Search results for "emergency"
showing 10 items of 1747 documents
A curious case of pancytopenia and fever in a patient with Erdheim–Chester disease
2022
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The renal resistive index: is it a misnomer?
2015
Progress in digital ultrasound technology and diffusion of Doppler ultrasound evaluation of the kidney enable a widespread non-invasive evaluation of renal haemodynamics. Initially most attention has been paid to the study of extraparenchymal renal arteries, mainly to detect renovascular disease. However, this approach has low reproducibility and accuracy. Therefore, interest has gradually moved towards the duplex evaluation of intrarenal anatomy, where the best and most reliable signals are obtained from the large segmental or interlobar arteries that run directly towards the transducer. Among the sonographic parameters used in the last decade, great emphasis has been placed on the intrare…
Musculoskeletal manifestations in children with Behçet's syndrome: data from the AIDA Network Behçet's Syndrome Registry
2023
AbstractThis study aims to describe musculoskeletal manifestations (MSM) in children with Behçet’s syndrome (BS), their association with other disease manifestations, response to therapy, and long-term prognosis. Data were retrieved from the AIDA Network Behçet’s Syndrome Registry. Out of a total of 141 patients with juvenile BS, 37 had MSM at disease onset (26.2%). The median age at onset was 10.0 years (IQR 7.7). The median follow-up duration was 21.8 years (IQR 23.3). Recurrent oral (100%) and genital ulcers (67.6%) and pseudofolliculitis (56.8%) were the most common symptoms associated with MSM. At disease onset, 31 subjects had arthritis (83.8%), 33 arthralgia (89.2%), and 14 myalgia (…
Emergency Surgery ina a patient with large spontaneous epidurl hematoma determinig exellent neurological recovery: review of the literature
2014
Study Design: Case report Objectives: we report a case of a 75-year-old woman suffering voluminous idiopathic spontaneous spinal epidural hematomas (SSEH) that was rapidly diagnosed and successfully treated Methods: Clinical presentation was characterized by sudden and intense back pain that rapidly evolved into plegia of the right leg and severe paresis of the left leg. Hypoesthesia below T6 and urinary retention were also present. The MRI showed a significant posterior spinal compression from T6 through L3 caused by an epidural hematoma that involved 10 metameric levels, extending for approximately 20 cm, with a maximum thickness of 1.6 cm from T12 to L1. Results: Within 12 hours, emergen…
Influence of custom-made and prefabricated insoles before and after an intense run
2017
[EN] Each time the foot contacts the ground during running there is a rapid deceleration that results in a shock wave that is transmitted from the foot to the head. The fatigue of the musculoskeletal system during running may decrease the ability of the body to absorb those shock waves and increase the risk of injury. Insoles are commonly prescribed to prevent injuries, and both custom-made and prefabricated insoles have been observed to reduce shock accelerations during running. However, no study to date has included a direct comparison of their behaviour measured over the same group of athletes, and therefore great controversy still exists regarding their effectiveness in reducing impact …
Neck and Shoulder Muscle Activation Among Experienced and Inexperienced Pilots in +Gz Exposure
2017
Background The aim of the present study was to compare differences in electromyography (EMG) activation of the neck and shoulder muscles between groups of inexperienced and experienced pilots during controlled +Gz exposure in a centrifuge. Methods The subjects were volunteer cadets (inexperienced group) and lieutenants (experienced group) undergoing their first centrifuge training. The first group did not have any high performance aircraft (HPA) experience, while the latter one had a 1-yr experience of intense flying of HPA. During the centrifuge run, EMG activity was recorded from the left and right shoulder, neck flexor, and neck extensor muscles. Results The pilots without HPA experience…
Study design of Heart failure Events reduction with Remote Monitoring and eHealth Support (HERMeS)
2020
Aims: The role of non‐invasive telemedicine (TM) combining telemonitoring and teleintervention by videoconference (VC) in patients recently admitted due to heart failure (HF) (‘vulnerable phase’ HF patients) is not well established. The aim of the Heart failure Events reduction with Remote Monitoring and eHealth Support (HERMeS) trial is to assess the impact on clinical outcomes of implementing a TM service based on mobile health (mHealth), which includes remote daily monitoring of biometric data and symptom reporting (telemonitoring) combined with VC structured, nurse‐based follow‐up (teleintervention). The results will be compared with those of the comprehensive HF usual care (UC) strateg…
Supporting Inter-Agency Collaboration in Emergency Management: Recurring Challenges Relevant for CSCW
2023
Emergency management requires effective collaboration between different agencies. This work implies several challenges due to a heterogeneous mix of actors with different procedures, practices, and support tools. Despite being focused in various research streams, emergency responders still report challenges with sharing information and establishing shared situational awareness in responding to complex events. The paper presents results from a large-scale digital tabletop exercise that illustrate recurring challenges related to support for collaborative procedures, a communication network structure combining several media, use of geocollaborative tools, and configuration of collaborative env…
Understanding Situational Disabilities and Situational Awareness in Disasters
2019
In this paper, a scenario-based approach augmented with personas typically used in universal design and interactive design domains is used to illustrate the occurrence of situational disabilities in emergency situations, and to show how environmental factors can trigger these situational disabilities. With the help of personas representing selected archetypical characteristics and roles, the scenarios are further examined to show how these situational disabilities can affect the situational awareness of different stakeholders, not only in the command and control centers, but also first responders in the field as well as affected members of the public. This approach provides a better underst…
Obstructive sleep apnea: screening is the waiting room for preoperative testing, postoperative monitoring, and safety measures
2018
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