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https://www.readbyqxmd.com/read/28557613/sustainable-development-of-pathology-in-sub-saharan-africa-an-example-from-ghana
#1
Helge Stalsberg, Ernest Kwasi Adjei, Osei Owusu-Afriyie, Vidar Isaksen
CONTEXT: - Pathology services are poorly developed in Sub-Saharan Africa. Komfo Anokye Teaching Hospital in Kumasi, Ghana, asked for help from the pathology department of the University Hospital of North Norway, Tromsø. OBJECTIVE: - To reestablish surgical pathology and cytology in an African pathology department in which these functions had ceased completely, and to develop the department into a self-supporting unit of good international standard and with the capacity to train new pathologists...
May 30, 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28466251/establishment-of-the-u-l-t-r-a-measurement-rating-system-for-anterior-urethral-stricture
#2
Lei Chen, Rui Hou, Chao Feng, Xinru Zhang, Diancheng Li, Jie Chen, Bing Hu
PURPOSE: Anterior urethral stricture treatments are various, and comprehensive consideration should be given in selecting individualized treatment programs, which must be combined with the patient's stricture, length, complexity, and other factors. At present, there is no standard for the clinical description of the anterior urethral stricture for the selection of the characteristic index, and most of the indicators are qualitative information. In order to achieve consistent decisions and effective comparisons, it is imperative to establish a standardized description system...
July 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28430728/the-impact-of-a-dedicated-robotic-team-on-robotic-assisted-sacrocolpopexy-outcomes
#3
Charelle M Carter-Brooks, Angela L Du, Michael J Bonidie, Jonathan P Shepherd
BACKGROUND: Robotic-assisted sacrocolpopexy has been criticized for high cost. A strategy to increase operating room efficiency and decrease cost is implementation of a dedicated robotic team. Our objective was to determine if a dedicated robotic team decreases operative time. STUDY DESIGN: This institutional review board-approved retrospective cohort study included all robotic-assisted sacrocolpopexy performed from June 2010 to August 2015 by a single surgeon at 2 institutions in 1 health system...
April 20, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28273256/surgical-count-process-evidence-for-patient-safety
#4
Patrícia Scotini Freitas, Karina Dal Sasso Mendes, Cristina Maria Galvão
Objective: To analyze the surgical count process according to reports of nurses working in surgical centers of a city in the state of São Paulo. Methods: Cross-sectional study with a sample of 55 nurses. Data collection occurred from August to December 2013, with application of an instrument submitted to face and content validation, composed of data on variables regarding characteristics of nurses, hospital, and surgical count process. Results: Fifty-two (94...
February 23, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28013002/enhanced-endometriosis-archiving-software-eneas-an-application-for-storing-retrieving-comparing-and-sharing-data-of-patients-affected-by-endometriosis-integrated-in-the-daily-practice
#5
Gabriele Centini, Letizia Zannoni, Lucia Lazzeri, Paolo Buiarelli, Gianluca Limatola, Felice Petraglia, Renato Seracchioli, Errico Zupi
Endometriosis is a chronic benign disease affecting women of fertile age, associated with pelvic pain and subfertility, often with negative impacts on quality of life. Meetings involving 5 gynecologists skilled in endometriosis management and 2 informatics technology consultants competent in data management and website administration were enlisted to create an endometriosis databank known as ENEAS (Enhanced Endometriosis Archiving Software). This processing system allows users to store, retrieve, compare, and correlate all data collected in conjunction with different Italian endometriosis centers, with the collective objective of obtaining homogeneous data for a large population sample...
December 22, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27824873/evaluating-varied-label-designs-for-use-with-medical-devices-optimized-labels-outperform-existing-labels-in-the-correct-selection-of-devices-and-time-to-select
#6
Laura Bix, Do Chan Seo, Moslem Ladoni, Eric Brunk, Mark W Becker
PURPOSE: Effective standardization of medical device labels requires objective study of varied designs. Insufficient empirical evidence exists regarding how practitioners utilize and view labeling. OBJECTIVE: Measure the effect of graphic elements (boxing information, grouping information, symbol use and color-coding) to optimize a label for comparison with those typical of commercial medical devices. DESIGN: Participants viewed 54 trials on a computer screen...
2016: PloS One
https://www.readbyqxmd.com/read/27757429/surgeon-driven-neurophysiologic-monitoring-in-a-spinal-surgery-population
#7
Michael Pickell, Stephen M Mann, Rajesh Chakravertty, Daniel P Borschneck
BACKGROUND: This is a prospective observational study examining the use of a surgeon-driven intraoperative neurophysiologic monitoring system. Intraoperative neurophysiologic monitoring is becoming the standard of care for spinal surgeries with potential post-operative neurologic deficits. This standard applies to both adult and pediatric spinal surgery, but a shortage of appropriately trained and certified technologists and physiologists can compromise monitoring capabilities in some centers...
September 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27568533/use-of-a-surgical-safety-checklist-to-improve-team-communication
#8
Richard A Cabral, Terry Eggenberger, Kathryn Keller, Barry S Gallison, David Newman
To improve surgical team communication, a team at Broward Health Imperial Point Hospital, Ft Lauderdale, Florida, implemented a program for process improvement using a locally adapted World Health Organization Surgical Safety Checklist. This program included a standardized, comprehensive time out and a briefing/debriefing process. Postimplementation responses to the Safety Attitudes Questionnaire revealed a significant increase in the surgical team's perception of communication compared with that reported on the pretest (6% improvement resulting in t79 = -1...
September 2016: AORN Journal
https://www.readbyqxmd.com/read/27498438/surgical-safety-checklists-briefings-perceived-efficacy-and-team-member-involvement
#9
D S McDowell, S McComb
Researchers have shown inconsistencies in compliance, outcomes and attitudes of surgical team members related to surgical safety checklist briefings. The purpose of this study was to examine surgical circulator and scrub practitioners' perceptions of safety checklist briefings and team member involvement, and to identify potential improvements in the process based on those perceptions. An anonymous survey was conducted with members of the Association of periOperative Registered Nurses (AORN) and the Association of Surgical Technologists (AST)...
June 2016: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/27013029/venous-hemodynamic-changes-in-lower-limb-venous-disease-the-uip-consensus-according-to-scientific-evidence
#10
Byung B Lee, Andrew N Nicolaides, Kenneth Myers, Mark Meissner, Evi Kalodiki, Claudio Allegra, Pier L Antignani, Niels Bækgaard, Kirk Beach, Giovanni Belcaro, Stephen Black, Lena Blomgren, Eliete Bouskela, Massimo Cappelli, Joseph Caprini, Patrick Carpentier, Attilio Cavezzi, Sylvain Chastanet, Jan T Christenson, Demetris Christopoulos, Heather Clarke, Alun Davies, Marianne Demaeseneer, Bo Eklöf, Stefano Ermini, Fidel Fernández, Claude Franceschi, Antonios Gasparis, George Geroulakos, Gianesini Sergio, Athanasios Giannoukas, Peter Gloviczki, Ying Huang, Veronica Ibegbuna, Stavros K Kakkos, Robert Kistner, Tilo Kölbel, Ralph L Kurstjens, Nicos Labropoulos, James Laredo, Christopher R Lattimer, Marzia Lugli, Fedor Lurie, Oscar Maleti, Jovan Markovic, Erika Mendoza, Javier L Monedero, Gregory Moneta, Hayley Moore, Nick Morrison, Giovanni Mosti, Olle Nelzén, Alfred Obermayer, Tomohiro Ogawa, Kurosh Parsi, Hugo Partsch, Fausto Passariello, Michel L Perrin, Paul Pittaluga, Seshadri Raju, Stefano Ricci, Antonio Rosales, Angelo Scuderi, Carl E Slagsvold, Anders Thurin, Tomasz Urbanek, Andre M VAN Rij, Michael Vasquez, Cees H Wittens, Paolo Zamboni, Steven Zimmet, Santiago Z Ezpeleta
There are excellent guidelines for clinicians to manage venous diseases but few reviews to assess their hemodynamic background. Hemodynamic concepts that evolved in the past have largely remained unchallenged in recent decades, perhaps due to their often complicated nature and in part due to emergence of new diagnostic techniques. Duplex ultrasound scanning and other imaging techniques which evolved in the latter part of the 20th century have dominated investigation. They have greatly improved our understanding of the anatomical patterns of venous reflux and obstruction...
June 2016: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/25977248/emergency-manual-implementation-can-brief-simulation-based-or-staff-trainings-increase-familiarity-and-planned-clinical-use
#11
Sara N Goldhaber-Fiebert, Vivian Lei, Kiruthiga Nandagopal, Sylvia Bereknyei
BACKGROUND: Emergency manuals (EMs)-context-relevant sets of cognitive aids such as crisis checklists-are useful tools to enhance perioperative patient care. Studies in high-hazard industries demonstrate that humans, regardless of expertise, do not optimally retrieve or deploy key knowledge under stress. EM use has been shown in both health care simulation studies and other industries to help expert teams effectively manage critical events. However, clinical adoption and use are still nascent in health care...
May 2015: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/25823247/-management-of-massive-transfusion-the-role-of-the-blood-transfusion-service
#12
REVIEW
Shinji Sone, Hirokazu Tsuno, Hitoshi Okazaki
Massive transfusion (hemorrhage) is defined as blood transfusion exceeding the circulatory blood volume within 24 hours. Here, we investigated cases of massive transfusion, defined as transfusion of more than 21 units of red blood cells within 24 hours, in our institution in the period from August 2005 to March 2013. Massive transfusion accounted for approximately 1% of all blood transfusions in our institution, and the majority were cardiac surgery cases (75%), with 80% of the cases receiving blood transfusion irtfhe operating theater...
December 2014: Rinsho Byori. the Japanese Journal of Clinical Pathology
https://www.readbyqxmd.com/read/25823238/-combined-pulmonary-fibrosis-and-emphysema-cpfe-limitation-of-usual-lung-function-test-and-challenge-at-practice
#13
REVIEW
Daiya Takai
Spirometry and the flow-volume curve test are commonly performed lung function tests. However, a unique clinical entity occasionally shows almost normal data in these tests, and is therefore missed on screening tests. The clinical entity of combined pulmonary emphysema and pulmdoary fibrosis was recognized and documented in the 90's in Japan, the USA, and Europe. Typical emphysema shows obstructive disorders, and pulmonary fibrosis shows restrictive disorders. Thus, the combination of both should lead to a combined disorder pattern in lung function tests, but this is not the case...
December 2014: Rinsho Byori. the Japanese Journal of Clinical Pathology
https://www.readbyqxmd.com/read/25614408/utility-of-compact-ultrasound-in-a-mass-surgical-selection-program-in-africa-experience-of-a-sonologist-at-the-mv-africa-mercy-hospital-ship-s-screening-day
#14
Robert D Harris, Gary Parker
Compact ultrasound (US) was introduced in an austere setting with no other available imaging for an annual mass surgical screening day. Compact US examinations were performed on 25 patients from more than 7000 potential patients, as deemed possibly useful by the screening surgeons. Of the 20 patients with recorded data, compact US was helpful in 14 of 20 as a decision-making tool, obviating computed tomography for preoperative planning. Compact US was helpful in most cases, saving resources (computed tomography), technologist time, and radiation risk in this select population...
February 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/25541680/improving-operative-flow-during-pediatric-airway-evaluation-a-quality-improvement-initiative
#15
Jeremy D Prager, Amanda G Ruiz, Kristin Mooney, Dexiang Gao, Judit Szolnoki, Rahul K Shah
IMPORTANCE: Microlaryngoscopy and bronchoscopy procedures (MLBs) are short-duration, high-acuity procedures that carry risk. Poor case flow and communication exacerbate such potential risk. Efficient operative flow is critical for patient safety and resource expenditure. OBJECTIVES: To identify areas for improvement and evaluate the effectiveness of a multidisciplinary quality-improvement (QI) initiative. DESIGN, SETTING, AND PARTICIPANTS: A QI project using the "Plan-Do-Study-Act" (PDSA) cycle was implemented to assess MLBs performed on pediatric patients in a tertiary academic children's hospital...
March 2015: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/25472890/team-consistency-and-occurrences-of-prolonged-operative-time-prolonged-hospital-stay-and-hospital-readmission-a-retrospective-analysis
#16
Yan Xiao, Alan Jones, Beilei Belinda Zhang, Monica Bennett, Simon C Mears, Jay D Mabrey, Donald Kennerly
BACKGROUND: Human factors research has suggested benefits of consistent teams yet no surgical team consistency measures have been established for teamwork improvement initiatives. METHODS: Retrospective analysis was conducted of teams performing consecutive elective procedures of unilateral primary total knee and hip replacement between June 2008 and May 2010 at a large tertiary medical center. Surgeons who performed fewer than 50 cases of the procedures during the study period were excluded...
April 2015: World Journal of Surgery
https://www.readbyqxmd.com/read/25237938/free-access-open-source-e-learning-in-comprehensive-neurosurgery-skills-training
#17
REVIEW
Payal Jotwani, Vinkle Srivastav, Manjul Tripathi, Rama Chandra Deo, Britty Baby, Natesan Damodaran, Ramandeep Singh, Ashish Suri, Martin Bettag, Tara Sankar Roy, Christoph Busert, Marcus Mehlitz, Sanjeev Lalwani, Kanwaljeet Garg, Kolin Paul, Sanjiva Prasad, Subhashis Banerjee, Prem Kalra, Subodh Kumar, Bhavani Shankar Sharma, Ashok Kumar Mahapatra
BACKGROUND: Since the end of last century, technology has taken a front seat in dispersion of medical education. Advancements of technology in neurosurgery and traditional training methods are now being challenged by legal and ethical concerns of patient safety, resident work-hour restriction and cost of operating-room time. To supplement the existing neurosurgery education pattern, various e-learning platforms are introduced as structured, interactive learning system. MATERIALS AND METHODS: This study focuses on the concept, formulation, development and impact of web based learning platforms dedicated to neurosurgery discipline to disseminate education, supplement surgical knowledge and improve skills of neurosurgeons...
July 2014: Neurology India
https://www.readbyqxmd.com/read/25003738/the-role-of-packaging-size-on-contamination-rates-during-simulated-presentation-to-a-sterile-field
#18
Tony Trier, Nora Bello, Tamara Reid Bush, Laura Bix
OBJECTIVE: The objective of this study was to assess the impact of package size on the contact between medical devices and non-sterile surfaces (i.e. the hands of the practitioner and the outside of the package) during aseptic presentation to a simulated sterile field. Rationale for this objective stems from the decades-long problem of hospital-acquired infections. This work approaches the problem from a unique perspective, namely packaging size. DESIGN: Randomized complete block design with subsampling...
2014: PloS One
https://www.readbyqxmd.com/read/24897064/automated-in-situ-hybridization-for-human-papilloma-virus
#19
Cynthia Cohen, Diane Lawson, Jennifer Jiang, Momin T Siddiqui
With the increased number of requests for high-risk human papilloma virus in situ hybridization (HPV ISH), not only for uterine cervical squamous cell carcinoma (SCC) but also for biopsies and resections of oropharyngeal SCC, and fine needle aspiration cell blocks of metastatic SCC in cervical lymph nodes, we optimized an automated method to replace the manual one we had used. The new technique used the Leica BOND-maX or III immunostainer, already in use for immunohistochemical analysis, with the Enzo HPV type 16/18 and 6/11 probes...
September 2014: Applied Immunohistochemistry & Molecular Morphology: AIMM
https://www.readbyqxmd.com/read/24806022/development-of-a-cast-application-simulator-and-evaluation-of-objective-measures-of-performance
#20
Joel Moktar, Charles A Popkin, Andrew Howard, M Lucas Murnaghan
BACKGROUND: Surgical simulation offers a low-risk learning environment with repetitive practice opportunities for orthopaedic residents. It is increasingly prevalent in many training programs, as acquisition of technical skills in the face of educational demands and reduced work hours becomes more challenging. In addition to surgical skills, orthopaedic residents must also learn the technique of cast application. Deficiencies in casting skill are risk factors for re-displacement of fractures and cast-specific complications...
May 7, 2014: Journal of Bone and Joint Surgery. American Volume
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