Implementation of a Standardized Handoff System for a General Surgery Residency Program

Introduction: The I-PASS Handoff Bundle is an evidence based standardized set of educational materials designed to decrease handoff failures in patient care. Two of every three sentinel events , the most serious events reported to the Joint Commission, are due to failures of communication, including miscommunication during patient care handoffs. Implementation of the I-PASS method results in decreased medical errors and preventable adverse events There are few studies that evaluate this validated method in the context of a General Surgery resident program We aim to implement the I-PASS system into the transition of care process for General Surgery residents at our institution, and to analyze of the quality of the handoff process before and after the implementation.https://jdc.jefferson.edu/patientsafetyposters/1047/thumbnail.jp

A unifying framework for seed sensitivity and its application to subset seeds

We propose a general approach to compute the seed sensitivity, that can be applied to different definitions of seeds. It treats separately three components of the seed sensitivity problem -- a set of target alignments, an associated probability distribution, and a seed model -- that are specified by distinct finite automata. The approach is then applied to a new concept of subset seeds for which we propose an efficient automaton construction. Experimental results confirm that sensitive subset seeds can be efficiently designed using our approach, and can then be used in similarity search producing better results than ordinary spaced seeds

The experience in the use of thermopuncture in complex treatment of pyelonephritis, developed during vesicoureteral reflux and reflux-neuropathy in children with undifferentiated form of connective tissue dysplasia

This article is connected with the definition of expediency and efficiency of use of thermopuncture (TP) in complex treatment of pyelonephritis, developed during vesicoureteral reflux (VUR) and reflux-neuropathy (RN) in children with undifferentiated form of connective tissue dysplasia moderate severity. In the result of conducted researches it was found that patients with acute form of diagnosed pyelonephritis during vesicoureteral reflux (VUR) of 3-4 grade or with reflux-neuropathy, earned during the treatment additional thermopuncture sessions, have more positive dynamics of treatment in comparison with control group, where treatment was conducted only in accordance with the protocol “Diagnosis and treatment of pyelonephritis in children” (Korovina N.A.,2007) with the obligatory use of antibiotics.Данная работа связана с определением целесообразности и эффективности использования термопунктуры (ТП) в комплексном лечении пиелонефритов, развившихся на фоне пузырно-мочеточникового рефлюкса (ПМР) и рефлюкс-нефропатии (PH) у детей с недифференцированной формой дисплазии соединительной ткани средней степени тяжести. В результате проведённых исследований выяснено, что пациенты с диагносцированным пиелонефритом в острой форме, на фоне пузырно-мочеточникового рефлюкса (ПМР) 3-4 степени или рефлюкс-нефропатии, получившие дополнительно в лечении сеансы термопунктуры, имеют выраженную положительную динамику в сравнении с группой контроля, где лечение проводилось только в соответствии с протоколом «Диагностика и лечение пиелонефрита у детей» (Коровина Н.А., 2007) с обязательным применением антибиотиков

Features of the development of children with dysplasia of the urinary System

The study examined the developmental status of children with dysplasia of the urinary system aged 6 to 10 years with a duration of the disease from 1 month to 5 years. Based on the data obtained from anthropometric and functional studies, physical development evaluation, age determination, assessment of biological age, assessment of physical preparedness, conclusions were drawn that the physical state is characterized by a reliable decrease in indicators and the disharmonization of physical development, the development of the phenomenon of deceleration, systems and overall physical performance in comparison with peers who do not have this pathology ogii. Lower values of the signs had children with impaired renal hemodynamics.В исследовании изучалось состояние развития детей с дисплазией мочевой системы в возрасте от 6 до 10 лет с длительностью заболевания от 1 месяца до 5 лет. На основании полученных данных антропометрических и функциональных исследований, оценки физического развития, определении паспортного возраста, оценки биологического возраста, оценки физической подготовленности были сделаны выводы о том, что физическое состояние характеризуется достоверным снижением показателей и дисгармонизацией физического развития, развитием феномена децелерации, снижением функциональных возможностей основных систем и общей физической работоспособности по сравнению со сверстниками, не имеющими данной патологии. Более низкие величины признаков имели дети с нарушением почечной гемодинамики