The K-FAST and K-SNAP, two new brief cognitive measures designed for adolescents and adults, were validated against another brief measure--a four-subtest short form of the WAIS-R--using a sample of 20 adult patients hospitalized for depression. Data supported the validity of these two new instruments.
OBJECTIVES: To describe the results of spirometry in children and adolescents with asthma, comparing these findings with the clinical classification. METHODS: Retrospective, observational and descriptive study with asthma patients classified through the treatment STEPS suggested by the international guideline Global Initiative for Asthma (GINA) submitted to spirometry, followed by the Pediatric Pneumology Service in a quaternary hospital in a single health system network. RESULTS: In 310 exams evaluated, the average age was 10 years old; 205/310 (66.1%) were male patients; 178/310 (57.4%) with mild obstructive ventilatory disorder, 10/310 (3.2%) with moderate obstructive ventilatory disorder ; 9/310 (2.9%) with severe obstructive ventilatory disorder and 113/310 (36.5%) exams were within the parameters of normality. The bronchodilator response was evaluated in 284/310 (91,6%) exams, obtaining a positive result in 32.7% (93/284). When analyzing the treatment STEP, 30.3% (94/310) of the patients were in STEP 1; 27.7% (86/310) in STEP 2; 32.6% (101/310) in STEP 3; 9.4% (29/310) in STEP 4. After analysis of the clinical-functional dates, the chi-square test showed a significant association between the following results: normal and mild obstructive ventilatory disorder spirometry and with patients in STEPS 1 and 2 (p <0.05) and spirometry with moderate and severe with patients in STEP 3 and 4 (p <0.05). CONCLUSION: The clinical classification of asthma through the treatment STEPS suggested by GINA was directly associated with the results obtained by spirometry in asthmatic children.
Objectives: To study the application of transperineal pelvic floor ultrasound in the diagnosis of female urethral lesions. Methods: From August 2015 to March 2019, female patients with urinary symptoms underwent pelvic floor ultrasound, which includes 2DUS and 4DUS, examined in resting, contraction, Valsalva state, respectively. Patients with urethral neoplasms were enrolled and without pathological results were excluded. The lesions need to be observed at the location, size, echo, distribution of blood flow, and whether connected to the urethra. Results: A total of 30 patients and 31 lesions were enrolled. Patient and sonographic characteristics are shown in table 1. The accuracy rate was 96.77% (30/31). The case was diagnosed as urethral cyst by ultrasonography, however pathological result was urethral diverticulum, because the opening with the urethra is too small. In addition, 4DUS can show the continuity of urethral sphincter disruption in urethral diverticulum and urethral sphincter dilation with good continuity in urethral polyp or urethral myoma. It can also show the number and orientation of urethral diverticulum openings, which is helpful to find diverticulum openings during surgery. The blood flow distribution in the polyps is dendritic, and in the myoma is circumferential circular. In fact, we performed CEUS in the patient (figure 2), which increased our confidence in diagnosis. Conclusions: In conclusion, transperineal pelvic floor ultrasound is meaningful in the diagnosis of urethral lesions. It can be used as a means of preliminary screening. However, further cases need to be collected and summarised.
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