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3. Pectus Excavatum: Consensus and Controversies in Clinical Practice

Author

Abramson, Horacio A., Aguiar, Wolfgang W.S., Alder, Adam C., Ambriz-González, Gabriela, Andrews, James, Backhus, Leah M., de Beer, Sjoerd A., de Campos, José Ribas M., Chu, Chih-Chun, Currie, Bruce G., Darlong, Laleng M., Dhannapuneni, Ramana, Doody, Daniel P., Elmo, Gastón, Emil, Sherif, Villacampa, Ricardo Escartín, Ferrari, Paolo A., Fortmann, Caroline, Goretsky, Michael J., Haecker, Frank-Martin, Hebra, Andre, van der Heide, Stefan M., Hendriks, Jeroen M.H., Hensens, Ab G., Heyman, Stijn R.G., van Huijstee, Pieter J., Hulsewé, Karel W.E., Infante, Maurizio V., Jansen, Yanina J.L., Jaroszewski, Dawn E., Kelly, Robert E., Jr., de Loos, Erik R., Marres, Geertruid M.H., von Meyenfeldt, Erik M., Omanik, Pavol, Oomen, Matthijs W., Peredo, Alfredo W., Perez-Alonso, David, Petersen, Claus, Pilegaard, Hans K., Prada-Arias, Marcos, Rebhandl, Winfried, Zarama, Ricardo M., Ryan, Daniel P., De Ryck, Frederic, Schewitz, Ivan, Tedde, Miguel L., Thomas, Mathew, De La Torre, Carlos A., Van Veer, Hans G.L., Vervloessem, Dirk, Vissers, Yvonne L.J., Van De Wauwer, Caroline, Wimmer, Cosmas D., Yildiran, Huseyin, Yuksel, Mustafa, Zijp, Gerda W., Janssen, Nicky, Daemen, Jean H.T., van Polen, Elise J., Coorens, Nadine A., Franssen, Aimée J.P.M., and Milanez de Campos, Jose R.

Published
2023
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4. The Allies Are Alright: Why America Can Get Away With Bullying Its Friends

Author

Kelly, Robert E. and Poast, Paul

Subjects
Political leadership -- Analysis, Alliances -- Analysis, Ex-presidents -- Influence -- Evaluation, International relations, Political science
Abstract

The presidency of Donald Trump seemed to throw the U.S. alliance system into disarray. In 2016, when still a candidate, Trump disparaged Washington's traditional allies, dismissed NATO as 'obsolete,' and [...]

Published
2022

7. Multicenter study of pectus excavatum, final report: complications, static/exercise pulmonary function, and anatomic outcomes.

Author

Kelly, Robert E, Mellins, Robert B, Shamberger, Robert C, Mitchell, Karen K, Lawson, M Louise, Oldham, Keith T, Azizkhan, Richard G, Hebra, Andre V, Nuss, Donald, Goretsky, Michael J, Sharp, Ronald J, Holcomb, George W, Shim, Walton KT, Megison, Stephen M, Moss, R Lawrence, Fecteau, Annie H, Colombani, Paul M, Cooper, Dan, Bagley, Traci, Quinn, Amy, Moskowitz, Alan B, and Paulson, James F

Subjects
Humans, Funnel Chest, Postoperative Complications, Tomography, X-Ray Computed, Exercise Test, Respiratory Function Tests, Treatment Outcome, Orthopedic Procedures, Follow-Up Studies, Prospective Studies, Body Image, Psychological Tests, Adolescent, Child, Female, Male, CO(2) production, FEV(1), FVC, HR, O(2) consumption, V(CO(2)), V(O(2)), VE, WR, forced expiratory volume in 1 second, forced vital capacity, heart rate, ventilation, work rate, Tomography, X-Ray Computed, Surgery, Clinical Sciences
Abstract

BackgroundA multicenter study of pectus excavatum was described previously. This report presents our final results.Study designPatients treated surgically at 11 centers were followed prospectively. Each underwent a preoperative evaluation with CT scan, pulmonary function tests, and body image survey. Data were collected about associated conditions, complications, and perioperative pain. One year after treatment, patients underwent repeat chest CT scan, pulmonary function tests, and body image survey. A subset of 50 underwent exercise pulmonary function testing.ResultsOf 327 patients, 284 underwent Nuss procedure and 43 underwent open procedure without mortality. Of 182 patients with complete follow-up (56%), 18% had late complications, similarly distributed, including substernal bar displacement in 7% and wound infection in 2%. Mean initial CT scan index of 4.4 improved to 3.0 post operation (severe >3.2, normal = 2.5). Computed tomography index improved at the deepest point (xiphoid) and also upper and middle sternum. Pulmonary function tests improved (forced vital capacity from 88% to 93%, forced expiratory volume in 1 second from 87% to 90%, and total lung capacity from 94% to 100% of predicted (p < 0.001 for each). VO2 max during peak exercise increased by 10.1% (p = 0.015) and O2 pulse by 19% (p = 0.007) in 20 subjects who completed both pre- and postoperative exercise tests.ConclusionsThere is significant improvement in lung function at rest and in VO2 max and O2 pulse after surgical correction of pectus excavatum, with CT index >3.2. Operative correction significantly reduces CT index and markedly improves the shape of the entire chest, and can be performed safely in a variety of centers.

Published
2013

11. Utilizing Pre- and Postoperative CT to Validate an Instrument for Quantifying Pectus Excavatum Severity

Author

Zeng, Qi, Kidane, Nahom, Obeid, Mohammad F., Chen, Chenghao, Shen, Ruofan, Kelly, Robert E., McKenzie, Frederic D., Diniz Junqueira Barbosa, Simone, Series editor, Chen, Phoebe, Series editor, Du, Xiaoyong, Series editor, Filipe, Joaquim, Series editor, Kara, Orhun, Series editor, Kotenko, Igor, Series editor, Liu, Ting, Series editor, Sivalingam, Krishna M., Series editor, Washio, Takashi, Series editor, Zhang, Lin, editor, Song, Xiao, editor, and Wu, Yunjie, editor

Published
2016
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12. Improvement of a Virtual Pivot for Minimally Invasive Surgery Simulators Using Haptic Augmentation

Author

Obeid, Mohammad F., Chemlal, Salim, Rechowicz, Krzysztof J., Heo, Eun-sil, Kelly, Robert E., McKenzie, Frederic D., Hutchison, David, Series editor, Kanade, Takeo, Series editor, Kittler, Josef, Series editor, Kleinberg, Jon M., Series editor, Kobsa, Alfred, Series editor, Mattern, Friedemann, Series editor, Mitchell, John C., Series editor, Naor, Moni, Series editor, Nierstrasz, Oscar, Series editor, Pandu Rangan, C., Series editor, Steffen, Bernhard, Series editor, Terzopoulos, Demetri, Series editor, Tygar, Doug, Series editor, Weikum, Gerhard, Series editor, Linte, Cristian A., editor, Yaniv, Ziv, editor, Fallavollita, Pascal, editor, Abolmaesumi, Purang, editor, and Holmes, David R., III, editor

Published
2014
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17. Pectus Excavatum

Author

Kelly, Robert E., Nuss, Donald, Parikh, Dakshesh H., editor, Crabbe, David C. G., editor, Auldist, Alexander W., editor, and Rothenberg, Steven S., editor

Published
2009
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26. Surviving the First Three Months as a Community College Library Director

Author

Kelly, Robert E., IV

Abstract

The experiences of a first-time community college library director during the initial three months on the job are detailed. The process of automation software migration is used as a vehicle for demonstrating activities performed to improve knowledge. Marketing, customer service, and identification of core library supporters are addressed. Concern for preparation paths of 2-year college library directors and the ability to attract quality applicants is expressed.

Published
2003
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35. A Systems Approach to Teaching.

Author

Kelly, Robert E.

Abstract

The systematic approach to teaching provides a method for the functional organization and development of instruction. This method applies to preparation of materials for classroom use, as well as for print and non-print media. Inputs to the systems approach include well defined objectives, analysis of the intended audience, special criteria desired by the customer, analysis and use of existing resources, and a team of instructional system specialists, subject matter experts, writers, and visual specialists. Outputs are functional relations trees, functional block diagrams, a teaching sequence chart, and frames (a combination of words and visuals on a specific topic from the teaching sequence chart). The three step production flow consists of content requirements, content development, and use. Material is divided into levels of detail, so that the student studies only until he has reached the level he needs. At each level of detail, the material is treated as a whole, then in its parts, and finally recombined into a functional whole. Visuals illustrating the concepts are included. (EMH)

Published
1976

38. GUIDELINES, PROCEDURES, PROGRAMS AND POLICIES RELATING TO MARRIED AND TO PREGNANT STUDENTS.

Author

Los Angeles City Schools, CA. and KELLY, ROBERT E.

Abstract

THESE GUIDELINES ARE FOR (1) THE PARTICIPATION OF PREGNANT AND MARRIED STUDENTS IN THE REGULAR SCHOOL PROGRAM, (2) THE PLACEMENT OF PREGNANT STUDENTS IN SPECIAL EDUCATIONAL PROGRAMS, AND (3) THE POSTPARTUM RETURN OF STUDENTS TO THEIR REGULAR SCHOOL. THEY ALSO OUTLINE POLICIES WHICH RELATE TO ATTENDANCE CREDITS FROM A SPECIAL SCHOOL, GRADUATION FROM A REGULAR SECONDARY SCHOOL, AND TEXTBOOKS AND ASSIGNMENTS. AMONG THE SPECIAL EDUCATION PROGRAMS AVAILABLE TO PREGNANT STUDENTS ARE HOME INSTRUCTION, INSTRUCTION VIA TELEPHONE ("TELE-CLASS"), AND CLASSROOM INSTRUCTION IN OR NEAR COUNTY HEALTH CENTERS OR IN MATERNITY HOMES. (LB)

Published
1967

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