January 29, 2012
What Are the Pulmonary Embolism Risk Factors for Children?
What Are the Pulmonary Embolism Risk Factors
for Children?
< / TD>
children is valid and risk factors for pulmonary embolism?
Children Suspected of Having Pulmonary
Embolism: Multidetector CT Pulmonary Angiography – Thromboembolic
Risk Factors and Implications for Appropriate Use < br />
risk factors for thrombosis and signs to guide children with suspected pulmonary embolism multi CT pulmonary angiography
Lee EY, Tse SK, Zurakowski D, et al
Lee EY, Tse SK, Zurakowski D, et al < br />
Radiology. 2012; 262:242-251
Radiology. 2012; 262:242-251
Summary
Summary
< / TD>
The goal of this study was to assess the thromboembolic risk
factors that may be associated with positive detection of pulmonary
embolism (PE) on computed tomographic pulmonary angiography (CTPA).
The cohort included 227 pediatric patients who underwent CTPA for < br /> suspected PE. Age, referral setting (inpatient, outpatient,
emergency department), clinical signs and symptoms, d-dimer result,
type of multidetector CT scanner (16 -, 32 -, 64 -detector row), and
several risk factors (immobilization, indwelling central venous
catheter, prior PE and / or deep venous thrombosis, hypercoagulable
state, excess estrogen state, malignancy, cardiac disease) were
compared in patients with and without PE, using multiple logistic
regression modeling. CTPA was positive for PE in 16% of patients.
Five statistically significant risk factors for PE on CTPA were
identified, including immobilization, hypercoagulable state, excess
estrogen state, indwelling central venous line, and prior PE and / or
deep venous thrombosis. When 2 or more of these risk factors were
used to define a clinical threshold for performing CTPA, the
sensitivity and specificity for detection of PE were 89% and 94%,
respectively.
purpose of this study is to assess risk factors for thrombosis by CT pulmonary angiography (CTPA) confirmed the relevance of pulmonary embolism. Study included 227 children with suspected pulmonary embolism, and for CT pulmonary angiography. Children divided into groups with or without pulmonary embolism, more age, source of patients (inpatient, outpatient, emergency), clinical symptoms and signs, D-dimer results, CT types (16,32,64 row) and other risk factors ( constraints fixed, central venous catheter, previous pulmonary embolism and / or deep vein thrombosis, hypercoagulable state, high estrogen levels, cancer, heart disease), through the Logistic regression analysis modeling. 16% of children with confirmed pulmonary embolism by CTPA. The study found that with confirmed pulmonary embolism by CTPA has five statistically significant risk factors, including: constraints fixed, hypercoagulable state, high estrogen levels, the central venous catheter, previous pulmonary embolism and / or deep vein thrombosis. Two or more than 2 risk factors can propose that CTPA examination, pulmonary embolism detected at this time the sensitivity and specificity were 89% and 94%.
Viewpoint
view
PE is a serious clinical condition that requires accurate early
diagnosis and appropriate treatment. The incidence of PE in the
pediatric population ranges from 0.73% to 4.2%. [1]
CTPA has been demonstrated to be useful in direct visualization of
PE in adult patients with sensitivity of 83% -100% and specificity
of 89% -97%. [2]
With the current increasing emphasis on appropriate utilization of
imaging and reduction of radiation exposure, this study in a
pediatric population is timely and clinically relevant. The
investigators concluded that it is very unlikely for CTPA to be
positive for PE in children with no thromboembolic risk factors
(0.5% with 95% confidence interval , 0.1% -2%). In fact, they suggest
that ventilation / perfusion (V / Q) scanning in children older than 5
years (who can follow the breathing instruction) may be considered, < br /> as the likelihood of a diagnostic quality V / Q scan is high, in view
of the expected lower probability of underlying lung disease in the
pediatric population in comparison with that in adults. Another
interesting observation in this investigation was that d-dimer
testing added little unique value in identifying patients with PE.
However, as the investigators note, this may reflect the order of
the tests and the clinician decision-making process.
pulmonary embolism is a serious clinical disease and requires early diagnosis and proper treatment. The incidence of pulmonary embolism in children, 0.73% to 4.2% [1]. CTPA has been shown in adults is very effective visual display of pulmonary embolism, 83% -100% sensitivity and specificity of 89% -97% [2]. With the current imaging techniques to improve and reduce radiation exposure to the growing importance of this study is essential for the children concerned, but also great clinical value. The researchers concluded: If the children do not present risk factors for thrombosis, the CTPA is almost non-existent confirm pulmonary embolism. (95% confidence interval: 0.1% -2%). In fact, the researchers suggest, if children with more than 5 years old (you can follow the instructions to breathe), you can choose the expiratory / inspiratory (V / Q) scan. Because the current view is that, compared with adults, children, low incidence of lung disease, the V / Q scan diagnosis is relatively high. Another interesting finding is that, D-dimer with or without pulmonary embolism in identifying meaningful. However, the researchers also pointed out that the phenomenon may be related to test time or test itself.
1.
Buck JR, Connors RH, Coon WW, Weintraub WH, Wesley JR, Coran AG.
Pulmonary embolism in children. J Pediatr Surg.
1981; 16:385-391.
2. < br /> Stein PD, Fowler SE, Goodman LR, et al. Multidetector computed
tomography for acute pulmonary embolism. N Engl J Med.
2006; 354:2317-2327.
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January 3, 2012
Fubon Media Technology Co., Ltd. (Fubon Multimedia Technology Co., Ltd.)
December 23, 2011
Company Name: Fubon Media Technology Co., Ltd. (Fubon Multimedia Technology Co., Ltd.)
Chairman: Lin Fu star
General Manager: Lin Qifeng
paid Capital: NT 819 million yuan
shareholder structure: Fubon Group, 68%, Woori 11%, 11% of TECO, the other 10% < br />
Employees: 1,100 people
Fubon Media Technology was established in September 2004, by the leader of Taiwan financial industry – Fubon Group investors to set up, and with South Korea leading TV shopping brands Woori (2007 was renamed LOTTE Home Shopping) work closely with the technology and experience exchange.
2004 November Fubon media technology in the Neihu Science Park, costing hundreds of millions of new digital studio completed. In January 2005, TV shopping channels
“Fubon momo Taiwan” formally launched 49 channels. We recruit the most professional talent, combined with the industry top partner, the service comprising over 1000 team, all-round grasp industry trends and customer needs. May 2005 momoshop site on-line, momo catalog founded.
2008 年 1 月 momo step into the physical channel, the major shopping district in the north gradually set up momo drug store chain, the same year in July momo 2 sets and 3 sets of launch. Since the second quarter of 2009, mainly in the momo 2 sets of 34 channels, coverage of 90%, momo 3 units located between 79 to 82 channels, coverage has reached 82%, and continues to grow. Three full-time shopping channel, every day household ratings 5 ??million to the nation broadcast 24 hours program.
2010, the Fubon momo started to operate department stores, the introduction of international brands of cosmetics, clothing, leather goods, household goods, food and other shops stationed.
also plans to expand into the mainland market, mainland China by Taiwan successful experience with the TV shopping channel exchanges and cooperation, towards a comprehensive international shopping platform in Asia.
through three television shopping channels, Internet, catalog and physical drug stores, department stores, Fubon momo build the most trusted shopping platform, Fubon Group uphold the “integrity, cordial , professional, innovative “spirit of enterprise, and create customer satisfaction every time the shopping experience and shopping.
2004 06 and the Fubon Group, Korea fourth largest television shopping industry WOORi signed cooperation, into the Taiwan TV shopping market.
2004 09 Fubon Media Technology Co., Ltd. was officially established.
2004 10 large-scale organized shopping expert and model selection, attracting thousands of people to attend.
2004 11 to move into the Neihu Science Park square-meter office.
2004 11 TV shopping channel officially named as “Fubon momo Taiwan.”
2004 11 billion spent on all-digital studio was officially opened by the Fubon Group President Mr. Cai Wancai personally presided over the opening ceremony.
2004 12 since 12 January, viewership for the million households start pilot.
2005 01 from 1 January official launch, the five million households broadcast 24 hours a day viewing the shopping program.
2005 01 set up rich liter travel.
2005 05 Fubon momo catalog shopping first edition.
2005 05 momoshop on-line e-commerce sites.
2005 08 the first of a precedent, in the TV shopping channels selling consumer credit financial products, and a record 40 minutes into the power of history through 1500.
2005 11 the first sale of financial products like life insurance.
2005 11 for the first time held in a grand fashion show-cum-VIP Member winter activities.
2005 12 anniversary in full to start running, with the launch of lottery lotto “overweight celebrate 94 years.”
2005 12 months to reach a single break, setting the fastest profit record TV shopping channel.
2006 05 Mother Day held VIP events, VIP caused an enthusiastic response.
2006 11 momo first held an exclusive overseas goods sale will be.
2006 11 momo membership exceeded a million.
2006 12 held in the year-end momo VIP “Fashion Carnival” activities, attracting nearly two hundred guests participate.
2007 02 momoshop shopping site launched VOD video on demand, providing users a more vivid description of goods.
2007 03 held its first large-scale investment briefings.
2007 09 members responded warmly at the request of Lutheran ATT sale will be held in a two-month activity.
2007 12 held “momo successful three years, into the future” will be large-scale manufacturer instructions.
2008 01 formal entry into an operating entity access, opening the first momo drug store chain.
2008 07 momo shopping expand their territory, momo two sets, momo three air.
2008 09 momo catalog cover and inside pages of revision, circulation of nearly 500,000 copies in Taiwan jumped to the top two shopping catalog.
2008 12 momoshop emerged as the nation top five shopping sites.
2009 02 momo membership of 300 million people.
. Strategic Alliance:
strategy includes cooperation with the channel marketing activities, dividend payments to buy advertising space exchange (catalog ╱ network), programs to buy advertising break, all channel marketing activities coordination activities with other gifts. If your company has any project, hope to cooperate with Fubon momo, you can contact us through the exclusive-mail, we will send someone to deal with matters related to cooperation! Thank you!
. Investment Area:
Fubon momo uphold the integrity of the service, profession ﹑ creative spirit, officially began operation since January 2005, with TV, Internet, catalog shopping platform media, provide year-round, ten days review period, free returns, credit card interest-free installments billions of dollars product liability insurance, such as multiple consumer protection to consumers. If your company has any quality product, want to Fubon momo platform sales, please contact us and we will send someone to deal with matters related to cooperation of goods!
Thank you!
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Epson issued first perspective type multimedia glasses
November 20, 2011
Recently, epson in Tokyo can be used in outdoor recreation first perspective MoverioBT-100 type multimedia cheap Oakley sunglasses, the move is to satisfy user can wear, portable entertainment equipment growing demand . The multimedia cheap Oakleys glasses set big screen multimedia entertainment at an organic whole, users can browse through the transparent lens mass content, ensure browsing illicit close sex at the same time, the surrounding environment and to have the same attention.Only the size of a pocket MoverioBT-100 controller to match with a strong network browsing, enabling users to browse the web site of the most all the content, including MPEG4 video, documents and application, and to realize the parallel on the move in 3 D view. Except for BT-100 provides the power, only a smart phone the size of a controller, have installed a common functions of special button, and an easy to use inductive touch board.Epson, senior European business managers ValerieRiffaud-Cangelosi said: “as an innovative enterprise, epson have been committed to the innovation and to focus on the future and leadership that the technical trend. Especially make us feel excited to have the chance to wear Oakley sunglasses type perspective will be introduced into the market. This can wear type of content browsing device in the mobile users browse content in, and not from the surrounding environment. MoverioBT-100 is the first generation of the same type of innovative concept products, we will continue to develop such products, and constantly realize customer value “. < br />
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[Switch] EFFECT OF A COMPUTER-BASED MULTIMEDIA
EFFECT OF A COMPUTER-BASED
MULTIMEDIA
EDUCATIONAL MODULE ON KNOWLEDGE OF THE MENSTRUAL CYCLE
Joan L. Moon
A Dissertation
Submitted to the Graduate College of Bowling Green
State University in partial fulfillment of
the requirements of the degree of
DOCTOR OF EDUCATION
CHAPTER I.
INTRODUCTION
Background of the Problem
The menstrual cycle is an intricate web of hormonal interactions in
the female body
impacting a woman fertility, health, and sense of wellbeing.
Supporting human reproduction is
a hallmark of the menstrual cycle. Fertility awareness is defined
as observing and interpreting
the signs resulting from the interplay of hormones in the menstrual
cycle, and applying the
information gained in self-awareness and reproductive healthcare
decision-making (Pyper,
1997).
While a small number of women utilize fertility awareness in order
to practice natural
family planning, an understanding of the menstrual cycle is
fundamental to all women
attentiveness to their reproductive health (Clubb, Pyper,
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