Month: August 2018

Uncategorized Published - 14 August, 2018    By - Dr Clemens
Advancing transplantation: Hepatitis C-infected organs safe for transplantation when followed by antiviral treatment

Science Daily August 2018 Twenty patients at Penn Medicine have been cured of the Hepatitis C virus (HCV) following lifesaving kidney transplants from deceased donors who were infected with the disease, according to a study published today in Annals of Internal Medicine. The researchers also report that the kidney transplants for these 20 patients are functioning […]

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Uncategorized Published - 14 August, 2018    By - Dr Clemens
Labor Induction versus Expectant Management in Low-Risk Nulliparous Women

Authors: William A. Grobman, M.D. et al N Engl J Med 2018; 379:513-523 The perinatal and maternal consequences of induction of labor at 39 weeks among low-risk nulliparous women are uncertain. METHODS In this multicenter trial, we randomly assigned low-risk nulliparous women who were at 38 weeks 0 days to 38 weeks 6 days of […]

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Uncategorized Published - 14 August, 2018    By - Dr Clemens
Depth of Propofol Sedation and Postoperative Delirium

The Jury Is Still Out Elizabeth L. Whitlock, MD, MSc1 et al JAMA Surg published online August 8, 2018. Perioperative delirium is an incredibly complex multifactorial syndrome, which despite a rapidly growing body of inquiry into its risk factors remains one of the most common complications of surgery and anesthesia. Acknowledging that most risk factors, such as underlying […]

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Uncategorized Published - 14 August, 2018    By - Dr Clemens
Video Recordings Spotlight Poor Communication Between Nurses and Doctors

Communication breakdown among nurses and doctors is one of the primary reasons for patient care mistakes in the hospital. In a small pilot study, University of Michigan researchers learned about potential causes of these communication failures by recording interactions among nurses and doctors, and then having them watch and critique the footage together. Several themes […]

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Uncategorized Published - 14 August, 2018    By - Dr Clemens
Prehospital plasma outperforms standard care

AUTHORS Sperry JL et al. N Engl J Med. 2018 Jul 26;379(4):315-26. Prehospital administration of plasma to trauma patients at risk for hemorrhagic shock improves odds of survival, according to the Prehospital Air Medical Plasma (PAMPer) trial. Patients who received plasma also had a decreased median prothrombin to time ratio, compared with those who received […]

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Uncategorized Published - 13 August, 2018    By - Dr Clemens
Down syndrome heightens RSV risk in children

Authors: Beckhaus AA, et al. Pediatrics. August 2018 Children with Down syndrome are more likely to develop severe respiratory syncytial virus, requiring hospitalizations and the use of additional medications and mechanical ventilation, when compared with children without Down syndrome, according to research published in Pediatrics. “Respiratory infections are the leading cause of hospitalization in children with […]

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Uncategorized Published - 13 August, 2018    By - Dr Clemens
After a C-section, women who want a vaginal birth may struggle to find care

For hours, Alicia Skrenes paced around a hotel room two hours from her home, waiting to be far enough along in labor to go to the hospital. Skrenes had been in labor twice before, and both times resulted in a C-section. This time, after months of frustrating research, meeting with 10 doctors and two doulas, […]

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Uncategorized Published - 13 August, 2018    By - Dr Clemens
Risks Associated With Intra-Articular Lumbar Facet Joint Injections of Triamcinolone Acetonide for Low Back Pain

The long half-life of triamcinolone and its cortisol-suppressing effects may increase the risk for serious drug-drug interactions in patients treated with facet joint steroid injections for chronic low back pain who take medications with an inhibitory effect on corticosteroid metabolism, according to a study published in Pain Practice. In this small cohort study, investigators evaluated 5 […]

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Uncategorized Published - 13 August, 2018    By - Dr Clemens
The Whiteboard Technique: Personalized Communication to Improve Operating Room Teamwork

Authors: Sharma, Ketan, MD, MPH et al Annals of Surgery: August 2018 – Volume 268 – Issue 2 – p 225–227 The operating room (OR) constitutes a complex setting where surgical, anesthesia, and nursing staff must collaborate to ensure a safe and successful patient outcome, often in a time-constrained and high-stress environment. These challenges are complicated […]

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Uncategorized Published - 13 August, 2018    By - Dr Clemens
Study finds troubling connection between wisdom teeth removal and possible opioid use

I thought this was interesting so I wanted to share with our readers. BY JOSH MAGNESS Millions of people each year go through the dreaded experience of getting their wisdom teeth pulled out. A new study from researchers at the University of Michigan suggests that for some people, the experience could set them up for […]

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