JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY最新文献_第8页

JSDMS CME Credit – Complications of Delayed Arterial Injury After a Gun Shot Wound to the Upper Extremity: A Case Study JSDMS CME信用-上肢枪伤后迟发性动脉损伤的并发症:一个案例研究

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-23 DOI: 10.1177/87564793231192511

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SDMS CME Credit – Understanding the Downstream Effects of the COVID-19 Pandemic on Sonographers and Vascular Technologists: Healthcare Heroes’ Kryptonite! SDMS CME信用-了解COVID-19大流行对超声技师和血管技术人员的下游影响:医疗保健英雄的氪石!

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-23 DOI: 10.1177/87564793231192488

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Determining the Extent of Agreement for Determining the Echographic Ejection Fraction Determined by Emergency Medicine Residents Compared with a Cardiologist 确定急诊住院医师与心脏病专家在超声射血分数测定上的一致程度

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-17 DOI: 10.1177/87564793231192831

F. Mohammadi, Seyedamir Tabibzadeh Dezfooli, Babak Sadeghzadeh, M. Chardoli, H. Basir Ghafouri, M. Rezai, R. Mosaddegh, Samira Vaziri

{"title":"Determining the Extent of Agreement for Determining the Echographic Ejection Fraction Determined by Emergency Medicine Residents Compared with a Cardiologist","authors":"F. Mohammadi, Seyedamir Tabibzadeh Dezfooli, Babak Sadeghzadeh, M. Chardoli, H. Basir Ghafouri, M. Rezai, R. Mosaddegh, Samira Vaziri","doi":"10.1177/87564793231192831","DOIUrl":"https://doi.org/10.1177/87564793231192831","url":null,"abstract":"Objective: The aim of this study was to determine the extent of agreement on the measured echographic ejection fraction measured by emergency medicine (EM) residents compared with a cardiologist. Materials and Methods: This study was conducted with cardiac patients admitted to a hospital emergency department in Tehran, Iran. A total of 156 patient cases were reviewed. A group of trained EM residents evaluated the ejection fraction (EF) of these patients utilizing three different methods: Simpson’s method (N = 50), E-Point Septal Separation (EPSS, N = 56), and a visual technique (N = 50). A final assessment was made for all patients by a cardiologist. Results: In 69.3% of these patient cases, there was a significant correlation between the EM residents’ report and the cardiologists, with Cohen’s Kappa coefficient of .746 (P < .001). The Kappa coefficient for the visual technique, Simpson’s method, and EPSS was .697, .467, and .487, respectively. The sensitivity, specificity, positive and negative predictive values of EF measurements, provided by the EM residents, were 0.89%, 64.2%, 81.6%, and 76.5% compared with the cardiologist, respectively. Conclusion: This description study was done to determine the agreement of echocardiographic measurement of EF, assessed by trained EM residents, compared with a cardiologist’s review. In this case, the results demonstrated moderate to good agreement.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"15 1","pages":"569 - 574"},"PeriodicalIF":0.3,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72546615","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}

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The Need for Providing Culturally Sensitive Health Care: Be an Advocate 提供具有文化敏感性的医疗保健的必要性:成为一名倡导者

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-14 DOI: 10.1177/87564793231187418

Erica Wiencek

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The Association Between Common Bile Duct Diameter and the Severity of Coronary Artery Atherosclerosis, Based on Calcium Score 基于钙评分的胆总管直径与冠状动脉粥样硬化严重程度的关系

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-08 DOI: 10.1177/87564793231191506

Fatemeh Kheiridoost Langroudi, T. Faghihi Langroudi, N. Akhoundi, Alireza Siami

{"title":"The Association Between Common Bile Duct Diameter and the Severity of Coronary Artery Atherosclerosis, Based on Calcium Score","authors":"Fatemeh Kheiridoost Langroudi, T. Faghihi Langroudi, N. Akhoundi, Alireza Siami","doi":"10.1177/87564793231191506","DOIUrl":"https://doi.org/10.1177/87564793231191506","url":null,"abstract":"Objective: The aim was to assess the relationship between the coronary calcium score and the common bile duct (CBD) diameter, to determine whether the increase in CBD diameter in patients without hepatobiliary disease could represent cardiovascular disease, or the extent of atherosclerosis in coronary arteries. Materials and Methods: The study cohort consisted of 103 patients referred for computed tomographic angiography (CTA) for coronary artery assessment. None of the patients had a gallbladder, biliary, or pancreatic disease or surgery history. The Agatston score determined the rates of arterial calcification. The diameter of the CBD was measured for a sonogram. Results: There was a statistically significant relatively strong correlation between calcium score and CBD diameter (r = 0.44, P = .001), independent of baseline variables, such as demographics and cardiovascular risk profiles. In the multivariable regression model, advanced age (beta = 0.825, P = .005), history of hypertension (beta = 0.591, P = .034), and history of coronary stenting (beta = 1.339, P = .001) were shown to be the main determinants of CBD dilatation. Conclusion: A statistically significant correlation existed between the CBD diameter and calcium score, within the coronary arteries and this could represent a shared pathophysiology between CBD dilatation and the severity of coronary atherosclerosis.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"14 1","pages":"561 - 567"},"PeriodicalIF":0.3,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80640122","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}

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Pheochromocytoma in a Pediatric Patient: A Case Report 儿童嗜铬细胞瘤1例报告

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-08 DOI: 10.1177/87564793231191438

Amanda Nedwick

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An Asymptomatic, Iatrogenic Hemobilia Detected by Contrast Enhanced Ultrasound of the Gallbladder 超声增强胆囊造影检测无症状医源性胆道1例

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-07-31 DOI: 10.1177/87564793231188423

G. Menozzi, A. Ricci, Francesca Maria Farina, G. Elisa, Valeria Maccabruni, B. Marani, L. Arletti, Carlo Grendene

{"title":"An Asymptomatic, Iatrogenic Hemobilia Detected by Contrast Enhanced Ultrasound of the Gallbladder","authors":"G. Menozzi, A. Ricci, Francesca Maria Farina, G. Elisa, Valeria Maccabruni, B. Marani, L. Arletti, Carlo Grendene","doi":"10.1177/87564793231188423","DOIUrl":"https://doi.org/10.1177/87564793231188423","url":null,"abstract":"Hemorrhage within the biliary system (hemobilia), is an infrequent complication that can arise during percutaneous procedures involving the liver. The clinical diagnosis of hemobilia is often challenging, as symptoms are quite unspecific and often display a late onset. In such cases, sonography of the gallbladder can play a crucial role in the early detection of hemobilia. A case report is provided of a 72-year-old man who underwent a sonography-guided percutaneous biopsy of a 22-mm focal lesion, within the eighth segment of the liver. In this patient, asymptomatic active hemobilia was promptly identified through contrast-enhanced ultrasound (CEUS) which was performed immediately after the invasive procedure. Crucially, this postprocedural complication may have gone undiagnosed without an early postprocedure grayscale visual analysis and CEUS evaluation, since the patient was completely asymptomatic. In conclusion, a grayscale sonogram of the gallbladder is suggested and should be considered before and immediately after percutaneous invasive procedures of the liver. In the instances where suspicion of hemobilia arises, CEUS can be used to assess the presence of active bleeding. Implementing this type of imaging protocol may possibly reveal a higher frequency of hemobilia than is commonly reported.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"107 1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89742885","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}

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The Accuracy of Various Lung Ultrasonography Findings in Predicting the Necessity for Surfactant Treatment in Neonates With Respiratory Distress Syndrome 各种肺部超声检查结果预测新生儿呼吸窘迫综合征表面活性剂治疗必要性的准确性

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-07-27 DOI: 10.1177/87564793231187323

Seyed Mohammad Sadegh Ghadiri Asli, Ameneh khalilzadeh Sabetmasouleh, N. Akhoundi, Alireza Siami

{"title":"The Accuracy of Various Lung Ultrasonography Findings in Predicting the Necessity for Surfactant Treatment in Neonates With Respiratory Distress Syndrome","authors":"Seyed Mohammad Sadegh Ghadiri Asli, Ameneh khalilzadeh Sabetmasouleh, N. Akhoundi, Alireza Siami","doi":"10.1177/87564793231187323","DOIUrl":"https://doi.org/10.1177/87564793231187323","url":null,"abstract":"Objective: The study was conducted to determine the value of various lung ultrasonography (LUS) findings in diagnosing neonatal respiratory distress syndrome (RDS) and to assess the ability of ultrasonography to predict the need for surfactant treatment. Materials and Methods: This cohort study was conducted on 164 neonates with RDS with a gestational age of over 28 weeks. Transthoracic sonography was performed in all patients in the infant isolet immediately after admission and stabilization of the infant and during the first 6 hours before surfactant treatment. Immediately after the sonogram, the neonates underwent an anterior–posterior view chest radiograph, before and after surfactant treatment. Results: In comparison with clinical manifestations and radiographic findings as the references, the sensitivity and specificity of each of the LUS-related parameters for detecting RDS were as follows: Faded A-lines (95.4% and 76.7%), abnormal B-lines (91.7% and 71.6%), the presence of consolidation (90.9% and 88.3%), the presence of pleural effusion (95% and 86.7%), and alveolar–interstitial syndrome (AIS) (98% and 96%). Conclusion: LUS findings were valuable in assessing and grading the severity of neonatal RDS alongside clinical evaluation. LUS may assist in selecting infants for surfactant therapy and monitoring treatment response.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"11 1","pages":"590 - 598"},"PeriodicalIF":0.3,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84252791","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}

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How to Prepare for Your Upcoming Accreditation Site Visit With Ease 如何轻松准备您即将到来的认证现场访问

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-07-27 DOI: 10.1177/87564793231182418

Douglas W. Clem

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Detecting Hemopneumothorax With Lung Sonography: A Case Report 肺超声检查血气胸1例

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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-07-22 DOI: 10.1177/87564793231187317

Issac Cheong, F. Tamagnone

{"title":"Detecting Hemopneumothorax With Lung Sonography: A Case Report","authors":"Issac Cheong, F. Tamagnone","doi":"10.1177/87564793231187317","DOIUrl":"https://doi.org/10.1177/87564793231187317","url":null,"abstract":"Hemopneumothorax is a rare but serious complication that can occur in patients with central venous catheters, trauma, or underlying lung disease. It involves the accumulation of blood and air in the pleural cavity, which can cause hypovolemic shock if left untreated. Lung sonography is a noninvasive, nonionizing radiation imaging technique, and easily accessible diagnostic tool that can be performed at the bedside in critically ill patients, for the diagnosis of hemopneumothorax. A case is reported of a 60-year-old female with a medical history of leukemia who developed hypovolemic shock due to right hemothorax caused by a perforation of the superior vena cava by a central venous catheter. The patient underwent emergency surgery and her condition improved, but later presented with symptoms of hemopneumothorax, which was diagnosed using lung sonography. Emergency placement of a pleural drainage tube was performed, but unfortunately, the patient’s condition deteriorated, and she received end-of-life care. Prompt diagnosis and management of hemopneumothorax are essential to prevent life-threatening complications, and lung sonography is a valuable diagnostic tool, in the diagnosis of critically ill patients.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"95 1","pages":"616 - 619"},"PeriodicalIF":0.3,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75378496","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}

引用次数: 0