Rapid Expansion in a Previously Indolent Cholesterol Cyst: A Need for Lifelong Follow-up

2006 ◽  
Vol 27 (1) ◽  
pp. 124-126 ◽  
Author(s):  
Marc C Thorne ◽  
Stephen S Gebarski ◽  
Steven A Telian
Keyword(s):  
Rapid Expansion

Sustained Increase in Peritoneal Dialysis Prevalence through a Structured PD Initiation Service

2018 ◽  
Vol 38 (5) ◽  
pp. 374-376 ◽  
Author(s):  
Muhammad Masoom Javaid ◽  
Behram Ali Khan ◽  
Emily Xe Yeo ◽  
Boon Wee Teo ◽  
Srinivas Subramanian
Keyword(s):  
Peritoneal Dialysis ◽  
Rapid Expansion ◽  
Dialysis Initiation ◽  
Coordinated Care ◽  
Timely Initiation ◽  
Initiation Of Dialysis ◽  
Patient Selection Criteria ◽  
Dedicated Team ◽  
Sustained Increase

A structured peritoneal dialysis (PD) initiation service provided by a dedicated team of nephrologists, interventionists, and PD nurses, taking patients through the stages of predialysis education and monitoring, dialysis catheter insertion, dialysis initiation, and follow-up in the immediate post-dialysis initiation period, can go a long way in expanding PD prevalence. The authors noticed a rapid expansion of their PD program following the introduction of such a service, and they share their experience in this article. A multidisciplinary team providing 1-stop coordinated care may help in alleviating the differences in patient selection criteria, minimize delays in PD catheter insertions, ensure timely initiation of dialysis, reduce the need to start dialysis urgently, actively identify and sort any teething issues, enhance patients’ confidence, and reduce technique failures.

scholarly journals Utility of telemedicine in pediatric rheumatology during the COVID-19 pandemic

2021 ◽  
Author(s):  
Ashley Perdue ◽  
Charles Mullett ◽  
Amna Umer ◽  
Paul Rosen
Keyword(s):  
Pediatric Rheumatology ◽  
Chart Review ◽  
Patient Characteristics ◽  
Rapid Expansion ◽  
Office Visits ◽  
Chi Square ◽  
Rheumatology Clinic ◽  
Significant Difference ◽  
Pediatric Rheumatology Clinic

Abstract Background: During the COVID-19 pandemic, telemedicine has provided an alternative to in-person visits for patients practicing social distancing and undergoing quarantine. During this time, there has been a rapid expansion of telemedicine and its implementation in various clinical specialties and settings. In this observational study we aim to examine the utility of telemedicine in a pediatric rheumatology clinic, for 3 months during the COVID-19 pandemic.Methods: A review of outpatient pediatric rheumatology telemedicine encounters were conducted from April-June 2020. Telemedicine visits (n=75) were compared to patients seen in practice over the prior year in office-based visits (March 2019-March 2020) (n=415). Patient characteristics, information on no-show visits, completed visits, new patient or follow-up status, and if new patients had received a visit within 2 weeks of calling to schedule an appointment were analyzed by chart review. An independent sample t-test and Chi Square statistic was used to determine statical significance between the two groups. A two-proportion z-test was used to compare visit metrics.Results: The percentage of new patients utilizing telemedicine (60%) was lower and statistically significant compared to the percentage of new patient office visits (84%) the previous year (p<0.0001). There was no change in no-show rate between groups and patient characteristics were similar.Conclusions: This study demonstrates a statistically significant decrease in new patient visits during the pandemic with telemedicine-only appointments compared to in-office visits over the previous year. This suggests a possible hesitation to seek care during this time. However, there was no significant difference among patient characteristics between telemedicine visits during the pandemic and during in-office visits in the previous year. In our experience, patient visits were able to be conducted via telemedicine with a limited physical exam using caregiver’s help during the pandemic. However, further studies will need to ascertain patient satisfaction and preference for telemedicine in the future.

Return of the “Intimate Outsider”

2011 ◽  
Vol 17 (4) ◽  
pp. 416-440 ◽  
Author(s):  
Lawrence Ganong
Keyword(s):  
Interdisciplinary Research ◽  
Theory Development ◽  
Rapid Expansion ◽  
Family Context ◽  
Nursing Research ◽  
Research To Practice ◽  
Future Directions ◽  
The Past ◽  
Family Nursing

This article reviews family nursing research published from 1996 to 2011. This is a follow-up to a review published in the Journal of Family Nursing in 1995. Findings from the first review are compared with this one, trends in family nursing scholarship are identified, and predictions and suggestions for future directions are offered. The latest generation of family nursing scholarship is conceptually and methodologically sound, and there is evidence of more multidisciplinary and interdisciplinary research conducted by family nursing researchers. Scholars are paying more attention to issues of diversity and family context at present than in the past, although there are still aspects of diversity that need more attention. Strong research programs in family nursing exist worldwide; an international synergism has helped promote rapid expansion of family nursing research and theory development. A vigorous movement to promote research to practice initiatives and greater attention to family interventions are exciting developments.

Study on the Insulating Spacers Surface Discharge of GIS

2013 ◽  
Vol 385-386 ◽  
pp. 1209-1212
Author(s):  
Yun Peng Liu ◽  
Zi Jian Wang ◽  
Yan Song Li
Keyword(s):  
Photon Number ◽  
Current Method ◽  
Rapid Expansion ◽  
Particle Collision ◽  
Surface Discharge ◽  
Discharge Process ◽  
Testing Technology ◽  
Important Position ◽  
Ultraviolet Photons

Gas insulated switchgears occupy an important position in the power system.Insulating spacers are important parts in GIS, a research on the surface discharge characteristics is conducted, mainly using ultraviolet imaging technology, ultrasonic testing technology and pulse current method to test the whole discharge process. Based on the data analysis, get the following conclusion: 1) Ultraviolet photons indicator shows the "saturation" characteristic, when the voltage up to 68kV later, continue to increase the voltage, ultraviolet photon number increase is not obvious; 2) In the basin insulator defect, with discharge intensifies, charged particle collision more intense, the heat increase, so the local volume rapid expansion, the pressure increase lead to enhance the ultrasonic signal. These works provide a valuable reference for follow-up study of GIS.

Assessment of the criteria for elective surgery in screen-detected abdominal aortic aneurysms

2005 ◽  
Vol 12 (3) ◽  
pp. 150-154 ◽  
Author(s):  
R Alan P Scott ◽  
Lois G Kim ◽  
Hilary A Ashton ◽  
Keyword(s):  
Direct Evidence ◽  
Elective Surgery ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Rapid Expansion ◽  
Aortic Diameter ◽  
Abdominal Aortic ◽  
Screening Study ◽  
Accepted Practice

Objectives: Apart from aortic diameter, two other widely used criteria for considering surgery in screen-detected abdominal aortic aneurysms (AAAs) - annual aortic expansion ≥1.0 cm and presence of symptoms attributable to the AAA 0 are based on accepted practice and AAA expansion rates, rather than direct evidence. The Multi-centre Aneurysm Screening Study (MASS) enables assessment of their contribution to this risk reduction. Methods: MASS employs three criteria for referral for considering elective open surgery: maximum aortic diameter ≥5.5 cm, rapid aortic expansion (≥1.0 cm/year), and/or the presence of symptoms attributable to the AAA. Data from MASS are used to examine the value of these criteria in practice. Results: No patients were referred for symptoms alone. Of those referred for rapid expansion, 88% were returned to surveillance, compared with only 12% of those referred for diameter ≥5.5 cm at initial scan, and 34% of those referred for diameter ≥5.5 cm at a follow-up scan. Return to surveillance following referral for rapid expansion was strongly associated with aortic diameter (age-adjusted odds ratio for return 0.89 per mm, 95% confidence interval 0.79-1.00). Of those 5.0-5.4 cm at the time of referral for rapid expansion who were returned, 31% reached 5.5 cm during a median post-referral follow-up of 0.9 years. Among those referred for expansion, the rupture rate was only 8 per 1000 person-years of follow-up prior to reaching 5.5 cm. Conclusions: A single criterion for considering elective surgery is recommended in screen-detected AAA, based on a maximum aortic diameter of ≥5.5 cm. This criterion detects the majority of those at risk from rupture, and is simple to assess.

scholarly journals Utility of telemedicine in pediatric rheumatology during the COVID-19 pandemic

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ashley Perdue ◽  
Charles Mullett ◽  
Amna Umer ◽  
Paul Rosen
Keyword(s):  
Pediatric Rheumatology ◽  
Chart Review ◽  
Patient Characteristics ◽  
Rapid Expansion ◽  
Office Visits ◽  
Chi Square ◽  
Rheumatology Clinic ◽  
Significant Difference ◽  
Pediatric Rheumatology Clinic

Abstract Background During the COVID-19 pandemic, telemedicine has provided an alternative to in-person visits for patients practicing social distancing and undergoing quarantine. During this time, there has been a rapid expansion of telemedicine and its implementation in various clinical specialties and settings. In this observational study we aim to examine the utility of telemedicine in a pediatric rheumatology clinic, for 3 months during the COVID-19 pandemic. Methods A review of outpatient pediatric rheumatology telemedicine encounters were conducted from April–June 2020. Telemedicine visits (n = 75) were compared to patients seen in practice over the prior year in office-based visits (March 2019–March 2020) (n = 415). Patient characteristics, information on no-show visits, completed visits, new patient or follow-up status, and if new patients had received a visit within 2 weeks of calling to schedule an appointment were analyzed by chart review. An independent sample t-test and Chi Square statistic was used to determine statical significance between the two groups. A two-proportion z-test was used to compare visit metrics. Results The percentage of new patients utilizing telemedicine (60%) was lower and statistically significant compared to the percentage of new patient office visits (84%) the previous year (p < 0.0001). There was no change in no-show rate between groups and patient characteristics were similar. Conclusions This study demonstrates a statistically significant decrease in new patient visits during the pandemic with telemedicine-only appointments compared to in-office visits over the previous year. This suggests a possible hesitation to seek care during this time. However, there was no significant difference among patient characteristics between telemedicine visits during the pandemic and during in-office visits in the previous year. In our experience, patient visits were able to be conducted via telemedicine with a limited physical exam using caregiver’s help during the pandemic. However, further studies will need to ascertain patient satisfaction and preference for telemedicine in the future.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

Brief summary of Kleť photographic search programme for minor planets

1999 ◽  
Vol 173 ◽  
pp. 189-192
Author(s):  
J. Tichá ◽  
M. Tichý ◽  
Z. Moravec
Keyword(s):  
Ccd Camera ◽  
Minor Planet ◽  
Minor Planets ◽  
Main Belt

AbstractA long-term photographic search programme for minor planets was begun at the Kleť Observatory at the end of seventies using a 0.63-m Maksutov telescope, but with insufficient respect for long-arc follow-up astrometry. More than two thousand provisional designations were given to new Kleť discoveries. Since 1993 targeted follow-up astrometry of Kleť candidates has been performed with a 0.57-m reflector equipped with a CCD camera, and reliable orbits for many previous Kleť discoveries have been determined. The photographic programme results in more than 350 numbered minor planets credited to Kleť, one of the world's most prolific discovery sites. Nearly 50 per cent of them were numbered as a consequence of CCD follow-up observations since 1994.This brief summary describes the results of this Kleť photographic minor planet survey between 1977 and 1996. The majority of the Kleť photographic discoveries are main belt asteroids, but two Amor type asteroids and one Trojan have been found.

Intranuclear Crystals in Regenerating Canine Kidneys

1973 ◽  
Vol 31 ◽  
pp. 412-413
Author(s):  
D.G. Osborne ◽  
L.J. McCormack ◽  
M.O. Magnusson ◽  
W.S. Kiser
Keyword(s):  
Epithelial Cell ◽  
Epithelial Cells ◽  
Tubular Epithelial Cell ◽  
Tubular Epithelial Cells ◽  
Cell Nuclei ◽  
Crystalline Structures ◽  
Small Crystals ◽  
Membrane Bound

During a project in which regenerative changes were studied in autotransplanted canine kidneys, intranuclear crystals were seen in a small number of tubular epithelial cells. These crystalline structures were seen in the control specimens and also in regenerating specimens; the main differences being in size and number of them. The control specimens showed a few tubular epithelial cell nuclei almost completely occupied by large crystals that were not membrane bound. Subsequent follow-up biopsies of the same kidneys contained similar intranuclear crystals but of a much smaller size. Some of these nuclei contained several small crystals. The small crystals occurred at one week following transplantation and were seen even four weeks following transplantation. As time passed, the small crystals appeared to fuse to form larger crystals.

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