排序方式: 共有28条查询结果,搜索用时 31 毫秒
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Patel Jeet Le Rebecca T. Haymes Dalys Rao Dinesh Fiester Peter Hernandez Mauricio Jenson Matthew 《Emergency radiology》2022,29(1):197-205
Emergency Radiology - Dental infections are a common presentation in the emergency department (ED). To help guide clinical management for these infections, the radiologist must be familiar with the... 相似文献
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The present study investigated the attitudes and values of community and mental health center board and management staff of four Community Mental Health Centers and one mental health clinic toward the recent federal mandate calling for increased citizen involvement in center evaluation activities. Three related areas were address: (a) general attitudes toward citizen participation, (b) types of program-evaluation activities in which citizen input would be most useful; and (c) types of individuals who would best serve on citizen review groups. The results indicated that although board members are somewhat more optimistic about benefits received from citizen involvement, overall there was close agreement between the board and staff respondents in the three areas studied. These results were interpreted as substantiating the view that community mental health center boards typically reflect a provider orientation in their approach to mental health governance. A missing evaluation component in most centers is citizen participation as it reflects the values of its service consumers. It is advocated that only by developing consumer participation mechanisms will centers more readily achieve the goal of responsiveness to community needs. 相似文献
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R F Fiester 《Archives of pathology》1975,99(1):60-61
The association of a primary cardiac lymphoma in a 53-year-old man with a previously documented myocardial infraction was found. The patient was initially thought to have a recurrent myocardial infraction, but failed to respond to aggressive treatment. The enigma of the clinical course was solved at autopsy by the identification of a primary reticulum cell sarcoma of the heart. 相似文献
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Sperm cryopreservation and increasingly oocyte cryopreservation are common forms of fertility preservation for oncology patients facing gonadotoxic therapy. Both procedures present challenging ethical issues with regard to informed consent, given that the context for these procedures is a disease that carries a significant risk of mortality. We argue that the current consent process does not allow for adequate collection of information about a patient's wishes for the custody of cryopreserved gametes in the case of premature death. After review of the European Society of Human Reproduction and Embryology and the American Society of Reproductive Medicine guidelines we propose that a new, comprehensive consent procedure for sperm and oocyte cryopreservation including a 'roll-down' option is imperative to protect the autonomy of these oncology patients. This 'roll-down' option should allow for the transfer of custody of gametes to a pre-selected alternative recipient(s) if the original recipient no longer intends to use the gametes to create a child. We also demonstrate that objections over non-spousal custody of gametes can be overcome with sound ethical arguments. 相似文献
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Rutenberg Michael S. Holtzman Adam L. Indelicato Daniel J. Huh Soon Rao Dinesh Fiester Peter J. Morris Christopher G. Tavanaiepour Daryoush Amdur Robert J. 《Journal of neuro-oncology》2022,157(3):425-433
Journal of Neuro-Oncology - To report disease control and treatment-related side effects among adult patients with craniopharyngioma treated with radiotherapy. We performed a single-institution... 相似文献
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Fiester Peter Rao Dinesh Soule Erik Jenson Matthew Rahmathulla Gazanfar 《Emergency radiology》2022,29(2):383-393
Emergency Radiology - Craniocervical dissociation is a rare and life-threatening injury that results from a significant hyperflexion-hyperextension force. Occult craniocervical dissociation is... 相似文献
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D B Larson L C Kessler B J Burns H A Pincus J L Houpt S Fiester L Chaitkin 《Hospital & community psychiatry》1987,38(10):1106-1109
With shrinking federal resources, innovative approaches involving both professional organizations and federal program staff are needed to stimulate research in new or undeveloped clinical areas. National Institute of Mental Health staff and members of the American Psychiatric Association's task force on cost-effectiveness in consultation-liaison psychiatry applied a collaborative model, the research development workshop, to stimulate outcome research in consultation-liaison psychiatry, a field with little previous such research. As a result 12 grant proposals have been submitted to NIMH for review in the last three years, and six are now funded. In contrast, in the previous ten fiscal years none of the nearly 700 services research proposals focused on the consultation-liaison area. The model could be applied to other mental health fields in which research should be stimulated. 相似文献
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Montserrat Lara-Velazquez Yusuf Mehkri Eric Panther Jairo Hernandez Dinesh Rao Peter Fiester Raafat Makary Michael Rutenberg Daryoush Tavanaiepour Gazanfar Rahmathulla 《Current oncology (Toronto, Ont.)》2022,29(3):1645
Craniopharyngiomas (CPs) are slow growing, histologically benign intracranial tumors located in the sellar–suprasellar region. Although known to have low mortality, their location and relationship to the adjacent neural structures results in patients having significant neurologic, endocrine, and visual comorbidities. The invasive nature of this tumor makes complete resection a challenge and contributes to its recurrence. Additionally, these tumors are bimodally distributed, being treated with surgery, and are followed by other adjuncts, such as focused radiation therapy, e.g., Gamma knife. Advances in surgical techniques, imaging tools, and instrumentations have resulted in the evolution of surgery using endoscopic techniques, with residual components being treated by radiotherapy to target the residual tumor. Advances in molecular biology have elucidated the main pathways involved in tumor development and recurrence, but presently, no other treatments are offered to patients, besides surgery, radiation, and endocrine management, as the disease and tumor evolve. We review the contemporary management of these tumors, from the evolution of surgical treatments, utilizing standard open microscopic approaches to the more recent endoscopic surgery, and discuss the current recommendations for care of these patients. We discuss the developments in radiation therapy, such as radiosurgery, being used as treatment strategies for craniopharyngioma, highlighting their beneficial effects on tumor resections while decreasing the rates of adverse outcomes. We also outline the recent chemotherapy modalities, which help control tumor growth, and the immune landscape on craniopharyngiomas that allow the development of novel immunotherapies. 相似文献