4-Medicine-Medical Treatments

prophylaxis

disease prevention and health maintenance {prophylaxis}|.

resuscitation

Processes {resuscitation}| can restore consciousness or life.

4-Medicine-Medical Treatments-Chemicals

depilatory

hair remover {depilatory}|.

diuresis

Chemicals {diuresis}| can increase urine volume.

4-Medicine-Medical Treatments-Devices

bedpan

bed toilet bowl {bedpan}|.

cast

Plaster sheaths {cast}| can be around broken bones.

diathermy

Electrodes can heat tissues {diathermy} using high-frequency electric current.

feeding tube

Tubes {gavage} {feeding tube}| through nose, pharynx, and esophagus can deliver liquid food to stomach.

iron lung

Polio patients can have breathing apparatuses {iron lung}|.

prosthesis

Devices {prosthesis}| can aid motion.

respirator

Devices {respirator}| can aid breathing.

truss for hernia

Supports {truss, hernia}| can treat hernia.

4-Medicine-Medical Treatments-Bleeding

bloodbank

donated-blood repository {bloodbank}|.

cauterize

burning tissue {cauterize}|.

compress

Pressure on soft pads {compress}| on wounds can stop bleeding.

tourniquet

Tightened bands {tourniquet}| can close arm or leg blood vessels.

4-Medicine-Medical Treatments-Wound

lavage

washing {lavage}|.

poultice

Warm soothing gel cloths {poultice}| can go on wounds.

4-Medicine-Medical Treatments-Cancer

chemotherapy

Azetomicin, cyclophosphamide, methotrexate, 5-FU, and 6-mercaptopurine {chemotherapy}| can kill cancer cells.

radiotherapy

Radiation {radiotherapy}| can destroy tumors.

4-Medicine-Medical Treatments-Genetic

gene therapy

Altered cells can go into body {gene therapy}|. Gene therapy can repair genes by recombining with good gene, adding good gene, or blocking RNA by antisense molecules or ribozymes.

types

Bone-marrow hematopoietic cells that make blood cells can grow in culture, where retroviruses change them for return to bone marrow.

Skin fibroblast cells can grow in culture for return under skin or to peritoneum.

Liver hepatocyte cells can grow in culture for return to liver, spleen, or portal vein.

Skeletal-muscle-tissue stem-cell satellite cells that remain beside muscle fiber can regenerate. They can grow in culture for return to muscle. Most skeletal-muscle-tissue stem-cell myoblasts fuse to make multinucleate muscle fibers.

Retroviruses can infect living blood-vessel-lining endothelia using catheters or lung-lining cells using aerosols.

Lymphocytes {tissue-infiltrating lymphocyte} (TIL) can enter solid tumors and kill them if interleukin-2 lymphocyte growth factor is present.

T cells modified with adenosine-deaminase gene help children with severe combined immunodeficiency.

somatic-cell nuclear transfer

Nucleic acid from egg cells can transform into somatic cells {therapeutic cloning} {somatic-cell nuclear transfer} (SCNT). Egg ooplasm can change somatic-cell nucleus to state similar to embryonic cell.

4-Medicine-Medical Treatments-Injection

hypodermic

Needles {hypodermic}| can inject solutions under skin or into muscle.

intrathecal injection

Chemical injections {intrathecal injection} can go into fluid around spinal cord.

4-Medicine-Medical Treatments-Stimulation

brain stimulation

Stimulating brain {brain stimulation} can treat Parkinsonism.

Tadoma

Blind and deaf people can receive hand stimulation {Tadoma} to perceive speech.

vagus nerve stimulation

Nerve stimulation {vagus nerve stimulation} can treat epilepsy.

4-Medicine-Medical Treatments-Surgery

surgery

Surgeons can remove tissue {surgery}|. Surgery {cryo-surgery} can involve freezing tissues.

artificial cochlea

Microphones {artificial cochlea} can send signals straight to auditory nerve.

4-Medicine-Medical Treatments-Surgery-Techniques

debridement

skin removal {debridement}|.

necropsy

dead-tissue removal {necropsy}|.

resection

tissue removal {resection}|.

stereotaxic surgery

Surgery {stereotaxic surgery}| can use brain coordinates.

suture

Sewing can bind two tissue pieces together {suture}|.

4-Medicine-Medical Treatments-Surgery-Kinds

appendectomy

appendix removal {appendectomy}|.

dilatation and curettage

Scraping uterus wall, under anesthesia, can remove embryo {dilatation and curettage}| (D & C).

hemispherectomy

cerebral-hemisphere, white-matter, and basal-ganglia removal {hemispherectomy} {hemicerebrectomy}.

laser surgery for eye

Laser vision correction or refractive surgery {laser surgery for eye} can be laser-assisted in-situ keratomileusis (LASIK) or photo refractive keratotomy (PRK).

leucotomy

Removing small frontal-lobe regions {leucotomy} can cure depression.

lobotomy

brain-lobe removal {lobotomy}.

mastectomy

breast removal {mastectomy}|.

rhinoplasty

Plastic surgery {rhinoplasty}| can be on nose.

tonsillectomy

tonsil removal {tonsillectomy}|.

tracheotomy

Surgical procedures {tracheotomy}| can cut through neck and into trachea, to allow breathing.

trephining

Surgical procedures {trephining} can make skull holes.

tubal ligation

Cutting and tying fallopian tubes {tubal ligation}| prevents eggs from entering uterus.

vasectomy

Cutting and tying vas deferens {vasectomy}| prevents sperm from leaving testis.

4-Medicine-Medical Treatments-Surgery-Instrument

catheter

Thin flexible tubes {catheter}| can lie in vessels to keep them open.

forceps

Surgical instruments {forceps}| can grasp and hold or pull.

ligature as wire

Threads or wires {ligature, medicine}| can tie blood vessels.

retractor

Surgical tools {retractor}| can pull back skin or tissue to expose area in which to operate.

trocar

Surgical instruments {trocar} can hold incisions open for endoscopic surgery.

4-Medicine-Medical Treatments-Vaccination

vaccination

People can become immune to infectious disease by vaccine or toxoid {vaccination}|. Vaccines can use dead virus or bacteria. People can react to antigen but not get sick.

attentuated

Vaccines {attentuated} can use killed or harmless organisms.

subunit vaccine

Vaccines {subunit vaccine} can use only surface-protein antigen, not whole virus or bacteria.

toxoid

People can become immune to infectious disease by being infected with antigen {toxoid}| retaining antigenic property but having no ability to reproduce.

vaccine

People can become immune to infectious disease by being infected with low-toxicity antigen {vaccine}|.

4-Medicine-Medical Treatments-Medical Testing

medical testing

If people have diseases, tests {medical testing} have probabilities {sensitivity, test} of finding diseases. If people do not have diseases, tests have probabilities {specificity, test} of indicating no diseases. Diseases have probabilities {prevalence, disease} in populations. Prevalence is typically less than one per thousand. Probability that people have disease if tested positive is prevalence times sensitivity divided by one minus specificity: p * se / (1 - sp).

actuarial method

Survival-function estimates {life table estimate, actuarial method} for grouped data, for example grouped by time interval, is number surviving at end divided by number at beginning minus half number censored for each interval, multiplying interval probabilities {actuarial method, test}.

attributable risk

Risk in people exposed to factor, minus risk in people not exposed, measures number of factor-caused outcomes {attributable risk}.

bias in measurement

Non-random quantities {bias, measurement} {measurement bias} can include selecting non-randomly {selection bias}, failing to account for hidden factors {confounding bias}, measuring with non-random tools, or having goals.

Cox regression

Statistical methods {Cox regression} {proportional hazards model} can analyze survival data as multiple regression, for quantitative data, or multiple logistics, for qualitative data. Surviving also depends on treatment weights Cn and prognostic variables Xn. Proportional hazard model is: ln(l(t)) = C0(t) + C1*X1 + C2*X2 + ... + Cn*Xn.

definitive cure

For same age and sex, cured-patient survival rate can be similar to healthy-people survival rate {cure}. Age-corrected survival divides actual survival in each interval by survival for healthy people of same age and sex. Curve can become horizontal {point of definitive cure} {definitive cure point}.

efficacy

treatment effectiveness {efficacy, treatment effectiveness}|.

exposure

People have disease risk {exposure, risk}| when factor is present.

factor of study

Studies have quantifiable independent variables {factor, study}.

hazard function

Patients have probability functions {hazard function} of failing to survive for some years or past an age.

hypothesis of study

Hypotheses {hypothesis, study} typically state that two treatments are no different in outcome. Studies can be only descriptive.

incidence

Populations can have new cases over times {incidence, population}. New cases divided by population measures probability {incidence rate} that people will have disease during that time.

modification by factor

Third variables can affect relation between factor and outcome {modification, study}.

odds ratio

Probabilities {odds ratio} that people who have disease also have factor approximates relative risk, if risk is less than 1/100.

outcome

Studies have quantifiable dependent variables {outcome, study}.

prevalence

number with disease or factor divided by number in population {prevalence, population}.

relative risk

Factor-strength measures {relative risk} can be ratio between risk when factor is present {exposure, factor} and risk when factor is absent.

reliability of test

Repeated measurements can have small range, with no oscillations or trends {reliability, study}.

research question

Disease studies {research question} can determine number of people affected, typical stages {natural history, disease stages}, outcomes {prognosis, disease}, causes {etiology, disease}, or treatment effectiveness {efficacy, treatment}. Studies often compare two treatments.

risk in testing

If factor is present, outcome has probability {risk, study}.

risk factor

If factor is present, outcome risk {risk factor} can increase.

sample of population

Regions and groups have populations {reference population} {source population}. Source-population subsets {sample frame} can be about sex, age, or other variable. Studies are about random reference-population subsets {sample, study} that have similar sample frames.

survival function

Over time, people have decreasing survival probability {survival function}| {survival analysis}. Survival-function estimates for ungrouped data, for example, individual patients, multiply probability of surviving interval by probability of surviving next interval, for all intervals {Kaplan Meier Survival Curve} {product limit}. Kaplan-Meier curve falls rapidly between 70% and 30% surviving and ends below 50% survival. Survival-function estimates for grouped data, for example, grouped by time interval, are number surviving at end divided by number at beginning minus half number censored for each interval, multiplying interval probabilities {life table estimate, survival} {actuarial method, survival}.

tests

Tests {log rank test} can have null hypothesis that there is no difference in survival between two groups. Mortality rate in one group is typically always higher than mortality rate in another group, and mortality-rate ratio can stay constant over time {proportional hazards}. If ratio is high enough, difference in groups is significant. Tests {stratified log-rank test} can compare two groups if there is another variable. Tests {generalized Wilcoxon test} can give more weight to early deaths.

validity of test

Tests can correctly check if hypothesis is true or false {validity, study}. Studies can use unbiased measurements {internal validity}. Studies can use random samples {external validity}.

4-Medicine-Medical Treatments-Case Study

case-control study

People descriptively study {case-control study} subjects with diseases.

cross-sectional study

People study {cross-sectional study} subjects that have all factors and/or outcomes.

ecologic study

People descriptively study {ecologic study} subjects as interacting groups.

longitudinal study

People descriptively study {longitudinal study} subjects over periods and check for factors and outcomes.

4-Medicine-Medical Treatments-Clinical Trial

clinical trial

Subjects can be patients and test hypothesis {clinical trial}.

community intervention

Subjects can be healthy, have factor, and test hypothesis {community intervention trial}.

field trial

Subjects can be healthy and test hypothesis {field trial}.

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Date Modified: 2022.0225