POST EVENT-CARDIOVASCULAR RISK PERCEPTION SURVEY: VALIDITY AND RELIABILITY IN CARDIAC PATIENTS POST HEART EVENT.

Cardiac risk perception in patients who had a heart event is unknown. Evaluate the validity and reliability of the Post Event-Cardiovascular Risk Perception Survey (PE-CRPS). This is a descriptive, cross-sectional study with a convenient sample of 251 patients who experienced a heart event.

A simplified and effective off-axis Winston-Lutz for single-isocenter multi-target SRS.

Purpose: To safely perform single-iso multi-target (SIMT) stereotactic radiosurgery (SRS), clinics must demonstrate SRS delivery accuracy for off-axis targets. The traditional Winston-Lutz (W-L) was widely adopted because it provides a simple and accurate solution for testing radiation-isocenter coincidence that uses a static target, enables testing arbitrary treatment angles, and does not require expensive commercial phantoms. The current noncommercial tests are cumbersome and insufficiently accurate.

Psycholinguistic Assessment of Cognitive Function in Breast Cancer Survivors.

Objectives: To gather preliminary data on correlations among psycholinguistic measures, self-report of cognitive function, and performance on neurocognitive tests in breast cancer survivors.

Sample & Setting: Participants were breast cancer survivors who reported issues with cognitive function after completion of chemotherapy. This secondary analysis used data from participants in parent studies at two National Cancer Institute-designated cancer centers.

Does time to surgery for traumatic hip fracture impact the efficacy of fascia iliaca blocks? A brief report.

Objectives: Outcomes after traumatic hip fracture have shown to be significantly improved with timely surgical management. This study determined whether there were differences in efficacy of fascia iliaca compartment block (FICB) on pain outcomes in patients with hip fracture, once stratified by time to surgery.

Methods: Trauma patients (55-90 years) admitted to five Level I/II trauma centers within 12 hours of hip fracture were included.

Associations of Smoking With Delirium and Opioid Use in Older Adults With Traumatic Hip Fracture.

Introduction: Cigarette smoking is a risk factor for hip fractures, while risk factors for developing delirium include older age and preexisting cognitive impairment. We sought to determine whether smoking status is independently associated with delirium and pain outcomes.

Methods: This was a prospective, observational cohort study of 442 older adults (65 to 90 years) admitted for traumatic hip fracture at five trauma centers.

A multi-institutional prospective observational study to evaluate fascia iliaca compartment block (FICB) for preventing delirium in adults with hip fracture.

Objectives: Until recently, systemic opioids have been standard care for acute pain management of geriatric hip fracture; however, opioids increase risk for delirium. Fascia Iliaca compartment blocks (FICB) may be favored to systemic analgesia for reducing delirium, but this has not been well demonstrated. We evaluated the efficacy of adjunctive FICB versus systemic analgesia on delirium incidence, opioid consumption, and pain scores.

Implementing Advance Care Planning: Barriers and Facilitators.

An article by Izumi et al. (2019) in the current issue describes the effect of a brief educational intervention for nurses to increase confidence in their knowledge of advance care planning (ACP). The description of this project offers a useful exemplar for those wishing to implement ACP interventions.

Patellofemoral joint replacement, an evolving concept.

Isolated patellofemoral arthritis is a rare disease, whose management is challenging and controversial. Patellofemoral joint replacement can be an effective treatment for this condition. The very concept of a patellofemoral implant has evolved throughout the years, resulting in more anatomic designs and reproducible surgical techniques.