Electronic Health Record Improvements to Reduce Emergency Department CT Prescan Times at a Safety-Net Hospital.

Introduction: CT is a cornerstone of radiologic imaging in the emergency department (ED), and its utilization has increased over time. CT turnaround times remain a frequent focus for improvement initiatives, especially in resource-limited safety net hospitals (SNHs). Because of the critical nature of CT imaging in the care of acutely ill ED patients and significant resource limitations SNHs face, SNHs must focus on process improvements, ideally that unburden their technologists, over additional resources to meet increasing volumes and rising expectations.

Workflow Interruptions and Effect on Study Interpretation Efficiency.

Background: Interruptions have been shown to adversely impact efficiency, accuracy, and patient safety.

Objective: To analyze the frequency and types of interruptions and effect on report interpretation efficiency.

Materials And Methods: A business process improvement team was consulted to make detailed recordings of the activities of the radiologists.

Myo-inositol reduces β-catenin activation in colitis.

Aim: To assess dietary myo-inositol in reducing stem cell activation in colitis, and validate pβ-catenin as a biomarker of recurrent dysplasia.

Methods: We examined the effects of dietary myo-inositol treatment on inflammation, pβ-catenin and pAkt levels by histology and western blot in IL-10 and dextran sodium sulfate-treated colitic mice. Additionally, we assessed nuclear pβ-catenin in patients treated with myo-inositol in a clinical trial, and in patients with and without a history of colitis-induced dysplasia.

Results of bilateral combined hip and knee arthroplasty in very young patients with juvenile rheumatoid arthritis.

Introduction: We evaluated the long-term outcomes for combined, bilateral total knee and hip arthroplasty performed on a group of very young patients with juvenile rheumatoid arthritis.

Materials And Methods: Six consecutive patients with a mean age of 14 years at the time of hip replacement and 16 years at knee replacement were analyzed. Five of the six patients were wheelchair dependent pre-operatively.

Total knee arthroplasty in juvenile rheumatoid arthritis.

Background: There is a paucity of reports regarding the long-term results of total knee arthroplasty in patients with juvenile rheumatoid arthritis. The purpose of this study was to evaluate the outcome of total knee arthroplasty in patients with juvenile rheumatoid arthritis who had been followed for a minimum of twelve years.

Methods: Eight consecutive patients (fifteen knees) with juvenile rheumatoid arthritis underwent total knee arthroplasty at an average age of 16.