BACKGROUND Improving and sustaining the quality of care in hospitals is an intractable and persistent challenge. The patients' experience of the quality of hospital care can provide insightful feedback to enable clinical teams to direct quality improvement efforts in areas where they are most needed. Yet, patient experience is often marginalised in favour of aspects of care that are easier to q...

Modern cardiac pacemakers are complex and heterogenous devices. The potential effect of electrically powered instruments on a patient's pacemaker function must be carefully evaluated before treatment. Interference with the pacemaker's function by the instrument depends on the specific type of pacemaker placed and the patient's dependence on it. A case is presented in which an electronic apex lo...

Intra-articular malunions represent an exceptional technical challenge for the treating surgeon. Multidetector CT scans (MDCT) with three-dimensional (3D) surface rendered images are increasingly used not only for the evaluation of malunions, but also to develop a road map for surgery in patients who have been selected for corrective osteotomy.1,10,12 CTbased virtual pre-operative planning, inc...

BACKGROUND The objective of this study was to determine the applicability of the term bother, as used in Patient Reported Outcomes (PRO) instruments that will be translated into foreign languages from English for the United States. Bother is versatile in English for the U.S., in that it can describe negative mental states and physical sensations, as well as social disturbances. Bother has many ...

OBJECTIVE Non-restorative sleep (NRS) is a core symptom of insomnia, typically defined as a subjective feeling of being unrefreshed upon awakening. NRS symptoms have been less consistently studied than other symptoms of insomnia, and there is no consensus regarding measurement of NRS. Given its subjective nature, patient-reported outcome (PRO) instruments are important for evaluating NRS sympto...