scholarly journals Managing acute agitation and aggression in the world of drug shortages

2021 ◽  
Vol 11 (6) ◽  
pp. 334-346
Author(s):  
Jennifer Miller
Keyword(s):  
Clinical Setting ◽  
Treatment Goals ◽  
Psychiatric Emergencies ◽  
Drug Shortages ◽  
Safety Risks ◽  
Appropriate Treatment ◽  
The World ◽  
Acute Agitation

Abstract Acute agitation and aggression create safety risks for both patients and staff, often leading to psychiatric emergencies. Quick and appropriate treatment is necessary to achieve safe and effective outcomes. Unfortunately, there are several factors that hinder timely interventions, such as medication shortages and delay in staff preparedness. Ultimately, the goal of managing acute agitation and aggression in the clinical setting is to de-escalate the situation and prevent harm to patients and staff. This article will explore useful interventions in realizing treatment goals for the management of agitation and aggression in adults while navigating limitations faced in practice.

scholarly journals Abdominal manifestations of extranodal lymphoma: pictorial essay

2016 ◽  
Vol 49 (6) ◽  
pp. 397-402 ◽  
Author(s):  
Laís Fajardo ◽  
Guilherme de Araujo Ramin ◽  
Thiago José Penachim ◽  
Daniel Lahan Martins ◽  
Patrícia Prando Cardia ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Clinical Setting ◽  
Imaging Techniques ◽  
Extranodal Lymphoma ◽  
Cross Sectional ◽  
Appropriate Treatment ◽  
Pictorial Essay ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Abstract In the appropriate clinical setting, certain aspects of extranodal abdominal lymphoma, as revealed by current cross-sectional imaging techniques, should be considered potentially diagnostic and can hasten the diagnosis. In addition, diagnostic imaging in the context of biopsy-proven lymphoma can accurately stage the disease for its appropriate treatment. The purpose of this article was to illustrate the various imaging aspects of extranodal lymphoma in the abdomen.

scholarly journals PHP142 Drug Shortages Around the World and the Underlying Reasons

2012 ◽  
Vol 15 (7) ◽  
pp. A314 ◽  
Author(s):  
A.P. Holtorf ◽  
H. Rinde ◽  
N. Maniadakis
Keyword(s):  
Drug Shortages ◽  
The World

Approximation and Negotiation: Clinical Pragmatism and Difference

1998 ◽  
Vol 7 (1) ◽  
pp. 68-76 ◽  
Author(s):  
JOSEPH J. FINS
Keyword(s):  
Clinical Setting ◽  
Shared Understanding ◽  
Sexual Preferences ◽  
The World ◽  
Clinical Pragmatism ◽  
Religious Differences

When addressing cultural and religious differences in the clinical setting we need to be realists. Despite our public homage to pluralism and good intentions, it is just not possible to overcome all the differences that might exist and achieve perfect understanding of others. Try as we may, we will never be able to see perfectly the world through another's eyes. Instead of reaching for such perfection, we should instead reach for an approximation of shared understanding that will promote discourse and civility when peoples of different races, genders, cultures, religions, and sexual preferences interact in the clinic.

scholarly journals Imaging of the Human Fundus in the Clinical Setting: Past, Present and Future

2013 ◽  
Vol 06 (01) ◽  
pp. 42 ◽  
Author(s):  
Antonio Calcagni ◽  
Professor Jonathan Gibson ◽  
◽  
Keyword(s):  
Clinical Setting ◽  
Imaging Techniques ◽  
Treatment Plan ◽  
Complex Structure ◽  
Distant Future ◽  
Current Technology ◽  
Fundus Imaging ◽  
The World ◽  
New Ideas ◽  
Medical Retina

The human fundus is a complex structure that can be easily visualized and the world of ophthalmology is going through a golden era of new and exciting fundus imaging techniques; recent advances in technology have allowed a significant improvement in the imaging modalities clinicians have available to formulate a diagnostic and treatment plan for the patient, but there is constant on-going work to improve current technology and create new ideas in order to gather as much information as possible from the human fundus. In this article we shall summarize the imaging techniques available in the standard medical retina clinic (i.e. not limited to the research lab) and delineate the technologies that we believe will have a significant impact on the way clinicians will assess retinal and choroidal pathology in the not too distant future.

PLAGUE MENINGITIS

PEDIATRICS ◽  
1967 ◽  
Vol 40 (4) ◽  
pp. 610-616
Author(s):  
Albert R. Martin ◽  
Felix P. Hurtado ◽  
Richard A. Plessala ◽  
Elisa G. Hurtado ◽  
Charles E. Chapman ◽  
...  
Keyword(s):  
New Mexico ◽  
Critical Review ◽  
Early Recognition ◽  
Review Of The Literature ◽  
Bubonic Plague ◽  
Appropriate Treatment ◽  
The World ◽  
Secondary Complication

Three cases of acute Pasteurella pestis meningitis occurred in a plague outbreak in New Mexico in 1965. Acute plague meningitis has occasionally been seen in other areas of the world. This entity almost invariably develops as a secondary complication of bubonic plague, and a critical review of the literature raises serious question about the existence of primary meningitis due to P. pestis. Treatment of these three cases and experience with plague therapy are discussed. Early recognition of plague infection, including its more unusual complications (such as meningitis), is essential for appropriate treatment and cure.

Data Mining and Analysis of Lung Cancer

2010 ◽  
pp. 118-144
Author(s):  
Guoxin Tang
Keyword(s):  
Lung Cancer ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The United States ◽  
Claim Data ◽  
National Database ◽  
Appropriate Treatment ◽  
The World ◽  
The Cost ◽  
The Relationship

Lung cancer is the leading cause of cancer death in the United States and the world, with more than 1.3 million deaths worldwide per year. However, because of a lack of effective tools to diagnose lung cancer, more than half of all cases are diagnosed at an advanced stage, when surgical resection is unlikely to be feasible. The purpose of this study is to examine the relationship between patient outcomes and conditions of the patients undergoing different treatments for lung cancer and to develop models to estimate the population burden, the cost of cancer, and to help physicians and patients determine appropriate treatment in clinical decision-making. We use a national database, and also claim data to investigate treatments for lung cancer.

scholarly journals Parasites of Laboratory Animals Transmissible to Man

1967 ◽  
Vol 1 (1) ◽  
pp. 17-24 ◽  
Author(s):  
T. E. Gibson
Keyword(s):  
Human Infection ◽  
Laboratory Animals ◽  
Human Beings ◽  
Gastrointestinal Helminths ◽  
Experimental Animals ◽  
Prevention Of Infection ◽  
Simian Malaria ◽  
Appropriate Treatment ◽  
The World ◽  
Hygienic Measures

Summary An assessment is made of the hazards to man from parasites of laboratory animals. The chief danger arises from gastrointestinal helminths and protozoa of primates and tapeworms of rodents and prevention of infection depends on the adoption of normal hygienic measures for disposal of the faeces and bedding of experimental animals. Simian malaria constitutes a possible danger in those parts of the world where suitable vectors exist and in these areas the screening of animal houses against mosquitoes is necessary. Many ectoparasites of laboratory animals are capable of establishing themselves on human beings but their tenure is usually short. Infestation of man can be prevented only by control of the ectoparasites in the laboratory animals and this is desirable for the welfare of the animals themselves. The possibility of human infection with the parasites of laboratory animals can be greatly reduced by a period of quarantine immediately following arrival, during which examination is made for the presence of parasites and appropriate treatment given to remove any found to be present.

scholarly journals Application of the Ridden Horse Pain Ethogram to Horses Competing at the Hickstead-Rotterdam Grand Prix Challenge and the British Dressage Grand Prix National Championship 2020 and Comparison with World Cup Grand Prix Competitions

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1820
Author(s):  
Sue Dyson ◽  
Danica Pollard
Keyword(s):  
Negative Correlation ◽  
Interquartile Range ◽  
World Cup ◽  
Musculoskeletal Discomfort ◽  
Spearman's Rho ◽  
Appropriate Treatment ◽  
Spearman’S Rho ◽  
The World ◽  
Moderate Negative Correlation

The Ridden Horse Pain Ethogram (RHpE) comprising 24 behaviours was developed to facilitate the identification of musculoskeletal discomfort, with scores of ≥8/24 indicating the presence of pain. The median RHpE score for 147 competitors at World Cup Grand Prix events from 2018 to 2020 was three (interquartile range [IQR] 1–4; range 0–7). The aim of the current study was to apply the RHpE to 38 competitors at the Hickstead-Rotterdam Grand Prix Challenge and 26 competitors at the British Dressage Grand Prix National Championship in 2020. The median RHpE scores were four (IQR 3–6; range 0–8) and six (IQR 4–7; range 1–9), respectively, which were both higher (p = 0.0011 and p = 0.0000) than the World Cup competitors’ scores. Ears back ≥ 5 s (p = 0.005), intense stare ≥ 5 s (p = 0.000), repeated tail swishing (p = 0.000), hindlimb toe drag (p = 0.000), repeated tongue-out (p = 0.003) and crooked tail-carriage (p = 0.000) occurred more frequently. These were associated with a higher frequency of lameness, abnormalities of canter, and errors in rein-back, passage and piaffe, canter flying-changes and canter pirouettes compared with World Cup competitors. There was a moderate negative correlation between the dressage judges’ scores and the RHpE scores (Spearman’s rho −0.66, p = 0.0002) at the British Championship. Performance and welfare may be improved by recognition and appropriate treatment of underlying problems.

scholarly journals Recommendations for the early diagnosis of COPD: the AIMAR view

2015 ◽  
Vol 10 ◽  
Author(s):  
Bartolome R. Celli
Keyword(s):  
United States ◽  
Chronic Obstructive Pulmonary Disease ◽  
Health Care ◽  
Early Diagnosis ◽  
Causes Of Death ◽  
The United States ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Appropriate Treatment ◽  
The World

Chronic obstructive pulmonary disease (COPD) has the dubious distinction of being one of the few major causes of death that continues to rise in the United States and the world. In that sense, its prevention, early diagno- sis when clinically present, and finally its appropriate treatment should constitute a priority item in today’s health care agenda. [...]

scholarly journals COVID-19 and Pulmonary Mycobacterium Tuberculosis Coinfection

2021 ◽  
Vol 36 (5) ◽  
pp. e298-e298
Author(s):  
Redha Al Lawati ◽  
Nasser Al Busaidi ◽  
Rashid Al Umairi ◽  
Merah Al Busaidy ◽  
Hanan Hamed Al Naabi ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Case Reports ◽  
World Health ◽  
Delay In Diagnosis ◽  
Global Pandemic ◽  
First Case ◽  
Appropriate Treatment ◽  
The World ◽  
Health Organization ◽  
High Index Of Suspicion

The Coronavirus disease-2019 (COVID-19) outbreak was classified as a global pandemic by the World Health Organization on 11 March 2020. It is caused by the novel severe acute respiratory syndrome coronavirus 2. The virus affects mainly the human respiratory system. Mycobacterium tuberculosis (TB) is another respiratory infection known to affect humans and may share joint clinical presentations and risk factors with COVID-19 infection. Therefore, clinicians must have a high index of suspicion that the two infections might coexist so that there is no delay in diagnosis and starting the appropriate treatment. There are few case reports about TB and COVID-19 coinfection. The first case report ever was from China and there have been a few others around the world. Here, we report two cases of coexisting COVID-19 and newly diagnosed pulmonary TB infection in Oman.

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