Minim Health Dictionary

A level of quality that all health plans and providers are required to meet in order to offer services to clients/consumers.... minimum standard

Surgery using a rigid endoscope passed into the body through a small incision. Further small openings are made for surgical instruments so that the operation can be performed without a long surgical incision. Minimally invasive surgery may be used for many operations in the abdomen (see laparoscopy), including appendicectomy, cholecystectomy, hernia repair, and many gynaecological procedures. Knee operations (see arthroscopy) are also often performed by minimally invasive surgery.... minimally invasive surgery

A determination of the least costly among alternative interventions that are assumed to produce equivalent outcomes.... cost minimization analysis

More popularly called ‘keyhole surgery’, MIS is surgical intervention, whether diagnostic or curative, that causes patients the least possible physical trauma. It has revolutionised surgery, growing from a technique used by gynaecologists, urologists and innovative general surgeons to one regularly used in general surgery, GYNAECOLOGY, UROLOGY, thoracic surgery, orthopaedic surgery (see ORTHOPAEDICS) and OTORHINOLARYNGOLOGY.

MIS is commonly carried out by means of an operating laparoscope (a type of ENDOSCOPE) that is slipped through a small incision in the skin. MIS now accounts for around 50 per cent

of all operations carried out in the UK. A small attachment on the end of the laparoscope provides an image that can be magni?ed on a screen, leaving the surgeon’s hands free to operate while his assistant operates the laparoscope. Halogen bulbs, ?breoptic cables and rod lenses have all contributed to the technical advancement of laparoscopes. Operations done in this manner include extracorporeal shock-wave LITHOTRIPSY for stones in the gall-bladder, biliary ducts and urinary system; removal of the gall-bladder; appendicectomy; removal of the spleen and adrenal glands; and thoracic sympathectomy. MIS is also used to remove cartilage or loose pieces of bone in the knee-joint.

This method of surgery usually means that patients can be treated on a day or overnight basis, allowing them to resume normal activities more quickly than with conventional surgery. It is safer and lessens the trauma and shock for patients needing surgery. MIS is also more cost e?ective, allowing hospitals to treat more patients in a year. Surgeons undertake special training in the use of MIS, a highly skilled technique, before they are permitted to use the procedures on patients. The use of MIS for hernia repair, colon surgery and repairs of duodenal perforations is under evaluation and its advantages will be enhanced by the development of robotic surgical techniques.... minimally invasive surgery (mis)

A widely agreed upon and generally accepted set of terms and definitions constituting a core of data acquired for e.g. assessment purposes.... minimum data set

See MLD.... minimum lethal dose (mld)

(L.) DC.

Family: Papilionaceae.

Habitat: All over plains and in the Himalayas up to 1,200 m.

Folk: Raan-ghevaraa (smaller var.) (Maharashtra); Jhinki, Kammervel (Gujarat); Chittavarai (Tamil Nadu).

Action: Leaves—abortifacient. Seeds—bitter, toxic.

The leaves afforded isovitexin and apigenin derivatives.

Aerial parts gave steroidal glyco- sides, along with ergosterol peroxide, stigmasterol and lupeol; bergapten, isopimpinellin, umbelliferone and beta-sitosterol have also been isolated.

The seed coat and pericarp contained gallic and protocatechuic acid, prodelphinmidine and hydroquinone diacetate and C-glycosyl flavones.

The extract of seeds shows agglutinating activity with certain type of human red blood cells.

R. bracteata Benth. ex Baker (upper Gangetic plains) and R. jacobii Chandra & Shetty (Tirunelveli, Tamil Nadu) contain vitexin, isovitexin, orientin, iso-orientin and apigenin derivatives.... rhynchosia minima

See minimally invasive surgery.... minimal access surgery

A hypothetical condition thought to account for behavioural and other problems in children for which no physical cause is found. It may be a cause of some learning difficulties, difficulty in concentrating, impulsiveness, and hyperactivity.... minimal brain dysfunction

(MCS) a disorder of consciousness distinct from *persistent vegetative state (PVS) and locked-in syndrome (see vegetative state). Unlike PVS, patients with MCS have partial preservation of conscious awareness although the level of awareness frequently fluctuates over time.... minimally conscious state

the commonest cause of *nephrotic syndrome in children and an important cause of this syndrome in adults. The condition is so named because of the apparent lack of abnormalities seen on light microscopy of biopsy samples. Changes can, however, be seen on electron microscopy, with effacement of the *podocyte foot processes along the glomerular basement membrane. It is postulated that minimal change disease is a T-cell disease and that *cytokine damage to the podocytes leads to loss of the selective filtering characteristics of the glomerulus. The condition usually responds to corticosteroids and has a good prognosis, but there is clinical overlap with primary *focal segmental glomerulosclerosis, which may have similar histological appearances in its early stages, tends not to respond to steroids, and is associated with a poor renal prognosis.... minimal change nephropathy