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961.
Owoicho Adogwa Mary I. Huang Paul M. Thompson Timothy Darlington Joseph S. Cheng Ziya L. Gokaslan Oren N. Gottfried Carlos A. Bagley Greg D. Anderson Robert E. Isaacs 《The spine journal》2014,14(9):1828-1834
BackgroundIncidental durotomies occur in up to 17% of spinal operations. Controversy exists regarding the short- and long-term consequences of durotomies.PurposeThe primary aim of this study was to assess the effect of incidental durotomies on the immediate postoperative complications and patient-reported outcome measures.Study designProspective study.Patient sampleA total of 1,741 patients undergoing index lumbar spine fusion were selected from a multi-institutional prospective data registry.Outcome measuresPatient-reported outcome measures used in this study included back pain (BP-Visual Analog Scale), leg pain (LP-Visual Analog Scale), and Oswestry Disability Index.MethodsA total of 1,741 patients were selected from a multi-institutional prospective data registry, who underwent primary lumbar fusion for low back pain and/or radiculopathy between January 2003 and December 2010. We collected and analyzed data on patient demographics, postoperative complications, back pain, leg pain, and functional disability over 2 years, with risk-adjusted propensity score modeling.ResultsIncidental durotomies occurred in 70 patients (4%). Compared with the control group (n=1,671), there was no significant difference in postoperative infection (p=.32), need for reoperation (p=.85), or symptomatic neurologic damage (p=.66). At 1- and 2-year follow-up, there was no difference in patient-reported outcomes of back pain (BP-Visual Analog Scale), leg pain (LP-Visual Analog Scale), or functional disability (Oswestry Disability Index) (p>.3), with results remaining consistent in the propensity-matched cohort analysis (p>.4).ConclusionWithin the context of an on-going debate on the consequences of incidental durotomy, we found no difference in neurologic symptoms, infection, reoperation, back pain, leg pain, or functional disability over a 2-year follow-up period. 相似文献
962.
Shoaib Faruqi Caroline Wright Rachel Thompson Alyn H Morice 《British journal of clinical pharmacology》2014,78(6):1272-1280
Aims
The examination of cough reflex sensitivity through inhalational challenge can be utilized to demonstrate pharmacological end points. Here we compare the effect of butamirate, dextromethorphan and placebo on capsaicin-induced cough in healthy volunteers.Methods
In this randomized, placebo-controlled, six way crossover study the effect of dextromethrophan 30 mg, four doses of butamirate and placebo was evaluated on incremental capsaicin challenges performed at baseline and 2, 4, 6, 8, 12 and 24 h following dosing. The primary end point was the area under the curve (AUC(0,12h)) of log10 C5 from pre-dose to 12 h after dosing. Plasma butamirate metabolites were analyzed to evaluate pharmacokinetic and pharmacodynamic relationships.Results
Thirty-four subjects (13 males, median age 25 years) completed the study. Cough sensitivity decreased from baseline in all arms of the study. Dextromethorphan was superior to placebo (P = 0.01) but butamirate failed to show significant activity with maximum attenuation at the 45 mg dose. There was no apparent relationship between pharmacokinetic and pharmacodynamic parameters for butamirate.Conclusions
We have demonstrated for the first time that dextromethorphan attenuates capsaicin challenge confirming its broad activity on the cough reflex. The lack of efficacy of butamirate could be due to formulation issues at higher doses. 相似文献963.
Ning Pu Shanshan Gao Ross Beckman Ding Ding Michael Wright Zhiyao Chen Yayun Zhu Haijie Hu Lingdi Yin Michael Beckman Elizabeth Thompson Ralph H. Hruban John L. Cameron Michele M. Gage Kelly J. Lafaro William R. Burns Christopher L. Wolfgang Jin He Richard A. Burkhart 《HPB : the official journal of the International Hepato Pancreato Biliary Association》2021,23(4):575-586
BackgroundLymph node (LN) metastasis is associated with decreased survival following resection for pancreatic ductal adenocarcinoma (PDAC). In N0 disease, increasing total evaluated LN (ELN) correlates with improved outcomes suggesting patients may be understaged when LNs are undersampled. We aim to assess the optimal number of examined lymph nodes (ELN) following pancreatectomy.MethodsData from 1837 patients undergoing surgery were prospectively collected. The binomial probability law was utilized to analyze the minimum number of examined LNs (minELN) and accurately characterize each histopathologic stage. LN ratio (LNR) was compared to American Joint Committee on Cancer (AJCC) guidelines.ResultsAs ELN total increased, the likelihood of finding node positive disease increased. An evaluation based upon the binomial probability law suggested an optimal minELN of 12 for accurate AJCC N staging. As the number of ELNs increased, the discriminatory capacity of alternative strategies to characterize LN disease exceeded that offered by AJCC N stage.ConclusionThis is the first study dedicated to optimizing histopathologic staging in PDAC using models of minELN informed by the binomial probability law. This study highlights two separate cutoffs for ELNs depending upon prognostic goal and validates that 12 LNs are adequate to determine AJCC N stage for the majority of patients. 相似文献
964.
965.
966.
Jay L. Patel Mehrdad Abedi Christopher R. Cogle Harry P. Erba Kathryn Foucar Guillermo Garcia-Manero David L. Grinblatt Rami S. Komrokji Sandra E. Kurtin Jaroslaw P. Maciejewski Daniel A. Pollyea Dennis A. Revicki Gail J. Roboz Michael R. Savona Bart L. Scott Mikkael A. Sekeres David P. Steensma Michael A. Thompson Elizabeth Dawn Flick Pavel Kiselev Chrystal U. Louis Melissa Nifenecker Arlene S. Swern Tracy I. George 《International journal of laboratory hematology》2021,43(3):426-432
967.
Neeraj Shah Min Qian Marco R. Di Tullio Susan Graham Douglas L. Mann Ralph L. Sacco Gregory Y. H. Lip Arthur J. Labovitz Piotr Ponikowski Dirk J. Lok Stefan D. Anker John R. Teerlink John L. P. Thompson Shunichi Homma Ronald S. Freudenberger the WARCEF Investigators 《European journal of clinical investigation》2019,49(6):e13092
968.
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970.
The prevalence, intensities and risk factors associated with geohelminth infection in tea-growing communities of Assam, India 总被引:1,自引:0,他引:1
Traub RJ Robertson ID Irwin P Mencke N Andrew Thompson RC 《Tropical medicine & international health : TM & IH》2004,9(6):688-701
OBJECTIVE: To determine the prevalence, intensity and associated risk factors for infection with Ascaris, hookworms and Trichuris in three tea-growing communities in Assam, India. METHODS: Single faecal samples were collected from 328 individuals and subjected to centrifugal flotation and the Kato Katz quantitation technique and prevalence and intensities of infection with each parasite calculated. Associations between parasite prevalence, intensity and host and environmental factors were then made using both univariate and multivariate analysis. RESULTS: The overall prevalence of Ascaris was 38% [95% confidence interval (CI): 33, 43], and the individual prevalence of hookworm and Trichuris was 43% (95% CI: 38, 49). The strongest predictors for the intensity of one or more geohelminths using multiple regression (P < or = 0.10) were socioeconomic status, age, household crowding, level of education, religion, use of footwear when outdoors, defecation practices, pig ownership and water source. CONCLUSION: A universal blanket treatment with broad-spectrum anthelmintics together with promotion of scholastic and health education and improvements in sanitation is recommended for helminth control in the communities under study. 相似文献