Month: November 2017

Uncategorized Published - 24 November, 2017    By - Dr Clemens
HAPPY BLACK FRIDAY

There will be no blogs today so you can get bargains for your loved ones.  Please be safe and have fun.

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Uncategorized Published - 23 November, 2017    By - Dr Clemens
HAPPY THANKSGIVING

There will be no blogs today so you can celebrate Thanksgiving with your family and friends.  Please be safe and have fun.

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Uncategorized Published - 22 November, 2017    By - Dr Clemens
Smokers With Cervical Disc Disease Have Increased Spine Surgery Rates

Are stronger pre-surgical smoking cessation programs needed? Zorica Buser, PhD, and Jeffrey C. Wang, MD, comment on the study findings. Researchers found yet another reason to quit smoking: Patients with cervical degenerative disc disease (DDD) with tobacco use disorder (TUD) had spine surgery more often—and at a younger age—than patients who do not smoke. The […]

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Uncategorized Published - 22 November, 2017    By - Dr Clemens
The 5 Most Misunderstood Terms in Pain Medicine

A pain expert offers perspective on several common terms that are widely used by pain practitioners but often are misunderstood by professionals, patients, the general public, and the media. By Jennifer P. Schneider, MD, PhD I am happy to offer a perspective on 5 words or terms that are often used in reference to medication use […]

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Uncategorized Published - 22 November, 2017    By - Dr Clemens
A Renewed Focus on Maternal Health in the United States

Authors: Rose L. Molina, M.D., M.P.H. et al N Engl J Med 2017; 377:1705-1707 Recently, the media have devoted increasing attention to maternal mortality in the United States, as in a ProPublica and National Public Radio article describing the devastating death of a nurse shortly after her first child was born.  These reports have heightened […]

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Uncategorized Published - 22 November, 2017    By - Dr Clemens
Effects of Changes in Arterial Carbon Dioxide and Oxygen Partial Pressures on Cerebral Oximeter Performance

Authors: Andrew Schober, M.D., Ph.D. et al Anesthesiology published on November 2, 2017 Background: Cerebral oximetry (cerebral oxygen saturation; ScO2) is used to noninvasively monitor cerebral oxygenation. ScO2 readings are based on the fraction of reduced and oxidized hemoglobin as an indirect estimate of brain tissue oxygenation and assume a static ratio of arterial to venous intracranial blood. […]

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Uncategorized Published - 22 November, 2017    By - Dr Clemens
Skin Patch Resolves Migraine Pain More Quickly with Fewer Side Effects

A new delivery method, using adhesive dermally applied microarray with zolmitriptan, appears to provide significantly better relief of migraines and bothersome migraine pain symptoms when compared to placebo. With Peter Schmidt, MD, and Lawrence Robbins, MD According to the National Health Interview Survey in 2015, 9.7% of men and 20.0% of women aged 18 and […]

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Uncategorized Published - 21 November, 2017    By - Dr Clemens
Effects of Forced Air Warming on Airflow around the Operating Table

Authors: Kazuhiro Shirozu, M.D., Ph.D. et al Anesthesiology published November 2, 2017 Background: Forced air warming systems are used to maintain body temperature during surgery. Benefits of forced air warming have been established, but the possibility that it may disturb the operating room environment and contribute to surgical site contamination is debated. The direction and speed of […]

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Uncategorized Published - 21 November, 2017    By - Dr Clemens
Low brain tissue oxygenation contributes to the development of delirium in critically ill patients: A prospective observational study

Journal of Critical Care October 2017 Volume 41, Pages 289–295 The Cerebral Oxygenation and Neurological Outcomes Following Critical Illness (CONFOCAL) Research Group on behalf of the Canadian Critical Care Trials Group, Authors: Michael D. Wood, BA et al Purpose To test the hypothesis that poor brain tissue oxygenation (BtO2) during the first 24 h of critical illness correlates with […]

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Uncategorized Published - 21 November, 2017    By - Dr Clemens
Does Weekend Hospital Admission Portend Higher Patient Mortality?

Authors: Pauls LA et al. J Hosp Med 2017 Sep . Meta-analysis of observational studies showed nearly 20% higher mortality for weekend admissions. Whether mortality is more likely after weekend hospital admissions than after weekday admissions is unclear. In a meta-analysis of 97 observational studies, researchers evaluated worldwide data on >51 million inpatients for in-hospital, 7-day, or […]

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