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Service evaluation:identification of gaps in choking prevention advice for children in the South Coast of England,UK

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Family Medicine and Community Health 2023年第4期11卷 71-84页

作者： Saira Khan karen patterson Katy Fidler Medical Teaching Building Brighton and Sussex Medical SchoolBrightonUK Department of Clinical and Experimental Medicine Brighton and Sussex Medical SchoolBrightonUK Academic Department of Paediatrics Royal Alexandra Children’s HospitalBrightonUK

INTRODUCTION Choking,also known as foreign body airway obstruction,is the blockage of respiration by a foreign body in the airway including the trachea,hypopharynx and pharynx.1 Among young children,choking is one of the leading causes of death among unintentional injuries,2 thus making it a significant public health *** under 5 have the highest risk of choking compared with other children and adults.3 In 2016,of the approx-imately 1900 choking episodes resulting in emergency calls in London,40%were for children under 5.

关键词： choking prevention injuries

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A Validated Model for the Imaging Diagnosis of Cystic Lung Disease

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Open Journal of Radiology 2023年第1期13卷 42-57页

作者： Wallace T. Miller karen C. patterson Shweta Sood James E. Schmitt Arshad A. Wani Robert Borden Maya Galperin-Aisenberg Mary K. Porteus Michelle L. Hershman Michael Hewitt Jennifer Levy Victor D. Babatunde Tetiana Glushko Timothy J. Niesen Sergey Leshchinskiy Karine Sahakyan Keyur Desai Jennifer A. Gillman Sandeep Reddy Michael Shriver Nathaniel B. Linna Abass M. Noor Aysenur Buz Matthew E. Biron Scott Simpson Department of Radiology University of Botswana Gaborone Botswana Department of Medicine Perelman School of Medicine University of Pennsylvania Philadelphia USA Brighton and Sussex Medical School Brighton England Department of Radiology Perelman School of Medicine University of Pennsylvania Philadelphia USA Department of Radiologic Sciences Drexel University College of Medicine Philadelphia USA Department of Radiology Mercy Catholic Medical Center Philadelphia USA Department of Diagnostic Imaging School of Alpert Medical Brown University Providence USA Department of Radiology Goztepe Research and Training Hospital Istanbul Medeniyet University Istanbul Türkiye

Rationale and Objectives: Cystic lung disease may be accurately diagnosed by imaging interpretation of specialist radiologists, without other information. We hypothesized that with minimal training non-specialists could perform similarly to specialist physicians in the diagnosis of cystic lung disease. Methods: 72 cystic lung disease cases and 25 cystic lung disease mimics were obtained from three sources: 1) a prospective acquired diffuse lung disease registry, 2) a retrospective search of medical records and 3) teaching files. Cases were anonymized, randomized and interpreted by 7 diffuse lung disease specialists and 15 non-specialist radiologists and pulmonologists. Clinical information other than age and sex was not provided. Prior to interpretation, non-specialists viewed a short PDF training document explaining cystic lung disease interpretation. Results: Correct first choice diagnosis of 85%-88% may be achieved by high-performing specialist readers and 71%-80% by non-specialists and lower-performing specialists, with mean accuracies in the diagnosis of LAM (91%, p Conclusion: With specific but limited training, non-specialist physicians can diagnose cystic lung diseases from CT appearance alone with similar accuracy to specialists, correctly identifying approximately 75% of cases.

关键词： Lymphangioleiomyomatosis Histiocytosis Langerhans-Cell Idiopathic Interstitial Pneumonias Birt-Hogg-Dube Syndrome Lung Diseases Interstitial Diagnoses Differential

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