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Shanley Chong, Roy Byun, Soumya Mazumdar, Adrian Bauman, Bin Jalaludin
BACKGROUND: The aim was to investigate the association between distant green space and physical activity modified by local green space. METHODS: Information about physical activity, demographic and socio-economic background at the individual level was extracted from New South Wales Population Health Survey. The proportion of a postcode that was parkland was used as a proxy measure for access to parklands and was calculated for each individual. RESULTS: There was a significant relationship between distant green space and engaging in moderate to vigorous physical activity (MVPA) at least once a week...
October 24, 2016: Journal of Physical Activity & Health
Elaine L Duryea, Brian M Casey, Donald D McIntire, Diane M Twickler
PURPOSE: To determine if sonographic variables, including fetal femur length to abdominal circumference ratio (FL/AC), are associated with shoulder dystocia in women with gestational diabetes. METHODS: This was a retrospective cohort study of women with gestational diabetes who delivered singleton infants at Parkland Hospital from 1997 to 2015. Diagnosis and treatment of gestational diabetes was uniform including sonography at 32-36 weeks. Biometric calculations were evaluated for correlation with shoulder dystocia...
October 19, 2016: Journal of Maternal-fetal & Neonatal Medicine
Leopoldo C Cancio, Jose Salinas, George C Kramer
Fluid resuscitation of burn patients is commonly initiated using modified Brooke or Parkland formula. The fluid infusion rate is titrated up or down hourly to maintain adequate urine output and other endpoints. Over-resuscitation leads to morbid complications. Adherence to paper-based protocols, flow sheets, and clinical practice guidelines is associated with decreased fluid resuscitation volumes and complications. Computerized tools assist providers. Although completely autonomous closed-loop control of resuscitation has been demonstrated in animal models of burn shock, the major advantages of open-loop and decision-support systems are identifying trends, enhancing situational awareness, and encouraging burn team communication...
October 2016: Critical Care Clinics
David T Harrington
More than 4 decades after the creation of the Brooke and Parkland formulas, burn practitioners still argue about which formula is the best. So it is no surprise that there is no consensus about how to resuscitate a thermally injured patient with a significant comorbidity such as heart failure or cirrhosis or how to resuscitate a patient after an electrical or inhalation injury or a patient whose resuscitation is complicated by renal failure. All of these scenarios share a common theme in that the standard rule book does not apply...
October 2016: Critical Care Clinics
Simon J Craddock Lee, Mark A Clark, John V Cox, Burton M Needles, Carole Seigel, Bijal A Balasubramanian
Patients with cancer with multiple chronic conditions pose a unique challenge to how primary care and specialty care teams provide well-coordinated, patient-centered care. Effectiveness of these care teams in providing optimal health care depends on the extent to which they coordinate their goals and knowledge as components of a multiteam system (MTS). This article outlines challenges of care coordination in the context of an MTS, illustrated through the care experience of "Mr Fuentes," a patient in the Dallas County integrated safety-net system, Parkland...
August 30, 2016: Journal of Oncology Practice
P Guilabert, G Usúa, N Martín, L Abarca, J P Barret, M J Colomina
Since 1968, when Baxter and Shires developed the Parkland formula, little progress has been made in the field of fluid therapy for burn resuscitation, despite advances in haemodynamic monitoring, establishment of the 'goal-directed therapy' concept, and the development of new colloid and crystalloid solutions. Burn patients receive a larger amount of fluids in the first hours than any other trauma patients. Initial resuscitation is based on crystalloids because of the increased capillary permeability occurring during the first 24 h...
September 2016: British Journal of Anaesthesia
Joseph B Cantey, Phillip S Wozniak, Jessica E Pruszynski, Pablo J Sánchez
BACKGROUND: Antibiotics are used frequently in the neonatal intensive care unit. We aimed to inform antibiotic stewardship strategies in a level 3 neonatal intensive care unit by surveillance and assessment of all antibiotic use during a 14-month period, identifying scenarios where antibiotic use can be reduced, and implementing interventions while monitoring safety. METHODS: The SCOUT study is an observational study in the level 3 neonatal intensive care unit at Parkland Hospital, Dallas, TX, USA...
October 2016: Lancet Infectious Diseases
Stephanie A Mason, Avery B Nathens, Marc G Jeschke
No abstract text is available yet for this article.
July 18, 2016: Annals of Surgery
Jason M Huang, Andrew D Pansick, Preston H Blomquist
PURPOSE: The choice and route of antibiotic prophylaxis in the setting of open globe injury remains controversial. We investigated the utility of intravenous vancomycin and cefepime prophylaxis in preventing endopthalmitis after open globe injury. METHODS: The charts of 224 patients who presented to Parkland Memorial Hospital and Children's Medical Center in Dallas, Texas, between June 1, 2009 and June 30, 2013, with open globe injury and who were treated with prophylactic intravenous vancomycin and cefepime were retrospectively reviewed...
September 2016: Journal of Ocular Pharmacology and Therapeutics
Haekyung Jeon-Slaughter, Cynthia A Claassen, David A Khan, Perry Mihalakos, Kevin B Lee, E Sherwood Brown
OBJECTIVES: Prior research suggests a possible association between pollen and suicide. No studies have examined the relationship between pollen and attempted suicide. This study examines the temporal association between airborne pollen counts and nonfatal suicidal and nonsuicidal self-directed violence (SDV) requiring an emergency department visit. METHODS: Data on daily emergency department visits due to nonfatal SDV as identified by ICD-9 diagnosis criteria were extracted from emergency department medical records of Parkland Memorial Hospital in Dallas, Texas, between January 2000 and December 2003...
June 7, 2016: Journal of Clinical Psychiatry
Robert M T Staruch, A Beverly, D Lewis, Y Wilson, N Martin
AIMS: While the epidemiology of amputations in patients with burns has been investigated previously, the effect of an amputation on burn size and its impact on fluid management have not been considered in the literature. Fluid resuscitation volumes are based on the percentage of the total body surface area (%TBSA) burned calculated during the primary survey. There is currently no consensus as to whether the fluid volumes should be recalculated after an amputation to compensate for the new body surface area...
June 8, 2016: Journal of the Royal Army Medical Corps
Anna Vanderheiden, Lindsay Harrison, Jeremy Warshauer, Xilong Li, Beverley Adams-Huet, Ildiko Lingvay
IMPORTANCE: An increasing number of patients with type 2 diabetes are treated with high doses of insulin. Such treatment is associated with weight gain, hypoglycemia, and high treatment burden. OBJECTIVE: To assess the effectiveness and safety of adding a glucagon-like peptide 1 receptor agonist to the treatment regimen of patients with type 2 diabetes requiring therapy with high-dose insulin. DESIGN, SETTING, AND PARTICIPANTS: This clinical trial was a double-blind, placebo-controlled, randomized (1:1) study with 6 months of follow-up, conducted from August 13, 2012, to February 9, 2015, at ambulatory clinics at the University of Texas Southwestern Medical Center and Parkland Hospital...
July 1, 2016: JAMA Internal Medicine
Erica I Hodgman, Rachel A Pastorek, Melody R Saeman, Michael W Cripps, Ira H Bernstein, Steven E Wolf, Karen J Kowalske, Brett D Arnoldo, Herb A Phelan
INTRODUCTION: Pediatric burns due to abuse are unfortunately relatively common, accounting for 5.8-8.8% of all cases of abuse annually. Our goal was to evaluate our 36-year experience in the evaluation and management of the victims of abuse in the North Texas area. METHODS: A prospectively maintained database containing records on all admissions from 1974 through 2010 was queried for all patients aged less than 18 years. Patients admitted for management of a non-burn injury were excluded from the analysis...
August 2016: Burns: Journal of the International Society for Burn Injuries
Amit G Singal, Peng Zhang, Akbar K Waljee, Lakshmi Ananthakrishnan, Neehar D Parikh, Pratima Sharma, Pranab Barman, Venkataramu Krishnamurthy, Lu Wang, Stewart C Wang, Grace L Su
OBJECTIVES: Existing prognostic models for patients with hepatocellular carcinoma (HCC) have limitations. Analytic morphomics, a novel process to measure body composition using computational image-processing algorithms, may offer further prognostic information. The aim of this study was to develop and validate a prognostic model for HCC patients using body composition features and objective clinical information. METHODS: Using computed tomography scans from a cohort of HCC patients at the VA Ann Arbor Healthcare System between January 2006 and December 2013, we developed a prognostic model using analytic morphomics and routine clinical data based on multivariate Cox regression and regularization methods...
May 26, 2016: Clinical and Translational Gastroenterology
John D Scott, John F Anderson, Lance A Durden, Morgan L Smith, Jodi M Manord, Kerry L Clark
Lyme disease has emerged as a major health concern in Canada, where the etiological agent, Borrelia burgdorferi sensu lato (s.l.), a spirochetal bacterium, is typically spread by the bite of certain ticks. This study explores the presence of B. burgdorferi s.l. in blacklegged ticks, Ixodes scapularis, collected at Dundas, Ontario (a locality within the region of Hamilton-Wentworth). Using passive surveillance, veterinarians and pet groomers were asked to collect blacklegged ticks from dogs and cats with no history of travel...
2016: International Journal of Medical Sciences
Marc Coudel, Pierre-Marie Aubert, Mohammed Aderghal, Christelle Hély
Human activities are historical ecological drivers, and we need to better understand their effects on ecosystems. In particular, they have been very important in the shaping of the Mediterranean biodiversity hotspot. Researchers and managers nonetheless lack knowledge concerning the impacts of their combinations and their current intensity on the structure of forest ecosystems of the southern part of the Mediterranean basin. In this study, we have develped a new methodology in order to understand the impacts of combined pastoral and woodcutting activities on the forest structure of the still ill-described but ecologically and economically important Moroccan Middle Atlas cedar forests...
March 2016: Ecological Applications: a Publication of the Ecological Society of America
Jie Zeng, Jingjing Quan, Xuefeng Xia
Due to an inability to contact various of the contributors to this study at the time of submission and a desire to publish this work, the published article did not include the full complement of authors who should have been credited on the paper. All of the existing authors have agreed that the following authors, whose names were omitted, should also have been included as co-authors: Professor Jin Gao (now at the School of Dentistry and Oral Health, Griffith University, Queensland, Australia), who was involved with project design and revisions of the manuscript; Dr Shuyu Luo (now at the School and Hospital of Stomatology, Tianjin Medical University, Tianjin, China), who was involved in project development, data collection (Figs 3 and 6) and manuscript writing; and Dr Jianming Zhang (now at the Department of Stomatology, General Hospital of Tianjin Medical University, Tianjin, China), who was involved in project development, data collection and analysis (Fig...
July 2016: Molecular Medicine Reports
Rui Liu, Xiao-Hang Hu, Shu-Ming Wang, Si-Jia Guo, Zong-Yu Li, Xiao-Dong Bai, Fang-Qiang Zhou, Sen Hu
BACKGROUND: To investigate whether pyruvate-enriched oral rehydration solution (Pyr-ORS), compared with citrate-enriched ORS (Cit-ORS), improves hemodynamics and organ function by alleviating vasopermeability and plasma volume loss during intra-gastric fluid rehydration in dogs with severe burn. METHODS: Forty dogs subjected to severe burn were randomly divided into four groups (n=10): two oral rehydrated groups with Pyr-ORS and Cit-ORS (group PR and group CR), respectively, according to the Parkland formula during the first 24h after burns...
June 2016: Burns: Journal of the International Society for Burn Injuries
Jelle F Homans, Willem-Bart M Slooff, Pim A de Jong, Constantinus F Buckens
No abstract text is available yet for this article.
June 2016: Journal of Neurosurgery
Maria Helena Müller Dittrich, Werther Brunow de Carvalho, Edson Lopes Lavado
OBJECTIVE: To compare early versus delayed albumin resuscitation in children with burns in terms of clinical outcome and response. DESIGN: Randomized controlled trial. SETTING: Burn center at a tertiary care teaching hospital. PATIENTS: Forty-six children aged 1-12 years with burns greater than 15-45% total body surface area admitted within 12 hours of burn injury. INTERVENTIONS: Fluid resuscitation was based on the Parkland formula (3 mL/kg/% total body surface area), adjusted according to urine output...
June 2016: Pediatric Critical Care Medicine
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