scholarly journals A Case of Childhood Upper GIT Obstruction: An Unusual Cause

2019 ◽  
Vol 16 (2) ◽  
pp. 98-100
Author(s):  
Sheikh Sayidul Haque ◽  
Amar Kumar Saha ◽  
Sahadeb Kumar Das ◽  
Monwar Hossain

Bezoars are retained concretions of undigested foreign material that accumulate and coalesce within the gastrointestinal tract, commonly in the stomach .The occurrence of bezoars formation is well documented in human, but the diagnosis, management and treatment remains a difficult task for the patient and health care professionals. The differential diagnosis of upper GIT obstruction in children includes both common and rare pathologies. Within these lists different types of bezoars causing upper GIT obstruction have been reported in. literature and different methods of management have been described. In this article we ltave reported that a 6 years old boy presented to us with features of duodenal obstruction .The clinical and radiological evaluation was suggestive of duodenal obstruction. Finally, laparotomy was done and a phytobezoar found in the third part of duodenum which was disimpacted and removed by gastrotomy. The child had an uneventful post o.perative course and discharged on the seventh post operative day in a stable condition. Journal of Surgical Sciences (2012) Vol. 16 (2) : 98-100

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.


2004 ◽  
Vol 128 (6) ◽  
pp. 653-662 ◽  
Author(s):  
James G. Caya ◽  
Rashmi Agni ◽  
Joan E. Miller

Abstract Objective.—This review article is designed to thoroughly familiarize all health care professionals with the history, classification, epidemiology, clinical characteristics, differential diagnosis, diagnostic evaluation (including laboratory-based testing), treatment, and prognosis of botulism. It is especially targeted toward clinical laboratorians and includes a detailed enumeration of the important clinical laboratory contributions to the diagnosis, treatment, and monitoring of patients with botulism. Finally, the bioterrorism potential for botulism is discussed, with an emphasis on the clinical laboratory ramifications of this possibility. Data Sources.—Included medical periodicals and textbooks accessioned from computerized and manual medical literature searches. More than 1000 medical works published from the 1800s through 2003 were retrieved and reviewed in this process. Data Synthesis.—Pertinent data are presented in textual and tabular formats, the latter including 6 tables presenting detailed information regarding the clinical parameters, differential diagnosis, diagnostic studies, laboratory testing, and therapeutic approaches to botulism. Conclusions.—Because botulism is such a rare disease, a keen awareness of its manifestations and prompt diagnosis are absolutely crucial for its successful treatment. The bioterrorism potential of botulism adds further urgency to the need for all health care professionals to be familiar with this disease, its proper evaluation, and timely treatment; the need for such urgency clearly includes the clinical laboratory.


Author(s):  
Safra Ria Kurniati ◽  
Novy Helena Catharina Daulima

Violent behavior is one of the symptom of severe mental disorders such as schizophrenia. Violent behavior has a very significant impact not only for patients, but also health care professionals, families and the development of stigma in society. Assertive training therapy is one therapy that is still not largely used for patients with violent behavior in Indonesia, although it is not an uncommon situation. This case is quite challenging considering the patient has a lack of insight of the disease. After completing 5 sessions of therapy, the patient showed improvement in signs and symptoms, a stable condition, and the absence of symptoms of violent behavior during treatment. For this reason, the use of therapy is highly recommended to help patients to express themselves in a more adaptive way.


Author(s):  
Ana Fernandez-Araque ◽  
Julia Gomez-Castro ◽  
Andrea Giaquinta-Aranda ◽  
Zoraida Verde ◽  
Clara Torres-Ortega

The aim of this review was to demonstrate the presence of categories and subcategories of Mishel’s model in the experiences of patients with fibromyalgia by reviewing qualitative studies. Uncertainty is defined as the inability to determine the meaning of disease-related events. A scoping review of qualitative studies was carried out. Twenty articles were included, with sample sizes ranging from 3 to 58 patients. Articles from different countries and continents were included. Three categories of the model and eight subcategories could be shown to be present in the experiences of fibromyalgia patients through the scoping review. The first category, concerning antecedents of uncertainty in patients with fibromyalgia, is constituted by the difficulty in coping with symptoms, uncertainty about the diagnosis and uncertainty about the complexity of the treatment. The second concerns the cognitive process of anxiety, stress, emotional disorder and social stigma. The third category refers to coping with the disease, through the management of social and family support and the relationship with health care professionals.


2010 ◽  
Vol 35 (1) ◽  
pp. 31-38
Author(s):  
Stephen Larmar ◽  
Julie Clark

Children and young people placed in out-of-home care often present with a range of complex and challenging behaviours that place significant stress on carers and other individuals involved in the placement process. The need for practical support, including the facilitation of knowledge sharing opportunities to better support carers and other health care professionals in assisting children and young people in out-of-home care, is of particular importance within the Australian context. This paper is the third in a series of four papers exploring a range of challenging behaviours that may be evidenced in children and young people placed in out-of-home care. The paper focuses on aggressive behaviours in children and adolescents and outlines a working framework to assist carers in responding appropriately to aggressive responses within the out-of-home care context.


2021 ◽  
Vol 12 (2) ◽  
pp. 375-398
Author(s):  
Maryna Klimanska ◽  
Larysa Klymanska ◽  
Inna Haletska

Aim. Identification and construction of the typology of attitudes of health care professionals in Ukraine to the current COVID-19 situation and vaccination process. Methods. Transcripts of 49 semi-structured interviews subjected to thematic analysis constituted the subject matter of the analysis. On the basis of the categories identified within the thematic analysis process, a typology was developed, with due account of two parameters: the idea about the origin of the virus: artificial or natural, and the attitude of the informants to the policy (implementation of policy decisions) chosen by the authorities to fight the virus. Combination of these two parameters gives four standpoints—types of attitude of health care professionals to the risks associated with COVID-19. Results and conclusion. Analysis of the results has enabled to outline the problem field for assessing the risk of COVID-19, which includes three topics, as well as to point out four typical standpoints in the attitude displayed by health care professionals that are marked as “magical thinking,” “technological thinking,” “negativistic thinking,” “critical thinking.” Originality. The research was conducted during the third wave of coronavirus in Ukraine, therefore, it reflects the analysed opinions of health care professionals about the threat of COVID-19 and vaccination process. The fact that the research was performed using qualitative methods ensured focusing on subjective peculiarities of the perception of changes in the COVID-19 situation.


2001 ◽  
Vol 40 (02) ◽  
pp. 156-162 ◽  
Author(s):  
R. Haux ◽  
P. Knaup ◽  
A. W. Bauer ◽  
W. Herzog ◽  
E. Reinhardt ◽  
...  

AbstractThe 21st century is said to be a century of the information society. We should be aware that continuing progress in information processing methodology (IPM) and information and communication technology (ICT) is changing our societies, including medicine and health care. At the start of the third Millennium we should ask ourselves, what progress can we expect from modern IPM/ICT for healthcare in the coming decade, what concerns does the information society have to face, and what steps have to be taken. These questions were addressed by clinicians, researchers and industrial representatives in a panel discussion at the joint conference ISCB-GMDS-99 of the International Society of Clinical Biostatistics and the German Society for Medical Informatics, Biometry and Epidemiology. Important aspects raised by the panelists and in the subsequent discussion were: (1) the main goal of expanding IPM/ICT should be to further improve quality of care, while maintaining reasonable costs; (2) with the support of modern IPM and ICT the boundaries between inpatient and outpatient care will fade away enabling a more efficient, patient-centered health care; (3) cooperation between health-care professionals will increase; there will be different ways of communication between them and with the patient, including modern ICT and the Internet; (4) society must be concerned with achieving equal opportunities in being informed about and in using new ICT; (5) misuse of data will remain a serious problem and can become an obstacle to progress.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19067-e19067
Author(s):  
Catherine Elizabeth Crandell ◽  
Christopher Jon Wingard ◽  
Sarah Elizabeth Quinn ◽  
Kate Elise Amin ◽  
Katie Marie Brownschidle ◽  
...  

e19067 Background: Individuals with cancer experience fatigue, pain and decline in function. The Bellarmine Norton Assessment Tool (BNAT) was developed to give an objective measure identifying a person’s overall functional ability through a variety of physical assessments focused on mobility and strength. The purpose of this study was to develop a referral tool to provide health care professionals an easy determinant for physical therapy referrals. The referral tool was designed as a Red, Yellow, Green light for easy interpretation and use. Methods: The BNAT is composed of 1 self-reported physical activity question and 4 objective tests: 2-Minute Step Test (2MST); 30-Second Sit-to-Stand; Timed Arm Curl; and Timed Up and Go. A previously collected data set of BNAT scores was utilized to develop the referral tool with the poorest performance corresponding to Red and the best corresponding to Green. Three variations of normative scaling examined optimal distribution for classification. The first model averaged normative data of 70-74 age group of healthy individuals. No participants in our study achieved 50% of population norms. Therefore, the Green light represented 35% of the normative values, the Yellow light ranged from 15-34% and the Red light identified < 15%. A second model used frequency histograms for each BNAT elements. Groupings were made based on the natural break of the data to depict the Red, Yellow or Green light. A third approach combined normative and frequency distribution for each element as compared to the respective BNAT scores. The outcome assigned BNAT score of 1 and 2 to Red light, 3 to Yellow light and 4 and 5 to Green light. Except for the 2MST, these models were similar for the cutoff between color categories. The third model best fit the study population with respect to the individual’s total BNAT score. Results: Of the 161 subjects, 47 subjects (29%) fell into the Red category, 81 (50%) into Yellow and 33 (21%) into Green. Using this scaling system for the total BNAT score, 13 score combinations result in Red light, 6 scores for Yellow light and 6 scores for Green light. Regardless of the model, most individuals were assigned a Yellow light. Conclusions: The literature is void of functional cut off scores and normative distributive data for the oncology population. We defined a referral tool with scaling based off normative scores and functional assessments that reflect the distribution of oncology patients. The third model may be used as a simple referral tool among multiple health care professionals aiding in a referral for physical therapy.


2010 ◽  
Vol 100 (2) ◽  
pp. 143-145 ◽  
Author(s):  
Amir H. Sadr ◽  
Trevor R. F. Paes

Isolated venous aneurysms of the foot are rare. We report a case of venous aneurysm of the dorsal venous arch of the foot with an unusual traumatic etiology. This is a case report of a female patient with a gradually enlarging swelling on the dorsum of her foot located over the pressure area of her sandal straps. A clinical diagnosis of venous aneurysm was made, and she was treated with surgery. Most cases of superficial venous aneurysms only arouse medical interest, with few cosmetic complaints and no complications. This case is unique because it describes a traumatic venous aneurysm associated with repeated trauma caused by inappropriate footwear. All clinicians and allied health-care professionals involved in podiatric medicine should be aware of this clinical condition in the differential diagnosis of soft-tissue swellings in the feet. (J Am Podiatr Med Assoc 100(2): 143–145, 2010)


1998 ◽  
Vol 11 (3) ◽  
pp. 148-162 ◽  
Author(s):  
Stephanie Gooch Wright ◽  
Rhonda Lea Lecroy ◽  
Michael G. Kendrach

The pharmacist is relied upon to provide drug information on a daily basis for patients and health care professionals. Performing drug information tasks requires the ability to efficiently search, critically analyze, and objectively evaluate the biomedical literature. Pharmacists and pharmacy students need to understand the biomedical literature and an organized method to answer drug information questions. Therefore, the tertiary, secondary, and primary literature resources are defined and examples are presented. In addition, the modified systematic approach to answer a drug information request is reviewed. Understanding the different types of literature and applying the systematic approach assists practitioners in efficiently supplying drug information. The purpose of this article is to assist the pharmacist and pharmacy student in determining the strengths and limitations of the various types of literature and applying the systematic approach to a drug information inquiry.


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