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https://www.readbyqxmd.com/read/28106651/evaluating-the-impact-of-intraoperative-surgical-team-handoffs-on-patient-outcomes
#1
Lauren E Giugale, Sarah Sears, Erin S Lavelle, Charelle M Carter-Brooks, Michael Bonidie, Jonathan P Shepherd
OBJECTIVE: The aim of the study was to assess the impact of intraoperative personnel handoffs on clinical outcomes in patients undergoing minimally invasive sacrocolpopexy (SCP). METHODS: We retrospectively reviewed SCPs performed at an academic center between 2009 and 2014. We analyzed the number of staff handoffs, defined as any instance a scrub technician (tech) or circulating nurse handed off responsibility for a break or shift change. Outcomes included operative (OR) time and composite variables for major complications (conversion to an open procedure, bladder injury, bowel injury, blood transfusion, infection, ileus, bowel obstruction, readmission, or mesh complication) and prolapse recurrence (prolapse at or beyond the hymen or retreatment)...
January 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28103630/orientia-tsutsugamushi-ank9-is-a-multifunctional-effector-that-utilizes-a-novel-grip-like-golgi-localization-domain-for-golgi-to-endoplasmic-reticulum-trafficking-and-interacts-with-host-copb2
#2
Andrea R Beyer, Kyle G Rodino, Lauren VieBrock, Ryan S Green, Brittney K Tegels, Lee D Oliver, Richard T Marconi, Jason A Carlyon
Orientia tsutsugamushi causes scrub typhus, a potentially fatal infection that afflicts one million people annually. This obligate intracellular bacterium boasts one of the largest microbial arsenals of ankyrin repeat-containing protein (Ank) effectors, most of which target the endoplasmic reticulum (ER) by undefined mechanisms. Ank9 is the only one proven to function during infection. Here, we demonstrate that Ank9 bears a motif that mimics the GRIP domain of eukaryotic golgins and is necessary and sufficient for its Golgi localization...
January 19, 2017: Cellular Microbiology
https://www.readbyqxmd.com/read/28103428/aqueous-biphasic-systems-for-the-synthesis-of-formates-via-catalytic-co2-hydrogenation-integrated-reaction-and-catalyst-separation-for-co2-scrubbing-solutions
#3
Martin Scott, Beatriz Blas Molinos, Christian Westhues, Giancarlo Franciò, Walter Leitner
Aqueous biphasic systems were investigated for the production of formate-amine-adducts via metal-catalyzed CO2-hydrogenation. Different hydrophobic organic solvents and ionic liquids could be employed as the stationary phase for cis-Ru(dppm)2Cl2 as prototypical catalyst without any modification or tagging of the complex. The solvent pair methyl-isobutylcarbinol (MIBC) and water led to the most practical and productive system and repetitive use of the catalyst phase was demonstrated achieving high endurance with a total TON 150...
January 19, 2017: ChemSusChem
https://www.readbyqxmd.com/read/28088326/acute-kidney-injury-due-to-tropical-infectious-diseases-and-animal-venoms-a-tale-of-2-continents
#4
REVIEW
Emmanuel A Burdmann, Vivekanand Jha
South and Southeast Asia and Latin American together comprise 46 countries and are home to approximately 40% of the world population. The sociopolitical and economic heterogeneity, tropical climate, and malady transitions characteristic of the region strongly influence disease behavior and health care delivery. Acute kidney injury epidemiology mirrors these inequalities. In addition to hospital-acquired acute kidney injury in tertiary care centers, these countries face a large preventable burden of community-acquired acute kidney injury secondary to tropical infectious diseases or animal venoms, affecting previously healthy young individuals...
January 11, 2017: Kidney International
https://www.readbyqxmd.com/read/28086810/genotypic-characterization-of-orientia-tsutsugamushi-from-patients-in-two-geographical-locations-in-sri-lanka
#5
Ranjan Premaratna, Lucas S Blanton, Dilhar N Samaraweera, G Nalika N de Silva, Nilmini T G A Chandrasena, David H Walker, H J de Silva
BACKGROUND: To date more than 20 antigenically distinct strains of Orientia tsutsugamushi (OT) reported within the tsutsugamushi triangle that cause an undifferentiated acute febrile illness in humans. Genotypic characterization of OT in different geographic regions or within the same country, is important in order to establish effective diagnostics, clinical management and to develop effective vaccines. Genetic and antigenic characterization of OT causing human disease in OT-endemic regions is not known for Sri Lanka...
January 13, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28072611/baby-shampoo-versus-povidone-iodine-or-isopropyl-alcohol-in-reducing-eyelid-skin-bacterial-load
#6
Giancarlo A Garcia, Christine V Nguyen, Marc A Yonkers, Jeremiah P Tao
PURPOSE: Baby shampoo is used as an alternative surgical skin preparation, but the evidence supporting its use is scarce with no descriptions of efficacy in the periocular region. The authors compare the efficacy of baby shampoo, povidone-iodine (PI, Betadine) and isopropyl alcohol (IA) in reducing eyelid skin bacterial load. METHODS: Prospective, randomized, comparative, and interventional trial. Bacterial load on adult, human eyelid skin was quantitated before and after cleansing with 1) dilute baby shampoo, 2) 10% PI, or 3) 70% IA...
January 6, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28068454/non-surgical-interventions-for-acute-internal-hordeolum
#7
REVIEW
Kristina Lindsley, Jason J Nichols, Kay Dickersin
BACKGROUND: A hordeolum is a common, painful inflammation of the eyelid margin that is usually caused by a bacterial infection. The infection affects oil glands of the eyelid and can be either internal or external. In many cases, the lesion drains spontaneously and resolves without treatment; however, the inflammation can spread to other ocular glands or tissues, and recurrences are common. If unresolved, an acute internal hordeolum can become chronic, or can develop into a chalazion...
January 9, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28065962/compliance-of-surgical-hand-washing-before-surgery-role-of-remote-video-surveillance
#8
Ambreen Khan, Sidrah Nausheen
OBJECTIVE: To evaluate and increase the compliance of surgical hand scrubbing with periodic feedback. METHODS: This study was conducted at the Aga Khan Hospital for Women and Children, Karachi, Pakistan, from April to July 2014. A remote video auditing system consisting of human auditors was used for visualising surgical hand wash compliance of the surgical team. The equipment, which used motion sensor, was installed in the scrub area wall, visualising the scrub sink only...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28056840/rapid-increase-of-scrub-typhus-incidence-in-guangzhou-southern-china-2006-2014
#9
Ye Sun, Yue-Hong Wei, Yang Yang, Yu Ma, Sake J de Vlas, Hong-Wu Yao, Yong Huang, Mai-Juan Ma, Kun Liu, Xiao-Ning Li, Xin-Lou Li, Wen-Hui Zhang, Li-Qun Fang, Zhi-Cong Yang, Wu-Chun Cao
BACKGROUND: In the last decade, scrub typhus (ST) has been emerging or re-emerging in some areas of Asia, including Guangzhou, one of the most affected endemic areas of ST in China. METHODS: Based on the data on all cases reported in Guangzhou from 2006 to 2014, we characterized the epidemiological features, and identified environmental determinants for the spatial distribution of ST using a panel negative binomial model. RESULTS: A total of 4821 scrub typhus cases were reported in Guangzhou during 2006-2014...
January 5, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28056811/evaluation-of-a-broad-ranging-and-convenient-enzyme-linked-immunosorbent-assay-using-the-lysate-of-infected-cells-with-five-serotypes-of-orientia-tsutsugamushi-a-causative-agent-of-scrub-typhus
#10
Motohiko Ogawa, Masaaki Satoh, Masayuki Saijo, Shuji Ando
BACKGROUND: Scrub typhus is a mite-borne rickettsiosis caused by infection of Orientia tsutsugamushi, which is endemic to several Asia-Pacific Rim countries, including Japan. Although micro-indirect immunofluorescent assay (micro-IFA) is the standard method for the serological diagnosis of scrub typhus, enzyme-linked immunosorbent assay (ELISA) is considered to be more objective, by providing digitized results as opposed to being subject to the judgment of the evaluator as in micro-IFA...
January 5, 2017: BMC Microbiology
https://www.readbyqxmd.com/read/28056453/reduction-of-motion-artifacts-and-noise-using-independent-component-analysis-in-task-based-functional-mri-for-preoperative-planning-in-patients-with-brain-tumor
#11
E H Middlebrooks, C J Frost, I S Tuna, I M Schmalfuss, M Rahman, A Old Crow
BACKGROUND AND PURPOSE: Although it is a potentially powerful presurgical tool, fMRI can be fraught with artifacts, leading to interpretive errors, many of which are not fully accounted for in routinely applied correction methods. The purpose of this investigation was to evaluate the effects of data denoising by independent component analysis in patients undergoing preoperative evaluation for glioma resection compared with more routinely applied correction methods such as realignment or motion scrubbing...
November 10, 2016: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28055333/differences-in-clinical-and-laboratory-features-for-different-genotypes-of-orientia-tsutsugamushi-in-guangzhou-southern-china
#12
Yuehong Wei, Yu Ma, Lei Luo, Xinwei Wu, Yong Huang, Xiaoning Li, Zhicong Yang
PURPOSE: To describe the genotypes distribution of Orientia tsutsugamushi, in Guangzhou, and explore differences in clinical and laboratory features among genotypes. METHOD: We collected blood or eschar samples of all scrub typhus cases reported in 2013 from 10 district hospitals positive for PCR. We further tested the PCR-positive samples for DNA sequencing and phylogenetic analysis. We collected the demographic, clinical, and laboratory data by questionnaire and medical records...
January 5, 2017: Vector Borne and Zoonotic Diseases
https://www.readbyqxmd.com/read/28050364/serological-diagnosis-of-acute-scrub-typhus-in-southern-india-evaluation-of-inbios-scrub-typhus-detect-igm-rapid-test-and-comparison-with-other-serological-tests
#13
Velmurugan Anitharaj, Selvaraj Stephen, Jothimani Pradeep, Sungman Park, Seung-Han Kim, Young Jin Kim, Eun-Ye Kim, Yoon-Won Kim
INTRODUCTION: Scrub Typhus (ST) is being reported from different parts of India in the recent past. However, the diagnosis and confirmation of ST cases require specific serological and molecular diagnostic tests. Both rapid and conventional ELISA tests need to be properly evaluated. AIM: Evaluation of a new ST IgM Immunochromatography (ICT) test kit (InBios Scrub Typhus Detect IgM Rapid Test) and compare it with another rapid kit, conventional ELISA kit and Weil-Felix (WF) test...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28044222/scrub-typhus-radiological-and-clinical-findings-in-abdominopelvic-involvement
#14
Kun Yung Kim, Ji Soo Song, Eun Hae Park, Gong Yong Jin
PURPOSE: To describe the clinical and radiological findings of abdominopelvic involvement in scrub typhus. MATERIALS AND METHODS: Abdominopelvic computed tomography (CT) of 78 patients with scrub typhus were evaluated by two readers. The presence of gallbladder wall thickening, arterial inhomogeneous enhancement of the liver, periportal edema, splenic infarction, hepatomegaly, splenomegaly, ascites, pleural effusion, and sites of lymphadenopathy were evaluated. Patients were divided into four clinical subgroups according to laboratory findings...
January 2, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/28044046/contextual-and-psychosocial-determinants-of-effective-handwashing-technique-recommendations-for-interventions-from-a-case-study-in-harare-zimbabwe
#15
Max N D Friedrich, Marc E Binkert, Hans-Joachim Mosler
Handwashing has been shown to considerably reduce diarrhea morbidity and mortality. To decontaminate hands effectively, the use of running water, soap, and various scrubbing steps are recommended. This study aims to identify the behavioral determinants of effective handwashing. Everyday handwashing technique of 434 primary caregivers in high-density suburbs of Harare, Zimbabwe, was observed and measured as an 8-point sum score of effective handwashing technique. Multiple linear and logistic regression analyses were performed to predict observed handwashing technique from potential contextual and psychosocial determinants...
January 2, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28043039/vertical-and-lateral-distribution-of-fallout-137-cs-and-soil-properties-along-representative-toposequences-of-central-rif-morocco
#16
Haytam Mesrar, Abdelhamid Sadiki, Ali Faleh, Laura Quijano, Leticia Gaspar, Ana Navas
The purpose of this study is to understand and quantify the relationships between current (137)Cs inventories and the soil properties and the physiographic characteristics. A total of 36 cores were taken in seven transects with different slopes, lithology and land use. The analysis focused on the (137)Cs mass activity as well as inventories and its relationship with soil properties as grain size and organic matter. The mass activity of (137)Cs and the inventories varied between 3.6 and 63.7 Bq kg(-1) and between 521...
December 30, 2016: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28040037/acoustics-from-a-rectangular-supersonic-nozzle-exhausting-over-a-flat-surface
#17
Pablo Mora, Florian Baier, K Kailasanath, Ephraim J Gutmark
A jet exhausting over a plate at different distances away from the nozzle was investigated to simulate jets exhausting over airframe surfaces and the jet-ground interaction during take-off and landing operations. A supersonic rectangular nozzle of 2:1 aspect ratio and 1.5 design Mach number was tested with and without the plate. Far-field acoustics from the cold and heated jets at over-expanded, design, and under-expanded conditions were measured at the reflected, sideline, and shielded azimuthal directions...
December 2016: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/28017808/preoperative-chlorhexidine-gluconate-use-can-increase-risk-for-surgical-site-infections-after-ventral-hernia-repair
#18
Ajita S Prabhu, David M Krpata, Sharon Phillips, Li-Ching Huang, Ivy N Haskins, Steven Rosenblatt, Benjamin K Poulose, Michael J Rosen
BACKGROUND: There is varying evidence about the use of preoperative chlorhexidine gluconate to decrease surgical site infection for elective surgery. This intervention has never been studied in ventral hernia repair, the most common general surgery procedure in the US. We aimed to determine whether preoperative chlorhexidine gluconate decreases the risk of 30-day wound morbidity in patients undergoing ventral hernia repair. STUDY DESIGN: All patients undergoing ventral hernia repair in the Americas Hernia Society Quality Collaborative were separated into 2 groups: 1 group received preoperative chlorhexidine scrub and the other did not...
December 23, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28012768/laparoscopic-radical-prostatectomy-with-a-remote-controlled-robot
#19
Clément-Claude Abbou, András Hoznek, Laurent Salomon, Leif Eric Olsson, Adrian Lobontiu, Fabien Saint, Antony Cicco, Patrick Antiphon, Dominique Chopin
PURPOSE: Robotics in surgery is a recent innovation. This technology offers a number of attractive features in laparoscopy. It overcomes the difficulties with fixed port sites by restoring all 6 degrees of freedom at the instrument tips, provides new possibilities for miniaturization of surgical tasks and allows remote controlled surgery. We investigated the applicability of remote controlled robotic surgery to laparoscopic radical prostatectomy. MATERIALS AND METHODS: Our previous experience with laparoscopic prostatectomy served as a basis for adapting robotic surgery to this procedure...
December 21, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27999482/a-comparative-study-between-povidone-iodine-and-manugel-85-on-surgical-scrub
#20
Bahar Seifi, Faezeh Sahbaei, Mohamad Zare Zare, Azam Abdoli, Mohammad Heidari
BACKGROUND: Direct transmission through skin contact is one of ways for disease transmission. Medical staffs have contact with many patients, so their hand can be a factor for the transmission of disease. Surgical scrub is a process that leads to destruction immigrant and stable microbus of hands and arms through friction washing by use of antiseptic solution prior to surgery. The aim of this study was to compare the effectiveness of disinfection of Povidone-Iodine and Manugel 85 in surgical scrub...
October 2016: Materia Socio-medica
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