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Small bowel obstruction: a recurrence of melanoma during the second trimester of pregnancy

Background: The incidence of melanoma is on the rise in the United States and is particularly prevalent among women of childbearing age. Obtaining a complete history and understanding the unpredictable behavior of melanoma is essential to make the diagnosis of recurrent disease during pregnancy. Case: A 35-year-old G2P1 at 23 weeks and 1 days’ gestation with a remote history of...

Non-invasive measures of coronary microcirculation: Taking the long road to the clinic

Although coronary microvascular disease is now a well-recognized entity that is associated with significant morbidity and mortality, current non-invasive strategies cannot differentiate between coronary microvascular disease (CMD) and obstructive epicardial stenosis. While the evaluation of intramyocardial blood volume as a surrogate measure for microvascular health may have...

Randomized Trial of Chronic Pain Self-Management Program in the Community or Clinic for Low-Income Primary Care Patients

Background Patients with chronic pain often lack the skills and resources necessary to manage this disease. Objective To develop a chronic pain self-management program reflecting community stakeholders’ priorities and to compare functional outcomes from training in two settings. Design A parallel-group randomized trial. Participants Eligible subjects were 35–70 years of age, with...

Management of Severe TBI-A Review of Recent Literature

INTRODUCTION Traumatic Brain Injury (TBI) is the result of sudden trauma causing damage to the brain. TBI can occur when the head strongly and abruptly changes direction or contacts an object, or when an object penetrates the skull and brain tissue. (Figure 1 – TBI). CDC estimated that in 2010, TBI, alone and in conjunction with other injuries, accounted for approximately 2.5...

Intravascular Lymphoma in the CNS: Options for Treatment

Purpose of review The purpose of this review was to discuss therapeutic manipulations and effective current interventions available to treat intravascular lymphoma in the central nervous system. Recent findings Patients experienced resolution and remission of disease for 14 months and up to 2 years after eight cycles of R-CHOP and four courses of intrathecal therapy with MTX...

Training Impact on Novice and Experienced Research Coordinators

Institutes of Health. Authors Linda S. Behar-Horenstein; JoNell Efantis Potter Ph.D.; Alena Prikhidko PhD, candidate; Stephanie Swords MA, CCRP; Stephen Sonstein PhD; and H Robert Kolb RN BS CCRC Training ... Research Administration at the Eastern Michigan University's School of Health Sciences. Correspondence regarding this article can also be addressed directly to: . H. Robert Kolb, RN BS CCRC is the Assistant

Similar Cost Savings of Bundled Payment Initiatives Applied to Lower Extremity Total Joint Arthroplasty Can Be Achieved Applying Both Models 2 and 3

, and Feifei Zhang, Health Data Analyst at PBC Advisors, LLC. Compliance with Ethical Standards Conflict of Interest: Allyson Alfonso, BS, BA; Lorraine Hutzler, MPA; Bill Robb, MD; and Joseph Bosco, MD

The Incidence of Perioperative Cardiac Events after Orthopedic Surgery: A Single Institutional Experience of Cases Performed over One Year

. Wolfe, BA; Neil M. Sanghavi, BS; Kara Fields, MA; and Steven K. Magid, MD have declared that they have no conflict of interest. Human/Animal Rights: All procedures followed were in accordance with the ... . Anesthesiology . 2013 ; 118 : 1046 - 58 . 19. Oberweis BS , Smilowitz NR , Nukala S , Rosenberg A , Xu J , Stuchin S et al. Relation of perioperative elevation of troponin to long-term mortality after orthopedic

Recruiting Rural Healthcare Providers Today: a Systematic Review of Training Program Success and Determinants of Geographic Choices

Background Rural areas have historically struggled with shortages of healthcare providers; however, advanced communication technologies have transformed rural healthcare, and practice in underserved areas has been recognized as a policy priority. This systematic review aims to assess reasons for current providers’ geographic choices and the success of training programs aimed at...

Navigating Language Barriers: A Systematic Review of Patient Navigators’ Impact on Cancer Screening for Limited English Proficient Patients

OBJECTIVES To systematically review the literature on the impact of patient navigators on cancer screening for limited English proficient (LEP) patients. DATA SOURCES Electronic databases (PubMed, PsycINFO via OVID, Web of Science, Cochrane, EMBASE, and Scopus) through 8 May 2015. ELIGIBILITY CRITERIA Articles in this review had: (1) a study population of LEP patients eligible...

Anterolateral Ligament of the Knee Shows Variable Anatomy in Pediatric Specimens

Background Anterior cruciate ligament (ACL) reconstruction failure rates are highest in youth athletes. The role of the anterolateral ligament in rotational knee stability is of increasing interest, and several centers are exploring combined ACL and anterolateral ligament reconstruction for these young patients. Literature on the anterolateral ligament of the knee is sparse in...

Does Medicaid Insurance Confer Adequate Access to Adult Orthopaedic Care in the Era of the Patient Protection and Affordable Care Act?

Background A current appraisal of access to orthopaedic care for the adult patient receiving Medicaid is important, since Medicaid expansion was written into law by the Patient Protection and Affordable Care Act (PPACA). Questions/Purposes (1) Do orthopaedic practices provide varying access to orthopaedic care for simulated patients with Medicaid insurance versus private...

Properties and Corrosion Performance of Self-reinforced Composite PEEK for Proposed Use as a Modular Taper Gasket

Background Fretting corrosion in medical alloys is a persistent problem, and the need for biomaterials that can effectively suppress mechanically assisted crevice corrosion in modular taper junctions or otherwise insulate metal-on-metal interfaces in mechanically demanding environments is as yet unmet. Questions/purposes The purpose of this study is to characterize a novel...