scholarly journals Significance of topical diagnosis in extreme situations

2020 ◽  
Vol 12 (8) ◽  
pp. 3924-3926
Author(s):  
Igor Klepikov
Keyword(s):  
Topical Diagnosis

Duus' Topical Diagnosis in Neurology

2012 ◽  
Author(s):  
Mathias Bähr ◽  
Michael Frotscher ◽  
Kueker ,
Keyword(s):  
Topical Diagnosis

Register of the human brain acoustic area spectrum

2021 ◽  
Author(s):  
G.A. Shabanov ◽  
А.А. Rybchenko ◽  
Yu.A. Lebedev ◽  
Е.А. Lugovaya
Keyword(s):  
Human Brain ◽  
Integration Time ◽  
Area Spectrum ◽  
Experimental Sample ◽  
Signal Integration ◽  
Silicone Membrane ◽  
Topical Diagnosis ◽  
Reticular Activating System ◽  
The Central Nervous System ◽  
Signal Integration Time

Abstract. Last years, there were developed methods based on the human brain and body acoustic signals application. We consider human brain micro vibrations as an ancient, highly reliable, relatively rapid channel of the central nervous system with all the organism cells and structures. There is offered a method of the human brain acoustic area spectrum analysis and registration. Experimental sample “Register of the human brain micro vibrations spectrum is developed. The model of the human brain acoustic area generation is offered – neurovascular reflex and related with human brain blood vessels smooth muscularity nerve cells metabolism. In comparison with classical EEG, it is demonstrated that acoustic encephalogram also reflects human brain neuroreflex activity. Piezoelectric sensors, which feature in silicone membrane existence, are investigated. Such type of construction allowed to register human brain mechanical vibrations in the gamut from 0.1 up to 27 Hz. Spectral analysis is specific in that signal integration time is 160 seconds. Meanwhile, 12600 spectral harmonics of the human brain reticular activating system were reliably extracted. For convenience, all the acoustic area spectrum of the human brain was shrunk into segmental frame of reference which is frequency structured matrix of functional conditions multiplicity “multiple arousal” of 24х625 frequency cells size. All the developed technologies and device might be used for the organism adaptation estimations, psycho-emotional conditions estimations and functional-topical diagnosis of the internal parts of the human body.

scholarly journals ACTH-PRODUCING PERIPHERAL PULMONARY CARCINOID

2018 ◽  
Vol 99 (4) ◽  
pp. 211-215
Author(s):  
I. Z. Korobkova ◽  
D. A. Dremin ◽  
S. M. Kacalov ◽  
I. V. Kirsan ◽  
A. A. Ugrimov ◽  
...  
Keyword(s):  
Neuroendocrine Tumors ◽  
Adrenocorticotropic Hormone ◽  
Imaging Techniques ◽  
Diagnostic Algorithm ◽  
Integrated Approach ◽  
Hormone Production ◽  
Pulmonary Carcinoid ◽  
Topical Diagnosis ◽  
Acth Secreting ◽  
Rule Out

The paper describes a clinical example of the topical diagnosis of adrenocorticotropic hormone (ACTH)-producing typical peripheral pulmonary carcinoid. The first stage in its diagnosis was to rule out the production of ACTH by the pituitary gland. The paper presents information on the most common localization of functioning neuroendocrine tumors, as well as a diagnostic algorithm to search for an ectopic focus of the ACTH-secreting tumor that causes hypercorticism. Taking into account that bronchopulmonary neuroendocrine tumors with ectopic hormone production occur rarely (5%), a clinical example is given to demonstrate the capabilities of imaging techniques and standards for their implementation using an integrated approach.

P2567First experience of non-invasive and invasive activation maps merge in carto system for topical diagnosis of focal arrhythmias

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
M Budanova ◽  
M Chmelevsky ◽  
S Zubarev ◽  
D Potyagaylo ◽  
L Parreira ◽  
...  
Keyword(s):  
Ventricular Arrhythmias ◽  
Operation Time ◽  
Lateral Wall ◽  
Posterior Wall ◽  
Late Enhancement ◽  
Ablation Procedure ◽  
Electrocardiographic Imaging ◽  
Non Invasive ◽  
Topical Diagnosis ◽  
Endocardial Surface

Abstract Background Correct preoperative topical diagnostics of atrial and ventricular arrhythmias allows for operation time reduction by facilitating the ablation target localization, especially in case of several ectopic sources. Purpose To implement a non-invasive electrocardiographic imaging (ECGI) technique in CARTO system for aiming at topical diagnostics of focal arrhythmias improving. Methods Twelve patients (m/f – 10/2, age (min–max) – 50,5 (32–71)) with focal arrhythmias underwent ECGI in combination with CT or MR imaging. Two subjects had atrial premature contractions (PAC), while ten patients suffered from ventricular premature contractions (PVC) with indications for ablation. Before the ablation procedure Carto LAT mapping was performed in all patients. Using ECGI epi-/endocardial polygonal models of the heart were created, isopotential and activation maps were calculated, uploaded into the Carto system and merged with the CARTO FAM models (Figure 1). Results For six patients with PVC and two patients with PAC, earliest activation zones (EAZs) anatomical locations obtained by invasive and non-invasive methods were the same (RVOT septum, RVOT lateral-anterior and RV lateral-basal walls, right aortic cusp, LVOT, coronary sinus (CS), CS ostium, RA posterior wall), and arrhythmias ablation was successful. Two patients featured coherent EAZs (RV lateral-basal wall and RVOT septum) but a negative ablation outcome. In one patient, EAZs were situated in different anatomical regions: CARTO showed the PVC EAZ in RV septum, whereas Amycard system identified endocardial surface of lateral-basal RV wall. In this patient, PVC was ablated partially. For another patient with MRI late enhancement area in LV lateral wall the EAZs were in the same LV segment but with mismatch in epi/endocardial surface. Conclusion Non-invasive and invasive activation maps merge can improve localization of ablation targets in focal arrhythmias, potentially increasing effectiveness of the EP procedure and reducing operation time.

scholarly journals New in the problem gallstone bowel obstruction

2020 ◽  
Vol 25 (1) ◽  
pp. 62-68
Author(s):  
V. I. Mamchich ◽  
N. D. Bondarenko ◽  
M. A. Chaika
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Bile Leakage ◽  
Acute Intestinal Obstruction ◽  
Diagnostic Methods ◽  
Acute Calculous Cholecystitis ◽  
Topical Diagnosis ◽  
Mechanical Intestinal Obstruction ◽  
Complex Forms ◽  
Calculous Cholecystitis

Aim. To identify the frequency of gallstone ileus based on the surgical experience of the Kiev region in patients with acute calculous cholecystitis and acute intestinal obstruction. To evaluate the capabilities of the gallstone ileus diagnosis algorithm for correct topical diagnosis before surgery.Materials and methods. For 2004–2018, 13713 patients with acute cholecystitis and 3609 patients with acute intestinal obstruction were hospitalized. In 0.64% of cases, gallstone ileus was diagnosed in patients with acute calculous cholecystitis, in 0.41% in choledocholithiasis, and in 2.4% in its complex forms. In 0.73% gallstone ileus was detected during operations for acute intestinal obstruction and in 1.12% for its obstructive form.Results. A total of 25 patients with gallstone intestinal obstruction underwent surgery. In the topical diagnosis of gallstone intestinal obstruction, X-ray contrast methods dominate. During surgical procedure, only with pyloroduodenal variants of obstruction, cholecystectomy is performed simultaneously with the elimination of obstruction. In other situations, cholecystectomy is performed after 3–8 months. Of the 25 patients, 4 patients died due to ascending cholangitis, peritonitis due to bile leakage, and severe co-morbidities.Conclusion. The use of the algorithm of advanced diagnostic methods allows you to receive a diagnosis in most patients. The most valuable in topical diagnostics are contrast methods. New in gallstone ileus is the migration of gallstone after endoscopic papillosphincterotomy with mechanical lithotripsy for choledocholithiasis, especially with its complex forms. In our opinion, all types of gallstone ileus can be combined into Bartolin-Bouveret syndrome, which first described this variant of mechanical intestinal obstruction.

scholarly journals Topical diagnosis of the boundaries of necrotic segment of the small intestine in the high frequency electromagnetic fields

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Victor Tarakanov ◽  
Sergey Minaev ◽  
Evgeniy Kolesnikov ◽  
Konstantin Korotkov ◽  
Valeriy Abushkevich ◽  
...  
Keyword(s):  
Small Intestine ◽  
Electromagnetic Fields ◽  
High Frequency ◽  
Topical Diagnosis

scholarly journals NON-INVASIVE ELECTROCARDIOGRAPHIC IMAGING IN DIFFERENTIAL AND TOPICAL DIAGNOSIS OF VENTRICULAR TACHYCARDIA WITH VENTRICULOATRIAL RETROGRADE CONDUCTION

2020 ◽  
Vol 26 (3) ◽  
pp. 65-70
Author(s):  
M. P. Chmelevsky ◽  
S. V. Zubarev ◽  
M. A. Budanova ◽  
T. V. Treshkur ◽  
D. S. Lebedev
Keyword(s):  
Ventricular Tachycardia ◽  
Conflicts Of Interest ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Electrocardiographic Imaging ◽  
Clinical Specialist ◽  
Non Invasive ◽  
Topical Diagnosis ◽  
Endocardial Surface ◽  
Retrograde Conduction

A case report of differential and topical diagnosis of ventricular tachycardia from right ventricular outflow tract endocardial surface with ventriculoatrial retrograde conduction using non-invasive electrocardiographic imaging is presented.Conflicts of Interest: M.Chmelevsky - clinical specialist EP Solutions SA, S.Zubarev and M.Budanova - consultants EP Solutions SA.

scholarly journals SURGICAL TACTICS IN PATIENTS WITH PENETRATING THORACIC INJURIES

World Science ◽  
2021 ◽  
Author(s):  
Belozоrov Igor ◽  
Kudrevych Oleksandr ◽  
Kosov Eugene ◽  
Rozhkova Olena ◽  
Barsukov Nikita ◽  
...  
Keyword(s):  
Pleural Cavity ◽  
Laboratory Data ◽  
Dynamic Monitoring ◽  
Evidence Based ◽  
Chest Injuries ◽  
Topical Diagnosis ◽  
Lung Injuries ◽  
Surgical Tactics ◽  
Based Medicine

To date, the basis of surgical tactics for chest injuries is the primary surgical treatment of the wound and drainage of the pleural cavity with dynamic monitoring and determination of indications for surgery, based on the amount of blood released by drainage, without any attempts to actively verify the nature of injuries.Treatment of patients on the basis of the so-called "individual approach" and active-waiting tactics, taking into account clinical, radiological and laboratory data, mainly meets the recommendations of the middle of the last century.From the standpoint of evidence-based medicine, thoracoscopy is the most effective method of topical diagnosis of traumatic hemothorax. Videothoracoscopic technologies significantly reduce the incidence of purulent intrapulmonary and pleural complications in penetrating lung injuries. Undoubted advantages of thoracoscopy are: full-fledged revision; accurate diagnosis, which eliminates doubts about the diagnosis and waiting period; determination of indications for drainage, operative thoracoscopy or thoracotomy.

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