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In Vitro Fertilization and Embryo Transfer
Published in Asim Kurjak, Ultrasound and Infertility, 2020
After anamnesis, the patient is submitted to a careful gynecological examination. During the examination, all relevant data on the morphology of the reproductive organs and all recognizable pathologies should be notified.
Who Needs This Book, and Why a Doctor Had to Write It
Published in h.c. Jalid Sehouli, Noah Block-Harley, The Art of Breaking Bad News Well, 2019
h.c. Jalid Sehouli, Noah Block-Harley
There is hardly any profession in which communication doesn't play a key role. In medicine, communication is crucial and the backbone of every medical intervention. Yet, in the course of most educational and professional training, verbal communication, much less nonverbal communication, is rarely taught in a structured way. If training does include practice conversations, these only take the form of ideal scenarios rather than real-life situations, and conflict is treated only superficially. In the study of medicine, anamnesis represents a crucial step in diagnosis and prognosis. Despite its unquestionable importance, it receives scant attention in medical education and continued training. The chronic lack of time and face-to-face interaction arising from the everyday pressures of the medical profession places additional pressures on both the quality and quantity of anamnesis.
Diagnosing Tourette syndrome
Published in Carlotta Zanaboni Dina, Mauro Porta, James F. Leckman, Understanding Tourette Syndrome, 2019
Carlotta Zanaboni Dina, Mauro Porta
Usually, during a first visit a doctor listens, queries and checks the patient before making a decision. Whereas, on the other side of the desk, a patient is expecting (often with worry) the doctor’s examination. Conversely, the TS patient has manifestations, depending on many factors that are partially controllable. For instance, considering mild obsessions, the anamnesis can only be based on the description of the patient.
A smartphone-based online platform for clinical skills training and assessment with standardized patients: platform development and pilot study outcomes
Published in Medical Education Online, 2023
Surong Jiang, Huanhuan Chen, Xiaozhi Wang, Liling Chen, Binlin Luo, Lars Konge, Junjie Du, Hua Huang
It has become a hot topic in healthcare simulation education to use the latest network technology to integrate reliable resources and improve learning and assessment methods [24–26]. Since the outbreak of COVID-19, an increasing number of academic institutions have turned to teaching clinical skills online, as this is the most feasible approach, given the circumstances. Accordingly, we developed a smartphone-based online platform to facilitate interactions among medical students, SPs, and medical teachers via the Internet. This virtual platform provides a smooth and secure experience of online training of anamnesis acquisition and doctor – patient communication and serves as an alternative approach to the issue of in-person clinical skills training during special times, such as the COVID-19 pandemic. With the development of the cases and core modules, the platform can be used for summative assessment when in-person OSCE is not possible.
The relationship between oxidative stress and autophagy and apoptosis in patients with paroxysmal atrial fibrillation
Published in Scandinavian Journal of Clinical and Laboratory Investigation, 2022
Halil Fedai, Ibrahim Halil Altiparmak, Mustafa Begenc Tascanov, Zulkif Tanriverdi, Asuman Bicer, Fatih Gungoren, Recep Demirbag, Ismail Koyuncu
In our cross-sectional study, following the approval of the local ethics committee (approval number: HRU/20.03.07), we included patients who applied to the Cardiology Clinic of Harran University with at least 1 electrocardiography (ECG) documented or clinical AF attack lasting at least 30 s in a 24-hour Holter recording. The study was conducted between September 2020 and October 2021. In total, 44 PAF patients between the ages of 18–80 and 44 healthy volunteers who were similar in age and gender were recruited. Those with structural heart disease, coronary artery disease, rheumatic heart disease, cardiomyopathy, moderate and severe valvular disease, thyroid dysfunction, lung disease, hepatic and renal dysfunction, malignancy, connective tissue disease, those with signs of acute infection and acute or chronic inflammatory disease were excluded from the study. Detailed anamnesis and physical examination of all patients included in the study were taken. Cardiovascular symptoms and risk factors were questioned. All patients underwent a 12-lead ECG. Also, echocardiography was performed on the patients in the left lateral decubitus position (Vivid S6, General Electric, Horton, Norway) using a 2.5 MHz transducer, taking parasternal long and short axis and apical 2, 4, 5 space images. Echocardiographic measurements were made based on the criteria recommended by the American Society of Echocardiography [11].
Trachoma Rapid Assessments in Venezuela, an Example of the Integration of Data Gathering with Service Delivery in Hard-to-reach Populations
Published in Ophthalmic Epidemiology, 2022
Yuri Andrea López, Sandra Liliana Talero, Juan Pablo León Donado, Ángel Manuel Álvarez, Magda Magris, Tulia Hernández, Marisela Bermúdez, Neris Villalobos, Martha Idalí Saboyá-Díaz
Physical examination of inhabitants in each household was performed by the physician of the field team looking for other health-related problems as requested by family members. The physician gathered information from each examined person through the anamnesis by asking specific questions, either to the person or of other family members who knew the person, to obtain information needed for a diagnosis. Health-related problems were classified by the physician according to the International Classification of Diseases (ICD-10). If a person reported suspicious symptoms of malaria, a rapid test was performed by a health technician. People with other health-related problems, including malaria, were treated according to the official guidelines for primary health care of the Ministry of Health of Venezuela.22 When the physician identified health problems that needed additional medical evaluation, the person was referred to the local health services.