Relevant bibliographies by topics / Surgery and medical clinic

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Surgery and medical clinic'

Author: Grafiati
Published: 4 June 2021
Last updated: 11 February 2022

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Journal articles on the topic "Surgery and medical clinic"

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Hanlon, Erin, Sarah Rosenberger, Daniel Neuzil, Priya Nair, Gloria Fisher, and Maria Azenith Qunamague. "Transitional Surgery Clinic Reduces Readmissions." Journal of Vascular Nursing 35, no. 2 (June 2017): 123. http://dx.doi.org/10.1016/j.jvn.2017.04.026.

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Pinzur, Michael S. "The Medical Optimization Clinic." Foot & Ankle International 40, no. 5 (December 19, 2018): 611–12. http://dx.doi.org/10.1177/1071100718816069.

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Akhunzyanov, A. A. "Vladimir Leonidovich Borman - the first pediatric surgeon of the Imperial Kazan University." Kazan medical journal 94, no. 2 (April 15, 2013): 283–84. http://dx.doi.org/10.17816/kmj1606.

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Vladimir Leonidovich Borman was the first pediatric surgeon of the Imperial Kazan University, participated in the Russo-Japanese War, World War I and the Civil War. In 1900 a novel course of pediatric surgical diseases was started at the university. A new pediatric clinic was launched among other new clinics, and Vladimir Leonidovich Borman, a surgeon and a doctor of medicine, was invited to head one of the departments there. Since then the teaching of pediatric surgical diseases for Imperial Kazan University medical faculty students has been performed at the pediatric ward of the faculty surgery clinic. Then Vladimir Leonidovich participated in surgical service foundation in many parts of the country both at peace and wartime, he became the founder of the Omsk State Medical University department of hospital surgery. The contribution of that amazing, energetic, talented doctor and teacher to Russian medicine can not be overestimated.
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Davidov, M. I., and O. E. Nikonova. "ROLE S.P. FEDOROV AND HIS DISCIPLES IN THE FORMATION OF PERM SURGERY AND UROLOGY." Bulletin of the Russian Military Medical Academy 21, no. 1 (December 15, 2019): 11–15. http://dx.doi.org/10.17816/brmma13031.

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The work highlights the role of S.P. Fedorov and his students in the formation and development of Perm surgery and urology. Graduate of the Military Medical Academy, Life-surgeon of the royal family VN Derevenko created and organized the work of the clinic of Perm University and the first in the province department of surgery and urology, leading it from 1919 to 1924. From 1925 to 1931 the department and the clinic was headed by an employee of the Military Medical Academy, Professor D.P. Kuznetsky. For the first time, the literature covers the inspection trip of S. P. Fedorov in 1926 to Perm. In 1928, A.V. Lunacharsky called the Perm clinic "the pearl of the Urals."
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Krasilnikov, D. M., and O. Yu Karpukhin. "The history of creation hospital surgery clinic in Kazan." Kazan medical journal 101, no. 5 (October 27, 2020): 786–90. http://dx.doi.org/10.17816/kmj2020-786.

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In 1860, the Department of hospital surgery was organized at Imperial Kazan university. The reform of medical education to Western standards supposed the training of students in faculty and hospital clinics. The main task of the faculty Department is to teach the classical clinical picture of the most common diseases, while the task of the hospital Department is focusing to variants of clinical manifestations of the disease and improvement of practical skills. The first head of the Department of hospital surgery at Imperial Kazan University was Professor Andrey Beketov. Professor A.N. Beketov is one of the pioneers of the use of inhalation anesthesia, which he recommended for widespread use in the clinic. Besides, Beketov is the author of priority works in the field of traumatology and orthopedics. In a short time, the hospital surgical clinic in Kazan became one of the leading clinics in the East of Russia, the Urals and Siberia.
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Ma, Haowei. "Application and Prospect of Robotic Technology in Medical Clinic." Advanced Emergency Medicine 9, no. 4 (February 2, 2021): 92. http://dx.doi.org/10.18686/aem.v9i4.176.

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<p class="18"><span lang="EN-US">In the process of gradually improving the level of clinical medical treatment and continuously developing industrial technology, the application of less invasive and non-invasive surgical methods in medical clinic is increasingly widespread. In the face of this situation, the inevitable trend of the development of surgery has been inclined to minimally invasive surgery. Under the background of a large number of new technologies in the clinical application of medicine, the application space of surgical minimally invasive surgery technology has become more and more extensive. The first successful laparoscopic cholecystectomy in 1987 is an important sign of the arrival of the era of minimally invasive surgery. The research and development of surgical robots based on this is a predictor of the gradual beginning of the era of surgical information processing. At this time, it will inevitably promote the qualitative improvement of surgical accuracy, and a new era of minimally invasive surgery will gradually open. At present, the latest “Da Vinci” surgical robot developed by ISRG company has been widely used in medical clinic.</span></p>
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Z, Clifford, Morrish P, Strait C, and Hinze S. "WED 031 Neuro hot clinics: direct access clinic for acute medical patients." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 10 (September 13, 2018): A5.2—A5. http://dx.doi.org/10.1136/jnnp-2018-abn.18.

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20% of acute medical patients present with neurological symptoms, yet are often managed by non-specialist acute physicians. This district general hospital (DGH) introduced a direct access neurology clinic, to reduce hospital admissions and improve access to neurological expertise for vulnerable patients. Patients would otherwise have been admitted to await ward consultation. 20 ‘Hot’ clinic appointments each week were allocated by administration prior to discharge from the medical admissions unit. All appointments were within 48 hours. Common diagnoses were migraine, first seizure, and non-epileptic attack disorder and rarer presentations included 5 with transverse myelitis, 1 with cerebral vasculitis, and 1 with Hepatitis E related encephalomyelopathy.243 patients were seen by a Consultant Neurologist in 9 months in this hot clinic, thus saving at least 243 bed days and £73 000. Only 4 of these patients were readmitted. The hot clinic required 4PAs of consultant time split across weekdays, at an estimated cost of £30 000 per annum.This neurology acute clinic successfully provided front door neurological input, a vital service for GPs and patients, and made approximate annual saving of £70 000. Evidently, every DGH should consider implementing neurology ‘hot’ clinics.
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Fremder, Wolfgang. "Medical Services during Disasters at Frankfurt Airport." Journal of the World Association for Emergency and Disaster Medicine 1, no. 2 (1985): 134–35. http://dx.doi.org/10.1017/s1049023x00065262.

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The airport clinic at Flughafen Frankfurt Main AG (FAG) is a 24 hour manned casualty ward. It employs three surgeons and approximately 40 paramedics. This clinic is supported by external physicians during the night and weekends that guarantees, on a 24 hour basis, a minimum of one physician and four paramedics available for immediate response.In addition, the airport operator provides an industrial medical service which employs (during normal working hours) six physicians and approximately 10 paramedics.Finally, there is support from the clinic of the US Rhein Main Air Base, at the military part of the airport, which employs approximately 12 physicians and flight surgeons, 10 dentists and another 100 paramedics. The emergency staff of the clinic of the US Rhein Main Air Base is also manned on a 24 hour basis. The airport clinic and the clinic of the US Forces and their respective fire departments collaborate together in cases of emergency or disaster.For immediate medical care the airport clinic has available an emergency surgery unit, one emergency surgery ambulance vehicle, and three ambulances with first-aid equipment. In addition, the airport clinic provides two trucks with medical equipment for 100 severely injured persons and two inflatable air-conditioned emergency tents.Comparable medical equipment is also available at the clinic of the US Rhein Main Air Base, according to US military standards. The US Rhein Main Air Base also operates three DC-9 Nightingale medical aircraft which are responsible for all types of emergencies in the area of the US Forces in Europe.
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Serra, Rebecca, Dorothy Boresky, Sabrina Salem, Erin Bartko, and Masaio Turay. "Optimizing Surgery Patients in a Perioperative Care Clinic." Journal of PeriAnesthesia Nursing 34, no. 4 (August 2019): e41. http://dx.doi.org/10.1016/j.jopan.2019.05.099.

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Dobanovacki, Dusanka, Nada Vuckovic, Radmila Gudovic, Vladimir Sakac, Milanka Tatic, and Vesna Tepavcevic. "Development of the city hospital in Novi Sad - part II." Medical review 72, no. 7-8 (2019): 251–56. http://dx.doi.org/10.2298/mpns1908251d.

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At the end of the Second World War, the General State Hospital had seven departments, the same facilities, and the same bed capacity as in the pre-war period. In the newly formed state of Yugoslavia, intensive growth and modernization of the hospital began, despite the great financial difficulties. The hospital became the Main Provincial Hospital and new departments and services were established. Mainly during the 1960s and 1970s, ten new surgery departments were established, which later became independent clinics. The surgery departments occupied pavilions 1, 2, 3 and 4. Complex and contemporary abdominal and thoracic surgeries were performed. The Department of Internal Diseases became the Clinic of Internal Diseases and in 1964 it was moved to a newly equipped four-story building. The Clinic of Gynecology and Obstetrics was founded and it was moved into a modern, purpose-built facility with a 230 bed capacity for adult patients and 105 for newborns. Rapid progress has also been made in the development of the Clinic of Infectious Diseases, Clinic of Eye Diseases, Clinic of Ear, Nose and Throat Diseases, Neurology and Psychiatry Clinics, Clinic of Dermatovenereology Diseases, Medical Rehabilitation Clinic - as well as a modern laboratory, X-ray, blood transfusion, and polyclinic services. After the establishment of the Faculty of Medicine and the Clinical Center of Vojvodina, this large tertiary medical institution is the source of pride for Novi Sad. Founded 110 years ago, the hospital is still dedicated to providing better healthcare for patients.
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Dissertations / Theses on the topic "Surgery and medical clinic"

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Ghaderi, Iman. "Toward excellence as the standard for medical practice variation in documentation and surgeons' opinion in the breast clinic." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=18196.

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Recently, there has been a growing movement toward an Electronic Health Record (EHR) to improve quality of care. The paper-based medical record is still the primary source of information in today’s medical practice. In order to design the EHR, knowledge with regard to the current medium of documentation is required. In the MUHC Cedars Breast Clinic, 112 medical records for 7 surgeons were audited to determine what was recorded in the initial visits between year 2002 and 2003. A Likert scale questionnaire was developed and included 46 questions derived from the chart review. It was introduced to assess their opinions on important variables in managing breast patients. The correlation between the medical records and surgeons’ opinions was then sought. The majority of data points had a low rate of documentation with wide variation; breast cancer risk factors were recorded in less than one third of charts. Family history and physical examinations had relatively high rates of documentation. The survey showed a considerable variation among surgeons’ opinions. Surgeons reported that they addressed 63% of all data points (29 of 46 questions) very often/always. There was weak correlation between what each surgeon records and what he/she thinks is important.
Récemment, il y a eu un mouvement grandissant vers le dossier électronique de santé (EHR) pour améliorer la qualité du soin. Le dossier médical sur papier est toujours la source primaire d'information dans la pratique en matière, aujourd'hui. Afin de concevoir EHR, la connaissance en ce qui concerne le milieu courant de la documentation est exigée. Dans la Clinique du sein de l'Institut des cèdres du CUSM, 112 disques médicaux pour 7 chirurgiens ont été apurés pour déterminer ce qui est enregistré dans les visites initiales en l'année 2002 et l'année 2003. Un questionnaire de balance de Likert comprenant 46 questions dérivées des dossiers a été présenté pour évaluer leur avis sur des variables importantes dans les patients de gestion de sein. La corrélation entre ces deux a été cherchée. La majorité de points de repères a eu un bas taux de documentation avec une grande variation; des facteurs de risque de cancer de sein ont été enregistrés dans moins d'un tiers de dossiers. Les antécédents familiaux et les examens physiques ont eu des taux relativement élevés de documentation. L'aperçu a montré une variation considérable parmi l'opinion des chirurgiens. Les chirurgiens ont rapporté qu'ils ont adressé 63% de points de repères (29 de 46 questions) très souvent/toujours. Il y avait corrélation faible entre ce que chaque chirurgien enregistre et quel il/elle pense est important. fr
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Rekman, Janelle. "The Development of a Workplace-Based Surgical Clinic Assessment Tool." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34234.

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Purpose of Study: Workplace-based assessment is an opportunity for a learner to be assessed in their community of practice by an expert rater. The challenges and biases brought into this assessment relationship are complex. A shift towards Competency Based Medical Education in post-graduate residency education has triggered consideration of how to implement feasible assessment tools for the operating room, the in-patient ward, and the outpatient clinic. Competent performance in outpatient clinic is vital to surgical practice, yet no assessment tool currently exists to assess daily performance of technical and nontechnical skills of surgery residents. This project describes the development of a competency-based assessment tool, the Ottawa Clinic Assessment Tool (OCAT). Research Question: How does the OCAT demonstrate validity for measurement of surgical resident performance in clinic? Method: A consensus group of experts was gathered to generate ideas reflective of a competent ‘generalist’ surgeon in clinic. An entrustability anchor scale was developed. A six-month pilot study of the OCAT was conducted in orthopedics, general surgery and obstetrics and gynecology with quantitative and qualitative evidence of validity collected. Two subsequent feedback sessions, and a survey for staff and residents evaluated the OCAT for clarity and utility. Results: The OCAT was developed as a 13-item tool, with a global assessment item and 2 short answers questions. 44 staff surgeons completed 132 OCAT assessments of 79 residents. Psychometric data was collected as evidence of internal structure validity and relations with other variables. Analysis of feedback indicated the rating scale was practical and useful for surgeons and residents. Conclusions & Contribution to the Research Field: Surgical programs will require a daily clinic assessment tool to help define resident competency progression. Multiple sources of validity evidence collected in this pilot project demonstrate that the OCAT can measure resident clinic competency in a valid and feasible manner.
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Benscoter, Dan T. "Ventilation Reconciliation: Improving the Accuracy of Documented Home Ventilator Settings in a Pediatric Home Ventilator Clinic." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin155421301584871.

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Berg, Katarina. "Postoperative recovery in daysurgery : Evaluation of psychometric properties and clinical usefulness of a questionnaire in day surgery." Licentiate thesis, Linköping University, Linköping University, Nursing Science, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-59515.

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Background: Day surgery has increased during recent decades in many countries and represents approximately 50% of surgical procedures performed in Sweden. Day surgery implies that the patient is admitted and operated on during the same day and discharged without an overnight stay at the surgery unit. Undergoing a day surgical procedure thereby means that the major part of the postoperative recovery takes place in the patient’s home, leaving the patient and his/her supportive network responsible for the postoperative care. Day surgery also implies that health care professionals have to adapt to outpatient care and find valid measurements for monitoring a patient’s recovery progress after discharge.

Aims: The aim of Study I was to evaluate the psychometric properties of a translated version of the Post-discharge Surgical Recovery (PSR) scale in a Swedish day surgery sample in terms of data quality, internal consistency, dimensionality and responsiveness. The aim of Study II was to describe postoperative recovery on postoperative days 1, 7 and 14 after different orthopaedic day surgical procedures, as well as to identify possible predictors associated with postoperative recovery two weeks after surgery.

Methods: Six-hundred and seven patients who had undergone an orthopaedic surgical procedure (n=358), general surgery (n=182) or gynaecological surgery (n=67) were included. To assess postoperative recovery, the PSR scale and the emotional state, physical comfort and physical independency dimensions of the Quality of Recovery-23 (QoR-23) were used. In addition, patients’ background data and self ratings of their ability to work or handle usual business and general health were obtained. Data were collected preoperatively and on postoperative days 1, 7 and 14. In Study I data quality and internal consistency were evaluated using descriptive statistics, correlation analyses and Cronbach’s alpha. The dimensionality was determined using an exploratory factor analysis, and the responsiveness was evaluated through the standardized response mean (SRM) and the area under the receiver operating characteristics curve (AUC). In Study II, patients’ postoperative recovery and general health were compared over time using Friedmann’s ANOVA and between surgical groups of patients using the Kruskal-Wallis test. To determine predictors of recovery, a multiple linear regression analysis was performed with the PSR score on postoperative day 14 as the dependent variable.

Results: In Study I, two items were deleted from the Swedish version of the PSR scale. This was based on several low inter-item (<0.30) and item-total correlations (<0.40) and substantial ceiling effects (65%). After the deletion of two items, the Cronbach’s coefficient alpha was 0.90 and the average interitem correlation was 0.44. According to the factor analysis, a single dimension was found explaining the common variance to 44%. The SRM (1.14) indicated a robust ability to detect changes in recovery. The AUC was 0.60 for the entire scale, but varied (0.58-0.81) when the PSR score on postoperative day 1 was categorized into three intervals. In Study II, the shoulder patients experienced significantly lower postoperative recovery and general health one and two weeks after surgery (p<0.001). Significant predictors of recovery on postoperative day 14 were age, perceived health and emotional status on postoperative day 1 and type of surgery, and explained the dependent variable to 33%.

Conclusions: The Swedish version of the PSR scale seems to be a consistent and valid instrument for the assessment of postoperative recovery at home in Sweden. The recovery process for orthopaedic day surgery patients differs, with shoulder surgery patients in particular showing poor recovery, which could be considered when day surgery patient education programmes are developed.

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Stene, Hurtsén Anna. "Clinical skills and teaching in Surgery at undergraduate level. Comparison between two newly started medical schools." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-48396.

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Watson, Hugh Robert. "Methodology of clinical trials of adjuvant medical therapy in peripheral bypass surgery : a critical reappraisal following a large prospective trial." Thesis, University of Bath, 2000. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323578.

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Dahroug, Bassem. "Micro-Robotic Cholesteatoma Surgery : clinical requirements analysis and image-based control under constraints." Thesis, Bourgogne Franche-Comté, 2018. http://www.theses.fr/2018UBFCD016/document.

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Une maladie appelée cholestéatome affecte l'oreille moyenne, en absence de traitement, elle pourrait conduire à des complications graves. Le seul traitement dans la pratique médicale actuelle est une procédure chirurgicale. Les incidences de cholestéatome résiduelle ou récurrente sont élevés et le patient doit subir plus d'une intervention chirurgicale. Par conséquent, un système robotique original a été proposé pour d'éliminer l'incidence du cholestéatome résiduel en enlevant efficacement toutes les cellules infectées de la première intervention chirurgicale, et de faire une chirurgie moins invasive. Ainsi, ce manuscrit montre les différents défis auxquels fait face le chirurgien à travers une telle micro-procédure. Il est également défini le cahier de charge pour la réalisation d'un système futuriste dédié à la chirurgie du cholestéatome. En outre, un contrôleur est proposé comme un première étape vers le système idéal. Un tel contrôleur permet de guider un outil chirurgical rigide afin de suivre un chemin de référence sous les contraintes du trou d'incision. Le contrôleur proposé peut guider soit un outil droit, soit un outil courbe. En effet, le contrôleur proposé est une commande de haut niveau qui es formulé dans l'espace de tâche (ou espace Cartésien). Ce contrôleur est une couche modulaire qui peut être ajoutée à différentes structures robotiques. Le contrôleur proposé a montré de bons résultats en termes de précision tout en étant évalué sur un robot parallèle et un robot en série
A disease called cholesteatoma affects the middle ear, in the absence of treatment, it could lead to serious complications. The only treatment in current medical practice is a surgical procedure. Incidences of residual or recurrent cholesteatoma are high and the patient may have more than one surgical procedure. Therefore, a novel robotic system was proposed to eliminate the incidence of residual cholesteatoma by removing efficiently all infected cells from the first surgery, and make a less invasive surgery. Thus, this manuscript shows the different challenges that face the surgeon through such a micro-procedure. It also is specified the requirements for achieving a futuristic system dedicated to cholesteatoma surgery. In addition, a controller is proposed as a first step toward the ideal system. Such a controller allows to guide a rigid surgical tool for following a reference path under the constraints of the incision hole. The proposed controller can guide either a straight tool or a curved one. Indeed, the proposed controller is a high level control which is formulated in the task-space (or Cartesian-space). This controller is a modular layer which can be added to different robotics structures. The proposed controller showed a good results in term of accuracy while assessed on a parallel robot and a serial one
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Nyoka-Mokgalong, Simangele Cecilia. "A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20682.

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Routine postoperative chest radiography after cardiac surgery is a common practice, although studies, both prospective and retrospective, conducted in their majority outside Africa, have shown that these chest radiographs are of low clinical value, mainly due to limited impact on patient management. Following cardiac surgery and admission to ICU, chest radiographs are obtained in order to ensure proper position of all invasive devices such as endotracheal tubes, invasive catheters as well as nasograstric tubes, and to exclude possibility of a pneumothorax, atelectasis, infiltrates, and other potential respiratory complications associated with ventilatory support. Following cardiac surgery, there are other elements that require assessment: mediastinum (for widening due to bleeding), pleural space (for presence of fluid or air) and cardiovascular system (for presence of signs of failure). Specific to cardiac surgery is the post-operative pulmonary dysfunction (PPD), where systemic inflammatory response due to cardiopulmonary bypass is the main culprit [Milot J et al, 2001] - leading to acute lung injury. Over and above the usual cardiovascular diseases that require surgical intervention, in Sub-Saharan Africa, inflammatory and infective conditions such as pulmonary tuberculosis, pulmonary hydatid disease, and pulmonary complications of HIV infection, are very prevalent. These pre-existing lung pathologies predispose patients to postoperative pulmonary complications after cardiac surgery. This audit investigates the role and importance of bedside chest X-rays in post operative care of cardiac surgery patients that come from a population group where lung pathology is quite prevalent.
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Bucuvic, Edwa Maria [UNESP]. "Evolução de pacientes clínicos e cirúrgicos com injúria renal aguda." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/92153.

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Made available in DSpace on 2014-06-11T19:25:36Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-12-18Bitstream added on 2014-06-13T20:14:17Z : No. of bitstreams: 1 bucuvic_em_me_botfm.pdf: 437635 bytes, checksum: 9a79e75c2e4a1caff9ea58675f7d113e (MD5)
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A Injúria Renal Aguda (IRA) é uma patologia complexa, de etiologias múltiplas e variáveis, sem consenso em sua definição, apresentando uma alta mortalidade e aumento de incidência nas últimas décadas. Este trabalho tem como objetivo avaliar a evolução de pacientes com IRA por Necrose Tubular Aguda internados em enfermarias clínica e cirúrgica do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP . Trata-se de estudo coorte retrospectivo, onde foram avaliados 477 pacientes maiores de 18 anos, sendo 278 provenientes da enfermaria de clínica médica (Grupo Clínica Médica: GCM) e 199 da enfermaria de gastroenterologia cirúrgica (Grupo Gastro-Cirurgia: GGC), no período de janeiro de 2001 a dezembro de 2008. IRA foi definida de acordo com os valores de creatinina sérica, conforme proposto pelo Acute Kidney Injury Network (AKIN). A média de idade da população estudada foi de 65,5 ± 16,2 com predomínio de homens (62%) e com idade > 60 anos (65,2%). Diabetes mellitus (DM) ocorreu em 61,9%, hipertensão arterial (HA) em 44,4% e doença renal crônica em 21,9%. Os grupos estudados foram semelhantes em diversas características clínicas e laboratoriais. Óbito ocorreu em 58% no GCM e 75,4% no GGC (p=0,0002). Após análise multivariada, foram variáveis associadas ao óbito a necessidade de diálise, internação em UTI, idade > 60 anos e tempo de acompanhamento nefrológico. No GCM a internação em UTI e a necessidade de diálise estiveram associadas ao óbito, o mesmo ocorrendo, no GGC, em relação à necessidade de diálise, presença de sepse, creatinina sérica basal e tempo de acompanhamento nefrológico. Não houve diferença na recuperação renal entre os sobreviventes de ambos os grupos, mas a sobrevida do GCM foi maior que do GGC. Como conclusões, este trabalho mostra que a evolução dos pacientes com IRA provenientes de enfermarias clínica...
Acute Kidney Injury (AKI) is a multicausal complex syndrome without consensus about its definition, it presents high mortality rate and its incidence has been growing over the last decades. This study aims to evaluate the outcome of AKI patients caused by acute tubular necrosis admitted in clinical and surgical units of Botucatu Medical School University Hospital – UNESP. This is a retrospective cohort study with 477 adult patients, 278 of them from the clinical unit (Clinical Unit Group: CUG) and 199 from the surgical unit (Surgical Unite Group: SUG), were observed from January 2001 to December 2008. AKI was defined according to serum creatinine levels as proposed by Acute Kidney Injury Network (AKIN). The mean age was 65.5 ± 162 years. The majority of the patients were males (62%) older than 60 years (65.2%). Diabetes mellitus was diagnosed in 61.9%, high blood pressure in 44.4% and chronic kidney disease 21.8% of the patients. CUG and SUG were similar on clinical and laboratory basal characteristics. Death occurred 58% of CUG and 75.4% of SUG patients (p=0,0002). For the total cohort, dialysis requirement, critical care unit admission, age > 60 years and lower attendance time by nephrologists were significant and independently associated to death risk. In CUG critical care unit admission and dialysis requirement were significant and independently associated to death risk while among SUG patients dialysis requirement, sepsis, basal creatinine and lower attendance time by nephrologists were independent predictor of death. The IntroduçãIntrodução 11 survival probability was significantly higher in the CUG and the renal function recovery rate was similar between groups. In conclusion, the outcome of AKI patients hospitalized in clinical or surgical units was similar to previous reports. However, the lower survival among surgical patients reinforces the necessity of an early... (Complete abstract click electronic access below)
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Bucuvic, Edwa Maria. "Evolução de pacientes clínicos e cirúrgicos com injúria renal aguda /." Botucatu, 2009. http://hdl.handle.net/11449/92153.

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Orientador: André Luiz Balbi
Banca: Daniela Ponce
Banca: Márcia Cristina da Silva Magro
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Resumo: A Injúria Renal Aguda (IRA) é uma patologia complexa, de etiologias múltiplas e variáveis, sem consenso em sua definição, apresentando uma alta mortalidade e aumento de incidência nas últimas décadas. Este trabalho tem como objetivo avaliar a evolução de pacientes com IRA por Necrose Tubular Aguda internados em enfermarias clínica e cirúrgica do Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP . Trata-se de estudo coorte retrospectivo, onde foram avaliados 477 pacientes maiores de 18 anos, sendo 278 provenientes da enfermaria de clínica médica (Grupo Clínica Médica: GCM) e 199 da enfermaria de gastroenterologia cirúrgica (Grupo Gastro-Cirurgia: GGC), no período de janeiro de 2001 a dezembro de 2008. IRA foi definida de acordo com os valores de creatinina sérica, conforme proposto pelo Acute Kidney Injury Network (AKIN). A média de idade da população estudada foi de 65,5 ± 16,2 com predomínio de homens (62%) e com idade > 60 anos (65,2%). Diabetes mellitus (DM) ocorreu em 61,9%, hipertensão arterial (HA) em 44,4% e doença renal crônica em 21,9%. Os grupos estudados foram semelhantes em diversas características clínicas e laboratoriais. Óbito ocorreu em 58% no GCM e 75,4% no GGC (p=0,0002). Após análise multivariada, foram variáveis associadas ao óbito a necessidade de diálise, internação em UTI, idade > 60 anos e tempo de acompanhamento nefrológico. No GCM a internação em UTI e a necessidade de diálise estiveram associadas ao óbito, o mesmo ocorrendo, no GGC, em relação à necessidade de diálise, presença de sepse, creatinina sérica basal e tempo de acompanhamento nefrológico. Não houve diferença na recuperação renal entre os sobreviventes de ambos os grupos, mas a sobrevida do GCM foi maior que do GGC. Como conclusões, este trabalho mostra que a evolução dos pacientes com IRA provenientes de enfermarias clínica... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Acute Kidney Injury (AKI) is a multicausal complex syndrome without consensus about its definition, it presents high mortality rate and its incidence has been growing over the last decades. This study aims to evaluate the outcome of AKI patients caused by acute tubular necrosis admitted in clinical and surgical units of Botucatu Medical School University Hospital - UNESP. This is a retrospective cohort study with 477 adult patients, 278 of them from the clinical unit (Clinical Unit Group: CUG) and 199 from the surgical unit (Surgical Unite Group: SUG), were observed from January 2001 to December 2008. AKI was defined according to serum creatinine levels as proposed by Acute Kidney Injury Network (AKIN). The mean age was 65.5 ± 162 years. The majority of the patients were males (62%) older than 60 years (65.2%). Diabetes mellitus was diagnosed in 61.9%, high blood pressure in 44.4% and chronic kidney disease 21.8% of the patients. CUG and SUG were similar on clinical and laboratory basal characteristics. Death occurred 58% of CUG and 75.4% of SUG patients (p=0,0002). For the total cohort, dialysis requirement, critical care unit admission, age > 60 years and lower attendance time by nephrologists were significant and independently associated to death risk. In CUG critical care unit admission and dialysis requirement were significant and independently associated to death risk while among SUG patients dialysis requirement, sepsis, basal creatinine and lower attendance time by nephrologists were independent predictor of death. The IntroduçãIntrodução 11 survival probability was significantly higher in the CUG and the renal function recovery rate was similar between groups. In conclusion, the outcome of AKI patients hospitalized in clinical or surgical units was similar to previous reports. However, the lower survival among surgical patients reinforces the necessity of an early... (Complete abstract click electronic access below)
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Books on the topic "Surgery and medical clinic"

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V, Suscheck Christoph, and SpringerLink (Online service), eds. Tissue Engineering: From Lab to Clinic. Berlin, Heidelberg: Springer-Verlag Berlin Heidelberg, 2011.

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B, Agus G., Nicolaides Andrew N, and Stansby Gerard, eds. The venous clinic: Diagnosis, prevention, investigations, conservative and medical treatment, sclerotherapy and surgery. London: Imperial College Press, 1998.

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Lennon, Robert L. Mayo Clinic analgesic pathway: Peripheral nerve blockade for major orthopedic surgery. Rochester, MN: Mayo Clinic Scientific Press, 2005.

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Lennon, Robert L. Mayo Clinic analgesic pathway: Peripheral nerve blockade for major orthopedic surgery. Rochester, MN: Mayo Clinic Scientific Press, 2006.

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Hysteroscopic surgery. Edinburgh: Scottish Intercollegiate Guidelines Network, 1999.

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L, McKenzie A., ed. Medical lasers: Science and clinical practice. Bristol: A. Hilger, 1986.

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Edna, McDermott, and Hill Arnold D. K, eds. 100 clinical cases and OSCEs in surgery. Knutsford: PasTest, 2004.

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Allan, Clain, ed. Hamilton Bailey's demonstrations of physical signs in clinical surgery. Oxford: Butterworth-Heinemann, 1992.

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Etchells, Edward Evan. Clinical audit of perioperative medical care orthopaedic surgery inpatients. Ottawa: National Library of Canada, 1993.

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M, Hutson John, Woodward Alan A, Beasley Spencer W, and Royal Children's Hospital (Melbourne, Australia), eds. Jones' Clinical paediatric surgery: Diagnosis and management. 5th ed. Carlton South, Vic: Blackwell Science Asia, 1999.

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Book chapters on the topic "Surgery and medical clinic"

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Münz, J., M. Dvořák, O. Gotfrýd, and M. Peštál. "Clinical Information System for Urgent Surgery and Traumatology." In Medical Informatics Europe 85, 101–6. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93295-3_21.

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Zeh, Herbert J. "Building a Successful Clinical Program in the Academic Medical Center." In Success in Academic Surgery, 181–88. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71132-4_18.

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Greenburg, A. G., S. M. Case, G. S. Golden, and D. E. Melnick. "Core Clinical Content of Step 2 of the USMLE: Using Surgery as an Example." In Advances in Medical Education, 34–36. Dordrecht: Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-4886-3_8.

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Sekhar Reddy, Nallamilli V. S. "Medical Emergencies in Oral and Maxillofacial Surgical Practice." In Oral and Maxillofacial Surgery for the Clinician, 49–58. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_4.

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AbstractOral and Maxillofacial Surgery has evolved over the last few decades. Oral and Maxillofacial surgeons also deal with medical emergencies in an office or hospital setting on a regular basis. Emergency team response in most countries is prompt. However, in some parts of the world, the response time of the emergency team is expected to be comparatively longer, due to various policy issues. The chapter considers these special circumstances, to suggest some additional measures toward the management of the emergency, while waiting for the arrival of the emergency team. Oral and Maxillofacial surgeons are expected to be well versed with this life-saving simple clinical skill and the protocols discussed here take this into consideration.
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Phillip, Evans. "Evidence-Based Medicine in Medical Education and Clinical Practice." In Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, 495–501. Eighth edition. | Boca Raton : CRC Press, [2018] | Preceded by Scott-Brown’s otorhinolaryngology, head and neck surgery.: CRC Press, 2018. http://dx.doi.org/10.1201/9780203731031-44.

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Ognenovski, Vladimir M. "Preoperative and Postoperative Medical Management for Rheumatoid Hand Surgery." In Clinical Management of the Rheumatoid Hand, Wrist, and Elbow, 21–30. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-26660-2_3.

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Kniha, Kristian, Karl Andreas Schlegel, and Heinz Kniha. "Clinical Preparation for Guided Surgery and Medical Imaging (Different Workflows, Data Matching, and Segmentation)." In Guided Surgery in Implantology, 9–21. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75216-3_2.

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Carter, Timothy, Christine Tanner, Nicolas Beechey-Newman, Dean Barratt, and David Hawkes. "MR Navigated Breast Surgery: Method and Initial Clinical Experience." In Medical Image Computing and Computer-Assisted Intervention – MICCAI 2008, 356–63. Berlin, Heidelberg: Springer Berlin Heidelberg, 2008. http://dx.doi.org/10.1007/978-3-540-85990-1_43.

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Bettega, G., F. Leitner, O. Raoult, V. Dessenne, P. Cinquin, and B. Raphael. "Computer-Assisted Orthognathic Surgery: Consequences of a Clinical Evaluation." In Medical Image Computing and Computer-Assisted Intervention – MICCAI 2000, 1008–18. Berlin, Heidelberg: Springer Berlin Heidelberg, 2000. http://dx.doi.org/10.1007/978-3-540-40899-4_105.

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Gianopoulos, John G. "Medical evaluation and management of pregnant patients undergoing non-obstetrical surgery." In Clinical Maternal-Fetal Medicine Online, 32.1–32.10. 2nd ed. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003222590-29.

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Conference papers on the topic "Surgery and medical clinic"

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Abd al Hadi, Samah Ahmad, Amal Abousaad, and Mujahed Shraim. "Improving Waiting Times in Hand Surgery Clinic at Rumailah Hospital, Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0183.

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Background: The quality and efficiency of healthcare delivery are key drivers that influence hospital quality as well as patient satisfaction. The patient waiting time is the period of time that passes between patients first seeking medical treatment from the healthcare system and their admittance for consultation and diagnosis. The hand surgery clinic at Rumailah Hospital (RH) in Qatar has seen that only 12% of new patients who had been referred for urgent treatment from the accident and emergency department had received an appointment within 14 days. Aim: To increase the percentage of patients with new, urgent referrals to the hand surgery clinic at Rumailah Hospital from the accident and emergency department to be seen within 14 days from the current 12% to 20% by the end of October 2019 and from 20% to 60% by the end of April 2020. Methodology: This is a Quality improvement Project used the Institute for Healthcare Improvement model for improvement, the team used the root cause analysis to identify the bottleneck in the process, the Plan- Do - Study - Act (PDSA) cycles facilitates testing the selected changes: increase capacity, triage acciedent and emergency referrals, and clear the back log. Results: After implementing the changes, we observed increase in the proportion of patients who received appointments within 14 days of the referral, from 22% in July to 26% in August and 40% in September and October, 2019. Conclusion: The project team did extensive research in understanding the complex process of OPD appointment and clinic consultation. The project team tested three change ideas that yielded to manage the percentage of patients who received appointments within 14 days. The team is planning to test the next change idea to improve the triaging process by implementing electronic triaging, which is expected to reduce the waiting time for an appointment in the clinic.
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Tsagaan, Baigalmaa, Seiji Yamamoto, Keiichi Abe, Hiromasa Nakatani, and Susumu Terakawa. "Optical-based navigation system for paranasal sinus surgery and its first clinical trial." In Medical Imaging, edited by Kevin R. Cleary and Michael I. Miga. SPIE, 2007. http://dx.doi.org/10.1117/12.709070.

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Daly, M. J., H. Chan, S. Nithiananthan, J. Qiu, E. Barker, G. Bachar, B. J. Dixon, J. C. Irish, and J. H. Siewerdsen. "Clinical implementation of intraoperative cone-beam CT in head and neck surgery." In SPIE Medical Imaging, edited by Kenneth H. Wong and David R. Holmes III. SPIE, 2011. http://dx.doi.org/10.1117/12.878976.

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Jing, Shu, Cong Liu, He Li, and Weihai Jiang. "EXPERIENCE ON THE CLINICAL PRACTICE TEACHING OF SURGERY." In 2016 International Conference on Biotechnology and Medical Science. WORLD SCIENTIFIC, 2016. http://dx.doi.org/10.1142/9789813145870_0061.

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Sabczynski, J. "Medical imaging, navigation, and robotics - technical solutions for clinical problems." In IET Seminar on Robotic Surgery: The Kindest Cut of All? IEE, 2006. http://dx.doi.org/10.1049/ic:20060529.

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Songyuan Tang and Yongtian Wang. "MR-guided liver cancer surgery by nonrigid registration." In 2010 International Conference of Medical Image Analysis and Clinical Application (MIACA). IEEE, 2010. http://dx.doi.org/10.1109/miaca.2010.5528505.

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"Study on Clinical Value of Laparoscopic Surgery on Gynecology." In 2018 7th International Conference on Medical Engineering and Biotechnology. Clausius Scientific Press, 2018. http://dx.doi.org/10.23977/medeb.2018.07028.

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Reaungamornrat, S., Y. Otake, A. Uneri, S. Schafer, D. J. Mirota, S. Nithiananthan, J. W. Stayman, et al. "Tracker-on-C for cone-beam CT-guided surgery: evaluation of geometric accuracy and clinical applications." In SPIE Medical Imaging, edited by David R. Holmes III and Kenneth H. Wong. SPIE, 2012. http://dx.doi.org/10.1117/12.911454.

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Wormanns, Dag, Florian Beyer, Petra Hoffknecht, Volker Dicken, Jan-Martin Kuhnigk, Tobias Lange, Michael Thomas, and Walter Heindel. "Clinical value of CT-based preoperative software assisted lung lobe volumetry for predicting postoperative pulmonary function after lung surgery." In Medical Imaging, edited by Amir A. Amini and Armando Manduca. SPIE, 2005. http://dx.doi.org/10.1117/12.592905.

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Fetzer, Andreas, Jasmin Metzger, Darko Katic, Keno März, Martin Wagner, Patrick Philipp, Sandy Engelhardt, et al. "Towards an open-source semantic data infrastructure for integrating clinical and scientific data in cognition-guided surgery." In SPIE Medical Imaging, edited by Jianguo Zhang and Tessa S. Cook. SPIE, 2016. http://dx.doi.org/10.1117/12.2217163.

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Reports on the topic "Surgery and medical clinic"

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Jiang, Shan, and Sofija Kaljevic. Hennepin County Medical Center Whittier Clinic. Landscape Architecture Foundation, 2017. http://dx.doi.org/10.31353/cs1200.

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Parkinson, Richard. Environmental Assessment for Medical - Dental Clinic, Schriever Air Force Base, Colorado. Fort Belvoir, VA: Defense Technical Information Center, January 2001. http://dx.doi.org/10.21236/ada387329.

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Mason, Robert, Carolyn Trindle, Jane Bahr, and Ron Brugger. Environmental Impact Analysis Process. Environmental Assessment for Replacement Medical Clinic 61st Medical Squadron, Los Angeles Air Force Base. Fort Belvoir, VA: Defense Technical Information Center, December 1999. http://dx.doi.org/10.21236/ada413679.

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Linenger, Jerry M., William B. Long, and William J. Sacco. Combat Surgery: Medical Decision Trees for Treatment of Naval Combat Casualties. Fort Belvoir, VA: Defense Technical Information Center, February 1991. http://dx.doi.org/10.21236/ada374992.

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Vaseliades, Aristotle A. Increasing Department of Surgery Productivity: A Study on the Effects of Adding an Ambulatory Surgery Room to Tripler Army Medical Center. Fort Belvoir, VA: Defense Technical Information Center, May 2006. http://dx.doi.org/10.21236/ada473557.

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Adams, Brent N. Case Study: Preparing the Gastroenterology Clinic at Naval Medical Center San Diego (NMCSD) for T-NEX Implementation. Fort Belvoir, VA: Defense Technical Information Center, April 2004. http://dx.doi.org/10.21236/ada432458.

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Wegner, Michael D. Physician Provider Profiling in Brooke Army Medical Center's Internal Medicine Clinic: A Multiple Regression and Process Control Model. Fort Belvoir, VA: Defense Technical Information Center, December 1999. http://dx.doi.org/10.21236/ada420371.

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Cutler, David, Robert Huckman, and Mary Beth Landrum. The Role of Information in Medical Markets: An Analysis of Publicly Reported Outcomes in Cardiac Surgery. Cambridge, MA: National Bureau of Economic Research, May 2004. http://dx.doi.org/10.3386/w10489.

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Barnes, Timothy D. Demand Analysis for Proposed Medical Services at the Future Naval Health Clinic Charleston, South Carolina: A Graduate Management Project. Fort Belvoir, VA: Defense Technical Information Center, April 2006. http://dx.doi.org/10.21236/ada473554.

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Fine, Jr, and Donald E. Analysis of the Effectiveness of a Coding Compliance Training Program at the Troop Medical Clinic at Moncrief Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, April 2007. http://dx.doi.org/10.21236/ada477263.

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