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Sensitivity Of Detection Of Radiofrequency Surgical Sponges: A Prospective, Cross-Over Study, Victoria Steelman Nov 2011

Sensitivity Of Detection Of Radiofrequency Surgical Sponges: A Prospective, Cross-Over Study, Victoria Steelman

Victoria J. Steelman

BACKGROUND: A retained surgical sponge is a serious medical error that results in negative patient outcomes. Radiofrequency (RF) technology has recently been introduced to evaluate for the presence of a retained sponge. The aim of this study was to evaluate the sensitivity and specificity of the detection of surgical sponges embedded with an RF chip through the torsos of subjects of varying body habitus, including the morbidly obese. METHODS: A prospective, crossover, and observer blinded study design was used. Subjects served as their own controls. With the subject supine, 4 surgical sponges were sequentially placed behind the subject's torso in …


Using The Quetelet Body Mass Index As A Mortality Indicator For Patients Starting Renal Replacement Therapy... Including Commentary By Parker Kp With Author Response, Kennith Culp, M. Flanigan, J. Dudley, L. Taylor, T. Bissen, S. Garrison Oct 2011

Using The Quetelet Body Mass Index As A Mortality Indicator For Patients Starting Renal Replacement Therapy... Including Commentary By Parker Kp With Author Response, Kennith Culp, M. Flanigan, J. Dudley, L. Taylor, T. Bissen, S. Garrison

Kennith R. Culp

OBJECTIVE: The prupose of this study was to compare clinical profiles and mortality risk of patients starting renal replacement therapy (RRT) across three Quetelet body mass index (BMI) classifications: lean, normal, and obese. SAMPLE/SETTING: All patients applying for dialysis services using Health Care Financing Administration (HCRA) form 2728-U4 were sampled during the period of April 1, 1995 through June 30, 1995 in two end-stage renal disease (ESRD) Networks. These two ESRD networks encompassed 7 states and provided 846 patients for this analysis. DESIGN: A descriptive survival study was used with a follow-up period of 18 months. METHODS: The Quetelet BMI …


Using The Alter-G Treadmill System With An Extremely Obese Female: A Case Study, Shawn Simonson, Jane Shimon, Elaine Long, Brooke Lester Dec 2010

Using The Alter-G Treadmill System With An Extremely Obese Female: A Case Study, Shawn Simonson, Jane Shimon, Elaine Long, Brooke Lester

Elaine M. Long

PURPOSE: The present case study examined the potential use of the AlterG Anti-Gravity Treadmill as treatment modality for extreme obese individuals. The special effect of the treadmill reduces ground reaction forces during walking through the use of lower body positive pressure. METHODS: One extremely obese (BMI 69.2) Caucasian 44 year-old female utilized the AlterG Anti-Gravity Treadmill during a 14 wk walking program to pilot test the protocol. RESULTS: At the conclusion of the study, exercise tolerance time increased 3-fold (initially 20 min increased to 65 min) while caloric expenditure increased 4-fold (initially 91.0 kcal/session increased to 442.7 kcal/session) without an …