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  1. Article: Functional Characterization of Posttraumatic Heterotopic Ossification of Tibiofibular Syndesmosis with Dynamic Bone Scan and Single-Photon Emission Computed Tomography/Computed Tomography.

    Shyamanur, Bhavana / Ahmed, Najeeb / Usmani, Sharjeel

    Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India

    2022  Volume 37, Issue 3, Page(s) 286–287

    Abstract: A 53-year-old man was investigated for ongoing right ankle pain and lateral malleolus swelling following a traumatic inversion injury 12 weeks prior. The initial ankle radiograph was normal with no evidence of fracturing. The follow-up radiograph showed ... ...

    Abstract A 53-year-old man was investigated for ongoing right ankle pain and lateral malleolus swelling following a traumatic inversion injury 12 weeks prior. The initial ankle radiograph was normal with no evidence of fracturing. The follow-up radiograph showed bridging ossification in the distal tibiofibular syndesmosis. As the pain did not subside, posttraumatic heterotopic ossification (HO) was suspected, and triple-phase dynamic bone imaging with technetium 99m-methylene diphosphonate was performed to guide further management. The bone scan revealed intense focal tracer activity centered on the HO of the tibiofibular syndesmosis, with no evidence of occult fracturing confirming HO as a pain generator.
    Language English
    Publishing date 2022-11-02
    Publishing country India
    Document type Journal Article
    ZDB-ID 2181722-4
    ISSN 0974-0244 ; 0972-3919
    ISSN (online) 0974-0244
    ISSN 0972-3919
    DOI 10.4103/ijnm.ijnm_124_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Management of diabetic ketoacidosis - effect of a quality improvement programme and its long-term follow-up.

    Kempegowda, Punith / Coombs, Benjamin / Chandan, Joht Singh / Al-Sheikhli, Jaffar / Theivendran, Kasun / Shyamanur, Bhavana / Ghosh, Sandip / Narendran, Parth

    Clinical medicine (London, England)

    2019  Volume 17, Issue Suppl 3, Page(s) s8

    Language English
    Publishing date 2019-04-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmedicine.17-3-s8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Regular and frequent feedback of specific clinical criteria delivers a sustained improvement in the management of diabetic ketoacidosis .

    Kempegowda, Punith / Coombs, Ben / Nightingale, Peter / Chandan, Joht Singh / Al-Sheikhli, Jaffar / Shyamanur, Bhavana / Theivendran, Kasun / Melapatte, Anitha Vijayan / Salanke, Umesh / Akber, Mohammed / Ghosh, Sandip / Narendran, Parth

    Clinical medicine (London, England)

    2017  Volume 17, Issue 5, Page(s) 389–394

    Abstract: Efficient management of diabetic ketoacidosis (DKA) improves outcomes and reduces length of stay. While clinical audit improves the management of DKA, significant and sustained improvement is often difficult to achieve. We aimed to improve the management ...

    Abstract Efficient management of diabetic ketoacidosis (DKA) improves outcomes and reduces length of stay. While clinical audit improves the management of DKA, significant and sustained improvement is often difficult to achieve. We aimed to improve the management of DKA in our trust through the implementation of quality improvement methodology. Five specific targets (primary drivers: fluid prescription, fixed rate intravenous insulin infusion, glucose measurement, ketone measurement and specialist referral) were selected following a baseline audit. Interventions (secondary drivers) were developed to improve these targets and included monthly feedback to departments of emergency medicine, acute medicine, and diabetes. Following our intervention, the mean average duration of DKA reduced from 22.0 hours to 10.2 hours. We demonstrate that regular audit cycles with interventions introduced through the plan-do-study-act model is an effective way to improve the management of DKA.
    MeSH term(s) Adult ; Blood Glucose/analysis ; Diabetic Ketoacidosis/diagnosis ; Diabetic Ketoacidosis/physiopathology ; Diabetic Ketoacidosis/therapy ; Feedback ; Female ; Fluid Therapy ; Humans ; Insulin/therapeutic use ; Ketones/blood ; Length of Stay/statistics & numerical data ; Male ; Medical Audit ; Middle Aged ; Monitoring, Physiologic ; Practice Guidelines as Topic ; Quality Improvement ; Referral and Consultation ; Retrospective Studies ; Young Adult
    Chemical Substances Blood Glucose ; Insulin ; Ketones
    Language English
    Publishing date 2017-09-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmedicine.17-5-389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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