Hospital immobility is an encapsulation of our system ’s fundamental flaws

Is your patient having trouble breathing? I can ask respiratory to give him a nebulizer. I’m looking at his chest X-ray now — why don’t we bump up that Lasix, too? I wish the ER would have grabbed an ultrasound of that swollen leg. Does he need more oxygen? If something is missing from this […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Hospital-Based Medicine Source Type: blogs

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In this study, we conducted a series of experiments to compare the accuracy and feasibility of three measurement methods: time of flight method (TOF), ultrasonic water immersion method (UWI) and UFSA. The methods were applied to measure polymeric parts with different surface roughnesses; in addition, experiments were conducted to evaluate the effect of an external disturbance and to characterize the micro structure. Error analyses were performed for the methods. The experimental results showed that the TOF method was only suitable for measuring polymeric parts with flat surfaces, whereas the UWI and UFSA methods performed ...
Source: Polymer Testing - Category: Chemistry Source Type: research
Unlike Star Wars projection, 3D technology whips polystyrene bead round at high speedIt may not rival the technology found in a galaxy far, far away, but everyone has to start somewhere. Researchers in Southampton have built a device that displays 3D animated objects that can talk and interact with onlookers.A demonstration of the display showed a butterfly flapping its wings, a countdown spelled out by numbers hanging in the air, and a rotating, multicoloured planet Earth. Beyond interactive digital signs and animations, scientists want to use it to visualise and even feel data.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: 3D Technology Science UK news Source Type: news
ConclusionsDuplex ultrasound has significant limitations in the initial evaluation of patients with suspected SCV thrombosis, with false-negative results in 21% of patients with proven VTOS. This is rarely acknowledged in ultrasound reports, but false-negative ultrasound studies have the potential to delay definitive imaging, thrombolysis, and further treatment for VTOS. Initial false-negative ultrasound results are associated with progressive thrombus extension and a more frequent need for SCV bypass reconstruction at the time of surgical treatment.Graphical Abstract
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - Category: Surgery Source Type: research
ConclusionMesenteric cysts represent a rare cause of intra-abdominal mass. Owing to low prevalence, literature is limited as is guidance on management. Careful pre-operative planning is essential so as to avoid operative complications. Imaging such as USS is of great importance; however Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) may be of more benefit, owing to the complex anatomical relations within which mesenteric cysts can present. Surgical excision is widely reported as the surgical treatment of choice for symptomatic cysts
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 13 November 2019Source: Arthroscopy TechniquesAuthor(s): Elizabeth A. Bardowski, J. W. Thomas ByrdAbstractPiriformis syndrome is an elusive condition that likely is overlooked and overdiagnosed in equal proportions. Image-guided injection of the muscle is an essential element in the assessment and management of this disorder. Ultrasonography allows visualization of the anatomy of the piriformis and its relation with the sciatic nerve. Ultrasound-guided injection of the muscle can be performed in an effective, reproducible fashion and, with careful attention to the details of the procedure...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Condition:   Atrial Fibrillation Intervention:   Diagnostic Test: Carotid Ultrasound Sponsor:   Mayo Clinic Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Fatty Liver Interventions:   Procedure: focused ultrasound, diet and exercise;   Procedure: diet and exercise Sponsor:   Cairo University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Abdominal pain is a common cause for emergency department visits in the United States, and biliary tract disease is the fifth most common cause of hospital admission. Common causes of acute hepatobiliary include gallstones and its associated complications and multiple other hepatobiliary etiologies, including infectious, inflammatory, vascular, and neoplastic causes. Postoperative complications of the biliary tract can result in an acute abdomen. Imaging of the hepatobiliary tree is integral in the diagnostic evaluation of acute hepatobiliary dysfunction, and imaging of the biliary tree requires a multimodality approach ut...
Source: Radiologic Clinics of North America - Category: Radiology Authors: Source Type: research
The objective of this paper is to give an approach to tackle forearm access when there appears to be no palpable radial pulse. Preservation of radial flow is paramount while alternative forearm means to vascular access may help avoid the need to access the femoral artery. PMID: 31710251 [PubMed - as supplied by publisher]
Source: Expert Review of Cardiovascular Therapy - Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research
We report on the prespecified secondary outcome, echocardiographic indexes of LV function, from a previously reported study of the effect of lung ultrasound (US)-guided dry weight reduction on systolic blood pressure.Study DesignSingle-blind randomized trial.Settings &Participants71 clinically euvolemic hypertensive hemodialysis patients in Greece and Slovenia.InterventionThe active intervention group’s (n = 35) volume removal was guided by the total number of lung US B-lines observed every week before a midweek dialysis session. The usual-care group (n = 36) was treated using standard-of-care...
Source: American Journal of Kidney Diseases - Category: Urology & Nephrology Source Type: research
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