421 results on '"D. Driscoll"'
Search Results
202. Multi-terminal transport through a quantum dot in the Coulomb-blockade regime.
- Author
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R. Leturcq, D. Graf, T. Ihn, K. Ensslin, D. D. Driscoll, and A. C. Gossard
- Published
- 2004
203. Effects of exercise training and metformin on body composition and cardiovascular indices in HIV-infected patients.
- Author
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Susan D Driscoll
- Published
- 2004
- Full Text
- View/download PDF
204. Simultaneous air/fuel-phase PIV measurements in a dense fuel spray.
- Author
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K. D. Driscoll, V. Sick, and C. Gray
- Subjects
GASOLINE ,FUEL ,AIR ,SPEED - Abstract
A new diagnostic has been developed that is capable of obtaining simultaneous two-phase velocity measurements in a gasoline direct-injection fuel spray. This technique utilizes a two-laser (double-pulse) two-camera (double-frame) setup to simultaneously image the injected fuel and entrained air to determine the 2D velocity vector fields of both phases using cross-correlation particle image velocimetry (PIV). The air phase is visualized through fluorescence from seeding particles introduced into the static measurement volume while Mie scattering signals are collected from the fuel droplets. The combination of different laser wavelengths and a spectral signal shift for the air phase allows spectral separation of the signals. Independent timing of the laser pulses permits optimized adaptation of the velocity dynamic range for the two phases to account for the large difference in velocities between air and fuel droplets. [ABSTRACT FROM AUTHOR]
- Published
- 2003
205. Mandibular Osteotomies for Tumor Extirpation
- Author
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Barry L. Eppley, R. Fabian, D. Driscoll, and P. K. Sullivan
- Subjects
Orthodontics ,Fixation (surgical) ,Otorhinolaryngology ,business.industry ,Medicine ,Surgery ,General Medicine ,business - Published
- 1992
206. Probabilistic characterization of pollutant discharges from highway stormwater runoff
- Author
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Philip E. Shelley, James D. Sartor, and Eugene D. Driscoll
- Subjects
Hydrology ,Pollutant ,Environmental Engineering ,Stormwater ,Environmental engineering ,Probabilistic logic ,Pollution ,Runoff coefficient ,Environmental Chemistry ,Environmental science ,Water quality ,Surface runoff ,Waste Management and Disposal ,Urban runoff - Abstract
This paper presents the preliminary results of a project aimed at developing models that can be used by planners and highway engineers for predicting pollutant runoff from highways. A brief review of different approaches to predicting pollutant runoff loads from highways is followed by a description of the data base being assembled as a part of this project. The probabilistic data analysis methodology that is being used to characterize highway stormwater runoff is then described in some detail. Preliminary analytical results are presented in two main areas-rainfall and runoff data and water quality data. For the sites examined so far, it is shown that taking the percent imperviousness of an unmonitored site as its runoff coefficient, with an upper bound of around 0.9 to account for initial abstraction, offers a reasonable first estimate. Best estimates for pollutant concentrations for each of six pollutants are presented and compared with corresponding values for urban runoff. Lacking site specific data, they represent reasonable first estimates of highway stormwater runoff quality.
- Published
- 1987
207. Overproduction of the regulatory subunit of the cAMP-dependent protein kinase blocks the differentiation of Dictyostelium discoideum
- Author
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Marie-Noëlle Simon, Rupert Mutzel, Michel Véron, Julie Williams, D. Part, and D. Driscoll
- Subjects
General Immunology and Microbiology ,biology ,General Neuroscience ,Protein subunit ,Blotting, Western ,Gi alpha subunit ,Intracellular Signaling Peptides and Proteins ,RNA, Fungal ,biology.organism_classification ,Dictyostelium ,General Biochemistry, Genetics and Molecular Biology ,Dictyostelium discoideum ,SCN3A ,Biochemistry ,Second messenger system ,Cyclic AMP ,Carrier Proteins ,DNA, Fungal ,Protein kinase A ,Protein Kinases ,Molecular Biology ,PRKAR1A ,Research Article ,Plasmids - Abstract
During the aggregation of Dictyostelium discoideum extracellular cAMP is known to act as a chemotractant and as an inducer of cellular differentiation. However, its intracellular role as a second messenger remains obscure. We have constructed a fusion gene consisting of the cDNA encoding the regulatory subunit (R) of the cAMP-dependent protein kinase fused to the promoter and N-terminal-proximal sequences of a Dictyostelium actin gene. Stable transformants, containing multiple copies of this gene, overproduce the R subunit which accumulates prematurely relative to the endogenous protein. These transformants fail to aggregate. Detailed analysis has shown that they are blocked at interphase, the period prior to aggregation, and that they are severely defective in most responses to cAMP including the induction of gene expression. Our observations suggest that intracellular cAMP acts, presumably by activation of the catalytic subunit of the cAMP-dependent protein kinase, to facilitate early development.
- Published
- 1989
208. Conditions under which amobarbital sodium influences contrast in consummatory behavior
- Author
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Cynthia D. Driscoll, Howard C. Becker, and Charles F. Flaherty
- Subjects
Sodium Amobarbital ,Sucrose ,Ethanol ,Physiology ,General Neuroscience ,Contrast effect ,media_common.quotation_subject ,Chlordiazepoxide ,chemistry.chemical_compound ,Negative contrast ,Animal science ,chemistry ,medicine ,Contrast (vision) ,medicine.drug ,media_common - Abstract
The effect of amobarbital sodium (ABS) on contrast effects in consummatory behavior was investigated in three experiments. In Experiment 1, rats were shifted from 32% sucrose to 4% sucrose after 11 days’ experience with the 32% solution. ABS (15, 17.5, and 20 mg/kg) was administered during the final three preshift days and throughout the postshift period. Contrast was not reduced by this treatment, and, in fact, the higher doses tended to retard recovery from contrast. In Experiment 2, ABS (17.5 mg/kg) was injected on the 1st and 2nd postshift days only. Under these administration conditions, the drug reduced degree of contrast. In Experiment 3, ABS (12, 17.5, 22 mg/kg) tended to enhance the degree of simultaneous negative contrast that occurred when rats were repeatedly shifted between 32% and 4% sucrose. Thus, the conditions under which ABS might be expected to reduce contrast in consummatory behavior are restricted. Similarities and differences in the effects of ABS, chlordiazepoxide, and ethanol on contrast are discussed.
- Published
- 1982
209. The Effects of Physostigmine on Open-Field Behavior in Rats Exposed to Alcohol Prenatally
- Author
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Robert T. Hamlin, Susan Barron, Cynthia D. Driscoll, and Edward P. Riley
- Subjects
medicine.medical_specialty ,Physostigmine ,Calorie ,Offspring ,Medicine (miscellaneous) ,Toxicology ,Open field ,Pregnancy ,Internal medicine ,medicine ,Animals ,Cholinesterase ,biology ,medicine.disease ,Rats ,Psychiatry and Mental health ,Endocrinology ,Fetal Alcohol Spectrum Disorders ,In utero ,biology.protein ,Cholinergic ,Female ,Psychology ,medicine.drug - Abstract
The present study examined the effects of physostigmine, a cholinesterase inhibitor, on activity in young rats whose mothers consumed isocaloric liquid diets containing 35% or 0% ethanol-derived calories on days 6-20 of pregnancy. A pair-feeding procedure was utilized and an ad libitum lab chow group was included. Physostigmine was administered to 18-day-old offspring on 3 consecutive days with activity measures recorded for 30 min each day. Injections of physostigmine produced significant reductions in activity in alcohol-exposed offspring relative to control groups. These results provide support for a functional cholinergic deficit in offspring exposed to alcohol in utero and may have relevant clinical implications in the treatment of attentional deficit disorder which can occur following prenatal alcohol exposure.
- Published
- 1986
210. Ontogeny of suckling behavior in rats prenatally exposed to alcohol
- Author
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Edward P. Riley, Jaw-Sy Chen, and Cynthia D. Driscoll
- Subjects
Male ,Embryology ,Calorie ,Offspring ,Health, Toxicology and Mutagenesis ,Ontogeny ,Physiology ,Alcohol ,Toxicology ,Animal Population Groups ,chemistry.chemical_compound ,Fetus ,Sex Factors ,Pregnancy ,Animals ,Birth Weight ,Medicine ,Prenatal exposure ,Analysis of Variance ,Behavior, Animal ,Ethanol ,business.industry ,Age Factors ,Surrogate mothers ,medicine.disease ,Animals, Suckling ,Rats ,Smell ,Prenatal treatment ,chemistry ,Fetal Alcohol Spectrum Disorders ,Female ,business ,Developmental Biology - Abstract
The effect of prenatal alcohol exposure on nipple attachment behavior was studied at a number of ages in rat pups whose mothers consumed liquid diets containing 35% or 0% ethanol-derived calories (EDC) or standard lab chow during pregnancy. In the first experiment, nondeprived pups were tested in groups of three (one from each of the prenatal treatment groups) for nipple attachment to an anesthetized lab chow dam. The second experiment examined the influence of the type of test dam (35% EDC, 0% EDC, or lab chow) on nipple attachment behavior. Finally, experiment three evaluated the possibility that the data from the preceeding experiments were the result of either testing the offspring in triads or alcohol-induced alterations in maternal behavior. Rat pups from all three groups reared by their biological mothers and a group of 35% EDC offspring fostered at birth to lab chow surrogate mothers were tested alone rather than in triads. The data from all three experiments clearly indicated an age-related pattern of nipple attachment behavior; the latency to attach was shortest in 6- to 12-day-old pups and increased rapidly from 13 to 21 days of age. Prenatal exposure to alcohol significantly increased the latency to attach to the nipple and the rank order of attachment at the younger ages (three to nine days of age) but not in the older animals. Also, the prenatal effect of alcohol was independent of the type of dam to which testing was conducted, the social interaction involved in testing triads, or fostering procedures. These results suggest that prenatal alcohol exposure can interfere with the development of normal suckling behavior, which might influence normal growth.
- Published
- 1982
211. A probabalistic methodology for estimating water quality effects from highway stormwater runoff
- Author
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David R. Gaboury, Eugene D. Driscoll, and James D. Sartor
- Subjects
Pollutant ,Hydrology ,Environmental Engineering ,Beneficial use ,Stormwater ,Storm ,Pollution ,Streamflow ,Environmental Chemistry ,Environmental science ,Precipitation ,Water quality ,Surface runoff ,human activities ,Waste Management and Disposal - Abstract
To assess the significance of pollutant loads from highways, in terms of the extent to which they may cause adverse impacts on a beneficial use, the cumulative frequency distribution of pollutant concentrations downstream of the highway discharge is computed and may be compared with concentration levels at which a particular adverse effect will be produced. The model described can be used to compute the frequency or recurrence of storm runoff events that result in violations of water quality criteria or other effects levels. Data collected at highway sites throughout the US are used to evaluate the statistical properties of highway runoff flows and concentrations; regional values for precipitation and streamflow from standard monitoring programs are used to provide the other necessary input parameters.
- Published
- 1987
212. A field study of the fertility of transported equine semen
- Author
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G. Osol, D. Driscoll, H. Noble, R. Osol, and D.H. Douglas-Hamilton
- Subjects
Equine ,Artificial insemination ,medicine.medical_treatment ,media_common.quotation_subject ,Fertility ,Semen ,Biology ,Andrology ,Animal science ,Warmblood ,Cooling rate ,Food Animals ,medicine ,Animal Science and Zoology ,Small Animals ,media_common ,Initial rate - Abstract
A field trial of artificial insemination in horses with transproted, chilled semen was conducted using a specially designed container which permitted a controlled, slow initial rate of cooling (-0.3 degrees C/min) and maintenance of a final temperature of 4 degrees -6 degrees C for more than 36 hrs. Forty-six mares in 23 states were inseminated with semen from three German Warmblood stallions standing at stud in Hamilton, Massachusetts. A third-cycle conception rate of 91% was obtained.
- Published
- 1984
213. Septic arthritis of the shoulder in adults
- Author
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J M Harris, B M Leslie, and D Driscoll
- Subjects
Arthrotomy ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Radiography ,medicine.medical_treatment ,Arthritis ,General Medicine ,medicine.disease ,Surgery ,Active motion ,Erythrocyte sedimentation rate ,medicine ,Etiology ,Orthopedics and Sports Medicine ,Septic arthritis ,business ,After treatment - Abstract
Septic arthritis of the shoulder is uncommon in adults. We reviewed the cases of eighteen patients who were followed for a minimum of one year. The patients ranged in age from forty-two to eighty-nine years. All but one patient had at least one serious associated disease. Eight patients had had an injection or aspiration of the shoulder before development of the infection. All but one patient had had a delay in diagnosis. At the time of admission to the hospital, the erythrocyte sedimentation rate was always elevated, but the body temperature and white blood-cell count were not. After treatment, the functional result was usually poor: only five patients regained forward flexion to 90 degrees or more, eight patients had no active motion of the glenohumeral joint, and two patients died. Arthrotomy appeared to afford a better result than did repeated aspiration.
- Published
- 1989
214. Controlled displacement-rate in situ shear tests with pore pressure measurements
- Author
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F. S. Shuri, S. J. Garner, and D. D. Driscoll
- Subjects
In situ ,Pore water pressure ,Shear (geology) ,Geotechnical engineering ,Direct shear test ,Shear zone ,Geotechnical Engineering and Engineering Geology ,Material properties ,Triaxial shear test ,Oil shale ,Geology ,Civil and Structural Engineering - Abstract
Two large-scale in situ shear tests were conducted at a damsite in western Canada. The rock at the site is a Cretaceous shale containing a thin clay seam tentatively identified as a bedding-plane shear zone. The material in this seam is significantly weaker than the intact rock and influences the design of certain features of the dam and structures. In order to provide shear strength data for design, two large blocks of shale were sheared along the clay seam. These tests differed from conventional in situ shear tests in two significant ways: the rate of shear displacement was strictly controlled, and pore pressures (both positive and negative) in the shear zone were carefully monitored throughout the test. This note presents the material properties of the shear zone, describes the test equipment and techniques, and discusses the results obtained. Key words: shear strength, in situ testing, pore pressure, shale.
- Published
- 1985
215. Gas-phase one-photon electronic spectroscopy of (arene)chromium tricarbonyls: substituent effects in multiphoton dissociation/ionization spectra
- Author
-
Joseph Chaiken, Dan Rooney, and D. Driscoll
- Subjects
chemistry.chemical_classification ,Chemistry ,Substituent ,chemistry.chemical_element ,Photochemistry ,Electron spectroscopy ,Dissociation (chemistry) ,Molecular electronic transition ,Spectral line ,Inorganic Chemistry ,Chromium ,chemistry.chemical_compound ,Ionization ,Physical and Theoretical Chemistry ,Inorganic compound - Published
- 1987
216. An analysis of strategies used to disseminate the PLATO system
- Author
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W. C. Wolf and Francis D. Driscoll
- Subjects
Knowledge management ,Process (engineering) ,business.industry ,Accounting ,General Engineering ,Commercial law ,Business ,Business and International Management ,Marketing strategy ,Dissemination ,Management - Abstract
Two aspects of efforts to disseminate an innovative computer-assisted instructional system called PLATO between 1972 and 1976 are addressed. The first pertains to the dissemination problems encountered and resolved by the system developers. The second covers dissemination modus operandi chosen by the developers to bring PLATO to the attention of large numbers of people. An ex post facto analysis of data obtained suggested PLATO developers made dissemination decisions that reflected viable dissemination theory and practice of the time, committed substantial resources to the dissemination process, and selected what appeared to be a cost-effective marketing strategy. Perhaps the most important consequence of these actions is that PLATO flourished throughout the 1970s and continues to flourish.
- Published
- 1989
217. Delayed taste aversion learning in preweanling rats exposed to alcohol prenatally
- Author
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Linda S. Meyer, Cynthia D. Driscoll, and Edward P. Riley
- Subjects
Male ,medicine.medical_specialty ,Health (social science) ,Offspring ,Alcohol ,Hippocampal formation ,Toxicology ,Hippocampus ,Biochemistry ,Behavioral Neuroscience ,chemistry.chemical_compound ,Pregnancy ,Internal medicine ,Avoidance Learning ,medicine ,Animals ,Humans ,Hippocampus (mythology) ,Saccharin ,Ethanol ,Learning Disabilities ,General Medicine ,Rats ,Endocrinology ,Neurology ,chemistry ,Fetal Alcohol Spectrum Disorders ,Taste ,Anesthesia ,Taste aversion ,Gestation ,Female ,Psychology - Abstract
Parallels between the behavioral profiles of rats exposed to alcohol prenatally and those with hippocampal damage suggest that hippocampal dysfunction may underlie some of the behavioral abnormalities resulting from prenatal alcohol exposure. Because of possible hippocampal involvement in the acquisition of a delayed conditioned taste aversion, this task was assessed in rat pups exposed to alcohol prenatally. Long-Evans rats were maintained on liquid diets containing either 35% or 0% ethanol derived calories from Days 6–20 of gestation. Pair-feeding procedures and an ad lib Lab Chow (LC) group were included. Fifteen-day-old offspring from these three groups were given access to saccharin and then injected immediately (0 hr) or 2 hr later with either lithium chloride (LiCl) or sodium chloride (NaCl). Immediate pairing of saccharin with LiCl produced a marked taste aversion, although this effect was less pronounced in 35% EDC pups. In the 2 hr condition, weaker aversions were exhibited and again the 35% EDC group showed the least aversion. However, prenatal treatment did not interact with the injection interval.
- Published
- 1985
218. Do random time schedules induce polydipsia in the rat?
- Author
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Robert A. Rosellini, Cynthia D. Driscoll, Mark Plonsky, and Donald A. Warren
- Subjects
medicine.medical_specialty ,Predictive coding ,Information value ,digestive, oral, and skin physiology ,Classical conditioning ,Experimental and Cognitive Psychology ,Audiology ,Developmental psychology ,Behavioral Neuroscience ,Neuropsychology and Physiological Psychology ,Feeding behavior ,Auditory stimulation ,Pellet ,medicine ,Animal Science and Zoology ,medicine.symptom ,Psychology ,Polydipsia ,General Psychology - Abstract
The present experiments investigated the role of signals for pellet delivery in the development of polydipsia on random time schedules. In Experiment 1, when an explicit signal or auditory stimulation from pellet dispenser operation was available to the rats, polydipsia developed in all ofthe animals. In Experiment 2, animals receiving signaled pellet deliveries developed poly dipsia more quickly than those receiving unsignaled pellet deliveries. Furthermore, behavioral observations suggested that animals showing polydipsia in the unsignaled group may have been able to detect the operation of the pellet dispenser despite our attempt to mask such cues. In Experiment 3, the information value of pellet-dispenser cues was degraded by the operation of an empty pellet dispenser during the interpellet interval. Under these conditions, almost all animals did not develop polydipsia and the data suggest that for the few that did, pellet-dispenser cues were probably not responsible. Thus, the present findings suggest two conclusions: (1) In studies reporting polydipsia on random schedules, the animals may have been inadvertently provid ed with cues for pellet availability, and (2) although Pavlovian conditioning may be an impor tant modulator of adjunctive behavior, other factors must also be considered.
- Published
- 1984
219. Polydipsia on Fixed and Variable Time Schedules as a Function of Signal Condition in the Rat
- Author
-
Mark Plonsky, Robert A. Rosellini, and Cynthia D. Driscoll
- Subjects
050103 clinical psychology ,05 social sciences ,Variable time ,Classical conditioning ,Function (mathematics) ,Signal ,Signal on ,Arts and Humanities (miscellaneous) ,Control theory ,medicine ,0501 psychology and cognitive sciences ,050102 behavioral science & comparative psychology ,medicine.symptom ,Psychology ,Polydipsia ,General Psychology - Abstract
The present study examined the influence of a signal for pellet delivery on the development and maintenance of polydipsia on fixed and variable time schedules. It was found that animals receiving a signal for pellet delivery developed polydipsia more quickly and had higher intake levels than animals not receiving such a signal on both schedules. These data support predictions derivable from the application of Pavlovian conditioning principles to the schedule-induced polydipsia phenomena.
- Published
- 1985
220. DESIGN AND APPLICATION OF LIQUID-SOLIDS SEPARATION
- Author
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Eugene D. Driscoll and T. L. Moore
- Subjects
Materials science ,Chemical engineering ,Separation (aeronautics) ,General Engineering - Published
- 1962
221. The comparative electrophysiologic and hemodynamic effects of verapamil in puppies and adult dogs
- Author
-
R, Gibson, D, Driscoll, P, Gillette, C, Hartley, and M L, Entman
- Subjects
Electrophysiology ,Aging ,Dogs ,Verapamil ,Heart Rate ,Regional Blood Flow ,Hemodynamics ,Animals ,Blood Pressure ,Heart ,Stroke Volume ,Vascular Resistance - Abstract
Verapamil has been studied extensively in adult animals. However, there is limited data about the effects of this antiarrhythmic agent in young animals. We studied the electrophysiologic and hemodynamic effects of verapamil in 5 awake, chronically instrumented puppies and in 6 anesthetized, acutely instrumented puppies. We compared the responses in puppies to those in 7 awake, chronically instrumented adult dogs and in 6 anesthetized, acutely instrumented adult dogs. In the awake, chronically instrumented animals, we measured heart rate and the effective refractory period of the atrio-ventricular specialized conduction system (ERP-AVSCS). In the anesthetized, acutely instrumented preparation, we measured heart rate, ERP-AVSCS, mean right atrial and systemic arterial blood pressure, and velocity of blood flow in the aorta, carotid and femoral arteries. We infused verapamil intravenously at doses of 50, 100, 200 and 400 microgram/kg. Verapamil (400 micrograms/kg) increased the ERP-AVSCS by 64% in awake, chronically instrumented puppies; 62% in awake, chronically instrumented adult dogs; 125% in anesthetized, acutely instrumented puppies, and 120% in anesthetized, acutely instrumented adult dogs. The effect of verapamil upon heart rate and ERP-AVSCS was more pronounced in anesthetized animals than in awake animals. Mean systemic arterial blood pressure was reduced by verapamil in anesthetized, acutely instrumented puppies and adult dogs. Verapamil reduced the velocity of aortic, femoral and carotid artery blood flow in anesthetized, acutely instrumented puppies.
- Published
- 1981
222. Amobarbital sodium reduces successive gustatory contrast
- Author
-
Charles F. Flaherty and Cynthia D. Driscoll
- Subjects
Pharmacology ,Sodium Amobarbital ,Male ,medicine.medical_specialty ,Sucrose ,Time Factors ,Chemistry ,media_common.quotation_subject ,Pharmacology toxicology ,Chlordiazepoxide ,Rats ,Negative contrast ,Endocrinology ,Internal medicine ,medicine ,Contrast (vision) ,Amobarbital ,Animals ,Conditioning, Operant ,Consummatory Behavior ,Reinforcement, Psychology ,media_common ,medicine.drug - Abstract
Amobarbital sodium (17.5 mg/kg) produced equivalent reductions in negative contrast when injected for the first time on either day 1 or 2 following a shift from 32% to 4% sucrose. These results differed from those obtained in earlier studies with chlordiazepoxide.
- Published
- 1980
223. INTERPRETATION OF NECK LOADS TRANSDUCED BY ADVANCED ANTHROPOMORPHIC TEST DUMMIES. I. BIOMECHANICAL DATA
- Author
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Howard W. Huntington, H. Herbert Peel, Susan S. Martin, Richard L. Stalnaker, Mark P. Haffner, K. Dee Carey, Ralph R. Schleicher, John B. Lenox, Curtis D. White, Gary T. Moore, Gerald D. Driscoll, Orin M. Anderson, and Ayub K. Ommaya
- Subjects
Human cadaver ,Orthodontics ,medicine.medical_specialty ,Test series ,Functional impairment ,business.industry ,Neck injury ,Structural failure ,Medicine ,business ,Test (assessment) ,Surgery - Abstract
Publisher Summary This chapter presents a series of experiments for identification of a set of neck injury criteria suitable for representing serious neck injuries sustained by car crash occupants. Cervical spinal injuries have been studied and some injury threshold data for static and dynamic neck loads already exists. The first test of an initial static neck loading test series has been conducted in this program; specifically, a neck tension test of an anesthetized, 12.2 kg, eight-year-old female baboon (Papio hamadryas) is reported. A static tensile loading experiment performed on an anesthetized Papio hamadryas produced neurophysiological evidence that cervical spinal cord function had been seriously impaired at 51% of the load subsequently required for the occurrence of structural failure. It appears likely that dynamic neck loading experiments will confirm that serious functional impairment of the neck can be produced at load levels well below those that cause structural failure of the neck. Existing anthropomorphic automotive test dummies have generally been developed based upon biomechanical data generated from testing performed on human cadavers.
- Published
- 1983
224. Septic arthritis of the shoulder in adults
- Author
-
B M, Leslie, J M, Harris, and D, Driscoll
- Subjects
Adult ,Aged, 80 and over ,Male ,Arthritis, Infectious ,Bacteria ,Shoulder Joint ,Middle Aged ,Suction ,Combined Modality Therapy ,Anti-Bacterial Agents ,Radiography ,Humans ,Female ,Aged - Abstract
Septic arthritis of the shoulder is uncommon in adults. We reviewed the cases of eighteen patients who were followed for a minimum of one year. The patients ranged in age from forty-two to eighty-nine years. All but one patient had at least one serious associated disease. Eight patients had had an injection or aspiration of the shoulder before development of the infection. All but one patient had had a delay in diagnosis. At the time of admission to the hospital, the erythrocyte sedimentation rate was always elevated, but the body temperature and white blood-cell count were not. After treatment, the functional result was usually poor: only five patients regained forward flexion to 90 degrees or more, eight patients had no active motion of the glenohumeral joint, and two patients died. Arthrotomy appeared to afford a better result than did repeated aspiration.
- Published
- 1989
225. Coarctation of the aorta. Long-term follow-up and prediction of outcome after surgical correction
- Author
-
Marc Cohen, Valentin Fuster, D. Driscoll, D C McGoon, and P M Steele
- Subjects
Adult ,Male ,Reoperation ,medicine.medical_specialty ,Time Factors ,Population ,Coarctation of the aorta ,Blood Pressure ,Sudden death ,Aortic Coarctation ,Coronary artery disease ,Postoperative Complications ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,education ,Survival analysis ,education.field_of_study ,business.industry ,Perioperative ,medicine.disease ,Prognosis ,Surgery ,Blood pressure ,Cardiovascular Diseases ,Heart failure ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
The long-term clinical course was studied in 646 patients, who underwent isolated operative repair of coarctation of the aorta at the Mayo Clinic from 1946 to 1981. There were 17 perioperative deaths, and 58 patients were lost to follow-up. Of the 571 patients with long-term follow-up, 11% required subsequent cardiovascular surgery, and 25% developed hypertension. There were 87 late deaths. The mean age at death was 38 years (range, 0-67 years). Estimated survival analysis revealed 91% of patients alive at 10, 84% at 20, and 72% at 30 years after operative repair. The most common cause of late death was coronary artery disease in 32 patients, followed by sudden death, heart failure, cerebrovascular accidents, and ruptured aortic aneurysm. Age, sex, and postoperative systolic blood pressure were found to be independently predictive of survival. For patients less than 14 years of age at the time of initial coarctectomy, survival to 20 years was 91%, and for patients 14 years or older at the time of operation, survival was 79%. The best survivorship was observed in patients operated on at 9 years of age or less. The higher the postoperative systolic pressure, the higher the probability of death. This study has the largest population undergoing repair of coarctation of the aorta with a median follow-up of as long as 20 years. Four main points emerged. 1) Age at the time of initial repair is the most important predictor of long-term survival. Surgery should be offered to patients after age 1 year or sooner if hypertension is severe. 2) Coronary artery disease is the most common cause of late death.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1989
226. Passive avoidance performance in rats prenatally exposed to alcohol during various periods of gestation
- Author
-
C D, Driscoll, J S, Chen, and E P, Riley
- Subjects
Male ,Muridae ,Alcohol Drinking ,Animals, Newborn ,Dose-Response Relationship, Drug ,Ethanol ,Pregnancy ,Body Weight ,Avoidance Learning ,Animals ,Female ,Gestational Age ,Maternal-Fetal Exchange - Published
- 1982
227. Behavioral and developmental effects of prenatal exposure to pentazocine and tripelennamine combinations
- Author
-
C D, Driscoll, L S, Meyer, and E P, Riley
- Subjects
Male ,Pentazocine ,Behavior, Animal ,Rats, Inbred Strains ,Feeding Behavior ,Rats ,Fetus ,Tripelennamine ,Pregnancy ,Seizures ,Prenatal Exposure Delayed Effects ,Avoidance Learning ,Animals ,Drug Interactions ,Female - Abstract
Long-Evans, hooded rats were intubated with one of four dose combinations of pentazocine and tripelennamine on Days 7-20 of pregnancy: 0:0 (mg/kg pentazocine:tripelennamine), 20:10, 40:0, or 40:20. An additional group had free access to lab chow and water throughout pregnancy. At birth, reduced body weights were evident in all drug-treated offspring. Growth deficits were not noted at 5, 10, 15 or 20 days of age. Three measures of activity were collected at 18 days of age, however, none of these measures were differentially affected as a function of prenatal treatment. At 85 days of age, offspring were tested in a two-way shuttle avoidance paradigm. Although the number of avoidances was not significantly affected by prenatal treatment, offspring exposed to these drugs in combination had shorter response latencies than controls with increased training and made more intertrial crossing responses. Additional offspring were tested for seizure susceptibility at 100 days of age. None of the parameters of seizure activity were significantly affected by prenatal drug treatment. Prenatal exposure to pentazocine and tripelennamine resulted in prenatal growth deficits, increased activity during the intertrial interval and decreased response latencies in a shuttle avoidance learning task, suggesting that this polydrug combination may be associated with some long-term behavioral teratogenic risks.
- Published
- 1986
228. Patterns of use of Madang Hospital
- Author
-
D, Driscoll and G, Winyard
- Subjects
New Guinea ,Catchment Area, Health ,Humans ,Seasons ,Length of Stay ,Hospitals ,Bed Occupancy - Abstract
The patterns of inpatient use of Madang Hospital were examined. A highly disproportionate use of the hospital by the neighbouring population was demonstrated. The implications of this for health care planning are discussed and some methods of alleviating the inequalities in health care provision to urban as opposed to rural communities are suggested.
- Published
- 1979
229. ChemInform Abstract: Gas-Phase One-Photon Electronic Soectroscopy of (Arene)chromium Tricarbonyls: Substituent Effects in Multiphoton Dissociation/Ionization Spectra
- Author
-
Joseph Chaiken, Dan Rooney, and D. Driscoll
- Subjects
Chromium ,chemistry.chemical_compound ,Photon ,chemistry ,Ionization ,Substituent ,chemistry.chemical_element ,General Medicine ,Photochemistry ,Dissociation (chemistry) ,Spectral line ,Gas phase - Published
- 1988
230. Improved sectioning and Berlin blue staining of whole human brain
- Author
-
J D Driscoll, G W Lyons, R I Barnett, and W J Forrest
- Subjects
Pathology ,medicine.medical_specialty ,food.ingredient ,Staining and Labeling ,Chemistry ,Histological Techniques ,Brain ,Human brain ,Gelatin ,Staining ,medicine.anatomical_structure ,food ,medicine ,Humans ,Anatomy ,Berlin blue ,Biomedical engineering ,Fixation (histology) ,Ferrocyanides - Abstract
Brain sectioning has been improved through gelatin embedding so that more than forty precisely oriented serial sections can be obtained from a single brain. Since the embedding gelatin requires no fixation, it can be removed from the sections prior to staining by simple warming. The reduction of Berlin blue dye commonly observed after staining by the Mulligan method has been found to be at least partly due to light in the UV to near UV range. Dye reduction is significantly inhibited by postfixation in 25% acetic acid.
- Published
- 1980
231. Electron spin resonance investigation of osteosarcoma
- Author
-
D, Driscoll and C, Farrell
- Subjects
Male ,Osteosarcoma ,Muscles ,Electron Spin Resonance Spectroscopy ,Humans ,Female ,Neoplasm Metastasis ,Lung ,Bone and Bones - Published
- 1971
232. WIMP exclusion results from the CDMS experiment
- Author
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D. A. Bauer, Laura Baudis, C. Maloney, Tarek Saab, P. L. Brink, M. E. Huber, D. N. Seitz, G. Wang, A. M. Smith, Ronald R. Ross, P. Meunier, C. Chang, A. Lu, D. O. Caldwell, J. P. Thomson, J. P. Castle, D. Driscoll, R. J. Gaitskell, M. S. Armel, Vuk Mandic, J. Sander, John M. Martinis, J. Emes, W. Rau, M. B. Crisler, R. Bunker, R. L. Dixon, Donald J. Holmgren, Thushara Perera, R. W. Schnee, S. J. Yellin, R. Mahapatra, S. Kamat, D. S. Akerib, H. N. Nelson, G. Smith, Blas Cabrera, T. A. Shutt, Bernard Sadoulet, and B. A. Young
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Physics ,Particle physics ,WIMP ,Dark matter
233. Multi-terminal transport through semi-conductor quantum dots
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D. Graf, Arthur C. Gossard, Thomas Ihn, Renaud Leturcq, Klaus Ensslin, and D. D. Driscoll
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Coupling ,Physics ,Semiconductor ,Condensed matter physics ,Quantum dot ,Quantum dot laser ,business.industry ,Measure (physics) ,Conductance ,Coulomb blockade ,Condensed Matter::Mesoscopic Systems and Quantum Hall Effect ,business ,Quantum tunnelling - Abstract
We report on a three‐terminal tunneling experiment on a semiconductor quantum dot in the Coulomb blockade regime. The set‐up allows us to measure directly the conductance matrix of this closed system. In the weak coupling regime, we can determine the coupling strengths of the dot to its individual leads. The independant fluctuations of these coupling strengths as a function of the electronic state are attributed to fluctuations of the shape of the wave function in the dot.
234. Time resolved single electron detection in a quantum dot
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Klaus Ensslin, Thomas Ihn, R. Schleser, E. Ruh, Arthur C. Gossard, and D. D. Driscoll
- Subjects
Physics ,symbols.namesake ,Quantum dot ,Quantum dot laser ,Quantum point contact ,Detector ,symbols ,Fermi–Dirac statistics ,Coulomb blockade ,Charge (physics) ,Atomic physics ,Condensed Matter::Mesoscopic Systems and Quantum Hall Effect ,Quantum tunnelling - Abstract
We have performed transport measurements on a composite nanostructure, consisting of a quantum dot and a nearby quantum point contact (QPC) used as a charge detector. For very low coupling of the dot to only one of the reservoirs and no coupling to the other one, we observe time‐dependent features related to electron tunneling onto the dot and back to the reservoir. The transition frequencies visible in the QPC signal are of the order of only a few Hz. From these time‐dependent data, the Fermi distribution in the lead and the temperature can be extracted, as well as the coupling to the reservoir.
235. Reuse of haemodialysis equipment: convenience and cost effectiveness
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R D Driscoll, R N Greenwood, H K Banester, and W R Cattell
- Subjects
Risk ,medicine.medical_specialty ,Cost–benefit analysis ,business.industry ,Cost effectiveness ,Cost-Benefit Analysis ,General Engineering ,Hemodialysis, Home ,Economic shortage ,General Medicine ,Reuse ,United Kingdom ,Cost savings ,Home dialysis ,General Earth and Planetary Sciences ,Medicine ,Revenue ,Operations management ,Disposable Equipment ,business ,Intensive care medicine ,Kidneys, Artificial ,Research Article ,General Environmental Science - Abstract
The shortage of resources for providing renal replacement makes it essential to reduce revenue costs wherever possible. Assuming that haemodialysis is likely to remain a mainstay of renal replacement, a policy of reusing the expensive disposable dialysers and blood lines could offer substantial cost savings. Such reuse has been shown to be safe and to maintain efficiency, but it must also take account of convenience to the patient, especially those dialysing at home. A survey of patients treated with home dialysis shows that the rate of reuse of the complete extracorporeal circuit was highest for those patients who had automated reuse systems.
- Published
- 1982
236. THz-photomixer based on quasi-ballistic transport.
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G H Döhler, F Renner, O Klar, M Eckardt, A Schwanhäußer, S Malzer, D Driscoll, M Hanson, A C Gossard, G Loata, and T Löffler and H Roskos
- Subjects
DIODES ,ELECTRIC capacity ,BALLISTIC instruments ,INDUSTRIAL efficiency - Abstract
We report on a novel concept for THz photomixers with high conversion efficiency up to several THz. In contrast to the conventional pin photomixer we can overcome the trade-off between either optimizing transit-time or RC-roll-off. Using quasi-ballistic transport in nano-pin-diodes the transport path can be optimized regarding both path length and transit time. Independently, the capacitance can be kept small by using a sufficiently large number of optimized nano-pin-diodes in series. The concept is presented in detail and first experimental results are reported which corroborate our theoretical expectations. [ABSTRACT FROM AUTHOR]
- Published
- 2005
237. High-Resolution Differentiation of Enteric Bacteria in Premature Infant Fecal Microbiomes Using a Novel rRNA Amplicon
- Author
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J. Graf, N. Ledala, M. J. Caimano, E. Jackson, D. Gratalo, D. Fasulo, M. D. Driscoll, S. Coleman, and A. P. Matson
- Subjects
Microbiology ,QR1-502 - Abstract
Achieving strain-level resolution is a major obstacle for source tracking and temporal studies of microbiomes. In this study, we describe a novel deep-sequencing approach that provides species- and strain-level resolution of the neonatal microbiome.
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- 2021
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238. Factors Associated With Patient Satisfaction Measured Using a Guttman-Type Scale
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Yvonne Versluijs MD, Laura E Brown PhD, Mauna Rao, Amanda I Gonzalez MD, Matthew D Driscoll MD, and David Ring MD, PhD
- Subjects
Medicine (General) ,R5-920 - Abstract
Patient experience measures such as satisfaction are increasingly tracked and incentivized. Satisfaction questionnaires have notable ceiling effects that may limit learning and improvement. This study tested a Guttman-type (iterative) Satisfaction Scale (GSS) after a musculoskeletal specialty care visit in the hope that it might reduce the ceiling effect. We measured floor effects, ceiling effects, skewness, and kurtosis of GSS. We also assessed factors independently associated with GSS and the top 2 possible scores. In this cross-sectional study, 164 patients seeing an orthopedic surgeon completed questionnaires measuring (1) a demographics, (2) symptoms of depression, (3) catastrophic thinking in response to nociception, (4) heightened illness concerns, and (5) satisfaction with the visit (GSS). Bivariate and multivariable analyses sought associations of the explanatory variable with total GSS and top 2 scores of GSS. Accounting for potential confounding using multivariable analysis, lower satisfaction was independently associated with greater symptoms of depression (β: −0.03; 95% CI: −0.05 to −0.00; P = .047). The top 2 scores of the GSS were independently associated with women (compared to men: odds ratio [OR]: 2.12, 99% CI: 1.01-4.45, P = .046) and lower level of education (masters’ degree compared to high school; OR: 0.16, 95% CI: 004-0.61, P = .007). The GSS had no floor effect, a ceiling effect of 38%, a skewness of −0.08, and a kurtosis of 1.3. The 38% ceiling effect of the iterative (Guttman-style) satisfaction measure is lower than ordinal satisfaction scales, but still undesirably high. Alternative approaches for reducing the ceiling effect of patient experience measures are needed.
- Published
- 2020
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239. Arthroscopic Transosseous Bony Bankart Repair
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Matthew D. Driscoll, M.D., Joseph P. Burns, M.D., and Stephen J. Snyder, M.D.
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Orthopedic surgery ,RD701-811 - Abstract
Restoration of glenoid bony integrity is critical to minimizing the risk of recurrence and re-creating normal kinematics in the setting of anterior glenohumeral instability. We present an arthroscopic suture anchor–based technique for treating large bony Bankart fractures in which the fragment is secured to the intact glenoid using mattress sutures placed through the bony fragment and augmented with soft-tissue repair proximal and distal to the bony lesion. This straightforward technique has led to excellent fragment reduction and good outcomes in our experience.
- Published
- 2015
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240. IMRA/SRS Delphi consensus on international standards for common core components of robotic surgical training design.
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Wynn J, Costello A, Larkins K, Costello D, Ghazi A, Ryan K, Barry K, Gray M, Gallagher A, Hung A, Heriot A, Warrier S, Reeves F, Collins J, Dundee P, Peters J, Homewood D, Driscoll D, Niall O, Fay T, Sachdeva A, Woo H, Satava R, and Mohan H
- Subjects
- Humans, Clinical Competence standards, Internationality, Robotic Surgical Procedures education, Robotic Surgical Procedures standards, Delphi Technique, Consensus, Curriculum
- Abstract
Robotic surgery has expanded internationally at pace. There are multiple local robotic training pathways but there is inconsistency in standardisation of core common components for curricula internationally. A framework is required to define key objectives that can be implemented across robotic training ecosystems. This Delphi consensus aimed to provide recommendations for core considerations in robotic training design across diverse training environments internationally. A literature search was performed and an international steering committee (AG, KL, JW, HM, TC) proposed key components for contemporary robotic training design and a modified Delphi approach was used to gather stakeholder opinion. The outcomes were then discussed at a face-to-face international expert consensus at the IMRA educational session at the Society of Robotic Surgery (SRS) meeting and final voting was conducted on outstanding items. Stakeholders included robotic surgeons, proctors, trainees and robotic surgical training providers. There was consensus achieved in 139 statements organised into 15 themes. There was 100% agreement that standardised themes in robotic curricula may improve patient safety. Key take-home messages include-training curricula should be multiplatform, non-technical skills are an important component of a robotic curriculum as well as console and bedside skills, clinically relevant performance metrics should be used for assessment where available, the reliance on cadaveric and live animal models should be reduced as high-fidelity synthetic models emerge, and stepwise component training is useful for advanced procedural training. These consensus recommendations are intended to guide design of fit for purpose contemporary robotic surgical curricula. Integration of these components into robotic training pathways internationally is recommended., (© 2024. The Author(s).)
- Published
- 2024
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241. The PREVENT dementia programme: baseline demographic, lifestyle, imaging and cognitive data from a midlife cohort study investigating risk factors for dementia.
- Author
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Ritchie CW, Bridgeman K, Gregory S, O'Brien JT, Danso SO, Dounavi ME, Carriere I, Driscoll D, Hillary R, Koychev I, Lawlor B, Naci L, Su L, Low A, Mak E, Malhotra P, Manson J, Marioni R, Murphy L, Ntailianis G, Stewart W, Muniz-Terrera G, and Ritchie K
- Abstract
PREVENT is a multi-centre prospective cohort study in the UK and Ireland that aims to examine midlife risk factors for dementia and identify and describe the earliest indices of disease development. The PREVENT dementia programme is one of the original epidemiological initiatives targeting midlife as a critical window for intervention in neurodegenerative conditions. This paper provides an overview of the study protocol and presents the first summary results from the initial baseline data to describe the cohort. Participants in the PREVENT cohort provide demographic data, biological samples (blood, saliva, urine and optional cerebrospinal fluid), lifestyle and psychological questionnaires, undergo a comprehensive cognitive test battery and are imaged using multi-modal 3-T MRI scanning, with both structural and functional sequences. The PREVENT cohort governance structure is described, which includes a steering committee, a scientific advisory board and core patient and public involvement groups. A number of sub-studies that supplement the main PREVENT cohort are also described. The PREVENT cohort baseline data include 700 participants recruited between 2014 and 2020 across five sites in the UK and Ireland (Cambridge, Dublin, Edinburgh, London and Oxford). At baseline, participants had a mean age of 51.2 years (range 40-59, SD ± 5.47), with the majority female ( n = 433, 61.9%). There was a near equal distribution of participants with and without a parental history of dementia (51.4% versus 48.6%) and a relatively high prevalence of APOEɛ4 carriers ( n = 264, 38.0%). Participants were highly educated (16.7 ± 3.44 years of education), were mainly of European Ancestry ( n = 672, 95.9%) and were cognitively healthy as measured by the Addenbrookes Cognitive Examination-III (total score 95.6 ± 4.06). Mean white matter hyperintensity volume at recruitment was 2.26 ± 2.77 ml (median = 1.39 ml), with hippocampal volume being 8.15 ± 0.79 ml. There was good representation of known dementia risk factors in the cohort. The PREVENT cohort offers a novel data set to explore midlife risk factors and early signs of neurodegenerative disease. Data are available open access at no cost via the Alzheimer's Disease Data Initiative platform and Dementia Platforms UK platform pending approval of the data access request from the PREVENT steering group committee., Competing Interests: C.W.R. is the majority shareholder, founder and CEO of Scottish Brain Sciences. C.W.R. has received consultancy fees from Biogen, Eisai, MSD, Actinogen, Roche, Virogenics and Eli Lilly, as well as payment or honoraria from Roche and Eisai., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Guarantors of Brain.)
- Published
- 2024
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242. A Case Study: Preserved Nipple-Areolar Complex Vascularity in High-Risk Secondary Reduction Mammaplasty Using Single-Stage Suction-Assisted Lipectomy With Dermal Mastopexy.
- Author
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Ho I, Moon T, and Driscoll D
- Abstract
Repeat surgery is known to increase risk of several surgical complications, including compromise to the blood supply of/surrounding the surgical site. As such, we offer an alternative to the use of a standard breast reduction technique in the case of a re-do reduction, pursued with a goal of maintaining the blood supply to the nipple-areola complex. When compared to traditional reduction mammoplasty, suction-assisted lipectomy with dermal mastopexy has been demonstrated to be a highly effective technique in protecting the vascularity of the nipple-areola complex in repeat breast reductions. We describe a successful utilization of this technique for a high-risk patient with active tobacco use undergoing secondary reduction mammoplasty., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Ho et al.)
- Published
- 2023
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243. Therapeutic and Safety Outcomes of Intravenous Ketamine for Treatment-refractory Depression in a Veteran Population: A Case Series.
- Author
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Vitek G, Langenfeld R, Walters RW, Elson A, Driscoll D, and Ramaswamy S
- Subjects
- Humans, Male, Middle Aged, Retrospective Studies, Female, Adult, Administration, Intravenous, Aged, Treatment Outcome, Cohort Studies, Psychiatric Status Rating Scales statistics & numerical data, Surveys and Questionnaires, Infusions, Intravenous methods, Ketamine administration & dosage, Ketamine therapeutic use, Ketamine adverse effects, Veterans statistics & numerical data, Veterans psychology, Depressive Disorder, Treatment-Resistant drug therapy
- Abstract
Introduction: Major depressive disorder is a serious, recurrent, and disabling psychiatric illness. Despite many proven treatments with multiple medications or therapies, approximately 30% of patients fail to achieve remission and are considered to have treatment-refractory depression (TRD). Recently, there has been a growing interest in the use of intravenous (IV) ketamine for the treatment of TRD. There is limited yet increasing evidence to support the use of ketamine, a glutamate receptor antagonist, in the management of depression; however, the lack of data regarding the safety and tolerability of therapy has limited its clinical use. By analyzing a cohort of veterans with TRD and comorbid psychiatric conditions treated with IV ketamine infusions for a 24-month study period, we aim to provide critical information about ketamine's clinical effectiveness and safety., Materials and Methods: Based on a retrospective chart review, we identified eight veterans with TRD receiving treatment with repeated-dose IV ketamine from 2018 to 2020. The magnitude of clinical response was based on the Beck Depression Inventory self-report scale and the Patient Health Questionnaire-9, both measured at the initial patient consultation and before the beginning of each ketamine infusion treatment. Safety analysis included changes to pre- and post-ketamine infusion on vital signs, effects on alertness and sedation, and potential psychosis-like effects. For all outcomes, we estimated a linear mixed-effects model that allowed heterogeneous residual variances for each veteran. The effect of continuous predictor variables was estimated using restricted cubic splines with knot points specified at the 5th, 35th, 65th, and 95th percentiles. All the analyses were conducted using SAS v.9.4, with P < .05 indicating the statistical significance. This study had institutional review board approval: 1220., Results: During the study period, the median number of ketamine infusions was 15 across a median of 164 days of treatment follow-up with a median time between ketamine infusions of 4 days. For both Beck Depression Inventory and Patient Health Questionnaire-9 scores, there was a statistically significant reduction across infusions (both P < .001), but the strongest reduction occurred before day 40. The change was statistically significant for decreased heart rate (P = .019) but not for systolic blood pressure (P = .612), diastolic blood pressure (P = .942), respiratory rate (P = .822), oxygen saturation (P = .070), and temperature (P = .943). Side effects were reported in six patients (75%); however, the only side effect reported was excessive sedation or dizziness immediately after infusion., Conclusions: In this study, repeated-dose IV ketamine infusions over a 24-month study period resulted in a significant reduction in depression scores in a group of veterans with TRD. The rapid onset of significant response, absence of psychosis-like effects or dissociative symptoms despite psychiatric comorbidities, and minimal effects on vital signs support the clinical efficacy and safety of this exciting new treatment option for patients with TRD. Limitations include a 2-year study period, lack of information on long-term effects, and the retrospective nature of the study. Prospective studies of longer duration are needed to assess the long-term efficacy and safety of IV ketamine for TRD., (© The Association of Military Surgeons of the United States 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2023
- Full Text
- View/download PDF
244. Posttraumatic Stress Disorder in a Physician Assistant After Working in an ICU During COVID-19.
- Author
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Vadlamudi A, Srikanth K, Driscoll D, and Ramaswamy S
- Subjects
- Female, Humans, Middle Aged, Pandemics, Cross-Sectional Studies, Intensive Care Units, Depression, COVID-19 epidemiology, Stress Disorders, Post-Traumatic epidemiology, Stress Disorders, Post-Traumatic therapy, Stress Disorders, Post-Traumatic etiology, Physician Assistants
- Abstract
Introduction: We present a case report of a physician assistant who experiences posttraumatic stress disorder (PTSD) from providing care to patients affected with COVID-19. We believe this case is important as it will reveal the unfortunate impact COVID-19 has on the mental health of health care professionals., Case Presentation: A 51-year-old White woman presented to our clinic with a 1-year history of panic attacks, mood swings, difficulty sleeping, nightmares, social withdrawal, guilt, and depression., Discussion: Cross-sectional, survey-based studies have highlighted PTSD rates in health care workers during the pandemic, but these studies have not explored how exactly PTSD presents on the individual level., Conclusions: This case presents a compelling reflection on what could be a larger trend of increasing mental health issues as a direct result of the COVID-19 pandemic and emphasizes the need for better mental health support and infrastructure to be in place for the well-being of the health care workers in this country., (Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.)
- Published
- 2022
245. Assessment of Financial Conflicts of Interest Related to the Use of Dermal Substitutes in Burn Management.
- Author
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Radparvar J, Tian T, Karamchandani M, Aalberg J, Driscoll D, Homsy C, and Chatterjee A
- Subjects
- Aged, Centers for Medicare and Medicaid Services, U.S., Disclosure, Humans, Medicare, United States, Burns surgery, Conflict of Interest
- Abstract
This study aims to systematically review the accuracy of the self-reporting of conflicts of interest (COIs) among studies related to the use of dermal substitute products in burn management and evaluate factors associated with increased discrepancies. To do so, a literature search was done to identify studies investigating the use of dermal substitutes in burn management published between 2015 and 2019. Industry payments were collected using the Centers for Medicare and Medicaid Services Open Payments database. Declared COIs were then compared with the listed payments. Studies and authors were considered to have a COI if they received payments totaling more than $100 for each company. A total of 51 studies (322 authors) were included for analysis. Forty studies and 104 authors received at least one payment from the industry. Of these studies, 38 (95%) studies and 91 (88%) authors were found to have a COI discrepancy. From 2015 to 2019, 1391 general payments (totaling $1,696,848) and 108 research payments (totaling $1,849,537) were made by 82 companies. When increasing the threshold on what would be considered an undisclosed payment, the proportion of authors with discrepancies gradually decreased, from 88% of authors with undisclosed payments more than $100 to 27% of authors with undisclosed payments more than $10,000. Author order, journal impact factor, and study type were not significantly associated with increased risk of discrepancy. We found that the majority of studies investigating the use of dermal substitute products for burn management did not accurately declare COI, highlighting the need for a uniform declaration process and greater transparency of industry sponsorship by authors when publishing peer-reviewed burn surgery research papers., (© The Author(s) 2021. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2022
- Full Text
- View/download PDF
246. Developing a Cancer Prevention Health Education Resource: a Primer of Process and Evaluation.
- Author
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Kelly PJ, Driscoll D, Lipnicky A, Anderson S, Glenn J, and Ramaswamy M
- Subjects
- Female, Health Education, Health Services Accessibility, Humans, Pregnancy, User-Computer Interface, Neoplasms prevention & control, Sexually Transmitted Diseases prevention & control
- Abstract
Limited women's health and cancer prevention materials are available that have been validated for vulnerable populations. Such materials are especially important for groups, which have intermittent and typically low-quality healthcare access and are at greatest risk for missing out on women's health and cancer prevention screening. Health education materials are developed from heterogeneous sources. Clinical and research teams have minimal guidance in terms of sources, timelines, outputs, and evaluation in the development of such materials. The goal of this paper is to share our process in developing and evaluating an up-to-date women's health and cancer prevention learning guide appropriate for a target population of women involved in the criminal justice system. A ten-page learning guide was drafted using the current evidence-based data, with the objective of providing educational material on four topics: cervical cancer, breast cancer, sexually transmitted infection, and unintended pregnancy prevention. The learning guide was then tested on a convenience sample of 33 women at a local county jail. Feedback was organized into three parts in which the participants Responded to open-ended question, "What is missing?" Rated each of the four topics for design and content Completed a usability assessment Common themes were participants' interest in learning about side effects of birth control and wanting more information on testing and treatment, specifically for sexually transmitted infections (STIs). Women were satisfied with the cancer prevention information presented to them. This report provides a framework for cancer prevention researchers who are developing health education materials for vulnerable populations., (© 2020. American Association for Cancer Education.)
- Published
- 2022
- Full Text
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247. Age-specific survival rates, causes of death, and allowable take of golden eagles in the western United States.
- Author
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Millsap BA, Zimmerman GS, Kendall WL, Barnes JG, Braham MA, Bedrosian BE, Bell DA, Bloom PH, Crandall RH, Domenech R, Driscoll D, Duerr AE, Gerhardt R, Gibbs SEJ, Harmata AR, Jacobson K, Katzner TE, Knight RN, Lockhart JM, McIntyre C, Murphy RK, Slater SJ, Smith BW, Smith JP, Stahlecker DW, and Watson JW
- Subjects
- Age Factors, Animals, Cause of Death, Female, Humans, Propylamines, Sulfides, Survival Rate, United States, Eagles
- Abstract
In the United States, the Bald and Golden Eagle Protection Act prohibits take of golden eagles (Aquila chrysaetos) unless authorized by permit, and stipulates that all permitted take must be sustainable. Golden eagles are unintentionally killed in conjunction with many lawful activities (e.g., electrocution on power poles, collision with wind turbines). Managers who issue permits for incidental take of golden eagles must determine allowable take levels and manage permitted take accordingly. To aid managers in making these decisions in the western United States, we used an integrated population model to obtain estimates of golden eagle vital rates and population size, and then used those estimates in a prescribed take level (PTL) model to estimate the allowable take level. Estimated mean annual survival rates for golden eagles ranged from 0.70 (95% credible interval = 0.66-0.74) for first-year birds to 0.90 (0.88-0.91) for adults. Models suggested a high proportion of adult female golden eagles attempted to breed and breeding pairs fledged a mean of 0.53 (0.39-0.72) young annually. Population size in the coterminous western United States has averaged ~31,800 individuals for several decades, with λ = 1.0 (0.96-1.05). The PTL model estimated a median allowable take limit of ~2227 (708-4182) individuals annually given a management objective of maintaining a stable population. We estimate that take averaged 2572 out of 4373 (59%) deaths annually, based on a representative sample of transmitter-tagged golden eagles. For the subset of golden eagles that were recovered and a cause of death determined, anthropogenic mortality accounted for an average of 74% of deaths after their first year; leading forms of take over all age classes were shooting (~670 per year), collisions (~611), electrocutions (~506), and poisoning (~427). Although observed take overlapped the credible interval of our allowable take estimate and the population overall has been stable, our findings indicate that additional take, unless mitigated for, may not be sustainable. Our analysis demonstrates the utility of the joint application of integrated population and prescribed take level models to management of incidental take of a protected species., (© 2022 The Authors. Ecological Applications published by Wiley Periodicals LLC on behalf of The Ecological Society of America. This article has been contributed to by US Government employees and their work is in the public domain in the USA.)
- Published
- 2022
- Full Text
- View/download PDF
248. Demographic implications of lead poisoning for eagles across North America.
- Author
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Slabe VA, Anderson JT, Millsap BA, Cooper JL, Harmata AR, Restani M, Crandall RH, Bodenstein B, Bloom PH, Booms T, Buchweitz J, Culver R, Dickerson K, Domenech R, Dominguez-Villegas E, Driscoll D, Smith BW, Lockhart MJ, McRuer D, Miller TA, Ortiz PA, Rogers K, Schwarz M, Turley N, Woodbridge B, Finkelstein ME, Triana CA, DeSorbo CR, and Katzner TE
- Abstract
Lead poisoning occurs worldwide in populations of predatory birds, but exposure rates and population impacts are known only from regional studies. We evaluated the lead exposure of 1210 bald and golden eagles from 38 US states across North America, including 620 live eagles. We detected unexpectedly high frequencies of lead poisoning of eagles, both chronic (46 to 47% of bald and golden eagles, as measured in bone) and acute (27 to 33% of bald eagles and 7 to 35% of golden eagles, as measured in liver, blood, and feathers). Frequency of lead poisoning was influenced by age and, for bald eagles, by region and season. Continent-wide demographic modeling suggests that poisoning at this level suppresses population growth rates for bald eagles by 3.8% (95% confidence interval: 2.5%, 5.4%) and for golden eagles by 0.8% (0.7%, 0.9%). Lead poisoning is an underappreciated but important constraint on continent-wide populations of these iconic protected species.
- Published
- 2022
- Full Text
- View/download PDF
249. Adjunctive Minocycline for Treatment of Posttraumatic Stress Disorder.
- Author
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Gerst A, Murthy T, Elson A, Driscoll D, Bittner MJ, and Ramaswamy S
- Subjects
- Humans, Male, Minocycline therapeutic use, Prospective Studies, Treatment Outcome, Stress Disorders, Post-Traumatic drug therapy, Veterans
- Abstract
Introduction: Posttraumatic stress disorder (PTSD) is a chronic, debilitating anxiety disorder. While there is evidence that antibiotics such as minocycline may help to improve symptoms in some psychiatric disorders, no human studies have evaluated their potential as a treatment for PTSD., Methods: We present results from 4 men aged 33 to 59 years who completed a 12-week pilot, prospective, nonrandomized, open-label clinical trial of adjunctive minocycline for veterans diagnosed with PTSD., Results: All 4 patients showed reduction in PTSD symptoms at the end of the 12-week study, and 3 patients showed reduction in depression symptoms. Observed changes in inflammatory biomarkers are discussed., Discussion: Previous studies have reported increased inflammation in PTSD, though evidence of a potential therapeutic effect of minocycline for PTSD has not been reported previously in humans., Conclusion: These findings suggest that antibiotics like minocycline may help to reduce symptoms of PTSD, though further investigation is needed to confirm these findings., (Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.)
- Published
- 2021
250. Experience of outreach in a resource-constrained environment: 10 years of outcomes in burn care.
- Author
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Fuzaylov G, Dabek RJ, Bojovic B, Driscoll D, Dylewski M, Khalak S, Savchyn V, and Decik M
- Subjects
- Child, Community Networks, First Aid, Health Personnel, Health Promotion, Humans, Pneumonia epidemiology, Sepsis epidemiology, Ukraine, Wound Infection epidemiology, Burns epidemiology, Burns prevention & control, Burns therapy, Telemedicine
- Abstract
Objective: The objective of this work was to describe an efficient and sustainable outreach model in a resource-constrained environment, with a multifaceted approach focusing on national policy change, telemedicine, injury prevention, education and treatment of burns., Summary Background Data: Burn injury constitutes a significant portion of morbidity and mortality worldwide, particularly in children, and in low- and middle-income countries., Methods: We reviewed the impact of ten-years of a burn outreach program. Our focus was on clinical data on burn care within one region of Ukraine. We assessed knowledge of burn prevention/first aid utilizing a large survey, analyzed clinical data from our outreach clinic and telemedicine program, and analyzed data within a newly created burn repository within Ukraine., Results: A national burn prevention policy has been implemented through our efforts along with a burn prevention program. Educational efforts have led to improvements of major complication rates (wound infection [7% vs. 16%], pneumonia [2.4% vs. 0.3%], sepsis [1.6% vs. 0.6%], UTI [2% vs. 0.6%], and cellulitis [11% vs. 3.4%]), respiratory support of acutely ill patients [1.3% vs. 0.4%], and blood transfusion triggers., Conclusions: Broadly, our model could be an example of building sustainable outreach programs in resource-constrained environments. Through collaboration with local healthcare providers, we have developed and implemented an outreach program in a resource-constrained environment., (Copyright © 2021 Elsevier Ltd and ISBI. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
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