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  1. AU="Gonzales, Savannah"
  2. AU="Jan Newton"
  3. AU="Pleass, Richard J"
  4. AU="De Antoni, Luca"
  5. AU="Leonor C Guedes"
  6. AU="Otón, Teresa"
  7. AU=Gurrapu Sreeharsha
  8. AU="Senbet, Lemma W"
  9. AU="Chi, Ching-Chi" AU="Chi, Ching-Chi"
  10. AU="Jiang, Man-Jing"
  11. AU="Ren, Jia"
  12. AU="Sumpio, B. E."
  13. AU="Schneider, Lynda"

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  1. Artikel ; Online: Computed Tomography Appearance of the "Whirlpool Sign" in Ovarian Torsion.

    Livingston, Joshua K / Gonzales, Savannah / Langdorf, Mark I

    Clinical practice and cases in emergency medicine

    2021  Band 5, Heft 4, Seite(n) 468–469

    Abstract: Case presentation: A 28-year-old female presented to the emergency department complaining of right lower abdominal pain. A contrast-enhanced computed tomography (CT) was done, which showed a 15-centimeter right adnexal cyst with adjacent "whirlpool sign" ...

    Abstract Case presentation: A 28-year-old female presented to the emergency department complaining of right lower abdominal pain. A contrast-enhanced computed tomography (CT) was done, which showed a 15-centimeter right adnexal cyst with adjacent "whirlpool sign" concerning for right ovarian torsion. Transvaginal pelvic ultrasound (US) revealed a hemorrhagic cyst in the right adnexa, with duplex Doppler identifying arterial and venous flow in both ovaries. Laparoscopic surgery confirmed right ovarian torsion with an attached cystic mass, and a right salpingo-oophorectomy was performed given the mass was suspicious for malignancy.
    Discussion: Ultrasound is the test of choice for diagnosis of torsion due to its ability to evaluate anatomy and perfusion. When ovarian pathology is on the patient's right, appendicitis is high in the differential diagnosis, and CT may be obtained first. Here we describe a case where CT first accurately diagnosed ovarian torsion by demonstrating the whirlpool sign, despite an US that showed arterial flow to the ovary. Future studies should determine whether CT alone is sufficient to diagnose or exclude ovarian torsion.
    Sprache Englisch
    Erscheinungsdatum 2021-11-23
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 2474-252X
    ISSN (online) 2474-252X
    DOI 10.5811/cpcem.2021.7.53317
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Brief report: Lactobacillus bulgaricus GLB44 (Proviotic

    Opekun, Antone R / Gonzales, Savannah A / Al-Saadi, Mahmoud A / Graham, David Y

    Helicobacter

    2018  Band 23, Heft 2, Seite(n) e12476

    Abstract: Background: Recent studies of Lactobacillus delbrueckii subsp. bulgaricus GLB44 plus a proton-pump inhibitor (PPI) reported cures of more than 90% of patients with active Helicobacter pylori infections.: Aim: To confirm the high H. pylori cure rates ... ...

    Abstract Background: Recent studies of Lactobacillus delbrueckii subsp. bulgaricus GLB44 plus a proton-pump inhibitor (PPI) reported cures of more than 90% of patients with active Helicobacter pylori infections.
    Aim: To confirm the high H. pylori cure rates reported previously.
    Method: A pilot study was done in healthy H. pylori-infected volunteers using 3-gram sachet (3 billion cells) of L. delbrueckii GLB44 plus 22.3 mg of esomeprazole b.i.d., for 14 days. The result was determined by urea breath testing 4 weeks after therapy. Stopping rules required for ending enrollment if less than 3 of the first 10 subjects were cured.
    Results: Nine subjects were entered and because all failed to achieve negative urea breath test, the stopping rule required the study to end.
    Conclusion: We were unable to confirm reports of achieving a high H. pylori cure rate with L. delbrueckii GLB44 plus a PPI.
    Mesh-Begriff(e) Adult ; Anti-Bacterial Agents/therapeutic use ; Esomeprazole/therapeutic use ; Female ; Helicobacter Infections/drug therapy ; Helicobacter pylori/drug effects ; Helicobacter pylori/pathogenicity ; Humans ; Lactobacillus delbrueckii/physiology ; Male
    Chemische Substanzen Anti-Bacterial Agents ; Esomeprazole (N3PA6559FT)
    Sprache Englisch
    Erscheinungsdatum 2018-03-04
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1330665-0
    ISSN 1523-5378 ; 1083-4389
    ISSN (online) 1523-5378
    ISSN 1083-4389
    DOI 10.1111/hel.12476
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Assessment of clinical dehydration using point of care ultrasound for pediatric patients in rural Panama.

    Mazza, Genevieve / Romo, Carina Mireles / Torres, Marlene / Duffens, Ali / Vyas, Annasha / Moran, Katherine / Livingston, Joshua / Gonzales, Savannah / Lahham, Shadi / Shniter, Inna / Thompson, Maxwell / Fox, John Christian

    World journal of emergency medicine

    2018  Band 10, Heft 1, Seite(n) 46–50

    Abstract: Background: Dehydration and its associated symptoms are among the most common chief complaints of children in rural Panama. Previous studies have shown that intravascular volume correlates to the ratio of the diameters of the inferior vena cava (IVC) to ...

    Abstract Background: Dehydration and its associated symptoms are among the most common chief complaints of children in rural Panama. Previous studies have shown that intravascular volume correlates to the ratio of the diameters of the inferior vena cava (IVC) to the aorta (Ao). Our study aims to determine if medical students can detect pediatric dehydration using ultrasound on patients in rural Panama.
    Methods: This was a prospective, observational study conducted in the Bocas del Toro region of rural Panama. Children between the ages of 1 to 15 years presenting with diarrhea, vomiting, or parasitic infection were enrolled in the study. Ultrasound measurements of the diameters of the IVC and abdominal aorta were taken to assess for dehydration.
    Results: A total of 59 patients were enrolled in this study. Twenty-four patients were clinically diagnosed with dehydration and 35 were classified to have normal hydration status. Of the 24 patients with dehydration, half (
    Conclusion: Our study did not support previous literature showing that the IVC/Ao ratio is lower in children with dehydration. It is possible that the American standard for evaluating clinical dehydration is not compatible with the rural pediatric populations of Panama.
    Sprache Englisch
    Erscheinungsdatum 2018-11-26
    Erscheinungsland China
    Dokumenttyp Journal Article
    ZDB-ID 2753264-1
    ISSN 1920-8642
    ISSN 1920-8642
    DOI 10.5847/wjem.j.1920-8642.2019.01.007
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Feasibility study of minimally trained medical students using the Rural Obstetrical Ultrasound Triage Exam (ROUTE) in rural Panama.

    Vyas, Annasha / Moran, Katherine / Livingston, Joshua / Gonzales, Savannah / Torres, Marlene / Duffens, Ali / Romo, Carina Mireles / Mazza, Genevieve / Livingston, Briana / Lahham, Shadi / Fox, John Christian

    World journal of emergency medicine

    2018  Band 9, Heft 3, Seite(n) 216–222

    Abstract: Background: Maternal and infant mortality rates reported in rural Panama are greater than those in urban regions. Bocas del Toro is a region of Panama inhabited by indigenous people at greater risk for pregnancy-related complications and deaths due to ... ...

    Abstract Background: Maternal and infant mortality rates reported in rural Panama are greater than those in urban regions. Bocas del Toro is a region of Panama inhabited by indigenous people at greater risk for pregnancy-related complications and deaths due to geographic isolation and limited access to health care. Portable ultrasound training programs have recently been implemented in low-resource settings to increase access to diagnostic imaging. The goal of this study is to determine the feasibility of teaching first-year medical students the Rural Obstetrical Ultrasound Triage Exam (ROUTE) to help identify pathology in pregnant women of the Bocas del Toro region of Panama.
    Methods: Eight first-year medical students completed ROUTE training sessions. After training, the students were compared to professional sonographers to evaluate their accuracy in performing the ROUTE. Students then performed the ROUTE in mobile clinics within Bocas del Toro. They enrolled women pregnant in their 2nd or 3rd trimesters and measured biparietal diameter, head circumference, amniotic fluid index, fetal lie and placental position. Any abnormal measurement would be further analyzed by the lead physician for a potential hospital referral.
    Results: A total of 60 women were enrolled in the study. Four women were detected as having a possible high-risk pregnancy and thus referred to a hospital for further evaluation.
    Conclusion: Based on our data, first-year medical students with additional training can use the ROUTE to identify complications in pregnancy using ultrasound in rural Panama. Additional studies are required to determine the optimal amount of training required for proficiency.
    Sprache Englisch
    Erscheinungsdatum 2018-04-03
    Erscheinungsland China
    Dokumenttyp Journal Article
    ZDB-ID 2753264-1
    ISSN 1920-8642
    ISSN 1920-8642
    DOI 10.5847/wjem.j.1920-8642.2018.03.009
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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