Another study was concluded of contrast-enhanced ultrasonography in the characterization of ovarian tumors. The purpose of this study written by Sconfienza, was to “determine whether contrast enhanced ultrasonography of ovarian lesions provides useful information that cannot be obtained with conventional ultrasound. We used contrast enhanced ultrasound to assess 72 nonspecifiic adnexal lessons in 61 patients. In 8/61 CEUS offered no additional morphovascular information. in 38/61 cases it provided addition information that did not modify the management of the lesion, and in 15/61 cases it gave additional information that modified the management of the lesion.
Serologic testing is most simple and helpful. B henselae is difficult to culture. In selected cases, excision of an involved node is useful for histopathologic examination. Fine-needle aspira- tion biopsy is less invasive and may be preferred if feasible. Conventional stains can demonstrate granulomas and stellate necrosis, and silver stains can detect suggestive bacillary forms.
Donor tissue is prepared by trephining a previously excised corneoscleral button. The donor button is usually trephined to be about 0.25 mm larger in diameter than the planned diameter of the host opening to facilitate watertight closure, minimize postoperative flattening and reduce the possibility of postoperative glaucoma. A mechanically-guided trephination is standard although newer non-mechanical laser techniques are more accurate and are preferred by some surgeons when available (Gaster et al., 2012). Gaster RN, Dumitrascu O, Rabinowitz YS. Penetrating keratoplasty using femtosecond laser-enabled keratoplasty with zig-zag incisions versus a mechanical trephine in patients with keratoconus.
As the number of motor vehicle accidents increase in Namibia it is almost certain that the number of femur fractures will increase. Thus the need for the traction splint also increases. For this reason it is of upmost importance that future emergency care practitioners should receive the best training on the application of the traction
These improvements typically comes in because resolution of MSCT and MRI were not enough for forensic analysis (Thali et al., 2004). Micro-CT is basically a specialised CT with much higher spatial resolution that is very useful in analysing bone structure with patterned injury (Thali et al., 2003). Micro-MR, on the other hand, means magnetic resonance microscopy or MRM. According to Thali et al. (2004), it is very useful in analysing soft tissues injury patterns.
Ultrasound can be used as an alternative to x-ray for many investigations to minimize the use of radiation. The utility of ultrasound in the NICU lies in its portability, reliability and lack of radiation exposure. In NICU, ultrasound can be used for a wide range of indications, such as research, proceed guidance and rapid assessment of critical emergencies. In addition, ultrasound can be a guidance to improve safety and success rate of clinical procedures, such as umbilical vein catheter (UVC) placement. Given its availability and reliability, ultrasound can be used frequently and longitudinally to follow-up certain procedure.
Abstract Background: Laparoscopic cholecystectomy has become the treatment of choice for symptomatic gallstones. Previous abdominal surgery has been reported as an absolute contraindication to laparoscopic cholecystectomy in early days of this technique but nowadays it considered as a relative contraindication. This study specifically investigate the effect of previous abdominal surgery on the feasibility and safety of laparoscopic cholecystectomy. Methods: This study included 120 well-documented patients with gallstones who underwent laparoscopic cholecystctomy at our surgical department between December 2008 and October 2012. The patients were classified into 2 groups: group A, patients without a history of previous abdominal surgery (n_90);
Surgical site infections (SSIs) are frequent and serious complications of surgical procedures. They are associated with a prolonged duration of hospitalization, readmissions, re-interventions and the patient may suffer from permanent disability or even death.1 SSIs are probably the most preventable of the health care-associated infections. Despite the widespread international introduction of level I evidence-based guidelines for the prevention of SSIs, such as that of the National Institute for Clinical Excellence (NICE) in the UK and the surgical care improvement project (SCIP) of the USA, SSI rates have not measurably fallen. The care bundle approach is an accepted method of packaging best, evidence-based measures into routine care for all patients and, common to many guidelines for the prevention of SSI, includes methicillin resistant Staphylococcus aureus (MRSA) screening (in high risk operations as cardiac surgeries, orthopedic surgeries and neuro surgeries), methods for preoperative removal of hair (where appropriate), rational antibiotic prophylaxis, effective skin preparation, avoidance of perioperative hypothermia, and management of perioperative blood glucose. 2 Superficial and deep post-sternotomy infections are relatively frequent complications after cardiac surgery and are associated with substantial
Abstract — Brain magnetic resonance (MR) segmentation algorithms are critical to analyze tissues and diagnose edema and tumor in a quantitative way. The primary aim of brain image segmentation is to partition a given brain image into different regions representing anatomical structures. In this paper, we present a new effective segmentation algorithm that segments brain MR images into tumor, edema, white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF). The detection of the healthy tissues and the diseased tissues are performed for examining the change caused by the spread of tumor and edema on healthy tissues is very important for treatment planning. We developed an algorithm for skull stripping before the segmentation process.
The surgery is associated with many avoidable complications and hence requires a serious and cautious approach .The frequency of bile duct injury remains fairly constant .The seriousness of this complication relates in part of problems of biliary fistula and uncontrolled sepsis and in part to the technical difficulties of successful repair of bile duct injuries. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones unless there are contraindications to the laparoscopic approach. Sometimes a laparoscopic cholecystectomy may be converted to an open cholecystectomy for technical reasons or safety. Complications associated with cholecystectomy are bile duct injuries, bile leak from accessory bile ducts or due to clip displacement from the cystic duct, retained stones in the common bile duct, perforation of gallbladder, bleeding from liver, cystic or hepatic artery, subphrenic abscess and peritonitis. Bile duct injuries are important because they are preventable, but once they occur, they may be associated with considerable morbidity and
Ultrasound is particularly advantageous in this case because blood flow to the tumor can be assessed in the same exam using Doppler settings. Pathologies wherein tendons pull a portion of Cortical bone away from the bone surface, such as Osgood-Schlatter disease and avulsion fractures, are often well depicted with ultrasound. Stress fractures too small to be seen on radiographs can often be directly seen with ultrasound. Ultrasound is also a valuable tool for diagnosing and monitoring rheumatic diseases. The orthopedic pathologies which can be diagnosed with ultrasound are numerous.
MRI stands for magnetic resonance imaging. The MRI scan allows doctors to see soft tissues in the body such as organs and muscles without the bones hindering the view. In the pelvis scan, the MRI allows he doctor to see the bones and the blood vessels and some other soft tissues in the area between your hips where the reproductive organs are held and numerous critical muscles; pelvis. MRI is considered a safe way for screening because it does not use radiation unlike other methods of screening. Moreover, there are few risks that results from the MRI scan for those who have implants that contains metals because the magnet in the MRI can cause problems such as the implanted pins or screws to move in the body (Kim, S., 2015).
Traction could be used for stabilization of the neck and improve neck alignment. If a patient has herniated disc or protruding intervertebral disc, traction can reduce pressure over the nerve root. Studies show that this strategy is not effective for everyone. Heat, ice, or ultrasound is a good combination to use along with traction for herniated disc. Nerve root compression generally happens along with herniated disc.
You can also have a blood test done or a skull x-ray but CT is the best option (www.stanfordchildrens.org, 2015). The CT scan will show a detailed image of the area of interest and can see it in many different slices which makes it better than general radiography (www.stanfordchildrens.org, 2015). As you can see in the image to the right, it shows normal mastoid air cells on the right side and fluid filled mastoid cells on the left side. This more than likely would not show up on a
This will ensure that the treatment targets your specific problems. The exam may include recording how you react to different temperatures, touch and pin pricks as well as your balance. Other processes may include brain scanning and checking for vascular problems. With this type of comprehensive approach in Pramus, NJ, you have a good chance of successful treatments. Even if a person is already taking medication for neuropathy, it is possible to reduce pain through safe non-invasive and non-surgical treatments.