scholarly journals ECHOS survey on echocardiography in Serbia during the COVID-19 pandemic

2020 ◽  
Vol 148 (9-10) ◽  
pp. 590-593
Author(s):  
Gordana Krljanac ◽  
Maja Stefanovic ◽  
Zorica Mladenovic ◽  
Marina Deljanin-Ilic ◽  
Aleksandra Janicijevic ◽  
...  
Keyword(s):  
Patient Management ◽  
Online Survey ◽  
Lung Ultrasound ◽  
Protective Measures ◽  
Portable Ultrasound ◽  
Clinical Scenarios ◽  
Echocardiographic Examination ◽  
The Usa ◽  
Improve Patient Management ◽  
Improve Patient

Introduction/Objective. The purpose of the current Echocardiographic Society of Serbia (ECHOS) survey was to assess echocardiography practice in Serbia during the Coronavirus disease 2019 (COVID-19) pandemic. Methods. An online survey consisting of 12 questions about the usa of echocardiography, the availability of portable ultrasound devices and personal protective equipment (PPE) was sent to all ECHOS members. Results. Overall, 126 ECHOS members (43%) answered the survey. One-third of respondents (36%) were physicians from specialized COVID-19 centers. During the pandemic, indications for echocardiographic examination were restricted in both COVID-19 and non-COVID-19 centers. In COVID-19 centers, 41% of respondents performed lung ultrasound to each patient versus 26% in non-COVID-19 centers. Transesophageal echocardiography was not performed in suspected or confirmed COVID-19 cases in any center. Portable ultrasound devices were available to 66% of respondents from COVID-19 versus 44% of respondents from non-COVID-19 centers (p = 0.018). The respondents reported regular use of PPE, regardless of the patient?s COVID-19 status and found their personal knowledge about protective measures and use of PPE satisfactory. Conclusion. During the COVID-19 pandemic in Serbia, indications for echocardiography were restricted to clinical scenarios in which the results of examination were expected to alter patient management. In both COVID-19 and non-COVID-19 centers, the use of PPE was in line with national and international recommendations. A wider availability of portable ultrasound devices and application of lung ultrasound could improve patient management in similar situations in the future.

Hyperprogressive disease: recognizing a novel pattern to improve patient management

2018 ◽  
Vol 15 (12) ◽  
pp. 748-762 ◽  
Author(s):  
Stéphane Champiat ◽  
Roberto Ferrara ◽  
Christophe Massard ◽  
Benjamin Besse ◽  
Aurélien Marabelle ◽  
...  
Keyword(s):  
Patient Management ◽  
Hyperprogressive Disease ◽  
Improve Patient Management ◽  
Improve Patient

Post-Traumatic Headache: From Classification Challenges to Biological Underpinnings

Cephalalgia ◽  
2008 ◽  
Vol 28 (1_suppl) ◽  
pp. 12-15 ◽  
Author(s):  
ME Lenaerts
Keyword(s):  
Patient Management ◽  
Primary Headache ◽  
Biological Data ◽  
Traumatic Head Injury ◽  
Management Quality ◽  
Clinical Consequences ◽  
Traumatic Head ◽  
Post Traumatic ◽  
Improve Patient Management ◽  
Improve Patient

The ICHD-II criteria for post-traumatic headache (PTH) are strictly outlined. PTH can be subdivided into an acute and a chronic forms, the former likely nociceptive in nature, the latter likely neuropathic. The time of transition between the acute and the chronic forms is artificial and in the future should be better based on clear clinical or rather biological data. Chronic PTH often presents as one of the primary headache syndromes, e.g. migraine or tensiontype headache. Its biology is poorly understood and whether it merely represents the expression of the primary headache or it has a distinct pathogenesis remains unclear. The frontal lobe is often affected in traumatic head injury. Its dysfunction can cause an array of clinical consequences that have an impact on the patient's symptomatology and therapeutic outcome. Its recognition is likely to improve patient management quality.

scholarly journals INTERNAL ILIAC ARTERY CLASSIFICATION AND ITS CLINICAL SIGNIFICANCE. Clasificación de la arteria ilíaca interna y su significación clínica

2016 ◽  
Vol 6 (2) ◽  
pp. 63-71 ◽  
Author(s):  
Waseem Al Talalwah
Keyword(s):  
Iliac Artery ◽  
Classification System ◽  
Patient Management ◽  
Internal Iliac Artery ◽  
Inferior Gluteal Artery ◽  
Postsurgical Complications ◽  
Iatrogenic Trauma ◽  
Internal Iliac ◽  
Improve Patient Management ◽  
Improve Patient

En estudios anteriores de la arteria ilíaca interna se la ha clasificado en cinco tipos; sin embargo en base a una revisión de estos estudios parece que no hay una clasificación asociada en coexistencia con una arteria ciática. En este estudio, basado en la disección de 171 cadáveres (92 hombres y 79 mujeres), en 65 especímenes del tipo de la arteria ilíaca interna no podía ser clasificada debido a la presencia de una arteria ciática o ausencia de la arteria glútea inferior. Por lo tanto, se propone un sistema de clasificación modificado, ya que es esencial para los radiólogos, cirujanos ortopédicos, obstetras, ginecólogos y urólogos, para ser capaces de reconocer la organización de las principales ramas de las ramas ilíacas internas y evitar el trauma iatrogénico y las complicaciones postquirúrgicas, así como mejorar el manejo del paciente. In previous studies the internal iliac artery has been classified into five types; however based on a review of these studies it does not appear a classification associated with the coexistence of the sciatic artery. In this study, based on 171 dissected cadavers (92 male, 79 female), in 65 specimens the type of internal iliac artery could not be classified due to the presence of a sciatic artery or absence of the inferior gluteal artery. A modified classification system is therefore proposed as it is essential for radiologists, orthopedics, surgeons, obstetricians, gynecologists and urologists to be able to recognize the organization of the major branches of the internal iliac branches to avoid iatrogenic trauma and postsurgical complications, as well as to improve patient management.

scholarly journals Sonography of Primary Cervical Neuroblastoma in the Infant

2021 ◽  
Vol 4 ◽  
pp. 2
Author(s):  
Keeley C. Justice ◽  
Spencer M. Kriss ◽  
Daron G. Davis
Keyword(s):  
Young Child ◽  
Lymph Nodes ◽  
Surgical Resection ◽  
Patient Management ◽  
Neck Mass ◽  
Pathologic Examination ◽  
Left Neck ◽  
Improve Patient Management ◽  
Improve Patient ◽  
Sonographic Imaging

A palpable neck mass in a newborn or young child is overwhelmingly benign but can require additional evaluation to exclude the rare malignant etiology. We present a 10-month-old female with a non-tender, non-erythematous firm nodule in the left neck initially suspected to be enlarged lymph nodes. Sonographic imaging was concerning for a diagnosis of neuroblastoma confirmed by surgical resection and pathologic examination. The sonographic characteristics associated with neuroblastoma are important to recognize to accurately diagnose the neoplasm and improve patient management.

scholarly journals The COVID-19 infection in dialysis: are home-based renal replacement therapies a way to improve patient management?

2020 ◽  
Vol 33 (4) ◽  
pp. 629-631
Author(s):  
Mario Cozzolino ◽  
Giorgina Barbara Piccoli ◽  
Talat Alp Ikizler ◽  
Claudio Ronco
Keyword(s):  
Patient Management ◽  
Renal Replacement Therapies ◽  
Home Based ◽  
Improve Patient Management ◽  
Improve Patient

Data Science to Improve Patient Management System

2018 ◽  
Author(s):  
Mohamed Alloghani ◽  
Ahmed J. Aljaaf ◽  
Dhiya Al-Jumeily ◽  
Abir Hussain ◽  
Conor Mallucci ◽  
...  
Keyword(s):  
Management System ◽  
Patient Management ◽  
Data Science ◽  
Improve Patient Management ◽  
Improve Patient

Cancer, Chemotherapy and Cognitive Dysfunction

US Neurology ◽  
2016 ◽  
Vol 12 (01) ◽  
pp. 43 ◽  
Author(s):  
Jörg Dietrich ◽  
◽  
Jochen Kaiser ◽  
Keyword(s):  
Risk Factors ◽  
Nervous System ◽  
Cognitive Impairment ◽  
Memory Impairment ◽  
Patient Management ◽  
Brain Repair ◽  
Current Therapies ◽  
Translational Studies ◽  
Improve Patient Management ◽  
Improve Patient

Decline in cognitive function, such as memory impairment, is one of the most commonly reported symptoms in cancer patients. Importantly, cognitive impairment is not restricted to patients treated for brain tumors, but also frequently present in patients treated for tumors outside the nervous system. Recent discoveries from preclinical and translational studies have defined various risk factors and mechanisms underlying such symptoms. The translation of these findings into clinical practice will improve patient management by limiting the degree of neurotoxicity from current therapies, and by exploring novel mechanisms of brain repair.

“That was a good shift”

2017 ◽  
Vol 31 (4) ◽  
pp. 471-486 ◽  
Author(s):  
Anya Johnson ◽  
Helena Nguyen ◽  
Sharon K. Parker ◽  
Markus Groth ◽  
Steven Coote ◽  
...  
Keyword(s):  
Situation Awareness ◽  
Patient Management ◽  
Clinical Decision Making ◽  
Interprofessional Collaboration ◽  
Well Being ◽  
Junior Doctors ◽  
Content Type ◽  
Ward Rounds ◽  
Improve Patient Management ◽  
Improve Patient

Purpose The purpose of this paper is to investigate a boundary spanning, interprofessional collaboration between advanced practice nurses (APNs) and junior doctors to support junior doctors’ learning and improve patient management during the overtime shift. Design/methodology/approach A mixed methods evaluation of an intervention in an adult tertiary referral hospital, to enhance interprofessional collaboration on overtime shifts. Phase 1 compared tasks and ward rounds on 86 intervention shifts with 106 “regular” shifts, and examined the effect on junior doctor patient management testing a model using regression techniques. Phase 2 explored the experience of the intervention for stakeholders. 91 junior doctors participated (89 percent response rate) on 192 overtime shifts. Junior doctors, APNs and senior medical professionals/administrators participated in interviews. Findings The intervention was associated with an increase in self-initiated ward rounds by junior doctors, partially explained by junior doctors completing fewer tasks skilled nurses could also complete. The intervention significantly reduced doctors’ engagement in tasks carried over from day shifts as well as first year (but not more experienced) junior doctors’ total tasks. Interviews suggested the initiative reduced junior doctors’ work pressure and promoted a safe team climate, situation awareness, skills, confidence, and well-being. Originality/value Junior doctors overtime shifts (5 p.m. to 11 p.m.) are important, both for hospitals to maintain patient care after hours and for junior doctors to learn and develop independent clinical decision making skills. However, junior doctors frequently report finding overtime shifts challenging and stressful. Redesigning overtime shifts to facilitate interprofessional collaboration can improve patient management and junior doctors’ learning and well-being.

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