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Related Concept Videos

Upward Impending Motion01:21

Upward Impending Motion

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A square-threaded screw jack is a mechanical device widely used for lifting heavy loads or applying considerable force. Its operation is based on converting the force applied at its handle into a torsional moment, causing the upward impending motion of the screw. This movement is accomplished by overcoming the static friction between the threads of the screw and the jack.
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Formulating and Validating Nursing Diagnosis I01:26

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A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Formulating and Validating Nursing Diagnosis II01:25

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Impending fracture: A difficult diagnosis.

Andrea Piccioli1, Maria Silvia Spinelli2, Giulio Maccauro2

  • 1Orthopedics Oncology, "Palazzo Baleani", Teaching Hospital Policlinico Umberto I, Rome, Italy.

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Summary

Defining impending fractures is crucial for managing skeletal issues. Current diagnostic methods lack consensus and rigorous evaluation, necessitating a better tool for metastatic bone disease treatment.

Keywords:
BoneImpeding fractureMetastasis

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Area of Science:

  • Orthopedics
  • Oncology
  • Radiology

Background:

  • Impending fracture is a significant challenge in skeletal-related problems.
  • A clear definition and diagnostic consensus for impending fractures are lacking in current literature.

Purpose of the Study:

  • To address the lack of consensus on impending fracture diagnosis.
  • To highlight the need for a standardized tool to evaluate metastatic lesions and guide preventative treatment.

Main Methods:

  • Literature review on existing diagnostic criteria and scoring systems for impending fractures.
  • Analysis of limitations in current scoring systems, including lack of prospective validation and consideration of prognostic factors.

Main Results:

  • Existing scoring systems for impending fractures are easy to remember but have not been rigorously evaluated.
  • Current methods exhibit low sensitivity and fail to incorporate crucial prognostic factors.
  • Significant disagreement exists regarding the optimal criteria for diagnosing impending fractures.

Conclusions:

  • A validated and comprehensive tool is needed to accurately assess impending fractures.
  • Improved diagnostic methods are essential for guiding preventative treatment in patients with metastatic bone disease.
  • Further research is required to establish reliable criteria for impending fracture diagnosis.