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61.
62.
Impact of Insurance Provider on Overall Costs in Failed Back Surgery Syndrome: A Cost Study of 122,827 Patients 下载免费PDF全文
63.
The Influence of Skin Redness on Blinding in Transcranial Direct Current Stimulation Studies: A Crossover Trial 下载免费PDF全文
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Sherifa A Hamed Yaser BE Elserogy Madleen A Abdou Mostafa M Abdellah 《World Journal of Psychiatry》2012,2(2):33-42
AIM: To determine the prevalence and risks of suicidality in a group of patients with epilepsy.
METHODS: Included were 200 adult patients and 100 matched healthy subjects. The clinical interview using The Diagnostic and Statistical Manual of Mental Disorders (4th edition), Beck Depression Inventory (2nd edition) (BDI-II), Hamilton Anxiety Rating Scale (HAM-A), Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and Eysenck Personality Questionnaire-Revised Rating Scale testings were used for diagnosis and assessment of severity of psychiatric symptoms. Blood concentrations of serotonin, catecholamines and dopamine were also measured.
RESULTS: Suicidality was reported in 35% (compared to 9% for controls), of them 80%, 72.86%, 55.71% and 52.9% had depression, anxiety, obsession and aggression respectively. Patients with suicidality had higher scores of BDI-II (P = 0.0001), HAM-A (P = 0.0001), and Y-BOCS (P = 0.037) and lower scores of psychotic (P = 0.0001) and extroversion (P = 0.025) personality traits. Regardless the presence or absence of suicidality, patients with epilepsy had low serotonin (P = 0.006), noradrenaline (P = 0.019) and adrenaline (P = 0.0001) levels. With suicidality, significant correlations were identified between: (1) age and scores of BDI-II (r = 0.235, P = 0.0001) and HAM-A (r = 0.241, P = 0.046); (2) age at onset and concentrations of noradrenaline (r = -0.502, P = 0.024); (3) duration of illness and scores of BDI-II (r = 0.247, P = 0.041), Y-BOCS (r = 0.270, P = 0.025) and neurotic personality trait (r = -0.284, P = 0.018); and (4) doses of antiepileptic drugs and scores of psychotic personality traits (r = -0.495, P = 0.006 for carbamazepine; r = -0.508, P = 0.0001 for valproate).
CONCLUSION: This is the first study which systematically estimated the prevalence and risks of suicidality in a homogenous group of patients with epilepsy. This study emphasizes the importance of epilepsy itself as a risk for suicidality and not its treatment. 相似文献
66.
Reliability and Validity of the PAQ‐C Questionnaire to Assess Physical Activity in Children 下载免费PDF全文
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Christopher Stuart-Andrews BE MBME Philip Peyton MBBS MD FANZCA Craig Humphries MBBS FANZCA Gavin Robinson MBBS FANZCA Brian Lithgow BE MEngSc 《Journal of clinical monitoring and computing》2009,23(1):41-49
A method was tested which permits continuous monitoring from a breathing system of the rate of uptake of multiple gas species,
such as occurs in patients during inhalational anaesthesia. The method is an indirect calorimetry technique which uses fresh
gas rotameters for control, regulation and measurement of the gas flows into the system, with continuous sampling of mixed
exhaust gas, and frequent automated recalibration to maintain accuracy. Its accuracy was tested in 16 patients undergoing
pre-cardiopulmonary bypass coronary artery surgery, breathing mixtures of oxygen/air and sevoflurane with/without nitrous
oxide, by comparison with the reverse Fick method. Overall mean bias [95% confidence interval (CI)] of rate of uptake was
17.9 [7.3 to 28.5] ml min−1 for oxygen, 0.04 [−0.42 to 0.50] ml min−1 for sevoflurane, 10.9 [−16.1 to 37.8] for CO2, and 8.8 [−14.8 to 32.4] ml min−1 for nitrous oxide where present. The method proved to be accurate and precise, and allows continuous monitoring of exchange
of multiple gases using standard gas analysis devices.
Stuart-Andrews C, Peyton P, Humphries C, Robinson G, Lithgow B. Continuous measurement of multiple inert and respiratory gas
exchange in an anaesthetic breathing system by continuous indirect calorimetry. 相似文献
69.
Michael Broniatowski MD Sharon Grundfest‐Broniatowski MD Aaron J. Hadley BE Nemath S. Shah MS Anca M. Barbu MD Sue Ann Phillipbar MS‐CCC‐SLP Kingman P. Strohl MD Harvey M. Tucker MD Dustin J. Tyler PhD 《The Laryngoscope》2010,120(1):76-83
Objectives/Hypothesis.
To determine whether respiratory compromise from bilateral vocal fold impairment (paralysis) can be objectively alleviated by reinnervation and pacing.Methods.
A patient with paramedian vocal folds and synkinesis had a tracheotomy for stridor after bilateral laryngeal nerve injury and Miller Fisher syndrome. One posterior cricoarytenoideus (PCA) received a nerve‐muscle pedicle fitted with a perineural electrode for pacemaker stimulation. The airway was evaluated endoscopically and by spirometry for up to 1 year.Results.
Bilateral vocal fold patency during quiet breathing was reversed to active vocal fold adduction during tracheal occlusion. Peak inspiratory flows (PIFs) were significantly higher (P < .001) after reinnervation. PIFs and glottic apertures increased further under stimulation (42 Hz, 1–4 mA, 42–400 μsec). although the differences were not significant.Conclusions.
Based on our preliminary data, PCA reinnervation and pacing offer promise for amelioration of respiratory compromise after paradoxical adduction in bilateral vocal fold impairment. Laryngoscope, 2010 相似文献70.
Sequential contrast-enhanced MR imaging of the penis 总被引:1,自引:0,他引:1