Unplanned extubation prevention in the neuroscience ICU at a High Reliability Organization.

Background: Intubated neuroscience ICU patients are at risk for unplanned extubation (premature removal of the endotracheal tube by the patient or during patient care). The incidence of unplanned extubation is an indicator of the quality of ICU care. Unplanned extubation is a risk factor for pneumonia, increased ventilator days, the need for tracheostomy and increased ICU and hospital length-of-stay.

Preoperative radiation navigation in determining surgical strategy for liver echinococcosis.

Objective: To analyze the technology for diagnostic modeling of liver echinococcosis.

Material And Methods: In the Botkin Clinical Hospital, we developed a theory of diagnostic modeling of liver echinococcosis. Treatment outcomes were analyzed in 264 patients who underwent various surgical interventions.

Parental Cultural Socialization and Adolescent Private Regard: Exploring Mediating Pathways Through Daily Experiences.

Using longitudinal experience sampling data from 214 ethnic/racial minority adolescents (Wave 1 M  = 15.24), the present study investigated how the longitudinal effect of parental cultural socialization on adolescent private regard was mediated through various daily pathways and novel constructs. Both the mean levels and variability of adolescents' ethnic feelings (i.

Incidental Detection of Synchronous Medullary Thyroid Carcinoma with Bilateral Adrenal Pheochromocytoma on Iodine-123 Metaiodobenzylguanidine Scintigraphy, Leading to Diagnosis of Multiple Endocrine Neoplasia 2A.

We report a case of a 29-year-old female with the family history of medullary thyroid carcinoma (MTC) presenting with hematuria and tachycardia, who was found to have bilateral adrenal masses on abdominal computed tomography and biochemical testing compatible with pheochromocytoma. Iodine-123 (I-123) metaiodobenzylguanidine (MIBG) scintigraphy for preoperative planning prior to planned adrenalectomy revealed incidental synchronous unifocal MTC, along with expected bilateral adrenal pheochromocytomas. Pathology confirmed these findings, and subsequent genetic testing confirmed a rearranged during transfection proto-oncogene mutation on exon 11, confirming the clinical diagnosis of multiple endocrine neoplasia 2A (MEN 2A).