scholarly journals To the endogenous uveitis classification

2016 ◽  
Vol 9 (2) ◽  
pp. 74-80 ◽  
Author(s):  
Elena I Ustinova
Keyword(s):  
Clinical Diagnosis ◽  
Classification Scheme ◽  
Clinical Course ◽  
History Taking ◽  
Etiological Factors ◽  
Plain Text ◽  
Clinical Type ◽  
Rational Therapy ◽  
Endogenous Uveitis

Endogenous uveitis classification importance is obvious due to the large variety of etiological factors and pathogenesis and treatment complexities. Most proposed classifications are based on the description of signs offered in the form of plain text, and available individual schemes do not cover all necessary issues. The recommended classification scheme of endogenous uveitis consists of five sections: etiology, clinical type (pathogenesis), localization, clinical course and the phase of activity. In contrast to the classifications proposed by other authors it is supplemented by the etiologic (additional scheme) and pathogenetic (clinical pathogenic type) parts. Classification allows the clinical diagnosis to reflect the process history taking into account the pathogenic and clinical types of the disease (granulomatous or focal, and nongranulomatous or toxico-allergical uveitis) and to determine the rational therapy.

Observer Variation in Clinical Diagnosis - A Computer-Aided Assessment of its Magnitude and Importance in 552 Patients with Abdominal Pain

1973 ◽  
Vol 12 (02) ◽  
pp. 108-113 ◽  
Author(s):  
P. W. Gill ◽  
D. J. Leaper ◽  
P. J. Guillou ◽  
J. R. Staniland ◽  
J. C. Horhocks ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Clinical Diagnosis ◽  
Error Rate ◽  
Diagnostic System ◽  
Diagnostic Error ◽  
Observer Variation ◽  
History Taking ◽  
Computer Aided ◽  
Computer Based ◽  
Initial Survey

This report describes an evaluation of »observer variation« in history taking and examination of patients with abdominal pain. After an initial survey in which the degree of observer variation amongst the present authors fully confirmed previous rather gloomy forecasts, a system of »agreed definitions« was produced, and further studies showed a rapid and considerable fall in the degree of observer variation between the data recorded by the same authors. Finally, experience with a computer-based diagnostic system using the same system of agreed definitions showed the maximum diagnostic error rate due to faulty acquisition of data to be low (4.7°/o in a series of 552 cases). It is suggested as a result of these studies that — at least in respect of abdominal pain — errors in data acquisition by the clinician need not be the prime cause of faulty diagnoses.

SPECIFICITY OF THE CLINICAL COURSE OF THE INITIAL STAGES OF HYPERTENSION IN ARID ZONES OF UZBEKISTAN AND NON-DRUG APPROACHES TO TREATMENT

2020 ◽  
Author(s):  
U.R. Narzulaeva ◽  
G.U. Samieva ◽  
M.Sh. Ismatova
Keyword(s):  
At Risk ◽  
Drug Treatment ◽  
Healthy Lifestyle ◽  
Clinical Course ◽  
Arid Zones ◽  
Etiological Factors ◽  
Renin Angiotensin ◽  
Early Stages ◽  
Hot Climate ◽  
Patients At Risk

The article describes the etiological factors, the course and risks of the development of hypertension in the early stages in a hot climate. The data on the pathogenesis of hypertension and the effects of pathogenetic variants of the sympatho-adrenal and renin-angiotensin systems are summarized. Non-drug treatment is proposed by observing a healthy lifestyle in patients at risk.

CLINICAL-DIAGNOSTIC AND PATHOGENETIC ASPECTS OF NON-DEVELOPING PREGNANCY

2020 ◽  
pp. 6-9
Author(s):  
Bragina T.V. ◽  
Petrov Yu.A. ◽  
Arndt I.G. ◽  
Evdokimova E.P. ◽  
Chernavsky V.V.
Keyword(s):  
Risk Factors ◽  
Population Growth ◽  
Clinical Features ◽  
Clinical Course ◽  
Demographic Situation ◽  
Etiological Factors ◽  
Clinical Diagnostic ◽  
Preparation Period

The problem of miscarriage is especially relevant in modern conditions of decreasing population growth. Miscarriage is understood as the spontaneous termi-nation of pregnancy from conception to 37 weeks of gestation. It is very important to maintain the desired pregnancy, because according to statistics, every five years the number of women who are able to give birth to a child decreases by 20%, which indicates an unfa-vorable demographic situation. Despite the large number of works devoted to the problem of non-developing pregnancy, the final etiological factors, pathogenetic and clinical course of the pathology are not clearly defined. A significant place in the struc-ture of etiological factors in the development of non-developing pregnancy by scientists and clinicians is assigned to endocrinological, immunological, genetic and infectious factors, which allows us to consider this pathology as polyetiological. Since the incidence of non-developing pregnancy is quite high, it is neces-sary to conduct research to establish the etiological, pathogenetic, clinical features of the pathology, as well as to develop effective methods for the correction and prevention of this condition, which will allow during the pregravid preparation period to exclude possible risk factors and prevent the development re-duce the risks of the formation of a non-developing pregnancy.

SPECIFICITY OF THE CLINICAL COURSE OF THE INITIAL STAGES OF HYPERTENSION IN ARID ZONES OF UZBEKISTAN AND NON-DRUG APPROACHES TO TREATMENT

2020 ◽  
Author(s):  
U.R. Narzulaeva ◽  
G.U. Samieva ◽  
M.Sh. Ismatova
Keyword(s):  
At Risk ◽  
Drug Treatment ◽  
Healthy Lifestyle ◽  
Clinical Course ◽  
Arid Zones ◽  
Etiological Factors ◽  
Renin Angiotensin ◽  
Early Stages ◽  
Hot Climate ◽  
Patients At Risk

The article describes the etiological factors, the course and risks of the development of hypertension in the early stages in a hot climate. The data on the pathogenesis of hypertension and the effects of pathogenetic variants of the sympatho-adrenal and renin-angiotensin systems are summarized. Non-drug treatment is proposed by observing a healthy lifestyle in patients at risk.

scholarly journals TO STUDY THE COMPLICATIONS IN DENGUE LIKE ILLNESSES

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Girdhari lal Sharma ◽  
Rakesh Bilwal
Keyword(s):  
Physical Examination ◽  
Clinical Course ◽  
Wide Spectrum ◽  
Severe Disease ◽  
Tertiary Care ◽  
History Taking ◽  
Common Complication ◽  
Exclusion Criteria ◽  
Clinical Presentations ◽  
Comprehensive History

Background: Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. While most patients recover following a self-limiting nonsevere clinical course, small proportion progress to severe disease Methods: The hospital based study was conducted on patients presenting to tertiary care teaching hospital, who fulfilled inclusion and exclusion criteria were enrolled for the study. A comprehensive history taking, physical examination, and lab investigations were carried out and data were collected in pre-designed proforma. Results: According to complications, in dengue positive cases, bleeding was the most common complication seen in 48.00% cases while shock, myocarditis, and convulsion were present in 31.00%, 2.00% and 1.00% of cases respectively. Among the dengue negative cases, 60.00% had no complication while shock and bleeding were present in 28% and 12.00% cases respectively. Conclusion: It concluded that shock was most common complication. Keywords: Hematocrit, Dengue, Dengue Like Illness

scholarly journals Endogenous uveitis as deuteropathy оf secondary acute infectious endocarditis

2020 ◽  
Vol 96 (7) ◽  
pp. 543-547
Author(s):  
N. E. Fomin ◽  
N. A. Baranova ◽  
A. V. Kuroyedov ◽  
V. V. Danilin ◽  
O. V. Gaponko ◽  
...  
Keyword(s):  
Immune System ◽  
Clinical Diagnosis ◽  
Inflammatory Process ◽  
Treatment Regimens ◽  
Total Prevalence ◽  
Immune Mediated ◽  
Somatic Diseases ◽  
Treatment And Diagnosis ◽  
Endogenous Uveitis

Uveitis is a heterogeneous polyetiological immune-mediated disease. Its common feature is inflammation of the choroid. The total prevalence of uveitis of various etiologies in the population varies from 15 to 38 people per 100 000. The cause of this pathology can be any infectious or somatic diseases (both endo- and exogenous in nature), when the body’s immune system is activated. The prevalence of the most common endogenous uveitis, caused by secondary foci of infection, is about 3% of the total number of diseases of this etiology. Uveitis, caused by Streptococcus bacteria, affects eyes due to dissemination from the foci of infection, being transmitted through the blood and lymph vessels. An important stage in the clinical diagnosis of uveitis is the determination of the etiological factor, which allows using of pathogenetic treatment regimens. The diagnosis is performed based on the totality of signs characterizing the specificity of the inflammatory process. Treatment and diagnosis of inflammation of the choroid are still one of the urgent tasks of modern ophthalmology.

scholarly journals Educational impact of the mini-Clinical Evaluation Exercise in resident standardization training: a comparative study between resident and professional degree postgraduate trainees

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092005
Author(s):  
Yali Wu ◽  
Mingfu Gong ◽  
Dong Zhang ◽  
Chun Zhang
Keyword(s):  
Physical Examination ◽  
Retrospective Analysis ◽  
Treatment Regimen ◽  
Clinical Diagnosis ◽  
Clinical Evaluation ◽  
History Taking ◽  
Educational Impact ◽  
Professional Degree ◽  
Evaluation Exercise ◽  
Better Than

Objective We aimed to explore differences in the educational impact of the mini-Clinical Evaluation Exercise (mini-CEX) on resident (RE) and professional degree postgraduate (PDPG) trainees, as well as influencing factors, to provide suggestions for hospital managers, trainers, and trainees. Methods We performed a retrospective analysis of all scores among first-year resident standardization training trainees registered during 2017 to 2019 at Xinqiao Hospital of Army Medical University, to identify differences in mini-CEX outcomes between REs and PDPGs. Results We collected data of 154 registered trainees for retrospective analysis, including 57 PDPG trainees and 97 RE trainees. The mean (standard deviation) overall performance score of PDPGs was 84.18 (4.25), which was higher than that of REs (81.48 (3.35)). In terms of domain analysis, PDPG trainees performed significantly better than REs in history taking, physical examination, clinical diagnosis/treatment regimen, and the knowledge examination; communication skills/humanistic care were comparable between the groups. Conclusions PDPGs performed better than REs in overall competency, history taking, physical examination, clinical diagnosis/treatment regimen, and the knowledge examination. A better knowledge base, supervisor-dominated one-to-one teaching mode, higher self-esteem and learning goals, and more sophisticated responses to feedback were potential contributors to a superior educational impact of the mini-CEX.

scholarly journals Cutaneous manifestations of COVID-19

2021 ◽  
Vol 97 (2) ◽  
pp. 71-75
Author(s):  
Géza Róbert Nagy ◽  
◽  
Zsuzsanna Bata-Csörgő ◽  
Lajos Kemény
Keyword(s):  
Clinical Course ◽  
Cutaneous Manifestation ◽  
Prognostic Information ◽  
Cutaneous Manifestations ◽  
Etiological Factors ◽  
Asymptomatic Patients ◽  
Direct Association ◽  
Retiform Purpura

There has been increasing number of reports on the cutaneousmanifestations of COVID-19 patients. The skin involvements in patients with COVID-19 demonstrate various clinical entities. In our article, we summarize these cutaneous manifestations based on the literature data and on our own experiencies. While in inducing maculopapulosus exanthem, urticaria, erythema multiformeand vesicular lesions etiological factors other than SARS-COV-2 virus may play a role , vascular manifestations, such as chilblain-like lesions and retiform purpura, could have a more direct association with the virus. Cutaneous manifestation may help in identifying asymptomatic patients and could provide prognostic information on the clinical course of COVID-19.

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