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Int J Ment Health Nurs ; 27(1): 341-348, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28299868


Mental illness increases a person's risk of physical health issues, including cardiovascular disease, leading to premature morbidity and mortality. Screening for cardiovascular disease through metabolic monitoring is recommended to aid in early detection. The aim of the present study was to ascertain whether consumers admitted to an inpatient mental health unit receive routine metabolic monitoring, and to explore the contribution of a nurse practitioner to metabolic monitoring and the actioning of abnormal results. The present study used a retrospective mirror image cohort method to look at clinical consumer files for two separate 6-month periods before and after a nurse practitioner role commenced. Metabolic monitoring variables were computed as completion frequencies and percentages. Univariate analyses were computed to describe differences among metabolic monitoring variables. A total of 497 consumers were admitted to the mental health inpatient unit's intensive care area across the two 6-month data-collection periods. Prior to the nurse practitioner role, only 2% of consumers had their body mass index (BMI) risk calculated; less than 1% had their waist circumference measured, and no abnormal results were referred to a general practitioner (GP). After the nurse practitioner role commenced, BMI risk was calculated for 67% of consumers, waist circumference recorded for 68%, and referrals for abnormal results were forwarded to 37 consumers' GPs. A nurse practitioner on the inpatient mental health unit has allowed for a considerable increase in the metabolic screening of admitted consumers resulting in a number of referrals being forwarded to consumers' GPs to be acted upon.

Doenças Cardiovasculares/prevenção & controle , Unidades de Terapia Intensiva , Profissionais de Enfermagem , Papel do Profissional de Enfermagem , Unidade Hospitalar de Psiquiatria , Adolescente , Adulto , Idoso , Índice de Massa Corporal , Doenças Cardiovasculares/diagnóstico , Feminino , Humanos , Masculino , Transtornos Mentais/complicações , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Monitorização Fisiológica/métodos , Encaminhamento e Consulta , Estudos Retrospectivos , Comportamento de Redução do Risco , Circunferência da Cintura , Adulto Jovem
Am J Case Rep ; 14: 147-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23826453


PATIENT: Male, 59. FINAL DIAGNOSIS: Neuroendocrine carcinoma of urinary bladder. SYMPTOMS: Dysuria • hematuria. MEDICATION: - CLINICAL PROCEDURE: MRI • cystoscopy. SPECIALTY: Urology • oncology. OBJECTIVE: Rare disease. BACKGROUND: Neuroendocrine carcinomas of the genitourinary tract are rare but distinct and important entities because they are very aggressive tumors and are usually advanced or metastatic at the time of diagnosis. A high index of suspicion must be held by the pathologist viewing the specimen, as it can easily be misdiagnosed as a high grade urothelial carcinoma. Specific, proven treatment algorithms have been formulated over the years for the latter, whilst neuroendocrine carcinomas of the genitourinary tract are rare and treatment regimes have not yet been proven to show a significant improvement in survival in the majority of cases, so accurate diagnosis is important. CASE REPORT: We report the case of a 59-year-old man who presented with a short history of dysuria and frank hematuria. Imaging and cystoscopy revealed a large exophytic mass in the base of the urinary bladder, which extended into the bladder neck. Metastatic deposits were already present in his liver and vertebrae. Histology revealed a neuroendocrine carcinoma. CONCLUSIONS: A comprehensive review of the existing literature regarding this rare but aggressive tumor is presented, including advances in classification, pathogenesis, and treatment.

J Drugs Dermatol ; 11(2): 191-5, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22270201


BACKGROUND: Laser hair removal (LHR) is increasingly popular for the treatment of unwanted hair. To date, there have been few studies to evaluate patient satisfaction and complications after LHR among people of color. OBJECTIVES: To determine patient satisfaction and complications with long-pulsed Nd:YAG laser assisted hair removal in dark-complexioned skin individuals from the patient's point of view. PATIENTS/METHODS: A survey questionnaire was administered to subjects with Fitzpatrick skin type VI between the ages of 21-70 years who had been treated with long-pulsed Nd:YAG for unwanted hair. Questions were comprised of those related to satisfaction and complications from treatment with LHR. Satisfaction was recorded on a linear analogue scale (LAS=not at all satisfied; 100=extremely satisfied). RESULTS: Fifty patients (female 41, male 9) completed the survey. All patients were satisfied with Nd:YAG LHR treatment with the mean satisfaction score of 84.2. All patients favor LHR treatment as compared to alternative methods. The majority of patients (79.3%) who had completed six or more LHR treatments were removing their hair less frequently than before LHR treatment. Hyperpigmentation after treatment was noted in three patients (6%), which lasted for 3-10 days. No hypopigmentation, blistering, or scarring was observed. All patients completing the study would recommend LHR for patients with unwanted hair with the mean recommendation score of 91.5. CONCLUSIONS: Nd:YAG laser-assisted hair removal gives a high rate of patient satisfaction in terms of hair reduction with minimal complication among subjects of color.

Grupos Étnicos/etnologia , Remoção de Cabelo/efeitos adversos , Remoção de Cabelo/métodos , Lasers de Estado Sólido , Satisfação do Paciente/etnologia , Complicações Pós-Operatórias/etnologia , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Terapia a Laser/efeitos adversos , Terapia a Laser/métodos , Lasers de Estado Sólido/efeitos adversos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/psicologia , Inquéritos e Questionários , Resultado do Tratamento
J Dermatolog Treat ; 20(3): 149-51, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19016375


Hair growth in the oral cavity following free-flap transfer from a hair-bearing area has been previously noted albeit outside the dermatology literature. Little is known about the incidence and treatment of this undesirable postoperative complication. We herein describe two cases of palatal hair occurring after complex oropharyngeal reconstruction treated with a novel combination of Nd:YAG laser together with mechanical epilation and electrolysis.

Hipertricose/etiologia , Terapia a Laser/métodos , Palato/fisiopatologia , Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos , Retalhos Cirúrgicos/efeitos adversos , Seguimentos , Remoção de Cabelo/métodos , Humanos , Hipertricose/terapia , Masculino , Pessoa de Meia-Idade , Orofaringe/patologia , Orofaringe/cirurgia , Neoplasias Faríngeas/patologia , Neoplasias Faríngeas/cirurgia , Faringectomia/efeitos adversos , Faringectomia/métodos , Procedimentos Cirúrgicos Reconstrutivos/métodos , Resultado do Tratamento