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The use of cemented fixation for hip arthroplasty for femoral neck fractures has been advocated to limit the postoperative and intraoperative risk of periprosthetic fractures. However, there are concerns with the potential effects of cementing on patient mortality, particularly at the time of cementation.

This study examined the mortality rates of cemented compared to cementless hip arthroplasty fixation in a group of 5883 femoral neck fracture patients from 2001 to 2017. The data were derived from large administrative databases and census data. Confounders were identified and controlled with a multivariate analysis. The data were also stratified into 2 time frames, 2001-2008 and 2009-2017, to determine if there was an effect of more recent improvements in patient care or implant technology.

Cemented fixation had a statistically significant reduction in mortality rates at 30, 90, and 365 days after surgery. There was no difference in mortality in 0, 1, or ≤7 days after discharge or during the admission. The mortality rate decreased but was still significantly increased with cementless fixation when the subjects were grouped from 2001 to 2008 and 2009 to2017.

Based on this evidence, the cemented fixation of hip arthroplasty should be considered for patients with femoral neck fractures.

Based on this evidence, the cemented fixation of hip arthroplasty should be considered for patients with femoral neck fractures.There is a paucity of research examining the phenomenology and energetic effects of spiritually transformative experiences with an energetic component, often referred to as kundalini awakenings (KAs). This limits our ability to understand and support individuals who have these often unexpected and powerful experiences. This study aimed to explore not only the nature of these experiences but also their subsequent behavioral and physiological transformative effects. Methods An interview questionnaire was used to collect detailed descriptions of both the physical and metaphysical experiences of persons having a spiritually transformative experience (STE) (e.g., spontaneous energetic awakenings, awakenings occurring through near-death experiences, and through spiritual practices). Results Subjects reported that the entire energetic awakening experience was mystical, involving feelings of expansion (including conscious awareness leaving the body), and a sense of being enveloped in light or love. Of 18 descriptors of experiences of energy, 85% of participants reported unusual flows of energy through or around the body. Principle triggers for these experiences included concentrating on spiritual matters, the presence of a spiritually developed person, and intense meditation or prayer. Transformational changes in participants included, e.g., increased sensory sensitivity, creativity, and changes in beliefs, including a desire to serve others, a sense of unity with all, and the immortality of the spirit. Most participants reported a lack of understanding of the STE phenomenon by healthcare professionals, resulting in their inability to address the needs of experiencers when they came to clinicians for help.

Eliciting informed consent is a clinical skill that many residents are tasked to conduct without sufficient training and before they are competent to do so. Even senior residents and often attending physicians fall short of following best practices when conducting consent conversations.

This is a perspective on strategies to improve how residents learn to collect informed consent based on current literature.

We advocate that surgical educators approach teaching informed consent with a similar framework as is used for other surgical skills. Informed consent should be defined as a core clinical skill for which attendings themselves should be sufficiently competent and residents should be assessed through direct observation prior to entrustment.

We advocate that surgical educators approach teaching informed consent with a similar framework as is used for other surgical skills. Raphin1 datasheet Informed consent should be defined as a core clinical skill for which attendings themselves should be sufficiently competent and residents should be assessed through direct observation prior to entrustment.

Entrustment is a key component connecting to resident preparedness for surgical practice in the operating room (OR). Residents' self-entrustment of their surgical competencies closely associates with their OR training experience and granted autonomy. Some recent studies have investigated how attending surgeons entrusted residents in the OR. There is little to no data, however, in examining these issues from the resident perspective. The goal of this study was to identify the perception and expectations of autonomy from residents' perspective, as well as the self-entrustment of their surgical competencies in obstetrics (OB) and gynecologic (GYN) procedures.

Focus group interviews of OB/GYN residents were performed. Residents were selected by convenience sampling. Audio recordings of each interview were transcribed, iteratively analyzed, and emergent themes identified, using a framework method.

A total of 123 minutes of interviews were recorded. Eight junior residents (PGY1-2) and 12 senior residents (PGYt and autonomy upon graduation.

Always Events® are defined as "those aspects of the care experience that should always occur when patients, their family members or other care partners, and service users interact with health care professionals and the health care system". It is a quality improvement methodology that starts by asking our patients the simple question "what matters to you?" and then through coproduction, works out a way to achieve this.

This article tells our story and highlights the value of undertaking an Always Event® within the Radiology department at Warrington and Halton Hospitals. It will demonstrate how this approach combines research, an evaluation of findings and implementation of those findings within a very short timeframe. Embedded within the article are comments from our staff, volunteers and patients which reflect upon their experiences, our limitations, the outcomes we achieved and the impact it has had upon our patients and staff.

It was important to our patients that they would be informed of how long they would wait for their examination once they booked in at x-ray reception.