Diagnostic Management of Fibroepithelial Lesions: When Is Excision Indicated?

The purpose of the study was to verify the knowledge of nurses as related to nursing procedures and laboratory diagnostics. Their knowledge was assessed based on the results of a test consisting of nursing and laboratory diagnostics-associated questions. The percentage of the correct answers to questions addressing laboratory diagnostic management was significantly lower as compared to the percentage of the correct answers to nursing-addressing questions (p<0.001). The observed differences were independent of the educational degree and specialization. In case of all the nursing-related questions, the comparable mean values were obtained, irrespectively of the ward where the nurses were employed. The highest mean values of the correct answers were obtained in case of questions addressing authorizations and responsibilities of the nurse in preparing the patient to clinical examinations. The highest mean values of the correct answers addressing laboratory diagnostic management were obtained in case of questions concerning the effect of a pre-analytic error on the results of laboratory determinations, as well as the methods of laboratory tests performed at the bedside. Conclusion: The knowledge of nurses in the field of nursing issues is good, but their knowledge of laboratory diagnostics and POCT determinations should be extended.

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Consultation with the Specialist

Pediatrics in Review ◽

10.1542/pir.17.7.257 ◽

1996 ◽

Vol 17 (7) ◽

pp. 257-259

Author(s):

John G. Brooks

Keyword(s):

Color Change ◽

Muscle Tone ◽

Close Association ◽

Prognostic Significance ◽

Home Monitoring ◽

Marked Change ◽

Sudden Infant Death ◽

Sudden Infant ◽

Diagnostic Management ◽

Life Threatening

Infants who experience apparent life-threatening events (ALTEs) usually generate enormous anxiety among family members and other caretakers and present diagnostic, management, and counseling challenges for the pediatrician. Important considerations for the primary care provider include the following: 1. What is the prognostic significance of the frightening event, particularly in relation to sudden infant death syndrome (SIDS)? 2. Which mechanisms and specific diagnoses should be considered as possible causes of ALTEs? 3. Which infants who present after an ALTE require hospitalization, and what diagnostic evaluation is appropriate? 4. What is the role for home cardiorespiratory monitors, and what is appropriate follow-up for infants who have suffered an ALTE? Definition ALTE should be considered a chief complaint rather than a specific diagnosis. In the standard established in 1986 by the National Institutes of Health (NIH) Consensus Development Conference on Infantile Apnea and Home Monitoring, ALTE is defined as "an episode that is frightening to the observer and is characterized by some combination of apnea (central or occasionally obstructive), color change (usually cyanotic or pallid but occasionally erythematous or plethoric), marked change in muscle tone (usually marked limpness), choking, or gagging. In some cases the observer fears that the infant has died." Previously used terminology, such as "aborted crib death" or "nearmiss SIDS," should be abandoned because it implies a possibly misleading close association between this type of event and SIDS.

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Performance-Based Individualized Educational Applications of the Computer in Continuing Medical Education

Journal of Educational Technology Systems ◽

10.2190/2d6p-8mnn-1q19-fhug ◽

1982 ◽

Vol 10 (4) ◽

pp. 377-387

Author(s):

Ruth Colvin Clark ◽

Phil R. Manning

Keyword(s):

Medical Education ◽

Professional Growth ◽

Computer Assisted ◽

Prescribing Practices ◽

Educational Impact ◽

Practice Behaviors ◽

Diagnostic Management ◽

Educational Applications ◽

Assisted Instruction ◽

Memory Support

Computers may have greatest educational impact on adult professional learners rather than as delivery devices for Computer Assisted Instruction in undergraduate settings. The applications of computers to medical education is reviewed with emphasis on recent application of computer capabilities to provide practicing physicians with memory support, profiles of practice for needs assessment, and diagnostic/management algorithms. The strategy of providing physicians with ongoing practice-related feedback in the form of confidential review of their prescribing practices is described as a model of an educational intervention which can be readily adapted to computer technology and would facilitate professional growth in adult learners which would be both timely and directly related to individual practice behaviors.

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An Overview on Ischemic Colitis Diagnostic & Management Approach

World Journal of Environmental Biosciences ◽

10.51847/uetwotfkw9 ◽

2021 ◽

Vol 10 (1) ◽

pp. 52-56

Author(s):

Galwy Abdulrahman Kurkuman ◽

Hassan Amer A Alsaluli ◽

Omar Ahmed Mohammed Alshehri ◽

Mansour Abdullah M. Alsuayri ◽

Saad Haif Saeed Alqahtani ◽

...

Keyword(s):

Ischemic Colitis ◽

Management Approach ◽

Diagnostic Management

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Comparison between cystourethrography and sonourethrography in preoperative diagnostic management of patients with anterior urethral strictures

Medical Ultrasonography ◽

10.11152/mu-1613 ◽

2018 ◽

Vol 20 (4) ◽

pp. 436

Author(s):

Jakub Krukowski ◽

Adam Kałużny ◽

Jakub Kłącz ◽

Marcin Matuszewski

Keyword(s):

Imaging Techniques ◽

Imaging Method ◽

Urethral Strictures ◽

Preoperative Diagnostic ◽

Diagnostic Management ◽

The Mean

Aim: To evaluate the urethral lesions and the degree of spongiofibrosis using cystourethrography (CUG) and sonourethrography (SUG) in order to propose the best imaging method for further surgical treatment.Material and methods: The study involved 66 patients with anterior urethral strictures with indication for urethroplasty. Results of CUG and SUG were compared with each other and data from surgical protocol.Results: Totally 72 strictures were detected; 47 in the bulbar part of urethra and 25 in the penile urethra. The mean length of the stenosis was 16.43 mm for CUG and 27.41 mm for SUG and 31.05 mm during surgery. The correlation levels between imaging techniques and intraoperative measurements were 0.55 (p<0.001) for CUG and 0.73 (p<0.001) for SUG. After dividing the strictures according to their location, better correlation for stenoses was obtained in penile urethra: 0.66 (p<0.001) for CUG and 0.86 (p<0.001) for SUG.Conclusions: SUG seems to be a simple and fast examination to evaluate urethral strictures. It is more accurate in comparison to CUG and gives a possibility to assess the spongiofibrosis. This information suggests that SUG can be a good complement to CUG in diagnosis of anterior urethtral strictures.

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Liver Nodules after the Fontan Operation: Role of Magnetic Resonance Elastography

Texas Heart Institute Journal ◽

10.14503/thij-14-4351 ◽

2015 ◽

Vol 42 (4) ◽

pp. 389-392 ◽

Cited By ~ 3

Author(s):

Joseph T. Poterucha ◽

Sudhakar K. Venkatesh ◽

Jennifer L. Novak ◽

Frank Cetta

Keyword(s):

Magnetic Resonance ◽

Potential Role ◽

Screening Tool ◽

Hepatic Dysfunction ◽

Fontan Operation ◽

Magnetic Resonance Elastography ◽

Liver Nodules ◽

Diagnostic Management ◽

Fontan Palliation

Hepatic dysfunction after the Fontan surgical palliation runs an indolent course. Moreover, there is no standard method of evaluating hepatic dysfunction. Magnetic resonance elastography has emerged as an advanced screening tool for preclinical detection of hepatic fibrosis and cirrhosis. We describe the case of a patient who had undergone Fontan palliation, and then developed liver nodules and elevated tumor markers 18 years later. Her case illustrates the challenges in diagnostic management of hepatic dysfunction and the potential role of magnetic resonance elastography in monitoring these patients.

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