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[PMID]:29205005
[Au] Autor:Yu YH; Lei LT; Yang CZ
[Ad] Endereço:Gutian County Public Security Bureau, Gutian 352200, China.
[Ti] Título:[Forensic Analysis of 95 Nasal Bone Fracture Cases Caused by Blunt Instrument].
[So] Source:Fa Yi Xue Za Zhi;32(5):353-355, 2016 Oct.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To explore the characteristics of nasal bone fracture caused by blunt instrument, including the fracture types, the fracture repair, and the difference of manifestations between X-ray and CT. To provide reference for the identification. METHODS: The information of basic situation, fracture site, injury manner, diagnosis method, expert opinion of 95 adult nasal fracture cases caused by blunt object, which occurred in Gutian county of Fujian province from January 1999 to December 2013, were analyzed by descriptive statistics. The identification conclusions of different injuries were compared according to new and old standards as well. RESULTS: There were total 95 adults including 87 male and 8 female. The fracture site and quantity have significant correlation with the nasal bone anatomical relations and the direction and size of the force. Compound fracture was most common. The fracture that could not be determined by X-ray could be clearly diagnosed by CT examination. According to new and old standards, different fracture types have different identification conclusions. CONCLUSIONS: There are gender differences in nasal bone fracture cases. Larger external force is easy to cause compound fracture. CT examination is significantly better than X-ray examination.
[Mh] Termos MeSH primário: Osso Nasal/lesões
Fraturas Cranianas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Radiografia
Padrões de Referência
Fatores Sexuais
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.05.009


  2 / 290153 MEDLINE  
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[PMID]:29292978
[Au] Autor:Palm A; Wilander E; Wallgren S; Hillerdal G
[Ad] Endereço:Department of Medical Sciences, Respiratory, Allergy and Sleep Research - Uppsala, Sweden Department of Medical Sciences, Respiratory, Allergy and Sleep Research - Uppsala, Sweden.
[Ti] Título:Sotrökslunga är en ny sjukdom i Sverige - Exponering för rök från biomassa är orsaken..
[So] Source:Lakartidningen;114, 2017 Dec 18.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Black smoke lung disease - a new disease in Sweden We describe two elderly female patients, immigrants to Sweden from Afghanistan, with intensive longtime exposure to smoke from biomass, and who presented with bronchial stenosis and severe bronchial obstruction. CT and X-ray showed bizarre perihilar infiltrates in the lungs. Bronchoscopy revealed black narrow bronchi with a middle lobe stenosis in one of the patients. These findings indicate the diagnosis bronchial anthracofibrosis (BAF). The here described findings are seen mainly in elderly never-smoking women from developing countries who have spent years cooking food in poorly ventilated kitchens. With increased immigration from these countries such cases will be seen in industrialized countries as well. Active tuberculosis must always be excluded but otherwise no more active investigations such as biopsies are warranted. We suggest that this disease should be termed ¼black smoke disease« to differentiate it from coal workers' pneumoconiosis, silicosis, and other classical occupational diseases which can have similar clinical and radiological pictures. This term is easily understood even by non-medical persons and illustratess both the etiology and the black bronchi.
[Mh] Termos MeSH primário: Antracose
Fumaça/efeitos adversos
[Mh] Termos MeSH secundário: Afeganistão/etnologia
Antracose/diagnóstico
Antracose/diagnóstico por imagem
Antracose/etiologia
Antracose/patologia
Biomassa
Broncoscopia
Materiais de Construção/efeitos adversos
Feminino
Seres Humanos
Irã (Geográfico)/etnologia
Meia-Idade
Exposição Ocupacional/efeitos adversos
Radiografia
Suécia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS
[Nm] Nome de substância:
0 (Smoke)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


  3 / 290153 MEDLINE  
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[PMID]:29292917
[Au] Autor:Annertz M; Andrén-Sandberg Å; Aspelin P; Fridén T; Geijer M; Nyman U
[Ad] Endereço:Skånes Universitetssjukhus - VO Bild och funktion Lund, Sweden Skånes Universitetssjukhus - Lund, Sweden.
[Ti] Título:Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten - MRT och DT ger bättre och billigare resultat..
[So] Source:Lakartidningen;114, 2017 Nov 14.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Lumbar spine radiography - unreliable diagnostic accuracy and negligible value for the patients In 2016 140 000 lumbar spine radiographies were performed in Sweden (14 000 per million inhabitants) to a cost of about 85 million SEK (≈8.5 million Euro) and a negligible value for the patients with low back pain. In the work-up of low back pain, when imaging is indicated, lumbar spine radiography should be replaced by limited magnetic resonance imaging including a whole lower body coronal STIR sequence or computed tomography with radiation dose adapted to indication and patient age. Indication for imaging should be restricted to 1) low back pain with more than 3-4 weeks duration in combination with at least one ¼red flag«, 2) radicular pain without improvement on conservative treatment, or 3) low back pain with more than 8 weeks duration in combination with ¼yellow flags«.
[Mh] Termos MeSH primário: Vértebras Lombares/diagnóstico por imagem
Radiografia/utilização
Procedimentos Desnecessários
[Mh] Termos MeSH secundário: Seres Humanos
Dor Lombar/diagnóstico por imagem
Imagem por Ressonância Magnética/economia
Imagem por Ressonância Magnética/normas
Masculino
Meia-Idade
Radiografia/economia
Radiografia/normas
Fatores de Tempo
Tomografia Computadorizada por Raios X/economia
Tomografia Computadorizada por Raios X/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


  4 / 290153 MEDLINE  
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[PMID]:29292919
[Au] Autor:von Heijne A
[Ad] Endereço:Danderyds sjukhus - Röntgenavd Stockholm, Sweden Danderyds sjukhus - Röntgenavd Stockholm, Sweden.
[Ti] Título:Undersökningar utan värde är ett problem i vården - Röntgen av ländryggen är ett bra exempel..
[So] Source:Lakartidningen;114, 2017 Nov 14.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Unnecessary tests Medical and technological development can make tests obsolete. Radiological exams of the lumbar spine only rarely adds value for the patient. Follow validated guidelines in order to decide when, and how, to perform imaging of the lumbar spine.
[Mh] Termos MeSH primário: Vértebras Lombares/diagnóstico por imagem
Radiografia/utilização
Procedimentos Desnecessários
[Mh] Termos MeSH secundário: Seres Humanos
Dor Lombar/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


  5 / 290153 MEDLINE  
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[PMID]:29466596
[Au] Autor:Fan E; Brodie D; Slutsky AS
[Ad] Endereço:Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
[Ti] Título:Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment.
[So] Source:JAMA;319(7):698-710, 2018 02 20.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Acute respiratory distress syndrome (ARDS) is a life-threatening form of respiratory failure that affects approximately 200 000 patients each year in the United States, resulting in nearly 75 000 deaths annually. Globally, ARDS accounts for 10% of intensive care unit admissions, representing more than 3 million patients with ARDS annually. Objective: To review advances in diagnosis and treatment of ARDS over the last 5 years. Evidence Review: We searched MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews from 2012 to 2017 focusing on randomized clinical trials, meta-analyses, systematic reviews, and clinical practice guidelines. Articles were identified for full text review with manual review of bibliographies generating additional references. Findings: After screening 1662 citations, 31 articles detailing major advances in the diagnosis or treatment of ARDS were selected. The Berlin definition proposed 3 categories of ARDS based on the severity of hypoxemia: mild (200 mm Hg
[Mh] Termos MeSH primário: Respiração Artificial/métodos
Síndrome do Desconforto Respiratório do Adulto/diagnóstico
Síndrome do Desconforto Respiratório do Adulto/terapia
[Mh] Termos MeSH secundário: Adulto
Algoritmos
Seres Humanos
Respiração com Pressão Positiva
Guias de Prática Clínica como Assunto
Radiografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.21907


  6 / 290153 MEDLINE  
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[PMID]:28450657
[Au] Autor:Hendarto H; Pramono LA; Harbuwono DS; Yunir E; Subekti I
[Ad] Endereço:Department of Internal Medicine, Faculty of Medicine and Health Science, Syarif Hidayatullah Islamic State University (UIN), Jakarta, Indonesia. hari.hendarto@uinjkt.ac.id.
[Ti] Título:Parathyroid Adenoma in a Young Female Presenting Multiple Fractures and Postoperative Hungry Bone Syndrome.
[So] Source:Acta Med Indones;49(1):69-73, 2017 Jan.
[Is] ISSN:0125-9326
[Cp] País de publicação:Indonesia
[La] Idioma:eng
[Ab] Resumo:A young 18-year-old female patient with general bone pain and history of multiple fractures brought her to our medical attention. Laboratory work showed hypercalcemia and high parathyroid hormone levels in the blood. Radiograph imaging revealed severe scoliosis with multiple vertebrae fractures with decreased bone mineral density. Sestamibi showed parathyroid adenoma. This case emphasizes the importance of maintaining a primary hyperparathyroidism as a differential diagnosis when a young patient presents with a multiple pathologic fractures history.
[Mh] Termos MeSH primário: Adenoma/diagnóstico por imagem
Hormônio Paratireóideo/sangue
Neoplasias das Paratireoides/diagnóstico por imagem
Escoliose/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adenoma/cirurgia
Adolescente
Densidade Óssea
Cálcio/sangue
Diagnóstico Diferencial
Feminino
Fraturas Múltiplas/diagnóstico
Seres Humanos
Hipercalcemia/etiologia
Dor/etiologia
Neoplasias das Paratireoides/cirurgia
Radiografia
Tecnécio Tc 99m Sestamibi
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Parathyroid Hormone); 971Z4W1S09 (Technetium Tc 99m Sestamibi); SY7Q814VUP (Calcium)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


  7 / 290153 MEDLINE  
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[PMID]:29391321
[Au] Autor:Okuda Y; Mizuno S; Koide T; Suzaki M; Isaji S
[Ad] Endereço:Department of Surgery, Kinan Hospital, Mie, Japan.
[Ti] Título:Surgical treatment of pneumatosis cystoides intestinalis with pneumoperitoneum secondary.
[So] Source:Turk J Gastroenterol;29(1):129-131, 2018 01.
[Is] ISSN:2148-5607
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Mh] Termos MeSH primário: Pneumatose Cistoide Intestinal
Pneumoperitônio
[Mh] Termos MeSH secundário: Seres Humanos
Radiografia
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.5152/tjg.2018.17519


  8 / 290153 MEDLINE  
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[PMID]:28459066
[Au] Autor:Jang SP; Yeo I; So SY; Kim K; Moon YW; Park YS; Lim SJ
[Ad] Endereço:Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
[Ti] Título:Atypical Femoral Shaft Fractures in Female Bisphosphonate Users Were Associated with an Increased Anterolateral Femoral Bow and a Thicker Lateral Cortex: A Case-Control Study.
[So] Source:Biomed Res Int;2017:5932496, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of our study was to investigate the radiographic characteristics of atypical femoral shaft fractures (AFSFs) in females with a particular focus on femoral bow and cortical thickness. We performed a fracture location-, age-, gender-, and ethnicity-matched case-control study. Forty-two AFSFs in 29 patients and 22 typical osteoporotic femoral shaft fractures in 22 patients were enrolled in AFSF group and control group, respectively. With comparing demographics between two groups, radiographically measured femoral bow and cortical thicknesses of AFSF group were compared with control group. All AFSF patients were females with a mean age of 74.4 years (range, 58-85 years). All had a history of bisphosphonate (BP) use with a mean duration of 7.3 years (range 1-17 years). Femoral bow of AFSF group was significantly higher than control group on both anteroposterior (AP) and lateral radiographs after age correction. Mean femoral bow on an AP radiograph was 12.39° ± 5.38° in AFSF group and 3.97 ± 3.62° in control group ( < 0.0001). Mean femoral bow on the lateral radiograph was 15.71° ± 5.62° in AFSF group and 10.72° ± 4.61° in control group (after age correction = 0.003). And cortical thicknesses of AFSF group demonstrated marked disparity between tensile and compressive side of bowed femurs in this study. An adjusted lateral cortical thickness was 10.5 ± 1.4 mm in AFSF group and 8.1 ± 1.3 mm in control group (after age correction < 0.0001) while medial cortical thickness of AFSF group was not statistically different from control group. Correlation analysis showed that the lateral femoral bow on the AP radiograph was solely related to lateral CTI ( = 0.378, = 0.002). AFSFs in female BP users were associated with an increased anterolateral femoral bow and a thicker lateral cortex of femurs.
[Mh] Termos MeSH primário: Conservadores da Densidade Óssea
Difosfonatos
Fraturas do Fêmur/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Conservadores da Densidade Óssea/efeitos adversos
Conservadores da Densidade Óssea/uso terapêutico
Estudos de Casos e Controles
Difosfonatos/efeitos adversos
Difosfonatos/uso terapêutico
Feminino
Fraturas do Fêmur/epidemiologia
Fêmur/diagnóstico por imagem
Seres Humanos
Meia-Idade
Osteoporose/tratamento farmacológico
Osteoporose/prevenção & controle
Radiografia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Bone Density Conservation Agents); 0 (Diphosphonates)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1155/2017/5932496


  9 / 290153 MEDLINE  
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[PMID]:29377951
[Au] Autor:Kruse C; Rosenlund S; Broeng L; Overgaard S
[Ad] Endereço:Department of Orthopaedic Surgery and Traumatology, Odense University Hospital and Institute of Clinical Research, University of Southern, Odense, Denmark.
[Ti] Título:Radiographic cup position following posterior and lateral approach to total hip arthroplasty. An explorative randomized controlled trial.
[So] Source:PLoS One;13(1):e0191401, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The two most common surgical approaches to total hip arthroplasty are the posterior approach and lateral approach. The surgical approach may influence cup positioning and restoration of the offset, which may affect the biomechanical properties of the hip joint. The primary aim was to compare cup position between posterior approach and lateral approach. Secondary aims were to compare femoral offset, abductor moment arm and leg length discrepancy between the two approaches. Eighty patients with primary hip osteoarthritis were included in a randomized controlled trial and assigned to total hip arthroplasty using posterior approach or lateral approach. Postoperative radiographs from 38 patients in each group were included in this study for measurement of cup anteversion and inclination. Femoral offset, cup offset, total offset, abductor moment arm and leg length discrepancy were measured on preoperative and postoperative radiographs in 28 patients in each group. We found that mean anteversion was 5° larger in the posterior approach group (95% CI, -8.1 to -1.4; p = 0.006), while mean inclination was 5° less steep (95% CI, 2.7 to 7.2; p<0.001) compared with the lateral approach group. The posterior approach group had a larger mean femoral offset of 4.3mm (95% CI, -7.4 to -1.3, p = 0.006), mean total offset of 6.3mm (95% CI, -9.6 to -3; p<0.001) and mean abductor moment arm of 4.8mm (95% CI, -7.6 to -1.9; p = 0.001) compared with the lateral approach group. We found a larger cup anteversion but less steep cup inclination in the posterior approach group compared with the lateral approach group. Femoral offset and abductor moment arm were restored after total hip arthroplasty using lateral approach but significantly increased when using posterior approach.
[Mh] Termos MeSH primário: Artroplastia de Quadril/métodos
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/cirurgia
[Mh] Termos MeSH secundário: Idoso
Artroplastia de Quadril/efeitos adversos
Fenômenos Biomecânicos
Feminino
Articulação do Quadril/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Radiografia
Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191401


  10 / 290153 MEDLINE  
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[PMID]:27775545
[Au] Autor:Hassouni ME; Tafraouti A; Toumi H; Lespessailles E; Jennane R
[Ti] Título:Fractional Brownian Motion and Rao Geodesic Distance for Bone X-Ray Image Characterization.
[So] Source:IEEE J Biomed Health Inform;21(5):1347-1359, 2017 09.
[Is] ISSN:2168-2208
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Osteoporosis diagnosis has attracted particular attention in recent decades. Textured images from the microarchitecture of osteoporotic and healthy subjects show a high degree of similarity, increasing the difficulty of classifying such textures. Thus, the evaluation of osteoporosis from the bone X-ray images presents a major challenge for pattern recognition and medical applications. The purpose of this paper is to use the fractional Brownian motion (fBm) model and the probability density function of its increments to compute a similarity measure with the Rao geodesic distance to classify trabecular bone X-ray images. When evaluated on synthetic fBm images (test vectors) with the well-known Hurst parameter H, the proposed method met our expectations in which a good classification of the synthetic images was achieved. A clinical study was conducted on textured bone X-ray images from two different female populations of osteoporotic patients (fracture cases) and control subjects. Using the proposed method, an area under curve rate of 97% was achieved.
[Mh] Termos MeSH primário: Osso e Ossos/diagnóstico por imagem
Interpretação de Imagem Assistida por Computador/métodos
Radiografia/métodos
[Mh] Termos MeSH secundário: Algoritmos
Simulação por Computador
Bases de Dados Factuais
Feminino
Seres Humanos
Osteoporose/diagnóstico por imagem
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1109/JBHI.2016.2619420



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