[Diabetic nephropathy. Clinical considerations in the light of the 2d Clinic of Internal Diseases, Medical Academy in Gdańsk].
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Adult↗
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Results for “Clinical Considerations”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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[Osteosarcoma of the skull cap. Differential diagnosis and clinical considerations].
Differential Diagnosis and Clinical Aspects: Osteosarcoma is a rare type of bone tumor that usually occurs only towards the end of a long bone. This article reports the case of a primary osteosarcoma of the skull and discusses important clinical issues. CT played an important role in the assessment of the tumor.
Adult↗
Clinical considerations in the prescription of group, brief, long-term, and couples psychotherapy.
Differential clinical considerations for treatment prescription as an aspect of outpatient evaluation for psychotherapy is presented in overview. The indications and contraindications presented for each of the treatment modalities of group therapy, brief therapy, long-term therapy and couples therapy are based on psychotherapy evaluation, selection criteria and outcome research to date. The information and fund of knowledge of the psychiatrist about appropriate treatment prescription matched to the patient, his problems, and his motivation to work psychotherapeutically is an essential aspect of the initial evaluation.
Crisis Intervention↗
Biomechanical and clinical considerations of a modified protraction headgear.
The choice of treatment of children with developing skeletal Class III malocclusions has always posed a dilemma. Chin cups and various types of reverse headgears with elastics have been used in the past to minimize the growth and development discrepancy of the midface and the mandibular bones. In the present article, a critique of commonly used protraction devices is presented. A modified protraction headgear design and the biomechanical considerations of its clinical use are presented in this study. The clinical results show that a modified protraction headgear with a chin cup helps in the correction of moderately severe Class III malocclusions by the anterior displacement of the maxilla and maxillary dentition, and possibly restricting or changing the direction of the growth of the mandible. This headgear can also be used to correct axial inclinations and/or mesial displacement of posterior teeth.
Activator Appliances↗
Is discharge policy a balanced decision between clinical considerations and hospital ownership policy? The CABG example.
OBJECTIVES: To explore to what extent patient discharge from the hospital is a balanced decision between clinical considerations and management policy; specifically: (1) to assess the role of patient risk as a determinant of discharge in comparison with administrative factors such as hospital ownership; (2) to evaluate whether variations in discharge policy were translated into differences in clinical outcomes. METHODS: A national study of coronary artery bypass surgery was used as an example. The population included 4778 patients undergoing coronary artery bypass surgery in 14 institutions. The mode of discharge day, rather than the mean, was used as the best indicator of discharge policy. Parametric survival model was used to assess factors associated with the day of discharge. RESULTS: The mode of discharge day varied widely among institutions. This variation between 4 and 7 days after surgery corresponded to hospital ownership. The mode of discharge day was almost invariant to the patients' risk, but serious postoperative complications resulted in prolonged stay for a minority of the patients. The influence of hospital ownership prevailed over patient insurance carriers. Differences in discharge policies were not associated with increased risk of late mortality or rehospitalization. CONCLUSIONS: Discharge policy beyond the rare occurrence of dramatic patient postoperative complications was mainly dependent on hospital owner's cost-effectiveness considerations. However, despite the weight given to administrative factors in the decision-making process, it did not affect the outcome of care.
Coronary Artery Bypass↗
[Considerations on a case of neurofibrosarcomatosis; anatomical and clinical considerations].
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Fibrosarcoma↗
[Clinical considerations on spontaneous pneumothorax].
The authors, after confirming the social interest of spontaneous pneumothorax, report the results of their experience taking hint from it for some clinical considerations. They mention different therapies suggested for the treatment of this disease; particularly they dwell upon aspiration techniques considered today the treatment of choice in most cases. They conclude affirming that this technique improves results, diminishes risks and complications, and considerably reduces hospitalization.
Adolescent↗
Involving children and adolescents in medical decision making: developmental and clinical considerations.
Outlined the issues in informed consent, as well as goals for involving children and adolescents in decisions regarding their own medical treatment. This paper reviews the developmental and clinical considerations, and provides recommendations, for determining particular children's level of involvement. Finally, there are distinct roles for pediatric psychologists in this process, which are described. As medical treatment becomes increasingly sophisticated, there is an obligation for pediatric psychologists to appreciate the ethical and clinical issues in medical decision making for families.
Adolescent↗
Forced eruption: biological and clinical considerations.
The biological width and its importance in the restoration of teeth that have been fractured down to the level of the osseous crest are discussed. Orthodontic principles and clinical considerations in carrying out forced eruption are outlined. A case report demonstrating the practical aspects of treatment is presented.
Adult↗
[Central serous retinopathy. Etiopathogenetic and clinical considerations (author's transl)].
Etiopathogenetic, clinical and therapeutic study of 24 patients affected with central serous retinopathy, hospitalized in the Ophthalmological Clinic of the University of Bari during the period 1977-1978. After reviewing the main pathogenetic theories on the disease and taking into consideration their own findings, which are also based on specific psychiatric tests, the authors conclude that central serous retinopathy probably has a psychoangiospastic etiopathogenesis.
Adult↗
Prophylactic oophorectomy: clinical considerations.
Ovarian cancer usually remains clinically silent until it is far advanced, and is associated with significant morbidity and mortality. In view of the modest impact of adjuvant treatments on survival, much effort is devoted to early detection programs and prevention strategies. However, the usefulness of early detection programs remains to be established, with only one randomized study indicating improved median survival in screened individuals. At present, oral contraceptives and prophylactic oophorectomy are the only options for prevention of ovarian cancer. Indications for prophylactic oophorectomy either as a primary procedure, or secondary to abdominal surgery, will vary according to the estimated risk, and to the individual's perception of that risk. Genetic screening allows better identification of pre-symptomatic individuals who would benefit the most from prophylactic oophorectomy. Data concerning the benefit of prophylactic surgery, and the safety of established or innovative hormone replacement therapies in individuals at risk, are encouraging.
Age Factors↗
A new paradigm for HIV care: ethical and clinical considerations.
Although dramatic advances in clinical treatment have greatly improved the lives of many people with HIV/AIDS, many other patients do not have information about or access to these treatments because of health care providers' presumptive judgments about patients' ability to adhere to medical regimens. The authors contend that with sufficient support and education most patients, even those with difficult social and medical problems, can be helped to initiate and maintain HIV treatment in accordance with current clinical standards. This commentary delineates a new paradigm for HIV care in which patients and providers collaborate on individualized plans to establish patients' readiness for treatment, ensure maintenance of treatment, and make use of the social services necessary to accomplish these goals. Providers have an ethical responsibility to do everything possible to see that patients who might benefit from new HIV treatments have a fair opportunity to do so, and health systems have a responsibility to facilitate this process. Substantial progress toward meeting these responsibilities can be made within the current health care environment.
Ethics, Medical↗
[Clinical considerations about psychopathy and delinquency].
Clinical differences the authors find between the psychopath's, and the offender's personalities organization are discussed. The authors disagree with an existing pattern tending to include both kinds of personalities under the sole denomination of antisocial personality--a concept they find fit for any discipline other than clinical psychology. Thus, a nosographic separation is set up by analyzing the different responses both organizations yield when facing some basic situations.
Antisocial Personality Disorder↗
Carotid artery occlusive disease. Clinical considerations in surgical revascularization.
In clinical evaluation and analysis of 85 consecutive carotid endarterectomies in 74 consecutive patients, the operation was shown to be an effective and safe method of treating cerebral vascular insufficiency. It must be properly timed and performed, and excellent results may be expected, particularly in comparison with nonoperatively treated patients with the same disease.
Carotid Artery Diseases↗
Polysplenia syndrome with various visceral anomalies in an adult: embryological and clinical considerations.
A 26-year-old female with polysplenia syndrome is reported. She had numerous visceral anomalies including polysplenia, a short pancreas, a preduodenal portal vein, malrotation of the bowel, azygos continuation of the inferior vena cava, bilateral hyparterial bronchi and symmetrical liver lobation. Embryological and clinical considerations of polysplenia syndrome are described.
Abnormalities, Multiple↗
Meningioma involving Meckel's cave: transpetrosal surgical anatomy and clinical considerations.
Meningiomas originating in Meckel's cave (MC) are uncommon lesions that represent 1% of all intracranial meningiomas. Innovations in skull base surgery have enabled resection of these lesions with less morbidity, but require an intimate knowledge of both lesional pathology and regional microneuroanatomy. To review the surgical and clinical considerations involved in the management of MC meningiomas, we retrospectively reviewed data from patients who underwent transpetrosal resection of primary MC meningiomas between 1984 and 1998. Of 146 patients who underwent transpetrosal removal of meningiomas, 7 were believed to have tumors originating in MC. All 7 patients presented with trigeminal dysfunction, facial pain, and/or headache. Complete tumor removal was achieved in 5 of the 7 patients. Facial hypoesthesia or anesthesia, paralysis of cranial nerve VI, and ophthalmoplegia were among the postoperative complications encountered. Meningiomas of MC represent treatable lesions whose diagnosis requires prompt imaging of patients with trigeminal dysfunction and symptoms of facial pain and headache.
Adult↗
[Clinical considerations on using ceramic bracket].
Recently ceramic bracket is introduced to orthodontics. Many orthodontists are attempt to use it for improving esthetics during orthodontic treatment. Especially the adult patients want to be treated with less conspicuous braces. So it's usage will be increased. But the information about the physical properties, proper management, and important cautions are not well known to most of clinicians. Ceramic bracket is not the exact esthetic alternatives for metal bracket. So it is necessary to review some recent articles for proper clinical usage of ceramic bracket. The authors attempt to introduce some clinical considerations for using ceramic bracket. The contents are as followed. I. Introduction II. Type and physical properties of ceramic bracket III. Clinical usage of ceramic bracket 1. bonding 2. bonding materials 3. debonding 4. others IV. Recycling ceramic bracket.
Adult↗
Deep fascia of the foot. Anatomical and clinical considerations.
The deep fascia of the foot lies beneath the subcutaneous tissue and surrounds the intrinsic foot muscles. Depending on its location, the composition of the deep fascia varies. In some areas it is thin, while in other areas it is greatly thickened to form retinacula and the plantar aponeurosis. Selected clinical considerations that relate to the deep fascia of the foot are described. These include the following: plantar fasciitis, infection, compartment syndrome, calcaneal fracture, and neuroma.
Calcaneus↗