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1.
Sensors (Basel) ; 23(1)2023 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-36617089

RESUMEN

We know that in today's advanced world, artificial intelligence (AI) and machine learning (ML)-grounded methodologies are playing a very optimistic role in performing difficult and time-consuming activities very conveniently and quickly. However, for the training and testing of these procedures, the main factor is the availability of a huge amount of data, called big data. With the emerging techniques of the Internet of Everything (IoE) and the Internet of Things (IoT), it is very feasible to collect a large volume of data with the help of smart and intelligent sensors. Based on these smart sensing devices, very innovative and intelligent hardware components can be made for prediction and recognition purposes. A detailed discussion was carried out on the development and employment of various detectors for providing people with effective services, especially in the case of smart cities. With these devices, a very healthy and intelligent environment can be created for people to live in safely and happily. With the use of modern technologies in integration with smart sensors, it is possible to use energy resources very productively. Smart vehicles can be developed to sense any emergency, to avoid injuries and fatal accidents. These sensors can be very helpful in management and monitoring activities for the enhancement of productivity. Several significant aspects are obtained from the available literature, and significant articles are selected from the literature to properly examine the uses of sensor technology for the development of smart infrastructure. The analytical hierarchy process (AHP) is used to give these attributes weights. Finally, the weights are used with the multi-objective optimization on the basis of ratio analysis (MOORA) technique to provide the different options in their order of importance.


Asunto(s)
Proceso de Jerarquía Analítica , Inteligencia Artificial , Humanos , Ciudades , Inteligencia , Aprendizaje Automático
2.
Sensors (Basel) ; 22(4)2022 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-35214308

RESUMEN

Aiming at the intrusion detection problem of the wireless sensor network (WSN), considering the combined characteristics of the wireless sensor network, we consider setting up a corresponding intrusion detection system on the edge side through edge computing. An intrusion detection system (IDS), as a proactive network security protection technology, provides an effective defense system for the WSN. In this paper, we propose a WSN intelligent intrusion detection model, through the introduction of the k-Nearest Neighbor algorithm (kNN) in machine learning and the introduction of the arithmetic optimization algorithm (AOA) in evolutionary calculation, to form an edge intelligence framework that specifically performs the intrusion detection when the WSN encounters a DoS attack. In order to enhance the accuracy of the model, we use a parallel strategy to enhance the communication between the populations and use the Lévy flight strategy to adjust the optimization. The proposed PL-AOA algorithm performs well in the benchmark function test and effectively guarantees the improvement of the kNN classifier. We use Matlab2018b to conduct simulation experiments based on the WSN-DS data set and our model achieves 99% ACC, with a nearly 10% improvement compared with the original kNN when performing DoS intrusion detection. The experimental results show that the proposed intrusion detection model has good effects and practical application significance.

3.
Sensors (Basel) ; 22(14)2022 Jul 06.
Artículo en Inglés | MEDLINE | ID: mdl-35890751

RESUMEN

The phenomenon of big data has occurred in many fields of knowledge, one of which is astronomy. One example of a large dataset in astronomy is that of numerically integrated time series asteroid orbital elements from a time span of millions to billions of years. For example, the mean motion resonance (MMR) data of an asteroid are used to find out the duration that the asteroid was in a resonance state with a particular planet. For this reason, this research designs a computational model to obtain the mean motion resonance quickly and effectively by modifying and implementing the Symbolic Aggregate Approximation (SAX) algorithm and the motif discovery random projection algorithm on big data platforms (i.e., Apache Hadoop and Apache Spark). There are five following steps on the model: (i) saving data into the Hadoop Distributed File System (HDFS); (ii) importing files to the Resilient Distributed Datasets (RDD); (iii) preprocessing the data; (iv) calculating the motif discovery by executing the User-Defined Function (UDF) program; and (v) gathering the results from the UDF to the HDFS and the .csv file. The results indicated a very significant reduction in computational time between the use of the standalone method and the use of the big data platform. The proposed computational model obtained an average accuracy of 83%, compared with the SwiftVis software.


Asunto(s)
Algoritmos , Macrodatos , Recolección de Datos , Programas Informáticos
4.
Sensors (Basel) ; 20(7)2020 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-32244450

RESUMEN

Wireless sensor network and industrial internet of things have been a growing area of research which is exploited in various fields such as smart home, smart industries, smart transportation, and so on. There is a need of a mechanism which can easily tackle the problems of nonlinear delay integro-differential equations for large-scale applications of Internet of Things. In this paper, Haar wavelet collocation technique is developed for the solution of nonlinear delay integro-differential equations for wireless sensor network and industrial Internet of Things. The method is applied to nonlinear delay Volterra, delay Fredholm and delay Volterra-Fredholm integro-differential equations which are based on the use of Haar wavelets. Some examples are given to show the computational efficiency of the proposed technique. The approximate solutions are compared with the exact solution. The maximum absolute and mean square roots errors for distant number of collocation points are also calculated. The results show that Haar method is efficient for solving these equations for industrial Internet of Things. The results are compared with existing methods from the literature. The results exhibit that the method is simple, precise and efficient.

5.
Sensors (Basel) ; 20(18)2020 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-32967094

RESUMEN

As the expenses of medical care administrations rise and medical services experts are becoming rare, it is up to medical services organizations and institutes to consider the implementation of medical Health Information Technology (HIT) innovation frameworks. HIT permits health associations to smooth out their considerable cycles and offer types of assistance in a more productive and financially savvy way. With the rise of Cloud Storage Computing (CSC), an enormous number of associations and undertakings have moved their healthcare data sources to distributed storage. As the information can be mentioned whenever universally, the accessibility of information becomes an urgent need. Nonetheless, outages in cloud storage essentially influence the accessibility level. Like the other basic variables of cloud storage (e.g., reliability quality, performance, security, and protection), availability also directly impacts the data in cloud storage for e-Healthcare systems. In this paper, we systematically review cloud storage mechanisms concerning the healthcare environment. Additionally, in this paper, the state-of-the-art cloud storage mechanisms are critically reviewed for e-Healthcare systems based on their characteristics. In short, this paper summarizes existing literature based on cloud storage and its impact on healthcare, and it likewise helps researchers, medical specialists, and organizations with a solid foundation for future studies in the healthcare environment.


Asunto(s)
Nube Computacional , Almacenamiento y Recuperación de la Información , Telemedicina , Reproducibilidad de los Resultados
6.
Sensors (Basel) ; 20(9)2020 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-32384737

RESUMEN

Significant attention has been paid to the accurate detection of diabetes. It is a big challenge for the research community to develop a diagnosis system to detect diabetes in a successful way in the e-healthcare environment. Machine learning techniques have an emerging role in healthcare services by delivering a system to analyze the medical data for diagnosis of diseases. The existing diagnosis systems have some drawbacks, such as high computation time, and low prediction accuracy. To handle these issues, we have proposed a diagnosis system using machine learning methods for the detection of diabetes. The proposed method has been tested on the diabetes data set which is a clinical dataset designed from patient's clinical history. Further, model validation methods, such as hold out, K-fold, leave one subject out and performance evaluation metrics, includes accuracy, specificity, sensitivity, F1-score, receiver operating characteristic curve, and execution time have been used to check the validity of the proposed system. We have proposed a filter method based on the Decision Tree (Iterative Dichotomiser 3) algorithm for highly important feature selection. Two ensemble learning algorithms, Ada Boost and Random Forest, are also used for feature selection and we also compared the classifier performance with wrapper based feature selection algorithms. Classifier Decision Tree has been used for the classification of healthy and diabetic subjects. The experimental results show that the proposed feature selection algorithm selected features improve the classification performance of the predictive model and achieved optimal accuracy. Additionally, the proposed system performance is high compared to the previous state-of-the-art methods. High performance of the proposed method is due to the different combinations of selected features set and Plasma glucose concentrations, Diabetes pedigree function, and Blood mass index are more significantly important features in the dataset for prediction of diabetes. Furthermore, the experimental results statistical analysis demonstrated that the proposed method would effectively detect diabetes and can be deployed in an e-healthcare environment.


Asunto(s)
Diabetes Mellitus , Aprendizaje Automático , Telemedicina , Algoritmos , Atención a la Salud , Diabetes Mellitus/diagnóstico , Humanos , Curva ROC
7.
ScientificWorldJournal ; 2015: 579390, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25945363

RESUMEN

Software birthmark is a unique quality of software to detect software theft. Comparing birthmarks of software can tell us whether a program or software is a copy of another. Software theft and piracy are rapidly increasing problems of copying, stealing, and misusing the software without proper permission, as mentioned in the desired license agreement. The estimation of birthmark can play a key role in understanding the effectiveness of a birthmark. In this paper, a new technique is presented to evaluate and estimate software birthmark based on the two most sought-after properties of birthmarks, that is, credibility and resilience. For this purpose, the concept of soft computing such as probabilistic and fuzzy computing has been taken into account and fuzzy logic is used to estimate properties of birthmark. The proposed fuzzy rule based technique is validated through a case study and the results show that the technique is successful in assessing the specified properties of the birthmark, its resilience and credibility. This, in turn, shows how much effort will be required to detect the originality of the software based on its birthmark.

8.
Heliyon ; 10(9): e29769, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38694122

RESUMEN

Cytokine storm (CS) refers to the spontaneous dysregulated and hyper-activated inflammatory reaction occurring in various clinical conditions, ranging from microbial infection to end-stage organ failure. Recently the novel coronavirus involved in COVID-19 (Coronavirus disease-19) caused by SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) has been associated with the pathological phenomenon of CS in critically ill patients. Furthermore, critically ill patients suffering from CS are likely to have a grave prognosis and a higher case fatality rate. Pathologically CS is manifested as hyper-immune activation and is clinically manifested as multiple organ failure. An in-depth understanding of the etiology of CS will enable the discovery of not just disease risk factors of CS but also therapeutic approaches to modulate the immune response and improve outcomes in patients with respiratory diseases having CS in the pathogenic pathway. Owing to the grave consequences of CS in various diseases, this phenomenon has attracted the attention of researchers and clinicians throughout the globe. So in the present manuscript, we have attempted to discuss CS and its ramifications in COVID-19 and other respiratory diseases, as well as prospective treatment approaches and biomarkers of the cytokine storm. Furthermore, we have attempted to provide in-depth insight into CS from both a prophylactic and therapeutic point of view. In addition, we have included recent findings of CS in respiratory diseases reported from different parts of the world, which are based on expert opinion, clinical case-control research, experimental research, and a case-controlled cohort approach.

9.
Front Psychol ; 13: 784508, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35369206

RESUMEN

Based on applied linguistics, this study looked at the decision support system (DSS) for emphasizing self-assurance in academic writing. From a generic perspective, academic writing has been considered both a process and a product. It has highlighted the planning composite processes, editing, composing, revising, and assessment, which depend upon the familiarity of someone with confidence in their capability for engagement in these activities. As a product, it has focused on the writing results through the product's characteristics. These contain specific content areas in acceptable depth and well-structured technical vocabulary. Higher education aims to support students in optimizing their potential for achieving satisfactory outcomes. For example, the assessment of grades involves academic writing, contributing to the degree course classification. Students have differences in many respects, such as expectations, background knowledge, and study and learning approaches. There were varying students' beliefs about what academic writing is for evaluation. Modern-day motivations and theories highlight the significance of students' confidence in their studies. The role of high confidence can support students to apply more effort toward setting challenging goals. Students may find it more difficult to succeed in higher education if they lack confidence in their academic writing abilities. A DSS has many applications in diverse areas and can play a significant role in the ranking and prioritization process. The current study has considered the DSS for prioritizing self-assurance in academic writing based on applied linguistics. Various criteria were considered for the evaluation of the research. The Super Decision software was used for the experimental process of the proposed research. The results of the study show the effectiveness of the proposed research.

10.
Soft comput ; 26(16): 8077-8088, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35528710

RESUMEN

Several people around the world have died from the coronavirus (COVID-19) disease. With the increase in COVID-19 cases, distribution, and deaths, much has occurred regarding the ban on travel, border closure, curfews, and the disturbance in the supply of services and goods. The world economy was severely affected by the spread of the virus. Every day, new discussions and debates started, and more people were in fear. Occasionally, unconfirmed information is shared on social media sites as if it were accurate information. Sometimes, it becomes viral and disturbs people's emotions and beliefs. Fake news and rumors are widespread forms of unconfirmed and false information. This type of news should be tracked speedily to prevent its negative impact on society. An ideal system is the dire need of modern-day society to evaluate the Internet rumors on COVID. Therefore, the current study has considered a probabilistic approach for evaluating the Internet rumors about COVID. The fuzzy logic tool in MATLAB was used for experimental and simulation purposes. The results revealed the effectiveness of the proposed work.

11.
Front Public Health ; 10: 875971, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35874982

RESUMEN

Recently, the novel coronavirus disease 2019 (COVID-19) has posed many challenges to the research community by presenting grievous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that results in a huge number of mortalities and high morbidities worldwide. Furthermore, the symptoms-based variations in virus type add new challenges for the research and practitioners to combat. COVID-19-infected patients comprise trenchant radiographic visual features, including dry cough, fever, dyspnea, fatigue, etc. Chest X-ray is considered a simple and non-invasive clinical adjutant that performs a key role in the identification of these ocular responses related to COVID-19 infection. Nevertheless, the defined availability of proficient radiologists to understand the X-ray images and the elusive aspects of disease radiographic replies to remnant the biggest bottlenecks in manual diagnosis. To address these issues, the proposed research study presents a hybrid deep learning model for the accurate diagnosing of Delta-type COVID-19 infection using X-ray images. This hybrid model comprises visual geometry group 16 (VGG16) and a support vector machine (SVM), where the VGG16 is accustomed to the identification process, while the SVM is used for the severity-based analysis of the infected people. An overall accuracy rate of 97.37% is recorded for the assumed model. Other performance metrics such as the area under the curve (AUC), precision, F-score, misclassification rate, and confusion matrix are used for validation and analysis purposes. Finally, the applicability of the presumed model is assimilated with other relevant techniques. The high identification rates shine the applicability of the formulated hybrid model in the targeted research domain.


Asunto(s)
COVID-19 , Aprendizaje Profundo , COVID-19/diagnóstico , Humanos , SARS-CoV-2 , Máquina de Vectores de Soporte , Tomografía Computarizada por Rayos X/métodos
12.
Sci Rep ; 12(1): 22377, 2022 12 26.
Artículo en Inglés | MEDLINE | ID: mdl-36572709

RESUMEN

Big data has revolutionized the world by providing tremendous opportunities for a variety of applications. It contains a gigantic amount of data, especially a plethora of data types that has been significantly useful in diverse research domains. In healthcare domain, the researchers use computational devices to extract enriched relevant information from this data and develop smart applications to solve real-life problems in a timely fashion. Electronic health (eHealth) and mobile health (mHealth) facilities alongwith the availability of new computational models have enabled the doctors and researchers to extract relevant information and visualize the healthcare big data in a new spectrum. Digital transformation of healthcare systems by using of information system, medical technology, handheld and smart wearable devices has posed many challenges to researchers and caretakers in the form of storage, minimizing treatment cost, and processing time (to extract enriched information, and minimize error rates to make optimum decisions). In this research work, the existing literature is analysed and assessed, to identify gaps that result in affecting the overall performance of the available healthcare applications. Also, it aims to suggest enhanced solutions to address these gaps. In this comprehensive systematic research work, the existing literature reported during 2011 to 2021, is thoroughly analysed for identifying the efforts made to facilitate the doctors and practitioners for diagnosing diseases using healthcare big data analytics. A set of rresearch questions are formulated to analyse the relevant articles for identifying the key features and optimum management solutions, and laterally use these analyses to achieve effective outcomes. The results of this systematic mapping conclude that despite of hard efforts made in the domains of healthcare big data analytics, the newer hybrid machine learning based systems and cloud computing-based models should be adapted to reduce treatment cost, simulation time and achieve improved quality of care. This systematic mapping will also result in enhancing the capabilities of doctors, practitioners, researchers, and policymakers to use this study as evidence for future research.


Asunto(s)
Ciencia de los Datos , Atención a la Salud , Macrodatos , Sistemas de Información , Aprendizaje Automático
13.
Rev Environ Health ; 36(1): 47-61, 2021 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-32887208

RESUMEN

An aquaponic system is considered to be a sustainable food production solution that follows circular economy principles and the biomimetic natural system to reduce input and waste. It is the combination of two mainly productive systems, a recirculating aquaculture system consists of fish and crustaceans farmed in a tank and hydroponic cultivation consists of vegetable cultured in medium other than soil. Both these systems are well-known around the globe by their performance of production, quality, and verified food safety. An aquaponic system is an industrious mechanism which incorporates impeccably with sustainable growth of intensive agriculture. The existing literature regarding the aquaponic production covers different species of vegetables and fish, a variety of layouts of system, and climate conditions. However, there is a lack of knowledge that can systematically present the existing state-of-the-artwork in a systematic manner. So to overcome this limitation, the proposed research presents a systematic literature review in the field of urban aquaponics. This systematic literature review will help practitioners to take help from the existing literature and propose new solutions based on the available evidence in urban aquaponics.


Asunto(s)
Acuicultura/instrumentación , Decápodos , Peces , Hidroponía/instrumentación , Animales , Ciudades
14.
Comput Math Methods Med ; 2021: 5812499, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34527076

RESUMEN

Artificial intelligence (AI) is making computer systems capable of executing human brain tasks in many fields in all aspects of daily life. The enhancement in information and communications technology (ICT) has indisputably improved the quality of people's lives around the globe. Especially, ICT has led to a very needy and tremendous improvement in the health sector which is commonly known as electronic health (eHealth) and medical health (mHealth). Deep machine learning and AI approaches are commonly presented in many applications using big data, which consists of all relevant data about the medical health and diseases which a model can access at the time of execution or diagnosis of diseases. For example, cardiovascular imaging has now accurate imaging combined with big data from the eHealth record and pathology to better characterize the disease and personalized therapy. In clinical work and imaging, cancer care is getting improved by knowing the tumor biology and helping in the implementation of precision medicine. The Markov model is used to extract new approaches for leveraging cancer. In this paper, we have reviewed existing research relevant to eHealth and mHealth where various models are discussed which uses big data for the diagnosis and healthcare system. This paper summarizes the recent promising applications of AI and big data in medical health and electronic health, which have potentially added value to diagnosis and patient care.


Asunto(s)
Inteligencia Artificial , Macrodatos , Atención a la Salud/estadística & datos numéricos , Telemedicina/estadística & datos numéricos , Inteligencia Artificial/tendencias , Biología Computacional/tendencias , Aprendizaje Profundo , Atención a la Salud/tendencias , Registros Electrónicos de Salud/estadística & datos numéricos , Registros Electrónicos de Salud/tendencias , Humanos , Cadenas de Markov , Telemedicina/tendencias
15.
J Healthc Eng ; 2020: 8835544, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32963749

RESUMEN

The medical system is facing the transformations with augmentation in the use of medical information systems, electronic records, smart, wearable devices, and handheld. The central nervous system function is to control the activities of the mind and the human body. Modern speedy development in medical and computational growth in the field of the central nervous system enables practitioners and researchers to extract and visualize insight from these systems. The function of augmented reality is to incorporate virtual and real objects, interactively running in a real-time and real environment. The role of augmented reality in the central nervous system becomes a thought-provoking task. Gesture interaction approach-based augmented reality in the central nervous system has enormous impending for reducing the care cost, quality refining of care, and waste and error reducing. To make this process smooth, it would be effective to present a comprehensive study report of the available state-of-the-art-work for enabling doctors and practitioners to easily use it in the decision making process. This comprehensive study will finally summarise the outputs of the published materials associate to gesture interaction-based augmented reality approach in the central nervous system. This research uses the protocol of systematic literature which systematically collects, analyses, and derives facts from the collected papers. The data collected range from the published materials for 10 years. 78 papers were selected and included papers based on the predefined inclusion, exclusion, and quality criteria. The study supports to identify the studies related to augmented reality in the nervous system, application of augmented reality in the nervous system, technique of augmented reality in the nervous system, and the gesture interaction approaches in the nervous system. The derivations from the studies show that there is certain amount of rise-up in yearly wise articles, and numerous studies exist, related to augmented reality and gestures interaction approaches to different systems of the human body, specifically to the nervous system. This research organises and summarises the existing associated work, which is in the form of published materials, and are related to augmented reality. This research will help the practitioners and researchers to sight most of the existing studies subjected to augmented reality-based gestures interaction approaches for the nervous system and then can eventually be followed as support in future for complex anatomy learning.


Asunto(s)
Realidad Aumentada , Sistema Nervioso Central/diagnóstico por imagen , Gestos , Aprendizaje , Neuroimagen/métodos , Toma de Decisiones , Humanos , Procesamiento de Imagen Asistido por Computador , Aprendizaje Automático , Reproducibilidad de los Resultados , Interfaz Usuario-Computador
16.
Rev Environ Health ; 33(4): 383-406, 2018 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-30205648

RESUMEN

Context Materials which exceed the balance of their production and destruction lead to the deterioration in the environment. Plastic is one such material which poses a big threat to the environment. A huge amount of plastic is produced and dumped into the environment which does not readily degrade naturally. In this paper, we address the organization of a large body of literature published on the management of waste plastics being the most challenging issue of the modern world. Objectives To address the issue of the management of waste plastics, there is a dire need to organize the literature published in this field. This paper presents a systematic literature review on plastic waste, its fate and biodegradation in the environment. The objective is to make conclusions on possible practical techniques to lessen the effects of plastic waste on the environment. Method A systematic literature review protocol was followed for conducting the present study [Kitchenham B, Brereton OP, Budgen D, Turner M, Bailey J, Linkman S. Systematic literature reviews in software engineering - A systematic literature review. Inf Softw Technol 2009;51(1):7-15.]. A predefined set of book sections, conference proceedings and high-quality journal publications during the years 1999 to September 2017 were used for data collection. Results One hundred and fifty-three primary studies are selected, based on predefined exclusion, inclusion and quality criteria. These studies will help to identify the fate of different waste plastics, their impact and management and the disposal techniques frequently used. The study also identifies a number of significant techniques and measures for the conversion of waste plastic materials into useful products. Conclusion Five fundamental strategies are used for the handling of plastic waste. These strategies include: recycling, depositing in landfill, incineration, microbial degradation and conversion into useful materials. All of these methods have their own limitations, due to which there is need to explore the studies for optimum solutions of the management of plastics waste.


Asunto(s)
Contaminantes Ambientales/efectos adversos , Plásticos/efectos adversos , Administración de Residuos/métodos , Biodegradación Ambiental
18.
Can Respir J ; 13(4): 211-3, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16779466

RESUMEN

Hydatid disease remains a serious health problem in Mediterranean countries. Living in a rural area is an important risk factor for the disease. Hydatid cysts are usually located in the liver, lungs and brain. Mediastinal hydatid disease is very rare and has been noted only anecdotally in the literature. The present article reports a case of a mediastinal hydatid cyst rupturing into the pleural cavity, which was associated with pneumothorax of the same side. The patient's previous chest x-rays (posteroanterior and left lateral views) showed a well-defined mediastinal mass on the left side, and contrast-enhanced computed tomography of the thorax (taken a few days after the chest x-ray) showed multiple round-to-oval soft tissue opacities with partial collapse of the left lung. An indirect hemagglutination test for echinococcus was positive. Even after two weeks of intercostal tube drainage, the patient's condition did not improve. During thoracotomy, multiple daughter cysts were found in the pleural cavity, and the diagnosis of a hydatid cyst was confirmed after histopathological examination.


Asunto(s)
Equinococosis/patología , Mediastino/patología , Neumotórax/complicaciones , Equinococosis/complicaciones , Equinococosis/diagnóstico por imagen , Femenino , Humanos , Persona de Mediana Edad , Neumotórax/diagnóstico por imagen , Radiografía
19.
Interact Cardiovasc Thorac Surg ; 6(4): 508-10, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17669920

RESUMEN

The nasogastric tube is used extensively in medical practice. However, this innocent-looking tube can at times cause unexpected complications especially in patients with preexisting risk factors. A 25-year-old male was referred to our hospital with a blocked and impacted nasogastric tube which had been inserted to maintain his nutritional status after he sustained a caustic injury to the esophagus in an attempted suicide. Esophagoscopy was done, the knotted nasogastric tube was retrieved and a tracheoesophageal fistula was detected at the site of impacted knot. However, the patient succumbed to ARDS and sepsis before definitive surgery could be done. Nasogastric intubation is not a simple procedure as is the general concept and it should not be done in cases of caustic injury to the esophagus because of increased risk of complications in the face of preexisting inflammation. To our knowledge, this is the first case report of its kind in the literature review.


Asunto(s)
Quemaduras Químicas/terapia , Esófago/lesiones , Intubación Gastrointestinal/efectos adversos , Fístula Traqueoesofágica/etiología , Adulto , Nutrición Enteral , Humanos , Masculino
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