scholarly journals Determination of Radiography Requirement with Physical Examination in Elbow Trauma

2021 ◽  
Author(s):  
Mücahit GÜNAYDIN ◽  
Vildan ÖZER ◽  
Yunus KARACA ◽  
Ali AYGUN ◽  
Özgür TATLI ◽  
...  
Keyword(s):  
Physical Examination ◽  
Elbow Trauma

scholarly journals Study on the Distribution Characteristics and Influencing Factors of Homocysteine in the Physical Examination Population

2021 ◽  
Author(s):  
Fang Bao ◽  
Ming Cui ◽  
Xiuying Shi ◽  
Shaoqing Ju ◽  
Hui Cong
Keyword(s):  
Blood Pressure ◽  
Physical Examination ◽  
Large Scale ◽  
Kidney Injury ◽  
Scientific Basis ◽  
Cerebrovascular Diseases ◽  
Health Examination ◽  
Significant Difference ◽  
The Difference

Abstract Background: Homocysteine (Hcy) is considered to be an independent risk factor for cardiovascular and cerebrovascular diseases. No study has evaluated the distribution of Hcy on a large-scale health examination. Accordingly, this study aimed to investigate the level and distribution of Hcy in the healthy physical examination population and the correlation with other biomarkers, and analyzed for cardiovascular and other diseases. The prevention provides an important scientific basis.Methods: From February 2017 to April 2020, 8063 medical examination populations were selected for analysis. Determination of serum Hcy, TC, TG, LDL-c, HDL-c, ALT, ALP, γ-GT, TBIL, GLU, urea, Cr, UA and related metabolic risk factors. According to the multivariate regression model of age, gender, smoking, drinking, body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP), the relationship between Hcy and other biochemical indicators was evaluated. Results: Among 8063 cases, the age, BMI, SBP and DBP of the high-Hcy group were higher than those of the low-Hcy group, the difference was statistically significant (P<0.05), and the proportion of males, smoking and drinking were higher than the low In the Hcy group, the difference was statistically significant (P<0.05); the ALT, ALP, γ-GT, TBIL, Urea, Cr, UA, and TG in the high Hcy group were higher than those in the low Hcy group, and the difference was statistically significant (P<0.05 ); HDL-c in the high-Hcy group was lower than that in the low-Hcy group, and the difference was statistically significant (P<0.05). There was no statistically significant difference in TC, LDL-c, and GLU between the high- and low-Hcy groups (P>0.05). In multivariate analysis, lnHDL-C was negatively correlated with lnHcy (β=-0.038, SE=0.016, P<0.05), lnCr was positively correlated with lnHcy (β=0.055, SE=0.016, P<0.05), lnUA and lnHcy were positive correlation (β=0.043, SE=0.019, P<0.05). Conclusion: Hcy is closely related to HDL-c, Cr and UA, which indicates that Hcy may affect the metabolism of HDL-c and UA, and can also be used as an auxiliary diagnostic index for kidney injury.

Comparison of the caudal lung borders determined by percussion and ultrasonography in horses with recurrent airway obstruction

2003 ◽  
Vol 51 (3) ◽  
pp. 249-258 ◽  
Author(s):  
Z. Bakos ◽  
K. Vörös ◽  
Heidi Kellokoski ◽  
J. Reiczigel
Keyword(s):  
Physical Examination ◽  
Airway Obstruction ◽  
Statistical Methods ◽  
Diagnostic Value ◽  
Standard Errors ◽  
Recurrent Airway Obstruction ◽  
Distance Measurements ◽  
Mean Values ◽  
Ultrasound Method

The aim of the study was to evaluate the diagnostic value of thoracic percussion and ultrasonography with the help of distance measurements and statistical methods in the determination of the caudal lung border in horses with recurrent airway obstruction (RAO). Examinations were performed on 11 healthy, warm-blooded horses of different breeds, age and grade of disease. First, the caudal lung border was determined by the traditional indirect percussion method in the 10th, 12th, 14th and 16th intercostal spaces at the end of inspiration and expiration on both sides of the thorax. To apply standardised measurements, a fix point was chosen as described earlier by the same authors for healthy horses. The distance between this point and the caudal lung border was measured with a tape-measure. Percussion was followed by ultrasonographic determination of the caudal lung border. Measurements were performed in the same way as described for the percussion technique. Mean values and standard errors of absolute values of differences between percussion and ultrasonographic measurements were the following, in centimetres (10th, 12th, 14th and 16th intercostal spaces). Left side expiration: 1.4, 0.4; 0.8, 0.2; 0.9, 0.2; 0.8, 0.4; left side inspiration: 0.8, 0.3; 1.5, 0.3; 1.4, 0.3; 1.1, 0.3; right side expiration: 2.1, 1.0; 2.1, 0.5; 1.6, 0.5; 0.8, 0.1; right side inspiration: 1.5, 0.7; 1.2, 0.6; 0.8, 0.2; 0.8, 0.3, respectively. Ultrasonography proved to be reliable in determining the caudal lung borders in horses with RAO. Results of the percussion examination did not differ significantly from those of the ultrasound method which was used as a reference technique. The differences between inspiration and expiration were greater in horses with RAO than in healthy horses in a previous study. Based on these results, percussion can be used as an integrated part of the physical examination in diagnosing caudal shift of the caudal lung border of horses suffering from RAO.

Running Athlete in Office Practice

Foot & Ankle ◽  
1982 ◽  
Vol 3 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Lowell D. Lutter
Keyword(s):  
Physical Examination ◽  
General Treatment ◽  
Treatment Modalities ◽  
Office Practice ◽  
Injury Causation

The running athlete has different needs from other athletes in terms of determination of his/her specific injury. Causation determination can be done through history. Specific pointers in terms of physical examination are noted to lead one to the diagnosis. Basic general treatment modalities are noted.

scholarly journals EVALUASI KEBIJAKAN PEMERIKSAAN FISIK BARANG PADA DIREKTORAT JENDERAL BEA DAN CUKAI

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Akhmad Firdiansyah ◽  
Ario Seno Nugroho
Keyword(s):  
Physical Examination ◽  
Good Governance ◽  
Performance Indicator ◽  
Secondary Data ◽  
Dwelling Time ◽  
Doing Business ◽  
Directorate General ◽  
Ease Of Doing Business ◽  
Logistics Performance Index

ABSTRACT: Customs clearance activities carried out by the Directorate General of Customs and Excise (DJBC) is closely related to the competitiveness of national economy indicators specifically ease of doing business, logistics performance index and dwelling time. Physical Examination of goods (bahandle) is a performance indicator of DJBC. Physical Examination was performed by the customs because of the number error and type of goods (red channel) or an error of the customs value and/or classification/tariff as well as random examination (green channel and priority channel). This research aims to analyze the effectiveness of the physical examination performed by DJBC. This research exploits descriptive qualitative analysis method using secondary data import (PIB) during 2015-2016. The results of the study showed that the error found (hitrate) was 5.9% meaning among 2.165.243 PIB checked, 127.775 documents were false. This proves that the physical examination conducted by DJBC is not efficient. Risk management is required through the evaluation of the determination of the variables in the physical examination not only because of the number and type of error, but also the customs value and/or classification/tariffs. Improved physical examination can result in the potential for efficient results and implement good governance.Keywords: physical examination, red line, efficientABSTRAK:Kegiatan pemeriksaan pabean (customs clearance) yang dilaksanakan oleh Direktorat Jenderal Bea dan Cukai (DJBC) berkaitan erat dengan daya saing perekonomian nasional dalam hal kemudahan melakukan bisnis, indeks performa logistik dan dwelling time. Pemeriksaan fisik barang (bahandle) merupakan indikator kinerja DJBC. Pemeriksaan fisik dilakukan terhadap pemberitahuan pabean karena kesalahan jumlah dan jenis barang (jalur merah) maupun kesalahan karena nilai pabean dan/atau klasifikasi/tarif serta pemeriksaan secara acak (jalur hijau dan jalur prioritas). Penelitian ini bertujuan menganalisa efektivitas kegiatan pemeriksaan fisik (bahandle) yang dilakukan oleh DJBC. Penelitian ini menggunakan metode analisa kualitatif deskriptif dengan menggunakan data sekunder importasi Pemberitahuan Impor Barang nasional (PIB) pada kurun waktu 2015-2016. Hasil penelitian menunjukkan bahwa besarnya kesalahan yang ditemukan (hitrate) adalah 5,9% yaitu artinya bahwa terhadap 2.165.243 PIB yang diperiksa, terdapat 127.775 dokumen yang salah. Hal ini membuktikan bahwa pemeriksaan fisik yang dilakukan oleh DJBC belum efisien. Diperlukan penataan manajemen yang baik melalui evaluasi penentuan variabel dalam pemeriksaan fisik dengan manajemen risiko yang obyektif dan terukur, bukan hanya karena kesalahan jumlah dan jenis saja, melainkan juga kesalahan karena nilai pabean dan/atau klasifikasi/tarif. Perbaikan tata kelola pemeriksaan fisik dapat memberikan potensi hasil yang efisien dan dapat mewujudkan pemerintahan yang baik (good governance).Kata Kunci: pemeriksaan fisik, jalur merah, efisien 

scholarly journals Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Pan Qiong-Hua ◽  
Zheng Zhong-Yi ◽  
Yang Jun ◽  
Wen Yan ◽  
Yuan Lian-Chao ◽  
...  
Keyword(s):  
Physical Examination ◽  
Antibody Responses ◽  
Timely Manner ◽  
Mountain Areas ◽  
West China ◽  
Insidious Onset ◽  
Leprosy Patients ◽  
Antibody Titers ◽  
Physical Examinations

Leprosy is a disabling chronic infection, with insidious onset that often evades early detection. In order to detect new leprosy cases in a timely manner, we conducted surveillance visits in some difficult-to-reach mountain areas in South West China where the disease is still prevalent. Our data confirm that Chinese multibacillary (MB) leprosy patients have strong antibody responses againstMycobacterium lepraeantigens ND-O-BSA and LID-1. Contacts of clinically diagnosed patients were then monitored at regular intervals by both physical examinations and the laboratory determination of antibody responses in sera collected during these examinations. Elevations in antibody titers indicated the onset of MB leprosy in one of the contacts, and diagnosis was subsequently confirmed on physical examination. Our data indicate that rising antibody titers can be used as a trigger for physical examination or increased monitoring of particular individuals in order to provide early leprosy diagnosis.

scholarly journals Defining normal jugular venous pressure with ultrasonography

CJEM ◽  
2010 ◽  
Vol 12 (04) ◽  
pp. 320-324 ◽  
Author(s):  
Steven J. Socransky ◽  
Ray Wiss ◽  
Ron Robins ◽  
Alexandre Anawati ◽  
Marc-Andre Roy ◽  
...  
Keyword(s):  
Physical Examination ◽  
Interrater Reliability ◽  
Venous Pressure ◽  
Jugular Venous Pressure ◽  
Normal Range ◽  
Convenience Sample ◽  
A Value ◽  
The Mean ◽  
Research Assistants

ABSTRACT Objective: Determination of jugular venous pressure (JVP) by physical examination (E-JVP) is unreliable. Measurement of JVP with ultrasonography (U-JVP) is easy to perform, but the normal range is unknown. The objective of this study was to determine the normal range for U-JVP. Methods: We conducted a prospective anatomic study on a convenience sample of emergency department (ED) patients over 35 years of age. We excluded patients who had findings on history or physical examination suggesting an alteration of JVP. With the head of the bed at 45°, we determined the point at which the diameter of the internal jugular vein (IJV) began to decrease on ultrasonography (“the taper”). Research assistants used 2 techniques to measure U-JVP in all participants: by measuring the vertical height (in centimetres) of the taper above the sternal angle, and adding 5 cm; and by recording the quadrant in the IJV's path from the clavicle to the angle of the jaw in which the taper was located. To determine interrater reliability, separate examiners measured the U-JVP of 15 participants. Results: We successfully determined the U-JVP of all 77 participants (38 male and 39 female). The mean U-JVP was 6.35 (95% confidence interval 6.11–6.59) cm. In 76 participants (98.7%), the taper was located in the first quadrant. Determination of interrater reliability found κ values of 1.00 and 0.87 for techniques 1 and 2, respectively. Conclusion: The normal U-JVP is 6.35 cm, a value that is slightly lower than the published normal E-JVP. Interrater reliability for U-JVP is excellent. The top of the IJV column is located less than 25% of the distance from the clavicle to the angle of the jaw in the majority of healthy adults. Our findings suggest that U-JVP provides the potential to reincorporate reliable JVP measurement into clinical assessment in the ED. However, further research in this area is warranted.

scholarly journals System of x-ray methods in diagnostics of maxillofacial traumas

2008 ◽  
Vol 7 (3) ◽  
pp. 92-96
Author(s):  
A. Yu. Vasilyev ◽  
D. A. Lezhnev
Keyword(s):  
Physical Examination ◽  
Clinical Diagnosis ◽  
Complete Information ◽  
Optimal Treatment ◽  
Maxillofacial Trauma ◽  
Facial Bones ◽  
X Ray ◽  
Facial Injuries ◽  
Ray Methods

A maxillofacial trauma is one of the most frequent traumas with the permanent tendency to growth. Such victims usually fall in the category of serious patients, since traumas of facial bones are often accompanied by injuries of organs of vision, brain, and accessory sinuses. Physical examination usually fails to provide complete information on the character and extent of facial injuries. X-ray diagnostics should solve several problems: refinement or verification of clinical diagnosis, determination of medical prognosis, help in development of optimal treatment tactics, and others.

scholarly journals Sincope: clinic risk determination and therapeutic management

2007 ◽  
Vol 1 (2) ◽  
pp. 51-62
Author(s):  
Fabio Mecca ◽  
Enrica Favaro ◽  
Claudio Marengo
Keyword(s):  
Risk Stratification ◽  
Physical Examination ◽  
Medical History ◽  
Patient Management ◽  
Limited Resources ◽  
Correct Identification ◽  
Frequent Symptom ◽  
Pathological Mechanism ◽  
Wide Group

Syncope is a frequent symptom characterizing a wide group of pathologies with very different prognosis. By this reason, it is necessary a careful risk stratification for a better patient management. For this aim medical history and physical examination are fundamental. Diagnostic exams complete and confirm diagnostic suspiciousness formulated by medical history and examination, but rarely give elements for unexpected diagnosis. Correct identification of pathological mechanism of syncope and determination of associated clinical risk allow the best patient management avoiding dangerous discharge but also, in relation to increasingly limited resources, inappropriate hospitalizations.

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