News Article | May 8, 2017
DES PLAINES, IL--Point-of-Care Ultrasound (POCUS) assessment of distal forearm injuries in children is accurate, timely, and associated with low levels of pain and high caregiver satisfaction. That is the main finding of a study to be published in the March 2017 issue of Academic Emergency Medicine (AEM), a journal of the Society for Academic Emergency Medicine. The lead author is Naveen Poonai, MD, MSc MD FRCPC, associate professor paediatrics and internal Medicine, Schulich School of Medicine & Dentistry at Western University. Dr. Poonai is internationally recognized for his work in the assessment and management of acute pain in children and the role of POCUS in paediatric emergency medicine. There are many goals when managing children with suspected fractures of the arm. These include being fast and accurate in the diagnosis, not causing more pain and limiting exposure to radiation. Achieving these goals can result in high rates of caregiver satisfaction. Dr. Poonai's study suggests that POCUS may be a viable alternative to x-ray with respect to diagnostic accuracy, cost effectiveness, pain, caregiver satisfaction, and procedure duration. Dr. Poonai: "We conducted a cross-sectional study involving children age 4-17 years with a suspected non-angulated distal forearm fractures. Our objective was to explore the test performance characteristics and patient-oriented outcomes of POCUS compared to x-ray. There were 76 fractures among 169 children. POCUS was found to have a sensitivity of 94.7% and a specificity of 93.5%. POCUS was also associated with high caregiver satisfaction and a significantly lower pain score and procedure duration compared to x-ray. Our findings suggest that POCUS is an accurate tool to diagnose distal forearm fractures in children that is associated with high caregiver satisfaction and low levels of pain." The findings of the study are discussed with Dr. Poonai in the featured episode of Skeptics' Guide to Emergency Medicine Hot Off the Press (#SGEMHOP). The Society for Academic Emergency Medicine (SAEM) is a 501(c)(3) not-for-profit organization dedicated to the improvement of care of the acutely ill and injured patient by leading the advancement of academic emergency medicine through education and research, advocacy, and professional development. To learn more, visit saem.org.
News Article | November 10, 2016
MOSCOW, 10-Nov-2016 — /EuropaWire/ — The national team of ROSATOM won 6 gold, 3 silver and 1 bronze medal at the world skills championship WorldSkills Hi-Tech 2016, which was completed on November 3 in Yekaterinburg. This year, ROSATOM expanded the number of competences up to 10 from 8 and won the medal place in each of them to be the leader in the team scoring. The teams sent to the championship 103 people who included key staff and reserve, as well as tutors. Twenty three sectoral experts were invited; they have related certificates to the WorldSkills. They were invited by the championship organizers, WordSkills Russia Union, to judge as independent experts. “To continue leading in the world market of nuclear power, we must be leaders in everything: in the management system, reporting system or staff training system. It is the highly skilled workers and engineers who are able to ensure the long-term success and development to ROSATOM and this country as a whole,” said ROSATOM’s CEO Alexey Likhachev. “Today, the trades are becoming more complex, respectful and prestigious. Nuclear sector means high-technology equipment and we need the best people to serve, develop and create these technologies,” he said. Eduard Shevchenko of ZiO-Podolsk (a works of Atomenergomash Group of Companies) won a silver medal in the competence “CNC Milling”. Dmitry Kovalenko, who represented a branch of AEM-technology, Petrozavodskmash, won a bronze medal in the competence “CNC Turning”. Sergey Sychugov of the Urals Gas Centrifuges Plant (Fuel Company of ROSATOM TVEL) won a gold medal in the competence “Electronics”. Alexander Golovanov of OKBM Afrikantov (a works of Atomenergomash Group of Companies) won a gold medal in the competence “CAD Engineering Graphics”. Yegor Usoltsev and Salavat Yusupov of PA Mayak (a part of ROSATOM’s division, Nuclear Weapons Complex) won gold prizes in the competence “Mechatronics”. Vladimir Yesenin on JSC GreenAtom won a silver medal in the competence “Network and System Administration”. Mikhail Denisov of RFNC VNIIEF (Nuclear Weapons Complex) won a gold medal in the competence “Electric Installation”. Anton Sankov, who represented Rosenergoatom’s Atomtekhenergo, won a silver medal in the competence “Industrial Automation”. Anastasia Terekhovich of Mashinostroitelny Zavod (Fuel Company of ROSATOM TVEL) won a gold medal in the competence “Laboratory Chemical Analysis”. She also won the special nomination “Lady Profy”. Dmitry Kucheryavin, an employee of SAEM-technology Atommash, won a gold medal in the competence “Welding”. He also became an absolute champion in the individual event of the championship WorldSkills Hi-Tech 2016 and the winner of 1 million rubles allocated by the Foundation of Industry and Innovations. To remind, last year Alexander Duimamet, a ROSATOM company’s employee, also received 1 million rubles. WorldSkills Hi-Tech is the annual championship of trades led to the international standards WorldSkills among Russian public corporations. It is the major competition of professionals in the high-technology sector of the industry. The championship is designed for improvement of professional skills and expertise of young workers under the age of 28 and career guidance of juniors of 10-17 years of age in affiliated educational establishments of the largest companies.
Usefulness of preablation serum thyroglobulin as a predictor of the evolution of patients with differentiated thyroid carcinoma [Utilidad de la tiroglobulina sérica preablación como predictor de evolución en los pacientes con carcinoma diferenciado de tiroides]
Cabezon C.,SAEM |
Lowenstein A.,SAEM |
Orlandi A.,SAEM |
Sartorio G.,SAEM |
Revista Argentina de Endocrinologia y Metabolismo | Year: 2011
We present a retrospective and multicentric study to evaluate the measurement of preablation Thyroglobulin (Tg) as a predictor of the evolution of 274 patients with DTC. All the patients included in the study had negative TgAb, were treated with total thyroidectomy, ablation of the remnant tissue and an evolution period of more than 2 years. We measured preablation Tg under stimulation with endogenous TSH. We correlated the preablation Tg with that at the first control at LT4 withdrawal, with TNM stratification and the final statement of the disease at Final Time (FT). At the end of the evolution period, patients were classified as: free of disease (n=172), with doubtful disease (n=43) and with persistent disease (n=50). According to their Tg levels, patients were subdivided the following ranges of Tg: 0.5-2.0; 2.1-10.0; 10.1-40.0; 40.1-100 and >100 ng/mL. There was not significant correlation between preablation Tg and TNM stratification. We observed correlation between preablation Tg and the first stimulated Tg ≤2.0 ng/mL as 86.7 % of the patients persisted in this range while the rest of them either moved to a lower or a higher range in response to the ablation. Considering the relationship between preablation Tg and the state of disease at FT, we found out that most of the patients with preablation Tg <10.0 ng/mL were free of disease. TNM classification correlated with the final state of the disease, with low risk patients having a high probability of being free of disease. In patients with CDT, preablation Tg below ≤10.0 ng/mL could be a marker of good prognosis. We consider that preablation Tg can be a valuable tool to predict the evolution and risk of patients with CDT. Copyright © 2011 por la Sociedad Argentina de Endocrinología y Metabolismo.