Surgical Treatment of Exstrophy of The Bladder With Emphasis on Neonatal Primary Closure: Personal Experience With 28 Consecutive Cases Treated at the University of Washington Hospitals From 1962 to 1977: Techniques and Results

2002 ◽  
Vol 168 (1) ◽  
pp. 214-217 ◽  
Author(s):  
Julian S. Ansell
1992 ◽  
Vol 59 (1) ◽  
pp. 38-44 ◽  
Author(s):  
G. Anselmo ◽  
L. Maccatrozzo ◽  
G. Tuccitto ◽  
M. Mangano ◽  
F. Pagano ◽  
...  

According to anatomo-morphologic studies, the authors define the role of open surgery in enucleating an adenoma, which is only partially removed with endoscopy, especially if large. Retrospective studies also show a higher probability of a further operation after endoscopy rather than after surgery, with a greater mortality risk due to cardiovascular reasons. In the four-year period from 1987–90, the joint experience of the University Urological Clinics of Padua and Brescia and the Hospital Urological Departments of Bergamo and Treviso, shows that out of 3851 operations, endoscopic treatment was carried out in 84% and surgery in 16%, with a marked prevalence of retropubic adenomectomy (84% of cases). 1989 was taken as a sample year and surgery was performed in 160 out of 935 cases, with excellent results in 87% of the patients. The authors, on the basis of their personal experience, results and literature, confirm that surgical treatment of prostatic hypertrophy is still valid.


2020 ◽  
Vol 10 (12) ◽  
pp. 948
Author(s):  
Antonio Narzisi

My personal experience as Guest Editor of the Special Issue (SI) entitled “Advances in Autism Research” began with a nice correspondence with Andrew Meltzoff, from the University of Washington, Seattle (WA, USA), which, in hindsight, I consider as a good omen for the success of this Special Issue: “Dear Antonio… [...]


2004 ◽  
Vol 171 (4S) ◽  
pp. 401-401
Author(s):  
Robert M. Sweet ◽  
Timothy Kowalewski ◽  
Peter Oppenheimer ◽  
Jeffrey Berkley ◽  
Suzanne Weghorst ◽  
...  

2019 ◽  
Vol 42 (2) ◽  
pp. 32-39
Author(s):  
LaNada War Jack

The author reflects on her personal experience as a Native American at UC Berkeley in the 1960s as well as on her activism and important leadership roles in the 1969 Third World Liberation Front student strike, which had as its goal the creation of an interdisciplinary Third World College at the university.


2019 ◽  
pp. 4-23
Author(s):  
Ariadna Rodríguez-Teijeiro ◽  
Raimundo Otero-Enríquez ◽  
Laura Román-Masedo

This paper presents, within the framework of the Degree in Sociology of the University of A Coruña (Spain), an evaluation system based on a methodological triangulation that has enabled an in-depth analysis of the different dimensions of the Degree Practicum. Namely, we have achieved some conclusions about: (a) the students' perception of the adequacy between the Practicum, the Degree and the "sociological activity" of the internship centers; (b) the students’ evaluation of skills, learning results and the "sociological vocation" of the centers; and (c) the students’ appraisal of features of the Practicum related to personal experience. From these evidences, improvement measures of this particular subject are illustrated. Such measures may be of interest within the scope of the academic management of the Degrees in Sociology.


Author(s):  
Russell M. Harris ◽  
Russell A. Bors

We collected personal documents from various participants on the topic of "a personal experience in which you observed or experienced psychopathology." The protocols were "topical autobiographical" personal documents, which we analyzed using the procedures set forth by van Kaam, to describe—rather than attempting to explain—lived experiences. Subsequently, 15 protocols obtained from an undergraduate class in psychopathology at the University of Regina were analyzed. We feel that both the methodology used and our findings reveal a new way of viewing psychopathology, showing the inadequacy of reducing psychopathology to diagnostic labels. We found that the fullness of the pathological experience can only be understood through elucidating experienced interpersonal dynamics. Consequently, both an essential and a situational quality is evidenced, revealing the inadequacy of theories in which either the existence of psychopathology or its subjective character are denied.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S79-S80
Author(s):  
Joanne Huang ◽  
Zahra Kassamali Escobar ◽  
Rupali Jain ◽  
Jeannie D Chan ◽  
John B Lynch ◽  
...  

Abstract Background In an effort to support stewardship endeavors, the MITIGATE (a Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection for Adult and Children in Emergency Department and Urgent Care Settings) Toolkit was published in 2018, aiming to reduce unnecessary antibiotics for viral respiratory tract infections (RTIs). At the University of Washington, we have incorporated strategies from this toolkit at our urgent care clinics. This study aims to address solutions to some of the challenges we experienced. Challenges and Solutions Methods This was a retrospective observational study conducted at Valley Medical Center (Sept 2019-Mar 2020) and the University of Washington (Jan 2019-Feb 2020) urgent care clinics. Patients were identified through ICD-10 diagnosis codes included in the MITIGATE toolkit. The primary outcome was identifying challenges and solutions developed during this process. Results We encountered five challenges during our roll-out of MITIGATE. First, using both ICD-9 and ICD-10 codes can lead to inaccurate data collection. Second, technical support for coding a complex data set is essential and should be accounted for prior to beginning stewardship interventions of this scale. Third, unintentional incorrect diagnosis selection was common and may require reeducation of prescribers on proper selection. Fourth, focusing on singular issues rather than multiple outcomes is more feasible and can offer several opportunities for stewardship interventions. Lastly, changing prescribing behavior can cause unintended tension during implementation. Modifying benchmarks measured, allowing for bi-directional feedback, and identifying provider champions can help maintain open communication. Conclusion Resources such as the MITIGATE toolkit are helpful to implement standardized data driven stewardship interventions. We have experienced some challenges including a complex data build, errors with diagnostic coding, providing constructive feedback while maintaining positive stewardship relationships, and choosing feasible outcomes to measure. We present solutions to these challenges with the aim to provide guidance to those who are considering using this toolkit for outpatient stewardship interventions. Disclosures All Authors: No reported disclosures


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