Journal articles: '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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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.

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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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Cain, Steven M., Robert Moore, Lauren Sturm, Travis Mason, Caitlin Fuhrman, Robin Smith, Irfan Bojicic, and Brandon Carter. "Clinical assessment and management of general surgery patients via synchronous telehealth." Journal of Telemedicine and Telecare 23, no. 2 (July 9, 2016): 371–75. http://dx.doi.org/10.1177/1357633x16636245.

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Objective This paper describes how a clinical team at Landstuhl Regional Medical Center (LRMC) successfully integrated synchronous telehealth (TH) into their routine clinical practice. Methods and materials Synchronous TH encounters were performed using Polycom® software on surgeons’ computers with high-definition (HD) cameras on monitors at distant sites and PolyCom HDX9000® Telehealth Practitioner Carts at originating sites. Patients provided consented and were presented to general surgeons by nurses and medical technicians at Army health clinics throughout the European Theater. Results In calendar year (CY) 2014, five general surgeons and two surgical physician assistants (PAs) at Landstuhl Regional Medical Center along with registered nurses (RNs) at six originating clinic sites throughout Europe completed 130 synchronous TH encounters for 101 general surgery patients resulting in 73 completed and 16 recommended surgeries. Eighty-eight percent of patients had a completed or recommended surgery. No surgeries or procedures planned after initial TH evaluation were cancelled. Originating site clinics ranged in distance from 68 miles to 517 miles. Acceptance by providers, patients and clinic staff was high. Conclusion Synchronous TH was effective and safe in evaluating common general surgical conditions. We excluded sensitive and complex conditions requiring a nuanced physical examination. The TH efforts of the general surgery staff have resulted in high-quality, seamless and predictable TH activities that continue to expand into other surgical and medical specialties beyond general surgery. Seven surgeons and two PAs use synchronous TH regularly serving patients over a broad geographic area.

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Григорьев and Evgeniy Grigoryev. "HOSPITAL SURGICAL CLINIC." Бюллетень Восточно-Сибирского научного центра Сибирского отделения Российской академии медицинских наук 1, no. 4 (November 28, 2016): 135–40. http://dx.doi.org/10.12737/23001.

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The article reviews main stages of establishment and development of the Department of Hospital Surgery in different periods. We showed the role of heads and stuff of the department in the development of multipartial complex which aims at the unity of three components – to teach, to treat and to study.The first head of the department and of the clinic of hospital surgery (1921–1931) was N.A.Sinakevich. It was a pe-riod of establishment of the department, its staffing, formation of clinical site and training calendar. V.G.Shipachyov was the head of the department from 1931 to 1952. During the Great Patriotic War, the work of the department was aimed at the needs of war time related to the problems of reconstruction surgery and treatment of traumatic injuries. After the war, the work of the department was dedicated to the problems of hypothyroidism, obliterating endarteritis, gastrointestinal and urgent surgery.In 1953, Z.T.Senchillo-Yaverbaum became the head of the department. The work of the department was dedicated to gastrointestinal and pancreatic surgery, herniology, thyrophymas. Also the department included course of traumatology.In 1972, V.I.Astafiev became the head of the department. In this period, many young hopefuls started to work on the department. Also the research, treatment and educational complex was created on the base of the department, Re-gional Clinical Hospital and Siberian Branch of Academy of Medical Sciences USSR. While keeping the traditions of the department, V.I.Astafiev created new research and practice directions and special referral units – of cardiac, vascular, thoracic, purulent and urgent surgery, operative coloproctology, plastic surgery, diagnostic picture and X-ray surgery. Also the system of individual and collective training of surgical clerk.In 1988–1993 Y.I.Morozov was the head of the department. The new direction of the work was the development of complex treatment of purulent soft tissue involvement in patients with diabetes.From 1993, E.G. Grigoryev is the head of the department of hospital surgery and the Institute of Surgery.

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Georgescu, Nicolae. "The history of orthopedics and traumatology in Iasi." Jurnalul de Chirurgie 17, no. 1 (April 20, 2021): 56–62. http://dx.doi.org/10.7438/jsurg.2021.01.08.

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In Iasi, Orthopedics-Traumatology later appeared as a distinct specialty. In a first stage, orthopedics developed in surgical clinics - the period of surgical clinics (1879-1970). In each surgical clinic there were surgeons who dedicated themselves to orthopedic pathology: Radu Dimitrie, Theodor Căpățînă (Surgery I), Filimon Cicerone, Eusebiu Neagoe, Iulian Grădinaru (Surgery II), Paul Trosc (Surgery III). In 1967, at the Charity Hospital, two surgical services were carried out: The Surgery and Children's Orthopedic Clinic (Th. Economu) and the Osteoarticular Tuberculosis Clinic (A. Berneaga). Also, this year, 1970, in Iasi, the construction of a new medical unit will be completed - the Children's Hospital where the Clinic of Pediatric Surgery and Orthopedics will be moved. The Charity Hospital is disbanded and the Emergency Clinical Hospital will be established on the site of the former establishment. A second period begins - the transition period (1970-1983) - characterized by the search for optimal solutions, which involved changes and temporary until the establishment of orthopedic clinics. The newly established unit, the Emergency Clinical Hospital, was designed to include three departments: General Surgery IV (I. Jitaru), Medical Clinic (G. Popa) and an Orthopedics and Traumatology Clinic (conf. Gh. Floareș). This clinic treated all surgical pathology of orthopedics, traumatology and had didactic activity with fourth year students. The Orthopedics-Traumatology Department had 40 beds. There is also an Orthopedics-Traumatology department, with 40 beds, located in the Dr. C. I. Parhon Hospital run first by A. Berneaga and then by P. Trosc. Dimitrie Radu, Iulian Grădinaru and G. Herescu worked in this department. A new Recovery Hospital appears in Iasi. The new hospital also has an Orthopedics-Traumatology department (with 111 beds) where the orthopedics department will be transferred from Parhon Hospital. In 1983, Professor Gh. Floareș opted to move the clinic from the Emergency Hospital to the new Rehabilitation Hospital. At the Emergency Hospital there remains an Orthopedics-Traumatology Department staffed by a single doctor - Nicolae Georgescu who will develop a new team, which also have teaching activity: T. Cozma, L. Stratan, P. Sîrbu, Ovidiu Alexa, Paul Corlaci, Cezar Popescu. There are eight resident doctors (Elena Glod, Luminița Lăbușcă, Victor Pencu, G. Ghinoiu, C. Nanu, T. Bunescu, R. Malancea, L. Pacu). During this period (1992-1996) a basic A.O. course was organized in Iași. internationally, on which occasion many orthopedists are persuaded to routinely use modern means of osteosynthesis. Two more doctors come in this clinic: B. Puha, R. Asaftei, D. Cionca and A. Ciubara. After 1989, the ATOM was born: The Association of Traumatologists and Orthopedists of Moldova, congresses and postgraduate courses are organized. In 2012 the Orthopedic Clinic moved to the St. Spiridon Emergency Clinical Hospital (Prof. Ovidiu Alexa). The orthopedic clinic at the Recovery Hospital treats chronic osteoarticular pathology (prof Paul Sirbu).

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Editorial, E. "Erratum: The article „Congenital upper eyelid coboloma with ipsilateral eyebrow hypoplasia” [Urodjeni defekt gornjeg kapka sa istostranom hipoplazijom obrve]. Vojnosanit pregl 2012; 69(9): 809-811. (DOI:10.2298/VSP1209809V)." Vojnosanitetski pregled 73, no. 11 (2016): 1078. http://dx.doi.org/10.2298/vsp1611078e.

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The authors and their affiliations were listed as follows: Dejan Vulovic+, Marijan Novakovic??, Tatjana Sarenac?, Mirjana Janicijevic-Petrovic?, Nenad Petrovic?, Suncica Sreckovic?, Sasa Milicevic?, Branislav Piscevic? +Centre for Plastic Surgery, ?Clinic for Ophthalmology, Clinical Centre Kragujevac, Kragujevac, Serbia; ?Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; ?Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia Listed the authors and their affiliations should read as: Dejan Vulovic+, Marijan Novakovic??, Tatjana Sarenac?, Mirjana Janicijevic-Petrovic?, Nenad Petrovic?, Suncica Sreckovic?, Sasa Milicevic?, Branislav Piscevic? +Centre for Plastic Surgery, ?Clinic for Ophthalmology, Clinical Centre Kragujevac, Kragujevac, Serbia; ?Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; ?Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia Link to the corrected article <a href="http://dx.doi.org/10.2298/VSP1209809V ">10.2298/VSP1209809V</a>

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Levitsky, Lorraine T., Jack Ruske, Dirk M. Hentschel, Louis L. Nguyen, C. Keith Ozaki, and Samir K. Shah. "Saturday multidisciplinary hemodialysis access clinics to enhance patient care." Journal of Vascular Access 21, no. 4 (November 4, 2019): 456–59. http://dx.doi.org/10.1177/1129729819883130.

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Fragmentation of outpatient care is a substantial barrier to creation and maintenance of hemodialysis access. To improve patient accessibility, satisfaction, and multidisciplinary provider communication, we created a monthly Saturday multidisciplinary vascular surgery and interventional nephrology access clinic at a tertiary care hospital in a major urban area for the complicated hemodialysis patient population. The study included patients presenting for new access creation as well as those who had previously undergone access surgery. Staffing included two to three interventional nephrologists, two to three vascular surgeons, one medical assistant, one research assistant, and one practice assistant. Patient satisfaction and perception of the clinic was measured using surveys during six of the monthly Saturday hemodialysis clinics. A total of 675 patient encounters were completed (18.2 average/clinic ±6.3 standard deviation) from August 2016 to August 2019. All patients were seen by both disciplines. The average no-show rate was 19.9% throughout the study period. Patient satisfaction in all measures was consistently high with the Saturday clinic. Providers were also assayed, and they generally valued the real-time, multidisciplinary care plan generation, and its subsequent efficient execution. Saturday multidisciplinary hemodialysis access clinics offer high provider and patient satisfaction and streamlined patient care. However, no-show rates remain relatively high for this challenging patient population.

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Jacobson, Jed, Aree Jainkittivong, Chih-Ko Yeh, Gray F. Guest, and James A. Cottone. "Evaluation of medical cosultations in a predoctoral dental clinic." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 80, no. 4 (October 1995): 409–13. http://dx.doi.org/10.1016/s1079-2104(05)80333-6.

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Shah-Khan, Miraj, Shahnaz Chowdhry, Marc I. Brand, and Theodore J. Saclarides. "Patient Attitudes Toward Medical Students in an Outpatient Colorectal Surgery Clinic." Diseases of the Colon & Rectum 50, no. 8 (August 2007): 1255–58. http://dx.doi.org/10.1007/s10350-007-0274-x.

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Tsuruki, Saburo, Takashi Tsuruki, Taro Tsuruki, Shoko Tsuruki, Y. Ichinokawa, T. Ishida, and K. Hasegawa. "P.262 Outlook of Tsuruki clinic medical & dental 2008." Journal of Cranio-Maxillofacial Surgery 36 (September 2008): S232. http://dx.doi.org/10.1016/s1010-5182(08)72050-x.

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Kruger, Estie, Irosha Perera, and Marc Tennant. "Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia." Australian Journal of Primary Health 16, no. 4 (2010): 291. http://dx.doi.org/10.1071/py10028.

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Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.

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Nasseri, Eiman, Janie Bertrand, Danielle Brassard, Geneviève Fortier-Riberdy, and Isabelle Marcil. "Physician Survey Regarding Patient Nonattendance at Follow-up Appointments at a University-Affiliated Medical Dermatology Clinic." Journal of Cutaneous Medicine and Surgery 16, no. 2 (March 2012): 92–96. http://dx.doi.org/10.2310/7750.2011.11004.

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Background: Patient nonattendance is a frequent occurrence in dermatology clinics, and our responsibility regarding the follow-up of these patients remains nebulous. Objective: This study sought to evaluate the beliefs and practices of physicians at a university-affiliated medical dermatology clinic regarding patient nonattendance at follow-up appointments and to provide an algorithm to deal appropriately with absentee patients based on various Canadian medical association guidelines. Methods: A questionnaire was distributed to the 17 dermatologists practicing at the Centre Hospitalier de l'Université de Montréal medical dermatology clinic. We contacted provincial and national medical associations regarding directives for patient follow-up. Results: There is a lack of consensus among dermatologists at the Centre Hospitalier de l'Université de Montréal regarding responsibility toward patients who miss their follow-up appointments. However, the majority of survey respondents consider that patient follow-up must be adjusted on a case-by-case basis and that diagnoses at risk for high morbidity and mortality require particular attention, which is in line with various Canadian medical association guidelines. Conclusion: Dermatologists should have a structured approach to dealing with patients who miss their follow-up appointments to ensure the appropriate care of all patients.

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Andreev, Alexander Alekceevich, and Anton Petrovich Ostroushko. "LEVIT Vladimir Semenovich – doktor meditsinskikh nauk, professor, zasluzhennyy deyatel' nauki RSFSR, vydayushchiysya khirurg, dekan meditsinskogo fakul'teta Irkutskogo universiteta, general-mayor meditsinskoy sluzhby." Vestnik of Experimental and Clinical Surgery 11, no. 2 (June 30, 2018): 151. http://dx.doi.org/10.18499/2070-478x-2018-11-2-151.

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Vladimir Semyonovich Levit was born in 1883 and after graduation from the gymnasium he studied at the Medical Faculty of the University of Koenigsberg (1901-1906), worked in the Ardatov Zemstvo of the Simbirsk Gubernia. In 1914, Vladimir Semenovich defended his doctoral dissertation, became head of the surgical department of the Simbirsk Province Hospital, and began teaching at a paramedic school. V.S. Levit was elected privat-docent of the faculty surgical clinic of Tomsk University (1919), privat-docent (1922), then professor and head of the department of the faculty surgical clinic, dean of the medical faculty (1922-1926) of Irkutsk University, head of the department of hospital surgery of medical faculty. 2 Moscow University (since 1926), which is headed for 27 years. V.S. Levit for the first time in the USSR successfully resected cardia (1928), surgery for hernia of the esophageal aperture (1929). In 1936 he was awarded the title of Honored Scientist of the RSFSR. During the Great Patriotic War V.S. Levit was appointed chief surgeon of the Moscow Military District, deputy chief surgeon of the Soviet Army (1942), and in 1943 he became a major general of the medical service. Since 1950, V.S. Levit - chief surgeon of the Central Military Hospital. P.V. Mandrika. He published 120 scientific works, he was the editor of 3-volume manual, 2-volume textbook on surgery, the surgical section of the Great Medical Encyclopedia, the publication "The Experience of Soviet Medicine in the Great Patriotic War of 1941-1945." V.S. Levit was the editor of the magazine "Soviet Surgery" (later "Surgery") (1931-1953), a member of the editorial board of the journals "New Surgery", "Russian Clinic", "Central Medical Journal." He was the head and scientific consultant in the preparation of 23 candidate and 10 doctoral dissertations. V.S. Levit was a member of the International Surgical Society, chairman of the Moscow Surgical Society, a member of the Academic Council of the Ministry of Health of the USSR, and district Soviets of Working People's Deputies. V.S. Leviticus was awarded the Order of the Red Banner, the Patriotic War of the 2nd degree, the Red Star, medals. V.S. Leviticus died in 1961 in Moscow.

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O'Connell, R. L., S. K. Hartridge-Lambert, N. Din, E. R. St John, C. Hitchins, and T. Johnson. "Patients' understanding of medical terminology used in the breast clinic." Breast 22, no. 5 (October 2013): 836–38. http://dx.doi.org/10.1016/j.breast.2013.02.019.

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Khasanova, I. K., N. M. Khakimov, I. G. Zakirov, L. M. Zorina, M. I. Timerzyanov, and R. R. Shakirov. "Medical waste monitoring in a dental outpatient clinic." Kazan medical journal 95, no. 5 (October 15, 2014): 658–63. http://dx.doi.org/10.17816/kmj2211.

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Aim. To estimate the amounts and weight of medical waste in the dental outpatient clinic. Methods. Amounts and weight of types A and B medical waste, as well as the number of patients treated in the branch №1 of OAO «City Dentistry», Kazan, Russia from June 2012 to May 2013 were analyzed using the methods of public health statistics. Results. Total amount of type A medical waste was 7516 pieces, with the average amount of 300.6±9.21 per month. Total weight was 8995.3 kg, with the average of 359.8±11.03 kg per month. Total amount of type B medical waste was 6804 per year, with the average of 272.2±5.19 per month, and their total weight was 12090.6 kg, with the average of 483.6±13.39 kg per month. Despite the trend of increasing the absolute amounts and weight of type A and B waste, if calculated per patient treated, these values had a trend for reduction. Medical waste amounts differed between the departments of the outpatient clinics, even between departments providing same medical care. In general, types A and B waste weight was increasing, while amount of waste decreased. Conclusion. Types A and B waste weight depended mainly on the number of treated patients compared to waste amount. Waste weight and amount, if calculated per patient treated, had different trends and were different not only between the departments of surgery, orthopedics and conservative dentistry, but also between different departments of conservative dentistry.

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Gilleard, O., N. Segaren, D. Markeson, R. Uppal, Y. Tavsanoglu, M. Jones, V. Leon-Villapalos, and RJI Colville. "Improving Core Surgical Training in Plastic Surgery." Bulletin of the Royal College of Surgeons of England 94, no. 9 (October 1, 2012): 304–6. http://dx.doi.org/10.1308/147363512x13311314198652.

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Since the introduction of the European Working Time Regulations (EWTR) and Modernising Medical Careers (MMC), concerns have been raised regarding the quality of early surgical training. Recurring issues include the lack of time spent in the operating theatre and outpatient clinic with increased time spent on service provision. As a means of restoring the quality of early surgical training, the Joint Committee on Surgical Training (JCST) has devised a set of SMART (specific, measurable, attainable, relevant, time-framed) standards to be met by core surgical trainees (CSTs). These include the following scheduled weekly activities: four half-day sessions (18 hours) supervised in the operating theatre, one half-day session (4.5 hours) in supervised outpatient clinics and two hours of structured teaching.

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Seagger, R., T. Bunker, and P. Hamer. "Surgeon-operated ultrasonography in a one-stop shoulder clinic." Annals of The Royal College of Surgeons of England 93, no. 7 (October 2011): 528–31. http://dx.doi.org/10.1308/147870811x13137608454939.

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INTRODUCTION Nearly 1 in 40 of the population seeks medical advice related to a shoulder problem every year. The majority pertain to rotator cuff pathology. Prior to intervention in such patients it is imperative to define whether the tendons are intact or torn. Ultrasonography has become an essential adjunct to clinical assessment in diagnosing rotator cuff tears. This study was designed to investigate if a surgeon using a portable ultrasonography machine in a one-stop shoulder clinic could significantly reduce the time a patient waited from initial outpatient presentation to the end of the treatment episode (be it surgery, injection or conservative management). METHODS A total of 77 patients were allocated to one of two groups: Group A, consisting of 37 patients who were assessed and had ultrasonography as outpatients, and Group B, consisting of 40 patients who were assessed and referred for departmental ultrasonography where appropriate. Three clear outcome groups were defined: those who required surgical repair, those who had irreparable tears and those who declined surgery. RESULTS For all outcomes (surgery, irreparable tears and conservative treatment), the patients in Group A all completed their clinical episodes significantly quicker than those in Group B (p<0.02). As well as the time saving benefits, there was a substantial financial saving for Group A. By performing ultrasonography in the outpatients department, those patients avoided the requirement of departmental imaging (£120) and subsequent follow-up appointments (£73) to discuss results and management, resulting in a saving of nearly £200 per patient. CONCLUSIONS The use of a portable ultrasonography machine by an orthopaedic surgeon can significantly reduce the time to treatment and the financial cost for patients with rotator cuff tears.

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Khan, I. H., and G. Giddins. "Analysis of NHSLA claims in hand and wrist surgery." Journal of Hand Surgery (European Volume) 35, no. 1 (September 28, 2009): 61–64. http://dx.doi.org/10.1177/1753193409347422.

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Claims for negligence are increasing in medical practice. We analysed data provided by the UK NHS Litigation Authority (NHSLA) on all hand and wrist surgery from 1995–2001. The numbers of claims increased from 13 to 40, but the number being successfully defended also increased from 2 to 13 during this period. Claims were most commonly attributed to errors at surgery (56%) or in outpatient clinics (24%). Strikingly the claims are clustered to a few common conditions, particularly the treatment of carpal tunnel syndrome (22%) and wrist fractures (48%). There were no claims related to complex hand surgery. We recommend better training for ‘routine surgery’, better description of distal radius fracture parameters at each clinic visit and better training in emergency departments (ED).

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Yurko, L. C., C. P. Brandt, T. L. Coffee, and C. J. Yowler. "Medical Center Utilization of an Outpatient Burn Clinic." Journal of Burn Care & Rehabilitation 23 (March 2002): S108. http://dx.doi.org/10.1097/00004630-200203002-00131.

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Correll, Darin J., Angela M. Bader, Melissa W. Hull, Cindy Hsu, Lawrence C. Tsen, and David L. Hepner. "Value of Preoperative Clinic Visits in Identifying Issues with Potential Impact on Operating Room Efficiency." Anesthesiology 105, no. 6 (December 1, 2006): 1254–59. http://dx.doi.org/10.1097/00000542-200612000-00026.

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Background Preoperative clinics have been shown to decrease operating room delays and cancellations. One mechanism for this positive economic impact is that medical issues are appropriately identified and necessary information is obtained, so that knowledge of the patients' status is complete before the day of surgery. In this study, the authors describe the identification and management of medical issues in the preoperative clinic. Methods All patients coming to the Preoperative Clinic during a 3-month period from November 1, 2003, through January 31, 2004, at the Brigham and Women's Hospital, Boston, Massachusetts, were studied. Data were collected as to the type of issue, information needed to resolve the issue, time to retrieve the information, cancellation and delay rates, and the effect on management. Results A total of 5,083 patients were seen in the preoperative clinic over the three-month period. A total of 647 patients had a total of 680 medical issues requiring further information or management. Of these issues, 565 were thought to require further information regarding known medical problems, and 115 were new medical problems first identified in the clinic. Most of the new problems required that a new test or consultation be done, whereas most of the old problems required retrieval of information existing from outside medical centers. New problems had a far greater probability of delay (10.7%) or cancellation (6.8%) than old problems (0.6% and 1.8%, respectively). Conclusions The preoperative evaluation can identify and resolve a number of medical issues that can impact efficient operating room resource use.

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Konstantopoulos, Nektarios, Vasileios Syrimpeis, Vassilis Moulianitis, Ioannis Panaretou, Nikolaos Aspragathos, and Elias Panagiotopoulos. "A Smart Card Based Software System for Surgery Specialties." International Journal of User-Driven Healthcare 4, no. 1 (January 2014): 48–63. http://dx.doi.org/10.4018/ijudh.2014010104.

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This paper presents a software system based on smart cards technology for recording, monitoring and studying patients of any surgery specialty (General Surgery, Orthopedics, Neurosurgery, etc). The system is also suitable for the computerization of any surgery specialty clinic and the respective surgical material repositories. Dynamic customization functions adapt the system to the different characteristics of the surgery specialties. Special customization is involved concerning implantable materials. The .NET platform and Java Cards used for the development of the system and the architectural model of the system are designed towards satisfying the basic integration and interoperability issues. The developed system is “doctor-friendly” because it is based on classifications and knowledge grouping used in every day clinical practice provided from medical experts on the field but is not intended to be a complete Electronic Medical Record (EMR). The major scope of this effort is the development of a system that offers a fast and easy installable, low cost solution in health environments still immature in adopting solutions based exclusively on Informatics and is designed to be installed in small Private Medical Consulting Rooms to Community Clinics, Health Centers, Hospital Surgery Departments till Central Health Organizations.

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Islam, Shariful, Imran Aziz, Jitendra Shah, Jacob Oba, Patrick Harnarayan, Arlene Jammie Rampersad, and Vijay Naraynsingh. "The Impact of Breast Clinic on the Mastectomy and Axillary Clearance Rates at a Tertiary Hospital in an Eastern Caribbean Nation: A Comparative Study." International Journal of Breast Cancer 2019 (March 7, 2019): 1–6. http://dx.doi.org/10.1155/2019/8018242.

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Background. Breast cancer is the leading form of cancer in women in Trinidad and Tobago. Traditionally the practice of mastectomy or wide local excision with or without axillary clearance was applied to most of these patients. This is often associated with significant morbidity and a poor cosmetic outcome with both negatively impacting the patients quality of life. The aim of our study was to assess the mastectomy and axillary clearance rate before and after the introduction of a specialty breast clinic in September 2012. Design and Methods. This is a retrospective comparative study of all female patients who underwent breast cancer surgery at our tertiary hospital 3 years prior to and 3 years after starting of breast clinic (between January 2010 and December 2015). Patients were identified from the surgical log books of our hospital. There are 5 surgical units at our hospital and in one of those units the lead surgeon had a special interest in surgical oncoplastic breast surgery. That unit formed the breast clinic in August 2012. Results. There were 532 women (256 before breast clinic and 276 after breast clinic era) with histologically verified breast cancer operated on between January 2010 and December 2015. The overall mastectomy rate was reduced from 62% to 51% (0.7 to 0.4) and the axillary clearance rate from 66.79% versus 37.31% (0.6 to 0.4) after the introduction of the clinic with p values of 0.007 and 0.009, respectively. Conclusions. The introduction of breast clinic has significantly reduced the mastectomy and axillary clearance rate at our teaching hospital.

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Iqbal, Nusrat, Charlene Sackitey, Lillian Reza, Janindra Warusavitarne, Phil Tozer, and Ailsa Hart. "Patient perceptions of joint medical-surgical assessment in a tertiary referral clinic for inflammatory bowel disease." British Journal of Healthcare Management 27, no. 5 (May 2, 2021): 146–51. http://dx.doi.org/10.12968/bjhc.2020.0121.

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Background Joint medical-surgical inflammatory bowel disease clinics allow simultaneous patient assessment by both a gastroenterologist and surgeon. However, patient perceptions of dual clinician presence have not been adequately assessed. Therefore, this study aimed to evaluate the patient's view of receiving multidisciplinary care in this clinic. Methods Patients attending the medical-surgical inflammatory bowel disease clinic completed questionnaires assessing their attitudes towards the clinic, their overall satisfaction and desired frequency of appointments. Results Responses were received from 44 patients, the majority of whom indicated that attendance at the joint medical-surgical clinical made them feel less anxious about their disease, provided consistent messages regarding their care and minimised the number of trips made to hospital. High levels of satisfaction were reported, with 43% stating they preferred joint clinic attendance for every appointment. Conclusions Effective inflammatory bowel disease management requires coordinated care across specialties. Simultaneous medical-surgical assessment has practical and emotional benefits, without making patients feel overburdened by the presence of more than one clinician. This supports the streamlining of care for patients with inflammatory bowel disease in specific clinical scenarios.

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Kamiandrouskaya, A. A., I. O. Pokhodenko-Chudakova, A. S. Lastovka, E. S. Yadchenko, V. V. Gorbachev, M. S. Kosova, A. A. Kabanava, and N. A. Averchankava. "STAY IN THE ULM UNIVERSITY CLINIC (GERMANY)." Vestnik of Vitebsk State Medical University 20, no. 2 (April 15, 2021): 109–15. http://dx.doi.org/10.22263/2312-4156.2021.2.109.

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In March 2020 I was in the Ulm University Clinic for 2 weeks. My internship course took place on the basis of the department of general and visceral surgery. The work in the clinic is structured in such a way that not only surgeons but also doctors of the adjoining specialties, trainees and students participate in the discussion of patients’ treatment. And at the morning conferences, a resuscitator, a radiologist and an endoscopist must always be present. The operating unit has all necessary equipment in sufficient quantity. Preoperative preparation is carried out by the anesthetic team in the preoperative room. A special role is given to the patient’s thermal isolation using special blankets, protection of the patient’s eyes with a patch, and perioperative antibiotic prophylaxis. In addition to the operating surgeon and two main assistants, the operating team obligatorily includes a student. Continuous training by senior surgeons of junior ones is practiced. Basic surgical instruments are represented with everything you need. In the postoperative period all drugs are charged into infusion machines at a daily dosage, which simplifies the work of paramedical personnel and also reduces the risk of catheter infection. When entering a medical university the competition is initially very high (more than 20 people per place). All doctors work in a unified team, there is no strict division into university chairs and clinic departments. Two weeks spent in the Ulm University Clinic have shaped my understanding of medical care and medical education in Germany, acquainted me with the specificity of the surgical service and the technical features of performing surgical interventions.

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Xu, Xiequn, Zhong Wang, Hui Pan, Ping Yang, and Jianchun Yu. "One-Week Experience in the General Surgery Outpatient Clinic for Preclinical Medical Students." Journal of Surgical Education 69, no. 5 (September 2012): 599–604. http://dx.doi.org/10.1016/j.jsurg.2012.05.001.

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Kashora, Florence, and Mark McCarthy. "Best Medical Therapy Advice in the Vascular Surgery Clinic: A Service Evaluation Project." European Journal of Vascular and Endovascular Surgery 58, no. 6 (December 2019): e854-e855. http://dx.doi.org/10.1016/j.ejvs.2019.09.478.

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Eichhorn, Mitchell George, Murad Jehad Karadsheh, Johanna Ruth Krebiehl, Dawn Marie Ford, and Ronald D. Ford. "Vibration for Pain Reduction in a Plastic Surgery Clinic." Plastic Surgical Nursing 36, no. 2 (2016): 63–68. http://dx.doi.org/10.1097/psn.0000000000000134.

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Gabbay, Itay Elimelech, Uri Gabbay, Daniel A. Goldstein, and Yoav Nahum. "Should every candidate for cataract extraction be scheduled to the preoperative clinic? The Rabin Medical Center experience." European Journal of Ophthalmology 30, no. 6 (July 29, 2019): 1268–71. http://dx.doi.org/10.1177/1120672119865842.

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Background: Cataract surgery is one of the most common elective surgeries. We present a novel approach of preoperative triage using community-based ophthalmologist referral letters for scheduling surgery, thus reducing both patient and physician time prior to surgery. Since most patients are not routinely examined in a preoperative clinic, day of surgery cancelations are a possibility. The aim of this study is to evaluate the efficiency of our triage system. Methods: Historical prospective study in which the end point was day-of-surgery cancelation. The main outcome measure of this study was the rate of cancelations which could have been prevented by a preoperative visit. Patients’ records were reviewed for reasons for cancelation and demographics. Results: During the study period, 1030 patients underwent cataract surgery, 171 patients (16.6%) were examined in the preoperative clinic. Forty-five patients (4.4%) were canceled on the day of surgery due to various reasons. The main reason for cancelation (13 cases, 28.9%) was non-availability of operating theater. In 20 cases (1.9% of total patients, 44.4% of cancelations), the cancelations could have been prevented by a preoperative clinic visit. Conclusion: Our results suggests that most cataract patients do not require preoperative visit prior to the day of surgery. The cooperation of community-based ophthalmologists and the availability of senior surgeons in the operating theater allows for the proper implementation of our system. Direct referral to surgery could shorten both costs and time to surgery and provide timely treatment for cataracts in a cost-aware environment.

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Leong, A. C., and C. Aldren. "‘Bones of contention’: a donor register for temporal bone donation?" Journal of Laryngology & Otology 121, no. 10 (January 25, 2007): 932–37. http://dx.doi.org/10.1017/s0022215107005658.

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Introduction: Temporal bone dissection is essential training for otological surgery. Organ retention scandals have made it difficult to obtain consent for cadaveric temporal bone removal. The current literature does not address the means of acquiring a steady supply of cadaveric temporal bones for medical education and training. The US national temporal bone registry has established a temporal bone donor bank for medical education and research. Could a similar programme in the UK be an answer to the paucity of temporal bones?Objectives: (1) To ascertain the degree of interest amongst our regional patient population in a ‘living will’ pledge for temporal bone donation for medical education and research. (2) To delineate a demographic profile of potential temporal bone donors.Design, setting and participants: One thousand questionnaires were distributed to patients and relatives attending out-patient clinics; 920 people responded.Results: Seventy per cent of respondents supported temporal bone donation for medical education and research. Potential temporal bone donors tended to be ENT clinic attenders, to suffer from hearing difficulties or to have had previous ear surgery (p<0.001). Strong support also came from non-ENT clinic attenders.Conclusions: There was strong support amongst our regional patient population for a ‘living will’ pledge for temporal bone donation for medical education and research. Based on our donor profile, we propose a temporal bone donor programme, starting on a regional basis with possible expansion nationwide. This programme would recruit donors from amongst patients attending ENT out-patient clinics, as a long term solution to improve the supply of temporal bones.

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Rodd, Helen D., Emma L. Clark, Melanie R. Stern, and Sarah R. Baker. "Failed Attendances at Hospital Dental Clinics among Young Patients with Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 44, no. 1 (January 2007): 92–94. http://dx.doi.org/10.1597/05-162.

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Objective: To determine the frequency of missed dental appointments among children with a cleft lip and/or palate (CL/P). Design: A prospective study of failed appointments over a 12-month period. Setting: Three different CL/P clinics within a British dental hospital. Patients: Forty-five CL/P children (mean age of 8.8 years) and 45 age-matched, gender-matched, and postal code–matched noncleft patients. Main outcome measures: The overall percentage of missed appointments at three different clinics by CL/P patients and the difference in attendance rates at the pediatric dentistry clinic between CL/P and non-CL/P children. Results: Pediatric dentistry had the highest rate of missed appointments (22.4%), followed by the multidisciplinary cleft clinic (9.2%) and the orthodontic clinic (8.8%). CL/P patients missed a significantly greater proportion of their pediatric dentistry appointments than noncleft children (22.4% versus 11.9%). Patients with a bilateral CL/P were significantly more likely to miss an appointment than patients with a unilateral CL/P. Age, gender, medical history, and distance traveled had no significant effect on attendance rates. Conclusions: Further work is needed to identify risk factors for poor attendance and to develop strategies to reduce the frequency of missed appointments in this vulnerable group.

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Quilty, Jennifer. "Creation of a Pediatric Burn Clinic." Journal of Pediatric Surgical Nursing 5, no. 2 (2016): 36–39. http://dx.doi.org/10.1097/jps.0000000000000098.

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John, Preethi, Mary P. Hodges, Gaurav Shah, Umber Dickerson, Julie Dreadin-Pulliam, Julie Smith, Carolyn B. Hendricks, and Ashraf Mahmoud Mohamed. "A quality improvement initiative to increase screening for financial coverage for breast cancer patients to decrease financial toxicity." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 259. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.259.

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259 Background: In April 2021, it was found that 35% of our breast cancer patients seen in the breast surgery and medical oncology clinics had no financial coverage leading to significant financial toxicity at Parkland Memorial Hospital, a safety net hospital for Dallas county in Texas. In addition, only 8% of all our breast cancer patients were financially screened in April 2021. We aimed to increase pre-visit phone calls to financially screen patients within a week of their subsequent visit with a provider from a baseline rate of 8% to 20% for all breast cancer patients in hopes of capturing more unfunded patients and providing appropriate resources. Methods: We used the Institute for Health Improvement (IHI) model as our quality improvement framework. Based on our fish bone and pareto chart analysis, it was discovered that the lack of consistent financial screening was likely due to lack of standardized training across our ancillary staff, lack of standardized processes for financial screening, and lack of education of both providers and patients regarding the financial coverage process. To address these issues, we created a standardized process of financial screening called “pre-visit planning (PVP)” involving a telephone call by our schedulers to breast oncology patients within 1 week of their next visit. Screening included checking financial application status and educating patients on methods of application submission including epic my-chart enrollment. Screening also included checking financial coverage status and if unfunded, a referral to a financial counselor was made. Formal training of staff was performed with mock trial phone calls. We initiated implementation in the breast surgery clinic initially with plans to expand to the medical oncology clinic. Results: At baseline, in April 2021, 300 patients were seen in the breast surgery clinic of which 19 were financially screened (6.3%). Implementation of PVP for all patients in the breast surgery clinic began in May 2021 with data representing 2 weeks of financial screening by our staff. Total number of patients seen over the span of 2 weeks in the breast surgery clinic was 165 of which 59 were financially screened making up 36% of patients. In addition, 8 patients in the breast surgery clinic were screened by a financial counselor increasing the rate of financial screening to 40.6%. Conclusions: We successfully implemented PVP to better assist our patients in several ways including updating their financial coverage, educating them on the financial process, as well as referring them to a financial counselor for additional aid. Increased follow up time is needed to assess the downstream effects of PVP such as increase in financial counselor visits and decrease in unfunded patients.

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Chin, Theresa L., Rita Frerk, Victor C. Joe, Sara Sabeti, Kimberly Burton, Nicole O. Bernal, Ché R. Ochtli, Erika Tay, and Melissa Carmean. "581 The Effects of the COVID Pandemic on Burn Clinic." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S142. http://dx.doi.org/10.1093/jbcr/irab032.231.

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Abstract Introduction The COVID19 pandemic has led to anxiety and fears for the general public. People were concerned about coming to a medical facility where the virus might be transmitted. Furthermore, stay-at-home orders that were implemented during the pandemic did not apply to clinic visits but contributed to people staying at home even for medical care. We hypothesized that there were delays in burn care due to the pandemic. Methods We queried our clinic data for number of clinic visits and new burn evaluations by month. Patients referred to our clinic from March 15, 2020 to Sept 15, 2020 were reviewed for time of presentation after injury. Days from injury date to clinic referral date and days from clinic referral date to appointment date were calculated. Patients who were referred but did not show and were not seen in our ED were not included because injury date could not be determined. Univariate analysis was performed. Results As seen in Figure 1, our in-person clinic volume decreased in April and May 2020 but rebounded in June 2020 as compared to the number of clinic visits for the same months last year. Similarly, in Figure 2, our new burn evaluations decreased in April and May 2020 compared to our new burn volume from 2019. However, our video telehealth visits increased in March and April then decreased in June-August. Conclusions Our burn clinic remained open to see patients with burn injury throughout the pandemic, however, clinic visits were delayed early in the pandemic. While we had an increase in video telehealth, it does not account for the decrease in clinic visits. This may be due to low enrollment in the electronic medical record encrypted communication platform and/or limited knowledge/access to the technology. Additional care may have been informally given via telephone but not well captured. Furthermore, burn care was delivered in the following months. Additional investigation is necessary to see if the incidence of burn injury decreased.

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Chang, Ying-Jen, Kuo-Chuan Hung, Li-Kai Wang, Chia-Hung Yu, Chao-Kun Chen, Hung-Tze Tay, Jhi-Joung Wang, and Chung-Feng Liu. "A Real-Time Artificial Intelligence-Assisted System to Predict Weaning from Ventilator Immediately after Lung Resection Surgery." International Journal of Environmental Research and Public Health 18, no. 5 (March 8, 2021): 2713. http://dx.doi.org/10.3390/ijerph18052713.

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Assessment of risk before lung resection surgery can provide anesthesiologists with information about whether a patient can be weaned from the ventilator immediately after surgery. However, it is difficult for anesthesiologists to perform a complete integrated risk assessment in a time-limited pre-anesthetic clinic. We retrospectively collected the electronic medical records of 709 patients who underwent lung resection between 1 January 2017 and 31 July 2019. We used the obtained data to construct an artificial intelligence (AI) prediction model with seven supervised machine learning algorithms to predict whether patients could be weaned immediately after lung resection surgery. The AI model with Naïve Bayes Classifier algorithm had the best testing result and was therefore used to develop an application to evaluate risk based on patients’ previous medical data, to assist anesthesiologists, and to predict patient outcomes in pre-anesthetic clinics. The individualization and digitalization characteristics of this AI application could improve the effectiveness of risk explanations and physician–patient communication to achieve better patient comprehension.

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Herrera, Fernando A., Jane Yanagawa, Amanda Johnson, Karl Limmer, Nancy Jackson, and Michelle K. Savu. "The Prevalence of Obesity and Postoperative Complications in a Veterans Affairs Medical Center General Surgery Population." American Surgeon 73, no. 10 (October 2007): 1009–12. http://dx.doi.org/10.1177/000313480707301019.

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Patients who are obese are believed to be at greater risk of developing intraoperative and postoperative complications than their nonobese counterparts. Many studies have shown that there is a higher prevalence of obesity among the Veterans Affairs patient population. We performed a retrospective review of 941 patients presenting to a single Veterans Affairs Medical Center. We aimed to determine the incidence of obesity among the Veterans Affairs Medical Center general surgery patient population as well to compare the frequency of postoperative complications between patients who are obese and nonobese patients undergoing elective general surgery. Body mass index was calculated for all patients; of the 941 patients seen in the clinic, 547 underwent elective surgery. Thirty-three per cent of all clinic patients had a body mass index greater than 30 kg/m2. Twenty-eight per cent of patients who underwent surgery had a body mass index greater than 30 kg/m2. Postoperative complications developed among 5.5 per cent of all surgical patients; 23.3 per cent were obese and 76.7 per cent were nonobese. There was no statistically significant difference between these two groups ( P = 0.54). This study illustrates the increased prevalence of obesity among the Veterans Affairs Medical Center general surgery patient population. In addition, our study suggests that obesity is not an independent risk factor for postoperative complications in patients undergoing elective general surgery.

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Azher, Hinna, Jennifer Lay, Douglas A. Stupart, Glenn D. Guest, and David A. K. Watters. "Medical student participation in a surgical outpatient clinic: a randomized controlled trial." ANZ Journal of Surgery 83, no. 6 (March 26, 2013): 466–71. http://dx.doi.org/10.1111/ans.12133.

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Joksimović, Vladimir, Aleksandar Karagjozov, Gjorgi Jota, Ilija Milev, and Radomir Gelevski. "Risk Factors for Early Postoperative Complications after Surgery for Crohn's Disease." Acta Facultatis Medicae Naissensis 31, no. 3 (September 1, 2014): 147–54. http://dx.doi.org/10.2478/afmnai-2014-0018.

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Summary The aim of this study was to show the influence of various risk factors on early postoperative complications following surgery for Crohn’s disease (CD). In this review, an online internet database was searched, and also systematic review of the literature was performed. Three different studies from different countries were analyzed and compared with the results obtained in our University Clinic of Digestive Surgery - Skopje. The first review shows the influence of positive resection margins in CD on septical complications occurrence in patients undergoing ileocolic resection for CD at the Tel Aviv Medical Centre - Israel. The second review shows the risk factors for complications after bowel surgery in Korean patients with CD using data from the Asan Medical Centre - Seul, Korea. The third review shows that the delay of surgery is associated with inferior postoperative outcome in patients treated for perforating Crohn’s ileitis, and the study was conducted using data from the medical records of patients treated at the Department of Surgery at the University of Regensburg, Germany. Finally, we analyzed the influence of the most common risk factors on early postoperative complications in patients that underwent surgery for Crohn’s disease in a five-year period at the University Clinic of Digestive Surgery in Skopje, Macedonia and compared them with the results in the aforementioned articles.

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Thomson, Calum, and Anjani Singh. "A Virtual Clinic and a One Stop Acute Tendo-achilles Clinic." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0049. http://dx.doi.org/10.1177/2473011418s00490.

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Category: Trauma Introduction/Purpose: Patients with acute tendo-achilles (TA) rupture require prompt diagnosis, investigation and treatment in order to ensure optimum outcomes. This can be prevented by delay in review of patients within secondary care. We present our experience of treating such injuries by establishing a “virtual” fracture clinic (VFC) and a one stop dedicated TA specialist clinic. Patients are referred to the service via the emergency department (ED) and are triaged remotely by the VFC, at which all orthopaedic cases including suspected TA injuries are reviewed by a consultant orthopaedic surgeon using all available medical records and imaging. Suitable patients are then diverted directly to the specialist TA clinic for definitive treatment. We wished to establish the speed and efficiency of this care pathway. Methods: Using our institutions prospectively maintained database, we identified patients treated in the specialist TA clinic between September 2016 and August 2017. We recorded demographic details, injury mechanism, time from injury to diagnosis, ultrasound scan findings, and the speed of progress of the patient along the agreed rehabilitation pathway. Results: Sixty two patients were referred to the VFC with suspected TA injury. Mean age was 49 years, M: F (44:18 female). Mean time to triage in the VFC was 3.5 days (with 42% of patients triaged in the VFC on the same day as initial ED presentation). Mean time from ED consultation to assessment in our TA clinic was 11.7 days. Patients were assessed by a specialist foot and ankle surgeon, supported by a same day musculoskeletal ultrasound service. 45 patients (74%) were diagnosed with TA rupture, of which 69% were acute complete ruptures. Eight patients fulfilled criteria for surgical repair. Mean time from ED consultation to surgery was 13.25 days. Three further patients treated non-operatively developed secondary ruptures requiring delayed operative intervention. Conclusion: We recommend the use of a virtual triage service and a one stop TA clinic led by a dedicated specialist team to improve the accuracy of diagnosis and efficacy of treatment of acute TA rupture. This service provides a robust system for avoiding mis-diagnoses and delays in treatment, as well as ensuring effective implementation of our local care pathway under specialist supervision in a one stop clinic. This also establishes an effective system for monitoring as well as maintaining a research database for further prospective studies.

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Niemczyk, Kazimierz, Antoni Bruzgielewicz, Ewa Osuch Wójcikiewicz, Piotr Chęciński, Katarzyna Pierchała, and Robert Bartoszewicz. "100 years of Otorhinolaryngology, Head Neck Surgery Department of Medical University of Warsaw." Polski Przegląd Otorynolaryngologiczny 9, no. 4 (January 5, 2021): 1–5. http://dx.doi.org/10.5604/01.3001.0014.6344.

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On January 15, 2021, one hundred years have passed since the establishment of the Department of Otorhinolaryngology, Head and Neck Surgery at the Medical University of Warsaw. The authors representing the oldest generations of the current Team present the history of the Clinic from its establishment to the present day. The most important achievements throughout history and selected activities of the team currently working are described.

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Carr, Logan W., Brad Morrow, Brett Michelotti, and Randy M. Hauck. "Direct Cost Comparison of Open Carpal Tunnel Release in Different Venues." HAND 14, no. 4 (February 2018): 462–65. http://dx.doi.org/10.1177/1558944718755476.

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Background: The increased efficiency and cost savings have led many surgeons to move their practice away from the traditional operating room (OR) or outpatient surgery center (OSC) and into the clinic setting. With the cost of health care continuing to rise, the venue with the lowest cost should be utilized. We performed a direct cost analysis of a single surgeon performing an open carpal tunnel release in the OR, OSC, and clinic. Methods: Four treatment groups were prospectively studied: the hospital OR with monitored anesthesia care (OR-MAC), OSC with MAC (OSC-MAC), OSC with local anesthesia (OSC-local), and clinic with local anesthesia (clinic). To determine direct costs, a detailed inventory was recorded including the weight and disposal of medical waste. Indirect costs were not included. Results: Five cases in each treatment group were prospectively recorded. Average direct costs were OR ($213.75), OSC-MAC ($102.79), OSC-local ($55.66), and clinic ($31.71). The average weight of surgical waste, in descending order, was the OR (4.78 kg), OSC-MAC (2.78 kg), OSC-local (2.6 kg), and the clinic (0.65 kg). Using analysis of variance, the clinic’s direct costs and surgical waste were significantly less than any other setting ( P < .005). Conclusions: The direct costs of an open carpal tunnel release were nearly 2 times more expensive in the OSC compared with the clinic and almost 7 times more expensive in the OR. Open carpal tunnel release is more cost-effective and generates less medical waste when performed in the clinic versus all other surgical venues.

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Johnson, SA, Y. Kalairajah, P. Moonot, N. Steele, and RE Field. "Fast-Track Aassessment Clinic: Selection of Patients for a One-Stop Hip Assessment Clinic." Annals of The Royal College of Surgeons of England 90, no. 3 (April 2008): 208–12. http://dx.doi.org/10.1308/003588408x242024.

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INTRODUCTION The fast-track assessment clinic (FTAC) is a process to select patients who are very likely to require primary total hip replacement. Selected patients can then be seen in a one-off clinic reducing the number of hospital visits, cost to primary care trusts and delay between referral and treatment. PATIENTS AND METHODS Fifty patients on the waiting list for hip replacement were analysed to see if there were common parameters that led to their inclusion. From these data, fast-track selection criteria (FTSCs) were generated. These FTSCs were used to make a dual comparison of outcomes between 52 patients seen in a traditional clinic. Finally, a pilot study was conducted in which patients fulfilling FTSCs were seen in a designated clinic. RESULTS An Oxford hip score (OHS) of 34 and above combined with severe loss of joint space, severe marginal osteophytes, or both was common to most patients on the waiting list (84%). FTSCs correctly predicted the outcome of the orthopaedic clinic in 38 patients out of a total of 52. During the pilot stage, positive FTSCs were shown to have a positive predictive value of 92% for joint replacement being carried out and a negative predictive value of 46%. CONCLUSIONS An OHS of 34 or above combined with complete loss of joint space and/or severe marginal osteophyte formation can be used to select patients who are very likely to need total hip replacement. These patients can be seen in a clinic that combines assessment of surgical indication with medical fitness for surgery.

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Rademaker, M., A. Lindsay, J. A. McLaren, and P. L. Padfield. "Home Monitoring of Blood Pressure: Usefulness as a Predictor of Persistent Hypertension." Scottish Medical Journal 32, no. 1 (February 1987): 16–19. http://dx.doi.org/10.1177/003693308703200108.

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We set out to test the hypothesis that home blood pressure reflects “baseline” pressures measured at a general practitioner's surgery or in a hospital outpatient clinic. Twenty patients detected hypertensive during screening in general practice and 30 patients referred to a hospital hypertension clinic for revision of therapy were studied. All were instructed in the use of an electronic semiautomatic sphygmomanometer and measured blood pressure at home for a three day period. Home monitored blood pressure correctly predicted those patients whose diastolic blood pressure fell to below 95 mmHg by the third clinic visit in approximately 90% of all patients. In addition, in those whose blood pressure was high at home it remained so at the clinic or surgery after three visits. These data suggest that home monitoring of blood pressure may be a helpful alternative to repeated clinic visits before embarking on medical therapy.

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Journal articles on the topic 'Surgery and medical clinic'

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