Barriers and Facilitators to Healthcare Access in Adults with Intellectual and Developmental Disorders and Communication Difficulties: an Integrative Review.

Unlabelled: This integrative review explores the barriers to and facilitators of healthcare access in adults with intellectual and developmental disorders (IDD) and communication difficulties (CD) using Levesque et al.'s conceptual framework of access to health. IDDs are a group of disorders that occur early in childhood and often involve language dysfunction.

Lavender Aromatherapy: Examining the Effects of Lavender Oil Patches on Patients in the Hematology-Oncology Setting.

Background: Lavender aromatherapy treatment has been used for the general inpatient population to promote relaxation during hospitalization; however, limited research has been conducted on its efficacy with an inpatient hematology-oncology population.

Objectives: The purpose of this mixed-methods study was to determine the feasibility of wearable overnight lavender aromatherapy skin patches as a patient-directed nursing intervention for 40 patients on an inpatient hematology-oncology unit.

Methods: Data were collected during a two-month period using the Lavender Satisfaction Assessment and the Generalized Anxiety Disorder-7 (GAD-7) scale.

MR diagnosis of rotator cuff tears of the shoulder: value of using T2-weighted fat-saturated images.

Objective: The purpose of this study was to compare the use of fat-saturated T2-weighted spin-echo MR imaging with that of conventional T2-weighted spin-echo MR imaging to detect full- and partial-thickness tears of the rotator cuff of the shoulder, using arthroscopy as the standard for the diagnosis.

Subjects And Methods: Forty-nine consecutive patients with shoulder pain who had both MR imaging and arthroscopy of their affected shoulders were studied. The study group consisted of 10 patients with full-thickness tears of the rotator cuff, 20 with partial-thickness tears of the rotator cuff, and 19 with intact rotator cuff tendons proved arthroscopically.

MR imaging of the adrenal glands.

MR imaging provides an excellent morphologic depiction of normal and abnormal adrenal glands. Although CT scanning remains the primary imaging technique for detecting adrenal lesions, MR imaging is being used increasingly for characterization of adrenal masses. Chemical shift imaging is the most recent MR technique to be evaluated for distinguishing benign from malignant masses, and it appears to be the most reliable; however, further validation of this technique is necessary.

Ultrasonographic evaluation of the biliary tree in patients with atypical chest pain.

We studied the use of gallbladder ultrasonography in the evaluation of atypical chest pain (ACP). During an 8-month period, 52 patients were referred for biliary ultrasonography with a chief complaint of chest pain. Twelve (32.

Preoperative evaluation of intraabdominal tumors in children: gradient-recalled echo vs spin-echo MR imaging.

Objective: The purpose of this study was to compare gradient-recalled echo (GRE) with spin-echo (SE) MR imaging in the assessment of vessel patency and tumor margins in children with intraabdominal tumors.

Materials And Methods: Findings on GRE and SE images in 10 children with abdominal neoplasms were retrospectively evaluated and compared with pathologic findings or results of CT studies.

Results: Detection of tumor thrombus was 100% with GRE sequences and 75% with SE sequences.

Gadopentetate dimeglumine-enhanced MR imaging of the postoperative lumbar spine: comparison of fat-suppressed and conventional T1-weighted images.

Objective: Gadopentetate dimeglumine-enhanced T1-weighted MR imaging has been used to distinguish epidural fibrosis from recurrent disk herniation in the postoperative lumbar spine. Potential interpretative difficulties relate to detection of subtle contrast enhancement and distinction of enhanced tissue from surrounding epidural fat. The objective of this study was to evaluate the utility of fat-suppressed T1-weighted imaging in improving the depiction of postoperative abnormalities.

CT of focal pulmonary masses in childhood.

Focal pulmonary masses in children encompass a spectrum of conditions including congenital lesions, inflammatory masses, hematomas, and benign and malignant tumors. Congenital masses include bronchial atresia, sequestration, cystic adenomatoid malformation, and pulmonary vascular anomalies. Inflammatory masses most commonly result from infection and include pulmonary abscess, granulomas, and postinflammatory pseudotumors.

Ultrasound evaluation of the common duct in symptomatic and asymptomatic patients.

We studied common duct (CD) diameter using real time ultrasound in 551 patients. The patients were divided into two groups: those referred for evaluation of the biliary tree [biliary-referred group (BRG)], and those referred for a problem unrelated to potential biliary tree pathology [non-biliary-referred group (NBRG)]. Potentially obstructed CDs were excluded from analysis.

Postgastrostomy tube deformity on upper GI series.

Three cases are presented in which a focal concave deformity occurred along the greater curvature of the stomach on upper gastrointestinal (GI) series. These patients all had recent removal of a surgically placed gastrostomy tube from a similar location. This deformity appears to be related, at least in part, to invaginated gastric mucosa intentionally produced during surgical gastrostomy tube placement.