Результаты поиска

Evaluation of interfacility transfer patterns among patients with emergency general surgery conditions.

BACKGROUND: Interfacility transfer for emergency general surgery is a key strategy for improving access to care. However, lower-intensity tr … lopment of interventions to support emergency general surgery care in resource-limited settings and triage patients requiring high-complexity care to tertiary and quaternary facilities.

Immature granulocyte: an early predictor of strangulated adhesive small bowel obstruction.

OBJECTIVE: Early identification of strangulation in adhesive small bowel obstruction (SBO) is crucial for emergency triage and immediate surgical intervention. This study aimed to explore the predictive value of the immature granulocyte (IG) count in assessing strangulation in adhesive SBO. METHODS: This was a retrospective analysis of patients with adhesive SBO, diagnosed surgically or by abdominal computed tomography (CT) from May 2022 to April 2025, comparing strangulated (SG) and non-strangulated (NSG) cases. Baseline levels of the IG count and related inflammatory biomarkers were analyzed…

Superior mesenteric artery syndrome - case series with review of literature - "the truth in between and the two extremes".

<b>Introduction:</b> Superior Mesenteric Artery Syndrome (SMAS) is a rare cause of upper intestinal obstruction characterizedby … ferential diagnoses. Upper gastro-intestinal (UGI) endoscopy can aid indecision-making and can help triage patients who need an upfront surgical approach. Patients with mild symptoms and nofeatures of luminal compromise on UGI endoscopy can be offered non-surgical treatment and monitored for their response.Surgery is indicated in patients with either sig …

Deep-learning tool for early identification of non-traumatic intracranial hemorrhage etiology and application in clinical diagnostics based on computed tomography (CT) scans.

BACKGROUND: To develop an artificial intelligence system that can accurately identify acute non-traumatic intracranial hemorrhage (ICH) etio … hemorrhage etiologies based on NCCT scans. It may also provide more information for clinicians for triage and further imaging examination selection.

Prognostic factors for acute central retinal artery occlusion treated with hyperbaric oxygen: The Hong Kong study report number five.

BACKGROUND: Central retinal artery occlusion (CRAO) is a potentially blinding disease, and hyperbaric oxygen therapy (HBOT) is becoming increasingly popular with the support of scientific evidence. Despite the presence of various acute management measures, there is no clear evidence on the gold standard treatment for CRAO. AIM: To identify factors and imaging parameters associated with good visual outcome, which guide ophthalmologists in the triage of CRAO patients for HBOT. METHODS: Patients who suffered from CRAO and had a symptom onset ≤ 6 h were recruited for a course of HBOT in a tertia…

The Role of Human Papillomavirus E6 Oncoprotein as a Biomarker in Anal Cancer Screening in Persons Living with HIV.

BACKGROUND: Molecular biomarkers could enhance anal cancer screening accuracy in people living with human immunodeficiency virus. We assesse … persons with <25% extent did. CONCLUSIONS: The HPV-16/18 E6 oncoprotein has potential utility as a triage biomarker for identifying and prioritizing lesions at the highest risk for progression. IMPACT: People living with human immunodeficiency virus are at an increased risk of anal cancer and would benefit from improved screening methods. Further resea …

The Infection Status and Distribution of hrHPV in Cervical Lesions Among Overweight Women Referred for Colposcopy: A Cross-Sectional Study.

IntroductionAmong opportunistically screened population with above normal-weight, screening-related information remains limited. This study … on rates of cervical intraepithelial neoplasia (CIN) grades and cancer, and clinical performance of triage tests were evaluated by Body Mass Index (BMI) levels, which were classified into two groups as overweight women (BMI ≥24 kg/m2) and normal-weight women (BMI <24 kg/m2).ResultsThe hrHPV infection rate of overweight women (73.0%) was not significantly …

Predictive determinants of CIN II + lesions in women over 65 years old: the contribution of HPV, colposcopy, and double immunostaining techniques.

BACKGROUND: Cervical intraepithelial neoplasia grade II or higher (CIN II+) is hard to diagnose in women over 65 years of age since age-rela … al cervical screening in elderly women, combining HPV genotype-based risk stratification, biomarker triage (p16/Ki-67), and clinical factors to improve detection and reduce unnecessary procedures.

Psychological and sexual impact of human papillomavirus screening in women in Cameroon: a prospective cohort study.

BACKGROUND: Cervical cancer (CC) is a public health burden, particularly in low-and middle-income countries, but can be prevented by screeni … pproach trial. Participants underwent a same-day consultation, organized as follows: HPV screening, triage of HPV-positive women and treatment by thermal ablation or Large Loop Excision of the Transformation Zone (LLETZ), if necessary. They completed anxiety (STAI) and sexual function (ASEX) questionnaires at 1, 6, and 12 months post-screening. RESULTS: …

Evaluating The Feasibility and Acceptability of Cervical Cancer Screening in an Urban Slum Community by HPV Self-Sampling With the Aid of Telecounselling: Lessons Learnt.

INTRODUCTION: HPV testing is the most sensitive method of secondary cervical cancer prevention and the preferred method recommended by the W … nt at the study center. Test positives were offered either a 'see and treat' approach or colposcopy triage. RESULTS: In the community, 982 women were enrolled in the study, but only 600 (61%) women consented to screening by HPV self-sampling. Ninety-six (15.6%) out of 600 women tested positive for Hr-HPV. Age, educational status, locality, occupation, m …

Impact of COVID-19 care reorganization on the prognosis of patients with bladder urothelial carcinoma: a multicentric retrospective study.

BACKGROUND: The COVID-19 pandemic disrupted healthcare systems globally, raising concerns about delayed cancer diagnosis and treatment. In F … s did not worsen through 2022. On the contrary, timely reorganization, prioritization of TURBT, and triage strategies were associated with reduced mortality and palliative care needs, highlighting the resilience of cancer care when guided by adaptive health policies.

Timeframe for suspecting typhoid fever post-travel in Canadian children.

OBJECTIVES: Typhoid fever, caused by Salmonella enterica serotype Typhi, remains a concern in non-endemic regions, particularly for traveler … ween return to Canada and positive blood culture. Independent variables included age, sex, fever at triage, country visited, and medical history. For participants who had traveled, the analysis focused on the time, in days, between the date of return from travel and presentation at the ED. RESULTS: Out 38,541 blood cultures drawn, 368 bacteremia cases w …

Высокополосная оценка переносимого Ультра-Лоу-Полевой МРТ для многоразового склероза.

МРТ имеет решающее значение для многократного склероза (MS), однако относительное значение переносного ультранизкого поля МРТ (PULF-MRI) — технологии, которая обещает расширить доступ к МРТ, неизвестно. Мы оценивали обнаружение повреждений белой материи (WML) на PULF-MRI по сравнению с высокофилиальными МРТ (HF-MRI), сосредоточив внимание на слепых оценках, самоподготовке специалистов по оценке и многопланных приобретениях. МЕТОДЫ: Fifty-five Взрослые с MS прошли курс PULF-MRI после своего HF-MRI. Two Нейрорадиологи провели независимую оценку изображений PULF-MRI в процессе оценки, включая пер

Совпадение в аннотации оригинала
BACKGROUND AND PURPOSE: MRI is crucial for multiple sclerosis (MS), but the relative value of portable ultra-low field MRI (pULF-MRI), a tec … e for MS lesions but should be approached conservatively. These results suggest utility for patient triage, potentially reducing diagnostic delay, and screening high-risk individuals.

Technical Priorities for Orthopaedic Trauma Care Development in Malawi.

INTRODUCTION: Malawi has a high and rising incidence of musculoskeletal injuries and inadequate orthopaedic trauma care capacity, which must … health workers in Rural Health Centres with basic training in musculoskeletal injury management and triage; 4) Improve diagnostic x-ray capacity at District Hospitals by fixing/replacing broken machinery and ensuring stable power supply; 5) Improve operative capacity at Central Hospitals by increasing operating theatre availability, efficiency, and utili …

Optimizing the Effects of a Comprehensive Emergency Nursing Model on Rescued Patients with Acute Myocardial Infarction in the Cardiology Department.

BACKGROUND: Acute myocardial infarction (AMI) requires timely and efficient intervention to mitigate adverse events and enhance patient prog … observed between the two groups. However, the intervention group demonstrated notable reductions in triage assessment time, completion of electrocardiograms, venous blood sampling, administration of intravenous medication, and overall emergency duration compared to the control group (P < .001). Additionally, the clinical complication rate in the interven …

Integrating Demographics and Imaging Features for Various Stages of Dementia Classification: Feed Forward Neural Network Multi-Class Approach.

BACKGROUND: MRI magnetization-prepared rapid acquisition (MPRAGE) is an easily available imaging modality for dementia diagnosis. Previous s … ss accuracy, sensitivity and specificity. The proposed FFNN model is simple, and it may support the triage of patients for further confirmation of the diagnosis.

Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala: a systematic application of the FRAME-IS framework.

There is little evidence on optimizing the effectiveness and implementation of evidence-based early childhood development (ECD) intervention … exts; design of job aids for providing developmental support messages; modification of referral and triage processes for children in need of enhanced support and speciality referral; and creation of post-training support procedures. Feedback from pilot trainings included: (1) group consensus that training improved ECD skills and knowledge across multiple …

Intensive Asthma Therapy and Intravenous Magnesium Sulfate in the Emergency Department Management of Pediatric Asthma.

OBJECTIVE: The aim of the stud is to determine whether intravenous magnesium sulfate (IVMg) is associated with hospitalization and time to albuterol every 4 hours in a cohort of children who received intensive asthma therapy (IAT) in the emergency department (ED). METHODS: This retrospective cohort study included children 2-18 years who received IAT, defined as 3 bronchodilators and corticosteroids within 60 minutes of ED triage, with or without IVMg in the ED between 2019 and 2021. Primary outcome was hospitalization and among hospitalized children, secondary outcome was time to albuterol ev…

Epidemiological trends of febrile infants presenting to the Paediatric Emergency department, in a tertiary care hospital, Karachi, Pakistan: a retrospective review.

BACKGROUND: Understanding the epidemiological patterns of febrile infants can offer valuable insights for optimising management strategies a … infants presenting to ED, IHHN. Moreover, it has highlighted the necessity to optimise the existing triage systems to effectively allocate resources and manage high patient volumes in low-resource EDs.

A Scoping Review of Fall-Risk Screening Tools in the Emergency Department for Future Falls in Older Adults.

BACKGROUND: Approximately one-third of adults over the age of 65 experience falls annually, with half resulting in injury. Peak bodies have … , one tool was a frailty-screening tool, two tools were rapid physical tests, one tool was a trauma triage tool, and one tool was a component of a health-related quality-of-life measure. Studies that evaluated prognostic performance (n = 11) generally reported sensitivity higher than specificity. Previous falls (n = 10) and high-risk medications (n = 6) …