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Friday, April 8

  1. page Musculoskeletal edited ... Bibliography Hans Carlson, M., & Nels Carlson, M. (2011, April 1). Therapeutic Advances …
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    Bibliography
    Hans Carlson, M., & Nels Carlson, M. (2011, April 1). Therapeutic Advances in Musculoskeletal Disease. Retrieved April 7, 2011, from Medscape News Nurses: http://www.medscape.com/viewarticle/739960 (Audria Herrera)
    Imaging in Musculoskeletal Complications of Hemophilia
    People with one of these bleeding disorders are prone to have recurrent episodes of hemorrhage into the joints. Acute bleeding increases the pressure in the synovial cavity and bone marrow, which possibly leads osteonecrosis or a pseudotumoral mass. Intra-articular bleeding produces a direct chemical effect on the synovium, cartilage, and bone. Over time, the blood becomes deposited in the form of hemosiderin in these tissues. Recurrent hyperemia of the joint in the growing child causes juxta-articular osteoporosis and overgrowth of the epiphysis. However, the imaging changes that appear first are effusion and synovial proliferation. Damage to the bone and articular cartilage appears later. The disease tends to be asymmetric in its involvement. Approximately 50% of patients with hemophilia develop permanent changes in the joint.
    Imaging tests such as plain radiography or magnetic resonance imaging (MRI) are helpful in defining the degree of joint destruction. Treatment of patients with hemophilia at an early age may prevent progression to the later, destructive changes seen on radiographs.
    Radioactive injections into joints (radiosynoviorthesis) can control hemorrhage. This treatment was initially used in cases of juvenile rheumatoid arthritis. Subsequently, radiosynoviorthesis was shown to be effective in reducing bleeding and effusion in selected cases of hemophilic arthropathy.
    Bibliography
    Ray F Kilcoyne, M. (2008, March 21). Imaging in Musculoskeletal Complications of Hemophilia . Retrieved April 8, 2011, from Medscape: http://emedicine.medscape.com/article/401842-overview
    
    Baxter, A. (2009, December 18). Joint bleeding in Haemophilia. Retrieved April 8, 2011, from Youtube: http://www.youtube.com/watch?v=MaPTRGbFkSQ
    Video and Article by Greg Volz

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    10:30 am
  2. page Renal edited ... Hysterectomy is not related to cancer in most cases and usually benign. Evidence suggests that…
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    Hysterectomy is not related to cancer in most cases and usually benign. Evidence suggests that the surgery may be linked to this most common type of kidney cancer, which occurs in the lining of the proximal convoluted tubule, making hysterectomy a preventable cause of the disease. Using data from 1973 to 2003, accumulated through a compilation of Swedish healthcare registries including the Classification of Operations and Major Procedures, Cancer, and Cause-of-Death registries, the investigators launched a population-based cohort study. The study involved 184,945 women who had undergone hysterectomy and 657,288 matched women with intact uteruses. The incidence rates per 100,000 were 17.4 in women who had a hysterectomy, and 13.1 whose uterus were not removed.
    This gives women who are considering the benign operation information to think about. I believe this is reliable information due to the fact that evidence has backed it up. What can be thought as a simple benign procedure can truly potentially end up clinically significant in the long run.
    Bibliography
    The Swedish Society of Medicine. (2010). Hysterectomy Raises Risk for Renal Cell Carcinoma. Retrieved April 8, 2011, from Medscape: http://www.medscape.com/viewarticle/734357
    
    Bibliography
    Washington Deceit. (2007, May 9). Renal Cell Carcinoma - Hypernephroma. Retrieved April 9, 2011, from Youtube: http://www.youtube.com/watch?v=NBLxhZk_jTA
    Article and Video by Greg Volz

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    10:12 am
  3. page Renal edited ... Fliss E.M. Murtagh, P., Julia M. Addington-Hall, P., & Irene J. Higginson, P. (2011). End …
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    Fliss E.M. Murtagh, P., Julia M. Addington-Hall, P., & Irene J. Higginson, P. (2011). End Stage Renal Disease. Journal of the American Geriatrics Society, 304-308. (Audria Herrera)
    
    Hysterectomy Rasies Risk for Renal Cell Carcinoma
    Hysterectomy is not related to cancer in most cases and usually benign. Evidence suggests that the surgery may be linked to this most common type of kidney cancer, which occurs in the lining of the proximal convoluted tubule, making hysterectomy a preventable cause of the disease. Using data from 1973 to 2003, accumulated through a compilation of Swedish healthcare registries including the Classification of Operations and Major Procedures, Cancer, and Cause-of-Death registries, the investigators launched a population-based cohort study. The study involved 184,945 women who had undergone hysterectomy and 657,288 matched women with intact uteruses. The incidence rates per 100,000 were 17.4 in women who had a hysterectomy, and 13.1 whose uterus were not removed.
    This gives women who are considering the benign operation information to think about. I believe this is reliable information due to the fact that evidence has backed it up. What can be thought as a simple benign procedure can truly potentially end up clinically significant in the long run.

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    10:05 am
  4. page Onocology edited ... This article speaks to the health promotion aspect of nursing. Taking preventative measures to…
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    This article speaks to the health promotion aspect of nursing. Taking preventative measures to screen at annual exams for those at risk may provide earlier diagnosis which broadens the scope of treatment.
    Bibliography
    ...
    MedScape: http://emedicine.medscape.com/article/280505-overview#showall (Greg Volz)
    Cancer Quest. (2007, July 30). Metastasis. Retrieved April 8, 2011, from Youtube: http://www.youtube.com/watch?v=rrMq8uA_6iA&feature=related
    Video and Article by Greg Volz
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    9:53 am
  5. page Onocology edited ... Metastatic cancer of this nature can truly only lead to palliative measures, such as hospice, …
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    Metastatic cancer of this nature can truly only lead to palliative measures, such as hospice, home hospice, and relieving the pain and tackling clinical manifestations (signs/symptoms).
    This article speaks to the health promotion aspect of nursing. Taking preventative measures to screen at annual exams for those at risk may provide earlier diagnosis which broadens the scope of treatment.
    Bibliography
    Winston W. Tan, M. (2009, March 4). Metastatic Cancer, Unknown Primary Site. Retrieved April 8, 2011, from MedScape: http://emedicine.medscape.com/article/280505-overview#showall
    GregCancer Quest. (2007, July 30). Metastasis. Retrieved April 8, 2011, from Youtube: http://www.youtube.com/watch?v=rrMq8uA_6iA&feature=related
    Video and Article by Greg
    Volz

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    9:53 am
  6. page Onocology edited ... Bibliography Linda Emanuel, M. P., Frank D. Ferris, M. F., Charles F. von Gunten, M. P., &am…
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    Bibliography
    Linda Emanuel, M. P., Frank D. Ferris, M. F., Charles F. von Gunten, M. P., & Jaime H. Von Roenn, M. (2011, January 7). Medscape News Oncology. Retrieved April 7, 2011, from Medscape: http://www.medscape.com/viewarticle/735030 (Audria Herrera)
    Metastatic Cancer, Unknown Primary Site
    Also known as Cancer of Unknown Primary Origin (CUP), metastatic cancer is detremental. Investigations have failed to show the primary origin of people with metastatic cancer who have been undiagnosed with cancer who have advanced this far or this being the first time of recognition. This incidence in the United States is unknown and severly underreported and true incidence ranges from 2 - 6%. In 15-25% of these cases, autopsy will not reveal a firm diagnosis, or place of origin. This is huge because the primary site of cancer, or origin, determines the course of treatment and prognosis of the patient, which now relates to what Audria has said.
    Metastatic cancer of this nature can truly only lead to palliative measures, such as hospice, home hospice, and relieving the pain and tackling clinical manifestations (signs/symptoms).
    This article speaks to the health promotion aspect of nursing. Taking preventative measures to screen at annual exams for those at risk may provide earlier diagnosis which broadens the scope of treatment.
    Bibliography
    Winston W. Tan, M. (2009, March 4). Metastatic Cancer, Unknown Primary Site. Retrieved April 8, 2011, from MedScape: http://emedicine.medscape.com/article/280505-overview#showall
    Greg Volz

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    9:47 am

Thursday, April 7

  1. page Renal edited ... Fliss E.M. Murtagh, P., Julia M. Addington-Hall, P., & Irene J. Higginson, P. (2011, March…
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    Fliss E.M. Murtagh, P., Julia M. Addington-Hall, P., & Irene J. Higginson, P. (2011, March 17). A New Trajectory of Functional Decline in the Last Year of Life. Retrieved April 7, 2011, from Medscape News Nurses: http://www.medscape.com/viewarticle/737710
    Fliss E.M. Murtagh, P., Julia M. Addington-Hall, P., & Irene J. Higginson, P. (2011). End Stage Renal Disease. Journal of the American Geriatrics Society, 304-308. (Audria Herrera)
    {polycystic_kidney.jpg} Polycystic Kidney (feline) (Audria Herrera)
    
    (view changes)
    10:40 am
  2. page Musculoskeletal edited ... Bibliography Hans Carlson, M., & Nels Carlson, M. (2011, April 1). Therapeutic Advances …
    ...
    Bibliography
    Hans Carlson, M., & Nels Carlson, M. (2011, April 1). Therapeutic Advances in Musculoskeletal Disease. Retrieved April 7, 2011, from Medscape News Nurses: http://www.medscape.com/viewarticle/739960 (Audria Herrera)
    {paindrawingtraditional.jpg} Pain Drawing (Audria Herrera)
    (view changes)
    10:40 am
  3. page Musculoskeletal edited ... Bibliography Hans Carlson, M., & Nels Carlson, M. (2011, April 1). Therapeutic Advances …
    ...
    Bibliography
    Hans Carlson, M., & Nels Carlson, M. (2011, April 1). Therapeutic Advances in Musculoskeletal Disease. Retrieved April 7, 2011, from Medscape News Nurses: http://www.medscape.com/viewarticle/739960 (Audria Herrera)
    {paindrawingtraditional.jpg} Pain Drawing (Audria Herrera)
    (view changes)
    10:39 am
  4. page Renal edited End Stage Renal Disease A New Trajectory of Functional Decline in the Last Year of Life ... N…
    End Stage Renal Disease
    A New Trajectory of Functional Decline in the Last Year of Life
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    November 2006.
    These

    These
    patients were
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    of life.
    The conclusion of this study showed that healthcare services need to be rapidly responsive to changing needs in this population as renal function declines in the last months of life. End of life services for conservatively managed ESRD needs to be rapidly responsive to changing the functional status and associated healthcare needs if they are to deliver a good death for the patient and their family.
    Bibliography
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    Nurses: http://www.medscape.com/viewarticle/737710
    Fliss

    Fliss
    E.M. Murtagh,
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    Society, 304-308. (Audria(Audria Herrera)
    {polycystic_kidney.jpg} Polycystic Kidney (feline) (Audria Herrera)
    

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    10:37 am

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