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  1. Article ; Online: Prolonged asystole during REM sleep: A case report and review of the literature.

    Sampognaro, James R / Barth, Andreas S / Jun, Jonathan C / Chrispin, Jonathan / Berger, Ronald D / Love, Charles J / Eddy, Courtney / Calkins, Hugh

    Heart rhythm O2

    2022  Volume 3, Issue 5, Page(s) 613–619

    Language English
    Publishing date 2022-07-22
    Publishing country United States
    Document type Case Reports
    ISSN 2666-5018
    ISSN (online) 2666-5018
    DOI 10.1016/j.hroo.2022.07.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Perioperative Considerations in Older Kidney and Liver Transplant Recipients: A Review.

    Chanan, Emily L / Wagener, Gebhard / Whitlock, Elizabeth L / Berger, Jonathan C / McAdams-DeMarco, Mara A / Yeh, Joseph S / Nunnally, Mark E

    Transplantation

    2024  

    Abstract: With the growth of the older adult population, the number of older adults waitlisted for and undergoing kidney and liver transplantation has increased. Transplantation is an important and definitive treatment for this population. We present a ... ...

    Abstract With the growth of the older adult population, the number of older adults waitlisted for and undergoing kidney and liver transplantation has increased. Transplantation is an important and definitive treatment for this population. We present a contemporary review of the unique preoperative, intraoperative, and postoperative issues that patients older than 65 y face when they undergo kidney or liver transplantation. We focus on geriatric syndromes that are common in older patients listed for kidney or liver transplantation including frailty, sarcopenia, and cognitive dysfunction; discuss important considerations for older transplant recipients, which may impact preoperative risk stratification; and describe unique challenges in intraoperative and postoperative management for older patients. Intraoperative challenges in the older adult include using evidence-based best anesthetic practices, maintaining adequate perfusion pressure, and using minimally invasive surgical techniques. Postoperative concerns include controlling acute postoperative pain; preventing cardiovascular complications and delirium; optimizing immunosuppression; preventing perioperative kidney injury; and avoiding nephrotoxicity and rehabilitation. Future studies are needed throughout the perioperative period to identify interventions that will improve patients' preoperative physiologic status, prevent postoperative medical complications, and improve medical and patient-centered outcomes in this vulnerable patient population.
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000005000
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Low Risk of Acute Iatrogenic Periprosthetic Joint Infection After Prosthetic Joint Aspiration.

    Keating, Timothy C / Guntin, Jonathan / Harkin, William E / Weintraub, Matthew T / Karas, Vasili / Berger, Richard A

    The Journal of arthroplasty

    2023  Volume 38, Issue 9, Page(s) 1861–1863

    Abstract: Background: Synovial fluid analysis is an essential tool in diagnosing periprosthetic joint infection (PJI) after total knee arthroplasty (TKA). However, concern exists that aspiration may introduce infection into a noninfected joint. Therefore, the ... ...

    Abstract Background: Synovial fluid analysis is an essential tool in diagnosing periprosthetic joint infection (PJI) after total knee arthroplasty (TKA). However, concern exists that aspiration may introduce infection into a noninfected joint. Therefore, the purpose of this study was to evaluate the incidence of iatrogenic PJI following diagnostic knee aspiration done within 6 months of the primary TKA.
    Methods: Between 2017 and 2021, the senior surgeon performed over 4,000 primary TKAs and aspirated 155 knees in 137 patients for whom there was a suspicion for PJI within 6 months of their primary TKA. There were 22 knees diagnosed as infected from the initial aspiration and therefore were excluded from the study. The remaining 133 aspirates in 115 patients who were negative for infection were followed for 6 months for signs and symptoms of PJI to elucidate whether aspiration introduced infection into an initially noninfected joint.
    Results: There were 70 of 133 knees (52.6%) aspirated between 0 and 6 weeks after index TKA, 40 of 133 (30.1%) between 6 weeks and 3 months, and 23 of 133 (17.3%) between 3 and 6 months. At final follow-up, none of the 133 initially noninfected knees exhibited evidence of subsequent iatrogenic PJI or had subsequent surgery for infection.
    Conclusion: While joint aspiration is a procedure with inherent risks, this study shows that the rate of iatrogenic PJI is extremely low (0%). Therefore, if infection is suspected, the surgeon should consider joint aspiration, even in the initial postoperative period, as the risk for introducing infection is far outweighed by the risk of missing an infection.
    MeSH term(s) Humans ; Prosthesis-Related Infections/epidemiology ; Prosthesis-Related Infections/etiology ; Prosthesis-Related Infections/diagnosis ; Arthroplasty, Replacement, Knee/adverse effects ; Risk ; Knee Joint/surgery ; Arthritis, Infectious/etiology ; Iatrogenic Disease/epidemiology ; Retrospective Studies
    Language English
    Publishing date 2023-03-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632770-9
    ISSN 1532-8406 ; 0883-5403
    ISSN (online) 1532-8406
    ISSN 0883-5403
    DOI 10.1016/j.arth.2023.03.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Safety and Efficacy of Using Fracture Tables for Prosthetic Hip Dislocations.

    Tremblay, Marc-Antoine / Berger, Garrett K / Kraus, Jonathan C

    Arthroplasty today

    2021  Volume 9, Page(s) 89–92

    Abstract: The incidence of prosthetic hip dislocation continues to increase because of the overall increase in volume of total hip replacement surgery. Closed reduction is often the preferred treatment, particularly in the first few months after surgery. No matter ...

    Abstract The incidence of prosthetic hip dislocation continues to increase because of the overall increase in volume of total hip replacement surgery. Closed reduction is often the preferred treatment, particularly in the first few months after surgery. No matter the closed reduction technique, linear traction is a requirement, thus posing a physically demanding stress opening both surgeon and patient to potential injury. We describe a fracture table closed reduction technique along with outcomes and safety data for a sample of patients. In all 10 reduction procedures, reduction was achieved quickly and without fracture or anesthetic complication. The use of a fracture table for reduction of prosthetic hip dislocation is a viable option, particularly when the surgeon may not have the physical requirements and/or qualified assistance necessary for reduction in the emergency department.
    Language English
    Publishing date 2021-05-31
    Publishing country United States
    Document type Journal Article
    ISSN 2352-3441
    ISSN 2352-3441
    DOI 10.1016/j.artd.2021.04.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Assessing Nephrotoxicity Associated With Different Vancomycin Dosing Modalities in Obese Patients at a Community Hospital.

    Wolfe, Amanda / Bowling, Jonathan / Short, Marintha R / Mateyoke, Greg / Berger, Steven C

    Hospital pharmacy

    2021  Volume 57, Issue 4, Page(s) 532–539

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-12-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1468893-1
    ISSN 0018-5787
    ISSN 0018-5787
    DOI 10.1177/00185787211055791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Outcomes of perioperative vasopressor use for hemodynamic management of patients undergoing free flap surgery: A systematic review and meta-analysis.

    Michelle, Lauren / Bitner, Benjamin F / Pang, Jonathan C / Berger, Michael H / Haidar, Yarah M / Rajan, Govind R / Tjoa, Tjoson

    Head & neck

    2023  Volume 45, Issue 3, Page(s) 721–732

    Abstract: This systematic review and meta-analysis investigates the objective evidence regarding outcomes in head and neck free flap surgeries using vasoactive agents in the perioperative period. A search was performed in PubMed, Cochrane, Web of Science, and ... ...

    Abstract This systematic review and meta-analysis investigates the objective evidence regarding outcomes in head and neck free flap surgeries using vasoactive agents in the perioperative period. A search was performed in PubMed, Cochrane, Web of Science, and Scopus databases. Inclusion criteria were clinical studies in which vasopressors were used in head and neck free flap surgery during the intraoperative and perioperative period. Eighteen studies (n = 5397) were included in the qualitative analysis and nine (n = 4381) in the meta-analysis. There was no difference in flap failure outcomes with perioperative vasopressor use in head and neck free flap surgery (n = 4015, OR = 0.93, 95% CI [0.60, 1.44]). When patients received vasopressors perioperatively, there was an associated decrease in flap-specific complications (n = 3881, OR = 0.69, 95% CI [0.55, 0.87]). Intraoperative vasopressor use does not negatively impact free tissue transfer outcomes in head and neck surgery and may reduce overall free flap complications.
    MeSH term(s) Humans ; Free Tissue Flaps ; Plastic Surgery Procedures ; Head and Neck Neoplasms/drug therapy ; Intraoperative Period ; Vasoconstrictor Agents/therapeutic use ; Postoperative Complications/etiology ; Hemodynamics ; Retrospective Studies
    Chemical Substances Vasoconstrictor Agents
    Language English
    Publishing date 2023-01-08
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 645165-2
    ISSN 1097-0347 ; 0148-6403 ; 1043-3074
    ISSN (online) 1097-0347
    ISSN 0148-6403 ; 1043-3074
    DOI 10.1002/hed.27289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Sedentary behavior does not predict low BMD nor fracture-population-based Canadian Multicentre Osteoporosis Study.

    Guðmundsdóttir, Sigríður Lára / Berger, Claudie / Macdonald, Heather / Adachi, Jonathan D / Hopman, Wilma M / Kaiser, Stephanie M / Kovacs, Christopher S / Davison, Kenneth Shawn / Morin, Suzanne N / Goltzman, David / Prior, Jerilynn C

    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research

    2024  Volume 39, Issue 3, Page(s) 231–240

    Abstract: Sedentary behavior (SB) or sitting is associated with multiple unfavorable health outcomes. Bone tissue responds to imposed gravitational and muscular strain with there being some evidence suggesting a causal link between SB and poor bone health. However, ...

    Abstract Sedentary behavior (SB) or sitting is associated with multiple unfavorable health outcomes. Bone tissue responds to imposed gravitational and muscular strain with there being some evidence suggesting a causal link between SB and poor bone health. However, there are no population-based data on the longitudinal relationship between SB, bone change, and incidence of fragility fractures. This study aimed to examine the associations of sitting/SB (defined as daily sitting time), areal BMD (by DXA), and incident low trauma (fragility) osteoporotic fractures (excluding hands, feet, face, and head). We measured baseline (1995-7) and 10-yr self-reported SB, femoral neck (FN), total hip (TH), and lumbar spine (L1-L4) BMD in 5708 women and 2564 men aged 25 to 80+ yr from the population-based, nationwide, 9-center Canadian Multicentre Osteoporosis Study. Incident 10-yr fragility fracture data were obtained from 4624 participants; >80% of fractures were objectively confirmed by medical records or radiology reports. Vertebral fractures were confirmed by qualitative morphological methods. All analyses were stratified by sex. Multivariable regression models assessed SB-BMD relationships; Cox proportional models were fit for fracture risk. Models were adjusted for age, height, BMI, physical activity, and sex-specific covariates. Women in third/fourth quartiles had lower adjusted FN BMD versus women with the least SB (first quartile); women in the SB third quartile had lower adjusted TH BMD. Men in the SB third quartile had lower adjusted FN BMD than those in SB first quartile. Neither baseline nor stable 10-yr SB was related to BMD change nor to incident fragility fractures. Increased sitting (SB) in this large, population-based cohort was associated with lower baseline FN BMD. Stable SB was not associated with 10-yr BMD loss nor increased fragility fracture. In conclusion, habitual adult SB was not associated with subsequent loss of BMD nor increased risk of fracture.
    MeSH term(s) Adult ; Male ; Humans ; Female ; Bone Density ; Sedentary Behavior ; Canada/epidemiology ; Osteoporosis/diagnostic imaging ; Osteoporosis/epidemiology ; Osteoporotic Fractures/epidemiology ; Femur Neck/diagnostic imaging ; Lumbar Vertebrae
    Language English
    Publishing date 2024-03-18
    Publishing country England
    Document type Multicenter Study ; Journal Article
    ZDB-ID 632783-7
    ISSN 1523-4681 ; 0884-0431
    ISSN (online) 1523-4681
    ISSN 0884-0431
    DOI 10.1093/jbmr/zjae004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The impact of a mine fire and smoke event on academic outcomes for primary and secondary school students.

    Berger, Emily / Gao, Caroline / Broder, Jonathan / Campbell, Timothy / Maybery, Darryl / Carroll, Matthew

    Psychological trauma : theory, research, practice and policy

    2021  Volume 15, Issue 2, Page(s) 210–218

    Abstract: ... to students to protect them against academic decline after a disaster. (PsycInfo Database Record (c) 2023 APA ...

    Abstract Objective: This study explored how exposure to a mine fire and smoke event influenced students' academic outcomes.
    Method: The academic results for 303 students (aged 7.8-16.2 years) were accessed and students completed the Children's Revised Impact of Events Scale to measure their level of distress resulting from the mine fire.
    Results: The longitudinal analysis found that secondary students, who attended schools in the town most exposed to particulate matter from the mine fire, experienced an 18.5-month delay in academic progress (95% CI [13.6, 23.5]) after the mine fire, relative to the wider area. No evidence was found in academic delays related to exposure to the mine fire among primary school students. There was also no evidence of additional delays in academic progress for students with higher levels of event-related distress.
    Conclusions: Schools should monitor and provide academic support to students to protect them against academic decline after a disaster. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    MeSH term(s) Child ; Humans ; Smoke/analysis ; Air Pollutants/analysis ; Particulate Matter/analysis ; Students ; Schools
    Chemical Substances Smoke ; Air Pollutants ; Particulate Matter
    Language English
    Publishing date 2021-12-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0001179
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Guidance vs. guidelines

    Kodadek, Lisa M / Berger, Jonathan C / Haut, Elliott R

    Journal of Patient Safety and Risk Management

    the role of evidence-based medicine in the COVID-19 pandemic

    2020  , Page(s) 251604352096584

    Abstract: The COVID-19 pandemic has challenged the practice of high-quality evidence-based medicine because no uniformly accepted treatment protocols or rigorous guidelines are widely available. This article examines the role of practice management guidelines ... ...

    Abstract The COVID-19 pandemic has challenged the practice of high-quality evidence-based medicine because no uniformly accepted treatment protocols or rigorous guidelines are widely available. This article examines the role of practice management guidelines versus clinical guidance for safe and evidence-based clinical care of patients with COVID-19.
    Keywords covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2922116-X
    ISSN 2516-0443 ; 2516-0435
    ISSN (online) 2516-0443
    ISSN 2516-0435
    DOI 10.1177/2516043520965844
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Evaluating the impact of Hazelwood mine fire event on students' educational development with Bayesian interrupted time-series hierarchical meta-regression.

    Gao, Caroline X / Broder, Jonathan C / Brilleman, Sam / Campbell, Timothy C H / Berger, Emily / Ikin, Jillian / Smith, Catherine L / Wolfe, Rory / Johnston, Fay / Guo, Yuming / Carroll, Matthew

    PloS one

    2023  Volume 18, Issue 3, Page(s) e0281655

    Abstract: Background: Environmental disasters such as wildfires, floods and droughts can introduce significant interruptions and trauma to impacted communities. Children and young people can be disproportionately affected with additional educational disruptions. ... ...

    Abstract Background: Environmental disasters such as wildfires, floods and droughts can introduce significant interruptions and trauma to impacted communities. Children and young people can be disproportionately affected with additional educational disruptions. However, evaluating the impact of disasters is challenging due to difficulties in establishing studies and recruitment post-disasters.
    Objectives: We aimed to (1) develop a Bayesian model using aggregated school-level data to evaluate the impact of environmental disasters on academic achievement and (2) evaluate the impact of the 2014 Hazelwood mine fire (a six-week fire event in Australia).
    Methods: Bayesian hierarchical meta-regression was developed to evaluate the impact of the mine fire using easily accessible aggregated school-level data from the standardised National Assessment Program-Literacy and Numeracy (NAPLAN) test. NAPLAN results and school characteristics (2008-2018) from 69 primary/secondary schools with different levels of mine fire-related smoke exposure were used to estimate the impact of the event. Using an interrupted time series design, the model estimated immediate effects and post-interruption trend differences with full Bayesian statistical inference.
    Results: Major academic interruptions across NAPLAN domains were evident in high exposure schools in the year post-mine fire (greatest interruption in Writing: 11.09 [95%CI: 3.16-18.93], lowest interruption in Reading: 8.34 [95%CI: 1.07-15.51]). The interruption was comparable to a four to a five-month delay in educational attainment and had not fully recovered after several years.
    Conclusion: Considerable academic delays were found as a result of a mine fire, highlighting the need to provide educational and community-based supports in response to future events. Importantly, this work provides a statistical method using readily available aggregated data to assess the educational impacts in response to other environmental disasters.
    MeSH term(s) Child ; Humans ; Adolescent ; Bayes Theorem ; Interrupted Time Series Analysis ; Fires ; Educational Status ; Students
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0281655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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