Reduced Fluoroscopy Time With Physician-Controlled Fluoroscopy During Endoscopic Retrograde Cholangiopancreatography: A Community Hospital Experience.

Background and objective Fluoroscopy during endoscopic retrograde cholangiopancreatography (ERCP) is associated with radiation exposure and related health risks. Either the physician or the radiology technologist can activate fluoroscopy during ERCP. The aim of this study was to determine if physician-controlled fluoroscopy is associated with decreased fluoroscopy time, which may correspond to less radiation exposure to patients and staff.

Increased Fetal Chromosome Detection with the Use of Operative Hysteroscopy During Evacuation of Products of Conception for Diagnosed Miscarriage.

Study Objective: To determine whether incorporation of operative hysteroscopy with biopsy of products of conception, in conjunction with a suction curettage for a first trimester missed abortion, affected the rate of maternal cell contamination when chromosomal analysis was performed on the products of conception, and to determine the rates of retained products of conception with incorporation of hysteroscopy after suction curettage.

Design: Retrospective chart study.

Setting: Private, minimally invasive surgery and infertility practice with academic-community hospital affiliation.

Castleman's disease: a rare presentation in a retroperitoneal accessory spleen, treated with a minimally invasive robotic approach.

Unicentric Castleman's disease (UCD) is a rare disorder of unknown etiology characterized by localized lymphoid tissue proliferation and interfollicular hypervascularity. A 33-year-old Caucasian female presented with vague abdominal discomfort and pain with pressure. Ultrasound and computed tomography detected a large peripancreatic mass.

Local parastomal hernia repair with biological mesh is safe and effective.

Purpose: The goal of this study was to evaluate the efficacy, morbidity and safety of local parastomal hernia repair using biological mesh.

Patients And Methods: A retrospective analysis of a prospectively maintained database was performed for parastomal hernia repairs. All patients who underwent local parastomal hernia repair with biological mesh between July 2006 and July 2015 were included in the study.

Effect of Latitude on Vitamin D Levels.

Context: Vitamin D levels have been linked to bone health and to numerous diseases; however, an element that lacks substantial direct data and limits the evidence basis regarding whom to screen for vitamin D deficiency is the effect of latitude on vitamin D levels.

Objectives: To determine whether latitude influences vitamin D levels and to investigate the influence of other factors that may affect vitamin D levels, including sex, race, skin type, and body mass index.

Methods: Osteopathic medical students were recruited from campuses in Bradenton, Florida, and Erie, Pennsylvania.

EXPLORING EQUALITY IN LEADERSHIP ROLES.

Women are underrepresented in physician leadership. Exploring the issue, researchers created a study focused on developing successful skills, behaviors and attitudes for 15 first-year female residents. In 2016, the American Association for Physician Leadership* named Advocate Health Care's Resident Leadership Develop- ment Institute the winner of its annual Leape Ahead Award.

Weight-based contrast administration in the computerized tomography evaluation of acute pulmonary embolism: Challenges in optimizing imaging quality.

Compare individualized contrast protocol, or weight-based protocol, to standard methodology in evaluating acute pulmonary embolism.Retrospective chart review was performed on patients undergoing computed tomography angiography with standard contrast protocol (n = 50) or individualized protocol (n = 50). Computerized tomography images were assessed for vascular enhancement and image quality.

Survey study suggests that reverse total shoulder arthroplasty is becoming the treatment of choice for four-part fractures of the humeral head in the elderly.

Purpose: The role of reverse total shoulder arthroplasty (RTSA) for three and four-part proximal humerus fractures is evolving. However, there does not appear to be a clear consensus amongst surgeons. The purpose of this study is to further define the standard of care, assessing surgeon preference and treatment considerations for management of such fractures.

Comparing Electronic and Manual Tracking Systems for Monitoring Resident Duty Hours.

Background: Changes in the Accreditation Council for Graduate Medical Education (ACGME) duty hour requirements have created significant monitoring responsibilities for institutions. This study explored the types of tracking systems used and determined for each type of tracking system the number of violations identified and the number of ACGME citations issued.

Methods: An 8-question, anonymous, electronic survey was sent to 3,275 residency program coordinators across 24 ACGME-accredited specialties nationwide.

Implementing a Protocol Using Glucose Gel to Treat Neonatal Hypoglycemia.

Neonatal hypoglycemia is a leading cause of admission of neonates to the NICU. Typical treatment for neonatal hypoglycemia includes supplementation with formula or, in some cases, intravenous glucose administration. These treatments, though effective at treating hypoglycemia, interrupt exclusive breastfeeding and interfere with mother-infant bonding.

Development of a urinary-specific antibiogram for gram-negative isolates: impact of patient risk factors on susceptibility.

Background: Traditional antibiograms guide clinicians in selecting appropriate empiric antimicrobials, but they lack data on syndrome/disease-specific susceptibility, isolate location, polymicrobial infections, and patient risk factors. The aim of this study was to develop a urinary-specific antibiogram and to evaluate the impact of risk factors on antimicrobial susceptibility.

Methods: This retrospective descriptive study used culture and susceptibility data from January 1 to December 31, 2012.