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Biomedical subjects

V Moran

Publications and source records attributed to V Moran.

9 recordsLinked to original sources

Acute fatty liver of pregnancy: CT evaluation. Case report.

CT scans of two patients with acute fatty liver of pregnancy were reviewed in conjunction with the clinical evolution of this uncommon and potentially fatal disorder. In each of the CT scans, liver density measurements were less than those of the spleen. While the findings are non-specific, in the proper clinical context they are highly suggestive and may be the sole method of diagnosis, as these patients often have coagulation problems which rule out liver biopsy. It is an important diagnosis, as the high maternal and fetal mortality rates appear to be considerably reduced by early foetal delivery.

Acute Disease

[Acute fatty liver of pregnancy. Apropos of 4 cases: contribution of x-ray computed tomography].

Acute fatty liver of pregnancy is a disease of the third trimester, generally considered to be rare and to have a grave prognosis. Histologically the characteristic fine droplet steatosis usually produces distinct vacuolization. Successful treatment depends on accurate diagnosis and early delivery. Computed tomography is of value in the diagnosis of fatty liver through liver and spleen attenuation value measurements. We reviewed 4 cases of acute fatty liver of pregnancy. Computed tomography was performed in two cases and was very helpful in the diagnosis of this condition.

Acute Disease

Giant cell astrocytoma in tuberous sclerosis: computed tomographic findings.

Clinical presentation and computed tomography (CT) findings in four tuberous sclerosis patients with large ventricular tumours situated near the foramina of Monro, and causing obstructive hydrocephalus are described. These tumours (so-called giant cell astrocytomas) demonstrated uniform post-contrast enhancement. This finding, along with their location, distinguished them from the much commoner cortical and subependymal tubers of tuberous sclerosis.

Adult

Preceptor program evaluation demonstrates improved orientation.

Although the preceptor method of orientation is generally accepted as an effective mechanism for orienting newly employed nurses, very few evaluation studies of preceptor programs have been reported in the literature. This article describes a study designed prior to implementing a preceptor program at the University of Wisconsin Hospital and Clinics in order to measure the outcomes of the program. Data were collected on the satisfaction of orientees, preceptors, other staff nurses, and nurse managers. The preceptor role and preceptor's level of comfort and skill were studied. To quantify the economic impact, both length of orientation and nursing turnover were considered.

Education, Nursing, Continuing