ABSTRACT
Objective To investigate the early clinical characteristics and radiographic changes in confirmed Novel coronavirus pneumonia (NCP) and excluded NCP patients. Methods Twenty-four patients with suspected NCP admitted to Shanghai Jiao Tong University Affiliated Sixth People’s Hospital and Jinshan Branch Hospital between January and February, 2020 were chosen as our research subjects. Early clinical features and radiographic changes were analyzed in 10 patients of confirmed NCP and 14 patients of excluded NCP. Results In the early stage, all 24 suspected patients were mild, and had normal blood gas analysis. Of 10 diagnosed patients, 50% were male. All the 10 patients had fever and fatigue, with body temperature between 37.5℃ and 38.5℃. Only 1 patient had dry cough. 2 patients had no clear epidemiological exposure history, the other 8 had a clear epidemiological exposure, with a possible incubation period of 1-10 days. From CT imaging, lesions were characterized as ground glass shadow ( n =9), which could be unilateral ( n =1) or bilateral ( n =9), and were mainly close to the pleura ( n =9), with nodule shadow ( n =1) and without focal necrosis, and could combined with pleural effusion ( n =1. Among patients excluded NCP, all 14 patients had a clear history of epidemic exposure, with an onset time of 1 to 13 days. 12 patients had fever , including 4 with temperature > 38.5°C, 8 with temperature 37.3-38.5°C, and 2 without fever. All patients had fatigue , 7 patients had dry cough and 2 patients had chest pain. From CT imaging, ground glass shadow appeared in 4 patients , lesions were unilateral in 10 patients and bilateral in 4 patients , and the lesions were relatively sporadic, without necrosis or pleural effusion. Conclusion 1．Not all patients with NCP have a direct history of epidemiology exposure, some patients may be infected unknowingly. 2. According to CT imaging, NCP seems to have no special manifestations different from other viral pneumonia. 3. NCP is more common among middle-aged people.
ABSTRACT
The objectives of this study were to demonstrate the lesions that affect athlete bulls and to correlate the disorders with weight, age, affected limb and region of the limb. The present study was accomplished using radiographic images of athletic rodeo bulls collected from the medical and surgical records of the large animal service at the veterinary hospital. Radiographic images were evaluated for 136 bulls that were taken care of at the Veterinary Hospital, ranging in age from 4 to 13 years, with an average weight of 800kg and proven prior physical activity through participation in rodeos. The chi-square or Fisher's exact test was used to assess the association between the studied variables. It was observed that 71.6% of the bulls studied and suffering from lameness had radiographic lesions, predominantly in experienced animals. Enthesopathy in starter and experienced bulls, septic arthritis in starter bulls, and fractures and degenerative joint disease in experienced bulls were the most frequent radiographic lesions diagnosed. The region of limb where the majority of radiographic changes occurred was the digits. Risk factors and occurrence of diseases of the locomotor system in athletic bulls are similar to those in sport equines.(AU)
O objetivo desse trabalho foi demostrar quais lesões acometem touros atletas, correlacionando as desordens com peso, idade, membro e região afetada. O presente estudo foi realizado utilizando radiografias de touros atletas de rodeio, após levantamento dos prontuários clínicos e cirúrgicos do serviço de grandes animais de um hospital veterinário. Foram avaliadas radiografias de 136 touros que haviam sido atendidos em tal hospital, com idade variando de quatro a 13 anos, com média de peso de 800kg e realizavam participação em rodeios. Para avaliar a associação entre as variáveis estudadas foi utilizado o teste exato de Fischer e o Qui-quadrado. Observou-se que 71,6% dos touros estudados que claudicavam, apresentavam lesões radiográficas, predominantemente em animais mais experientes. A entesiopatia em todos os animais, artrite séptica nos touros iniciantes, fraturas e doença articular degenerativa nos touros mais experientes, foram as alterações radiográficas mais frequentes. As regiões com maior ocorrência de lesões radiográficas foram os dígitos. Os fatores de risco para ocorrência de doenças no sistema locomotor de touros atletas são diversos, similares aos que ocorrem nos equinos atletas.(AU)
Subject(s)
Animals , Male , Cattle , Osteoarthritis/veterinary , Cattle/injuries , Arthritis, Infectious/veterinary , Tendinopathy/veterinary , Fractures, Bone/veterinary , Radiography/veterinaryABSTRACT
PURPOSE: To evaluate the radiographic changes in distal radius fractures treated conservatively. MATERIALS AND METHODS: We reviewed 55 patients with a distal radius fracture treated by conservative treatment. Average age was 57.6 years. According to the AO classification, 17 were A2 fractures followed by C1 (13 cases), C2 (9 cases), C3 (7 cases), B1 (6 cases) and A3 (3 cases). Closed reduction and U-shaped splint were applied as initial treatment. Long arm cast followed by short arm cast were applied for intraarticular or metaphyseal comminuted fractures. Radial inclination angle, radial length and volar tilt angle in each radiograph were measured and evaluated by statistic analysis. Radiographic changes according to ages, comminution of metaphysis and fracture type were also evaluated. RESULTS: Radial inclination, radial length and volar tilt were 22.8degrees, 12.0 mm and 8.5degrees after closed reduction, 22.1degrees, 10.5 mm and 7.7degrees at casting, 20.1degrees, 8.7 mm and 4.5degrees at cast off, and 18.7degrees, 7.4 mm and 4.1degrees at last follow-up. All three values had statistical significances between casting and removal of cast (p<0.001, p<0.001, p=0.002). Radial inclination angle and radial length in the group over 60 years had statistical significances between casting and removal of cast, comparing with the group under 60 years (p=0.037, p=0.045). CONCLUSION: Loss of reduction was more prominent between 3 to 6 weeks after injury, especially in the group 60 years or older.
Subject(s)
Humans , Arm , Follow-Up Studies , Fractures, Comminuted , Radius , Radius Fractures , SplintsABSTRACT
PURPOSE: To evaluate the radiographic changes in distal radius fractures treated conservatively. MATERIALS AND METHODS: We reviewed 55 patients with a distal radius fracture treated by conservative treatment. Average age was 57.6 years. According to the AO classification, 17 were A2 fractures followed by C1 (13 cases), C2 (9 cases), C3 (7 cases), B1 (6 cases) and A3 (3 cases). Closed reduction and U-shaped splint were applied as initial treatment. Long arm cast followed by short arm cast were applied for intraarticular or metaphyseal comminuted fractures. Radial inclination angle, radial length and volar tilt angle in each radiograph were measured and evaluated by statistic analysis. Radiographic changes according to ages, comminution of metaphysis and fracture type were also evaluated. RESULTS: Radial inclination, radial length and volar tilt were 22.8degrees, 12.0 mm and 8.5degrees after closed reduction, 22.1degrees, 10.5 mm and 7.7degrees at casting, 20.1degrees, 8.7 mm and 4.5degrees at cast off, and 18.7degrees, 7.4 mm and 4.1degrees at last follow-up. All three values had statistical significances between casting and removal of cast (p<0.001, p<0.001, p=0.002). Radial inclination angle and radial length in the group over 60 years had statistical significances between casting and removal of cast, comparing with the group under 60 years (p=0.037, p=0.045). CONCLUSION: Loss of reduction was more prominent between 3 to 6 weeks after injury, especially in the group 60 years or older.