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41.
Mukund Joshi MD FAMS Karthik Ganesan DNB Harsha Navani Munshi DNB Subramania Ganesan MD Ashwin Lawande DNB 《Seminars in Ultrasound, CT and MRI》2008,29(2):72-97
Current advancements in imaging technology, especially three-dimensional/four-dimensional ultrasound and contrast-enhanced imaging, have increased the diagnostic yield of adnexal masses. The benefit of ultrasound is the characterization of an adnexal mass, suggesting the probable etiology of the mass. Masses may be divided as solid, cystic, or complex. It is predominantly the solid and complex masses that need a thorough evaluation. The role of color-flow imaging is now gaining importance and criteria for distinguishing between benign and malignant masses are often possible. Availability of a scoring system enables the differentiation of small adnexal masses. Several benign lesions may present as complex masses but can be distinguished and diagnosed on sonography. The availability of 3D ultrasound has been of great use to understand spatial relations and vascular morphology. Sonography allows a more detailed assessment of morphologic features of an adnexal mass. With a benign-appearing adnexal mass on sonography, the need for any further diagnostic tests is often obviated. 相似文献
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Nepal Community Emergency Preparedness Group Karmacharya PC Singh GK Singh MP Gautam VG Par A Banskota AK Bajracharya A Shreshtha AB Mahara D 《Clinical orthopaedics and related research》2008,466(10):2343-2349
Nepal loses about 530,000 disability adjusted life years (DALYs) per year to injury, predominantly due to falls. It takes
30,000 Nepali rupees (NR), or approximately US$430 at 70 rupees per $US saved per DALY to achieve primary prevention and 6000
NR per DALY if we invest in hospitals, versus 1000 NR invested in prehospital care, because simpler less expensive actions
performed early have a greater impact on outcome than more complex measures later. A system for prehospital services was planned
for medical emergencies at a national level meeting at the Medical University of Nepal to promote healthcare to victims in
inaccessible regions by empowered or enlightened citizens. Feasible actions for common emergencies were defined and a tutorial
required to help the majority of such victims was created and packaged. The knowledge and attitude component of the tutorial
will be delivered through a web site to citizens motivated to learn and help with emergencies. The knowledge will be tested
through a net-based Multiple Choice Questions (MCQ) test. Practical training in medical triage skills will be provided to
those who qualify for the test at the University or its designated affiliates. A mobile phone-based information system will
be created and used to make these enlightened citizens available to the victim at the site/time of the emergency.
Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest,
patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.
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G. K. SinghEmail: |