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排序方式: 共有677条查询结果,搜索用时 31 毫秒
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David W. Lee PhD Paul E. Stang PhD George A. Goldberg MD Merle Haberman MHA 《The breast journal》2009,15(1):85-92
Abstract: We estimated resource use and costs associated with a diagnostic workup for suspected breast cancer among Medicare beneficiaries. Using Medicare claims data, we found that the average cost of a diagnostic workup for suspected breast cancer—whether it eventuated in a breast cancer diagnosis or not—was $361, and did not vary by presentation (signs/symptoms or screening mammography). In the aggregate, we estimate that Medicare spends approximately $679 million annually on diagnostic workups for women with suspected breast cancer, and that false positive mammograms result in diagnostic costs of approximately $250 million. 相似文献
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Rebecca T. Slifkin PhD Gail Bellamy PhD Michelle M. Casey MS Art Clawson EdS Mark Doescher MD MSPH David Hartley PhD MHA Peter Hilsenrath PhD Michael Glasser PhD Randall L. Longnecker MD FAAFP Timothy D. McBride PhD Karen J. Minyard PhD Betsy Vanleit PhD 《The Journal of rural health》2009,25(4):331-331
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Inadvertent perforation of the sclera is a well-known complication of strabismus surgery. Scleral perforation may lead to retinal detachment, intraocular hemorrhage, cataract, hyphema, glaucoma, endophthalmitis, and phthisis bulbi. However, endophthalmitis following strabismus surgery is extremely rare, with an estimated incidence of 1:3500 to 1:185,000. We describe a case of Staphylococcus epidermidis endophthalmitis in an adult following strabismus surgery treated successfully with intravitreal antibiotics and corticosteroids. 相似文献
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Gerald F. Williams RN RM Crit Care Cert BAppSc Grad Cert PSM MHA CN FRCNA Director of Nursing Services Fay J. Hatch RN RM RMHN Crit Care Cert BN Clinical Nurse Consultant Michael C. Bradley RN RMDN Crit Care Cert BN Registered Nurse 《Australian critical care》1997,10(4):113-118
Methanol intoxication, a rare and potentially lethal form of poisoning, usually results from ingestion and occasionally inhalation of methanol. Initial symptoms of blurred vision, elongated anion gap and metabolic acidosis are typically delayed and may not at first be recognised as methanol-related complaints. Once diagnosed, treatment must be prompt and definitive. As well as general supportive care, ethanol infusion, dialysis and alkalinization form the mainstays of treatment.
The cases described in this paper are compared to previous reports from other countries worldwide and contrast the variance in outcome often seen in methanol poisoning. The paper describes two tragic deaths and two lucky survivors, all of whom had consumed a cocktail of methanol and other alcoholic beverages at the same party.
The ICU nurse's role in managing the methanol-intoxicated patient relies on that person's sound knowledge of the unusual biochemical reactions occurring in the body and the need to institute definitive and supportive measures to help both patient and family recover. 相似文献
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Tammy P. McConnell MSN RN Connie W. Lee EdD ARNP IBCLC Mary Couillard PhD RN CS FNP Windsor Westbrook Sherrill PhD MBA MHA 《Newborn and Infant Nursing Reviews》2004,4(4):211-222
To provide an increasing body of knowledge related to umbilical cord care, a literature review was conducted to study the evolution of umbilical cord care, to evaluate the scientific evidence used to guide practice changes, and to make recommendations for current practice. Historically, there has been a wide range of inconsistent practices related to umbilical cord care that have included a variety of cleansing agents and techniques. The findings of this literature review indicate that the current standard of umbilical cord care may be based on historic practices and traditions rather than scientific investigation and justification. There appears to be little support for continued alcohol use. Yet, insufficient evidence is available to support an immediate change in the standard of care from topical antimicrobial treatment of the umbilical cord to natural healing. Further research is recommended to evaluate natural healing and to establish evidence-based recommendations for practice. 相似文献
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Carlayne E. Jackson MD Gary Gronseth MD Jeffrey Rosenfeld PhD MD Richard J. Barohn MD Richard Dubinsky MD MPH C. Blake Simpson MD April McVey MD Pamela P. Kittrell MSN Ruth King MHA Laura Herbelin BS 《Muscle & nerve》2009,39(2):137-143
Twenty ALS patients with sialorrhea refractory to medical therapy were enrolled in this double‐blind, randomized study to receive either 2,500 U of botulinum toxin type B (BTxb) or placebo into the bilateral parotid and submandibular glands using electromyographic guidance. Patients who received BTxb reported a global impression of improvement of 82% at 2 weeks compared to 38% of those who received placebo (P < 0.05). This significant effect was sustained at 4 weeks. At 12 weeks, 50% of patients who received BTxb continued to report improvement compared to 14% of those who received placebo. There were no significant adverse events, including dysphagia, in the BTxb group, and there was no significant increase in the rate of decline of vital capacity. Muscle Nerve 39: 137–143, 2009 相似文献
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