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https://www.readbyqxmd.com/read/28719036/a-novel-method-for-achieving-optimal-neck-extension
#1
David Black, Thomas Snooks, Matthew Clark
From tonsillectomies to major neck dissections, a large proportion of ENT operations require the neck to be extended. This is normally achieved by a gel pad or sand bag shoulder bolster, or in more frugal hospitals - a bag of normal saline. In our theatres two sizes of shoulder bolster are generally available. This article is protected by copyright. All rights reserved.
July 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28713301/understanding-the-impact-of-expertise-in-joint-and-solo-improvisation
#2
Johann Issartel, Mathieu Gueugnon, Ludovic Marin
Joint-improvisation is not only an open-ended creative action that two or more people perform together in the context of an artistic performance (e.g., theatre, music or dance). Joint-improvisation also takes place in daily life activities when humans take part in collective performance such as toddlers at play or adults engaged in a conversation. In the context of this article, joint-improvisation has been looked at from a social motor coordination perspective. In the literature, the nature of the social motor coordination characteristics of joint-improvisation for either the creative aspect or daily life features of this motor performance remains unclear...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28709485/biofilm-colonization-of-mycobacterium-abscessus-new-threat-in-hospital-acquired-surgical-site-infection
#3
Roumi Ghosh, Soumen Das, Harish Kela, Asmita De, Jayeeta Haldar, Prasanta Kumar Maiti
INTRODUCTION: Rapidly growing non-tuberculous mycobacteria (NTM) are hazardous cause of post-operative soft tissue infection leading to nosocomial outbreaks following various surgical procedures, especially laparoscopic surgeries using heat sensitive, non-autoclavable surgical instruments. METHODOLOGY: Surgery department of our hospital noticed increase in rate of post-laparoscopic abdominal port site infection (PSI) and informed the Microbiology Department. A prospective investigational study of defined cases with the aim of source tracing and formulation of infection control measures was initiated...
July 2017: Indian Journal of Tuberculosis
https://www.readbyqxmd.com/read/28707782/exchanging-implements-the-micro-materialities-of-multidisciplinary-work-in-the-operating-theatre
#4
Christian Heath, Paul Luff, Marcus Sanchez-Svensson, Maxim Nicholls
Surgical procedures rely upon an array of commonplace tools, implements and materials that mediate practice and disciplinary collaboration within the operating theatre. Substantial time is dedicated to the issue and provision of these artefacts and their timely exchange is critical to the successful accomplishment of surgical procedures. In this article, we consider the practice, knowledge and agency that informs how particular implements and materials are passed by the scrub nurse to the surgeon that in turn enables their deployment with regard to the particular procedure and the contingencies 'at hand'...
July 14, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28704302/botulinum-a-intramuscular-injection-in-an-orthopaedic-paediatric-patient-cohort-service-restructure-analysis
#5
Matthew Lee, Enda Kelly, Paula Kelly
Botulinum intramuscular injections are increasingly being used in the management of hypertonic musculature. Historically, injections were administered under general anaesthesia (GA), which has service and economic implications. Our delivery changed to outpatient conscious injections to improve service efficiency. A retrospective analysis of all patient injections from January 2010 to December 2015 analysed cost-benefit and efficiency of service remodelling. 472 patients were administered injections, 298 in theatre under GA and 174 without GA...
July 12, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28701324/40-4-40-educational-and-economic-outcomes-of-a-free-international-surgical-training-event
#6
James Glasbey, Piriyah Sinclair, Helen Mohan, Rhiannon Harries
PURPOSE OF STUDY: To demonstrate a model for delivery of an international surgical training event, and demonstrate its educational and economic outcomes. STUDY DESIGN: The Association of Surgeons in Training (ASiT) ran a course series on 16 January 2016 across the UK and Ireland. A mandatory, self-reported, online questionnaire collected delegate feedback, using 5-point Likert Scales, and a NetPromoter feedback tool. Precourse and postcourse matched questionnaires were collected for 'Foundation Skills in Surgery' (FSS) courses...
July 12, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28699436/-the-patient-is-the-expert
#7
(no author information available yet)
Gary Mitchell trained at Queen's University Belfast, qualifying as a registered adult nurse in February 2010, aged 24. After working in theatres and recovery, in a GP practice and as a dementia care adviser, he took up his current post as national research coordinator and nurse specialist with Four Seasons Health Care last spring. He is married to Claire and they have a young son called Zach.
July 12, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28697627/launching-an-sbns-accredited-neurosurgical-skills-workshop-for-medical-students-and-foundation-trainees
#8
Mohammed Kamel, Daniel M Fountain, Paul May, Richard Ashpole
The Neurology and Neurosurgery Interest Group (NANSIG), the student arm of the Society of British Neurological Surgeons (SBNS), organised a neurosurgical skills workshop in January 2017 following evidence of high demand among medical students and foundation trainees. The workshop involved ten delegates and five neurosurgical trainees with one senior consultant. Modules covering head positioning, burr holes, ventricular access, and flaps were included. This 'Introduction to Neurosurgery' skills workshop demonstrated significantly improved knowledge and confidence of delegates with attending and assisting in theatre in the future...
July 12, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28694536/orbital-fractures-treated-in-auckland-from-2010-2015-review-of-patient-outcomes
#9
Lanit Anand, Christopher Sealey
AIM: The purpose of this study was to review patient outcomes from surgical reconstruction of isolated orbital fractures, performed by the Auckland District Health Board (ADHB) Oral and Maxillofacial Surgery service (OMFS), from 2010 to 2015. In particular, we wished to assess titanium as an orbital reconstructive material and compare outcomes with the international literature. METHOD: Hospital records for 103 adults (>18 years old) who underwent repair of isolated orbital fractures by the OMFS department at Middlemore Hospital, between 2010 and 2015, were reviewed...
July 7, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28694086/an-outbreak-of-post-craniotomy-propionibacterium-acnes-infections-at-a-tertiary-hospital-england-2011-a-case-control-study-identifies-dural-implants-as-a-risk-factor-for-infection
#10
Caoimhe McKerr, Nic Coetzee, Obaghe Edeghere, Shakeel Suleman, Neville Q Verlander, Krishna Banavathi
BACKGROUND: In 2011, 15 deep-seated Propionibacterium acnes infections were identified in patients following craniotomies in a hospital in the UK. AIM: To describe the outbreak and report findings from the investigation undertaken in order to identify the source & risk factors and inform control measures. METHODS: Data were obtained from hospital clinical records and included patient and surgical variables. Cases were defined as patients with microbiologically confirmed deep or organ space surgical site infection (SSI) caused by P...
July 7, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28691756/surgical-specimen-handover-from-the-operating-theatre-to-laboratory-can-we-improve-patient-safety-by-learning-from-aviation-and-other-high-risk-organisations
#11
Peter A Brennan, Marieke T Brands, Lucy Caldwell, Felipe Paiva Fonseca, Nic Turley, Susie Foley, Siavash Rahimi
Essential communication between healthcare staff is considered one of the key requirements for both safety and quality care when patients are handed over from one clinical area to other. This is particularly important in environments such as the operating theatre and intensive care where mistakes can be devastating. Healthcare has learned from other high-risk organisations (HRO) such aviation where the use of checklists and human factors awareness has virtually eliminated human error and mistakes. To our knowledge, little has been published around ways to improve pathology specimen handover following surgery, with pathology request forms often conveying the bare minimum of information to assist the laboratory staff...
July 10, 2017: Journal of Oral Pathology & Medicine
https://www.readbyqxmd.com/read/28691631/web-review-risky-business
#12
(no author information available yet)
Risky Business In the early 2000s, a quality improvement project brought together a group of healthcare professionals with experts from the world of motor racing. They compared handovers of critically ill infants and children from operating theatre to intensive care team after complex heart surgery with the processes of a Formula 1 pitstop.
July 10, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28690738/-e-training-program-for-sterilization-in-isolated-military-operations-areas-solution-adopted-by-the-french-army
#13
Mederic Rouault, Marie-Audrey Vonesch, Claude Dussart
French Army Health Service provides medical support for armed forces deployed on external missions.In order to ensure the same health care quality in the theatre and in the metropolis, the Military Health Service provides sterilization of reusable medical devices by its own means. Army pharmacists carrying out an on-site mission comes from different domains: medical biology laboratory, research, medical supplies, hospital pharmacy or yet pharmaceutical laboratory for some reservists. Training program for sterilization in isolated military operations areas is therefore necessary in order to ensure knowledge uniformity...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28685017/traumatic-diaphragmatic-rupture-with-underlying-lung-laceration-and-tension-pneumoperitoneum
#14
Zexi Allan, Calvin Peng, Raaj Chandra
Tension pneumoperitoneum is commonly caused by gastrointestinal perforation and pulmonary causes are extremely rare. We present a case of a 47-year-old male post motor vehicle accident with a suspected left-sided haemopneumothorax on initial chest x-ray. CT of the chest post chest tube insertion showed a left-sided diaphragmatic rupture and an extensive diaphragmatic hernia. While en-route to the operating theatre, the intubated patient developed tension pneumoperitoneum with positive pressure ventilation and required immediate surgical intervention and repair...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28684251/-prologues-to-a-bad-voice-effect-of-vocal-hygiene-knowledge-and-training-on-voice-quality-following-stage-performance
#15
Balaji Rangarathnam, Towino Paramby, Gary H McCullough
PURPOSE: The purpose of this investigation was to determine the effects of intensive stage rehearsal and performance on perceptual, acoustic, and aerodynamic measures of voice, and to determine the impact of knowledge and practice of vocal hygiene on measures of voice during intensive vocal performance. METHODS: Nineteen stage actors who were participating in the Arkansas Shakespeare Theatre festival took part in the study. Each participant completed auditory-perceptual, acoustic, aerodynamic, and quality of life measures before and after 1 month of intensive rehearsals and stage performances...
July 3, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28682219/task-shifting-of-orthopaedic-surgery-to-non-physician-clinicians-in-malawi-effective-and-safe
#16
Torsten J Wilhelm, Kondwani Dzimbiri, Victoria Sembereka, Martin Gumeni, Olaf Bach, Henning Mothes
There is a shortage of orthopaedic surgeons in Malawi. Orthopaedic clinical officers (OCOs) treat trauma patients and occasionally perform major orthopaedic surgery. No studies have assessed the efficacy and safety of their work. The aim of this study was to evaluate their contribution to major orthopaedic surgery at Zomba Central Hospital. Data about orthopaedic procedures during 2006-2010 were collected from theatre books. We selected major amputations and open reductions and plating for outcome analysis and collected details from files...
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28682133/outcomes-of-an-innovative-training-course-in-laparoscopic-hernia-repair
#17
D Light, S Bawa, P Gallagher, L Horgan
INTRODUCTION The Ethicon™ laparoscopic inguinal groin hernia training (LIGHT) course is an educational course based on three days of teaching on laparoscopic hernia surgery. The first day involves didactic lectures with tutorials. The second day involves practical cadaveric procedures in laparoscopic hernia surgery. The third day involves direct supervision by a consultant surgeon during laparoscopic hernia surgery on a real patient. We reviewed our outcomes for procedures performed on real patients on the final day of the course for early complications and outcomes...
July 6, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28681948/impact-of-an-acute-surgical-unit-on-patient-outcomes-in-south-australia
#18
Ned Kinnear, Philip Britten-Jones, Derek Hennessey, Diwei Lin, Darren Lituri, Subhita Prasannan, Greg Otto
BACKGROUND: Compared with traditional (Trad) systems of managing emergency surgical presentations, the acute surgical unit (ASU) model provides an on-site registrar, on-call surgeon and dedicated emergency theatre, 24 h/day. To date, there have been no Australasian ASU studies of >3000 patients, nor from South Australia. METHODS: A retrospective historical control study compared the outcomes of adults admitted to the Lyell McEwin Hospital in the Trad (1 February 2010 to 31 July 2012) and ASU periods (1 August 2012 to 31 January 2015), who underwent an emergency general surgical procedure...
July 6, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28681754/microsurgical-anatomy-of-the-superior-sagittal-sinus-and-draining-veins
#19
Mariano Anto Bruno-Mascarenhas, Vengalathur G Ramesh, Sundar Venkatraman, Jolarpettai V Mahendran, S Sundaram
BACKGROUND: The superior sagittal sinus and the draining cerebral veins are often encountered during the surgery for parasagittal and falx meningiomas and during the interhemisperic transcallosal approaches. A knowledge about the variations from the normally described anatomy helps in anticipating and avoiding problems related to these structures during surgery. AIM: The normal variations in the disposition of the superior sagittal sinus and the number and direction of the draining veins in the Indian population have been studied...
July 2017: Neurology India
https://www.readbyqxmd.com/read/28679461/cost-analysis-of-injection-laryngoplasty-performed-under-local-anaesthesia-versus-general-anaesthesia-an-australian-perspective
#20
D Chandran, C M Woods, M Schar, N Ma, E H Ooi, T Athanasiadis
OBJECTIVE: To conduct a cost analysis of injection laryngoplasty performed in the operating theatre under local anaesthesia and general anaesthesia. METHODS: The retrospective study included patients who had undergone injection laryngoplasty as day cases between July 2013 and March 2016. Cost data were obtained, along with patient demographics, anaesthetic details, type of injectant, American Society of Anesthesiologists score, length of stay, total operating theatre time and surgeon procedure time...
July 6, 2017: Journal of Laryngology and Otology
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