clinical case study

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Clinical case study

They may have to decide, just by looking at the title, whether or not they want to access the full article. A title which is vague or non-specific may not attract their attention. The two most common formats of titles are nominal and compound. Other contents for the title page should be as in the general JCCA instructions to authors. Remember that for a case study, we would not expect to have more than one or two authors.

In order to be listed as an author, a person must have an intellectual stake in the writing — at the very least they must be able to explain and even defend the article. Someone who has only provided technical assistance, as valuable as that may be, may be acknowledged at the end of the article, but would not be listed as an author.

If there is more than one author, one author must be identified as the corresponding author — the person whom people should contact if they have questions or comments about the study. Key words: Provide key words under which the article will be listed. These are the words which would be used when searching for the article using a search engine such as Medline. When practical, we should choose key words from a standard list of keywords, such as MeSH Medical subject headings. A copy of MeSH is available in most libraries.

A narrative abstract consists of a short version of the whole paper. There are no headings within the narrative abstract. The author simply tries to summarize the paper into a story which flows logically. A structured abstract uses subheadings. Structured abstracts are becoming more popular for basic scientific and clinical studies, since they standardize the abstract and ensure that certain information is included.

This is very useful for readers who search for articles on the internet. Often the abstract is displayed by a search engine, and on the basis of the abstract the reader will decide whether or not to download the full article which may require payment of a fee. With a structured abstract, the reader is more likely to be given the information which they need to decide whether to go on to the full article, and so this style is encouraged. The JCCA recommends the use of structured abstracts for case studies.

Since they are summaries, both narrative and structured abstracts are easier to write once we have finished the rest of the article. We include a template for a structured abstract and encourage authors to make use of it. Our sub-headings will be:. Introduction: This consists of one or two sentences to describe the context of the case and summarize the entire article. Case presentation: Several sentences describe the history and results of any examinations performed.

The working diagnosis and management of the case are described. Discussion: Synthesize the foregoing subsections and explain both correlations and apparent inconsistencies. If appropriate to the case, within one or two sentences describe the lessons to be learned.

Introduction: At the beginning of these guidelines we suggested that we need to have a clear idea of what is particularly interesting about the case we want to describe. The introduction is where we convey this to the reader. It is useful to begin by placing the study in a historical or social context. If similar cases have been reported previously, we describe them briefly. If there is something especially challenging about the diagnosis or management of the condition that we are describing, now is our chance to bring that out.

Each time we refer to a previous study, we cite the reference usually at the end of the sentence. Case presentation: This is the part of the paper in which we introduce the raw data. First, we describe the complaint that brought the patient to us.

Next, we introduce the important information that we obtained from our history-taking. Also, we should try to present patient information in a narrative form — full sentences which efficiently summarize the results of our questioning. We may or may not choose to include this list at the end of this section of the case presentation.

The next step is to describe the results of our clinical examination. Again, we should write in an efficient narrative style, restricting ourselves to the relevant information. It is not necessary to include every detail in our clinical notes.

If we are using a named orthopedic or neurological test, it is best to both name and describe the test since some people may know the test by a different name. X-rays or other images are only helpful if they are clear enough to be easily reproduced and if they are accompanied by a legend. Be sure that any information that might identify a patient is removed before the image is submitted.

At this point, or at the beginning of the next section, we will want to present our working diagnosis or clinical impression of the patient. Management and Outcome: In this section, we should clearly describe the plan for care, as well as the care which was actually provided, and the outcome. It is useful for the reader to know how long the patient was under care and how many times they were treated.

Additionally, we should be as specific as possible in describing the treatment that we used. If we used spinal manipulation, it is best to name the technique, if a common name exists, and also to describe the manipulation. Remember that our case study may be read by people who are not familiar with spinal manipulation, and, even within chiropractic circles, nomenclature for technique is not well standardized. However, whenever possible we should try to use a well-validated method of measuring their improvement.

For case studies, it may be possible to use data from visual analogue scales VAS for pain, or a journal of medication usage. It is useful to include in this section an indication of how and why treatment finished. Did we decide to terminate care, and if so, why?

Did the patient withdraw from care or did we refer them to another practitioner? Discussion: In this section we may want to identify any questions that the case raises. It is not our duty to provide a complete physiological explanation for everything that we observed. This is usually impossible.

If there is a well established item of physiology or pathology which illuminates the case, we certainly include it, but remember that we are writing what is primarily a clinical chronicle, not a basic scientific paper. Finally, we summarize the lessons learned from this case. Acknowledgments: If someone provided assistance with the preparation of the case study, we thank them briefly. It is neither necessary nor conventional to thank the patient although we appreciate what they have taught us.

It would generally be regarded as excessive and inappropriate to thank others, such as teachers or colleagues who did not directly participate in preparation of the paper. References: References should be listed as described elsewhere in the instructions to authors. Only use references that you have read and understood, and actually used to support the case study.

Do not use more than approximately 15 references without some clear justification. Try to avoid using textbooks as references, since it is assumed that most readers would already have this information. Also, do not refer to personal communication, since readers have no way of checking this information. Legends: If we used any tables, figures or photographs, they should be accompanied by a succinct explanation. A good rule for graphs is that they should contain sufficient information to be generally decipherable without reference to a legend.

Permissions: If any tables, figures or photographs, or substantial quotations, have been borrowed from other publications, we must include a letter of permission from the publisher. Also, if we use any photographs which might identify a patient, we will need their written permission. In addition, patient consent to publish the case report is also required. Introductory sentence: e. This 25 year old female office worker presented for the treatment of recurrent headaches.

Describe the essential nature of the complaint, including location, intensity and associated symptoms: e. Her headaches are primarily in the suboccipital region, bilaterally but worse on the right. Sometimes there is radiation towards the right temple. She describes the pain as having an intensity of up to 5 out of ten, accompanied by a feeling of tension in the back of the head.

When the pain is particularly bad, she feels that her vision is blurred. Further development of history including details of time and circumstances of onset, and the evolution of the complaint: e. This problem began to develop three years ago when she commenced work as a data entry clerk. Her headaches have increased in frequency in the past year, now occurring three to four days per week. Describe relieving and aggravating factors, including responses to other treatment: e.

The pain seems to be worse towards the end of the work day and is aggravated by stress. Aspirin provides some relieve. She has not sought any other treatment. Include other health history, if relevant: e. Otherwise the patient reports that she is in good health. We also have to ensure enough investment to secure a sustainable model which ethically, legally and financially stable. All articles published in OA Text are open access.

Open Access publishing implies that all readers, anywhere in the world, are allowed unrestricted to full text of articles, immediately on publication in OA Text Journals. The Article Publication Charges pay for the editorial and production costs of the journal, for hosting the website, publishing articles online, preparing HTML , PDF and XML versions of the articles and submitting the articles in electronic citation database like CrossRef. Corresponding author or the paying institutions should arrange for the payment once they are notified regarding acceptance of the article.

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Old causes still alive - A case report John E. Simple bone cyst in the calcaneus. Neosaxitoxin time-resolved absorption and resonance ft-ir and raman biospectroscopy and density functional theory dft investigation of vibronic-mode coupling structure in vibrational spectra analysis Alireza Heidari Jennifer Esposito Angela Caissutti Image Article-Clinical Case Studies and Reports CCSR June 24, Kalkitoxin time-resolved absorption and resonance ft-ir and raman biospectroscopy and density functional theory dft investigation of vibronic-mode coupling structure in vibrational spectra analysis Alireza Heidari Jennifer Esposito Angela Caissutti Image Article-Clinical Case Studies and Reports CCSR June 18, Diphtheria toxin time-resolved absorption and resonance ft-ir and raman biospectroscopy and density functional theory dft investigation of vibronic-mode coupling structure in vibrational spectra analysis: a spectroscopic study on an anti-cancer drug Alireza Heidari Jennifer Esposito Angela Caissutti Image Article-Clinical Case Studies and Reports CCSR June 22, Symbiodinolide time-resolved absorption and resonance ft-ir and raman biospectroscopy and density functional theory dft investigation of vibronic-mode coupling structure in vibrational spectra analysis Alireza Heidari Jennifer Esposito Angela Caissutti Image Article-Clinical Case Studies and Reports CCSR August 15, Eleven years of Maraviroc experience and limited side effects in a HIV-1 experienced patient.

December Issue 2 August Issue 1. Submit Manuscript Clinical case studies and reports accepts direct submissions from authors: Attach your word file with e-mail and send it to: editor. Publication Charges Clinical Case Studies and Reports is an Open Access journal and we do not charge the end user when accessing a manuscript or any article. Our financial goals are to: Recover capitalization costs; Produce sufficient revenue to allow for a sustainable and scalable publishing program, under continuous development; Bend the publication-charge cost downward over time.

Who will pay the APC? Corresponding author or Co-authors has to make the payment on acceptance of the article. When should I pay? How do I pay? Authors or institutions can make payments by two modes as per their convenience.

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Like this presentation? Why not share! Embed Size px. Start on. Show related SlideShares at end. WordPress Shortcode. Like Liked. Kaytlin Fischer. Full Name Comment goes here. Are you sure you want to Yes No. No Downloads. Views Total views. Actions Shares. No notes for slide. Assessment Patient Diagnosis: 1. Aspiration pneumonia 2.

Alcoholic Liver Disease 3 stages: 1. Hepatic Steatosis: fatty infiltration is caused by several different metabolic disturbances. At this stage, the disease is reversible. Alcoholic Hepatitis: characterized by hepatomegaly, low albumin, and increased bilirubin. Alcoholic Cirrhosis: symptoms vary, but may include GI bleeding, hepatic encephalopathy, portal hypertension, and ascites. Assessment Total nutrition care priority points: Pt assesses as moderately compromised secondary to his diarrhea, low albumin, and diagnosis.

He will be visited within 7 days. On physical exam a large 15 cm in diameter mass can be. The surgeon decides to perform an a hysterectomy. To excise the uterus what ligaments would the surgeon have to cut? Which blood vessels supplies uterus and need to be ligated?

What structure would be of great concern while ligating uterine vessels? A year-old woman pregnant with her first child had been in the second stage of labor pushing for several. The crown of the child's head was just visible through the vaginal orifice, but the obstetrician was. She decided to perform. What is an episiotomy and when is it performed? Episiotomies are generally made as a midline incision.

If the incision tears further during delivery , what. What are some potential complications if the perineal body is damaged and not repaired correctly? A year-old woman pregnant with her second child experienced considerable anxiety when she thought about. Her obstetrician explained that there were several options. What is the distribution of the pudendal nerve and its branches?

What other nerves would need to be blocked to provide complete anesthesia to the perineal region? Where is the best place to deliver anesthetic to perform a pudendal nerve block? What landmarks would an obstetrician use to deliver the anesthetic accurately?