Publications by authors named "R H Burch"

OCCUPATIONAL APPLICATIONSErgonomists and engineers often look to technology to improve workplace outcomes such as safety and productivity. However, hesitancy toward new technology can hinder the adoption of devices such as wearables. In this study, we spoke to industry representatives about the factors that influence the implementation of wearables in the manufacturing workplace.

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Article Synopsis
  • Osseointegration allows prosthetic devices to firmly attach to the skeleton, enhancing patients' physical function and quality of life, but research on pain management during the procedure is limited.
  • A retrospective study at Walter Reed analyzed pain management in 41 patients over 76 surgeries, revealing the use of methods such as ketamine, epidurals, and nerve blocks.
  • The study found that a noteworthy percentage of patients experienced increased postoperative pain, necessitating additional interventions, showcasing the complexities of managing pain effectively in such procedures.
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HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets) Syndrome is a rare but serious complication of pregnancy that can lead to disseminated intravascular coagulation, pulmonary edema, respiratory failure, hepatic and renal injury, and death if not recognized and treated promptly. A 36-year-old nulligravid (G0) active duty Marine at 36 weeks and 1 day gestation with dichorionic diamniotic twins presented to triage for routine cervical examination found to have elevated blood pressures and symptomatic thrombocytopenia, with a suspected diagnosis of HELLP. A multidisciplinary decision was made by anesthesiology, obstetrics and gynecology, and pediatrics to deliver the twins to avoid any further complications.

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