A5068192543- Intraperitoneal and Appendiceal Malignancies
- Enhanced Recovery After Surgery
- Clinical Nutrition and Gastroenterology
- Occupational and environmental lung diseases
- Nail Diseases and Treatments
- Patient-Provider Communication in Healthcare
- Gut microbiota and health
- Parathyroid Disorders and Treatments
- Stoma care and complications
- Gastrointestinal motility and disorders
- Dermatology and Skin Diseases
- Appendicitis Diagnosis and Management
- Amoebic Infections and Treatments
- Dermatological diseases and infestations
- Childhood Cancer Survivors' Quality of Life
- Microscopic Colitis
- Clinical practice guidelines implementation
- Renal function and acid-base balance
- Anesthesia and Pain Management
- Meta-analysis and systematic reviews
- Intensive Care Unit Cognitive Disorders
- Infective Endocarditis Diagnosis and Management
- Gastric Cancer Management and Outcomes
- Healthcare cost, quality, practices
- Esophageal and GI Pathology
University of Chicago Medical Center
2023-2024
University of Chicago
2022
Scarborough General Hospital
2005-2007
University of Hull
2005
Abstract Background The aim of this trial was to compare multimodal optimization with conventional perioperative management in a consecutive series patients undergoing wide range colorectal procedures. Methods Thirty-nine major elective colonic resection were recruited prospectively. Patients randomized receive ten-point package or care. All administered epidural analgesia and opiates avoided. Outcome measures recorded related length hospital stay, physical mental function, gut function....
Bacterial translocation (BT) describes the passage of bacteria from gastrointestinal tract to normally sterile tissues such as mesenteric lymph nodes (MLNs) and other internal organs. The clinical pathophysiological significance BT remains controversial. This report results obtained over a 13-year period study.MLNs were 927 patients undergoing laparotomy. Nasogastric aspirates 458 (49.4 per cent) for culture; pH was measured in 172 (37.6 458. Preoperative variables evaluated factors that...
Abstract Background The aim of this study was to investigate whether it is possible modulate gut microflora and preserve intestinal barrier function during elective colorectal surgery by using combinations oral antibiotics, synbiotics mechanical bowel preparation (MBP). Methods Ninety-two patients were randomly assigned one four groups. Group 1 had MBP only, group 2 neomycin + MBP, 3 4 but no MBP. Changes in assessed culturing nasogastric aspirates polymerase chain reaction–denaturing...
Importance Advance directive (AD) designation is an important component of advance care planning (ACP) that helps align with patient goals. However, it underutilized in high-risk surgical patients cancer, and multiple barriers contribute to the low AD rates this population. Objective To assess association early palliative integration changes among cancer who underwent surgery. Design, Setting, Participants This cohort study was a retrospective analysis prospectively maintained registry adult...
Several animal studies have suggested that surgical manipulation of the intestine alters barrier function and promotes bacterial translocation (BT). Whether this occurs in humans has never been investigated. The aim study was to determine effect on prevalence BT patients undergoing elective colorectal surgery.This a prospective observational 50 consecutive whom sample mesenteric lymph node (MLN) harvested after mobilization colon, prior ligation vascular pedicle. These results were compared...
Patient-reported outcome measures (PROMs) and patient-reported experience (PREMs) are self-reporting tools that can measure important information about patients, such as health priorities, experience, perception of outcome. The use traditional objective vital signs lab values be supplemented with these self-reported patient to provide a more complete picture patient's status. Machine learning, the computer algorithms improve automatically through is powerful tool in care often does not...
<sec> <title>BACKGROUND</title> Patient-reported outcome measures (PROMs) and patient-reported experience (PREMs) are self-reporting tools that can measure important information about patients, such as health priorities, experience, perception of outcome. The use traditional objective vital signs lab values be supplemented with these self-reported patient to provide a more complete picture patient’s status. Machine learning, the computer algorithms improve automatically through is powerful...