Bibliografias temáticas / Surgery – quality control

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Literatura científica selecionada sobre o tema "Surgery – quality control"

Autor: Grafiati

Publicado: 29 de julho de 2024

Última modificação: 30 de julho de 2024

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Artigos de revistas sobre o assunto "Surgery – quality control"

Pories, Walter J., e Gary M. Pratt. "Quality Control of Bariatric Surgery". Bariatric Nursing and Surgical Patient Care 1, n.º 1 (março de 2006): 53–59. http://dx.doi.org/10.1089/bar.2006.1.53.

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Christiaens, M. R. "Quality control aspects in surgery". European Journal of Cancer 33 (setembro de 1997): S135. http://dx.doi.org/10.1016/s0959-8049(97)85148-9.

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Motley, R. J. "Quality control in Mohs micrographic surgery". British Journal of Dermatology 173, n.º 1 (julho de 2015): 11–12. http://dx.doi.org/10.1111/bjd.13843.

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Birido, N., e J. G. Geraghty. "Quality control in breast cancer surgery". European Journal of Surgical Oncology (EJSO) 31, n.º 6 (agosto de 2005): 577–86. http://dx.doi.org/10.1016/j.ejso.2005.02.009.

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Hacker, N. F. "Quality control in ovarian cancer surgery". Annals of Oncology 22 (dezembro de 2011): viii19—viii22. http://dx.doi.org/10.1093/annonc/mdr517.

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Holmes, E. C. "General principles of surgery quality control". Chest 106, n.º 6 (1 de dezembro de 1994): 334S—336. http://dx.doi.org/10.1378/chest.106.6.334s.

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Holmes, E. Carmack. "General Principles of Surgery Quality Control". Chest 106, n.º 6 (dezembro de 1994): 334S—336S. http://dx.doi.org/10.1378/chest.106.6_supplement.334s.

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Marini, L. "Postsurgical quality control in micrographic surgery". Journal of the European Academy of Dermatology and Venereology 5, n.º 1 (outubro de 1995): S117. http://dx.doi.org/10.1016/0926-9959(95)96232-w.

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Aletti, Giovanni D., e Michele Peiretti. "Quality control in ovarian cancer surgery". Best Practice & Research Clinical Obstetrics & Gynaecology 41 (maio de 2017): 96–107. http://dx.doi.org/10.1016/j.bpobgyn.2016.08.008.

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O'DAY, DENIS M. "QUALITY CONTROL ISSUES IN MODERN CATARACT SURGERY". Australian and New Zealand Journal of Ophthalmology 15, n.º 3 (agosto de 1987): 215–19. http://dx.doi.org/10.1111/j.1442-9071.1987.tb00074.x.

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Teses / dissertações sobre o assunto "Surgery – quality control"

Nüssler, Emil Karl. "Surgical quality control of minimally invasive procedures, fast-track surgery and implant technology in gynaecological surgery in Sweden". Licentiate thesis, Umeå universitet, Obstetrik och gynekologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157812.

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Internationally as well as in Sweden, efforts for improvement in gynaecological surgery in recent decades have mainly focused on three new treatment concepts: (1) Use of minimally invasive procedures: since there is an interdependency between the extent of surgical trauma and the risk for adverse outcome, increased use of supposedly atraumatic endoscopic procedures has revolutionized several aspects of surgical care (2) A multimodal approach to eliminate harmful procedures in the peri-operative process based on evidence-based principles (3) Introduction of implants to support damaged tissue with synthetic mesh in incontinence and pelvic organ prolapse patients. Research question 1: Is introduction of a minimally invasive operation enough per se or is the measured improvement mediated by elimination of harmful procedures in the perioperative process? Findings: Our study (Paper I) indicates that by applying a multimodal intervention programme for the pre- and postoperative care of patients undergoing supravaginal hysterectomy, the surgical procedure per se is of less importance than generally considered. Patient-related parameters such as length of postoperative hospital stay, number of days at home with need of painkillers, number of days before return to normal activities, and patient satisfaction did not differ between patients undergoing the laparoscopic procedure and patients undergoing abdominal supravaginal hysterectomy. When evaluating a new and presumably improved operative procedure against an established standard procedure, it is mandatory and of fundamental importance that the two methods are aligned in terms of perioperative care provided. Research question 2: Under which circumstances can it be assumed that a new surgical procedure showing promising efficacy in one setting can be reproduced with similar results in a different clinical setting (Paper I)? Findings: The operating surgeons concluded that, in their hands and under local conditions, laparoscopic technique for supravaginal hysterectomy was not superior to traditional open hysterectomy and stopped using laparoscopic technique. It seems necessary, prior to routine use, to monitor, using scientific tools, whether the advantages described in the literature are achievable under local conditions. Research question 3: Do expected advantages of implants outweigh the unwanted effects and complications caused by implants in operations for recurrent cystocele (Paper II)? Findings: Mesh has better durability but more (minor) complications. It is not possible to determine whether mesh is "generally better" than native tissue operation. Some may focus on the improved durability, others on the increased risks. The surgeon must make a risk assessment for each individual case. The patient must be sufficiently informed to understand the risks and make a personal, informed decision whether she wants an augmentation by implant. Essential for this process is a clear, comprehensible picture of both desired and unwanted effects of the planned surgery. In this context, studies like ours might be of use.

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Haro, Tyah Jo. "Enhanced Glycemic Recovery After Cardiac Surgery: A Quality Improvement Project". Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/338757.

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Hyperglycemia in adult cardiac surgery may result in post-operative sternal wound infections, pneumonia, renal failure, increased length of stay, and cost. The Surgical Care Improvement Project (SCIP) (2006) requires blood glucose control in cardiac surgery at 6:00 am on post-operative day one (POD1) and post-operative day two (POD2) to be 200mg/dL or less. Enhanced Recovery After Surgery (ERAS) guidelines use a Maltodextrin 12.5% carbohydrate beverage six hours and two hours pre-operative of general surgery to improve post-operative outcomes, cost, and length of stay. One study replicated ERAS guidelines in adult coronary artery bypass grafting surgery patients finding patients had decreased length of stay and improved glycemic control six hours postoperatively. The purpose of this quality improvement project is to outline a proactive approach to the modifiable risk factor of pre-operative fasting. This quality improvement project describes a pre-operative fasting carbohydrate protocol for non-emergent, adults, scheduled for cardiac surgery at 10:00am or later, with a hemoglobin A1C of 8.4% or less, and a body mass index of 35 or less. The protocol is named the Hungry Sweet Heart Protocol and an implementation plan is described for a community hospital located in Tucson, AZ. Updating practices of strict NPO status prior to cardiac surgery is a proactive measure to improve glycemic control and adherence to SCIP guidelines post-operatively. Interdisciplinary teams, including DNPs, are perfectly suited to guide this implementation.

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Javed, Sumbal. "Reconfiguration of vascular services to enhance quality of care". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206915.

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Hong Kong's aging population has, increased demand for vascular services. Currently, vascular surgery is subsumed under general surgery. The workload on both general surgery and vascular surgery is demanding and hence, not conductive to the development of vascular surgery. The volume of surgery, particularly emergency surgery provided by the Hospital Authority units varies significantly. The collaboration and differentiation of labor at present is not well defined in many centers. This may lead to unnecessary competition and duplication of resources in the long run. This project examined if there is room for improvement in the present situation and provides evidence for relevant service reconfiguration and discusses how Hong Kong can learn from some overseas examples to enhance quality of services delivered to patients.
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Public Health
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Master of Public Health

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Rojas-Candio, Piero, Arturo Villantoy-Pasapera, Jimmy Armas-Aguirre e Santiago Aguirre-Mayorga. "Evaluation Method of Variables and Indicators for Surgery Block Process Using Process Mining and Data Visualization". Repositorio Academico - UPC, 2021. http://hdl.handle.net/10757/653799.

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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
In this paper, we proposed a method that allows us to formulate and evaluate process mining indicators through questions related to the process traceability, and to bring about a clear understanding of the process variables through data visualization techniques. This proposal identifies bottlenecks and violations of policies that arise due to the difficulty of carrying out measurements and analysis for the improvement of process quality assurance and process transformation. The proposal validation was carried out in a health clinic in Lima (Peru) with data obtained from an information system that supports the surgery block process. Finally, the results contribute to the optimization of decision-making by the medical staff involved in the surgery block process.
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Bennett, Paul J. "An investigation into the health related outcomes of surgery performed by Fellows of the Australian College of Podiatric Surgeons". Thesis, Queensland University of Technology, 1999. https://eprints.qut.edu.au/36746/1/36746_Digitised%20Thesis.pdf.

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Health care providers in the United States, United Kingdom and Australia debate the need for expanding the role of podiatrists' to include the surgical care of foot problems. Paradoxically, during a twelve month period from July 1995 to June 1996, Fellows of the Australian College of Podiatric Surgeons (FACPS) performed over 1,500 individual surgical operations on approximately 785 Australians. Few prospective investigations of podiatric surgeon outcomes have been conducted, none of which have taken place in Australia. More particularly, no studies have used valid psychometric instruments to measure the effects of care provided on patients' "health related quality of life". The research contained in this thesis deals with the conceptualisation, development and validation of a new health status instrument: the Foot Health Status Questionnaire. This instrument has been developed with the specific intent of investigating the impact of FACPS on patients' health related quality of life. One hundred and forty-two subjects treated by eleven Fellows for orthopaedic, neurological or integumentary systems diseases of the foot were recruited into a six month long quasi-experimental repeated measures (time series) study. The study identified that the vast majority of subjects (more than 92%) who underwent foot surgery experienced significant improvements' in a range of health related quality of life dimensions and indicated that they would undergo their procedure again. In particular, a MANCOVA analysis demonstrated that subjects' reported reduced levels of foot pain, increased levels of physical function, improved general foot health perception and footwear related quality of life, up to six months after their respective operations. Adverse effects of surgery identified in this study include a significant short-term functional disability for subjects' undergoing orthopaedic correction of foot problems and, in the immediate post operative phase, a significant reduction in social function for all three groups of subjects'. Generic measures of General Health and Vitality, as captured by the Short Form 36 health status instrument, were unaffected by Fellows treatment. This study did not identify any significant short to medium term morbid outcomes. Assessment of patients' satisfaction with surgery one, three and six months postoperatively reflected a general under-reporting of the beneficial effects of foot surgery. These findings support the premise that; specific health related quality of life measures provide significant explanatory power about the outcomes of care compared with the more traditional approach of evaluating patient satisfaction with surgery. In summary, it has been recommended that podiatrists, like other health care professionals, use recognised methods to determine whether their care meets professional standards and to generate evidence to prove that it does. This research contributes to meeting this important public health need.

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Jestin, Pia. "Colorectal Cancer : Audit and Health Economy in Colorectal Cancer Surgery in a Defined Swedish Population". Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6056.

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Fink, Jane M. "The role of the social cognitive variables of self-efficacy, locus of control, weight loss, and quality of life is post-bariatric surgery patients". Akron, OH : University of Akron, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=akron1185986260.

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Dissertation (Ph. D.)--University of Akron, Dept. of Counseling Education-Counselor Education & Supervision, 2007.
"August, 2007." Title from electronic dissertation title page (viewed 04/29/2008) Advisor, Linda M. Perosa; Committee members, Sandra L. Perosa, Cynthia A. Reynolds, Fred H. Ziegler, Suzanne C. MacDonald; Department Chair, Sajit Zachariah; Interim Dean of the College, Cynthia F. Capers; Dean of the Graduate School, George R. Newkome. Includes bibliographical references.

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Fink, Jane. "THE ROLE OF THE SOCIAL COGNITIVE VARIABLES OF SELF-EFFICACY, LOCUS OF CONTROL, WEIGHT LOSS, AND QUALITY OF LIFE IN POST-BARIATRIC SURGERY PATIENTS". University of Akron / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=akron1185986260.

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VIEIRA, ANDRÉ M. de M. "Dosimetria dos sistemas de radiocirurgia estereotáxica com aceleradores lineares equipados com colimadores micro multi-lâminas". reponame:Repositório Institucional do IPEN, 2008. http://repositorio.ipen.br:8080/xmlui/handle/123456789/11608.

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Tese (Doutoramento)
IPEN/T
Instituto de Pesquisas Energéticas e Nucleares - IPEN-CNEN/SP

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Obaid, Mehnaz, e Zina Hussein. "Quality of life, jaw function and aesthetics in patients treated with orthognathic surgery in comparison with a control group - A controlled and long-term follow-up study". Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19780.

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Objective: To study the quality of life, jaw function and aesthetics in patients, at least 10 years after they have completed orthognathic treatment, in comparison with a control group. Material and Methods: The sample was retrieved from a previous study by Abrahamsson et al. The treatment group consisted of 94 consecutive patients (59 women and 35 men) with dentofacial deformities who were referred to Department of Oral Maxillofacial Surgery, Malmö University Hospital, Sweden for orthognathic surgery. The average age of the treatment group was 22.4 ±7.6 years. The control group consisted of 53 individuals (30 women and 23 men, with mean age 23.4 ± 7.3) and was recruited from the Department of Oral Diagnostics in Dentistry University in Malmö and at the Public Dental Service in Oxie. A questionnaire including Oral health impact profile (OHIP-14), Jaw functional limitation scale (JFLS-8) and Orofacial aesthetic scale (OAS-8) supplemented with two questions directed to the treatment group was sent out to both the treatment and the control group. Result: The response rate was 57% (n=54) in the treatment group and 53% (n=28) in the control group. According to the result from OHIP-14 the quality of life was better in the treatment group in comparison with the control group. However, jaw function and orofacial aesthetics were comparable between the groups according to the results from JFLS-8 and OAS-8. The majority of the patients in this study were very satisfied with the result of orthognathic surgery at 10 years follow-up.Conclusion: Orthognathic treatment has been shown to be a successful treatment not only in term of jaw function and aesthetic but also in enhanced quality of life.

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Livros sobre o assunto "Surgery – quality control"

Max, Geraedts, ed. Qualitätssicherung in der operativen Gynäkologie. Baden-Baden: Nomos Verlagsgesellschaft, 1998.

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Imhof, Michael. Malpractice in surgery: Safety culture and quality management in the hospital. Berlin: De Gruyter, 2013.

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Joint Commission on Accreditation of Healthcare Organizations., ed. How to prepare for a survey: Surgical and anesthesia services. Oakbrook Terrace, Ill: Joint Commission on Accreditation of Healthcare Organizations, 1992.

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United States. Congress. House. Committee on Small Business. Subcommittee on Regulation, Business Opportunities, and Energy. Patient safety and consumer protection problems in unlicensed or undersupervised ambulatory care facilities: Hearing before the Subcommittee on Regulation, Business Opportunities, and Energy of the Committee on Small Business, House of Representatives, One Hundred Second Congress, first session, Washington, DC, April 29, 1991. Washington: U.S. G.P.O., 1991.

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Subcommittee, United States Congress House Committee on Government Operations Intergovernmental Relations and Human Resources. Oversight review of quality assurance at the VA's Department of Medicine and Surgery: Hearing before a subcommittee of the Committee on Government Operations, House of Representatives, Ninety-ninth Congress, second session, August 12, 1986. Washington: U.S. G.P.O., 1987.

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Office, General Accounting. VA health care: Monitoring of cardiac surgery and kidney transplantation : report to the Chairman, Subcommittee on HUD-Independent Agencies, Committee on Appropriations, U.S. Senate. Washington, D.C: The Office, 1988.

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United States. Congress. Senate. Committee on Veterans' Affairs, ed. VA health care: Trends in malpractice claims can aid in addressing quality of care problems : report to the Ranking Minority Member, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington 20013): The Office, 1995.

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Office, General Accounting. VA health care: Resource allocation methodology has had little impact on medical centers' budgets : report to the Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1989.

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Office, General Accounting. VA health care: Allocation of resources to medical facilities in the Sun Belt : report to congressional requesters. Washington, D.C: The Office, 1986.

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Office, General Accounting. VA health care: Insufficient support for Brevard County location for new Florida hospital : report to the Honorable Bill McCollum, House of Representatives. Washington, D.C: The Office, 1986.

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Capítulos de livros sobre o assunto "Surgery – quality control"

Settembrini, P. G., M. Carmo, R. Dallatana, G. Mercandalli e G. A. T. de Angelis. "Quality Control in Vascular Surgery". In Vascular Surgery, 117–28. Berlin, Heidelberg: Springer Berlin Heidelberg, 2007. http://dx.doi.org/10.1007/978-3-540-30956-7_12.

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Ding, Shuai, Desheng Wu, Luyue Zhao e Xueyan Li. "Minimally Invasive Surgery Quality Control". In AI for Risks, 175–88. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-2560-3_10.

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Ammann, R. W. "Quality Control Following Surgery for Chronic Pancreatitis". In Standards in Pancreatic Surgery, 496–508. Berlin, Heidelberg: Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-77437-9_54.

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Loebe, Matthias, e Mark G. Davies. "Quality Control in Cardiac Surgery in the United States". In Cardiac Surgery, 85–94. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-662-52672-9_4.

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Nilsson, E. "Quality Control in Hernia Surgery: The Swedish Experience". In Incisional Hernia, 459–66. Berlin, Heidelberg: Springer Berlin Heidelberg, 1999. http://dx.doi.org/10.1007/978-3-642-60123-1_46.

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Haase, J. "What Diagnostics are Necessary Before and after Surgery?" In Risk Control and Quality Management in Neurosurgery, 87–88. Vienna: Springer Vienna, 2001. http://dx.doi.org/10.1007/978-3-7091-6237-8_15.

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Hagmüller, G. W., G. Hastermann e H. Ptakovsky. "Local anesthesia and intraoperative quality control in carotid surgery". In Perioperative Monitoring in Carotid Surgery, 75–79. Heidelberg: Steinkopff, 1998. http://dx.doi.org/10.1007/978-3-642-95990-5_12.

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Hernesniemi, J. "Mechanisms to Improve Treatment Standards in Neurosurgery, Cerebral Aneurysm Surgery as Example". In Risk Control and Quality Management in Neurosurgery, 127–34. Vienna: Springer Vienna, 2001. http://dx.doi.org/10.1007/978-3-7091-6237-8_24.

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Armstrong, Peter F., e Bryan Snyder. "The Cyclical Process of Medical Device Realization: Development, Implementation, and Quality Control". In Quality Improvement and Patient Safety in Orthopaedic Surgery, 159–70. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-07105-8_15.

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Vaiano, Angela. "Standard Operating Procedures for Quality Control of Instrumentation for Radioguided Surgery". In Nuclear Medicine Textbook, 1079–84. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-95564-3_44.

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Trabalhos de conferências sobre o assunto "Surgery – quality control"

Weber, Christoph, Michael Figl e Kurt Schicho. "Splint deformation measurement: a contribution to quality control in computer assisted surgery". In SPIE Medical Imaging. SPIE, 2010. http://dx.doi.org/10.1117/12.844373.

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Dorffner, Lionel, G. Forkert, H. Klimpfinger e W. Rusch. "Application of visualization techniques in facial surgery for diagnosis and quality control". In Spatial Information from Digital Photogrammetry and Computer Vision: ISPRS Commission III Symposium, editado por Heinrich Ebner, Christian Heipke e Konrad Eder. SPIE, 1994. http://dx.doi.org/10.1117/12.182893.

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Häussler, A., A. Rings, S. Dushaj, H. Löblein, R. Behr-Graves, O. Dzemali e M. Genoni. "Intraoperative Endoluminal Quality Control of Saphenous Vein Grafts with Optical Coherence Tomography in Coronary Artery Bypass Grafting". In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678781.

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Stöver, Timo, Stefan Dazert, Thomas Deitmer, Stefan Plontke, Hans-Jürgen Welkoborsky, Wolfgang Delank, Thomas Zahnert e Orlando Guntinas-Lichius. "Quality control in cochlear impIant care: Introduction of a certification system and a national register". In 94th Annual Meeting German Society of Oto-Rhino-Laryngology, Head and Neck Surgery e.V., Bonn. Georg Thieme Verlag, 2023. http://dx.doi.org/10.1055/s-0043-1767394.

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Chang, Chia-Yu, Yen-Ting Wu e Jia-Han Li. "Optical design and retinal image quality of trifocal intraocular lens". In JSAP-Optica Joint Symposia. Washington, D.C.: Optica Publishing Group, 2023. http://dx.doi.org/10.1364/jsapo.2023.20a_a308_3.

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The lens in the human eye is responsible for adjusting different diopters, allowing people to receive images at different distances from light sources. The ciliary muscle in the human eye can control the thickness of the lens to change the required diopter for clear vision. However, as the ciliary muscle ages, its ability to adjust the lens's focal length becomes limited. Cataracts, which are caused by the degradation of the lens, may require cataract surgery to implant new intraocular lens and prevent disruption to daily life [1].

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Strobelt, Lisa, Anna-Maria Kuttenreich, Gerd Fabian Volk, Carien Beurskens, Thomas Lehmann e Ina Manuela Schüler. "Oral health and oral health-related quality of life in patients with chronic peripheral facial nerve palsy with synkinesis – a case-control-study". In 95th Annual Meeting German Society of Oto-Rhino-Laryngology, Head and Neck Surgery e. V., Bonn. Georg Thieme Verlag KG, 2024. http://dx.doi.org/10.1055/s-0044-1785143.

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Antunes, Maria da Conceição, Délio Guerra Drummond Júnior, Ariane Simião Garcia, Lethícia Mariah Marchi Bertin e Igor Costa Santos. "Pain management in the postoperative period of invasive surgery". In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-105.

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Introduction: Adequate pain management in the postoperative period of invasive surgeries is essential to promote patients' recovery and improve their quality of life. Postoperative pain can be severe and compromise respiratory function and overall well-being. Therefore, effective pain management strategies are essential. Objective: To examine the management of pain in the postoperative period of invasive surgery, exploring the available therapeutic options, their indications and clinical outcomes. Theoretical Framework: The topics covered include the different pharmacological approaches in 5 axes: such as the use of opioid and non-opioid analgesics, regional block techniques, adjuvant therapies such as acupuncture and hypnosis, as well as multimodal pain control strategies. Methodology: The electronic databases PubMed, Scopus and Web of Science were used. The following English descriptors were used: "postoperative pain management", "invasive surgery", "pain control strategies". The inclusion criteria were articles available in full text and written in English published in the last 10 years. Final Results: Pain management in the postoperative period of invasive surgery requires an individualized and multimodal approach. In addition to opioids, non-opioid analgesics, such as paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs), play an important role in the management of mild to moderate pain and can be used alone or in combination with opioids. Regional block techniques, such as peripheral nerve block and epidural block, have also been shown to be effective in reducing postoperative pain and decreasing the need for systemic opioids. Adjuvant therapies, such as acupuncture and hypnosis, and multimodal strategies, which combine different therapeutic approaches, have gained prominence as complementary options for pain management, helping to reduce the use of medications and promoting patient well-being.

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Levasseur, Annie, Jérémie Ménard, Victor Songmené, Julio Fernandes e Yvan Petit. "Quality of Reamed Surface Using Serrated Blades as Compared to a Conventional Acetabular Reamer". In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-64930.

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Background: Hip arthroplasty requires the preparation of the acetabular cavity to allow a proper contact between the bone and the implant. It is essential to allow osseointegration and long-term stability of the implant. The aim of this study was to conduct experimental testing to evaluate the quality of reamed surfaces using a serrated blade acetabular reamer as compared to a conventional rasp reamer. Method of Approach: Reaming tests were performed on a computerized numerical control tools machine at a rotational speed of 250 rpm and 3 different penetration speeds: 0.20 mm/s, 0.55 mm/s and 0.90 mm/s. For each reamer, a complete semi-hemispherical hole was perforated in 7 polyurethane samples. The reamed surfaces were digitized with a three-dimensional high resolution (40 μm) self-positioning laser scanner to carry out a quantitative analysis of the surface quality. Results: Results demonstrated that the cutting edge and the penetration speed influence the quality of the reamed surface. The serrated blade was found to reduce surface irregularities (ranging between 0.19 mm to 0.21 mm for the conventional rasp and between 0.07 mm and 0.12 mm for the serrated blades), and to reduce inaccuracies on the reamed cavity diameter (0.13 mm ± 0.05mm for the rasps and 0.06 mm ± 0.03mm for the serrated blade). Conclusions: The use of such tool by the surgeon may influence the stability of the acetabular implant and reduce the risks of revision surgery.

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Applegate, Raymond A., e Howard C. Howland. "Optical aberrations of the eye following radial keratotomy". In OSA Annual Meeting. Washington, D.C.: Optica Publishing Group, 1990. http://dx.doi.org/10.1364/oam.1990.fe1.

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The quality of the eye's in-focus optical image (and visual performance) is directly influenced by the magnitude of the eye's higher-order wave aberrations. Although there have been numerous studies of the normal eye, little is known about the optics of eyes after various clinical interventions (e.g., radial keratotomy, epikeratophakia, and corneal transplants). To help fill this information void, wave aberrations were measured with the Howland and Howland aberroscope on 15 radial-keratotomy (RK) patients and nine normal control subjects (no surgery) before and approximately 7, 120, 240, and 360 days after surgery. Although measurements could always be performed on the control subjects (88 of 88 times), RK patients' optics were usually sufficiently disrupted outside the surgery-free zone that quantification of the wave aberrations was impossible. In RK eyes where measurements were possible (12 of 96 times), the measured aberrations were, as a rule, larger than those of the control subjects and the optical consequences were more severe. These measurements are consistent with the frequent report from RK patients that their vision is excellent under high photopic conditions, where their pupil is small, but that it deteriorates under mesopic-to- scotopic conditions, where the pupil is relatively large.

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Samur, Evren, Ulrich Spaelter, Lionel Flaction, Pascal Maillard, Hannes Bleuler e Rolf Wu¨thrich. "Control of a Haptic Interface and a Micromachining Setup With an Open Source Real-Time System". In ASME 2007 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2007. http://dx.doi.org/10.1115/detc2007-35203.

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Open source software have evolved into powerful tools for real-time control of mechatronic systems. They are of interest for academic purposes, as they promise high flexibility at low cost. In this paper, we investigate the performance of an open source control architecture based on the Linux Real-Time Application Interface (RTAI) through two applications, a haptic interface for surgery simulation and a setup for the micromachining of glass. Both applications demand a compact real-time system with sufficient precision (i.e. low jitter) for online process control and data acquisition. The real-time control has been realized on a laptop with a USB-port data acquisition card. Performance measurement results show that high quality real-time control can be performed up to 2kHz via USB communication, which is sufficient for a large range of robotic or mechatronic applications. Drawbacks like the need for considerable knowledge of Linux internals for successful installation as well as the current limitations are discussed and strategies are proposed to overcome these. Both setups are currently being used for ongoing research as well as for educational purposes.

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Relatórios de organizações sobre o assunto "Surgery – quality control"

Bhushan, Sandeep, Huang Xin e Xiao Zongwei. Ultrasound-guided erector spinae plane block for postoperative analgesia in patients undergoing liver surgery: what we might know from a meta-analysis of Randomized control trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, janeiro de 2022. http://dx.doi.org/10.37766/inplasy2022.1.0094.

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Condition being studied: ESPB as an emerging regional technique has been well established in many surgeries, including reduce opioid demands, decrease pain score and improver sleep quality, etc. But, apply ESPB in liver surgery is limiting and remains uncertain, it is time to conduct one meta-analysis to reveal the performance of ESPB in liver surgery. Eligibility criteria: All published full-article RCTs comparing the analgesic efficacy of ESPB with control in adult patients undergoing any liver surgeries were eligible for inclusion. There were no language restrictions, Moreover, we also excluded case reports, non-RCT studies, incomplete clinical trials, and any trials used multiple nerve blocks. We also excluded any conference abstracts which could not offer enough information about the study design, or by data request to the author.

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Prudkov, Mikhail, Vasily Ermolaev, Elena Shurygina e Eduard Mikaelyan. Electronic educational resource "Hospital Surgery for 5th year students of the Faculty of Pediatrics". SIB-Expertise, janeiro de 2024. http://dx.doi.org/10.12731/er0780.29012024.

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Electronic educational resourc was created for independent work of 5th year students of the pediatric faculty in the study of the discipline "Hospital Surgery". The possibility of control by the teacher is provided. This EER includes an introductory module, a topic module, and a quality assessment module. The structure of each topic in the EER (there are 19 topics in total) consists of the following sections: educational and methodological tasks on the topic, abstract of the topic, control tests on the topic, clinical situational tasks on the topic and a list of references. The section "Summary of the topic" at the moment can be presented in the form of a text file, or a presentation, or a video lecture, or a monograph by the staff of the department, etc. This section is gradually updated with new materials. The section "Control tests on the topic" is designed to control the teacher for the independent work of students and contains 15 tests, the solution of which is given 10 minutes and two attempts, a passing result for crediting 71% of correct answers. The section "Clinical situational tasks" serves for self-control of the student in mastering the topic - if he understood the content of the task, made a preliminary diagnosis and knows the tactics of managing the patient, the topic is mastered. There are ten clinical situational tasks for each topic, students receive different versions of tasks. In addition, the EER has a "Final test control" section, which contains test tasks from all topics of practical classes. The program randomly generates a final test of 30 tasks, 20 minutes are allotted for solving, the student has the right to two attempts. More than 71% of correct answers are counted.

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He, Miao, Zhaoqiong Zhu, Min Jiang, Xingxing Liu, Rui Wu e Junjie Zhou. Risk factors for postanesthetic emergence delirium in adults: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, janeiro de 2022. http://dx.doi.org/10.37766/inplasy2022.1.0021.

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Review question / Objective: Patientor population: patients with emergence delirium; Exposure: anaesthesia and surgery; Control: patients with no emergence delirium; Outcome: risk factors; Study design: meta-analysis. Eligibility criteria: To ensure the quality of this meta-analysis, inclusion criteria was decided before we carried out the search. These criteria were: (a) Original researches that carried out in observational studies. (b)Adult patients who were extubated and recovered at PACU, operation room, or intensive care unit (ICU) after surgeries and anesthesia (including general and neuraxial anesthesia, peripheral nerve blocks and sedation). (c) Risk factors for delirium must be assessed with odds ratio (OR) with 95% confidence interval (CI). Researches must present the results of multivariate regression to be considered eligible for inclusion, since multivariate analysis results shall be used to identify variables eligible for meta-analysis. (d) Full-text available literatures.

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Treadwell, Jonathan R., Mingche Wu e Amy Y. Tsou. Management of Infantile Epilepsies. Agency for Healthcare Research and Quality (AHRQ), outubro de 2022. http://dx.doi.org/10.23970/ahrqepccer252.

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Objectives. Uncontrolled seizures in children 1 to 36 months old have serious short-term health risks and may be associated with substantial developmental, behavioral, and psychological impairments. We evaluated the effectiveness, comparative effectiveness, and harms of pharmacologic, dietary, surgical, neuromodulation, and gene therapy treatments for infantile epilepsies. Data sources. We searched Embase®, MEDLINE®, PubMed®, the Cochrane Library, and gray literature for studies published from January 1, 1999, to August 19, 2021. Review methods. Using standard Evidence-based Practice Center methods, we refined the scope and applied a priori inclusion criteria to the >10,000 articles identified. We ordered full text of any pediatric epilepsy articles to determine if they reported any data on those age 1 month to <36 months. We extracted key information from each included study, rated risk of bias, and rated the strength of evidence. We summarized the studies and outcomes narratively. Results. Forty-one studies (44 articles) met inclusion criteria. For pharmacotherapy, levetiracetam may cause seizure freedom in some patients (strength of evidence [SOE]: low), but data on other medications (topiramate, lamotrigine, phenytoin, vigabatrin, rufinamide, stiripentol) were insufficient to permit conclusions. Both ketogenic diet and the modified Atkins diet may reduce seizure frequency (SOE: low for both). In addition, the ketogenic diet may cause seizure freedom in some infants (SOE: low) and may be more likely than the modified Atkins diet to reduce seizure frequency (SOE: low). Both hemispherectomy/hemispherotomy and non-hemispheric surgical procedures may cause seizure freedom in some infants (SOE: low for both), but the precise proportion is too variable to estimate. For three medications (levetiracetam, topiramate, and lamotrigine), adverse effects may rarely be severe enough to warrant discontinuation (SOE: low). For topiramate, non-severe adverse effects include loss of appetite and upper respiratory tract infection (SOE: moderate). Harms of diets were sparsely reported. For surgical interventions, surgical mortality is rare for functional hemispherectomy/hemispherotomy and non-hemispheric procedures (SOE: low), but evidence was insufficient to permit quantitative estimates of mortality or morbidity risk. Hydrocephalus requiring shunt placement after multilobar, lobar, or focal resection is uncommon (SOE: low). No studies assessed neuromodulation or gene therapy. Conclusions. Levetiracetam, ketogenic diet, modified Atkins diet, and surgery all appear to be effective for some infants. However, the strength of the evidence is low for all of these modalities due to lack of control groups, low patient enrollment, and inconsistent reporting. Future studies should compare different pharmacologic treatments and compare pharmacotherapy with dietary therapy. Critical outcomes underrepresented in the literature include quality of life, sleep outcomes, and long-term development.

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Konnyu, Kristin J., Louise M. Thoma, Monika Reddy Bhuma, Wagnan Cao, Gaelen P. Adam, Shivani Mehta, Roy K. Aaron et al. Prehabilitation and Rehabilitation for Major Joint Replacement. Agency for Healthcare Research and Quality (AHRQ), novembro de 2021. http://dx.doi.org/10.23970/ahrqepccer248.

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Objectives. This systematic review evaluates the rehabilitation interventions for patients who have undergone (or will undergo) total knee arthroplasty (TKA) or total hip arthroplasty (THA) for the treatment of osteoarthritis. We addressed four Key Questions (KQs): comparisons of (1) rehabilitation prior (“prehabilitation”) to TKA versus no prehabilitation, (2) comparative effectiveness of different rehabilitation programs after TKA, (3) prehabilitation prior to THA versus no prehabilitation, (4) comparative effectiveness of different rehabilitation programs after THA. Data sources and review methods. We searched Medline®, PsycINFO®, Embase®, the Cochrane Register of Clinical Trials, CINAHL®, Scopus®, and ClinicalTrials.gov from Jan 1, 2005, to May 3, 2021, to identify randomized controlled trials (RCTs) and adequately adjusted nonrandomized comparative studies (NRCSs). We evaluated clinical outcomes selected with input from a range of stakeholders. We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. Meta-analysis was not feasible, and evidence was synthesized and reported descriptively. The PROSPERO protocol registration number is CRD42020199102. Results. We found 78 RCTs and 5 adjusted NRCSs. Risk of bias was moderate to high for most studies. • KQ 1: Compared with no prehabilitation, prehabilitation prior to TKA may increase strength and reduce length of hospital stay (low SoE) but may lead to comparable results in pain, range of motion (ROM), and activities of daily living (ADL) (low SoE). There was no evidence of an increased risk of harms due to prehabilitation (low SoE). • KQ 2: Various rehabilitation interventions after TKA may lead to comparable improvements in pain, ROM, and ADL (low SoE). Rehabilitation in the acute phase (initiated within 2 weeks of surgery) may lead to increased strength (low SoE) but result in similar strength when delivered in the post-acute phase (low SoE). No studies reported evidence of risk of harms due to rehabilitation delivered in the acute period following TKA. Compared with various controls, post-acute rehabilitation may not increase the risk of harms (low SoE). • KQ 3: For all assessed outcomes, there is insufficient (or no) evidence addressing the comparison between prehabilitation and no prehabilitation prior to THA. • KQ 4: Various rehabilitation interventions after THA may lead to comparable improvements in pain, strength, ADL, and quality of life. There is some evidence of no increased risk of harms due to the intervention (low SoE). • There is insufficient evidence regarding which patients may benefit from (p)rehabilitation for all KQs and insufficient evidence regarding comparisons of different providers and different settings of (p)rehabilitation for all KQs. There is insufficient evidence on costs of (p)rehabilitation and no evidence on cost effectiveness for all KQs. Conclusion. Despite the large number of studies found, the evidence regarding various prehabilitation programs and comparisons of rehabilitation programs for TKA and THA is ultimately sparse. This is a result of the diversity of interventions studied and outcomes reported across studies. As a result, the evidence is largely insufficient or of low SoE. New high-quality research is needed, using standardized intervention terminology and core outcome sets, especially to allow network meta-analyses to explore the impact of intervention attributes on patient-reported, performance-based, and healthcare-utilization outcomes.

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