Improved Automatic Anatomic Location Identification Approach and CBR-Based Treatment Management System for Pediatric Foreign Body Aspiration

2020 ◽  
pp. 324-338
Author(s):  
Vasumathy M. ◽  
Mythili Thirugnanam
Keyword(s):  
Foreign Body ◽  
Management System ◽  
Foreign Body Aspiration ◽  
Treatment Management ◽  
Anatomic Location ◽  
Identification Approach ◽  
Pediatric Radiography ◽  
Location Identification ◽  
Sample Set

In general, the diagnosis and treatment planning of pediatric foreign body aspiration is done by medical experts with experience and uncertain clinical data of the patients, which makes the diagnosis a more approximate and time-consuming process. Foreign body diagnostic information requires the evidence such as size, shape, and location classification of the aspired foreign body. This evidence identification process requires the knowledge of human expertise to achieve accuracy in classification. The aim of the proposed work is to improve the performance of automatic anatomic location identification approach (AALIA) and to develop a reasoning-based systematic approach for pediatric foreign body aspiration treatment management. A CBR-based treatment management system is proposed for standardizing the pediatric foreign body aspiration treatment management process. The proposed approach considered a sample set of foreign body-aspired pediatric radiography images for experimental evaluation, and the performance is evaluated with respect to receiver operator characteristics (ROC) measure.

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 10 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor  

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Diagnostic confusion in paediatric respiratory pathology. Case report

ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 48-50
Author(s):  
Adina A. Zamfir-Chiru-Anton ◽  
D.C. Gheorghe
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Clinical Picture ◽  
Foreign Body Aspiration ◽  
Effective Therapy ◽  
Partial Loss ◽  
Detailed History ◽  
Therapy Approach ◽  
Diagnostic Confusion ◽  
Respiratory Pathology

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.

CREATING A CORPORATE PROJECT MANAGEMENT SYSTEM IN AN ORGANIZATION

2020 ◽  
Vol 2 (7) ◽  
pp. 49-54
Author(s):  
E. G. ERLYGINA ◽  
◽  
I. I. SAVEL’EV ◽  
Keyword(s):  
Project Management ◽  
Management System ◽  
Enterprise Management ◽  
Leadership Position ◽  
Project Approach ◽  
Project Management System ◽  
Strategic Process

Project approach in enterprise management is an important aspect in the company s performance which allows maintaining the company's leadership position in its field of activity. In this regard, the corporate project management system is an effective tool for managing the company's activities. The paper presents a possible typology of organizational projects, defines the place of project management in the strategic process of the organization. The classification of projects by main areas of activity is given. The problems of the project management system are considered and measures are developed to eliminate counteractions when implementing a corporate project management system.

Pneumopericardium after Foreign Body Aspiration: A Case Report

2020 ◽  
Vol 1 (1) ◽  
pp. 4-6
Author(s):  
Abdelgalil Ragab ◽  
Tarek Al Salhani ◽  
Sallam Taha ◽  
Eyad Darraj ◽  
Kamal Moustafa
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Sharp Foreign Body

A case of spontaneous pneumopericardium occurred in the patient after the aspiration of no sharp foreign body. The patient was sent to Operation Theater (OT), bronchoscopic extraction of the foreign body was performed, and the patient was stable postoperatively. Serial follow up X-rayswere done and showed resolving of the pneumopericardium.

scholarly journals Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weigang Gan ◽  
Ning Xiao ◽  
Yiyuan Feng ◽  
Danmei Zhou ◽  
Juanjuan Hu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Patients ◽  
Treatment Delay ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
External Factors ◽  
Factors Affecting ◽  
Intrinsic Factors ◽  
Common Location ◽  
Tracheobronchial Foreign Body

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.

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