Analysis of the Effect of Nursing Intervention for Thyroid Diseases Based on Family Nursing Methods.

Patients with thyroid disease must take long-term antithyroid drugs and go to the outpatient clinic for regular check-ups. This requires patients to have good compliance behaviors in order to better control their thyroid hormone levels. In order to improve patients' compliance behavior and seek effective family care interventions, this paper combines family care methods to evaluate the nursing effect of thyroid disease and combines investigation and analysis and experimental methods to verify the effectiveness of the method proposed in this paper. In addition, this paper compares family nursing methods with conventional methods under the guidance of family philosophy and objectively analyzes and evaluates the application value of accelerated rehabilitation surgery concepts and methods in thyroid surgery. Finally, this paper sets up a control group and a test group to carry out the nursing effect of home nursing in thyroid diseases. Through comparative experiments, it can be seen that the nursing intervention for thyroid diseases based on home nursing in this paper has a good nursing effect.

Managing health changes for people with a learning disability in a residential care home setting.

BACKGROUND: People with learning disability (LD) have complex comorbidities that develop at an earlier age than the general population and with which they are now living longer. Identification, assessment and management of these conditions is important but challenging. AIM: To develop resources with care staff to enable them to recognise and manage changes and decline in the health of a person with a LD. METHODS: Two resources (PIP-LD and CIRC) were developed through undertaking a literature review; networking with experts; and collaborating with staff in the care homes for people with a LD. Care staff then used these resourcesto review their residents. FINDINGS: The PIP-LD and CIRC were used in 39 care homes. The PIP-LD empowered staff to meet people's immediate health needs, and the CIRC helped them to recognise changes or a decline. CONCLUSIONS: The combined use of the PIP-LD and the CIRC enabled care staff to recognise the signs and symptoms of each person's comorbidities early, and to identify and manage changes when their health declined.

An evidence-based resource for the management of comorbidities associated with childhood overweight and obesity.

PURPOSE: Overweight and obesity in children and adolescents is often accompanied by obesity-related comorbidities. An integrative review of the literature was performed to create a comprehensive algorithm to help primary care providers manage the common comorbidities associated with childhood overweight and obesity. DATA SOURCES: The Cumulative Index to Nursing and Allied Health Literature, ProQuest Nursing and Allied Health Source, and PubMed databases were searched. Evidence from 2002 to present was reviewed. Guidelines and algorithms from the American Academy of Pediatrics, National Association of Pediatric Nurse Practitioners, American Heart Association, American Diabetes Association, Centers for Disease Control and Prevention, National Heart, Lung, and Blood Institute, Agency for Healthcare and Research Quality, U.S. Department of Health and Human Services, and the International Diabetes Federation were also reviewed. CONCLUSIONS: Key information was extracted and data sources ranked according to the Polit and Beck evidence hierarchy. Highest level evidence guided the selection and development of recommendations to formulate a comprehensive resource for the recognition and management of pediatric hypertension, sleep apnea, vitamin D deficiency, nonalcoholic fatty liver disease, dyslipidemia, thyroid disease, diabetes mellitus, insulin resistance, metabolic syndrome, and polycystic ovarian syndrome. IMPLICATIONS FOR PRACTICE: The Childhood Overweight and Obesity Comorbidities Resource provides a consistent, convenient point-of-care reference to help primary care providers improve pediatric health outcomes.

Diabetes mellitus a los 85 años en la comunidad. Estudio Octabaix / Diabetes mellitus at 85 years in the community. Octabaix study

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Síndrome de Ovario Poliquístico: Donde estamos y hacia donde dirigirnos / Polycystic Ovary Syndrome: Where we are and where to go

OBJETIVO: Sintetizar la información con mayor relevancia sobre los criterios diagnósticos del SOP y revisar los principales estudios de prevalencia. Material Y método: Estudio de revisión de la literatura. Se realiza una búsqueda avanzada en MEDLINE con las siguientes palabras clave: PCOS AND diagnostico criteria, PCOS AND prevalence. RESULTADOS: Se obtienen más de 3000 artículos seleccionando 27 de ellos en base a su relevancia, autores, factor impacto de la revista y fecha de publicación. CONCLUSIONES: El SOP puede clasificarse en 4 fenotipos según la presencia de tres criterios diagnósticos: SOP clásico (oligo/anovulación + hiperandrogenismo + ovarios poliquísticos (OP)), SOP clásico sin OP (oligo/anovulación + hiperandrogenismo), SOP ovulatorio hiperandrogenismo + OP), SOP sin hiperandrogenismo (oligo/anovulación + OP). Consideramos que lo más importante y determinante será el establecer La morbilidad (problemas reproductivos, síndrome metabólico, enfermedad cardiovascular, riesgo de cáncer) para cada fenotipo o presentación del síndrome

OBJECTIVE: To analyze and discuss the latest in the literature about PCOS diagnostic criteria and to review today prevalence. MATERIAL AND METHOD: Review of the literature. A search in MEDLINE was performed with the following keywords: PCOS AND diagnostic criteria, PCOS and prevalence. RESULTS: There was over 3000 articles as a result and we selected 27 based on the relevance, authors, journal impact factor and date of publication. CONCLUSIONS: PCOS can be classified into four phenotypes according to the presence or not of three diagnostic criteria: Classic PCOS: (oligo/anovulation + hyperandrogenism + polycystic ovaries (PO)), Classic PCOS w/out PO (oligo/anovulation + hyperandrogenism), Ovulatory PCOS (hyperandrogenism + PO), PCOS w/out hyperandrogenism (oligo/anovulation + PO). We think that the most important step will be to establish each phenotype morbidity (in terms of reproductive problems, metabolic syndrome, ardiovascular disease risk, cancer risk)

Blood tests for investigating maternal wellbeing.

It is the midwife's role to assess the client's general health, explore her medical, surgical, menstrual, gynaecological, obstetric, psycho-emotional, social and family history thoroughly to ascertain if there are indicators of potential complications in her pregnancy, labour and birth and puerperium. In this article we examine the case of Carla; as there is history of thyroid dysfunction in her family, this could be an indicator towards a diagnosis of thyroid pathology.

Diabetes and thyroid disease: nursing care to improve outcomes for patients living in poverty.

A primary goal of nurses providing care for persons who have diabetes mellitus or thyroid disease is improving their health outcomes. For persons who have diabetes and thyroid disease and live in poverty, improving the care process, and ultimately health outcomes, must include the nurse's understanding of poverty. The purpose of this article is to provide nurses with a basic understanding of the resource issues, "hidden rules," and characteristics that are associated with persons who live in poverty. Most importantly, some basic strategies to improve the health outcomes of patients who have diabetes or thyroid disease and live in poverty are provided.

Radioiodine therapy: care of the helpless patient and handling of the radioactive corpse.

Nurses caring for a helpless patient following a nominal 800 MBq administration of radioiodine were concerned about their radiation dose. Using published data, a nurse could receive an estimated 650 microSv per shift. A regime to restrict their dose was planned using a 500 microSv dose constraint. Thermoluminescent dosimeters indicated a maximum whole-body effective dose of 250 microSv. Three days post 131I administration the patient died (estimated activity in the body 400 MBq). A minimum delay of two weeks was advised prior to a post-mortem. Special precautions were issued to minimise contamination. Dose rates (microSv h(-1)), measured one day after the patient died, at the level of the thyroid, chest and bladder at 0.01 m from the corpse were 1800, 290 and 73 respectively. At 1.0 m the dose rate was 26 microSv h(-1) at all levels. The pathologist was estimated to have received a maximum whole-body dose of 400 microSv during the post-mortem. Contamination measurements (Bq cm(-2)) made following the post-mortem were as follows: pathologist's hands 5, clothes 0, towels 1.8, saw 5, instruments 0.5, plastic sheet 0.8, scales 0.4 and floors/walls 1.1. These data indicate that with appropriate radiation protection guidelines, staff can be reassured that their doses in these circumstances are very low.

Nursing management of symptoms influenced by HIV infection of the endocrine system.

Examining the impact of endocrine disregulation is useful in managing symptoms of HIV infection in its later stages. Current studies indicate insults to the endocrine system from a variety of agents present in HIV infection. Establishing direct pathologic, causal effects is difficult; however, the functional domains of the endocrine system provide a good framework for nursing management of the symptoms of later-stage HIV infection.

Características ecográficas de la tiroiditis de Hashimoto: estudio preliminar / Sonographic features of Hashimotons thyroiditis: a preliminary study / Annual reports 1994

Treinta y dos casos de tiroiditis de Hashimoto han sido estudiadas ecográficamente con el fin de encontrar un patrón ecográfico de esta patología. Las características más comunes fueron la disminución de la ecogenicidad y el cambio heterogéneo del parénquina tiroideo con la presencia de finas bandas ecogénicas internas compatible con fibrosis; siendo ésta la característica más relevante de este estudio. Por otro lado, la irregularidad de los contornos en menor o mayor grado fue otro de los cambios comunes observados. Sólo la mitad de los casos presentó aumento volumétrico de la glándula, y el resto estaba dentro de los valores considerados normales o disminuidos, estando estos últimos casos en estrecha relación con el tiempo de tratamiento hormonal recibido. Las características ecográficas descritas en este estudio hacen de la ecografía un método de diagnóstico complementario importante de la enfermedad de Hashimoto