scholarly journals Tomophobia, the phobic fear caused by an invasive medical procedure - an emerging anxiety disorder: a case report

2009 ◽  
Vol 3 (1) ◽  
Author(s):  
Markus Schmid ◽  
Robert C Wolf ◽  
Roland W Freudenmann ◽  
Carlos Schönfeldt-Lecuona
Keyword(s):  
Case Report ◽  
Anxiety Disorder ◽  
Medical Procedure ◽  
Invasive Medical Procedure

Changes in picturing of ‘self’ in social anxiety disorder: a case report

2015 ◽  
Vol 8 ◽  
Author(s):  
Yasuko Tanaka ◽  
Osamu Kobori ◽  
Michko Nakazato
Keyword(s):  
Case Report ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Social Performance ◽  
Behavioural Therapy ◽  
Assessment Method ◽  
Case Formulation ◽  
Projective Drawing ◽  
Scale Scores

AbstractSocial anxiety disorder (SAD) is characterized by significant distress regarding social performance situations. Patients experience strong embarrassment about how they are perceived by others due to increased self-focused attention. This case report presents two cases of SAD and the effects of cognitive behavioural therapy (CBT) on ‘picturing of self’ (e.g. self-picturing and self-projection). The goal was to demonstrate the changes in ‘picturing of self’ using brief video feedback (VF) as a treatment and projective drawing as an assessment method of CBT, especially with SAD. The CBT consisted of psychoeducation and case formulation, cognitive restructuring, and behavioural experiments. In one case VF was used to provide additional means by showing the patient's own actual moving figure, the self-picture. For the other case, the patient was instructed to ‘draw a person’ and the changes in drawing style were assessed. Through the course of CBT, Liebowitz Social Anxiety Scale scores reduced significantly in both cases. ‘Picturing of self’ changed as a result of the use of CBT. Brief VF and projective drawing would be useful for individuals to see the change in themselves.

Unrecognized posterior dislocation of the humeral joint – a case report in the electronic decision-making system

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Jacek Dygut ◽  
Wiktor Boroń ◽  
Maria Gołda ◽  
Monika Piwowar
Keyword(s):  
Decision Making ◽  
Case Report ◽  
Correct Diagnosis ◽  
Electronic System ◽  
Medical Problem ◽  
Posterior Dislocation ◽  
Medical Procedure ◽  
Joint Dislocation ◽  
Course Of Action ◽  
Decision Making System

AbstractThe paper presents a description of a humeral joint dislocation case placed in full version in the electronic system of presenting content and making decisions. The purpose of the publication is to draw the attention of especially young, inexperienced adepts of medical art to the fact of making mistakes in the medical art. The process of dealing with the correct and incorrect procedures that occur while trying to identify a medical problem is discussed. The presented case gives the opportunity to have a broad view of the issue and is also faced with the need to make decisions by choosing the course of action, at every stage of analyzing the case. Mistakenly made decisions are explained. Finally, the correct diagnosis and medical procedure about the case of a humeral joint dislocation is presented.

scholarly journals Hospitalizations for viral respiratory infections in children under 2 years of age: epidemiology and in-hospital complications

2020 ◽  
Author(s):  
Jessie Zurita-Cruz ◽  
Alejandro Gutierrez-Gonzalez ◽  
Leticia Manuel-Apolinar ◽  
José Esteban Fernández-Gárate ◽  
María Luisa Arellano-Flores ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Hospital Stay ◽  
Respiratory Infections ◽  
Medical Procedure ◽  
Cross Sectional ◽  
Invasive Medical Procedure ◽  
Viral Respiratory Infections ◽  
Complications And Mortality ◽  
Viral Respiratory

Abstract Background: Viral respiratory infections (VRIs) are a frequent cause of hospitalization in children under 24 months of age. A history of prematurity or heart disease may be a risk factor for complications in patients hospitalized for VRI. The objective was to describe epidemiological data for children hospitalized for IRV and aged 1 to 24 months and to identify risk factors for the presence of in-hospital complications and mortality over a period of 5 years. Methods : This was a cross-sectional study. Patients registered with VRI codes B974, J12, J120-J129X, J168, J17, J171, J178, J20, J203-J209, J21, J210, J211, J218, J219 (based on International Classification of Diseases [ICD-10]) from 2013 to 2017 were included. Three subanalyses were performed to compare (1) patients with pathological history (prematurity, bronchopulmonary dysplasia [BPD] and congenital heart disease [CHD]), (2) diagnoses (pneumonia, acute bronchitis, and acute bronchiolitis), and (3) admission to the pediatric intensive care unit. Days of hospital stay, in-hospital complications, invasive medical procedure and mortality were analyzed. Statistical analysis : VRI hospitalization prevalence was described. For comparison between groups, Student's t-test, ANOVA and the Chi2 test were applied. To identify factors related to days of hospital stay, in-hospital complications and mortality, a linear and logistic regression model was performed. Results: A total of 66,304 hospitalizations were reported. The average age was 14.7 weeks; hospitalization events were higher in winter (39%), followed by autumn (27.3%). A total of 371 (0.56%) patients died. A total of 7,068 (10.6%) hospitalized patients with pathological histories were identified. The presence of BPD (coefficient = 1.6), CHD (coefficient = 1.2), diagnosis of pneumonia (coefficient = 1.2), in-hospital complications (coefficient = 2.1) and invasive medical procedures (coefficient = 15.7) were the most common factors that increased the length of hospital stay. Risk factors for in-hospital complications and mortality were invasive medical procedure (OR = 3.3 & 11.7), BPD (OR=1.8 & 1.6), CHD (OR = 4.6 & 3.4) and diagnosis of pneumonia (OR= 1.8 & 4.2). Conclusions: Risk factors for morbidity and mortality in patients hospitalized for VRIs are BPD and CHD, diagnosis of pneumonia and invasive medical procedure.

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