LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 4 of total 4

Search options

  1. Article ; Online: Toxic leukoencephalopathy due to transdermal fentanyl overdose.

    Foy, Lindsey / Seeyave, Desiree M / Bradin, Stuart A

    Pediatric emergency care

    2011  Volume 27, Issue 9, Page(s) 854–856

    Abstract: Children with altered mental status who present to the emergency department have a broad differential diagnosis. We report a case of a 19-month-old girl who presented in coma and who was later found to have a fentanyl patch adhered to her back. She was ... ...

    Abstract Children with altered mental status who present to the emergency department have a broad differential diagnosis. We report a case of a 19-month-old girl who presented in coma and who was later found to have a fentanyl patch adhered to her back. She was found to have changes on brain magnetic resonance imaging consistent with a toxic spongiform leukoencephalopathy but had a good neurologic outcome. This case report illustrates the importance of a thorough physical examination in children in coma and a rarely reported magnetic resonance imaging finding that has been seen in opioid intoxication and is usually associated with severe morbidity and mortality.
    MeSH term(s) Accidents, Home ; Administration, Cutaneous ; Apnea/chemically induced ; Child, Preschool ; Coma/chemically induced ; Decerebrate State/chemically induced ; Delayed Diagnosis ; Emergencies ; Female ; Fentanyl/administration & dosage ; Fentanyl/poisoning ; Humans ; Hyperglycemia/chemically induced ; Leukoencephalopathies/chemically induced ; Magnetic Resonance Imaging ; Miosis/chemically induced ; Poisoning/diagnosis ; Reflex, Abnormal/drug effects ; Unnecessary Procedures
    Chemical Substances Fentanyl (UF599785JZ)
    Language English
    Publishing date 2011-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0b013e31822c281f
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 2083: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article: Understanding ethical dilemmas in the emergency department: views from medical students' essays.

    House, Joseph B / Theyyunni, Nikhil / Barnosky, Andrew R / Fuhrel-Forbis, Andrea / Seeyave, Desiree M / Ambs, Dawn / Fischer, Jonathan P / Santen, Sally A

    The Journal of emergency medicine

    2015  Volume 48, Issue 4, Page(s) 492–498

    Abstract: Background: For medical students, the emergency department (ED) often presents ethical problems not encountered in other settings. In many medical schools there is little ethics training during the clinical years. The benefits of reflective essay ... ...

    Abstract Background: For medical students, the emergency department (ED) often presents ethical problems not encountered in other settings. In many medical schools there is little ethics training during the clinical years. The benefits of reflective essay writing in ethics and professionalism education are well established.
    Objectives: The purpose of this study was to determine and categorize the types of ethical dilemmas and scenarios encountered by medical students in the ED through reflective essays.
    Methods: During a 4(th)-year emergency medicine rotation, all medical students wrote brief essays on an ethical situation encountered in the ED, and participated in an hour debriefing session about these essays. Qualitative analysis was performed to determine common themes from the essays. The frequency of themes was calculated.
    Results: The research team coded 173 essays. The most common ethical themes were autonomy (41%), social justice (32.4%), nonmaleficence (31.8%), beneficence (26.6%), fidelity (12%), and respect (8.7%). Many of the essays contained multiple ethical principles that were often in conflict with each other. In one essay, a student grappled with the decision to intubate a patient despite a preexisting do-not-resuscitate order. This patient encounter was coded with autonomy, beneficence, and nonmaleficence. Common scenarios included ethical concerns when caring for critical patients, treatment of pain, homeless or alcoholic patients, access to care, resource utilization, and appropriateness of care.
    Conclusion: Medical students encounter patients with numerous ethically based issues. Frequently, they note conflicts between ethical principles. Such essays constitute an important resource for faculty, resident, and student ethics training.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Education, Medical, Graduate/methods ; Emergency Medicine/education ; Emergency Medicine/ethics ; Emergency Service, Hospital ; Ethics, Medical/education ; Humans ; Internship and Residency ; Professional Competence ; Social Values ; Writing
    Language English
    Publishing date 2015-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2014.09.058
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 1895: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  3. Article: Prospective comparison of live evaluation and video review in the evaluation of operator performance in a pediatric emergency airway simulation.

    House, Joseph B / Dooley-Hash, Suzanne / Kowalenko, Terry / Sikavitsas, Athina / Seeyave, Desiree M / Younger, John G / Hamstra, Stanley J / Nypaver, Michele M

    Journal of graduate medical education

    2013  Volume 4, Issue 3, Page(s) 312–316

    Abstract: Introduction: Real-time assessment of operator performance during procedural simulation is a common practice that requires undivided attention by 1 or more reviewers, potentially over many repetitions of the same case.: Objective: To determine ... ...

    Abstract Introduction: Real-time assessment of operator performance during procedural simulation is a common practice that requires undivided attention by 1 or more reviewers, potentially over many repetitions of the same case.
    Objective: To determine whether reviewers display better interrater agreement of procedural competency when observing recorded, rather than live, performance; and to develop an assessment tool for pediatric rapid sequence intubation (pRSI).
    Methods: A framework of a previously established Objective Structured Assessment of Technical Skills (OSATS) tool was modified for pRSI. Emergency medicine residents (postgraduate year 1-4) were prospectively enrolled in a pRSI simulation scenario and evaluated by 2 live raters using the modified tool. Sessions were videotaped and reviewed by the same raters at least 4 months later. Raters were blinded to their initial rating. Interrater agreement was determined by using the Krippendorff generalized concordance method.
    Results: Overall interrater agreement for live review was 0.75 (95% confidence interval [CI], 0.72-0.78) and for video was 0.79 (95% CI, 0.73-0.82). Live review was significantly superior to video review in only 1 of the OSATS domains (Preparation) and was equivalent in the other domains. Intrarater agreement between the live and video evaluation was very good, greater than 0.75 for all raters, with a mean of 0.81 (95% CI, 0.76-0.85).
    Conclusion: The modified OSATS assessment tool demonstrated some evidence of validity in discriminating among levels of resident experience and high interreviewer reliability. With this tool, intrareviewer reliability was high between live and 4-months' delayed video review of the simulated procedure, which supports feasibility of delayed video review in resident assessment.
    Language English
    Publishing date 2013-08-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8349
    ISSN (online) 1949-8357
    ISSN 1949-8349
    DOI 10.4300/JGME-D-11-00123.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  4. Article ; Online: Ability to delay gratification at age 4 years and risk of overweight at age 11 years.

    Seeyave, Desiree M / Coleman, Sharon / Appugliese, Danielle / Corwyn, Robert F / Bradley, Robert H / Davidson, Natalie S / Kaciroti, Niko / Lumeng, Julie C

    Archives of pediatrics & adolescent medicine

    2009  Volume 163, Issue 4, Page(s) 303–308

    Abstract: Objectives: To determine if limited ability to delay gratification (ATDG) at age 4 years is independently associated with an increased risk of being overweight at age 11 years and to assess confounding or moderation by child body mass index z score at 4 ...

    Abstract Objectives: To determine if limited ability to delay gratification (ATDG) at age 4 years is independently associated with an increased risk of being overweight at age 11 years and to assess confounding or moderation by child body mass index z score at 4 years, self-reported maternal expectation of child ATDG for food, and maternal weight status.
    Design: Longitudinal prospective study.
    Setting: Ten US sites.
    Participants: Participants in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Main Exposure Ability to delay gratification at 4 years, measured as pass or fail on a validated task.
    Outcome measures: Overweight at 11 years, defined as a body mass index greater than or equal to the 85th percentile based on measured weight and height.
    Results: Of 805 children, 47% failed the ATDG task. Using multiple logistic regression, children who failed the ATDG task were more likely to be overweight at 11 years (relative risk, 1.29; 95% confidence interval, 1.06-1.58), independent of income to needs ratio. Body mass index z score at 4 years and maternal expectation of child ATDG for food did not alter the association, but maternal weight status reduced the association significantly.
    Conclusions: Children with limited ATDG at age 4 years were more likely to be overweight at age 11 years, but the association was at least partially explained by maternal weight status. Further understanding of the association between the child's ATDG and maternal and child weight status may lead to more effective obesity intervention and prevention programs.
    MeSH term(s) Age Factors ; Body Mass Index ; Child ; Child Behavior ; Child Development/physiology ; Child Welfare ; Child, Preschool ; Confidence Intervals ; Feedback ; Female ; Follow-Up Studies ; Humans ; Logistic Models ; Longitudinal Studies ; Male ; Multivariate Analysis ; Obesity/epidemiology ; Obesity/prevention & control ; Obesity/psychology ; Overweight/epidemiology ; Overweight/prevention & control ; Overweight/psychology ; Parent-Child Relations ; Probability ; Prospective Studies ; Risk Factors ; Social Control, Informal ; Socioeconomic Factors
    Language English
    Publishing date 2009-02-26
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1179374-0
    ISSN 1538-3628 ; 1072-4710
    ISSN (online) 1538-3628
    ISSN 1072-4710
    DOI 10.1001/archpediatrics.2009.12
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Um IV Zs.74: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

To top