19 results match your criteria: "University of Arkansas for Medical Sciences Library[Affiliation]"

Comparative efficacy of intravenous treatments for perioperative shivering in patients undergoing caesarean delivery under neuraxial anaesthesia: A systematic review and Bayesian network meta-analysis of randomised-controlled trials.

J Clin Anesth

January 2025

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, CA, USA; Research Department of Targeted Intervention, Division of Surgery and Interventional Science, University College London, London, UK. Electronic address:

Introduction: Shivering affects 52 % of patients undergoing caesarean delivery under neuraxial anaesthesia. Despite extensive research focused on its prevention, there is still no consensus regarding optimal pharmacological treatment. This systematic review and network meta-analysis aims to compare available intravenous treatments of perioperative shivering in patients undergoing caesarean delivery under neuraxial anaesthesia.

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Objective: This study aims to evaluate the success rates and complications associated with different free flap donor sites used in surgical reconstruction for mandibular osteoradionecrosis, providing insights to aid clinical decision-making.

Data Sources: MEDLINE, Embase, Cochrane, and Web of Science.

Review Methods: Comprehensive database searches were conducted up to October 2023.

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Effectiveness of preoxygenation strategies: a systematic review and network meta-analysis.

Br J Anaesth

July 2024

Department of Anaesthesia and Perioperative Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK; King's College London, London, UK. Electronic address:

Background: Preoxygenation is universally recommended before induction of general anaesthesia to prolong safe apnoea time. The optimal technique for preoxygenation is unclear. We conducted a systematic review to determine the preoxygenation technique associated with the greatest effectiveness in adult patients having general anaesthesia.

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Background: Poor pain control during the postoperative period has negative implications for recovery, and is a critical risk factor for development of persistent postsurgical pain. The aim of this scoping review is to identify gaps in healthcare delivery that patients undergoing inpatient noncardiac surgeries experience in pain management while recovering at home.

Methods: Searches were conducted by a medical librarian in PubMed, MEDLINE, EMBASE, EBSCO CINAHL, Web of Science, and Cochrane Database of Systematic Reviews for articles published between 2016 and 2022.

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Article Synopsis
  • This study analyzed different nonsteroidal anti-inflammatory drugs (NSAIDs) used for pain relief after cesarean sections to determine their effectiveness, side effects, and overall quality of recovery.* -
  • The researchers reviewed 47 trials with about 1,228 patients, finding that nonselective NSAIDs like diclofenac and indomethacin performed better for pain management compared to selective ones like celecoxib.* -
  • The results indicate that while there are minimal differences between the NSAIDs studied, nonselective options may offer better pain relief and quicker recovery compared to selective alternatives.*
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Assessing pediatric perioperative affect: A concise review of research and clinically relevant scales.

Paediatr Anaesth

March 2023

Department of Anesthesiology, Perioperative and Pain Medicine, Division of Pediatric Anesthesiology, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California, USA.

Perioperative anxiety and distress are common in pediatric patients undergoing general anesthesia and increase the risk for immediate and long-term postoperative complications. This concise review outlines key research and clinically-relevant scales that measure pediatric perioperative affect. Strengths and weaknesses of each scale are highlighted.

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Objective: To analyze outcomes of singleton pregnancies with idiopathic polyhydramnios through a systematic review and meta-analysis.

Methods: Electronic databases, including MEDLINE, OVID, EBSCO, Cochrane collection and Science Citation Index, were searched from 1946 to 2019. Gray literature and tables of contents of relevant journals were also screened.

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Objective: Progestin therapy is the recommended fertility-sparing management of atypical endometrial hyperplasia or early-stage endometrial cancer in reproductive-aged women. Our objective was to evaluate disease relapse after progestin and metformin versus progestin therapy alone in patients with endometrial hyperplasia or cancer. Our secondary outcomes were disease remission, clinical pregnancy and live birth rate.

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Telehealth options, such as telephone counseling or videoconferencing, for service delivery in genetic counseling are becoming more widely accepted. However, until now, there has not been a systematic review of the literature focused specifically on genetic counseling outcomes for telehealth. We performed a systematic evidence review to compare telehealth genetic counseling (THGC), including videoconferencing and telephone counseling, across specialties to in-person genetic counseling (IPGC) for a range of outcomes specific to patient and provider experiences and access to care.

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The scale of the COVID-19 pandemic means that a significant number of patients who have previously been infected with SARS-CoV-2 will require surgery. Given the potential for multisystem involvement, timing of surgery needs to be carefully considered to plan for safe surgery. This consensus statement uses evidence from a systematic review and expert opinion to highlight key principles in the timing of surgery.

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Caesarean delivery is the most commonly performed inpatient surgical procedure globally. Pain after caesarean delivery is moderate to severe if not adequately treated, and is a primary anaesthetic concern for patients. Transversus abdominis plane and quadratus lumborum blocks are fascial plane blocks that have the potential to improve analgesia following caesarean delivery.

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Article Synopsis
  • The prevalence of adult deformity surgery is rising among elderly individuals, prompting the need for spine surgeons to consider various preoperative and intraoperative factors specific to this age group to minimize surgical complications.
  • Degenerative scoliosis affects a significant portion of the elderly (68%), with complication rates after surgery ranging from 37% to 62%, influenced by factors like age, comorbidities, and bone quality, underscoring the importance of effective risk management.
  • Comprehensive perioperative management, including assessing frailty and nutritional status preoperatively and employing strategies to reduce blood loss intraoperatively, is essential to improve surgical outcomes in geriatric patients.
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Introduction: Community-based participatory research is a partnership approach to research that seeks to equally involve community members, organisational representatives and academic partners throughout the research process in a coequal and mutually beneficial partnership. To date, no published article has synthesised the best practices for community-based participatory research practices with Pacific Islanders.

Methods And Analysis: The reviewers will examine studies' titles, abstracts and full text, comparing eligibility to address discrepancies.

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Article Synopsis
  • Study aimed to assess if simulation training improved physicians' and nurses' confidence in using electronic medical records (EMRs) and their perceptions of EMRs' importance for patient safety.
  • The study involved 387 healthcare professionals who underwent computer training followed by simulation practice with standardized patients and completed questionnaires on their self-efficacy and perceptions before and after training.
  • Results showed increased self-efficacy in using EMRs post-training, but perceptions on EMRs' importance remained largely unchanged; participants found the simulation training to be a valuable, interactive learning experience.
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Purpose: Our objective was to review the history, safety, and efficacy of caffeine-containing dietary supplements in the United States and Canada.

Methods: PubMed and Web of Science databases (1980-2014) were searched for articles related to the pharmacology, toxicology, and efficacy of caffeine-containing dietary supplements with an emphasis on Ephedra-containing supplements, Ephedra-free supplements, and energy drinks or shots.

Findings: Among the first and most successful dietary supplements to be marketed in the United States were those containing Ephedra—combinations of ephedrine alkaloids, caffeine, and other phytochemicals.

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Gopher software has emerged rapidly as a powerful tool for providing library users with organized access to Internet resources. Building and maintaining Gophers is one way in which librarians' traditional knowledge and skills are being applied in a nontraditional area. In March 1992, the University of Michigan's ULibrary Gopher was created, mainly as a means of providing access to U.

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