14 results on '"Xinyu, Tang"'
Search Results
2. Health Conditions Among Special Operations Forces Versus Conventional Military Service Members: A VA TBI Model Systems Study
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Tamara McKenzie-Hartman, Tracy Kretzmer, Heather G. Belanger, Shannon R. Miles, Xinyu Tang, Bryan P. Merritt, Marc A. Silva, Amanda Garcia, Laura Bajor, Kristen Dams-O'Connor, and Blessen C. Eapen
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Adult ,Male ,Longitudinal study ,medicine.medical_specialty ,Active duty ,medicine.medical_treatment ,Population ,Physical Therapy, Sports Therapy and Rehabilitation ,Brain Injuries, Traumatic ,Humans ,Medicine ,Longitudinal Studies ,Prospective Studies ,Prospective cohort study ,education ,Veterans Affairs ,Retrospective Studies ,Veterans ,education.field_of_study ,Rehabilitation ,business.industry ,medicine.disease ,Polytrauma ,United States ,Military personnel ,Cross-Sectional Studies ,Military Personnel ,Physical therapy ,Female ,Neurology (clinical) ,business - Abstract
OBJECTIVE To examine traumatic brain injury (TBI) characteristics and comorbid medical profiles of Special Operations Forces (SOF) Active Duty Service Member/Veterans (ADSM/Vs) and contrast them with conventional military personnel. SETTING The 5 Veterans Affairs (VA) Polytrauma Rehabilitation Centers. PARTICIPANTS A subset of participants in the VA TBI Model Systems multicenter longitudinal study with known SOF status. These included 157 participants who identified as SOF personnel (average age = 41.8 years; 96% male, 81% active duty), and 365 who identified as Conventional Forces personnel (average age = 37.4 years; 92% male, 30% active duty). DESIGN Retrospective analysis of prospective cohort, cross-sectional. MAIN MEASURES The Health Comorbidities Interview. RESULTS SOF personnel were more likely to have deployed to a combat zone, had more years of active duty service, and were more likely active duty at time of TBI. SOF personnel were more likely to have had mild TBI (vs moderate/severe) and their TBI caused by violent mechanism. SOF personnel had a higher number of comorbidities, with more diagnoses of chronic pain, osteoarthritis, hyperlipidemia, hip fractures, and obstructive sleep apnea. CONCLUSION SOF personnel are at a higher risk for multimorbidity after TBI. Current rehabilitation practices should incorporate early screening and treatment of common conditions in this population, while future practices may benefit from a focus on prevention.
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- 2021
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3. Psychosocial and Functional Predictors of Depression and Anxiety Symptoms in Veterans and Service Members With TBI: A VA TBI Model Systems Study
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Angela M. Benavides, Racine M. Brown, Tessa Hart, Susan Ropacki, Jacob A. Finn, Shannon B. Juengst, Austin N. Smith, Amanda R. Rabinowitz, Xinyu Tang, Doug Johnson-Greene, and Lillian Flores Stevens
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Adult ,Male ,Longitudinal study ,medicine.medical_specialty ,Physical Therapy, Sports Therapy and Rehabilitation ,Anxiety ,Rating scale ,Brain Injuries, Traumatic ,Humans ,Medicine ,Longitudinal Studies ,Prospective Studies ,Psychiatry ,Veterans Affairs ,Depression (differential diagnoses) ,Veterans ,Depression ,business.industry ,Rehabilitation ,Disability Rating Scale ,Mental health ,United States ,Neurology (clinical) ,medicine.symptom ,business ,Psychosocial - Abstract
OBJECTIVE To identify psychosocial and functional predictors of self-reported depression and anxiety symptoms at year 2 following traumatic brain injury (TBI). SETTING Five Department of Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRCs) within the TBI Model Systems (TBIMS). PARTICIPANTS A total of 319 service members/veterans enrolled in VA TBIMS who were eligible for and completed both 1- and 2-year follow-up evaluations. DESIGN Secondary analysis from multicenter prospective longitudinal study. MAIN MEASURES Demographic, injury-related, military, mental health, and substance use variables. Questionnaires included the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Neurobehavioral Symptom Inventory. Rating scales included the Participation Assessment with Recombined Tools-Objective and Disability Rating Scale. RESULTS The final sample was largely male (96%) and predominantly White (65%), with a median age of 27 years. In unadjusted analyses, pre-TBI mental health treatment history and year 1 employment status, community activity, sleep difficulties, and self-reported depression and anxiety symptoms were associated with year 2 PHQ-9 scores; pre-TBI mental health treatment history and year 1 community activity, social contact, problematic substance use, sleep difficulties, and self-reported depression and anxiety symptoms were associated with year 2 GAD-7 scores. In multivariable analyses, only year 1 community activity and depression symptoms uniquely predicted year 2 PHQ-9 scores, and only year 1 employment status, community activity, problematic substance use, and anxiety symptoms uniquely predicted year 2 GAD-7 scores. CONCLUSION Anxiety and depression commonly occur after TBI and are important treatment targets. Some predictors (eg, participation and substance use) are modifiable and amenable to treatment as well. Early identification of anxiety and depression symptoms is key.
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- 2021
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4. Gastrostomy and Tracheostomy After Complete Repair of Tetralogy of Fallot in Children With 22q11.2 Deletion Syndrome
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Brian Reemtsen, Xinyu Tang, William B. Kyle, Beverly J. Spray, Danielle M Herington, Elijah H. Bolin, Parthak Prodhan, and Gresham T. Richter
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Gastrostomy ,medicine.medical_specialty ,business.industry ,Pediatric health ,medicine.medical_treatment ,Preoperative counseling ,Infant ,Retrospective cohort study ,Critical Care and Intensive Care Medicine ,medicine.disease ,Surgery ,Defect closure ,Tracheostomy ,Pediatrics, Perinatology and Child Health ,DiGeorge Syndrome ,Tetralogy of Fallot ,medicine ,Humans ,Deletion syndrome ,Child ,business ,Pulmonary atresia ,Retrospective Studies - Abstract
OBJECTIVES Caring for a child with gastrostomy and/or tracheostomy can cause measurable parental stress. It is generally known that children with 22q11.2 deletion syndrome are at greater risk of requiring gastrostomy or tracheostomy after heart surgery, although the magnitude of that risk after complete repair of tetralogy of Fallot has not been described. We sought to determine the degree to which 22q11.2 deletion is associated with postoperative gastrostomy and/or tracheostomy after repair of tetralogy of Fallot. DESIGN Retrospective cohort study. SETTING Pediatric Health Information System. PATIENTS Children undergoing complete repair of tetralogy of Fallot (ventricular septal defect closure and relief of right ventricular outflow tract obstruction) from 2003 to 2016. Patients were excluded if they had pulmonary atresia, other congenital heart defects, and/or genetic diagnoses other than 22q11.2 deletion. MEASUREMENTS AND MAIN RESULTS Two groups were formed on the basis of 22q11.2 deletion status. Outcomes were postoperative tracheostomy and postoperative gastrostomy. Bivariate analysis and Kaplan-Meier analysis at 150 days postoperatively were performed. There were 4,800 patients, of which 317 (7%) had a code for 22q11.2 deletion. There were no significant differences between groups for age at surgery or sex. Patients with 22q11.2 deletion had significantly higher rates of gastrostomy (18% vs 5%; p < 0.001) and higher rates of tracheostomy (7% vs 1%; p < 0.001); there was no difference for mortality. Kaplan-Meier analyses also showed higher rates of gastrostomy (p = 0.024) and tracheostomy (p = 0.037). CONCLUSIONS The present study establishes rates of postoperative gastrostomy and tracheostomy in children with 22q11.2 deletion after complete repair of tetralogy of Fallot. These data are useful to clinicians for providing families with preoperative counseling.
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- 2020
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5. Supervision Needs Following Veteran and Service Member Moderate to Severe Traumatic Brain Injury: A VA TBI Model Systems Study
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Risa Nakase-Richardson, Lillian Flores Stevens, Erin K. Bailey, Susan Ropacki, Xinyu Tang, Christina Dillahunt-Aspillaga, Nitin Patel, and Angelle M. Sander
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Adult ,Male ,030506 rehabilitation ,medicine.medical_specialty ,Traumatic brain injury ,medicine.medical_treatment ,Population ,Datasets as Topic ,Physical Therapy, Sports Therapy and Rehabilitation ,Rehabilitation Centers ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Residence Characteristics ,Rating scale ,Brain Injuries, Traumatic ,medicine ,Humans ,Longitudinal Studies ,Prospective Studies ,Young adult ,Prospective cohort study ,education ,Psychiatry ,Veterans ,Health Services Needs and Demand ,education.field_of_study ,Rehabilitation ,business.industry ,Middle Aged ,medicine.disease ,Home Care Services ,Polytrauma ,United States ,Military personnel ,Military Personnel ,Physical therapy ,Female ,Neurology (clinical) ,0305 other medical science ,business ,030217 neurology & neurosurgery - Abstract
Objective To characterize supervision levels across residential settings at 1 year post-TBI and explore predictors of supervision in a Veteran and Service-member population. Setting Five VA Polytrauma Rehabilitation Centers. Participants A total of 302 individuals enrolled in the VA TBI Model Systems (TBIMS) research program. Design Prospective, longitudinal, multisite. Main measures Primary residence and supervision levels measured via scores on the Supervision Rating Scale. For predictive modeling, scores were dichotomized into 2 groups: those that were fully independent/living alone or required only some supervision during the day (independent group, n = 195) and those that required overnight supervision, full-time indirect supervision, and full-time direct supervision (dependent group, n = 107). Results Thirty-five percent were receiving supervision at 1 year post-TBI across residential settings and 28% were living in alternative settings. Multivariate modeling indicated that older age and longer posttraumatic amnesia (PTA) were predictive of having a need for supervision at 1 year postinjury. Conclusions Supervision needs are long-term features of moderate and severe TBI. Results of this study lend support to the shift toward conceptualizing TBI as a chronic disease.
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- 2017
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6. Relationship Stability After Traumatic Brain Injury Among Veterans and Service Members: A VA TBI Model Systems Study
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Therese M. OʼNeil-Pirozzi, Jeffrey S. Kreutzer, Yanna Lapis, Flora M. Hammond, Lillian Flores Stevens, Laura E. Dreer, Xinyu Tang, Angelle M. Sander, and Risa Nakase-Richardson
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Adult ,Male ,030506 rehabilitation ,medicine.medical_specialty ,Active duty ,Traumatic brain injury ,medicine.medical_treatment ,Datasets as Topic ,Physical Therapy, Sports Therapy and Rehabilitation ,Rehabilitation Centers ,Article ,03 medical and health sciences ,0302 clinical medicine ,Brain Injuries, Traumatic ,medicine ,Humans ,Longitudinal Studies ,Prospective Studies ,Social Behavior ,Prospective cohort study ,Veterans Affairs ,Veterans ,Rehabilitation ,Marital Status ,Multiple Trauma ,Middle Aged ,medicine.disease ,Mental health ,Polytrauma ,United States ,Military Personnel ,Physical therapy ,Marital status ,Female ,sense organs ,Neurology (clinical) ,0305 other medical science ,Psychology ,030217 neurology & neurosurgery ,Demography - Abstract
OBJECTIVE To explore stability of relationships and predictors of change in relationship status 2 years following TBI/polytrauma. SETTING Five Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs). PARTICIPANTS A total of 357 active duty service members and Veterans enrolled in the Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems database with complete marital status information at 2 years postinjury. DESIGN Prospective, longitudinal, multisite. MAIN MEASURES Relationship status change was defined as change in marital status (single/never married; married; divorced/separated) at 2-year follow-up, compared with status at enrollment. RESULTS At the time of enrollment, 134 participants (38%) were single/never married; 151 (42%) were married, and 72 (20%) were divorced/separated. Of those married at enrollment, 78% remained married at year 2 while 22% underwent negative change. Multivariable analyses revealed that age and education at the time of injury and mental health utilization prior to injury were significant predictors of relationship change. Among those who were single/divorced/separated at the time of enrollment, 87% remained so at year 2 while 13% underwent positive change. Injury during deployment significantly predicted positive relationship change. CONCLUSIONS The unmalleable, preinjury characteristics identified may be used as potential triggers for education, prevention, surveillance, and couples therapy, if needed.
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- 2017
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7. RBC Transfusion in Pediatric Patients Supported With Extracorporeal Membrane Oxygenation
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Rebekah M. Ward, Richard T. Fiser, Wes McKamie, Katherine Irby, Parthak Prodhan, Xinyu Tang, and Howard L. Corwin
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Rbc transfusion ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,hemic and immune systems ,Hematocrit ,Critical Care and Intensive Care Medicine ,Cerebrovascular Circulation ,Tissue oxygenation ,Anesthesia ,Pediatrics, Perinatology and Child Health ,medicine ,Extracorporeal membrane oxygenation ,business - Abstract
Objective:To examine first the RBC transfusion practice in pediatric patients supported with extracorporeal membrane oxygenation and second the relationship between transfusion of RBCs and changes in mixed venous saturation (SvO2) and cerebral regional tissue oxygenation, as measured by near-infrare
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- 2014
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8. Extracorporeal Membrane Oxygenation for Respiratory Failure in the Elderly
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Parthak Prodhan, Xinyu Tang, Peter Rycus, Thomas V. Brogan, Ronnie T. Collins, and Priya Mendiratta
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Biomedical Engineering ,Biophysics ,Bioengineering ,Kaplan-Meier Estimate ,Extracorporeal ,Discharge rate ,Biomaterials ,Extracorporeal Membrane Oxygenation ,Older patients ,medicine ,Hospital discharge ,Extracorporeal membrane oxygenation ,Humans ,Registries ,Intensive care medicine ,Contraindication ,Aged ,Aged, 80 and over ,business.industry ,General Medicine ,surgical procedures, operative ,Respiratory failure ,Life support ,Emergency medicine ,Female ,Respiratory Insufficiency ,business - Abstract
Extracorporeal membrane oxygenation (ECMO) support among adults is increasing; however, the role in respiratory failure in the elderly is not clearly defined. The aim of the current study is to investigate survival to hospital discharge among the elderly supported on ECMO. The Extracorporeal Life Support Organization registry database was queried, identifying all elderly patients (≥65 years of age) supported on ECMO for respiratory failure from 1990 to May 2013. The primary outcome was survival to hospital discharge. Clinical characteristics between survivors and nonsurvivors were compared. A total of 368 elderly patients treated with ECMO support for respiratory failure were identified. The median admit-to-initiation-of-ECMO time was 24.5 hours, and median duration of ECMO was 140 hours. Survival at hospital discharge was 41%. Approximately 69% of the overall ECMO usages occurred from 2010 to 2013. Nonsurvivors had significantly higher pre-ECMO peak inspiratory pressures, lower SaO2/FiO2 ratio, and higher rate of diverse complications. Among pre-ECMO therapies, vasodilators, steroids, and inhaled nitric oxide were more frequently used in survivors. Survival-to-hospital discharge rate is lower (41%) in elderly patients treated with ECMO compared with that in all adults (55%). However, given the noted survival, age should not be a firm contraindication for the use of ECMO in older patients but should be considered on a case-by-case basis.
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- 2014
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9. Prolonged Extracorporeal Membrane Oxygenator Support Among Neonates with Acute Respiratory Failure
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Michael H. Stroud, Parthak Prodhan, Xinyu Tang, Thomas V. Brogan, Peter T. Rycus, Nahed O. ElHassan, and Sarah Peeples
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Biomedical Engineering ,Biophysics ,Bioengineering ,Extracorporeal ,Biomaterials ,Extracorporeal Membrane Oxygenation ,Meconium aspiration syndrome ,medicine ,Extracorporeal membrane oxygenation ,Humans ,Registries ,Survival rate ,Retrospective Studies ,Respiratory Distress Syndrome, Newborn ,business.industry ,Infant, Newborn ,Congenital diaphragmatic hernia ,Retrospective cohort study ,General Medicine ,medicine.disease ,Surgery ,surgical procedures, operative ,Respiratory failure ,Life support ,Emergency medicine ,Female ,business - Abstract
The objective of this study was to identify types of neonatal diseases associated with prolonged (≥21 days) extracorporeal membrane oxygenation (ECMO), characteristics of survivors and nonsurvivors among those requiring prolonged ECMO, and factors associated with mortality. Data were obtained from the Extracorporeal Life Support Organization registry over the period from January 1, 1998, through December 31, 2011, for all neonates (age
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- 2014
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10. Abstract 19638: Short-Axis Echocardiographic Imaging of the Ascending Aorta is More Accurate than Long-Axis Imaging when Compared to Cardiac Magnetic Resonance Imaging and Computed Tomography
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Tina W Kwan, Renee A Bornemeier, Thomas H Best, Xinyu Tang, Jeffrey Gossett, and Ronnie T Collins
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Physiology (medical) ,Cardiology and Cardiovascular Medicine - Abstract
Introduction: Parasternal long-axis echo imaging often underestimates aortic dimensions when compared to CT or MRI. More accurate and reproducible echo methods for determining aortic size would benefit care and reduce cost. We compared novel short-axis aortic echo images to standard long-axis and CT or MRI measurements. Methods: We retrospectively reviewed all cardiac CT/MRI performed in the setting of aortic dilation at Arkansas Children’s Hospital from September 2002 to September 2013. All CT/MRI exams with echocardiograms performed within 3 months were included. One blinded observer reviewed all CT/MRI studies, and measured lateral and anteroposterior dimensions of the aortic sinus (AoS), sinotubular junction (STJ), and ascending aorta (AsAo). Echo measurements were made by 3 independent, blinded observers, and included AoS, STJ, and AsAo in standard long-axis views, as well as novel short-axis measurements: anteroposterior sinus length; maximal left to non-coronary sinus length; and lengths from center right to left coronary sinus or non-coronary sinus. Short-axis anteroposterior and lateral measurements were made of the AsAo at the level of the right pulmonary artery from a high left-parasternal view. All echo measurements were compared to CT/MRI. Pearson product-moment correlation based on Fisher’s transformation was determined for each measure compared to CT/MRI. Results: Fifty MRIs, 17 CTs, and 62 echocardiograms were identified and reviewed. Adequate imaging for long-axis aortic assessment was present in 48/62 (77%) echocardiograms, and 42/62 (68%) had adequate short-axis images. Fifty-three subjects median age 34.7 years met inclusion criteria. Long-axis measurements correlated well with CT/MRI for AoS (r=0.811), but poorly for AsAo (r=0.094). Short-axis measurements correlated equally well with CT/MRI for AoS (r=0.832), and AsAo (r=0.790). Conclusions: Parasternal short-axis echo measurements of the aorta are more accurate than conventional parasternal long-axis measurements when compared to CT/MRI. This simple and reproducible technique should be used routinely for echocardiographic evaluation of the aorta.
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- 2014
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11. 189: INFANTS NEEDING SUPERIOR CAVOPULMONARY ANASTOMOSIS DURING SAME HOSPITALIZATION AS STAGE I PALLIATION
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Xinyu Tang, Brandon Beam, Parthak Prodhan, Nahed O. ElHassan, and Sachin D Tadphale
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medicine.medical_specialty ,business.industry ,medicine ,Cavopulmonary Anastomosis ,Critical Care and Intensive Care Medicine ,business ,Surgery - Published
- 2016
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12. 214: LIVER DYSFUNCTION AMONG CHILDREN ON VENTRICULAR ASSIST DEVICE SUPPORT
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Parthak Prodhan, Xinyu Tang, Brian K. Eble, and Candice Burns
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medicine.medical_specialty ,business.industry ,Ventricular assist device ,medicine.medical_treatment ,Internal medicine ,medicine ,Cardiology ,Liver dysfunction ,Critical Care and Intensive Care Medicine ,business - Published
- 2016
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13. [Untitled]
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Jeffrey G. Gossett, Xinyu Tang, Christine M. Gall, Punkaj Gupta, Tom B. Rice, and Casey Lauer
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medicine.medical_specialty ,Variation (linguistics) ,business.industry ,law ,Ventilation (architecture) ,Medicine ,Critical Care and Intensive Care Medicine ,business ,Intensive care medicine ,Center volume ,law.invention - Published
- 2014
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14. [Untitled]
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Adnan T. Bhutta, Parthak Prodhan, Kassandra Thomas, Jonathan W. Byrnes, Michiaki Imamura, Xinyu Tang, Umesh Dyamenahalli, and Girdhar Venkata
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Mechanical ventilation ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Emergency medicine ,Medicine ,Critical Care and Intensive Care Medicine ,business - Published
- 2013
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