scholarly journals Identification of Iatrogenic Complication of an Oncological Patient

2018 ◽  
Vol 08 (03) ◽  
Author(s):  
Pierpaolo Di Micco
2020 ◽  
pp. 19-23
Author(s):  
Lilia Shagvaleeva

The article discloses the role of the medical sister of the oncological department in the creation of a positive psychological microclimate, which is the key to the successful treatment and rehabilitation of the oncological patient. Experience of organization of nursing process in the department of tumors of external localizations is presented.


2021 ◽  
Vol 11 (7) ◽  
pp. 99
Author(s):  
Gian Piero Turchi ◽  
Marta Silvia Dalla Riva ◽  
Luisa Orrù ◽  
Eleonora Pinto

Starting from statistical data derived from the oncological field, some articles have highlighted the importance of communication in the patient–caregiver dyad and have considered the various roles involved in a cancer diagnosis situation. Thus, the question of how to intervene in terms of “quality of life” from the time of diagnosis to the recovery or death of a cancer patient, beyond the sanitary and physical dimensions, has become relevant. Therefore, the present narrative review aims to offer an overview of the state of the art in terms of the psychological treatment modalities of cancer patients, from the diagnosis to the post-surgery period. A total of 67 articles were collected and analyzed, in relation to (1) psychological constructs employed in the oncological field, (2) intervention models and (3) quality of life and well-being measurement and evaluation tools. We described these articles, differentiating between those focusing on the role of (1) the patient, (2) the caregiver, (3) the patient–caregiver dyad and (4) healthcare professional roles. The oncological diagnosis and its repercussions in the lives of the patient and caregiver were explored and critical aspects that emerged from the literature were highlighted. In conclusion, the analysis allowed some considerations about the need to define research protocols and useful management strategies for increasing the overall health of patients with cancer diagnoses and the people who surround them.


2019 ◽  
Vol 53 (6) ◽  
pp. 426-432 ◽  
Author(s):  
Amitabh Madhukumar Chopra

Abstract Lubricious polymer coatings are increasingly used on intravascular devices to facilitate easier access and navigation through tortuous blood vessels. Recent reports highlight the separation and downstream embolism of polymer particles affecting the vasculature and various organs. The Food and Drug Administration (FDA) acknowledges polymer coating embolism as an iatrogenic complication of intravascular devices and continues to close gaps in standards related to coating integrity. The Association for the Advancement of Medical Instrumentation established particulate testing as an industry standard for evaluating coating integrity of intravascular devices. The FDA recognizes this standard; however, challenges exist in setting particulate limits that may compromise device function without sufficient clinical data. The microscopic nature of polymer emboli not visible with available imaging modalities has impacted reporting. This has also resulted in a reduced number of manufacturer-driven product development projects related to coating integrity. On the other hand, recent procedural trends have supported the innovation of coated devices with expanded indications, requiring particulate evaluations and release limits. This article proposes a methodology to set particulate limits for intravascular devices given existing clinical, regulatory, and manufacturing challenges. The approach with standardization requirements enables characterization, comparison, and evaluation of lubricious coatings from various manufacturers. It incorporates a step-by-step procedure that adds scrutiny to the application of coatings while ensuring device function is not impacted. Together with particulate assessments, clinicopathologic and animal studies permit an understanding of particulate ranges from commercially available devices and setting of particulate limits for new device evaluations.


2021 ◽  
Vol 32 (2) ◽  
pp. 171-174
Author(s):  
I Mirón Fernández ◽  
L Romacho López ◽  
A Durán Campos ◽  
A González Sánchez ◽  
J Aranda Narváez ◽  
...  

Resumen El carcinoma seroso de ovario es un tumor peritoneal multicéntrico que supone el 70-80% de las neoplasias malignas ováricas. Se diagnostica hasta en un 50% de los casos en fase avanzada con afectación peritoneal. En la etapa terminal de la enfermedad las pacientes pueden presentar ascitis refractaria con necesidad de evacuación periódica. Hasta la fecha no había constancia en la literatura de la utilización de stents para drenaje de colecciones ascíticas loculadas en pacientes en situación paliativa. El uso de estas prótesis se había limitado al tratamiento de necrosectomías pancreáticas o drenaje de pseudoquistes pero en los últimos años se han ido ampliando sus indicaciones. Presentamos el caso de una paciente con cáncer de ovario Estadio IIIC de la FIGO en situación paliativa con intolerancia digestiva secundaria a compresión gástrica extrínseca por colección ascítica resuelta con prótesis Hot Axios™.


2014 ◽  
Vol 1 (1) ◽  
pp. 41-43
Author(s):  
Abdelhak Ababsa Mouaki ◽  

Toxic Epidermal Necrolysis (TEN) is a real dermatological emergency, requiring early diagnosis and early management, using extensive therapeutic treatment. This iatrogenic complication is fortunately rare, but the prognosis remains severe despite the early management in special care units. We report here two cases of Toxic Epidermal Necrolysis in two men, aged 77 and 46 years old. By the way, we will review clinical and laboratory signs and will emphasize the frequency and the severity of iatrogenic drug eruptions.


2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Biljana Kuzmanović Elabjer ◽  
Dean Šarić ◽  
Mladen Bušić ◽  
Mirjana Bjeloš ◽  
Andrej Pleše

This is the first documentation of vancomycin precipitation with viscoelastic in the anterior chamber of the eye. A 34-year-old white male underwent uneventful penetrating keratoplasty. Intracameral instillation of 1 mg/0.1 mL of vancomycin followed no attempts of meticulous viscoelastic irrigation. Six hours later thick white material in the anterior chamber was sedimented. The following criteria excluded the diagnosis of endophthalmitis and TASS: clear and transparent anterior chamber and vitreous body, the absence of ciliary injection and corneal oedema, and unremarkable laboratory tests’ results. This iatrogenic complication mimicking endophthalmitis does not require any specific management and should be acknowledged in guidelines for prevention and treatment of endophthalmitis. The objective of this paper is to alert colleagues to this iatrogenic complication of vancomycin mimicking endophthalmitis. Whether this condition should be labelled as positive or negative demands further investigation. As vancomycin is a time-dependent antibiotic, it is possible that this precipitate could serve as a slowly releasing drug depot and viscoelastic as a vehicle for precipitation. This being the case, investigation is needed to analyse its potential to precipitate with another dispersive and cohesive viscoelasticity.


2007 ◽  
Vol 31 (7) ◽  
pp. 1528-1528
Author(s):  
Andrea Siani ◽  
Giustino Marcucci ◽  
Luca Maria Siani ◽  
Emanuele Baldassarre

2019 ◽  
Vol 0 (15) ◽  
pp. 0-0
Author(s):  
Aysun CAN ◽  
Sevilay HİNTİSTAN
Keyword(s):  

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