First of them is hematogenious spreading and the other one is directly planting which is more commonly seen at genitourinary tumors(3). According to 25 yeared clinicopathological study of Lam KY et al; most common primary tumors metastas to spleen: breast (22.9%), lung (20.2%), colon and rectum (9.4%), ovary (9%), stomach (6.9%) and skin (esp. malignant melanoma-5%). According to same study metastasis from liver cancers are 2.8%(16). İn our case malignancies can metastate to spleen were excluded.
A second reason that may have contributed to the heterogeneity is the definition of intracranial haemorrhage used in each study. In the adult literature Stiell et al.8 used a standardised definition after formally surveying 129 academic neurosurgeons, neuroradiologists, and emergency physicians. All brain injuries were judged to be clinically important unless the patient was neurologically intact and had one of: solitary contusion less than 5 mm in diameter; localised subarachnoid blood less than 1 mm thick; smear subdural hematoma less than 4 mm thick; isolated pneumocephaly; or closed depressed skull fracture not through the inner table. However, in the childhood head injury literature there was no single definition of a clinically significant brain injury and therefore some papers with higher rates of reported abnormalities on CT scanning may have been using more liberal definition than others. Also, several studies were not included because of the lack of ability to break down the data presented into child and adult
Understand that early detection saves life. As we all know that how rapidly increasing the incidence of cancer and side by side morbidity and mortality due to cancer, despite a lot of advancement in diagnosis and its treatment. Presently, cancer is second leading cause of death after cardiac disease. The only way to save life from cancer, is early detection and early treatment.
(1) The majority of fracture clavicle is in the middle one-third, which is the thinnest part.(2) Generally all the fracture clavicles were treated non-surgically by figure-eight bandage and surgical intervention like plating with cortical screws is rarely required. (3) However, Non-union rates, strength and endurance deficits are common in cases treated conservatively. (4)
This is an interesting study for the journal since it addresses with a novel approach the nursing diagnoses of surveillance in cases of patients suffering from cardiac arrest. There are few published studies dealing with this issue and, even less, using a non-NANDA-I taxonomy. The authors introduce the ATIC terminology that seems to have a wide range of adequate risk diagnoses to improve the nursing surveillance interventions planning for patients with severe health status in the hospital setting. Therefore, we believe that the research approaching is appropriate and pertinent to advance in these issues´ knowledge. Introduction: page 2, lines 48: the sentence ending with "...
Introduction Digital technology has helped making many major achievements during the 20th and 21st centuries. But while digital technology has been accredited for major development in many industries, in some others it has been noted to only optimize the field in limited ways. One such field that has only benefited in a limited way from digital technology advances has been the Radiology industry which has experienced developments but to a limited proportion of the users (Lanca & Silva, 2012). The medical use of digital radiology imaging of the human’s internal structure and appearance for medical investigation is one such area that has experienced serious limitations despite of developments in the field. This has resulted in the radiology technology
Abstract Background: Laparoscopic cholecystectomy has become the treatment of choice for symptomatic gallstones. Previous abdominal surgery has been reported as an absolute contraindication to laparoscopic cholecystectomy in early days of this technique but nowadays it considered as a relative contraindication. This study specifically investigate the effect of previous abdominal surgery on the feasibility and safety of laparoscopic cholecystectomy. Methods: This study included 120 well-documented patients with gallstones who underwent laparoscopic cholecystctomy at our surgical department between December 2008 and October 2012.
Radiation therapy is not necessarily better than chemotherapy or surgery, as it has both benefits and risks. Instead, choosing the right treatment depends on the case of each individual patient. Chemotherapy, which utilizes drugs delivered to the entire body, prevents the cancer cells from spreading. On the other hand, surgery and radiation therapy target one specific area. Often times, patients will undergo chemotherapy or radiation therapy to shrink the tumor before getting surgery to remove it entirely.
There is no recommended staging system for adult brain tumors since most primary brain tumors do not usually spread beyond the central nervous system. Instead a grading system is used. The Grade describes how much the tumor cells look like healthy cells when viewed under a microscope. The lower the grade the better the prognosis. Prognosis is the chance of recovery and the likelihood of controlling the tumor’s growth over a long period of time
When people discover that I'm studying acupuncture a common question I get asked is "isn't acupuncture just placebo?" The short answer is yes and no. I have written this article in response to this question and to examine the placebo effect. I have tried to be as objective as possible but obviously my view is going to be biased as I am studying to become an acupuncturist
According to the Lupus Foundation of America, it affects 1.5 million Americans both men and women, but most commonly begins from ages 20 to 45 years. 90% of the patients are women, branding it as the “woman’s disease.” Scientists has been unsuccessful in linking the disease to a specific gene. The only common thread that they were able to piece together were the fact that the disease is seen in most of the ethnic patients of African-Americans and Asians descendants. Scientists are still figuring out how Lupus is contracted.
3. Scientists believed the newly infected individuals produced quality specimen and it was impossible to detect the microbe once the infected individual started to recover. Scientists wanted to compare patients blood antibody test from early in their illness to the end of their illness in which they found that
To combat recidivism, “the National Association of Addiction Treatment Providers, and the American Society of Addiction Medicine (ASAM) worked together to develop the first ASAM Patient Placement Criteria.” (Belenko & Peugh, 2004) ASAM gave guidelines for patient placement of five treatment setting (early intervention to intensive inpatient treatment). Despite the popularity of this program, little evidence is known of the validity in term of treatments. Despite enrolling in these programs, success rates still suffer based on outside forces such as “educational deficits and sporadic work histories, which can affect long-term recovery and complicate the transition back to the community.” (Belenko & Peugh, 2004)
A lack of government regulation, formally educated doctors and overall specialized knowledge contributed to insufficient medical care (Breslaw). Common treatments were aggressive and designed to achieve balance within one’s body. Popular techniques encouraged physicians to induce bleeding, vomiting, and other conditions in hopes of curing a patient (Jones). Although most practices were horrific by today’s standards, progress was slowly taking place in the medical field. On October 16, 1846, Harvard Professor of Surgery John Collin prompted a patient to inhale an anesthetic substance prior to an operation.
For example, “Despite clinical and epidemiologic similarities to influenza pandemics of 1889, 1847, and even earlier, many questioned whether such an explosively fatal disease could be influenza at all”(Taubenberger). It wasn’t until late October researchers argued the influenza was a virus and on the right track to find the cure while the epidemic was coming to a close. A perfect illustration on how mysterious the Spanish Flu was to the public is revealed in a political cartoon posted by Nancy Tomes in 2010. For example, there is a man who says “who are you?”(Tomes) to a masked man and it’s ironic because it is just an old man. People were scared of the epidemic and accused anyone with flu like symptoms and was basically a salem witch trials part two.