539 results on '"Winston B"'
Search Results
102. Vedolizumab as induction and maintenance therapy for ulcerative colitis
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Feagan, Bg, Rutgeerts, P, Sands, Be, Hanauer, S, Colombel, Jf, Sandborn, Wj, Van Assche, G, Axler, J, Kim, Hj, Danese, S, Fox, I, Milch, C, Sankoh, S, Wyant, T, Xu, J, Parikh, A, Bampton P, GEMINI 1 Study G. r. o. u. p., Chung, A, Debinski, H, Florin, T, Hetzel, D, Kronborg, I, Lawrance, I, Leong, R, Macrae, F, Moore, G, Pavli, P, Radford Smith, G, Weltman, M, Haas, T, Reinisch, W, Stockenhuber, F, Vogel, W, De Maeyer, M, De Vos, M, D'Haens, G, Louis, E, Muls, V, Petrov, P, Aumais, G, Bitton, A, Bourdages, R, Bressler, B, Cohen, A, Fedorak, R, Greenberg, G, Jones, J, Kutcher, W, Macintosh, D, Ponich, T, Singh, R, Steinhart, H, Sy, R, Douda, L, Lukas, M, Samek, M, Vyhnalek, P, Woznica, V, Zadorova, Z, Andersen, V, Rannem, T, Staun, M, Maelt, A, Margus, B, Bonaz, B, Coffin, B, Desreumaux, P, Laharie, D, Reimund, Jm, Karaus, M, Pace, A, Ross, M, Schmidt, W, Witthoeft, T, Zeitz, M, Karamanolis, D, Mantzaris, G, Maris, T, Ng, C, Gall, J, Hunyady, B, Szepes, A, Toth, T, Vincze, A, Oddsson, E, Jósefsspktali, Kö, Ahuja, V, Amarapurkar, D, Goenka, M, Habeeb, Ma, Jalihal, U, Kalambe, B, Koshy, A, Kumar, R, Prasad, V, Reddy, N, Sekar, T, Shankar, R, Tantry, V, Ryan, B, Avni, Y, Ben Horin, S, Ardizzone, S, Armuzzi, A, Corazziari, E, Fries, Walter, Kohn, A, Lisova, D, George, Am, Hilmi, In, Bhaskaran, Sk, Soon, Sy, Engels, L, Ponsioen, C, Wallace, I, Wyeth, J, Florholmen, J, Jahnsen, J, Lygren, I, Röseth, A, Ciecko Michalska, I, Gonciarz, M, Huk, J, Jamrozik Kruk, Z, Kondusz Szklarz, M, Paradowski, L, Wiechowska Kozlowska, A, Han, Ds, Hong, Sp, Kim, Js, Kim, Ko, Kim, Yh, Yang, Sk, Alexeeva, O, Bunkova, E, Burnevich, E, Dolgikh, O, Kasherininova, I, Khovaeva, Y, Lakhin, A, Ling, Kl, Bester, F, Coetzer, T, Grundling Hde, K, Jackson, Ld, Spies, P, Wright, Jp, Ziady, C, Garcia Planella, E, Perez Gisbert, J, Rogler, G, Seibold, F, Kao, Aw, Wu, Dc, Atug, O, Kurdas, Oo, Hawthorne, Ab, Lindsay, J, Abreu, M, Aggarwal, A, Bala, N, Becker, S, Behm, B, Braun, R, Cohn, W, Cross, R, Dar, S, Dassopoulos, T, De Villiers, W, Desta, T, Dryden, G, Duvall, A, Farraye, F, Fein, S, Liu, Bf, Gatof, D, Geenen, D, Ginsburg, P, Glover, S, Gopal, V, Hanson, J, Hardi, R, Isaacs, K, Jain, R, Karyotakis, N, Korzenik, J, Koshy, G, Koval, G, Lawitz, E, Lee, S, Loftus, E, Luther, R, Mahadevan, U, Mannon, P, Matsuyama, R, Mcintosh, A, Melmed, G, Mirkin, K, Nichols, M, Oubre, B, Pandak, W, Quadri, A, Quallich, L, Randall, C, Rausher, D, Regueiro, M, Safdi, A, Sands, B, Scherl, E, Schneier, J, Schwartz, D, Sedghi, S, Shafran, I, Siegel, C, Stein, L, Tatum, H, Weinberg, D, Winston, B, Wolf, D, Younes, Z, Jewell, D, Mahon, J, Rothstein, R, Snydman, D, Massaro, J, Clifford, D, Berger, J, Major, E, Provenzale, J, Abstract, Lev M., Feagan, Bg, Rutgeerts, P, Sands, Be, Hanauer, S, Colombel, Jf, Sandborn, Wj, Van Assche, G, Axler, J, Kim, Hj, Danese, S, Fox, I, Milch, C, Sankoh, S, Wyant, T, Xu, J, and Parikh, A
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Adult ,Male ,medicine.medical_specialty ,Integrins ,Placebo ,Antibodies, Monoclonal, Humanized ,Drug Administration Schedule ,law.invention ,Vedolizumab ,Maintenance Chemotherapy ,Maintenance therapy ,Randomized controlled trial ,Double-Blind Method ,law ,Internal medicine ,medicine ,Humans ,Glucocorticoids ,Aged ,business.industry ,General Medicine ,Induction Chemotherapy ,Middle Aged ,medicine.disease ,Ulcerative colitis ,Infliximab ,Surgery ,Clinical trial ,Cohort ,Colitis, Ulcerative ,Drug Therapy, Combination ,Female ,business ,Immunosuppressive Agents ,medicine.drug - Abstract
Gut-selective blockade of lymphocyte trafficking by vedolizumab may constitute effective treatment for ulcerative colitis.We conducted two integrated randomized, double-blind, placebo-controlled trials of vedolizumab in patients with active disease. In the trial of induction therapy, 374 patients (cohort 1) received vedolizumab (at a dose of 300 mg) or placebo intravenously at weeks 0 and 2, and 521 patients (cohort 2) received open-label vedolizumab at weeks 0 and 2, with disease evaluation at week 6. In the trial of maintenance therapy, patients in either cohort who had a response to vedolizumab at week 6 were randomly assigned to continue receiving vedolizumab every 8 or 4 weeks or to switch to placebo for up to 52 weeks. A response was defined as a reduction in the Mayo Clinic score (range, 0 to 12, with higher scores indicating more active disease) of at least 3 points and a decrease of at least 30% from baseline, with an accompanying decrease in the rectal bleeding subscore of at least 1 point or an absolute rectal bleeding subscore of 0 or 1.Response rates at week 6 were 47.1% and 25.5% among patients in the vedolizumab group and placebo group, respectively (difference with adjustment for stratification factors, 21.7 percentage points; 95% confidence interval [CI], 11.6 to 31.7; P0.001). At week 52, 41.8% of patients who continued to receive vedolizumab every 8 weeks and 44.8% of patients who continued to receive vedolizumab every 4 weeks were in clinical remission (Mayo Clinic score ≤2 and no subscore1), as compared with 15.9% of patients who switched to placebo (adjusted difference, 26.1 percentage points for vedolizumab every 8 weeks vs. placebo [95% CI, 14.9 to 37.2; P0.001] and 29.1 percentage points for vedolizumab every 4 weeks vs. placebo [95% CI, 17.9 to 40.4; P0.001]). The frequency of adverse events was similar in the vedolizumab and placebo groups.Vedolizumab was more effective than placebo as induction and maintenance therapy for ulcerative colitis. (Funded by Millennium Pharmaceuticals; GEMINI 1 ClinicalTrials.gov number, NCT00783718.).
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- 2013
103. Notes on the study of change in the Black Community
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Cox, Winston B.
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- 1976
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104. The Radical Tradition in Documentary Film-making, 1920s-50s
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Hogenkamp, A.P., Winston, B., Art and Culture, and Art and Culture, History, Antiquity
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- 2013
105. Being green: Patterns of participation in the environmental movement.
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Tripp, Winston B.
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ENVIRONMENTALISM , *SOCIAL movements , *POLITICAL participation , *SOCIAL surveys , *LATENT class analysis (Statistics) - Abstract
This research extends existing scholarship on the environmental movement by examining different groups of participants, building on the distinctions between public and private modes of engagement. The article uses data from the 2010 United States General Social Survey and the International Social Survey Programme to first conduct a latent class analysis to explore the existence of different classes of participants, and then presents a multinomial logit model to examine factors that affect class membership. The study finds there are four classes in the analysis of the environmental movement: a group of non-participators, a group that engages primarily in more organizationally-based environmental movement activities, a group that engages in green lifestyle activities, and a group that engages in both types of activities, but only at a high-intensity level. The study also finds that there are distinct differences in the composition of each group. [ABSTRACT FROM AUTHOR]
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- 2018
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106. Comparison of Lymphocyte–CRP Ratio to Conventional Inflammatory Markers for Predicting Clinical Outcomes in COVID-19
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Alexander Liu, Robert Hammond, Kenneth Chan, Chukwugozie Chukwuenweniwe, Rebecca Johnson, Duaa Khair, Eleanor Duck, Oluwaseun Olubodun, Kristian Barwick, Winston Banya, James Stirrup, Peter D. Donnelly, Juan Carlos Kaski, and Anthony R. M. Coates
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lymphocyte–CRP ratio ,coronavirus disease 19 ,C-reactive protein ,risk stratification ,prognostic risk ,Medicine - Abstract
Background: In COVID-19 patients, lymphocyte–CRP ratio (LCR) is a promising biomarker for predicting adverse clinical outcomes. How well LCR performs compared to conventional inflammatory markers for prognosticating COVID-19 patients remains unclear, which hinders the clinical translation of this novel biomarker. Methods: In a cohort of COVID-19 inpatients, we characterised the clinical applicability of LCR by comparing its prognostic value against conventional inflammatory markers for predicting inpatient mortality and a composite of mortality, invasive/non-invasive ventilation and intensive care unit admissions. Results: Of the 413 COVID-19 patients, 100 (24%) patients suffered inpatient mortality. On Receiver Operating Characteristics analysis, LCR performed similarly to CRP for predicting mortality (AUC 0.74 vs. 0.71, p = 0.049) and the composite endpoint (AUC 0.76 vs. 0.76, p = 0.812). LCR outperformed lymphocyte counts (AUC 0.74 vs. 0.66, p = 0.002), platelet counts (AUC 0.74 vs. 0.61, p = 0.003) and white cell counts (AUC 0.74 vs. 0.54, p < 0.001) for predicting mortality. On Kaplan–Meier analysis, patients with a low LCR (below a 58 cut-off) had worse inpatient survival than patients with other LCR values (p < 0.001). Conclusion: LCR appears comparable to CRP, but outperformed other inflammatory markers, for prognosticating COVID-19 patients. Further studies are required to improve the diagnostic value of LCR to facilitate clinical translation.
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- 2023
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107. Meanwhile, in the West
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Donald C. Irwin, James R. Allison, Jonathan D. Till, and Winston B. Hurst
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Geography - Published
- 2012
108. Advantages of Bladder Surge Tanks in Pipelines
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Winston B. Young
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Pipeline transport ,Engineering ,Reliability (semiconductor) ,Piping ,business.industry ,Transient (oscillation) ,Structural engineering ,Operating life ,Surge ,business ,Surge tank ,Surge control ,Marine engineering - Abstract
The paper advocates the use of bladder surge tanks to control pressure surges in pipelines created by transient operations. Transient pressures are created as a result of pumps starting and stopping as well as the opening and closing of valves. This paper describes why the utilization of bladder surge tanks is the best solution to transient operations. A bladder surge tank allows piping systems to meet pressure piping codes such as ASME B31.3 and B31.4. Controlling pressure transients reduces pressure stresses, thereby extending the pipeline’s operating life. This paper compares the use of a bladder surge tank to other methods to attenuate pressure transient in pipelines. Generally, water and hydrocarbon pipelines operate safely throughout the world, but failure can occur as a result of pressure transients created by certain operating conditions. In addition, pipe materials are weakened as a result of years of operation and exposure to corrosion, pressure cycling fatigue and over-pressurization. The usable life of piping materials can be significantly reduced by cyclic loading and surge pressure overstressing the material. Therefore, controlling pressure surges will increase pipeline life and reliability. This can be achieved by installing surge control equipment at the location of the transient event.
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- 2012
109. Telangiectasia Macularis Eruptiva Perstans: more than skin deep
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George A. Youngberg, Winston B. Bokor, Casey E Watkins, Stuart S. Leicht, and Guha Krishnaswamy
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Pathology ,medicine.medical_specialty ,serum tryptase ,Tryptase ,Case Report ,Dermatology ,telangiectasia macularis eruptiva perstans ,Biopsy ,medicine ,lcsh:Dermatology ,Systemic mastocytosis ,Telangiectasia ,D816V mutation ,mastocytosis ,medicine.diagnostic_test ,biology ,business.industry ,lcsh:RL1-803 ,medicine.disease ,Telangiectasia macularis eruptiva perstans ,Skin biopsy ,biology.protein ,Urticaria pigmentosa ,medicine.symptom ,business ,SCORMA Index ,Rare disease - Abstract
Systemic mastocytosis is a rare disease involving the infiltration and accumulation of active mast cells within any organ system. By far, the most common organ affected is the skin. Cutaneous manifestations of mastocytosis, including Urticaria Pigmentosa (UP), cutaneous mastocytoma or telangiectasia macularis eruptive perstans (TMEP), may indicate a more serious and potentially life-threatening underlying disease. The presence of either UP or TMEP in a patient with anaphylactic symptoms should suggest the likelihood of systemic mastocytosis, with the caveat that systemic complications are more likely to occur in patients with UP. TMEP can usually be identified by the typical morphology, but a skin biopsy is confirmative. In patients with elevated tryptase levels or those with frequent systemic manifestations, a bone marrow biopsy is essential in order to demonstrate mast cell infiltration. Further genetic testing for mutations of c-kit gene or the FIP1L1 gene may help with disease classification and/or therapeutic approaches. Rarely, TMEP has been described with malignancy, radiation therapy, and myeloproliferative disorders. A few familial cases have also been described. In this review, we discuss the clinical features, diagnosis and management of patients with TMEP. We also discuss the possible molecular pathogenesis and the role of genetics in disease classification and treatment.
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- 2011
110. Synthesis, Characterization and Application of Cobalt Incorporated Mesoporous KIT-6 for the Visible Light Assisted Degradation of Methylene Blue
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Sanjini, N. S., primary, Winston, B., additional, and Velmathi, S., additional
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- 2015
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111. Teammates Instead of Tools: The Impacts of Level of Autonomy on Mission Performance and Human–Agent Teaming Dynamics in Multi-Agent Distributed Teams
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Summer Rebensky, Kendall Carmody, Cherrise Ficke, Meredith Carroll, and Winston Bennett
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human agent teaming ,level of autonomy ,multi-agent teaming ,distributed teams ,autonomous decision making ,Mechanical engineering and machinery ,TJ1-1570 ,Electronic computers. Computer science ,QA75.5-76.95 - Abstract
Human–agent teaming (HAT) is becoming more commonplace across industry, military, and consumer settings. Agents are becoming more advanced, more integrated, and more responsible for tasks previously assigned to humans. In addition, the dyadic human–agent teaming nature is evolving from a one–one pair to one–many, in which the human is working with numerous agents to accomplish a task. As capabilities become more advanced and humanlike, the best method for humans and agents to effectively coordinate is still unknown. Therefore, current research must start diverting focus from how many agents can a human manage to how can agents and humans work together effectively. Levels of autonomy (LOAs), or varying levels of responsibility given to the agents, implemented specifically in the decision-making process could potentially address some of the issues related to workload, stress, performance, and trust. This study sought to explore the effects of different LOAs on human–machine team coordination, performance, trust, and decision making in hand with assessments of operator workload and stress in a simulated multi-unmanned aircraft vehicle (UAV) intelligence surveillance and reconnaissance (ISR) task. The results of the study can be used to identify human factor roadblocks to effective HAT and provide guidance for future designs of HAT. Additionally, the unique impacts of LOA and autonomous decision making by agents on trust are explored.
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- 2022
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112. Band Gap Tuning of h-MoO3 Nanocrystals for Efficient Visible Light Photocatalytic Activity Against Methylene Blue Dye
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Chithambararaj, A., primary, Winston, B., additional, Sanjini, N. S., additional, Velmathi, S., additional, and Bose, A. Chandra, additional
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- 2015
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113. Predicting alcohol consumption during the month before and after beginning college
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Joy E LaGrutta, Robert L. Stout, William H. Zywiak, Frances C Cohen, Winston B. Trefry, Daniel D Graney, and Heather R Johnson
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Adult ,Male ,medicine.medical_specialty ,Multivariate analysis ,Time Factors ,lcsh:Social pathology. Social and public welfare. Criminology ,Adolescent ,Alcohol Drinking ,Universities ,Psychological intervention ,030508 substance abuse ,Poison control ,Drinking Behavior ,Suicide prevention ,Occupational safety and health ,lcsh:HV1-9960 ,03 medical and health sciences ,0302 clinical medicine ,Sex Factors ,Risk Factors ,Injury prevention ,Medicine ,Humans ,030212 general & internal medicine ,Students ,business.industry ,4. Education ,Public health ,Health Policy ,Research ,lcsh:Public aspects of medicine ,Age Factors ,lcsh:RA1-1270 ,Criminals ,United States ,Psychiatry and Mental health ,Standard drink ,Female ,0305 other medical science ,business ,Alcoholic Intoxication ,Demography - Abstract
Background We sought to determine predictors of drinking the month before and after beginning college, as well as changes in drinking between these two periods among adjudicated students. We conducted these analyses to inform individual and university-wide approaches to addressing underage drinking, particularly among the heaviest drinkers. Methods The sample consisted of 143 students entering college, adjudicated during their first semester, and interviewed during the same semester. The sample consisted of 43% women. Drinking data were collected through the Time-Line Follow-Back interview. Results The average number of drinking days (DD) during the first month of college was 7.0 (SD = 4.7), the average number of drinks per drinking day (DDD) was 7.4 (SD = 3.4), and the average volume of standard drink units consumed during this month was 56.3 (SD = 51.2). Students had volunteered for a two-year college facilitation study, and had been invited to participate after receiving a citation for violating university alcohol policies. Analyses consisted of nine backward elimination regression analyses with nine variables entered as predictors (one was a control variable). Age of first intoxication was related to every dependent measure. Men had a higher August DDD, September DDD, and September volume than women. Roommate drinking level was associated with September DDD and September volume. Out-of-state students had a lower August volume than in-state students. High school rank was inversely related to September drinking days. SAT score, declared major status, and fraternity/sorority status were not related to drinking according to these multivariate analyses. Conclusions Results suggest that approaches to underage drinking for adjudicated students may need to be tailored according to age of first intoxication. Results also suggest the drinking level of the heaviest drinking roommate may moderate individual level interventions. Further, interventions applied to an entire dorm room may prove efficacious. Results also suggest that high school rank, rather than SAT scores, should be used as college entry criteria to yield a drier incoming class. Results may not generalize to non-adjudicated students.
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- 2010
114. SS15. Determining Prevalence and Identifying Predictors to Indicate Venous Duplex Ultrasound to Detect Contralateral Asymptomatic Lower Extremity (LE) Deep Vein Thrombosis (DVT) in Patients With Ipsilateral LE DVT
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Sobreira, Marcone l., primary, Bertanha, Matheus, additional, Jaldin, Rodrigo G., additional, Pimenta, Barbara, additional, Moura, Regina, additional, Mariuba, Jamil V., additional, Pimenta, Rafael Elias Farres F., additional, Yoshida, Winston B., additional, and Rollo, Hamilton A., additional
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- 2015
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115. PC232. The Impact of Infrarenal Aortic Cross-Clamping on Cardiovascular and Renal Function During Aortic Surgery: An Experimental Study in a Porcine Model
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Sobreira, Marcone L., primary, Yoshida, Winston B., additional, Jaldin, Rodrigo G., additional, Correa, Camila R., additional, Lourencao, Pedro L., additional, Yoshida, Ricardo A., additional, and Kolvenbach, Ralf, additional
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- 2015
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116. P0876 : Safety and efficacy of simeprevir/sofosbuvir in Hepatitis C (HCV) infected patients with varying severity of cirrhosis: comparison to matched untreated and Protease Inhibitor (PI)-Triple therapy treated controls
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Saxena, V., primary, Nyberg, L., additional, Pauly, M., additional, Ready, J., additional, Szpakowski, J.-L., additional, Piasecki, B., additional, Nyberg, A., additional, Winston, B., additional, Redd, J., additional, Catalli, L., additional, Dasgupta, A., additional, Straley, S., additional, Sommer, K., additional, Witt, G., additional, Rathbun, R., additional, and Terrault, N., additional
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- 2015
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117. Community Outreach Programs Calculating Submission: The Behavior of Students when Participating in School
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Plaza III, Oliver N., primary and Gallinero, Winston B., additional
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- 2014
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118. Trombectomia com cateter de Fogarty no tratamento da tromboflebite jugular experimental em eqüinos
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Hussni, Carlos A., Dornbusch, Peterson T., Yoshida, Winston B., Alves, Ana L. G., Nicoletti, José L. M., Mamprim, Maria J., and Vulcano, Luiz C.
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Eqüinos ,veia jugular ,tromboflebite ,thrombectomy ,Fogarty's catheter ,cardiovascular system ,cateter de Fogarty ,Horses ,trombectomia ,jugular vein ,thrombophlebitis - Abstract
Trombose da veia jugular é problema freqüente na medicina eqüina, implicando muitas vezes em conseqüências fatais. O objetivo deste trabalho foi avaliar em eqüinos a aplicabilidade da trombectomia com cateter de Fogarty, técnica rotineiramente empregada pela medicina humana, no restabelecimento da perviedade vascular. Foram utilizados 10 eqüinos divididos em dois grupos de cinco animais, em que se induziu a trombose da veia jugular direita, através do acesso cirúrgico à veia e aplicação de sutura estenosante e injeção de glicose a 50%. No grupo controle avaliou-se a evolução da tromboflebite sem qualquer tipo de intervenção terapêutica. Os animais do grupo tratado foram submetidos à trombectomia com cateter de Fogarty. Foram avaliados os parâmetros clínicos gerais, regionais, ultra-sonográficos e angiográficos, nos momentos pré-indução (M-PRÉ), indução da trombose (MTI) e 10 dias de evolução da trombose (M10). A técnica empregada induziu a tromboflebite, que obstruiu completamente um segmento da veia jugular de todos os animais. Os animais do grupo controle mantiveram os trombos obstruindo totalmente o lume vascular até o final do período de avaliação, sendo que avaliações regionais mostraram principalmente o edema parotídeo e o ingurgitamento vascular, cranial à tromboflebite da veia jugular. O grupo tratado apresentou as veias jugulares pérvias ao final do experimento, confirmadas pelos exames ultra-sonográficos e angiográficos, com remissão total dos sinais clínicos. Concluiu-se que a técnica da trombectomia com cateter de Fogarty foi eficiente na desobstrução da veia jugular submetida à trombose experimental. Thrombosis of jugular vein is a common problem in the equine medicine, implying frequently in fatal outcomes. The diagnosis is relatively simple, based on the clinical findings, angiographics images and ultrasonographycs. The therapeutic employed to a large extent of the cases is unsatisfactory. The purpose of this study was to evaluate the applicability of the thrombectomy with Fogarty's catheter in horses. This technique is routinely used in medicine, in the reestablishment of the vascular perviousness. Ten horses were allocated in two groups (five animals each) and induced to an unilateral thrombosis of right jugular vein, through the surgical access and an application of stenotic suture and glucose 50% injection. In the control group evolution of the thrombophlebitis without any therapeutical intervention was evaluated. The animals of the treatment group were submitted to the thrombectomy with Fogarty's catheter. General clinical parameters were analyzed at the moment of the preinduction (MPRE), induction of thrombosis (MTI), and at the 10th day of thrombosis evolution (M10). The procedure induced thrombophlebitis that completely obstructed a segment of the jugular vein in all animals. In the animals of the control group, the thrombus totally obstructed the vascular lumen until the end of the period of evaluation, and parotid edema and vascular dilated, cranial to the thrombophlebitis of jugular vein were observed. The treatment group presented all veins pervious in the end of the experiment, with total remission of the clinical signs, confirmed by angiographic and ultrasonographic examinations. So far, it was concluded that the technique of thrombectomy with Fogarty's catheter was effective in removal of the thrombosis obstruction experimentally induced in the jugular vein.
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- 2009
119. Preliminary experience with a new vena cava filter: results of 15 implantations
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Yoshida,Winston B., Rollo,Hamilton A., Giannini,Mariângela, Sobreira,Marcone L., and Moura,Regina
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embolia pulmonar ,pulmonary embolism ,prosthesis design ,Filtro de veia cava ,desenho de próteses ,trombose venosa ,venous thrombosis ,embolia pulmonar/prevenção ,Vena cava filters ,embolia pulmonar/controle - Abstract
Este estudo apresenta resultados preliminares obtidos com um novo filtro permanente de veia cava, baseado no desenho de Greenfield, com três hastes prolongadas de um total de seis, para dar estabilidade central ao filtro na luz da veia cava. Neste artigo, relatamos sua avaliação clínica preliminar quanto à aplicabilidade, eficácia e segurança. De agosto de 2004 a dezembro de 2006, 15 filtros foram implantados em nove homens e seis mulheres, com idades variando de 38 a 79 anos (média de 57,8 anos). O acesso foi feito sempre por via transjugular. As indicações foram: trombose venosa proximal, com contra-indicação de anticoagulação em 12 pacientes; complicações hemorrágicas com anticoagulação em dois pacientes; e embolia pulmonar, apesar de anticoagulação adequada, em um paciente. Os filtros foram avaliados quanto à liberação, inclinação, mau posicionamento e perfuração de cava. No seguimento, avaliou-se trombose no local de acesso, tromboembolismo venoso recorrente, migração do filtro e trombose de cava pelo ultra-som. Nenhum paciente recebeu anticoagulantes no seguimento. O filtro foi liberado com sucesso em todos os casos sem mau posicionamento, inclinação, perfuração ou trombose de acesso. Os pacientes foram seguidos entre 3 e 23 meses (média de 11 meses). Nenhum paciente teve recorrência de tromboembolismo venoso. Não houve casos de trombose de veia cava ou migração do filtro. Óbito ocorreu em sete casos, todos relacionados com a moléstia de base. Os resultados preliminares indicam potencial eficácia e segurança do uso do novo filtro no período estudado. This study presents preliminary results obtained from a new permanent filter, based on Greenfield's filter design, with prolongations on three of six struts to stabilize it centrally in the vena caval lumen. The preliminary clinical evaluation of the filter with regard to feasibility, efficacy and safety is reported. From August 2004 to December 2006, 15 vena cava filters were deployed in nine men and six women, who ranged in age from 38 to 79 years (mean, 57.8 years). The approach used was always transjugular. Indications for filter placement were proximal deep venous thrombosis with a contraindication to anticoagulation in 12 patients; hemorrhagic complications with anticoagulation in two patients; and pulmonary embolism, despite adequate anticoagulation in one patient. New vena cava filters were evaluated for releasing, tilting, malpositioning and caval perforation. Follow-up included assessment of access site thrombosis and filter migration, recurrent venous thromboembolism, and caval thrombosis by duplex ultrasound. No patient received anticoagulants in the follow-up. In all patients the filter was successfully released, with no malpositioning, tilting, perforation or access thrombosis. The patients were followed for 3 to 23 months (mean = 11 months). No patient developed recurrent venous thromboembolism. No other patients developed inferior vena cava thrombosis or filter migration. Death occurred in seven patients, all related to baseline illness. This preliminary study suggests good feasibility and safety of the new filter up to the observation period.
- Published
- 2008
120. 12 Pluralism, Constitutionalism, and Law in Africa: A Liberian View
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Tubman, Winston B., primary
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- 1986
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121. Alcohol relapse repetition, gender, and predictive validity
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Winston B. Trefry, Irene Glasser, Stephen A. Maisto, Verner S. Westerberg, Gerard J. Connors, Robert L. Stout, and William H. Zywiak
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Predictive validity ,Male ,medicine.medical_specialty ,Beck depression inventory score ,Psychometrics ,Medicine (miscellaneous) ,Craving ,Test validity ,Sex Factors ,Alcohol Dependence Scale ,Recurrence ,Surveys and Questionnaires ,Epidemiology ,medicine ,Humans ,Psychiatry ,Internal-External Control ,Cued speech ,Prognosis ,Psychiatry and Mental health ,Clinical Psychology ,Alcoholism ,Female ,Pshychiatric Mental Health ,medicine.symptom ,Psychology - Abstract
Earlier exploratory work on a scoring algorithm for the Reasons for Drinking Questionnaire. Exploratory findings from the Reasons for Drinking Questionnaire presented a number of interesting findings, but were limited by a fairly low consistency in type of relapse between the first relapse and the second relapse (63%). This scoring algorithm objectively classifies alcohol relapses into one of three types (negative affect, social pressure, or craving/cued). While examining gender differences in the type of first relapse, evidence indicating that relapses were more consistent for men (81%) than for women (44%) was uncovered. For initial posttreatment relapses, women were more likely to have negative affect relapses, and men were more likely to have social pressure relapses. For men, negative affect relapses were predicted by the Beck Depression Inventory score. For women, negative affect relapses were predicted by the Alcohol Dependence Scale score, and craving/cued relapses were predicted by situational craving.
- Published
- 2006
122. Fibrin gel versus papain gel in the healing of chronic venous ulcers: A double-blind randomized controlled trial.
- Author
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de Araújo, Illymack CF, Defune, Elenice, Abbade, Luciana PF, Miot, Hélio A, Bertanha, Matheus, de Carvalho, Lídia R, Ferreira, Rosana R, and Yoshida, Winston B
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FIBRIN tissue adhesive ,DRUG efficacy ,WOUND healing ,VENOUS insufficiency ,RANDOMIZED controlled trials ,COMPARATIVE studies ,BLIND experiment ,DESCRIPTIVE statistics ,RESEARCH funding ,LEG ulcers ,STATISTICAL sampling ,DRUG side effects ,DRUG adulteration ,PATIENT safety ,WOUND care ,SURGICAL dressings ,BANDAGES & bandaging ,LONGITUDINAL method ,EVALUATION - Abstract
Objectives: Compare the efficacy and safety of fibrin gel to 8% papain gel for wound dressing of venous ulcers. Method: Patients with chronic venous ulcers were randomly assigned to one in three groups: Group 1—fibrin gel; Group 2—8% papain gel; Group 3—carbopol gel (control). Patients were seen every 15 days during 2 months, verifying reduction of the ulcer area, local infection, exudation, and epithelization. All serious or nonserious adverse events were recorded. Results: Fifty-five patients (total of 63 ulcers) were randomly distributed in three groups (G1 = 21; G2 = 19; G3 = 23). No patient was excluded or discontinued treatment throughout the study. The areas of the ulcers were similarly reduced in all groups (14.3%, 21.1%, and 30.4% in groups 1, 2, and 3, respectively), and all had significant reduction in exudation and contamination. Conclusion: The data demonstrate that neither fibrin gel nor papain gel were able to improve the process of ulcer-healing, as compared to control. [ABSTRACT FROM AUTHOR]
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- 2017
- Full Text
- View/download PDF
123. A Brief Survey of Great Houses and Related Features in Southeastern Utah
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HURST, WINSTON B., primary and TILL, JONATHAN D., additional
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- View/download PDF
124. Endovascular repair of a complex giant infrarenal abdominal aortic aneurysm
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Yoshida, Ricardo A, primary, Yoshida, Winston B, additional, Kolvenbach, Ralf, additional, Jaldin, Rodrigo G, additional, Sobreira, Marcone L, additional, and Hirga, Marcelo, additional
- Published
- 2014
- Full Text
- View/download PDF
125. Alcohol relapses associated with September 11, 2001: a case report
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Robert M. Swift, Robert J. Schneider, Joy E LaGrutta, Robert L. Stout, Winston B. Trefry, Constance C. Lawson, William H. Zywiak, and Nazia Khan
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Temperance ,Medicine (miscellaneous) ,law.invention ,Randomized controlled trial ,law ,Recurrence ,medicine ,Humans ,Prospective Studies ,Public education ,Psychiatry ,Prospective cohort study ,business.industry ,Public health ,Alcohol detoxification ,Follow up studies ,United States ,Telephone ,Psychiatry and Mental health ,Health psychology ,Alcoholism ,Female ,New York City ,Terrorism ,business ,Follow-Up Studies - Abstract
The timing of the terrible events of September 11, 2001 (9–11), and an ongoing randomized clinical trial of case monitoring have allowed a prospective examination of the effects of trauma upon the relapse rates of a group of clients following alcohol detoxification. The clients studied in this report were enrolled in case monitoring prior to 9–11. Case monitoring consists of telephone contacts on a tapering schedule designed to help clients avoid relapses, reduce the severity of relapses that do occur, and get clients back into treatment, at less intense levels, than would occur without case monitoring. For those clients completing a telephone contact before and a telephone contact after 9–11, none of the clients drank between detox discharge and 9–11, while 42% drank by the first telephone contact after 9–11. Data from another study were analyzed and results counter the rival hypothesis that the case monitoring study results reflect an annual seasonal effect. Results suggest that terrorist events may lead to a greater likelihood of relapse for those in alcohol recovery. These effects may be ameliorated by public education and outreach.
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- 2003
126. Vedolizumab as induction and maintenance therapy for Crohn's disease.
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GEMINI 2 Study Group, Bampton, P., Borody, T., Chung, A., Debinski, H., Florin, T., Hetzel, D., Jakobovits, S., Lawrance, I., Leong, R., Macrae, F., Mitchell, B., Moore, G., Pavli, P., Samuel, D., Weltman, M., Haas, T., Reinisch, W., Vogel, W., Baert, F., De Maeyer, M., De Vos, M., Dewit, O., D'Haens, G., Louis, E., Muls, V., Van Assche, G., Krastev, Z., Nikolovska, D., Petrov, P., Petrov, A., Stoinov, S., Tchernev, K., Vasileva, G., Aumais, G., Axler, J., Bailey, R., Bernstein, C., Bitton, A., Bourdages, R., Bressler, B., Cohen, A., Devroede, G., Dhalla, S., Feagan, B., Fedorak, R., Green, D., Greenberg, G., Jones, J., Larkai, E., MacIntosh, D., Panaccione, R., Ponich, T., Singh, R., Sy, R., Wiesinger, H., Albin, A., Douda, L., Horny, I., Lukas, M., Stehlik, J., Stuksa, J., Volfova, M., Vyhnalek, P., Zadorova, Z., Andersen, V., Bendtsen, F., Fallingborg, J., Rannem, T., Maelt, A., Margus, B., Salupere, R., Allez, M., Des Varennes SB., Desreumaux, P., Dupas, JL., Grimaud, JC., Hebuterne, X., Lerebours, E., Picon, L., Zerbib, F., Aldinger, V., Baumgart, D., Buening, C., Dollinger, M., Hoffmann, P., Howaldt, S., Klaus, J., Konturek, JW., Krummenerl, T., Malfertheiner, P., Schmidt, W., Schreiber, S., Seidler, U., Stallmach, A., Stremmel, W., Zeitz, M., Mantzaris, G., Triantafyllou, K., Ng, C., Bene, L., Fazekas, I., Fejes, R., Gall, J., Horvat, G., Hunyady, B., Salamon, A., Toth, T., Tulassay, Z., Varga, E., Varga, M., Varga-Szabo, L., Vincze, A., Oddsson, E., Örvar, K., Ahuja, V., Amarapurkar, D., Chandra, A., Koshy, A., Krishna, P., Ramakrishna, K., Reddy, N., Thorat, V., Patchett, S., Ryan, B., Ben Horin, S., Fishman, S., Lavy, A., Rachmilewitz, D., Ardizzone, S., Corazziari, E., Danese, S., Fries, W., Gasbarrini, A., Kohn, A., Sturniolo, GC., Danilans, A., George, AM., Hilmi, IN., Engels, LG., Ponsioen, CY., van der Woude CJ., Gearry, R., Haines, M., Schultz, M., Wallace, I., Wyeth, J., Florholmen, J., Jahnsen, J., Lygren, I., Röseth, A., Ciecko-Michalska, I., Gonciarz, M., Horynski, M., Huk, J., Jamrozik-Kruk, Z., Janke, A., Klupinska, G., Marecik, J., Paradowski, L., Rudzinski, J., Rydzewska, G., Han, DS., Hong, SP., Kim, HJ., Kim, JS., Kim, KO., Kim, YH., Yang, SK., Gheorghe, LS., Voiosu, RM., Alexeeva, O., Baranovsky, A., Bunkova, E., Burnevich, E., Dolgikh, O., Grinevich, V., Lakhin, A., Tarabar, D., Ling, KL., Bunganic, I., Cernok, S., Gregus, M., Coetzer, T., Grundling, H., Moola, SA., Wright, JP., Ziady, C., Bermejo, F., Calvet, X., Herrerias, JM., Perez Calle JL., Perez Gisbert, J., Hertervig, E., Karlen, P., Michetti, P., Rogler, G., Seibold, F., Wu, DC., Atug, O., Kurdas, OO., Datsenko, O., Dorofyeyev, A., Dudar, L., Golovchenko, O., Klyarits'ka, I., Skrypnyk, I., Hawthorne, AB., Middleton, S., Abreu, M., Bala, N., Becker, S., Behm, B., Braun, R., Bukhari, M., Chen, S., Coates, A., Dar, S., Dassopoulos, T., De Villiers, W., Desautels, S., Desta, T., Dimitroff, J., Dryden, G., Duvall, A., Farraye, F., Fein, S., Liu, BF., Gatof, D., Geenen, D., Ginsburg, P., Glombicki, A., Glover, S., Gordon, G., Grisolano, S., Hanauer, S., Hanson, J., Hardi, R., Hoffman, B., Isaacs, K., Kim, C., Koval, G., Lashner, B., Lawitz, E., Lee, S., Leman, B., Levine, J., Loftus, E., Mahadevan, U., Mannon, P., Marcet, J., Matsuyama, R., Matusow, G., McCabe, R., Mirkin, K., Murphy, M., Mushahwar, A., Mutlu, E., Nagrani, M., Nguyen, D., Nichols, M., Nieves Ramirez, A., Oubre, B., Pace, S., Pandak, W., Perera, L., Quadri, A., Quallich, L., Rajapakse, R., Randall, C., Regueiro, M., Safdi, A., Sandborn, W., Sands, B., Saubermann, L., Scherl, E., Schwartz, D., Sedghi, S., Shafran, I., Shepard, R., Siegel, C., Stein, L., Tatum, H., Triebling, A., Vasudeva, R., Winston, B., Wolf, D., Younes, Z., Feagan, BG., Colombel, JF., Rutgeerts, P., Sandborn, WJ., Sands, BE., Jewell, D., Mahon, J., Rothstein, R., Snydman, D., Massaro, J., Clifford, D., Berger, J., Major, E., Provenzale, J., Lev, M., Sandborn, W.J., Feagan, B.G., Colombel, J.F., Sands, B.E., Fedorak, R.N., Fox, I., Rosario, M., Sankoh, S., Xu, J., Stephens, K., Milch, C., Parikh, A., GEMINI 2 Study Group, Bampton, P., Borody, T., Chung, A., Debinski, H., Florin, T., Hetzel, D., Jakobovits, S., Lawrance, I., Leong, R., Macrae, F., Mitchell, B., Moore, G., Pavli, P., Samuel, D., Weltman, M., Haas, T., Reinisch, W., Vogel, W., Baert, F., De Maeyer, M., De Vos, M., Dewit, O., D'Haens, G., Louis, E., Muls, V., Van Assche, G., Krastev, Z., Nikolovska, D., Petrov, P., Petrov, A., Stoinov, S., Tchernev, K., Vasileva, G., Aumais, G., Axler, J., Bailey, R., Bernstein, C., Bitton, A., Bourdages, R., Bressler, B., Cohen, A., Devroede, G., Dhalla, S., Feagan, B., Fedorak, R., Green, D., Greenberg, G., Jones, J., Larkai, E., MacIntosh, D., Panaccione, R., Ponich, T., Singh, R., Sy, R., Wiesinger, H., Albin, A., Douda, L., Horny, I., Lukas, M., Stehlik, J., Stuksa, J., Volfova, M., Vyhnalek, P., Zadorova, Z., Andersen, V., Bendtsen, F., Fallingborg, J., Rannem, T., Maelt, A., Margus, B., Salupere, R., Allez, M., Des Varennes SB., Desreumaux, P., Dupas, JL., Grimaud, JC., Hebuterne, X., Lerebours, E., Picon, L., Zerbib, F., Aldinger, V., Baumgart, D., Buening, C., Dollinger, M., Hoffmann, P., Howaldt, S., Klaus, J., Konturek, JW., Krummenerl, T., Malfertheiner, P., Schmidt, W., Schreiber, S., Seidler, U., Stallmach, A., Stremmel, W., Zeitz, M., Mantzaris, G., Triantafyllou, K., Ng, C., Bene, L., Fazekas, I., Fejes, R., Gall, J., Horvat, G., Hunyady, B., Salamon, A., Toth, T., Tulassay, Z., Varga, E., Varga, M., Varga-Szabo, L., Vincze, A., Oddsson, E., Örvar, K., Ahuja, V., Amarapurkar, D., Chandra, A., Koshy, A., Krishna, P., Ramakrishna, K., Reddy, N., Thorat, V., Patchett, S., Ryan, B., Ben Horin, S., Fishman, S., Lavy, A., Rachmilewitz, D., Ardizzone, S., Corazziari, E., Danese, S., Fries, W., Gasbarrini, A., Kohn, A., Sturniolo, GC., Danilans, A., George, AM., Hilmi, IN., Engels, LG., Ponsioen, CY., van der Woude CJ., Gearry, R., Haines, M., Schultz, M., Wallace, I., Wyeth, J., Florholmen, J., Jahnsen, J., Lygren, I., Röseth, A., Ciecko-Michalska, I., Gonciarz, M., Horynski, M., Huk, J., Jamrozik-Kruk, Z., Janke, A., Klupinska, G., Marecik, J., Paradowski, L., Rudzinski, J., Rydzewska, G., Han, DS., Hong, SP., Kim, HJ., Kim, JS., Kim, KO., Kim, YH., Yang, SK., Gheorghe, LS., Voiosu, RM., Alexeeva, O., Baranovsky, A., Bunkova, E., Burnevich, E., Dolgikh, O., Grinevich, V., Lakhin, A., Tarabar, D., Ling, KL., Bunganic, I., Cernok, S., Gregus, M., Coetzer, T., Grundling, H., Moola, SA., Wright, JP., Ziady, C., Bermejo, F., Calvet, X., Herrerias, JM., Perez Calle JL., Perez Gisbert, J., Hertervig, E., Karlen, P., Michetti, P., Rogler, G., Seibold, F., Wu, DC., Atug, O., Kurdas, OO., Datsenko, O., Dorofyeyev, A., Dudar, L., Golovchenko, O., Klyarits'ka, I., Skrypnyk, I., Hawthorne, AB., Middleton, S., Abreu, M., Bala, N., Becker, S., Behm, B., Braun, R., Bukhari, M., Chen, S., Coates, A., Dar, S., Dassopoulos, T., De Villiers, W., Desautels, S., Desta, T., Dimitroff, J., Dryden, G., Duvall, A., Farraye, F., Fein, S., Liu, BF., Gatof, D., Geenen, D., Ginsburg, P., Glombicki, A., Glover, S., Gordon, G., Grisolano, S., Hanauer, S., Hanson, J., Hardi, R., Hoffman, B., Isaacs, K., Kim, C., Koval, G., Lashner, B., Lawitz, E., Lee, S., Leman, B., Levine, J., Loftus, E., Mahadevan, U., Mannon, P., Marcet, J., Matsuyama, R., Matusow, G., McCabe, R., Mirkin, K., Murphy, M., Mushahwar, A., Mutlu, E., Nagrani, M., Nguyen, D., Nichols, M., Nieves Ramirez, A., Oubre, B., Pace, S., Pandak, W., Perera, L., Quadri, A., Quallich, L., Rajapakse, R., Randall, C., Regueiro, M., Safdi, A., Sandborn, W., Sands, B., Saubermann, L., Scherl, E., Schwartz, D., Sedghi, S., Shafran, I., Shepard, R., Siegel, C., Stein, L., Tatum, H., Triebling, A., Vasudeva, R., Winston, B., Wolf, D., Younes, Z., Feagan, BG., Colombel, JF., Rutgeerts, P., Sandborn, WJ., Sands, BE., Jewell, D., Mahon, J., Rothstein, R., Snydman, D., Massaro, J., Clifford, D., Berger, J., Major, E., Provenzale, J., Lev, M., Sandborn, W.J., Feagan, B.G., Colombel, J.F., Sands, B.E., Fedorak, R.N., Fox, I., Rosario, M., Sankoh, S., Xu, J., Stephens, K., Milch, C., and Parikh, A.
- Abstract
BACKGROUND: The efficacy of vedolizumab, an α4β7 integrin antibody, in Crohn's disease is unknown. METHODS: In an integrated study with separate induction and maintenance trials, we assessed intravenous vedolizumab therapy (300 mg) in adults with active Crohn's disease. In the induction trial, 368 patients were randomly assigned to receive vedolizumab or placebo at weeks 0 and 2 (cohort 1), and 747 patients received open-label vedolizumab at weeks 0 and 2 (cohort 2); disease status was assessed at week 6. In the maintenance trial, 461 patients who had had a response to vedolizumab were randomly assigned to receive placebo or vedolizumab every 8 or 4 weeks until week 52. RESULTS: At week 6, a total of 14.5% of the patients in cohort 1 who received vedolizumab and 6.8% who received placebo were in clinical remission (i.e., had a score on the Crohn's Disease Activity Index [CDAI] of ≤150, with scores ranging from 0 to approximately 600 and higher scores indicating greater disease activity) (P=0.02); a total of 31.4% and 25.7% of the patients, respectively, had a CDAI-100 response (≥100-point decrease in the CDAI score) (P=0.23). Among patients in cohorts 1 and 2 who had a response to induction therapy, 39.0% and 36.4% of those assigned to vedolizumab every 8 weeks and every 4 weeks, respectively, were in clinical remission at week 52, as compared with 21.6% assigned to placebo (P<0.001 and P=0.004 for the two vedolizumab groups, respectively, vs. placebo). Antibodies against vedolizumab developed in 4.0% of the patients. Nasopharyngitis occurred more frequently, and headache and abdominal pain less frequently, in patients receiving vedolizumab than in patients receiving placebo. Vedolizumab, as compared with placebo, was associated with a higher rate of serious adverse events (24.4% vs. 15.3%), infections (44.1% vs. 40.2%), and serious infections (5.5% vs. 3.0%). CONCLUSIONS: Vedolizumab-treated patients with active Crohn's disease were more likely than patients rec
- Published
- 2013
127. Tratamento endovascular com endoprótese aórtica para aneurisma de artéria subclávia secundário à fístula arteriovenosa axilo-axilar traumática tardia
- Author
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Vinicius Tadeu Ramos da Silva Grillo, Rodrigo Gibin Jaldin, Felipe Damascena Rosa, Mariana Thais Silva Secondo, Rafael Elias Farres Pimenta, Matheus Bertanha, Marcone Lima Sobreira, and Winston Bonetti Yoshida
- Subjects
fístula arteriovenosa ,artéria subclávia ,lesões do sistema vascular ,procedimentos endovasculares ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Resumo As fístulas arteriovenosas (FAVs) traumáticas envolvendo os vasos axilares e subclávios são incomuns e correspondem de 5 a 10% de todos os traumas arteriais. A anatomia complexa dessa região torna desafiador o tratamento desse segmento. Neste desafio terapêutico, descrevemos o caso de um homem de 73 anos, encaminhado por edema progressivo e úlcera no membro superior direito, com história pregressa de ferimento por arma de fogo na região infraclavicular direita há cerca de 50 anos. Foi realizada angiotomografia e identificou-se FAV axilo-axilar associada à tortuosidade e dilatação aneurismática de artéria subclávia a jusante. O paciente foi submetido à intervenção endovascular com endoprótese cônica (monoilíaca) 26 × 14 × 90 mm Braile® na artéria subclávia aneurismática, posterior à saída da artéria vertebral direita, e endoprótese monoilíaca 16 × 16 × 95 mm Excluder® com sobreposição na primeira prótese, apresentando resultado satisfatório. Portanto, descreve-se a possibilidade de utilização de endoprótese aórtica em situação incomum e de exceção, com sucesso.
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- 2022
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128. Chaco Outlier or Backwoods Pretender?
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Winston B. Hurst
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Geography ,Outlier ,Edge (geometry) ,Archaeology - Published
- 2000
129. Unibody design for aortic disease with a narrow aortic bifurcation: tips and tricks for success
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Ricardo de Alvarenga Yoshida, Renato Fanchiotti Costa, Débora Ortigosa Cunha, Rafael Mendes Palhares, Rodrigo Gibin Jaldin, Marcone Lima Sobreira, Rafael Elias Farres Pimenta, and Winston Bonetti Yoshida
- Subjects
abdominal aorta ,aortic diseases ,saccular aneurysm ,aneurysm ,endovascular procedures ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background Surgical management of patients with abdominal aortic diseases associated with distal narrowing is a challenging situation. Objectives To evaluate outcomes of unibody bifurcated endovascular stent graft repair. Methods This is a retrospective, observational, multi-institutional database study of a cohort of consecutive cases, approved by the local Ethics Committee. Records were reviewed of patients diagnosed from 2010 to 2020 with “shaggy” aorta, saccular aneurysm, penetrating aortic ulcer, and isolated aortic dissection located in the infrarenal abdominal aorta. All patients were treated with a unibody bifurcated stent graft. Main outcomes were technical success, procedure complications, long-term patency, and mortality in the follow-up period up to 5 years. Data on demographics, comorbidities, surgical management, and outcomes were analyzed. Results Twenty-three patients were treated with unibody bifurcated stent graft repair, including 7 cases of “shaggy” aorta, 3 isolated dissections of the abdominal aorta, 4 penetrating aortic ulcers, and 9 saccular aneurysms. Immediate technical success was achieved in 100% of cases. At follow-up, all stent grafts remained patent and there were no limb occlusions. The patients were symptom-free and reported no complications related to the procedure. There were 5 deaths during the follow-up period (median= 4 years), but none were related to the procedure and there were no aorta-related deaths. Conclusions The present study shows that unibody bifurcated stent grafting is safe and effective in this group of patients with narrow distal abdominal aorta and complex aortic pathology. The results were similar for both infrarenal aortic aneurysms and aorto-iliac atherosclerotic disease.
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- 2021
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130. Advantages of Bladder Surge Tanks in Pipelines
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Young, Winston B., primary
- Published
- 2012
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131. Aneurisma verdadeiro isolado de artéria femoral profunda associado a doença arterial periférica: relato de caso
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Vinicius Tadeu Ramos da Silva Grillo, Rodrigo Gibin Jaldin, Nathália Dias Sertório, Matheus Bertanha, Marcone Lima Sobreira, Ricardo de Alvarenga Yoshida, and Winston Bonetti Yoshida
- Subjects
artéria femoral ,aneurisma ,doença arterial periférica ,procedimentos cirúrgicos vasculares ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Resumo Os aneurismas verdadeiros de artéria femoral profunda são extremamente raros, representando cerca de 0,5% do total dos aneurismas periféricos. Neste relato, descrevemos um paciente de 79 anos de idade, sexo masculino, com histórico de abordagem cirúrgica prévia convencional devido a aneurisma de aorta abdominal, que deu entrada no Serviço de Cirurgia Vascular do Hospital das Clínicas com quadro de claudicação intermitente de membros inferiores. Foi realizado eco-Doppler colorido arterial do membro inferior direito, que revelou doença arterial periférica femoro-poplítea e infrapatelar. A angiotomografia computadorizada identificou oclusão aortoilíaca e do enxerto bifurcado desde o segmento infrarrenal da aorta, além de aneurisma de artéria femoral profunda de 3,7 x 3,5 cm de diâmetro com 7 cm de extensão. Procedeu-se com a ressecção do aneurisma e revascularização da artéria femoral profunda por interposição de prótese de Dacron® e reimplante de artéria femoral superficial na prótese. Portanto, nos casos de aneurisma de artéria femoral profunda concomitante a doença arterial periférica, deve-se atentar para revascularização e perfusão adequada do membro inferior.
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- 2021
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132. Telangiectasia Macularis Eruptiva Perstans: more than skin deep
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Watkins, Casey E., primary, Bokor, Winston B., additional, Leicht, Stuart, additional, Youngberg, George, additional, and Krishnaswamy, Guha, additional
- Published
- 2011
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133. Which computer?
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BROWN, N. J.G., CLARKE, M., DAVIES, I., ELLAM, S., GIBSON, C., JARRITT, P. H., LAWSON, R. S., POTTER, R., STEVENS, R. G., TAYLOR, D., VERNON, P., and WINSTON, B.
- Published
- 1984
134. Predicting alcohol consumption during the month before and after beginning college
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Johnson, Heather R, primary, Zywiak, William H, additional, Graney, Daniel D, additional, Stout, Robert L, additional, Trefry, Winston B, additional, LaGrutta, Joy E, additional, and Cohen, Frances C, additional
- Published
- 2010
- Full Text
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135. Trombectomia com cateter de Fogarty no tratamento da tromboflebite jugular experimental em eqüinos
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Hussni, Carlos A., primary, Dornbusch, Peterson T., additional, Yoshida, Winston B., additional, Alves, Ana L. G., additional, Nicoletti, José L. M., additional, Mamprim, Maria J., additional, and Vulcano, Luiz C., additional
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- 2009
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136. The OPA Must Fight.
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Winston, B. L.
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PUBLIC welfare ,PRICE regulation ,ECONOMIC stabilization ,ECONOMIC policy ,UNITED States economy, 1918-1945 ,UNITED States politics & government, 1933-1945 - Abstract
Assesses the need for the Office of Price Administration (OPA) to fight for the welfare of public in the U.S. Emergence of price-rent-rationing job as the foremost political problem in the country; Establishment of the OPA conceived as a keystone of the seven-point economic stabilization program declared by U.S. President Franklin D. Roosevelt; Reasons cited for the growing popularity of OPA; Mistakes made by OPA during the war time; Responsibility of OPA to mobilize the will of America to win the World War II; Need to launch a campaign for guerilla warfare by OPA; Problem of lack of political support faced by the OPA in gathering reinforcements at its national staff headquarters.
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- 1943
137. O fator de impacto do Jornal Vascular Brasileiro
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Yoshida, Winston B., primary
- Published
- 2008
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138. Experiência preliminar com novo filtro de veia cava: resultados de 15 implantes
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Yoshida, Winston B., primary, Rollo, Hamilton A., additional, Giannini, Mariângela, additional, Sobreira, Marcone L., additional, and Moura, Regina, additional
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- 2008
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139. Chondrocalcinosis of the temporomandibular joint: an external ear canal pseudotumor
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Winston B. Magno, Sin Hang Lee, and John Schmidt
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musculoskeletal diseases ,Cartilage, Articular ,medicine.medical_treatment ,Chondrocalcinosis ,Calcium Pyrophosphate ,Pathology and Forensic Medicine ,Lesion ,Diagnosis, Differential ,Arthropathy ,medicine ,Frozen Sections ,Humans ,Ear canal ,General Dentistry ,Ear Neoplasms ,business.industry ,Synovial Membrane ,Anatomy ,Middle Aged ,Temporomandibular Joint Disorders ,medicine.disease ,Curettage ,Temporomandibular joint ,Skull ,medicine.anatomical_structure ,Female ,Pseudogout ,medicine.symptom ,business ,Ear Canal - Abstract
An unusual case of calcium pyrophosphate arthropathy (pseudogout) involving the temporomandibular joint of a 53-year-old woman presented clinically as an ear canal tumor. Further evaluation and surgical exploration disclosed chondrocalcinosis of the temporomandibular joint with involvement of the bones at the left base of the skull. This case report emphasizes the importance of recognizing the lesion by frozen-section examination because excellent results can be obtained by intraoperative curettage of the calcareous deposits and local irrigation with saline solution.
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- 1992
140. Cardiac rehabilitation to improve health-related quality of life following trans-catheter aortic valve implantation: a randomised controlled feasibility study
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Paula Rogers, Sayed Al-Aidrous, Winston Banya, Shelley Rahman Haley, Tarun Mittal, Tito Kabir, Vasileois Panoulas, Shahzad Raja, Sunil Bhudia, Heather Probert, Claire Prendergast, Mark S. Spence, Simon Davies, Neil Moat, Rod S. Taylor, and Miles Dalby
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Cardiac rehabilitation ,Transcatheter aortic valve implantation ,Randomised controlled trial ,Pilot study ,Medicine (General) ,R5-920 - Abstract
Abstract Objectives Transcatheter aortic valve implantation (TAVI) is often undertaken in the oldest frailest cohort of patients undergoing cardiac interventions. We plan to investigate the potential benefit of cardiac rehabilitation (CR) in this vulnerable population. Design We undertook a pilot randomised trial of CR following TAVI to inform the feasibility and design of a future randomised clinical trial (RCT). Participants We screened patients undergoing TAVI at a single institution between June 2016 and February 2017. Interventions Participants were randomised post-TAVI to standard of care (control group) or standard of care plus exercise-based CR (intervention group). Outcomes We assessed recruitment and attrition rates, uptake of CR, and explored changes in 6-min walk test, Nottingham Activities of Daily Living, Fried and Edmonton Frailty scores and Hospital Anxiety and Depression Score, from baseline (30 days post TAVI) to 3 and 6 months post randomisation. We also undertook a parallel study to assess the use of the Kansas City Cardiomyopathy Questionnaire (KCCQ) in the post-TAVI population. Results Of 82 patients screened, 52 met the inclusion criteria and 27 were recruited (3 patients/month). In the intervention group, 10/13 (77%) completed the prescribed course of 6 sessions of CR (mean number of sessions attended 7.5, SD 4.25) over 6 weeks. At 6 months, all participants were retained for follow-up. There was apparent improvement in outcome scores at 3 and 6 months in control and CR groups. There were no recorded adverse events associated with the intervention of CR. The KCCQ was well accepted in 38 post-TAVI patients: mean summary score 72.6 (SD 22.6). Conclusions We have demonstrated the feasibility of recruiting post-TAVI patients into a randomised trial of CR. We will use the findings of this pilot trial to design a fully powered multicentre RCT to inform the provision of CR and support guideline development to optimise health-related quality of life outcomes in this vulnerable population. Retrospectively registered 3rd October 2016 clinicaltrials.gov NCT02921880. Trial registration Clinicaltrials.Gov identifier NCT02921880
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- 2018
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141. Pseudoaneurisma da artéria glútea inferior após queda de bicicleta: relato de caso
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Renato Fanchiotti Costa, Ricardo de Alvarenga Yoshida, Rodrigo Jaldin Gibin, Marcone Lima Sobreira, Rafael Elias Fares Pimenta, Matheus Bertanha, Paula Angeleli Bueno de Camargo, and Winston Bonetti Yoshida
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buttocks/blood supply ,aneurysm, false ,wounds and injury ,accidents, traffic ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Resumo Pseudoaneurismas de artérias glúteas são raros, especialmente os que envolvem a artéria glútea inferior. Eles estão associados principalmente a traumas penetrantes, infecções ou fraturas de pelve. Em uma minoria de casos, são causados por traumas fechados, havendo somente seis casos relatados na literatura. Apresenta-se aqui um caso de pseudoaneurisma da artéria glútea inferior direita após queda de bicicleta, evoluindo com grande hematoma na região glútea ao exame clínico e queda hematimétrica significativa. A angiotomografia revelou um grande hematoma na região glútea, com extravasamento de contraste e formação de pseudoaneurisma no local. A angiografia revelou que a origem da lesão era na artéria glútea inferior direita. Foi realizada embolização dessa artéria com molas. Após esse procedimento, o paciente foi encaminhado para a unidade de terapia intensiva, de onde foi posteriormente transferido para outro hospital, com o sangramento controlado. Para esses casos, o tratamento endovascular é uma opção segura, rápida e efetiva.
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- 2018
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142. A comparison of a class of earth-moon orbits with a class of rotating Kepler orbits
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Hoelker, R. F and Winston, B. P
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Space Sciences - Abstract
Comparison of class of orbits in Earth-Moon field and class of Kepler orbits in rotating coordinates by use of concurrent series of graphs
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- 1968
143. Endovascular repair of a complex giant infrarenal abdominal aortic aneurysm.
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Yoshida, Ricardo A., Yoshida, Winston B., Kolvenbach, Ralf, Jaldin, Rodrigo G., Sobreira, Marcone L., and Hirga, Marcelo
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Giant aortic aneurysms (transverse diameter greater than 10.0 cm) are rare and open surgery is often the treatment of choice. We report an infrarenal saccular giant aortic aneurysm (measuring 25 cm in transverse diameter), which was treated with endovascular repair, with immediate technical success. No similar report of a giant infrarenal aortic aneurysm treated with an endovascular technique was found in the literature. High-risk patients could possibly benefit from the endovascular technique. Nevertheless, patient survival remains strongly influenced by comorbidities. [ABSTRACT FROM AUTHOR]
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- 2015
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144. Reviews Of Acoustical Patents
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Winston B. Young and Huey Wai
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Acoustics and Ultrasonics ,Computer program ,Acoustics ,Detector ,Signal ,law.invention ,Vibration ,Microprocessor ,Arts and Humanities (miscellaneous) ,Volume (thermodynamics) ,law ,Container (abstract data type) ,Environmental science ,Contactor - Abstract
Acoustic volume indicators for determining liquid or gas volume within a container comprise a contactor to vibrate a container wall, a detector to receive vibration data from the container wall, a processor to convert vibration data to frequency information and compare the frequency information to characteristic container frequency vs. volume data to obtain the measured volume, and an indicator for displaying the measured volume. The processor may comprise a microprocessor disposed within a housing having lights that each represent a particular volume. The microprocessor is calibrated to provide an output signal to a light that indicates the container volume. The processor may comprise a computer and computer program that converts the data to frequency information, analyzes the frequency information to identify a peak frequency, compares the peak frequency to the characteristic frequency vs. volume data to determine the measured volume, and displays the measured volume on a video monitor.
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- 2007
145. Lung volume reduction eligibility in patients with COPD completing pulmonary rehabilitation: results from the UK National Asthma and COPD Audit Programme
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Michael C Steiner, Winston Banya, and Samuel V Kemp
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Medicine - Abstract
Objectives To establish what proportion of patients completing a UK pulmonary rehabilitation (PR) programme meet the 2018 National Institute for Health and Care Excellence (NICE) chronic obstructive pulmonary disease (COPD) guideline (NG115) criteria to have a respiratory review to establish whether referral to a lung volume reduction multidisciplinary team would be appropriate. This respiratory review would include evaluation of the presence of hyperinflation and the presence of emphysema on CT scan. The NICE criteria include measures of breathlessness and exercise capacity but these parameters are not completely defined.Design Observational study.Setting PR programmes across the UK in 2015 (210 centres) and 2017 (184 centres) entering data into the Royal College of Physicians’ National Asthma and COPD Audit Programme.Participants 8295 (55.7%) of 14 889 patients in programmes using incremental shuttle walk test (ISWT) or 6-minute walk test (6MWT) as an outcome measure completed PR, and 4856 (32.6%) had complete data recorded (6MWT/ISWT, baseline spirometry, Medical Research Council (MRC) dyspnoea score).Results Depending on the walking test safety threshold adopted for the ISWT (≥140 m or ≥ 80 m) and the MRC dyspnoea score threshold used (MRC score ≥3 or ≥4 at the end of PR), between 4.9% and 18.1% of PR completers met the NICE criteria for a lung volume reduction-focused respiratory review.Conclusions Lung volume reduction therapies are beneficial in appropriately selected patients with COPD, but few procedures are performed, and treatment pathways are unclear. These data help to inform the feasibility of the approach recommended by NICE and highlight the need for future systematic pathways to reduce inequalities in patients being considered for effective treatments.
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- 2020
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146. Alprostadil associated with low molecular weight heparin to treat limb ischemia caused by SARS-CoV2
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Marcos Antonio Bonacorso Manhanelli Filho, Eliud Garcia Duarte Júnior, Jamil Victor de Oliveira Mariuba, Fábio Linardi, José Augusto Costa, Julio Cesar Gali, Winston Bonetti Yoshida, and Julio Cesar Gali Filho
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COVID-19 ,thromboembolism ,limb ischemia ,arterial thrombosis ,heparin ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract The current coronavirus pandemic has already taken a great toll globally, causing massive morbidity and mortality. One of its severe forms is a thrombophilic state that can damage several systems. This article reports the case of 60-year-old female patient who presented with mild flu symptoms, which turned out to be a SARS-CoV2 infection, and ended up developing arterial thrombosis with limb ischemia in a private care hospital in Sorocaba, São Paulo, Brazil. Considering this progression, we decided to intervene with low molecular weight heparin and Alprostadil, achieving a good clinical outcome. Our description aims to identify key points and clinical signs that offer evidence of the therapeutic window and a treatment option for coagulatory presentations of COVID-19.
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- 2020
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147. Robert Murray Ricketts
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Senior, Winston B, primary
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- 2003
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148. Queuing the News that's Fit to Print: An Analysis of Page Placement Patterns for Protest Events in the New York Times, 1960-1990.
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Rafail, Patrick S., Walker, Edward T., Tripp, Winston B., and McCarthy, John D.
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SOCIAL movements ,SOCIAL change ,PUBLIC demonstrations - Abstract
Scholars of social movements have long called attention to the differences between those protest events that gain media coverage and those that are not covered. However, although we know much about which protest events are covered in the media, we know considerably less about the differences in prominence among those events that do gain coverage. We extend the literature on mass media coverage of social movements by examining how event characteristics affect page location within a newspaper by examining protest events covered in the New York Times between 1960 and 1990. Using multinomial logistic regression, we develop an account of the editorial decisions regarding the placement of an event within the paper's pages. We find that such decisions are most heavily influenced by the amount of conflict associated with the event (violence, property damage, arrests, and the use of contentious protest tactics). Importantly, we also find that larger events and those located in the nation's capitol are more likely to be placed on the front page, whereas corporate-targeted events are generally kept off of the front page. Overall we find that the Times editors tend to highlight disruptive protest, while downplaying anti-corporate claims-making. [ABSTRACT FROM AUTHOR]
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- 2008
149. The Fight at Soldier Crossing, 1884: Military Considerations in Canyon Country
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MCPHERSON, ROBERT S., primary and HURST, WINSTON B., additional
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- 2002
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150. End-to-end arterial anastomosis with fibrin glue in larger arteries: histology, hydroxyproline concentration and tensile strength study in carotids of rabbits
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Yoshida, Winston B., primary, Naresse, Luiz E., additional, Rodrigues, Antonio C., additional, Fabris, Viciany E., additional, and Angeleli, Aparecida Y., additional
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- 2002
- Full Text
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