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.
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.
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.
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.
Clinical Communication Skills in Medicine
Do you know what to tell a patient with newly diagnosed cancer who asks how long he has left to live? This book contains forty-five scenarios in the format of the Practical Assessment of Clinical Examination Skills (PACES) exam. For medical students, trainees in internal medicine and general practice at all levels.
Clinical Communication Skills in Medicine
Do you know what to tell a patient with newly diagnosed cancer who asks how long he has left to live? This book contains forty-five scenarios in the format of the Practical Assessment of Clinical Examination Skills (PACES) exam. For medical students, trainees in internal medicine and general practice at all levels.
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 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.
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.
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.
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
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.
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
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.
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.
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.
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.
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.
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.
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.
Nurses' Attitude towards Adolescent Sexuality
Adolescence, which means "maturing into an adult", in today's thinking encompasses a combined action in which adolescents experience the demands and opportunities that affect their psychological, social and maturational development, which begins at puberty. The essence of puberty and the development of the sexual organs and reproductive capacity are experienced by adolescents as the emergence of a new role, and where there is a search for affective relationships. Sexuality is a relevant manifestation in adolescence, it is a phase of more intimate and affective discovery of the other and the creation of new sentimental bonds.The nurse has an incomparable role as an educator, counselor and respecter of adolescents in their experience of sexuality. It is essential to identify the importance of sex education as one of the methods that influences the way adolescents experience adolescence. The socializing role of nurses is crucial when it comes to understanding how adolescents behave with regard to their sexuality, in order to teach them, welcome them and intervene in order to make it easier for them to experience their sexuality in an informed, enjoyable and responsible way.
Contemporary Anaesthetic Equipments.
This version has been thoroughly edited and updated to reflect the most recent equipment's used in Anaesthesia Practice. A must-have for anesthetists, the book is extremely comprehensive, educational and practical with pictorial representations for anesthesia trainees, Contemporary Anaesthetic Equipment's. An Aid for Healthcare Professionals is a priceless resource for all those who work with anaesthetic equipment, including anaesthetic and intensive care nurses and operating department practitioners. The book should appeal to readers since it is well-organized and simple to read.
Maternal-fetal streptococcal B infection
Maternal-fetal infection with streptococcus B (or Streptococcus agalactiae) represents a major clinical challenge during pregnancy, for both mother and newborn. This pathogen, often present asymptomatically in the mother's genital tract, can be transmitted to the fetus during delivery, leading to serious complications such as neonatal sepsis, meningitis or pneumonia. To prevent these complications, screening and prophylactic treatment strategies are crucial. Routine screening of pregnant women for streptococcus B, usually between the 35th and 37th week of pregnancy, can identify asymptomatic carriers. In the event of a positive test, intravenous antibiotic prophylaxis during labor is usually administered to reduce the risk of transmission to the newborn. Proper management of this infection requires a multidisciplinary approach, involving obstetricians, pediatricians and infectious disease specialists, to ensure optimal care for both mother and baby.
Cutaneous Flaps in Head and Neck Reconstruction
It is said, "fear in surgery is fear of anatomy." Unfortunately, there is a chasm between the anatomy learned in the traditional way and what we see during surgery. The aim of this work is to offer the means to resolve this in a comprehensive way by bridging relative anatomy straight to the surgical use of cutaneous flaps in head and neck reconstruction, which is not normally found in a single text. Cutaneous local and regional flaps still remain a basic tool in the armamentarium of surgeons coming from different specialties that work in the head and neck area. These flaps are used even for very large defects, despite the ever-growing utilization of free flaps due to the fact that they are time-consuming, not cost-effective, do not require special microsurgical training, and represent the first choice of surgeons. This book is organized in chapters according to the anatomic areas, which represent the various donor sites from which flaps are derived and used in head and neck defects. These donor sites are present separately in each chapter of the book and include: scalp, temple, posterior neck, forehead, nose, cheek, lips, chin, auricle, anterior neck, and deltopectoral region.
Kowalczyk’s Pathology for Imaging Technologists
Get the essential information you need to master radiographic pathology! Kowalczyk's Pathology for Imaging Technologists, Ninth Edition, introduces the pathologic appearance of common diseases as seen in diagnostic imaging. Organized by body system, this reference uses a clear, easy-to-understand approach to discuss anatomy and physiology, the pathologic process, signs and symptoms, diagnosis, and treatment of diseases. It also provides excellent preparation for the radiographic pathology portion of the ARRT(R) credentialing exam.NEW! Information on COVID is added to the Respiratory System chapter and current culture references are incorporated throughoutNEW! Content reflects the latest ARRT and ASRT content specificationsUPDATED! Organization arranges information so technique changes are based on diseaseEssential level of coverage right sized for shorter pathology course presents approximately 150 injuries and abnormalities most frequently diagnosed using medical imaging, with a focus on the pathologic conditions you are most likely to encounter in practiceSummary tables at the ends of chapters provide a quick review of the pathologies covered and the preferred imaging modalities for diagnosisCorrelative and differential diagnosis discussions explain the diagnostic process and demonstrate the importance of high-quality imagesStandard pedagogy includes chapter outlines and objectives, key terms, and multiple-choice and discussion questions for each chapter (answers provided online on Evolve)
Cognitive disorders in adult temporal epilepsy
The aim of our work is to evaluate the presence, importance and type of Cognitive Impairment (CI) in patients with temporal epilepsy (TE) and to study their possible correlations with epidemiological-clinical-radiological data.Methods: We conducted a cross-sectional study over a 6-month period (May-November 2022), including patients followed up for ET. Our patients underwent neuropsychological evaluation, EEG and brain MRI. Results: We enrolled 32 patients with a mean age of 35 years. We found marked CT in the areas of VTI, attention and especially episodic memory (EM). We related the severity of these CTs to socio-epidemiological factors, to the severity of the epilepsy and to the use of Clonazepan. The presence of a temporal lesion of the hippocampal sclerosis type was the most common cause of ME declines. The laterality of the epileptogenic zone characterized the nature of the affected ME. Conclusion: At the conclusion of our work, we emphasize the importance of identifying CTs in order to improve subsequent management and minimize its impact on an often young population.
Adolescent asthma
Asthma is the most common chronic disease affecting adolescents, a period of transition from childhood to adulthood characterized by profound physical, emotional, intellectual and psychosocial changes. During adolescence, asthma is often poorly controlled, with a substantial impact on quality of life and schooling, and a high economic cost.
The impact of COVID-19 on the sex life of pregnant women
Introduction: Mental health is a state of well-being that enables a person to recognize their abilities and cope with the usual problems and stresses of daily life [1].Materials and methods: This is a literature review taking 69 articles published between 1987 and 2022 from pub med, google scolar, google.Results and discussion: During pregnancy, there is a progressive decline in sexual activity, interest and satisfaction. This is linked to changes in sex life, body image, neurological and hormonal systems, as well as psychological and emotional disturbances [12,13]. Women with active and satisfying sexual function have greater emotional satisfaction and better mental health [39]. Sexuality is not limited to intercourse (penetration, coitus), but also to simple gestures such as caressing. Conclusion: it can be said that pregnant women and mothers in the post-partum period, at high risk of mental disorders and sexual dysfunction, are more sensitive to the possible psychological effects of the pandemic.
Dialysis Quality
The aim of this book was to assess the adequacy of haemodialysis in chronic patients undergoing treatment at a private clinic in the midwest of Santa Catarina. This is a cross-sectional, qualitative study. The study comprised 29 patients undergoing haemodialysis through an arteriovenous fistula. Blood samples were collected and sent to the laboratory for urea testing. It was observed that most of the samples showed recirculation rates, either intermediate or high, while the changes observed in the Urea Reduction Rate (URR) and the Kt/V equation were less significant. Gender and age did not significantly affect the increase in the levels of the changes found in the recirculation parameter. It was concluded that, in general, the treatment is being efficient and adequate and that the dialysis adequacy parameters once again proved to be important tools, since they were able to detect the efficiency and/or inefficiency of the dialysis procedure.
Dilated cardiomyopathies in children
CMD is the most common cardiomyopathy in children. Epidemiological data show that it is more common in infants, males and blacks. Looking for parental consanguinity or an affected family member is an important part of the anamnesis. Clinically, it generally presents as acute heart failure. Cardiac ultrasound confirms the diagnosis, showing a dilated heart that contracts poorly. Cardiac MRI is a powerful tool for orienting etiological research and predicting prognosis. CMD in children is classified into primary and secondary CMD. Primary CMDs are hereditary or metabolic in origin, whereas secondary CMDs may be the consequence of a left-sided obstruction, a long-standing left-right shunt, a rhythm or conduction disorder, a birth defect of the coronary arteries, or viral or autoimmune myocarditis. Management is based primarily on treatment of cardiac decompensation. In the case of primary CMD, and in the absence of recovery, heart transplantation is the only hope of life.
Benefits of Nutritional Interventions in South Kivu
In general, the aim of humanitarian nutritional assistance is to save or change lives by providing assistance to victims of humanitarian crises without discrimination.In this book, the author's aim is to assess the benefits of humanitarian nutritional intervention for the vulnerable population of South Kivu in DR Congo. His work involved 630 randomly selected mother-child pairs who had benefited from the nutritional intervention in 63 health areas in the territories of Kalehe, Kabare, Walungu and Uvira.Among these mother-couples, 37% of mothers of MAS-C children (severe acute malnutrition with complications) appreciated the medical treatment more and 85% of mothers of children aged 23-59 months participated more in the cooking demonstration activities (child feeding).In conclusion, the author's work revealed that the capacity building received by mothers was not linked to the sustainability of nutrition activities (p>0.05). On the other hand, there was a statistical link between the nutritional practices of mothers and the medical care received by children (p
Multi-detector CT and traditional coronary angiography
Cardiovascular diseases are the leading cause of death in Brazil and worldwide, and most of these are caused by coronary artery disease (CAD). CAD is an important manifestation of atherosclerosis, which mainly affects the tunica intima of medium and large calibre arteries, thus affecting one, two or three of the epicardial coronary arteries and their branches. The standard for diagnosing CAD is traditional coronary angiography, where cardiac catheterisation is performed, a procedure that can leave sequelae, induce discomfort in the patient and the need for further monitoring and care. With the advent of multi-detector computed tomography (MDCT) devices, cardiac assessment has gained momentum and MDCT coronary angiography is gaining ground and is likely to become the best test for assessing CAD.
Predisposing factors for open fracture infection and score
The aim of this book is not only to describe the aspects that contribute to the appearance of trauma, but also its consequences, where and how it affects society, and, best of all, it addresses the use of a tool that is innovative and of great value to this topic. It is therefore very important for health professionals, as well as for professionals working in public health, social, economic and cultural policies, and for any individual as a source of information on a problem that, although directly related to health, has repercussions in a number of other areas. After carrying out this work and in view of everything I have experienced in my profession, I feel very happy and honoured to have done this work, because I have learned a lot and I know the value of this work for anyone who wants to enjoy the knowledge contained herein. I'm sure it will be a source of great value to put into practice in various areas. Although it is very important for the health area, it can also be a valuable guide for related areas such as social, economic, cultural and political. Enjoy!
Nursing Management
The book "Nursing Management: Theoretical and Technical Fundamentals of Nursing Services Administration" offers a comprehensive and up-to-date guide for nursing professionals who occupy or aspire to administrative and leadership roles. Throughout its fifteen chapters, it addresses crucial topics such as the fundamentals of nursing management, nursing leader competencies, strategic planning, human resource management, and promoting staff health and wellness. It also focuses on the implementation of continuous improvement methodologies such as Lean and Six Sigma, change management, effective communication, and ethics in nursing services management. The book is complemented with case studies and best practice examples, providing practical and evidence-based tools to improve the quality of care and the work environment in healthcare institutions.
