scholarly journals R.K. Yanovskiy. About laparotomy in private practice. (Proceedings of the Society of Minsk Doctors, for 1892-93 Minsk. 1893, p. 18)

2020 ◽  
Vol 8 (10) ◽  
pp. 916-917
Author(s):  
N. Kakushkin

The author is skeptical about the fear of many modern surgeons who perform gluttony, the air and everything that is in the operating room at the time of the operation, although there is no contact with the wound controversy. In his opinion, the care of some surgeons to arrange their gluttons to the extreme strictly, in relation to the environment, is unnecessary. He himself operates in a private house. (unfortunately, there are no detailed instructions regarding the situation of his womb. Ref.).

2020 ◽  
Vol 9 (3) ◽  
pp. 263
Author(s):  
N. Kakushkin

The author conveys to the article the principles of efficiency, which prof. G.E. Rein. Recognizing the need to take care of the cleanliness of the air in the operating room, prof. G.E. Rein does gluttonous cuts in a private practice in a tent proposed by prof. Subbotin.


2018 ◽  
Vol 9 (4) ◽  
pp. 368-374 ◽  
Author(s):  
Matthew T. Morris ◽  
Jonathan Morris ◽  
Camari Wallace ◽  
Woojin Cho ◽  
Alok Sharan ◽  
...  

Study Design: Retrospective chart review. Objective: To determine the relative cost-effectiveness of spinal anesthesia and general anesthesia for lumbar laminectomy and microdiscectomy surgery performed in an academic versus private practice hospital setting. Methods: The authors retrospectively reviewed charts of 188 consecutive patients who underwent lumbar laminectomy or microdiscectomy by a single surgeon from 2012 to 2016 at either an academic or a private practice hospital setting. Intraoperative and postoperative outcomes were recorded and direct variable costs were calculated. Results: At the academic institution, the direct cost of a lumbar laminectomy or microdiscectomy surgery under general anesthesia was determined to be 9.93% greater than with spinal anesthesia ( P = .040). The greatest difference was seen with operating room costs, in which general anesthesia was associated with 18.74% greater costs than spinal anesthesia ( P = .016). There was no significant difference in cost at the private practice hospital setting. Conclusions: We conclude that use of spinal anesthesia for lumbar laminectomy leads to less operating room, postanesthesia care unit, and anesthesia times, lower levels of postoperative pain, and no increased rate of other complications compared with general anesthesia at an academic institution as compared to a private practice setting. Spinal anesthesia is 9.93% less expensive than general anesthesia, indicating substantial cost-saving potential. With no sacrifice of patient outcomes and the added benefit of less pain and recovery time, Spinal anesthesia represents a more cost-effective alternative to general anesthesia in lumbar spine surgery in the academic hospital setting.


Author(s):  
J. D. Shelburne ◽  
Peter Ingram ◽  
Victor L. Roggli ◽  
Ann LeFurgey

At present most medical microprobe analysis is conducted on insoluble particulates such as asbestos fibers in lung tissue. Cryotechniques are not necessary for this type of specimen. Insoluble particulates can be processed conventionally. Nevertheless, it is important to emphasize that conventional processing is unacceptable for specimens in which electrolyte distributions in tissues are sought. It is necessary to flash-freeze in order to preserve the integrity of electrolyte distributions at the subcellular and cellular level. Ideally, biopsies should be flash-frozen in the operating room rather than being frozen several minutes later in a histology laboratory. Electrolytes will move during such a long delay. While flammable cryogens such as propane obviously cannot be used in an operating room, liquid nitrogen-cooled slam-freezing devices or guns may be permitted, and are the best way to achieve an artifact-free, accurate tissue sample which truly reflects the in vivo state. Unfortunately, the importance of cryofixation is often not understood. Investigators bring tissue samples fixed in glutaraldehyde to a microprobe laboratory with a request for microprobe analysis for electrolytes.


1995 ◽  
Vol 59 (10) ◽  
pp. 941-944 ◽  
Author(s):  
TN Imfeld ◽  
M Steiner ◽  
GD Menghini ◽  
TM Marthaler

2011 ◽  
Vol 14 (1) ◽  
pp. 21-28
Author(s):  
Mary J. Emm ◽  
Christine P. Cecconi

Clinical supervision is recognized as a distinctive area of practice and expertise, yet professional preparation in this area remains inadequate. This paper presents functional information describing the development and implementation of an experimental course on administration, supervision, and private practice, based on graduate student perceptions and preferences for course content and types of learning activities. Current pedagogical trends for universal design in learning and fostering student engagement were emphasized, including problem-based and collaborative learning. Results suggest that students were highly pleased with course content, interactive and group activities, as well as with assessment procedures used.


ASHA Leader ◽  
2008 ◽  
Vol 13 (12) ◽  
pp. 24-27
Author(s):  
Janet Jacobs

ASHA Leader ◽  
2008 ◽  
Vol 13 (12) ◽  
pp. 3-23
Author(s):  
Ingrida Lusis
Keyword(s):  

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