scholarly journals Concussion in Sports: The Sideline Assessment

2009 ◽  
Vol 1 (5) ◽  
pp. 361-369 ◽  
Author(s):  
Steven P. Broglio ◽  
Kevin M. Guskiewicz
Keyword(s):  
Postural Control ◽  
Relevant Literature ◽  
Medical Personnel ◽  
Medical Professional ◽  
Objective Measures ◽  
Multifaceted Approach ◽  
Sport Concussion ◽  
Athletic Field ◽  
Pubmed Search ◽  
Field Information

Context: The vast differences between individual athletes makes identifying and evaluating sports-related concussion one of the most complex and perplexing injuries faced by medical personnel. Evidence Acquisition: This review summarizes the existing literature supporting the use of a multifaceted approach to concussion evaluation on the sideline of the athletic field. Information was drawn from a PubMed search (MEDLINE) for the terms sport concussion for the most recent and relevant literature. Conclusions: By using a standardized clinical examination that is supported by objective measures of concussion-related symptoms, mental status, and postural control, the medical professional becomes well equipped to make an informed diagnosis.

scholarly journals Exploring medical leader identity and its formation

2019 ◽  
Vol 32 (4) ◽  
pp. 584-599
Author(s):  
Emily Maile ◽  
Judy McKimm ◽  
Alex Till
Keyword(s):  
Professional Identity ◽  
Identity Formation ◽  
Relevant Literature ◽  
Medical Knowledge ◽  
Medical Professional ◽  
Content Type ◽  
Leader Identity ◽  
Leadership Management ◽  
New Perspective ◽  
Societal Expectations

Purpose “Becoming” a doctor involves the acquisition of medical knowledge, skills and professional identity. Medical professional identity formation (MPIF) is complex, multi-factorial and closely linked to societal expectations, personal and social identity. Increasingly, doctors are required to engage in leadership/management involving significant identity shift. This paper aims to explore medical professional identity (MPI) and MPIF in relation to doctors as leaders. Selected identity theories are used to enrich the understanding of challenges facing doctors in leadership situations and two concepts are introduced: medical leader identity (MLI) and medical leader identity formation (MLIF) and consideration given to how they can be nurtured within medical practice. Design/methodology/approach A rapid conceptual review of relevant literature was carried out to identify a set of relevant concepts and theories that could be used to develop a new conceptual framework for MLI and MLIF. Findings MLIF is crucial for doctors to develop as medical leaders, and, like MPIF, the process begins before medical school with both identities influenced, shaped and challenged throughout doctors’ careers. Individuals require support in developing awareness that their identities are multiple, nested, interconnected and change over time. Originality/value This paper draws on concepts from wider literature on professional identity, in relation to how doctors might develop their MLI alongside their MPI. It offers a new perspective on MPI in the light of calls on doctors to “become and be healthcare leaders” and introduces the new concepts of MLI and MLIF.

Abdominal lymphadenopathy in an adolescent with Kawasaki disease: a major sign?

2016 ◽  
Vol 29 (6) ◽  
Author(s):  
Danielle Bulkool ◽  
Ana Vidal de Carvalho ◽  
Aurea Grippa ◽  
Marcia Fernandes ◽  
Israel Figueiredo
Keyword(s):  
Kawasaki Disease ◽  
Systemic Vasculitis ◽  
Relevant Literature ◽  
Cervical Lymphadenopathy ◽  
Diagnostic Challenge ◽  
Clinical Criteria ◽  
Pubmed Search ◽  
Clinical Pictures ◽  
Abdominal Lymphadenopathy

Abstract In adolescence, Kawasaki disease (KD) may present with varied clinical pictures, and the classic clinical criteria are often insufficient to establish the diagnosis. This report presents a clinical case of KD in an adolescent and a brief review of the relevant literature, based on a PubMed search using the terms “adolescence” and “KD”. A 13-year-old girl presented with fever, rash, hepatomegaly, and ultrasonographic evidence of abdominal lymphadenopathy. On week 2 after onset of symptoms, the patient developed desquamation of the extremities and thrombocytosis. Echocardiography was normal during the acute illness and remained unchanged at 2-year follow-up. Clinicians should be aware that, in adolescents, KD poses a diagnostic challenge and rarely corresponds to the classic presentation. On retrospective analysis, we believe that abdominal lymphadenopathy should have been recognized as a substitute manifestation of the classic symptom of cervical lymphadenopathy to establish the diagnosis of this fearsome systemic vasculitis syndrome.

The Association between Hearing Loss, Postural Control, and Mobility in Older Adults: A Systematic Review

2017 ◽  
Vol 28 (06) ◽  
pp. 575-588 ◽  
Author(s):  
Maayan Agmon ◽  
Limor Lavie ◽  
Michail Doumas
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Hearing Loss ◽  
Postural Control ◽  
Large Body ◽  
Positive Association ◽  
The Elderly ◽  
Objective Measures ◽  
Significant Positive Association ◽  
Risk Of Falls

Background: Degraded hearing in older adults has been associated with reduced postural control and higher risk of falls. Both hearing loss (HL) and falls have dramatic effects on older persons’ quality of life (QoL). A large body of research explored the comorbidity between the two domains. Purpose: The aim of the current review is to describe the comorbidity between HL and objective measures of postural control, to offer potential mechanisms underlying this relationship, and to discuss the clinical implications of this comorbidity. Data Collection and Analysis: PubMed and Google Scholar were systematically searched for articles published in English up until October 15, 2015, using combinations of the following strings and search words: for hearing: Hearing loss, “Hearing loss,” hearing, presbycusis; for postural control: postural control, gait, postural balance, fall, walking; and for age: elderly, older adults. Results: Of 211 screened articles, 7 were included in the systematic review. A significant, positive association between HL and several objective measures of postural control was found in all seven studies, even after controlling for major covariates. Severity of hearing impairment was connected to higher prevalence of difficulties in walking and falls. Physiological, cognitive, and behavioral processes that may influence auditory system and postural control were suggested as potential explanations for the association between HL and postural control. Conclusions: There is evidence for the independent relationship between HL and objective measures of postural control in the elderly. However, a more comprehensive understanding of the mechanisms underlying this relationship is yet to be elucidated. Concurrent diagnosis, treatment, and rehabilitation of these two modalities may reduce falls and increase QoL in older adults.

scholarly journals Documenting patient’s violent behavior by medical staff of hospital emergency departments

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Anna Burak ◽  
Justyna Antoniewicz ◽  
Elżbieta Malinowska ◽  
Katarzyna Cierzniakowska
Keyword(s):  
Health Care Professionals ◽  
Emergency Departments ◽  
Violent Behavior ◽  
Legal Protection ◽  
Medical Personnel ◽  
Medical Professional ◽  
Survey Method ◽  
Hospital Emergency ◽  
Second Person ◽  
Hospital Emergency Departments

Abstract Introduction. Hospital emergency departments (ED) are places of the highest aggression rates towards staff. In Poland, in the case of violent behavior personnel can exercise the right to legal protection reserved to public officials. To be able to exercise it, personnel should document the course of violent behavior they were subject to. Aim. The aim of the study was to examine whether the staff of ED document violent behavior they are subject to in the workplace and to answer the question: what factors are they taking into account while reporting or not violent behavior incidents. Methods. The study was conducted among medical personnel of six hospital ED in Poland. A total of 282 health care professionals took part in the study. The diagnostic survey method was applied. The data was compiled using Statistica PL and Microsoft Excel software. Results. 43.3% of respondents always document cases of violent behavior and 5.3% never do it. The personnel document aggression mainly for the purpose of their own safety - 44.8%. 40% of respondents who do not document acts of aggression consider it pointless. Conclusions. Cases of aggression are registered in medical records by nearly every second person of medical professional. The reasons for documenting cases of aggression include: concern for own safety, procedures in force in the unit, fear of further consequences.

scholarly journals Analysis of the Experiences of Adults with Complex Regional Pain Syndrome

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 878
Author(s):  
Soo Jin Kwon ◽  
Yoonjung Kim
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Thematic Analysis ◽  
Personal Experience ◽  
Treatment Approach ◽  
Pain Syndrome ◽  
Medical Personnel ◽  
Self Management ◽  
Multifaceted Approach ◽  
Face To Face ◽  
Complex Emotions

Complex regional pain syndrome is a rare, intractable disease causing chronic pain. For improved subjective and personal experience, an individualized treatment approach based on a thorough understanding of the patient’s perceptions is required for pain management. In this study, we examined the experiences and challenges of 11 Korean patients diagnosed with complex regional pain syndrome. The patients described their experiences during in-depth, face-to-face interviews, and data were subjected to a thematic analysis. We identified the following three main themes: “my own non-stereotyped pain,” “complex emotions caused by pain,” and “a careful life endured alone.” Enduring pain alone was difficult, and the lack of support from family members, caregivers, or society amplified the patients’ hardships. As these patients often felt alone when coping with internal difficulties, including pain, they frequently coped through self-management of the condition. The importance of offering realistic support to complex regional pain syndrome patients is underscored via a multifaceted approach and may aid in the development of educational programs for medical personnel, families, and caregivers of these patients.

Steroid-Induced Osteonecrosis in Dermatology

2015 ◽  
Vol 19 (4) ◽  
pp. 358-360 ◽  
Author(s):  
Dominik Alex Nowak ◽  
Jensen Yeung
Keyword(s):  
Relevant Literature ◽  
Clinical Suspicion ◽  
Oral Steroid ◽  
Pubmed Search ◽  
High Degree

Background: Steroid-induced osteonecrosis is unpredictable and highly morbid. Methods: MEDLINE (Ovid) and PubMed search for relevant literature. Results: Oral steroid doses typically considered to be associated with the condition are >20 mg of prednisone (or equivalent) per day or >2 g within a period of 2 to 3 months. Symptoms may be vague. Conclusions: Dermatologists must exercise a high degree of clinical suspicion and warn patients about steroid-related risks and conditions for follow-up.

Nasal myiasis by Oestrus ovis second stage larva in an immunocompetent man: case report and literature review

2011 ◽  
Vol 125 (7) ◽  
pp. 745-746 ◽  
Author(s):  
H Einer ◽  
E Ellegård
Keyword(s):  
Case Report ◽  
Larval Stage ◽  
Relevant Literature ◽  
Oestrus Ovis ◽  
Common Site ◽  
Healthy Human ◽  
Second Stage ◽  
Pubmed Search ◽  
Nasal Myiasis ◽  
Human Nose

AbstractObjective:We report a case of an Oestrus ovis larva which developed into the second larval stage within a healthy, immunocompetent human, and we review the relevant literature.Methods:Clinical case report and Pubmed search of reports of human nasal myiasis due to Oestrus ovis, especially those describing the larval stage.Results:Humans are not normally hosts of the sheep nasal bot fly, but infestations by its larvae have been described. The eye is the most common site, but larvae have occasionally been found in the human nose. Transformation of larvae into the second and third stages, within the human nose, is even more uncommon.Conclusion:To the best of our knowledge, we report the first Swedish case, and the third case world-wide, of Oestrus ovis larval development beyond the first larval stage, within an immunocompetent, healthy human.

scholarly journals Cognitive-Motor Interference in Multiple Sclerosis: A Systematic Review of Evidence, Correlates, and Consequences

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Douglas A. Wajda ◽  
Jacob J. Sosnoff
Keyword(s):  
Multiple Sclerosis ◽  
Dual Task ◽  
Cognitive Task ◽  
Relevant Literature ◽  
Cognitive Domain ◽  
Targeted Interventions ◽  
Pubmed Search ◽  
Future Work ◽  
The Impact ◽  
Motor Interaction

Individuals with multiple sclerosis (MS) regularly exhibit deficits in motor and cognitive function. Recent evidence suggests that these impairments are compounded when motor and cognitive task are performed simultaneously such as walking while talking. The changes incurred during simultaneous performance of motor and cognitive tasks are a result of cognitive-motor interference (CMI) and operationalized as dual task costs (DTC). Recently in MS, research has been conducted to understand and analyze the impact of CMI. The purpose of this paper was to review the current literature related to the evidence, correlates, and consequences of CMI in MS. Relevant literature was collected from the results of a PubMed search for terms including “Cognitive-motor interference” or “Cognitive-motor interaction” or “Dual task” and “multiple sclerosis.” Overall, 20 papers were included for review which focused on CMI during balance and walking tasks. The finding that there is a lack of evidence pertaining to changes in the cognitive domain as well as to the specific consequences of CMI in MS was noted. Future work should aim to fill these gaps and ultimately investigate the usefulness of targeted interventions in reducing the deleterious effects of CMI in individuals with MS.

Expression of Blood Cells Associated CD Markers and Cardiovascular Diseases: Clinical Applications in Prognosis

2019 ◽  
Author(s):  
Habib Haybar ◽  
Masumeh Maleki Behzad ◽  
Saeid Shahrabi ◽  
Narges Ansari ◽  
Najmaldin Saki
Keyword(s):  
Cardiovascular Diseases ◽  
Blood Cells ◽  
English Language ◽  
Relevant Literature ◽  
Differentiation Markers ◽  
Pubmed Search ◽  
And Function ◽  
Cd Marker ◽  
Cluster Of Differentiation ◽  
Cd Markers

Abstract Background Cardiovascular diseases (CVDs) are a major cause of mortality worldwide. The results of various studies have shown that abnormality in the frequency and function of blood cells can be involved in CVD complications. In this review, we have focused on abnormalities in the expression of the CD (cluster of differentiation) markers of blood cells to assess the association of these abnormalities with CVD prognosis. Methods We identified the relevant literature through a PubMed search (1990–2018) of English-language articles using the terms “Cardiovascular diseases”, “CD markers”, “leukocytes”, “platelets”, and “endothelial cells”. Results There is a variety of mechanisms for the effect of CD-marker expressions on CVDs prognosis, ranging from proinflammatory processes to dysfunctional effects in blood cells. Conclusion Considering the possible effects of CD-marker expression on CVDs prognosis, particularly prognosis of acute myocardial infarction and atherosclerosis, long-term studies in large cohorts are required to identify the prognostic value of CD markers and to target them with appropriate therapeutic agents.

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