Module 1 Assignment 1 Brooke Gaillard UNA Evidence Based Practice and Nursing Scholarship NU 615-01 Dr. Michelle Nelson January 18, 2018 Module 1 Assignment 1 As we know, obesity is a major health issue in the United States. According to Trust for America’s Health and Robert Wood Foundation (2017), Mississippi has the second highest adult obesity in the nation. (para. 1). I currently work in short stay surgery at the hospital and get patients ready for surgery on a daily basis.
The daily average patients’ visit in the CRMC Clinic is 90-100 patients, and around 80 patients in the College Clinic. The clinic uses cutting edge technology like Da Vinci robotic surgery, in-office ablations and in office tubal ligations. The Medical Records Department has two offices in both locations. The department’s hours of operation are 8:30 a.m. to 5:00 p.m. Monday thru Thursday, and closes at 4:00 p.m. on Friday. It is staffed with 33 employees, 13 in CRMC and 20 in College.
He continues to complain of low back pain. He has intermittent numbness of the lateral aspect of the left leg to the lateral toes. He does have intermittent weakness of the left leg as well. He continues to take Norco 10/325 5 per day, Motrin 800 mg 3 times a day, and Neurontin 400 mg 2 times a day. His MRI of the lumbar spine done on 09/14/16 reveals severe L5-S1 discogenic disease with modic changes within the vertebral bodies.
A lot of the surgeries that were used were not brand new, and had been used before. However, many of them were not as common practice before the war than after. The most recognized surgery of the Civil War was amputation. Day after day doctors cut off the arms and legs of patients. The surgery only took around 10 minutes, and limbs were thrown on top of a pile that sometimes reached five feet tall.
The absence of the condition on the gingiva is both conspicuous and noteworthy 4,5,6. This case is rare and does not appear to have been previously documented either histologically or clinically (with photographs) very often in literature. Kuffer et al 7 described multiple lesions on the buccal mucosa, tongue, lip, and two examples on lower gingival tissues. In addition, this patient had a recurring ulcerative gingivitis. Stephen A. Rails, Gary R. Warnock in 1985 8 reported a 62-year-old male patient who had a varied medical history and oral lesions consistent with stomatitis areata migrans.
Duct ectasia. (42) 9- Fibroadenoma The most common benign breast tumor, made up of both glandular breast tissue and stromal tissue. Mostly occurs in second and third decade of life, but can be found in women of any age. (5) Grossly: fibroadenomas are nodular, rubbery tumors, they vary in size from less than 1 cm up to 10-15cm in diameter has borders that are distinct from the surrounding breast tissue, and they are easily separated from the surrounding breast tissue. (25) Histologically: fibroadenoma is composing of epithelial and stromal components; the epithelial part is made up of tubules consisting of cuboidal to low columnar cells, resting on a myoepithelial cell layer.
Patients and methods In this study, 35 eyes of 20 patients with dry-eye disease were included. Ten patients (20 eyes) had dry eyes associated with systemic rheumatologic disease (Sjogren?s syndrome), five patients (10 eyes) had dry eyes after undergoing laser in-situ keratomileusis (LASIK), and five patients (five eyes) had dry eyes after cataract surgery. The patients were treated with cyclosporine 0.05% eye drops. Detailed history was taken from all patients, including age, sex, previous medical and ocular diseases, and duration of symptoms. For all patients, routine ophthalmic examination was carried out.
The 331 patients included in this study were recruited from the outpatient Rheumatology clinic without any selection except fulfilling the ACR classification criteria. They showed characteristics of established RA as shown in Table 1, with an excess of women, advanced age and long time since the start of the first disease symptoms (Data in S1 Table). They were also typical in the fraction showing RA-specific autoantibodies: RF = 60.1 %, anti-CCP = 64.7 % and anti-CarP = 32.9 %, and in the overlap between them (Fig. 1), corresponding with concordances of γ = 0.82 between anti-CCP and RF, 0.66 between anti-CCP and anti-CarP, and 0.64 between RF and anti-CarP (p for all of them < 2.0 x 10-16). The frequency of ever smokers was low (Table 1), but
SECTION 1 Osteoporosis is a condition of fragile bones that occurs when the body loses too much bone or makes too little bone. Bone may breaks from a fall or in some serious cases, from sneezing and minor bumps. According to the 1993 Consensus Development Conference, osteoporosis was defined as a disease characterized by low bone mass and structural deterioration to fractures (Anonymous, 1993). Based on statistic given by International Osteoporosis Foundation, in the worldwide stage, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds. 200 million women worldwide are estimated to have osteoporosis where 1 in 3 women over age 50 will experience osteoporotic fractures.