Purpose: To evaluate the frequency of Von Recklinghausen neurofibromatosis type 1 (NF1) ocular abnormalities.
Methods: A retrospective study was conducted in 11 patients during two years.
Results: We found Lisch nodules in 4 cases associated to conjunctival lesion in one case and to retinal hamartoma in another case. In two cases, we found an eyelid neurofibroma. One patient had orbital fibrosis dysplasia. Ocular disease revealed the NF1 in 4 cases, the tumoral exophtalmia in two cases.
Conclusion: The ocular manifestations of Von Recklinghausen disease are frequent and can reveal the disease. Ophthalmologic examination must always be performed if Von Recklinghausen is suspected.
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JAMA Netw Open
July 2020
Department of Anesthesia, Harvard Medical School, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Importance: Postoperative neurocognitive disorders (PNDs) after surgical procedures are common and may be associated with increased health care expenditures.
Objective: To quantify the economic burden associated with a PND diagnosis in 1 year following surgical treatment among older patients in the United States.
Design, Setting, And Participants: This retrospective cohort study used claims data from the Bundled Payments for Care Improvement Advanced Model from 4285 hospitals that submitted Medicare Fee-for-service (FFS) claims between January 2013 and December 2016.
Context: The High Value Healthcare Collaborative (HVHC) sepsis project was a two-year multi-site project where Member health care delivery systems worked on improving sepsis care using a dissemination & implementation framework designed by HVHC. As part of the project evaluation, participating Members provided 5 data submissions over the project period. Members created data files using a uniform specification, but the data sources and methods used to create the data sets differed.
View Article and Find Full Text PDFEGEMS (Wash DC)
December 2017
High Value Healthcare Collaborative, US.
Introduction: Intensive Care Unit (ICU) length of stay is a strong indicator of severity of illness and cost in the care of sepsis patients. In this case study, we examine the difference between an electronic health record (EHR) based submissions with Centers for Medicare and Medicaid Services (CMS) payment data.
Methods: Member submitted EHR data contained 26,733 unique patient's records.
EGEMS (Wash DC)
December 2017
Dartmouth-Hitchcock Health, The Dartmouth Institute, US.
Introduction: Health systems can be supported by collaborative networks focused on data sharing and comparative analytics to identify and rapidly disseminate promising care practices. Standardized data collection, quality assessment, and cleansing is a necessary process to facilitate meaningful analytics for operations, quality improvement, and research. We developed a framework for aligning data from health care delivery systems using the High Value Healthcare Collaborative central registry.
View Article and Find Full Text PDFArch Toxicol
May 2014
Leibniz Research Centre for Working Environment and Human Factors (IfADo), TU Dortmund University, Dortmund, Germany,
Histological alterations often constitute a fingerprint of toxicity and diseases. The extent to which these alterations are cause or consequence of compromised organ function, and the underlying mechanisms involved is a matter of intensive research. In particular, liver disease is often associated with altered tissue microarchitecture, which in turn may compromise perfusion and functionality.
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