منابع مشابه
How respected family physicians manage difficult patient encounters.
BACKGROUND Nearly all family physicians have patients that engender a sense of frustration or dislike, often described as "difficult." Most research in this area focuses on describing these patients and their physicians, not management or coping. OBJECTIVE To describe how respected family physicians identify, manage, and cope with difficult patient encounters. METHODS Qualitative semi-struc...
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BACKGROUND Many factors have been found to affect the difficulty of colonoscope insertion, such as age, gender, body mass index (BMI), history of abdominal surgery and operator etc. However, a scoring system may be more useful to predict the difficulty during colonoscopy. METHODS The individual and procedure-related data of 616 patients undergoing colonoscopy were prospectively collected from...
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difficult to treat asthma is an asthma syndrome that brings in our mind other differentials. mediastinal masses are not common findings, but are important variables. bronchogenic cyst is a congenital anomaly of the foregut that is typically found in the mediastinum and diagnosed accidentally. we present a 4-year-old girl with allergic asthma that began at 8-months of age and finally a bronchoge...
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Most patients with asthma can be easily treated. Some have difficult asthma; in some because the diagnosis is erroneous, in others because of comorbidity or noncompliance. A European Respiratory Society Task Force has called for an integrated approach for these patients, and positive results have been reported using protocols. In the UK, there is no overall understanding of the size of this pro...
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Laura is a 49-year-old woman with posttraumatic stress disorder and chronic headaches who takes 200 mg of morphine twice daily and is in an electric wheelchair for no clear reason. Peter is a 53-year-old, morbidly obese man with poorly controlled Type 2 diabetes mellitus. Despite multiple visits focusing on lifestyle changes and medication adjustments, his A1C remains wildly uncontrolled and hi...
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ژورنال
عنوان ژورنال: The Bulletin of the Royal College of Surgeons of England
سال: 2020
ISSN: 1473-6357,1478-7075
DOI: 10.1308/rcsbull.2020.107