Publications by authors named "R Chaggar"

Objectives: The purpose of this study was to determine the frequency of which calcium homeostasis markers are obtained in the acute setting after an initial traumatic spinal cord injury (TSCI).

Design: Retrospective chart review of a limited data set linking ICD 10 codes designating TSCI to corresponding calcium homeostasis markers for patients with an initial chart encounter for TSCI.

Setting: A level 1 trauma center in Virginia, United States METHODS: The statistical software SPSS was used to calculate summary statistics including frequency, mean, and standard deviation for calcium homeostasis markers (basic metabolic panel, magnesium, spot urine calcium, testosterone panel, liver function tests, Vitamin D level, C-telopeptide, parathyroid hormone, celiac panel, DXA imaging report) as well as the mean and standard deviation for time to first check of the marker.

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Introduction: Patients with spinal cord injuries/disorders (SCI/D) often suffer from bladder dysfunction, commonly referred to as neurogenic bladder or neurogenic lower urinary tract dysfunction (NLUTD). Standard urologic evaluation and management help to minimize complications such as vesicoureteral reflux, urinary tract infection, and nephrolithiasis. However, we have further encountered patients with more complex issues, such as chronic kidney disease (CKD), end-stage renal disease (ESRD), bilateral nephrectomies, and urinary diversion/augmentation surgeries.

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Article Synopsis
  • Many residency programs use "home call" residents who manage hospital tasks from home, which can lead to disrupted sleep and increased fatigue affecting patient safety.
  • The study aimed to reduce non-urgent overnight pages to physical medicine and rehabilitation residents by implementing interventions based on nurse-physician meetings.
  • The implementation resulted in a 25% decrease in nighttime non-urgent pages, with the most frequent paging time shifting to earlier in the evening and common overnight complaints being pain, constipation, insomnia, and nausea.*
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