Abstract
Our results provide a rationale for a more comprehensive evaluation of PPV measurement in suitable critically ill patients....
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PMID: 21880002
PDF is available here.
Darren J DJ Malinoski,
Tyler T Ewing,
Madhukar S MS Patel,
David D Nguyen,
Tony T Le,
Eric E Cui,
Allen A Kong,
Matthew M Dolich,
Cristobal C Barrios,
Marianne M Cinat,
Michael M Lekawa and
Ali A Salim
Abstract
We sought to analyze predictors of UE DVT resolution and hypothesized that anticoagulation will be associated with quicker UE DVT clot resolution and that CA UE DVT's whose catheters are removed will resolve more often than non-CA UE DVT's....
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PMID: 21825933
PDF is available here.
Abstract
We investigated: (i) the potential impact of the American Heart Association/American College of Cardiology algorithm and (ii) the potential of this algorithm for preventing unnecessary evaluation....
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PMID: 21894800
PDF is available here.
Abstract
We are able to conjugate GNP with peptides, drugs, and other molecules to gain astonishing effects. High quality, non-invasive imaging will inevitably lead to astonishing accuracy diagnostic tools with effective use during surgery. The same principles may be used in the future for drug delivery and...
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PMID: 21780364
PDF is available here.
Abstract
Typically, burn wound infections are classified by the organisms present in the wound within the first several days after injury or later by routine surveillance cultures. With universal acceptance of early excision and grafting, classification of burn wound colonization in unexcised...
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PMID: 21252689
PDF is available here.
Abstract
Considerable innovation in both anaesthesia and surgical techniques have ensured permanent change to elective surgical nursing (Toftgaard, 2009). The physical assault on the body during surgery has been dramatically reduced over the last decade (Darzi, 2007). 'Day-of-surgery' admissi...
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PMID: 21841692
PDF is available here.
Abstract
We retrospectively evaluated a prospective database of procedures performed by residents and fellows from March 1998 through 2007. All procedures were entered by the trainees into a computerized electronic note system. Unsupervised procedures were not billed to insurance carriers.
During the study p...
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PMID: 21217491
PDF is available here.
Abstract
We prospectively assessed an algorithm for difficult airway management that included two new airway devices.
After 6 months of instruction, training, and clinical testing, 15 senior anesthesiologists were asked to use an established algorithm for difficult airway management in anesthetized and paral...
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PMID: 21150572
PDF is available here.
Abstract
This study aimed to evaluate the effect of an anterior versus posterior surgical approach for bipolar hemiarthroplasty on postoperative functional results of patients treated for femoral neck fractures.
Among the 196 patients over the age of 65 treated with cemented bipolar prosthesis for femoral ne...
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PMID: 21067494
PDF is available here.
Abstract
Data regarding the practice patterns of surgeons are derived from indirect information and may not reflect practice patterns in rural surgery. The aim of this study was to analyze all procedures performed by rural surgeons in North Dakota and South Dakota in 2006.
All surgeons in the Dakotas were id...
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PMID: 21146027
PDF is available here.
Abstract
Compartment syndrome is a rare but serious complication of surgical procedures performed in the lithotomy position. Preventive measures include careful placement of the patient's legs and limited elevation. Early diagnosis is based on vigilance and close postoperative follow-up, especially after prol...
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PMID: 21702244
PDF is available here.
Abstract
For more than a decade, health policy groups have recommended concentrating care for certain high-risk oncologic procedures into high-volume centers. The degree to which practice patterns and outcomes have changed over that time period is unclear.
To evaluate temporal trends in the mortality and con...
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PMID: 20966781
PDF is available here.
Abstract
We conducted a qualitative pilot study of self-selected patients. Interviews were analyzed using a modified Delphi technique and NVivo qualitative software.
The needs of rural surgical patients were reflective of Maslow's hierarchy of needs: physiologic, safety and security, community belonging and...
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PMID: 21092429
PDF is available here.
Abstract
Academic interest in nutritional support teams (NSTs) has increased rapidly in Japan since 1999, when they were first planned by the Japanese Society for Parenteral and Enteral Nutrition (JSPEN). The JSPEN promoted their use extensively after 2006 when extra medical fees were approved for medical ma...
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PMID: 21174708
PDF is available here.
Abstract
This article summarizes the study which won the 2010 Nursing Nobecutan Prize, Second Edition. This study is an observational study of patients who undergo spinal column surgery. At the beginning of their surgical procedure, Nobecutan aerosol was applied to the affected area.
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PMID: 21188871
PDF is available here.
Abstract
Hospitals with more experience in a given intervention had similar reoperation rates but lower mortality and complication rates: odds ratio per volume deciles 0.93 and 0.97. However, the benefit was limited to heart surgery and a small number of other operations. Risks were higher for hospitals that...
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PMID: 20829722
PDF is available here.
Abstract
The 74 facilities in the training program experienced an 18% reduction in annual mortality (rate ratio [RR], 0.82; 95% confidence interval [CI], 0.76-0.91; P = .01) compared with a 7% decrease among the 34 facilities that had not yet undergone training (RR, 0.93; 95% CI, 0.80-1.06; P = .59). The ris...
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PMID: 20959579
PDF is available here.
Abstract
Hidradenitis suppurativa (HS) is a chronic, inflammatory, scarring condition involving the intertriginous skin of the axillary, inguinal, inframammary, genital, and perineal areas of the body. It is also referred to as acne inversa and Verneuil disease. Follicular occlusion is the primary event in H...
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PMID: 20883920
PDF is available here.
Abstract
Patients with the modified metabolic syndrome who are super obese had a 2-fold increased risk of death (adjusted odds ratio [AOR] 1.99; 95% CI 1.41-2.80). As stratified by body mass index, patients with the modified metabolic syndrome had a 2- to 2.5-fold higher risk of cardiac adverse events (CAE)...
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PMID: 20808207
PDF is available here.
Abstract
The current study demonstrates that the inhibition of caspase-1 reduces postsurgical sensitization and inflammation, likely through a caspase-1/interleukin-1β-dependent mechanism....
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PMID: 20823759
PDF is available here.
Abstract
Among 450 patients who underwent lung transplantation (LuT) between April 1994 and April 2009 at a single academic hospital, 75 received surgical consultation, and 52 underwent 65 abdominal operations. Operations included colectomy (17), cholecystectomy (14), exploratory laparotomy (10), ulcer repai...
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PMID: 21105627
PDF is available here.
Abstract
There were 123 respondents (30.5% response rate). For the majority of participants, the first complication that had a significant emotional impact on them occurred during residency (51.2%). Most respondents reported this did not impair their professional functioning (77.2%). If a major complication...
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PMID: 20727563
PDF is available here.
Abstract
In all, 23 residents underwent Verification of Proficiency over 2 years; 8 (35%) passed all Verification of Proficiency examinations at the first attempt, 15 (65%) failed at least 1 module, and 11 (48%) failed at least 2 modules. Residents who failed to demonstrate proficiency underwent mandatory re...
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PMID: 20705306
PDF is available here.
Abstract
We review the current literature and recommendations for the resuscitation of patients coming for emergency surgery procedures....
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PMID: 20724874
PDF is available here.
Abstract
Patient safety concerns in surgery are increasing. The frequency of surgery-related adverse events and errors is high, and most could be avoided. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) proposed the Universal Protocol (UP-JCAHO) for preventing wrong site, wrong proc...
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PMID: 20964064
PDF is available here.
Abstract
Medicaid and Uninsured payer status confers increased risk-adjusted mortality. Medicaid was further associated with the greatest adjusted length of stay and total costs despite risk factors or operation. These differences serve as an important proxy for larger socioeconomic and health system-related...
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PMID: 20647910
PDF is available here.
Abstract
Peer adjudication and extensive clinical review adds much to the analysis of an adverse outcome, similar to the "black box" in an airplane crash. Although methods of risk adjustment may be helpful in identifying patients for peer review, they should be used for internal process improvement and not p...
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PMID: 20739845
PDF is available here.
Abstract
SES at the level of the individual patient has a statistically significant effect on operative mortality. Mortality is greatest among patients in the lowest socioeconomic strata. The effect of patient SES on mortality is not mitigated by other explanatory hospital- or patient-level factors....
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PMID: 20739856
PDF is available here.
Abstract
We observed an anatomical structure not described in the literature. It is a loop-like structure under the ductus deferens or ligamentum teres uteri anchored laterally and medially to the peritoneum. Relatively constant in distance to the inner inguinal ring and individual in the grade of prominence...
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PMID: 20213455
PDF is available here.
Abstract
We present a case of delayed facial paresis in a pediatric patient with a clinical course consistent with viral reactivation....
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PMID: 20737373
PDF is available here.
Abstract
ITC deficits adversely affect patient care. There is a need for standard measures to evaluate this process. Effective and standardized communication among healthcare professionals during the perioperative process facilitates surgical safety....
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PMID: 20647929
PDF is available here.
Abstract
Of the 30,788 appendectomies, 1,984 (6.44%) patients had any morbidity, and 1,140 (3.70%) patients had a serious morbidity or died. Of the 5,824 cholecystectomies, 503 (8.64%) patients had any morbidity, and 371 (6.37%) patients had a serious morbidity or died. Of the 8,990 colorectal resections, 4,...
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PMID: 20633727
PDF is available here.
Abstract
Three significant themes emerged, illustrating the conflicting attitudes surgeons harbor with respect to ADs. Surgeons described a general benefit of ADs in providing a framework for discussion ("It [AD] is a useful framework to begin discussion in the end of life issues for the patient."), but they...
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PMID: 20580048
PDF is available here.