11 results on '"McLarney M"'
Search Results
2. Distributed multi-modal sensor system for searching a foliage-covered region
- Author
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Fetterman, M R, primary, Hughes, T, additional, Armstrong-Crews, N, additional, Barbu, C, additional, Cole, K, additional, Freking, R, additional, Hood, K, additional, Lacirignola, J, additional, McLarney, M, additional, Myne, A, additional, Relyea, S, additional, Vian, T, additional, Vogl, S, additional, and Weber, Z, additional
- Published
- 2011
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3. Procedural and surgical treatment modalities for acne scarring: Part II.
- Author
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Renzi M, McLarney M, Jennings T, Duffy R, Heymann WR, Lawrence N, and Decker A
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- Humans, Cosmetic Techniques adverse effects, Dermatologic Surgical Procedures adverse effects, Dermatologic Surgical Procedures methods, Needles, Radiofrequency Therapy methods, Acne Vulgaris complications, Chemexfoliation methods, Cicatrix etiology, Cicatrix therapy, Cicatrix surgery, Dermal Fillers administration & dosage, Dermal Fillers adverse effects, Laser Therapy methods
- Abstract
The optimal treatment of acne scarring is challenging because several factors need to be considered, including the type and number of scars, Fitzpatrick skin type, and the amount of downtime permissible to the patient. This second article in the continuing medical education series discusses the procedural treatments available for acne scarring, including the use of chemical peels, fillers, radiofrequency microneedling, lasers, and surgical procedures. The indications for each modality, evidence for its benefits, and the adverse effects are discussed. This section aims to help guide the reader select and implement the most appropriate treatment based on the patient's preferences, acne scarring, and skin type., Competing Interests: Conflict of interest None disclosed., (Copyright © 2022 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.)
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- 2024
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4. Acne scarring-pathophysiology, diagnosis, prevention and education: Part I.
- Author
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Jennings T, Duffy R, McLarney M, Renzi M, Heymann WR, Decker A, and Lawrence N
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- Humans, Acne Vulgaris complications, Acne Vulgaris diagnosis, Acne Vulgaris therapy, Cicatrix etiology, Cicatrix diagnosis, Cicatrix therapy, Patient Education as Topic
- Abstract
Acne scarring is common and can occur even with effective acne management. In addition, patients with acne scarring suffer from significant psychosocial morbidity, including depression and suicidality. Despite the availability and advancement of therapeutic modalities, treatment for acne scarring is not always optimized and often overlooked in patients with acne encounters. Using acne scarring assessment tools and identifying specific acne scar subtypes allows for a tailored therapeutic approach. Part I of this continuing medical education series covers the pathophysiology and morphology of textural and pigmented acne scars, scarring assessment tools, and medical treatment options. The principles reviewed will aid in approaching and initiating acne scar treatment in the outpatient setting., Competing Interests: Conflict of interest None disclosed., (Copyright © 2022 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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5. Rehabilitation after brain tumor resection: A national study of postacute care service use through insurance claims data.
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McLarney M, Fergestrom N, Zheng J, and Pezzin LE
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- Humans, Male, Female, Retrospective Studies, Middle Aged, United States, Aged, Adult, Rehabilitation Centers statistics & numerical data, Insurance Claim Review, Patient Discharge statistics & numerical data, Brain Neoplasms surgery, Brain Neoplasms rehabilitation, Length of Stay statistics & numerical data, Subacute Care
- Abstract
Objective: To assess postacute rehabilitation service use and length of stay among a national sample of patients with brain tumors after surgery., Design: A retrospective review was conducted of health care claims data of a national sample of patients via The Optum Clinformatics DataMart., Setting and Participants: This study included adult individuals (≥18 years of age) who were diagnosed with a brain tumor between 2015 and 2019 and underwent a craniotomy or craniectomy within 180 days of diagnosis., Methods: Descriptive statistics were used to characterize patients by tumor type. Multivariate models assessed factors associated with discharge setting and length of stay., Results: Of the 10,275 individuals identified, 69% had malignant tumors. Over two thirds of patients were discharged directly home (with or without home health care) and 9.3% and 9.5% were discharged to acute rehabilitation facilities (inpatient rehabilitation facilities [IRF]) and skilled nursing facilities (SNF/ICF), respectively. About 13.5% were discharged to other settings. The average length of stay during the episode of care was 8.6 (SD = 9.6) days. After adjusting for confounders, individuals with benign brain tumors were more likely to be discharged to either IRF or SNF/ICF than return home after acute care stay, as were those with greater comorbidities, older age, fee-for-service and health maintenance organization insurance. Wealthier patients were less likely to be discharged to a SNF/ICF than home, although income was not a factor affecting discharge to an IRF. Patients with benign tumors, the oldest old (80+), those with more comorbidities as well as Black and Hispanic patients had a longer length of stay during the acute hospitalization., Conclusions: Individuals with brain tumors have deficits amenable to rehabilitation; however, this study finds that service use differs by tumor type and demographic and socioeconomic factors. Further study is needed to identify if there are barriers to access and use of rehabilitation services in this population., (© 2023 American Academy of Physical Medicine and Rehabilitation.)
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- 2024
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6. Psychological and Cognitive Functioning Among Patients Receiving Outpatient Rehabilitation for Post-COVID Sequelae: An Observational Study.
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Abramoff BA, Dillingham TR, Brown LA, Caldera F, Caldwell KM, McLarney M, McGinley EL, and Pezzin LE
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- Humans, Outpatients, Quality of Life, Post-Acute COVID-19 Syndrome, SARS-CoV-2, Cognition, Disease Progression, COVID-19 epidemiology
- Abstract
Objectives: To describe the characteristics of individuals receiving outpatient rehabilitation for post-acute sequelae of SARS-CoV-2 infection (PASC). Further, to examine factors associated with variation in their psychological and cognitive functioning and health-related quality of life., Design: Observational study., Setting: Outpatient COVID-19 recovery clinic at a large, tertiary, urban health system in the US., Participants: COVID-19 survivors with persistent sequelae (N=324)., Interventions: Not applicable., Main Outcome Measures: Multivariable logistic and linear regression models were used to examine factors associated with COVID survivors' experience of severe anxiety, severe depression, post-traumatic stress disorder (PTSD), cognitive impairment, and self-reported health-related quality of life., Results: About 38% of survivors seeking care for their persistent COVID symptoms suffered from severe anxiety, 31.8% from severe depression, 43% experiencing moderate to severe PTSD symptomology, and 17.5% had cognitive impairment. Their health-related quality of life was substantially lower than that of the general population (-26%) and of persons with other chronic conditions. Poor and African American/Black individuals experienced worse psychological and cognitive sequelae after COVID19 infection, even after controlling for age, sex, initial severity of the acute infection, and time since diagnosis., Conclusions: Evidence of consistent disparities in outcomes by the patients' race and socioeconomic status, even among those with access to post-acute COVID rehabilitation care, are concerning and have significant implications for PASC policy and program development., (Copyright © 2022 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
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- 2023
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7. Navigating Diabetes Online Communities in Clinical Practice.
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McLarney M, Litchman ML, Greenwood D, and Drincic A
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- Glycated Hemoglobin, Humans, Prospective Studies, Self Care, Diabetes Mellitus psychology, Quality of Life
- Abstract
Objective: This purpose of this study was to conduct a rapid review and environmental scan of diabetes online communities (DOCs) to highlight the clinical impact of DOC engagement and provide guidance to health care providers for navigating and prescribing DOCs., Methods: This two-phase review included a rapid review of clinical outcomes and an assessment of DOC content. We conducted a literature search for studies evaluating DOC use and glucometric (glycated hemoglobin [A1C], time-in-range, hypoglycemia), behavioral, and psychosocial outcomes. The environmental scan of current DOC sites established key features, including available platforms, target population, content areas, and reach., Results: Twelve papers were included-eight reported DOC use within a context of do-it-yourself (DIY) noncommercial, opensource hybrid closed loop systems community and four were non-DYI related. In latter, all studies were cross-sectional, describing patient-reported outcomes. Two studies reported A1C lowering with DOC use, two DOC use was associated with high self-efficacy, one showed association with higher self-care levels, and one showed higher quality of life scores when compared with population norms. All DIY studies showed improvement in glucometrics after initiation of sensor augmented pump technology with DOC support. Of 54 DOC sites reviewed in the environmental scan, 29 were included. Diabetes online community sites were heterogenous in social media platform and type of diabetes targeted., Conclusion: Diabetes online communities have the potential to improve clinical, behavioral, and psychosocial outcomes. Randomized control trials and/or longitudinal prospective studies evaluating outcomes are needed to further examine the potential benefits of DOC use. Diabetes online communities are diverse and span a variety of social media platforms, providing clinicians opportunities to individualize recommendations for DOC use.
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- 2022
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8. The prevalence of lower limb loss in children and associated costs of prosthetic devices: A national study of commercial insurance claims.
- Author
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McLarney M, Pezzin LE, McGinley EL, Prosser L, and Dillingham TR
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- Child, Health Care Costs, Humans, Longitudinal Studies, Prevalence, Retrospective Studies, United States epidemiology, Insurance, Lower Extremity surgery
- Abstract
Background: Although the incidence of major pediatric lower limb loss secondary to either congenital deficiencies or acquired amputations is relatively low, the prevalence of lower limb loss among children in the United States (US) remains unknown., Objectives: To estimate the prevalence of major lower limb loss, and the associated prosthetic services use and costs among commercially-insured children in the US., Study Design: Observational, retrospective, longitudinal cohort study., Methods: The IBM MarketScan®Commercial Database was used to identify children (<18 years) with major lower limb loss in the US between 2009 and 2015. Descriptive statistics were used to characterize pediatric cases according to sociodemographic and limb loss characteristics. Multivariate models assessed factors associated with annual prosthetic visits, prosthetic-related costs, and overall medical costs., Results: Of the 36.5 million children in the MarketScan database, 14,038 had a major lower limb loss, yielding a prevalence estimate of 38.5 cases per 100,000 commercially insured children in the US during the 7-year study period. Congenital deficiencies accounted for 84% of cases, followed by 13.5% from trauma. Only 10.1% had at least one prosthesis-related visit during any 12-month period following their cohort entry. Among those, the mean annual prosthetic-related costs ranged from $50 to $29,112 with a median annual cost of $2778 (interquartile range = $4567). Annual coinsurance and copays for prosthetic services accounted for nearly half of the overall annual out-of-pocket outlays with medical care for these children., Conclusion: Pediatric lower limb loss results in lifelong prosthetic needs. This study informs insurers and policy-makers regarding the prevalence of these patients and the medical costs for their care., (Copyright © 2020 International Society for Prosthetics and Orthotics.)
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- 2021
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9. Copper deficiency related myelopathy 40 years following a jejunoileal bypass.
- Author
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Joshi S, McLarney M, and Abramoff B
- Subjects
- Aged, Copper administration & dosage, Female, Humans, Jejunoileal Bypass trends, Postoperative Complications therapy, Spinal Cord Diseases therapy, Time Factors, Copper deficiency, Jejunoileal Bypass adverse effects, Postoperative Complications diagnostic imaging, Postoperative Complications etiology, Spinal Cord Diseases diagnostic imaging, Spinal Cord Diseases etiology
- Abstract
Introduction: Acquired copper deficiency myelopathy is a rare disorder associated with hematologic abnormalities, peripheral neuropathy, and sensory ataxia. Although its clinical presentation and radiographic findings are similar to other nutrient deficiencies, practitioners often fail to diagnose copper deficiency. This report describes a case of copper deficiency decades after a jejunoileal bypass (JIB) to draw attention to potential long-term sequelae associated with this now abandoned procedure., Case Presentation: A 67-year-old female presented with bilateral paresthesias of her hands and legs, accompanied by gait instability and frequent falls. The individual had a significant history of malabsorption and malnutrition related to a 40 years prior JIB for weight loss. MRI demonstrated T2 hyperintense signal in the dorsal spinal cord between C3 and C5. She was found to have copper deficiency, underwent IV repletion, prescribed oral repletion, and was discharged home. She subsequently developed progressive symptoms over the following year and remained unable to function at home. Treatment required inpatient copper repletion followed by inpatient rehabilitation. Following rehabilitation, the individual demonstrated significant improved independence., Discussion: Although JIB surgery is not currently performed, it is important to recognize the metabolic consequences of nutrient deficiencies related to this procedure and the potential for the development of neurological sequelae including myelopathy. Furthermore, additional causes of copper deficiency to consider in cases of undifferentiated myelopathy include congenital metabolic syndromes, zinc toxicity, and malabsorption. This case demonstrates the potential of intensive physical and occupational therapy regimens, along with symptomatic treatment and nutrient repletion, to help an individual regain independence and improve activities of daily living., Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest., (© International Spinal Cord Society 2019.)
- Published
- 2019
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10. App-Based Insulin Calculators: Current and Future State.
- Author
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Eiland L, McLarney M, Thangavelu T, and Drincic A
- Subjects
- Algorithms, Blood Glucose analysis, Humans, Insulin administration & dosage, Smartphone, Insulin analysis, Mobile Applications
- Abstract
Purpose of Review: To perform a comprehensive literature review and critical assessment of peer-reviewed manuscripts addressing the efficacy, safety, or usability of insulin calculator apps., Recent Findings: Managing diabetes with insulin can be complex, and literacy and numeracy skills pose barriers to manual insulin dose calculations. App-based insulin calculators are promising tools to help people with diabetes administer insulin safely and have potential to improve glycemic control. While a large number of apps which assist with insulin dosing are available, there is limited data evaluating their efficacy, safety, and usability. Recently, a need for regulatory oversight has been recognized, but few apps meet federal standards. Thus, choosing an appropriate app is challenging for both patients and providers. An electronic literature review was performed to identify insulin calculator apps with either evidence for efficacy, safety or usability published in peer-reviewed literature or with FDA/CE approval. Twenty apps were identified intended for use by patients with diabetes on insulin. Of these, nine included insulin calculators. Summaries of each app, including pros and cons, are provided. Insulin-calculator apps have the potential to improve self-management of diabetes. While current literature demonstrates improvements in quality of life and glycemic control after use of these programs, larger trials are needed to collect outcome and safety data. Also, further human factor analysis is needed to assure these apps will be adopted appropriately by people with diabetes. App features including efficacy and safety data need to be easily available for consumer review and decision making. Higher standards need to be set for app developers to ensure safety and efficacy.
- Published
- 2018
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11. Pattern of amino acid requirements in humans: an interspecies comparison using published amino acid requirement recommendations.
- Author
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McLarney MJ, Pellett PL, and Young VR
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- Aging metabolism, Amino Acids, Essential metabolism, Analysis of Variance, Animal Nutritional Physiological Phenomena, Animals, Databases, Factual, Diet, Humans, Nutrition Policy, Species Specificity, Aging physiology, Amino Acids, Essential administration & dosage, Amino Acids, Essential physiology, Nutritional Requirements
- Abstract
We undertook an interspecies comparison of essential (indispensable) amino acid requirements, in relation to those for total protein, to examine whether the current, internationally proposed human amino acid requirement patterns are significantly different from those of other animals. Data were compiled in their original form and then expressed as mg amino acid/g total dietary protein (N X 6.25) required (amino acid requirement pattern). Patterns of requirements within the various species were organized according to four, arbitrary age-developmental groupings (very young, early growth, growth and mature), and these were compared with the requirements for (a) human infants, (b) 2-5 year old children, (c) 10-12 year old children and (c) adults, respectively. Statistical comparisons determined if significant differences existed between humans and other species, at apparently similar age-development stages, for both the total and for individual indispensable amino acids. The sum of the specific indispensable amino acid requirements for humans was significantly different than that for other species at infancy, growth and adulthood; the greatest differences, however, were for the amino acid requirement pattern in adulthood. The change between the very young and adult was the greatest for humans. Some of this difference might be due to experimental factors, including the biological status of a species within the arbitrary groupings described and the criteria used to determine "requirements." Nevertheless, it is difficult to escape the conclusion that the current international human amino acid requirements, for adults in particular, appear to be anomalous when judged against data for other animal species.
- Published
- 1996
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