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https://www.readbyqxmd.com/read/28829632/frequency-of-and-factors-associated-with-emergency-department-intracranial-pressure-monitor-placement-in-severe-paediatric-traumatic-brain-injury
#1
Nithya Kannan, Alex Quistberg, Jin Wang, Jonathan I Groner, Richard B Mink, Mark S Wainwright, Michael J Bell, Christopher C Giza, Douglas F Zatzick, Richard G Ellenbogen, Linda Ng Boyle, Pamela H Mitchell, Monica S Vavilala
OBJECTIVE: To examine the frequency of and factors associated with emergency department (ED) intracranial pressure (ICP) monitor placement in severe paediatric traumatic brain injury (TBI). METHODS: Retrospective, multicentre cohort study of children <18 years admitted to the ED with severe TBI and intubated for >48 hours from 2007 to 2011. RESULTS: Two hundred and twenty-four children had severe TBI and 75% underwent either ED, operating room (OR) or paediatric intensive care unit (PICU) ICP monitor placement...
August 22, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28829405/probiotics-prevent-late-onset-sepsis-in-human-milk-fed-very-low-birth-weight-preterm-infants-systematic-review-and-meta-analysis
#2
Arianna Aceti, Luca Maggio, Isadora Beghetti, Davide Gori, Giovanni Barone, Maria Luisa Callegari, Maria Pia Fantini, Flavia Indrio, Fabio Meneghin, Lorenzo Morelli, Gianvincenzo Zuccotti, Luigi Corvaglia
Growing evidence supports the role of probiotics in reducing the risk of necrotizing enterocolitis, time to achieve full enteral feeding, and late-onset sepsis (LOS) in preterm infants. As reported for several neonatal clinical outcomes, recent data have suggested that nutrition might affect probiotics' efficacy. Nevertheless, the currently available literature does not explore the relationship between LOS prevention and type of feeding in preterm infants receiving probiotics. Thus, the aim of this systematic review and meta-analysis was to evaluate the effect of probiotics for LOS prevention in preterm infants according to type of feeding (exclusive human milk (HM) vs...
August 22, 2017: Nutrients
https://www.readbyqxmd.com/read/28828912/increasing-readmission-rates-for-hemorrhage-after-tonsil-surgery-a-longitudinal-26-years-national-study
#3
Eirik Østvoll, Ola Sunnergren, Joacim Stalfors
Objective To investigate the readmission rates due to postoperative hemorrhage in relation to tonsil surgery clinical practice in a national population. Study Design Retrospective longitudinal population-based cohort study. Setting Based on register data from the Swedish National Patient Register (NPR). Subjects and Methods All benign tonsil operations (256 053) performed in Sweden from 1987 to 2013 were identified through a search in the NPR. For all identified cases, data on gender, age, date of surgery, indication, type of surgery, level of care, length of stay (LOS) for inpatient surgery, readmission and reoperation because of postoperative bleeding (within 31 days) were collected...
August 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28828593/outcomes-of-pharmacist-provided-medication-review-in-collaborative-care-for-adult-singaporeans-receiving-hemodialysis
#4
Bih Yee Chia, McVin Hua Heng Cheen, Xin Yi Gwee, Melissa Mee Yin Chow, Giat Yeng Khee, Wan Chee Ong, Hui Lin Choong, Paik Shia Lim
Background Patients receiving hemodialysis are predisposed to drug related problems (DRPs). While collaborative care (CC) models with pharmacist involvement can reduce DRP occurrence, few have examined its impact on clinical and economic outcomes. Objective To determine whether a CC model with pharmacist-provided medication review can reduce unplanned admissions and healthcare utilization in patients receiving hemodialysis, compared to usual care (UC). Setting Outpatient nephrology clinic of a tertiary hospital in Singapore...
August 21, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28828229/correction-screening-of-phospholipase-a-activity-and-its-production-by-new-actinomycete-strains-cultivated-by-solid-state-fermentation
#5
Priscila Sutto-Ortiz, María de Los Angeles Camacho-Ruiz, Manuel R Kirchmayr, Meddy El Alaoui, Rosa María Camacho-Ruiz, Juan Carlos Mateos-Díaz, Alexandre Noiriel, Frédéric Carrière, Abdelkarim Abousalham, Jorge A Rodríguez
[This corrects the article DOI: 10.7717/peerj.3524.].
2017: PeerJ
https://www.readbyqxmd.com/read/28828185/clinical-characteristics-and-outcomes-of-surgical-patients-with-intensive-care-unit-lengths-of-stay-of-90-days-and-greater
#6
Verena Martini, Ann-Kathrin Lederer, Claudia Laessle, Frank Makowiec, Stefan Utzolino, Stefan Fichtner-Feigl, Lampros Kousoulas
BACKGROUND: The aim of this study was to evaluate the influence of prolonged length of stay in an intensive care unit (ICU) on the mortality and morbidity of surgical patients. METHODS: We performed a monocentric and retrospective observational study in the surgical critical care unit of the department of surgery at the Medical Center of the University of Freiburg, Germany. Clinical data was collected from patients assigned to the ICU with a length of stay (LOS) of 90 days and greater...
2017: Critical Care Research and Practice
https://www.readbyqxmd.com/read/28827511/is-lateral-femoral-nailing-associated-with-increased-icu-days-a-propensity-matched-analysis-of-848-cases
#7
G Bradley Reahl, Nathan N O'Hara, Max Coale, Lyndsay M O'Hara, Renan Castillo, Robert V O'Toole, Gerard P Slobogean
OBJECTIVE: The purpose of this study is to determine if lateral patient position during femoral nailing is associated with increases in intensive care unit (ICU) length of stay (LOS) or ventilator days when compared to femoral nailing in a supine position. DESIGN: Retrospective cohort study. SETTING: Level 1 trauma center. PATIENTS/PARTICIPANTS: Patients with femoral shaft fractures treated with intramedullary (IM) fixation were identified...
August 15, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28827207/effect-of-modified-otago-exercises-on-postural-balance-fear-of-falling-and-fall-risk-in-older-fallers-with-knee-osteoarthritis-and-impaired-gait-and-balance-a-secondary-analysis
#8
Sumaiyah Mat, Chin Teck Ng, Pey June Tan, Norlisah Ramli, Farhana Fadzli, Faizatul Izza Rozalli, Mazlina Mazlan, Keith D Hill, Maw Pin Tan
BACKGROUND: Osteoarthritis (OA) is considered an established risk factor for falls. Published studies evaluating secondary falls prevention strategies among OA sufferers are limited. OBJECTIVE: To evaluate the effect of a personalized home-based exercise program to improve postural balance, fear of falling and falls risk in older fallers with knee OA and gait and balance problems. DESIGN: Randomized controlled trial SETTING: University of Malaya Medical Centre PARTICIPANT: Fallers who had both radiological OA and a Timed Up and Go (TUG) score of over 13...
August 18, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28826803/american-college-of-surgeons-nsqip-risk-calculator-accuracy-for-emergent-and-elective-colorectal-operations
#9
Andrea L Lubitz, Elaine Chan, Daniel Zarif, Howard Ross, Matthew Philp, Amy J Goldberg, Henry A Pitt
INTRODUCTION: The American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) has developed a Risk Calculator to assist patients and surgeons with difficult decisions. The aim of this analysis was to determine the accuracy of the Risk Calculator in patients undergoing elective and emergent colorectal operations. METHODS: From January 2013 through December 2015, 75 patients undergoing emergent colorectal surgery were paired by date with 75 patients having elective colorectal operations...
August 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28823085/chromaffin-cells-as-a-model-to-evaluate-mechanisms-of-cell-death-and-neuroprotective-compounds
#10
REVIEW
Cristobal de Los Rios, Maria F Cano-Abad, Mercedes Villarroya, Manuela G López
In this review, we show how chromaffin cells have contributed to evaluate neuroprotective compounds with diverse mechanisms of action. Chromaffin cells are considered paraneurons, as they share many common features with neurons: (i) they synthesize, store, and release neurotransmitters upon stimulation and (ii) they express voltage-dependent calcium, sodium, and potassium channels, in addition to a wide variety of receptors. All these characteristics, together with the fact that primary cultures from bovine adrenal glands or chromaffin cells from the tumor pheochromocytoma cell line PC12 are easy to culture, make them an ideal model to study neurotoxic mechanisms and neuroprotective drugs...
August 19, 2017: Pflügers Archiv: European Journal of Physiology
https://www.readbyqxmd.com/read/28822881/investigating-the-relationship-between-jobs-housing-balance-and-traffic-safety
#11
Chengcheng Xu, Haojie Li, Jingya Zhao, Jun Chen, Wei Wang
This study aimed to investigate the effects of jobs-housing balance on traffic safety. The crash, demographic characteristics, employment, road network, household characteristics and traffic data were collected from the Los Angeles in 2010. One-way ANOVA tests indicated that the jobs-housing ratio significantly affects traffic safety in terms of crash frequency at traffic analysis zone (TAZ). To quantify the safety impacts of jobs-housing balance, the semi-parametric geographically weighted Poisson regression (S-GWPR) was further used to link crash frequency at TAZ with jobs-housing ratio and other contributing factors...
August 17, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28822641/clinical-and-radiographic-outcomes-with-assessment-of-the-learning-curve-in-arthroscopically-assisted-latissimus-dorsi-tendon-transfer-for-irreparable-posterosuperior-rotator-cuff-tears
#12
Kotaro Yamakado
PURPOSE: To evaluate the clinical results of an arthroscopy-assisted latissimus dorsi tendon transfer (aLD) for irreparable posterosuperior cuff tears as a primary surgery. The secondary aim of this study was to quantify the learning curve using the log-linear model. We hypothesized that aLD significantly improved shoulder function and that there was consistent reduction of the operative time in support of a learning-curve effect. METHODS: After the arthroscopic partial repair was completed, the latissimus dorsi tendon was harvested via axillary mini-open incision and fixed with a knotless anchor arthroscopically...
August 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28822404/an-expanded-preoperative-component-within-an-enhanced-recovery-protocol-improves-outcomes-in-colorectal-surgery
#13
Nathan M Johnson, Sandy L Fogel
Enhanced Recovery Protocols (ERPs) have been shown to lead to quicker recovery in colorectal surgery, with reduced postoperative length of stay (LOS). ERPs could potentially be improved with an expanded preoperative component reflecting current evidence. We hypothesize that an ERP with an expanded preoperative component will reduce LOS consistent with or exceeding that seen with traditional ERPs. Our ERP was implemented in June of 2014. Data was collected for two full years from July 2014 through June 2016...
August 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28822402/predictors-of-utilization-and-quality-assessment-in-robotic-rectal-cancer-resection-a-review-of-the-national-cancer-database
#14
Christie Buonpane, Enobong Efiong, Marie Hunsinger, Marcus Fluck, Mohsen Shabahang, Jeffrey Wild, Kristen Halm, Kevin Long, Christopher Buzas, Joseph Blansfield
Robotic surgery (RS) is a novel treatment for rectal cancer resection (RCR); however, this technology is not widely accessible. The objective of this study is to evaluate the utilization of RS in RCR compared with open and laparoscopic techniques and to assess the quality of resection. RCR from 2010 to 2012 were identified using the National Cancer Database and placed into categories: open, laparoscopic, and robotic. A total of 23,857 patients who received open, laparoscopic, and robotic RCR were included (n = 14,735 (61...
August 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28822391/the-impact-of-hemodynamic-transesophageal-echocardiography-on-the-use-of-continuous-renal-replacement-therapy-in-trauma
#15
Madison Griffin, Brett Howard, Sam Devictor, Josh Ferenczy, Frances Cobb, D Benjamin Christie
Post-traumatic fluid management is a widely debated topic. No best-practice consensus exists. Adverse outcomes such as acute kidney injury or volume overload are common. Continuous renal replacement therapy (CRRT) is an adjunct therapy for severe acute renal failure and volume overload, but is costly and not without risk. Hemodynamic transesophageal echocardiography (hTEE) is widely accepted as a reliable way to monitor volume status of intensive care unit (ICU) patients. Although data exist evaluating hTEE and CRRT independently, there is a lack of research mutually inclusive of the two...
August 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28821444/circumferential-fusion-a-comparative-analysis-between-anterior-lumbar-interbody-fusion-with-posterior-pedicle-screw-fixation-and-transforaminal-lumbar-interbody-fusion-for-l5-s1-isthmic-spondylolisthesis
#16
Erik Y Tye, Joseph E Tanenbaum, Andrea S Alonso, Roy Xiao, Michael P Steinmetz, Thomas E Mroz, Jason W Savage
BACKGROUND CONTEXT: Transforaminal lumbar interbody fusion (TLIF) or anterior lumbar interbody fusion with percutaneous pedicle screws (ALIFPS) offer significantly higher radiographic fusion rates than other fusion techniques for L5-S1 isthmic spondylolisthesis (IS). As it stands, there is a relative paucity of comparative data of the two techniques. PURPOSE: To define the clinical, radiographic, and financial differences between TLIF and ALIFPS for L5-S1 IS. STUDY DESIGN/SETTING: A retrospective cohort study conducted at a single-tertiary care center...
August 15, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28820967/identifying-predictors-for-bleeding-in-hospitalized-cancer-patients-a-cohort-study
#17
Rushad Patell, Alejandra Gutierrez, Lisa Rybicki, Alok A Khorana
BACKGROUND: Bleeding and thrombosis are both major complications of hospitalization in cancer patients. Concern regarding bleeding risk may reduce compliance with thromboprophylaxis. We assessed incidence of major and clinically relevant non-major bleeding (MCRNMB) and identified risk factors associated with in-hospital bleeding risk in hospitalized cancer patients. METHODS: We conducted a retrospective cohort study of consecutive adults admitted to general oncology floor at Cleveland Clinic from 11/2012-12/2014 (n=3525)...
August 12, 2017: Thrombosis Research
https://www.readbyqxmd.com/read/28820507/hematopoietic-stem-cell-transplantation-recipient-and-caregiver-factors-affecting-length-of-stay-and-readmission
#18
Thiruppavai Sundaramurthi, Leslie Wehrlen, Erika Friedman, Sue Thomas, Margaret Bevans
PURPOSE/OBJECTIVES: To evaluate the contributions of patient and caregiver factors to length of stay (LOS) and 30-day readmission status for recipients of allogeneic hematopoietic stem cell transplantation (HSCT).
. DESIGN: Secondary data analysis from a phase 2 clinical trial.
. SETTING: National Institutes of Health Clinical Center in Bethesda, Maryland.
. SAMPLE: 68 dyads (N = 136) comprised of patients receiving HSCT and their caregivers...
September 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28820463/cycle-tracks-and-parking-environments-in-china-learning-from-college-students-at-peking-university
#19
Changzheng Yuan, Yangbo Sun, Jun Lv, Anne C Lusk
China has a historic system of wide cycle tracks, many of which are now encroached by cars, buses and bus stops. Even with these conditions, college students still bicycle. On campuses, students park their bikes on facilities ranging from kick-stand-plazas to caged sheds with racks, pumps and an attendant. In other countries, including Canada, some of the newer cycle tracks need to be wider to accommodate an increasing number of bicyclists. Other countries will also need to improve their bike parking, which includes garage-basement cages and two-tiered racks...
August 18, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28820375/epidemiology-of-neisseria-gonorrhoeae-gyrase-a-genotype-los-angeles-california-usa
#20
Ashima A Bhatti, Lao-Tzu Allan-Blitz, Mariana Castrejon, Romney M Humphries, Peera Hemarajata, Jeffrey D Klausner
We investigated the epidemiology of the mutant gyrase A gene, a reliable predictor of ciprofloxacin resistance, in Neisseria gonorrhoeae infections at UCLA Health in Los Angeles, California, USA, during November 1, 2015-August 31, 2016. Among 110 patients with N. gonorrhoeae infections, 48 (44%) had the mutant gyrase A gene.
September 2017: Emerging Infectious Diseases
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