Eye emergencies in the deployed setting

2019 ◽  
Vol 105 (2) ◽  
pp. 125-132
Author(s):  
GMC Hunter ◽  
R Ward ◽  
DC Wright
Keyword(s):  
Healthcare Professional ◽  
Initial Assessment ◽  
The Common

AbstractEye emergencies are common on deployed operations. This article aims to describe the common eye presentations and to guide the initial assessment and management of ophthalmic emergencies for a healthcare professional remote from immediate specialist input. Emphasis is placed upon how urgently ophthalmic advice should be sought for certain eye conditions.

Assessment of Neck Lumps in Relation to Dentistry

2017 ◽  
Vol 6 (3) ◽  
pp. 44-50
Author(s):  
Sarah Siddiqui ◽  
Jonas Osher
Keyword(s):  
Care Setting ◽  
Incidental Finding ◽  
Initial Assessment ◽  
Routine Examination ◽  
Fine Needle ◽  
Specialist Referral ◽  
Secondary Care Setting ◽  
Neck Lump ◽  
The Common ◽  
Structured Approach

Neck lumps have a varied aetiology, from a benign inflammatory cause to the first presenting sign of a malignancy. Patients may present to primary care complaining of a neck lump or they may be identified as an incidental finding during routine examination. This article highlights a structured approach to the initial assessment including history taking, risk factor assessment and clinical examination. Further investigations undertaken in a secondary care setting, such as ultrasound and guided fine needle aspirations, are then discussed. The common congenital, inflammatory, infective, vascular and neoplastic causes of neck lumps and their management and specialist referral pathway are discussed.

scholarly journals Bronchiolitis: treatment and management in an urgent out of hours care setting

2020 ◽  
Vol 31 (6) ◽  
pp. 246-253
Author(s):  
Justine Dexter ◽  
Gerri Mortimore
Keyword(s):  
Early Stage ◽  
Initial Assessment ◽  
Small Children ◽  
Out Of Hours ◽  
Ensure Patient Safety ◽  
Out Of Hours Care ◽  
The Common ◽  
Management Approaches ◽  
The Uk ◽  
Supportive Management

Justine Dexter and Gerri Mortimore explore ways to manage the common lung infection bronchiolitis in small children Bronchiolitis is an acute inflammation of the bronchioles that predominately affects children but is most common in the first 12 months of life. Viral bronchiolitis is the principal cause of admission in England and Wales, with numbers exceeding 30 000 annually. Occurrence is seasonal, in winter months incidence is typically at epidemic proportions for approximately six weeks. Bronchiolitis presents initially with coryza and a persistent cough; as the infection progresses, tachypnoea, chest recession, or both, may be present alongside wheeze or crackles. The assessment of an unwell child is challenging and as an advanced nurse practitioner, working in an out of hours service, the importance to prevent further deterioration should focus on spotting the sick child at an early stage. Therefore, an initial assessment should be undertaken, prior to taking a history and examination, to ensure patient safety. Bronchiolitis is usually a self-limiting illness, that requires supportive management only with treatment directed at fluid input. However, management approaches to bronchiolitis continue to be a subject of substantial debate with vast differences in practice exhibited in the UK, and beyond. with a lack of consensus regarding management. Therefore, the appropriate management of children presenting with bronchiolitis is challenging and can be overwhelming. Nurses must be aware of the pathophysiology, presentation, diagnosis, and management of children presenting to an out of hours service with bronchiolitis, to manage patients safely.

scholarly journals Imaging in whole organ pancreatic transplants and a multimodality review of its complications

2021 ◽  
pp. 20200106
Author(s):  
Maira Hameed ◽  
Shema Hameed ◽  
Chris Harvey ◽  
Steven Moser ◽  
Anand Muthusamy
Keyword(s):  
Crucial Role ◽  
Arterial Occlusion ◽  
Initial Assessment ◽  
Fistula Formation ◽  
Normal Anatomy ◽  
Arteriovenous Fistulae ◽  
Pictorial Review ◽  
Management Of Complications ◽  
The Common ◽  
Prompt Diagnosis

This pictorial review will describe the normal anatomy of whole organ pancreatic transplants and the common surgical variants with which the radiologist should be familiar. Complications may be divided into (1) vascular: arterial occlusion and stenosis, venous thrombosis, pseudoaneurysms and arteriovenous fistulae, (2) parenchymal complications such as pancreatitis and the variety of peripancreatic collections, and (3) enteric complications including leak and fistula formation. The radiologist plays a crucial role in the initial assessment of graft anatomy and perfusion, prompt diagnosis, and increasingly, in the management of complications.

Delays in assessment of patients with rheumatoid arthritis: variations across Europe

2011 ◽  
Vol 70 (10) ◽  
pp. 1822-1825 ◽  
Author(s):  
Karim Raza ◽  
Rebecca Stack ◽  
Kanta Kumar ◽  
Andrew Filer ◽  
Jacqueline Detert ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Healthcare Professional ◽  
Health Systems ◽  
Symptom Onset ◽  
Treatment Delay ◽  
European Countries ◽  
Initial Assessment ◽  
Therapeutic Window ◽  
Median Delay ◽  
Timely Treatment

ObjectiveThe first 3 months after symptom onset represent an important therapeutic window for rheumatoid arthritis (RA). This study investigates the extent and causes of delay in assessment of patients with RA in eight European countries.MethodData on the following levels of delay were collected from 10 centres (Berlin, Birmingham, Heraklion, Lund, Prague, Stockholm, Umeå, Vienna, Warsaw and Zurich): (1) from onset of RA symptoms to request to see healthcare professional (HCP); (2) from request to see HCP to assessment by that HCP; (3) from initial assessment by HCP to referral to rheumatologist; and (4) from referral to rheumatologist to assessment by that rheumatologist.ResultsData were collected from 482 patients with RA. The median delay across the 10 centres from symptom onset to assessment by the rheumatologist was 24 weeks, with the percentage of patients seen within 12 weeks of symptom onset ranging from 8% to 42%. There were important differences in the levels underlying the total delays at individual centres.ConclusionsThis research highlights the contribution of patients, professionals and health systems to treatment delay for patients with RA in Europe. Although some centres have strengths in minimising certain types of delay, interventions are required in all centres to ensure timely treatment for patients.

scholarly journals Traditional Referentiality in Felix Khensay's Literary Contribution

2019 ◽  
pp. 21-28
Author(s):  
Jonnelle D. Fagsao
Keyword(s):  
Pattern Recognition ◽  
Oral Tradition ◽  
Textual Analysis ◽  
Special Kind ◽  
The Philippines ◽  
Initial Assessment ◽  
Traditional Theory ◽  
Pop Music ◽  
The Common ◽  
Mountain Province

This paper borrows the concept of traditional referentiality from Oral Traditional Theory and applies it to interpret the songs of Felix Khensayof Bontoc, Mountain Province, Philippines adapted by contemporary pop music enthusiasts as performed by a Bontok band called the Petune and other national choral groups with special kind of improvisation and fusion. It also informs briefly who Felix Khensay as a distinctive Bontokcomposer, his songs written in a Bontok language, his melodic and poetic styles, and patterns, and also the evocative application of his songs that became referentially meaningful in the memories of the Bontok community. The paper then installs traditional referentiality(TR) as a concept framed from the lens of Oral Tradition Theory and anchored on Michael Drout’s Meme Based Approach and applies it to the common songs produced by the Petune band and also as a winning piece of a national choral competition in the Philippines. It also explains and illuminates the operations of anaphoric repetition and pattern-recognition on the musical texts of Khensay’s selected two songs. Through textual analysis, this paper contributes making an initial assessment of Khensay’s songs’ functions viewed as cultural universals in the traditional referents that are significant to the Bontok community.

Catalogue reduction techniques

1978 ◽  
Vol 48 ◽  
pp. 389-390 ◽  
Author(s):  
Chr. de Vegt
Keyword(s):  
Adjustment Process ◽  
Proper Motions ◽  
Measuring Process ◽  
Aerial Photogrammetry ◽  
Reduction Techniques ◽  
Observational Technique ◽  
The Common ◽  
Astrometric Data

AbstractReduction techniques as applied to astrometric data material tend to split up traditionally into at least two different classes according to the observational technique used, namely transit circle observations and photographic observations. Although it is not realized fully in practice at present, the application of a blockadjustment technique for all kind of catalogue reductions is suggested. The term blockadjustment shall denote in this context the common adjustment of the principal unknowns which are the positions, proper motions and certain reduction parameters modelling the systematic properties of the observational process. Especially for old epoch catalogue data we frequently meet the situation that no independent detailed information on the telescope properties and other instrumental parameters, describing for example the measuring process, is available from special calibration observations or measurements; therefore the adjustment process should be highly self-calibrating, that means: all necessary information has to be extracted from the catalogue data themselves. Successful applications of this concept have been made already in the field of aerial photogrammetry.

Renilla Bioluminescence: A Morphologic Approach to the Location of Photocytes

1974 ◽  
Vol 32 ◽  
pp. 208-209
Author(s):  
Ben O. Spurlock ◽  
Milton J. Cormier
Keyword(s):  
Excited State ◽  
Ground State ◽  
Molecular Basis ◽  
Light Emission ◽  
Chemical Basis ◽  
Electronic Excited State ◽  
Colonial Form ◽  
The Common ◽  
Eighteenth And Nineteenth Centuries ◽  
Catalyzed Oxidation

The phenomenon of bioluminescence has fascinated layman and scientist alike for many centuries. During the eighteenth and nineteenth centuries a number of observations were reported on the physiology of bioluminescence in Renilla, the common sea pansy. More recently biochemists have directed their attention to the molecular basis of luminosity in this colonial form. These studies have centered primarily on defining the chemical basis for bioluminescence and its control. It is now established that bioluminescence in Renilla arises due to the luciferase-catalyzed oxidation of luciferin. This results in the creation of a product (oxyluciferin) in an electronic excited state. The transition of oxyluciferin from its excited state to the ground state leads to light emission.

Mammalian Bone Marrow Acetylcholinesterase

1982 ◽  
Vol 40 ◽  
pp. 44-45
Author(s):  
Ezzatollah Keyhani
Keyword(s):  
Central Nervous System ◽  
Bone Marrow ◽  
Nervous System ◽  
Common Property ◽  
Extracellular Medium ◽  
The Central Nervous System ◽  
The Common ◽  
Mammalian Bone

Acetylcholinesterase (EC 3.1.1.7) (ACHE) has been localized at cholinergic junctions both in the central nervous system and at the periphery and it functions in neurotransmission. ACHE was also found in other tissues without involvement in neurotransmission, but exhibiting the common property of transporting water and ions. This communication describes intracellular ACHE in mammalian bone marrow and its secretion into the extracellular medium.

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