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1.
Ultrasound Q ; 38(3): 202-207, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35943393

RESUMO

ABSTRACT: One of the most widely applied methods for evaluating a research paper's quality is the impact factor (IF). The term JUMPS was applied to the IF in an article published in PubMed in 2021, describing an increase of more than 40% of IF. In this study, we aimed to compare the growth rate of IF JUMPS in Radiology, Nuclear Medicine & Medical Imaging in the last 6 years. This retrospective study calculated the growth rate (JUMP) in IF from 2015 to 2020. We used the Friedman and Wilcoxon signed ranks tests to calculate the statistically significant difference in IF from 2015 to 2020 and the 2019 to 2020 difference. We classified JUMPS in negative growth rate, quartiles, and journals with >100%. Three journals had more than 100% IF growth rate during 2020 ( Zeitschrift fur Medizinische Physik , Journal of the Belgian Society of Radiology , and Ultrasound Quarterly ). A 76% to 100% growth rate was observed in another 4 journals (3.2%), and 8 journals (6.3%) depicted a 51% to 75% percentage of change. Repeated measures analyses showed a significant difference ( P < 0.001). During the COVID-19 pandemic, several journals in the Radiology, Nuclear Medicine & Medical Imaging category increased their IF by 50%. Knowing the growing trends in this category might supplement the assessment of target journals for authors looking to submit their works.


Assuntos
COVID-19 , Medicina Nuclear , Publicações Periódicas como Assunto , Diagnóstico por Imagem , Humanos , Fator de Impacto de Revistas , Pandemias , Estudos Retrospectivos
2.
Curr Probl Cardiol ; 47(11): 101328, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35870549

RESUMO

Intracerebral hemorrhage (ICH) is a severe stroke with a high death rate (40% mortality). The prevalence of hemorrhagic stroke has increased globally, with changes in the underlying cause over time as anticoagulant use and hypertension treatment have improved. The fundamental etiology of ICH and the mechanisms of harm from ICH, particularly the complex interaction between edema, inflammation, and blood product toxicity, have been thoroughly revised by the American Heart Association (AHA) in 2022. Although numerous trials have investigated the best medicinal and surgical management of ICH, there is still no discernible improvement in survival and functional tests. Small vessel diseases, such as cerebral amyloid angiopathy (CAA) or deep perforator arteriopathy (hypertensive arteriopathy), are the most common causes of spontaneous non-traumatic intracerebral hemorrhage (ICH). Even though ICH only causes 10%-15% of all strokes, it contributes significantly to morbidity and mortality, with few acute or preventive treatments proven effective. Current AHA guidelines acknowledge up to 89% sensitivity for unenhanced brain CT and 81% for brain MRI. The imaging findings of both methods are helpful for initial diagnosis and follow-up, sometimes necessary a few hours after admission, especially for detecting hemorrhagic transformation or hematoma expansion. This review summarized the essential topics on hemorrhagic stroke epidemiology, risk factors, physiopathology, mechanisms of injury, current management approaches, findings in neuroimaging, goals and outcomes, recommendations for lifestyle modifications, and future research directions ICH. A list of updated references is included for each topic.


Assuntos
Angiopatia Amiloide Cerebral , Acidente Vascular Cerebral Hemorrágico , Acidente Vascular Cerebral , Anticoagulantes , Angiopatia Amiloide Cerebral/complicações , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/etiologia , Hemorragia Cerebral/terapia , Humanos , Imageamento por Ressonância Magnética/efeitos adversos , Imageamento por Ressonância Magnética/métodos , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/etiologia
3.
J Pediatr Endocrinol Metab ; 33(2): 205-213, 2020 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-31846425

RESUMO

Background Non-alcoholic fatty liver disease (NAFLD) is the most prevalent chronic hepatic disorder in the pediatric population and has grown along with the obesity pandemic in which we live today. Adipose tissue storage in the upper body segment has been positively correlated with visceral adiposity and metabolic disease, which suggests that neck circumference could represent an easily accessible and replicable anthropometric measurement to identify patients with a higher risk of developing NAFLD. The main purpose of this study is to determine if there is an association between neck circumference and NAFLD. The secondary objectives are to establish cutoff values based on gender and puberty staging. Methods We included a sample pediatric population of 112 patients diagnosed with obesity aged between 6 and 18 years. We performed anthropometric and metabolic measurements on every patient, and NAFLD diagnosis was determined with hepatic ultrasound. Results The neck circumference was larger in NAFLD pediatric patients compared to those without NAFLD (p = 0.001). In a multivariate analysis, the neck circumference was associated with NAFLD as an independent risk factor (odds ratio [OR] = 1.172; 95% CI = 1.008-1.362; p = 0.038). Tanner 2-3 = 35 cm and Tanner 4-5 = 38 cm were established as risk cutoff values to develop NAFLD in the male adolescent population. Conclusions There is an association between the neck circumference and NAFLD in pediatric patients with obesity, particularly in the male population.


Assuntos
Biomarcadores/análise , Índice de Massa Corporal , Pescoço/patologia , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Obesidade Infantil/complicações , Adolescente , Estudos de Casos e Controles , Criança , Estudos Transversais , Feminino , Seguimentos , Humanos , Masculino , México/epidemiologia , Hepatopatia Gordurosa não Alcoólica/etiologia , Hepatopatia Gordurosa não Alcoólica/patologia , Prevalência , Prognóstico , Fatores de Risco
4.
Gac Med Mex ; 141(1): 63-7, 2005.
Artigo em Espanhol | MEDLINE | ID: mdl-15754754

RESUMO

Secondary lymphomas involving the breast, although uncommon, represent the largest group of metastasic tumors to the breast. Primary non-Hodgkin lymphomas (NHLs) of the breast are also rare, accounting for 1.7% to 2.2% of extranodal NHL cases and 0.38 to 0.7% of all NHLs. Approximately 300 cases have been reported in the Medical literature. Mammographic appearances are described as round or oval areas of opacity. The breast mass may appear homogeneous or inhomogeneous. The lesion may be very well defined and may be mistaken for a benign process, most notable in patients younger than 35 years of age. Ultrasonographic appearance is described as a sharply defined mass with low or medium echoes. The posterior aspect of the mass is well defined (possibly with slight acoustic enhancement but with no associated posterior shadowing). In summary, the mammographic appearance of the breast lymphoma is nonspecific, but the diagnosis can possibly be excluded if calcifications or a desmoplastic reaction are present. Prominent lymph vessels in a patient with a breast mass should raise the suspicion of breast lymphoma. The most critical aspect in the workup of a breast mass is the tissue biopsy, since radiographically lymphomatous lesions are indeterminate. We present the case of a 79-year-old woman with abdominal pain and a palpable breast mass; we also make a brief summary of the clinical features and main imaging findings of NHL (plain radiograph, mammography, breast ultrasound and thorax tomography).


Assuntos
Neoplasias da Mama/secundário , Linfoma de Células B/patologia , Neoplasias do Mediastino/patologia , Idoso , Neoplasias da Mama/diagnóstico por imagem , Feminino , Humanos , Radiografia , Ultrassonografia
5.
Gac. méd. Méx ; 141(1): 63-67, ene.-feb. 2005. ilus
Artigo em Espanhol | LILACS | ID: lil-632100

RESUMO

Los linfomas secundarios con afectación de la glándula mamaria, aunque raros, representan el grupo más grande de tumores metastásicos de la mama. El linfoma no Hodgkin primario de la mama es también raro, representando del 1.7%-2.2% de los casos de linfoma no Hodgkin extranodal y del 0.38-0.7% de todos los linfomas no Hodgkin. Aproximadamente 300 casos han sido reportados en la literatura. El aspecto mamográfico ha sido descrito como áreas redondeadas u ovales con densidad aumentada. Las masas mamarias pueden aparecer homogéneas o heterogéneas. Las lesiones pueden ser muy bien definidas y ser confundidas con procesos benignos, esto último más probable en pacientes menores de 35 años de edad. Los hallazgos ultrasonográficos son descritos como masas de márgenes bien definidos con ecos de intensidad baja a moderada. Las paredes posteriores de la masa suelen estar bien definidas, probablemente con ligero reforzamiento acústico pero sin sombra posterior asociada. En resumen, el aspecto mamográfico del linfoma mamario no es específico, pero el diagnóstico puede ser excluido si hay presencia de calcificaciones o reacción desmoplásica. El tejido linfoide prominente en un paciente con masas mamarias debería despertar la sospecha de linfoma mamario. El aspecto más crítico en el estudio de una masa de la mama es la biopsia del tejido, puesto que una lesión linfomatosa tiene radiográficamente patrones indeterminados. Presentamos el caso de una mujer de 79 años con dolor abdominal y una masa palpable en la mama derecha; realizamos un breve resumen de las características clínicas y principales hallazgos por imagen del linfoma no Hodgkin con afección a la glándula mamaria (radiografía de tórax, mastografía, ultrasonido mamario, y tomografía de tórax).


Secondary lymphomas involving the breast, although uncommon, represent the largest group of metastasic tumors to the breast. Primary non-Hodgkin lymphomas (NHLs) of the breast are also rare, accounting for 1.7% to 2.2% of extranodal NHL cases and 0.38 to 0.7% of all NHLs. Approximately 300 cases have been reported in the Medical literature. Mammographic appearances are described as round or oval areas of opacity. The breast mass may appear homogeneous or inhomogeneous. The lesion may be very well defined and may be mistaken for a benign process, most notable in patients younger than 35 years of age. Ultrasonographic appearance is described as a sharply defined mass with low or medium echoes. The posterior aspect of the mass is well defined (possibly with slight acoustic enhancement but with no associated posterior shadowing). In summary, the mammographic appearance of the breast lymphoma is nonspecific, but the diagnosis can possibly be excluded if calcifications or a desmoplastic reaction are present. Prominent lymph vessels in a patient with a breast mass should raise the suspicion of breast lymphoma. The most critical aspect in the workup of a breast mass is the tissue biopsy, since radiographically lymphomatous lesions are indeterminate. We present the case of a 79-year-old woman with abdominal pain and a palpable breast mass; we also make a brief summary of the clinical features and main imaging findings of NHL (plain radiograph, mammography, breast ultrasound and thorax tomography).


Assuntos
Idoso , Feminino , Humanos , Neoplasias da Mama/secundário , Linfoma de Células B/patologia , Neoplasias do Mediastino/patologia , Neoplasias da Mama , Neoplasias da Mama
6.
Rev. gastroenterol. Méx ; 61(4): 366-70, oct.-dic. 1996. ilus
Artigo em Espanhol | LILACS | ID: lil-192329

RESUMO

Antecedentes: El mucocele es una dilatación quística del apéndice vermiforme que contiene material mucoso y que es originado por diversas enfermedades. objetivo: Informar y discutir cuatro casos de mucocele apendicular. Informe de los casos: Las manifestaciones clínicas principales fueron dolor abdominal y cambios en el hábito intestinal. En dos casos, el mucocele fue un hallazgo incidental ante la coexistencia de diverticulitis aguda y colecistitis aguda, respectivamente, El abordaje diagnóstico incluyó colon por enema y tomografía computada del abdomen. El mococele fue secundario a cistademona mucinoso en tres casos; en dos de ellos se realizó hemicolectomía derecha con preparación colónica preoperatoria, y en un caso se realizó apendicectomía. En el paciente restante, se realizó apendicectomía y se encontró un cistadenocarcinoma mucinoso, por lo que se realizó hemicolectomía derecha es una segunda operación. La evolución postoperatoria en todos los casos fue satisfactoria. Conclusión: el mucocele apendicular es una entidad poco frecuente. La apendicectomía es tratamiento suficiente para enfermedad benigna. En los casos en que se documente malignidad, es recomendable la realización de hemicolectomía derecha.


Assuntos
Humanos , Masculino , Feminino , Idoso , Apendicectomia/estatística & dados numéricos , Colecistite/diagnóstico , Colectomia , Colo/patologia , Diverticulite/diagnóstico , Mucocele/patologia , Tomografia
7.
Rev. invest. clín ; 48(6): 453-6, nov.-dic. 1996. ilus
Artigo em Inglês | LILACS | ID: lil-187917

RESUMO

Objetivo. Informar un caso de carcinoma primario epidermoide del recto. Reporte del caso. Se estudió a una mujer de 40 años con hematoquezia y cambios de los hábitos intestinales. La principal alteración de laboratorio fue una anemia leve. El colon por enema y la proctoscopía revelaron una neoplasia rectal a ocho cm del margen anal. La biopsia transendoscópica demostró un carcinoma epidermoide del recto. El ultrasonido transrectal y la TAC de abdomen revelaron una gran masa rectal, con afección transmural, y posible afección de ganglios linfáticos. El antígeno carcinoembrionario estaba elevado (32 ng/mL). La paciente fue sometida a radioterapia con 46 Gy, y 5-fluorouracilo como radiosensibilizador. Tres meses después, una nueva TAC de abdomen demostro reducción significativa del tramaño de la masa, y la paciente se operó realizándose una resección anterior muy baja de recto con técnica de doble engrapadora. El análisis del espécimen demostró un carcinoma epidermoide del tercio medio del recto, invadiendo a través de las muscularis propria, sin afección de ganglios linfáticos, y con bordes proximales, distales y radiales libres de tumor. El antígeno carcinoembrionario postoperatorio regresó a lo normal (1.3 ng/mL). La paciente se encuentra viva y sin evidencia de enfermedad 18 meses después de la operación. Conclusión. El carcinoma epidermoide del recto es una enfermedad rara y la cirugía es una buena opción de tratamiento, con posibilidad de preservación del esfinter dependiendo de la localización del tumor


Assuntos
Humanos , Feminino , Adulto , Carcinoma de Células Escamosas/fisiopatologia , Carcinoma de Células Escamosas/radioterapia , Neoplasias Retais/fisiopatologia , Neoplasias Retais/radioterapia
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