10,743 results match your criteria medical-surgical


Energy spectral density as valid parameter to compare postural control between subjects with nonspecific chronic low back pain vs healthy subjects: A case-control study.

Musculoskelet Sci Pract 2021 Mar 24;53:102370. Epub 2021 Mar 24.

Department of Medical Surgical-Therapy, Medicine Faculty, Extremadura University, Badajoz, Spain.

Background: Nonspecific chronic low back pain (NSCLBP) is one of the most common and frequent health problems. OBJETIVE: to compare postural control (i.e. Read More

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Signal Detection to Measure Allostatic Load.

Authors:
Douglas C Howard

J Nurs Scholarsh 2021 Apr 8. Epub 2021 Apr 8.

Phi Epsilon, Clinical Program Manager, Office of the Medical Inspector, Department of Veterans Affairs, Washington, DC, USA.

Purpose: To illustrate a means to calculate allostatic load in hospitalized patients using big data from the electronic medical record (EMR).

Organizing Construct: To describe the development of the Troubled Outcome Risk (TOR) scale using signal detection in big data.

Methods: Using both retrospective and prospective observational studies, I describe a mechanism to determine meaning from retrospective data then use the results to improve nursing surveillance to reduce length of stay (LOS) and nursing sensitive indicators on an inpatient medical surgical unit. Read More

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Long-Term Cognitive Outcomes and Sleep in Adults After Extracorporeal Life Support.

Crit Care Explor 2021 Apr 2;3(4):e0390. Epub 2021 Apr 2.

Department of Medicine (Critical Care Medicine), University Health Network, Toronto, ON, Canada.

Objectives: To assess differences in cognitive outcomes and sleep in adult survivors of critical illness, managed with venovenous extracorporeal membrane oxygenation as compared to conventional mechanical ventilation only.

Design: Retrospective cohort study linked with data from the COGnitive outcomes and WELLness study.

Setting: A multisite study from five adult medical/surgical ICUs in Toronto. Read More

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Automated Near Real-Time Ventilator Data Feedback Reduces Incidence of Ventilator-Associated Events: A Retrospective Observational Study.

Crit Care Explor 2021 Apr 2;3(4):e0379. Epub 2021 Apr 2.

Department of Anesthesiology, Southern New Hampshire Medical Center, Nashua, NH.

Objectives: Critical care teams are encouraged to follow best practice protocols to help wean mechanically ventilated patients from the ventilator to reduce ventilator-associated events including ventilator-associated conditions, probable ventilator-associated pneumonias, and infection-related ventilator-associated conditions. Providers monitor for alerts suggestive of possible ventilator-associated events and advise when patients should undergo spontaneous breathing trials. Compliance with protocols in most units is suboptimal. Read More

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Dental Pulp Stem Cells on Implant Surface: An In Vitro Study.

Biomed Res Int 2021 23;2021:3582342. Epub 2021 Mar 23.

Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, Messina University, Messina 98100, Italy.

In the field of biology and medicine, one hears often about stem cells and their potential. The dental implant new surfaces, subjected to specific treatments, perform better and allow for quicker healing times and better clinical performance. The purpose of this study is to evaluate from a biological point of view the interaction and cytotoxicity between stem cells derived from dental pulp (DPSCs) and titanium surfaces. Read More

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Efficacy and safety of a new vaginal gel for the treatment of symptoms associated with vulvovaginal atrophy in postmenopausal women: A double-blind randomized placebo-controlled study.

Maturitas 2021 May 4;147:34-40. Epub 2021 Mar 4.

Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, Obstetrics and Gynecology Unit, IRCCS S. Matteo Foundation, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Viale Camillo Golgi, 19, 27100 Pavia, Italy. Electronic address:

Objective: The aim of the present randomized placebo-controlled single-center study was to assess the efficacy and safety of a new vaginal gel (Meclon Idra - Alfasigma) in the treatment of vulvovaginal atrophy (VVA). The gel is composed of sea buckthorn (Hippophaë rhamnoides) oil, aloe vera, 18β-glycyrrhetic acid, hyaluronic acid and glycogen. The study assessed whether the gel can reduce VVA symptoms (vaginal dryness, itching, burning sensation) and improve sexual function in postmenopausal women over 12 weeks. Read More

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Culture-Negative Mycotic Aortic Aneurysms Probably Have a Less Severe Clinical Nature Than Culture-Positive Counterparts.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-gu, Seoul, Korea, 06351. Electronic address:

Background: Mycotic aortic aneurysm constitutes a potentially devastating disease that necessitates prompt suspicion and diagnosis. There is no exact consensus for treatment, but removal of infected tissues and prolonged use of antimicrobials based on the identified causative microorganisms seem widely acceptable and have been similarly practiced worldwide. However, some patients still show no identified microorganisms. Read More

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Clinically Suspected Segmental Arterial Mediolysis of the Splanchnic Arteries: A Report of 2 Rare Cases.

Am J Case Rep 2021 Apr 8;22:e929013. Epub 2021 Apr 8.

Radiology Unit I, Department of Medical Surgical Sciences and Advanced Technologies, University Hospital 'Policlinico - Vittorio Emanuele', University of Catania, Catania, Italy.

BACKGROUND Segmental arterial mediolysis (SAM) is an uncommon vascular pathology characterized by arteriopathy, mainly of medium-sized abdominal splanchnic vessels, without an atherosclerotic, inflammatory, infectious, or autoimmune underlying etiology. Segmental arterial mediolysis is clinically heterogeneous and symptoms may be completely nonspecific. The knowledge of radiological features of segmental arterial mediolysis and the exclusion of other pathologies should direct early diagnosis and refer patients for correct treatment. Read More

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Antimicrobial stewardship programs in adult intensive care units in Latin America: Implementation, assessments, and impact on outcomes.

Infect Control Hosp Epidemiol 2021 Apr 8:1-10. Epub 2021 Apr 8.

Henry Ford Health System, Detroit, Michigan, United States.

Objective: To assess the impact of antimicrobial stewardship programs (ASPs) in adult medical-surgical intensive care units (MS-ICUs) in Latin America.

Design: Quasi-experimental prospective with continuous time series.

Setting: The study included 77 MS-ICUs in 9 Latin American countries. Read More

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Usefulness of the Biomarker TIMP-2•IGFBP7 for Acute Kidney Injury Assessment in Critically Ill Patients: A Narrative Review.

Authors:
Brian L Erstad

Ann Pharmacother 2021 Apr 8:10600280211005425. Epub 2021 Apr 8.

University of Arizona College of Pharmacy, Tucson, AZ, USA.

Objectives: To review the clinical usefulness of the biomarker TIMP-2•IGFBP7 in adult, general medical-surgical intensive care unit (ICU) settings.

Data Sources: PubMed (1946 to mid-February 2021) and EMBASE (1947 to mid-February 2021) with bibliographies of retrieved articles reviewed for additional articles.

Study Selection And Data Extraction: Studies evaluating use of the urinary TIMP-2•IGFBP7 assay in adult patients in ICU settings. Read More

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Do the patient education program and nurse-led telephone follow-up improve treatment adherence in hemodialysis patients? A randomized controlled trial.

BMC Nephrol 2021 Apr 7;22(1):119. Epub 2021 Apr 7.

Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.

Background: End-Stage Renal Disease (ESRD) is the final and permanent stage of Chronic Kidney Disease (CKD). Hemodialysis (HD) is the most common treatment for CKD. To have desirable therapeutic outcomes, patients have to adhere to a specific therapeutic regimen that reduces the hospitalization rate and side-effects of HD. Read More

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'A bridge over troubled water': a case report.

Eur Heart J Case Rep 2021 Mar 31;5(3):ytab109. Epub 2021 Mar 31.

Sports Medicine Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli, 8, 00168 Rome, Italy.

Background: Myocardial bridge (MB) is the most common inborn coronary artery variant, in which a portion of myocardium overlies a major epicardial coronary artery segment. Myocardial bridge has been for long considered a benign condition, although it has been shown to cause effort-related ischaemia.

Case Summary : We present the case of a 17-year-old female patient experiencing chest pain during physical activity. Read More

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Diagnostic Accuracy of EndoFaster® and Narrow-Band Imaging Endoscopy in Patients with Impaired Gastric Acid Secretion: A Real-Time Prospective Study.

Gastroenterol Res Pract 2021 20;2021:6616334. Epub 2021 Mar 20.

Department of Medical-Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Italy.

Background: EndoFaster® analyzes gastric juice in real time during gastroscopy allowing the detection of hypo-achlorhydric conditions, like corpus atrophic gastritis. Narrow-band imaging (NBI) endoscopy allows to accurately detect and perform target biopsies in areas of intestinal metaplasia, a histological change often associated to corpus atrophic gastritis.

Aims: To compare the diagnostic accuracy of EndoFaster® with histological evaluation for corpus atrophic gastritis through high-resolution (HR) NBI targeted biopsies. Read More

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Reduction in emergency access for acute myocardial infarction during the COVID-19 pandemic: a survey from the greater area of Rome, Italy.

Minerva Cardiol Angiol 2021 Apr 7. Epub 2021 Apr 7.

Division of Cardiology, Department of Medical Sciences, Università Tor Vergata, Rome, Italy.

Background: On March 9, 2020, the Italian government imposed a national lockdown to tackle the COronaVIrus Disease 19 (COVID-19) pandemic, including stay at home recommendations. The precise impact of COVID-19 scare and lockdown on emergency access for acute myocardial infarction (MI) is still subject to debate.

Methods: Data on all patients undergoing invasive coronary angiography at 9 hospitals in the greater area of Rome, Italy, between February 19, 2020 and March 29, 2020, 9, 2020, were retrospectively collected. Read More

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Capillaroscopy: a useful tool in the early diagnosis of connective tissue disease and nonscleroderma spectrum disorders.

Minerva Cardiol Angiol 2021 Apr 7. Epub 2021 Apr 7.

Centro Studi Malattie Vascolari J.F. Merlen, Frosinone, Italy.

Background: Detection of early capillaroscopic alterations in the preclinical phase may prove useful in patients with non-scleroderma connective tissue disease (CTD). We aimed to verify whether certain capillaroscopic alterations, alone or in combination, might be predictive of CTD.

Methods: We retrospectively collected data on patients with Raynaud's phenomenon who underwent capillaroscopy conducted by highly expert examiners with a degree in vascular medicine at our institutions. Read More

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Histological growth patterns and molecular analysis of resected colorectal lung metastases.

Pathol Res Pract 2021 Mar 24;222:153414. Epub 2021 Mar 24.

Department of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome, Unit of Thoracic Surgery Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.

Lung is the site of metastasis in about 15-25 % of colorectal cancer (CRC) patients. Lung metastasectomy of CRC represents a standard therapy in patients with resectable metastases. In this study we investigated both histological patterns of metastases and mutations in MAPkinase pathway genes and their relationship to prognosis. Read More

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Emergence of Indian lineage of ECSA chikungunya virus in Djibouti 2019.

Int J Infect Dis 2021 Apr 3. Epub 2021 Apr 3.

Unité des Virus Emergents (UVE), Aix Marseille Université, IRD 190, INSERM 1207, IHU-Méditerranée Infection, Marseille, France; Hôpital d'Instruction des Armées Laveran, Marseille, France. Electronic address:

Chikungunya virus (CHIKV) has originated from Africa and has spread worldwide. Since 2017, multiple chikungunya outbreaks were reported in the Horn of Africa, without molecular characterization. In November 2019, an autochthonous acute chikungunya infection was diagnosed in a French patient living in Djibouti, marking the reemergence of the virus in the country. Read More

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Long-Term Outcomes in Intensive Care Unit Patients with Delirium: A Population-Based Cohort Study.

Am J Respir Crit Care Med 2021 Apr 6. Epub 2021 Apr 6.

University of Calgary, 2129, Calgary, Alberta, Canada.

Rationale: Delirium is common in the intensive care unit (ICU) and portends worse ICU and hospital outcomes. The effect of delirium in the ICU on post-hospital discharge mortality and health resource utilization is less well known.

Objectives: To estimate mortality and health resource utilization 2. Read More

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Awake venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock.

Eur Heart J Acute Cardiovasc Care 2021 Apr 5. Epub 2021 Apr 5.

Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Medical Intensive Care Unit, Paris Cedex 13 75651, France.

Background : Venoarterial-extracorporeal membrane oxygenation (VA-ECMO) is currently one of the first-line therapies for refractory cardiogenic shock (CS), but its applicability is undermined by the high morbidity associated with its complications, especially those related to mechanical ventilation (MV). We aimed to assess the prognostic impact of keeping patients in refractory CS awake at cannulation and during the VA-ECMO run.

Methods : A 7-year database of patients given peripheral VA-ECMO support was used to conduct a propensity-score (PS)-matched analysis to balance their clinical profiles. Read More

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Hand hygiene and the sequence of patient care.

Infect Control Hosp Epidemiol 2021 Apr 6:1-6. Epub 2021 Apr 6.

Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa.

Objective: To determine whether the order in which healthcare workers perform patient care tasks affects hand hygiene compliance.

Design: For this retrospective analysis of data collected during the Strategies to Reduce Transmission of Antimicrobial Resistant Bacteria in Intensive Care Units (STAR*ICU) study, we linked consecutive tasks healthcare workers performed into care sequences and identified task transitions: 2 consecutive task sequences and the intervening hand hygiene opportunity. We compared hand hygiene compliance rates and used multiple logistic regression to determine the adjusted odds for healthcare workers (HCWs) transitioning in a direction that increased or decreased the risk to patients if healthcare workers did not perform hand hygiene before the task and for HCWs contaminating their hands. Read More

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The distorted power of medical surgical masks for changing the human thermal psychology of indoor personnel in summer.

Indoor Air 2021 Apr 5. Epub 2021 Apr 5.

School of Energy and Power Engineering, University of Shanghai for Science and Technology, Shanghai, China.

The medical surgical mask (MSM) has been the essential protective equipment in people's daily work. The experimental purpose is to explore the effects of wearing MSM on human thermal sensation, thermal comfort, and breathing comfort in office buildings in summer. A total of 30 healthy college students were recruited for the testing. Read More

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Ischemia-Reperfusion Injury: Can We Stop the Curing-Hurting Paradox?

J Cardiovasc Pharmacol 2021 Apr;77(4):427-429

Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

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Understanding the Meaning of Lived Experience "Maternal Near Miss": A Qualitative Study Protocol.

J Caring Sci 2021 Mar 1;10(1):43-48. Epub 2021 Mar 1.

Department of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Maternal near-miss (MNM) is defined as "a woman who almost died but survived a serious maternal complication during pregnancy, childbirth, or within 42 days of completion of pregnancy". Despite the long-term physical and psychological burden of this event on the mother's life, the meaning of MNM is not clear. In addition, the mother's role complicates the understanding of this phenomenon. Read More

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Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial.

J Caring Sci 2021 Mar 1;10(1):22-28. Epub 2021 Mar 1.

Endocrine and Diabetes Center,Sina Medical Research & Training Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Developing new training methods for improving the health of diabetic patients has always been a concern for nurses. The present study aims to investigate the effects of empowerment-based interventions with or without telenursing on self-efficacy and HbA1c level in diabetic patients. In this randomized clinical trial, 156 patients with type-2 diabetes were randomly assigned into two intervention groups (empowerment with/without telenursing) and one control group. Read More

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Effectiveness of Self-care Measures on Knowledge, Self-efficacy and Performance Status among Cancer Patients.

J Caring Sci 2021 Mar 1;10(1):1-8. Epub 2021 Mar 1.

Obstetric and Gynaecology Nursing, Billroth College of Nursing, Chennai, Tamil Nadu, India.

There is a growing concern regarding self-care and chemotherapy side effects. The present study aimed to assess the effectiveness of self-care measures on knowledge, self-efficacy, and performance status among cancer patients undergoing chemotherapy. A quasi-experimental study was conducted in Dr. Read More

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Endotracheal Tube Duration in Elderly Patients after the Coronary Artery Bypass Grafting Surgery.

Tanaffos 2020 Jul;19(3):235-242

Critical Care Nursing, Dr. Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Background: In elderly patients, the management of the endotracheal tube after coronary artery bypass graft (CABG) can be challenging because they often have complex comorbidities. This study was done to determine endotracheal tube duration in elderly patients after CABG.

Materials And Methods: This retrospective study was conducted on 397 patients aged over 65 years under mechanical ventilation after CABG. Read More

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[Nutritional screening in hospitalized patients with vascular disease - The relationship of nutritional risk with clinical and economic outcomes in a surgery department].

Nutr Hosp 2021 Apr 5. Epub 2021 Apr 5.

Área de Estadística e Investigación Operativa. Departamento de Economía y Estadística. Universidad de León.

Introduction: disease-related malnutrition has a negative impact on the outcome in surgical patients. Our objective was to assess the prevalence of nutritional risk in the field of vascular surgery, as well as its consequences on patient outcome and health expenditure.

Patients And Methods: this is a prospective, observational study conducted during 6 months in a vascular surgery ward at the University Hospital of León, Spain. Read More

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Unwanted isolation: An obstacle to constructive interaction between oncology nurses and their patients.

Nurs Open 2021 Apr 4. Epub 2021 Apr 4.

Birmingham City University, Birmingham, UK.

Aim: The current study was carried out to investigate the obstacles faced by oncology nurses in their interactions with their patients.

Design: This research is a descriptive qualitative study.

Methods: In this study, conventional content analysis was used for analysing the data collected from 26 oncology nurses. Read More

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Cling wrap technique: An inexpensive and simple way to seal negative pressure wound therapy on external fixation devices.

J Orthop Trauma 2021 Apr 2. Epub 2021 Apr 2.

University Hospital of Foggia; Department of Plastic and Reconstructive Surgery; Foggia; Italy Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Study of Campania "Luigi Vanvitelli", Naples, Italy.

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Revascularization rates with coronary angioplasty and mortality in type 2 myocardial infarction: A meta-regression analysis.

Am J Emerg Med 2021 Mar 20;47:145-148. Epub 2021 Mar 20.

Department of Medical & Surgical Sciences, University of Foggia, Foggia, Italy. Electronic address:

Background: Percutaneous coronary intervention (PCI) represents the best therapeutic option for type-1 myocardial infarction (T1MI) in the majority of clinical settings; its role in the treatment of type-2 myocardial infarction (T2MI), however, remains unclear. We therefore sought to assess in a meta-regression analysis the impact of PCI rates on mortality in patients with T2MI according to available observational studies.

Methods: We performed a meta-regression analysis including all the studies involving in-patients affected by T2MI. Read More

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