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https://www.readbyqxmd.com/read/28805236/comparison-of-intrathecal-morphine-and-surgical-site-infusion-of-ropivacaine-as-adjuncts-to-intravenous-patient-controlled-analgesia-in-living-donor-kidney-transplant-recipients
#1
Joo-Hyun Jun, Gaab-Soo Kim, Jeong Jin Lee, Justin S Ko, Sung Joo Kim, Pil Hyun Jeon
INTRODUCTION: This prospective observational study compared the postoperative analgesic effectiveness of intrathecal morphine (ITM) and surgical-site infusion (SSI) of ropivacaine as adjuncts to intravenous (IV) patient-controlled analgesia (PCA) (fentanyl) in living-donor kidney transplant recipients. METHODS: Patients undergoing living-donor kidney transplantation receiving ITM or SSI in addition to IV PCA were included. Rescue analgesia was achieved with IV meperidine, as required...
August 14, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28803960/evaluating-impacts-of-different-longitudinal-driver-assistance-systems-on-reducing-multi-vehicle-rear-end-crashes-during-small-scale-inclement-weather
#2
Ye Li, Lu Xing, Wei Wang, Hao Wang, Changyin Dong, Shanwen Liu
Multi-vehicle rear-end (MVRE) crashes during small-scale inclement (SSI) weather cause high fatality rates on freeways, which cannot be solved by traditional speed limit strategies. This study aimed to reduce MVRE crash risks during SSI weather using different longitudinal driver assistance systems (LDAS). The impact factors on MVRE crashes during SSI weather were firstly analyzed. Then, four LDAS, including Forward collision warning (FCW), Autonomous emergency braking (AEB), Adaptive cruise control (ACC) and Cooperative ACC (CACC), were modeled based on a unified platform, the Intelligent Driver Model (IDM)...
August 9, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28803827/caring-for-the-caregiver-supporting-families-of-youth-with-special-health-care-needs
#3
Mariecel Pilapil, Daniel J Coletti, Cindy Rabey, David DeLaet
Caregivers of youth with special health care needs (YSHCN) are a critical part of the health care team. It is important for pediatric providers to be cognizant of the burden and strain caregiving can create. This article will discuss the health, psychological, social, and financial effects of caregiving, as well as strategies to screen for caregiver strain among families of YSHCN. Caregivers of YSHCN, for example, are more likely to report poor health status and demonstrate higher rates of depression and anxiety...
August 10, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28802796/antibacterial-prophylaxis-for-gram-positive-and-gram-negative-infections-in-cranial-surgery-a-meta-analysis
#4
REVIEW
Pranav Abraham, Nayan Lamba, Michael Acosta, Joanna Gholmie, Hassan Y Dawood, Matthew Vestal, Kevin Huang, Maher Hulou, Morteza Asgarzadeh, Hasan Zaidi, Rania A Mekary, Timothy R Smith
BACKGROUND: Perioperative antibiotic prophylaxis against gram positive and gram negative infections is considered standard of care in the perioperative management of patients undergoing cranial surgery. The antibiotic regimen which best reduces the risk of surgical site infections (SSIs) remains controversial. OBJECTIVES: A systematic literature review and meta-analysis were conducted to examine the effect of various prophylactic antibiotics on infection incidence among patients undergoing cranial surgeries...
August 9, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28796014/comparison-of-superficial-surgical-site-infection-between-delayed-primary-versus-primary-wound-closure-in-complicated-appendicitis-a-randomized-controlled-trial
#5
Boonying Siribumrungwong, Anuwat Chantip, Pinit Noorit, Chumpon Wilasrusmee, Winai Ungpinitpong, Pradya Chotiya, Borwornsom Leerapan, Patarawan Woratanarat, Mark McEvoy, John Attia, Ammarin Thakkinstian
OBJECTIVE: To compare superficial surgical site infection (SSI) rates between delayed primary wound closure (DPC) and primary wound closure (PC) for complicated appendicitis. BACKGROUND: SSI is common in appendectomy for complicated appendicitis. DPC is preferentially used over PC, but its efficacy is still controversial. METHODS: A multicenter randomized controlled trial was conducted in 6 hospitals in Thailand, enrolling patients with gangrenous and ruptured appendicitis...
August 4, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28795891/experience-using-closed-incision-negative-pressure-wound-therapy-in-sternotomy-patients
#6
B Philip, P McCluskey, J Hinchion
OBJECTIVE: Postoperative delayed wound healing, surgical site infections (SSIs), and other wound complications are associated with increased morbidity and health-care costs. In cardiothoracic surgery, wound complications can have life-threatening consequences. In recent years, negative pressure wound therapy (NPWT) has been applied over closed surgical incisions to help reduce tension and protect from external contamination. We report our initial experiences using a closed incision negative pressure therapy (ciNPT) over clean, closed sternotomy incisions at an Irish tertiary referral centre...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795105/description-of-future-drought-indices-in-virginia
#7
Hyunwoo Kang, Venkataramana Sridhar
This article presents projected future drought occurrences in five river basins in Virginia. The Soil and Water Assessment Tool (SWAT) and the Coupled Model Intercomparison Project Phase 5 (CMIP5) climate models were used to derive input variables of multiple drought indices, such as the Standardized Soil Moisture index (SSI), the Multivariate Standardized Drought Index (MSDI), and the Modified Palmer Drought Severity Index (MPDSI) for both historic and future periods. The results of SSI indicate that there was an overall increase in agricultural drought occurrences and that these were caused by increases in evapotranspiration and runoff...
October 2017: Data in Brief
https://www.readbyqxmd.com/read/28781210/suction-drains-in-esthetic-breast-implant-exchange-are-associated-with-surgical-site-infections-a-retrospective-cohort-study
#8
Eran Hadad, Itay Wiser, Adaya Rosenthal, Geva Landau, Ella Ziv, Lior Heller
BACKGROUND AND OBJECTIVE: Surgical site infection (SSI) following esthetic breast implant exchange occurs in up to 2% of procedures. The effect of suction drains on SSI risk in these cases remains controversial. This study aimed to assess the SSI risk in the presence of suction drains after esthetic exchange of breast implants. METHODS: This is a retrospective cohort study of patients undergoing esthetic breast implant exchange between 2012 and 2015. SSI was determined according to the definition of the Center for Disease Control and Prevention...
July 6, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28777032/suicidal-ideation-in-an-egyptian-sample-of-hospitalized-patients-with-acute-psychosis
#9
Maha Ftouh, El-Sayed Gad, Mohammad A Seleem, Sameh Saada, Ahmed A Mubarak
BACKGROUND: Suicide mortality is 12 times higher in psychotic patients compared to the general population. Identifying characteristic of suicidal patients among this group might help in preventing such behavior. AIMS: To assess the predictors of suicidal risk in patients hospitalized due to acute psychosis. METHODS: One hundred and fifty patients (age 18 - 60 years) admitted with acute psychotic features were recruited. Patients were evaluated clinically by The Arabic version of Mini International Neuropsychiatric Interview (M...
August 4, 2017: Clinical Schizophrenia & related Psychoses
https://www.readbyqxmd.com/read/28774269/the-association-between-bacillus-calmette-gu%C3%A3-rin-vaccination-1331-ssi-skin-reaction-and-subsequent-scar-development-in-infants
#10
Nina Marie Birk, Thomas Nørrelykke Nissen, Monica Ladekarl, Vera Zingmark, Jesper Kjærgaard, Trine Mølbæk Jensen, Signe Kjeldgaard Jensen, Lisbeth Marianne Thøstesen, Poul-Erik Kofoed, Lone Graff Stensballe, Andreas Andersen, Ole Pryds, Susanne Dam Nielsen, Christine Stabell Benn, Dorthe Lisbeth Jeppesen
BACKGROUND: The Bacillus Calmette-Guérin vaccine (BCG) against tuberculosis is administered intradermally, and vaccination is often followed by a scar at the injection site. Among BCG-vaccinated individuals, having a scar has been associated with lower mortality. We aimed to examine the impact of vaccination technique for scarring in a high income setting, by assessing the associations between the post injection reaction, the wheal size, and the probability of developing a scar, and scar size...
August 3, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28767628/methicillin-resistant-staphylococcus-aureus-nasal-swab-and-suction-drain-tip-cultures-in-4573-spinal-surgeries-efficacy-in-management-of-surgical-site-infections
#11
Atsuyuki Kawabata, Kenichiro Sakai, Hirokazu Sato, Shinichi Sasaki, Ichiro Torigoe, Masaki Tomori, Masato Yuasa, Yu Matsukura, Yoshiyasu Arai
STUDY DESIGN: A retrospective single-center study. OBJECTIVE: To assess the diagnostic value of methicillin-resistant Staphylococcus aureus (MRSA) nasal swab and suction drain tip cultures. SUMMARY OF BACKGROUND DATA: The prognostic value of MRSA nasal swab and suction drain tip cultures has not been firmly established in spinal surgery. METHODS: This study retrospectively included 4573 consecutive patients who underwent spinal surgery between January 2008 and December 2014...
August 1, 2017: Spine
https://www.readbyqxmd.com/read/28761643/a-prospective-randomised-trial-of-isolated-pathogens-of-surgical-site-infections-ssi
#12
Konstantinos Alexiou, Ioannis Drikos, Maria Terzopoulou, Nikolaos Sikalias, Argyrios Ioannidis, Nikolaos Economou
BACKGROUND: Every surgical wound is colonized by bacteria, but only a small percentage displays symptoms of infection. The distribution of pathogens isolated in surgical site infections has not significantly changed over the last decades. Staph. Aureus, Coag(-) Staphylococci, Enterococcus spp and E. Coli are the main strains appearing. In addition, a continuously rising proportion of surgical site infections caused by resistant bacterial species (MRSA, C. Albicans) has been reported...
September 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28760799/rationale-and-study-design-for-an-individualised-perioperative-open-lung-ventilatory-strategy-with-a-high-versus-conventional-inspiratory-oxygen-fraction-iprove-o2-and-its-effects-on-surgical-site-infection-study-protocol-for-a-randomised-controlled-trial
#13
Carlos Ferrando, Marina Soro, Carmen Unzueta, Jaume Canet, Gerardo Tusman, Fernando Suarez-Sipmann, Julian Librero, Salvador Peiró, Natividad Pozo, Carlos Delgado, Maite Ibáñez, César Aldecoa, Ignacio Garutti, David Pestaña, Aurelio Rodríguez, Santiago García Del Valle, Oscar Diaz-Cambronero, Jaume Balust, Francisco Javier Redondo, Manuel De La Matta, Lucía Gallego, Manuel Granell, Pascual Martínez, Ana Pérez, Sonsoles Leal, Kike Alday, Pablo García, Pablo Monedero, Rafael Gonzalez, Guido Mazzinari, Gerardo Aguilar, Jesús Villar, Francisco Javier Belda
INTRODUCTION: Surgical site infection (SSI) is a serious postoperative complication that increases morbidity and healthcare costs. SSIs tend to increase as the partial pressure of tissue oxygen decreases: previous trials have focused on trying to reduce them by comparing high versus conventional inspiratory oxygen fractions (FIO2) in the perioperative period but did not use a protocolised ventilatory strategy. The open-lung ventilatory approach restores functional lung volume and improves gas exchange, and therefore it may increase the partial pressure of tissue oxygen for a given FIO2...
July 31, 2017: BMJ Open
https://www.readbyqxmd.com/read/28760095/ssi-ssdi-outreach-access-and-recovery-soar-disability-application-outcomes-among-homeless-adults
#14
Evan M Lowder, Sarah L Desmarais, Shevaun D Neupert, Melissa A Truelove
OBJECTIVE: The SSI/SSDI Outreach, Access, and Recovery (SOAR) program has been shown to increase access to Supplemental Security Income and Social Security Disability Insurance benefits among homeless adults. However, little empirical data exist on how or for whom SOAR achieves successful application outcomes. This study investigated applicant and application characteristics associated with disability application outcomes among homeless adults. METHODS: Secondary data on 6,361 SOAR-assisted applications were obtained...
August 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28758756/-current-possibilities-to-influence-surgical-site-infection
#15
F Bělina
Infections associated with surgical procedures, also referred to as surgical site infections (SSIs), are the most common nosocomial infections (HAIs - Health Care-Associated Infections) in surgery departments. Although effectively preventable in most cases, they are still associated with significant morbidity and mortality, prolonged or repeated hospitalizations and increased treatment costs. Therefore, compliance with applicable procedures and guidelines is essential for SSI prevention, which was also shown in numerous EBM studies...
2017: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/28758616/variable-case-detection-and-many-unreported-cases-of-surgical-site-infection-following-colon-surgery-and-abdominal-hysterectomy-in-a-statewide-validation
#16
Michael S Calderwood, Susan S Huang, Vicki Keller, Christina B Bruce, N Neely Kazerouni, Lynn Janssen
OBJECTIVE To assess hospital surgical-site infection (SSI) identification and reporting following colon surgery and abdominal hysterectomy via a statewide external validation METHODS Infection preventionists (IPs) from the California Department of Public Health (CDPH) performed on-site SSI validation for surgical procedures performed in hospitals that voluntarily participated. Validation involved chart review of SSI cases previously reported by hospitals plus review of patient records flagged for review by claims codes suggestive of SSI...
July 31, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28756784/factors-associated-with-continued-participation-in-a-matched-monetary-incentive-programme-at-local-farmers-markets-in-low-income-neighbourhoods-in-san-diego-california
#17
Amanda R Ratigan, Suzanne Lindsay, Hector Lemus, Christina D Chambers, Cheryl Am Anderson, Terry A Cronan, Deirdre K Browner, Wilma J Wooten
OBJECTIVE: The Farmers' Market Fresh Fund Incentive Program is a policy, systems and environmental intervention to improve access to fresh produce for participants on governmental assistance in the USA. The current study examined factors associated with ongoing participation in this matched monetary incentive programme. DESIGN: Relationship of baseline factors with number of Fresh Fund visits was assessed using Poisson regression. Mixed-effects modelling was used to explore changes in consumption of fruits and vegetables and diet quality...
July 31, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/28751035/risk-factors-of-neurosurgical-site-infection-after-craniotomy-a-systematic-review-and-meta-analysis
#18
Chenyan Fang, Tao Zhu, Ping Zhang, Liang Xia, Caixing Sun
BACKGROUND: Neurosurgical site infection (SSI) is a complication related to craniotomy, which may lead to severe morbidity and higher hospital costs during the postoperative period. METHODS: Retrospective cohorts, case-control studies, or prospective investigations addressing risk factors of SSI updated until January 2017 were systematically searched in 2 databases (PubMed and Embase). The Newcastle-Ottawa Scale was used to evaluate quality of the included studies, heterogeneity was assessed by I(2) tests, and a funnel plot and Egger test were used for the evaluation of publication bias...
July 24, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28750575/creation-and-evaluation-of-new-porcine-model-for-investigation-of-treatments-of-surgical-site-infection
#19
Mahsa Mohiti-Asli, Marije Risselada, Megan Jacob, Behnam Pourdeyhimi, Elizabeth Loboa
Surgical site infection (SSI) is the most common cause of surgical failure, increasing the risks of postoperative mortality and morbidity. Recently, it has been reported that the use of antimicrobial dressings at the incision site help with prevention of SSI. Despite the increased body of research on the development of different types of antimicrobial dressings for this application, to our knowledge nobody has reported a reliable large animal model to evaluate the efficacy of developed materials in a preclinical SSI model...
July 27, 2017: Tissue Engineering. Part C, Methods
https://www.readbyqxmd.com/read/28750228/radionuclides-and-soil-properties-as-indicators-of-glacier-retreat-in-a-recently-deglaciated-permafrost-environment-of-the-maritime-antarctica
#20
Ana Navas, Marc Oliva, Jesús Ruiz-Fernández, Leticia Gaspar, Laura Quijano, Iván Lizaga
Many ice-free environments in Maritime Antarctica are undergoing rapid and substantial environmental changes in response to recent climate trends. This is the case of Elephant Point (Livingston Island, South Shetland Islands, SSI), where the glacier retreat recorded during the last six decades exposed 17% of this small peninsula, namely a moraine extending from the western to the eastern coastlines and a relatively flat proglacial surface. In the southern margin of the peninsula, a sequence of Holocene raised beaches and several bedrock plateaus are also distributed...
July 21, 2017: Science of the Total Environment
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