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2014 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 23-26, 2014 at the Hilton Union Square in San Francisco, CA, for our 14th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 14th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

This exciting, hands-on surgical meeting will be held at the fabulous Hilton Union Square in the heart of incredible San Francisco, CA.

If you are looking for a qualified surgical PA, this is the ideal venue to fill that position. For industry exhibitors looking for "high touch face time" with surgical PAs, this is the ideal meeting for you!

Click here to REGISTER NOW for best pricing!
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Register now for the 2014 FCCS — Fundamental Critical Care Support
Management principles for the first 24 hours of critical care. Two day course - 16 hours of CME and Certificate of Completion and card.

Course Purpose
  • To better prepare the non-intensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged.
  • To assist the non-intensivist in dealing with sudden deterioration of the critically ill patient.
  • To prepare house staff for ICU coverage.
  • To prepare critical care practitioners to deal with acute deterioration in the critically ill patient.
Course will be held before the 14th Annual AASPA CME Meeting at the Hilton Union Square, San Francisco, CA
Register today!
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Antibiotics instead of surgery for appendicitis in children
The Washington Post
Children rushed to hospitals with appendicitis are routinely treated surgically. But a new study indicates that many of them may be able to avoid going under the knife — or more accurately, the laparoscope — and be treated with antibiotics instead. Researchers from Nationwide Children’s Hospital in Columbus, Ohio, offered a choice of surgery or antibiotics to 77 patients with uncomplicated cases of appendicitis over the course of a year. Thirty chose to address the infection with the medication, rather than the traditional surgical procedure. Physicians were able to eliminate the problem in 27 of them, with no recurrence after 30 days.
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Doctor developing puncture-resistant medical gloves nets follow-on funding
MedCity News
A surgeon who is developing a set of medical gloves to reduce the pain and potential danger associated with needle punctures has received follow-on funding from the New Jersey Health Foundation, according to a statement from the foundation. The glove is intended to mitigate the risk healthcare workers face of contracting viruses such as Hepatitis C or HIV. The challenge is to design a medical glove that offers enough protection without undermining flexibility or tactile sensation and dexterity. The market for disposable medical gloves is expected to climb to $4 billion by 2017
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Robots and surgeons equally safe for prostatectomy
Medscape (free subscription)
A comparison of robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP) in more than 5000 Medicare patients has found that the 2 procedures are equally safe. This finding comes from a study published online April 14 in the Journal of Clinical Oncology. The study results also show a similar rate of complications with the 2 procedures, although when early results from the study were presented at the 2012 annual congress of the European Association of Urology, the results favored RARP superiority.
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Femtosecond laser has applications in glaucoma surgery
Ocular Surgery News
Considering the recent technological progress of femtosecond laser platforms, aided by 3-D imaging, glaucoma surgeons may now find femtosecond lasers beneficial in their own practices, according to a speaker here at Glaucoma Day preceding the American Society of Cataract and Refractive Surgery annual meeting. “Femtosecond laser cataract surgery is a novel technology,” Eric D. Donnenfeld, M.D., told attendees. “Patients are enjoying it. It’s computer-controlled with laser accuracy, it improves capsulotomies in difficult eyes, it reduces phacoemulsification time and energy, and treats astigmatism. I think it may be very advantageous for some of those difficult glaucoma and cataract patients glaucoma surgeons handle on a regular basis.”
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Surgical recording, viewing system debuts
Opthamology Times
Sony Electronics introduced its new recording and viewing system designed to capture and record full high-definition surgical video. Significant workflow gains are anticipated with the pairing of the Sony MCC-500MD medical video camera and the HVO-550MD medical recorder with DVD optical drive, according to the company.

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Experimental treatment repairs abdominal aortic aneurysms
The Spokesman-Review
On-again, off-again stomach pain had bothered home remodeler Jerome Holiday for more than a year, but in January, it worsened to the point of slowing him down. “If I was up on a ladder, I would have to come down,” the 59-year-old Pittsburgh resident said. “If I was doing something strenuous, I would have to stop.” Holiday had a potentially fatal abdominal aortic aneurysm, which doctors at Allegheny General Hospital repaired with an experimental procedure that could prove more effective and patient-friendly than the one that’s standard now.

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Is your operating room leaking money?
MedCity News
Organic growth of total joint replacement volume is growing at 3-4% per year as the number of physicians entering orthopedic residency programs is in decline. Cuts in Medicare reimbursement for total joints is forecast every year, producing stressors for the surgeon to perform more surgery just to tread water financially.

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Surgery can help straighten spines of youths with scoliosis
Miami Herald
As high school ballerina Helena Roberts pliéd across the stage in March, there was no indication of the years she spent suffering from scoliosis. Helena, 18, owes the opportunity to dance as the fairy godmother in the Pine Crest School’s production of Cinderella to a spinal fusion surgical procedure she underwent at Miami Children’s Hospital two years ago.
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Radical surgery for mesothelioma: Still controversial
Medscape (free subscription)
The role of radical surgery in the treatment of malignant pleural mesothelioma has been the subject of much heated debate in the last few years, as thoracic surgeons argue over the details of a small but landmark clinical trial that failed to show any benefit from a highly complex operation, extrapleural pneumonectomy (EPP). That operation has now largely fallen out of favor, and has been replaced to some extent by a slightly less radical operation, but the role of surgery in the management of mesothelioma is still very controversial. This approach "remains experimental," experts said recently at the 2014 European Lung Cancer Conference (ELCC), while others believe that it belongs only in clinical trials.
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Plastic surgeons present research on facial fat volumization, stem cell use
A panel of plastic surgeons presented findings on facial fat volumization and the use of fat as a rejuvenator through the harvesting of stem cells, during The Aesthetic Meeting in San Francisco. “The use of fat to add volume to the face is the best thing to happen to plastic surgery since the debut of the facelift,” panelist Val Lambros, M.D., said in a press release from the American Society for Aesthetic Plastic Surgery. “It is truly the best substance imaginable when used appropriately and in reasonable quantities.”
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Improving outcomes for ruptured abdominal aortic aneurysm
Healthcare Professionals Network
Although ruptured abdominal aortic aneurysm (rAAA) is rare and usually asymptomatic, it is a rapidly life-threatening condition with outcomes that differ greatly by country. The March 2014 issue of Lancet looked at the differences in rAAA outcomes between the United States and England with an eye toward improving care. Using the United States’ Nationwide Inpatient Sample and England’s equivalent database, the Hospital Episode, the paper analyzed data for all patients admitted to a hospital with rAAA from 2005 to 2010, comparing in-hospital mortality, mortality after intervention, and the decision to follow non-corrective treatment.
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Missed last week's issue? See which articles your colleagues read most.

    Lung disease treatment without major surgery (The Wall Street Journal)
Study: Age a big factor in colon surgery complications (HealthDay News via U.S. News & World Report)
Overcoming communication challenges of EHRs (By Jessica Taylor)
Study may help heart failure through the Parachute Ventricular Partitioning Device (Medical Xpress)
FDA discourages procedure for uterine fibroids (The Boston Globe)

Don't be left behind. Click here to see what else you missed.


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Colby Horton, Vice President of Publishing, 469.420.2601
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