Saint Francis University

About: Saint Francis University is a education organization based out in Loretto, Pennsylvania, United States. It is known for research contribution in the topics: Population & Osteoblast. The organization has 1694 authors who have published 2038 publications receiving 87149 citations.

Pediatric trauma system models: do systems using adult trauma surgeons exclusively compare favorably with those using pediatric surgeons after initial resuscitation with an adult trauma surgeon?

Abstract: BACKGROUND: A shortage of pediatric surgeons exists The purpose of this study was to evaluate pediatric outcomes using pediatric surgeons vs adult trauma surgeons METHODS: A review was conducted at 2 level II pediatric trauma centers Center I provides 24-hour in-house trauma surgeons for resuscitations, with patient hand-off to a pediatric surgery service Center II provides 24-hour in-house senior surgical resident coverage with an on-call trauma surgeon Data on demographics, resource utilization, and outcomes were collected RESULTS: Center I patients were more severely injured (injury severity score = 83 vs 62; Glasgow coma scale score = 137 vs 143) Center I patients were more often admitted to the intensive care unit (522% vs 335%) and more often mechanically ventilated (129% vs 77%), with longer hospital length of stay (28 vs 23 days) However, mortality was not different between Center I and II (31% vs 24%) By logistic regression analyses, the only variables predictive of mortality were injury severity score and Glasgow coma scale score CONCLUSION: As it appears that trauma surgeons' outcomes compare favorably with those of pediatric surgeons, utilizing adult trauma surgeons may help alleviate shortages in pediatric surgeon coverage Language: en

Legionella pneumonia complicated by myocarditis and torsades de pointes: A case report and review of literature.

Abstract: Legionella infection most commonly manifests as pneumonia. Extrapulmonarylegionellosis is rare, but the clinical manifestations are often dramatic. Myocardialinvolvementis the most common extrapulmonary manifestation of legionellosis and can result in left ventricular dysfunction. We report a case of Legionellapneumopbila-induced myocarditis and acute left ventricular dysfunction with subsequent development of torsades de pointes (TdP) in a young adult with no other risk factors. Early recognition of this complication is paramount as timely initiation of appropriate antibiotics is crucial to ensure full recovery from this form of reversible carditis.

Phenotypic variation in Borrelia burgdorferi sensu lato in ticks (Acari: Ixodidae) and isolates from Missouri, USA

Abstract: Seven species of ticks (n=1,088) collected by dragging and from mammals captured in southeastern Missouri, USA, during 1995 and 1996, were tested by indirect and direct immunofluorescent assays for Borrelia species and B. burgdorferi. Variation occurred in the reactivities of various tick species and in four isolates from Missouri to species specific monoclonal antibodies (MAB) and polyclonal anti-Borrelia antibodies (PAB). MAB specific for B. burgdorferi were H5332 and H3TS for Osp A, H614 for Osp B and H605 for flagellin. The PAB labeled “Borrelia genus specific” cross-reacted with other spirochetes, specifically Leptospira and Treponema. The PAB labeled “B. burgdorferi specific” cross-reacted with B. turicatae and B. anserina. One Haemaphysalis leporispalustris and 19 Ixodes dentatus were positive for B. burgdorferi sensu stricto. Ten ticks were positive for B. burgdorferi sensu lato: 5 Amblyomma americanum, 1 H. leporispalustris, 3 I. dentatus, and 1 I. scapularis.

Infiltration Between the Popliteal Artery and Capsule of the Knee (iPACK): Essential Anatomy, Technique, and Literature Review

Abstract: In this review, we discuss the essential iPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) anatomy, block technique as well as potential complications, contraindications, and relevant literature evaluating the efficacy of the iPACK block. Recent literature supports the efficacy of the iPACK in controlling pain, improving postoperative physical therapy performance, and decreasing hospital length of stay (LOS). Cadaver studies have demonstrated that injection of dye in the tissue plane between the popliteal artery and the femoral shaft cranial to femoral condyles spreads to the genicular nerves that innervate the posterior knee and forms the basis of the analgesic mechanism of the iPACK. Randomized controlled trials have shown that the iPACK, when used in combination with a femoral nerve block (FNB) or adductor canal block (ACB), is superior to a FNB or ACB alone in controlling postoperative pain. The iPACK controls posterior knee pain following total knee arthroplasty (TKA) by anesthetizing the articular branches from the sciatic and obturator nerves. This is a safe and relatively simple block to perform with a low risk of serious complications.