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...

a bioequivalence study of two verapamil formulations (generic verapamil tablets and isoptin® tablets) was performed by comparing pharmacokinetic parameters of the parent drug and its major metabolite, norverapamil following a single dose administration of 80 mg verapamil hydrochloride in 22 healthy volunteers according to a randomized, two-period, crossover-design study. moreover, the feasibili...

Using the ARGUS detector at the e+e storage ring DORIS II, we have measured the Michel parameters , , and for ! l  decays in -pair events produced at center of mass energies in the region of the resonances. Using ! as spin analyzing tags, we nd e = 0:68 0:04 0:08, e = 1:12 0:20 0:09, e = 0:57 0:14 0:07, = 0:69 0:06 0:08, = 1:25 0:27 0:14 and = 0:72 0:18 0:10. In addition, we report the combine...

In the presence of nuisance parameters, we derive an explicit higher order asymptotic formula to compare the expected lengths of conndence intervals given by likelihood ratio statistics arising from the usual proole likelihood and various adjustments thereof. Highest posterior density regions, with approximate frequentist validity, are also included in the study.

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...