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Hospital Practice (Minneapolis)

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https://www.readbyqxmd.com/read/28799816/raceomose-spinal-cysticercosis
#1
Viroj Wiwanitkit
No abstract text is available yet for this article.
August 11, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28749248/update-in-perioperative-medicine-practice-changing-evidence-published-in-2016
#2
Dennis W Regan, Deanne Kashiwagi, Brian Dougan, Karna Sundsted, Karen Mauck
This summary reviews 18 key articles published in 2016 which have significant practice implications for the perioperative medical care of surgical patients. Due to the multi-disciplinary nature of the practice of perioperative medicine, important new evidence is published in journals representing a variety of medical and surgical specialties. Keeping current with the evidence that drives best practice in perioperative medicine is therefore challenging. We set out to identify, critically review, and summarize key evidence which has the most potential for practice change...
July 28, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28707548/geographical-assignment-of-hospitalists-in-an-urban-teaching-hospital-feasibility-and-impact-on-efficiency-and-provider-satisfaction
#3
Christine Bryson, Greta Boynton, Anna Stepczynski, Jane Garb, Reva Kleppel, Farzan Irani, Siva Natanasabathpy, Mihaela S Stefan
OBJECTIVE: To evaluate whether implementation of a geographic model of assigning hospitalists is feasible and sustainable in a large hospitalist program and assess its impact on provider satisfaction, perceived efficiency and patient outcomes. METHODS: Pre (3 months) - post (12 months) intervention study conducted from June 2014 through September 2015 at a tertiary care medical center with a large hospitalist program caring for patients scattered in 4 buildings and 16 floors...
July 14, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28679348/implementing-enhanced-recovery-pathways-a-literature-review-with-realist-synthesis
#4
Astrid Coxon, Karina Nielsen, Jane Cross, Chris Fox
OBJECTIVES: Enhanced Recovery Pathways (ERPs) are an increasingly popular, evidenced-based approach to surgery, designed to improve patient outcomes and reduce costs. Despite evidence demonstrating the benefits of these pathways, implementation and adherence have been inconsistent. METHODS: Using realist synthesis, this review explored the current literature surrounding the implementation of ERPs in the UK. Knowledge consolidation between authors and consulting with field experts helped to guide the search strategy...
July 12, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28675708/role-of-long-term-acute-care-in-reducing-hospital-readmission
#5
Jorge F Velazco, Shekhar Ghamande, Salim Surani
Long-term acute care hospitals (LTACs) are health care facilities capable of admitting complex patients with high acuity that are unable to return home after hospitalization in acute care. Its defining characteristic is to accommodate patients for a length of stay greater than 25 days, however, little is known about its role of preventing hospital readmissions. Created in the 1980s, these facilities were designed to help acute care facilities improve their resource management, expenditures, and quality of care...
July 12, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28657382/a-pilot-study-evaluating-the-prescribing-of-ceftriaxone-in-hospitals-in-ghana-findings-and-implications
#6
Daniel Kwame Afriyie, Seth Kwabena Amponsah, Justice Dogbey, Kwabena Agyekum, Samuel Kesse, Isle Truter, Joanna C Meyer, Brian Godman
BACKGROUND AND OBJECTIVES: Widespread empiric use of antibiotics exists especially in developing countries. This is a concern since inappropriate use of antibiotics, including their extended inappropriate use, will increase resistance rates. Consequently, there is a need to evaluate antibiotic utilisation across healthcare sectors to improve future use. This includes ceftriaxone, widely used among hospitals including those in Ghana. METHODS: A cross-sectional study to evaluate the appropriateness of ceftriaxone prescription in a leading hospital in Ghana...
June 28, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28633583/severe-viral-pneumonia-in-adults-what-is-important-for-the-icu-physician
#7
Simone Gattarello, Jordi Rello
No abstract text is available yet for this article.
June 21, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28618844/endovascular-treatment-of-malignant-superior-vena-cava-syndrome-secondary-to-lung-cancer
#8
Laura Calsina Juscafresa, Ignacio Gil Bazo, Lukasz Grochowicz, María Páramo Alfaro, José María López-Picazo González, Marta Moreno Jiménez, Jose Ignacio Bilbao Jaureguizar
OBJECTIVES: Superior Vena Cava obstruction results in severe oedema of the upper thorax. Endovascular treatment allows a rapid restoration of the blood flow with a rapid resolution of symptoms. We retrospectively report a single institution's experience in stent placement for malignant Superior Vena Cava Syndrome (SVCS) caused by lung cancer. METHODS: Thirty-three consecutive patients (23 men, 10 women; median age, 57.6 years; range 34-71 years) who underwent endovascular SVCS palliative treatment were enrolled between August 2002 and June 2015...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28604136/updates-in-venous-thromboembolism-management-evidence-published-in-2016
#9
REVIEW
Matthew Bartlett, Karen F Mauck, Dennis M Bierle, Rayya A Saadiq, Paul R Daniels
The management of venous thromboembolic disease (VTE) is rapidly evolving and staying updated on practice-changing evidence can be challenging. In an attempt to alleviate this daunting task, we sought to determine the most important practice-informing articles published in 2016 relevant to the non-specialist provider managing VTE. We performed a systematic search of the literature, limiting the search to a publication date of 2016 (see Supplementary Appendix). Two reviewers screened the 3819 resulting abstracts to identify high-quality, clinically relevant publications related to VTE management...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28510501/mechanical-ventilation-in-the-acute-respiratory-distress-syndrome
#10
REVIEW
Oleg Epelbaum, Wilbert S Aronow
The management of the acute respiratory distress syndrome (ARDS) patient is fundamental to the field of intensive care medicine, and it presents unique challenges owing to the specialized mechanical ventilation techniques that such patients require. ARDS is a highly lethal disease, and there is compelling evidence that mechanical ventilation itself, if applied in an injurious fashion, can be a contributor to ARDS mortality. Therefore, it is imperative for any clinician central to the care of ARDS patients to understand the fundamental framework that underpins the approach to mechanical ventilation in this special scenario...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28490205/frequency-and-evaluation-of-the-perceptions-towards-caesarean-section-among-pregnant-women-attending-public-hospitals-in-pakistan-and-the-implications
#11
MULTICENTER STUDY
Rabia Ishaq, Nosheen Sikander Baloch, Qaiser Iqbal, Fahad Saleem, Mohamed Azmi Hassali, Javeid Iqbal, Fiaz Ud Din Ahmed, Mohammad Anwar, Sajjad Haider, Brian Godman
OBJECTIVES: There is increasing prevalence of caesarean sections (CS) worldwide; however, there are concerns about their rates in some countries, including potential fears among mothers. Consequently, we aimed to determine the frequency of CS, and explore patient's perception towards CS attending public hospitals in Pakistan, to provide future guidance. METHODS: A two-phased study design (retrospective and cross sectional) was adopted. A retrospective study was conducted to assess the frequency of CS over one year among four public hospitals...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28475430/alignment-between-physicians-and-hospital-administrators-historical-perspective-and-future-directions
#12
Anish Bhardwaj
Unfortunately, the working relationship between physicians and hospital administrators is often not congruent and can even become contentious, resulting in antagonism across many Healthcare Organizations (HCOs). This treatise provides a broad, literature-based, descriptive overview in an evolving historical context, coupled with observations based on extensive professional experience. It highlights the root causes of the nonalignment between physicians and hospital administrators. Most importantly, this manuscript proposes a framework for short and long-term solutions toward a more cohesive and collaborative team approach, based on understanding the respective roles, as well as the strengths, and contributions of the two groups...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28468527/spinal-racemose-cysticercosis-case-report-and-review
#13
Hussam A Yacoub, Ira Goldstein, Mohammad El-Ghanem, Leroy Sharer, Nizar Souayah
Cysticercosis is a common helminthic infection worldwide, endemic in Central and South America, sub-Saharan Africa, and Southeast Asia. Neurocysticercosis typically involves brain parenchyma, subarachnoid space, and the ventricular system. Although the spinal cord is frequently involved in patients with parenchymal neurocysticercosis, isolated spinal involvement is rare, occurring in only 1-3% of patients. We report a case of racemose spinal neurocysticercosis with brain parenchyma involvement in a 49-year-old Mexican man, who presented with unsteady gait and bilateral arm numbness and weakness...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28449624/an-economic-analysis-of-tolvaptan-compared-with-fluid-restriction-among-hospitalized-patients-with-hyponatremia
#14
Varun Ramamohan, Deirdre Mladsi, Naoko Ronquest, Siddhesh Kamat, Susan Boklage
OBJECTIVE: The vasopressin-receptor antagonist tolvaptan is used for the treatment of hyponatremia (HN) in hospitalized patients with congestive heart failure (CHF) or syndrome of inappropriate antidiuretic hormone secretion (SIADH). The objective of this economic modeling study was to assess the potential cost and health outcomes associated with tolvaptan in comparison with fluid restriction (FR). METHODS: A decision-analytic model was developed to estimate potential cost and health outcomes associated with tolvaptan compared with FR among hospitalized CHF and SIADH patients with severe HN (serum sodium [SS] levels < 125 mEq/L)...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28402686/the-creation-and-implementation-of-an-outpatient-pulmonary-embolism-treatment-protocol
#15
Christopher Kabrhel, Rachel Rosovsky, Christopher Baugh, Blair Alden Parry, Erin Deadmon, Charlotte Kreger, Nicholas Giordano
The ability to rapidly and accurately risk-stratify patients with venous thromboembolism (VTE), and the availability of direct acting oral anticoagulants have reduced the need for intravenous anticoagulation for patients with deep vein thrombosis (DVT) and pulmonary embolism (PE). Emergency physicians are generally reluctant to discharge patients with VTE without defined and reliable follow up in place, and VTE patients treated with anticoagulants can be at risk for complications related to recurrent VTE and bleeding...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28399675/evaluating-the-appropriateness-of-hospital-doctors-requests-for-pulmonary-function-tests-beyond-basic-spirometry-results-from-a-prospective-observational-study
#16
MULTICENTER STUDY
Krishna Bajee Sriram, Zoe Fountain, Jessica Hockenhull, Debbie Zagami
OBJECTIVES: Hospitalists request 'complete' pulmonary function tests (PFTs), typically comprising of spirometry, diffusion capacity of the lung for carbon monoxide (DLCO) and absolute lung volumes (ALVs), the results of which assist in the management of patients with respiratory disorders. Recently, concerns have been raised about over-requesting of 'complete' PFTs, but there is a paucity of information on the proportion of requests that can be considered clinically inappropriate. This study prospectively evaluated the 'complete' PFTs requested in a hospital service and assessed the impact of medical review of the requests...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28325091/nuts-and-bolts-of-running-a-pulmonary-embolism-response-team-results-from-an-organizational-survey-of-the-national-pert%C3%A2-consortium-members
#17
Geoffrey Barnes, Jay Giri, D Mark Courtney, Soophia Naydenov, Todd Wood, Rachel Rosovsky, Kenneth Rosenfield, Christopher Kabrhel
OBJECTIVES: Pulmonary embolism response teams (PERT) are developing rapidly to operationalize multi-disciplinary care for acute pulmonary embolism patients. Our objective is to describe the core components of PERT necessary for newly developing programs. METHODS: An online organizational survey of active National PERT™ Consortium members was performed between April and June 2016. Analysis, including descriptive statistics and Kruskal-Wallis tests, was performed on centers self-reporting a fully operational PERT program...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28353375/determination-of-serum-carbamazepine-concentration-using-dried-blood-spot-specimens-for-resource-limited-settings
#18
Saibal Das, Denise H Fleming, Binu S Mathew, Blessed Winston A, Appaswamy T Prabhakar, Mathew Alexander
OBJECTIVES: Carbamazepine (CBZ) is a commonly used anti-epileptic in rural hospitals in India. These hospitals lack the facilities to measure CBZ concentration; however, in larger hospitals this is performed using high performance liquid chromatography (HPLC). Dried blood spot (DBS) represents a feasible matrix for safe transportation by post/courier. This study was to determine whether the concentration of CBZ in serum can be predicted from that measured in DBS using an inexpensive HPLC method and inexpensive standard filter paper...
April 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28335637/reversing-the-anticoagulation-effects-of-dabigatran
#19
REVIEW
William E Dager, Linda Banares
The standard of care for oral anticoagulation therapy has primarily been warfarin, which is limited by its indirect mechanism-of-action, variable kinetics, tolerability, and routine monitoring concerns. The direct-acting oral anticoagulants (DOACs) have predictable pharmacokinetics and pharmacodynamics, and improved safety and efficacy compared to warfarin for the prevention of stroke in patients with nonvalvular atrial fibrillation and prevention or management of venous thromboembolism. Consequential bleeding is a concern with all anticoagulants...
April 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28306345/a-retrospective-study-on-non-drug-related-poisoning-in-the-community-among-children-from-south-india
#20
Debasis Das Adhikari, Saibal Das, Blessed Winston A, Kaysina Vazhudhi, Aniket Kumar, Margaret Shanthi Fx, Indira Agarwal
OBJECTIVES: This retrospective study was performed to determine the incidence, demographic distribution, types and outcomes across various non-drug related poisonings among children attending a tertiary care center in south India. METHODS: All children from 0-16 years who presented to the Paediatric Emergency Department, Christian Medical College, Vellore with non-drug related poisoning from October 2004 to September 2013 were included. RESULTS: Out of the total 997 cases of poisoning, 629 (63...
April 2017: Hospital Practice (Minneapolis)
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