DOCSLIB.ORG

Download Article

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Download Article SGA200171.qxp 3/24/11 1:50 PM Page 158 Abstracts SGNA’S 38TH ANNUAL COURSE May 6-11, 2011 | Indianapolis, Indiana WE ARE PLEASED TO PRESENT THE ABSTRACTS FROM SGNA’S 38TH ANNUAL COURSE, SGNA: THE LINK BETWEEN PRACTICE AND CARE. THE DIVERSITY OF THESE TOPICS CERTAINLY REFLECTS THE RICHNESS AND BREADTH OF OUR SPECIALTY.IN KEEPING WITH THE TRADITION OF THE ANNUAL COURSE, WE HOPE THE FOLLOWING ABSTRACTS WILL ENCOURAGE DISCUSSIONS FOR IMPROVING NURSING PRACTICE AND PATIENT CARE OUTCOMES. Kathy A. Baker, PhD, RN, ACNS-BC, CGRN, FAAN Editor TRAIN THE TRAINER: THE NURSE quality of care and patient safety; and a growing need MANAGER’S GUIDE TO THE REPROCESSING COMPETENCY to solve the fiscal dilemma of meeting the significant care demands of the patients we serve are just some of Jane Allaire, RN, CGRN the drivers for improved performance. In an effort to James Collins, BS, RN, CNOR improve efficiency, numerous facilities have begun to Michelle E. Day, MSN, RN, CGRN use Lean methods. These methods have been successful Cynthia M. Friis, MEd, BSN, RN, BC in eliminating waste and redundancy in endoscopy work processes resulting in improved financial, patient Patricia Maher, RN, CGRN satisfaction, and safety performance. Identifying the Joan Metze, BSN, RN waste, creating standard work processes, and using data which also serve as benchmarks will provide a The process for reprocessing flexible gastrointestinal baseline for the implementation of Lean methods. An endoscopes, as outlined by the Society of important part of implementing new processes in the Gastroenterology Nurses and Assocciates, will be thor- gastrointestinal unit is facilitating the change process. oughly reviewed. You will have the opportunity to prac- We will provide tips for creating your own project plan tice your skills with guidance from our knowledgeable and include change management principles to support trainers. Tips on how to develop, manage, and deliver your team and make the most of your change efforts. the reprocessing competency also will be discussed. WHY WE DO WHAT WE DO IMPROVING EFFICIENCY Kristine Arnell Phea Anderson, MS, RN, CGRN Cynthia Di Venti Karen Laing, MA, RN, CGRN Jennifer Schabatka The evolving healthcare industry is shaped by a variety Share our purpose and passion of becoming competent of factors and challenges, including government man- and proficient gastrointestinal technicians. We will dates for staff efficiency. A high demand for improved explore our roles as part of the endoscopy team in customer service due to increased public scrutiny of both the ambulatory and hospital settings. Our dis- cussion will include what we do as technicians, how DOI: 10.1097/SGA.0b013e318210967a we do it, and most importantly, why we do it. 158 Gastroenterology Nursing Copyright © 2011 Society of Gastroenterology Nurses and Associates. Unauthorized reproduction of this article is prohibited SGA200171.qxp 3/24/11 1:50 PM Page 159 Abstracts | SGNA’s 38th Annual Course BOWEL DYSFUNCTION ASSOCIATED authors and manuscript reviewers (or those who want WITH PARKINSON DISEASE to be) insight into what a peer-reviewer looks for in a Jason Baker, BS quality manuscript. The reviewer perspective of how to critique a manuscript will assist experienced manu- script reviewers to refine their review skills as well as A variety of chronic gastrointestinal problems common- promote more successful outcomes for authors submit- ly occur in neurodegenerative disorders such as ting manuscripts for peer review. Parkinson Disease (PD). PD is a progressive disorder of the central nervous system of unclear etiology, although strongly associated with the degeneration of dopaminer- AN EVIDENCE-BASED RESOURCE FOR gic neurons in the substantia nigra. Although PD is GASTROENTEROLOGY NURSES: THE marked by cardinal motor features including tremor, JOANNA BRIGGS INSTITUTE bradykinesia, rigidity, and postural instability, there are Kathy A. Baker, PhD, RN, ACNS-BC, CGRN, FAAN a number of common non-motor symptoms including autonomic dysfunction, cognitive dysfunction, psy- Susan Mace Weeks, DNP, RN, CNS, LMFT, LCDC chosis, and mood disorders. These motor and non- motor disturbances can lead to significant gastrointesti- This session provides an overview of evidence-based nal problems including dysphasia, constipation, and resources and tools available through the Joanna pelvic floor dysfunction. Constipation is the most well- Briggs Institute to support nurses in developing and known gastrointestinal symptom, although its true utilizing evidence-based nursing practices. prevalence and underlying physiology remain poorly described in PD. These gastrointestinal symptoms can contribute considerably to the disability and decreased LIVER LOGIC quality of life in such individuals. Moreover, gastroin- testinal symptoms are not always voiced by PD patients Barb Bancroft, MSN, RN, PNP or addressed completely by healthcare providers. Given our aging population and the increased prevalence of PD with advancing age, it is essential for healthcare Did you know that your liver has over 500 func- providers to be more aware of the gastrointestinal prob- tions? The liver synthesizes proteins; stores blood; lems associated with PD, the underlying pathophysiolo- secretes bile; metabolizes hormones, drugs and alco- gy, and effective treatment strategies. hol; and even has the capability to regenerate! Barb will discuss the signs and symptoms of liver disease, diseases specific to the liver, and the liver as an inno- WRITING FOR PUBLICATION WORKSHOP cent bystander in conditions such as heart failure and autoimmune disease. Kathy A. Baker, PhD, RN, ACNS-BC, CGRN, FAAN GI PROCEDURES FROM A TECH This presentation by the Gastroenterology Nursing PERSPECTIVE editor will discuss the “how-to” of writing for publi- Heith Battles, LPN cation including tips for increasing the success of being published. Gastroenterology nurse authors and members of the editorial board will be present to talk How important is your gastroenterology technician? one-on-one with workshop attendees. Participants will What purpose does she serve in your endoscopy lab? leave with the beginnings of a published manuscript. The endoscopy technician is an important part of the healthcare team, relating to the whole function of the endoscopy lab. Through proper training and continu- ADVANCED AUTHOR AND REVIEWER ing education, the endoscopy technician plays an WORKSHOP important role in patient safety, improved customer service, and overall efficiency of the endoscopy lab. Kathy A. Baker, PhD, RN, ACNS-BC, CGRN, FAAN This presentation will shed both light and life to the endoscopy technician focusing on endoscopic proce- This workshop, facilitated by the Gastroenterology dures including the definition of the endoscopy Nursing editor and editorial board, will offer experienced technician’s role in the endoscopy lab, training of new VOLUME 34 | NUMBER 2 | MARCH/APRIL 2011 159 Copyright © 2011 Society of Gastroenterology Nurses and Associates. Unauthorized reproduction of this article is prohibited SGA200171.qxp 3/24/11 1:50 PM Page 160 Abstracts | SGNA’s 38th Annual Course endoscopy technicians, evaluating new personalities in CORNELIA DE LANGE SYNDROME AND THE GASTROINTESTINAL ANOMALIES the endoscopy lab, and problem solving strategies. Sanjay Bhat, MD Shelley Riddle, MBA, BA, LPN, CGN CURRENT EVIDENCE REGARDING HEALTH-RELATED QUALITY OF LIFE (HRQoL) IN HEPATITIS C PATIENTS This presentation will address Cornelia de Lange Syndrome including its causes, history, diagnosis, fea- Patricia Bauch, PhD tures, characteristics, and treatment support. The Lynn Clement, MPH effects on the gastrointestinal system, care and treat- Maureen Cormier, MS, RN, NP-C ment of these patients, and family teaching and sup- Richard Sterling, MD, MSc, FACP, FACG port will also be addressed. A case study and live Tiffany Taskaya, PA-C interview with a family member will contribute to a Fulton Velez, MD unique experience. Lauri Welch, RN, NP ADVANCED HANDS-ON ERCP We reviewed studies reporting primary HRQoL data among Hepatitis C virus (HCV) patients and assessed Jeanetta Blakely relationships between RHQol, adherence, work pro- Catherine Collins, BSN, RN, CGRN ductivity, and sustained virological response (SVR). Teri Derimanoczy, MSN, RN, FNP-BC, CGRN PubMed search (4/16/2009) terms were: Hepatitis C Deborah Gates, MS, RN, CGRN OR HCV; AND Quality of Life OR QoL OR Health Maria Paulter, BSN, RN, CGRN Related Quality of Life OR hrQoL; AND Productivity Jeanine Penberthy, MSN, RN, CGRN OR Adherence OR Compliance OR General Health Status OR Treatment History. Interferon-based thera- Susan Rivers, BS, ADN, RN, CGRN pies were included. Twenty-nine of 105 articles met Christopher Robbins, BSN, RN, CGRN inclusion criteria: 14/19 (74%) found significantly Sandra Schneider, RN, CGRN lower pre-treatment HRQoL among HCV patients Linda Wiebold, BSN, RN, CGRN compared to controls. Significant on-treatment Heather Yount, RN HRQoL reductions were observed in 13/14 studies testing for significance. Significant associations were found between HRQoL and both on-treatment pro- This session will center on a hands-on equipment ductivity and adherence to therapy. Seven of 9 studies demonstration, focusing on advanced endoscopic retro- that assessed post-treatment HRQoL differences tested grade cholangiopancreatography (ERCP) and its acces- for significance; 6/9 (86%) found significantly better sories, using a step-by-step approach, and discussing RHQoL among patients achieving SVR than those equipment
Load more

Recommended publications
  • Evaluation of Nipple Discharge
    New 2016 American College of Radiology ACR Appropriateness Criteria® Evaluation of Nipple Discharge Variant 1: Physiologic nipple discharge. Female of any age. Initial imaging examination. Radiologic Procedure Rating Comments RRL* Mammography diagnostic 1 See references [2,4-7]. ☢☢ Digital breast tomosynthesis diagnostic 1 See references [2,4-7]. ☢☢ US breast 1 See references [2,4-7]. O MRI breast without and with IV contrast 1 See references [2,4-7]. O MRI breast without IV contrast 1 See references [2,4-7]. O FDG-PEM 1 See references [2,4-7]. ☢☢☢☢ Sestamibi MBI 1 See references [2,4-7]. ☢☢☢ Ductography 1 See references [2,4-7]. ☢☢ Image-guided core biopsy breast 1 See references [2,4-7]. Varies Image-guided fine needle aspiration breast 1 Varies *Relative Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate Radiation Level Variant 2: Pathologic nipple discharge. Male or female 40 years of age or older. Initial imaging examination. Radiologic Procedure Rating Comments RRL* See references [3,6,8,10,13,14,16,25- Mammography diagnostic 9 29,32,34,42-44,71-73]. ☢☢ See references [3,6,8,10,13,14,16,25- Digital breast tomosynthesis diagnostic 9 29,32,34,42-44,71-73]. ☢☢ US is usually complementary to mammography. It can be an alternative to mammography if the patient had a recent US breast 9 mammogram or is pregnant. See O references [3,5,10,12,13,16,25,30,31,45- 49]. MRI breast without and with IV contrast 1 See references [3,8,23,24,35,46,51-55].
    [Show full text]
  • Ductoscopy-Guided and Conventional Surgical Excision
    Breast Cancer Ductoscopy-guided and Conventional Surgical Excision a report by Seema A Khan, MD Department of Surgery Feinberg School of Medicine and Robert H Lurie Comprehensive Cancer Center of Northwestern University DOI: 10.17925/OHR.2006.00.00.1i Radiologic imaging is routinely used to evaluate unhelpful. Galactography has been used to evaluate women with spontaneous nipple discharge (SND), but women with SND with variable success.6,7 When SND definitive diagnosis is usually only achieved by surgical is caused by peripheral intraductal lesions, terminal duct excision (TDE). Ductoscopy has been galactography provides localizing information and can reported to result in improved localization of also assess the likelihood of malignancy,4 although intraductal lesions and may avoid surgery in women definitive diagnosis requires central or terminal duct with endoscopically normal ducts. excision (TDE). Duct excision is also therapeutic unless malignancy is discovered.2,8 Mammary endoscopy Nipple discharge is responsible for approximately 5% of (ductoscopy) is a recently introduced technique that annual surgical referrals.1 Not all forms of spontaneous may allow more precise identification and delineation nipple discharge (SND) are associated with significant of intraductal disease but is not currently a standard pathologic findings. The clinical features of SND that practice among most surgeons. Ductoscopy has been are associated with a high likelihood of intraductal reported to result in improved localization of neoplasia include unilaterality, persistence, emanation intraductal lesions9–11 and may avoid surgery in women from a single duct, and watery, serous, or bloody with endoscopically normal ducts. However, appearance.2,3 Discharges with these characteristics are ductoscopy adds to time and expense in the operating classified as pathologic and have traditionally been room (OR), and the yield of significant pathologic considered an indication for surgical excision of the lesions reported in separate series of women who are involved duct.
    [Show full text]
  • Mammary Ductoscopy, Aspiration and Lavage
    Cigna Medical Coverage Policy Effective Date ............................ 2/15/2014 Subject Mammary Ductoscopy, Next Review Date ...................... 2/15/2015 Coverage Policy Number ................. 0057 Aspiration and Lavage Table of Contents Related Coverage Policies Coverage Policy .................................................. 1 Emerging Breast Biopsy/Localization General Background ........................................... 1 Procedures Coding/Billing Information ................................. 10 Electrical Impedance Scanning (EIS) and References ........................................................ 10 Optical Imaging of the Breast Genetic Testing for Susceptibility to Breast and Ovarian Cancer (e.g., BRCA1 & BRCA2) Magnetic Resonance Imaging (MRI) of the Breast Mammography Prophylactic Mastectomy INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna companies. Coverage Policies are intended to provide guidance in interpreting certain standard Cigna benefit plans. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy. In the event of a conflict, a customer’s benefit plan document always supersedes the information in the Coverage Policies. In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Coverage determinations in each specific instance require consideration of 1) the terms of the applicable benefit plan document in effect on the date of service; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Policies and; 4) the specific facts of the particular situation.
    [Show full text]
  • Mammary Ductoscopy in the Current Management of Breast Disease
    Surg Endosc (2011) 25:1712–1722 DOI 10.1007/s00464-010-1465-4 REVIEWS Mammary ductoscopy in the current management of breast disease Sarah S. K. Tang • Dominique J. Twelves • Clare M. Isacke • Gerald P. H. Gui Received: 4 May 2010 / Accepted: 5 November 2010 / Published online: 18 December 2010 Ó Springer Science+Business Media, LLC 2010 Abstract terms ‘‘ductoscopy’’, ‘‘duct endoscopy’’, ‘‘mammary’’, Background The majority of benign and malignant ‘‘breast,’’ and ‘‘intraductal’’ were used. lesions of the breast are thought to arise from the epithe- Results/conclusions Duct endoscopes have become lium of the terminal duct-lobular unit (TDLU). Although smaller in diameter with working channels and improved modern mammography, ultrasound, and MRI have optical definition. Currently, the role of MD is best defined improved diagnosis, a final pathological diagnosis cur- in the management of SND facilitating targeted surgical rently relies on percutaneous methods of sampling breast excision, potentially avoiding unnecessary surgery, and lesions. The advantage of mammary ductoscopy (MD) is limiting the extent of surgical resection for benign disease. that it is possible to gain direct access to the ductal system The role of MD in breast-cancer screening and breast via the nipple. Direct visualization of the duct epithelium conservation surgery has yet to be fully defined. Few allows the operator to precisely locate intraductal lesions, prospective randomized trials exist in the literature, and enabling accurate tissue sampling and providing guidance these would be crucial to validate current opinion, not only to the surgeon during excision. The intraductal approach in the benign setting but also in breast oncologic surgery.
    [Show full text]
  • Mammary Ductoscopy, Aspiration and Lavage
    Medical Coverage Policy Effective Date ............................................. 1/15/2021 Next Review Date ....................................... 1/15/2022 Coverage Policy Number .................................. 0057 Mammary Ductoscopy, Aspiration and Lavage Table of Contents Related Coverage Resources Overview .............................................................. 1 Coverage Policy ................................................... 1 General Background ............................................ 2 Medicare Coverage Determinations .................. 10 Coding/Billing Information .................................. 10 References ........................................................ 10 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may
    [Show full text]
  • Ductoscope Lights up Breast Cancer Diagnosis
    April 15, 2007 • www.familypracticenews.com Women’s Health 31 Ductoscope Lights Up Breast Cancer Diagnosis BY MICHELE G. SULLIVAN Diagnostic and autofluorescence ducto- Mid-Atlantic Bureau scopies were performed before segment or duct excision or lumpectomy. The addi- O RLANDO — Light may soon take a tional time required for the ductoscopy place in the diagnostic and surgical arma- was minimal, ranging from 5 to 15 minutes, mentarium for breast cancer. and there were no associated complica- Researchers at the Technical University tions. There was no need for intravenous of Munich have developed and are cur- administration of any contrast agent be- rently evaluating the world’s first autoflu- cause the procedure uses only light. orescence ductoscope, which has the po- The paper notes that areas of suspicion tential to diagnose the earliest forms of reflected light values distinctly different intraductal breast cancer and guide surgi- from those of normal tissue. “The degree cal treatment. of blue-violet color appears to be propor- The instrument combines an autofluo- tional to the degree of alteration in this tis- rescence light source and camera already sue, just as it is in bronchoscopy,” Dr. Ja- approved in Europe for diagnostic bron- cobs said at the meeting sponsored by the choscopy with a 1.3-mm diameter ducto- Society of Laparoendoscopic Surgeons. scope. Like autofluorescence bron- “The more light we see, the more dys- choscopy, it operates on the principle that plastic the tissue should be.” healthy and dysplastic tissues reflect different percentages of light, Dr. Volker R. Jacobs said at a meeting on laparoscopy and minimally invasive surgery.
    [Show full text]
  • Breast Ductoscopy: Technical Development from a Diagnostic to an Interventional Procedure and Its Future Perspective
    Original Article · Originalarbeit Onkologie 2007;30:545–549 Published online: September 28, 2007 DOI: 10.1159/000108283 Breast Ductoscopy: Technical Development from a Diagnostic to an Interventional Procedure and Its Future Perspective Volker R. Jacobsa Stefan Paepkea Ralf Ohlingerb Susanne Grunwaldb Marion Kiechle-Bahata a Frauenklinik der Technischen Universität München, b Frauenklinik, Ernst-Moritz-Arndt-Universität, Greifswald, Germany Key Words Schlüsselwörter Ductoscopy: interventional, diagnostic, future technical Duktoskopie: interventionelle, diagnostische, zukünftige development · Breast endoscopy · Breast duct procedure, technische Entwicklung · Milchgangsendoskopie · diagnostic Milchgangsuntersuchung, diagnostische Summary Zusammenfassung Background: Endoscopy of the female breast, known as Hintergrund: Endoskopie der weiblichen Brust, bekannt als ductoscopy, is increasingly gaining acceptance as a diag- Duktoskopie, gewinnt zunehmende Akzeptanz als Diagnosti- nostic procedure worldwide. Recent technical development kum weltweit. Neue technische Weiterentwicklungen von of ductoscopes and micro-instruments is shifting research Duktoskopen sowie dazugehörigen Mikroinstrumenten rich- interest from diagnostic to interventional ductoscopy. We ten das Forschungsinteresse von der diagnostischen auf die describe novel technical aspects and the resulting possible interventionelle Duktoskopie, die zum gegenwärtigen Zeit- future perspective of ductoscopy. Methods: This study com- punkt noch experimentell ist. Wir beschreiben diese neuarti-
    [Show full text]
  • Ochsneroutcomes
    PUBLISHED 2 016 OCHSNEROUTCOMES Digestive Diseases Patient referrals, transfers and consults are critically important, and we want to make it easy for referring providers and their staff. To refer your patient for a clinic appointment, call our Clinic Concierge at 855.312.4190. Ochsner’s longstanding tradition of bringing physicians together to improve health outcomes continues today. Our goals are to work together with our referring providers to serve the needs of patients and to provide coordinated treatment through partnerships that put patients first. We have automated physician-to-physician patient care summaries for hospital encounters and enhanced the patient experience by giving patients the ability to schedule appointments online. Close coordination and collaboration begin with transparency and access to the data you need to make informed decisions when advising your patients about care options. OchsnerOutcomes, a compilation of clinical data, represents only part of our efforts to better define the quality of Ochsner’s care and to share that information with you. Trusted, independent organizations give the highest marks to Ochsner’s quality. Ochsner Medical Center was the only healthcare institution in Louisiana to receive Warner L. Thomas national rankings in six specialties from U.S. News & World Report for 2015–2016. President & Chief Executive Officer Additionally, CareChex® named Ochsner Medical Center, Ochsner Baptist, a Campus Ochsner Health System of Ochsner Medical Center and Ochsner Medical Center – West Bank Campus among the top 10% in the nation in 17 different specialties and, for the fourth year in a row, Ochsner was named #1 in the country for liver transplant.
    [Show full text]
  • Local Coverage Determination for Noncovered Services Other Than
    Local Coverage Determination (LCD): Noncovered Services other than CPT® Category III Noncovered Services (L36954) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information Contractor Name Contract Type Contract Number Jurisdiction State(s) Palmetto GBA A and B and HHH MAC 11201 - MAC A J - M South Carolina Palmetto GBA A and B and HHH MAC 11202 - MAC B J - M South Carolina Palmetto GBA A and B and HHH MAC 11301 - MAC A J - M Virginia Palmetto GBA A and B and HHH MAC 11302 - MAC B J - M Virginia Palmetto GBA A and B and HHH MAC 11401 - MAC A J - M West Virginia Palmetto GBA A and B and HHH MAC 11402 - MAC B J - M West Virginia Palmetto GBA A and B and HHH MAC 11501 - MAC A J - M North Carolina Palmetto GBA A and B and HHH MAC 11502 - MAC B J - M North Carolina Back to Top LCD Information Document Information LCD ID Original Effective Date L36954 For services performed on or after 06/05/2017 LCD Title Revision Effective Date Noncovered Services other than CPT® Category III For services performed on or after 08/17/2017 Noncovered Services Revision Ending Date Proposed LCD in Comment Period N/A N/A Retirement Date Source Proposed LCD N/A DL36954 Notice Period Start Date AMA CPT / ADA CDT / AHA NUBC Copyright Statement 04/20/2017 CPT only copyright 2002-2017 American Medical Association. All Rights Reserved. CPT is a registered Notice Period End Date trademark of the American Medical Association.
    [Show full text]
  • Bulletin July 2009
    JULY 2009 Volume 94, Number 7 FEATURES Stephen J. Regnier Does the U.S. have the best Editor health care system in the world? 8 Linn Meyer Ronald D. Wenger, MD, FACS Director, Division of Integrated Communications ACS promotes the six competencies of the Accreditation Council for Graduate Medical Education 16 Tony Peregrin B. J. Palmer, MD; Victor Stams, MD; Thomas R. Russell, MD, FACS; Associate Editor Alden H. Harken, MD, FACS; and L. D. Britt, MD, FACS Diane S. Schneidman Karen Stein Equipment for ambulances 23 American College of Surgeons Committee on Trauma, American College Contributing Editors of Emergency Physicians, National Association of EMS Physicians, Tina Woelke Pediatric Equipment Guidelines Committee–Emergency Medical Services Graphic Design Specialist for Children Partnership for Children Stakeholder Group, and American Alden H. Harken, Academy of Pediatrics MD, FACS Governors’ Committee on Chapter Activities: An update 30 Charles D. Mabry, Lenworth M. Jacobs, Jr., MD, MPH, FACS MD, FACS Jack W. McAninch, Residents salute their mentors 32 MD, FACS Editorial Advisors My mentor: The persistent calm: Anthony Stallion, MD, FACS 33 Tina Woelke Kaine C. Onwuzulike, MD, PhD Mary Beth Cohen My mentor: Front cover design The ideal surgical mentor: R. Anthony Perez-Tamayo, MD, FACS 34 Daniel Eiferman, MD Future meetings 2009 Clinical Congress Preliminary Program 35 Clinical Congress 2009 Chicago, IL, October 11-15 DEPARTMENTS 2010 Washington, DC, October 3-7 From my perspective 4 2011 San Francisco, CA, Editorial by Thomas R. Russell, MD, FACS, ACS Executive Director October 23-27 What surgeons should know about... 6 The surgical CAHPS survey Letters to the Editor should Elizabeth W.
    [Show full text]
  • Assessment of Utility of Ductal Lavage and Ductoscopy in Breast Cancer—A Retrospective Analysis of Mastectomy Specimens Sunil Badve, M.B, B.S., M.D
    Assessment of Utility of Ductal Lavage and Ductoscopy in Breast Cancer—A Retrospective Analysis of Mastectomy Specimens Sunil Badve, M.B, B.S., M.D. (Path), F.R.C.Path, Elizabeth Wiley, M.D., Norma Rodriguez, M.D. Northwestern University Medical School, Chicago, Illinois (SB, EW, NR) and Indiana University School of Medicine, Indianapolis, Indiana (SB) ducts of the 15–20 ducts that open at the nipple, Early detection of breast lesions continues to be they might fail to detect focal abnormalities. an important goal in the management of breast cancer. At present, mammographic imaging in KEY WORDS: Ductal lavage, Fiberoptic ductoscopy, addition to physical examination is the main Nipple involvement. screening method for the detection of cancer. Mod Pathol 2003;16(3):206–209 Fiberoptic ductoscopy and duct lavage are being recently used to evaluate patients at risk for Breast cancer is the most frequent type of cancer in breast cancer. Both techniques examine the women and will affect 1 in 12 women during their nipple and central duct area to identify intra- lifetime (1). Physical examination and mammo- ductal lesions. In this study, we examined the graphic imaging are the currently used methods for frequency of involvement of these structures in screening for breast cancer. Although larger cancers mastectomy specimens as a surrogate marker to are easily detected by these methods, smaller tu- estimate the utility of these methods in breast mors can be missed, especially if they arise in cancer patients. The presence and type of in- densely fibrotic breast tissue. The combination of volvement of the nipple and central duct area these screening methods with targeted biopsies ul- was retrospectively evaluated in 801 mastec- timately has resulted in earlier detection and treat- tomy specimens from a 4-year period that had ment of breast cancers.
    [Show full text]
  • The Investigation of a New Breast Symptom: a Guide for General Practitioners 2017
    The investigation of a new breast symptom: a guide for General Practitioners 2017 Summary of the development process and methodology The investigation of a new breast symptom: a guide for General Practitioners 2017, Summary of the development process and methodology was prepared and produced by: Cancer Australia Locked Bag 3 Strawberry Hills NSW 2012 Australia Tel: +61 2 9357 9400 Fax: +61 2 9357 9477 canceraustralia.gov.au © Cancer Australia 2017. ISBN Online: 978-1-74127-322-9 Recommended citation Cancer Australia, 2017. The investigation of a new breast symptom: a guide for General Practitioners 2017, Summary of the development process and methodology, Cancer Australia, Surry Hills, NSW. The investigation of a new breast symptom: a guide for General Practitioners 2017, Summary of the development process and methodology can be downloaded from the Cancer Australia website: canceraustralia.gov.au or ordered by telephone: 1800 624 973. Copyright statements Paper-based publications This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from Cancer Australia to do so.
    [Show full text]