维普中文期刊产品整合服务
10篇 您的检索式:作者名="Schoeneman"
    题名 作者 年代 出处 被引量
1Symbolic interactionist view of self-concept:Through the looking glass darkly显示文摘 1979Psychological Bulletin1979,,86:1
2Association of steroid and cyclosporin resistance in focal segmental glomerulosclerosis 显示文摘Shatat IF Schoeneman M Flynn JT 2007Pediatr Nephrol2007,22,6:1
3Association of steroid and cyclosporin resistance in focal segmental glomerulosclerosis显示文摘Shatat IF Schoeneman M Flynn JT 2007Pediatr Nephrol2007,22,6:1
4Metastasis of maternal cancer to the placenta and fetus显示文摘Potter J F Schoeneman M 1970Cancer1970,25,2:1
5Biological production of methane from bituminous coal显示文摘VVOKWEIN J C SCHOENEMAN A L 1994Fuel Processing Technology1994,40,23:1
6Association of steroid and cyclosporin resistance in focal segmental glomerulosclerosis显示文摘Ibrahim F. Shatat Morris Schoeneman Joseph T. Flynn Robert P. Woroniecki 2007Pediatric Nephrology2007,,6:1
7Nephrotic syndrome and cholelithiasis 显示文摘Shah SH Shah N Schoeneman MJ 1999Clin Pediatr Phila1999,38,12:1
8Nephrotic syndrome and cholelithiasis 显示文摘Shah SH Shah N Schoeneman MJ 1999ClinPediatr Phila1999,38,12:1
9Effectiveness of an early operating room start time in managing pediatric trauma显示文摘BACKGROUND The timing of operative treatment for pediatric supracondylar humerus fractures(SCHF)and femoral shaft fractures(FSF)remains controversial.Many fractures previously considered to be surgical emergencies,such as SCHF and open fractures,are now commonly being treated the following day.When presented with an urgent fracture overnight needing operative treatment,the on-call surgeon must choose whether to mobilize resources for a late-night case or to add the case to an elective schedule of the following day.AIM To describe the effect of a program allowing an early operating room(OR)start for uncomplicated trauma prior to an elective day of surgery to decrease wait times for surgery for urgent fractures admitted overnight.METHODS Starting in October 2017,patients were eligible for the early slot in the OR at the discretion of the surgeon if they were admitted after 21:00 the previous night and before 05:00.We compared demographics and timing of treatment of SCHF and FSF treated one year before and after implementation as well as the survey responses from the surgical team.RESULTS Of the 44 SCHF meeting inclusion criteria,16 received treatment before imple mentation while 28 were treated after.After implementation,the mean wait time for surgery decreased by 4.8 h or 35.4%(13.4 h vs 8.7 h;P=0.001).There were no significant differences in the operative duration,time in the post anesthesia care unit,and wait time for discharge.Survey results demonstrated decreased popularity of the program among nurses and anesthesiologists relative to surgeons.Whereas 57%of the surgeons believed that the program was effective,only 9%of anesthesiologists and 16%of nurses agreed.The program was ultimately discontinued given the dissatisfaction.CONCLUSION Our findings demonstrate significantly reduced wait times for surgery for uncomplicated SCHF presenting overnight while discussing the importance of shared decision-making with the stakeholders.Although the program produced promising results,it also created new conflicts within the OR staff that led to its discontinuation at our institution.Future implementations of such programs should involve stakeholders early in the planning process to better address the needs of the OR staff.Dan Kym Japsimran Kaur Nicole Segovia Pham Eric Klein Joanna Lind Langner Ellen Wang John Schoeneman Vorhies 2023World Journal of Orthopedics2023,14,7:0
10Spinal fusion is an aerosol generating procedure显示文摘BACKGROUND Transmission of severe acute respiratory syndrome coronavirus 2 can occur during aerosol generating procedures.Several steps in spinal fusion may aerosolize blood but little data exists to quantify the risk this may confer upon surgeons.Aerosolized particles containing infectious coronavirus are typically 0.5-8.0μm.AIM To measure the generation of aerosols during spinal fusion using a handheld optical particle sizer(OPS).METHODS We quantified airborne particle counts during five posterior spinal instrumentation and fusions(9/22/2020-10/15/2020)using an OPS near the surgical field.Data were analyzed by 3 particle size groups:0.3-0.5μm/m^(3),1.0-5.0μm/m^(3),and 10.0μm/m^(3).We used hierarchical logistic regression to model the odds of a spike in aerosolized particle counts based on the step in progress.A spike was defined as a>3 standard deviation increase from average baseline levels.RESULTS Upon univariate analysis,bovie(P<0.0001),high speed pneumatic burring(P=0.009),and ultrasonic bone scalpel(P=0.002)were associated with increased 0.3-0.5μm/m^(3)particle counts relative to baseline.Bovie(P<0.0001)and burring(P<0.0001)were also associated with increased 1-5μm/m^(3)and 10μm/m^(3)particle counts.Pedicle drilling was not associated with increased particle counts in any of the size ranges measured.Our logistic regression model demonstrated that bovie(OR=10.2,P<0.001),burring(OR=10.9,P<0.001),and bone scalpel(OR=5.9,P<0.001)had higher odds of a spike in 0.3-0.5μm/m^(3)particle counts.Bovie(OR=2.6,P<0.001),burring(OR=5.8,P<0.001),and bone scalpel(OR=4.3,P=0.005)had higher odds of a spike in 1-5μm/m^(3)particle counts.Bovie(OR=0.3,P<0.001)and drilling(OR=0.2,P=0.011)had significantly lower odds of a spike in 10μm/m^(3)particle counts relative to baseline.CONCLUSION Several steps in spinal fusion are associated with increased airborne particle counts in the aerosol size range.Further research is warranted to determine if such particles have the potential to contain infectious viruses.Previous research has shown that electrocautery smoke may be an inhalation hazard for surgeons but here we show that usage of the bone scalpel and high-speed burr also have the potential to aerosolize blood.Joanna Lind Langner Nicole Segovia Pham Ann Richey Yousi Oquendo Shayna Mehta John Schoeneman Vorhies 2023World Journal of Orthopedics2023,14,5:0
返回顶部 每页显示:
共1页 首页 上一页 第1页 下一页 末页 /1 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费