30 results match your criteria: "Hospital Physician[Affiliation]"

Introduction: Stroke is one of the common causes of mortality. The length of stay (LOS) for a stroke is a quality indicator and affects mortality. However, there are no large studies evaluating the LOS in an acute inpatient setting for stroke patients, mainly hematological and social parameters.

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Aim: To quantify and characterise patients with coexistent septic arthritis (SA) and crystal arthritis (CA) (SACA) in an emergency department (ED) setting.

Methods: A single-centre, retrospective, 10-year observational study was conducted at a major referral centre. Patients with a positive joint aspirate for CA or SA carried out in ED, were included.

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Article Synopsis
  • - The management of critical care for patients post-cardiac arrest suffers from insufficient high-quality clinical studies, leading to vague guidelines and inconsistent treatment practices.
  • - Key areas like temperature control and neurological prognosis have better research backed by clinical studies, but many critical subjects lack sufficient evidence, creating gaps in guidelines.
  • - An expert panel, consisting of 24 practitioners from diverse medical fields, was convened to create consensus statements on various aspects of post-arrest management, aiming to provide guidance until more definitive studies are conducted.
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There has been a profusion of trials for SARS CoV2 drugs. A review dating from May 2020 listed 115 medicines, most of which previously existed, having been investigated since the onset of the pandemic. Over an exceedingly short lapse of time, the perspective of the arrival of a new antiviral treatment specifically targeting COVID-19 appeared highly improbable.

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Purpose: Potential sources of inaccuracy in leg length discrepancy (LLD) measurements commonly arise due to postural malalignment during radiograph acquisition. Preoperative planning techniques for total hip arthroplasty (THA) are particularly susceptible to this inaccuracy, as they often rely solely on radiographic assessments. Owing to the extensive variety of pathologies that are associated with LLD, an understanding of the influence of malpositioning on LLD measurement is crucial.

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Introduction: Hip fractures are a pathology that have emerged as a major subject over the years, due to increased prevalence and the multiple surgical treatments involved. The characterization and classification of the lesion is essential for proper surgical planning, with anteroposterior (AP), lateral and traction radiograph of the hip, paramount for decision-making.

Patients And Methods: This is a retrospective concordance study of 64 patients with hip fracture who consulted the hospital between January and July 2017.

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Objective: To understand the surgeon's perceived value of PROMs in 5 different surgical subspecialties.

Summary Of Background Data: PROMs are validated questionnaires that assess the symptoms, function, and quality of life from the patient's perspective. Despite the increasing support for use of PROMs in the literature, there is limited uptake amongst surgeons.

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Introduction: Since the issue of the FDA (Food and Drug Administration) Public Health Notification in 2008 regarding complications associated with the use of transvaginal surgical mesh for pelvic organ prolapse and stress urinary incontinence, multimillion dollar litigation has been brought against the companies that have manufactured these products. One component of the litigation has focused on risk information provided in the Instructions for Use document provided with each mesh kit. In this study we evaluated the types of urologists using transvaginal mesh kits and their use of the Instructions for Use provided with each mesh kit.

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Aesthetic Consideration in Women's Health, Introduction.

Semin Cutan Med Surg

December 2018

Westchester Dermatology and Mohs Surgery, White Plains Hospital Physician Associates, Mount Kisco and Scarsdale, New York, USA.

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Benefits and risks of unilateral and bilateral ventral intermediate nucleus deep brain stimulation for axial essential tremor symptoms.

Parkinsonism Relat Disord

March 2019

Department of Neurology, University of California San Francisco, 1635 Divisadero Street, 5th Floor, Suite 520-530, San Francisco, CA 94115, USA. Electronic address:

Article Synopsis
  • Unilateral deep brain stimulation (DBS) for essential tremor (ET) significantly improved axial tremor, with 58% improvement at 90 days and 65% at 180 days compared to pre-surgery levels.
  • In a subgroup that underwent staged bilateral DBS, there was a further 63% improvement in midline tremor scores, but this also came with an increase in adverse events related to the procedure.
  • The study concludes that unilateral VIM DBS may be enough to effectively reduce tremors without the need for bilateral stimulation, which carries additional risks.
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Background: Intervention by infectious diseases (ID) physicians improves outcomes for inpatients in Medicare, but patients with other insurance types could fare differently. We assessed whether ID involvement leads to better outcomes among privately insured patients under age 65 years hospitalized with common infections.

Methods: We performed a retrospective analysis of administrative claims data from community hospital and postdischarge ambulatory care.

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Thalamic DBS with a constant-current device in essential tremor: A controlled clinical trial.

Parkinsonism Relat Disord

July 2017

Surgical Movement Disorders, Department of Neurology, University of California San Francisco and the San Francisco Veteran's Affairs Medical Center, 1635 Divisadero Street, 5th Floor, Suite 520-530, San Francisco, CA 94115, United States. Electronic address:

Article Synopsis
  • This study examined the effectiveness of a new constant-current device for deep brain stimulation (DBS) in reducing tremors and improving daily activities in patients with essential tremor (ET).
  • A multicenter trial involved 127 patients, assessing the impact of unilateral and bilateral DBS on tremor scores and quality of life over one year, with significant improvements noted in motor function and mood.
  • Results indicated substantial benefits from the DBS treatment, but there were also serious surgical risks, including infections and bleeding.
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Prolonged hyperoxia contributes to bronchopulmonary dysplasia (BPD) in preterm infants. β-Naphthoflavone (BNF) is a potent inducer of cytochrome P450 (CYP)1A enzymes, which have been implicated in hyperoxic injuries in adult mice. In this investigation, we tested the hypothesis that newborn mice lacking the Cyp1a1 gene would be more susceptible to hyperoxic lung injury than wild-type (WT) mice and that postnatal BNF treatment would rescue this phenotype by mechanisms involving CYP1A and/or NAD(P)H quinone oxidoreductase (NQO1) enzymes.

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Background: Aquaporin 4 (AQP4) is considered a putative autoantigen in patients with Neuromyelitis optica (NMO), an autoinflammatory disorder of the central nervous system (CNS). HLA haplotype analyses of patients with NMO suggest a positive association with HLA-DRB1* 03:01. We previously showed that the human (h) AQP4 peptide 281-300 is the dominant immunogenic determinant of hAQP4 in the context of HLA-DRB1*03:01.

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Article Synopsis
  • Primary aldosteronism (PA) is a rarely diagnosed but significant cause of secondary hypertension, often overlooked because standard evaluations may not identify it.
  • Guidelines suggest PA should be considered in young patients with severe hypertension, those with low potassium levels, patients with adrenal adenomas, and individuals with a family history of early hypertension.
  • Recent research shows PA affects a larger percentage of hypertensive patients than previously thought and emphasizes the importance of diagnosis and treatment to improve blood pressure and reduce cardiovascular risks.
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Utilization review and reimbursement of cytology services in endobronchial ultrasound-guided procedures: challenge and opportunity.

J Am Soc Cytopathol

August 2015

Pathology and Laboratory Medicine, Weill Cornell Medical College of Cornell University, 1305 York Ave, New York, NY 10021; Houston Methodist Research Institute, 6670 Bertner Ave, Houston, TX 77030; Digital Pathology, Department of Pathology and Genomic Medicine, Houston Methodist Hospital Physicians Organization, 6550 Fannin, 1001, Houston, TX 77030.

Introduction: The roles of pathologists and cytotechnologists (CTs) continually evolve to optimize patient care, particularly with regard to rapid on-site evaluation (ROSE). Having ROSE performed helps ensure sufficient material is obtained for diagnosis and permits appropriate specimen triage for ancillary studies. At our institution, both on-site and telecytology evaluations are increasingly utilized, particularly in endobronchial ultrasound-guided procedures (EBUS).

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We characterize invasive urothelial carcinoma (UC) exhibiting urothelial basal cell immunohistochemical markers. Consecutive invasive UCs were immunostained with CK20 and urothelial basal cell markers, cytokeratin 5 (CK5)/CD44. Immunostaining for CK5 and CD44 was scored as follows: positive for staining of more than 25% thickness of the epithelial nest or epithelium and low for lesser immunoreactivity.

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The International Consultations on Urological Diseases are international consensus meetings, supported by the World Health Organization and the Union Internationale Contre le Cancer, which have occurred since 1981. Each consultation has the goal of convening experts to review data and provide evidence-based recommendations to improve practice. In 2012, the selected subject was bladder cancer, a disease which remains a major public health problem with little improvement in many years.

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Immune surveillance of the central nervous system in multiple sclerosis--relevance for therapy and experimental models.

J Neuroimmunol

November 2014

Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center at Dallas, TX, USA; Neurology Section, VA North Texas Health Care System, Medical Service, Dallas, TX, USA; Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Germany. Electronic address:

Article Synopsis
  • Treatment of CNS autoimmune disorders often requires reducing immune cells or preventing their movement to affected areas, which has been effective in multiple sclerosis (MS).
  • Many current treatments can cause serious side effects because they disrupt the body's natural immune surveillance in the CNS.
  • The review discusses the immune cells involved in CNS defense, their role in MS and experimental models, and suggests new models to test treatments' effects on immune cell function and potential adverse outcomes.
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Testing effects of glatiramer acetate and fingolimod in an infectious model of CNS immune surveillance.

J Neuroimmunol

November 2014

Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center at Dallas, TX, USA; Neurology Section, VA North Texas Health Care System, Medical Service, Dallas, TX, USA; Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Germany. Electronic address:

Immune surveillance of the CNS is critical for preventing infections; however, there is no accepted experimental model to assess the risk of infection when utilizing disease-modifying agents. We tested two approved agents for patients with multiple sclerosis (MS), glatiramer acetate and fingolimod, in an experimental model of CNS immune surveillance. C57BL/6 mice were infected with the ME49 strain of the neuroinvasive parasite Toxoplasma gondii (T.

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Increased susceptibility to hyperoxic lung injury and alveolar simplification in newborn rats by prenatal administration of benzo[a]pyrene.

Toxicol Lett

October 2014

Department of Pediatrics, Section of Neonatology, Texas Children's Hospital, Baylor College of Medicine, 1102 Bates Avenue, MC: FC530.01, Houston, TX 77030, USA. Electronic address:

Maternal smoking is one of the risk factors for preterm birth and for the development of bronchopulmonary dysplasia (BPD). In this study, we tested the hypothesis that prenatal exposure of rats to benzo[a]pyrene (BP), a component of cigarette smoke, will result in increased susceptibility of newborns to oxygen-mediated lung injury and alveolar simplification, and that cytochrome P450 (CYP)1A and 1B1 enzymes and oxidative stress mechanistically contribute to this phenomenon. Timed pregnant Fisher 344 rats were administered BP (25 mg/kg) or the vehicle corn oil (CO) on gestational days 18, 19 and 20, and newborn rats were either maintained in room air or exposed to hyperoxia (85% O2) for 7 or 14 days.

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