Physician empathy and subjective evaluation of medical treatment outcome in trauma surgery patients

2014 ◽  
Vol 95 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Simone Steinhausen ◽  
Oliver Ommen ◽  
Sonja Thüm ◽  
Rolf Lefering ◽  
Thorsten Koehler ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Subjective Evaluation ◽  
Trauma Surgery ◽  
Physician Empathy

scholarly journals Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

2014 ◽  
pp. 1239 ◽  
Author(s):  
Simone Steinhausen ◽  
Oliver Ommen ◽  
Sunya-Lee Antoine ◽  
Thorsten Koehler ◽  
Holger Pfaff ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Trauma Surgery ◽  
Short And Long Term ◽  
Physician Empathy

scholarly journals Benign Paroxysmal Positional Vertigo (BPPV) in Adult Patients between 15-40 years of age: A study on Treatment Outcome in Teaching Hospitals

2021 ◽  
Vol 15 (6) ◽  
pp. 2115-2118
Author(s):  
Zafar Iqbal ◽  
Rehan Saleem ◽  
Muhammad Tayyab Rasheed ◽  
Mohammed Habib ◽  
Naseem ul Haq ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Benign Paroxysmal Positional Vertigo ◽  
Combined Treatment ◽  
Clinical History ◽  
Adult Patients ◽  
Teaching Hospitals ◽  
Vestibular Disorder ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Objectives: To study treatment outcome of positional vertigo in adult patients of 15-40 years of age. Place and duration of study: This study was conducted at ENT department of Chaudhary Muhammad Akram Teaching & Research Hospital, Lahore and Kuwait Teaching Hospital, Peshawar from June 2019 to June 2020. Material and Methods: 50 patients with diagnosis of benign positional vertigo were included in the study. Patients were treated and their outcomes were analyzed. Results: 50 patients of age between 15-40 years were included in the study. The analysis of treatment outcome showed that 35 patients (70%) showed maximum improvement in vertigo with medical treatment, 10 patients (20%) showed improvement in their symptoms with positional exercises and 5 patients (10%) showed improvement by combined treatment. Conclusion: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder and presents as brief, episodic, positional provoked vertigo. The diagnosis can be made through clinical history along with diagnostic maneuvers and it can have a considerable impact on the quality of life. The medical treatment with vestibular dilators and vestibular suppressant is best option, with particle repositioning maneuver (Epley maneuver) for resistant and recurrent patients. Key words: Vestibular exercises, Dizziness, Positional vertigo, Dis equilibrium

scholarly journals The adverse influence of spina bifida occulta on the medical treatment outcome of primary monosymptomatic nocturnal enuresis

2014 ◽  
Vol 86 (4) ◽  
pp. 270 ◽  
Author(s):  
Basri Cakiroglu ◽  
Tuncay Tas ◽  
Seyit Erkan Eyyupoglu ◽  
Aydın Ismet Hazar ◽  
Mustafa Bahadır Can Balcı ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Spina Bifida ◽  
Medical Treatment ◽  
Nocturnal Enuresis ◽  
Urine Analysis ◽  
Treatment Success ◽  
Spina Bifida Occulta ◽  
Success Rates ◽  
Monosymptomatic Nocturnal Enuresis ◽  
Primary Monosymptomatic Nocturnal Enuresis

Objective: Previous reports have suggested that the incidence of spina bifida occulta (SBO) in patients with primary monosymptomatic nocturnal enuresis (PMNE) is higher than the general population. The purpose of this study was to investigate the effect of spina bifida occulta on the medical treatment outcome of PMNE. Material and Methods: Between January 2008 and December 2011, a total of 223 children (151 boys and 72 girls, aged 6-16 years; mean age: 10.1 ± 3.04 years) with PMNE were reviewed retrospectively. All of the children underwent physical examination, urine analysis, urinary tract ultrasonography and kidney ureter bladder (KUB) scout film. All patients were initially treated with a timed voiding program and were given desmopressin acetate when necessary. Results: Spina bifida occulta was detected in 75 children (33.6%). Spina bifida occulta affected L4 in 2 children, L5 in 6 children, L4-L5 in 3 children, S1 in 52 children, S2 in 7 children and S1-S2 in 2 children. Treatment was successful in 79% of the children without SBO, and in only 48% of the children with SBO. Medical treatment success rates differed significantly between the study groups. Conclusion: The presence of spina bifida occulta significantly affects the response to medical treatment in patients with PMNE. Thus, verifying spina bifida occulta status in PMNE can facilitate prognostic predictions about the response to medical treatment.

Are life events prior to first episode of major depression a predictor of medical treatment outcome?

2008 ◽  
Vol 23 ◽  
pp. S200
Author(s):  
C. Bock ◽  
J.D. Bukh ◽  
M.V. Christensen ◽  
U. Gether ◽  
L.V. Kessing
Keyword(s):  
Treatment Outcome ◽  
Major Depression ◽  
Medical Treatment ◽  
Life Events ◽  
First Episode

Do stressful life events predict medical treatment outcome in first episode of depression?

2009 ◽  
Vol 44 (9) ◽  
pp. 752-760 ◽  
Author(s):  
Camilla Bock ◽  
Jens Drachmann Bukh ◽  
Maj Vinberg ◽  
Ulrik Gether ◽  
Lars Vedel Kessing
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Life Events ◽  
Stressful Life Events ◽  
Stressful Life ◽  
First Episode

scholarly journals Positive psychology interventions in in-patients with depression: influences of comorbidity and subjective evaluation of the training programme

BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Antje Stemmler ◽  
Regina Staehle ◽  
Tina Heinemann ◽  
Matthias Bender ◽  
Juergen Hennig
Keyword(s):  
Treatment Outcome ◽  
Positive Psychology ◽  
Beck Depression Inventory ◽  
Emotional State ◽  
Subjective Evaluation ◽  
Individual Characteristics ◽  
Control Group ◽  
Emotional States ◽  
Treatment As Usual ◽  
Positive Psychology Interventions

Background Studies on positive psychology interventions (PPIs) have frequently demonstrated benefits for healthy participants and patients. However, effect sizes are moderate, and underlying inter-individual differences in responses were rarely investigated. Aims We investigated whether severity of depression and subjective evaluation of PPIs are relevant sources of variance in this respect. Method A 4-week group PPI programme (one 45-min session per week) was offered to 38 in-patients with depression. The control group (n = 38) was carefully matched and received treatment as usual. In the PPI group, emotional states were recorded before and after each session (responsiveness). Beck Depression Inventory-II scores at hospital admission and discharge were used to evaluate clinical effectiveness. The number of comorbidities (as an indicator of severity of disease) and patients’ evaluations of the PPI sessions were used as additional independent factors for overall treatment outcome. Results The PPI induced a highly significant improvement in positive emotional state and decrease in negative emotional state, indicating responsiveness. Moreover, positive affectivity increased from week to week only in patients with a low number of comorbidities (indicating effectiveness). With respect to overall treatment outcome (Beck Depression Inventory-II scores), positive attitude toward the PPI resulted in the largest improvement. Conclusions The results partly explain the variance in the effectiveness of PPIs. Moreover, they support the idea of personalised psychotherapy, and may inform discussion on whether patients with depression should be included in PPIs. However, additional individual characteristics should increase knowledge about individual predictors for effectiveness.

scholarly journals Medical treatment of ectopic pregnancy and clinical score

2007 ◽  
Vol 135 (3-4) ◽  
pp. 157-159
Author(s):  
Andreja Glisic
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Ectopic Pregnancy ◽  
Clinical Score ◽  
Administration Route ◽  
Total Dosage ◽  
Effective Manner ◽  
Methotrexate Treatment ◽  
Selection Of Patients ◽  
Selection Of

Introduction: Ectopic pregnancy is an important cause of morbidity and mortality worldwide. Furthermore, with earlier diagnosis, medical therapy with methotrexate can be offered and surgery avoided in some women, though the best regimen remains unclear. Although there have been advances in the management of ectopic pregnancy, there are still questions to be answered. Objective. The use of clinical score was evaluated after the clinical treatment for selection of patients for medical treatment of ectopic pregnancy. Method. One hundred and twenty five patients were treated by methotrexate. The administration route was local, ultrasonographically controlled or intramuscular. The first dose of methotrexate was 50 mg and maximal total dosage was 200 mg. Results. Methotrexate treatment of ectopic pregnancy was effective in 85% of cases. In the group of patients with clinical score under 10, the medical treatment was successful in 95% of cases. In the group of patients with clinical score over 14, the medical outcome was successful in 33% of cases. The administration route did not influence the treatment outcome. Conclusion. Methotrexate treatment of ectopic pregnancy is a very effective manner of treatment. Clinical (numeric) score is very useful for selection of patients with ectopic pregnancy and may have prognostic value for medical treatment outcome. .

scholarly journals Response to antiseizure medications in epileptic patients with malformation of cortical development

2021 ◽  
Vol 14 ◽  
pp. 175628642110500
Author(s):  
Wei Chen ◽  
Bo Jin ◽  
Thandar Aung ◽  
Chenmin He ◽  
Cong Chen ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Seizure Frequency ◽  
Cortical Development ◽  
Pharmacological Intervention ◽  
Seizure Freedom ◽  
Malformation Of Cortical Development ◽  
Epileptic Patients ◽  
Seizure Relapse

Background: Malformation of cortical development (MCD) is one of the most common causes of pharmacoresistant epilepsy. Improving the knowledge of antiseizure medications (ASMs) treatment response in epileptic patients with MCD is crucial for optimal treatment options, either pharmacological therapy or non-pharmacological intervention. Aim: To investigate the patterns of medical treatment outcome and the predictors for seizure freedom (SF) with ASM regimens in epilepsy caused by MCD. Methods: The epileptic patients with MCD were consecutively enrolled from March 2013 to June 2019. SF was defined as no seizures for at least 12 months or three times the longest pretreatment inter-seizure interval, whichever was longer. Outcomes were classified into three patterns: pattern A: patients achieved SF at one point and remained so throughout follow-up; pattern B: patients’ seizures fluctuated between periods of SF and relapse; pattern C: SF never attained. The terminal SF was defined if the patients remained SF at the last follow-up visit. Results: A total of 164 epileptic patients with MCD were included. Pattern A was observed in 22, pattern B in 42, and pattern C in 100 patients. SF was ever achieved in 64 (pattern A and B) patients. Twenty-nine patients had terminal SF after a median follow-up time of 4.3 years. With continuing ASM treatment, seizure relapse risk was very low after a 5-year seizure-free period. The pretreatment seizure frequency was the only independent predictor for pattern A and seizure relapse. Sodium channel blockers monotherapy (33.8%) was more effective than levetiracetam (4.5%) in rendering SF in the initial ASM regimen. Conclusion: Medical treatment can be successful in a minority of epileptic patients with MCD, and pretreatment seizure frequency helps to predict the treatment outcome. An unequal efficacy of ASMs in epilepsy caused by MCD suggests etiological evaluation is vital in the management of focal epilepsy.

scholarly journals Circulating microRNAs as markers for prediction of heart failure medical treatment outcome

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P4214-P4214
Author(s):  
A. C. K. Chung ◽  
M. Liu ◽  
Y. Dong ◽  
A. P. W. Lee ◽  
H. Y. Lan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Treatment Outcome ◽  
Medical Treatment ◽  
Circulating Micrornas
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