There are six important vital structures in the neck providing aerodigestive, nervous, endocrine, and circulatory functions and they are minimally protected by the skeletal system unlike other areas of the body. This lack of protection in the neck not only contributes to physician angst during treatment, but also to the high mortality and complication rate when injury occurs. Airway compromise and exsanguination are both very high priorities and the time required to deal with one can be to the detriment of the other. Rapidly controlling hemorrhage provides the time required to establish a definitive airway without further blood loss of an already depleted intravascular volume.
Delays in establishing definitive control of the airway can make the task of subsequent airway control difficult or impossible because of hematoma formation or injury/resuscitation induced edema leading to subsequent catastrophic airway obstruction. The Western Trauma Association (WTA) Critical Decisions in Trauma recommends direct manual pressure (DMP) be used as a first line response to penetrating neck injury. However, this approach has been associated with a low efficacy rate due to re-bleeding and exsanguination prior to reaching definitive operative care.
In an effort to advance oncology clinical pathways to the next level, a novel partnership was developed between the department of Clinical Effectiveness (CE) and the Clinical Simulation Center at a Comprehensive Cancer Center.
The Clinical Effectiveness Department’s mission is to support the implementation of the best and most current evidence through developing, maintaining, and evaluating patient care management tools (practice algorithms, electronic ordering tools, and plans of care). All patient care management tools are developed using current evidence, and they are maintained, implemented and evaluated ensuring the utmost safety and quality. They align with national and regulatory bodies for cancer and clinical management measures as well as with national quality and clinical measures requirements.
Obesity means an excess accumulation of body fat tissue and is caused by a combination of excessive food intake, a lack of physical activity, and genetic susceptibility.Severe and morbid obesity are associated with highly elevated risks of adverse health outcomes, i.e., metabolic diseases (type 2 diabetes), higher morbidity and mortality for a variety of diseases as well as higher overall mortality. It has been estimated that overweight decreases an individual’s life expectancy by eight years.
Stroke is a family disease and has the potential to affect the health and quality of life not only of the individuals but their family caregiver as well. After discharge approximately 80% of stroke survivors live in community, more than a third of whom are dependent on the informal caregivers. It is evidenced that, caregivers play a major role in long term well-being and stroke rehabilitation. The emphasis on stroke rehabilitation should shift from being patient focused to an approach focused on both the patients and their caregivers.
Infectious diseases, the second leading cause of death worldwide, exert a grave threat to the public health. This situation is aggravating due to the progressively emerging microbial resistance and the lack of new drugs into the clinic. Mycobacterial infection has had its notorious name engraved on the Georgia Guidestones. For instance, human tuberculosis, which is mainly caused by Mycobacterium tuberculosis, causes approximately more than 1.5 million deaths each year. The stinky devil shows no regret in escalating its influence and evolves multidrug-resistant tuberculosis levering up the costs of corresponding treatment. It brooks no delay to search for effective drugs against.