Professionals

News analysis & letters to the editor

PCI renal complications keep climbing

Posted on December 8, 2015 - 9:19am

As rerported in Acquired Cardiovascular Disease:

ORLANDO – Cases of contrast-induced nephropathy increased dramatically among Medicare patients undergoing percutaneous coronary intervention (PCI) during a recent 5-year period, despite the increased attention that has been drawn to the problem.

Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease

Posted on November 13, 2015 - 1:02pm

During an extended-follow-up of up to 15 years, VA patients had similar survival rates between an initial strategy of PCI plus medical therapy and medical therapy alone in patients with stable ischemic heart disease. In an article, published in the NEJM of 11/12/2015, 

In the COURAGE trial, the authors compared an initial management strategy of optimal medical therapy alone with optimal medical therapy plus PCI among patients with stable ischemic heart disease and found no significant difference between the treatment groups with respect to the composite primary end point of death from any cause or nonfatal myocardial infarction or with respect to any of the other cardiac end points (including death from any cause or hospitalization for acute coronary syndrome) during a median follow-up period of 4.6 years.

Surgical Competence, a Crisis in US Health Care?

Posted on February 20, 2014 - 12:45pm

Surgical competence requires a complex set of interdependent roles and abilities that include psychomotor, cognitive, and interpersonal abilities.[i]

A shift in surgical procedures towards minimally invasive techniques has greatly complicated surgical education with a major potential impact on emergency patient care.

Introduction

This summer a former resident of mine – now an older surgeon himself – asked me whether I’d be interested in re-activating my surgical career (not a simple thing to do). As explanation, he mentioned a critical shortage of experienced surgeons in traditional surgical techniques, as present day’s education is now mainly focused on minimally invasive procedures. During the past ten years this has become a major issue, particularly in trauma and emergency surgery, where often “open” procedures are necessary.

GI Tract Development

Posted on August 20, 2013 - 11:26pm

Surgical Anatomy Lecture, Tufts University School of Medicine

GI Tract Embryology

Joan F. Tryzelaar, MD, FACS, FACCP

1/27/2010

Body Cavities

Posted on August 20, 2013 - 11:23pm

Surgical Anatomy Lecture, Tufts University School of Medicine

Embryology of Body Cavities

Joan F. Tryzelaar, MD, FACS, FACCP

1/27/2010

Embryology

Posted on August 20, 2013 - 10:50pm

2010 Lectures Tufts University School of Medicine including:

 

Mediastinum

Posted on August 20, 2013 - 10:29pm

Surgical Anatomy Presentation Tufts University School of Medicine:

Mediastinum

Joan F. Tryzelaar, MD, FACS, FACC

1/21/2010

Mediastinum

Posted on August 20, 2013 - 10:21pm

Thorax

Posted on August 20, 2013 - 10:18pm

Content of the Thorax:

  • Mediastinum, 
  • Lungs
  • Chest wall

Mediastinum

Posted on August 20, 2013 - 10:11pm
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