Publications by authors named "J Kay"

Background: While risk factors for recurrent instability (RI) after arthroscopic Bankart repair (ABR) for anterior glenohumeral instability (aGHI) have been well established in adult populations, there is much less evidence in pediatric and adolescent patients, despite being the most affected epidemiologic subpopulation.

Purpose: To identify the clinical, demographic, radiologic, and operative risk factors for RI after ABR for aGHI in pediatric and adolescent patients.

Study Design: Systematic review; Level of evidence, 4.

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Background: Patients with systemic right ventricle (SRV), either d-transposition of the great arteries following an atrial switch procedure or congenitally corrected transposition of the great arteries, develop severe right ventricular dysfunction, prompting appropriate medical therapy. However, the efficacy of beta-blockers and angiotensin receptor blockers or angiotensin-converting enzyme inhibitors (ACEI) in SRV patients is unproven.

Objectives: The objective of this study was to determine the effects of ACEI/ARB and beta-blockers on outcomes in SRV patients after accounting for likely cofounders affecting their use.

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Article Synopsis
  • The study examines the long-term outcomes of patients with univentricular heart and total cavopulmonary connection Fontan, focusing on those with hypoplastic left heart syndrome (HLHS) compared to other types.
  • The research found that patients with HLHS experienced a significantly higher incidence of adverse cardiovascular events, including death and transplantation, with a hazard ratio indicating over six times the risk.
  • The findings suggest that HLHS is a critical factor in determining poorer outcomes in patients with this heart condition.
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Anthropogenic aerosols (AER) and greenhouse gases (GHG)-the leading drivers of the forced historical change-produce different large-scale climate response patterns, with correlations trending from negative to positive over the past century. To understand what caused the time-evolving comparison between GHG and AER response patterns, we apply a low-frequency component analysis to historical surface ocean changes from CESM1 single-forcing large-ensemble simulations. While GHG response is characterized by its first leading mode, AER response consists of two distinct modes.

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