Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030552 (paresis)
 5,831 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In the past five years, the authors have performed stereotactic evacuation of hypertensive thalamic hematoma using Komai's CT-stereotactic apparatus in 44 cases. Liquefied hematoma was aspirated through a stereotactic cannula, and solid hematoma difficult to aspirate was dissolved by a plasminogen activator (Urokinase) and drained out through a silastic catheter. The mean ratio of the total volume of evacuated hematoma to the estimated volume by CT image was 83.8%. The recovery from motor paresis and consciousness disturbance was observed during the early postoperative days in most patients. Functional outcome (ADL) at 3 months after operation was as follows: 24 cases (54.5%) recovered to a full or partial (self-cared) social life, 15 (34.1%) required partial care at home and 2 (4.5%) remained bedridden. Although 3 patients died within 1 month after operation, the cause of death in these patients was admitted to have no direct relation to operative procedure or to rebleeding due to the Urokinase injection. Postoperative functional prognosis was not affected by the timing of the operation. The important factors affecting ADL were preoperative neurological grade and CT classification. This stereotactic method apparently exceeded the conventional craniotomy method in the functional outcome.
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PMID:[Stereotactic evacuation of hypertensive thalamic hematomas using plasminogen activator (urokinase)]. 351 66

Simple methods for the early detection of function loss and disease in the elderly were evaluated. Such methods might be used by non-professional personnel as case-finding tools for early intervention. The aim of this study was to assess the reliability of functional and clinical data collected by non-professional nursing assistants. The study group consisted of sixty elderly short-stay patients in a stable clinical situation, admitted for rehabilitation and aid in a nursing home. Barthel ADL index items and clinical symptoms and signs were scored by nursing assistants and nurses (the reference method). Agreement between scores was assessed by Cohen's kappa statistics and test of marginal homogeneity. All the Barthel items and the clinical symptoms and signs had fair or better agreement (weighted kappa > 0.40). For dressing, chair-to-bed transfer, ambulation, bathing, paresis and edema, the agreement was strong (weighted kappa > 0.75). The reliability of the Barthel sumscores was also acceptable. We concluded that observation of functioning and clinical symptoms and signs by non-professional nursing assistants is reliable.
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PMID:Reliability of nursing assistants' observations of functioning and clinical symptoms and signs. 945 99