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ERAS program

Kerasia-Maria Plachouri, Despoina Gkentzi, Anastasia Varvarigou, Sophia Georgiou, Gabriel Dimitriou
BACKGROUND: Herpes zoster (HZ) tends to affect the elderly population and immunocompromised younger patients. However, HZ cases in healthy children have also been reported. OBJECTIVE: This paper is a reminder to physicians, that Herpes Zoster can still present in children, even in the era after the development of the varicella vaccine and its introduction in the national immunization programs globally. METHODS: We present the case of an immunocompetent 11-year old vaccinated male patient, who developed a HZ infection...
March 18, 2019: Current Pediatric Reviews
Dean Falk
Recent allegations that pediatrician Hans Asperger legitimized Nazi policies, including forced sterilization and child euthanasia, are refuted with newly translated and chronologically-ordered information that takes into account Hitler's deceptive 'halt' to the T4 euthanasia program in 1941. It is highly unlikely that Asperger was aware of the T4 program when he referred Herta Schreiber to Am Spiegelgrund or when he mentioned that institution 4 months later on the medical chart of another (unrelated) girl, Elisabeth Schreiber...
March 18, 2019: Journal of Autism and Developmental Disorders
Kathleen L O'Connor
In 2017, the National Cancer Institute (NCI) announced new guidelines for the Cancer Center Support Grant (CCSG) application that requires reporting on education and career development activities in a section entitled, "Cancer Research Career Enhancement and Related Activities" (CRCERA). While these cancer education and training programs previously have been a required part of the CCSG application, the new guidelines require greater rigor in conducting and reporting these endeavors. In this commentary, I give my perspective of how I have built a cancer education program, first as a program director and then as an associate director of cancer education and mentoring, the critical role leadership plays in the process, and how I have recruited contributors to this educational "stone soup...
March 18, 2019: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Giovanni Ottoboni, Teresa Gallelli, Elena Mariani, Valentina Rebecca Soluri, Stefano Nunziata, Alessia Tessari, Jean-Pierre Savary, Rabih Chattat
European population will face an unprecedented aging era in the next years. Albeit aging in itself is a success goal, it may bring with it a general decline and functional limitations. In order to decelerate such decline, one of the most efficient strategies is physical activity. The present paper reports the insight emerging from three focus-group interviews organized at the beginning of the MOTION-Remote Home Physical Training for Seniors project, whose main aim regarded the implementation of an ICT system capable of offering home-based gym sessions to healthy seniors...
March 2019: European Journal of Ageing
Larissa A Meyer, Qiuling Shi, Javier Lasala, Maria D Iniesta, Huei Kai Lin, Alpa M Nick, Loretta Williams, Charlotte Sun, Xin Shelley Wang, Karen H Lu, Pedro T Ramirez
OBJECTIVE: To compare symptom burden and functional recovery in women undergoing primary cytoreductive surgery (PCS) or neoadjuvant chemotherapy (NACT) and interval cytoreductive surgery (ICS) within an enhanced recovery after surgery program (ERAS). METHODS: Symptom burden was measured using the MD Anderson Symptom Inventory-Ovarian Cancer, a 27-item validated tool that was administered preoperatively, daily while hospitalized, and weekly for 8 weeks after hospital discharge...
March 2019: Gynecologic Oncology
Joshua O Akinyemi, Bola L Solanke, Clifford O Odimegwu
BACKGROUND: One of the targets for the third and fifth Sustainable Development Goals (SDGs) borders on children survival and women economic empowerment, respectively. A robust investigation of the relationship between maternal employment and childhood mortality will provide information useful for programs aimed at ensuring the complementarity of SDG 3 (healthy life for all) and SDG 5 (gender equality, girls and women empowerment). OBJECTIVE: We addressed the following questions: (1) What is the independent relationship between maternal employment and infant (0-11 months) and child (12-59 months) mortality in Nigeria? (2) How does father's occupation, type of residence, and geopolitical region modify the relationship? METHODS: We retrospectively analysed cross-sectional data on weighted sample of 31,828 under-five children extracted from the birth history in the 2013 round of Nigeria Demographic and Health Survey, using Cox proportional hazards models...
April 30, 2018: Annals of Global Health
Elisa M Jorgensen, Anna M Modest, Hye-Chun Hur, Michele R Hacker, Christopher S Awtrey
OBJECTIVE: To characterize long-term national trends in surgical approach for hysterectomy after the U.S. Food and Drug Administration (FDA) warning against power morcellation for laparoscopic specimen removal. METHODS: This was a descriptive study using data from the American College of Surgeons National Surgical Quality Improvement Program from 2012 to 2016. We identified hysterectomies using Current Procedural Terminology codes. We used an interrupted time-series analysis to evaluate abdominal and supracervical hysterectomy trends surrounding The Wall Street Journal article first reporting morcellation safety concerns and the FDA safety communication...
March 11, 2019: Obstetrics and Gynecology
Michal Schwartz, Noam Stern-Ginossar
The latent human cytomegalovirus (HCMV) transcriptome has been extremely difficult to define due to the scarcity of naturally latent cells and the complexity of available models. The genomic era offers many approaches of transcriptome profiling that hold great potential for elucidating this challenging issue. The results from two recent studies applying different transcriptomic methodologies and analyses on both experimental and natural samples challenge the dogma of a restricted latency-associated transcription program...
March 13, 2019: Journal of Virology
Zhi-Chao Hu, Lin-Jie He, Dong Chen, Xiao-Bin Li, Zhen-Hua Feng, Cheng-Wei Fu, Jiang-Wei Xuan, Wen-Fei Ni, Ai-Min Wu
OBJECTIVES: There is an increased interest in enhanced recovery after surgery (ERAS) minimizing adverse events after orthopedic surgery. Little consensus supports the effectiveness of these interventions. The purpose of present systematic review and meta-analysis is to comprehensively analyze and evaluate the significance of ERAS interventions for postoperative outcomes after orthopedic surgery. METHODS: PubMed, EMBASE, and Cochrane databases were totally searched from the inception dates to May 31, 2018...
March 13, 2019: Journal of Orthopaedic Surgery and Research
Wenlong Zhang, Jinfei Gu, Yi Li, Li Lin, Peifang Wang, Chao Wang, Bao Qian, Haolan Wang, Lihua Niu, Longfei Wang, Huanjun Zhang, Yu Gao, Mengjie Zhu, Siqi Fang
A growing awareness of the wider environmental significance of diffuse sediment pollution in interconnected river-lake systems has generated the need for reliable provenance information. Owing to their insufficient ability to distinguish between multiple sources, common sediment source apportionment methods would rarely be a practical solution. Based on the inseparable relationships between sediment and adsorbed microorganisms, community-based microbial source tracking may be a novel method of identifying dominant sediment sources in the era of high-throughput sequencing...
March 13, 2019: Environmental Science & Technology
M Resalt-Pereira, J L Muñoz, E Miranda, V Cuquerella, A Pérez
INTRODUCTION: Enhanced recovery after surgery protocols (ERAS) are used in peri-operative care to reduce the stress response to surgical aggression. As fluid overload has been associated with increased morbidity and delayed hospital discharge, a major aspect of this is fluid management. Intra-operative goal-directed fluid protocols have been shown to reduce post-operative complications, particularly in high risk patients.?. OBJECTIVE: To compare 2fluid therapy models (zero-balance versus goal-directed fluid therapy) in patients who were scheduled for laparoscopic colorectal surgery within an ERAS program, recording the rate of complications such as surgical site infection, ileus, post-operative náusea and vomiting, and variability of the estimated glomerular filtration rate (eGFR)...
March 9, 2019: Revista Española de Anestesiología y Reanimación
Daniel J Borsuk, Ahmed Al-Khamis, Andrew J Geiser, Dimin Zhou, Christina Warner, Kunal Kochar, Slawomir J Marecik
BACKGROUND: Enhanced Recovery After Surgery (ERAS) programs aim to standardize perioperative care to reduce morbidity and cost. Our study examined an Active Post-Discharge Surveillance (APDS) program in reducing avoidable readmissions and emergency department (ED) visits in postoperative colorectal ERAS patients. METHODS: Colectomy (right, subtotal and total) and low anterior resection cases performed at a tertiary care hospital between 2015 and 2018 were reviewed...
March 11, 2019: Surgical Endoscopy
Xiaofei Ni, Dan Jia, Yan Chen, Lei Wang, Jian Suo
BACKGROUND: Enhanced recovery after surgery (ERAS) program has shown a few advantages in colorectal cancer surgery. However, the effectiveness of the ERAS program in laparoscopic colorectal cancer surgery is still unclear. We performed a meta-analysis of randomized controlled trials (RCTs) to evaluate the effect of ERAS program in laparoscopic colorectal cancer surgery compared with traditional perioperative care (TC). METHODS: PubMed, EMBASE, Web of Science, The Cochrane Library, and ClinicalTrials...
March 11, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Felicia Hill-Briggs
This address was delivered by Felicia Hill-Briggs, PhD, ABPP, President, Health Care & Education of the American Diabetes Association (ADA) at the ADA's 78th Scientific Sessions in Orlando, Fla., on 23 June 2018. Diabetes has become a high-priority condition in the current era of health care transformation due to diabetes and prediabetes prevalence rates, suboptimal diabetes outcomes at the health care system and population levels, and high health care and public health costs attributed to diabetes. Population health is the path forward for the ADA to facilitate diabetes health care and public health improvement nationally...
February 2019: Diabetes Spectrum: a Publication of the American Diabetes Association
Thaís Tweed, Yara van Eijden, Juul Tegels, Hylke Brenkman, Jelle Ruurda, Richard van Hillegersberg, Meindert Sosef, Jan Stoot
BACKGROUND: Early oral feeding (EOF) is believed to be a crucial item of Enhanced Recovery After Surgery (ERAS) programs. Though this is widely accepted for colorectal surgery, evidence for early oral feeding after gastrectomy is scarce. The aim of this review is to assess the evidence of safety and benefits of early oral feeding after gastrectomy in patients with gastric cancer. METHODS: A systematic literature search of Pubmed, Embase and Cochrane was performed for eligible studies published till September 2018...
March 2019: Surgical Oncology
Sunil W Dutta, J Hunter Mehaffey, Jason C Sanders, Max O Meneveau, Courtney Lattimore, Bruce Libby, David R Brenin, Anneke T Schroen, Einsley M Janowski, Carl Lynch, Donna J Lash, Timothy N Showalter, Shayna L Showalter
PURPOSE: A multidisciplinary team at our institution developed a novel method of intraoperative breast radiation therapy (precision breast intraoperative radiation therapy [PB-IORT]) that uses high-dose-rate brachytherapy with CT on-rails imaging to deliver high-dose, customized radiotherapy to patients with early-stage breast cancer. This report summarizes our program's experience developing and implementing PB-IORT. METHODS AND MATERIALS: Literature on PB-IORT was reviewed including published articles and abstracts...
March 4, 2019: Brachytherapy
Paolo Angelo Cortesi, Roberta Barca, Giulia Giudicatti, Sergio Mossini, Antonio Ciaccio, Sergio Iannazzo, Mariangela Micale, Giancarlo Cesana, Loreno Giovanni Mantovani
BACKGROUND: The World Health Organization estimated that 90% of the infected people need to be diagnosed and 80% need to be treated to reach the aim of hepatitis C virus (HCV) elimination by 2030. For this reason, all possible strategies to detect and treat HCV-infected people need to be carefully evaluated to implement the best one. AIM: To review and synthesise the economic evaluations of HCV screening programs conducted in the era of direct-acting antiviral agents regimens...
March 6, 2019: Alimentary Pharmacology & Therapeutics
Varut Lohsiriwat, Romyen Jitmungngan
Enhanced recovery after surgery (ERAS), a multidisciplinary program designed to minimize stress response to surgery and promote the recovery of organ function, has become a standard of perioperative care for elective colorectal surgery. In an elective setting, ERAS program has consistently been shown to decrease postoperative complication, reduce length of hospital stay, shorten convalescence, and lower healthcare cost. Recently, there is emerging evidence that ERAS program can be safely and effectively applied to patients with emergency colorectal conditions such as acute colonic obstruction and intraabdominal infection...
February 27, 2019: World Journal of Gastrointestinal Surgery
Vandana Agarwal, Jigeeshu V Divatia
Enhanced recovery after surgery (ERAS) attenuates the stress response to surgery in the perioperative period and hastens recovery. Liver resection is a complex surgical procedure where enhanced recovery program has been shown to be safe and effective in terms of postoperative outcomes. ERAS programmes have been shown to be associated with lower morbidity, shortened postoperative stay and reduced cost with no difference in mortality and readmission rates. However, there are challenges that are unique to hepatic resection such as the safety after epidural catheterization and postoperative coagulopathy, intraoperative fluids and postoperative organ dysfunction, need for low central venous pressure to reduce blood loss and non-lactate containing intravenous fluids...
March 6, 2019: Korean Journal of Anesthesiology
Mengqian Li, Limei Yin, Andrew Song, Jianxin Xue, You Lu
The combination of programmed cell death 1/programmed cell death ligand 1 blockade and thoracic radiotherapy has become the new standard of care in the treatment of locally advanced non-small-cell lung cancer. The information regarding the pulmonary safety of such therapy remains limited to mostly retrospective studies and case reports with a small portion of data from prospective clinical trials. By analyzing the underlying mechanisms of interactions between radiation and immunotherapy from preclinical data and summarizing safety data from relevant clinical studies with pulmonary toxicity, we believe that longer and rigorous follow-up is warranted, to determine if the combination of such modalities is appropriate for patients without risking undue toxicity...
February 28, 2019: Biochimica et Biophysica Acta. Reviews on Cancer
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