25,640 results match your criteria Bedside Ultrasonography Abscess Evaluation


Performance, Long Term Management, and Coding for Percutaneous Dilational Tracheostomy.

Chest 2018 Dec 12. Epub 2018 Dec 12.

Trauma, Critical Care and Surgery, Carolinas Medical Center, Charlotte, NC 28203.

Percutaneous dilatational tracheotomy (PDT) has become increasingly popular and gained widespread acceptance. The modern PDT procedure has also evolved to whereby it can be safely performed by surgeons and non-surgeons in the intensive care unit (ICU). Moreover, bedside PDT has proven clinical outcomes and can save hospital resources. Read More

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December 2018

Standardized Bedside Handoff: One Organization's Journey.

Authors:
Shanon Fucik

J Pediatr Nurs 2018 Dec 11. Epub 2018 Dec 11.

Children's Mercy Kansas City, United States. Electronic address:

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December 2018

CGRP Antibodies as Prophylaxis in Migraine.

Authors:
Lars Edvinsson

Cell 2018 Dec;175(7):1719

Department of Medicine, University Hospital, Lund, Sweden. Electronic address:

Monoclonal antibodies against calcitonin gene-related peptide (CGRP) or its receptor (CLR + RAMP1) offer considerable improvements over existing drugs in migraine prophylaxis and are the first designed to act on the trigeminal pain system. Erenumab is approved by the FDA and EMA and has reached the market since May 2018. Two antibodies, fremanezumab and galcanezumab, directed towards the CGRP ligand, were approved by the FDA in September 2018. Read More

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December 2018

Society of Cardiovascular Anesthesiologists/European Association of Cardiothoracic Anaesthetists Practice Advisory for the Management of Perioperative Atrial Fibrillation in Patients Undergoing Cardiac Surgery.

Anesth Analg 2019 Jan;128(1):33-42

Department of Perioperative Medicine, Barts Heart Centre, St Bartholomew's Hospital, London, United Kingdom.

Postoperative atrial fibrillation (poAF) is the most common adverse event after cardiac surgery and is associated with increased morbidity, mortality, and hospital and intensive care unit length of stay. Despite progressive improvements in overall cardiac surgical operative mortality and postoperative morbidity, the incidence of poAF has remained unchanged at 30%-50%. A number of evidence-based recommendations regarding the perioperative management of atrial fibrillation (AF) have been released from leading cardiovascular societies in recent years; however, it is unknown how closely these guidelines are being followed by medical practitioners. Read More

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January 2019

[Analysis of features of ocular tilt reaction for patients with vestibular neuritis].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;32(14):1091-1094

Department of Ophthalmology, Guangxi Zhuang Autonomous Region People's Hospital.

To analyze the clinical characteristics of ocular tilt reaction in vestibular neuritis patients and discuss its value to the diagnosis of vestibular neuritis.Thirty-five patients with vestibular neuritis confirmed between January 2016 and March 2018 underwent bedside vestibular function physical examination including nystagmus, head impulse test(HIT),head shaking nystagmus(HSN), ocular tilt reaction(OTR), Romberg sign, Fukuda stepping. All patients underwent head CT scan and brain MRI scan + DWI to exclude bleeding and infarction. Read More

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The role of polysomnography in decannulation of children with brain and spinal cord injuries.

Pediatr Pulmonol 2018 Dec 11. Epub 2018 Dec 11.

Department of Pediatric Rehabilitation Medicine, Kennedy Krieger Institute, Baltimore, Maryland.

Objective: The objective of this retrospective review was to determine the utility of polysomnography (PSG) in influencing the decision to decannulate pediatric patients with brain and spinal cord injuries in an inpatient rehabilitation hospital setting.

Methods: Between 2010 and 2016, data were collected on pediatric patients with brain and/or spinal cord injuries who had PSG performed with the goal of decannulation. Patients underwent a decannulation protocol involving toleration of continuous tracheostomy capping and bedside tracheoscopy by otolaryngology. Read More

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December 2018

Using automated electronic medical record data extraction to model ALS survival and progression.

BMC Neurol 2018 Dec 14;18(1):205. Epub 2018 Dec 14.

Department of Neurology, University of Kansas Medical Center, Kansas City, USA.

Background: To assess the feasibility of using automated capture of Electronic Medical Record (EMR) data to build predictive models for amyotrophic lateral sclerosis (ALS) outcomes.

Methods: We used an Informatics for Integrating Biology and the Bedside search discovery tool to identify and extract data from 354 ALS patients from the University of Kansas Medical Center EMR. The completeness and integrity of the data extraction were verified by manual chart review. Read More

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December 2018

A five-year follow-up of a patient with fulminant myocarditis who underwent a stepwise and goal-oriented individualized comprehensive cardiac rehabilitation program.

J Cardiol Cases 2015 Jun 11;11(6):160-163. Epub 2015 Mar 11.

Division of Rehabilitation Medicine, Hyogo College of Medicine, Hyogo, Japan.

A 39-year-old man developed fulminant myocarditis and was transferred on mechanical ventilation and a ventricular-assist device to our hospital. On Hospital Day 10, he was weaned from all medical engineering devices, and bedside rehabilitation was initiated. Although a multidisciplinary cardiac rehabilitation team had intervened since Hospital Day 3, he could not be encouraged to begin ambulation because of hypotension and tachycardia. Read More

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Implementation of a Pipeline Using Disease-Disease Associations for Computational Drug Repurposing.

Methods Mol Biol 2019 ;1903:129-148

Department of Biotechnology, School of Bio Sciences and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, India.

Drug repurposing is a powerful technique which has been recently employed in both industry and academia to discover and validate previously approved drugs for new indications. It provides the quickest possible transition from bench to bedside. In essence, computational strategies are appealing because they putatively nominate the most encouraging candidate for a given indication. Read More

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January 2019

Ultrasound shear wave elastography effectively predicts integrity of ventral hernia repair using acellular dermal matrix augmented with platelet-rich plasma (PRP).

Surg Endosc 2018 Dec 13. Epub 2018 Dec 13.

Department of Electrical and Computer Engineering, Texas A&M University, 309D Wisenbaker Engineering Research Center, College Station, TX, 77843-3128, USA.

Background: Complications of ventral hernia repair (VHR) may be investigated by computed tomography or ultrasound (US) but neither modality gives a quantifiable metric of repair quality short of identifying hernia recurrence. Platelet-rich plasma (PRP), a growth factor-rich autologous blood product, has been shown to improve incorporation of native tissue with bioprosthetics. In this study, we investigate the effect of PRP on the incorporation and mechanical integrity of a non-crosslinked porcine acellular dermal matrix (pADM) in a rodent model of VHR and the correlative ability of ultrasound shear wave elastography (US-SWE) to assess repair quality. Read More

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December 2018

A narrative review of the success of intramuscular gluteal injections and its impact in psychiatry.

Biodes Manuf 2018 27;1(3):161-170. Epub 2018 Jul 27.

3Department of Psychiatry, University of Oxford, Warneford Hospital, Warneford Ln, Oxford, OX3 7JX UK.

There are 12 billion injections given worldwide every year. For many injections, the intramuscular route is favoured over the subcutaneous route due to the increased vascularity of muscle tissue and the corresponding increase in the bioavailability of drugs when administered intramuscularly. This paper is a review of the variables that affect the success of intramuscular injections and the implications that these success rates have in psychiatry and general medicine. Read More

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Differences in the characteristics, treatment, and outcomes of patient groups reviewed by intensive care liaison nurses in Australia: A multicentre prospective study.

Aust Crit Care 2018 Dec 10. Epub 2018 Dec 10.

Intensive Care Unit, Austin Health, 145 Studley Road, Heidelberg, Victoria, 3084, Australia.

Background: There is a lack of knowledge about tasks intensive care unit liaison nurses (ICU LNs) perform during patient review, despite this role operating in at least 31 acute care hospitals in Australia.

Objectives: To evaluate the tasks that ICU LNs perform during patient review in the following referral subcategories: review after ICU discharge, rapid response team (RRT) review, and ward referral.

Methods: A 2-month prospective observational study using standardised case report forms to collect data on patients reviewed by ICU LNs in 20 Australian hospitals was conducted. Read More

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December 2018

Cardiac Involvement by Yellow Fever(from the PROVAR+ Study).

Am J Cardiol 2018 Dec 4. Epub 2018 Dec 4.

Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde do Hospital das Clínicas da UFMG, Belo Horizonte, Minas Gerais, Brazil; Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address:

Incidence of Yellow Fever (YF) has increased in Brazil, and cardiac findings such as bradyarrhythmias and conduction abnormalities have been described. We aimed to perform a comprehensive cardiac evaluation of patients with YF, and to assess the association between cardiac involvement and disease severity. Patients hospitalized with YF from February to March 2018 underwent clinical and laboratory evaluation, focused bedside echocardiography (GE Vivid IQ), electrocardiogram and, in case of alterations, 24-hours Holter. Read More

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December 2018
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The impact of hyperthermia after acute carbon monoxide poisoning on neurological sequelae.

Hum Exp Toxicol 2018 Dec 14:960327118814151. Epub 2018 Dec 14.

2 Department of Preventive Medicine, Chonnam National University Medical School, Gwangju, South Korea.

This study investigated whether hyperthermia within the first 24 h after presentation was associated with long-term neurological outcomes after acute carbon monoxide (CO) poisoning. This retrospective study included 200 patients with acute severe CO poisoning. Hyperthermia (≥ 37. Read More

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December 2018

Increased Mortality Associated with Higher Pre-Dialysis Serum Sodium Variability: Results of the International MONitoring Dialysis Outcome Initiative.

Am J Nephrol 2018 Dec 13;49(1):1-10. Epub 2018 Dec 13.

Renal Research Institute, New York, New York, USA.

Background: Low serum sodium (SNa) is associated with an increased mortality in chronic hemodialysis (HD) patients. Dialysis patients are thought to have an individual pre-dialysis SNa set-point, yet there is evidence for variability of pre-dialysis SNa in individual patient. In this study, we explored the association of several SNa variability metrics with all-cause mortality in a large patient population from the international MONitoring Dialysis Outcomes (MONDO) Initiative. Read More

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December 2018

Perioperative Clinical Considerations in a Patient With Carotid Agenesis: A Case Report.

A A Pract 2018 Dec 11. Epub 2018 Dec 11.

From the Department of Anesthesiology, Northwestern Memorial Hospital, Chicago, Illinois.

An 86-year-old female with previously diagnosed congenitally absent right internal carotid artery presented for total shoulder arthroplasty. Bedside ultrasonography confirmed the anomaly and identified several arterial collateral vessels. No aberrant vessels were seen traversing the brachial plexus. Read More

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December 2018

From bedside to bench and back again: translational studies of mechanical unloading of the left ventricle to promote recovery after acute myocardial infarction.

F1000Res 2018 27;7. Epub 2018 Nov 27.

Cardiovascular Research Center, Mount Sinai School of Medicine, New York, New York, USA.

Heart failure is a major cause of global morbidity and mortality. Acute myocardial infarction (AMI) is a primary cause of heart failure due in large part to residual myocardial damage despite timely reperfusion therapy. Since the 1970's, multiple preclinical laboratories have tested whether reducing myocardial oxygen demand with a mechanical support pump can reduce infarct size in AMI. Read More

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November 2018

Consciousness in Neurocritical Care Cohort Study Using fMRI and EEG (CONNECT-ME): Protocol for a Longitudinal Prospective Study and a Tertiary Clinical Care Service.

Front Neurol 2018 27;9:1012. Epub 2018 Nov 27.

Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

To facilitate individualized assessment of unresponsive patients in the intensive care unit for signs of preserved consciousness after acute brain injury. Physicians and neuroscientists are increasingly recognizing a disturbing dilemma: Brain-injured patients who appear entirely unresponsive at the bedside may show signs of covert consciousness when examined by functional MRI (fMRI) or electroencephalography (EEG). According to a recent meta-analysis, roughly 15% of behaviorally unresponsive brain-injured patients can participate in mental tasks by modifying their brain activity during EEG- or fMRI-based paradigms, suggesting that they are conscious and misdiagnosed. Read More

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November 2018

[Evaluation of supplemental and oral deglutition foods in bedridden elderly patients receiving parenteral nutrition].

Nihon Ronen Igakkai Zasshi 2018 ;55(4):594-604

Department of Physical Medicine and Rehabilitation, Yokohama City University Medical Faculty.

Background And Aim: We examined oral dyskinesia (OD), wearing artificial tooth, food test findings and conducted a video - fluoroscopic swallowing study (VFSS) in bedridden elderly patients before they were received parenteral nutrition once daily. However, the validity and properties of these deglutition foods have not been evaluated. Therefore, in this study, we clarified four deglutition foods as four aspects. Read More

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January 2018

[Value of the diaphragm movement index tested by ultrosonography for ventilation weaning].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2018 Nov;30(11):1041-1045

Department of Emergency Medicine, Hunan Provincial People's Hospital (the First Affiliated Hospital of Hunan Normal University), Hunan Key Laboratory of Critical and Critical Metabolomics, Changsha 410005, Hunan, China. Corresponding author: Han Xiaotong, Email:

Objective: To evaluate the diaphragm movement index of mechanical ventilation weaning patients by ultrosonography, and to explore its value for weaning.

Methods: Forty patients undergoing invasive mechanical ventilation for at least 48 hours admitted to emergency intensive care unit (EICU) of Hunan Provincial People's Hospital from September 2017 to February 2018 were enrolled. Low level pressure support ventilation (PSV) was used for spontaneous breathing test (SBT), and bedside M-mode ultrasonography was used to assess the diaphragm movement index of the patient within 1 hour of SBT, including the excursion of the diaphragm, diaphragmatic-rapid shallow breathing index (D-RSBI). Read More

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November 2018

The psychometric evaluation of the Turkish version of the Mann Assessment of Swallowing Ability in patients in the early period after stroke

Turk J Med Sci 2018 12 12;48(6):1153-1161. Epub 2018 Dec 12.

Physical Medicine and Rehabilitation Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey

Background/aim: The Mann Assessment of Swallowing Ability (MASA) is an efficient tool that allows physicians to determine the alertness, cooperation, and respiration of patients, which are important factors when assessing swallowing . This study aimed to translate the MASA into Turkish (T-MASA) and to assess its reliability and validity in patients during the early period after a stroke .

Materials And Methods: The scale was administered to 141 patients in the early period after a stroke. Read More

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December 2018

Single cell dissection of plasma cell heterogeneity in symptomatic and asymptomatic myeloma.

Nat Med 2018 Dec 6;24(12):1867-1876. Epub 2018 Dec 6.

Department of Immunology, Weizmann Institute of Science, Rehovot, Israel.

Multiple myeloma, a plasma cell malignancy, is the second most common blood cancer. Despite extensive research, disease heterogeneity is poorly characterized, hampering efforts for early diagnosis and improved treatments. Here, we apply single cell RNA sequencing to study the heterogeneity of 40 individuals along the multiple myeloma progression spectrum, including 11 healthy controls, demonstrating high interindividual variability that can be explained by expression of known multiple myeloma drivers and additional putative factors. Read More

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December 2018

[Case of pneumonia associated sepsis accompaning pulmonary myiasis].

Mikrobiyol Bul 2018 Oct;52(4):439-443

Kocaeli State Hospital, Clinic of Chest Diseases, Kocaeli, Turkey.

Myiasis; is defined as the infestation of dead or living tissues of humans and animals by the diptera larvae. It is prevalent all over the world, especially in tropical and subtropical countries with low socioeconomic status. Myiasis of humans has been associated with low socioeconomic status, alcoholism, mental or neurological diseases, poor personal hygiene, patients with varicose veins, diabetes, malnutrition, advanced stage cancer, pediculosis, immunosuppression, sexually transmitted disease, gingivitis and other oral cavity lesions. Read More

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October 2018

Pseudohyponatremia in Hypertriglyceridemia-Induced Acute Pancreatitis: A Tool for Diagnosis Rather Than Merely a Laboratory Error?

Pancreas 2019 Jan;48(1):126-130

Objectives: The relative rarity of hypertriglyceridemia (HTG) as the etiology for acute pancreatitis (AP) delays the final diagnosis of hypertriglyceridemia-induced AP (HTG-AP). This study aimed to explore the diagnostic and prognostic value of pseudohyponatremia in this clinical entity.

Methods: We retrospectively compared 140 patients with HTG-AP and 266 patients of AP of other etiologies. Read More

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January 2019
2 Reads

The 2018 Nobel Prize in Physiology or Medicine: An exemplar of bench to bedside in immunology.

Authors:
Zuhair K Ballas

J Allergy Clin Immunol 2018 Dec 26;142(6):1752-1753. Epub 2018 Oct 26.

University of Iowa Hospitals & Clinics and the Iowa City VA Medical Center, Iowa City, Iowa. Electronic address:

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December 2018

The Plasminogen Activation System Promotes Neurorepair in the Ischemic Brain.

Authors:
Manuel Yepes

Curr Drug Targets 2018 Dec 11. Epub 2018 Dec 11.

Division of Neuropharmacology and Neurologic Diseases, Yerkes National Primate Research Center; Atlanta, GA. United States.

The plasminogen activation (PA) system was originally thought to exclusively promote the degradation of fibrin by catalyzing the conversion of plasminogen into plasmin via two serine proteinases: tissue-type plasminogen activator (tPA) and urokinase-type plasminogen activator (uPA). However, experimental evidence accumulated over the last 30 years indicates that tPA and uPA are also found in the central nervous system (CNS), where they have a plethora of functions that not always require plasmin generation or fibrin degradation. For example, plasminogen-dependent and -independent effects of tPA and uPA play a central role in the pathophysiological events that underlie one of the leading causes of mortality and disability in the world: cerebral ischemia. Read More

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December 2018
1 Read

Placental Circulation Intact Trial (PCI-T)-Resuscitation With the Placental Circulation Intact vs. Cord Milking for Very Preterm Infants: A Feasibility Study.

Front Pediatr 2018 27;6:364. Epub 2018 Nov 27.

Department of Neuroscience, Psychology, Drug Research and Child Health, Careggi University Hospital of Florence, Florence, Italy.

Preterm newborns receiving briefly delayed cord clamping or cord milking at birth have better neonatal outcomes. However, the time frame in which both these procedures are performed (< 60 s of life) is too short to explore the possible beneficial effects on early infant postnatal adaptation and outcomes of a prolonged transfusion strategy associated with neonatal respiration. We have designed a randomized, multicenter, controlled two-phase study: phase 1 to assess the feasibility of carrying out the protocol in a large randomized trial, and phase 2 to assess the efficacy of bedside assistance with intact placental circulation for 3 min in comparison to cord milking to improve outcome in the neonatal period; we present here the feasibility and safety phase of the study. Read More

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November 2018

Development and applications of oncolytic Maraba virus vaccines.

Oncolytic Virother 2018 26;7:117-128. Epub 2018 Nov 26.

Department of Pathology and Molecular Medicine, McMaster Immunology Research Centre, McMaster University, Hamilton, ON, Canada,

Oncolytic activity of the MG1 strain of the Maraba vesiculovirus has proven efficacy in numerous preclinical cancer models, and relied not only on a direct cytotoxicity but also on the induction of both innate and adaptive antitumor immunity. To further expand tumor-specific T-cell effector and long-lasting memory compartments, we introduced the MG1 virus in a prime-boost cancer vaccine strategy. To this aim, a replication-incompetent adenoviral [Ad] vector together with the oncolytic MG1 have each been armed with a transgene expressing a same tumor antigen. Read More

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November 2018
2 Reads

Current Management of Polycystic Ovary Syndrome: From Bench to Bedside.

Int J Endocrinol 2018 14;2018:7234543. Epub 2018 Nov 14.

Department of Woman and Child Health, University of Padua, Padua, Italy.

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November 2018

Cerebral Venous Thrombosis: An Uncommon Cause of Papilledema on Bedside Ocular Ultrasound.

J Emerg Med 2018 Dec 8. Epub 2018 Dec 8.

Department of Emergency Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida.

Background: Cerebral venous thrombosis (CVT) is a rare, difficult-to-diagnose form of venous thromboembolic disease and is considered a type of stroke. Its presentation is highly variable and may be easily confused for more common and less debilitating or life-threatening diagnoses such as migraine, seizure, or idiopathic intracranial hypertension.

Case Report: A 25-year-old woman presented with a complaint of bifrontal throbbing headache and blurry vision. Read More

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December 2018

Overcoming the barriers of teaching physical examination at the bedside: more than just curriculum design.

BMC Med Educ 2018 Dec 11;18(1):302. Epub 2018 Dec 11.

Department of Medicine, The Ottawa Hospital, University of Ottawa and the Ottawa Hospital Research Institute, 501 Smyth Road CPCR L2135, Box 209, Ontario, Ottawa, K1H 8L6, Canada.

Background: Physicians in training must achieve a high degree of proficiency in performing physical examinations and must strive to become experts in the field. Concerns are emerging about physicians' abilities to perform these basic skills, essential for clinical decision making. Learning at the bedside has the potential to support skill acquisition through deliberate practice. Read More

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December 2018
1 Read

Post-operative intrapericardial hematoma presenting as isolated right atrial tamponade.

J Cardiol Cases 2014 Feb 16;9(2):48-49. Epub 2013 Dec 16.

Baylor College of Medicine, Section of Cardiology, Houston, TX, USA.

A 57-year-old male underwent mechanical mitral valve replacement for severe mitral regurgitation of a prolapsed myxomatous mitral valve. The patient's post-operative recovery period was uneventful until the eighth day when he decompensated into pulseless electrical activity arrest. A bedside transthoracic echocardiogram revealed a large, smooth-edged mass nearly obliterating the right atrial cavity. Read More

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February 2014

Alemtuzumab induced ST-segment elevation and acute myocardial dysfunction.

J Cardiol Cases 2014 Nov 28;10(5):176-179. Epub 2014 Jul 28.

Montefiore-Einstein Center for Heart and Vascular Care, Albert Einstein College of Medicine, Bronx, NY, USA.

Cardiac toxicity as a side effect of chemotherapeutic agents has been well reported in the literature. Cardiac toxicity secondary to alemtuzumab has been reported, presenting as congestive heart failure and arrhythmias. Here we report a case of acute myocardial dysfunction after administration of a test dose of alemtuzumab. Read More

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November 2014

Laryngeal mask airway versus endotracheal tube for percutaneous dilatational tracheostomy in critically ill adults.

Cochrane Database Syst Rev 2018 Nov 15;11:CD009901. Epub 2018 Nov 15.

Wiesbaden Business School, RheinMain University of Applied Science, Bleichstr. 44, Wiesbaden, Germany, 65183.

Background: Percutaneous dilatational tracheostomy (PDT) is one of the most common bedside surgical procedures performed in critically ill adults, on intensive care units (ICUs), who require long-term ventilation. PDT is associated with relevant life-threatening complications: Cuff rupture or accidental extubation may lead to hypoxia, aspiration or loss of airway. Puncture of the oesophagus, or creating a false passage during dilatation or replacement of the tracheostomy tube, can lead to pneumothorax or emphysema. Read More

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November 2018
1 Read

[Translational medicine and innovation in health: mechanisms and perspectives].

Rev Med Chil 2018 Jul;146(7):890-898

Departamento de Biología Marina, Universidad Católica del Norte, Coquimbo, Chile.

Many new discoveries in Life Sciences cannot be translated into products, services or new applications to improve human health. Translational medicine, defined as "from bench to bedside", refers to the transfer of results or new knowledge achieved in the laboratory into health innovation. We aim to review the state of art of translational medicine, its relationship with innovation processes and the different perspectives to consider. Read More

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Patients' Online Perception and Ratings of Neurotologists.

Otol Neurotol 2019 Jan;40(1):139-143

Department of Otolaryngology-Head and Neck Surgery.

Objectives: To assess and characterize patients' online ratings and comments of neurotologists and determine factors that correlate with higher ratings.

Methods: All the American Neurotology Society members were queried on Healthgrades, Vitals, RateMDs, Yelp, and Google from March to June 2018. All ratings were normalized for comparison on a five-point Likert scale. Read More

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January 2019

Bedside respiratory physiology to detect risk of lung injury in acute respiratory distress syndrome.

Authors:
Jeremy R Beitler

Curr Opin Crit Care 2018 Dec 5. Epub 2018 Dec 5.

Division of Pulmonary, Allergy, and Critical Care Medicine, Center for Acute Respiratory Failure, Columbia University College of Physicians and Surgeons, New York, New York, USA.

Purpose Of Review: The most effective strategies for treating the patient with acute respiratory distress syndrome center on minimizing ventilation-induced lung injury (VILI). Yet, current standard-of-care does little to modify mechanical ventilation to patient-specific risk. This review focuses on evaluation of bedside respiratory mechanics, which when interpreted in patient-specific context, affords opportunity to individualize lung-protective ventilation in patients with acute respiratory distress syndrome. Read More

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December 2018

Fatty pancreas in relation to insulin resistance and metabolic syndrome in children with obesity.

J Pediatr Endocrinol Metab 2018 Dec 7. Epub 2018 Dec 7.

Department of Flavor Chemistry, National Center Research, Giza, Egypt.

Background Ectopic visceral fat is a major risk factor for obesity complications including insulin resistance and metabolic syndrome. Ultrasonography is a simple bedside screening tool used for the assessment of ectopic visceral fat including fatty pancreas. This study investigates the association between insulin resistance, metabolic syndrome and fatty pancreas detected by ultrasound in children with obesity. Read More

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December 2018

Bedside chest compression skills: Performance and skills retention in in-hospital trained pediatric providers. A simulation study.

J Crit Care 2018 Dec 1;50:132-137. Epub 2018 Dec 1.

Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, AB T3B 6A8, Canada. Electronic address:

Purpose: To assess the effects of a real-time feedback device and refresher sessions in acquiring and retaining chest compression skills.

Methods: Healthcare providers participated in refresher sessions at 3-time points (blocks) over 1-year. At each block, chest compression (CC) skills were assessed on an infant and adult task trainer, in one 2-min trial without feedback (blinded), and up to three 2-min trials with feedback (unblinded). Read More

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December 2018
1 Read

Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project.

J Emerg Nurs 2018 Oct 24. Epub 2018 Oct 24.

Introduction: Handoff in the emergency department is considered a high-risk period for medical errors to occur. In response to concerns about the effectiveness of the nursing handoff in the emergency department of a Midwestern trauma center, a practice improvement project was implemented. The process change required nursing handoff at shift changes to be conducted at the bedside, using an adapted situation, background, assessment, recommendation (SBAR) communication tool. Read More

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October 2018

Acute Lobar Atelectasis.

Authors:
John J Marini

Chest 2018 Dec 5. Epub 2018 Dec 5.

Pulmonary & Critical Care Medicine Divisions, Regions Hospital & University of Minnesota, Minneapolis/ St. Paul MN, USA. Electronic address:

Lobar atelectasis (or collapse) is an exceedingly common, rather predictable and potentially pathogenic companion to many forms of acute illness, post-operative care, and chronic debility. Readily diagnosed by routine chest imaging and bedside ultrasound, the consequences from lobar collapse may be minor or serious, depending on extent, mechanism, patient vulnerability, abruptness of onset, effectiveness of hypoxic vasoconstriction and compensatory reserves. Measures taken to reduce secretion burden, assure adequate secretion clearance, maintain upright positioning, reverse lung compression and sustain lung expansion accord with a logical physiologic rationale. Read More

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December 2018
1 Read

From "bedside" to "bench" and back: A translational approach to studying dopamine dysfunction in schizophrenia.

Neurosci Biobehav Rev 2018 Dec 5. Epub 2018 Dec 5.

Departments of Psychiatry and Radiology, Stony Brook School of Medicine, HSC-T10-087H, 101 Nicolls Road, Stony Brook, NY, 11794-8101, United States. Electronic address:

Despite multiple lines of research, a mechanistic understanding of schizophrenia remains elusive. Neuroimaging studies have yielded observations that can be used in translational studies in animals to attempt to uncover their cellular and circuit basis and their significance for the diseased human brain. Enhanced D2 stimulation in the striatum is a well replicated and established observation in patients with schizophrenia. Read More

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December 2018

[Alpha chain disease: From bedside to bench and back again, an exemplary translation].

Presse Med 2018 Dec 7. Epub 2018 Dec 7.

Université Paris-Diderot, faculté de médecine, 75010 Paris, France. Electronic address:

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December 2018

Hermann Boerhaave: father of teaching at the bedside.

Authors:
Harold Ellis

Br J Hosp Med (Lond) 2018 Dec;79(12):711

Emeritus Professor of Surgery, Guy's, King's and St Thomas' School of Biomedical Sciences, London SE1 1UL.

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December 2018

Protective effect of forsythoside B against lipopolysaccharide-induced acute lung injury by attenuating the TLR4/NF-κB pathway.

Int Immunopharmacol 2018 Dec 3;66:336-346. Epub 2018 Dec 3.

Key Laboratory of Prevention and Management of Chronic Kidney Disease of Zhanjiang City, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, 524001, China. Electronic address:

Acute lung injury (ALI), which is mainly triggered by infection, pneumonia, vasculitis, and sepsis, has no specific and effective therapy except for primary supportive treatment or bedside care. Excessive inflammation caused by innate immune cells is the major characteristic of ALI. Forsythoside B, a phenylethanoside compound, possesses good antioxidant and anti-bacterial properties in vivo and in vitro. Read More

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December 2018
5 Reads
2.472 Impact Factor

Does the experience of the bedside assistant effect the results of robotic surgeons in the learning curve of robot assisted radical prostatectomy?

Int Braz J Urol 2018 Oct 20;44. Epub 2018 Oct 20.

American Hospital, Istanbul, Turkey.

Introduction: The success of the robot assisted radical prostatectomy (RARP) procedures depend on a successful team, however the literature focuses on the performance of a console surgeon. The aim of this study was to evaluate surgical outcomes of the surgeons during the learning curve in relation to the bedside assistant's experience level during RARP.

Materials And Methods: We retrospectively reviewed two non - laparoscopic, beginner robotic surgeon's cases, and we divided the patients into two groups. Read More

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October 2018
6 Reads

Cardiovascular Risk Factors and Brain Health: Impact on Long-Range Cortical Connections and Cognitive Performance.

J Am Heart Assoc 2018 Dec;7(23):e010054

1 Department of Neurology Medical University of South Carolina Charleston SC.

Background Cardiovascular risk factor burden in the absence of clinical or radiological "events" is associated with mild cognitive impairment. Magnetic resonance imaging techniques exploring the integrity of neuronal fiber connectivity within white matter networks supporting cognitive processing could be used to measure the impact of cardiovascular disease on brain health and be used beyond bedside neuropsychological tests to detect subclinical changes and select or stratify participants for entry into clinical trials. Methods and Results We assessed the relationship between verbal IQ and brain network integrity and the effect of cardiovascular risk factors on network integrity by constructing whole-brain structural connectomes from magnetic resonance imaging diffusion images (N=60) from people with various degrees of cardiovascular risk factor burden. Read More

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December 2018
3 Reads

Mindfulness and burnout among beside registered nurses: A cross-sectional study.

Nurs Health Sci 2018 Dec 6. Epub 2018 Dec 6.

Quality Management Office, the Second Hospital of Shandong University, Jinan, China.

Nursing is a high stress job, and burnout of nurses is of particular concern. The aim of this cross-sectional survey study was to examine the relationship between mindfulness and burnout, and how the mindfulness facets vary in their associations with the different domains of burnout for Chinese nurses. A sample of registered bedside nurses working in a tertiary Chinese hospital (n = 763) was surveyed from February to June 2017 regarding mindfulness (i. Read More

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December 2018
1 Read