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Biomedical subjects

M Sidani

Publications and source records attributed to M Sidani.

5 recordsLinked to original sources
PubMed2001

Cancer screening guidelines.

Numerous medical organizations have developed cancer screening guidelines. Faced with the broad, and sometimes conflicting, range of recommendations for cancer screening, family physicians must determine the most reasonable and up-to-date method of screening. Major medical organizations have generally achieved consensus on screening guidelines for breast, cervical and colorectal cancer. For breast cancer screening in women ages 50 to 70, clinical breast examination and mammography are generally recommended every one or two years, depending on the medical organization. For cervical cancer screening, most organizations recommend a Papanicolaou test and pelvic examination at least every three years in patients between 20 and 65 years of age. Annual fecal occult blood testing along with flexible sigmoidoscopy at five-year to 10-year intervals is the standard recommendation for colorectal cancer screening in patients older than 50 years. Screening for prostate cancer remains a matter of debate. Some organizations recommend digital rectal examination and a serum prostate-specific antigen test for men older than 50 years, while others do not. In the absence of compelling evidence to indicate a high risk of endometrial cancer, lung cancer, oral cancer and ovarian cancer, almost no medical organizations have developed cancer screening guidelines for these types of cancer.

Adolescent↗
PubMed2001

Myelolipoma of the adrenal gland diagnosis and management.

Myelolipoma of the adrenal gland is a rare benign tumor. It is diagnosed incidentally in most cases because of its non-functioning nature, unless it causes symptoms due to its size. It has specific sonographic and computed tomographic features. A case is presented, magnetic resonance findings are reported for the first time and a review of the literature is conducted.

Abdominal Pain↗
PubMed1999

A managed care curriculum: developing a managed care curriculum for primary care residents.

INTRODUCTION: Managed care in its numerous forms is continuing to change the face of the healthcare system in the United States. IMPACT OF MANAGED CARE ON MEDICAL EDUCATION: As managed care continues to invade the market, it has a substantial influence in shaping the parameters of graduate medical education. Various surveys have shown that residents are under-trained in managed care principles and practice. There is a clear need for a residency curriculum that fully prepares students to keep pace with modern markets. EDUCATIONAL METHODOLOGY: This manuscript describes a curriculum which emphasizes the role of the primary care physician, cost-effective practice, multidisciplinary practice and evidenced-based strategies. Educational methods and concepts presented here are based on the recommendations of healthcare educators, extensive literature searches and United States advisory panels. After the curriculum is completed, the resident will: 1. Practice cost-effectively under 100% capitation and learn proper risk management. 2. Utilize epidemiological thinking and community-oriented primary care. 3. Function as a part of healthcare team and understand how to achieve cost-effective care for patients. 4. Practice the principles of continuous quality improvement and assess patient satisfaction. 5. Practice and adopt evidence-based medicine and guidelines. 6. Become skilled with computers including facility with literature searches, databases and the internet. 7. Practice a full spectrum of primary care emphasizing patient education and psychosocial health. 8. Understand the ethical issues pertinent to managed care practices. EVALUATION: The residency curriculum committee will evaluate the managed care curricular elements on an on-going basis. CONCLUSION: This comprehensive curriculum for primary care residents can help ensure success in the new healthcare marketplace.

Curriculum↗
PubMedDate not supplied

Biliary-colonic fistula through a cystic duct stump.

BACKGROUND AND METHODS: Biliary-colonic fistulas are a known, but unusual, complication of gallstone disease. Fistulas occurring after cholecystectomy between cystic duct stump (CDS) and the colon are extremely rare; only two cases have been previously reported in the literature. We report a third case, and discuss the diagnostic work-up and management of this entity. RESULTS: Biliary-colonic fistulas usually present with biliary and septic complications. ERCP and barium enema play an important diagnostic role. Treatment is mainly surgical, with division of the fistula and excision of the CDS. CONCLUSIONS: CDS-colonic fistulas should be in the differential diagnosis of any patient presenting with sepsis after cholecystectomy. The fistula usually necessitates surgical division. Long CDS seen with laparoscopic cholecystectomy may lead to increase in the incidence of this entity.

Aged↗