An Old Tool for an Effective Diagnosis of Thyroid Autonomy

2011 ◽  
pp. P2-698-P2-698
Author(s):  
Francesca Ianni ◽  
Germano Perotti ◽  
Rosa Maria Paragliola ◽  
Maria Pia Ricciato ◽  
Laura Castellino ◽  
...  
2005 ◽  
Vol 4 (4) ◽  
pp. 229-240
Author(s):  
A.R. Hale ◽  
H.A. v.d. Waterbeemd ◽  
R. Potter ◽  
B.H. Heming ◽  
P.H.J.J. Swuste ◽  
...  

The paper describes the methods used for a study of the safety management system and culture of a cold rolling mill in a steel plant. It uses data from diverse sources which can be validated against each other and combined to produce a rich picture of the current risk control system and its shortcomings. The paper also describes the proposed improvements and what the plant chose to implement. This step also throws light on the culture of the plant.


Respiration ◽  
2021 ◽  
pp. 1-34
Author(s):  
Jürgen Behr ◽  
Andreas Günther ◽  
Francesco Bonella ◽  
Julien Dinkel ◽  
Ludger Fink ◽  
...  

Idiopathic pulmonary fibrosis (IPF) is a severe and often fatal disease. Diagnosis of IPF requires considerable expertise and experience. Since the publication of the international IPF guideline in the year 2011 and the update 2018 several studies and technical advances have occurred, which made a new assessment of the diagnostic process mandatory. The goal of this guideline is to foster early, confident, and effective diagnosis of IPF. The guideline focusses on the typical clinical context of an IPF patient and provides tools to exclude known causes of interstitial lung disease including standardized questionnaires, serologic testing, and cellular analysis of bronchoalveolar lavage. High-resolution computed tomography remains crucial in the diagnostic workup. If it is necessary to obtain specimens for histology, transbronchial lung cryobiopsy is the primary approach, while surgical lung biopsy is reserved for patients who are fit for it and in whom a bronchoscopic diagnosis did not provide the information needed. After all, IPF is a diagnosis of exclusion and multidisciplinary discussion remains the golden standard of diagnosis.


1996 ◽  
Vol 81 (12) ◽  
pp. 4187-4193 ◽  
Author(s):  
S Dremier ◽  
F Coppée ◽  
F Delange ◽  
G Vassart ◽  
J E Dumont ◽  
...  

2013 ◽  
Vol 52 (05) ◽  
pp. 186-191 ◽  
Author(s):  
P. N. Truong ◽  
B. Bockisch ◽  
K. Zaplatnikov ◽  
W. T. Kranert ◽  
H. Korkusuz ◽  
...  

SummarySince the development of colour coded duplex-sonography (ccds), several attempts have been made to implement this technique for diagnosis of focal lesions in the thyroid. There are controversial discussions on whether ccds might replace thyroid scintigraphy in diagnosis of hyperfunctional thyroid nodules. Aim of this study was the comparison of ccds and thyroid scintigraphy in diagnosis of functional thyroid autonomy. Patients, material and methods: 192 patients with thyroid nodules > 10mm detected by conventional sonography underwent thyroid scintigraphy. Additionally, these patients were subjected to ccds of the thyroid. In total, 286 thyroid nodules were examined by scintigraphy, ccds and blood tests. Results: Thyroid scintigraphy showed 67% of thyroid nodules as hyperfunctional, 19% indifferent and 14% as hypofunctional. Mean 99mTc uptake of hyperfunctional nodules was 2.19%, of indifferent nodules 1.12% and of hypofunctional nodules 1.06% respectively. The ccds allowed perinodular measurement of flow speed (hyperfunctional: 0.23 ± O.1 m/s; hypofunctional: 0.22 ± 0.1; indifferent: 0.21 ± 0.09), resistance index (hyperfunctional: 1.21 ± 1.16; hypofunctional: 0.62 ± 0.48; indifferent: 0.93 ± 1.02) and pulsatility index (hyperfunctional: 0.97 ± 0.45; hypofunctional: 0.84 ± 0.4; indifferent: 1.04 ± 0.6) in all nodules as well as intranodular measurement in some of the nodules (24% in hyperfunctional, 2% in indifferent and 15% in hypofunctional nodules). Statistic analysis of the obtained ccds data did not show any practically relevant correlations (p>0.05) with 99mTc uptake, basal TSH, fT3 or fT4. Conclusion: Thyroid scintigraphy cannot be replaced by ccds for diagnosis of functional thyroid autonomy. Reliable diagnostics still require a combination of thyroid scintigraphy, sonography and blood tests.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 362
Author(s):  
Rasha Itani ◽  
Mohammed Alnafea ◽  
Maya Tannoury ◽  
Souheil Hallit ◽  
Achraf Al Faraj

With the novel coronavirus disease 2019 (COVID-19) pandemic, the need for radiologic procedures is increasing for the effective diagnosis and follow-up of pulmonary diseases. There is an immense load on the radiographers’ shoulders to cope with all the challenges associated with the pandemic. However, amidst this crisis, Lebanese radiographers are also suffering from a socioeconomic crisis and record hyperinflation that have posed additional challenges. A cross-sectional study was conducted among registered Lebanese radiographers to assess the general, workplace conditions, health and safety, mental/psychologic, financial, and skill/knowledge development impacts. Despite applying an adapted safety protocol, institutions are neither providing free RT-PCR testing to their staff nor showing adequate support for infected staff members, thus causing distress about contracting the virus from the workplace. Aggravated by the deteriorating economic situation that affected the radiographers financially, they additionally suffer from severe occupational physical and mental burnout. Regardless of that, they used their free time during the lockdown for skill/knowledge development and have performed many recreational activities. This cross-sectional study highlighted the different ways the pandemic has impacted the radiographers: physically, psychologically, and financially. It aimed to shed light on what these frontline heroes are passing through in the midst of all these unprecedented crises.


2021 ◽  
Author(s):  
Sang Mi Lee ◽  
Hyun Uk Kim

Novel biomarkers are increasingly identified using computational models for the effective diagnosis, prognosis and treatment of cancers.


2021 ◽  
Vol 21 ◽  
Author(s):  
Diala Merheb ◽  
Georgette Dib ◽  
Maroun Bou Zerdan ◽  
Clara El Nakib ◽  
Saada Alame ◽  
...  

: Peripheral neuropathy comes in all shapes and forms and is a disorder which is found in the peripheral nervous system. It can have an acute or chronic onset depending on the multitude of pathophysiologic mechanisms involving different parts of nerve fibers. A systematic approach is highly beneficial when it comes to cost-effective diagnosis. More than 30 causes of peripheral neuropathy exist ranging from systemic and auto-immune diseases, vitamin deficiencies, viral infections, diabetes, etc. One of the major causes of peripheral neuropathy is drug induced disease, which can be split into peripheral neuropathy caused by chemotherapy or by other medications. This review deals with the latest causes of drug induced peripheral neuropathy, the population involved, the findings on physical examination and various workups needed and how to manage each case.


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