American journal of surgery
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Randomized Controlled Trial
Structured operative reporting: a randomized trial using dictation templates to improve operative reporting.
Few studies have addressed the quality of dictated operative reports (ORs). This study documents changes in resident dictation after the introduction of a standardized OR template. ⋯ The operative dictation template can significantly improve resident comfort level with dictation and has the potential to improve the quality of junior resident dictations.
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Increasingly, postoperative cognitive dysfunction (POCD) is recognized as a complication after surgery in the elderly. We sought to determine whether patients with mild cognitive impairment (MCI) would have an accelerated progression of dementia postoperatively when compared with the patients without MCI. ⋯ These preliminary findings suggest that surgery negatively impacts attention/concentration in patients with MCI but not in normal individuals. This is the first study that identified a specific subgroup of patients who are predisposed to POCD.
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Randomized Controlled Trial Multicenter Study Comparative Study
Efficacy and safety of linezolid versus vancomycin for the treatment of complicated skin and soft-tissue infections proven to be caused by methicillin-resistant Staphylococcus aureus.
This open-label study compared oral or intravenous linezolid with intravenous vancomycin for treatment of complicated skin and soft-tissue infections (cSSTIs) caused by methicillin-resistant Staphylococcus aureus (MRSA). ⋯ Linezolid is an effective alternative to vancomycin for the treatment of cSSTI caused by MRSA.
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Randomized Controlled Trial
A prospective randomized controlled trial of internal versus external drainage with pancreaticojejunostomy for pancreaticoduodenectomy.
A stent often is placed across the pancreaticojejunostomy. However, there is no report compared between internal drainage and external drainage. ⋯ Both internal drainage and external drainage were safety devices for pancreaticojejunostomy. Internal drainage simplifies postoperative managements and it might shorten postoperative stay for pancreaticoduodenectomy.