Publications by authors named "D G Pace"
Introduction: The diagnosis of pediatric tuberculosis (TB) is challenging, due to the lower sensitivity of microbiological tests, such as culture and microscopy, compared to their performance in adult cases. Guidelines have introduced molecular tests, including GeneXpert MTB/ RIF and GeneXpert MTB/RIF Ultra. These tests use a real-time polymerase chain reaction method and provide information on M.
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- The study investigated the sound patterns of a newly examined dolphin population in the Mediterranean, focusing on how environmental and social factors influence their vocalizations.
- Findings showed that dolphins emitted more whistles and clicks when in larger groups or with calves present, with specific acoustic features changing based on behavior and environmental conditions.
- The research revealed that dolphins have a flexible acoustic communication system, affected by social interactions and habitat conditions, highlighting the need for more localized studies on their communication.
Article Synopsis
- The obesity epidemic has increased the need for metabolic and bariatric surgery (MBS) among adolescents, but there's limited data on the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols for improving outcomes.
- A comprehensive ERAS pathway was implemented for adolescents undergoing laparoscopic sleeve gastrectomy (LSG), focusing on pre-operative carbohydrate loading, pain management, and early mobilization; various outcome measures were tracked.
- Results showed that the post-ERAS group had significant improvements in time to oral intake, lower usage of rescue anti-emetics, and shorter hospital stays compared to the pre-ERAS group, while overall opioid use and post-operative pain levels remained unaffected.
Background: Regional anesthetic techniques are safe and effective in reducing pain and the need for opioid analgesia but may be underutilized in neonatal intensive care unit (NICU) patients. We developed an opioid stewardship pathway aimed at reducing the use of opioid analgesia in neonates by increasing caudal block utilization from a baseline of 50%-90% within 18 months.
Methods: We used control charts to track intra-operative opioid utilization in morphine milligram equivalents per kilogram (MME/kg) and immediate post-operative extubation rates.