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SDMS CME Credit – Atraumatic Splenic Rupture in a Neonate: A Case Report SDMS CME 学分 - 新生儿创伤性脾破裂:病例报告
IF 0.3 Q4 Medicine Pub Date : 2024-04-16 DOI: 10.1177/87564793241239074
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引用次数: 0
SDMS CME Credit – The Flow Volume and Resistance Index of Patent Arteriovenous Fistulas, With Proper Function, Compared to Unhealthy Arteriovenous Fistulas, Using Spectral Doppler SDMS CME 学分 - 使用频谱多普勒测量功能正常的动静脉瘘与不健康动静脉瘘的血流量和阻力指数比较
IF 0.3 Q4 Medicine Pub Date : 2024-04-16 DOI: 10.1177/87564793241239291
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引用次数: 0
Occlusive Thrombosis of the Superior Mesenteric Vein Following Duodenal Switch Procedure: A Case Study 十二指肠转换术后肠系膜上静脉闭塞性血栓形成:病例研究
IF 0.3 Q4 Medicine Pub Date : 2024-04-05 DOI: 10.1177/87564793241242480
Rachel Wiese, Lori Kimbrow
Thrombosis of the portomesenteric veins is an uncommon condition that can lead to serious complications, if left untreated. Bariatric reduction surgeries increase the probability for occurrence of this rare condition. This case study focuses on a patient who underwent a biliopancreatic diversion with duodenal switch procedure and consequently developed an occlusive thrombus in the superior mesenteric vein (SMV), which required stent placement. The patient ultimately developed a secondary thrombus, within the stent. Sonographic imaging aided in the diagnosis of occlusion of the SMV stent.
肠门静脉血栓是一种不常见的疾病,如果不及时治疗,可能会导致严重的并发症。减重手术增加了发生这种罕见疾病的概率。本病例研究的重点是一名接受了胆胰转流和十二指肠转换手术的患者,其肠系膜上静脉(SMV)因此出现了闭塞性血栓,需要放置支架。患者最终在支架内形成了继发性血栓。超声成像帮助诊断出肠系膜上静脉支架闭塞。
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引用次数: 0
A Shared Governance Model: Implementation Into the Sonographer Workforce 共同治理模式:在超声技师队伍中实施
IF 0.3 Q4 Medicine Pub Date : 2024-04-05 DOI: 10.1177/87564793241241222
Kevin R. Volz
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引用次数: 0
Scope of Practice and Clinical Standards for the Diagnostic Medical Sonographer 医学超声诊断技师的执业范围和临床标准
IF 0.3 Q4 Medicine Pub Date : 2024-03-27 DOI: 10.1177/87564793241242633
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引用次数: 0
Prenatal Detection of Mosaic Trisomy 14 Secondary to Sonographic Findings 根据超声波检查结果产前检测出马赛克 14 三体综合征
IF 0.3 Q4 Medicine Pub Date : 2024-03-27 DOI: 10.1177/87564793241240777
Lauren Conley
Mosaic trisomy 14 or partial trisomy 14 is a rare genetic abnormality that occurs when only a portion of cells have an additional copy of chromosome 14. It has a female prevalence of 3:1 and is associated with a wide range of related disorders. In this case, severe polyhydramnios because of borderline micrognathia was correlated to the diagnosis of mosaic trisomy 14. Early sonographic detection of associated findings can prompt the genetic testing required for diagnosis. Combining sonography and genetic testing leads to an accurate diagnosis, proper management, and postnatal planning for the patient.
马赛克 14 三体综合征或部分 14 三体综合征是一种罕见的遗传异常,只有部分细胞具有额外的 14 号染色体拷贝。女性的发病率为 3:1,与多种相关疾病有关。在本病例中,由于边缘性小畸形导致的严重多胎畸形与 14 号染色体嵌合三体的诊断相关。及早通过超声波检查发现相关结果,可促使进行诊断所需的基因检测。结合超声波检查和基因检测可为患者提供准确的诊断、适当的管理和产后计划。
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引用次数: 0
Method Study to Compare a CAAHEP Accredited Advanced Cardiac Sonography Program With Two Pilot Advanced Sonography Programs 比较 CAAHEP 认证的高级心脏超声课程与两个试点高级超声课程的方法研究
IF 0.3 Q4 Medicine Pub Date : 2024-03-27 DOI: 10.1177/87564793241236785
J. Guthrie
The aim was to review the value of advanced sonography programs and to quantitatively evaluate the educational outcomes of two pilot advanced sonography programs (e.g., vascular and perinatal) with a well-established Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited Advanced Cardiac Sonography Program. The first phase of this sequential mixed-method study was to conduct a document analysis and extracting themes from published literature to highlight the content, benefits, and development of advanced sonography programs. The second phase was to implement a one-group pre-test post-test design to address the population, intervention, control, and outcomes (PICO) question: Among a sample of 12 participants (P), what are the effects of advanced programs (I) in cardiac, vascular, and perinatal sonography (C) on students’ composite knowledge, across 12 course levels and one clinical internship (O)? The document analysis identified four latent themes: (1) the benefits of sonographer certification; (2) the need for sonographers to continuously develop their knowledge and skills; (3) the need to develop sonographers in diverse specialties of medicine; and (4) the need to develop new credentials for advanced practice sonographers. The effects of the three advanced sonography programs on the composite knowledge of the graduates were impressive, indicated by Hedges’ g = 2.02 (moderate) to 2.71 (large) effect size. Triangulation of data revealed that the four latent themes were consistent with the evaluation of the content and outcomes of the advanced cardiac, perinatal, and vascular sonography programs. Consistency between theory and practice and similar educational outcomes were achieved when comparing a well-established Advanced Cardiac Sonography Program with two pilot programs in advanced perinatal sonography and advanced vascular sonography. As this is the first comparison of this type, distinct conclusions that apply to all allied health programs cannot be drawn. The data collection in this study is a set of outcome measures that fits into a larger picture of academic success for these programs.
这项研究的目的是回顾高级超声造影课程的价值,并对两个试点高级超声造影课程(如血管和围产期)的教育成果进行定量评估,以及一个成熟的联合健康教育项目评审委员会(CAAHEP)认可的高级心脏超声造影课程。这项循序渐进的混合方法研究的第一阶段是进行文献分析,从发表的文献中提取主题,突出高级超声造影课程的内容、优势和发展。第二阶段是实施单组前测试后测试设计,以解决人群、干预、对照和结果(PICO)问题:在 12 个参与者样本(P)中,心脏、血管和围产期超声造影高级课程(I)(C)对学生在 12 门课程和一次临床实习(O)中的综合知识有何影响?文件分析确定了四个潜在主题:(1)超声技师认证的益处;(2)超声技师持续发展其知识和技能的必要性;(3)培养不同医学专业超声技师的必要性;以及(4)为高级实践超声技师开发新证书的必要性。三个高级超声造影课程对毕业生综合知识的影响令人印象深刻,Hedges'g = 2.02(中等)至 2.71(较大)的效应大小表明了这一点。对数据的三角分析表明,四个潜在主题与高级心脏、围产期和血管超声项目的内容和成果评估是一致的。在比较一个成熟的高级心脏超声造影计划与两个高级围产期超声造影和高级血管超声造影试点计划时,理论与实践保持一致,并取得了相似的教育成果。由于这是首次进行此类比较,因此无法得出适用于所有专职医疗项目的明确结论。本研究收集的数据是一组结果测量指标,与这些项目的学业成功情况相吻合。
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引用次数: 0
The Role of Doppler Ultrasonography in the Evaluation of the Relationship Between Vertigo and Hashimoto’s Thyroiditis 多普勒超声在评估眩晕与桥本氏甲状腺炎关系中的作用
IF 0.3 Q4 Medicine Pub Date : 2024-03-05 DOI: 10.1177/87564793241233559
Ayşegul Karadayi Buyukozsoy, E. Karatay, H. Toz
This study was designed to assess the relationship between cases of vertigo and Hashimoto’s thyroiditis (HT) using vascular flow measured with vertebral Doppler ultrasonography (US). Patient cases that underwent vertebral Doppler US, thyroid hormone, and autoantibody tests between January 2020 and November 2021 were retrospectively reviewed. Hashimoto’s thyroiditis cases with associated vertigo were classified as the patient group, and other cases without vertigo and a known disease were the control group. A total of 184 patient cases were reviewed. The HT patient group comprised 82 cases, and the control group comprised 102 cases. The median age was 43 years, and the interquartile range was 59 for all cases. The median total vertebral artery flow rate was 289.30 mL/min in the patient group and 278.35 mL/min in the control group, with no statistical difference ( P > .05). This study is the first to compare patients with HT and vertigo and measure vertebral vascular flow using Doppler US. This study demonstrates that vertigo in HT cases may not be due to vertebrobasilar insufficiency. The vertebral flow in the cohort was normal, and vertigo may have resulted from the autoimmune system.
本研究旨在利用椎体多普勒超声(US)测量的血管流量评估眩晕病例与桥本氏甲状腺炎(HT)之间的关系。我们对 2020 年 1 月至 2021 年 11 月期间接受椎体多普勒超声检查、甲状腺激素和自身抗体检测的患者病例进行了回顾性回顾。将伴有眩晕的桥本氏甲状腺炎病例归为患者组,其他无眩晕且已知疾病的病例为对照组。共审查了 184 例患者。甲状腺炎患者组 82 例,对照组 102 例。所有病例的中位年龄为 43 岁,四分位数范围为 59 岁。患者组的中位椎动脉总流速为 289.30 mL/min,对照组为 278.35 mL/min,无统计学差异(P > .05)。该研究首次比较了高血压和眩晕患者,并使用多普勒超声测量了椎动脉血管流量。该研究表明,高血压患者的眩晕可能不是由于椎基底动脉供血不足引起的。队列中的椎动脉血流正常,眩晕可能是由自身免疫系统引起的。
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引用次数: 0
Fetal Anterior Abdominal Wall Thickness as an Indicator of Gestational Diabetes: A Sonographic Study 作为妊娠糖尿病指标的胎儿前腹壁厚度:超声波研究
IF 0.3 Q4 Medicine Pub Date : 2024-02-29 DOI: 10.1177/87564793241233561
Saadia Fatima, Zain ul Hassan, S. Muhammad Yousaf Farooq, Ayesha Khan, Syed Amir Gilani
During pregnancy, sonographic measurements of subcutaneous adipose tissue may be a reliable diagnostic predictor of gestational diabetes mellitus (GDM) and fetal metabolism. A sonographic view of the fetal abdominal circumference can be used to measure the fetal anterior abdominal wall thickness (AAWT), which is straightforward and simple. Consequently, in this study, the aim was to evaluate whether the fetal AAWT value could be used as a diagnostic indicator of GDM, thus preventing the adverse neonatal and maternal outcomes thereof, including shoulder dystocia, neonatal hypoxia, and injury to the birth canal, secondary to fetal macrosomia. This prospective cross-sectional study was conducted at a hospital in Lahore, Pakistan, over a 9-month period. A total of 176 female participants in their third trimester of pregnancy were included in this study. The participants were assigned to two cohorts: a cohort of 88 participants diagnosed with GDM and a control cohort of 88 participants without GDM. An independent sample t test, analysis of variance, and chi-square test were used to compare the characteristics between the two cohorts of participants. A final analysis was performed to determine the strength of the correlations between the estimated fetal weight (EFW) and AAWT values. The GDM and control cohorts had mean fetal AAWT values of 12.65 ± 1.276 and 6.389 ± 1.503, respectively. Thus, a statistically significant difference in the fetal AAWT values was observed between the GDM and control cohorts. Furthermore, a statistically significant positive correlation between the EFW and AAWT values was observed ( P = .01). This study highlighted that women with GDM have a considerably higher fetal AAWT values than those without GDM. In addition, the findings revealed that the AAWT value was correlated with the EFW value. Consequently, an increased fetal AAWT value can potentially be utilized as a predictive indicator for those pregnant women at risk of developing GDM, thus preventing adverse maternal and fetal outcomes.
在妊娠期间,皮下脂肪组织的声像图测量可能是妊娠糖尿病(GDM)和胎儿代谢的可靠诊断预测指标。胎儿腹围的声像图可用于测量胎儿前腹壁厚度(AAWT),测量方法简单直接。因此,本研究旨在评估胎儿AAWT值是否可作为GDM的诊断指标,从而避免因胎儿巨大儿继发的肩难产、新生儿缺氧和产道损伤等新生儿和孕产妇不良结局。这项前瞻性横断面研究在巴基斯坦拉合尔的一家医院进行,为期 9 个月。共有 176 名怀孕三个月的女性参加了这项研究。研究人员被分为两组:一组是 88 名确诊为 GDM 的研究人员,另一组是 88 名未患 GDM 的对照组研究人员。采用独立样本 t 检验、方差分析和卡方检验来比较两组参与者的特征。最后还进行了一项分析,以确定估计胎儿体重(EFW)和AAWT值之间的相关性强度。GDM 组和对照组的胎儿平均 AAWT 值分别为 12.65 ± 1.276 和 6.389 ± 1.503。因此,GDM 组群和对照组群的胎儿 AAWT 值在统计学上存在显著差异。此外,EFW 和 AAWT 值之间存在统计学意义上的正相关(P = 0.01)。这项研究强调,与未患 GDM 的妇女相比,患 GDM 的妇女的胎儿 AAWT 值要高得多。此外,研究结果显示,AAWT 值与 EFW 值相关。因此,胎儿 AAWT 值升高可作为预测指标,用于预测孕妇是否有患上 GDM 的风险,从而预防孕产妇和胎儿的不良结局。
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引用次数: 0
Occupational Burnout in Sonography Research and Workplaces: What Is It, How Do We Measure It, and How Do We Address It? 超声研究和工作场所的职业倦怠:什么是职业倦怠、如何衡量职业倦怠、如何解决职业倦怠?
IF 0.3 Q4 Medicine Pub Date : 2024-02-20 DOI: 10.1177/87564793241230953
Ryan J. Walsh
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引用次数: 0
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JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY
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