Articles: cations.
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Posthepatectomy liver failure (PHLF) is a rare but dreaded complication. The aim was to test whether a combination of non-invasive biomarkers (NIBs) and CT data could predict the risk of PHLF in patients who underwent resection of hepatocellular carcinoma (HCC). ⋯ The NIB model provides reliable preoperative evaluation with performance at least similar to that of invasive methods for PHLF risk prediction.
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Tohoku J. Exp. Med. · Apr 2022
Effective Risk Communications through Personalized Consultations with Pregnant Women and Parents by Radiologic Technologists after the 2011 Fukushima Daiichi Nuclear Disaster.
The Great East Japan Earthquake and Tsunami that occurred in March 2011 not only resulted in the loss of many human lives due to earthquakes and tsunamis, but also led to the occurrence of nuclear accidents involving the widespread diffuse release of radioactive materials at the Fukushima Daiichi Nuclear Power Plant (FDNPP). The nuclear accident created great apprehension among residents of the Fukushima Prefecture, where the FDNPP is located, and residents of Northeastern Japan outside of Fukushima, such as the south region of the Miyagi Prefecture, which is adjacent to the northern part of Fukushima Prefecture. The Miyagi Prefecture is located approximately 50 to 120 km from the FDNPP. ⋯ In the face of the actual nuclear disaster, radiologic technologists carried out personalized consultation activities with the aim of eliminating anxiety among pregnant women and parents with infants at two local governments in the south region of Miyagi. After the activities, we conducted questionnaire survey on the activities, and were able to obtain evaluations and various opinions. This paper discusses regarding the efforts to personalized consultation and the results of questionnaire survey conducted by the radiologic technologists in the southern Miyagi following the FDNPP accident.
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Although recent census demonstrates that women comprise 50.8% and ethnic minority groups collectively consist of 42.1% of the US population, the field of anesthesiology still demonstrates disparity in representation and health outcomes across race, ethnicity, and gender. In addition, the growing percentage of people that identify as lesbian, gay, bisexual, transgender, and queer (LGBTQ) compounded with limited representation among providers of their care can augment existing disparate outcomes within this community. ⋯ To achieve an optimized quality of healthcare, anesthesiologists and other providers should be a reflection of the communities they serve, including women, people of color, and LGBTQ. In this way, there is an increased likelihood of empathy, effective communication, and insightful perspectives on how to bridge the gap in health equity. A diverse lens is essential to ensure grassroots efforts lead to lasting transformational change.
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The physiologically difficult airway is one in which physiologic alterations in the patient increase the risk for cardiorespiratory and other complications during tracheal intubation and transition to positive pressure ventilation. This review will summarize the recent literature around the emerging concept of the physiologically difficult airway, describe its relevance and various patient types in which this entity is observed. ⋯ Understanding the physiological alterations and the risks involved in patients with a physiologically difficult airway is necessary to optimize the physiology and adopt strategies to avoid complications during tracheal intubation. Further research will help us better understand the optimal strategies to improve outcomes in these patients.
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Curr Opin Anaesthesiol · Apr 2022
ReviewSurgical rib fixation in traumatic rib fractures: is it warranted?
Traumatic chest wall injuries and rib fractures remain a prevalent injury. Despite many advances, these injuries result in high morbidity and mortality. Surgical stabilization of rib fractures (SSRF) is increasing in utilization with expanding indications. Recent studies have demonstrated that many patients may benefit from surgical intervention. ⋯ SSRF has become more prevalent with improving outcomes for patients. Understanding the indications will help expand utilization and improve patient outcomes.