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https://www.readbyqxmd.com/read/29129358/indocyanine-green-fluorescence-guided-parathyroidectomy-for-primary-hyperparathyroidism
#1
Jonathan C DeLong, Erin P Ward, Thinzar M Lwin, Kevin T Brumund, Kaitlyn J Kelly, Santiago Horgan, Michael Bouvet
BACKGROUND: Our aim was to evaluate the ease and utility of using indocyanine green fluorescence angiography for intraoperative localization of the parathyroid glands. METHODS: Indocyanine green fluorescence angiography was performed during 60 parathyroidectomies for primary hyperparathyroidism during a 22-month period. Indocyanine green was administered intravenously to guide operative navigation using a commercially available fluorescence imaging system. Video files were graded by 3 independent surgeons for strength of enhancement using an adapted numeric scoring system...
November 9, 2017: Surgery
https://www.readbyqxmd.com/read/29128863/persistent-long-term-structural-functional-and-metabolic-changes-after-stress-induced-takotsubo-cardiomyopathy
#2
Caroline Scally, Amelia Rudd, Alice Mezincescu, Heather Wilson, Janaki Srinivasan, Graham Horgan, Paul Broadhurst, David E Newby, Anke Henning, Dana K Dawson
BACKGROUND : Takotsubo cardiomyopathy is an increasingly recognized acute heart failure syndrome precipitated by intense emotional stress. Although there is an apparent rapid and spontaneous recovery of left ventricular ejection fraction, the long-term clinical and functional consequences of takotsubo cardiomyopathy are ill-defined. METHODS : In an observational case-control study, we recruited 37 patients with prior (>12-month) takotsubo cardiomyopathy, and 37 age-, sex-, and comorbidity-matched control subjects...
November 11, 2017: Circulation
https://www.readbyqxmd.com/read/29033002/fiber-orientation-effects-in-simple-shearing-of-fibrous-soft-tissues
#3
Cornelius O Horgan, Jeremiah G Murphy
Fiber-reinforcement is a common feature of many soft biological tissues. Continuum mechanics modeling of the mechanical response of such tissues using transversely isotropic hyperelasticity is now well developed. The fundamental deformation of simple shear within this framework is examined here. It is well known that the normal stress effect characteristic of nonlinear elasticity plays a crucial role in maintaining a homogeneous deformation state in the bulk of the specimen. Here we consider the effect of anisotropy and fiber-orientation on the shear and normal stresses...
September 27, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29021122/influencing-quality-of-outpatient-sud-care-implementation-of-alerts-and-incentives-in-washington-state
#4
Deborah W Garnick, Constance M Horgan, Andrea Acevedo, Margaret T Lee, Lee Panas, Grant A Ritter, Kevin Campbell, Jason Bean-Mortinson
Financial incentives for quality improvement and feedback on specific clients are two approaches to improving the quality of treatment for individuals with substance use disorders. We examined the impacts of these interventions in Washington State by randomizing outpatient substance use treatment agencies into intervention and control groups. From October 2013 through December 2015, agencies could earn financial incentives for meeting performance goals incorporating both achievement relative to a benchmark and improvement from agencies' own baselines...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29021109/design-and-impact-of-bundled-payment-for-detox-and-follow-up-care
#5
Amity E Quinn, Dominic Hodgkin, Jennifer N Perloff, Maureen T Stewart, Mary Brolin, Nancy Lane, Constance M Horgan
INTRODUCTION: Recent payment reforms promote movement from fee-for-service to alternative payment models that shift financial risk from payers to providers, incentivizing providers to manage patients' utilization. Bundled payment, an episode-based fixed payment that includes the prices of a group of services that would typically treat an episode of care, is expanding in the United States. Bundled payment has been recommended as a way to pay for comprehensive SUD treatment and has the potential to improve treatment engagement after detox, which could reduce detox readmissions, improve health outcomes, and reduce medical care costs...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28967380/staging-the-tumor-and-staging-the-host-a-two-centre-two-country-comparison-of-systemic-inflammatory-responses-of-patients-undergoing-resection-of-primary-operable-colorectal-cancer
#6
James H Park, Mitsuru Ishizuka, Stephen T McSorley, Keiichi Kubota, Campbell S D Roxburgh, Hitoshi Nagata, Kazutoshi Takagi, Yoshimi Iwasaki, Taku Aoki, Paul G Horgan, Donald C McMillan
BACKGROUND: How systemic inflammation-based prognostic scores such as the modified Glasgow Prognostic Score (mGPS) and neutrophil:lymphocyte ratio (NLR) differ across populations of patients with colorectal cancer (CRC) remains unknown. The present study examined the mGPS and NLR in patients from United Kingdom (UK) and Japan. METHODS: Patients undergoing resection of TNM I-III CRC in two centres in the UK and Japan were included. Differences in clinicopathological characteristics and mGPS (0-CRP≤10 mg/L, 1-CRP>10 mg/L, 2-CRP>10 mg/L, albumin<35 g/L) and NLR (≤5/>5) were examined...
September 20, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28950730/the-experience-of-recurrent-fallers-in-the-first-year-after-stroke
#7
Mary E Walsh, Rose Galvin, David J P Williams, Joseph A Harbison, Sean Murphy, Ronan Collins, Dominick J H McCabe, Morgan Crowe, N Frances Horgan
PURPOSE: Understanding the experiences of fallers after stroke could inform falls-prevention interventions, which have not yet shown effectiveness in this population. The aim of this study was to explore the experience of recurrent fallers post-stroke in relation to recovery and living with falls. METHODS: Participants who had more than one fall in the first year after stroke were identified from a prospective cohort study. The methods of grounded theory informed data collection and analysis...
September 26, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28940881/diagnostic-yield-of-asymptomatic-arrhythmias-detected-by-mobile-cardiac-outpatient-telemetry-and-autotrigger-looping-event-cardiac-monitors
#8
Wayne M Derkac, Jeffrey R Finkelmeier, Daniel J Horgan, Mathew D Hutchinson
INTRODUCTION: Asymptomatic arrhythmias can have important therapeutic implications in certain patient populations, for example, atrial fibrillation in patients with prior ischemic stroke. We sought to compare the diagnostic yield of two commercially available monitoring systems with automated arrhythmia detection algorithms. METHODS: We queried a large, proprietary database containing rhythm data for patients receiving ambulatory EKG monitoring (BioTelemetry, Malvern, PA, USA)...
September 22, 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/28903011/inter-individual-responses-to-sprint-interval-training-a-pilot-study-investigating-interactions-with-the-sirtuin-system
#9
Stuart R Gray, Tom P Aird, Andrew J Farquharson, Graham W Horgan, Emily Fisher, John Wilson, Gareth E Hopkins, Bradley Anderson, Syed A Ahmad, Stuart R Davis, Janice E Drew
Sprint intensity interval training (SIT) is reported to improve blood glucose control and may be a useful public health tool. The sirtuins and associated genes are emerging as key players in blood glucose control. This study investigated the interplay between the sirtuin/NAD system and individual variation in insulin sensitivity responses after SIT in young healthy individuals. Before and after 4 weeks of SIT body mass and fat percentage were measured and oral glucose tolerance tests (OGTT) performed in 20 young healthy participants (7 females)...
September 13, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28798813/personalising-your-health-an-eu-imperative
#10
EDITORIAL
Denis Horgan
In the fast-moving world of personalised medicine there are many issues and barriers-not least when it comes to getting novel drugs and treatments swiftly to where they are really needed. Slow bench-to-bedside rates do not help the 500 million potential patients across the EU's current 28 Member States, and the timings are affected by several elements during the development and licensing phases. As we all know, personalised medicine starts with the patient. It holds huge potential for improving the health of many patients and ensuring better outcomes for health systems' efficiency and transparency...
2017: Ecancermedicalscience
https://www.readbyqxmd.com/read/28765405/continuing-professional-development-and-irish-hospital-doctors-a-survey-of-current-use-and-future-needs
#11
Bridget Maher, Adnan Faruqui, Mary Horgan, Colm Bergin, Colm O Tuathaigh, Deirdre Bennett
Doctors rate clinical relevance and applicability as the most important determinants of continuing professional development (CPD) course selection. This study examined patterns of current CPD practice and perceived CPD needs among hospital doctors in Ireland across various clinical specialties. A cross-sectional survey was administered to doctors, focusing on the areas of training needs analysis, CPD course content and preferred course format. In total, 547 doctors identified doctor-patient communication as the skill ranked highest for importance and level of current performance...
July 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/28761641/attitudes-of-surgeons-to-the-use-of-postoperative-markers-of-the-systemic-inflammatory-response-following-elective-surgery
#12
Ross D Dolan, Stephen T McSorley, Donald C McMillan, Paul G Horgan
BACKGROUND: Cancer is responsible for 7.6 million deaths worldwide and surgery is the primary modality of a curative outcome. Postoperative care is of considerable importance and it is against this backdrop that a questionnaire based study assessing the attitudes of surgeons to monitoring postoperative systemic inflammation was carried out. METHOD: A Web based survey including 10 questions on the "attitudes of surgeons to the use of postoperative markers of the systemic inflammatory response following elective surgery" was distributed via email...
September 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28760511/interarm-blood-pressure-difference-in-a-post-stroke%C3%A2-population
#13
Eva Gaynor, Linda Brewer, Lisa Mellon, Patricia Hall, Frances Horgan, Emer Shelley, Eamonn Dolan, Anne Hickey, Kathleen Bennett, David J Williams
An increased interarm systolic blood pressure (SBP) difference of ≥10 mm Hg is associated with increased cardiovascular risk and a difference of ≥15 mm Hg with increased cerebrovascular risk. The stroke population presents a high-risk group for future cardiovascular and cerebrovascular events and therefore estimation of interarm SBP difference as a predictive tool may assist with further secondary stroke prevention. The aim of the study was to determine the prevalence of interarm SBP and diastolic blood pressure difference in a post-stroke population...
July 4, 2017: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/28755775/a-systematic-review-of-the-relationship-between-staff-perceptions-of-organizational-readiness-to-change-and-the-process-of-innovation-adoption-in-substance-misuse-treatment-programs
#14
Peter Kelly, Josephine Hegarty, Joe Barry, Kyle R Dyer, Aine Horgan
Translating innovation, such as contemporary research evidence, into policy and practice is a challenge, not just in substance misuse treatment programs, but across all spheres of healthcare. Organizational readiness to change (ORC) has been described as a fundamental concept, and an important determinant of the process of innovation adoption. The aim of this review was to describe the relationship between staff perceptions of ORC and the process of innovation adoption: exposure, adoption, implementation and integration into practice, in substance misuse treatment programs...
September 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28737646/crp-albumin-ratio-an-early-predictor-of-steroid-responsiveness-in-acute-severe-ulcerative-colitis
#15
David J Gibson, Karen Hartery, Jayne Doherty, Jack Nolan, Denise Keegan, Kathryn Byrne, Sean T Martin, Maire Buckley, Juliette Sheridan, Gareth Horgan, Hugh E Mulcahy, Garret Cullen, Glen A Doherty
INTRODUCTION: Identifying hospitalized patients with acute severe ulcerative colitis (ASUC) who will be refractory to corticosteroid therapy and require rescue therapy remains difficult. Hypoalbuminemia worsens with time during hospitalization and is associated with rapid clearance of and reduced response to infliximab (IFX) rescue. Early use of rescue therapy may therefore be more effective. Simple clinical and laboratory predictors of corticosteroid responsiveness would facilitate earlier use of rescue therapy...
July 21, 2017: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/28717986/thrombolysis-for-stroke-in-ireland-increasing-access-and-maintaining-safety-in-a-challenging-environment
#16
P McElwaine, J McCormack, C Brennan, H Coetzee, P Cotter, R Doyle, A Hickey, F Horgan, C Loughnane, C Macey, P Marsden, D McCabe, R Mulcahy, I Noone, E Shelley, T Stapleton, D Williams, P Kelly, J Harbison
BACKGROUND: In the setting of a national audit of acute stroke services, we examined the delivery of thrombolytic therapy for ischaemic stroke and whether current practice was achieving safe outcomes and consistent delivery for patients. METHOD: Data obtained from the recent national stroke audit was compared against previous Irish audit, the most recent SSNAP UK stroke audit and the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST) study...
July 17, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28702660/poynting-and-reverse-poynting-effects-in-soft-materials
#17
C O Horgan, J G Murphy
In 1909, J. H. Poynting conducted a series of experiments on metal wires and found that loaded wires lengthen when twisted. Thus to maintain a constant length in such experiments, a compressive axial force would need to be applied at the ends of the specimen. This is the classical (positive) Poynting effect. Another example of such an effect arises when a soft material specimen is being axially sheared or rotated between two platens. The necessity to apply a normal force in order to maintain the relative distance between the platens is also often referred to as a Poynting-type effect...
July 19, 2017: Soft Matter
https://www.readbyqxmd.com/read/28695389/clinicopathological-determinants-of-an-elevated-systemic-inflammatory-response-following-elective-potentially-curative-resection-for-colorectal-cancer
#18
David G Watt, Michelle L Ramanathan, Stephen T McSorley, Killian Walley, James H Park, Paul G Horgan, Donald C McMillan
INTRODUCTION: The postoperative systemic inflammatory response (SIR) is related to both long- and short-term outcomes following surgery for colorectal cancer. However, it is not clear which clinicopathological factors are associated with the magnitude of the postoperative SIR. The present study was designed to determine the clinicopathological determinants of the postoperative systemic inflammatory response following colorectal cancer resection. METHODS: Patients with a histologically proven diagnosis of colorectal cancer who underwent elective, potentially curative resection during a period from 1999 to 2013 were included in the study (n = 752)...
September 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28693795/the-role-of-the-systemic-inflammatory-response-in-predicting-outcomes-in-patients-with-advanced-inoperable-cancer-systematic-review-and-meta-analysis
#19
REVIEW
Ross D Dolan, Stephen T McSorley, Paul G Horgan, Barry Laird, Donald C McMillan
INTRODUCTION: Cancer remains a leading cause of death worldwide. While a curative intent is the aim of any surgical treatment many patients either present with or go onto develop disseminated disease requiring systemic anti-cancer therapy with a palliative intent. Given their limited life expectancy appropriate allocation of treatment is vital. It is recognised that systemic chemoradiotherapy may shorten the quality/quantity of life in patients with advanced cancer. It is against this background that the present systematic review and meta-analysis of the prognostic value of markers of the systemic inflammatory response in patients with advanced cancer was conducted...
August 2017: Critical Reviews in Oncology/hematology
https://www.readbyqxmd.com/read/28682133/outcomes-of-an-innovative-training-course-in-laparoscopic-hernia-repair
#20
D Light, S Bawa, P Gallagher, L Horgan
INTRODUCTION The Ethicon™ laparoscopic inguinal groin hernia training (LIGHT) course is an educational course based on three days of teaching on laparoscopic hernia surgery. The first day involves didactic lectures with tutorials. The second day involves practical cadaveric procedures in laparoscopic hernia surgery. The third day involves direct supervision by a consultant surgeon during laparoscopic hernia surgery on a real patient. We reviewed our outcomes for procedures performed on real patients on the final day of the course for early complications and outcomes...
July 6, 2017: Annals of the Royal College of Surgeons of England
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