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Color-coded duplex ultrasonography of the origin of the vertebral artery: normal values of flow velocities.

2000

The introduction of color-coded duplex ultrasonography has improved the ease of performing ultrasound investigations of the vertebral arteries. So far, normal values of flow velocities have been reported only for the intertransverse region of the vertebral artery (V2 segments). Atherosclerotic disease at the origin of the vertebral arteries (V0 segment) is frequent and is one of the risk factors for vertebrobasilar ischemic disease. Normal values of flow velocities of the vertebral artery origin are needed to assess pathologic findings, such as vertebral artery origin stenosis or dissection. The aim of this study was to describe the normal flow velocities of vertebral artery origin (V0 segm…

AdultMaleDuplex ultrasonographyVertebral arteryIschemiaDissection (medical)Statistics NonparametricReference Valuesmedicine.arterymedicineHumansRadiology Nuclear Medicine and imagingUltrasonography Doppler ColorVertebral ArteryAgedAged 80 and overUltrasonography Doppler Duplexbusiness.industryUltrasoundAnatomyNomogramMiddle Agedmedicine.diseaseStenosisDuplex (building)FemaleNeurology (clinical)businessBlood Flow VelocityJournal of neuroimaging : official journal of the American Society of Neuroimaging
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Human sleep under the influence of pulsed radiofrequency electromagnetic fields: A polysomnographic study using standardized conditions

1998

To investigate the influence of radiofrequency electromagnetic fields (EMFs) of cellular phone GSM signals on human sleep electroencephalographic (EEG) pattern, all-night polysomnographies of 24 healthy male subjects were recorded, both with and without exposure to a circular polarized EMF (900 MHz, pulsed with a frequency of 217 Hz, pulse width 577 μs, power flux density 0.2 W/m2. Suppression of rapid eye movement (REM) sleep as well as a sleep-inducing effect under field exposure did not reach statistical significance, so that previous results indicating alterations of these sleep parameters could not be replicated. Spectral power analysis also did not reveal any alterations of the EEG rh…

AdultMaleElectromagnetic fieldmedicine.medical_specialtyanimal structuresAdolescentRadio WavesPhysiologyPolysomnographyAcousticsBiophysicsSleep REMElectroencephalographyAudiologyElectromagnetic FieldsmedicineHumansRadiology Nuclear Medicine and imagingBioelectromagneticsPhysicsmedicine.diagnostic_testPulsed radiofrequencyEye movementElectroencephalographyGeneral MedicineSleep in non-human animalsTelephoneEeg rhythmsPower fluxSleepBioelectromagnetics
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'Prefrontal' cognitive performance of healthy subjects positively correlates with cerebral FDOPA influx: an exploratory [18F]-fluoro-L-DOPA-PET inves…

2006

Dopamine neurotransmission influences those cognitive processes, which are generally regarded as prefrontal cortical functions. In previous positron‐emission‐tomography (PET) studies, net blood‐brain clearance of [(18)F]‐fluoro‐l‐DOPA (FDOPA) correlated with impaired cognitive performance in patients with Parkinson's disease or schizophrenia. We hypothesized that FDOPA influx also correlates with performance of cognitive tasks associated with prefrontal functioning in healthy volunteers. The net blood‐brain clearance of FDOPA (K [Formula: see text]) was mapped in a group of 11 healthy volunteers and calculated in striatal volumes‐of‐interest. The Wisconsin‐Card‐Sorting‐Test (WCST), Stroop‐T…

AdultMaleElementary cognitive taskMetabolic Clearance RateDopamineCaudate nucleusPrefrontal CortexStriatumNeuropsychological Testsbehavioral disciplines and activitiesSynaptic TransmissionBasal GangliaFunctional LateralityCognitionMesencephalonReference ValuesBasal gangliaNeural PathwaysReaction TimeHumansRadiology Nuclear Medicine and imagingPrefrontal cortexResearch ArticlesBrain MappingRadiological and Ultrasound TechnologyReceptors Dopamine D2PutamenCognitive flexibilityPutamenMiddle AgedDihydroxyphenylalanineNeurologyBlood-Brain BarrierPositron-Emission TomographyNeurology (clinical)AnatomyCaudate NucleusPsychologyNeuroscienceStroop effectHuman brain mapping
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Pregnancy Outcome in Maternal Crigler-Najjar Syndrome Type II: A Case Report and Systematic Review of the Literature

2008

<i>Objective:</i> To report a case of maternal Crigler-Najjar syndrome (CNS) type II in pregnancy, systematically review the literature for similar case reports, and to evaluate whether pregnancy is safe in patients with the disease. Data sources included the PubMed and uptodate databases. <i>Results:</i> A 37-year-old mother with CNS type II was treated with phenobarbital during her pregnancy and her bilirubin levels were monitored. Her newborn had mild direct hyperbilirubinemia, did not require any treatment and his postnatal follow-up showed normal growth and development as well as normal hearing. <i>Conclusion:</i> CNS type II is rare, and only a few …

AdultMaleEmbryologyPediatricsmedicine.medical_specialtyBilirubinCrigler–Najjar syndromeDiseasechemistry.chemical_compoundPregnancymedicineHumansRadiology Nuclear Medicine and imagingNeonatologyHearing DisordersKernicterusCrigler-Najjar SyndromePregnancyFetusbusiness.industryInfant NewbornPregnancy OutcomeInfantObstetrics and GynecologyBilirubinGeneral Medicinemedicine.diseaseSurgeryPregnancy ComplicationschemistryPhenobarbitalPediatrics Perinatology and Child HealthGestationFemalePhenobarbitalbusinessmedicine.drugFetal Diagnosis and Therapy
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Enteroscopy and its relationship to radiological small bowel imaging

2009

The field of radiological small bowel imaging is changing rapidly, as is small bowel enteroscopy. New techniques allow the depiction of intraluminal, mural, and extraintestinal features of various small bowel disorders, such as Crohn disease, small bowel polyposis syndromes, small intestinal malignancies, and celiac disease. For patients requiring repeated small bowel imaging, modalities that do not use ionizing radiation, such as ultrasound or magnetic resonance imaging, should be considered.

AdultMaleEnteroscopymedicine.medical_specialtyCapsule EndoscopyGastroenterologyEndoscopy GastrointestinalCatheterizationCrohn DiseaseInternal medicineIntestine SmallmedicineHumansBowel imagingAgedmedicine.diagnostic_testIntestinal Polyposisbusiness.industryCrohn diseasedigestive oral and skin physiologyUltrasoundGastroenterologyMagnetic resonance imagingMiddle AgedMagnetic Resonance Imagingdigestive system diseasesRadiographyCeliac DiseaseRadiological weaponFemaleRadiologybusiness
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Mini-Laparoscopically Guided Percutaneous Gastrostomy and Jejunostomy

2003

Abstract Background: Percutaneous endoscopic tube placement can be problematic under certain circumstances: absence of transillumination of the abdominal wall, percutaneous jejunostomy in patients with a PEG tube and recurrent aspiration, enteral feeding access after gastrectomy, and obstruction of the upper GI tract. As an alternative in these problematic situations, a technique was developed for placing feeding tubes under visual control by using mini-laparoscopy. Methods: Placement of a feeding tube with mini-laparoscopy with the patient under conscious sedation was considered for 17 patients in whom standard PEG placement was impossible. Techniques used were the following: combined mini…

AdultMaleEnteroscopymedicine.medical_specialtyPercutaneousmedicine.medical_treatmentConscious SedationJejunostomyEnteral NutritionmedicineHumansIntubationRadiology Nuclear Medicine and imagingIntubation GastrointestinalFeeding tubeAgedGastrostomymedicine.diagnostic_testbusiness.industryGastroenterologyMiddle AgedGastrostomySurgeryEndoscopyJejunostomyFemaleLaparoscopybusinessPercutaneous Endoscopic TubeGastrointestinal Endoscopy
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Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-b…

2011

BACKGROUND AND STUDY AIMS: Spiral enteroscopy is a new, promising rapid enteroscopy technique. A prospective cross-over study was carried out to compare this new method with the established technique of double-balloon enteroscopy (DBE). PATIENTS AND METHODS: From an initial group of 18 patients with suspected mid-gastrointestinal bleeding due to vascular malformations but no previous history of small-bowel or colonic surgery, 10 patients (mean age 69 years) completed the study. Patients underwent both enteroscopy techniques with an oral approach, in a randomized sequence. The deepest point reached during advancement in the first enteroscopy was marked with India ink. The primary end point o…

AdultMaleEnteroscopymedicine.medical_specialtySingle CenterEndoscopy GastrointestinalAngiodysplasiaDouble-balloon enteroscopyIntestine SmallmedicineHumansIn patientProspective StudiesAngiodysplasiaProspective cohort studySpiralAgedDouble-Balloon EnteroscopyCross-Over Studiesmedicine.diagnostic_testbusiness.industryGastroenterologyMiddle Agedmedicine.diseaseSurgeryEndoscopyEndoscopes GastrointestinalIntestinal DiseasesTime and Motion StudiesFemaleRadiologyGastrointestinal HemorrhagebusinessEndoscopy
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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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Spinal ependymoma in adults: a multicenter investigation of surgical outcome and progression-free survival

2018

OBJECTIVESpinal ependymomas are rare glial neoplasms. Because their incidence is low, only a few larger studies have investigated this condition. There are no clear data concerning prognosis and therapy. The aim of the study was to describe the natural history, perioperative clinical course, and local tumor control of adult patients with spinal ependymomas who were surgically treated under modern treatment standards.METHODSThe authors performed a multicenter retrospective study. They identified 158 adult patients with spinal ependymomas who had received surgical treatment between January 2006 and June 2013. The authors analyzed the clinical and histological aspects of these cases to identif…

AdultMaleEpendymomaMicrosurgerymedicine.medical_specialtyAdolescentSpinal intradural tumormedicine.medical_treatmentYoung Adult03 medical and health sciences0302 clinical medicineRecurrenceNeoplasmsBiomarkers TumormedicineHumansSpinal Cord NeoplasmsProgression-free survivalGrading (tumors)AgedRetrospective StudiesAged 80 and overSpinal cordbusiness.industryIncidence (epidemiology)Retrospective cohort studyGeneral MedicinePerioperativeMiddle AgedPrognosismedicine.diseaseProgression-Free Survivalddc:616.8SurgeryRadiation therapyKi-67 AntigenLocalOncologyEpendymomaTumor progression030220 oncology & carcinogenesisFemaleRadiotherapy AdjuvantNeoplasm Recurrence Localbusiness030217 neurology & neurosurgeryFollow-Up StudiesJournal of Neurosurgery: Spine
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