A COMMUNITY APPROACH TO JUVENILE INTRACTABLE ASTHMA

PEDIATRICS ◽  
1960 ◽  
Vol 26 (4) ◽  
pp. 586-595
Author(s):  
I. Leonard Bernstein ◽  
John E. Allen ◽  
Louis Kreindler ◽  
Joseph E. Ghory ◽  
Theodore H. Wohl
Keyword(s):  
Urban Areas ◽  
Clinical Results ◽  
Similar Treatment ◽  
Community Approach ◽  
Local Institution ◽  
Children With Asthma ◽  
Specific Factors ◽  
Refractory Asthma ◽  
Local Nature

Rehabilitation of children with refractory asthma utilizing the existing facilities of a local institution has proven successful in Cincinnati. A complete description of the origins, aims and services of this program is presented. The local nature of such a program has some distinct advantages over a national institution doing the same kind of work, chief among which is the opportunity for long-term clinical observation and laboratory studies of discharged children. In general this preliminary presentation of our clinical results in 47 patients corroborates the good results previously reported by other centers involved in long-term rehabilitation of children with asthma. Specific factors which may influence or produce clinical remissions in these patients are under current investigation. In our opinion, it is not only feasible, but also highly desirable, for other urban areas to develop similar treatment centers. It is conceivable that some type of federation, either formal or informal, would be mutually beneficial to all who are involved in this gratifying work, in both local and national centers.

Klinische Langzeitergebnisse der perkutanen transluminalen Angioplastie bei Patienten mit peripherer arterieller Verschlusskrankheit

VASA ◽  
2002 ◽  
Vol 31 (1) ◽  
pp. 36-42 ◽  
Author(s):  
. Bucek ◽  
Hudak ◽  
Schnürer ◽  
Ahmadi ◽  
Wolfram ◽  
...  
Keyword(s):  
Success Rate ◽  
Clinical Stage ◽  
Ankle Brachial Index ◽  
Clinical Situation ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Term Outcome ◽  
Long Term Outcome

Background: We investigated the long-term clinical results of percutaneous transluminal angioplasty (PTA) in patients with peripheral arterial occlusive disease (PAOD) and the influence of different parameters on the primary success rate, the rate of complications and the long-term outcome. Patients and methods: We reviewed clinical and hemodynamic follow-up data of 166 consecutive patients treated with PTA in 1987 in our department. Results: PTA improved the clinical situation in 79.4% of patients with iliac lesions and in 88.3% of patients with femoro-popliteal lesions. The clinical stage and ankle brachial index (ABI) post-interventional could be improved significantly (each P < 0,001), the same results were observed at the end of follow-up (each P < 0,001). Major complications occurred in 11 patients (6.6%). The rate of primary clinical long-term success for suprainguinal lesions was 55% and 38% after 5 and 10 years (femoro-popliteal 44% and 33%), respectively, the corresponding data for secondary clinical long-term success were 63% and 56% (60% and 55%). Older age (P = 0,017) and lower ABI pre-interventional (P = 0,019) significantly deteriorated primary clinical long-term success for suprainguinal lesions, while no factor could be identified influencing the outcome of femoro-popliteal lesions significantly. Conclusion: Besides an acceptable success rate with a low rate of severe complications, our results demonstrate favourable long-term clinical results of PTA in patients with PAOD.

scholarly journals A Study of UVER in Santiago, Chile Based on Long-Term In Situ Measurements (Five Years) and Empirical Modelling

Energies ◽  
2021 ◽  
Vol 14 (2) ◽  
pp. 368
Author(s):  
Lisdelys González-Rodríguez ◽  
Amauri Pereira de Oliveira ◽  
Lien Rodríguez-López ◽  
Jorge Rosas ◽  
David Contreras ◽  
...  
Keyword(s):  
Urban Areas ◽  
Solar Spectrum ◽  
Sun Exposure ◽  
Great Accuracy ◽  
In Situ Measurements ◽  
Uv Index ◽  
Empirical Modelling ◽  
The People

Ultraviolet radiation is a highly energetic component of the solar spectrum that needs to be monitored because is harmful to life on Earth, especially in areas where the ozone layer has been depleted, like Chile. This work is the first to address the long-term (five-year) behaviour of ultraviolet erythemal radiation (UVER) in Santiago, Chile (33.5° S, 70.7° W, 500 m) using in situ measurements and empirical modelling. Observations indicate that to alert the people on the risks of UVER overexposure, it is necessary to use, in addition to the currently available UV index (UVI), three more erythema indices: standard erythemal doses (SEDs), minimum erythemal doses (MEDs), and sun exposure time (tery). The combination of UVI, SEDs, MEDs, and tery shows that in Santiago, individuals with skin types III and IV are exposed to harmfully high UVER doses for 46% of the time that UVI indicates is safe. Empirical models predicted hourly and daily values UVER in Santiago with great accuracy and can be applied to other Chilean urban areas with similar climate. This research inspires future advances in reconstructing large datasets to analyse the UVER in Central Chile, its trends, and its changes.

scholarly journals Long term results of accelerated 9 mW corneal crosslinking for early progressive keratoconus: the Siena Eye-Cross Study 2

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Cosimo Mazzotta ◽  
Frederik Raiskup ◽  
Farhad Hafezi ◽  
Emilio A Torres-Netto ◽  
Ashraf Armia Balamoun ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Corneal Thickness ◽  
Continuous Light ◽  
Clinical Results ◽  
Asymmetry Index ◽  
Long Term Results ◽  
Distance Visual Acuity ◽  
Long Term Stability ◽  
Uncorrected Distance Visual Acuity

Abstract Purpose To assess clinical results of the 9 mW/5.4 J/cm2 accelerated crosslinking (ACXL) in the treatment of progressive keratoconus (KC) over a span of 5 years. Methods The prospective open non-randomized interventional study (Siena Eye-Cross Study 2) included 156 eyes of 112 patients with early progressive KC undergoing the Epi-Off 9 mW/5.4 J/cm2 ACXL at the Siena Crosslinking Centre, Italy. The mean age was 18.05 ± 5.6 years. The 20-min treatments were performed using the New KXL I (Avedro, Waltham, USA), 10 min of 0.1% HPMC Riboflavin soaking (VibeX Rapid, Avedro, Waltham, USA) and 10 min of continuous-light UV-A irradiation. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), Kmax, coma, minimum corneal thickness (MCT), surface asymmetry index (SAI), endothelial cell count (ECC) were measured, and corneal OCT performed. Results UDVA and CDVA improved significantly at the 3rd (P = 0.028), Δ + 0.17 Snellen lines and 6th postoperative month, respectively (P < 0.001), Δ + 0.23 Snellen lines. Kmax improved at the 6th postoperative month (P = 0.03), Δ − 1.49 diopters from the baseline value. Also, coma aberration value improved significantly (P = 0.004). A mild temporary haze was recorded in 14.77% of patients without affecting visual acuity and without persistent complications. Corneal OCT revealed a mean demarcation line depth at 332.6 ± 33.6 μm. Conclusion The 5-year results of Epi-Off 9 mW/5.4 J/cm2 ACXL demonstrated statistically significant improvements in UCVA and CDVA, corneal curvature and corneal higher-order aberrations which confers a long-term stability for progressive ectasia. Based on the results of the Siena Eye-Cross Study 2, the 9 mW/5.4 J/cm2 ACXL is a candidate to be  the natural evolution of Epi-Off CXL treatment for the management of early progressive corneal ectasia, and thus optimize clinic workflow.

Clinical, functional and radiographic outcomes after revision total hip arthroplasty with tapered fluted modular or non-modular stems: a systematic review

2021 ◽  
pp. 112070002110043
Author(s):  
Antonios A Koutalos ◽  
Sokratis Varitimidis ◽  
Konstantinos N Malizos ◽  
Theofilos Karachalios
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Rate ◽  
Clinical Results ◽  
Fracture Rate ◽  
Revision Total Hip Arthroplasty ◽  
Term Survival ◽  
Total Hip ◽  
Radiographic Outcomes

Purpose: The aim of the study was to systematically evaluate clinical outcomes of tapered fluted stems, either monoblock or modular, in revision total hip arthroplasty. Methods: PubMed, EMBASE and Web of Science and Cochrane databases were systematically searched by 2 researchers. Clinical studies reporting primarily on survival and re-revision rates, and secondarily on subsidence, dislocation, intraoperative fractures, periprosthetic fractures and infection were included. 2 investigators assessed the quality of the studies. Results: 46 studies were included in this review, reporting on 4601 stem revisions. The pooled re-revision rate was 5.1% and long-term survival ranged from 75% to 98.5%. No differences were observed between monoblock and modular stems regarding re-revision rate, dislocation rate, periprosthetic fracture rate or infection rates. Monoblock stems exhibited more subsidence and modular stems displayed more intraoperative fractures. Conclusions: Satisfactory results can be obtained with the use of tapered fluted end-bearing stems. Monoblock stems offer the same clinical results as modular stems.

scholarly journals ES-1 Clinical results of tumor treating fields in patients with glioblastoma in Japan, compared with global surveillance

2020 ◽  
Vol 2 (Supplement_3) ◽  
pp. ii3-ii3
Author(s):  
Yoshihiro Muragaki ◽  
Masayuki Nitta ◽  
Taiichi Saito ◽  
Shunichi Tutsuki ◽  
Atsushi Fukui ◽  
...  
Keyword(s):  
Side Effects ◽  
Insurance Coverage ◽  
Intermediate Frequency ◽  
Clinical Results ◽  
Tumor Treating Fields ◽  
Post Marketing Surveillance ◽  
Post Marketing ◽  
Us Fda ◽  
Medical University

Abstract INTRODUCTION: The tumor treatment field induces apoptosis of tumor cells by providing a low intensity, intermediate frequency, alternating current electric field via a transducer array. TTFields is based on Phase 3 EF-11 and EF-14 trials for glioblastoma in the US FDA and Japan PMDA. Therefore, I will report the statistics of TTFields use in Japan along with recent papers. METHODS: 410 patients were treated with TTFields in Japan (December 2017-), of which 17 were at Tokyo Women’s Medical University. We also referred to papers about global post-marketing surveillance and recent studies. RESULTS: Of the 410 patients, 409 (99.8%) were diagnosed with ndGBM(male: female, 66.8%: 33.2%). As of June 2020, 222 patients (54.1%) were on treatment and 188 (45.9%) were discontinued. In 17 cases at TWMU, the average age was 46.3 years. The average treatment period was 218 days, with 6 patients (35%) continuing treatment, 6 patients (35%) discontinuing due to patient wishes, and 5 patients (30%) discontinuing treatment due to recurrence. Side effects were contact dermatitis under the array in 9 patients (57%) and mild malaise in 7 patients (43%). We experienced long-term progression-free cases with TTF use of 25 months (survival 30 months after surgery) with a glioma partially resected and 21 months (survival 27 months after surgery) with a biopsied glioma. In the biopsy case, bevacizumab was used in combination during the treatment. Conclusion: In global surveillance, use for rGBM accounts for 39%, but Japan is limited to use for ndGBM due to insurance coverage. In terms of side effects, it showed a good safety profile comparable to previous trials. Long-term progression-free cases have been observed, and it is necessary to examine the characteristics of patients who respond to treatment and the effect of concomitant use with bevacizumab by prospective studies

Long-term Clinical Results of Carpal Tunnel Release Using Ultrasound Guidance

Hand ◽  
2021 ◽  
pp. 155894472098808
Author(s):  
Braeden M. Leiby ◽  
John P. Beckman ◽  
Anthony E. Joseph
Keyword(s):  
Carpal Tunnel ◽  
Ultrasound Guidance ◽  
Carpal Tunnel Release ◽  
Clinical Results ◽  
Satisfaction Score ◽  
Global Satisfaction ◽  
Us Guidance ◽  
Clinically Significant ◽  
Carpal Tunnel Questionnaire

Background: The purpose of this study was to determine the long-term safety and efficacy of carpal tunnel release (CTR) using ultrasound guidance in a group of patients treated by a single physician. Methods: The study group consisted of 76 consecutive CTRs performed on 47 patients between June 2017 and April 2019 for whom 1-year follow-up was available. All procedures were performed by the same operator using a single CTR technique. Outcomes included complications; Boston Carpal Tunnel Questionnaire symptom severity (BCTQ-SSS) and functional status (BCTQ-FSS) scores; Quick Disabilities of the Arm, Shoulder, and Hand (QDASH) scores; and a 5-point global satisfaction score (4 = satisfied, 5 = very satisfied). Results: The 47 patients included 27 females and 20 males (ages 31-91 years). Twenty-five patients (50 hands) had simultaneous bilateral CTRs, 4 patients (8 hands) had staged bilateral CTRs, and 18 patients had unilateral CTRs. No complications occurred. Statistically and clinically significant reductions in BCTQ-SSS, BCTQ-FSS, and QDASH scores occurred by 1 to 2 weeks post-CTR and persisted at 1-year (mean 1-year changes vs. pre-CTR -2.11, -1.70, and -44.99, respectively; P < .001 for all). The mean global satisfaction score at 1-year was 4.63. Conclusions: CTR using ultrasound (US) guidance is a safe and effective procedure that produces statistically and clinically significant improvements within 1 to 2 weeks postprocedure that persist to 1 year. Furthermore, simultaneous bilateral CTRs using US guidance are feasible and may be advantageous for patients who are candidates for bilateral CTR.

scholarly journals Clinical Results of Oxidized Zirconium Femoral Component in TKA. A Review of Long-Term Survival

2016 ◽  
Vol 13 (1) ◽  
pp. 32-34 ◽  
Author(s):  
Roberto Civinini ◽  
Fabrizio Matassi ◽  
Christian Carulli ◽  
Luigi Sirleo ◽  
Andrea Cozzi Lepri ◽  
...  
Keyword(s):  
Femoral Component ◽  
Clinical Results ◽  
Term Survival ◽  
Long Term Survival ◽  
Oxidized Zirconium

scholarly journals Long-term effects of land use/land cover change on surface runoff in urban areas of Beijing, China

2013 ◽  
Vol 8 (1) ◽  
pp. 084596 ◽  
Author(s):  
Zhongchang Sun ◽  
Xinwu Li ◽  
Wenxue Fu ◽  
Yingkui Li ◽  
Dongsheng Tang
Keyword(s):  
Land Use ◽  
Land Cover ◽  
Land Cover Change ◽  
Surface Runoff ◽  
Urban Areas ◽  
Land Use Land Cover ◽  
Long Term Effects ◽  
Effects Of Land Use ◽  
Beijing China

scholarly journals Urban Ecological Restoration

2010 ◽  
Vol 5 (3) ◽  
pp. 227-230 ◽  
Author(s):  
Paul H. Gobster
Keyword(s):  
Ecological Restoration ◽  
Urban Areas ◽  
Indigenous Species ◽  
Reference Sites ◽  
Urban Context ◽  
Ecological Processes ◽  
Fixed Set ◽  
Natural Diversity ◽  
Urban Ecological Restoration

What does ecological restoration mean in an urban context? More than half of the world’s population now lives in cities, and in response to the dynamic patterns of urbanization, a growing number of ecologists, land managers, and volunteers are focusing their efforts in and around cities to restore remnants of natural diversity (Ingram 2008). Ecological restoration is still a quite youthful field, yet many scientists and practitioners hold a relatively fixed set of criteria for what defines a successful restoration project, irrespective of where sites are located. Among the criteria commonly stated, sites should be composed of indigenous species, have a structure and diversity characteristic of currently undisturbed or historically documented “reference” sites, and be maintained through ecological processes such as fire that ensure long-term sustainability with minimal human assistance (Ruiz-Jaén and Aide 2005; SER International 2004). Application of these criteria has led to many ecologically successful restorations, but some ecologists in the field have begun to question whether the same standards can be realistically applied to sites such as those within urban areas that have been radically altered by past human activity (e.g., Martínez and López-Barerra 2008) or are being influenced by novel conditions that result in unpredictable trajectories (Choi 2007). Perhaps more significantly, it is becoming increasingly recognized that the broader viability of restoration projects, especially those in urban areas, hinges on how socially successful they are in gaining public acceptance for restoration activities and practices, building constituencies to assist with implementation and maintenance, and addressing a broader set of sustainability goals that reach beyond the protection of native biodiversity (e.g., Choi et al. 2008; Hobbs 2007; Rosenzweig 2003).

scholarly journals Outcome of Ventral Fusion of Two or Three Cervical Vertebrae with a Locking Compression Plate for the Treatment of Cervical Stenotic Myelopathy in Eight Horses

2018 ◽  
Vol 31 (05) ◽  
pp. 356-363 ◽  
Author(s):  
Anton Fürst ◽  
Elisabeth Ranninger ◽  
José Suárez Sánchez-Andrade ◽  
Jan Kümmerle ◽  
Christoph Kühnle
Keyword(s):  
Surgical Technique ◽  
Cervical Vertebrae ◽  
Clinical Results ◽  
Locking Compression Plate ◽  
Surgery Outcome ◽  
Cord Injury ◽  
Compression Plate ◽  
Data History ◽  
Cervical Stenotic Myelopathy

Objectives It was recently shown that biomechanical stability achieved with a locking compression plate (LCP) for ventral cervical fusion in horses is similar to the commonly used Kerf cut cylinder. The advantages of the LCP system render it an interesting implant for this indication. The goal of this report was to describe surgical technique, complications and outcome of horses that underwent ventral fusion of two or three cervical vertebrae with an LCP. Methods Medical records of eight horses were reviewed for patient data, history, preoperative grade of ataxia, diagnostic imaging, surgical technique and complications. Follow-up information was obtained including clinical re-examination and radiographs whenever possible. Results Two (n = 5) or 3 (n = 3) cervical vertebrae were fused in a mixed population with a median age of 9 months, median weight of 330 kg and median grade of ataxia of 3/5. A narrow 4.5/5.0 LCP (n = 6), a broad 4.5/5.0 LCP (n = 1) and a human femur 4.5/5.0 LCP (n = 1) were applied. Two horses were re-operated due to implant loosening. Six patients developed a seroma. Long-term complications included ventral screw migration in four, spinal cord injury in one and plate breakage in two horses at 720 to 1116 days after surgery. Outcome was excellent in three, good in four, poor in one patient. Clinical Significance The use of an LCP for ventral cervical vertebral fusion is associated with good clinical results. However, a careful surgical technique is required to further reduce the complication rate.

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