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1

Post-Discharge Follow-Up Visits and Hospital Utilization by Medicare Patients, 2007–2010  

PubMed Central

Objective Document trends in time to post-discharge follow-up visit for Medicare patients with an index admission for heart failure (HF), acute myocardial infarction (AMI), or community-acquired pneumonia (CAP). Determine factors predicting whether the first post-discharge utilization event is a follow-up visit, treat-and-release emergency department (ED) visit, or readmission. Methods Using Medicare claims data from 2007–2010, we plotted annual cumulative incidence functions for the time frame post-discharge to follow-up visit, accounting for competing risks with censoring at 30 days. We used multinomial probit regression to determine factors predicting the probability of first-occurring post-discharge utilization events within 30 days. Results For each cohort, the cumulative incidence of follow-up visits increased during the study period. For example, in 2010, 54.6% of HF patients had a follow-up visit within 10 days of discharge compared to 47.9% in 2007. Within each cohort, the largest increase in follow-up visits took place between 2008 and 2009. Follow-up visits were less likely for patients who were Black, Hispanic, and enrolled in Medicaid or Medicare Advantage, and they were more likely for patients with greater comorbidities and prior procedures as well as those with private or supplemental Medicare coverage. There were no changes in 30-day readmission rates. Discussion Although increases in follow-up visits may have been inf luenced by the introduction of publicly reported readmission rates in 2009, these increases did not continue in 2010 and were not associated with a change in readmissions. Patients who were Black, Hispanic, and/or enrolled in Medicaid or Medicare Advantage were less likely to have follow-up visits. PMID:24949226

DeLia, Derek; Tong, Jian; Gaboda, Dorothy; Casalino, Lawrence P

2014-01-01

2

Follow-Up Visit Patterns in an Antiretroviral Therapy (ART) Programme in Zomba, Malawi  

PubMed Central

Background Identifying follow-up (FU) visit patterns, and exploring which factors influence them are likely to be useful in determining which patients on antiretroviral therapy (ART) may become Lost to Follow-Up (LTFU). Using an operation and implementation research approach, we sought 1) to describe the timing of FU visits amongst patients who have been on ART for shorter and longer periods of time; and 2) to determine the median time to late visits, and 3) to identify specific factors that may be associated with these patterns in Zomba, Malawi. Methods and Findings Using routinely collected programme monitoring data from Zomba District, we performed descriptive analyses on all ART visits among patients who initiated ART between Jan. 1, 2007–June 30, 2010. Based on an expected FU date, each FU visit was classified as early (?4 day before an expected FU date), on time (3 days before an expected FU date/up to 6 days after an expected FU date), or late (?7 days after an expected FU date). In total, 7,815 patients with 76417 FU visits were included. Ninety-two percent of patients had ?2 FU visits. At the majority of visits, patients were either on time or late. The median time to a first late visit among those with 2 or more visits was 216 days (IQR: 128–359). Various patient- and visit-level factors differed significantly across Early, On Time, and Late visit groups including ART adherence and frequency of, and type of side effects. Discussion The majority of patients do not demonstrate consistent FU visit patterns. Individuals were generally on ART for at least 6 months before experiencing their first late visit. Our findings have implications for the development of effective interventions that meet patient needs when they present early and can reduce patient losses to follow-up when they are late. In particular, time-varying visit characteristics need further research. PMID:25033285

Rachlis, Beth; Cole, Donald C.; van Lettow, Monique; Escobar, Michael; Muula, Adamson S.; Ahmad, Farah; Orbinski, James; Chan, Adrienne K.

2014-01-01

3

Outcomes of follow-up visits to chronic nonmalignant pain patients.  

PubMed

Follow-up visits by clinical nurse specialists are beneficial for patients with various chronic conditions. It is unknown whether patients with chronic nonmalignant pain can achieve similar benefit. The aim of this study was to assess outcomes of follow-up visits by clinical nurse specialists to chronic nonmalignant pain patients regarding health-related quality of life (HRQoL), pain, opioid treatment, quality of sleep, and depression. A total of 102 patients were enrolled in a prospective randomized controlled trial during a 2-year period after discharge from multidisciplinary pain treatment and randomized to intervention or control group. Intervention group patients (n = 52) received home visits every fourth month for 2 years. The findings showed that HRQoL improved generally more in the intervention group. Statistically significant improvements were observed for physical function and bodily pain. Whereas the intervention group maintained the pain level on a visual analog scale, the control group reported more pain. During the observation period, the control group increased dosage of opioids whereas the intervention group maintained stable dosage. No significant effect on quality of life was found. Nurses identified signs of depression in 80% of their patients scoring depression on the simultaneous depression questionnaire, and thereby could refer patients to early treatment. Follow-up visits by clinical nurse specialists appeared to offer positive benefits to patients with chronic nonmalignant pain after discharge from multidisciplinary pain treatment. The intervention improved physical functioning, reduced bodily pain and pain intensity and prevented opioid dosage increase. Most episodes of depression were identified and referred to relevant treatment. PMID:23158704

Frich, Liv M H; Sorensen, Jan; Jacobsen, Susanne; Fohlmann, Bente; Højsted, Jette

2012-12-01

4

Standardized follow-up program may reduce emergency room and urgent care visits for patients undergoing radical prostatectomy  

PubMed Central

Introduction: The objective of the current study was to determine the impact of a standardized follow-up program on the morbidity and rates of hospital visits following radical prostatectomy (RP) in a tertiary, non-teaching urologic centre. Methods: Patients who underwent a RP in 2008 were retrospectively evaluated in this study. Postoperative morbidity for the entire cohort was assessed using the Modified Clavien Scale (MCS). Those patients readmitted to hospital or who visited an urban or rural emergency department (ED) within 90 days of surgery were further evaluated to determine the reason for readmission. Results: At our centre, 321 patients underwent RP in 2008 by 11 surgeons. Of the 321 patients, 77 (24.0%) visited an ED within 90 days, and 14 were readmitted to hospital, with an additional patient readmitted directly (with a total 15 readmissions, 4.7% overall). No patients died within the study period. In 2009 we launched a pilot study wherein 115 RP patients received scheduled and on-demand follow-up care by a dedicated nurse between May and November. We found that 90-day readmission rates among this cohort dropped to 5% and 2.6% for ED visits and hospital readmission, respectively. Conclusions: At our tertiary non-teaching centre, a significant number of patients presented back to hospital within 90 days following RP. Most of these patients (80.8%) were managed entirely through an outpatient ED, and many visits were for routine postoperative care. Only 18.2% (4.7% of the 321 prostatectomy patients) were readmitted to hospital. These data point to a need for enhanced postoperative support of patients to reduce costly and often unnecessary visits to acute care EDs. This conclusion is supported by our early experience. Limitations include retrospective design, and variability in practice of surgeons in this study. PMID:25132899

Flannigan, Ryan Kendrick; Gotto, Geoffrey T.; Donnelly, Bryan; Carlson, Kevin V.

2014-01-01

5

Predictors of non-adherence to follow-up visits and deferasirox chelation therapy among jordanian adolescents with Thalassemia major.  

PubMed

Poor adherence to treatment can have negative effects on outcomes and heath care cost. However, little is known about the factors that impact adherence to deferasirox chelation therapy. The aims of this study were to identify rates and predictors of non-adherence to medical regimen among thalassemia major adolescents on deferasirox oral chelation therapy by using subjective (self-reporting) and objective (serum ferritin and follow-up visits) measures. Convenient samples of 164 adolescents, aged 12-19 years were recruited from three National Thalassemia Centers in Jordan. Patients were interviewed using a four-section questionnaire and the medical records were checked. Results indicated that rate of adherence according to self-report was (73%); while to follow-up medical appointments and serum ferritin level rates was 57% and 47%, respectively. One-third of participant adolescents (n = 52) were psychologically impaired. Multivariate analysis showed that factors affecting adolescent non-adherence to deferasirox chelation therapy is different from that affecting adherence to follow-up visits. In general, adolescents more than 16 years old, presence of sibling with thalassemia, lack of parental monitoring, lower family income, decrease frequency of blood transfusion, and psychological impairment were found significant predictors of non-adherence among adolescents. Disease knowledge was not associated with adherence status of the adolescents. Clinician should be aware of high prevalence of low adherence to chelation therapy during adolescent years. Nurses need to regularly assess, monitor, and promote adherence behavior that might impact patients' outcomes. PMID:25116329

Al-Kloub, Manal Ibrahim; A Bed, Mona A; Al Khawaldeh, Omar A; Al Tawarah, Yasin M; Froelicher, Erika Sivarajan

2014-10-01

6

Cohort Profile update: The 1993 Pelotas (Brazil) Birth Cohort follow-up visits in adolescence  

PubMed Central

In this paper we update the profile of the 1993 Pelotas (Brazil) Birth Cohort Study, with emphasis on a shift of priority from maternal and child health research topics to four main categories of outcome variables, collected throughout adolescence: (i) mental health; (ii) body composition; (iii) risk factors for non-communicable diseases (NCDs); (iv) human capital. We were able to trace 81.3% (n = 4106) of the original cohort at 18 years of age. For the first time, the 18-years visit took place entirely on the university premises, in a clinic equipped with state-of-the-art equipment for the assessment of body composition. We welcome requests for data analyses from outside scientists. For more information, refer to our website (http://www.epidemio-ufpel.org.projetos_de_pesquisas/estudos/coorte_1993) or e-mail the corresponding author. PMID:24729426

Gonçalves, Helen; Assunção, Maria CF; Wehrmeister, Fernando C; Oliveira, Isabel O; Barros, Fernando C; Victora, Cesar G; Hallal, Pedro C; Menezes, Ana MB

2014-01-01

7

Visit to Nissan, Sept 4, 1991 This meeting was a follow-up to the one held on July 8. The subject was  

E-print Network

Visit to Nissan, Sept 4, 1991 Background This meeting was a follow-up to the one held on July 8 on different kinds of parts (external parts, lube-head-valve #12;parts, fuel system and controls, emission controls, turbochargers, and so on). Each project section is given responsibility for adaptation

Whitney, Daniel

8

Beyond 30 Days: Does limiting the duration of surgical site infection follow-up limit detection?  

PubMed Central

Concern over consistency and completeness of surgical site infection (SSI) surveillance has increased due to public reporting of hospital SSI rates and imminent non-payment rules for hospitals that do not meet national benchmarks. 1 Already, hospitals no longer receive additional payment from the Centers for Medicare & Medicaid Services (CMS) for certain infections following coronary artery bypass graft (CABG) surgery, orthopedic procedures, and bariatric surgery.2 One major concern is incomplete and differential post-discharge surveillance. At present, substantial variation exists in how and whether hospitals identify SSI events after the hospitalization in which the surgery occurred. Parameters used for SSI surveillance such as the duration of the window of time that surveillance takes place following the surgical procedure can impact the completeness of surveillance data. Determination of the optimal surveillance time period involves balancing the potential increased case ascertainment associated with a longer follow-up period with the increased resources that would be required. Currently, the time window for identifying potentially preventable SSIs related to events at the time of surgery is not fully standardized. The Centers for Disease Control and Prevention (CDC) National Healthcare Surveillance Network (NHSN) requires a 365-day postoperative surveillance period for procedures involving implants and a 30-day period for non-implant procedures. 3 In contrast, the National Surgical Quality Improvement Program (NSQIP) and the Society of Thoracic Surgeons (STS) systems employ 30-day post-operative surveillance regardless of implant. As consensus builds towards national quality measures for hospital-specific SSI rates, it will be important to assess the frequency of events beyond the 30-day post-surgical window that may quantify the value of various durations of surveillance, and ultimately inform the choice of specific outcome measures. PMID:22227993

Lankiewicz, Julie D; Yokoe, Deborah S; Olsen, Margaret A; Onufrak, Fallon; Fraser, Victoria J; Stevenson, Kurt; Khan, Yosef; Hooper, David; Platt, Richard; Huang, Susan S

2012-01-01

9

Community Involvement in Hazardous Waste Management: A Comparison of an On-Site Visit and a Simulated Slide Visit.  

ERIC Educational Resources Information Center

Compared the effectiveness of presenting information on hazardous waste management alternatives during two one-day workshops (on-site visit and simulated slide visit) by using pretest, posttest, and follow-up attitude and comprehension questionnaires. Conclusions and recommendations are presented. (Author/BC)

Simmons, Deborah Anne

1984-01-01

10

Identification of molecular markers to follow up the bioremediation of sites contaminated with chlorinated compounds.  

PubMed

The use of microorganisms to clean up xenobiotics from polluted ecosystems (soil and water) represents an ecosustainable and powerful alternative to traditional remediation processes. Recent developments in molecular-biology-based techniques have led to rapid and sensitive strategies for monitoring and identifying bacteria and catabolic genes involved in the degradation of xenobiotics. This chapter provides a description of recently developed molecular-biology-based techniques, such as PCR with degenerate primers set, real-time quantitative PCR (qPCR), reverse transcription PCR (RT-PCR), southern blot hybridization, and long-range PCR, used to give a picture of the catabolically relevant microorganisms and of the functional genes present in a polluted system. By using a case study of a groundwater aquifer contaminated with 1,2-dichloroethane (1,2-DCA), we describe the identification of microorganisms potentially involved in the 1,2-DCA dehalorespiration (Dehalobacter sp. and Desulfitobacterium sp.) and a complete new gene cluster encoding for a 1,2-DCA reductive dehalogenase. The application of these techniques to bioremediation can improve our understanding of the inner mechanisms to evaluate the feasibility of a given treatment and provide us with a method to follow up bacteria and catabolic genes involved in the degradation of contaminants during the activities in situ. PMID:20830567

Marzorati, Massimo; Balloi, Annalisa; De Ferra, Francesca; Daffonchio, Daniele

2010-01-01

11

Telecommunications Power Plant Damage Assessment Caused by Hurricane Katrina - Site Survey and Follow-Up Results  

Microsoft Academic Search

This paper extends knowledge of disaster impact on the telecommunications power infrastructure. It presents results both from an on-site survey conducted in October 2005 in the area affected by Hurricane Katrina and from industry and government sources. The analysis includes observations about power infrastructure damage to wire-line networks, wireless networks, transmission links, cable TV grids, and TV and radio facilities

Alexis Kwasinski; Wayne W. Weaver; Patrick L. Chapman; Philip T. Krein

2006-01-01

12

2011 Mound Site Groundwater Plume Rebound Exercise and Follow-Up - 13440  

SciTech Connect

The Mound Site facility near Miamisburg, Ohio, opened in 1948 to support early atomic weapons programs. It grew into a research, development, and production facility performing work in support of the U.S. Department of Energy (DOE) weapons and energy programs. The plant was in operation until 1995. During the course of operation, an onsite landfill was created. The landfill was located over a finger of a buried valley aquifer, which is a sole drinking water source for much of the Miami Valley. In the 1980's, volatile organic compounds (VOCs) were discovered in groundwater at the Mound site. The site was placed on the National Priorities List on November 21, 1989. DOE signed a Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Federal Facility Agreement with the U.S. Environmental Protection Agency (EPA) and the Ohio Environmental Protection Agency. The agreement became effective in October 1990. The area that included the landfill was designated Operational Unit 1 (OU-1). In 1995, a Record of Decision was signed that called for the installation and operation of a pump and treatment (P and T) system in order to prevent the VOCs in OU-1 groundwater from being captured by the onsite water production wells. In addition to the P and T system, a soil vapor extraction (SVE) system was installed in 1997 to accelerate removal of VOCs from groundwater in the OU-1 area. The SVE system was successful in removing large amounts of VOCs and continued to operate until 2007, when the amount of VOCs removed became minimal. A rebound study was started in February 2003 to determine how the groundwater system and contaminants would respond to shutting down the P and T system. The rebound test was stopped in February 2004 because predetermined VOC threshold concentrations were exceeded down-gradient of the landfill. The P and T and SVE systems were restarted after the termination of the rebound test. In 2006, the remediation of the Mound site was completed and the site was declared to be protective of human health and the environment, as long as the institutional controls are observed. The institutional controls that apply to the OU-1 area include provisions that no soil be allowed to leave the site, no wells be installed for drinking water, and the site may be approved only for industrial use. The onsite landfill with the operating CERCLA remedy remained. However, the Mound Development Corporation lobbied Congress for funds to remediate the remaining onsite landfill to allow for property reuse. In 2007 DOE received funding from Congress to perform non-CERCLA removal actions at OU-1 to excavate the site sanitary landfill. In 2009, DOE received American Recovery and Reinvestment Act funding to complete the project. Excavation of the landfill occurred intermittently from 2006 through 2010 and the majority of the VOC source was removed; however, VOC levels near the P and T system remained greater than the EPA maximum contaminant levels (MCLs). Presently, groundwater is contained using two extraction wells to create a hydraulic barrier to prevent down-gradient migration of VOC-impacted groundwater. Since the primary contamination source has been removed, the feasibility of moving away from containment to a more passive remedy, namely monitored natural attenuation (MNA), is being considered. A second rebound study was started in June 2011. If contaminant and groundwater behavior met specific conditions during the study, MNA would be evaluated and considered as a viable alternative for the groundwater in the OU-1 area. From June through December 2011, the second rebound study evaluated the changes in VOC concentrations in groundwater when the P and T system was not in operation. As the study progressed, elevated concentrations of VOCs that exceeded predetermined trigger values were measured along the down-gradient boundary of the study area, and so the P and T system was restarted. It was determined that a discrete area with VOC concentrations greater than the MCLs was present in groundwater down-gradient of the extracti

Hooten, Gwendolyn [Mound Site Manager, U.S. Department of Energy Office of Legacy Management, Harrison, Ohio (United States)] [Mound Site Manager, U.S. Department of Energy Office of Legacy Management, Harrison, Ohio (United States); Cato, Rebecca; Lupton, Greg [S.M. Stoller Company, contractor to the U.S. Department of Energy Office of Legacy Management (United States)] [S.M. Stoller Company, contractor to the U.S. Department of Energy Office of Legacy Management (United States)

2013-07-01

13

Long-term Effects of Nurse Home Visitation on Children's Criminal and Antisocial Behavior 15Year Follow-up of a Randomized Controlled Trial  

Microsoft Academic Search

Context.— A program of home visitation by nurses has been shown to affect the rates of maternal welfare dependence, criminality, problems due to use of substances, and child abuse and neglect. However, the long-term effects of this program on children's antisocial behavior have not been examined. Objective.— To examine the long-term effects of a program of prenatal and early childhood

David Olds; Charles R. Henderson; Robert Cole; John Eckenrode; Harriet Kitzman; Dennis Luckey; Lisa Pettitt; Kimberly Sidora; Pamela Morris; Jane Powers

1998-01-01

14

Follow-Up Testing  

Cancer.gov

Provides possible follow-up testing, next steps and treatments for women who receive abnormal cervical screening test results, including estrogen cream, colposcopy, endocervical curettage biopsy, punch biopsy, and cone biopsy.

15

DARPA Site Visit #2 Princeton University's Prospect 11  

E-print Network

DARPA Site Visit #2 Princeton University's Prospect 11 Tuesday, August 16, 2005 · Start: Lat: 40 is proportional to instantaneous speed. #12;1st required run on Prescribed Course (2 obstacles) DARPA Site Visit required run on Prescribed Course (2 obstacles) DARPA Site Visit #2 Princeton University's Prospect 11

Singh, Jaswinder Pal

16

Follow-Up Testing  

MedlinePLUS

... North American Society for Pediatric Gastroenterology, Hepatology and Nutrition state that tTG-IgA testing should be used for follow-up care. Interpreting this test result is straightforward—a celiac on the gluten-free diet should have a negative test. The ...

17

19 CFR 10.553 - Textile and apparel site visits.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 2010-04-01 false Textile and apparel site visits. 10.553...Verifications and Determinations § 10.553 Textile and apparel site visits. (a) Visits...The Committee for the Implementation of Textile Agreements (CITA), exclude from...

2010-04-01

18

19 CFR 10.553 - Textile and apparel site visits.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 2011-04-01 false Textile and apparel site visits. 10.553...Verifications and Determinations § 10.553 Textile and apparel site visits. (a) Visits...The Committee for the Implementation of Textile Agreements (CITA), exclude from...

2011-04-01

19

Predictors of Cosmetic Outcome Following MammoSite Breast Brachytherapy: A Single-Institution Experience of 100 Patients With Two Years of Follow-Up  

SciTech Connect

Purpose: To identify the factors that predict for excellent cosmesis in patients who receive MammoSite breast brachytherapy (MBT). Methods and Materials: One hundred patients with Stage 0, I, or II adenocarcinoma of the breast underwent adjuvant therapy using MBT. A dose of 34 Gy, delivered in 10 fractions twice daily, was prescribed to 1-cm depth using {sup 192}Ir high-dose-rate brachytherapy. Patients were assessed for acute toxicity on the day of therapy completion, 4 weeks after therapy, and at least every 3 months by radiation, surgical, and/or medical oncologists. All available data were reviewed for documentation of cosmesis and rated using the Harvard Scale. All patients had a minimum follow-up of 6 months (median = 24 months). Results: Of 100 patients treated, 90 had adequate data and follow-up. Cosmesis was excellent in 62 (68.9%), good in 19 (21.1%), fair in 8 (8.9%), and poor in 1 (1.1%) patient. Using stepwise logistic regression, the factors that predicted for excellent cosmesis were as follows: the absence vs. presence of infection (p = 0.017), and the absence vs. presence of acute skin toxicity (p = 0.026). There was a statistically significant association between acute skin toxicity (present vs. absent) and balloon-to-skin distance (<8 vs. >8 mm, p = 0.001). Factors that did not predict for cosmesis were age, balloon placement technique, balloon volume, catheter days in situ, subcutaneous toxicity, and chemotherapy or hormonal therapy. Conclusions: The acute and late-term toxicity profiles of MBT have been acceptable. Cosmetic outcome is improved by proper patient selection and infection prevention.

Dragun, Anthony E. [Department of Radiation Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC (United States)]. E-mail: dragun@radonc.musc.edu; Harper, Jennifer L. [Department of Radiation Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC (United States); Jenrette, Joseph M. [Department of Radiation Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC (United States); Sinha, Debajyoti [Department of Biostatistics, Bioinformatics and Epidemiology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC (United States); Cole, David J. [Department of Surgery, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC (United States)

2007-06-01

20

IV. Uterine fibroid embolization: Follow-up  

Microsoft Academic Search

Patients generally notice some relief of both menorrhagia and mass-effect symptoms during the first few weeks after uterine fibroid embolization (UFE). Shrinkage of the fibroids continues to take place over several months, peaking somewhere between 3 and 6 months, with measurable shrinkage sometimes noted for up to 1 year. The timing of follow-up visits is intended to coincide with the

John C. Lipman; Steven J. Smith; James B. Spies; Gary P. Siskin; Lindsay S. Machan; Joseph Bonn; Robert L. Worthington-Kirsch; Scott C. Goodwin; David M. Hovsepian

2002-01-01

21

Wind, Klickitat, Hood and Fifteen Mile Habitat Site Visits  

E-print Network

Wind, Klickitat, Hood and Fifteen Mile Habitat Site Visits April 17-19th, 2013 ISRP Review Team (4 at the Sheraton Airport at 7:15 a.m. Site Visits: Depart airport and head east: Wind, Klickitat, White Salmon in this review: 1998-019-00 Wind River Watershed Underwood Conservation District (UCD), US Forest Service (USFS

22

Aesthetical reconstruction of an anterior tooth in an alveolar cleft site:A case report and 3-year follow-up findings.  

PubMed

Abstract An alveolar cleft often displays the furrowed shape of the buccal site because of the lack of alveolar bone and gingival contracts. A 35-year-old woman presented with a repaired cleft lip and a non-grafted alveolar cleft associated with a missing lateral incisor on the left side of the maxilla. The central incisor had been an abutment tooth of a bridge for 15 years; however, it fractured and was extracted. Orthodontic treatment was antecedent to implant reconstruction because the edentulous space was not adequate for a single tooth replacement. As the palate was closed by the mucosa, bone grafting was not performed at the cleft site beforehand. Dental implant placement was performed within the narrowed, beamlike bone, and hydroxyapatite particles were used to augment the ridge. A relaxing incision and expansion of the invaginated mucosa improved the buccal shape of the gum. The usage of a narrow-type implant and bone substitutes facilitated the minimization of surgical stress, even though she did not undergo autologous bone-grafting surgery. Additionally, the aesthetical reconstruction of the anterior region significantly improved her quality of life at the 3-year follow-up. PMID:24773149

Nakata, Hidemi; Kuroda, Shinji; Tachikawa, Noriko; Nagayama, Tomoko; Kasugai, Shohei

2014-04-28

23

A clinician-mediated, longitudinal tracking system for the follow-up of clinical results  

E-print Network

Failure to follow-up on abnormal tests is a common clinical concern comprising the quality of care. Although many clinicians track their patient follow-up by scheduling follow-up visits or by leaving physical reminders, ...

Rosenthal, Daniel Todd

2005-01-01

24

Follow-up for women after treatment for cervical cancer  

PubMed Central

Question What is the most appropriate follow-up strategy for patients with cervical cancer who are clinically disease-free after receiving primary treatment? Perspectives For women with cervical cancer who have been treated with curative intent, follow-up includes identification of complications related to treatment and intervention in the event of recurrent disease. Most women who recur with cervical cancer are not curable; however, early identification of recurrence can alter disease management or treatment-planning options, and for those with a central pelvic recurrence and no evidence of distant disease, there is a potential for cure with additional therapy. Follow-up protocols in this population are variable, using a number of tests at a variety of intervals with questionable outcomes. Outcomes Outcomes of interest included recurrence, survival, and quality of life. Methodology The Gynecology Cancer Disease Site Group (dsg) conducted a systematic review of the literature and a narrative review of emerging clinical issues to inform the most appropriate follow-up strategy for patients with cervical cancer. The evidence was insufficient to specify a clinically useful recommended follow-up schedule, and therefore, the expert consensus opinion of the Gynecology Cancer dsg was used to develop recommendations on patient surveillance. The resulting recommendations were reviewed and approved by the Gynecology Cancer dsg and by the Program in Evidence-Based Care Report Approval Panel. An external review by Ontario practitioners completed the final phase of the review process. Feedback from all parties was incorporated to create the final practice guideline. Results The systematic review of the literature identified seventeen retrospective studies. The Gynecology Cancer dsg used a consensus process to develop recommendations based on the available evidence from the systematic review, the narrative review, and the collective clinical experience and judgment of the dsg members. Practice Guideline The recommendations in this practice guideline are based on the expert consensus opinion of the Gynecology Cancer dsg, informed by evidence from retrospective studies. These are some general features of an appropriate follow-up strategy: At a minimum, follow-up visits with a complete physical examination, including a pelvic–rectal exam and a patient history, should be conducted by a physician experienced in the surveillance of cancer patients.There is little evidence to suggest that vaginal vault cytology adds significantly to the clinical exam in detecting early disease recurrence.Routine use of various other radiologic or biologic follow-up investigations in asymptomatic patients is not advocated, because the role of those investigations has yet to be evaluated in a definitive manner.A reasonable follow-up schedule involves follow-up visits every 3–4 months in the first 2 years and every 6–12 months in years 3–5. Patients should return to annual population-based general physical and pelvic examinations after 5 years of recurrence-free follow-up. PMID:20567627

Elit, L.; Fyles, A.W.; Oliver, T.K.; Devries–Aboud, M.C.; Fung-Kee-Fung, M.

2010-01-01

25

Russian research capabilities: Findings of site visits  

SciTech Connect

In June 1993, a proposal was presented to the International Environmental Institute (IEI) in Kennewick, Washington, to establish cooperation and coordination to further pursue the interests of the United States of America and the Republic of Russia in the application and promotion of environmental technology; characterization, treatment, handling, isolation, and disposal of hazardous and radioactive materials; conversion of defense sites to other purposes; and technology transfer, cooperative programs, joint technology development and contractual research. In response to this proposal, IEI and Pacific Northwest Laboratory (PNL) jointly provided funding to send Dr. Dennis W. Wester on a fact-finding mission to Novosibirsk, Moscow, and St. Petersburg, Russia. The trip covered a period of eight weeks, six of which were spent in Novosibirsk and adjoining or related cities and one of which was spent in each of Moscow and St. Petersburg. The general objectives of the trip were to establish a basis for cooperation between IEI and the Russian Academy of Sciences (RAS) for future coordination of mutual interests and objectives such as technology acquisition, development, demonstration, application, and commercialization; use of capabilities and assets developed by the U.S. Department of Energy (DOE) and the RAS; and expediting of cooperative agreements, personnel exchanges, joint ventures and other contractual relationships. The particular objectives of this trip were to evaluate the capabilities of the RAS to satisfy the technology needs associated with the cleanup of the Hanford Site and similar sites in the U.S. and to evaluate the expediency of establishing an IEI presence in Russia.

Wester, D.W.

1994-02-01

26

Follow-up in soft tissue sarcomas.  

PubMed

The strategy for the follow-up of soft tissue sarcomas (STS) after therapy is tailored to the individual risk of recurrence and based on efficient rather than sophisticated methods of observation. Along with advances in the treatment of sarcomas, earlier detection of a less advanced and resectable recurrent disease (local or metastasis-especially to the lungs) can prolong patient survival. Since the majority of STS relapses occur within 5 years after treatment (approximately 80?% of metastases to the lung and close to 70?% of local recurrences within the first 2-3 years), in the period between 2 and 3 years after treatment, it is mandatory to follow-up patients every 3 months and perform careful history and physical examination (especially scars after surgery of the primary site) and a chest X-ray. There is no reason to perform other studies in asymptomatic patients (unless the patient reports symptoms). In case of retroperitoneal or intraperitoneal STS (including gastrointestinal stromal tumor), contrast-enhanced computed tomography of the abdomen and pelvis is recommended as the follow-up modality of choice. In this paper we outline the current recommendations for the follow-up strategy. PMID:25089160

Rutkowski, Piotr; Lugowska, Iwona

2014-01-01

27

Hanford/Tomsk reciprocal site visit: Plutonium agreement compliance talks  

SciTech Connect

The objective of the visit to Hanford Site was to: demonstrate equipment, technology, and methods for calculating Pu production, measuring integrated reactor power, and storing and safeguarding PuO{sub 2}; demonstrate the shutdown of Hanford production reactors; and foster openness and transparency of Hanford operations. The first day`s visit was an introduction to Hanford and a review of the history of the reactors. The second day consisted of discussions on the production reactors, reprocessing operations, and PuO{sub 2} storage. The group divided on the third day to tour facilities. Group A toured the N reactor, K-West reactor, K-West Basins, B reactor, and participated in a demonstration and discussion of reactor modeling computer codes. Group B toured the Hanford Pu Storage Facility, 200-East Area, N-cell (oxide loadout station), the Automated Storage Facility, and the Nondestructive Assay Measurement System. Group discussions were held during the last day of the visit, which included scheduling of a US visit to Russia.

Libby, R.A.; Sorenson, R.; Six, D.; Schiegel, S.C.

1994-11-01

28

IV. Uterine fibroid embolization: follow-up.  

PubMed

Patients generally notice some relief of both menorrhagia and mass-effect symptoms during the first few weeks after uterine fibroid embolization (UFE). Shrinkage of the fibroids continues to take place over several months, peaking somewhere between 3 and 6 months, with measurable shrinkage sometimes noted for up to 1 year. The timing of follow-up visits is intended to coincide with the time course of improvement so that diagnostic imaging and intervention can be performed if symptoms worsen or relief does not appear to be on schedule. The amount of shrinkage of fibroids correlates neither with the intensity of immediate postprocedure symptoms or the degree of symptom relief. Affected fibroids undergo hyaline degeneration, a process in which the hard, cellular tumor is replaced by softer, acellular material. A nationwide registry has been constructed for the accumulation of procedural and follow-up data so that success and complication rates can be accurately determined and long-term issues about the durability of UFE and possible side effects can be addressed. PMID:12098107

Lipman, John C; Smith, Steven J; Spies, James B; Siskin, Gary P; Machan, Lindsay S; Bonn, Joseph; Worthington-Kirsch, Robert L; Goodwin, Scott C; Hovsepian, David M

2002-03-01

29

Efficacy and Utility of Phone Call Follow-up after Pediatric General Surgery versus Traditional Clinic Follow-up  

PubMed Central

Context: Typical follow-up for surgical procedures consists of an interim history and brief focused physical examination. These appointments occupy clinic resources, require a time investment by the family, and rarely identify problems. Previous studies have demonstrated the safety of a postoperative phone call. Objective: Compare a traditional in-person clinic postoperative visit with postoperative phone call follow-up regarding patient satisfaction, rate of successful follow-up, and clinic resource utilization in a large academic practice. Design: A retrospective review of charts of patients who underwent select surgical procedures, along with a review of the clinic schedule for the same time period. Main Outcome Measures: Efficacy, patient/family satisfaction, and impact on the clinic. Methods: Families were contacted by telephone two weeks after select surgical procedures to assess for complications and questions. Cohorts of patients six months before and six months after implementation were assessed for main outcome measures. Results: Before implementation, 55.5% of patients (427/769) who had one of the select surgical procedures were seen in the clinic postoperatively, and 62.6% (435/695) had a successful postoperative phone call follow-up. There were also 1090 overall scheduled postoperative appointments. Six months after implementation, overall postoperative appointments decreased 35.5% to 703. Overall, postoperative-scheduled visits decreased by 6% compared with new visits and other general follow-up visits, which each increased by 3%. A satisfaction survey revealed that 93% of patients (n = 231) were highly satisfied with the process. A hospital cost analysis suggested an 89% cost savings ($101.75 per patient for clinic visit vs $12.50 per patient for phone call follow-up). Conclusion: Postoperative phone call follow-up is an effective tool that improves patient and physician efficiency and satisfaction.

Fischer, Kevin; Hogan, Virginia; Jager, Alesha; von Allmen, Daniel

2015-01-01

30

Metastatic renal cell carcinoma, with a radiographically occult primary tumor, presenting in the operative site of a thoracic meningioma: long-term follow-up: Case report.  

PubMed

Lesions metastatic to the site of a meningioma resection from a different primary tumor are rare. Metastasis of a tumor without a known primary tumor is also rare. Metastasis of a renal cell carcinoma, without an identifiable primary tumor, to the bed of a meningioma resection has not been previously reported. The authors describe the case of a 54-year-old man who presented with decreased sensory and motor function in the lower extremities. He underwent T3-5 laminectomies and gross-total removal of an intradural, extramedullary meningioma. The postoperative course was uneventful, and the patient regained full neurological function. After a 3-year period, he developed progressive upper thoracic pain and lower-extremity paresthesias. Imaging studies showed an epidural mass at the T2-4 levels and what appeared to be blastic involvement of the T2-4 vertebrae. A metastatic workup was negative. Emergency revision laminectomies yielded a fibrous, nonvascular mass. Neuropathology was consistent with metastatic renal cell carcinoma. After 6 months, the patient's symptoms of pain and paresthesias recurred. Repeat excision, with decompression of the spinal cord, revealed tumor cells morphologically and immunophenotypically similar to those obtained from the prior surgery. Cytogenetic analysis confirmed the presence of metastatic renal cell carcinoma. A novel case of an epidural metastatic renal cell carcinoma, of unknown primary origin, in the same operative bed of a previously resected intradural, extramedullary meningioma of the thoracic spine is reported. PMID:25014504

Heary, Robert F; Agarwal, Nitin; Barrese, James C; Barry, Maureen T; Baisre, Ada

2014-10-01

31

Remotely operated excavator needs assessment/site visit summary  

SciTech Connect

The Uranium in Soils Integrated Demonstration requested an assessment of soil excavation needs relative to soil remediation. The following list identifies the DOE sites assessed: Mound Laboratory, Paducah Gaseous Diffusion Plant, Portsmouth Gaseous Diffusion Plant, Nevada Test Site, Lawrence Livermore National Laboratory, Rocky Flats Plant, Los Alamos National Laboratory, Sandia National Laboratory, Idaho National Engineering Laboratory, Hanford Site, and Fernald Site. The reviewed sites fall into one or more of the following three categories: production, EPA National Priorities List, or CERCLA (superfund) designation. Only three of the sites appear to have the need for a remotely operated excavator rope. Hanford and Idaho Falls have areas of high-level radioactive contamination either buried or in/under buildings. The Fernald site has a need for remote operated equipment of different types. It is their feeling that remote equipment can be used to remove the health dangers to humans by removing them from the area. Most interviewees stated that characterization technologies needs are more immediate concern over excavation. In addition, the sites do not have similar geographic conditions which would aid in the development of a generic precision excavator. The sites visited were not ready to utilize or provide the required design information necessary to draft a performance specification. This creates a strong case against the development of one type of ROPE for use at these sites. Assuming soil characterization technology/methodology is improved sufficiently to allow accurate and real time field characterization then development of a precision excavator might be pursued based on FEMP needs, since the FEMP`s sole scope of work is remediation. The excavator could then be used/tested and then later modified for other sites as warranted.

Straub, J.; Haller, S.; Worsley, R. [Westinghouse Environmental Management Co. of Ohio, Cincinnati, OH (United States); King, M. [THETA Technology Inc. (United States)

1992-12-02

32

Site Visits: Assessing and Improving the Climate for Women in Physics Marcia Barbosaa  

E-print Network

presentations of baseline studies of the situation of women in physics in India [5] and in South Africa [6Site Visits: Assessing and Improving the Climate for Women in Physics Marcia Barbosaa and Diane of Physics, University of Pretoria, South Africa Abstract. Site visits--visits to places where physicists

Barbosa, Marcia C. B.

33

Rapid Follow-Up for Patients After Psychiatric Crisis.  

PubMed

Patients in psychiatric crisis often lack connection to community resources and present to emergency departments (EDs) for care. A transitional psychiatry clinic (TPC) bridged patients after ED visit. These retrospective chart review data of 390 patients were analyzed by ANOVA, logistic regression and survival analysis. Predictors of ED return included psychosis, personality disorder and increased number of prior ED visits. Longer wait for the TPC was associated strongly with non-attendance. TPC appointment within 3 days was associated with significantly longer time in the community without ED presentation. Rapid follow-up after ED visits increased attendance at aftercare and lengthens community tenure. PMID:25398419

McCullumsmith, Cheryl; Clark, Brendan; Blair, Courtney; Cropsey, Karen; Shelton, Richard

2014-11-15

34

76 FR 79675 - Pomperaug Hydro Project Andrew Peklo III; Notice of Site Visit and Technical Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...attend either the site visit or the technical meeting. If you have questions about the site visit or meeting, please contact Steve Kartalia at (202) 502-6131, or via email at stephen.kartalia@ferc.gov. Dated: December 15, 2011. Kimberly...

2011-12-22

35

48 CFR 1352.270-71 - Pre-bid/pre-proposal conference and site visit.  

Code of Federal Regulations, 2010 CFR

...System 5 2010-10-01 2010-10-01 false Pre-bid/pre-proposal conference and site visit. 1352.270-71...CLAUSES Text of Provisions and Clauses 1352.270-71 Pre-bid/pre-proposal conference and site visit....

2010-10-01

36

Site Visits: Assessing and Improving the Climate for Women in Marcia Barbosa and Diane Grayson  

E-print Network

, University of Pretoria, South Africa Abstract. The Site Visits: Assessing and Improving the Climate for Women?--^Nutan Chandra, Jamshedpur Women's College, India 6. Basehne Study of Women in South Africa with PostgraduateSite Visits: Assessing and Improving the Climate for Women in Physics Marcia Barbosa and Diane

Barbosa, Marcia C. B.

37

Key-Course Follow-Up System  

ERIC Educational Resources Information Center

Examines the Key Courses Follow-Up System in use at Central Piedmont Community College--a comprehensive plan to follow up all types of students enrolled in a specific course or combination of courses within a program. Defines key courses, discusses faculty involvement, lists advantages and disadvantages of system. (TP)

Hagemeyer, Richard H.; Squires, Carl E.

1978-01-01

38

Towards sustainability assessment follow-up  

SciTech Connect

This paper conceptualises what sustainability assessment follow-up might entail for three models of sustainability assessment: EIA-driven integrated assessment, objectives-led integrated assessment and the contribution to sustainability model. The first two are characterised by proponent monitoring and evaluation of individual impacts and indicators while the latter takes a holistic view based around focused sustainability criteria relevant to the context. The implications of three sustainability challenges on follow-up are also examined: contested time horizons and value changes, trade-offs, and interdisciplinarity. We conclude that in order to meet these challenges some form of adaptive follow-up is necessary and that the contribution to sustainability approach is the best approach. -- Highlights: • We explore sustainability follow-up for three different sustainability models. • Long-time frames require adaptive follow-up and are a key follow-up challenge. • Other key challenges include interdisciplinarity, and trade-offs. • Sustainability follow-up should be a direction of travel and not an outcome. • Only the follow-up for contribution to sustainability model addresses sustainability challenges sufficiently.

Morrison-Saunders, Angus, E-mail: a.morrison-saunders@murdoch.edu.au [Murdoch University (Australia) [Murdoch University (Australia); North-West University (South Africa); Pope, Jenny, E-mail: jenny@integral-sustainability.net [North-West University (South Africa) [North-West University (South Africa); Integral Sustainability (Australia) [Australia; Curtin University (Australia); Bond, Alan, E-mail: alan.bond@uea.ac.uk [North-West University (South Africa) [North-West University (South Africa); University of East Anglia (United Kingdom); Retief, Francois, E-mail: francois.retief@nwu.ac.za [North-West University (South Africa)] [North-West University (South Africa)

2014-02-15

39

Awareness and control of hypertension in Bangladesh: follow-up of a hypertensive cohort  

PubMed Central

Objectives To assess the effect of awareness and advice to seek care on blood pressure (BP) control among patients with hypertension in Bangladesh. Design Longitudinal study. Setting The study was carried out in icddr,b surveillance sites at rural Matlab in Chandpur district and semi-urban Kamalapur in Dhaka, Bangladesh. Participants Randomly selected men and non-pregnant women aged 20?years or older without any acute illness or history of any vascular events such as stroke or acute myocardial infarction. Main outcome measure Hypertension was defined as systolic BP (SBP) ?140 and/or diastolic BP (DBP) ?90?mm?Hg or as self-reported hypertension under medication. We advised patients to seek care from a qualified provider and to adopt a healthy lifestyle. We compared changes in BP from baseline to follow-up at around 6?months. Results Overall, 17.1% (n=287) of participants had hypertension at baseline with significantly higher prevalence in the semi-urban than in the rural population (23.6% vs 10.8%; p<0.001); half were unaware of their condition. At follow-up, 83% (n=204) reported a visit to any healthcare provider. In the semi-urban area, a higher proportion of patients visited medically qualified practitioners than in the rural area (76.7% vs 36.6%, p<0.000). SBP (?3.3±20.7?mm?Hg; p<0.01) and DBP (?2.0±13.0?mm?Hg; p<0.02) were lower at follow-up. Those who visited medically qualified practitioners had significant SBP (?3.9±22.4?mm?Hg; p<0.03) and DBP (?2.7±14.1?mm?Hg; p<0.02) reduction. BP reduction did not reach statistical significance among those visiting a pharmacist or their village doctors. Overall, half of the patients with hypertension achieved the BP control goal (BP<140/90?mm?Hg). Conclusions Awareness and simple health messages increase provider visit, reduce blood pressure and improve BP control in hypertensive Bangladeshis. Longer-term follow-up is required to verify the sustainability. PMID:25537780

Alam, Dewan Shamsul; Chowdhury, Muhammad Ashique Haider; Siddiquee, Ali Tanweer; Ahmed, Shyfuddin; Niessen, Louis Wilhelmus

2014-01-01

40

Robotic Follow-Up for Human Exploration  

NASA Technical Reports Server (NTRS)

We are studying how "robotic follow-up" can improve future planetary exploration. Robotic follow-up, which we define as augmenting human field work with subsequent robot activity, is a field exploration technique designed to increase human productivity and science return. To better understand the benefits, requirements, limitations and risks associated with this technique, we are conducting analog field tests with human and robot teams at the Haughton Crater impact structure on Devon Island, Canada. In this paper, we discuss the motivation for robotic follow-up, describe the scientific context and system design for our work, and present results and lessons learned from field testing.

Fong, Terrence; Bualat, Maria; Deans, Matthew C.; Adams, Byron; Allan, Mark; Altobelli, Martha; Bouyssounouse, Xavier; Cohen, Tamar; Flueckiger, Lorenzo; Garber, Joshua; Palmer, Elizabeth; Heggy, Essam; Jurgens, Frank; Kennedy, Tim; Kobayashi, Linda; Lee, Pascal; Lee, Susan Y.; Lees, David; Lundy, Mike; Park, Eric; Pedersen, Liam; Smith, Trey; To, Vinh; Utz, Hans; Wheeler, Dawn

2010-01-01

41

Visiting the Site of Death: Experiences of the Bereaved after the 2004 Southeast Asian Tsunami  

ERIC Educational Resources Information Center

The authors examined how many bereaved relatives of Norwegian tourists who perished in the 2004 Southeast Asian Tsunami had visited the site of death and the most important outcome from the visit. We conducted in-depth interviews (n = 110) and used self-report questionnaires (Impact of Event Scale--Revised, Inventory of Complicated Grief, and…

Kristensen, Pal; Tonnessen, Arnfinn; Weisaeth, Lars; Heir, Trond

2012-01-01

42

Follow-up Care After Cancer Treatment  

MedlinePLUS

... Association of Cancer Online Resources, a cancer information system that offers access to electronic mailing lists and websites, provides a list of long-term follow-up care clinics on its Ped-Onc Resource Center ...

43

Breast Conditions and Follow-Up Care  

Cancer.gov

Updated: March 25, 2014 Updated: March 25, 2014 Breast Conditions and Follow-Up Care Conditions Features What Your Doctor May Recommend Adenosis Small round lumps, lumpiness, or you may not feel anything at all Enlarged breast lobules

44

Graduate Follow-up. TEX-SIS FOLLOW-UP SC6.  

ERIC Educational Resources Information Center

This report details the research activities conducted by San Antonio College (SAC) as a subcontractor of Project FOLLOW-UP, in the design, development, and implementation of a graduate follow-up system. Numerous information gathering techniques, including personal interviews and follow-up questionnaires, were attempted. Four different groups of…

Lewis, Rayford T.

45

Determining Virtual Environment "Fit": The Relationship Between Navigation Style in a Virtual Field Trip, Student Self-Reported Desire to Visit the Field Trip Site in the Real World, and the Purposes of Science Education  

NASA Astrophysics Data System (ADS)

In this study, a follow-up analysis of the data reported in Lin et al. (Learn Media Technol. doi: 10.1080/17439884.2011.629660, 2011), we investigated the relationship between student use of a virtual field trip (VFT) system and the probability of students reporting wanting to visit the national park site upon which the VFT was modeled, controlling for content knowledge and prior visits to the park. Students who were able to navigate the VFT in teams were more likely than their peers who had the system demonstrated by a teacher to want to visit the national park. In addition, students with higher pre-intervention content knowledge were more likely to want to visit the national park than their peers with lower pre-test scores, in both the teacher demonstration and student co-navigation conditions.

Tutwiler, M. Shane; Lin, Ming-Chao; Chang, Chun-Yen

2013-06-01

46

Appendix B: Site Visit Reports. Assessment of Research Needs for Coal Utilization  

SciTech Connect

This section contains edited copies of site-visit and other reports prepared by CCAWG members. Some of the hand-out materials prepared by DOE contractors and others are included (without explication) to permit readers the construction of a coherent picture of work in progress.

Penner, S.S.

1983-05-01

47

Improving Lunar Exploration with Robotic Follow-up  

NASA Technical Reports Server (NTRS)

We are investigating how augmenting human field work with subsequent robot activity can improve lunar exploration. Robotic "follow-up" might involve: completing geology observations; making tedious or long-duration measurements of a target site or feature; curating samples in-situ; and performing unskilled, labor-intensive work. To study this technique, we have begun conducting a series of lunar analog field tests at Haughton Crater (Canada). Motivation: In most field geology studies on Earth, explorers often find themselves left with a set of observations they would have liked to make, or samples they would have liked to take, if only they had been able to stay longer in the field. For planetary field geology, we can imagine mobile robots - perhaps teleoperated vehicles previously used for manned exploration or dedicated planetary rovers - being deployed to perform such follow-up activities [1].

Fong, T.; Bualat, M.; Deans, M.; Heggy E.; Helper, M.; Hodges, K.; Lee, P.

2011-01-01

48

[Cystinuria: from diagnosis to follow-up].  

PubMed

Cystinuria is an autosomal recessive disorder characterized by an impaired transport of cystine and dibasic aminoacids, lysine, arginine and ornithine in the proximal renal tubule and in the epithelial cells of the gastrointestinal tract. Recurrent cystine nephrolithiasis is the main clinical feature. Mutations in SLC3A1 and/or SLC7A9 genes, which are encoding respectively the rBAT and the b(0,+)AT proteins of the amino acid transport system, are responsible of this disorder thus inducing a high dibasic amino acid excretion. Diagnostic is based on stone analysis by infrared spectroscopy or microscopic examination of urine which may reveal typical cystine crystals. Quantitative cystine excretion, which may be assessed by aminoacid chromatography, is higher in cystinic patients. Molecular approach can identify mutations which are responsible of this pathology. Medical treatment is mainly based on hydratation and urine alkalinisation, with the addition of thiol derivative only in refractory cases. Follow-up based on pH and specific gravity determination in urine samples and cystine crystal volume measurement are used to optimally monitor the medical treatment of cystinuric patients. Even with medical management, long-term outcome is poor due to insufficient efficacy and low patient compliance. Many patients suffer from renal insufficiency as a result of recurrent stone formation and repeated surgical procedures. PMID:17913667

Bouzidi, H; Daudon, M

2007-01-01

49

Recurrence rate after radial club hand surgery in long term follow up  

PubMed Central

BACKGROUND: Radial club hand includes wide spectrum of malformations that involve radial side of forearm. Conservative treatments are recommended to the milder types and surgical interventions specially centralization for the severe forms. Recurrence after centralization is one of the challenging problems in this anomaly. In this study, we assessed the recurrence rate of centralization in radial club hand surgery in long term follow up. METHODS: In this retrospective study, we reviewed the records and radiographies of 9 patients with radial club hand who underwent centralization to correct the deformity in the hand surgery department. Patients’ age, type of the thumb anomaly, associated anomalies in other systems, involved side, type of radial club hand, hand-forearm angle preoperative, post operative and in the last follow up visit, and centralized wrists motion range in the final follow up visit were all assessed and reported. RESULTS: Eleven cases of radial club hand in nine patients underwent centralization. Mean age at the time of the centralization was 17 (6-72) months and mean follow up was 90 (48-170) months. Preoperative hand-forearm angle was 75 (30-110) degrees, immediate postoperative angle was 25 (15-35) degrees and in the last follow up visit it was 52 (40-60) degrees. The amount of correction was 66% and loss of correction in long term was 54%. CONCLUSION: Centralization still can be a standard procedure in treatment of patients with radial club hand with acceptable results. PMID:21772880

Shariatzadeh, Hooman; Jafari, Dawood; Taheri, Hamid; Mazhar, Farid Najid

2009-01-01

50

What Happens in a 5-Year Follow-Up of Benign Thyroid Nodules  

PubMed Central

To determine an optimal time for follow-up of benign thyroid nodules, we retrospectively evaluated 249 euthyroid patients with uni-multinodular goiter, who underwent annual visit, and significant events that occurred in 5 years' time were registered. A significant event (appearance of new nodule, increase of nodule diameter >50%, appearance of compressive symptoms, thyroidectomy, repetition of FNA on the same nodule, and execution of FNA on new nodule) occurred in 26.1% of patients, with more than one event occurring in the same patient in 27.7% of cases. The majority of events (71.9%) were observed at 24- and 36-month follow-up visit. These results suggest that a patient diagnosed with benign nodular goiter may be safely followed-up at a 2-3-year interval time. PMID:25538855

2014-01-01

51

Prostate Cancer Follow-up Cohort  

Cancer.gov

Skip to Main Content at the National Institutes of Health | www.cancer.gov Epidemiology and Genomics Research In NCI's Division of Cancer Control and Population Sciences Menu Search EGRP Site: EGRP Home About the Program Mission & Vision Organizational

52

Follow-up of Patients with New Cardiovascular Implantable Electronic Devices: Are Experts’ Recommendations Implemented in Routine Clinical Practice?  

PubMed Central

Background A 2008 expert consensus statement outlined the minimum frequency of follow-up of patients with cardiovascular implantable electronic devices (CIEDs). Methods and Results We studied 38,055 Medicare beneficiaries who received a new CIED between January 1, 2005, and June 30, 2009. The main outcome measure was variation of follow-up by patient factors and year of device implantation. We determined the number of patients who were eligible for and attended an in-person CIED follow-up visit within 2 to 12 weeks, 0 to 16 weeks, and 1 year after implantation. Among eligible patients, 42.4% had an initial in-person visit within 2 to 12 weeks. This visit was significantly more common among white patients than black patients and patients of other races (43.0% vs 36.8% vs 40.5%; P < .001). Follow-up within 2 to 12 weeks improved from 40.3% in 2005 to 55.1% in 2009 (P < .001 for trend). The rate of follow-up within 0 to 16 weeks was 65.1% and improved considerably from 2005 to 2009 (62.3% to 79.6%; P < .001 for trend). Within 1 year, 78.0% of the overall population had at least 1 in-person CIED follow-up visit. Conclusions Although most Medicare beneficiaries who received a new CIED between 2005 and 2009 did not have an initial in-person CIED follow-up visit within 2 to 12 weeks after device implantation, the rate of initial follow-up improved appreciably over time. This CIED follow-up visit was significantly more common in white patients than patients of other races. PMID:23264436

Al-Khatib, Sana M.; Mi, Xiaojuan; Wilkoff, Bruce L.; Qualls, Laura G.; Frazier-Mills, Camille; Setoguchi, Soko; Hess, Paul L.; Curtis, Lesley H.

2013-01-01

53

Recruiting Adolescent Girls into a Follow-up Study: Benefits of Using a Social Networking Website  

PubMed Central

Background Recruitment and retention of adolescent research participants presents unique challenges and considerations when conducting epidemiological studies. Purpose To describe the use of the social networking website in the re-recruitment and tracking of adolescent girls into a follow-up study of the Trial of Activity for Adolescent Girls (TAAG) at the University of Maryland field site. Methods 730 girls were recruited as 8th graders into TAAG. Re-recruitment efforts were conducted when they were 11th graders (TAAG 2). Traditional methods, including mailings and school visits, were conducted. A TAAG 2 Facebook site was created to search for girls not found through traditional recruitment methods. Chi-square and t-tests were conducted to identify differences in characteristics between those found and “friended” through Facebook and through traditional recruitment methods. Results There were 175 girls we were unable to locate using traditional recruitment methods. Of these, 78 were found on Facebook, 68 responded to our friend request, and 43 girls (6% of the girls previously recruited) participated in the study. Demographic data were similar for those who friended us on Facebook and traditional methods. 8th grade body mass index and percent body fat were lower for those recruited from Facebook (p = 0.03 and 0.04, respectively). Number of daily minutes of moderate-to-vigorous physical activity tended to be lower among the TAAG 2 Facebook friends (19 ± 11 vs 21 ± 11, p = 0.06). Conclusions Loss to follow-up was minimized by contacting potential participants through Facebook. Social networking websites are a promising method to recruit adolescents. PMID:22101207

Jones, Lindsey; Saksvig, Brit I.; Grieser, Mira; Young, Deborah Rohm

2011-01-01

54

Timeliness of follow-up after abnormal screening mammography  

Microsoft Academic Search

Summary Little information has been published concerning the timeliness of follow-up after abnormal mammography. This article presents data on follow-up after abnormal mammography, including differences in follow-up by age, race, mammographic interpretation, and type of tracking system. From unpublished data, the rate of timely follow-up 8 to 12 weeks after index abnormal mammography ranges from 69% to 99%. Women aged

Karla Kerlikowske

1996-01-01

55

Long-term efficacy, safety, and side effect profile of botulinum toxin in dystonia: a 20-year follow-up.  

PubMed

Most long-term studies of the efficacy and safety profile of botulinum toxin (BoNT) in the treatment of dystonia are limited by lack of objective assessments, relatively small sample size, or short follow-up periods. We present one of the longest follow-up studies of BoNT treatment. This is a retrospective, longitudinal study that analyzes data on 89 patients treated with BoNT for dystonia at our Movement Disorders Clinic for up to 26 years (mean follow-up period of 18.5 years). The mean ages at the time of the first and last injections were 49 and 68 years old, respectively. The most common diagnoses were cervical dystonia (N = 51), blepharospasm (N = 34), and oromandibular dystonia (N = 26). The total number of onabotulinumtoxinA units received during the first injection was 140.3 as compared to 224.5 at the last injection (p < 0.0001). The global response effect was 3.18 after the first injection session and 3.57 after the last injection (p < 0.0001). The duration of response after the initial injection session and at the last injection was 16.33 weeks versus 19.42 weeks (p 0.0037), respectively. Adverse events, typically related to injection site, were reported in 19% of the visits. This series of dystonia patients with the longest reported treatment with BoNT provide evidence that in selected patients repeated chemodenervation is associated with sustained symptomatic benefit, decreased latency effect, and prolonged duration of therapeutic response. Despite the higher requirement of mean units per visit over time, only 19% of all treatment cycles are associated with adverse, but tolerable, side effects. PMID:25130293

Ramirez-Castaneda, Juan; Jankovic, Joseph

2014-11-01

56

Follow-up tests to detect recurrent disease: patient's reassurance or medical need?  

PubMed

It is widely believed by both doctors and patients that regular follow-up with imaging is important for patients who have been treated for early breast cancer. In reality, current evidence does not support this. Randomised trials have shown no benefit for intensive versus routine follow-up and studies have also shown that follow-up by a general practitioner or nurse specialist is likely to be as effective as by a breast cancer specialist. Specifically there is no evidence that specialised imaging including PET/CT is of any benefit. Newer approaches including the assessment of circulating tumour cells and/or circulating tumour DNA may eventually prove advantageous, but currently must be considered experimental. In summary, current evidence suggests that there is no basis for intensive follow-up beyond standard regular clinical assessment and annual mammography following treatment of early breast cancer. There may be better models for follow-up than the traditional resource-intensive hospital outpatient visit, including nurse-led open access follow-up. Monitoring for long-term sequelae of treatment is becoming as important as the detection of recurrence in an era where long-term survival is increasingly common. PMID:24074779

Smith, Ian E; Schiavon, Gaia

2013-08-01

57

The LCOGT near-Earth-object follow-up network  

NASA Astrophysics Data System (ADS)

Las Cumbres Observatory Global Telescope (LCOGT) network is a planned homogeneous network that will eventually consist of over 35 telescopes at 6 locations in the northern and southern hemispheres [1]. This network is versatile and designed to respond rapidly to target of opportunity events and also to do long term monitoring of slowly changing astronomical phenomena. The global coverage of the network and the apertures of telescope available make the LCOGT network ideal for follow-up and characterization of a wide range of solar-system objects (e.g. asteroids, Kuiper-belt objects, comets) and in particular near-Earth objects (NEOs). There are 3 classes to the telescope resources: 2-meter aperture, 1-meter aperture and 0.4-meter aperture. We have been operating our two 2-meter telescopes since 2005 and began a specific program of NEO follow-up for the Pan-STARRS survey in October 2010. The combination of all-sky access, large aperture, rapid response, robotic operation and good site conditions allows us to provide time-critical follow-up astrometry and photometry on newly discovered objects and faint objects as they recede from the Earth, allowing the orbital arc to be extended and preventing loss of objects. These telescope resources have greatly increased as LCOGT has completed the first phase of the deployment, designated as ''Version 1.0'', with the installation, commissioning and ongoing operation of nine 1-meter telescopes. These are distributed among four sites with one 1-meter at McDonald Observatory (Texas), three telescopes at Cerro Tololo (Chile), three telescopes at SAAO (South Africa) and the final two telescope at Siding Spring Observatory (Australia). In addition to the 1-meter network, the scheduling and control system for the two 2-meter telescopes have been upgraded and unified with that of the 1-meter network to provide a coherent robotic telescopic network. The telescope network is now operating and observations are being executed remotely and robotically. I am using the LCOGT network to confirm newly detected NEO candidates produced by the major sky surveys such as Catalina Sky Survey (CSS) and Pan-STARRS (PS1) with additional targets coming from the NEOWISE satellite and the Palomar Transient Factory (PTF). Robotic observations of NEOs and other solar-system objects have been routinely carried out for several years on the 2-m and 1-m telescopes, with over 20,000 positional and magnitude measurements reported to the Minor Planet Center (MPC) in the last two years. We have developed software to automatically fetch candidates from Pan-STARRS and the MPC Confirmation Page, compute orbits and ephemerides, plan and schedule observations on the telescopes and retrieve the processed data [2]. The program is being expanded which will allow us to greatly increase the amount of survey discoveries that are followed-up, obtain accurate astrometry and provide important characterization data in the form of colors, lightcurves, rotation rates and spectra for NEOs. An increasing amount of time is being spent to obtain follow-up astrometry and photometry for radar-targeted objects in order to improve the orbits and determine the rotation periods. Priority for follow-up is now given to the fainter and most southern targets on the Confirmation Page, objects that are scheduled for Goldstone/Arecibo radar targeting and those objects which could become potential mission destinations for spacecraft. This will be extended to obtain more light curves of other NEOs which could be Near-Earth Object Human Space Flight Accessible Targets Study (NHATS) or Asteroid Retrieval Mission (ARM) targets. With the increase in time available from the LCOGT 1-meter network and commissioning of low-resolution spectrographs on the 2-meter telescopes for moving objects, this will produce a large advance in capabilities for NEO follow-up and characterization. This will produce an unprecedented network for NEO follow-up, particularly in the Southern Hemisphere where there is currently a shortage of suitable facilities. We will continue to develo

Lister, T.

2014-07-01

58

Predictive factors for loss to postpartum follow-up among low income HIV-infected women in Texas.  

PubMed

Guidelines for HIV primary care include visits every 3 months (up to 6 months in those with stable HIV). During pregnancy, women with HIV commonly attend once weekly to once monthly visits; however, after delivery, many are lost to follow-up. Our goal was to assess the frequency of loss to primary care follow-up postpartum and to identify predictors of loss to care. A retrospective chart review of HIV-infected women in a Houston prenatal program was done. Optimal care was defined as one visit to HIV primary care providers (PCPs) every 6 months within the first year after delivery, and loss to follow-up as no visits within the first postpartum year. Multivariate logistic regression analysis was used to identify factors associated with loss to follow-up. Charts (n=213) were analyzed for follow-up with PCPs. The loss to follow-up rate was 39% in the first postpartum year. Associated factors were younger age, black race, late entry to prenatal care, and no plans for contraception. Predictors of loss to primary care after pregnancy can be used to identify specific subpopulations of pregnant women at highest risk for falling out of care. PMID:24720630

Siddiqui, Robaab; Bell, Tanvir; Sangi-Haghpeykar, Haleh; Minard, Charles; Levison, Judy

2014-05-01

59

Rationale and design of the health economics evaluation registry for remote follow-up: TARIFF  

PubMed Central

Aims The aims of the study are to develop a cost-minimization analysis from the hospital perspective and a cost-effectiveness analysis from the third payer standpoint, based on direct estimates of costs and QOL associated with remote follow-ups, using Merlin@home and Merlin.net, compared with standard ambulatory follow-ups, in the management of ICD and CRT-D recipients. Methods and results Remote monitoring systems can replace ambulatory follow-ups, sparing human and economic resources, and increasing patient safety. TARIFF is a prospective, controlled, observational study aimed at measuring the direct and indirect costs and quality of life (QOL) of all participants by a 1-year economic evaluation. A detailed set of hospitalized and ambulatory healthcare costs and losses of productivity that could be directly influenced by the different means of follow-ups will be collected. The study consists of two phases, each including 100 patients, to measure the economic resources consumed during the first phase, associated with standard ambulatory follow-ups, vs. the second phase, associated with remote follow-ups. Conclusion Remote monitoring systems enable caregivers to better ensure patient safety and the healthcare to limit costs. TARIFF will allow defining the economic value of remote ICD follow-ups for Italian hospitals, third payers, and patients. The TARIFF study, based on a cost-minimization analysis, directly comparing remote follow-up with standard ambulatory visits, will validate the cost effectiveness of the Merlin.net technology, and define a proper reimbursement schedule applicable for the Italian healthcare system. Trial registration: NCT01075516. PMID:22544910

Ricci, Renato P.; D'Onofrio, Antonio; Padeletti, Luigi; Sagone, Antonio; Vicentini, Alfredo; Vincenti, Antonio; Morichelli, Loredana; Cavallaro, Ciro; Ricciardi, Giuseppe; Lombardi, Leonida; Fusco, Antonio; Rovaris, Giovanni; Silvestri, Paolo; Guidotto, Tiziana; Pollastrelli, Annalisa; Santini, Massimo

2012-01-01

60

Structured nursing follow-up: does it help in diabetes care?  

PubMed Central

Background In 1995 Clalit Health Services introduced a structured follow-up schedule, by primary care nurses, of diabetic patients. This was supplementary care, given in addition to the family physician’s follow-up care. This article aims to describe the performance of diabetes follow-up and diabetes control in patients with additional structured nursing follow-up care, compared to those patients followed only by their family physician. Methods We randomly selected 2,024 type 2 diabetic subjects aged 40–76 years. For each calendar year, from 2005–2007, patients who were “under physician follow-up only” were compared to those who received additional structured nursing follow-up care. Main outcomes Complete diabetes follow-up parameters including: HbA1c, LDL cholesterol, microalbumin, blood pressure measurements and fundus examination. Results The average age of study participants was 60.7 years, 52% were females and 38% were from low socioeconomic status (SES). In 2005, 39.5% of the diabetic patients received structured nursing follow-up, and the comparable figures for 2006 and 2007 were 42.1% 49.6%, respectively. The intervention subjects tended to be older, from lower SES, suffered from more chronic diseases and visited their family physician more frequently than the control patients. Patients in the study group were more likely to perform a complete diabetes follow-up plan: 52.8% vs. 21.5% (2005; p?follow-up care were more likely to perform complete diabetes follow-up protocol. Our results reinforce the importance of teamwork in diabetic care. Further study is required to identify strategies for channeling the use of the limited resources to the patients who stand to benefit the most. PMID:25180073

2014-01-01

61

Dormaier and Chester Butte 2007 Follow-up Habitat Evaluation Procedures Report.  

SciTech Connect

Follow-up habitat evaluation procedures (HEP) analyses were conducted on the Dormaier and Chester Butte wildlife mitigation sites in April 2007 to determine the number of additional habitat units to credit Bonneville Power Administration (BPA) for providing funds to enhance, and maintain the project sites as partial mitigation for habitat losses associated with construction of Grand Coulee Dam. The Dormaier follow-up HEP survey generated 482.92 habitat units (HU) or 1.51 HUs per acre for an increase of 34.92 HUs over baseline credits. Likewise, 2,949.06 HUs (1.45 HUs/acre) were generated from the Chester Butte follow-up HEP analysis for an increase of 1,511.29 habitat units above baseline survey results. Combined, BPA will be credited with an additional 1,546.21 follow-up habitat units from the Dormaier and Chester Butte parcels.

Ashley, Paul R.

2008-01-01

62

Paradoxes of follow-up - health professionals' views on follow-up after surgical treatment in gynecological cancer.  

PubMed

Abstract Objective. Evidence now reveals that attending a follow-up program may not improve survival for low-stage gynecological cancer patients. The aim of this study was to explore health professionals' experiences with the follow-up programs and their views on follow-up in the future. Methods. A qualitative approach was undertaken with semi-structured focus group interviews. Three focus group interviews were conducted at neutral ground. One group with onco-gynecologists, one group with specialist nurses, and one mixed group. The main themes of the interviewguide were: Existing follow-up program, life after cancer and future follow-up. The interviews were transcribed verbatim. Patterns and themes were uncovered from the data inspired by interpretive description. Results. The doctors described most advantages, such as: Quality control of their own work, detection of sequelae after surgery, and credit and appraisal from the patients. A disadvantage was the inadequate use of the nurses' main competencies. Some dilemmas were described by the nurses as well as doctors: First, both groups were aware of the existing evidence that attendance of follow-up programs may not improve survival and yet, health professionals still performed the follow-ups and most often did not address this paradox for the patients. Second, the existing follow-up program seemed to bring the patients comfort and security on one hand, but on the other hand it seemed to induce insecurity and anxiety. The health professionals agreed that future follow-up should be individualized with focus on the single patients' needs and psychological wellbeing. The health professionals identified a great challenge in communicating the evidence and the forthcoming changes in the follow-up programs to the patients. Conclusions. This study revealed that the existing follow-up regime contains several dilemmas. According to the health professionals, future follow-up must be more individualized, and a shift in focus is needed from relapse to quality of life after cancer. PMID:25017380

Dahl, Lotte; Wittrup, Inge; Petersen, Lone Kjeld; Blaakaer, Jan; Væggemose, Ulla

2015-02-01

63

Challenges and Recommendations to Recruiting Women Who Do Not Adhere to Follow-Up Gynecological Care  

PubMed Central

Purpose Non-adherence to recommended follow-up visits after an abnormal cytological finding is associated with poorer outcomes and higher health care costs. The purpose of this paper is to describe the challenges when examining reasons for non-adherence to cervical cancer screening follow-up and to discuss the recommendations to overcome those challenges. Methods We conducted a telephone survey with two subgroups of women: 1) those which adhered to recommended follow-up care after an abnormal Pap test, and 2) those which did not adhere. Results The follow-up accrual among non-adherent women lagged behind that of adherers. We were able to contact and conduct a survey with 51% of the adherers and 26% of the non-adherers. The challenges in studying non-adherent women were related to several distinct factors: 1) the definition of non-adherence, 2) the availability of alternate contact information, 3) the amount and type of financial incentives, and 4) the availability of staffing. We describe strategies employed to increase the accrual of non-adherent women. Discussion This paper describes four recommendations that may play a role in understanding and reducing non-adherence to follow-up gynecological care. PMID:24991485

Wordlaw-Stinson, LaShawn; Jones, Sierra; Little, Shaneese; Fish, Laura; Vidal, Adriana; Smith, Jennifer S.; Hoyo, Cathrine; Moorman, Patricia G.

2014-01-01

64

Graduate Follow-Up Studies: How Useful Are They?  

ERIC Educational Resources Information Center

Follow-up surveys may fall prey to several sources of bias and error, among them lack of control over independent variables, lack of item validity and reliability, sampling biases, and observation bias. Two follow-up studies have been dissected to expose inherent limitations: the Texas Education Product Study (TEPS) and Project TALENT. The…

Smedley, Rande H.; Olson, George H.

65

Go ahead, visit those web sites, you can`t get hurt, can you?  

SciTech Connect

Browsing (surfing) the World Wide Web (the web) has exploded onto the Internet with an unprecedented popularity. Fueled by massive acceptance, the web client/server technology is leaping forward with a speed that competes with no other software technology. The primary force behind this phenomenon is the simplicity of the web browsing experience. People who have never touched a computer before can now perform sophisticated network tasks with a simple point-and-click. Unfortunately, this simplicity gives many, if not most, web wanderers the impression that the web browser is risk free, nothing more than a high powered television. This misconception is dangerous by creating the myth that a user visiting a web site is immune from subversive or malicious intent. While many want you to believe that surfing the web is as simple as using any other household appliance, it is not like surfing television channels, it is bi-directional. You can learn a lot of useful information from web sites. But, either directly or indirectly, others can also learn quite a bit about you. Of even more concern is a web sites` potential ability to exert control over the local computer. This paper tries to consolidate some of the current concerns that you should consider as you jump into the surf.

Rothfuss, J.S.; Parrett, J.W.

1997-02-01

66

Nurse led follow up and conventional medical follow up in management of patients with lung cancer: randomised trial  

Microsoft Academic Search

Objective To assess the effectiveness of nurse led follow up in the management of patients with lung cancer. Design Randomised controlled trial. Setting Specialist cancer hospital and three cancer units in southeastern England. Participants 203 patients with lung cancer who had completed their initial treatment and were expected to survive for at least 3 months. Intervention Nurse led follow up

Sally Moore; Jessica Corner; Jo Haviland; Mary Wells; Emma Salmon; Charles Normand; Mike Brada; Mary O'Brien; Ian Smith; Royal Marsden

2002-01-01

67

Impact of on-site initiation visits on patient recruitment and data quality in a randomized trial of adjuvant chemotherapy for breast cancer. | accrualnet.cancer.gov  

Cancer.gov

International Good Clinical Practice (GCP) Guidelines and Regulations require monitoring of clinical trial centers but leave monitoring frequency and intensity to the discretion of the trial sponsor. On-site initiation visits and regular visits to monitor activity at multiple clinical trial centers are labor-intensive and expensive. Study findings did not provide evidence that such visits contribute to patient recruitment.

68

Expected number of distinct sites visited by N Lévy flights on a one-dimensional lattice  

NASA Astrophysics Data System (ADS)

We calculate asymptotic forms for the expected number of distinct sites, , visited by N noninteracting n-step symmetric Lévy flights in one dimension. By a Lévy flight we mean one in which the probability of making a step of j sites is proportional to 1/\\|j\\|1+? in the limit j-->?. All values of ?>~0 are considered. In our analysis each Lévy flight is initially at the origin and both N and n are assumed to be large. Different asymptotic results are obtained for different ranges in ?. When n is fixed and N-->? we find that is proportional to (Nn2)1/(1+?) for ?<1 and to N1/(1+?)n1/? for ?>~1. When ? exceeds 2 the second moment is finite and one expects the results of Larralde et al. [Phys. Rev. A 45, 7128 (1992)] to be valid. We give results for both fixed n and N-->? and N fixed and n-->?. In the second case the analysis leads to the behavior predicted by Larralde et al.

Berkolaiko, G.; Havlin, S.; Larralde, H.; Weiss, G. H.

1996-06-01

69

Timing of Discharge Follow-up for Acute Pulmonary Embolism: Retrospective Cohort Study  

PubMed Central

Introduction Historically, emergency department (ED) patients with pulmonary embolism (PE) have been admitted for several days of inpatient care. Growing evidence suggests that selected ED patients with PE can be safely discharged home after a short length of stay. However, the optimal timing of follow up is unknown. We hypothesized that higher-risk patients with short length of stay (<24 hours from ED registration) would more commonly receive expedited follow up (?3 days). Methods This retrospective cohort study included adults treated for acute PE in six community EDs. We ascertained the PE Severity Index risk class (for 30-day mortality), facility length of stay, the first follow-up clinician encounter, unscheduled return ED visits ?3 days, 5-day PE-related readmissions, and 30-day all-cause mortality. Stratifying by risk class, we used multivariable analysis to examine age- and sex-adjusted associations between length of stay and expedited follow up. Results The mean age of our 175 patients was 63.2 (±16.8) years. Overall, 93.1% (n=163) of our cohort received follow up within one week of discharge. Fifty-six patients (32.0%) were sent home within 24 hours and 100 (57.1%) received expedited follow up, often by telephone (67/100). The short and longer length-of-stay groups were comparable in age and sex, but differed in rates of low-risk status (63% vs 37%; p<0.01) and expedited follow up (70% vs 51%; p=0.03). After adjustment, we found that short length of stay was independently associated with expedited follow up in higher-risk patients (adjusted odds ratio [aOR] 3.5; 95% CI [1.0–11.8]; p=0.04), but not in low-risk patients (aOR 2.2; 95% CI [0.8–5.7]; p=0.11). Adverse outcomes were uncommon (<2%) and were not significantly different between the two length-of-stay groups. Conclusion Higher-risk patients with acute PE and short length of stay more commonly received expedited follow up in our community setting than other groups of patients. These practice patterns are associated with low rates of 30-day adverse events.

Vinson, David R.; Ballard, Dustin W.; Huang, Jie; Rauchwerger, Adina S.; Reed, Mary E.; Mark, Dustin G.

2015-01-01

70

Factors that influence follow-up after an abnormal mammogram  

E-print Network

breast self-examination and complying with diagnostic tests. A non-experimental, descriptive, cross-sectional design was used to identify the barriers to follow-up after an abnormal mammogram by: 1) determining the noncompliance rate of follow...

Copeland, Valerie Anne

2009-05-15

71

Short-Term Follow-Up of Narcotic Addicts  

ERIC Educational Resources Information Center

A follow-up questionnaire was mailed to 144 narcotic addict veterans approximately six months after termination from treatment at a multimodality drug program. It was found that 75 percent continued to use drugs, and 38 percent became readdicted. (Author)

Swartz, June; Jabara, Raymond

1974-01-01

72

10 CFR 1022.17 - Follow-up.  

Code of Federal Regulations, 2014 CFR

...PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.17 Follow-up...DOE actions taken in a floodplain or wetland, DOE shall verify that the...

2014-01-01

73

10 CFR 1022.17 - Follow-up.  

Code of Federal Regulations, 2012 CFR

...PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.17 Follow-up...DOE actions taken in a floodplain or wetland, DOE shall verify that the...

2012-01-01

74

10 CFR 1022.17 - Follow-up.  

Code of Federal Regulations, 2010 CFR

...PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.17 Follow-up...DOE actions taken in a floodplain or wetland, DOE shall verify that the...

2010-01-01

75

10 CFR 1022.17 - Follow-up.  

Code of Federal Regulations, 2013 CFR

...PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.17 Follow-up...DOE actions taken in a floodplain or wetland, DOE shall verify that the...

2013-01-01

76

10 CFR 1022.17 - Follow-up.  

Code of Federal Regulations, 2011 CFR

...PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.17 Follow-up...DOE actions taken in a floodplain or wetland, DOE shall verify that the...

2011-01-01

77

Prognosis in autism: A follow-up study  

Microsoft Academic Search

A follow-up study involving 85 autistic boys and 35 girls, c. 5 1\\/2 years of age at initial evaluation and 12 years at follow-up, is presented and discussed in considerable detail. Measures, also applied to 26 non-psychotic subnormal controls, included speech, social, educational, and family adequacy ratings, IQ's, and neurological data. Most autistic children remained educationally retarded and 42% were

Marian K. DeMyer; Sandra Barton; William E. DeMyer; James A. Norton; John Allen; Robert Steele

1973-01-01

78

Research on the Follow-up Control for Gear Measurement  

Microsoft Academic Search

A method of two-axle follow-up control for gear measurement was presented and applied to gear tooth profile and helix measurement in this paper. The tangential and axial movement of probe along the tooth surface was implemented by this method. The relationship of the parameters in gear measurement by the follow-up control method was analyzed. A system model for measuring gear

Liu Wei; Zhao Jun

2010-01-01

79

Follow-up of coil occlusion of patent ductus arteriosus  

Microsoft Academic Search

Objective. We sought to determine the prevalence and fate of residual ductal shunting following coil occlusion of patent ductus arteriosus.Background. Although transcatheter coil occlusion of patent ductus arteriosus has gained popularity, few follow-up data have been reported.Methods. A review of 75 patients who underwent coil occlusion was performed. Residual shunting was investigated by Doppler echocardiography in follow-up. Angiograms were reviewed

David Shim; Raymond T. Fedderly; Robert H. Beekman; Achi Ludomirsky; Mary L. Young; M. Anthony Schork; Thomas R. Lloyd

1996-01-01

80

Protocol for the ProCare Trial: a phase II randomised controlled trial of shared care for follow-up of men with prostate cancer  

PubMed Central

Introduction Men with prostate cancer require long-term follow-up to monitor disease progression and manage common adverse physical and psychosocial consequences of treatment. There is growing recognition of the potential role of primary care in cancer follow-up. This paper describes the protocol for a phase II multisite randomised controlled trial of a novel model of shared care for the follow-up of men after completing treatment for low-moderate risk prostate cancer. Methods and analysis The intervention is a shared care model of follow-up visits in the first 12?months after completing treatment for prostate cancer with the following specific components: a survivorship care plan, general practitioner (GP) management guidelines, register and recall systems, screening for distress and unmet needs and patient information resources. Eligible men will have completed surgery and/or radiotherapy for low-moderate risk prostate cancer within the previous 8?weeks and have a GP who consents to participate. Ninety men will be randomised to the intervention or current hospital follow-up care. Study outcome measures will be collected at baseline, 3, 6 and 12?months and include anxiety, depression, unmet needs, prostate cancer-specific quality of life and satisfaction with care. Clinical processes and healthcare resource usage will also be measured. The principal emphasis of the analysis will be on obtaining estimates of the treatment effect size and assessing feasibility in order to inform the design of a subsequent phase III trial. Ethics and dissemination Ethics approval has been granted by the University of Western Australia and from all hospital recruitment sites in Western Australia and Victoria. Results of this phase II trial will be reported in peer-reviewed publications and in conference presentations. Trial Registration Australian New Zealand Clinical Trial Registry ACTRN12610000938000 PMID:24604487

Emery, Jon; Doorey, Juanita; Jefford, Michael; King, Madeleine; Pirotta, Marie; Hayne, Dickon; Martin, Andrew; Trevena, Lyndal; Lim, Tee; Constable, Roger; Hawks, Cynthia; Hyatt, Amelia; Hamid, Akhlil; Violet, John; Gill, Suki; Frydenberg, Mark; Schofield, Penelope

2014-01-01

81

Homeless Families with Children: Programmatic Responses of Five Communities. Volume II: Site Visit Reports and Program Profiles.  

ERIC Educational Resources Information Center

An exploratory study was conducted to examine the ways in which existing programs or service delivery systems have adapted to meet the needs of homeless families with children. Key issues and model and innovative approaches were identified prior to study site visits in five cities: (1) Atlanta (Georgia); (2) Baltimore (Maryland); (3) Boston…

Macro Systems, Inc., Silver Spring, MD.

82

School Site Visits: What Can We Learn from Choice Schools in Milwaukee? SCDP Milwaukee Evaluation Report #34  

ERIC Educational Resources Information Center

The School Site Visits study is part of the fifth series of annual reports produced by the School Choice Demonstration Project (SCDP). It describes some of the major challenges experienced and common practices demonstrated by thirteen (13) K-12 schools participating in the Milwaukee Parental Choice Program (MPCP). During the 2010-11 school year,…

Stewart, Thomas; Jacob, Anna M.; Jensen, Laura I.

2012-01-01

83

A Study of Program Management Procedures in the Campus-Based and Basic Grant Programs. Site Visit Report.  

ERIC Educational Resources Information Center

Site visits to a sample of 173 colleges, universities, vocational-technical schools, and other postsecondary institutions--conducted to examine the procedures used to manage federal Basic Educational Opportunity Grant (BEOG) and campus-based student financial assistance programs--are summarized. This report deals only with the conduct of the…

Ellis, Richard, Ed.; Puma, Michael, Ed.

84

Multiple traumatic injury to maxillary incisors in an adolescent female: treatment outcome with two years follow-up  

PubMed Central

Summary Number, type and severity of dental injuries per patient differ according to the patient’s age and the cause of accident. The trauma group resulting from pedestrian-, bicycle-, and car-related injuries is usually dominated by multiple dental injuries, injuries to the supporting bone and soft-tissue injuries. This report describes a case of a 16.2-year-old female who suffered traumatic injuries to her permanent maxillary incisors after a car accident. Concussion of tooth 12, extrusive luxation of tooth 11, avulsion of tooth 21 and subluxation with complicated crown fracture of tooth 22 were observed at the emergency visit 75 minutes after the trauma. Tooth 21 was dry stored for 15 minutes, then in milk for 60 minutes. The treatment plan according to IADT guidelines was performed with the satisfaction of the dentists and the patient. After 1 year follow- up a replacement root resorption of tooth 21 was diagnosed; it was then considered severe at the time of the 2 year control visit. Educational programs are essential to optimize the treatment outcome both at the accident site and also at the dental office. PMID:23991273

Biagi, Roberto; Cardarelli, Filippo; Storti, Ennio; Majorana, Alessandra; Farronato, Giampietro

2013-01-01

85

Longitudinal supportive periodontal therapy for severe chronic periodontitis with furcation involvement: a 12-year follow-up report.  

PubMed

We report a case involving a 12-year follow-up after treatment for chronic periodontitis with furcation involvement. A 54-year-old woman presented with the chief complaint of hypersensitivity. Clinical examination at the first visit revealed 15% of sites with a probing depth ?4 mm and 35% of sites with bleeding on probing. Initial periodontal therapy was implemented based on a clinical diagnosis of severe chronic periodontitis. Surgical periodontal therapy was subsequently performed at selected sites. For #44, regenerative periodontal therapy using enamel matrix derivative (Emdogain(®)) was selected. For #16, which exhibited a 2- to 3-wall vertical bony defect and class III (mesio-distal) furcation involvement, bone graft was scheduled. Other sites with residual periodontal pockets were treated by open flap debridement. For #37, with a gutter-shaped root, odontoplasty was performed. After reevaluation, the patient was placed on supportive periodontal therapy (SPT). During 12 years of SPT, the periodontal condition remained uneventful in most of the teeth. However, bone resorption was observed in the distal aspect of #37, making the prognosis poor. This indicates the need to continuously monitor risk factors, including inflammation and traumatic occlusion, during SPT. Although some problems still remain, severe periodontitis with furcation involvement was successfully maintained longitudinally with an adequate level of patient compliance and careful SPT. PMID:24521550

Komiya-Ito, Akiyo; Tomita, Sachiyo; Kinumatsu, Takashi; Fujimoto, Yoshihiro; Tsunoda, Masatake; Saito, Atsushi

2013-01-01

86

How are those “lost to follow-up” patients really doing? A compliance comparison in arthroplasty patients  

PubMed Central

AIM: To determine whether there is a functional difference between patients who actively follow-up in the office (OFU) and those who are non-compliant with office follow-up visits (NFU). METHODS: We reviewed a consecutive group of 588 patients, who had undergone total joint arthroplasty (TJA), for compliance and functional outcomes at one to two years post-operatively. All patients were given verbal instructions by the primary surgeon to return at one year for routine follow-up visits. Patients that were compliant with the instructions at one year were placed in the OFU cohort, while those who were non-compliant were placed in the NFU cohort. Survey mailings and telephone interviews were utilized to obtain complete follow-up for the cohort. A ?2 test and an unpaired t test were used for comparison of baseline characteristics. Analysis of covariance was used to compare the mean clinical outcomes after controlling for confounding variables. RESULTS: Complete follow-up data was collected on 554 of the 588 total patients (93%), with 75.5% of patients assigned to the OFU cohort and 24.5% assigned to the NFU cohort. We found significant differences between the cohorts with the OFU group having a higher mean age (P = 0.026) and a greater proportion of females (P = 0.041). No significant differences were found in either the SF12 or WOMAC scores at baseline or at 12 mo postoperative. CONCLUSION: Patients who are compliant to routine follow-up visits at one to two years post-operation do not experience better patient reported outcomes than those that are non-compliant. Additionally, after TJA, older women are more likely to be compliant in following surgeon instructions with regard to follow-up office care. PMID:25621220

Choi, Jung Keun; Geller, Jeffrey A; Jr, David A Patrick; Wang, Wenbao; Macaulay, William

2015-01-01

87

Diagnosis and follow up of aortitis in the elderly  

PubMed Central

Methods: Eight patients with aortitis presenting with unspecific GCA-like symptoms were examined. Aortitis was diagnosed and followed up by [18F]FDG-PET and MRI. The aorta was divided into three vascular regions (ascending aorta, aortic arch, and descending aorta) to localise the aortic inflammation and compare both imaging techniques. Results were correlated with clinical and laboratory examinations. Results: At diagnosis, 20/24 vascular regions from eight patients were positive by [18F]FDG-PET scan and 15/21 aortic regions by MRI. Patients were treated with corticosteroids and followed up for a mean (SD) of 13.3 (4.7) months. In [18F]FDG-PET, 11/20 (55%) initially pathological aortic regions returned to normal in the follow up examination, which correlated closely with the clinical and laboratory follow up examination. Conversely, in MRI, 14/15 initially affected vascular regions were unchanged. Conclusions: [18F]FDG-PET and MRI are both effective techniques for detecting early aortitis and have a high correlation with laboratory inflammatory measures. However, during the follow up examination, [18F]FDG-PET uptake decreased in line with the clinical symptoms and inflammatory serum markers, whereas MRI scans gave more static results. PMID:15479905

Scheel, A; Meller, J; Vosshenrich, R; Kohlhoff, E; Siefker, U; Muller, G; Strutz, F

2004-01-01

88

SUMMARY REPORT FOR THE NATIONAL ATMOSPHERIC DEPOSITION PROGRAM/NATIONAL TRENDS NETWORK (NADP/NTN) SITE VISITATION PROGRAM FOR THE PERIOD OCTOBER 1987 THROUGH SEPTEMBER 1988  

EPA Science Inventory

The U.S Environmental Protection Agency (EPA) provides technical assistance to the NADP/NTN network through a site visitation program. esearch Triangle Institute, as contractor to EPA, conducts these visits. f deficiencies or nonstandard procedures are noted, the site operator an...

89

Long term follow up of untreated primary hyperparathyroidism.  

PubMed Central

Fourteen patients with primary hyperparathyroidism and whose initial serum calcium concentrations were 2.75 mmol/l (11.0 mg/100 ml) or more were followed up for five to 23 years without operative treatment. One had osteitis fibrosa when seen and died with a fibrosarcoma 22 years later. The remaining 13 patients, who were followed up for a mean of 10 years, came to little obvious harm from not being operated on. Their serum calcium concentrations did not rise and there was no evidence of progressive renal impairment. In four patients who presented originally with renal calculi there were three further episodes of renal colic in 54 patient years of follow up. Conservative management of primary hyperparathyroidism is not an unreasonable option, and patients who do not have symptoms need not necessarily be pressed to accept surgery. PMID:6437508

Paterson, C R; Burns, J; Mowat, E

1984-01-01

90

Linking Outdoor School with the Home Environment. A Follow-Up Resource Guide for Teachers.  

ERIC Educational Resources Information Center

A source of ideas and direction for follow-up to the Multnomah County Outdoor School program, the guide identifies concepts generally common to all outdoor school sites from year to year: the water cycle; watershed; water as a habitat for plants and animals, an oxygen supplier, and a producer of usable power; sun energy; plants as producers and…

Cole, Wallace H.; Gilfillan, Warren C.

91

Extending a Community of Care beyond the Ninth Grade: A Follow-Up Study  

ERIC Educational Resources Information Center

This qualitative within-site case study ("N" = 10) is a follow-up study to a 2006-2007 investigation that analyzed how 1 high school created a community of care for its ninth-grade students through the implementation of a ninth-grade transition program--Freshman Focus. All participants were interviewed again 3 years later during…

Ellerbrock, Cheryl R.; Kiefer, Sarah M.

2013-01-01

92

Risk of recurrence of occupational back pain over three year follow up  

Microsoft Academic Search

A random sample including 2342 cases representative of all occupational back injuries in Quebec (1981) was followed up prospectively over three years to assess the recurrence rate of back problems (lumbar, thoracic, and cervical). Each medical and accident report was reviewed to obtain the site of symptoms and occupation. Age, sex, industrial sector, and number of episodes of absence from

L Abenhaim; S Suissa; M Rossignol

1988-01-01

93

Sample Study Visit Follow-Up Log | accrualnet.cancer.gov  

Cancer.gov

Skip to content The National Cancer Institute www.cancer.gov The National Institutes of Health AccrualNetTM STRATEGIES, TOOLS AND RESOURCES TO SUPPORT ACCRUAL TO CLINICAL TRIALS User menu Register Sign In Search form Search Main menu Protocol Accrual

94

Breast cancer recurrence: follow up after treatment for primary breast cancer  

PubMed Central

Background: Breast cancer will affect one in 12 Australian women in their lifetime. After potentially curative treatment, it is usual for patients to be followed up for many years. However, controversies surround follow up, and its value is uncertain. Aim: This study reviews the evidence and describes the role of routine follow up in the management of breast cancer in a tertiary hospital. By establishing how recurrence of breast cancer presents and identifying the proportion of patients with recurrence who were diagnosed as a consequence of regular follow up, the value of this system in detecting recurrence can be indirectly assessed. Design: A retrospective review was undertaken of all patients attending the radiotherapy outpatient clinic for treatment of invasive breast cancer in 1997. Hospital records were reviewed to ascertain patient and tumour characteristics, treatment received, site of recurrence and its mode of detection, whether patients were symptomatic at the time of recurrence, and whether they presented at a scheduled appointment. Results: Out of 286 patients who presented to the radiotherapy outpatient clinic, 220 were entered into the study. Recurrence was recorded in 42 patients (a complete dataset was available for 38 of these patients). In total, 74% (31/42) of recurrences were symptomatic, and 76% (32/42) presented at unscheduled appointments, the majority (17/32) of which were initiated by the patient. Only seven patients had asymptomatic recurrences. Conclusion: Based on current evidence, long term routine hospital follow up after treatment for breast cancer appears to be inefficient in detecting recurrence. PMID:15016942

Hiramanek, N

2004-01-01

95

Follow-Up Report: 2005 Placements of 2004 NDUS Graduates  

ERIC Educational Resources Information Center

Some of the questions most frequently asked of the North Dakota University System relate to the status of graduates and program completers of state educational institutions. Follow-up Information on North Dakota Education and Training (FINDET) is a consortium of several state agencies formed to provide answers to those questions. This report,…

Anderson, Debra; Dunn, Eddie; Hillman, Mike; Morth, Tom; Schepp, Julie; Padilla, Gina

2007-01-01

96

Brevard District Plan for Placement and Follow-Up.  

ERIC Educational Resources Information Center

The Brevard District Plan for placement and follow-up is intended for all secondary students, including dropouts, disadvantaged, adult students, and graduates. The areas of placement may be in gainful employment, educational institutions, or a combination of both. The plan specifies procedures for implementing placement and stipulates the type of…

Thomas, Olive W.

97

FOLLOW UP STUDY OF CHILDREN WITH DEVELOPMENTAL DISABILITIES  

EPA Science Inventory

The Follow-Up Study involves locating and interviewing a group of young adults who, as 10-year-old children, were included in the Metropolitan Atlanta Developmental Disabilities Study, an investigation of the prevalence and risk factors for developmental disabilities that was con...

98

A Follow-Up Study of Former Student Health Advocates  

ERIC Educational Resources Information Center

Student health advocates (SHAs) are high school students who, under the supervision of the school nurse, provide health education and health promotion activities to other students via a peer education model. This 3-year follow-up study explored how the SHA experience influences career choice and attitudes of the participants. It also examined what…

Streng, Nancy J.

2007-01-01

99

49 CFR 219.211 - Analysis and follow-up.  

Code of Federal Regulations, 2013 CFR

...DEPARTMENT OF TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Post-Accident Toxicological Testing § 219.211 Analysis and follow-up. (a) The laboratory...appendix B to this part undertakes prompt analysis of provided under this subpart...report. Specimens are analyzed for alcohol, controlled substances, and...sufficient information relating to alcohol or drug......

2013-10-01

100

49 CFR 219.211 - Analysis and follow-up.  

Code of Federal Regulations, 2012 CFR

...DEPARTMENT OF TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Post-Accident Toxicological Testing § 219.211 Analysis and follow-up. (a) The laboratory...appendix B to this part undertakes prompt analysis of specimens provided under this...report. Specimens are analyzed for alcohol and controlled substances specified...sufficient information relating to alcohol......

2012-10-01

101

49 CFR 219.211 - Analysis and follow-up.  

Code of Federal Regulations, 2011 CFR

...DEPARTMENT OF TRANSPORTATION CONTROL OF ALCOHOL AND DRUG USE Post-Accident Toxicological Testing § 219.211 Analysis and follow-up. (a) The laboratory...appendix B to this part undertakes prompt analysis of specimens provided under this...report. Specimens are analyzed for alcohol and controlled substances specified...sufficient information relating to alcohol......

2011-10-01

102

Cytokeratin-based CTC counting unrelated to clinical follow up  

PubMed Central

Background Circulating tumor cells (CTCs) have been reported to be a relevant prognostic biomarker in metastatic patients. However, their clinical use and impact is still under debate. We have thus comparatively and kinetically assessed two CTC detection methods according to the patient’s clinical follow up. Methods CTC counting and characterization were repeatedly performed during follow up in a patient with metastatic undifferentiated non-small cell lung cancer by using cytokeratin (CK)-dependent immunomagnetic separation (Miltenyi) and CK-independent, size-based isolation [isolation by size of tumor cells (ISET)] (Rarecells). Results Comparison between the two methods showed a parallel increase of CTC detected by ISET and worsening of the clinical status, while CK-dependent CTC numbers were decreasing, misleadingly suggesting a response to treatment. ISET results were in agreement with the clinical follow up showing Circulating tumor microemboli (CTM) and CTC expressing a mesenchymal marker with absence of epithelial markers. Conclusions This case report study shows the interest of a comparative and kinetic analysis of different methods for CTCs detection combined with their evaluation according to the clinical follow up. Our results should open up an area for future research and validation in larger clinical cohorts. PMID:24255771

de Carvalho, Fernanda Machado; Rocha, Bruna Maria Malagoli; Aguiar, Caroline Motta; Abdallah, Emne Ali; Campanha, Daniel; Mingues, Natália Breve; de Oliveira, Thiago Bueno; Maciel, Macello Sampaio; Cervantes, Gustavo Marchioro; Dettino, Aldo L.A.; Soares, Fernando Augusto; Paterlini-Bréchot, Patrizia; Fanelli, Marcello Ferretti

2013-01-01

103

Screening and follow up of vulval skin disorders.  

PubMed

Vulval squamous cell carcinoma is relatively rare; however, up to 20% of women have significant vulval symptoms during their lifetime. Formal screening programmes for vulval disease have not been established. The evidence for the use of vulval cytology and vulvoscopy is reviewed. No randomised-controlled trials have compared follow-up regimens, and although a few consensus documents have been published, formal guidelines are lacking in Grade A evidence. With increasing pressure on healthcare resources, the possibility of identifying high-risk groups to optimise the use of follow up in specialist clinics is explored. Vulval disease is uncommon and there is no evidence that screening would decrease incidence. If high-risk groups can be identified, follow up should take place in specialised vulval clinics with experienced clinicians who are trained in vulval disease. Women with uncomplicated vulval conditions should be discharged to patient-initiated follow up or primary care. Central to the reduction of mortality and morbidity is increased awareness of vulval conditions among women and improved education of healthcare professionals, with particular understanding of the importance of physical examination. PMID:22189088

Eva, Lois J

2012-04-01

104

Follow-Up Study of Pupils with Differing Preschool Experiences.  

ERIC Educational Resources Information Center

A follow-up study of the Early Childhood Education Project (ECEP) was conducted in Richmond, Virginia to determine the effects of preschool experiences on selected aspects of pupil performance at the beginning and completion of grade 1. EPEC is a Head Start type program organized for the regular school year. The sample was divided into three…

Turner, Robert V.; DeFord, Edward F.

105

Cleft lip and palate surgery: 30 years follow-up  

PubMed Central

Ten cleft lip and palate patients with complete unilateral (five patients) and bilateral (five patients) clefts were treated by a multidisciplinary team integrated by psychologists, surgeons, orthodontists, prosthodontists, pediatric dentists, and speech pathologists, to obtain ideal soft tissue and hard tissue continuity, facial symmetry, functional and esthetic dentitions, excellent nasal architecture, subtle, and hidden lip scars. No hypernasality and adequate social adaptation were found in the 30 years follow-up (20-30 years follow-up with an average of 25.5 years). The patients were treated in a pro-active fashion avoiding complications and related problems, executing the ideal surgical, dental, and speech therapy plan, based on a close follow-up over the entire period. Those patients treated at the right time required less surgeries and less salvaging maneuvers and presented complete dentitions with less dental prosthesis or dental implants and stable occlusions, than those who missed the ideal dental and surgical treatment opportunities. The focus of this article is the need of a close long-term follow-up to ensure an ideal patient's quality of life. PMID:23483117

Guerrero, Cesar A.

2012-01-01

106

Employer Follow-Up, 1978. Research Report Number 20.  

ERIC Educational Resources Information Center

An employer follow-up study was conducted by Howard Community College (HCC) in May, 1979, to determine the job performance of the HCC 1978 occupational program graduates. Only the employers of occupational graduates in full-time jobs related to their program of study were involved. These employers were asked, on a specially prepared questionnaire,…

Nespoli, Lawrence A.; Nair, P. C.

107

Follow-Up of 1978 Entrants. Research Report Number 32.  

ERIC Educational Resources Information Center

A follow-up study of students entering Howard Community College (HCC) in 1978 was conducted to obtain information on student outcomes three and one-half years after enrollment. A questionnaire developed by the Maryland Community College Research Group and the Maryland State Board for Community Colleges was sent to 592 students who entered HCC in…

Nespoli, Lawrence A.; Radcliffe, Susan K.

108

Follow-Up of 1981 Graduates. Research Report Number 33.  

ERIC Educational Resources Information Center

A follow-up study of 1981 graduates of Howard Community College (HCC) was conducted to obtain demographic data, determine students' employment and educational status 6 months after graduation, and to assess graduates' satisfaction with HCC's classroom instruction and preparation for transfer/employment. Study findings, based on survey responses…

Nespoli, Lawrence A.; Radcliffe, Susan K.

109

Follow-Up of 1984 Entrants. Research Report Number 60.  

ERIC Educational Resources Information Center

In 1988, a follow-up mail survey was conducted of 1984 entrants at Howard Community College (HCC) in Maryland to determine their educational and career achievements subsequent to their community college experience and to assess the effectiveness of the college from the students' perspective. Questionnaires were sent to all 1,160 student who…

Seboda, Barbara L.

110

Loss to Follow-Up: Issues and Recommendations  

ERIC Educational Resources Information Center

State coordinators of early hearing detection and intervention (EHDI) programs completed a strengths, weaknesses, opportunities, and threats, or SWOT, analysis that examined 12 areas within state EHDI programs. Related to how EHDI programs address loss to follow-up, 47 coordinators responded with 277 items, and themes were identified in each…

Hoffman, Jeff; Munoz, Karen F.; Bradham, Tamala S.; Nelson, Lauri

2011-01-01

111

Sudomotor dysfunction in autoimmune autonomic ganglionopathy: a follow-up study  

PubMed Central

Objective We have previously shown that sudomotor dysfunction in autoimmune autonomic ganglionopathy is severe, widespread, and predominantly post-ganglionic. However, the long-term changes in sudomotor function have not been studied in detail. Our objective was to characterize the long-term changes in sudomotor dysfunction in patients with autoimmune autonomic ganglionopathy. Methods Changes in sudomotor function were compared in a cohort of nine ?3 nAChR antibody positive autoimmune autonomic ganglionopathy patients over an approximate 5-year period. Standard measurements of sudomotor function were used including the thermoregulatory sweat test and quantitative sudomotor axon reflex test. Results Total body anhidrosis on thermoregulatory sweat testing showed improvement in four of nine patients. Quantitative sudomotor axon reflex testing for both forearm and foot sites was variable with four of nine patients showing improvement in total sweat output. Distribution of sudomotor dysfunction at follow-up was post-ganglionic in seven of nine patients at the foot site and three of nine patients at the forearm site. Overall, sudomotor dysfunction was post-ganglionic in seven of nine patients throughout the follow-up period (62.4 ± 19.4 months). Interpretation Sudomotor dysfunction in autoimmune autonomic ganglionopathy was severe and widespread throughout the follow-up period for the majority of patients studied. Sudomotor dysfunction was predominantly post-ganglionic throughout the follow-up period. PMID:22127477

Kimpinski, Kurt; Iodice, Valeria; Sandroni, Paola; Fealey, Robert D.; Vernino, Steven

2012-01-01

112

Follow-up treatment utilization by hospitalized suicidal adolescents.  

PubMed

This study examines treatment utilization in a sample of 99 adolescents who were psychiatrically hospitalized due to a risk of suicide and followed for 6 months. Descriptive information regarding participants' use of various forms of outpatient and intensive treatment, including emergency, inpatient, and residential care is presented. In addition, the relationships between utilization of mental health services and various characteristics of the adolescents and their families were assessed. Overall treatment engagement was high, with 78 participants (79%) receiving some care for the duration of the follow-up period and 91 (92%) participating in at least one session of outpatient treatment, although the extent of utilization was highly variable. In addition, 28 participants (28%) were rehospitalized during follow-up. Both family and individual characteristics were associated with differences in adolescents' participation in follow-up treatment. Specifically, adolescents with a family history of mood disorders were more likely to participate in outpatient treatment and less likely to require intensive treatments. Conversely, more impaired baseline functioning and suicide attempts during the follow-up period were associated with greater utilization of intensive treatments and less utilization of outpatient therapy. Given that 19 participants (19%) in our sample attempted suicide during the follow-up interval, the findings of this study suggest that, in spite of high rates of outpatient treatment engagement, rates of suicide attempts and use of intensive treatment services remain high. These results suggest the need for improved outpatient care, as well as possibly longer inpatient stays and more elaborate discharge and transition planning. PMID:25226196

Yen, Shirley; Fuller, Anne K; Solomon, Joel; Spirito, Anthony

2014-09-01

113

Motor development in children at risk of autism: a follow-up study of infant siblings.  

PubMed

Recently, evidence of poor or atypical motor skills in autism spectrum disorder has led some to argue that motor impairment is a core feature of the condition. The current study uses a longitudinal prospective design to assess the development of motor skills of 20 children at increased risk of developing autism spectrum disorder, who were recruited and tested at 9 and 40 months of age, on the basis of having an older sibling diagnosed with the condition. All children completed a range of motor, face processing, IQ and diagnostic assessments at a follow-up visit (aged 5-7 years), providing a detailed profile of development in this group from a number of standardised, parental report and experimental measures. A higher proportion of children than expected demonstrated motor difficulties at the follow-up visit and those highlighted by parental report as having poor motor skills as infants and toddlers were also more likely to have lower face processing scores and elevated autism-related social symptoms at 5-7 years, despite having similar IQ levels. These data lend support to the argument that early motor difficulties may be a risk factor for later motor impairment as well as differences in social communication and cognition, traits that are related to autism spectrum disorder. PMID:24101718

Leonard, Hayley C; Bedford, Rachael; Charman, Tony; Elsabbagh, Mayada; Johnson, Mark H; Hill, Elisabeth L

2014-04-01

114

Mineral licks: motivational factors for visitation and accompanying disease risk at communal use sites of elk and deer.  

PubMed

Free-ranging cervids acquire most of their essential minerals through forage consumption, though occasionally seek other sources to account for seasonal mineral deficiencies. Mineral sources occur as natural geological deposits (i.e., licks) or as anthropogenic mineral supplements. In both scenarios, these sources commonly serve as focal sites for visitation. We monitored 11 licks in Rocky Mountain National Park, north-central Colorado, using trail cameras to quantify daily visitation indices (DVI) and soil consumption indices (SCI) for Rocky Mountain elk (Cervus elaphus) and mule deer (Odocoileus hemionus) during summer 2006 and documented elk, mule deer, and moose (Alces alces) visiting licks. Additionally, soil samples were collected, and mineral concentrations were compared to discern levels that explain rates of visitation. Relationships between response variables; DVI and SCI, and explanatory variables; elevation class, moisture class, period of study, and concentrations of minerals were examined. We found that DVI and SCI were greatest at two wet, low-elevation licks exhibiting relatively high concentrations of manganese and sodium. Because cervids are known to seek Na from soils, we suggest our observed association of Mn with DVI and SCI was a likely consequence of deer and elk seeking supplemental dietary Na. Additionally, highly utilized licks such as these provide an area of concentrated cervid occupation and interaction, thus increasing risk for environmental transmission of infectious pathogens such as chronic wasting disease, which has been shown to be shed in the saliva, urine, and feces of infected cervids. PMID:24711146

Lavelle, Michael J; Phillips, Gregory E; Fischer, Justin W; Burke, Patrick W; Seward, Nathan W; Stahl, Randal S; Nichols, Tracy A; Wunder, Bruce A; VerCauteren, Kurt C

2014-12-01

115

Neurocysticercosis: HP10 Antigen Detection Is Useful for the Follow-up of the Severe Patients  

PubMed Central

Background The most severe clinical form of neurocysticercosis (NC) occurs when cysticerci are located in the subarachnoid space at the base of the brain (SaB). The diagnosis, monitoring and treatment of NC-SaB, constitutes a severe clinical challenge. Herein we evaluate the potential of the HP10 antigen detection enzyme-linked immunosorbent assay (HP10 Ag-ELISA) in the long term follow-up of NC-SaB cases. Assay performance was compared with that of Magnetic Resonance Imaging (MRI). In addition, the robustness of the HP10 Ag-ELISA was evaluated independently at two different institutions. Methodology/Principal Findings A double-blind prospective cohort trial was conducted involving 38 NC-SaB cases and a total of 108 paired serum and cerebrospinal fluid (CSF) samples taken at intervals of 4 to 8 months for up to 43 months. At each medical visit, results of sera and CSF HP10 Ag-ELISA and MRI obtained at last visit were compared and their accuracy was evaluated retrospectively, considering radiological evolution between appointments. In the long-term follow-up study, HP10 Ag-ELISA had a better agreement than MRI with retrospective radiological evaluation. High reproducibility of HP10 Ag-ELISA between laboratories was also demonstrated. Conclusions Results reported in this study establish for the first time the usefulness of the comparatively low cost HP10 Ag-ELISA for long term follow-up of NC-SaB patients. PMID:23505587

Fleury, Agnès; Garcia, Esperanza; Hernández, Marisela; Carrillo, Roger; Govezensky, Tzipe; Fragoso, Gladis; Sciutto, Edda; Harrison, Leslie J. S.; Parkhouse, R. Michael Evans

2013-01-01

116

A follow-up of alcoholics treated by multimodal therapy.  

PubMed

A general hospital sponsored for the psychotherapeutic treatment of alcoholism is described. In this context a multimodal approach, emphasizing methods derived from principles of learning, is applied to training the individual in new life-style skills for the management of alcoholism. Demographic characteristics of the population served by the program are of a predominantly blue collar clientele, mostly employed (72%), married (61%), and from urban centers (95%). Attrition as a major problem in evaluating results at the follow-up stage is identified and a method of reporting follow-up results taking this factor into account is presented. This method showed that under the most stringent conditions for reporting results, 36.64% of a sample of 131 alcoholics were showing improvement at 12 months, while under the least stringent condition 84% were showing some improvement over the same period. PMID:549474

Blake, B G; Pigott, P

1979-01-01

117

An alternative conception of termination and follow-up.  

PubMed

Traditional psychoanalytic theory prescribes total patient-analyst separation after termination to facilitate mourning the loss of the analyst. This paper provides a rationale derived from contemporary (especially relational/interpersonal) theory for an alternative conception of termination and follow-up based on the central role of the analyst as a real person involved in a mutually caring patient-analyst relationship. Patient-analyst follow-up may provide numerous positive benefits: The patient may reexperience the analyst's caring, may reinvigorate helpful introjections of the analyst, and may have additional opportunity to deal with unresolved idealization of the analyst. The analyst may learn about the patient's unpredictable, inevitable post-termination changes, positive and negative, and improve his or her understanding of the course and outcome of treatment. PMID:23638663

Schachter, Joseph; Kächele, Horst

2013-06-01

118

F.U.A.P. - Follow up Astrometric program  

NASA Astrophysics Data System (ADS)

Astronomers pay careful attention to the Near Earth Asteroids due to their importance roule in the Earth's neighbouring; other asteroids have not the same attention and they should not be observed for a lot of time to be considered as lost. To avoid this problem we would like to propose an observational's program called Follow Up Astrometric Program (FUAP) available at URL:http://asteroidi.uai.it/fuap.htm

Galli, G.; Foglia, S.; Cremaschni, C.; Tombelli, M.

2011-12-01

119

Cannabis and schizophrenia: results of a follow-up study  

Microsoft Academic Search

A total of 39 schizophrenic patients with a history of current cannabis abuse at index admission was compared with a control\\u000a group of schizophrenics without substance abuse matched for age, gender, and year of admission. At follow-up after 68.7 ±\\u000a 28.3 months, 27\\/ 39 cases and 26\\/39 controls could be investigated. 8\\/27 cases (30%) had continued cannabis abuse, 6\\/27 (22%)

D. Caspari

1999-01-01

120

Follow-up of colorectal cancer resected for cure  

Microsoft Academic Search

Sixty-four consecutive patients who had undergone curative resection for colorectal carcinoma were studied prospectively to\\u000a evaluate the roles of sequential CEA determinations and independent instrumental follow-up in the early detection of resectable\\u000a recurrences. Fifty-two of these patients also were submitted to sequential determinations of other tumor antigens: TPA (tissue\\u000a polypeptide antigen) and Ca 19-9 (colon cancer antigen detected with a

Claudio Fucini; Silvia Maria Tommasi; Stefano Rosi; Giorgio Malatantis; Gaetano Cardona; Sergio Panichi; Ugo Bettini

1987-01-01

121

Long-Term Follow-up Results of Laparoscopic Pyeloplasty  

PubMed Central

Purpose To assess the long-term follow-up results of laparoscopic pyeloplasty for ureteropelvic junction obstruction. Materials and Methods Sixty-five patients (mean age, 43.8 years) who underwent standard laparoscopic pyeloplasty by transperitoneal approaches were enrolled in this study. The chief complaint was flank pain (n=57 patients); the remaining cases were detected incidentally. Twenty-three patients had undergone previous abdominal surgeries, including open pyeloplasty and endopyelotomy. Mean stricture length was 1.06 cm. Grade 3/4 and 4/4 hydronephrosis was detected in 36 and 14 patients, respectively. An obstructive pattern was present on the renal scan in 53 patients (81.5%). Results Fifty-seven patients were treated with dismembered Anderson-Hynes pyeloplasty and eight patients with Fenger pyeloplasty. During the operation, crossing vessels were found in 27 patients (41.5%). Mean operating time was 159.42 minutes. Although there were no cases of open conversion, two patients with colon and spleen injuries were detected postoperatively. The mean starting time of postoperative ambulation and diet was 1.54 days and 1.86 days, respectively. Mean hospital stay was 8.09 days. Mean follow-up period was 36.5 months. Follow-up intravenous pyelography and renal scan showed improvements in 59 patients, and the radiologic success rate was 90.8%. Eight patients showed failure on radiologic or symptomatic evaluation, and the overall success rate was 87.7%. In the comparative analysis between the success and failure groups, drained amount was the only risk factor related to failure (554.41 mL. vs. 947.70 mL, p=0.024). Conclusions Long-term follow-up results support laparoscopic pyeloplasty as the standard treatment for ureteropelvic junction obstruction. Drained amount is a risk factor for failure of the operation. PMID:25324948

Oh, Tae Hoon; Lee, Jae Whan

2014-01-01

122

Ute Unit: Study Guide and Follow Up Activities.  

ERIC Educational Resources Information Center

The study guide and follow-up activities were designed primarily to give students a feeling of Ute life in the San Luis Valley in Colorado. The unit begins with six Southern Ute stories about the wolf and coyote, the race between the skunk and the coyote, the frog and the eagle, why the frog croaks, the bear (Que Ye Qat), and the two Indian…

North Conejos School District, Capulin, CO.

123

Abdominal adenopathy found during a routine follow-up.  

PubMed

During routine follow-up of a 60-year-old man with an endoluminal lesion of the duodenum, we found a persistent reactive abdominal adenopathy of unknown origin, later diagnosed as an abdominal localization of sarcoidosis. This article focuses on the differential diagnosis of abdominal granulomatous lymphadenopathies, the management of abdominal adenopathy of unknown origin, and the difficult decision making about sampling lymph nodes with reactive and inflammatory echographic appearance. PMID:25621963

Carmagnola, Stefania; Venezia, Ludovica; Anderloni, Andrea; Nicali, Roberta; Patrucco, Filippo; Balbo, Piero Emilio

2015-02-01

124

Outcomes of Phenylketonuria with Relevance to Follow-Up  

Microsoft Academic Search

\\u000a Currently, there is no international consensus on how patients with phenylketonuria (PKU) (or milder forms of hyperphenylalaninaemia)\\u000a should be followed in clinical practice. Guidelines concerning the frequency and type of assessments that should be made according\\u000a to age usually focus on blood phenylalanine concentrations. A need exists for improved guidelines on how to do the follow-up\\u000a of individuals with PKU\\/milder

F. J. van Spronsen; A. Bélanger-Quintana

125

Venous MR Angiography for Diagnosis and Follow-up  

Microsoft Academic Search

OBJECTIVE. The purpose of this study was to determine the value of venous MR angiognaphy as the sole procedure for the diagnosis and follow-up of dural sinus thrombosis. MATERIALS AND METHODS. Forty-two patients with clinical findings suggestive of dural sinus thrombosis were examined with venous MR angiography and spin-echo MR imaging. Maximum-intensity-projection reconstructions and individual sections of the MR angiograms

Thomas J. yogI; Clifford Bergman; Arno Villringer; Karl Einh; Joseph Lissner; Roland Felix

126

Cancer mortality among German aircrew: second follow-up  

Microsoft Academic Search

Aircrew members are exposed to cosmic radiation and other specific occupational factors. In a previous analysis of a large\\u000a cohort of German aircrew, no increase in cancer mortality or dose-related effects was observed. In the present study, the\\u000a follow-up of this cohort of 6,017 cockpit and 20,757 cabin crew members was extended by 6 years to 2003. Among male cockpit\\u000a crew,

Hajo Zeeb; Gaël P. Hammer; Ingo Langner; Thomas Schafft; Sabrina Bennack; Maria Blettner

2010-01-01

127

ACR appropriateness criteria follow-up of Hodgkin lymphoma.  

PubMed

The main objectives of follow-up studies after completion of treatment for Hodgkin lymphoma are detection of recurrence for salvage therapy and monitoring for sequelae of treatment. The focus of the follow-up shifts, with time after treatment, from detection of recurrence to long-term sequelae. A majority of recurrence is detected by history and physical examination. The yield for routine imaging studies and blood tests is low. Although routine surveillance CT scan can detect recurrence not detected by history and physical examination, its benefit in ultimate survival and cost-effectiveness is not well defined. Although PET scan is a useful tool in assessing response to treatment, its routine use for follow-up is not recommended. Long-term sequelae of treatment include secondary malignancy, cardiovascular disease, pneumonitis, reproductive dysfunction, and hypothyroidism. Follow-up strategies for these sequelae need to be individualized, as their risks in general depend on the dose and volume of radiation to these organs, chemotherapy, age at treatment, and predisposing factors for each sequela. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is either lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:25278496

Ha, Chul S; Hodgson, David C; Advani, Ranjana; Dabaja, Bouthaina S; Dhakal, Sughosh; Flowers, Christopher R; Hoppe, Bradford S; Mendenhall, Nancy P; Metzger, Monika L; Plastaras, John P; Roberts, Kenneth B; Shapiro, Ronald; Smith, Sonali; Terezakis, Stephanie A; Winkfield, Karen M; Younes, Anas; Constine, Louis S

2014-11-01

128

Undifferentiated Spondyloarthropathies: A 2Year Follow-up Study  

Microsoft Academic Search

:   The aim of the study was to analyse the 2-year follow-up of a series of patients with the diagnosis of undifferentiated spondyloarthropathy\\u000a (uSpA). A prospective study was carried out analysing 68 patients with symptomatic uSpA who fulfilled the European Spondylarthropathy\\u000a Study Group (ESSG) criteria for seronegative spondyloarthropathies (SpA) and were aged between 18 and 50 years. Inclusion\\u000a criteria included

P. D. Sampaio-Barros; M. B. Bertolo; M. H. S. Kraemer; J. F. Marques-Neto; A. M. Samara

2001-01-01

129

Bereavement follow-up: an opportunity to extend nursing care.  

PubMed

Families who lose a child to cancer endure pain of tremendous proportions and those who face the grieving process without support are likely to feel devastated and overwhelmed. Nurses who care for these children and families have a unique opportunity (perhaps an obligation) to continue their care of families in the form of bereavement follow-up. Bereavement follow-up from nurses provides families with empathy, validation for their feelings, respect for their child's memory, and information about further support. Nurses can be uncomfortable about extending care to bereaved families for fear of saying the wrong thing, becoming emotional, making the parent's pain somehow worse, or because of unresolved grief of their own. Forming a bereavement committee and obtaining information about the grief process are two ways to work through those fears. Our informal evaluation of one bereavement program revealed that families greatly appreciate the follow-up. Nurses participating in the program felt more assured and personally rewarded once they become more knowledgeable about bereavement and received words and letters of appreciation from families. PMID:8908909

Ruden, B M

1996-10-01

130

Cherubism--a case report with long term follow up.  

PubMed

Cherubism is a rare non-neoplastic disease of the bone characterized by bilateral painless enlargement of the jaws giving a cherubic appearance to the patient. It is an autosomal dominant disorder but may occur sporadically. In this paper, we have tried to explain about the clinical, radiological and histopathologic features of cherubism by presenting a case study. A case study of a 7 year old male patient, who first presented with mandibular bilateral swellings to our department in 1998, has been presented. In-depth clinical, radiological and histopathologic examination was done. An extensive long-term follow-up till 11 years was maintained. When presented for the first time, radiological investigation showed characteristic multilocular lytic lesions of the mandible bilaterally. Histopathological examination of the biopsy specimen showed proliferating fibrous connective tissue interspersed by multinucleated giant cells. It was diagnosed as a case nonfamilial cherubism. Follow-up after 5 years showed involvement of the maxilla as well, which was then corrected by surgical methods. Upon follow up 11 years after the first presentation, it was seen that the lesion was regressing by itself and there was improvement in facial contour. The natural course of Cherubism through its progression, stabilization and involution of the disease after puberty, has been highlighted in this case. More, in-depth studies to understand the nature and the pathogenesis of this condition better are required. PMID:22234113

Chavali, Lakshmi V; Bhimalingam, R M Rao; Sudhakar, P V

2011-01-01

131

Education On Prehospital Pain Management: A Follow-Up Study  

PubMed Central

Introduction: The most common reason patients seek medical attention is pain. However, there may be significant delays in initiating prehospital pain therapy. In a 2001 quality improvement (QI) study, we demonstrated improvement in paramedic knowledge, perceptions, and management of pain. This follow-up study examines the impact of this QI program, repeated educational intervention (EI), and effectiveness of a new pain management standard operating procedure. Methods: 176 paramedics from 10 urban and suburban fire departments and two private ambulance services participated in a 3-hour EI. A survey was performed prior to the EI and repeated one month after the EI. We reviewed emergency medical services (EMS) runs with pain complaints prior to the EI and one month after the EI. Follow-up results were compared to our prior study. We performed data analysis using descriptive statistics and chi-square tests. Results: The authors reviewed 352 surveys and 438 EMS runs with pain complaints. Using the same survey questions, even before the EI, 2007 paramedics demonstrated significant improvement in the knowledge (18.2%; 95% CI 8.9%, 27.9%), perceptions (9.2%; 95% CI 6.5%, 11.9%), and management of pain (13.8%; 95% CI 11.3%, 16.2%) compared to 2001. Following EI in 2007, there were no significant improvements in the baseline knowledge (0%; 95% CI 5.3%, 5.3%) but significant improvements in the perceptions of pain principles (6.4%; 95% CI 3.9%, 9.0%) and the management of pain (14.7%; 95% CI 11.4%, 18.0%). Conclusion: In this follow up study, paramedics’ baseline knowledge, perceptions, and management of pain have all improved from 6 years ago. Following a repeat educational intervention, paramedics further improved their field management of pain suggesting paramedics will still benefit from both initial and also ongoing continuing education on the topic of pain management. PMID:23599840

French, Scott C.; Chan, Shu B.; Ramaker, Jill

2013-01-01

132

Follow-up of collagen meniscus implants by MRI  

Microsoft Academic Search

Purpose  The purpose of our study was to evaluate the usefulness of magnetic resonance imaging (MRI) in the follow-up of patients treated\\u000a with collagen meniscus implant (CMI) and to identify MRI patterns suitable for defining its evolution.\\u000a \\u000a \\u000a \\u000a Materials and methods  Between March 2001 and June 2003, CMI was performed on 40 patients (27 men and 13 women, age 23–58 years, median 41

E. Genovese; M. G. Angeretti; M. Ronga; A. Leonardi; R. Novario; L. Callegari; C. Fugazzola

2007-01-01

133

Barriers to and Facilitators of Postpartum Follow-Up Care in Women with Recent Gestational Diabetes Mellitus: A Qualitative Study  

PubMed Central

Abstract Objectives Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM. Methods We conducted 22 semistructured interviews, 13 in person and 9 by telephone, that were audiotaped and transcribed. Two investigators independently coded transcripts. We identified categories of themes and subthemes. Atlas.ti qualitative software (Berlin, Germany) was used to assist data analysis and management. Results Mean age was 31.5 years (standard deviation) [SD] 4.5), 63% were nonwhite, mean body mass index (BMI) was 25.9?kg/m2 (SD 6.2), and 82% attended a postpartum visit. We identified four general themes that illustrated barriers and six that illustrated facilitators to postpartum follow-up care. Feelings of emotional stress due to adjusting to a new baby and the fear of receiving a diabetes diagnosis at the visit were identified as key barriers; child care availability and desire for a checkup were among the key facilitators to care. Conclusions Women with recent GDM report multiple barriers and facilitators of postpartum follow-up care. Our results will inform the development of interventions to improve care for these women to reduce subsequent diabetes risk. PMID:21265645

Ennen, Christopher S.; Carrese, Joseph A.; Hill-Briggs, Felicia; Levine, David M.; Nicholson, Wanda K.; Clark, Jeanne M.

2011-01-01

134

Submillimeter Follow-up of WISE-Selected Hyperluminous Galaxies  

E-print Network

We have used the Caltech Submillimeter Observatory (CSO) to follow-up a sample of WISE-selected, hyperluminous galaxies, so called W1W2-dropout galaxies. This is a rare (~ 1000 all-sky) population of galaxies at high redshift (peaks at z=2-3), that are faint or undetected by WISE at 3.4 and 4.6 um, yet are clearly detected at 12 and 22 um. The optical spectra of most of these galaxies show significant AGN activity. We observed 14 high-redshift (z > 1.7) W1W2-dropout galaxies with SHARC-II at 350 to 850 um, with 9 detections; and observed 18 with Bolocam at 1.1 mm, with five detections. Warm Spitzer follow-up of 25 targets at 3.6 and 4.5 um, as well as optical spectra of 12 targets are also presented in the paper. Combining WISE data with observations from warm Spitzer and CSO, we constructed their mid-IR to millimeter spectral energy distributions (SEDs). These SEDs have a consistent shape, showing significantly higher mid-IR to submm ratios than other galaxy templates, suggesting a hotter dust temperature. W...

Wu, Jingwen; Sayers, Jack; Benford, Dominic; Bridge, Carrie; Blain, Andrew; Eisenhardt, Peter R M; Stern, Daniel; Petty, Sara; Assef, Roberto; Bussmann, Shane; Comerford, Julia M; Cutri, Roc; Evans, Neal J; Griffith, Roger; Jarrett, Thomas; Lake, Sean; Lonsdale, Carol; Rho, Jeonghee; Stanford, S Adam; Weiner, Benjamin; Wright, Edward L; Yan, Lin; 10.1088/0004-637X/756/1/96

2012-01-01

135

Long-term follow-up of atomic bomb survivors.  

PubMed

The Life Span Study (LSS) is a follow-up study of atomic bomb (A-bomb) survivors to investigate the radiation effects on human health and has collected data for over 60 years. The LSS cohort consists of 93,741 A-bomb survivors and another 26,580 age and sex-matched subjects who were not in either city at the time of the bombing. Radiation doses have been computed based on individual location and shielding status at the time of the bombings. Age at death and cause of death are gathered through the Japanese national family registry system and cancer incidence data have been collected through the Hiroshima and Nagasaki cancer registries. Noncancer disease incidence and health information are collected through biannual medical examinations among a subset of the LSS. Radiation significantly increases the risks of death (22% at 1 Gy), cancer incidence (47% at 1 Gy), death due to leukemia (310% at 1 Gy), as well as the incidence of several noncancer diseases (e.g. thyroid nodules, chronic liver disease and cirrhosis, uterine myoma, and hypertension). Significant effects on maturity (e.g. growth reduction and early menopause) were also observed. Long-term follow-up studies of the A-bomb survivors have provided reliable information on health risks for the survivors and form the basis for radiation protection standards for workers and the public. PMID:22440534

Sakata, Ritsu; Grant, Eric J; Ozasa, Kotaro

2012-06-01

136

Asymptomatic popliteal aneurysm: elective operation versus conservative follow-up.  

PubMed

In a retrospective study 42 patients with asymptomatic popliteal artery aneurysm were followed without surgery to identify variables predicting the risk of complications. The mean aneurysm size was 3.1 cm. Abnormal ankle pulses were found in 18 of the 42 limbs in which an asymptomatic popliteal aneurysm was present. Follow-up was complete (mean 6.2 years). Twenty-five patients developed complications at a mean observation time of 18 months. As a result three lost the limb, eight had claudication, two needed a fasciotomy and one had a peroneal nerve palsy. The cumulative risk of developing complications during follow-up was 24 per cent at 1 year, rising to 68 per cent at 5 years. Patients with absent ankle pulses and those already operated on for abdominal aortic aneurysm proved to be especially at risk. Patient survival appeared to be normal for the period of observation. It is concluded that asymptomatic aneurysm of the popliteal artery is a potentially dangerous lesion that may justify elective surgery; it is possible to select those at highest risk. PMID:7820486

Dawson, I; Sie, R; van Baalen, J M; van Bockel, J H

1994-10-01

137

Percutaneous laser discectomy: experience and long term follow-up.  

PubMed

The classical microsurgical approach in the treatment of herniated nucleus pulposus (HNP) has been substituted over the years by endoscopical approach, in which it is possible to practice via endoscopy a laser thermo-discoplasty, and by percutaneous laser disc decompression and nucleotomy. Percutaneous laser disc decompression and nucleotomy have been performed worldwide in more than 40,000 cases of HNP. Because water is the major component of the intervertebral disc and in HNP pain is caused by disc protrusion pressing against the nerve root, a 980 nm Diode (Biolitec AG-Germany) laser introduced via a 21-G needle under X-ray or CT-scan guidance and local anesthesia, vaporizes a small amount of the nucleous pulposus shrinking the disc and relieving the pressure on the nerve root. A multicentric retrospective study with a mean follow-up of 6 years was performed on 900 patients suffering from relevant symptoms that had been therapy-resistant for 6 months on average before consulting our department. Evaluation included 585 (65%) males and 315 (35%) females. The average age of patients operated was 46 years (18-54). The success rate at a mean follow-up of 5 years (2-6 years) was about 70% with a very low complication rate. PMID:21107947

Menchetti, P P M; Canero, G; Bini, W

2011-01-01

138

Adverse Events after Screening and Follow-up Colonoscopy  

PubMed Central

Objective We provide new information about how the risk of adverse events following colonoscopy varies by age and indication (screening versus follow-up performed to evaluate a positive result from another screening modality). Methods We constructed a retrospective cohort comprised of 43,456 individuals aged 40 to 85 years enrolled in a large integrated healthcare organization in Washington state who underwent outpatient colonoscopy between 1994 and 2009. We calculated rates of serious adverse events (perforation, hemorrhage, and acute diverticulitis) in the 30 days following colonoscopy and compared rates using log-binomial regression models. Results We observed 4.7 serious adverse events per 1000 screening colonoscopies and 6.8 per 1000 follow-up colonoscopies. Polypectomy increased the rate of serious adverse events (relative rate [RR], 2.64; 95% confidence interval [CI], 1.97–3.56). Older age was associated with increased risk of serious adverse events, after adjusting for polypectomy, gender, and indication. Compared to individuals aged 50–64 years, risk was elevated for those aged 65–74 (RR, 1.93; 95% CI, 1.40–2.65) and 75–85 (RR, 3.21; 95% CI 2.14–4.86). We observed similar age effects in individuals with and without significant comorbid conditions. Conclusions The risks of serious adverse events following colonoscopy performed as part of screening are low, but increase with age and are more likely after polypectomy. PMID:22105578

Rutter, Carolyn M.; Johnson, Eric; Miglioretti, Diana L.; Mandelson, Margaret T.; Inadomi, John; Buist, Diana S.M.

2012-01-01

139

Ten-Year Follow-Up of Endovascular Aneurysm Treatment with Talent Stent-Grafts  

SciTech Connect

The purpose of this study was to evaluate the clinical results, complications, and secondary interventions during long-term follow-up after endovascular aneurysm repair (EVAR) and to investigate the impact of endoleak sizes on aneurysm shrinkage. From 1997 to March 2007, 127 patients (12 female, 115 male; age, 73.0 {+-} 7.2 years) with abdominal aortic aneurysms were treated with Talent stent-grafts. Follow-up included clinical visits, contrast-enhanced MDCT, and radiographs at 3, 6, and 12 months and then annually. Results were analyzed with respect to clinical outcome, secondary interventions, endoleak rate and management, and change in aneurysm size. There was no need for primary conversion surgery. Thirty-day mortality was 1.6% (two myocardial infarctions). Procedure-related morbidity was 2.4% (paraplegia, partial infarction of one kidney, and inguinal bleeding requiring surgery). Mean follow-up was 47.7 {+-} 34.2 months (range, 0-123 months). Thirty-nine patients died during follow-up; three of the deaths were related to aneurysm (aneurysm rupture due to endoleak, n = 1; secondary surgical reintervention n = 2). During follow-up, a total of 29 secondary procedures were performed in 19 patients, including 14 percutaneous procedures (10 patients) and 15 surgical procedures (12 patients), including 4 cases with late conversion to open aortic repair (stent-graft infection, n = 1; migration, endoleak, or endotension, n = 3). Overall mean survival was 84.5 {+-} 4.7 months. Mean survival and freedom from any event was 66.7 {+-} 4.5 months. MRI depicted significantly more endoleaks compared to MDCT (23.5% vs. 14.3%; P < 0.01). Patients in whom all aneurysm side branches were occluded prior to stent-grafting showed a significantly reduced incidence of large endoleaks. Endoleaks >10% of the aneurysm area were associated with reduced aneurysm shrinkage compared to no endoleaks or <10% endoleaks ({Delta} at 3 years, -1.8% vs. -12.0%; P < 0.05). In conclusion, endovascular aneurysm treatment with Talent stent-grafts demonstrated encouraging long-term results with moderate secondary intervention rates. Primary occlusion of all aortic side branches reduced the incidence of large endoleaks. Large endoleaks significantly impaired aneurysm shrinkage, whereas small endoleaks did not.

Pitton, Michael B., E-mail: pitton@radiologie.klinik.uni-mainz.de; Scheschkowski, Tobias; Ring, Markus; Herber, Sascha; Oberholzer, Katja; Leicher-Dueber, Annegret [University Hospital of Mainz, Johannes Gutenberg University of Mainz, Department of Diagnostic and Interventional Radiology (Germany); Neufang, Achim; Schmiedt, Walther [University Hospital of Mainz, Johannes Gutenberg University of Mainz, Department of Cardiovascular and Thoracic Surgery (Germany); Dueber, Christoph [University Hospital of Mainz, Johannes Gutenberg University of Mainz, Department of Diagnostic and Interventional Radiology (Germany)

2009-09-15

140

Cost effectiveness of group follow-up after structured education for type 1 diabetes: a cluster randomised controlled trial  

PubMed Central

Background This study examines the cost effectiveness of group follow-up after participation in the Dose Adjustment for Normal Eating (DAFNE) structured education programme for type 1 diabetes. Methods Economic evaluation conducted alongside a cluster randomised controlled trial involving 437 adults with type 1 diabetes in Ireland. Group follow-up involved two group education ‘booster’ sessions post-DAFNE. Individual follow-up involved two standard one-to-one hospital clinic visits. Incremental costs, quality-adjusted life years (QALYs) gained and cost effectiveness were estimated at 18 months. Uncertainty was explored using sensitivity analysis and by estimating cost effectiveness acceptability curves. Results Group follow-up was associated with a mean reduction in QALYs gained of 0.04 per patient (P value, 0.052; 95% CI, ?0.08 to 0.01, intra-class correlation (ICC), 0.033) and a mean reduction in total healthcare costs of €772 (P value, 0.020; 95% CI, ?1,415 to ?128: ICC, 0.016) per patient. At alternative threshold values of €5,000, €15,000, €25,000, €35,000, and €45,000, the probability of group follow-up being cost effective was estimated to be 1.000, 0.762, 0.204, 0.078, and 0.033 respectively. Conclusions The results do not support implementation of group follow-up as the sole means of follow-up post-DAFNE. Given the reported cost savings, future studies should explore the cost effectiveness of alternative models of group care for diabetes. Trial registration Current Controlled Trials ISRCTN79759174 (assigned: 9 February 2007). PMID:24927851

2014-01-01

141

Follow-up genotoxicological monitoring of nurses handling antineoplastic drugs.  

PubMed

Most of the antineoplastic drugs used in the treatment of tumors are carcinogenic to humans. Hospital nurses are often subject to possible occupational carcinogen exposure. Exposure may occur during handling and administration of infusion solutions containing cytostatics. A genotoxicological monitoring system to detect genotoxic changes was developed in our laboratory, helping to improve working conditions and subserving primary prevention. Multiple-endpoint follow-up genotoxicological monitoring was performed in peripheral blood lymphocytes (PBLs) among 4 groups of 95 nurses (152 investigations) occupationally exposed to cytostatics. The results were compared to those of historical and industrial controls. The genotoxicological endpoints were the determination of the frequency of sister chromatid exchanges (SCEs) and the cells with high-frequency SCEs (HFC), the frequency of structural and numerical chromosome aberrations. and the measurement of ultraviolet-light-induced unscheduled DNA-repair synthesis (UDS). In Hospital 1, where nurses worked without a safety cabinet, the percentage of cells with chromosome aberrations (AC) was significantly higher than that of the controls. In Hospital 2, where nurses used inadequate safety cabinets (with horizontal airflow), significantly elevated levels of AC, SCE, HFC, and UDS were detected. During follow-up, in Hospital 2 at the time of the second investigation AC was still significantly higher, although safety conditions had been improved. The results indicate the presence of genotoxic damage in hospital nurses working with no or inadequate safety equipment. In Hospitals 3 and 4 where nurses using biological safety cabinets, the results were lower than those in the previous two groups. In Hospital 3 in the first year of the study AC was as at the level of industrial controls. During follow-up in the course of the repeated investigations a fluctuation in AC above the control level and an increase in HFC in yr 4 and 6 of the study were observed. In this group, the fluctuation in AC and HFC during the study points to the possibility of genotoxic exposure with cytostatics despite of the use of suitable safety cabinets, drawing attention to other possible routes of exposure. In Hospital 4, both AC and HFC were elevated. These data corroborate the need to maintain safety measures to avoid exposure, and the necessity of intervention in the case of exposure when using and handling hazardous carcinogenic agents. The results also indicate a certain expression time for genotoxic changes, which can lead to late somatic mutations as well as to a possible higher risk of cancer. PMID:11261894

Jakab, M G; Major, J; Tompa, A

2001-03-01

142

Following Up Gravitational Wave Transients with the Cherenkov Telescope Array  

NASA Astrophysics Data System (ADS)

Detections of the electromagnetic counterparts to gravitational wave (GW) observations will be critical to understanding the astrophysical phenomena involved. However, in many cases - especially early in the advanced LIGO/Virgo era - the localization of GW transients will be poor, and follow-up observations will be required to rapidly search hundreds to thousands of square degrees of the sky. Relatively few telescopes are capable of such searches with the required sensitivity. We show that the Cherenkov Telescope Array (CTA) has the sensitivity needed to detect short gamma-ray bursts (GRBs) over the detection volume of advanced LIGO/Virgo (a range of hundreds of megaparsecs); short GRBs are thought to originate in compact-binary mergers, which are also considered to likely be the first class of sources detected in GWs. Thus, CTA can make an invaluable contribution to understanding the first GW detections.

Humensky, Brian; Bartos, Imre; Veres, Peter; Nieto, Daniel; Connaughton, Valerie; Hurley, Kevin C.; Marka, Szabolcs; Meszaros, Peter; Mukherjee, Reshmi; O'Brien, P. T.; Osborne, Julian

2014-08-01

143

Radial velocity follow-up of PLATO transiting candidates  

NASA Astrophysics Data System (ADS)

PLATO is a proposed ESA mission devoted to better understand the properties of exoplanetary systems. As such it will detect and characterise exoplanets using their transit signature in front of a large sample of bright stars and simultaneously measuring the seismic oscillations of the parent star of these exoplanets. An intensive effort of ground-based observations are required to complement the observations made by PLATO to allow for further exoplanetary characterization. Here we present some elements about the strategy and organization of the ground-based radial velocity follow-up of PLATO transiting candidates to establish the nature of the transit events and to characterize their masses from earth-like planets to brown-dwarfs.

Bouchy, F.; Udry, S.; Moutou, C.; Bonfils, X.; Guenther, E. W.; Diaz, R.; Forveille, T.; Hébrard, G.; Pepe, F.; Santerne, A.; Ségransan, D.

2011-10-01

144

The role of imaging in the follow up of meningiomas.  

PubMed Central

A retrospective study of 60 patients with meningiomas was conducted to evaluate the role of imaging in postoperative follow up. Using case notes and imaging studies, requests were assessed with reference to the indications for imaging radiological findings and effect on patient management. Patients were divided into three groups: 34 who had undergone a macroscopically complete resection, 18 with known residual tumour, and eight in whom surgery was not performed. These 60 patients underwent a total of 165 CT and 11 MRI studies. In the complete resection group only two patients developed a recurrence, both having highly suggestive symptoms or signs. It is concluded that routine imaging is not indicated in asymptomatic patients after complete tumour clearance. Both CT and MRI contribute to patient management in those with residual disease, MRI probably being the imaging method of choice. PMID:8530945

Hodgson, T J; Kingsley, D P; Moseley, I F

1995-01-01

145

Tele-rheumatology: telephone follow up and cyberclinic.  

PubMed

This paper reviews here the main practical applications of telemedicine with particular reference to telephone care by health professionals to patients. A pilot project of out-patient telephone follow-up service for continuity of ambulatory rheumatology patients is described and recommendations are provided for those keen to develop such a service. In a later section newer technologies such as the potential practical applications of the internet and e-mail are described with the setting up of a cyber project for rheumatology and osteoporosis patients. It is noted that despite enthusiasm and development of such new projects, conventional clinicians need further longer term observation to grasp the advantages and pitfalls before more widespread use of telemedicine becomes commonplace. PMID:11226616

Pal, B

2001-03-01

146

A follow-up study of former student health advocates.  

PubMed

Student health advocates (SHAs) are high school students who, under the supervision of the school nurse, provide health education and health promotion activities to other students via a peer education model. This 3-year follow-up study explored how the SHA experience influences career choice and attitudes of the participants. It also examined what motivates students to become SHAs, the benefits and drawbacks of SHA participation, how SHA involvement influenced career plans, and how SHAs perceive the role of the school nurse. Study results indicate that this innovative health education/promotion experience offered an opportunity for SHAs to express their interest in health and enhanced their sense of belonging, meaningful involvement, connection to learning, and caring relationships in the school setting. PMID:18052522

Streng, Nancy J

2007-12-01

147

West Foster Creek 2007 Follow-up Habitat Evaluation Procedures (HEP) Report.  

SciTech Connect

A follow-up habitat evaluation procedures (HEP) analysis was conducted on the West Foster Creek (Smith acquisition) wildlife mitigation site in May 2007 to determine the number of additional habitat units to credit Bonneville Power Administration (BPA) for providing funds to enhance and maintain the project site as partial mitigation for habitat losses associated with construction of Grand Coulee Dam. The West Foster Creek 2007 follow-up HEP survey generated 2,981.96 habitat units (HU) or 1.51 HUs per acre for a 34% increase (+751.34 HUs) above baseline HU credit (the 1999 baseline HEP survey generated 2,230.62 habitat units or 1.13 HUs per acre). The 2007 follow-up HEP analysis yielded 1,380.26 sharp-tailed grouse (Tympanuchus phasianellus) habitat units, 879.40 mule deer (Odocoileus hemionus) HUs, and 722.29 western meadowlark (Sturnella neglecta) habitat units. Mule deer and sharp-tailed grouse habitat units increased by 346.42 HUs and 470.62 HUs respectively over baseline (1999) survey results due largely to cessation of livestock grazing and subsequent passive restoration. In contrast, the western meadowlark generated slightly fewer habitat units in 2007 (-67.31) than in 1999, because of increased shrub cover, which lowers habitat suitability for that species.

Ashley, Paul R.

2008-02-01

148

Midterm follow up in patients with reduction ascending aortoplasty  

PubMed Central

Background The reduction ascending aortoplasty in patients with an aortic ectasia/dilatation is a common procedure during concomitant cardiac operations. Aim of the follow up study was the evaluation of possible re-dilatation and complications. Methods From 1998 to 2010 124 patients (69% male; mean age 66.6?±?12 ys) with ectasia of the ascending aortic who had no further indication for an aortic replacement, were included. The mean preoperative diameter of the ascending aorta was 4.2?±?0.6 cm. The patients risk profile was moderate (mean EF 51%?±?11%, Euroscore 4.2?±?2.1). To treat the dilatation of the ascending aorta, a longitudinal incision was performed and a strip of the aortic wall was resected. A reduction aortoplasty was carried out with a double-layered suture line using a 4/0 Prolene mattress suture with an additional 4/0 Prolene running suture. A follow up (rate 95%) was performed by echocardiography- and clinical examination. Results All patients underwent reduction aortoplasty associated with a primary cardiac surgical procedure (AVR 63%, CABG 13%, other or combination 24%). The intrahospital mortality rate was 4%. Four aortic bleeding complications occurred. After a mean postoperative period of 57?±?39 months, the ascending aortic diameter (3.6?±?0.6 cm) was still significantly (P?

2014-01-01

149

The LCOGT Near Earth Object (NEO) Follow-up Network  

NASA Astrophysics Data System (ADS)

Las Cumbres Observatory Global Telescope (LCOGT) network is a planned homogeneous network of over 35 telescopes at 6 locations in the northern and southern hemispheres. This network is versatile and designed to respond rapidly to target of opportunity events and also to do long term monitoring of slowly changing astronomical phenomena. The global coverage of the network and the apertures of telescope available make LCOGT ideal for follow-up and characterization of Solar System objects (e.g. asteroids, Kuiper Belt Objects, comets, Near-Earth Objects (NEOs)) and ultimately for the discovery of new objects.LCOGT has completed the first phase of the deployment with the installation and commissioning of nine 1-meter telescopes at McDonald Observatory (Texas), Cerro Tololo (Chile), SAAO (South Africa) and Siding Spring Observatory (Australia). The telescope network is now operating and observations are being executed remotely and robotically.I am using the LCOGT network to confirm newly detected NEO candidates produced by the major sky surveys such as Catalina Sky Survey (CSS), NEOWISE and PanSTARRS (PS1). Over 600 NEO candidates have been targeted so far this year with 250+ objects reported to the MPC, including 70 confirmed NEOs. An increasing amount of time is being spent to obtain follow-up astrometry and photometry for radar-targeted objects in order to improve the orbits and determine the rotation periods. This will be extended to obtain more light curves of other NEOs which could be Near-Earth Object Human Space Flight Accessible Targets Study (NHATS) or Asteroid Retrieval Mission (ARM) targets. Recent results have included the first period determination for the Apollo 2002 NV16 and our first NEO spectrum from the FLOYDS spectrographs on the LCOGT 2m telescopes obtained for 2012 DA14 during the February 2013 closepass.

Lister, Tim; Gomez, Edward; Christensen, Eric; Larson, Steve

2014-11-01

150

SUBMILLIMETER FOLLOW-UP OF WISE-SELECTED HYPERLUMINOUS GALAXIES  

SciTech Connect

We have used the Caltech Submillimeter Observatory (CSO) to follow-up a sample of Wide-field Infrared Survey Explorer (WISE) selected, hyperluminous galaxies, the so-called W1W2-dropout galaxies. This is a rare ({approx}1000 all-sky) population of galaxies at high redshift (peaks at z = 2-3), which are faint or undetected by WISE at 3.4 and 4.6 {mu}m, yet are clearly detected at 12 and 22 {mu}m. The optical spectra of most of these galaxies show significant active galactic nucleus activity. We observed 14 high-redshift (z > 1.7) W1W2-dropout galaxies with SHARC-II at 350-850 {mu}m, with nine detections, and observed 18 with Bolocam at 1.1 mm, with five detections. Warm Spitzer follow-up of 25 targets at 3.6 and 4.5 {mu}m, as well as optical spectra of 12 targets, are also presented in the paper. Combining WISE data with observations from warm Spitzer and CSO, we constructed their mid-IR to millimeter spectral energy distributions (SEDs). These SEDs have a consistent shape, showing significantly higher mid-IR to submillimeter ratios than other galaxy templates, suggesting a hotter dust temperature. We estimate their dust temperatures to be 60-120 K using a single-temperature model. Their infrared luminosities are well over 10{sup 13} L{sub Sun }. These SEDs are not well fitted with existing galaxy templates, suggesting they are a new population with very high luminosity and hot dust. They are likely among the most luminous galaxies in the universe. We argue that they are extreme cases of luminous, hot dust-obscured galaxies (DOGs), possibly representing a short evolutionary phase during galaxy merging and evolution. A better understanding of their long-wavelength properties needs ALMA as well as Herschel data.

Wu Jingwen; Eisenhardt, Peter R. M.; Stern, Daniel; Assef, Roberto [Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109 (United States); Tsai, Chao-Wei; Cutri, Roc; Griffith, Roger; Jarrett, Thomas [Infrared Processing and Analysis Center, California Institute of Technology, Pasadena, CA 91125 (United States); Sayers, Jack; Bridge, Carrie [Division of Physics, Math and Astronomy, California Institute of Technology, Pasadena, CA 91125 (United States); Benford, Dominic [NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States); Blain, Andrew [Department of Physics and Astronomy, University of Leicester, LE1 7RH Leicester (United Kingdom); Petty, Sara; Lake, Sean [Department of Physics and Astronomy, University of California Los Angeles, Los Angeles, CA 90095 (United States); Bussmann, Shane [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, MS78, Cambridge, MA 02138 (United States); Comerford, Julia M.; Evans, Neal J. II [Department of Astronomy, University of Texas, Austin, TX 78731 (United States); Lonsdale, Carol [National Radio Astronomy Observatory, 520 Edgemont Road, Charlottesville, VA 22903 (United States); Rho, Jeonghee [SETI Institute, 189 BERNARDO Avenue, Mountain View, CA 94043 (United States); Stanford, S. Adam, E-mail: jingwen.wu@jpl.nasa.gov [Department of Physics, University of California Davis, One Shields Avenue, Davis, CA 95616 (United States); and others

2012-09-01

151

Management and follow up of extra–adrenal phaeochromocytoma  

PubMed Central

Introduction The prevalence of phaeochromocytoma (PCC) in patients with hypertension is 0.1–0.6% and about 10% of PCCs are detected in extra–adrenal tissue. The diagnosis and therapy of this rare disease detected as a retroperitoneal tumor mass can be difficult for clinicians. Material and methods A PubMed database was searched for the peer–reviewed articles, the listed articles until Dec 2012 were included. Following key words were used: “extra–adrenal phaeochromocytoma”, “paraganglioma”, “diagnosis”, “therapy”, “surgery”, “genetic analysis”, and “SDH mutation”. Results Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) are first choice imaging tools for PCC (sensitivity 90–100%). For the validation of the diagnosis or follow up, the functional imaging 123I–metaiodobenzylguanidine (MIBG) or Fluorine–18–L–dihydroxyphenylalanine (18F–DOPA) positron emission tomography (excellent specificity and sensitivity of 90–100% in detection of small tumors >1–2 cm) are used. Laparoscopic surgery with complete resection is a safe and a first choice approach. The conversion (about 5%) to direct open operation was needed for large lesions (>8 cm) with the suspicion of malignancy. Currently, there are no histological criteria for distinguishing benign and malignant tumors. The genetic testing (Sanger DNA sequencing) for hereditary syndromes (von Hippel–Lindau, neurofibromatosis, etc.) is used for prediction of malignancy and recurrence. All patients should get individual and risk–adapted genetic analysis and consultation, including family members. The rate of malignancy in ePCC is about 30% (PCC about 5–10%). In patients with proven SDHB germline mutations, higher malignancy rate, multiple PCCs and recurrences are likely. A stringent lifelong clinical follow–up is recommended in these cases. Patients with syndromic hereditary forms should be screened for other often associated neoplasms. Conclusions New imaging tools and genetic analysis are crucial to improve the diagnosis and prognosis of phaeochromocytoma. PMID:25140230

2014-01-01

152

Vasectomy: a two-tier follow-up.  

PubMed

A follow-up study on males who had voluntarily undergone vasectomy was conducted in Tilburg, The Netherlands between 1970 and 1974. A group of 44 males was studied within 1 year after vasectomy (performed in 1970 or 1971). This group was studied again in a 2nd follow-up, 2-1/2 years after vasectomy and the results were compared. A 2nd group of 356 males (group 2) who had undergone vasectomy in 1972 or 1973 was studied between 6 and 18 months after sterilization, and the results were compared with those of group 1. Group 1 was mailed an open-ended questionnaire addressed to the husband and the wife within 1 year after vasectomy. After 2-1/2 years both groups were mailed a precoded questionnaire. There were no significant differences in composition between the groups. For group 1, reported experience with the vasectomy did not change appreciably between the 1st and 2nd study. There was only 1 significant difference between groups 1 and 2. Those males who, together with their wives, had been more intensively prepared for vasectomy by the team including an intensive interview with a psychologist preceding the operation for group 1, talk more often and more enthusiastically with others about their experiences and are more inclined to recommend vasectomy. Taking groups 1 and 2 together, ofa total of 267 respondents: 1) 67% reported that frequency of intercourse remained the same and 21% indicated that frequency had increased; 2) 40% reported that gratification in sexual relations stayed the same and 58% indicated gratification had increased; and 3) 70% reported that marital relations had remained the same and 27% indicated an improvement. PMID:10236503

Bergsma, J

1977-04-01

153

Follow-up of cutaneous melanoma patients: A proposal for standardization.  

PubMed

The aim of followup programs for patients diagnosed with melanoma is early detection of local, regional and distant metastasis, as well as early recognition of eventual subsequent primary tumors. Currently, no universally accepted recommendations exist for monitoring patients with cutaneous melanoma. The present recommendations have been developed on the basis of the experience of a group of clinicians affiliated to referral centers dealing with melanoma diagnosis and management in Italy. Clinical evaluation is mandatory at any stage and is intended to be lifelong, with time frequencies of followup visits depending on the specific stage of disease. Sonography of regional lymph nodes has been demonstrated to have the highest accuracy and highest diagnostic validity to detect early regional relapse, and can be considered once per year starting from stage I melanoma. Total body CT scan should be considered in the follow up of patients with higher risk of developing distant metastasis. In stage II and III it should be performed once per year, alternated with abdomen and lymph node ultrasonography. Our aim is to provide a simplified schedule for the routine follow up of melanoma patients. These recommendations are intended as an initial guideline that must be tailored on the individual patient needs. PMID:24938723

Moscarella, E; Ricci, C; Borgognoni, L; Bottoni, U; Catricalà, C; Dika, E; Fanti, P A; Landi, C; Manganoni, A M; Pellacani, G; Peris, K; Pimpinelli, N; Quaglino, P; Richetta, A; Simonetti, V; Stanganelli, I; Testori, A; Zalaudek, I; Argenziano, G

2014-06-18

154

Chest X-ray survey in the follow-up of breast cancer patients.  

PubMed Central

The authors report on 182 cases of intrathoracic metastases (ITM = lung, pleura or mediastinum) observed as first single recurrences in the course of the follow-up of patients treated for primary breast cancer. ITM were detected on standard two-views chest X-ray (CXR) at regular follow-up visits and in absence of subjective symptoms (102 A cases) or in the interval between two consecutive planned controls because of the onset of subjective symptoms (80 S cases). The average disease-free interval since primary treatment was significantly shorter in A with respect to S cases (40.3 vs. 28.5 months, P less than 0.001) as a consequence of the early detection achieved by CXR survey. On the contrary, prognosis was not influenced by ITM early diagnosis as the 10-year survival since primary treatment did not differ significantly between A or S cases (12% vs. 10%, P = 0.68). Results were confirmed on multivariate (Cox's) analysis, adjusting for potential confounders such as age or nodal status. Periodic CXR survey looks a very questionable policy as it does not seem to have any favourable impact on prognosis. Its routine use in breast cancer patients should thus be carefully reconsidered. PMID:2803907

Ciatto, S.; Pacini, P.; Andreoli, C.; Cecchini, S.; Iossa, A.; Grazzini, G.; Buranelli, F.; Campa, T.; Costa, A.; Magni, A.

1989-01-01

155

The Association between Quality of HIV Care, Loss to Follow-Up and Mortality in Pediatric and Adolescent Patients Receiving Antiretroviral Therapy in Nigeria  

PubMed Central

Access to pediatric HIV treatment in resource-limited settings has risen significantly. However, little is known about the quality of care that pediatric or adolescent patients receive. The objective of this study is to explore quality of HIV care and treatment in Nigeria and to determine the association between quality of care, loss-to-follow-up and mortality. A retrospective cohort study was conducted including patients ?18 years of age who initiated ART between November 2002 and December 2011 at 23 sites across 10 states. 1,516 patients were included. A quality score comprised of 6 process indicators was calculated for each patient. More than half of patients (55.5%) were found to have a high quality score, using the median score as the cut-off. Most patients were screened for tuberculosis at entry into care (81.3%), had adherence measurement and counseling at their last visit (88.7% and 89.7% respectively), and were prescribed co-trimoxazole at some point during enrollment in care (98.8%). Thirty-seven percent received a CD4 count in the six months prior to chart review. Mortality within 90 days of ART initiation was 1.9%. A total of 4.2% of patients died during the period of follow-up (mean: 27 months) with 19.0% lost to follow-up. In multivariate regression analyses, weight for age z-score (Adjusted Hazard Ratio (AHR): 0.90; 95% CI: 0.85, 0.95) and high quality indicator score (compared a low score, AHR: 0.43; 95% CI: 0.26, 0.73) had a protective effect on mortality. Patients with a high quality score were less likely to be lost to follow-up (Adjusted Odds Ratio (AOR): 0.42; 95% CI: 0.32, 0.56), compared to those with low score. These findings indicate that providing high quality care to children and adolescents living with HIV is important to improve outcomes, including lowering loss to follow-up and decreasing mortality in this age group. PMID:25075742

Ojikutu, Bisola; Higgins-Biddle, Molly; Greeson, Dana; Phelps, Benjamin R.; Amzel, Anouk; Okechukwu, Emeka; Kolapo, Usman; Cabral, Howard; Cooper, Ellen; Hirschhorn, Lisa R.

2014-01-01

156

Quarterly vs. yearly clinical follow-up of remotely monitored recipients of prophylactic implantable cardioverter-defibrillators: results of the REFORM trial  

PubMed Central

Aims The rapidly increasing number of patients with implantable cardioverter-defibrillators (ICD) places a large burden on follow-up providers. This study investigated the possibility of longer in-office follow-up intervals in primary prevention ICD patients under remote monitoring with automatic daily data transmissions from the implant memory. Methods and results Conducted in 155 ICD recipients with MADIT II indications, the study compared the burden of scheduled and unscheduled ICD follow-up visits, quality of life (SF-36), and clinical outcomes in patients randomized to either 3- or 12-month follow-up intervals in the period between 3 and 27 months after implantation. Remote monitoring (Biotronik Home Monitoring) was used equally in all patients. In contrast to previous clinical studies, no calendar-based remote data checks were performed between scheduled in-office visits. Compared with the 3-month follow-up interval, the 12-month interval resulted in a minor increase in the number of unscheduled follow-ups (0.64 vs. 0.27 per patient-year; P = 0.03) and in a major reduction in the total number of in-office ICD follow-ups (1.60 vs. 3.85 per patient-year; P < 0.001). No significant difference was found in mortality, hospitalization rate, or hospitalization length during the 2-year observation period, but more patients were lost to follow-up in the 12-month group (10 vs. 3; P = 0.04). The SF-36 scores favoured the 12-month intervals in the domains ‘social functioning’ and ‘mental health’. Conclusion In prophylactic ICD recipients under automatic daily remote monitoring, the extension of the 3-month in-office follow-up interval to 12 months appeared to safely reduce the ICD follow-up burden during 27 months after implantation. ClinicalTrials.gov Identifier NCT00401466 (http://www.clinicaltrials.gov/ct2/show/NCT00401466). PMID:23868932

Hindricks, Gerhard; Elsner, Christian; Piorkowski, Christopher; Taborsky, Milos; Geller, Jan Christoph; Schumacher, Burghard; Bytesnik, Jan; Kottkamp, Hans

2014-01-01

157

Tourette Syndrome: A General Pediatrician's 35-Year Experience at a Single Center With Follow-up in Adulthood.  

PubMed

A retrospective analysis of a 35-year single-center experience with pediatric tics and Tourette syndrome was conducted. 482 charts from 1972 to 2007 were reviewed. Follow-up surveys were mailed to last known address and 83 patients responded (17%). Response rate was affected by long interval from last visit; contact information was often incorrect as it was the address of the patient as a child. Males constituted 84%. Mean tic onset was 6.6 years. At first visit, 83% had multiple motor tics and >50% had comorbidities. 44% required only 1 visit and 90% less than 12 visits. Follow-up showed positive clinical and social outcomes in 73/83 survey responses. Of those indicating a poor outcome, mean educational level was lower and attention deficit/hyperactivity disorder and learning disabilities were significantly higher. Access to knowledgeable caregivers was a problem for adult patients. A shortage of specialists may in part be addressed by interested general pediatricians. PMID:25200367

Byler, Debra L; Chan, Lisa; Lehman, Erik; Brown, Ashley D; Ahmad, Syeda; Berlin, Cheston

2015-02-01

158

Heavy vehicle industry site visits: comments from companies and conclusions from technical committee  

SciTech Connect

This report documents the results of several visits with industry as part of the Department of Energy (DOE), office of Transportation Technology, Office of Heavy Vehicle Technology, supported Heavy Vehicle Aerodynamics Project. The purpose of the DOE Heavy Vehicle Aerodynamics Project is to use government resources to bring the aerodynamic expertise available in government organizations and academia to bear in assisting the heavy vehicle industry to reduce aerodynamic drag on trucks. The obvious payback from this investment is the reduction in fuel usage and derivative reduction in the US's dependence on foreign oil imports. This report covers 2 projects: (1) The stated purpose of Project 1 was to provide near-term impact through emphasis on existing tools and capabilities and to focus on the trailer drag problem. (2) The stated purpose of Project 2 was to provide the tools necessary to accomplish the longer term goal of a fully-integrated, aerodynamic tractor-trailer combination.

McCallen, R.

1998-02-01

159

Costs of remote monitoring vs. ambulatory follow-ups of implanted cardioverter defibrillators in the randomized ECOST study  

PubMed Central

Aims The Effectiveness and Cost of ICD follow-up Schedule with Telecardiology (ECOST) trial evaluated prospectively the economic impact of long-term remote monitoring (RM) of implantable cardioverter defibrillators (ICDs). Methods and results The analysis included 310 patients randomly assigned to RM (active group) vs. ambulatory follow-ups (control group). Patients in the active group were seen once a year unless the system reported an event mandating an ambulatory visit, while patients in the control group were seen in the ambulatory department every 6 months. The costs of each follow-up strategy were compared, using the actual billing documents issued by the French health insurance system, including costs of (i) (a) ICD-related ambulatory visits and transportation, (b) other ambulatory visits, (c) cardiovascular treatments and procedures, and (ii) hospitalizations for the management of cardiovascular events. The ICD and RM system costs were calculated on the basis of the device remaining longevity at the end of the study. The characteristics of the study groups were similar. Over a follow-up of 27 months, the mean non-hospital costs per patient-year were €1695 ± 1131 in the active, vs. €1952 ± 1023 in the control group (P = 0.04), a €257 difference mainly due to device management. The hospitalization costs per patient-year were €2829 ± 6382 and €3549 ± 9714 in the active and control groups, respectively (P = 0.46). Adding the ICD to the non-hospital costs, the savings were €494 (P = 0.005) or, when the monitoring system was included, €315 (P = 0.05) per patient-year. Conclusion From the French health insurance perspective, the remote management of ICD patients is cost saving. Clinical trials registration NCT00989417, www.clinicaltrials.gov PMID:24614572

Guédon-Moreau, Laurence; Lacroix, Dominique; Sadoul, Nicolas; Clémenty, Jacques; Kouakam, Claude; Hermida, Jean-Sylvain; Aliot, Etienne; Kacet, Salem

2014-01-01

160

Sustainable heritage management practices at visited heritage sites in Devon and Cornwall  

Microsoft Academic Search

Sustainability is a key challenge facing society in the twenty-first century, although its implementation at heritage sites can present some significant challenges for the custodians. This paper investigates progress in the adoption of sustainable practices in the management of a sample of 416 heritage properties and sites in Devon and Cornwall. The findings are based on the compilation of an

Susan Darlow; Stephen Essex; Mark Brayshay

2012-01-01

161

Extended Follow-up of Near Earth Objects  

NASA Astrophysics Data System (ADS)

Recently-discovered Near Earth Objects (NEOs) will be observed using the KPNO 2.1-m telescope to add astrometric observations at arcs of 50 to 80 days from discovery. These extended follow-up observations place strong constraints on the orbital solution and will greatly reduce the position uncertainty at next opposition. On any night during 2010A, many NEOs discovered 50 to 80 days before will be observable in the range 21 < V < 23. We will place the highest priority on Virtual Impactors (VIs) and Potentially Hazardous Asteroids (PHAs). Among 78 objects for which the NEODyS system estimates a non- zero risk of Earth impact, all but 12 are categorized as effectively lost. Thus, 85% of the objects that are the reason for the discovery surveys must be re-discovered and linked to past observations before the impact risk can be reliably assessed. By creating an extended arc, we will significantly reduce the probability that new discoveries will also become lost.

Trueblood, Mark; Crawford, Robert; Lebofsky, Larry

2010-02-01

162

SDSS-III MARVELS Planet Candidate RV Follow-up  

NASA Astrophysics Data System (ADS)

Planetary systems, discovered by the radial velocity (RV) surveys, reveal strong correlations between the planet frequency and stellar properties, such as metallicity and mass, and a greater diversity in planets than found in the solar system. However, due to the sample sizes of extant surveys (~100 to a few hundreds of stars) and their heterogeneity, many key questions remained to be addressed: Do metal poor stars obey the same trends for planet occurrence as metal rich stars? What is the distribution of giant planets around intermediate- mass stars and binaries? Is the ``planet desert'' within 0.6 AU in the planet orbital distribution of intermediate-mass stars real? The MARVELS survey has produced the largest homogeneous RV measurements of 3300 V=7.6-12 FGK stars. The latest data pipeline effort at UF has been able to remove long term systematic errors suffered in the earlier data pipeline. 18 high confident giant planet candidates have been identified among newly processed data. We propose to follow up these giant planet candidates with the KPNO EXPERT instrument to confirm the detection and also characterize their orbits. The confirmed planets will be used to measure occurrence rates, distributions and multiplicity of giants planets around F,G,K stars with a broad range of mass (~0.6-2.5 M_?) and metallicity ([Fe/H]~-1.5-0.5). The well defined MARVELS survey cadence allows robust determinations of completeness limits for rigorously testing giant planet formation theories and constraining models.

Ge, Jian; Thomas, Neil; Ma, Bo; Li, Rui; SIthajan, Sirinrat

2014-02-01

163

Diagnosis, treatment and follow up of neonatal arrhythmias  

PubMed Central

Summary Objective This study aimed to evaluate the aetiology, spectrum, course and outcomes of neonates with arrhythmias observed in a tertiary neonatal intensive care unit from 2007 to 2012. Methods Neonates with rhythm problems were included. The results of electrocardiography (ECG), Holter ECG, echocardiography and biochemical analysis were evaluated. The long-term results of follow up were reviewed. Results Forty-five patients were male (68%) and 21 (32%) were female. Fifty-five patients (83.3%) were term, 11 (16.6%) were preterm, and 34% were diagnosed in the prenatal period. Twenty cases (30.3%) had congenital heart disease. Twenty-three patients (34.8%) were diagnosed during the foetal period. The most common arrhythmias were supraventricular ectopic beats and supraventricular tachycardia (SVT) at 39.3 and 22.7%, respectively. SVT recurred in five patients after the neonatal period. Conclusion Supraventricular ectopic beats and SVT were the most common arrhythmias during the neonatal period. Although the prognosis of arrhythmias in the neonatal period is relatively good, regular monitoring is required. PMID:24844549

Binneto?lu, Fatih Köksal; Babao?lu, Kadir; Altun, Gürkan; Türker, Gülcan

2014-01-01

164

Follow-ups to Fermi GBM gamma-ray bursts  

NASA Astrophysics Data System (ADS)

The Fermi Gamma-Ray Burst Monitor (GBM) has been detecting 240 Gamma-Ray Bursts (GRBs) per year since 2008, 40-45 of them per year short GRBs. GBM is an all-sky transient monitor of the hard X-ray sky operating between 8 keV and 40 MeV (Meegan et al. 2009). GBM localizes sources by triangulating the most likely source position based on observed count rates in detectors with different orientations to the sky. GRB locations are disseminated using GRB Coordinate Network (GCN) notices. We report here an analysis of over 300 GBM localizations for which more accurate positions were known. Systematic uncertainties of about 2-4° affect about 90% of GBM localizations (68% confidence level), with larger systematic effects for the remaining 10%. These systematic components are added in quadrature to the statistical uncertainties of 1-˜10° and provided as probability maps to the follow-up community an hour or less after the GRB trigger. The intermediate Palomar Transient Factory has used these maps to detect three GRB afterglows using the GBM positional information.

Connaughton, V.; Goldstein, A.; Briggs, M. S.

2014-12-01

165

Following up Fermi GBM Gamma-Ray Bursts  

NASA Astrophysics Data System (ADS)

The Fermi Gamma-Ray Burst Monitor (GBM) has been detecting 240 Gamma-Ray Bursts (GRBs) per year since 2008, 40-45 of them per year short GRBs. GBM is an all-sky transient monitor of the hard X-ray sky operating between 8 keV and 40 MeV. GBM localizes sources by triangulating the most likely source position based on observed count rates in detectors with different orientations to the sky. GRB locations are disseminated using GRB Coordinate Network (GCN) notices. We report here an analysis of over 300 GBM localizations for which more accurate positions are known. Systematic uncertainties of about 2 ? 4? affect about 90% of GBM localizations (68% confidence level), with larger systematic effects for the remaining 10%. These systematic components are added in quadrature to the statistical uncertainties of 1? ˜ 10? and provided as probability maps to the follow-up community an hour or less after the GRB trigger. The intermediate Palomar Transient Factory (iPTF) has used these maps to detect three GRB afterglows using the GBM positional information.

Connaughton, V.; Briggs, M. S.; Goldstein, A.

166

Goddard Robotic Telescope - Optical Follow-up of GRBs and Coordinated Observations of AGNs  

NASA Technical Reports Server (NTRS)

Since it is not possible to predict when a Gamma-Ray Burst (GRB) will occur or when Active Galactic Nucleus (AGN) flaring activity starts, follow-up/monitoring ground telescopes must be located as uniformly as possible all over the world in order to collect data simultaneously with Fermi and Swift detections. However, there is a distinct gap in follow-up coverage of telescopes in the eastern U.S. region based on the operations of Swift. Motivated by this fact, we have constructed a 14" fully automated optical robotic telescope, Goddard Robotic Telescope (GRT), at the Goddard Geophysical and Astronomical Observatory. The aims of our robotic telescope are 1) to follow-up Swift/Fermi GRBs and 2) to perform the coordinated optical observations of Fermi Large Area Telescope (LAT) AGN. Our telescope system consists of off-the-shelf hardware. With the focal reducer, we are able to match the field of view of Swift narrow instruments (20' x 20'). We started scientific observations in mid-November 2008 and GRT has been fully remotely operated since August 2009. The 3(sigma) upper limit in a 30-second exposure in the R filter is approx.15.4 mag; however, we can reach to approx.18 mag in a 600-second exposures. Due to the weather condition at the telescope site. our observing efficiency is 30-40%, on average.

Sakamoto, T.; Wallace, C. A.; Donato, D.; Gehrels, N.; Okajima, T.; Ukwatta, T. N.

2010-01-01

167

Protecting the Lunar Heritage Sites from the Effects of Visiting Spacecraft  

NASA Technical Reports Server (NTRS)

The Problem: Rocket exhaust blows soil and rocks over vast distances at velocities upwards of 1 to 3 km/s, and this will be highly abrasive and damaging if it impacts the valuable lunar heritage sites.

Metzger, Philip; Lane, John E.

2012-01-01

168

UK National Audit of Early Syphilis Management. Case-notes audit: contact tracing, information giving, follow-up and outcomes.  

PubMed

Contact tracing was provided for 683/781 (87%, regional range 57-97%) cases, and identified 997 traceable contacts of whom 511 (51%) were seen, short of the recommended standard of 60%. However, the performance range for this standard was 26-70%, with seven regions achieving 60% or more. Of 511, 215 (42%, range 3-73%) contacts had syphilis. Treatment completion was recorded for 691 (88%, range 71-100%) cases, and resolution of lesions for 348/469 (74%, range 40-96%) cases. Nationally, 419/764 (55%, range 37-70%) cases were recorded as having a two dilution (four-fold) or greater decrease in non-treponemal test titre within 3-6 months after treatment; not achieving this titre decrease was mainly attributable to non-attendance for follow-up and failure of titre levels to fall. Follow-up of infectious syphilis in UK genitourinary medicine clinics is poor and falls far short of that recommended by National Guidelines. Only 16 (2%) cases had follow-up at intervals approximating to 1, 2, 3, 6 and 12 months, and only 312 (40%, range 5-61%) cases attended at least two follow-up visits. Only 17 (7%) of all 236 oral treatments (including switches to oral treatment), and 33 (27%) of 123 cases with HIV infection were recorded as designated annual follow-up. Further work is needed to determine factors that account for the wide variation between regions in contact tracing and follow-up performance. PMID:16724419

McClean, Hugo; Daniels, David; Carne, Chris; Bunting, Paul; Miller, Rob

2006-05-01

169

Lung Tumors Treated With Percutaneous Radiofrequency Ablation: Computed Tomography Imaging Follow-Up  

SciTech Connect

Purpose: To describe the morphologic evolution of lung tumors treated with radiofrequency ablation (RFA) by way of computed tomography (CT) images and to investigate patterns of incomplete RFA at the site of ablation. Materials and Methods: One hundred eighty-nine patients with 350 lung tumors treated with RFA underwent CT imaging at 2, 4, 6, and 12 months. CT findings were interpreted separately by two reviewers with consensus. Five different radiologic patterns were predefined: fibrosis, cavitation, nodule, atelectasis, and disappearance. The appearance of the treated area was evaluated at each follow-up CT using the predefined patterns. Results: At 1 year after treatment, the most common evolutions were fibrosis (50.5%) or nodules (44.8%). Differences were noted depending on the initial size of the tumor, with fibrosis occurring more frequently for tumors <2 cm (58.6% vs. 22.9%, P = 1 Multiplication-Sign 10{sup -5}). Cavitation and atelectasis were less frequent patterns (2.4% and 1.4%, respectively, at 1 year). Tumor location (intraparenchymatous, with pleural contact <50% or >50%) was not significantly correlated with follow-up image pattern. Local tumor progressions were observed with each type of evolution. At 1 year, 12 local recurrences were noted: 2 cavitations, which represented 40% of the cavitations noted at 1 year; 2 fibroses (1.9%); 7 nodules (7.4%); and 1 atelectasis (33.3%). Conclusion: After RFA of lung tumors, follow-up CT scans show that the shape of the treatment zone can evolve in five different patterns. None of these patterns, however, can confirm the absence of further local tumor progression at subsequent follow-up.

Palussiere, Jean, E-mail: palussiere@bergonie.org; Marcet, Benjamin; Descat, Edouard [Institut Bergonie, Regional Cancer Center, Department of Interventional Radiology (France); Deschamps, Frederic; Rao, Pramod [Institut Gustave Roussy, Department of Interventional Radiology (France); Ravaud, Alain [Hopital Saint-Andre, Department of Medical Oncology (France); Brouste, Veronique [Institut Bergonie, Department of Biostatistics (France); Baere, Thierry de [Institut Gustave Roussy, Department of Interventional Radiology (France)

2011-10-15

170

Lost to follow-up for appointments in a dedicated dry eye clinic  

PubMed Central

Objective Dry eye is a prevalent condition with significant socioeconomic burden. This study evaluates the extent and reasons for loss to follow-up (LTF) in a dedicated dry eye clinic. LTF refers to patient who discontinued visits for >2 years. Method The proportion of patients LTF and the demographics in a cohort of dry eye patients (2006 to 2010) were determined. A telephone survey was prospectively conducted for patients who were LTF. Results Of 505 patients, 240 (47.5%) were LTF. Associated demographic factors for LTF were male sex, non-Chinese ethnicity, and age group <30 years old (all P<0.05). The reasons for LTF through the telephone survey (response rate 77.9%) were categorized into three broad groups, stabilized dry eye condition (47%), personal/social factors (25%) and perceived insufficiency of healthcare delivery (28%). Only two (1.1%) were considered as management failures. The younger patients (age <50 years) were more likely to become LTF (P<0.001) due to stabilized dry eye disease, compared to older patients who were more likely to be LTF due to personal/social reasons (P=0.02). Poor communication and service factors under healthcare delivery were found to be higher (P=0.002) in those who visited once before they were LTF (8.5%) compared to those who visited multiple times before they were LTF (0.1%). Conclusion LTF was relatively common in hospital-based dry eye management. Female and older patients were less likely to stop consultation. Stabilized dry eye condition, common in younger patients, was the most common reason for LTF. Elderly patients have difficulty attending clinics due to nonmedical problems, which may require a more holistic approach. PMID:25336929

Poon, Kip Hoe; Yeo, Sharon; Tong, Louis

2014-01-01

171

Follow up on the crystal growth experiments of the LDEF  

NASA Technical Reports Server (NTRS)

The results of the 4 solution growth experiments on the LDEF have been published elsewhere. Both the crystals of CaCO3, which were large and well shaped, and the much smaller TTF-TCNQ crystals showed unusual morphological behavior. The follow up on these experiments was begun in 1981, when ESA initiated a 'Concept Definition Study' on a large, 150 kg, Solution Growth Facility (SGF) to be included in the payload of EURECA-1, the European Retrievable Carrier. This carrier was a continuation of the European Spacelab and at that time planned for launch in 1987. The long delay of the LDEF retrieval and of subsequent missions brought about reflections both on the concept of crystal growth in space and on the choice of crystallization materials that had been made for the LDEF. Already before the LDEF retrieval, research on TTF-TCNQ had been stopped, and a planned growth experiment with TTF-TCNQ on the SGF/EURECA had been cancelled. The target of the SGF investigation is now more fundamental in nature. None of the crystals to be grown here are, like TTF-TCNQ, in particular demand by science or industry, and the crystals only serve the purpose of model crystals. The real purpose of the investigation is to study the growth behavior. One of the experiments, the Soret Coefficient Measurement experiment is not growing crystals at all, but has it as its sole purpose to obtain accurate information on thermal diffusion, a process of importance in crystal growth from solution.

Nielsen, K. F.; Lind, M. D.

1993-01-01

172

Asthma increase among farmers: a 12-year follow-up  

PubMed Central

Respiratory disease is a well known health hazard for farmers, but the long-term prognosis is less well known. This is a 12-year follow-up of an investigation of Swedish farmers, most of them dairy farmers. A questionnaire was mailed to all 418 farmers who were alive of the farmers originally participating in 1982. They were invited to an interview, spirometry, and blood sampling. Ninety-one per cent (380) of the farmers, 321 men and 59 women, responded to the questionnaire. The mean age was 56 years for the men and 55 years for the women. Of the group, 10% were smokers, 25% ex-smokers, and 65% had never smoked. The population estimate for asthma in the farmers was 8.9% in 1994 compared to 2% in 1982, and to 5.4%–6.6% in the general population in the region in 1982. Of the asthmatic subjects, one-third had positive RAST tests (radioallergosorbent tests). Almost 90% of the new onset asthma cases since 1982 had non-IgE-mediated asthma. Most of the IgE-mediated asthmatics had had symptoms for many years, while 70% of the non-IgE-mediated asthmatic farmers had no or only wheezing with colds 1982. Two new cases of hypersensitivity pneumonitis were identified, and 7.3% had experienced inhalation fever during the last 12 years. In general, individuals with asthma and chronic bronchitis who had left farming were in better health in 1994 as compared to 1982. In conclusion, farmers have an enhanced risk to develop asthma increasing with age. Asthma in farmers is often non-IgE-mediated. PMID:20812893

2011-01-01

173

Obscured clusters. III. Follow-up observations of Mercer 23  

NASA Astrophysics Data System (ADS)

Context. New infrared surveys have revealed over 1000 new open cluster candidates in the Milky Way, but these candidates need to be confirmed with follow up observations. Of particular interest are young, massive star clusters because they serve as nearby analogues to the distant super star clusters studied as point sources in other galaxies. Aims: We determine the physical parameters and investigate the high-mass stellar content of the infrared star cluster Mercer 23, situated near the Galactic plane (l = 53.772 °, b = +0.164 °). Methods: Our analysis is based on new Baade/PANIC JHKS and ISAAC/VLT imaging of Mercer 23 and ISAAC/VLT moderate resolution (R ? 4000) spectroscopy of the brightest cluster members in the H- and K-bands. The cluster age is determined from isochrone main-sequence (MS) and pre-MS fitting. We derive stellar parameters for eight of the stellar members, using a full non-LTE modeling of the obtained spectra. Results: Mercer 23 is a very young cluster, with age of t = 2-4 Myr. The cluster suffers reddening of E(J-KS) = 1.35, AV =7.2 mag. The derived distance is d = 6.5±0.3 kpc. Our spectral modeling allows us to conclude that the three most luminous member are evolved highly massive stars: a WR star, and two mid-O supergiant stars, based on their derived luminosity. Conclusions: Mercer 23 is not a super-massive cluster such as those recently recognized to exist in the Milky Way. However, its mass estimate of 4-6×103 M_? and possibly more, puts it in the class of young Galactic clusters hosting WR stars. Based on observations gathered with the New Technology Telescope and ISAAC, VLT of the ESO within observing programs 77.D-0089 and 81.D-0471 and the 6.5 m Magellan Telescopes located at Las Campanas Observatory, Chile.

Hanson, M. M.; Kurtev, R.; Borissova, J.; Georgiev, L.; Ivanov, V. D.; Hillier, D. J.; Minniti, D.

2010-06-01

174

Latex allergy: a follow up study of 1040 healthcare workers  

PubMed Central

Background Natural rubber latex allergy can cause skin and respiratory symptoms The aim of this study was to evaluate the prevalence and incidence of latex related symptoms and sensitisation among a large group of healthcare workers in Trieste hospitals, followed for three years before and after the introduction of powder?free gloves with low latex release. Methods In the years 1997–99 the authors evaluated 1040 healthcare workers exposed to latex allergen for latex related symptoms and sensitisation by means of a questionnaire, a medical examination, skin prick tests, and IgE specific antibody assay. The second evaluation was carried out in the years 2000–02, subsequent to the changeover to a powder?free environment. Results Glove related symptoms were seen in 21.8% of the nurses (227), mostly consisting of mild dermatitis: 38 (3.6%) complaining of contact urticaria and 24 (2.3%) of asthma and/or rhinitis. These symptoms were significantly related to skin prick tests positive to latex (OR?=?9.70; 95% CI 5.5 to 17) and to personal atopy (OR?=?2.29; 95% CI 1.6 to 3.2). Follow up was completed in 960 subjects (92.3%): 19 new subjects (2.4%) complained of itching erythema when using gloves, but none was prick positive to latex. Symptoms significantly improved and in most cases disappeared (p<0.0001). Conclusions Simple measures such as the avoidance of unnecessary glove use, the use of non?powdered latex gloves by all workers, and use of non?latex gloves by sensitised subjects can stop the progression of latex symptoms and can avoid new cases of sensitisation. PMID:16421390

Filon, F Larese; Radman, G

2006-01-01

175

Practical follow-up guidelines for patients treated with amiodarone.  

PubMed

Amiodarone is a new antiarrhythmic drug approved for therapy of life-threatening ventricular tachycardia and ventricular fibrillation refractory to previous antiarrhythmic therapy. The drug is poorly absorbed and avidly binds to all adipose tissue within the body. As a result of its unique pharmacologic properties, a 1-2 month period of loading with a high dose is required before therapeutic and steady state tissue concentrations are achieved. Therefore, there is a delay in the onset of antiarrhythmic effects of the drug and evaluation of efficacy using either noninvasive or invasive techniques should be performed 1-2 months after the initiation of therapy. It has been reported that suppression of runs of ventricular tachycardia (VT) documented on ambulatory monitor correlates with long-term efficacy. When invasive electrophysiologic (EP) studies are used, continued inducibility does not predict recurrence. Other important factors from the EP test include the rate of the induced VT and prolongation of the refractory period. Another problem related to amiodarone's pharmacologic properties is the occurrence of side effects which generally develop after weeks to months of drug therapy. Moreover, the incidence of toxicity increases over time. Although most side effects are unrelated to dose or blood level, it is possible that they correlate with the cumulative dose administered or total period of drug exposure. Amiodarone causes side effects which involve many organ systems. Most side effects are minor and cause no or only minor symptoms. Serious side effects, primarily cardiac, pulmonary, neurologic and thyroid, occur in about 18% of patients and often requires drug discontinuation. Therefore, use of amiodarone requires careful and continuous follow-up and monitoring for efficacy and toxicity. PMID:3078154

Podrid, P J

1987-07-01

176

Clinical follow up of uniparental disomy 16: First data  

SciTech Connect

Following the introduction of the concept of uniparental disomy (UPD) in 1980 by Engel this segregational anomaly is reported in an ever increasing number of patients. So far, several groups of individuals with an increased risk for UPD have been identified including abnormal carriers of familial balanced translocations or centric fusions, carriers of mosaic trisomies, and fetuses after prenatal diagnosis of confined placental mosaicism. A major pathogenetic mechanism appears to be post-meiotic chromosome loss in trisomic conceptuses. UPD was repeatedly observed in the fetus after diagnosis of mosaic or non-mosaic trisomies in the placenta which are usually considered {open_quotes}lethal{close_quotes} (i.e. trisomies 15 and 16). In an ongoing study to determine the incidence and clinical consequences of UPD we investigated the parental origin of chromosomes in the disomic cell line after prenatal diagnosis of mosaicism for various trisomies (e.g. 2, 7, 14, 15, and 16). At present, two maternal disomies 16 and one maternal disomy 15 were identified. Severe intrauterine growth retardation was a common symptome which, however, was also present in some but not all mosaics with a biparental origin of the chromosomes in question. While prognosis is clear in some instances (i.e. UPD 15) counseling can be extremely difficult in others, when imprinting effects and homozygosity for unknown recessive traits present in a parent have to be considered. To assess the clinical significance, detailed follow-up studies of proven cases of uniparental disomies are essential. First data of two cases with UPD 16 are presented.

Dworniczak, B.; Koppers, B.; Bogdanova, N. [Univ. of Muenster (Germany)] [and others

1994-09-01

177

Heart Failure in a Dedicated Outpatient Clinic: Results after 58 Month Follow-Up. Can it be Enough?  

PubMed Central

Incidence of chronic heart failure (HF) is rapidly increasing, approaching a 10 per 1000 rate after 65 years of age. In the last decades, despite pharmacological, interventional and supportive innovations, HF prognosis remained poor, with about 30% of death within one year from the diagnosis. Current guidelines recommend for these patients management programs providing follow-up through dedicated outpatient clinic. Limits of these programs are represented by great difficulties in getting patients adherence, being still too elevated the rate of abandonments. In this paper, we analyzed the impact of 58 months of activity in our dedicated to heart failure outpatient clinic on mortality, hospitalization and abandonment rate. 477 HF patients (346 M, 72.5%, mean age 69.6 years) were enrolled. Mean follow-up and visit were 18.2 and 2.6 months respectively. Total mortality rate was 11.5%, 4% of patients per year. Total hospitalizations for acute HF were 212 and, among all patients left in follow-up, the number of hospitalizations for acute de-compensation significantly decreased from 0.49/patient/year before enrollment to 0.29/patient/year during follow-up (p=0.015). Patients who abandoned outpatient clinic were 94 (19%, 1 abandonment every 23 days), mostly observed over the first months of activity. In conclusion, our patients experienced a major decrease in rates of acute de-compensation and need of in-hospital admissions. PMID:25674552

Mirra, M; Vitulano, G; Virtuoso, N; Tufano, N; D’Auria, F; De Angelis, S; Giudice, R; Lambiase, A; Gigantino, A; Piscione, F

2015-01-01

178

Postoperative follow-up of olecranon fracture by digital tomosynthesis radiography.  

PubMed

Digital tomosynthesis with flat-panel detector radiography is a novel application that allows easy, swift volume data acquisition of any anatomical site of interest with arbitrary patient posture. A single sweep of the X-ray tube provides multiple tomographic images of high resolution. We present the first patient with olecranon fracture who underwent internal fixation and 1-year postoperative follow-up with tomosynthesis. The minimal metallic artifact by this modality successfully provided detailed information regarding the healing process of the fracture. PMID:21928001

Machida, Haruhiko; Yuhara, Toshiyuki; Sabol, John M; Tamura, Mieko; Shimada, Yutaka; Ueno, Eiko

2011-10-01

179

Longitudinal Data Analysis for Generalized Linear Models Under Participant-Driven Informative Follow-up: An Application in Maternal Health Epidemiology  

PubMed Central

It is common in longitudinal studies for scheduled visits to be accompanied by as-needed visits due to medical events occurring between scheduled visits. If the timing of these as-needed visits is related to factors that are associated with the outcome but are not among the regression model covariates, naively including these as-needed visits in the model yields biased estimates. In this paper, the authors illustrate and discuss the key issues pertaining to inverse intensity rate ratio (IIRR)-weighted generalized estimating equations (GEE) methods in the context of a study of Kenyan mothers infected with human immunodeficiency virus type 1 (1999–2005). The authors estimated prevalences and prevalence ratios for morbid conditions affecting the women during a 1-year postpartum follow-up period. Of the 484 women under study, 62% had at least 1 as-needed visit. Use of a standard GEE model including both scheduled and unscheduled visits predicted a pneumonia prevalence of 2.9% (95% confidence interval: 2.3%, 3.5%), while use of the IIRR-weighted GEE predicted a prevalence of 1.5% (95% confidence interval: 1.2%, 1.8%). The estimate obtained using the IIRR-weighted GEE approach was compatible with estimates derived using scheduled visits only. These results highlight the importance of properly accounting for informative follow-up in these studies. PMID:20007201

B?žková, Petra; Brown, Elizabeth R.; John-Stewart, Grace C.

2010-01-01

180

Contact laser sphincterotomy: further experience and longer follow-up.  

PubMed

I report here the use of a crystal chisel contact tip firing Nd:YAG laser for transurethral sphincterotomy in 76 consecutive spinal cord injury patients. Their mean age was 53 years (range 26 to 77 years). Fifty-four (72%) were complete motor (Frankel A and B) and 21(28%) were incomplete lesions (Frankel C and D) They were evaluated with multichannel urodynamic equipment and 89% of the patients showed detrusor sphincter dyssynergia and 11% showed detrusor areflexia. Forty-three patients (56%) had previous electrocautery sphincterotomy and were not voiding well. A cystoscopic examination showed that 32% had an associated enlarged prostate and/or bladder-neck stenosis and 32% had associated wide-body strictures in the bulbous urethra. The crystal chisel contact tip firing Nd:YAG laser almost mimicked a hot diathermy knife to create an intraurethral incision as well as vaporizing the tissues. For sphincterotomy, a 12 o'clock incision was used from the verumontanum to the bulbous urethra. In patients with an associated enlarged prostate or bulging lateral lobes, 3 and 9 o'clock incisions were also made from the bladder-neck to the verumontanum and also vaporized the bulging prostate tissue. We used 25 to 40 watts for cutting, and vaporization of tissue and 15-25 watts to stop bleeding. The blood loss was less than 50 ml at surgery in 97.4% patients. None of the patients were transfused. An indwelling Foley catheter was usually left in situ for about 24 h and the majority of the patients were discharged the next day. All patients have been followed up at least every 6 months for a mean period of 27 months (range 16 to 41 months). The durability of surgery has been checked with linear array transrectal sonography and by urodynamic evaluation. Sixty-nine patients (92%) had adequate voiding, minimal to absent autonomic dysreflexia and no significant symptomatic urinary tract infection. There were seven patients who required repeat laser surgery within 2 to 5 months. All subsequent patients are voiding well with wide open bladder-neck and posterior urethra as shown on a voiding cystourethrogram. PMID:8963967

Perkash, I

1996-04-01

181

Kepler Data Validation and Follow-up Programs  

NASA Technical Reports Server (NTRS)

The approach that the Kepler Mission uses to remove false positive events and to validate the discoveries consists of two parts; data validation (DPI) and follow up observations program (FOP). DV consists of several methods of examining the data from the spacecraft observations. First, to rule out statistical fluctuations in the data, accept only signals that show 3 or more transits and that have a total signal-to-noise ratio that exceeds 7 sigma. Second. to identify small stellar companions to the target star, we check for secondary eclipses and determine if the transit characteristics are appropriate for a planetary companion. Third, check for background binaries that are in the target aperture. Here we measure the movement of the image centroid before, during, and after the transit. If the target is producing the signal, a dimming wi11 move the image centroid in a known direction and magnitude. If the signal comes from a nearby star, the amplitude and direction of the motion wi11 be different, This test is expected to rule out the hundreds of binary signals expected from background stars. The precision of the measurement depends on the stellar fluxes and positions but can be better than 0.01 pixel; i.e., 0.04". Those candidates that pass these tests are examined using ground-based telescopes and radial velocity spectrometers. First medium precision RV is used to rule out any remaining stellar companions. Then high spatial resolution imaging is used to check for nearby stars that are in the aperture- (The Kepler apertures depend on magnitude but are of order 36 sq are sec in area.) If no stars are present that quid generate the observed signal, then the candidate goes to a large telescope such as Keck, HET, or Wi1lilam Herschel for high precision observations to get the planet mass or an upper limit to it, if there are some stars in the aperture, then the photometric observations are employed to look for the transit by cane of the confounding stars. If none are seen, then the candidate is sent to a large telescope such as Keck

William, Borucki J.

2009-01-01

182

Neuroendocrine Predictors of Emotional and Behavioral Adjustment in Boys: Longitudinal Follow-Up of a Community Sample  

PubMed Central

Background Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis has been observed in adults and children with mood and anxiety disorders and is thought to be involved in the pathogenesis of these disorders. We recently studied a diverse community sample of boys and found associations of behavioral problems, including symptoms of depression and anxiety, with basal and stress-induced cortisol concentrations. Here we examine cortisol-emotional/behavioral associations at a two-year follow-up and test whether initial cortisol is predictive of worsening of emotional/behavioral problems two years later. Method Seventy-eight 10–14 year-old boys and their mothers completed a battery of psychosocial assessments, provided morning and afternoon saliva samples, and participated in a home visit involving mildly stressful tasks and saliva collection for cortisol assay during a two-year follow-up assessment. Results Consistent with the findings from our time 1 assessment, greater declines in cortisol across the home-visit challenge task were significantly associated with internalizing and externalizing behaviors as well as attention problems and social problems at the two-year follow-up. In addition, morning and afternoon cortisol concentrations at the initial assessment were significant positive predictors of the later development of child depressive symptoms at follow-up after controlling for initial depressive symptoms. Conclusion These findings demonstrate that children in the community with internalizing and externalizing behavior problems have altered patterns of HPA axis stress reactivity. In addition, our prospective findings suggest that elevated cortisol concentrations may influence the later development of emotional/behavioral problems in boys. PMID:22575356

Tyrka, Audrey R.; Lee, Janet K; Graber, Julia A.; Clement, Ashley M.; Kelly, Megan M.; DeRose, Laura; Warren, Michelle P.; Brooks-Gunn, Jeanne

2012-01-01

183

Robot-assisted laparoscopic pyeloplasty: minimum 1-year follow-up  

NASA Astrophysics Data System (ADS)

Objectives: To evaluate the feasibility and efficacy of robotic-assisted laparoscopic pyeloplasty. Laparoscopic pyeloplasty has been shown to have a success rate comparable to that of the open surgical approach. However, the steep learning curve has hindered its acceptance into mainstream urologic practice. The introduction of robotic assistance provides advantages that have the potential to facilitate precise dissection and intracorporeal suturing. Methods: A total of 50 patients underwent robotic-assisted laparoscopic dismembered pyeloplasty. A four-trocar technique was used. Most patients were discharged home on day 1, with stent removal at 3 weeks. Patency of the ureteropelvic junction was assessed in all patients with mercaptotriglycylglycine Lasix renograms at 1, 3, 6, 9, and 12 months, then every 6 months for 1 year, and then yearly. Results: Each patient underwent a successful procedure without open conversion or transfusion. The average estimated blood loss was 40 ml. The operative time averaged 122 minutes (range 60 to 330) overall. Crossing vessels were present in 30% of the patients and were preserved in all cases. The time for the anastomosis averaged 20 minutes (range 10 to 100). Intraoperatively, no complications occurred. Postoperatively, the average hospital stay was 1.1 days. The stents were removed at an average of 20 days (range 14 to 28) postoperatively. The average follow-up was 11.7 months; at the last follow-up visit, each patient was doing well. Of the 50 patients, 48 underwent one or more renograms, demonstrating stable renal function, improved drainage, and no evidence of recurrent obstruction. Conclusions: Robotic-assisted laparoscopic pyeloplasty is a feasible technique for ureteropelvic junction reconstruction. The procedure provides a minimally invasive alternative with good short-term results.

Patel, Vipul; Thaly, Rahul; Shah, Ketul

2007-02-01

184

Retention and loss to follow-up in antiretroviral treatment programmes in southeast Nigeria  

PubMed Central

Background This study generated new information about the outcomes of patients enrolled in antiretroviral treatment programmes, as well as the true outcomes of those lost to follow-up (LTF). Methods Anonymized data were collected for patients enrolled over a 12-month period from two programmes (public and private) in southeast Nigeria. Estimates of retention, LTF, mortality and transfers were computed. All LTF enrollees (defined as patients who had missed three scheduled visits) whose contact information met pre-defined criteria were traced. Results A total of 481 (public) and 553 (private) records were included. Median duration of follow-up was about 14 months. Cumulative retention and LTF proportions were 66.5 and 32.8% (public), and 82.6 and 11.0% (private) respectively. LTF rates at third, sixth, ninth and twelfth months were 7.5, 19.3, 25.4 and 29.6% respectively (public), and 4.1, 7.1, 9.0 and 10.0% (private). LTF was higher among males, patients with CD4+ cell count ?200 and public programme enrollees. For the public facility, 56.7% of 104 traceable patients were dead and 38.8% were alive; the figures were 34.2 and 60.5% of 46 patients respectively for the private. Most deaths had occurred by the third month. Conclusion Not all patients enrolled for treatment were retained. Though some died, many were LTF, lived within the community, and could develop and transmit resistant viral stains. Most traced patients were dead by the third month and poor contact information limited the effectiveness of tracing. Antiretroviral treatment programmes need to improve documentation processes and develop and implement tracing strategies. PMID:22595274

Onoka, C A; Uzochukwu, B S; Onwujekwe, O E; Chukwuka, C; Ilozumba, J; Onyedum, C; Nwobi, E A; Onwasigwe, C

2012-01-01

185

Efficacy of OK-432 sclerotherapy in treatment of lymphatic malformations: long-term follow-up results.  

PubMed

Lymphatic malformations (LMs) are rare congenital tumors of the lymphatic system often affecting the head and neck area. Because of cosmetic and functional symptoms most patients need to be treated. Traditionally surgical treatment has been considered to be the first-line treatment for LM. However, it is challenging because of the need for complete excision. The risk of poor cosmetic result and damage to surrounding structures is high. Since Ogita presented OK-432 as a treatment for LM in 1987, it has been widely used as the primary treatment. Many papers have been published on this topic but with relatively short follow-up times. We present a material of 36 LMs treated with OK-432 during the period of 1999-2009 and with an average follow-up time of 6 years. Immediate post-treatment results were compared with the late follow-up findings. Primary and late response to therapy was evaluated with an MRI scan by measuring the change in lesion size. At the follow-up visit, all patients were clinically examined and they answered a symptom questionnaire. Later 26/36 patients were also available for a quality of life questionnaire. Primarily 67% demonstrated a complete or marked response. At the follow-up 64% showed a complete or marked response, in 11% the final response was better than the initially observed and only 2 patients had relapsed. The initial response predicted the long-term outcome accurately and the effect of OK-432 sclerotherapy seems to be long lasting. According to the MRI evaluation 80% and subjectively 94% of the patients benefitted from the treatment. Quality of life questionnaire showed high post-treatment satisfaction. We found OK-432 sclerotherapy to be a safe and effective treatment with a long lasting effect in the management of macrocystic LMs. PMID:23649509

Weitz-Tuoretmaa, Annamaria; Rautio, Riitta; Valkila, Jan; Keski-Säntti, Harri; Keski-Nisula, Leo; Laranne, Jussi

2014-02-01

186

Supporting People in the Community: A Case Study of the Residential Support Program, Centennial Developmental Services, Weld County, Colorado. Site Visit Report.  

ERIC Educational Resources Information Center

The site visit report describes the Residential Support Program of the Centennial Developmental Services, a community-centered board providing residential services and support to persons (currently 67) with disabilities in Weld County, Colorado. Residential settings include a group home, supported apartments, foster homes, natural family homes, or…

Walker, Pam; Salon, Rebecca

187

Information needs and sources of information for patients during cancer follow-up  

PubMed Central

Background Now more than ever, cancer patients want health information. Little has been published to characterize the information needs and preferred sources of that information for patients who have completed cancer treatment. Methods We used a nationally validated instrument to prospectively survey patients attending a cancer clinic for a post-treatment follow-up visit. All patients who came to the designated clinics between December 2011 and June 2012 were approached (N = 648), and information was collected only from those who agreed to proceed. Results The 411 patients who completed the instrument included individuals with a wide range of primary malignancies. Their doctor or health professional was overwhelmingly the most trusted source of cancer information, followed by the Internet, family, and friends. The least trusted sources of information included radio, newspaper, and television. Patients most preferred to receive personalized written information from their health care provider. Conclusions Cancer survivors are keenly interested in receiving information about cancer, despite having undergone or finished active therapy. The data indicate that, for patients, their health care provider is the most trusted source of cancer information. Cancer providers should ask patients about the information they want and should direct them to trusted sources. PMID:25089098

Shea–Budgell, M.A.; Kostaras, X.; Myhill, K.P.; Hagen, N.A.

2014-01-01

188

Follow-up study of lympho-histiocytic villitis and incidental retroplacental hematoma.  

PubMed

Placentas are usually submitted for pathologic examination based on obstetrical indications. We hypothesized that the placenta may have diagnostic value to the infant independent of obstetrical events. We specifically tested whether lymphohistiocytic villitis (noninfectious) would predict autoimmune or alloimmune disease based on transfer of activated maternal T-cells to the fetus and whether clinically silent placental separations (retroplacental hematomas, RPH) would predict neurologic injury in the infant. All placentas from consecutive deliveries had a routine pathologic examination of the placenta. The infants with placentas demonstrating inflammation of >1% of villi or RPH >2 cm and matched controls had their hospital charts reviewed and parental interviews by telephone at 5 to 7 years of age. The children of consented patients were also searched for in the office visits of the University of Louisville Pediatric Neurology and Rheumatology divisions. One thousand six hundred eighty-four patients consented to the follow-up study. We found no cases of autoimmune disease among 17 children with villitis >1%. Of 16 infants with RPH, 1 had cerebral palsy but with other placental findings, 1 had lethal hydranenecephaly, and the remainder had no adverse outcome. Of 15 children seen by a pediatric neurologist, none had the same placental lesion. The specific lesions of lymphohistiocytic villitis or asymptomatic RPH do not predict significant pediatric disease by 7 years of age. At least for these 2 lesions, the placenta does not have diagnostic value to the infant. PMID:24450427

Bendon, Robert; Coventry, Susan; Bendon, Jean; Nordmann, Amelia; Schikler, Kenneth

2014-01-01

189

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--FOLLOW-UP QUESTIONNAIRE DATA  

EPA Science Inventory

The Follow-up Questionnaire data set provides information concerning the activities within the household during the sampling week. The information is from 201 Follow-up Questionnaires for 91 households. Medication and supplemental dietary information is provided. The Follow-up...

190

Callosal Tissue Loss in Multiple System Atrophy--A One-Year Follow-Up Study  

E-print Network

Callosal Tissue Loss in Multiple System Atrophy-- A One-Year Follow-Up Study Martina Minnerop, MD,1- sons of tissue-loss profiles (i.e., baseline versus follow-up) between patients and controls, revealed. Comparisons between baseline and follow-up, separately performed in patients and controls, revealed additional

Thompson, Paul

191

Cost effectiveness analysis of intensive versus conventional follow up after curative resection for colorectal cancer  

Microsoft Academic Search

Objective To determine the cost effectiveness of intensive follow up compared with conventional follow up in patients with colorectal cancer. Design Incremental cost effectiveness analysis recognising differences in follow up strategies, based on effectiveness data from a meta-analysis of five randomised trials. Setting United Kingdom. Main outcome measures Taking a health service perspective, estimated incremental costs effectiveness ratios for each

Andrew G Renehan; Sarah T O'Dwyer; David K Whynes

2004-01-01

192

Multiple Bilateral Circumscribed Masses at Screening Breast US: Consider Annual Follow-up  

PubMed Central

Purpose: To determine prospectively the prevalence and rate of malignancy of multiple bilateral (MB) circumscribed breast masses detected at screening ultrasonography (US) compared with those of other US-depicted masses. Materials and Methods: This institutional review board–approved, HIPAA-compliant prospective trial included women at elevated risk for breast cancer, who gave written informed consent to participate in a study evaluating cancer detection rates for three rounds of annual supplemental screening US at 21 international sites. After exclusions, 2662 participants and 7473 screening studies were included. Physician-performed US studies were interpreted, with blinding to mammography results. Simple cysts were noted. Breast Imaging Reporting and Data System features of all other findings were recorded, with addition of the descriptor MB similar-appearing circumscribed masses (minimum of three total and at least one in each breast), with details of the largest such mass recorded. Rates of malignancy were determined after biopsy or mammographic and US follow-up at a minimum of 11 months. For this analysis, 490 women (1370 screenings) with prior mastectomy were excluded. Descriptive statistics and exact 95% confidence intervals (CIs) were generated. Results: Of 2172 evaluable participants (6103 screening studies; median age at study entry, 54.0 years; range, 25–91 years), 1454 had unique findings at US. One hundred thirty-five (6.2%) participants had 153 unique MB circumscribed masses, with no malignancies (0% [95% CI: 0%, 2.4%]; 95% CI: 0%, 2.9% for the 127 masses with at least 2 years of follow-up). There were 1319 (60.7%) participants with 2464 non-MB lesions, including 1038 solitary circumscribed masses with a malignancy rate of 0.8% (eight of 1038). Of 836 solitary circumscribed masses with at least 2 years of follow-up, the malignancy rate was 0.4% (three of 836; 95% CI: 0.1%, 1.0%). Of the 135 women with MB circumscribed masses, 82 (60.7%) also had a solitary lesion. Two of these 82 women (2.4%) had cancer. Conclusion: MB similar-appearing circumscribed masses seen at screening US are almost always benign, with no malignancies found among such lesions in this prospective, multicenter experience. These lesions are suitable for diagnostic follow-up in 1 year, with resumption of screening thereafter if they are stable. © RSNA, 2013 PMID:23616634

Zhang, Zheng; Cormack, Jean B.; Mendelson, Ellen B.

2013-01-01

193

Endoscopic features of gastro-intestinal lymphomas: From diagnosis to follow-up  

PubMed Central

Many progresses have been done in the management of gastrointestinal (GI) lymphomas during last decades, especially after the discovery of Helicobacter pylori-dependent lymphoma development. The stepwise implementation of new endoscopic techniques, by means of echoendoscopy or double-balloon enteroscopy, enabled us to more precisely describe the endoscopic features of GI lymphomas with substantial contribution in patient management and in tailoring the treatment strategy with organ preserving approaches. In this review, we describe the recent progresses in GI lymphoma management from disease diagnosis to follow-up with a specific focus on the endoscopic presentation according to the involved site and the lymphoma subtype. Additionally, new or emerging endoscopic technologies that have an impact on the management of gastrointestinal lymphomas are reported. We here discuss the two most common subtypes of GI lymphomas: the mucosa-associated lymphoid tissue and the diffuse large B cell lymphoma. A general outline on the state-of-the-art of the disease and on the role of endoscopy in both diagnosis and follow-up will be performed. PMID:25278693

Vetro, Calogero; Romano, Alessandra; Amico, Irene; Conticello, Concetta; Motta, Giovanna; Figuera, Amalia; Chiarenza, Annalisa; Di Raimondo, Cosimo; Giulietti, Giorgio; Bonanno, Giacomo; Palumbo, Giuseppe Alberto; Di Raimondo, Francesco

2014-01-01

194

Endoscopic features of gastro-intestinal lymphomas: from diagnosis to follow-up.  

PubMed

Many progresses have been done in the management of gastrointestinal (GI) lymphomas during last decades, especially after the discovery of Helicobacter pylori-dependent lymphoma development. The stepwise implementation of new endoscopic techniques, by means of echoendoscopy or double-balloon enteroscopy, enabled us to more precisely describe the endoscopic features of GI lymphomas with substantial contribution in patient management and in tailoring the treatment strategy with organ preserving approaches. In this review, we describe the recent progresses in GI lymphoma management from disease diagnosis to follow-up with a specific focus on the endoscopic presentation according to the involved site and the lymphoma subtype. Additionally, new or emerging endoscopic technologies that have an impact on the management of gastrointestinal lymphomas are reported. We here discuss the two most common subtypes of GI lymphomas: the mucosa-associated lymphoid tissue and the diffuse large B cell lymphoma. A general outline on the state-of-the-art of the disease and on the role of endoscopy in both diagnosis and follow-up will be performed. PMID:25278693

Vetro, Calogero; Romano, Alessandra; Amico, Irene; Conticello, Concetta; Motta, Giovanna; Figuera, Amalia; Chiarenza, Annalisa; Di Raimondo, Cosimo; Giulietti, Giorgio; Bonanno, Giacomo; Palumbo, Giuseppe Alberto; Di Raimondo, Francesco

2014-09-28

195

Catecholaminergic polymorphic ventricular tachycardia: RYR2 mutations, bradycardia, and follow up of the patients  

PubMed Central

Background: The aim of the study was to assess underlying genetic cause(s), clinical features, and response to therapy in catecholaminergic polymorphic ventricular tachycardia (CPVT) probands. Methods and results: We identified 13 missense mutations in the cardiac ryanodine receptor (RYR2) in 12 probands with CPVT. Twelve were new, of which two are de novo mutations. A further 11 patients were silent gene carriers, suggesting that some mutations are associated with low penetrance. A marked resting sinus bradycardia off drugs was observed in all carriers. On ß blocker treatment, 98% of the RYR2 mutation carriers remained symptom free with a median follow up of 2 (range: 2–37) years. Conclusion: CPVT patients with RYR2 mutation have bradycardia regardless of the site of the mutation, which could direct molecular diagnosis in (young) patients without structural heart disease presenting with syncopal events and a slow heart rate but with normal QTc at resting ECG. Treatment with ß blockers has been very effective in our CPVT patients during initial or short term follow up. Given the risk of sudden death and the efficacy of ß blocker therapy, the identification of large numbers of RYR2 mutations thus calls for genetic screening, early diagnosis, and subsequent preventive strategies. PMID:16272262

Postma, A; Denjoy, I; Kamblock, J; Alders, M; Lupoglazoff, J; Vaksmann, G; Dubosq-Bidot, L; Sebillon, P; Mannens, M; Guicheney, P; Wilde, A

2005-01-01

196

Cohort Profile Update: 2004 Pelotas (Brazil) Birth Cohort Study. Body composition, mental health and genetic assessment at the 6 years follow-up  

PubMed Central

This is an update of the 2004 Pelotas Birth Cohort profile, originally published in 2011. In view of the high prevalence of overweight and mental health problems among Brazilian children, together with the availability of state-of-the-art equipment to assess body composition and diagnostic tests for mental health in childhood, the main outcomes measured in the fifth follow-up (mean age 6.8 years) included child body composition, mental health and cognitive ability. A total of 3722 (90.2%) of the original mothers/carers were interviewed and their children examined in a clinic where they underwent whole-body dual X-ray absorptiometry (DXA), air displacement plethysmography and a 3D photonic scan. Saliva samples for DNA were obtained. Clinical psychologists applied the Development and Well-Being Assessment questionnaire and the Wechsler Intelligence Scale for Children to all children. Results are being compared with those of the two earlier cohorts to assess the health effects of economic growth and full implementation of public policies aimed at reducing social inequalities in the past 30 years. For further information visit the programme website at [http://www.epidemio-ufpel.org.br/site/content/coorte_2004/questionarios.php]. Applications to use the data should be made by contacting 2004 cohort researchers and filling in the application form available at [http://www.epidemio-ufpel.org.br/site/content/estudos/formularios.php]. PMID:25063002

Santos, Iná S; Barros, Aluísio JD; Matijasevich, Alicia; Zanini, Roberta; Chrestani Cesar, Maria Aurora; Camargo-Figuera, Fabio Alberto; Oliveira, Isabel O; Barros, Fernando C; Victora, Cesar G

2014-01-01

197

Cohort profile update: 2004 Pelotas (Brazil) Birth Cohort Study. Body composition, mental health and genetic assessment at the 6 years follow-up.  

PubMed

This is an update of the 2004 Pelotas Birth Cohort profile, originally published in 2011. In view of the high prevalence of overweight and mental health problems among Brazilian children, together with the availability of state-of-the-art equipment to assess body composition and diagnostic tests for mental health in childhood, the main outcomes measured in the fifth follow-up (mean age 6.8 years) included child body composition, mental health and cognitive ability. A total of 3722 (90.2%) of the original mothers/carers were interviewed and their children examined in a clinic where they underwent whole-body dual X-ray absorptiometry (DXA), air displacement plethysmography and a 3D photonic scan. Saliva samples for DNA were obtained. Clinical psychologists applied the Development and Well-Being Assessment questionnaire and the Wechsler Intelligence Scale for Children to all children. Results are being compared with those of the two earlier cohorts to assess the health effects of economic growth and full implementation of public policies aimed at reducing social inequalities in the past 30 years. For further information visit the programme website at [http://www.epidemio-ufpel.org.br/site/content/coorte_2004/questionarios.php]. Applications to use the data should be made by contacting 2004 cohort researchers and filling in the application form available at [http://www.epidemio-ufpel.org.br/site/content/estudos/formularios.php]. PMID:25063002

Santos, Iná S; Barros, Aluísio J D; Matijasevich, Alicia; Zanini, Roberta; Chrestani Cesar, Maria Aurora; Camargo-Figuera, Fabio Alberto; Oliveira, Isabel O; Barros, Fernando C; Victora, Cesar G

2014-10-01

198

Persistent asthma due to isocyanates. A follow-up study of subjects with occupational asthma due to toluene diisocyanate (TDI)  

SciTech Connect

Thirty-five subjects with occupational asthma due to toluene diisocyanate (TDI) exposure were examined. All the subjects were studied with inhalation challenges with TDI and with methacholine. TDI asthma was documented by a positive inhalation challenge to low levels of TDI. Airway responsiveness to methacholine was in the range of asthmatic patients at the time of diagnosis. After an average follow-up interval of 10 months, all the subjects were re-examined. Of the 35 subjects examined, 30 subjects (85.7%) left the workplace, and 5 remained in the same job. Twenty-seven subjects (77.1%) continued to have asthmatic attacks requiring medication for relief of symptoms. At follow-up examination, TDI asthma was documented by a positive inhalation challenge to TDI in 27 subjects. Of these 27 TDI reactors, 22 subjects were removed from occupational exposure to TDI. The TDI reactors had persistent respiratory symptoms and airway hyperresponsiveness to methacholine. At follow-up visit, 8 subjects (22.9%) lost sensitization to TDI; 5 subjects (62.5%) in this group had also normal airway responsiveness to methacholine after removal from exposure. Only 1 subject among the TDI nonreactors complained of mild respiratory symptoms. At diagnosis, there were no significant differences between subjects who recovered and those who did not with regard to age, smoking habits, atopy, duration of exposure to isocyanates, duration of symptoms, baseline FEV1 (% pred), and baseline airway responsiveness to methacholine.

Mapp, C.E.; Corona, P.C.; De Marzo, N.; Fabbri, L.

1988-06-01

199

Follow-up of cancer in primary care versus secondary care: systematic review  

PubMed Central

Background Cancer follow-up has traditionally been undertaken in secondary care, but there are increasing calls to deliver it in primary care. Aim To compare the effectiveness and cost-effectiveness of primary versus secondary care follow-up of cancer patients, determine the effectiveness of the integration of primary care in routine hospital follow-up, and evaluate the impact of patient-initiated follow-up on primary care. Design of study Systematic review. Setting Primary and secondary care settings. Method A search was carried out of 19 electronic databases, online trial registries, conference proceedings, and bibliographies of included studies. The review included comparative studies or economic evaluations of primary versus secondary care follow-up, hospital follow-up with formal primary care involvement versus conventional hospital follow-up, and hospital follow-up versus patient-initiated or minimal follow-up if the study reported the impact on primary care. Results There was no statistically significant difference for patient wellbeing, recurrence rate, survival, recurrence-related serious clinical events, diagnostic delay, or patient satisfaction. GP-led breast cancer follow-up was cheaper than hospital follow-up. Intensified primary health care resulted in increased home-care nurse contact, and improved discharge summary led to increased GP contact. Evaluation of patient-initiated or minimal follow-up found no statistically significant impact on the number of GP consultations or cancer-related referrals. Conclusion Weak evidence suggests that breast cancer follow-up in primary care is effective. Interventions improving communication between primary and secondary care could lead to greater GP involvement. Discontinuation of formal follow-up may not increase GP workload. However, the quality of the data in general was poor, and no firm conclusions can be reached. PMID:19566990

Lewis, Ruth A; Neal, Richard D; Williams, Nefyn H; France, Barbara; Hendry, Maggie; Russell, Daphne; Hughes, Dyfrig A; Russell, Ian; Stuart, Nicholas SA; Weller, David; Wilkinson, Clare

2009-01-01

200

Spectroscopic Follow-Up Observations of Transiting Planet Candidates Identified by the Kepler Mission  

NASA Astrophysics Data System (ADS)

NASA's Kepler Mission is expected to identify many hundreds of transiting planet candidates in four years of continuous photometric monitoring of 100 square degrees in Cygnus and Lyra. To sort out true planets from eclipsing stellar systems that are masquerading as transiting planets, a variety of follow-up observations are planned. High resolution ground-based spectroscopy at modest signal-to-noise ratio will be used to detect orbital motion induced by stellar companions, for example by small M dwarf secondaries eclipsing solar-type primaries. The most challenging stellar imposters are blends of eclipsing binaries with nearby bright stars; even high-quality spectra may have difficulty resolving such systems. A workhorse for this initial phase of spectroscopic follow up will be TRES, a new fiber-fed echelle spectrograph on the 1.5-m Tillinghast Reflector at the Whipple Observatory. Ultimate confirmation of a transiting planet comes with the solution for a spectroscopic orbit and the derivation of an actual mass of the planet compared to the parent star. A primary goal of the Kepler Mission is to find earth-sized planets in or near the habitable zones of their host stars. The radial-velocity precision needed to derive spectroscopic orbits for the most interesting cases will require considerable improvement beyond 1 m/s. The Geneva Observatory and Harvard University have joined in a collaboration to develop such a capability at a northern site with access to the Kepler field of view. A version of the HARPS spectrograph, now in highly successful operation on the 3.6-m telescope at ESO on La Silla, is being built. Negotiations are underway to site HARPS North at the William Herschel Telescope operated by the Isaac Newton Group of Telescopes on La Palma. The goal is to achieve velocity performance at the level of 20 cm/s and to push the determination of planetary masses into the terrestrial planet regime.

Latham, David; Sasselov, D. D.; Szentgyorgyi, A. H.

2006-12-01

201

A Prospective Controlled Study of Kidney Donors: Baseline and 6-Month Follow-up  

PubMed Central

Background Most previous studies of living kidney donors have been retrospective and have lacked suitable healthy controls. Needed are prospective controlled studies to better understand the effects of a mild reduction in kidney function from kidney donation in otherwise normal individuals. Study Design Prospective, controlled, observational cohort study. Setting & Participants Consecutive patients approved for donation at 8 transplant centers in the US were asked to participate. For every donor enrolled, an equally healthy control with 2 kidneys who theoretically would have been suitable to donate a kidney was also enrolled. Predictor Kidney donation. Measurements At baseline pre-donation and at 6 months after donation, a medical history, vital signs, measured (iohexol) glomerular filtration rate and other measurements were collected. There were 201 donors and 198 controls that completed both baseline and 6 month visits and form the basis of this report. Results Compared to controls, donors had 28% lower glomerular filtration rate at 6 months (94.6±15.1 [SD] v. 67.6±10.1 mL/min/1.73m2; P<0.001), associated with a 23% greater parathyroid hormone (42.8±15.6 v. 52.7±20.9 pg/mL; P<0.001), 5.4% lower serum phosphate (3.5±0.5 v. 3.3±0.5 mg/dL; P<0.001), 3.7% lower hemoglobin (13.6±1.4 v. 13.1±1.2 g/dL; P<0.001), 8.2% greater uric acid (4.9±1.2 v. 5.3±1.1 mg/dL; P<0.001), 24% greater homocysteine (1.20±0.34 v. 1.49±0.43 mg/L; P<0.001), and 1.5% lower high density lipoprotein cholesterol (54.9±16.4 v. 54.1±13.9 mg/dL; P=0.03) level. There were no differences in albumin-creatinine ratios (5.0 [IQR, 4.0-6.6] v. 5.0 [IQR, 3.3-5.4] mg/g; P=0.5), office blood pressure, or glucose homeostasis. Limitations Short duration of follow-up and possible bias resulting from an inability to screen controls with kidney and vascular imaging performed in donors. Conclusions Kidney donors have some, but not all, abnormalities typically associated with mild chronic kidney disease 6 months after donation. Additional follow up is warranted. PMID:23523239

Kasiske, Bertram L.; Anderson-Haag, Teresa; Ibrahim, Hassan N.; Pesavento, Todd E.; Weir, Matthew R.; Nogueira, Joseph M.; Cosio, Fernando G.; Kraus, Edward S.; Rabb, Hamid H.; Kalil, Roberto S.; Posselt, Andrew A.; Kimmel, Paul L.; Steffes, Michael W.

2013-01-01

202

Follow up of patients who start treatment with antidepressants: treatment satisfaction, treatment compliance, efficacy and safety  

PubMed Central

Background Measuring satisfaction with treatment has proved useful to ascertain the treatment features that are most important to the patients, and to explain increased treatment compliance. However, there are few studies that relate satisfaction to other clinical or self-perceived health status indicators. Recent studies have shown the close relationship between satisfaction with treatment, treatment compliance, and effectiveness. This study attempts to design and validate a scale to evaluate satisfaction with antidepressant drug therapy, assess treatment compliance (self-reported, validated questionnaire, drug accountability and electronic monitorization system), assess efficacy in reducing depressive symptoms and safety in patients who initiate antidepressant drug therapy, as well as to establish predictors of satisfaction, compliance and effectiveness with these drugs. Methods/design This is an observational longitudinal study with a cohort of adults initiating treatment with antidepressant drugs. A multi-centre study will be performed in which 20 Primary Care practices from Castilla-La Mancha are expected to participate. An initial interview and follow-up visits at 15 days, 1, 3, 6, 9 and 12 months will be conducted with all study participants. 706 subjects will be studied (95% confidence interval, precision ± 3%, expected rate of non-compliance 50%, expected non-responders and lost to follow up rate 15%). The following measurements will be performed: development and validation of a scale of satisfaction with antidepressant therapy, participant and antidepressant characteristics, treatment compliance evaluation (Haynes-Sackett Test, Morisky-Green Test, drug accountability and Medication Event Monitoring System), depression symptom reduction (Hamilton Depression Rating Scale and Montgomery-Asberg Depression Rating Scale), observation of adverse effects, and beliefs about treatment (The Beliefs about Medicines Questionnaire). Discussion Antidepressant drugs are an extraordinarily important therapeutic group in the pharmacy composition; economic repercussions and social impact associated to their use is clear. Despite their well-established efficacy in clinical trials, treatment non-compliance is a major obstacle to their effectiveness in clinical practice. The proposed study brings about useful conclusions to improve the results of these drugs. Additionally, devising a scale specifically designed to evaluate satisfaction with antidepressant treatment could be of interest in healthcare outcomes research. PMID:23425500

2013-01-01

203

A long-term follow-up of 60 Lord total hip arthroplasties in rheumatic disease: a mean follow-up of 14 years  

Microsoft Academic Search

The aim of the study was to analyse the survivorship of 60 total hip arthroplasties using the cementless Lord prosthesis in 51 patients with inflammatory joint disease. Patients were operated on between the years 1985 and 1988. The mean follow-up time was 13.8 (4.0–18.6) years. During the follow-up, one deep infection was encountered, and seven patients died of causes unrelated to

C. C. Lybäck; C. O. Lybäck; A. Kyrö; H. J. Kautiainen; E. A. Belt

2006-01-01

204

Long-term follow-up of tibial bone graft for correction of alveolar cleft  

PubMed Central

Aims: The aim of this prospective study was to evaluate the quality and stability of autogenous tibial bone graft for the correction of alveolar bone defects in cleft patients in a long-term study as well as to evaluate the postoperative morbidity and risk of complications. Materials and Methods: A total of 47 patients with 55 donor sites were involved in this study. The first author performed all the procedures from 2003 to 2011. Medial and lateral approaches were used to harvest the bone with standardized surgical technique. Evaluation in both donor and recipient sites was done by clinical examination, postoperative pain and recovery, and radiographic examination by Panoramic and occlusal X-rays and lateral X-ray for the tibia. Moreover, the donor site was assessed for functionality and mobility based on the Lysholm score. Finally, the patient's experience was evaluated subjectively utilizing a visual analog scale. Results: The surgical outcome was satisfied in all except two cases with total graft resorption for unknown reasons. Regarding the postoperative patient experience we found that patients experienced pain in the recipient site more than they did at the donor site at 24-hour and two-week follow-ups. Conclusion: We conclude that the proximal tibia is a safe site from which cancellous bone graft can be harvested to repair the alveolus as it carries less early and late morbidity. Thus, we suggest that the tibia is an excellent choice as a donor site for alveolar bone grafting in children and adult with cleft lip and palate with satisfactory long-term stability. PMID:23482654

Al Harbi, Hamad; Al Yamani, Ahmed

2012-01-01

205

Assessment reactivity to follow-up in a study of women's treatment for alcohol dependence.  

PubMed

Little research has been conducted on symptom reductions in response to assessments in clinical trials, despite the impact such reactivity may have on interpretation of outcomes. Reactivity to data collection procedures during post-treatment follow-up may obscure treatment effects. The current study examined whether female participants (n=102) in a trial of cognitive-behavioral treatment for alcohol dependence had lower drinking quantity and frequency immediately after participating in follow-up assessments. Repeated measures ANOVAs were used to compare each participant's drinking among two-week time periods immediately before the follow-up, directly after the follow-up, and between follow-ups. No assessment reactivity was found for 9 or 15 month follow-up interviews, but was suggested at a 12 month in-person interview. PMID:18261860

Worden, Blaise L; McCrady, Barbara S; Epstein, Elizabeth E

2008-06-01

206

Chernobyl cleanup workers from Estonia: follow-up for cancer incidence and mortality.  

PubMed

This study examined cancer incidence (1986-2008) and mortality (1986-2011) among the Estonian Chernobyl cleanup workers in comparison with the Estonian male population. The cohort of 4810 men was followed through nationwide population, mortality and cancer registries. Cancer and death risks were measured by standardised incidence ratio (SIR) and standardised mortality ratio (SMR), respectively. Poisson regression was used to analyse the effects of year of arrival, duration of stay and time since return on cancer and death risks. The SIR for all cancers was 1.06 with 95% confidence interval 0.93-1.20 (232 cases). Elevated risks were found for cancers of the pharynx, the oesophagus and the joint category of alcohol-related sites. No clear evidence of an increased risk of thyroid cancer, leukaemia or radiation-related cancer sites combined was apparent. The SMR for all causes of death was 1.02 with 95% confidence interval 0.96-1.08 (1018 deaths). Excess mortality was observed for mouth and pharynx cancer, alcohol-related cancer sites together and suicide. Duration of stay rather than year of arrival was associated with increased mortality. Twenty-six years of follow-up of this cohort indicates no definite health effects attributable to radiation, but the elevated suicide risk has persisted. PMID:23532116

Rahu, Kaja; Auvinen, Anssi; Hakulinen, Timo; Tekkel, Mare; Inskip, Peter D; Bromet, Evelyn J; Boice, John D; Rahu, Mati

2013-06-01

207

Disease activity in idiopathic intracranial hypertension: a 3-month follow-up study.  

PubMed

Idiopathic intracranial hypertension (IIH) is a disorder of raised intracranial pressure (ICP) in the absence of identifiable pathology. The purpose of this study was to evaluate the clinical presentation and monitor a 3-month course using frequent optical coherence tomography (OCT) evaluations, visual field testings and lumbar opening pressure measurements. A longitudinal study of 17 patients with newly diagnosed IIH and 20 healthy overweight controls were included in the study. Peripapillary retinal nerve fiber layer thickness (RNFLT) and retinal thickness (RT) measurements (Stratus OCT-3, fast RNFL 3.4 protocol), and Humphrey visual field testing were evaluated at regular intervals. Repeat lumbar puncture was performed at final visit (n = 13). The diagnostic delay was 3 months and initial symptoms were headache (94%), visual blurring (82%) and pulsatile tinnitus (65%). Complete clinical remission was achieved in 65%, partial in 29% and unchanged symptoms in 6%. Total average RNFLT and RT decreased significantly during the follow-up period (p < 0.0001 and p < 0.0001, respectively). Changes in RNFLT and RT correlated with improvements in visual field mean deviation (MD) (RNFLT: p = 0.006; RT: p = 0.03) and pattern standard deviation (PSD) (RNFLT: p = 0.002; RT: p = 0.003). In patients with weight-loss >3.5% of BMI, ICP decreased significantly (p = 0.0003). In patients with weight-loss <3.5% of BMI, changes in ICP were insignificant (p = 0.6). OCT combined with visual field testing may be a valuable objective tool to monitor IIH patients and the short term IIH outcome is positive. Weight-loss is the main predictor of a favorable outcome with respect to CSF pressure. PMID:20853113

Skau, Maren; Sander, Birgit; Milea, Dan; Jensen, Rigmor

2011-02-01

208

Long-term Follow-up of Patients' Status after Gastric Bypass  

Microsoft Academic Search

Background: We report a long-term (13-15 year) follow-up of a cohort of 100 patients who underwent gastric bypass for morbid\\u000a obesity. Methods: Sources of information include baseline data collected before surgery and information obtained at follow-up\\u000a interview including data on weight history, psychosocial functioning, and medical complications. Results: Mean age at follow-up\\u000a was 56.8 years. The mean weight loss at

James E. Mitchell; Kathryn L. Lancaster; Melissa A. Burgard; L. Michael Howell; Dean D. Krahn; Ross D. Crosby; Stephen A. Wonderlich; Blake A. Gosnell

2001-01-01

209

Lost but Not Forgotten: Attrition and Follow-up in the Indonesia Family Life Survey  

Microsoft Academic Search

Data from three waves of the Indonesia Family Life Survey (IFLS) are used to examine follow-up and attrition in the context of a large scale panel survey conducted in a low-income setting. Household-level attrition between the baseline and first follow-up four years later is less than 6 percent; the cumulative attrition between the baseline and second follow-up after a five-year

Duncan Thomas; Elizabeth Frankenberg; James P. Smith

2001-01-01

210

The Essen Stroke Risk Score in One-Year Follow-Up Acute Ischemic Stroke Patients  

Microsoft Academic Search

Background and Purpose: We aimed to validate the usefulness of the Essen Stroke Risk Score (ESRS) to predict stroke recurrence in a hospital-based follow-up study. Methods: We followed up 730 consecutive patients admitted to a neurological stroke unit in Berlin, Germany, with ischemic stroke (IS) or transient ischemic attack (TIA). The mean follow-up time was 13.4 months (SD 5.9). We

Sabine Fitzek; Lutz Leistritz; Otto W. Witte; Peter U. Heuschmann; Clemens Fitzek

2011-01-01

211

The role of follow-up in achieving results from self-assessment processes  

Microsoft Academic Search

Purpose – The aim of this paper is to investigate follow-up as a salient factor in achieving results from organizational self-assessment. Design\\/methodology\\/approach – Data were collected from 14 organizations involved in self-assessment. Qualitative methods were used to analyze the follow-up patterns in high and low achievers to discern key factors of follow-up and their relationship to self-assessment outcomes. Findings –

Matthew W. Ford; James R. Evans

2006-01-01

212

Follow-up care for cancer survivors: views of the younger adult  

Microsoft Academic Search

Background:Since the launch of the National Cancer Survivorship Initiative, there has been a surge of interest surrounding the value and organisation of long-term follow-up care after cancer treatment. We report the views of 309 adult cancer survivors (aged 18–45 years) on provision of follow-up and preferences for care.Methods:A total of 207 survivors completed questionnaires before and after routine consultant-led follow-up

K Absolom; C Eiser; G Michel; S J Walters; B W Hancock; R E Coleman; J A Snowden; D M Greenfield

2009-01-01

213

Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program  

PubMed Central

Many skin cancer screenings occur in non-traditional community settings, with the beach being an important setting due to beachgoers being at high risk for skin cancer. This study is a secondary analysis of data from a randomized trial of a skin cancer intervention in which participants (n = 312) had a full-body skin examination by a clinician and received a presumptive diagnosis (abnormal finding, no abnormal finding). Participants’ pursuit of follow-up was assessed post-intervention (n = 283). Analyses examined: (1) participant’s recall of screening results; and (2) whether cognitive and behavioral variables were associated with follow-up being as advised. Just 12% of participants (36/312) did not correctly recall the results of their skin examination. One-third (33%, 93/283) of participants’ follow-up was classified as being not as advised (recommend follow-up not pursued, unadvised follow-up pursued). Among participants whose follow-up was not as advised, 71% (66/93) did not seek recommended care. None of the measured behavioral and cognitive variables were significantly associated with recall of screening examination results or whether follow-up was as advised. Research is needed to determine what factors are associated with follow-up being as advised and to develop messages that increase receipt of advised follow-up care. PMID:22754476

Greaney, Mary L.; Puleo, Elaine; Geller, Alan C.; Hu, Stephanie W.; Werchniak, Andrew E.; DeCristofaro, Susan; Emmons, Karen M.

2012-01-01

214

Home?Based Walking Exercise in Peripheral Artery Disease: 12?Month Follow?up of the Goals Randomized Trial  

PubMed Central

Background We studied whether a 6?month group?mediated cognitive behavioral (GMCB) intervention for peripheral artery disease (PAD) participants, which promoted home?based walking exercise, improved 6?minute walk and other outcomes at 12?month follow?up, 6 months after completing the intervention, compared to a control group. Methods and Results We randomized PAD participants to a GMCB intervention or a control group. During phase I (months 1 to 6), the intervention used group support and self?regulatory skills during weekly on?site meetings to help participants adhere to home?based exercise. The control group received weekly on?site lectures on topics unrelated to exercise. Primary outcomes were measured at the end of phase I. During phase II (months 7 to 12), each group received telephone contact. Compared to controls, participants randomized to the intervention increased their 6?minute walk distance from baseline to 12?month follow?up, (from 355.4 to 381.9 m in the intervention versus 353.1 to 345.6 m in the control group; mean difference=+34.1 m; 95% confidence interval [CI]=+14.6, +53.5; P<0.001) and their Walking Impairment Questionnaire (WIQ) speed score (from 36.1 to 46.5 in the intervention group versus 34.9 to 36.5 in the control group; mean difference =+8.8; 95% CI=+1.6, +16.1; P=0.018). Change in the WIQ distance score was not different between the 2 groups at 12?month follow?up (P=0.139). Conclusions A weekly on?site GMCB intervention that promoted home?based walking exercise intervention for people with PAD demonstrated continued benefit at 12?month follow?up, 6 months after the GMCB intervention was completed. Clinical Trial Registration URL: ClinicalTrials.gov. Unique identifier: NCT00693940. PMID:24850615

McDermott, Mary M.; Guralnik, Jack M.; Criqui, Michael H.; Ferrucci, Luigi; Zhao, Lihui; Liu, Kiang; Domanchuk, Kathryn; Spring, Bonnie; Tian, Lu; Kibbe, Melina; Liao, Yihua; Lloyd Jones, Donald; Rejeski, W. Jack

2014-01-01

215

Repair of perforating inflammatory root resorption in a previously traumatized incisor: 36-month follow-up.  

PubMed

Inflammatory root resorption is a serious complication of dental trauma, which leads to progressive loss of the root structure. The purpose of this report was to present a case of perforating inflammatory root resorption in a previously traumatized young incisor tooth with incomplete root development. A 12-year-old girl, who had suffered a traumatic dental injury 4 years earlier, was referred with symptoms of pain and swelling in a permanent maxillary central incisor. The tooth had been root-filled and had thin dentinal walls and a wide open apex. During retreatment, a perforating resorption site was observed on the root's distal aspect. Because the entire root canal filling could not be removed, the resorption site was repaired with white mineral trioxide aggregate in the presence of the remaining gutta-percha. Clinical and radiographic follow-up was conducted for 36 months, demonstrating arrest of the resorptive process, regeneration of the periradicular tissues, and re-establishment of the periodontal space. PMID:22828765

Cehreli, Zafer C; Guzeler, Irem; Uysal, Serdar

2012-01-01

216

Two-Year Follow-Up of Bibliotherapy and Individual Cognitive Therapy for Depressed Older Adults  

ERIC Educational Resources Information Center

This study examined the stability of treatment gains after receiving either cognitive bibliotherapy or individual cognitive psychotherapy for depression in older adults. A 2-year follow-up of 23 participants from Floyd, Scogin, McKendree-Smith, Floyd, and Rokke (2004) was conducted by comparing pre- and posttreatment scores with follow-up scores…

Floyd, Mark; Rohen, Noelle; Shackelford, Jodie A. M.; Hubbard, Karen L.; Parnell, Marsha B.; Scogin, Forrest; Coates, Adriana

2006-01-01

217

"A Research Oriented Elementary Education Student Teaching Program": A Follow-Up Study.  

ERIC Educational Resources Information Center

This is a report of a follow-up study of an elementary education student teaching program carried out in 1961-64. The intent of the program was to foster more experimental and analytic attitudes toward teaching rather than postponing a concern for research until graduate study. The follow-up study was an attempt to ascertain to what extent three…

Callaway, Rolland; Baruch, Steven

218

Exploring Time Series Retrieved from Cardiac Implantable Devices for Optimizing Patient Follow-Up  

Microsoft Academic Search

Current cardiac implantable devices (IDs) are equipped with a set of sensors that can provide useful information to improve patient follow-up and prevent health deterioration in the postoperative period. In this paper, data obtained from an ID with two such sensors (a transthoracic impedance sensor and an accelerometer) are analyzed in order to evaluate their potential application for the follow-up

M. Gueguin; Emmanuel Roux; A. I. Hernandez; F. Porce; Philippe Mabo; Laurence Graindorge; Guy Carrault

2008-01-01

219

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--FOOD FOLLOW-UP QUESTIONNAIRE DATA  

EPA Science Inventory

The Food Follow-up Questionnaire data set provides information on the eating patterns and the food identification and preparation methods that occurred during the period the food sample was taken. The information is for 86 Food Follow-up Questionnaires for 86 households. In the...

220

What Happens Next? Follow-Up from the Children's Toddler School Program  

ERIC Educational Resources Information Center

This study was a follow-up of a group of 29 children diagnosed with autism spectrum disorders at age 2 who attended an inclusive toddler program until age 3. Children ranged in age from 4 to 12 years at the time of the parent survey and follow-up testing. The majority of children were placed in a special education (noninclusive) preschool class,…

Akshoomoff, Natacha; Stahmer, Aubyn C.; Corsello, Christina; Mahrer, Nicole E.

2010-01-01

221

Cancer mortality in the asphalt industry: a ten year follow up of an occupational cohort  

Microsoft Academic Search

A historical cohort study was conducted to study the possible risk of cancer associated with exposure to asphalt. Altogether 1320 unskilled workers employed in the asphalt industry were followed up over a ten year period and compared with 43,024 unskilled men in terms of cause specific mortality. Both groups were identified from census records and followed up by an automatic

E S Hansen

1989-01-01

222

SUIVI MEDICAL DE SALARIES EXPOSES AU BERYLLIUM : Medical follow-up of beryllium -exposed workers  

E-print Network

1 SUIVI MEDICAL DE SALARIES EXPOSES AU BERYLLIUM : Medical follow-up of beryllium - exposed workers-up of beryllium-exposed workers. Method: a medical follow-up of workers from a factory machining beryllium (Be preventive measures. Key words: beryllium, sensitisation, occupational exposure, prevention, Lymphocyte

Boyer, Edmond

223

Astrometric Observations at the Konkoly Observatory: Prospects for Gaia Solar System Follow-Up  

E-print Network

Astrometric Observations at the Konkoly Observatory: Prospects for Gaia Solar System Follow-Up Kiss for the proposed Gaia Solar System follow-up work and some of the achievements in astrometry. 1. Current upgrading the CCD imaging capabilities, the telescope control systems and installing a new, fully robotic 0

Boyer, Edmond

224

The sexual struggles of 23 clergymen: A follow-up study  

Microsoft Academic Search

Nineteen clergymen, 17 of whom were Catholic, were followed up 1 to 6 years after their initial evaluation in a program designed to assess the sexual offenses and rehabilitation potential of offending professionals. Methods used included a semistructured interview with a research psychiatrist and a repeat of the MCMI-III. At follow-up, the clergymen were relatively psychologically healthy. The vast majority

Calvin S. L. Fones; Stephen B. Levine; Stanleye Althof; Candace B. Risen

1999-01-01

225

[Results of regular follow-up after removal of colorectal adenomas].  

PubMed

After resection of colorectal adenoma 453 patients were included in a follow-up program between 1. 1. 1980 and 30. 6. 1991. 275 patients underwent regular follow-up examinations, the primary drop-out rate was 39.2%. In the 275 participating patients 492 primary adenoma were removed. 174 patients (63.3%) had a single adenoma, while 101 patients showed multiple primary adenoma (36.7%). The average follow-up interval was 37 (+/- 28.2) months. During follow-up we found new adenoma in 105 patients (38.2%), the Kaplan-Meier estimation of the five-year-recurrence rate was 55.9% (95% confidence-interval 46.9 to 64.8%). The risk of recurrence was increased in patients with multiple primary adenoma (p = 0.003) and multivariate risk analysis showed an independent influence of histology on recurrence rate (p = 0.07). In six patients colorectal carcinoma were detected during adenoma follow-up. During regular follow-up examinations after surgical treatment for colorectal adenoma in more than 30% of all patients new colorectal polyps were detected and removed. Therefore follow-up for colorectal adenoma is effective in prevention of colorectal carcinoma. Still frequency of follow-up examinations have to be adapted to the individual risk of recurrence for each patient. PMID:8413048

Schwenk, W; Osswald, J; Huppa, C; Stock, W

1993-08-15

226

45 CFR Appendix C to Part 1356 - Calculating Sample Size for NYTD Follow-Up Populations  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Calculating Sample Size for NYTD Follow-Up Populations C Appendix C to...1356, App. C Appendix C to Part 1356—Calculating Sample Size for NYTD Follow-Up Populations 1. Using Finite...

2012-10-01

227

45 CFR Appendix C to Part 1356 - Calculating Sample Size for NYTD Follow-Up Populations  

Code of Federal Regulations, 2013 CFR

...2013-10-01 2013-10-01 false Calculating Sample Size for NYTD Follow-Up Populations C Appendix C to...1356, App. C Appendix C to Part 1356—Calculating Sample Size for NYTD Follow-Up Populations 1. Using Finite...

2013-10-01

228

High School and Beyond Third Follow-Up (1986): Sample Design Report. Contractor Report.  

ERIC Educational Resources Information Center

The third follow-up survey associated with the High School and Beyond (HSB) Study was conducted during the spring of 1986. This report provides information that fully documents major technical aspects of the third follow-up sample selection and implementation, describes the weighting procedures, examines the possible impact of non-response on…

Spencer, Bruce D.; And Others

229

High School and Beyond First Follow-Up (1982). Sample Design Report.  

ERIC Educational Resources Information Center

This report documents the major technical aspects of the sample selection and implementation of the 1982 High School and Beyond First Follow Up, the first in a series of planned resurveys of the students and schools in the 1980 High School and Beyond Base Year Survey. The First Follow-Up included subsamples of nearly 30,000 sophomore cohort and…

Tourangeau, Roger; And Others

230

45 CFR Appendix C to Part 1356 - Calculating Sample Size for NYTD Follow-Up Populations  

Code of Federal Regulations, 2014 CFR

...2014-10-01 false Calculating Sample Size for NYTD Follow-Up Populations...Appendix C to Part 1356—Calculating Sample Size for NYTD Follow-Up Populations...Correction (FPC) is applied when the sample is drawn from a population of...

2014-10-01

231

The Uses of Follow-Up Information in Occupational Programs: A Management Model.  

ERIC Educational Resources Information Center

The report describes a model, developed by the staff at Edison Community College in Fort Myers, Florida, for collecting and using follow-up information to evaluate and plan occupational programs. After a discussion of the issues to be addressed when evaluating an occupational program, a breakdown of information to be collected in a follow-up study…

Newton, Emily Frank

232

Automatic Identification of Critical Follow-Up Recommendation Sentences in Radiology Reports  

E-print Network

Automatic Identification of Critical Follow-Up Recommendation Sentences in Radiology Reports Identification of Critical Follow-Up Recommendation Sentences in Radiology Reports Meliha Yetisgen-Yildiz, PhD1 Informatics, School of Medicine, University of Washington, Seattle, WA 2 Department of Radiology, School

Yetisgen-Yildiz, Meliha

233

Microsoft Word - App 6-16 Specifications for the Follow-Up of Positive Scre…  

Cancer.gov

Lung Screening Study Version 3.0 Manual of Operations and Procedures 11/15/00 Appendix 6-16 Lung Screening Study Specifications for Completion of the Follow-Up Log This form is to be completed by an SC staff member to document follow-up for participants

234

Infantile Amnesia across the Years: A 2-Year Follow-Up of Children's Earliest Memories  

ERIC Educational Resources Information Center

Although infantile amnesia has been investigated for many years in adults, only recently has it been investigated in children. This study was a 2-year follow-up and extension of an earlier study. Children (4-13 years old) were asked initially and 2 years later for their earliest 3 memories. At follow-up, their age at the time of these memories…

Peterson, Carole; Warren, Kelly L.; Short, Megan M.

2011-01-01

235

Myopia and Myopic Progression Among Schoolchildren: A Three-Year Follow-Up Study  

Microsoft Academic Search

Purpose. To discuss the factors that might explain the rate of myopic progression and the degree of myopia after a 3-year follow-up among schoolchildren with myopia. Methods. Myopic progression among 238 schoolchildren was followed up in a randomized clinical trial of myopia treatment. The associations between the explanatory factors and myo- pic progression and the final value of the spherical

Olavi Pcirssinen; Anna-Liisa Lyyraf

1993-01-01

236

A Theory-Based Approach to Understanding Follow-up of Abnormal Pap Tests  

PubMed Central

We applied a general theoretical framework to understand intentions to attend recommended follow-up for abnormal Pap results. Participants were 338 women attending university-affiliated clinics. Intention was associated with favorable attitudes toward follow-up (OR=5.3); perceiving attending follow-up as consistent with one’s self-concept (OR=3.0); self-efficacy (OR=1.8); and believing one would be told exactly what is wrong (OR=1.3). Intention was negatively associated with believing the problem could be avoided by not returning for follow-up (OR=0.75). Beliefs, affect and attitudes differed by race and ethnicity (all p<0.05). Attendance at follow-up was related to attitude and self-concept (both p<0.05). Results have implications for theory development and patient education. PMID:19293297

Breitkopf, Carmen Radecki; Pearson, Heidi C.

2009-01-01

237

EA follow-up in the Ghanaian mining sector: Challenges and opportunities  

SciTech Connect

Environmental assessment (EA) follow-up provides a means for monitoring and evaluating the implementation of environmental impact studies. It is integral to the success or failure of a project or program. In spite of its importance, very little attention is given to the need for follow-up programs in most jurisdictions in Africa. Using a case study in the Ghanaian mining sector, this paper explores the challenges and opportunities within the country's EA process for an effective follow-up program. The paper is based on informal interviews, content analysis of relevant publications, official EA documents, and internet searches. The authors suggest a standard EA follow-up program to be formalized as an integral part of Ghana's environmental assessment policy. They also propose a follow-up process that harnesses existing opportunities within the country's EA system. This approach can be replicated in other African countries.

Appiah-Opoku, Seth, E-mail: sappiah@bama.ua.edu [Geography Department, University of Alabama, 230 Farrah Hall, Tuscaloosa, AL 35487 (United States)] [Geography Department, University of Alabama, 230 Farrah Hall, Tuscaloosa, AL 35487 (United States); Bryan, Hobson C. [Geography Department, University of Alabama, 330 Farrah Hall, Tuscaloosa, AL 35487 (United States)] [Geography Department, University of Alabama, 330 Farrah Hall, Tuscaloosa, AL 35487 (United States)

2013-07-15

238

Increased Risk of Ischemic Stroke in Young Patients with Ankylosing Spondylitis: A Population-Based Longitudinal Follow-Up Study  

PubMed Central

Background Prospective data on the association between ischemic stroke and ankylosing spondylitis (AS) in the young are sparse. The purpose of this population-based, age- and sex-matched longitudinal follow-up study was to investigate the risk of developing ischemic stroke in young patients with AS. Methods A total of 4562 patients aged 18- to 45-year-old with at least two ambulatory visits in 2001 with a principal diagnosis of AS were enrolled in the AS group. The non-AS group consisted of 22810 age- and sex-matched, randomly sampled subjects without AS. The two-year ischemic stroke-free survival rate for each group were calculated using the Kaplan-Meier method. Cox proportional hazards regression analysis was used to estimate the hazard ratio of ischemic stroke after adjusting for demographic and clinical covariates. Results During follow-up, 21 patients in the AS group and 53 in the non-AS group developed ischemic stroke. The ischemic stroke-free survival rate over the 2 year follow-up was lower in the AS group than the non-AS group (p?=?0.0021). The crude hazard ratio of ischemic stroke for the AS group was 1.98 (95% CI, 1.20–3.29; p?=?0.0079) and the adjusted hazard ratio after controlling for demographic and comorbid medical disorders was 1.93 (95% CI, 1.16–3.20; p?=?0.0110). Conclusion Our study showed an increased risk of developing ischemic stroke in young patients with AS. PMID:24714094

Lin, Chia-Wei; Huang, Ya-Ping; Chiu, Yueh-Hsia; Ho, Yu-Tsun; Pan, Shin-Liang

2014-01-01

239

Long-term follow-up of autologous stem cell transplantation for severe paediatric systemic lupus erythematosus.  

PubMed

This study attempts to evaluate the outcome of autologous peripheral blood hematopoietic stem cell transplantation (auto-PBHSCT) in patients with severe paediatric systemic lupus erythematosus (SLE). Five patients (n = 2 females, n = 3 males) with severe or refractory paediatric SLE received autologous peripheral blood CD34+ cell transplants between July 2005 and February 2009. The patients ranged in age from 6 to 14 years, and the course of disease extended over a period from 5 to 90 months. All of the patients received conventional therapy for 3 to 87 months. After their discharge from the hospital, the patients continued to maintain their regular follow-up visits and basic quality of life. The patients exhibited decreased immune function after the auto-PBHSCT. The CD4+ and CD19+ cells were significantly reduced. Viremia occurred in four patients 2 months after the transplantation. All of the patients went into clinical remission in 3-6 months. The severity of encephalopathy, nephritis and organ damage declined in varying degrees. The disease recurred in patient 2 at 9 months and in patient 4 at 12 months after the transplantation. Because the disease was relatively mild, we were able to administer small doses of glucocorticoids that were sufficient to control the course of the disease. Macrophage activation syndrome occurred in patient 3 at 18 months after the transplantation. At the end of the follow-up period, three of the five patients were completely off their medications. Another two patients sustained small doses of glucocorticoids. The developmental levels of these patients were comparable to those of normal children at the end of the follow-up. The quality of life improved significantly. The auto-PBHSCT is effective for severe and refractory paediatric SLE. The incidence of lethal infection and other adverse reactions is low. Long-term remission can be achieved. A milder form of the disease may have recurred after the transplantation. PMID:23925552

Su, Gaixiu; Luan, Zuo; Wu, Fengqi; Wang, Xinning; Tang, Xiangfeng; Wu, Nanhai; Wang, Kai

2013-12-01

240

Quality of cancer follow-up care: a focus on Latina breast cancer survivors  

PubMed Central

Introduction Receiving quality cancer follow-up care influences survivorship outcomes. Among Latinas, breast cancer is the number one cause of cancer death; yet Latinas do not receive adequate follow-up care. This study examined quality of cancer follow-up care among Latina breast cancer survivors (BCS) and whether it differs by participant language and healthcare system variables (provider specialty, and medical setting). Methods Two hundred thirty-two (95 English-speaking Latina and 137 Spanish-speaking) Latina BCS were recruited from the California Cancer Registry, hospital cancer registries, and community agencies. Results English-speaking Latina BCS were more likely to report receiving cancer follow-up care at a doctor’s office (p<0.001). BCS without a regular place for cancer follow-up care were more likely to report not seeing a primary care provider (p<0.05) or cancer specialist (p<0.001) in the past 12 months. English-speaking Latina BCS (p<0.001), BCS who saw a cancer specialist in the past 12 months (p<0.001), and received follow-up care at a doctor’s office (p<0.05) reported higher quality of care. Speaking English, having seen a cancer specialist, and receiving follow-up care at a doctor’s office were independently associated with higher quality of care, explaining 44 % of the variance. Conclusions Our study findings suggest that examining the influence of ethnic and linguistic factors on quality of cancer follow-up care is necessary to address health disparities. Improved access to cancer follow-up care for Spanish-speaking Latina BCS is of particular concern. Implication of Cancer Survivors Identifying follow-up care needs of Latina BCS may contribute to providing high-quality care and improved survivorship outcomes. PMID:24563169

Ashing, Kimlin; Napoles, Anna

2014-01-01

241

Long-term follow-up of study participants from prophylactic HIV vaccine clinical trials in Africa.  

PubMed

Long-term safety is critical for the development and later use of a vaccine to prevent HIV/AIDS. Likewise, the persistence of vaccine-induced antibodies and their impact on HIV testing must be established. IAVI has sponsored several Phase I and IIA HIV vaccine trials enrolling healthy, HIV-seronegative African volunteers. Plasmid DNA and viral vector based vaccines were tested. No vaccine-related serious adverse events were reported. After completion of vaccine trials conducted between 2001-2007, both vaccine and placebo recipients were offered enrolment into an observational long-term follow-up study (LTFU) to monitor potential late health effects and persistence of immune responses. At scheduled 6-monthly clinic visits, a health questionnaire was administered; clinical events were recorded and graded for severity. Blood was drawn for HIV testing and cellular immune assays. 287 volunteers were enrolled; total follow-up after last vaccination was 1463 person years (median: 5.2 years). Ninety-three (93)% of volunteers reported good health at their last LTFU visit. Infectious diseases and injuries accounted for almost 50% of the 175 reported clinical events, of which over 95% were mild or moderate in severity. There were 30 six pregnancies, six incident HIV infections and 14 volunteers reported cases of social harm. Persistence of immune responses was rare. No safety signal was identified. No potentially vaccine-related medical condition, no immune mediated disease, or malignancy was reported. HIV vaccines studied in these trials had a low potential of induction of persisting HIV antibodies. PMID:24374365

Schmidt, Claudia; Jaoko, Walter; Omosa-Manyonyi, Gloria; Kaleebu, Pontiano; Mpendo, Juliet; Nanvubya, Annet; Karita, Etienne; Bayingana, Roger; Bekker, Linda-Gail; Chomba, Elwyn; Kilembe, William; Nchabeleng, Maphoshane; Nyombayire, Julien; Stevens, Gwynn; Chetty, Paramesh; Lehrman, Jennifer; Cox, Josephine; Allen, Susan; Dally, Len; Smith, Carol; Fast, Patricia E

2014-03-01

242

Large Regional Differences in Serological Follow-Up of Q Fever Patients in The Netherlands  

PubMed Central

Background During the Dutch Q fever epidemic more than 4,000 Q fever cases were notified. This provided logistical challenges for the organisation of serological follow-up, which is considered mandatory for early detection of chronic infection. The aim of this study was to investigate the proportion of acute Q fever patients that received serological follow-up, and to identify regional differences in follow-up rates and contributing factors, such as knowledge of medical practitioners. Methods Serological datasets of Q fever patients diagnosed between 2007 and 2009 (N?=?3,198) were obtained from three Laboratories of Medical Microbiology (LMM) in the province of Noord-Brabant. One LMM offered an active follow-up service by approaching patients; the other two only tested on physician's request. The medical microbiologist in charge of each LMM was interviewed. In December 2011, 240 general practices and 112 medical specialists received questionnaires on their knowledge and practices regarding the serological follow-up of Q fever patients. Results Ninety-five percent (2,226/2,346) of the Q fever patients diagnosed at the LMM with a follow-up service received at least one serological follow-up within 15 months of diagnosis. For those diagnosed at a LMM without this service, this was 25% (218/852) (OR 54, 95% CI 43–67). Although 80% (162/203) of all medical practitioners with Q fever patients reported informing patients of the importance of serological follow-up, 33% (67/203) never requested it. Conclusions Regional differences in follow-up are substantial and range from 25% to 95%. In areas with a low follow-up rate the proportion of missed chronic Q fever is potentially higher than in areas with a high follow-up rate. Medical practitioners lack knowledge regarding the need, timing and implementation of serological follow-up, which contributes to patients receiving incorrect or no follow-up. Therefore, this information should be incorporated in national guidelines and patient information forms. PMID:23577152

Morroy, Gabriëlla; Wielders, Cornelia C. H.; Kruisbergen, Mandy J. B.; van der Hoek, Wim; Marcelis, Jan H.; Wegdam-Blans, Marjolijn C. A.; Wijkmans, Clementine J.; Schneeberger, Peter M.

2013-01-01

243

Visiting death and life  

Microsoft Academic Search

In dark tourism research there is a paucity of research given to the discussion of sites associated with African enslavement. This study is informed by combining qualitative data from interviews that were conducted with 14 individuals pre- and post-travel to Cape Coast Castle, Ghana, alongside elicited photographs from the site, and a narrative analysis on other visitations and reflections of

Rasul A. Mowatt; Charles H. Chancellor

2011-01-01

244

Clinical and radiographic reports following cervical arthroplasty: a 24-month follow-up  

PubMed Central

We reviewed patients with cervical disc prosthesis replacement for single-level cervical disc disease to evaluate its clinical effect and maintenance of cervical spine motion. Fifteen patients underwent Bryan artificial cervical disc replacement and were followed-up for at least 24 months. No neurological or vascular complications were observed during or after operation. JOA, VAS, and NDI scores showed statistical significant improvement in our follow-up. The procedure achieved an 87% (13/15) satisfactory rate at 24-month evaluations according to Odom’s criteria. The range of motion (ROM) of the cervical spine, treated segment, adjacent segment, and functional spinal unit (FSU) decreased at early follow-up, but they recovered to the preoperative level at 12- and 24-month follow-up. Also, preoperative lordosis of the cervical spine and FSU were not only maintained but also even improved during the 24-month follow-up. No obvious degeneration of adjacent discs were found at MRI. There were no cases of prosthesis subsidence or extrusion. The cervical disc prosthesis showed a good clinical outcome; it also restored ROM of the cervical spine and reestablished cervical curvature in our 24-month follow-up. But to be sure of its long term effect, a longer follow-up is needed. PMID:18496689

Yang, Yan Cai; Cheng, Lei; Hou, Yong

2008-01-01

245

Long-term follow-up after gene therapy for canavan disease.  

PubMed

Canavan disease is a hereditary leukodystrophy caused by mutations in the aspartoacylase gene (ASPA), leading to loss of enzyme activity and increased concentrations of the substrate N-acetyl-aspartate (NAA) in the brain. Accumulation of NAA results in spongiform degeneration of white matter and severe impairment of psychomotor development. The goal of this prospective cohort study was to assess long-term safety and preliminary efficacy measures after gene therapy with an adeno-associated viral vector carrying the ASPA gene (AAV2-ASPA). Using noninvasive magnetic resonance imaging and standardized clinical rating scales, we observed Canavan disease in 28 patients, with a subset of 13 patients being treated with AAV2-ASPA. Each patient received 9 × 10(11) vector genomes via intraparenchymal delivery at six brain infusion sites. Safety data collected over a minimum 5-year follow-up period showed a lack of long-term adverse events related to the AAV2 vector. Posttreatment effects were analyzed using a generalized linear mixed model, which showed changes in predefined surrogate markers of disease progression and clinical assessment subscores. AAV2-ASPA gene therapy resulted in a decrease in elevated NAA in the brain and slowed progression of brain atrophy, with some improvement in seizure frequency and with stabilization of overall clinical status. PMID:23253610

Leone, Paola; Shera, David; McPhee, Scott W J; Francis, Jeremy S; Kolodny, Edwin H; Bilaniuk, Larissa T; Wang, Dah-Jyuu; Assadi, Mitra; Goldfarb, Olga; Goldman, H Warren; Freese, Andrew; Young, Deborah; During, Matthew J; Samulski, R Jude; Janson, Christopher G

2012-12-19

246

Long-Term Follow-Up After Gene Therapy for Canavan Disease  

PubMed Central

Canavan disease is a hereditary leukodystrophy caused by mutations in the aspartoacylase gene (ASPA), leading to loss of enzyme activity and increased concentrations of the substrate N-acetylaspartate (NAA) in the brain. Accumulation of NAA results in spongiform degeneration of white matter and severe impairment of psychomotor development. The goal of this prospective cohort study was to assess long-term safety and preliminary efficacy measures after gene therapy with an adeno-associated viral vector carrying the ASPA gene (AAV2-ASPA). Using noninvasive magnetic resonance imaging and standardized clinical rating scales, we observed Canavan disease in 28 patients, with a subset of 13 patients being treated with AAV2-ASPA. Each patient received 9 × 1011 vector genomes via intraparenchymal delivery at six brain infusion sites. Safety data collected over a minimum 5-year follow-up period showed a lack of long-term adverse events related to the AAV2 vector. Posttreatment effects were analyzed using a generalized linear mixed model, which showed changes in predefined surrogate markers of disease progression and clinical assessment subscores. AAV2-ASPA gene therapy resulted in a decrease in elevated NAA in the brain and slowed progression of brain atrophy, with some improvement in seizure frequency and with stabilization of overall clinical status. PMID:23253610

Leone, Paola; Shera, David; McPhee, Scott W.J.; Francis, Jeremy S.; Kolodny, Edwin H.; Bilaniuk, Larissa T.; Wang, Dah-Jyuu; Assadi, Mitra; Goldfarb, Olga; Goldman, H. Warren; Freese, Andrew; Young, Deborah; During, Matthew J.; Samulski, R. Jude; Janson, Christopher G.

2013-01-01

247

Two year follow up of pulmonary function values among welders in New Zealand  

PubMed Central

OBJECTIVES: To examine whether welding is a risk factor for an accelerated decline in pulmonary function. METHODS: 2 Year follow up of pulmonary function and respiratory symptoms among 54 welders and 38 non- welders in eight New Zealand welding sites. RESULTS: There were no significant differences in age, height, smoking habits, ethnicity, or total time in industrial work between welders and non-welders. No overall differences were noted in the changes of pulmonary function variables between the two study groups. However, when the comparison was restricted to smokers, welders had a significantly greater (p = 0.02) annual decline (88.8 ml) in FEV1 than non-welders, who had a slight non-significant annual increase (34.2 ml). Also, welders without respiratory protection or local exhaust ventilation while welding had a greater annual decline both in forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) than welders with protection (p = 0.001 and 0.04, respectively). Among welders a significant association was found between the acute across shift change and the annual decline in FEV1. Chronic bronchitis was more common among welders (24%) than non-welders (5%). Only one welder (2%) but eight non- welders (21%) reported having asthma. CONCLUSIONS: Welders who smoked and welders working without local exhaust ventilation or respiratory protection have an increased risk of accelerated decline in FEV1.   PMID:10472307

Erkinjuntti-Pekka..., R.; Slater, T.; Cheng, S.; Fishwick, D.; Bradshaw, L.; Kimbell-, D; Dronfield, L.; Pearce, N.

1999-01-01

248

Covered Stents in the Treatment of Peripheral Arterial Aneurysms: Procedural Results and Midterm Follow-Up  

SciTech Connect

Purpose: To evaluate initial and midterm results of percutaneous treatment of peripheral aneurysms using covered stents. Methods: Between June 1994 and December 1997 we used covered stents (EndoPro System or Passager) on 19 patients with peripheral aneurysms (7 iliac, 5 subclavian, 3 femoral, 3 popliteal, 1 carotid). Results: Successful aneurysm exclusion was achieved in 18 of 19 patients (95%). In the short term (<30 days), one patient died of puncture site hemorrhage complicated by myocardial infarction; two femoral stents were surgically removed because of leakage. At subsequent follow-up (mean 20 months) two further unrelated deaths occurred. At 1 year (intention-to-treat) the stent was patent in 13 of 19 patients (68%) and the aneurysm was excluded in 17 of 19 (89%). Conclusion: Treatment of peripheral aneurysms with covered stents has a high rate of immediate procedural success. Continued exclusion of the aneurysms is achieved in a large proportion of patients but there is a relatively high rate of stent thrombosis.

Beregi, Jean-Paul [Service de Radiologie, Hopital Cardiologique, CHRU de Lille, F-59037 Lille (France); Prat, Alain [Service de Chirurgie Cardio-Vasculaire A, Hopital Cardiologique, CHRU de Lille, F-59037 Lille (France); Willoteaux, Serge [Service de Radiologie, Hopital Cardiologique, CHRU de Lille, F-59037 Lille (France); Vasseur, Marc-Antoine [Service de Chirurgie Cardio-Vasculaire A, Hopital Cardiologique, CHRU de Lille, F-59037 Lille (France); Boularand, Valerie; Desmoucelle, Frederic [Service de Radiologie, Hopital Cardiologique, CHRU de Lille, F-59037 Lille (France)

1999-01-15

249

Clinical outcome in cranioplasty: critical review in long-term follow-up.  

PubMed

Various materials have been proposed for cranial reconstruction. Bone autograft and alloplasts such as polymethylmethacrylate (PMMA) and hydroxyapatite (HA) cement are most commonly used at the present time. Patients submitted for cranioplasty were evaluated. The prognostic factors influencing the results and the outcome were analyzed. Three hundred twelve patients who had 449 procedures performed by a single surgeon to reconstruct a calvarial deformity between 1981 and 2001 were studied. Post-tumor resection deformity was the main reason for cranioplasty (32.4%). Bone graft was the material of choice (69.5%). The main surgical site was the frontal bone (53.2%). Complications were observed in 23.6% of cases and were responsible for the least satisfactory results (P > 0.001), with infection and material exposure being the most critical complications. The eventual outcome was considered good in 91.8% of cases. The use of HA cement was associated with the worst results (P > 0.001). Bone grafts showed a high grade of partial resorption and required further surgery for correction. Multiple surgical procedures were correlated with a high rate of complications and an unsatisfactory outcome. Bone graft and PMMA are still the best materials in calvarial reconstruction. Even though HA cement is an osteoconductive material, it seems to induce what appears to be an immunoguided delayed inflammatory reaction that leads to thinning of the skin and exposure of the material, making secondary repair difficult. Before deciding which reconstructive option to use, a careful evaluation of the patient in terms of diagnosis, number of previous surgeries, and surgical site should be undertaken. If this is adopted, good results and a satisfactory outcome can be achieved on long-term follow-up. PMID:12621283

Moreira-Gonzalez, Andrea; Jackson, Ian T; Miyawaki, Takeshi; Barakat, Khaled; DiNick, Vincent

2003-03-01

250

Benefits of and barriers to SEA follow-up - Theory and practice  

SciTech Connect

If SEA is to facilitate 'strategic' changes, it needs to focus on shaping the ways in which strategic initiatives are implemented, not just formulated. This is why follow-up which refers to postdecisional activities of SEA and strategic initiatives is increasingly seen as crucial. However, to date follow-up has only received limited attention in the SEA literature, as well as in practical guidance. The key reasons for why post decision activities are often overlooked are the lack of understanding of its actual benefits and purportedly multiple problems with its accomplishment. This paper reports on the results of a comprehensive literature review and an international e-survey on the topic, as well as an in-depth analysis of six SEA follow-up cases from England and Canada. Practically encountered and perceived benefits of, and obstacles to SEA follow-up are identified and discussed.

Gachechiladze-Bozhesku, M., E-mail: mayagachechiladze@gmail.com [Center for Environment and Security, Central European University, Nador ut. 9, Budapest 1051 (Hungary); Fischer, T.B., E-mail: fischer@liverpool.ac.uk [School of Environmental Sciences, 4imPiAct research team, University of Liverpool, Liverpool, 74 Bedford Street South, Liverpool L69 7ZQ (United Kingdom)

2012-04-15

251

PRACTICAL STEPS IN EXISTENTIAL PSYCHOTHERAPY AND ONE YEAR FOLLOW-UP OF A CASE  

PubMed Central

SUMMARY Psychotheraphy based on principles of Existential Philosophy has been described step-by-step. Its suitability in Indian patients has been discussed along with its effects in a case after one year follow-up. PMID:21927465

Rao, K.N.

1990-01-01

252

South Florida Sun-Sentinel.com Pranksters' follow-up to 'zombie attack' video ends on  

E-print Network

South Florida Sun-Sentinel.com Pranksters' follow-up to 'zombie attack' video ends on wrong side the wrong guy to prank. The guys behind the YouTube sensation "Miami Zombie Attack Prank!" found themselves

Belogay, Eugene A.

253

Long-term Follow-up Provides New Insights on Adjuvant Therapy for Lung Cancer  

Cancer.gov

Longer-term follow-up reports from two large, randomized clinical trials of chemotherapy delivered after surgery in patients with non-small cell lung cancer (NSCLC) have yielded disparate results on the value of such treatment.

254

The 49,XXXXY syndrome. Clinical and psychological follow-up data.  

PubMed

In this report we give a detailed description of the clinical and psychological follow-up data of three young 49,XXXXY males, paying special attention to changes in intellectual performance and behaviour at different ages. PMID:3168316

Borghgraef, M; Fryns, J P; Smeets, E; Marien, J; van Den Berghe, H

1988-06-01

255

Evaluation of the Combined Application of Ultrasound Imaging Techniques for Middle Cerebral Artery Stent Surveillance and Follow-Up Study  

PubMed Central

Objective In recent years, cerebral artery stenting has become an effective method for the treatment of cerebral artery stenosis. However, methods for assessing efficacy and techniques for follow-up imaging still need to be developed. This study was designed to evaluate the application of transcranial color-coded sonography (TCCS) in assessing stenting of middle cerebral artery (MCA) stenosis. And, two new imaging techniques (vascular enhancement technology (VET) and 3-dimensional (3D) imaging) were tried out and evaluated. Method We enrolled 43 patients with cerebral artery stenosis for vascular stent implantation. All patients were examined by ultrasonography and confirmed through digital subtraction angiography. The stenosis was imaged and blood flow parameters were analyzed before and after the procedure using TCCS. VET and 3D imaging model were used in part of the patients. Important postoperative hemodynamic changes were noted. Results 1) Adequate stent image was present in 41 out of 43 patients as detected by postoperative 2-dimensional imaging. Images lacking clarity were obtained in 2 patients. 2) The perioperative and postoperative (one week follow-up) instantaneous blood flow velocity at the site of stenosis was significantly decreased (P<0.05) when compared with preoperative levels. Differences between postoperative (one week follow-up) and preoperative blood flow velocity were significant (P<0.05). Differences in blood flow velocity at long-term follow-up (six months and two years) compared to one-week values were not statistically significant (P>0.05). 3) VET imaging visualizes the MCA lumen and stent morphology clearly. 3D ultrasound can be used for imaging of the stent shape as well as its inner surface. Conclusion TCCD can be considered a quick and effective clinical detection method to evaluate the intracranial arterial hemodynamics changes before and after stenting treatment for MCA stenosis. New imaging technologies 3D and VET can achieve additional image information. PMID:24236130

Liu, Xi; Wang, Jia; Li, Li Hong; Deng, Jian Ping; Duan, Yun You

2013-01-01

256

Early Primary Care Provider Follow-up and Readmission After High-Risk Surgery  

PubMed Central

IMPORTANCE Follow-up with a primary care provider (PCP) in addition to the surgical team is routinely recommended to patients discharged after major surgery despite no clear evidence that it improves outcomes. OBJECTIVE To test whether PCP follow-up is associated with lower 30-day readmission rates after open thoracic aortic aneurysm (TAA) repair and ventral hernia repair (VHR), surgical procedures known to have a high and low risk of readmission, respectively. DESIGN, SETTING, AND PARTICIPANTS In a cohort of Medicare beneficiaries discharged to home after open TAA repair (n = 12 679) and VHR (n = 52 807) between 2003 to 2010, we compared 30-day readmission rates between patients seen and not seen by a PCP within 30 days of discharge and across tertiles of regional primary care use. We stratified our analysis by the presence of complications during the surgical (index) admission. MAIN OUTCOMES AND MEASURES Thirty-day readmission rate. RESULTS Overall, 2619 patients (20.6%) undergoing open TAA repair and 4927 patients (9.3%) undergoing VHR were readmitted within 30 days after surgery. Complications occurred in 4649 patients (36.6%) undergoing open TAA repair and 4528 patients (8.6%) undergoing VHR during their surgical admission. Early follow-up with a PCP significantly reduced the risk of readmission among open TAA patients who experienced perioperative complications, from 35.0% (without follow-up) to 20.4% (with follow-up) (P < .001). However, PCP follow-up made no significant difference in patients whose hospital course was uncomplicated (19.4% with follow-up vs 21.9% without follow-up; P = .31). In comparison, early follow-up with a PCP after VHR did not reduce the risk of readmission, regardless of complications. In adjusted regional analyses, undergoing open TAA repair in regions with high compared with low primary care use was associated with an 18% lower likelihood of 30-day readmission (odds ratio, 0.82; 95% CI, 0.71–0.96; P = .02), whereas no significant difference was found among patients after VHR. CONCLUSIONS AND RELEVANCE Follow-up with a PCP after high-risk surgery (eg, open TAA repair), especially among patients with complications, is associated with a lower risk of hospital readmission. Patients undergoing lower-risk surgery (eg, VHR) do not receive the same benefit from early PCP follow-up. Identifying high-risk surgical patients who will benefit from PCP integration during care transitions may offer a low-cost solution toward limiting readmissions. PMID:25074237

Brooke, Benjamin S.; Stone, David H.; Cronenwett, Jack L.; Nolan, Brian; DeMartino, Randall R.; MacKenzie, Todd A.; Goodman, David C.; Goodney, Philip P.

2014-01-01

257

Effects of finasteride on hematuria associated with benign prostatic hyperplasia: long-term follow-up  

Microsoft Academic Search

Objectives. To report long-term follow-up in 18 patients with gross hematuria associated with benign prostatic hyperplasia (BPH) who have been treated with finasteride and to report preliminary follow-up in an additional 10 patients.Methods. The charts of the 18 original patients, and 10 additional patients who had been placed on finasteride (5 mg daily) for intermittent gross hematuria associated with BPH,

Mark I. Miller; Peter J. Puchner

1998-01-01

258

Two-Year Follow-Up Results of Copper Bromide Laser Treatment of Striae  

Microsoft Academic Search

Objective: The aim of our study was to follow-up 15 patients with stretch marks treated positively with the CuBr laser (577-511 nm) in 1998-99 and followed-up for 2 years. Materials and Methods: The patients were Italian women, young to middle age (average 30 years old), with skin coloration classified as Fitzpatrick II-III. Biopsies were taken on some patients before the

L. Longo; M. G. Postiglione; O. Marangoni; M. Melato

2003-01-01

259

Extended follow up after isolated aortic valve replacement in the elderly  

Microsoft Academic Search

The present paper reviews the extended follow up of all patients aged ?70 who underwent isolated aortic valve replacement at our institution in the 1980s. Patients were identified from the surgical database and clinical information was gathered. Long-term follow up information was obtained from the patient, their family, or doctor. Ninety-three patients aged ?70 years (median 73, range 70–80) comprised

Cara A. Wasywich; Peter N. Ruygrok; Teena M. West; David A. Haydock

2003-01-01

260

Inadequate follow-up for abnormal Pap smears in an urban population.  

PubMed Central

PURPOSE: To determine the factors associated with inadequate follow-up for abnormal Pap smears among a cohort of Boston women from urban academic clinics. METHODS: Subjects were women > 18 years with abnormal cervical cytology between February 1999 and April 2000. Inadequate follow-up was defined as lack of subsequent cervical cytology or pathology specimen within four months of the initial abnormal specimen for high-grade lesions or within 7 months for low-grade lesions. RESULTS: Of the 423 subjects, the mean age was 33 years. Sixty percent were black, 23% Hispanic, 15% white, 2% Asian. The population was largely uninsured or publically insured. The overall inadequate follow-up rate was 38%. In bivariate analysis, age was a significant risk factor; 46% of women ages 18-29 had inadequate follow-up (p < 0.01). In multivariate analysis, women aged 18-29 years were more likely than women 50 years and older to have inadequate follow-up (OR 2.7, 95% CI 1.1-6.4), as were women with Medicaid insurance compared with private insurance (OR 1.9, 95% CI 1.01-3.5). After 12 months, 26% of women with abnormal Pap smears still had not received follow-up. CONCLUSIONS: In a predominantly urban minority population, the overall rate of inadequate follow-up for abnormal Pap smears was high at 38%. Programs to address follow-up of abnormal cervical cytology should focus on minority populations, especially younger and all low-income women. PMID:14527050

Peterson, Neeraja B.; Han, Jini; Freund, Karen M.

2003-01-01

261

Clinical experience of marketed Levetiracetam in an epilepsy clinic—a one year follow up study  

Microsoft Academic Search

Levetiracetam is a new anti-convulsant with impressive pivotal trial credentials. We examined its effectiveness in refractory clinic patients with epilepsy with a year’s follow up. Six months after initiation 32% of the patients were seizure free, and 26% at one year.By the end of the 12 months follow up 77% of patients were still taking the drug, having gained benefit

TIM BETTS; HELEN YARROW; LYN GREENHILL; MARY BARRETT

2003-01-01

262

Follow up of patients presenting with fatigue to an infectious diseases clinic  

Microsoft Academic Search

OBJECTIVES--To determine the symptomatic and functional status during follow up of patients referred to hospital with unexplained fatigue and to identify patient variables associated with persistent functional impairment. DESIGN--Follow up by postal questionnaire six weeks to four years (median 1 year) after initial clinical assessment of patients referred to hospital during 1984-8. SETTING--Infectious diseases outpatient clinic in a teaching hospital.

M. Sharpe; K. Hawton; V. Seagroatt; G. Pasvol

1992-01-01

263

Twenty-year follow-up of the Hancock modified orifice porcine aortic valve  

Microsoft Academic Search

Background. The entire experience with the Hancock modified orifice porcine bioprosthetic aortic valve from 1976 to 1996 at the Brigham and Women’s Hospital has been reviewed. Eight hundred forty-three patients received this valve with a total follow-up of 61,114 months, and a mean follow-up of approximately 72.5 months. There were 490 men and 353 women, and the predominate lesion was

Lawrence H Cohn; John J Collins; Robert J Rizzo; David H Adams; Gregory S Couper; Sary F Aranki

1998-01-01

264

Directly Follow-up And\\/Or Traced Control System Of Multiple Ground  

Microsoft Academic Search

A bstract-This paper describes the basic concept of the follow-up and\\/or traced control system for ground vehicles and proposes two types of guidance\\/control systems for the follower vehicles. One is the automatic follow-up system with scanning laser range sensor. The other is the trajectory tracing control system with communication of the positional data. Results of hardware experiments using small motor

Toshihiro Tsumura; Hiroshi Okubo; Nobuo Komatsu

1992-01-01

265

B-cell Lymphoma in retrieved femoral heads: a long term follow up  

Microsoft Academic Search

BACKGROUND: A relatively high incidence of pathological conditions in retrieved femoral heads, including a group of patients having low grade B-cell lymphoma, has been described before. At short term follow up none of these patients with low-grade B-cell lymphoma showed evidence of systemic disease. However, the long term follow up of these patients is not known. METHODS: From November 1994

Eline W Zwitser; Arthur de Gast; Mirjam JA Basie; Folkert J van Kemenade; Barend J van Royen

2009-01-01

266

Online follow-up after total hip replacement: a first case  

PubMed Central

With the current challenging financial climate in the NHS there is an increasing drive to reduce the number of postoperative follow-up appointments. We report on a patient who has successfully used a new online platform, www.myclinicaloutcomes.co.uk, to record condition-specific and generic wellbeing scores following total hip replacement. This case highlights the potential for remote follow-up of routine postoperative patients. PMID:23396931

Dexter, Caroline; Bradley, Benjamin; Williams, Daniel H

2013-01-01

267

A cognitive-behavioral approach to substance abuse prevention: One-year follow-up  

Microsoft Academic Search

This study presents one-year follow-up data from an evaluation study testing the effectiveness of a cognitive-behavioral substance abuse prevention approach which emphasizes the teaching of social resistance skills within the larger context of an intervention designed to enhance general social and personal competence. The follow-up study involved 998 eighth graders from 10 suburban New York junior high schools. Two schools

GILBERT J. BOTVIN; ELI BAKER; ANNE D. FILAZZOLA; ELIZABETH M. BOTVIN

1990-01-01

268

Job factors, radiation and cancer mortality at Oak Ridge National Laboratory: Follow-up through 1984  

Microsoft Academic Search

A previous study of mortality among white men hired at Oak Ridge National Laboratory between 1943 and 1972 (n = 8,318) revealed an association between low-dose external penetrating ionizing radiation and cancer mortality in follow-up through 1984. The association was not observed in follow-up through 1977. This report considers the role of possible selection and confounding factors not previously studied.

Steve Wing; Carl M. Shy; Joy L. Wood; Susanne Wolf; Donna L. Cragle; William Tankersley; E. L. Frome

1993-01-01

269

Effectiveness of Interventions to Improve Follow-up after Abnormal Cervical Cancer Screening  

Microsoft Academic Search

Objective. The purpose of this study was to determine the effectiveness of interventions designed to improve follow-up after an abnormal Pap smear.Methods. We performed a qualitative meta-analysis of interventions designed to improve follow-up after an abnormal Pap smear and included studies that met the following criteria: randomized or concurrently controlled study design, defined outcomes, and data available for abstraction. Interventions

K. Robin Yabroff; Jon F. Kerner; Jeanne S. Mandelblatt

2000-01-01

270

Morbidity from Acute Carbon Monoxide Poisoning at Three-year Follow-up  

Microsoft Academic Search

Seventy-four survivors of acute carbon monoxide poisoning were followed up for an average of three years. In eight patients gross neuropsychiatric damage was directly attributable to the poisoning. Three patients had committed suicide and eight had died from other causes. Morbidity and mortality in those deliberately and accidentally poisoned was approximately equal.Of 63 patients alive at follow-up eight showed an

J. Sidney Smith; S. Brandon

1973-01-01

271

The Irish DAFNE Study Protocol: A cluster randomised trial of group versus individual follow-up after structured education for Type 1 diabetes  

PubMed Central

Background Structured education programmes for individuals with Type 1 diabetes have become a recognised means of delivering the knowledge and skills necessary for optimal self-management of the condition. The Dose Adjustment for Normal Eating (DAFNE) programme has been shown to improve biomedical (HbA1c and rates of severe hypoglycaemia) and psychosocial outcomes for up to 12 months following course delivery. The optimal way to support DAFNE graduates and maintain the benefits of the programme has not been established. We aimed to compare 2 different methods of follow-up of DAFNE graduates in a pragmatic clinical trial delivered in busy diabetes clinics on the island of Ireland. Methods Six participating centres were cluster randomised to deliver either group follow-up or a return to traditional one-to-one clinic visits. In the intervention arm group follow-up was delivered at 6 and 12 months post DAFNE training according to a curriculum developed for the study. In the control arm patients were seen individually in diabetes clinics as part of routine care. Study outcomes included HbA1c levels, self-reported rates of severe hypoglycaemia, body weight and measures of diabetes wellbeing and quality of life. These were measured at 6, 12 and 18 months after recruitment. Generalisability (external validity) was maximised by recruiting study participants from existing DAFNE waiting lists in each centre, by using broad inclusion criteria (including HbA1c values less than 13 percent with no lower limit) and by using existing clinic staff to deliver the training and follow-up. Internal validity and treatment fidelity were maximised by quality assuring the training of all DAFNE educators, by external peer review of the group follow-up sessions and by striving for full attendance at follow-up visits. Assays of HbA1c were undertaken in a central laboratory. Discussion This pragmatic clinical trial evaluating group follow-up after a structured education programme has been designed to have broad generalisability. The results should inform how best to manage the well educated patient with Type 1 diabetes in the real world of clinical practice Trial registration Current Controlled Trials ISRCTN79759174 PMID:19775465

Dinneen, Seán F; O' Hara, Mary Clare; Byrne, Molly; Newell, John; Daly, Lisa; O' Shea, Donal; Smith, Diarmuid

2009-01-01

272

Comfort monitoring? Environmental assessment follow-up under community-industry negotiated environmental agreements  

SciTech Connect

Negotiated environmental agreements are becoming common practice in the mining industry. In principle, negotiated environmental agreements are said to respond to many of the shortcomings of environmental impact assessment by providing for improved follow-up of project impacts through, among other things, data provision, engaging stakeholders in the monitoring and management of project impacts, and building capacity at the local level to deal with project-induced environmental change. In practice, however, little is known about the efficacy of follow-up under negotiated environmental agreements between proponents and communities and the demonstrated value added to project impact management. This paper examines follow-up practice under negotiated environmental agreements with a view to understanding whether and how community-based monitoring under privatized agreements actually contributes to improved follow-up and impact management. Based on lessons emerging from recent experiences with environmental agreements in Canada's uranium industry, we show that follow-up under negotiated agreements may be described as 'comfort monitoring'. While such monitoring does improve community-industry relations and enhance corporate image, it does little to support effects-based management. If follow-up under negotiated agreements is to be credible over the long term, there is a need to ensure that monitoring results are useful for, and integrated with, regulatory-based monitoring and project impact management practices.

Noble, Bram, E-mail: b.noble@usask.c [Department of Geography and Planning, University of Saskatchewan, 117 Science Place, Saskatoon, Saskatchewan, S7N 5C8 (Canada); Birk, Jasmine [Department of Geography and Planning, University of Saskatchewan, 117 Science Place, Saskatoon, Saskatchewan, S7N 5C8 (Canada)

2011-01-15

273

To what extent are current guidelines for cutaneous melanoma follow up based on scientific evidence?  

PubMed Central

Background Clinical practice guidelines should aim to assist clinicians in making evidence-based choices in the care of their patients. This review attempts to determine the extent of evidence-based support for clinical practice guideline recommendations concerning cutaneous melanoma follow up and to evaluate the methodological quality of these guidelines. Methods Current guidelines providing graded recommendations regarding patient follow up were identified through a systematic literature review. The authors reviewed the evidence base used to formulate recommendations in each of the guidelines and appraised the quality of the guidelines using the AGREE II (Appraisal of Guidelines for Research and Evaluation) instrument. Results Most guideline recommendations concerning the frequency of routine skin examinations by a clinician and the use of imaging and diagnostic tests in the follow up of melanoma patients were based on low-level evidence or consensus expert opinion. Melanoma follow-up guidelines are of variable methodological quality, with some guidelines not recommended by the appraisers for use in clinical practice. Conclusion Clinicians should be aware of how scant the evidence base is for many recommended courses of action. As a consequence of the paucity of evidence in the field of melanoma follow up, there is considerable variability in the guidance provided. The variable methodological quality of guidelines for melanoma follow up could be improved by attention to the criteria described in AGREE II. PMID:24548269

Marciano, N J; Merlin, T L; Bessen, T; Street, J M

2014-01-01

274

Real Life Cancer Comorbidity in Greek Patients with Diabetes Mellitus Followed Up at a Single Diabetes Center: An Unappreciated New Diabetes Complication  

PubMed Central

We determined cancer comorbidity in patients with diabetes followed up at a single Greek academic clinic and investigated the potential related factors. Cancer comorbidity was prospectively recorded for all patients with type 2 (T2DM, n = 759) or type 1 (T1DM, n = 134) diabetes of at least 10-year duration examined during one year. Patient characteristics, diabetes age of onset, duration, treatment, control, and complication rates were compared between subjects with and without cancer. Moreover, a retrospective collection of data from similar patients examined for the first time during the last 25 years, but lost to follow-up, after at least one-year's regular visits, was performed. In regularly followed-up T2DM patients cancer comorbidity was 12.6%. Patients with cancer were older and more frequently smokers. Prostate cancer was the most frequent (24.0%) type. In T1DM cancer comorbidity was 3.0%. Similar rates of comorbidity and types of cancer were observed in lost to follow-up patients. In conclusion, our patients with T2DM of at least 10-year' duration show high cancer comorbidity. No specific characteristics discriminate patients with cancer. Therefore presymptomatic cancer detection and prevention strategies may have to be incorporated into the annual systematic evaluation of our patients. PMID:25136643

Thanopoulou, Anastasia; Pectasides, Demetrios

2014-01-01

275

Automated Telecommunication to Obtain Longitudinal Follow-up in a Multicenter Cross-sectional COPD Study  

PubMed Central

Background It can be challenging to maintain longitudinal follow-up of subjects in clinical studies. COPDGene is a multicenter, observational study designed to identify genetic factors associated with COPD and to characterize COPD-related phenotypes. To obtain follow-up data on patient's vital status and outcomes, the COPDGene Longitudinal Follow-up (LFU) Program was developed to supplement its parent study. Methods/Results We used a telecommunication system that employed automated telephone contact or web-based questions to obtain longitudinal follow-up data in our subjects. A branching questionnaire asked about exacerbations, new therapies, smoking status, development of co-morbid conditions, and general health status. Study coordinators contacted subjects who did not respond to one of the automated methods. We enrolled 10,383 subjects in the COPDGene study. As of August 29, 2011, 7,959 subjects completed 19,955 surveys. On the first survey, 68.8% of subjects who completed their survey did so by electronic means, while 31.3% required coordinator phone follow-up. On each subsequent survey the number of subjects who completed their survey by electronic means increased, while the number of subjects who required coordinator follow-up decreased. Despite many of the patients in the cohort being chronically ill and elderly, there was broad acceptance of the system with over half the cohort using electronic response methods. Conclusions The COPDGene LFU Study demonstrated that telecommunications was an effective way to obtain longitudinal follow-up of subjects in a large multicenter study. Web-based and automated phone contacts are accepted by research subjects and could serve as a model for LFU in future studies. PMID:22676387

Stewart, Jeffrey I.; Moyle, Sarah; Criner, Gerard J.; Wilson, Carla; Tanner, Ron; Bowler, Russell P.; Crapo, James D.; Zeldin, Robert K.; Make, Barry J.; Regan, Elizabeth A.

2013-01-01

276

[Long-term follow-up of women treated with contraceptive implants of levonorgestrel Norplant].  

PubMed

This report describe the long-term follow-up of 376 women who received Norplant implants in the period october 1974 through may 1979. One-hundred-and-ten subjects received replacement implants after variable lengths of use of the first set. The average levonorgestrel plasma levels declined steadily through eight years of use of Norplant capsules (r = -937). Values were 0.35 ng/ml, 0.29 ng/ml and 0.22 ng/ml at treatment years 1, 5 and 8, respectively. Levonorgestrel plasma levels after replacement with a second set of implants were similar to those observed after the first insertion, either when placed in the same site as the first set or in a different area. The levonorgestrel half-life after implant removal was 42 +/- 16 h (X +/- S.E.) and only trace amounts are detected after 96 h. Nineteen pregnancies occurred during 18,530 woman-months of use of the first set of implants, eleven of them during years 6 through 8 of treatment. The Pearl Index for the first years of Norplant implants use was 0.63. No pregnancy has occurred in 5.020 woman-months observed during treatment with a second set of capsules. Fifty-six women (14.9%) out of 376 acceptors of the first implant and 12 (10.9%) out of 110 acceptors of the replacement implants were terminated for other medical reasons, mainly side effects commonly associated with hormonal contraception. Removals for bleeding problems occurred in 5.6% and 3.6% of the acceptors of the first and second implant, respectively.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:2518764

Díaz, S; Pavez, M; Miranda, P; Quinteros, E; Croxatto, H B

1989-01-01

277

Five-year clinical and angiographic follow-up after intracoronary iridium-192 radiation therapy  

SciTech Connect

Background: Ionizing gamma radiation has been shown to reduce neointimal formation and the incidence of restenosis after balloon angioplasty and stenting in clinical trials. However, the long-term effects of this therapy are unknown. The first cohort of patients to receive intracoronary gamma radiation after balloon angioplasty for the prevention of restenosis have completed a 5-year angiographic and clinical follow-up. The outcome of these patients is presented and discussed. Methods: Twenty-one patients with unstable angina (22 arteries) underwent standard balloon angioplasty. Intracoronary radiation therapy was performed immediately after the intervention using an Iridium-192 source wire hand-delivered to the angioplasty site. All patients were followed clinically and Quantitative Coronary Analysis (QCA) was performed at 6, 24, 36 and 60 months. Results: Target lesion revascularization occurred in six lesions, three of which were total occlusions (two early within 30 days and one occurred at 2 years), and one patient had a myocardial infarction attributable to a nontarget vessel. Serial QCA detected a binary restenosis rate of 28.6% (n=6) at 6 months. The late loss (0.29 mm) and loss index (0.25) remained low at 2, 3 and 5 years. Angiographic complications included four aneurysms (two procedure related and two occurring within 3 months). At 2 years, only one aneurysm increased in size (46 vs. 27 mm{sup 2}); and at 3 and 5 years, all aneurysms remained unchanged. No other angiographic complications were observed. Conclusion: The early clinical and angiographic effects of intracoronary gamma radiation were maintained at 5 years without further increase in the aneurysm formation or apparent new adverse effects related to the radiation therapy between 2 and 5 years.

Condado, Jose A.; Waksman, Ron; Saucedo, Jorge F.; Bhargava, Balram; Lansky, Alexandra J.; Calderas, Carlos; Gurdiel, Orlando; Gonzalez, Juan; Fadoul, Merche; Parra, Bogart; Iturria, Isabel; Amezaga, Bingen

2002-06-01

278

Frequency of joint involvement in juvenile idiopathic arthritis during a 5-year follow-up of newly diagnosed patients: implications for MR imaging as outcome measure.  

PubMed

To assess the sequence and type of active joints in a cohort of newly diagnosed juvenile idiopathic arthritis (JIA) patients with full access to current treatment at first visit and during a follow-up period of 5-years, in order to identify an index joint/group of joints for magnetic resonance imaging in JIA. Patient charts of all consecutive newly diagnosed JIA patients with a follow-up duration of at least 5 years were analyzed. Patients were derived from two tertiary pediatric rheumatology centers. Patient characteristics and data concerning the presence of joints with arthritis and the use of medication were recorded. Findings from 95 JIA patients [39 (41 %) oligoarticular and 56 (59 %) polyarticular] were analyzed. At first visit, distribution of active joints among patients was as follows: knee (n = 70, 74 %), ankle (n = 55, 58 %), elbow (n = 23, 24 %), wrist (n = 23, 24 %), metacarpophalangeal (MCP) (n = 20, 21 %), proximal interphalangeal (PIP) (n = 13, 14 %), hip (n = 6, 6 %), shoulder (n = 5, 5 %), and distal interphalangeal (DIP) (n = 4, 4 %) joints. After a follow-up period of 5 years, the cumulative percentage of patients with specific joint involvement changed into: knee (n = 88, 93 %), ankle (n = 79, 83 %), elbow (n = 43, 45 %), wrist (n = 38, 40 %), MCP (n = 36, 38 %), PIP (n = 29, 31 %), shoulder (n = 20, 21 %), hip (n = 17, 19 %), and DIP (n = 9, 10 %) joints. Despite changes in treatment strategies over the years, the knee remains the most commonly involved joint at onset and during follow-up in JIA, followed by the ankle, elbow, and wrist. For the evaluation of outcome with MRI, the knee appears the most appropriate joint in JIA. PMID:25119829

Hemke, Robert; Nusman, Charlotte M; van der Heijde, Désirée M F M; Doria, Andrea S; Kuijpers, Taco W; Maas, Mario; van Rossum, Marion A J

2014-08-14

279

Factors Associated with Loss-to-Follow-Up during Behavioral Interventions and HIV Testing Cohort among Men Who Have Sex with Men in Nanjing, China  

PubMed Central

Background Behavioral interventions (BIs) remained the cornerstone of HIV prevention in resource-limited settings. One of the major concerns for such efforts is the loss-to-follow-up (LTFU) that threatens almost every HIV control program involving high-risk population groups. Methods To evaluate the factors associated with LTFU during BIs and HIV testing among men who have sex with men (MSM), 410 HIV sero-negatives MSM were recruited using respondent driven sampling (RDS) in Nanjing, China during 2008, they were further followed for 18 months. At baseline and each follow-up visits, each participant was counseled about various HIV risk-reductions BIs at a designated sexually transmitted infection (STI) clinic. Results Among 410 participants recruited at baseline, altogether 221 (53.9%) were LTFU at the 18-month follow-up visit. Overall, 46 participants were found to be positive for syphilis infection at baseline while 13 participants were HIV sero-converted during the follow-up period. Increasing age was less (Adjusted Odds Ratio(aOR) of 0.90, 95% confidence Interval (CI) 0.86–0.94) and official residency of provinces other than Nanjing (AOR of 2.49, 95%CI 1.32–4.71), lower level of education (AOR of 2.01, 95%CI 1.10–3.66) and small social network size (AOR of 1.75, 95%CI 1.09–2.80) were more likely to be associated with higher odds of LTFU. Conclusion To improve retention in the programs for HIV control, counseling and testing among MSM in Nanjing, focused intensified intervention targeting those who were more likely to be LTFU, especially the young, less educated, unofficial residents of Nanjing who had smaller social network size, might be helpful. PMID:25559678

Tang, Weiming; Huan, Xiping; Zhang, Ye; Mahapatra, Tanmay; Li, Jianjun; Liu, Xiaoyan; Mahapatra, Sanchita; Yan, Hongjing; Fu, Gengfeng; Zhao, Jinkou; Gu, Chenghua; Detels, Roger

2015-01-01

280

Six-Year Experience of a Nurse-Led Colorectal Cancer Follow-Up Clinic  

PubMed Central

Aims and Objectives. To review the experience of a nurse-led colorectal cancer follow-up clinic in a tertiary referral colorectal cancer centre. Methodology. Data from the nurse-led colorectal cancer follow-up clinic in our unit was prospectively maintained in a colorectal cancer database. Data was analysed from January 1, 2006 until the December 31, 2011. Results. 1125 patients were diagnosed with colorectal cancer, and referred to our unit as a tertiary centre for specialised colorectal cancer. Nine hundred and four patients had surgical resection of their colorectal cancer. Four hundred and seven patients were referred to the nurse-led colorectal cancer clinic for surveillance. The mean age of the patient cohort was 67 years (range 32–88) and 56% of patients were male. One hundred and seventeen patients were discharged to their general practitioner having been disease free after 5 years of followup. Fifty-four patients were diagnosed with either local or distant recurrence. Conclusion. A nurse-led colorectal cancer follow-up clinic is running according to strict follow-up protocols. This type of clinic significantly reduces the number of routine follow-up patients that have to be seen by the colorectal surgical consultant. PMID:25374950

Al Chalabi, Hasan; O'Riordan, James M.; Richardson, Alex; Flannery, Delia; O'Connor, Katrina; Stuart, Charlotte; Larkin, John; McCormick, Paul; Mehigan, Brian

2014-01-01

281

Long-term ultrasound follow-up of thyroid colloid cysts.  

PubMed

Objective. This study aimed to assess the interval changes of thyroid colloid cysts (TCCs) by performing long-term ultrasound (US) follow-up examinations. Methods. From 2007 to 2008, 437 patients underwent a lobectomy for the treatment of papillary thyroid microcarcinoma. Among them, 268 patients underwent 4 or more postoperative US follow-ups after surgery. This study investigated the prevalence and interval changes of TCCs ?3?mm by using US follow-ups. Results. Among 268 patients, 35 (13.1%) had TCCs ?3?mm by a preoperative thyroid US, and 6 (2.2%) had newly detected TCCs at a US follow-up. Through long-term US follow-up, the interval changes for TCCs were classified as follows: no interval change (n = 8), gradual increase (n = 8), gradual decrease (n = 5), positive fluctuation (n = 3), negative fluctuation (n = 6), disappearance (n = 5), and new detection (n = 6). None of the TCC cases had a TCC that was ?10?mm at its largest diameter, and no patient complained of any relevant symptoms pertaining to the TCCs. Conclusions. In this study, TCCs demonstrated various interval changes, but no abrupt increase was found or acute onset of symptoms occurred. PMID:24864139

Kim, Dong Wook

2014-01-01

282

Congressman Clyburn Visit  

SciTech Connect

Congressman James Clyburn visits the new employees of the Savannah River Site. These new jobs the graduates have received are a result of the Recovery Act at work. Lisa Jackson of the Environmental Protection Agency speaks about how the ARRA is in line with President Obama's vision of a better economy and cleaner environment.

Cody, Tom

2010-01-01

283

Congressman Clyburn Visit  

ScienceCinema

Congressman James Clyburn visits the new employees of the Savannah River Site. These new jobs the graduates have received are a result of the Recovery Act at work. Lisa Jackson of the Environmental Protection Agency speaks about how the ARRA is in line with President Obama's vision of a better economy and cleaner environment.

Cody, Tom

2012-06-14

284

Visiting Professorships  

NASA Astrophysics Data System (ADS)

Applications are now being accepted for the National Science Foundation (NSF) Visiting Professorships for Women Program. Under this program, women scientists and engineers from industry, government, and academia can be visiting professors at academic institutions in the United States.The program's objectives are to provide opportunities for women to advance their careers in the disciplines of science and engineering that are supported by NSF to provide greater visibility and wider opportunities for women scientists and engineers employed in industry, government, and academic institutions, and to provide encouragement for other women to pursue careers in science and engineering through the awardees' research, lecturing, counseling, and mentoring activities.

285

Reactive attachment disorder in maltreated twins follow-up: from 18 months to 8 years.  

PubMed

The best means for the diagnosis and treatment of reactive attachment disorder of infancy and early childhood have not been established. Though some longitudinal data on institutionalized children is available, reports of maltreated young children who are followed over time and assessed with measures of attachment are lacking. This paper presents the clinical course of a set of maltreated fraternal twins who were assessed and treated from 19 months to 30 months of age and then seen in follow-up at 3 and 8 years of age. A summary of the early assessment and course is provided and findings from follow-up assessments of the cognitive, behavioral, and interpersonal functioning of each child is analysed. Follow-up measures, chosen to capture social-cognitive processing of these children from an attachment perspective, are highlighted. Finally, findings from the case are discussed from nosological and theoretical perspectives. PMID:16581624

Heller, Sherryl Scott; Boris, Neil W; Fuselier, Sarah-Hinshaw; Page, Timothy; Koren-Karie, Nina; Miron, Devi

2006-03-01

286

What Happens Next? Follow-Up From the Children's Toddler School Program  

PubMed Central

This study was a follow-up of a group of 29 children diagnosed with autism spectrum disorders at age 2 who attended an inclusive toddler program until age 3. Children ranged in age from 4 to 12 years at the time of the parent survey and follow-up testing. The majority of children were placed in a special education (noninclusive) preschool class, but among the children who were in elementary school at the time of follow-up, 63% were in general education classroom placement. Diagnoses of autism spectrum disorders remained stable, socialization skills remained a weakness, and child-related parental stress remained high despite average cognitive and language skills in the majority of children. Social skill development and support remained a service need. PMID:21113315

Akshoomoff, Natacha; Stahmer, Aubyn C.; Corsello, Christina; Mahrer, Nicole E.

2010-01-01

287

Axillary ultrasound scanning in the follow-up of breast cancer patients undergoing sentinel node biopsy.  

PubMed

In breast cancer patients with negative sentinel node biopsy (SNB), surveillance of the unremoved nodes is recommended. Clinical examination has poor sensitivity. The aim of this study was to evaluate the role of axillary ultrasound scan (AUS) in the follow-up of these patients. AUS was performed every 12 months in a series of 165 patients with negative SNB. During the follow-up (median 45.6 months), in 154 patients, the AUS was carried out as a routine examination and in three cases (1.9%) it showed suspicious nodes, which underwent core biopsy. No evidence of axillary recurrence was found. Conversely, in 11 patients, AUS was performed to clarify a palpable lymphadenopathy; none of them was suspicious at US. We conclude that routine AUS to follow-up patients who have had a negative SNB is unnecessary. However, AUS may be useful in the presence of palpable nodes, to select those patients who do not require biopsy. PMID:17140793

Susini, Tommaso; Nori, Jacopo; Vanzi, Ermanno; Livi, Lorenzo; Pecchioni, Silvia; Bazzocchi, Massimo; Mangialavori, Giuseppe; Branconi, Francesco; Scarselli, Gianfranco

2007-04-01

288

Respiratory response to tobacco dust exposure among biddi binders: A follow up and bronchodilator study  

PubMed Central

Intorduction: The tobacco dusts get air borne during biddi making and it is inhaled by the biddi binders, which affects their health. Results: In a follow-up study, 86 biddi binders (male, 41; female, 45) were studied at a gap of 2 years. A high respiratory morbidity was observed among males than females both in the initial and follow-up study. The main complaints such as cough, sputum, and breathlessness showed high prevalence rates in the follow-up study. The high prevalence rates of weakness, giddiness, chronic diarrhea, and dyspepsia were noted in most of the cases the above complaints showed higher rates in the follow-up study. Pulmonary function test (PFT) values in the follow-up study of male and female biddi binders showed lowered compared with the initial study of same gender. In male and female biddi binders, the lung volumes SVC, FVC, FEV1, and the flow rates FEF0.2-1.2 l, FEF25%-75%, FEF75%-85% were significantly lowered in the follow-up study compared with the initial study. Age-related decrement in PFT was observed in both the studies. In nonsmokers, smokers, and ex-smokers, the PFT values are lowered. The current smokers have the lowest values in both the studies. With the administration of the bronchodilator aerosol (salbutamol) in 63 biddi binders (male, 27; female, 36), the effect of bronchodilator aerosol on the PFT parameters showed significant changes as all PFT parameters showed positive bronchodilatation. Conclusion: The pattern of bronchodilator response on PFT values of the biddi binders suggests that the obstructions in the airways are reversible in nature.

Chattopadhyay, B. P.; Gangopadhyay, P. K.; Das, Anirban; Alam, Sk. Jane; Hossain, Mubarak; Chowdhury, Anirban; Kundu, Amar

2014-01-01

289

A predictive scoring instrument for tuberculosis lost to follow-up outcome  

PubMed Central

Background Adherence to tuberculosis (TB) treatment is troublesome, due to long therapy duration, quick therapeutic response which allows the patient to disregard about the rest of their treatment and the lack of motivation on behalf of the patient for improved. The objective of this study was to develop and validate a scoring system to predict the probability of lost to follow-up outcome in TB patients as a way to identify patients suitable for directly observed treatments (DOT) and other interventions to improve adherence. Methods Two prospective cohorts, were used to develop and validate a logistic regression model. A scoring system was constructed, based on the coefficients of factors associated with a lost to follow-up outcome. The probability of lost to follow-up outcome associated with each score was calculated. Predictions in both cohorts were tested using receiver operating characteristic curves (ROC). Results The best model to predict lost to follow-up outcome included the following characteristics: immigration (1 point value), living alone (1 point) or in an institution (2 points), previous anti-TB treatment (2 points), poor patient understanding (2 points), intravenous drugs use (IDU) (4 points) or unknown IDU status (1 point). Scores of 0, 1, 2, 3, 4 and 5 points were associated with a lost to follow-up probability of 2,2% 5,4% 9,9%, 16,4%, 15%, and 28%, respectively. The ROC curve for the validation group demonstrated a good fit (AUC: 0,67 [95% CI; 0,65-0,70]). Conclusion This model has a good capacity to predict a lost to follow-up outcome. Its use could help TB Programs to determine which patients are good candidates for DOT and other strategies to improve TB treatment adherence. PMID:22938040

2012-01-01

290

A modular distal fixation option for proximal bone loss in revision total hip arthroplasty: A 2- to 6-year follow-up study  

Microsoft Academic Search

Proximal femoral bone deficiency in the failed total hip arthroplasty (THA) is addressed with difficulty using proximally fixed implants. The Link MP reconstruction hip stem is proximally modular but utilizes distal fixation. This series consists of 143 patients from 3 clinical sites. Of the patients, 81 were women. The average follow-up time was 40 months, and the average patient age

Louis M. Kwong; A. John Miller; Phillipp Lubinus

2003-01-01

291

Research Units of Pediatric Psychopharmacology (RUPP) Autism Network Randomized Clinical Trial of Parent Training and Medication: One-Year Follow-Up  

ERIC Educational Resources Information Center

Objective: To follow up on a three-site, 24-week randomized clinical trial (N = 124) comparing antipsychotic medication alone (MED) with antipsychotic medication plus parent training in the behavior management (COMB) of children with autism spectrum disorders and severe behavior problems. The COMB treatment had shown a significant advantage for…

Arnold, L. Eugene; Aman, Michael G.; Li, Xiaobai; Butter, Eric; Humphries, Kristina; Scahill, Lawrence; Lecavalier, Luc; McDougle, Christopher J.; Swiezy, Naomi B.; Handen, Benjamin; Wilson, Krystina; Stigler, Kimberly A.

2012-01-01

292

Long-term follow-ups of revascularized immature necrotic teeth: three case reports  

PubMed Central

Revascularization of immature necrotic teeth is a reliable treatment alternative to conventional apexogenesis or apexification. In case 1, a 12-year-old boy had his necrotic, immature mandibular left second premolar treated with a revascularization technique. At a 24-month follow-up, periapical radiolucency had disappeared and thickening of the root wall was observed. In cases 2 and 3, a 10-year-old boy had his necrotic, immature, bilateral mandibular second premolars treated with the same modality. At 48-month (in case 2) and 42-month (in case 3) follow-ups, loss of periapical radiolucencies and increases in the root wall thickness were also observed. PMID:22627612

Kim, Duck-Su; Park, Hae-Jin; Yeom, Je-Ha; Seo, Ji-Sung; Ryu, Gil-Joo; Park, Ki-Ho; Shin, Seung-Il; Kim, Sun-Young

2012-01-01

293

[Patient follow-up after treatment of breast, colorectal and prostate cancer].  

PubMed

The prevalence of malignant tumors (not including non-melanoma skin cancer) in the Czech Republic exceeds 350,000 persons, including patients with active disease and those with a history of malignancy. A substantial portion of this population are in long-term complete remission after cancer treatment. These patients are at high risk of cancer recurrence and long-term complications associated with previous cancer therapy. The aim of this review is to summarize current follow-up recommendations for the three most common solid tumor types, including breast, colorectal, and prostate cancer.Key words: breast cancer - colorectal cancer - follow-up - prevalence - prostate cancer. PMID:25389090

Büchler, Tomáš

2014-01-01

294

Measuring the Quality of Colorectal Cancer Screening: The Importance of Follow-Up  

Microsoft Academic Search

\\u000a Purpose  As evidence mounts for effectiveness, an increasing proportion of the United States population undergoes colorectal cancer\\u000a screening. However, relatively little is known about rates of follow-up after abnormal results from initial screening tests.\\u000a This study examines patterns of colorectal cancer screening and follow-up within the nation's largest integrated health care\\u000a system: the Veterans Health Administration.\\u000a \\u000a \\u000a \\u000a Methods  We obtained information about patients

David A. Etzioni; Elizabeth M. Yano; Lisa V. Rubenstein; Martin L. Lee; Clifford Y. Ko; Robert H. Brook; Patricia H. Parkerton; Steven M. Asch

2006-01-01

295

Very long-term follow-up of adults treated in infancy for hydrocephalus  

Microsoft Academic Search

Purpose  The purpose of this study is to perform a population-based, very long-term follow-up of adults who had been shunt treated\\u000a for hydrocephalus in infancy.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  The 72 children with hydrocephalus born in 1967–1978 in western Sweden, who had participated in a follow-up at school age,\\u000a were re-examined at 30–43 years of age. The 29 with mental retardation were described in terms of

Eva-Karin Persson; Barbro Lindquist; Paul Uvebrant; Elisabeth Fernell

296

Orthodontic traction in a patient with cleidocranial dysplasia: 3 years of follow-up.  

PubMed

This case report describes the treatment and long-term follow-up care of a patient diagnosed with cleidocranial dysplasia who had multiple impacted permanent and supernumerary teeth. The aim of the treatment was to provide an adequate esthetic and functional reconstruction of the occlusion with good periodontal care. The patient was treated with a multidisciplinary therapeutic protocol including orthodontic and surgical procedures, and traction of 11 permanent teeth. The proposed objectives of good occlusion, normal function, healthy periodontium, and balanced profile were achieved, and the 3-year follow-up records showed stable results. PMID:24975005

Rocha, Roberto; Zasso, Manuela Batistella; Floriano, Gilberto; Derech, Carla; Ribeiro, Gerson Ulema; Locks, Arno; Ritter, Daltro

2014-07-01

297

Follow-Up of Alcohol Septal Ablation for Symptomatic Hypertrophic Obstructive Cardiomyopathy  

Microsoft Academic Search

Results Ethanol (2.6 1.0 ml) was injected into 1.3 0.5 septal arteries, inducing a septal infarct. Complications included death 1% (n 6), permanent pacemaker requirement 8.2% (n 52), coro- nary dissection 1.3% (n 8), and worsening mitral regurgitation 0.3% (n 2). The mean follow-up was 4.6 2.5 years (range: 3 months to 10.2 years). During follow-up, New York Heart Association

Valerian L. Fernandes; Christopher Nielsen; Sherif F. Nagueh; Amy E. Herrin; Christine Slifka; Jennifer Franklin; William H. Spencer III

298

Scorpio single radius total knee arthroplasty. A minimal five-year follow-up multicentric study  

Microsoft Academic Search

Purpose  Our goal was to evaluate the five-year follow-up results of the Scorpio single radius total knee arthroplasty.\\u000a \\u000a \\u000a \\u000a Method  We performed a retrospective study based upon a multicentre database to evaluate the minimum five-year follow-up clinical\\u000a and radiological results of 747 patients (831 knees) who underwent primary Scorpio single radius total knee arthroplasty.\\u000a \\u000a \\u000a \\u000a \\u000a Results  The mean age of the patients was 71.9 years. At

Frédéric Borrione; Paul Bonnevialle; Christian Mabit; Olivier Guingand; Denis Bertin; François Bonnomet; Christophe Denis; Gilles Gagna

299

A follow-up study of Non-teacher certified Agricultural Education Department graduates  

E-print Network

A FOLLOW-UP STUDY OF NON-TEACHER CERTIFIED AGRICULTURAL EDUCATION DEPARTMENT GRADUATES A Thesis by AMBER LYNN DAILEY Submitted to the Office of Graduate Studies of Texas A&M University in partial fulfillment of the requirements for thc degree... of MASTER OF SCIENCE August 1999 Maj or Subj ect: Agricultural Education A FOLLOW-UP STUDY OF NON-TEACHER CERTIFIED AGRICULTURAL EDUCATION DEPARTMENT GRADUATES A Thesis by AMBER LYNN DAILEY Submitted to Texas A&M University in partial fulfillment...

Dailey, Amber Lynn

1999-01-01

300

The use of PET-MRI in the follow-up after radiofrequency- and microwave ablation of colorectal liver metastases  

PubMed Central

Background Thermal ablation of colorectal liver metastases (CRLM) may result in local progression, which generally appear within a year of treatment. As the timely diagnosis of this progression allows potentially curative local treatment, an optimal follow-up imaging strategy is essential. PET-MRI is a one potential imaging modality, combining the advantages of PET and MRI. The aim of this study is evaluate fluorine-18 deoxyglucose positron emission tomography (FDG) PET-MRI as a modality for detection of local tumor progression during the first year following thermal ablation, as compared to the current standard, FDG PET-CT. The ability of FDG PET-MRI to detect new intrahepatic lesions, and the extent to which FDG PET-MRI alters clinical management, inter-observer variability and patient preference will also be included as secondary outcomes. Methods/Design Twenty patients undergoing treatment with radiofrequency or microwave ablation for (recurrent) CRLM will be included in this prospective trial. During the first year of follow-up, patients will be scanned at the VU University Medical Center at 3-monthly intervals using a 4-phase liver CT, FDG PET-CT and FDG PET-MRI. Patients treated with chemotherapy <6 weeks prior to scanning or with a contra-indication for MRI will be excluded. MRI will be performed using both whole body imaging (mDixon) and dedicated liver sequences, including diffusion-weighted imaging, T1 in-phase and opposed-phase, T2 and dynamic contrast-enhanced imaging. The results of all modalities will be scored by 4 individual reviewers and inter-observer agreement will be determined. The reference standard will be histology or clinical follow-up. A questionnaire regarding patients’ experience with both modalities will also be completed at the end of the follow-up year. Discussion Improved treatment options for local site recurrences following CRLM ablation mean that accurate post-ablation staging is becoming increasingly important. The combination of the sensitivity of MRI as a detection method for small intrahepatic lesions with the ability of FDG PET to visualize enhanced metabolism at the ablation site suggests that FDG PET-MRI could potentially improve the accuracy of (early) detection of progressive disease, and thus allow swifter and more effective decision-making regarding appropriate treatment. Trial registration Trial registration number: NCT01895673 PMID:25103913

2014-01-01

301

Long-term Ultrasonographic Follow-up Study of Gastric Motility in Patients with Functional Dyspepsia  

PubMed Central

Although patients with functional dyspepsia complain of epigastric symptoms, the relation between these symptoms and gastric motility remains controversial. There are few reports on the clinical course of functional dyspepsia, including changes in gastric motility, observed over a considerably long period. We conducted a study to examine association between changes in symptoms and changes in ultrasonographically evaluated gastric motility over a long-term follow-up period in patients with functional dyspepsia. Forty patients (18 men, 22 women; mean age, 53.7 years) with functional dyspepsia were followed up by medical interview, physical examination, endoscopy, and ultrasonography for gastric motility. Follow-up ranged from 1.0 to 7.8 years (mean, 3.0 years). Ultrasonographic evaluation of gastric motility included gastric emptying rate and antral contractions. During the follow-up period, patients were treated with proton pump inhibitors, H2-blockers, or prokinetics. Symptoms improved in 21 patients (group A), but symptoms persisted or worsened in 19 patients (group B). There were no significant differences in clinical characteristics between the two groups. Gastric motility improved in group A but not in group B. In conclusion, improved gastric motility appears to correspond to and may explain improved symptoms in some patients with functional dyspepsia. PMID:18385832

Kamino, Daisuke; Manabe, Noriaki; Hata, Jiro; Haruma, Ken; Tanaka, Shinji; Chayama, Kazuaki

2008-01-01

302

Bipolar Disorder at Prospective Follow-Up of Adults Who Had Prepubertal Major Depressive Disorder  

Microsoft Academic Search

Objective: The authors' goal was to conduct an adult follow- up of subjects who had participated in a study of nortriptyline for childhood depression. Method: The study group represented 100 (90.9%) of the orig- inal 110 subjects and included 72 subjects who had a prepuber- tal diagnosis of major depressive disorder and 28 normal com- parison subjects. Subjects were assessed

Barbara Geller; Betsy Zimerman; M. A. Marlene Williams; James L. Craney

2001-01-01

303

Curriculum-Based Measurement and Two Models of Follow-Up Consultation.  

ERIC Educational Resources Information Center

The study, with 55 mildly and moderately disabled elementary students, investigated the effectiveness of teacher-developed goals and monitoring systems versus a curriculum-based measurement (CBM) system and of individual expert versus group follow-up consultation. Groups employing CBM and group consultation generally out performed the other…

Wesson, Caren L.

1991-01-01

304

The Treatment of Parasomnias with Hypnosis: a 5-Year Follow-Up Study  

PubMed Central

Study Objectives: This study involves a replication and extension of a previous one reported by Hurwitz et al (1991) on the treatment of certain parasomnias with hypnosis. Methods: Thirty-six patients (17 females), mean age 32.7 years (range 6–71). Four were children aged 6 to 16. All had chronic, “functionally autonomous” (self-sustaining) parasomnias. All underwent 1 or 2 hypnotherapy sessions and were then followed by questionnaire for 5 years. Results: Of the 36 patients, 45.4% were symptom-free or at least much improved at the 1-month follow-up, 42.2% at the 18-month follow-up, and 40.5% at the 5-year follow-up. Conclusions: One or 2 sessions of hypnotherapy might be an efficient first-line therapy for patients with certain types of parasomnias. Citation: Hauri PJ; Silber MH; Boeve BF. The treatment of parasomnias with hypnosis: a 5-year follow-up study. J Clin Sleep Med 2007;3(4):369-373. PMID:17694725

Hauri, Peter J.; Silber, Michael H.; Boeve, Bradley F.

2007-01-01

305

Study Protocol, Sample Characteristics, and Loss to Follow-Up: The OPPERA Prospective Cohort Study  

PubMed Central

When studying incidence of pain conditions such as temporomandibular disorders (TMDs), repeated monitoring is needed in prospective cohort studies. However, monitoring methods usually have limitations and, over a period of years, some loss to follow-up is inevitable. The OPPERA prospective cohort study of first-onset TMD screened for symptoms using quarterly questionnaires and examined symptomatic participants to definitively ascertain TMD incidence. During the median 2.8-year observation period, 16% of the 3,263 enrollees completed no follow-up questionnaires, others provided incomplete follow-up, and examinations were not conducted for one third of symptomatic episodes. Although screening methods and examinations were found to have excellent reliability and validity, they were not perfect. Loss to follow-up varied according to some putative TMD risk factors, although multiple imputation to correct the problem suggested that bias was minimal. A second method of multiple imputation that evaluated bias associated with omitted and dubious examinations revealed a slight underestimate of incidence and some small biases in hazard ratios used to quantify effects of risk factors. Although “bottom line” statistical conclusions were not affected, multiply-imputed estimates should be considered when evaluating the large number of risk factors under investigation in the OPPERA study. Perspective These findings support the validity of the OPPERA prospective cohort study for the purpose of investigating the etiology of first-onset TMD, providing the foundation for other papers investigating risk factors hypothesized in the OPPERA project. PMID:24275220

Bair, Eric; Brownstein, Naomi C.; Ohrbach, Richard; Greenspan, Joel D.; Dubner, Ron; Fillingim, Roger B.; Maixner, William; Smith, Shad; Diatchenko, Luda; Gonzalez, Yoly; Gordon, Sharon; Lim, Pei-Feng; Ribeiro-Dasilva, Margarete; Dampier, Dawn; Knott, Charles; Slade, Gary D.

2013-01-01

306

Longitudinal Follow-Up of Children with Autism Receiving Targeted Interventions on Joint Attention and Play  

ERIC Educational Resources Information Center

Objective: This study examines the cognitive and language outcomes of children with an autism spectrum disorder (ASD) over a 5-year period after receiving targeted early interventions that focused on joint attention and play skills. Method: Forty children from the original study (n = 58) had complete data at the 5-year follow-up. Results: In all,…

Kasari, Connie; Gulsrud, Amanda; Freeman, Stephanny; Paparella, Tanya; Hellemann, Gerhard

2012-01-01

307

OIMB GK12 CURRICULUM Grade 45 minutes plus follow-up  

E-print Network

is the warmest and which is the coldest o Point out the steam rising from the near-boiling water. Ask students students three clear containers with: water, ice and near-boiling water o Have students describe whichOIMB GK12 CURRICULUM 3rd Grade 45 minutes plus follow-up over a few weeks WATER CYCLE BAG

308

The Center for the Arts and Sciences Follow-Up Study of 1991 Graduates. Evaluation Report.  

ERIC Educational Resources Information Center

Findings of a follow-up study that examined the experiences of 1991 high school graduates of the Center for the Arts and Sciences (CAS) program in Saginaw, Michigan, are presented in this paper. A survey mailed to 33 graduates received 16 responses. Findings indicate that all respondents were enrolled in a school, college, or training program. The…

Saginaw Public Schools, MI. Dept. of Evaluation Services.

309

Internet-Delivered Indicated Prevention for Anxiety Disorders: Six-Month Follow-Up  

ERIC Educational Resources Information Center

This project aims to conduct a medium-term follow-up to assess the efficacy of a preventive cognitive behavioural intervention delivered via the Internet to individuals at risk of developing anxiety disorders. Previous work on immediate outcome indicated that the program was effective in reducing depression and anxiety-related cognitions.…

Kenardy, Justin; McCafferty, Kelly; Rosa, Virginia

2006-01-01

310

Sources of Validity Evidence for Educational and Psychological Tests: A Follow-Up Study  

ERIC Educational Resources Information Center

This study followed up on previous work that examined the incidence of reporting evidence based on test consequences in "Mental Measurements Yearbook". In the present study, additional possible outlets for what has been called "consequential validity" evidence were investigated, including all articles published in the past 10 years in several…

Cizek, Gregory J.; Bowen, Daniel; Church, Keri

2010-01-01

311

Transition Follow-Up System Development for Youth with Disabilities: Stakeholders' Perspectives  

ERIC Educational Resources Information Center

In this study I examined in depth the perspectives of stakeholders in Manitoba on the development and implementation of a transition follow-up system (TFS) for youth with disabilities. I conducted focus groups and individual interviews with a total of 76 stakeholders and obtained qualitative data. The stakeholders who participated in this study…

Park, Youn-Young

2014-01-01

312

A Survey of Instruments and Practices Associated with Teacher Education Follow-Up Studies  

ERIC Educational Resources Information Center

Teacher education programs that are NCATE accredited are required to have an assessment system that includes follow-up on their graduates. This assessment system is guided by NCATE Standard 2 which judges how each unit uses external information from graduates and employers to refine their teacher education program. These programs use the collected…

McCoy, Christine Ann Baker

2010-01-01

313

Traumatic brain injury: Designing and implementing a population-based follow-up system  

Microsoft Academic Search

Craig Hospital and the Colorado Department of Public Health and Environment began designing a population-based followup system for persons with traumatic brain injury (TBI) in 1994. With funding from the Centers for Disease Control and Prevention, the Colorado TBI Follow-up System addresses the issue, “What happens to persons with TBI after they are discharged from the hospital?” Two methods of

Cynthia A. Brooks; Barbara Gabella; Richard Hoffman; Dan Sosin; Gale Whiteneck

1997-01-01

314

Personnel Needs in School Psychology: A 10-Year Follow-Up Study on Predicted Personnel Shortages  

ERIC Educational Resources Information Center

Concerns regarding whether a sufficient supply of school psychologists exists have been evident for decades. Studies have predicted that school psychology would face a critical personnel shortage that would peak in 2010, but continue into the foreseeable future. The current study is a 10-year follow-up investigation based on previously published…

Castillo, Jose M.; Curtis, Michael J.; Tan, Sim Yin

2014-01-01

315

The ECE Transition Follow-Up Project. Project Handbook, Questionnaire, and Interviewer's Guide.  

ERIC Educational Resources Information Center

This handbook is offered to guide the replication of a transition follow-up project for students in Exceptional Child Education (ECE) programs, by providing procedures and functional resources used to implement the model components. The project involved surveying former Jefferson County (Kentucky) special education students from all…

Funk, Harry E.

316

Follow-up till age 3–4 of unselected children with sex chromosome abnormalities  

Microsoft Academic Search

Follow-up examination of 15 unselected children with aneuploid sex chromosome abnormalities has been made till between the age of 21\\/2 and 5 years. The mental development of the 15 children was in all cases within the normal range, but there was a tendency to some differences compared with their siblings.

Johannes Nielsen; Ingelise Sillesen

1976-01-01

317

Using Home Spirometry for Follow up of Lung Transplant Recipients: “A Pilot Study”  

PubMed Central

Background Lung transplantation is considered the ultimate treatment for some patients, but due to the specific condition of patients undergoing it, follow up is a major concern. The aim of this study was to evaluate the role of home spirometry in follow up of lung transplant recipients and early detection of complications in these patients. Materials and Methods A PC-based portable spirometry set was used to evaluate the well being of two lung transplant recipients on a regular daily basis for a 6-month period. Patient satisfaction and compliance, and device sensitivity in detecting complications were evaluated. Results of follow up were compared with 2 matched control patients. Results Patient adherence to home spirometry was 80% in one and 61% in the other patient and both patients were satisfied with the method, although this satisfaction declined towards the end of the study period. The main reason for low adherence was insufficient internet access. This method succeeded in early detection of infectious complications. Conclusion Home spirometry seems to be a reliable method for follow up of lung transplant recipients, but further studies in a larger group of patients is recommended. PMID:25191451

Fadaizadeh, Lida; Shafaghi, Shadi; Hosseini, Mahsa Sadat; Ghoroghi, Azadeh

2013-01-01

318

One-year follow-up results of the STARS for Families alcohol prevention program  

Microsoft Academic Search

This study examined the 1-year follow-up effects of the STARS (Start Taking Alcohol Risks Seriously) for Families program, a 2-year preventive intervention based on a stage of acquisition model, and consisting of nurse con- sultations and parent materials. A randomized controlled trial was conducted, with participants receiving either the intervention or a minimal intervention control. Participants included a cohort of

C. E. Werch; D. M. Owen; J. M. Carlson; C. C. DiClemente; P. Edgemon; M. Moore

2003-01-01

319

Colorado Even Start Follow-Up Study: Trinidad State Junior College.  

ERIC Educational Resources Information Center

Even Start family literacy programs are integrated adult education, early childhood education, and parent support components intended to break the intergenerational cycle of poverty and low literacy. In Spring of 2002, a follow-up study of one Even Start project was conducted to assess the long-term effects of Even Start programming for families.…

Anderson, Beckie

320

Loneliness, Social Networks, and Mortality: 18 Years of Follow-up  

ERIC Educational Resources Information Center

We examined the influence of changes in loneliness and social support networks upon mortality during 18 years of follow-up among an elderly cohort and determined the gender-specific nature of this relationship. The study is based on data collected from the Jerusalem Longitudinal Study (1990-2008), which has followed a representative sample of 605…

Iecovich, Esther; Jacobs, Jeremy M.; Stessman, Jochanan

2011-01-01

321

New Neuromuscular Symptoms in Patients with Old Poliomyelitis: A Three-Year Follow-Up Study  

Microsoft Academic Search

Fourteen survivors of paralytic poliomyelitis experienced new symptoms after years of stability. Seven patients had lost functional capacity, with joint pain, instability and recurrent falls, but were again stable and remained essentially unchanged during a 3-year follow-up period. Seven others had late postpoliomyelitis muscular atrophy (PPMA) with new weakness, wasting, fasciculations and myalgia in muscles originally spared or seemingly recovered.

Marinos C. Dalakas

1986-01-01

322

Time use and change in academic achievement: A longitudinal follow-up  

Microsoft Academic Search

As a follow-up of the research of Smith in 1990, academic achievement results from two years later are added to the data for 1208 of the 1584 seventh and ninth graders for whom Smith studied relationships between achievement and time use. Growth in academic achievement over two years, like contemporaneous achievement, is not positively related to time spent on homework

Thomas Ewin Smith

1992-01-01

323

FOLLOW-UP OF PATIENTS RECEIVING DIAGNOSTIC DOSES OF 131 IODINE DURING CHILDHOOD  

EPA Science Inventory

The report documents the data collection methodology and procedures of a follow-up survey conducted of persons under 16 years old who received diagnostic Iodine 131 for evaluation of thyroid function at nine clinical centers prior to December 31, 1960. The intent of this data col...

324

Four-Year Follow-Up of Children with Low Intelligence and ADHD.  

ERIC Educational Resources Information Center

A follow-up study of 26 children (ages 5-13) with attention deficit hyperactivity disorder and low intelligence found that children identified with both characteristics have significant behavioral and emotional problems while in their early adolescence. A significant minority had problems at school and with the law. (CR)

Aman, Michael G.; And Others

1996-01-01

325

Four-Year Follow-Up of the Community Intervention "10 000 Steps Ghent"  

ERIC Educational Resources Information Center

The purpose of this study was to examine the 4-year follow-up effects of the "10 000 steps Ghent" project, which had shown increases in pedometer steps after the first year of implementation (2005-06). All adults who had participated in 2005-06 (n = 866) were recontacted in 2009 and invited to complete the International Physical Activity…

De Cocker, Katrien A.; De Bourdeaudhuij, Ilse M.; Brown, Wendy J.; Cardon, Greet M.

2011-01-01

326

Long-term follow up of renal function in IgA nephropathy.  

PubMed Central

Fifty one children with IgA nephropathy verified at biopsy have been followed up clinically and functionally for 0.4-16.8 years from the onset of symptoms. Renal function was evaluated by determining the glomerular filtration rate (GFR) and effective renal plasma flow (ERPF) from the clearances of inulin and para-aminohippuric acid. Fifteen (29%) of the children had raised serum creatinine concentrations at the onset. Mean GFR was significantly lower than that of controls at the first investigation. During the follow up GFR and ERPF decreased and were significantly lower than in the controls after eight years of disease. The significant fall in renal function was found in children with proteinuria and especially in boys, in whom GFR and ERPF decreased from a mean (SEM) of 117 (5) and 616 (31) at 2.8 years to 97 (6) and 509 (36) ml/min/1.73 m2 at 7.5 years. Patients with raised serum creatinine concentrations at the onset had significantly lower GFRs, and patients with macroscopic haematuria at this time did not show decreased renal function at follow up. In conclusion, children with IgA nephropathy do not seem to have a benign clinical course. Boys with proteinuria show a significant decrease in renal function during follow up. PMID:2039247

Berg, U B

1991-01-01

327

Follow-Up Survey of the Graduates of 1980-81.  

ERIC Educational Resources Information Center

A follow-up study of 1980-81 graduates of Minneapolis Community College (MCC) was conducted to ascertain information on students' employment and educational activities since graduation; their attitudes towards the education received at MCC; and their use of various college services and activities. In spring 1982, questionnaires were sent to the…

Stein, June

328

Mammals 'choose' sex of offspring [ ] [ ] [ ] [ ]Follow Ups Post Followup WAPD Bulletin Board FAQ  

E-print Network

Mammals 'choose' sex of offspring [ ] [ ] [ ] [ ]Follow Ups Post Followup WAPD Bulletin Board FAQ Posted by on 09:19:34 02/21/04Hirek Friday, 20 February, 2004, 12:46 GMT Mammals 'choose' sex mammals can adjust the sex of their offspring, according to a study by biologists. Experts from Edinburgh

West, Stuart

329

A Follow-Up Study of the ABRACADABRA Web-Based Literacy Intervention in Grade 1  

ERIC Educational Resources Information Center

This paper reports the follow-up of a randomised control trial study of the ABRACADABRA web-based literacy intervention that contrasted synthetic versus analytic phonics (Comaskey, Savage & Abrami, 2009) in kindergarten children from urban low-SES backgrounds. Participants who received a "synthetic" phonics+phoneme awareness training (n = 26) or…

Di Stasio, Maria Rosaria; Savage, Robert; Abrami, Philip C.

2012-01-01

330

Clustering follow-up time-series recorded by cardiac implantable devices  

Microsoft Academic Search

Follow-up of patients treated by cardiac resynchronization therapy (CRT) is of great interest to prevent health deterioration in the postoperative period. In this purpose, data recorded in implantable devices (ID) can be informative. They are large, multivariate, evolutive with time, and then difficult to interpret. This study proposes a methodology, based on Multiple Correspondence Analysis (MCA) and fuzzy coding, to

M. Gueguin; E. Roux; A. I. Hernandez; F. Poree; P. Mabo; L. Graindorge; G. Carrault

2007-01-01

331

Follow-Up of Maple Woods Community College Occupational Graduates, 1970-1974. Final Report.  

ERIC Educational Resources Information Center

Two hundred fourteen graduates of seven occupational disciplines constituted the survey population for this 1970-74 follow-up study. The 141 usable responses to the mail survey represent a 65.9 percent rate of return. The survey instrument was desgined to initiate responses from the graduates in terms of: (1) appropriateness of the course of study…

Clark, Donald L.

332

Treatment Outcome in Eating Disorders: A One-Year Follow-Up.  

ERIC Educational Resources Information Center

The effectiveness of an outpatient eating disorders treatment program was evaluated for 50 women over a 1-year follow-up period. Unlike many eating disorders programs now in place, this data was collected at a time when this program had relatively few exclusion criteria for potential participants; anyone with an eating disorder not requiring…

Espelage, Dorothy L.; Quittner, Alexandra L.; McKenna, Molly C.; Sherman, Roberta; Thompson, Ron

333

A multicentre follow-up study of 1152 patients with myasthenia gravis in Italy  

Microsoft Academic Search

A multicentre retrospective study was carried out on the characteristics and course of myasthenia gravis (MG) in Italy. Data from 1152 patients, fairly representative of the myasthenic population seeking medical advice, were analysed for diagnostic criteria, clinical aspects and therapeutic approaches. Mean follow-up was 4.9 years. The disease was correctly diagnosed within 2 years of the onset in 80% of

R. Mantegazza; E. Beghi; D. Pareyson; C. Antozzi; D. Peluchetti; A. Sghirlanzoni; V. Cosi; M. Lombardi; G. Piccolo; P. Tonali; A. Evoli; E. Ricci; A. P. Batocchi; C. Angelini; G. F. MicaglioS; G. Marconi; R. Taiuti; L. Bergamini; L. Durelli; F. Cornelio

1990-01-01

334

The natural course of myasthenia gravis: a long term follow up study  

Microsoft Academic Search

A long term follow up study is presented of 73 patients with myasthenia gravis, living in Amsterdam between 1926 and 1965. In the period 1961-65 the annual incidence was 3.1, the prevalence 53 per million. Maximum severity of the disease occurred during the first seven years after onset in 87%. Eighteen (29%) patients died, of whom eight had a thymoma

H J Oosterhuis

1989-01-01

335

Longitudinal Follow-up of Children with Preschool Communication Disorders: Treatment Implications.  

ERIC Educational Resources Information Center

The long-term language, academic, social, and behavioral adjustment of young children with speech and language disorders is summarized by reviewing available population surveys, current status surveys, follow-up studies, clinical reports, and prospective studies. Implications of outcome data are discussed. (SLD)

Aram, Dorothy M.; Hall, Nancy E.

1989-01-01

336

A 40Year Follow-up of Patients With Obsessive-compulsive Disorder  

Microsoft Academic Search

Background: The long-term course of obsessive- compulsive disorder is insufficiently known. We stud- ied the course of this disorder in patients who were followed up for 40 years. Methods: Patients admitted with a diagnosis of obsessive- compulsive disorder to the Department of Psychiatry, Sahl- grenska University Hospital, Goteborg, Sweden, between 1947 and 1953 were examined by an experienced psy- chiatrist

Gunnar Skoog; Ingmar Skoog

1999-01-01

337

Social Effectiveness Therapy for Children: Three-Year Follow-Up  

ERIC Educational Resources Information Center

This study reports the results of a 3-year follow-up assessment of children and adolescents diagnosed with social anxiety disorder (social phobia) and treated with Social Effectiveness Therapy for Children (SET-C), a comprehensive behavioral treatment program combining social skills training, peer generalization, and individualized exposure. Among…

Beidel, Deborah C.; Turner, Samuel M.; Young, Brennan; Paulson, Autumn

2005-01-01

338

Ten Years Later: A Follow-Up Study of Professors Still Working after Age 70  

ERIC Educational Resources Information Center

Little is known about the impact of the end of mandatory retirement on professors over the long term. This follow-up study investigated the ten-year experience of professors who chose not to retire from a major research university after the elimination of the age 70 mandatory retirement in 1994. The initial interview study was conducted in 1998…

Dorfman, Lorraine T.

2009-01-01

339

Workloads, Achievement and Stress: Two Follow-Up Studies of Teacher Time in Key Stage 1.  

ERIC Educational Resources Information Center

The first of two follow-up studies, involving 53 infant teachers in England and Wales, was conducted to monitor changes in the workloads of teachers as the national curriculum and assessment were brought in following ministerial promises to reduce the burdens imposed on teachers by the implementation of the national curriculum. Data were collected…

Campbell, R. J.; And Others

340

Parkland College Transfer Program Graduate Follow-Up Survey, 2001-2002.  

ERIC Educational Resources Information Center

This study presents findings from the 2001-2002 Transfer Program Follow-Up Survey of Parkland College (Illinois) graduates. A total of 423 students from baccalaureate/transfer programs were contacted approximately 6 weeks after graduation. Of those, 253 returned surveys, for a response rate of 59.8%. More than 58% of respondents were female, 81%…

Parkland Coll., Champaign, IL. Office of Institutional Research and Evaluation.

341

The Sexual Adjustment of Coronary Bypass Surgery Patients: A 4-Year Follow-Up.  

ERIC Educational Resources Information Center

Measured the sexual adjustment of 14 individuals before coronary bypass surgery and both four months and four years afterwards. Results showed that sexual adjustment worsened with the onset of symptomatic coronary artery disease and did not improve at either follow-up interval. (LLL)

Thurer, Shari; Thurer, Robert L.

1983-01-01

342

A Follow up: Developing Growing Need for Soft-Skills in IT Professionals  

ERIC Educational Resources Information Center

In this paper we follow up "Developing Growing Need for Soft-Skills in IT Professionals," a paper from the 2003 ASCUE Conference. In that paper we examined the need for "soft-skills" by information technology professionals. In the current economic climate, IT outsourcing is becoming increasingly popular. Our Columbus, Indiana Purdue campus has a…

Swanson, Dewey A.; Phillips, Julie

2004-01-01

343

Fifteen-Year Follow-Up of Thyroid Status in Adults with Down Syndrome  

ERIC Educational Resources Information Center

Background: The natural history of thyroid function in adults with Down syndrome is relatively unknown with limited long-term follow-up data. Method: This study investigated annual thyroid function tests in 200 adults with Down syndrome over a 15-year period. Results: For healthy adults with Down syndrome there is a gradual increase in thyroxine…

Prasher, V.; Ninan, S.; Haque, S.

2011-01-01

344

An Evaluation of an Innovative Drug Education Program: Follow-Up Results.  

ERIC Educational Resources Information Center

This study provides a follow-up assessment of an innovative drug education program for seventh and eighth graders. Students learned Lasswell's framework for understanding human needs and motives, a systematic decision-making procedure, and information about the pharmacological, psychological, and social consequences of licit and illicit drug use.…

Moskowitz, Joel M.; And Others

345

Maryland Community Colleges Student Follow-up Study: First-time Students, Fall 1972.  

ERIC Educational Resources Information Center

This document reports the methodology and results of the third annual statewide student follow-up study of the Maryland community colleges. Questionnaires were sent to 19,634 persons who were first-time students in a Maryland community college in fall, 1972. Response rate was 48%. A sequential sampling procedure was used to test for nonrespondent…

Tschechtelin, James D.; And Others

346

Mortality of Women with Polycystic Ovary Syndrome at Long-term Follow-up  

Microsoft Academic Search

Metabolic disturbances associated with insulin resistance are present in most women with polycystic ovary syndrome. This has led to suggestions that women with polycystic ovary syndrome may be at increased risk of cardiovascular disease in later life. We undertook a long-term follow-up study to test whether cardiovascular mortality is increased in these women. A total of 786 women diagnosed with

T. Pierpoint; P. M. McKeigue; A. J. Isaacs; S. H. Wild; H. S. Jacobs

1998-01-01

347

Follow-up actions from positive results of in vitro genetic toxicity testing  

EPA Science Inventory

Appropriate follow-up actions and decisions are needed when evaluating and interpreting clear positive results obtained in the in vitro assays used in the initial genotoxicity screening battery (i.e., the battery of tests generally required by regulatory authorities) to assist in...

348

Follow-Up Study of 1993 Dental Hygiene Graduates. Volume XXII, Number 17, June 1994.  

ERIC Educational Resources Information Center

In an effort to evaluate the effectiveness of its dental hygiene program, William Rainey Harper College (WRHC), in Palatine, Illinois, conducted a follow-up study of its dental hygiene students. The survey instrument was mailed to all 31 1993 dental hygiene associate degree graduates, and a response rate of 97% (n=30) was attained. Results of the…

Holt, Marianne; Lucas, John A.

349

Follow-Up Study of 1984 Harper Career Alumni. Research Report Series Volume XV, No. 7.  

ERIC Educational Resources Information Center

As part of an ongoing evaluation of the career programs at William Rainey Harper College (WRHC), a follow-up study was conducted of 1984 program graduates, and results were compared with those from earlier surveys. Questionnaires were sent to 763 students who graduated from career programs in 1983-84, requesting demographic information, current…

Lucas, John A.

350

Follow-Up Study of 1986 Harper Career Alumni. Volume XVI, No. 9.  

ERIC Educational Resources Information Center

As part of an ongoing evaluation of the career programs at Illinois' William Rainey Harper College (WRHC), a follow-up study of 1986 program graduates was conducted and results were compared with previous years. Questionnaires were sent to 491 students who earned 48 or more hours during the 1985-86 academic year at WRHC. Study findings, based on a…

Lucas, John A.

351

Follow-Up Study of 1981 Harper Transfer Alumni. Volume XII, No. 13.  

ERIC Educational Resources Information Center

In January 1982, a study was conducted at William Rainey Harper College (WRHC) to gather follow-up data on transfer-oriented students 1 year after they had accumulated at least 48 semester hours of credit. All 820 alumni meeting these criteria were mailed a survey form asking about their current status, evaluation of WRHC, and activity patterns…

Lucas, John A.

352

A Follow-Up Study on Word and Non-Word Reading Skills in Down Syndrome  

ERIC Educational Resources Information Center

The current study was designed to trace changes in the relationship between non-word reading and irregular word reading on the one hand, and between phonological awareness and non-word reading on the other, through a follow-up study of a group of individuals with Down syndrome. Twelve individuals with Down syndrome, whose data were originally…

Roch, Maja; Jarrold, Christopher

2012-01-01

353

Teaching Adolescents about Alcohol and Driving: A Two Year Follow-Up.  

ERIC Educational Resources Information Center

Data have demonstrated effectiveness of Teams-Games-Tournaments (TGT) alcohol education program. Examined two-year follow-up effects of TGT by comparing high school students who participated in TGT program to traditional and no instruction control groups. Results revealed that TGT students maintained previous positive changes whereas traditional…

Wodarski, John S.

1987-01-01

354

Sierra Leone's Former Child Soldiers: A Follow-Up Study of Psychosocial Adjustment and Community Reintegration  

ERIC Educational Resources Information Center

This is the first prospective study to investigate psychosocial adjustment in male and female former child soldiers (ages 10-18; n = 156, 12% female). The study began in Sierra Leone in 2002 and was designed to examine both risk and protective factors in psychosocial adjustment. Over the 2-year period of follow-up, youth who had wounded or killed…

Betancourt, Theresa Stichick; Borisova, Ivelina Ivanova; Williams, Timothy Philip; Brennan, Robert T.; Whitfield, Theodore H.; de la Soudiere, Marie; Williamson, John; Gilman, Stephen E.

2010-01-01

355

Wireless Communicative stent for follow-up of Abdominal Aortic Aneurysm  

E-print Network

Wireless Communicative stent for follow-up of Abdominal Aortic Aneurysm Johan Mazeyrat, Olivier aortic aneurysm (AAA) is a dilatation of the aorta at the abdominal level, which rupture is a life people in the world are nowadays subject to an abdominal aortic aneurysm (AAA) illness. AAA illness

Lagrée, Pierre-Yves

356

Follow-Up Study of 1990 Dental Hygiene Graduates. Volume XX, No. 1.  

ERIC Educational Resources Information Center

In a continuing effort to measure the quality of their Dental Hygiene program, explore the need for changes, and substantiate the program's goals for accreditation standards, a follow-up study was conducted of the 1990 Dental Hygiene program graduates from William Rainey Harper (WRHC) College in Palatine, Illinois. A survey was mailed to all 30…

Holt, Marianne; Lucas, John A.

357

Eight-Year Follow-Up Study of Black Hawk College's Non-Traditional Degree Graduates.  

ERIC Educational Resources Information Center

During 1980, Black Hawk Community College conducted a follow-up study of the 92 students who had graduated with an Associate in Liberal Arts (ALS) degree since 1973. The degree differs from the college's more traditional degrees in emphasizing less restrictive residency requirements, opportunities to develop a personalized course of instruction,…

Stevens, Mary A.

358

Follow-Up Survey of PVCC Graduates of the Class of 2000-01. Research Report.  

ERIC Educational Resources Information Center

This report presents follow-up statistics on 2000-2001 graduates of Piedmont Virginia Community College (PVCC). Graduates were surveyed during the winter of 2002 to determine how satisfied they were with the PVCC experience, what jobs they had obtained, which schools they were attending, how much they earned, and what impact PVCC had upon their…

Shields, Jennifer A.

359

Follow-Up Survey of PVCC Graduates of the Class of 1995-96. Research Report.  

ERIC Educational Resources Information Center

A follow-up survey was conducted of the Piedmont Virginia Community College (PVCC) graduates in summer term 1995, fall semester 1995, and spring semester 1996 to determine what jobs they had obtained, which schools they were attending, how much they earned, how satisfied they were with their employment or schooling, and what impact PVCC had upon…

Payne, William H., Jr.

360

Follow-Up Survey of PVCC Graduates of the Class of 1997-98. Research Report.  

ERIC Educational Resources Information Center

This report presents findings reported in the follow-up survey of Piedmont Virginia Community College (PVCC) graduates of the class of 1997-98. Graduates were surveyed during the spring of 1999 to determine what jobs they had obtained, which schools they were attending, how much they earned, how satisfied they were with their employment or…

Payne, William H., Jr.; Head, Ronald B.

361

Follow-Up Survey of PVCC Graduates of the Class of 1998-99. Research Report.  

ERIC Educational Resources Information Center

This report presents findings reported in the follow-up survey of Piedmont Virginia Community College (PVCC) (Virginia) graduates of the class of 1998-99. Graduates were surveyed during the spring of 2000 to determine what jobs they had obtained, which schools they were attending, how much they earned, how satisfied they were with their employment…

Payne, William H., Jr.; Head, Ronald B.

362

Follow-Up Survey of PVCC Graduates, Class of 1996-97.  

ERIC Educational Resources Information Center

A follow-up survey was conducted on the 1996-97 Piedmont Virginia Community College (PVCC) graduates to determine what jobs they had obtained, which schools they were attending, how much they earned, how satisfied they were with their employment or schooling, and what impact PVCC had upon their careers and education. Eighty-eight graduates…

Payne, William H., Jr.

363

Long-term follow-up of zonulo-hyaloido-vitrectomy for pseudophakic malignant glaucoma  

PubMed Central

Purpose: To report long-term follow-up of zonulo-hyaloido-vitrectomy (ZHV) via anterior approach for pseudophakic malignant glaucoma refractory to medical treatment. Design: Noncomparative case-series. Materials and Methods: Medical records of 9 patients who sought treatment for aqueous humor misdirection refractory to medical treatment were reviewed. All patients underwent anterior vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy (PI) via an anterior approach. Main outcome measures were preoperative and postoperative visual acuity, intraocular pressure, medications, slit-lamp examination, and fundus findings. Results: 10 eyes of 9 patients (7 female, 2 male) who underwent ZHV for refractory pseudophakic malignant glaucoma between 2003 and 2010 were included in this case-series. The mean age of patients was 77.4 ± 9.0 years, mean follow-up duration 50.2 ± 27.2 months. Recurrence of malignant glaucoma was noted in 40% (four cases) after a successful ZHV on long-term follow-up. Conclusions: An anterior segment surgeon can treat malignant glaucoma refractory to medical treatment successfully by vitrectomy, hyaloido-zonulectomy, and PI. This can be done via an anterior approach and patients require long follow-up to rule out a relapse despite a successful outcome in the short term. PMID:25579353

Madgula, Indira M; Anand, Nitin

2014-01-01

364

CLINTON, NEW JERSEY, RADON MITIGATION FOLLOW-UP AND LONG-TERM MONITORING  

EPA Science Inventory

The report gives results of a follow-up of the 1986 demonstration of radon reduction techniques in 10 houses in Clinton, New Jersey. Initial radon levels in the 10 houses ranged from 400 to 2200 pCi/1. Radon reductions of more than 95% were achieved by using a variety of subslab ...

365

Children at family risk of dyslexia: a follow-up in early adolescence  

Microsoft Academic Search

Background: This study is the follow-up in early adolescence of children born to families with a history of dyslexia (Gallagher, Frith, & Snowling, 2000). Methods: Fifty young people with a family history of dyslexia and 20 young people from control families were assessed at 12-13 years on a battery of tests of literacy and language skills, and they completed questionnaires

Margaret J. Snowling; Valerie Muter; Julia Carroll

2007-01-01

366

Perceived Levels of Cultural Competence for School Social Workers: A Follow-up Study  

ERIC Educational Resources Information Center

The purpose of this article is to report on findings from a follow-up study that examined the relationship among social work education programs, postgraduate professional development, and school social workers' perceived levels of cultural competence in practice with urban minority youth. The initial study demonstrated that African Americans…

Teasley, Martell L.; Archuleta, Adrian; Miller, Christina

2014-01-01

367

Application of ?-analysis and synthesis to follow-up control of a profile measuring system  

Microsoft Academic Search

This paper deals with designing a follow-up control system of a profile measuring system using complex ?-synthesis and mixed ?-analysis. First for the coarse actuator, the complex ?-based control which is effective integration of H? control and complex ?-analysis is designed. Then the interconnection structure that includes above the system of the coarse actuator, the designed controller and the fine

Minoru Takahashit; Mikio Kamoshitat; Masayuki Fujitaz

1998-01-01

368

Control System Implementation and Follow-up within the Cooling and Ventilation Contracts for the LHC  

Microsoft Academic Search

The control system implementation for the cooling and ventilation facilities connected to the LHC Project relies on the technical and human resources that are organised within large-size industrial contracts. Beside the technical aspects, the follow-up of the implementation activities in the framework of such contracts also involves a managerial effort in order to achieve a flexible and coherent control system.

Y Body; H Jena; M C Morodo

2001-01-01

369

Using Student Follow-up Surveys to Improve College Programs. A Staff Report.  

ERIC Educational Resources Information Center

Information on the use and effectiveness of follow-up surveys in four-year and two-year institutions are obtained. In the four-year sector, 55 public and 34 private colleges were included, while in the two-year sector, the entire public systems of four states were compared. This involved 15 institutions in Georgia, 17 in Maryland, 16 in South…

Southern Regional Education Board, Atlanta, GA.

370

78 FR 26618 - Collection of Information; Proposed Extension of Approval; Comment Request-Follow-Up Activities...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Comment Request--Follow-Up Activities for Product-Related...operates a surveillance system known as the National...departments. The NEISS system has been in operation...related injuries under control number 3041-0029...Estimated Burden The NEISS system collects...

2013-05-07

371

An Examination of Differential Follow-Up Rates in Cervical Cancer Screening  

Microsoft Academic Search

The purpose of this study was to test the hypothesis that follow-up rates for women with abnormal cervical cancer screening results vary by age, ethnicity, and initial screening results in California's Breast and Cervical Cancer Control Program. The sample consisted of women in the screening program who received an abnormal cervical screening result (N = 1,738). Bivariate and logistic regression

Patrick Fox; Pam Arnsberger; Xiulan Zhang

1997-01-01

372

Review of telephone follow-up experience at the Rapid Response Radiotherapy Program  

Microsoft Academic Search

Purpose: To review the feasibility of telephone follow-up following a 3-year experience from 1999 to 2001 at the Rapid Response Radiotherapy Program as a prospec- tive radiotherapy outcome assessment of symptom palliation. Methods and materials: Patients referred for pal- liative radiotherapy for symptom control from 1999 to 2001 were asked to rate symptom distress using the Edmonton Symptom Assessment System

Edward Chow; Kin-Wah Fung; Nicole Bradley; Lori Davis; Lori Holden; Cyril Danjoux

2005-01-01

373

Personality Disorders in People with Learning Disabilities: Follow-Up of a Community Survey  

ERIC Educational Resources Information Center

Background: A sample of community-based service users with intellectual disability (ID) was re-examined after 5 years to determine the impact of a diagnosis of personality disorder (PD). Methods: Seventy-five of the original 101 participants were followed up. Of these, 21 people had a PD identified during the original study. Results: Compared with…

Lidher, J.; Martin, D. M.; Jayaprakash, M. S.; Roy, A.

2005-01-01

374

Predictors of ADHD Persistence in Girls at 5-Year Follow-Up  

ERIC Educational Resources Information Center

Objective: The main aim of this study was to examine the age-dependent remission from ADHD in girls transitioning through childhood into adolescence and early adulthood. Method: We conducted a 5-year prospective follow-up study of 123 girls with ADHD and 106 non-ADHD control girls aged between 6 and 17 years at ascertainment. ADHD was considered…

Mick, Eric; Byrne, Deirdre; Fried, Ronna; Monuteaux, Michael; Faraone, Stephen V.; Biederman, Joseph

2011-01-01

375

Early Optical Follow-up Observations of Gamma Ray Bursts with the Robotic Liverpool Telescope  

E-print Network

counterparts requires both ra- pid and deep observations. Here we discuss the 2-m robotic Liverpool TelescopeEarly Optical Follow-up Observations of Gamma Ray Bursts with the Robotic Liverpool Telescope A, Slovenia 3 ITC-IRST and INFN, Trento, via Sommarive, 18 38050 Povo (TN), Italy Abstract Robotic telescopes

Gomboc, Andreja

376

Proportional hazards regression in epidemiologic follow-up studies: an intuitive consideration of primary time scale.  

PubMed

In epidemiologic cohort studies of chronic diseases, such as heart disease or cancer, confounding by age can bias the estimated effects of risk factors under study. With Cox proportional-hazards regression modeling in such studies, it would generally be recommended that chronological age be handled nonparametrically as the primary time scale. However, studies involving baseline measurements of biomarkers or other factors frequently use follow-up time since measurement as the primary time scale, with no explicit justification. The effects of age are adjusted for by modeling age at entry as a parametric covariate. Parametric adjustment raises the question of model adequacy, in that it assumes a known functional relationship between age and disease, whereas using age as the primary time scale does not. We illustrate this graphically and show intuitively why the parametric approach to age adjustment using follow-up time as the primary time scale provides a poor approximation to age-specific incidence. Adequate parametric adjustment for age could require extensive modeling, which is wasteful, given the simplicity of using age as the primary time scale. Furthermore, the underlying hazard with follow-up time based on arbitrary timing of study initiation may have no inherent meaning in terms of risk. Given the potential for biased risk estimates, age should be considered as the preferred time scale for proportional-hazards regression with epidemiologic follow-up data when confounding by age is a concern. PMID:22517300

Cologne, John; Hsu, Wan-Ling; Abbott, Robert D; Ohishi, Waka; Grant, Eric J; Fujiwara, Saeko; Cullings, Harry M

2012-07-01

377

WHI and WHIMS follow-up and human studies of soy isoflavones  

Microsoft Academic Search

Recent follow-up analyses of the previous findings from the Women's Health Initiative and the Women's Health Initiative Memory Study confirmed some health benefits of estrogen- containing hormone therapy (HT) in women within 10 years from the onset of menopause. However, the potential risks associated with long-term administration of HT, such as breast cancer and stroke, remain a concern for therapy

Liqin Zhao; Roberta Diaz Brinton

378

PLENARY SESSION: Posttreatment Follow-up Care for Cancer Survivors - Office of Cancer Survivorship  

Cancer.gov

The growing population of cancer survivors at risk for serious adverse effects after treatment, both psychological and physical, is in need of practitioners who understand the complicated health issues they face. Follow-up care needs vary with the survivor; pediatric, young adult, and older adult cancer survivors all face distinct challenges.

379

Can we rely on PET in the follow-up of advanced seminoma patients?  

PubMed

The management of residuals after completion of chemotherapy in advanced seminoma is controversial. It has been proposed that fluorodeoxyglucose-positron emission tomography (FDG-PET) can be used as a follow-up. In this study we investigated FDG-PET as a follow-up tool in advanced seminoma patients treated previously with chemotherapy or radiotherapy. Thirty-seven patients assigned to an advanced seminoma group based on CT and/or FDG-PET/CT and then treated with chemotherapy were included in the study. All these patients underwent FDG-PET/CT examination as a part of the follow-up scheme. Patients underwent retroperitoneal lymph node dissection (RPLND), radiotherapy, or were followed clinically by CT and/or PET/CT every 6 months. In 8 cases FDG-PET was positive: 5 of them underwent RPLND and 3 radiotherapy. Two patients with negative FDG-PET but positive CT also underwent RPLND. The remaining patients with negative FDG-PET results were followed up. FDG-PET/CT was false positive in one case >3 cm and one <3 cm, in 6 cases >3 cm it was true negative. While FDG-PET can find a viable tumor, there also is an important question of false positive results. It was clinically proven that a negative FDG-PET was correlated with stable disease, but we were unable to examine specimens in these cases. PMID:22507953

Siekiera, Jerzy; Ma?kowski, Bogdan; Jó?wicki, Wojciech; Jasi?ski, Mi?osz; Wronczewski, Andrzej; Pietrzak, Tomasz; Chmielowska, Ewa; Petrus, Andrzej; Kamecki, Krzysztof; Miko?ajczak, Witold; Kra?nicki, Krzysztof; Ch?osta, Piotr; Drewa, Tomasz

2012-01-01

380

Follow-Up Study of Journalism Students--1985-1990. Volume XX, No. 8.  

ERIC Educational Resources Information Center

As part of the overall evaluation of its journalism program, William Rainey Harper College (WRHC), in Palatine, Illinois, conducted a follow-up survey of students who had completed three or more journalism courses between 1985 and 1990 to determine current activities and perceptions of the program. Questionnaires were mailed to all 80…

Havlic, S.; And Others

381

A review of long-term follow-up for survivors of childhood cancer  

Microsoft Academic Search

Though cure from cancer is not guaranteed, children’s chances of survival have increased significantly. As a result the paediatric oncology community is focused on providing appropriate follow-up care to an increasing number of young cancer survivors. How this care should be designed and delivered however remains the centre of ongoing discussion and was the focus of this review. The aims

Helen Aslett; Gill Levitt; Alison Richardson; Faith Gibson

2007-01-01

382

Follow-Up Study of 1988 Dental Hygiene Graduates. Volume XVII, No. 7.  

ERIC Educational Resources Information Center

In 1989, a follow-up study was conducted of the 1988 graduates of William Rainey Harper College's (WRHC's) Dental Hygiene program in order to measure the quality of the program, explore the need for changes, and substantiate the program's goals for accreditation standards. A survey was mailed to all 27 associate degree graduates, requesting…

Holt, Marianne; Flaherty, Toni

383

Limited adequacy of thyroid cancer patient follow-up at a Canadian tertiary care centre  

PubMed Central

Background We sought to evaluate the adequacy of follow-up of thyroid cancer patients at a Canadian centre. Methods We mailed a survey to the family physicians of thyroid cancer patients and analyzed the findings relative to follow-up guidelines published by the American Thyroid Association (ATA). Statistical significance between early and late follow-up patterns was analyzed using the ?2 test. Results Our survey response rate was 56.2% (91 of 162). The time from operation ranged from 1.24–7.13 (mean 3.96) years, and 87.9% of patients had undergone a physical exam within the previous year. Only 37.4% and 14% of patients had a serum thyroglobulin measurement within 6 and between 6 and 12 months before the survey, respectively. Thyroid simulating hormone (TSH) levels were measured within the prior 6 months in 67% of patients and between 6 and 12 months in 13.2%. The TSH levels were suppressed (< 0.1 ?IU/L) in 24.2% of patients, 0.1–2 ?IU/L in 44% and greater than 2 ?IU/L in 17.6%. Ultrasonography was the most common imaging test performed. Conclusion There is significant variation in the follow-up patterns of patients with thyroid cancer, and there is considerable deviation from current ATA guidelines. PMID:24284145

Lam, Elaine; Strugnell, Scott S.; Bajdik, Chris; Holmes, Daniel; Wiseman, Sam M.

2013-01-01

384

Follow-Up Study of 1988 Nursing Graduates. Volume XVIII, No. 8.  

ERIC Educational Resources Information Center

In 1989, a follow-up study of nursing program graduates was conducted at William Rainey Harper College (WRHC) to examine their employment patterns, further education plans, and evaluate particular aspects of their WRHC experience. Questionnaires were mailed to 105 nursing students who graduated in 1988. Results were compared with previous surveys…

Dincher, J.; Meltesen, Cal

385

Follow-Up Study of 1990 Nursing Graduates. Volume XX, No. 10.  

ERIC Educational Resources Information Center

In 1990, a follow-up study of nursing program graduates was conducted at William Rainey Harper College (WRHC) in Palatine, Illinois, to examine their employment patterns, further education plans, and evaluate particular aspects of their WRHC experience. All 98 nursing students who earned 48 credit hours in 1990 were mailed questionnaires 1 year…

Lucas, J.; Meltesen, C.

386

Follow-Up Study of 1992 Nursing Graduates. Volume XXII, Number 15, March 1994.  

ERIC Educational Resources Information Center

In an attempt to evaluate the effectiveness of its nursing program, William Rainey Harper College (WRHC) (Illinois) conducted a follow-up study of 1992 nursing graduates or alumni. In spring 1993, a survey instrument, inquiring about employment status, future educational plans, and evaluation of their experience at WRHC, was mailed to all 142 WRHC…

Lucas, John A.; Meltesen, Cal

387

Follow-Up Study of 1986 Nursing Graduates. Volume XVI, No. 12.  

ERIC Educational Resources Information Center

In spring 1987, a follow-up study of nursing program graduates was conducted at William Rainey Harper College (WRHC) to examine employment patterns, further education plans, and graduates' evaluation of particular aspects of their WRHC experience. Questionnaires were mailed to 112 nursing students who graduated with an associate degree in 1986.…

Dincher, J.; Flaherty, A.

388

Young Adult Follow-Up of Hyperactive Children: Antisocial Activities and Drug Use  

ERIC Educational Resources Information Center

Background: Hyperactive/ADHD children are believed to be a greater risk for adolescent and young adult antisocial activity and drug use/abuse, particularly that subset having comorbid conduct problems/disorder. Method: We report on the lifetime antisocial activities and illegal drug use self-reported at young adult follow-up (mean age 20-21 years;…

Barkley, Russell A.; Fischer, Mariellen; Smallish, Lori; Fletcher, Kenneth

2004-01-01

389

Nursing Education Follow-Up Study--1974 R.Ns. a Year After Graduation.  

ERIC Educational Resources Information Center

A group of 41 registered nursing graduates of the 1974 class at Bakersfield College was surveyed in the summer of 1974 as part of a nursing education follow-up study. In the summer of 1975, the same group was surveyed again in order to compare the perceptions and aspirations reported by the graduates one year after graduation with those reported…

Scott, David C.

390

Nursing Education Follow-Up Study--1982 R.N.'s.  

ERIC Educational Resources Information Center

In 1982, a follow-up study of nursing graduates of the Bakersfield College Registered Nursing (RN) program was conducted to obtain information that would lead to improvement in program quality and to a better match between supply and demand in the local nursing labor market. In addition, the study compared results with similar studies conducted…

Scott, David C.

391

The Experience of Melanoma Follow-Up Care: An Online Survey of Patients in Australia  

PubMed Central

Investigating patients' reports on the quality and consistency of melanoma follow-up care in Australia would assist in evaluating if this care is effective and meeting patients' needs. The objective of this study was to obtain and explore the patients' account of the technical and interpersonal aspects of melanoma follow-up care received. An online survey was conducted to acquire details of patients' experience. Participants were patients treated in Australia for primary melanoma. Qualitative and quantitative data about patient perceptions of the nature and quality of their follow-up care were collected, including provision of melanoma specific information, psychosocial support, and imaging tests received. Inconsistencies were reported in the provision and quality of care received. Patient satisfaction was generally low and provision of reassurance from health professionals was construed as an essential element of quality of care. “Gaps” in follow-up care for melanoma patients were identified, particularly provision of adequate psychosocial support and patient education. Focus on strategies for greater consistency in the provision of support, information, and investigations received, may generate a cost dividend which could be reinvested in preventive and supportive care and benefit patient well-being.

Street, Jackie; Neuhaus, Susan; Bessen, Taryn

2014-01-01

392

77 FR 69896 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Follow-Up...  

Federal Register 2010, 2011, 2012, 2013, 2014

The Department of Labor (DOL) is submitting the Employment and Training Administration (ETA) sponsored information collection request (ICR) proposal titled, ``Follow-Up Survey Information for Green Jobs and Health Care Impact Evaluation, American Recovery Reinvestment Act Grants,'' to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork......

2012-11-21

393

A Randomized Effectiveness Trial of Brief Parent Training: Six-Month Follow-Up  

ERIC Educational Resources Information Center

Objective: To examine the follow-up effectiveness of brief parent training (BPT) for children with emerging or existing conduct problems. Method: With the use of a randomized controlled trial and parent and teacher reports, this study examined the effectiveness of BPT compared to regular services 6 months after the end of the intervention.…

Kjøbli, John; Bjørnebekk, Gunnar

2013-01-01

394

Corticosteroid monotherapy in a case of bronchocentric granulomatosis with a two-year follow-up.  

PubMed

Bronchocentric granulomatosis (BCG) is a rare disease. Because of the possibility of fungal infection, BCG has usually been treated with corticosteroids and antifungal agent. However, fungi are not detected in all BCG tissues. We report a case of proven BCG by open lung biopsy without fungi in a woman with corticosteroids monotherapy and two-year follow-up. PMID:24255794

Li, Huiling; He, Jianxing; Gu, Yingying; Zhong, Nanshan

2013-10-01

395

The Search of Transits and WTS Follow Up at RoPACS Network Meeting  

E-print Network

and tests (4th-31st Aug.) Pipeline to reduce data Photometry Felipe Murgas The Search of Transits and WTS and photometry Automatized diferential photometry Felipe Murgas The Search of Transits and WTS Follow Up at the IAC #12;Optical Ground Station (OGS) Star DetectionStar Detection Initial PhotometryInitial Photometry

Pinfield, David J.

396

Stent implant follow-up in intravascular optical coherence tomography images  

E-print Network

Stent implant follow-up in intravascular optical coherence tomography images Gozde Unal Ã? Serhan methods in detection of stent struts imaged in vivo by optical coherence tomography (OCT) during percutaneous coronary interventions (PCI); (ii) to provide measurements for the assessment and monitoring of in-stent

Yanikoglu, Berrin

397

Four-year follow-up of oral health surveillance in renal transplant children  

Microsoft Academic Search

To outline the specific oral surveillance needs of renal transplant children, we report the 4-year follow-up data of 106 children examined routinely on a 6-month basis and upon request from the medical team or the parents in the interval. Data were recorded for hard and soft dental tissues, including enamel defects carious lesions, gingival status, orthodontic treatment needs, and wisdom

Pierre Farge; Bruno Ranchin; Pierre Cochat

2006-01-01

398

Effects of Stimulant Medication on Growth Rates across 3 Years in the MTA Follow-up  

ERIC Educational Resources Information Center

Objective: To evaluate the hypothesis of stimulant medication effect on physical growth in the follow-up phase of the Multimodal Treatment Study of Children With ADHD. Method: Naturalistic subgroups were established based on patterns of treatment with stimulant medication at baseline, 14-, 24-, and 36-month assessments: not medicated (n = 65),…

Swanson, James M.; Elliott, Glen R.; Greenhill, Laurence L.; Wigal, Timothy; Arnold, L. Eugene; Vitiello, Benedetto; Hechtman, Lily; Epstein, Jeffery N.; Pelham, William E.; Abikoff, Howard B.; Newcorn, Jeffrey H.; Molina, Brooke S. G.; Hinshaw, Stephen P.; Wells, Karen C.; Hoza, Betsy; Jensen, Peter S.; Gibbons, Robert D.; Hur, Kwan; Stehli, Annamarie; Davies, Mark; March, John S.; Conners, C. Keith; Caron, Mark; Volkow, Nora D.

2007-01-01

399

Early Referral Follow-Up Project. Final Report, October 1, 1983 to September 30, 1986.  

ERIC Educational Resources Information Center

The Early Referral and Follow-up Project of the University of Nebraska Medical Center was designed to facilitate developmental assessment and intervention with long-term or repeatedly hospitalized children from birth to 3 years of age. Developmentally delayed children, handicapped children, and children at risk for delays were eligible for…

Robinson, Cordelia C.

400

Follow-Up Study of Children Referred to Developmental Evaluation Services for Children (DESC).  

ERIC Educational Resources Information Center

Developmental Evaluation Services for Children (DESC) provides in-depth medical and educational diagnostic services for children in Montgomery County, Maryland, who are under 6 years of age and who are suspected of having handicapping conditions in two or more areas of development. This follow-up study was designed to determine the progress of…

Cooper, Judith A.; Hebbeler, Kathleen M.

401

Iowa Vocational Student Follow-Up Micro-Computer Management System [Machine Readable Data File].  

ERIC Educational Resources Information Center

Iowa's Vocational Student Follow-Up System was designed for use by the high schools and community colleges in the state in collecting a common set of outcomes data on vocational students. The menu-driven data management system was designed for operation on an MS-DOS or PC-DOS IBM compatible microcomputer, using a programming language similar to…

Iowa State Dept. of Education, Des Moines.

402

Evidence-Based Assessment in Case Management to Improve Abnormal Cancer Screen Follow-Up  

ERIC Educational Resources Information Center

The authors describe an evidence-based assessment protocol for intensive case management to improve screening diagnostic follow-up developed through a research project in breast and cervical cancer early detection funded by the Centers for Disease Control and Prevention. Three components of an evidence-based approach to assessment are presented…

Vourlekis, Betsy; Ell, Kathleen; Padgett, Deborah

2005-01-01

403

Case Series: Pediatric Seasonal Affective Disorder. A Follow-up Report  

Microsoft Academic Search

Six subjects who as children had received a diagnosis of seasonal affective disorder consented to participate in a 7-year follow-up study. Structured and semistructured interviews were conducted to assess the course of illness, response to treatment, and current clinical state. Seasonal patterns of symptoms and response to light therapy remained relatively stable over a 7-year period. Two subjects were using

JAY N. GIEDD; SUSAN E. SWEDO; CATHERINE H. LOWE; NORMAN E. ROSENTHAL

1998-01-01

404

Emetic and Electric Shock Alcohol Aversion Therapy: Six- and Twelve-Month Follow-Up.  

ERIC Educational Resources Information Center

Follow-up data are presented for 6- and 12-months on male alcoholics (N=20) who received either a multifaceted inpatient alcoholism treatment program alone (controls) or emetic or shock aversion therapy in addition to that program. Both emetic and control subjects compiled more days of abstinence than shock subjects. (Author)

Cannon, Dale S.; Baker, Timothy B.

1981-01-01

405

Follow-Up of Stable Chromosomal Aberrations in Gamma-Ray Irradiated Non-human Primates  

E-print Network

different doses of ionising radiation: 2 Gy whole body irradiation for two and 4 Gy for two others. BloodFollow-Up of Stable Chromosomal Aberrations in Gamma-Ray Irradiated Non-human Primates Grégoire E 84 67 E-mail: eric.gregoire@irsn.fr Key words: retrospective dosimetry, translocations, non

Paris-Sud XI, Université de

406

Howard Community College Follow-Up of 1984 Entrants. Research Report Number 60.  

ERIC Educational Resources Information Center

In spring 1988, a follow-up study was conducted of students who first attended Howard Community College (HCC) in fall 1984. The primary objectives of the survey were to determine the students' educational and career achievements subsequent to attending HCC and to assess the effectiveness of the college from the students' perspective. All other…

Seboda, Barbara L.

407

Howard Community College Follow-Up of 1987 Graduates. Research Report Number 61.  

ERIC Educational Resources Information Center

In 1988, a follow-up survey was conducted of 1987 Howard Community College (HCC) graduates to determine their employment and educational status, reasons for attending HCC, goal attainment, reasons for selecting HCC, ratings of the college, attendance pattern, transfer experiences, employment patterns, and satisfaction with the college and their…

Seboda, Barbara L.

408

One Year Later: A Follow-Up of the Harford Community College 1982 Graduates.  

ERIC Educational Resources Information Center

In spring 1983, a follow-up study was conducted of students who received a certificate or associate degree (AA) from Harford Community College (HCC) during the 1981-82 academic year. Surveys were mailed to 491 graduates requesting information on their goals and goal achievement, transfer and employment experiences, and satisfaction with HCC. A…

Quinley, John W.; And Others

409

Long-term Follow-up Study of Endovascularly Treated Intracranial Aneurysms  

PubMed Central

Summary Long-term follow-up studies after endovascular treatment for intracranial aneurysm are still rare and inconclusive. The aim of this study was to assess long-term clinical and angiographic outcome of patients with endovascularly treated aneurysms. The Clinical outcome of all 185 patients with endovascularly treated aneurysms were analyzed and 77 out of 122 surviving patients were examined with MRI and MRA nine to 16 years (mean 11 years) after the initial endovascular treatment. Sixty-three patients were deceased at the time of follow-up. The cause of death was aneurysm- related in 34 (54%) patients. The annual re- bleeding rate from the treated aneurysms was 1.3% in the ruptured group and 0.1% in the unruptured group. In long-term follow-up MRA 18 aneurysms (53%) were graded as complete, 11 aneurysms (32%) had neck remnants and five aneurysms (15%) were incompletely occluded in the ruptured group. Occlusion grade was lower in the unruptured group with 20 an- eurysms (41%) graded as complete, 11 (22%) had neck remnants and 18 (37%) were incomplete. However, only three aneurysms were unstable during the follow-up period and needed retreatment. Endovascular treatment of unruptured aneu- rysms showed incomplete angiographic outcome in 37% of cases. However, annual bleeding rate was as low as 0.1%. Endovascular treatment of ruptured aneurysms showed incomplete angiographic outcome in 15% of cases and the annual rebleeding rate was 1.3%. PMID:21162766

Pyysalo, L.M.; Keski-Nisula, L.H.; Niskakangas, T.T.; Kähärä, V.J.; Öhman, J.E.

2010-01-01

410

Clinically diagnosed childhood asthma and follow-up of symptoms in a Swedish case control study  

Microsoft Academic Search

BACKGROUND: Childhood asthma has risen dramatically not only in the western societies and now forms a major and still increasing public health problem. The aims of this study were to follow up at the age of ten the patterns of asthma symptoms and associations among children with a clinically diagnosed asthma in a sizeable urban-rural community and to in compare

Eduardo Roel; Åshild Faresjö; Olle Zetterström; Erik Trell; Tomas Faresjö

2005-01-01

411

Self-Assessment Processes: The Importance of Follow-up for Success  

ERIC Educational Resources Information Center

Purpose: The purpose of this paper is to review the literature on self-assessment processes and to identify the difficulties, benefits and success factors of the European Foundation for Quality Management self-assessment model, analysing the importance of follow-up. Design/methodology/approach: First, the paper carries out a literature review on…

Tari, Juan Jose

2010-01-01

412

Emotionally Focused Interventions for Couples with Chronically Ill Children: A 2-Year Follow-Up  

ERIC Educational Resources Information Center

Couples with chronically ill children are particularly at risk for experiencing marital distress. The study presented here is a 2-year follow-up of a randomized control trial that assessed the efficacy of Emotionally Focused Therapy (EFT) in decreasing marital distress in a sample of couples with a chronically ill child. Thirteen couples with…

Cloutier, Paula F.; Manion, Ian G.; Walker, Jan Gordon; Johnson, Susan M.

2002-01-01

413

77 FR 59984 - Comment Request for Information Collection for Placement Verification and Follow-Up of Job Corps...  

Federal Register 2010, 2011, 2012, 2013, 2014

...for Placement Verification and Follow-Up of Job Corps Participants; Extension Without Revisions...the Placement Verification and Follow-up of Job Corps Participants, using post-center surveys of Job Corps graduates and former enrollees...

2012-10-01

414

30 CFR 62.174 - Follow-up corrective measures when a standard threshold shift is detected.  

Code of Federal Regulations, 2010 CFR

... Follow-up corrective measures when a standard threshold...Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL... Follow-up corrective measures when a standard...

2010-07-01

415

Transvaginal cystocele repair using a tension-free polypropylene mesh: more than 5 years of follow-up  

Microsoft Academic Search

ObjectivesProspective randomized controlled trials, with 2 years’ follow-up, seem to lean in favour of anterior repair using synthetic mesh. The goal of this study was to report on long-term (>5 years) follow-up.

Vincent Letouzey; Xavier Deffieux; Amélie Gervaise; Grégoire Mercier; Hervé Fernandez; Renaud de Tayrac

2010-01-01

416

Axonal damage accumulates in the progressive phase of multiple sclerosis: three year follow up study  

PubMed Central

Background: Neurofilament phosphoforms (Nf) are principal components of the axoskeleton released during axonal injury. Cerebrospinal fluid (CSF) levels of Nf phosphoforms might be useful surrogate markers for disability in multiple sclerosis (MS), aid in distinguishing clinical subtypes, and provide valuable prognostic information. Method: Thirty four patients with MS were included in a three year follow up study along with 318 controls with other non-inflammatory neurological diseases. CSF levels of two Nf heavy chain (NfH) phosphoforms (NfHSMI35, NfHSMI34) were quantified at baseline and three year follow up using new ELISA techniques. Levels of NfH phosphoforms, the degree of phosphorylation (NfHSMI34:NfHSMI35 ratio), and changes in NfH levels between baseline and follow up (?NfH) were related to the clinical phenotype (RR or SP/PP), to three clinical scales (Kurtzke's EDSS, ambulation index (AI), and nine hole peg test (9HPT)), and to progression of disability. Results: A significantly higher proportion (59%) of patients with SP/PPMS experienced an increase in NfHSMI35 levels between baseline and follow up compared with those with RRMS (14%, p<0.05). CSF NfHSMI34 levels at baseline were higher in patients with SP/PP (11 pg/ml) compared with RR (7 pg/ml, p<0.05) and NfHSMI35 levels were higher at follow up in SP/PP (129 pg/ml) compared with levels below assay sensitivity in RR (p<0.05). NfHSMI35 correlated with the EDSS (rs = 0.54, p<0.01), the AI (rs = 0.42, p<0.05), and the 9HPT (rs = 0.59, p<0.01) at follow up. Conclusion: The increase in NfH during the progressive phase of the disease together with the correlation of NfHSMI35 with all clinical scales at follow up suggests that cumulative axonal loss is responsible for sustained disability and that high NfHSMI35 levels are a poor prognostic sign. PMID:15654034

Petzold, A; Eikelenboom, M; Keir, G; Grant, D; Lazeron, R; Polman, C; Uitdehaag, B; Thompson, E; Giovannoni, G

2005-01-01

417

Ergonomic stressors and upper extremity musculoskeletal disorders in automobile manufacturing: a one year follow up study  

PubMed Central

Aims: To estimate the one year cumulative incidence and persistence of upper extremity (UE) soft tissue disorders, in a fixed cohort of automotive manufacturing workers, and to quantify their associations with ergonomic exposures. Methods: At baseline and at follow up, cases of UE musculoskeletal disorders were determined by interviewer administered questionnaire and standardised physical examination of the upper extremities. The interview obtained new data on psychosocial strain and updated the medical and work histories. An index of exposure to ergonomic stressors, obtained at baseline interview, was the primary independent variable. Cumulative incidence and persistence of UE disorders (defined both by symptoms and by physical examination plus symptoms) were analysed in relation to baseline ergonomic exposures, adjusting for other covariates. The incidence of new disorders was modelled using multivariate proportional hazards regression among workers who were not cases in the first year and the prevalence on both occasions was modelled by repeated measures analysis. Results: A total of 820 workers (69% of eligible cohort members) was examined. Follow up varied slightly by department group but not by baseline exposure level or other characteristics. Among the non-cases at baseline, the cumulative incidence of UE disorders was 14% by symptoms and 12% by symptoms plus examination findings. These rates increased with index of physical exposures primarily among subjects who had the same jobs at follow up as at baseline. Increased exposure during follow up increased risk of incidence. The persistence of UE disorders from baseline to follow up examination was nearly 60% and somewhat associated with baseline exposure score. Conclusions: These longitudinal results confirm the previous cross sectional associations of UE musculoskeletal disorders with exposure to combined ergonomic stressors. The exposure-response relation was similar for incident cases defined by symptoms alone and those confirmed by physical examination. PMID:15258272

Punnett, L; Gold, J; Katz, J; Gore, R; Wegman, D

2004-01-01

418

Observational study on Takotsubo-like cardiomyopathy: clinical features, diagnosis, prognosis and follow-up  

PubMed Central

Objectives The present study attempts to identify appropriate elements that may contribute to clarify the broad clinical features (diagnosis, care, complication and prognosis) of Takotsubo-like cardiomyopathy for improving its management. Design study Observational study. Setting Primary level of care referred to the emergency department of Vannini Hospital, Rome, Italy. Participants The study population consisted of 75 patients, 72 of the them were women and 3 were men with a mean age of 71.9±9.6?years. Methods From February 2004 to November 2010, prospectively included 84 consecutive patients diagnosed for suspected Takotsubo-like cardiomyopathy. To be eligible, patients had to meet all the Mayo clinic criteria in the absence of neurological trauma or intracranial haemorrhage. Moreover, those patients that at follow-up still presented alteration of acute phase at ECG and echocardiogram were excluded. Thus, 75 patients comprised the study population. To follow-up 19 patients were lost. Results None of 75 patients died in acute phase. All patients were promptly discharged (8.4±4.4?days), since they recovered their normal functional status without symptoms. Follow-up information was available for 56 patients. At a mean follow-up time of 2.2±2?years (range, 0.1–6.8?years) two octogenarian patients (2.6%) died because of sudden cardiac death and pulmonary embolism, respectively. The Takotsubo-like cardiomyopathy recurred in one patient. Conclusions The results of this study support the previous reports about the good prognosis, also in critically ill patients, of Takotsubo-like cardiomyopathy. Further assessment will be needed to determine a careful and sustained follow-up for choosing the best care and foreseeing the recurrences of this emerging condition. PMID:23065445

Cacciotti, Luca; Passaseo, Ilaria; Marazzi, Giuseppe; Camastra, Giovanni; Campolongo, Giuseppe; Beni, Sergio; Lupparelli, Fabrizio; Ansalone, Gerardo

2012-01-01

419

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CODING: FOLLOW UP QUESTIONNAIRE (UA-D-11.0)  

EPA Science Inventory

The purpose of this SOP is to define the coding strategy for the Follow Up Questionnaire. This questionnaire was developed for use in the Arizona NHEXAS project and the "Border" study. Household and individual follow-up data were combined in a single Follow-up Questionnaire data...

420

75 FR 54965 - Proposed Information Collection (Follow-Up Study of a National Cohort of Gulf War and Gulf Era...  

Federal Register 2010, 2011, 2012, 2013, 2014

...AFFAIRS [OMB Control No. 2900-New...Collection (Follow-Up Study of...Management System (FDMS...Titles: Follow-Up Study of...10-0488a. OMB Control Number: OMB Control No. 2900-New...unexplained multi-system illnesses...Burden a. Follow-Up Study...

2010-09-09

421

75 FR 54445 - Proposed Information Collection (Follow-Up Study of a National Cohort of Gulf War and Gulf Era...  

Federal Register 2010, 2011, 2012, 2013, 2014

...AFFAIRS [OMB Control No. 2900-New...Collection (Follow-Up Study of...Management System (FDMS...Titles: Follow-Up Study of...10-0488a. OMB Control Number: OMB Control No. 2900-New...unexplained multi-system illnesses...Burden: a. Follow-Up Study...

2010-09-07

422

High School and Beyond 1980 Senior Cohort Third Follow-Up (1986) Data File [machine-readable data file].  

ERIC Educational Resources Information Center

The High School and Beyond Senior Cohort Third Follow-Up Data File is provided. The data tape contains the following files: (1) the raw data file for each respondent (randomized identification number; first follow-up flags and composites; base year questionnaire and test data; first follow-up questionnaire data; dropout questionnaire data;…

Center for Education Statistics (ED/OERI), Washington, DC.

423

High School and Beyond. 1980 Sophomore Cohort. Second Follow-Up (1984). [machine-readable data file].  

ERIC Educational Resources Information Center

The High School and Beyond 1980 Sophomore Cohort Second Follow-Up (1984) data file is provided. The data file consists of 14,825 records contains the following files: (1) the raw data file (including the randomized identification number; first follow-up flags and composites; base-year questionnaire data; first follow-up questionnaire data; dropout…

Center for Education Statistics (ED/OERI), Washington, DC.

424

High School and Beyond. 1980 Senior Cohort. Second Follow-Up (1984). [machine-readable data file].  

ERIC Educational Resources Information Center

The High School and Beyond Senior Cohort Second Follow-Up (SCSF) data file (1984) is presented. The file consists of 11,995 records. The SCSF data tape contains five related files: (1) the raw data file (including the randomized identification number; first follow-up flags and composites; base-year questionnaire data; first follow-up questionnaire…

Center for Education Statistics (ED/OERI), Washington, DC.

425

Percutaneous interspinous distraction device for the treatment of lumbar spinal canal stenosis: Clinical and radiographic results at 2-year follow-up  

PubMed Central

Objective To evaluate the effectiveness of the In- space (Synthes, Umkirch, Germany) and the correlation between radiographic parameters and clinical outcome in patients with lumbar spinal canal stenosis (LSS). Methods Between June 2009 and May 2013, 56 patients with LSS underwent In-space by one senior surgeon. All of the patients were evaluated both clinically and radiographic measurements before the procedure and each visit at the postoperative follow-up. Preoperative and postoperative X-ray imaging was performed before the procedure and at follow-up to assess the correlation with the clinical outcome. Radiological measurements and clinical outcomes were recorded to establish a relationship between the radiographic parameters and clinical outcome of this procedure. All patients had at least 2 years of follow-up. Results The mean VAS score of back pain decreased significantly (p < 0.05). Conclusions Our data suggest that percutaneous interspinous devices are a good alternative to treat LSS. The device offers significant decrease in back pain, leg pain and ODI score with 2-year lasting relief from symptoms. The increased intervertebral foramenal space explains the improvement of leg pain, but the mechanism of back pain relief remains unclear. A very weak correlation between the radiographic changes and improvement of pain was found. PMID:25694917

Chaichankul, Chaiyos; Limthongkul, Worawat

2014-01-01

426

Microsoft PowerPoint - Vaughn_Follow-UpCareintheAdultSurvivorSetting_color.ppt [Compatibility Mode  

Cancer.gov

LAF LWAC TC Team Oncology Research Coordinator Primary C Counselin g Nutrition C are Psychiatry Rehab g TC Psychiatry Cancer Med Survivor Cancer Genetics Pigmented Lesion Clinic Endocrine Cardiology Clinic Urology What Happens at a Visit?

427

Slater revisited: 6 year follow up study of patients with medically unexplained motor symptoms  

PubMed Central

Objective: To investigate psychiatric and neurological morbidity, diagnostic stability, and indicators of prognosis in patients previously identified as having medically unexplained motor symptoms. Design: Follow up study. Setting: National Hospital for Neurology and Neurosurgery, London—a secondary and tertiary referral hospital for neurological disorders. Subjects: 73 patients with medically unexplained motor symptoms admitted consecutively in 1989-91. 35 (48%) patients had absence of motor function (for example, hemiplegia) and 38 (52%) had abnormal motor activity (for example, tremor, dystonia, or ataxia). Main outcome measures: Neurological clinical diagnosis at face to face reassessment by a neurologist and a psychiatric diagnosis after a standardised assessment interview—the schedule for affective disorders and schizophrenia—conducted by a psychiatrist. Results: Good follow up data were available for 64 subjects (88%). Only three subjects had new organic neurological disorders at follow up that fully or partly explained their previous symptoms. 44/59 (75%) subjects had had psychiatric disorders; in 33 (75%) patients, the psychiatric diagnosis coincided with their unexplained motor symptoms. 31/59 (45%) patients had a personality disorder. Three subjects had developed new psychiatric illnesses at follow up, but in only one did the diagnosis account for the previous motor symptoms. Resolution of physical symptoms was associated with short length of symptoms, comorbid psychiatric disorder, and a change in marital status during follow up. Conclusions: Unlike Slater’s study of 1965, a low incidence of physical or psychiatric diagnoses which explained these patients’ symptoms or disability was found. However, a high level of psychiatric comorbidity existed. Key messages Motor symptoms that remain unexplained medically despite thorough investigation are a common clinical problem, but the emergence of a subsequent organic explanation for these symptoms is rare The prevalence of coexistent affective and anxiety disorders is high and many patients also have a personality disorder Patients with a shorter duration of symptoms and coexistent anxiety or depression are likely to do better at follow up Reinvestigation of these patients is both expensive and potentially dangerous and should be avoided where no clear clinical indication exists PMID:9518908

Crimlisk, Helen L; Bhatia, Kailash; Cope, Helen; David, Anthony; Marsden, C David; Ron, Maria A

1998-01-01

428

Follow Up for Emergency Department Patients After Intravenous Contrast and Risk of Nephropathy  

PubMed Central

Introduction: Contrast-induced nephropathy (CIN), defined as an increase in serum creatinine (SCr) greater than 25% or ?0.5 mg/dL within 3 days of intravenous (IV) contrast administration in the absence of an alternative cause, is the third most common cause of new acute renal failure in hospitalized patients. It is known to increase in-hospital mortality up to 27%. The purpose of this study was to investigate the rate of outpatient follow up and the occurrence of CIN in patients who presented to the emergency department (ED) and were discharged home after computed tomography (CT) of the abdomen and pelvis (AP) with IV contrast. Methods: We conducted a single center retrospective review of charts for patients who required CT of AP with IV contrast and who were discharged home. Patients' clinical data included the presence of diabetes mellitus, hypertension, chronic kidney disease (CKD) and congestive heart failure (CHF). Results: Five hundred and thirty six patients underwent CT of AP with IV contrast in 2011 and were discharged home. Diabetes mellitus was documented in 96 patients (18%). Hypertension was present in 141 patients (26.3%), and 82 patients (15.3%) were on angiotensin-converting-enzyme inhibitors (ACEI). Five patients (0.9%) had documented CHF and all of them were taking furosemide. Seventy patients (13%) had a baseline SCr >1.2 mg/dL. One hundred fifty patients (28%) followed up in one of the clinics or the ED within one week after discharge, but only 40 patients (7.5%) had laboratory workup. Out of 40 patients who followed up within 1 week after discharge, 9 patients (22.5%) developed CIN. One hundred ninety patients (35.4%) followed up in one of the clinics or the ED after 7 days and within 1 month after discharge, but only 71 patients (13.2%) had laboratory workup completed. Out of 71 patients who followed up within 1 month, 11 patients (15%) developed CIN. The overall incidence of CIN was 15.3% (17 out of 111 patients). Conclusion: There was a poor outpatient follow up after CT of AP with IV contrast and biochemically CIN appears to be present in some patients. Unlike previous reports that CKD is the major risk factor for CIN, our results demonstrated that risk factors such as advanced age, DM and hypertension seem to predispose patients to CIN rather than abnormal baseline SCr. [West J Emerg Med. 2014;15(3):276–281.] PMID:24868304

Hassen, Getaw Worku; Hwang, Albert; Liu, Lydia Liyun; Mualim, Felicia; Sembo, Toshiro; Tu, Ting Jia; Wei, Daniel Hsiang; Johnston, Paul; Costea, Ana; Meletiche, Carlos; Usmani, Shakeel; Barber, Andre; Jaiswal, Rajnish; Kalantari, Hossein

2014-01-01

429

High grade squamous intraepithelial lesion in inmates from Ohio: cervical screening and biopsy follow-up  

PubMed Central

Background Cervical carcinoma remains the second leading cause of cancer death in women worldwide and sexual behavior is regarded as the main contributing factor. We studied cervical cytology screening with surgical biopsy follow-up in women prisoners and compared the findings to those in the general population. Methods We reviewed 1024 conventional cervical smears, 73 cervical biopsies and 2 loop electrosurgical excision procedure (LEEP) specimens referred to us from the Correctional Center in Columbus, Ohio during a 12-month period. The results were compared to 40,993 Pap smears from the general population for the same 12-month period. Results High grade squamous intraepithelial lesion (HGSIL) was diagnosed in 1.3% of the cervical smears from the inmate population versus 0.6% in the general population (p < 0.01). The unsatisfactory rate was 1.6% compared to 0.3% in the general population (p < 0.01). Among the study population, follow-up tissue diagnosis was obtained in 24.3% of the abnormal cytology results (ASCUS, LGSIL, and HGSIL). Of the HGSIL Pap smears, 61.5% had a subsequent tissue diagnosis. Thirty-nine biopsies (52% of the all inmate biopsies and LEEP) showed CIN II/III (cervical intraepithelial neoplasia II/III). Eight of these thirty-nine follow-up biopsies diagnosed as CIN II/III had a previous cervical cytology diagnosis of ASCUS. The average age for HGSIL was 30.5 years (S.D. = 5.7) and for low grade squamous intraepithelial lesion (LGSIL) was 27.2 years (S.D. = 6.1). Conclusion A significantly higher prevalence of HGSIL cervical cytology and unsatisfactory smears was encountered in female inmates, with tissue follow-up performed in less than two thirds of the patients with HGSIL. These results are in keeping with data available in the literature suggesting that the inmate population is high-risk and may be subject to less screening and tissue follow-up than the general population. Clinicians should proceed with urgency to improve screening and follow-up with treatment. The inmate population should be targeted for HPV vaccination promptly after FDA approval. PMID:16686955

Proca, Daniela M; Rofagha, Soraya; Keyhani-Rofagha, Sedigheh

2006-01-01

430

Four years follow-up after clavicle reconstruction in a child: a case report.  

PubMed

Clavicle reconstruction is a rare operation. In most cases a mid-shaft defect of the clavicle is bridged by using different grafting techniques or musculo-osteous flaps. In some clinical situations where reconstruction is not a suitable option claviculectomy as a salvation procedure has proven to be an acceptable solution. In the paediatric population the challenge of both the cosmetic and the functional result attempting reconstruction of large bone defects is of higher demand. To our knowledge, this is the first case of a successful clavicle reconstruction with a sufficient follow-up using a free vascularised fibula graft in a child. This case provides a technique description, considerations in the paediatric population, an overview of other techniques used, and a long-term follow-up. PMID:25201718

Heidt, Christoph; Ziebarth, Kai; Erni, Dominique; Slongo, Theddy; Joeris, Alexander

2014-12-01

431

Psychiatric disorders in children in long-term residential care: a follow-up study.  

PubMed

Ninety-two children who had been examined in a psychiatric study of five to twelve year-olds in long-term residential care were followed up four years later. Three-quarters were still in children's homes, but over half had been moved to different establishments. At both the original study and follow-up, the majority showed evidence of psychiatric disorder. Considerable continuity of behavioural pattern was found, particularly amongst those who originally had antisocial disorders, who were also most likely to have had changes of care-taker during the four years. It is suggested that the persistence of their disorder may be due to a vicious circle of unacceptable behaviour and adult rejection. PMID:497616

Wolkind, S; Renton, G

1979-08-01

432

Replication of genetic linkage by follow-up of previously studied pedigrees  

SciTech Connect

Independent replication of linkage in previously studied pedigrees is desirable when genetic heterogeneity is suspected or when the illness is very rare. When the likelihood of the new data in this type of replication study is computed as conditional on the previously reported linkage results, it can be considered independent. The authors describe a simulation method using the SLINK program in which the initial data are fixed and newly genotyped individuals are simulated under [theta] = .01 and [theta] = .50. These give appropriate lod score criteria for rejection and acceptance of linkage in the follow-up study, which take into account the original marker genotypes in the data. An estimate of the power to detect linkage in the follow-up data is also generated. 13 refs., 1 fig., 1 tab.

Gershon, E.S.; Goldin, L.R. (National Institute of Mental Health, Bethesda, MD (United States))

1994-04-01

433

Cherenkov Telescope Array is Well Suited to Follow Up Gravitational Wave Transients  

E-print Network

The first gravitational-wave (GW) observations will greatly benefit, or even depend on, the detection of coincident electromagnetic counterparts. These counterparts will similarly enhance the scientific impact of later detections. Electromagnetic follow-ups can be, nevertheless, challenging for GW event candidates with poorly reconstructed directions. Localization can be inefficient in several important scenarios: (i) in the early advanced detector era, only the two LIGO observatories will be operating; (ii) later, even with more observatories, the detectors' sensitivity will probably be non-uniform; (iii) the first events, as well as a significant fraction of later events, will likely occur near the detectors' horizon distance, where they are only marginally detectable, having low signal-to-noise ratios. In these scenarios, the precision of localization can be severely limited. Follow-up observations will need to cover hundreds to thousands of square degrees of the sky over a limited period of time, reducing...

Bartos, Imre; Nieto, Daniel; Connaughton, Valerie; Humensky, Brian; Hurley, Kevin; Marka, Szabolcs; Meszaros, Peter; Mukherjee, Reshmi; O'Brien, Paul; Osborne, Julian P

2014-01-01

434

Telephone follow-up of patients after radical prostatectomy: a systematic review1  

PubMed Central

Objective to assess and summarize the best scientific evidence from randomized controlled clinical trials about telephone follow-up of patients after radical prostatectomy, based on information about how the phone calls are made and the clinical and psychological effects for the individuals who received this intervention. Method the search was undertaken in the electronic databases Medline, Web of Science, Embase, Cinahl, Lilacs and Cochrane. Among the 368 references found, five were selected. Results two studies tested interventions focused on psychological support and three tested interventions focused on the physical effects of treatment. The psychoeducative intervention to manage the uncertainty about the disease and the treatment revealed statistically significant evidences and reduced the level of uncertainty and anguish it causes. Conclusion the beneficial effects of telephone follow-up could be determined, as a useful tool for the monitoring of post-prostatectomy patients.

da Mata, Luciana Regina Ferreira; da Silva, Ana Cristina; Pereira, Maria da Graça; de Carvalho, Emilia Campos

2014-01-01

435

Long-term follow-up of children conceived through assisted reproductive technology*  

PubMed Central

Children conceived via assisted reproductive technologies (ART) are nowadays a substantial proportion of the population. It is important to follow up these children and evaluate whether they have elevated health risks compared to naturally conceived (NC) children. In recent years there has been a lot of work in this field. This review will summarize what is known about the health of ART-conceived children, encompassing neonatal outcomes, birth defects, growth and gonadal developments, physical health, neurological and neurodevelopmental outcomes, psychosocial developments, risk for cancer, and epigenetic abnormalities. Most of the children conceived after ART are normal. However, there is increasing evidence that ART-conceived children are at higher risk of poor perinatal outcome, birth defects, and epigenetic disorders, and the mechanism(s) leading to these changes have not been elucidated. Continuous follow-up of children after ART is of great importance as they progress through adolescence into adulthood, and new ART techniques are constantly being introduced. PMID:23645173

Lu, Yue-hong; Wang, Ning; Jin, Fan

2013-01-01

436

Minimum 5-year follow-up of a cementless, modular, tapered stem in hip revision arthroplasty.  

PubMed

Hip revision surgery with a cementless tapered femoral component can provide axial and rotational stability in patients with compromised proximal bone stock. This study includes 90 cases revised with the Link MP (Waldemar Link, Hamburg, Germany) prosthesis. The median age at surgery was 72 (38-89) years. Aseptic loosening (70%) and periprosthetic fracture (22%) were common indications for surgery. Sixty-three patients (70%) were followed clinically with a median of 6 (5-11) years of follow-up. All other patients were followed through the Swedish Hip Register. The 5-year survival rate was 98% with stem removal and 90% with any reoperation as the end point. Complications included hip dislocation in 17 (19%) patients. The median Harris hip score was 78 (16-100) points, and the median radiographic stem migration was 2.7 mm at follow-up. PMID:20149579

Weiss, Rüdiger J; Beckman, Mats O; Enocson, Anders; Schmalholz, Anders; Stark, André

2011-01-01

437

Compliance with treatment and follow-up protocols in project MATCH: predictors and relationship to outcome.  

PubMed

Treatment and follow-up session attendance data from Project MATCH, a multisite clinical trial investigating patient-treatment matching, were analyzed to study compliance. High rates of compliance to both therapy and research protocols were achieved, enhancing treatment integrity and data quality. Strong baseline predictors of compliance did not emerge, and the small relationships found were consistent with reports from previous studies. Attendance at therapy sessions was moderately correlated with research follow-up participation. Treatment compliance predicted drinking outcome, underscoring the importance of retaining patients in treatment. Future studies should examine the associations between compliance and structural features of the treatment environment, treatment delivery, and context-features that are often under the control of the clinician/investigator. PMID:9756050

Mattson, M E; Del Boca, F K; Carroll, K M; Cooney, N L; DiClemente, C C; Donovan, D; Kadden, R M; McRee, B; Rice, C; Rycharik, R G; Zweben, A

1998-09-01

438

Psychopathy, treatment behavior, and recidivism: an extended follow-up of Seto and Barbaree.  

PubMed

Seto and Barbaree reported the unexpected finding that adult male sex offenders who scored higher on psychopathy and exhibited better behavior in treatment were almost four times more likely to commit a new serious offence than other offenders once released. The present study reexamined this sample after a longer follow-up time using more complete recidivism data from a national police database. Although psychopathy continued to be a significant predictor of general and serious recidivism, treatment behavior was no longer related to either general or serious recidivism, and there was no statistically significant interaction between psychopathy and treatment behavior. Additional analyses ruled out the possibility that the differences between studies could be accounted for by the different average length of follow-up. A direct comparison of the two sources of recidivism data showed that differences in recidivism between subgroups were reduced by using the more complete recidivism data. PMID:16051730

Barbaree, Howard E

2005-09-01

439

Using nurses for preventive activities with computer assisted follow up: a randomised controlled trial.  

PubMed Central

OBJECTIVE--To assess whether an organised programme of prevention including the use of a health promotion nurse noticeably improved recording and follow up of cardiovascular risk factors and cervical smears in a general practice that had access to computerised cell and recall. DESIGN--Randomised controlled trial. SETTING--General practice in inner London. PATIENTS--All 3206 men and women aged 30-64 registered with the practice. INTERVENTION--The intervention group had their risk factors ascertained and followed up by the health promotion nurse and the general practitioner, whereas those in the control group were managed by the general practitioner alone. END POINT--Recording and follow up of blood pressure and cervical smears after three years. Recording of smoking, family history of ischaemic heart disease, and serum cholesterol concentrations were also examined. MEASUREMENTS and MAIN RESULTS--When the trial was stopped after two years the measurements of blood pressure in the preceding five years were 93% (1511/1620) v 73% (1160/1586) (95% confidence interval for difference 17.5 to 22.7%) for intervention and control groups respectively. For patients with hypertension the figures were 97% (104/107) v 69% (80/116) (18.2 to 38.2%). For women the proportion who had had a cervical smear in the preceding three years were 76% (606/799) v 49% (392/806) (22.5 to 31.9%). Recording of smoking, family history of ischaemic heart disease, and serum cholesterol concentrations was also higher in the intervention group compared with the control group. CONCLUSION--An organised programme, which includes a nurse with specific responsibility for adult prevention, is likely to make an important contribution to recording of risk factors and follow up of those patients with known risks. PMID:2495053

Robson, J.; Boomla, K.; Fitzpatrick, S.; Jewell, A. J.; Taylor, J.; Self, J.; Colyer, M.

1989-01-01

440

Polycystic ovarian morphology and bulimia nervosa: a 9-year follow-up study  

Microsoft Academic Search

Objective: To examine long-term changes in polycystic ovarian morphology in women with polycystic ovaries and bulimia nervosa after treatment of the latter condition.Design: Longitudinal follow-up study.Setting: Eating disorder unit of a university hospital.Patient(s): Eight women originally treated for bulimia nervosa (T0) who underwent ultrasonography up to 2 years after treatment (T1) and had a second ultrasonographic scan 9 years later

John F Morgan; Sara E McCluskey; Joan N Brunton; J Hubert Lacey

2002-01-01

441

Endovascular treatment and computed imaging follow-up of 14 anterior condylar dural arteriovenous fistulas.  

PubMed

We report our experience in treating the anterior condylar dural arteriovenous fistula (DAVF) and confirm the location of the coils in the follow-up images after successful endovascular treatment. We retrospectively reviewed the 14 patients with anterior condylar DAVF treated successfully in our institute. Twelve of them had CT or MR follow-up images. All the patients had intravascular coiling of the fistula. Seven of our patients had retrograde drainage to different sinuses. Three had ocular symptoms as a clinical manifestation. We treated nine patients with coils alone (eight transvenous, one transarterial), four with adjuvant transarterial treatment with particles or liquid embolic for minimal residual after coiling packing. One patient had failed onyx treatment and successful treatment by following transvenous packing. All patients had total obliteration of the DAVF fistula on immediate post-procedure angiogram or on the follow-up images and no evidence of recurrence clinically. The mean follow-up period was 34.2 months (standard deviation=39.8). Twelve patients had computed images (CT alone in four, MR alone in five, both CT and MR in three). These findings were analyzed by four certified neuroradiologists. We found 100% of the coils at the anterior condylar veins inside the hypoglossal canal, 54.2% at the lateral lower clivus, and only 14.2% at the anterior condylar confluence which is ventrolateral to the anterior orifice of the hypoglossal canal. Intravascular coiling is the treatment of choice in patients with anterior condylar DAVF. All the coils were found at the anterior condylar veins inside the hypoglossal canal after successful treatment. PMID:24976101

Hsu, Yu-Hone; Lee, Chung-Wei; Liu, Hon-Man; Wang, Yao-Hung; Chen, Ya-Fang

2014-01-01

442

Follow-Up Outcome in Short-Term Group Therapy for Complicated Grief  

Microsoft Academic Search

This study investigated 4 types of outcome over a 6-month follow-up period for 84 psychiatric outpatients who had been treated for complicated grief using short-term group therapy. The 4 types differed in regard to whether and when patients achieved clinically significant change on a primary grief outcome variable. Approximately half of the patients achieved clinically significant change by the end

William E. Piper; John S. Ogrodniczuk; Anthony S. Joyce; Rene Weideman

2009-01-01

443

Giant Cell Tumor of the Talus: 19-Year Follow-up of a Patient.  

PubMed

Giant cell tumor in small bones is a rare condition characterized by extensive bony destruction and a high recurrence rate. Intralesional excision with curettage and autologous bone grafting has been used as a standard treatment method for giant cell tumor of the bones. We report the case of a 30-year-old female with giant cell tumor of the talar body. She was followed up for 19 years after intralesional curettage and autologous bone grafting treatment. PMID:24880863

Song, Kwang-Soon; Park, Chul Hyun

2014-05-28

444

Shaken baby syndrome in Switzerland: results of a prospective follow-up study, 2002–2007  

Microsoft Academic Search

Since the incidence of shaken baby syndrome in Switzerland was not known, we conducted a nationwide prospective follow-up\\u000a study for a 5-year period (from 2002 to 2007). The data were collected through the Swiss Pediatric Surveillance Unit. Inclusion\\u000a criteria were the presence, in a child ?6 years of age, of 1) more than or equal to two clinical symptoms (altered consciousness,

Manuela Fanconi; Ulrich Lips

2010-01-01

445

Results of a rigorous follow-up system in colorectal cancer  

Microsoft Academic Search

Results of a computer-aided follow-up programme for patients with colorectal cancer are analyzed. Between 1978 and 1987 1293 patients underwent this programme, the drop-out rate was 17%. 299 recurrences in 168 patients were discovered (40% local recurrence, 29% liver metastases and 31% others). Fifty-one per cent of patients with local recurrence and 47% with liver metastases were symptom free. Radical

E. Wenzl; M. Wunderlich; F. Herbst; M. Schemper; W. Feil; R. Rauhs; R. Schiessel

1988-01-01

446

Ten to 14Year Follow-up of the Nirschl Surgical Technique for Lateral Epicondylitis  

Microsoft Academic Search

Background: Good to excellent short-term results have been reported for the surgical treatment of lateral epicondylitis using various surgical techniques.Hypothesis: Surgical treatment for lateral epicondylitis using the mini-open Nirschl surgical technique will lead to durable results at long-term follow-up.Study Design: Case series; Level of evidence, 4.Methods: Records from 139 consecutive surgical procedures (130 patients) for lateral epicondylitis performed by 1

Jonathan H. Dunn; John J. Kim; Lonnie Davis; Robert P. Nirschl

2008-01-01

447

Diagnosis and follow-up of cystinuria: Use of proton magnetic resonance spectroscopy  

Microsoft Academic Search

Summary.   Proton Nuclear Magnetic Resonance (NMR) Spectroscopy of urine (as well as of other biological fluids) is a very powerful\\u000a technique enabling multi-component analysis useful in both diagnosis and follow-up of a wide range of inherited metabolic\\u000a diseases. Among these pathologies, cystinuria is characterised by accumulation in urine of four dibasic amino acids, namely\\u000a lysine, arginine, ornithine and cystine; the

G. Pontoni; F. Rotondo; G. Spagnuolo; M. T. Aurino; M. Cartenì-Farina; V. Zappia; G. Lama

2000-01-01

448

Topical diphencyprone for alopecia areata: evaluation of 48 cases after 30 months' follow-up.  

PubMed

Forty-eight patients (23 male, 25 female) with severe alopecia areata were sensitized and treated with topical diphencyprone. Thirty-eight per cent of the subjects had good regrowth of hair at a mean follow-up period of 30.8 months. The presence of nail changes, a personal history of atopy and a long duration of alopecia had an adverse prognostic effect. PMID:8736327

Gordon, P M; Aldrige, R D; McVittie, E; Hunter, J A

1996-05-01

449

Cerebrovascular Events After Stentless Aortic Valve Replacement During a 9Year Follow-Up Period  

Microsoft Academic Search

Background. One major advantage of biologic aortic valve prostheses is their low thrombogenicity compared with mechanical prostheses. The purpose of this study was to evaluate the incidence of cerebrovascular events during long-term follow-up after stentless aortic valve replacement. Methods. Between 1996 and 2005, 1,014 patients (mean age, 73 years; range, 20 to 90 years) received stentless aortic valve replacement (Freestyle;

Helmut Gulbins; Ines Florath; Juergen Ennker

450

Fluorine18 fluorodeoxyglucose positron emission tomography in the follow-up of differentiated thyroid cancer  

Microsoft Academic Search

Whole-body fluorine-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) imaging was performed during the follow-up of 33 patients suffering from differentiated thyroid cancer. Among them there were 26 patients with papillary and seven with follicular tumours. Primary tumour stage (pT) was pT1 in six cases, pT2 in eight cases, pT3 in three cases and pT4 in 14 cases. FDG PET was

Frank Grünwald; Axel Schomburg; Hans Bender; Edzard Klemm; Christian Menzel; Thomas Bultmann; Holger Palmedo; Jürgen Ruhimann; Beate Kozak; Hans-Jürgen Biersack

1996-01-01

451

Midterm follow-up dynamic echocardiography evaluation after aortic valve repair for aortic valve insufficiency  

PubMed Central

We prospectively evaluated 46 patients who underwent aortic valve repair (AVR) for AV regurgitation. Rest/stress echocardiography follow-up was performed. Follow-up duration was 30.7 months, age 56 ± 14 years, ejection fraction% 57.5 ± 10.5%. Preoperative bicuspid AV was present in 14 (30.4%), leaflets calcifications in 8 (17.4%), thickening in 17 (37.0%) and prolapse in 22 (47.8%). Surgical technique included commissuroplasty (22, 47.8%), leaflet remodelling (17, 37.0%), decalcification (7, 15.2%) and raphe removal (14, 30.4%). At follow-up, rest/stress echocardiography median AV regurgitation (rest 1.0 vs. stress 1.0) and mean indexed AV area (IAVA) (rest 2.6 ± 0.74 cm2/m2 vs. stress 2.8 ± 0.4 cm2/m2) were unchanged (P = ns). Mean (rest 4.7 ± 3.9 mmHg vs. stress 9.7 ± 5.8 mmHg) and peak (rest 9.5 ± 7.2 mmHg vs. stress 19.0 ± 10.5 mmHg) transvalvular gradients were significantly increased (P < 0.0001). At linear regression, there was an independent inverse correlation between commissuroplasty and AV gradients during stress (B = ?9.9, P = 0.01, confidence interval= ?17.7 to ?2.1). Although follow-up haemodynamics of repaired AVs are satisfactory, there was a fixed IAVA and significant increase in AV gradients. We were not able to identify any pre-existing anatomical condition independently related to this non-physiological behaviour under stress. Moreover, commissuroplasty seems to prevent abnormal increase of the AV gradients. PMID:22368109

D'Ancona, Giuseppe; Amaducci, Andrea; Prodromo, John; Pirone, Francesco; Follis, Marco; Falletta, Calogero; Pilato, Michele

2012-01-01

452

Left-hemisphere missile injury. A clinical and anatomical case study, with 25-year follow up.  

PubMed

A case is reported of left-hemisphere missile injury sustained in 1944. A stable pattern of selective loss (dysphasia, dyslexia, dysgraphia, and verbal memory impairment) and intact abilities (perceptual and spatial skills and nonverbal memory) was followed up for 25 years. No progressive or generalized intellectual deterioration to suggest interaction between this brain injury and normal aging was observed. The clinical and neuropsychological sequelae are related to the detailed postmortem findings. PMID:3632396

Oppenheimer, D; Marshall, J C; Newcombe, F

1987-08-01

453

Long-term MR follow-up of cerebral lesions in neuro-Behçet's disease  

Microsoft Academic Search

To study the long-term evolution of cerebral lesions in neuro-Behçet's disease, MRI was carried out on 12 patients, with\\u000a follow-up from 1.5 to 6 years (mean 3.5 years). On the first MRI, 66 lesions in all were found; each patient had 1–10 lesions\\u000a (mean 5.5). There were 30 (46 %) lesions in the brain stem, 18 (27 %) in the

S. Gerber; A. Biondi; D. Dormont; B. Wechsler; C. Marsault

1996-01-01

454

Spectroscopic Follow-Up Observations of Transiting Planet Candidates Identified by the Kepler Mission  

Microsoft Academic Search

NASA's Kepler Mission is expected to identify many hundreds of transiting planet candidates in four years of continuous photometric monitoring of 100 square degrees in Cygnus and Lyra. To sort out true planets from eclipsing stellar systems that are masquerading as transiting planets, a variety of follow-up observations are planned. High resolution ground-based spectroscopy at modest signal-to-noise ratio will be

David Latham; D. D. Sasselov; A. H. Szentgyorgyi

2006-01-01

455

Midterm results with primary uncemented total hip replacement: a 7- to 11-year follow-up  

Microsoft Academic Search

We reviewed 102 uncemented total hip replacements (THRs) in 90 patients with a mean age of 66 years (range, 33–87 years)\\u000a and with an average postoperative follow-up period of 8.5 years (range, 7–11 years). The patients were prospectively observed\\u000a clinically using the Harris hip score (HHS). The excellent and good results totaled over 90%. We had two serious complications\\u000a treated

George Petrou; Anastasios Kouzoupis; Michael Gavras; Harris Petrou

2000-01-01

456

Predicting various fragility fractures in women by forearm bone densitometry: A follow-up study  

Microsoft Academic Search

This is a follow-up of a previous study on the predictive power of bone mineral measurements; two more observation years have been added. A group of women (n=1076) had their forearm bone mineral content (BMC) measured from 1970–1976. All fractures that occurred in 1975–1987 (13 years) were recorded. Four hundred sixty-nine fragility fractures occurred during the collection period. Again, it

Per Gärdsell; Olof Johnell; Bo E. Nilsson; Bo Gullberg

1993-01-01

457

Beneficial effects of Helicobacter pylori eradication on migraine: a 12-month follow-up study  

Microsoft Academic Search

Helicobacter pylori (H. pylori) has been recently associated with some organic and functional vascular disorders. In particular, our group found a high\\u000a prevalence of H. pylori in patients affected by migraine and a significant improvement of migraine symptoms after eradication of the bacterium, during\\u000a a follow-up period of 6 months. However, seasonal variations may affect clinical manifestations of migraine, thus

Maurizio Gabrielli; Francesco Franceschi; Giuseppe Fiore; Marcello Candelli; Alessandro Armuzzi; Veronica Ojetti; Filippo Cremonini; Paolo Pola; Mario Giacovazzo; Antonio Gasbarrini

2001-01-01

458

Parent-Child Development Center Follow-up Project: Child Behavior Problem Results  

Microsoft Academic Search

  The long-term effectiveness of the Parent-Child Development Centers (PCDCs) as programs to prevent behavior problems in children was examined with follow-up data collected 6–13 years after program completion. Data were collected for 581 children who had been in the programs with their mothers (Ns: Birmingham, 151; New Orleans, 186; Houston, 244). Mothers and teachers were interviewed. There were few significant

Dale L. Johnson

2006-01-01

459

Long-term follow-up of 62 patients with myositis.  

PubMed

The aim of this work is to evaluate disease-related mortality and the course of the disease including functional outcome and quality of life. We did a follow-up study on a large prospective cohort of 62 patients with subacute-onset idiopathic inflammatory myopathy (IIM) (dermatomyositis (n = 24), nonspecific myositis (n = 34), necrotizing autoimmune myopathy (n = 4)) after treatment with corticosteroids only (randomized controlled trial comparing daily high-dosage prednisone with pulse therapy of dexamethasone). Development of connective tissue disease (CTD) or malignancy, disease course and mortality, functional outcome and quality of life were evaluated. After a mean follow-up of 3 years (SD 1.5), 22 % had developed a CTD and 17 % a malignancy. Disease-related mortality was 15 %. A monophasic disease course was found in 27 %. Most patients had a chronic (35 %) or polyphasic disease (35 %) course and experienced single or multiple relapses. Sixteen patients (33 %) were off medication after a mean of 1 year of treatment. Disability scores improved particularly in the first 18 months. At follow-up, 68 % still perceived disabilities. Quality of life scores as measured by the short-form (SF)-36 improved in the first 18 months. After 18 months, scores remained stable during the next years of follow-up and remained low compared to a normal population. (1) Two-thirds of the patients with an IIM have a polyphasic or chronic disease course and need maintenance treatment. (2) The impact on functional outcome and quality of life is considerable and does not improve further after 18 months. PMID:24658663

van de Vlekkert, Janneke; Hoogendijk, Jessica E; de Visser, Marianne

2014-05-01

460

Stability of Cachet Phakic Intraocular Lens Position During 6-Months Follow-Up  

PubMed Central

Purpose: To evaluate the position stability of a phakic intraocular lens (Cachet pIOL; Alcon, Laboratories, Inc., Fort Worth, TX) in the anterior chamber (AC) during a 6-months follow-up. Methods: Thirty eyes of 16 subjects underwent a Cachet pIOL implantation for the correction of high myopia from -6.50 to -16.00 D with plano targeted refraction. The position stability of the Cachet pIOL was evaluated using an Anterior Segment-OCT (AS-OCT, Carl Zeiss AG, Oberkochen, Germany) at 1- and 6-months postoperatively. Three measurements have been taken into account: 1) the minimum distance between the anterior surface of the Cachet pIOL optic disk and the central corneal endothelium; 2) the minimum distance between the optic disk’s edges of the pIOL and the endothelium; 3) the minimum distance between the posterior surface of the pIOL optic disk and the anterior surface of the crystalline lens. The endothelial cell density (ECD) was also recorded. Results: No statistically significant changes of the Cachet pIOL position in the AC were found during follow-up. The average changes were ?0.1 mm between 1- and 6-months postoperatively (P>0.05). At the end of follow-up, The mean ECD loss was 0.7 % (from 2794 ± 337 cell/mm2 to 2776 ± 388 cell/mm2; P>0.05). Conclusion: A high position stability of the Cachet pIOL in the anterior chamber was shown during a 6-months follow-up. PMID:23898355

Lomoriello, D Schiano; Lombardo, M; Gualdi, L; Iacobelli, L; Tranchina, L; Ducoli, P; Serrao, S

2013-01-01

461

Predictors of residual flow in embolized intracranial ruptured aneurysms at early follow-up  

PubMed Central

Summary Background The possibility of recanalization and the need for retreatment are the most important drawbacks of intracranial aneurysm embolization. The purpose of the study was to prospectively analyze the results of early follow-up angiography of embolized ruptured aneurysms in an attempt to determine factors predicting the presence of residual flow. Material/Methods Evaluation included 72 patients with 72 aneurysms, which were followed-up 3 months after the treatment. Analysis of residual flow predictors included: age and gender, clinical state in Hunt-Hess scale, aneurysm localization, aneurysm three dimensions and volume, neck width, sac-to-neck ratio, initial result of embolization, number of coils used and the use of hydrogel coils and stents. Results Mean sac diameter was 6.5±3.9 mm, and mean neck width was 2.9±1.4 mm. Follow-up angiography presented residual flow in 26 aneurysms (36.1%): class 2 in 8 aneurysms (11.1%), and class 3 in 18 cases (25.0%). Stable aneurysm filling was observed in 45 cases (62.5%), progression of residual flow in 25 cases (34.7%), and regression in 2 cases (2.8%). According to ROC analysis independent predictors of residual flow were aneurysm neck diameter (AUC 0.857, 95% CI: 0.755–0.928, p<0.0001) and sac-to-neck ratio (AUC 0.817, 95% CI: 0.708–0.898, p<0.0001). Cut-off point of the ROC curve was established at 2.8 mm for neck diameter, and 1.73 for sac-to-neck ratio. Conclusions Aneurysm neck diameter and sac-to-neck ratio are independently related to the residual flow in embolized ruptured aneurysms at early follow-up. PMID:24611084

Serafin, Zbigniew; Strze?niewski, Piotr; Beuth, Wojciech

2014-01-01