RESUMO
Whether to screen for prostate cancer using PSA testing is a difficult decision for many men. Here's the information you need to help them make an educated choice.
Assuntos
Tomada de Decisão Compartilhada , Detecção Precoce de Câncer/métodos , Antígeno Prostático Específico/análise , Neoplasias da Próstata/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Exame Retal Digital/normas , Exame Retal Digital/estatística & dados numéricos , Detecção Precoce de Câncer/psicologia , Detecção Precoce de Câncer/normas , Humanos , Masculino , Pessoa de Meia-Idade , Antígeno Prostático Específico/sangue , Neoplasias da Próstata/mortalidade , Neoplasias da Próstata/fisiopatologiaRESUMO
Chronic health disorders can be better managed without increasing costs by engaging in collaborative care management of depression and anxiety.
Assuntos
Prestação Integrada de Cuidados de Saúde , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Atenção Primária à Saúde/organização & administração , Comportamento Cooperativo , HumanosRESUMO
These 2 cases offer insights to faster recognition of a common cause of drug overdose.
Assuntos
Benzodiazepinas/intoxicação , Cocaína/intoxicação , Overdose de Drogas/diagnóstico , Fentanila/intoxicação , Heroína/intoxicação , Adulto , Diagnóstico Diferencial , Overdose de Drogas/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Naloxona/administração & dosagem , Antagonistas de Entorpecentes/administração & dosagemRESUMO
Purpose: In this study, we aimed to evaluate the single surgeon experience of semi-preloaded intraocular lens (IOL) delivery system. Methods: Phacoemulsification was performed under topical anesthesia by temporal clear corneal incision. CT Lucia hydrophobic IOL was injected through semi- preloaded IOL system in the capsular bag. Two hundred patients (200 eyes) were included in the study. The main outcome measures were ease of implantation, intraoperative and postoperative complications, postoperative centration, and visual acuity. Data on successful implantation and complications were collected prospectively. Results: Correct IOL delivery was achieved in 193 out of 200 patients (96.5%). Four patients (2%) required intrawound rotation of the injector to place the leading haptic in the capsular bag. Two patients (1%) had anteroposterior rotation of the IOL and one patient (0.5%) had total posterior rotation of IOL. Other problems noted were trapped trailing haptic (n=2,1%), improper loading of IOL (n=3,1.5%) and stretch marks on the optic of IOL (n=4,2%). None of the patients had iris trauma or posterior capsular rupture during the implantation and manipulation of the IOL. The mean incision size after completion of implantation of IOL was 2.82 mm (+ 0.02), which achieved sutureless closure. None of the patients developed postoperative infection. Conclusion: Implantation of CT Lucia 601 PY IOL with the semi preloaded system led to minor complications and gave satisfactory visual results.
Assuntos
Cápsula do Cristalino/cirurgia , Implante de Lente Intraocular/instrumentação , Lentes Intraoculares , Acuidade Visual , Idoso , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Masculino , Satisfação do Paciente , Facoemulsificação , Estudos ProspectivosRESUMO
Steven R, a 21-year-old man, visited the clinic accompanied by his mother. He did not speak much, and his mother provided his history. Over the previous 2 months, she had overheard him whispering in an agitated voice, even though no one else was nearby. And, lately, he refused to answer or make calls on his cell phone, claiming that if he did it would activate a deadly chip that had been implanted in his brain by evil aliens. He also stopped attending classes at the community college. He occasionally had a few beers with his friends, but he had never been known to abuse alcohol or use other recreational drugs. How would you proceed with this patient?
