Impact of flow diversion by run-of-river dams on American dipper diet and mercury exposure

2017 ◽  
Vol 37 (2) ◽  
pp. 411-426 ◽  
Author(s):  
Veronica M. Silverthorn ◽  
Christine A. Bishop ◽  
Timothy Jardine ◽  
John E. Elliott ◽  
Christy A. Morrissey

2018 ◽  
Vol 93 ◽  
pp. 942-951 ◽  
Author(s):  
Veronica M. Silverthorn ◽  
Christine A. Bishop ◽  
John E. Elliott ◽  
Christy A. Morrissey






2007 ◽  
Vol 35 (11) ◽  
pp. 10
Author(s):  
ELIZABETH MECHCATIE


2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Hesham Soliman ◽  
Koji Ebersole ◽  
Chris Moran ◽  
Paul Camarata




2014 ◽  
Vol 21 ◽  
pp. 0
Author(s):  
Lee-Anne Slater ◽  
Cathy Soufan ◽  
Michael Holt ◽  
Winston Chong




2019 ◽  
Author(s):  
Dru Germanoski ◽  
◽  
Megan Rothenberger ◽  
David Brandes
Keyword(s):  
Low Head ◽  
Head Run ◽  


2021 ◽  
pp. 159101992110259
Author(s):  
Kainaat Javed ◽  
Santiago R Unda ◽  
Ryan Holland ◽  
Adisson Fortunel ◽  
Rose Fluss ◽  
...  

Introduction Flow diversion is an effective treatment modality for intracranial aneurysms but is associated with ischemic and hemorrhagic complications. Patients treated with flow diversion require dual antiplatelet therapy and subsequent platelet function tests. At our institution, Thromboelastography with Platelet Mapping (TEG-PM) is the test of choice. The primary objective of this study was to identify TEG parameters that are predictive of postoperative complications in patients treated with elective flow diversion. Methods This was a retrospective study of 118 patients with unruptured intracranial aneurysms treated with flow diversion. Data was collected via chart review. Bivariate analyses were performed to identify significant variables in patients who suffered an ischemic stroke or a groin hematoma. ROC curves were constructed for the TEG parameters with statistical significance. Bivariate analyses were repeated using dichotomized TEG results. Results Patients who experienced a symptomatic ischemic stroke had a history of stroke (p value = 0.007), larger aneurysm neck width (p value = 0.017), and a higher alpha angle (p value = 0.013). Cut off point for ischemic complication is 63° on ROC curve with a sensitivity of 100% and specificity of 65%. Patients who experienced a groin hematoma were no different from their healthy peers but had a lower alpha angle (p value = 0.033). Cut off point for hemorrhagic complication is 53.3° with a sensitivity of 82% and specificity of 67%. Conclusion The Alpha Angle parameter of TEG-PM has a sizeable predictive ability for both ischemic complications of the central nervous system and hemorrhagic complications of the access site after elective flow diversion.



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