ABSTRACT
Rapid on-site evaluation(ROSE)is a cytopathological technique acquiring microsamples through biopsy.ROSE is applied to the quality control of specimens,diagnostic consideration,and further examinations of samples in contemporary paediatric interventional pulmonology. ROSE is still on the initial stage in modern pediatrics,which is divided into cytological ROSE(C-ROSE)and microbiological ROSE(M-ROSE),the latter being more practical. Although it isn't a definite diagnosis,ROSE can guide therapeutic decisions when performing peadiatric bronchoscopy and other inverventional pulmonary operations.
ABSTRACT
<p><b>OBJECTIVE</b>To assess the feasibility of using subclinical doses of pentazocine in painless egg retrieval.</p><p><b>METHODS</b>Eighty-one patients undergoing painless egg retrieval were randomized into the observation group and the control group to receive 0.4 mg/kg pentazocine with 1.5 mg/kg propofol and 0.5 mg/kg pentazocine with 1.5 mg/kg propofol, respectively. The mean arterial pressure (MAP), heart rate (HR), SPO(2), respiratory rate (RR), unconsciousness time, awake time, hospital stay, complications, consciousness during the operation and adverse effects were compared between the two groups.</p><p><b>RESULTS</b>The two groups showed no significant differences in the analgesic effect, dosage of propofol, adverse effects, unconsciousness time, awake time, or hospital stay. But compared with the control group, the observation group showed greater intraoperative consciousness but with more stable respiration.</p><p><b>CONCLUSION</b>Subclinical doses of pentazocine can be used in the painless egg retrieval, but the dose of propofol should be increased to reduce the body activity during the operation.</p>
Subject(s)
Adult , Female , Humans , Adjuvants, Anesthesia , Anesthetics, Intravenous , Fertilization in Vitro , Intraoperative Complications , Oocyte Donation , Methods , Pain , Pentazocine , Propofol , VaginaABSTRACT
Objective To compare MR,CT,and radiography in the detection of arthropathies in patients with hemophilia.Methods Forty-one symptomic joint images in the 14 patients with hemophilia, aged from 11 to 24 years,were used in this study.Each joint had the examinations of radiography,CT and MR within one day.The severity of each joint was staged using conventional radiographic classification. Severe HA patients with stage 5 were excluded from the study.Imaging findings of soft tissue swelling, osteoporosis,epiphyseal overgrowth,joint erosion,cyst,joint space narrowing,bone marrow,joint effusion, hemorrhage,synovial hypertrophy,widened intercondylar notch as well as anterior and posterior crueiate ligaments(only for knee joint)were used for the all imaging comparison.Results The 41 symptomatic joints in 14 patients with hemophilia were classified by radiographic criteria into stage 0(n=5),stage 1(n=7),stage 2(n=6),stage 3(n=8)and stage 4(n=15).Soft tissue swelling or joint effusion was observed in 33 joints by radiographs,in 34 joints by both CT and MR.Joint erosions were demonstrated in 34 joints by MR,in 33 joints by CT and 20 joints by radiographs.Joint cysts were shown in 21 joints by MR,in 18 joints by CT and 9 joints by radiographs.Significant differences in detection of erosion and cyst were found between radiography with either CT(P0.05).MR showed improvement for detecting nlore loci of both erosion and cyst than CT and radiography,and also CT showed the improvement than radiography.Bone marrow edema 14 joints, hemon'hage in 34 joints and synovial hypertrophy in 27 joints were revealed on MR images.Conclusion MRI is superior to CT and conventional radiography in detecting the abnormal changes and should be considered as the first choice among the imaging modafities in evaluating hemophilic arthropathies.