scholarly journals X-RAY SPECTRAL ANALYSIS OF CAPSULES OF FOREIGN BODIES OF SOFT TISSUES OF GUNSHOT ORIGIN IN DYNAMICS

2021 ◽  
pp. 57-61
Author(s):  
P. M. Zamyatin ◽  
S. O. Beresnev ◽  
L. V. Provar ◽  
E. M. Khoroshun ◽  
I. F. Mikhailov ◽  
...  

The aim of the research is to determine and analyze the X-ray spectral composition of capsules around foreign bodies (CT) of soft tissues of fire origin. Materials and methods. As a material for X-ray spectrometric examination, soft tissues were removed, surgically removed together with an encapsulated foreign body of gunshot origin in 36 wounded in the period from 2 months to 23 years after the wound, who were treated at the Military Medical Clinical Center of the Northern Region of Ukraine. and in the State Institution «IZNH them. V.T. Zaitseva National Academy of Medical Sciences of Ukraine». Research results and their discussion. According to the results of X-ray diffraction analysis, the largest changes in trace elements were found, which show that heavy metals in the soft tissues of the body are broken down at the latest, but they can be identified most resistant to protective chemical processes: copper, zinc, lead (first group), which only 10 and 24 months after injury change their concentration twice. Conclusions. The data of X-ray spectral analysis in combination with morphological studies substantiate the expediency of removing CT of soft tissues of fire-fighting origin together with the capsule.

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 305-308
Author(s):  
Derek Harwood-Nash ◽  
Herman Grossman ◽  
Alvin Felman ◽  
John Kirkpatrick ◽  
Leonard Swischuk

Computerized tomography (CT), a technique conceptualized by Oldendorf in 19611 and developed by Hounsfield2 of EMI-Tronics Inc. (EMI) Central Research Laboratories, has proven to be a successful innovation in neuroradiology. Reviews by Ambrose3 in England and by Baker et al.4 and by New et al.5 in the United States have clearly demonstrated the value of this new modality in neuroradiological diagnosis. In 1975 Houser et al.6 and Harwood-Nash et al.7 provided the initial clinical and radiological data about CT in infants and children. More recently this technique has been extended to the study of tissues and organs in the body other than those in the head. This has been accomplished by modification of the original machine into a whole-body CT system. Early reviews by Ledley et al.8 and by Alfidi et al.9 suggest a significant potential for diagnosis of lesions in the abdomen, pelvis, and thorax. The advantages of CT are that it is less invasive than standard special diagnostic radiological procedures and that for the first time it provides in vivo information regarding the content and the characteristics of tissue composing organs and masses. DESCRIPTION OF EQUIPMENT In conventional radiography an image is made on radiographic film by an attenuated X-ray beam. In passing through a core of tissue, each ray of the beam is attenuated as it is absorbed and scattered by the tissue in its path. The intensity of the transmitted ray depends on the sum total of X-ray attenuation by all the different soft tissues in its path.


2020 ◽  
pp. 160-164
Author(s):  
V. V. Negoduyko ◽  
R. M. Mikhailusov ◽  
T. P. Yakimova ◽  
P. M. Zamyatin ◽  
S. O. Beresnev ◽  
...  

Sumary. The aim is to investigate the features of pathogenesis in capsule formation around metallic foreign bodies of soft tissues. Materials and methods. The results of a study of 6 patients with metallic foreign bodies of soft tissues with a carrier period of 16 to 50 years were analyzed. 3 injured had foreign bodies of gunshot origin and 3 patients had foreign bodies as a result of personal injury. Used clinical, laboratory, instrumental, histological, immunohistochemical, X-ray spectrometric studies. Results. All foreign soft tissue bodies were removed with the capsule. By gender: 5 men and 1 woman. By localization - the lower extremity. Pain was present in all the victims. Radiography and ultrasound were informative, magnetodetection is informative only at the superficial location of a foreign body. The foreign bodies were made of gray cast iron and steel needle wire. Histologically, immunohistochemically and radiospectrometrically, it has been found that the capsule formation around the foreign body is affected by the mechanism and extent of damage to the soft tissues, the composition of the metal and its coating, and the carrier term of the foreign body. Conclusions. Depending on the composition of the metal and its coating, there is a different rate of oxidation of the foreign body in the soft tissues: oxidation of metal foreign bodies of fire origin is faster. The formation of the capsule around the foreign body is affected by the mechanism of tissue damage: when the needle penetrates, the soft tissues are destroyed minimally, in the case of gunshot wounds, they are destroyed more. Spectral analysis data in conjunction with morphological studies are the basis for the removal of a foreign body of inflammatory origin along with the capsule.


1970 ◽  
Vol 20 (1) ◽  
pp. 67-70 ◽  
Author(s):  
MA Kasem Pramanik ◽  
Joydeep Bhaduri ◽  
AM Rashid ◽  
M Nazmul Hasan

Patients with foreign bodies inside soft tissues are common in a surgeon's daily practice,. Radio-opaque foreign bodies can easily be located with radiography but radio-lucent foreign bodies cannot be located with X-ray, where Ultrasonography especially, high resolution ultrasonography can be used to locate it. Ultrasonography, being easily available, cost-effective and radiation-hazard free, can be done repeatedly for foreign bodies which move inside tissues. The presenting article describes a patient with a radio-lucent foreign body, deep inside muscle in his fore-arm and having one sharp end, was advancing inside tissues, was located with the help of Ultrasonography and was removed.   doi: 10.3329/taj.v20i1.3095 TAJ 2007; 20(1): 67-70


2020 ◽  
pp. 112-115
Author(s):  
A.N. Koval ◽  
N.V. Tashkinov ◽  
G.G. Melkonyan ◽  
S.A. Vavrinchuk ◽  
A.Y. Marochko ◽  
...  
Keyword(s):  

2011 ◽  
Vol 9 (3) ◽  
pp. 457-469 ◽  
Author(s):  
Tiago P. Carvalho ◽  
James S. Albert

We redescribe Iracema caiana, a monotypic genus of the gymnotiform electric fish family Rhamphichthyidae. Iracema is known only from the type series (holotype and three paratypes) collected from the rio Jauaperi, affluent to the rio Negro in the Amazon basin, and was never collected again. Previous morphological studies were limited to features of external morphology. To study the osteology of Iracema we examined two specimens of different sizes using high-resolution x-ray computed tomography, a non-invasive and non-destructive technique to visualize internal anatomical structures. We describe and illustrate the osteology of Iracema caiana, and present data on morphometrics and external morphology. Contrary to previous hypotheses we propose that Iracema is the sister group to Rhamphichthys based on four synapomorphies: intermuscular bones present in the adductor mandibulae, reticulated texture of opercles, fully ossified Baudelot's ligaments, and elongate scales above the lateral line in the posterior portion of the body.


PEDIATRICS ◽  
1983 ◽  
Vol 71 (5) ◽  
pp. 852-854
Author(s):  
FRANCIS W. SMITH

Since before Roentgen's discovery of x-rays, man has been searching for a noninvasive method for assessing the soft tissue organs of the body. For many decades this need has been met by standard x-ray techniques. When x-rays pass through a body, they are absorbed by that body in differing amounts depending upon their density. Because most soft tissues have similar densities, conventional radiography is unable to differentiate overlapping soft tissue structures. In the early 1970s this difficulty was overcome by the development of x-ray computed tomography (CT). This advance in radiodiagnosis utilizes the same principle of measuring different coefficients of absorption, but collects data from many different directions and reconstructs them mathematically to display them as a cross-sectional image.


2020 ◽  
pp. 81-86
Author(s):  
P. N. Zamyatin ◽  
V. V. Negoduyko ◽  
R. N. Mikhaylusov ◽  
S. A. Beresnyev ◽  
L. V. Provar

Summary. The work studied the epidemiological and clinical aspects of foreign bodies of soft tissues (FBST) of a firearm origin, taking into account mechanical and traumatogenesis. Introduction. Diagnosis of FBST is usually based on complaints, history and examination data, radiographic and ultrasound examinations, and wound revisions. Some authors consider the diagnosis and removal of FBST not difficult, we consider it erroneous, since not all methods allow visualizing FBST and controlling their removal. Objective: to improve the results of surgical treatment of injured with FBST by developing new methods for the diagnosis and removal of FBST using modern technologies. Materials and methods. The basis of the clinical study was the experience of diagnosis and surgical treatment of 1046 wounded with the presence of gunshot FBST in accordance with the agreement between the Military Medical Clinical Center of the Northern Region (VMKC SR) and the State Institution “General and Emergency Surgery named after V.T. Zaitsev NAMS Ukraine. ”Depending on the methods used to diagnose and remove FBST, the wounded were divided into two groups: the main — 528 (50.5 ± 1.5) % (from November 2015 to May 2017) and the comparative — 518 (49.5 ± 1.5) % (from May 2014 to November 2015). Each of of the selected groups was divided into 3 subgroups depending on the completeness of the removed FBST: subgroup A — the wounded who removed the FBST in full; subgroup B — the wounded who did not remove the FBST in full (partially); B — the wounded who did not remove the FBST . Statistical processing was carried out using the standard office suite “Microsoft Office 2013” with the application of the package “Microsoft Excel” and statistical programs for biomedical research “Biostatistics”, “Statistica 10.0”. Results. Based on a comparison of clinical, clinical, instrumental and morphological data, the most informative functional signs of FBST were established: structure, size, shape, structure, capsule presence and indications and contraindications for FBST removal depending on localization, location depth and size were established, which made it possible to standardize data about FBST, determine the surgical tactics, the tools that are used, and improve treatment outcomes. New methods and devices have been developed and tested for determining and monitoring the completeness of FBST removal. Conclusions. It was concluded that as a result of using the proposed modern diagnostic technologies for FBST removal, the completeness of FBST removal significantly increased from (6.2 ± 0.1) to (1.4 ± 0.1) (p <0.0000), and the duration of FBST removal decreased from (30.4 ± 1.8) to (11.2 ± 1.3) minutes (p <0.0000), the number of surgical interventions decreased from (2.8 ± 0.2) to (1.7 ± 0.1) (p <0.0000), decreased the severity of pain from (7.3 ± 0.2) to (5.2 ± 0.4) points (p <0.0000), the inpatient treatment period decreased from (18.6 ± 1.1) to (16.5 ± 1.3) days.


2018 ◽  
Vol 47 (2) ◽  
pp. 164
Author(s):  
Puspa Zuleika ◽  
Abla Ghanie

Latar belakang: Aspirasi benda asing ialah masuknya benda yang berasal dari luar atau dalam tubuh, ke saluran trakeobronkial. Aspirasi benda asing saluran trakeobronkial merupakan keadaan darurat yang memerlukan tindakan bronkoskopi segera untuk mencegah komplikasi yang lebih serius. Tujuan: Mengidentifikasi karakteristik klinis pasien aspirasi benda asing saluran trakeobronkial di bagian Telinga Hidung Tenggorok – Bedah Kepala Leher (T.H.T.K.L) Fakultas Kedokteran Universitas Sriwijaya/ Rumah Sakit Dr. Mohammad Hoesin Palembang. Metode: Penelitian ini merupakan penelitian observasional deskriptif. Sampel penelitian ini diambil dari data rekam medis pasien aspirasi benda asing pada saluran trakeobronkial di Rumah Sakit Dr. Mohammad Hoesin Palembang periode Januari 2012 - Desember 2016. Hasil: Didapatkan 20 pasien dengan riwayat teraspirasi benda asing di saluran trakeobronkial. Dijumpai 9 orang laki-laki dan 11 orang perempuan dengan perbandingan 1:1,2, di mana usia 0-15 tahun merupakan penderita terbanyak aspirasi benda asing ini. Benda asing yang paling banyak ditemukan adalah mainan dan benda plastik sebanyak 9 kasus, serta jarum pentul sebanyak 6 kasus. Sebanyak 19 pasien diketahui terdapat riwayat tersedak benda asing. Pemeriksaan foto toraks menunjukkan gambaran normal pada 12 pasien. Lokasi benda asing terbanyak ditemukan di trakea sebanyak 8 kasus. Kesimpulan: Aspirasi benda asing di saluran trakeobronkial sering terjadi pada anak-anak yang berusia kurang dari 15 tahun. Benda asing terbanyak adalah anorganik berupa mainan dan benda plastik. Pemeriksaan radiologi paru dalam 24 jam pertama setelah kejadian aspirasi pada umumnya menunjukkan gambaran normal. Lokasi benda asing di saluran trakeobronkial terbanyak pada penelitian ini adalah di trakea. Kata kunci: Aspirasi, bronkoskopi, foto toraks, benda asing, traktus trakeobronkial ABSTRACT Background: Foreign body aspiration is the entrance of foreign objects from outside or inside of the body into the tracheobronchial tract. Aspiration of foreign body in tracheobronchial tract is an emergency condition that needs immediate bronchoscopy procedure to prevent serious complications. Objectives: To identify clinical characteristics of foreign body aspiration patients in ENT Department Sriwijaya Medical Faculty / Dr. Mohammad Hoesin Hospital, Palembang. Method: This study was a descriptive observational study. The sample of this study was taken from the medical record of tracheobronchial foreign body aspiration patients at Dr. Mohammad Hoesin Hospital from January 2012 until December 2016. Result: There were twenty patients with the history of foreign body aspiration in tracheobronchial tract, consisted of 9 male and 11 female, with the ratio 1:1,2, in which 0–15 year-old children were the majority of the patients. The most common foreign bodies were toys and plastic objects in 9 cases and head veil pin in 6 cases. Nineteen cases of the patients had the history of choking as presenting symptom. Chest X-Ray showed normal imaging on twelve patients. The most common site in tracheobronchial tract where foreign bodies found was the trachea, in eight cases. Conclusions: Foreign body aspirations in tracheobronchial tract were most frequently happened in children less than 15 year-old. The most common foreign bodies were anorganic material, such as toys and plastic objects. Lung X-Rays on the first 24 hours commonly showed normal imaging. Foreign bodies in tracheobronchial tracts most frequently were found in the trachea. Keywords: Aspirations, bronchoscopy, chest X-Ray, foreign body, tracheobronchial tree


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Wei Liu ◽  
Yanhong Zhang ◽  
Lifen Zhang

In order to improve the success rate of scalp venous indwelling needles in infants, image positioning and nursing of scalp venous indwelling needle catheters broken with multislice spiral CT were discussed. In this method, three-dimensional reconstruction of multislice spiral CT was used to diagnose and locate the broken catheter according to the anatomical morphology of the indwelling needle, and the treatment and related nursing were carried out. The results showed that the body temperature was 38.7°C, the pulse was 106 times/min, the respiration was 30 times/min, and the body weight was 15 kg. Laboratory examination: the percentage of leukocytes was 10.00 × 10/L, the percentage of lymphocytes was 24.8%, and the percentage of neutrophils was 63.7%. Head CT examination: no obvious abnormalities were observed. 31.9% of children diagnosed with hyperfebrile convulsions had good image quality after treatment with MSCT for catheter fracture of scalp vein indwelling needle; good quality was 52.8%, and barely diagnosed was 12.1%. Multiple post-treatment functions of MSCT have important value in the application of three-dimensional localization of foreign bodies in soft tissues in children and play a more important role in the diagnosis and preoperative evaluation of foreign bodies. Appropriate nursing care for children in the image location examination has very important guiding significance.


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