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Πέμπτη 25 Μαΐου 2017

Scholar : Ειδοποίηση Μελετητή - [ CPAP ]

Ειδοποίηση Μελετητή:[ CPAP ]

0537 DURATION OF CPAP USAGE AND DAILY FUNCTIONING

B Izci Balserak, G Maislin, S Kuna, I Gurubhagavatula… - Sleep, 2017
Methods: This study included 109 patients with mild to moderate OSA who used active
CPAP in previously-performed RCT. Five patients are excluded from the study due to
technical failures in measuring CPAP compliance. Patients used 8 weeks of active nasal
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0512 RESIDUAL SLEEPINESS ON CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) THERAPY IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA (OSA)

R Budhiraja, C Kushida, D Nichols, J Walsh, R Simon… - Sleep, 2017
Methods: We evaluated the determinants of sleepiness, as measured by ESS score> 10,
after 6 months of CPAP therapy in patients with OSA in the Apnea Positive Pressure Long-
term Efficacy Study (APPLES) cohort. We also assessed the predictors of residual
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… ADVANCEMENT VERSUS MULTI-LEVEL SURGERY FOR PATIENTS WITH SEVERE OBSTRUCTIVE SLEEP APNEA INTOLERANT OF CPAP-A META-ANALYSIS …

KB Tan, ST Toh, JQ Ho, JC Holty - Sleep, 2017
Methods: We compare the cost-effectiveness of MMA in those with severe OSA intolerant of
CPAP compared to a no-treatment strategy, multilevel surgery (MLS), or a phased protocol
(PP; MLS followed by MMA for those without surgical success) using a lifetime semi-Markov
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0817 ADHERENCE TO CPAP TREATMENT IN WOMEN WITH OBSTRUCTIVE SLEEP APNEA

E Libman, S Bailes, C Fichten, D Rizzo, L Creti… - Sleep, 2017
Methods: Participants were 29 women (mean age= 56.5, sd= 9.8), recruited from two
hospital based family medicine clinics. OSA was diagnosed by polysomnography; insomnia-
related variables, quality of life and psychological adjustment were assessed by self-report
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0889 IDENTIFYING BARRIERS TO CPAP ADHERENCE IN THE PEDIATRIC POPULATION

G Rulong, J Crisalli, M Dixon, L Corlette, L Mullen… - Sleep, 2017
Methods: As part of our CPAP Quality Improvement Program, the adherence barriers to
CPAP questionnaire (ABCQ)(Simon 2011) has been administered to patients requiring PAP
and their parents at Cincinnati Children's Hospital starting in March 2016. The ABCQ
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… NERVE STIMULATION: A HIGHLY EFFECTIVE, LOW MORBIDITY ALTERNATIVE FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA IN SELECT CPAP- …

S Evans, L Moore, H Jeyarajan, D Cole, D Calhoun… - Sleep, 2017
Methods: An institutional review board-approved, retrospective review of cases performed
by a single surgeon at an academic medical center was performed. The first 25 cases
treated with hypoglossal nerve stimulation therapy were included. Patients were selected
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0540 THE EFFECT OF CUSTOM FACE MASK ON THERAPEUTIC CPAP PRESSURE

RS Prehn, JH Simmons - Sleep, 2017
Methods: A retrospective chart review of 35 CFM patients on combination therapy from 2006–
2012 was conducted in 2015 to determine changes in therapeutic CPAP pressures when
patients used the CFM in combination therapy. Results: Average CPAP Pressures BEFORE
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0552 "CMS SCORING OF TITRATION STUDIES LEADS TO INADEQUATE CPAP RX"

J Golish - Sleep, 2017
Methods: 39 patients underwent Cpap-Titration PSG's, & Cpap level to control OSA was
determined by both CMS and AASM-scoring & titration guidelines, of 5 board-certified
Professors of Sleep Medicine at an academic sleep center. Results: 29 of the 39 Titrations
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0523 CPAP ADHERENCE IN SLEEP APNEA MANAGED WITH VIRTUAL CARE AND EHR INTEGRATION

C Iber, L Kazaglis, H Steffens, E Silbernick, M John - Sleep, 2017
Methods: Study participants. Consecutive patients with obstructive sleep apnea (N=
1,530),≥ 18 years of age with AHI≥ 15 who identified CPAP as primary therapy and used it
for at least 6 months were included (baseline AHI: 50±31, BMI: 37±8, Epworth Sleepiness
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… RANDOMIZED-CONTROL TRIAL OF ADHERENCE AND ACCEPTANCE OF A TELEMEDICINE MONITORING SYSTEM FOR OSA PATIENTS TREATED WITH CPAP

V Castronovo, S Marelli, A Galbiati, GE Lombardi… - Sleep, 2017
Methods: randomized controlled trial that compared standard care CPAP treatment versus
CPAP treatment by a telemedicine monitoring system (EncoreAnywhere, Philips
Respironics). 30 patients (mean age 53.3±9.5 yrs) with moderate to severe OSA (mean
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Scholar : Ειδοποίηση Μελετητή - [ Laryngotra

Ειδοποίηση Μελετητή:[ Laryngotracheal reconstruction ]

TRIO SOCIETY BEST PRACTICE

A Kwinter, K Pang, B Rotenberg, A Michalowski…
... 1302 Double Paddle Ulnar Perforator Free Flap in Reconstruction of Through-and-Through and ...
1408 Evaluating the Utility of Serological Testing in Laryngotracheal Stenosis S. Ryan Hall ... 1427
Acoustic Effects of the Reconstructed Lateral Epitympanic Wall in a Temporal Bone ...
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Scholar : Ειδοποίηση Μελετητή - [ ΓΛΩΣΣ

Ειδοποίηση Μελετητή:[ ΓΛΩΣΣΙΤΙΣ ]

[PDF] Alcohol abuse and its neurologic complications

KG Devers, ZN London
... be observed. This disorder is typically described as the 4 "Ds": diarrhea, dermatitis,
dementia, and death. Other findings may include aversion to bright light, glossitis,
and dilated cardiomyopathy (Hegyi et al 2004). It may progress ...
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[PDF] Vitamin B12 deficiency

R Jacobson
... Uncommonly, B12 deficiency presents primarily with prominent gastrointestinal manifestations.
These include glossitis (a "beefy red" tongue). In severe cases, a pan-enteropathy is present
with diarrhea and malabsorption of nutrients. The skin may become hyperpigmented. ...
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[PDF] l'infamil

M Uohnson
Page 1. r. 3333 nearly identical t ez eeZ o mother's milk" in nutritional breadth and
balance A new infant formula l'infamil Infant formaslas Five years of research and
41,000 patient days every 2 weeks during the course of the study. ...
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[PDF] call me"% chroV"

V Achromycin
... Adverse Reactions: Gastrointestinal- anorexia, nausea, vomiting, diarrhea, stomatitis, glossitis,
enterocolitis, pruritus ani. Skin-maculopapular and erythematous rashes; exfoliative dermatitis;
photosensitivity; onycholysis, nail discoloration. Kidney –dose-related rise in BUN. ...
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[PDF] LAex

W HYNSON, I Dunnına
Page 1. diethylproplon hydrochloride rteci thers; When girth gets out of control, TEPANll can
provide sóUnid yS kk *** support for the weight control program you recommend. 5: LLeeeLeeS
慶 TEPANll reduces the appetite-patients enjoy food but eat eSeeee ** less. ...
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Scholar : Scholar Alert - [ intitle:laryngeal ]

Scholar Alert: [ intitle:laryngeal ]

What Causes Hyperfunctional Voice Disorders?: Cara Stepp researches the objective assessment of laryngeal function to improve treatment strategies.

C Stepp - The ASHA Leader, 2017
The broad focus of my research is to use engineering tools to aid in the assessment and
rehabilitation of voice and speech disorders. One area that I have been studying is how to
improve the objective assessment of laryngeal function in individuals with hyperfunctional
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Scholar : Ειδοποίηση Μελετητή - [ ΒΑΣΗ ΚΡΑΝΙΟΥ ]

Ειδοποίηση Μελετητή:[ ΒΑΣΗ ΚΡΑΝΙΟΥ ]

[PDF] Ευαγγέλης και Κωνσταντίνος Ζάππας: οι διαθήκες τους και το αντίκτυπό τους στις ελληνο-ρουμανικές σχέσεις

Φ Δρόσου - 2017
Page 1. ΠΑΝΕΠΙΣΤΗΜΙΟ ΜΑΚΕΔΟΝΙΑΣ ΤΜΗΜΑ ΒΑΛΚΑΝΙΚΩΝ - ΣΛΑΒΙΚΩΝ ΚΑΙ
ΑΝΑΤΟΛΙΚΩΝ ΣΠΟΥΔΩΝ ΜΕΤΑΠΤΥΧΙΑΚΗ ΔΙΠΛΩΜΑΤΙΚΗ ΕΡΓΑΣΙΑ ΣΤΟ ΠΛΑΙΣΙΟ
ΤΟΥ ΠΡΟΓΡΑΜΜΑΤΟΣ ΜΕΤΑΠΤΥΧΙΑΚΩΝ ΣΠΟΥΔΩΝ « ΣΤΗΝ ...
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Τετάρτη 24 Μαΐου 2017

Imaging Workup of Suspected Classical Paraneoplastic Neurological Syndromes

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Publication date: Available online 24 May 2017
Source:Academic Radiology
Author(s): Benedikt Sundermann, Jens-Burchard Schröder, Tobias Warnecke, Walter Heindel, Michael Schäfers, Matthias Weckesser, Boris Buerke
Rationale and ObjectivesThis study aimed to assess the clinical efficacy of positron emission tomography (PET) or combined PET-computed tomography (CT) with 18F-fluorodeoxyglucose (FDG) for whole-body cancer screening in patients with suspected paraneoplastic neurological syndromes (PNS). The following main research questions were addressed: What is the percentage of positive findings to be expected in whole-body FDG-PET-CT in adult patients with PNS? How many false positives can be expected as assessed by clinical and histopathological workup? Are there patients who present with a tumor despite initially negative findings?Materials and MethodsThis is a systematic review of the literature and retrospective analysis of FDG-PET-CT and clinical follow-up data from 45 consecutive patients (age: 56.6 ± standard deviation 15.8 years, 14 female, 31 male). Suspicious lesions were identified and correlated with immediate workup and clinical follow-up.ResultsFourteen studies were included in the review. Eleven malignancies (24.4% of patients) were identified by FDG-PET-CT in this sample. This is a higher percentage of positive findings compared to most previous reports. There was one initially negative finding.ConclusionsWhole-body FDG-PET-CT is suitable to identify additional malignancies in patients with suspected classical PNS referred to a tertiary medical center. The utility by means of true-positive findings is higher in classical PNS than suggested by studies in less select patient populations.



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Use of Hyperlinks in PowerPoint Presentations as an Educational Tool

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Publication date: Available online 24 May 2017
Source:Academic Radiology
Author(s): Gregory Scott Stacy, Steven G. Thiel
PowerPoint software (Microsoft, Redmond, WA) has become a popular tool for creating and displaying electronic presentations. The "hyperlink" function in PowerPoint allows users to advance from one slide to another slide in the presentation when they click on a predetermined word, shape, or image, thereby allowing for a more dynamic and interactive experience than can be obtained with serial presentation of slides alone. The objective of this article is to provide a tutorial describing the necessary steps to create hyperlinks and incorporate them in a variety of ways into a PowerPoint presentation. Hyperlinks can turn a passive learning experience into an active one by allowing the participant to become more engaged with the presentation.



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Correlation Between Screening Mammography Interpretive Performance on a Test Set and Performance in Clinical Practice

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Publication date: Available online 24 May 2017
Source:Academic Radiology
Author(s): Diana L. Miglioretti, Laura Ichikawa, Robert A. Smith, Diana S.M. Buist, Patricia A. Carney, Berta Geller, Barbara Monsees, Tracy Onega, Robert Rosenberg, Edward A. Sickles, Bonnie C. Yankaskas, Karla Kerlikowske
Rationale and ObjectivesEvidence is inconsistent about whether radiologists' interpretive performance on a screening mammography test set reflects their performance in clinical practice. This study aimed to estimate the correlation between test set and clinical performance and determine if the correlation is influenced by cancer prevalence or lesion difficulty in the test set.Materials and MethodsThis institutional review board-approved study randomized 83 radiologists from six Breast Cancer Surveillance Consortium registries to assess one of four test sets of 109 screening mammograms each; 48 radiologists completed a fifth test set of 110 mammograms 2 years later. Test sets differed in number of cancer cases and difficulty of lesion detection. Test set sensitivity and specificity were estimated using woman-level and breast-level recall with cancer status and expert opinion as gold standards. Clinical performance was estimated using women-level recall with cancer status as the gold standard. Spearman rank correlations between test set and clinical performance with 95% confidence intervals (CI) were estimated.ResultsFor test sets with fewer cancers (N = 15) that were more difficult to detect, correlations were weak to moderate for sensitivity (woman level = 0.46, 95% CI = 0.16, 0.69; breast level = 0.35, 95% CI = 0.03, 0.61) and weak for specificity (0.24, 95% CI = 0.01, 0.45) relative to expert recall. Correlations for test sets with more cancers (N = 30) were close to 0 and not statistically significant.ConclusionsCorrelations between screening performance on a test set and performance in clinical practice are not strong. Test set performance more accurately reflects performance in clinical practice if cancer prevalence is low and lesions are challenging to detect.



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Free-breathing Functional Pulmonary MRI

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Publication date: Available online 24 May 2017
Source:Academic Radiology
Author(s): Dante P.I. Capaldi, Khadija Sheikh, Rachel L. Eddy, Fumin Guo, Sarah Svenningsen, Parameswaran Nair, David G. McCormack, Grace Parraga
Rationale and ObjectivesVentilation heterogeneity is a hallmark feature of asthma. Our objective was to evaluate ventilation heterogeneity in patients with severe asthma, both pre- and post-salbutamol, as well as post-methacholine (MCh) challenge using the lung clearance index, free-breathing pulmonary 1H magnetic resonance imaging (FDMRI), and inhaled-gas MRI ventilation defect percent (VDP).Materials and MethodsSixteen severe asthmatics (49 ± 10 years) provided written informed consent to an ethics board-approved protocol. Spirometry, plethysmography, and multiple breath nitrogen washout to measure the lung clearance index were performed during a single visit within 15 minutes of MRI. Inhaled-gas MRI and FDMRI were performed pre- and post-bronchodilator to generate VDP. For asthmatics with forced expiratory volume in 1 second (FEV1) >70%predicted, MRI was also performed before and after MCh challenge. Wilcoxon signed-rank tests, Spearman correlations, and a repeated-measures analysis of variance were performed.ResultsHyperpolarized 3He (P = .02) and FDMRI (P = .02) VDP significantly improved post-salbutamol and for four asthmatics who could perform MCh (n = 4). 3He and FDMRI VDP significantly increased at the provocative concentration of MCh, resulting in a 20% decrease in FEV1 (PC20) and decreased post-bronchodilator (P = .02), with a significant difference between methods (P = .01). FDMRI VDP was moderately correlated with 3He VDP (ρ = .61, P = .01), but underestimated VDP relative to 3He VDP (−6 ± 9%). Whereas 3He MRI VDP was significantly correlated with the lung clearance index, FDMRI was not (ρ = .49, P = .06).ConclusionsFDMRI VDP generated in free-breathing asthmatic patients was correlated with static inspiratory breath-hold 3He MRI VDP but underestimated VDP relative to 3He MRI VDP. Although less sensitive to salbutamol and MCh, FDMRI VDP may be considered for asthma patient evaluations at centers without inhaled-gas MRI.



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