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R Herve

Publications and source records attributed to R Herve.

7 recordsLinked to original sources

CT and MRI findings in primitive pituitary abscess: a case report and review of literature.

Pituitary abscess is not rare. Clinical and radiological features in a primitive pituitary abscess are reported. Transphenoidal surgery revealed an abscess. Preoperative diagnosis of pituitary abscess remains difficult. Sellar round cystic mass isointense to grey matter on T1, high intensity signal on T2, with a peripheral rim enhancement following gadolinium injection associated with thickened stalk and diabetes insipidus may be suggestive of pituitary abscess.

Abscess↗

Ethics in health care management: developing an instrument to assess humane caring.

The care of patients should be professional, human and humane. This is an ethical issue. The words human (inhimillinen) and humane (ihmisläheinen) have different meanings in the Finnish language. At Kuopio University Hospital (1200 beds), in Finland, it was decided to provide patients with professional and humane caring. Ethical values differ for different groups of people. Therefore humane caring was assessed by questioning both hospital patients (n = 160) and staff (n = 196). The data were subjected to content analysis. The result was that the values obtained for both patients and staff were similar. Five descriptive categories of humane caring emerged. To discover what kind of caring was provided for patients, the categories were operationalized into 66 criteria and a questionnaire was drawn up on the basis of these criteria. The data for evaluation of the quality of caring were collected from patients (n = 1708). The data were analysed using cross-tabulations and the chi-squared test; sum variables were calculated for the five standards. The results suggest that special attention should be paid to vulnerable patient groups (e.g. the elderly and the young). One means of ethical management is to support our staff to care more humanely by discussing with them the results of this study, setting standards and criteria for humane caring and what this means in practice. It is hoped our caring will therefore be more humane.

Adolescent↗

Treatment of post-traumatic oedema in lower legs using intermittent pneumatic compression.

Post-traumatic oedema after 6-12 weeks immobilization in a cast was treated using intermittent pneumatic compression. The study group comprised 18 patients with 19 distal fractures of the lower leg. They were given compression treatment on five consecutive days for about 1 h daily. Reduction in oedema was assessed by measuring leg circumferences at three levels: the malleolus; 20 cm proximally from the malleolus; and the Chopart joint. The untreated control group consisted of five patients. Changes in oedema were followed daily for one week. A significantly greater reduction in oedema occurred in the study group at all three measurement levels (p less than 0.001) as compared with the control group.

Adult↗