Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 35
Filtrar
Mais filtros

Base de dados
Tipo de documento
Assunto da revista
Intervalo de ano de publicação
1.
Mo Med ; 114(4): 268-271, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30228609

RESUMO

Smoking remains a prevalent part of present day society, with over 42 million Americans who continue to use cigarettes. Smoking is strongly associated with a variety of conditions that result in increased morbidity and mortality. Research also indicates that smoking has an adverse effect on surgical outcomes. Its effect on the musculoskeletal system is evident and results in postoperative complications such as infection, nonunion, and malunion. These complications also come with a price, as there are severe economic implications of smoking. Patients who smoke may benefit from a period of perioperative cessation to help diminish some of these negative outcomes. It is the physician's duty to educate patients preoperatively about these outcomes and the potential benefit of smoking cessation.


Assuntos
Consolidação da Fratura/fisiologia , Fraturas Mal-Unidas/etiologia , Sistema Musculoesquelético/fisiopatologia , Fumar/efeitos adversos , Osso e Ossos/metabolismo , Fraturas Mal-Unidas/epidemiologia , Humanos , Período Perioperatório/normas , Complicações Pós-Operatórias/epidemiologia , Prevalência , Fumar/economia , Fumar/epidemiologia , Fumar/mortalidade , Abandono do Hábito de Fumar/métodos
2.
Mo Med ; 114(4): 272-277, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30228610

RESUMO

Orthopaedics contributes a significant benefit to the Missouri economy. Economic modeling and data quantified the direct and indirect impact within Missouri. Multipliers were applied to direct expenditures to calculate the indirect impact attributable to initial spending. Nearly $1.8 billion can be attributed to the output of orthopaedic related services. The related physical therapy industry increases this figure to nearly $2.3 billion. It is clear that orthopaedics benefits Missouri with both medical services and economic growth.


Assuntos
Gastos em Saúde/estatística & dados numéricos , Ortopedia/economia , Especialidade de Fisioterapia/economia , Custos de Cuidados de Saúde/estatística & dados numéricos , Gastos em Saúde/tendências , Humanos , Missouri/epidemiologia , Cirurgiões Ortopédicos/estatística & dados numéricos , Inquéritos e Questionários
6.
Skinmed ; 15(3): 239, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28705293
10.
Skinmed ; 14(5): 381, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27871354
12.
Skinmed ; 14(2): 125, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27319958
14.
Skinmed ; 13(5): 393, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26790512
17.
Orthopedics ; 42(1): e128-e130, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30371923

RESUMO

The authors present a case of bilateral femoral emphysematous osteomyelitis caused by Escherichia coli in a 60-year-old woman with rheumatoid arthritis who was receiving long-term prednisone therapy. The infection in both femoral shafts was eradicated with surgical debridement, followed by insertion of intramedullary rods composed of culture-specific antibiotic cement into the femoral canals in conjunction with 6 weeks of intravenous antibiotics. The rods were subsequently removed, and no signs of further osteomyelitis were recognized at follow-up. To the authors' knowledge, this is the first case of its kind reported in the orthopedic literature. Emphysematous osteomyelitis, a rare and dangerous entity, can be successfully managed by intramedullary antibiotic delivery in the subacute setting. [Orthopedics. 2019; 42(1):e128-e130.].


Assuntos
Antibacterianos/administração & dosagem , Cimentos Ósseos , Pinos Ortopédicos , Osteomielite/tratamento farmacológico , Enfisema/tratamento farmacológico , Enfisema/microbiologia , Escherichia coli , Infecções por Escherichia coli/tratamento farmacológico , Feminino , Fêmur/microbiologia , Humanos , Pessoa de Meia-Idade , Osteomielite/microbiologia , Piperacilina/administração & dosagem , Tazobactam/administração & dosagem
18.
Skinmed ; 20(5): 362, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36314702
19.
Endosc Int Open ; 5(5): E324-E330, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28484732

RESUMO

Background and study aims In patients taking different regimens of antithrombotic and/or anticoagulant therapy, endoscopic management of gastrointestinal bleeding represents a major challenge due to failing endogenous hemostasis. In this retrospective study we report on success rates with the over-the-scope clip (OTSC) system in upper and lower gastrointestinal bleeding in this high-risk patient population. Patients and methods Between February 2011 and June 2014, 75 patients were treated with an OTSC for active gastrointestinal bleeding. Success rates with the first endoscopic therapy, rebleeding episodes, their management and the influence of antithrombotic or anticoagulant therapy were analyzed retrospectively. Results Application of the OTSC resulted in immediate hemostasis (primary success rate) in all 75 patients. However, in 34.7 % a rebleeding episode was noted that could be treated by further endoscopic interventions. Only 3 patients had to be sent to the operating room because of failure of endoscopic therapy. In the rebleeding group the use of antiplatelet therapies was higher (73.1 % vs. 48.9 %). Conclusions Application of the OTSC in GI bleeding results in a high rate of primary hemostasis. Rebleeding occurs in up to 35 % of patients receiving antithrombotic/anticoagulant therapy but can be managed successfully with further endoscopic treatments. Patients in the rebleeding group were more frequently treated with antiplatelet agents. Radiological or surgical therapy was reserved for a small subgroup not successfully managed by repeated endoscopic therapies. OTSC application is the treatment of choice in high-risk patients when conventional clips used as first-line treatment fail.

20.
Skinmed ; 19(1): 58-59, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33658117
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA