scholarly journals Decreased Need for Anesthesia during Ultra-Fast Cranial MRI in Young Children: One-Year Summary

2021 ◽  
Author(s):  
Ina Sorge ◽  
Franz Wolfgang Hirsch ◽  
Dirk Voit ◽  
Jens Frahm ◽  
Matthias Krause ◽  
...  
Keyword(s):  
Young Children ◽  
Real Time ◽  
Ease Of Use ◽  
Conventional Mri ◽  
Key Points ◽  
Cranial Mri ◽  
Mri Protocol ◽  
One Year ◽  
Selection Of

Purpose Rapid volume coverage sequences based on real-time MRI allow for scanning of the entire brain within a few seconds. Movements of children become almost irrelevant due to the ultra-fast acquisition of 30 ms per slice. The adoption of these sequences in a real-time cranial MRI protocol (RT-cMRI) is expected to reduce the frequency of examinations requiring anesthesia in infants and toddlers. The aim of the study was to quantify the reduction in the number of anesthesia examinations in young children after the implementation of the new RT-cMRI protocol. Materials and Methods All cMRI studies of children up to 6 years in the first 12 months after the establishment of the RT-cMRI 2019/2020 were retrospectively compared to a matched group of the same period in 2017/2018. The frequency of examinations under anesthesia vs. non-sedation examinations was analyzed. In addition, the number of follow-up examinations and the effectiveness of RT-cMRI was determined. Results The launch of RT-cMRI led to a significant decrease in the proportion of cMRI under anesthesia from 92 % to 55 %. Only 2 % of the RT-cMRI failed and required conventional MRI under sedation in the follow-up. The speed and ease of use of RT-cMRI increased the number of follow-up examinations from 1.3 to 1.4 examinations per child. Conclusion This innovative real-time MRI examination allows a drastic reduction in the number of studies under anesthesia for suitable cranial pathologies in children under 6 years. However, cautious selection of indications as well as adjustments to the workflow in the radiological department are required. Key Points:  Citation Format

Modification of disruptive behavior of two young children and follow-up one year later

1970 ◽  
Vol 8 (1) ◽  
pp. 60-63 ◽  
Author(s):  
George R. Goodlet ◽  
Margaret M. Goodlet ◽  
Karen Dredge
Keyword(s):  
Young Children ◽  
Disruptive Behavior ◽  
One Year

scholarly journals Trampoline-related fractures of the proximal tibia in children

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Changhoon Jeong ◽  
Sang Uk Lee ◽  
Hyun Gyun Kim ◽  
Sun Young Joo
Keyword(s):  
Young Children ◽  
Tilt Angle ◽  
Tibial Fracture ◽  
Valgus Deformity ◽  
Limb Length ◽  
Common Mechanism ◽  
Angular Deformity ◽  
Proximal Tibial Fracture ◽  
One Year

Abstract Background Trampoline-related fractures of the proximal tibial metaphysis are common in children and have been linked to subsequent valgus deformity of the tibia. The purpose of this study was to investigate the characteristics of trampoline-related proximal tibial fractures in young children. Methods We evaluated 40 patients with proximal tibial fracture after trampolining between 2013 and 2019. The median duration of follow-up was 18 months. Standing long leg radiographs were obtained at the last follow-up to evaluate angular deformity and limb length inequality in the patients. The measurements recorded include the lower limb length, mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle (MPTA), mechanical axis deviation (MAD), and anatomical tibio-femoral angle (aTFA). The anterior tilt angle (ATA) was measured using a lateral radiograph of the tibia. Results The median age at injury was 40.0 months. Using trampoline with a heavier person was the most common mechanism of injury. aTFA and MAD were found to be increased towards the valgus at the last follow-up in our patient; however, the increase was not statistically significant (p = 0.692 and p = 0.973, respectively). The anterior tilt angle was increased in the injured leg at the last follow-up. But the change was not statistically significant (p = 0.09). Conclusions Using trampoline with a heavier person carries the risk of trampoline-related proximal tibial fracture in young children. We did not find a significant change in limb alignment at a minimum of one year of follow-up.

Language Production Abilities of Children Whose Stuttering Persisted or Recovered

1997 ◽  
Vol 40 (2) ◽  
pp. 385-399 ◽  
Author(s):  
Ruth V. Watkins ◽  
Ehud Yairi
Keyword(s):  
Young Children ◽  
Language Proficiency ◽  
Language Production ◽  
Initial Visit ◽  
Fluent Speech ◽  
Developmental Relationship ◽  
One Year ◽  
Mean Length Of Utterance ◽  
The Average Range

This study evaluated the language production capabilities of 32 young children whose stuttering followed divergent paths: one group whose stuttering persisted, one group who stuttered relatively briefly and recovered, and one group who stuttered for a longer period prior to recovery. Three indices of language production (mean length of utterance, number of different words, and number of total words) were obtained from spontaneous language samples. Measures of language production were calculated from samples collected at an initial visit near stuttering onset and at a one-year follow-up visit. Results revealed that the majority of the children who stuttered performed within the average range on these measures of language production. One child, a child whose stuttering persisted, consistently performed below the average range on all measures. Comparison of the three groups revealed greater variability, as well as atypical patterns of development, in the language production skills of children whose stuttering persisted. These findings suggest that although language production deficits do not appear to be widespread in children who stutter, examination of individual patterns of performance is central to clarifying the developmental relationship between language proficiency and the production of fluent speech.

scholarly journals PERANCANGAN APLIKASI PREFERENSI WARNA DESAIN INTERIOR SECARA REAL-TIME BERBASIS SMARTPHONE APPLICATION

2019 ◽  
Vol 18 (1) ◽  
pp. 130-148
Author(s):  
Nabil Amer Thabit ◽  
Banung Grahita ◽  
Prabu Wardono
Keyword(s):  
Real Time ◽  
Interior Design ◽  
Smartphone Application ◽  
Ease Of Use ◽  
Heuristic Evaluation ◽  
Color Combination ◽  
Average Value ◽  
Existing Problems ◽  
Head Mounted Display ◽  
Selection Of

Desainer interior selalu mempertimbangkan pemilihan warna karena warna dapat memengaruhi psikologis pengguna ruangan. Namun, hal tersebut merupakan proses desain yang tidak mudah. Solusi permasalahan tersebut adalah bertanya langsung kepada pengguna ruangan tentang warna yang digunakan. Namun, proses ini sering diabaikan karena harus berinteraksi dengan beberapa pengguna ruangan dan meneliti lebih jauh secara ilmiah sehingga dianggap tidak efisien. Selain itu, terdapat empat permasalahan responden pengguna ruangan, yaitu (1) penggunaan istilah warna, (2) kemampuan mata yang berbeda, (3) cahaya dengan bayangan, dan (4) ilusi perpaduan warna. Tujuan penelitian ini adalah mengetahui perancangan aplikasi smartphone untuk menganalisis preferensi warna desain interior dengan pemanfaatan teknologi real-time berbasis HMD. Evaluasi menggunakan 10 prinsip evaluasi heuristik yang menghasilkan jawaban kuantitatif beserta kualitatif. Hasil evaluasi memperlihatkan nilai keseluruhan rata-rata indeks kebergunaan sebesar 90,4%, dengan simpulan aplikasi dirancang dengan sangat baik. Penelitian ini pun dapat mengungkap permasalahan yang ada beserta solusi untuk meningkatkan kemudahan penggunaan aplikasi.  Interior designers always have to consider the selection of color because colors can affect room users psychologically, but it is not an easy design process. Solution to this problem is to ask users directly about color(s) that will be applied to the room. This process is often ignored because designers must interact with many users and do further scientific research, therefore it is considered inefficient. In addition, there are four room usage problems, as compiled from our respondents: (1) color terms used, (2) difference in visual perceptions, (3) lights with shadows, and (4) the illusion of color combination. The purpose of this study is to determine a smartphone application design to analyze color preference in interior design using real-time head-mounted display or HMD-based technology. This study used 10 heuristic evaluation principles that resulted in quantitative and qualitative answers. This study has overall average value with usability index of 90.4%, which concluded in a very well-designed application. This study has also successfully uncovered the existing problems, along with solutions to improve the application’s ease of use.

scholarly journals Patients rarely detect breaches of confidence

2003 ◽  
Vol 26 (3) ◽  
pp. 73
Author(s):  
Ea Mulligan ◽  
Moira Paterson
Keyword(s):  
Incidental Finding ◽  
Point Of Care ◽  
Household Survey ◽  
Telephone Interviews ◽  
Patient Reported ◽  
Representative Selection ◽  
One Year ◽  
Gain Access ◽  
Selection Of

Objective:To measure the prevalence of patient reported breaches of confidence emanating from health services inSouth Australia.Methods:A community household survey with follow up telephone interviews of those reporting unauthorised disclosures.Recruitment interviews were conducted during October and November 2001 with 3037 South Australian residentsover 15 years of age. South Australian households were selected randomly within a representative selection of censuscollection districts. Follow up telephone interviews were conducted with 18 respondents who reported unauthorisedinformation releases in the twelve months prior to the initial survey.Results:The one year prevalence of breaches of confidence reported by patients was 0.23 +/- 0.17% (1.96 x SE).This prevalence was significantly lower than a previously published estimate (Mulligan, 2001) of 1.1 +/- 0.4%(difference between proportions p= 0.003, z= 4.415) which relied upon reports of information disclosed without thepatients permission as a proxy for breaches of confidence.An incidental finding was that 0.20+/- 0.16% (1.96 x SE) of respondents reported exchanges of information amongstmembers of treating teams which had not been authorised by the patient.Conclusion:True breaches of confidence arising from health care interactions are rarely detected by patients. Ordinary informationsharing within treating teams may be a more important source of misunderstandings between patients and health careproviders. This issue can be addressed at the point of care by informing patients what will be done with their healthinformation and who may later gain access to it.

scholarly journals A Multimodal Approach to Stratification of Patients with Dementia: Selection of Mixed Dementia Patients Prior to Autopsy

2019 ◽  
Vol 9 (8) ◽  
pp. 187 ◽  
Author(s):  
Gary A. Rosenberg ◽  
Jillian Prestopnik ◽  
Janice Knoefel ◽  
John C. Adair ◽  
Jeffrey Thompson ◽  
...  
Keyword(s):  
Diffusion Tensor ◽  
Neuropsychological Testing ◽  
Vascular Cognitive Impairment ◽  
Tau Proteins ◽  
Mixed Dementia ◽  
Dementia Patients ◽  
Inflammatory Proteins ◽  
One Year ◽  
Selection Of

Alzheimer’s disease (AD) and vascular cognitive impairment and dementia (VCID) are major causes of dementia, and when combined lead to accelerated cognitive loss. We hypothesized that biomarkers of neurodegeneration and neuroinflammation could be used to stratify patients into diagnostic groups. Diagnosis of AD can be made biologically with detection of amyloid and tau proteins in the cerebrospinal fluid (CSF) and vascular disease can be identified with diffusion tensor imaging (DTI). We recruited patients with cognitive complaints and made an initial clinical diagnosis. After one year of follow-up we made a biological diagnosis based on the use of biomarkers obtained from DTI, CSF AD, and inflammatory proteins, and neuropsychological testing. Patients with AD had primarily findings of neurodegeneration (CSF showing increased tau and reduced amyloid), while patients with neuroinflammation had abnormal DTI mean diffusion (MD) in the white matter. Using the biological biomarkers resulted in many of the clinically diagnosed AD patients moving into mixed dementia (MX). Biomarkers of inflammation tended to be higher in the MX than in either the AD or VCID, suggesting dual pathology leads to increased inflammation, which could explain accelerated cognitive decline in that group.

scholarly journals One-Year Follow-Up of Combined Parent and Child Intervention for Young Children with ADHD

2013 ◽  
Vol 42 (2) ◽  
pp. 251-261 ◽  
Author(s):  
Carolyn Webster-Stratton ◽  
M. Jamila Reid ◽  
Theodore P. Beauchaine
Keyword(s):  
Young Children ◽  
Children With Adhd ◽  
Child Intervention ◽  
One Year

A STUDY OF THE OUTCOME OF “LIGAMENT CROISE ANTERIEUR" (ACL) RECONSTRUCTION USING AUTOLOGOUS HAMSTRING GRAFT

2021 ◽  
pp. 38-44
Author(s):  
Arun Kumar C ◽  
Ashwanth Narayan B ◽  
Rahul Vijay Gussain ◽  
Venkatachalam K ◽  
Harshiga Balasubramaniam
Keyword(s):  
Rehabilitation Program ◽  
Interference Screw ◽  
X Rays ◽  
Female Ratio ◽  
Operative Care ◽  
Good Technique ◽  
One Year ◽  
The Stability ◽  
Selection Of

ACL injury is a widely recognized injury affecting the Genu-Joint Male to female ratio of “L ” injuries are, igament Croise Anterieur (ACL) as high as 9 :1 igament Croise Anterieur (ACL) . “L ” reconstruction with Hamstring grafts, is currently one of the most commonly used method nowadays. This Prospective study of 30 subjects treated by surgicalarthroscopic technique, wherein, Quadrupled Graft of Hamstring was used,for the femoral xation, an endo-button was used, and for the tibial xation, screw of the interference variety was used. Patients were on routine follow up,for at least a period of one year. All the subjects were subjected to post-operative AP and LAT X-rays, to ear mark the placement of the tunnel and positioning of the endo-button in the femoral sector and the interference screw in the tibial sector. Subjects were,upon a follow-up program, at 1,2,3months and there again at the end of 6 months and later on twice in a year. All subjects were evaluated with Tegner and Lysholm Knee Scoring Scale. The major Goal of “L ” recon, is towards re-establishing the stability of the knee. Succe igament Croise Anterieur (ACL) ssful functional outcomes following “L ” reconstruction,with a Semi-tendinosus Gracilis Graft, ha igament Croise Anterieur (ACL) s been reported in the literature. The optimal xation methodology for “L ” reconstruction is still evolving and the e igament Croise Anterieur (ACL) xisting xation devices which has been extensively used are the Endo-button and the “Biological Interference Screws, which has led to a better rehabilitation program postoperatively. In our study, all subjects were ordained to a proper rehabilitation protocol. 10% (n=3) subjects in the present study, had excellent results, 80% (n=24) of the subjects had good results and 10% (n=3) of the subjects had fair results. No subjects were reported to be, in the poor outcome category. Treatment of “L ” njuries necessitates, cautious pre-operati igament Croise Anterieur (ACL) i ve planning, selection of patients, radiological evaluation, selection of graft thickness, planning of timing of surgery, careful intra-operative care, good technique and post-operative rehabilitation, including thorough counselling for a good functional outcome.

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