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Frontiers in Operations: Valuing Nursing Productivity in Emergency Departments.
Manuf Serv Oper Manag
May 2024
Goizueta Business School, Emory University.
Problem Definition: We quantify the increase in productivity in emergency departments (ED) from increasing nurse staff. We then estimate the associated revenue gains for the hospital and the associated welfare gains for society.
Academic/practical Relevance: The United States is over a decade into the worst nursing shortage crisis in history, fueled by chronic under-investment.
A Rare Prolactin-secreting Pituitary Carcinoma With Epidural and Thecal Metastases.
JCEM Case Rep
May 2024
Center for Diabetes, Endocrinology and Metabolism, St. Joseph's Health Care London, London, ON N6A 4V2, Canada.
Pituitary carcinomas are rare but associated with significant morbidity and mortality. They remain challenging to diagnose and manage. In this case, we describe a 56-year-old man who presented with erectile dysfunction and binocular vertical diplopia.
View Article and Find Full Text PDFModified Brunelli Reconstruction for Scapholunate Ligament Dissociation.
JBJS Essent Surg Tech
October 2023
Vanderbilt University Medical Center, Nashville, Tennessee.
Background: The present video article describes the steps, alternatives, and outcomes of the modified Brunelli reconstruction, also known as 3-ligament tenodesis, for the treatment of irreparable scapholunate dissociations.
Description: The presently described technique is generally utilized in cases in which there is an irreparable disruption of the scapholunate ligament and widening of the scapholunate junction with no carpal arthritis.
Alternatives: Other treatment options for irreparable scapholunate dissociation include various forms of capsulotenodesis, bone-ligament-bone reconstruction, tendon-based reconstructions, partial wrist arthrodesis, and proximal row carpectomy.
Mediation of Age and Thrombectomy Outcome by Neuroimaging Markers of Frailty in Patients With Stroke.
JAMA Netw Open
January 2024
Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada.
Importance: Age is a leading predictor of poor outcomes after brain injuries like stroke. The extent to which age is associated with preexisting burdens of brain changes, visible on neuroimaging but rarely considered in acute decision-making or trials, is unknown.
Objectives: To explore the mediation of age on functional outcome by neuroimaging markers of frailty (hereinafter neuroimaging frailty) in patients with acute ischemic stroke receiving endovascular thrombectomy (EVT).
Burden of Uncontrolled Severe Asthma With and Without Elevated Type-2 Inflammatory Biomarkers.
J Allergy Clin Immunol Pract
April 2024
Respiratory Medicine Unit, Department of Translational Medicine, Università di Ferrara, Ferrara, Italy.
Background: Many patients with asthma have type-2 airway inflammation, identified by the presence of biomarkers, including history of allergy, high blood eosinophil (EOS) count, and high fractional exhaled nitric oxide levels.
Objective: To assess disease burden in relation to type-2 inflammatory biomarker status (history of allergy, blood EOS count, and fractional exhaled nitric oxide level) in patients with uncontrolled and controlled severe asthma in the NOVEL observational longiTudinal studY (NOVELTY) (NCT02760329).
Methods: Asthma diagnosis and severity were physician-reported.
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