Publications by authors named "M A Selby"
We present the case of a 36-year-old paraplegic woman with a history of spinal cord injury who developed a generalized blistering rash, later diagnosed as bullous pemphigoid (BP). During her hospitalization, she was treated with prednisone and rituximab infusions, transitioning to maintenance therapy with topical steroids, doxycycline, and nicotinamide. A year later, she presented with concerns about a BP flare on her feet.
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- Restorative neurostimulation of the lumbar multifidus muscle shows promise as a treatment option for chronic low back pain (CLBP) in patients who have previously undergone lumbar surgery, a group often excluded from studies.
- In a case series of 26 patients, significant improvements were observed in low back pain scores and disability indices over 12 months, with 40% achieving clinically important improvements.
- Patient satisfaction rates were high, and there were minimal adverse events, indicating that this therapy may be safe and effective for those with prior lumbar surgery.
The neurons of the melanocortin system regulate feeding and energy homeostasis through a combination of electrical and endocrine mechanisms. However, the molecular basis for this functional heterogeneity is poorly understood. Here, a voltage-gated potassium (Kv) channel named KCNB1 (alias Kv2.
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- A study evaluated the effectiveness of using demineralized bone fiber (DBF) anchors to reduce screw loosening in lumbar surgery for elderly patients with low bone density.
- The research focused on patients over 65 who underwent primary or revision fusion surgery, where DBF anchors were inserted alongside pedicle screws.
- Results showed no screw loosening over a mean follow-up of 15 months, suggesting that DBF anchors are a safe option without causing adverse events.
Few studies explore emergency medicine (EM) residency shift scheduling software as a mechanism to reduce administrative demands and broader resident burnout. A local needs assessment demonstrated a learning curve for chief resident schedulers and several areas for improvement. In an institutional quality improvement project, we utilized an external online cross-sectional convenience sampling pilot survey of United States EM residency programs to collect information on manual versus software-based resident shift scheduling practices and associated scheduler and scheduler-perceived resident satisfaction.
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