keyword
https://read.qxmd.com/read/38283561/image-guided-techniques-for-localization-of-pulmonary-nodules-during-video-assisted-thoracoscopic-surgery-lobectomy
#21
REVIEW
Danilo Coco, Silvana Leanza, Sebastiano Angelo Bastone, Massimo Giuseppe Viola, Vincenzo Ambrogi
In the modern era when screening and early surveillance of pulmonary nodules are increasing in importance, the management of the pulmonary nodule represents a different challenge to thoracic surgeons. The difficulty lies in the merging of sound surgical and oncological principles with more minimally invasive and appropriate lung-sparing surgery. The success rates of video-assisted thoracoscopic surgery (VATS) resection for smaller as well as subsolid nodules have increased as a result of radiologists' preoperative localization tools...
December 2023: Polish Journal of Cardio-Thoracic Surgery
https://read.qxmd.com/read/38276373/classification-of-adventitious-sounds-combining-cochleogram-and-vision-transformers
#22
JOURNAL ARTICLE
Loredana Daria Mang, Francisco David González Martínez, Damian Martinez Muñoz, Sebastián García Galán, Raquel Cortina
Early identification of respiratory irregularities is critical for improving lung health and reducing global mortality rates. The analysis of respiratory sounds plays a significant role in characterizing the respiratory system's condition and identifying abnormalities. The main contribution of this study is to investigate the performance when the input data, represented by cochleogram, is used to feed the Vision Transformer (ViT) architecture, since this input-classifier combination is the first time it has been applied to adventitious sound classification to our knowledge...
January 21, 2024: Sensors
https://read.qxmd.com/read/38274002/reference-free-auscultation-quality-metric-and-its-trends
#23
JOURNAL ARTICLE
Annapurna Kala, Eric D McCollum, Mounya Elhilali
Stethoscopes are used ubiquitously in clinical settings to 'listen' to lung sounds. The use of these systems in a variety of healthcare environments (hospitals, urgent care rooms, private offices, community sites, mobile clinics, etc.) presents a range of challenges in terms of ambient noise and distortions that mask lung signals from being heard clearly or processed accurately using auscultation devices. With advances in technology, computerized techniques have been developed to automate analysis or access a digital rendering of lung sounds...
August 2023: Biomedical Signal Processing and Control
https://read.qxmd.com/read/38269453/-management-of-lung-diseases-under-ultrasound-monitoring-potential-to-make-bronchopulmonary-dysplasia-in-preterm-infants-as-an-avoidable-disease
#24
JOURNAL ARTICLE
Jing Liu
Bronchopulmonary dysplasia (BPD) is the most common chronic lung disease in preterm infants. Despite significant progress in the understanding of its etiology, mechanisms, prevention, and treatment, the prognosis remains poor. BPD not only has a high mortality rate but also causes persistent respiratory, neurological, and cardiovascular impairments in survivors. The author's team has successfully prevented the occurrence of BPD by managing neonatal lung diseases under lung ultrasound monitoring for nearly 7 years, opening up a new approach in BPD prevention...
January 15, 2024: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://read.qxmd.com/read/38261936/lung-sound-analysis-for-predicting-recurrent-wheezing-in-preschool-children
#25
JOURNAL ARTICLE
Manabu Miyamoto, Shigemi Yoshihara, Hiromi Shioya, Hiromi Tadaki, Tomohiko Imamura, Mayumi Enseki, Hiroyuki Furuya, Masahiko Kato, Hiroyuki Mochizuki
BACKGROUND: In young healthy children, assessing airflow limitation may be difficult because of narrowing of the airways, which is a pathology of asthma, and responsiveness to bronchodilators. OBJECTIVE: We investigated whether lung sound analysis could predict the development of recurrent wheezing (RW), which is one of the signs of asthma. METHODS: In healthy children aged 3 to 24 months, we recorded and analyzed lung sounds before and after inhalation of bronchodilators and conducted a questionnaire survey...
February 2024: J Allergy Clin Immunol Glob
https://read.qxmd.com/read/38248056/lung-ultrasound-and-pleural-artifacts-a-pictorial-review
#26
REVIEW
Ehsan Safai Zadeh, Christian Görg, Helmut Prosch, Daria Kifjak, Christoph Frank Dietrich, Christian B Laursen, Hajo Findeisen
Lung ultrasound is a well-established diagnostic approach used in detecting pathological changes near the pleura of the lung. At the acoustic boundary of the lung surface, it is necessary to differentiate between the primary visualization of pleural parenchymal pathologies and the appearance of secondary artifacts when sound waves enter the lung or are reflected at the visceral pleura. The aims of this pictorial essay are to demonstrate the sonographic patterns of various pleural interface artifacts and to illustrate the limitations and pitfalls of the use of ultrasound findings in diagnosing any underlying pathology...
January 13, 2024: Diagnostics
https://read.qxmd.com/read/38242688/atypical-disseminated-histiocytic-sarcoma-in-a-7-month-old-dog-a-case-report
#27
Maria Garcia-Torres, Bárbara Serrano Muñoz, Joaquim Segalés, Clàudia Mallol, Alba Sanz, María C López, Xavier Roura
A 7-month-old intact female bearded collie dog was admitted after a 2-week history of progressive cough, inappetence, and lethargy, with no response to previous treatment with doxycycline and steroids. Mild attenuation of lung sounds in the right middle hemithorax was the only abnormality detected on physical examination. Abdominal ultrasound and thoracic radiographs were performed and revealed multifocally distributed nodules and masses, well-circumscribed and of variable size in the kidneys and pulmonary parenchyma...
January 19, 2024: Veterinary Clinical Pathology
https://read.qxmd.com/read/38227169/expanding-access-to-comprehensive-geriatric-evaluation-via-telehealth-development-of-hybrid-virtual-home-visits
#28
JOURNAL ARTICLE
Cathy C Schubert, Lauren S Penney, Ashley L Schwartzkopf, Teresa M Damush, Alaina Preddie, Soyna Flemming, Jennifer Myers, Laura J Myers, Anthony J Perkins, Ying Zhang, Dawn M Bravata
BACKGROUND: In response to the aging population, the Department of Veterans Affairs (VA) seeks to expand access to evidence-based practices which support community-dwelling older persons such as the Geriatric Resources for Assessment and Care of Elders (GRACE) program. GRACE is a multidisciplinary care model which provides home-based geriatric evaluation and management for older Veterans residing within a 20-mile drive radius from the hospital. We sought to expand the geographic reach of VA-GRACE by developing a hybrid-virtual home visit (TeleGRACE)...
January 16, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38221699/tracheal-bronchus-detected-during-general-anesthesia-a-case-report
#29
JOURNAL ARTICLE
Toru Yamamoto, Tatsuru Tsurumaki, Hiroko Kanemaru, Kenji Seo
A tracheal bronchus is a congenital abnormality of the tracheobronchial tree in which a displaced or accessory bronchus arises from the trachea superior to its bifurcation. We herein report a case in which a tracheal bronchus was incidentally found after induction of general anesthesia, and we discuss the potential airway management problems that may have ensued. An 80-year-old man was scheduled for buccal mucosa resection and abdominal skin grafting for treatment of squamous cell carcinoma of the left buccal mucosa...
December 1, 2023: Anesthesia Progress
https://read.qxmd.com/read/38216939/orthopnea-secondary-to-brachial-plexitis-with-bilateral-diaphragmatic-paralysis
#30
JOURNAL ARTICLE
Mohamad El Labban, Philippe R Bauer
BACKGROUND: Diaphragmatic paralysis can present with orthopnea. We report a unique presentation of bilateral diaphragmatic paralysis, an uncommon diagnosis secondary to an unusual cause, brachial plexitis. This report thoroughly describes the patient's presentation, workup, management, and outcome. It also reviews the literature on diaphragmatic paralysis and Parsonage-Turner syndrome. CASE PRESENTATION: A 50-year-old male patient developed insidious orthopnea associated with left shoulder and neck pain over three months with no associated symptoms...
January 12, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38192117/breath-characteristics-and-adventitious-lung-sounds-in-healthy-and-asthmatic-horses
#31
JOURNAL ARTICLE
Eloïse Greim, Jan Naef, Sophie Mainguy-Seers, Jean-Pierre Lavoie, Sophie Sage, Gaudenz Dolf, Vinzenz Gerber
BACKGROUND: Standard thoracic auscultation suffers from limitations, and no systematic analysis of breath sounds in asthmatic horses exists. OBJECTIVES: First, characterize breath sounds in horses recorded using a novel digital auscultation device (DAD). Second, use DAD to compare breath variables and occurrence of adventitious sounds in healthy and asthmatic horses. ANIMALS: Twelve healthy control horses (ctl), 12 horses with mild to moderate asthma (mEA), 10 horses with severe asthma (sEA) (5 in remission [sEA-], and 5 in exacerbation [sEA+])...
January 8, 2024: Journal of Veterinary Internal Medicine
https://read.qxmd.com/read/38179362/an-unusual-case-of-severe-atelectasis-mucus-impaction-in-a-young-obese-female
#32
Owen Cole, Nishant Patel
Atelectasis is defined as the the loss of lung volume due to collapse of lung tissue and is usually associated with symptoms of respiratory distress, including increased work of breathing and increased oxygen requirements. It is common in hospitalized patients with limited mobility and in patients with underlying lung conditions. Treatment is largely supportive when no underlying condition is identified. It is rare to occur in otherwise healthy individuals. The patient in this case presented to the emergency department with complaints of progressive shortness of breath, productive cough, chest tightness, subjective fever, chills, and nasal congestion for two weeks...
December 2023: Curēus
https://read.qxmd.com/read/38166982/erasure-early-autologous-blood-pleurodesis-for-postoperative-air-leaks-a-randomized-controlled-trial-comparing-prophylactic-autologous-blood-pleurodesis-versus-standard-watch-and-wait-treatment-for-postoperative-air-leaks-following-thoracoscopic-anatomic-lung
#33
RANDOMIZED CONTROLLED TRIAL
Ioannis Karampinis, Christian Ruckes, Fabian Doerr, Servet Bölükbas, Sara Ricciardi, Giuseppe Cardillo, Carlos Galvez, Bogdan Vidmar, Tomaz Stupnik, Vincent Fang, Rene Horsleben Petersen, Eric Dominic Roessner
BACKGROUND: The prolonged air leak is probably the most common complication following lung resections. Around 10-20% of the patients who undergo a lung resection will eventually develop a prolonged air leak. The definition of a prolonged air leak varies between an air leak, which is evident after the fifth, seventh or even tenth postoperative day to every air leak that prolongs the hospital stay. However, the postoperative hospital stay following a thoracoscopic lobectomy can be as short as 2 days, making the above definitions sound outdated...
January 2, 2024: Trials
https://read.qxmd.com/read/38161555/an-incidental-case-of-morgagni-hernia-with-beaver-tail-liver-in-an-adult
#34
Ruthwik B Shankar, Adheep B Amberker, Vidyasagar Belgundi
Morgagni hernia is a rare congenital defect of the diaphragm, especially seen in children but rarely observed in adults. It occurs due to a congenital defect during the development of the diaphragm. Bochdalek hernia is a common congenital form of diaphragmatic hernia. Morgagni hernia is usually rare with a prevalence of approximately 2-3%. Beaver tail liver, which is also called sliver of liver, is a rare variant of liver morphology. Sometimes elongated left lobe of the liver can extend laterally across the midline to contact and often surround the spleen...
December 2023: Curēus
https://read.qxmd.com/read/38143076/single-intratracheal-administration-toxicity-study-on-safety-of-vapor-inhalation-of-electrolyzed-reduced-water-in-rats
#35
JOURNAL ARTICLE
Yuko Imanaka Wada, Yoshinao Okajima, Yutaka Oshima, Ken-Ichi Shimokawa, Masahiro Okajima, Fumiyoshi Ishii
The effects of acute intratracheal administration of electrolyzed reduced water (ERW; alkaline electrolyzed water) were investigated in rats. In this study, no deaths or near-deaths were recorded in either group, namely those treated with ERW or purified water (maximum doses of 900 mg/kg). The main symptoms observed in the rats were decreased spontaneous movements and abnormal breath sounds, which were considered to be transient symptoms caused by intratracheal administration. In addition, low values of alkaline phosphatase, total protein and lactate dehydrogenase were found in BALF tests, but these values were considered to be of low toxicological significance, since they are usually high in the presence of lung inflammation or cellular damage...
December 22, 2023: Drug Discoveries & Therapeutics
https://read.qxmd.com/read/38132208/no-critical-ultrasound-no-life-the-value-of-point-of-care-critical-ultrasound-in-the-rescue-of-critically-ill-infants
#36
JOURNAL ARTICLE
Jing Liu, Ya-Li Guo, Xiao-Ling Ren
Point-of-care critical ultrasound (POC-CUS) screening plays an increasingly important role in the treatment of critically ill infants. Without POC-CUS, the lives of many infants would not be saved in time and correctly. A premature infant with systemic multiple organ system dysfunction caused by fungal sepsis was treated and nursed under the guidance of POC-CUS monitoring, and the infant was ultimately cured. This premature infant had systemic multiple organ system dysfunction and disseminated intravascular coagulation (DIC) caused by fungal sepsis...
December 8, 2023: Diagnostics
https://read.qxmd.com/read/38104868/crispr-screen-of-druggable-targets-in-small-cell-lung-cancer-identified-atm-inhibitor-azd1390-as-a-radiosensitizer
#37
JOURNAL ARTICLE
Xiaozhuo Ran, Bell Xi Wu, Mary Shi, Lifang Song, Kevin Nixon, Vivek Philip, Housheng Hansen He, Ming-Sound Tsao, Benjamin H Lok
PURPOSE: Small cell lung cancer (SCLC) is an aggressive and lethal form of lung cancer and the overall 5-year survival (OS) for patients is a dismal 7%. Radiation therapy (RT) provides some benefit for selected patients with SCLC but could be improved with radiosensitizing agents. In this study, we identified novel radiosensitizers for SCLC by a CRISPR-Cas9 screen and evaluated the efficacy of ATM inhibitor AZD1390 as a radiosensitizer of SCLC. METHODS AND MATERIALS: We transduced the SCLC cell line SBC5 with a custom CRISPR sgRNA library focused on druggable gene targets and treated cells with RT...
December 15, 2023: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/38094176/acute-chest-pain-and-electrical-alternans
#38
JOURNAL ARTICLE
Maria Inês Barradas, Fabiana Duarte, Inês Coutinho Dos Santos
A young man presented with acute stabbing chest pain. A 12-lead electrocardiogram revealed electrical alternans with phasic variation of the QRS amplitude in all leads. Lung auscultation revealed absent left hemithorax breath sounds. Chest radiography confirmed a left-sided tension pneumothorax. Tension pneumothorax is a very rare cause for electrical alternans. ( Level of Difficulty: Intermediate. ).
November 15, 2023: JACC. Case reports
https://read.qxmd.com/read/38084549/myelomatous-pleural-effusion-developing-after-autologous-stem-cell-transplantation-in-a-patient-with-multiple-myeloma-a-rare-case
#39
Ak Müzeyyen Aslaner, Figen Barut
Myelomatous pleural effusion (MPE) is a very rare condition with a poor prognosis. In our case of multiple myeloma (MM) with early recurrence presenting with a MPE, management of the treatment is discussed together with the case presentation. A 35 year old female patient with a diagnosis of lambda light chain MM presented with complaints of dyspnea and pain in the left shoulder 2 months after autologous transplantation. On physical examination, respiratory sounds were decreased in the lower lobe of the left lung and there was dullness...
2023: Indian Journal of Pathology & Microbiology
https://read.qxmd.com/read/38083782/abnormal-respiratory-sound-identification-using-audio-spectrogram-vision-transformer
#40
JOURNAL ARTICLE
Whenty Ariyanti, Kai-Chun Liu, Kuan-Yu Chen, Yu-Tsao
Respiratory disease, the third leading cause of deaths globally, is considered a high-priority ailment requiring significant research on identification and treatment. Stethoscope-recorded lung sounds and artificial intelligence-powered devices have been used to identify lung disorders and aid specialists in making accurate diagnoses. In this study, audio-spectrogram vision transformer (AS-ViT), a new approach for identifying abnormal respiration sounds, was developed. The sounds of the lungs are converted into visual representations called spectrograms using a technique called short-time Fourier transform (STFT)...
July 2023: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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