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Keep Moving: Sustainability of an Early Mobility Protocol in an Academic Pediatric ICU.
Pediatr Qual Saf
January 2025
Division of Critical Care Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, S.C.
Introduction: Mobilization protocols are safe and feasible for critically ill pediatric patients in the intensive care unit (ICU), but barriers exist to sustainability. This study described a focused early mobility protocol, sustained over 5 years, which is on time for therapy consults and patient mobilization at a single institution.
Methods: A formal ICU mobility protocol was implemented as part of a unit-wide ICU liberation bundle.
Revolutionizing surgery: AI and robotics for precision, risk reduction, and innovation.
J Robot Surg
January 2025
Multimedia University, Cyberjaya, Malaysia.
Artificial intelligence and robotics are revolutionizing surgical practices by enhancing precision, efficiency, and patient outcomes. With global healthcare systems increasingly adopting AI-driven technologies, the integration of robotics in surgery addresses critical challenges such as surgical accuracy, minimally invasive techniques, and healthcare accessibility. However, disparities in access and ethical concerns regarding automation persist globally, necessitating a balanced discourse on these advancements.
View Article and Find Full Text PDFExploring Outcomes of Tibial Rigid Intramedullary Nailing in Adolescent Patients.
J Orthop Trauma
January 2025
Geisinger Health System, Department of Orthopaedic Surgery, Danville, PA.
Objectives: To explore outcomes after tibial rigid intramedullary nailing (RIMN) in skeletally immature patients, with a focus on post-operative complications and iatrogenic changes in tibial slope due to anterior physeal arrest.
Methods: Design: Retrospective case series.
Setting: A large, tertiary care health system in the rural Mid-Atlantic United States, including two Level 1 trauma centers and one Level 2 trauma center.
Biomarkers in biliary atresia - an elusive promise of predicting outcome.
Pediatr Res
January 2025
Pediatric Liver GI and Nutrition Centre and Mowat Labs, King's College Hospital NHS Foundation Trust, London, UK.
Research on biomarkers in BA promises to predict and change outcomes in BA. This goal is still unrealized at the moment. The study by Kamp et al attempts to understand the drivers of fibrosis and elucidate the role of amyloid-related genes in the pathophysiology of BA.
View Article and Find Full Text PDFMobile health van as an intervention to provide clinical support and health promotion to street children and marginalised populations in the National Capital Region of Delhi: a mixed-methods evaluation.
BMJ Paediatr Open
January 2025
University of New South Wales School of Women's and Children's Health, Randwick, New South Wales, Australia.
Background: Urban health challenges, particularly for street and slum-dwelling children and families, have emerged as one of the most significant health concerns in India. While there is little published on effective healthcare delivery to these populations, mobile health vans (MHV) have been proposed as a proactive pathway to providing outreach healthcare. Our aims were to evaluate the impact of Bal Umang Drishya Sanstha (BUDS) MHV in providing health and support services to the urban slum populations in Delhi National Capital Region (NCR), focusing on benefits to children.
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