“Pyrexia of Unknown Origin” – Differential Diagnosis?

Oswald, A.

doi:10.2218/resmedica.v21i1.209

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…Ia berkomentar bahwa 'bahkan para pendeta yang pernah menduduki jabatan manajerial sebelum masuk seminari pun terkejut melihat betapa tidak siapnya mereka untuk tugas-tugas manajemen gereja.' 19 Pendeta dapat memanfaatkan pengetahuan bahwa dua belas bulan pertama dalam masa penggembalaan yang baru dapat menentukan arah keseluruhan pelayanan, sehingga mempunyai dampak yang luas. Mitos yang umum adalah bahwa pendeta dapat bekerja keras dalam dua belas bulan pertama pelayanannya yang baru sampai segala sesuatunya 'terkendali' dan kemudian kembali ke jadwal kerja yang lebih masuk akal.…”

Section: Journal Ofunclassified

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Kepemimpinan Rohani John O. Sanders Dalam Peningkatan Kepemimpinan Gereja Yang Melayani Tanpa Diskriminasi

Tanasyah,

Repi,

Dumgair

et al. 2024

jrsc

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Effective spiritual leadership, which has been practiced by many church leaders around the world, is related to motivation, individual potential development, and building a solid team. But that alone is not enough; the ability to manage crises, change and carry outgrowth, are the dominant demands in leadership. Leadership skills require not only skills but also require inspiration, wisdom, and commitment. Everyone today crave leadership, need leadership figures who can be relied on, trusted, and can actualize constructive changes. We need leadership capable of transforming the character of the church, providing strategic changes, as well as being able to increase the potential of the individuals it leads, effectively managing resources and having the desire to be actively involved in the process against discrimination. J Oswald provides the basis for good spiritual leadership in church leadership so that it can bring servant leadership and fight discrimination. Kepemimpinan rohani yang efektif yang selama ini telah dilakukan banyak pemimpin gereja di seluruh dunia, adalah yang berkaitan dengan motivasi, pengembangan potensi individu, dan pembentukan team yang solid. Namun itu saja tidak cukup; kemampuan mengelola krisis, perubahan dan melakukan pertumbuhan-pertumbuhan, menjadi tuntutan dominan dalam kepemimpinan. Keahlian kepemimpinan membutuhkan tidak saja ketrampilan namun juga membutuhkan inspirasi, kearifan dan komitmen. Semua orang saat ini mengidamkan kepemimpinan, membutuhkan figur kepemimpinan yang dapat diandalkan, dipercaya dan dapat mengaktualisasikan perubahan-perubahan konstruktif. Kita membutuhkan kepemimpinan yang mampu mentransformasikan karakter gereja, memberikan perubahan-perubahan strategis, sekaligus yang dapat meningkatkan potensi individu-individu yang dipimpinnya, efektif mengelola sumber daya dan memiliki keinginan untuk aktif terlibat dalam proses melawan diskriminasi masih terjadi dalam banyak bagian. J. Oswald memberikan dasar kepemimpinan rohani yang baik dalam kepemimpinan gereja sehingga dapat membawa kepemimpinan yang melayani serta melawan diskriminasi.

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“… Sanders, Spiritual Leadership,[18][19] King. M. Stephen, "LEADERSHIP FOR THE BODY OF CHRIST: DEVELOPING A CONCEPTUAL FRAMEWORK OF SPIRITUAL LEADERSHIP FROM 1 TIMOTHY 3:1-7," Journal of Biblical Perspectives in Leadership 5, no.…”

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Kepemimpinan Rohani John O. Sanders Dalam Peningkatan Kepemimpinan Gereja Yang Melayani Tanpa Diskriminasi

Tanasyah,

Repi,

Dumgair

et al. 2024

jrsc

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“…Due to the high mortality rate of many of these conditions, especially if diagnosis is delayed, a high degree of suspicion is imperative. Thorough clinical assessment is vital to provide diagnostic clues and tailor investigations 21 .…”

Section: Disclosurementioning

confidence: 99%

Clinico-Pathological Evaluation of Fever More Than Three Weeks : A Cross Sectional Study in A Tertiary Care Hospital

Haidar

2019

Chatt Maa Shi Hosp Med Coll J

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Background: Fever is a common clinical presentation of a number of diseases. A sustained unexplained fever >38.3°C lasting for >3 weeks without an established diagnosis despite intensive diagnostic evaluation is referred to as Fever of Unknown Origin (FUO). Fever more than three week remains a clinical challenge for physicians, as it may be attributed to a wide range of disorders, mainly infections, malignancies, non-infectious inflammatory diseases and miscellaneous diseases. The evaluation of the condition of a patient with fever of unknown origin requires a knowledge of those disorders that produce this syndrome, an awareness of the potential significance of subtle findings in the history and physical examination, and an appreciation of the value in this clinical setting of specific diagnostic procedures. In this report, we review these aspects of fever of unknown origin and outline a diagnostic approach to the persistently febrile patient. Objective: Purpose of this study was to clinico-pathological evaluation of fever more than three weekswith its aetiology and clinical spectrum. Methods: This cross-sectional study was conducted amongst adult males and females patients suffering from the fever of more than three weeks over period of two years at Combined Military Hospital, Chattogram Cantonment from January, 2016 to December, 2017. Sample was selected by purposive sampling technique. Inclusion criteria were H/O fever or body temperature greater than 38.3°C on several occasions, accompanied by more than three weeks of illness and failure to reach a diagnosis after one week of inpatient investigation. Total 72 cases were enrolled according to selection criteria. Routine hematological, biochemical, imaging test were done and mid-stream urine samples were collected from these patients and subjected to culture. Detail demographic data were collected from the informant and recorded in structured case report form. Clinical examination and relevant investigation were done meticulously. Results: In this study age of participants at entry was >20years, mean age was 38.04±11.08. Female sex were significant number, sex ratio (F: M) was 1.25:1. Most common clinical presentations were persistent fever and generalized weakness (100.0%), followed by arthralgia/ arthritis (51.3%) anorexia (44.4%) and headache (34.7%). The focused fever of unknown origin diagnostic approach is based on hallmark clinical features characteristic of each disorder. Diagnostic significance of nonspecific clinical findings is enhanced when considered together. Of the infectious diseases that are associated with FUO, tuberculosis (Especially in extrapulmonary sites) was most common cause (eg. 13.8%) and in malignant aetilogy, lymphoma was the major cause (eg. 11.1%) of fever of unknown origin. Abdominal and or Pelvic abscesses (5.6%) Colorectal carcinoma (5.6%) Drug-induced fever (4.1%) UTI (5.6%) SLE (5.6%) Rheumatoid arthritis (9.7%) Dental abscesses (2.7%) and Osteomyelitis (4.1%) were the others common cause of fever of unknown origin. Conclusion: Fever is a common presenting complaint in hospital admitted patients. Most febrile illnesses either resolve before a diagnosis can be made or develop distinguishing characteristics that lead to a clinical dilemma. Fever of Unknown Origin (FUO) is dynamic in its origin and will be an ongoing challenge to the clinician because of shifting disease epidemiology. In this study infection was predominant aetiology for febrile illness. Proper evaluation, rationale use of drugs and health awareness reduced the burden of Fever of unknown origin. Chatt Maa Shi Hosp Med Coll J; Vol.17 (2); Jul 2018; Page 6-13

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“Pyrexia of Unknown Origin” – Differential Diagnosis?

Cited by 2 publications

References 14 publications

Kepemimpinan Rohani John O. Sanders Dalam Peningkatan Kepemimpinan Gereja Yang Melayani Tanpa Diskriminasi

Kepemimpinan Rohani John O. Sanders Dalam Peningkatan Kepemimpinan Gereja Yang Melayani Tanpa Diskriminasi

Clinico-Pathological Evaluation of Fever More Than Three Weeks : A Cross Sectional Study in A Tertiary Care Hospital

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