JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY最新文献

{"title":"Transcranial Sonography Used as a Valuable Diagnostic Tool for Detecting a Hemoventricle, in an Intensive Care Unit Patient","authors":"Issac Cheong, F. Tamagnone","doi":"10.1177/87564793231216092","DOIUrl":"https://doi.org/10.1177/87564793231216092","url":null,"abstract":"A hemoventricle is a rare and life-threatening condition, characterized by blood accumulating in the brain ventricles. Computed tomography (CT) is commonly used in the diagnosis of hemoventricle. However, the use of CT is limited in the intensive care unit. This has prompted the exploration of alternative imaging techniques. Sonography offers a noninvasive, portable, and cost-effective option for assessing the ventricular system. A case study is presented of a 64-year-old female patient with a ruptured aneurysm who underwent endovascular coiling and the placement of an external ventricular drain. Point-of-care ultrasonography revealed ventricular dilatation that was associated with hyperechoic content and that was consistent with hemoventricle. The CT examination confirmed the diagnosis, and the patient received appropriate treatment. This case highlights the value of sonography as a complementary diagnostic imaging tool in situations where CT may be limited.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"30 3","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138972344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Cause of Occupational Burnout Syndrome Among Sonographers","authors":"My Tran","doi":"10.1177/87564793231213364","DOIUrl":"https://doi.org/10.1177/87564793231213364","url":null,"abstract":"To investigate the level of occupational burnout syndrome in a cohort of sonographers and to determine any associations between sex, number of hours worked per week, and burnout. This study used a cross-sectional approach that replicated the Oldenburg Burnout Inventory and surveyed a convenience sample of sonographers who are members of the Society for Diagnostic Medical Sonography. The study survey offered the total scores of occupational burnout, disengagement, and exhaustion, with a potential minimum score of 16 and a maximum score of 64. The results yielded a minimum score of 17 and a maximum score of 64. The mean score was 43.11 (SD = 7.02), indicating a moderate level of burnout. This cohort of sonographers demonstrated moderate levels of burnout, so it is important to acknowledge that preventing occupational burnout is necessary to ensure that workplace stress is managed to avoid significant issues. Further research is needed to assess how occupational burnout syndrome affects retention in the profession.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"53 3","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138971376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sonographers’ Perception of Administrative Support and Resources for Burnout Prevention","authors":"Rose McCalla-Henry, Kathleen Mathieson","doi":"10.1177/87564793231216754","DOIUrl":"https://doi.org/10.1177/87564793231216754","url":null,"abstract":"The purpose of this study was to explore the occupational burnout levels among a cohort of sonographers practicing in the United States and their perception of administrative support and resources for burnout prevention. This study used a quantitative descriptive design with a cross-sectional online survey administered to the Society of Diagnostic Medical Sonography members. The survey consisted of demographic information, administrative support questions, and burnout measurements using the validated Oldenburg Burnout Inventory. A total of 1393 sonographers participated in the study. The results of this sonographer cohort indicated that 55.7% experienced moderate burnout. Although 30.9% reported feeling their employers cared for their well-being, 36.6% of respondents indicated no administrative support, and 30.7% said their administration did not provide resources to help them cope. Occupational burnout levels among this cohort of sonographers was moderate and could increase without adequate intervention. Addressing sonographer burnout and managing stressors will help organizations to retain staff, continue providing quality patient care, and maintain patient outcomes.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"10 6","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138972710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atraumatic Splenic Rupture in a Neonate: A Case Report","authors":"Madhusmita Satapathy","doi":"10.1177/87564793231217446","DOIUrl":"https://doi.org/10.1177/87564793231217446","url":null,"abstract":"Idiopathic atraumatic splenic rupture (ASR) is rare, especially in neonates and can result in the spontaneous hemorrhage of the organ, abdominal distension, and hemoperitoneum. This condition can be fatal without prompt diagnosis and surgical intervention. The pathophysiology of ASR is difficult to understand due to its rarity; however, retrospective reviews have found an association with neoplasm, infection, inflammatory diseases, and anticoagulant drugs. Therefore, it is essential to report this rare occurrence. This case report involves a 2-day-old neonate born to a mother with chronic hypertension, chorioamnionitis, and a carrier of cystic fibrosis. An abdominal sonogram followed by contrast-enhanced computed tomography (CT) revealed hemoperitoneum with possible active bleeding and lack of definite visualization of the spleen. During emergency laparotomy, the attempt to preserve the organ was unsuccessful, requiring splenectomy. The neonate recovered well from the procedure and was discharged on the 18th day of life.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"122 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL): A Case Study","authors":"Danielle Nanni","doi":"10.1177/87564793231216756","DOIUrl":"https://doi.org/10.1177/87564793231216756","url":null,"abstract":"Chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) are slow-growing cancers that affect the immune system by disrupting the normal function of B-cells. The patient symptoms associated with CLL and SLL can be vague; therefore, many cases go undiagnosed for years. Diagnostic medical sonography is an imaging technique that can determine the abnormal appearance of lymph nodes and guide medical providers in the appropriate direction when investigating a questionable case of lymphoma. This case study presents a superficial left-neck sonogram of a 65-year-old Caucasian man complaining of left supraclavicular pain and swelling. This initial sonogram was the first phase in a sequence of examinations that led to the patient’s diagnosis of CLL/SLL.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"38 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138973050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sonographers and Vascular Technologists Offer Potential Solutions to Promote the Health and Well-being of Their Workforce","authors":"Madeline R. Parga, K. Evans, Carolyn M. Sommerich, Shawn C Roll","doi":"10.1177/87564793231217217","DOIUrl":"https://doi.org/10.1177/87564793231217217","url":null,"abstract":"Work-related injuries have a major effect on worker health and well-being. This is particularly true in sonography, where work-related musculoskeletal disorders (WRMSDs) are common. In response to the current challenge of understanding strategy implementation across social and organizational dimensions, this research captured sonographers’, echocardiographers’, and vascular technologists’ perceptions of critical administrative, organizational, and general health and training challenges, and potential solutions for improving worker health and well-being. A survey invitation was sent to the WRMSD Grand Challenge longitudinal study registry participants. Open-ended questions on the online questionnaire allowed respondents to share comments, ideas, or potential solutions to improve worker health and well-being regarding the administrative and organizational environment or through training and general health interventions. There were 377 free-text responses that were qualitatively analyzed using a grounded theory approach to generate overarching themes and identify emerging theory, supported by initial coding, focused coding, and reflexive memoing. A member check was conducted by interviewing four participants to refine and confirm the findings. Five themes were identified: “Limits and Guidelines,” “Injury Education,” “Ergonomics Training Constraints,” “Resources and Equipment,” and “Individual Habits.” Participant suggestions within these themes were categorized and mapped onto a sociotechnical systems model that was developed previously to study the healthcare system(s) in which sonography users work. This conceptual mapping revealed how these solutions were situated to impact different levels of the work environment. The themes and mapping supported an emerging grounded theory: Risk Reduction Relies on Proper Employee Representation. These qualitative findings align with contemporary guidelines and recommendations for mitigating injuries in sonographers, illuminating challenges and solutions targeting levels of influence beyond the staff sonographers’ scope. The need for representation of sonographers at higher-level administrative levels has not heretofore been addressed by WRMSD guidelines.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"38 20","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138592184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Elastography in Diagnosing Endometrial Pathology","authors":"Kathleen Marshall, Douglas W. Clem","doi":"10.1177/87564793231212872","DOIUrl":"https://doi.org/10.1177/87564793231212872","url":null,"abstract":"The aim of this review was to provide a summary of literature and research on the use of elastography and its effectiveness in diagnosing endometrial pathology. An online database search produced 16 research articles. Inclusion criteria consisted of ultrasound elastography of benign and malignant endometrial pathology. Priority was given to articles focused on endometrial hyperplasia, polyps, and endometrial carcinoma. The difference in stiffness between endometrial carcinoma and benign endometrial pathology, including lesions and hyperplasia, is statistically significant. High rates of sensitivity and specificity are seen in using elastography to determine endometrial carcinoma from a benign endometrial pathology. Elastography can provide valuable information to aid in diagnosing endometrial carcinoma. Currently, the standard of care for diagnosing endometrial pathology is 2D ultrasound imaging with tissue sampling and histology. Elastography imaging of the endometrium offers the opportunity to diagnose endometrial pathology without invasive tissue sampling procedures. While this exciting development offers great potential, there must be universal, consistent approaches and studies of subgroups to be considered the standard of care.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"199 ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139242588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Service Evaluation of Telesonography® and the Measured Outcomes, Within an Under-Resourced Obstetrics and Gynecology Practice","authors":"Erin Manley, Ben Buentipo, Amber Blair, Alison Dilly, Andy Switzky","doi":"10.1177/87564793231212921","DOIUrl":"https://doi.org/10.1177/87564793231212921","url":null,"abstract":"To evaluate the effectiveness of a tech-enabled telesonography service in an under-resourced obstetrics and gynecology (OB/Gyn) clinic. Quantitative data were collected for each sonographic exam to determine its efficiency and accuracy. A survey was also offered to measure patient satisfaction. Data were collected and analyzed to produce early trends following the implementation of the service. The tech-enabled telesonography service decreased patient exam and report turnaround times in an under-resourced OB/Gyn clinic, which correlated with decreases in the time until the next appointment and the clearing of scheduling backlogs. Importantly, this efficiency was achieved without forfeiting diagnostic accuracy or patient satisfaction. This project demonstrated that the service provided reduced wait times for this under-resourced clinic without sacrificing diagnostic accuracy.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"104 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sonographic Diagnosis and Clinical Management of a Fetal Sacrococcygeal Teratoma: A Case Report","authors":"Zahraa Akbar, Hadeel Alenezi","doi":"10.1177/87564793231211316","DOIUrl":"https://doi.org/10.1177/87564793231211316","url":null,"abstract":"A sacrococcygeal teratoma (SCT) is one of the most common fetal extragonadal germ cell neoplasms and carries high risk of maternal and perinatal complications. An example of a fetal SCT, associated with polyhydramnios, is presented in this case report. An antenatal surveillance sonogram revealed an increase in the size of the teratoma size and the amniotic fluid index. The patient underwent Cesarean delivery and postnatally, the infant’s teratoma was surgically excised. The pathologic examination of the specimen revealed a benign mature teratoma. This case demonstrated the important role that serial sonography had in monitoring this fetal pathology. Prenatal fetal sonographic assessment can play an important role for patients who need counseling and surgical planning.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"37 4","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Relationship Between Sonographers’ Work-Related Musculoskeletal Disorders and Occupational Burnout","authors":"J. Bagley, Danielle Amos, Jonathan D. Baldwin","doi":"10.1177/87564793231211325","DOIUrl":"https://doi.org/10.1177/87564793231211325","url":null,"abstract":"Work-related musculoskeletal disorders (WRMSDs) are injuries developed through repetitive use or strain. These may lead to an early career-ending injury. Work-related burnout has also been documented among sonographers, but the potential relationship between WRMSDs and burnout has not been well studied. A 43-question survey was sent to sonographers and included questions regarding work culture, presence of WRMSDs, early career-ending injury, and occupational burnout. The Oldenburg Burnout Inventory was used to determine gauge occupational burnout. Of 127 respondents, 64% (n = 81) reported a WRMSD and 76% (n = 96) self-reported occupational burnout. The total burnout score was 3.3 points higher among those reporting a WRMSD, compared with those not reporting. ( P = .0077). Work-related musculoskeletal disorders and occupational burnout were associated conditions among this group of sonographers. Hospital and clinic administrators should listen to employees to identify potential occupational burnout or a WRMSD, prior to either condition resulting in an exit from the profession.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"32 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}