检索结果-南通市图书馆

How Do I Care for My Patients with...？

Journal of Health Science 2015年第4期3卷 141-147页

作者： Thomas Kuehlein Ana Carvalho catarina viegas Dias David Rodrigues Daniel Pinto Allgemeinmedizinisches Institut Universitasklinikum Erlangen Universitatsstraβe 29 Erlangen 91054 Germany Unidade de Saude Familiar (USF) Loure Saudavel Loures 2670-487 Portugal Dafundo Family Medicine Unit Dafundo 1495-713 Portugal Family Medicine Unit NOVA Medical School/FacuMade de Ciencias Medicas Universidade Nova de Lisboa Lisboa 169-056Portugal

Introduction： Physicians want to know how they care for their patients. However, it can be challenging to describe the quality of their work. A basic question to ask would be： How do I care for my patients with a certain health condition？ The authors wanted to find out whether they can answer this question for their patients suffering from osteoporosis with the support of their EHR （electronic health record）. Materials and methods： Postmenopausal women having experienced a fracture were identified from the EHR. At the same time, criteria to assess the quality of care were defined following current guidelines. As it emerged that the EHR was unsuitable to fulfill the authors＇ purpose, the free software package ＂Epi Info 7＂ was used to create a template for data entry and analysis. Results： Of the 41 female patients identified with possible osteoporotic fractures, as many as 90% （37 patients） did not have any bone-density measurements recorded despite 39% （16 patients） had been given a diagnosis of osteoporosis. Of the 16 patients with recorded osteoporosis, only two were prescribed antiosteoporotic medication. The EHR was largely inadequate to answer the question. Conclusion：＂How do I care for mypatients with...？＂ is a difficult question to answer when relying on conventional EHR. The resulting answer is worrying and opens up a lot of room for improvement on behalf of the EHR and the quality of care provided.

关键词： Quality of care electronic health record clinical governance family practice.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

<i>De Novo</i>Cavernous Malformation after Radiosurgery

引用

Open Journal of Modern Neurosurgery 2013年第1期3卷 1-3页

作者： catarina viegas Bruno Santiago Joana Boléo Tomé Manuel Cunhae Sá Department of Neurosurgery Hospital Garcia de Orta Almada Portugal

Background: The general use of radiation therapy and radiosurgery as first-line or adjuvant treatment of central nervous system (CNS) lesions has been associated with several harmful effects. Case Description: We report the case of a 16-year-old male patient, submitted at the age of seven to surgical removal of a world heath organization (WHO) grade II diffuse astrocytoma and referred for adjuvant radiosurgery after three further surgeries due to local recurrences. Seven years after radiosurgical treatment, he presented with symptoms of intracranial hypertension. Magnetic resonance imaging (MRI) at the time showed a cavernous malformation in the tumor bed, histologically confirmed, without tumoral recurrence. Conclusion: This case report emphasizes the relation between radiosurgery and the appearance of the novo cavernous malformations, only described previously in one adult patient.

关键词： Cavernous Malformation Radiosurgery Radiation Induced Cavernoma Grade II Astrocytoma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：