بایگانی برچسب برای: Practice

Principles.and.Practice.of.Urooncology.[taliem.ir]

Principles and Practice of Urooncology

The use of radiological imaging in urological cancers is increasing with improvements in imaging technologies and implementation of these techniques to clinical scenarios. Ultrasonography, computed tomography, and magnetic resonance imaging have enormous potentials in the diagnosis, staging, and surveillance of urological cancers. Emerging imaging techniques enable morphologic assessment of urological cancers with high spatial and contrast resolution. Functional imaging techniques reveal microstructure of tumors which can be used in the diagnosis, prediction of prognosis, and assessment of response to treatment and surveillance of tumors. Biopsyless diagnosis may be possible in the future particularly for renal and prostate tumors. In this chapter, current status of urooncologic imaging will be reviewed.
Urolithiasis.in.Clinical.Practice.[taliem.ir]

Urolithiasis in Clinical Practice

Humans are afflicted by the urinary stone disease since the dawn of time. Today this ailment is considered as the third most frequent urological pathological condition after infections and prostatic diseases, and statistics show a worldwide increase in its incidence and prevalence. In 1994 data from the US National Health and Nutrition Examination Survey (NHANES) estimated the prevalence of stone disease at 5.2% of the American population, marking a significant increase compared to the year 1980 when a prevalence of only 3.2% has been observed . A more recent study performed in 2010 suggested a further increase reaching 8.8% prevalence, roughly equivalent to 1 in 11 people . The same trends have been observed all over the world and the highest prevalence of urinary stones was reported in Saudi Arabia with an estimated value of 20% . Inexorably, urolithiasis treatment costs have dramatically increased and constitute a heavy economic burden today. In the United States alone, urinary stones have caused two million outpatient visits in the year 2000, corresponding to a 40% increase compared to 1994 .
Practice.and.Principles.in.Therapeutic.Colonoscopy.[taliem.ir]

Practice and Principles in Therapeutic Colonoscopy

Certain prerequisites should be met before the procedure for a successful and safe therapeutic colonoscopies . First, in terms of patients, suffcient explanation and gaining informed consents in essential. In addition, the patient’s concurrent medication and general health condition should be checked. Furthermore, proper sedative and bowel-cleansing agents should be carefully selected for each individual patient (Table 1.1). Second, a colonoscopist should be profcient in therapeutic colonoscopic procedures and well trained assistant including nurses are necessary. Third, the proper systems and instruments including supplies for emergencies should be prepared.
SAGES.Manual.Transitioning.to.Practice.[taliem.ir]

The SAGES Manual Transitioning to Practice

After many years of medical school, the residency match process, general surgery residency training, research fellowships, and additional fellowship match processes and training programs, you are ready and excited to take care of surgical patients both in and out of the operating room. You are ambitious and idealistic, ready to emerge from all of those grueling years to finally be a “surgeon.” The training of a surgeon, however, rarely focuses on life after residency. And this life after residency starts with your first job. Furthermore, there is startling data regarding dissatisfaction physicians in general often have with their first jobs. In fact, approximately 50% of physicians change jobs within their first 2 years, and the most common reason for this is a mismatch in expectations and practice culture . The goal of this section is to prepare the surgical trainee in his or her final years of training for the daunting task of navi gating the surgical job market in order to maximize the odds of finding a job that fits one’s expectations. Later chapters in this manual will cover both the process of choosing a job as well as salary and contract negotiations. In this chapter, however, the focus will be on the first step of the job hunt, finding a job.
Person-Centred.Practice.in.Nursing.[taliem.ir]

Person-Centred Practice in Nursing and Health Care

Since publishing Person-Centred Nursing: Theory and Practice (McCormack & McCance 2010) the field of person-centredness in health care has grown significantly. In that short 5-year period, we have seen a burgeoning of interest in the topic, the development of a range of initiatives to promote person-centredness, and an increased volume of research exploring, understanding and evaluating person-centred practices. Person-centred care has a long association with nursing, with a focus on treating people as individuals; respecting their rights as a person; building mutual trust and understanding; and developing therapeutic relationships. However, this has now become a more inclusive health-care philosophy and strategic focus. It is for this reason that we have adopted a more broad-based health-care perspective in this book. The promotion of ‘person-centredness’ is consistent with health-care policy direction internationally. There have been a number of challenges to the focus on person-centredness in nursing and health care and a view that other approaches such as relationship-centred care, compassionate care and even dignified care are more appropriate frameworks for expressing an inclusive family and community approach to what can generally be understood as holistic care practices. However, none of these have stood the test of time as ‘alternatives’ but instead are increasingly seen as components of person-centred nursing and health care, or as constructs that explain different dimensions of person-centredness. This goes some way to affirming the importance of person-centred approaches, not just as care practices in particular professional groups, but as a philosophical underpinning of health-care systems that places people at the centre.
Chest.Drains.in.Daily.[taliem.ir]

Chest Drains in Daily Clinical Practice

The chest wall represents the outer covering of the chest and shelters the organs inside the thorax. Due to its mobility and the wall structure, which is comparable to a cage, it plays an active role in the function of breathing when the intrathoracic volume is changed. During inspiration the volume increases and during expiration it decreases, therefore generating a negative or a positive pressure respectively. According to the law of Boyle-Mariotte, gases move constantly as a result of pressure and volume. The chest wall is construced as a cage with variable rods .The spaces within the rods are the intercostal spaces. This space has to be air tight, robust in regards to pressure, while also being adequately mobile for ventilation. This is possible with the help of the pleural space which is created by two sheets of pleura, the parietal and visceral layers. The pleural space allows the lung to slide during inspiration and expiration, keeping the lung expanded due to adhesive forces.
Bariatric.Surgical.Practice.Guide.Recommendations.2017.[taliem.ir]

Bariatric Surgical Practice Guide

Morbid obesity is becoming a serious public health problem worldwide. In Asian countries, the prevalence has increased many times over in the past few decades. Bariatric surgery has been shown to be the most effective treatment for these patients. The primary goal of bariatric surgery is to reduce the body weight or the body mass index (BMI). However, it is increasingly recognized that this surgery can also help several medical comorbidities associated with obesity such as type 2 diabetes mellitus (T2DM), dyslipidemia, obstructive sleep apnea etc. linical guidelines for bariatric surgery were frst suggested by the NIH (National Institutes of Health) in 1991 and over the past few decades, there have been many modifcations introduced by many national and international societies. BMI cutoff points and co-morbidities are commonly used to defne the indications for bariatric surgery. According to the world health organization (WHO) criteria, BMI cutoffs for obesity in Asian population are lower than the Western countries because obesity associated health risks tend to occur at a lower threshold of BMI in Asians . This aim of this chapter was to review the indications for bariatric surgery from many guidelines worldwide, especially in Asian countries. The discussed guidelines include those by the National Institutes of Health, Asian Pacifc Metabolic and Bariatric Surgery Society, Diabetes Surgery Summit, Obesity Surgery Society of Australia and New Zealand, Asian Consensus Meeting of Metabolic Surgery, Asian Diabetes Surgery Summit, The International Diabetes Federation, The International Federation for the Surgery of Obesity-Asia Pacifc, American Society for Metabolic & Bariatric Surgery and the International Federation for the Surgery of ObesityEuropean guidelines.
Clinical[taliem.ir]

Clinical Research and Practice

The National Influenza Center (NIC) at the Department of Influenza Research of the National Institute for Public Health–National Institute of Hygiene (NIPH-NIH) participates in the Global Influenza Surveillance and Response System (GISRS) and continuously coordinates epidemiological and virological surveillance of influenza in Poland. The aim of this study was to determine the regional differences of influenza activity in Poland in the 2015/16 epidemic season. The influenza surveillance involved 16 administrative districts in which there are Voivodeship (province) Sanitary Epidemiological Stations set up to report influenza and influenza-like illness among the Polish population. Over 8000 specimens were tested in the season with regard to the respiratory viral infections in all regions investigated. The circulation of influenza viruses A and B was confirmed, with the subtype A/H1N1/pdm09 being predominant in the Pomerania, Podlaskie, Subcarpathian, Lubuskie, Silesian, and WarmianMasuria provinces. The influenza-like virus occurred in individual cases ,except for respiratory syncytial virus that also was detected in the Greater Poland and Warmia-Masuria provinces. The highest incidence of cases and suspected cases of influenza was recorded in Pomerania and the lowest one in Lubuskie provinces. The knowledge of regional differences in influenza activity is important for streamlining the distribution of preventive, therapeutic, and economic resources to combat the epidemic.