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https://www.readbyqxmd.com/read/28776523/screening-of-health-care-workers-for-latent-tuberculosis-infection-in-a-tertiary-care-hospital
#1
Anand Bimari Janagond, Vithiya Ganesan, G S Vijay Kumar, Arunagiri Ramesh, Prem Anand, M Mariappan
BACKGROUND: Health-care workers (HCWs) are at increased risk of acquiring tuberculosis (TB) than the general population. While national-level data on the burden of TB in general population is available from reliable sources, nationally representative data on latent tuberculosis infection (LTBI) burden in HCWs in the high burden countries is lacking. METHODS: A prospective study was carried out to assess the risk of TB infection among HCWs who directly engage in medical duties...
July 2017: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28731843/telemedicine-use-decreases-rural-emergency-department-length-of-stay-for-transferred-north-dakota-trauma-patients
#2
Nicholas M Mohr, J Priyanka Vakkalanka, Karisa K Harland, Amanda Bell, Brian Skow, Dan M Shane, Marcia M Ward
BACKGROUND: Telemedicine has been proposed as one strategy to improve local trauma care and decrease disparities between rural and urban trauma outcomes. OBJECTIVES: This study was conducted to describe the effect of telemedicine on management and clinical outcomes for trauma patients in North Dakota. METHODS: Cohort study of adult (age ≥18 years) trauma patients treated in North Dakota Critical Access Hospital (CAH) Emergency Departments (EDs) from 2008 to 2014...
July 21, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28336452/the-relationship-of-bone-properties-using-high-resolution-peripheral-quantitative-computed-tomography-to-radiographic-components-of-hip-osteoarthritis
#3
M H Edwards, J Paccou, K A Ward, K A Jameson, C Moss, J Woolston, M K Javaid, C Cooper, E M Dennison
OBJECTIVE: Positive associations between radiographic osteoarthritis (OA) and areal bone mineral density (BMD) have been demonstrated and appear strongest when bony features of OA are considered. To date, these associations have not been assessed using HRpQCT. DESIGN: A total of 318 participants (170 men and 148 women), aged 72.1-81.4 years from a non-selected cohort, underwent HRpQCT of the distal radius and tibia along with hip radiography. Differences in bone microarchitecture were assessed between those with and without osteophytes, sclerosis or joint space narrowing (JSN) in either hip...
September 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28263112/accuracy-of-point-of-care-lung-ultrasonography-for-the-diagnosis-of-cardiogenic-pulmonary-edema-in-dogs-and-cats-with-acute-dyspnea
#4
Jessica L Ward, Gregory R Lisciandro, Bruce W Keene, Sandra P Tou, Teresa C DeFrancesco
OBJECTIVE To determine the accuracy of a point-of-care lung ultrasonography (LUS) protocol designed to diagnose cardiogenic pulmonary edema (CPE) in dyspneic dogs and cats. DESIGN Diagnostic test evaluation. ANIMALS 76 dogs and 24 cats evaluated for dyspnea. PROCEDURES Dogs and cats were evaluated by LUS; B lines were counted at 4 anatomic sites on each hemithorax. A site was scored as positive when > 3 B lines were identified. Animals with ≥ 2 positive sites identified on each hemithorax were considered positive for CPE...
March 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28215933/gender-determination-from-diagnostic-factors-on-anteroposterior-pelvic-radiographs
#5
Azadeh Memarian, Kamran Aghakhani, Shahrokh Mehrpisheh, Foroozan Fares
BACKGROUND: Gender determination from skeletal remains is one of the primary factors in forensic medicine. This study aimed to identify the gender of patients referred to the radiology ward of the Rasoul Akram Hospital of Tehran using anteroposterior pelvic radiography. METHODS: A total of 200 patients (100 male and 100 female) referred to the radiology ward of the Rasoul Akram Hospital for anteroposterior pelvic radiography during 2013-2014 were included in this study...
March 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/27994816/horner-syndrome-following-thyroid-surgery-the-clinical-and-pharmacological-presentations
#6
Giuseppe Giannaccare, Corrado Gizzi, Michela Fresina
PURPOSE: To report the clinical and pharmacological findings of a patient with iatrogenic Horner syndrome (HS) which occurred after thyroid surgery. CASE REPORT: A 29-year-old man was referred to our emergency ward due to anisocoria and unilateral eyelid ptosis reported by the patient immediately after a recent thyroidectomy for a papillary carcinoma. Ophthalmologic examination revealed 3 mm ptosis of the right eyelid. In dim illumination, the right and left pupil size was measured 3 and 6 mm, respectively...
October 2016: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/27492827/tuberculosis-care-among-refugees-arriving-in-europe-a-ers-who-europe-region-survey-of-current-practices
#7
Masoud Dara, Ivan Solovic, Giovanni Sotgiu, Lia D'Ambrosio, Rosella Centis, Richard Tran, Delia Goletti, Raquel Duarte, Stefano Aliberti, Fernando Maria de Benedictis, Graham Bothamley, Tom Schaberg, Ibrahim Abubakar, Vitor Teixeira, Brian Ward, Christina Gratziou, Giovanni Battista Migliori
No evidence exists on tuberculosis (TB) and latent TB infection (LTBI) management policies among refugees in European countries.A questionnaire investigating screening and management practices among refugees was sent to 38 national TB programme representatives of low and intermediate TB incidence European countries/territories of the WHO European Region.Out of 36 responding countries, 31 (86.1%) reported screening for active TB, 19 for LTBI, and eight (22.2%) reporting outcomes of LTBI treatment. Screening for TB is based on algorithms including different combinations of symptom-based questionnaires, bacteriology and chest radiography and LTBI screening on different combinations of tuberculin skin test and interferon-γ release assays...
September 2016: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/27390701/eos-imaging-versus-current-radiography-a-health-technology-assessment-study
#8
Alireza Mahboub-Ahari, Sakineh Hajebrahimi, Mahmoud Yusefi, Ashraf Velayati
BACKGROUND: EOS is a 2D/3D muscle skeletal diagnostic imaging system. The device has been developed to produce a high quality 2D, full body radiographs in standing, sitting and squatting positions. Three dimensional images can be reconstructed via sterEOS software. This Health Technology Assessment study aimed to investigate efficacy, effectiveness and cost-effectiveness of new emerged EOS imaging system in comparison with conventional x-ray radiographic techniques. METHODS: All cost and outcome data were assessed from Iran's Ministry of Health Perspective...
2016: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/26922595/acr-appropriateness-criteria-follow-up-of-malignant-or-aggressive-musculoskeletal-tumors
#9
Catherine C Roberts, Mark J Kransdorf, Francesca D Beaman, Ronald S Adler, Behrang Amini, Marc Appel, Stephanie A Bernard, Ian Blair Fries, Isabelle M Germano, Bennett S Greenspan, Langston T Holly, Charlotte D Kubicky, Simon Shek-Man Lo, Timothy J Mosher, Andrew E Sloan, Michael J Tuite, Eric A Walker, Robert J Ward, Daniel E Wessell, Barbara N Weissman
Appropriate imaging modalities for the follow-up of malignant or aggressive musculoskeletal tumors include radiography, MRI, CT, (18)F-2-fluoro-2-deoxy-D-glucose PET/CT, (99m)Tc bone scan, and ultrasound. Clinical scenarios reviewed include evaluation for metastatic disease to the lung in low- and high-risk patients, for osseous metastatic disease in asymptomatic and symptomatic patients, for local recurrence of osseous tumors with and without significant hardware present, and for local recurrence of soft tissue tumors...
April 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/26587343/lung-ultrasound-in-the-diagnosis-of-pneumonia-in-children-proposal-for-a-new-diagnostic-algorithm
#10
Giulio Iorio, Maria Capasso, Giuseppe De Luca, Salvatore Prisco, Carlo Mancusi, Bruno Laganà, Vincenzo Comune
Background. Despite guideline recommendations, chest radiography (CR) for the diagnosis of community-acquired pneumonia (CAP) in children is commonly used also in mild and/or uncomplicated cases. The aim of this study is to assess the reliability of lung ultrasonography (LUS) as an alternative test in these cases and suggest a new diagnostic algorithm. Methods. We reviewed the medical records of all patients admitted to the pediatric ward from February 1, 2013 to December 31, 2014 with respiratory signs and symptoms...
2015: PeerJ
https://www.readbyqxmd.com/read/26277043/a-quality-initiative-of-postoperative-radiographic-imaging-performed-on-mastectomy-specimens-to-reduce-histology-cost-and-pathology-report-turnaround-time
#11
Michael E Kallen, Myung S Sim, Bryan L Radosavcev, Romney M Humphries, Dawn C Ward, Sophia K Apple
Breast pathology relies on gross dissection for accurate diagnostic work, but challenges can necessitate submission of high tissue volumes resulting in excess labor, laboratory costs, and delays. To address these issues, a quality initiative was created through implementation of the Faxitron PathVision specimen radiography system as part of the breast gross dissection protocol; this report documents its impact on workflow and clinical care. Retrospective data from 459 patients who underwent simple or modified radical mastectomy at our institution between May 2012 and December 2014 were collected...
October 2015: Annals of Diagnostic Pathology
https://www.readbyqxmd.com/read/25986164/preventing-tuberculosis-transmission-at-a-maternity-hospital-by-targeted-screening-radiography-of-migrants
#12
V Schechner, J B Lessing, G Grisaru-Soen, T Braun, J Abu-Hanna, Y Carmeli, G Aviram
BACKGROUND: Israel has been the destination of large numbers of illegal migrants from East African countries in recent years. Despite efforts to detect and treat active tuberculosis (TB) at the border, 75% of all active TB cases diagnosed in our hospital were illegal migrants. In 2012, there was a large-scale TB exposure in our maternity ward, neonatal, and paediatric intensive care units following the admission of an infectious but apparently asymptomatic migrant who was in labour. A hospital-wide screening programme was subsequently implemented to prevent exposure of patients and staff to TB...
July 2015: Journal of Hospital Infection
https://www.readbyqxmd.com/read/25935824/acr-appropriateness-criteria-acute-trauma-to-the-foot
#13
REVIEW
Laura W Bancroft, Mark J Kransdorf, Ronald Adler, Marc Appel, Francesca D Beaman, Stephanie A Bernard, Michael A Bruno, Molly E Dempsey, Ian B Fries, Viviane Khoury, Bharti Khurana, Timothy J Mosher, Catherine C Roberts, Michael J Tuite, Robert J Ward, Adam C Zoga, Barbara N Weissman
This ACR Appropriateness Criteria article offers imaging triage guidance for several variants of patients presenting with acute foot trauma. Patients meeting inclusion criteria for the Ottawa Rules should undergo a 3-view radiographic series. Diabetic patients with peripheral neuropathy should undergo radiography, even though they do not meet the Ottawa Rules inclusion criteria. Patients with suspected midfoot and/or Lisfranc injury should undergo 3-view radiographs with weight bearing on at least the anterior-posterior view...
June 2015: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/25410040/enterolithotomy-for-the-treatment-of-large-bowel-obstruction-secondary-to-gallstones
#14
Kate Swarbrick, Benjamin Allin, Trevor Yeung, Marianne Sampson
We describe the case of an 81-year-old woman with large bowel-obstruction caused by an impacted gallstone. An 81-year-old, Caucasian, fully independent woman without significant comorbidities presented with absolute constipation, faecal vomiting and abdominal pain. Abdominal radiography revealed dilated small bowel, and a subsequent contrast CT demonstrated a 2.5 cm gallstone in the sigmoid colon. This is believed to have entered the transverse colon via a cholecyst-colonic fistula, and then migrated to a section of sigmoid colon affected by diverticular disease, where it became impacted...
November 19, 2014: BMJ Case Reports
https://www.readbyqxmd.com/read/25132778/aerobic-exercise-improves-gastrointestinal-motility-in-psychiatric-inpatients
#15
RANDOMIZED CONTROLLED TRIAL
Yeon Soo Kim, Bong Kil Song, Ji Sun Oh, Seung Seok Woo
AIM: To evaluate the benefit of aerobic exercise on colonic transit time (CTT) for psychiatric inpatients in a closed ward. METHODS: Sixty consecutive adult inpatients of the Somang Hospital Psychiatry Unit (Eumsung-gun, South Korea), without CTT-related diseases or drug therapies, were recruited for study from March to June of 2012. Upon enrollment, the patients were randomly assigned to partake in a 12-wk instructor-led group aerobic exercise program (exercise group; n = 30) or to maintain their ordinary daily activities (control group; n = 30)...
August 14, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/25034957/usefulness-of-lung-ultrasound-in-the-diagnosis-of-community-acquired-pneumonia-in-children
#16
COMPARATIVE STUDY
Meng-Chieh Ho, Chin-Ru Ker, Jong-Hau Hsu, Jiunn-Ren Wu, Zen-Kong Dai, I-Chen Chen
BACKGROUND: Pneumonia is a life-threatening disease in children. With the current lack of universal diagnostic criteria, the diagnosis is usually made on clinical manifestations and findings from chest radiographs. Ultrasonography has recently been applied to the detection of pulmonary diseases. However, few data have been published showing its effectiveness in detecting pneumonia in children. The objective of this study was to determine the power of lung ultrasonography (LUS) for the diagnosis of pneumonia in children...
February 2015: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/24969347/prevalence-and-associated-factors-of-pulmonary-hypertension-in-kenyan-children-with-adenoid-or-adenotonsillar-hypertrophy
#17
Diana Marangu, Christine Jowi, Joyce Aswani, Sidika Wambani, Ruth Nduati
OBJECTIVES: Adenotonsillar hypertrophy is a common condition in childhood, whose serious complications of pulmonary hypertension and cor pulmonale are devastating but local prevalence is unknown. This study determined the prevalence and associated factors of pulmonary hypertension in children with adenoid or adenotonsillar hypertrophy at Kenyatta National Hospital, Kenya. METHODS: This was a cross sectional hospital based survey conducted among children below 12 years of age with clinical and radiological adenoid hypertrophy attending the ear, nose and throat (ENT) outpatient clinic and general pediatric wards...
August 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24951206/imaging-of-kienb%C3%A3-ck-disease
#18
REVIEW
Javier Arnaiz, Tatiana Piedra, Luis Cerezal, John Ward, Alex Thompson, Jorge A Vidal, Ana Canga
OBJECTIVE: The purpose of this article is to provide an overview of Kienböck disease focusing on imaging findings, including the relevant anatomy, pathophysiology, and treatment of Kienböck disease and the differential diagnoses (pseudo-Kienböck lesions). CONCLUSION: Kienböck disease is a condition marked by avascular necrosis of the lunate bone. MRI is useful in diagnosis and staging and should be considered, after conventional radiography, for patients with suspected Kienböck disease...
July 2014: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/24940334/knowledge-and-attitudes-of-infection-prevention-and-control-among-health-sciences-students-at-university-of-namibia
#19
J Ojulong, K H Mitonga, S N Iipinge
BACKGROUND: Health Sciences students are exposed early to hospitals and to activities which increase their risk of acquiring infections. Infection control practices are geared towards reduction of occurrence and transmission of infectious diseases. OBJECTIVE: To evaluate knowledge and attitudes of infection prevention and control among Health Science students at University of Namibia. METHODS: To assess students' knowledge and attitudes regarding infection prevention and control and their sources of information, a self-administered questionnaire was used to look at standard precautions especially hands hygiene...
December 2013: African Health Sciences
https://www.readbyqxmd.com/read/24903566/a-new-clinical-scoring-system-to-define-pneumonia-following-esophagectomy-for-cancer
#20
Pieter C van der Sluis, Roy J J Verhage, Sylvia van der Horst, Willem M van der Wal, Jelle P Ruurda, Richard van Hillegersberg
BACKGROUND: Pneumonia is a frequently observed complication following esophagectomy. The lack of a uniform definition of pneumonia leads to large variations of pneumonia rates in literature. This study was designed to develop a scoring system for diagnosing pneumonia following esophagectomy at the hospital ward. METHODS: In a prospective cohort study of esophagectomy patients, known risk factors for pneumonia, temperature, leukocyte count, pulmonary radiography and sputum culture added were evaluated...
2014: Digestive Surgery
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