How often are nonenhancing supratentorial gliomas malignant? A population study
Notice bibliographique
Résumé
<h3>Introduction</h3> Palpitations in children is a common presentation to the Emergency Department. Although usually benign and related to anxiety and stress, it is important to rule out the possibility of cardiac arrhythmia. Palpitations cause significant distress for child and parents. Appropriate initial management and onward referral can ensure accurate diagnosis and minimise the need for unnecessary further investigations whilst reducing anxiety in the family. <h3>Methods</h3> A retrospective analysis of ED notes was undertaken. All children under 16 coded for a discharge diagnosis of arrhythmia or palpitations between October 2013 and October 2015 were included. Areas analysed included presentation, adequacy of history taking, physical examination, performance of an ECG and blood tests, advice prior to discharge and onward referral. <h3>Results</h3> 84 patients were discharged from ED with a diagnosis of palpitations or arrhythmia. 15 did not meet inclusion criteria. Of the 69 patients analysed, 59% were not asked for family history of cardiac disease, 30% were not asked duration of their symptoms and 58% were not asked about possible triggers. ECG was performed in all but one case. Approximately half of new presentations had blood tests requested. Examination was adequately performed in in almost all patients but pulses were documented in only half of patients.. Appropriate advice was documented for half of the cases. Onward referral was made to the local cardiology clinic in 29% of patients, referral back to GP in 23% and 10% were in existing follow up at specialist tertiary clinics. <h3>Conclusions</h3> Nearly 15% of patients presenting with palpitations had arrhythmia, commonly SVT. There was huge disparity in the management of palpitations in our ED. ECGs were routinely performed and most patients had an adequate examination. However, all patients should be asked about family history of cardiac disease, triggers for and duration of palpitations. Examination of pulses should be documented and appropriate advice given at discharge. Where clinically indicated, children presenting with palpitations should have FBC and TFTs. Children with recurrent palpitations will benefit from cardiology outpatient review. We plan to create a protocol for assessment of palpitations in the ED to streamline management.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».