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Diagnosis of Childhood Apraxia of Speech: A Systematic Review 儿童言语失用症的诊断:系统回顾
Pub Date : 2016-01-01 DOI: 10.18488/JOURNAL.98/2016.3.1/98.1.21.26
Fatemeh Sayahi, S. Jalaie
This review employed to establish frequency usage of clinical markers and diagnostic tests for childhood apraxia of speech. following databases were searched for published papers between 1980 and 2015 looking for clinical studies used the six introduced tests for motor speech performance; Web of Science, Scopus, CINAHL and Pubmed. . The review considered articles which for children at or below elementary school age with diagnosis of childhood apraxia of speech. Fifty seven articles met the inclusion criteria. Studies included other developmental motor speech disorders as well as childhood apraxia of speech were excluded. Twenty four articles excluded from the study and thirty three studies were reviewed. Twenty articles were in diagnostic tests and thirteen articles were in clinical markers. The Verbal Motor Production Assessment for Children is the most reliable diagnostic test for diagnosis of childhood apraxia of speech, and Inconsistency as well as vowel errors are the most frequent clinical markers.
本综述旨在建立儿童言语失用症的临床标志物和诊断测试的使用频率。在以下数据库中检索了1980年至2015年间发表的论文,寻找使用六种引入的运动语言表现测试的临床研究;Web of Science, Scopus, CINAHL和Pubmed. .本综述考虑了诊断为儿童言语失用症的小学年龄或以下儿童的文章。57篇文章符合纳入标准。研究包括其他发展性运动语言障碍以及儿童语言失用症被排除在外。本研究排除的24篇文章和33篇研究进行了综述。诊断试验20篇,临床标记物13篇。儿童言语运动产生评估是诊断儿童言语失用症最可靠的诊断测试,不一致和元音错误是最常见的临床标志。
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引用次数: 3
Reliability of the Laboratory Risk Indicator for Necrotizing Fasciitis (Lrinec) Score for Early Diagnosis of Necrotizing Fasciitis 坏死性筋膜炎实验室风险指标(Lrinec)评分对坏死性筋膜炎早期诊断的可靠性
Pub Date : 2015-01-01 DOI: 10.18488/JOURNAL.98/2015.2.2/98.2.10.17
Martis Manohar H M, P. Shetty, Hegde B R
Objective: Necrotizing fasciitis is a surgical emergency often requiring prompt diagnosis and treatment. Delay in surgical intervention can have catastrophic results including death. The laboratory risk indicator for necrotizing fasciitis (LRINEC) score uses laboratory parameters to assess the severity of infection and helps in early recognition of necrotizing fasciitis. i?½In this study, we collected the data of 40 patients diagnosed and treated as necrotizing fasciitis to validate the reliability of this score in early diagnosis of necrotizing fasciitis. Materials and methods: This is a retrospective study. Data of 40 patients admitted to Fr. Muller Medical College Hospital, Mangalore from August, 2012 to August, 2014 with a clinical diagnosis of Necrotizing fasciitis was analyzed and relevant statistical tests were applied to evaluate the reliability of the LRINEC score. Results: A total of 40 patients were included in the study. A LRINEC score of > 6 had a sensitivity of i?½ 93.10 %, specificity of 90.91%, positive predictive value of 96.43%, and negative predictive value of 83.33%. The most common organism isolated on culture was Staphylococcus aureus. Conclusion: The LRINEC score is an impressive diagnostic tool to differentiate between necrotizing fasciitis and other less severe soft tissue infections. It aids in early recognition of necrotizing fasciitis enabling prompt and appropriate treatment.
目的:坏死性筋膜炎是一种需要及时诊断和治疗的外科急症。手术干预的延误可能造成包括死亡在内的灾难性后果。坏死性筋膜炎实验室风险指标(LRINEC)评分使用实验室参数评估感染的严重程度,有助于坏死性筋膜炎的早期识别。我吗?在这项研究中,我们收集了40例诊断和治疗为坏死性筋膜炎的患者的数据,以验证该评分在坏死性筋膜炎早期诊断中的可靠性。材料与方法:本研究为回顾性研究。对2012年8月至2014年8月在芒格洛尔穆勒医学院医院收治的40例临床诊断为坏死性筋膜炎的患者资料进行分析,并应用相关统计学检验评价LRINEC评分的可靠性。结果:共纳入40例患者。LRINEC评分> 6,其敏感性为i?阳性预测值96.43%,阴性预测值83.33%,特异度90.91%。培养中最常见的细菌是金黄色葡萄球菌。结论:LRINEC评分是区分坏死性筋膜炎和其他不太严重的软组织感染的有效诊断工具。它有助于早期识别坏死性筋膜炎,使及时和适当的治疗。
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引用次数: 1
The Successful Treatment of Obstructive Uropathy Caused By Retroperitoneal Fibrosis with Steroids in the Latent Tuberculosis Case 潜伏性结核患者腹膜后纤维化致梗阻性尿路病变的类固醇成功治疗
Pub Date : 2015-01-01 DOI: 10.18488/JOURNAL.98/2015.2.1/98.1.5.9
Y. Soyoral, B. Özbay, H. Begenik, M. Aldemir, R. Erkoç, Deniz Bulut
Retroperitoneal fibrosis (RPF) is a rare disorder manifested by fibrosis and chronic inflammation in the retroperitoneal tissue. It has been reported that retroperitoneal fibrosis is induced by tuberculosis infection (4). We wanted to present a case of latent tuberculosis, who presented with anuria and developed by bilateral hydronephrosis depending on idiopathic RPF, and treated with steroid therapy, since it is a rare case.
腹膜后纤维化(RPF)是一种罕见的疾病,表现为腹膜后组织的纤维化和慢性炎症。有报道称,腹膜后纤维化是由结核感染引起的(4)。我们想报告一例潜伏性结核,他表现为无尿,并依赖特发性RPF发展为双侧肾积水,并接受类固醇治疗,因为这是一个罕见的病例。
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引用次数: 0
Heart Failure in a Young Lady: A Reversible Cause 一位年轻女士的心力衰竭:一个可逆的原因
Pub Date : 2015-01-01 DOI: 10.18488/JOURNAL.98/2015.2.1/98.1.1.4
Kaushik Ghosh, S. Sikdar, Susmita Ghosh, Ambarish Bhattacharyya, Sisir Chakraborty, A. Bag
Finding a reversible cause of pulmonary oedema due to left ventricular dysfunction in intensive care unit is very rare.Here we describe such an event in a young lady who has been diagnosed subsequently as Systemic Lupus Erythromatosus with cardiomyopathy and treated successfully. From ‘Do Not Resuscitate, to ‘doing well’ this is really an encouraging success story.
发现一个可逆的原因肺水肿由于左心室功能障碍在重症监护病房是非常罕见的。在这里,我们描述了这样一个事件的年轻女士谁已被诊断为系统性红斑狼疮心肌病和治疗成功。从“不要复苏”到“做得好”,这真是一个令人鼓舞的成功故事。
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引用次数: 0
Investigation of Kidney Stone Using a Microstrip Patch Antenna Scanning System 用微带贴片天线扫描系统研究肾结石
Pub Date : 2015-01-01 DOI: 10.18488/journal.98/2016.3.1/98.1.1.10
Mohamad Alwan, S. Sadek
The abnormalities of the kidney can be identified by ultrasound imaging. The kidney may have structural abnormalities like kidney swelling, or change in its position and appearance. Kidney abnormality may also arise due to the formation of stones, congenital anomalies, blockage of urine etc. For surgical operations it is very important to identify the exact and accurate location of stone in the kidney. The ultrasound images are of low contrast and contain speckle noise and could affect human body in some situations like pregnancy. This makes the detection of kidney abnormalities rather challenging task. Thus, microwave imaging could be a good alternative. A microstrip patch antenna scanning system allows to identify the exact and accurate location of stone in the kidney. A physical testing system will be developed in order to generate antenna response surfaces on material which could represent the human body. The serum is used in the experimental measurement because it has similar dielectric properties as human body. In order to represent stone presence in an homogenous medium, small calcium sto ne bearings of different sizes embedded are used to simulate the abnormality. Compact microstrip patch antenna were designed and tested at different frequencies in ISM band : 2.26 GHz, 2.38 GHz, 2.5 GHz, and 2.62 GHz for the RF investigation imaging system in order to detect and localize stones in the kidney.
肾脏的异常可以通过超声显像来鉴别。肾脏可能有结构异常,如肾脏肿胀,或改变其位置和外观。肾结石的形成、先天性异常、尿堵塞等也可能引起肾脏异常。对于外科手术来说,确定肾结石的准确位置是非常重要的。超声图像对比度低,含有斑点噪声,在怀孕等情况下可能对人体产生影响。这使得肾脏异常的检测相当具有挑战性。因此,微波成像可能是一个很好的选择。微带贴片天线扫描系统允许识别肾脏中结石的准确位置。为了在代表人体的材料上生成天线响应面,将开发一个物理测试系统。由于血清具有与人体相似的介电特性,故用于实验测量。为了在均质介质中表示结石的存在,使用不同尺寸的小钙石轴承来模拟异常。设计了小型微带贴片天线,并在ISM频段2.26 GHz、2.38 GHz、2.5 GHz和2.62 GHz的不同频率下对射频调查成像系统进行了测试,用于肾脏结石的检测和定位。
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引用次数: 1
Study of Hepatic Dysfunction in Patientsinfected with Dengue Virus 登革病毒感染患者肝功能障碍的研究
Pub Date : 2015-01-01 DOI: 10.18488/JOURNAL.98/2015.2.2/98.2.18.23
M. Younus, Aiysha Ejaz, Mu Khan, A. Maqbool, Q. Nisa, Sanan Raza, A. Khan
Dengue fever is a fatal infection affecting the lives of the patients and this study was designed to further explore its pathological effects. A total of 200 consecutives of dengue viral infection were included in this prospective descriptive study conducted at the Department of Pathology, University of Veterinary and Animal Sciences, Lahore from October, 2009 to September, 2010. A special proforma was designed to collect all the relevant clinical information from each patient. All the strip positive cases of dengue virus were further confirmed by performing IgM capture ELISA and then analyzed for hepatic impairment through liver function tests including serum bilirubin, serum alkaline phosphatase, serum ALT and AST. The results were then gathered and analyzed. The already existing liver diseases like hepatitis A, B, C, E and inherited liver disorders were not included in the study. Total number of patients included in study with Dengue IgM +ve were 200. Out of 200 cases 130 were male and 70 were females. The patients were categorized into two classes according to severity of sign symptoms like puerperal rash on the body. The classes are dengue fever (DF) and dengue hemorrhagic fever (DHF). The total number of DF cases was 28.50% (57/200) and number of DHF cases was 71.50% (143/200). The patients of DHF group were found to have more liver derangement that is 90.20% (128/200) while the patients belonging to DF group were at a less risk for impairment of liver function that is 9.80% (15/200). The patients with dengue hemorrhagic fever are more prone to have liver enzyme derangement and it has a direct relation with the titer IgM in the body of patients infected with dengue virus. The liver enzyme which are found to be more raised are serum ALT and AST while serum alkaline phosphatase and serum bilirubin are not markedly raised.
登革热是一种影响患者生命的致死性感染,本研究旨在进一步探讨其病理作用。这项前瞻性描述性研究于2009年10月至2010年9月在拉合尔兽医和动物科学大学病理学系进行,共纳入了200例登革热病毒感染的连续病例。设计了一份特殊的表格来收集每位患者的所有相关临床信息。所有登革病毒条带阳性病例均采用IgM捕获ELISA法确诊,并通过血清胆红素、血清碱性磷酸酶、血清ALT、AST等肝功能指标分析是否存在肝损害,收集分析结果。已经存在的肝脏疾病如甲型、乙型、丙型、戊型肝炎和遗传性肝脏疾病不在研究范围内。纳入研究的登革热IgM +ve患者总数为200例。在200例病例中,男性130例,女性70例。根据患者身上的产褥期皮疹等体征症状的严重程度将患者分为两类。分类是登革热(DF)和登革出血热(DHF)。DF病例数占28.50% (57/200),DHF病例数占71.50%(143/200)。DHF组患者肝功能损害发生率较高,为90.20% (128/200),DF组患者肝功能损害发生率较低,为9.80%(15/200)。登革出血热患者更易发生肝酶紊乱,且与登革病毒感染者体内IgM滴度有直接关系。肝酶升高较多的是血清谷丙转氨酶和谷丙转氨酶,而血清碱性磷酸酶和血清胆红素未明显升高。
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引用次数: 0
APPLICATION OF SALIVA AS DIAGNOSTIC BIO-FLUID- AN OVERVIEW 唾液作为诊断性生物液的应用综述
Pub Date : 2014-01-01 DOI: 10.18488/JOURNAL.98/2014.1.1/98.1.13.17
Manu Rathee, Mohaneesh Bhoria
Saliva, a biologic fluid, recently has been a boon in the field of diagnostic science, as the presence of viable biomarkers in saliva elaborate its applications in multiplexed assays, disease diagnosis, clinical monitoring and for clinical decisions of patient care. Application of saliva in diagnosis is undeniable as ease in sample collection and conventional procedure. This article provides emerging evidence to provide an overview of salivary diagnostics in various fields of diagnosis and affirm its application as diagnostic Bio-Fluid.
唾液作为一种生物液体,近年来在诊断科学领域成为一个福音,因为唾液中存在可行的生物标志物,使其在多种检测、疾病诊断、临床监测和患者护理的临床决策中得到了广泛应用。唾液在诊断中的应用是不可否认的,因为它便于样本采集和常规程序。本文提供了新的证据,概述了唾液诊断在各个诊断领域的应用,并肯定了其作为诊断生物流体的应用。
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引用次数: 2
CHONDROSARCOMA OF THE UPPER EXTREMITY OF THE HUMERUS: A CASE REPORT 肱骨上肢软骨肉瘤1例报告
Pub Date : 2014-01-01 DOI: 10.18488/JOURNAL.98/2014.1.2/98.2.42.46
A. Mouhsine, H. Sallahi, A. Belkouch, E. Atmane, Redouane Rokhssi, Y. Berrada, Khalid Koulali, L. Belyamani, A. Elfikri, M. Mahfoudi
Chondrosarcomas are frequent bone tumors, just after osteosarcomas, they represent 11 to 22% of all bone tumors. Proximal humerus localization occurs in about 9% of cases, the clinical picture is variable, imagery helps to establish the diagnosis, to give an exact lesion assessment and to guide therapeutic attitude and post treatment control. Confirmation is set by histology. We highlight through this case presentation clinical and radiological aspects of these tumors.
软骨肉瘤是一种常见的骨肿瘤,仅次于骨肉瘤,占所有骨肿瘤的11%至22%。肱骨近端定位发生在约9%的病例中,临床图像是可变的,图像有助于建立诊断,给出准确的病变评估,指导治疗态度和治疗后控制。确认由组织学决定。我们通过这个病例强调这些肿瘤的临床和放射学方面的表现。
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引用次数: 0
Non Syndromic, Bilateral, Dentigerous Cysts Associated with Inverted Mandibular Third Molars: A Case Report 非综合征性,双侧,含牙囊肿与下颌内翻第三磨牙:1例报告
Pub Date : 2014-01-01 DOI: 10.18488/JOURNAL.98/2014.1.1/98.1.1.5
N. PurnachandraraoNaik., A. Ravikiran, Y. Samata, A. Vijaykumar
Dentigerous cyst is an epithelial-lined developmental crater that encloses the crown of an unerupted tooth at the cementoenamel junction. Bilateral or multiple dentigerous cysts are often associated with few syndromes. Even though dentigerous cysts are common developmental cysts, bilateral occurrence of dentigerous cysts are extremely uncommon and to date, only 22 cases have been reported in literature till 2011. In English based language literature review, we only found nine reports of non-syndromic bilateral dentigerous cyst associated with mandibular third molars. The present article report a case of bilateral non-syndromic, dentigerous cysts associated with inverted mandibular third molars in a 25 years old male patient with brief review of literature.
牙本质囊肿是一种上皮排列的发育性凹坑,它包围着未出牙的牙釉质交界处的牙冠。双侧或多发含牙囊肿通常伴有少数综合征。尽管牙性囊肿是常见的发育性囊肿,但双侧发生牙性囊肿极为罕见,截至2011年文献报道仅22例。在以英文为基础的文献回顾中,我们仅发现9例与下颌第三磨牙相关的非综合征性双侧含牙囊肿。本文报告一例25岁男性患者双侧无综合征,含牙囊肿伴下颌内翻第三磨牙,并简要回顾文献。
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引用次数: 1
SERUM RANKL/OSTEOPROTEGERIN COMPLEX AND ENDOTHELIAL PROGENITOR CELLS IN CHRONIC HEART FAILURE 血清兰克尔/骨保护素复合物和内皮祖细胞在慢性心力衰竭中的作用
Pub Date : 2014-01-01 DOI: 10.18488/JOURNAL.98/2014.1.2/98.2.28.41
A. Berezin, A. Kremzer
The objectiveof this study was to assess an interrelationship serum RANKL/OPG complex with counts of circulating pro-angiogenic endothelial progenitor cells (EPCs) labeled as CD14+CD309+, and CD14+CD309+Tie2+ in patients with ischemic chronic heart failure (CHF).Methods: The study retrospectively evolved 153 patients (86 males) aged 48 to 62 years with exiting proven stable coronary artery disease (CAD). Systolic or diastolic CHF was defined among 109 (71.2%) patients. Twenty five 25 individuals were included in the control group. Circulating RANKL (sRANKL) and OPG were measured by high-sensitive ELISA kit at baseline. EPC populations were labeled by flow cytofluorimetry per High-Definition Fluorescence Activated Cell Sorter methodology.Results: Numerous of EPCs with phenotypes of CD14+CD309+ and CD14+CD309+Tie2+ were significantly lower in CAD patients when compared with healthy subjects. The trend to significant decrease of EPC numerous depending presence of CHF was found. The sRANKLlevel, OPG level, and sRANKL / OPG ratio were significantly higher in CHF subjects as compared to those without CHF (P=0.001). On multivariate analysis, CHF, sRANKL/OPG ratio, OPG, and NT-pro-BNP remained as independent predictors of decreased EPCs with phenotypes of CD14+CD309+ and CD14+CD309+Tie2+. When sRANKL/OPG ratio was added to the standard predictive model (CHF) improved relative integrated discrimination indices by 12.5% for CD14+CD309+ depletion, as well as by 17.3% for CD14+CD309+Tie2+depletion were found. Conclusion: We found that sRANKL/OPG ratio remained statistically significant predictor for depletion of pro-angiogenicEPCsin CAD patients.
本研究的目的是评估缺血性慢性心力衰竭(CHF)患者血清RANKL/OPG复合物与循环中标记为CD14+CD309+和CD14+CD309+Tie2+的促血管生成内皮祖细胞(EPCs)计数的相互关系。方法:回顾性分析153例(86例男性)患者,年龄48 ~ 62岁,已证实为稳定型冠心病(CAD)。109例(71.2%)患者诊断为收缩期或舒张期CHF。25人被纳入对照组。基线时采用高灵敏ELISA试剂盒检测循环RANKL (sRANKL)和OPG。流式细胞荧光法根据高清荧光活化细胞分选法对EPC群体进行标记。结果:与健康受试者相比,冠心病患者中CD14+CD309+和CD14+CD309+Tie2+表型的EPCs数量明显减少。发现随着CHF的存在,EPC数有显著降低的趋势。与非CHF组相比,CHF组的sRANKL水平、OPG水平和sRANKL / OPG比值显著升高(P=0.001)。在多变量分析中,CHF、sRANKL/OPG比值、OPG和NT-pro-BNP仍然是CD14+CD309+和CD14+CD309+Tie2+表型的EPCs减少的独立预测因子。当标准预测模型(CHF)中加入sRANKL/OPG比值时,CD14+CD309+缺失的相对综合判别指数提高了12.5%,CD14+CD309+Tie2+缺失的相对综合判别指数提高了17.3%。结论:我们发现sRANKL/OPG比值仍然是CAD患者促血管生成epcsin消耗的有统计学意义的预测因子。
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引用次数: 0
期刊
Journal of Diagnostics
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