Clinical and radiological evaluation of caudal regression syndrome.

Caudal regression syndrome is a form of segmental spinal dysgenesis involving the caudal spinal column, ranging from segmental coccygeal agenesis to extensive thoracolumbar agenesis with varying degrees of spinal cord dysgenesis. A majority of caudal regression cases are sporadic but maternal pre-gestational diabetes mellitus is an important risk factor. Imaging is an integral part of management of caudal regression syndrome.

Metacarpal Pain Unveiled: A Case Report and Literature Review of Dietrich's Disease in Adolescence.

Dietrich's disease, also known as Mauclaire's disease, is a rare condition characterized by avascular necrosis of the metacarpal heads, predominantly affecting adolescents. This case report aims to elucidate the diagnostic process and management of Dietrich's disease in adolescents. A 15-year-old male adolescent presented with left ring finger metacarpophalangeal joint pain and restricted range of motion following a remote history of sports-related trauma.

Reverse Ride-Alongs Connect Medical Caregivers With Their Community.

Many police departments have ride-along programs in which community residents accompany police officers in the field. Community organizers in one Cleveland, Ohio, neighborhood took that concept and flipped it to create a "reverse ride-along" program. During a reverse ride-along, police officers take part in community tours and dialogues to learn more about the area they serve and explore issues involving trust and trauma.

Advance Care Planning in the Nursing Home Setting: A Practice Improvement Evaluation.

This study evaluated a practice improvement initiative conducted over a 6 month period in 15 Canadian nursing homes. Goals of the initiative included: (1) use the Plan-Do-Study-Act (PDSA) model to improve advance care planning (ACP) within the sample of nursing homes; (2) investigate whether improved ACP practice resulted in a change in residents' hospital use and ACP preferences for home-based care; (3) engage participating facilities in regular data collection to inform the initiative and provide a basis for reflection about ACP practice and; (4) foster a team-based participatory care culture. The initiative entailed two cycles of learning sessions followed by implementation of ACP practice improvement projects in the facilities using a PDSA approach by participating clinicians (e.

How's Your Health at Home: Frail Homebound Patients Reported Health Experience and Outcomes.

We used a web-based mixed methods survey (HowsYourHealth - Frail) to explore the health of frail older (78% age 80 or older) adults enrolled in a home-based primary care program in Vancouver, Canada. Sixty per cent of eligible respondents participated, representing over one quarter (92/350, 26.2%) of all individuals receiving the service.

24/7 Registered Nurse Staffing Coverage in Saskatchewan Nursing Homes and Acute Hospital Use.

RÉSUMÉ La législation, dans de nombreuses juridictions, nécessite les établissements des soins de longue durée (SLD) d'avoir une infirmière en service 24 heures par jour, 7 jours par semaine. Bien que la recherche considérable existe sur l'intensité SLD de la dotation en personnel infirmier, il n'existe pas de la recherche empirique relative à cette exigence. Notre étude rétrospectif d'observation a comparé des installations en Saskatchewan avec 24/7 RN couverture aux établissements offrant moins de couverture, complétées par divers modèles de dotation des postes de nuit.

Choosing your partner for the PROM: a review of evidence on patient-reported outcome measures for use in primary and community care.

Patient-reported outcome measures (PROMs) are assessments of health status from the patient's perspective. The systematic and routine collection and use of PROMs in healthcare settings adds value in several ways, including quality improvement and service evaluation. We address the issue of instrument selection for use in primary and/or community settings.

Environmental cleaning and healthcare-associated infections.

The authors of "Healthcare-Associated Infections as Patient Safety Indicators" correctly identify healthcare-associated infections (HAIs) as a growing problem with severe consequences. In contrast to most literature, their article acknowledges the importance of environmental cleaning. The paper presents credible reasons why HAIs are treated as lesser threats than other adverse events.