Management of post-operative anaemia in patients undergoing surgery for colorectal cancer: a qualitative focus group-based study.

Background: Optimal management of anaemia following surgery for colorectal cancer remains unclear. Peri-operative anaemia is common in patients undergoing resectional surgery for colorectal cancer. A significant amount of research has been conducted into the management of pre-operative anaemia; however, little work has investigated post-operative anaemia.

Enhancing child safety and well-being through pediatric group well-child care and home visitation: The Well Baby Plus Program.

The focus of this article is on an innovative strengths-based child protection effort initiated in Beaufort, South Carolina, that involved working with local systems and structures. Specifically, the program was a school-health partnership that sought to modify services provided to low-resource families to improve child outcomes. The primary components of the prevention program were home visiting and group well visits (GWVs).

Popliteal artery injuries in an urban trauma center with a rural catchment area: do delays in definitive treatment affect amputation?

Extended length of time from injury to definitive vascular repair is considered to be a predictor of amputation in patients with popliteal artery injuries. In an urban trauma center with a rural catchment area, logistical issues frequently result in treatment delays, which may affect limb salvage after vascular trauma. We examined how known risk factors for amputation after popliteal trauma are affected in a more rural environment, where patients often experience delays in definitive surgical treatment.

Emergency procedures on the descending thoracic aorta in the endovascular era.

Background: Thoracic endovascular aortic repair (TEVAR), initially developed for the treatment of degenerative aneurysms of the descending thoracic aorta, has been applied to the entire spectrum of descending thoracic aortic pathology in both the elective and emergent settings. This single center study evaluates the effectiveness of TEVAR for the treatment of acute surgical emergencies involving the descending thoracic aorta, including traumatic aortic disruption (TAD), ruptured descending thoracic aneurysm (RDTA), and acute complicated Type B dissection (cTBD).

Methods: A retrospective review of the medical records of all patients undergoing emergent TEVAR at the University of Mississippi Medical Center between August 2007 and November 2010 was undertaken.

Infrarenal origin of the superior mesenteric artery: implications in endovascular repair of abdominal aortic aneurysm.

Endovascular aneurysm repair (EVAR) has become the preferred modality for the treatment of infrarenal abdominal aortic aneurysms (AAAs). A variety of anatomic factors must be considered when planning EVAR, including the relationship of the visceral arteries to the aneurysmal segment of the aorta. This report describes 2 patients with infrarenal AAA in whom the superior mesenteric artery was the most caudal visceral vessel, originating inferior to the renal arteries.

The weight of obesity in patients with lower extremity vascular injuries.

Objective: Clinical obesity is an epidemic problem in the United States. The impact of this disease upon traumatic lower extremity vascular injuries (LEVI) is as yet undefined. We hypothesized that clinical obesity adversely affects outcome in patients with traumatic LEVI.

US health-care crisis.

Access to primary care doctors has been shown in studies across the world to result in better patient outcomes, increased satisfaction with care and lower health-care costs. Primary care is the entry point for most patients into the health-care system and focuses on prevention, chronic care management and availability for sick care. Primary care offices providing continuous, coordinated and accessible care are called medical homes.

Endovascular repair of a chronic aortocaval fistula using a thoracic aortic endoprosthesis.

Penetrating abdominal trauma with injury to the aorta and vena cava usually requires emergent intervention and is frequently lethal. Formation of a chronic aortocaval fistula (ACF) is an uncommon late complication of these injuries. We report a case of an ACF presenting 17 years after a gunshot wound to the abdomen, with progressive congestive heart failure as the presenting symptom.

Efficacy and safety results with the LifeSite hemodialysis access system versus the Tesio-Cath hemodialysis catheter at 12 months.

Purpose: To compare the performance and safety of a fully subcutaneous vascular access device, the LifeSite hemodialysis access system, versus a tunneled hemodialysis catheter, the Tesio-Cath, at 1 year after implantation.

Materials And Methods: Sixty-eight patients who required hemodialysis received implantation of the LifeSite device or a Tesio-Cath device as a part of this multicenter study. Thirty-four patients were treated in each group.

The pediatrician's role in community pediatrics.

This policy statement reaffirms the pediatrician's role in community pediatrics. It offers pediatricians a definition of community pediatrics and provides a set of specific recommendations that underscore the critical nature of this important dimension of the profession.

Multicenter clinical trial results with the LifeSite hemodialysis access system.

Background: The LifeSite Hemodialysis Access System is a subcutaneous access device designed to maximize blood flow while minimizing access-related complications. The purpose of this study was to compare the efficacy and safety of the LifeSite System to a similar but transcutaneous access device, the Tesio-Cath Hemodialysis Catheter.

Methods: The study was conducted in two phases.

Public-private partnerships: working at the local level to increase the quality and number of medical homes for Medicaid children.

We have described a process in which one state's public health leaders provided a large degree of flexibility at the community level to improve pediatric health care access for children in need. This "room-to-wiggle" allowed program providers to tailor their programs to the specific needs of their communities while remaining faithful to the statewide goals. Among the most promising outcomes of the coordinated efforts to forge public-private partnerships is the continuation of the relationships that developed in the process and the further collaborations they have spawned.

The role of health care in child abuse and neglect prevention.

In this review, we have suggested a variety of ways that we as health care providers can adapt our practices to provide the support necessary to increase the competency of families in parenting and nurturing their young. There are a variety of modalities worthy of consideration as methods that make the lives of our children that much better. In our quest to prevent child maltreatment, we need an emphasis on supporting families so that they can effectively provide the love and nurturing that all children require.

Colorado pediatricians' involvement in community activities.

To determine Colorado American Academy of Pediatrics (AAP) pediatricians' involvement in community-based activities and awareness of and interest in the AAP Community Access to Child Health (CATCH) program, a 22-item survey was mailed to all general pediatrician AAP fellows and candidate fellows practicing in Colorado (n = 434). The return rate was 65%. Of the respondents, 73% provide direct patient care as their primary professional activity, 58% reported either current or past involvement in community-based programs outside of their practices, 91% of this community-based work was voluntary, and 80% of the respondents described this work as moderate to very rewarding.

The reductive deglycosylation of adriamycin in aqueous medium: a pulse radiolysis study.

The free radical (II) produced by one-electron reduction of adriamycin (I) exists in aqueous solution at pH 7.0 in equilibrium with the parent and the two-electron reduced form (III). Over some hundreds of milliseconds deglycosylation takes place yielding an aglycone (IV) which subsequently rearranges to form a more stable aglycone, 7-deoxyadriamycinone (V).

The importance of the abdominal viscera to peritoneal transport during peritoneal dialysis in the dog.

The authors sought to evaluate the dialyzing surfaces important for peritoneal dialysis. They reasoned that the most definitive way to evaluate whether any of the gut and associated membranes contributed to transport was to see if transport changed when they were removed. Paired studies measuring rates of peritoneal uptake of glucose, urea, and inulin were carried out in dogs.

Surgical management of the occluded carotid artery.

Of 36 patients with symptomatic total occlusion of the common carotid and/or internal carotid arteries, ipsilateral operation was performed in 20. Twenty-eight patients had occlusion of the internal carotid artery, four of the common carotid alone, and four had occlusion of both vessels. Thirteen patients had completed stroke.

New computed tomographic signs of aortoenteric fistula.

Successful preoperative diagnosis of aortoenteric fistula is often difficult. Clinical findings, roentgenography, angiography, and endoscopy have been used in diagnosis with only partial success. Newer techniques of gallium citrate Ga 67 scanning, ultrasonography, and computed tomographic (CT) scanning have been used in recent years to establish the diagnosis of aortic graft infection or aortoenteric fistula.