Browse Items · NEOMED Bibliography Database

Difficulty in predicting bacteremia in elderly emergency patients.

STUDY OBJECTIVES: To characterize the clinical presentation and identify factors predictive of bacteremia in elderly patients. DESIGN: Retrospective review of emergency department charts, hospital records, and microbiology reports. SETTING: Community…

Emergency cardiac stress testing in the evaluation of emergency department patients with atypical chest pain.

STUDY OBJECTIVES: To determine the feasibility, safety, and reliability of emergency cardiac treadmill exercise stress testing (CTEST) in the evaluation of emergency department patients with atypical chest pain. DESIGN: Thirty-two patients with…

Oral contraceptive failure rates and oral antibiotics.

BACKGROUND: Despite anecdotal evidence of a possibility of decreased effectiveness of oral contraceptives (OCs) with some antibiotics, it is not known whether antibiotic use in dermatologic practices engenders any increased risk of accidental…

Awake aortic aneurysm repair in patients with severe pulmonary disease.

BACKGROUND: We report the use of retroperitoneal aortic aneurysm repair utilizing exclusive regional anesthesia (no intubation or inhalation anesthetic) in high pulmonary risk patients. METHODS: Six patients were retrospectively reviewed. Pulmonary…

Tags: *Consciousness, 1999, Abdominal/*surgery, Administration, Aged, Albuterol/administration & dosage/therapeutic use, American journal of surgery, Anesthesia, Aortic Aneurysm, Blood Loss, Bronchodilator Agents/administration & dosage/therapeutic use, Critical Care, Epidural, Forced Expiratory Volume/physiology, General, Hirko M K, Home Care Services, Hospitalization, Humans, Hypnotics and Sedatives/administration & dosage, Iliac Aneurysm/*surgery, Inhalation, Intravenous, Koler A J, Labat G C, Length of Stay, Lung Diseases/*complications/drug therapy/therapy, McGregor W E, Oxygen Inhalation Therapy, Perni V, Retroperitoneal Space, Retrospective Studies, Risk Factors, Rubin J R, Safety, Steroids/administration & dosage/therapeutic use, Surgical, Theophylline/administration & dosage/therapeutic use, Time Factors, Vital Capacity/physiology

Similarities Between Large Animal-Related and Motor Vehicle Crash-Related Injuries.

OBJECTIVE: Many Americans sustain large animal-related injuries (LARIs) from blunt trauma. We compare the injuries and management of LARI in our region of the United States with those of motor vehicle crashes (MVCs). METHODS: A 15-year retrospective…

Can ultrasound be used to predict malignancy in patients with a thyroid nodule and an indeterminate fine-needle aspiration biopsy?

PURPOSE: The purpose of this study was to evaluate whether ultrasonography is helpful in predicting malignancy in patients with a thyroid nodule and atypia/follicular lesion of undetermined significance (AFLUS). METHODS: All patients with a…

Mortality in elderly patients with hyperostotic disease of the cervical spine after fracture: an age- and sex-matched study.

BACKGROUND CONTEXT: Several reports indicate that patients with ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) have increased mortality after cervical spine fractures. However, outcomes of the fractured hyperostotic…

Osteosarcoma of the spine: experience in 26 patients treated at the Massachusetts General Hospital.

BACKGROUND CONTEXT: Because of the low incidence, treatment recommendations for spinal osteosarcoma are guided by the results of small series and case reports. Many include patients who presented for treatment over the course of three to four…

The utility of hair cortisol concentrations in the prediction of PTSD symptoms following traumatic physical injury.

RATIONALE: Although cortisol alterations have been associated with posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS), the direction of association is mixed. Cortisol which is measured in blood, saliva, or urine is subject to transient…

Liver disease in the morbidly obese: a review of 1000 consecutive patients undergoing weight loss surgery.

BACKGROUND: Liver disease among the morbidly obese is increasingly prevalent, contributing to significant morbidity. Obesity-related liver pathologies including nonalcoholic steatohepatitis (NASH) have become a leading cause for liver transplant.…

Selective lateral compartment neck dissection for thyroid cancer.

BACKGROUND: Compartment-oriented lymph node dissection in patients with thyroid cancer and macroscopic lymph node metastases reduces recurrence and improves survival. However, the extent of lymph node dissection remains controversial. The purpose of…

Total thyroidectomy: is morbidity higher for Graves' disease than nontoxic goiter?

BACKGROUND: Total thyroidectomy for treatment of Graves' disease is controversial and much of the debate centers on the concern for complications. The purpose of this study was to evaluate the morbidity of total thyroidectomy for Graves' disease and…

Tags: 2011, Adult, Aged, Female, Goiter, Graves Disease/pathology/*surgery, Humans, Hypocalcemia/epidemiology, Male, McHenry Christopher R, Middle Aged, Morbidity, Nodular/pathology/*surgery, Postoperative Complications/epidemiology, Retrospective Studies, The Journal of surgical research, Thyroidectomy/*adverse effects, Welch Kellen C

Reversal of antiplatelet therapy in traumatic intracranial hemorrhage: Does timing matter?

Reversal of antiplatelet therapy with platelet transfusion in traumatic intracranial hemorrhage remains controversial. Several studies have examined this topic but few have investigated whether the timing of transfusion affects outcomes. Patients…

Patient Insurance Profiles: A Tertiary Care Compared to Three Freestanding Emergency Departments.

BACKGROUND: It has been speculated that freestanding emergency departments (FEDs) draw more affluent, better-insured patients away from urban hospital EDs. It is believed that this leaves urban hospital-based EDs less financially secure. OBJECTIVE:…

Tags: 2016, Department of Emergency Medicine, Emergency Service, Emergency Service – Statistics and Numerical Data, Freestanding emergency department, Griffin Gregory, Hayslip Dave, Health – Statistics and Numerical Data, Health – Trends, Health/*statistics & numerical data/trends, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Insurance, Jia Zhenyu, Jouriles Nicholas, Kobe Daniel, Medicaid – Statistics and Numerical Data, Medicaid/statistics & numerical data, Medically Uninsured – Statistics and Numerical Data, Medically Uninsured/statistics & numerical data, Medicare – Statistics and Numerical Data, Medicare/statistics & numerical data, NEOMED College of Medicine, Orlik Kseniya, Retrospective Design, Retrospective Studies, Simon Erin L, Special – Statistics and Numerical Data, Tertiary Care Centers/statistics & numerical data, The Journal of emergency medicine, United States, Urban – Statistics and Numerical Data, Urban/*statistics & numerical data

Freestanding emergency departments and the trauma patient.

BACKGROUND: Freestanding emergency departments (FEDs) continue to grow in number and more research is needed on these facilities. OBJECTIVE: We sought to characterize the types of injuries and patients who initially presented to two FEDs and were…

Plication augmentation of the modified Hummelsheim procedure for treatment of large-angle esotropia due to abducens nerve palsy and type 1 Duane syndrome.

BACKGROUND: Multiple procedures have been described to treat a large-angle esodeviation with an associated abduction deficit. We report a plication augmentation of the Hummelsheim procedure for the management of esotropia and severe abduction deficit…

Tags: *Ophthalmologic Surgical Procedures, 2015, 80 and over, Abducens Nerve Diseases/complications/physiopathology/*surgery, Adolescent, Adult, Aged, Binocular/physiology, Botulinum Toxins, Child, Cochran Megan, Duane Retraction Syndrome/complications/physiopathology/*surgery, El Sahn Mahmoud, Esotropia/etiology/physiopathology/*surgery, Eye Movements/physiology, Female, Granet David B, Hertle Richard W, Humans, Injections, Intramuscular, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, Khayali Salma, Kinori Michael, Male, Middle Aged, Miller Kyle E, Neuromuscular Agents/administration & dosage, Oculomotor Muscles/drug effects/physiopathology/*surgery, Patil Preeti A, Preschool, Retrospective Studies, Robbins Shira L, Suture Techniques, Tendon Transfer, Type A/administration & dosage, Vision, Young Adult

The natural history of halo nevi: a retrospective case series.

BACKGROUND: The time period between onset of depigmentation around the halo nevus (HN) to complete resolution of the nevus and halo has not been well studied. OBJECTIVE: We sought to better understand the natural history of the HN. METHODS: A…

A histologic review of 27 patients with lichen planopilaris.

BACKGROUND: Lichen planopilaris (LPP) is a potential trichologic emergency that can result in permanent scarring alopecia. Histopathology is a key component of the diagnostic work-up. OBJECTIVE: To identify the key histologic features that…

Tags: 2008, Adult, Aged, Alopecia/etiology/*pathology, Bergfeld Wilma F, Biopsy, Cevasco Nathaniel C, Cicatrix/etiology/*pathology, Female, Humans, Journal of the American Academy of Dermatology, Lichen Planus/complications/diagnosis/*pathology, Male, Middle Aged, Retrospective Studies, Scalp Dermatoses/diagnosis/*pathology, Scalp/*pathology, Somani Najwa, Tandon Yasmeen K

Hemipelvic amputations for recalcitrant pelvic osteomyelitis.

OBJECTIVE: To evaluate the outcome of recalcitrant deep pelvic infection that required a hemipelvic amputation. STUDY DESIGN: Retrospective cohort. SETTING: Tertiary referral centre; Level I trauma. PATIENTS: There were 20 patients with an infection…

Retrospective review of biopsy results following percutaneous fixation of vertebral compression fractures.

BACKGROUND: Percutaneous vertebral body fixation has been found to provide pain relief and restoration of function for patients with compression fractures. Despite the prevalence of osteoporosis, there are a variety of aetiologies, such as lymphoma,…

Overcoming missed opportunities in diabetes management to improve outcomes for hospitalized patients with diabetes.

AIMS: The purpose of this study is to assess the impact of hospitalization on

Keloid treatment: is there a role for acellular human dermis (Alloderm)?

BACKGROUND: Keloid management is faced with high recurrence rates. Keloid fibroblasts lack the normal negative feedback mechanism resulting in an exuberant scar formation. Alloderm doesn't undergo the same proliferative process as keloidal scar…

The role of transcervical thymectomy in patients with hyperparathyroidism.

BACKGROUND: The most common location for supernumerary or ectopic parathyroid glands is the thymus. METHODS: A review of patients who underwent parathyroidectomy for hyperparathyroidism from 1990 to 2010 was completed to determine indications for…

Tags: *Thymectomy/methods, 2012, Adult, Aged, American journal of surgery, Female, Humans, Hyperparathyroidism/etiology/pathology/*surgery, Hypocalcemia/etiology, Male, McHenry Christopher R, Middle Aged, Parathyroidectomy, Postoperative Complications, Retrospective Studies, Thymus Gland/pathology/surgery, Treatment Outcome, Welch Kellen

Noncontrast abdomen/pelvis computed tomographic scan in the evaluation of older adults.

Characterizing Children Presenting to Three Freestanding EDs.

Prevalence of strangulation in survivors of sexual assault and domestic violence.

OBJECTIVES: Both sexual assault (SA) survivors and domestic violence (DV) survivors are populations at risk of strangulation injury. Our goal was to identify the prevalence of strangulation in patients who are survivors of SA and DV, identify…

Outcomes of non-STEMI patients transported by emergency medical services vs private vehicle.

BACKGROUND: Non-ST-segment elevation myocardial infarctions (NSTEMIs) are more common but less studied than ST-segment elevation myocardial infarctions (STEMIs) treated by emergency medical services (EMS). OBJECTIVE: The purpose of this study was to…

Tags: *Electrocardiography, 2016, 80 and over, Adult, Age Distribution, Aged, Baughman Kristin, Bhalla Mary Colleen, Comparative Studies, Demography, Department of Family & Community Medicine, Dials Sarah, Electrocardiography, Emergency Medical Services – Methods, Emergency Medical Services – Statistics and Numerical Data, Emergency Medical Services/methods/*statistics & numerical data, Evaluation Research, Female, Frey Jennifer, Hospital Mortality, Human, Humans, Length of Stay – Statistics and Numerical Data, Length of Stay/statistics & numerical data, Male, Medical Records – Statistics and Numerical Data, Medical Records/statistics & numerical data, Middle Age, Middle Aged, Multicenter Studies, Myocardial Infarction – Diagnosis, Myocardial Infarction – Mortality, Myocardial Infarction – Therapy, Myocardial Infarction/diagnosis/*mortality/therapy, NEOMED College of Medicine, Ohio, Ohio/epidemiology, Outcome Assessment – Statistics and Numerical Data, Outcome Assessment (Health Care)/*statistics & numerical data, Retrospective Design, Retrospective Studies, Severity of Illness Index, Severity of Illness Indices, The American journal of emergency medicine, Time Factors, Transportation of Patients – Methods, Transportation of Patients – Statistics and Numerical Data, Transportation of Patients/*methods/*statistics & numerical data, Trauma Centers – Statistics and Numerical Data, Trauma Centers/statistics & numerical data, Validation Studies

Simple Triage Algorithm and Rapid Treatment and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation mass casualty triage methods for sensitivity, specificity, and predictive values.

OBJECTIVE: Two common mass casualty triage algorithms are Simple Triage Algorithm and Rapid Treatment (START) and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation (SALT). We sought to determine the START and SALT efficacy in…

A comparison of acuity levels between 3 freestanding and a tertiary care ED.

INTRODUCTION: Freestanding emergency departments (FEDs) have grown in popularity. They often provide emergent care in areas distant from other EDs. Investigations and research to characterize the operation and dynamics of FEDs are needed. This study…

Gastroschisis: an 18-year review.

From 1972 to 1990, 69 cases of gastroschisis were treated at Akron Children's Hospital Medical Center. Eighty-one percent of these patients underwent primary closure of their abdominal wall defect. Thirteen of 69 patients (19%) required Silastic…

Tags: 1993, Abdominal Muscles/*abnormalities/surgery, Abnormalities, Boeckman C R, Cesarean Section, Congenital Abnormalities/surgery, Female, Humans, Infant, Journal of pediatric surgery, Klein R L, Male, Methods, Multiple, Newborn, Novotny D A, Postoperative Complications, Retrospective Studies

Non-health Care Facility Medication Errors Associated with Hormones and Hormone Antagonists in the United States.

INTRODUCTION: Hormones and hormone antagonists are frequently associated with medication errors and may result in important adverse outcomes. The purpose of this study is to investigate non-health care facility (non-HCF) medication errors associated…

Estimating the annual frequency of synchronous brain metastasis in the United States 2010-2013: a population-based study.

Brain metastases (BM) are one of the most common types of brain tumors and are a relatively common event in the disease process for several high-incidence cancer types, including breast and lung cancers. Historically, information on metastases…

Is mortality due to primary malignant brain and other central nervous system tumors decreasing?

Primary malignant brain and other central nervous system tumors (BT) are a rare cancer that causes morbidity and mortality disproportionate to their incidence. This study presents the most up-to-date mortality data for malignant BT in the United…

Lacking a Primary Care Physician Is Associated With Increased Suffering in Patients With Severe Mental Illness.

We evaluated the relationship between lack of a primary care physician (PCP) and patients with severe mental illness (SMI), who have poorer health and experience more suffering. Using a blinded retrospective record review of 137 patients with SMI,…

Tags: *Health Services Accessibility, *Primary Health Care, 2017, Adolescence, Adolescent, Adult, Aged, Amerine Jenna, Boltri John M, Clasen Mark E, Community, Comorbid conditions, Cost of Illness, Department of Family & Community Medicine, Economic Aspects of Illness, Female, Health outcomes, Health Services Accessibility, Hospitalization, Hospitals, Humans, Life Style, Lifestyle problems, Male, Mental Disorders – Complications, Mental Disorders – Psychosocial Factors, Mental Disorders – Therapy, Mental Disorders/complications/*psychology/*therapy, Middle Age, Middle Aged, NEOMED College of Medicine, Olsen Cynthia G, Preventative services, Primary Health Care, Psychological – Etiology, Psychological – Psychosocial Factors, Psychological/etiology/*psychology, Retrospective Design, Retrospective Studies, Stress, The journal of primary prevention, Young Adult

Depression, anxiety, and mental health service experiences of women with a twin-twin transfusion syndrome pregnancy.

Symptoms of emotional distress during and after pregnancy may be introduced or exacerbated by unexpected medical conditions in the mother or fetus. Twin-twin transfusion syndrome (TTTS), which accounts for 17% of fetal deaths in twins and entails…

Appendicitis in the elderly: a change in the laparoscopic era.

BACKGROUND: Appendicitis in elderly patients is associated with significant morbidity and mortality. Early and correct diagnosis together with minimally invasive surgery can lead to more favorable outcomes than occurred in the prelaparoscopic era.…

Thrombosed external hemorrhoids in pregnancy: a retrospective review of outcomes.

Tags: 2016, Adult, Female, Hemorrhoids/*complications, Humans, International journal of colorectal disease, Mirhaidari Shayda J, Porter Joel A, Pregnancy, Retrospective Studies, Slezak Frederick A, Thrombosis/*complications, Treatment Outcome

Pediatric appendiceal ultrasound: accuracy, determinacy and clinical outcomes.

BACKGROUND: Ultrasonography is considered the most appropriate initial imaging study in the evaluation of acute appendicitis in children but has recently come under criticism with reports of low specificity and high indeterminate study rates,…

The cost of laparoscopic versus open cholecystectomy in a community hospital.

This retrospective study reviewed the hospital and professional costs, charges, and reimbursements for laparoscopic cholecystectomy (lap chole) and open cholecystectomy (open chole) and compared the two procedures. There was no significant difference…

Evaluation of indicated non-cosmetic panniculectomy at time of gynecologic surgery.

OBJECTIVE: To report postoperative outcomes among patients undergoing indicated non-cosmetic panniculectomy at the time of gynecologic surgery. METHODS: Medical charts were retrospectively reviewed for patients who underwent panniculectomy coupled…

Tags: *Abdominoplasty/adverse effects, *Gynecologic Surgical Procedures/adverse effects, 2017, 80 and over, Abdominal/*surgery, Abdominoplasty – Adverse Effects, Adipose Tissue – Surgery, Adult, Aged, Body Mass Index, Female, Female – Complications, Female – Surgery, Female/complications/*surgery, Genital Diseases, Gynecologic – Adverse Effects, Gynecologic surgery, Hopkins Michael P, Humans, Infection, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, Middle Age, Middle Aged, Obesity, Obesity – Complications, Obesity – Surgery, Obesity/complications/*surgery, Panniculectomy, Patibandla Jay R, Rasmussen Ryan W, Retrospective Design, Retrospective Studies, Risk Factors, Subcutaneous Fat, Surgery, Surgical Wound Infection – Etiology, Surgical Wound Infection/*etiology, Wound complication, Wound Healing

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