CAPO Raining Failures

1983 ◽  
Vol 3 (3_suppl) ◽  
pp. 49-51
Author(s):  
Cathy Gutman ◽  
Sheila Clayton ◽  
Susan Tattersal
Keyword(s):  
Intellectual Ability ◽  
The Other ◽  
Care Needs ◽  
Psychiatric Disturbance ◽  
Medical Problems ◽  
Common Cause ◽  
Cause Of Failure

Thirty patients (5.5% of all patients who entered CAPD training in three Toronto Hospitals) failed CAPD training during the last five years. A categorization of these training failures revealed that in three patients (10%) were due to dialysis-related problems, and in 11 of them to concurrent medical problems ultimately contributing to training failure. Only in two of 30 (6.6%) failure was due primarily to inadequate intellectual ability. In those situations where partners were responsible for carrying out the dialysis, the most common cause of failure was the inability of the partner to meet all of the other care needs beyond those of dialysis, mainly because the patients were very sick. Other reasons for spousal failure were fear of responsibility and outright spousal countermotivation. Remaining categories of failure in patients were countermotivation (four or 13.3%), inability to adjust emotionally to life with CAPD (seven or 23.3%), physical impediments to carrying out CAPD (two or 6.6%) and severe psychiatric disturbance (one patient or 3.3%).

Madness, virtue, and ecology: A classical Indian approach to psychiatric disturbance

2021 ◽  
pp. 095269512098224
Author(s):  
Chakravarthi Ram-Prasad
Keyword(s):  
Mental Illness ◽  
Human Subject ◽  
Philosophical Anthropology ◽  
First Century ◽  
The Other ◽  
Third Century ◽  
Psychiatric Disturbance ◽  
Indian Medical ◽  
The Subject ◽  
Moral Relationship

The Caraka Saṃhitā (ca. first century BCE–third century CE), the first classical Indian medical compendium, covers a wide variety of pharmacological and therapeutic treatment, while also sketching out a philosophical anthropology of the human subject who is the patient of the physicians for whom this text was composed. In this article, I outline some of the relevant aspects of this anthropology – in particular, its understanding of ‘mind’ and other elements that constitute the subject – before exploring two ways in which it approaches ‘psychiatric’ disorder: one as ‘mental illness’ ( mānasa-roga), the other as ‘madness’ ( unmāda). I focus on two aspects of this approach. One concerns the moral relationship between the virtuous and the well life, or the moral and the medical dimensions of a patient’s subjectivity. The other is about the phenomenological relationship between the patient and the ecology within which the patient’s disturbance occurs. The aetiology of and responses to such disturbances helps us think more carefully about the very contours of subjectivity, about who we are and how we should understand ourselves. I locate this interpretation within a larger programme on the interpretation of the whole human being, which I have elsewhere called ‘ecological phenomenology’.

Abstract 13485: Prevalence and Treatment of “Balloon Uncrossable” Coronary Chronic Total Occlusions

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Siddharth Patel ◽  
Nagendra Pokala ◽  
Rohan Menon ◽  
Anna Kotsia ◽  
Vijay Raja ◽  
...  
Keyword(s):  
Coronary Intervention ◽  
The Other ◽  
Technical Failure ◽  
Procedure Time ◽  
Common Cause ◽  
Chronic Total Occlusions ◽  
Guide Catheter ◽  
Contrast Volume ◽  
Percutaneous Coronary ◽  
Similar Incidence

Background: In percutaneous coronary intervention (PCI) of coronary chronic total occlusions (CTOs), inability to cross the lesion with a balloon is the second most common cause of technical failure following inability to cross the lesion with a guidewire. While various techniques have been reported for such "balloon uncrossable" CTOs, the frequency and outcomes of these techniques have received limited study. Methods: We retrospectively examined 373 consecutive CTO PCIs performed at our institution between 2005 and 2013 to determine the frequency and outcomes of “balloon uncrossable” CTOs. Results: Mean age was 63.7 ± 8.3 years and 98.9% of the patients were men. Twenty four patients (6.4%) were found to have a "balloon uncrossable" CTO. These patients had similar clinical and angiographic characteristics compared to the other CTO PCI patients (Table). Successful crossing of the lesion was achieved in 22 of 24 patients (91.7%) using a variety of techniques, such as successive balloon inflations (43.5%), microcatheter advancement (21.7%), laser (8.7%), increased guide catheter support (13.0%), and subintimal lesion crossing (13.0%) (Figure). Patients with “balloon uncrossable” CTOs had longer procedure time (184.5 ± 77.9 vs. 134.0 ± 69.0 min, p<0.01), fluoroscopy time (55.2 ± 24.9 vs. 37.9 ± 20.8 min, p<0.01), and received higher contrast volume (404.4 ± 137.9 vs. 351.7 ± 138.5 ml, p=0.085), but had similar incidence of major complications (8.3% vs. 3.2%, p=0.25) compared to patients without “balloon uncrossable” CTOs. Conclusion: “Balloon uncrossable” CTOs occur in 6.4% of contemporary CTO PCIs and can be successfully treated in most patients using a variety of techniques.

scholarly journals Long-term Care Financing: Inserting Politics and Resource Allocation in the Debate Comment on "Financing Long-term Care: Lessons From Japan"

2019 ◽  
Vol 9 (2) ◽  
pp. 77-79 ◽  
Author(s):  
Cristiano Gori
Keyword(s):  
Resource Allocation ◽  
Long Term Care ◽  
Economic Resources ◽  
The Other ◽  
The Political ◽  
Care Needs ◽  
Term Care ◽  
International Debate ◽  
Financing Policies

The ageing of the countries’ populations, and in particular the growing number of the very old, is increasing the need for long-term care (LTC). Not surprisingly, therefore, the financing of LTC systems has become a crucial topic across the Organisation for Economic Co-operation and Development (OECD). In the last three decades, various financing policies have been carried out in different countries and the related international debate has grown. The latter has so far focused mostly on the different alternatives to collect economic resources to pay for care. The international debate needs now to focus also on other issues, so far less discussed. One is the politics of LTC: the degree and nature of the political interest in LTC, that affects the size and profile of public financing. The other is resource allocation: how different services and benefits are distributed among people with different care needs, that determines if resources made available are optimized. If we do not pay more attention to these issues – inextricably connected to policies aimed to collect funds – our understanding of LTC financing will remain inevitably limited.

Pediatric Problems in a Suburban Shelter for Homeless Families

PEDIATRICS ◽  
1990 ◽  
Vol 85 (1) ◽  
pp. 33-38
Author(s):  
Joel L. Bass ◽  
Patricia Brennan ◽  
Kishor A. Mehta ◽  
Sally Kodzis
Keyword(s):  
Primary Care ◽  
Giardia Lamblia ◽  
Enteric Pathogens ◽  
Chronic Medical Conditions ◽  
Homeless Families ◽  
Care Needs ◽  
Medical Problems ◽  
Healthy Environment ◽  
Medical Evaluation ◽  
The Family

The experience of an affiliation between a hospital-based clinic and a family shelter is presented. The medical implications of family shelter residence include special issues related to the spread of infectious diseases, particularly to the neonate. Preentry medical evaluation revealed that a large proportion of children and their parents had one or more medical problems. Of 67 children screened before entrance, 3% had Giardia lamblia detected in the stool. In addition to carriage of enteric pathogens, the range of pediatric problems encountered included a variety of acute and chronic medical conditions, unmet primary care needs, and developmental and school difficulties. Fifty-eight percent of shelter residents were found to be "medically homeless." Formal liaison between a hospital-based clinic and a family shelter was found to be an effective way to promote a healthy environment in the family shelter and to provide needed medical services to shelter families.

G6PD deficiency is a common genetic trait that can protect heterozygotes from dying from malaria

2021 ◽  
Author(s):  
Moataz Dowaidar
Keyword(s):  
G6pd Deficiency ◽  
Model System ◽  
The Other ◽  
Medical Emergency ◽  
Red Cell ◽  
Biochemical Genetics ◽  
Genetic Trait ◽  
Common Cause ◽  
Fava Bean ◽  
Deficient Child

G6PD deficiency is a common genetic trait that can protect heterozygotes from dying from malaria (save in the extremely tiny fraction of individuals who have CNSHA). AHA in a G6PD-deficient child or adult, on the other hand, is a medical emergency that, if not treated promptly and properly, can be fatal. Fava bean consumption is the most common cause of AHA: favism is seen in at least 35 countries, with thousands of cases reported each year. Both primaquine and rasburicase have been linked to iatrogenic deaths in the same and other nations, and these deaths may have been averted. Population screening and health education, as well as the cultivation of fava bean types with nil or low vicine and convicine levels, can help to prevent fascism. G6PD biology is eminently interdisciplinary, having served as a model system in biochemical genetics and in understanding how the red cell responds to oxidative stress; a tool for studying X-chromosome inactivation (human development's most spectacular epigenetic event); a tool for studying clonal populations for years; and a pioneer in the molecular genetics of enzymopathies.

The Authorities Respond: Pope and Emperor Seize the Initiative

2020 ◽  
Author(s):  
Robert Christman
Keyword(s):  
The Other ◽  
Religious Dissent ◽  
Common Cause

Chapter Four investigates the responses of various opponents of Reformation ideas emanating from the Reformed Augustinian cloisters of Lower Germany. After the Diet of Worms (1521), pope and emperor made common cause with forces already arrayed against religious dissent in Lower Germany. This chapter traces the development of the campaign against the Antwerp Augustinians, which quickly expanded to include the other six Reformed Augustinian cloisters of Lower Germany. It also explores the pope’s response to these Augustinians as it relates to his capacious efforts to limit Reformed Augustinian influence throughout the empire. The chapter demonstrates that key authorities understood the Reformed Augustinians as a threat, and that the response to that threat was an important element in the early Reformation.

Clinical approach

2010 ◽  
pp. 420-422
Author(s):  
Christopher J. Ellis
Keyword(s):  
Hospitalized Patients ◽  
The Other ◽  
Clinical Approach ◽  
Common Cause ◽  
Inflammatory Conditions ◽  
Life Threatening

Infection is most often suspected when patients present with pyrexia and is certainly the most common cause of this presentation, whether in hospitalized patients or those in the community. The other principal causes of fever are primary inflammatory conditions and malignancy, but infections are likely to be most rapidly progressive and acutely life-threatening and hence must be the physician’s first concern....

scholarly journals Triple-Negative Lobular Breast Cancer Causing Hydronephrosis

2020 ◽  
Vol 8 ◽  
pp. 232470962090595
Author(s):  
Michael Chahin ◽  
Hardik Chhatrala ◽  
Nithya Krishnan ◽  
Darren Brow ◽  
Lara Zuberi
Keyword(s):  
Breast Cancer ◽  
Renal Function ◽  
Triple Negative ◽  
Significant Risk ◽  
Pelvic Mass ◽  
The Other ◽  
Receptor Subtypes ◽  
Lobular Breast Cancer ◽  
Unusual Site ◽  
Common Cause

Breast cancer is the leading malignancy and the second most common cause of mortality in women. Although there have been advances in identifying biomarkers as potential targets for therapy, triple-negative breast cancer (TNBC) continues to have a poorer prognosis than the other receptor subtypes. The most common sites of metastasis are bone, liver, lung, and brain. We present a patient with known TNBC presenting with nausea and vomiting in whom computed tomography revealed a right-side pelvic mass causing hydronephrosis. Biopsy was consistent with TNBC of the ureter, an unusual site for breast cancer involvement. She required ureteral stent placement to relieve obstruction and has had good response to paclitaxel. Hydronephrosis due to malignancy presents significant risk of morbidity and mortality due to compromised renal function and must be resolved promptly to avoid compromise of renal function.

scholarly journals Werkafwesigheid: 'n Studie van vragmotorbestuurders

1995 ◽  
Vol 21 (2) ◽  
Author(s):  
J. S. Gouws ◽  
A. Cronje
Keyword(s):  
Personal Values ◽  
Truck Drivers ◽  
Intellectual Ability ◽  
The Other ◽  
Personality Factors ◽  
Personality Factor ◽  
Sixteen Personality Factor Questionnaire ◽  
Sixteen Personality Factor ◽  
Significant Difference ◽  
Personality Factor Questionnaire

Absenteeism: A study of truck drivers. The aim of the study was to explore reasons for absenteeism as experienced by code 11 truck drivers. Two groups were identified: one group high, and the other group low on an absenteeism continuum. Significant differences between the groups ocurred with respect to four of the sixteen personality factors of the Sixteen Personality Factor Questionnaire. However, no significant difference in their personal values and intellectual ability could be found. Opsomming Die doel van die studie was die identifisering van aanduiders van werkafwesigheid by kode 11 vragmotorbestuurders. Die bevinding van hierdie studie is dat daar beduidende verskille tussen werkafwesige en werkaanwesige vragmotorbestuurders ten opsigte van vier van die sestien persoonlikheidsfaktore van die Sestien Persoonlik- heidsfaktorvraelys bestaan. Daar blyk egter geen beduidende verskille betreffende hulle persoonlike waardes en intellektuele vermoens te wees nie.

..and the Other Common Cause

2016 ◽  
pp. 191-193
Author(s):  
Jasper M. Morrow ◽  
Janice L. Holton ◽  
Chris Turner
Keyword(s):  
The Other ◽  
Common Cause
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