52 hasil untuk "Farrell, Timothy"
Menampilkan 1–20 · 0,48 detik · RSS
-
Artikel Jurnal Teks lengkap
Colonic lavage in treatment of refractory Clostridium difficile infection: an adaptation of the Pittsburgh protocol
Clostridium difficile infection (CDI) is a common nosocomial sequela in patients treated with antibiotics. Surgical intervention is indicated in fulminant cases. However, the mortality associated with total colectomy and end ileostomy is high. Previous reports have indicated that surgical…
-
Artikel Jurnal Teks lengkap
Going Virtual When The Doors Close: Addressing Geriatric Workforce Training Needs During A Pandemic
The focus of our Geriatric Workforce Enhancement Program (GWEP) is to enhance long-term services and support (LTSS) and primary care healthcare workforce capacity through interprofessional education (IPE) and to increase patient, family, and caregiver engagement. When it became evident that LTSS…
-
Artikel Jurnal Teks lengkap
Intra-operative identification of a De Garengeot hernia: a rare finding and discussion of operative approach
The presence of an incarcerated vermiform appendix within a femoral hernia defect, a De Garengeot hernia, is distinctly different than an inguinal hernia containing the appendix, an Amyand hernia. The De Garengeot hernia is a rare finding with few reported cases. We present a 35-year-old female…
-
Artikel Jurnal Teks lengkap
The Later Innings of Life: Implications of COVID‐19 Resource Allocation Strategies for Older Adults
-
Artikel Jurnal Teks lengkap
CONDUCTING A NEEDS ASSESSMENT TO INFORM AGE-FRIENDLY HEALTH SYSTEMS INITIATIVE FOR UNIVERSITY OF UTAH HEALTH
Today, people live longer and more productive lives than ever. The number of adults aged 65 and older is projected to nearly double 98 million by 2060 to 24% of the U.S. population (Administration on Aging & Administration for Community Living, 2018). Increased life expectancy, coupled with the…
-
Artikel Jurnal Teks lengkap
Patient with Lynch syndrome with subsequent development of small bowel adenocarcinoma
Small bowel adenocarcinoma (SBA) is a rare cancer in the general population, but the incidence increases in patients with Lynch syndrome. The present case describes a 57-year-old white woman with a history of colon cancer status posthemicolectomy and diagnosis of Lynch syndrome. Twenty years after…
-
Artikel Jurnal Teks lengkap
The runaway kidney: a rare case of a parastomal hernia with partial kidney herniation
Although parastomal hernias are a common complication of ostomy formation, herniation of intra-abdominal organs, aside from intestine, is infrequent. Furthermore, herniation of retroperitoneal organs, such as the kidney, is an extremely rare finding. We report the case of a 59-year-old male with a…
-
Artikel Jurnal Teks lengkap
Postpartum Ogilvie's Syndrome After a Vaginal Delivery
Ogilvie's syndrome is a colonic pseudo-obstruction that results in colonic dilation without a mechanical obstruction. We discuss a 33-year-old, 36-week pregnant, G1P0L0A0 female who presented with severe pre-eclampsia. Less than 24 hours after induction by vaginal delivery, she developed…
-
Artikel Jurnal Teks lengkap
A rare case of metastatic myxofibrosarcoma to the right colon
Myxofibrosarcoma (MFS) is a common soft tissue sarcoma typically arising in the extremities of older adults. Metastatic spread usually involves the lungs, lymph nodes, or bone. We describe a rare case of metastatic MFS to the colon in a 76-year-old man, three years after surgical excision and…
-
Artikel Jurnal Teks lengkap
Adults Without Advocates and the Unrepresented: A Narrative Review of Terminology and Settings
Socially isolated adults, including those with and without the ability to make medical decisions, are encountered in clinical practice and are at risk for adverse health outcomes. Consensus is lacking on appropriate terminology to describe subpopulations of these patients. In addition, little is…
-
Artikel Jurnal Teks lengkap
Oral Anticoagulant Use after Bariatric Surgery: A Literature Review and Clinical Guidance
Bariatric surgery may alter the absorption, distribution, metabolism and/or elimination (disposition) of orally administered drugs via changes to the gastrointestinal tract anatomy, body weight, and adipose tissue composition. As some patients who have undergone bariatric surgery will need…
-
Artikel Jurnal Teks lengkap
High Case Volumes and Surgical Fellowships are Associated with Improved Outcomes for Bariatric Surgery Patients: A Justification of Current Credentialing Initiatives for Practice and Training
BACKGROUND: Recent years have seen the establishment of bariatric surgery credentialing processes, centers-of-excellence programs and fellowship training positions. The effects of center-of-excellence status and of the presence of training programs have not previously been examined. The objective…
-
Artikel Jurnal Teks lengkap
Making End-of-Life Care Decisions for Older Adults Subject to Guardianship
This Article addresses end-of-life decision-making by guardians of older adults. First, the Article presents current definitions of hospice and palliative care and describes several common end-of-life disease trajectories. This background information introduces the diverse contexts in which…
-
Artikel Jurnal Teks lengkap
“Orphaned” Stomach—An Infrequent Complication of Gastric Bypass Revision
While generally safe, bariatric operations have a variety of possible complications. We present an uncommon complication after gastric bypass revision, namely the creation of an “orphaned” segment of remnant stomach that was left inadvertently in discontinuity, leading to recurrent intra-abdominal…
-
Artikel Jurnal Teks lengkap
“I worry about this patient EVERY day”: Geriatrics Clinicians’ Challenges in Caring for Unrepresented Older Adults
Unrepresented older adults are at risk for adverse outcomes, and clinicians who care for them may face ethical dilemmas and unique challenges when making person-centered care recommendations. However, little is known about their perspectives on clinical challenges in caring for this population. An…
-
Artikel Jurnal Teks lengkap
Bariatric surgery: trends in utilization, complications, conversions and revisions
BACKGROUND: Sleeve gastrectomy (SG) increased in popularity after 2010 but recent data suggest it has concerning rates of gastroesophageal reflux and need for conversions. This study aims to evaluate recent trends in the utilization of bariatric procedures, associated complications, and conversions…
-
Artikel Jurnal
The OXR domain defines a conserved family of eukaryotic oxidation resistance proteins
Abstract Background The NCOA7 gene product is an estrogen receptor associated protein that is highly similar to the human OXR1 gene product, which functions in oxidation resistance. OXR genes are conserved among all sequenced eukaryotes from yeast to humans. In this study we examine if NCOA7 has an…
-
Artikel Jurnal Teks lengkap
Growing colorectal tumors: minimizing microbial and stromal competition and assessing in vitro selection pressures
Development of primary colorectal cancer cell lines ishampered by contamination from regional microbes, overgrowthof stromal cells, and purported genetic drift from selectionpressures in vitro. We initiated 32 primaryadenocarcinomas, 3 recurrences and 6 distant metastases incell culture. Twelve…
-
Artikel Jurnal Teks lengkap
Caring for Unbefriended Older Adults and Adult Orphans: A Clinician Survey
OBJECTIVES: Unbefriended older adults are those who lack the capacity to make medical decisions and do not have a completed advance directive that can guide treatment decisions or a surrogate decision maker. Adult orphans are those who retain medical decision-making capacity but are at risk of…