Publications by authors named "Earl Thomas"

Article Synopsis
  • The radial artery approach for coronary procedures is becoming more popular than the femoral artery method due to lower risks of bleeding and complications.
  • Despite its advantages, using the radial artery can lead to serious issues, mainly radial artery occlusion, which needs to be monitored.
  • A case is presented of a 46-year-old woman with CREST syndrome who suffered radial artery occlusion after a procedure, resulting in severe hand ischemia and the eventual amputation of two fingers.
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Objectives: The aim of this study was to evaluate institutional variability in high radiation doses during percutaneous coronary intervention (PCI).

Background: It is unknown whether radiation safety practices are optimally applied across institutions performing PCI.

Methods: Using data from a large statewide registry, PCI discharges between July 1, 2016, and March 31, 2018, with a procedural air kerma (AK) recorded were analyzed.

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Thule Air Base in western Greenland had a previously uncharacterized mosquito pest problem. Swarms of bloodfeeding mosquitoes have been reported from June to late August, but the species were unknown. We conducted a base-wide mosquito vector survey from June to July 2012.

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Article Synopsis
  • The study analyzed data from the Dynamic Registry involving over 10,000 patients from 1997 to 2006 to assess major entry site (MES) complications related to percutaneous coronary interventions during the stent era.
  • It found significant increases in risk factors like obesity, renal disease, diabetes, and hypertension, along with changes in the use of medications like thienopyridines and glycoprotein IIb/IIIa inhibitors.
  • Over time, the rates of MES and transfusion-related MES complications decreased, indicating an overall improvement, but there is still potential for further strategies to reduce bleeding risks.
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The central nucleus of the amygdala (CeA) is a major output region of the amygdala involved in organizing the expression of fear. There is also evidence that the lateral septum (LS) provides inhibitory control of neurons in CeA and is involved in the relief of fear. This study examined single unit activity in the lateral septum (LS) and the central nucleus of the amygdala (CeA) in the open and closed arms of the elevated plus-maze, a highly validated animal model of fear and anxiety.

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Article Synopsis
  • Alport syndrome is a genetic disorder mainly affecting type IV collagen, often resulting in kidney issues like glomerulonephritis and eventual kidney failure.
  • A case study of a 34-year-old man with Alport syndrome showed chest pain linked to a dilated aortic root, bicuspid aortic valve, aortic insufficiency, and a small ascending aortic dissection requiring surgery.
  • The authors emphasize the importance for healthcare providers to be vigilant about potential aortic problems in Alport syndrome patients who exhibit chest pain symptoms.
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Evidence suggests that the lateral septum (LS) and the central nucleus of the amygdala (CeA) play opposing roles in the modulation of fear and anxiety. The current study examined the interaction of the two structures in the albino rat by electrically stimulating each and recording single-unit activity in the other. In each case, electrical stimulation consisted of 50 trains of 5 pulses 800μA in amplitude, 0.

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We report a case of a 53 year-old man with a history of hypertension presenting with acute left lower extremity parasthesias and pulselessness initially presumed to be secondary to arterial thrombosis or embolism. Work-up included a transthoracic echocardiogram which revealed an aortic dissection at the level of the aortic root extending to the visualized portions of the descending aorta. Type A aortic dissections are relatively rare, with the vast majority of patients presenting with chest pain.

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Long-term kindling of limbic system structures may produce substantial changes in emotional behavior in rats. This study examined long-term changes in two kindled structures that have opposite effects on anxiety, the lateral septum and the central nucleus of the amygdala. The purpose of the experiment was to examine the specificity of the emotional effects of kindling by employing a double dissociation design.

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Objectives: We sought to examine the determinants and outcomes of direct stenting (DS) compared to predilation with drug-eluting stents (DES).

Background: Limited data suggest that DS with DES is feasible and may reduce restenosis compared to predilation. Whether DS improves clinical outcomes in unselected patients treated with DES is unknown.

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Evidence suggests that stimuli that have the property of inhibiting fear in a Pavlovian fear conditioning paradigm increase cellular activity in the lateral septum, a result consistent with the idea that the lateral septum is actively involved in the inhibition of fear. The experiments reported here were designed to determine if an anxiolytic drug with fear-inhibiting properties would also increase neuronal activity in the lateral septum in a manner that might relate to its mechanism of action as an anxiolytic. An experiment was performed to compare the effects of the benzodiazepine anxiolytic chlordiazepoxide (CDP) upon single-unit activity in the septal region of the rat brain during Pavlovian aversive conditioning with the effects of CDP in a non-aversive context.

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Corticotropin-releasing factor (CRF) has substantial effects on brain serotonergic activity, especially in limbic structures related to stress and anxiety. For example, relatively low doses of CRF administered into the dorsal raphe nucleus (DRN) decrease DRN unit activity and serotonin release in the lateral septum (LS), a limbic target of the DRN. In contrast, higher doses of CRF tend to be excitatory on both endpoints.

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