Search results for "LTER"

showing 10 items of 3539 documents

The pharmacovigilance program on natalizumab in Italy: 2 years of experience.

2009

At the end of 2006 a country-based surveillance program on natalizumab therapy in multiple sclerosis was settled in Italy by a collaborative effort of the Italian Drug Agency (AIFA) and a group of experts and neurologists appointed by the National Society of Neurology (SIN). After 2 years, 1,818 patients are registered in the database. The majority of cases (88.6%) failed the therapy with beta interferon or glatiramer acetate and had relapses or accumulated disability during immunomodulating treatment, while 11.4% of patients enrolled in the surveillance study were not previously treated with immunomodulating therapies and had a rapidly evolving clinical course. Almost 10% of the patients t…

AdultMalemedicine.medical_specialtyPediatricsNeurologyMultiple SclerosisPatient DropoutsDatabases FactualAlternative medicineDermatologyPharmacologyAntibodies Monoclonal HumanizedNatalizumabPharmacovigilanceProduct Surveillance PostmarketingMedicineHumansGlatiramer acetateMultiple sclerosis NatalizumabSurveillance programPharmacovigilancebusiness.industryMultiple sclerosisNatalizumabAntibodies MonoclonalDrug agencyGeneral Medicinemedicine.diseaseMagnetic Resonance ImagingPsychiatry and Mental healthItalyPHARMACOVIGILANCEREGISTRYSettore MED/26 - NeurologiaFemaleNeurology (clinical)Neurosurgerybusinessmedicine.drugFollow-Up StudiesNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
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Brain lateralization of metrical accenting in musicians.

2009

The perception of meter, or the alternation of strong and weak beats, was assessed in musically trained listeners through magnetoencephalography. Metrical accents were examined with no temporal disruption of the serial grouping of tones. Results showed an effect of metrical processing among identical standard tones in the left hemisphere, with larger responses on strong than on weak beats. Moreover, processing of occasional increases in intensity (phenomenal accents) varied as a function of metrical position in the left hemisphere, but not in the right. Our findings support the view of a relatively early, left-hemispheric effect of metrical processing in musicians.

AdultMalemedicine.medical_specialtyPeriodicitymedia_common.quotation_subjectAudiologyBrain mappingGeneral Biochemistry Genetics and Molecular BiologyLateralization of brain functionFunctional LateralityYoung AdultHistory and Philosophy of SciencePerceptionmedicineRhythm perceptionAlternation (formal language theory)Humansmedia_commonCommunicationBrain Mappingmedicine.diagnostic_testbusiness.industryGeneral NeuroscienceBrainMagnetoencephalographyMagnetoencephalographyAcoustic StimulationAuditory PerceptionFemalebusinessPsychologyMusicAnnals of the New York Academy of Sciences
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Ureteral realignment with combined access as a treatment of complete ureteral transection.

2019

Ureteral realignment using a ureteral stent can be an alternative treatment in cases of complete ureteral transection and may avoid the need for reconstructive surgery. The combined access can help the passage of the guidewire through the injured area and the threading of the urinary system of the patient. We present a case of a 38-year-old man with multiples abdominal surgeries, who underwent a complete ureteral section treated with ureteral realignment with combined access. The subsequent evolution was favourable, with resolution of the ureteral injury at the acute time, and without the presence of long-term obstruction. Although we must accept that the standard treatment of the complete …

AdultMalemedicine.medical_specialtyReconstructive surgeryUrologyUrinary systemmedicine.medical_treatmentAnastomosisUreteral realignmenturologic and male genital diseaseslcsh:RC870-923Ureteral injurymedicineHumansbusiness.industryurogenital systemStandard treatmentTreatment optionsStentlcsh:Diseases of the genitourinary system. UrologyAlternative treatmentfemale genital diseases and pregnancy complicationsSurgeryUreteral traumasurgical procedures operativeUrologic Surgical ProceduresUreterbusinessEndourologyUreteral transectionArchivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica
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Analysis of thiamine transporter genes in sporadic beriberi

2014

Abstract Objective Thiamine or vitamin B 1 deficiency diminishes thiamine-dependent enzymatic activity, alters mitochondrial function, impairs oxidative metabolism, and causes selective neuronal death. We analyzed for the first time, the role of all known mutations within three specific thiamine carrier genes, SLC19 A2, SLC19 A3 , and SLC25 A19 , in a patient with atrophic beriberi, a multiorgan nutritional disease caused by thiamine deficiency. Methods A 44-year-old male alcoholic patient from Morocco developed massive bilateral leg edema, a subacute sensorimotor neuropathy, and incontinence. Despite normal vitamin B 1 serum levels, his clinical picture was rapidly reverted by high-dose in…

AdultMalemedicine.medical_specialtySLC19 A- SLC25 A19SLC19 AEndocrinology Diabetes and MetabolismGene mutationBeriberimedicine.disease_causeMitochondrial Membrane Transport Proteinslaw.inventionBeriberilawInternal medicineGenotypemedicineThiamine transporterObjective: Thiamine or vitamin B1 deficiency diminishes thiamine-dependent enzymatic activity alters mitochondrial function impairs oxidative metabolism and causes selective neuronal death. We analyzed for the first time the role of all known mutations within three specific thiamine carrier genes SLC19 A2 SLC19 A3 and SLC25 A19 in a patient with atrophic beriberi a multiorgan nutritional disease caused by thiamine deficiency. Methods: A 44-year-old male alcoholic patient from Morocco developed massive bilateral leg edema a subacute sensorimotor neuropathy and incontinence. Despite normal vitamin B1 serum levels his clinical picture was rapidly reverted by high-dose intramuscular thiamine treatment suggesting a possible genetic resistance. We used polymerase chain reaction followed by amplicon sequencing to study all the known thiamine-related gene mutations identified within the Human Gene Mutation Database. Results: Thirty-seven mutations were tested: 29 in SLC19 A2 6 in SLC19 A3 and 2 in SLC25 A19. Mutational analyses showed a wild-type genotype for all sequences investigated. Conclusion: This is the first genetic study in beriberi disease. We did not detect any known mutation in any of the three genes in a sporadic dry beriberi patient. We cannot exclude a role for other known or unknown mutations in the same genes or in other thiamine-associated genes in the occurrence of this nutritional neuropathy.HumansThiamineGenePolymerase chain reactionGeneticsMutationNutrition and DieteticsbiologyMembrane Transport ProteinsThiamine Deficiencymedicine.diseaseAlcoholismEndocrinologyMutationbiology.proteinThiamineMutations
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How patient families are provided with information during intensive care: A survey of practices

2016

Abstract Background Many critically ill patients are incapable of receiving information or expressing their own opinion on treatment decisions due to the severity of their disease, or because they are under sedation. French legislation requires that when a physician proposes further tests or treatment for a patient, this proposal should be accompanied by clear and honest information that is appropriate in view of the circumstances and the patient's state of health, and the physician must obtain the patient's consent before proceeding. However, this is often impossible in critical care. We evaluated whether provisions for surrogates are adequate in meeting information needs of patients and f…

AdultMalemedicine.medical_specialtyState of healthAlternative medicineContext (language use)LegislationInformation needsDiseaseCritical Care and Intensive Care Medicine03 medical and health sciences0302 clinical medicineBelgiumProfessional-Family RelationsIntensive careSurveys and QuestionnairesInformation[ SDV.MHEP ] Life Sciences [q-bio]/Human health and pathologyDiagnosismedicineHumansFamily030212 general & internal medicinePsychiatryEthicsModalitiesbusiness.industryCommunicationAge Factors030208 emergency & critical care medicineGeneral MedicineMiddle Aged3. Good healthIntensive Care UnitsCritical careAnesthesiology and Pain MedicineSocioeconomic FactorsDiagnostic testsFamily medicineHealth Care SurveysFemaleFrancebusinessSwitzerland[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
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Implantation Strategy of the Atrial Dipole Impacts Atrial Sensing Performance of Single Lead VDD Pacemakers

2002

WIEGAND, U.K.H., et al.: Implantation Strategy of the Atrial Dipole Impacts Atrial Sensing Perfor-mance of Single Lead VDD Pacemakers. Intermittent atrial undersensing is observed in a considerable percentage of patients with single lead VDD pacemakers. Analyzing the 2-year data of the Saphir Multicenter Follow-Up Study, the authors investigated predictors for the occurrence of undersensing. The study included 194 patients with high degree AV block who received a VDD pacemaker system with an identical sensing amplifier. Placement strategy of the atrial dipole was left to the discretion of the implanting physician. At the final position, atrial potential amplitudes were measured during deep …

AdultMalemedicine.medical_specialtyTime FactorsAtrial sensingSensitivity and SpecificityPacemaker systemElectrocardiographyIntraoperative fluoroscopyInternal medicineHumansMulticenter Studies as TopicMedicineHeart Atriacardiovascular diseasesAgedRetrospective StudiesAged 80 and overbusiness.industryP waveCardiac Pacing ArtificialEquipment DesignGeneral MedicineMiddle AgedDipoleHeart Blockmedicine.anatomical_structureSingle leadAtrioventricular Nodecardiovascular systemCardiologyRight atriumEquipment FailureFemaleCardiology and Cardiovascular MedicinebusinessHolter monitoringFollow-Up StudiesPacing and Clinical Electrophysiology
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Initial Evaluation of a Smoking Cessation Program Incorporating Physical Activity Promotion to Greek Adults in Antismoking Clinics

2012

The purpose of this study was to evaluate an initial application of a smoking cessation program that integrated the promotion of physical activity (PA) as a cessation aid to Greek adults in antismoking clinics. From an initial pool of 50, 12 men and 28 women from Central Greece completed the program, and 18 of them succeeded in quitting for 1 year after the program. Additionally, after the program, they increased their PA. Suggestions for future applications of the program are further discussed. peerReviewed

AdultMalemedicine.medical_specialtyTime FactorsPsychometricsPsychometricsmedia_common.quotation_subjectmedicine.medical_treatmentMEDLINEPhysical activityAlternative medicineDirective Counselingphysical activityPilot ProjectsGreek adultsHealth PromotionMotor ActivityPromotion (rank)Surveys and QuestionnairesAmbulatory CaremedicineHumansta315media_commonGreecebusiness.industryHealth PolicyMiddle AgedPeer reviewsmoking cessationcounselingFamily medicinePhysical therapySmoking cessationFemaleSmoking CessationbusinessarviointiProgram Evaluation
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The tongue as an alternative donor site for graft urethroplasty: A pilot study

2006

Purpose: Urethroplasty with a buccal mucosal graft provides excellent clinical results but it may also cause oral complications in some cases. The mucosa covering the lateral and under surface of the tongue is identical in structure with that lining the rest of the oral cavity. We evaluated LMGs for urethroplasty.Materials and Methods: From January 2001 to September 2004, 8 men 34 to 65 years old (mean age 46.1) with urethral strictures 1.5 to 4.5 cm long were selected for 1-stage dorsal onlay urethroplasty. The site of the harvest graft was the lateral mucosal lining of the tongue. Postoperatively all patients were followed with urethrography, uroflowmetry, cystourethrography and flexible …

AdultMalemedicine.medical_specialtyUrethral strictureUrologyUrethroplastymedicine.medical_treatmentTransplantsPilot ProjectsTransplantTongueUrethraTonguemedicineHumansAlternative donorUrethral strictureAgedbusiness.industryMouth MucosaMucous membraneMucous membraneBuccal administrationMiddle Agedmedicine.diseaseSurgerymedicine.anatomical_structureUrethraMucosal graftUrethra; Urethral stricture; Tongue; Mucous membrane; TransplantsUrologic Surgical Proceduresbusiness
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Gag reflex control through acupuncture: a case series.

2014

Background Many patients avoid dental appointments because of severe gagging when they have work performed, such as taking impressions. There are several methods known to alleviate gagging, and some studies have suggested that acupuncture may be effective in reducing gag reflex. The aim of the present study therefore was to evaluate whether acupuncture can produce a reduction of the gag reflex. Methods A total of 20 patients, aged between 19 and 80 years, with history of gag reflex on taking dental impressions, were recruited. All patients fulfilling the inclusion criteria had an upper and lower dental alginate impression taken without acupuncture, and a second upper and lower alginate impr…

AdultMalemedicine.medical_specialtyVisual analogue scaleAcupuncture TherapyTraditional Chinese medicineGaggingYoung AdultPharyngeal reflexSettore MED/28 - Malattie OdontostomatologicheSensationAcupuncturemedicineHumansYoung adultAgedAged 80 and overCross-Over Studiesbusiness.industryGeneral MedicineMiddle AgedCrossover studydental surgeryClinical trialtaking impressingComplementary and alternative medicinePhysical therapyFemaleNeurology (clinical)gag-reflexbusinessacupunctureAcupuncture in medicine : journal of the British Medical Acupuncture Society
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Clinical evaluation of a wireless ECG sensor system for arrhythmia diagnostic purposes

2013

Accepted version of an article in the journal: Medical Engineering and Physics. Also available from the publisher at: http://dx.doi.org/10.1016/j.medengphy.2013.03.002 In a clinical study, a novel wireless electrocardiogram (ECG) recorder has been evaluated with regard to its ability to perform arrhythmia diagnostics. As the ECG recorder will detect a "non-standard" ECG signal, it has been necessary to compare those signals to "standard" ECG recording signals in order to evaluate the arrhythmia detection ability of the new system. Simultaneous recording of ECG signals from both the new wireless ECG recorder and a conventional Holter recorder was compared by two independent cardiology specia…

AdultMalemedicine.medical_specialtyambulatory electrocardiographyBiomedical EngineeringBiophysicsElectrocardiographyYoung Adultevaluation studiesmedicineHumansWirelessMedical physicscardiovascular diseasesChildReference standardsAgedAmbulatory electrocardiographySensor systemclinical trialsbusiness.industryReproducibility of ResultsArrhythmias CardiacSignal Processing Computer-AssistedVDP::Technology: 500::Information and communication technology: 550Middle AgedReference StandardsHolter monitoringClinical trialVDP::Medical disciplines: 700wireless ECG sensorFemalebusinessTelecommunicationsWireless TechnologyClinical evaluationHolter monitoring
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