutaneous injection of the tumor cell suspension is a simple and commonly used tool for studying tumor development in vivo. However, subcutaneous models poorly resemble tumor complexity due to the fast growth not reflecting the natural course. Here, we describe an application of the new spheroid-plug model to combine the simplicity of subcutaneous injection with improved resemblance to natural tumor progression. Spheroid-plug model relies on in vitro formation of tumor spheroids, followed by injection of single tumor spheroid subcutaneously in Matrigel matrix...
February 2016: Tumour Biology: the Journal of the International Society for Oncodevelopmental Biology and Medicine
Engin Turkgeldi, Bulent Urman, Baris Ata
Three-dimensional ultrasound (3D USG) is a fast-evolving imaging technique that holds a great potential for use in gynecology. Its sensitivity and specificity is reported to be close to 100 % for diagnosing congenital uterine anomalies, comparable with those of magnetic resonance imaging (MRI) and laparoscopy. With 3D USG, a coronal view of the uterus can be obtained, clearly outlining the external contour of the uterus and providing accurate information about the shape of the cavity. Although 3D USG may not perform well in thin endometria, combining it with saline infusion sonography (SIS) overcomes this problem...
May 2015: Journal of Obstetrics and Gynaecology of India
Deepak Jain, H K Aggarwal, Promil Jain, Sunil Pawar
Abdominal tuberculosis is a common clinical entity in Indian subcontinent; however, hepatic tuberculosis in the absence of miliary abdominal tuberculosis is restricted to the case reports and small case series in English literature. It mimics common liver diseases like liver abscess and tumors. We report a case of 25-year-old immunocompetent female who presented with features of acute liver failure. Ultrasonography (USG) abdomen revealed multiple hypoechoic lesions. However, patient expired within 48 h of presentation but her liver autopsy revealed multiple epithelioid cell caseating granulomas with positive staining for acid fast bacilli (AFB)...
December 2014: Oxford Medical Case Reports
Zülküf Akdemir, Erbil Karaman, Hüseyin Akdeniz, Cem Alptekin, Harun Arslan
Thyroid gland infection, although rare, may be a life threatening disease. Thyroid abscess, arising from acute suppurative thyroiditis (AST), is a rare clinic condition depending on widespread use of antibiotics. Infection may involve one or both lobes and abscess formation may not be apparent until late stage of the progress of illness. Thyroid left lobe is more often affected than the right one. Brucellosis, especially obvious in endemic areas, is a widely seen zoonosis around the world. Although brucella infection can affect many organs through various complications, thyroid gland infection is rare...
2015: Case Reports in Infectious Diseases
Pokhraj Prakashchandra Suthar, Raj G Bumiya, Kimmyben Patel, Ankitkumar Bipinbhai Patel
A 30-year-old afebrile woman presented with anorexia, yellowish discolouration of the sclera and bilateral pedal oedema. Blood investigations revealed severe anaemia, raised erythrocyte sedimentation rate and thrombocytopaenia. Liver function tests were abnormal with raised bilirubin, alanine transaminase and prothrombin time. Chest roentgenogram was negative for tuberculosis. Abdominal ultrasonography (USG) revealed coarsened echotexture of the liver with surface nodularity. Contrast-enhanced CT scan revealed heterogeneity with surface and parenchymal nodularity scattered throughout the liver parenchyma...
March 2, 2015: BMJ Case Reports
Ahmet Uygun, Abdurrahman Kadayifci, Hakan Demirci, Mutlu Saglam, Yusuf S Sakin, Kadir Ozturk, Zulfikar Polat, Yildirim Karslioglu, Erol Bolu
OBJECTIVE: Fatty pancreas (FP) is related to obesity, and may have some clinical implications on glucose metabolism. The frequency and importance of FP in patients with nonalcoholic steatohepatitis (NASH) are not clear. This study aimed to investigate: the frequency of FP in patients with NASH, and its effects on serum glucose parameters. METHODS: FP was detected and graded by transabdominal ultrasonography (USG) in patients with biopsy-proven NASH and healthy controls...
January 2015: European Journal of Internal Medicine
Lisa Warren, Maciej Murawski, Karolina Wilk, Dorota A Zieba, Pawel M Bartlewski
This study was conducted to determine if correlations exist between the numbers of microscopic follicles comprising ovarian follicular reserve (OFR) and antral follicle counts (AFCs), and to assess the usefulness of computerized analyses of ovarian ultrasonograms and magnetic resonance (MR) images for estimating OFR in excised porcine, ovine and bovine ovaries. As a pre-requisite to these analyses, we characterized and compared ovarian cortical histomorphology and follicle populations in the three species varying in prolificacy and overall reproductive longevity, and hence the total number of microscopic and antral follicles...
May 2015: Experimental Biology and Medicine
Cw Kam, Ch Lai, Sk Lam, Fl So, Cl Lau, Kh Cheung
This review aims to provide a concise overview of the trauma management evolution in the past decade. 1) Trauma care priorities have incorporated staff protection against infection and early decision making in addition to the conventional ABCDE. 2) Five stratified levels for DAM have replaced the non-specific conventional Plans A & B. 3) CT scanning can be the tunnel to death for the hemodynamically unstable patient. 4) DPL has virtually been replaced by the FAST USG. 5) Direct whole-body MDCT provides rapid imaging diagnosis & expedites the definitive treatment but carries high radiation hazards...
2010: World Journal of Emergency Medicine
Mark Rishniw, Rodrigo Bicalho
Evidence suggests that apparently healthy cats presenting for routine evaluation should have a randomly sampled urine specific gravity (USG) >1.035. A USG <1.035 might reflect inappropriate concentrating ability warranting further investigation. We measured the USG of 1040 apparently healthy cats presenting to first opinion practice in an observational study, using either in-clinic refractometers or measurements provided by reference laboratories, and examined factors that might affect USG. In-clinic refractometers were calibrated using distilled water (specific gravity = 1...
April 2015: Journal of Feline Medicine and Surgery
Mehmet Kamil Yıldız, Erkan Ozkan, Hacı Mehmet Odabaşı, Cengiz Eriş, Emre Günay, Hacı Hasan Abuoğlu, Bulent Kaya, Samet Yardımcı, Ma Tolga Müftüoglu, Umit Topaloglu
OBJECTIVE: The purpose of this study was to evaluate the managemant results of patients with penetrating abdominal injuries. MATERIAL AND METHODS: One hundred twenty (120) patients who were admitted to the Emergency Department of Haydarpasa Numune Training and Research Hospital between December 2003 and December 2010 with abdominal stab wounds were included to retrospective study. The data of all patients regarding age, gender, FAST and CT results, injured organs, surgical procedures, length of hospital stay, follow-up were examined...
2014: International Journal of Clinical and Experimental Medicine
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