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https://www.readbyqxmd.com/read/27492827/tuberculosis-care-among-refugees-arriving-in-europe-a-ers-who-europe-region-survey-of-current-practices
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/24862409/gardner-s-syndrome-a-rare-combination-in-surgical-practice
#15
Manash Ranjan Sahoo, Anil Kumar Nayak, Akshapada Pattanaik, Manoj S Gowda
A 45-year-old man presented to the emergency ward with features of intestinal obstruction of 2 days duration. On admission, there was abdominal distension and multiple sessile polyps found on digital rectal examination. In addition, a soft tissue swelling near the elbow and a bony swelling over scalp were noted. Abdominal radiography revealed gaseous distension of the small and large bowel, and ultrasound revealed diffuse, gas-filled bowel with sluggish peristalsis. The obstruction failed to resolve with conservative measures and at emergency laparotomy an irregular hard recto-sigmoid junction mass was identified...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24665574/blunt-chest-trauma-an-audit-of-injuries-diagnosed-by-the-mdct-examination
#16
Ivan Turkalj, Kosta Petrović, Sanja Stojanović, Djordje Petrović, Alma Brakus, Jelena Ristić
BACKGROUND/AIM: Multidetector computed tomography (MDCT) characterised by speed and precision is increasingly accessible in emergency wards. The aim of our study was to determine the most common injuries to the chest region, as well as type associated extrathoracic injuries, and the treatment outcome. METHODS: This prospective study included 61 patients with blunt trauma who were submitted to computed tomography (CT) of the thorax. The number of injuries was evaluated by organs and organ systems of the chest...
February 2014: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/24641349/computed-tomography-based-joint-locations-affect-calculation-of-joint-moments-during-gait-when-compared-to-scaling-approaches
#17
Ward Bartels, Jan Demol, Frederik Gelaude, Ilse Jonkers, Jos Vander Sloten
Hip joint moments are an important parameter in the biomechanical evaluation of orthopaedic surgery. Joint moments are generally calculated using scaled generic musculoskeletal models. However, due to anatomical variability or pathology, such models may differ from the patient's anatomy, calling into question the accuracy of the resulting joint moments. This study aimed to quantify the potential joint moment errors caused by geometrical inaccuracies in scaled models, during gait, for eight test subjects. For comparison, a semi-automatic computed tomography (CT)-based workflow was introduced to create models with subject-specific joint locations and inertial parameters...
March 18, 2014: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/24387808/-non-neuromeningeal-cryptococcosis-in-patients-with-aids-in-bamako-mali-2%C3%A2-case-reports
#18
D K Minta, A M Traoré, I Coulibaly, K Diallo, A Soukho-Kaya, A Dolo, B Kamaté, D S Ouologuem, M Dembélé, H A Traoré, D Chabasse, E Pichard
Non-neuromeningeal cryptococcosis forms resulting from disseminated infection are rarely reported in African literature and are non-documented in Malian medical ward. We report two clinical observations. Case 1: a 26-year-old patient, carrying the HIV-1 infection, in which the clinical examination revealed skin lesions simulating molluscum contagiosum and functional impairment of the lower limbs. Radiography of the lumbar spine showed vertebral osteolysis on L4-L5. Cryptococcal research remained negative in the CSF but positive at histological examination of the skin lesions and in pathological products of lumbosacral drainage...
June 2014: Journal de Mycologie Médicale
https://www.readbyqxmd.com/read/24368044/acr-appropriateness-criteria-acute-hip-pain-suspected-fracture
#19
Robert J Ward, Barbara N Weissman, Mark J Kransdorf, Ronald Adler, Marc Appel, Laura W Bancroft, Stephanie A Bernard, Michael A Bruno, Ian Blair Fries, William B Morrison, Timothy J Mosher, Catherine C Roberts, Stephen C Scharf, Michael J Tuite, Adam C Zoga
Substantial cost, morbidity, and mortality are associated with acute proximal femoral fracture and may be reduced through an optimized diagnostic imaging workup. Radiography represents the primary diagnostic test of choice for the evaluation of acute hip pain. In middle aged and elderly patients with negative radiographs, the evidence indicates MRI to be the next diagnostic imaging study to exclude a proximal femoral fracture. CT, because of its relative decreased sensitivity, is only indicated in patients with MRI contraindications...
February 2014: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/24297375/quantitative-syndesmophyte-measurement-in-ankylosing-spondylitis-using-ct-longitudinal-validity-and-sensitivity-to-change-over-2%C3%A2-years
#20
Sovira Tan, Jianhua Yao, John A Flynn, Lawrence Yao, Michael M Ward
OBJECTIVES: Accurate measurement of syndesmophyte development and growth in ankylosing spondylitis (AS) is needed for studies of biomarkers and of treatments to slow spinal fusion. We tested the longitudinal validity and sensitivity to change of quantitative measurement of syndesmophytes using CT. METHODS: We performed lumbar spine CT scans on 33 patients with AS at baseline, 1 year and 2 years. Volumes and heights of syndesmophytes were computed in four intervertebral disk spaces...
February 2015: Annals of the Rheumatic Diseases
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