The quality of nursing care in the Dominican Republic has been subject to extensive research on numerous occasions. In the recent years, the government has been focused on enhancing the quality of maternity care across all the hospitals with the aim of reducing the rate of mortality rate through childbirth. It has attracted the attention of many scholars, especially because the nation is known for its highly trained attendants and universal institutionalized deliveries. The quality of medical care provided varies across the various medical institutions (Schumacher, 2010). In the recent years, the rate of Dominican Republican immigrants into the ...
Essays on Goiter
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Hypothyroidism is an endocrine disorder that results from thyroid hormonal deficiency. In the U.S. and other regions that have sufficient iodine consumption, autoimmune thyroid or the Hashimoto disease, normally causes hypothyroidism, while worldwide, iodine deficiency is the leading cause.
Pathophysiology
Hypothyroidism can be caused by malfunctioning of the hypothalamus, thyroid, or pituitary gland, as all of these result from the same “negative feedback mechanism” (McCann, 2011, p. 496). Despite belonging to the same mechanism the hypothalamus malfunction rarely causes hypothyroidism, and when it does, it is called ‘secondary hypothyroidism’. While the malfunction of the gland is referred to as ‘primary ...
Carolyn Davis is a 42 year old female who presents with cold intolerance and weight gain. She is also suffering from insomnia. Physical examination and investigations reveal a derangement in the thyroid hormonal levels. She has goiter and medical treatment has failed. She had surgery to remove the goiter and a subtotal thyroidectomy was performed. The removal of the goiter [thyroidectomy] may lead to hypocalcaemia secondary to hypothyroidism. This would lead to symptoms which include numbness and tingling sensation in the digits or perioral area. There can also be carpopedal spasm. Severe symptoms include tetany, seizures, mental status changes or even ...
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