排序方式: 共有176条查询结果,搜索用时 15 毫秒
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Gopi K. Nayak Terry L. Levin Jessica Kurian Anirudh Kohli Steven H. Borenstein Harold S. Goldman 《Pediatric radiology》2014,44(10):1252-1257
Background
The upper gastrointestinal (UGI) series is the preferred method for the diagnosis of malrotation. A bedside UGI technique was developed at our institution for use in low birth weight, critically ill neonates to minimize the risks of transportation from the neonatal intensive care unit (NICU) such as hypothermia and dislodgement of support lines and tubes.Objective
To determine the ability of a bedside UGI technique to identify the position of the duodenojejunal junction (DJJ) in low birth weight, critically ill infants in the NICU.Materials and methods
We retrospectively reviewed bedside UGI examinations performed in premature infants weighing less than 1,500 g from 2008 to 2013 and correlated the findings with clinical data, imaging studies and surgical findings.Results
Of 27 patients identified (weight range: 633–1,495 g), 21 (78%) bedside UGI series were diagnostic. Twenty of 27 cases (74%) demonstrated normal intestinal rotation. One case demonstrated malrotation with midgut volvulus, which was confirmed at surgery. In six cases (22%), the position of the DJJ could not be accurately determined. No cases of malrotation with midgut volvulus were missed. None of the patients with normal bedside UGI studies was found to have malrotation based on clinical follow-up (mean: 20 months), surgical findings or further imaging.Conclusion
The bedside UGI is a useful technique to exclude malrotation in critically ill neonates and minimizes potential risks of transportation to the radiology suite. Pitfalls that may preclude a diagnostic examination include incorrect timing of radiographs, patient rotation, suboptimal enteric tube position and bowel distention. In cases of diagnostic uncertainty, a follow-up study should be performed. 相似文献4.
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Anirudh Bhimavarapu Qiao Deng Marta Bean Nick Lee Thomas R. Ziegler Jessica Alvarez Vin Tangpricha 《The American journal of the medical sciences》2021,361(1):75-82
BackgroundIndividuals with cystic fibrosis (CF) have difficulty maintaining optimal vitamin D status due to pancreatic insufficiency-induced malabsorption, inadequate sunlight exposure, and poor intake of vitamin D containing foods. Vitamin D deficiency may increase the risk of pulmonary exacerbations of CF. The objective of this study was to assess factors impacting vitamin D status in patients with CF recently hospitalized for a pulmonary exacerbation of CF.MethodsThis was a pre-planned analysis of vitamin D intake in patients enrolled in a multi-center, double-blind, randomized controlled study examining vitamin D therapy for pulmonary exacerbation of CF. Demographic information, responses from a habitual sun exposure questionnaire and food frequency questionnaire, and vitamin D supplement usage were queried and compared to serum 25-hydroxyvitamin D (25(OH)D) concentrations.ResultsA total of 48 subjects were included in this analysis. Subjects were taking approximately 1,200 IU of vitamin D daily. Reported vitamin D intake, age, race, employment, and education were not significantly associated with vitamin D status in this population. However, smoking status, sunlight exposure in the last 3 years, and skin type (in the bivariate model) were all significantly associated with vitamin D status (all p<0.05).ConclusionsSunlight exposure was the most predictive determinant of vitamin D status in patients with CF prior to pulmonary exacerbation. Subjects reported vitamin D intake below the recommended amounts. The role and mode of optimizing vitamin D status prior to a pulmonary exacerbation needs further investigation. 相似文献
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Avinesh Agarwalla Anirudh K. Gowd Elizabeth A. Cody Phillip K. Johnson Kaisen Yao James A. Nunley Nirav H. Amin Joseph N. Liu 《Foot and Ankle Surgery》2021,27(3):305-310
BackgroundMaximal medical improvement (MMI) establishes the timepoint when patients no longer experience clinically significant improvements following surgery. The purpose of this investigation is to establish when patients achieve MMI following total ankle arthroplasty (TAA) through the use of patient reported outcome measures (PROMs).MethodsA systematic review to identify studies on TAA which reported consecutive PROMs for two years postoperatively was performed. Pooled analysis was done at 6 months, 12 months, and 24 months. Clinically significant improvement was defined as improvement between time intervals exceeding the minimal clinically important difference.ResultsTwelve studies and 1514 patients met inclusion criteria. Clinically significant improvement was seen up to 6 months postoperatively in both the American Orthopaedic Foot and Ankle Society Ankle Hindfoot Score and Visual Analog Scale scoring systems. The Short Musculoskeletal Function Assessment Dysfunction and Bother subsections showed maximal clinically significant improvement by 1 year postoperatively.ConclusionFollowing TAA, MMI is seen by one year postoperatively. Physicians may allocate the majority of resources within the first year when most of the improvement is perceived. This data may help inform preoperative counseling as it establishes a timeline for MMI.Level of evidenceIV. 相似文献
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Divyang Patel Kevin M. Trulock Laurie Ann Moennich Erich L. Kiehl Anirudh Kumar Saleem Toro Eoin Donnellan Adam Grimaldi Bryan Baranowski Ayman A. Hussein Khaldoun G. Tarakji Daniel J. Cantillon Mark Niebauer Oussama M. Wazni Niraj Varma Bruce L. Wilkoff John W. Rickard 《Journal of cardiovascular electrophysiology》2020,31(5):1182-1186
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Hattie L. Ring Zhe Gao Anirudh Sharma Zonghu Han Charles Lee Kelvin G. M. Brockbank Elizabeth D. Greene Kristi L. Helke Zhen Chen Lia H. Campbell Bradley Weegman Monica Davis Michael Taylor Sebastian Giwa Gregory M. Fahy Brian Wowk Roberto Pagotan John C. Bischof Michael Garwood 《Magnetic resonance in medicine》2020,83(5):1750-1759
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David Asuzu Karin Nyström Anirudh Sreekrishnan Joseph Schindler Charles Wira David Greer Janet Halliday W. Taylor Kimberly Kevin N. Sheth 《Neurocritical care》2016,24(3):381-388