Clinical Impact of an Enhanced Recovery Program for Lower-extremity Bypass.

Objective: To determine the association of Enhanced Recovery Program (ERP) implementation with length of stay (LOS) and perioperative outcomes after lower-extremity bypass (LEB).

Background: ERPs have been shown to decrease hospital LOS and improve perioperative outcomes, but their impact on patients undergoing vascular surgery remains unknown.

Methods: Patients undergoing LEB who received or did not receive care under the ERP were included; pre-ERP (January 1, 2016-May 13, 2018) and ERP (May 14, 2018-July 31, 2022).

Improved nursing home end-stage renal disease patient participation in physical therapy with onsite, more frequent dialysis.

Introduction: For end-stage renal disease (ESRD) patients residing in skilled nursing facilities (SNFs), the logistics and physical exhaustion of life-saving hemodialysis therapy often conflict with rehabilitation goals. Integration of dialysis care with rehabilitation programs in a scalable and cost-efficient manner has been a significant challenge. SNF-resident ESRD patients receiving onsite, more frequent hemodialysis (MFD) have reported rapid post-dialysis recovery.

Manipulation of distal radius fractures: a comparison of Bier's block vs haematoma block.

Introduction: Displaced distal radius fractures often require manipulation under anaesthesia. Many anaesthetic techniques are described, with the two most commonly used being Bier's block (BB) and haematoma block (HB). Despite national guidance preferring a BB, an HB is often performed instead.

Ionizing radiation and cancer: The failure of the risk model.

This review presents evidence that the methodology that supports the current radiation risk model for cancer is insecure. As a consequence, the legal limits on internal exposures to certain common radionuclides are incorrect by several orders of magnitude. Because of this, hundreds of millions of people will have developed cancer due to internal exposures from atmospheric testing fallout, nuclear accidents, Depleted Uranium and releases from nuclear sites.