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Surgery in rural

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https://www.readbyqxmd.com/read/29026761/postherpetic-neuralgia-diabetic-neuropathy-and-trigeminal-neuralgia-chronic-peripheral-neuropathic-pain-in-58-480-rural-italian-primary-care-patients
#1
Nicola Buono, Hans Thulesius, Ferdinando Petrazzuoli, Elena Castelli, Marco Cambielli
INTRODUCTION: Chronic peripheral neuropathic pain (CPNP) is a condition due to peripheral nervous system diseases or injury, but its prevalence is unknown in Italian primary care. AIM: The aim of this study is to assess the prevalence of CPNP in a rural primary care area in Northern Italy. MATERIALS AND METHODS: A multicenter audit study was carried out in a rural area in Northern Italy with 113 participating general practitioners (GPs) seeing 58,480 patients >18 years during 3 months...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29022957/clinical-patterns-and-risk-factors-for-rhegmatogenous-retinal-detachment-at-a-tertiary-eye-care-centre-of-northern-india
#2
Brijesh Takkar, Shorya Azad, Indrish Bhatia, Rajvardhan Azad
PURPOSE: To identify patterns and risk factors for rhegmatogenous retinal detachment (RD) in northern India. METHODS: This was a retrospective study conducted at a tertiary care centre in northern India. 378 consecutive records of patient, operated between January 2011 to June 2012 were included for analysis. Clinical history, signs and risk factors of RD were evaluated. Comparison was done with available literature from other developing nations. RESULTS: Mean age of the patients was 40...
January 2017: Nepalese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29020052/effects-of-socioeconomic-status-on-esophageal-adenocarcinoma-stage-at-diagnosis-receipt-of-treatment-and-survival-a-population-based-cohort-study
#3
Hla-Hla Thein, Kika Anyiwe, Nathaniel Jembere, Brian Yu, Prithwish De, Craig C Earle
The incidence of esophageal adenocarcinoma (EAC) is increasing worldwide and has overtaken squamous histology in occurrence. We studied the impact of socioeconomic status (SES) on EAC stage at diagnosis, receipt of treatment, and survival. A population-based retrospective cohort study was conducted using Ontario Cancer Registry-linked administrative health data. Multinomial logistic regression was used to examine the association between SES (income quintile) and stage at EAC diagnosis and EAC treatment. Survival times following EAC diagnosis were estimated using Kaplan-Meier method...
2017: PloS One
https://www.readbyqxmd.com/read/29018008/comparison-of-postoperative-outcomes-among-patients-treated-by-male-and-female-surgeons-a-population-based-matched-cohort-study
#4
Christopher Jd Wallis, Bheeshma Ravi, Natalie Coburn, Robert K Nam, Allan S Detsky, Raj Satkunasivam
Objective To examine the effect of surgeon sex on postoperative outcomes of patients undergoing common surgical procedures.Design Population based, retrospective, matched cohort study from 2007 to 2015.Setting Population based cohort of all patients treated in Ontario, Canada.Participants Patients undergoing one of 25 surgical procedures performed by a female surgeon were matched by patient age, patient sex, comorbidity, surgeon volume, surgeon age, and hospital to patients undergoing the same operation by a male surgeon...
October 10, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29016436/trends-and-disparities-in-cervical-spine-fusion-procedures-utilization-in-the-new-york-state
#5
Rui Feng, Mark Finkelstein, Khawaja Bilal, Eric K Oermann, Michael Palese, John Caridi
STUDY DESIGN: A retrospective review of the Statewide Planning and Research Cooperative System database of the New York State. OBJECTIVE: This study examined the rate of increase of cervical spine fusion procedures at low-, medium-, and high-volume hospitals, and analyzed racial and socioeconomic characteristics of the patient population treated at these three volume categories. SUMMARY OF BACKGROUND DATA: There has been a steady increase in spinal fusion procedures performed each year in the US, especially cervical and lumbar fusion...
October 9, 2017: Spine
https://www.readbyqxmd.com/read/28985869/surgical-approach-to-gallbladder-disease-in-rural-guatemala
#6
Jonathan B Imran, Annie Ochoa-Hernandez, Juan Herrejon, Tarik D Madni, Audra T Clark, Sergio Huerta
BACKGROUND: In this article, we report the current surgical approach to gallbladder disease at a major referral hospital in rural Guatemala. Complications in a cohort of patients undergoing open versus laparoscopic cholecystectomy were catalogued. METHODS: We reviewed cholecystectomies performed by surgeons at the Hospital Nacional de San Benito in El Peten, Guatemala, after the adoption of the laparoscopic approach. Laparoscopic cholecystectomies (LCs) between 2014 and 2015 (n = 42) were reviewed and matched by 58 randomly selected open cholecystectomies (OCs) during the same period...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985861/differences-in-rural-and-urban-outcomes-a-national-inspection-of-emergency-general-surgery-patients
#7
Muhammad Ali Chaudhary, Adil A Shah, Cheryl K Zogg, Navin Changoor, Grace Chao, Stephanie Nitzschke, Joaquim M Havens, Adil H Haider
BACKGROUND: About 19% of the United States population lives in rural areas and is served by only 10% of the physician workforce. If this misdistribution represents a shortage of available surgeons, it is possible that outcomes for rural patients may suffer. The objective of this study was to explore differences in outcomes for emergency general surgery (EGS) conditions between rural and urban hospitals using a nationally representative sample. METHODS: Data from the 2007-2011 National Inpatient Sample were queried for adult patients (≥18 years) with a primary diagnosis consistent with an EGS condition, as defined by the American Association for the Surgery of Trauma...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28979986/geographic-diffusion-and-implementation-of-acute-care-surgery-an-uneven-solution-to-the-national-emergency-general-surgery-crisis
#8
Jasmine A Khubchandani, Angela M Ingraham, Vijaya T Daniel, Didem Ayturk, Catarina I Kiefe, Heena P Santry
Importance: Owing to lack of adequate emergency care infrastructure and decline in general surgery workforce, the United States faces a crisis in access to emergency general surgery (EGS) care. Acute care surgery (ACS), an organized system of trauma, general surgery, and critical care, is a proposed solution; however, ACS diffusion remains poorly understood. Objective: To investigate geographic diffusion of ACS models of care and characterize the communities in which ACS implementation is lagging...
October 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28979357/prevalence-of-human-hydatidosis-based-on-hospital-records-in-hamadan-west-of-iran-from-2006-to-2013
#9
Nazanin Fallah, Khadijeh Rahmati, Mohammad Fallah
BACKGROUND: The reservoir and intermediate hosts of Echinococcus granulsus and human hydatidosis are more prevalent in the Alborz and Zagros Mountains slop due to rich pastures for sheep raising. Many cases of hydatid cysts operate in local hospitals annually. The present study aimed to review the epidemiologic characteristics of the hydatidosis patients. METHODS: In this descriptive study, the medical files of 182 hydatidosis patients from main public and private hospitals in Hamadan Province, western Iran from 2006 to 2013 were reviewed...
July 2017: Iranian Journal of Parasitology
https://www.readbyqxmd.com/read/28978204/a-simple-novel-technique-for-fixing-penrose-drains-in-minor-surgeries-with-advantages-for-remote-outpatient-clinics-a-retrospective-comparison-with-conventional-drain-fixation-in-north-ibaraki-japan
#10
Yoichiro Shibuya, Go Matsumoto, Masahiro Sasaki, Kaoru Sasaki, Koji Adachi, Mitsuru Sekido
INTRODUCTON: In rural areas with few doctors, Penrose drains in minor surgeries for soft tissue trauma or small subcutaneous tumors are sometimes avoided, even though the drain would prevent hematoma, because of the limited availability of professional postsurgical care. The authors developed a simple fixation method for Penrose drains that can be used even in remote areas where a doctor is not present to remove the drain. A retrospective study was conducted to compare this new method of fixing Penrose drains with instances in which the Penrose drain was fixed to skin by conventional suturing...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28958280/differences-in-the-management-of-perforated-appendicitis-in-children-by-race-and-insurance-status
#11
Randi L Lassiter, Robyn M Hatley
This study was conducted to assess whether race and socioeconomic status influence the management method used to treat pediatric perforated appendicitis. Nonelective pediatric admissions with a primary diagnosis of appendicitis were analyzed using data from the 2001-2010 Nationwide Inpatient Sample. Bivariate and multivariate analyses were used to determine the association between race, insurance status, median household income, rural/metropolitan location, and the risk adjusted odds of undergoing surgery, laparoscopic appendectomy, percutaneous drainage, or neither surgery nor percutaneous drainage...
September 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28954499/injuries-treated-in-hospital-among-urban-and-rural-inhabitants-of-eastern-poland
#12
Marek Kos, Bartłomiej Drop, Agnieszka Dziewa, Marian Jędrych
INTRODUCTION AND OBJECTIVE: Injuries are a serious medical and social problem, especially when accompanied by distant or deferred effects, often causing serious dysfunctions and permanent disability for life. The study aimed at presenting the incidence of injuries of urban and rural population treated in a district hospital in eastern Poland. MATERIAL AND METHODS: The study was carried out in the Independent Public Health Care Institution in Kraśnik in 2011 among patients hospitalized in the Department of Trauma Surgery and Orthopedic Unit who sustained injuries...
September 21, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28949835/the-canadian-otolaryngology-head-and-neck-surgery-workforce-in-the-urban-rural-continuum-longitudinal-data-from-2002-to-2013
#13
Matthew G Crowson, Vincent Lin
Objectives To evaluate the proportion of otolaryngology-head and neck surgery (OHNS) providers who are rural versus urban based from 2002 to 2013. Secondary objective was to present perspectives of rural primary care providers on unmet needs for OHNS services. Study Design Mixed methods database analysis and prospective survey. Setting National administrative database. Subjects and Methods The Canadian Medical Association OHNS provider Masterfile and the Statistics Canada postal code file were used to determine provincial, urban, rural, and Aboriginal group care coverage...
September 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28948328/open-fracture-management-in-low-resource-settings-a-medical-training-experience-in-cambodian-hospitals
#14
Nenad B Tajsic, Puon Sambath, Sophy Nguon, Vannara Sokh, Virak Chheang, Gaute Landsem, Ivan Zaletel, Hans Husum
INTRODUCTION: A prospective interventional study has been carried out on the teaching effect and sustainability of low-cost trauma training program in open tibia fracture management for health workers. MATERIALS AND METHODS: In 2007, an external fixator and a patella-bearing orthosis were developed at a rural workshop in Cambodia. From 2010 to 2016, a core group of nine Cambodian health workers was trained in open fracture management by Norwegian senior surgeons, using the locally made fixator and brace...
September 25, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28948326/patient-navigation-by-community-health-workers-increases-access-to-surgical-care-in-rural-haiti
#15
Alexi C Matousek, Stephen R Addington, Joseph Kahan, Herriot Sannon, Thelius Luckner, Chauvet Exe, Rodolphe R Eisenhower Jean Louis, Stuart Lipsitz, John G Meara, Robert Riviello
INTRODUCTION: In the Hôpital Albert Schweitzer district in rural Haiti, patients from mountain areas receive fewer operations per capita than patients from the plains. Possible additional barriers for mountain patients include lower socioeconomic status, lack of awareness of financial support, illiteracy and unfamiliarity with the hospital system. We sought to increase the rate of elective surgery for a mountain population using a patient navigation program. MATERIALS AND METHODS: Patient navigators were trained to guide subjects from a mountain population through the entire hospital process for elective surgery...
September 25, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28947890/the-prevalence-of-squamous-cell-carcinoma-in-different-sites-of-oral-cavity-at-our-rural-health-care-centre-in-loni-maharashtra-a-retrospective-10-year-study
#16
Parul Tandon, Anuj Dadhich, Harish Saluja, Shilpa Bawane, Shivani Sachdeva
AIM OF THE STUDY: Oral cancer ranks in the top three of all cancers in India and is quickly becoming a global health priority. More than 90% of oral and oropharyngeal cancers are squamous cell carcinoma. The purpose of this study was to document its incidence depending upon the involvement of different sites of oral cavity, and its variation with age and gender. MATERIAL AND METHODS: Histopathologically proven oral squamous cell carcinoma cases were collected from the department of oral and maxillofacial surgery RDC, PIMS...
2017: Contemporary Oncology Współczesna Onkologia
https://www.readbyqxmd.com/read/28946885/surgical-referral-coordination-from-a-first-level-hospital-a-prospective-case-study-from-rural-nepal
#17
Matthew Fleming, Caroline King, Sindhya Rajeev, Ashma Baruwal, Dan Schwarz, Ryan Schwarz, Nirajan Khadka, Sami Pande, Sumesh Khanal, Bibhav Acharya, Adia Benton, Selwyn O Rogers, Maria Panizales, David Gyorki, Heather McGee, David Shaye, Duncan Maru
BACKGROUND: Patients in isolated rural communities typically lack access to surgical care. It is not feasible for most rural first-level hospitals to provide a full suite of surgical specialty services. Comprehensive surgical care thus depends on referral systems. There is minimal literature, however, on the functioning of such systems. METHODS: We undertook a prospective case study of the referral and care coordination process for cardiac, orthopedic, plastic, gynecologic, and general surgical conditions at a district hospital in rural Nepal from 2012 to 2014...
September 25, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28931197/study-of-factors-responsible-for-recidivism-in-allergic-fungal-rhinosinusitis
#18
Bipin Kishore Prasad
Patients with allergic fungal rhinosinusitis (AFRS) are typically atopic and immunocompetent. Despite combined modality treatment based on surgery and immunomodulation, the potential for recidivism is well recognized. A study was conducted in a military hospital in India to identify the factors responsible for recidivism in AFRS and to suggest measures to overcome it. Sixty patients with AFRS (42 new cases and 18 cases that required revision surgery) were managed between January 2009 and July 2013. Patients underwent endoscopic, radiologic, and laboratory evaluation for AFRS followed by functional endoscopic sinus surgery...
September 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28920649/diamonds-in-the-rough%C3%A2-a-case-for-rural-surgery-rotations
#19
Edward Kreimier
No abstract text is available yet for this article.
April 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28913958/preoperative-nutritional-management-of-bariatric-patients-in-australia-the-current-practice-of-dietitians
#20
Ruth Bourne, Judith Tweedie, Fiona Pelly
AIM: The aim of this observational study was to investigate the reported practices of Australian dietitians managing bariatric surgery patients in the preoperative stage. METHODS: An online survey of dietitians providing nutritional care to bariatric patients was developed for the purpose of this investigation. The survey questions were guided by the Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic and Nonsurgical Support of the Bariatric Surgery Patient guidelines and current literature...
September 15, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
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