A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.

No description available.

Diss. Univ. Zürich, 2009.

No description available.

Orientador: Eliana Marisa Ganem / Banca: Yara Marcondes Machado Castiglia / Banca: Angélica de Fátima de Assunção Fraga / Resumo: A modernização da cirurgia ambulatorial iniciou-se na década de 1960, com o surgimento do primeiro serviço de cirurgia ambulatorial, no Butterworth Hospital, em Michigan nos Estados Unidos da América (EUA). Nos dias atuais, 70% dos procedimentos cirúrgicos nos EUA são realizados em regime ambulatorial, os demais países vêm progressivamente acompanhando essa tendência. No Brasil a cirurgia ambulatorial foi regulamentada por meio de Resolução do Conselho Federal de Medicina no ano de 2008.Determinar a incidência, os fatores preditivos e os desencadeadores de internamento não planejado após procedimentos ambulatoriais em hospital dia no - Itaigara Memorial Hospital Dia.Foram analisados retrospectivamente todos os procedimentos ambulatoriais sob anestesia, sendo conduzido um estudo longitudinal retrospectivo tendo como evento a presença de internamento não planejado e a descrição de suas características. Foram avaliadas informações referentes à avaliação pré-anestésica, ao procedimento anestésico cirúrgico, a evolução do paciente durante o internamento no hospital dia e as informações referentes ao internamento em outra instituição, sendo estas correlacionadas ao internamento não planejado, passando por análise estatística.Foram analisados retrospectivamente 129.850 procedimentos, no período entre janeiro de 1998 e junho de 2010, sendo encontrados 49 casos (0,038%) de internamento não planejado. A videolaparoscopia diagnóstica, a colonoscopia e a histeroscopia associada ou não a videolaparoscopia foram os procedimentos que mais determinaram internamento em números absolutos. Os principais motivos de internamento foram sangramento (32,7%) e dor (16,3%). O tempo de anestesia e índice de massa corpórea foram maiores entre os pacientes que tiveram internamento não planejado. Os pacientes estado físico ASA III apresentaram maior incidência... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The modernization of ambulatory surgery began in the 1960s with the emergence of the first ambulatory surgery service at Butterworth Hospital in Michigan in the United States of America (USA). Nowadays, 70% of U.S. surgical procedures are performed in outpatient settings, other countries are gradually following this trend. In Brazil, the outpatient surgery was regulated by Resolution of the Federal Council of Medicine in 2008.To determine the incidence, predictive factors and triggers of unplanned admission after outpatient procedures in a day hospital - Itaigara Memorial Day Hospital.The authors retrospectively reviewed all outpatient procedures under anesthesia, and conducted a retrospective longitudinal study with event as the presence of unplanned hospitalization and description of their characteristics. We evaluated information regarding preoperative evaluation, the surgical anesthetic procedure, the patient's evolution during the hospital admission days and information pertaining to admission at another institution, which are related to unplanned hospital admission.In the period between January 1998 and June 2010, 129,850 procedures were analyzed retrospectively and found 49 cases (0.038%) of unplanned admissions. A diagnostic laparoscopy, colonoscopy and hysteroscopy with or without laparoscopic procedures were more determined to hospital admissions in absolute numbers. The main reasons for hospitalization were bleeding (32.7%) and pain (16.3%). Anesthesia time and body mass index were higher among patients who had unplanned hospital. The ASA III had a higher incidence of hospitalization, being hospitalized in intensive care unit (ICU). Patients undergoing otorhinolaringologic surgery and pediatric surgery had a higher incidence of hospitalization, and those undergoing ophthalmic and coloproctology surgery had higher incidence of hospitalization in ICU.The incidence of unplanned... (Complete abstract click electronic access below) / Mestre

Made available in DSpace on 2014-06-11T19:29:05Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-02-25Bitstream added on 2014-06-13T20:59:05Z : No. of bitstreams: 1 cardoso_hedp_me_botfm.pdf: 123645 bytes, checksum: 4075f3d9ec9e334155990506c0845323 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A modernização da cirurgia ambulatorial iniciou-se na década de 1960, com o surgimento do primeiro serviço de cirurgia ambulatorial, no Butterworth Hospital, em Michigan nos Estados Unidos da América (EUA). Nos dias atuais, 70% dos procedimentos cirúrgicos nos EUA são realizados em regime ambulatorial, os demais países vêm progressivamente acompanhando essa tendência. No Brasil a cirurgia ambulatorial foi regulamentada por meio de Resolução do Conselho Federal de Medicina no ano de 2008.Determinar a incidência, os fatores preditivos e os desencadeadores de internamento não planejado após procedimentos ambulatoriais em hospital dia no – Itaigara Memorial Hospital Dia.Foram analisados retrospectivamente todos os procedimentos ambulatoriais sob anestesia, sendo conduzido um estudo longitudinal retrospectivo tendo como evento a presença de internamento não planejado e a descrição de suas características. Foram avaliadas informações referentes à avaliação pré-anestésica, ao procedimento anestésico cirúrgico, a evolução do paciente durante o internamento no hospital dia e as informações referentes ao internamento em outra instituição, sendo estas correlacionadas ao internamento não planejado, passando por análise estatística.Foram analisados retrospectivamente 129.850 procedimentos, no período entre janeiro de 1998 e junho de 2010, sendo encontrados 49 casos (0,038%) de internamento não planejado. A videolaparoscopia diagnóstica, a colonoscopia e a histeroscopia associada ou não a videolaparoscopia foram os procedimentos que mais determinaram internamento em números absolutos. Os principais motivos de internamento foram sangramento (32,7%) e dor (16,3%). O tempo de anestesia e índice de massa corpórea foram maiores entre os pacientes que tiveram internamento não planejado. Os pacientes estado físico ASA III apresentaram maior incidência... / The modernization of ambulatory surgery began in the 1960s with the emergence of the first ambulatory surgery service at Butterworth Hospital in Michigan in the United States of America (USA). Nowadays, 70% of U.S. surgical procedures are performed in outpatient settings, other countries are gradually following this trend. In Brazil, the outpatient surgery was regulated by Resolution of the Federal Council of Medicine in 2008.To determine the incidence, predictive factors and triggers of unplanned admission after outpatient procedures in a day hospital - Itaigara Memorial Day Hospital.The authors retrospectively reviewed all outpatient procedures under anesthesia, and conducted a retrospective longitudinal study with event as the presence of unplanned hospitalization and description of their characteristics. We evaluated information regarding preoperative evaluation, the surgical anesthetic procedure, the patient's evolution during the hospital admission days and information pertaining to admission at another institution, which are related to unplanned hospital admission.In the period between January 1998 and June 2010, 129,850 procedures were analyzed retrospectively and found 49 cases (0.038%) of unplanned admissions. A diagnostic laparoscopy, colonoscopy and hysteroscopy with or without laparoscopic procedures were more determined to hospital admissions in absolute numbers. The main reasons for hospitalization were bleeding (32.7%) and pain (16.3%). Anesthesia time and body mass index were higher among patients who had unplanned hospital. The ASA III had a higher incidence of hospitalization, being hospitalized in intensive care unit (ICU). Patients undergoing otorhinolaringologic surgery and pediatric surgery had a higher incidence of hospitalization, and those undergoing ophthalmic and coloproctology surgery had higher incidence of hospitalization in ICU.The incidence of unplanned... (Complete abstract click electronic access below)

Class of 2016 Abstract and Report / Objectives: The purpose of this study was to assess trends in the anatomical bite location, circumstances, and legitimacy of rattlesnake envenomations managed by the Arizona Poison and Drug Information Center (APDIC) between the years of 2002 to 2014. Methods: The Institutional Review Board approved this retrospective database analysis in which deidentified patient case information was extracted from the APDIC electronic medical record database. Descriptive and demographic variables collected included: age, gender, anatomical bite location, circumstance, and alcohol involvement. Variables were analyzed by student researchers to determine the legitimacy. Researchers compared demographic variables by year and month to assess for trends. Results: A total of 1,738 rattlesnake envenomations were analyzed for the 13 year study period. The number of cases per year varied, but not significantly, p=0.069. A statistically significant (p<0.005) upward trend in average age occurred. No significant difference in cases involving females was found between study years (p=0.171). Alcohol involvement was not statistically significant, p=0.46. An upward trend (p<0.005) in legitimate rattlesnake envenomations was demonstrated. Conclusions: Envenomations from 2002 to 2014, showed an upward trend in age, but similar distribution of gender. An increasing number of envenomations were determined to be legitimate, possibly related to the increasing number occurring to the foot/ankle, as well as the increasing number related to gardening and walking outside/taking out the trash. This trend may also be due to the lack of adequate data related to alcohol involvement.

Class of 2016 Abstract / Objectives: To determine the number of patients treated with eribulin who required an alternate dosing schedule other than “day 1/day 8” due to side effects. Methods: Chart reviews were conducted on all patients who met inclusion criteria. Data collected included patient demographics, history of surgery/radiation, number of past chemotherapy treatments, and lab values prior to each eribulin cycle. Results: A total of 37 patients met inclusion criteria for this study. Ten patients were initially started on the “day 1/day 8” schedule and 3 of those patients required a change to the extended “day 1/day 15” schedule. The remaining 27 patients were started on the extended schedule. Conclusions: The number of patients requiring a dosing schedule change due to side effects was not statistically significant. This finding was due to the fact that the majority of patients were started on an alternate dosing schedule in the beginning of treatment. More extensive studies would be required to determine if a majority of patients would require this alternate dosing schedule, and if this should be initiated in all patients starting on eribulin.

No description available.

Doctor of Philosophy / Curriculum and Instruction Programs / Marjorie R. Hancock / Collaborative Retrospective Miscue Analysis (CRMA) is a process where students participate in a small group discussion about their reading miscues, retellings, and thinking about reading. The purpose of this qualitative case study was to explore the self-efficacy beliefs students hold about their reading skills and abilities while engaged in CRMA. The six sixth- grade students audio taped their reading of text and followed by conducting an unassisted retelling. Next, the researcher transcribed the tapes providing students with a transcription during CRMA sessions. Students held discussions with their peers and the researcher about their reading miscues and retellings revealing their thinking about their miscues and examining why they occurred. Data from the videotaped CRMA sessions, Burke Reading Interviews, Self-Efficacy in Reading Scales, CRMA journals, and teacher e-mail interviews were extensively analyzed. Findings revealed changes in each of the participants’ self-efficacy in reading from the beginning to the end of the study. Analysis of the CRMA transcripts showed students held conversations from six areas: 1) initial discussions focusing on numbers of miscues or reading flawlessly; 2) discussion about reading strategies; 3) discussion about making sense of text; 4) discussion about miscues that affected meaning and those that did not; 5) discussion centered on the elements of retelling, and; 6) discussion finding strengths in peers’ skills. In addition, the transcripts revealed students discussed vocabulary from the text to build meaning during reading. Qualitative methods were employed to analyze multiple sources of data allowing students’ reading skills to be studied and examined in detail and the self-efficacy in reading that surfaced during the process. Thick, rich portraits of each student were developed looking through the following lenses: 1) prior literacy assessment; 2) Burke Reading Interviews; 3) miscue analysis; 4) retellings; 5) observational viewing; 6) the teacher’s lens; and, 7) developing self- efficacy in reading. Finally, a holistic group portrait was unveiled. Students deserve to be engaged in social learning, especially during reading when they can discuss their experiences with text with peers. CRMA provides a respectful avenue for students to talk about their miscues, retellings, and reading behaviors and nurture and extend self-efficacy in the process.