scholarly journals LA ESTRUCTURA NARRATIVA DE LOS CASOS CLÍNICOS

Author(s):  
Adéla KOŤÁTKOVÁ

Resumen: Los casos clínicos son un género propio de las comunidades de profesionales de la salud que se basa en la experiencia clínica de uno o unos pocos pacientes. A diferencia de otros autores, consideramos que tienen una naturaleza principalmente narrativa y que, por lo tanto, se pueden caracterizar por una estructuración en los cinco apartados canónicos de la narración: situación inicial, nudo, (re)acción o evaluación, desenlace y situación final. Verificamos la presencia de estos componentes en un caso clínico prototípico del campo de la neurología, comparándolos con sus análogos en textos provenientes del género reconocidamente narrativo de los cuentos clínicos.Abstract: Clinical case reports are a genre developed within the communities of healthcare professionals and based on the clinical experience of one or a few patients. Unlike other authors, we consider that they have a mainly narrative nature and, therefore, can be characterized by a structure following the five canonical sections of the narrative: initial situation, node, (re) action or evaluation, denouement and final situation. We verify the presence of these components in a prototypical clinical case report from the field of neurology, comparing them with analogous samples of another genre that is widely recognised as narrative: clinical tales. 

2016 ◽  
Vol 21 (5) ◽  
pp. 95-102
Author(s):  
Fernando Gianzanti Peres ◽  
◽  
Luis Eduardo Marques Padovan ◽  
Leandro Eduardo Kluppel ◽  
Gustavo Calvalcanti Albuquerque ◽  
...  

ABSTRACT Introduction: Temporary anchorage devices (TADs) have been developed to be used as direct adjuncts in orthodontic treatment and have facilitated treatment of more complex orthodontic cases, including patients with dental impaction. Objectives: This clinical case reports the applicability of TADs in the orthodontic treatment of a patient with impacted mandibular second molars. Surgical and orthodontic procedures related to the use of miniplates were also discussed in this study. Conclusions: The use of temporary anchorage devices, such as miniplates, can be suggested as an alternative to treat patients with impacted mandibular second molars.


1996 ◽  
Vol 15 (6) ◽  
pp. 489-493 ◽  
Author(s):  
Robert Gealy ◽  
Cynthia Graham ◽  
Nancy B Sussman ◽  
Orest T Macina ◽  
Herbert S Rosenkranz ◽  
...  

Clinical case reports can be important sources of information for alerting health professionals to the existence of possible health hazards. Isolated case reports, however, are weak evidence of causal relationships between exposure and disease because they do not provide an indication of the frequency of a particular exposure leading to a disease event. A database of chemicals causing allergic contact dermatitis (ACD) was compiled to discern structure-activity relationships. Clinical reports repre sented a considerable fraction of the data. Multiple Computer Automated Structure Evaluation (MultiCASE) was used to create a structure-activity model to be used in predicting the ACD activity of untested chemicals. We examined how the predictive ability of the model was influenced by including the case report data in the model. In addition, the model was used to predict the activity of chemicals identified from clinical case reports. The following results were obtained: • When chemicals which were identified as dermal sensitizers by only one or two case reports were included in the model, the specificity of the model was reduced. • Less than one half of these chemicals were predicted to be active by the most highly evidenced model. • These chemicals possessed substructures not pre viously encountered by any of the models. We conclude that chemicals classified as sensitizers based on isolated clinical case reports be excluded from our model of ACD. The approach described here for evaluating activity of chemicals based on sparse evidence should be considered for use with other endpoints of toxicity when data are correspondingly limited.


RSBO ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. 135
Author(s):  
Paula Porto Spada ◽  
Ana Luiza Girardi ◽  
Thayna Souza Silva ◽  
Guilherme Schuldt ◽  
Darlan Rigo Junior ◽  
...  

Introduction: Oral pigmentary lesions may have different clinical characteristics, ranging from physiological pigmentation, such as melanin spots, to something more serious, such as malignant melanoma. Due to the great variety of pigmented lesions, the treatments are varied and individualized. Objective: This clinical case reports a case of melanocytic removal through a surgical technique that associates rotary instruments and scalpel blade. Case report: A 45-year-old patient, melanoderma, sought care at the Positivo University, complaining about the dark spots visible on his gum, and the discomfort they caused him when smiling. After the clinical examination, the presence of melanocytic pigmentation was diagnosed and the proposed treatment was surgical removal of spots with a drill and scalpel blade. In the immediate postoperative period, the patient presented good healing and reported only mild burning in the first three days. After 60 days, the gingiva was healed, with no relapsing spots. Conclusion: The technique chosen was effective because it presented adequate healing and absence of relapse of the pigmentation in the postoperative follow-up


2020 ◽  
Vol 15 (1) ◽  
pp. 73
Author(s):  
Adéla Kotátková

<p>The clinical case report (CCR) is a genre specific of healthcare professionals. It is characterized by the usage of specialized terminology and abbreviations that match the communicative purposes of the genre and the community of practice. Along with these resources, we find certain constructions that not necessarily contain specialized words, but that also characterize this genre. These structures are repeated with identical or similar forms in many CCR and with the same goals. We identify these conventionalized constructions applying a corpus browser to 115 CCR in Catalan, Spanish and English on mental disorders, from the fields of neurology, psychiatry and psychology. We present the most prominent ones and relate them to four of the rhetorical moves analysed by Helán: justification of the case; case presentation; presentation of the patient regarding the reason of admission; investigation of the problem.</p>


Database ◽  
2020 ◽  
Vol 2020 ◽  
Author(s):  
Mengqi Luo ◽  
Aaron M Cohen ◽  
Sidharth Addepalli ◽  
Neil R Smalheiser

Abstract Clinical case reports are the ‘eyewitness reports’ of medicine and provide a valuable, unique, albeit noisy and underutilized type of evidence. Generally, a case report has a single main finding that represents the reason for writing up the report in the first place. However, no one has previously created an automatic way of identifying main finding sentences in case reports. We previously created a manual corpus of main finding sentences extracted from the abstracts and full text of clinical case reports. Here, we have utilized the corpus to create a machine learning-based model that automatically predicts which sentence(s) from abstracts state the main finding. The model has been evaluated on a separate manual corpus of clinical case reports and found to have good performance. This is a step toward setting up a retrieval system in which, given one case report, one can find other case reports that report the same or very similar main findings. The code and necessary files to run the main finding model can be downloaded from https://github.com/qi29/main_ finding_recognition, released under the Apache License, Version 2.0.


2020 ◽  
Vol 3 ◽  
pp. 8-12 ◽  
Author(s):  
Prashant P. Tamboli

Scientific publications are possible only after completing proper documented research work. Research is one of the important methods for ensuring that the homoeopathic discipline keeps growing. A case report is one type of research design; it can be conducted with minimal resources. Case reports are, therefore, valuable despite being at the bottom of the ladder in terms of scientific evidence. It allows a physician to share their unique clinical experience/s in a peer group. Experiences of using homoeopathic concepts in different clinical situations and widening the scope of homoeopathy can be shared through this method. Case reports provide an opportunity to train young physicians to learn observation skills and use the scientific method to convey valuable clinical experience/s. The CARE guidelines are the gold standard guidelines for writing a case report. A group of homoeopaths have recommended further modifications to these guidelines for writing homoeopathic case reports; these specific guidelines are termed the HOM-CASE guidelines.


2017 ◽  
Vol 7 (1) ◽  
pp. 50-55
Author(s):  
Md Abdul Wohab Khan ◽  
Abdus Salam Arif

Case reports represent the oldest and most familiar form of medical communication. It is one of the best ways for the beginners to get familiar with scholarly writing. It is the time-honored vehicle for medical teaching. It is also the foundational 'building block' of scientific inquiry. Unfortunately from late 1970s in scientific community there was a tendency to see the case report as least important and a 'second class' publication. The authors tried to find out how this 'fertile seeds' were cultivated and valued by the scientific community. Articles on case reports were collected consecutively by daisy chaining from web and published journals. Many logical arguments are found in favor of encouraging in writing and publishing case reports. There are also issues to be addressed further. Diversified criteria and stylescan be followed. Uniqueness is not the only principle, any information which someone find useful and beneficial in clinical practice can be presented as case report. Facts in a case report can be considered as one of the weakest evidence and should not be considered as anecdotal information. To make others aware of unusual presentationsor complications;case report is the rapid and effective means of communication.Anwer Khan Modern Medical College Journal Vol. 7, No. 1: Jan 2016, P 50-55


Author(s):  
Anushka Yadav ◽  
Somendra Saraswat ◽  
B.R. Adyanthaya ◽  
Meetu Mathur

<p class="Default">The main objective of root canal treatment is thorough mechanical and chemical cleansing of the entire pulp space followed by complete obturation with an inert filling material. These molars normally have two roots, one mesial and one distal, and their usual canal distribution is two in the mesial root and one or two in the distal root. This clinical case reports and review of literature describes the management of the mandibular molar with three separate mesial canals including middle mesial canal.</p>


Author(s):  
Jéssyca Maria França de Oliveira MELO ◽  
Eduardo de Farias BARBOSA

ABSTRACT This study aimed to report treatment of a patient with Kennedy’s class l maxillary and class II mandibular arch with removable partial dentures supported on an external hexagon (HE) anterior type implant of regular diameter fitted with an O’ring type of attachment. This clinical case reports the oral rehabilitation of a senile patient whose clinical examination revealed missing dentition in the upper and lower arches, attrition of the lower anterior teeth, caries, and motor impairment affecting hygiene, mastication, and esthetic functions. Due to few severely impaired teeth, the pre-prosthetic preparation included extractions and restorations, followed by the fabrication of upper and lower removable partial dentures supported by an HE-type implant. This study is important because it addresses the current challenges faced in the implementation of treatment involving removable partial dentures combined with implants, which is a topic that still needs long-term follow-up and research.


2019 ◽  
Vol 9 (3) ◽  
pp. 57-60
Author(s):  
James Pearce ◽  
Paul Simpson

Clinical case reports play an important role in supporting evidence-based paramedicine. When research on a topic is limited and there is no robust evidence, a case report may be the best available, especially for rare or unusual presentations or in novel clinical practice. Case reports in paramedicine journals are common. However, adherence to the published consensus-based reporting guideline is rare, which may weaken the evidence arising from this body of case report literature. There is a need for greater awareness of the structured reporting guideline for case reports, and for the development of a paramedicine-specific extension. The objectives of this paper are to: describe the current state of case reports in paramedicine; promote the adoption of an internationally accepted, consensus-based reporting guideline; and propose an extension to that guideline, adapted to the unique characteristics of prehospital practice.


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