Device-Related Adverse Events From WATCHMAN FLX Implants As Reported By The Food And Drug Administration

https://scholarscompass.vcu.edu/gradposters/1147/thumbnail.jp

Unlocking the Doors to Patient Satisfaction in Pediatric Orthopaedics

Background Many hospitals continue to struggle to improve patient satisfaction as the identification of tangible quality improvement areas remains difficult Medicare hospital payments are linked to patient satisfaction and hospitals\u27 HCAHPS scores, which has contributed to the growing influence of patient satisfaction measures Investigation into the major drivers of patient satisfaction in the pediatric clinical arena has not been thoroughly pursued To determine the main drivers of patient experience in pediatric orthopaedics, we performed an analysis of patient satisfaction surveys collected from outpatient pediatric orthopaedic practices at 5 locations in 3 states Hypothesis: the patient-physician relationship is the most important factor in patients\u27 assessment of their experiences These results may have significance in aiding pediatric orthopaedic clinics in their Quality Assurance/Quality Improvement plans of enhancing the patient experiencehttps://jdc.jefferson.edu/pedsposters/1000/thumbnail.jp

Wind profiles in the boundary layer over Kharagpur associated with synoptic scale systems

Doppler sodar wind data for the boundary layer over Kharagpur obtained during MONTBLEX-1990 at a height interval of 30 m from surface up to 1500 m have been analysed for the periods when intense synoptic scale disturbances from north Bay of Bengal moved along the eastern end of the monsoon trough. The variation in the vertical wind profile in the lower boundary layer over Kharagpur during the passage of synoptic scale disturbances has been discussed in the paper. The analysis indicates that the mean winds over Kharagpur veered with height in the lower boundary layer near the surface suggesting divergence over Kharagpur when the system lay south/southwest of the station. No such veering has been noticed when the centre of the system lay very close to the station

The Medecins Sans Frontieres Intervention in the Marburg Hemorrhagic Fever Epidemic, Uige, Angola, 2005. I. Lessons Learned in the Hospital.

When the epidemic of Marburg hemorrhagic fever occurred in Uige, Angola, during 2005, the international response included systems of case detection and isolation, community education, the burial of the dead, and disinfection. However, despite large investments of staff and money by the organizations involved, only a fraction of the reported number of cases were isolated, and many cases were detected only after death. This article describes the response of Medecins Sans Frontieres Spain within the provincial hospital in Uige, as well as the lessons they learned during the epidemic. Diagnosis, management of patients, and infection control activities in the hospital are discussed. To improve the acceptability of the response to the host community, psychological and cultural factors need to be considered at all stages of planning and implementation in the isolation ward. More interventional medical care may not only improve survival but also improve acceptability

Medical Students Using Cadavers for Procedural Simulation Education

Background: Cadaver dissection remains integrated into the curriculum of numerous medical schools. Aspiring physicians acquire the opportunity to work directly with the human body, which is intricate and tangible, yet have minimal exposure to certain procedural skills applicable­­ to patient care during the first year of their medical training. Our aim was to incorporate the cadaver as part of a process to introduce procedures to a class of first year medical students in order to improve their confidence and skill in performing these procedures in patients. Methods: During medical gross anatomy at Wayne State University School of Medicine, three workshops involving common procedures performed in the emergency department were integrated into the cadaver dissection laboratory. Each educational workshop began with a short demonstration or a short step-by-step informational video on the focused procedure. The educators consisted of emergency medicine residents, third and fourth year medical student mentors, and emergency medicine attendings. Educators directed the hands-on procedure practice on the cadavers and provided real time feedback. Students completed pre and post questionnaires with scales ranging from one to five to assess the impact of the workshop on their abilities and confidence for the specified procedures. The three sessions included intraosseous (IO) line placement, joint aspiration, and chest tube placement. Results: A total of 108 students participated in the IO line training workshop, 143 students in the arthrocentesis simulation and 79 students in the chest tube session. Prior to the hands on sessions, 0 students (0%) had performed an IO line on a simulated patient, 2 students (1.4%) had performed an arthrocentesis on a simulated patient, and 4 students (5.1%) had performed a chest tube on a simulated patient. The Likert scales were viewed as ordinal variables (categorical variables) and thus the data was analyzed by Wilcoxon signed-rank test (non-parametric paired t-test). The student’s confidence in performing the specified procedure improved with a statistically significant difference in the IO, arthrocentesis and chest tube workshops (p = \u3c0.0001). There was a statistically significant increase in the perception of adequate training in all three sessions (p = \u3c 0.0001). The self-perceived skill in performing the described procedures had a statistically significant improvement for post training session in students participating in the IO, arthrocentesis and chest tube workshops (p = \u3c 0.0001). Lastly, after the hands-on educational sessions, a median of 4.5 out of 5 and mode of 5 out of 5 recommended other medical students participate in the IO simulation activity, and a median and mode of 5 out of 5 recommended the arthrocentesis and chest tube workshops. Conclusion: Workshops introducing procedural simulation in the cadaver to first year medical students improved confidence levels, perception of being adequately trained, and self-evaluated skill. Cadavers are effective models for training medical students in common emergency medical procedures. Integrating workshops into existing medical gross anatomy courses may translate into higher procedural success rates in the clinical setting, as well as stimulate interest in understanding normal anatomy and common variants encountered in practice

Establishment of a doxycycline-regulated cell line with inducible, doubly-stable expression of the wild-type p53 gene from p53-deleted hepatocellular carcinoma cells

p53 is important in the development of hepatocellular carcinoma (HCC) and in therapeutic approaches, but the mechanism whereby it inhibits HCC growth is still unclear. The aim of the present study was to establish a HCC cell system in which p53 levels can be regulated. Full-length wild-type p53 cDNA obtained by PCR was cloned into a retroviral response vector controlled by the tetracycline responsive element (RevTRE-p53). The regulatory vectors RevTet-Off and RevTRE-p53 were transfected into a packaging cell line, PT67. Hep3B cells in which the p53 gene was deleted were infected with RevTet-Off viral particles from the PT67. Three G418-resistant cell clones with high luciferase expression and low background were infected with RevTRE-p53. By screening dozens of RevTRE-p53-infected clones with hygromycin we identified the one with the highest expression of p53 and the lowest background after doxycycline treatment. The results showed that p53 expression in this cell clone could be simply turned on or off by removing or adding doxycycline. Furthermore, it was found that the level of p53 protein was negatively and sensitively related to the doxycycline concentration. In conclusion, we have established a HCC cell line in which p53 expression can be switched on or off and regulated in a dose- and time-dependent manner

Diet, Water, and Exercise: Impacts on Non-Communicable Disease in Madolenihmw and Uh Municipalities on Pohnpei Island, Federated States of Micronesia

A 2013 article referred to non-communicable diseases (NCD) as “a health emergency” in the Federated States of Micronesia (FSM) and identified five critical NCD risk factors in FSM: daily smoking, overweight, high blood pressure, low consumption of fruits and vegetables, and a low level of physical activity. The objective of this study is to determine the impact of diet, water, and exercise on NCD in Madolenihmw and Uh municipalities, Pohnpei, FSM. We hypothesize that poor diet, poor quality of drinking water, and inadequate exercise contribute significantly to the incidence of NCD in Madolenihmw and Uh municipalities. Data were collected from 52 individuals through interviews and personal observations in Madolenihwm and U. All interviewees say that they eat white rice in all meals, seven days a week. In contrast, production and consumption of green leafy and fruit vegetables is severely deficient. Majority (52%) of the interviewees identified “diarrhea” as their main source of complaint during January-May, 2015. A majority (71%) also indicated that they use untreated water from nearby rivers or streams for drinking. Only a minority (39%) appear to have an adequate level of physical activity. The hypothesis is accepted. The water quality factor needs special consideration as it was not identified in the above-mentioned 2013 article and its importance needs to be highlighted

Effectiveness of Traditional Treatments of Diabetes in Pohnpei, Federated States of Micronesia

Diabetes is the second leading cause of death in Pohnpei – next only to heart disease. However, households in Pohnpei are struggling to make ends meet and find it difficult to afford hospital treatments. The objective of this study is to assess the effectiveness of selected traditional treatment methods for diabetes using local plant products. We hypothesize that the traditional treatment methods of diabetes could also be effective. Data was collected through interviews and discussions with 17 diabetic patients who have undergone different forms of treatments, and with five medical practitioners. Effects of five treatments were explored: lime and lemon leaf treatment (T1), soursop leaf treatment (T2), hospital treatment (H), hospital + noni leaf treatment (H+T), and no treatment or control (C). Current, mean health condition (0, very poor – 5, perfect) of patients that have undergone the various treatments are as follows: T1 = 3.3, T2 = 2.5, H = 0.6, H+T = 2.0, C = 2.0. Patients that have undergone the T1 and T2 treatments also gave the following assessment of their treatment: T1 mean = 2.0, T2 mean = 2.6. Data collection and analysis is continuing but information gathered so far leads us to accept the hypothesis and to recommend that the traditional treatment methods for diabetes be seriously considered in the current effort to tackle diabetes in Pohnpei