8,382 results match your criteria AORN Journal[Journal]


Six-year outcome for children with ODD or CD treated with the coping power program.

Psychiatry Res 2018 Dec 4;271:454-458. Epub 2018 Dec 4.

The University of Alabama, Tuscaloosa, AL USA.

Children with severe aggressive behavioral problems are one of the groups most frequently referred to mental health clinics, and they engage in behaviors that put them at risk for substance use problems and a host of other negative outcomes. The present study aimed to assess the long-term outcome (six-year follow up) of the Coping Power Program delivered in a mental health hospital for children with behavioral disorders. We recruited one hundred and twenty children (mean age = 9. Read More

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December 2018

Spinal cord ultrasonography of the newborn.

J Ultrasound 2018 Dec 7. Epub 2018 Dec 7.

UOC Radiologia e Neuroradiologia, Dipartimento di diagnostica per immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go F. Vito 1, 00168, Rome, Italy.

Ultrasound represents the first-line survey for the assessment of spinal cord development abnormalities. In fact, within 6 months of life, the non-ossification of neuronal arcs provides an excellent acoustic window that allows a detailed depiction of the spinal canal, its content and of the surrounding soft tissues. Nevertheless, an accurate ultrasound examination requires a complete knowledge of the anatomy, the condition of normality, the frequent anatomical variants and the main pathologies involved. Read More

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December 2018
1 Read

CHARACTERIZATION OF A SMALL FOV PORTABLE GC: MediPROBE.

Radiat Prot Dosimetry 2018 Dec 11. Epub 2018 Dec 11.

Dipartimento di Scienze Biomediche Avanzate, Università degli Studi di Napoli Federico II, Via Pansini 5, Napoli.

Abstaract: In this work, we evaluated the performance of the prototype SFOV MediPROBE developed at the University of Naples Federico II through the protocol proposed by (Bhatia B.S., Bugby S. Read More

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December 2018

Advanced Non Small Cell Lung Cancer with activating Epidermal Growth Factor Receptor mutation: First line treatment and beyond.

Rev Recent Clin Trials 2018 Dec 5. Epub 2018 Dec 5.

Division of Medical Oncology, AORN Giuseppe Moscati, Avellino. Italy.

Background: Lung cancer is the leading cause of cancer mortality, being responsible for more than 1.6 million deaths each year worldwide and non-small-cell lung cancer (NSCLC) accounts for approximately 85% of lung cancers; moreover, 10 to 15% of all NSCLCs harbors EGFR (epidermal growth factor receptor) activating mutations, being suitable for EGFR-Tyrosine Kinase Inhibitors (TKI) molecular targeted therapy. However, EGFR+ NSCLCs gain acquired resistance to these agents, representing one of the key challenges for modern precision oncology. Read More

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December 2018
1 Read

Management of bacterial skin and skin structure infections with polymicrobial aetiology.

Expert Rev Anti Infect Ther 2018 Dec 6. Epub 2018 Dec 6.

b AORN dei Colli Dept of Infectious Diseases , Naples , Italy .

Introduction: Skin and Soft Tissue Infections (SSTIs) are some of the most commonly occurring bacterial infections, with a wide range of possible aetiological pathogens and a considerable variety of clinical presentations and severity; from mild to severe life-threatening infections. Several classifications have been proposed based on a specific variable, such as anatomical localization, skin extension, progression rate, clinical presentation, severity and etiological agent. Areas covered: The last criteria allows the differentiation of SSTIs as mono-microbial and poly-microbial. Read More

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December 2018

Lean thinking to improve emergency department throughput at AORN Cardarelli hospital.

BMC Health Serv Res 2018 Dec 3;18(1):914. Epub 2018 Dec 3.

Department of Electrical Engineering and Information Technology (DIETI), University of Naples 'Federico II', Naples, Italy.

Background: Throughout the world, emergency departments (ED) are characterized by overcrowding and excessive waiting times. Furthermore, the related delays significantly increase patient mortality and make inefficient use of resources to the detriment of the satisfaction of employees and patients. In this work, lean thinking is applied to the ED of Cardarelli Hospital of Naples with the aim of increasing patient flow, improving the processes that contribute to facilitating the flow of patients through the various stages of medical treatment and eliminating all bottlenecks (queue) as well as all activities that generate waste. Read More

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December 2018
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Long-term improvement in cardiac magnetic resonance in β-thalassemia major patients treated with deferasirox extends to patients with abnormal baseline cardiac function.

Am J Hematol 2018 Nov 29. Epub 2018 Nov 29.

Department of Woman, Child and General and Specialized Surgery, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy.

The management of iron overload in thalassemia has changed dramatically since the implementation of magnetic resonance imaging, which allows detection of preclinical iron overload and prevention of clinical complications. This study evaluated the effect of deferasirox (DFX), the newest once-daily oral chelator, on cardiac function, iron overload and cardiovascular events over a longer follow up in a "real world" setting. Longitudinal changes in cardiac magnetic resonance T2*, cardiac function parameters and cardiovascular clinical events were assessed in a cohort of 98 TM patients exposed to DFX for a mean of 6. Read More

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November 2018

Sterile Technique.

Authors:

AORN J 2018 Dec;108(6):705-710

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December 2018

Protecting Patients From Surgical Smoke.

Authors:
Kay Ball

AORN J 2018 Dec;108(6):680-684

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December 2018
2 Reads

The Importance of Leak Testing Flexible Endoscopes: 1.6 www.aornjournal.org/content/cme.

Authors:
Cheron Rojo

AORN J 2018 Dec;108(6):622-632

Leak testing is a vital processing step that detects fluid invasion in an endoscope. Endoscopes that are inadequately leak tested can pose a risk for transmission of infection or injury to patients. If not detected, fluid invasion of an endoscope can damage the endoscope and increase repair costs. Read More

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December 2018

Delayed Recognition of a Positive Blood Culture.

Authors:

AORN J 2018 Dec;108(6):712-713

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December 2018

The Key to Safety: Generosity.

AORN J 2018 Dec;108(6):593-594

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December 2018

Remote Video Auditing to Verify OR Cleaning: A Quality Improvement Project.

AORN J 2018 Dec;108(6):634-642

There are many sources of contamination in the perioperative environment. Patient experience can be negatively affected by the presence of environmental contamination, especially if it is the cause of a surgical site infection. Perioperative and environmental services staff members and leaders are tasked with ensuring a clean and safe environment for their patients while maintaining an awareness of time and budgetary constraints. Read More

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December 2018
3 Reads

Aneurysm clipping.

Authors:

AORN J 2018 Dec;108(6):P10-P12

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December 2018

Decreasing Surgical Site Infections by Developing a High Reliability Culture.

Authors:
Ann Marie Pettis

AORN J 2018 Dec;108(6):644-650

Today's fast-paced and complex perioperative setting requires a collaborative and mindful approach to implementing evidence-based practices and preventing patient harm. Recent changes in the health care landscape coupled with the potential harm caused by surgical site infections require a shift in culture in which all members of the perioperative team have zero tolerance for preventable harm. This article discusses high-reliability organizations and examples of ways in which perioperative teams can apply the principles of high reliability to the prevention of surgical site infections. Read More

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December 2018
1 Read

Guideline Implementation: Safe Patient Handling and Movement: 1.8 www.aornjournal.org/content/cme.

Authors:
Terri Link

AORN J 2018 Dec;108(6):663-674

Physical stressors that occur with patient and equipment handling in the OR (eg, moving or lifting patients, carrying heavy instrument sets, prolonged standing) can contribute to musculoskeletal disorders for perioperative personnel. In addition to increasing patient safety, safe patient handling and movement (SPHM) programs have been shown to reduce the risk and severity of injuries, workers' compensation costs, and personnel fatigue and to increase health care workers' morale and quality of life. The AORN "Guideline for safe patient handling and movement" provides guidance for implementing an SPHM program. Read More

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December 2018

Improving Efficiency and Standardization in a Robotics Program: A Quality Improvement Project.

AORN J 2018 Dec;108(6):652-660

After an evaluation of the growing robotics program at Christiana Care Health System in Newark, Delaware, perioperative leaders identified needs related to a lack of instrument set standardization and inconsistent workflow processes; these deficiencies were causing higher-than-anticipated turnaround time (ie, 59 minutes) and an excessive inventory of sterilized robotic instruments. A workgroup was created to review the results of the evaluation and develop solutions for the robotic surgery program. Goals included a 40-minute procedure turnaround time and a 35% reduction in sterilized robotic instrument set inventory one year after project initiation. Read More

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December 2018
3 Reads

Did You Know?

Authors:

AORN J 2018 Dec;108(6):P13

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December 2018

Results of the 2018 AORN Salary and Compensation Survey.

AORN J 2018 Dec;108(6):602-619

AORN conducted its 16th annual compensation survey for perioperative nurses in June 2018. A multiple regression model was used to examine how several variables, including job title, education level, certification, experience, and geographic region, affect perioperative nurse compensation. Comparisons between the 2018 data and data from previous years are presented. Read More

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December 2018

KPC-PRODUCING KLEBSIELLA PNEUMONIAE GUT DECOLONIZATION AFTER CEFTAZIDIME/AVIBACTAM-BASED COMBINATION THERAPY: A RETROSPECTIVE OBSERVATIONAL STUDY.

J Glob Antimicrob Resist 2018 Nov 20. Epub 2018 Nov 20.

First Division of Infectious Diseases, Cotugno Hospital, AORN dei Colli, Via G. Quagliariello 51, Naples, Italy. Electronic address:

Objective: KPC-producing Klebsiella pneumoniae (KPC-Kp) gut colonization is a major risk factor for developing systemic infections. Ceftazidime/avibactam could have a role as decolonization therapy in special situations PATIENTS AND METHODS: retrospective, observational, multicenter study. We compared KPC-Kp gut decolonization rate of ceftazidime/avibactam-based therapy (Group A) and other antimicrobial regimens (Group B) in patients with a KPC-Kp infection. Read More

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November 2018
5 Reads

Treatment outcomes of colistin and carbapenem-resistant Acinetobacter baumannii infections: an exploratory subgroup analysis of a randomized clinical trial.

Clin Infect Dis 2018 Nov 20. Epub 2018 Nov 20.

Institute of Infectious Diseases, Rambam Health Care Campus, Haifa, Israel.

Background: We aimed to evaluate the association between mortality and colistin-resistance in infections caused by Acinetobacter baumannii and the interaction with antibiotic therapy.

Methods: This is a secondary analysis of a randomized controlled trial of patients with carbapenem-resistant Gram-negative bacterial infections treated with colistin or colistin-meropenem combination. We evaluated patients with infection caused by carbapenem-resistant A. Read More

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November 2018
4 Reads

Weight-Change Trajectories of Pediatric Outpatients Treated with Risperidone or Aripiprazole in a Naturalistic Setting.

J Child Adolesc Psychopharmacol 2018 Nov 16. Epub 2018 Nov 16.

4 Unit of Clinical Pharmacology, Department of Biomedical and Clinical Sciences L. Sacco, "Luigi Sacco" University Hospital, Università di Milano , Milan, Italy .

Objectives: Second-generation antipsychotics (SGAs) increase appetite and weight, leading toward a metabolic syndrome. Risperidone and aripiprazole, the most widely used pediatric SGAs, have been studied predominantly in short-term clinical trials, where risperidone leads to a rapid weight increase and aripiprazole to a slower one, while long-term effects are not yet elucidated. Factors that may influence weight gain are likewise not clarified, although baseline weight, previous SGA exposure, pubertal status, and type of SGA have been suggested as moderators. Read More

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November 2018
2 Reads

Why is chronic obstructive pulmonary disease linked to atrial fibrillation? A systematic overview of the underlying mechanisms.

Int J Cardiol 2018 Oct 25. Epub 2018 Oct 25.

Department of Medicine, Division of Cardiology, Albert Einstein College of Medicine, Montefiore University Hospital, New York, NY, USA; Department of Biomedical Advanced Sciences, "Federico II" University, Naples, Italy. Electronic address:

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October 2018

Risk Stratification of Sudden Cardiac Death in Patients with Heart Failure: An update.

J Clin Med 2018 Nov 10;7(11). Epub 2018 Nov 10.

Heart Failure Unit, AORN dei Colli, Monaldi Hospital, 80121 Naples, Italy.

Heart failure (HF) is a complex clinical syndrome in which structural/functional myocardial abnormalities result in symptoms and signs of hypoperfusion and/or pulmonary or systemic congestion at rest or during exercise. More than 80% of deaths in patients with HF recognize a cardiovascular cause, with most being either sudden cardiac death (SCD) or death caused by progressive pump failure. Risk stratification of SCD in patients with HF and preserved (HFpEF) or reduced ejection fraction (HFrEF) represents a clinical challenge. Read More

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November 2018
5 Reads

Ceftolozane/tazobactam for the treatment of serious P. aeruginosa infections: a multicenter nationwide clinical experience.

Int J Antimicrob Agents 2018 Nov 8. Epub 2018 Nov 8.

Infectious Diseases Clinic, Department of Medicine University of Udine and Azienda Sanitaria Universitaria Integrata, Udine, Italy; Medicine Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.. Electronic address:

To describe the largest clinical experience using ceftolozane-tazobactam (C/T) for treatment of different type of Pseudomonas aeruginosa infections. A retrospective study was performed at 22 hospitals in Italy from June 2016 to March 2018. All adult patients treated with at least 4 days of C/T were enrolled. Read More

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November 2018
6 Reads

Competence in bronchoscopy for ICU, anesthesiology, thoracic surgery and lung transplantation.

Panminerva Med 2018 Oct 31. Epub 2018 Oct 31.

Department of Anesthesiology, Resuscitation and Intensive Care, University of Chieti-Pescara, Chieti, Italy.

In the last decades, the use of flexible bronchoscopy (FB) has greatly increased in intensive care, anesthesia and thoracic surgery for diagnostic purpose, management of critical patients and to facilitate airway management for tracheal intubation, one lung ventilation and lung transplant management. The huge availability of endoscopic instruments and devices for airway management has amplified indications and possibilities for bronchoscopic procedures performed by intensive care physicians, anesthesiologist, endoscopists, and surgeons too. These practices need adequate technical skills that can be acquired only through defined learning pathways. Read More

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October 2018
5 Reads

Perioperative Medication Management in Adult Cardiac Surgery: The 2017 European Association for Cardio-Thoracic Surgery Guidelines.

J Cardiothorac Vasc Anesth 2018 Sep 27. Epub 2018 Sep 27.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.

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September 2018
1 Read

A perforated cardiac pseudoaneurysm complicating an acute myocardial infarction.

J Cardiovasc Med (Hagerstown) 2018 Dec;19(12):756-757

Department of Cardiology, 'Madonna delle Grazie' Hospital, Matera, Italy.

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December 2018

Single-Event Multilevel Surgery to Correct Movement Disorders in Children with Cerebral Palsy.

AORN J 2018 Nov;108(5):516-531

Cerebral palsy (CP) is a common motor disability that may be congenital or acquired. Children with CP often have gait, balance, and posture abnormalities, some of which may be severe enough to interfere with safe ambulation or other activities of daily living. Nonsurgical and surgical interventions are part of the management plan for children with CP. Read More

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November 2018
7 Reads

The Perils of Contrast Media.

Authors:

AORN J 2018 Nov;108(5):588-590

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November 2018

OR Air Quality: Is It Time to Consider Adjunctive Air Cleaning Technology?: 1.3 www.aornjournal.org/content/cme.

AORN J 2018 Nov;108(5):503-515

Patients undergoing surgery may be at risk for infection from airborne particles such as dust, skin scales, respiratory aerosols, and hair fibers emanating from multiple sources in the OR, including personnel, heater-cooler devices, and surgical smoke. This risk is increased in surgical patients undergoing procedures involving implanted devices. Surgical personnel also are at risk from exposure to surgical smoke, which can contain viable viral particles including human papillomavirus infection. Read More

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November 2018
8 Reads

Whipple procedure.

Authors:

AORN J 2018 Nov;108(5):P11-P13

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November 2018

Back to Basics: Unplanned Patient Hypothermia: 1.3 www.aornjournal.org/content/cme.

Authors:
Lisa Spruce

AORN J 2018 Nov;108(5):533-541

Unplanned perioperative hypothermia is a common occurrence and can negatively affect a patient's postoperative course. Perioperative nurses are responsible for identifying patients at risk for hypothermia and working with the entire surgical team to prevent this complication from occurring. Multiple interventions can be implemented to address hypothermia, including active or passive warming and warm IV and irrigation fluids. Read More

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November 2018

Chemical Dependency in the Workplace.

Authors:

AORN J 2018 Nov;108(5):544-546

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November 2018

Robotic Emergencies: Are You Prepared for a Disaster?

AORN J 2018 Nov;108(5):493-501

The surgical robot is a complex tool that surgeons use to perform a variety of minimally invasive procedures. Perioperative nurses play a vital role in patient care when the surgical robot is in use; a key goal is to ensure optimal patient safety while using this complex, innovative technology. Robotics proficiency requires extensive and continuous education for all members of the perioperative team. Read More

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November 2018
3 Reads

Guideline Quick View: Environment of Care.

Authors:

AORN J 2018 Nov;108(5):577-583

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November 2018

Did You Know?

Authors:

AORN J 2018 Nov;108(5):P18

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November 2018