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271.
Introduction
Hyperglycaemia following aneurysmal subarachnoid hemorrhage (SAH) is associated with complications and impaired neurological recovery. The aim of this study was to determine the effect of insulin treatment for glucose control on cerebral metabolism in SAH patients. 相似文献272.
Alexandra Nagel Daniela Graetz Peter Vajkoczy Asita S. Sarrafzadeh 《Neurocritical care》2009,11(3):384-394
Introduction
Outcome is poor in aneurysmal subarachnoid hemorrhage (SAH) patients with intracranial hypertension. As one treatment option for increased intracranial pressure (ICP), decompressive craniectomy (DC) is discussed. Its impact on cerebral metabolism and outcome in SAH patients is evaluated in this pilot study. 相似文献273.
Christian Graetz Anna Plaumann Jan‐Frederik Wiebe Claudia Springer Sonja Sälzer Christof E. Dörfer 《Journal of periodontology》2014,85(10):1371-1379
Background : Decisions in periodontal therapy for multirooted teeth are essentially based on accurate diagnosis of the furcation involvement (FI). Furcation probing (FP) is still the basic diagnostic measure, although the assessment may be difficult. The aim of this study is to evaluate the validity of FP and radiographic assessment of FI compared with visual assessment during open flap surgery (OFS). Methods: In this retrospective clinical cohort study, 215 participants with periodontal disease and at least one molar treated with OFS were enrolled, and a total of 834 molars were assigned for FI by FP and in radiographs analyzed by an experienced (EE) and less experienced examiner (LE). For the investigation, 143 panoramic radiographs (OPGs) and 77 intra‐oral radiographs (I‐Os) were evaluated. Results: The Class of FI by FP was confirmed in 56%, whereas 15% were overestimated and 29% underestimated. FI Class 0 and I had been detected with high probability (74% and 54%, respectively). Of all FI Class III, 57% were detected correctly by radiographs and 32% by FP. FP and OFS revealed a weighted κ‐coefficient (κw) = 0.588; radiographs and OFS had κw = 0.542 (OPG κw = 0.555 and I‐O κw = 0.521). The interrater reliability for radiographs was dependent on the experience of the examiner (EE κw = 0.618; LE κw = 0.426). Conclusions: Experience in analyzing conventional radiographs increases the potential of correct diagnosis of advanced FI. The reliability of FP compared with radiographic assessment depends on the anatomy and location of the tooth. Both diagnostic tools should be used in cases of suspected FI. 相似文献
274.
Thijs M. H. de Jong Arne Jochens Yvonne Jockel‐Schneider Inga Harks Henrik Dommisch Christian Graetz Friederike Flachsbart Ingmar Staufenbiel Jörg Eberhard Mathias Folwaczny Barbara Noack Joerg Meyle Peter Eickholz Wolfgang Lieb Andre Franke Almut Nebel Stefan Schreiber Christof Doerfer Søren Jepsen Corinna Bruckmann Ubele van der Velden Arne S. Schaefer 《Journal of clinical periodontology》2014,41(6):531-540
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Dylan E. Graetz Yichen Chen Meenakshi Devidas Federico Antillon-Klussmann Ligia Fu Karina Quintero Soad L. Fuentes-Alabi Pascale Y. Gassant Erica C. Kaye Justin N. Baker Carlos Rodriguez Galindo Jennifer W. Mack 《Pediatric blood & cancer》2023,70(5):e30244
Background
Quality cancer care depends on interdisciplinary communication. This study explored the communication practices of interdisciplinary clinicians, the types of healthcare services for which they engage in interdisciplinary collaboration, and the association between interdisciplinary care and perceived quality of care, as well as job satisfaction.Methods
We conducted a survey of interdisciplinary clinicians from cancer centers in Guatemala, Honduras, Panama, El Salvador, and Haiti. The survey included 68 items including previously validated tools and novel questions.Results
Total 174 interdisciplinary clinicians completed the survey: nurses (n = 60), medical subspecialists (n = 35), oncologists (n = 22), psychosocial providers (n = 20), surgeons (n = 12), pathologists (n = 9), radiologists (n = 9), and radiation oncologists (n = 5). Oncologists reported daily communication with nurses (95%) and other oncologists (91%). While 90% of nurses reported daily communication with other nurses, only 66% reported daily communication with oncologists, and more than 50% of nurses reported never talking to pathologists, radiologists, radiation oncologists, or surgeons. Most clinicians described interdisciplinary establishment of cancer treatment goals and prognosis (84%), patient preferences (81%), and determination of first treatment modality (80%). Clinicians who described more interdisciplinary collaboration had higher job satisfaction (p = .04) and perceived a higher level of overall quality of care (p = .004).Conclusions
Clinicians in these limited resource settings describe strong interdisciplinary collaboration contributing to higher job satisfaction and perceived quality of care. However, nurses in these settings reported more limited interdisciplinary communication and care. Additional studies are necessary to further define clinical roles on interdisciplinary care teams and their associations with patient outcomes. 相似文献280.