Identification of the Critical Nontechnical Skills for Surgeons Needed for High Performance in a Variable-resource Context (NOTSS-VRC)
Conclusion: This is the first description of the critical nontechnical skills, and associated example behaviors, used by surgeons in a VRC to overcome common challenges to safe and effective surgical patient care. Improvements in the NTS used by surgeons operating in VRCs have the potential to improve surgical care delivery worldwide.
All right, I'm sure there's some other folks out there who are big fans of e-echocardiography.com's case of the week. Let's see if we can emulate their format a little bit. Apologies in advance for the non-CFD clips...for some reason our PACS system stores them at half-speed. 77 yo M PMH HTN, DM and some other stuff who has had a previous cardiac procedure in the past that required a sternotomy. Now he's coming back for another one. Pre bypass images:... Recent cardiac case (with echo!)
I enjoyed his post on early retirement and congratulate him on meeting his goal of FIRE. Retired from Medicine at 43: Why, How, and What Now? - Physician on FIRE I retired from a career as an anesthesiologist at age 43. Why would I leave this lucrative field, how did I make the decision, and what will I be doing now? www.physicianonfire.com
Fellowship Rarely Makes Sense Financially - The White Coat Investor - Investing &Personal Finance for Doctors Does it make financial sense for you to do a fellowship? Probably not. But don't let that dissuade you. www.whitecoatinvestor.com
No thread for this years ACTA yet, might as well start now! Good luck to everyone this interview cycle. Have II started rolling in for people yet?
ConclusionsHere, we reported a series of 29 cases of MRONJ with related mandibular or palatal tori among 391 consecutive patients in the Copenhagen ONJ Cohort . We documented that 59% of these cases were associated with trauma, and that in some cases, trauma was preventable (e.g., trauma from impression taking and intubation). Dentists as well as anesthesiologists should be aware of the presence of tori in patients on antiresorptive therapy. Surgical treatment was more successful (100%) compared with nonsurgical treatment (40%).
ConclusionsAdjunctive procedures that can facilitate a decrease in the cumulative dosages of corticosteroids and immunosuppressants have great value in the management of PV. CO2 laser vaporization is a safe procedure with minimal morbidity and no long-term side effects and should be considered as an adjunctive treatment option for management of recalcitrant lesions in patients with oral PV.
Vascular injuries in the oral cavity cause anesthetic and functional problems, and a high risk of severe hemorrhages in simple surgical treatments; therapy with copper wires and corticosteroids generates local coagulation and fibrosis and are effective for an uncomplicated resection. Through a series of cases, clinical and anatomopathologic characteristics of the combined sclerotherapy effects are described, as an alternative for the treatment of vascular malformations performed on 7 patients, using intralesional corticoid (0.2 mL/cm2) for 2 or 3 weeks, followed by a cerclage with copper wires, for 1 week, until color chan...
A 6-year-old female patient was referred to an oral diagnosis service for evaluation of an asymptomatic nodule in the skin of 5 years ’ duration. The extraoral exam revealed a subcutaneous lesion, hard and mobile to palpation in the left side of submandibular region. Computed tomography revealed a subcutaneous hyperdense lesion. Under the hypothesis of Malherbe calcifying epithelioma (pilomatricoma), an excisional biopsy was per formed under general anesthesia. The anatomopathologic exam revealed a fragment of skin covered by hyperortokeratinized squamous epithelium with the adjacent dense fibrous connective tissue p...
A 10-year-old white male patient was referred to the clinic because of absence of tooth 37. Extraoral examination was irrelevant. Intraoral examination showed absence of tooth 37 and the left inferior retromolar region covered by normal mucosa with normal bone contour. Cone beam computed tomography revealed unilocular hypodense image with hyperdense margin and hyperdense foci inside, between the unerupted teeth 36 and 37, which was displaced. Diagnostic hypothesis was odontoma. Treatment consisted of lesion excision under local anesthesia, and tooth 37 has been maintained.
A 70-year-old black female patient with total edentulism presenting good general health status appeared in the outpatient clinic in 2014, presenting edema in the region of teeth 12 and 13, resulting in elevation of the nose wing and disappearance of the nasal labial sulcus, with evolution of edema for 6 months and transient episodes of symptomatology. Imaging tests did not show intraosseous lesion reinforcing the diagnostic hypothesis of nasolabial cyst. Excisional biopsy of the lesion was then scheduled in an outpatient setting under local anesthesia.