Abdikamp6258

The aim of this study was to improve patient oral hygiene outcomes in a rehabilitation unit by implementing a nursing education package and oral hygiene assessment tool.

A case-control design with 50 rehabilitation patients was performed.

Nursing staff received education and training in applying the Modified Oral Health Assessment Tool. BU-4061T in vitro Clinician assessment of patient oral hygiene occurred on admission and at days 5-7. Each patient reported their perceptions of oral hygiene and comfort prior to hospitalization, while in the hospital, and after transfer to the rehabilitation unit.

Oral hygiene rating scores improved significantly from admission to the rehabilitation unit to days 5-7 (p = .00). The mean score of patient perceived cleanliness improved from hospital admission to admission to the rehabilitation unit.

Oral hygiene was improved following admission to a rehabilitation unit with a consistent and individualized approach to oral hygiene.

The introduction of a consistent and individualized approach to oral hygiene demonstrates positive patient outcomes and high patient acceptance.

The introduction of a consistent and individualized approach to oral hygiene demonstrates positive patient outcomes and high patient acceptance.

As an increasing number of general surgery residents apply for fellowship positions, it is important to identify factors associated with successful matriculation. For applicants to colon and rectal surgery, there are currently no objective data available to distinguish which applicant attributes lead to successful matriculation.

The purpose of this study was to identify objective factors that differentiate colon and rectal surgery fellowship applicants who successfully matriculate with those who apply but do not matriculate.

This was a retrospective analysis of colon and rectal surgery applicant characteristics.

Deidentified applicant data provided by the Association of American Medical Colleges from 2015 to 2017 were included.

Applicant demographics, medical school and residency factors, number of program applications, number of publications, and journal impact factors were analyzed to determine associations with successful matriculation.

Most applicants (n = 371) and subsequent matriculants (n =hortes (p = 0,067, p = 0,15, respectivamente).LIMITACIONESEl Score ABSITE, la posición en lista de clasificación y las características subjetivas como el de una buena entrevista y las cartas de recomendación no se encontraban disponibles en la fuente de datos.CONCLUSIONESSe encontró que la inmatriculación exitosa a un programa de becas de Cirugía Colorreectal estaba asociada con la ciudadanía estadounidense, la graduación en una Facultad de medicina alopática en los EE. UU, y al mayor número de solicitudes de programas. El analisis de las medidas objetivas restantes no se asociaron con una inmatriculación exitosa. Es probable que los factores subjetivos y objetivos que no pudieron ser medidos por este estudio jueguen un papel determinante. Consulte Video Resumen en http//links.lww.com/DCR/B415. (Traducción-Dr Xavier Delgadillo).

Anorectal cancer arising in IBD can be challenging to manage. There is a paucity of reports describing locally advanced and recurrent anorectal cancer in this setting.

This study aimed to describe patients who underwent extended radical pelvic resection for locally advanced and recurrent IBD-associated anorectal cancer.

This is a retrospective review of a prospectively maintained database of extended radical pelvic resection.

This study was conducted at a quaternary pelvic malignancy referral center.

All of the patients who underwent extended radical pelvic resection for IBD-associated anorectal cancer between September 1994 and September 2019 were included.

Demographic, operative, and oncologic outcomes were assessed.

Ten patients (1.3%) were identified of 765 (6 men; median age = 51 y). The average time from the diagnosis of IBD to cancer was 23 years. Five patients had surgery for primary cancer previously. All of the patients had previous complex abdominal and perineal surgical interventionsla estancia hospitalaria fue de 24 días. Las tasas de mortalidad y morbilidad operatoria fueron 0% y 60% respectivamente. En una mediana de seguimiento de 51,3 meses, siete pacientes permanecieron vivos y libres de cáncer.LIMITACIONESEs un estudio retrospectivo con número pequeño de pacientes.CONCLUSIONESLa resección pélvica radical extendida, ofrece una cura potencial para el cáncer anorrectal recurrente y localmente avanzada, asociada a0 enfermedad inflamatoria intestinal y con tasas aceptables de mortalidad y morbilidad operatoria. Se requiere un alto índice de sospecha para obtener un diagnóstico temprano. Se deben considerar múltiples factores en el tratamiento multimodal de pacientes tan complejos. Consulte Video Resumen en http//links.lww.com/DCR/B418. (Traducción-Dr Fidel Ruiz Healy).

Central obesity is associated with surgical difficulties, but few studies explore the relationship with long-term results after colon cancer surgery.

The purpose of this study was to investigate the association between perirenal fat surface area, a proxy for total visceral fat, and oncologic outcome after intestinal resection for colon cancer.

We investigated the association between perirenal fat surface area (exposure) on recurrence and death (outcome) in patients undergoing surgery with curative intent for colon cancer.

The study was conducted at Stockholm South General Hospital, serving a population of 600,000.

Patients (N = 733) without metastases at diagnosis who had a preoperative CT and had undergone elective colon resection between 2006 and 2016 were included.

We compared overall survival, recurrence-free survival, and cause-specific survival by perirenal fat surface area.

Patients with high perirenal fat surface area (fourth quartile) had more often left-sided tumors (45% vs 32% in the om/DCR/B326. (Traducción-Dr Xavier Delgadillo).

Unfavorable adenocarcinoma after transanal endoscopic microsurgery requires "completion surgery" with total mesorectal excision. The literature on this procedure is very limited.

This study aims to assess the percentage of transanal endoscopic microsurgery that will require completion surgery.

This is an observational study with prospective data collection and retrospective analysis from patients who were operated on consecutively.

The study was conducted at a single academic institution.

Patients undergoing transanal endoscopic microsurgery from June 2004 to December 2018 who later required total mesorectal excision were included.

All the patients followed the same protocol preoperative study, indication of transanal endoscopic microsurgery with curative intent, performance of transanal endoscopic microsurgery, and completion surgery indication 3 to 4 weeks after transanal endoscopic microsurgery.

Seven hundred seventy-four patients underwent transanal endoscopic microsurgery, 622 with curative intent (group I adenoma, 517; group II adenocarcinoma, 105).