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P Bagi

Publications and source records attributed to P Bagi.

44 records · Page 3Linked to original sources

Nonoperative management of the ultrasonically evaluated appendiceal mass.

Forty patients with an ultrasonically evaluated appendiceal mass were studied. Abscesses were diagnosed in 31 patients (78%). Seventeen patients had an ultrasonically guided percutaneous drainage performed, and all but one patient had resolution of symptoms without further treatment or complications. Fourteen patients were treated conservatively without drainage, and 12 had resolution of symptoms without interference. Ultrasonograms in the remaining nine patients (22%) revealed phlegmonous inflammation only, and all recovered without treatment. The three patients considered failures had surgery because of intestinal obstruction or suspected but unverified perforation. Three patients (8.5%) had recurrent appendicitis within 5 months after the initial attack. Diagnostic errors delayed proper therapy for 1 month in a patient with a cecal carcinoma and for 5 months in a patient with Crohn's disease. Late sequelae were observed in four patients, three of whom had surgery. Nonoperative treatment and if possible ultrasonically guided percutaneous drainage of verified abscesses are safe procedures with few complications and late sequelae. However, diligent in-hospital observation and close follow-up are mandatory.

Abscess↗

[Suprarenal cysts].

Explore the source record for details and available documents.

Adrenal Gland Diseases↗

Evoked acoustic emission: clinical application.

Stimulated acoustic emissions were recorded in response to tonal stimuli at 60 dB p.e. SPL in a small group of normal-hearing adults. Power spectral analysis reveals that the evoked activity from each ear contains energy in preferential frequency bands and the change of stimulus frequency has only a minor effect on the power spectra, i.e. the maximum jumps from one spectral peak to another. Experiments with deconvolution demonstrate that the emission generating system at least at a fixed intensity can be regarded as being linear and characterized by its impulse response which is similar to the emission evoked by click stimuli. It is concluded that significant information is obtained by the click rather than by the tonal stimuli. The click-evoked emissions were also recorded from both ears in a consecutive series of 100 full-term and otherwise normal babies 2-4 days after birth. The emission amplitudes were of the same order of magnitude as those previously found in normal-hearing adults. Cross-correlation analysis was performed in order to evaluate reproducibility and the combination of amplitudes and correlation coefficients from supra-threshold recordings and the no-stimulus recordings reveals presence of a true emission from all ears tested. It is concluded that the cochlear echo can be recorded in normal-hearing newborns with an extremely low rate of type I errors.

Adult↗

Evoked acoustic emissions from the human ear. III. Findings in neonates.

Stimulated acoustic emissions were recorded in a consecutive series of 20 full-term and otherwise normal neonates with the equipment and method previously used in adults. One ear randomly chosen was tested in each baby, and otoscopy and tympanometry were normal in all ears. A 2 kHz click stimulus was presented with a repetition rate of 10/sec and the recordings were performed at three intensities, i.e. 70, 50 and -20 dBatt (dBatt approximately dB p.e. SPL). The 50 dB recording was repeated for check of reproducibility. A clear and reproducible response could be identified from all ears at 50 dBatt. However, as in the adults, the response pattern differed significantly from one ear to another, both regarding the number of 'echoes', their latencies, response amplitudes, and frequency content. The 'echo' group latencies and amplitudes were within the same range as in normal adults and the amplitude input-output curves exhibited a clear non-linearity. The relationship between latency and frequency was just as ambiguous as in the adults. Also, in the neonates, the cross correlation analysis proved to be an efficient method to indicate whether or not a true response was present. The results from this investigation are compared with those described in the literature from other audiological tests and it is concluded that the recording of the stimulated acoustic emissions could be applicable as a screening procedure in newborns.

Acoustic Stimulation↗