Accuracy of duplex ultrasonography in estimation of severity of peripheral vascular disease.

Duplex ultrasonography (DUS) is a safe, noninvasive method for imaging vasculature when compared with conventional angiography. Our goal is to assess the accuracy of DUS compared with angiography of the lower extremities. We reviewed a total of 373 lesions in 278 patients from July 2005 through June 2010.

Oral prostaglandin e1 in combination with sodium bicarbonate and normal saline in the prevention of contrast-induced nephropathy: a pilot study.

The purpose of this study was to evaluate the use of prostaglandin E1 (PGE1) as a renal protective medication for patients exposed to contrast agents, as well as to demonstrate the safety, efficacy, and low side-effect profile of PGE1. A prospective, randomized, double-blind study was designed to compare combination of intravenous sodium bicarbonate, normal saline, and oral PGE1 200 μg versus the combination and placebo for renal protection from contrast agents. All patients receiving nonionic contrast during their interventional procedure were eligible for enrollment.

Paramedic electrocardiogram and rhythm identification: a convenient training device.

Introduction: A common reason for utilizing local paramedics and the emergency medical services is for the recognition and immediate treatment of chest pain, a complaint that has multiple possible etiologies. While many of those complaining of disease processes responsible for chest pain are benign, some will be life-threatening and will require immediate identification and treatment. The ability of paramedics to not only perform field electrocardiograms (ECGs), but to accurately diagnose various unstable cardiac rhythms has shown significant reduction in time to specific treatments.

Computed tomographic angiography versus conventional angiography for the diagnosis of blunt cerebrovascular injury in trauma patients.

Background: Blunt cerebrovascular injuries (BCVI) in trauma patients are rare but potentially devastating injuries, particularly if the diagnosis is delayed. Conventional angiography (CA) has been the screening and diagnostic modality of choice for identifying BCVI. With the advent of high-resolution computed tomography (CT), CT angiography has become a common modality for the screening of BCVI.

Eschar with cellulitis as a clinical predictor in community-acquired methicillin-resistant Staphylococcus aureus (MRSA) skin abscess.

This study was designed to determine the validity of a central eschar with surrounding cellulitis as a clinical predictor for CA-MRSA infection. In this 10-month prospective observational study, patients with a chief complaint or clinical findings of skin infection with abscess had study data sheets placed on their chart. All abscesses were treated with incision and drainage, and wound cultures were obtained.

Studying critical values: adverse event identification following a critical laboratory values study at the ohio state university medical center.

No study to date has used laboratory critical values to evaluate variations in patient adverse events. We retrospectively analyzed a database of critical values to determine their distribution by hospital unit over time. The data were drawn from the Ohio State University Medical Center Information Warehouse (Columbus) for a 58-month period.

Perceptual invariance of coarticulated vowels over variations in speaking rate.

This study examined the perception and acoustics of a large corpus of vowels spoken in consonant-vowel-consonant syllables produced in citation-form (lists) and spoken in sentences at normal and rapid rates by a female adult. Listeners correctly categorized the speaking rate of sentence materials as normal or rapid (2% errors) but did not accurately classify the speaking rate of the syllables when they were excised from the sentences (25% errors). In contrast, listeners accurately identified the vowels produced in sentences spoken at both rates when presented the sentences and when presented the excised syllables blocked by speaking rate or randomized.

Training the perception of Hindi dental and retroflex stops by native speakers of American English and Japanese.

Perception of second language speech sounds is influenced by one's first language. For example, speakers of American English have difficulty perceiving dental versus retroflex stop consonants in Hindi although English has both dental and retroflex allophones of alveolar stops. Japanese, unlike English, has a contrast similar to Hindi, specifically, the Japanese /d/ versus the flapped /r/ which is sometimes produced as a retroflex.

Perception and production of lexical tones by 3-year-old, Mandarin-speaking children.

The present study investigated 3-year-old children's perception and production of Mandarin lexical tones in monosyllabic words. Thirteen 3-year-old, Mandarin-speaking children participated in the study. Tone perception was examined by a picture-pointing task, and tone production was investigated by picture naming.