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Neurologic Clinics Nov 2010Meningitis (inflammation of the pia, arachnoid, and sometimes dura) has diverse causes and presentations. Although viruses are the most common cause of acute meningitis,... (Review)
Review
Meningitis (inflammation of the pia, arachnoid, and sometimes dura) has diverse causes and presentations. Although viruses are the most common cause of acute meningitis, bacterial meningitides are more severe and important to exclude because morbidity and mortality are high. Chronic meningitis has a broader range of causes, including atypical bacteria, fungi, and noninfectious causes. Presentation is more insidious but, if untreated, significant damage or death may ensue. Recurrent meningitis has many of the same causes as chronic meningitis, but manifestations occur in discrete episodes. Distinguishing between acute, chronic, and recurrent meningitis is essential for proper diagnostic testing and treatment approaches.
Topics: Acute Disease; Adult; Chronic Disease; Humans; Meningitis
PubMed: 20816277
DOI: 10.1016/j.ncl.2010.03.023 -
Current Drug Targets Sep 2011Acute severe ulcerative colitis is a serious condition that requires early hospitalization, with intensive monitoring and treatment. Despite the recent progress in the... (Review)
Review
Acute severe ulcerative colitis is a serious condition that requires early hospitalization, with intensive monitoring and treatment. Despite the recent progress in the medical approach of Inflammatory Bowel Diseases acute severe ulcerative colitis remains a clinical challenge, with a mortality rate of nearly 1%. As of today, I.V. corticosteroids remain the 1(st)-line therapy for this complication. For non-responders (up to one-third of patients) possible options are surgery - whose timing is a critical point in the overall management of the disease - or rescue therapy with 2(nd)- line agents such as Cyclosporine and Infliximab. Here we will review the published studies dealing with the use of these medications in acute severe ulcerative colitis.
Topics: Acute Disease; Anti-Inflammatory Agents; Antibodies, Monoclonal; Colitis, Ulcerative; Cyclosporine; Humans; Immunosuppressive Agents; Infliximab; Randomized Controlled Trials as Topic
PubMed: 21466485
DOI: 10.2174/138945011796818234 -
Journal of Complementary & Integrative... Sep 2020Background Systematic analysis of the determinants of choice of a treatment modality aids to the understanding of decision process of healthcare utilization. The...
Background Systematic analysis of the determinants of choice of a treatment modality aids to the understanding of decision process of healthcare utilization. The revealed preference of a single modality may differ according to the nature of disease. Existing studies have not integrated possible causal factors in a model with respect to diseases. This study identifies major determinants and formulates their integral effect on choice of a particular modality on acute and chronic diseases in accordance to socio-behavioural model. Methodology A cross-sectional study on 300 samples using a 30-point questionnaire, developed in Likert scale and dichotomous scale. Possible determinants are tested on choice of CAM in case of acute disease and of chronic disease separately. Results Revealed single modality treatment preference (of CAM) varies widely between acute disease (13%) and chronic disease (58.67%). Bivariate associations are significant for gender (For, overall CAM preference, p=0.001, acute disease, p<0.001, chronic disease, p=0.024), Disease burden (overall and chronic: p<0.001, acute: p=0.008) and previous CAM usage (overall and chronic: p<0.001, acute: p=0.016). Social factor individually has significant influence on choosing CAM both acute (OR=1.096, p<0.001) and chronic disease (OR=1.036, p<0.001). Ideation of philosophical need factor, guided by philosophical congruence with CAM (OR=1.047, p<0.001) is a novel finding of this study. While with multiple logistic regression male gender (p=0.03), social factor (p<0.001), perception of CAM efficacy (p=0.02) and negative ideation about CAM cost-effectiveness (p=0.002) are found to be important in Acute disease; choosing CAM in chronic disease is guided by female gender (p=0.001), making decision in-group (p=0.001), low disease burden (p<0.001), philosophical need factor (p=0.001), and perception of CAM efficacy (p<0.001). Conclusion Demographic, social, cognitive and philosophical factors are important determinants of choosing CAM as a treatment modality over conventional medicine, but they act differently on CAM preference in acute and chronic diseases.
Topics: Acute Disease; Adult; Choice Behavior; Chronic Disease; Complementary Therapies; Cross-Sectional Studies; Decision Making; Female; Health Belief Model; Humans; Logistic Models; Male; Patient Acceptance of Health Care; Sex Factors; Surveys and Questionnaires
PubMed: 32061166
DOI: 10.1515/jcim-2019-0105 -
The Medical Journal of Australia Aug 2015
Topics: Acute Disease; Blood Gas Analysis; Humans; Hypoxia; Oxygen; Oxygen Inhalation Therapy
PubMed: 26224175
DOI: 10.5694/mja15.00633 -
Emergency Medicine Practice May 2017Acute decompensated heart failure is a common emergency department presentation with significant associated morbidity and mortality. Heart failure accounts for more than... (Review)
Review
Acute decompensated heart failure is a common emergency department presentation with significant associated morbidity and mortality. Heart failure accounts for more than 1 million hospitalizations annually, with a steadily increasing incidence as our population ages. This issue reviews recent literature regarding appropriate management of emergency department presentations of acute decompensated heart failure, with special attention to newer medication options. Emergency department management and appropriate interventions are discussed, along with critical decision-making points in resuscitation for both hypertensive and hypotensive patients. [Points & Pearls is a digest of Emergency Medicine Practice].
Topics: Acute Disease; Diagnosis, Differential; Emergency Service, Hospital; Heart Failure; Humans
PubMed: 28745846
DOI: No ID Found -
Aktuelle Urologie Apr 2017
Topics: Acute Disease; Adaptation, Psychological; Anxiety; Caregivers; Chronic Disease; Emotions; Empathy; Humans; Physician's Role; Physician-Patient Relations; Professional-Family Relations; Social Support
PubMed: 28511216
DOI: 10.1055/s-0042-124024 -
British Dental Journal Mar 2007Acute dental pain is an unpleasant experience. This article studies acute dental pain and examines the role of psychological intervention. After identification of the... (Review)
Review
Acute dental pain is an unpleasant experience. This article studies acute dental pain and examines the role of psychological intervention. After identification of the psychological factors associated with dental pain we go on to assess the role of psychological interventions.
Topics: Acute Disease; Dental Anxiety; Humans; Postoperative Complications; Toothache
PubMed: 17384613
DOI: 10.1038/bdj.2007.227 -
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue Apr 2015
Topics: Acute Disease; Humans; Paraquat
PubMed: 25891448
DOI: 10.3760/cma.j.issn.2095-4352.2015.04.001 -
Nederlands Tijdschrift Voor Geneeskunde Dec 2018If a patient receiving palliative care suffers from an acute complication of an underlying disease and death is expected within minutes to hours, acute sedation may be...
If a patient receiving palliative care suffers from an acute complication of an underlying disease and death is expected within minutes to hours, acute sedation may be necessary to alleviate intolerable refractory symptoms. Current guidelines do not provide sufficient information regarding the management of acute palliative sedation. Here, we describe the cases of three patients to stress the importance of anticipation for palliative sedation in the acute setting, a stepwise treatment approach and intensive counselling. Key learning points include timely identification and counselling of patients at risk, involvement of close relatives and careful medical management of acute palliative sedation.
Topics: Acute Disease; Conscious Sedation; Humans; Palliative Care
PubMed: 30570932
DOI: No ID Found -
AACN Clinical Issues Aug 1997Diagnostic reasoning is a dynamic thinking process that leads to the identification of a hypothesis that best explains the clinical evidence. Nurses in advanced practice... (Review)
Review
Diagnostic reasoning is a dynamic thinking process that leads to the identification of a hypothesis that best explains the clinical evidence. Nurses in advanced practice today frequently diagnose the origin of medical and nursing problems that develop in acutely and critically ill adults. Inherent in the specialty fields of acute and critical care are unique factors that can affect the quality of diagnostic reasoning and can potentially complicate the process. An understanding of the basic principles underpinning diagnostic reasoning and the associated common errors is essential for clinicians and students to improve their diagnostic skills.
Topics: Acute Disease; Adult; Critical Care; Decision Theory; Diagnosis; Humans; Logic; Nurse Clinicians; Nursing Diagnosis; Patient Selection
PubMed: 9313369
DOI: 10.1097/00044067-199708000-00002