1
40
5
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/dth.12050" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/dth.12050</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
215-221
Issue
3
Volume
26
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Advanced therapies for chronic wounds: NPWT, engineered skin, growth factors, extracellular matrices
Publisher
An entity responsible for making the resource available
Dermatologic Therapy
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-05
Subject
The topic of the resource
chronic leg ulcers; clinical-trial; Dermatology; diabetic foot ulcers; double-blind; efficacy; extracellular-matrix; growth factors; multicenter; negative pressure wound therapy; randomized-trial; safety; vacuum-assisted closure; venous leg; wound care; wounds
Creator
An entity primarily responsible for making the resource
Shankaran V; Brooks M; Mostow E
Description
An account of the resource
Advanced wound care implies the use of products or procedures that are specialized. Although dermatologists are used to being specialists of the skin, hair, and nails, chronic wound care has evolved such that there are some specific treatment options that are more commonly ordered and performed in wound care clinics. Wound care clinics are staffed by specialists and generalists including dermatologists, but also orthopedic surgeons, vascular surgeons, infectious disease specialists, internists, family practitioners, hyperbaric oxygen-trained physicians from a variety of backgrounds, podiatrists, physician assistants, and nurse practitioners. The care of chronic wounds has almost become its own specialty, with so-called advanced therapies now including the use of growth factors, extracellular matrices, engineered skin, and negative pressure wound therapy. It is critical that the dermatologists understand the treatments such that they can appropriately apply or order them directly, or be involved with the care of their patients receiving these therapies.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/dth.12050" target="_blank" rel="noreferrer noopener">10.1111/dth.12050</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2013
Brooks M
chronic leg ulcers
clinical-trial
Dermatologic Therapy
Dermatology
diabetic foot ulcers
double-blind
efficacy
extracellular-matrix
growth factors
Journal Article
Mostow E
multicenter
Negative Pressure Wound Therapy
randomized-trial
Safety
Shankaran V
vacuum-assisted closure
venous leg
Wound Care
Wounds
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0022-5347(05)65917-4" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0022-5347(05)65917-4</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
1049-1050
Issue
3
Volume
166
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Management of grade IV renal injury in children
Publisher
An entity responsible for making the resource available
Journal of Urology
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-09
Subject
The topic of the resource
endoscopy; kidney; lacerations; nonpenetrating; trauma; Urology & Nephrology; wounds
Creator
An entity primarily responsible for making the resource
Russell R S; Gomelsky A; McMahon D R; Andrews D; Nasrallah P F
Description
An account of the resource
Purpose: Conservative nonsurgical management of major renal trauma in children is well established. However, when blunt trauma is accompanied by significant urinary extravasation, options are less than clearly defined. Endoscopic techniques, such as stents and percutaneous drainage, have not been widely used because of small caliber. We present our experience with endoscopic management of grade IV renal trauma. Materials and Methods: From 1983 to 1996, 15 children satisfied the criteria for grade IV renal trauma. We retrospectively reviewed the charts to assess the mechanism of injury, associated injury, treatment, hospital stay and transfusion requirement. Patients were followed clinically with blood pressure and creatinine monitoring, and by radiograph with computerized tomography. Results: Nine patients with isolated kidney injury were successfully treated with observation, 1 underwent early partial nephrectomy for persistent anemia and hypotension, and 5 had a urinoma, which was successfully treated with percutaneous drainage only in 2. The other 3 patients underwent cystoscopy and ureteral stent placement for high drainage output, leading to the resolution of urine leakage. In 1 patient who underwent percutaneous drainage only renovascular hypertension developed, requiring partial nephrectomy 3 months after the original injury. The remaining 13 patients had complete radiographic resolution of the injury and no evidence of hypertension. Conclusions: In the pediatric population grade IV blunt renal trauma usually resolves without intervention. When a symptomatic urinoma develops, percutaneous drainage, accompanied at times by ureteral stenting provides the complete resolution of persistent urine leakage.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0022-5347(05)65917-4" target="_blank" rel="noreferrer noopener">10.1016/s0022-5347(05)65917-4</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2001
Andrews D
Endoscopy
Gomelsky A
Journal Article
Journal of Urology
Kidney
lacerations
McMahon D R
Nasrallah P F
nonpenetrating
Russell R S
trauma
Urology & Nephrology
Wounds
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4293/JSLS.2017.00013" target="_blank" rel="noreferrer noopener">http://doi.org/10.4293/JSLS.2017.00013</a>
Issue
2
Volume
21
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Laparoscopic Splenectomy in Hemodynamically Stable Blunt Trauma.
Publisher
An entity responsible for making the resource available
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-06
Subject
The topic of the resource
Female; Humans; Male; Middle Aged; Retrospective Studies; Ultrasonography; Treatment Outcome; trauma; *Hemodynamics; Abdominal Injuries/diagnosis/physiopathology/*surgery; laparoscopic surgery; Laparoscopy/*methods; laparotomy; nonpenetrating wounds; Spleen/*injuries/surgery; splenectomy; Splenectomy/*methods; Tomography; X-Ray Computed; Wounds; Nonpenetrating/*surgery
Creator
An entity primarily responsible for making the resource
Huang Gregory S; Chance Elisha A; Hileman Barbara M; Emerick Eric S; Gianetti Emily A
Description
An account of the resource
BACKGROUND AND OBJECTIVES: No criteria define indications for laparoscopic splenectomy in trauma. This investigation compared characteristics of trauma patients and outcomes between laparoscopic and open splenectomies. METHODS: Patients were identified retrospectively by using ICD-9 codes. Included patients were 18 or older, with a blunt splenic injury from January 1, 2011, through December 31, 2014, and required splenectomy. Excluded patients had penetrating trauma, successful nonoperative management, or successful embolization. Variables included demographics, presenting characteristics, injury severity scores, abdominal abbreviated injury scores, splenic injury grade, surgical indication and approach (open or laparoscopic), surgery length, intra-operative blood loss, transfusions, length of stay, complications, mortality, and discharge disposition. RESULTS: Forty-one patients underwent open splenectomy, and 11 underwent laparoscopic splenectomy. The mean age was 48.7 years, and men comprised the sample majority (36/52). The groups were well matched for age, abdominal injury scores, and admission vital signs. The open group had a significantly lower level of consciousness and more acidosis compared with the laparoscopic group. Most laparoscopic splenectomies were performed after failed nonoperative management or embolization. The indications for open splenectomy were a positive focused assessment with sonography for trauma and computed tomography results. Laparoscopic patients had significantly longer times between presentation and surgery and longer operations, but had significantly less blood loss and fewer transfusions compared with the open group. There were no differences in mortality, length of stay, complications, or discharge dispositions. CONCLUSION: Laparoscopic splenectomy is useful in patients with blunt trauma in whom conservative management produced no improvement and who do not have other injuries to preclude laparoscopy.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4293/JSLS.2017.00013" target="_blank" rel="noreferrer noopener">10.4293/JSLS.2017.00013</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Hemodynamics
2017
Abdominal Injuries/diagnosis/physiopathology/*surgery
Chance Elisha A
Emerick Eric S
Female
Gianetti Emily A
Hileman Barbara M
Huang Gregory S
Humans
JSLS : Journal of the Society of Laparoendoscopic Surgeons
laparoscopic surgery
Laparoscopy/*methods
Laparotomy
Male
Middle Aged
nonpenetrating wounds
Nonpenetrating/*surgery
Retrospective Studies
Spleen/*injuries/surgery
Splenectomy
Splenectomy/*methods
Tomography
trauma
Treatment Outcome
Ultrasonography
Wounds
X-Ray Computed
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2010.00799.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2010.00799.x</a>
Pages
679–686
Issue
7
Volume
17
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Short-term functional decline and service use in older emergency department patients with blunt injuries.
Publisher
An entity responsible for making the resource available
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
2010-07
Subject
The topic of the resource
*Activities of Daily Living; 80 and over; 80 and Over; Academic Medical Centers; Activities of Daily Living; Aged; Bone/physiopathology/therapy; Clinical Assessment Tools; Comorbidity; Confidence Intervals; Descriptive Statistics; Emergency Care – In Old Age; Emergency Patients – In Old Age; Emergency Service; Family; Female; Fisher's Exact Test; Fractures; Functional Status – In Old Age; Geriatric Assessment; Geriatric Functional Assessment; Health Resource Utilization – In Old Age; Hospital/*statistics & numerical data; Hospitals; Human; Humans; Logistic Models; Logistic Regression; Longitudinal Studies; Male; Mental Status Schedule; Nonpenetrating – In Old Age; Nonpenetrating/*physiopathology/*therapy; OARS Multidimensional Functional Assessment Questionnaire; Odds Ratio; Ohio; Outcome Assessment; Outpatients; P-Value; Predictive Value of Tests; Prospective Studies; Questionnaires; Record Review; ROC Curve; Scales; Summated Rating Scaling; Surveys and Questionnaires; T-Tests; Teaching; Treatment Outcome; Treatment Outcomes; Wounds
Creator
An entity primarily responsible for making the resource
Wilber Scott T; Blanda Michelle; Gerson Lowell W; Allen Kyle R
Description
An account of the resource
BACKGROUND: Injuries are a common reason for emergency department (ED) visits by older patients. Although injuries in older patients can be serious, 75% of these patients are discharged home after their ED visit. These patients may be at risk for short-term functional decline related to their injuries or treatment. OBJECTIVES: The objectives were to determine the incidence of functional decline in older ED patients with blunt injuries not requiring hospital admission for treatment, to describe their care needs, and to determine the predictors of short-term functional decline in these patients. METHODS: This institutional review board-approved, prospective, longitudinal study was conducted in two community teaching hospital EDs with a combined census of 97,000 adult visits. Eligible patients were \textgreater or = 65 years old, with blunt injuries \textless48 hours old, who could answer questions or had a proxy. We excluded those too ill to participate; skilled nursing home patients; those admitted for surgery, major trauma, or acute medical conditions; patients with poor baseline function; and previously enrolled patients. Interviewers collected baseline data and the used the Older Americans Resources and Services (OARS) questionnaire to assess function and service use. Potential predictors of functional decline were derived from prior studies of functional decline after an ED visit and clinical experience. Follow-up occurred at 1 and 4 weeks, when the OARS questions were repeated. A three-point drop in activities of the daily living (ADL) score defined functional decline. Data are presented as means and proportions with 95% confidence intervals (CIs). Logistic regression was used to model potential predictors with functional decline at 1 week as the dependent variable. RESULTS: A total of 1,186 patients were evaluated for eligibility, 814 were excluded, 129 refused, and 13 were missed, leaving 230 enrolled patients. The mean (+/-SD) age was 77 (+/-7.5) years, and 70% were female. In the first week, 92 of 230 patients (40%, 95% CI = 34% to 47%) had functional decline, 114 of 230 (49%, 95% CI = 43% to 56%) had new services initiated, and 76 of 230 had an unscheduled medical contact (33%, 95% CI = 27% to 39%). At 4 weeks, 77 of 219 had functional decline (35%, 95% CI = 29% to 42%), 141 of 219 had new services (65%, 95% CI = 58% to 71%), and 123 of 219 had an unscheduled medical contact (56%, 95% CI = 49% to 63%), including 15% with a repeated ED visit and 11% with a hospital admission. Family members provided the majority of new services at both time periods. Significant predictors of functional decline at 1 week were female sex (odds ratio [OR] = 2.2, 95% CI = 1.1 to 4.5), instrumental ADL dependence (IADL; OR = 2.5, 95% CI = 1.3 to 4.8), upper extremity fracture or dislocation (OR = 5.5, 95% CI = 2.5 to 11.8), lower extremity fracture or dislocation (OR = 4.6, 95% CI = 1.4 to 15.4), trunk injury (OR = 2.4, 95% CI = 1.1 to 5.3), and head injury (OR = 0.48, 95% CI = 0.23 to 1.0). CONCLUSIONS: Older patients have a significant risk of short-term functional decline and other adverse outcomes after ED visits for injuries not requiring hospitalization for treatment. The most significant predictors of functional decline are upper and lower extremity fractures.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1553-2712.2010.00799.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2010.00799.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Activities of Daily Living
2010
80 and over
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Academic Medical Centers
Activities of Daily Living
Aged
Allen Kyle R
Blanda Michelle
Bone/physiopathology/therapy
Clinical Assessment Tools
Comorbidity
Confidence Intervals
Department of Emergency Medicine
Descriptive Statistics
Emergency Care – In Old Age
Emergency Patients – In Old Age
Emergency Service
Family
Female
Fisher's Exact Test
Fractures
Functional Status – In Old Age
Geriatric Assessment
Geriatric Functional Assessment
Gerson Lowell W
Health Resource Utilization – In Old Age
Hospital/*statistics & numerical data
Hospitals
Human
Humans
Logistic Models
Logistic Regression
Longitudinal Studies
Male
Mental Status Schedule
NEOMED College of Medicine
Nonpenetrating – In Old Age
Nonpenetrating/*physiopathology/*therapy
OARS Multidimensional Functional Assessment Questionnaire
Odds Ratio
Ohio
Outcome Assessment
Outpatients
P-Value
Predictive Value of Tests
Prospective Studies
Questionnaires
Record Review
ROC Curve
Scales
Summated Rating Scaling
Surveys and Questionnaires
T-Tests
Teaching
Treatment Outcome
Treatment Outcomes
Wilber Scott T
Wounds
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/PEC.0000000000000572" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/PEC.0000000000000572</a>
Pages
616–618
Issue
9
Volume
32
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Nausea, Vomiting, and Weight Loss in a Young Adult Patient With a History of a Gunshot Wound.
Publisher
An entity responsible for making the resource available
Pediatric emergency care
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-09
Subject
The topic of the resource
*Weight Loss; Chelation Therapy – Methods; Chelation Therapy/methods; Debridement; Foreign Bodies – Complications; Foreign Bodies/*complications; Gunshot – Complications; Gunshot/*complications; Humans; Lead Poisoning – Diagnosis; Lead Poisoning – Etiology; Lead Poisoning – Therapy; Lead Poisoning/*diagnosis/etiology/therapy; Male; Nausea – Etiology; Nausea/*etiology; Vomiting – Etiology; Vomiting/*etiology; Weight Loss; Wounds; Young Adult
Creator
An entity primarily responsible for making the resource
James Jessica; Fitzgibbon James; Blackford Martha
Description
An account of the resource
Assessing victims of gunshot wounds with retained bullets/bullet fragments for lead toxicity is not always considered until the patient develops signs and symptoms of toxicity. We discuss the case of a 19-year-old young man who received a diagnosis of chronic lead toxicity (serum lead concentration 51 mug/dL) 5 weeks after a hunting accident. Extensive wound debridement occurred following the accident; however, lead toxicity was not diagnosed until after his fourth emergency department visit. Oral chelation therapy was required for the management of his lead toxicity.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/PEC.0000000000000572" target="_blank" rel="noreferrer noopener">10.1097/PEC.0000000000000572</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Weight Loss
2016
Blackford Martha
Chelation Therapy – Methods
Chelation Therapy/methods
Debridement
Fitzgibbon James
Foreign Bodies – Complications
Foreign Bodies/*complications
Gunshot – Complications
Gunshot/*complications
Humans
James Jessica
Lead Poisoning – Diagnosis
Lead Poisoning – Etiology
Lead Poisoning – Therapy
Lead Poisoning/*diagnosis/etiology/therapy
Male
Nausea – Etiology
Nausea/*etiology
Pediatric emergency care
Vomiting – Etiology
Vomiting/*etiology
Weight Loss
Wounds
Young Adult