LIVIVO - Das Suchportal für Lebenswissenschaften

switch to English language
Erweiterte Suche

Suchergebnis

Treffer 1 - 3 von insgesamt 3

Suchoptionen

  1. Artikel: A Rotated and Laterally Displaced Patellar Dislocation.

    Frankel, Samuel / Bux, Michael / Schloss, Daniel / Ilkhanipour, Kaveh / Yates, Adam

    The Journal of emergency medicine

    2020  Band 59, Heft 1, Seite(n) 121–124

    Abstract: Background: Patellar dislocations are a common orthopedic emergency with several variants. The rarer variants include rotational dislocations. These often require open reduction in the operating room.: Case report: We report on a case of a combined ... ...

    Abstract Background: Patellar dislocations are a common orthopedic emergency with several variants. The rarer variants include rotational dislocations. These often require open reduction in the operating room.
    Case report: We report on a case of a combined rotational and lateral patellar dislocation in a young female. We suspected and made the diagnosis of a rotational dislocation after initial unsuccessful attempts at reduction under sedation. With the assistance of our orthopedic colleagues, we were able to perform a reduction of this patient's patella under sedation in the emergency department. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Awareness of uncommon patellar dislocations is an important area of knowledge for the emergency physician. A thorough understanding of indications and contraindications to closed reduction is important for efficient and safe management and disposition. Collaboration with orthopedic surgery colleagues is another important step in the evaluation of these patients.
    Mesh-Begriff(e) Anesthesia ; Emergency Service, Hospital ; Female ; Humans ; Joint Dislocations ; Patella ; Patellar Dislocation/diagnosis ; Patellar Dislocation/surgery
    Sprache Englisch
    Erscheinungsdatum 2020-05-23
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2020.04.034
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Volltext online

    Zusatzmaterialien

    Kategorien

    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 1895: Hefte anzeigen Standort:
    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)

    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

  2. Artikel ; Online: Prevalence of Staphylococcus aureus nasal colonization in emergency department personnel.

    Suffoletto, Brian P / Cannon, Eliot H / Ilkhanipour, Kaveh / Yealy, Donald M

    Annals of emergency medicine

    2008  Band 52, Heft 5, Seite(n) 529–533

    Abstract: Study objective: Nasal colonization with Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA) can precede infection in patients and contacts. Although general population S aureus/MRSA rates are well described, the prevalence of S ...

    Abstract Study objective: Nasal colonization with Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA) can precede infection in patients and contacts. Although general population S aureus/MRSA rates are well described, the prevalence of S aureus and MRSA nasal colonization in emergency department health care workers is not defined. We seek to determine the prevalence of S aureus and MRSA nasal colonization among ED health care workers without evidence of an active site of staphylococcal infection and identify variables associated with colonization.
    Methods: We prospectively studied a convenience sample of ED health care workers from 5 urban teaching hospitals in Pittsburgh, PA. Each participant completed a questionnaire and nasal culturing. We tested susceptibility with the oxacillin disc diffusion method. We analyzed data with descriptive statistics and univariate regression, with alpha set at 0.05.
    Results: Of 255 subjects, 23% were physicians; 62% were nurses, nursing assistants, or patient care technicians; and 15% were clerical staff or social service workers. Of 81 (31.8%) S aureus isolates, 11 (13.6%) were MRSA, an overall prevalence of 4.3%. All positive MRSA samples were from nurses, nursing assistants, or patient care technicians. No other covariate had an association with S aureus or MRSA colonization.
    Conclusion: In this urban ED health care worker population, the prevalence of S aureus is similar but MRSA nasal colonization is higher than previously reported estimates in the general population of the United States. Physicians and nonpatient contact ED health care workers did not have MRSA colonization.
    Mesh-Begriff(e) Adult ; Emergency Service, Hospital ; Female ; Humans ; Male ; Methicillin Resistance ; Middle Aged ; Nasal Mucosa/microbiology ; Pennsylvania ; Personnel, Hospital ; Prevalence ; Prospective Studies ; Staphylococcus aureus/isolation & purification ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2008-11
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2008.03.020
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Volltext online

    Zusatzmaterialien

    Kategorien

    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 1344: Hefte anzeigen Standort:
    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)

    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

  3. Artikel: Combining clinical risk with D-dimer testing to rule out deep vein thrombosis.

    Ilkhanipour, Kaveh / Wolfson, Allan B / Walker, Heather / Cillo, Jason / Rolniak, Susan / Cockley, Pamela / Mooradian, David / Kaplan, Sandra

    The Journal of emergency medicine

    2004  Band 27, Heft 3, Seite(n) 233–239

    Abstract: We sought to determine whether the combination of low-intermediate clinical risk of acute lower extremity deep vein thrombosis (DVT) and negative ELISA D-dimer assay can eliminate the need for duplex ultrasonography. Three hundred thirty-six patients ... ...

    Abstract We sought to determine whether the combination of low-intermediate clinical risk of acute lower extremity deep vein thrombosis (DVT) and negative ELISA D-dimer assay can eliminate the need for duplex ultrasonography. Three hundred thirty-six patients prospectively underwent clinical risk stratification (low, intermediate, and high), D-dimer testing, and duplex ultrasonography. Thirteen of 145 intermediate-risk patients had acute DVT; 11 (85%) had a positive D-dimer. Two of 118 low-risk patients had acute DVT; both had a positive D-dimer. Intermediate-high risk stratification alone had sensitivity of 93.9% (95% CI: 80.3-98.3%) and a NPV of 98.3% (95% CI: 94.0-99.5%) for acute DVT. For all patients, a positive D-dimer alone had a sensitivity of 93.9% (95% CI: 80.3-98.3%) and a NPV of 98.6% (95% CI: 95.1-99.6%). The combination of D-dimer and intermediate-high risk classification had a sensitivity of 100% (95% CI: 89.4-100%) and a NPV of 100% (95% CI: 98.9-100%). In suspected acute lower extremity DVT, the combination of intermediate-high clinical risk and positive D-dimer has a high sensitivity and NPV, possibly eliminating the need for duplex ultrasound in this group of patients.
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Edema/diagnosis ; Emergency Service, Hospital ; Enzyme-Linked Immunosorbent Assay ; Female ; Fibrin Fibrinogen Degradation Products/analysis ; Humans ; Male ; Middle Aged ; Pain/diagnosis ; Predictive Value of Tests ; Prospective Studies ; Risk Factors ; Sensitivity and Specificity ; Venous Thrombosis/diagnosis
    Chemische Substanzen Fibrin Fibrinogen Degradation Products ; fibrin fragment D
    Sprache Englisch
    Erscheinungsdatum 2004-10
    Erscheinungsland United States
    Dokumenttyp Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2004.04.010
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Volltext online

    Zusatzmaterialien

    Kategorien

    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 1895: Hefte anzeigen Standort:
    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)

    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

Zum Seitenanfang