A survey of acute gastro-enteritis in general practice.
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Biomedical subjects
Publications and source records attributed to G B Smith.
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Duodenal diverticula are common and usually considered to be incidental findings. However, they may cause significant patient morbidity due to inflammatory or pressure effects and may be mistaken for pancreatic pathology on CT. We correlated the CT and upper gastrointestinal series appearance of duodenal diverticula in 14 patients, including two patients in whom erroneous diagnoses of pancreatic pseudocyst and pancreatic abscess were suggested based on CT findings. The duodenal diverticulum was visualized on CT in 10 of 14 patients (71%). The CT appearance was variable, with some diverticula containing air, fluid, contrast medium, or a mixture of the three.
Falls among elderly people living in the community are costly for all concerned in both monetary terms and quality of life. Faculty and students in a nurse-managed clinic in partnership with elderly residents of a public housing unit were able to reduce the number of falls from 30% to 3%. Falls were reduced through a preventive plan that included assessment of intrinsic and extrinsic factors that cause falling and interventions for these recognized risk factors.
Epiglottitis is an acute life-threatening infectious condition characterised by local supraglottic inflammation. Although it is predominantly a disease of childhood, it occurs in all age groups. The risk of sudden complete airway obstruction necessitates careful monitoring, prompt responses and clinical expertise in airway management.
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The nurse case manager role is continually evolving. Case managers are being challenged to perform new functions. There are few articles concerning orientation programs for case managers. This article provides a successful orientation program and clinical orientation schedule for a unique unit-based nurse case manager/educator role. The orientation program is outlined based on the four competency domains of the nurse case manager/educator clinical expertise, resource management, staff education, and patient/family education. Program topics and an orientation schedule are provided.
The pressures to contain cost, reduce resource consumption, and articulate outcomes will continue in psychiatric-mental health care. Case management and critical pathways focused on outcome management are systems and tools used to provide care in a cost-effective manner while maintaining the quality of patient care.
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