The diagnostic value of levovist in Doppler imaging of visceral arteries in patients with abdominal angina before and after angioplasty

Aim A prospective study was undertaken to assess the diagnostic value and therapeutic usefulness of fibreoptic bronchoscopy in the critically ill. Method Fifty-six bronchoscopies were performed in fifty patients. Biochemical, radiological, microbiological and clinical assessments were made before and after each procedure. Results Eighteen fibreoptic bronchoscopies were performed for therapeutic indications (32.1%) of which ten (55.6%) yielded a useful outcome. Thirty-eight bronchoscopies were for diagnostic purposes (67.8%) of which 22 (5 7.9%) were clinically useful. Broncho-alveolar lavage was performed in twenty-eight cases (50%) and it led to a clinically useful diagnosis in 17 (60.7%). There was no major complication. A subgroup of patients was defined (persistent left lower lobe collapse or consolidation following thoracic or abdominal surgery) in whom fibreoptic bronchoscopy usually did not yield a useful outcome. Conclusion The use of fibreoptic bronchoscopy in the Intensive Care Unit, in combination with the technique of broncho-alveolar lavage, results in a clinically useful outcome in the majority of cases. Fibreoptic bronchoscopy is an effective and safe diagnostic and therapeutic tool in critically ill patients.

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Diagnosis and surgical treatment of liver echinococcosis

Medicni perspektivi (Medical perspectives) ◽

10.26641/2307-0404.2021.4.248172 ◽

2021 ◽

Vol 26 (4) ◽

pp. 113-117

Author(s):

V.O. Shaprinskyi ◽

O.O. Vorovskyi ◽

O.A. Kaminskyi ◽

Ya.M. Pashynskyi

Keyword(s):

Blood Loss ◽

Pleural Cavity ◽

Abdominal Cavity ◽

Diagnostic Value ◽

Results Of Treatment ◽

Before And After ◽

Residual Cavity ◽

Right Lobe ◽

The Right ◽

Duration Of Operation

The results of treatment of 72 patients with echinococcosis of the liver were analyzed, women – 62 (86.2%), men – 10 (13.8%). Primary echinococcosis was detected in 69 (95.8%) patients, secondary – in 3 (4.2%). Among instrumental research methods, ultrasound and computed tomography examination were of diagnostic value. Single liver cysts were found in 63 (87.5%) patients, multiple – in 9 (12.5%). Among patients with solitary cysts, the right lobe was more often affected than the left – 48 (66.7%) vs 24 (33.3%) cases. Echinococcosis of central localization was less common and was noted in 8 (11.1%) cases. Echinococcosis complications were observed in 16 (22.2%) patients. Among them, most often there were suppurations of the cyst – in 13 (18.1%); a bursting of the cyst into the free abdominal cavity – in 1 (1.4%), in the pleural cavity – 1 (1.4%), in the biliary tract – in 1 (1.4%). Partial or complete liming of the hand was observed in 12 (16.7%) patients. In 20 (27.8%) cases, the operation was performed from the upper median access, in 42 (58.3%) – from oblique hypochondria accesses by Kocher or by Fedorov. Pericystectomy was performed in 48 (66.7%) patients, in 8 (11.1%) patients underwent resections of liver segments with an echinococcal cyst, in 4 (5.6%) – cyst opening with removal of contents and treatment of its cavity. Laparoscopic echinococectomy was used in 12 (16.7%) patients. In the postoperative period complications were observed in 16 (22.2%) patients. The use of the welding electrocoagulator EK-300M "Swarmed" in the thermal rehabilitation of the walls of the residual cavity after echinococectomy allowed to reduce blood loss from 2200±210 ml to 250±50 ml. With the use of laparoscopic echinococectomy, intraoperative blood loss was reduced by 9 times (р=0.0001); duration of operation – 2 times (р<0.05), stay in hospital – 3.3 times (р=0.002). There were no fatal outcomes. Before and after operation antirelapse antiparasitic therapy with albendazole (Vormil) was performed in two cycles of 28 days, separated by a 14-day break. The dose at body weight over 60 kg was 400 mg 2 times a day, and for less than 60 kg the drug was calculated at a rate of 15 mg/kg/day. There were 2 (2.8%) cases of relapse, there was no mortality.

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Diagnostic value of cardiac magnetic resonance (cmr) before and after pulmonary transcatheter valve implantation: preliminary results

Journal of Cardiovascular Magnetic Resonance ◽

10.1186/1532-429x-12-s1-p20 ◽

2010 ◽

Vol 12 (S1) ◽

Author(s):

Secchi Francesco ◽

Giacomo Davide Edoardo Papinir ◽

Giovanni Di Leo ◽

Antonello Giardino ◽

Mario Carminati ◽

...

Keyword(s):

Cardiac Magnetic Resonance ◽

Magnetic Resonance ◽

Diagnostic Value ◽

Preliminary Results ◽

Before And After ◽

Transcatheter Valve ◽

Valve Implantation

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Treatment of the mandibular shift in an adult woman and the diagnostic value of joint space index: a case report

European Journal of Medical Research ◽

10.1186/s40001-020-00451-0 ◽

2020 ◽

Vol 25 (1) ◽

Cited By ~ 1

Author(s):

Kai Xia ◽

Wentian Sun ◽

Liyuan Yu ◽

Xinqi Huang ◽

Zhihe Zhao ◽

...

Keyword(s):

Cone Beam Ct ◽

Joint Space ◽

Diagnostic Value ◽

Outcome Evaluation ◽

Case Presentation ◽

Arch Form ◽

Before And After ◽

Condyle Position ◽

Diagnostic Approaches ◽

Skeletal Asymmetry

Abstract Background Mandibular deviations are common clinical complaints. The orthodontic or orthognathic treatment of mandibular deviations is tricky because a comprehensive diagnosis, especially a functional one, is difficult to make. A inaccurate diagnosis may lead to a compromised and unstable treatment outcome. Case presentation This article describes the diagnosis and treatment of a woman with a mandibular deviation and facial skeletal asymmetry. By eliminating the disharmony of the arch form with elastics and bite turbos, her esthetic and functional outcomes improved. Cone-beam CT (CBCT) and Joint Space Index (JSI) analyses served as the diagnostic approaches and outcome evaluation methods before and after treatment. Conclusions A condyle position displacement could be an indication of functional deviation. JSI analysis is a quantitative and convenient choice to compare condyle relative positions.

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Memory disturbances before and after onset of Alzelmer's disease: Predictive and diagnostic value

Biological Psychiatry ◽

10.1016/s0006-3223(97)87419-7 ◽

1997 ◽

Vol 42 (1) ◽

pp. 125S

Author(s):

J.M. Orgogozo ◽

C. Fabrigoule ◽

H. Amieva ◽

J.F. Dartigues

Keyword(s):

Diagnostic Value ◽

Before And After

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Color Doppler Imaging Analysis of Ocular Blood Flow Velocities in Normal Tension Glaucoma Patients: A Meta-Analysis

Journal of Ophthalmology ◽

10.1155/2015/919610 ◽

2015 ◽

Vol 2015 ◽

pp. 1-24 ◽

Cited By ~ 1

Author(s):

Shuo Xu ◽

Shouyue Huang ◽

Zhongjing Lin ◽

Wangmin Liu ◽

Yisheng Zhong

Keyword(s):

Color Doppler ◽

Meta Analysis ◽

Color Doppler Imaging ◽

Normal Tension Glaucoma ◽

Diagnostic Value ◽

Doppler Imaging ◽

Diagnostic Tools ◽

Significant Heterogeneity ◽

Cochrane Central Register ◽

Ischemic Change

Background. To evaluate the potential diagnostic value of CDI of retrobulbar hemodynamic changes in NTG patients.Methods. Relevant publications which included PSV, EDV, and RI of OA, CRA, NPCA, and TPCA in NTG patients and normal controls measured by CDI were retrieved from the Cochrane Central Register of Controlled Trials, PubMed, the ISI Web of Knowledge, and EMBASE from 1990 to 2014. Subgroup analyses were made based on IOP-lowering medications uses.Result. In OA, there was significant decrease of PSV with moderate heterogeneity (P<0.00001,I2=49%) and significant decrease of EDV with significant heterogeneity (P=0.0005,I2=87%) in NTG patients. In CRA, similar results of PSV (P<0.00001,I2=42%) and EDV (P<0.00001,I2=80%) were detected. Significant decrease of PSV and EDV with significant heterogeneity was also found in both NPCA (P<0.0001,I2=70%;P<0.0001,I2=76%; resp.) and TPCA (P<0.00001,I2=54%;P<0.00001,I2=65%; resp.). Statistically significant increases of RI were found in CRA (P=0.0002,I2=89%) and TPCA (P=0.02,I2=81%) with significant heterogeneities, though RI in OA (P=0.25,I2=94%) and in NPCA (P=0.15,I2=86%) showed no statistical changes with significant heterogeneities.Conclusions. Ischemic change of retrobulbar hemodynamics is one of the important manifestations of NTG. Hemodynamic parameters measured by CDI might be potential diagnostic tools for NTG.

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