Telemedicine in the perioperative experience
Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedicine has the potential to reduce inefficiencies in the delivery of healthcare, diminish patient travel and wait times, and increase access to specialists for patients in rural settings. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - February 7, 2018 Category: Pediatrics Authors: Aaron P. Lesher, Sohail R. Shah Source Type: research
Importance of Patient and Family Satisfaction in Perioperative Care
As healthcare systems increasingly shift focus toward providing high-quality and high-value care to patients, there has been a simultaneous growth in assessing the patient's experience through patient-reported outcomes. Along with well-known patient reported outcomes such as health-related quality of life and current health state, patient satisfaction can be a valuable assessment of quality. Patient and family satisfaction measures not only affect a patient ’s clinical course and influence overall patient compliance, but are increasingly used to gauge physician performance and guide reimbursement. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - February 7, 2018 Category: Pediatrics Authors: Kristen A. Calabro, Mehul V. Raval, David H. Rothstein Source Type: research
Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - December 22, 2017 Category: Pediatrics Source Type: research
Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - December 22, 2017 Category: Pediatrics Source Type: research
Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 8, 2017 Category: Pediatrics Source Type: research
Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 8, 2017 Category: Pediatrics Source Type: research
Preface: The NEC Society
“Necrotizing Enterocolitis (NEC) is a devastating intrabdominal condition of the premature infant.” This statement is a common theme that tends to start many chapters and presentations that discuss NEC. The statement is quite true as the incidence of NEC ranges from 7–15% percent among infants with birth weight (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 7, 2017 Category: Pediatrics Authors: Troy A. Markel, Mark A. Underwood Source Type: research
Neurodevelopmental Considerations in Surgical Necrotizing Enterocolitis
With very high mortality rates associated with surgical necrotizing enterocolitis (NEC), it is understandable that longer term neurodevelopmental outcome assessment has not been the primary focus of pediatric surgeons.1 However, survival without impairment is the primary goal of both providers and parents of neonates with severe illness, and thus long term neurodevelopmental outcomes have increasingly become a focus of NEC research. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 7, 2017 Category: Pediatrics Authors: Jamie R. Robinson, Clark Kennedy, Kyle J. van Arendonk, Alyssa Green, Camilia R. Martin, Martin L. Blakely Tags: SI: 27/1 - Necrotizing Enterocolitis Feb 2018 Source Type: research
Stem Cell Therapy in Necrotizing Enterocolitis: Current State and Future Directions
Stem cell therapy is a promising treatment modality for necrotizing enterocolitis. Among the many promising stem cells identified to date, it is likely that mesenchymal stem cells will be the most useful and practical cell-based therapies for this condition. Using acellular components such as exosomes or other paracrine mediators are promising as well. Multiple mechanisms are likely at play in the positive effects provided by these cells, and further research is underway to further elucidate these effects. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 7, 2017 Category: Pediatrics Authors: Natalie A. Drucker, Christopher J. McCulloh, Bo Li, Agostino Pierro, Gail E. Besner, Troy A. Markel Source Type: research
Changing the paradigm of defining, detecting, and diagnosing NEC: Perspectives on Bell ’s stages and biomarkers for NEC
This article provides reasons why a better global definition for NEC is needed and offers a simple alternative bedside definition for preterm NEC called the “ Two out of Three” rule. Some argue that biomarkers may fill knowledge gaps and provide greater precision in defining relevant features of a clinical disease like NEC. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 6, 2017 Category: Pediatrics Authors: Sheila M. Gephart, Phillip V. Gordon, Alexander H. Penn, Katherine E. Gregory, Jonathan R. Swanson, Akhil Maheshwari, Karl Sylvester Source Type: research
Changing the paradigm of defining, detecting, and diagnosing NEC: Perspectives on bell ′s stages and biomarkers for NEC
This article provides reasons why a better global definition for NEC is needed and offers a simple alternative bedside definition for preterm NEC called the “ Two out of Three” rule. Some argue that biomarkers may fill knowledge gaps and provide greater precision in defining relevant features of a clinical disease like NEC. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 6, 2017 Category: Pediatrics Authors: Sheila M. Gephart, Phillip V. Gordon, Alexander H. Penn, Katherine E. Gregory, Jonathan R. Swanson, Akhil Maheshwari, Karl Sylvester Source Type: research
Necrotizing Enterocolitis: Pathophysiology from a historical context
Necrotizing Enterocolitis (NEC) continues to afflict approximately 7% of preterm infants born weighing less than 1500 grams, though recent investigations have provided novel insights into the pathogenesis of this complex disease. The disease has been a major cause of morbidity and mortality in neonatal intensive care units worldwide for many years, and our current understanding reflects exceptional observations made decades ago. In this review, we will describe NEC from a historical context and summarize seminal findings that underscore the importance of enteral feeding, the gut microbiota, and intestinal inflammation in t...
Source: Seminars in Pediatric Surgery - November 6, 2017 Category: Pediatrics Authors: David Hackam, Michael Caplan Source Type: research
Enhancing NICU Parent Engagement and Empowerment
Within the neonatal intensive care unit (NICU), parent engagement and empowerment are of critical importance, particularly when infants are at risk of developing severe complications, such as necrotizing enterocolitis (NEC). Stakeholders within the NICU, including the fragile patients, families, clinicians, staff, and administration, benefit when parents are a valued member of their baby ′s care team. The 2017 NEC Symposium explored the experiences of families whose infants were impacted by NEC, the barriers to effective partnership, and promising solutions. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 6, 2017 Category: Pediatrics Authors: Erin Umberger, Jennifer Canvasser, Sue L. Hall Source Type: research
Development of the necrotizing enterocolitis society registry and biorepository
Necrotizing enterocolitis (NEC) is a devastating disease affecting premature infants. New advances in diagnostic and treatment options are desperately needed. Accordingly, the NEC Society initiated a research collaborative with a group of investigators dedicated to advancing the state of NEC-associated knowledge. Recent advances in high-content molecular interrogation and bio-computation (e.g. genomics, transcriptomics, proteomics, metabolomics) can provide new insights from afflicted infants with NEC, however, individual centers do not have sufficient cases to conduct these studies independently. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - November 6, 2017 Category: Pediatrics Authors: Matthew W. Ralls, Samir K. Gadepalli, Karl G. Sylvester, Misty Good Source Type: research
The Science and Necessity of Using Animal Models in the Study of Necrotizing Enterocolitis
Necrotizing enterocolitis (NEC) remains one of the highest causes of mortality and of acute and long-term morbidity in premature infants. Multiple factors are involved in the pathophysiology of NEC including the immaturity of the immune system and the complex changing composition of the intestinal microbiome. This is compounded by the fact that the premature infant should ideally still be a developing fetus and has an immature intestinal tract. Because these complexities are beyond the scope of studies in single cell cultures, animal models are absolutely essential to understand the mechanisms involved in the pathophysiolo...
Source: Seminars in Pediatric Surgery - November 6, 2017 Category: Pediatrics Authors: Guillermo J. Ares, Steven J. McElroy, Catherine J. Hunter Source Type: research
