scholarly journals A novel photonumeric hand grading scale for hand rejuvenation

2019 ◽  
Vol 46 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Jong Hun Lee ◽  
Yean Su Choi ◽  
Eun Soo Park ◽  
Jong Seo Kim ◽  
Moon Seok Kang ◽  
...  
Keyword(s):  
Grading Scale ◽  
Hand Rejuvenation

A grading scale for surgically treated patients with spontaneous supratentorial intracerebral hemorrhage: the Surgical Swedish ICH Score

2020 ◽  
Vol 133 (3) ◽  
pp. 800-807 ◽  
Author(s):  
Andreas Fahlström ◽  
Henrietta Nittby Redebrandt ◽  
Hugo Zeberg ◽  
Jiri Bartek ◽  
Andreas Bartley ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Intracerebral Hemorrhage ◽  
External Validation ◽  
Grading Scale ◽  
Ich Score ◽  
Gcs Score ◽  
Strength Of Association ◽  
Point Type ◽  
Clinical Grading

OBJECTIVEThe authors aimed to develop the first clinical grading scale for patients with surgically treated spontaneous supratentorial intracerebral hemorrhage (ICH).METHODSA nationwide multicenter study including 401 ICH patients surgically treated by craniotomy and evacuation of a spontaneous supratentorial ICH was conducted between January 1, 2011, and December 31, 2015. All neurosurgical centers in Sweden were included. All medical records and neuroimaging studies were retrospectively reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the Surgical Swedish ICH [SwICH] Score) was developed using weighting of independent predictors based on strength of association.RESULTSFactors independently associated with 30-day mortality were Glasgow Coma Scale (GCS) score (p = 0.00015), ICH volume ≥ 50 mL (p = 0.031), patient age ≥ 75 years (p = 0.0056), prior myocardial infarction (MI) (p = 0.00081), and type 2 diabetes (p = 0.0093). The Surgical SwICH Score was the sum of individual points assigned as follows: GCS score 15–13 (0 points), 12–5 (1 point), 4–3 (2 points); age ≥ 75 years (1 point); ICH volume ≥ 50 mL (1 point); type 2 diabetes (1 point); prior MI (1 point). Each increase in the Surgical SwICH Score was associated with a progressively increased 30-day mortality (p = 0.0002). No patient with a Surgical SwICH Score of 0 died, whereas the 30-day mortality rates for patients with Surgical SwICH Scores of 1, 2, 3, and 4 were 5%, 12%, 31%, and 58%, respectively.CONCLUSIONSThe Surgical SwICH Score is a predictor of 30-day mortality in patients treated surgically for spontaneous supratentorial ICH. External validation is needed to assess the predictive value as well as the generalizability of the Surgical SwICH Score.

scholarly journals E-016 Novel complication grading scale and severity reporting scale: A detailed proposal and feasibility study

2021 ◽  
Author(s):  
T Binyamin ◽  
O Stechishin ◽  
J Corona ◽  
C McDougall ◽  
R de Oliveira Sillero ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Grading Scale

scholarly journals POS0832 A NOVEL GREY SCALE AND POWER DOPPLER ULTRASONOGRAPHIC SCORE FOR IDIOPATHIC INFLAMMATORY MYOPATHIES: SIENA MYOSITIS ULTRASOUND GRADING SCALE

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 669.1-670
Author(s):  
E. Conticini ◽  
P. Falsetti ◽  
S. G. Al Khayyat ◽  
C. Baldi ◽  
F. Bellisai ◽  
...  
Keyword(s):  
Disease Duration ◽  
Muscle Fibers ◽  
Power Doppler ◽  
Muscle Thickness ◽  
Rectus Femoris ◽  
Normal Muscle ◽  
Small Vessels ◽  
Grey Scale ◽  
Vastus Intermedius ◽  
Grading Scale

Background:No clear-cut guidelines exist about the use of diagnostic procedures for idiopathic inflammatory myopathies (IIM) and only scanty and conflicting data report the use of ultrasound (US).Objectives:We aimed to assess if grey-scale (GS) and Power Doppler (PD) US, graded with a 0-3-points-scale, may be a reliable tool in a cohort of patients affected by IIM.Methods:We prospectively collected, since July to October 2020, all patients referred to Vasculitis and Myositis clinic, Rheumatology Unit, University of Siena, for suspected IIM, as well as patients with a previous, definite diagnosis of IIM and evaluated during follow-up or referred from other centers for a second opinion. All patients underwent US examination of both thighs in axial and longitudinal scans. Edema and atrophy, both assessed in GS, and PD, were graded with a 0-3-points-scale. Spearman test was used to identify the correlations between US and clinical and serological variables.Results:A total of 18 patients was included. Four of them were evaluated twice, at baseline and within 3 months of therapy. Muscle edema was found to be directly correlated with physician global assessment (PhGA), serum myoglobin and PD and negatively with disease duration. PD score was positively correlated to PhGA and negatively to disease duration. Muscle atrophy directly correlated with Myositis Damage Index and patients’ age. The single-thigh sub-analysis evidenced a direct correlation between PD score and Manual Muscle Test.Conclusion:In our cohort, we found that edema and PD are strictly related to early, active myositis, suggesting that an inflamed muscle should appear swollen, thickened and with Doppler signal. Conversely, muscle atrophy reflects the age of the patient and the overall severity of the disease. Such findings shed a new, promising, light in the role of US in diagnosis and monitoring of IIMs.Table 1.Siena Myositis Ultrasound Grading Scale (SMUGS).Grey-scale edemaGrey-scale atrophyPower Doppler0Normal muscle echotexture with hyperechoic septa and hypoechoic muscle fibers, conserved thickness.Normal muscle echotexture, with hyperechoic septa and hypoechoic muscle fibers, conserved thickness.No PD signal.1Focal hypoechoic areas, where septa are less evident. Conserved thickness.Focal heterogeneously hyperechoic areas, where septa are thicker and more evident, and muscle fibers are thinner. Conserved muscle thickness.One or two PD signals in at least one muscle (PD vascular spots, small vessels of homogenous diameters, vessel diameters approximately not superior to fibrous intramuscular septa)2Diffuse and heterogeneous hypo echogenicity (rectus femoris as hypoechoic or more than vastus intermedius), septa diffusely less evident. Conserved thickness.Diffuse and heterogeneously hyperechoic muscle, with thicker septa and thinner muscle fibers. Conserved muscle thickness.More than 2 PD signals for each muscle (as vascular spots, small vessels of homogenous diameters, vessel diameters approximately not superior to fibrous intramuscular septa).3Diffuse and heterogeneous hypo echogenicity (rectus femoris as hypoechoic or more than vastus intermedius), septa diffusely less evident. Increased thickness (rectus femoris became thicker than vastus intermedius).Diffuse and heterogeneously hyperechoic muscle, with thicker septa and thinner muscle fibers. Reduced muscle thickness.More than 2 PD signals for each muscle with larger diameter of the vessel (at least superior to fibrous intramuscular septa), or vessels with different diameters or branched vessels.Figure 1.Different PD findings (clockwise) in longitudinal anterior scans of the thigh: PD 3 in a patient with a recent diagnosis of anti-Mi2 DM; PD 2 in the same patient after one month of treatment with steroids and Methotrexate; PD 1 in a patient affected by anti-SAE DM, with a suspected disease flare; PD 0 in a patient affected by an advanced polymyositis diagnosed in 2000, currently not in treatment.Disclosure of Interests:None declared

Does the New ISHLT Primary Graft Dysfunction (PGD) Grading Scale in Heart Transplantation Predict Outcome?

2017 ◽  
Vol 36 (4) ◽  
pp. S146
Author(s):  
J. Patel ◽  
M. Kittleson ◽  
T. Aintablian ◽  
R. Levine ◽  
M. Curry ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Primary Graft Dysfunction ◽  
Graft Dysfunction ◽  
Grading Scale

A Validated Brow Positioning Grading Scale

2008 ◽  
Vol 34 ◽  
pp. S150-S154 ◽  
Author(s):  
ALASTAIR CARRUTHERS ◽  
JEAN CARRUTHERS ◽  
BHUSHAN HARDAS ◽  
MANDEEP KAUR ◽  
ROMAN GOERTELMEYER ◽  
...  
Keyword(s):  
Grading Scale

The Utility of Assessing Neck Acne

2016 ◽  
Vol 21 (1) ◽  
pp. 82-83
Author(s):  
Karishma Desai ◽  
Marc Philip Frey ◽  
Jerry Tan
Keyword(s):  
Treatment Options ◽  
The Body ◽  
Essential Component ◽  
Posterior Neck ◽  
Grading Scale ◽  
Lower Neck ◽  
Grading Scales ◽  
Facial Acne

Background: Acne grading is an essential component in establishing treatment options, but little is known on how neck acne should be incorporated into grading scales. Objective: Our objective was to explore the prevalence of neck acne and determine if its own severity category on an acne global grading scale was warranted. Methods: Acne severity was assessed in 6 categories: face, chest, back, anterior upper (AUN), anterior lower neck (ALN), and posterior neck (PN). Results: The overall prevalence of neck acne was 49%. Of these, 44% had AUN acne, 18.5% had ALN acne, and 19.8% had PN acne. AUN and facial acne had a significant correlation ( r = 0.37, P < .05). No correlation was seen amongst other areas. Males presented with a significantly higher severity of AUN (mean [SD], 1.37 [1.09]) than females (mean [SD], 0.52 [0.91]), on average. Conclusions: While neck acne has proven to be common amongst those with acne on other areas of the body, facial acne can be used as a proxy for classification, as neck severity is usually milder.

Development and Validation of a Grading Scale for Custom Ocular Prosthesis

2016 ◽  
Vol 93 (11) ◽  
pp. 1426-1430 ◽  
Author(s):  
Tarjani V. Dave ◽  
Sathish Kumar ◽  
Jaya Vasanthalin ◽  
Swathi Kaliki ◽  
Mohammad Javed Ali ◽  
...  
Keyword(s):  
Ocular Prosthesis ◽  
Grading Scale ◽  
Development And Validation ◽  
Custom Ocular Prosthesis

Grading scale of radiographic findings in the public bone and symphysis in athletes

2003 ◽  
Vol 44 (1) ◽  
pp. 79-83
Author(s):  
J. Besjakov ◽  
C. von Scheele ◽  
O. Ekberg ◽  
C. F. Gentz ◽  
N. E. Westlin
Keyword(s):  
Groin Pain ◽  
Pelvic Ring ◽  
Age Groups ◽  
Pubic Bone ◽  
Control Group ◽  
Male Athletes ◽  
Radiographic Findings ◽  
Bone Changes ◽  
Grading Scale ◽  
Group 2

Purpose: Radiographic abnormalities in the pubic bone and symphysis are often seen in athletes with groin pain. The aim was to create a grading scale of such radiologic changes. Material and Methods: Plain radiography of the pelvic ring including the pubic bone and the symphysis was performed in 20 male athletes, age 19–35, with long-standing uni- or bilateral groin pain. We used two control groups: Control group 1: 20 healthy age-matched men who had undergone radiologic examination of the pelvis due to trauma. Control group 2: 120 adults (66 men and 54 women) in 9 age groups between 15 and 90 years of age. These examinations were also evaluated for interobserver variance. Results and Conclusion: The grading scale was based on the type and the amount of the different changes, which were classified as follows: No bone changes (grade 0), slight bone changes (grade 1), intermediate changes (grade 2), and advanced changes (grade 3). The grading scale is easy to interpret and an otherwise troublesome communication between the radiologist and the physician was avoided. There was a high interobserver agreement with a high kappa value (0.8707). Male athletes with long-standing groin pain had abnormal bone changes in the symphysis significantly more frequently and more severely ( p>0.001) than their age-matched references. In asymptomatic individuals such abnormalities increased in frequency with age both in men and women.

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