1,696 results on '"Feld, P"'
Search Results
2. Simple and Efficient? Evaluation of Transitions for Task-Driven Cross-Reality Experiences
- Author
-
Feld, Nico, Bimberg, Pauline, Weyers, Benjamin, and Zielasko, Daniel
- Abstract
The inquiry into the impact of diverse transitions between cross-reality environments on user experience remains a compelling research endeavor. Existing work often offers fragmented perspectives on various techniques or confines itself to a singular segment of the reality-virtuality spectrum, be it virtual reality or augmented reality. This study embarks on bridging this knowledge gap by systematically assessing the effects of six prevalent transitions while users remain immersed in tasks spanning both virtual and physical domains. In particular, we investigate the effect of different transitions while the user is continuously engaged in a demanding task instead of purely focusing on a given transition. As a preliminary step, we evaluate these six transitions within the realm of pure virtual reality to establish a baseline. Our findings reveal a clear preference among participants for brief and efficient transitions in a task-driven experience, instead of transitions that prioritize interactivity and continuity. Subsequently, we extend our investigation into a cross-reality context, encompassing transitions between virtual and physical environments. Once again, our results underscore the prevailing preference for concise and effective transitions. Furthermore, our research offers intriguing insights about the potential mitigation of visual incoherence between virtual and augmented reality environments by utilizing different transitions.
- Published
- 2024
- Full Text
- View/download PDF
3. Développement et validation d’un outil de dépistage systématique des fragilités sociales des patients atteints de cancer : l’outil DEFCO
- Author
-
Baudot, Amandine, Dutertre, Vanessa, Oriol, Mathieu, Regnier-Denois, Véronique, Bourg, Marie-Agnès, Feld, Dominique, Chen, Linjie, Tinquaut, Fabien, Chauvin, Franck, and Bourmaud, Aurélie
- Abstract
Les patients les plus démunis ont tendance à moins adhérer à leurs traitements, à continuer à s’exposer à des facteurs de risque et finalement à avoir un moins bon pronostic. Il est donc nécessaire d’identifier précocement ces populations afin de leur fournir des soins adaptés et renforcés. L’objectif principal de cette étude est de construire et valider, en utilisant une méthodologie psychométrique, un outil de dépistage systématique de la fragilité sociale permettant d’identifier les patients les plus à risque, facile à utiliser par tous les professionnels de santé, afin de leur fournir des soins spécifiques et adaptés tout au long de leur parcours de soins.
- Published
- 2024
- Full Text
- View/download PDF
4. Observation of Three-Photon Cascaded Emission from Triexcitons in Giant CsPbBr3Quantum Dots at Room Temperature
- Author
-
Kazes, Miri, Nakar, Dekel, Cherniukh, Ihor, Bodnarchuk, Maryna I., Feld, Leon G., Zhu, Chenglian, Amgar, Daniel, Rainò, Gabriele, Kovalenko, Maksym V., and Oron, Dan
- Abstract
Colloidal semiconductor nanocrystals have long been considered a promising source of time-correlated and entangled photons via the cascaded emission of multiexcitonic states. The spectroscopy of such cascaded emission, however, is hindered by efficient nonradiative Auger-Meitner decay, rendering multiexcitonic states nonemissive. Here we present room-temperature heralded spectroscopy of three-photon cascades from triexcitons in giant CsPbBr3nanocrystals. We show that this system exhibits second- and third-order correlation function values, g(2)(0) and g(3)(0,0), close to unity, identifying very weak binding of both biexcitons and triexcitons. Combining fluorescence lifetime analysis, photon statistics, and spectroscopy, we can readily identify emission from higher multiexcitonic states. We use this to verify emission from a single emitter despite high emission quantum yields of multiply excited states and comparable emission lifetimes of singly and multiply excited states. Finally, we present potential pathways toward control of the photon number statistics of multiexcitonic emission cascades.
- Published
- 2024
- Full Text
- View/download PDF
5. Gather "Round": An Integrated Care Model for the Emergency Department Multi-Visit Patient.
- Author
-
Feld, April, Carollo, Matt, Freeman-Reyes, Jere, McCarthy, Susan, Lind, Mary Ann, Weinstein, Robert, O'Dea, Caitlin, Joy, Maria, Morley, Eric J., Aitken, Paul, Schwaner, Robert, Giarraputo, Dominic, and Heslin, Samita M.
- Published
- 2025
- Full Text
- View/download PDF
6. Peripheral Arterial Ultrasound
- Author
-
Needleman, Laurence and Feld, Rick
- Abstract
Peripheral arterial ultrasound is an important technique to evaluate vascular disease. Protocols include grayscale, color Doppler and spectral Doppler. Arterial duplex is used to evaluate patients with claudication to characterize atherosclerotic disease. Stenoses have characteristic findings which can help profile lesions accurately. Other nonatherosclerotic obstructive processes are also evaluable by duplex Doppler. Traumatic injuries can also be studied in the stable patient. Attention to protocols helps ensure optimal results.
- Published
- 2025
- Full Text
- View/download PDF
7. Peripheral Venous Ultrasound
- Author
-
Needleman, Laurence and Feld, Rick
- Abstract
After clinical evaluation, especially clinical prediction rules, appropriately ordered venous duplex has become the standard test for evaluating and excluding deep vein thrombosis (DVT). Ultrasound is useful for lower- and upper-extremity veins. Protocols include grayscale, color Doppler, and spectral Doppler. Recommended lower-extremity protocols include central leg and calf veins. Duplex Doppler is widely used to evaluate patients with chronic venous disease, especially with suspected venous reflux. Mapping to identify adequate veins before surgery is another widely used indication for venous ultrasound. Ultrasound for thrombosis can be characterized as normal, acute DVT, superficial thrombosis, or chronic postthrombotic changes in most patients.
- Published
- 2025
- Full Text
- View/download PDF
8. Direct and Spillover Effects of Enforcing Labor Standards: Evidence from Argentina
- Author
-
Feld, Brian
- Abstract
ABSTRACT:I study how increases in labor standards and enforcement affect workers and their families. Using a policy in Argentina that targeted domestic workers and their employers, I find a 31 percent increase in formality rates of domestic workers and an increase in monthly earnings of almost 4 percent, despite a reduction in hours of work. I also study whether the reform produced changes among other members of domestic workers' families. I find a substantial reduction in labor supply among children of domestic workers (especially women).
- Published
- 2024
9. Quantifying Förster Resonance Energy Transfer from Single Perovskite Quantum Dots to Organic Dyes.
- Author
-
Feld, Leon G., Boehme, Simon C., Morad, Viktoriia, Sahin, Yesim, Kaul, Christoph J., Dirin, Dmitry N., Rainò, Gabriele, and Kovalenko, Maksym V.
- Published
- 2024
- Full Text
- View/download PDF
10. Effect of Secukinumab and Tumor Necrosis Factor Inhibitors on Humoral Response to BNT162b2 mRNA Vaccine in Patients With Spondyloarthritis Compared to Immunocompetent Controls.
- Author
-
Eviatar, Tali, Furer, Victoria, Polachek, Ari, Zisman, Devy, Peleg, Hagit, Elalouf, Ofir, Levartovsky, David, Kaufman, Ilana, Broyde, Adi, Haddad, Amir, Feld, Joy, Aassi, Maher, Quebe-Fehling, Erhard, Alarcon, Ivette, Pel, Sara, Paran, Daphna, and Elkayam, Ori
- Published
- 2024
- Full Text
- View/download PDF
11. Crop‐ and weather‐dependent yield and wind erosion benefits from a conservation practices system
- Author
-
Scott, Drew A., Liebig, Mark A., Saliendra, Nicanor Z., Toledo, David, DeGreef, Michael, Kobilansky, Chantel, and Feld, Justin
- Abstract
Wind erosion and variable weather challenge crop production in the northern Great Plains. Management that increases residue cover might mitigate wind erosion during the cash crop growing season. We evaluated horizontal sediment flux (modified Wilson and Cooke samplers) and cash crop yield across a single rotation of corn (Zea maysL.)–soybean (Glycine max(L.) Merr.)–spring wheat (Triticum aestivumL.) in paired fields with contrasting management. One field included cover crops and retained spring wheat straw (aspirational), while the other excluded both conservation practices over the 3‐year rotation (business‐as‐usual). Horizontal sediment flux rapidly decreased with days after cash crop planting (increasing crop canopy), regardless of management treatment. In 2 years (2020 corn and 2022 spring wheat), there was greater horizontal sediment flux, lower cash crop grain yield, and lower cash crop aboveground biomass in the aspirational versus business‐as‐usual field. In 2021 soybean, there was lower horizontal sediment flux, greater cash crop yield, and greater cash crop aboveground biomass in the aspirational versus business‐as‐usual field. Higher yield and lower horizontal sediment flux responses corresponded with the management treatment that produced the higher cash crop aboveground biomass. Additionally, our short‐term study indicated that in drought years, cover crops worsened the adverse effects of abnormally low precipitation on yield and biomass of 2020 corn but not 2021 soybean. Sediment mass flux and grain yield were measured in response to cover cropping and wheat straw management.Horizontal sediment flux rapidly decreased with canopy development, regardless of management treatment.During drought, cover crops decreased yield and biomass of corn but not soybean.Conservation practices treatment had lower horizontal sediment flux in 2021 soybean, but not in 2020 or 2022.
- Published
- 2024
- Full Text
- View/download PDF
12. Ertragsteuerliche Fallstricke bei Anteilstransaktionen mit (rückwirkungslosen) Earn-Out Gestaltungen
- Author
-
Feld, Johannes and Lüder, Robert
- Published
- 2024
- Full Text
- View/download PDF
13. Colloidal Aziridinium Lead Bromide Quantum Dots.
- Author
-
Bodnarchuk, Maryna I., Feld, Leon G., Zhu, Chenglian, Boehme, Simon C., Bertolotti, Federica, Avaro, Jonathan, Aebli, Marcel, Mir, Showkat Hassan, Masciocchi, Norberto, Erni, Rolf, Chakraborty, Sudip, Guagliardi, Antonietta, Rainò, Gabriele, and Kovalenko, Maksym V.
- Published
- 2024
- Full Text
- View/download PDF
14. Atypical Left Atrial Flutter After Posterior Wall and Pulmonary Vein Isolation Atrial Fibrillation
- Author
-
Feld, Gregory K. and Hsu, Jonathan C.
- Abstract
[Display omitted]
- Published
- 2024
- Full Text
- View/download PDF
15. Outcomes of early vs late treatment initiation in solid organ transplantation from hepatitis C virus nucleic acid test-positive donors to hepatitis C virus-uninfected recipients: Results from the HCV-TARGET study
- Author
-
Aleyadeh, Wesam, Verna, Elizabeth C., Elbeshbeshy, Hany, Sulkowski, Mark S., Smith, Coleman, Darling, Jama, Sterling, Richard K., Muir, Andrew, Akushevich, Lucy, La, Danie, Terrault, Norah, Fried, Michael W., and Feld, Jordan J.
- Abstract
Curative hepatitis C virus (HCV) therapy has increased transplantation from HCV-infected nucleic acid test-positive donors to HCV-uninfected recipients (D+/R-). We evaluated outcomes of early and late HCV treatment among D+/R- nonliver organ transplants. Patients received HCV regimens per local standard (n = 10 sites). Outcomes were compared between early and late treatments. Early treatment regimens (ETR) (n = 56) were initiated pretransplantation to day 7 posttransplant. Late treatment regimens (LTRs) (n = 102) began median 31 (range, 8-114) days posttransplant. There were 79 kidney, 50 lung, 23 heart, and 6 mixed transplants, similar between groups. HCV RNA was quantifiable in 98% of LTR versus 44.6% of ETR recipients (P< .001). Mean (range) days on treatment were 28 (7-93) ETR and 81 (51-111) LTR (P< .0001). There were no virological failures with ETR, but relapse (n = 3) and nonresponse (n = 2) in LTR (P= .16), including fibrosing cholestatic hepatitis postrelapse (n = 1). Sustained virological response was 100% (95% confidence interval, 93.4-100.0) in ETR (n = 54) and 94.9% (95% confidence interval, 88.5-98.3) in LTR (n = 98). Acute rejection occurred in 11 (19.6%) ETR and 25 (24.5%) LTR. In total, 11 HCV-unrelated deaths occurred: 8 ETR and 3 LTR. Organ transplantation from HCV-infected nucleic acid test-positive donors to HCV-uninfected recipients was safe. ETR led to fewer virological failures with shorter treatment duration, supporting recommendations to initiate treatment promptly posttransplant.
- Published
- 2024
- Full Text
- View/download PDF
16. Single-photon superradiance in individual caesium lead halide quantum dots
- Author
-
Zhu, Chenglian, Boehme, Simon C., Feld, Leon G., Moskalenko, Anastasiia, Dirin, Dmitry N., Mahrt, Rainer F., Stöferle, Thilo, Bodnarchuk, Maryna I., Efros, Alexander L., Sercel, Peter C., Kovalenko, Maksym V., and Rainò, Gabriele
- Abstract
The brightness of an emitter is ultimately described by Fermi’s golden rule, with a radiative rate proportional to its oscillator strength times the local density of photonic states. As the oscillator strength is an intrinsic material property, the quest for ever brighter emission has relied on the local density of photonic states engineering, using dielectric or plasmonic resonators1,2. By contrast, a much less explored avenue is to boost the oscillator strength, and hence the emission rate, using a collective behaviour termed superradiance. Recently, it was proposed3that the latter can be realized using the giant oscillator-strength transitions of a weakly confined exciton in a quantum well when its coherent motion extends over many unit cells. Here we demonstrate single-photon superradiance in perovskite quantum dots with a sub-100 picosecond radiative decay time, almost as short as the reported exciton coherence time4. The characteristic dependence of radiative rates on the size, composition and temperature of the quantum dot suggests the formation of giant transition dipoles, as confirmed by effective-mass calculations. The results aid in the development of ultrabright, coherent quantum light sources and attest that quantum effects, for example, single-photon emission, persist in nanoparticles ten times larger than the exciton Bohr radius.
- Published
- 2024
- Full Text
- View/download PDF
17. Designer phospholipid capping ligands for soft metal halide nanocrystals
- Author
-
Morad, Viktoriia, Stelmakh, Andriy, Svyrydenko, Mariia, Feld, Leon G., Boehme, Simon C., Aebli, Marcel, Affolter, Joel, Kaul, Christoph J., Schrenker, Nadine J., Bals, Sara, Sahin, Yesim, Dirin, Dmitry N., Cherniukh, Ihor, Raino, Gabriele, Baumketner, Andrij, and Kovalenko, Maksym V.
- Abstract
The success of colloidal semiconductor nanocrystals (NCs) in science and optoelectronics is inextricable from their surfaces. The functionalization of lead halide perovskite NCs1–5poses a formidable challenge because of their structural lability, unlike the well-established covalent ligand capping of conventional semiconductor NCs6,7. We posited that the vast and facile molecular engineering of phospholipids as zwitterionic surfactants can deliver highly customized surface chemistries for metal halide NCs. Molecular dynamics simulations implied that ligand–NC surface affinity is primarily governed by the structure of the zwitterionic head group, particularly by the geometric fitness of the anionic and cationic moieties into the surface lattice sites, as corroborated by the nuclear magnetic resonance and Fourier-transform infrared spectroscopy data. Lattice-matched primary-ammonium phospholipids enhance the structural and colloidal integrity of hybrid organic–inorganic lead halide perovskites (FAPbBr3and MAPbBr3(FA, formamidinium; MA, methylammonium)) and lead-free metal halide NCs. The molecular structure of the organic ligand tail governs the long-term colloidal stability and compatibility with solvents of diverse polarity, from hydrocarbons to acetone and alcohols. These NCs exhibit photoluminescence quantum yield of more than 96% in solution and solids and minimal photoluminescence intermittency at the single particle level with an average ON fraction as high as 94%, as well as bright and high-purity (about 95%) single-photon emission.
- Published
- 2024
- Full Text
- View/download PDF
18. SOP Obstruktive Schlafapnoe
- Author
-
Feld, Michael, Hein, Holger, and Jahn, Mona
- Published
- 2024
- Full Text
- View/download PDF
19. Venetoclax in combination with hypomethylating agents in chronic myelomonocytic leukemia: a propensity score matched multicenter cohort study
- Author
-
Tremblay, Douglas, Csizmar, Clifford, DiNardo, Courtney D., Ball, Somedeb, Rippel, Noa, Hammond, Danielle, Kadia, Tapan M., Ravandi, Farhad, Chien, Kelly, Van Hyfte, Grace, Mazumdar, Madhu, Saliba, Antoine, Mangaonkar, Abhishek, Lasho, Terra, Al-Kali, Aref, Kremyanskaya, Marina, Feld, Jonathan, Silverman, Lewis R., Komrokji, Rami, Mascarenhas, John, Padron, Eric, Garcia-Manero, Guillermo, Sallman, David A., Patnaik, Mrinal M., and Montalban-Bravo, Guillermo
- Published
- 2024
- Full Text
- View/download PDF
20. Für eine grundlegende Reform des öffentlich-rechtlichen Rundfunks
- Author
-
Feld, Lars, Fuest, Clemens, Haucap, Justus, Schweitzer, Heike, Wieland, Volker, and Wigger, Berthold
- Abstract
Der öffentlich-rechtliche Rundfunk (ÖRR) steht zu Recht in der Kritik. Mit dem technologischen Fortschritt und einem vielfältigen Medienangebot aus öffentlich-rechtlichen und privaten Sendern, dem Internet, diversen Streaming-Diensten und sozialen Medien haben die Rezipienten ihr Nutzungsverhalten stark verändert. Zudem schwindet die normative Rechtfertigung und gesellschaftliche Akzeptanz des ÖRR, der für kostenintensive Ausgaben sowie eine zu unausgewogene und zuweilen verzerrte Berichterstattung kritisiert wird. Auf Basis einer Analyse des 3. und 4. Medienänderungsstaatsvertrags entwickelt der Kronberger Kreis acht konkrete Reformschritte zur Stärkung der Governance des ÖRR. Eine Umsetzung dieser Reformempfehlungen würde dazu beitragen, einen möglichst hohen gesellschaftlichen Mehrwert durch den ÖRR und das zur Verfügung stehende Beitragsaufkommen zu generieren. Dadurch ließen sich nicht nur die Kosten des ÖRR senken, sondern auch seine Akzeptanz in der Bevölkerung stärken – und damit die Integrationsfunktion, die der ÖRR erfüllen soll.
- Published
- 2024
- Full Text
- View/download PDF
21. Effect of Secukinumab and Tumor Necrosis Factor Inhibitors on Humoral Response to BNT162b2 mRNA Vaccine in Patients With Spondyloarthritis Compared to Immunocompetent Controls
- Author
-
Eviatar, Tali, Furer, Victoria, Polachek, Ari, Zisman, Devy, Peleg, Hagit, Elalouf, Ofir, Levartovsky, David, Kaufman, Ilana, Broyde, Adi, Haddad, Amir, Feld, Joy, Aassi, Maher, Quebe-Fehling, Erhard, Alarcon, Ivette, Pel, Sara, Paran, Daphna, and Elkayam, Ori
- Abstract
ObjectiveTo assess the humoral response to the BNT162b2 mRNA vaccine among patients with spondyloarthritis (SpA) receiving secukinumab (SEC) compared to those receiving tumor necrosis factor inhibitors (TNFi) and immunocompetent controls.MethodsConsecutive patients with psoriatic arthritis or axial SpA receiving SEC (n = 37) or TNFi (monotherapy, n = 109; + methotrexate [MTX], n = 16), immunocompetent controls (n = 122), and patients with rheumatoid arthritis (RA) receiving TNFi therapy (controls, n = 50) were vaccinated with 2 or 3 doses of the BNT162b2 vaccine. We evaluated humoral response, adverse events, and disease activity, and monitored for breakthrough coronavirus disease 2019 (COVID-19) postvaccination.ResultsThe 2-dose vaccine regimen induced a comparable seropositive response in all study groups. S1/S2 antibody titers (in binding antibody units/mL; mean [SD]) were higher in the SEC group vs the TNFi + MTX–SpA and TNFi-RA groups (192.5 [68.4] vs 104.6 [46.9], P< 0.001, and 143.1 [81.9], P= 0.004). After 6 months, 96.3%, 96.6%, and 80.9% of the SEC, immunocompetent, and TNFi monotherapy-SpA groups (P= 0.10), respectively; 66.7% of the TNFi + MTX–SpA group (P= 0.03); and 63% of the TNFi-RA group (P= 0.004) remained seropositive. S1/S2 antibody titer decline was steeper in the TNFi groups than the SEC group. After the third dose, 100% of the SpA and immunocompetent and 88.9% of the TNFi-RA (P= 0.25) groups were seropositive. Rate of breakthrough COVID-19 infection was higher in the TNFi groups than in the SEC group (36-37.5% vs 10.8%). No significant between-group differences were observed for postvaccination disease activity and adverse events.ConclusionSEC did not interfere with the immunogenic response to BNT162b2 vaccine in patients with SpA; however, TNFi therapy was associated with lower S1/S2-antibody titers, faster decline, and higher rate of breakthrough infections.
- Published
- 2024
- Full Text
- View/download PDF
22. Investigating migraine phenotype and dynamics in women with endometriosis: an observational pilot study
- Author
-
Merki-Feld, Gabriele, Dietrich, Hanna, Imesch, Patrick, Gantenbein, Andreas R., Sandor, Peter, and Schankin, Christoph J.
- Abstract
Introduction: Migraine and endometriosis are chronic disabling pain conditions. There is evidence for a shared genetic background. Migraine phenotype and course in patients with the comorbidity are insufficient investigated. Both conditions can be treated with progestins. Methods: For this observational study we included women with migraine and endometriosis, visiting our clinic from 2015 to 2021. We collected available information from charts and complemented these data by a structured phone interview to collect more specific information on migraine and the course of both diseases. Results: From 344 patients fulfilling the inclusion criteria, 94 suffered from both, endometriosis and migraine. Migraine with aura was reported by 41% of the patients and was associated with earlier onset of migraine (age < 17 years (OR 6.54) and with a history of medication overuse headache (OR 9.9, CI 1.6–59.4). Present monthly migraine frequency (1.5 ± 2.6) was significantly lower than five years before the interview (2.9 ± 4.64). There was a correlation between medication overuse headache and use of analgesics more than 3 days/months for dysmenorrhoea (p< 0.03). ASRM endometriosis score was not associated with migraine characteristics. Conclusions: We conclude that the comorbidity of endometriosis is highly linked to migraine with aura. Migraine onset in these patients was earlier. Further studies are needed to explore, if the observed decrease in migraine frequency can be attributed to recent endometriosis surgery and to understand if early diagnosis and treatment of both conditions may contribute to improve the course of both conditions.
- Published
- 2024
- Full Text
- View/download PDF
23. Patient and Clinician Satisfaction in Teledermatology: Key Factors for Successful Implementation.
- Author
-
Li, Yiwen, Pulminskas, Anna, Collins, Olivia, de la Feld, Salma, and Yeung, Howa
- Published
- 2023
- Full Text
- View/download PDF
24. Transportation barriers and endoscopic procedures: barriers, legal challenges, and strategies for GI endoscopy units.
- Author
-
Kwok, Karl, Levin, Theodore R., Dominitz, Jason A., Panganamamula, Kashyap, Feld, Andrew D., Bardall, Bruce, Newbury, Kara, and Day, Lukejohn W.
- Published
- 2023
- Full Text
- View/download PDF
25. Parental Leave and Return-to-Work Policies: A Practical Model for Implementation in Gastroenterology.
- Author
-
Feld, Lauren D., Oxentenko, Amy S., Sears, Dawn, Charabaty, Aline, Rabinowitz, Loren G., and Silver, Julie K.
- Published
- 2023
- Full Text
- View/download PDF
26. Parental Leave and Return-to-Work Policies: A Practical Model for Implementation in Gastroenterology.
- Author
-
Feld, Lauren D., Oxentenko, Amy S., Sears, Dawn, Charabaty, Aline, Rabinowitz, Loren G., and Silver, Julie K.
- Published
- 2023
- Full Text
- View/download PDF
27. Contemporary Treatment and Outcome of Patients with Ischaemic Lower Limb Amputation: A Focus on Sex Differences.
- Author
-
Makowski, Lena, Engelbertz, Christiane, Köppe, Jeanette, Dröge, Patrik, Ruhnke, Thomas, Günster, Christian, Gerß, Joachim, Freisinger, Eva, Malyar, Nasser, Reinecke, Holger, and Feld, Jannik
- Abstract
Chronic limb threatening ischaemia (CLTI) has a devastating prognosis with high rates of lower limb amputation (LLA) and deaths. This is an illustration of contemporary management and the long term fate of patients after ischaemic LLA, particularly with respect to sex, using real world data. This was a multisectoral cross sectional and longitudinal analysis of health claims data from the largest German health insurance database (AOK). Data of 39 796 propensity score matched patients hospitalised for ischaemic LLA between 2010 and 2018 were analysed for cardiovascular comorbidities, treatment, and for subsequent cardiovascular and limb events, with a distinct focus on sex. Matching was performed, to ensure that the rate of major amputations and the age distribution were equal in both groups (in both sexes). An observation period of two years before index and a follow up (FU) period until 2019 were included. Before index amputation, 68% of patients had received any kind of peripheral revascularisation. The use of statins (37.0% vs. 42.6%) and antithrombotic substances (54.9% vs. 61.8%) was lower in women than in men (p <.001). During two year FU, cardiovascular and limb events occurred among women and men as follows: limb re-amputation (26.7% vs. 31.2%), myocardial infarction (10.9% vs. 14.5%), stroke (20.8% vs. 20.7%), and death from any cause (51.0% vs. 53.3%, p <.001 except for stroke). After adjustment for cardiovascular comorbidities and vascular procedures, female sex was associated with a higher probability of death (HR 1.04, 95% CI 1.04 – 1.04). Patients undergoing ischaemic LLA still have a poor prognosis marked by high rates of recurrent cardiovascular and limb events resulting in a > 50% mortality rate within two years. The continuous lack of guideline recommended therapies, particularly in women, may be associated with the persisting poor outcome, necessitating urgent further investigation. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
28. Book review: The European Union, Emerging Global Business and Human Rights. Cambridge: Cambridge University Press, 2022. by Aleydis Nissen
- Author
-
Feld, Leonard
- Published
- 2024
29. Book review: The European Union, Emerging Global Business and Human Rights. by Aleydis Nissen (Cambridge: Cambridge University Press, 2022)
- Author
-
Feld, Leonard
- Published
- 2024
30. Learning with, about, and from COVID-19: An interprofessional global comparison of pandemic responses.
- Author
-
Miller, Madeline Aulisio, Ballard, James, Feld, Hartley, and Ryan, Melody
- Abstract
University of Kentucky developed a fully virtual course to educate global health learners about the COVID-19 pandemic and compare country responses to it. Forty-three students participated in 13 weeks of synchronous interprofessional group meetings via Zoom (Zoom Video Communications, Inc) and asynchronous modules. Interprofessionality was intentional yet implicit, and a flipped classroom was utilized. Assessment was accomplished with one instrument measuring learning outcomes associated with select Consortium of Universities of Global Health Interprofessional Global Health Competencies, Association of American Colleges and Universities Global Learning Value Rubric competencies, and course satisfaction and effectiveness utilizing a retrospective pre−/post-methodology. Positive pre−/post-change was observed in 10 survey items. Evaluation results concerning course structure and experience were uniformly high, with the key informant interview rated most helpful. Items with significant improvement included a better understanding of the student's place in the world; improved interprofessional communication skills; population health data skills; and understanding of health systems and entities that influence global health and development. Learners appreciated the value of interprofessional teamwork and gained a deeper understanding of the roles and training of colleagues from other programs, leading to a deeper understanding of the actions those professions may take within health systems. The pivot to all online global health education was a viable solution to addressing the pause in global travel and study abroad experiences at University of Kentucky. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
31. Associations of Race and Ethnicity with Hepatocellular Carcinoma, Decompensation, and Mortality in US Veterans with Cirrhosis.
- Author
-
Trang VoPham, Cravero, Anne, Feld, Lauren D., Green, Pamela, Ziding Feng, Berry, Kristin, Kim, Nicole J., Vutien, Philip, Mendoza, Jason A., and Ioannou, George N.
- Abstract
Background: Among patients with cirrhosis, it remains unclear whether there are racial/ethnic differences in cirrhosis complications and mortality. We examined the associations between race/ethnicity and risk for hepatocellular carcinoma (HCC), cirrhosis decompensation, and all-cause mortality overall and by cirrhosis etiology. Methods: US Veterans diagnosed with cirrhosis from 2001 to 2014 (n = 120,992), due to hepatitis C virus (HCV; n = 55,814), alcohol-associated liver disease (ALD; n = 36,323), hepatitis B virus (HBV; n = 1,972), nonalcoholic fatty liver disease (NAFLD; n = 17,789), or other (n = 9,094), were followed through 2020 for incident HCC (n = 10,242), cirrhosis decompensation (n = 27,887), and mortality (n = 81,441). Multivariable Cox proportional hazards regression was used to estimate adjusted hazard ratios (aHR) and 95% confidence intervals (CI). Results: Compared with non-Hispanic White patients, Hispanic patients had higher risk for HCC overall (aHR, 1.32; 95% CI, 1.24-1.41) and by cirrhosis etiology, particularly for ALD- (aHR, 1.63; 95% CI, 1.42-1.87) and NAFLD-cirrhosis (aHR, 1.76; 95% CI, 1.41-2.20), whereas non-Hispanic Black patients had lower HCC risk in ALD- (aHR, 0.79; 95% CI, 0.63-0.98) and NAFLD-cirrhosis (aHR, 0.54; 95% CI, 0.33-0.89). Asian patients had higher HCC risk (aHR, 1.70; 95% CI, 1.29-2.23), driven by HCV- and HBV-cirrhosis. Non-Hispanic Black patients had lower risk for cirrhosis decompensation overall (aHR, 0.71; 95% CI, 0.68-0.74) and by cirrhosis etiology. There was lower risk for mortality among all other racial/ethnic groups compared with non-Hispanic White patients. Conclusions: Race/ethnicity is an important predictor for risk of developing HCC, decompensation, and mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
32. New Perspectives on Development of Curative Strategies for Chronic Hepatitis B.
- Author
-
Feld, Jordan J., Lok, Anna S., and Zoulim, Fabien
- Abstract
A functional cure of chronic hepatitis B defined as sustained hepatitis B surface antigen loss after finite course of therapy is rarely achieved with current therapy but is the goal of novel treatments. Understanding the virological and immunological mechanisms of hepatitis B virus persistence has enabled the identification of novel treatment targets, drug discovery, and the evaluation of novel agents in clinical trials. Lessons were learned from early phase 1 and phase 2 trials regarding the antiviral activity and safety profile of these agents. There is a strong rationale to combine agents to reduce viral replication, reduce viral antigen load, invigorate immune responses, and induce specific adaptive immune responses. Nucleos(t)ide analogs will likely remain an essential backbone of future combinations to control viral replication and prevent resistance to antiviral drugs. In this review, we discuss perspectives on approaches to achieving functional cure, with a review of virological and immunological strategies, highlighting challenges and unresolved questions with the various attempts to achieve cure, as well as exploring alternative endpoints such as partial cure and new noninvasive viral and immunological biomarkers to stratify patients and predict/monitor antiviral response. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
33. Randomized Trial of Facilitated Adherence to Screening Colonoscopy vs Sequential Fecal-Based Blood Test.
- Author
-
Zauber, Ann G., Winawer, Sidney J., O'Brien, Michael J., Mills, Glenn M., Allen, John I., Feld, Andrew D., Jordan, Paul A., Fleisher, Martin, Orlow, Irene, Meester, Reinier G.S., Lansdorp-Vogelaar, Iris, Rutter, Carolyn M., Knudsen, Amy B., Mandelson, Margaret, Shaukat, Aasma, Mendelsohn, Robin B., Hahn, Anne I., Lobaugh, Stephanie M., Soto Palmer, Brittany, and Serrano, Victoria
- Abstract
Colorectal cancer (CRC) screening guidelines include screening colonoscopy and sequential high-sensitivity fecal occult blood testing (HSgFOBT), with expectation of similar effectiveness based on the assumption of similar high adherence. However, adherence to screening colonoscopy compared with sequential HSgFOBT has not been reported. In this randomized clinical trial, we assessed adherence and pathology findings for a single screening colonoscopy vs sequential and nonsequential HSgFOBTs. Participants aged 40–69 years were enrolled at 3 centers representing different clinical settings. Participants were randomized into a single screening colonoscopy arm vs sequential HSgFOBT arm composed of 4–7 rounds. Initial adherence to screening colonoscopy and sequential adherence to HSgFOBT, follow-up colonoscopy for positive HSgFOBT tests, crossover to colonoscopy, and detection of advanced neoplasia or large serrated lesions (ADN-SERs) were measured. There were 3523 participants included in the trial; 1761 and 1762 participants were randomized to the screening colonoscopy and HSgFOBT arms, respectively. Adherence was 1473 (83.6%) for the screening colonoscopy arm vs 1288 (73.1%) for the HSgFOBT arm after 1 round (relative risk [RR], 1.14; 95% CI, 1.10–1.19; P ≤.001), but only 674 (38.3%) over 4 sequential HSgFOBT rounds (RR, 2.19; 95% CI, 2.05–2.33). Overall adherence to any screening increased to 1558 (88.5%) in the screening colonoscopy arm during the entire study period and 1493 (84.7%) in the HSgFOBT arm (RR, 1.04; 95% CI, 1.02–1.07). Four hundred thirty-six participants (24.7%) crossed over to screening colonoscopy during the first 4 rounds. ADN-SERs were detected in 121 of the 1473 participants (8.2%) in the colonoscopy arm who were adherent to protocol in the first 12 months of the study, whereas detection of ADN-SERs among those who were not sequentially adherent (n = 709) to HSgFOBT was subpar (0.6%) (RR, 14.72; 95% CI, 5.46–39.67) compared with those who were sequentially adherent (3.3%) (n = 647) (RR, 2.52; 95% CI, 1.61–3.98) to HSgFOBT in the first 4 rounds. When including colonoscopies from HSgFOBT patients who were never positive yet crossed over (n = 1483), 5.5% of ADN-SERs were detected (RR, 1.50; 95% CI, 1.15–1.96) in the first 4 rounds. Observed adherence to sequential rounds of HSgFOBT was suboptimal compared with a single screening colonoscopy. Detection of ADN-SERs was inferior when nonsequential HSgFOBT adherence was compared with sequential adherence. However, the greatest number of ADN-SERs was detected among those who crossed over to colonoscopy and opted to receive a colonoscopy. The effectiveness of an HSgFOBT screening program may be enhanced if crossover to screening colonoscopy is permitted. ClinicalTrials.gov , Number: NCT00102011. Fecal-based colorectal cancer screening is effective when there is adherence to the program of sequential (annual) testing. In circumstances when the uptake of fecal-based tests is suboptimal, colonoscopy should be considered in order to obtain maximum benefit. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
34. New Perspectives on Development of Curative Strategies for Chronic Hepatitis B.
- Author
-
Feld, Jordan J., Lok, Anna S., and Zoulim, Fabien
- Abstract
A functional cure of chronic hepatitis B defined as sustained hepatitis B surface antigen loss after finite course of therapy is rarely achieved with current therapy but is the goal of novel treatments. Understanding the virological and immunological mechanisms of hepatitis B virus persistence has enabled the identification of novel treatment targets, drug discovery, and the evaluation of novel agents in clinical trials. Lessons were learned from early phase 1 and phase 2 trials regarding the antiviral activity and safety profile of these agents. There is a strong rationale to combine agents to reduce viral replication, reduce viral antigen load, invigorate immune responses, and induce specific adaptive immune responses. Nucleos(t)ide analogs will likely remain an essential backbone of future combinations to control viral replication and prevent resistance to antiviral drugs. In this review, we discuss perspectives on approaches to achieving functional cure, with a review of virological and immunological strategies, highlighting challenges and unresolved questions with the various attempts to achieve cure, as well as exploring alternative endpoints such as partial cure and new noninvasive viral and immunological biomarkers to stratify patients and predict/monitor antiviral response. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
35. Safety and acute efficacy of catheter ablation for atrial fibrillation with pulsed field ablation vs thermal energy ablation: A meta-analysis of single proportions
- Author
-
Aldaas, Omar M., Malladi, Chaitanya, Aldaas, Amer M., Han, Frederick T., Hoffmayer, Kurt S., Krummen, David, Ho, Gordon, Raissi, Farshad, Birgersdotter-Green, Ulrika, Feld, Gregory K., and Hsu, Jonathan C.
- Abstract
Pulsed field ablation (PFA) has emerged as a novel energy source for the ablation of atrial fibrillation (AF) using ultrarapid electrical pulses to induce cell death via electroporation.
- Published
- 2023
- Full Text
- View/download PDF
36. Convergent Validity for the Functional Upper Extremity Levels (FUEL) in Stroke Rehabilitation.
- Author
-
Calajoe, Ashley, Feld-Glazman, Rachel, Dicembri, Adrienne, Capasso, Nettie, Geller, Daniel, and Van Lew, Stephen
- Subjects
RESEARCH methodology evaluation ,FUNCTIONAL status ,CONVALESCENCE ,RESEARCH methodology ,RETROSPECTIVE studies ,ACQUISITION of data ,PSYCHOMETRICS ,ARM ,PEARSON correlation (Statistics) ,STROKE rehabilitation ,DESCRIPTIVE statistics ,MEDICAL records ,DATA analysis software - Abstract
Importance: Research is needed to validate an easy-to-use, functional, evidence-based neurological upper extremity (UE) assessment that requires minimal training. Objective: To establish convergent validity for the Functional Upper Extremity Levels (FUEL), a function-based upper limb measure, with the Upper Extremity Fugl-Meyer Assessment (UE–FMA), the gold standard assessment of upper limb recovery poststroke. Design: Retrospective chart review of 292 clients with admission and discharge data for the UE–FMA and the FUEL. Correlation statistics were analyzed to determine a relationship between these assessments. Setting: Inpatient stroke rehabilitation unit. Participants: Clients with a stroke diagnosis admitted to the stroke inpatient rehabilitation unit at a rehabilitation hospital between January 2017 and June 2019. Outcomes and Measures: FUEL (a classification system) and UE–FMA (an impairment-based motor recovery assessment of the upper limb recovery poststroke). Results: Pearson correlation coefficient yielded a significant positive correlation between the UE–FMA and the FUEL for both initial (r =.929) and discharge (r =.943) scores. Conclusions and Relevance: Convergent validity of the FUEL is established using the UE–FMA as a comparison. The FUEL can be applied in neurological rehabilitation to provide a clinical picture of a client's UE function. This research supports the value of the FUEL's application in clinical poststroke care. What This Article Adds: The FUEL is a valid tool to assess the UE in an acute neurological population. Using the Upper Extremity Fugl-Meyer Assessment (UE–FMA) as a comparison, the Functional Upper Extremity Levels (FUEL) is a valid tool to assess the upper extremity in an acute neurological population and supports the value of the FUEL's application in clinical poststroke care. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
37. Abbreviated or Standard Antiplatelet Therapy in HBR Patients: Final 15-Month Results of the MASTER-DAPT Trial.
- Author
-
Landi, Antonio, Heg, Dik, Frigoli, Enrico, Vranckx, Pascal, Windecker, Stephan, Siegrist, Patrick, Cayla, Guillaume, Włodarczak, Adrian, Cook, Stephane, Gómez-Blázquez, Iván, Feld, Yair, Seung-Jung, Park, Mates, Martin, Lotan, Chaim, Gunasekaran, Sengottuvelu, Nanasato, Mamoru, Das, Rajiv, Kelbæk, Henning, Teiger, Emmanuel, and Escaned, Javier
- Abstract
Clinical outcomes and treatment selection after completing the randomized phase of modern trials, investigating antiplatelet therapy (APT) after percutaneous coronary intervention (PCI), are unknown. The authors sought to investigate cumulative 15-month and 12-to-15-month outcomes after PCI during routine care in the MASTER DAPT trial. The MASTER DAPT trial randomized 4,579 high bleeding risk patients to abbreviated (n = 2,295) or standard (n = 2,284) APT regimens. Coprimary outcomes were net adverse clinical outcomes (NACE) (all-cause death, myocardial infarction, stroke, and BARC 3 or 5 bleeding); major adverse cardiac and cerebral events (MACCE) (all-cause death, myocardial infarction, and stroke); and BARC type 2, 3, or 5 bleeding. At 15 months, prior allocation to a standard APT regimen was associated with greater use of intensified APT; NACE and MACCE did not differ between abbreviated vs standard APT (HR: 0.92 [95% CI: 0.76-1.12]; P = 0.399 and HR: 0.94 [95% CI: 0.76-1.17]; P = 0.579; respectively), as during the routine care period (HR: 0.81 [95% CI: 0.50-1.30]; P = 0.387 and HR: 0.74 [95% CI: 0.43-1.26]; P = 0.268; respectively). BARC 2, 3, or 5 was lower with abbreviated APT at 15 months (HR: 0.68 [95% CI: 0.56-0.83]; P = 0.0001) and did not differ during the routine care period. The treatment effects during routine care were consistent with those observed within 12 months after PCI. At 15 months, NACE and MACCE did not differ in the 2 study groups, whereas the risk of major or clinically relevant nonmajor bleeding remained lower with abbreviated compared with standard APT. (Management of High Bleeding Risk Patients Post Bioresorbable Polymer Coated Stent Implantation With an Abbreviated Versus Prolonged DAPT Regimen [MASTER DAPT]; NCT03023020) [Display omitted] [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
38. Info DaFim ersten Jahrzehnt des einundzwanzigsten Jahrhunderts. Überlegungen zum Reformprozess der Fremdsprachenlehrendenausbildung
- Author
-
Feld-Knapp, Ilona
- Abstract
Der vorliegende Beitrag setzt sich zum Ziel, zum Ersten einen Überblick über diejenigen Themen der Hefte der Zeitschrift Informationen Deutsch als Fremdsprache(Info DaF) aus dem ersten Jahrzehnt des einundzwanzigsten Jahrhunderts zu geben, die für die Praxis und für die Forschung im DaF-Bereich als besonders relevant und interessant erachtet werden. Zweitens werden die Fremdsprachenlehrendenausbildung und ihre notwendige inhaltliche Neugestaltung als wichtige Schwerpunkte in den Beiträgen von Info DaFund in den Fachdiskussionen außerhalb von Info DaFin diesem Jahrzehnt ins Visier genommen.
- Published
- 2023
- Full Text
- View/download PDF
39. Kategorisierung von Earn-Out Vereinbarungen in rückwirkende und rückwirkungslose Kaufpreisbestandteile
- Author
-
Feld, Johannes
- Published
- 2023
- Full Text
- View/download PDF
40. Five Strategies Leaders in Academic Medicine Can Implement Now to Enhance Gender Equity.
- Author
-
Allan, Jessica M, Brooks, Amber K, Crusto, Cindy, Feld, Lauren D, Oxentenko, Amy S, Spector, Nancy D, Verduzco-Gutierrez, Monica, and Silver, Julie K
- Abstract
Abundant disparities for women in medicine contribute to many women physicians considering leaving medicine. There is a strong financial and ethical case for leaders in academic medicine to focus on strategies to improve retention. This article focuses on five immediate actions that leaders can take to enhance gender equity and improve career satisfaction for all members of the workplace. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
41. Primary headache in SLE –systematic review and meta-analysis.
- Author
-
Feld, Joy, Tayer-Shifman, Oshrat E., Su, Jiandong, Anderson, Melanie, and Touma, Zahi
- Abstract
To systematically review and synthesize literature on: 1) the overall prevalence of primary headaches and specifically migraines, in patients with lupus since previous systematic review published in 2004; 2) the risk factors associated with primary headaches in patients with lupus; 3) the association of primary headaches with structural brain changes; and 4) "lupus headaches". This review used (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) PRISMA guidelines and literature searches in four databases: Ovid-based Medline, Embase, PsycINFO, and Cochrane Database of Systematic Reviews from inception until 4/2022. Papers on primary headaches in patients with lupus were identified. Included studies were critically appraised and analyzed. Since a systematic review on this topic was published in 2004, only papers published in 2004 and later were included in this review. Statistical and publication bias was assessed using funnel plots. A total of 5096 references were identified, 189 were selected for detailed review and 11 papers were included in the final analysis. 1) The pooled prevalence of primary headaches in lupus was 26.8 % (95 %CI 25.1–28.6). The prevalence of primary headaches was similar between patients with lupus and healthy controls, odds ratio (OR) 2.14, 95 %CI 0.97–4.76, p value=0.06, however publication bias was significant according to the Egger test. Lupus patients seem to have a higher prevalence of primary headaches compared to patients with rheumatoid arthritis (RA) and primary Sjogren's syndrome (pSS), OR 2.5, 95 % CI 1.56–4, p < 0.0001. Regarding the prevalence of migraines specifically, no difference was found between patients with lupus compared to healthy controls and patients with RA or pSS. 2) Primary headaches seem to be associated with depression and impaired health related quality of life rather than lupus activity or damage. There is insufficient data to conclude whether specific lupus treatments affected primary headaches in lupus, however, one study did suggest hydroxychloroquine reduced the frequency of primary headaches. Raynaud phenomenon was associated with migraines. 3) One study which examined MRI scans of patients with lupus compared to healthy controls did suggest that larger gray matter volumes reduced the odds for headaches in general (OR 0.98, p = 0.048) and for migraines in particular (OR 0.95, p = 0.004), and larger white matter volumes increased the odds for migraine (OR 1.04, p = 0.007). However, these findings might reflect disease activity or damage, therefore further studies are required to clarify this issue. 4) The only study which specifically addressed the prevalence of "lupus headaches" is Hanly's study from 2013 of the SLICC cohort. In this large cohort, only 1.5 % of patients had "lupus headaches", as defined by SLE Disease Activity Index-2000 (SLEDAI-2 K). Therefore "Lupus headache" is a rare entity in SLE and should be suspected after excluding other possible explanations for headaches, especially when there is no known prior history of primary headaches. Patients with lupus seem to have a similar prevalence of primary headaches, and specifically migraines, compared to healthy controls. These primary headaches are associated with depression and Raynaud phenomenon and not with disease activity nor damage. Scarce data is published regarding structural changes associated with primary headaches. Currently is seems "lupus headaches" are a distinct rare manifestation of lupus and more data are needed. [Display omitted] [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
42. Association of Body Surface Area With Access to Deceased Donor Liver Transplant and Novel Allocation Policies
- Author
-
Kling, Catherine E., Biggins, Scott W., Bambha, Kiran M., Feld, Lauren D., Perkins, John H., Reyes, Jorge D., and Perkins, James D.
- Abstract
IMPORTANCE: Small waitlist candidates are significantly less likely than larger candidates to receive a liver transplant. OBJECTIVE: To investigate the magnitude of the size disparity and test potential policy solutions. DESIGN, SETTING, AND PARTICIPANTS: A decision analytical model was generated to match liver transplant donors to waitlist candidates based on predefined body surface area (BSA) ratio limits (donor BSA divided by recipient BSA). Participants included adult deceased liver transplant donors and waitlist candidates in the Organ Procurement and Transplantation Network database from June 18, 2013, to March 20, 2020. Data were analyzed from January 2021 to September 2021. EXPOSURES: Candidates were categorized into 6 groups according to BSA from smallest (group 1) to largest (group 6). Waitlist outcomes were examined. A match run was created for each donor under the current acuity circle liver allocation policy, and the proportion of candidates eligible for a liver based on BSA ratio was calculated. Novel allocation models were then tested. MAIN OUTCOMES AND MEASURES: Time on the waitlist, assigned Model for End-Stage Liver Disease (MELD) score, and proportion of patients undergoing a transplant were compared by BSA group. Modeling under the current allocation policies was used to determine baseline access to transplant by group. Simulation of novel allocation policies was performed to examine change in access. RESULTS: There were 41 341 donors (24 842 [60.1%] male and 16 499 [39.9%] female) and 84 201 waitlist candidates (53 724 [63.8%] male and 30 477 [36.2%] female) in the study. The median age of the donors was 42 years (IQR, 28-55) and waitlist candidates, 57 years (IQR, 50-63). Females were overrepresented in the 2 smallest BSA groups (7100 [84.0%] and 7922 [61.1%] in groups 1 and 2, respectively). For each increase in group number, waitlist time decreased (234 days [IQR, 48-700] for group 1 vs 179 days [IQR, 26-503] for group 6; P < .001) and the proportion of the group undergoing transplant likewise improved (3890 [46%] in group 1 vs 4932 [57%] in group 6; P < .001). The smallest 2 groups of candidates were disadvantaged under the current acuity circle allocation model, with 37% and 7.4% fewer livers allocated relative to their proportional representation on the waitlist. Allocation of the smallest 10% of donors (by BSA) to the smallest 15% of candidates overcame this disparity, as did performing split liver transplants. CONCLUSIONS AND RELEVANCE: In this study, liver waitlist candidates with the smallest BSAs had a disadvantage due to size. Prioritizing allocation of smaller liver donors to smaller candidates may help overcome this disparity.
- Published
- 2023
- Full Text
- View/download PDF
43. Pour une déontologie de l’arbitre
- Author
-
Feld, Guillaume
- Abstract
The remarkable development and success of (international) commercial arbitration over the past sixty years have been accompanied by a surge of players and by an alteration in arbitrators’ ethos, translating into misbehaviours and inefficiency which have caused ethical concerns to move to the forefront of doctrinal debates. Based on the minimalistic approach of legislators, professional institutions and arbitration centres have attempted to address some of the issues raised by commercial arbitration users. The ensuing normative inflation has added up to the confusion, rather than assuaging users’ legitimate expectations for probity, competency and efficiency that seem no longer to be arbitration’s trademark. Restoring confidence in a dispute settlement mechanism, theoretically most suited to the needs of economic actors, requires the voluntary adoption and implementation of a coherent deontological corpus, in the interest of users, arbitrators and commercial arbitration itself.
- Published
- 2023
44. A Machine Learning Approach for Predicting Real-time Risk of Intraoperative Hypotension in Traumatic Brain Injury
- Author
-
Feld, Shara I., Hippe, Daniel S., Miljacic, Ljubomir, Polissar, Nayak L., Newman, Shu-Fang, Nair, Bala G., and Vavilala, Monica S.
- Published
- 2023
- Full Text
- View/download PDF
45. FRONTIERS IN REGULATING BUILDING EMISSIONS: AN AGENDA FOR CITIES.
- Author
-
SPIEGEL-FELD, DANIELLE
- Abstract
Recent developments in Congress and the Supreme Court have highlighted the folly of relying solely on the federal government to contain global climate change. If the United States is to help rein in the climate crisis, state and local governments will need to accelerate their efforts to reduce greenhouse gas emissions. In many urban areas, where most Americans now live, the most important step that local governments can take to curtail these emissions is to reduce energy use in buildings. Recognizing this, a number of American cities have adopted building performance standards ("BPSs") in recent years, which limit the annual amount of energy a building can use or emissions it can release. With an eye toward encouraging the proliferation of BPSs, this Article surveys the key decisions that a city must make in designing a BPS and argues that future laws must do more to integrate resilience goals. As the climate crisis accelerates, local lawmakers must develop policies that simultaneously reduce emissions and protect their constituencies from the climate impacts that we can no longer fend off. [ABSTRACT FROM AUTHOR]
- Published
- 2022
46. Characterizing the cascade of care for hepatitis C virus infection among Status First Nations peoples in Ontario: a retrospective cohort study
- Author
-
Mendlowitz, Andrew B., Bremner, Karen E., Krahn, Murray, Walker, Jennifer D., Wong, William W.L., Sander, Beate, Jones, Lyndia, Isaranuwatchai, Wanrudee, and Feld, Jordan J.
- Abstract
Background:As First Nations Peoples are a priority focus of Canada’s commitment to eliminating hepatitis C virus (HCV) as a public health threat, understanding individuals’ progression from diagnosis to cure can guide prioritization of elimination efforts. We sought to characterize and identify gaps in the HCV care cascade for Status First Nations peoples in Ontario.Methods:In this retrospective cohort study, a partnership between the Ontario First Nations HIV/AIDS Education Circle and academic researchers, HCV testing records (1999–2018) for Status First Nations peoples in Ontario were linked to health administrative data. We defined the cascade of care as 6 stages, as follows: tested positive for HCV antibody, tested for HCV RNA, tested positive for HCV RNA, HCV genotyped, initiated treatment and achieved sustained viral response (SVR). We mapped the care cascade from 1999 to 2018, and estimated the number and proportion of people at each stage. We stratified analyses by sex, diagnosis date and location of residence. We used Cox regression to analyze the secondary outcomes, namely the associations between undergoing HCV RNA testing and initiating treatment, and demographic and clinical predictors.Results:By Dec. 31, 2018, 4962 people tested positive for HCV antibody. Of those testing positive, 4118 (83.0%) were tested for HCV RNA, with 2480 (60.2%) testing positive. Genotyping was completed in 2374 (95.7%) of those who tested positive for HCV RNA, with 1002 (42.2%) initiating treatment. Nearly 80% (n= 801, 79.9%) of treated people achieved SVR, with 34 (4.2%) experiencing reinfection or relapse. Undergoing testing for HCV RNA was more likely among people in older age categories (within 1 yr of antibody test; adjusted hazard ratio [HR] 1.30, 95% confidence interval [CI] 1.19–1.41, among people aged 41–60 yr; adjusted HR 1.47, 95% CI 1.18–1.81, among people aged > 60 yr), those living in rural areas (adjusted HR 1.20, 95% CI 1.10–1.30), those with an index date after Dec. 31, 2013 (era of treatment with direct-acting antiviral regimens) (adjusted HR 1.99, 95% CI 1.85–2.15) and those with a record of substance use or addictive disorders (> 1 yr after antibody test; adjusted HR 1.38, 95% CI 1.18–1.60). Treatment initiation was more likely among people in older age categories at index date (adjusted HR 1.32, 95% CI 1.15–1.50, among people aged 41–60 yr; adjusted HR 2.62, 95% CI 1.80–3.82, among people aged > 60 yr) and those with a later diagnosis year (adjusted HR 2.71, 95% CI 2.29–3.22).Interpretation:In comparison with HCV testing and diagnosis, a substantial gap in treatment initiation remains among Status First Nations populations in Ontario. Elimination efforts that prioritize linkage to care and integration with harm reduction and substance use services are needed to close gaps in HCV care among First Nations populations in Ontario.
- Published
- 2023
- Full Text
- View/download PDF
47. Association of age with 1-year outcome in patients with acute ischaemic stroke treated with thrombectomy: real-world analysis in 18 506 patients
- Author
-
Beuker, Carolin, Ko¨ppe, Jeanette, Feld, Jannik, Meyer, Christian Lennart, Dro¨ge, Patrik, Ruhnke, Thomas, Gu¨nster, Christian, Wiendl, Heinz, Reinecke, Holger, and Minnerup, Jens
- Abstract
BackgroundTo evaluate the association of age with long-term outcome after thrombectomy.MethodsIn a retrospective cohort study based on routine healthcare data from Germany between 2010 and 2018, we included 18 506 patients with acute ischaemic stroke treated with mechanical thrombectomy. Association between age and mortality, disability, and level of care at 1 year was assessed.ResultsThe median age was 76 years, 36.3% were aged ≥80 years and 55.8% were women. Patients aged ≥80 compared with those <80 years had a higher mortality (55.4% vs 28.5%; adjusted HR 1.13; 95% CI 1.05 to 1.31), more often had moderate/severe disability (35.5% vs 33.2%, adjusted HR 1.14; 95% CI 1.06 to 1.23) and less frequently had no/slight disability (17.4% vs 41.0%) at 1 year. Older age was associated with a higher likelihood of living in a nursing home (13.4% vs 9.2%, adjusted HR 1.09; 95% CI 0.97 to 1.22) and a lower likelihood of living at home (33.8% vs 62.8%) at 1 year. These associations were also robust when analysed in patients with no disability prior to stroke. Factors most strongly associated with worse 1-year outcomes in elderly patients were chronic limb-threatening ischaemia (67.9% vs 56.4%; HR 1.59, 95% CI 1.38 to 1.82), dementia at baseline (65.2% vs 47.3%; HR 1.29, 95% CI 1.17 to 1.44) and ventilation >48 hours (79.3% vs 52.2%; HR 2.91, 95% CI 2.66 to 3.18).ConclusionsIn this large ‘real-world’ cohort, outcomes after mechanical thrombectomy were strongly associated with age. Of patients aged ≥80 years more than half were dead and less than one-fifth were functionally independent at 1 year. Certain comorbidities and ventilation >48 hours were associated with even worse outcomes.
- Published
- 2023
- Full Text
- View/download PDF
48. Nováki Gyula (1926–2022)
- Author
-
Feld, István
- Published
- 2023
- Full Text
- View/download PDF
49. Patient and Clinician Satisfaction in Teledermatology: Key Factors for Successful Implementation
- Author
-
Li, Yiwen, Pulminskas, Anna, Collins, Olivia, de la Feld, Salma, and Yeung, Howa
- Abstract
Purpose of Review: Teledermatology has emerged as a promising solution for remote dermatologic care, especially during COVID-19 pandemic. It improves access to care through information and communication technologies. This paper explores patient and clinician satisfaction in teledermatology. Recent Findings: Patient satisfaction encompasses various aspects, including future willingness, the quality of care, technical quality, and access to care. Clinician satisfaction is influenced by quality of care, implementation, technical aspects, clinician-patient rapport, and financial considerations. It is important to evaluate patient and clinician satisfaction in different teledermatology models, including store-and-forward, live interactive, and hybrid interactive approaches. Summary: By evaluating satisfaction within different teledermatology models and addressing the factors that impact satisfaction, teledermatology can ensure high-quality care and promote positive outcomes. With proper implementation and ongoing evaluation, teledermatology has the potential to become a widely accepted and valuable component of dermatologic care, offering enhanced access to specialized services.
- Published
- 2023
- Full Text
- View/download PDF
50. DISPARITIES IN ENDOSCOPIC EVALUATION FOR BLEEDING PEPTIC ULCERS ACROSS RACIAL AND ETHNIC MINORITIES: A 16-YEAR NATIONAL COHORT ANALYSIS.
- Author
-
Akhras, Aya, Wahood, Waseem, Feld, Lauren, and Vinsard, Daniela Guerrero
- Published
- 2024
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.