Search results for "Method"

showing 10 items of 13253 documents

Diltiazem for Prevention of Acoustical Trauma during Otologic Surgery

1995

100 patients were tested in a prospective, randomized, double-blinded study to assess the perioperative efficacy of a calcium channel blocker (diltiazem) in preventing acoustical trauma during otologic surgery. The patients were randomly divided into a therapy group (diltiazem) and a control group (placebo). Bone conduction hearing thresholds were examined preoperatively and again 1 day and 3 months postoperatively. Frequency-dependent changes in postoperative bone conduction and the number of patients with various degrees of postoperative hearing loss in both groups were statistically analyzed. The results indicated only a small postoperative hearing loss after ear surgery in both groups. …

Adultmedicine.medical_specialtyHearing lossmedicine.drug_classEar diseaseCalcium channel blockerPlaceboDiltiazemPostoperative ComplicationsBone conductionDouble-Blind Methodotorhinolaryngologic diseasesmedicineHumansProspective StudiesDiltiazemAgedbusiness.industryEarPerioperativeMiddle AgedCalcium Channel Blockersmedicine.diseaseSurgeryHearing Loss Noise-InducedOtorhinolaryngologyAnesthesiamedicine.symptomComplicationbusinessBone Conductionmedicine.drugORL
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A European Study of the Performance and Safety of MINIject in Patients With Medically Uncontrolled Open-angle Glaucoma (STAR-II)

2020

Precis In this European study (STAR-II), MINIject, a novel, ab-interno, supraciliary MIGS device, effectively lowered intraocular pressure (IOP) and the need for IOP-lowering medications in patients with primary open-angle glaucoma. Purpose To evaluate the safety and performance of a minimally invasive supraciliary glaucoma drainage device (MINIject DO627, iSTAR Medical SA, Wavre, Belgium) for surgical treatment of primary open angle glaucoma in patients refractory to topical hypotensive medications. Methods In a prospective, interventional, single-arm, multi-center, European study (STAR-II), MINIject was successfully implanted in a standalone procedure in 29 of 31 patients in 8 sites in 3 …

Adultmedicine.medical_specialtyIntraocular pressureTime Factorsgenetic structuresOpen angle glaucomaGlaucomaOriginal StudiesProsthesis ImplantationTonometry Ocular03 medical and health sciences0302 clinical medicineRefractoryOphthalmologymedicineClinical endpointHumansMinimally Invasive Surgical ProceduresSingle-Blind MethodIn patientEuropean UnionProspective StudiesGlaucoma Drainage ImplantsAdverse effectAntihypertensive AgentsIntraocular PressureAgedAged 80 and overEquipment Safetybusiness.industryIOPMIGSMiddle Agedmedicine.diseaseGlaucoma drainage deviceMINIjecteye diseasesOphthalmologyglaucomaTreatment Outcome030221 ophthalmology & optometryFemalesupraciliarysense organsbusinessGlaucoma Open-Angle030217 neurology & neurosurgeryJournal of Glaucoma
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Cocaine or phenylephrine/lignocaine for nasal fibreoptic intubation?

1996

In order to assess if a mixture of phenylephrine/lignocaine is as effective as cocaine for local analgesia and vasoconstriction during nasal fibreoptic intubation, 99 patients receiving topical nasal analgesia either with cocaine 10% or a mixture of phenylephrine 1% and lignocaine 4% were studied in a randomized double-blind investigation. After topical analgesia a flexible fibreoptic endoscope was advanced through a nostril. Larynx, glottis and trachea were endoscopically sprayed with lignocaine. Following induction of anaesthesia a nasotracheal tube was inserted fibreoptically. Pain intensity and amount of epistaxis during endoscopy were assessed. Blood pressure, heart rate and ECG-ST seg…

Adultmedicine.medical_specialtyLidocainemedicine.drug_classNostrilmedicine.medical_treatmentNosePhenylephrineCocaineDouble-Blind MethodIntubation Intratrachealotorhinolaryngologic diseasesmedicineFiber Optic TechnologyHumansVasoconstrictor AgentsIntubationLocal anesthesiaAnesthetics LocalPhenylephrineAdministration IntranasalNosebusiness.industryLocal anestheticLidocaineEndoscopySurgerymedicine.anatomical_structureAnesthesiology and Pain MedicineAnesthesiaNasal administrationbusinessAnesthesia Localmedicine.drugEuropean Journal of Anaesthesiology
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Is Propionibacterium acnes related to disc degeneration in adults? A systematic review.

2016

Background The aim of this paper was to systematically review the evidence linking Propionibacterium acnes (P. acnes) with the development of symptomatic degenerative disc disease. Evidence acquisition Data were obtained from MEDLINE from their inception to October 2015. Two authors independently conducted the searches, extracted data and completed methodological quality assessments. Articles were included if they investigated the presence of P. acnes in symptomatic degenerative disc disease through intra-operative cultural examination. The methodological quality of the studies was evaluated using the Newcastle-Ottawa Scale. Evidence synthesis Overall 641 articles were retrieved with 9 cros…

Adultmedicine.medical_specialtyMEDLINEIntervertebral Disc DegenerationDegenerative disc disease03 medical and health sciencesPropionibacterium acnes0302 clinical medicinemedicineHumansPropionibacterium acnesMethodological qualityGram-Positive Bacterial Infectionsbiologybusiness.industrybiology.organism_classificationmedicine.diseaseDermatologySurgery030220 oncology & carcinogenesisDisc degenerationSurgeryNeurology (clinical)business030217 neurology & neurosurgeryEvidence synthesisJournal of neurosurgical sciences
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Diagnostic Capability of a New Objective Method to Assess Meibomian Gland Visibility

2021

SIGNIFICANCE The diagnosis of dry eye disease and meibomian gland dysfunction (MGD) is challenging. Measuring meibomian gland visibility may provide an additional objective method to diagnose MGD. PURPOSE This study aimed to evaluate the ability of new metrics to better diagnose MGD, based on measuring meibomian gland visibility. METHODS One hundred twelve healthy volunteers (age, 48.3 ± 27.5 years) were enrolled in this study. Ocular surface parameters were measured using the Oculus Keratograph 5M (Oculus GmbH, Wetzlar). Subjects were classified according to the presence or absence of MGD. New metrics based on the visibility of the meibomian glands were calculated and later compared betwee…

Adultmedicine.medical_specialtyMeibomian glandPixel intensityLogistic regressionYoung AdultOphthalmologyTear meniscus heightmedicineHumansMeibomian Gland DysfunctionAgedLid marginReceiver operating characteristicbusiness.industryVisibility (geometry)Meibomian GlandsObjective methodMiddle AgedOphthalmologymedicine.anatomical_structureTearsEyelid DiseasesDry Eye Syndromessense organsbusinessOptometryOptometry and Vision Science
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Clinical evaluation of an Er:YAG laser combined with scaling and root planing for non-surgical periodontal treatment

2003

Objectifs: le but de cette etude clinique controlee etait de comparer les traitements de maladie parodontale avancee par une association de laser Er:YAG (KEY II®, KaVo, Germany) et de detartrage et surfacage radiculaire manuels (SRP) avec le laser seul. Materiel & Methodes: 20 patients sains presentant des destructions parodontales moderees a avancees furent traites au hasard en bouche divisee par une association de laser Er:YAG et de detartrage et surfacage radiculaire manuels (SRP) (test) et le laser seul (controle). L'energie utilisee en reglage pour le laser etait de 160 mJ/pulsation a un taux de repetition de 10 Hz. Prealablement au traitement, et 3, 6 etl2 mois apres, les parametres s…

Adultmedicine.medical_specialtyPeriodontal treatmentMatched-Pair AnalysisTreatment outcomeDental PlaqueStatistics NonparametricRoot PlaningScaling and root planingPeriodontal Attachment LossHumansPeriodontal PocketMedicineGingival RecessionSingle-Blind MethodYttriumProspective StudiesPeriodontal DiseasesGynecologyBacteriabusiness.industryDental Plaque IndexFollow up studiesRoot planingMiddle AgedSurgeryTreatment OutcomeSpirochaetalesProspective clinical studyDental ScalingPeriodonticsAluminum SilicatesLaser TherapyPeriodontal IndexbusinessClinical evaluationEr:YAG laserErbiumFollow-Up StudiesJournal of Clinical Periodontology
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Clinical benefits of a Bayesian model for plasma-derived factor VIII/VWF after one year of pharmacokinetic-guided prophylaxis in severe/moderate hemo…

2021

Abstract Introduction Individual pharmacokinetic (PK) profiling in hemophilia A (HA) helps to individualize prophylaxis using population PK models (popPK). A specific popPK model for plasma-derived factor VIII containing von-Willebrand Factor (pdFVIII/VWF) was developed. Aim To compare standard versus PK-driven prophylaxis, using a generic or a specific popPK model for pdFVIII/VWF. Materials and methods A prospective study conducted in HA patients in prophylaxis with pdFVIII/VWF (Fanhdi®) comparing three one-year study periods: (1) standard prophylaxis, (2) PK-guided prophylaxis using a generic pdFVIII popPK model which described FVIII activity irrespective of FVIII concentrate, and (3) PK-…

Adultmedicine.medical_specialtyPopulationHemophilia ABayesian methodPharmacokineticsInternal medicinehemic and lymphatic diseasesvon Willebrand FactorHemarthrosisMedicineHumansPharmacokineticsProspective StudieseducationProspective cohort studyeducation.field_of_studyFactor VIIIbusiness.industryPlasma derivedProphylaxisBayes TheoremHematologyHemarthrosismedicine.diseaseSevere moderateCohortbusinessFactor VIII vWF
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A pilot study of laparoscopic adhesion prophylaxis after myomectomy with a copolymer designed for endoscopic application.

2009

Abstract Study Objective To assess the laparoscopic handling and safety of D,L-polylactide-e-caprolactone-trimethylene carbonate (PCT) copolymer after myomectomy and compare it with icodextrin. In contrast to previously developed solid barriers, the material has rationally designed properties that are advantageous for convenient laparoscopic application. Design A randomized, single-blinded clinical study (Canadian Task Force Classification I). Setting Single-center study in a German University Hospital. Patients Thirty patients who underwent laparoscopic myomectomy were enrolled. Interventions After laparoscopic myomectomy and subsequent reconstruction of the uterus with interrupted sutures…

Adultmedicine.medical_specialtyRandomizationPolyestersAdhesion (medicine)Pilot ProjectsTissue AdhesionsPeritoneal DiseasesIcodextrinIcodextrinmedicineHumansSingle-Blind MethodAdverse effectLaparoscopyGlucansmedicine.diagnostic_testLeiomyomabusiness.industryPelvic painSuture TechniquesObstetrics and GynecologyAdhesion barriermedicine.diseaseSurgerymedicine.anatomical_structureGlucoseTreatment OutcomeUterine NeoplasmsAbdomenFemaleLaparoscopymedicine.symptombusinessFollow-Up StudiesJournal of minimally invasive gynecology
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Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of Miller class I and II gingival recessions: a cont…

2012

Background The aim of this study was to evaluate whether the combination of enamel matrix derivative (EMD) with subepithelial connective tissue graft (SCTG) plus coronally advanced flap (CAF) would improve the treatment outcomes of Miller class I and II gingival recessions when compared with the same technique (SCTG plus CAF) alone. Methods The study was designed as a randomized, parallel, controlled, double-blinded clinical trial. Forty-two patients were randomly assigned in the test group (SCTG plus EMD) and in the control group (SCTG). Patients had at least one gingival recession ≥ 2 mm. The clinical parameters were evaluated at baseline and at 14 d, 1, 3, 6 and 12 mo follow-up time poin…

Adultmedicine.medical_specialtyTest groupTreatment outcomeGingivaDentistrySubepithelial connective tissue graftEsthetics DentalSurgical FlapsRoot Planinglaw.inventionYoung AdultDental Enamel ProteinsDouble-Blind MethodRandomized controlled triallawEnamel matrix derivativemedicineHumansPeriodontal PocketGingival RecessionTooth RootGingival recessionbusiness.industryMean ageMiddle AgedSurgeryTreatment OutcomeConnective TissuePhotography DentalKeratinsPeriodonticsmedicine.symptombusinessAfter treatmentFollow-Up StudiesJournal of Periodontal Research
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THE OPTIMIZATION OF INTERFERON FOR MS STUDY: 375 MICROG INTERFERON BETA-1B IN SUBOPTIMAL RESPONDERS.

2008

We aimed to evaluate the safety and MRI efficacy of interferon beta-1b (IFNbeta-1b) 375 microg (subcutaneously [sc] every other day [eod]) in relapsing-remitting multiple sclerosis (RRMS) patients with a suboptimal response to IFNbeta-1b 250 microg, i.e., with MRI activity or relapses. The OPTimization of Interferon for MS (OPTIMS) study was a prospective multicenter randomized phase 2 trial comprising a 6-month run-in phase (to identify suboptimal responders) and a 6-month randomized phase of open-label clinical and blinded MRI follow-up. During run-in all patients were treated with IFNbeta-1b 250 microg sc eod; during the study phase suboptimal treatment responders were randomized either …

Adultmedicine.medical_specialtyTime FactorsAdolescentInjections Subcutaneoussuboptimal treatment responseGastroenterologyDrug Administration Schedulelaw.inventionYoung AdultMultiple Sclerosis Relapsing-RemittingAdjuvants ImmunologicRandomized controlled triallawInternal medicinemedicineHumansSingle-Blind MethodProspective StudiesAdverse effectProspective cohort studyinterferon beta (IFNβ)immunomodulatory drugSubclinical infectionDose-Response Relationship Drugbusiness.industryInterferon beta-1bInterferon-betaMiddle AgedMagnetic Resonance ImagingConfidence intervalSurgeryClinical trialTreatment OutcomeNeurologyRelative riskmultiple sclerosiMRI activitySettore MED/26 - NeurologiaNeurology (clinical)businessFollow-Up StudiesInterferon beta-1b
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