scholarly journals A difficult pacemaker ECG resulting in an unnecessary intervention

2006 ◽  
Vol 9 (06) ◽  
Keyword(s):  
Pacemaker Ecg ◽  
Unnecessary Intervention

Pacemaker ECG

The ECG ◽  
2004 ◽  
pp. 505-523 ◽  
Author(s):  
Marc Gertsch
Keyword(s):  
Pacemaker Ecg

scholarly journals Surgicel on the post-operative CT: an old trap for radiologists

2019 ◽  
Vol 5 (4) ◽  
pp. 20190041
Author(s):  
Flavius Parvulescu ◽  
Gaurav Sundar ◽  
Milind Shortri
Keyword(s):  
Interventional Radiology ◽  
Correct Diagnosis ◽  
Duodenal Perforation ◽  
Routine Procedure ◽  
Unnecessary Procedures ◽  
Operative Notes ◽  
Unnecessary Intervention ◽  
Radiological Technique ◽  
Gallbladder Fossa ◽  
Ct Studies

Percutaneous drainage of post-operative collections following abdominopelvic surgery has become standard practice and is a routine procedure in many interventional radiology (IR) departments. Such collections are commonly diagnosed on CT studies where the presence of Surgicel ® can mimic an abscess and lead to unnecessary procedures. We present a case where a duodenal perforation was masked by post-operative Surgicel in the gallbladder fossa, which in turn was mistaken for an infected biloma and referred for percutaneous interventional radiology drainage. Careful imaging review, correlation with operative notes and good diagnostic radiological technique led to a correct diagnosis and avoided unnecessary intervention.

scholarly journals Hepatic Haemangioma Masquerading as the Gallbladder in a Case of Gallbladder Agenesis: A Case Report and Literature Review

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
James A. Stephenson ◽  
Michael Norwood ◽  
Dhya Al-Leswas ◽  
Omer Al-Taan ◽  
Richard Beable ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Preoperative Imaging ◽  
Biliary Colic ◽  
Radiological Investigation ◽  
Hepatic Haemangioma ◽  
Gallbladder Agenesis ◽  
Operative Findings ◽  
Benign Liver ◽  
Unnecessary Intervention ◽  
Gallbladder Fossa

Gallbladder agenesis is uncommon. In contrast, liver haemangiomas are the most common type of benign liver lesions. We describe the first documented case of gallbladder agenesis where the clinical presentation was consistent with biliary colic, and radiological investigation suggested the presence of gallstones. Subsequent operative findings revealed a solitary haemangioma of the liver sited in the normal position of the gallbladder fossa but with absence of the gallbladder. It is important that clinicians should keep gallbladder agenesis in mind when the gallbladder appears abnormal on preoperative imaging studies and cannot be found at laparoscopy. As symptoms will improve in 98% of cases, it is very important to avoid unnecessary intervention in patients who have a negative laparoscopy. The clinical presentation, investigations, and operative findings are discussed with a review of other relevant reported cases in the literature.

Too Much of a Good Thing? American Childbirth, Intentional Ignorance, and the Boundaries of Responsible Knowledge

2017 ◽  
Vol 42 (5) ◽  
pp. 848-871 ◽  
Author(s):  
Kellie Owens
Keyword(s):  
Science And Technology Studies ◽  
Health Providers ◽  
Heart Rate Monitoring ◽  
Medical Surveillance ◽  
Fetal Heart Rate Monitoring ◽  
Medical Practitioners ◽  
Medical Risk ◽  
Risk Of Disease ◽  
Unnecessary Intervention ◽  
Improve Health

In biomedicine, practitioners often treat risk of disease as an illness in itself—suitable for monitoring and intervention. In some cases, increased diagnostics improve health outcomes by detecting problems early. Recently, however, science and technology studies scholars and medical practitioners have noted that the treatment of risk can also lead to unnecessary intervention and possible harm. Despite these findings, it is often hard to see changes in practice. Childbirth serves as an illuminating case because two models of health risk operate simultaneously—in addition to the model valuing frequent intervention, there is another that seeks to mitigate risk by refusing medical surveillance. Based on interviews with birth providers and an analysis of professional documents, this article uses the case of fetal heart rate monitoring in American childbirth to demonstrate how some health providers are framing “intentional non-knowing” as a moral imperative to reduce medical risk. Studying the success and limitations of this “risk counterculture” illuminates how risk societies are changing in response to data suggesting that more information can have hurtful effects. This case integrates well-developed theories of knowledge production with less-developed theories of knowledge nonproduction, leading to a more fruitful discussion of the boundaries of responsible knowledge in risk management.

scholarly journals My Birth Story is Like a Dream: A Childbirth Educator’s Childbirth

2013 ◽  
Vol 22 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Gözde G. Isbir
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Professionals ◽  
Fear Of Childbirth ◽  
Narrative Method ◽  
Birth Story ◽  
Unnecessary Intervention ◽  
Childbirth Experiences

Fear of childbirth is universal. Because of the stories of bad experiences passed down for years, many women fear childbirth. As a result, many women do not believe in the power of their own bodies and often hand over control of their bodies to health-care professionals, resulting in unhappy childbirth experiences because of unnecessary intervention during labor and birth. As a pregnancy trainer who prepares pregnant women for childbirth, the author wrote her personal childbirth story with an autoethnographic narrative method. Her aim is to help motivate pregnant women preparing for childbirth, health-care professionals preparing those pregnant women, and birthing staff.

scholarly journals Pneumopericardium after Laparoscopic Hernia Repair Presents with ST-segment Changes: A Case Report

2021 ◽  
Vol 2 (5) ◽  
pp. 178-181
Author(s):  
Demi Galindo ◽  
Emily Martin ◽  
Douglas Franzen
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Chest Pain ◽  
Myocardial Ischemia ◽  
Hernia Repair ◽  
Laparoscopic Hernia Repair ◽  
T Wave ◽  
St Segment ◽  
Electrocardiogram Ecg ◽  
Unnecessary Intervention

Introduction: Although rare, iatrogenic cases of pneumopericardium have been documented following laparoscopic surgery and mechanical ventilation. Electrocardiogram (ECG) changes, including ST-segment depressions and T-wave inversions, have been documented in cases of pneumopericardium, and can mimic more concerning causes of chest pain including myocardial ischemia or pulmonary embolism. Case Report: This unique case describes a patient who presented with chest pain and ST-segment changes on ECG hours after a laparoscopic inguinal hernia repair and who was found to have pneumopericardium. Conclusion: While iatrogenic pneumopericardium is often self-limiting and rarely requires intervention, it is critical to differentiate pneumopericardium from other etiologies of chest pain, including myocardial ischemia and pulmonary embolism, to prevent unnecessary intervention.

scholarly journals EFEKTIFITAS METODE PRA (PARTICIPATION RURAL APPRAISAL) DALAM PENGENTASAN KELUARGA MISKIN DI PROPINSI LAMPUNG

Sosio Informa ◽  
2007 ◽  
Vol 8 (2) ◽  
Author(s):  
Elly Kumari Tjahja Putri
Keyword(s):  
Social Structure ◽  
Social Participation ◽  
Design Research ◽  
Local Authority ◽  
Strategy Of Development ◽  
The People ◽  
Quasi Experimental ◽  
Government Interference ◽  
Unnecessary Intervention ◽  
Rural Appraisal

The monetary crisis that began in 1998, followed by multidimensional one, had induced a widespread impacts on many aspects of the national political, economical, social and culturallives. This condition is strongly related to the unsound strategy of development implemented by the previous geverment with its centralized, beurocratic and unifornity approach which in turn had the effect of social structure and organization deempowerment of the society. This can be cured by revitalizing self-determination dan social participation of the community to help themselves solving their own problems without government interference. PRA (Participation Rural Appraisal) method could be considered applied to raise etno development with its bottom-up approach in community development. This research is conducted to asses the effectiveness of PRA in empowering the poor in province Lampung. A quasi-experimental method is adopted with single before-after design. Research results revealed that PRA method is not effective enough to increase social participation of the people in Lampung due to unnecessary intervention from the local authority so as to make them unable in making their own decision. In addition, social workers in the location were not functioning well due to lack of capability in applying PRA method, and there were weak partnerships between NGO and local enterpreneur, along with community, to overcome poverty problems. In the future, training on PRA method should be held for local social worker. In addition, there should be effort to grow local social-structure initiatives and creativities without the inference from local government.Key words: PRA (Participation Rural Appraisal), poor empowerment, effectiveness.

scholarly journals Microcystic Serous Cystadenoma of Pancreas Presenting With Chronic Diarrhea

2018 ◽  
Vol 08 (03) ◽  
pp. 045-049
Author(s):  
Shravya Sudesh Kotian ◽  
Shubha P Bhat ◽  
Rajshekhar Mohan ◽  
Sajitha K.
Keyword(s):  
Imaging Techniques ◽  
Surgical Excision ◽  
Serous Cystadenoma ◽  
The Body ◽  
Cystic Neoplasms ◽  
Large Size ◽  
History Of ◽  
Serous Cystic Neoplasms ◽  
Pancreatic Cystic Neoplasms ◽  
Unnecessary Intervention

AbstractPancreatic cystic neoplasms are increasingly being recognized due to widespread use of advanced imaging techniques. The prevalence of pancreatic cystic lesions is estimated to be between 2.6% - 19.6%. Serous Cystic Neoplasms account for nearly 16% of surgically resected th th pancreatic cystic neoplasms. They commonly occur in females between 5 and 6 decade of life. These tumours are essentially benign and asymptomatic unless they attain a large size. Majority of them occur in the body and tail of pancreas. Malignant transformation is reported in 1%-3% of cases. Surgical excision is the treatment of choice. Thus, it is important to accurately diagnose this lesion to avoid unnecessary intervention in the form of chemotherapy or uncalled for surgical resection. We report a rare case of a 65 year old male who presented with a history of intermittent diarrhea.

scholarly journals Challenges to achieving appropriate and equitable access to Caesarean section: ethnographic insights from rural Pakistan

2019 ◽  
Vol 52 (4) ◽  
pp. 491-503
Author(s):  
Zubia Mumtaz ◽  
Afshan Bhatti ◽  
Sarah Salway
Keyword(s):  
Health Care ◽  
Caesarean Section ◽  
Low Income ◽  
Financial Incentives ◽  
Low Income Countries ◽  
Structured Interviews ◽  
Missed Opportunities ◽  
Health Visitors ◽  
Community Midwives ◽  
Unnecessary Intervention

AbstractAccess to Caesarean section (C-section) remains inadequate for some groups of women while others have worryingly high rates. Understanding differential receipt demands exploration of the socio-cultural, and political economic, characteristics of the health systems that produce them. This extensive institutional ethnography investigated under- and over-receipt of C-section in two rural districts in Pakistan – Jhelum and Layyah. Data were collected between November and July 2013 using semi-structured interviews from a randomly selected sample of 11 physicians, 38 community midwives, 18 Lady Health Visitors and nurses and 15 Traditional Birth Attendants. In addition, 78 mothers, 35 husbands and 23 older women were interviewed. The understandings of birth by C-section held by women and their family members were heavily shaped by gendered constructions of womanhood, patient–provider power differentials and financial constraints. They considered C-section an expensive and risky procedure, which often lacked medical justification, and was instead driven by profit motive. Physicians saw C-section as symbolizing obstetric skill and status and a source of legitimate income. Physician views and practices were also shaped by the wider health care system characterized by private practice, competition between providers and a lack of regulation and supervision. These multi-layered factors have resulted in both unnecessary intervention, and missed opportunities for appropriate C-sections. The data indicate a need for synergistic action at patient, provider and system levels. Recommendations include: improving physician communication with patients and family so that the need for C-section is better understood as a life-saving procedure, challenging negative attitudes and promoting informed decision-making by mothers and their families, holding physicians accountable for their practice and introducing price caps and regulations to limit financial incentives associated with C-sections. The current push for privatization of health care in low-income countries also needs scrutiny given its potential to encourage unnecessary intervention.

scholarly journals Agenesis of the Gallbladder: Role of Clinical Suspicion and Magnetic Resonance to Avoid Unnecessary Surgery

2017 ◽  
Vol 10 (3) ◽  
pp. 819-825 ◽  
Author(s):  
Eugenio Tagliaferri ◽  
Heinrich Bergmann ◽  
Sebastian Hammans ◽  
Alireza Azizi ◽  
Eckhard Stüber ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Anatomical Variation ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Clinical Suspicion ◽  
Biliary Colic ◽  
Correct Treatment ◽  
Radiological Features ◽  
Gallbladder Agenesis ◽  
Unnecessary Intervention

Isolated agenesis of the gallbladder is usually a rare asymptomatic anatomical variation, with an estimated incidence of 10–65 per 100,000. Females are more commonly affected (ratio 3: 1), with the disease typically presenting in the second or third decade of their life. Despite an absent gallbladder, half of the patients present with symptoms similar to biliary colic, which is poorly understood. The rarity of this condition combined with its clinical and radiological features often lead to a wrong preoperative diagnosis so that many patients undergo unnecessary operative intervention. Herein, we present the case of a 56-year-old female with a typical biliary colic who was diagnosed to have gallbladder agenesis. Computed tomography and magnetic resonance cholangiopancreatography allowed correct treatment and prevented an unnecessary intervention.

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