Publications by authors named "A G SPENCER"

Background: Femoroacetabular impingement syndrome (FAIS) is frequently treated arthroscopically with osteoplasty and labral repair. Surgical preferences vary in terms of equipment, technique, and postoperative protocol. Patient-reported outcome measures (PROMs) are valuable tools to assess outcomes across different institutions.

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In contrast to blood-oxygenation level-dependent (BOLD) functional MRI (fMRI), which relies on changes in blood flow and oxygenation levels to infer brain activity, diffusion fMRI (DfMRI) investigates brain dynamics by monitoring alterations in the apparent diffusion coefficient (ADC) of water. These ADC changes may arise from fluctuations in neuronal morphology, providing a distinctive perspective on neural activity. The potential of ADC as an fMRI contrast (ADC-fMRI) lies in its capacity to reveal neural activity independently of neurovascular coupling, thus yielding complementary insights into brain function.

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Objective: This study examined whether being scheduled in a screening clinic versus scheduled directly with a long-term provider to conduct a mental health intake (MHI) is associated with engagement in child psychiatry services in New England, USA.

Method: We used electronic medical record data from one safety-net hospital serving a predominantly low-income and minoritised population. The study sample included 815 youths aged 0 to 25 years, referred or scheduled for a MHI between 1 January 2016 and 31 December 2016.

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Article Synopsis
  • This study reviews predictors of intra-abdominal injury in pediatric patients with blunt abdominal trauma using data from a Level II trauma center from 2018 to 2022.
  • It found that while various clinical signs and laboratory results were present, a significant number of patients with intra-abdominal injuries (IAI) did not show abnormal lab results, highlighting the complexity in diagnosis.
  • Key independent predictors for IAI included abdominal tenderness, abnormal plain x-rays, and positive ultrasound, suggesting that physical exams and imaging are critical in decision-making for CT scans, rather than relying solely on lab results.
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