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  1. Article: An unusual urinary tract infection in a healthy young man.

    Kobe, Yoshiro

    Clinical case reports

    2017  Volume 5, Issue 12, Page(s) 2071–2073

    Abstract: Appearances are deceptive. Prejudice sometimes will betray us. The key to making a diagnosis of infection with unknown focus is a focused interview and thorough physical examination. No special medical care is needed for transgender individuals, although ...

    Abstract Appearances are deceptive. Prejudice sometimes will betray us. The key to making a diagnosis of infection with unknown focus is a focused interview and thorough physical examination. No special medical care is needed for transgender individuals, although medical staff should be aware that some individuals might have special requirements.
    Language English
    Publishing date 2017-11-07
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.1225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Portal venous gas accompanied by gallbladder torsion: a case report.

    Tohma, Takayuki / Kobe, Yoshiro / Yoshida, Mitsuhiko / Ushio, Masaya

    Journal of surgical case reports

    2022  Volume 2022, Issue 10, Page(s) rjac491

    Abstract: Portal venous gas (PVG) generally suggests critically ill conditions such as severe bowel ischemia. We herein report a rare case of gallbladder torsion with PVG. An 88-year-old woman complained of right hypogastric pain. Ultrasonography (US) showed ... ...

    Abstract Portal venous gas (PVG) generally suggests critically ill conditions such as severe bowel ischemia. We herein report a rare case of gallbladder torsion with PVG. An 88-year-old woman complained of right hypogastric pain. Ultrasonography (US) showed diffuse wall thickening of her gallbladder and mobile echogenic foci moving inside the portal venous branches. Computed tomography showed a thickened wall of the gallbladder with poor enhancement and tiny pockets of air in the portal venous branches (segments 4 and 5). There was no evidence of other visceral ischemia. She was diagnosed with necrotic cholecystitis and immediately underwent an emergency operation. We found a gangrenous gallbladder with 180° clockwise rotation along the longitudinal axis and performed cholecystectomy. We confirmed the disappearance of PVG with US after the operation. Her postoperative course was uneventful. Gallbladder diseases can produce PVG, and US might be a useful diagnostic modality to evaluate changes in PVG.
    Language English
    Publishing date 2022-10-31
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjac491
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Potential role for emergency physicians with endoscopy training in the treatment of upper gastrointestinal hemorrhage: a retrospective observational study.

    Kobe, Yoshiro / Oami, Takehiko / Hashida, Tomoaki / Tateishi, Yoshihisa

    Acute medicine & surgery

    2018  Volume 5, Issue 3, Page(s) 230–235

    Abstract: Aim: Urgent endoscopy is essential in gastrointestinal (GI) bleeding. Emergency physicians with endoscopy training treat patients with GI bleeding in our hospital. We compared the management and clinical outcomes of GI bleeding cases between those ... ...

    Abstract Aim: Urgent endoscopy is essential in gastrointestinal (GI) bleeding. Emergency physicians with endoscopy training treat patients with GI bleeding in our hospital. We compared the management and clinical outcomes of GI bleeding cases between those treated by an emergency physician (EP) and those treated by a non-emergency physician (NEP; e.g., gastroenterologist or general surgeon).
    Methods: We undertook a retrospective chart review of upper GI bleeding cases treated using endoscopy in the emergency department between 2012 and 2014. We examined patients characteristics, endoscopic findings, hemostatic procedures, need for transfusion, rebleeding and adverse events, length of hospital stay, and mortality.
    Results: The EP group included 33 patients (39%) and the NEP group included 51 (61%). Patient characteristics and diseases did not differ between the groups. The EP group underwent urgent endoscopy more often (100% versus 86%,
    Conclusion: Short-term outcomes in GI bleeding cases managed by emergency physicians with endoscopy training were comparable to those by gastroenterologists and general surgeons. However, the extent of endoscopic training and experience emergency physicians should have remains unclear.
    Language English
    Publishing date 2018-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2751184-4
    ISSN 2052-8817 ; 2052-8817
    ISSN (online) 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.332
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  4. Article ; Online: Dapsone-induced agranulocytosis leading to perianal abscess and death

    Kitamura Nobuya / Setoguchi Daisuke / Kobe Yoshiro

    Journal of Medical Case Reports, Vol 5, Iss 1, p

    a case report

    2011  Volume 107

    Abstract: Abstract Introduction Dapsone (diaminodiphenylsulfone) is used for the treatment of intractable skin diseases such as pemphigus and leprosy. The side effects of Dapsone are anemia, leukopenia, and liver dysfunction. Here, we present a case of ... ...

    Abstract Abstract Introduction Dapsone (diaminodiphenylsulfone) is used for the treatment of intractable skin diseases such as pemphigus and leprosy. The side effects of Dapsone are anemia, leukopenia, and liver dysfunction. Here, we present a case of agranulocytosis-induced septic shock, which was a side effect of Dapsone. Case presentation An 82-year-old Japanese woman was transferred to our hospital with fever, leucopenia, and respiratory arrest. At the previous hospital, she had been administered Dapsone for linear IgA bullous dermatosis. At the time of admission, she presented with methemoglobinemia and septic shock, which was due to immunosuppression caused by the normal dose of Dapsone. Although her overall health initially improved, her condition deteriorated because of septic shock caused by an anal fistula. She died of sepsis on hospital day 80. Conclusion One of the side effects of Dapsone is agranulocytosis. Patients with agranulocytosis may be in danger of developing anal fistula. Therefore, care must be taken if a patient with agranulocytosis develops a decubitus ulcer in the sacral region, since it could develop into a fistula-in-ano.
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2011-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Dapsone-induced agranulocytosis leading to perianal abscess and death: a case report.

    Kobe, Yoshiro / Setoguchi, Daisuke / Kitamura, Nobuya

    Journal of medical case reports

    2011  Volume 5, Page(s) 107

    Abstract: Introduction: Dapsone (diaminodiphenylsulfone) is used for the treatment of intractable skin diseases such as pemphigus and leprosy. The side effects of Dapsone are anemia, leukopenia, and liver dysfunction. Here, we present a case of agranulocytosis- ... ...

    Abstract Introduction: Dapsone (diaminodiphenylsulfone) is used for the treatment of intractable skin diseases such as pemphigus and leprosy. The side effects of Dapsone are anemia, leukopenia, and liver dysfunction. Here, we present a case of agranulocytosis-induced septic shock, which was a side effect of Dapsone.
    Case presentation: An 82-year-old Japanese woman was transferred to our hospital with fever, leucopenia, and respiratory arrest. At the previous hospital, she had been administered Dapsone for linear IgA bullous dermatosis. At the time of admission, she presented with methemoglobinemia and septic shock, which was due to immunosuppression caused by the normal dose of Dapsone. Although her overall health initially improved, her condition deteriorated because of septic shock caused by an anal fistula. She died of sepsis on hospital day 80.
    Conclusion: One of the side effects of Dapsone is agranulocytosis. Patients with agranulocytosis may be in danger of developing anal fistula. Therefore, care must be taken if a patient with agranulocytosis develops a decubitus ulcer in the sacral region, since it could develop into a fistula-in-ano.
    Language English
    Publishing date 2011-03-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/1752-1947-5-107
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Median arcuate ligament syndrome presenting as hemorrhagic shock.

    Matsumura, Yosuke / Nakada, Taka-aki / Kobe, Yoshiro / Hattori, Noriyuki / Oda, Shigeto

    The American journal of emergency medicine

    2013  Volume 31, Issue 7, Page(s) 1152.e1–4

    Abstract: The major symptoms of median arcuate ligament syndrome, celiac axis stenosis, or occlusion compressed by the median arcuate ligament include eating-associated abdominal pain and weight loss. Because celiac stenosis increases retrograde collateral blood ... ...

    Abstract The major symptoms of median arcuate ligament syndrome, celiac axis stenosis, or occlusion compressed by the median arcuate ligament include eating-associated abdominal pain and weight loss. Because celiac stenosis increases retrograde collateral blood flow from the superior mesenteric artery to the celiac artery via the pancreaticoduodenal arcade, a pancreaticoduodenal artery aneurysm could occur at a low incidence rate. Rupture of the pancreaticoduodenal artery aneurysm and hemorrhagic shock are rare. In this report, we present 3 cases of patients who had been well with no abdominal symptoms until the day of admission, when they experienced sudden-onset intra-abdominal hemorrhage and shock. These 3 patients were admitted to the emergency department, and contrast-enhanced computed tomography and radiographic selective catheter angiography revealed intra-abdominal hemorrhage, stenosis of the celiac arteries, and dilated pancreaticoduodenal arcade. Case 1 demonstrated severe hemorrhagic shock, whereas case 2 demonstrated moderate shock. We treated ruptured pancreaticoduodenal artery aneurysms with coil embolization. Case 3 demonstrated complete celiac occlusion and moderate hemorrhagic shock, and no aneurysm was detected.
    MeSH term(s) Adult ; Aged ; Aneurysm, Ruptured/diagnostic imaging ; Aneurysm, Ruptured/etiology ; Celiac Artery/abnormalities ; Celiac Artery/diagnostic imaging ; Constriction, Pathologic/complications ; Constriction, Pathologic/diagnostic imaging ; Female ; Humans ; Male ; Median Arcuate Ligament Syndrome ; Middle Aged ; Shock, Hemorrhagic/etiology ; Syndrome ; Tomography, X-Ray Computed
    Language English
    Publishing date 2013-05-18
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2013.02.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Management of acute mesenteric ischaemia: Results of a worldwide survey

    Hess, Benjamin / Cahenzli, Martin / Forbes, Alastair / Rosa Burgos / Coccolini, Federico / Corcos, Olivier / Holst, Mette / Irtun, Øivind / Klek, Stanislaw / Pironi, Loris / Rasmussen, Henrik Højgaard / Serlie, Mireille J. / Thibault, Ronan / Gabe, Simon / Reintam Blaser, Annika / Akin, Emrah / Ali, Syed Muhammad / Argenio, Giulio / Atici, Semra Demirli /
    Augustin, Goran / Baili, Efstratia / Bains, Lovenish / Bala, Miklosh / Baldini, Edoardo / Baraket, Oussama / Barone, Mirko / Biloslavo, Alan / Roberto Bini / Bombardini, Cristina / Brisinda, Giuseppe / Buonomo, Luis / Catena, F. / Ceresoli, Marco / Chiarello, Maria Michela / Chouliaras, Christos / D'Acapito, Fabrizio / Damaskos, Dimitrios / De Simone, Belinda / Delogu, Daniele / Demetrashvili, Zaza / Di Carlo, Isidoro / D'Oria, Mario / Durán-Muñoz-Cruzado, Virginia María / Forget, Patrice / Fortuna, Laura / Fransvea, Pietro / Frey, Christian / Gapejeva, Olga / Garcon, Pierre / Gass, Jörn-Markus / Teixeira Gonsaga, Ricardo Alessandro / Griffiths, Ewen / Gundogan, Kursat / Gurjar, Mohan / Hamid, Hytham K.S. / Silesky Jiménez, Juan Ignacio / Kase, Karri / Hussain Kazmi, Syed Sajid / Kechagias, Aristotelis / Khokha, Vladimir / Kobe, Yoshiro / Korkolis, Dimitrios P. / Litvin, Andrey / Lostoridis, Eftychios / Mahendran, Hans Alexander / Marino, Fabio / Martinuzzi, Andres / Mesina, Cristian / Neri, Vincenzo / Panisic, Marina / Paolillo, Ciro / Pararas, Nikolaos / Perrone, Gennaro / Pesce, Antonio / Picardi, Biagio / Pither, Charlotte / Podda, Mauro / Poskus, Tomas / Poullenot, Florian / Przemyslaw, Matras / Sartelli, Massimo / Sasia, Diego / Scheiterle, Maximilian / Seretis, Fotios / Søreide, Kjetil / Sydorchuk, Ruslan / Szczepanek, Kinga / Bodnar, Zsolt / Tamion, Fabienne / Tarasconi, Antonio / Teraa, Martin / Tolonen, Matti / Vanuytsel, Tim / Veroux, Massimiliano / Vinter-Jensen, Lars / Visconti, Diego / Widmer, Lukas / Zakaria, Andee Dzulkarnaen / Zubareva, Nadezhda / Endorsing International Societies / ESICM (European Society of Intensive Care Medicine) / WSES (World Society of Emergency Surgery) / WSACS (The Abdominal Compartment Society) / In-principle support / WFICC (World Federation of Intensive and Critical Care)

    Clinical Nutrition ESPEN. 2023 Apr., v. 54 p.194-205

    2023  

    Abstract: Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist ... ...

    Institution ESPEN Special Interest Group on Acute Intestinal Failure ESPEN (European Society for Clinical Nutrition and Metabolism)
    Abstract Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide. A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected. We collected 493 individual forms from 71 countries and 94 team forms from 34 countries. Almost half of respondents were surgeons, and most of the responding teams (70%) were led by surgeons. Most of the respondents indicated that diagnosis of AMI is often delayed but rarely missed. Emergency revascularisation is often considered for patients with AMI but rarely in cases of transmural ischaemia (intestinal infarction). Responses from team hospitals with a dedicated special unit (14 team forms) indicated more aggressive revascularisation. Abdominopelvic CT-scan with intravenous contrast was suggested as the most useful diagnostic test, indicated by approximately 90% of respondents. Medical history and risk factors were thought to be more important in diagnosis of AMI without transmural ischaemia, whereas for intestinal infarction, plasma lactate concentrations and surgical exploration were considered more useful. In elderly patients, a palliative approach is often chosen over extensive bowel resection. There was a large variability in anticoagulant treatment, as well as in timing of surgery to restore bowel continuity. Delayed diagnosis of AMI is common despite wide availability of an adequate imaging modality, i.e. CT-scan. Large variability in treatment approaches exists, indicating the need for updated guidelines. Increased awareness and knowledge of AMI may improve current practice until more robust evidence becomes available. Adherence to the existing guidelines may help in improving differences in treatment and outcomes.
    Keywords anticoagulants ; clinical nutrition ; elderly ; health services ; infarction ; intestines ; intravenous injection ; ischemia ; lactic acid ; medical history ; mortality ; questionnaires ; resection ; risk ; surveys ; Acute mesenteric ischaemia ; Acute mesenteric infarction ; NOMI (Non-occlusive mesenteric ischaemia) ; Occlusive intestinal ischaemia ; Intestinal failure ; Survey ; Treatment
    Language English
    Dates of publication 2023-04
    Size p. 194-205.
    Publishing place Elsevier Ltd
    Document type Article ; Online
    Note Pre-press version ; Use and reproduction
    ISSN 2405-4577
    DOI 10.1016/j.clnesp.2022.12.022
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey.

    Sartelli, Massimo / Labricciosa, Francesco M / Coccolini, Federico / Coimbra, Raul / Abu-Zidan, Fikri M / Ansaloni, Luca / Al-Hasan, Majdi N / Ansari, Shamshul / Barie, Philip S / Caínzos, Miguel Angel / Ceresoli, Marco / Chiarugi, Massimo / Claridge, Jeffrey A / Cicuttin, Enrico / Dellinger, Evan Patchen / Fry, Donald E / Guirao, Xavier / Hardcastle, Timothy Craig / Hecker, Andreas /
    Leppäniemi, Ari K / Litvin, Andrey / Marwah, Sanjay / Maseda, Emilio / Mazuski, John E / Memish, Ziad Ahmed / Kirkpatrick, Andrew W / Pagani, Leonardo / Podda, Mauro / Rasa, Huseyin Kemal / Sakakushev, Boris E / Sawyer, Robert G / Tumietto, Fabio / Xiao, Yonghong / Aboubreeg, Wedad Faraj / Adamou, Harissou / Akhmeteli, Lali / Akin, Emrah / Alberio, Maria Grazia / Alconchel, Felipe / Magagi, Ibrahim Amadou / Araúz, Ana Belén / Argenio, Giulio / Atanasov, Boyko C / Atici, Semra Demirli / Awad, Selmy Sabry / Baili, Efstratia / Bains, Lovenish / Bala, Miklosh / Baraket, Oussama / Baral, Suman / Belskii, Vladislav A / Benboubker, Moussa / Ben-Ishay, Offir / Bordoni, Pierpaolo / Boumédiène, Abdalia / Brisinda, Giuseppe / Cavazzuti, Laura / Chandy, Sujith J / Chiarello, Maria Michela / Cillara, Nicola / Clarizia, Guglielmo / Cocuz, Maria-Elena / Cocuz, Iuliu Gabriel / Conti, Luigi / Coppola, Raffaella / Cui, Yunfeng / Czepiel, Jacek / D'Acapito, Fabrizio / Damaskos, Dimitrios / Das, Koray / De Simone, Belinda / Delibegovic, Samir / Demetrashvili, Zaza / Detanac, Dzemail S / Dhingra, Sameer / Di Bella, Stefano / Dimitrov, Evgeni N / Dogjani, Agron / D'Oria, Mario / Dumitru, Irina Magdalena / Elmangory, Mutasim M / Enciu, Octavian / Fantoni, Massimo / Filipescu, Daniela / Fleres, Francesco / Foghetti, Domitilla / Fransvea, Pietro / Gachabayov, Mahir / Galeiras, Rita / Gattuso, Gianni / Ghannam, Wagih M / Ghisetti, Valeria / Giraudo, Giorgio / Gonfa, Kebebe Bekele / Gonullu, Emre / Hamad, Yousif Tag Elsir Y / Hecker, Matthias / Isik, Arda / Ismail, Nizar / Ismail, Azzain / Jain, Sumita Agarwal / Kanj, Souha S / Kapoor, Garima / Karaiskos, Ilias / Kavalakat, Alfie J / Kenig, Jakub / Khamis, Faryal / Khokha, Vladimir / Kiguba, Ronald / Kim, Jae Il / Kobe, Yoshiro / Kok, Kenneth Yuh Yen / Kovacevic, Bojan M / Kryvoruchko, Igor Andreevich / Kuriyama, Akira / Landaluce-Olavarria, Aitor / Lasithiotakis, Konstantinos / Lohsiriwat, Varut / Lostoridis, Eftychios / Luppi, Davide / Vega, Gustavo Miguel Machain / Maegele, Marc / Marinis, Athanasios / Martines, Gennaro / Martínez-Pérez, Aleix / Massalou, Damien / Mesina, Cristian / Metan, Gökhan / Miranda-Novales, María Guadalupe / Mishra, Shyam Kumar / Mohamed, Mohaned Ibrahim Hussein / Mohamedahmed, Ali Yasen Y / Mora-Guzmán, Ismael / Mulita, Francesk / Musina, Ana-Maria / Navsaria, Pradeep H / Negoi, Ionut / Nita, Gabriela Elisa / O'Connor, Donal B / Ordoñez, Carlos Alberto / Pantalone, Desiré / Panyko, Arpád / Papadopoulos, Aristeidis / Pararas, Nikolaos / Pata, Francesco / Patel, Tapan / Pellino, Gianluca / Perra, Teresa / Perrone, Gennaro / Pesce, Antonio / Pintar, Tadeja / Popivanov, Georgi Ivanov / Porcu, Alberto / Quiodettis, Martha Alexa / Rahim, Razrim / Mitul, Ashrarur Rahman / Reichert, Martin / Rems, Miran / Campbell, Glendee Yolande Reynolds / Rocha-Pereira, Nuno / Rodrigues, Gabriel / Villamil, Gustavo Eduardo Roncancio / Rossi, Stefano / Sall, Ibrahima / Kafil, Hossein Samadi / Sasia, Diego / Seni, Jeremiah / Seretis, Charalampos / Serradilla-Martín, Mario / Shelat, Vishal G / Siribumrungwong, Boonying / Slavchev, Mihail / Solaini, Leonardo / Tan, Boun Kim / Tarasconi, Antonio / Tartaglia, Dario / Toma, Elena Adelina / Tomadze, Gia / Toro, Adriana / Tovani-Palone, Marcos Roberto / van Goor, Harry / Vasilescu, Alin / Vereczkei, Andras / Veroux, Massimiliano / Weckmann, Sergio Alberto / Widmer, Lukas Werner / Yahya, AliIbrahim / Zachariah, Sanoop K / Zakaria, Andee Dzulkarnaen / Zubareva, Nadezhda / Zuidema, Wietse P / Di Carlo, Isidoro / Cortese, Francesco / Baiocchi, Gian Luca / Maier, Ronald V / Catena, Fausto

    World journal of emergency surgery : WJES

    2022  Volume 17, Issue 1, Page(s) 17

    Abstract: Background: The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants' perception regarding infection prevention and ... ...

    Abstract Background: The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants' perception regarding infection prevention and control (IPC) measures, antibiotic prescribing practices, and source control; describe awareness about the global burden of antimicrobial resistance (AMR) and IPC measures; and determine the role of the Coronavirus Disease 2019 pandemic on said awareness.
    Methods: A cross-sectional web-based survey was conducted contacting 1432 health care workers (HCWs) belonging to a mailing list provided by the Global Alliance for Infections in Surgery. The self-administered questionnaire was developed by a multidisciplinary team. The survey was open from May 22, 2021, and June 22, 2021. Three reminders were sent, after 7, 14, and 21 days.
    Results: Three hundred four respondents from 72 countries returned a questionnaire, with an overall response rate of 21.2%. Respectively, 90.4% and 68.8% of participants stated their hospital had a multidisciplinary IPC team or a multidisciplinary antimicrobial stewardship team. Local protocols for antimicrobial therapy of surgical infections and protocols for surgical antibiotic prophylaxis were present in 76.6% and 90.8% of hospitals, respectively. In 23.4% and 24.0% of hospitals no surveillance systems for surgical site infections and no monitoring systems of used antimicrobials were implemented. Patient and family involvement in IPC management was considered to be slightly or not important in their hospital by the majority of respondents (65.1%). Awareness of the global burden of AMR among HCWs was considered very important or important by 54.6% of participants. The COVID-19 pandemic was considered by 80.3% of respondents as a very important or important factor in raising HCWs awareness of the IPC programs in their hospital. Based on the survey results, the authors developed 15 statements for several questions regarding the prevention and management of infections in surgery. The statements may be the starting point for designing future evidence-based recommendations.
    Conclusion: Adequacy of prevention and management of infections in acute care facilities depends on HCWs behaviours and on the organizational characteristics of acute health care facilities to support best practices and promote behavioural change. Patient involvement in the implementation of IPC is still little considered. A debate on how operationalising a fundamental change to IPC, from being solely the HCWs responsibility to one that involves a collaborative relationship between HCWs and patients, should be opened.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Anti-Infective Agents ; COVID-19 ; Cross-Sectional Studies ; Humans ; Models, Organizational ; Pandemics/prevention & control
    Chemical Substances Anti-Bacterial Agents ; Anti-Infective Agents
    Language English
    Publishing date 2022-03-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2233734-9
    ISSN 1749-7922 ; 1749-7922
    ISSN (online) 1749-7922
    ISSN 1749-7922
    DOI 10.1186/s13017-022-00420-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Investigation and treatment of pulmonary embolism as a potential etiology may be important to improve post-resuscitation prognosis in non-shockable out-of-hospital cardiopulmonary arrest: report on an analysis of the SOS-KANTO 2012 study.

    Inokuchi, Sadaki / Masui, Yoshihiro / Miura, Kunihisa / Tsutsumi, Haruhiko / Takuma, Kiyotsugu / Atsushi, Ishihara / Nakano, Minoru / Tanaka, Hiroshi / Ikegami, Keiichi / Arai, Takao / Yaguchi, Arino / Kitamura, Nobuya / Oda, Shigeto / Kobayashi, Kenji / Suda, Takayuki / Ono, Kazuyuki / Morimura, Naoto / Furuya, Ryosuke / Koido, Yuichi /
    Iwase, Fumiaki / Nagao, Ken / Kanesaka, Shigeru / Okada, Yasusei / Unemoto, Kyoko / Sadahiro, Tomohito / Iyanaga, Masayuki / Muraoka, Asaki / Hayashi, Munehiro / Ishimatsu, Shinichi / Miyake, Yasufumi / Yokokawa, Hideo / Koyama, Yasuaki / Tsuchiya, Asuka / Kashiyama, Tetsuya / Hayashi, Munetaka / Oshima, Kiyohiro / Kiyota, Kazuya / Hamabe, Yuichi / Yokota, Hiroyuki / Hori, Shingo / Inaba, Shin / Sakamoto, Tetsuya / Harada, Naoshige / Kimura, Akio / Kanai, Masayuki / Otomo, Yasuhiro / Sugita, Manabu / Kinoshita, Kosaku / Sakurai, Takatoshi / Kitano, Mitsuhide / Matsuda, Kiyoshi / Tanaka, Kotaro / Yoshihara, Katsunori / Yoh, Kikuo / Suzuki, Junichi / Toyoda, Hiroshi / Mashiko, Kunihiro / Shimizu, Naoki / Muguruma, Takashi / Shimada, Tadanaga / Kobe, Yoshiro / Shoko, Tomohisa / Nakanishi, Kazuya / Shiga, Takashi / Yamamoto, Takefumi / Sekine, Kazuhiko / Izuka, Shinichi

    Acute medicine & surgery

    2016  Volume 3, Issue 3, Page(s) 250–259

    Abstract: Background: The prognosis of non-shockable out-of-hospital cardiac arrest is worse than that of shockable out-of-hospital cardiac arrest. We investigated the associations between the etiology and prognosis of non-shockable out-of-hospital cardiac arrest ...

    Abstract Background: The prognosis of non-shockable out-of-hospital cardiac arrest is worse than that of shockable out-of-hospital cardiac arrest. We investigated the associations between the etiology and prognosis of non-shockable out-of-hospital cardiac arrest patients who experienced the return of spontaneous circulation after arriving at hospital.
    Methods and results: All subjects were extracted from the SOS-KANTO 2012 study population. The subjects were 3,031 adults: (i) who had suffered out-of-hospital cardiac arrest, (ii) for whom there were no pre-hospital data on ventricular fibrillation/pulseless ventricular tachycardia until arrival at hospital, (iii) who experienced the return of spontaneous circulation after arriving at hospital. We compared the patients' prognosis after 1 and 3 months between various etiological and presumed cardiac factors. The proportion of the favorable brain function patients that developed pulmonary embolism or incidental hypothermia was significantly higher than that of the patients with presumed cardiac factors (1 month,
    Conclusions: In patients who suffer non-shockable out-of-hospital cardiac arrest, but who experience the return of spontaneous circulation after arriving at hospital, the investigation and treatment of pulmonary embolism as a potential etiology may be important for improving post-resuscitation prognosis.
    Language English
    Publishing date 2016-03-11
    Publishing country United States
    Document type Journal Article
    ISSN 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.183
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago.

    Perrone, Gennaro / Giuffrida, Mario / Abu-Zidan, Fikri / Kruger, Vitor F / Livrini, Marco / Petracca, Gabriele Luciano / Rossi, Giorgio / Tarasconi, Antonio / Tian, Brian W C A / Bonati, Elena / Mentz, Ricardo / Mazzini, Federico N / Campana, Juan P / Gasser, Elisabeth / Kafka-Ritsch, Reinhold / Felsenreich, Daniel M / Dawoud, Christopher / Riss, Stefan / Gomes, Carlos Augusto /
    Gomes, Felipe Couto / Gonzaga, Ricardo Alessandro Teixeira / Canton, Cassio Alfred Brattig / Pereira, Bruno Monteiro / Fraga, Gustavo P / Zem, Leticia Gonçalves / Cordeiro-Fonseca, Vinicius / de Mesquita Tauil, Renato / Atanasov, Boyko / Belev, Nikolay / Kovachev, Nikola / Meléndez, L Juan José / Dimova, Ana / Dimov, Stefan / Zelić, Zdravko / Augustin, Goran / Bogdanić, Branko / Morić, Trpimir / Chouillard, Elie / Bajul, Melinda / De Simone, Belinda / Panis, Yves / Esposito, Francesco / Notarnicola, Margherita / Lauka, Lelde / Fabbri, Anna / Hentati, Hassen / Fnaiech, Iskander / Aurélien, Venara / Bougard, Marie / Roulet, Maxime / Demetrashvili, Zaza / Pipia, Irakli / Merabishvili, Giorgi / Bouliaris, Konstantinos / Koukoulis, Georgios / Doudakmanis, Christos / Xenaki, Sofia / Chrysos, Emmanuel / Kokkinakis, Stamatios / Vassiliu, Panteleimon / Michalopoulos, Nikolaos / Margaris, Ioannis / Kechagias, Aristotelis / Avgerinos, Konstantinos / Katunin, Jevgeni / Lostoridis, Eftychios / Nagorni, Eleni-Aikaterini / Pujante, Antonio / Mulita, Francesk / Maroulis, Ioannis / Vailas, Michail / Marinis, Athanasios / Siannis, Ioannis / Bourbouteli, Eirini / Manatakis, Dimitrios K / Tasis, Nikolaos / Acheimastos, Vasileios / Maria, Sotiropoulou / Stylianos, Kapiris / Kuzeridis, Harilaos / Korkolis, Dimitrios / Fradelos, Evangelos / Kavalieratos, George / Petropoulou, Thalia / Polydorou, Andreas / Papacostantinou, Ioannis / Triantafyllou, Tania / Kimpizi, Despina / Theodorou, Dimitrios / Toutouzas, Konstantinos / Chamzin, Alexandros / Frountzas, Maximos / Schizas, Dimitrios / Karavokyros, Ioannis / Syllaios, Athanasios / Charalabopoulos, Alexandros / Boura, Maria / Baili, Efstratia / Ioannidis, Orestis / Loutzidou, Lydia / Anestiadou, Elissavet / Tsouknidas, Ioannis / Petrakis, Georgios / Polenta, Eleni / Bains, Lovenish / Gupta, Rahul / Singh, Sudhir K / Khanduri, Archana / Bala, Miklosh / Kedar, Asaf / Pisano, Marcello / Podda, Mauro / Pisanu, Adolfo / Martines, Gennaro / Trigiante, Giuseppe / Lantone, Giuliano / Agrusa, Antonino / Di Buono, Giuseppe / Buscemi, Salvatore / Veroux, Massimiliano / Gioco, Rossella / Veroux, Gastone / Oragano, Luigi / Zonta, Sandro / Lovisetto, Federico / Feo, Carlo V / Pesce, Antonio / Fabbri, Nicolò / Lantone, Giulio / Marino, Fabio / Perrone, Fabrizio / Vincenti, Leonardo / Papagni, Vincenzo / Picciariello, Arcangelo / Rossi, Stefano / Picardi, Biagio / Del Monte, Simone Rossi / Visconti, Diego / Osella, Giulia / Petruzzelli, Luca / Pignata, Giusto / Andreuccetti, Jacopo / D'Alessio, Rossella / Buonfantino, Massimo / Guaitoli, Eleonora / Spinelli, Stefano / Sampietro, Gianluca Matteo / Corbellini, Carlo / Lorusso, Leonardo / Frontali, Alice / Pezzoli, Isabella / Bonomi, Alessandro / Chierici, Andrea / Cotsoglou, Christian / Manca, Giuseppe / Delvecchio, Antonella / Musa, Nicola / Casati, Massimiliano / Letizia, Laface / Abate, Emmanuele / Ercolani, Giorgio / D'Acapito, Fabrizio / Solaini, Leonardo / Guercioni, Gianluca / Cicconi, Simone / Sasia, Diego / Borghi, Felice / Giraudo, Giorgio / Sena, Giuseppe / Castaldo, Pasquale / Cardamone, Eugenia / Portale, Giuseppe / Zuin, Matteo / Spolverato, Ylenia / Esposito, Marialusia / Isernia, Roberta Maria / Di Salvo, Maria / Manunza, Romina / Esposito, Giuseppe / Agus, Marcello / Asti, Emanuele Luigi Giuseppe / Bernardi, Daniele Tiziano / Tonucci, Tommaso Panici / Luppi, Davide / Casadei, Massimiliano / Bonilauri, Stefano / Pezzolla, Angela / Panebianco, Annunziata / Laforgia, Rita / De Luca, Maurizio / Zese, Monica / Parini, Dario / Jovine, Elio / De Sario, Giuseppina / Lombardi, Raffaele / Aprea, Giovanni / Palomba, Giuseppe / Capuano, Marianna / Argenio, Giulio / Orio, Gianluca / Armellino, Mariano Fortunato / Troian, Marina / Guerra, Martina / Nagliati, Carlo / Biloslavo, Alan / Germani, Paola / Aizza, Giada / Monsellato, Igor / Chahrour, Ali Chaouki / Anania, Gabriele / Bombardini, Cristina / Bagolini, Francesco / Sganga, Gabriele / Fransvea, Pietro / Bianchi, Valentina / Boati, Paolo / Ferrara, Francesco / Palmieri, Francesco / Cianci, Pasquale / Gattulli, Domenico / Restini, Enrico / Cillara, Nicola / Cannavera, Alessandro / Nita, Gabriela Elisa / Sarnari, Jlenia / Roscio, Francesco / Clerici, Federico / Scandroglio, Ildo / Berti, Stefano / Cadeo, Alessandro / Filippelli, Alice / Conti, Luigi / Grassi, Carmine / Cattaneo, Gaetano Maria / Pighin, Marina / Papis, Davide / Gambino, Giovanni / Bertino, Vanessa / Schifano, Domenico / Prando, Daniela / Fogato, Luisella / Cavallo, Fabio / Ansaloni, Luca / Picheo, Roberto / Pontarolo, Nicholas / Depalma, Norma / Spampinato, Marcello / D'Ugo, Stefano / Lepre, Luca / Capponi, Michela Giulii / Campa, Rossella Domenica / Sarro, Giuliano / Dinuzzi, Vincenza Paola / Olmi, Stefano / Uccelli, Matteo / Ferrari, Davide / Inama, Marco / Moretto, Gianluigi / Fontana, Michele / Favi, Francesco / Picariello, Erika / Rampini, Alessia / Barberis, Andrea / Azzinnaro, Antonio / Oliva, Alba / Totaro, Luigi / Benzoni, Ilaria / Ranieri, Valerio / Capolupo, Gabriella Teresa / Carannante, Filippo / Caricato, Marco / Ronconi, Maurizio / Casiraghi, Silvia / Casole, Giovanni / Pantalone, Desire / Alemanno, Giovanni / Scheiterle, Maximilian / Ceresoli, Marco / Cereda, Marco / Fumagalli, Chiara / Zanzi, Federico / Bolzon, Stefano / Guerra, Enrico / Lecchi, Francesca / Cellerino, Paola / Ardito, Antonella / Scaramuzzo, Rosa / Balla, Andrea / Lepiane, Pasquale / Tartaglia, Nicola / Ambrosi, Antonio / Pavone, Giovanna / Palini, Gian Marco / Veneroni, Simone / Garulli, Gianluca / Ricci, Claudio / Torre, Beatrice / Russo, Iris Shari / Rottoli, Matteo / Tanzanu, Marta / Belvedere, Angela / Milone, Marco / Manigrasso, Michele / De Palma, Giovanni Domenico / Piccoli, Micaela / Pattacini, Gianmaria Casoni / Magnone, Stefano / Bertoli, Paolo / Pisano, Michele / Massucco, Paolo / Palisi, Marco / Luzzi, Andrea-Pierre / Fleres, Francesco / Clarizia, Guglielmo / Spolini, Alessandro / Kobe, Yoshiro / Toma, Takayuki / Shimamura, Fumihiko / Parker, Robert / Ranketi, Sinkeet / Mitei, Mercy / Svagzdys, Saulius / Pauzas, Henrikas / Zilinskas, Justas / Poskus, Tomas / Kryzauskas, Marius / Jakubauskas, Matas / Zakaria, Andee Dzulkarnaen / Zakaria, Zaidi / Wong, Michael Pak-Kai / Jusoh, Asri Che / Zakaria, Muhammad Nazreen / Cruz, Daniel Rios / Elizalde, Aurea Barbara Rodriguez / Reynaud, Alejandro Bañon / Hernandez, Edgard Efren Lozada / Monroy, Jose Maria Victor Palomo / Hinojosa-Ugarte, Diego / Quiodettis, Martha / Du Bois, María Esther / Latorraca, José / Major, Piotr / Pędziwiatr, Michał / Pisarska-Adamczyk, Magdalena / Walędziak, Maciej / Kwiatkowski, Andrzej / Czyżykowski, Łukasz / da Costa, Silvia Dantas / Pereira, Bela / Ferreira, Ana Rita Oliveira / Almeida, Filipe / Rocha, Ricardo / Carneiro, Carla / Perez, Diego Pita / Carvas, João / Rocha, Catarina / Ferreira, Cátia / Marques, Rita / Fernandes, Urânia / Leao, Pedro / Goulart, André / Pereira, Rita Gonçalves / Patrocínio, Sara Daniela Direito / de Mendonça, Nuno Gonçalo Gonçalves / Manso, Maria Isabel Cerqueira / Morais, Henrique Manuel Cardoso / Cardoso, Paulo Sebastião / Calu, Valentin / Miron, Adrian / Toma, Elena Adelina / Gachabayov, Mahir / Abdullaev, Abakar / Litvin, Andrey / Nechay, Taras / Tyagunov, Alexander / Yuldashev, Anvar / Bradley, Alison / Wilson, Michael / Panyko, Arpád / Látečková, Zuzana / Lacko, Vladimír / Lesko, Dusan / Soltes, Marek / Radonak, Jozef / Turrado-Rodriguez, Victor / Termes-Serra, Roser / Morales-Sevillano, Xavier / Lapolla, Pierfrancesco / Mingoli, Andrea / Brachini, Gioia / Degiuli, Maurizio / Sofia, Silvia / Reddavid, Rossella / de Manzoni Garberini, Andrea / Buffone, Angelica / Del Pozo, Eduardo Perea / Aparicio-Sánchez, Daniel / Dos Barbeito, Sandra / Estaire-Gómez, Mercedes / Vitón-Herrero, Rebeca / de Los Ángeles Gil Olarte-Marquez, Mª / Gil-Martínez, José / Alconchel, Felipe / Nicolás-López, Tatiana / Rahy-Martin, Aida Cristina / Pelloni, María / Bañolas-Suarez, Raquel / Mendoza-Moreno, Fernando / Nisa, Francisca García-Moreno / Díez-Alonso, Manuel / Rodas, María Elisa Valle / Agundez, María Carmona / Andrés, María Inmaculada Pérez / Moreira, Claudia Cristina Lopes / Perez, Aintzane Lizarazu / Ponce, Iñigo Augusto / González-Castillo, Ana María / Membrilla-Fernández, Estela / Salvans, Silvia / Serradilla-Martín, Mario / Pardo, Pablo Sancho / Rivera-Alonso, Daniel / Dziakova, Jana / Huguet, Jose Mugüerza / Valle, Naila Pagès / Ruiz, Enrique Colás / Valcárcel, Cristina Rey / Moreno, Cristina Ruiz / Salazar, Yeniffer Tatiana Moreno / García, Juan Jesús Rubio / Micó, Silvia Sevila / López, Joaquín Ruiz / Farré, Silvia Pérez / Gomez, Maite Santamaria / Petit, Nuria Mestres / Titos-García, Alberto / Aranda-Narváez, Jose Manuel / Romacho-López, Laura / Sánchez-Guillén, Luis / Aranaz-Ostariz, Veronica / Bosch-Ramírez, Marina / Martínez-Pérez, Aleix / Martínez-López, Elías / Sebastián-Tomás, Juan Carlos / Jimenez-Riera, Granada / Jimenez-Vega, Javier / Cuellar, Jose Aurelio Navas / Campos-Serra, Andrea / Muñoz-Campaña, Anna / Gràcia-Roman, Raquel / Alegre, Javier Martínez / Pinto, Francisca Lima / O'Sullivan, Sara Nuñez / Antona, Francisco Blanco / Jiménez, Beatriz Muñoz / López-Sánchez, Jaime / Carmona, Zahira Gómez / Fernández, Rocio Torres / Sierra, Isabel Blesa / de León, Laura Román García / Moreno, Verónica Polaino / Iglesias, Eva / Cumplido, Paola Lora / Bravo, Altea Arango / Simó, Ignacio Rey / Domínguez, Carlota López / Caamaño, Aloia Guerreiro / Lozano, Rafael Calleja / Martínez, Manuel Durán / Torres, Álvaro Naranjo / de Quiros, Javier Tomas Morales Bernaldo / Pellino, Gianluca / Cloquell, Miriam Moratal / Moller, Elsa García / Jalal-Eldin, Sami / Abdoun, Ahmed K / Hamid, Hytham K S / Lohsiriwat, Varut / Mongkhonsupphawan, Aitsariya / Baraket, Oussama / Ayed, Karim / Abbassi, Imed / Ali, Ali Ben / Ammar, Houssem / Kchaou, Ali / Tlili, Ahmed / Zribi, Imen / Colak, Elif / Polat, Suleyman / Koylu, Zehra Alan / Guner, Ali / Usta, Mehmet Arif / Reis, Murat Emre / Mantoglu, Baris / Gonullu, Emre / Akin, Emrah / Altintoprak, Fatih / Bayhan, Zulfu / Firat, Necattin / Isik, Arda / Memis, Ufuk / Bayrak, Mehmet / Altıntaş, Yasemin / Kara, Yasin / Bozkurt, Mehmet Abdussamet / Kocataş, Ali / Das, Koray / Seker, Ahmet / Ozer, Nazmi / Atici, Semra Demirli / Tuncer, Korhan / Kaya, Tayfun / Ozkan, Zeynep / Ilhan, Onur / Agackiran, Ibrahim / Uzunoglu, Mustafa Yener / Demirbas, Eren / Altinel, Yuksel / Meric, Serhat / Hacım, Nadir Adnan / Uymaz, Derya Salim / Omarov, Nail / Balık, Emre / Tebala, Giovanni D / Khalil, Hany / Rana, Mridul / Khan, Mansoor / Florence, Charlotte / Swaminathan, Christie / Leo, Cosimo Alex / Liasis, Lampros / Watfah, Josef / Trostchansky, Ivan / Delgado, Edward / Pontillo, Marcelo / Latifi, Rifat / Coimbra, Raul / Edwards, Sara / Lopez, Ana / Velmahos, George / Dorken, Ander / Gebran, Anthony / Palmer, Amanda / Oury, Jeffrey / Bardes, James M / Seng, Sirivan Suon / Coffua, Lauren S / Ratnasekera, Asanthi / Egodage, Tanya / Echeverria-Rosario, Karla / Armento, Isabella / Napolitano, Lena M / Sangji, Naveen F / Hemmila, Mark / Quick, Jacob A / Austin, Tyler R / Hyman, Theodore S / Curtiss, William / McClure, Amanda / Cairl, Nicholas / Biffl, Walter L / Truong, Hung P / Schaffer, Kathryn / Reames, Summer / Banchini, Filippo / Capelli, Patrizio / Coccolini, Federico / Sartelli, Massimo / Bravi, Francesca / Vallicelli, Carlo / Agnoletti, Vanni / Baiocchi, Gian Luca / Catena, Fausto

    World journal of emergency surgery : WJES

    2024  Volume 19, Issue 1, Page(s) 14

    Abstract: Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute ... ...

    Abstract Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA.
    Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up.
    Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections.
    Conclusions: After 100 years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception.
    MeSH term(s) Female ; Humans ; Middle Aged ; Aged ; Aged, 80 and over ; Male ; Emergencies ; Prospective Studies ; Postoperative Complications/etiology ; Anastomosis, Surgical/methods ; Colorectal Neoplasms/surgery
    Language English
    Publishing date 2024-04-16
    Publishing country England
    Document type Observational Study ; Multicenter Study ; Journal Article
    ZDB-ID 2233734-9
    ISSN 1749-7922 ; 1749-7922
    ISSN (online) 1749-7922
    ISSN 1749-7922
    DOI 10.1186/s13017-024-00543-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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