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South Dakota medicine : the journal of the South Dakota State Medical Association最新文献

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Antibiotic Stewardship in Chorioamnionitis Exposed Neonates, A Quality Improvement Project. 绒毛膜羊膜炎新生儿的抗生素管理，质量改进项目。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Jacquelyn Em Grev, Mallary Van Tol, Brooke Welker, Bette Schumacher, Lori Mulder, Andrea Dykstra, Laurie Richards
{"title":"Antibiotic Stewardship in Chorioamnionitis Exposed Neonates, A Quality Improvement Project.","authors":"Jacquelyn Em Grev, Mallary Van Tol, Brooke Welker, Bette Schumacher, Lori Mulder, Andrea Dykstra, Laurie Richards","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Rates of neonatal early onset sepsis (EOS) in term infants have recently decreased. The 2018 AAP guidelines for the management of infants at risk for early onset sepsis allows for using a multivariate risk assessment to determine need for empiric antibiotics in infants 35 weeks or greater, including those exposed to chorioamnionitis.</p><p><strong>Methods: </strong>A quality improvement (QI) project was undertaken to implement use of EOS calculator in chorioamnionitis exposed infants with an aim to safely decrease antibiotic exposure. Multiple Plan-Do-Study-Act (PDSA) cycles occurred to implement the change. Data regarding antibiotics, labs, length of stay and safety metrics were collected.</p><p><strong>Results: </strong>Implementing the EOS calculator's use in chorioamnionitis exposed neonates decreased antibiotic exposure from 100% to 75%, and decreased average duration of antibiotics from 68 to 40 hours. Implementation decreased prolonged courses of antibiotics, lumbar punctures, length of stay and laboratory tests. No cases of early culture confirmed EOS were missed, and none occurred in this well appearing population.</p><p><strong>Conclusions: </strong>Quality improvement initiatives to implement evidence-based tools can safely and appropriately decrease antibiotic exposure in neonates.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"300-303"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Map to Learning? 学习地图？
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Jason J Kemnitz
{"title":"A Map to Learning?","authors":"Jason J Kemnitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"291"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scoping Out Arthroscopy: A Concise Review of the Development and Other Important Principles in Orthopaedic Arthroscopy. 关节镜的范围：骨科关节镜手术的发展及其他重要原则的简明评述》（Scoping Out Arthroscopy: A Concise Review of the Development and Other Important Principles in Orthopaedic Arthroscopy）。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Cole D Tessendorf, Nathan W Skelley
{"title":"Scoping Out Arthroscopy: A Concise Review of the Development and Other Important Principles in Orthopaedic Arthroscopy.","authors":"Cole D Tessendorf, Nathan W Skelley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"324-329"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Think Again: Response. 再想一想：回应。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Henry Travers
{"title":"Think Again: Response.","authors":"Henry Travers","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"294-295"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Think Again: Science as Subjectivism. 再想一想：作为主观主义的科学。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Wendell W Hoffman
{"title":"Think Again: Science as Subjectivism.","authors":"Wendell W Hoffman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"292-294"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Osmotic Central Pontine Demyelination in an Alcoholic Patient With Normal Sodium Levels and a Vitamin B6 Deficiency. 一名钠含量正常且缺乏维生素 B6 的酒精中毒患者的急性渗透性中枢神经髓鞘脱髓鞘病变
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Cole D Tessendorf, Jared F Hueser, Brendan Wechsler, Nessim N Amin
{"title":"Acute Osmotic Central Pontine Demyelination in an Alcoholic Patient With Normal Sodium Levels and a Vitamin B6 Deficiency.","authors":"Cole D Tessendorf, Jared F Hueser, Brendan Wechsler, Nessim N Amin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a Native American male in his 50s with a complex medical history including alcohol use disorder and seizure disorder who presented with complaints of generalized weakness and multiple falls. The patient was admitted for altered mental status, community acquired pneumonia, sepsis, and bacteremia. On hospital day 23, the patient reported a sudden onset of sensation of food stuck in his upper chest. Brain MRI confirmed osmotic demyelination syndrome (ODS) within the central pons. Further workup revealed this finding was likely due to malnutrition, alcoholism, hypoalbuminemia, and vitamin B6 deficiency. However, the patient presented with normonatremia throughout his entire hospital stay. After acute onset of ODS, the patient was transferred to the ICU where he continued to decline. After 68 days from initial presentation, the patient died in hospice care from myelinolysis complications. This case demonstrates a case of ODS of the central pons in a patient with normonatremia, hypoalbuminemia, and severe vitamin B6 deficiency.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"316-319"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Think Again: Response - Definitions and the Unconscious Consequence. 再想一想回应--定义和无意识的后果。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Wendell W Hoffman
{"title":"Think Again: Response - Definitions and the Unconscious Consequence.","authors":"Wendell W Hoffman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"295-296"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthetic Considerations for Carbon Dioxide Emboli in Patients with Obesity - A Case Report. 肥胖症患者二氧化碳栓塞的麻醉注意事项--病例报告。
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Andrew L Guymon, Donald P Keating, Andrew Reuter, David Fromm, Brendan Feehan
{"title":"Anesthetic Considerations for Carbon Dioxide Emboli in Patients with Obesity - A Case Report.","authors":"Andrew L Guymon, Donald P Keating, Andrew Reuter, David Fromm, Brendan Feehan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gas embolization is a rare but potentially deadly complication of any laparoscopic surgery. There has only been one other report of gas emboli in patients undergoing bariatric surgery. We present a case of gas embolization in a young female patient undergoing Roux-en-Y gastric bypass. Onset of gas embolus was identified by a dramatic drop in End Tidal Carbon Dioxide (ETCO2) followed by drops in blood pressure, heart rate, and oxygen saturation over the following 15 minutes before the patient was stabilized and transferred to the ICU. The surgery was completed three days later without incident, and extensive hepatomegaly was identified. A discussion on pre-operative evaluation, special considerations, and acute management of gas embolization in patients with obesity ensues. We highlight the emerging Jain's point for insufflation, the potential for ultrasound-guided Verres needle insertion, and the paucity of literature evaluating the risk, incidence, and outcomes of gas embolization in patients with obesity.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"320-323"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Hope for Life. 生命的希望
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-07-01
Casey Risinger, Luke Merrill, David Jensen, Susan M Anderson
{"title":"A Hope for Life.","authors":"Casey Risinger, Luke Merrill, David Jensen, Susan M Anderson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 7","pages":"330-331"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Raoultella planticola Urinary Tract Infection Presenting as Hyperbilirubinemia in a 3-Day-Old Infant. 一名出生 3 天的婴儿因植物拉乌尔特氏菌尿路感染而出现高胆红素血症
South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2024-06-01
David Jensen, Anthony Drazick, Rochelle Boote, Peter Paul Lim
{"title":"Raoultella planticola Urinary Tract Infection Presenting as Hyperbilirubinemia in a 3-Day-Old Infant.","authors":"David Jensen, Anthony Drazick, Rochelle Boote, Peter Paul Lim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Raoultella planticola is a Gram-negative, aerobic, nonmotile bacterium that is ubiquitous in the environment usually implicated in opportunistic infections. There have been very few reported cases of Raoultella planticola infection in the pediatric population. Most of these reports have been in cases of neonatal septicemia. This case report describes a case of a 3-day-old Hispanic full-term male that presented with recalcitrant hyperbilirubinemia despite maximal phototherapy found to have urinary tract infection with Raoultella planticola on multiple cultures. The patient's hyperbilirubinemia appropriately responded to treatment of the UTI. This report highlights that, albeit rare, neonatal UTI can present as recalcitrant hyperbilirubinemia. Raoultella planticola is a rare organism that is normally found in the environment but may be a bona fide etiologic agent in neonatal UTI.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 6","pages":"274-279"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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