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Effectiveness of psychosocial interventions for pediatric patients with scoliosis:a systematic review

World Journal of Pediatric Surgery 2023年第2期6卷 63-69页

作者： Maike van niekerk Ann Richey john vorhies Connie Wong Kali Tileston Pediatric Orthopaedic Surgery Stanford UniversityStanfordCaliforniaUSA Lane Medical Library Stanford UniversityStanfordCaliforniaUSA

Background Pediatric patients affected by scoliosis have complex psychological and social care needs,and may benefit from psychosocial *** therefore aimed to summarize evidence of the efficacy of psychosocial interventions for this patient *** Literature was identified by searching Medline,PsycInFO,Embase,EBSCO Cumulated Index to nursing and Allied Health Literature(CInAHL),and Cochrane Central Register of Controlled Trials(CEnTRAL)from database inception to 20 March *** that evaluated the effectiveness of psychosocial interventions for pediatric patients diagnosed with scoliosis and reported at least one quantitative outcome were *** eligibility,data extraction,and quality assessment(using the Cochrane Collaboration's Risk of Bias Tool and Methodological Index for non-Randomized Studies)were performed by two independent *** are presented using narrative *** We identified ten studies,all of which focused on adolescent idiopathic *** included a total of 1007 participants,most of whom were *** studies focused on patients undergoing bracing,six on patients undergoing spinal surgery,and one on patients *** compliance monitoring and counseling were found to significantly improve brace compliance quality and *** mental healthcare delivery by nurses after spinal surgery was similarly found to improve *** studies examined the efficacy of brief educational interventions;most did not report clear evidence of their *** methodological quality of studies was often unclear due to limitations in articles'reporting *** Research on the efficacy of psychosocial interventions for pediatric patients with scoliosis is limited,with interventions involving frequent patient-provider interactions showing the most *** clinical and research efforts should focus on developing and testing psychosocial interventions for

关键词： patients scoliosis nurse

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Spinal fusion is an aerosol generating procedure

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World Journal of Orthopedics 2023年第5期14卷 340-347页

作者： Joanna Lind Langner nicole Segovia Pham Ann Richey Yousi Oquendo Shayna Mehta john schoenem.n vorhies Pediatric Orthopaedic Surgery Stanford UniversityPalo AltoCA 94304United States Orthopaedic Surgery Hospital for Special SurgeryNew YorkNY 10021United States

BACKGROUnD Transmission of severe acute respiratory syndrome coronavirus 2 can occur during aerosol generating *** steps in spinal fusion may aerosolize blood but little data exists to quantify the risk this may confer upon *** particles containing infectious coronavirus are typically 0.5-8.0μ*** To measure the generation of aerosols during spinal fusion using a handheld optical particle sizer(OPS).METHODS We quantified airborne particle counts during five posterior spinal instrumentation and fusions(9/22/2020-10/15/2020)using an OPS near the surgical *** were analyzed by 3 particle size groups:0.3-0.5μm/m^(3),1.0-5.0μm/m^(3),and 10.0μm/m^(3).We used hierarchical logistic regression to model the odds of a spike in aerosolized particle counts based on the step in progress.A spike was defined as a>3 standard deviation increase from average baseline *** Upon univariate analysis,bovie(Pneumatic burring(P=0.009),and ultrasonic bone scalpel(P=0.002)were associated with increased 0.3-0.5μm/m^(3)particle counts relative to ***(Pnd burring(Pncreased 1-5μm/m^(3)and 10μm/m^(3)particle *** drilling was not associated with increased particle counts in any of the size ranges *** logistic regression model demonstrated that bovie(OR=10.2,Png(OR=10.9,Pnd bone scalpel(OR=5.9,Pn 0.3-0.5μm/m^(3)particle ***(OR=2.6,Png(OR=5.8,Pnd bone scalpel(OR=4.3,P=0.005)had higher odds of a spike in 1-5μm/m^(3)particle ***(OR=0.3,Pnd drilling(OR=0.2,P=0.011)had significantly lower odds of a spike in 10μm/m^(3)particle counts relative to *** Several steps in spinal fusion are associated with increased airborne particle counts in the aerosol size *** research is warranted to determine if such particles have the potential to con

关键词： Optical particle sizers Aerosol COVID-19 Orthopaedic procedures Spinal fusion SARS-CoV-2

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Effectiveness of an early operating room start time in managing pediatric trauma

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World Journal of Orthopedics 2023年第7期14卷 516-525页

作者： Dan Kym Japsimran Kaur nicole Segovia Pham Eric Klein Joanna Lind Langner Ellen Wang john schoenem.n vorhies Department of Orthopaedic Surgery Stanford University School of MedicinePalo AltoCA 94304United States Lucile Packard Children’s Hospital Palo AltoCA 94304United States Department of Anesthesiology Pain and Perioperative MedicineStanford University School of MedicinePalo AltoCA 94304United States

BACKGROUnD The timing of operative treatment for pediatric supracondylar humerus fractures(SCHF)and femoral shaft fractures(FSF)remains *** fractures previously considered to be surgical emergencies,such as SCHF and open fractures,are now commonly being treated the following *** presented with an urgent fracture overnight needing operative treatment,the on-call surgeon must choose whether to mobilize resources for a late-night case or to add the case to an elective schedule of the following *** To describe the effect of a program allowing an early operating room(OR)start for uncomplicated trauma prior to an elective day of surgery to decrease wait times for surgery for urgent fractures admitted *** Starting in October 2017,patients were eligible for the early slot in the OR at the discretion of the surgeon if they were admitted after 21:00 the previous night and before 05:*** compared demographics and timing of treatment of SCHF and FSF treated one year before and after implementation as well as the survey responses from the surgical *** Of the 44 SCHF meeting inclusion criteria,16 received treatment before imple mentation while 28 were treated *** implementation,the mean wait time for surgery decreased by 4.8 h or 35.4%(13.4 h vs 8.7 h;P=0.001).There were no significant differences in the operative duration,time in the post anesthesia care unit,and wait time for *** results demonstrated decreased popularity of the program among nurses and anesthesiologists relative to *** 57%of the surgeons believed that the program was effective,only 9%of anesthesiologists and 16%of nurses *** program was ultimately discontinued given the *** Our findings demonstrate significantly reduced wait times for surgery for uncomplicated SCHF presenting overnight while discussing the importance of shared decision-making with the *** the program produced promisi

关键词： Pediatrics Trauma Supracondylar humerus fractures Operating room

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