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Articles 1 - 30 of 169
Full-Text Articles in Entire DC Network
Case Illustration Of A Patient With Hyperhidrosis Treated By Ets And Outcomes Review Of Ets At A Single Institution, Rani Nasser, Andrew Margules, Jack Jallo
Case Illustration Of A Patient With Hyperhidrosis Treated By Ets And Outcomes Review Of Ets At A Single Institution, Rani Nasser, Andrew Margules, Jack Jallo
JHN Journal
Background: Hyperhidrosis is a disorder characterized by excessive sweating, predominantly of the hands, axillae, and feet. Patients suffering from severe hyperhidrosis who have not responded well to non-invasive treatments such as botulinum toxin injections or prescription antiperspirants may undergo an endoscopic thoracic sympathectomy (ETS). An ETS involves cauterizing or, more recently, clipping the sympathetic nerves at the T2-T3 vertebral level just lateral to the sympathetic trunk. The procedure generally decreases the amount of sweating in the original problematic area; however, a major side effect is compensatory sweating and increased total body sweating. Patient satisfaction with this procedure has been reported …
Glucose Control In The (Neuro) Intensive Care Unit, Michael Moussouttas
Glucose Control In The (Neuro) Intensive Care Unit, Michael Moussouttas
JHN Journal
The vexing question of optimal glucose level in the intensive care unit has long perplexed intensivists. Hyperglycemia is a natural response to physiologic stress,1 and in the critically ill patient has been attributed to inflammatory processes, insulin counter-regulatory hormones, organ dysfunction, iatrogenic carbohydrate or medication related hyperglycemia, and insulin resistance as evidenced by concurrently elevated insulin levels.1 Hyperglycemia occurs in 50-75% of patients admitted to an ICU, and has been associated with various adverse outcomes including increased mortality, organ dysfunction, susceptibility to infections, and neurological complications.1,2 On the cellular level, tissue/organ damage is theorized to be mediated via the production …
Anemia And Blood Transfusion In Subarachnoid Hemorrhage, Monisha Kumar
Anemia And Blood Transfusion In Subarachnoid Hemorrhage, Monisha Kumar
JHN Journal
Anemia is a common problem among critically ill patients. Nearly two thirds of patients are anemic on admission to the intensive care unit (ICU)1 and between 70-95% of patients develop anemia by day 3.2,3 Lower hemoglobin levels decrease the oxygen carrying capacity of blood and may reduce tissue oxygenation. This is particularly detrimental for patients with subarachnoid hemorrhage (SAH) as they are subject to increased metabolic demand for oxygen from cerebral ischemia. The optimal hemoglobin concentration in patients with subarachnoid hemorrhage (SAH) is unknown. Thirty per cent of SAH patients have a hemoglobin <10 g/dl during hospitalization.4 Many patients are routinely hemodiluted as a part of hypertensive, hypervolemic, hemodilution (triple H) therapy. Hemodilution may improve blood rheology, but it has also been shown to impair brain tissue oxygenation and increase secondary brain injury.5
Use Of Expandable Cages In Metastasis To The Spine, Shiveindra Jeyamohan, Alexander Vaccaro, James Harrop
Use Of Expandable Cages In Metastasis To The Spine, Shiveindra Jeyamohan, Alexander Vaccaro, James Harrop
JHN Journal
Introduction: Expandable cages have been utilized as an option for immediate spinal stabilization after vertebrectomy. However, long-term follow-up in the oncology population has not been studied, and results remain unclear. This single-institution series of patients represents our success in utilizing expandable cages. Methods: A retrospective chart review for patients with spinal metastasis treated with expandable cages between 2001 and 2006 was performed with IRB approval. Data regarding date of anterior and posterior surgery, immediate postoperative neurological status versus preoperative status, revision, equipment status, pseudoarthrosis, time to ambulation, and mortality were gathered and analyzed. Results: Twenty-four patients with metastatic cancer to …
Thoracolumbar And Lumbar Burst Fractures, Sussan Salas
Thoracolumbar And Lumbar Burst Fractures, Sussan Salas
JHN Journal
Approximately 79,000 spinal fractures occur annually in the United States. Roughly three out of every four fractures involve either the thoracic or the lumbar spine1,2. The most common site of injury in the thoracic and lumbar spine is the thoracolumbar junction, the mechanical transition zone between the relatively rigid thoracic spine and the more flexible lumbar region35. The thoracolumbar junction receives 35 to 45% of the torsional and shear forces on the spine. This flexibility, combined with the curvature arising from biomechanical adaption to upright posture, makes the thoracolumbar junction more prone to injury than the lumbar spine 6.
Endovascular Neurosurgery: A History Of Electricity, Balloons, Wires And Glue, L. Fernando Gonzalez, Mitchell G. Maltenfort
Endovascular Neurosurgery: A History Of Electricity, Balloons, Wires And Glue, L. Fernando Gonzalez, Mitchell G. Maltenfort
JHN Journal
Physicians may have first known what an aneurysm was as far back as the 14th Century BC in Egypt1, but by the early 19th century they were still trying to find satisfactory options for treating large or surgically inaccessible aneurysms.4,5 One of the techniques being considered was inserting a needle to provoke formation of a clot that would close off the aneurysm. The proof that this technique could work was discovered by C. H. Moore in 1864, during an autopsy of a gunshot victim. The bullet, lodged in the ascending aorta, was embedded in fibrin. Based on this, Moore speculated …
Jewell Osterholm: Sharing Fifty Years Of Insight, Tony Anene-Maidoh, Mitchell G. Maltenfort
Jewell Osterholm: Sharing Fifty Years Of Insight, Tony Anene-Maidoh, Mitchell G. Maltenfort
JHN Journal
Jewell L. Osterholm was appointed Professor and Chairman of the Department of Neurosurgery in 1974, and left the Chairmanship in 1994. Recently, he gave a series of workshops on performing neurological examinations. These workshops are being archived on DVD so future residents can benefit from Dr. Osterholm’s training. The emphasis is on interviewing and observing the patient; the only specialized devices used are the stethoscope and the reflex hammer
Best Practices For Information Services, Sara Davis
Best Practices For Information Services, Sara Davis
Sci-Tech News
No abstract provided.
Engineering Division News, Dianna Magnoni
Aerospace Section News, Gale Harris
Web Reviews, Lisa Johnston
Nist Tour Attendees At 2009 Annual Conference
From The Editor, James Manasco
Chemistry Division News, Luray M. Minikiewicz
Science-Technology Division News
Sci-Tech Contributed Papers For The 2010 Sla Conference
Sci-Tech Contributed Papers For The 2010 Sla Conference
Sci-Tech News
No abstract provided.
Beyond The Chemistry Web, Bob Buchanan
Sci-Tech Book News Reviews, Susan Fingerman
Fall 09 Prescriptions For Excellence Download Full Pdf
Fall 09 Prescriptions For Excellence Download Full Pdf
Prescriptions for Excellence in Health Care Newsletter Supplement
No abstract provided.
Hp Newsletter Sept. 09 Download Full Pdf
Hp Newsletter Sept. 09 Download Full Pdf
Population Health Matters (Formerly Health Policy Newsletter)
No abstract provided.
Materials Research & Manufacturing Section Welcomes Its New Members
Materials Research & Manufacturing Section Welcomes Its New Members
Sci-Tech News
No abstract provided.
Hp Forum: Patient Friendly Billing
Hp Forum: Patient Friendly Billing
Population Health Matters (Formerly Health Policy Newsletter)
No abstract provided.
Health Policy Forum: Pennsylvania Patient Safety Authority
Health Policy Forum: Pennsylvania Patient Safety Authority
Population Health Matters (Formerly Health Policy Newsletter)
No abstract provided.
Book Review: Pharmaceutical Risk Management: Practical Applications, Joe Couto Pharmd, Mba
Book Review: Pharmaceutical Risk Management: Practical Applications, Joe Couto Pharmd, Mba
Population Health Matters (Formerly Health Policy Newsletter)
No abstract provided.
Developing Future Public Health Leaders: Experiential Advocacy Training
Developing Future Public Health Leaders: Experiential Advocacy Training
Population Health Matters (Formerly Health Policy Newsletter)
No abstract provided.
Making A World Of Difference, Jsph, Summer Seminar July 16, 2009
Making A World Of Difference, Jsph, Summer Seminar July 16, 2009
Population Health Matters (Formerly Health Policy Newsletter)
No abstract provided.