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2013

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After The Arab Spring: A New Opportunity For Lgbt Human Rights Advocacy?, Jayesh Needham Sep 2013

After The Arab Spring: A New Opportunity For Lgbt Human Rights Advocacy?, Jayesh Needham

Duke Journal of Gender Law & Policy

No abstract provided.


Retention Of Structure, Antigenicity, And Biological Function Of Pneumococcal Surface Protein A (Pspa) Released From Polyanhydride Nanoparticles, Shannon L. Haughney, Latrisha K. Petersen, Amy D. Schoofs, Amanda Ramer-Tait, Janice King, David Briles, Michael J. Wannemuehler, Balaji Narasimhan Sep 2013

Retention Of Structure, Antigenicity, And Biological Function Of Pneumococcal Surface Protein A (Pspa) Released From Polyanhydride Nanoparticles, Shannon L. Haughney, Latrisha K. Petersen, Amy D. Schoofs, Amanda Ramer-Tait, Janice King, David Briles, Michael J. Wannemuehler, Balaji Narasimhan

Department of Food Science and Technology: Faculty Publications

Pneumococcal surface protein A (PspA) is a choline-binding protein which is a virulence factor found on the surface of all Streptococcus pneumoniae strains. Vaccination with PspA has been shown to be protective against a lethal challenge with S. pneumoniae, making it a promising immunogen for use in vaccines. Herein, the design of a PspA-based subunit vaccine using polyanhydride nanoparticles as a delivery platform is described. Nanoparticles based on sebacic acid (SA), 1,6-bis-(p-carboxyphenoxy)hexane (CPH) and 1,8-bis-(p-carboxyphenoxy)-3,6- dioxaoctane (CPTEG), specifically 50:50 CPTEG:CPH and 20:80 CPH:SA, were used to encapsulate and release PspA. The protein released from the nanoparticle …


Food, Parasites, And Epidemiological Transitions: A Broad Perspective, Karl Reinhard, Luis Fernando Ferreira, Françoise Bouchet, L. Sianto, J. M.F. Dutra, A. Iniguez, Daniela Leles, M. Le Bailley, Martín Horacio Fugassa, Elisa Pucu, Adauto Araújo Sep 2013

Food, Parasites, And Epidemiological Transitions: A Broad Perspective, Karl Reinhard, Luis Fernando Ferreira, Françoise Bouchet, L. Sianto, J. M.F. Dutra, A. Iniguez, Daniela Leles, M. Le Bailley, Martín Horacio Fugassa, Elisa Pucu, Adauto Araújo

Karl Reinhard Publications

Pathoecology provides unique frameworks for understanding disease transmission in ancient populations. Analyses of Old and New World archaeological samples contribute empirically to our understanding of parasite infections. Combining archaeological and anthropological data, we gain insights about health, disease, and the way ancient people lived and interacted with each other and with their environments. Here we present Old and New World parasite evidence, emphasizing how such information reflects the different ways ancient populations exploited diverse environments and became infected with zoonotic parasites. It is clear that the most common intestinal helminthes (worm endoparasites) were already infecting ancient inhabitants of the New …


Conversion Of Greenhouse Gasses Into Energy, Sarah C. Rippe Sep 2013

Conversion Of Greenhouse Gasses Into Energy, Sarah C. Rippe

Social Sciences

No abstract provided.


Shrinkage Empirical Likelihood Estimator In Longitudinal Analysis With Time-Dependent Covariates: Application To Modeling The Health Of Filipino Children, Denis H. Y. Leung, Dylan S. Small, Jing Qin, Min Zhu Sep 2013

Shrinkage Empirical Likelihood Estimator In Longitudinal Analysis With Time-Dependent Covariates: Application To Modeling The Health Of Filipino Children, Denis H. Y. Leung, Dylan S. Small, Jing Qin, Min Zhu

Research Collection School Of Economics

The method of generalized estimating equations (GEE) is a popular tool for analysing longitudinal (panel) data. Often, the covariates collected are time-dependent in nature, for example, age, relapse status, monthly income. When using GEE to analyse longitudinal data with time-dependent covariates, crucial assumptions about the covariates are necessary for valid inferences to be drawn. When those assumptions do not hold or cannot be verified, Pepe and Anderson (1994, Communications in Statistics, Simulations and Computation 23, 939–951) advocated using an independence working correlation assumption in the GEE model as a robust approach. However, using GEE with the independence correlation assumption may …


September 2013 News Releases, University Of Montana--Missoula. Office Of University Relations Sep 2013

September 2013 News Releases, University Of Montana--Missoula. Office Of University Relations

University of Montana News Releases, 1928, 1956-present

No abstract provided.


Immune Dysregulation And Glucocorticoid Resistance In Minority And Low Income Pregnant Women, Elizabeth J. Corwin, Ying Guo, Kathleen Pajer, Nancy Lowe, Donna O. Mccarthy, Sarah Schmiege, Mary Weber, Thaddeus Pace, Brian Stafford Sep 2013

Immune Dysregulation And Glucocorticoid Resistance In Minority And Low Income Pregnant Women, Elizabeth J. Corwin, Ying Guo, Kathleen Pajer, Nancy Lowe, Donna O. Mccarthy, Sarah Schmiege, Mary Weber, Thaddeus Pace, Brian Stafford

College of Nursing Faculty Research and Publications

Chronic prenatal stress contributes to poor birth outcomes for women and infants. Importantly, poor birth outcomes are most common among minority and low income women. To investigate underlying mechanisms, we tested the hypothesis that chronic stress related to minority or low income status is associated with glucocorticoid resistance as indicated by disruption in the cytokine-glucocorticoid feedback circuit. Home visits were conducted during which 3rd trimester pregnant women completed stress and depression surveys and provided blood for pro- and anti-inflammatory cytokines. Saliva was collected 5 times the preceding day for diurnal cortisol levels. For statistical analyses, women were grouped 3 ways, …


Integration Of Comprehensive Women’S Health Programmes Into Health Systems: Cervical Cancer Prevention, Care And Control In Rwanda, Agnes Binagwaho, Fidele Ngabo, Claire M. Wagner, Cathy Mugeni, Maurice Gatera, Cameron T. Nutt, Sabin Nsanzimana Sep 2013

Integration Of Comprehensive Women’S Health Programmes Into Health Systems: Cervical Cancer Prevention, Care And Control In Rwanda, Agnes Binagwaho, Fidele Ngabo, Claire M. Wagner, Cathy Mugeni, Maurice Gatera, Cameron T. Nutt, Sabin Nsanzimana

Dartmouth Scholarship

PROBLEM: Although it is highly preventable and treatable, cervical cancer is the most common and most deadly cancer among women in Rwanda.

APPROACH: By mobilizing a diverse coalition of partnerships, Rwanda became the first country in Africa to develop and implement a national strategic plan for cervical cancer prevention, screening and treatment.

LOCAL SETTING: Rwanda - a small, landlocked nation in East Africa with a population of 10.4 million - is well positioned to tackle a number of "high-burden" noncommunicable diseases. The country's integrated response to infectious diseases has resulted in steep declines in premature mortality over the past decade. …


Multicenter Study Of High-Dose Daptomycin For Treatment Of Enterococcal Infections, Anthony M. Casapao, Ravina Kullar, Susan L. Davis, Donald P. Levine, Jing J. Zhao, Brian A. Potoski, Debra A. Goff, Christopher W. Crank, John Segreti, George Sakoulas, Sara E. Cosgrove, Michael J. Rybak Sep 2013

Multicenter Study Of High-Dose Daptomycin For Treatment Of Enterococcal Infections, Anthony M. Casapao, Ravina Kullar, Susan L. Davis, Donald P. Levine, Jing J. Zhao, Brian A. Potoski, Debra A. Goff, Christopher W. Crank, John Segreti, George Sakoulas, Sara E. Cosgrove, Michael J. Rybak

Internal Medicine Faculty Publications

Enterococci are among the leading pathogens isolated in hospital-acquired infections. Current antimicrobial options for vancomycin-resistant enterococci (VRE) are limited. Prior data suggests that daptomycin > 6mg/kg/day may be used to treat enterococcal infections. We retrospectively evaluated the effectiveness and safety of high-dose daptomycin (HD-daptomycin) therapy (> 6 mg/kg) in a multicenter cohort of adult patients with enterococcal infections to describe the characteristics and outcomes. Two-hundred and forty-five patients were evaluated. Enterococcus faecium was identified in 175 (71%), followed by 49 (20%) Enterococcus faecalis and 21 (9%) Enterococcus spp., overall 204 (83%) were VRE. Enterococcal infections included bacteremia (173, 71%), intra-abdominal (35, …


Stakeholder Perceptions Of Socioenvironmental Impacts From Unconventional Natural Gas Development And Hydraulic Fracturing In The Haynesville Shale, Anthony E. Ladd Aug 2013

Stakeholder Perceptions Of Socioenvironmental Impacts From Unconventional Natural Gas Development And Hydraulic Fracturing In The Haynesville Shale, Anthony E. Ladd

Journal of Rural Social Sciences

Environmental controversy over unconventional natural gas development utilizing horizontal drilling and hydraulic “fracking” has been on the rise in recent years. While most of the media attention has been focused on the conflicts in states like Pennsylvania, New York, Texas, and Colorado, the discovery of huge natural gas reserves in the Haynesville Shale formation in 2008 set off a drilling rush that has resulted in differential benefits and risks for various residents. Drawing on current research and extensive interview data collected from a relevant cross-section of community stakeholders, this study offers a descriptive and comparative analysis of the types of …


Project Ngage: Network Supported Hiv Care Engagement For Younger Black Men Who Have Sex With Men And Transgender Persons, Dexter R. Voisin Aug 2013

Project Ngage: Network Supported Hiv Care Engagement For Younger Black Men Who Have Sex With Men And Transgender Persons, Dexter R. Voisin

Faculty Scholarship

Background: Young Black men who have sex with men and transgender persons (YBMSMT) aged 13-29 carry the nation's highest burden of new HIV infections. Studies indicate that YBMSMT have poor retention in care, which is associated with reduced medication adherence and increased virologic failure. Objective: Project nGage is a randomized controlled (RCT) trial evaluating the feasibility and preliminary efficacy of a brief, dyadic intervention designed to promote adherence to HIV primary care in safety-net clinics. Network visualization is used to identify and engage a support confidant (SC) from participants' social networks. A social work interventionist then meets with the SC …


The Recruitment Of Female “Mules” By Transnational Criminal Organizations: Securitization Of Drug Trafficking In The Philippines And Beyond, Stéphanie Martel Aug 2013

The Recruitment Of Female “Mules” By Transnational Criminal Organizations: Securitization Of Drug Trafficking In The Philippines And Beyond, Stéphanie Martel

Social Transformations Journal of the Global South

Southeast Asia has long been vulnerable to drug trafficking. Recently, intensified flows of persons, goods, and capital across borders have rendered it more fragmented and complex. The recruitment of female drug “mules” by transnational criminal organizations is a growing concern for both national and international counter-trafficking authorities in the region. This phenomenon has been the focus of a particular securitization process, emerging primarily in the Philippines but having regional implications, which has supported the implementation of counter-trafficking policy initiatives on both levels of state and region in Southeast Asia.


Identification And Characterization Of An Effective Antimicrobial Peptide Defensin And Its Effects On Transmission Efficiency, Kody Johnson, Dr. David Erickson Aug 2013

Identification And Characterization Of An Effective Antimicrobial Peptide Defensin And Its Effects On Transmission Efficiency, Kody Johnson, Dr. David Erickson

Journal of Undergraduate Research

Among many transmissible infectious diseases falls the Bubonic Plague, a disease that is caused by Yersinia pestis, a bacterium. It is still a concern because there have been human cases as recent as last year in our home state of Utah. While health care has advanced significantly since the last large plague epidemic, there are still areas of the world where health care is not as efficient or advanced and it is in these areas that this disease causes the greatest harm.


We Are...Marshall, August 28, 2013, Office Of Marshall University Communications Aug 2013

We Are...Marshall, August 28, 2013, Office Of Marshall University Communications

We Are ... Marshall: the Newsletter for Marshall University 1999-2023

No abstract provided.


Nano-Biomedical Approaches Of Cancer Therapy Using Carbon Based And Magnetic Nanomaterials, Alokita Karmakar Aug 2013

Nano-Biomedical Approaches Of Cancer Therapy Using Carbon Based And Magnetic Nanomaterials, Alokita Karmakar

Theses and Dissertations

Since the inception of nanoparticles, they have affected almost each and every field of modern science and technology both in terms of research and application. Due to its subcellular level size and ease of modification for biological and medical purposes, nanoparticles have contributed greatly in various field of biomedical reaserch including cancer research. In this dissertation, emphasis has been given on an important area of research of a multi-modal anticancer therapeutic approach using carbon-based and magnetic inorganic nanoparticles. Cancer is a complex disease that has been known to be generated by mutations at the genetic level, and continue to accumulate …


Up North They’Re Talking Sex: A Collaborative And Community Driven Model For Sexual Health Knowledge Mobilization, Karen Edwards, Steve Mitchell Phd, Nancy Gibson Phd, Cecilia Zoe-Martin, Anita Daniels, Jim Martin, Patrick Wansbrough Rn Aug 2013

Up North They’Re Talking Sex: A Collaborative And Community Driven Model For Sexual Health Knowledge Mobilization, Karen Edwards, Steve Mitchell Phd, Nancy Gibson Phd, Cecilia Zoe-Martin, Anita Daniels, Jim Martin, Patrick Wansbrough Rn

Journal of Health Disparities Research and Practice

To address high STI rates in their aboriginal communities, the Tłı̨chǫ of the Northwest Territories adopted a collaborative participatory research approach to sexual health based on four key stages of development. First was community initiation and engagement, where local leaders identified a priority need and began community discussions around sexual health. Secondly, identifying that existing government statistics did not provide them with adequate information, the Tlicho Community Services Agency partnered with the University of Alberta and CIETcanda to conduct a baseline study in all four Tlicho communities, designed and administered by community-based researchers. Third, a community action research team (CART) …


Racial/Ethnic Disparities In Infectious Disease Hospitalizations In Arizona, Laura Callinan, Robert Holman, Douglas Esposito, Marian Mcdonald Aug 2013

Racial/Ethnic Disparities In Infectious Disease Hospitalizations In Arizona, Laura Callinan, Robert Holman, Douglas Esposito, Marian Mcdonald

Journal of Health Disparities Research and Practice

Infectious disease (ID) hospitalizations in Arizona, a diverse population with nearly complete race/ethnicity data, were analyzed using the State Inpatient Database for 2005-2008. ID hospitalizations rates were calculated and compared by ID group, race/ethnicity, age, and sex. During 2005-2008, there were 383,597 ID hospitalizations reported in Arizona, resulting in an age-adjusted rate of 1498.1 per 100,000 persons. A range of racial/ethnic disparities in ID hospitalization rates were noted. Persons of Native American and black race/ethnicity had overall ID hospitalization rates higher than the rate for persons of white race/ethnicity; persons of Asian or Pacific Islander race/ethnicity had a lower rate. …


Atp-Bioluminescence Immunoassay, Daniel V. Lim, Dawn M. Hunter Aug 2013

Atp-Bioluminescence Immunoassay, Daniel V. Lim, Dawn M. Hunter

USF Patents

Disclosed is a method and associated device for the rapid identification of viable bacterial contaminants in food products. The method detects viable microbes by using a combined ATP-bioluminescence immunoassay. Escherichia coli O157:H7 and Salmonella enterica serovar Typhimurium were selected as target organisms in various matrices including ground beef homogenate, apple juice, milk, and phosphate-buffered saline. Specific antibodies were immobilized on the surface of well plates in which the sample matrices were incubated. The plates were washed, and the wells were incubated with BacTiter-Glo reagent in Mueller-Hinton II broth. Bioluminescent output was measured with a luminometer and signal-to-noise ratios were calculated. …


Telomere Length Dynamics In Human Memory T Cells Specific For Viruses Causing Acute Or Latent Infections, Joel M. O'Bryan, Marcia Woda, Mary Co, Anuja Mathew, Alan L. Rothman Aug 2013

Telomere Length Dynamics In Human Memory T Cells Specific For Viruses Causing Acute Or Latent Infections, Joel M. O'Bryan, Marcia Woda, Mary Co, Anuja Mathew, Alan L. Rothman

Institute for Immunology and Informatics Faculty Publications

Background:

Declining telomere length (TL) is associated with T cell senescence. While TL in naïve and memory T cells declines with increasing age, there is limited data on TL dynamics in virus-specific memory CD4+ T cells in healthy adults. We combined BrdU-labeling of virus-stimulated T cells followed with flow cytometry-fluorescent in situ hybridization for TL determination. We analyzed TL in T cells specific for several virus infections: non-recurring acute (vaccinia virus, VACV), recurring-acute (influenza A virus, IAV), and reactivating viruses (varicella-zoster virus, VZV, and cytomegalovirus, CMV) in 10 healthy subjects. Additionally, five subjects provided multiple blood samples separated by …


Bioengineered Lysozyme Reduces Bacterial Burden And Inflammation In A Murine Model Of Mucoid Pseudomonas Aeruginosa Lung Infection, Charlotte C. Teneback, Thomas C. Scanlon, Matthew J. Wargo, Jenna L. Bement, Karl E. Griswold, Laurie W. Leclair Aug 2013

Bioengineered Lysozyme Reduces Bacterial Burden And Inflammation In A Murine Model Of Mucoid Pseudomonas Aeruginosa Lung Infection, Charlotte C. Teneback, Thomas C. Scanlon, Matthew J. Wargo, Jenna L. Bement, Karl E. Griswold, Laurie W. Leclair

Dartmouth Scholarship

The spread of drug-resistant bacterial pathogens is a growing global concern and has prompted an effort to explore potential adjuvant and alternative therapies derived from nature's repertoire of bactericidal proteins and peptides. In humans, the airway surface liquid layer is a rich source of antibiotics, and lysozyme represents one of the most abundant and effective antimicrobial components of airway secretions. Human lysozyme is active against both Gram-positive and Gram-negative bacteria, ac


Identification And Characterization Of An Effective Antimicrobial Peptide Defensin And Its Effects On Transmission Efficiency, Kody Johnson, Dr. David Erickson Aug 2013

Identification And Characterization Of An Effective Antimicrobial Peptide Defensin And Its Effects On Transmission Efficiency, Kody Johnson, Dr. David Erickson

Journal of Undergraduate Research

Among many transmissible infectious diseases falls the Bubonic Plague, a disease that is caused by Yersinia pestis, a bacterium. It is still a concern because there have been human cases as recent as two years ago in our home state of Utah. While health care has advanced significantly since the last large plague epidemic, there are still areas of the world where health care is not as efficient or advanced and it is in these areas that this disease causes the greatest harm.


Développement D'Un Modèle De Gestion Graduée Du Risque Pour Le Choix De La Protection Respiratoire Contre Les Bioaérosols, Jacques Lavoie, Eve Neesham-Grenon, Maximilien Debia, Yves Cloutier, Geneviève Marchand Aug 2013

Développement D'Un Modèle De Gestion Graduée Du Risque Pour Le Choix De La Protection Respiratoire Contre Les Bioaérosols, Jacques Lavoie, Eve Neesham-Grenon, Maximilien Debia, Yves Cloutier, Geneviève Marchand

Rapports de recherche scientifique

La sélection d’un appareil de protection respiratoire contre les bioaérosols peut s’avérer une tâche complexe compte tenu de l’absence de valeurs limites d’exposition et de données toxicologiques, ainsi que des limites des techniques d’échantillonnage actuelles et de la grande diversité des bioaérosols. Dans ces circonstances, une méthode qualitative d’évaluation et de gestion du risque fournit une alternative aux méthodes quantitatives utilisées en hygiène du travail. Ce rapport propose un modèle de gestion graduée du risque pour le choix de la protection respiratoire contre les bioaérosols infectieux et non infectieux applicable à l’ensemble des milieux de travail et s’adressant aux hygiénistes …


Hiv Expertise Helps To Fight Rise Of Hepatitis C, Uab Medicine Magazine Aug 2013

Hiv Expertise Helps To Fight Rise Of Hepatitis C, Uab Medicine Magazine

Browse All News

No abstract provided.


August 23, 2013 Ereporter, University Of Alabama At Birmingham Aug 2013

August 23, 2013 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.


Optimization Of Inpatient Hemodialysis Scheduling Considering Efficiency And Treatment Delays To Minimize Length Of Stay, Manuel Tolentino Peña Aug 2013

Optimization Of Inpatient Hemodialysis Scheduling Considering Efficiency And Treatment Delays To Minimize Length Of Stay, Manuel Tolentino Peña

Theses

Inpatient dialysis units face an uncertain daily demand of hemodialysis procedures for end-stage renal disease (ESRD) patients hospitalized for health conditions that may or may not be directly related to their renal disease. While hospitalized, these patients must receive hemodialysis in addition to any medical services needed for their primary diagnosis. As a result, when demand for inpatient dialysis is high, treatments and procedures required by these inpatients may be delayed increasing their length of stays (LOS). This research presents an optimization approach for daily scheduling of inpatient hemodialysis to maximize the efficiency of the dialysis unit while minimizing delays …


Phosphorylation Of Calcineurin At A Novel Serine-Proline Rich Region Orchestrates Hyphal Growth And Virulence In Aspergillus Fumigatus, Praveen R. Juvvadi, Christopher Gehrke, Jarrod R. Fortwendel, Frédéric Lamoth, Erik J. Soderblom, Erik C. Cook, Michael A. Hast, Yohannes G. Asfaw, M. Arthur Moseley, Trevor P. Creamer, William J. Steinbach Aug 2013

Phosphorylation Of Calcineurin At A Novel Serine-Proline Rich Region Orchestrates Hyphal Growth And Virulence In Aspergillus Fumigatus, Praveen R. Juvvadi, Christopher Gehrke, Jarrod R. Fortwendel, Frédéric Lamoth, Erik J. Soderblom, Erik C. Cook, Michael A. Hast, Yohannes G. Asfaw, M. Arthur Moseley, Trevor P. Creamer, William J. Steinbach

Molecular and Cellular Biochemistry Faculty Publications

The fungus Aspergillus fumigatus is a leading infectious killer in immunocompromised patients. Calcineurin, a calmodulin (CaM)-dependent protein phosphatase comprised of calcineurin A (CnaA) and calcineurin B (CnaB) subunits, localizes at the hyphal tips and septa to direct A. fumigatus invasion and virulence. Here we identified a novel serine-proline rich region (SPRR) located between two conserved CnaA domains, the CnaB-binding helix and the CaM-binding domain, that is evolutionarily conserved and unique to filamentous fungi and also completely absent in human calcineurin. Phosphopeptide enrichment and tandem mass spectrometry revealed the phosphorylation of A. fumigatus CnaA in vivo at four clustered serine residues …


We Are...Marshall, August 21, 2013, Office Of Marshall University Communications Aug 2013

We Are...Marshall, August 21, 2013, Office Of Marshall University Communications

We Are ... Marshall: the Newsletter for Marshall University 1999-2023

No abstract provided.


Does Comorbidity Increase The Risk Of Mortality Among Children Under 3 Years Of Age?, Christa L. Fischer Walker, Jamie Perin, Jodi L. Liu, Joanne Katz, James M. Tielsch, Robert Black Aug 2013

Does Comorbidity Increase The Risk Of Mortality Among Children Under 3 Years Of Age?, Christa L. Fischer Walker, Jamie Perin, Jodi L. Liu, Joanne Katz, James M. Tielsch, Robert Black

Global Health Faculty Publications

Objectives Diarrhoea and pneumonia remain leading causes of morbidity and mortality in children under 5 years of age. Little data is available to quantify the burden of comorbidity and the relationship between comorbid diarrhoea and pneumonia infections and mortality. We sought to quantify the relationship between comorbidity and risk of mortality among young children in two community-based studies conducted among South Asian children.

Design Secondary data analysis of two cohort studies.

Participants We identified two cohort studies of children under 3 years of age with prospective morbidity at least once every 2 weeks and ongoing mortality surveillance.

Outcome measures We …


A Supramolecular Strategy To Assemble Multifunctional Viral Nanoparticles, Limin Chen, Xia Zhao, Yuan Lin, Yubin Huang, Qian Wang Aug 2013

A Supramolecular Strategy To Assemble Multifunctional Viral Nanoparticles, Limin Chen, Xia Zhao, Yuan Lin, Yubin Huang, Qian Wang

Faculty Publications

Using a one-pot approach driven by the supramolecular interaction between β-cyclodextrin and adamantyl moieties, multifunctional viral nanoparticles can be facilely formulated for biomedical applications.


Spinal Anesthesia: Should Everyone Receive A Urinary Catheter?: A Randomized, Prospective Study Of Patients Undergoing Total Hip Arthroplasty., Adam G Miller, James Mckenzie, Max Greenky, Erica Shaw, Kishor Gandhi, William J Hozack, Javad Parvizi Aug 2013

Spinal Anesthesia: Should Everyone Receive A Urinary Catheter?: A Randomized, Prospective Study Of Patients Undergoing Total Hip Arthroplasty., Adam G Miller, James Mckenzie, Max Greenky, Erica Shaw, Kishor Gandhi, William J Hozack, Javad Parvizi

Rothman Institute Papers

BACKGROUND: The objective of this randomized prospective study was to determine whether a urinary catheter is necessary for all patients undergoing total hip arthroplasty under spinal anesthesia.

METHODS: Consecutive patients undergoing total hip arthroplasty under spinal anesthesia were randomized to treatment with or without insertion of an indwelling urinary catheter. All patients received spinal anesthesia with 15 to 30 mg of 0.5% bupivacaine. The catheter group was subjected to a standard postoperative protocol, with removal of the indwelling catheter within forty-eight hours postoperatively. The experimental group was monitored for urinary retention and, if necessary, had straight catheterization up to two …