RESUMEN
UNLABELLED: The present study aimed to assess the prognostic value of early amplitude-integrated electroencephalogram (aEEG) in late preterm infants who were born at a gestational age between 34 0/7 and 36 6/7 weeks for the prediction of neurobehavioral development. Late preterm infants (n = 170) with normal, mild, and severe asphyxia underwent continuous recording of aEEG for 4-6 h starting 6-8 h after delivery. The recordings were analyzed for background pattern, sleep-wake cycle (SWC), and seizures. Survivors were assessed at 18 months by neurological examination and Bayley Scales of Infant Development II. The incidence of adverse neurological outcome in the asphyxia group was significantly higher than in the normal group. For late preterm infants in the asphyxia group, abnormal aEEG pattern had a predictive potential of neurological outcomes with sensitivity of 78.57% (specificity, 87.80%; positive predictive value [PPV], 68.75%; negative predictive value [NPV], 92.31%; power, 85.45%). Non-SWC and intermediate SWC significantly were increased (25.45 and 52.73%, respectively) in the asphyxia group vs. the normal group. SWC pattern had neurological prognosis value in the asphyxia group with sensitivity of 64.29% (specificity, 87.80%; PPV, 64.29%; NPV, 87.80%; power, 81.82%). CONCLUSION: Early aEEG patterns are important determinants of long-term prognosis of neurodevelopmental outcome in asphyxiated late preterm infants.
Asunto(s)
Asfixia Neonatal/fisiopatología , Encéfalo/crecimiento & desarrollo , Encéfalo/fisiopatología , Electroencefalografía , Recien Nacido Prematuro/crecimiento & desarrollo , Femenino , Edad Gestacional , Humanos , Lactante , Recién Nacido , Masculino , Examen Neurológico/métodos , Valor Predictivo de las Pruebas , Embarazo , Pronóstico , Sensibilidad y Especificidad , Factores de TiempoRESUMEN
Splenosis is ectopic autotransplantation of splenic tissue after splenic trauma or surgery.(1) The most frequent locations are the surface of visceral peritoneum and parietal peritoneum. Liver and retroperitoneum are rarely involved.(1,2) We present here 2 cases of splenosis involving the liver and retroperitoneum with clinical information, imaging findings, and literature review.
Asunto(s)
Esplenosis/diagnóstico , Abdomen/diagnóstico por imagen , Adulto , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Radiografía Abdominal , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Firstly, IHE technical framework is introduced in this paper, and the sub-framework of Schedule Workflow is also described. Secondly, the development of IHE in Japan and the formation of IHE-J are presented, and in combination with IDS system's practice in IHE-J, some ideas about developing IHE in China and the relative methods of implementation are discussed.