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https://www.readbyqxmd.com/read/28078474/clinical-audit-effectively-bridges-the-evidence-practice-gap-in-chronic-subdural-haematoma-management
#1
Jignesh Tailor, D Fernando, Z Sidhu, R Foley, K D Abeysinghe, D C Walsh
BACKGROUND: Placement of a subdural drain after drainage of chronic subdural haematoma (CSDH) has been shown to reduce the rate of recurrence in several randomised controlled trials (RCT). The most recently published RCT was from Cambridge, UK, in 2009. Despite class I evidence for the use of subdural drains, it is unclear whether these results have been translated into clinical practice. In this clinical audit we review the use of subdural drains in our institution before and after the publication of the 2009 RCT results...
January 11, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27932858/one-stage-bone-strip-reconstruction-technique-with-balloon-sinus-dilatation-surgery-for-chronic-maxillary-atelectasis
#2
Tomoyuki Kashima, Robert A Goldberg, Jocelyne C Kohn, Daniel B Rootman
PURPOSE: Chronic maxillary atelectasis is characterized by unilateral spontaneous enophthalmos and hypoglobus due to increased orbital volume secondary to maxillary sinus inward deformation. Reformation of the sinus architecture and reconstruction of the orbit are key to a successful outcome. Here, we introduce a one-staged surgery that addresses both these goals. PATIENTS AND METHODS: We retrospectively reviewed 11 patients treated with one-stage orbital and sinus surgery...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27932164/retzius-space-preservation-technique-for-robotic-assisted-laparoscopic-radical-prostatectomy-in-a-kidney-transplant-patient-first-case-in-thailand-and-our-first-experience
#3
P Jenjitranant, P Sangkum, P Sirisreetreerux, W Viseshsindh, S Patcharatrakul, W Kongcharoensombat
OBJECTIVE: The aim of this work was to report our experience in robotic-assisted laparoscopic radical prostatectomy for the treatment of localized prostate cancer in a kidney transplant recipient. METHODS: A 73-year-old man with chronic renal failure underwent living-donor kidney transplantation (KT) in 1993. His baseline creatinine after KT was ∼1.2 mg/dL. He developed lower urinary tract symptoms in 1999. He was diagnosed with benign prostatic hyperplasia and treated accordingly...
November 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27913580/responding-to-challenges-for-people-with-psychotic-illness-updated-evidence-from-the-survey-of-high-impact-psychosis
#4
REVIEW
Vera A Morgan, Anna Waterreus, Vaughan Carr, David Castle, Martin Cohen, Carol Harvey, Cherrie Galletly, Andrew Mackinnon, Patrick McGorry, John J McGrath, Amanda L Neil, Suzy Saw, Johanna C Badcock, Debra L Foley, Geoff Waghorn, Sarah Coker, Assen Jablensky
OBJECTIVE: The objective is to summarise recent findings from the 2010 Australian Survey of High Impact Psychosis (SHIP) and examine their implications for future policy and planning to improve mental health, physical health and other circumstances of people with a psychotic disorder. METHODS: Survey of High Impact Psychosis collected nationally representative data on 1825 people with psychotic illness. Over 60 papers have been published covering key challenges reported by participants: financial problems, loneliness and social isolation, unemployment, poor physical health, uncontrolled symptoms of mental illness, and lack of stable, suitable housing...
December 1, 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/27832900/severe-mitral-annular-calcification-multimodality-imaging-for-therapeutic-strategies-and-interventions
#5
REVIEW
Mackram F Eleid, Thomas A Foley, Sameh M Said, Sorin V Pislaru, Charanjit S Rihal
Mitral annular calcification (MAC) is a chronic degenerative process associated with advanced age and conditions predisposing to left ventricular hypertrophy. Assessment of mitral valve disease in patients with severe MAC can be a challenge. When severe MAC results in mitral stenosis or regurgitation, multimodality imaging with 2-dimensional, 3-dimensional, and Doppler echocardiography and cardiac computed tomography angiography can delineate the severity and pathoanatomic features to help guide therapeutic strategies...
November 2016: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/27802106/a-simple-innovative-alternative-for-irrigation-aspiration-in-orthopedic-infections-using-a-foley-catheter
#6
Jagannath Kamath, Nikil Jayasheelan, Ankush Bansal, Rajashekar Danda, Girish Muppala
BACKGROUND: The purpose of the study was to investigate the role of the Foley catheter in maximizing surgical debridement in patients with chronic osteomyelitis. PATIENTS AND METHODS: During surgical debridement in patients with chronic osteomyelitis, the medullary cavity is reamed thoroughly. The bulb of the Foley catheter is inflated with saline to facilitate the removal of the outer wall of the bulb using scissors. A guide wire is fed into the larger lumen of the Foley catheter up to its tip...
December 2016: Surgical Infections
https://www.readbyqxmd.com/read/27767680/postoperative-urinary-retention-in-patients-undergoing-elective-spinal-surgery
#7
David Altschul, Andrew Kobets, Jonathan Nakhla, Ajit Jada, Rani Nasser, Merritt D Kinon, Reza Yassari, John Houten
OBJECTIVE Postoperative urinary retention (POUR) is a common problem leading to morbidity and an increased hospital stay. There are limited data regarding its baseline incidence in patients undergoing spinal surgery and the risk factors with which it may be associated. The purpose of this study was to evaluate the incidence of POUR in elective spine surgery patients and determine the factors associated with its occurrence. METHODS The authors retrospectively reviewed the records of patients who had undergone elective spine surgery and had been prospectively monitored for POUR during an 18-month period...
October 21, 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27711208/modeled-impacts-of-chronic-wasting-disease-on-white-tailed-deer-in-a-semi-arid-environment
#8
Aaron M Foley, David G Hewitt, Charles A DeYoung, Randy W DeYoung, Matthew J Schnupp
White-tailed deer are a culturally and economically important game species in North America, especially in South Texas. The recent discovery of chronic wasting disease (CWD) in captive deer facilities in Texas has increased concern about the potential emergence of CWD in free-ranging deer. The concern is exacerbated because much of the South Texas region is a semi-arid environment with variable rainfall, where precipitation is strongly correlated with fawn recruitment. Further, the marginally productive rangelands, in combination with erratic fawn recruitment, results in populations that are frequently density-independent, and thus sensitive to additive mortality...
2016: PloS One
https://www.readbyqxmd.com/read/27555314/the-virtual-obstetrical-intensive-care-unit-providing%C3%A2-critical-care-for-contemporary-obstetrics-in%C3%A2-nontraditional%C3%A2-locations
#9
Michael P Leovic, Hailey N Robbins, Michael R Foley, Roman S Starikov
Management of the critically ill pregnant patient presents a clinical dilemma in which there are sparse objective data to determine the optimal setting for provision of high-quality care to these patients. This clinical scenario will continue to present a challenge for providers as the chronic illness and comorbid conditions continue to become more commonly encountered in the obstetric population. Various care models exist across a broad spectrum of facilities that are characterized by differing levels of resources; however, no studies have identified which model provides the highest level of care and patient safety while maintaining a reasonable degree of cost-effectiveness...
December 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27472791/impact-of-a-psychological-opioid-risk-evaluation-on-opioid-prescribing-in-primary-care
#10
Alison M Vargovich, Daniel W McNeil, Kimberly P Foley, Jeannie Sperry
BACKGROUND AND OBJECTIVES: The misuse and abuse of opioids has increased across the United States in recent years, associated with a rise in opioid-related overdose deaths. Physicians report having difficulty discerning substance abuse or drug diversion, which can lead to over- or under-prescribing of opioids and poor pain management. Additionally, research suggests that patient characteristics (eg, sex, ethnicity/race, age) may unduly influence the pain management decisions of health care providers...
July 2016: Family Medicine
https://www.readbyqxmd.com/read/27438382/illicit-substance-use-in-us-adults-with-chronic-low-back-pain
#11
Anna Shmagel, Erin Krebs, Kristine Ensrud, Robert Foley
STUDY DESIGN: A population-based cross-sectional survey. OBJECTIVE: The aim of this study was to compare the prevalence of illicit drug use among US adults with and without chronic low back pain (cLBP). SUMMARY OF BACKGROUND DATA: Although addictive medications, such as opioids and benzodiazepines, are frequently prescribed to patients with cLBP, little is known about illicit drug use among Americans with cLBP. METHODS: We used data from the back pain survey, administered to a representative sample of US adults aged 20 to 69 years (N = 5103) during the 2009 to 2010 cycle of the National Health and Nutrition Examination Survey (NHANES)...
September 2016: Spine
https://www.readbyqxmd.com/read/27429736/estrous-cycle-influences-excitatory-amino-acid-transport-and-visceral-pain-sensitivity-in-the-rat-effects-of-early-life-stress
#12
Rachel D Moloney, Jahangir Sajjad, Tara Foley, Valeria D Felice, Timothy G Dinan, John F Cryan, Siobhain M O'Mahony
BACKGROUND: Early-life stress (ELS) is a recognized risk factor for chronic pain disorders, and females appear to be more sensitive to the negative effects of stress. Moreover, estrous cycle-related fluctuations in estrogen levels have been linked with alternating pain sensitivity. Aberrant central circuitry involving both the anterior cingulate cortex (ACC) and the lumbosacral spinal cord has also been implicated in the modulation of visceral pain in clinical and preclinical studies...
2016: Biology of Sex Differences
https://www.readbyqxmd.com/read/27344942/the-selective-5-ht6-receptor-antagonist-slv-has-putative-cognitive-and-social-interaction-enhancing-properties-in-rodent-models-of-cognitive-impairment
#13
N M W J de Bruin, A van Loevezijn, K M Wicke, M de Haan, J Venhorst, J H M Lange, L de Groote, M A W van der Neut, J Prickaerts, E Andriambeloson, A G Foley, M van Drimmelen, M van der Wetering, C G Kruse
In the present study, our aim was to investigate whether the novel highly selective 5-hydroxytryptamine6 (5-HT6) receptor antagonist SLV can ameliorate impairments in cognition and social interaction with potential relevance for both schizophrenia and Alzheimer's disease (AD). SLV sub-chronically - treated Wistar rats reared in isolation showed significantly enhanced prepulse inhibition (PPI) and object recognition performance when compared to vehicle - treated rats. In the isolated rats, also a significant reduction in expression of hippocampal neural cell adhesion molecule polysialylation (NCAM-PSA) was found which was ameliorated following treatment with SLV (30mg/kg)...
September 2016: Neurobiology of Learning and Memory
https://www.readbyqxmd.com/read/27343756/the-cytoskeleton-as-a-novel-target-for-treatment-of-renal-fibrosis
#14
Alan R Parrish
The incidence of chronic kidney disease (CKD) is increasing, with an estimated prevalence of 12% in the United States (Synder et al., 2009). While CKD may progress to end-stage renal disease (ESRD), which necessitates renal replacement therapy, i.e. dialysis or transplantation, most CKD patients never reach ESRD due to the increased risk of death from cardiovascular disease. It is well-established that regardless of the initiating insult - most often diabetes or hypertension - fibrosis is the common pathogenic pathway that leads to progressive injury and organ dysfunction (Eddy, 2014; Duffield, 2014)...
October 2016: Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27297228/sedentary-behavior-in-adults-with-visual-impairments
#15
Brooke E Starkoff, Elizabeth K Lenz, Lauren Lieberman, John Foley
BACKGROUND: Specific sedentary behaviors (SB) are associated with risk factors for preventable chronic health conditions in adults, yet time participating in SB has increased over the years. OBJECTIVE: To explore the SB habits of individuals with visual impairments (VI) and the relationship with self-reported visual acuity (VA). METHODS: Individuals participated in this cross-sectional study by completing the Patient-centered Assessment & Counseling for Exercise (PACE+) Sedentary Behavior Questionnaire (SBQ) for adults to assess estimated time spent in nine SB...
October 2016: Disability and Health Journal
https://www.readbyqxmd.com/read/27261788/urinary-retention-in-surgical-patients
#16
REVIEW
Urszula Kowalik, Mark K Plante
Urinary retention is an important and potentially avoidable postoperative complication. Identifying risk factors for retention is important given expedient bladder decompression is important for long-term outcomes. Age, benign prostatic hyperplasia, and lower urinary tract symptoms are patient factors that predispose to retention. Surgery-related factors include operative time, intravenous fluid administration, type of anesthesia, and procedure type. The mainstay for treatment in the acute setting is Foley catheter placement...
June 2016: Surgical Clinics of North America
https://www.readbyqxmd.com/read/27179057/can-creatinine-height-index-predict-weaning-and-survival-outcomes-in-patients-on-prolonged-mechanical-ventilation-after-critical-illness
#17
Debapriya Datta, Raymond Foley, Rong Wu, James Grady, Paul Scalise
OBJECTIVE: Malnutrition is common in chronic critically ill patients on prolonged mechanical ventilation (PMV) and may affect weaning. The creatinine height index (CHI), which reflects lean muscle mass, is regarded as the most accurate indicator of malnutrition. The objective of this study was to determine the impact of CHI in comparison with other traditional nutritional indices on successful weaning and survival in patients on PMV after critical illness. METHODS: Records of 167 patients on PMV following critical illness, admitted for weaning, were reviewed...
May 13, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27154847/filgrastim-stimulated-bone-marrow-compared-with-filgrastim-mobilized-peripheral-blood-in-myeloablative-sibling-allografting-for-patients-with-hematologic-malignancies-a-randomized-canadian-blood-and-marrow-transplant-group-study
#18
Stephen Couban, Mahmoud Aljurf, Sylvie Lachance, Irwin Walker, Cynthia Toze, Morel Rubinger, Jeffrey H Lipton, Stephanie J Lee, Richard Szer, R Doocey, Ian D Lewis, Lothar Huebsch, Kang Howson-Jan, Michel Lalancette, Fahad Almohareb, Nadeem Chaudhri, Sabine Ivison, Raewyn Broady, Megan Levings, Diane Fairclough, Gerald Devins, David Szwajcer, Ronan Foley, Clayton Smith, Tony Panzarella, Holly Kerr, Amina Kariminia, Kirk R Schultz
In adult hematopoietic cell transplantation (HCT), filgrastim-mobilized peripheral blood (G-PB) has largely replaced unstimulated marrow for allografting. Although the use of G-PB results in faster hematopoietic recovery, it is also associated with more chronic graft-versus-host disease (cGVHD). A potential alternative allograft is filgrastim-stimulated marrow (G-BM), which we hypothesized may be associated with prompt hematopoietic recovery but with less cGVHD. We conducted a phase 3, open-label, multicenter randomized trial of 230 adults with hematologic malignancies receiving allografts from siblings after myeloablative conditioning to compare G-PB with G-BM...
August 2016: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/27123280/feasibility-and-early-outcome-of-high-dose-rate-ir-192-brachytherapy-as-monotherapy-in-two-fractions-within-1-day-for-high-very-high-risk-prostate-cancer
#19
Shingo Ashida, Ichiro Yamasaki, Kenji Tamura, Tsutomu Shimamoto, Keiji Inoue, Shinji Kariya, Kana Kobayashi, Takuji Yamagami, Taro Shuin
The aim of the present study was to evaluate the feasibility and preliminary outcomes of high-dose-rate (HDR)-brachytherapy as a monotherapy in two fractions within 1 day for localized prostate cancer, including high-/very high-risk cases. Among the 68 patients treated with HDR monotherapy between July 2011 and December 2014, 65 had a minimal follow-up of 12 months without adjuvant androgen deprivation therapy and were enrolled in the present study [42/65 (64.6%) exhibited high-/very high-risk diseases]. HDR monotherapy was performed in two fractions with a minimal interval of 6 h and the prescribed dose was 13...
May 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/27084551/endovascular-therapy-for-chronic-mesenteric-ischemia
#20
REVIEW
T Raymond Foley, R Kevin Rogers
Chronic mesenteric ischemia (CMI) most commonly occurs as a consequence of multivessel atherosclerotic disease of the mesenteric vasculature. Risk factors include smoking, hypertension, dyslipidemia, and advanced age, and women are more commonly affected than men. The clinical presentation of CMI is characterized by postprandial abdominal pain and weight loss. Left untreated, patients often develop severe malnutrition. Current consensus guidelines recommend secondary prevention medications such as statins and aspirin for all patients with known atherosclerosis to reduce the risk of stroke and MI, but data specific to medical therapy in CMI are lacking...
June 2016: Current Treatment Options in Cardiovascular Medicine
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