Utilization of supplemental agency nurses in an Army medical center.

The purpose of this study was to describe the perceived impact of supplemental agency nurses upon the quality of patient care, unit cohesiveness, and morale of permanently assigned personnel at an Army medical center. The study population consisted of 28 agency nurses and 138 permanently assigned nursing staff. The study was descriptive and exploratory in nature, utilizing the method of content analysis.

Duplex-guided compression of iatrogenic femoral pseudoaneurysms.

Background: Iatrogenic pseudoaneurysms are a major complication following percutaneous cannulations of the femoral artery. Surgical repair has been the traditional treatment modality. Recent reports have introduced duplex-guided compression as a means of nonoperative management of these injuries.

Recognition and management of delayed disruption vesicourethral anastomosis in radical prostatectomy.

We describe 2 cases of delayed disruption of the vesicourethral anastomosis after radical retropubic prostatectomy. Diagnosis was established by fluoroscopic examination. Cystoscopic fixation of a catheter intravesically with suprapubic monofilament suture through the dome of the bladder proved to be the key to resolution of the problem.

Multiple symmetrical lipomatosis.

We report a patient with multiple symmetrical lipomatosis, which is an unusual subgroup of lipomatous disease. This entity is described along with a brief review of the literature on this disease and associated disorders.