INTRAOPERATIVE CHOLANGIOGRAPHY: OUR RESULTS IN 103 PATIENTS APPLYING THE SCREENING CRITERIA

Objective The study aimed to evaluate perinatal outcomes associated with introduction of and adherence to early diabetes screening guidelines. Study Design Retrospective cohort study of all women who received prenatal care at a single, high-volume tertiary care center before (“preguidelines”) and after (“postguidelines”) American College of Obstetrics and Gynecology guidelines for early pregnancy diabetes screening for women at high risk for diabetes. Women with known pregestational diabetes, late entry to prenatal care, a fetus with a known anomaly, or multiple gestation were excluded. Multivariable linear and logistic regression models were constructed to compare maternal and neonatal outcomes between women in the preguidelines cohort to those in the postguidelines cohort. Similarly, adherence to screening guidelines was assessed, and among all women who were eligible for early diabetes screening, multivariable linear, and logistic models were created to compare outcomes between those women who were screened early to those who were not. Results Of the 2,069 women eligible for analysis, 64.6% (n = 1,337) were in the postguideline cohort. Women in the postguideline cohort were older, less likely to have a history of smoking, and more likely to be non-Hispanic white. On multivariable analysis, women in the postguideline cohort had significantly less gestational weight gain (aβ = −2.3; 95% confidence interval [CI]: −3.4 to −1.1), but a higher odds of 5-minute Apgar's score of <7 (adjusted odds ratio: 2.51; 95% CI: 1.11–5.66). Of 461 women who met ACOG early diabetes screening criteria, 58.7% (n = 270) were screened appropriately. Adherence to screening was associated with parity, race, insurance, and BMI. On multivariable analysis, there were no significant differences in neonatal outcomes between women meeting early screening criteria who were screened early and those who were not. Conclusion Introduction of early diabetes screening guidelines was associated with a significant decrease in gestational weight gain, but did not improve neonatal outcomes. Key Points

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Role of Intraoperative Cholangiography in Avoiding Bile Duct Injury

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2007.01.038 ◽

2007 ◽

Vol 204 (4) ◽

pp. 656-664 ◽

Cited By ~ 77

Author(s):

Nader N. Massarweh ◽

David R. Flum

Keyword(s):

Bile Duct ◽

Bile Duct Injury ◽

Intraoperative Cholangiography

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Private ethical fund investors across countries and time: a survey-based review

Qualitative Research in Financial Markets ◽

10.1108/qrfm-10-2014-0030 ◽

2015 ◽

Vol 7 (4) ◽

pp. 379-411 ◽

Cited By ~ 9

Author(s):

Anett Wins ◽

Bernhard Zwergel

Keyword(s):

Keyword Search ◽

Relevant Literature ◽

Future Research ◽

Socially Responsible ◽

Screening Criteria ◽

Content Type ◽

Responsible Investment ◽

Private Investors ◽

Ethical Funds ◽

Fund Portfolio

Purpose – This paper aims to provide an overview of the literature to point out similarities and differences among private ethical investors across countries and time. Over the past three decades, many surveys have been conducted to advance the understanding of the demographic characteristics, motivation and morals of private ethical investors across countries and time. To date, the survey-based evidence on private investors into ethical funds is geographically rather segmented, and the research questions are fairly diverse. This permits only very temporally or regionally selective conclusions. Thereby, the authors identify interesting topics for future research. Design/methodology/approach – To identify the relevant literature for our review, the authors carried out a structured Boolean keyword search using major library services and databases. Findings – When questions about negative screening criteria are presented in a direct investment context, the consensus of private ethical investors “worldwide” (on average) is that social screening issues are most important, followed by ecological and moral topics. The percentage of ethical funds in the fund portfolio of the average private ethical investor in Europe seems to increase when the investor exhibits high degrees of pro-social attitudes and perceived consumer effectiveness. European private ethical investors are of the opinion that ethical funds perform worse but are less risky than conventional funds. Practical implications – The authors make suggestions on how investment companies should design their funds so that they can attract more socially responsible investors. Originality/value – The paper is of particular value because it focuses on private investors in the fast growing retail market of socially responsible investment funds.

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Adequacy of published screening criteria for retinopathy of prematurity

Clinical and Experimental Ophthalmology ◽

10.1111/ceo.12628 ◽

2016 ◽

Vol 44 (2) ◽

pp. 121-127

Author(s):

Deepa A Taranath ◽

Dickson D-S Oh ◽

Miriam C Keane ◽

Helen Fabel ◽

Peter Marshall

Keyword(s):

Retinopathy Of Prematurity ◽

Screening Criteria

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Validation study of asthma screening criteria based on subjective symptoms and fractional exhaled nitric oxide

Annals of Allergy Asthma & Immunology ◽

10.1016/j.anai.2011.09.002 ◽

2011 ◽

Vol 107 (6) ◽

pp. 480-486 ◽

Cited By ~ 15

Author(s):

Atsuro Fukuhara ◽

Junpei Saito ◽

Suguru Sato ◽

Yasuko Sato ◽

Takefumi Nikaido ◽

...

Keyword(s):

Nitric Oxide ◽

Validation Study ◽

Exhaled Nitric Oxide ◽

Subjective Symptoms ◽

Fractional Exhaled Nitric Oxide ◽

Screening Criteria

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Detecting Dysglycemia Using the 2015 United States Preventive Services Task Force Screening Criteria: A Cohort Analysis of Community Health Center Patients

PLoS Medicine ◽

10.1371/journal.pmed.1002074 ◽

2016 ◽

Vol 13 (7) ◽

pp. e1002074 ◽

Cited By ~ 13

Author(s):

Matthew J. O’Brien ◽

Ji Young Lee ◽

Mercedes R. Carnethon ◽

Ronald T. Ackermann ◽

Maria C. Vargas ◽

...

Keyword(s):

United States ◽

Community Health ◽

Health Center ◽

Task Force ◽

Cohort Analysis ◽

Community Health Center ◽

Preventive Services ◽

Screening Criteria

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Re-evaluating Selective Screening Criteria for Chlamydial Infection Among Women in the U.S. Pacific Northwest

Sexually Transmitted Diseases ◽

10.1097/01.olq.0000124613.85111.6b ◽

2004 ◽

Vol 31 (5) ◽

pp. 283-289 ◽

Cited By ~ 23

Author(s):

D. SCOTT LA MONTAGNE ◽

L. ELIZABETH PATRICK ◽

DAVID N. FINE ◽

JEANNE M. MARRAZZO

Keyword(s):

Pacific Northwest ◽

Chlamydial Infection ◽

Selective Screening ◽

Screening Criteria ◽

The U.S

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Creation of aNovel Preoperative Imaging Review Acronym to Aid in Revision Endoscopic Sinus Surgery

Otolaryngology ◽

10.1177/01945998211053530 ◽

2021 ◽

pp. 019459982110535

Author(s):

Omar A. Karadaghy ◽

Andrew M. Peterson ◽

Meha Fox ◽

Jacob White ◽

Vidur Bhalla ◽

...

Keyword(s):

Full Text ◽

Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Preoperative Imaging ◽

Cochrane Central Register ◽

Surgical Morbidity ◽

Screening Criteria ◽

Ovid Medline ◽

Full Text Review ◽

Meta Analyses

Objectives (1) Identify anatomic contributions to chronic rhinosinusitis (CRS) necessitating revision endoscopic sinus surgery (RESS). (2) Create a clinical acronym to guide imaging review prior to RESS that addresses pertinent sites of disease and potential sites of surgical morbidity. Data Sources Ovid MEDLINE, Embase and Medline via Embase.com , Web of Science Core Collection, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar. Review Methods Systematic search was performed using a combination of standardized terms and keywords. Studies were included if they investigated anatomic contributions to persistent CRS requiring RESS or the relationship between anatomic landmarks and surgical morbidity. Identified studies were screened by title/abstract, followed by full-text review. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were strictly followed. Results In total, 599 articles met screening criteria, 89 were eligible for full-text review, and 27 studies were included in the final review. The identified anatomic sites of interests are broad; the most frequently cited anatomic region was retained anterior ethmoid cells (22/27 studies), followed by posterior ethmoid cells (14/27 studies). Using the consolidated information, a clinical acronym, REVISIONS, was created: Residual uncinate, Ethmoid cells (agger, Haller, supraorbital), Vessels (anterior and posterior ethmoid), Infundibulum, Septal deviation, I (eye) compartment, Onodi cell, Natural os, and Skull base slope and integrity. Conclusions The REVISIONS acronym was developed as a tool to distill the unique anatomic contributions of primary endoscopic sinus surgery failure into a format that can be easily incorporated in preoperative radiologic review and surgical planning to optimize outcomes and minimize complications.

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Cholesterol Screening in Pediatric Practice

PEDIATRICS ◽

10.1542/peds.88.2.250 ◽

1991 ◽

Vol 88 (2) ◽

pp. 250-258

Author(s):

David C. Goff ◽

Ge A. Donker ◽

Darwin R. Labarthe ◽

Jesse D. Ragan ◽

A. Thomas Adkins ◽

...

Keyword(s):

Specific Reference ◽

Group Practice ◽

Age Group ◽

High Cholesterol ◽

Pediatric Practice ◽

Screening Criteria ◽

Sibling Pairs ◽

Cholesterol Screening ◽

Cholesterol Levels ◽

Age And Sex

Four pediatricians introduced a portable cholesterol analyzer into their group practice. Their experience is described on the basis of 12 months of screening in 1665 children and adolescents. The overall 50th and 90th percentile values for a subgroup of 1406 routinely screened children were 156 and 197 mg/dL, respectively, but there was marked variation in these values among specific age and sex groups. Cholesterol levels decreased by age group during the early teenage years and increased thereafter, these changes occurring at ages approximately 2 years younger for girls than for boys. Further analysis of screening results for 398 sibling pairs demonstrated significant concordance between paired cholesterol levels when classified by the respective age- and sex-specific 90th percentile values for each member of the pair. Sibling pairs in which both members' cholesterol values exceeded their 90th percentile value were identified 2.4 times as frequently as expected (confidence interval 1.1 to 4.5, P = .029). The observations reported here indicate that office-based cholesterol screening in a pediatric practice may be both practical and useful, although further consideration of screening criteria is needed. Age- and sex-specific reference values for cholesterol levels during childhood could improve screening results. Special emphasis should be directed toward screening siblings of children in whom high cholesterol levels have been detected.

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