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Biomedical subjects

V J Peters

Publications and source records attributed to V J Peters.

18 recordsLinked to original sources
PubMed1994

Rehabilitation experiences of patients receiving dialysis.

The concept of "rehabilitation" contains physical, psychosocial, and vocational elements. An exploratory study was developed by ESRD Network 18 regarding patient rehabilitation experiences in Southern California. A questionnaire was developed, and data collected from 248 randomly selected work-eligible ESRD patients in the network. Results showed relatively few significant differences between employed and unemployed ESRD patients in terms of demographics, and on many aspects of physical function, psychosocial adaptation, and vocational rehabilitation potential. However, unemployed patients reported lower energy levels, less stamina for working, greater benefits for not working, and problems with vocational rehabilitation programs. Unemployed patients also had more negative attitudes about achieving life goals and former job experiences. To help patients overcome barriers to rehabilitation, facility staff can focus on management of ESRD complications, assisting patients with support groups, connecting patients to rehabilitation resources early, and encouraging employed patients to continue working as long as possible.

Activities of Daily Living↗
PubMed1989

[Endosonography in early pregnancy].

Vaginal sonography has brought tremendous advantages in the diagnosis of early pregnancy both for the patient and the physician. In the first place it is easier to perform than abdominal sonography, since a filled bladder is not a prerequisite for the examination. Secondly, the intrauterine location of the pregnancy can be diagnosed as early as the 37th day of gestation. Thirdly, diagnosis of a disturbed intrauterine or an extrauterine pregnancy is possible earlier than with the abdominal approach. Vaginal sonography thus frequently reduces the period of anxious waiting for the patient and, where necessary, enables the physician to operate early with the least possible traumatization.

Adult↗
PubMed1989

Morton neuroma: sonographic evaluation.

One hundred consecutive patients with symptoms suggestive of Morton neuroma were examined with sonography, and 134 intermetatarsal masses were demonstrated. Forty-five patients underwent surgical exploration, which revealed Morton neuromas. The typical sonographic appearance is that of an ovoid, hypoechoic mass oriented parallel to the long axis of the metatarsals. Most masses were between the second and third or third and fourth metatarsals and seemed to produce symptoms when reaching a diameter of 5 mm.

Adult↗
PubMed1988

Subcutaneous ossification of the legs examined by SPECT.

The typical appearance of subcutaneous ossification on a single photon emission computed tomography (SPECT) bone image is reminiscent of the patterns discovered by radiographs and computerized tomography. A case demonstrates the advantage of SPECT imaging to clarify the actual location of soft tissue Tc-99m methylene diphosphonate in this condition.

Female↗
PubMed1988

Muscle necrosis in the extremities: evaluation with Tc-99m pyrophosphate scanning--a retrospective review.

A retrospective review was done of 34 extremities studied between 1981 and 1985 with technetium-99m pyrophosphate scanning; 22 were subsequently amputated. Results of detailed pathologic examination or immediate postoperative examination of the resected extremity were available in 16 cases. In these cases, scanning had allowed correct prediction of the level of amputation and of the specific areas of muscle infarction in 13 cases. In the one case in which amputation was performed for infection rather than muscle necrosis, the lack of necrosis was correctly predicted with the scan. The limited results of this study indicate that the Tc-99m pyrophosphate scan allows the location of necrotic muscle to be predicted accurately and may therefore be a useful adjunct in determining the best level for ultimate amputation. Special caution is required in those cases in which muscle necrosis is due to acute causes (e.g., traumatic thrombosis) rather than chronic vascular disease.

Amputation, Surgical↗
PubMedDate not supplied

Arthroscopic surgery of the ankle.

Arthroscopic surgery of the ankle is one new surgical technique that has been very helpful in the treatment of selected orthopaedic problems of the ankle. The development of small arthroscopes and other surgical equipment has made the procedure more accessible. This article will review the orthopaedic conditions wherein ankle arthroscopy has utility, the advantages and disadvantages of arthroscopy, and nursing considerations for preoperative, intraoperative, and postoperative patient care.

Ankle Joint↗