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https://www.readbyqxmd.com/read/29648637/medium-and-long-term-emergency-department-utilization-after-oesophagectomy-a-population-based-analysis
#1
Biniam Kidane, Binu Jacob, Vaibhav Gupta, John Peel, Refik Saskin, Thomas K Waddell, Gail E Darling
OBJECTIVES: Oesophagectomy is a complex operation with the potential for prolonged recovery. The aim of this study was to evaluate healthcare resource utilization, specifically emergency department (ED) visits within 1 year of oesophagectomy, and to identify risk factors for ED visits and frequent ED use (FEDU). METHODS: A retrospective cohort study of consecutive oesophagectomies for cancer in all Ontario hospitals was conducted using linked health data (2000-2012) including the ability to identify ED visits at non-index hospitals...
April 10, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29642974/colonoscopy-in-rural-general-surgery-practice-challenges-outcomes-and-quality-measures
#2
Ramesh Kumar, Namrata Choudhary
No abstract text is available yet for this article.
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29642612/ponseti-technique-for-the-management-of-congenital-talipes-equinovarus-in-a-rural-set-up-in-india-experience-of-356-patients
#3
Rohit Malhotra, Ashutosh Mohapatra, Geetika Arora, Priyam Choudhury, Hitesh Joshi, Pranav Patel
Congenital talipes equinovarus (CTEV), also known as clubfoot, is a complex congenital deformity of the foot that, left untreated, can limit a person's mobility by making it difficult and painful to walk. Worldwide, 80% of children born with clubfoot are in low- and middle-income countries. The management of clubfoot has a long history. Non-operative management did not become popular, as an increasing number of orthopaedists started leaning towards surgical treatment. The late Dr. Ignacio Ponseti developed a method of clubfoot correction that successfully realigns clubfoot in infants without extensive and major surgery...
April 10, 2018: Children
https://www.readbyqxmd.com/read/29615352/long-term-comparative-effectiveness-of-carotid-stenting-versus-carotid-endarterectomy-in-a-large-tertiary-care-vascular-surgery-practice
#4
Robert P Garvin, Evan J Ryer, Andrea L Berger, James R Elmore
OBJECTIVE: Carotid interventional trials have strict inclusion and exclusion criteria that make translation of their results to the real-world population challenging. Furthermore, the specialty of the operating surgeon and the role of clinical decision-making are not well studied. This study compares the effectiveness of carotid endarterectomy (CEA) vs carotid artery stenting (CAS) in a real-world setting when the procedure is performed by fellowship-trained vascular surgeons. METHODS: A retrospective study was conducted of all consecutive patients undergoing CEA and CAS performed by vascular surgeons in a large rural tertiary health care system from 2004 to 2014...
March 31, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29610588/plasma-prolactin-and-total-lipid-levels-and-subsequent-risk-of-breast-cancer-in-pre-and-postmenopausal-women-experience-from-an-indian-rural-centre
#5
Nidhi Gupta, Gautam Mendiratta, Rikki Singal, N S Sharma
Aims and objectives: 1) To analyze serum lipid and prolactin levels in breast cancer patients and normal subjects; 2) to correlate those levels with risk and prognostic factors. Material and Methods: The present study was performed in the Department of Surgery, MMIMSR, Mullana, Ambala, from 2013 to 2014, at a rural centre. The study group comprised 40 patients with carcinoma of the breast who underwent surgery and the control group included 10 patients who underwent surgery for reasons other than carcinoma of the breast...
December 2017: Mædica
https://www.readbyqxmd.com/read/29605842/sustainability-in-humanitarian-surgery-during-medical-short-term-trips-msts-feasibility-of-inguinal-hernia-repair-in-rural-nigeria-over-6-years-and-13-missions
#6
F Oehme, L Fourie, F J-P Beeres, S Ogbaji, P Nussbaumer
PURPOSE: Surgical teaching missions are known to contribute significantly in reducing the local burden of disease. However, the value of short-term medical service trips (MSTs) remains under debate. Humanitarian surgery is highly dependent on funding, and consequently, data evaluation is needed to secure funding for future projects. The aim of this trial is to evaluate the results of 6-year MSTs to rural Nigeria with a specific emphasis on hernia repairs. METHODS: Retrospective series of consecutive operations performed between 2011 and 2016 in rural Nigeria during 13 MSTs...
March 31, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29596539/the-sociocultural-effects-on-orthopedic-surgeries-in-taiwan
#7
Shin-Lin Chiu, Mei-Jih Gee, Chih-Hsin Muo, Chiao-Lee Chu, Shou-Jen Lan, Chiu-Liang Chen
Various sociocultural factors affect healthcare-seeking behaviors. In Taiwanese society, superstitions and lunar festivals play important roles in people's lives. We investigated the impact of "Ghost Month" (the 7th lunar month) and Chinese New Year (the 12th lunar month and the 1st lunar month of the following year) on the number of elective surgeries and emergent surgeries in Taiwan. The number of total knee replacement (TKR) surgeries and proximal femur fracture (PFF) surgeries in each lunar month from 2000 to 2011 were extracted from the Taiwan National Health Insurance Database, a computerized and population-based database...
2018: PloS One
https://www.readbyqxmd.com/read/29593927/a-case-of-rare-complication-of-inguinal-parietoplasty-according-to-lichtenstein-entero-cutaneous-fistula
#8
K B Kouakou, K I Anzoua, M Traore, B K I Leh, A B N'Dri, A S Ekra, B A Kouakou, R Lebeau, B Diané
Lichtenstein intervention is currently the classic model of the regulated treatment of inguinal hernias by direct local approach. This "tension-free" technique satisfies both patients and practitioners. However, it does not often evade severe complications of parietal surgery. The authors report their treatment experience in rural Africa of a late enterocutaneous fistula which aggravated an inguinal hernia repair according to the Lichtenstein procedure. Physiopathology, diagnosis, and treatment of that disease are analyzed in the light of literature...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29580346/head-ct-before-transfer-does-not-decrease-time-to-craniotomy-for-tbi-patients
#9
Peter M Tonui, Sarah K Spilman, Carlos A Pelaez, Mark R Mankins, Richard A Sidwell
Rural trauma education emphasizes that radiologic imaging should be discouraged if it delays transfer to definitive care. With increased capacity for image sharing, however, radiography obtained at referring hospitals (RH) could help providers at trauma centers (TC) prepare for patients with traumatic brain injury. We evaluated whether a head CT prior to transfer accelerated time to neurosurgical intervention at the TC. The study was conducted at a combined adult Level I and pediatric Level II TC with a catchment area that includes rural hospitals within a 150 mile radius...
February 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29548350/telemedicine-in-the-perioperative-experience
#10
Aaron P Lesher, Sohail R Shah
Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedicine has the potential to reduce inefficiencies in the delivery of healthcare, diminish patient travel and wait times, and increase access to specialists for patients in rural settings. We review the use of telemedicine in the perioperative phase of care for pediatric surgical patients, their caregivers, and surgical providers, including pre-operative assessments, and post-operative follow-up...
April 2018: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/29547385/a-step-in-the-right-direction-continuous-mentorship-programs-as-part-of-a-multidimensional-credentialing-and-privileging-process-for-rural-surgery-and-obstetrics
#11
Bret Batchelor, Fred Janke, Brian Geller
No abstract text is available yet for this article.
2018: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/29540091/predictors-of-follow-up-visits-post-radical-prostatectomy
#12
Saira Khan, Veronica Hicks, Danielle Rancilio, Marvin Langston, Katina Richardson, Bettina F Drake
Long-term follow-up care among prostate cancer patients is important as biochemical recurrence can occur many years after diagnosis, with 20%-30% of men experiencing biochemical recurrence within 10 years of treatment. This study examined predictors of follow-up care among 1,158 radical prostatectomy patients, treated at the Washington University in St. Louis, within 6 months, 1 year, and 2 years post surgery. Predictors examined included age at surgery, race (Black vs. White), rural/urban status, education, marital status, and prostate cancer aggressiveness...
March 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29538456/a-trauma-network-with-centralized-and-local-health-care-structures-evaluating-the-effectiveness-of-the-first-certified-trauma-network-of-the-german-society-of-trauma-surgery
#13
Antonio Ernstberger, Michael Koller, Florian Zeman, Maximilian Kerschbaum, Franz Hilber, Eva Diepold, Julika Loss, Tanja Herbst, Michael Nerlich
BACKGROUND: Trauma is a global burden of disease and one of the main causes of death worldwide. Therefore, many countries around the world have implemented a wide range of different initiatives to minimize mortality rates after trauma. One of these initiatives is the bundling of treatment expertise in trauma centers and the establishment of trauma networks. Germany has a decentralized system of trauma care medical centers. Severely injured patients ought to receive adequate treatment in both level I and level II centers...
2018: PloS One
https://www.readbyqxmd.com/read/29506835/attrition-in-general-surgery-residency-can-global-and-rural-surgery-shift-the-paradigm
#14
Demetrios Moris, Georgia-Sofia Karachaliou, Timothy M Pawlik, Benedict Nwomeh
General surgery is one of the more popular career choices among medical students worldwide. An alarming one in five general surgery residents, however, abandon residency training-a rate that is much higher than most other medical and surgical specialities. We believe that additional measures are needed to decrease attrition and increase "grit" among house staff. Specifically, the diversification of the surgery training experience to include global and rural surgery may help mitigate burnout among surgical house staff...
April 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29499865/ten-year-clinical-experience-of-humanitarian-cardiothoracic-surgery-in-rwanda-building-a-platform-for-ultimate-sustainability-in-a-resource-limited-setting
#15
JaBaris D Swain, Colleen Sinnott, Suellen Breakey, Rian Hasson Charles, Gita Mody, Napthal Nyirimanzi, Ceeya Patton-Bolman, Patricia Come, Gapira Ganza, Emmanuel Rusingiza, Nathan Ruhamya, Joseph Mucumbitsi, Jorge Borges, Martin Zammert, Jochen D Muehlschlegel, Robert Oakes, Bruce Leavitt, R Morton Bolman
OBJECTIVE: Despite its near complete eradication in resource-rich countries, rheumatic heart disease remains the most common acquired cardiovascular disease in sub-Saharan Africa. With a ratio of physicians/population of 1 per 10,500, including only 4 cardiologists for a population of 11.4 million, Rwanda represents a resource-limited setting lacking the local capacity to detect and treat early cases of strep throat and perform lifesaving operations for advanced rheumatic heart disease...
February 27, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29492116/cerebral-contusion-an-investigation-of-etiology-risk-factors-related-diagnoses-and-the-surgical-management-at-a-major-government-hospital-in-cambodia
#16
Louise Vera Hilmer, Kee Bum Park, Iv Vycheth, Michael Wirsching
Introduction: Cerebral contusions are a common type of injury among the Cambodian population, mostly due to road traffic accidents. This article aims to assess various aspects around brain contusion focusing on the condition at admission, residing province, mechanism and time of injury, age and sex distribution with differing helmet wearing, and alcohol consumption patterns. Hospitalization-related data such as treatment and outcome were analyzed. Methods: This was a retrospective analysis of 406 cases who have been admitted during the period between May 2013 and May 2016...
January 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29480833/measuring-the-reasons-that-discourage-medical-students-from-working-in-rural-areas-development-and-validation-of-a-new-instrument
#17
REVIEW
Sonu Goel, Federica Angeli, Neetu Singla, Dirk Ruwaard
The sharply uneven distribution of human resources for health care across urban and rural areas has been a long-standing concern globally. The present study aims to develop and validate an instrument measuring the factors deterring final year students of Bachelor of Medicine and Bachelor of Surgery (MBBS) in 3 northern states of India, from working in rural areas.The medical student's de-motivation to work in rural India (MSDRI) scale was developed using extensive literature review followed by Delphi technique...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29479644/survival-of-breast-cancer-patients-in-rural-ethiopia
#18
Pia Eber-Schulz, Wakuma Tariku, Christian Reibold, Adamu Addissie, Claudia Wickenhauser, Christine Fathke, Steffen Hauptmann, Ahmedin Jemal, Christoph Thomssen, Eva Johanna Kantelhardt
PURPOSE: To describe the histopathological characteristics and survival of female breast cancer (BC) patients in a rural setting with limited access to adjuvant treatment. METHODS: A prospective study of 107 histologically confirmed BC patients treated with surgery from 2010 to 2016 from rural parts of western Ethiopia. Referral pathology was performed, and active follow-up was conducted. Adjusted cox regression analysis (hazard ratio [HR]) was performed. RESULTS: The median age at diagnosis was 45 (16-83) years; 57% of the patients presented with cT3/4 tumors, 71% with clinically positive lymph nodes, 21% with HER2-overexpression (Dako3+) and 68% with grade 3 tumors...
February 26, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29472494/disparities-in-outcomes-and-resource-use-after-hospitalization-for-cardiac-surgery-by-neighborhood-income
#19
Brett R Anderson, Evan S Fieldston, Jane W Newburger, Emile A Bacha, Sherry A Glied
BACKGROUND: Significant disparities exist between patients of different races and with different family incomes; less is understood regarding community-level factors on outcomes. METHODS: In this study, we used linked data from the Pediatric Health Information System database and the US Census Bureau to examine associations between median annual household income by zip code and mortality, length of stay, inpatient standardized costs, and costs per day, over and above the effects of race and payer, first for children undergoing cardiac surgery (2005-2015) and then for all pediatric discharges (2012-2015)...
February 22, 2018: Pediatrics
https://www.readbyqxmd.com/read/29462143/prescriptive-variability-of-drugs-by-general-practitioners
#20
Magda Bucholc, Maurice O'Kane, Siobhan Ashe, KongFatt Wong-Lin
Prescription drug spending is growing faster than any other sector of healthcare. However, very little is known about patterns of prescribing and cost of prescribing between general practices. In this study, we examined variation in prescription rates and prescription costs through time for 55 GP surgeries in Northern Ireland Western Health and Social Care Trust. Temporal changes in variability of prescribing rates and costs were assessed using the Mann-Kendall test. Outlier practices contributing to between practice variation in prescribing rates were identified with the interquartile range outlier detection method...
2018: PloS One
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