scholarly journals Diagnostic Yield of Echocardiography in Syncope Patients with Normal ECG

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Nai-Lun Chang ◽  
Priyank Shah ◽  
Sharad Bajaj ◽  
Hartaj Virk ◽  
Mahesh Bikkina ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Severe Aortic Stenosis ◽  
Medical Center ◽  
Test Results ◽  
Hospital Records ◽  
Regional Medical ◽  
Regional Medical Center ◽  
History Of ◽  
Echocardiographic Findings

Aim. This study aimed to assess the role of echocardiography as a diagnostic tool in evaluating syncope patients with normal versus abnormal electrocardiogram.Methods. We conducted a retrospective study of 468 patients who were admitted with syncope in 2011 at St. Joseph’s Regional Medical Center, Paterson, NJ. Hospital records and patient charts, including initial emergency room history and physical, were carefully reviewed. Patients were separated into normal versus abnormal electrocardiogram groups and then further divided as normal versus abnormal echocardiogram groups. Causes of syncope were extrapolated after reviewing all test results and records of consultations.Results. Three hundred twelve of the total patients (68.6%) had normal ECG. Two-thirds of those patients had echocardiograms; 11 patients (5.7%) had abnormal echo results. Of the aforementioned patients, three patients had previous documented history of severe aortic stenosis on prior echocardiograms. The remaining eight had abnormal but nondiagnostic echocardiographic findings. Echocardiography was done in 93 of 147 patients with abnormal ECG (63.2%). Echo was abnormal in 27 patients (29%), and the findings were diagnostic in 6.5% patients.Conclusions. This study demonstrates that echocardiogram was not helpful in establishing a diagnosis of syncope in patients with normal ECG and normal physical examination.

scholarly journals An Examination of Individualism within Employee Help-Seeking Networks

2018 ◽  
Vol 8 (4) ◽  
pp. 1
Author(s):  
Randall P. Settoon ◽  
Sang H. Lee
Keyword(s):  
Help Seeking ◽  
Medical Center ◽  
Future Research ◽  
Dense Networks ◽  
Helping Others ◽  
Regional Medical ◽  
Regional Medical Center ◽  
The Impact ◽  
The Relationship

Prior research focusing on the impact of individualistic orientations on the performance of cooperative behaviors has produced mixed results. Researchers have concluded that the self-focused orientation of individualists will lead them to be less cooperative than others. On the other hand, some scholars have argued that helping others is core to individualists’ self-concept and that competently assuming the role of help-giver is a source of intrinsic satisfaction. In this study, we test this proposition by examining individualistic orientations within employee help-seeking networks. Results from a sample of 107 employees within a regional medical center indicate that the level of individualism in helping-seeking networks is positively associated with help-seekers’ perceptions of support. Further, the results suggest that the relationship is stronger in dense networks. Implications of this work and directions for future research are discussed.

scholarly journals An Oral History of the “Joint” Nursing Experience at Landstuhl Regional Medical Center

2000 ◽  
Vol 165 (2) ◽  
pp. 131-134 ◽  
Author(s):  
Glenn R. Ermer ◽  
Brenda J. McEleney ◽  
Iris J. West
Keyword(s):  
Oral History ◽  
Medical Center ◽  
Nursing Experience ◽  
Regional Medical ◽  
Regional Medical Center ◽  
History Of

No So Sunny

PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 801-802
Author(s):  
Carole L. Mangrem ◽  
Robert J. Leggiadro
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Risk Group ◽  
Medical Center ◽  
White Male ◽  
High Risk Group ◽  
Infant Feeding Practices ◽  
Regional Medical ◽  
Regional Medical Center ◽  
History Of

We recently cared for a young patient who we believe represents a serious example of egg-associated salmonellosis in a member of a high-risk group because of his young age. His case serves to remind pediatricians to discuss infant feeding practices with parents and to warn them of the potential hazards of eggs related to salmonellosis. This previously healthy 5-month-old white male was brought to the emergency department of a Mississippi regional medical center with a 1-day history of fever and irritability.

scholarly journals 2363. Implementation of a Multi-Step Diagnostic Algorithm for C. difficile Infection

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S814-S814
Author(s):  
Morgan Walker ◽  
Miranda Mitchell ◽  
Britney Mellor ◽  
Suzanne Buras ◽  
Monica Young ◽  
...  
Keyword(s):  
Medical Center ◽  
Diagnostic Algorithm ◽  
Nucleic Acid Amplification ◽  
Test Results ◽  
Before And After ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Step Algorithm ◽  
Testing Algorithm ◽  
Test Result

Abstract Background The diagnosis of C. difficile infection (CDI) in the hospital is challenging asymptomatic colonization rates vary between 3% and 26%. Guidelines recommend multistep testing for CDI diagnosis. On July 1, 2018 a two-step testing algorithm was implemented at our institution. Positive nucleic acid amplification test (NAAT) results reflexed to a toxin enzyme immunoassay (EIA) test. The EIA test result was then used for NHSN reporting; however, both test results were visible to the clinician. Updated guidance on the interpretation of the test and treatment of CDI was released to the medical staff in July. We compared the incidence of CDI lab ID events per 1000 patient-days and the rate of C. difficile antibiotic starts before and after the implementation of the testing algorithm. Methods A retrospective observational study was performed at an 800 bed regional medical center. CDI lab ID events between January 1 and December 31, 2018 were reviewed. Antibiotic initiation of intravenous (IV) and oral (PO) metronidazole and PO vancomycin was collected for all hospitalized patients diagnosed with C. difficile. The incidence of hospital onset (HO) and community-onset (CO) lab ID events as well as the rate of antibiotic starts were compared before and after implementation of the algorithm using a two-sided z test for proportions with an alpha of 0.05. Results The incidence of HO and CO lab ID events per 1000 patient-days decreased significantly from 0.56 to 0.16 (P < 0.0001) and 1.18 to 0.3 (P < 0.0001) after implementation of the testing algorithm (Figure 1). The CDI SIR decreased from 0.729 to 0.322, (P = 0.0048). The rate of antibiotic starts per 1,000 patient-days for IV and PO Metronidazole decreased significantly from 1.1 to 0.45 (P < 0.0001) and 0.86 to 0.35 (P < 0.0001), respectively. PO Vancomycinstarts decreased from 1.51 to 1.23 (P = 0.11) (Table 1). Conclusion A two-step algorithm for diagnosing CDI decreases the overall number of HO and CO C. difficile lab ID events and decreases overall antimicrobial use for CDI. Disclosures All authors: No reported disclosures.

Rewards and Challenges of Nursing Wounded Warriors at Landstuhl Regional Medical Center, Germany

2010 ◽  
Vol 45 (2) ◽  
pp. 205-218 ◽  
Author(s):  
Nancy M. Steele ◽  
Ann Kobiela Ketz ◽  
Kathleen D. Martin ◽  
Dawn M. Garcia ◽  
Shannon Womble ◽  
...  
Keyword(s):  
Medical Center ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Wounded Warriors
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