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  1. Article ; Online: Letter to the Editor: "Systemic Inflammation Response Index and Systemic Immune Inflammation Index Are Associated with Clinical Outcomes in Patients with Acute Pancreatitis".

    Roskam, Justin S / Adams, John M / Rolandelli, Rolando H / Difazio, Louis T / Stopper, Patricia B / Nemeth, Zoltan H

    Journal of investigative surgery : the official journal of the Academy of Surgical Research

    2023  Volume 36, Issue 1, Page(s) 2224861

    MeSH term(s) Humans ; Pancreatitis/diagnosis ; Pancreatitis/therapy ; Pancreatitis/complications ; Acute Disease ; Inflammation
    Language English
    Publishing date 2023-06-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639444-9
    ISSN 1521-0553 ; 0894-1939
    ISSN (online) 1521-0553
    ISSN 0894-1939
    DOI 10.1080/08941939.2023.2224861
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2364: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  2. Article ; Online: The Impact of Gender on Complications and Outcomes of Pelvic Fracture.

    Adams, John M / Bogdanovski, Dorian A / Difazio, Louis T / Bilaniuk, Jaroslaw W / Siegel, Brian K / Antonioli, Luca / Pilip, Stefanie A / Nemeth, Zoltan H

    The American surgeon

    2017  Volume 83, Issue 4, Page(s) e106–109

    MeSH term(s) Critical Care/statistics & numerical data ; Female ; Fractures, Bone/surgery ; Humans ; Injury Severity Score ; Length of Stay ; Male ; Middle Aged ; Pelvic Bones/injuries ; Pulmonary Embolism/etiology ; Sex Distribution ; Trauma Centers/statistics & numerical data ; Treatment Outcome
    Language English
    Publishing date 2017-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Incidence of Severe Dysphagia after Odontoid Fracture.

    Nemeth, Zoltan H / Difazio, Louis T / Bilaniuk, Jaroslaw W / Siegel, Brian K / Durling-Grover, Renay / Rolandelli, Rolando H / Adams, John M

    The American surgeon

    2017  Volume 83, Issue 1, Page(s) e15–17

    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Deglutition Disorders/epidemiology ; Deglutition Disorders/etiology ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Odontoid Process/injuries ; Retrospective Studies ; Risk Factors ; Spinal Fractures/complications
    Language English
    Publishing date 2017-04-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.106: Show issues Location:
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  4. Article ; Online: Effects of ED diversion on trauma care as perceived by EMTs who provide basic life support services for Morristown Memorial Hospital's geographical region.

    Walker-Cillo, Gayle / Fowler, Susan B / Durling-Grover, Renay / Difazio, Louis T

    Journal of emergency nursing

    2008  Volume 34, Issue 5, Page(s) 466–469

    MeSH term(s) Attitude of Health Personnel ; Communication ; Continuity of Patient Care ; Crowding ; Decision Making, Organizational ; Emergency Medical Technicians/organization & administration ; Emergency Medical Technicians/psychology ; Emergency Service, Hospital/organization & administration ; Hospital Bed Capacity ; Humans ; Interprofessional Relations ; Leadership ; Life Support Care/organization & administration ; Needs Assessment ; New Jersey ; Nursing Methodology Research ; Patient Selection ; Patient Transfer/organization & administration ; Professional Role/psychology ; Quality of Health Care/organization & administration ; Surveys and Questionnaires ; Total Quality Management/organization & administration ; Transportation of Patients/organization & administration ; Traumatology/organization & administration ; Wounds and Injuries/therapy
    Language English
    Publishing date 2008-07-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604632-0
    ISSN 1527-2966 ; 0099-1767
    ISSN (online) 1527-2966
    ISSN 0099-1767
    DOI 10.1016/j.jen.2008.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2509: Show issues Location:
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  5. Article ; Online: Does patient age and height of fall alone require trauma team activation?

    Adams, John M / Bilaniuk, Jaroslaw W / Siegel, Brian K / Difazio, Louis T / Skerker, Robert S / Grob, Patricio / Bobbin, Mark D / Rolandelli, Rolando H / Németh, Zoltán H

    The American surgeon

    2011  Volume 77, Issue 9, Page(s) 1201–1205

    Abstract: Our American College of Surgeons Level I trauma center uses physiological data and injury patterns to identify fall patients at risk. We hypothesized that height of fall and patient age impacted injury severity and analyzed if they were significant ... ...

    Abstract Our American College of Surgeons Level I trauma center uses physiological data and injury patterns to identify fall patients at risk. We hypothesized that height of fall and patient age impacted injury severity and analyzed if they were significant predictors of the need for trauma team activation. Charts were reviewed from July 1, 2004, to June 30, 2007, for age; sex; Injury Severity Score (ISS); height of fall and admission to the intensive care unit, operating room, stepdown unit, floor; or death. Exclusion criteria were physiological, neurologic, or airway compromise and penetrating neck or torso injuries. ISS was used as a positive control. A total of 1865 fall patients were treated during the period of data collection, and 1348 patients were eliminated by exclusion criteria, leaving 517 patients for study. Although patient age did not correlate with the need for trauma team activation, there was a statistically significant association between age and admission to the hospital from the emergency room (P < 0.05; area under curve [AUC] = 0.713; 95% confidence interval [CI], 0.656 to 0.770). Similarly, although the height of fall alone did not have a significant predictive value for the need of trauma team activation, there was a clear association of the height of fall with hospital admission (AUC = 0.589; 95% CI, 0.519 to 0.658). Patient age and height of fall alone are not criteria for trauma team activation in the absence of physiological, neurologic, or airway compromise.
    MeSH term(s) Accidental Falls/statistics & numerical data ; Age Factors ; Aged ; Body Height ; Female ; Humans ; Injury Severity Score ; Male ; Predictive Value of Tests ; ROC Curve ; Retrospective Studies ; Risk Factors ; Trauma Centers/statistics & numerical data ; Triage/organization & administration ; Wounds and Injuries/therapy
    Language English
    Publishing date 2011-09
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.106: Show issues Location:
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  6. Article ; Online: Standard computed tomography of the chest, abdomen, and pelvis is sensitive and cost-effective for the detection of fractures of the shoulder girdle.

    Adams, John M / Bilaniuk, Jaroslaw W / Difazio, Louis T / Siegel, Brian K / Durling-Grover, Renay / McCarthy, Denise / Grob, Patricio / Bobbin, Mark D / Skerker, Robert S / Németh, Zoltán H

    The American surgeon

    2011  Volume 77, Issue 9, Page(s) 1183–1187

    Abstract: Computed tomography of the chest, abdomen, and pelvis (CTCAP) has become the mainstay of diagnosis in stable blunt trauma patients. The purpose of this study was to investigate whether standard CTCAP has adequate sensitivity to identify fractures of the ... ...

    Abstract Computed tomography of the chest, abdomen, and pelvis (CTCAP) has become the mainstay of diagnosis in stable blunt trauma patients. The purpose of this study was to investigate whether standard CTCAP has adequate sensitivity to identify fractures of the scapula, clavicle, and humeral head to replace routine radiographs of the shoulder. A retrospective chart review was carried out from January 1, 2004, to December 31, 2007, at Morristown Memorial Hospital. Inclusion criteria were all shoulder fracture patients in our trauma registry who underwent both a CTCAP and plain radiographs of the injured shoulder. Data were collected for patient age, sex, Injury Severity Score, mechanism of injury, and fracture location. Sensitivity was calculated for each diagnostic modality as well as hospital costs and radiation dose of plain radiographs. A total of 374 charts were reviewed and 98 patients were included in the study with a total of 117 fractures. The sensitivity of trauma CTCAP for scapula fractures was 100 per cent, clavicle fractures 98 per cent, and humeral head fractures 100 per cent. The sensitivity of the shoulder series for scapula fractures was 60 per cent, clavicle fractures 85 per cent, and humeral head fractures 100 per cent. The plain radiographs added $298 in hospital charges and 0.191 mSv of radiation per patient. CTCAP is a sensitive tool for identifying fractures in the shoulder girdle. Therefore, CTCAP can replace the routine radiographs of the shoulder resulting in less total radiation exposure of the trauma patients. This also would lead to lower healthcare cost and better diagnostic workflow.
    MeSH term(s) Cost-Benefit Analysis ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Hospital Charges/statistics & numerical data ; Humans ; Male ; Middle Aged ; New Jersey ; Pelvis/diagnostic imaging ; Radiography, Abdominal/economics ; Radiography, Abdominal/methods ; Radiography, Thoracic/economics ; Radiography, Thoracic/methods ; Retrospective Studies ; Sensitivity and Specificity ; Shoulder Fractures/diagnostic imaging ; Tomography, X-Ray Computed/economics ; Trauma Severity Indices ; Wounds, Nonpenetrating/diagnostic imaging
    Language English
    Publishing date 2011-09
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.106: Show issues Location:
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  7. Article: Spinal clearance in the difficult trauma patient: a role for screening MRI of the spine.

    Adams, John M / Cockburn, Mark I E / Difazio, Louis T / Garcia, Felix A / Siegel, Brian K / Bilaniuk, Jaroslaw W

    The American surgeon

    2006  Volume 72, Issue 1, Page(s) 101–105

    Abstract: Identifying spinal injuries in trauma patients with altered mental status can be difficult. CT scanning and clinical examination are the basis of our spinal clearance, but screening "trauma protocol" spinal MRI is used to exclude occult injuries. We ... ...

    Abstract Identifying spinal injuries in trauma patients with altered mental status can be difficult. CT scanning and clinical examination are the basis of our spinal clearance, but screening "trauma protocol" spinal MRI is used to exclude occult injuries. We sought to evaluate the sensitivity of CT scanning for spinal injuries compared with our MRI protocol. Ninety-seven patients underwent MRI cervical spine trauma protocol during 2004. Twenty-nine patients were obtunded, 29 had neurologic symptoms, and 39 had spine pain. MRI confirmed the initial CT findings without new injuries in 83 cases. MRI reclassified fractures as degenerative changes in 12 cases. In 2 cases, the MRI identified new injuries: one a stable partial ligament tear, the second a T7 Chance fracture with ligamental disruption requiring operative fixation. There was no morbidity or mortality documented in obtaining the MRI studies. Overall negative predictive value of CT scanning of the spine was 98 per cent, the positive predictive value was 78 per cent, and the sensitivity and specificity was 94 per cent and 91 per cent, respectively. CT scanning of the cervical and axial spine is sensitive for spinal trauma but not specific. MRI trauma protocol should be reserved for cases when initial CT scanning is suggestive of traumatic injury.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/injuries ; Cervical Vertebrae/pathology ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Sensitivity and Specificity ; Spinal Injuries/diagnosis ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/injuries ; Thoracic Vertebrae/pathology ; Tomography, X-Ray Computed ; Trauma Severity Indices
    Language English
    Publishing date 2006-01
    Publishing country United States
    Document type Comparative Study ; Evaluation Studies ; Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.106: Show issues Location:
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