The quantitative gated SPECT methods showed a significant correlation with echocardiography in the calculation of the EF. LMC method showed close results to those obtained by QGS and ECTb with similar variability versus the measurements made by echocardiography. This study has investigated the utility of using LMC method in clinical practice; however, it will be more feasible when it becomes independent and extensively validated with other accurate techniques and in different patient conditions.
Marketing is an important branch of management in every business. It manages the exchange relationships between buyers and sellers. In the healthcare industry, exchange relationships involve various stakeholders, including marketers, healthcare providers, patients, and others. The study aims to figure out the role of nurses, who form the largest segment of the workers in healthcare organisations, in marketing for their profession, services, and organisations, and identify the impact of their marketing role on their profession and organisational performance. Besides, the study aims to come up with a model that displays the findings, including the relationships between nurse’s roles in marketing and its influence on organisational performance. To achieve these goals, the authors adopted the literature review research method to summarise the findings of published articles in academic journals. The study has revealed that nurses should consider building their image and improving healthcare services using a well-structured marketing plan. Furthermore, the study suggested a model that links building a positive professional image and enhancing the healthcare services by nurses to improve their organisational performance moderated by internal marketing of the organisation towards nurses.
Hyperthyroidism is frequently encountered in general clinical practice with an estimated prevalence of 0.75%. [1] The most common causes of hyperthyroidism are Graves' disease (GD), toxic multinodular goiter (TMNG), and toxic adenoma (TA). The management options include the use of antithyroid drugs (ATDs), radioiodine (RI) ablation, or surgery. All of these modalities are effective in controlling hyperthyroidism, and each has its pros and cons.While ATDs are popular in Europe, RI therapy is the first choice in North America. [2,3] In addition to patient preference, current guidelines favor RI for patients with ATDs-related side effects or resistance, post thyroid surgery and as curative therapy for GD, TA, or TMNG. [4] Except for small risk of worsening Graves orbitopathy (GO) in a subset of patients, RI is generally safe and well tolerated. [5] The efficacy of RI has been reported in several studies with a cure rate ranging between 50% and 90% after a single therapeutic dose. [6][7][8][9][10] In addition to other established factors, a Background: Radioiodine (RI) is a commonly used treatment modality for primary hyperthyroidism. A single dose of RI has been reported to cure hyperthyroidism in the range of 50%-90% of the treated cases. The efficacy of RI treatment has not yet been investigated in the local population. Objectives: To assess the efficacy of RI therapy in patients with primary hyperthyroidism treated at Tawam Hospital, Al Ain, UAE. Patients and Methods: The electronic medical records of hyperthyroid patients who received RI treatment at Tawam Hospital between January 2009 and March 2017 were reviewed. The diagnosis was verified by reviewing clinical, laboratory, and imaging data. Following RI therapy, a cure was defined as the development of hypothyroidism or euthyroid status without the aid of antithyroid drugs (ATDs) within 6 months post-RI therapy. Multivariate analysis was used to assess predictors of RI response. Results: A total of 125 patients (68.8% women) met the study criteria. The mean age ± standard deviation (SD) at RI therapy was 40 ± 15.1 years. The etiology of hyperthyroidism was available for 121 patients; Graves' disease (GD) (n = 83, 68.6%), toxic multinodular goiter (TMNG) (n = 31, 25.6%), and toxic adenoma (TA) (n = 7, 5.8%). The majority of patients (109, 87.2%) were pretreated with ATDs; 70.3% of those were treated for a period exceeding 18 months. Almost quarter of the patients were referred to RI due to other compelling medical reasons including ATDs intolerance, neutropenia, and hepatotoxicity. The mean ± SD administered RI activity was 14.6 ± 3.7 mCi (range: 8-25). Treatment response evaluation was possible in 97 cases. Post a single dose of RI treatment, 91.8% of patients achieved either euthyroid or hypothyroid status. Patients with GD developed hypothyroidism more frequently than TMNG or TA (80.6% vs. 65.2% vs. 33.3%, respectively). The time to cure was within 3 months in 21% and 3-6 months in 79% of the patients. The given dosage of I 131 was the only predictor of cur...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.