Hospital Management Research 
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 35.
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The risk of bowel injury during surgery for small bowel obstruction (SBO) has generated interest in conservative treatment modalities. Few data on conservative Gastrografin treatment for SBO in children are available. The authors prospectively included patients with uncomplicated adhesive SBO managed at a pediatric center between March 2009 and September 2010. Patients who were unimproved after 48 hours of conservative treatment received 50 to 100 mL of Gastrografin. If Gastrografin was seen in the cecum on the abdominal radiograph 4 to 6 hours later, feeding was initiated and the patient was discharged on the same day. Ea...
Source: Journal of Pediatric Surgery - July 1, 2012 Category: Surgery Authors: Federico G. Seifarth Tags: International Abstracts of Pediatric Surgery Source Type: research
Subspecialization may improve an esophageal atresia service but has not addressed declining trainee experienceEmail this article to a colleague.
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Conclusion: Near-complete subspecialization for EA coincided with reduced pediatric intensive care unit stay, successful introduction of cosmetic axillary approaches, and extension of our replacement service to offer all interposition types. It has not reversed the steep decline in trainee experience of EA that has been associated with the greater numbers of trainees that have been employed to reduce working hours.
Source: Journal of Pediatric Surgery - July 1, 2012 Category: Surgery Authors: Wajid Jawaid, Benjamin Chan, Edwin C. Jesudason Tags: Original Articles Source Type: research
Surgical management of bronchopleural fistula in pediatric empyema and necrotizing pneumonia: efficacy of the serratus anterior muscle digitation flapEmail this article to a colleague.
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Conclusion: Early surgical intervention with insertion of a serratus anterior muscle digitation flap is effective and safe and avoids morbidity associated with conservative management and necrotic lung resection surgery.
Source: Journal of Pediatric Surgery - July 1, 2012 Category: Surgery Authors: Ingo Jester, Amit Nijran, Michael Singh, Dakshesh H. Parikh Tags: Original Articles Source Type: research
Factors Associated With Radiologists' Adherence to Fleischner Society Guidelines for Management of Pulmonary NodulesEmail this article to a colleague.
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Conclusions:
Pulmonary nodules are prevalent findings on chest and abdominal CT scans. Although most radiologists recommend follow-up imaging for these findings, recommendations for pulmonary nodules were consistent with the FSG in 34% of radiology reports. Nodule size demonstrated an association with guideline adherence, after adjusting for key variables.
Source: Journal of the American College of Radiology : JACR - July 1, 2012 Category: Radiology Authors: Ronilda Lacson, Luciano M. Prevedello, Katherine P. Andriole, Ritu Gill, Jennifer Lenoci-Edwards, Christopher Roy, Tejal K. Gandhi, Ramin Khorasani Tags: Original Articles Source Type: research
Targeted immunotherapy trials for idiopathic inflammatory myopathiesEmail this article to a colleague.
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Abstract The idiopathic inflammatory myopathies (IIM) are a group of muscle diseases with complex immunopathogenesis that varies between
disease subgroups, and possibly between patients within the same subgroup. There exists no universal consensus on optimum
management, so that no “standard” therapy has been developed. Treatment-refractive IIM remains a clinical challenge. Progress
in the development and application of molecular biology techniques and biological therapeutics are evolving into a new scientific
frontier in the management of autoimmune diseases. This review offers an update on those compone...
Source: Journal of Neurology - June 30, 2012 Category: Neurology Tags: Journal of Neurology Source Type: research
Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patientsEmail this article to a colleague.
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Conclusion Gastric leak is the most common cause of major morbidity and mortality after LSG. Routine tests to rule out leaks seem to
be superfluous. Rather, selective utilization is recommended. Management options vary, depending mainly on patient disposition.
An accepted algorithm for the diagnosis and treatment of gastric leak has yet to be proposed.
Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-012-2426-xAuthors
Nasser Sakran, Department of Surgery, Hillel Yaffe Medical Center, P.O. Box 169, 38100 Hadera, IsraelDavid Goitein, Chaim Sheba Medical Center, Tel Hashomer, IsraelAsnat Raziel,...
Source: Surgical Endoscopy - June 30, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research
Prospective randomized comparison of open versus laparoscopic management of splenic artery aneurysms: a 10-year studyEmail this article to a colleague.
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Conclusions Our study demonstrates that laparoscopy permits multiple technical options, does not increase the splenectomy rate, and reduces
postoperative complications. It confirms the supposed clinical benefits of laparoscopy when ablative procedures are required
but laparoscopic anastomoses show poor long-term results.
Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-012-2413-2Authors
Guido A. M. Tiberio, General Surgery, Department of Medical and Surgical Sciences, University of Brescia, Brescia, ItalyStefano Bonardelli, Vascular Surgery, Department of Medical and Surgical Sciences, Univer...
Source: Surgical Endoscopy - June 30, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research
Pharmacologic Management of Osteoarthritis-Related Pain in Older AdultsEmail this article to a colleague.
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Overview: Because pain is a common and debilitating symptom of osteoarthritis in older adults, the authors reviewed data on the efficacy
and safety of commonly used oral, topical, and intraarticular drug therapies in this population. A search of several databases
found that most studies have focused on knee osteoarthritis and reported only short-term outcomes. Also, treatment efficacy
was found to vary by drug class; the smallest effect was observed with acetaminophen and the largest with opioids and viscosupplements.
Acetaminophen and topical agents had the best safety profiles, whereas oral nonsteroidal an...
Source: HSS Journal - June 29, 2012 Category: Orthopaedics Tags: HSS Journal® Source Type: research
Managing mesh exposure following vaginal prolapse repair: a decision analysis comparing conservative versus surgical treatmentEmail this article to a colleague.
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Conclusions While our model favored surgical excision over conservative treatment in the initial management of mesh exposure following
vaginal prolapse repair with synthetic mesh, the difference in QALYs between strategies was less than the MID. Therefore the
strategies are likely similar overall. Individual patient characteristics may ultimately drive clinical decision-making for
this surgical complication.
Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00192-012-1847-3Authors
Laura C. Skoczylas, Division of Urogynecology, Department of Obstetrics, Gynecology, and Repro...
Source: International Urogynecology Journal - June 29, 2012 Category: OBGYN Tags: International Urogynecology Journal Source Type: research
Knowledge, Attitude and Practice of Health-Care Waste Management and Associated Health Risks in the Two Teaching and Referral Hospitals in KenyaEmail this article to a colleague.
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This study was done to identify gaps in knowledge, attitude and practice among the healthcare workers involved in
its management hence endangering public health and polluting the environment. A self administered questionnaire was used in
both Kenyatta National Hospital, Nairobi and Moi Teaching and Referral Hospital, Eldoret to clinicians, nurses, laboratory
technologists and hospital attendants to identify the gaps with a focus on their knowledge, attitude and practice. It was
found that health and safety in health-care waste management, was not included in most of the curricula for training the three
healthcare prof...
Source: Journal of Community Health - June 29, 2012 Category: Global & Universal Tags: Journal of Community Health Source Type: research
Patients with advanced and metastatic renal cell carcinoma treated with targeted therapy in the Czech Republic: twenty cancer centres, six agents, one databaseEmail this article to a colleague.
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Abstract The incidence and mortality of renal cell carcinoma (RCC) in the Czech Republic are among the highest in the world. Several
targeted agents have been recently approved for the treatment of advanced/metastatic RCC. Objective: Presentation of a national
clinical database for monitoring and assessment of patients with advanced/metastatic RCC treated with targeted therapy. The
RenIS (RENal Information System, http://renis.registry.cz) registry is a non-interventional post-registration database of epidemiological and clinical data of patients with RCC treated
with targeted therapies in the Czech Republic...
Source: Medical Oncology - June 29, 2012 Category: Cancer & Oncology Tags: Medical Oncology Source Type: research
Surgical approach of complicated diverticulitis with colovesical fistula: technical note in a particular conditionEmail this article to a colleague.
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Discussion:
The management of diverticular disease has been successful owing to the advances in diagnostic methods, intensive care and
surgical experience, but there is debate about the best treatment for some conditions. Fistulas complicating diverticulitis
are the result of a localized perforation into adjacent viscera. In particular, the connection between the colon and the urinary
tract is a serious anatomical abnormality that must be urgently corrected before a serious urinary infection results. Indications,
timing and surgical procedures are determined by the severity of the disease and the patient’s general c...
Source: Central European Journal of Medicine - June 29, 2012 Category: Journals (General) Tags: Central European Journal of Medicine Source Type: research
Role of tumor-associated macrophages and angiogenesis in desmoid-type fibromatosisEmail this article to a colleague.
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Abstract Desmoid-type fibromatosis (DTF) is a rare soft tissue tumor with fibroblastic features affecting two to four individuals per
million population per year. Despite its bland microscopic appearance, the tumor behaves aggressively. Although unable to
metastasize, DTF tends to recur and local recurrences in anatomically critical sites can be fatal. Tumor-associated macrophages
(TAM) play an important role in tumor development through the activation of angiogenesis, particularly in cases of epithelial
malignancies. The aim of this study is to investigate the prognostic significance of TAMs and the number ...
Source: Virchows Archiv - June 29, 2012 Category: Pathology Tags: Virchows Archiv Source Type: research
Clinicopathologic Profile of Benign Breast Conditions in Indian Women: Prospective Study Based on Aberrations of Normal Development and Involution ClassificationEmail this article to a colleague.
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Conclusions The ANDI classification is a comprehensive system that delineates the borderline between normal and abnormal, achieves correlation
of clinical signs and symptoms with histologic changes, and provides risk stratification and pragmatic definition of management
protocols.
Content Type Journal ArticlePages 1-7DOI 10.1007/s00268-012-1671-4Authors
Navneet Kaur, Department of Surgery, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, 110095 IndiaNitin Agarwal, Department of Surgery, University College of Medical Sciences and GTB Hospital, University of Delhi, ...
Source: World Journal of Surgery - June 29, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research
The use of fetal fibronectin testing and cervical length measurement in the prediction of delivery of triplet pregnanciesEmail this article to a colleague.
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We found that this case series of eleven triplet pregnancies, managed at St Thomas’ Hospital, London, illustrates the potential use of fetal fibronectin (fFN) testing and cervical length (CL) measurement in the prediction of delivery of triplet pregnancies.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - June 29, 2012 Category: OBGYN Authors: Lauren A. Bolt, Kiki Morrison, Andrew H. Shennan Tags: Letter to the Editor - Brief Communications Source Type: research
Status epilepticus in a 52-year-old woman due to intracranial needleEmail this article to a colleague.
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We present a 52-year-old woman who was admitted to our hospital with status epilepticus, because of an inracranial needle. There was no history of epileptic seizures and she was asymptomatic until the time of presentation.
Source: Seizure: European Journal of Epilepsy - June 29, 2012 Category: Neurology Authors: Vedat Ali Yürekli, Melike Doğan, Süleyman Kutluhan, Hasan Rifat Koyuncuoglu Tags: Case Reports Source Type: research
Postoperative morbidity and mortality factors after laparoscopic resection for colon cancer in octogenarians.Email this article to a colleague.
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CONCLUSION: Although laparoscopic surgery offers advantages to patients over 80 years-old, this group has a higher risk of complications than the younger population and, as a result, we must take great care in their management.
PMID: 22748477 [PubMed - as supplied by publisher]
Source: Cirugia eEspanola - June 29, 2012 Category: Surgery Authors: Abellán Lucas M, Balagué Ponz C, Pallarés Segura JL, Carrasquer Puyal A, Hernández Casanovas P, Martínez Sánchez MA, Targarona Soler E, Trias Folch M Tags: Cir Esp Source Type: research
[Profile of cranio-cerebral trauma and spinal cord trauma related road accidents in Guinea.]Email this article to a colleague.
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CONCLUSION: CCT and SCT are characterized by an age under 30 years and male predominance. The support care suffers greatly from the unbalanced distribution of qualified personnel on the national territory and the lack of material means.
PMID: 22748610 [PubMed - as supplied by publisher]
Source: Neuro-Chirurgie - June 29, 2012 Category: Neurosurgery Authors: Beavogui K, Koïvogui A, Souare IS, Camara D, Cherif M, Dramou B, Toure AA, Diallo R, Guilavogui V, Metellus P Tags: Neurochirurgie Source Type: research
Prediction of the shrinking rate of uterine leiomyoma nodules using needle biopsy specimensEmail this article to a colleague.
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Conclusion(s): Estrogen plays the predominant role in myoma shrinkage for women with GnRH-a therapy and naturally menopausal women.
Source: Fertility and Sterility - June 29, 2012 Category: Reproduction Medicine Authors: Mari Kasai, Tomoyuki Ichimura, Naoki Kawamura, Tomoko Sumikura, Makiko Matsuda, Chika Asano, Toshiyuki Sumi, Osamu Ishiko Tags: Gynecology and menopause Source Type: research
Myocardial infarction with normal coronary arteries is common and associated with normal findings on cardiovascular magnetic resonance imaging: results from the Stockholm Myocardial Infarction with Normal Coronaries studyEmail this article to a colleague.
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ConclusionIn this consecutive series of patients with MINCA, CMR imaging may help to differentiate between those with myocarditis, myocardial necrosis and normal myocardium. The incidence of MINCA was higher than previously reported. After excluding cases of myocarditis, MINCA consists of a large group of patients with normal CMR imaging results and a smaller group with myocardial necrosis. The aetiologies of these different imaging findings need to be explored.© 2012 The Association for the Publication of the Journal of Internal Medicine
Source: Journal of Internal Medicine - June 29, 2012 Category: Internal Medicine Authors: O Collste, P Sörensson, M Frick, S Agewall, M Daniel, L Henareh, C Ekenbäck, L Eurenius, C Guiron, T Jernberg, C Hofman‐Bang, K Malmqvist, E Nagy, H Arheden, P Tornvall Tags: Original Source Type: research
Chest Trauma in Children, Single Center Experience.Email this article to a colleague.
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Abstract
Trauma is the leading cause of mortality in children over one year of age in industrialized countries. In this retrospective study we reviewed all chest trauma in pediatric patients admitted to Mansoura University Emergency Hospital from January 1997 to January 2007. Our hospital received 472 patients under the age of 18. Male patients were 374 with a mean age of 9.2±4.9 years. Causes were penetrating (2.1%) and blunt trauma (97.9%). The trauma was pedestrian injuries (38.3%), motor vehicle (28.1%), motorcycle crash (19.9%), falling from height (6.7%), animal trauma (2.9%), and sports injury (1.2%). Type ...
Source: Archivos de Bronconeumologia - June 29, 2012 Category: Respiratory Medicine Authors: Ismail MF, Al-Refaie RI Tags: Arch Bronconeumol Source Type: research
Treatment of diastolic dysfunction in hypertensionEmail this article to a colleague.
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Abstract: Diastolic dysfunction is present in half of patients with hypertension and has been shown to be associated with increased cardiovascular morbidity and mortality, as well as the development of heart failure. With the high prevalence of hypertension and its associated complications, treatment of diastolic dysfunction in hypertension is an important and desirable goal. Angiotensin converting enzyme inhibitors and angiotensin receptor blockers have been shown to be effective in improvement of measures of diastolic function and are recommended as first-line agents in the control of hypertension in patients with diasto...
Source: Nutrition, Metabolism, and Cardiovascular Diseases : NMCD - June 29, 2012 Category: Nutrition Authors: P. Ginelli, J.N. Bella Tags: Viewpoint Source Type: research
Treatment of subacute and chronic thrombotic occlusions of lower extremity peripheral arteries with the excimer laser: a feasibility studyEmail this article to a colleague.
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Conclusion: Using the excimer laser appears safe in this small feasibility study of subacute and chronic thrombotic occlusions. Angiographically, there was a significant reduction in percent stenosis with the laser alone. The limited IVUS data did not show a reduction in plaque/thrombus volume but the number of interpretable ultrasounds was small. Further data are needed to address the effectiveness of the laser in treating these thrombotic occlusions and its advantages over balloon angioplasty.
Source: Cardiovascular Revascularization Medicine - June 29, 2012 Category: Cardiology Authors: Nicolas W. Shammas, Neil J. Weissman, Denise Coiner, Gail A. Shammas, Eric Dippel, Michael Jerin Tags: Clinical Source Type: research
Efficiency of the Austrian disease management program for diabetes mellitus type 2: a historic cohort study based on health insurance provider's routine dataEmail this article to a colleague.
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Conclusions:
Seen from a health insurance provider's perspective, the assessment of the Austrian diabetes DMP shows promising results indicating improved quality of outpatient care as well as overall cost advantages due to the lower hospitalization rates. Due to methodological limitations of the retrospective study and to the restricted data access, further promotion of the DMP must be accompanied by prospective research and preferably controlled trials in order to provide a solid basis for the decision of whether to include diabetes DMP into the insurer's basic benefit package.
Source: BMC Public Health - Latest articles - June 29, 2012 Category: Consumer Health News Authors: Herwig OstermannVictoria HoessMicheal Mueller Source Type: research
Variations in the extensor grooves on the radial styloid process in Chinese populationEmail this article to a colleague.
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Conclusions The extensor groove could provide a subjective safe operation range for the steroid injections, which could be defined depending
on the bony landmarks, which are easy to identify in the body surface. This anatomical variation is important in the management
of de Quervain’s disease.
Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00276-012-0995-yAuthors
Liang Xiao, Department of Orthopedics, School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515 ChinaYi-kai Li, Department of Orthopedics, School of Traditional Chinese Medicine, S...
Source: Surgical and Radiologic Anatomy - June 28, 2012 Category: Anatomy Tags: Surgical and Radiologic Anatomy Source Type: research
A case of duodenal rupture secondary to massive inguino-scrotal herniaEmail this article to a colleague.
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Conclusion Giant inguino-scrotal herniae are best managed electively with full preoperative work up and assessment. Surgery in the acute
patient is fraught with difficulty leading to increased morbidity.
Content Type Journal ArticleCategory Case ReportPages 1-3DOI 10.1007/s10029-012-0942-1Authors
J. D. Martin-Smith, Department of Clinical Surgery, St. James’s Hospital, Dublin 8, IrelandJ. T. Garvin, Department of Clinical Surgery, St. James’s Hospital, Dublin 8, IrelandM. Knox, Department of Radiology, St. James’s Hospital, Dublin 8, IrelandT. Boyle, Department of Clinical Surgery, St. James’...
Source: Hernia - June 28, 2012 Category: Sports Medicine Tags: Hernia Source Type: research
Assessment of Management Policies and Practices for Occupational Exposure to Bloodborne Pathogens in Dialysis FacilitiesEmail this article to a colleague.
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Background:
Occupational exposure management is an important element in preventing the transmission of bloodborne pathogens in health care settings. In 2008, the US Centers for Disease Control and Prevention conducted a survey to assess procedures for managing occupational bloodborne pathogen exposures in outpatient dialysis facilities in the United States.
Study Design:
A cross-sectional survey of randomly selected outpatient dialysis facilities.
Setting & Participants:
339 outpatient dialysis facilities drawn from the 2006 US end-stage renal disease database.
Predictors:
Hospital affiliation (free-standing vs hosp...
Source: American Journal of Kidney Diseases - June 28, 2012 Category: Urology & Nephrology Authors: Chukwuma Mbaeyi, Adelisa L. Panlilio, Cynthia Hobbs, Priti R. Patel, David T. Kuhar Tags: Dialysis Source Type: research
Two-stage vs single-stage management for concomitant gallstones and common bile duct stones.Email this article to a colleague.
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CONCLUSION: Single-stage management is equivalent to two-stage management but requires fewer procedures. However, patient's condition, operator's expertise and local resources should be taken into account in making treatment decisions.
PMID: 22791952 [PubMed - in process]
Source: World Journal of Gastroenterology : WJG - June 28, 2012 Category: Gastroenterology Authors: Lu J, Cheng Y, Xiong XZ, Lin YX, Wu SJ, Cheng NS Tags: World J Gastroenterol Source Type: research
Anesthetic Management in Upper Extremity Transplantation: The Pittsburgh Experience.Email this article to a colleague.
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CONCLUSIONS:Further experience is required for validation or standardization of specific anesthetic protocols. Meanwhile, our recommendations are intended as pertinent guidelines for centers performing these novel procedures.
PMID: 22745115 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - June 28, 2012 Category: Anesthesiology Authors: Lang RS, Gorantla VS, Esper S, Montoya M, Losee JE, Hilmi IA, Sakai T, Lee WP, Raval JS, Kiss JE, Shores JT, Brandacher G, Planinsic RM Tags: Anesth Analg Source Type: research
V-Hilar Suture Renorrhaphy During Robotic Partial Nephrectomy for Renal Hilar Tumors: Preliminary Outcomes of a Novel Surgical TechniqueEmail this article to a colleague.
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Conclusion:
The preliminary outcomes of the present surgical technique have demonstrated its safety and efficacy. It might represent a valuable asset for robotic surgeons treating complex hilar renal tumors. Additional larger studies with longer follow-up are required to confirm these encouraging findings.
Source: Urology - June 28, 2012 Category: Urology & Nephrology Authors: Ali Khalifeh, Riccardo Autorino, Shahab P. Hillyer, Jihad H. Kaouk Tags: Surgical Techniques in Urology Source Type: research
Extracorporeal Shock-Wave Therapy for Supraspinatus Calcifying Tendinitis: A Randomized Clinical Trial Comparing Two Different Energy Levels.Email this article to a colleague.
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CONCLUSIONS:/b>In ESWT for SCT, an energy level of 0.20 mJ/mm(2) appears to be more effective than an energy level of 0.10 mJ/mm(2) in pain relief and functional improvement.
PMID: 22745199 [PubMed - as supplied by publisher]
Source: Physical Therapy - June 28, 2012 Category: Physiotherapy Authors: Ioppolo F, Tattoli M, Di Sante L, Attanasi C, Venditto T, Servidio M, Cacchio A, Santilli V Tags: Phys Ther Source Type: research
The role of clinicians in determining radioactive iodine use for low‐risk thyroid cancerEmail this article to a colleague.
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CONCLUSIONS:The specialty of the primary decision maker, the number of providers administering RAI, and having access to a tumor board were associated significantly with the use of RAI for stage I thyroid cancer. The findings have implications for addressing nonclinical variation between hospitals, with a marked heterogeneity in decision making suggesting that standardization of care will be challenging. Cancer 2012. © 2012 American Cancer Society.
Source: Cancer - June 28, 2012 Category: Cancer & Oncology Authors: Megan R. Haymart, Mousumi Banerjee, Di Yang, Andrew K. Stewart, Ronald J. Koenig, Jennifer J. Griggs Tags: Original Article Source Type: research
Role of hyperbaric oxygen therapy in severe head injury in childrenEmail this article to a colleague.
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Conclusion: In children with traumatic brain injury, the addition of HBOT significantly improved outcome and quality of life and reduced the risk of complications.
Source: Journal of Pediatric Neurosciences - June 28, 2012 Category: Neuroscience Authors: Advait PrakashSandesh V ParelkarSanjay N OakRahul K GuptaBeejal V SanghviMitesh BachaniRajashekhar Patil Source Type: research
Ambulatory transradial percutaneous coronary intervention: A safe, effective and cost‐saving strategyEmail this article to a colleague.
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Conclusions:Ambulatory PCI in patients with stable coronary artery disease is safe, effective, and well accepted by the patients. It may both significantly reduce costs and optimize hospital resource utilization. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 28, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Philippe Le Corvoisier, Barnabas Gellen, Pierre‐François Lesault, Remy Cohen, Stéphane Champagne, Anne‐Marie Duval, Gilles Montalescot, Simon Elhadad, Olivier Montagne, Isabelle Durand‐Zaleski, Jean‐Luc Dubois‐Randé, Emmanuel Teiger Tags: Original Study Source Type: research
Risk Factors for Intraoperative Atrial Fibrillation: A Retrospective Analysis of 10,563 Lung Operations in a Single Center [ORIGINAL ARTICLES: GENERAL THORACIC]Email this article to a colleague.
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Conclusions
We identified seven risk factors for intraoperative AF in patients receiving lung operations. These findings may eventually help us to improve preoperative and intraoperative management to minimize intraoperative AF.
Source: The Annals of Thoracic Surgery - June 28, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Wu, D.-h., Xu, M.-y., Mao, T., Cao, H., Wu, D.-j., Shen, Y.-f. Tags: Lung - cancer, Electrophysiology - arrhythmias ORIGINAL ARTICLES: GENERAL THORACIC Source Type: research
Appropriate Route Selection for Extracardiac Total Cavopulmonary Connection in Apicocaval Juxtaposition [ORIGINAL ARTICLES: PEDIATRIC CARDIAC]Email this article to a colleague.
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Conclusions
Extracardiac total cavopulmonary connection in apicocaval juxtaposition can be carried out with favorable midterm outcomes. The route between the inferior vena cava and the contralateral pulmonary artery should be the primary choice when the relevant pulmonary artery is in good shape. Care must be taken in regard to critical conduit oppression by the ventricle in cases with large ventricular volume or poor ventricular function.
Source: The Annals of Thoracic Surgery - June 28, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Morizumi, S., Kato, H., Kanemoto, S., Noma, M., Abe, M., Sakakibara, Y., Hiramatsu, Y. Tags: Congenital - cyanotic ORIGINAL ARTICLES: PEDIATRIC CARDIAC Source Type: research
Smartphone use during inpatient attending rounds: Prevalence, patterns and potential for distractionEmail this article to a colleague.
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CONCLUSIONS:Smartphone use during attending rounds is prevalent and can distract users during important information transfer. Attendings strongly favored the institution of formal policies governing appropriate smartphone use during inpatient rounds. Journal of Hospital Medicine 2012;. © 2012 Society of Hospital Medicine
Source: Journal of Hospital Medicine - June 28, 2012 Category: Hospital Management Authors: Rachel J. Katz‐Sidlow, Allison Ludwig, Scott Miller, Robert Sidlow Tags: Original Research Source Type: research
Statin withdrawal after major noncardiac surgery: Risks, consequences, and preventative strategiesEmail this article to a colleague.
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CONCLUSIONS:Ensuring the resumption of statins after surgery should become routine practice for perioperative providers. We highlight knowledge gaps and identify a research agenda aimed at better understanding this practice. Journal of Hospital Medicine 2012; © 2012 Society of Hospital Medicine
Source: Journal of Hospital Medicine - June 28, 2012 Category: Hospital Management Authors: Nabil Fallouh, Vineet Chopra Tags: Review Source Type: research
Serum S100B Determination in the Management of Pediatric Mild Traumatic Brain Injury [Pediatric Clinical Chemistry]Email this article to a colleague.
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CONCLUSIONS:
Serum S100B determination during the first 3 h of management of children with mTBI has the potential to reduce the number of CCT scans, thereby avoiding unnecessary irradiation, and to save hospitalization costs.
Source: Clinical Chemistry - June 28, 2012 Category: Chemistry Authors: Bouvier, D., Fournier, M., Dauphin, J.-B., Amat, F., Ughetto, S., Labbe, A., Sapin, V. Tags: Pediatric Clinical Chemistry Source Type: research
Differential Impact of a Crew Resource Management Program According to Professional SpecialtyEmail this article to a colleague.
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Adverse events occur in 3% to 16% of hospital patients, half of these during surgery and related to human error. The authors’ objective was to determine the impact of a crew resource management program in collaboration with Swiss International Airlines. Participants included operating room personnel: surgeons, anesthesiologists, nurses, and technicians. Outcome measures were a 10-item questionnaire evaluating participants’ satisfaction and a 32-item survey to analyze participants’ learning. Nine seminars included 99 participants: 22% surgeons, 19% anesthesiologists, 29% nurses, and 30% nurse’s aides...
Source: American Journal of Medical Quality - June 28, 2012 Category: Health Management Authors: Suva, D., Haller, G., Lubbeke, A., Hoffmeyer, P. Tags: Articles Source Type: research
Developing strategies for predicting and preventing readmissions in vascular surgeryEmail this article to a colleague.
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The escalating cost burden of hospital readmission has prompted recent nationwide efforts aimed at reducing the incidence of this important quality measure. Because patients undergoing vascular surgery account for a significant proportion of readmissions, vascular surgeons may face reduced reimbursements in the near future if these trends continue. However, risk factors associated with readmission remain poorly defined, and further research is needed to identify interventions that will prevent readmission following vascular procedures. Accordingly, this manuscript will (1) propose a conceptual model to explain the driving ...
Source: Journal of Vascular Surgery - June 28, 2012 Category: Surgery Authors: Benjamin S. Brooke, Randall R. De Martino, Micah Girotti, Justin B. Dimick, Philip P. Goodney Tags: Practice management Source Type: research
Impact of PCA strategies on pain intensity and functional assessment measures in adults with sickle cell disease during hospitalized vaso‐occlusive episodesEmail this article to a colleague.
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AbstractClinical trials of sickle cell disease (SCD) pain treatment usually observe only small decrements in pain intensity during the course of hospitalization.Sub‐optimal analgesic management andinadequatepain assessment methods are possible explanations for these findings. In a search for better methodsfor assessing inpatient SCD pain in adults, we examined several pain intensity and interference measures in both arms of a randomized controlled trial comparingtwo different opioid PCAtherapies.Based upon longitudinal analysis of pain episodes, we found that scoresfrom daily average Visual Analogue Scales (VAS)andsevera...
Source: American Journal of Hematology - June 28, 2012 Category: Hematology Authors: Carlton D. Dampier, Carrie G. Wager, Ryan Harrison, Lewis L. Hsu, Caterina P. Minniti, Wally R. Smith, Tags: Letter Source Type: research
The natural history and predictors of persistent problem behaviours in cystic fibrosis: a multicentre, prospective studyEmail this article to a colleague.
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Conclusions
Child problem behaviours are common in children with CF, persist and are often predicted by the mental health of the parent. Routine surveillance for and management of child problem behaviours are recommended.
Source: Archives of Disease in Childhood - June 28, 2012 Category: Pediatrics Authors: Sheehan, J., Massie, J., Hay, M., Jaffe, A., Glazner, J., Armstrong, D., Hiscock, H. Tags: Pancreas and biliary tract, Epidemiologic studies, Child and adolescent psychiatry (paedatrics), Child health, Physiotherapy, Cystic fibrosis, Physiotherapy Original articles Source Type: research
Inpatient care for children with diabetes: are standards being met?Email this article to a colleague.
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Conclusions
This first audit of children's diabetes inpatient care organisation demonstrates that some standards can be achieved, but others, such as having children's nurses on every shift in EDs, lack of dietetic advice to ward staff, and liaison with the diabetes team quickly out of hours, are more challenging. Further planned audit outcomes are to produce patient and parent literature for children admitted to hospital and to refine the standards further.
Source: Archives of Disease in Childhood - June 28, 2012 Category: Pediatrics Authors: Edge, J., Ackland, F. M., Payne, S., McAuley, A., Hind, E., Burren, C., Burditt, J., Sims, D. Tags: Child health, Neonatal and paediatric intensive care, Paediatric intensive care, Diabetes, Metabolic disorders Original articles Source Type: research
22. IV Diuresis clinic: An innovative approach to patient care and case management with a novel role for the heart failure nurseEmail this article to a colleague.
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This study describes a unique heart failure nursing role created by the launch of an IV diuresis clinic by the Johns Hopkins Bayview Medical Center as a novel care delivery model to address deficiencies in care, prevent avoidable readmissions and reduce costs.
Source: Heart and Lung - June 27, 2012 Category: Intensive Care Authors: T. Simmons, B. Lewis, S. Makadia, K. Parakh Tags: 2012 AAHFN 8th Annual Conference Source Type: research
13. Creative salt solutionsEmail this article to a colleague.
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The Heart Failure Clinic (HFC) opened its doors in Fall of 2002. Today, there are 5.3 million people and 660,000 new cases anually. HF is the only cardiac condition increasing in prevalence with a projected 10 million patients in the US by 2037. Over 2/3 of HF hospitalizations are preventable with 24% atributed to dietary nonadherence. There continues to be a pervasive knowledge deficit concerning sodium content of food. Currently the average sodium intake is 3,400 mg per day with up to 6,000 mgs daily. Over 75% of this comes from processed and resturant foods. Due to the strong evidence that reducing sodium intake improve...
Source: Heart and Lung - June 27, 2012 Category: Intensive Care Authors: M. Midei, J. Hildebrandt Tags: 2012 AAHFN 8th Annual Conference Source Type: research
10. Improving pain management in hospitalized heart failure patientsEmail this article to a colleague.
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Pain that is poorly managed may have physical and psychological ramifications for the hospitalized patient; including loss of sleep, diminished function, decreased ability or desire to participate in self care, depression, and decreased patient satisfaction. Heart failure patients face unique pain challenges due to possible pain occurring due to ischemia, chest discomfort from heart failure, or chronic or acute pain due to a secondary diagnosis. Ischemic pain is promptly addressed but other pain management is more likely to be delayed. The Joint Commission on Accreditation of Healthcare Organizations (TJC) requires institu...
Source: Heart and Lung - June 27, 2012 Category: Intensive Care Authors: S. Frazee, S. Dickey, L. Schneller, G. Robison, S. Reed, D. Menon, K. Weber Tags: 2012 AAHFN 8th Annual Conference Source Type: research
5. Use of a heart failure device diagnostics coordinatorEmail this article to a colleague.
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Heart Failure (HF) is the most costly cardiovascular disease in the United States. Early recognition of HF decompensation and prompt management has been shown to reduce the need for hospital visits. Symptoms of HF may not become apparent until just prior to the need for hospitalization and standard clinical predictors can be inaccurate and difficult in assessing volume status. Assessment of volume status by measuring thoracic impedance can be very effective when used in clinical practice. Available in Medtronic ICD and CRT-D devices, OptiVol and the HF management report can assist with detecting early onset of volume overl...
Source: Heart and Lung - June 27, 2012 Category: Intensive Care Authors: K. Cuomo, G. Koy, D. Fenner, S. Gulati Tags: 2012 AAHFN 8th Annual Conference Source Type: research
2. Development and testing of an iPad application for teaching self-management to heart failure patientsEmail this article to a colleague.
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Heart failure (HF) is the leading cause of hospitalization and significant burden to the health care system in Australia. To reduce hospitalizations, multidisciplinary approaches that enhance self-management have been strongly advocated for HF patients globally. HF patients who can effectively manage their symptoms and adhere to complex medicine regimes will experience fewer hospitalizations. Research indicates that information technologies (IT) have a significant role in providing support to promote patients' self-management skills. The iPad utilizes user-friendly interfaces and to date an application for HF patient educa...
Source: Heart and Lung - June 27, 2012 Category: Intensive Care Authors: N.G.G. Bashi Tags: 2012 AAHFN 8th Annual Conference Source Type: research
16. Hospitalization and rehospitalization rates of patients in a network of nurse-led heart failure clinicsEmail this article to a colleague.
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This study examined the frequency of hospital admissions and readmissions in persons with heart failure (HF) receiving care at 4 nurse-led HF clinics. HF is the leading cause of hospitalization in adults 65 and over, and hospitalization for HF is associated with increased morbidity and mortality. Nationally, almost 1/3 of heart failure patients are readmitted within 30 days of discharge. The Chronic Care Model provides a framework for care in a regional network of nurse-led ambulatory HF clinics aimed at promoting patient self-management and care coordination to reduce hospitalization and re-hospitalization rates of perso...
Source: Heart and Lung - June 27, 2012 Category: Intensive Care Authors: D. Walker, A.F. Jacobson, V. Sumodi Tags: 2012 AAHFN 8th Annual Conference Source Type: research
