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2 results on '"M. McIntyre"'

1. Investment strategy for California Water.

Author

M. McIntyre

Subjects
WATER supply, WATER quality management, CLIMATE change
Abstract

For 150 years California met water needs primarily through expensive surface water reservoirs and increased groundwater pumping. This approach to water management was emulated around the world. Today, however, budget deficits, climate change and competing interest all strain California's ability to meet new needs for a growing population, the economy and the environment. Water for California and the Planning & Conservation League led an effort to assess viable options for California under these new realities. The resulting Investment Strategy for California Water identifies cost-effective, environmentally beneficial and socially acceptable water management strategies for meeting these needs. The Strategy demonstrates how California can more than meet water supply needs with locally planned and implemented programs such as water conservation, recycling and groundwater treatment. As with past California approaches to water management, this Strategy can be useful to other regions facing similar challenges. Keywords California; cost-effective; efficiency; investment [ABSTRACT FROM AUTHOR]

Published
2005
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2. Cyberknife radiosurgery for trigeminal neuralgia treatment: a preliminary multicenter experience.

Author

Villavicencio AT, Lim M, Burneikiene S, Romanelli P, Adler JR, McNeely L, Chang SD, Fariselli L, McIntyre M, Bower R, Broggi G, and Thramann JJ

Subjects
Adult, Aged, Aged, 80 and over, California, Female, Humans, Male, Middle Aged, Pain diagnosis, Pain etiology, Pain Measurement, Pilot Projects, Treatment Outcome, Trigeminal Neuralgia complications, Pain prevention & control, Radiosurgery methods, Trigeminal Neuralgia surgery
Abstract

Objective: Radiosurgery has gained acceptance as a treatment option for trigeminal neuralgia. We report our preliminary multicenter experience treating trigeminal neuralgia with the CyberKnife (Accuray, Inc., Sunnyvale, CA)., Methods: A total of 95 patients were treated for idiopathic trigeminal neuralgia between May 2002 and October 2005. Radiosurgical dose and volume parameters were retrospectively analyzed in relation to pain response, complications, and recurrence of symptoms. Optimal treatment parameters were identified for patients who had excellent and sustained pain relief with no complications, including severe or moderate hypesthesia., Results: Excellent pain relief was initially experienced by 64 out of 95 patients (67%). The median time to pain relief was 14 days (range, 0.3-180 d). Posttreatment numbness occurred in 45 (47%) of the patients treated. Using higher radiation doses and treating longer segments of the nerve led to both better pain relief and a higher incidence of hypesthesia. The presence of posttreatment numbness was predictive of better pain relief. The overall rate of complications was 18%. At the mean follow-up time of 2 years, 47 of the 95 patients (50%) had sustained pain relief, all of whom were completely off pain medications., Conclusion: The results of this study suggest the following optimal radiosurgical treatment parameters for treatment of idiopathic trigeminal neuralgia: a median maximal dose of 78 Gy (range, 70-85.4 Gy) and a median length of the nerve treated of 6 mm (range, 5-12 mm).

Published
2008
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