Health-economic evaluation of orthogeriatric co-management for patients with pelvic or vertebral fragility fractures.

Background: Orthogeriatric co-management (OGCM) addresses the special needs of geriatric fracture patients. Most of the research on OGCM focused on hip fractures while results concerning other severe fractures are rare. We conducted a health-economic evaluation of OGCM for pelvic and vertebral fractures.

Health-economic evaluation of orthogeriatric co-management for patients with forearm or humerus fractures: an analysis of insurance claims data from Germany.

Orthogeriatric co-management (OGCM) describes a collaboration of orthopedic surgeons and geriatricians for the treatment of fragility fractures in geriatric patients. While its cost-effectiveness for hip fractures has been widely investigated, research focusing on fractures of the upper extremities is lacking. Thus, we conducted a health economic evaluation of treatment in OGCM hospitals for forearm and humerus fractures.

Evaluation of costs, osteoporosis treatment, and re-fractures in German collaborative orthogeriatric care after fragility fractures.

Unlabelled: Orthogeriatric co-management (OGCM) may provide benefits for geriatric fragility fracture patients in terms of more frequent osteoporosis treatment and fewer re-fractures. Yet, we did not find higher costs in OGCM hospitals for re-fractures or antiosteoporotic medication for most fracture sites within 12 months, although antiosteoporotic medication was more often prescribed.

Purpose: Evidence suggests benefits of orthogeriatric co-management (OGCM) for hip fracture patients.

Interaction of Systemic Morbidity and Oral Health in Ambulatory Patients in Need of Home Care (InSEMaP): an observational study at the sector boundary between dental and general practice care in Germany.

Introduction: Older people in need of home care are at risk of declining oral health as their visits to dentists are becoming less frequent due to restricted mobility. There is increasing evidence that poor oral health and systemic diseases are closely associated, for example, in cardiological, metabolic or neurodegenerative conditions. Thus, Interaction of Systemic Morbidity and Oral Health in Ambulatory Patients in Need of Home Care (InSEMaP) is investigating the need, provision and utilisation of oral healthcare, systemic morbidity and clinical status of the oral cavity in older people.

Spontaneous Trait Inferences From Behavior: A Systematic Meta-Analysis.

Research suggests that people spontaneously infer traits from behavioral information, thus forming impressions of actors' personalities. Such spontaneous trait inferences (STI) have been examined in a wide range of studies in the last four decades. Here, we provide the first systematic meta-analysis of this vast literature.

Pneumocystis carinii pneumonia: the time course of clinical and radiographic improvement.

Objectives: The purpose of this study was to compare the time course of clinical and radiographic improvement in patients with Pneumocystis carinii pneumonia (PCP), and evaluate the usefulness of early follow-up chest radiographs (CXRs) in these patients.

Design: Retrospective, chart review.

Methods: The medical records of 36 episodes of confirmed PCP among 28 patients were reviewed.

Nuclear medicine studies of aging--VII. Humeral deltoid tuberosity on bone scans and radiographs.

Because of the occasional finding of increased deposition of bone imaging agent in the area of the humeral deltoid tuberosity, we analyzed both bone scans and radiographs to determine if there were age related correlations. Only 29% of patients of age 35 years or younger showed any radiographic evidence of deltoid tuberosity. This increased to 48% in the 36-64 y age group (and 46% in those of age 65 y and above).

Hepatobiliary imaging of common bile duct obstruction by a hydronephrotic kidney.

A patient with intermittent right upper quadrant abdominal pain thought to represent acute cholecystitis had common bile duct obstruction due to an enlarged right renal pelvis. A Tc-99m-HIDA scan provided the first clue to the diagnosis. The case reinforces the value of cholescintigraphy in diagnosing pathology outside the biliary system.

Pancreatic ascites: management by caudal pancreatectomy and side-to-side pancreaticojejunostomy.

A patient with pancreatic ascites is presented who had neither a pseudocyst nor demonstrable pancreatic duct disruption, despite the presence of both calculi and strictures in a dilated duct of Wirsung. Concurrently, the patient exhibited intractable abdominal pain characteristic of end-stage chronic alcoholic pancreatitis. The pancreatic ascites responded only briefly to nonoperative management with hyperalimentation.

Diagnosis of urethral diverticula in females.

Female urethral diverticula are probably a more common cause of symptomatology than is generally suspected. Radiologic techniques may play a key role in their demonstration. Particularly in the patient with clinical findings referable to the urethral area, fluoroscopy of the urethra as part of cystography as well as the use of urethral catheters may be helpful in diagnosis.

Malformation of bronchopulmonary foregut with systemic and pulmonary arterial blood supply.

A case of congenital malformation of the bronchopulmonary foregut with communication between the esophagus and sequestered lobe is reported in a six-month-old boy. Only 29 similar cases have been reported previously, and this case was especially unusual in that the communication was from the middle portion of the esophagus to a right apical sequestration. Another unusual feature was that the sequestered segment was supplied by four systemic arteries from the thoracic aorta, as well as by branches from the right pulmonary artery.