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Rush General Surgery

Umesh Birole, Ashish Ranade, Mahesh Mone
INTRODUCTION: Tuberculosis is a major health problem worldwide. Extrapulmonary tuberculosis is often secondary to some primary foci in lungs. There are reports of tuberculous osteomyelitis involving maxilla, ulna, femur, and shoulder joint but none have reported pathological fracture in humeral diaphysis due to tuberculosis osteomyelitis without shoulder joint involvement. We report a case of pathological fracture of humerus diaphysis due to tuberculous osteomyelitis with normal articular space...
January 2017: Journal of Orthopaedic Case Reports
Shari L Meyerson, Stuart Lipnick, Edward Hollinger
OBJECTIVE: Mock oral examinations are often used to prepare residents for the American Board of Surgery certifying examination. Another potential use of these examinations is to identify programmatic weaknesses. Results from a multi-institutional mock oral examination were evaluated to determine if specific areas of weakness within each of the participating programs could be identified to facilitate program development. DESIGN: A mock oral examination was administered annually consisting of 3 examination rooms per resident with 3 cases in each room...
November 2017: Journal of Surgical Education
Shad H Deering, Laurie B Kavanagh, Michael K Chinn, Yong Choi, Robert M Rush, Imad Haque
OBJECTIVE: To assess the effects of deployment on basic laparoscopic skills of general surgeons and obstetrics/gynecology (OB/GYN) physicians. METHODS: This was a prospective 10-site study. Active duty Army OB/GYN and general surgery physicians scheduled to deploy were invited to participate. Before deployment, they performed fundamentals of laparoscopic surgery (FLS) tasks and specialty-specific procedures on a virtual reality laparoscopic simulator. Upon returning, physicians repeated the same evaluations...
September 2016: Military Medicine
Sloan W Rush, Jennifer Matulich, Joel Biskup, Philip Cofoid, Ryan B Rush
PURPOSE: The aim of this study was to report the distributions and demographic correlations of corneal epithelial thickness measured by manual electronic caliper spectral domain optical coherence tomography in preoperative refractive surgery patients. DESIGN: This was a retrospective review. METHODS: The charts of 218 consecutive patients (413 eyes) who presented for refractive surgery evaluation from April 2013 through September 2013 were retrospectively reviewed...
March 2016: Asia-Pacific Journal of Ophthalmology
UmeshKumar Athiraman, Rohit Gupta, Georgene Singh
BACKGROUND: Placement of a cuffed endotracheal tube for the administration of general anesthesia is routine. The cuff of the endotracheal tube is inflated with air to achieve an adequate seal to prevent micro-aspiration. Over inflation of the cuff can decrease the mucosal perfusion, leading to pressure necrosis and nerve palsies. Inadequate seal can lead to micro aspiration. So the cuff pressure has to be monitored and kept within the prescribed limits of 20-30 cms of water. AIM OF THE STUDY: To observe the effect of different positions on the endotracheal cuff pressure in patients undergoing neurosurgical procedures...
October 2015: International Journal of Critical Illness and Injury Science
Deepak Singla, Mishu Mangla
BACKGROUND: Preanesthesia assessment is an important aspect of patient care. If a patient shows lack of interest during preanesthesia check-up or tries to rush through, it may result in incomplete history and general physical examination, compromising patient care. AIM: The aim of this study was to assess the knowledge of patients presenting for elective surgery to Tertiary Care Hospital in Rural India regarding value and importance of preanesthesia check-up. SETTINGS AND DESIGN: This observational study was conducted in a Tertiary Care Teaching Hospital in Rural India...
September 2015: Anesthesia, Essays and Researches
Artur Gądek, Henryk Liszka
BACKGROUND: The surgical treatment of hallux valgus deformity is connected with significant postoperative pain. Spinal and general anesthesia as well as peripheral blocks are successfully used in foot surgery. The purpose of this study was to evaluate the influence of local anesthetic infiltration before hallux valgus one-day surgery on postoperative pain and the need for analgesics. MATERIAL AND METHODS: 134 patients underwent chevron or miniinvasive Mitchell-Kramer osteotomy of the first distal metatarsal...
2015: Przegla̧d Lekarski
Jonathan A Myers, Yalini Vigneswaran, Beth Gabryszak, Louis F Fogg, Amanda B Francescatti, Christine Golner, Steven D Bines
OBJECTIVE: Most medical schools in the United States use the National Board of Medical Examiners Subject Examinations as a method of at least partial assessment of student performance, yet there is still uncertainty of how well these examination scores correlate with clinical proficiency. Thus, we investigated which factors in a surgery clerkship curriculum have a positive effect on academic achievement on the National Board of Medical Examiners Subject Examination in Surgery. DESIGN: A retrospective analysis of 83 third-year medical students at our institution with 4 unique clinical experiences on the general surgery clerkship for the 2007-2008 academic year was conducted...
March 2014: Journal of Surgical Education
Peter I Praeger, Jonathan Praeger, Ahmed M Abdel-Razek, Elie M Elmann
A 31-year-old woman was admitted to the emergency department with a stab wound to the heart. She was initially stable but rapidly developed hypotension. While the operating room and staff were in preparation, she underwent pericardiocentesis. She was then rushed to the operating room by the general surgical trauma team, who performed a bilateral anterior thoracotomy to control the bleeding. In the recovery room, the patient was still hypotensive, so cardiothoracic surgery was consulted. An echocardiogram revealed severe hypokinesis of both ventricles...
2013: Texas Heart Institute Journal
Leyla Rezae, Farid Najafi, Mehdi Moradinazar, Tooraj Ahmadijouybari
The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7 cm into the eye is a rare phenomenon. In this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the upper side of his right eye orbit. Because of the agitation of the child and the lack of access, it was not possible to perform a brain or orbital computed tomography (CT) scan, but an X-ray showed that the object had gone directly into the retro-orbital space...
January 2014: Journal of Injury & Violence Research
Avery Walker, Doug Stoddard, George Black, Marlin Causey, Robert Rush, Scott Steele, Eric Johnson
INTRODUCTION: Outpatient surgery is performed widely throughout the Army Medical Command (MEDCOM). It is common practice throughout Medical Command to admit barracks dwelling active duty service members (ADSMs) undergoing ambulatory surgical procedures for overnight observation. We hypothesized that overnight observation of these individuals has not prevented adverse outcomes that would have otherwise occurred if the patient had been discharged to the barracks. METHODS: We reviewed the postoperative course of all ADSMs undergoing ambulatory surgery with subsequent overnight hospital stay because of primary barracks residence...
June 2013: Military Medicine
Mohit Bhandari, Mary M Chiavaras, Naveen Parasu, Hema Choudur, Olufemi Ayeni, Rajesh Chakravertty, Simrit Bains, Alisha Hak, Sheila Sprague, Brad Petrisor
BACKGROUND: Despite the prominence of hip fractures in orthopedic trauma, the assessment of fracture healing using radiographs remains subjective. The variability in the assessment of fracture healing has important implications for both clinical research and patient care. With little existing literature regarding reliable consensus on hip fracture healing, this study was conducted to determine inter-rater reliability between orthopedic surgeons and radiologists on healing assessments using sequential radiographs in patients with hip fractures...
February 25, 2013: BMC Musculoskeletal Disorders
L Arrico, R Migliorini, R Giannotti, S Collini, R Malagola
INTRODUCTION: The authors consider the type and the incidence of the adverse effects due to the interaction between ophthalmic drugs and general anaesthesia in pediatric ophthalmic surgery. PATIENTS AND METHODS: The experience included 176 general anaesthesia in 100 children aged between 9,2 months and 11,4 years (mean age 4,9 years). RESULTS: In the 100 patients we reported: 4 cases (2.7% general anaesthesias) of sinus tachycardia with heart rhythm varying between 170 and 180 beats per minute (3...
October 2012: Il Giornale di Chirurgia
Cemal Yazici, John Losurdo, Michael D Brown, Scott Oosterveen, Robert Rahimi, Ali Keshavarzian, Leila Bozorgnia, Ece Mutlu
AIM: To examine the predictive factors of capsule endoscopy (CE) completion rate (CECR) including the effect of inpatient and outpatient status. METHODS: We identified 355 consecutive patients who completed CE at Rush University Medical Center between March 2003 and October 2005. Subjects for CE had either nothing by mouth or clear liquids for the afternoon and evening of the day before the procedure. CE exams were reviewed by two physicians who were unaware of the study hypotheses...
September 28, 2012: World Journal of Gastroenterology: WJG
Christoph Oehler, Karl Frei, Elisabeth J Rushing, Paul M J McSheehy, Dirk Weber, Peter R Allegrini, Dorothea Weniger, Urs M Lütolf, Alexander Knuth, Yasuhiro Yonekawa, Krisztina Barath, Angela Broggini-Tenzer, Martin Pruschy, Silvia Hofer
BACKGROUND: Patients with glioblastoma (GBM) inevitably develop recurrent or progressive disease after initial multimodal treatment and have a median survival of 6-9 months from time of progression. To date, there is no accepted standard treatment for GBM relapse or progression. Patupilone (EPO906) is a novel natural microtubule-stabilizing cytotoxic agent that crosses the blood-brain barrier and has been found to have preclinical activity in glioma models. METHODS: This is a single-institution, early-phase I/II trial of GBM patients with tumor progression who qualified for second surgery with the goal of evaluating efficacy and safety of the single-agent patupilone (10 mg/m(2), every 3 weeks)...
2012: Oncology
Kecmanović Dragutin, Pavlov Maja, Ceranić Miljan, Kostić Dragan, Mihajlović Branislav
Alexander Brunschwig was very important person in surgical oncology during the 20th century. He helped Maximow and Bloom to write their well-known histology text "A text-book of histology", he was the first to do a one-stage radical pancreatoduodenectomy and pelvic exenteration. Doctor Alexander Brunschwig was born in El Paso, Texas, on September 11, 1901. He graduated from Rush Medical College in 1927. He was named for the chief of gynecology and clinical assistant at Clinics and Medical School of the Chicago University in 1933...
2011: Acta Chirurgica Iugoslavica
L Lewis Wall
By their very nature, overseas medical missions (and even domestic medical charities such as "free clinics") are designed to serve "vulnerable populations." If these groups were capable of protecting their own interests, they would not need the help of medical volunteers: their medical needs would be met through existing government health programs or by utilizing their own resources. Medical volunteerism thus seems like an unfettered good: a charitable activity provided by well-meaning doctors and nurses who want to give of their time, skills, and resources to help those who would not otherwise be able to take care of their medical needs...
June 2011: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
Shad H Deering, Robert M Rush, Richard N Lesperance, Bernard J Roth
BACKGROUND: The military health care system is unique in that almost every physician deploys for ≥6 months to a combat or far-forward setting. The aim of this study was to determine the perceived changes in clinical skills in this deployed population. METHODS: A survey was sent out to all specialty consultants to the Army Surgeon General to query active duty staff physicians in their specialty areas who have deployment experience in August 2007. Questions concerning specialty, length of deployment, perceived changes in skills, skill use while deployed, and time to get back to baseline clinically after deployment were asked...
May 2011: American Journal of Surgery
Carl I Schulman, Jill Graygo, Katherine Wilson, Donald B Robinson, George Garcia, Jeffrey Augenstein
UNLABELLED: The US Army and the Ryder Trauma Center (Jackson Memorial Hospital, Miami, Florida) teamed up to provide a training environment (ie, the Army Trauma Training Center) in which forward surgical teams can attend to gain critical teamwork and trauma technical skills to prepare for deployment to Iraq or Afghanistan. The purpose of this study was to gather trainee reactions to the military-civilian collaboration provided at ATTC after deployment to Iraq or Afghanistan. METHODS: Survey respondents were 135 US Army personnel (an approximately 50% response rate) who participated in the ATTC 2-week team training program between January 2005 and June 2007...
October 2010: U.S. Army Medical Department Journal
Malak Abedalthagafi, Elisabeth J Rushing, Aaron Auerbach, Mohamed M Desouki, Jason Marwaha, Zengfeng Wang, Julie C Fanburg-Smith
Cutaneous angiosarcoma (AS) is a rare malignant neoplasm of dermis composed of infiltrating cells of endothelial phenotype with overall poor prognosis. Although autocrine stimulation by vascular endothelial growth factor secretion may play a role in the pathogenesis of angiosarcoma, its mechanism has not been fully established. Hypoxia-inducible factor-1 (HIF-1) is a transcription factor that mediates cellular and systemic homeostatic responses to hypoxia.. The stability of HIF can regulate key proteins in angiogenesis and the alpha-subunit has been found in epithelial tumors, only 1 case of human retroperitoneal angiosarcoma, and rare vascular proliferations and tumors in knockout mice...
February 2010: Annals of Diagnostic Pathology
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