Pathology and DentistryIntroductionThe article titled, Odontogenic and Developmental Oral lesions in Pediatric Patients, by Bilodeau and Hunter (2021) is essentially a review of ondogenesis and how oral lesions develop in the jaw region among pediatric patients. The article further provides information on pathogenesis of odontogenic tumors, their prognosis, microscopic features and how they present clinically. While this article explains how oral lesions are developed in children, it fails to exhaust on all odontogenic and developmental oral lesions.This article highlights the various odontogenic lesions in pediatrics by indicating that most of them are benign. According to Freilich (2020), the said lesions consist of malignant odontogenic tumors, benign odontogenic tumors, and cysts. It is from the tissues that give rise to teeth that lesions are formed. Most lesions are common while others are rare - which makes diagnostic process uncertain (Hunter and Niklander, 2020). The authors further highlight the different oral lesions….

In some cases, only a few patients are unable to go through this procedure and will therefore need a surgically placed gastrostomy tube. The most appropriate procedure for this tube placement is usually determined by the radiologist.
Unlike the surgically placed gastrostomy tubes, the PEG tubes are usually appropriate for long-term use and can stay in the appropriate position for a number of months. Currently, due to their design, they necessitate an endoscopic removal for a patient under general anaesthetic for the initial replacement or removal.

Skin Tubes:

The final category of gastrostomy tubes are the skin tubes that are usually shorter than any other category of the tubes and sit flush with the skin. The skin gastrostomy tubes consist of a mushroom-shaped or balloon end which rests inside the belly and prevents them from falling out. The skin gastrostomy tube are widely considered as the low profile category of gastrostomy tubes….

Infectious Conditions in a Pediatric Patient
What will be your differential diagnoses for this patient?

Chickenpox

Measles

ubella

Scarlet fever

Erythema infectiosum (5th disease) -- human parvovirus

Exanthema subitum or oseola infantum

Non-polio entero-viruses (e.g., echovirus, coxsackievirus) (Long, 2016; de Graaf et al., 2016; Long, Pickering & Prober, 2012)

What specific physical exam findings support these differential diagnoses?

Chickenpox:

• Palmar redness

• Excoriating diaper-area rashes

Measles:

• Injected conjunctiva

• Excoriating diaper-area rashes

ubella:

• Excoriating diaper-area rashes

Scarlet fever:

• Magenta-colored lips

• Palmar redness

• Excoriating diaper-area rashes

Erythema infectiosum (5th disease) -- human parvovirus

• Excoriating diaper-area rashes

Exanthema subitum or oseola infantum

• Excoriating diaper-area rashes

Non-polio entero-viruses (e.g., echovirus, coxsackievirus):

• Excoriating diaper-area rashes

• ed macula

• Magenta-colored lips

• Palmar redness

Of the differential diagnoses you listed, which would be the most concerning?

Non-polio enteroviruses

What additional diagnostic tests will you recommend? Why?

PC (Polymerase chain reaction) testing, cell cultures obtained from the patient's cerebrospinal fluid, stool, or blood, and additional immunologic examinations (de Graaf et al., 2016; Thong et al., 2017).

PC -- This is the….

Most of the literature deals with healthcare issues experienced in the United States or Europe. hat small amount of literature there is available on healthcare in Malaysia seldom has anything to do with the clinic(s) in specific. This study could help, in some small measure, to alleviate that problem.

orks Cited

Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112

Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45

Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59

Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40

Shameen, a., (2004) Malaysia: Coining it in Kuala Lumpure - Start-up ECM Libra has capitalized on strong markets, hard work and intelligence to become a….

Pediatric depression affects millions of children worldwide (Giardino & Benton, 2016) and presents prevalently as a child ages. "The risk for depression increases during childhood" (Bonin, 2016). A comparatively common mental health problem that usually continues intermittently into maturity, pediatric depression may be brought on by various factors. It may be triggered by biologic processes, damaging experiences, or a combination of both. A main determiner for pediatric depression remains up for debate. What is certain, is that chemical changes in the brain bring in the closing common pathways to depression.
To help a child struggling with depression, it is important to understand and learn to identify the signs and symptoms. Major depressive episodes seen in pediatric depression frequently last anywhere from two weeks and include a minimum of five symptoms. A list of symptoms is provided below.

Depressed (or irritable) mood

Diminished interest or loss of pleasure in almost all activities

3. Sleep disturbance

4.….

A few general observations are called for now. Trying to get through to a child is one thing, but if the dentist himself/herself is the only person instilling good habits and protocols, the child will likely not stick with the good habits. It is imperative that the parent set the guidelines and it is equally important that the child sees the parent practicing what they preach. If the parent is simply giving lip service but is not doing what he/she tells the child to do, it will almost certainly not stick (at least not as well) as it would if the parent is doing what they are asking the child to do. This is not unlike most good habits.

The parents should also make it a point to show proper technique and monitor the child discreetly as they do their brushing and flossing to make sure that the child is doing….

To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
orks Cited

Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:

Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).

Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care

Units. Journal of General Internal Medicine, 16(5), 283-289.

Donovan, Jenny L., and Blake, David R. (2002). Patient non-compliance:….

I have the patience level for and a "connection" with children.
Another difficult situation arose while I was in college that gave me further insights into my interests. My younger sister, 16-years-old, was living in Florida when I was studying in Baltimore. She became addicted to ecstasy and had to go into rehab. Rather than go back home when she left this care, everyone in the family thought it would be best if she was away for a while from this environment that caused the addiction in the first place. She came to live with me for three months while she worked on becoming stronger. Although she had a small relapse when returning home, she recovered and is doing much better today. This was a very close-to-home experience that showed me the value of healthcare intervention with individuals of all backgrounds and medical needs.

In making my future career choice, I….

Cognitive and Psychomotor Disturbance:

This is the other long-term psychological effect of surgery on children particularly those who undergo heart transplant surgical operations. Similar to the post-hospital distress, cognitive and psychomotor disturbance is usually as a result of extra medical treatments and longer stays in hospital. According to research, patients who undergo complex pediatric surgical operations are likely to exhibit signs of cognitive or psychomotor disturbance (Todaro et al., n.d.). The cognitive and psychomotor disturbance is also as a result of the surgical procedures that a child goes through in the inpatient surgical operations.

However, the effect of cognitive and psychomotor disturbances are not limited to patient who undergo inpatient surgical operations since those who undergo day case surgery are also likely to experience these effects. Nonetheless, as compared to the inpatient surgical operations, the likelihood of these effects are less in day case surgical operations. Poor school attendance and academic performance….

Distracting a child while their parent is treated may lessen stress for a SAD child (Hillard, 2006).
Nurses may also want to incorporate preventative methods into their routines, especially if they are pediatric nurses. Encouraging work in this area has been done at Mount Sinai Hospital, where nursing departments participated in the incorporation of supportive methodology in handling children who are in treatment (Justus et al., 2006). If a child may need long-term care requiring extended or overnight stays in hospital, nurses can use Comfort Theory methods and other means of familiarizing the hospital environment. If a child feels at ease with nurses and the hospital environment they are less likely to cling to parents and exacerbate medical conditions through anxiety (Justus et al., 2006). General stress reduction techniques apply to children with SAD, and may include aromatherapy, deep breathing, and relaxed lighting or music may help (Hillard, 2006).

SAD may….

Nurse-Patient Relations
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation, those….

Combining these two methods is one effective strategy in mitigating pain in children (Cohen).
Additional strategies that involve both the patient and family are evident, particularly when dealing with chronic pain. Children sometimes internalize pain, believing that they must restrict their activity, particularly when parents worry and hesitate to allow them to be active. Parents see play as worsening of the situation or a relapse, contributing to an overprotectivness. This, in turn, reflects on the self-image of the child. In any case, experts recommend that parents not react in a negative way -- either by thinking the child is faking pain or becoming so overprotective that the child is a virtual prisoner. Instead, the psychological strategy should be to set realistic and evolving strategies so that there is not a continue pessimism regarding future health outcomes. This, for adolescents, is critical since there is also a self-esteem issue that goes….

However, this study was discredited and criticized by subsequent studies. Only one study directly addressed the use of untied mittens as restraints in the critical care unit. All other studies addressed other forms of restraint systems.
The results of this literature review indicate that studies regarding the use of restraints in the critical care unit is inconclusive. Only one study addressed the use of mittens as a restraint system, This is clearly an area that deserves further exploration. The use of mitten restraints may prove a more acceptable form of restraint than other restraint forms. This issue needs to be addressed in future research studies.

eferences

M. Bryan (2009). Use of Physical estraints From a Bedside Practice Perspective

Am. J. Crit. Care., March 1, 2009; 18(2): 101-102.

Chang, LY., Wang, KW., & Chao, YF et al. (2008). Influence of Physical estraint on Unplanned Extubation of Adult Intensive Care Patients: A Case-Control Study. Am. J.

Crit.….

NUSING Nursing: Assessing and Treating Patients with ADHDCase IntroductionAn 8-year-old Caucasian girl named Katie is believed to suffer from attention deficit hyperactivity disorder (ADHD). Her teacher generated the statement as she showed symptoms within the class that led to such an observation. The signs included the girls inattentiveness, easy distraction, forgetfulness, focus loss after a short period, poor spelling and grammar, and reading and mathematics learning. Moreover, the girl only pays attention to things that she finds interesting.The teacher also believes that when the girl starts a task, she cannot finish it. She is distracted and does not find the focus to complete her assignments. School work is no more fascinating to her, so she does not follow the instructions.All of the above details are mentioned in Conners Teacher ating Scale-evise, which was forwarded to PMHNP for further scrutinizing of Katies condition. The symptoms must be prudently reviewed before the….

Discussions1Two of the seven crucial conversations that healthcare professionals struggle with that contribute to patient harm and unacceptable error rates that I have noticed are broken rules and incompetence. I have seen nurses deliberately neglect to follow protocol because they did not think it necessary or were rushed to do something else and did not want to take the time to do the procedure correctly. I have also seen nurses who did not know the standards of care they should have known and did not exercise these standards when dealing with patients. They also demonstrated an inability to critically think about situations and lacked an awareness of certain subjects.What I can do to deter these issues is to alert the head nurse so that we can all have a conversation about it, about why it is important to follow protocol and why it is necessary that nurses have their expected….

1. The life-saving potential of bone marrow transplants
2. The ethical considerations of bone marrow donation
3. The impact of bone marrow diseases on patients and their families
4. The scientific advancements in bone marrow research
5. The role of bone marrow in maintaining a healthy immune system
6. The process of matching bone marrow donors and recipients
7. The emotional and psychological implications of undergoing a bone marrow transplant
8. The challenges and barriers to increasing diversity in bone marrow donor registries
9. The future advancements in bone marrow therapies and treatments
10. The societal importance of increasing awareness about bone marrow donation and transplants.
11. The financial implications....