Context plays a larger role in MUPS care than it does for most medical care because of the uncertain nature of MUPS, the reliance of standard MUPS therapies on a potentially tenuous patient-provider partnership, and the clinical need to rely routinely on subjective MUPS assessments that often yield discordant patient and provider conclusions.
Considering antiparasitic drugs after surgery, it has been reported that small cysts, not removed by surgery, can be missed by magnetic resonance imaging and cause further complications in an already tenuous post-neurosurgical patient.
Fatal in as many as 32.6% of cases, SBP can have a profound effect on the tenuous hemodynamics of patients with cirrhosis.
Safe and effective emergency airway management, especially for patients with tenuous haemodynamics or poor cardiovascular reserve, requires specialty care provided by residency trained emergency physicians, anaesthesiologists and critical care physicians who can safely combine volume resuscitation, judicious use of vasoconstrictors and appropriate doses of induction agents.
The evidence base for 6-month frequency of dental check-ups in adult patients is tenuous [ 22, 23] and whilst guidelines [ 10] have been introduced to encourage dental practitioners to extend the recall intervals for patients with low risk of dental disease, the 6-month dental check-up remains the 'norm' for most routine dental practice attenders.
Extracorporal carbon dioxide removal using pECLA is effective in patients in a tenuous situation of severe lung and brain injury [ 10, 25].
My own intuition is that a commitment on the part of researchers to interpret novel and pertinent genetic findings in a manner that can easily be shared with the patients to which the findings apply will create an added incentive [ 9] that will augment the currently tenuous bond between pediatrician, researcher and patient that is essential to pediatric genomic research.
However, the relatively low prevalence of patient comments representing spirituality lends tenuous support to previous claims of spiritual well-being or relationships with God as a core need among the dying.
At their heart is a personal encounter, the interaction between the patient and the health provider sometimes tenuous, often contested, but always with the potential for humanity and compassion.
Although (radio-) surgery was shown to provide excellent local control in up to 96% of the patients [ 1, 22], it would be expected that reduced overall survival of BM-patients is related to the tenuous site of metastases.
Tenuous sedation (requiring a more hurried procedure) or patient positioning (e.g. due to obesity) may hinder cannulation in some way.
