Medical Specialties Commons^™

Considerations In The Diagnosis Of Chronic Granulomatous Disease, J. E. Yu, A. E. Azar, H. J. Chong, A. M. Jongco, B. T. Prince

Journal Articles

© The Author(s) 2018. Chronic granulomatous disease (CGD) is a rare primary immunodeficiency that is caused by defects in the nicotinamide adenine dinucleotide phosphate (NADPH) oxidase complex. The disease presents in most patients initially with infection, especially of the lymph nodes, lung, liver, bone, and skin. Patients with CGD are susceptible to a narrow spectrum of pathogens, and Staphylococcus aureus, Burkholderia cepacia complex, Serratia marcescens, Nocardia species, and Aspergillus species are the most common organisms implicated in North America. Granuloma formation, most frequently in the gastrointestinal and genitourinary systems, is a common complication of CGD and can be seen even …

Examining The Impact Of A Multimedia Intervention On Treatment Decision-Making Among Newly Diagnosed Prostate Cancer Patients: Results From A Nationwide Rct., M. A. Diefenbach, C. Benedict, S. M. Miller, A. L. Stanton, M. E. Ropka, K. Wen, N. E. Mohamed, S. J. Hall

Journal Articles

Men diagnosed with early stage prostate cancer face multiple treatment options, each with distinctive side effects that have significant implications for post-treatment quality of life. Healing Choices for Men with Prostate Cancer is a multimedia educational and decision aid program. This nation-wide randomized controlled trial evaluated the impact of Healing Choices on reducing decisional conflict and distress. Eligible prostate cancer patients who called the National Cancer Institute's Cancer Information Service (CIS) were invited to participate. After a baseline interview, participants were randomized to usual personalized consultation with a CIS specialist (comparison condition) or CIS personalized consultation plus the Healing Choices …

Racial And Ethnic Disparities In Diagnosis Of Chronic Medical Conditions In The Usa, E. J. Kim, T. Kim, J. Conigliaro, J. M. Liebschutz, M. K. Paasche-Orlow, A. D. Hanchate

Journal Articles

No abstract provided.

Lung Ultrasonography In End-Stage Renal Disease: Moving From Evidence To Practice-A Narrative Review, D. W. Ross, M. M. Abbasi, K. D. Jhaveri, M. Sachdeva, I. Miller, R. Barnett, M. Narasimhan, P. Mayo, M. Merzkani, A. T. Mathew

Journal Articles

© The Author 2017. Published by Oxford University Press on behalf of ERA-EDTA. Traditionally, point of care ultrasonography in nephrology has been used for renal biopsies and dialysis line placement. However, there is an emerging literature supporting the value of point of care lung ultrasonography in the assessment of volume status for dialysis patients.We conducted a review and identified 12 studies that examined the utility of lung ultrasonography in assessing volume status in patients with end-stage renal disease.We conclude that lung ultrasonography can be used to determine volume status in chronic dialysis patients by identifying lung congestion using the B-line …

Is 30-Day Posthospitalization Mortality Lower Among Racial/Ethnic Minorities?: A Reexamination, M. Lin, N. R. Kressin, M. K. Paasche-Orlow, E. J. Kim, L. Lopez, J. E. Rosen, A. D. Hanchate

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No abstract provided.

Opportunities For Increasing The Rate Of Preemptive Kidney Transplantation, S. Fishbane, V. Nair

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No abstract provided.

Biliary And Pancreatic Lithotripsy Devices, R. R. Watson, M. A. Parsi, H. R. Aslanian, A. J. Goodman, D. R. Lichtenstein, J. Melson, U. Navaneethan, R. Pannala, A. J. Trindade, J. T. Maple, +4 Additional Authors

Journal Articles

© 2018 Background and Aims: Lithotripsy is a procedure for fragmentation or destruction of stones to facilitate their removal or passage from the biliary or pancreatic ducts. Although most stones may be removed endoscopically using conventional techniques such as endoscopic sphincterotomy in combination with balloon or basket extraction, lithotripsy may be required for clearance of large, impacted, or irregularly shaped stones. Several modalities have been described, including intracorporeal techniques such as mechanical lithotripsy (ML), electrohydraulic lithotripsy (EHL), and laser lithotripsy, as well as extracorporeal shock-wave lithotripsy (ESWL). Methods: In this document, we review devices and methods for biliary and pancreatic …

Nitrous Oxide Cryotherapy Ablation For Refractory Gastric Antral Vascular Ectasia, A. A. Patel, A. J. Trindade, D. L. Diehl, H. S. Khara, T. Lee, C. Lee, A. Sethi

Journal Articles

No abstract provided.

Tranexamic Acid Increases Early Perioperative Functional Outcomes After Total Knee Arthroplasty., M. J. Grosso, D. P. Trofa, J. R. Danoff, T. R. Hickernell, T. Murtaugh, A. Lakra, J. A. Geller

Journal Articles

Background: The purpose of this study was to investigate the influence of tranexamic acid (TXA) on functional outcomes in the immediate postoperative period after total knee arthroplasty (TKA). We hypothesized that the known benefits of TXA would confer measurable clinical improvements in physical therapy (PT) performance, decrease pain, and decrease hospital length of stay (LOS).

Methods: We retrospectively analyzed 560 TKA patients, including 280 consecutive patients whose surgery was performed before the initiation of a standardized TXA protocol and the first 280 patients who received TXA after protocol initiation. Outcome measurements included postoperative changes in hemoglobin and hematocrit, LOS, pain …

Cost-Effectiveness Of Magnetic Resonance Imaging In Cervical Clearance Of Obtunded Blunt Trauma After A Normal Computed Tomographic Finding, X. Wu, A. Malhotra, B. Geng, V. B. Kalra, K. Abbed, H. P. Forman, P. Sanelli

Journal Articles

© 2018 American Medical Association. All rights reserved. IMPORTANCE Magnetic resonance imaging (MRI) continues to be performed for cervical clearance of obtunded blunt trauma, despite poor evidence regarding its utility after a normal computed tomographic (CT) finding. OBJECTIVE To evaluate the utility and cost-effectiveness of MRI vs no follow-up after a normal cervical CT finding in patients with obtunded blunt trauma. DESIGN, SETTING AND PARTICIPANTS This cost-effectiveness analysis evaluated an average patient aged 40 years with blunt trauma from an institutional practice. The analysis used a Markov decision model over a lifetime horizon from a societal perspective with variables from …

Hybrid 3d/2d Convolutional Neural Network For Hemorrhage Evaluation On Head Ct, P. D. Chang, E. Kuoy, J. Grinband, B. D. Weinberg, M. Thompson, R. Homo, J. Chen, H. Abcede, C. G. Filippi, D. Chow, +5 Additional Authors

Journal Articles

No abstract provided.

Assessment Of The Albumin-Bilirubin (Albi) Grade As A Prognostic Indicator For Hepatocellular Carcinoma Patients Treated With Radioembolization., B. Gui, A. A. Weiner, J. Nosher, S. E. Lu, G. M. Foltz, O. Hasan, S. K. Kim, V. Gendel, N. B. Mani, S. K. Jabbour, +6 Additional Authors

Journal Articles

OBJECTIVE: As the utility of Child-Pugh (C-P) class is limited by the subjectivity of ascites and encephalopathy, we evaluated a previously established objective method, the albumin-bilirubin (ALBI) grade, as a prognosticator for yttrium-90 radioembolization (RE) treatment for patients with hepatocellular carcinoma (HCC).

MATERIALS AND METHODS: A total of 117 patients who received RE for HCC from 2 academic centers were reviewed and stratified by ALBI grade, C-P class, and Barcelona Clinic Liver Cancer stage. The overall survival (OS) according to these 3 criteria was evaluated by Kaplan-Meier survival analysis. The utilities of C-P class and ALBI grade as prognostic indicators …

International Consensus (Icon) On Treatment Of Sudden Sensorineural Hearing Loss, M. Marx, E. Younes, S. S. Chandrasekhar, J. Ito, S. Plontke, S. O'Leary, O. Sterkers

Journal Articles

© 2018 Elsevier Masson SAS Sudden sensorineural hearing loss (SSNHL) is a common and alarming symptom that often prompts an urgent visit to an ENT specialist. Treatment of SSNHL remains one of the most problematic issues for contemporary otorhinolaryngology: although many meta-analyses and national guidelines have been issued, management is not standardized in terms of medical treatment, and duration and route of administration. We present several methodological suggestions for the study of treatments for SSNHL. These were developed from the existing level of evidence of the main treatments used in SSNHL by experts who convened at the IFOS 2017 ENT …

Efficacy Of A Non-Invasive Middle Ear Aeration Device In Children With Recurrent Otitis Media: A Randomized Controlled Trial Protocol, T. Tham, L. Rahman, P. Costantino

Journal Articles

© 2018 The Authors Acute otitis media (AOM) represents a significant disease burden in the pediatric population. Besides vaccinations, there are no robust measures of reducing incidence of AOM in this age-group. This is a randomized controlled clinical trial evaluating the efficacy of a non-invasive middle ear aeration device, the EarPopper device (EP). We aim to investigate the reduction of episodes AOM in children with recurrent otitis media. The control arm will be observational. The intervention arm will have the EP used. The primary endpoint is incidence of AOM. The secondary endpoints are hazard ratio of time to AOM, proportion …

Treatment Precedes Positive Symptoms In North American Adolescent And Young Adult Clinical High Risk Cohort, K. A. Woodberry, L. J. Seidman, C. Bryant, J. Addington, C. E. Bearden, K. S. Cadenhead, T. D. Cannon, B. A. Cornblatt, T. H. Mcglashan, S. W. Woods, +4 Additional Authors

Journal Articles

© 2016, Copyright © Society of Clinical Child & Adolescent Psychology. Early intervention for psychotic disorders, a growing international priority, typically targets help-seeking populations with emerging psychotic (“positive”) symptoms. We assessed the nature of and degree to which treatment of individuals at high risk for psychosis preceded or followed the onset of positive symptoms. The North American Prodrome Longitudinal Study–2 collected psychosocial treatment histories for 745 (98%) of 764 high-risk participants (M age = 18.9, 57% male, 57.5% Caucasian, 19.1% Hispanic) recruited from 8 North American communities. Similar to prior findings, 82% of participants reported psychosocial treatment prior to baseline …

Depression And Clinical High-Risk States: Baseline Presentation Of Depressed Vs. Non-Depressed Participants In The Napls-2 Cohort, E. R. Kline, L. J. Seidman, B. A. Cornblatt, K. A. Woodberry, C. Bryant, C. E. Bearden, K. S. Cadenhead, T. D. Cannon, D. H. Mathalon, J. Addington, +5 Additional Authors

Journal Articles

© 2017 Elsevier B.V. Depressed mood appears to be highly prevalent in clinical high risk (CHR) samples. However, many prior CHR studies utilize modest size samples and do not report on the specific impact of depression on CHR symptoms. The aim of the current paper is to investigate the prevalence of depressive disorders and the impact of lifetime depression on baseline clinical presentation and longitudinal outcomes in a large cohort of individuals meeting CHR criteria in the second phase of the North American Prodrome Longitudinal Study (NAPLS-2). Depression was assessed both categorically (via DSM-IV-TR diagnoses) and symptomatically (using a clinician-rated …

Integration Of Routine Qa Data Into Mega-Analysis May Improve Quality And Sensitivity Of Multisite Diffusion Tensor Imaging Studies, P. Kochunov, E. W. Dickie, J. D. Viviano, J. Turner, P. B. Kingsley, N. Jahanshad, P. M. Thompson, M. C. Ryan, A. K. Malhotra, A. N. Voineskos, +6 Additional Authors

Journal Articles

No abstract provided.

Effects Of Continuation Electroconvulsive Therapy On Quality Of Life In Elderly Depressed Patients: A Randomized Clinical Trial, W. V. Mccall, S. H. Lisanby, P. B. Rosenquist, M. Dooley, M. M. Husain, R. G. Knapp, G. Petrides, M. V. Rudorfer, S. H. Bailine, C. H. Kellner, +8 Additional Authors

Journal Articles

No abstract provided.

Greater Extracellular Free-Water In First-Episode Psychosis Predicts Better Neurocognitive Functioning, A. E. Lyall, O. Pasternak, D. G. Robinson, D. Newell, J. W. Trampush, J. A. Gallego, M. Fava, A. K. Malhotra, K. H. Karlsgodt, P. R. Szeszko, +1 Additional Author

Journal Articles

No abstract provided.

Potentially Important Periods Of Change In The Development Of Social And Role Functioning In Youth At Clinical High Risk For Psychosis, E. Velthorst, J. Zinberg, J. Addington, K. S. Cadenhead, T. D. Cannon, R. E. Carrion, A. Auther, B. A. Cornblatt, T. H. Mcglashan, C. E. Bearden, +7 Additional Authors

Journal Articles

No abstract provided.

Prospective Relationships Between Motivation And Functioning In Recovery After A First Episode Of Schizophrenia, D. Fulford, D. Piskulic, J. Addington, J. M. Kane, N. R. Schooler, K. T. Mueser

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No abstract provided.

Effectiveness Of Long-Acting Injectable Vs Oral Antipsychotics In Patients With Schizophrenia: A Meta-Analysis Of Prospective And Retrospective Cohort Studies, T. Kishimoto, K. Hagi, M. Nitta, S. Leucht, M. Olfson, J. M. Kane, C. U. Correll

Journal Articles

No abstract provided.

A Daily Diary Study Of Stressful And Positive Events, Alcohol Use, And Addiction Severity Among Heavy Drinking Sexual Minority Men, E. H. Mereish, A. Kuerbis, J. Morgenstern

Journal Articles

© 2018 Elsevier B.V. Background: The purpose of this study is to examine the conditions under which daily stressful and positive events are associated with alcohol use among heavy drinking sexual minority men (SMM). Specifically, we examined the moderating effects of two indicators of alcohol addiction severity (i.e., alcohol dependence severity and negative drinking consequences) on the associations between daily stressful events and alcohol use and between daily positive events and alcohol use among heavy drinking SMM. Procedures: Secondary data analyses were performed using data from a randomized controlled trial of heavy drinking and treatment seeking SMM who were assigned …

Correlation Of High-Risk Soft Tissue Sarcoma Biomarker Expression Patterns With Outcome Following Neoadjuvant Chemoradiation, J. M. Kane, A. Magliocco, Q. Zhang, D. Wang, A. Klimowicz, J. Harris, J. Simko, T. Delaney, W. Kraybill, D. G. Kirsch

Journal Articles

© 2018 John M. Kane III et al. Background. Sarcoma mortality remains high despite adjuvant chemotherapy. Biomarker predictors of treatment response and outcome could improve treatment selection. Methods. Tissue microarrays (TMAs) were created using pre- and posttreatment tumor from two prospective trials (MGH pilot and RTOG 9514) of neoadjuvant/adjuvant MAID chemotherapy and preoperative radiation. Biomarkers were measured using automated computerized imaging (AQUA or ACIS). Expression was correlated with disease-free survival (DFS), distant disease-free survival (DDFS), and overall survival (OS). Results. Specimens from 60 patients included 23 pretreatment (PRE), 40 posttreatment (POST), and 12 matched pairs (MPs). In the MP set, …

White Matter Integrity In Medication-Free Women With Peripartum Depression: A Tract-Based Spatial Statistics Study, M. Silver, C. M. Moore, V. Villamarin, N. Jaitly, J. E. Hall, A. J. Rothschild, K. M. Deligiannidis

Journal Articles

No abstract provided.

Treatment Of Tardive Dyskinesia With Vmat-2 Inhibitors: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, M. Solmi, G. Pigato, J. M. Kane, C. U. Correll

Journal Articles

No abstract provided.

Accounting For Group Differences In Study Retention In A Randomized Trial Of Specialized Treatment For First Episode Psychosis, K. Sint, R. Rosenheck, D. G. Robinson, N. R. Schooler, P. Marcy, J. M. Kane, K. T. Mueser, H. Lin

Journal Articles

No abstract provided.

Prevalence And Predictors Of Hair Pulling Disorder And Excoriation Disorder In Tourette Syndrome, E. Greenberg, E. S. Tung, C. Gauvin, L. Osiecki, K. G. Yang, E. Curley, A. Essa, C. Illmann, C. L. Budman, J. M. Scharf, +10 Additional Authors

Journal Articles

No abstract provided.

Malignant Adnexal Tumors Of The Skin: A Single Institution Experience, T. Oyasiji, W. Tan, J. Kane, J. Skitzki, V. Francescutti, K. Salerno, N. I. Khushalani

Journal Articles

© 2018 The Author(s). Background: Malignant adnexal tumors of the skin (MATS) are rare. We aimed to measure the survival of patients with MATS and identify predictors of improved survival. Methods: A retrospective review of MATS treated at our institution from 1990 to 2012. Results: There were 50 patients within the time period. Median age was 59.5 years (range 22-95); primary site was the head and neck (52%); most common histologic subtypes were skin appendage carcinoma (20%) and eccrine adenocarcinoma (20%); and the vast majority were T1 (44%). Most patients (98%) underwent surgical treatment. Chemotherapy and radiation were administered to …

What Is The Risk-Benefit Ratio Of Long-Term Antipsychotic Treatment In People With Schizophrenia?, C. U. Correll, J. M. Rubio, J. M. Kane

Journal Articles

No abstract provided.