The Stressful, Hostile, and Toxic Workplace: An Advanced Understanding of a Common Clinical Complaint

2021 ◽  
Vol 51 (2) ◽  
pp. 70-75
Author(s):  
Andrew O. Brown ◽  
Greg P. Couser ◽  
David Evan Morrison ◽  
Gaurava Agarwal
Keyword(s):  
Clinical Complaint

The Burden of Reoperations and Timeline of Problems in 1,530 Cases of Mesh-Related Complications

2021 ◽  
pp. 1-8
Author(s):  
Paulo Rodrigues ◽  
Shlomo Raz
Keyword(s):  
Clinical Presentation ◽  
Complex Interventions ◽  
Complete Removal ◽  
Time Frame ◽  
Pelvic Organ ◽  
Pelvic Floor Reconstruction ◽  
Tertiary Center ◽  
Surgical Treatments ◽  
Voiding Dysfunctions ◽  
Clinical Complaint

<b><i>Background:</i></b> Mesh-related complications resulting from pelvic organ prolapse (POP) reconstruction operations may be a devastating experience leading to multiple and complex interventions. <b><i>Objectives:</i></b> The aim of the study was to describe the experience and time frame of management of mesh-related complications in women treated for POP or stress urinary incontinence in a tertiary center. <b><i>Methods:</i></b> 1,530 cases of mesh-related complications were accessed regarding their clinical presentation, number of surgeries, and timeline of surgical treatments to treat multiple clinical complaints until the ultimate operation where all the meshes were removed in a single tertiary center. <b><i>Results:</i></b> The studied population revealed to be a highly referred one with only 10.2% of the cases implanted at our center. Clinical presentation varied widely with 48.7% referring pain as the chief complaint, while 31.3% complained of voiding dysfunctions, 2.5% reported genital prolapses, 2.2% complained of vaginal problems, and 1.2% noted intestinal problems as the main clinical complaint. Only 4.8% of the cases presented mesh erosion at examination; 57.8% of the cases required more than 1 operation to address the mesh-related problems. Sixty-eight cases had more than 10 operations up to complete removal. Three clusters of patients could be identified: (i)–those from whom the mesh was promptly removed after clinical problems emerged, (ii) those with slowly evolving problems, and (iii) those with escalating problems despite treatment attempts. <b><i>Conclusions:</i></b> Mesh-related complications after pelvic floor reconstruction are an evolving disease with diverse clinical presentation. The identified time-related problems and the multiple failed attempts to treat their complications warrant attention with continuous monitoring of these patients and aggressive removal of the mesh if the clinical complaint cannot be swiftly managed.

scholarly journals Sonography of the iliotibial band: spectrum of findings

2014 ◽  
Vol 47 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Carlos Frederico Arend
Keyword(s):  
Imaging Modality ◽  
Low Cost ◽  
Iliotibial Band ◽  
Band Spectrum ◽  
Correct Identification ◽  
First Line ◽  
Potential Source ◽  
Wide Availability ◽  
Line Imaging ◽  
Clinical Complaint

Iliotibial band lesions constitute a potential source of discomfort and are frequently confounded with other conditions which cause pain on the lateral aspect of the hip, thigh and knee. Ultrasonography is usually regarded as a first-line imaging modality in the assessment of such conditions because of its excellent diagnostic accuracy, low cost and wide availability. The correct identification of the structure involved in the production of symptoms leads to an appropriate management and to a higher probability of resolution of the clinical complaint. The present article is aimed at reviewing the different sonographic presentations of iliotibial band syndromes.

Seizures as a Consequence of Hyperviscosity Syndrome in Two Dogs Naturally Infected with Leishmania infantum

2016 ◽  
Vol 52 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Daniela Proverbio ◽  
Eva Spada ◽  
Roberta Perego ◽  
Giada Bagnagatti de Giorgi
Keyword(s):  
Monoclonal Gammopathy ◽  
Conventional Polymerase Chain Reaction ◽  
Immunofluorescence Assay ◽  
Canine Leishmaniasis ◽  
Chain Reaction ◽  
Short Term ◽  
Hyperviscosity Syndrome ◽  
Clinical Presentations ◽  
Polymerase Chain ◽  
Clinical Complaint

Serum hyperviscosity syndrome (HVS) was documented in two dogs with canine leishmaniasis (CanL) and seizures as the major clinical complaint. In both cases, laboratory abnormalities included mild non-regenerative anemia, thrombocytopenia, hypoalbuminemia, hyperproteinemia with monoclonal gammopathy, and marked serum hyperviscosity. CanL was diagnosed using cytology in one case and indirect immunofluorescence assay and conventional polymerase chain reaction in the second. Specific therapy with meglumine antimoniate and allopurinolc led to short-term remission in both dogs and normalization of serum viscosity. Although dogs rarely develop HVS, it should be suspected if hyperproteinemia and monoclonal gammopathy are present. Since CanL manifests with a variety of clinical presentations, including seizures resulting from HVS-induced central nervous system hypoxia, it should also be considered as a differential diagnosis in animals with seizures as a primary presenting sign.

Unexplained bleeding as primary clinical complaint in dogs infected with Angiostrongylus vasorum

2016 ◽  
Vol 158 (10) ◽  
pp. 701-709 ◽  
Author(s):  
T Glaus ◽  
N Sigrist ◽  
N Hofer-Inteeworn ◽  
C Kuemmerle-Fraune ◽  
C Mueller ◽  
...  
Keyword(s):  
Angiostrongylus Vasorum ◽  
Clinical Complaint

scholarly journals The Effectiveness of Calcaneal Drilling for Treatment of Resistance Cases of Plantar Heel Pain

2019 ◽  
Vol 14 (2) ◽  
pp. 43-48
Author(s):  
Mohammed SH. Al-Edanni
Keyword(s):  
Clinical Study ◽  
Simple Procedure ◽  
Pain Syndrome ◽  
Clinical Syndrome ◽  
Heel Pain ◽  
Intraosseous Pressure ◽  
Good Patient ◽  
Plantar Heel Pain ◽  
Possible Cause ◽  
Clinical Complaint

Background: Plantar heel pain is a clinical syndrome characterized by pain and tenderness beneath the heel which is typically worse in the morning and improves after the first few steps in the day. It is a common and frequently disabling clinical complaint that may be caused by a broad spectrum of osseous or soft tissue disorders. Objective: To evaluate the effectiveness of an operation of multiple drilling of calcaneum for resistant plantar heel pain syndrome. Methods: During the period from November 2012 to August 2016, 17 patients (17heels) were enrolled in a cohort clinical study at the orthopedic unit in AL-Sheikh Zayed and Al-Wassity Hospitals.  Result: Drilling of the calcaneum is a simple procedure achieving 70.6% cure in resistant ases with few complications provided good patient selection was done. Conclusion: Abnormalities in the intraosseous pressure within the calcaneum are a possible cause of plantar heel pain in some patients who failed to respond to conservative treatment  

scholarly journals Will it ever grow back? The psychosocial impacts of alopecia

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Aryan Riahi
Keyword(s):  
Alopecia Areata ◽  
Health Professionals ◽  
Psychological Treatment ◽  
Family Physicians ◽  
Pharmacological Treatments ◽  
Androgenic Alopecia ◽  
Limited Effectiveness ◽  
Psychosocial Impacts ◽  
Skin Conditions ◽  
Clinical Complaint

Alopecia is a common clinical complaint in the offices of family physicians and dermatologists. Here, we discuss common subtypes of alopecia, including androgenic alopecia and alopecia areata. Unfortunately, few resources have been invested in researching the effectiveness of psychological treatment for alopecia Pharmacological treatments alone are not enough. Medications can be a frustrating experience for both patients and their physicians due to their limited effectiveness. A case is made for health professionals taking an all-encompassing approach with patients is critical for skin conditions including alopecia.

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN TENTANG KEPUTIHAN DENGAN PENANGANAN KEPUTIHAN PADA SISWI KELAS X SMK YPE SUMPIUH KABUPATEN BANYUMAS TAHUN 2018

2019 ◽  
Vol 11 (2) ◽  
pp. 131
Author(s):  
Tanti Fitriyani ◽  
Wiji Oktanasari
Keyword(s):  
Survey Method ◽  
Research Use ◽  
Analysis Method ◽  
Chi Square ◽  
Cross Sectional ◽  
Good Level ◽  
Level Of Knowledge ◽  
The Subject ◽  
Clinical Complaint

ABSTRACT  One of the clinical complaint from adolescent reproduction is leucorrhea. Leucorrhea is vagina’s liquid expenditure that not shaped blood. It is sometimes caused infection that always wet and make irritation, feel itchy and disturbance to the sufferer.             The purpose of this research is to know about relation between knowledge of leucorrhea and handling of leucorrhea in student of SMK YPE Sumpiuh 2018 grade X, Banyumas regency. This research use analytic survey method with cross sectional approach. The subject of this research is students of SMK YPE Sumpiuh grade X. The number of students are 71 person. The  analysis method of the statistic that used  is chi square.              The result from this research is 42 student (59,2%) have good level of knowledge about leucorrhea. And 39 student (54,9%) can handles leucorrhea correctly.             The Conclusion of his research is there any relationship between knowledge of leucorrhea and handling of leucorrhea in class of student SMK YPE Sumpiuh grade X  (c2hitung=5,722> c2tabel=3,481).   Keyword       : level of knowledge, leucorrhea handling.   Bibliography : 29 ( 2005-2016)

scholarly journals ALLERGIC PROCTOCOLITIS IN INFANTS: analysis of the evolution of the nutritional status

2016 ◽  
Vol 53 (4) ◽  
pp. 262-266 ◽  
Author(s):  
Ludmilla S CAMARGO ◽  
Jonas AC SILVEIRA ◽  
José AAC TADDEI ◽  
Ulysses FAGUNDES NETO
Keyword(s):  
Nutritional Status ◽  
Medical Records ◽  
Lower Cost ◽  
Clinical Symptoms ◽  
Nutritional Intervention ◽  
Nutritional Interventions ◽  
Allergic Proctocolitis ◽  
Time Of Admission ◽  
Clinical Complaint

ABSTRACT Background Allergic proctocolitis is a disease that affects infants in the first months. The change in feed is the primary factor for clinical improvement and maintenance of the nutritional status of the infant. Objective Study the anthropometric evolution of infants with allergic proctocolitis at diagnosis and 1 to 6 months after nutritional intervention. Methods A retrospective cohort of infants with allergic proctocolitis diagnosis followed at the Pediatric Gastroenterology Institute of São Paulo (IGASTROPED), Brazil. The database with clinical, therapeutic and anthropometric data was obtained from medical records of outpatient infants. The therapeutic intervention was characterized by 1) exclusive breastfeeding with maternal exclusion diet of the six allergens (EBF-MED) or 2) no breastfeeding and use of hypoallergenic formulas. Results Of the 44 infants diagnosed with allergic proctocolitis, 23 were female. The median age of the infants was 3.5 months at the time of admission and 6 months after the intervention. The main clinical complaint was hematochezia with or without other symptoms of allergic proctocolitis. No difference was shown in the infants anthropometric evaluation between the two diets. Conclusion The duration of the allergic proctocolitis did not induce worsening of the infants nutritional status. Importantly, both nutritional interventions were able to keep the infants within the growth channel and resulted in the total clinical symptoms remission. Considering the fundamental mother-child link promoted by breastfeeding, the present data highlights the beneficial role of EBF-MED on the nutritional status of infants diagnosed with allergic proctocolitis in addition to the lower cost that breastfeeding brings compared the use of hypoallergenic formulas.

scholarly journals Development and implementation of an LIS-based validation system for autoverification toward zero defects in the automated reporting of laboratory test results

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Di Jin ◽  
Qing Wang ◽  
Dezhi Peng ◽  
Jiajia Wang ◽  
Bijuan Li ◽  
...  
Keyword(s):  
New Method ◽  
Effectiveness Evaluation ◽  
Test Results ◽  
Human Machine Interaction ◽  
Time Consumption ◽  
Laboratory Test Results ◽  
B Virus ◽  
Machine Interaction ◽  
Clinical Complaint ◽  
Manual Verification

Abstract Background Validation of the autoverification function is one of the critical steps to confirm its effectiveness before use. It is crucial to verify whether the programmed algorithm follows the expected logic and produces the expected results. This process has always relied on the assessment of human–machine consistency and is mostly a manually recorded and time-consuming activity with inherent subjectivity and arbitrariness that cannot guarantee a comprehensive, timely and continuous effectiveness evaluation of the autoverification function. To overcome these inherent limitations, we independently developed and implemented a laboratory information system (LIS)-based validation system for autoverification. Methods We developed a correctness verification and integrity validation method (hereinafter referred to as the "new method") in the form of a human–machine dialog. The system records personnel review steps and determines whether the human–machine review results are consistent. Laboratory personnel then analyze the reasons for any inconsistency according to system prompts, add to or modify rules, reverify, and finally improve the accuracy of autoverification. Results The validation system was successfully established and implemented. For a dataset consisting of 833 rules for 30 assays, 782 rules (93.87%) were successfully verified in the correctness verification phase, and 51 rules were deleted due to execution errors. In the integrity validation phase, 24 projects were easily verified, while the other 6 projects still required the additional rules or changes to the rule settings. Taking the Hepatitis B virus test as an example, from the setting of 65 rules to the automated releasing of 3000 reports, the validation time was reduced from 452 (manual verification) to 275 h (new method), a reduction in validation time of 177 h. Furthermore, 94.6% (168/182) of laboratory users believed the new method greatly reduced the workload, effectively controlled the report risk and felt satisfied. Since 2019, over 3.5 million reports have been automatically reviewed and issued without a single clinical complaint. Conclusion To the best of our knowledge, this is the first report to realize autoverification validation as a human–machine interaction. The new method effectively controls the risks of autoverification, shortens time consumption, and improves the efficiency of laboratory verification.

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