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Results 251 - 300 of 4709
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Jervis-Bardy Joshua - - 2012
OBJECTIVES/HYPOTHESIS: Chronic rhinosinusitis (CRS) recalcitrant to surgery is a frustrating clinical entity. Recently, mupirocin sinonasal rinses have been suggested as an efficacious treatment alternative in these patients where Staphylococuccus aureus infection is demonstrated. To our knowledge, how best to treat this S aureus reservoir has not been previously evaluated in ...
Sasajima Y - - 2012
OBJECTIVES: To preoperatively determine candidates at definitive risk of postoperative delirium (POD), we identified relevant factors in patients with arteriosclerosis obliterans who underwent bypass surgery. DESIGN: A prospective cohort study. PATIENTS AND METHODS: 299 patients (age ≥60 years) who underwent bypasses in 1995-2006 were enrolled. Cognitive impairment was assessed by ...
Gu Qiang - - 2012
Aim  To investigate the maternal homocysteine (Hcy), folate, vitamin B(12) and B(6) , and their relations to neural tube defects (NTDs). Methods 30 mothers of NTDs offspring and another 60 mothers of normal children were enrolled as the patient and control groups from Xinjiang, China from Jan 2008 to May ...
Kozma Chris M - - 2012
To examine opioid prescription claims before and after initiation of pregabalin in patients with a diagnosis of diabetic peripheral neuropathy (DPN). This retrospective analysis used a national commercial database of integrated inpatient, outpatient, and prescription claims to identify adults with a DPN diagnosis code within 360 days prior to the ...
Sanelli P C PC Departments of Radiology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, New York 10065, USA. - - 2013
DCI is a serious complication following aneurysmal SAH and remains a leading cause of morbidity and mortality. Our aim was to evaluate CTP in aneurysmal SAH by using outcome measures of DCI. This was a retrospective study of consecutive patients with SAH enrolled in a prospective institutional review board-approved clinical ...
Kennedy Fiona - - 2012
To present the results of the nonrandomized arm of the Cervical Artery Dissection in Stroke Study (CADISS-NR) trial, comparing anticoagulation and antiplatelets for prevention of recurrent stroke after carotid and vertebral dissection, and perform a meta-analysis of these results with previously published studies comparing the 2 therapeutic strategies. A total ...
Abuchar Adriana - - 2012
Background: Etanercept has been used to treat chronic plaque psoriasis. Previously reported data demonstrated that some patients experienced secondary failure and frequently rotational-switch therapy is used. The re-treatment with etanercept as part of the rotational therapy could be considered as another safe and efficient therapeutic approach. Objective: To evaluate the ...
Baumann F - - 2012
The aim of this paper was to evaluate the efficacy of a novel 4-F compatible self-expanding Nitinol stent for the treatment of long femoro-popliteal obstructions. This retrospective analysis includes patients with femoro-popliteal obstructions ≥120 mm in length, treated with a novel Nitinol stent (Pulsar-18) between February 2010 and December 2011. ...
Elalfy Mohsen S - - 2012
Background: Surgery and intensive factor VIII (FVIII) replacement may be risk factors for development of inhibitors. Objective: To evaluate time and rate of inhibitor development postcircumcision over 12-month period, and to assess bleeding of children with severe hemophilia A after low-dose FVIII replacement and local hemostasis. Patients and Methods: Sixty-one ...
Nomura Osamu - - 2012
OBJECTIVES: Little is known about the relationship between prior treatment with antibiotics and delay of diagnosis and treatment in pediatric acute appendicitis (AA). We have defined a situation requiring more than 48 hours from the onset of symptoms to surgery in pediatric AA as "therapeutic delay." The aim of this ...
Davies Andrew R - - 2012
OBJECTIVE:: Current guidelines recommend enteral nutrition in critically ill adults; however, poor gastric motility often prevents nutritional targets being met. We hypothesized that early nasojejunal nutrition would improve the delivery of enteral nutrition. DESIGN:: Prospective, randomized, controlled trial. SETTING:: Seventeen multidisciplinary, closed, medical/surgical, intensive care units in Australia. PATIENTS:: One ...
Morton Ryan - - 2012
: A paucity of patients with ruptured basilar apex aneurysms have been analyzed with long-term clinical results. : Sixty-one consecutive ruptured basilar apex aneurysms from 2005 to 2011 were retrospectively reviewed. A team-oriented approach was used to decide treatment. Clipping was typically used in younger patients, those with a complex ...
Mohammadi Alireza Mohammad - - 2012
: Trigeminal neuralgia (TN) is relatively frequent in Multiple Sclerosis (MS) patients and procedural treatments are less effective than when used for classical TN. Outcomes from direct comparisons between different procedures for MS-related TN is lacking. In this study, initial pain-free rates (IPFR), duration of pain-free intervals (PFI) and associated ...
Stefanovic Vedran - - 2012
Objective. To analyse the effectiveness of intravenous sulprostone infusion for the treatment of retained placenta without massive primary hemorrhage among patients at a university hospital over a three-year period. Design. Retrospective observational study. Setting. University teaching hospital. Population. 126 consecutive women with placental retention and intravenous sulprostone infusion as primary ...
Düzgün Irem - - 2012
This study aims to compare the efficacy of manual therapy in the frozen shoulder patients with or without diabetes mellitus. Between May 2006 and January 2008, 50 patients (10 males, 40 females; mean age 52±10 years; range 40 to 65 years) orthopedic surgeons referred to the Sports Physiotherapy Unit were ...
Thaci Bart - - 2012
: Patient-filled questionnaires, such as Oswestry Disability Index (ODI) or Neck Disability Index (NDI) have become the mainstay in the evaluation of treatment outcomes in degenerative spine disease (DSD), replacing result-reporting by surgeons. In this study we set to compare patients' and surgeons' assessment of spine treatment outcome in a ...
Slottosch Ingo - - 2012
BACKGROUND: We assessed the short-term outcomes and predictors of 30-d mortality in patients requiring temporary, peripheral extracorporeal membrane oxygenation (ECMO) for postcardiotomy cardiac failure. METHODS: The data were retrospectively obtained using our institutional patient database. All patients who had received peripheral ECMO support after surgery for acquired heart disease from ...
Wang Jin-Hu - - 2012
The management of the contralateral asymptomatic side when a child with initial unilateral inguinal hernia undergoes herniorrhaphy continues to be controversial. Age less than 6 months at initial herniorrhaphy is considered as a high risk factor of the occurrence of metachronous contralateral inguinal hernia (MCIH). We performed herniorraphy for patients ...
Oliveira Rosmari A R A - - 2012
Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI). Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored: GOS-HD (according ...
Mistry Rajesh C - - 2012
HYPOTHESIS Controversy exists over the need for prolonged nasogastric decompression after esophagectomy. We hypothesized that early removal of the nasogastric tube would not adversely affect major pulmonary complications and anastomotic leak rates. DESIGN Single-center, parallel-group, open-label, randomized (1:1) trial. SETTING A tertiary referral cancer center with high esophagectomy volume. PATIENTS ...
Eisner Mark D - - 2012
Background. Asthma guidelines emphasize the importance of achieving and maintaining asthma control; however, many patients with moderate to severe asthma fail to achieve adequate control. Objective. This 2-year interim analysis evaluated the longitudinal effects of omalizumab on asthma control in patients treated in real-world clinical practice settings. Methods. EXCELS is ...
Connolly M P - - 2012
Background: In this study we investigate the costs and benefits of topical mesalazine combined with oral mesalazine therapy for active ulcerative colitis (UC), and once daily (OD ) mesalazine 2 grams versus twice daily (BID ) for maintaining UC remission. Methods: Two decision analytic models were constructed to evaluate treatment ...
Ortiz Héctor - - 2012
: Sacral nerve stimulation has been reported as an effective treatment for constipation. : This study aimed to evaluate the therapeutic efficacy of permanent sacral nerve stimulation on the treatment of idiopathic constipation resistant to medical and behavioral management over a median follow-up period of 25.6 (range, 6-96) months. : ...
Dudley Roy W R - - 2012
: In spastic cerebral palsy (CP), damage to the immature brain is non-progressive, but the clinical expression of the disorder changes over time along with the growth and development of the child. Large-scale, population based studies describing the natural history of gross motor development in spastic CP have indicated that ...
Hitchon Patrick W - - 2012
: Choosing the optimal treatment modality for refractory trigeminal neuralgia (TN) is multifactorial, and has not been well defined in the literature. In this review we specifically explore the role of three factors in determining the treatment modality: age, recurrence rate, and cost. : Retrospective chart review of patients who ...
Melton J T K - - 2012
A consecutive series of patients with a hydroxyapatite-coated uncemented total knee replacement (TKR) performed by a single surgeon between 1992 and 1995 was analysed. All patients were invited for clinical review and radiological assessment. Revision for aseptic loosening was the primary outcome. Assessment was based on the Knee Society clinical ...
Lucas Donald J - - 2012
Retrievable IVC filters (R-IVCF) are associated with multiple complications, including filter migration and deep venous thrombosis. Unfortunately, most series of R-IVCF show low retrieval rates, often due to loss to follow-up. This study demonstrates that actively tracking R-IVCF improves retrieval. Trauma patients at one institution with R-IVCF placed between January ...
Mundis Gregory - - 2012
: This study analyzes the prevalence and risk factors for the development of PJK following lumbar PSO. The hypothesis was that PJK would develop early in the postoperative period at high rates in this population undergoing dramatic sagittal plane realignment, and that risk factors based on baseline and follow-up radiographs ...
Patil Arun-Angelo - - 2012
: The conventional procedure of hippocampectomy can impair memory. Furthermore, the hippocampus is the main source of stem cells. On the other hand, multiple hippocampal transection (MHT) can disrupt seizure circuits without loss of function or stem cells. In this presentation therefore, the authors will present long term outcomes in ...
Gourdine-Shaw Monique C - - 2012
Certain complex foot deformities can be corrected surgically with a U-osteotomy. This osteotomy is indicated for patients with a uniform deformity of the entire foot relative to the tibia, preexisting stiffness and/or fusion of the subtalar joint, and a pain-free ankle joint. The goal is to create a plantigrade foot ...
Choy-Shan Alana - - 2012
The purpose of this study was to assess the impact of rosiglitazone on survival in patients with diabetes mellitus (DM) and coronary artery disease (CAD). We carried out a drug-exposure analysis in 801 patients with DM and CAD in a cardiac catheterization laboratory registry (490 patients treated with a percutaneous ...
Chalouhi Nohra - - 2012
OBJECTIVE: Aneurysmal subarachnoid hemorrhage (SAH) is relatively uncommon in young adults. There is a paucity of data pertaining to the management of aneurysmal SAH in young patients, especially with endovascular therapy. METHODS: We reviewed all SAH patients under the age of 35 years treated at Jefferson Hospital for Neuroscience, Philadelphia, ...
Choi Wilson W - - 2012
A sutureless ward reduction (SWR) protocol was implemented in the neonatal intensive care unit of a tertiary level hospital in 1999. Although the short-term outcomes associated with SWR have been documented, the long-term outcomes are unknown. Retrospective data were collected from the medical records of all neonates with gastroschisis from ...
Charalambous Charalambos P - - 2012
Early posttraumatic elbow contractures may be treated with a combination of manipulation with the patient under anesthesia followed by bracing.Extrinsic contractures of the elbow may be treated with open or arthroscopic release, whereas intrinsic and combined contractures may require tissue release as well as partial or total arthroplasty.
Maeng Michael - - 2012
This study sought to examine the 3-year clinical outcomes in patients treated with the Endeavor (Medtronic, Santa Rosa, California) zotarolimus-eluting stent (ZES) or the Cypher (Cordis, Johnson & Johnson, Warren, New Jersey) sirolimus-eluting stent (SES) in routine clinical practice. The long-term clinical outcome in patients treated with ZES in comparison ...
Fehlings Michael G - - 2012
: While cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord impairment worldwide, little is known regarding international variations in clinical presentation, management and outcomes of this condition. To address this key issue, we undertook a prospective multicenter study of CSM patients undergoing surgical treatment. : 486 ...
Brady Boyce Brenda A - - 2012
Background Nurses noted that the rate of phlebitis was high when intravenous amiodarone was infused via a peripheral site. Hospital policy recommends a central vascular catheter, but this method is often not feasible because the drug is administered in emergent situations for short periods. Objective To determine the rate and ...
Pinto Nigel - - 2012
Background: This study was designed to identify factors associated with return to work and quality of life in patients undergoing primary coronary artery bypass at age <50 years. Methods: 172 patients <50-years old underwent primary coronary artery bypass between January 2000 and December 2006. Predictors of return to work were ...
Seet Raymond C S - - 2012
Background: Symptomatic intracranial hemorrhage (SICH) is a devastating complication of intravenous thrombolysis treatment that is associated with high mortality. Clinical trials, stroke registries and cohort studies employ different case definitions to identify stroke patients with SICH following intravenous thrombolysis. We systematically reviewed the reported rates of SICH following intravenous thrombolysis ...
Forbes Jonathan - - 2012
: Dorsal root entry-zone (DREZ) lesioning is an important tool in the neurosurgeon's armamentarium for treatment of medically-refractory chronic pain syndromes associated with deafferentation of neurons located in the superficial Rexed layers of the spinal cord. The objective of this study was to retrospectively review the past 15 years of ...
Dyer Kenneth C - - 2012
Long-term changes in the dentitions of orthodontic patients have been studied. However, most studies in the literature report findings after only a few years posttreatment. In this study, we examined records an average of 24 years after active treatment. The purpose was to answer 2 questions: (1) does irregularity increase ...
Nordström Dan - - 2012
OBJECTIVE: To study the efficacy of anakinra versus disease-modifying antirheumatic drugs (DMARD) in refractory adult-onset Still's disease (AOSD). METHODS: In a 24-week study, 22 patients with AOSD taking prednisolone ≥ 10 mg/day received anakinra (n = 12) or DMARD (n = 10). The primary endpoint was achievement of remission. RESULTS: ...
Miller Ronald D - - 2012
BACKGROUND: Blood hemoglobin (Hb) can be continuously monitored utilizing noninvasive spectrophotometric finger sensors (Masimo SpHb). SpHb is not a consistently accurate guide to transfusion decisions when compared with laboratory Co-Oximetry (tHb). We evaluated whether a finger digital nerve block (DNB) would increase perfusion and, thereby, improve the accuracy of SpHb. ...
Harwin Steven F - - 2012
Revision total hip arthroplasty (THA) is associated with greater blood loss than primary THA. Jehovah's Witnesses will not accept transfusions of blood or blood products and are thus at an increased risk for complications due to perioperative anemia. The purpose of this study was to report the clinical outcomes, radiographic ...
Yang Isaac - - 2012
: Vestibular schwannoma (VS) is a skull base tumor most commonly in the CP angle. Hearing loss commonly occurs in varying degrees as a result of VS and can have a significant and lasting impact on quality of life. In this study, we compare the long term clinical outcomes of ...
Kim Tae Young - - 2012
Background: The efficacy and proper doses of steroid pulse therapy in patients with immunoglobulin A nephropathy (IgAN) have not been established. We therefore investigated the effects of methylprednisolone (MP) pulse therapy in patients with histologically active IgAN and established renal impairment at the time of treatment. Methods: We assessed 22 ...
Zhang Fan - - 2012
To assess the clinical and urodynamic results of sigmoidocolocystoplasty in patients with neurogenic bladder dysfunction. We retrospectively reviewed 78 augmentation enterocystoplasty cases in our database from 2005 to 2011 to identify 47 patients who had undergone sigmoidocolocystoplasty alone or combined with ureter reimplantation. The indications for surgery and postoperative complications ...
Al Asmari Abdulrahman K - - 2012
To study the clinical aspects and frequency of scorpion stings in Riyadh region of Saudi Arabia. Clinical aspects and frequency of scorpion sting cases reporting to 2 referral hospitals in the Riyadh region of Saudi Arabia were analyzed during May 2006 to April 2008. Data on demographic status, date and ...
Hörburger David - - 2012
Studies showing the effectiveness of therapeutic hypothermia (32-34°C) in postcardiac arrest patients have been criticized because of patients with elevated body temperature (>37.5°C) in the noncooled control group. Thus, the effects of spontaneous normothermia (<37.5°C) compared with mild therapeutic hypothermia were studied. Retrospective chart review from 1991 to 2010. Witnessed ...
Feldman Steven R - - 2012
Acne profoundly affects patients' lives, but the effect of treatment is not fully characterized. The purpose of this study was to explore patients' experiences and viewpoints regarding treatment for mild to moderate acne vulgaris. This was an open-label, single-center study of 30 patients with mild to moderate acne vulgaris, treated ...
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