scholarly journals Clinical decision-making in the management of cervical spine derangement: a case study survey using a patient vignette

2013 ◽  
Vol 22 (4) ◽  
pp. 213-219 ◽  
Author(s):  
Tracy Hahn ◽  
Christina Kelly ◽  
Erin Murphy ◽  
Paul Whissel ◽  
Michael Brown ◽  
...  
Keyword(s):  
Decision Making ◽  
Cervical Spine ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Patient Vignette

Clinical decision making in spastic bilateral CP – Planning interventions using clinical gait analysis: A case study

2015 ◽  
Vol 42 ◽  
pp. S37
Author(s):  
M. Alvela ◽  
M. Bergmann ◽  
M.-L. Ööpik ◽  
Ü. Kruus ◽  
K. Englas ◽  
...  
Keyword(s):  
Decision Making ◽  
Gait Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Clinical Gait Analysis

scholarly journals My Client Knows That He's About to Stutter: How Can We Address Stuttering Anticipation during Therapy with Young People Who Stutter?

2018 ◽  
Vol 39 (04) ◽  
pp. 356-370 ◽  
Author(s):  
Hope Gerlach ◽  
Naomi Rodgers ◽  
Patricia Zebrowski ◽  
Eric Jackson
Keyword(s):  
Decision Making ◽  
Young People ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Hypothetical Case ◽  
Clinical Tool ◽  
Goal Development ◽  
Internal Experience

AbstractStuttering anticipation is endorsed by many people who stutter as a core aspect of the stuttering experience. Anticipation is primarily a covert phenomenon and people who stutter respond to anticipation in a variety of ways. At the same time as anticipation occurs and develops internally, for many individuals the “knowing” or “feeling” that they are about to stutter is a primary contributor to the chronicity of the disorder. In this article, we offer a roadmap for both understanding the phenomenon of anticipation and its relevance to stuttering development. We introduce the Stuttering Anticipation Scale (SAS)—a 25-item clinical tool that can be used to explore a client's internal experience of anticipation to drive goal development and clinical decision making. We ground this discussion in a hypothetical case study of “Ryan,” a 14-year-old who stutters, to demonstrate how clinicians might use the SAS to address anticipation in therapy with young people who stutter.

scholarly journals Return to Play after Cervical Spine Injuries: A Consensus of Opinion

2016 ◽  
Vol 6 (8) ◽  
pp. 792-797 ◽  
Author(s):  
John C. France ◽  
Michael Karsy ◽  
James S. Harrop ◽  
Andrew T. Dailey
Keyword(s):  
Decision Making ◽  
Cervical Spine ◽  
Clinical Decision Making ◽  
Clinical Symptoms ◽  
Clinical Decision ◽  
Return To Play ◽  
Spine Injury ◽  
Cervical Cord ◽  
Clinical Scenarios ◽  
Cord Injury

Study Design Survey. Objective Sports-related spinal cord injury (SCI) represents a growing proportion of total SCIs but lacks evidence or guidelines to guide clinical decision-making on return to play (RTP). Our objective is to offer the treating physician a consensus analysis of expert opinion regarding RTP that can be incorporated with the unique factors of a case for clinical decision-making. Methods Ten common clinical scenarios involving neurapraxia and stenosis, atlantoaxial injury, subaxial injury, and general cervical spine injury were presented to 25 spine surgeons from level 1 trauma centers for whom spine trauma is a significant component of their practice. We evaluated responses to questions about patient RTP, level of contact, imaging required for a clinical decision, and time to return for each scenario. The chi-square test was used for statistical analysis, with p < 0.05 considered significant. Results Evaluation of the surgeons’ responses to these cases showed significant consensus regarding return to high-contact sports in cases of cervical cord neurapraxia without symptoms or stenosis, surgically repaired herniated disks, and nonoperatively healed C1 ring or C2 hangman's fractures. Greater variability was found in recommendations for patients showing persistent clinical symptomatology. Conclusion This survey suggests a consensus among surgeons for allowing patients with relatively normal imaging and resolution of symptoms to return to high-contact activities; however, patients with cervical stenosis or clinical symptoms continue to be a challenge for management. This survey may serve as a basis for future clinical trials and consensus guidelines.

scholarly journals Cervical Spine Computed Tomography Imaging Artifact Affecting Clinical Decision-Making in the Traumatized Patient

2014 ◽  
Vol 8 (1) ◽  
pp. 372-374 ◽  
Author(s):  
Aaron C Coats ◽  
Matthew S Nies ◽  
David Rispler
Keyword(s):  
Computed Tomography ◽  
Decision Making ◽  
Cervical Spine ◽  
Clinical Decision Making ◽  
Ct Scanning ◽  
Clinical Decision ◽  
Trauma Patients ◽  
Advanced Imaging ◽  
X Ray ◽  
Ct Artifact

CT scanning is an important tool in the evaluation of trauma patients. We review a case involving a trauma patient in which a cervical spine computed tomography (CT) artifact affected decision-making by physicians. The CT artifact mimicked bilateral dislocated facets (51-B1.1). On the basis of CT findings, the patient was transferred to a different hospital for evaluation. Discrepancy between the primary CT scan and patient physical exam prompted secondary CT scans and X-ray evaluation; neither of these studies showed osseous abnormalities. This case reinforces the necessity for physicians to formulate their diagnosis based upon multiple areas of information including physical examination, plain x-ray and subsequent advanced imaging, rather than relying solely on advanced imaging.

Dental Case, a serious game to support decision making in the dental clinic: A case study (Preprint)

2021 ◽  
Author(s):  
Camila Huanca ◽  
Deise Garrido ◽  
Mario Meireles ◽  
Paola Trindade ◽  
Ana Emilia Oliveira ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Mobile App ◽  
Point Of View ◽  
Serious Game ◽  
Dental Clinic ◽  
Conceptual Approach ◽  
The Social

BACKGROUND Games are present in society, representing the most diverse activities. A brief conceptual approach to gaming is necessary to the broadening of its understanding within the social and educational context. With the use of digital games in education, known as serious game, the education of dentistry students and dentists may include new complementary approaches. OBJECTIVE To report the project and the development criteria of a serious game in clinical decision-making cases, in the sphere of Dentistry, as a complementary teaching tool. METHODS Case study of the development of the content and narrative of a serious game decision-making process in the dental clinic. In Dental Case, players assume the role of a dentist in consultation, whose mission goes through the stages of Medical history, clinical examination, complementary examination, diagnosis, and treatment. The situations presented in the game were designed to be similar to situations of decision making in the dental clinic in the context of primary health care. The content developed was reviewed and validated by specialists, both from a technical and pedagogical point of view, to be later inserted into the game software by the IT team. RESULTS We developed Dental Case, a serious game with a set of clinical cases for professionals and Dentistry students to support teaching in decision making at different stages of the clinic. The game is available for free on the web and in the Play Store and Apple Store mobile app stores. CONCLUSIONS New complementary pedagogical approaches in the field of Dentistry are necessary. The resources provided by Dental Case are presented as a potential tool in educational technologies aimed at Dentistry and may contribute to expanding the scale and scope of educational activities. Subsequent to this, learning effectiveness tests will be carried out.

Sign in / Sign up

Export Citation Format

Share Document