Browsing by Subject "surgery"
Now showing 1 - 8 of 8
- Results Per Page
- Sort Options
Item A Comparison of Medicare Prospective Payment Systems on P.T.C.A. and Stent Outcomes in an Urban Hospital(2001-05-01) Compton, Ben H.; Doug A. Mains; P. E. HilsenrathCompton, Ben H., A Comparison of Medicare Prospective Systems on P.T.C.A. and STENT Outcomes in an Urban Hospital. Master of Public Health (Health Services Administration), May 2001, 57 pp., 10 tables, 1 graph, bibliography, 51 titles. To determine if differences in outcomes exist between Medicare prospective payment systems when doing percutaneous transluminal coronary angioplasty (PTCA) or STENT surgeries. From January 1999 and December 2000, 146 Medicare patients were identified with 35 being outpatient and 111 inpatient. A separate group of 1-day inpatients was used as a comparison for the outpatient group. Results from the comparison reveal that in the three groups, the majority of patients were white, non-Hispanic males who were about 70 years of age. The 1-day inpatient group had the highest profit of all three with about $3,000 while the inpatient group broke even. The outpatient group had no in-hospital deaths or complications while all three had equal amounts of comorbidities. The conclusion is that losses will probably occur if PTCA and STENTs are done outpatient. Possible solutions are moving to an inpatient setting or determining which costs can be reduced in the outpatient setting.Item Bariatric Surgery And The Lap Band: An Analysis of Efficacy(2003-12-01) Crane, Dave; Doug A. Mains; Claudia Coggin; Karan SinghCrane, B.A., M.A., Dave, Master of Public Health (Health Management and Policy), December 2003, Bariatric Surgery and the Lap Band: An Analysis of Efficacy, 40 pages, 15 tables, references, 45 titles. Obesity has quickly become both a national and global health issue. The evidence is increasingly consistent that obesity has a causal relationship with serious medical complications. The Lap Band, a surgical procedure for weight control, was approved by the Food and Drug Administration in June, 2001. The purpose of this study was to assess the efficacy of this procedure by reviewing existing literature and studying a patient population that had received Lap Band surgery. The retrospective review included information on 93 patients in the bariatric program at the University of North Texas Health Science Center at Fort Worth. The preliminary data in this study agrees with other studies , which shows that the Lap Band is an effective intervention for morbidly obese patients.Item Buchanan, Sam, D.O.(1992-10-21) Buchanan, Sam; Stokes, C. RayDr. Buchanan, a member of TCOM's 2nd graduating class, served as Chairman of the Surgery Department. He shares highlights from his school days and his hopes for the surgery department. Interviewed by C. Ray Stokes, October 21, 1992Item Jenkins, William, D.O. and Jenkins, Constance, D.O.(1993-10-15) Jenkins, William; Jenkins, Constance; Stokes, C. RayDr. William Jenkins along with his wife Dr. Constance Jenkins where involved with TCOM since the beginning. Dr. William Jenkins was Chairman for the Surgery Department and Dr. Constance Jenkins was Director of TCOM's Central Clinic. Both were awarded the Founder's Medal. Interviewed by C. Ray Stokes, October 15, 1993Item Lateral Curvature of the Spine and Round Shoulders(P. Blakiston's Son& Co., 1907-01-01) Lovett, RobertItem Osteopathic Manipulative Treatment for Postoperative Nausea and Vomiting(2008-05-01) Schrick-Senasac, Simon L.; Hollis King; Kimberly Fulda; Monte TroutmanSchrick-Senasac, Simon L., Osteopathic Manipulative Treatment for Postoperative Nausea and Vomiting. Masters of Science (Clinical Research and Education, Osteopathic Manipulative Medicine), May, 2008, 95 pp., 9 tables, 7 illustrations, bibliography, 68 titles. Purpose: Despite advances, no therapy has been able to prevent postoperative nausea and vomiting (PONV). This pilot study sought to evaluate the effect of osteopathic manipulation on PONV and to assess the feasibility for reproduction. Methods: Individuals undergoing anesthesia were recruited as subjects. Seventeen subjects completed the study – eight receiving treatment, nine as controls. Nausea and pain visual analog scale (VAS) scores as well as vital signs were collected periodically throughout the study. A post-discharge survey was completed 1 day following treatment. Results: There was no overall reduction of PONV; early emesis was reduced as were 30-minute and peak nausea VAS scores. Additional analysis found pain VAS scores less elevated in treated subjects than controls. This was accompanied by reduced utilization of analgesics following surgery. Conclusions: Incidence of PONV was universally low, likely due to widespread phrophylaxis. Reduction of pain corresponds with research linking manipulation to modulation of neuroendocrine systems. This study demonstrated potential and feasibility for larger reproduction.Item Pain Management After Appendectomy and Cholecystectomy: An Innovative Protocol Using Exparel(2017-12-01) Newman, Pete; Jerry W. Simecka; Dong-Ming Su; Stephen O. MathewTo reduce post-operative pain correlates such as opioid consumption and length of stay, a novel pain management protocol has been utilized for laparoscopic appendectomy and laparoscopic cholecystectomy. Research was performed on a retrospective patient population who were given local anesthetic for pain management, specifically liposomal bupivacaine, also known as Exparel. The objective was to determine if using the most recent protocol utilizing Exparel had any effect on pain correlates such as opioid consumption or post-operative or total length of stay. Results showed that the use of the most recent Exparel protocol results in a statistically significant decrease in opioid consumption. Results also show that the pain management protocol used had no significant effect on post-operative or total length of stay.Item Surgical and Applied Anatomy(Lea & Febiger, 1917-01-01) Keith, Arthur; Mackenzie, W.; Treves, Frederick