Oxford Handbook of Acute Medicine

Ramrakha, Punit S.; Moore, Keith P.; Sam, Amir H.

doi:10.1093/med/9780199230921.001.0001

Cited by 8 publications

(14 citation statements)

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“…Üreter dışındaki taşlar genellikle asemptomatik olup ağrıya neden olduklarında da semptomlar genelde akut başlan-gıçlı değildir. Pıhtı, ayrılmış papilla ve papiller nekroz gibi taş dışı nedenlere bağlı renal kolik oldukça nadirdir [29]. Üreter taşı prevelansı oldukça yüksek olup kadınlarda %7, erkeklerde ise %12 oranında görülür.…”

Section: Renal Kolikunclassified

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Akut Abdomen

Hızal¹,

Akpınar²

2016

Trd Sem

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Section: Renal Kolikunclassified

“…Ağrının şiddeti ve yerleşimi taşın üreter içinde-ki lokalizasyonuna bağlıdır. Üreteropelvik bileşkedeki taş, derin yan ağrısına neden olurken üreterde distale doğru gidildikçe ağrıda aşağı doğru giderek kasığa kadar vurabilir [29].…”

Section: Renal Kolikunclassified

Akut Abdomen

Hızal¹,

Akpınar²

2016

Trd Sem

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“…A possible cause for this relatively late-occurring finding may be related to DXM having a low mineralocorticoid-mediated activity, high glucocorticoidmediated activity, and long biological half-life in comparison to HC (18). Animal studies provided evidence that the activation of glucocorticoid receptors induces damage to neurons, such as promoting apoptotic activity of neurons in the hippocampus.…”

Section: General Movements After Corticosteroidsmentioning

confidence: 99%

“…As a consequence, duration of corticosteroid therapy ranged from 1 to 12 weeks (median 22 days in the DXM group and 24 days in the HC group). Equivalent doses of cortisol (HC) were calculated by multiplying the dose of DXM by 26.7 (the ratio HC:DXM being 20:0.75) (18). Infants were excluded if they met one of the following criteria: major congenital anomalies, chromosomal disorders, or death before term age.…”

Section: Study Populationmentioning

confidence: 99%

Hydrocortisone vs. dexamethasone treatment for bronchopulmonary dysplasia and their effects on general movements in preterm infants

et al. 2011

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INTRODUCTION: hydrocortisone (hc) and dexamethasone (DXM) are used to treat preterm infants at risk for bronchopulmonary dysplasia (BPD). This may, however, affect their longterm neurological development. We aimed to determine the effect of hc and DXM therapy in preterm infants on neurological functioning as assessed by the quality of general movements (GMs) until 3 months after term. RESULTS: We found no difference in the quality of GMs between hc and DXM infants until term age. at 3 months, hc infants had a higher median motor optimality score (MOs) than DXM infants (25 vs. 21, P = 0.015). In the DXM group, MOs on the first day of treatment was lower than before treatment (10 vs. 11, P = 0.030). DISCUSSION: MOs decreased in DXM infants on the first day following treatment and at 3 months after term. This was not the case in hc infants. Our study suggests that neurological functioning at 3 months after term is better in infants treated with hc than in infants treated with DXM. METHODS:We performed a longitudinal, observational study including 56 preterm infants (n = 17 hc, n = 17 DXM, n = 22 controls). GM quality, videoed before and after treatment, was assessed. In addition, a MOs was assigned to details of the GMs.

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“…We used several teaching resources whilst developing the session content, including Radiology textbooks, Radiology teaching websites, medical textbooks and relevant journals. 3,[5][6][7][8][9][10][11][12][13][14][15][16][17] All the images were original radiographs provided and anonymised by our Consultant Radiologist, and all of the online teaching sessions were edited by the Consultant Radiologist before being published on the Mersey School of Radiology Website. 18 Example images from our teaching programme can be seen in Figures 1 (a-f) and 2(a-g).…”

Section: Developing the Teaching Materialsmentioning

confidence: 99%

Vital Radiology – Learning from Our Mistakes to Improve Junior Doctors' Interpretation of Radiographs

Mullett¹,

Gough²,

Prowse³

et al. 2011

Clinical Risk

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Following a Never Event in our Trust which involved misinterpretation of a radiograph by a junior doctor, we set out to reduce the risk of recurrence by creating Vital Radiology. Vital Radiology is a new scheme designed to teach junior doctors about important radiological diagnoses that, if missed at the bedside, can have devastating consequences for patients. Although in its infancy, the scheme is receiving positive feedback both from the participants and senior clinicians. Ultimately we aim to extend the scheme throughout our trust and beyond, with the intention to improve junior doctors' confidence in interpreting images and, more importantly, to reduce risk to patients.

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Oxford Handbook of Acute Medicine

Cited by 8 publications

References 0 publications

Akut Abdomen

Akut Abdomen

Hydrocortisone vs. dexamethasone treatment for bronchopulmonary dysplasia and their effects on general movements in preterm infants

Vital Radiology – Learning from Our Mistakes to Improve Junior Doctors' Interpretation of Radiographs

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