Publications by authors named "D J Barrett"

Purpose: Functional septorhinoplasty is an effective treatment for nasal airway obstruction. Little distinction exists between bilaterally and unilaterally obstructed patients in literature. Our study evaluates outcomes in patients with unilateral nasal airway obstruction compared to those with bilateral nasal airway obstruction as measured by nasal obstruction symptom evaluation scores following functional septorhinoplasty.

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Introduction: Eliminating racial inequities in access to kidney transplantation requires multilevel interventions that target both patients and health systems.

Research Question: The aim of this study was to determine whether adding culturally sensitive, web-based patient education to a transplant center-level intervention was associated with increased knowledge, motivation to pursue living donor kidney transplant, and confidence in the behavioral skills to discuss living donation among Black/African American patients with end-stage kidney disease.

Design: A total of 411 transplant candidates were randomized to intervention (N = 222) or control groups (N = 189) and completed measures at baseline and immediate follow-up during the transplant evaluation visit.

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Article Synopsis
  • Total Knee Arthroplasty (TKA) aims to align the femoral component properly with respect to the femoral cortex, but there is a lack of focus on restoring the native trochlear groove height (TGH), which this study seeks to investigate.
  • The study measured TGH in 110 normal subjects, finding it varied from the anterior femoral cortex by an average of 2.32 mm, indicating potential misalignment in TKA procedures.
  • Results suggest that approximately 24.5% of patients could be over- or understuffed by more than 2 mm when a standard trochlear depth is used, highlighting the need for surgical approaches that consider TGH to improve TKA outcomes.
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Article Synopsis
  • - The study aimed to evaluate how recreating the anterior space of the trochlea during total knee arthroplasty affects trochlea depth at both mid and deep flexion angles.
  • - Out of 122 patients, all had a balanced trochlea in full extension; however, more than 40% experienced overstuffing or understuffing issues in mid (32% understuffed) and deep (20.5% overstuffed) flexion.
  • - Significant differences were found in external rotation of the trochlea components between balanced and unbalanced groups at mid flexion, but not in deep flexion or other measures.
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