1. What are this patient’s most striking clinical and laboratory findings? 2. How do you explain this patient’s most striking clinical and laboratory findings? 3. What is this patient’s most likely diagnosis? 4. What are the criteria for making this diagnosis? 5. What are anti-nuclear antibodies (ANAs), how is their presence in a patient’s serum determined, how is the test for ANAs interpreted,...

doi:10.1136/inp.d5353 Although most wound complications are not life-threatening, they can involve prolonged periods of discomfort for the animal and extended veterinary care, as well as increased costs for owners. However, with the appropriate treatment, most wound complications can be managed successfully. This article describes what might be expected of a normal healing wound, and discusses ...

Many studies have demonstrated that prompt appropriate treatment for the critically ill patient improves outcome. Moving patients to the best place for instituting care, however, is not always associated with improved outcome. Recent studies on delivering patients to the best place for treatment as well as further work on the effects of volume are discussed. Finally, a large retrospective cohor...

The purpose of this integrative review is to explore the presence of the oncology nurse as navigator on measurable patient outcomes. Eighteen primary nursing research studies were found using combinations of the following key words: advocate, cancer, case manager, coach, certification, guide, navigator, nurse, oncology, patient navigator, pivot nurse, and continuity of care. Nurse researchers i...

Patellofemoral pain (PFP) is common, especially in women who are physically active. The diagnosis can be challenging, as the etiology of PFP is complex and is unclear. The purpose of this paper is to discuss the current etiological understandings both microscopically and macroscopically and provide an overview for the evaluation and treatment. It is essential to approach each patient presenting...

While projectile injuries are not uncommonly encountered in veterinary practice, many clinicians are not very familiar with the various weapons and projectiles that may be involved or with the types of injuries that can occur. Whether or not an individual has an interest in firearms, a basic knowledge of projectiles and ballistics can help a clinician to predict the types of injuries expected i...

In this paper a new class of interpolatory re nement schemes is presented which in every re nement step determine the new points by solving an optimization problem. In general, these schemes are global, i.e., every new point depends on all points of the polygon to be re ned. By choosing appropriate quadratic functionals to be minimized iteratively during re nement, very e cient schemes producin...