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https://www.readbyqxmd.com/read/27919741/implementation-of-a-clinical-documentation-improvement-curriculum-improves-quality-metrics-and-hospital-charges-in-an-academic-surgery-department
#1
Cynthia Reyes, Alissa Greenbaum, Catherine Porto, John C Russell
BACKGROUND: Accurate clinical documentation (CD) is necessary for many aspects of modern healthcare, including excellent communication, quality metrics reporting, and legal documentation. New requirements have mandated the adoption of ICD-10-CM coding systems, adding another layer of complexity to CD. A clinical documentation improvement (CDI) and ICD-10 training program was created for healthcare providers in our academic surgery department. We aimed to assess the impact of our CDI curriculum by comparing quality metrics, coding and reimbursement before and after implementation of our CDI program...
December 2, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27893633/the-study-of-medial-superficial-perforator-of-the-superficial-circumflex-iliac-artery-perforator-flap-using-ct-angiography-and-surgical-anatomy-in-142-patients
#2
Hyun Suk Suh, Hyung Hwa Jeong, Joon Pio Hong
BACKGROUND: The two major perforators supplying the superficial circumflex iliac artery perforator (SCIP) flap are the medial (superficial) and lateral (deep) perforators but lacks detailed description. The purpose of this study was to clarify the anatomy. MATERIAL AND METHOD: In a prospective analysis of 142 patients, CT angiograms of 284 SCIP regions were evaluated and 142 SCIP flaps were surgically correlated. The origin of the SCIA, the origin of the medial perforator, the location where it penetrates the deep fascia, and its pattern of pathway after penetration of the superficial fascia were evaluated...
November 21, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27887932/assessing-national-provision-of-care-variability-in-bariatric-clinical-care-pathways
#3
Dana A Telem, Saniea F Majid, Kinga Powers, Eric DeMaria, John Morton, Daniel B Jones
BACKGROUND: The American Society for Metabolic and Bariatric Surgery (ASMBS) Quality Improvement and Patient Safety (QIPS) Committee hypothesized that collecting and sharing clinical pathways could provide a valuable resource to new and existing bariatric programs. OBJECTIVE: To shed light on the variability in practice patterns across the country by analyzing pathways. SETTING: United States Centers of Excellence METHODS: From June 2014 to April 2015, clinical pathways pertaining to preoperative, intraoperative, and postoperative management of bariatric patients were solicited from the ASMBS executive council (EC), QIPS committee members, and state chapter presidents...
August 3, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27825917/intraoperative-hypothermia-and-surgical-site-infections-in-patients-with-class-1-clean-wounds-a-case-control-study
#4
Michael J Brown, Timothy B Curry, Joseph A Hyder, Elie F Berbari, Mark J Truty, Darrell R Schroeder, Andrew C Hanson, Daryl J Kor
BACKGROUND: Numerous surgical quality metrics focus on prevention of unintentional perioperative hypothermia due, in part, to the association between hypothermia and surgical site infections (SSI). However, few studies have comprehensively evaluated the relationship between these metrics and SSI. In this study, we evaluated individual components of one set of hypothermia metrics to determine their association with SSI. METHODS: Patients with clean (Type 1) wounds who developed a SSI within thirty days after surgery from January 2003-December 2012 in one of five surgical specialties were matched to specialty specific controls without SSI...
November 4, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27821686/predictors-of-health-care-utilization-among-children-6-59-months-of-age-in-zamb%C3%A3-zia-province-mozambique
#5
Mary Bayham, Meridith Blevins, Melanie Lopez, Omo Olupona, Lazaro González-Calvo, Elisée Ndatimana, Ann F Green, Troy D Moon
Globally, approximately 5.9 million children under 5 years of age died in 2015, a reduction of over 50% since 1990. Millennium Development Goal 4 established the goal of reducing child mortality by two-thirds by 2015. Multiple countries have surpassed this goal; however, regional and within-country inequities exist. We sought to study determinants of health-care utilization among children 6-59 months of age with fever, diarrhea, and respiratory symptoms in Zambézia Province, Mozambique. We conducted a population-based cross-sectional survey of female heads of household between April and May 2014...
November 7, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27800284/the-standard-for-clinicians-interview-in-psychiatry-scip-a-clinician-administered-tool-with-categorical-dimensional-and-numeric-output-conceptual-development-design-and-description-of-the-scip
#6
REVIEW
Ahmed Aboraya, Henry Nasrallah, Srinivas Muvvala, Ahmed El-Missiry, Hader Mansour, Cheryl Hill, Daniel Elswick, Elizabeth C Price
Existing standardized diagnostic interviews (SDIs) were designed for researchers and produce mainly categorical diagnoses. There is an urgent need for a clinician-administered tool that produces dimensional measures, in addition to categorical diagnoses. The Standard for Clinicians' Interview in Psychiatry (SCIP) is a method of assessment of psychopathology for adults. It is designed to be administered by clinicians and includes the SCIP manual and the SCIP interview. Clinicians use the SCIP questions and rate the responses according to the SCIP manual rules...
May 2016: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/27693879/serum-from-obstructive-sleep-apnea-patients-induces-inflammatory-responses-in-coronary-artery-endothelial-cells
#7
Katherine E Zychowski, Bethany Sanchez, Rodrigo P Pedrosa, Geraldo Lorenzi-Filho, Luciano F Drager, Vsevolod Y Polotsky, Matthew J Campen
BACKGROUND AND AIMS: Obstructive sleep apnea (OSA) is characterized by intermittent airway obstruction and systemic hypoxia during sleep, which can contribute to an increase in reactive oxygen species, vascular remodeling, vasoconstriction and ultimately cardiovascular disease. Continuous positive airway pressure (CPAP) is a clinical therapy that maintains airway patency and mitigates several symptoms of OSA. However, it is currently unknown whether CPAP therapy also reduces the overall inflammatory potential in the circulation; to address this in an unbiased manner, we applied a novel endothelial biosensor approach, the serum cumulative inflammatory potential (SCIP) assay...
November 2016: Atherosclerosis
https://www.readbyqxmd.com/read/27600410/membrane-targeting-and-insertion-of-the-c-tail-protein-scip
#8
Eva Pross, Lavinia Soussoula, Ines Seitl, Domenico Lupo, Andreas Kuhn
C-tailed membrane proteins insert into the bilayer post-translationally because the hydrophobic anchor segment leaves the ribosome at the end of translation. Nevertheless, we find here evidence that the targeting of SciP to the membrane of Escherichia coli occurs co-translationally since signal elements in the N-terminal part of the SciP protein sequence are present. Two short hydrophobic sequences were identified that targeted a green fluorescent protein-SciP fusion protein to the membrane involving the signal recognition particle...
October 9, 2016: Journal of Molecular Biology
https://www.readbyqxmd.com/read/27521819/the-impact-of-scip-measures-on-in-hospital-outcomes-following-elective-vascular-procedures
#9
Kenneth R Nakazawa, Natalia N Egorova, John R Power, Peter L Faries, Ageliki G Vouyouka
OBJECTIVE: As part of the Surgical Care Improvement Project (SCIP), a national quality partnership of organizations including the Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention implemented several perioperative guidelines regarding antibiotic, venous thromboembolism (VTE), and beta-blocker prophylaxis for surgical patients. We evaluated the effect of SCIP on in-hospital surgical site infections (SSI), graft infections, VTE, myocardial infarctions (MI), cardiac complications, mortality, and length of stay following elective major vascular surgery...
August 10, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27423250/quadruple-component-superficial-circumflex-iliac-artery-perforator-scip-flap-a-chimeric-scip-flap-for-complex-ankle-reconstruction-of-an-exposed-artificial-joint-after-total-ankle-arthroplasty
#10
Takumi Yamamoto, Takafumi Saito, Ryohei Ishiura, Takuya Iida
Total ankle arthroplasty (TAA) is becoming popular in patients with rheumatoid arthritis (RA)-associated ankle joint degeneration. However, ankle wound complications can occur after TAA, which sometimes requires challenging reconstruction due to anatomical complexity of the ankle. Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap has been reported to be useful for various reconstructions, but no case has been reported regarding a chimeric SCIP flap for complex ankle reconstruction. We report a case of complex ankle defect successfully reconstructed with a free quadruple-component chimeric SCIP flap...
September 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27313846/a-randomized-double-blind-placebo-controlled-safety-tolerability-and-pharmacokinetic-dose-escalation-study-of-a-gentamicin-vancomycin-gel-in-patients-undergoing-colorectal-surgery
#11
Elliott Bennett-Guerrero, Harold S Minkowitz, Alvaro M Segura-Vasi, Jorge E Marcet, Jennifer A White, G Ralph Corey, Kent S Allenby
BACKGROUND: Despite numerous interventions promulgated by the Surgical Care Improve Project (SCIP) and other organizations, surgical site infection (SSI) continues to be a significant medical problem. DFA-02 is a novel bioresorbable modified-release gel consisting of both gentamicin (16.8 mg/mL) and vancomycin (18.8 mg/mL) to be applied during surgical incision closure for the prevention of SSIs. The following double-blind phase 2a trial was designed to test the safety and tolerability of DFA-02...
2016: Perioperative Medicine
https://www.readbyqxmd.com/read/27294512/zeb2-is-essential-for-schwann-cell-differentiation-myelination-and-nerve-repair
#12
Susanne Quintes, Bastian G Brinkmann, Madlen Ebert, Franziska Fröb, Theresa Kungl, Friederike A Arlt, Victor Tarabykin, Danny Huylebroeck, Dies Meijer, Ueli Suter, Michael Wegner, Michael W Sereda, Klaus-Armin Nave
Schwann cell development and peripheral nerve myelination require the serial expression of transcriptional activators, such as Sox10, Oct6 (also called Scip or Pou3f1) and Krox20 (also called Egr2). Here we show that transcriptional repression, mediated by the zinc-finger protein Zeb2 (also known as Sip1), is essential for differentiation and myelination. Mice lacking Zeb2 in Schwann cells develop a severe peripheral neuropathy, caused by failure of axonal sorting and virtual absence of myelin membranes. Zeb2-deficient Schwann cells continuously express repressors of lineage progression...
August 2016: Nature Neuroscience
https://www.readbyqxmd.com/read/27283107/optimal-timing-of-urinary-catheter-removal-after-thoracic-operations-a%C3%A2-randomized-controlled-study
#13
Mark S Allen, Shanda H Blackmon, Francis C Nichols, Stephen D Cassivi, William S Harmsen, Bettie Lechtenberg, Karlyn Pierson, Dennis A Wigle, K Robert Shen
BACKGROUND: There are very few randomized trials confirming the belief that prolonged urinary catheterization increases urinary tract infections, and none of these have included a comparative analysis of patients with an epidural catheter in place. The aim of this prospective randomized trial was to determine if removal of the urinary catheter within 48 hours after a thoracic operation, as required by the Surgical Care Improvement Project (SCIP) Measure 9, leads to increases in urinary tract reintervention and lower rates of urinary tract infections...
September 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27272500/using-the-cognitive-assessment-interview-to-screen-cognitive-impairment-in-psychosis
#14
Ana M Sánchez-Torres, María Rosa Elosúa, Ruth Lorente-Omeñaca, Lucía Moreno-Izco, Victor Peralta, Joseph Ventura, Manuel J Cuesta
Cognitive impairment in psychosis is closely related to functional outcome, so research into psychotic disorders is focusing most effort on treatments for improving cognition. New treatments must show not only an improvement on neuropsychological tests but also in co-primary measures of cognition. The cognitive assessment interview (CAI) is an interview-based measure of cognition which assesses the impact of cognitive deficits in patients' daily lives. Information obtained from patients and their relatives is integrated into a rater composite score...
October 2016: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/27068575/factors-associated-with-the-use-of-mosquito-bed-nets-results-from-two-cross-sectional-household-surveys-in-zamb%C3%A3-zia-province-mozambique
#15
Troy D Moon, Caleb B Hayes, Meridith Blevins, Melanie L Lopez, Ann F Green, Lazaro González-Calvo, Omo Olupona
BACKGROUND: Malaria remains a major threat to some 3.2 billion persons globally. Malaria contributes heavily to the overall disease burden in Mozambique and is considered endemic. A cornerstone of Mozambique's vector control strategy has been to strive for universal coverage of insecticide-treated nets (ITN). METHODS: The study is a population-based cross-sectional survey of female heads-of-household in Zambézia Province, Mozambique conducted during August-September, 2010 and April-May, 2014...
2016: Malaria Journal
https://www.readbyqxmd.com/read/27067761/morbidity-and-mortality-in-elective-total-knee-arthroplasty-following-surgical-care-improvement-project-guidelines
#16
Thomas B Bemenderfer, Nigel L Rozario, Charity G Moore, Madhav A Karunakar
BACKGROUND: Perioperative myocardial infarctions and cardiac complications are leading causes of mortality after noncardiac surgery. In an effort to improve patient safety, the Surgical Care Improvement Project (SCIP) implemented guidelines concerning administration of β-blockers therapy aimed to reduce cardiac complications. METHODS: The Nationwide Inpatient Sample was queried for 759,819 elective total knee arthroplasties performed from 2003 to 2011. Incidence of cardiac complications, mortality, and risk factors for cardiac complications was determined before and after SCIP implementation...
September 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/26913620/a-randomized-clinical-trial-of-a-parent-focused-social-cognitive-processing-intervention-for-caregivers-of-children-undergoing-hematopoetic-stem-cell-transplantation
#17
Sharon Manne, Laura Mee, Abraham Bartell, Stephen Sands, Deborah A Kashy
OBJECTIVE: Providing care to one's child during and after a hematopoietic stem cell transplant (HSCT) is a universally stressful experience, but few psychological interventions have been developed to reduce caregiver distress. The goal of this study was to test the efficacy of a brief cognitive-behavioral intervention delivered to primary caregivers. METHOD: Two hundred eighteen caregivers were assigned either best-practice psychosocial care (BPC) or a parent social-cognitive intervention program (P-SCIP)...
May 2016: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/26851963/superficial-circumflex-iliac-artery-perforator-flap-for-tongue-reconstruction
#18
Chunyue Ma, Zhuowei Tian, Evagelos Kalfarentzos, Yixin Zhang, Zhiyuan Zhang, Din Lam, Chenping Zhang, Yue He
OBJECTIVES: With microvascular reconstruction, different perforator flaps have been introduced for the treatment of head and neck defects. In light of this, the superficial circumflex iliac artery perforator (SCIP) flap was assessed for reconstruction after partial and hemiglossectomy. STUDY DESIGN: A total number of nine patients who received SCIP flap reconstruction for tongue defects were included in this study. Details on clinical features were collected, and postoperative functions and esthetic results were analyzed...
April 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/26787382/superficial-circumflex-iliac-artery-perforator-flap-s-imaging-anatomy-and-clinical-applications-in-oral-maxillofacial-reconstruction
#19
Yue He, Shufang Jin, Zhuowei Tian, Zao Fang, Chunyue Ma, Xiaofeng Tao, Yixin Zhang, Weiliu Qiu, Zhiyuan Zhang, Chenping Zhang
PURPOSE: To assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap for oral maxillofacial reconstruction and evaluate computed tomography angiography (CTA) and color Doppler sonography (CDS) in mapping superficial circumflex iliac artery (SCIA) and its perforators. MATERIAL AND METHODS: Fifteen patients were carried out surgery. Perforator identification and the relationship between SCIA, deep circumflex iliac artery (DCIA) and superficial inferior epigastric artery (SIEA) were performed preoperatively and intra-operatively...
March 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/26687503/transcriptional-regulation-of-mouse-hypoglossal-motor-neuron-somatotopic-map-formation
#20
Xin Chen, Jae Woong Wang, Adele Salin-Cantegrel, Rola Dali, Stefano Stifani
Somatic motor neurons in the hypoglossal nucleus innervate tongue muscles controlling vital functions such as chewing, swallowing and respiration. Formation of functional hypoglossal nerve circuits depends on the establishment of precise hypoglossal motor neuron maps correlating with specific tongue muscle innervations. Little is known about the molecular mechanisms controlling mammalian hypoglossal motor neuron topographic map formation. Here we show that combinatorial expression of transcription factors Runx1, SCIP and FoxP1 defines separate mouse hypoglossal motor neuron groups with different topological, neurotransmitter and calcium-buffering phenotypes...
December 19, 2015: Brain Structure & Function
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