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This page shows you the most recent publications within this specialty of the MedWorm directory.

A literature review of the military uses of silver-nylon dressings with emphasis on wartime operations
Medical support of military operations involves treatment of massive soft tissue wounds, thermal burns, open fractures, blast injuries and traumatic amputations under conditions that are often austere and far from supply lines. Military hospitals, as recently deployed in Iraq and Afghanistan, are designed and equipped for stabilization and rapid transfer of injured patients back to their home nation. These austere facilities are often tasked with the emergency or long-term treatment of local populations when injured or burned, further stressing the medical resupply system. (Source: Burns : Journal of the International Soci...
Source: Burns : Journal of the International Society for Burn Injuries - November 22, 2014 Category: Cosmetic Surgery Authors: David J. Barillo, Morano Pozza, Mary Margaret-Brandt Source Type: research

The New Health Care: Oregon Health Study: The Surprises in a Randomized Trial
The study upended conventional thinking about health insurance, and many of the individual stories were compelling and surprising in their own right. (Source: NYT)
Source: NYT - November 21, 2014 Category: American Health Authors: By MARGOT SANGER-KATZ Tags: Research Medicaid Health Insurance and Managed Care Hospitals Emergency Medical Treatment Source Type: news

Monroe's Valley General Hospital to become part of EvergreenHealth
Monroe's Valley General Hospital will officially become a part of Kirkland's EvergreenHealth effective March 1. An alliance agreement reached earlier this week will result in the hospital changing its name to EvergreenHealth Monroe, more physicians being added to the hospital and more sharing of services like trauma care, emergency care and inpatient services between the two entities. EvergreenHealth's medical center is the ninth largest hospital in the state, based on 2012 net patient services… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 21, 2014 Category: American Health Authors: Annie Zak Source Type: news

The New Health Care: How to Arrive at the Best Health Policies
Randomized trials are highly effective for suggesting ways to improve health care delivery, but they’re also rare. That may be changing. (Source: NYT)
Source: NYT - November 21, 2014 Category: American Health Authors: By MARGOT SANGER-KATZ Tags: Drugs (Pharmaceuticals) Medicaid Health Insurance and Managed Care Hospitals Emergency Medical Treatment Source Type: news

North Memorial opens medical center in Minnetonka (photos)
North Memorial Health Care this month opened a medical center in Minnetonka that's part of the health system's push to expand its outpatient-care business. The 63,500-square-foot development, at 15500 Highway 7, features an Urgency Center offering most services patients would find at an emergency room. Robbinsdale-based North Memorial also provides primary care services at the center and plans to open an ambulatory surgery center there next spring. The $17.4 million center opened Nov. 4 and will… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 21, 2014 Category: Biotechnology Authors: Katharine Grayson Source Type: news

Webinar: Preparing your Healthcare System for Ebola
Today, Friday, November 21 / 3 – 4 pm (ET) Hospital based emergency providers are invited to participate in a conference call with leaders from the Office of the Assistant Secretary for Preparedness and Response (ASPR) and the Centers for Disease Control and Prevention (CDC) on preparing for possible Ebola cases. During this call, leaders […] (Source: NN/LM Middle Atlantic Region Blog)
Source: NN/LM Middle Atlantic Region Blog - November 21, 2014 Category: Databases & Libraries Authors: mjharvey Tags: Disaster / Emergency Preparedness Education News from NLM/NIH Outreach Public Health Source Type: news

Webinar: Caring for Patients with Ebola in U.S. Hospitals: A Nursing Perspective
Caring for Patients with Ebola in U.S. Hospitals: A Nursing Perspective Monday, November 24 / 2 – 3 pm (ET) Health care organizations across the country are preparing to respond to the possibility of Ebola cases in their communities. Several U.S. hospitals have treated patients with the disease and can provide important information to other […] (Source: NN/LM Middle Atlantic Region Blog)
Source: NN/LM Middle Atlantic Region Blog - November 21, 2014 Category: Databases & Libraries Authors: mjharvey Tags: Consumer Health Disaster / Emergency Preparedness Education Outreach Public Health Source Type: news

Risk of bloodstream infection in children admitted to paediatric intensive care units in England and Wales following emergency inter-hospital transfer
Conclusions Nationally, inter-hospital transfer is no longer a significant risk factor for PICU-acquired BSI. Given the large proportion of infection occurring in the second week of admission, initiatives to further reduce PICU-acquired BSI should focus on maintaining sterile procedures after admission. (Source: Intensive Care Medicine)
Source: Intensive Care Medicine - November 21, 2014 Category: Intensive Care Source Type: research

Avoidable Iatrogenic Hypoglycemia in Patients on Peritoneal Dialysis: The Risks of Nonspecific Glucose Monitoring Devices and Drug-Device Interaction
Conclusions: Non-nephrology HCPs are unaware that POC glucometers are nonglucose specific and do not possess comprehensive knowledge of drug metabolism, particularly for uncommonly seen agents. The case reports highlight the absolute need for use of glucose-specific assays in BG determinations for patients using icodextrin within 2 weeks of hospitalization. To avoid future devastating consequences including severe hypoglycemia, coma, or death related to the drug-device interaction described, hospital protocols should require that all PD patients’ BGs are measured in central chemistry laboratories. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2014 Category: Health Management Tags: Original Article Source Type: research

Predicting Potential Postdischarge Adverse Drug Events and 30-Day Unplanned Hospital Readmissions From Medication Regimen Complexity
Conclusions: MRC was predictive of patients’ potential for ADEs and unplanned hospital readmission. MRC may be useful in identifying patients that would benefit from additional transitional care interventions. Results indicate that simplifying medication regimens may favorably impact postdischarge outcomes. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2014 Category: Health Management Tags: Original Article Source Type: research

National Implementation of Acute Stroke Care Centers in the Veterans Health Administration (VHA): Formative Evaluation of the Field Response
Conclusions The AIS Directive brought focused attention to reorganizing stroke care across a wide range of facility types. Larger VA facilities tended to follow established practices for organizing stroke care, but the unique addition of the LH designation presented some challenges. S facilities tended to report a lack of a coordinated stroke team and champion to drive process changes. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2014 Category: Internal Medicine Source Type: research

Improving Healthcare Systems’ Disclosures of Large-Scale Adverse Events: A Department of Veterans Affairs Leadership, Policymaker, Research and Stakeholder Partnership
CONCLUSIONS Through the partnership, five recommendations to improve disclosures during each stage of communication have been widely disseminated throughout the VA using non-academic strategies. Some improvements have been made; other recommendations will be addressed through implementation of a large-scale adverse event disclosure toolkit. These toolkit strategies will enable leaders to provide timely and transparent information to patients and families, while reducing the burden on employees and the healthcare system during these events. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2014 Category: Internal Medicine Source Type: research

Guinea: Ebola Is Killing Traditions and Customs
[savethechildren_uk]Guinea is my home. I work for Save the Children responding to different emergencies around the world so it was only natural that I should return to my home nation to support our Ebola response. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - November 21, 2014 Category: African Health Source Type: news

The diagnosis of febrile urinary tract infection in children may be facilitated by urinary biomarkers
Conclusions The diagnosis of febrile UTI and the prediction of subsequent scarring may be facilitated by assaying urine biomarkers with acceptable accuracy. (Source: Pediatric Nephrology)
Source: Pediatric Nephrology - November 21, 2014 Category: Urology & Nephrology Source Type: research

Prevalence of psychiatric symptoms in children and adolescents one year after the 2009 L'Aquila earthquake - Feo P, Di Gioia S, Carloni E, Vitiello B, Tozzi A, Vicari S.
Background In 2009, an earthquake devastated the Abruzzo region in Italy. Despite the occurrence of several disasters in this country, no study on mental health of Italian children has ever been conducted in complex emergencies. Objective of the study w... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - November 21, 2014 Category: Global & Universal Tags: Environmental Issues, Climate, Geophysics Source Type: news

Older adults in emergency department: management by clinical severity at triage - Fusco M, Buja A, Furlan P, Casale P, Marcolongo A, Baldovin T, Bertoncello C, Baldo V.
BACKGROUND: The elderly are involved in an ever-increasing proportion of Emergency Department (ED) visits, consuming a large share of the available resources. The aim of this study was to assess elderly individuals' demand for ED hospital care, in terms of... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - November 21, 2014 Category: Global & Universal Tags: Age: Elder Adults Source Type: news

Brief interventions for hazardous and harmful alcohol consumption in accident and emergency departments - Wojnar M, Jakubczyk A.
The prevalence of alcohol abuse among patients treated in accident and emergency departments (A&E) is considered as substantial. This paper is a narrative review of studies investigating the effectiveness of brief interventions (BI) for hazardous and harmf... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - November 21, 2014 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

Debate: Whether evidence supports reducing the threshold diameter to 5 cm for elective interventions in women with abdominal aortic aneurysms
Current practice guidelines recommend repair of asymptomatic abdominal aortic aneurysms once they reach the 5.5-cm-diameter threshold and are based on information from randomized controlled trials. However, because aneurysms are more common in men, women are under-represented in these trials, and questions persist about whether this repair threshold should apply to them. In addition, women have smaller aortas to begin with and in most aneurysm cohorts are older, have more atherosclerotic risk factors, are less likely to be anatomic candidates for endovascular repair, and do poorer after emergency or elective repair of thei...
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Ashley K. Vavra, Melina R. Kibbe, Matthew J. Bown, Janet T. Powell Tags: Trans-Atlantic debate Source Type: research

Fifty-nine-year-old man with abrupt-onset claudication
A 59-year-old man presented to the emergency department with a 10-day history of abrupt-onset right leg claudication. He was a nonsmoker and had no risk factors for peripheral arterial disease or thromboembolism. His neurologic examination findings were normal and his ankle pulses were palpable, but his bedside ankle-brachial index on the right was abnormal at 0.79. He had mild right calf tenderness to palpation. He gave written consent for publication of details of his case, including radiologic and intraoperative images. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Thomas N. Carruthers, Alik Farber Tags: Vascular images Source Type: research

Aortic and inferior vena cava bifurcated stent graft application in the endovascular management of a ruptured abdominal aortic aneurysm with an aortocaval fistula
A 73-year-old man, a nonsmoker with a positive family history of abdominal aortic aneurysm (AAA) and no relevant medical history, presented to the emergency department complaining of acute lower abdominal and back pain, hematuria, repeated vomiting, and severe dyspnea. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Sherif Sultan, Mohamed Zaki, Mahmoud Alawy, Mohammed ElKassaby Tags: Vascular images Source Type: research

Improved Trends in Patient Survival and Decreased Major Complications After Emergency Ruptured Abdominal Aortic Aneurysm Repair From 2005 to 2011
This study seeks to examine morbidity and mortality trends from the National Surgical Quality Improvement Program (NSQIP) database, and identify potential risk factors. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Reshma Brahmbhatt, Jennifer Gander, Sebastian Perez, Luke Brewster, Yazan Duwayri, Ravi Rajani, Susan Shafii, Ravi Veeraswamy, Atef Salam, Shipra Arya Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

Low Mortality in Elective and Emergency Abdominal Aortic Aneurysm Repair in Octogenarians
Abdominal aortic aneurysm (AAA) repair in octogenarians is thought to be associated with excess mortality, but an increasing number of patients fall into this group. We sought to establish mortality rates for elective and emergency repair by open and endovascular techniques in our center. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Christopher M. Lamb, Katie Rollins, Olivia Mitchell, David Dawson, Bruce Braithwaite, Sadhana Chandrasekar Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

[Children who Leave the Emergency Department: Missing Opportunities?]
Conclusion: Overcrowding of the Emergency Department with children with non-urgent problems, that increase waiting times, can lead to abandonment with unfavorable outcome, which in our series occurred in only 2 cases. PMID: 25409211 [PubMed - as supplied by publisher] (Source: Acta Medica Portuguesa)
Source: Acta Medica Portuguesa - November 21, 2014 Category: Journals (General) Tags: Acta Med Port Source Type: research

[Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department.]
Conclusion: Judicious use of stool cultures allows etiological identification of bacterial gastroenteritis. The increase in Campylobacter cases reinforces the need for better control of hygiene measures in handling food products. PMID: 25409209 [PubMed - as supplied by publisher] (Source: Acta Medica Portuguesa)
Source: Acta Medica Portuguesa - November 21, 2014 Category: Journals (General) Tags: Acta Med Port Source Type: research

[Regarding the Article: "Gastroenteritis by Campylobacter spp: a Retrospective Study of a Paediatric Emergency Department"]
Authors: Videira-Amaral JM PMID: 25409205 [PubMed - as supplied by publisher] (Source: Acta Medica Portuguesa)
Source: Acta Medica Portuguesa - November 21, 2014 Category: Journals (General) Tags: Acta Med Port Source Type: research

Mission possible: 100 days to reduce length of stay in the ED
No abstract available (Source: Nursing Management)
Source: Nursing Management - November 21, 2014 Category: Nursing Tags: Department: Safety solutions: Emergency care Source Type: research

Lipoprotein Phospholipase A2 Mass and Activity Are Not Associated with the Diagnosis of Acute Brain Ischemia
Conclusion: The results of our study do not support the early measurement of Lp-PLA2 mass or activity levels for confirming an ischemic etiology in patients experiencing minor or transient focal neurological events.Cerebrovasc Dis 2014;38:324-327 (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - November 21, 2014 Category: Neurology Source Type: research

An evaluation of a multi‐site community pharmacy–based chronic obstructive pulmonary disease support service
ConclusionsResults suggest that the service improved patient medicine taking behaviours and that it was cost‐effective. (Source: International Journal of Pharmacy Practice)
Source: International Journal of Pharmacy Practice - November 21, 2014 Category: Drugs & Pharmacology Authors: David Wright, Michael Twigg, Garry Barton, Tracey Thornley, Clare Kerr Tags: Research Paper Source Type: research

FDA Clears Hydrocodone With Abuse-Deterrent Properties FDA Clears Hydrocodone With Abuse-Deterrent Properties
The physical and chemical properties of single-entity Hysingla ER (Purdue Pharma) are expected to make abuse difficult, the FDA says. FDA Approvals (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - November 21, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Oral Nifedipine or Intravenous Labetalol for Hypertensive Emergency in Pregnancy: A Randomized Controlled Trial
(Obstet Gynecol. 2013;122(5):1057–1063) (Source: Obstetric Anesthesia Digest)
Source: Obstetric Anesthesia Digest - November 21, 2014 Category: Anesthesiology Tags: Mechanisms, Equipment, Hazards Source Type: research

2014 Medical Librarians Month – A Journey
Jackie Wirz’ entry in our contest for Medical Librarians Month tells the story of her journey from a PhD in Biochemistry & Molecular Biology to Biomedical Sciences Information Specialist. It all started one night in the ER when she knew that Google was not the right tool. by Jackie Wirz Biomedical Research SpecialistOregon Health & Science University Portland, OR Sitting in the emergency room, I felt a surprising sense of calm. Going to the ER in the middle of the night was an extreme precaution – although the chemical to which I was exposed could be potentially very dangerous, I was feeling normal (well, a...
Source: Dragonfly - November 21, 2014 Category: Databases & Libraries Authors: Patricia Devine Tags: Funding News from Network Members News From NN/LM PNR Source Type: news

Effects of a structured educational intervention on knowledge and emergency management in patients at risk for anaphylaxis
ConclusionStructured patient education programs may be beneficial in the management of anaphylaxis by increasing patients′ empowerment to prevent and treat the disease.This article is protected by copyright. All rights reserved. (Source: Allergy)
Source: Allergy - November 21, 2014 Category: Allergy & Immunology Authors: Knut Brockow, Sabine Schallmayer, Kirsten Beyer, Tilo Biedermann, Jörg Fischer, Norbert Gebert, Martine Grosber, Thilo Jakob, Ludger Klimek, Claudia Kugler, Lars Lange, Oliver Pfaar, Bernhard Przybilla, Ernst Rietschel, Franziska Rueff, Sabine Schnadt, R Tags: Original Article: Skin and Eye Diseases Source Type: research

Do clinicians decide relying primarily on Bayesian principles or on gestalt perception?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - November 21, 2014 Category: Emergency Medicine Source Type: research

A late diagnosis of aortic coarctation began as an acute coronary syndrome
We describe a case of a 63-year-old man, came to our emergency room for acute coronary syndrome. Cardiac catheterization with right femoral artery access was performed but for many difficulties during the introduction of catheters was therefore performed aortography that showed an interruption “a cul de sac” at the level of the descending thoracic aorta. With a transradial right approach we opted for the treatment of culprit lesion and later for correction of the aortic coarctation always through a percutaneous approach. Our case report demonstrates that it is possible that aortic coarctation can go unnoticed for many ...
Source: Journal of Indian College of Cardiology - November 21, 2014 Category: Cardiology Source Type: research

Commentary: A social environment approach to promotive and protective practice in childhood resilience – reflections on Ungar (2014)
The field of mental health and psychosocial support for children in humanitarian emergencies has been evolving rapidly. A decade ago, researchers and practitioners frequently took a deficits approach that emphasized problems such as trauma, particularly post‐traumatic stress disorder (PTSD), in zones of armed conflict. Assessments focused on PTSD and typically led to the provision of curative responses such as Western psychotherapies as the first response for the affected population. Practitioners expressed diverse concerns about this approach, including its narrow, medicalized definition of the problem (mental disorder)...
Source: Journal of Child Psychology and Psychiatry - November 20, 2014 Category: Psychiatry Authors: Michael G. Wessells Tags: Commentary Source Type: research

New Answers Will Be Needed to Cure America's Doctor Shortage
In today's rapidly changing American health care system, one problem -- a critical shortage of doctors -- threatens to dwarf all other concerns. The situation is already bad. The United States has a current shortage of 16,000 primary care physicians, "the very doctors," to quote the AARP, "who offer the treatments and preventative screenings that save lives and head off expensive emergency room visits and hospitalizations." But the situation is getting worse. According to the Association of American Medical Colleges (AAMC), the shortage of new doctors will reach 91,500 by 2020. Five years later, that number will climb to ...
Source: Healthy Living - The Huffington Post - November 20, 2014 Category: Consumer Health Advice Source Type: news

Mercy Health lands biggest donation ever
The Jewish Foundation of Cincinnati has donated $16 million to Mercy Health to expand the emergency department at Jewish Hospital and a graduate medical program based there. It's the biggest donation Mercy Health has ever received. Mercy Health, which was previously known as Catholic Health Partners, bought the hospital in Kenwood from the Jewish Foundation in 2010 for $180 million. The Mercy Health Foundation will work with other partners to match up to $6 million of the Jewish Foundation grant… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - November 20, 2014 Category: Hospital Management Authors: Barrett J. Brunsman Source Type: news

Fatigue and short-staffing are serious problems for health-care and emergency workers
Western New York hospitals and emergency providers are doing their best to provide services to those most in need during the ongoing snow storms that have pounded the region, but resources are strained. Hospitals throughout the region continue to struggle with staffing. Despite postponing all non-emergency procedures and shutting down primary care centers, both Kaleida Health and Catholic Health say it's been tough and workers stuck on-site are feeling fatigue. "We‚re working hard to get staff… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 20, 2014 Category: Biotechnology Authors: Tracey Drury Source Type: news

Symptom Burden Best Predictor of Concussion RecoverySymptom Burden Best Predictor of Concussion Recovery
Factors such as age, sex, loss of consciousness, and neurocognitive testing weren't predictive of recovery following a sports-related concussion in this analysis. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - November 20, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary Tables
Provides data on emergency department hospital visits, including information for non-metropolitan hospitals. Table 27 provides detailed hospital and emergency department characteristics by metropolitan status. Additional tables that include metro/non-metro data include Table 1, with general overview information, and Table 14, with injury visit data. -- National Center for Health Statistics (Source: Rural publications via the Rural Assistance Center)
Source: Rural publications via the Rural Assistance Center - November 20, 2014 Category: Rural Health Source Type: news

Prognostic severity scores for patients with COPD exacerbations attending emergency departments
(Source: International Journal of Tuberculosis and Lung Disease)
Source: International Journal of Tuberculosis and Lung Disease - November 20, 2014 Category: Respiratory Medicine Authors: Quintana, J. M.Esteban, C.Unzurrunzaga, A.Garcia-Gutierrez, S.Gonzalez, N.Lafuente, I.Bare, M.de Larrea, N. FernandezVidal, S.for the IRYSS-COPD Group Tags: ORIGINAL ARTICLES Source Type: research

Acute Severe Thrombocytopenia Secondary to Intraarterial Low-Osmolar Iodinated Contrast Administered during Coronary Angiography
Institutional review board approval was not required for the present case report. A 75-year-old man presented to the emergency department describing worsening exertional dyspnea for 3 days. His medical history was significant for gastroesophageal reflux disease, osteoarthritis, and a transient ischemic attack 10 years earlier. He denied alcohol, tobacco, or illicit drug use. He had no family history of premature coronary artery disease. He denied any allergies. Home medications included omeprazole 20 mg and aspirin 325 mg daily. (Source: Journal of Vascular and Interventional Radiology : JVIR)
Source: Journal of Vascular and Interventional Radiology : JVIR - November 20, 2014 Category: Radiology Authors: Joseph Walker Keach, Janice Huang, Joel A. Garcia, Mori J. Krantz, Emily E. Hass Tags: Letter to the Editor Source Type: research

Role of diagnostic ultrasound in patient selection for stroke intervention.
Authors: Sharma VK, Paliwal PR, Teoh HL, Venketasubramanian N, Chan BP Abstract Ultrasonography provides a unique diagnostic perspective in cerebrovascular disorders, with extremely high temporal resolution and excellent spatial display of extracranial as well as intracranial arteries. Unlike other imaging modalities, cerebrovascular ultrasound provides real-time information about the blood flow in addition to the hemodynamic changes as a result of various physiological as well as pathological states. The information obtained from cerebrovascular ultrasound has diagnostic, therapeutic as well as prognostic value in...
Source: Recent Patents on CNS Drug Discovery - November 20, 2014 Category: Drugs & Pharmacology Tags: Recent Pat CNS Drug Discov Source Type: research

Metoclopramide as an analgesic in severe migraine attacks: an open, single-blind, parallel control study.
Authors: Salazar G, Fragoso M, Vergez L, Sergio P, Cuello D Abstract Metoclopramide is a well-known anti-emetic drug with central and peripheral pharmacological effects. Some authors have reported metoclopramide as an adjunct therapy to other analgesics in patients with migraine attacks. Treatment of migraine headache using a mix of metoclopramide and an NSAID has been patented (European Patent EP1014961) as well as a short series showing great efficacy and tolerability of metoclopramide in patients wtih migraine attacks. We decided to conduct an open, single-blind, parallel control study in the emergency departmen...
Source: Recent Patents on CNS Drug Discovery - November 20, 2014 Category: Drugs & Pharmacology Tags: Recent Pat CNS Drug Discov Source Type: research

Role of transcranial Doppler ultrasonography in cerebrovascular disease.
Authors: Yeo LL, Sharma VK Abstract Transcranial Doppler ultrasonography (TCD) is the only non-invasive examination that provides a reliable evaluation of intracranial blood flow patterns in real-time, adding physiological information to the anatomical information obtained from other neuroimaging modalities. TCD is relatively cheap, can be performed bedside, and allows monitoring both in acute emergency settings as well as for prolonged periods with a high temporal resolution making it ideal for studying dynamic cerebrovascular responses. Extended applications of transcranial Doppler in enhancing intravenous thromb...
Source: Recent Patents on CNS Drug Discovery - November 20, 2014 Category: Drugs & Pharmacology Tags: Recent Pat CNS Drug Discov Source Type: research

Cardiopulmonary arrest in pregnancy with schizophrenia: a case report
Conclusion: We speculate that the cause of cardiopulmonary arrest was aspiration due to seizure, and it is possible that a neurological response was evoked by administration of antipsychotic drugs and/or by eclampsia. Medical staff must be aware of the possibility of cardiopulmonary arrest in pregnant women with schizophrenia. (Source: BioMed Central)
Source: BioMed Central - November 20, 2014 Category: Journals (General) Authors: Takako KudoAkimune KagaKozo AkagiHideki IwahashiHiromitsu MakinoYoko WatanabeTakae KawamuraTaiju SatoTsuyoshi ShinozakiShinya MiwaNobuo OkazakiShigeo KureShingi Nakae Source Type: research

Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: impact on process indicators
This report assesses the impact of PRONTO simulation training on process indicators from the pre/post study design for process indicators. Methods: Data was collected in twelve intervention facilities on process indicators, including pre/post changes in knowledge and self-efficacy of obstetric emergencies and neonatal resuscitation, achievement of strategic planning goals established during training and changes in teamwork scores. Authors performed a longitudinal fixed-effects linear regression model to estimate changes in knowledge and self-efficacy and logistic regression to assess goal achievement. Results: A total of 4...
Source: BMC Pregnancy and Childbirth - November 20, 2014 Category: OBGYN Authors: Dilys WalkerSusanna CohenJimena FritzMarisela OlveraHector Lamadrid-FigueroaJessica CowanDolores HernandezJulia DettingerJenifer Fahey Source Type: research