Search results for "PROs"

showing 10 items of 7271 documents

Impact of fluoroscopy on oral double-balloon enteroscopy: results of a randomized trial in 156 patients

2010

Background and study aims The routine utility of fluoroscopy during double-balloon enteroscopy (DBE) via the oral route has been not prospectively evaluated. Up to now, there have been no prospective randomized trials to assess whether fluoroscopy improves outcomes. The aim of this study was to assess the value of fluoroscopy during oral DBE. Patients and methods A total of 156 patients (88 men, 56.4 %) of mean (standard deviation [SD]) age 56 (19) years were randomly assigned to undergo oral DBE either with or without fluoroscopy. The majority of the patients had obscure gastrointestinal bleeding (n = 96, 62 %). The primary target criteria for the study were postpyloric insertion depth and…

AdultMaleEnteroscopymedicine.medical_specialtyTime FactorsAdolescentlaw.inventionYoung AdultRandomized controlled triallawDouble-balloon enteroscopyHumansMedicineFluoroscopyIn patientProspective StudiesProspective cohort studyAgedAged 80 and overDouble-Balloon EnteroscopyAnalysis of Variancemedicine.diagnostic_testbusiness.industryGastroenterologyMiddle AgedIntestinal DiseasesFluoroscopyFemaleRadiologybusinessAbdominal surgeryObscure gastrointestinal bleedingEndoscopy
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Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspecte…

2005

Background Double-balloon enteroscopy (push-and-pull enteroscopy) is a new method that allows complete visualization, biopsy, and treatment in the small bowel. This study evaluated the feasibility and the diagnostic and the therapeutic yield of double-balloon enteroscopy (push-and-pull enteroscopy) in comparison with current imaging methods. Methods Between March 2003 and November 2004, 248 consecutive double-balloon enteroscopies (push-and-pull enteroscopies) were performed in a prospective study in 137 patients with suspected small-bowel disease (60 women, 77 men; mean age 56.6 ± 17.8 years), most with chronic GI bleeding (66%). The examinations were carried out after negative evaluations…

AdultMaleEnteroscopymedicine.medical_specialtymedicine.medical_treatmentEndoscopy GastrointestinalDiagnosis DifferentialDouble-balloon enteroscopyIntestine SmallBiopsymedicineHumansRadiology Nuclear Medicine and imagingProspective StudiesAngiodysplasiaProspective cohort studyAgedAged 80 and overmedicine.diagnostic_testbusiness.industryGastroenterologySingle-Balloon EnteroscopyEquipment DesignMiddle Agedmedicine.diseaseSurgeryEndoscopyEndoscopes GastrointestinalIntestinal DiseasesTherapeutic endoscopyFeasibility StudiesFemaleRadiologybusinessFollow-Up StudiesGastrointestinal Endoscopy
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Age-related differences in the neural correlates of remembering time-based intentions.

2012

The present study used event-related potentials (ERPs) to explore the effect of age on the neural correlates of monitoring processes involved in time-based prospective memory.In both younger and older adults, the addition of a time-based prospective memory task to an ongoing task led to a sustained ERP activity broadly distributed over the scalp. Older adults, however, did not exhibit the slow wave activity observed in younger adults over prefrontal regions, which is considered to be associated with retrieval mode. This finding indicates that age-related decline in intention maintenance might be one source of the impaired prospective memory performance displayed by older adults. An 'anterio…

AdultMaleEvent-related potentialmedicine.medical_specialtyAgingTime FactorsTime FactorCognitive NeuroscienceExperimental and Cognitive PsychologyIntentionElectroencephalographyAudiologyPrefrontal cortexBrain mappingDevelopmental psychologyBehavioral NeuroscienceYoung AdultTime-based prospective memoryArts and Humanities (miscellaneous)Event-related potentialProspective memorymedicineReaction TimeHumansYoung adultPrefrontal cortexEvoked PotentialsAgedNeural correlates of consciousnessAnalysis of VarianceBrain MappingSettore M-PSI/02 - Psicobiologia E Psicologia Fisiologicamedicine.diagnostic_testDelayed intentionMaintaining intentionBrainElectroencephalographyMiddle AgedRetrieval modeMental RecallFemaleChildhood memoryEvoked PotentialPsychologyERPHumanNeuropsychologia
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Effects of Fractionated Plasma Separation and Adsorption on Survival in Patients With Acute-on-Chronic Liver Failure

2012

BACKGROUND & AIMS: Fractionated plasma separation and adsorption (FPSA) is an extracorporeal procedure that supports liver function by removing endogenous toxins that cause complications from acute-on-chronic liver failure (AOCLF). We performed a randomized trial to investigate survival of patients with AOCLF treated with FPSA. METHODS: Patients with AOCLF were randomly assigned to groups given a combination of FPSA and standard medical therapy (SMT) (FPSA group, n = 77) or only SMT (SMT group, n = 68). The Prometheus liver support system was used to provide 8 to 11 rounds of FPSA (minimum of 4 hours each) for 3 weeks. Primary end points were survival probabilities at days 28 and 90, irresp…

AdultMaleExtracorporeal Circulationmedicine.medical_specialtyTime FactorsCirrhosismedicine.medical_treatmentMedizinKaplan-Meier EstimateLiver transplantationRisk AssessmentGastroenterologyEnd Stage Liver DiseaseLIVER DISEASELiver diseaseSpontaneous bacterial peritonitisHepatorenal syndromeRisk FactorsInternal medicinemedicineHumansProspective StudiesDialysisProportional Hazards ModelsHepatologybusiness.industryMORTALITYGastroenterologyBilirubinTREATMENTLiver Failure AcuteMiddle Agedmedicine.diseaseEXTRACORPOREAL LIVER SUPPORTSurgeryEuropeTreatment OutcomeFemaleSorption DetoxificationSOFA scoreLiver functionORGAN FAILUREbusinessBiomarkers
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CORRELATION OF OPTICAL COHERENCE TOMOGRAPHY PATTERN AND VISUAL RECOVERY AFTER VITRECTOMY WITH SILICONE OIL FOR RETINAL DETACHMENT

2006

PURPOSE: To assess prospectively the features of the macular surface in silicone oil-filled eyes after surgery by analyzing whether silicone oil affects optical coherence tomography (OCT) measurements and their reproducibility and whether a statistical correlation exists between postoperative best-corrected visual acuity (BCVA) and foveal thickness measured by OCT. METHODS: Twenty eyes of 20 patients underwent vitrectomy with silicone oil tamponade for retinal detachment. After vitrectomy, complete ophthalmic examination including determination of BCVA and OCT was performed to quantify the visual recovery and the foveal thickness. RESULTS: Ophthalmoscopy revealed that the retina appeared to…

AdultMaleFovea Centralismedicine.medical_specialtyVisual acuitygenetic structuresmedicine.medical_treatmentsilicone oilVisual AcuityVitrectomyOphthalmoscopyOptical coherence tomographyVitrectomyOphthalmologyfoveal thicknemedicineHumansSilicone OilsProspective StudiesPostoperative PeriodAgedoptical coherence tomographyFovea Centralimedicine.diagnostic_testbusiness.industryRetinal DetachmentFovea centralisRetinal detachmentRecovery of FunctionGeneral Medicinevisual recoveryMiddle Agedmedicine.diseaseCombined Modality Therapyeye diseasesOphthalmoscopyVitreous BodyProspective StudieOphthalmologymedicine.anatomical_structureVitreous chamberFemalesense organsTamponademedicine.symptombusinessTomography Optical CoherenceHumanRetina
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Association of Birth Weight With Foveolar Thickness in Adulthood: Results From a Population-Based Study

2021

Purpose Low birth weight (BW) is associated with alterations of foveal shape development in childhood—leading to an increased retinal thickness of the fovea. The aim of the present study was to assess whether BW has a long-term effect on foveal retinal thickness (RT) and is still present in adulthood. Methods In the German population-based Gutenberg Health Study (GHS), participants were examined with spectral-domain optical coherence tomography. The association between self-reported BW and RT in the foveolar and perifoveal locations was assessed. Multivariable linear regression analyses with adjustment for potential confounders and grading of foveal hypoplasia were performed. Results Overal…

AdultMaleFovea Centralismedicine.medical_specialtyanatomyBirth weightVisual AcuityRetinachemistry.chemical_compoundFovealOphthalmologyHumansMedicinemaculaEye AbnormalitiesProspective StudiesAgedAged 80 and overbusiness.industryConfoundingbirth weightRetinalMiddle Agedmedicine.diseaseConfidence intervalHypoplasiafoveal thicknessLow birth weightFoveolar cellchemistrypopulation-based studyepidemiologyFemalemedicine.symptombusinessTomography Optical CoherenceFollow-Up StudiesInvestigative Opthalmology & Visual Science
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Fumaric acid ester treatment in cutaneous lupus erythematosus (CLE): a prospective, open-label, phase II pilot study.

2016

Objective The aim of the study was to assess the efficacy and safety of fumaric acid esters (FAEs) in patients with cutaneous lupus erythematosus (CLE). Methods In this 24-week, prospective, open-label, phase II pilot study, 11 patients with CLE, refractory to topical corticosteroids, were included. The primary endpoint of the study was the evaluation of the efficacy of FAEs after 24 weeks of treatment as assessed by the Revised Cutaneous Lupus Disease Area and Severity Index (RCLASI). Results Compared to baseline, significant improvement in the mean total RCLASI activity score and the mean RCLASI activity score for skin lesions was observed in week 12 ( p = 0.002, p = 0.002, respectively) …

AdultMaleFumaric acidmedicine.medical_specialtyColicPilot ProjectsSeverity of Illness IndexDrug Administration Schedule030207 dermatology & venereal diseases03 medical and health scienceschemistry.chemical_compound0302 clinical medicineRheumatologyFumaratesLupus Erythematosus CutaneousMedicineHumansIn patientProspective Studies030203 arthritis & rheumatologybusiness.industryHeadacheMiddle AgedDermatologyAlternative treatmentClinical trialTreatment OutcomeFumaric Acid EsterschemistryCutaneous Lupus ErythematosusFemaleOpen labelbusinessLupus
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Automatic fuzzy classification of the washout curves from magnetic resonance first-pass perfusion imaging after myocardial infarction.

2005

International audience; Abstract: Objectives: We sought to investigate the diagnostic ability of cardiac magnetic resonance imaging (MRI) perfusion in acute reper-fused myocardial infarction. The study used fuzzy logic to automatically classify signal intensity-time curves from myocardial segments into 3 categories: normal, hypointense, and Hyperintense. Materials and Methods: Thirty-eight patients with myocardial infarction underwent short-axis cine-MRI and contrast-enhanced MRI to provide data on wall thickening and the transmural extent of infarction. Of these, 17 had a second cardiac MRI to ascertain the functional recovery in each segment. Results: The fuzzy logic based classification …

AdultMaleFuzzy classificationfunctional recoveryMyocardial InfarctionContrast MediaMagnetic Resonance Imaging CineMyocardial Reperfusion030204 cardiovascular system & hematologyFuzzy logicStatistics Nonparametric030218 nuclear medicine & medical imaging03 medical and health sciences0302 clinical medicineFuzzy Logicdelayed imagingCardiac magnetic resonance imagingPredictive Value of Tests[INFO.INFO-IM]Computer Science [cs]/Medical ImagingmedicineImage Processing Computer-Assistedmagnetic resonance imagingHumansRadiology Nuclear Medicine and imagingMyocardial infarctionProspective StudiesAgedAged 80 and over[ INFO.INFO-IM ] Computer Science [cs]/Medical Imagingmedicine.diagnostic_testbusiness.industrycontrast-enhanced first-passWashoutMagnetic resonance imagingGeneral MedicineMiddle Agedmedicine.diseasePrognosisFirst pass perfusionFemaleNuclear medicinebusinessPerfusionInvestigative radiology
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Low relative resting metabolic rate and body weight gain in adult Caucasian Italians

2005

OBJECTIVE: To investigate the relationship between resting metabolic rate (RMR) and subsequent changes in body size and degree of fatness in a group of adult Caucasian Italians. DESIGN: Prospective, longitudinal, observational study. SUBJECTS: In total, 155 subjects (72 males and 83 females, age range: 18–55 y; BMI: 17.5–63.4 kg/m2) were evaluated. In total, 43 (26 m and 17 f; BMI: 28.971.1 kg/m2, mean7s.e.m.) of them were reassessed 10–12 y later. MEASUREMENTS: Anthropometric and body composition (bioimpedance analysis) parameters and RMR (indirect calorimetry) were taken at baseline and after 10–12 y. RESULTS: Subjects (15 m, 8 f) who gained body weight (arbitrarily defined as a change in…

AdultMaleGerontologyAdolescentEndocrinology Diabetes and MetabolismMedicine (miscellaneous)Weight GainBody weightBody Mass IndexAnimal sciencemedicineHumansPlethysmographPlethysmography ImpedanceProspective StudiesProspective cohort studyNutrition and DieteticsAnthropometrybusiness.industryobesità spesa energetica rischio obesitàCalorimetry IndirectMiddle AgedAnthropometrymedicine.diseaseObesityItalyBasal metabolic rateBody CompositionFemaleBasal Metabolismmedicine.symptomEnergy MetabolismbusinessBody mass indexWeight gainFollow-Up Studies
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The benefits of sustained leisure-time physical activity on job strain

2010

Background The long-term effects of leisure-time physical activity (LTPA) on job strain have not been assessed in a large prospective population-based cohort study. Aims To examine the relationship between the LTPA and the prevalence of job strain. Methods The participants were 861 full-time employees (406 men and 455 women), aged 24―39 years in 2001, from the ongoing Cardiovascular Risk in Young Finns Study. LTPA was assessed using a self-report questionnaire in 1992 and in 2001. The participants were grouped into four categories according to tertiles of LTPA index at two time points: persistently active, increasingly active, decreasingly active and persistently inactive. Job strain was me…

AdultMaleGerontologyAdolescentOccupational prestigeJob controlPopulationPhysical exerciseYoung Adult03 medical and health sciencesLeisure Activities0302 clinical medicinePrevalenceHumansMedicineProspective Studies030212 general & internal medicineSex DistributionYoung adulteducationExerciseFinlandeducation.field_of_studyJob strainbusiness.industryPublic Health Environmental and Occupational Health030210 environmental & occupational healthOccupational DiseasesFemaleOccupational stressbusinesshuman activitiesStress PsychologicalCohort studyOccupational Medicine
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