keyword
https://read.qxmd.com/read/38536873/quality-and-sustainability-of-ethiopia-s-national-surgical-indicators
#1
JOURNAL ARTICLE
Kayleigh R Cook, Zebenay B Zeleke, Ephrem Gebrehana, Daniel Burssa, Bantalem Yeshanew, Atkilt Michael, Yoseph Tediso, Taylor Jaraczewski, Chris Dodgion, Andualem Beyene, Katherine R Iverson
In 2015, the Ethiopian Federal Ministry of Health (FMOH) developed the Saving Lives through Safe Surgery (SaLTS) initiative to improve national surgical care. Previous work led to development and implementation of 15 surgical key performance indicators (KPIs) to standardize surgical data practices. The objective of this project is to investigate current practices of KPI data collection and assess quality to improve data management and strengthen surgical systems. The first portion of the study documented the surgical data collection process including methods, instruments, and effectiveness at 10 hospitals across 2 regions in Ethiopia...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38536760/nonpharmacologic-rate-control-of-postoperative-atrial-fibrillation-in-the-canine-sterile-pericarditis-model
#2
JOURNAL ARTICLE
Seungyup Lee, Don Wallick, Celeen Khrestian, Dragan Juzbasich, Daniel Laurita, Gregory Rushing, Jayakumar Sahadevan
INTRODUCTION: Postoperative atrial fibrillation (POAF) is common following open heart surgery, and is associated with significant morbidity. Medications used for ventricular rate control of POAF may not be effective in controlling rapid ventricular rates during the postoperative period because of increased sympathetic tone. The purpose of this study was to develop nonpharmacologic rate control of POAF by atrioventricular node (AVN) fat pad stimulation using clinically available temporary pacing wires in the canine sterile pericarditis model...
March 27, 2024: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/38536584/complications-of-outpatient-chest-tube-management-for-prolonged-air-leaks-after-pulmonary-surgery
#3
JOURNAL ARTICLE
Ryan J Randle, Prasha Bhandari, Hao He, Mark F Berry, Leah M Backhus, Natalie S Lui, Douglas Z Liou, Joseph B Shrager
PURPOSE: Air leaks are common after pulmonary surgery. Prolonged air leaks (PALs) may persist through discharge and often are managed with one-way valve devices (OWD). We sought to determine the course and complications of patients discharged with OWDs, risk factors for complications, and to evaluate the utility of clamp trials before chest tube (CT) removal. METHODS: Single-institution, retrospective review of patients discharged with a OWD after pulmonary surgery between 2008 and 2022...
March 27, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38534175/the-association-between-craniofacial-fracture-patterns-and-traumatic-optic-neuropathy
#4
JOURNAL ARTICLE
Bashar Hassan, Joshua Yoon, Adekunle Elegbede, Shannath L Merbs, Fan Liang, Neil R Miller, Paul N Manson, Michael P Grant
Traumatic optic neuropathy (TON) is a rare but potentially devastating complication of craniofacial trauma. Approximately half of patients with TON sustain permanent vision loss. In this study, we sought to identify the most common fracture patterns associated with TON. We performed a retrospective review of craniomaxillofacial CT scans of trauma patients who presented to the R Adams Cowley Shock Trauma Center from 2015 to 2017. Included were adult patients who had orbital fractures with or without other facial fractures...
March 27, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38534054/successful-treatment-of-refractory-orbital-plasmacytoma-with-chimeric-antigen-receptor-t-cell-therapy-a-case-report-and-review-of-the-literature
#5
JOURNAL ARTICLE
Rebecca Z Lin, Tracy Lu, Natalie Homer, Clara J Men
Orbital plasmacytoma is a rare plasma cell tumor that may arise as an aggressive form of extramedullary multiple myeloma. Treatment modalities include surgical excision, radiation, and chemotherapy. Chimeric antigen receptor T cell therapy is currently reserved for refractory disease. The authors present a case of a 69-year-old woman with an extensive orbital plasmacytoma refractory to multimodal therapy who was treated with idecabtagene vicleucel chimeric antigen receptor T cell therapy. Four days after infusion, the patient exhibited grade 1 cytokine release syndrome, which resolved with tocilizumab...
March 21, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38533379/a-novel-electromagnetic-driving-system-for-5-dof-manipulation-in-intraocular-microsurgery
#6
JOURNAL ARTICLE
Yangyu Liu, Dezhi Song, Guanghao Zhang, Qingyu Bu, Yuanqing Dong, Chengzhi Hu, Chaoyang Shi
This work presents a novel electromagnetic driving system that consists of eight optimized electromagnets arranged in an optimal configuration and employs a control framework based on an active disturbance rejection controller (ADRC) and virtual boundary. The optimal system configuration enhances the system's compatibility with other ophthalmic surgical instruments, while also improving its capacity to generate magnetic force in the vertical direction. Besides, the optimal electromagnet parameters provide a superior comprehensive performance on magnetic field generation capacity and thermal power...
2024: Cyborg Bionic Syst
https://read.qxmd.com/read/38532906/enhanced-postsurgical-cancer-treatment-using-methacrylated-glycol-chitosan-hydrogel-for-sustained-dna-doxorubicin-delivery-and-immunotherapy
#7
JOURNAL ARTICLE
Hee Seung Seo, Jun-Hyeok Han, Jaesung Lim, Ga-Hyun Bae, Min Ji Byun, Chi-Pin James Wang, Jieun Han, Juwon Park, Hee Ho Park, Mikyung Shin, Tae-Eun Park, Tae-Hyung Kim, Se-Na Kim, Wooram Park, Chun Gwon Park
Background: Cancer recurrence and metastasis are major contributors to treatment failure following tumor resection surgery. We developed a novel implantable drug delivery system utilizing glycol chitosan to address these issues. Glycol chitosan is a natural adjuvant, inducing dendritic cell activation to promote T helper 1 cell immune responses, macrophage activation, and cytokine production. Effective antigen production by dendritic cells initiates T-cell-mediated immune responses, aiding tumor growth control...
2024: Biomaterials Research
https://read.qxmd.com/read/38532584/-nutritional-support-treatment-for-short-bowel-syndrome-related-intestinal-failure
#8
REVIEW
J Ke, L Kang
Intestinal failure is a syndrome characterized by a diminished intestinal function that is inadequate to maintain normal digestion and absorption, leading to systemic metabolic disorder and requiring long-term nutritional supplementation to sustain health and growth. Short bowel syndrome (SBS) is one of the primary causes of intestinal failure. Given the significant differences among SBS patients, nutritional treatment strategies should emphasize individualization. This review focuses on SBS, combining its anatomical and pathological characteristics, to introduce nutritional support treatment plans and experiences for patients with intestinal failure...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532108/co-targeting-cd47-and-vegf-elicited-potent-anti-tumor-effects-in-gastric-cancer
#9
JOURNAL ARTICLE
Kaiqi Zhang, Yuan Xu, Xusheng Chang, Caili Xu, Wenjing Xue, Dan Ding, Mingming Nie, Hui Cai, Jun Xu, Lu Zhan, Jiangbo Han, Tiancai Cai, Dianwen Ju, Li Feng, Xuyao Zhang, Kai Yin
BACKGROUND: CD47, serving as an intrinsic immune checkpoint, has demonstrated efficacy as an anti-tumor target in hematologic malignancies. Nevertheless, the clinical relevance of CD47 in gastric cancer and its potential as a therapeutic target remains unclear. METHODS: The expression of CD47 in clinical gastric cancer tissues was assessed using immunohistochemistry and Western blot. Patient-derived cells were obtained from gastric cancer tissues and co-cultured with macrophages derived from human peripheral blood mononuclear cells...
March 27, 2024: Cancer Immunology, Immunotherapy: CII
https://read.qxmd.com/read/38531829/timelines-for-return-to-different-sports-types-after-eight-cervical-spine-fractures-in-recreational-and-elite-athletes-a-survey-of-the-association-for-collaborative-spine-research
#10
JOURNAL ARTICLE
Nicole J Hung, Robert Trigg McClellan, Wellington Hsu, Serena S Hu, Aaron J Clark, Alekos A Theologis
STUDY DESIGN: Prospective cross-sectional survey. OBJECTIVE: To identify timelines for when athletes may be considered safe to return to varying athletic activities after sustaining cervical spine fractures. BACKGROUND: While acute management and detection of cervical spine fractures have been areas of comprehensive investigation, insight into timelines for when athletes may return to different athletic activities after sustaining such fractures is limited...
March 25, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38531624/cataract-surgery-and-environmental-sustainability-a-comparative-analysis-of-single-use-versus-reusable-cassettes-in-phacoemulsification
#11
JOURNAL ARTICLE
Oscar Kallay, Rayane Sadad, Ahmed Zafzafi, Elie Motulsky
OBJECTIVE: To compare sustainability, financial implications and surgical efficiency of two phacoemulsification cassette systems for cataract surgery: a machine with single-use cassettes and another with daily, reusable ones. METHODS: Observational study involving retrospective cataract surgery data collection at the Centre Médical de l'Alliance, Braine-l'Alleud, Belgium, a tertiary eye care centre. Information on cassette weight, quantities and transport volume was obtained from routine procedures and purchasing records...
March 26, 2024: BMJ Open Ophthalmology
https://read.qxmd.com/read/38531541/sustainability-of-an-enhanced-recovery-pathway-after-minimally-invasive-gynecologic-oncology-surgery
#12
JOURNAL ARTICLE
Anna McCracken, Rachel Soyoun Kim, Stephane Laframboise, Manjula Maganti, Marcus Q Bernardini, Sarah Ferguson, Liat Hogen, Taymaa May, Stuart A McCluskey, Geneviève Bouchard-Fortier
OBJECTIVE: Same day discharge is safe after minimally invasive gynecology oncology surgery. Our quality improvement peri-operative program based on enhanced recovery after surgery principles led to an increase in same day discharge from 30% to 75% over a 12 month period. Twelve months after program implementation, we assessed the sustainability of same day discharge rates, determined post-operative complication rates, and evaluated factors affecting same day discharge rates. METHODS: A retrospective chart review was conducted of 100 consecutive patients who underwent minimally invasive surgery at an academic cancer center from January to 2021 to December 2021...
March 26, 2024: International Journal of Gynecological Cancer
https://read.qxmd.com/read/38530108/lifecycle-of-surgical-devices-global-environmental-and-regulatory-considerations
#13
JOURNAL ARTICLE
Eric R Wahlstedt, John C Wahlstedt, Jenna S Rosenberg, Catherine R deVries
BACKGROUND: Technological advancements, improved surgical access, and heightened demand for surgery have fueled unprecedented device and supply turnover impelling wealthy hospitals to upgrade continually and sell, donate, recycle, or dispose of used, expired, antiquated, or surplus goods. This paper reviews the issues related to device and supply lifecycles and discusses the opportunities and challenges they present for sustainable surgical growth in low- and middle-income (LMICs) countries...
March 26, 2024: World Journal of Surgery
https://read.qxmd.com/read/38529665/a-5-year-review-of-a-tracheostomy-quality-improvement-initiative-reducing-adverse-event-frequency-and-severity
#14
JOURNAL ARTICLE
Paul Twose, Julia Cottam, Gemma Jones, Jennifer Lowes, Jason Nunn
OBJECTIVE: The number of tracheostomies performed annually in resource-rich countries is estimated at 250,000. While an essential procedure, approximately 20% to 30% of patients will experience at least 1 tracheostomy-related adverse event. Within tracheostomy care and across wider health care environments, quality improvement (QI) programs have been shown to reduce patient harm and improve outcomes. Herein we report on a 5-year long, tracheostomy QI initiative aimed at improving patient experience and reducing the frequency and severity of adverse events...
March 26, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38529659/tibial-spine-volume-is-smaller-in-acl-injured-athletes-compared-to-healthy-athletes
#15
JOURNAL ARTICLE
Yoshiyuki Yahagi, Tom Gale, Koji Nukuto, James Irrgang, Volker Musahl, William Anderst
PURPOSE: The aim of this study was to investigate whether the whole tibial spine volume and femoral intercondylar notch volume are risk factors for anterior cruciate ligament (ACL) injury. The hypothesis was that the whole tibial spine volume and femoral notch volume would be smaller in athletes who sustained ACL injury than in athletes with no history of ACL injury. METHODS: Computed tomography scans of both knees were acquired and three-dimensional bone models were created using Mimics to measure whole tibial spine volume and femoral notch volume...
March 26, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38528253/plastic-waste-in-major-orthopaedic-surgical-procedures-descriptive-and-sources-of-improvement
#16
JOURNAL ARTICLE
Ignacio Stacey, Gemma Vilà, Raul Torres-Claramunt, Lluis Puig, Carlos Torrens
PURPOSE: The healthcare industry is a significant contributor to single-use plastic waste, particularly in the operating room (OR). This study aims to assess the volume of plastic waste generated during total hip, knee, and shoulder arthroplasty in the OR and identify areas for improvement. METHOD: A prospective transversal study at a tertiary hospital was conducted. All total knee arthroplasty (TKA), total hip arthroplasty (THA), and reverse shoulder arthroplasty (RSA) from April to July 2021 were included...
March 26, 2024: International Orthopaedics
https://read.qxmd.com/read/38527037/functional-recovery-prediction-during-rehabilitation-after-rotator-cuff-tears-by-decision-support-system
#17
JOURNAL ARTICLE
Aušra Adomavičienė, Kristina Daunoravičienė, Girūta Kazakevičiūtė-Januškevičienė, Romualdas Baušys
BACKGROUND: Today's rehabilitation decision-making still relies on conventional methods and different specific targeted rehabilitation protocols. Our study focuses on the decision support system for early rehabilitation after rotator cuff (RC) tears repair, where a multicriteria decision-making framework (MCDM) is applied for the prediction of successful functional recovery and selection of a rehabilitation protocol. OBJECTIVE: To identify factors that affect recovery outcomes and to develop a decision support system methodology for predicting functional recovery outcomes at early rehabilitation after RC repair...
2024: PloS One
https://read.qxmd.com/read/38526573/results-of-a-novel-long-term-method-for-laparoscopic-skills-online-training
#18
JOURNAL ARTICLE
Cecilia Gigena, Ignacio Díaz, Soledad Valverde, Agustina Mariana Portu, Ana Clara Fortunato, Ruth Kaller, Mariano Bosich, Gastón Bellía Munzon, Carolina Millán
Introduction: Ensuring patient safety in minimally invasive surgery (MIS) within the field of pediatric surgery requires systematic and extensive practice. Many groups have proposed mastery learning programs encompassing a range of training methods. However, short courses often have a narrow focus on specific objectives, limiting opportunities for sustained training. Our aim was to analyze our results with an online long-term competency-based and supervised training. Methods: This is a retrospective cohort study with prospective data collection of scores and performance of trainees during online courses from October 2020 to April 2023...
March 22, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38524724/comparison-of-sociodemographic-and-radiographic-features-in-distal-radio-fracture-treatment-hand-surgeons-versus-non-specialists
#19
JOURNAL ARTICLE
Rafael Bulyk Veiga, Renê Hobi, Ricardo Pereira Marot, Gustavo Zeni Schuroff, Roberto Luiz Sobania, Ivan Killing Kuhn, Ana Lucia Campos Faccioni
Objective:  This study evaluated sociodemographic and radiographic features of patients with distal radial fractures treated at a trauma hospital in southern Brazil, comparing those treated by hand surgery specialists (group 1) and non-specialists (group 2). Methods:  This study consists of a retrospective cohort of 200 patients treated in 2020. After reviewing medical records and radiographs, the following parameters were analyzed: age, gender, trauma mechanism, laterality, associated comorbidities and fractures, fracture classification (AO), radial height, radial inclination, and volar inclination...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38523964/unveiling-the-surge-a-comprehensive-analysis-of-e-scooter-related-injuries-at-an-urban-level-1-trauma-center-in-vilnius-lithuania-2018-2021
#20
JOURNAL ARTICLE
Kristupas A Suslavičius, Simonas Utkus, Valentinas Uvarovas, Tomas Sveikata, Sigitas Ryliškis
Background The surge in electric scooter (e-scooter) adoption in 2019 fueled by sharing platforms has raised safety concerns, leading to an increased incidence of e-scooter-related injuries. Despite regulatory efforts, there has been a notable rise in accidents, prompting a comprehensive investigation. This study conducted at the Republican Vilnius University Hospital (RVUH), a level 1 trauma center, is one of the first in the Baltic States aiming to analyze the causes, severity, and frequency of e-scooter injuries from 2018 to 2021...
February 2024: Curēus
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