Headache: A Practical Manual 2e
Headache continues to have a major impact on the lives of many people across the world, and the needs of many sufferers go unmet. It impacts people of all ethnicity, age, and socio-economic background, and can have potentially life-changing consequences. Headaches can be accompanied by other co-morbidities and encountered by a wide variety of medical professionals, making accurate diagnosis and management challenging. This is the second edition of Headache: A Practical Manual, developed by the British Association for the Study of Headache (BASH), an organisation of health care professionals whose aim is to reduce the burden of headache through education and research. Practical, and easy to navigate, this comprehensive handbook offers a concise overview of the diagnosis and treatment of headache conditions. Edited by a general practitioner and an academic neurologist, and written by experts in the field, this pocket-sized book is a concise reference for effective management for health care practitioners at all levels.
Workbook and Lab Manual for Mosby’s Pharmacy Technician
This easy-to-use, chapter-by-chapter companion to Mosby's Pharmacy Technician: Principles and Practice, Seventh Edition, helps you solidify your understanding and mastery of key skills and concepts. Each chapter of this combination workbook and lab manual contains a wide variety of review questions, exercises, and experiential lab activities to reinforce key concepts, encourage you to reflect critically, and relate to practice for success on the job. Combined with the core textbook, this learning package takes you from day one through graduation and certification!NEW! Coverage of the latest information on telehealth, virtual patient communication, infection protection, and medicationsEXPANDED! Additional content on non-sterile and sterile compounding and foundational math calculationsComprehensive coverage designed to align with the ASHP curriculum and Pharmacy Technician certification exam blueprintsBuilt from the ground up to map to the latest ASHP accreditation standards and competenciesReinforce Key Concepts sections offer helpful review and practiceReflect Critically sections with realistic scenarios encourage content assimilation and applicationRelate to Practice sections with laboratory exercises provide hands-on practice to promote multi-dimensional skills masterySkills checklists for all textbook procedures enable you to track your progress on key competencies
A Comprehensive Overview of Telemedicine
This text brings forth a rich litany of excellent chapters on the status of telemedicine. As the world emerges from a once-in-a-century pandemic, the delivery of health care has fundamentally changed. While telemedicine itself has been with us for more than a century, the COVID-19 pandemic served as a catalyst in moving it forward, often at an exponential rate. The 16 chapters of this book bring forth subject matter expertise from experiences and scholarship from around the world. It is our sincere hope that this text will become a ready and influential resource in your personal library and a useful tool in your clinical practice or for furthering your education and training in the rapidly changing field.
Fere Ex Nihilo - Ovarian Oncogenesis Recapitulates Phylogene
The mortality of ovarian cancer has not changed in the last 30 years. Approximately 70% of the patients die of disease. The reason for this high mortality, in spite of all the new developments in medicine, is that we do not understand the disease, and therefore we approach ovarian cancer like most epithelial neoplasms. In this book Elvio G. Silva demonstrates that ovarian cancer is a hormone-related neoplasm, and the dissemination of the tumor in the peritoneum, in most cases, represents multicentric disease. In addition to the traditional cancer therapies it is necessary to correct the abnormal hormones to improve the prognosis, and probably to prevent this dreadful disease. Emphasis is also placed on understanding embryology as a necessary step to comprehend ovarian cancer. Fere Ex Nihilo presents a refreshingly new approach to tackle an age-old enemy.
Proceedings on Qualitative and Quantitative Psychology - Volume I
Logical reasoning about the semantics of everyday observations leads to a fairly unique low level theory about the self, its spiritual composition, as well as its biophysical background. The kinematical and dynamical framework we end up with is extremely simple and leads to a staggering simple explanation behind a huge variety of everyday observations. It opens in way Pandora's box where classifying people in the quantitative way is within reach.
Prevalence of Septicemia and Various Markers in Hemodialysis Patients
This book explores the prevalence and levels of various hematological and biochemical markers in patients with septicemia undergoing hemodialysis. It focuses on key parameters such as Red Cell Distribution Width (RDW), platelet count, total leukocyte count, neutrophil count, C-reactive protein (CRP), parathyroid hormone (PTH), and uric acid. The study provides an in-depth analysis of how these markers correlate with septicemia in the context of hemodialysis treatment. By examining these critical markers, this book aims to contribute valuable insights into the diagnostic and clinical management of septicemia, improving patient outcomes and advancing medical knowledge in this specialized area.
Complex Regional Pain Syndrome
Complex Regional Pain Syndrome (CRPS) is a debilitating and difficult-to-treat condition characterized by excess and prolonged pain and inflammation. Although CRPS can occur anywhere in the body following an injury or other medical event, it usually affects an arm, leg, hand, or foot. Our understanding of this condition is evolving rapidly, but treatment of CRPS requires skillful assessment and up-to-date knowledge. Part of the "What Do I Do Now? Pain Medicine" series, Complex Regional Pain Syndrome presents 11 high-yield clinical cases to cover a broad spectrum of CRPS including epidemiology, diagnosis, differential diagnoses, pathophysiology, conventional and interventional management, choices of neuromodulation, ketamine infusion, spread and prevention, CRPS in pediatric patients, and adjuvant and emerging therapies. This book is an ideal pocket guide for those who are looking for the essentials and advancements needed to manage CRPS.
COVID-19 infection in healthcare workers
During the covid-19 pandemic, healthcare workers represent the population most at risk of contamination by SARS-COV 2. Healthcare professionals are still on the front line in the fight against the covid-19 pandemic. Covid-19 infection among healthcare personnel poses a real problem in health facilities, with absenteeism among infected staff having a knock-on effect on better patient care. Rigorous application of protective measures and vaccination remain a necessity in order to protect our healthcare workers.
Fundamentals of Epidemiology
This book explores the fundamental principles of epidemiology, providing a comprehensive foundation for understanding essential concepts, causal relationships and practices in epidemiology. It is aimed at students, researchers and public health practitioners who wish to deepen their knowledge of epidemiological methods and their application in a variety of settings. Focusing on theoretical foundations, analysis of causality and integration of practices, this book guides the reader through the evolution of the discipline and contemporary challenges.
Pocket Guide to Teaching for Clinical Instructors
New edition of the popular guide to the practical aspects of teaching and fundamental learning principles in clinical practice Pocket Guide to Teaching for Clinical Instructors contains theoretical input on all the modalities of teaching and assessment required for life support training through the Advanced Life Support Group and Resuscitation Council UK blended learning approach. This guide does not attempt to provide a blueprint for teaching--rather, it gives advice about the basics, which can be adapted to your personality and creativity. This Fourth Edition has been thoroughly revised and updated to reflect the latest in the evolution of education methods applicable to provider courses. The text is relevant to a 21st century audience and graphics have been introduced to make the materials more readable, applicable, and accessible. Written by a team of highly experienced educators, Pocket Guide to Teaching for Clinical Instructors Takes an evidence-based approach to how our brains manage and process information in order for learning to occurProvides a structured approach to teaching the different modalities used on the courses: lectures, skill stations, scenarios, workshops, debriefing as a learning conversationExplores neurodiversity, psychological safety, cognitive load, non-technical skills, and inclusive teaching Discusses blended learning, the wider role of the instructor and the variety of approaches to assessment Pocket Guide to Teaching for Clinical Instructors is a concise, practical guide for anyone interested in teaching healthcare professionals in any context. Advanced Life Support Group (ALSG), Manchester, UK. ALSG's medical education & training programs improve outcomes for people in life-threatening situations, anywhere along the health care pathway, anywhere in the world. As a charity, ALSG invests all profits in educational resources and partners with the most effective and respected organizations worldwide to develop exceptionally high-quality programs. ALSG education quality is verified, accredited, and internationally recognised as 'best in class'. Resuscitation Council UK (RCUK) is the UK's leading authority on resuscitation practice and has a strong international reputation. RCUK develops the UK's evidence-based resuscitation guidelines, provides training and education for healthcare professionals and the public, and supports research to improve resuscitation techniques and outcomes. RCUK champions public awareness about the importance of CPR and defibrillator use and campaigns for policies and legislation that promote quality improvement initiatives to enhance resuscitation efforts and survival rates. RCUK is dedicated to ensuring that everyone in the country has the skills they need to save a life.
Nutrition and Metabolism
The book "Nutrition and Metabolism. A comprehensive multiple-choice questions book with answers" is crafted especially for students and professionals eager to deepen their understanding of nutrition and metabolism through focused practice. This book is structured as a comprehensive question bank, offering a range of multiple-choice questions (MCQs) that cover core principles, essential processes, and applied knowledge in nutrition and metabolism. The primary goal of this book is to serve as a practical resource for exam preparation and knowledge reinforcement. With questions designed to challenge, clarify, and build on foundational concepts, students and professionals can actively engage with the material, test their understanding, and identify areas for improvement. These exercises cover critical topics from nutrient metabolism to biochemical pathways and provide a dynamic approach to mastering this complex field. Whether preparing for exams or seeking to enhance practical knowledge, readers will find this book a valuable companion. As students or professionals work through these questions, they'll gain confidence and competence, empowering them to succeed in their knowledge.
Surgical revascularization and left ventricular dysfunction
Immerse yourself in the world of coronary artery bypass surgery with this clinical study that explores in depth the challenges faced by patients with reduced left ventricular ejection fraction. This research sheds light on the critical issues of this procedure, revealing how patient preparation and selection can influence the course of care.Through rigorous analysis and insightful observations, this book examines risk factors, potential complications and implications for clinical practice. It offers valuable insights into how a personalized approach can improve outcomes for these vulnerable patients.Aimed at healthcare professionals, researchers and families affected by heart disease, this book provides essential knowledge to better understand the realities of cardiac surgery. Discover how this clinical study is helping to transform lives and guide future medical practice.
Heart Health
The heart is a marvel of nature, tirelessly working to sustain life by pumping blood throughout the body. Yet, in today's fast-paced world, maintaining heart health is becoming increasingly challenging. Stress, unhealthy eating habits, lack of exercise, and inadequate sleep all take a toll on this vital organ. Understanding and protecting your heart is not just a medical concern-it's a personal responsibility.This book, Heart Health: Simple Tips for a Stronger Heart, is designed to provide you with straightforward, practical advice to improve your cardiovascular well-being. It's not about complex medical jargon or overwhelming strategies. Instead, it's a guide filled with easy-to-follow tips that anyone can incorporate into their daily life. From nutrition and exercise to stress management and lifestyle changes, each chapter offers insights that empower you to take control of your heart health.Whether you are looking to prevent heart issues, support recovery, or simply lead a healthier lifestyle, this book serves as a quick reference and an inspiring companion. Remember, small steps today can lead to a lifetime of benefits.
Evaluation and diagnosis of trigger points in physiotherapy
This book offers a comprehensive, multidimensional exploration of myofascial trigger points, one of the most common and often underdiagnosed causes of musculoskeletal pain. From their definition and pathophysiology to advanced methods of assessment and treatment, it provides a comprehensive overview that is essential for healthcare professionals. Trigger points, described as palpable nodules in the musculature, not only affect the quality of life of millions of people, but also pose a significant challenge in their diagnosis and treatment. Through an interdisciplinary approach, the importance of manual therapies, therapeutic exercises and treatment, as well as the management of psychological and emotional factors that can influence pain, are addressed. This book not only seeks to provide practical, evidence-based tools for the management of trigger points, but also invites readers to reflect on the evolution of therapeutic techniques and the need for a personalized approach to treatment. With an eye toward the future, advances in research and methods are highlighted.
Lumbo-aortic curage in pelvic gynaecological cancers
The role of lumbo-aortic curage is a hotly debated topic, due to the complexity of the procedure and the complications that can arise, both during and after the operation. It is crucial to identify the factors limiting this procedure and to assess its impact on the prognosis of patients with pelvic gynecological cancers. A retrospective study of 85 patients operated on at Ben Arous Hospital over a 19-year period revealed that factors such as obesity, complications during pelvic curage, type of cancer, and surgeon experience influence the performance of lumbo-aortic curage. Although this procedure is associated with complications, it significantly improves recurrence-free survival at 3 years. In conclusion, despite the technical challenges and associated risks, lumbo-aortic curage, when performed, appears to offer a survival benefit.
Biopsychosocial model as an interdisciplinary approach strategy
Orphan diseases, also known as rare diseases, are medical conditions that are usually chronic, debilitating and, in many cases, lack specific treatments due to their low prevalence, affecting a very limited number of people compared to the general population. The aim of this study was to analyze which rehabilitation processes, intervention and biopsychosocial models are most applicable to people suffering from orphan diseases. This book is the result of the work of professors from the Universidad Metropolitana de Barranquilla/Colombia and their work at the Fundaci籀n Centro Educativo de habilitaci籀n y Rehabilitaci籀n Integral San Camilo (Ce Camilo).
Clinical Communication Skills in Medicine
This book takes readers through forty-five challenging scenarios to teach communication skills in medicine. It follows the revised format of the Practical Assessment of Clinical Examination Skills (PACES) exam conducted by the Royal College of Physicians in the UK, which tests communication skills twice in two separate stations. Most scenarios in this book have been created in an acute medical unit setting. Being fully dialogued will improve the clinical communication skills of young doctors, senior medical students, nursing staff, and trainees in internal medicine and general practice at all levels, preparing them for the new format of MRCP PACES. Readers will learn: How to convey abnormal test results and break bad news How to discuss the diagnosis of a chronic disease and negotiate a management plan How to communicate with patients who pose an ethical dilemma How to communicate with challenging patients and relatives What to tell patients or relatives when things go wrong How to communicate with patients and relatives regarding end-of-life issues Key Features: Takes readers through a simple step-by-step approach to skillfully dealing with common challenging communication scenarios they face in their daily practice Guides readers on how to communicate in layman's terms without using medical jargon, as it is fully dialogued, proving particularly helpful to non-UK candidates, whose first language is not English Simplifies several complex ethical and medicolegal principles, such as treatment of patients lacking capacity, dealing with patients who refuse consent, confidentiality, counselling a non-compliant patient, basic genetic counselling, management of patients who demand non-indicated investigations or treatments, open disclosure after a medical error, preparing an advance decision and lasting power of attorney, issues around brain death and organ donation, tube feeding, Do Not Attempt Resuscitation orders and referral to the coroner
Clinical Communication Skills in Medicine
This book takes readers through forty-five challenging scenarios to teach communication skills in medicine. It follows the revised format of the Practical Assessment of Clinical Examination Skills (PACES) exam conducted by the Royal College of Physicians in the UK, which tests communication skills twice in two separate stations. Most scenarios in this book have been created in an acute medical unit setting. Being fully dialogued will improve the clinical communication skills of young doctors, senior medical students, nursing staff, and trainees in internal medicine and general practice at all levels, preparing them for the new format of MRCP PACES. Readers will learn: How to convey abnormal test results and break bad news How to discuss the diagnosis of a chronic disease and negotiate a management plan How to communicate with patients who pose an ethical dilemma How to communicate with challenging patients and relatives What to tell patients or relatives when things go wrong How to communicate with patients and relatives regarding end-of-life issues Key Features: Takes readers through a simple step-by-step approach to skillfully dealing with common challenging communication scenarios they face in their daily practice Guides readers on how to communicate in layman's terms without using medical jargon, as it is fully dialogued, proving particularly helpful to non-UK candidates, whose first language is not English Simplifies several complex ethical and medicolegal principles, such as treatment of patients lacking capacity, dealing with patients who refuse consent, confidentiality, counselling a non-compliant patient, basic genetic counselling, management of patients who demand non-indicated investigations or treatments, open disclosure after a medical error, preparing an advance decision and lasting power of attorney, issues around brain death and organ donation, tube feeding, Do Not Attempt Resuscitation orders and referral to the coroner
Clinical Teaching in Canadian Nursing
As a practice-based profession, clinical learning experiences play an important role in supporting nursing students toward developing the knowledge, skills, and attitudes they need to work in a wide range of practice settings and specialty areas. The role of the clinical instructor is to facilitate students' progress and to prepare them to meet entry-to-practice competencies. To fulfil that role, clinical instructors need to extend their expertise as practitioners to also become effective educators. They must demonstrate a comprehensive understanding of the curriculum students are required to follow at both the program and course level. They must also understand the policies, procedures, and everyday tasks implemented in the clinical areas where they teach students. As key members of both academic communities and practice communities, clinical instructors are required to establish collaborations among their students, their faculty colleagues, and the health professionals they encounter in clinical placements. Straddling the complexities of being a clinical instructor is not easy. This innovative text provides essential theoretical and practice-focused information for clinical instructors teaching in nursing programs in Canada as they learn to navigate this multifaceted role. Written by experts in clinical teaching from across Canada, this textbook will be of value to both those new to clinical instruction and those who have years of experience but are interested in continually improving their pedagogical knowledge and skills. Topics range from the historical context of practice-based learning to clinical teaching in various settings including acute care and community. The role of the clinical instructor, the pedagogy of clinical teaching, clinical judgment and reasoning in the clinical setting, and clinical evaluation are all discussed. Finally, the legal and ethical dimensions of clinical instruction are reviewed, and case examples are provided. This content reflects the Canadian Association Schools of Nursing's standards for excellence for undergraduate clinical instructors. Throughout the book, emphasis is placed on the positive impact an educator's own commitment to lifelong learning can have on the clinical instructor's role.
Prognostic factors for gastric cancer in Tunisia
Stomach adenocarcinoma is a serious disease, accounting for 90% of all malignant tumors of the stomach. It is the 5th most common cancer in the world, with over a million new cases each year. According to the national cancer registry (Nord-Tunisie; 2004-2006), stomach cancer ranks 6th in men and 7th in women.Our study is conducted through a retrospective series of 56 patients diagnosed with gastric adenocarcinoma from 2015 to 2020 in the Nabeul gastroenterology department (HTMN).The aim of our work was to study the epidemiological profile and prognostic factors of gastric cancer in our center.
Bronchiolitis obliterans in children
The aim of our work was to describe the clinical and paraclinical profile of children followed for obliterative bronchiolitis and to assess the impact of our management on their prognosis. Descriptive cross-sectional study including 18 children followed for obliterative bronchiolitis between January 2013 and December 2021. Mean age was 9.6y [3-17y] with a male predominance (gender-ratio=1.5). Bronchiolitis obliterans were post-infectious in 33% of cases and post-bone marrow transplant in 67%. Eight children were in chronic respiratory failure. All patients were on inhaled corticosteroids combined with bronchodilators in 77% of cases, anti-leukotrienes in 33% and macrolides in 72%. The mean duration of follow-up was 51 months. The average number of hospitalizations was 2.38 per year. The evolution was marked by weaning from long-term oxygen therapy in two children, stability in seven, worsening in six, and two deaths. Bronchiolitis obliterans is responsible for significant morbidity and mortality.
Failure of non-invasive ventilation in covid patients 19
Covid 19 is characterised by an epidemiological evolution in successive waves. We conducted a descriptive, retrospective, monocentric study in the emergency and intensive care unit of the Habib Thameur Hospital in Tunis, over a period of six months. We included patients with a critical COVID 19 infection who had been hospitalised for more than 48 hours, were over 18 years of age and required non-invasive ventilatory support. The risk factors for mortality failure were: age greater than 61 years (p=0.001), IGSII> 28 points, inspired O2 fraction >60% (p=0.003), inspiratory support greater than 11 (p=0. 025), a positive expiratory pressure greater than 9 (p=0.004), recourse to invasive mechanical ventilation (p
Textbook of Pathologic Anatomy
This book introduces the basic knowledge about pathologic anatomy, which covers the the etiology, pathogenesis, pathological changes and outcomes of diseases. It will help the student to understand and master the nature of various diseases and the theories in occurrence and development.This book consists of 18 chapters, including 6 chapters in general pathology and 12 chapters in systematic anatomy. In each chapter, it starts from the most important 'Key Concepts' to learn, which will guide the student during the learning stage and review stage.This book is a useful textbook for graduate and undergraduate students in medical schools, including MBBS (Bachelor of Medicine and Bachelor of Surgery) student.
MR Imaging of the Hip, an Issue of Magnetic Resonance Imaging Clinics of North America
In this issue of MRI Clinics, guest editor Dr. Jenny T. Bencardino brings her considerable expertise to the topic of MR Imaging of the Hip. Top experts in the field provide a comprehensive look at major issues with the hip, beginning with an update on imaging the hip and including articles on anatomy, artificial Intelligence, young adults, stress injuries, impingement syndromes, and many more.Contains 15 relevant, practice-oriented topics including an update on MRI techniques of the hip; artificial intelligence applications in MRI of the hip; diagnostic evaluations of stress injuries of the hip using MRI; MRI of the hip: infectious and inflammatory conditions; MRI of tumors and tumor-like conditions of the hip; and more.Provides in-depth clinical reviews on MR Imaging of the Hip, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Chest trauma in Africa
Chest trauma is the second leading cause of trauma-related mortality worldwide. Their incidence is rising rapidly in Sub-Saharan Africa. Their management is complex, especially in a difficult context. The aim of this study was to describe current treatment modalities for thoracic injuries in two referral hospitals in Yaound矇, Cameroon. To this end, we conducted a cross-sectional study of 358 patient records admitted for thoracic trauma from January 1, 2016 to December 31, 2020 at the Centre Hospitalier et Universitaire de Yaound矇 (CHUY) and the Centre des Urgences de Yaound矇 (CURY). Statistical analysis was performed using SPSS 23.0 and MS Excel 2019. Of the 358 cases collected, 83% were male and 17% female, with a sex ratio of 5H/1F. The median age was 30 [23-40] years, with extremes of 1 and 96 years. The annual hospital frequency of thoracic trauma was 16.5%, with a peak in 2019. The mode of transport (93.6%) was very often non-medical. Pulmonary contusion (65.3%) was the main injury. Treatment was mostly conservative (70%). The overall mortality rate was 13.6%.
Cancer Diagnosis and Memories of a Pathologist
This book is a memoir that tells stories taken from the life of a pathologist in the course of 42 years of practice in academic centers and community hospitals, with special attention to cancer diagnosis. Some stories are about the events associated with training the residents in pathology, or they reveal the mysteries of basic science research with occasional aberrations in scientific publications. There are episodes from 25 years of directorship in a hospital Department of Pathology and in private clinical laboratories. The memoir also speaks of interesting social encounters, with observation of certain attitudes in a segment of society. There are also comments about the great changes in medical practice over the past fifty years, changes which transformed medicine into "healthcare" and introduced the concept of "managed care", a system where the physician has become an employee controlled by business managers who often limit the time that is allowed for a patient visit.
Pain management in physiotherapy using dry needling
This book offers a comprehensive approach to pain management in physical therapy through the technique of dry needling applied to the lower limb. Dry needling is an effective intervention that targets myofascial trigger points, which are responsible for causing pain and dysfunction in the lower extremity musculature. Throughout the book, the theoretical and scientific basis for this technique is explored, as well as its practical application in a variety of clinical conditions.Detailed guidance on trigger point identification and dry needling integration is presented. In addition, illustrations are presented detailing how to perform the dry needling technique, demonstrating its effectiveness in improving functionality and reducing pain. This book is aimed at physical therapists and health professionals interested in expanding their therapeutic tools for the treatment of pain in the lower limb, thus promoting quality care based on scientific evidence.
Prehospital & Emergency Ultrasound
This compact text provides both a logbook for those developing their skills in medical point-of-care ultrasound (PoCUS) and a selection of quick guides for clinicians utilising ultrasound diagnostically or procedurally at the patient's side. Reflective case study templates are provided to facilitate documentation of the major scanning protocols to demonstrate learning and progression in relation to entrustment and competency. The following scanning protocols and techniques are included: eFAST, AAA, Vascular Access, Echo in Life Support, IVC, ONSD, Nerve Block, RUSH andthe Rapid DVT Protocol.
Renal Pathology Express
Renal Pathology Express: An Essential Companion for a Nephrologist is a comprehensive collection of 75 clinical cases and over 300 renal pathology images designed to help nephrologists identify various pathological entities. It also familiarizes clinicians and trainee pathologists with the terminology and definitions used in reporting native and allograft kidney biopsies. The first chapter outlines the pathologist's expectations from nephrologists during biopsy procedures and specimen transportation. This chapter aims to improve diagnostic accuracy and report quality by detailing the steps and time required for tissue processing. Despite its comprehensive coverage of both common and rare pathological entities, the book is named " EXPRESS" for it's user-friendly navigation. It's case presentation format makes it interesting, engaging, and practical for busy clinicians and pathologists. This book allows clinicians to gain a microscopic view of kidney pathology in correlation to the clinical presentation and enables pathologists to understand the clinical scenarios related to the pathology they observe under the microscope. Drawing from the author's extensive experience and expertise in renal pathology reporting, this book also extracts valuable insights from exhaustive textbooks, presenting them in an accessible and concise manner.*Renal Pathology Express: Comprehensive Learning Tool for Nephrologists and Pathologists*Key Features: 1. 75 Clinical Cases2. Over 300 Renal Pathology Images3. Microscopic view of native and allograft pathology correlating with clinical presentations4. Familiarise trainees with kidney biopsy terminology and definitions5. Pathology Pearls in each topic highlight the hidden information in exhaustive textbooks and additional workup for complex cases
Teaching from the patient management problem
Abstract Introduction: The PMP is a pedagogical tool developed́ from the mid-1960s in the United States. The aim of this work was to evaluate the impact of learning with the PMP in practical nephrology teaching, as well as learners' perceptions of the value of the PMP in learning and assessment. Methods: We conducted a prospective evaluative study in the nephrology department of Mongi Slim la Marsa Hospital. We included DCEM2 externs. We prepared a PMP in electronic format on the management of threatening hyperkalemia in the chronic hemodialysis patient. The teaching session included a briefing phase, followed by the pre-test, the individual PMP session, the group debriefing phase, the post-test and the satisfaction questionnaire.Results: Thirty students participated in the study. All students combined, 83% scored average on the PMP assessment. The PMP led to a significant improvement in test scores, and consequently to the acquisition of new knowledge.
Physiotherapeutic treatment by dry needling
Dry needling is a technique used in physical therapy to treat myofascial pain by inserting fine needles especially into myofascial trigger points. These trigger points are hyperirritable areas within tight bands of muscle that cause referred pain and dysfunction. Dry needling treatment seeks to release muscle tension, improve local circulation and reduce pain.In the upper limb, this technique is frequently used in pathologies such as rotator cuff tendinopathies, epicondylitis, carpal tunnel syndrome, among others, achieving a significant improvement in mobility and functionality. The procedure is precise and requires a deep anatomical knowledge to avoid sensitive structures such as nerves or blood vessels. Dry needling is an effective option within a comprehensive physiotherapy approach, complementing other manual techniques and therapeutic exercises.
Hereditary diseases Clinical cases
This Manual has been designed as an aid for nephrology students. It aims to facilitate their understanding of the mechanisms underlying the disease and its consequences. It provides a general overview of current information on inherited renal diseases, with particular emphasis on the diagnosis and management of hereditary overload renal disease and metabolic disease. The expected results offer hope of further progress in the future.
Factors predicting the success of intrauterine inseminations
Intrauterine insemination (IUI) is a simple method of assisted reproduction often used for unexplained infertility, but its results are sometimes disappointing. A 4-year retrospective study in Tunis examined 196 infertile couples to identify factors predictive of IUI success. With 328 cycles analyzed, the clinical pregnancy rate was 15.2%. Women with polycystic ovary syndrome had the best pregnancy rates (35.1%). Factors influencing success included duration of infertility, basal FSH level, sperm quality and quantity, and endometrial thickness. The results suggest that taking these parameters into account could improve the chances of IUI success.
Urinary tract infection in newborns
Urinary tract infection of the newborn is a particular entity which is characterized by its non-specific, often misleading clinical symptoms and its frequent association with malformative uropathy. UTI of the newborn is a condition that requires prompt medical attention due to its potential to cause severe complications. Early recognition of symptoms, accurate diagnosis and appropriate treatment are essential to preserve the renal and general health of the newborn. Prevention through good hygiene and monitoring of newborns at risk also helps reduce the incidence of this infection. In short, a proactive and systematic approach is crucial to guarantee the well-being of the youngest patients.Urinary infection remains a worrying pathology in newborns. Knowing how to prevent it and treat it in time helps reduce its morbidity and mortality.
Nephropathy associated with contrast media
Iodinated contrast nephropathy (ICN) is increasingly encountered in interventional cardiology. It is the third most common cause of acute renal failure in hospitals, after functional renal failure and drug-induced causes. It is a formidable complication that can hamper clinical prognosis and make subsequent management of patients more difficult. Several factors can predict the occurrence of this entity. The aim of this study is to identify factors predictive of the occurrence of nephropathy associated with iodinated contrast media in cardiology.Methodology: This is a retrospective study of 133 patients investigated by coronary angiography or treated by coronary angioplasty in the cardiology department of Mongi Slim Hospital over a 3-month period between April and June 2023.
Berger’s disease
IgA nephropathy (IgAN) is the most common primary glomerulonephritis worldwide. It is characterized by variability in its clinico-biological, histological and evolutionary manifestations. We conducted a retrospective descriptive, analytical and comparative study in the Department of Internal Medicine A at Charles Nicolle Hospital, Tunis, from 1992 to 2021. The study included all patients with primary IgA nephropathy confirmed by renal biopsy.Two hundred and thirteen patients were included. The mean age at diagnosis was 34簣12 years.
Chronobiology and glycemic balance in type 1 diabetics
Chronobiology is the science of biological rhythms. It is constantly expanding its areas of application in the medical field, despite the fact that it has not yet been fully integrated into everyday practice.The aim of our study was to compare the results of empirical and chronobiological glycemic control in type 1 diabetics at the Marc Sankal矇 Center (Dakar).A prospective, cross-sectional study was conducted over a 6-month period. It included type 1 diabetic patients being monitored and educated in insulin therapy. A survey form was used to assess capillary blood glucose values, control times and insulin dose injected.The first step was for the patient to record his or her daily fasting capillary blood glucose at his or her usual blood glucose control times over a one-month period.Then, this same control was carried out according to a chronobiological rhythm, i.e. between 8 a.m. and 10 a.m. (the time interval when the acrophase of the glycemic rhythm occurs).
Forensic Pathology
The field of forensic pathology has progressed from its roots in antiquity, with the first documented medicolegal autopsy being performed on Julius Caesar following his murder, to modern day, where it includes molecular autopsy and post-mortem imaging. This evolving field of medicine excites the imaginations of the public, media and physicians. This book provides a comprehensive, state-of-the-art review of this field and contributes to areas that are largely ignored by forensic pathology textbooks. These topics include: death investigation bioethics, principles of courtroom testimony, and the negative medicolegal autopsy.Forensic Pathology serves as a very useful guide for practicing pathologists, trainees, forensic nurses, and clinicians, as well as lawyers, judges and police with an interest in forensic pathology. This book functions as a concise and comprehensive summary of the current status of the field of forensic pathology.
Mammary tuberculosis
Mammary tuberculosis is a rare form of extra-pulmonary tuberculosis, even in endemic regions, representing only 0.06% to 0.1% of all tuberculosis cases. It is often confused with a malignant tumour because of its clinical and radiological similarities, and mainly affects women of childbearing age. Diagnosis is based on bacteriological and histopathological evidence, and treatment is mainly based on anti-tuberculosis drugs. Sometimes surgery is required.A literature review was carried out using the PubMed, Google Scholar and Web of Science databases. The search terms used were 'tuberculosis' and 'breast', and studies published up to 2023 in English and French were included.
Intermittent Fasting effects on Human Gastrointestinal Microbiome
Recent studies indicate that intermittent fasting promotes metabolic homeostasis by shifting the body's energy source from glucose to triglycerides, enhancing mitochondrial function, lowering insulin levels, and supporting weight loss. This metabolic switch helps preserve muscle mass, improve body composition, and increase fat mobilization through fatty acid β-oxidation This review aims to assess the impact of IF on gut microbiota by integrating multi-omics analysis, with the goal of exploring personalized dietary interventions based on individual differences in microbiota.
Electrolyte Disorders in a Group of Hospitalized Patients
The aim of this book is to describe electrolyte disorders in a group of hospitalized HIV-infected patients in the city of Bamako. We conducted a retrospective analytical cross-sectional study in the infectious diseases department of the CHU du Point G, from 1 January 2011 to 31 December 2016. Our study parameters were ionogram results during hospitalisation. One hundred and twenty-six patients living with HIV who had a blood ionogram during hospitalisation were included. The mean natraemia value was 133.06簣12.16 mmol/l and the mean kalaemia value was 3.89簣1.15 mmol/l, with extremes of 83.00 and 166.00 mmol/l and 1.60 and 9.00 mmol/l respectively. The electrolyte disorders found were hyponatraemia (41.2%), hypokalaemia (12.7%), hypernatraemia (7.8%), hyperkalaemia (2.9%) and associated disorders (35.3%). Statistically significant associations were found between these disorders and certain events that occur frequently in HIV-infected patients. Electrolyte disorders are common in patients living with HIV.
Children suspected of being allergic to beta-lactam antibiotics
Many patients are falsely said to be allergic to betalactam antibiotics, with all the attendant restrictions. The aim of this study was to investigate the characteristics of children with suspected betalactam allergy, and to outline the diagnoses used. It was a cross-sectional, descriptive study of children suspected of being allergic to betalactam antibiotics. It involved 38 children. Typical urticaria was diagnosed in (52.6%). Typical maculopapular exanthema was noted in (18.4%). According to the B矇gaud score, chronological imputability was doubtful in N=18 patients (47%).Differential diagnoses were evoked in cases of doubtful semiological imputability (S1), such as infection N= 21 (55%), allergy to other concomitant treatments N=4 (10.5%), food allergy following seafood consumption N=2 (5.26%), and chocolate-induced histaminoliberation (2.6%). This study serves as a reminder of the possibility of alternative diagnoses other than allergy in the paediatric population, and encourages paediatricians to re-prescribe them after the pharmacovigilance survey.
Anesthesia in Shocked Patients
The aim of this work was to describe the epidemiological profile, means and methods of anesthetic management of shocked patients in the context of obstetric and digestive emergencies. We carried out a retrospective and descriptive study on the records of patients operated on for obstetric and digestive emergencies, during the period from January 1, 2011 to January 31, 2012 at the Yaound矇 Gyneco-obstetric and Pediatric Hospital. The number of patients included in the study was 144. The essential pathologies that caught our attention were listed and categorized. For obstetric emergencies, these were: ruptured ectopic pregnancies, haemorrhagic placenta previa and retroplacental haematomas, haemostasis hysterectomy, uterine rupture and haemoperitoneum. Digestive emergencies included intestinal occlusions and peritonitis. GEUR was the main pathology likely to induce hemodynamic instability. Half the patients were between 25 and 35 years of age.
Urinary incontinence
Urinary continence is the result of a balance between intra-vesical and urethral pressures.The International Continence Society (ICS) defines urinary incontinence as the involuntary and disturbing loss of urine.The layout of the pelvic floor explains why the consequence of childbirth is muscular trauma.We began by looking at the onset of postpartum urinary incontinence, perineal rehabilitation and the moments of exchange women enjoy during pregnancy and the postpartum period. Then, we developed and conducted 70 questionnaires with 70 deliveries in the postpartum services at AZIZA OTHMENA Hospital between February 10, 2014 and March 10, 2014 and a second questionnaire with 30 midwives to assess their knowledge about urinary incontinence and perineal rehabilitation.Midwives are primary care professionals, now responsible for women's reproductive health. Knowledge of the perineum and its physiology should be assessed at every consultation, and may or may not lead to pelvic-perineal education sessions.
