Spinal Neurosurgery

2018 ◽  
Keyword(s):  
Patient Care ◽  
Management Strategies ◽  
Oral Examination ◽  
Diagnosis And Treatment ◽  
High Yield ◽  
Complication Management ◽  
Treatment Plans ◽  
Spine Surgeon ◽  
Case Based

Neurosurgery by Example: Key Cases and Fundamental Principles provides case-based, high yield content for the spine surgeon and neurosurgeons preparing for the American Board of Neurological Surgeons oral examination. It covers a wide array of spinal pathologies with their presentation, diagnosis, and treatment plans. Postoperative and complication management strategies are offered as well in order to prepare surgeons who can then provide comprehensive patient care for complex spine conditions.

scholarly journals The Application of Dynamic Uncertain Causality Graph Based Diagnosis and Treatment Unification Model in the Intelligent Diagnosis and Treatment of Hepatitis B

Symmetry ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1185
Author(s):  
Nan Deng ◽  
Qin Zhang
Keyword(s):  
Hepatitis B ◽  
Response Probability ◽  
Logic Gates ◽  
Current Treatment ◽  
Subsequent Treatment ◽  
Diagnosis And Treatment ◽  
Treatment Model ◽  
Treatment Scheme ◽  
Treatment Plans ◽  
Dynamic Uncertain Causality Graph

Although hepatitis B is widespread, it is hard to cure. This paper presents a new and more accurate model for the diagnosis and treatment of hepatitis B. Based on previous research, the diagnosis and treatment modes were combined into one. By adding more influencing factors and risk factors, the overall diagnosis and treatment model will be further expanded, and a richer and more detailed overall diagnosis and treatment model will be constructed. Reverse logic gates are used in the model to improve the accuracy of the treatment planning. The new unified model is more accurate in subdividing diagnosis results, and it is more flexible and accurate in providing dynamic treatment plans. The prediction process and the static diagnosis process of the model are symmetric, and the related sub-graph is symmetric in structure. In addition, an algorithm for predicting the response probability of treatment scheme is developed, so as to predict the subsequent treatment effects of the current treatment scheme, such as the probability of drug resistance. The results show that this method is more accurate than other available systems, and it has encouraging diagnostic accuracy and effectiveness, which provides a promising help for doctors in diagnosing hepatitis B.

scholarly journals Manejo da dor em punção venosa pediátrica: um pacote de medidas

2021 ◽  
Vol 11 (33) ◽  
pp. 157-168
Author(s):  
Larissa Grispan e Silva Guimarães ◽  
Natália Shinkai Binotto ◽  
Stela Faccioli Ederli ◽  
Mauren Teresa Grubisich Mendes Tacla
Keyword(s):  
Pain Management ◽  
Patient Care ◽  
Nursing Staff ◽  
Professional Growth ◽  
Management Strategies ◽  
Care Bundle ◽  
Evidence Based ◽  
Topical Anesthetic ◽  
Care Research ◽  
Before And After

Apresentar o processo de elaboração de um pacote de medidas para manejo da dor de crianças submetidas à punção venosa pela equipe de enfermagem. Pesquisa Convergente Assistencial, do tipo antes e após intervenção, realizada com a equipe de enfermagem de uma unidade pediátrica do sul do Brasil. Elaboração de pacote de medidas com seis estratégias selecionadas pela equipe de enfermagem a serem utilizadas antes e durante a punção venosa: preparo da criança e/ou acompanhante, posicionamento da criança, distração, amamentação, solução adocicada associada ou não à sucção não nutritiva e anestésico tópico. Os participantes manifestaram satisfação quanto ao modo de elaboração do mesmo, destacando a contribuição deste para seu crescimento profissional. O pacote de medidas otimizou a adoção das estratégias para manejo da dor. A Pesquisa Convergente Assistencial alicerçada na prática baseada em evidências mostrou-se adequada, visto que propiciou a aplicação de achados científicos no cenário assistencial considerando suas particularidades.Descritores: Manejo da Dor, Criança, Cateterismo Periférico, Enfermagem Baseada em Evidências. Management of pediatric venipuncture pain: a package of measuresAbstract: To present the process of elaboration of a patient care package for pain management in children undergoing venipuncture by the nursing staff. Convergent Care Research, before and after intervention, conducted with the nursing staff of a southern pediatric unit in Brazil. Patient care packege with six strategies, selected by the nursing staff, to be used before and during venipuncture: preparation of the child and/or companion, child positioning, distraction, breastfeeding, sweet-tasting solution with or without non-nutritive suction and topical anesthetic usage. The package of measures optimized the adoption of pain management strategies, highlighting its contribution to their professional growth. The patient care bundle optimized the adoption of strategies for pain management. The Convergent Care Research grounded in evidence-based practice showed appropriate, since it allowed the application of scientific findings in the care setting, considering its peculiarities.Descriptors: Pain Management, Child, Catheterization, Peripheral, Evidence-Based Nursing. Manejo del dolor de la venopunción pediátrica: un paquete de medidasResumen: Presentar el proceso de elaboración de un paquete de medidas para manejo del dolor de niños sometidos a la venopunción por el equipo de enfermería. Investigación Convergente Asistencial, del tipo antes y después de la intervención, realizada con el equipo de enfermería de una unidad pediátrica en el sur de Brasil. Paquete de medidas con seis estrategias seleccionadas por el equipo de enfermería que deben ser utilizadas antes y durante la venopunción: preparación del niño y/o acompañante, posicionamiento del niño, distracción, amamantamiento, solución dulce asociada o no a succión no nutritiva y anestésica tópica. Los participantes manifestaron satisfacción en cuanto al modo de elaboración del mismo, destacando la contribución de este para su crecimiento profesional. El paquete de medidas optimizó la adopción de estrategias para manejo del dolor. La Investigación Convergente Asistencial cimentada en la práctica basada en evidencias se mostró adecuada, visto que propició la aplicación de hallazgos científicos en el escenario asistencial considerando sus particularidades.Descriptores: Manejo del Dolor, Niño, Cateterismo Periférico, Enfermería Basada en la Evidencia.

A Limitation in the Use of Office Records for Health Care Evaluation

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 295-296
Author(s):  
Thomas Long ◽  
K. D. Rogers
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Sore Throat ◽  
Specific Problem ◽  
Diagnosis And Treatment ◽  
Diagnosis And Management ◽  
Physician Office ◽  
Health Care Evaluation ◽  
Ambulatory Health Care ◽  
Care Evaluation

A potential limitation of physician office records for ambulatory health care evaluation is their completeness. Criteria used to evaluate care of a specific problem not only should be of major importance in its diagnosis and treatment but should also be likely to be recorded in the physician's records. It is possible that a physician may not record certain kinds of observations and actions even though he performs them. Further, whether or not the physician enters information in his record may not be related to his opinion about its importance for patient care. The specific questions asked in this study were whether practices deemed desirable by practitioners for diagnosis and management of sore throat of possible streptococcal origin were actually performed and, if so, whether the performance was recorded.

Digital Professionalism in Patient Care: A Case Based Survey of Patients

2021 ◽  
Author(s):  
Andrea Boyd Tressler ◽  
Robert Naples ◽  
Paola A. Barrios ◽  
Xue Jia ◽  
Judith C. French ◽  
...  
Keyword(s):  
Patient Care ◽  
Case Based

Challenges in the diagnosis and treatment of disabling pansclerotic morphea of childhood: case-based review

2019 ◽  
Vol 39 (5) ◽  
pp. 933-941 ◽  
Author(s):  
Han Jie Soh ◽  
Courtney Samuel ◽  
Victoria Heaton ◽  
William Douglas Renton ◽  
Angela Cox ◽  
...  
Keyword(s):  
Diagnosis And Treatment ◽  
Case Based

Nasal Endoscopy: Its Role in Office Diagnosis

1997 ◽  
Vol 11 (2) ◽  
pp. 177-180 ◽  
Author(s):  
Michael S. Benninger
Keyword(s):  
Treatment Plan ◽  
Septal Deviation ◽  
Diagnosis And Treatment ◽  
Nasal Endoscopy ◽  
Nasal Sinus ◽  
Anterior Rhinoscopy ◽  
Choanal Polyp ◽  
Before And After ◽  
Treatment Plans

To clarify the role of nasal endoscopy in the diagnosis and treatment planning for patients with nasal or sinus complaints, 100 consecutive new patients were evaluated. Patients were excluded if their only complaint was obstruction and they had a septal deviation as the only clinical finding. Each patient underwent a thorough history and head and neck examination, including anterior rhinoscopy before and after decongestion, and the diagnosis and treatment plans were documented. Each then underwent nasal endoscopy, and the diagnosis and treatments were compared. The most common diagnoses after anterior rhinoscopy were allergic rhinitis (21), nonallergic rhinitis (12), chronic sinusitis with polyps (19) or without polyps (9), and nonsinus pain (13). Nasal endoscopy played a role in 11% of patients, although in no case did endoscopy change the diagnosis or treatment plan. Endoscopy allowed visualization past an enlarged turbinate or septal deviation in six patients, confirmed a suspected diagnosis in three by visualization of the middle meatus, and detected the site of a large choanal polyp in one. In one case, endoscopy identified a paradoxical turbinate on the side opposite the symptoms and radiological findings. Routine nasal endoscopy need not be part of the evaluation of all patients with nasal sinus disorders but is particularly valuable in confirming diagnoses, particularly in patients where anterior rhinoscopy is limited by anatomic vobstruction.

scholarly journals Hodgkin Lymphoma: Differences in Treatment Between Europe and the United States/North America: Evolving Trends in Protocol Therapy

2018 ◽  
Vol 12 ◽  
pp. 117955491875488 ◽  
Author(s):  
Thomas J FitzGerald ◽  
Maryann Bishop-Jodoin
Keyword(s):  
Patient Care ◽  
Hodgkin Lymphoma ◽  
Normal Tissue ◽  
Common Ground ◽  
Clinical Care ◽  
Management Strategies ◽  
Improve Patient Care ◽  
The United States ◽  
Tumor Burden ◽  
Late Treatment

With continued progress and success in clinical care, the management of patients with Hodgkin lymphoma (HL) has undergone continuous revision to improve patient care outcomes and limit acute and late treatment effects on normal tissue imposed by therapy. Hodgkin lymphoma is a disease that affects children, adolescents, and adults. Clinical management strategies are influenced by the patient’s age at diagnosis, tumor burden, response to induction therapy, and potential expectation of treatment impact on normal tissue. The approach to patient management varies in many parts of the world and is influenced by treatment availability, physician training, and medical culture. Differences in approach are important to understand for accurately comparing and contrasting outcome studies. In this article, we will identify current areas of common ground and points of separation in patient care management for HL. Opportunities for clinical trial strategies will be defined for future clinical trials.

The development of a data-matching algorithm to define the ‘case patient’

2013 ◽  
Vol 37 (1) ◽  
pp. 54 ◽  
Author(s):  
Shelley Cox ◽  
Rohan Martin ◽  
Piyali Somaia ◽  
Karen Smith
Keyword(s):  
Patient Care ◽  
Emergency Services ◽  
Accurate Method ◽  
Patient Specific ◽  
Patient Records ◽  
Case Patient ◽  
Matching Algorithm ◽  
Patient Level ◽  
Electronic Data Capture System ◽  
Case Based

Objectives. To describe a model that matches electronic patient care records within a given case to one or more patients within that case. Method. This retrospective study included data from all metropolitan Ambulance Victoria electronic patient care records (n = 445 576) for the time period 1 January 2009–31 May 2010. Data were captured via VACIS (Ambulance Victoria, Melbourne, Vic., Australia), an in-field electronic data capture system linked to an integrated data warehouse database. The case patient algorithm included ‘Jaro–Winkler’, ‘Soundex’ and ‘weight matching’ conditions. Results. The case patient matching algorithm has a sensitivity of 99.98%, a specificity of 99.91% and an overall accuracy of 99.98%. Conclusions. The case patient algorithm provides Ambulance Victoria with a sophisticated, efficient and highly accurate method of matching patient records within a given case. This method has applicability to other emergency services where unique identifiers are case based rather than patient based. What is known about the topic? Accurate pre-hospital data that can be linked to patient outcomes is widely accepted as critical to support pre-hospital patient care and system performance. What does this paper add? There is a paucity of literature describing electronic matching of patient care records at the patient level rather than the case level. Ambulance Victoria has developed a complex yet efficient and highly accurate method for electronically matching patient records, in the absence of a patient-specific unique identifier. Linkage of patient information from multiple patient care records to determine if the records are for the same individual defines the ‘case patient’. What are the implications for practitioners? This paper describes a model of record linkage where patients are matched within a given case at the patient level as opposed to the case level. This methodology is applicable to other emergency services where unique identifiers are case based.

Challenging Concepts in Respiratory Medicine

2017 ◽  
Keyword(s):  
Learning Process ◽  
Management Strategies ◽  
Evidence Base ◽  
Respiratory Medicine ◽  
Clinical Scenarios ◽  
Expert Commentary ◽  
Learning Points ◽  
Case Based

Challenging Concepts in Respiratory Medicine is a case-based guide to difficult scenarios in the field, covering many of the major subspecialty areas. Consisting of contemporary clinical scenarios with expert commentary, chapters are interspersed with the most up-to-date evidence, management strategies, guidelines, and controversies in management. Using handy ‘Clinical tips’, ‘Learning points’, and ‘Evidence base’ to enhance the learning process, Challenging Concepts in Respiratory Medicine includes valuable ‘Expert Comment’ written by a nationally or internationally renowned expert to provide a unique inside track on how the experts approach these types of challenging cases. Covering a range of respiratory and related conditions, including allergy, tuberculosis, asthma, and narcolepsy, this title is specifically designed for those preparing for their specialist exams.

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