scholarly journals Current Nonoperative Therapeutic Interventions for Lower Gastrointestinal Hemorrhage

2019 ◽  
Vol 33 (01) ◽  
pp. 022-027
Author(s):  
Anna Serur ◽  
Rebecca Rhee ◽  
Joshua Ramjist
Keyword(s):  
Computed Tomography ◽  
Health Care ◽  
Gastrointestinal Hemorrhage ◽  
Surgical Intervention ◽  
Therapeutic Interventions ◽  
Lower Gastrointestinal Hemorrhage ◽  
Initial Management ◽  
Common Cause ◽  
Care Costs ◽  
Significant Health

AbstractLower gastrointestinal hemorrhage remains a common cause of hospitalization, with significant health care costs. Initial management should include aggressive resuscitation followed by localization of bleeding with nuclear scintigraphy, colonoscopy, or computed tomography (CT) angiography. If bleeding does not resolve spontaneously, expeditious intervention with minimally invasive endoscopic or angiographic methods is necessary with surgical intervention as a last resort.

scholarly journals A Review of the Pathogenesis of Osteoarthritis and the Use of Intra-articular Platelet Therapy for Joint Disease in Animals and Humans

2014 ◽  
Vol 5 ◽  
pp. BTRI.S14578 ◽  
Author(s):  
Girolamo A. Ortolano ◽  
Barry Wenz
Keyword(s):  
Health Care ◽  
Stem Cells ◽  
Surgical Intervention ◽  
Domestic Animals ◽  
Medical Intervention ◽  
Joint Disease ◽  
Therapeutic Approaches ◽  
Disease Modifying ◽  
Care Costs ◽  
Clinical Problems

Osteoarthritis (OA) is the most prevalent musculoskeletal disease in humans and domestic animals. It causes significant clinical problems and substantial health care costs. In the absence of disease-modifying medical intervention, therapy is currently restricted to palliative measures prior to surgical intervention. We review the pathogenesis, as well as conservative and emerging restorative therapeutic approaches, including cytokines, stem cells, and platelets. The various methods of platelet concentrate preparations and their reported outcomes are discussed. Data collected from the use of intra-articular platelet therapy (IAPT) in dogs are reviewed, which suggest that this approach may delay or in some cases even obviate the need for surgical intervention.

Recurrent Acute Rhinosinusitis

2011 ◽  
Vol 146 (2) ◽  
pp. 307-312 ◽  
Author(s):  
Neil Bhattacharyya ◽  
Jeff Grebner ◽  
Noel G. Martinson
Keyword(s):  
Computed Tomography ◽  
Health Care ◽  
Health Care Costs ◽  
Medical Center ◽  
Academic Medical Center ◽  
Nasal Endoscopy ◽  
Oral Antibiotic ◽  
Medical Claims ◽  
Acute Rhinosinusitis ◽  
Care Costs

Objectives. To determine the epidemiology of recurrent acute rhinosinusitis (RARS) and to understand direct health care costs attributable to RARS as a potentially underdiagnosed form of chronic rhinosinusitis. Study Design. Retrospective longitudinal analysis of a medical claims database. Setting. Academic medical center. Methods. Medical claims data (2003–2008) from a large payer database were analyzed. Adult patients with RARS (defined as at least 4 acute rhinosinusitis claims each with a filled oral antibiotic prescription in a 12-month period) were extracted. Sinonasal diagnostic procedures, provider visits, and medical costs were determined. Results. A total of 4588 patients were identified (mean age, 43.5 years; 72.1% female) among 13.1 million patients, for a point prevalence of 0.035%, which remained consistent across years. After 1, 2, and 4 years, 2.4%, 5.4%, and 9.2% of patients subsequently received nasal endoscopy and 11.4%, 23.5%, and 39.9% received paranasal sinus computed tomography, respectively. RARS patients averaged 3.8 antibiotic prescriptions, 5.6 other sinus-related prescriptions, and 5.6 provider visits per year. Total direct health care costs related to RARS averaged $1091/patient-year, with oral antibiotic and nasal prescription costs averaging $210 and $452 per year, respectively. Conclusions. RARS may affect approximately 1 in 3000 adults per year. Despite significant direct health care costs of more than $1000/year per individual patient with RARS, nasal endoscopy and computed tomography are not commonly obtained early after potential diagnosis. RARS is likely an underdiagnosed condition warranting further study.

Improved detection of group A Streptococcus during thermal contrast amplification vs. visual reading of clinical rapid diagnostic tests

2019 ◽  
Vol 11 (15) ◽  
pp. 2013-2017 ◽  
Author(s):  
Yiru Wang ◽  
Erin Louwagie ◽  
Daniel Larkin ◽  
Stephanie Sankey ◽  
David R. Boulware ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Diagnostic Tests ◽  
Group A Streptococcus ◽  
Rapid Diagnostic Tests ◽  
Thermal Contrast ◽  
Group A ◽  
Visual Reading ◽  
Care Costs ◽  
Significant Health

Group A Streptococcus causes significant health care costs and burdens.

scholarly journals Prevalence of Histologically Proven Acute Appendicitis And Incidental Carcinoid Tumour in the Practice of Surgical Pathology at BPKIHS

2016 ◽  
Vol 12 (3) ◽  
pp. 197-203
Author(s):  
P Upadhyaya ◽  
C S Agarwal ◽  
A K Karak ◽  
S Karki ◽  
A Pradhan ◽  
...  
Keyword(s):  
Health Care ◽  
Abdominal Pain ◽  
Retrospective Study ◽  
Acute Appendicitis ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Carcinoid Tumour ◽  
Common Cause ◽  
Set Up ◽  
Relative Prevalence

Background: Appendicitis is the most common cause of acute abdominal pain requiring surgical intervention. Objective: To determine the relative prevalence of histologically proven acute appendicitis in surgically respected specimens with clinical diagnosis of acute appendicitis and also to find out the rate of occurrence of characinoid tumour as an incidental histologic finding.Methods: It is a retrospective study involving all gross specimens received in the department of pathology over a period of twenty months (1.1.2006 to 31.8.2007). Histologic data on 515 appendicectomy samples (clinically diagnosed as appendicitis) of the total 7295 specimens received over a period of twenty months were retrieved from the archives of department of pathology, with exclusion of appendectomy incidental to another surgical procedure.Results: Appendectomy specimens constituted 7.0% (n=515; M:F 1.1:1) of all surgical pathologic specimens (n=7295) at B.P.K.I.H.S. The breakups of histologic diagnoses are: acute appendicitis with or without periappendicitis and gangrenous change (93.6%, n=482), “receding appendicitis” (5.4%, n=28), and normal histology (1.0%, n= 5). Carcinoid tumours were detected incidentally in three cases (0.58%) out of all appendectomy specimens.Conclusion: Analysis of data revealed a prevalence of 6.99% of histologically proven acute appendicitis in this tertiary health care set up. The rate of occurrence of carcinoid tumour was 0.58%.Health Renaissance 2014;12(3): 197-203

Mineral Composition at the Tendon-to-Bone Insertion and Its Role in Stress Transfer

2007 ◽  
Author(s):  
Stavros Thomopoulos ◽  
Alistair Kent ◽  
Victor Birman ◽  
Rosalina Das ◽  
Brigitte Wopenka ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Surgical Repair ◽  
Stress Transfer ◽  
Soft Tissue Injuries ◽  
Musculoskeletal Injuries ◽  
Common Cause ◽  
Rotator Cuff Injuries ◽  
Care Costs ◽  
Cause Of Pain ◽  
Significant Health

Musculoskeletal injuries are a common cause of pain and disability, and result in significant health care costs. Rotator cuff injuries, which make up the majority of soft tissue injuries to the upper extremity, commonly require surgical repair to the humeral head. At the rotator cuff, for example, the recurrence of tears to surgically repaired tendons has been reported to be as high as 94% [1]. The most dramatic feature of the failed tendon-to-bone healing scenarios is the lack of a transition zone between the tendon and bone that existed before the injury [2].

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