Pub Date : 2023-12-25DOI: 10.1177/87564793231215034
{"title":"SDMS CME Credit – Exploring the Diagnostic Role of Spectral Doppler as a Predictor of Malignancy Within Thyroid Nodules","authors":"","doi":"10.1177/87564793231215034","DOIUrl":"https://doi.org/10.1177/87564793231215034","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139159623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-22DOI: 10.1177/87564793231217708
Mahmoud S. Babiker, Yasser Awad Alharbi, Amjad Abdullah Alruwaythi, Waleed Abbad Alamri
This study aimed to explore the effects of age, sex, body mass index (BMI), and smoking on the diameter of the portal vein (PV). This quantitative descriptive study included 113 participants (61.9% males and 38.1% females) who underwent sonography. The participants were selected via convenience sampling. Patients with known cardiac, liver, or biliary diseases were excluded. The PV of each participant was evaluated and measured using a 3.5 MHz transducer and a standard liver sonography imaging protocol. Statistical analyses were performed using descriptive statistics, chi-square test, independent t-test, and Pearson correlations. Statistical significance was set at P < .05. The mean age of the participants was 38 ± 16 years (range = 15–86 years). The mean PV diameter and BMI were 9.6 ± 2 mm (range = 4.9–16 mm) and 26.22 ± 8.5 (range = 15.2–39.7), respectively. The mean PV diameter of the participants who did and did not smoke was 10.5 ± 2.3 mm and 9.25 ± 1.8 mm, respectively. The PV diameter showed statistically significant associations with smoking status, age, and BMI ( P = .01, .007, and .022, respectively). The findings of this study suggest that the PV diameter may increase with smoking, age, and BMI; however, no correlation was observed between the PV diameter and sex.
{"title":"The Effect of Smoking, Gender, Age, and the Body Mass Index on the Measurements of the Portal Vein Diameter","authors":"Mahmoud S. Babiker, Yasser Awad Alharbi, Amjad Abdullah Alruwaythi, Waleed Abbad Alamri","doi":"10.1177/87564793231217708","DOIUrl":"https://doi.org/10.1177/87564793231217708","url":null,"abstract":"This study aimed to explore the effects of age, sex, body mass index (BMI), and smoking on the diameter of the portal vein (PV). This quantitative descriptive study included 113 participants (61.9% males and 38.1% females) who underwent sonography. The participants were selected via convenience sampling. Patients with known cardiac, liver, or biliary diseases were excluded. The PV of each participant was evaluated and measured using a 3.5 MHz transducer and a standard liver sonography imaging protocol. Statistical analyses were performed using descriptive statistics, chi-square test, independent t-test, and Pearson correlations. Statistical significance was set at P < .05. The mean age of the participants was 38 ± 16 years (range = 15–86 years). The mean PV diameter and BMI were 9.6 ± 2 mm (range = 4.9–16 mm) and 26.22 ± 8.5 (range = 15.2–39.7), respectively. The mean PV diameter of the participants who did and did not smoke was 10.5 ± 2.3 mm and 9.25 ± 1.8 mm, respectively. The PV diameter showed statistically significant associations with smoking status, age, and BMI ( P = .01, .007, and .022, respectively). The findings of this study suggest that the PV diameter may increase with smoking, age, and BMI; however, no correlation was observed between the PV diameter and sex.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139165005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1177/87564793231215768
Kevin D. Evans, Peter Bradbury, I. Bloom
As the world tackled the COVID-19 pandemic, nearly all research institutions underwent significant change, shifting from an in-person to an online landscape, resulting in several benefits and drawbacks to their research laboratories. The pandemic shut down most research efforts, and methods such as online Zoom meetings were required to keep most elements of the research and training going. In the post-COVID period, anxieties about health and safety resulted in difficulty in recruiting participants for clinical studies, and the emphasis on following health standards and guidelines (e.g., social distancing, personal protective equipment) required flexibility in research training processes. This symposium incorporates satisfaction rates and anecdotal evidence from individuals experiencing in-person and virtual research training throughout the pandemic to examine the changes and effects COVID-19 had on laboratory research. Nine traits of a high-quality research training environment (RTE), proposed in a study by Gelso et al, provide context for the subjective claims made and assist in categorizing certain traits. Both modes of research training carry benefits and drawbacks. The increase in collaboration and communication in an online space promoted several of the nine traits of an RTE. However, qualitative feedback from students suggests that the lack of training incorporating the direct operation of equipment, holding a transducer, and direct interaction was detrimental to new laboratory members and their research training. Flexibility and a combination of in-person and online training are likely necessary for an effective research environment in a post-COVID world.
{"title":"Hybrid Methodologies: The Evolution and Future of Scientific Training in a Post-Pandemic World","authors":"Kevin D. Evans, Peter Bradbury, I. Bloom","doi":"10.1177/87564793231215768","DOIUrl":"https://doi.org/10.1177/87564793231215768","url":null,"abstract":"As the world tackled the COVID-19 pandemic, nearly all research institutions underwent significant change, shifting from an in-person to an online landscape, resulting in several benefits and drawbacks to their research laboratories. The pandemic shut down most research efforts, and methods such as online Zoom meetings were required to keep most elements of the research and training going. In the post-COVID period, anxieties about health and safety resulted in difficulty in recruiting participants for clinical studies, and the emphasis on following health standards and guidelines (e.g., social distancing, personal protective equipment) required flexibility in research training processes. This symposium incorporates satisfaction rates and anecdotal evidence from individuals experiencing in-person and virtual research training throughout the pandemic to examine the changes and effects COVID-19 had on laboratory research. Nine traits of a high-quality research training environment (RTE), proposed in a study by Gelso et al, provide context for the subjective claims made and assist in categorizing certain traits. Both modes of research training carry benefits and drawbacks. The increase in collaboration and communication in an online space promoted several of the nine traits of an RTE. However, qualitative feedback from students suggests that the lack of training incorporating the direct operation of equipment, holding a transducer, and direct interaction was detrimental to new laboratory members and their research training. Flexibility and a combination of in-person and online training are likely necessary for an effective research environment in a post-COVID world.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1177/87564793231216092
Issac Cheong, F. Tamagnone
A hemoventricle is a rare and life-threatening condition, characterized by blood accumulating in the brain ventricles. Computed tomography (CT) is commonly used in the diagnosis of hemoventricle. However, the use of CT is limited in the intensive care unit. This has prompted the exploration of alternative imaging techniques. Sonography offers a noninvasive, portable, and cost-effective option for assessing the ventricular system. A case study is presented of a 64-year-old female patient with a ruptured aneurysm who underwent endovascular coiling and the placement of an external ventricular drain. Point-of-care ultrasonography revealed ventricular dilatation that was associated with hyperechoic content and that was consistent with hemoventricle. The CT examination confirmed the diagnosis, and the patient received appropriate treatment. This case highlights the value of sonography as a complementary diagnostic imaging tool in situations where CT may be limited.
{"title":"Transcranial Sonography Used as a Valuable Diagnostic Tool for Detecting a Hemoventricle, in an Intensive Care Unit Patient","authors":"Issac Cheong, F. Tamagnone","doi":"10.1177/87564793231216092","DOIUrl":"https://doi.org/10.1177/87564793231216092","url":null,"abstract":"A hemoventricle is a rare and life-threatening condition, characterized by blood accumulating in the brain ventricles. Computed tomography (CT) is commonly used in the diagnosis of hemoventricle. However, the use of CT is limited in the intensive care unit. This has prompted the exploration of alternative imaging techniques. Sonography offers a noninvasive, portable, and cost-effective option for assessing the ventricular system. A case study is presented of a 64-year-old female patient with a ruptured aneurysm who underwent endovascular coiling and the placement of an external ventricular drain. Point-of-care ultrasonography revealed ventricular dilatation that was associated with hyperechoic content and that was consistent with hemoventricle. The CT examination confirmed the diagnosis, and the patient received appropriate treatment. This case highlights the value of sonography as a complementary diagnostic imaging tool in situations where CT may be limited.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138972344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1177/87564793231213364
My Tran
To investigate the level of occupational burnout syndrome in a cohort of sonographers and to determine any associations between sex, number of hours worked per week, and burnout. This study used a cross-sectional approach that replicated the Oldenburg Burnout Inventory and surveyed a convenience sample of sonographers who are members of the Society for Diagnostic Medical Sonography. The study survey offered the total scores of occupational burnout, disengagement, and exhaustion, with a potential minimum score of 16 and a maximum score of 64. The results yielded a minimum score of 17 and a maximum score of 64. The mean score was 43.11 (SD = 7.02), indicating a moderate level of burnout. This cohort of sonographers demonstrated moderate levels of burnout, so it is important to acknowledge that preventing occupational burnout is necessary to ensure that workplace stress is managed to avoid significant issues. Further research is needed to assess how occupational burnout syndrome affects retention in the profession.
{"title":"Incidence and Cause of Occupational Burnout Syndrome Among Sonographers","authors":"My Tran","doi":"10.1177/87564793231213364","DOIUrl":"https://doi.org/10.1177/87564793231213364","url":null,"abstract":"To investigate the level of occupational burnout syndrome in a cohort of sonographers and to determine any associations between sex, number of hours worked per week, and burnout. This study used a cross-sectional approach that replicated the Oldenburg Burnout Inventory and surveyed a convenience sample of sonographers who are members of the Society for Diagnostic Medical Sonography. The study survey offered the total scores of occupational burnout, disengagement, and exhaustion, with a potential minimum score of 16 and a maximum score of 64. The results yielded a minimum score of 17 and a maximum score of 64. The mean score was 43.11 (SD = 7.02), indicating a moderate level of burnout. This cohort of sonographers demonstrated moderate levels of burnout, so it is important to acknowledge that preventing occupational burnout is necessary to ensure that workplace stress is managed to avoid significant issues. Further research is needed to assess how occupational burnout syndrome affects retention in the profession.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138971376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1177/87564793231216754
Rose McCalla-Henry, Kathleen Mathieson
The purpose of this study was to explore the occupational burnout levels among a cohort of sonographers practicing in the United States and their perception of administrative support and resources for burnout prevention. This study used a quantitative descriptive design with a cross-sectional online survey administered to the Society of Diagnostic Medical Sonography members. The survey consisted of demographic information, administrative support questions, and burnout measurements using the validated Oldenburg Burnout Inventory. A total of 1393 sonographers participated in the study. The results of this sonographer cohort indicated that 55.7% experienced moderate burnout. Although 30.9% reported feeling their employers cared for their well-being, 36.6% of respondents indicated no administrative support, and 30.7% said their administration did not provide resources to help them cope. Occupational burnout levels among this cohort of sonographers was moderate and could increase without adequate intervention. Addressing sonographer burnout and managing stressors will help organizations to retain staff, continue providing quality patient care, and maintain patient outcomes.
{"title":"Sonographers’ Perception of Administrative Support and Resources for Burnout Prevention","authors":"Rose McCalla-Henry, Kathleen Mathieson","doi":"10.1177/87564793231216754","DOIUrl":"https://doi.org/10.1177/87564793231216754","url":null,"abstract":"The purpose of this study was to explore the occupational burnout levels among a cohort of sonographers practicing in the United States and their perception of administrative support and resources for burnout prevention. This study used a quantitative descriptive design with a cross-sectional online survey administered to the Society of Diagnostic Medical Sonography members. The survey consisted of demographic information, administrative support questions, and burnout measurements using the validated Oldenburg Burnout Inventory. A total of 1393 sonographers participated in the study. The results of this sonographer cohort indicated that 55.7% experienced moderate burnout. Although 30.9% reported feeling their employers cared for their well-being, 36.6% of respondents indicated no administrative support, and 30.7% said their administration did not provide resources to help them cope. Occupational burnout levels among this cohort of sonographers was moderate and could increase without adequate intervention. Addressing sonographer burnout and managing stressors will help organizations to retain staff, continue providing quality patient care, and maintain patient outcomes.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138972710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1177/87564793231216756
Danielle Nanni
Chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) are slow-growing cancers that affect the immune system by disrupting the normal function of B-cells. The patient symptoms associated with CLL and SLL can be vague; therefore, many cases go undiagnosed for years. Diagnostic medical sonography is an imaging technique that can determine the abnormal appearance of lymph nodes and guide medical providers in the appropriate direction when investigating a questionable case of lymphoma. This case study presents a superficial left-neck sonogram of a 65-year-old Caucasian man complaining of left supraclavicular pain and swelling. This initial sonogram was the first phase in a sequence of examinations that led to the patient’s diagnosis of CLL/SLL.
慢性淋巴细胞白血病（CLL）和小淋巴细胞淋巴瘤（SLL）是一种生长缓慢的癌症，通过破坏 B 细胞的正常功能来影响免疫系统。与 CLL 和 SLL 相关的患者症状可能很模糊，因此许多病例多年来一直未得到诊断。医学超声诊断是一种成像技术，可确定淋巴结的异常外观，并指导医疗人员在调查可疑淋巴瘤病例时选择适当的方向。本病例介绍了一名 65 岁白种男子的左颈部浅层声像图，该男子主诉左锁骨上疼痛和肿胀。最初的声像图是一系列检查的第一阶段，最终患者被诊断为 CLL/SLL。
{"title":"Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL): A Case Study","authors":"Danielle Nanni","doi":"10.1177/87564793231216756","DOIUrl":"https://doi.org/10.1177/87564793231216756","url":null,"abstract":"Chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) are slow-growing cancers that affect the immune system by disrupting the normal function of B-cells. The patient symptoms associated with CLL and SLL can be vague; therefore, many cases go undiagnosed for years. Diagnostic medical sonography is an imaging technique that can determine the abnormal appearance of lymph nodes and guide medical providers in the appropriate direction when investigating a questionable case of lymphoma. This case study presents a superficial left-neck sonogram of a 65-year-old Caucasian man complaining of left supraclavicular pain and swelling. This initial sonogram was the first phase in a sequence of examinations that led to the patient’s diagnosis of CLL/SLL.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138973050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14DOI: 10.1177/87564793231217446
Madhusmita Satapathy
Idiopathic atraumatic splenic rupture (ASR) is rare, especially in neonates and can result in the spontaneous hemorrhage of the organ, abdominal distension, and hemoperitoneum. This condition can be fatal without prompt diagnosis and surgical intervention. The pathophysiology of ASR is difficult to understand due to its rarity; however, retrospective reviews have found an association with neoplasm, infection, inflammatory diseases, and anticoagulant drugs. Therefore, it is essential to report this rare occurrence. This case report involves a 2-day-old neonate born to a mother with chronic hypertension, chorioamnionitis, and a carrier of cystic fibrosis. An abdominal sonogram followed by contrast-enhanced computed tomography (CT) revealed hemoperitoneum with possible active bleeding and lack of definite visualization of the spleen. During emergency laparotomy, the attempt to preserve the organ was unsuccessful, requiring splenectomy. The neonate recovered well from the procedure and was discharged on the 18th day of life.
{"title":"Atraumatic Splenic Rupture in a Neonate: A Case Report","authors":"Madhusmita Satapathy","doi":"10.1177/87564793231217446","DOIUrl":"https://doi.org/10.1177/87564793231217446","url":null,"abstract":"Idiopathic atraumatic splenic rupture (ASR) is rare, especially in neonates and can result in the spontaneous hemorrhage of the organ, abdominal distension, and hemoperitoneum. This condition can be fatal without prompt diagnosis and surgical intervention. The pathophysiology of ASR is difficult to understand due to its rarity; however, retrospective reviews have found an association with neoplasm, infection, inflammatory diseases, and anticoagulant drugs. Therefore, it is essential to report this rare occurrence. This case report involves a 2-day-old neonate born to a mother with chronic hypertension, chorioamnionitis, and a carrier of cystic fibrosis. An abdominal sonogram followed by contrast-enhanced computed tomography (CT) revealed hemoperitoneum with possible active bleeding and lack of definite visualization of the spleen. During emergency laparotomy, the attempt to preserve the organ was unsuccessful, requiring splenectomy. The neonate recovered well from the procedure and was discharged on the 18th day of life.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-07DOI: 10.1177/87564793231217217
Madeline R. Parga, K. Evans, Carolyn M. Sommerich, Shawn C Roll
Work-related injuries have a major effect on worker health and well-being. This is particularly true in sonography, where work-related musculoskeletal disorders (WRMSDs) are common. In response to the current challenge of understanding strategy implementation across social and organizational dimensions, this research captured sonographers’, echocardiographers’, and vascular technologists’ perceptions of critical administrative, organizational, and general health and training challenges, and potential solutions for improving worker health and well-being. A survey invitation was sent to the WRMSD Grand Challenge longitudinal study registry participants. Open-ended questions on the online questionnaire allowed respondents to share comments, ideas, or potential solutions to improve worker health and well-being regarding the administrative and organizational environment or through training and general health interventions. There were 377 free-text responses that were qualitatively analyzed using a grounded theory approach to generate overarching themes and identify emerging theory, supported by initial coding, focused coding, and reflexive memoing. A member check was conducted by interviewing four participants to refine and confirm the findings. Five themes were identified: “Limits and Guidelines,” “Injury Education,” “Ergonomics Training Constraints,” “Resources and Equipment,” and “Individual Habits.” Participant suggestions within these themes were categorized and mapped onto a sociotechnical systems model that was developed previously to study the healthcare system(s) in which sonography users work. This conceptual mapping revealed how these solutions were situated to impact different levels of the work environment. The themes and mapping supported an emerging grounded theory: Risk Reduction Relies on Proper Employee Representation. These qualitative findings align with contemporary guidelines and recommendations for mitigating injuries in sonographers, illuminating challenges and solutions targeting levels of influence beyond the staff sonographers’ scope. The need for representation of sonographers at higher-level administrative levels has not heretofore been addressed by WRMSD guidelines.
{"title":"Sonographers and Vascular Technologists Offer Potential Solutions to Promote the Health and Well-being of Their Workforce","authors":"Madeline R. Parga, K. Evans, Carolyn M. Sommerich, Shawn C Roll","doi":"10.1177/87564793231217217","DOIUrl":"https://doi.org/10.1177/87564793231217217","url":null,"abstract":"Work-related injuries have a major effect on worker health and well-being. This is particularly true in sonography, where work-related musculoskeletal disorders (WRMSDs) are common. In response to the current challenge of understanding strategy implementation across social and organizational dimensions, this research captured sonographers’, echocardiographers’, and vascular technologists’ perceptions of critical administrative, organizational, and general health and training challenges, and potential solutions for improving worker health and well-being. A survey invitation was sent to the WRMSD Grand Challenge longitudinal study registry participants. Open-ended questions on the online questionnaire allowed respondents to share comments, ideas, or potential solutions to improve worker health and well-being regarding the administrative and organizational environment or through training and general health interventions. There were 377 free-text responses that were qualitatively analyzed using a grounded theory approach to generate overarching themes and identify emerging theory, supported by initial coding, focused coding, and reflexive memoing. A member check was conducted by interviewing four participants to refine and confirm the findings. Five themes were identified: “Limits and Guidelines,” “Injury Education,” “Ergonomics Training Constraints,” “Resources and Equipment,” and “Individual Habits.” Participant suggestions within these themes were categorized and mapped onto a sociotechnical systems model that was developed previously to study the healthcare system(s) in which sonography users work. This conceptual mapping revealed how these solutions were situated to impact different levels of the work environment. The themes and mapping supported an emerging grounded theory: Risk Reduction Relies on Proper Employee Representation. These qualitative findings align with contemporary guidelines and recommendations for mitigating injuries in sonographers, illuminating challenges and solutions targeting levels of influence beyond the staff sonographers’ scope. The need for representation of sonographers at higher-level administrative levels has not heretofore been addressed by WRMSD guidelines.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138592184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-23DOI: 10.1177/87564793231212872
Kathleen Marshall, Douglas W. Clem
The aim of this review was to provide a summary of literature and research on the use of elastography and its effectiveness in diagnosing endometrial pathology. An online database search produced 16 research articles. Inclusion criteria consisted of ultrasound elastography of benign and malignant endometrial pathology. Priority was given to articles focused on endometrial hyperplasia, polyps, and endometrial carcinoma. The difference in stiffness between endometrial carcinoma and benign endometrial pathology, including lesions and hyperplasia, is statistically significant. High rates of sensitivity and specificity are seen in using elastography to determine endometrial carcinoma from a benign endometrial pathology. Elastography can provide valuable information to aid in diagnosing endometrial carcinoma. Currently, the standard of care for diagnosing endometrial pathology is 2D ultrasound imaging with tissue sampling and histology. Elastography imaging of the endometrium offers the opportunity to diagnose endometrial pathology without invasive tissue sampling procedures. While this exciting development offers great potential, there must be universal, consistent approaches and studies of subgroups to be considered the standard of care.
{"title":"The Role of Elastography in Diagnosing Endometrial Pathology","authors":"Kathleen Marshall, Douglas W. Clem","doi":"10.1177/87564793231212872","DOIUrl":"https://doi.org/10.1177/87564793231212872","url":null,"abstract":"The aim of this review was to provide a summary of literature and research on the use of elastography and its effectiveness in diagnosing endometrial pathology. An online database search produced 16 research articles. Inclusion criteria consisted of ultrasound elastography of benign and malignant endometrial pathology. Priority was given to articles focused on endometrial hyperplasia, polyps, and endometrial carcinoma. The difference in stiffness between endometrial carcinoma and benign endometrial pathology, including lesions and hyperplasia, is statistically significant. High rates of sensitivity and specificity are seen in using elastography to determine endometrial carcinoma from a benign endometrial pathology. Elastography can provide valuable information to aid in diagnosing endometrial carcinoma. Currently, the standard of care for diagnosing endometrial pathology is 2D ultrasound imaging with tissue sampling and histology. Elastography imaging of the endometrium offers the opportunity to diagnose endometrial pathology without invasive tissue sampling procedures. While this exciting development offers great potential, there must be universal, consistent approaches and studies of subgroups to be considered the standard of care.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139242588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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