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https://www.readbyqxmd.com/read/29475211/preoperative-care-of-the-tka-patient
#1
Paul K Edwards, Simon C Mears, C Lowry Barnes
Total knee arthroplasty continues to increase in popularity and remains the most common joint replacement surgery. The success of total knee replacement surgery is attributed to improved outcomes, a better patient experience, and lower cost. Rapid recovery total knee replacement protocols have led to these advances by decreasing length of hospital stay, minimizing readmissions, and reducing the cost of surgery. Rapid recovery total knee replacement pathway efforts should focus on preoperative education, optimization of modifiable risk factors, and identification of patients that may not be suitable for this pathway...
February 23, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29475169/raoultella-planticola-associated-necrotizing-appendicitis-a-novel-case-report
#2
Gayathri Naganathan, Nalin Kumar Amin
INTRODUCTION: Raoultella Planticola is a gram negative, aerobic, rod bacteria found in water and soil and is rarely reported to cause infections in humans. This case study is the first of its kind in reporting R. planticola appendicitis. PRESENTATION OF CASE: We report a case of a woman presenting with a two-day history of increased weakness, fatigue and anorexia, localized pain to the right lower quadrant, and elevated white blood cell count. CT results demonstrated acute uncomplicated appendicitis which was managed via laparoscopic appendectomy...
February 9, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29475122/blue-light-irradiation-triggers-the-antimicrobial-potential-of-zno-nanoparticles-on-drug-resistant-acinetobacter-baumannii
#3
Ming-Yeh Yang, Kai-Chih Chang, Liang-Yu Chen, Po-Ching Wang, Chih-Chiang Chou, Zhong-Bin Wu, Anren Hu
Photodynamic inactivation (PDI) is a non-invasive and safe therapeutic method for microbial infections. Bacterial antibiotic resistance is caused by antibiotics abuse. Drug-resistant Acinetobacter spp. is a serious problem in hospitals around the world. These pathogens from nosocomial infections have high mortality rates in frailer people, and Acinetobacter spp. is commonly found in immunocompromised patients. Visible light is safer than ultraviolet light (UV) for PDI of nosocomial pathogens with mammalian cells...
February 6, 2018: Journal of Photochemistry and Photobiology. B, Biology
https://www.readbyqxmd.com/read/29475056/dysfunctional-personality-disorder-beliefs-and-lifetime-suicide-attempts-among-psychiatrically-hospitalized-military-personnel
#4
Marjan Ghahramanlou-Holloway, Su Yeon Lee-Tauler, Jessica M LaCroix, Rebecca Kauten, Kanchana Perera, Rusan Chen, Jennifer Weaver, Alyssa Soumoff
BACKGROUND: Personality disorders (PDs) are associated with an increased risk for suicide. However, the association between PDs and suicide risk has not been examined among military personnel. This study evaluated whether endorsement of different PD dysfunctional beliefs was associated with lifetime suicide attempt status. METHODS AND MATERIALS: Cross-sectional data were collected during the baseline phase of a randomized controlled trial, evaluating the efficacy of an inpatient cognitive behavior therapy protocol for the prevention of suicide...
January 31, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29475047/are-3d-ultrasound-and-office-hysteroscopy-useful-for-the-assessment-of-uterine-cavity-after-late-foetal-loss
#5
Thellier Elise, Levaillant Jean-Marc, Pourcelot Anne-Gaëlle, Houllier Marie, Fernandez Hervé, Capmas Perrine
OBJECTIVE: To assess the efficacy of office hysteroscopy and 3D ultrasound for the diagnostic of uterine anomalies after late foetal loss. METHOD: This retrospective observational study took place in the gynaecologic unit of a teaching hospital from 2009 to 2014. Women with late foetal loss (< 22 weeks of gestation) had an office hysteroscopy and 3D ultrasound within 3 months after delivery. The results of the ultrasound and hysteroscopy were recorded and compared...
February 20, 2018: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/29475026/results-of-interdisciplinary-management-of-693-patients-with-aneurysmal-subarachnoid-hemorrhage-clinical-outcome-and-relevant-prognostic-factors
#6
Muhammad AlMatter, Marta Aguilar Péreza, Pervinder Bhogal, Victoria Hellstern, Oliver Ganslandt, Hans Henkes
OBJECTIVES: Aneurysmal subarachnoid hemorrhage (aSAH) is associated with high rates of morbidities and fatalities. The continuous evolution of neurosurgical, endovascular and neuro-intensive cares has improved the overall mortality. In this study we sought to evaluate the clinical outcome after aSAH from a single tertiary center. PATIENTS AND METHODS: We retrospectively identified and reviewed all consecutive patients with aSAH treated at our center between 2007 and 2016...
February 13, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29475013/recommendations-for-the-successful-control-of-a-large-outbreak-of-vancomycin-resistant-enterococcus-faecium-vre-in-a-non-endemic-hospital-setting
#7
F N J Frakking, W S Bril, J C Sinnige, J E van 't Klooster, B A W de Jong, E J van Hannen, M Tersmette
BACKGROUND: A large outbreak of three epidemic vancomycin-resistant Enterococcus faecium (VRE) clones affected our hospital for almost two years. AIM: To describe the strategy to successfully control this outbreak and eradicate VRE from our hospital. METHODS: Infection control interventions started after detection of VRE in three patients. After ongoing transmission despite isolation precautions, cleaning and contact tracing, hospital-wide surveillance was started...
February 20, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29475010/impact-of-a-mental-health-based-primary-care-program-on-emergency-department-visits-and-inpatient-stays
#8
Joshua Breslau, Emily Leckman-Westin, Bing Han, Riti Pritam, Diana Guarasi, Marcela Horvitz-Lennon, Deborah M Scharf, Molly T Finnerty, Hao Yu
OBJECTIVE: Integrating primary care services into specialty mental health clinics has been proposed as a method for improving health care utilization for medical conditions by adults with serious mental illness. This paper examines the impact of a mental health based primary care program on emergency department (ED) visits and hospitalizations. METHOD: The program was implemented in seven New York City outpatient mental health clinics in two waves. Medicaid claims were used to identify patients treated in intervention clinics and a control group of patients treated in otherwise similar clinics in New York City...
February 17, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29474997/footwear-generated-dynamic-biomechanical-manipulation-and-perturbation-training-for-chronic-nonspecific-low-back-pain
#9
Se Won Lee, Ratnakar Veeramachaneni, Ibrahim Abou Saleh, Karen Morice, Timothy Tiu, Yungtai Lo, Kevin Frison, Matthew Bartels
BACKGROUND: Home-based therapy optimizing biomechanics and neuromuscular control is increasingly recognized as a treatment option for chronic nonspecific low back pain (CNSLBP). However, its impact on pain, function and gait is limited among patients in a metropolitan area. OBJECTIVE: To evaluate the change of pain, function and gait parameters with home-based therapy using footwear generated biomechanical manipulation and perturbation training (FGBMPT) in a population with CNSLBP in a metropolitan area...
February 20, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29474989/proportion-of-adult-community-acquired-pneumonia-cases-attributable-to-streptococcus-pneumoniae-among-hajj-pilgrims-in-2016
#10
Ali AlBarrak, Badriah Alotaibi, Yara Yassin, Abdulaziz Mushi, Fuad Maashi, Yassein Seedahmed, Mohamed Alshaer, Abdulaziz Altaweel, Husameddin Elshiekh, Abdulhafiz Turkistani, Tanaz Petigara, John Grabenstein, Saber Yezli
BACKGROUND: The Hajj mass gathering is a risk for pneumococcal disease. We evaluated the proportion of adult community-acquired pneumonia (CAP) cases attributable to Streptococcus pneumoniae among Hajj pilgrims in 2016. To add sensitivity to etiologic attribution, we used a urine-antigen test, in addition to culture-based methods METHODS: Adults hospitalized with x-ray confirmed CAP were prospectively enrolled from all general hospitals designated to treat Hajj pilgrims in the holy cities of Mecca and Medina...
February 20, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29474970/increased-incidence-of-pseudoaneurysm-bleeding-with-lumen-apposing-metal-stents-compared-to-double-pigtail-plastic-stents-in-patients-with-peripancreatic-fluid-collections
#11
Bryan Brimhall, Samuel Han, Philip D Tatman, Toshimasa J Clark, Sachin Wani, Brian Brauer, Steven Edmundowicz, Mihir S Wagh, Augustin Attwell, Hazem Hammad, Raj J Shah
BACKGROUND & AIMS: There have been few studies that compared the effects of lumen-apposing metal stents (LAMS) and double pigtail plastic stents (DPS) in patients with peri-pancreatic fluid collections from pancreatitis. We aimed to compare technical and clinical success and adverse events in patients who received LAMS vs DPS for pancreatic pseudocysts and walled-off necrosis. METHODS: We performed a retrospective study of endoscopic ultrasound-mediated drainage in 149 patients (65% male; mean age, 47 years) with pancreatic pseudocysts or walled-off necrosis (97 received LAMS and 152 received DPS), from January 2011 through September 2016 at a single center...
February 20, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29474966/annual-burden-and-costs-of-hospitalization-for-high-need-high-cost-patients-with-chronic-gastrointestinal-and-liver-diseases
#12
Nghia H Nguyen, Rohan Khera, Lucila Ohno-Machado, William J Sandborn, Siddharth Singh
BACKGROUND: We estimated annual burden and costs of hospitalization in patients with chronic gastrointestinal and liver diseases, and identified characteristics of high-need, high-cost patients, in a nationally representative sample. METHODS: Using Nationwide Readmissions Database 2013, we identified patients with at least 1 hospitalization between January-June 2013, and a diagnosis of inflammatory bowel diseases (IBD), chronic liver diseases (CLDs), functional gastrointestinal disorders (FGIDs), gastrointestinal hemorrhage, or pancreatic diseases, with 6 months or more of follow up...
February 20, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29474885/purse-string-closure-versus-conventional-primary-closure-of-wound-following-stoma-reversal-meta-analysis-of-randomized-controlled-trials
#13
REVIEW
Fabio Rondelli, Laura Franco, Ruben Carlo Balzarotti Canger, Graziano Ceccarelli, Cecilia Becattini, Walter Bugiantella
PURPOSE: Surgical site infection (SSI) is one of the most frequent complications after stoma closure and the optimal skin closure technique is still not clear. The goal of this review was to compare outcomes with purse-string closure technique (PSC) versus conventional closure technique (CCT) for skin closure after stoma reversal. METHODS: We performed a systematic review and meta-analysis of available randomized controlled trials (RCTs) to compare SSI rate within 30 days, operative time, hospital stay, incisional hernia and intestinal obstruction rates between PSC and CCT...
February 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29474884/cardiopulmonary-exercise-testing-in-hepato-biliary-pancreas-cancer-surgery-a-systematic-review-are-we-any-further-than-walking-up-a-flight-of-stairs
#14
REVIEW
R Kumar, G Garcea
INTRODUCTION: Cardiopulmonary exercise testing (CPET) is a reliable, reproducible and non-invasive measure of functional capacity. CPET has been increasingly used to assess pre-operative risk and stratify patients at risk of mortality and morbidity following surgery. CPET parameters that predict outcomes within liver and pancreas cancer surgery still remain to be defined. METHODS: A systematic review to assess CPET use in predicting post-operative outcomes in liver and pancreas cancer surgery was carried out using the following databases AMED, CINAHL, Cochrane Library, EMBASE, Google Scholar and PubMED...
February 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29474879/quantitative-analysis-of-relative-volume-of-low-apparent-diffusion-coefficient-value-can-predict-neurologic-outcome-after-cardiac-arrest
#15
Hyung Ki Moon, Jinhee Jang, Kyu Nam Park, Soo Hyun Kim, Byung Kook Lee, Sang Hoon Oh, Kyung Woon Jeung, Seung Pill Choi, In Soo Cho, Chun Song Youn
INTRODUCTION: Predicting neurologic outcomes after cardiac arrest (CA) is challenging. This study tested the hypothesis that a quantitative analysis of diffusion weighted imaging (DWI) using the FMRIB Software Library (FSL) can predict neurologic outcomes after CA and can clarify the optimal apparent diffusion coefficient (ADC) thresholds for predicting poor neurologic outcomes. METHODS: Out-of-hospital CA patients treated with targeted temperature management (TTM) who underwent DWI were included in this study...
February 20, 2018: Resuscitation
https://www.readbyqxmd.com/read/29474878/long-term-effects-of-brief-hypoxia-due-to-cardiac-arrest-hippocampal-reductions-and-memory-deficits
#16
Vess Stamenova, Raneen Nicola, Judith Aharon-Peretz, Dorith Goldsher, Michael Kapeliovich, Asaf Gilboa
OBJECTIVE: To examine the effects of brief hypoxia (<7 min) due to cardiac arrest on the integrity of the brain and performance on memory and executive functions tasks. METHODS: Acute myocardial infarction (MI) patients after out-of-hospital cardiac arrest (CA) (n = 9), who were deemed neurologically intact on discharge, were compared to matched patients with MI (n = 9). A battery of clinical and experimental memory and executive functions neuropsychological tests were administered and MRI scans for all patients were collected...
February 20, 2018: Resuscitation
https://www.readbyqxmd.com/read/29474843/comparison-of-staples-versus-subcuticular-suture-in-class-iii-obese-women-undergoing-cesarean-a-randomized-controlled-trial
#17
Mary N Zaki, Deborah A Wing, Jennifer A McNulty
BACKGROUND: Obesity is a risk factor for infectious morbidity and wound complications after cesarean delivery. There are currently insufficient data to determine optimal skin closure technique for cesarean delivery, specifically for those women with Class III obesity, defined as a body mass index (BMI) greater than or equal to 40 kg/m2 . OBJECTIVE: To compare stainless steel staples versus subcuticular suture for skin closure for cesarean delivery in Class III obese women with body mass index of ≥ 40 kg/m2 ...
February 20, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29474826/evar-complications-and-the-power-of-endovascular-solutions
#18
Mafalda Massara, Stefano Notarstefano, Giovanni De Caridi, Raffaele Serra, Pasquale Gerardi, Roberto Prunella, Giovanni Impedovo
We report the case of a 75 years old man submitted to traditional EVAR for infrarenal abdominal aortic aneurysm. He presented a late type II endoleak 6 months after operation, initially without sac enlargement. One year later, a CT scan control demonstred a sac expansion > 10 mm, also responsible of a secondary proximal type I endoleak. The patient was submitted to transarterial embolization of lumbar arteries through left internal iliac artery, followed by type I endoleak correction with a proximal cuff deployment...
February 20, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29474806/factors-that-influence-parents-adherence-to-safe-sleep-guidelines
#19
Deborah A Raines
OBJECTIVE: To explore factors that influence parental behaviors related to newborn sleep positions and environments in the home after hospital discharge. DESIGN: A descriptive qualitative study conducted by telephone. SETTING: A 290-bed academic teaching hospital in an urban setting with a Level 3 perinatal center and approximately 4,500 births per year. PARTICIPANTS: Participants (N = 60) were recruited from the patient population of the mother-baby unit...
February 20, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29474657/a-comprehensive-framework-identifying-readmission-risk-factors-using-the-chaid-algorithm-a-prospective-cohort-study
#20
SiDiKA Kaya, Gulay Sain Guven, Seda Aydan, Onur Toka
Objective: To identify frequency of readmission after discharge from internal-medicine wards, readmission risk factors, and reasons and costs of readmission. Design: Prospective cohort study. Setting: A tertiary-care hospital in Turkey. Participants: 2622 adult patients discharged from internal-medicine wards of the hospital between 1 February 2015 and 31 January 2016. Main outcome measures: Thirty day all-cause readmission rates, reasons and costs of readmission...
February 21, 2018: International Journal for Quality in Health Care
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