Browsing by Subject "Medical societies"

Now showing 1 - 7 of 7
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    American Society of Emergency Radiology Multicenter Blunt Splenic Trauma Study: CT and Clinical Findings
    (Radiological Society of North America, 2021) Lee, James T.; Slade, Emily; Uyeda, Jennifer; Steenburg, Scott D.; Chong, Suzanne T.; Tsai, Richard; Raptis, Demetrios; Linnau, Ken F.; Chinapuvvula, Naga R.; Dattwyler, Matthew P.; Dugan, Adam; Baghdanian, Arthur; Flink, Carl; Baghdanian, Armonde; LeBedis, Christina A.; Radiology and Imaging Sciences, School of Medicine
    Background: Treatment of blunt splenic trauma (BST) continues to evolve with improved imaging for detection of splenic vascular injuries. Purpose: To report on treatments for BST from 11 trauma centers, the frequency and clinical impact of splenic vascular injuries, and factors influencing treatment. Materials and Methods: Patients were retrospectively identified as having BST between January 2011 and December 2018, and clinical, imaging, and outcome data were recorded. Patient data were summarized descriptively, both overall and stratified by initial treatment received (nonoperative management [NOM], angiography, or surgery). Regression analyses were used to examine the primary outcomes of interest, which were initial treatment received and length of stay (LOS). Results: This study evaluated 1373 patients (mean age, 42 years ± 18; 845 men). Initial treatments included NOM in 849 patients, interventional radiology (IR) in 240 patients, and surgery in 284 patients. Rates from CT reporting were 22% (304 of 1373) for active splenic hemorrhage (ASH) and 20% (276 of 1373) for contained vascular injury (CVI). IR management of high-grade injuries increased 15.6%, from 28.6% (eight of 28) to 44.2% (57 of 129) (2011–2012 vs 2017–2018). Patients who were treated invasively had a higher injury severity score (odds ratio [OR], 1.04; 95% CI: 1.02, 1.05; P < .001), lower temperature (OR, 0.97; 95% CI: 0.97, 1.00; P = .03), and a lower hematocrit (OR, 0.96; 95% CI: 0.93, 0.99; P = .003) and were more likely to show ASH (OR, 8.05; 95% CI: 5.35, 12.26; P < .001) or CVI (OR, 2.70; 95% CI: 1.64, 4.44; P < .001) on CT images, have spleen-only injures (OR, 2.35; 95% CI: 1.45, 3.8; P < .001), and have been administered blood product for fewer than 24 hours (OR, 2.35; 95% CI: 1.58, 3.51; P < .001) compared with those chosen for NOM, after adjusting for key demographic and clinical variables. After adjustment, factors associated with a shorter LOS were female sex (OR, 0.84; 95% CI: 0.73, 0.96; P = .009), spleen-only injury (OR, 0.72; 95% CI: 0.6, 0.86; P < .001), higher admission hematocrit (OR, 0.98; 95% CI: 0.6, 0.86; P < .001), and presence of ASH at CT (OR, 0.74; 95% CI: 0.62, 0.88; P < .001). Conclusion: Contained vascular injury and active splenic hemorrhage (ASH) were frequently reported, and rates of interventional radiologic management increased during the study period. ASH was associated with a shorter length of stay, and patients with ASH had eight times the odds of undergoing invasive treatment compared with undergoing nonoperative management.
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    ASGCT 2021: Time to celebrate and expand
    (Elsevier, 2021) Herzog, Roland W.; Frederickson, Robert; Pediatrics, School of Medicine
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    ISPAD Clinical Practice Consensus Guidelines 2022: Exercise in children and adolescents with diabetes
    (Wiley, 2022) Adolfsson, Peter; Taplin, Craig E.; Zaharieva, Dessi P.; Pemberton, John; Davis, Elizabeth A.; Riddell, Michael C.; McGavock, Jonathan; Moser, Othmar; Szadkowska, Agnieszka; Lopez, Prudence; Santiprabhob, Jeerunda; Frattolin, Elena; Griffiths, Gavin; DiMeglio, Linda A.; Pediatrics, School of Medicine
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    ISPAD Clinical Practice Consensus Guidelines 2022: Managing diabetes in preschoolers
    (Wiley, 2022) Sundberg, Frida; deBeaufort, Carine; Krogvold, Lars; Patton, Susana; Piloya, Thereza; Smart, Carmel; Van Name, Michelle; Weissberg-Benchell, Jill; Silva, Jose; diMeglio, Linda A.; Pediatrics, School of Medicine
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    Medical Societies Must Choose Professional Meeting Locations Responsibly in a Post- Roe World
    (American Thoracic Society, 2023) Lee, Alison G.; Maley, Jason; Hibbert, Kathryn; Akgün, Kathleen M.; Hauschildt, Katrina E.; Law, Anica; Kaminski, Naftali; Hayes, Margaret; Gesthalter, Yaron; Bosslet, Gabriel T.; Santhosh, Lekshmi; Witkin, Alison; Hills-Dunlap, Kelsey; Çoruh, Başak; Gershengorn, Hayley B.; Hardin, C. Corey; Medicine, School of Medicine
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    Surviving the Struggle of COVID-19: Practical Recommendations for Pediatric/Adult Cardiology and Cardiac Surgical Programs in Resource-Limited Settings: a Review
    (Brazilian Society of Cardiovascular Surgery, 2022-03-10) Pilarczyk, Kevin; Nina, Vinicius; Boshkov, Lynn; Ferdman, Barbara; Farkas, Emily A.; Burnham, Nicole; Cifuentes, Renzo; Ntogwiachu, Daniel; Marath, Aubyn; Surgery, School of Medicine
    Introduction: The primary aim of this systematic review is to provide perioperative strategies to help restore or preserve cardiovascular services under threat from financial and personnel constraints imposed by the coronavirus disease 2019 (COVID-19) pandemic. Methods: The Medical Literature Analysis and Retrieval System Online, Excerpta Medica dataBASE, Cochrane Central Register of Controlled Trials/CCTR, and Google Scholar were systematically searched using the search terms "(cardiac OR cardiology OR cardiothoracic OR surgery) AND (COVID-19 or coronavirus OR SARS-CoV-2 OR 2019-nCoV OR 2019 novel coronavirus OR pandemic)". Additionally, the webpages of relevant medical societies, including the World Federation Society of Anesthesiologists, the Cardiothoracic Surgery Network, and the Society of Thoracic Surgeons, were screened for relevant information. Results: Whereas cardiac surgery and cardiology practices were reduced by 50-75% during the pandemic, mortality of patients with COVID-19 increased significantly. Healthcare workers are among those at high risk of infection with COVID-19. Conclusion: Hospitals must provide maximum protective equipment and training on how to use it to healthcare workers for their mutual protection. Triage management of patients - which accounts for patient's clinical status and risk-factor profile relatable to which services are available during the COVID-19 pandemic - is recommended. A strict reorganization of the hospital resources including preoperative, intraoperative, and postoperative detailed protective measures is necessary to reduce probability of vector contamination, to protect patients and the cardiovascular teams, and to permit safe resumption of cardiological and cardiac surgical activity.
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    The american pediatric society and society for pediatric research joint statement against racism and social injustice
    (Springer Nature, 2022) Abman, Steven H.; Armstrong, Sarah; Baker, Susan; Bogue, Clifford W.; Carlo, Waldemar; Chalak, Lina; Daniels, Stephen R.; Davis, Stephanie; Debaun, Michael R.; Fike, Candice; Frazer, Lauren; Gibson, Keisha; Gill, Michelle; Glass, Hannah; Gordon, Catherine M.; Goyal, Monika; Hirschhorn, Joel; Holtz, Lori; Hunstad, David A.; Leonard, Mary B.; Maitre, Nathalie; Markham, Larry; McAllister-Lucas, Linda; Orange, Jordan; Shah, Prachi; Simon, Tamara; Steinhorn, Robin H.; Tarini, Beth; Walker-Harding, Leslie R.; Pediatrics, School of Medicine