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Patient's Disease (patient + disease)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

What is learned from experience in a probabilistic environment?

JOURNAL OF BEHAVIORAL DECISION MAKING, Issue 3 2004
Stephen E. Edgell
Abstract Three experiments explored what is learned from experience in a probabilistic environment. The task was a simulated medical decision-making task with each patient having one of two test results and one of two diseases. The test result was highly predictive of the disease for all participants. The base rate of the test result was varied between participants to produce different inverse conditional probabilities of the test result given the disease across conditions. Participants trained using feedback to predict a patient's disease from a test result showed the classic confusion of the inverse error, substituting the forward conditional probability for the inverse conditional probability when tested on it. Additional training on the base rate of the test result did little to improve performance. Training on the joint probabilities, however, produced good performance on either conditional probability. The pattern of results demonstrated that experience with the environment is not always sufficient for good performance. That natural sampling leads to good performance was not supported. Further, because participants not trained on joint probabilities did, however, know them but still committed the confusion of the inverse error, the hypothesis that having joint probabilities would facilitate performance was not supported. The pattern of results supported the conclusion that people learn all the necessary information from experience in a probabilistic environment, but depending upon what the experience was, it may interfere with their ability to recall to memory the appropriate sample set necessary for estimating or using the inverse conditional probability. Copyright © 2004 John Wiley & Sons, Ltd. [source]

Stage IV CD30+ anaplastic large cell lymphoma: Response to acitretin and interferon- ,

AUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 3 2002
Colin Ong
SUMMARY Retinoids and interferon (IFN)-, induce differentiation, affect cell proliferation and alter various immune parameters. In combination, their effects may be additive or even synergistic in the treatment of malignancy. We present a 53-year-old woman with stage IV CD30+ anaplastic large cell lymphoma with brain, lung and skin involvement. The patient had been on methotrexate for rheumatoid arthritis. After a combination of oral acitretin 50 mg daily and IFN-, 3 million units subcutaneously 3 times per week, the skin lesions cleared within 2 months, lung lesions by 5 months and brain leisons by 7 months. Although we cannot exclude that methotrexate played a role in the development of this lymphoma and that its withdrawal contributed to the clearance of lesions, we propose that the patient's disease responded to the combination of acitretin and IFN-,. [source]

Language Processing in Frontotemporal Dementia: A Brief Review

LINGUISTICS & LANGUAGE COMPASS (ELECTRONIC), Issue 1 2008
Jonathan E. Peelle
Frontotemporal dementia (FTD) is a neurodegenerative condition that presents with a number of distinct behavioral phenotypes. Here we review language-processing deficits in three subgroups of FTD patients: progressive nonfluent aphasia (PNFA), semantic dementia (SD), and nonaphasic FTD patients with a disorder of social and executive functioning (SOC/EXEC). These three clinical subgroups have contrasting patterns of regional cortical atrophy that can be linked to their language impairments. PNFA patients' disease includes left ventral inferior frontal cortex, resulting in impaired grammatical processing. SD patients demonstrate a profound impairment for semantic knowledge related to atrophy of the left temporal lobe. SOC/EXEC patients' frontal atrophy tends to be more right lateralized and is associated with declines in executive functioning. SOC/EXEC patients' limited executive resources impact language processing in a variety of ways, including slowed grammatical processing and impaired narrative discourse. FTD patients therefore provide converging evidence regarding dissociable components of language processing and their neuroanatomical bases. [source]

Diagnosis and classification of periodontal disease

AUSTRALIAN DENTAL JOURNAL, Issue 2009
J Highfield
Abstract Periodontal diseases have been recognized and treated for at least 5000 years. Clinicians have recognized for many years that there are apparent differences in the presentation of periodontal diseases and have attempted to classify these diseases. Systems of classifications of disease have arisen allowing clinicians to develop structures which can be used to identify diseases in relation to aetiology, pathogenesis and treatment. It allows us to organize effective treatment of our patients' diseases. Once a disease has been diagnosed and classified, the aetiology of the condition and appropriate evidence-based treatment is suggested to the clinician. Common systems of classification also allow effective communication between health care professionals using a common language. Early attempts at classification were made on the basis of the clinical characteristics of the diseases or on theories of their aetiology. These attempts were unsupported by any evidence base. As scientific knowledge expanded, conventional pathology formed the basis of classification. More recently, this has been followed by systems of classification based upon our knowledge of the various periodontal infections and the host response to them. Classification of periodontal diseases has, however, proved problematic. Over much of the last century clinicians and researchers have grappled with the problem and have assembled periodically to review or develop the classification of the various forms of periodontal disease as research has expanded our knowledge of these diseases. This has resulted in frequent revisions and changes. A classification, however, should not be regarded as a permanent structure. It must be adaptable to change and evolve with the development of new knowledge. It is expected that systems of classification will change over time. This review examines the past and present classifications of the periodontal diseases. [source]