Thus, CT can be a useful complementary diagnostic test in horses with these neurologic deficits. In contrast, alternative diagnostic tests leg, electroencephalography Selleckchem Momelotinib and magnetic resonance imaging) should be considered in horses with seizure-like activity that do not have head trauma or cranial nerve deficits. (J Am Vet Med Assoc 2009;235: 176-183)”
“Objectives: To find
the best early predictor model for fetal growth and large for gestational age (LGA) infants considering clinical, ultrasonographic and biochemical variables.
Method: In 2097 singleton pregnancies at first trimester, we evaluated maternal characteristics, PAPP-A and beta-HCG proteins, fetal nuchal translucency thickness and uterine artery pulsatility index (UtA-PI). 5-Fluoracil nmr At second trimester fetal ultrasound biometry and UtA-PI were then measured. The relationships between birth weight and LGA and maternal characteristics, first and second trimester variables, and all variables combined, were studied. The performance of screening was determined by receiver operating characteristic curves analysis.
Results:
Stepwise regression analysis showed that in the prediction of birthweight percentile there were significant contributions from all maternal factors, PAPP-A and Ut-A PI in the first trimester, and fetal biometric variables in the second trimester. Maternal charateristics combined with PAPP-A, beta-hCG, fetal NT and uterine artery PI identified 30.2 % LGA (FPR 10%). The combined model reached a sensitivity of 41.2% (FPR 10%) and 56.2% (FPR 20%).
Conclusions: Sensitivity of the screening for LGA improves significantly after addition of second trimester ultrasound measurements to first trimester variables and maternal characteristics.”
“Objective. Radiofrequency neurotomy is a recognized treatment for cervical zygapophysial joint pain. In several studies, the method has provided complete pain relief in 6070% of the patients for approximately 9 months. The validated technique
has the disadvantage of procedural times of 24 hours because several lesions are performed to take into account check details the variable nerve course. We tested the hypothesis that ultrasound localization of the nerves would enable us to reduce the number of lesions performed, while reaching the benchmark of at least 80% pain relief in 80% of patients with a median duration of 35 weeks, as achieved by a previous investigation using the standard method.
Interventions. We prospectively studied 15 consecutive patients with diagnosed cervical zygapophysial joint pain. They were treated using a shortened radiofrequency procedure under fluoroscopic control, based on previous ultrasound localization of the joint supplying nerves, with only two thermal lesions performed per nerve. Successful treatment was defined as at least 80% pain relief in the visual analog scale as compared with pretreatment. Follow-up was performed until 12 months after treatment.
Results.