- Colchicine demonstrated to be an effective first-line agent both for initial and recurrent pericarditis.
- Steroids should be avoided except in rare circumstance due to increased risk of recurrence.
- Bedside ultrasonography is an indispensable tool in the diagnosis and management of pericardial effusion/tamponade.
Latest Updates
- Colchicine demonstrated to be an effective first-line agent both for initial and recurrent pericarditis.
- Steroids should be avoided except in rare circumstance due to increased risk of recurrence.
- Bedside ultrasonography is an indispensable tool in the diagnosis and management of pericardial effusion/tamponade.
- Evidence that outcomes are similar for babies delivered spontaneously as compared to those delivered by forceps or vacuum.
- It is difficult to isolate operative delivery as an independent risk factor for OASIS because many other risk factors for OASIS are also risk factors for operative delivery, such as prolonged second stage of labor, obesity, maternal age, and a large-for-gestational-age fetus.
- Simulation curricula for teaching operative delivery technique has been studied and found to decrease the rate of third- and fourth-degree lacerations in one institution’s study.
Clinical Aspects of Alzheimer Disease
- Amyloid positron emission tomography is available for aiding in the diagnosis of Alzheimer disease as an etiology of dementia, but its role in routine clinical practice has not been established.
- Genotyping of dementia patients for diagnostic purposes is not currently recommended at this time. Persons who carry at least one copy of the e4 allele of the APOE gene are at slightly greater risk for developing dementia due to AD.
- The mental status examination is a cornerstone of the diagnosis of AD dementia. The Montreal Cognitive Assessment (MoCA) represents the most recent attempt to craft a bedside examination that is more sensitive and specific for milder symptomatic disease than the older Mini-Mental State examination.
Process Improvement in Surgery
- A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
- A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.
Process Improvement in Surgery
- A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
- A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.
Clinical Aspects of Alzheimer Disease
- Amyloid positron emission tomography is available for aiding in the diagnosis of Alzheimer disease as an etiology of dementia, but its role in routine clinical practice has not been established.
- Genotyping of dementia patients for diagnostic purposes is not currently recommended at this time. Persons who carry at least one copy of the e4 allele of the APOE gene are at slightly greater risk for developing dementia due to AD.
- The mental status examination is a cornerstone of the diagnosis of AD dementia. The Montreal Cognitive Assessment (MoCA) represents the most recent attempt to craft a bedside examination that is more sensitive and specific for milder symptomatic disease than the older Mini-Mental State examination.
Process Improvement in Surgery
- A number of reports supporting the efficacy of process improvement are available. Jimmerson and colleagues, describing results across a broad range of clinical areas at a university-based quarternary medical center, published both general and specific instances of improvement in efficiency and quality. OR processes such as OR turnaround and surgical throughput are fertile areas for such work.
- A core innovation in the origin of “scientific management” was the focus on the details of industrial processes by Frederick W. Taylor. Taylor’s work comes down to us today in the process flow diagram (in TPS Lean terminology, the process flow diagram is referred to as a “value stream map”), which is a schematic representation of the steps in any process, frequently annotated with time intervals and comments.
