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Jason W Kempenich, Ross E Willis, Robert J Blue, Mohammed J Al Fayyadh, Robert M Cromer, Paul J Schenarts, Kent R Van Sickle, Daniel L Dent
OBJECTIVE: To decipher if patient attitudes toward resident participation in their surgical care can be improved with patient education regarding resident roles, education, and responsibilities. DESIGN: An anonymous questionnaire was created and distributed in outpatient surgery clinics that had residents involved with patient care. In total, 3 groups of patients were surveyed, a control group and 2 intervention groups. Each intervention group was given an informational pamphlet explaining the role, education, and responsibilities of residents...
September 20, 2016: Journal of Surgical Education
Jason W Kempenich, Ross E Willis, Robert Rakosi, John Wiersch, Paul Joseph Schenarts
OBJECTIVE: Identify barriers to resident autonomy in today's educational environment as perceived through 4 selected groups: senior surgical residents, teaching faculty, hospital administration, and the general public. DESIGN: Anonymous surveys were created and distributed to senior residents, faculty, and hospital administrators working within 3 residency programs. The opinions of a convenience sample of the general public were also assessed using a similar survey...
November 2015: Journal of Surgical Education
John M Keesler
BACKGROUND: Trauma-informed care (TIC) is a systems-level philosophy of service delivery which integrates choice, collaboration, empowerment, safety and trust to create an organizational culture sensitive to trauma. This study explores staff understandings and perceptions within an innovative trauma-informed day program for individuals with Intellectual/developmental disabilities. METHODS: Semi-structured interviews queried staff members (n = 20) regarding trauma and TIC, the integration of the five principles of TIC, associated challenges and recommendations for improvement...
September 2016: Journal of Applied Research in Intellectual Disabilities: JARID
John M Keesler
In the United States, the Social Security Administration (SSA) provides financial benefits through Supplemental Security Income (SSI) to many individuals with intellectual and developmental disabilities (IDD). Family members and service coordinators (SCs) provide a critical role in applying for SSI on behalf of individuals with IDD. The present study uses a street-level lens to understand the implementation of SSI policy from the perspective of family respondents and SCs based upon their experiences with the application process...
February 2015: Intellectual and Developmental Disabilities
S Hiemstra, L Harkema, L C M Wiersma, R I Keesler
The liver can be an indicator of the health of an individual or of a group, which can be especially important to identify agents that can cause disease in multiple species. To better characterize hepatic lesions in stranded harbor porpoises (Phocoena phocoena), we analyzed the livers from 39 porpoises that stranded along the Dutch coast between December 2008 and December 2012. The animals were selected because they had either gross or histologic liver lesions with minimal autolysis and no evidence of trematode (Campula oblonga) infection...
November 2015: Veterinary Pathology
Isabelle Schrauwen, Renee M Barber, Scott J Schatzberg, Ashley L Siniard, Jason J Corneveaux, Brian F Porter, Karen M Vernau, Rebekah I Keesler, Kaspar Matiasek, Thomas Flegel, Andrew D Miller, Teresa Southard, Christopher L Mariani, Gayle C Johnson, Matthew J Huentelman
Necrotizing meningoencephalitis (NME) affects toy and small breed dogs causing progressive, often fatal, inflammation and necrosis in the brain. Genetic risk loci for NME previously were identified in pug dogs, particularly associated with the dog leukocyte antigen (DLA) class II complex on chromosome 12, but have not been investigated in other susceptible breeds. We sought to evaluate Maltese and Chihuahua dogs, in addition to pug dogs, to identify novel or shared genetic risk factors for NME development. Genome-wide association testing of single nucleotide polymorphisms (SNPs) in Maltese dogs with NME identified 2 regions of genome-wide significance on chromosomes 4 (chr4:74522353T>A, p = 8...
2014: PloS One
W Keith Berg
Frances Keesler Graham, noted psychophysiologist and developmental researcher, died on April 16, 2013. Fran was born in Canastota, New York, on August 1, 1918. Fran's high-quality research, her success in obtaining 39 years of uninterrupted funding, and the very high regard in which she was held among her colleagues led to numerous awards and honors. Fran was demanding but equally willing to provide extensive assistance to students willing to work hard.
September 2014: American Psychologist
David A Patterson, Catherine Dulmus, Eugene Maguin, John Keesler, Byron Powell
Several studies have demonstrated the effect of an organization's culture and climate on the delivery of services to clients and the success of clinical outcomes. Workers' perceptions are integral components of organizational social context, and in order to create a positive organizational culture and climate, managers and frontline staff need to have a shared understanding of the social context. The existing literature does not adequately address that discrepancies in perceptions of culture and climate between frontline staff and managers impact the implementation of policies and services...
June 13, 2014: Human Service Organizations, Management, Leadership & Governance
Marissa C Keesler, Fernanda Catharino, Luciana Q Closs, Nelson Mucha, Roberto Lima
No abstract text is available yet for this article.
March 2014: Dental Press Journal of Orthodontics
Floryne O Buishand, Judith Visser, Marja Kik, Andrea Gröne, Rebekah I Keesler, Inge H Briaire-de Bruijn, Jolle Kirpensteijn
Tissue microarray (TMA) technology allows analysis of multiple tumour samples simultaneously on a single slide. The aim of the present study was to develop and assess a TMA containing 32 primary canine insulinomas and 13 insulinoma metastases. The results of histopathological and immunohistochemical analyses of triplicate core biopsies were compared with those of individual tissue sections using weighted κ statistics. Inter-observer agreement of TMA immunohistochemistry scores were assessed for chromogranin A (CgA), insulin, growth hormone (GH), growth hormone receptor (GHR) and Ki67 index, as well as the prognostic utility of clinicopathological, histopathological and immunohistochemical criteria...
July 2014: Veterinary Journal
S Vreman, P Wiemer, R I Keesler
A 10-year-old KWPN (Royal Warmblood Studbook of the Netherlands) gelding was euthanized after developing severe neurological symptoms preceded by severe epistaxis during laser treatment for progressive ethmoid haematoma (PEH) in the right nasal cavity. Postmortem examination of the head revealed a large amount of clotted blood between the right ventral and dorsal conchae in the nasal cavity and acute haemorrhage in the right subarachnoid space. Histologically, there was moderate, acute polioencephalomalacia in the neuropil adjacent to the haemorrhage...
October 1, 2013: Tijdschrift Voor Diergeneeskunde
L Begeman, J A St Leger, D J Blyde, T P Jauniaux, S Lair, G Lovewell, S Raverty, H Seibel, U Siebert, S L Staggs, P Martelli, R I Keesler
Intestinal volvulus was recognized as the cause of death in 18 cetaceans, including 8 species of toothed whales (suborder Odontoceti). Cases originated from 11 institutions from around the world and included both captive (n = 9) and free-ranging (n = 9) animals. When the clinical history was available (n = 9), animals consistently demonstrated acute dullness 1 to 5 days prior to death. In 3 of these animals (33%), there was a history of chronic gastrointestinal illness. The pathological findings were similar to those described in other animal species and humans, and consisted of intestinal volvulus and a well-demarcated segment of distended, congested, and edematous intestine with gas and bloody fluid contents...
July 2013: Veterinary Pathology
Andrew B Hall, David Northern
OBJECTIVE: After percutaneous endoscopic gastrostomy (PEG) tube placement, many surgeons will place an abdominal binder to protect the tube. Analysis of the literature shows mixed data as to the safety of abdominal binders with respect to pulmonary function. In this study, pulmonary function tests (PFTs) were used to assess changes in pulmonary status with and without an abdominal binder in volunteer active-duty personnel. DESIGN: Patient's forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), forced expiratory flow (FEF), peak expiratory flow (PEF) maximal inspiratory (P(i) max) and expiratory pressures (P(e) max), total lung capacity (TLC), vital capacity (VC), functional reserve capacity (FRC), expiratory reserve volume (ERV), and residual volume (RV) were measured with and without an elastic abdominal binder in prone, 30 degree and 60 degree positions in 5 male and 5 female active-duty personnel...
January 2012: Journal of Surgical Education
Andrew B Hall, Walter Brehm, Heather K Bright, Shea Pribyl, Byron E Hall
OBJECTIVE: Our objective is to investigate some of the trends and variables within the ductal carcinoma in situ (DCIS) diagnosed population and to compare them with the greater civilian populations to identify any possible areas of deficiency or superiority in comparison with civilian institutions. DESIGN: A retrospective analysis of 5023 patients. SETTING: 81st Medical Group Clinical Research Laboratory at Keesler AFB, Mississippi. PARTICIPANTS: All patients treated for ductal carcinoma in situ entered into the Automated Central Tumor Registry (ACTUR) between January 1988 and December 2009...
September 2011: Journal of Surgical Education
Andrew B Hall, Justin M Sanders, Brad Wheeler
OBJECTIVE: Multiple incidents of isolated bladder ruptures have occurred in the military parachuting community after jumps. The aim of this article is to demonstrate the amount of energy it takes to rupture a distended bladder and encourage prejump voiding. DESIGN: Euthanized pig abdomens were opened immediately postmortem, and the urethra and bladder were isolated. The urethras were attached to a water column, which was gradually increased in height until bladder rupture...
May 2011: Journal of Surgical Education
Andrew B Hall, Theresa Freeman, Shane Banks
OBJECTIVE: Recent literature reports an increased risk of morbidity and mortality in nonemergency operations performed during nonregular duty hours at large institutions. Of the nonemergency operations performed after regular duty hours, appendectomies remain the most common. The study seeks to answer the question as to whether it is safe to continue performing appendectomies during non-normal duty hours at a low-volume institution. DESIGN: The study is a retrospective cohort review examining 102 appendectomies for suspected appendicitis over a 46-month period from July 2005 to May 2010...
May 2011: Journal of Surgical Education
Andrew Hall, Kendrix Evans, Shea Pribyl
OBJECTIVE: The war in Afghanistan represents the first large-scale conflict involving military troops in a cold, mountainous climate since the Korean War. An analysis was conducted to identify the extent of cold weather injuries, especially frostbite, in the deployed military population. DESIGN: A retrospective analysis of military databases was conducted with tabulation of all cases of cold-weather injuries in Operations Enduring Freedom and Iraqi Freedom. Casualties reviewed occurred between 2001 and 2009...
March 2010: Journal of Surgical Education
Andrew T Allen, Anna M Flinn, William F Moore
BACKGROUND: The Obstetrics and Gynecology (OB/GYN) flight at Keesler Medical Center sheltered 36 pregnant women and their families during Hurricane Katrina to ensure that appropriate medical care would be available. Ironically, the hospital's emergency generators were destroyed during the 30-foot storm surge, while one woman with a previous cesarean section went into active labor. She ultimately underwent a cesarean delivery using battery-operated flashlights for illumination. After the storm, the damage to the hospital was so extensive as to require aeromedical evacuation of the pregnant patients and their families...
February 2007: Military Medicine
Brian D Layton, Jerry W Pratt
OBJECTIVE: To discuss a case of radiation pericarditis and the physiology of the disease, and to discuss the left thoracotomy as an effective alternative to median sternotomy for pericardiectomy in the treatment of complicated radiation pericarditis. DESIGN: A case report with accompanying discussion of the disease and literature search. SETTING: Keesler Air Force Base Medical Center, a military training facility and general surgery residency program...
March 2006: Current Surgery
No abstract text is available yet for this article.
February 1953: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
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