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- Gastroenterology (2)
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- Adherence (1)
- Assessment (1)
- Co-neurotransmission (1)
- EAS plication (1)
- Guidelines (1)
- HIV/HCV coinfected patients (1)
- Hepatocellular Carcinoma Screening (1)
- Inhibitory neurotransmission (1)
- Lack of HIV/HCV coinfected patients undergoing liver transplantation in the United States (1)
- Nitric oxide synthase (1)
- Practice patterns (1)
- Primary provider beliefs (1)
- Rectoanal continence (1)
- Thomas Jefferson University (1)
- Transplantation (1)
Articles 1 - 3 of 3
Full-Text Articles in Medicine and Health Sciences
Assessment Of Adherence To Guidelines For Hepatocellular Carcinoma Screening In Hiv/Hcv Coinfected Patients, Jonathan M. Fenkel, Md, Victor J. Navarro, Md
Assessment Of Adherence To Guidelines For Hepatocellular Carcinoma Screening In Hiv/Hcv Coinfected Patients, Jonathan M. Fenkel, Md, Victor J. Navarro, Md
Division of Gastroenterology and Hepatology Faculty Papers
Conclusions:
1. Self-reported adherence with published guidelines for HCC screening is poor among primary providers for HIV/HCV coinfected patients, including HIV specialists and University-based providers.
2. Unnecessary imaging is also frequently ordered on non-cirrhotics, particularly by University-based providers.
3. Improved adherence to guidelines is needed among primary providers as over 50% of HCC's may be missed, and many patients many not be referred for subspecialty GI or Liver care, where screening practices may differ.
Primary Provider Beliefs And Practice Patterns Contribute To The Lack Of Hiv/Hcv Coinfected Patients Undergoing Liver Transplantation In The United States, Jonathan M. Fenkel, Md, Victor J. Navarro, Md
Primary Provider Beliefs And Practice Patterns Contribute To The Lack Of Hiv/Hcv Coinfected Patients Undergoing Liver Transplantation In The United States, Jonathan M. Fenkel, Md, Victor J. Navarro, Md
Division of Gastroenterology and Hepatology Faculty Papers
Conclusions:
1. The majority of primary providers were ambivalent toward or against LT for HIV/HCV coninfected patients.
2. Half of all respondents were unlikely to refer cirrhotic coinfected patients for LT evaluation.
3. HIV specialists were significantly more likely to believe transplant should be offered, but reported no difference in likelihood of LT referral.
4. These findings suggest that primary provider beliefs and self-reported practice patterns may partially explain the paucity of coinfected US liver transplant recipients.
Basal Internal Anal Sphincter Tone, Inhibitory Neurotransmission, And Other Factors Contributing To The Maintenance Of High Pressures In The Anal Canal, S. Rattan, J. Singh
Basal Internal Anal Sphincter Tone, Inhibitory Neurotransmission, And Other Factors Contributing To The Maintenance Of High Pressures In The Anal Canal, S. Rattan, J. Singh
Division of Gastroenterology and Hepatology Faculty Papers
Maintenance of the basal tone in the internal anal sphincter (IAS) is critical for rectoanal continence. Effective evacuation requires a fully functional rectoanal inhibitory reflex (RAIR)-mediated relaxation of the IAS via inhibitory neurotransmission (INT). Systematic studies examining the nature of the INT in different species have identified nitric oxide (NO) as the major inhibitory neurotransmitter. However, other mediators such as vasoactive intestinal polypeptide (VIP), ATP, and carbon monoxide (CO) may also play species-specific role under certain experimental conditions. Measurements of the intraluminal pressures in the IAS along with the force of the isolated IAS tissues are the mainstay in the …