Medicine and Health Sciences Commons^™

Outcome Study Of Physical Therapy Rehabilitation Of Patients With Patellar Femoral Dysfunction, Thomas D. Henke

Physical Therapy Scholarly Projects

This study was conducted to assist St. Alexius Medical Center's Institute of Sports Medicine in the analysis of physical therapy outcomes for patients who underwent patellofemoral surgical procedures including lateral retinacular release, vastus medialis oblique advancement, and tibial tubercle transfers. A review of data collected by the physical therapists at St. Alexius was performed and statistically analyzed to determine the efficacy of outcomes both clinically and functionally. This outcome analysis will assist current and future practice patterns by providing a basis for clinical effectiveness. The results of this study will be a useful resource for the facility as a guide …

Outcome Study Of Physical Therapy Rehabilitation Of Patients With Patellar Femoral Dysfunction, Scott Hurd

Physical Therapy Scholarly Projects

This study was conducted to assist St. Alexius Medical Center's Institute of Sports Medicine in the analysis of physical therapy outcomes for patients who underwent patellofemoral surgical procedures including lateral retinacular release, vastus medialis oblique advancement, and tibial tubercle transfers. A review of data collected by the physical therapists at St. Alexius was performed and statistically analyzed to determine the efficacy of outcomes both clinically and functionally. This outcome analysis will assist current and future practice patterns by providing a basis for clinical effectiveness. The results of this study will be a useful resource for the facility as a guide …

Initial Multicenter Experience With Double Nucleoside Therapy For Human Immunodeficiency Virus Infection During Pregnancy., N S Silverman, D H Watts, J Hitti, D M Money, E Livingston, J Axelrod, J M Ernest, D Robbins, M M Divito

Department of Obstetrics and Gynecology Faculty Papers

OBJECTIVE: To study maternal and neonatal effects of combination nucleoside analog therapy administered to human immunodeficiency virus (HIV)-infected pregnant women for maternal indications.

METHODS: A multicenter, prospective observational study was undertaken at six perinatal centers in the United States and Canada that supported regional referral programs for the treatment of HIV-infected pregnant women. Demographic, laboratory, and pregnancy outcome data were collected for 39 women whose antiretroviral treatment regimens were expanded to include more than one nucleoside analog for maternal indications. The 40 newborns were monitored at pediatric referral centers through at least three months of age to ascertain their HIV …

Mirizzi Syndrome Type Ii: Is Laparoscopic Cholecystectomy Justified?, D C Desai, R D Smink

Department of Surgery Faculty Papers

Mirizzi syndrome type II is an uncommon cause of obstructive jaundice caused by an inflammatory response to an impacted gallstone in Hartmann's pouch or the cystic duct with a resultant cholecystocholedochal fistula. Two cases of Mirizzi syndrome type II are presented. Clinically only one patient had jaundice and endoscopic retrograde cholangiopancreatogram (ERCP) established a preoperative diagnosis of Mirizzi syndrome. The other patient's diagnosis of Mirizzi syndrome was made intraoperatively. It is important to properly identify the anatomy at the time of surgery to avoid compromising the common bile duct. Operative treatment of Mirizzi syndrome type II includes laparoscopic or open …

Complications, Untoward Events, And Reality., Geoffrey G. Hallock Md

Department of Surgery

The only surgeons who do not have deal with complications are those who do not operate.1

A Randomized Comparison Of Coronary-Stent Placement And Balloon Angioplasty In The Treatment Of Coronary Artery Disease. Stent Restenosis Study Investigators., David L. Fischman, Martin B. Leon, Donald S. Baim, Richard A. Schatz, Michael P. Savage, Ian Penn, Katherine Detre, Lisa Veltri, Donald Ricci, Masakiyo Nobuyoshi, Michael Cleman, Richard Heuser, David Almond, Paul S. Teirstein, R. David Fish, Antonio Colombo, Jeffrey Brinker, Jeffrey Moses, Alex Shaknovich, John Hirshfeld, Stephen Bailey, Stephen Ellis, Randal Rake, Sheldon Goldberg

Department of Medicine Faculty Papers

BACKGROUND: Coronary-stent placement is a new technique in which a balloon-expandable, stainless-steel, slotted tube is implanted at the site of a coronary stenosis. The purpose of this study was to compare the effects of stent placement and standard balloon angioplasty on angiographically detected restenosis and clinical outcomes.

METHODS: We randomly assigned 410 patients with symptomatic coronary disease to elective placement of a Palmaz-Schatz stent or to standard balloon angioplasty. Coronary angiography was performed at base line, immediately after the procedure, and six months later.

RESULTS: The patients who underwent stenting had a higher rate of procedural success than those who …

Subjective Functional Knee Outcomes Following Anterior Cruciate Ligament Reconstructive Surgery, Malissa K. Hauser

Physical Therapy Scholarly Projects

It is established in the literature that primary repair of the anterior cruciate ligament (ACL) deficient knee is achieved through means of reconstructive surgery. However, with continuing advances in both the surgical technique performed and, consequently, the rehabilitation program implemented following reconstruction, the need for ongoing research becomes essential in evaluating the long-term effectiveness of such changes. Currently, the longterm follow-up studies available on ACL reconstructive surgery report information through means of clinical evaluation and objective testing measures with little or no emphasis on the value of the patient's subjective responses. The purpose of this study is to determine the …