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Ultrasound diagnosis of dive.ticulitis

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World Journal of e.e.ge.cy Me.icine 2016年第1期7卷 74-76页

作者： Michae. e. Abboud sarah e. frasure Michae. B. Stone e.e.ge.cy De.artme.t Harvard University 45 Francis St Neville House - 236A Boston Massachusetts 02115 USA

Dive.ticular dise.se.accounts for approximate.y 312 000 hospital admissions in the.Unite. State. annually, and costs ne.rly 2.6 billion dollars. Approximate.y 20% of Ame.icans with dive.ticular dise.se.will e.pe.ie.ce.at le.st one.e.isode.of acute.dive.ticulitis, ne.e.sitating a visit to the.r physician＇s office.or the.e.e.ge.cy de.artme.t （e.） for *** As the.risk of de.e.oping dive.ticulitis rise. with age.（ne.rly 50% of pe.ple.age. ove. 60 ye.rs have.colonic dive.ticula）, the.incide.ce.is rising as the.e.de.ly population grows.

关键词： will oral

Accuracy of abdominal ultrasound for the.diagnosis of small bowe. obstruction in the.e.e.ge.cy de.artme.t

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World Journal of e.e.ge.cy Me.icine 2018年第4期9卷 267-271页

作者： sarah e. frasure Amy F. Hildrcth Raghu Se.thala He.di H. Kimbe.ly Ge.rge.Washington Unive.sity Hospital Washington DC 20037 USA NavalMe.ical Ce.te. San Die.o San Diego CA 92134 USA De.artme.t of e.e.ge.cy Me.icine Brigham and Women 's Hospital Boston MA 02115 USA

BACKGROUND： e.e.ge.cy physicians fre.ue.tly e.counte. patie.ts with acute.small bowe. obstructions （SBO）. Although compute. tomography （CT） imaging is the.curre.t gold standard in the.asse.sme.t of patie.ts with suspe.te. SBO in the.e.e.ge.cy de.artme.t, a fe. studie. have.e.amine. the.use.of ultrasound as an alte.native.imaging te.hnique. Me.HODS： We.e.aluate. the.accuracy of ultrasound pe.forme. in the.e. by a varie.y of provide.s （physicians with various le.e.s of training, physician assistants） compare. to CT imaging in 47 patie.ts with suspe.te. SBOs. Re.ULTS： Our data de.onstrate. a se.sitivity of 93.8% and a spe.ificity of 93.3% whe. compare. to abdominal CT, and a se.sitivity of 94.3% and spe.ificity of 95.2% using a composite.e.dpoint of abdominal CT and discharge.diagnosis. CONCLUSION： Ultrasound can play an important role.in the.ide.tification of small bowe.obstructions in e. patie.ts.

关键词： Abdominal ultrasound Small bowe. obstruction e.e.ge.cy de.artme.t

e.de.ly male.with blurry vision

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World Journal of e.e.ge.cy Me.icine 2019年第1期10卷 59-60页

作者： Anthony Mase.li sarah e.frasure De.artme.t of e.e.ge.cy Me.icine Brigham and Women's Hospital

De.r e.itor,We.pre.e.t a case.of an e.de.ly ge.tle.an who was punche. in the.face.and subse.ue.tly diagnose. by an e.e.ge.cy physician with acute.angle.closure.glaucoma se.ondary to a poste.ior le.s *** lamp e.aluatio... 详细信息

关键词：小学英语课外阅读阅读材料

The.utility of point-of-care.ultrasound in the.asse.sme.t of volume.status in acute.and critically ill patie.ts

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World Journal of e.e.ge.cy Me.icine 2019年第4期10卷 232-238页

作者： Ali Pourmand Matthe. Pyle.David Yamane.Kazi Sumon sarah e.frasure De.artme.t of e.e.ge.cy Me.icine George Washington University School of Medicine and Health Sciences

BACKGROUND:Volume.re.uscitation has only be.n de.onstrate. to be.e.fe.tive.in approximate.y fifty pe.ce.t of *** re.aining patie.ts do not re.pond to volume.re.uscitation and may e.e. de.e.op adve.se.outcome.(such as acute.pulmonary e.e.a ne.e.sitating e.dotrache.l intubation).We.be.ie.e.that point-of-care.ultrasound is an e.ce.le.t modality by which to ade.uate.y pre.ict which patie.ts may be.e.i t from volume.*** Re.OURCe.:We.pe.forme. a se.rch using PubMe.,Scopus,and *** following se.rch te.ms we.e.use.:fluid re.ponsive.e.s,ultrasound,non-invasive.he.odynamic,fluid challe.ge.and passive.le. *** was give. to clinical trials and re.ie. article. that we.e.most re.e.ant to the.topic of asse.sing a patie.t’s cardiovascular ability to re.pond to intrave.ous fl uid administration using ***:Point-of-care.ultrasound can be.e.sily e.ploye. to me.sure.the.diame.e. and collapsibility of various large.ve.se.s including the.infe.ior ve.a cava,common carotid arte.y,subclavian ve.n,inte.nal jugular ve.n,and fe.oral *** parame.e.s are.close.y re.ate. to dynamic me.sure. of fluid re.ponsive.e.s and can be.use. by provide.s to he.p guide.fluid re.uscitation in critically ill ***:Ultrasound in combination with passive.le. raise.is a non-invasive.costand time.e.fe.tive.modality that can be.e.ploye. to asse.s volume.status and re.ponse.to fluid *** sonographic studie. have.focuse. on the.e.aluation of large.ve.ns such as the.infe.ior ve.a cava,and inte.nal jugular ve.n.A numbe. of re.e.tly publishe. studie. also de.onstrate.the.use.ulne.s of e.aluating large.arte.ie. to pre.ict volume.status.

关键词： Stroke volume Fluid re.ponsive.e.s Ultrasound Non-invasive He.odynamic

Hype.te.sive.e.e.ge.cy ve.sus pre.clampsia in a patie.t with sickle.ce.l dise.se.a case.re.ort

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World Journal of e.e.ge.cy Me.icine 2023年第4期14卷 329-331页

作者： Jigar Pate. Juan A Re.e. Ivan Be.e.owski Quincy K Tran sarah e.frasure Ali Pourmand Division of Hospital Me.icine Department of Medicinethe George Washington UniversityWashington DC 20037USA De.artme.t of e.e.ge.cy Me.icine University of Maryland School of MedicineBaltimore 21201-1544USA Program in Trauma the R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimore 21201USA De.artme.t of e.e.ge.cy Me.icine the George Washington University School of Medicine and Health SciencesWashington DC 20037USA

Sickle.ce.l dise.se.SCD)is strongly associate. with se.e.e.pre.clampsia and has also be.n linke. to poor pre.nancy-re.ate. ***,sickle.ce.l ne.hropathy(SCN)is a common complication of SCD and re.ults in chronic *** patie.ts with SCD who pre.e.t to the.e.e.ge.cy de.artme.t(e.)with pulmonary e.e.a,hype.te.sion,and prote.nuria may suffe. from a hype.te.sive.e.e.ge.cy with or without *** prior lab work to de.e.mine.whe.he. a patie.t’s prote.nuria or kidne. dysfunction is ne. or at base.ine.it may be.impossible.for the.e.e.ge.cy physician to de.e.mine.which diagnosis is more.***,amultidisciplinary approach which involve. cardiology,ne.hrology,me.icine.and obste.rics consultations should be.utilize. to he.p dire.t *** pre.e.t the.case.of a 39-ye.rold patie.t with SCD,who was also 26 we.ks pre.nant,and pre.e.te. to the.e. with marke.ly e.e.ate. blood pre.sure.and *** she.was initially admitte. to the.obste.rics ward for blood pre.sure.manage.e.t give. conce.n for pre.clampsia,she.was ultimate.y diagnose. with hype.te.sive.e.e.ge.cy and sickle.ce.l ne.hropathy.

关键词： hype.te.sive admitte. marke.ly

e.e.ge.cy de.artme.t patie.ts with small bowe. obstruction： What is the.anticipate. clinical course.

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World Journal of e.e.ge.cy Me.icine 2016年第1期7卷 35-39页

作者： sarah e.frasure Amy Hildre.h Sukhjit Takhar Michae. B Stone e.e.ge.cy De.artme.t Harvard University45 Francis St Neville House-236ABostonMassachusetts 02115USA

BACKGROUND:e.e.ge.cy physicians(e.s)ofte. care.for patie.ts with acute.small bowe. *** some.patie.ts re.uire.e.ploratory laparotomy,othe.s are.manage. succe.sfully with supportive.*** aime. to de.e.mine.fe.ture. that pre.ict the.ne.d for ope.ative.manage.e.t in e.e.ge.cy de.artme.t(e.)patie.ts with small bowe. obstruction(SBO).Me.HODS:We.pe.forme. a re.rospe.tive.chart re.ie. of 370 conse.utive.patie.ts admitte. to a large.urban acade.ic te.ching hospital with a diagnosis of SBO ove. a two-ye.r *** e.aluate. de.ographic characte.s(prior SBO,prior abdominal surge.y,active.malignancy)and clinical findings(le.kocytosis and lactic acid)to de.e.mine.fe.ture. associate. with the.ne.d for urge.t ope.ative.***:Patie.ts with a prior SBO we.e.le.s like.y to unde.go ope.ative.inte.ve.tion[20.3%(42/207)]compare. to those.without a prior SBO[35.2%(57/162)].Abnormal bloodwork was not associate. with ne.d for ope.ative.inte.ve.tion.68%of patie.ts with CT scan findings of both an SBO and a he.nia,howe.e.,we.e.ope.ative.y ***:Patie.ts with a history of SBO we.e.le.s like.y to re.uire.ope.ative.inte.ve.tion at any point during the.r *** bloodwork was not associate. with ope.ative.*** CT finding of a he.nia,howe.e.,pre.icte. the.ne.d for ope.ative.inte.ve.tion,while.othe. findings(ascite.,duode.al thicke.ing)did *** re.e.rch would be.he.pful to construct a pre.iction rule.which could he.p community e.s de.e.mine.which patie.ts may be.e.it from e.pe.ite. transfe. for ope.ative.manage.e.t,and which patie.ts could be.safe.y manage. conse.vative.y as an initial tre.tme.t strate.y.

关键词： Small bowe. obstruction Compute. tomography He.nia

De.e.tion of adre.al mass during an e.ucational point-of-care.ultrasound in the.e.e.ge.cy de.artme.t

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World Journal of e.e.ge.cy Me.icine 2021年第2期12卷 154-156页

作者： Kay Ne.ishi Jorge.Short Ape.laniz Danie. Ratanski sarah e.frasure Andre. S.Lite.lo Hamid Shokoohi De.artme.t of e.e.ge.cy Me.icine Massachusetts General HospitalHarvard Medical SchoolBoston 02115USA De.artme.t of e.e.ge.cy Me.icine George Washington University School of Medicine and Health SciencesWashington 20037USA

De.r e.itor,Incide.tal adre.al mass is a common radiological finding that is mostly de.e.te. in abdominal compute. tomography (CT) scans.^([1]) Though phe.chromocytomas are.a re.ative.y rare.chromaffin ce.l tumor,the.... 详细信息

关键词： adre.al diagnosis e.itor

The.Janus of macrophysiology： stronge. e.fe.ts of e.olutionary history, but we.ke. e.fe.ts of climate.on uppe. the.mal limits are.re.e.se. for lowe. the.mal limits in ants

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Curre.t Zoology 2018年第2期64卷 223-230页

作者： sarah e. DIAMOND Lacy D. CHICK De.artme.t of Biology Case Western Reserve University Cleveland OH 44106 USA

Spe.ie. may e.hibit similar traits via diffe.e.t me.hanisms： e.vironme.tal filte.ing and local adaptation （ge.graphy） and share. e.olutionary history （phyloge.y） can e.ch contribute.to the.re.e.blance.of traits among spe.ie.. Parsing trait variation into ge.graphic and phyloge.e.ic source. is important, as e.ch sugge.ts diffe.e.t constraints on trait e.olution. He.e. we.e.plore.how phyloge.e.ic distance. ge.graphic distance. and ge.graphic variation in climate.shape.physiological tole.ance.of high and low te.pe.ature. using a global datase. of ant the.mal tole.ance.. We.found ge.e.ally strong role. for e.olutionary history and ge.graphic variation in te.pe.ature. but e.se.- tially no de.e.table.e.fe.ts of spatial proximity pe. se.on e.the. uppe. or lowe. the.mal tole.ance. Whe. we.compare. the.re.ative.importance.of the.factors shaping uppe. and lowe. tole.ance., we.found a much stronge. role.for e.olutionary history in shaping uppe. ve.sus lowe. tole.ance. and a mode.ate.y we.ke. role.for ge.graphic variation in te.pe.ature.in shaping uppe. tole.ance.whe. compare. with lowe. tole.ance. Our re.ults de.onstrate.how ge.graphic variation in climate.and e.olutionary history may have.diffe.e.tial e.fe.ts on the.uppe. and lowe. e.dpoints of physiological tole.ance. This Janus e.fe.t, whe.e.the.re.ative.contributions of ge.graphic variation in climate.and e.olutionary history are.re.e.se. for lowe. ve.sus uppe. physiological tole.ance., has gaine. some.support in the.lite.ature. and our re.ults for ant physiological tole.ance. provide.furthe. e.ide.ce.of this pa^e.n. As the.climate.continue. to change. the.high phyloge.e.ic conse.vatism of uppe. tole.ance.may sugge.t pote.tial constraints on the.e.olution of tole.ance.of high te.pe.ature..

关键词： bioge.graphy e.olutionary history latitudinal cline macrophysiology te.pe.ature the.mal tole.ance.

Asse.sing display variability in wild brown anole. Anolis sagre. using a me.hanical lizard mode.

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Curre.t Zoology 2011年第2期57卷 140-152页

作者： sarah R. PARTAN Pe.e. OTOVIC Virginia L. PRICe.Scott e. BROWN School of Cognitive.Scie.ce Hampshire College Amherst MA 01002 USA De.artme.t of Psychology University of South Florida St. Petersburg FL 33701 USA

Signals use. for spe.ie. ide.tity ought to be.highly ste.e.type. so as to facilitate.imme.iate.re.ognition by conspe.ifics. It is surprising the.e.ore.to find variability in putative.spe.ie. signature.displays. The.brown anole.Anolis sagre. has a high de.re. of variability in its signature.bobbing display. In this study we.colle.te. de.criptive.data on variability in the.te.poral structure.of wild brown anole.bobbing patte.ns, finding that no two displays analyze. had the.same.te.poral structure. and we.also te.te. whe.he. wild brown anole. pre.e. the.signature.display ove. an alte.nate.display patte.n by using me.hanical robot playbacks in the.fie.d. As a re.ponse.me.ric we.asse.se. whe.he. or not the.lizards showe. social re.ponse. （pushup, de.lap e.te.sion, or he.d-nod） in re.ponse.to the.robotic pre.e.tations. We.found that the.lizards re.ponde. slightly more.to the.signature.than to the.alte.nate.patte.n, providing support for the.ide. that de.pite.the.variability se.n in displays, the.signature.patte.n is me.ningful to the.. We.te.te. two othe. inde.e.de.t variable.： spe.d of the.display and e.e.ation of the.robot during its display, ne.the. of which was significant. De.lap e.te.sions we.e.give. pre.ominantly by adult male. and we.e.more.like.y to be.give. in the.bre.ding se.son than the.nonbre.ding se.son. Pushups and he.d-nods we.e.give. e.ually by male. and a combine. class of fe.ale. and juve.ile., and we.e.not se.sonal. He.d-nods incre.se. afte. the.robot turne. off, sugge.ting that the. may be.use. in a conve.sational turn-taking style.during communication .

关键词： Spe.ie. re.ognition e.horobotics Visual signals Te.ritoriality Signature.display Se. diffe.e.ce.