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2015 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 1 – 4, 2015 at the Hilton Suites Chicago/Magnificent Mile, Chicago, Illinois, for our 15th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 15th 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 Suites Chicago in the heart of incredible Chicago.

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!

Register now for the 2015 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 nonintensivist 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 nonintensivist 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 15th Annual AASPA CME Meeting at the Hilton Suites Chicago/Magnificent Mile.

Register today!


RFA therapy shows promise in treating pancreatic cancer
By Dr. Afsaneh Motamed-Khorasani
Pancreatic cancer has been ranked as the fourth-leading cause of cancer-related mortality in the West with 20 percent, 40 percent and 40 percent of the cases presented with a resectable lesion, unresectable locally advanced and metastatic disease, respectively. Pancreatic ductal adenocarcinoma (PDAC) has been reported to be one of the most aggressive types of pancreatic cancers, as well as having the highest occurrence among pancreatic cancers with poor chemoradiation results.
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Laser ablation shows benefit for tumors near the spine
Medscape (free login required)
The use of a magnetic resonance (MR)–guided laser ablation technique shows success as a minimally invasive alternative to separation surgery in high-grade malignant spinal cord compression, a new study on the technique suggests. "This is a good, minimally invasive alternative to surgery for patients with a high surgical risk," said Claudo Tatsui, MD, a neurosurgeon with the University of Texas MD Anderson Cancer Center, Houston, Texas, in presenting the findings here at the American Association of Neurological Surgeons (AANS) 83rd Annual Meeting.
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FDA approves Raplixa for controlling bleeding during surgery
General Surgery News
The FDA has approved both Raplixa (fibrin sealant, ProFibrix BV) and the RaplixaSpray device (The Medicines Company) for controlling mild to moderate bleeding during surgery. Raplixa is indicated for use in adults to help control bleeding from small blood vessels when sutures, ligature and other standard surgical techniques are ineffective or impractical, according to the FDA. Raplixa contains fibrinogen and thrombin. When this biological product is dissolved in the blood, it causes a reaction between these two proteins to form blood clots to help stop the bleeding.
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Study sees improving survival odds for ovarian cancer
HealthDay News via U.S. News & World Report
Women diagnosed with ovarian cancer, traditionally viewed as an aggressive killer, are much more likely to survive the disease than they were several decades ago, new research shows. "Ovarian cancer, unfortunately, is associated with a very high death rate," said study author Dr. Jason Wright, a professor of obstetrics and gynecology at Columbia University College of Physicians and Surgeons in New York City. But that seems to be changing, he said.
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Imaging techniques accurately diagnose cartilage defects
Use of several imaging techniques can help orthopedic surgeons accurately diagnose cartilage defects or injuries in patients, according to a presenter at the International Cartilage Repair Society Annual Meeting. “By use of vast imaging techniques, cartilage defects or injuries can be precisely diagnosed,” Milena Pachowsky, of the University of Erlangen-Nuremberg, Erlangen, Germany, said in her presentation. “… It helps the surgeon form decision making, it helps to find the appropriate therapy, it also helps to monitor the results of the surgery and early complications can be detected.”
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Future implications of the increase in middle-aged hip replacements
By Dorothy L. Tengler
Modern total hip replacement (THR) was first performed in the early 1960s, and the surgeon who pioneered the procedure was honored with knighthood by the Queen of England. Since then, joint replacement surgeries have been remarkably successful in improving patients' quality of life. In fact, there has been a significant positive impact on health and quality of life that total joint replacement surgeries have made since the era of total joint replacement began in 1969 — the year that Mayo Clinic became the first in the United States to perform THRs.
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Surgeon volume affects costs in pituitary tumor care
For patients with transsphenoidal pituitary tumors, hospital charges, costs, and length of stay are increased with lower-volume surgeons, according to a study presented at the annual meeting of the American Association of Neurological Surgeons, held from May 2–6 in Washington, D.C. Charles Lee, from the University of Rochester in New York, and colleagues conducted a surgeon volume-cost analysis on pituitary tumor surgery from 2008–2011. All patients underwent elective surgery and were discharged to home or self-care.
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Aetna won't pay for most fibroid removal using morcellators
Medscape (free login required)
Health insurer Aetna will no longer cover most hysterectomies and myomectomies that utilize power morcellators to remove uterine fibroid tumors "because the safety and efficacy of this approach has not been demonstrated," the company said. The new policy, which takes effect May 15, is the latest backlash against a medical device in the toolbox of gynecologic surgeons that they once took for granted.
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CABG outcomes similar when performed by residents, attending surgeons
Outcomes in patients who underwent CABG were similar whether the procedure was performed by a cardiac surgery resident or an attending surgeon, according to a prospective analysis of the ROOBY trial presented at the American Association for Thoracic Surgery Annual Meeting. The ROOBY trial included 2,203 patients enrolled across 18 Veterans Affairs medical centers.
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In late post-surgical colon 'leaks,' finger points to microbes
Medical Xpress
Post-surgical leaks that develop after a segment of the colon has been removed and stitched back together often are caused not by negligence or technical error but by bacteria in the bowel that elude antibiotics, according to new evidence about this devastating complication of gastrointestinal surgery. Such leaks, which can develop days or weeks after the procedure, allow the bowel's contents to spill into the abdomen and can cause pain, fever, sepsis and even death.
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Missed last week's issue? See which articles your colleagues read most.

    Researchers solve mystery of deadly transplant infection (Medical Xpress)
How to avoid health system staff turnover and employee poaching (By Scott E. Rupp)
ASBS: Less invasive mastectomy technique holds promise (MedPage Today)
Plastic surgeons find association between carpal tunnel syndrome and migraine headache (News-Medical)
FDA approves raplixa for controlling bleeding during surgery (Anesthesiology News)

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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Jessica Taylor, Senior Medical Editor, 469.420.2661   
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