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Articles 1 - 30 of 3664

Full-Text Articles in Medicine and Health Sciences

Mechanical Properties Of Canine Patella-Ligament-Tibia Segment., Jeffery Biskup, Andy Freeman, W Camisa, J Innes, Michael Conzemius Jan 2104

Mechanical Properties Of Canine Patella-Ligament-Tibia Segment., Jeffery Biskup, Andy Freeman, W Camisa, J Innes, Michael Conzemius

Jeffery Biskup, DVM, DACVS

OBJECTIVE: To test the ex vivo mechanical properties of canine patella-ligament-tibia (PLT) segment and establish the relationship between donor size and PLT dimensions to the mechanical properties of PLT grafts.STUDY DESIGN: Ex vivo mechanical testing study. SAMPLE POPULATION: Canine PLT segments (n = 21 dogs; 42 PLT). METHODS:Morphometric measurements of PLT segments were taken from computed tomography (CT) images and compared with results obtained using calipers. PLT were tested to failure at a rate of 100% length/s. Mechanical properties and failure mode were recorded. RESULTS: PLT width and thickness (P < .001 for both) measured by calipers were significantly lower than those taken from CT images. Thirty-five (83%) specimens failed by avulsion fracture from the patella, 1 failed mid-ligament, and 6 failed by tibial fracture. Dog weight and PLT length had the strongest Pearson's r value when correlated with load at failure (r = 0.73, 0.81, respectively). CONCLUSION:Dog weight and PLT length were the best predictors of load at failure. PLT failure load of dogs weighing >25 kg were similar to those reported for ...


The Impact Of Botox For Hospitalized Patients With Hirschsprung Associated Enterocolitis, Wendy J. Svetanoff, Obiyo O. Osuchukwu May 2020

The Impact Of Botox For Hospitalized Patients With Hirschsprung Associated Enterocolitis, Wendy J. Svetanoff, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Optimal Treatment Of Pediatric Breast Abscesses: A Retrospective Analysis, Charlene Dekonenko, Obiyo O. Osuchukwu May 2020

Optimal Treatment Of Pediatric Breast Abscesses: A Retrospective Analysis, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Same-Day Discharge And Quality Of Life For Primary Laparoscopic Rectopexy For Rectal Prolapse In Children- A 10-Year Experience, Obiyo O. Osuchukwu May 2020

Same-Day Discharge And Quality Of Life For Primary Laparoscopic Rectopexy For Rectal Prolapse In Children- A 10-Year Experience, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Laparoscopic Gastrostomy During An Open Abdominal Procedure, Charlene Dekonenko, Obiyo O. Osuchukwu May 2020

Laparoscopic Gastrostomy During An Open Abdominal Procedure, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Same Day Discharge For Pediatric Laparoscopic Gastrostomy, Charlene Dekonenko, Obiyo O. Osuchukwu May 2020

Same Day Discharge For Pediatric Laparoscopic Gastrostomy, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Surgical Management Of Superior Mesenteric Artery Syndrome In Children, Charlene Dekonenko, Obiyo O. Osuchukwu May 2020

Surgical Management Of Superior Mesenteric Artery Syndrome In Children, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Inpatient Management Of Hirschsprung’S Associated Enterocolitis (Haec) Treatment – The Benefits Of Standardized Care, Obiyo O. Osuchukwu May 2020

Inpatient Management Of Hirschsprung’S Associated Enterocolitis (Haec) Treatment – The Benefits Of Standardized Care, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Institution Experience With Laparoscopic Hernia Repair In 500 Children, Obiyo O. Osuchukwu May 2020

Institution Experience With Laparoscopic Hernia Repair In 500 Children, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Post-Operative Intra-Abdominal Abscess After Appendectomy – Are Drains Necessary In All Patients?, Obiyo O. Osuchukwu May 2020

Post-Operative Intra-Abdominal Abscess After Appendectomy – Are Drains Necessary In All Patients?, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Optimization Of Pediatric Bowel Management Using An Antegrade Enema Troubleshooting Protocol, Obiyo O. Osuchukwu May 2020

Optimization Of Pediatric Bowel Management Using An Antegrade Enema Troubleshooting Protocol, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Impact Of An Institutional Designed Protocol In The Management Of Dislodged Gastrostomy Tubes, Obiyo O. Osuchukwu May 2020

Impact Of An Institutional Designed Protocol In The Management Of Dislodged Gastrostomy Tubes, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Laryngotracheal Stenosis, Kelsey Stuckey May 2020

Laryngotracheal Stenosis, Kelsey Stuckey

Doctor of Nursing Practice Projects

Laryngotracheal stenosis (LTS) is the luminal compromise at the laryngeal, subglottic, or tracheal level (Gelbard et al., 2014). Various etiologies for LTS exist. Endotracheal cuff over-inflation, inappropriately sized endotracheal tubes, and sudden movements of the tube contribute to injury, as well as anatomical differences(Cardillo et al., 2010; Divatia & Bhowmick, 2005; Medina et al., 2009; Miñambres et al., 2009; Nikolovski et al., 2019; Zaghi et al.,2016). The influence of estrogen may contribute to the development of LTS in women during the third through fifth decades Dedo & Catten, 2001; Poetker et al., 2006; Valdez & Shapshay, 2002). The project goal was to provide an evidence-based ...


Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav May 2020

Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav

Capstone Experience

Background: Minimally invasive surgery (MIS) is associated with less pain, faster recovery, and lower complication rates. Despite being the standard of care, it remains underutilized in rural Nebraska. Surgeon shortages and limited studies describing patient and provider factors influencing treatment gaps contribute to unnecessary complications and healthcare expenditure. Our study aimed to understand rural surgical care barriers and facilitators encountered by patients, providers, and stakeholders in Nebraska. Methods: This exploratory mixed methods study involved 17 semi-structured interviews using a snowball sampling of eligible participants affiliated with an MIS Advisory Committee. Two coders analyzed data using NVivo12. A follow-up review of ...


Demographic Predictors Of Adult Behaviors In The Pediatric Postoperative Environment, Natasha H. Hikita, Amber Osorno, Carlie Taurosa, Michelle A. Fortier, Zeev N. Kain, Brooke N. Jenkins May 2020

Demographic Predictors Of Adult Behaviors In The Pediatric Postoperative Environment, Natasha H. Hikita, Amber Osorno, Carlie Taurosa, Michelle A. Fortier, Zeev N. Kain, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience postoperative pain. If poorly treated, pediatric postoperative pain may lead to various negative health outcomes. Adult behaviors may be associated with child experiences in the postoperative environment. For example, adult behaviors such as distraction, humor, and coping advice divert a child’s attention away from their pain and thus, may significantly reduce child postoperative distress. In contrast, adult behaviors such as empathy, reassurance, and apology direct a child’s attention towards their pain which may increase a child’s overall postoperative distress. Moreover, patient demographic factors, like child ethnicity, may significantly alter the frequency of ...


Successful Non-Surgical Management Of Acute, Uncomplicated Appendicitis In Pregnancy: A Case Report, Avanthi Ajjarapu, Nina N. Moreira May 2020

Successful Non-Surgical Management Of Acute, Uncomplicated Appendicitis In Pregnancy: A Case Report, Avanthi Ajjarapu, Nina N. Moreira

Proceedings in Obstetrics and Gynecology

Acute appendicitis during pregnancy is one of the most common non-obstetric indications for surgery during pregnancy. Prompt surgical intervention for appendicitis is considered the standard of care. However, data on the utility of surgical management of uncomplicated cases of appendicitis is inconclusive and effectiveness of non-surgical management is currently understudied. We present a case that provides evidence for successful, antibiotic management of uncomplicated appendicitis as a means to reduce the burden of surgical complications on the pregnant population. This article also offers a critical analysis of current standard of care and assesses feasibility of nonsurgical management of acute, uncomplicated appendicitis ...


Reflections On Texas Back Institute Internship, Shelby Jones May 2020

Reflections On Texas Back Institute Internship, Shelby Jones

The Eleanor Mann School of Nursing Undergraduate Honors Theses

For my honors project, I chose to do the experimental option to gain more knowledge on topics that we do not spend much time covering in nursing school. I had the privilege to complete an internship with the Texas Back Institute, their main office is located in Plano, Texas. I worked closely the Scoliosis and Spine Tumor Center that is a branch of their team, and completed my internship from May to the first week of August 2019. I worked 20 hours a week during my internship between the clinic and the hospital. I was able to observe physicians in ...


Are "Replicants" The Spine Surgeons Of The Future?, Jens R Chapman, Jeffrey C Wang, Karsten Wiechert May 2020

Are "Replicants" The Spine Surgeons Of The Future?, Jens R Chapman, Jeffrey C Wang, Karsten Wiechert

Articles, Abstracts, and Reports

No abstract provided.


Complete Response To Stage Iv Colorectal Adenocarcinoma With Disease-Free Survival At 24 Months: Case Report And Overview Of The Literature, Madison N. Crank 6746693, Arslan Iqbal, Michael Abdelmasseh, Mohamed Alsharedi, Doreen Griswold, Alysia Browne, Juan R. Sanabria Apr 2020

Complete Response To Stage Iv Colorectal Adenocarcinoma With Disease-Free Survival At 24 Months: Case Report And Overview Of The Literature, Madison N. Crank 6746693, Arslan Iqbal, Michael Abdelmasseh, Mohamed Alsharedi, Doreen Griswold, Alysia Browne, Juan R. Sanabria

Marshall Journal of Medicine

Over 150,000 new cases of colon cancer were diagnosed in the US in 2019. Stage and age at diagnosis are important prognostic factors for overall survival (OS). For the age group 70-79, the OS for females with poorly differentiated stage IV colon cancer at 1, 2 and 5 years after surgery is 39%, 15%, and 2%, respectively. We present a case of a 77-year-old female with significant cardiac history. She was diagnosed with stage IV colorectal cancer complicated with enteric fistula. Due to her initial performance status and comorbidities, she was not a candidate for surgery or systemic chemotherapy ...


The Spectrum Of Large Adrenal Masses: A Case Series, Jo Cooke-Barber, Sarah E. Hatef, Analise Mcgreal, Andrew Schwemmer, Christopher Senkowski Apr 2020

The Spectrum Of Large Adrenal Masses: A Case Series, Jo Cooke-Barber, Sarah E. Hatef, Analise Mcgreal, Andrew Schwemmer, Christopher Senkowski

HCA Healthcare Journal of Medicine

Background: Adrenocortical carcinoma (ACC) is a rare malignancy that is challenging to diagnose and has important implications for surgeons who approach this disease. Despite its rarity, it must always be in the differential diagnosis when investigating and treating large adrenal masses. We aim to demonstrate the complexities of this disease through a review of five recent patients at a single tertiary care center.

Methods: A series of five patients are described, each of whom presented to a single institution as referrals for "large adrenal mass" in the past sixteen months. Their pre-operative diagnosis, radiographic findings, the operative approach and the ...


Organ Procurement Processes In The Operating Room: The Effects Of An Educational Session On Levels Of Confidence And Understanding In Operating Room Registered Nurses And Surgical Technologists, Ann Ross, Janet Reilly, Emily Halla, Kathryn Anderson Apr 2020

Organ Procurement Processes In The Operating Room: The Effects Of An Educational Session On Levels Of Confidence And Understanding In Operating Room Registered Nurses And Surgical Technologists, Ann Ross, Janet Reilly, Emily Halla, Kathryn Anderson

Journal of Perioperative Nursing

Objectives: This project aimed to determine the effects an online educational course about organ procurement procedures (OPPs) in the operating room (OR) had on the levels of confidence and understanding among OR registered nurses (RNs) and surgical technologists (STs).

Sample and setting: Data were collected from OR RNs and STs in the United States (US) at a Level II trauma centre with 19 operating rooms that completes eight to ten OPPs per year. A graduate nursing leadership student in this hospital created a Microsoft PowerPoint educational course about OPPs as her capstone project.

Methods and variables: The course was developed ...


Don’T Shoot The Messenger: Surgical Programs Can Do More To Keep Applicants Informed, Alison N. Pletch, Frederica Jackson, Danielle Shaw, Christopher Whiting, James F. Whiting Apr 2020

Don’T Shoot The Messenger: Surgical Programs Can Do More To Keep Applicants Informed, Alison N. Pletch, Frederica Jackson, Danielle Shaw, Christopher Whiting, James F. Whiting

Costas T. Lambrew Research Retreat 2020

BACKGROUND: The interview process for applying to general surgery residency is burdened by a high volume of applicants, resulting in unprofessional behavior by both applicants and programs. Sharing more information regarding interview scheduling with applicants may limit 4th year medical student educational disruptions, minimized late cancellations to interview, and improve overall satisfaction with the process.


Study Strategies For General Surgery Residents Preparing For The Absite: What To Keep, Discard, And Adopt, A Pletch, W Craig, J Rappold, J Whitting, C Turner Apr 2020

Study Strategies For General Surgery Residents Preparing For The Absite: What To Keep, Discard, And Adopt, A Pletch, W Craig, J Rappold, J Whitting, C Turner

Costas T. Lambrew Research Retreat 2020

BACKGROUND: The American Board of Surgery In-Training Examination (ABSITE) is important. Education research regarding general surgery residents is limited, but regarding undergraduate and graduate learners this research is extensive.


A Retrospective Study Of Acute Post-Operative Pain Following Cesarean Section In Patients On Opioid Agonist Pharmacotherapy, Johanna Cobb, Elizabeth Snow, Heather Turcotte, Aurora Quaye, Wendy Craig, Robert Warters Apr 2020

A Retrospective Study Of Acute Post-Operative Pain Following Cesarean Section In Patients On Opioid Agonist Pharmacotherapy, Johanna Cobb, Elizabeth Snow, Heather Turcotte, Aurora Quaye, Wendy Craig, Robert Warters

Costas T. Lambrew Research Retreat 2020

Background: Opioid agonist pharmacotherapy, most commonly methadone or buprenorphine, is strongly recommended for patients with opioid use disorder during pregnancy and peripartum to reduce the risk of relapse and obstetric complications. Patients on opioid agonist pharmacotherapy can have difficulty achieving adequate pain relief following cesarean section and often require higher doses of opioids; however small retrospective studies have been conflicting.

Methods: We generated a comprehensive dataset of all patients who underwent cesarean section at our institution between January 2016 and December 2018. We compared 24 hour postoperative opioid consumption for patients receiving methadone or buprenorphine at the time of surgery ...


A Pilot Study On The Feasibility Of A Smartphone Application For Identifying Living Donors For Kidney Transplant Waitlisted Candidates, Shelby Mcdonnell, Theresa Boulos, Juan Palma, Ana Rossi Apr 2020

A Pilot Study On The Feasibility Of A Smartphone Application For Identifying Living Donors For Kidney Transplant Waitlisted Candidates, Shelby Mcdonnell, Theresa Boulos, Juan Palma, Ana Rossi

Costas T. Lambrew Research Retreat 2020

Purpose: To assess the feasibility of using a smartphone application for potential living donor outreach in patients waitlisted for a kidney transplant in Maine.

Background: More than 100,000 individuals are awaiting organ transplant in the US. For patients needing a kidney transplant, living donation is a way to help meet this need. Barriers to identifying a potential donor include lack of education and hesitance to initiate a conversation about live donation. Social media has been used to assist candidates in finding living donors for over twenty years and can provide a free platform for outreach that can reduce disparities ...


Evaluation Of A Tiered Opioid Prescribing Guideline For Inpatient Colorectal Operations, David C. Meyer Apr 2020

Evaluation Of A Tiered Opioid Prescribing Guideline For Inpatient Colorectal Operations, David C. Meyer

GSBS Dissertations and Theses

Background:

In light of the opioid epidemic, reducing excess prescription quantities while tailoring to patient need is key. We previously created an opioid prescribing guideline using retrospective institutional data to satisfy the majority of patients’ opioid needs following inpatient colorectal surgery.

Objective:

This study sought to prospectively validate an institutional prescribing guideline based on previously-defined opioid consumption patterns following inpatient colorectal operations.

Methods:

We carried out a cohort study comparing opioid prescribing and consumption patterns before (7/18 – 1/19) and after (9/19 – 2/20) adoption of a tiered opioid prescribing guideline for inpatient elective colorectal operations (colectomies, proctectomies ...


Association Of Race/Ethnicity And Population Density With Disparities In Timeliness Of Rectal Cancer Therapy, Susanna S. Hill Apr 2020

Association Of Race/Ethnicity And Population Density With Disparities In Timeliness Of Rectal Cancer Therapy, Susanna S. Hill

GSBS Dissertations and Theses

Objective:

Access to care is key to effective rectal cancer treatment. We hypothesized that ethnic/racial minorities living in high population density areas would have the greatest delays in cancer care compared to whites living in medium population density areas.

Methods:

Using 2004-2016 National Cancer DataBase data, we identified stage I-III patients with invasive rectal adenocarcinoma who underwent surgery. The data were analyzed by race/ethnicity (whites, blacks, or Hispanics) and population density (metropolitan or urban/rural). Multivariable ANCOVA was performed to evaluate the duration of time from diagnosis to surgery.

Results:

The study population consisted of 76,131 patients ...


What Outcomes Matter To Patients After Joint Or Spine Surgery?, Robin R. Whitebird, Leif I. Solberg, Christine K. Norton, Jeanette Y. Ziegenfuss, Stephen E. Asche, Elizabeth S. Grossman Apr 2020

What Outcomes Matter To Patients After Joint Or Spine Surgery?, Robin R. Whitebird, Leif I. Solberg, Christine K. Norton, Jeanette Y. Ziegenfuss, Stephen E. Asche, Elizabeth S. Grossman

Journal of Patient-Centered Research and Reviews

Purpose: Patient-reported outcome measures (PROMs) are increasingly used in clinical care, but there have been few studies of what patients identify as the most important outcomes.

Methods: Semi-structured interviews were conducted with 65 patients undergoing hip or knee replacement, spinal discectomy/laminotomy, or a spinal fusion. Interviews focused on outcomes patients identified as important, perceived usefulness of standardized PROMs measures, and contextual situations important to their care. Data were analyzed using a directed content analysis approach.

Results: Patients identified desired outcomes that were unique and important to them. Their preferred outcomes focused in the areas of freedom from pain, getting ...


What Did We Learn About Vads In 2019?, Maya Guglin Apr 2020

What Did We Learn About Vads In 2019?, Maya Guglin

The VAD Journal

This is our 6th annual literature review on mechanical circulatory support (MCS) devices.

Our previous reports for 2014, 2015, 2016, 2017, 2018 were published as open access articles and were well received by the readers. In this paper, we summarize the most interesting and important, from our standpoint, publications from 2019. As we have done for the past two years, a section on extracorporeal membrane oxygenation (ECMO) is included and primarily addresses new developments in veno-arterial ECMO use.


The Perioperative Nurse Surgical Assitant (Pnsa) Of The Future, Olivia Sonneborn Apr 2020

The Perioperative Nurse Surgical Assitant (Pnsa) Of The Future, Olivia Sonneborn

Journal of Perioperative Nursing

Advanced practice nurse (APN) roles have been implemented across all areas of the Australian health service and have extended into the perioperative environment in the form of the perioperative nurse surgical assistant (PNSA) or non-medical surgical assistant (NMSA). With a growing and ageing population, Australia will see an increased demand for acute care nurses. For the PNSA role to expand to meet this demand, the role requires recognition and regulation in Australia. Education programs also need to meet the increasing demand for acute care nursing and provide quality, accessible and collaborative education programs to meet the needs of all nurses ...