Articles: cross-over-studies.
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Bronchiectasis PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Bronchiectasis are defined as permanent, abnormal dilation of bronchi and bronchioles. Laenec in 1819, the first described them as a very common disease before the age of antibiotics. Today is a minor problem in developed countries in opposition to developing countries. The purpose of this study is to determine the prevalence of bacteria in patients with non-CF bronquiectacias. ⋯ The following authors have nothing to disclose: Georgina Gramblicka, Daniela Visentini, Valeria Morandi, Maria Laura Grodnitzky, Gabriela Tabaj, Patricia Malamud, Ana Sangoy, Andrea Appendino, Laura Biglieri, Silvia GuaycocheaNo Product/Research Disclosure Information.
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To describe revisions to the Premature Infant Pain Profile (PIPP) and initial construct validation and feasibility of the Premature Infant Pain Profile-Revised (PIPP-R). ⋯ Initial construct validation and feasibility of the PIPP-R was demonstrated. Further testing with infants of varying gestational ages, diagnoses, and pain conditions is required; as is exploration of PIPP-R in relation to other types of physiological and cognitive responses.
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The aging of America poses a challenge to emergency departments (EDs). Studies show that elderly patients have poor outcomes despite increased testing, prolonged periods of observation, and higher admission rates. In response, emergency medicine (EM) leaders have implemented strategies for improved ED elder care, enhancing expertise, equipment, policies, and protocols. One example is the development of geriatric EDs gaining in popularity nationwide. To the authors' knowledge, this is the first research to systematically identify and qualitatively characterize the existence, locations, and features of geriatric EDs across the United States. ⋯ The snowball sample identification of U.S. geriatric EDs resulted in 30 confirmed respondents. There is significant variation in the components constituting a geriatric ED. The United States should consider external validation of self-identified geriatric EDs to standardize the quality and type of care patients can expect from an institution with an identified geriatric ED.
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Bronchology Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: As bronchial thermoplasty (BT) gains momentum across the nation for the treatment of severe refractory asthma, logistical questions arise regarding the manufacturer guidelines for use of FEV1 in determining patient eligibility and need for hospitalization post-procedure. Currently, the recommendations are to perform BT only in patients with pre-procedure FEV1 >65% and not discharge patients who have >20% drop in FEV1 post-procedure. We present a case of BT in which these guidelines were not adhered to, and yet the patient did extremely well without complications. ⋯ We present a case in which, by FEV1 values, the patient should have never had BT performed or been directly discharged home post-procedure. Yet this patient exceeded all expectations and did extremely well. Future studies are therefore needed to define the role of FEV1 measurements in bronchial thermoplasty.Reference #1: Castro et al. AJRCCM 2010;181(2):116-24Reference #2: Pavord et al. AJRCCM 2007;176(12):1185-91Reference #3: Cox et al. NEJM 2007;356(13):1327-37DISCLOSURE: The following authors have nothing to disclose: Ching-Fei Chang, Ian Lee, Courtney Kwan, Carla SalvadorNo Product/Research Disclosure Information.
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ABSTRACTBackground:One of the many challenges facing emergency departments (EDs) across North America is timely access to emergency radiology services. Academic institutions, which are typically also regional referral centres, frequently require cross-sectional studies to be performed 24 hours a day with expedited final reports to accelerate patient care and ED flow. ⋯ Our results indicate that the presence of a dedicated ED radiologist significantly reduces final report turnaround time and thus may positively impact the time to ED patient disposition. Patient care is improved when attending radiologists are immediately available to read complex films, both in terms of health care outcomes and regarding the need for repeat testing. Providing emergency physicians with accurate imaging findings as rapidly as possible facilitates effective and timely management and thus optimizes patient care.