Virtual Autopsy Using Imaging: Bridging Radiologic And
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Oxygen and Oxygen Equipment Local Coverage Determination (LCD)
Local Coverage Determination (LCD): Oxygen and Oxygen Equipment (L33797) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information CONTRACTOR NAME CONTRACT TYPE CONTRACT JURISDICTION STATE(S) NUMBER CGS Administrators, LLC DME MAC 17013 - DME MAC J-B Illinois Indiana Kentucky Michigan Minnesota Ohio Wisconsin CGS Administrators, LLC DME MAC 18003 - DME MAC J-C Alabama Arkansas Colorado Florida Georgia Louisiana Mississippi New Mexico North Carolina Oklahoma Puerto Rico South Carolina Tennessee Texas Virgin Islands Virginia West Virginia Noridian Healthcare Solutions, DME MAC 16013 - DME MAC J-A Connecticut LLC Delaware District of Columbia Maine Maryland Massachusetts New Hampshire New Jersey New York - Entire State Pennsylvania Rhode Island Vermont CONTRACTOR NAME CONTRACT TYPE CONTRACT JURISDICTION STATE(S) NUMBER Noridian Healthcare Solutions, DME MAC 19003 - DME MAC J-D Alaska LLC American Samoa Arizona California - Entire State Guam Hawaii Idaho Iowa Kansas Missouri - Entire State Montana Nebraska Nevada North Dakota Northern Mariana Islands Oregon South Dakota Utah Washington Wyoming LCD Information Document Information LCD ID Original Effective Date L33797 For services performed on or after 10/01/2015 LCD Title Revision Effective Date Oxygen and Oxygen Equipment For services performed on or after 08/02/2020 Proposed LCD in Comment Period Revision Ending Date N/A N/A Source Proposed LCD Retirement Date DL33797 N/A AMA CPT / ADA CDT / AHA NUBC Copyright Notice Period Start Date Statement 06/18/2020 CPT codes, descriptions and other data only are copyright 2019 American Medical Association. All Rights Notice Period End Date Reserved. -
Chronic Cough, Shortness of Breathe, Wheezing? What You Should
CHRONIC COUGH, SHORTNESS OF BREATH, WHEEZING? WHAT YOU SHOULD KNOW ABOUT COPD. A quick guide on Chronic Obstructive Pulmonary Disease COPD.nhlbi.nih.gov COPD, or chronic obstructive Most often, COPD occurs in people pulmonary disease, is a serious lung age 40 and over who… disease that over time makes it hard • Have a history of smoking to breathe. Other names for COPD include • Have had long-term exposure to lung irritants chronic bronchitis or emphysema. such as air pollution, chemical fumes, or dust from the environment or workplace COPD, a leading cause of death, • Have a rare genetic condition called alpha-1 affects millions of Americans and causes antitrypsin (AAT) deficiency long-term disability. • Have a combination of any of the above MAJOR COPD RISK FACTORS history of SMOKING AGE 40+ RARE GENETIC CONDITION alpha-1 antitrypsin (AAT) deficiency LONG-TERM exposure to lung irritants WHAT IS COPD? To understand what COPD is, we first The airways and air sacs are elastic (stretchy). need to understand how respiration When breathing in, each air sac fills up with air like and the lungs work: a small balloon. When breathing out, the air sacs deflate and the air goes out. When air is breathed in, it goes down the windpipe into tubes in the lungs called bronchial In COPD, less air flows in and out of tubes or airways. Within the lungs, bronchial the airways because of one or more tubes branch into thousands of smaller, thinner of the following: tubes called bronchioles. These tubes end in • The airways and air sacs lose bunches of tiny round air sacs called alveoli. -
Guía Práctica Clínica Bronquiolitis.Indd
Clinical Practice Guideline on Acute Bronchiolitis CLINICAL PRACTICE GUIDELINES IN THE SPANISH NATIONAL HEALTHCARE SYSTEM MINISTRY FOR HEALTH AND SOCIAL POLICY It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. Clinical Practice Guideline on Acute Bronchiolitis It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. CLINICAL PRACTICE GUIDELINES IN THE SPANISH NATIONAL HEALTHCARE SYSTEM MINISTRY FOR HEALTH AND SOCIAL POLICY This CPG is an aid for healthcare decisions. It is not binding, and does not replace the clinical judgement of healthcare staff. Published: 2010 It has beenPublished 5 years by: Ministry since for theScience publication and Innovation of this Clinical Practice Guideline and it is subject to updating. NIPO (Official Publication Identification No.): 477-09-055-4 ISBN: pending Legal depository: B-10297-2010 Printed by: Migraf Digital This CPG has been funded via an agreement entered into by the Carlos III Health Institute, an autonomous body within the Spanish Ministry for Science and Innovation, and the Catalan Agency for Health Technology Assessment, within the framework for cooperation established in the Quality Plan for the Spanish National Healthcare System of the Spanish Ministry for Health and Social Policy. This guideline must be cited: Working Group of the Clinical Practice Guideline on Acute Bronchiolitis; Sant Joan de Déu Foundation Fundació Sant Joan de Déu, coordinator; Clinical Practice Guideline on Acute Bronchiolitis; Quality Plan for the Spanish National Healthcare System of the Spanish Ministry for Health and Social Policy; Catalan Agency for Health Technology Assessment, 2010; Clinical Practice Guidelines in the Spanish National Healthcare System: CAHTA no. -
Management of Airway Obstruction and Stridor in Pediatric Patients
November 2017 Management of Airway Volume 14, Number 11 Obstruction and Stridor in Authors Ashley Marchese, MD Department of Pediatrics, Yale-New Haven Hospital, New Haven, CT Pediatric Patients Melissa L. Langhan, MD, MHS Associate Professor of Pediatrics and Emergency Medicine; Fellowship Director, Director of Education, Pediatric Emergency Abstract Medicine, Yale University School of Medicine, New Haven, CT Peer Reviewers Stridor is a result of turbulent air-flow through the trachea from Steven S. Bin, MD upper airway obstruction, and although in children it is often Associate Clinical Professor of Emergency Medicine and Pediatrics; Medical Director, Emergency Department, UCSF School of Medicine, due to croup, it can also be caused by noninfectious and/or con- Benioff Children’s Hospital, San Francisco, CA genital conditions as well as life-threatening etiologies. The his- Alexander Toledo, DO, PharmD, FAAEM, FAAP tory and physical examination guide initial management, which Chief, Section of Pediatric Emergency Medicine; Director, Pediatric Emergency Department, Arizona Children’s Center at Maricopa includes reduction of airway inflammation, treatment of bacterial Medical Center, Phoenix, AZ infection, and, less often, imaging, emergent airway stabilization, Prior to beginning this activity, see “Physician CME Information” or surgical management. This issue discusses the most common on the back page. as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department. Editor-in-Chief -
Spring Programme 2011
Faculty of Radiologists Royal College of Surgeons in Ireland Combined Spring Meeting 8th & 9 th April 2011 Venue: Castlemartyr Hotel, Co. Cork. Programme Faculty of Radiologists, Royal College of Surgeons in Ireland CPD Credits Awarded: 5 Royal College of Radiologists credits are applied for. Friday 8 th April 2011 3.30-4.30pm Registration 4.30-5.30pm Stroke in 2011, Moderator: Dr. Ian Kelly, Waterford Regional Hospital 4.30-5.00pm Acute Stoke Imaging. Dr Noel Fanning, Cork University Hospital, Cork 5.00-5.30pm Stroke: A clinical perspective. Dr. George Pope, John Radcliffe Hospitals, Oxford 5.30-6.30pm Moderator: Dr. Adrian Brady, Dean, Faculty of Radiologists Belfast to Bosnia and Autopsy to Virtopsy Dr. Jack Crane, State Pathologist, NI 8pm Dinner Saturday 9 th April 2011 8.30-9.00am Registration 9.00-10.00am Liver hour. Moderator: Dr John Feeney, AMNCH, Dublin 9.00-9.30am Liver imaging pre metastatectomy. Dr. Peter MacEneaney, Mercy University Hospital, Cork 9.30-10.00am Parenchymal and focal liver biopsy - when and how. Dr Stephen J Skehan St Vincent's University Hospital, Dublin 10.00-11.00am Paediatric Hour. Moderator: Dr. Stephanie Ryan, The Children’s University Hospital Temple Street, Dublin 10.00-10.30am Paediatric Abdominal Emergencies. Dr Eoghan Laffan, The Children’s, University Hospital Temple Street, Dublin 10.30-11.00am Non Accidental Injury. Dr Conor Bogue, Cork University Hospital, Cork 11.00-11.30am Tea/Coffee Break and Poster Exhibition 11.30-12.30pm MSK Hour. Moderator: Dr Orla Buckley, AMNCH, Dublin 11.30-12.00pm Image guided joint interventions. -
Virtopsy and Living Individuals Evaluation Using Computed
Virtopsy and Living Individuals Evaluation Using Computed Tomography in Forensic Diagnostic Imaging Giuseppe Lo Re, MD, Sergio Salerno, MD, Maria Chiara Terranova, MD Antonella Argo, MD, Antonio Lo Casto, MD, Stefania Zerbo, MD, and Roberto Lagalla, MD The applications of forensic radiology involve both Virtopsy both studies on living people À to demonstrate bone age, search for foreign bodies, such as voluntary injection of drug ovules or surgical sponges accidentally forgotten, to assess gunshot wounds, to evaluate injuries by road accidents, and cases of violence or abuse (both in adults and in children). Computed tomography is the most used imaging tool used in forensic pathology and its indications are mainly focused on cases of unnatural deaths or when a crime is suspected. It is preferred over the standard autopsy in selected cases, such as in putrefied, carbonized or badly damaged bodies; or as a preliminary evaluation in mass disasters. Semin Ultrasound CT MRI 40:67-78 © 2018 Elsevier Inc. All rights reserved. Introduction also preserving evidence in an undisturbed state. Diag- nostic imaging plays a pivotal role in the preliminary he applications of forensic radiology (FR) involve both evaluation in the “safety screening” prior to forensic À T studies on living people and cadavers to demonstrate assessment of the remains; thus, preventing dangers to bone age, search for foreign bodies, such as voluntary injec- the workers who handle the corpses, or in case of infec- tion of drug ovules or surgical sponges accidentally forgot- tion surveillance, such as pulmonary tuberculosis, con- ten, to assess gunshot wounds, to evaluating injuries by road firmed by CT examination before autopsy.16-18 accidents and cases of violence or abuse (both in adults and Although the costs and availability of CT scanners and 1-3 in children). -
Prilocaine Induced Methemoglobinemia Güzelliğin Bedeli; Prilokaine Bağlı Gelişen Methemoglobinemi Olgusu
CASE REPORT 185 Cost of Beauty; Prilocaine Induced Methemoglobinemia Güzelliğin Bedeli; Prilokaine Bağlı Gelişen Methemoglobinemi Olgusu Elif KILICLI, Gokhan AKSEL, Betul AKBUGA OZEL, Cemil KAVALCI, Dilek SUVEREN ARTUK Department of Emergency Medicine, Baskent University Faculty of Medicine, Ankara SUMMARY ÖZET Prilocaine induced methemoglobinemia is a rare entity. In the pres- Prilokaine bağlı gelişen methemoglobinemi nadir görülen bir du- ent paper, the authors aim to draw attention to the importance of rumdur. Bu yazıda epilasyon öncesi kullanılan prilokaine sekonder this rare condition by reporting this case. A 30-year-old female gelişen methemoglobinemi olgusunu sunarak nadir görülen bu presented to Emergency Department with headache, dispnea and durumun önemine işaret etmek istiyoruz. Otuz yaşında kadın acil cyanosis. The patient has a history of 1000-1200 mg of prilocaine servise baş ağrısı, dispne ve siyanoz şikayetleri ile başvurdu. Hasta- ya beş saat öncesinde bir güzellik merkezinde epilasyon öncesinde subcutaneous injection for hair removal at a beauty center, 5 hours yaklaşık 1000-1200 mg prilokain subkutan enjeksiyonu yapıldığı ago. Tension arterial: 130/73 mmHg, pulse: 103/minute, body tem- öğrenildi. Başvuruda kan basıncı 130/73 mmHg, nabız 103/dk, vü- perature: 37 °C and respiratory rate: 20/minute. The patient had ac- cut ısısı 37 °C ve solunum sayısı 20/dk olarak kaydedilmişti. Hasta- ral and perioral cyanosis. Methemoglobin was measured 14.1% in nın akral siyanozu belirgindi. Venöz kan gazında methemoglobin venous blood gas test. The patient treated with 3 gr ascorbic acid düzeyi %14.1 olarak ölçüldü. Hastaya 3 g intravenöz askorbik asit intravenously. The patient was discharged free of symptoms after uygulandı. -
New Phase in Forensic Odontology
International Journal of Dental and Health Sciences Review Article Volume 02,Issue 06 VIRTOPSY: NEW PHASE IN FORENSIC ODONTOLOGY Yogish.P 1, Asha Yogish 2 1.Assisstant Professor in Department of Oral Pathology and Microbiology, Sharavathi Dental College and Hospital, Shivamogga. 2.Postgraduate student in Department of Oral Medicine and Radiology, Coorg Institute of Dental Sciences, Virajpet. ABSTRACT: Nowadays, technological advances are becoming more and more important in forensic sciences. Yet autopsy is still one of the very traditional methods. This also applies for dental autopsies, in which visual, photographic and radiological evidences are collected. Virtual Autopsy appears as a helpful and complementary tool for dental and medical cadaveric examination. Using high-tech radiological approaches, Virtual Autopsy may provide, through images, an efficient and more accurate view on the individual case. This critical review aims to update on the origin, applications of virtopsy and also the role of dentists in this field. Keywords: Autopsy; Radiology; Forensic Odontology INTRODUCTION: Death is an inevitable part of life and at psychiatry and behavioural science, few occasions scientific examination of questioned documents, toxicology and bodies after death becomes mandatory. physical anthropology. Modern day investigations have reached a point of sophistication interconnecting Forensic pathology is a discipline of the involvement of many different Forensic science which deals with disciplines to serve problems including pathologic and -
Shanti Bhavan Medical Center Biru, Jharkhand, India
Shanti Bhavan Medical Center Biru, Jharkhand, India We Care, He Heals Urgent Needs 1. Boundary Wall around the hospital property Cost: $850,000 In India any land (even owned) can be taken by the government at any time if there is not boundary wall around it. Our organization owns property around the hospital that is intended for the Nursing school and other projects. We need a boundary wall built around the land so that the government can’t recover the land. 2. Magnetic Resonance Imaging Device Cost: $300,000 Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body in both health and disease. MRI scanners use strong magnetic fields, radio waves, and field gradients to generate images of the organs in the body. 3. Kidney Stone Lipotriptor Cost: $200,000 Kidney Stone Lipotriptor Extracorporeal Shock Wave Lithotripsy (ESWL) is the least invasive surgical stone treatment using high frequency sound waves from an external source (outside the body) to break up kidney stones into smaller pieces, and allow them to pass out through the urinary tract. 4. Central Patient Monitoring System Cost: $28,000 Central Patient Monitoring System- A full-featured system that provides comprehensive patient monitoring and review. Monitors up to 32 patients using two displays and is ideal for telemetry, critical care, OR, emergency room, and other monitoring environments. Provides data storage and review capabilities, and ensures a complete patient record by facilitating automated patient and data transfer between multiple departments. 5. ABG Machine Cost: $25,000 ABG machine- An arterial blood gas test (ABG) is a blood gas test of blood taken from an artery that measures the amounts of certain gases (such as oxygen and carbon diox- ide) dissolved in arterial blood. -
How Is Pulmonary Fibrosis Diagnosed?
How Is Pulmonary Fibrosis Diagnosed? Pulmonary fibrosis (PF) may be difficult to diagnose as the symptoms of PF are similar to other lung diseases. There are many different types of PF. If your doctor suspects you might have PF, it is important to see a specialist to confirm your diagnosis. This will help ensure you are treated for the exact disease you have. Health History and Exam Your doctor will perform a physical exam and listen to your lungs. • If your doctor hears a crackling sound when listening to your lungs, that is a sign you might have PF. • It is also important for your doctor to gather detailed information about your health. ⚪ This includes any family history of lung disease, any hazardous materials you may have been exposed to in your lifetime and any diseases you’ve been treated for in the past. Imaging Tests Tests like chest X-rays and CT scans can help your doctor look at your lungs to see if there is any scarring. • Many people with PF actually have normal chest X-rays in the early stages of the disease. • A high-resolution computed tomography scan, or HRCT scan, is an X-ray that provides sharper and more detailed pictures than a standard chest X-ray and is an important component of diagnosing PF. • Your doctor may also perform an echocardiogram (ECHO). ⚪ This test uses sound waves to look at your heart function. ⚪ Doctors use this test to detect pulmonary hypertension, a condition that can accompany PF, or abnormal heart function. Lung Function Tests There are several ways to test how well your lungs are working. -
Initial Observations Comparing MDCT and 3.0T MRI Findings with Autopsy Findings
Utility of Postmortem Autopsy via Whole- Body Imaging: Initial Observations Comparing MDCT and 3.0T MRI Findings with Autopsy Findings Jang Gyu Cha, MD1 Dong Hun Kim, MD1 Objective: We prospectively compared whole-body multidetector computed Dae Ho Kim, MD2 tomography (MDCT) and 3.0T magnetic resonance (MR) images with autopsy Sang Hyun Paik, MD1 findings. Jai Soung Park, MD1 Materials and Methods: Five cadavers were subjected to whole-body, 16- Seong Jin Park, MD1 channel MDCT and 3.0T MR imaging within two hours before an autopsy. A radi- Hae Kyung Lee, MD1 ologist classified the MDCT and 3.0T MRI findings into major and minor findings, Hyun Sook Hong, MD1 which were compared with autopsy findings. 3 Duek Lin Choi, MD Results: Most of the imaging findings, pertaining to head and neck, heart and 4 Kyung Moo Yang, MD vascular, chest, abdomen, spine, and musculoskeletal lesions, corresponded to 4 Nak Eun Chung, MD autopsy findings. The causes of death that were determined on the bases of 4 Bong Woo Lee, MD MDCT and 3.0T MRI findings were consistent with the autopsy findings in four of 4 Joong Seok Seo, MD five cases. CT was useful in diagnosing fatal hemorrhage and pneumothorax, as well as determining the shapes and characteristics of the fractures and the direc- Index terms: tion of external force. MRI was effective in evaluating and tracing the route of a Computed tomography (CT) metallic object, soft tissue lesions, chronicity of hemorrhage, and bone bruises. Magnetic resonance (MR) Whole-body imaging Conclusion: A postmortem MDCT combined with MRI is a potentially powerful Forensic autopsy tool, providing noninvasive and objective measurements for forensic investiga- DOI:10.3348/kjr.2010.11.4.395 tions. -
Virtopsy Working on the Future of Forensic Medicine
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by RERO DOC Digital Library Leitthema Rechtsmedizin 2007 · 17:7–12 M.J. Thali1 · S. Ross1 · L. Oesterhelweg1 · S. Grabherr1 · U. Buck1 · S. Naether1 · DOI 10.1007/s00194-006-0419-6 C. Jackowski1 · S.A. Bolliger1 · P. Vock2 · A. Christe2 · R. Dirnhofer1 Online publiziert: 30. Dezember 2006 1 Center of Forensic Imaging, Institute of Forensic Medicine, University, Bern © Springer Medizin Verlag 2006 2 Institute of Diagnostic Radiology, University Hospital, Bern Virtopsy Working on the future of forensic medicine In recent times, few fields have witnessed 3D Photogrammetry-based This allows for a more detailed surface such impressive progress as imaging optical scanning documentation compared to 3D recon- methods and radiology: digital data ac- structions based on high resolution CT quisition and post-processing of images The standard for the documentation of in- data. have revolutionized the practice of imag- juries in forensic medicine is still photog- The color information is acquired us- ing and radiology and have determined a raphy with exact measurements. Howev- ing the Tritop software that combines dig- growing interest in this field on the part er, the photographic process reduces a 3D ital photography of the surface from many of other medical professions. The applica- wound to a 2D level in the same way as different angles into 3D color information tion of imaging methods for non-invasive classical x-ray documentation. of the object that can be correctly matched documentation and analysis of relevant Using the TRITOP/ATOS III (GOM, on the digital 3D surface model using cod- forensic findings in living and deceased Braunschweig, Germany) system the col- ed and uncoded markers placed on the persons has lagged behind the enormous ored 3D surface can be documented via object.