Publications by authors named "Fay L"

This study aims to evaluate the potential benefits of treating spinal cord injury (SCI) patients with acidic fibroblast growth factor (aFGF), a potent neurotrophic factor that preserves neuronal survival. The study involved 12 tetraplegic patients with American Spinal Injury Association Impairment Scale (AIS) Grade A SCI who were randomly assigned to receive either a recombinant human aFGF or a placebo every 4 weeks for three doses. Participants underwent comprehensive evaluations of medical, neurological, and functional parameters at baseline and every 4 weeks after the first dose until the 48th week.

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  • Cervical synovial cyst (CSC) is a rare condition causing cervical stenosis symptoms, leading many patients to seek treatment, with current discussions on the best management approaches.
  • A comprehensive review of literature over the last 20 years identified 79 diagnosed CSC patients, primarily around 62 years old, with a slight male predominance, and common symptoms including myelopathy.
  • Surgical treatments, mainly involving decompression with or without fusion, showed effective improvement in neurological symptoms for patients, regardless of the specific surgical techniques used.
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Purpose: This study aimed to assess the extent to which single-family room (SFR) designs enhance family presence and satisfaction and to examine the impact of built environment factors such as proximity, access, privacy, technology, lighting, and acoustics on these outcomes.

Background: The SFR neonatal intensive care unit (NICU) presents a highly intricate setting with distinctive design attributes. This study investigated a NICU environment moving from an open-bay model to a single-family unit.

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Objective: This study aims to overcome challenges in lumbar spine imaging, particularly lumbar spinal stenosis, by developing an automated segmentation model using advanced techniques. Traditional manual measurement and lesion detection methods are limited by subjectivity and inefficiency. The objective is to create an accurate and automated segmentation model that identifies anatomical structures in lumbar spine magnetic resonance imaging scans.

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Objective: To evaluate impact of a 12-week, online, guided, self-paced intervention of mindfulness and self-care practices on self-compassion, attentiveness, and perceived stress.

Participants: University healthcare faculty and students.

Methods: Participants received 7 different mindful and self-care activity options every week for 12 wk.

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Background: Multilevel anterior cervical discectomy and fusion inevitably yields a higher chance of pseudarthrosis or require more reoperations than single-level procedures. Therefore, multilevel cervical disc arthroplasty (CDA) could be an alternative surgery for cervical spondylosis, as it (particularly 3- and 4-level CDA) could preserve more functional motility than single-level disc diseases. This study aimed to investigate the clinical and radiological outcomes of 4-level CDA, a relatively infrequently indicated surgery.

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  • This study aimed to compare a new intraoperative spinal navigation system using preoperative fan-beam (FB) CT to the conventional cone-beam (CB) CT in minimizing radiation exposure and improving surgical workflow during minimally invasive spine surgery.
  • The results showed that both systems had similar accuracy in pedicle screw placement, but the FB group experienced significantly less radiation exposure and required less preparation time for screw placement.
  • Overall, the FB CT-based navigation system proved to be a promising alternative, with benefits including reduced patient radiation and quicker operation times, while maintaining safety and accuracy.
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1,2-diacetylbenzene (1,2-DAB) is a neurotoxic component of aromatic solvents commonly used in industrial applications that induces neuropathological changes in animals. This study unraveled the toxic impact of 1,2-DAB in nerve tissues, explant cultures, and neuron-glial cultures, and explored whether herbal products can mitigate its toxicity. The effects of DAB on axonal transport were studied in retinal explant cultures grown in a micro-patterned dish.

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  • OCD is a mental health disorder that affects around 2% of the world but not much is known about its causes.
  • Most genetic studies on OCD so far have mainly focused on people of European ancestry, which could lead to unfair treatment options for those from other backgrounds.
  • The LATINO project is collecting DNA and health information from 5,000 people with OCD from Latin America to improve understanding of the disorder and develop better treatments for everyone.
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  • The study aimed to explore the relationship between gap range of motion (gROM) and clinical outcomes in patients with cervical myelopathy caused by ossification of the posterior longitudinal ligament (OPLL).
  • Researchers analyzed 42 patients post-surgery, measuring various ranges of motion and evaluating pain levels and functional scores.
  • Results showed that while both groups with different gROM levels had similar improvements in symptoms, the group with greater gROM experienced a significantly higher rate of postoperative C5 palsy.
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Objective: Anterior cervical discectomy and fusion (ACDF) is a standard surgical approach for cervical spondylotic myelopathy (CSM) caused by disc herniations. Although cervical disc arthroplasty (CDA) has become, in the past decade, a viable alternative to ACDF in selected patients, the differences among patients with CSM treated with CDA and ACDF remain elusive. The effectiveness of motion preservation devices in CSM is also unclear.

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Background: The ossification of the posterior longitudinal ligament (OPLL) is one of the contributing factors leading to severe cervical spondylotic myelopathy (CSM). The mechanism causing ossification is still unclear. The current study was designed to analyze the specimens of patients with or without OPLL.

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  • Intracranial atherosclerotic disease (ICAD) is a key cause of ischemic stroke, particularly in Asian populations, leading to a high risk of recurrent strokes and other heart-related issues.
  • The Taiwan Stroke Society has developed updated guidelines for diagnosing and managing ICAD, based on group consensus and current evidence.
  • The guidelines include topics such as diagnosis, non-drug management, medical therapy, endovascular treatments, and surgical options, emphasizing the importance of intensive medical care for effective management.
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  • Obsessive-compulsive disorder (OCD) affects about 2% of people around the world, but we don’t know exactly what causes it.
  • Most research so far has focused mainly on people of European descent, which can leave out important information for people from other backgrounds.
  • The LATINO initiative aims to include 5,000 people with OCD from Latin America and other countries, helping to gather more diverse data to improve our understanding and treatment of OCD globally.
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Background: There is growing awareness of the relationship between physical work environments and efficiency. Two conflicting factors shape efficiency in the neonatal intensive care unit (NICU) environment: the move to single-family rooms (SFRs) and increased demand for care, requiring growth in unit size.

Purpose: The goal of this research was to understand the impact of SFR NICUs on efficiency factors such as unit design, visibility and proximity, staff time, and workspace usage by various health professionals.

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Traumatic spinal cord injury (SCI) initiates a series of cellular and molecular events that include both primary and secondary injury cascades. This secondary cascade provides opportunities for the delivery of therapeutic intervention. Growth differentiation factor 11 (GDF11), a member of the transforming growth factor-β (TGF-β) superfamily, regulates various biological processes in mammals.

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Objective: The goal of this research was to understand the use of decentralized nursing stations (DNS), corridors, and huddle stations as places for teamwork and multidisciplinary care in the neonatal intensive care unit (NICU).

Background: This article shares outcomes from a pre- and post-occupancy evaluation that assessed a NICU moving from an open-bay model to a new single-family room (SFR) unit comprised of six, 12-bed neighborhoods. This interdisciplinary research team draws upon the practical expertise of a NICU Patient Care Manager and researchers in Design and Communication to illuminate the research process, results, and lessons learned.

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Objective: Although cervical disc arthroplasty (CDA) has reportedly been associated with similarly low incidences of complications to anterior cervical discectomy and fusion, the phenomenon of anterior bone loss (ABL) is unique to CDA and has only recently gained notice. This study thus aimed to investigate the incidence of ABL and its correlation with cervical alignment post-operation.

Methods: Consecutive patients who received CDA for herniated disc or spondylosis were retrospectively reviewed.

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  • The study investigates the effectiveness of a combined anterior and posterior surgical approach for treating cervical myelopathy caused by ossification of the posterior longitudinal ligament (OPLL) in patients, particularly among Asian populations.
  • A total of 41 patients were analyzed over an average follow-up period of nearly 40 months, with significant improvements noted in symptoms of myelopathy and functional outcomes two years after surgery.
  • The occurrence of intra-operative cerebrospinal fluid (CSF) leakage was observed in 32% of patients, but this did not affect overall outcomes or complications, although more patients with continuous-type OPLL experienced CSF leakage compared to those without it.
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Aims: In pediatric upper extremity rehabilitation, feasible repetition rates are unknown. Our objectives were to examine repetition rates during rehabilitation and their impact on outcomes.

Methods: Children with unilateral cerebral palsy due to perinatal stroke ( = 55, median 10 y 7 mo, 30 males) received Constraint-Induced Movement Therapy (CIMT) followed by Bimanual Therapy, each for 5 days.

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Antibody-drug conjugates (ADCs) with a drug-to-antibody ratio (DAR) of 8 are attractive as therapeutic anti-cancer agents due to the higher levels of cytotoxic payload delivered to tumors. Biophysical characterization of a DAR 8 ADC fully conjugated at all interchain cysteine residues was carried out to determine if IgG1 interchain disulfide reduction and conjugation led to structural perturbations that impacted product stability. Comparisons between the DAR 8 ADC and the unconjugated parent antibody identified minor tertiary and quaternary structural changes localized to the C, C1, and C2 domains and C2-C3 domain interface.

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Background: Spinal cord injury (SCI) causes a primary injury at the lesion site and triggers a secondary injury and prolonged inflammation. There has been no definitive treatment till now. Promoting angiogenesis is one of the most important strategies for functional recovery after SCI.

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The focus of this research was to identify what attributes of patient room designs are most beneficial to health care professionals and to explore whether particular professionals hold certain beliefs about patient room attributes. Acute care, progressive care, and intensive care patient room designs were analyzed through the use of pre- and postoccupancy evaluations of a cardiovascular service line. Fourteen focus groups and 1 interview among 74 health care professionals were conducted.

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(1) Background: Most of the currently used radiological criteria for craniovertebral junction (CVJ) were developed prior to the popularity of magnetic resonance images (MRIs). This study aimed to evaluate the efficacy of a novel triangular area (TA) calculated on MRIs for pathologies at the CVJ. (2) Methods: A total of 702 consecutive patients were enrolled, grouped into three: (a) Those with pathologies at the CVJ ( = 129); (b) those with underlying rheumatoid arthritis (RA) but no CVJ abnormalities ( = 279); and (3) normal (control; = 294).

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