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De Decker Steven S Department of Veterinary Clinical Science and Services, Royal Veterinary College, University of London, North Mymms, Hertfordshire, AL97TA, - - 2014
Objective-To compare clinical signs of dogs treated medically or surgically for degenerative lumbosacral stenosis (DLSS) and assess outcome after medical treatment. Design-Retrospective case series. Animals-Client-owned dogs treated medically (n = 49) or surgically (49) for DLSS. Procedures-Medical records from 2004 to 2012 were reviewed. Dogs were included if they had ...
Yassin N A NA Department of Colorectal Surgery, St Mark's Hospital and Academic Institute, London, UK; IBD unit, St Mark's Hospital and Academic Institute, London, UK; Department of Cardiovascular Medicine, St Mary's Hospital, London, - - 2014
The management of perianal Crohn's fistulas represents a significant challenge. A combination of medical and surgical therapy, guided by radiology, is often required. To review systematically the literature to assess fistula healing rates with medical treatment (anti-TNF-α therapies ± immunomodulators) or surgical treatment alone, compared with combined medical and surgical ...
French Judith C JC Department of General Surgery, Cleveland Clinic, 9500 Euclid Ave. A100, Cleveland, OH, 44195, USA, - - 2014
Diversity in the workforce is vital to successful businesses. Healthcare in general has suffered from a lack of cultural competence, which is the ability to successfully interact with individuals from diverse backgrounds. In order to eliminate discrimination and build a diverse workforce, physicians' perceptions and importance of diversity need to ...
Cook Vanessa L VL Department of Large Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, 736 Wilson Road, East Lansing, MI 48824, - - 2014
This article presents an overview of key factors that should alert the practitioner toward referral of a colic patient to a facility capable of surgical exploration or intensive medical management. Discussion includes a review of important aspects of colic history, signalment, physical examination findings, and diagnostic test results that indicate ...
Arko Leopold L 4th Department of - - 2014
Object Spinal epidural abscess (SEA) is a rare condition that has previously been treated with urgent surgical decompression and antibiotics. Recent availability of MRI makes early diagnosis possible and allows for the nonoperative treatment of SEA in select patients. The first retrospective review of medically and surgically managed SEA was ...
Monsell F P FP Bristol Royal Hospital for Children, Department of Orthopaedic Surgery, Upper Maudlin Street, Bristol BS2 8BJ, - - 2014
The contemporary practice of orthopaedic surgery requires an evidence-based approach to support all medical and surgical interventions. In this essay, the author expresses a forthright, personal and somewhat prejudiced appeal to retain the legitimacy of clinical decision making in conditions that are rare, contain multiple variables, have a solution that ...
Rutkow Ira - - 2014
To explore the details of Samuel D. Gross's achievements as America's foremost historian of medicine in the mid-nineteenth century. The life of Samuel D. Gross, the most renowned of the nation's surgeons in the nineteenth century, has been extensively researched and celebrated. Despite the long-standing interest in Gross's accomplishments, there ...
Vertrees Amy A Walter Reed National Medical Center, Bethesda, MD, USA; Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. Electronic address: - - 2014
Ratios of women graduating from the only US military medical school and entering surgical internships were reviewed and compared with national trends. Data were obtained from the Uniformed Services University of the Health Sciences graduation announcements from 2002 to 2012. There were 1,771 graduates from 2002 to 2012, with 508 ...
Micieli Jonathan A JA Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto. Electronic address: - - 2014
The past decade has seen significant paradigm shifts in the management of many retinal diseases. The goal of this study is to assess the effect these advances have had on the number of retinal specialists, and the differences in output between medical and surgical specialists at the population level. Population-based ...
DeConde Adam S AS Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, - - 2014
Evidence comparing the impact of medical and surgical management of chronic rhinosinusitis on olfactory function is limited. This study evaluates olfactory outcomes in patients who failed initial medical management and elect either continued medical management or endoscopic sinus surgery (ESS) followed by medical management. Adult subjects were prospectively enrolled into ...
Härkänen Marja M Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland; Finnish Doctoral Programme in Nursing Sciences, Kuopio, - - 2014
The aims of this study were to clarify how a patient's identity was verified before the administration of medication in medical and surgical wards in a hospital, as well as to study the association between patient identification and the registered nurse's work experience, observed interruptions, and distractions. The study material ...
Mercurio Patti - - 2014
The surgical consent serves as a key link in preventing breakdowns in communication that could lead to wrong-patient, wrong-site, or wrong-procedure events. We conducted a quality improvement initiative at a large, urban pediatric academic medical center to reliably increase the percentage of informed consents for surgical and medical procedures with ...
Lovely Jenna K - - 2014
Collaborative practice agreements (CPAs), which have been widely used in ambulatory care, were applied to hospital surgical teams in a postsurgical colorectal surgery unit at Mayo Clinic Rochester (Minnesota). The CPA allowed pharmacists the decision rights to initiate, modify, or discontinue medications in accordance with the surgical teams' practice standards, ...
Alton Timothy B TB Harborview Medical Center, Department of Orthopaedics and Sports Medicine, 325 9(th) Ave, Seattle, WA 98104. Electronic address: - - 2014
The ideal management of cervical spine epidural abscess (CSEA), medical vs surgical, is controversial. The medical failure rate and neurological consequences of delayed surgery are not known. The purpose of this study is to assess the neurological outcome of patients with CSEA managed medically or with early surgical intervention and ...
Oztürker Zeynep Kayaarasi ZK 1 Istanbul Education and Research Hospital , Istanbul, Turkey - - 2014
Abstract Purpose: To investigate the influence of preoperative antiglaucoma medications on trabeculectomy outcome. Materials and Methods: Two hundred fifteen eyes, which underwent primary trabeculectomy, were retrospectively analyzed. The average follow-up was 39.8±30.3 months. The only cases of primary open-angle glaucoma, with or without pseudoexfoliation (PXF), were included. "Complete success" was ...
Beldekos Dimitris D History of Medicine Department, Medical School, University of Athens, 4, Str. Themidos, Kifissia, 14564, Athens, Greece, - - 2014
The iconography of the doctor saints Cosmas and Damian and the artistic representations of their miracles are important sources for the history of medicine. Within the sphere of physician-saints, Cosmas and Damian have the greatest number of iconographic depictions in Byzantine and Post-Byzantine art. In most of their representations, they ...
Yim Elizabeth E Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, - - 2014
Approximately 6.5 million Americans suffer from non-healing wounds. As physicians are increasingly expected to manage chronic wounds, the degree to which formalized wound care education exists as a clinical rotation is unclear. For the first time, the prevalence and characteristics of formal wound electives offered by US medical schools are ...
Kilic E E Department of Surgery, Faculty of Veterinary Medicine, University of Kafkas, Kars 36100, - - 2014
This study aimed to clinically evaluate the results achieved by using tendon transposition to treat postinjection peroneal paralysis in calves. The study material consisted of 23 calves in all of which the clinical history indicated the problem had occurred within 1-3 days of intramuscular injection. Each patient was administered medical treatment ...
Davis Christopher R CR Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol, UK. Electronic address: - - 2014
This national study quantifies procedural and surgical skills training at medical schools in the United Kingdom (UK), a requirement of all graduates as stipulated by the General Medical Council (GMC). A questionnaire quantified basic procedural and surgical skills training provided by medical schools and surgical societies in the UK. Skills ...
Shen James T JT Department of Surgery, Thomas Jefferson University, Jefferson Medical College, Philadelphia, Pennsylvania, - - 2014
In their extensive writings, Hippocrates and Celsus counseled physicians to be knowledgeable in both the medical and surgical management of patient recovery. However, their words fell by the wayside because cutting of the body was forbidden by the Roman Catholic Church. Furthermore, the contemporaneous Arabic medical teachings emphasized tradition and ...
Bloch Rebecca A - - 2014
A female southern white rhinoceros (Ceratotherium simum simum) calf presented with a patent urachus at 5 days of age. It was immobilized for examination and medical treatment was elected over surgical repair. Systemic antibiotics and topical treatment of the site by cleaning with chlorhexidine solution were followed by silver nitrate ...
Ferreres Alberto R AR Department of Surgery, University of Buenos Aires, Vicente López 1831 P.B. (1128), Buenos Aires, Argentina, - - 2014
Being a surgical expert witness (EW) in professional liability claims implies ethical responsibilities, which are usually unknown to the parties who try to obtain such testimony as well as to the surgeons involved in providing the expert opinion required by the courts. Giving medical testimony can be included in the ...
Bowen Diana K DK Department of Urology, Feinberg School of Medicine, Northwestern University, Tarry 16-703, 303 East Chicago Ave, Chicago, IL 60611, USA. Electronic address: - - 2014
Parisian cutler Joseph-Frédéric-Benoît Charrière (1803-1876) contributed greatly to surgical disciplines with innovative tools, but his legacy is the gauge system he developed in 1842 that is still used for catheters, probes, and dilators. Sounding devices have been documented in the surgical armamentarium since 3000 BC, with practitioners such as Hippocrates, ...
Knight Jenny - - 2014
Thanks to the European Working Time Directive and changes in medical training, fewer junior doctors are available in operating theatres. One of the advanced roles introduced to deal with the shortfall, is the surgical care practitioner (SCP).
Illescas Megias Veronica V Servicio de Radiologia y Urologia. Hospital Universitario Virgen del - - 2014
A 20 year old man without medical or surgical history came with complains of swelling of the glans penis of 2 years of evolution. On examination there was an elevated reddish-purple papule with an irregular surface on the dorsal portion of the glans penis. It has increased slowly and progressively ...
Dhatariya Ketan K Consultant in Diabetes, Endocrinology and General Medicine in the Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, Norfolk NR4 - - 2014
Data suggest that over 12% of inpatients are taking high-dose glucocorticoids, which are a well-recognized cause of hyperglycaemia. Hyperglycaemia is associated with poor outcomes in most medical and surgical specialities, yet rates of blood glucose monitoring and appropriate management remain very low.
Kerwin Leonard Y LY Department of Dermatology, Wayne State University, Dearborn, MI, - - 2014
Cosmetic, functional, and structural sequelae of scarring are innumerable, and measures exist to optimize and ultimately minimize these sequelae. To evaluate the innumerable methods available to decrease the cosmetic, functional, and structural repercussions of scarring, pubMed search of the English literature with key words scar, scar revision, scar prevention, scar ...
Wai Philip Y PY Department of Surgery, Loyola University Chicago, Stritch School of Medicine, Maywood, IL. Electronic address: - - 2014
Academic medical centers strive for clinical excellence with operational efficiency and financial solvency, which requires institutions to retain productive and skillful surgical specialists. Faculty workplace perceptions, overall satisfaction, and intent to leave are relationships that have not been examined previously among US surgeons in academic medicine. We hypothesize that critical ...
McNevin M Shane MS Surgical Specialists of Spokane, 105 W 8th Avenue Suite 7010, Spokane, WA 99208, USA. Electronic address: - - 2014
Fecal incontinence is a common, socially debilitating disorder. Initial management involves dietary manipulation with bulking agents or antidiarrheal medications and pelvic floor biofeedback. For patients failing these modalities, traditional surgical approaches are morbid and of variable efficacy. Sacral nerve neuromodulation (Interstim, sacral nerve stimulation) was approved in May 2011 for ...
Gasenzer E R ER Lehrstuhl für Chirurgische Forschung, Institut für Forschung in der Operativen Medizin, Fakultät für Medizin der Universität Witten/Herdecke, Campus Köln-Merheim,Ostmerheimer Str. 200, 51109, Köln, Germany, - - 2014
The composer Felix Mendelssohn-Bartholdy and his sister, Fanny Hensel, both died in 1847 of intracerebral hemorrhage. Also their father and grandfather had died of cerebral strokes. Their cases show the dramatic progress of an arteriovenous malformation in the nineteenth century, but also the development of new romantic styles in the ...
Dellenbaugh Samuel G SG OrthoNY, 121 Everett Road, Albany, NY 12205, USA. Electronic address: - - 2014
Arthritis of the foot can be a difficult problem. It is initially managed with antiinflammatory medications and footwear modifications or bracing. However, a significant percentage of people with arthritis of the foot go on to require surgical intervention, which is most commonly arthrodesis.
Mukherjee Nisha N Department of Ophthalmology, Duke Eye Center, Duke University Medical Center, Durham, NC, - - 2014
Idiopathic intracranial hypertension (IIH) is a disorder of elevated intracranial pressure due to an unknown cause. In most cases, IIH can be managed with medical therapy and weight reduction. Surgical treatment of IIH is reserved for patients who cannot tolerate medical therapy, are nonadherent to medical therapy, develop progressive symptoms ...
Brown Calvin A CA 3rd Brigham and Women's Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, - - 2014
Pre-hospital airway management is a key component of resuscitation although the benefit of pre-hospital intubation has been widely debated. We report a large series of pre-hospital emergency airway encounters performed by air-transport providers in a large, multi-state system. We retrospectively reviewed electronic intubation flight records from an 89 rotorcraft air ...
Singh Gagandeep G Department of Neurology, Dayanand Medical College, Ludhaina, Punjab, - - 2014
The association between neurocysticercosis (NCC) and epilepsy is well known and NCC is an important risk factor for epileptic seizures in many Taenia solium-endemic regions of the world. However, while the relationship between NCC and epilepsy is well known, the association between NCC and medically refractory (or surgically remediable epilepsy) ...
Arinal Mavel F - - 2014
Results of a pre-post survey study designed to evaluate the impact of medication cabinets in patients' rooms on nurses' satisfaction with medication administration, medication charge accuracy, and errors are described.
Sauerland Stefan S Institute for Quality and Efficiency in Health Care (IQWiG), Im Mediapark 8, 50670, Cologne, Germany, - - 2014
The surgical community and the medical device industry enjoy a fruitful cooperation for the benefit of patients, but during the last years several high-risk products have led to problems and scandals, thus highlighting the need for reforms in European CE marking requirements. In October 2013, the European Parliament voted on ...
Hong Jennifer J Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, - - 2014
Medically refractory headache is an uncommon but difficult-to-treat clinical problem. Patients who fail maximal medical management may be candidates for invasive treatment. In this review, we critically examine the literature on the range of surgical treatments currently available for migraine, trigeminal autonomic cephalalgias, idiopathic intracranial hypertension and Chiari malformation type ...
Ginawi I I Faculty, College of Medicine, University of Hail , Kingdom of Saudi Arabia - - 2014
To investigate the incidence of Nosocomial Infection (NI) and type of bacteriological isolates among the patients admitted in the medical and surgical wards of a non-teaching secondary care hospital in north India. This was a cross-sectional hospital based study conducted in the Wards of General Medicine, General Surgery and Orthopaedic ...
Tasaka Chelsea L CL University of California, San Francisco, CA, - - 2014
Overutilization of stress ulcer prophylaxis (SUP) in the intensive care unit (ICU) is common. Acid-suppressive therapies routinely used for SUP are best reserved for patients with greatest risk of clinically important bleeding as they have been associated with nosocomial pneumonia, Clostridium difficile infection and increased hospital cost. The primary objective ...
Zhang Wei W Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu Province, P.R. - - 2014
There are very few reports available on the role of medical and surgical therapy for enterovesical fistula (EVF) in Crohn's disease (CD). The goal of this study was to investigate the respective role of medical and surgical therapy. Thirty-seven patients with EVF in CD, who were consecutively admitted to our ...
Kahokehr Arman A Department of Urology, Tauranga Hospital, Bay of Plenty District Health Board, Cameron Road, Private Bag 12024, Tauranga 3143, New - - 2014
Clinicians treat the symptoms associated with BPH on a daily basis. Although BPH is nearly universal with age, not all men develop lower urinary tract symptoms. Over the past 100 years, several notable advances in the field of urology have not only improved our understanding of the aetiology and natural ...
Mills Peter D PD VA National Center for Patient Safety Field Office, White River Junction, Vermont; Department of Psychiatry, The Geisel School of Medicine at Dartmouth College, Hanover, New - - 2014
Studies of inpatient suicide attempts and completions on medical-surgical and intensive care units are rare, and there are no large studies in the United States. We reviewed 50 cases, including 45 suicide attempts and 5 completed suicides, that occurred on medical surgical or intensive care units in the Veterans Health ...
Humes D J DJ Nottingham Digestive Diseases Centre and Biomedical Research Unit, Nottingham University Hospital NHS Trust, Nottingham, - - 2014
Acute diverticulitis, defined as acute inflammation associated with a colonic diverticulum, is a common emergency presentation managed by both surgeons and physicians. There have been advances in both the medical and the surgical treatments offered to patients in recent years. To review the current understanding of the aetiology and treatment ...
Michelson James D JD Departments of Orthopedics and Rehabilitation, Burlington, VT. Electronic address: - - 2014
Text mining techniques to detect surgical site infections (SSI) in unstructured clinical notes were used to improve SSI detection. In conjuction with data from an integrated electronic medical record, all of the 22 SSIs detected by traditional hospital-based surveillance were found using text mining, along with an additional 37 SSIs not ...
Mans Christoph - - 2014
Pet birds suffer from a wide range of reproductive conditions and diseases. Chronic egg laying, egg binding, and excessive reproductive activities are common problems. Veterinarians may prescribe behavior modification, changes in captive care, and medical therapy to curb these behaviors. Surgical removal of the oviduct is effective at stopping egg ...
Hassan Ali A Section of Neurology, Department of Medicine, College of Medicine, Taibah University, PO Box 51099, Madinah Munawarah 41543, Kingdom of Saudi - - 2014
Epilepsy is a common and serious chronic neurological disorder, affecting around 65 million people worldwide. Despite the advances in pharmacologic treatments for epilepsy, approximately 30% of the patients remain medically refractory and continue to have seizures on medications, in such cases, other treatment approaches are necessary. Resection surgery can be ...
Jain Rajendra Singh RS Department of Neurology, SMS Medical College, Jaipur, Rajasthan, - - 2014
Tubercular abscess is a rare presentation of central nervous system tuberculosis (TB), which commonly presents as tuberculoma or meningitis. Most of the published cases of tubercular brain abscess have been dealt with by surgical treatment along with medical management. We here report a case of intracranial tubercular abscess in a ...
Chittawatanarat Kaweesak - - 2014
There are varieties of clinical practices for intensive care respiratory support. However there has been no published report characterizing its current practice in Thailand. The present study was undertaken to characterize the practice of respiratory support for intensive care patients in Thai tertiary hospitals. A cross-sectional survey and retrospective historical ...
Rosen Amy K AK *Center for Healthcare Organization and Implementation Research (CHOIR) †Department of Surgery, Boston University School of Medicine ‡Department of Operations and Technology Management, Boston University School of Management §Department of Surgery, Brigham and Women's Hospital, Boston ∥Center for Healthcare Organization and Implementation Research (CHOIR), Bedford ¶Section of General Internal Medicine, Boston University School of Medicine #Department of Health Policy and Management, Boston University School of Public Health, Boston, - - 2013
Readmissions are an attractive quality measure because they offer a broad view of quality beyond the index hospitalization. However, the extent to which medical or surgical readmissions reflect quality of care is largely unknown, because of the complexity of factors related to readmission. Identifying those readmissions that are clinically related ...
Padwal Raj S RS *Department of Medicine, University of Alberta †Alberta Diabetes Institute ‡Department of Surgery and CAMIS (Center for the Advancement of Minimally Invasive Surgery), Royal Alexandra Hospital §Department of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, AB, - - 2013
Multidisciplinary bariatric care is increasingly being delivered in Canada within publicly funded regional programs. Demand is high, wait lists are long, and clinical effectiveness is unknown. To examine the "real-world" outcomes associated with a publicly funded, population-based regional bariatric (medical and surgical) program. Prospective observational cohort. Five hundred consecutive patients ...
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