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Biomedical subjects

A M de Schepper

Publications and source records attributed to A M de Schepper.

9 recordsLinked to original sources
PubMed1998

Transient uterine contraction mimicking adenomyosis on MRI.

Transient myometrial contraction as a physiological phenomenon may simulate pathological conditions, such as a focal or diffuse adenomyosis. Clinicians should be aware of the potential presence of this phenomenon and imaging should be repeated after a suitable interval when the nature of a bulge or a region of low intensity in the myometrium is in doubt. In this paper, we report a transient myometrial contraction that mimics an adenomyosis, but disappears in repeated series.

Adult↗
PubMed1997

Effects of a continuing education program on nurses' pain assessment practices.

Surgical nurses from five Dutch general hospitals participated in a continuing education program on pain assessment and management. A pretest-posttest controlled intervention study revealed that the program led to an increase in the quality of activities relevant to taking pain histories. Although this increase in quality was most apparent 1 month after the program, it was still observable 6 months after the program. There were, however, no effects on the number of activities relevant to taking pain histories, or on the number of nurses who used direct questioning as a method to determine pain. There may be several explanations for these results, including nurses' limited openness to new approaches, a lack of support from physicians and nurse superiors, and that program items were not translated into ward policy.

Education, Nursing, Continuing↗
PubMed1997

Feelings of powerlessness in relation to pain: ascribed causes and reported strategies. A qualitative study among Dutch community nurses caring for cancer patients with pain.

This qualitative study focused on the causes for the feelings of powerlessness experienced by dutch community nurses in caring for cancer patients with pain. In addition, the study focused on the strategies community nurses employed to cope with feelings of powerlessness. Semistructured interviews revealed the following ascribed causes for feelings of powerlessness: problems in communication between community nurses and patients and between community nurses and personal physicians, dilemmas concerning physical care and opiates, and discrepancies between community nurses' pain management goals and what can realistically be achieved. The main strategies for reducing feelings of powerlessness were sharing feelings with the patient and colleagues, increasing knowledge and skills, and standing back from the situation.

Communication↗
PubMed1994

Randomised double blind trial of the safety and efficacy of two gadolinium complexes (Gd-DTPA and Gd-DOTA).

The main difference between macrocyclic Gd-DOTA and linear Gd-DTPA complexes is the greater stability of the former which theoretically might reduce biological interactions in man. To evaluate the clinical relevance of this property, 300 unselected neurological patients were included in a randomised double-blind comparison involving five European centres, focused mainly on the tolerance of these two contrast media. Clinical tolerance was assessed immediately after the procedure and 24 h later. Adverse events were found with a similar frequency in the two groups (17.3% for Gd-DOTA and 19.3% for Gd-DTPA). Minor neurological symptoms were the most frequent (48.6%) headache being the most common (29.2% of adverse events). No difference in efficacy was found.

Adult↗
PubMed1994

[Feelings of powerlessness facing pain. A qualitative study of feelings of powerlessness in district nurses caring for cancer patients in pain].

This paper is concerned with a qualitative study about feelings of powerlessness of community nurses involved in caring for cancer patients suffering pain. From semi-structured interviews the following causes of feelings of powerlessness appeared: discommunication with patients and the general practitioner, dilemmas concerning physical care and opiates and a discrepancy between pain management goals and reality. Main strategies for reducing feelings of powerlessness were: sharing feelings with the patient and colleagues, increasing knowledge and skills and standing back from the situation.

Attitude of Health Personnel↗
PubMed1986

Clinical significance of focal echogenic liver lesions.

During a 4-year period, 53 focal echogenic liver lesions were demonstrated by sonography in 41 patients, in whom there was no evidence of metastatic origin. Most of the lesions were hemangiomas. One of the purposes of this study was to determine the characteristic ultrasound features for liver hemangioma. Small (less than 2 cm), homogeneous, echogenic, well-circumscribed, subcapsular lesions almost prove their hemangiomatous nature. Lesions with a diameter of more than 2 cm are usually more lobulated and heterogeneous. They are located more centrally in the liver and nearly all show a close anatomical relation with 1 of the hepatic veins. Very large lesions (greater than 5 cm) with a heterogeneous and irregular aspect suggest focal nodular hyperplasia, which must be proven by a Tc-isotopic liver scan.

Adult↗