Introduction: Chest trauma has a high incidence and pneumothorax is the most frequent finding. The literature is scarce on what to do with asymptomatic patients with pneumothorax due to penetrating chest trauma. The aim of this study was to evaluate what are the findings of the control radiography of patients with penetrating chest trauma who are not initially taken to surgery, and their usefulness in determining the need for further treatment. Methods: A retrospective cohort study was performed, including patients older than 15 years who were admitted for penetrating chest trauma between January 2015 and December 2017 and who did not require initial surgical management. We analyzed the results of chest radiography, the time of its acquisition, and the behavior decided according to the findings in patients initially left under observation. Results: A total of 1,554 patients were included, whose average age was 30 years, 92.5% were male and 97% had a sharp weapon wound. Of these, 186 (51.5%) had no alterations in their initial X-ray, 142 had pneumothorax less than 30% and 33 had pneumothorax greater than 30 %, hemopneumothorax or hemothorax. Closed thoracostomy was required as the final procedure in 78 cases, sternotomy or thoracotomy in 2 cases and discharged in 281. Conclusion: In asymptomatic patients with small or moderate pneumothorax and no other significant lesions, longer observation times, radiographs and closed thoracostomy may be unnecessary.
To address the problem that the imaging inversion method based on a single model in integrated aperture imaging is difficult to effectively correct model errors and perform accurate image reconstruction, a dual-model (DM)-based integrated aperture imaging inversion method is proposed for correcting the parametric errors of the inversion model and performing highly accurate millimeter-wave image reconstruction of the target scene. In view of the different parameter sensitivities of the Fourier transform (MFFT) model and the G-matrix (GM) model, the proposed DM method first corrects the imaging parameters with errors accurately by comparing the reconstruction errors of the two models; then recon-structs a high-precision target image based on the accurate GM model with the help of an improved regularization method. It is proved by simulation experiments that the proposed DM method can effectively correct the parameter errors of the imaging model and reconstruct the target scene with high accuracy in millimeter wave images compared with the traditional single-model imaging method.
Objective: To describe magnetic resonance imaging (MRI) findings of the brain in patients younger than 65 years who were studied by transcranial Doppler (TCD) with microbubble contrast, with a history of cryptogenic cerebrovascular accident (CVA) and suspected patent foramen ovale (PFO).
Materials and methods: This retrospective cross-sectional study included patients of both sexes, younger than 65 years of age.
Results: Our sample (n = 47.47% male and 53% female, mean age is 42 years) presented high-intensity transient signals (HITS) positive in 61.7% and HITS-negative in 38.3%. In HITS-positive patients, lesions at the level of the subcortical U-brains, single or multiple with bilaterally symmetrical distribution, predominated. In patients with moderate HITS, lesions in the vascular territory of the posterior circulation predominated.
Conclusion: In patients younger than 65 years with cryptogenic stroke and subcortical, single or multiple U-shaped lesions with bilateral and symmetrical distribution, a PFO should be considered as a possible cause of these lesions.
The construction of practical education bases in the construction of medical colleges in vocational colleges is an important way to meet the teaching requirements of medical courses and reflect the comprehensive practical education ability of vocational colleges. For medical students in vocational colleges, the improvement of practical ability is also an important way to continuously enhance and improve their professional and technical abilities. This article analyzes the construction of relevant training bases in the field of medical imaging, and explores the scientific methods for teaching and constructing traditional Chinese medicine imaging professional bases in vocational colleges through four typical paths: basic construction of practice bases, effective management of practice bases, targeted practical abilities, and professional skill training for cultivating teacher teams.
With the rapid development of modernization and the reform and development of quality education, the main direction and goal of vocational colleges in the new era is to cultivate high-level skilled talents required by the times. With the development of globalization and the refined division of labor in industrial technology, the requirements of various industries for high-level skilled talents with the ability to adapt to market development are gradually increasing. This article focuses on exploring and analyzing the demand for hospital imaging technology talents under the rapid development of the new era industry, and discovering the problems in talent cultivation in vocational colleges. In response to the existing problems, actively utilizing college resources and practical opportunities, innovating the college school cooperation mode and teaching methods for imaging technology majors in vocational colleges, and gradually expanding into a standardized, scientific, and developable college cooperation mode for vocational education, Implement the national strategic plan for cultivating quality talents in vocational colleges, focus on doing a good job in the work of "cultivating morality and talents", adhere to the "three education" reform, and improve the quality of talent cultivation.
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