How to Perform a Reliable Full Spine X-ray Examination in Juvenile and Adolescent Scoliosis Our Experience

2020 ◽  
Author(s):  
Sergio Palandri ◽  
Fabrizio Trucchi
Keyword(s):  
Gold Standard ◽  
Exposure Dose ◽  
Point Of View ◽  
X Ray ◽  
Specific Category ◽  
Before And After ◽  
Ionizing Radiations ◽  
Detailed Protocol

Abstract Background:Ionizing radiations, even at low doses, present side effects that are known as well as girls and toung women constitute the most sensible individuals from a radioprotectional point of view. On the other side full spine x-ray radiography is the gold standard in diagnose and follow-up of AIS, where individuals involved are typicaly girls and young women.For these reasons, a partuicular care permorming radiographics esamination in this scope, in mandatory.The aim of this work is to provide a simple and detailed protocol to perform full-spine X-ray examination in diagnosis and follow-up of AISThis paper is the result of our experience along 7y of work in application and study of the scoliosis in the first two decades of life, combining the orthopaedist’s requirements, the surgical requirements along with the care for the particularly significant relational feature, due to the specific category of most individuals undergoing this radiological examination.Methods:For the maximum usability and Clarity, we considered three main topics: a) single examination b) examination during orthotic treatment and c) pre-op control. For each one we explained number and type of X-ray view used and how we performed them with the assistance of detalide figures. Results:By comparing X-ray images before and after the application of our protocol, we saw a significant increase in the quality of the produced images as well as a positive feedback from patients and parents acceptance.Conclusions:An extended collaboration between the Orthopaedic Surgeons and the Radiographer, has led to a clear improvement in technical execution and in an exposure dose reduction. Furthermore a particular attention to the patient’s comfort, along with some technical stratagems, led to an improving effectiveness of the services supplied.

scholarly journals How to Perform a Reliable Full Spine X-ray Examination in Juvenile and Adolescent Scoliosis.Experience outcome

2020 ◽  
Author(s):  
Sergio Palandri
Keyword(s):  
Gold Standard ◽  
Exposure Dose ◽  
Point Of View ◽  
X Ray ◽  
Specific Category ◽  
Before And After ◽  
Ionizing Radiations ◽  
Detailed Protocol

Abstract Background:Ionizing radiations, even at low doses, present side effects that are known as well as girls and toung women constitute the most sensible individuals from a radioprotectional point of view. On the other side full spine x-ray radiography is the gold standard in diagnose and follow-up of AIS, where individuals involved are typicaly girls and young women.For these reasons, a partuicular care permorming radiographics esamination in this scope, in mandatory.The aim of this work is to provide a simple and detailed protocol to perform full-spine X-ray examination in diagnosis and follow-up of AISThis paper is the result of our experience along 7y of work in application and study of the scoliosis in the first two decades of life, combining the orthopaedist’s requirements, the surgical requirements along with the care for the particularly significant relational feature, due to the specific category of most individuals undergoing this radiological examination.Methods:For the maximum usability and Clarity, we considered three main topics: a) single examination b) examination during orthotic treatment and c) pre-op control. For each one we explained number and type of X-ray view used and how we performed them with the assistance of detalide figures. Results:By comparing X-ray images before and after the application of our protocol, we saw a significant increase in the quality of the produced images as well as a positive feedback from patients and parents acceptance.Conclusions:An extended collaboration between the Orthopaedic Surgeons and the Radiographer, has led to a clear improvement in technical execution and in an exposure dose reduction. Furthermore a particular attention to the patient’s comfort, along with some technical stratagems, led to an improving effectiveness of the services supplied.

Obesity management through Ayurveda - A Case Study

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Dheeraj Kumar Tyagi ◽  
Shivakumar .
Keyword(s):  
Clinical Findings ◽  
Dietary Habit ◽  
Unhealthy Lifestyle ◽  
Lifestyle Management ◽  
Before And After ◽  
Effect Of Treatment ◽  
And Control

Lifestyle disorders are one of the biggest threats for the population living unhealthy lifestyle. Sthoulya (Obesity) is one such disorder which creates lot of physical as well as mental disorder to the sufferer. Due to changing lifestyle, comforts and dietary habit lots of individuals changed their life totally. Obesity is a growing disease in developed and developing countries. Prevalence is drastically hike in past few years. Ayurveda, the science of life with which we can manage and control lots of lifestyle disorders. Focusing on dietary and lifestyle management along with treatment, we can overcome the hazards of obesity which is growing in a uncontrolled manner. The available data is based on the clinical findings only. Aim and objective: To assess the effect of “Guru Cha Atarpanam Chikitsa” in the management of Sthoulya. Setting: Swastharakshana evam Yoga, OPD and IPD, SDMCAH, Hassan. Method: Udwarthana, Parisheka, Shamana Aushadhis, Ahara, and Vihara was followed within the treatment duration and effect of treatment was assessed before and after treatment, advised for follow up. Results: The treatment adopted is effective in the management of Sthoulya and to improve the quality of life.

scholarly journals Maternal and Congenital Toxoplasmosis: Diagnosis and Treatment Recommendations of a French Multidisciplinary Working Group

Pathogens ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 24 ◽  
Author(s):  
François Peyron ◽  
Coralie L’ollivier ◽  
Laurent Mandelbrot ◽  
Martine Wallon ◽  
Renaud Piarroux ◽  
...  
Keyword(s):  
Working Group ◽  
Congenital Toxoplasmosis ◽  
Congenital Infection ◽  
Before And After ◽  
Multidisciplinary Working ◽  
Neurological Alterations ◽  
Multidisciplinary Group ◽  
Toxoplasmosis During Pregnancy

Women infected with toxoplasmosis during pregnancy do not present symptoms in most cases, but the consequences of the congenital infection may be severe for the unborn child. Fetal damage can range from asymptomatic to severe neurological alterations to retinal lesions prone to potential flare up and relapses lifelong. Despite the possible severity of outcome, congenital toxoplasmosis (CT) is a neglected disease. There is no consensus regarding screening during pregnancy, prenatal/postnatal treatment or short or medium term follow-up. Since 1992, France has offered systematic serological testing to non-immune pregnant women, monthly until delivery. Any maternal infection is thus detected; moreover, diagnosis of congenital infection can be made at birth and follow-up can be provided. “Guidelines” drawn up by a multidisciplinary group are presented here, concerning treatment, before and after birth. The recommendations are based on the regular analysis of the literature and the results of the working group. The evaluation of the recommendations takes into account the robustness of the recommendation and the quality of the evidence.

Post-operative roentgenological findings and changes after mastoid obliteration

1983 ◽  
Vol 97 (5) ◽  
pp. 393-398 ◽  
Author(s):  
Kauko Ojala ◽  
Reijo Lahti ◽  
Antti Palva ◽  
Martti Sorri
Keyword(s):  
Bone Formation ◽  
Frequent Occurrence ◽  
New Bone Formation ◽  
Mastoid Obliteration ◽  
X Ray ◽  
Radiological Features ◽  
Operative Complications ◽  
Post Operative Complications

AbstractThis study consisted of the evaluation of the plain X-ray findings of films taken at early follow-up (mean 1.5 months after surgery) and at late follow-up(4–14 years after the early films) of 211 ears which had been operated on radically and obliterated. Residual cells which were detected on the basis of the early films were associated with a more frequent occurrence of post-operative infection and were thus hallmarks of a poorer prognosis. Changes in the bone surrounding the surgical cavity and the radiological quality of the walls of the surgical cavity, the presence of new bone formation in the cavity and other radiological features did not yield useful information about post-operative complications. New bone formation was associated with a smaller amount of post-operative cavitation. Post-operative X-ray examination of the obliterated ear is a prognostically useful examination, but it does not significantly contribute further to the information available by clinical and otomicroscopic examination in regards to the complications of infection and cholesteatoma.

A Community-Based Evaluation of Brief Guided Mindfulness in the Management of Stress and Difficult Emotions

2020 ◽  
pp. 1-18
Author(s):  
Shaya MacDonald ◽  
Susan Korol ◽  
Todd Vassallo ◽  
Cathy MacDougall
Keyword(s):  
Well Being ◽  
Mindfulness Practice ◽  
Practical Training ◽  
Structured Interviews ◽  
Depression Anxiety Stress Scale ◽  
Community Based ◽  
Perceived Quality Of Life ◽  
Before And After

The current study evaluated the effectiveness of a novel three-hour Guided Mindfulness Program on participants’ management of depression, anxiety and stress. The intervention included an educational component emphasizing the psychological value of mindfulness practice combined with a practical training component in mindfulness techniques. The Depression Anxiety Stress Scale was administered at three points in time before and after participation in the program. Additionally, semi-structured interviews were conducted to explore perceived quality of life, happiness, and stress 4 to 8 weeks following the program. All participants reported improvements in overall well-being and reported significant decreases in negative affect when comparing pre-program scores (baseline) to follow-up scores. Notably, qualitative interview results indicated that participants attributed most positive post-program results to informal mindfulness practice.

Identifying opportunities to improve quality of cancer care: An evaluation of the use of routine surveillance imaging scans in women with early breast cancer (EBC) treated in Ontario, Canada.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 115-115
Author(s):  
Katherine Enright ◽  
Mohammed Ghannam ◽  
Lingsong Yun ◽  
Nathan Taback ◽  
Christopher M. Booth ◽  
...  
Keyword(s):  
Cancer Care ◽  
Advanced Imaging ◽  
X Ray ◽  
Imaging Test ◽  
Routine Surveillance ◽  
Surveillance Imaging ◽  
Second Year ◽  
Bone Scans

115 Background: Over use of routine surveillance imaging to detect recurrence in women with EBC was recently identified as one of the top five opportunities to improve the quality of cancer care by the American Society of Clinical Oncology. We undertook a population level assessment of the current practice of surveillance imaging in EBC women treated in Ontario Canada. Methods: Incident EBC patients diagnosed 01/07 – 12/09 in Ontario, Canada were identified from the Ontario Cancer Registry. Patient records were linked deterministically to provincial health care databases to provide comprehensive medical follow-up. Basic (chest x-ray, abdominal x-ray and abdominal ultrasound) and advanced (computed tomography [CT] or bone scans) surveillance imaging scans completed during the first and second year of follow-up (starting 6 months after surgery or upon completion of chemotherapy) were identified. Logistic regression models were used to identify covariates associated with advanced surveillance imaging. Results: 16,981 EBC patients were included in the analysis of which 7,907(46.6%) received chemotherapy. In the first year of follow up care, 8,311 (48.9%) had at least 1 basic imaging test, while 4,916 (29.0%) had advanced imaging. This fell to 45.7% (basic) and 25.1% (advanced) in the second year of follow-up. Bone scans were the most common advanced imaging test (14.5%), followed by CT thorax (10.8%). On multivariable analysis age, stage, the use of chemotherapy and comorbidity were associated with increased use of advanced surveillance imaging (Table). Conclusions: Surveillance imaging was common in the first two years of follow-up for EBC patients. While appropriate for symptom driven investigation, the high rate of advanced imaging scans suggests an opportunity for improvement with the Ontario cancer system. [Table: see text]

Crystalline Structure and the Role of Low-Temperature-Deposited AlN and GaN on Sapphire Revealed by X-Ray CTR Scattering and X-Ray Reflectivity Measurements

2003 ◽  
Vol 10 (02n03) ◽  
pp. 537-541 ◽  
Author(s):  
Y. Takeda ◽  
M. Tabuchi ◽  
H. Amano ◽  
I. Akasaki
Keyword(s):  
Low Temperature ◽  
Crystalline Structure ◽  
Thin Layers ◽  
X Ray ◽  
Atomic Force ◽  
Crystal Truncation Rod ◽  
Before And After ◽  
Afm Observation

Crystalline and morphological quality of low-temperature (LT)-deposited and annealed AlN and GaN thin layers were investigated by X-ray crystal truncation rod (CTR) scattering and X-ray reflectivity measurements and atomic force microscope (AFM) observation. It was revealed that the LT-AlN layer was more uniform in terms of the crystalline structure and the layer thickness than the LT-GaN layer, before and after annealing. It suggests that LT-AlN is more suitable as a buffer layer between sapphire substrate and GaN.

scholarly journals Learning from the crowd while mapping to LOINC

2015 ◽  
Vol 22 (6) ◽  
pp. 1205-1211 ◽  
Author(s):  
Daniel J Vreeman ◽  
John Hook ◽  
Brian E Dixon
Keyword(s):  
Community Members ◽  
General Satisfaction ◽  
Community Mapping ◽  
Before And After ◽  
Study Participants ◽  
Automated Methods

Abstract Objective To describe the perspectives of Regenstrief LOINC Mapping Assistant (RELMA) users before and after the deployment of Community Mapping features, characterize the usage of these new features, and analyze the quality of mappings submitted to the community mapping repository. Methods We evaluated Logical Observation Identifiers Names and Codes (LOINC) community members’ perceptions about new “wisdom of the crowd” information and how they used the new RELMA features. We conducted a pre-launch survey to capture users’ perceptions of the proposed functionality of these new features; monitored how the new features and data available via those features were accessed; conducted a follow-up survey about the use of RELMA with the Community Mapping features; and analyzed community mappings using automated methods to detect potential errors. Results Despite general satisfaction with RELMA, nearly 80% of 155 respondents to our pre-launch survey indicated that having information on how often other users had mapped to a particular LOINC term would be helpful. During the study period, 200 participants logged into the RELMA Community Mapping features an average of 610 times per month and viewed the mapping detail pages a total of 6686 times. Fifty respondents (25%) completed our post-launch survey, and those who accessed the Community Mapping features unanimously indicated that they were useful. Overall, 95.3% of the submitted mappings passed our automated validation checks. Conclusion When information about other institutions’ mappings was made available, study participants who accessed it agreed that it was useful and informed their mapping choices. Our findings suggest that a crowd-sourced repository of mappings is valuable to users who are mapping local terms to LOINC terms.

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