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1

PATTERN OF FOLLOW UP VISITS IN A RURAL PSYCHIATRIC CLINIC*  

PubMed Central

SUMMARY The present work reports about the pattern of follow up visits of a psychiatric clinic operating at a rural primary health centre. The follow up visits of patients registered in the clinic during the years 1984 and 1985 were recorded. It was observed that patients of both sexes and of all age groups almost equally attend the follow up clinic. Epileptic patients formed the single largest group of follow up patients. It was also noted that more than 50% of patients did not visit the clinic after initial assessment. The implications of the results are discussed.

Kulhara, P.; Chandiramani, K.; Mattoo, S.K.; Varma, V.K.

1987-01-01

2

Outcomes of Follow-Up Visits to Chronic Nonmalignant Pain Patients  

Microsoft Academic Search

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,

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

3

Beliefs and Barriers to Follow-up after an Emergency Department Asthma Visit: A Randomized Trial  

PubMed Central

Background Prior studies in urban emergency departments (EDs) have found poor quality of chronic asthma care and identified beliefs and barriers associated with low rates of follow-up with a primary care provider (PCP) after an ED visit. Objectives To develop an ED-based intervention including asthma symptom screening, a video developed to impact beliefs about PCP follow-up, and a mailed follow-up reminder; and measure the effect of the intervention on rates of PCP follow-up and asthma-related outcomes. Methods This randomized controlled trial enrolled children age 1–18 years who were discharged after asthma treatment in an urban children’s hospital ED. Control subjects received standard instructions to follow up with a PCP within 3–5 days. In addition, intervention subjects: 1. Received a letter to take to their PCP if they screened positive for persistent asthma symptoms, 2. Viewed a video featuring families and providers discussing the importance of asthma control, and 3. Received a mailed reminder to follow up with a PCP. All subjects were contacted by phone at 1, 3, and 6 months after the ED visit, and follow-up was confirmed by PCP record review. Asthma-related quality of life (AQOL), symptoms, and beliefs about asthma Results A total of 433 subjects were randomized, and baseline measures of demographics and asthma clinical status were similar between study groups. After the intervention and prior to ED discharge, intervention subjects were more likely to endorse beliefs about the benefits of regular care than controls. However, the percentage following up with a PCP during the 4 weeks after the ED visit (44.5%) was similar to controls (43.8%). AQOL, medication use, and ED visits over the subsequent 6 months were also similar between study groups. Conclusions An ED-based intervention influenced short-term beliefs but did not increase PCP follow-up or asthma-related outcomes.

Zorc, Joseph J.; Chew, Amber; Allen, Julian L.; Shaw, Kathy

2009-01-01

4

[Factors associated with follow-up visit non-compliance after induced abortion].  

PubMed

Non-compliance to follow-up after an induced abortion is associated with poor compliance to contraception. This study was undertaken to determine which factors are associated with follow-up visit compliance after an induced abortion among 1,661 women who had the operation at the Clinique de Planification des Naissances du Centre Hospitalier de I'Université Laval. Factors associated with non-compliance to follow-up include young age, smoking, previous induced abortion, a single sexual partner during the previous year, the use of oral contraceptives and advanced gestational age at the time of the procedure. Careful screening of these women might improve compliance with follow-up visits and contraception, which could in turn help to prevent repeat abortions. PMID:9524394

Ntaganira, I; Germain, M; Guilbert, E

5

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

2010-11-20

6

Effect of language barriers on follow-up appointments after an emergency department visit  

Microsoft Academic Search

OBJECTIVE: To determine whether patients who encountered language barriers during an emergency department visit were less likely to\\u000a be referred for a follow-up appointment and less likely to complete a recommended appointment.\\u000a \\u000a \\u000a DESIGN: Cohort study.\\u000a \\u000a \\u000a \\u000a \\u000a SETTING: Public hospital emergency department.\\u000a \\u000a \\u000a \\u000a \\u000a PARTICIPANTS: English- and Spanish-speaking patients (N=714) presenting with nonemergent medical problems.\\u000a \\u000a \\u000a \\u000a \\u000a MEASUREMENTS AND MAIN RESULTS: Patients were interviewed to determine

Joshua Sarver; David W. Baker

2000-01-01

7

Follow-up after curative treatment for breast cancer: why do we still adhere to frequent outpatient clinic visits?  

PubMed

Follow-up after curative treatment for breast cancer consists of frequent outpatient clinic visits, scheduled at regular intervals. Its aim is primarily to detect local disease recurrence, or a second primary breast cancer, but also to provide information and psychosocial support. The cost-effectiveness of these frequent visits is being questioned however, leading to a search for less intensive follow-up strategies, such as follow-up by the general practitioner, patient-initiated or nurse-led follow-up or contact by telephone. These strategies are generally considered to be safe, but they are not yet widely accepted in clinical practice. Since brief interventions based on self-education and information have been shown to be able to improve quality of life, we hypothesise that these interventions may lead to a better acceptance of reduced follow-up by both patients and professionals. PMID:17251004

Kimman, M L; Voogd, A C; Dirksen, C D; Falger, P; Hupperets, P; Keymeulen, K; Hebly, M; Dehing, C; Lambin, Ph; Boersma, L J

2007-01-23

8

Satisfaction with routine follow-up visits to the physician--the needs of patients with breast cancer.  

PubMed

Follow-up visits after surgery for breast cancer constitute a large proportion of the outpatient consultations at surgical and oncological clinics. The reasons for the follow-ups include early detection of relapse, patients' well-being, and data collection for quality assurance and scientific studies. The aim of this study was to describe the needs of the patient with breast cancer and satisfaction with routine follow-up visits to the physician. A strategic sample of 20 women with breast cancer, routinely followed-up at an oncology outpatient clinic, was interviewed. A qualitative descriptive design inspired by the phenomenographic method was used. The results identified the need for routines, accessibility, security, continuity, confidence and information. The women's views demonstrated that there are strong reasons for reviewing and changing the design of the traditional follow-up system to obtain the most effective and well-functioning system possible to better meet these women's needs. PMID:11504303

Koinberg, I; Holmberg, L; Fridlund, B

2001-01-01

9

Telehealth Follow-up in Lieu of Postoperative Clinic Visit for Ambulatory Surgery: Results of a Pilot Program.  

PubMed

IMPORTANCE Telehealth encounters can safely substitute for routine postoperative clinic visits in selected ambulatory surgical procedures. OBJECTIVE To examine whether an allied health professional telephone visit could safely substitute for an in-person clinic visit. DESIGN Prospective case series during a 10-month study period from October 2011 to October 2012 (excluding July and August 2012). SETTING University-affiliated veterans hospital. PATIENTS Ambulatory surgery patients who underwent elective open hernia repair or laparoscopic cholecystectomy during the 10-month study period. INTERVENTIONS Patients were called 2 weeks after surgery by a physician assistant and assessed using a scripted template. Assessment variables included overall health, pain, fever, incision appearance, activity level, and any patient concerns. If the telephone assessment was consistent with absence of infection and return to baseline activities, the patient was discharged from follow-up. Patients who preferred a clinic visit were seen accordingly. MAIN OUTCOMES AND MEASURES Percentage of patients who accepted telehealth follow-up and complications that presented in telehealth patients within 30 days of surgery. RESULTS One hundred fifteen open herniorrhaphy and 26 laparoscopic cholecystectomy patients had attempted telehealth follow-up. Seventy-eight percent (110) of all patients were successfully contacted; of those, 70.8% (63) of hernia patients and 90.5% (19) of cholecystectomy patients accepted telehealth as the sole means of follow-up. Complications in the telehealth patients were zero for cholecystectomy and 4.8% (3) for herniorrhaphy. Nearly all patients expressed great satisfaction with the telephone follow-up method. CONCLUSIONS Telehealth can be safely used in selected ambulatory patients as a substitute for the standard postoperative clinic visit with a high degree of patient satisfaction. Time and expense for travel (7-866 miles) were reduced and the freed clinic time was used to schedule new patients. PMID:23842982

Hwa, Kimberly; Wren, Sherry M

2013-09-01

10

Long term effects of a home visit to prevent childhood injury: three year follow up of a randomized trial  

PubMed Central

Objective: To assess the long term effect of a home safety visit on the rate of home injury. Design: Telephone survey conducted 36 months after participation in a randomized controlled trial of a home safety intervention. A structured interview assessed participant knowledge, beliefs, or practices around injury prevention and the number of injuries requiring medical attention. Setting: Five pediatric teaching hospitals in four Canadian urban centres. Participants: Children less than 8 years of age presenting to an emergency department with a targeted home injury (fall, scald, burn, poisoning or ingestion, choking, or head injury while riding a bicycle), a non-targeted injury, or a medical illness. Results: We contacted 774 (66%) of the 1172 original participants. A higher proportion of participants in the intervention group (63%) reported that home visits changed their knowledge, beliefs, or practices around the prevention of home injuries compared with those in the non-intervention group (43%; p<0.001). Over the 36 month follow up period the rate of injury visits to the doctor was significantly less for the intervention group (rate ratio = 0.74; 95% CI 0.63 to 0.87), consistent with the original (12 month) study results (rate ratio = 0.69; 95% CI 0.54 to 0.88). However, the effectiveness of the intervention appears to be diminishing with time (rate ratio for the 12–36 month study interval = 0.80; 95% CI 0.64 to 1.00). Conclusions: A home safety visit was able to demonstrate sustained, but modest, effectiveness of an intervention aimed at improving home safety and reducing injury. This study reinforces the need of home safety programs to focus on passive intervention and a simple well defined message.

King, W; LeBlanc, J; Barrowman, N; Klassen, T; Bernard-Bonnin, A; Robitaille, Y; Tenenbein, M; Pless, I

2005-01-01

11

Group medical visits in the follow-up of women with a BRCA mutation: design of a randomized controlled trial  

PubMed Central

Background BRCA mutation carriers have a 40-80% life-time risk of developing breast cancer. They may opt for yearly breast cancer surveillance or for prophylactic mastectomy. Both options show increased survival rates. It is a complex choice to be made between these two options. As a result most women experience high levels of distress and high needs for information. To fulfill the needs for psychosocial support and information we have introduced group medical consultations (GMCs). A GMC provides individual medical visits conducted within a group. This 90 minute group-visit with 8-12 patients gives patients the opportunity to spend more time with their clinician and a behavioral health professional and learn from other patients experiencing similar topics. However, it should be noted that group sessions may increase fear in some patients or influence their decision making. Methods/design In this randomized controlled trial, 160 BRCA mutation carriers diagnosed maximally 2 years ago are recruited from the Radboud University Nijmegen Medical Centre. Participants are randomized in a 1:1 ratio to either the GMC intervention group (onetime participation in a GMC instead of a standard individual visit) or to a usual care control group. Primary outcome measures are empowerment and psychological distress (SCL 90). Secondary outcome measures are fear of cancer, information needs before the consultation and the received information, self-examination of the breasts, patient satisfaction, quality of life and cost-effectiveness. Data are collected via self-reported questionnaires 1 week before the visit, and at 1 week and at 3 months follow-up. A pilot study was conducted to test all procedures and questionnaires. Discussion The possibility for interaction with other BRCA mutation carriers within a medical visit is unique. This study will assess the effectiveness of GMCs for BRCA mutation carriers to improve empowerment and decrease distress compared to individual visits. If GMCs prove to be effective and efficient, implementation of GMCs in regular care for BRCA mutation carriers will be recommended. Trial registration The study is registered at ClinicalTrials.gov (NCT01329068)

2011-01-01

12

Effects of Home Visits by Paraprofessionals and by Nurses: Age 4 Follow-Up Results of a Randomized Trial  

Microsoft Academic Search

ABSTRACT. Objective. To examine the effects of pre- natal and infancy home visiting by paraprofessionals and by nurses from child age 2 through age 4 years. Methods. We conducted, in public and private care settings in Denver, Colorado, a randomized, controlled trial with 3 arms, ie, control, paraprofessional visits, and nurse visits. Home visits were provided from pregnancy through child

David L. Olds; Joann Robinson; Lisa Pettitt; Dennis W. Luckey; John Holmberg; Psyd Rosanna K. Ng; Kathy Isacks; Mps Karen Sheff; Charles R. Henderson

13

A Five-Year Follow-Up: Teachers' Perceptions of the Benefits of Home Visits for Early Elementary Children  

ERIC Educational Resources Information Center

|The purpose of this study was to replicate previous research about teachers' perceived benefits of home visits to determine if they remained stable. Furthermore, the investigation sought to find out whether home visits impacted variables often associated with improved school success (i.e., school attendance, academic performance, parent…

Meyer, James A.; Mann, Mary Beth; Becker, Jennifer

2011-01-01

14

A follow-up study of the community near the McColl waste disposal site.  

PubMed Central

To assess the effect of interim clean-up measures on the current health of a community, we conducted a follow-up survey of 193 residents living near the McColl waste disposal site and a comparison area located approximately 5 miles from the site. Results from this survey were compared with results from a similar survey conducted 7 years earlier. Odors were detected at least once per week by 32.7% of "high-exposed" respondents in 1988 compared with 68.5% in 1981, but prevalence odds ratios (PORs) comparing symptom reporting between "high-exposed" and comparison-area respondents were greater than that of the 1981 survey for 89% of symptoms. PORs comparing symptom reporting between these two areas were greater than 2.0 for 64% of symptoms assessed in the current survey. Symptoms reported in excess did not represent a single organ system or suggest a mechanism of response. PORs comparing respondents who were very worried about the environment and those reporting no worry were greater than 2.0 for 86% of symptoms. These finding, along with environmental data from the area, suggest that living near the waste disposal site and being very worried about the environment, rather than a toxicologic effect of chemical from the site, explain excess symptom reporting found in this follow-up study.

Lipscomb, J A; Goldman, L R; Satin, K P; Smith, D F; Vance, W A; Neutra, R R

1991-01-01

15

Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial  

PubMed Central

OBJECTIVE Our goal was to test the effect of prenatal and infancy home visits by nurses on mothers’ fertility and children’s functioning 7 years after the program ended at child age 2. METHODS We conducted a randomized, controlled trial in a public system of obstetric and pediatric care. A total of 743 primarily black women <29 weeks’ gestation, with previous live births and at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed), were randomly assigned to receive nurse home visits or comparison services. Primary outcomes consisted of intervals between births of first and second children and number of children born per year; mothers’ stability of relationships with partners and relationships with the biological father of the child; mothers’ use of welfare, food stamps, and Medicaid; mothers’ use of substances; mothers’ arrests and incarcerations; and children’s academic achievement, school conduct, and mental disorders. Secondary outcomes were the sequelae of subsequent pregnancies, women’s employment, experience of domestic violence, and children’s mortality. RESULTS Nurse-visited women had longer intervals between births of first and second children, fewer cumulative subsequent births per year, and longer relationships with current partners. From birth through child age 9, nurse-visited women used welfare and food stamps for fewer months. Nurse-visited children born to mothers with low psychological resources, compared with control-group counterparts, had better grade-point averages and achievement test scores in math and reading in grades 1 through 3. Nurse-visited children, as a trend, were less likely to die from birth through age 9, an effect accounted for by deaths that were attributable to potentially preventable causes. CONCLUSIONS By child age 9, the program reduced women’s rates of subsequent births, increased the intervals between the births of first and second children, increased the stability of their relationships with partners, facilitated children’s academic adjustment to elementary school, and seems to have reduced childhood mortality from preventable causes.

Olds, David L.; Kitzman, Harriet; Hanks, Carole; Cole, Robert; Anson, Elizabeth; Sidora-Arcoleo, Kimberly; Luckey, Dennis W.; Henderson, Charles R.; Holmberg, John; Tutt, Robin A.; Stevenson, Amanda J.; Bondy, Jessica

2010-01-01

16

Home visiting intervention for vulnerable families with newborns: follow-up results of a randomized controlled trial  

Microsoft Academic Search

Objective: This study aimed to: (1) Assess the community utility of a screening tool to identify families with child abuse or neglect risk factors in the immediate postnatal period (2) Determine the social validity and effectiveness of a home visiting program using community child health nurses and offering social work services for identified families, and (3) Identify factors in the

JENNIFER A. FRASER; KENNETH L. ARMSTRONG; JEANETTE P. MORRIS; MARK R. DADDS

2000-01-01

17

Emergency health care use and follow-up among sociodemographic groups of children who visit emergency departments for mental health crises  

PubMed Central

Background: Previous studies of differences in mental health care associated with children’s sociodemographic status have focused on access to community care. We examined differences associated with visits to the emergency department. Methods: We conducted a 6-year population-based cohort analysis using administrative databases of visits (n = 30 656) by children aged less than 18 years (n = 20 956) in Alberta. We measured differences in the number of visits by socioeconomic and First Nations status using directly standardized rates. We examined time to return to the emergency department using a Cox regression model, and we evaluated time to follow-up with a physician by physician type using a competing risks model. Results: First Nations children aged 15–17 years had the highest rate of visits for girls (7047 per 100 000 children) and boys (5787 per 100 000 children); children in the same age group from families not receiving government subsidy had the lowest rates (girls: 2155 per 100 000 children; boys: 1323 per 100 000 children). First Nations children (hazard ratio [HR] 1.64; 95% confidence interval [CI] 1.30–2.05), and children from families receiving government subsidies (HR 1.60, 95% CI 1.30–1.98) had a higher risk of return to an emergency department for mental health care than other children. The longest median time to follow-up with a physician was among First Nations children (79 d; 95% CI 60–91 d); this status predicted longer time to a psychiatrist (HR 0.47, 95% CI 0.32–0.70). Age, sex, diagnosis and clinical acuity also explained post-crisis use of health care. Interpretation: More visits to the emergency department for mental health crises were made by First Nations children and children from families receiving a subsidy. Sociodemographics predicted risk of return to the emergency department and follow-up care with a physician.

Newton, Amanda S.; Rosychuk, Rhonda J.; Dong, Kathryn; Curran, Janet; Slomp, Mel; McGrath, Patrick J.

2012-01-01

18

Predictors of Better Self-Care in Patients with Heart Failure after Six Months of Follow-Up Home Visits  

PubMed Central

This study aimed to examine the predictors of better self-care behavior in patients with heart failure (HF) in a home visiting program. This is a longitudinal study nested in a randomized controlled trial (ISRCTN01213862) in which the home-based educational intervention consisted of a six-month followup that included four home visits by a nurse, interspersed with four telephone calls. The self-care score was measured at baseline and at six months using the Brazilian version of the European Heart Failure Self-Care Behaviour Scale. The associations included eight variables: age, sex, schooling, having received the intervention, social support, income, comorbidities, and symptom severity. A simple linear regression model was developed using significant variables (P ? 0.20), followed by a multivariate model to determine the predictors of better self-care. One hundred eighty-eight patients completed the study. A better self-care behavior was associated with patients who received intervention (P < 0.001), had more years of schooling (P = 0.016), and had more comorbidities (P = 0.008). Having received the intervention (P < 0.001) and having a greater number of comorbidities (P = 0.038) were predictors of better self-care. In the multivariate regression model, being in the intervention group and having more comorbidities were a predictor of better self-care.

Trojahn, Melina Maria; Ruschel, Karen Brasil; Nogueira de Souza, Emiliane; Mussi, Claudia Motta; Naomi Hirakata, Vania; Nogueira Mello Lopes, Alexandra; Rabelo-Silva, Eneida Rejane

2013-01-01

19

SOPP 8115: Regulatory Site Visit Training Program  

Center for Biologics Evaluation and Research (CBER)

... This document also describes the process for selecting biological companies for participation in the RSVP. Definitions. Regulatory Site Visit. ... More results from www.fda.gov/biologicsbloodvaccines/guidancecomplianceregulatoryinformation/proceduressopps

20

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

Microsoft Academic Search

This paper extends knowledge of disaster impact on the telecommunications power infrastructure by discussing the effects of Hurricane Katrina based on an on-site survey conducted in October 2005 and on public sources. It includes observations about power infrastructure damage in wire-line and wireless networks. In general, the impact on centralized network elements was more severe than on the distributed portion

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

2009-01-01

21

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

22

Follow-up inspection of the Formerly Utilized Sites Remedial-Action Program  

SciTech Connect

Corrective actions had been taken in four of the six areas of concern that were addressed in the 1982 report. The remaining two areas are summarized as follows: Certification of Remedial Actions. We found, in the initial inspection, that FUSRAP properties were not being certified as decontaminated in a timely manner following remedial action. This problem has not yet been resolved. The Assistant Secretary for Nuclear Energy acknowledged that the certification process is lengthy but maintained that progress was being made. The Assistant Secretary stated that attempts will be made to speed up the process; and Permanent Waste Disposal. The lack of permanent repositories for FUSRAP wastes continues to be a major issue. The Assistant Secretary for Nuclear Energy indicated to us that meetings are being held with state and congressional representatives to impress on them the need for locating disposal sites for FUSRAP wastes in their states.

Not Available

1983-10-19

23

19 CFR 10.553 - Textile and apparel site visits.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 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...

2013-04-01

24

Using Hospital Site Visits for Teaching Occupational Health.  

ERIC Educational Resources Information Center

Tel Aviv University uses its associated teaching hospitals for "factory" site visits in occupational health instruction. Medical students visit various departments to observe and evaluate the work environment, later discussing health implications. The visits are well-accepted by students, save time, and contribute to awareness of the hospital…

Ben-David, Amnon; Notzer, Netta

1989-01-01

25

Follow-Up Testing  

MedlinePLUS

... close to zero as possible, indicating a minimal antibody response to gluten. The additional advantage of these tests ... www.CeliacDisease.net. Follow Up Test #1: tTG-IgA: This test result should be negative The numerical ...

26

Closing the loop: industry site visits for program outcomes assessment  

Microsoft Academic Search

The Electrical & Electronic Engineering department at California State University, Sacramento, USA, formed an Industry Liaison Council in 1998 to assist in evaluating program educational objectives, and their outcomes assessment process. With the help of the Council, they have successfully used site visits to industry to validate program outcomes and improve their program. A team of department faculty visits a

S. K. Ramesh; Cici Mattiuzzi

2001-01-01

27

Designing Post-Visit Action Resources for Families Visiting Wildlife Tourism Sites  

Microsoft Academic Search

Interpretation at zoos, aquariums, and other wildlife tourism sites is generally designed to raise visitors’ awareness and appreciation of natural resources and alert them to the impact of human activities on wildlife populations. However, there has been little investigation of what prompts visitors to adopt conservation actions, and whether reinforcing on-site messages with post-visit support can assist in this process.

Karen Hughes

2011-01-01

28

Transdiagnostic Cognitive-Behavioral Therapy for Patients With Eating Disorders: A Two-Site Trial With 60-Week Follow-Up  

PubMed Central

Objective The aim of this study was to compare two cognitive-behavioral treatments for outpatients with eating disorders, one focusing solely on eating disorder features and the other a more complex treatment that also addresses mood intolerance, clinical perfectionism, low self-esteem, or interpersonal difficulties. Method A total of 154 patients who had a DSM-IV eating disorder but were not markedly underweight (body mass index over 17.5), were enrolled in a two-site randomized controlled trial involving 20 weeks of treatment and a 60-week closed period of follow-up. The control condition was an 8-week waiting list period preceding treatment. Outcomes were measured by independent assessors who were blind to treatment condition. Results Patients in the waiting list control condition exhibited little change in symptom severity, whereas those in the two treatment conditions exhibited substantial and equivalent change, which was well maintained during follow-up. At the 60-week follow-up assessment, 51.3% of the sample had a level of eating disorder features less than one standard deviation above the community mean. Treatment outcome did not depend on eating disorder diagnosis. Patients with marked mood intolerance, clinical perfectionism, low self-esteem, or interpersonal difficulties appeared to respond better to the more complex treatment, with the reverse pattern evident among the remaining patients. Conclusions These two transdiagnostic treatments appear to be suitable for the majority of outpatients with an eating disorder. The simpler treatment may best be viewed as the default version, with the more complex treatment reserved for patients with marked additional psychopathology of the type targeted by the treatment.

Fairburn, Christopher G.; Cooper, Zafra; Doll, Helen A.; O'Connor, Marianne E.; Bohn, Kristin; Hawker, Deborah M.; Wales, Jackie A.; Palmer, Robert L.

2010-01-01

29

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

30

Minimum follow-up time required for the estimation of statistical cure of cancer patients: verification using data from 42 cancer sites in the SEER database  

Microsoft Academic Search

BACKGROUND: The present commonly used five-year survival rates are not adequate to represent the statistical cure. In the present study, we established the minimum number of years required for follow-up to estimate statistical cure rate, by using a lognormal distribution of the survival time of those who died of their cancer. We introduced the term, threshold year, the follow-up time

Patricia Tai; Edward Yu; Gábor Cserni; Georges Vlastos; Melanie Royce; Ian Kunkler; Vincent Vinh-Hung

2005-01-01

31

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

32

48 CFR 1370.102 - Pre-bid/pre-proposal conference and site visit.  

Code of Federal Regulations, 2011 CFR

... false Pre-bid/pre-proposal conference and site visit. 1370.102 Section...1370.102 Pre-bid/pre-proposal conference and site visit. Insert provision 1352.270-71, Pre-Bid/Pre-Proposal Conference and Site Visit, in...

2011-10-01

33

48 CFR 1370.102 - Pre-bid/pre-proposal conference and site visit.  

Code of Federal Regulations, 2012 CFR

... false Pre-bid/pre-proposal conference and site visit. 1370.102 Section...1370.102 Pre-bid/pre-proposal conference and site visit. Insert provision 1352.270-71, Pre-Bid/Pre-Proposal Conference and Site Visit, in...

2012-10-01

34

The value of crime scene and site visitation by forensic psychologists and psychiatrists.  

PubMed

Site visits and crime scene visitation by forensic psychologists and psychiatrists may enhance the accuracy and credibility of their forensic work in criminal, civil, and other important contexts. This ethically sound technique of after-the-fact data collection and verification offers numerous potential benefits to the forensic mental health professional: clarifying the subject's actions, assessing the reliability of witness reports, identifying contextual determinants of behavior, and more fully illuminating subject motivation and decision-making. Limitations and suggested guidelines for conducting site visits are offered. Guidelines include preplanning, arranging for an informed guide to accompany and narrate the visit, and conducting the site visit prior to forensic examinations. PMID:23550941

Mohandie, Kris; Meloy, J Reid

2013-03-29

35

Breast cancer scalp metastasis as first metastatic site after scalp cooling: two cases of occurrence after 7- and 9-year follow-up.  

PubMed

Chemotherapy-induced alopecia is a commonly feared chemotherapy side effect and can be prevented using scalp cooling. Scalp metastasis is a rare site of recurrence. There is a question about whether or not the risk might be increased with the use of scalp cooling. Two cases of breast cancer with scalp metastases as first metastatic site are presented. The first patient presented with a scalp metastasis as first metastatic site 9 years following breast cancer chemotherapy treatments; she used scalp cooling for the adjuvant treatment. Second case presented a scalp metastasis as first metastatic site 7 years following treatments for her first cancer; overall, she used scalp cooling in only one of her six adjuvant chemotherapy cycles. Scalp metastases as the first site of recurrence are very rare entities. Scalp cooling is unlikely to have contributed in the cases presented here. PMID:21431870

Lemieux, Julie; Desbiens, Christine; Hogue, Jean-Charles

2011-03-24

36

Energy Conservation Site Visit Report: Toward More Effective Energy Management.  

National Technical Information Service (NTIS)

This report presents the results of visits to 287 Federal installations to investigate the effectiveness of energy conservation efforts. Although energy use has been reduced significantly, further energy conservation is possible in buildings; motor vehicl...

1976-01-01

37

Visits to Family Planning Service Sites: United States 1978.  

National Technical Information Service (NTIS)

Of the family planning visits made by females, an estimated 77.6 percent resulted in the adoption or continuation of an oral contraceptive pill, an intrauterine device (IUD), or sterilization, each of which is a highly effective contraceptive method requi...

B. L. Hudson

1983-01-01

38

After The Hospital Episode - The Community Follow-Up Project  

Microsoft Academic Search

The Community Follow-up Project involves a scheme by which clinical students follow the progress of patients after discharge from hospital. The Community Follow-up Project begins with the student choosing a hospital in-ward patient during their first clinical ward based attachment and follows this patient's progress after discharge from the hospital. The students do a series of home visits and also

Sherina Mohd; Sidik MBBS; Mohd Yunus Abdullah

39

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  

ERIC Educational Resources Information Center

|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,…

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

2013-01-01

40

Report on TTT Site Visits Conducted in November and December, 1969. An Overview.  

ERIC Educational Resources Information Center

|The first ten pages of this report give a brief overview of the Trainers of Teacher Trainers (TTT) Program and a description of the organization of the site visits. The remainder of the report summarizes the findings of the visits to 40 TTT projects by forty four-member teams. The four members of each team represent the four groups participating…

Crockett, Walter H.; And Others

41

MedlinePlus 2011 User Survey Results: How frequently do you visit this site?  

MedlinePLUS

... features on this page, please enable JavaScript. 2011 User Survey Results: Slide Index | Next How frequently do you visit this site? Responses: First time MedlinePlus users 42% MedlinePlus en español users 35% More than ...

42

Effective Delivery of Therapeutic Interventions: Findings from Four Site Visits  

ERIC Educational Resources Information Center

|This project follows a survey into the role of UK educational psychologists (EPs) in delivering therapeutic interventions to children and young people. Four educational psychology services (EPSs) that identified themselves as providing effective therapeutic practice were selected on the basis of their qualitative responses to the survey. Site

Atkinson, Cathy; Squires, Garry; Bragg, Joanna; Wasilewski, David; Muscutt, Janet

2013-01-01

43

School Site Visits for Community-Based Participatory Research on Healthy Eating  

Microsoft Academic Search

Background: School nutrition policies are gaining support as a means of addressing childhood obesity. Community-based participatory research (CBPR) offers an approach for academic and community partners to collaborate to translate obesity-related school policies into practice. Site visits, in which trained observers visit settings to collect multilevel data (e.g., observation, qualitative interviews), may complement other methods that inform health promotion efforts.

Anisha I. Patel; Laura M. Bogart; Kimberly E. Uyeda; Homero Martinez; Ritamarie Knizewski; Gery W. Ryan; Mark A. Schuster

2009-01-01

44

VISITORS' INTENTION TO VISIT WORLD CULTURAL HERITAGE SITES: AN EMPIRICAL STUDY OF SUZHOU, CHINA  

Microsoft Academic Search

This article attempts to study Chinese visitors' intention to visit world cultural heritage sites in the framework of the theory of planned behavior (TPB), with the additional constructs of past experience and cultural tour involvement. The survey data were collected by a self?administrated questionnaire in Suzhou, which is one of the cities with world cultural heritage sites in China. Structural

Suyan Shen; Anke Schüttemeyer; Boris Braun

2009-01-01

45

Incident Malignancies Among Older Long-Term Breast Cancer Survivors and an Age-Matched and Site-Matched Nonbreast Cancer Comparison Group Over 10 Years of Follow-Up  

PubMed Central

BACKGROUND Of the approximately 2.4 million American women with a history of breast cancer, 43% are aged ?65 years and are at risk for developing subsequent malignancies. METHODS Women from 6 geographically diverse sites included 5-year breast cancer survivors (N = 1361) who were diagnosed between 1990 and 1994 at age ?65 years with stage I or II disease and a comparison group of women without breast cancer (N = 1361). Women in the comparison group were age-matched and site-matched to breast cancer survivors on the date of breast cancer diagnosis. Follow-up began 5 years after the index date (survivor diagnosis date or comparison enrollment date) until death, disenrollment, or through 15 years after the index date. Data were collected from medical records and electronic sources (cancer registry, administrative, clinical, National Death Index). Analyses included descriptive statistics, crude incidence rates, and Cox proportional hazards regression models for estimating the risk of incident malignancy and were adjusted for death as a competing risk. RESULTS Survivors and women in the comparison group were similar: >82% were white, 55% had a Charlson Comorbidity Index of 0, and ?73% had a body mass index ?30 kg/m2. Of all 306 women (N = 160 in the survivor group, N = 146 in the comparison group) who developed a first incident malignancy during follow-up, the mean time to malignancy was similar (4.37 ± 2.81 years vs 4.03 ± 2.76 years, respectively; P = .28), whereas unadjusted incidence rates were slightly higher in survivors (1882 vs 1620 per 100,000 person years). The adjusted hazard of developing a first incident malignancy was slightly elevated in survivors in relation to women in the comparison group, but it was not statistically significant (hazard ratio, 1.17; 95% confidence interval, 0.94-1.47). CONCLUSIONS Older women who survived 5 years after an early stage breast cancer diagnosis were not at an elevated risk for developing subsequent incident malignancies up to 15 years after their breast cancer diagnosis.

Clough-Gorr, Kerri M.; Thwin, Soe Soe; Bosco, Jaclyn L. F.; Silliman, Rebecca A.; Buist, Diana S. M.; Pawloski, Pamala A.; Quinn, Virginia P.; Prout, Marianne N.

2013-01-01

46

School Site Visits for Community-Based Participatory Research on Healthy Eating  

PubMed Central

Background School nutrition policies are gaining support as a means of addressing childhood obesity. Community-based participatory research (CBPR) offers an approach for academic and community partners to collaborate to translate obesity-related school policies into practice. Site visits, in which trained observers visit settings to collect multilevel data (e.g., observation, qualitative interviews), may complement other methods that inform health promotion efforts. This paper demonstrates the utility of site visits in the development of an intervention to implement obesity-related policies in Los Angeles Unified School District (LAUSD) middle schools. Methods In 2006, trained observers visited four LAUSD middle schools. Observers mapped cafeteria layout; observed food/beverage offerings, student consumption, waste patterns, and duration of cafeteria lines; spoke with school staff and students; and collected relevant documents. Data were examined for common themes and patterns. Results Food and beverages sold in study schools met LAUSD nutritional guidelines, and nearly all observed students had time to eat most or all of their meal. Some LAUSD policies were not implemented, including posting nutritional information for cafeteria food, marketing school meals to improve student participation in the National School Lunch Program, and serving a variety of fruits and vegetables. Cafeteria understaffing and cost were obstacles to policy implementation. Conclusions Site visits were a valuable methodology for evaluating the implementation of school district obesity-related policies and contributed to the development of a CBPR intervention to translate school food policies into practice. Future CBPR studies may consider site visits in their toolbox of formative research methods.

Patel, Anisha I.; Bogart, Laura M.; Uyeda, Kimberly E.; Martinez, Homero; Knizewski, Ritamarie; Ryan, Gery W.; Schuster, Mark A.

2010-01-01

47

Cancer follow-up care. Patients' perspectives.  

PubMed Central

OBJECTIVE: To assess family physicians' and specialists' involvement in cancer follow-up care and how this involvement is perceived by cancer patients. DESIGN: Self-administered survey. SETTING: A health region in New Brunswick. PARTICIPANTS: A nonprobability cluster sample of 183 participants. MAIN OUTCOME MEASURES: Patients' perceptions of cancer follow-up care. RESULTS: More than a third of participants (36%) were not sure which physician was in charge of their cancer follow-up care. As part of follow-up care, 80% of participants wanted counseling from their family physicians, but only 20% received it. About a third of participants (32%) were not satisfied with the follow-up care provided by their family physicians. In contrast, only 18% of participants were dissatisfied with the follow-up care provided by specialists. Older participants were more satisfied with cancer follow-up care than younger participants. CONCLUSION: Cancer follow-up care is increasingly becoming part of family physicians' practices. Family physicians need to develop an approach that addresses patients' needs, particularly in the area of emotional support.

Miedema, Baukje; MacDonald, Ian; Tatemichi, Sue

2003-01-01

48

Michigan Placement Follow-Up Demonstration Project.  

National Technical Information Service (NTIS)

In this study, the contractor demonstrated an improved method for determining the actual wage, duration and validity of Employment Service placements. A two-stage placement follow-up, consisting of a short-term follow-up four days after placement and a lo...

K. R. Atterbeary A. W. Irion

1981-01-01

49

Female Faculty Members in University Chemistry Departments: Observations and Conclusions Based on Site Visits  

ERIC Educational Resources Information Center

Oral interviews in focus groups and written surveys were conducted with 877 men and women, including administrators, faculty members, postdoctoral associates, and graduate students, during one-day site visits to chemistry and chemical engineering departments at 28 Ph.D.-granting institutions. This report is a preliminary review of the perceptions…

Chapman, Sally; Dixon, Felicia F.; Foster, Natalie; Kuck, Valerie J.; McCarthy, Deborah A.; Tooney, Nancy M.; Buckner, Janine P.; Nolan, Susan A.; Marzabadi, Cecilia H.

2011-01-01

50

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

51

Follow-up of natural products isolation.  

PubMed

Follow-up of natural products isolation refers to re-isolation of compound(s) of interest in larger amounts for further pharmacological testing, conclusive structure elucidation, structure modifications to synthesize analogs for structure-activity relationships (SAR) studies, preformulation and formulation studies or clinical trials. In addition to conventional synthetic chemistry approaches, several other methodologies can be applied for following-up natural products isolation. This chapter outlines, with specific examples, various strategies and methods involved in follow-up of natural products isolation. PMID:22367909

Cannell, Richard J P; Sarker, Satyajit D; Nahar, Lutfun

2012-01-01

52

Follow-up of sexual assault victims  

Microsoft Academic Search

OBJECTIVES: Our goal was to describe medical findings and health-related concerns of sexual assault victims who returned for follow-up and to assess demographic and assault characteristics of victims who used follow-up services compared to those who did not.STUDY DESIGN: This study is a retrospective cohort analysis involving records from two sources: the acute sexual assault evidentiary examination and the SAFE

Melisa M. Holmes; Heidi S. Resnick; Dale Frampton

1998-01-01

53

TEX-SIS FOLLOW-UP: Student Follow-up Management Information System. Data Processing Manual.  

ERIC Educational Resources Information Center

Project FOLLOW-UP was conducted to develop, test, and validate a statewide management information system for follow-up of Texas public junior and community college students. The result of this project was a student information system (TEX-SIS) consisting of seven subsystems: (1) Student's Educational Intent, (2) Nonreturning Student Follow-up, (3)…

Tarrant County Junior Coll. District, Ft. Worth, TX.

54

Letter Health Consultation: Follow-Up to June 2010 Letter Health Consultation. Phosphine Gas and Human Exposures from Pond 15S, FMC Site, Eastern Michaud Flats, Chubbuck and Pocatello, Idaho.  

National Technical Information Service (NTIS)

This letter is a follow up to the letter health consultation prepared by the Department of Health and Welfare, Division of Public Health, Bureau of Community and Environmental Health (BCEH) on June 2, 2010 under a cooperative agreement with ATSDR. BCEH ha...

2010-01-01

55

DISSS/PSDB - Personnel Security Database Modernization Project: Compilation of data gathered from DOE Operations Office`s site visits  

SciTech Connect

This document is a compilation of the information gathered from visits to the DOE Operations Offices. The purpose of these visits was to gather requirements for the modernization of the personnel security database. The initial phase of visits were to sites which had known local systems to augment CPCI. They were; Rocky Flats, Richland, Las Vegas, Savannah River, Oak Ridge, and Oakland. The second phase of site visits were to; Headquarters, Schenectady, Pittsburgh, Idaho Falls, Chicago, and Albuquerque. We also visited the NRC. At each site we reviewed the current clearance process in use at the field office. If the site had a local personnel security database (PSDB), we also reviewed the current PSDB processing. Each meeting was began with the a discussion on the purpose of the meeting and the background of the redesign effort.

Carpenter, R.; Sweeney, D.

1995-03-15

56

Graduate Follow-Up Survey, Fall 1998.  

ERIC Educational Resources Information Center

This report presents the methodology, data analysis, results, and highlights of a graduate follow-up survey conducted in 1998 at Nevada's Truckee Meadows Community College (TMCC) for the 1996-97 graduating cohort. The goal of the study was to find out graduates' opinions of TMCC, their employment status and location, and the extent to which…

Truckee Meadows Community Coll., Sparks, NV.

57

Graduate Follow-up Survey, 1993.  

ERIC Educational Resources Information Center

A follow-up study was conducted to gather data on the employment and earnings of the 1993 graduates of Guam Community College's various programs. A total of 464 graduates were surveyed, including the following: 114 of the college's 189 secondary education program graduates; all 26 apprenticeship program graduates; 36 associate of science degree…

Reyes, Margaret E.

58

Graduate Follow-Up Survey, Fall 1998.  

ERIC Educational Resources Information Center

|This report presents the methodology, data analysis, results, and highlights of a graduate follow-up survey conducted in 1998 at Nevada's Truckee Meadows Community College (TMCC) for the 1996-97 graduating cohort. The goal of the study was to find out graduates' opinions of TMCC, their employment status and location, and the extent to which…

Truckee Meadows Community Coll., Sparks, NV.

59

A 4?site, single?visit intradermal postexposure prophylaxis regimen for previously vaccinated patients: experiences with >5000 patients.  

PubMed

We previously demonstrated that 4?site, intradermal, single?visit rabies booster vaccination provides immunogenicity greater than that provided by the standard 2?booster, 2?visit regimen. The regimen has been routinely used in 5116 patients since 1998 without any treatment failure. It is not only effective but also saves vaccine costs and transportation expenses and improves compliance. PMID:20887204

Shantavasinkul, Prapimporn; Tantawichien, Terapong; Jaijaroensup, Wipaporn; Lertjarutorn, Samran; Banjongkasaena, Ampai; Wilde, Henry; Sitprija, Visith

2010-11-01

60

Stepping off the sidewalk: An examination of the data collection techniques of Web sites visited by children  

Microsoft Academic Search

As children step off the sidewalk of safe sites and into the realm of adult-oriented sites, they find themselves dealing with a large variety of incentives and encouragements to disclose personal information. Internet trend analysts capture data identifying the web sites children visit while exploring online. Most commonly, the data are used to identify the “most popular” child-centered web sites,

Judith Lynn Oates Lewandowski

2002-01-01

61

Predictors of Attendance and Dropout at the Lung Health Study 11-Year Follow-Up  

PubMed Central

Participant attrition and attendance at follow-up were examined in a multicenter, randomized, clinical trial. The Lung Health Study (LHS) enrolled a total of 5, 887 adults to examine the impact of smoking cessation coupled with the use of an inhaled bronchodilator on chronic obstructive pulmonary disease (COPD). Of the initial LHS 1 volunteers still living at the time of enrolment in LHS 3 (5,332), 4,457 (84%) attended the LHS 3 clinic visit, a follow-up session to determine current smoking status and lung function. The average period between the beginning of LHS 1 and baseline interview for LHS 3 was 11 years. In univariate analyses, attenders were older, more likely female, more likely to be married, smoked fewer cigarettes per day, and were more likely to have children who smoked at the start of LHS 1 than non-attenders. Attenders were also less likely to experience respiratory symptoms, such as cough, but had decreased baseline lung function compared with non-attenders. Volunteers recruited via mass mailing were more likely to attend the long-term follow-up visit. Those recruited by public site, worksite, or referral methods were less likely to attend. In multivariate models, age, gender, cigarettes smoked per day, married status, and whether participants’ children smoked were identified as significant predictors of attendance versus non-attendance at LHS 3 using stepwise logistic regression. Treatment condition (smoking intervention or usual care) was not a significant predictor of attendance at LHS 3. Older females who smoked less heavily were most likely to participate. These findings may be applied to improve participant recruitment and retention in future clinical trials.

Snow, Wanda M.; Connett, John E.; Sharma, Shweta; Murray, Robert P.

2006-01-01

62

Disaster medicine : from preparedness to follow up  

Microsoft Academic Search

Providing optimal care for a sudden, unexpected large amount of victims from a disaster or major incident is challenging. It requires an approach different from regular traumacare. The population as a whole, rather than the individual, should be the focus of management. \\u000a\\u000aThis thesis focuses on medical preparedness, care and follow-up for victims of a disaster or major incident, and

G. M. H. Marres

2011-01-01

63

Chronic fatigue syndrome: a follow up study  

Microsoft Academic Search

Forty-six of 47 patients diagnosed as having chronic fatigue and offered treatment four years previously were followed up. Twenty-nine patients were interviewed, three patients refused an interview, and information on the remaining 14 was obtained from their general practitioners. All the instruments used at interview had been used in the initial study. The long-term prognosis for patients with chronic fatigue

D Bonner; M Ron; T Chalder; S Butler; S Wessely

1994-01-01

64

[Pregnancy and perinatality: biological follow-up].  

PubMed

Blood and urinary tests which are necessary for pregnancy diagnosis and follow-up, for newborn and mother medical supervision, during the month following birthday, are today described in reglementary texts, laws, and recommendations such as advised medical references (RMO). These documents specify the nature of obligatory tests, the checking rhythm and the list of useless tests. hCG research remains necessary for pregnancy diagnosis, but hCG dosage is essential only in case of programmed medical assistance or pathological pregnancy (extrauterine pregnancy, hydatiform mole, choriocarcinoma). The obligatory follow-up of a pregnant woman includes determination of blood groups, research of infectious agents responsible for diseases (toxoplasmosis, rubeola, hepatitis B, syphilis), proteinuria and glycosuria research and blood count according to a given calendar. When the mother's condition is bad and reminiscent of a pathological pregnancy, when a genetic risk exists for the fetus or when fetal growth is abnormal as indicated by echographic control (intra-uterine growth retardation), laboratory tests are used to follow the maternal pathological course (arterial hypertension, diabetes mellitus, anemia, bacterial, viral or parasitic disease), to verify the existence of a genetic disease, to know about the fetal functional state (by amniocentesis or cordocentesis), to identify an erythrocyte fetomaternal incompatibility. Since last trimester pregnancy accidents are able to endanger mother's and fetus lives, the feto-maternal follow-up must be adjusted to pathological diagnosis types and requires a particular supervision of the delivery. Finally mother and child must undergo a post-natal follow-up during the four weeks after birthday (perinatality control). PMID:9309227

Badonnel, Y; Berland, M; Lacroix, I; Patricot, M C; Revol, A

65

Prompt GRB optical follow-up experiments  

SciTech Connect

Gamma Ray Bursts (GRBs) are brief, randomly located, releases of gamma-ray energy from unknown celestial sources that occur almost daily. The study of GRBs has undergone a revolution in the past three years due to an international effort of follow-up observations of coordinates provided by Beppo/SAX and IPN GRB. These follow-up observations have shown that GRBs are at cosmological distances and interact with surrounding material as described by the fireball model. However, prompt optical counterparts have only been seen in one case and are therefore very rare or much dimmer than the sensitivity of the current instruments. Unlike later time afterglows, prompt optical measurements would provide information on the GRB progenitor. LOTIS is the very first automated and dedicated telescope system that actively utilizes the GRB Coordinates Network (GCN) and it attempts to measure simultaneous optical light curve associated with GRBs. After 3 years of running, LOTIS has responded to 75 GRB triggers. The lack of any optical signal in any of the LOTIS images places numerical limits on the surrounding matter density, and other physical parameters in the environment of the GRB progenitor. This paper presents LOTIS results and describes other prompt GRB follow-up experiments including the Super-LOTIS at Kitt Peak in Arizona.

Park, H-S; Williams, G; Ables, E; Band, D; Barthelmy, S; Bionta, R; Cline, T; Gehrels, N; Hartmann, D; Hurley, K; Kippen, M; Nemiroff, R; Pereira, W; Porrata, R

2000-11-13

66

TEX-SIS FOLLOW-UP: Student Follow-up Management Information System. Activities Manual.  

ERIC Educational Resources Information Center

Project FOLLOW-UP was conducted to develop, test, and validate a statewide management information system for follow-up of Texas public junior and community college students. This activities manual provides an overview of the resultant student information system (TEX-SIS) and its characteristics. Seven subsystems comprise SIS, each with its own…

Tarrant County Junior Coll. District, Ft. Worth, TX.

67

Homeless Families with Children: Programmatic Responses of Five Communities. Volume 2. Site Visit Reports and Program Profiles.  

National Technical Information Service (NTIS)

The report describes the efforts of Atlanta, Baltimore, Minneapolis, Boston, and Oakland to provide services for homeless families with children. Site visits focusing on the coordination and comprehensiveness of services provided by these cities showed th...

L. Baughman T. Chapel C. Rutsch

1991-01-01

68

Establishment, Retention, and Loss to Follow-Up in Outpatient HIV Care  

PubMed Central

Background For optimal clinical benefit, HIV-infected patients should receive periodic outpatient care indefinitely. However, initially establishing HIV care and subsequent retention in care are problematic. This study examines establishment, retention, and loss to follow-up (LTFU) in a large, multi-site cohort over a 2-8 year period. Methods Medical record data were reviewed for 22,984 adult HIV patients receiving care at 12 clinics in the HIV Research Network between 2001-2009. Three dichotomous outcome measures were based on each patient's history of outpatient visits. Establishment reflects whether the patient made outpatient visits for longer than 6 months after initial enrollment. The retention measure reflects whether the patient had at least 2 outpatient visits separated by 90 days in each year in care. LTFU reflects whether the patient had no outpatient visits for more than 12 months without returning. Multiple logistic regression examined demographic and clinical correlates of each outcome, as well as the combined outcome of meeting all three measures. Results Overall, 21.7% of patients never established HIV care after an initial visit. Among established patients, 57.4% did not meet the retention criterion in all years, and 34.9% were LTFU. Only 20.4% of all patients met all three criteria. The odds of successfully meeting all three criteria were higher for women, for older patients, for Hispanics compared with whites, and for those with CD4 levels ?50 cells/mm3. Conclusions These data highlight the need to improve establishment and retention in HIV care.

Fleishman, John A.; Yehia, Baligh R.; Moore, Richard D.; Korthuis, P. Todd; Gebo, Kelly A.

2012-01-01

69

Oligometastases Treated With Stereotactic Body Radiotherapy: Long-Term Follow-Up of Prospective Study  

SciTech Connect

Purpose: To analyze the long-term survival and tumor control outcomes after stereotactic body radiotherapy (SBRT) for metastases limited in number and extent. Methods and Materials: We prospectively analyzed the long-term overall survival (OS) and cancer control outcomes of 121 patients with five or fewer clinically detectable metastases, from any primary site, metastatic to one to three organ sites, and treated with SBRT. Freedom from widespread distant metastasis (FFDM) was defined as metastatic disease not amenable to local therapy (i.e., resection or SBRT). Prognostic variables were assessed using log-rank and Cox regression analyses. Results: For breast cancer patients, the median follow-up was 4.5 years (7.1 years for 16 of 39 patients alive at the last follow-up visit). The 2-year OS, FFDM, and local control (LC) rate was 74%, 52%, and 87%, respectively. The 6-year OS, FFDM, and LC rate was 47%, 36%, and 87%, respectively. From the multivariate analyses, the variables of bone metastases (p = .057) and one vs. more than one metastasis (p = .055) were associated with a fourfold and threefold reduced hazard of death, respectively. None of the 17 bone lesions from breast cancer recurred after SBRT vs. 10 of 68 lesions from other organs that recurred (p = .095). For patients with nonbreast cancers, the median follow-up was 1.7 years (7.3 years for 7 of 82 patients alive at the last follow-up visit). The 2-year OS, FFDM, and LC rate was 39%, 28%, and 74%, respectively. The 6-year OS, FFDM, and LC rate was 9%, 13%, and 65%, respectively. For nonbreast cancers, a greater SBRT target volume was significantly adverse for OS (p = .012) and lesion LC (p < .0001). Patients whose metastatic lesions, before SBRT, demonstrated radiographic progression after systemic therapy experienced significantly worse OS compared with patients with stable or regressing disease. Conclusions: Select patients with limited metastases treated with SBRT are long-term survivors. Future research should address the therapeutic benefit of SBRT for these patients.

Milano, Michael T., E-mail: MTMilano@yahoo.com [Department of Radiation Oncology, University of Rochester Medical Center, Rochester, NY (United States); Katz, Alan W.; Zhang Hong [Department of Radiation Oncology, University of Rochester Medical Center, Rochester, NY (United States); Okunieff, Paul [Department of Radiation Oncology, University of Rochester Medical Center, Rochester, NY (United States); Department of Radiation Oncology, University of Florida, Gainesville, FL (United States)

2012-07-01

70

Exact distributions of the number of distinct and common sites visited by N independent random walkers.  

PubMed

We study the number of distinct sites S(N)(t) and common sites W(N)(t) visited by N independent one dimensional random walkers, all starting at the origin, after t time steps. We show that these two random variables can be mapped onto extreme value quantities associated with N independent random walkers. Using this mapping, we compute exactly their probability distributions P(N)(d)(S,t) and P(N)(c)(W,t) for any value of N in the limit of large time t, where the random walkers can be described by Brownian motions. In the large N limit one finds that S(N)(t)/?t?2?(log N)+s/(2?(log N)) and W(N)(t)/?t?w/N where s and w are random variables whose probability density functions are computed exactly and are found to be nontrivial. We verify our results through direct numerical simulations. PMID:23767707

Kundu, Anupam; Majumdar, Satya N; Schehr, Grégory

2013-05-29

71

Digital synchronous follow-up system  

SciTech Connect

This paper describes a synchronous follow-up system whose dynamic phase error is less than or equal to 20, while its steady-state phase error is less than or equal to 2, with a load torque of 5600 g.cm on the shaft of the servomotor. The digital system ensures a range of regulation of 3.10 and a factor of merit of 1200 sec at a tracking speed of 200 rad/sec. This system is especially applicable to the fabrication of superconducting cables during which a high level of accuracy is required in the pitch of the twist applied to the cores of superconducting cables.

Govorun, V.N.; Chernyavskii, N.N.; In'shakov, V.I.; Leonov, A.P.; Popov, V.V.; Skvortsov, V.V.; Ustinov, E.A.

1985-01-01

72

Follow-up of adolescent psychiatric inpatients.  

PubMed

Psychiatric hospital services for adolescents have steadily increased in recent years and great interest has been generated in determining treatment outcome. In this study, 74 adolescent inpatients completed structured telephone interviews one year after discharge. The questions probed school, job, and family adjustment, as well as drug and alcohol use, participation in treatment, and legal problems. At the time of discharge, they had undergone objective, standardized psychologic tests including personally, locus of control, and parent-adolescent communication assessments. Statistically, the discharge locus of control test correlated with several areas studied. The more external the locus of control at discharge, the greater the likelihood of poor peer relations, poor family relations, and poor job adjustment at one-year follow-up. The discharge personality alienation scale was found to correlate inversely to school adjustment one year later. High emotional discomfort shown by the personality test was associated with increased likelihood of being in treatment at follow-up. Finally, a statistical profile of the adolescents one year after discharge is presented. PMID:7414380

Davis, D M; Gonzalez, V; Piat, J

1980-09-01

73

Control-technology assessment of petroleum-refinery operations: preliminary site visit report, Cherry Point Refinery  

SciTech Connect

An on-site visit was made to the Cherry Point Refinery, near Ferndale, Washington, to evaluate control-technology strategies used by the refinery to control worker exposure to potentially toxic chemical agents and harmful physical agents. Specific attention was focused on naphtha reforming and oil/water separation. The facility could process up to 120,000 barrels per stream day of Alaskan North Slope crude. Efforts to control exposures included the identification of all hazardous chemical and physical agents by workplace, employee exposure assessment, control of unacceptable exposures, training and information offered, medical surveillance, and a documentation and record keeping system. Area hydrogen sulfide (7783064) monitors were located at the sulfur recovery unit and an API separator was used for oil and water separations. Several interesting control techniques noted during the visit included a closed oil-water sewer with sample points directly piped to the sewer, use of computer programs to calculate correct bolt-tightening stress, pump inspections for seal leaks, valve inspections for steam and hydrocarbon leaks, use of temperature-sensitive paints on vessels to indicate higher temperatures, and the use of acoustical testing for locating stress/corrosion cracking while the vessel was in service.

Not Available

1982-04-01

74

Chapter VI: Follow-up after revascularisation.  

PubMed

Structured follow-up after revascularisation for chronic critical limb ischaemia (CLI) aims at sustained treatment success and continued best patient care. Thereby, efforts need to address three fundamental domains: (A) best medical therapy, both to protect the arterial reconstruction locally and to reduce atherosclerotic burden systemically; (B) surveillance of the arterial reconstruction; and (C) timely initiation of repeat interventions. As most CLI patients are elderly and frail, sustained resolution of CLI and preserved ambulatory capacity may decide over independent living and overall prognosis. Despite this importance, previous guidelines have largely ignored follow-up after CLI; arguably because of a striking lack of evidence and because of a widespread assumption that, in the context of CLI, efficacy of initial revascularisation will determine prognosis during the short remaining life expectancy. This chapter of the current CLI guidelines aims to challenge this disposition and to recommend evidentially best clinical practice by critically appraising available evidence in all of the above domains, including antiplatelet and antithrombotic therapy, clinical surveillance, use of duplex ultrasound, and indications for and preferred type of repeat interventions for failing and failed reconstructions. However, as corresponding studies are rarely performed among CLI patients specifically, evidence has to be consulted that derives from expanded patient populations. Therefore, most recommendations are based on extrapolations or subgroup analyses, which leads to an almost systematic degradation of their strength. Endovascular reconstruction and surgical bypass are considered separately, as are specific contexts such as diabetes or renal failure; and critical issues are highlighted throughout to inform future studies. PMID:22172475

Dick, F; Ricco, J-B; Davies, A H; Cao, P; Setacci, C; de Donato, G; Becker, F; Robert-Ebadi, H; Eckstein, H H; De Rango, P; Diehm, N; Schmidli, J; Teraa, M; Moll, F L; Lepäntalo, M; Apelqvist, J

2011-12-01

75

Minimum 20-year follow-up results of Harrington rod fusion for idiopathic scoliosis  

Microsoft Academic Search

We evaluated the outcome of spinal fusion with a single Harrington distraction rod in patients with idiopathic scoliosis. At follow-up visits a minimum of 20 years post-surgery, we studied 24 patients who had been operated on by the same surgeon. The Scoliosis Research Society (SRS) Instrument and an additional questionnaire of our own, along with an invitation for a follow-up

M. Mariconda; O. Galasso; P. Barca; C. Milano

2005-01-01

76

Health care cost and access challenges persist: initial findings from HSC's 2007 site visits.  

PubMed

Little has changed in local health care markets since 2005 to break the cycle of rising costs, falling insurance coverage and widening access inequities, according to initial findings from the Center for Studying Health System Change's (HSC) 2007 site visits to 12 nationally representative metropolitan communities. As intense competition among hospitals and physicians for profitable specialty services continues, employers and health plans are looking to consumers to take more responsibility for medical costs, lifestyle choices and treatment decisions. While consumer-directed health plans have not gained widespread adoption, other developments-including a heightened emphasis on prevention and wellness, along with nascent provider cost and quality information-are advancing health care consumerism. However, concerns exist about whether these efforts will slow cost growth enough to keep care affordable or whether the growing problem of affordability will derail efforts to decrease the rising number of uninsured Americans and stymie meaningful health care reform. PMID:17922543

Draper, Debra A; Ginsburg, Paul B

2007-10-01

77

Coats' syndrome: long term follow up  

PubMed Central

AIM—To increase the understanding of the long term results in pseudo-retinoblastoma eyes with infantile Coats' syndrome.?METHODS—This study design was a retrospective case review. 10 patients were analysed who were initially referred with a diagnosis of retinoblastoma but had Coats' syndrome on the basis of ocular oncological evaluation. Vision, fundus photography, ultrasonography, and computed tomography scans were obtained and evaluated. Changes in vision and retinal status were measured.?RESULTS—The initial age at presentation was 2.4 years (range 0.25-4 years). All patients had retinal detachment at diagnosis. Nine of 10 retinas were reattached after various treatments. Reattached retinas had closure of peripheral telangiectasia and visible intraretinal crystals. Vision was dismal. At last follow up (mean 8.8 years), only two patients had 20/400 or better visual acuities. Five eyes had no light perception despite early treatment to reattach the retina. Nine of 10 eyes remain cosmetically acceptable. One patient wore a cosmetic shell.?CONCLUSIONS—Long term results indicate that these eyes can be salvaged and the retina reattached but the visual outcome is poor.??

Char, D.

2000-01-01

78

Pattern of follow-up care and early relapse detection in breast cancer patients.  

PubMed

Routine breast cancer follow-up aims at detecting second primary breast cancers and loco regional recurrences preclinically. We studied breast cancer follow-up practice and mode of relapse detection during the first 5 years of follow-up to determine the efficiency of the follow-up schedule. The Netherlands Cancer Registry provided data of 6,509 women, operated for invasive non-metastatic breast cancer in 2003-2004. In a random sample including 144 patients, adherence to follow-up guideline recommendations was studied. Mode of relapse detection was studied in 124 patients with a second primary breast cancer and 160 patients with a loco regional recurrence. On average 13 visits were performed during the first 5 years of the follow-up, whereas nine were recommended. With one, two and three medical disciplines involved, the number of visits was 9, 14 and 18, respectively. Seventy-five percent (93/124) of patients with a second primary breast cancer, 42 % (31/74) of patients with a loco regional recurrence after breast conserving surgery and 28 % (24/86) of patients with a loco regional recurrence after mastectomy had no symptoms at detection. To detect one loco regional recurrence or second primary breast cancer preclinically, 1,349 physical examinations versus 262 mammography and/or MRI tests were performed. Follow-up provided by only one discipline may decrease the number of unnecessary follow-up visits. Breast imaging plays a major and physical examination a minor role in the early detection of second primary breast cancers and loco regional recurrences. The yield of physical examination to detect relapses early is low and should therefore be minimised. PMID:23117854

Geurts, Sandra M E; de Vegt, Femmie; Siesling, Sabine; Flobbe, Karin; Aben, Katja K H; van der Heiden-van der Loo, Margriet; Verbeek, André L M; van Dijck, Jos A A M; Tjan-Heijnen, Vivianne C G

2012-11-02

79

Patient satisfaction with nurse-led telephone follow-up after curative treatment for breast cancer  

PubMed Central

Background Current frequent follow-up after treatment for breast cancer does not meet its intended aims, but does depend on expensive and scarce specialized knowledge for routine history taking and physical examinations. The study described in this paper compared patient satisfaction with a reduced follow-up strategy, i.e. nurse-led telephone follow-up, to satisfaction with traditional hospital follow-up. Methods Patient satisfaction was assessed among patients (n = 299) who were participants of a randomized controlled trial investigating the cost-effectiveness of several follow-up strategies in the first year after treatment for breast cancer. Data on patient satisfaction were collected at baseline, three, six and 12 months after treatment, using the Dutch version of Ware's Patient Satisfaction Questionnaire III (PSQ III). In addition to general satisfaction, the PSQ III reports on satisfaction scores for technical competence, interpersonal aspects, and access of care. Regression analysis was used to predict satisfaction scores from whether or not nurse-led telephone follow-up was received. Results Nurse-led telephone follow-up had no statistically significant influence on general patient satisfaction (p = 0.379), satisfaction with technical competence (p = 0.249), and satisfaction with interpersonal aspects (p = 0.662). Regarding access of care, patient satisfaction scores were significantly higher for patients receiving telephone follow-up (p = 0.015). However, a mean difference at 12 months of 3.1 points was judged to be not clinically relevant. Conclusions No meaningful differences were found in satisfaction scores between nurse-led telephone and hospital follow-up in the first year after breast cancer treatment. With high satisfaction scores and the potential to substantially reduce clinic visits, nurse-led telephone follow-up may be an acceptable alternative to traditional hospital follow-up. Trial registration number ISRCTN 74071417.

2010-01-01

80

Nurse-led follow-up on demand or by a physician after breast cancer surgery: a randomised study  

Microsoft Academic Search

The value of routine follow-up with frequent visits to a breast cancer specialist—both in terms of detection of recurrence and patient satisfaction—has been questioned.The aim of this study was to compare nurse-led follow-up on demand versus physician follow-up after breast cancer treatment with regards to patients’ well-being, satisfaction, access to medical care and medical safety.Two hundred and sixty-four consecutively selected

I.-L Koinberg; B Fridlund; G.-B Engholm; L Holmberg

2004-01-01

81

Nurse practitioners in Ghana: a follow up.  

PubMed

An earlier paper described the training of enrolled nurses for work as nurse practitioners in Berekum. Many mission hospitals have availed themselves of this training, and have given continuous support to these young nurses. Patients have had to wait less time for attention; medical staff have been able to finish their outpatient clinics at about noon, instead of 5 pm; laboratory and pharmacy staff have also profited. There have been several new developments. A number of trained and experienced male nurses have begun to work in village clinics. Most of them were invited to do so by the chiefs and people of these villages. The District Medical Officer (a Medical Mission Sister) helped the nurses with advice, medicines and provisions as needed and also recommended them to the Regional Ministry of Health in Sunyani, for official approval. The District Medical Officer visits the clinics at intervals, and keeps close contact with the nurses through the system of referrals. Patients are sent to Holy Family Hospital with a letter, stating the complaints and the treatment given in the clinic. These letters are returned with the doctor's findings, the treatment given, the end result, and the further care which may still be needed. Thus each referral constitutes a learning experience, which is showing good results in the work of the nurses. The beginning of a primary health care system has been created. Numerous well-baby clinics have grown up around the curative centers. Midwives practising in private maternity homes in the villages of this district have voluntarily joined the project. Such midwives are all capable and experienced professionals; they must have 5 years of practice before the government will allow them to set up a private maternity home. They attend annual seminars. These midwives carry a heavy responsibility, since maternal mortality is high. Student midwives now receive a course of lectures on the care of women of child-bearing age. PMID:6729964

Wynen, E M

1984-01-01

82

Effectiveness of risk communication interventions on the medical follow-up of youth treated with antidepressants.  

PubMed

Following reports of a potential association between antidepressants (ADs) and suicidal behaviour in youth, regulatory warnings were issued in May 2004, and clinical recommendations on medical follow-up were published in November 2007. Our study aimed at assessing the association between these communication interventions and medical follow-up of children (age 10-14) and adolescents (age 15-19) who initiate an AD treatment. A retrospective cohort study (1998-2008) was conducted among youth members of the Quebec public drug plan. Study outcomes consisted of adequate follow-up practice, defined as at least 1 medical visit per month during the first 3 months of treatment. The effect of each intervention on follow-up practices was determined through multivariate logistic regression analysis. The cohort included 4576 children and 12,419 adolescents. Two thirds of both children and adolescents had at least one medical visit during the first trimester of treatment, but only 20% had a frequency of at least one visit per month (i.e. adequate). The occurrence and frequency of visits did not change after either the warning nor the publication of the guidelines. Further interventions designed to optimize monitoring practices should be envisaged. PMID:23664663

Cloutier, Anne-Marie; Greenfield, Brian; Lavoie, Annie; Lynd, Larry D; Tournier, Marie; Brabant, Marie-Josée; Moride, Yola

2013-05-09

83

Site-visit report: Reichhold Chemicals, Inc. , Tacoma, Washington. [Furan and dioxin content of PCP product  

SciTech Connect

A site visit was made to a pentachlorophenol (PCP) production facility, Reichhold Chemicals Incorporated, Tacoma, Washington, to investigate possible contamination of the PCP with polychlorinated dibenzo-p-dioxins and dibenzofurans. During the production process, PCP fumes and dust occurred at the small shaker screen, the bagger and the molding stations; dust and fumes were vented to a mold bag filter system. A total of 28 personal breathing-zone samples were collected during 2 days of sampling. Two of the samples were above the 0.5mg/m/sup 3/ time-weighted average (TWA) permissible exposure limit for PCP. One was 1.65mg/m/sup 3/ for an operator who was bagging prilled PCP. This individual wore a respirator so that his exposure was less. A maintenance man recorded a TWA of 0.68mg/m/sup 3/, and the author was not using safety equipment. Five bulk samples were also collected. It was not possible to measure dioxins in the personal breathing-zone or area air samples. However, using the concentrations of PCP measured on the filter portion of the personal breathing zone samples, estimates were made for dioxins and furans. The authors conclude that workers at this facility are suitable for inclusion in the Dioxin Registry. The authors recommend that efforts should be undertaken to reduce the amount of dust generated during the PCP bagging operation.

Marlow, D.A.; Fingerhut, M.

1985-12-03

84

Evaluating the 1969 LTI-TTT Site Visitation Procedure. Aperiodic Report: Trainers of Teacher Trainers (TTT) Evaluation. No. 2.  

ERIC Educational Resources Information Center

|This report describes the history of the total LTI-TTT (Leadership Training Institute--Trainers of Teacher Trainers) site visitation procedure, including how it affected various groups and how these groups reacted to it. The report begins by discussing the evaluator's concept of evaluation and proceeds to describe the background condition,…

Illinois Univ., Urbana. Center for Instructional Research and Curriculum Evaluation.

85

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.

86

Minimum 20-year follow-up results of Harrington rod fusion for idiopathic scoliosis.  

PubMed

We evaluated the outcome of spinal fusion with a single Harrington distraction rod in patients with idiopathic scoliosis. At follow-up visits a minimum of 20 years post-surgery, we studied 24 patients who had been operated on by the same surgeon. The Scoliosis Research Society (SRS) Instrument and an additional questionnaire of our own, along with an invitation for a follow-up visit, were originally mailed to 28 consecutive patients of the surgeon. The SRS Instrument has seven domains dealing with back pain, general self-image, self-image after surgery, general function, function in terms of level of activity, function after surgery, and degree of satisfaction with the surgery. The length of time between surgery and the follow-up visit averaged 22.9 years (20.2-27.3). The mean age at surgery and follow-up were 15.8 (13-22) and 38.8 (35-48) years, respectively. Twenty-four patients sent back the completed questionnaires and 16 of them participated in the clinic and radiographic follow-up. To assess the meaning of the questionnaires' results, a control group of the same sex, age and geographic provenance was selected from our outpatients without scoliosis. The average follow-up score on the SRS Instrument for the patients was 100.8 (78-110). When we compared the study and control groups, no significant differences in the single SRS domain scores were observed. The mean Cobb angle and rib cage deformity before surgery were 70.46 degrees (40-120) and 36.4 mm (20-60 mm), respectively, whereas on follow-up they were 41.23 degrees (16-75) and 22.3 mm (5-50 mm), respectively. These long-term results lead us to consider Harrington fusion a procedure that produces a long-lasting high degree of self-reported post-operative satisfaction. PMID:15864669

Mariconda, M; Galasso, O; Barca, P; Milano, C

2005-04-29

87

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.

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

2011-01-01

88

Nephrologist follow-up improves all-cause mortality of severe acute kidney injury survivors.  

PubMed

Survivors of severe acute kidney injury remain at high risk of death well after apparent recovery from the initial insult. Here we determine whether early nephrology follow-up after a hospitalization complicated by severe acute kidney injury associates with patient survival. This consisted of a cohort study of all hospitalized adults in Ontario from 1996 to 2008 with acute kidney injury who received temporary inpatient dialysis and survived for 90 days following discharge independent from dialysis. Propensity scores were used to match individuals with early nephrology follow-up, defined as a visit with a nephrologist within 90 days of discharge, to those without. The outcome was time to all-cause mortality of 3877 patients who met the eligibility criteria within a maximum follow-up of 2 years. A total of 1583 patients had early nephrology follow-up of whom 1184 were successfully matched 1:1 to those not receiving early follow-up. The incidence of all-cause mortality was lower in those patients with early nephrology follow-up compared with those without (8.4 compared with 10.6 per 100-patient years, hazard ratio 0.76 (95% CI: 0.62-0.93)). Thus, early nephrology follow-up after hospitalization with acute kidney injury and temporary dialysis was associated with improved survival. This finding requires definitive testing in a randomized controlled trial. PMID:23325077

Harel, Ziv; Wald, Ron; Bargman, Joanne M; Mamdani, Muhammad; Etchells, Edward; Garg, Amit X; Ray, Joel G; Luo, Jin; Li, Ping; Quinn, Robert R; Forster, Alan; Perl, Jeff; Bell, Chaim M

2013-01-16

89

Shillapoo Wildlife Area 2007 Follow-up HEP Report.  

SciTech Connect

In April and May 2007 the Regional HEP Team (RHT) conducted a follow-up HEP analysis on the Egger (612 acres) and Herzog (210 acres) parcels located at the north end of the Shillapoo Wildlife Area. The Egger and Herzog parcels have been managed with Bonneville Power Administration funds since acquired in 1998 and 2001 respectively. Slightly more than 936 habitat units (936.47) or 1.14 HUs per acre was generated as an outcome of the 2007 follow-up HEP surveys. Results included 1.65 black-capped chickadee HUs, 280.57 great blue heron HUs, 581.45 Canada goose HUs, 40 mallard HUs, and 32.80 mink HUs. Introduction A follow-up Habitat Evaluation Procedures (HEP) (USFWS 1980) analysis was conducted by the Columbia Basin Fish and Wildlife Authority's (CBFWA) Regional HEP Team (RHT) during April and May 2007 to document changes in habitat quality and to determine the number of habitat units (HUs) to credit Bonneville Power Administration (BPA) for providing operation and maintenance (O&M) funds since WDFW acquired the parcels. The 2007 follow-up HEP evaluation was limited to Shillapoo Wildlife Area (SWA) parcels purchased with Bonneville Power Administration funds. D. Budd (pers. comm.) reported WDFW purchased the 612 acre Egger Farms parcel on November 2, 1998 for $1,737,0001 and the 210 acre Herzog acquisition on June 21, 2001 for $500,000 with Memorandum of Agreement funds (BPA and WDFW 1996) as partial fulfillment of BPA's wildlife mitigation obligation for construction of Bonneville and John Day Dams (Rasmussen and Wright 1989). Anticipating the eventual acquisition of the Egger and Herzog properties, WDFW conducted HEP surveys on these lands in 1994 to determine the potential number of habitat units to be credited to BPA. As a result, HEP surveys and habitat unit calculations were completed as much as seven years prior to acquiring the sites. The term 'Shillapoo Wildlife Area' will be used to describe only the Herzog and Egger parcels in this document. Details and results of the HEP analysis are included in this report.

Ashley, Paul R.

2008-03-01

90

Traumatic intrusion of permanent teeth: 10 years follow-up of 2 cases.  

PubMed

Intrusive luxation is a kind of traumatic injury characterized by an axial displacement of the tooth toward the alveolar bone. Its main causes are bicycle accidents, sports/recreational activities, and falls or collisions. Treatment strategies include waiting for the tooth to return to its position, immediate surgical repositioning, and repositioning through dental traction by orthodontic devices. In order to decide which treatment to follow, the degree of root formation, the patient's age, and intrusion severity should be taken into consideration. This study aimed to report a 10-year follow-up of two patients that suffered permanent incisor (PI) traumatic injury who had a similar root development (incomplete rooting) but different results. In the first case, the treatment of choice was follow-up. The patient showed gingival alteration and root resorption of tooth 21. Calcium hydroxide therapy and root canal filling were performed twice because of not attending callback. After finishing the endodontic treatment, follow-up visits showed no abnormalities. In the second case, the treatment of choice was watch and wait to the teeth 11 and 21. After 7 months spontaneous eruption of both teeth was detected. Radiographic examination showed atypical root formation and almost completely pulp canal obliteration, 8 years later. In the follow-up, visit after 10 years was observed complete crow and pulp canal obliteration. It was concluded that PI intrusion treatments are good intervention alternatives, as they proved to be successful after a 10-year follow-up period. PMID:22251243

Gomes, Genara Brum; da Costa, Catiara Terra; Bonow, Maria Laura Menezes

2012-01-18

91

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...

92

Meeting increased demand for total knee replacement and follow-up: Determining optimal follow-up.  

PubMed

The strain on clinic and surgeon resources resulting from a rise in demand for total knee replacement (TKR) requires reconsideration of when and how often patients need to be seen for follow-up. Surgeons will otherwise require increased paramedical staff or need to limit the number of TKRs they undertake. We reviewed the outcome data of 16 414 primary TKRs undertaken at our centre to determine the time to re-operation for any reason and for specific failure mechanisms. Peak risk years for failure were determined by comparing the conditional probability of failure, the number of failures divided by the total number of TKRs cases, for each year. The median times to failure for the most common failure mechanisms were 4.9 years (interquartile range (IQR) 1.7 to 10.7) for femoral and tibial loosening, 1.9 years (IQR 0.8 to 3.9) for infection, 3.1 years (IQR 1.6 to 5.5) for tibial collapse and 5.6 years (IQR 3.4 to 9.3) for instability. The median time to failure for all revisions was 3.3 years (IQR 1.2 to 8.5), with an overall revision rate of 1.7% (n = 282). Results from our patient population suggest that patients be seen for follow-up at six months, one year, three years, eight years, 12 years, and every five years thereafter. Patients with higher pain in the early post-operative period or high body mass index (? 41 kg/m(2)) should be monitored more closely. Cite this article: Bone Joint J 2013;95-B:1484-9. PMID:24151267

Meding, J B; Ritter, M A; Davis, K E; Farris, A

2013-11-01

93

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

Microsoft Academic Search

The purpose of this study was to evaluate the clinical results, complications, and secondary interventions during long-term\\u000a follow-up after endovascular aneurysm repair (EVAR) and to investigate the impact of endoleak sizes on aneurysm shrinkage.\\u000a From 1997 to March 2007, 127 patients (12 female, 115 male; age, 73.0 ± 7.2 years) with abdominal aortic aneurysms were treated\\u000a with Talent stent-grafts. Follow-up included clinical visits,

Michael B. Pitton; Tobias Scheschkowski; Markus Ring; Sascha Herber; Katja Oberholzer; Annegret Leicher-Düber; Achim Neufang; Walther Schmiedt; Christoph Düber

2009-01-01

94

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

Microsoft Academic Search

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

McCallen

1998-01-01

95

Long-Term Follow-Up of Iliac Wallstents  

SciTech Connect

We evaluated the long-term results of the iliac artery stent placement for the treatment of patients with intermittent claudication. From November 1988 to December 1998, 303 legs were treated with metal stents in 259 patients with iliac occlusive arterial disease in a follow-up study approved by the institutional review board. Stenoses (n = 162) were treated after failed angioplasty and occlusions (n = 141) were treated with primary stent placement. According to Fontaine's clinical classification of chronic ischemia, 266 (88%) legs presented stage IIB, 14 (5%) stage III, and 23 (7%) stage IV. In all legs, self-expandable stents (Wallstent) were implanted. The patients were followed up with clinical examination, ankle brachial- index examination measurement and intravenous angiography. The data were analyzed using the univariate analysis (Kaplan-Meier method) and multivariate analysis (Cox proportional model). The primary endpoint of the study was the identification of restenosis or reoclusion of the stenting arterial segment and a secondary endpoint that was an identification of the risk factors of restenosis and reoclusion. The mean {+-} SD ankle-brachial index pre-, post-procedure, and in the last control was 0.58 {+-} 0.18, 0.90 {+-} 0.23, and 0.86 {+-} 0.24, respectively. Primary cumulative patency rates were 70% {+-} 4 after 5 years, and 65% {+-} 5 after 7 years, and secondary patency rates were 92% {+-} 2 after 5 years, and 87% {+-} 4 after 9 years. Immediate complications in the first 24 hours appeared in 12 (4%) legs, thrombosis in 5 legs, 3 legs presented with distal embolism, 2 thrombi at the access site and pseudo aneurysm and artery rupture in 1 leg. A patient died in the first 24 hours. Within 30 days after the procedure seven complications, 3 thromboses and 4 stenosis appeared. During follow-up, 42 (16%) patients died of other causes. The main causes of death were cardiac disease (39%), cerebrovascular disease (15%), cancer (7%), respiratory diseases (4%), and death due to accidents (2%), and other causes (9%). In 24% of the cases there was insufficient information to assign a principal cause of death. Thirty-six patients (13%) were lost to follow-up. Complications arose in 54 (18%) legs due to occlusion of the treated segment (29%), and stenosis due to intimal hyperplasia (27%). Thirteen patients required surgical treatment. Primary and secondary patency mean time was 80 {+-} 3.7 and 102 {+-} 2.4 months, respectively. We found no significant relation between patency and the quality of run-off, but a small vessel diameter and the female gender were negative predictive factors for failure (proportional hazards model). The use of stents for treatment of iliac artery occlusive disease may be considered an effective method with a low complication rate and acceptable long-term follow-up results.

Reyes, Ricardo [Hospital Dr. Negrin, Vascular and Interventional Radiology Unit (Spain); Carreira, Jose Martin [Universidad de, Dept of Radiology (Spain)], E-mail: mrjoseca@usc.es; Gude, Francisco [Hospital Clinico Universitario de Santiago, Clinical Epidemiology Unit (Spain); Gorriz, Elias; Gallardo, Laura; Pardo, Maria Dolores; Hermida, Maria [Hospital Dr. Negrin, Vascular and Interventional Radiology Unit (Spain)

2004-11-15

96

A Global Review of Melanoma Follow-up Guidelines  

PubMed Central

Early detection of a melanoma recurrence is a major concern for the clinician. However, the follow-up care of melanoma patients lacks a uniform approach. Different dermatological and oncological organizations have developed their own strategies of follow-up management that vary by specialty and methods of screening for recurrence. Some areas of controversy in the follow-up care of melanoma patients include providers of care, use of staging versus Breslow depth to determine follow-up, the role of imaging and laboratory tests, frequency and duration of physical exams, and psychological well-being. Studies have evaluated these aspects of follow-up management, but no consensus exists. However, it is essential for clinicians to collaborate between specialties for an effective, evidence-based approach to melanoma clinical follow-up care.

Sroa, Novie; Winkelmann, Richard R.; Olencki, Thomas; Bechtel, Mark

2013-01-01

97

Follow-up requirements for thick cutaneous melanoma  

Microsoft Academic Search

The primary aim of postoperative melanoma follow-up is the early detection and treatment of treatable recurrences which gives a survival advantage to these patients. The need for follow-up is universally accepted. However, there is ongoing controversy about the duration of follow-up and frequency of reviews. We present a retrospective review of 244 patients with localised thick (? 4.0 mm) cutaneous

P. Sylaidis; D. Gordon; H. Rigby; J. Kenealy

1997-01-01

98

Quality and Accuracy of Sexual Health Information Web Sites Visited by Young People  

Microsoft Academic Search

We assessed online sexual health information quality and accuracy and the utility of web site quality indicators. In reviewing 177 sexual health web sites, we found below average quality but few inaccuracies. Web sites with the most technically complex information and\\/or controversial topics contained the most inaccuracies. We found no association between inaccurate information and web site quality.

Eric R. Buhi; Ellen M. Daley; Alison Oberne; Sarah A. Smith; Tali Schneider; Hollie J. Fuhrmann

2010-01-01

99

Follow-up of patients with curatively resected colorectal cancer: a practice guideline  

PubMed Central

Background A systematic review was conducted to evaluate the literature regarding the impact of follow-up on colorectal cancer patient survival and, in a second phase, recommendations were developed. Methods The MEDLINE, CANCERLIT, and Cochrane Library databases, and abstracts published in the 1997 to 2002 proceedings of the annual meeting of the American Society of Clinical Oncology were systematically searched for evidence. Study selection was limited to randomized trials and meta-analyses that examined different programs of follow-up after curative resection of colorectal cancer where five-year overall survival was reported. External review by Ontario practitioners was obtained through a mailed survey. Final approval of the practice guideline report was obtained from the Practice Guidelines Coordinating Committee. Results Six randomized trials and two published meta-analyses of follow-up were obtained. Of six randomized trials comparing one follow-up program to a more intense program, only two individual trials detected a statistically significant survival benefit favouring the more intense follow-up program. Pooling of all six randomized trials demonstrated a significant improvement in survival favouring more intense follow-up (Relative Risk Ratio 0.80 (95%CI, 0.70 to 0.91; p = 0.0008). Although the rate of recurrence was similar in both of the follow-up groups compared, asymptomatic recurrences and re-operations for cure of recurrences were more common in patients with more intensive follow-up. Trials including CEA monitoring and liver imaging also had significant results, whereas trials not including these tests did not. Conclusion Follow-up programs for patients with curatively resected colorectal cancer do improve survival. These follow-up programs include frequent visits and performance of blood CEA, chest x-rays, liver imaging and colonoscopy, however, it is not clear which tests or frequency of visits is optimal. There is a suggestion that improved survival is due to diagnosis of recurrence at an earlier, asymptomatic stage which allows for more curative resection of recurrence. Based on this evidence and consideration of the biology of colorectal cancer and present practices, a guideline was developed. Patients should be made aware of the risk of disease recurrence or second bowel cancer, the potential benefits of follow-up and the uncertainties requiring further clinical trials. For patients at high-risk of recurrence (stages IIb and III) clinical assessment is recommended when symptoms occur or at least every 6 months the first 3 years and yearly for at least 5 years. At the time of those visits, patients may have blood CEA, chest x-ray and liver imaging. For patients at lower risk of recurrence (stages I and Ia) or those with co-morbidities impairing future surgery, only visits yearly or when symptoms occur. All patients should have a colonoscopy before or within 6 months of initial surgery, and repeated yearly if villous or tubular adenomas >1 cm are found; otherwise repeat every 3 to 5 years. All patients having recurrences should be assessed by a multidisciplinary team in a cancer centre.

Figueredo, Alvaro; Rumble, R Bryan; Maroun, Jean; Earle, Craig C; Cummings, Bernard; McLeod, Robin; Zuraw, Lisa; Zwaal, Caroline

2003-01-01

100

Assessing Quality in Digital Reference Services Site Visit Reports: State Library of Florida, Bureau of Library and Network Services and Tampa-Hillsborough County Public Library System.  

ERIC Educational Resources Information Center

|The Assessing Quality on Digital Reference team conducted two site visits at Florida Libraries in August 2001. The objectives of these visits were to: document how digital reference services are currently being planned for, delivered, and evaluated in libraries; understand how "quality" in digital reference is defined in these environments;…

Gross, Melissa; McClure, Charles R.

101

Comprehensive primary care follow-up for premature infants  

Microsoft Academic Search

Advances in perinatal and neonatal care have led to an increased incidence of survival of premature infants. Although most premature infants have normal outcomes, they are at increased risk for morbidity and mortality and require comprehensive primary care follow-up after they are discharged from the hospital. This article will review guidelines for general follow-up of premature infants and the associated

Maureen F. McCourt; Colleen M. Griffin

2000-01-01

102

49 CFR 577.10 - Follow-up notification.  

Code of Federal Regulations, 2012 CFR

...in an adequate number of vehicles or items of equipment being returned...The scope, timing, form, and content of such follow-up notification...a follow-up to an earlier communication; ...authorize the use of other media besides...

2012-10-01

103

Procedures for Follow-Up Studies of Teacher Education Graduates.  

ERIC Educational Resources Information Center

|This article offers systematic procedures for designing and conducting follow-up studies of teacher education graduates. Also offered are recommendations for formulating instrument questions and scales, determining questionnaire length and appearance, writing the cover letter, planning the follow-up reminder procedures, and comparing respondents…

Lindsay, Michael

1985-01-01

104

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

105

Long term follow up after inhalation of foreign bodies.  

PubMed Central

The long term results of treatment of inhalation of foreign bodies in a district children's hospital and in a tertiary referral centre were reviewed by clinical assessment, chest radiography, and standard four view 81mKr ventilation/99mTc macroaggregated albumin perfusion imaging (V/Q lung scan). The overall incidence in the population served by the district hospital was roughly one in 14,000/year. Of the 12 children reviewed there, three had abnormal chest radiographs and four had abnormal V/Q scans as a result of inhalation of the foreign bodies. Of 21 children treated and reviewed at the referral centre, eight had abnormal chest radiographs, and 14 had abnormal V/Q lung scans. Three factors were assessed for prognostic importance: site of impaction, initial radiographic appearance, and time before removal. A child who had inhaled a foreign body into the left lung and who had collapse/consolidation on the initial chest radiograph was at greatest risk of long term complications. These children merit close follow up.

Davies, H; Gordon, I; Matthew, D J; Helms, P; Kenney, I J; Lutkin, J E; Lenney, W

1990-01-01

106

Understanding Patterns of User Visits to Web Sites: Interactive Starfield Visualizations of WWW Log Data.  

ERIC Educational Resources Information Center

|Describes the use of Spotfire, a starfield visualization tool, to generate interactive visualizations of log data, ranging from aggregate views of all Web site hits in a time interval to close-ups that approximate the path of a user through a site. Highlights current efforts and provides examples of the visualizations created in Spotfire.…

Hochheiser, Harry; Shneiderman, Ben

1999-01-01

107

Cervical laminoplasty (Hattori's method). Procedure and follow-up results.  

PubMed

Posterior decompression plus posterior reconstruction (laminoplasty) is a useful surgical method for treatment of cervical compressive myelopathy. There are many laminoplasty procedures. This paper describes the Z-shaped laminoplasty developed by Hattori in 1971, and presents a clinical follow-up of the authors' experience with 130 patients. The procedure involves grinding the laminae down with an air drill and making a Z-shaped cut into the thinned laminae without excising the laminae. This technique enlarges the spinal canal. The purpose of this technique is to decompress the spinal cord and at the same time maintain clinical stability. Postoperative results were satisfactory without any major complication. Follow-up study was conducted in 78 cases with a minimal follow-up period of more than 2 years. Satisfactory clinical results were maintained for long periods postoperatively, and the enlargement of the spinal canal was well maintained as demonstrated on follow up X-ray study. PMID:3144758

Kawai, S; Sunago, K; Doi, K; Saika, M; Taguchi, T

1988-11-01

108

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

109

Physicians' Practice Follow-Up Survey. 1987 Executive Summary,  

National Technical Information Service (NTIS)

The executive summary presents the results of four separate research efforts based on the 1987 Physicians' Practice Follow-up Survey. The survey was sponsored jointly by the Assistant Secretary for Planning and Evaluation (ASPE) and the Health Care Financ...

M. L. Rosenbach J. B. Mitchell J. Cromwell S. Hurdle B. Harrow

1988-01-01

110

49 CFR 382.311 - Follow-up testing.  

Code of Federal Regulations, 2011 CFR

...MOTOR CARRIER SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL MOTOR CARRIER SAFETY REGULATIONS CONTROLLED SUBSTANCES AND ALCOHOL USE AND TESTING Tests Required § 382.311 Follow-up testing. The requirements for...

2011-10-01

111

49 CFR 382.311 - Follow-up testing.  

Code of Federal Regulations, 2012 CFR

...MOTOR CARRIER SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION FEDERAL MOTOR CARRIER SAFETY REGULATIONS CONTROLLED SUBSTANCES AND ALCOHOL USE AND TESTING Tests Required § 382.311 Follow-up testing. The requirements for...

2012-10-01

112

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

113

Multiple criteria follow-up of behavior modification with families  

Microsoft Academic Search

This report presents termination and follow-up evaluations of a parent training program based on behavior modification principles. Treatment termination outcome data were obtained for 22 families, and follow-up data were collected on 14 of these families 3 and 8 months after treatment. Results indicated a fairly high level of success at termination on the basis of parent-collected observational data, parent

Stephen M. Johnson; Andrew Christensen

1975-01-01

114

Schizoaffective psychoses in childhood: A follow-up study  

Microsoft Academic Search

A follow-up study of 16 schizo-affectives (part of a group of 57 children originally diagnosed as schizophrenic) is reported. All 57 patients were under 14 years. They were reinvestigated after an average follow-up period of 16 years (range 6 to 40 years). Of the 57 psychoses 28% had a typical schizoaffective character. In contrast to purely schizophrenic psychoses, we found

Christian Eggers

1989-01-01

115

Tracking and Follow-Up Methods for Research On Homelessness  

Microsoft Academic Search

To conduct comprehensive treatment effectiveness studies, evaluators must frequently track, locate and interview service recipients long after program participation has ended. For some populations, this is an arduous task. But, despite wide variations in retention rates, the published literature from follow-up studies rarely provides information on their tracking, locating, or interviewing techniques. The present report concerns a 12-month follow-up study

Evan H. Cohen; Carol T. Mowbray; Deborah Bybee; Susan Yeich; Kurt Ribisl; Paul P. Freddolino

1993-01-01

116

A CLINICAL AND FOLLOW UP STUDY OF ATYPICAL PSYCHOSES  

PubMed Central

SUMMARY Twenty-two cases who fulfilled the criteria of having atypical manifestation at any stage of illness and had minimum follow up of three years were studied in detail. Their family history and follow up was analysed. The findings of the present study suggest that the cases showing admixture of schizophrenic and affective symptoms are probably a variant of affective disorders although a possibility of their being a third independent psychosis cannot be ruled out.

Singh, Gurmeet; Sachdev, J. S.

1980-01-01

117

An electronic clinic for arthroplasty follow-up: a pilot study  

PubMed Central

Background Most outpatient orthopedic follow-up visits for patients who had total joint arthroplasty are routine among those with well-functioning implants. The technology and resources now exist to enable patient assessment without requiring attendance in hospital. We tested an electronic clinic for routine follow-up in a small cohort of arthroplasty patients. Methods We randomly assigned primary arthroplasty patients scheduled for routine annual outpatient review into 2 groups: group A completed a Web-based assessment 4 weeks after the clinical assessment, whereas group B completed the Web-based assessment first. Standard clinical questionnaires were included. We also collected radiographic data and information on assessment duration and cost. Results Forty patients participated in the study. The average age of participants was 58 years. There were 12 men and 8 women in each of the 2 groups. The average total time spent by patients on an outpatient visit was 115 minutes, compared with 52 minutes for the electronic assessment. Participants reported the electronic assessment to be more convenient and less costly. Conclusion This pilot study supports the practical use of an electronic clinic for the follow-up of arthroplasty patients. Further studies examining the complex interaction of factors involved in patient clinics are needed.

Wood, Gavin; Naudie, Douglas; MacDonald, Steve; McCalden, Richard; Bourne, Robert

2011-01-01

118

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.

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

2013-01-01

119

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.

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

2013-01-01

120

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

PubMed

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

2013-06-25

121

Surgical removal of subfoveal choroidal neovascularization in pathologic myopia: a 12-year follow-up study.  

PubMed

The purpose of this study was to review the 12-year visual outcomes of patients who underwent surgical removal for subfoveal choroidal neovascularization (CNV) attributable to pathologic myopia. This retrospective study included 14 patients, with a mean age of 45.8 years, high myopia (>6 D) and classic subfoveal CNV. They were treated with pars plana vitrectomy and surgical removal of CNV. All patients were followed up every 3 months for 2 years, with visual acuity (VA), fundus examination, and fluorescein angiography and then every year for 5 years. Ten patients underwent a final visit with VA and fundus examination after a minimum 12-year follow-up. The main outcome measurement was VA and the secondary outcome measurement was the lesion size. After 12 years of follow-up, the mean VA did not significantly change over time, with a mean gain of 0.22 logMAR at 1 year, and 0.18, 0.12 and 0.05 at 2, 5 and 12 years, respectively. The anatomical evolution was characterized by a significant enlargement of the lesion size at 5 years. This study showed that final VA after surgical treatment with 12 years of follow-up was poor, due to the significant CNV scar enlargement over time. These results should prompt a prospective randomized study of other medical treatments, particularly anti-vascular endothelial growth factor therapy. PMID:23539478

Hera, R; Chiquet, C; Romanet, J P

2013-03-29

122

Behavioral and hormonal responses of Magellanic penguins ( Spheniscus magellanicus) to tourism and nest site visitation  

Microsoft Academic Search

One of the results of human disturbance at seabird colonies may be the provocation of the typical vertebrate adrenocortical response to stressors, but there have been few studies that demonstrate this. The present study demonstrates that simple human presence at the nest site, without effects of capture or handling, is physiologically stressful for breeding Magellanic penguins (Spheniscus magellanicus) that are

Gene S Fowler

1999-01-01

123

Developing a telephone follow-up service for myeloproliferative disorders.  

PubMed

Each year in the NHS there are 37 million follow-up appointments. A significant proportion of these are clinically unnecessary, create inconvenience and anxiety for patients, and waste valuable resources. The nature of haematological disease means that some patients are followed-up on a long-term basis as outpatients at varying degrees of frequency ranging from monthly to annually. These patients often attend hospital for a review and are then advised that their disease is stable and a further follow-up appointment is scheduled. This frequently means that the patient has to travel to the hospital, pay to park, wait for a blood test, wait for the test result and then wait to see the doctor for a very short consultation. This article discusses the development and early evaluation of a nurse-led telephone follow-up service for patients with stable haematological disease. Responses to an initial patient satisfaction survey identified that the majority of patients found the system to be effective and convenient. From this experience it would appear that telephone follow-up positively impacts on the patient and the service. Patients receive appropriate and timely care in the right setting and this in turn has created additional capacity in the outpatient setting for those who require it. PMID:18026056

Tonkin, Joanne

124

Elective coronary artery stenting--immediate and follow up results.  

PubMed

Elective coronary artery stenting was performed in 242 consecutive patients in our centre for complex lesions (Type B, C), proximal lesions, restenotic lesions, total occlusion and venous grafts. The procedural success rate was 94.21%. Three patients (1.23%) required emergency coronary artery bypass surgery. Acute and sub-acute thrombosis rate was 1.26% and 4.13%, respectively. There was one in-hospital death (0.41%). 164 patients were followed up clinically for a mean period of 11 +/- 6 months (range 1 month to 30 months). Angiographic follow up was done in 68 patients with a restenosis rate of 16.17%. PMID:11273343

Rath, P C; Tripathy, M P; Panigrahi, N K; Agarwal, R; Rao, P S; Chandra, K S; Singh, S; Deb, T; Agarwal, S; Mannam, G; Dixit, V

1998-03-01

125

Follow-up after treatment for breast cancer: one strategy fits all? An investigation of patient preferences using a discrete choice experiment.  

PubMed

Clinical guidelines for the follow-up after breast cancer recommend frequent outpatient clinic visits to be examined for a possible recurrence or a second primary breast tumour, and to receive information and psychosocial support. However, needs and preferences for follow-up may differ between patients, raising the question whether the current 'one size fits all' approach is appropriate. This study explored patients' preferences for follow-up. Patients and methods. A discrete choice experiment survey with 16 choice tasks was filled out by 331 breast cancer patients. Each choice task consisted of two hypothetical follow-up scenarios for the first year after treatment, described by levels of the following characteristics; attendance at an educational group programme, frequency of visits, waiting time, contact mode, and type of healthcare provider. Results. The healthcare provider and contact mode were the most important characteristics of follow-up to patients. The medical specialist was the most preferred to perform the follow-up, but a combination of the medical specialist and breast care nurse alternating was also acceptable to patients. Face-to-face contact was strongly preferred to telephone contact. Follow-up visits every three months were preferred over visits every four, six, or 12 months. Heterogeneity in preference between patients was strong, especially for the healthcare provider and attendance at an educational group programme. Age, education, and previous experience with follow-up characteristics influenced preferences, but treatment modality did not. Conclusion. The results of this study show that overall patient satisfaction would not differ significantly if patients have follow-up by medical specialist and breast care nurse alternating compared to follow-up by a medical specialist only. Furthermore, we found heterogeneity in preferences for most attributes, indicating that one strategy does not fit all. Individualised follow-up seems to offer the potential for significant increases in patient satisfaction. PMID:20148645

Kimman, Merel L; Dellaert, Benedict G C; Boersma, Liesbeth J; Lambin, Philippe; Dirksen, Carmen D

2010-04-01

126

Cost analysis of two follow-up strategies for localized kidney cancer: a Canadian cohort comparison  

PubMed Central

Introduction: The cost of surveillance strategies in patients after radical nephrectomy for localized primary renal cell carcinoma (RCC) has not been evaluated. We compared the costs of 2 different surveillance strategies, the new Canadian Urological Association (CUA) guidelines and the old strategy implemented in our institution. Methods: Seventy-five patients who underwent radical nephrectomy for primary non-metastatic renal cancer were retrospectively reviewed. The direct cost of surveillance was determined and compared with the theoretical cost which would have been accrued using the CUA guidelines. Results: Our mean follow-up was 31.1 (SD ± 20.4) months. The overall and disease-free survival endpoints were 87.7% and 85.2%, respectively. Total medical costs were higher for our old institutional surveillance strategy than the CUA guidelines ($181 861 vs. $135 054). For the complete follow-up of 75 patients, a cost-savings of $46 806 could have been achieved following the CUA guidelines (p = 0.002). Of recurrences, 7 of 8 were detected by routine screening, only 1 recurrence was identified by symptoms. The cost per recurrence detected in our old protocol was $9 812.92. The increased cost of our institution was due to more visits with basic testing, symptomatic investigation, and follow-up of imaging tests. The median percent cost attributable to these extra tests was 15% (range 0 to 59). Conclusion: Based on our results, we endorse the new CUA surveillance strategy in RCC follow-up as appropriate and cost effective in comparison with previous follow-up strategies used at our institution.

Dion, Marie; Martinez, Carlos H.; Williams, Andrew K.; Chalasani, Venu; Nott, Linda; Pautler, Stephen E.

2010-01-01

127

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.

128

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.

129

Bacterial superinfection in upper respiratory tract infections estimated by increases in CRP values: A diagnostic follow-up in primary care  

PubMed Central

Objective The aim of this study was to estimate the rate of bacterial superinfection in patients with URTI by using on-site determination of C-reactive protein (CRP). Design A prospective cohort study. Setting A total of 30 primary care practices. Subjects Patients with URTI. Intervention The CRP value was determined at the first consultation and at a follow-up within 3–5 days. CRP values of 30 units (mg) or higher were considered to be an indication of bacterial involvement. Main outcome measures CRP values during follow-up and duration of illness. Results Among the 506 patients included, 73.1% exhibited a CRP value below the defined limit at their first visit and were considered to suffer from URTI of viral origin. The rate of subsequent bacterial superinfection was 8.1%. Compared with patients suffering from URTI of bacterial or viral origin the duration of illness in patients with bacterial superinfection was significantly longer. Conclusion During follow-up of patients with URTI, the prevalence of bacterial superinfection detected by using a near patient CRP determination is surprisingly low. This result should help to reduce the prescription rate of antibiotics in primary care.

Lingard, Heide; Zehetmayer, Sonja; Maier, Manfred

2008-01-01

130

Matching Methods for Selection of Participants for Follow-Up  

ERIC Educational Resources Information Center

|This work examines ways to make the best use of limited resources when selecting individuals to follow up in a longitudinal study estimating causal effects. In the setting under consideration, covariate information is available for all individuals but outcomes have not yet been collected and may be expensive to gather, and thus only a subset of…

Stuart, Elizabeth A.; Lalongo, Nicholas S.

2010-01-01

131

Three-Year Follow-Up of Bibliotherapy for Depression  

Microsoft Academic Search

This study examined the durability of cognitive bibliotherapy for mild to moderately depressed adults by conducting a 3-year follow-up of participants from a previous study (C. Jamison & F. Scogin, 1995). The Hamilton Rating Scale for Depression, Beck Depression Inventory, and questions relating to participants’ perceptions of the program were administered. Results indicated that treatment gains were maintained over the

Nancy M. Smith; Mark R. Floyd; Forrest Scogin; Christine S. Jamison

1997-01-01

132

Peat Production Follow-Up and Studies. Phase 2.  

National Technical Information Service (NTIS)

The second phase of the project -Peat production follow-up and studies- has been carried through during the 1984 production season. As in the earlier phase this project is co-financed by the Swedish Peat Research Foundation and National Energy Administrat...

R. Hansen

1985-01-01

133

Dynamic Assessment Practice: Some Suggestions for Ensuring Follow up  

ERIC Educational Resources Information Center

|This article examines tensions in Dynamic Assessment (DA) practice that relate ways in which its findings can be followed up and made accessible to school staff, by examining how process skill interventions can be implemented in the context of a content-focussed curriculum. It briefly outlines some of the theoretical and methodological…

Yeomans, Jane

2008-01-01

134

Osteoporosis Follow-up After Wrist Fractures Following Minor Trauma  

Microsoft Academic Search

Methods: This study was conducted at a single center in Edmonton, Alberta. A structured interview format was used to contact 112 (72%) of 156 patients older than 40 years who were diagnosed as having an atraumatic frac- ture of the distal radius\\/ulna from April 1997 to March 1998 and from January 1999 to February 1999. Infor- mation on osteoporosis follow-up

Sophia A. Khan; Carolyn de Geus; Brian Holroyd; Anthony S. Russell

135

Follow-up after intensive care: a single center study  

Microsoft Academic Search

Objectives To study health problems, quality of life, functional status, and memory after intensive care. Setting Adult patients ( n=346) discharged from a university hospital ICU. Design and methods Prospective cohort study. Follow-up patients were found using the ICU database and the Peoples Registry. Quality of life (QOL) was measured with the Short Form 36 (SF-36) 6 months after ICU discharge.

Reidar Kvåle; Atle Ulvik; Hans Flaatten

2003-01-01

136

Student & Employer Follow-Up Studies for 1988-89.  

ERIC Educational Resources Information Center

In 1990, a follow-up study was conducted of former students of Lane Community College (LCC) and their employers. The survey targeted three groups of former LCC students: all 1988-89 graduates who earned degrees or certificates, all no-formal-award leavers with 70 or more credits, and all early leavers who had earned less than 70 credits while…

Matsen, Marie

137

A Maritime Disaster: Reactions and Follow-up  

Microsoft Academic Search

In 1999, 69 people survived a maritime disaster on the Norwegian coast, during which 16 others died. Besides immediate psychosocial assistance, post-disaster intervention included psychological debriefings after one week, follow-up debriefing a month later, screening of those in need of individual help, and help for those returning to the scene of the disaster. The results of the psychometric tests showed

Atle Dyregrov; Rolf Gjestad

2003-01-01

138

Academic Resilience in Retrospect: Following up a Decade Later  

ERIC Educational Resources Information Center

In a unique follow-up study, Hispanic (Dominican American) students identified as resilient 10 years ago were reinterviewed to assess their interim progress, and explore how their educational and professional achievements have evolved over time. By having the students reflect on their beliefs a decade ago and how those beliefs have evolved in…

Morales, Erik E.

2008-01-01

139

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

140

A Follow-up Study: The Registered Nurses Program, 1977.  

ERIC Educational Resources Information Center

Twenty-seven (77.1%) of the thirty-five 1977 graduates of the South Georgia Colleges' Division of Nursing responded to a follow-up survey, producing the following information: (1) 17 were employed full-time, two were employed part-time, and eight were unemployed; (2) 88.9% agreed they were prepared adequately for the state board examination; (3)…

Kondwros, Jerry M.

141

Graduate Follow-Up Study 1948-73.  

ERIC Educational Resources Information Center

Results of a follow-up study of the graduates of Hagerstown Junior College during its existence (1948-1973 inclusive) are provided. During the 26-year period, 1,797 people received either a degree or a one-year certificate from the college. Questionnaires were mailed to all graduates, and 1,359 (77%) were returned. The data are tabulated as to…

Behrendt, Richard L.

142

The Graduate Follow-Up Study, 1993-1994.  

ERIC Educational Resources Information Center

In fall 1994, Owens Community College (OCC), in Ohio, conducted a follow-up study of all 956 graduates from 1993-94 to determine their level of educational satisfaction, employment status, and other background information. Completed surveys were returned by 664 of the graduates, for a response rate of 70%. Survey results included the following:…

Kiger, Derick M.; And Others

143

49 CFR 577.10 - Follow-up notification.  

Code of Federal Regulations, 2011 CFR

...receiving the remedy; (4) The seriousness of the safety risk from the defect or noncompliance; (5) Whether the prior...statement that identifies it as a follow-up to an earlier communication; (2) A statement urging the recipient to present...

2011-10-01

144

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.

145

Refractive lens exchange in high myopia: long term follow up  

Microsoft Academic Search

Aim: To establish long term outcomes and incidence of complications following refractive lens exchange (RLE) for the correction of high myopia.Methods: Operative and postoperative records of 62 cases of small incision phacoemulsification RLE performed in 37 patients over an 11 year period, by a single surgeon, were reviewed. In addition, patients were recalled for a follow up examination, which included

N Horgan; P I Condon; S Beatty

2005-01-01

146

White mineral trioxide aggregate pulpotomies: Two case reports with long-term follow-up  

PubMed Central

This case report describes the partial pulpotomy treatment of complicated crown fractures of two cases by using white mineral trioxide aggregate (WMTA) with long-term follow-up. In the cases presented here, to injured incisor teeth were open apices and the pulp exposure site was large, so it was decided to perform vital pulpotomy with WMTA. Long-term follow-up examinations revealed that the treatment preserved pulpal vitality with continued root development and apex formation. WMTA may be considered as an alternative option for the treatment of traumatized immature permanent teeth.

Emine, Sen Tunc; Tuba, Ulusoy Ayca

2011-01-01

147

White mineral trioxide aggregate pulpotomies: Two case reports with long-term follow-up.  

PubMed

This case report describes the partial pulpotomy treatment of complicated crown fractures of two cases by using white mineral trioxide aggregate (WMTA) with long-term follow-up. In the cases presented here, to injured incisor teeth were open apices and the pulp exposure site was large, so it was decided to perform vital pulpotomy with WMTA. Long-term follow-up examinations revealed that the treatment preserved pulpal vitality with continued root development and apex formation. WMTA may be considered as an alternative option for the treatment of traumatized immature permanent teeth. PMID:22346173

Emine, Sen Tunc; Tuba, Ulusoy Ayca

2011-10-01

148

The University of Wyoming GRB Afterglow Follow-Up Program  

NASA Astrophysics Data System (ADS)

As the Swift era approaches, the University of Wyoming in Laramie has been preparing its two observatories for a robust GRB afterglow follow-up program. The 2.3-m Wyoming Infrared Observatory (WIRO) - first of its kind in collecting power and mid-infrared optimization - is located on Jelm Mt. (2944-m elevation) in a semi-arid atmosphere, 40 km southwest of Laramie. On dry, cold winter nights, our estimates show that WIRO's sensitivity in the K-band is comparable to that of a 4-m telescope at Mauna Kea observatory in Hawaii. Three instruments are currently in use at the observatory: WIRO-Prime, WIRO-Spec, and the Goddard IR camera. WIRO-Prime is a 20482 prime-focus camera with a 20 arcmin diameter FOV (f/2.1). Its sensitivity for a 300-s exposure will reach as faint as 24th (23rd) magnitude in V (R). WIRO-Spec is an integral field, holographic spectrometer which utilizes Volume-Phase-Holographic gratings with a 20482 detector. A bundle of 293 fiber optical cables (1 fiber ~ 1 arcsec) connects the Cassegrain platform to the stationary spectrometer, optimizing the image by reduction from f/27 to f/9. At 20th magnitude, a 700-s exposure yields a S/N ratio of ~ 10 at a resolution of ~ 1 Angstrom, sufficient for resolving the MgII doublet [279.8 nm] in GRB host galaxies to determine a 0.4 < z < 2.5 for an operational wavelength range of ~ 400-1000 nm (WIRO-Prime and WIRO-Spec). The Goddard IR Camera is a 2562 InSb camera (FOV ~ 108 arcsec) mounted at Cassegrain and operated at 15K. Available filters for GRB observations include R, I, J, H, and K'. WIRO slew timescale (~ 120 s) is comparable to that of Swift. Red Buttes Observatory (RBO) is located 19 km south of Laramie in a dark site and houses a 0.6-m f/8 Cassegrain DFM reflector. RBO's Apogee AP8p 10242 camera (18 arcmin FOV, sufficiently large for BAT localizations) is available for use with filters U, B, V, R and I. We are in the final stages of implementing fully automated response to Swift BAT alerts at RBO, and expect an average acquisition timescale to random sky positions of ~ 25 s. Thus, rapid GRB detections by RBO can be forwarded to WIRO even while Swift's pointed instruments are performing first integrations.

Savage, S. L.; Norris, J. P.; Kutyrev, A. S.; Pierce, M.; Canterna, R.

2004-09-01

149

Glucose testing and insufficient follow-up of abnormal results: a cohort study  

PubMed Central

Background More than 6 million Americans have undiagnosed diabetes. Several national organizations endorse screening for diabetes by physicians, but actual practice is poorly understood. Our objectives were to measure the rate, the predictors and the results of glucose testing in primary care, including rates of follow-up for abnormal values. Methods We conducted a retrospective cohort study of 301 randomly selected patients with no known diabetes who received care at a large academic general internal medicine practice in New York City. Using medical records, we collected patients' baseline characteristics in 1999 and followed patients through the end of 2002 for all glucose tests ordered. We used multivariate logistic regression to measure associations between diabetes risk factors and the odds of glucose testing. Results Three-fourths of patients (78%) had at least 1 glucose test ordered. Patient age (?45 vs. <45 years), non-white ethnicity, family history of diabetes and having more primary care visits were each independently associated with having at least 1 glucose test ordered (p < 0.05), whereas hypertension and hyperlipidemia were not. Fewer than half of abnormal glucose values were followed up by the patients' physicians. Conclusion Although screening for diabetes appears to be common and informed by diabetes risk factors, abnormal values are frequently not followed up. Interventions are needed to trigger identification and further evaluation of abnormal glucose tests.

Kern, Lisa M; Callahan, Mark A; Brillon, David J; Vargas, Maryelena; Mushlin, Alvin I

2006-01-01

150

Radon reduction: A three year follow-up  

SciTech Connect

In 1988-1989, a radon mitigation project was conducted on Mackinac Island, Michigan to research radon reduction strategies. One of the primary objectives of the project was to determine the effectiveness of isolating and ventilating the crawl space to reduce radon gas concentrations. The project targeted six homes with crawl spaces, with radon gas concentrations ranging from 12.9 to 82.3 pCi/l. Post-mitigation monitoring at the conclusion of the project indicated that radon concentrations were successfully reduced below the EPA action level of 4pCi/l. In January of 1992, a follow-up study was initiated to determine if the radon reduction systems installed in 1988-1989 were still functioning effectively after three years of operation. The follow-up study revealed that the reduction systems continued to operate effectively without complications.

Hamilton, M.A. (U.S. Public Health Service, Pinetop, AZ (United States). Indian Health Service)

1993-12-01

151

Electromagnetic follow-up of gravitational wave transient signal candidates  

NASA Astrophysics Data System (ADS)

Pioneering efforts aiming at the development of multi-messenger gravitational wave (GW) and electromagnetic (EM) astronomy have been made. An EM observation follow-up program of candidate GW events has been performed (Dec 17 2009 to Jan 8 2010 and Sep 4 to Oct 20 2010) during the recent runs of the LIGO and Virgo GW detectors. It involved ground-based and space EM facilities observing the sky at optical, X-ray and radio wavelengths. The joint GW/EM observation study requires the development of specific image analysis procedures able to discriminate the possible EM counterpart of GW triggers from contaminant/background events. The paper presents an overview of the EM follow-up program and the image analysis procedures.

Branchesi, Marica; Ligo Scientific Collaboration; Virgo Collaboration

2012-07-01

152

Silicone Elastomere Ring Vertical Gastroplasty: extended follow-up.  

PubMed

Statistically significant long-term data have been noticeably scarce in the evaluation of various bariatric procedures. Bariatric patients who lost weight frequently experience drastic life-style changes and often exhibit denial to the extent that follow-up is impaired. In this study, a cohort of 100 consecutive patients who underwent silicone elastomere ring vertical gastroplasty is evaluated at 46-55 months post-surgery with 90% follow-up. Results indicate that the 24-month figure of 36% loss of the preoperative weight level deteriorates to 32% at 46-55 months, and the failure rate increases slightly to 25% (or less), primarily due to anatomic failure of the procedure. Failure due to lack of patient compliance occurs but is less common than previously thought. Silicone elastomere ring vertical gastroplasty remains one of the safest of the effective procedures available to the bariatric surgeon. PMID:10775937

Willbanks

1991-12-01

153

Dosimetry: which dose for screening, diagnosis and follow-up?  

PubMed

The question of which dose for screening, diagnosing ad follow-up of pulmonary nodules is a permanent issue for radiologists and radiotherapists. The proposed dose values for 2013 reflect the possibilities of the latest CT generations, from 2010 or later and include all technical novelties such as iterative reconstructions, automatic tube potential selection, and latest detectors. As the technology is constantly evolving, these parameters are susceptible to lower every year. PMID:23971172

Tack, D; Salame, H

154

Three year follow up of patients with gastrooesophageal reflux disease  

Microsoft Academic Search

Data on the natural course of gastrooesophageal reflux disease are sparse. One hundred and sixty six patients with typical reflux symptoms (heartburn and\\/or acid regurgitation) and pathologic pH monitoring (reflux time > 8.2% upright and\\/or > 3.0% supine) were studied. The patients were followed up by questionnaire and interview for a mean of 41 (seven to 86) months after diagnosis

N E Schindlbeck; A G Klauser; G Berghammer; W Londong; S A Müller-Lissner

1992-01-01

155

Follow-up of musculoskeletal tumours2. Metastatic disease  

Microsoft Academic Search

.   Both the prognosis and the morbidity of a patient with a primary malignant musculoskeletal tumour have improved over the\\u000a past 25 years due to the advent of adjuvant chemotherapy and limb-sparing surgery. This has important implications for the\\u000a role of imaging at the time of initial diagnosis and during follow-up. This pictorial essay reviews the imaging and pitfalls\\u000a in

P. W. P Bearcroft; A. M. Davies

1999-01-01

156

WFPC2 Follow Up of Strong Gravitational Lenses  

NASA Astrophysics Data System (ADS)

We present new lens reconstruction models based on HST WFPC2 for a sample of strong lenses that probe the group mass environment. Our sample is based almost entirely upon data from the SDSS data set which we have confirmed with follow-up spectroscopy and imaging using the 3.5 m telescope at the Apache Point Observatory. The Sample cover mass from 1012-1013 Msun, and have Einstein radii between 4 and 15 arcsec.

Allam, Sahar S.; Tucker, D.; Lin, H.; Annis, J.; Buckley-Geer, E.; Buckley-Geer, E.; Diehl, H. T.

2010-01-01

157

A Follow-Up Study of Women with Cancer  

Microsoft Academic Search

The psychological and social consequences of having a diagnosis of cancer can continue beyond the initial year of diagnosis. However, very few empirical studies examine the long-term adjustment of cancer survivors and the factors that promote survivors' well-being. This paper presents an 18 month follow-up study of 26 women who were treated for various types of cancer at a major

Karen Kayser; Mary Sormanti

2002-01-01

158

A suggested follow-up time for breast cancer patients  

Microsoft Academic Search

The data for this study, consisting of 300 females treated for breast cancer in 1951-1961, were evaluated in order to ascertain when excess mortality from breast cancer disappears and what would be an appropriate follow-up period for investigational purposes. The clinical stages of the patients were classified as follows: 23.3%, stage I; 49%, stage II; 20.3%, stage III and 7.3%,

M K Leivonen; I A Saario; P Peltokallio; L Tuominen; T V Kalima

1986-01-01

159

Silicone Elastomere Ring Vertical Gastroplasty: extended follow-up  

Microsoft Academic Search

Statistically significant long-term data have been noticeably scarce in the evaluation of various bariatric procedures. Bariatric\\u000a patients who lose weight frequently experience drastic life-style changes and often exhibit denial to the extent that follow-up\\u000a is impaired. In this study, a cohort of 100 consecutive patients who underwent silicone elastomere ring vertical gastroplasty\\u000a is evaluated at 46-55 months post-surgery with 90%

Otto L. Willbanks

1991-01-01

160

Rheumatoid arthritis: follow-up and response to treatment  

Microsoft Academic Search

Objective: To assess the role of diagnostic imaging techniques in the identification and follow-up of the anatomical damage induced by the chronic inflammatory process of rheumatoid arthritis (RA) not only to study the natural history of the disease but also and especially to assess the long-term response to disease-modifying anti-rheumatic drugs (DMARD). Materials and methods: The relative literature data were

Andrea Giovagnoni; Gianluca Valeri; Elisabetta Burroni; Francesco Amici

1998-01-01

161

Interview follow-up of abortion applicant dropouts  

Microsoft Academic Search

Twenty-seven women who sought abortion and then elected to carry to term were studied. Follow-up telephone interviews between their 24th and 34th weeks of gestation were done by a team of social workers and a psychiatrist experienced in seeing women seeking abortion. Five of the six most important decision-influencing factors are discussed and illustrated by case examples. These included: religious

Mary E. Swigar; Ruth Breslin; Miriam G. Pouzzner; Donald Quinlan; Marilyn Blum

1976-01-01

162

Laparoscopic ileal conduit: five-year follow-up  

Microsoft Academic Search

Objectives. To report the techniques used for intracorporeal laparoscopic construction of an ileal conduit urinary diversion and long-term patient follow-up after this procedure.Methods. A 28-year-old man with cerebral palsy, a neurogenic bladder, and voiding dysfunction was referred for definitive management of his urinary tract after several episodes of pyelonephritis. A conduit urinary diversion was performed using a 5-port, transabdominal approach.

Steven R Potter; Tanya C Charambura; John B Adams; Louis R Kavoussi

2000-01-01

163

Pediatric laryngeal cancer with 5-year follow up: case report.  

PubMed

Larynx cancer is the commonest malignancy of upper aerodigestive tract. However, laryngeal cancer is extremely rare in childhood since these tumors are generally not suspected in the differential diagnosis of hoarseness, dysphagia and/or progressive airway obstruction in children; diagnosis can be made relatively late. In this report we would like to present a case of advanced stage pediatric laryngeal carcinoma who was treated with chemoradiotherapy and remained well on her 5-year follow-up. PMID:23673162

Olgun, Yuksel; Erdag, Taner Kemal; Aydin, Barbaros; Mutafoglu, Kamer; Ozer, Erdener; Ikiz, Ahmet Omer; Akman, Fadime

2013-05-11

164

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

165

Landau–Kleffner syndrome: Long-term follow-up  

Microsoft Academic Search

PurposeLandau–Kleffner syndrome (LKS) is a rare entity characterized by epilepsy and aphasia. It occurs in previously normal children, usually between three and seven years of age. The long-term outcome of LKS is not completely clear. The aim of this study is to verify the long-term follow-up of a group of patients with LKS, focusing on clinical and electroencephalographic (EEG) aspects,

Marcos H. C. Duran; Catarina A. Guimarães; Lívia L. Medeiros; Marilisa M. Guerreiro

2009-01-01

166

Gender Role and Feminism Revisited: A Follow-Up Study  

Microsoft Academic Search

In this follow-up to our earlier study (Toller, Suter, & Trautman, Gender role identity and attitudes towards feminism, Sex Roles, 51, 85–90, 2004) we examine the interrelationships among gender role, support for feminism, and willingness to self-label as feminist. Ten percent of college students previously surveyed participated in qualitative interviews, which elicited characterizations of feminists, whether students self-identified as feminist,

Elizabeth A. Suter; Paige W. Toller

2006-01-01

167

Energy Conservation in the Food Industry : Follow-up Report.  

SciTech Connect

United Industries Corporation (UIC) conducted an energy analysis at five food processing plants (SIC 20) in the winter of 1984-1985. Tour of plants (Alpac, Carnation, Terminal flour mill, Tree Top) were revisited eighteen months later to determine what energy conservation measures (ECM's) had been or would be implemented. Additionally, the follow-up investigation evaluated the actual energy savings that accrued for the implemented ECM's and recorded the plants' views on the usefulness of the energy analysis.

United Industries Corporation.

1986-06-01

168

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.

169

Complications and Follow-up after Unprotected Carotid Artery Stenting  

SciTech Connect

Purpose. This prospective study was undertaken to determine the success rate, complications, and outcome of carotid artery stenting (CAS) without the use of cerebral protection devices. Methods. During 12 months, 94 high-grade stenoses of the carotid artery in 91 consecutive patients were treated. Sixty-six (70%) of the stenoses were symptomatic and 28 (30%) were asymptomatic. Results. In all 94 carotid stenoses CAS was successfully performed. During the procedure and within the 30 days afterwards, there were 2 deaths and 3 major strokes in the 66 symptomatic patients, resulting in a combined death and stroke rate of 5 of 66 (7%). Only one of these complications, a major stroke, occurred during the procedure. In the 6-month follow-up, one additional major stroke occurred in a originally symptomatic patient resulting in a combined death and stroke rate of 6 of 66 (10%) for symptomatic patients at 6 months. No major complications occurred in asymptomatic patients during the procedure or in the 6-month follow-up period. At 6 months angiographic follow-up the restenosis rate with a degree of >50% was 3 of 49 (6%) and the rate with a degree of {>=}70% was 1 of 49 (2%). Conclusions. Cerebral embolization during CAS is not the only cause of the stroke and death rate associated with the procedure. The use of cerebral protection devices during the procedure may therefore not prevent all major complications following CAS.

Hauth, Elke A.M. [University Hospital Essen, Department of Radiology and Interventional Radiology (Germany)], E-mail: elke.hauth@uni-essen.de; Drescher, Robert; Jansen, Christian; Gissler, H. Martin [Klinikum Dortmund, Department of Radiology (Germany); Schwarz, Michael [Klinikum Dortmund, Department of Neurology (Germany); Forsting, Michael [University Hospital Essen, Department of Radiology and Interventional Radiology (Germany); Jaeger, Horst J. [Neuroradiology and Nuclear Medicine, Marien-Hospital Wesel, Department of Radiology (Germany); Mathias, Klaus D. [Klinikum Dortmund, Department of Radiology (Germany)

2006-08-15

170

CBER Site Visit Introduction  

Center for Biologics Evaluation and Research (CBER)

Text Version... risk assessment, and risk communication sciences; ... Recognition by peers – science citation index, work on ... 4 years by outside peer review group of ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

171

Crisis Nursery and Respite Care Programs: Site Visit Results of Staff and Family Interviews (Winter and Spring of 1991).  

ERIC Educational Resources Information Center

|Visits were made to selected respite care and crisis nursery programs in order to describe the programs and services they offered to families of young children with special needs and to learn more about the families who used the services and the staff who provided them. The visits to 10 crisis nurseries and 24 respite care programs resulted in…

Huntington, Gail S.; And Others

172

THE NATIONAL ATMOSPHERIC DEPOSITION PROGRAM/NATIONAL TRENDS NETWORK (NADP/NTN) SITE VISITION PROGRAM (OCTOBER 1986 THROUGH SEPTEMBER 1987)  

EPA Science Inventory

Survey visits to the NADP/NTN precipitation collection stations are part of the network's quality assurance program and are coordinated through the NADP/NTN Quality Assurance Director's office. Research Triangle Institute, under contract to EPA, has visited approximately two-thir...

173

Mercury Control Technology Assessment Study: Wiring Devices of Puerto Rico, Ponce, Puerto Rico. In-Depth Survey Report for the Site Visit of March 16-18, 1982.  

National Technical Information Service (NTIS)

An on-site visit was made to the Wiring Devices of Puerto Rico Corporation, Ponce, Puerto Rico to evaluate control measures in force to reduce exposures during mercury (7439976) filling operations, as part of the production of mercury buttons. The mercury...

1982-01-01

174

Site Visit Report: Scientific Council to the Plant Gene Expression Center. Held in Albany, California on January 8-9, 1990.  

National Technical Information Service (NTIS)

The Scientific Council to the Plant Gene Expression Center (PGEC) reports on its first evaluation of the scientific program at the PGEC, Albany, California, based on its 2-day site visit during January 8-9, 1990. Research projects at the PGEC focus on an ...

1990-01-01

175

Mercury Control Technology Assessment Study: Oak-Mitsui Corporation, Hoosick Falls, New York. In-Depth Survey Report for the Site Visit of February 17-18, 1982.  

National Technical Information Service (NTIS)

An on-site visit was made to the Oak-Mitsui Corporation, Hoosick Falls, New York to evaluate control systems in place to protect workers from exposures to elemental mercury (7439976) and mercury compounds. The facility manufactured copper foil for use in ...

1982-01-01

176

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.

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

2013-01-01

177

Audiological Follow-up Results after Newborn Hearing Screening Program  

PubMed Central

Objectives To investigate the validity of newborn hearing screening protocol using automated auditory brainstem response (AABR) with a confirmation method using click auditory brainstem response (ABR) and to evaluate changes in hearing status of infants with confirmed congenital hearing loss. Methods Neonates in the well-baby nursery were screened by staged AABR. Subjects whose final AABR result was "refer" were tested by diagnostic click ABR and 226 Hz tympanometry within 3 months of age. Changes in hearing status of subjects with confirmed hearing loss were analyzed by follow-up ABR at 3-6 month intervals. Results Of the 12,193 healthy babies born during this period, 10,879 (89.22%) were screened by AABR. Of 10,879 neonates screened by AABR, 148 (1.36%) were "referred"; of these, 45 subjects showed ABR thresholds over 30 dB nHL in at least one ear. Thirty-four subjects underwent serial follow-up ABR tests, with 11 (32.4%) found to have normal ABR thresholds. Most subjects with mild to moderate hearing loss were found to be normal before 1 year of age, whereas all infants with severe or profound hearing loss were identified as having congenital hearing loss. Conclusion The referral rate and the positive predictive value of our protocol were acceptable. We have also found here that substantial temporary hearing loss can be included in the first confirmative diagnosis. Temporary hearing loss of our study on follow-up give emphasis to need of further differentiation using the testing for bone conduction and middle ear status.

Lim, Hyun Woo; Kim, Ellen Ai-Rhan

2012-01-01

178

Attitudes among healthcare professionals towards ICT and home follow-up in chronic heart failure care  

PubMed Central

Background eHealth applications for out-of-hospital monitoring and treatment follow-up have been advocated for many years as a promising tool to improve treatment compliance, promote individualized care and obtain a person-centred care. Despite these benefits and a large number of promising projects, a major breakthrough in everyday care is generally still lacking. Inappropriate organization for eHealth technology, reluctance from users in the introduction of new working methods, and resistance to information and communication technology (ICT) in general could be reasons for this. Another reason may be attitudes towards the potential in out-of-hospital eHealth applications. It is therefore of interest to study the general opinions among healthcare professionals to ICT in healthcare, as well as the attitudes towards using ICT as a tool for patient monitoring and follow-up at home. One specific area of interest is in-home follow-up of elderly patients with chronic heart failure (CHF). The aim of this paper is to investigate the attitudes towards ICT, as well as distance monitoring and follow-up, among healthcare professionals working with this patient group. Method This paper covers an attitude survey study based on responses from 139 healthcare professionals working with CHF care in Swedish hospital departments, i.e. cardiology and medicine departments. Comparisons between physicians and nurses, and in some cases between genders, on attitudes towards ICT tools and follow-up at home were performed. Results Out of the 425 forms sent out, 139 were collected, and 17 out of 21 counties and regions were covered in the replies. Among the respondents, 66% were nurses, 30% physicians and 4% others. As for gender, 90% of nurses were female and 60% of physicians were male. Internet was used daily by 67% of the respondents. Attitudes towards healthcare ICT were found positive as 74% were positive concerning healthcare ICT today, 96% were positive regarding the future of healthcare ICT, and 54% had high confidence in healthcare ICT. Possibilities for distance monitoring/follow-up are good according to 63% of the respondents, 78% thought that this leads to increased patient involvement, and 80% thought it would improve possibilities to deliver better care. Finally, 72% of the respondents said CHF patients would benefit from home monitoring/follow-up to some extent, and 19% to a large extent. However, the best method of follow-up was considered to be home visits by nurse, or phone contact. Conclusion The results indicate that a majority of the healthcare professionals in this study are positive to both current and future use of ICT tools in healthcare and home follow-up. Consequently other factors have to play an important role in the slow penetration of out-of-hospital eHealth applications in daily healthcare practice.

2012-01-01

179

Late febrile convulsions: a clinical follow-up.  

PubMed

A joint study was performed on patients from the Pediatric Clinics of Catania and Modena. Two hundred and twenty-two children who presented with febrile convulsions (FC) after the age of six years (LFC) were followed up in order to evaluate the risk of recurrence and type of convulsions. The overall results showed that 94 patients out of 222 (42.3%) had subsequent fits, both febrile and afebrile. The present study suggests that the risk of subsequent afebrile crises in LFC is higher (15.8%) than observed after "simple" FC (2-3%) and similar to that reported after "complex" FC (13-17%). PMID:2751066

Pavone, L; Cavazzuti, G B; Incorpora, G; Galli, V; Parano, E; Benatti, A; Rizzo, R; Ciccarone, V

1989-01-01

180

XMM follow-up observations of two unidentified INTEGRAL sources  

NASA Astrophysics Data System (ADS)

We report the results of X-ray follow-up observations performed with XMM-Newton of two unidentified hard X-ray sources, AX J1753.5-2745 and IGR J17348-2045 listed in the INTEGRAL/IBIS 9-year Galactic Hard X-ray Survey (Krivonos et al. 2012, arXiv:1205.3941) and in 4th IBIS Survey Catalogue (Bird et al. 2010, ApJS, 186, 1) respectively. We assume a conservative XMM positional uncertainty of 5".

Molina, M.; Landi, R.; Bassani, L.; Bazzano, A.; Fiocchi, M.; Bird, A. J.; Drave, S. P.

2012-07-01

181

[Clinical and sperm follow-up after subinguinal varicocelectomy].  

PubMed

In order to evaluate the sperm output and the adverse-side-effects after subinguinal varicoceloctomy, a follow-up study of 16 months was performed on 196 selected patients (aged from 22 to 43 years) affected by left varicocele (VR). In the pre-treatment, both Doppler ultrasonography and didymo-epididymal ultrasonography allowed to distinguish two homogeneous patient groups: group A (no. = 136), including patients affected by VR alone and, group B (n. = 60), including patients with VR combined to coincidental didymo-epididymal morphological abnormalities, DEMA). These DEMA lesions (testis size < 12 ml, epididymides abnormalities: increased head- > or = 12 mm- and/or tail- > or = 6 mm-diameter, multiple microcysts, large idrocele) were omolaterally to VR in 30/60 (50%), eterolaterally in 19/60 (31.7%) or bilaterally in 11/60 (18.3%). During sperm follow-up, group A patients showed both a significant temporal change (p < 0.01 ANOVA) of all sperm parameters studied (sperm density, total sperm count, motility and morphology) from month 8 onward and sperm values significantly higher than found in group B patients. On the contrary, the sperm parameters of group B patients did not change significantly during the follow-up observations. As far as the varicocelectomy-mediated clinical symptoms, some patients complained early and transiently (on 1-2-4 weeks following varicocelectomy) the following symptoms: didymal pain (1.5%), didymo-epididymal pain (4.1%) and parasthesiaes on the anterior-medial side of the left thigh (4.1%) or scrotal (3.1%); only four patients (2%) complained permanent paresthesiaes on the anterior-medial side of the left thigh. Furthermore, the clinical follow-up also revealed a low rate of complications: persistent VR (3.6%), hydrocele (1.5%), intrascrotal venous ecstasies (6.1%), epididymitis (0.5%). Some morpho-structural abnormalities at US scans were transient (1-2 weeks): scrotal oedema (6.1%), orchitis (2%), orchi-epididymitis (1%). Subinguinal varicocelectomy performed on large population demonstrated a significant improvement of the sperm output from month 8th onward in patients with VR alone, while sperm parameters did not show any significant change in patients with VR plus coincidental DEMA. This surgical technique also demonstrated safety since both low rates of symptoms and (transient) complications were registered. PMID:10953392

Vicari, E; Arancio, A; Costanzo, C; Ingrassia, G; Cannizzaro, M A

2000-06-01

182

Parental visiting and foster care reunification  

Microsoft Academic Search

Parental visiting has long been a crucial factor in reunification decisions for children in foster care. The purposes of the present study, part of a larger follow-up investigation of permanency planning for children in foster care, were to correlate parental visiting with permanency planning outcomes and to develop a logistic regression model predicting family reunification. Findings show that the majority

Rae Newton; William Ganger

1996-01-01

183

Thyroglobulin measurement vs iodine 131 total-body scan for follow-up of well-differentiated thyroid cancer  

SciTech Connect

Measurement of the serum thyroglobulin level may be more sensitive than total-body scan using sodium iodide 131 for detecting recurrences from well-differentiated thyroid cancer. We have evaluated the merit of these two methods through a retrospective chart review of patients followed up at the Milton S. Hershey Medical Center, Hershey, Pa. We found that in 17 (45%) of 38 follow-up visits, the presence of interfering antibodies prevented the measurement of serum thyroglobulin levels. Furthermore, such determination was less sensitive than iodine 131 total-body scan in detecting residual thyroid tissue and/or cancer in the neck area. We concluded that iodine 131 total-body scan is the preferable method of follow-up, particularly when the goal of therapy is complete ablation of thyroid tissue.

Aiello, D.P.; Manni, A. (Pennsylvania State Univ., Hershey (USA))

1990-02-01

184

[Management control and operative outcome of the Radio Institute "O. Alberti." Management of oncologic follow-up].  

PubMed

Post-treatment cancer patient surveillance is an area with few given standards where the need of guidelines has become imperative with the recent emphasis on controlling the ever-increasing health care cost. Unfortunately, literature reports are often inconclusive and ambiguous, mostly because of the lack of properly controlled trials comparing the cost and benefits of various follow-up protocols. In addition, the actual impact on patient survival and quality of life is questionable. At the Istituto del Radio "O. Alberti" (IRA), we consider the follow-up as a sort of population screening aimed at the early detection and treatment of recurrent disease. While aggressive surveillance undoubtedly detects some cancers before symptoms develop, it is debated whether the impact on survival and quality of life are measurable. The early detection of relapse is only a potential survival benefit if recurrent disease is curable with further treatment or at least if salvage treatment is more effective in patients with less severe disease. We investigated the effectiveness, efficacy and medical care of our follow-up protocol. April to June, 1996, we examined 1,223 of 2,148 expected patients; 225 patients disattended the scheduled visits. IRA spent about It. L. 33,800 per examination. Fifty-seven patients were hospitalized to carry out treatment and IRA hospitalization charges were about It. L. 1,100,000 while overall social expenses were about It. L. 6,600,000. Regular visits to see an oncologist provide easy access to specialist medicine and convey a sense of being looked after with a caring system. 94.5% of patients prefers to continue the follow-up program with scheduled visits. Most patients (70%) know about the examinations they undergo but consistently overestimate the importance of laboratory tests and imaging findings and underestimate the importance of medical history and physical examination. In addition, most patients (95%) misinterpret the term "normal" relative to a test result. This study suggests that patients are unfamiliar with the limitations of more costly diagnostic and follow-up studies, which reflects the fact that physicians spend little time discussing follow-up strategies with their patients, especially regarding the cost-benefit analysis and the sensitivity and specificity of the laboratory tests and imaging examinations. Finally, in our opinion follow-up cost is acceptable even though expenses should be reduced optimizing the request of instrumental examinations. Therefore, oncologists should definitely try to inform their patients about the clinical importance of follow-up. PMID:9221421

Micheletti, E; La Face, B; Huscher, A; Catalano, G; Spiazzi, R

1997-03-01

185

Sonographic follow-up of ethanolamine oleate sclerotherapy for hydrocele.  

PubMed

Sclerotherapy has gained increasing popularity during the last few years as a treatment for hydrocele. Little is known of the natural course of intrascrotal changes, however, nor of their timetable after therapy. In the present trial scrotal ultrasonography was performed before the sclerotherapy and during the follow-up examination in the case of 70 symptomatic consecutive outpatients ranging in age from 19 to 85 years (mean, 58 years) with 71 hydroceles treated by ethanolamine oleate sclerotherapy. Posttreatment sonographic findings typically included heterogeneously echogenic extratesticular masses, cystic areas with peritesticular hyperechoic lines, and a thickened scrotal wall. All the lesions showed improvement. Sonography proved to be useful for differentiating hydroceles from spermatoceles and for evaluating the need for a renewed treatment during follow-up. Ethanolamine oleate was effective as a sclerosant, as 86% of cases were cured or significantly improved. Complications were mild and uncommon, and no intratesticular or epididymal changes were observed. Ethanolamine oleate sclerotherapy can be recommended as a treatment of choice for hydrocele. PMID:8515526

Mattila, S I; Tammela, T L; Mäkäräinen, H P; Hellström, P A

1993-06-01

186

No follow-up after positive newborn screening: medical neglect?  

PubMed

The current study examined medical professionals' behaviors related to reporting medical neglect when a family is noncompliant with follow-up services after a positive newborn screening result. Pediatric medical professionals within an urban medical campus were provided with five case vignettes in relation to different diseases. Medical professionals rated the severity of family noncompliance with follow-up services and indicated whether they would report suspected medical neglect to Child Protective Services (CPS). Physicians were more likely to report medical neglect than the other mandated reporters in the study. Logistic regression analyses found that medical professionals' perceptions of the severity of family noncompliance with services were significantly predictive of decisions to report medical neglect. Respondent gender and the method by which families were notified of screening results also significantly affected reporting behaviors in certain instances. Although all vignettes included information that met legal statutes for reporting neglect, medical professionals indicated that they would only report neglect 40-61% of the time across vignettes. Continued investigation of the rationale behind medical professionals' decision-making process and training protocols designed to improve mandated reporter knowledge and reporting behaviors are needed to further reduce bias and improve objectivity when considering ethical and professional obligations to report medical neglect. PMID:20930180

Merrick, Melissa T; Butt, Sakina M; Jent, Jason F; Cano, Nicole M; Lambert, Walter F; Chapman, Ana V; Griffith, Joseph F; Ciener, Daisy; Dandes, Susan K; Sanders, Lee M

2010-11-01

187

Long term follow up after perimesencephalic subarachnoid haemorrhage  

PubMed Central

OBJECTIVES—To evaluate the long term sequelae of perimesencephalic subarachnoid haemorrhage (PMSAH).?METHODS—Twenty one consecutive patients were studied. All patients were examined by CT, angiography, MRI, multimodal evoked potentials, and transcranial Doppler sonography. All relevant clinical data during hospital stay and outcome at discharge were obtained by reviewing the charts. Long term follow up was evaluated by reviewing the outpatient files and dedicated outpatient review. Patients were specifically questioned about their perceived recovery, residual complaints, and present occupational status.?RESULTS—Apart from the initial CT confirming the diagnosis of PMSAH all other examinations disclosed no abnormalities. None of the patients developed any complications during hospital stay, and all patients were discharged in good clinical condition and without neurological deficits. At long term follow up 62% of the patients had residual complaints consisting of headaches, irritability, depression, forgetfulness, weariness, and diminished endurance. Apart from four patients who had already retired before the PMSAH, only seven of the remaining 17 patients (41%) returned to their previous occupation, whereas nine patients (53%) retired from work and one man became unemployed. One patient had a recurrence of PMSAH 31 months after the first event.?CONCLUSION—PMSAH can have considerable long term psychosocial sequelae, and may also recur. Prognosis may not be as good as previously reported.??

Marquardt, G.; Niebauer, T.; Schick, U.; Lorenz, R.

2000-01-01

188

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

2012-03-21

189

Scoliosis follow-up using noninvasive trunk surface acquisition.  

PubMed

Adolescent idiopathic scoliosis (AIS) is a musculoskeletal pathology. It is a complex spinal curvature in a 3-D space that also affects the appearance of the trunk. The clinical follow-up of AIS is decisive for its management. Currently, the Cobb angle, which is measured from full spine radiography, is the most common indicator of the scoliosis progression. However, cumulative exposure to X-rays radiation increases the risk for certain cancers. Thus, a noninvasive method for the identification of the scoliosis progression from trunk shape analysis would be helpful. In this study, a statistical model is built from a set of healthy subjects using independent component analysis and genetic algorithm. Based on this model, a representation of each scoliotic trunk from a set of AIS patients is computed and the difference between two successive acquisitions is used to determine if the scoliosis has progressed or not. This study was conducted on 58 subjects comprising 28 healthy subjects and 30 AIS patients who had trunk surface acquisitions in upright standing posture. The model detects 93% of the progressive cases and 80% of the nonprogressive cases. Thus, the rate of false negatives, representing the proportion of undetected progressions, is very low, only 7%. This study shows that it is possible to perform a scoliotic patient's follow-up using 3-D trunk image analysis, which is based on a noninvasive acquisition technique. PMID:23508244

Adankon, Mathias M; Chihab, Najat; Dansereau, Jean; Labelle, Hubert; Cheriet, Farida

2013-03-13

190

"Cold calling" in psychiatric follow up studies: is it justified?  

PubMed Central

Objectives: To decide if cold calling was ethically justifiable and, if so, to set guidelines for researchers. Design: The study was a cohort study of patients with neurotic disorder treated initially for 10 weeks in a randomised controlled trial. Findings: At follow up by a research medical practitioner 18 of the 210 patients had died and of the remaining 192 patients 186 (97%) were seen or had a telephone interview. Four patients refused and two others did not have interviews but agreed to some data being obtained. However, only 104 patients (54%) responded to letters inviting them to make an appointment or to refuse contact and the remainder were followed up by cold calling, with most patients agreeing readily to the research interview. The findings illustrate the dilemma of the need to get the maximum possible data from such studies to achieve scientific validity (and thereby justify the ethics of the study) and the protection of subjects' privacy and autonomy. Conclusions: More attention needs to be paid to consent procedures if cold calling is to be defended on ethical grounds but it is unreasonable to expect this to be obtained at the beginning of a research study in a way that satisfies the requirements for informed consent. A suggested way forward is to obtain written consent for the research at the time that cold calling takes place before beginning the research.

Tyrer, P; Seivewright, H; Ferguson, B; Johnson, T

2003-01-01

191

Long term follow-up of composite non-vascularized toe phalanx transfers for aphalangia  

Microsoft Academic Search

The results of 21 non-vascularized toe phalanx transfers in 13 patients were reviewed radiologically with respect to function, physeal patency, growth and donor site morbidity at a mean follow-up of 7.4 (range 2.9–13.6) years. Physeal patency was maintained in 4 of 18 surviving transfers. The length of the transferred phalanx averaged 75% of the contralateral comparable toe phalanx and 44%

M. A. Tonkin; A. K. Deva; S. L. Filan

2005-01-01

192

Screening Prescription Drugs for Possible Carcinogenicity: Eleven to Fifteen Years of Follow-up1  

Microsoft Academic Search

Using computerized pharmacy records from 1969 to 1973 for a cohort of 143,574 members of the Kaiser Permanente Medical Care Program, we have been testing associations of 215 drugs or drug groups with subsequent incidence of cancer at 56 sites. This paper presents findings with follow-up through 1984. There were 227 statistically significant (P < 0.05, two-tailed) associations: 170 positive,

Joseph V. Selby; Gary D. Friedman; Bruce H. Fireman

193

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.

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

2011-01-01

194

Ten-year follow-up of endovascular aneurysm treatment with Talent stent-grafts.  

PubMed

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. PMID:19636615

Pitton, Michael B; Scheschkowski, Tobias; Ring, Markus; Herber, Sascha; Oberholzer, Katja; Leicher-Düber, Annegret; Neufang, Achim; Schmiedt, Walther; Düber, Christoph

2009-07-28

195

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

196

Acute disseminated encephalomyelitis: a follow-up study in Taiwan  

PubMed Central

Background Acute?disseminated encephalomyelitis (ADEM) is a demyelinating disorder of the central nervous system, whose epidemiology, clinical presentations and functional outcome are incompletely understood in Asian populations. Objective To assess the clinical presentations, predisposing factors and functional outcome of ADEM in Taiwan. Methods 50 patients initially diagnosed with ADEM (male, 19; female, 31) were enrolled from 1991 to 2005. Diagnosis of ADEM or multiple sclerosis was established during a follow?up period of 2–120?months. 8 adult patients were noted to have taken the immunomodulatory drug, levamisole, within 3?months before onset of symptoms. The remaining 42 patients (male, 17; female, 25) were categorised by age as children (<16?years, n?=?12), young adults (16–49?years, n?=?21) and elderly adults (?50?years, n?=?9). The clinical manifestations, predisposing factors and radiological findings were compared between different age groups and adult patients with or without levamisole use. Functional outcome was compared by a log?rank test. Results Preceding upper respiratory tract infection was evident in 21 (50%) patients and only one young?adult patient had received Rubella vaccine immunisation. The frequency of fever was higher in children (p?=?0.04) and psychiatric symptoms were more prevalent in elderly patients (p?=?0.03). Functional recovery was faster in children than in adults (p?=?0.002). Initial Expanded Disability Status Scale score (odds ratio (OR) 1.9, p?=?0.03) and no fever (OR 0.04, p?=?0.06) were associated with poor outcome (modified Rankin scale ?2). After a mean (SD) follow?up of 31.8 (9.9)?months, 4 (9.5%) patients developed multiple sclerosis (3 (25%) children, 1 (4.7%) young adult, p?=?0.03). The neurological disability, radiological and cerebrospinal fluid findings did not differ between patients with and without levamisole use. One elderly adult patient previously receiving levamisole developed multiple sclerosis of relapse?remitting type after a mean follow?up period of 36.9?months. Conclusion The clinical presentations, functional outcome and risk of developing multiple sclerosis differed between different age groups. Functional recovery was faster in children than in adults. Poor functional outcome was related to initial high Expanded Disability Status Scale score and absence of fever.

Lin, C-H; Jeng, J-S; Hsieh, S-T; Yip, P-K; Wu, R-M

2007-01-01

197

[The follow up of the vaccinated against HPV].  

PubMed

HPV vaccine decreases significantly the risk of cervical cancer in women. However, continuing screening strategies in vaccinated women remains relevant as there is a small residual risk of cancer and pre-cancerous lesions even after prophylactic vaccination. The follow-up strategy to adopt has been the object of reflection by many experts, and especially since the vaccination catch-up population concerning women until 23 years of age will soon become the target screening population following recent guidelines. Finally, the arrival of HPV vaccines forces us to think about screening organization and optimization in a broader way so as it benefits all women concerned, whether vaccinated or not, and not only barely half of them as is the case now. The aim of this work was to clarify the issue and to make proposals for management. PMID:23669416

Riethmuller, D; Ramanah, R; Carcopino, X; Levêque, J

2013-05-10

198

[Audiological assessment and follow-up after bacterial meningitis].  

PubMed

Hearing loss is the more frequent sequel of bacterial meningitis in children. This study describes the audiological profile (peripheric and central) of 89 children admitted to the hospital wards with the diagnosis of bacterial meningitis. Those children attended audiological follow up, after their hospital discharge, and were submitted to audiological tests. The results showed that 85.4% among them presented normal hearing in both ears 10.1% presented bilateral neurosensorial hearing loss and 4.5% presented unilateral neurosensorial hearing loss. The results from the auditory processing skills assessment showed that 10% of those children presented auditory localization and recognition of sentences with competitive messages (Paediatric Sentences Identification-ipsilateral) disorders. PMID:10751916

Couto, M I; Monteiro, S R; Lichtig, I; Casella, E B; Carvallo, R M; de Navarro, J M

1999-09-01

199

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

200

Evidence to Support a Change in Follow-up Policy for Patients with Breast Cancer: Time to First Relapse and Hazard Rate Analysis  

Microsoft Academic Search

The ideal follow-up for patients with cancer should be sensitive to the likelihood of relapse, for prompt investigation and treatment if indicated, together with the support of patient confidence. The current British Association of Surgical Oncologists guidelines for patients with breast cancer suggest intensive follow-up, including 3-monthly clinic visits during the first 2 years. These recommendations place increasing demands on

T. Wheeler; S. Stenning; S. Negus; S. Picken; S. Metcalfe

1999-01-01

201

Long-term follow-up of patients after coarctation of the aorta repair.  

PubMed

Late cardiovascular complications after operative repair of coarctation of the aorta include systemic hypertension, premature coronary artery disease, aortic valve abnormalities, aortic aneurysm, and recoarctation. We report the outcome in 274 subjects greater-than-or-equal50 years after coarctation repair. Operative repair of simple coarctation was performed on 274 patients at the University of Minnesota Hospital between 1948 and 1976. Twenty patients (7%) died in the immediate postoperative period. Of the 254 survivors, 2 were lost to follow-up, 45 (18%) died at a mean age of 34 years, and 207 (81%) were alive greater-than-or-equal50 years after the original operation. Coronary artery disease and perioperative deaths at the time of a second cardiac operation accounted for 17 of the 45 late deaths. Predictors of survival were age at operation and blood pressure at the first postoperative visit. Of the 207 long-term survivors, 92 (48%) participated in a clinical cardiovascular evaluation. Thirty-two of the 92 subjects had systemic hypertension that was predicted by age at operation, blood pressure at the first postoperative visit, and paradoxic hypertension at operative repair. New cardiovascular abnormalities detected at follow-up evaluation included evidence of a previous myocardial infarction, cardiomyopathy, atrial fibrillation, moderate to severe left ventricular outflow tract obstruction, moderate aortic valve regurgitation, recoarctation, and ascending aortic dilation. Thus, long-term survival is significantly affected by age at operation, with the lowest mortality rates observed in patients who underwent surgery between 1 and 5 years of age. More than 1/3 of the survivors developed significant late cardiovascular abnormalities. PMID:11867038

Toro-Salazar, Olga H; Steinberger, Julia; Thomas, William; Rocchini, Albert P; Carpenter, Becky; Moller, James H

2002-03-01

202

Barriers to ART adherence & follow ups among patients attending ART centres in Maharashtra, India  

PubMed Central

Background & objectives: Adherence to ART is a patient specific issue influenced by a variety of situations that a patient may encounter, especially in resource-limited settings. A study was conducted to understand factors and influencers of adherence to ART and their follow ups among patients attending ART centres in Maharashtra, India. Methods: Between January and March 2009, barriers to ART adherence among 32 patients at three selected ART centres functioning under national ART roll-out programme in Maharashtra, India, were studied using qualitative methods. Consenting patients were interviewed to assess barriers to ART adherence. Constant comparison method was used to identify grounded codes. Results: Patients reported multiple barriers to ART adherence and follow up as (i) Financial barriers where the contributing factors were unemployment, economic dependency, and debt, (ii) social norm of attending family rituals, and fulfilling social obligations emerged as socio-cultural barriers, (iii) patients’ belief, attitude and behaviour towards medication and self-perceived stigma were the reasons for sub-optimal adherence, and (iv) long waiting period, doctor-patient relationship and less time devoted in counselling at the center contributed to missed visits. Interpretation & conclusions: Mainstreaming ART can facilitate access and address ‘missed doses’ due to travel and migration. A ‘morning’ and ‘evening’ ART centre/s hours may reduce work absenteeism and help in time management. Proactive ‘adherence probing’ and probing on internalized stigma might optimize adherence. Adherence probing to prevent transitioning to suboptimal adherence among patients stable on ART is recommended.

Joglekar, N.; Paranjape, R.; Jain, R.; Rahane, G.; Potdar, R.; Reddy, K.S.; Sahay, S.

2011-01-01

203

Unilateral proptosis in thyroid eye disease with subsequent contralateral involvement: retrospective follow-up study  

PubMed Central

Background The purpose of this retrospective follow-up study is to evaluate the prevalence of patients with thyroid eye disease presenting with apparent unilateral proptosis and determine the occurrence of exophthalmos in contralateral non-proptotic eye over the time. Associated features with this event were evaluated. Methods A cohort of 655 consecutive patients affected by thyroid eye disease with a minimum follow-up of 10 years was reviewed. Exophthalmos was assessed by using both Hertel exophthalmometer and computed tomography (CT). The influence of age, gender, hormonal status and of different therapies such as corticosteroids, radiotherapy and surgical decompression on this disease progression was evaluated. Results A total of 89 patients (13.5%) (95% confidence interval [CI] 15%-10%) had clinical evidence of unilateral exophthalmos at the first visit. Among these, 13 patients (14%) (95% CI 22%-7%) developed subsequent contralateral exophthalmos. The increase of protrusion ranged from 2 to 7 mm (mean of 4.2). The time of onset varied from 6 months to 7 years (mean time: 29 months). Smoking status, young age and surgical decompression are significantly associated with development of contralateral proptosis (p< .05). Conclusions Asymmetric thyroid eye disease with the appearance of unilateral exophthalmos at the initial examination is a fairly frequent event, while subsequent contralateral proptosis occurs less commonly. However, physicians should be aware that young patients, particularly if smokers, undergoing orbital decompression in one eye may need further surgery on contralateral side over time.

2013-01-01

204

[Remote monitoring for follow-up of patients with implantable cardiac devices].  

PubMed

With a widening of indications for cardiac devices, especially in view of the clinical benefits of implantable cardioverter-defibrillators and cardiac resynchronization therapy, the number of patients with such devices is growing steadily. However, the resources required, and the need for long-term regular interrogation in dedicated clinics, represent a significant burden for already overstretched electrophysiology teams and hospital services. Remote telemonitoring is increasingly used for such follow-up, as it is a safe and effective alternative to conventional follow-up programs in outpatient clinics. This technology has been shown to be technically reliable, enabling early identification of device malfunction, arrhythmic events and heart failure decompensation, while reducing the risk of under-reporting, the number of outpatient clinic visits and hospitalizations due to cardiac events, and healthcare costs. Further studies are needed to determine how best to implement this new technology in a cost-effective manner, and what new legislation governing the use of remote monitoring in clinical practice may be required. In this article, we describe current systems, review the technical and clinical evidence in the literature regarding remote monitoring of implantable cardiac devices, and expand on outstanding questions. PMID:23415739

Oliveira, Mário; Silva Cunha, Pedro; da Silva, Nogueira

2013-02-15

205

Evaluation of the use of decision-support software in carcino-embryonic antigen (CEA)-based follow-up of patients with colorectal cancer  

PubMed Central

Background The present paper is a first evaluation of the use of "CEAwatch", a clinical support software system for surgeons for the follow-up of colorectal cancer (CRC) patients. This system gathers Carcino-Embryonic Antigen (CEA) values and automatically returns a recommendation based on the latest values. Methods Consecutive patients receiving follow-up care for CRC fulfilling our in- and exclusion criteria were identified to participate in this study. From August 2008, when the software was introduced, patients were asked to undergo the software-supported follow-up. Safety of the follow-up, experiences of working with the software, and technical issues were analyzed. Results 245 patients were identified. The software-supported group contained 184 patients; the control group contained 61 patients. The software was safe in finding the same amount of recurrent disease with fewer outpatient visits, and revealed few technical problems. Clinicians experienced a decrease in follow-up workload of up to 50% with high adherence to the follow-up scheme. Conclusion CEAwatch is an efficient software tool helping clinicians working with large numbers of follow-up patients. The number of outpatient visits can safely be reduced, thus significantly decreasing workload for clinicians.

2012-01-01

206

SRC site visit, solvent-refined coal plant, the Pittsburg and Midway Coal Mining Co. , DuPont, Washington, Report No. IWS59-10  

Microsoft Academic Search

The memorandum provided information on a site visit made to the Pittsburg and Midway Coal Mining Company located in DuPont, Washington, to become more familiar with the solvent-refined coal (SRC) process, and to evaluate the facility for inclusion in the industrial-hygiene study. In the process raw coal was pulverized, mixed with a solvent with a boiling range of 500 to

Young

1977-01-01

207

Idiopathic thrombocytopenia, initial illness and long term follow up.  

PubMed Central

One hundred and eighty one children with thrombocytopenia for which no cause could be found have been studied. One patient died with severe bleeding possibly from disseminated intravascular coagulation and one developed cerebral haemorrhage, both within two weeks of onset. Ninety one per cent of the 135 with acute disease but only 36% of those with chronic disease remitted spontaneously. Twenty per cent of spontaneous remission occurred more than one year after onset. Six patients have run an intermittent course for 10 to 20 years. Four patients have had symptomless thrombocytopenia for between 10 and 30 years. Of 32 children treated by splenectomy 24 maintained normal platelet values thereafter. One boy died from pneumococcal septicaemia two years after splenectomy but he had not received prophylactic penicillin. One hundred and fifty eight patients were followed up 3 to 37 years (mean 16.4 years) after onset. None who recovered spontaneously or after splenectomy had had further bleeding problems. No patient nor immediate relative had developed other autoimmune disease. We consider that a short course of corticosteroids immediately after diagnosis is justified in all cases even though we cannot produce proof that it influences the course of the disease. We do not accept any place for long term immunosuppressant treatment.

Walker, R W; Walker, W

1984-01-01

208

Ultrasound follow-up of ethanolamine oleate sclerotherapy for spermatoceles.  

PubMed

Although sclerotherapy as a treatment for hydroceles has gained in popularity during the last few years, there is no consensus on whether it can also be adopted for the treatment of spermatoceles. We examine here the efficacy and safety of ethanolamine oleate sclerotherapy in cases of spermatocele using ultrasound (US) before treatment and during follow-up. Thirty-seven consecutive outpatients aged 36-84 years (mean 61) with symptoms of 40 spermatoceles (1-3 chambers) treated by sclerotherapy were included in the series. It is concluded that US allows multilocular spermatoceles to be differentiated from hydroceles. Post-treatment US findings are typical, including heteroechoic masses with cystic areas extratesticularly, hyperechoic lines peritesticularly (thickened tunicas) and a thickened scrotal wall. All lesions are reversible, however. US is helpful when assessing the need for resclerotherapy. Ethanolamine oleate proved to be effective as a sclerosant, as 83% of the cases were cured or became significantly better. Complications were few and there were no changes in the epididymis. Ethanolamine oleate sclerotherapy can be recommended as an alternative treatment to surgery, especially in older patients with spermatoceles consisting of 1-3 chambers. PMID:8508888

Mattila, S I; Tammela, T L; Mäkäräinen, H P; Hellström, P A

1993-01-01

209

Long-term follow-up of bronchopulmonary dysplasia.  

PubMed

We observed 10 children with bronchopulmonary dysplasia, evaluated initially by cardiac catheterization (mean age 18 months), for an average of 4.4 years. Age at last evaluation averaged 5.8 years; subjects reside in and around Albuquerque, N.M. (altitude 5000 ft). At initial cardiac catheterization, mean pulmonary artery pressure was 40 mm Hg, pulmonary vascular resistance index 8.9 units, and intrapulmonary shunt fraction was high; pulmonary wedge angiograms were normal. Over the period of follow-up the group has done poorly. Four of the 10 continue to receive home oxygen therapy, but none requires inotropic or diuretic therapy; four children have marked developmental or motor delays. Nine of 10 patients have abnormalities of respiratory function on spirometric testing. Four patients underwent recatheterization because of clinical indications; two had large atrial level left-to-right shunts not found on initial study. Reductions in pulmonary artery pressure (55 to 37 mm Hg) and pulmonary vascular resistance (11.9 to 7.8 units) occurred between the two studies in these four patients (average study interval 4.0 years); the still elevated levels of pressure and resistance fell further in response to 40% O2 administration. Pulmonary wedge angiograms were abnormal in each restudied patient. Although not uniformly bleak, the long-term outlook for children with severe bronchopulmonary dysplasia is diverse and guarded. PMID:3755166

Berman, W; Katz, R; Yabek, S M; Dillon, T; Fripp, R R; Papile, L A

1986-07-01

210

Two year follow-up of atypical depression.  

PubMed

The symptom cluster of Atypical Depression (AD) has been characterized based on its presentation and selective response to pharmcological treatments, while relatively little is known about the outcome of these patients after treatment trials. The present study was undertaken to assess the long term outcome of 40 patients after a controlled treatment trial of fluoxetine vs phenelzine. Twenty five of these subjects were interviewed approximately two years after completion of the initial trial. They reported a high frequency of symptom recurrence, but generally little symptomatic or social impairment between episodes. Eighteen subjects were taking antidepressants at follow-up. A higher frequency of depressive episodes was recorded during the times when off antidepressant medications. Overall outcome was rated as moderate or good in the majority of subjects. These results suggest that AD presents from similarities with other subtypes of depression, with high rates of symptomatic recurrence and lasting response to chronic antidepressant treatment. Conversely, social functioning and overall outcome appear more favorable in AD. PMID:10094236

Zubieta, J K; Pande, A C; Demitrack, M A

211

A maritime disaster: reactions and follow-up.  

PubMed

In 1999, 69 people survived a maritime disaster on the Norwegian coast, during which 16 others died. Besides immediate psychosocial assistance, post-disaster intervention included psychological debriefings after one week, follow-up debriefing a month later, screening of those in need of individual help, and help for those returning to the scene of the disaster. The results of the psychometric tests showed that a considerable number of survivors scored above clinical cut-off points for extreme stress reactions. These results were compared with results from other studies of maritime disasters. Although the life threat and exposure in this disaster were extreme, the scores were lower than for the other studies, with one exception. The authors concluded the lower distress scores compared to other maritime disasters were probably impacted by the structured and caring system that was implemented to care for survivors. Almost all (93%) considered the debriefing meetings as helpful, and they were able to discriminate between different functions served by the meetings. PMID:12722485

Dyregrov, Atle; Gjestad, Rolf

2003-01-01

212

Follow up study of workers manufacturing chrysotile asbestos cement products.  

PubMed Central

A cohort study has been carried out of 2167 subjects employed between 1941 and 1983 at an asbestos cement factory in England. The production process incorporated the use of chrysotile asbestos fibre only, except for a small amount of amosite during four months in 1976. Measured airborne fibre concentrations available since 1970 from personal samplers showed mean levels below 1 fibre/ml, although higher levels had probably occurred previously in certain areas of the factory. No excess of lung cancer was observed in the mortality follow up by comparison with either national or local death rates, and analyses of subgroups of the workforce by job, exposure level, duration of employment, duration since entry, or calendar years of employment gave no real suggestion of an asbestos related excess for this cause of death. There was one death from pleural mesothelioma and one with asbestosis mentioned as an associated cause on the death certificate, but neither is thought to be linked to asbestos exposure at this factory. Other suggested asbestos related cancers, such as laryngeal and gastrointestinal, did not show raised risks. Although the durations of exposure were short in this study, the findings are consistent with two other studies of workers exposed to low concentrations of chrysotile fibre in the manufacture of asbestos cement products which reported no excess mortality.

Gardner, M J; Winter, P D; Pannett, B; Powell, C A

1986-01-01

213

Benzene-induced chromosome aberrations: a follow-up study.  

PubMed Central

To study the evolution of cytogenetic damage from past exposure to high concentrations of benzene and its health significance, chromosome aberrations (CA) in lymphocytes were reinvestigated after approximately 20 years in four subjects with past severe hemopathy and in seven controls studied in the late 1960s. Increased chromosome-type aberrations were still present up to 30 years after benzene toxicity, but blood counts were normal. The vital status at the end of 1993 was ascertained for 32 subjects with a history of benzene toxicity and for 31 controls studied for CA from 1965 to 1970, who differed significantly for CA rates. Of the 32 benzene-exposed subjects, 1 was lost to follow-up, 20 were still alive, and 11 had died at ages 36 to 83, between 1 and 20 years after the last CA study. Five deaths were from neoplasia (acute erythroleukemia, brain tumor, cancer of lung, paranasal cavity, esophagus). The decreased subjects had significantly higher rates of chromosome-type aberrations than those alive, and those who died of neoplasia had the highest rates of these aberrations in the last study before death or diagnosis of cancer. Out of the 31 controls, 12 had died from 4 to 23 years after the CA study. Three deaths were from neoplasia (two lung cancer, one brain tumor). Even if this is a small sample, the results suggest a higher risk of cancer for the benzene-exposed cohort, who had persistently high CA rates in lymphocytes.

Forni, A

1996-01-01

214

Selective laser trabeculoplasty for primary open angle glaucoma: six-year follow up  

NASA Astrophysics Data System (ADS)

In order to establish the long-term efficacy of selective laser trabeculoplasty for primary open-angle glaucoma [POAG], trabecular meshwork of 34 eyes (21 patients) with POAG was treated with Q-switched frequency doubled Nd-YAG laser with wavelength of 532 nm Coherent Selecta 7000 (SLT). The eyes were divided in two groups: group 1-18 eyes with pigmentation degree in the frontal chamber angle of 1 and 2; group 2-16 eyes with pigmentation degree of 3 and 4. An average of 104 spots on 360 degrees was applied stepwise to the trabecular meshwork of every eye. The treatment and follow up period lasted 6 years. The mean prepoerative intraocular pressure [IOP] in group 1 was 25,5+/-1,5 mmHg, and in group 2-26+/-1 mmHg. During the last visit 6 years after SLT, the mean IOP in group 1 was 18,7+/-1.4 mmHg. Statistically significant decrease of IOP [p<0.001] was observed after SLT by an average of 6,8 mmHg [26.7%]. During the last visit 6 years after SLT in group 2, the mean IOP was 18.8+/-1.2 mmHg. Statistically significant IOP decrase method for POAG treatment and that IOP decrase in treated eyes is preserved for several years.

Koev, Krassimir

2005-04-01

215

Nurse-Patient Communication in Follow-up Consultations After Head and Neck Cancer Treatment.  

PubMed

BACKGROUND:: Adequate provider-patient communication is viewed as an important aspect of good quality (cancer) care, supports patients' stress control, and can positively influence health outcomes. OBJECTIVE:: The objective of this study was to describe nurse-patient communication in 2 consecutive follow-up consultations after head and neck cancer, with or without a partner present. METHODS:: This was a descriptive observational study of 17 video-recorded, coded, and analyzed consultations of 10 head and neck cancer patients and 6 partners. RESULTS:: Nurses responded adequately to about 25% of patients' and partners' emotional cues. In almost 75%, nurses responded to cues using distancing behaviors. The majority of informational questions of both patients and partners were adequately answered. Comparison of consecutive visits showed small differences for patients' and partners' cue-emission and for nurses' responsive behaviors between visits 1 and 2. CONCLUSION:: Nurses adequately responded to informational questions from patients and partners. However, they seemed to be less observant of and able to address emotional cues. Communication on nurse-patient-partner interaction deserves further research in a much larger sample and over a longer time period. IMPLICATION FOR PRACTICE:: Nurses' awareness of the importance of adequate cue responding is vital, as is the choice to "unlearn" the predominant distancing behaviors. The needs and the role of the patients' partner in consultations and managing consultations require further attention in training and professional practice. PMID:23519036

de Leeuw, Jacqueline; Prins, Judith B; Uitterhoeve, Ruud; Merkx, Matthias A W; Marres, Henri A M; van Achterberg, Theo

2013-03-23

216

Prospective Evaluation of the Effectiveness of a Home-Based Program of Isometric Strengthening Exercises: 12-Month Follow-up  

PubMed Central

Background The aim of this prospective randomized clinical trial was to investigate the efficacy of a home-based program of isometric strengthening exercises for the treatment of the lateral epicondylitis (LE) of the distal humerus. We hypothesized that 1) use of isometric strengthening exercises would result in clinical benefits similar to those provided by medication and pain relief and 2) functional improvements after exercise would be time-dependent. Methods Patients were assigned to one of two groups: 1) an immediate physical therapy group (group I), or 2) a delayed physical therapy group (group D). Group I patients (n = 16) were instructed how to do the exercises at their first clinic visit and immediately carried out the exercise program. Group D patients (n = 15) learned and did the exercises after being on medications for 4 weeks. Results Outcomes at the 1-month clinic visit indicated that pain (measured using a visual analogue scale [VAS]) had been significantly reduced in group I compared to group D (p < 0.01). However, significant differences between groups were not found at 3-, 6-, and 12-month follow-up for either VAS scores or Mayo elbow performance scores. For modified Nirschl/Pettrone scores, a significant difference between groups was found only at the 1-month follow-up visit. By then, the number of participants who returned to all activities with no pain or occasional mild pain was six (37%) in Group I and two (13%) in Group D (p = 0.031). At the final follow-up visit, 88% of all participants performed physical activities without pain. Conclusions Isometric strengthening exercises done early in the course of LE (within 4 weeks) provides a clinically significant improvement.

Park, Jin-Young; Park, Hong-Keun; Choi, Jin-Hyung; Moon, Eun-Sun; Kim, Byung-Soo; Kim, Wan-Seok

2010-01-01

217

Effectiveness of antismoking telephone helpline: follow up survey.  

PubMed Central

OBJECTIVE: To evaluate the effectiveness of an antismoking campaign conducted by the Health Education Board for Scotland. DESIGN: Descriptive survey of adult callers to a telephone helpline (Smokeline) for stopping smoking; panel study of a random sample of adult callers; assessment of changes in prevalence of smoking in Scotland before and after introduction of the helpline. SETTING: Telephone helpline. SUBJECTS: Callers to Smokeline over the initial one year period. Detailed information was collected on a 10% sample (n = 8547). A cohort of adult smokers who called Smokeline (total n = 848) was followed up by telephone interview three weeks, six months, and one year after the initial call. MAIN OUTCOME MEASURES: Numbers of adult smokers calling helpline; changes in smoking behaviour, especially stopping smoking among cohort members; and changes in prevalence of smoking in the general population. RESULTS: An estimated 82782 regular adult smokers made genuine contact with Smokeline over the year, representing about 5.9% of all adult smokers in Scotland. At one year 143 of the cohort of 848 callers (23.6%; 95% confidence interval 20.2% to 27.0%) reported that they had stopped smoking and 534 (88.0%; 85.4% to 90.6%) reported having made some change. About 19500 (16700 to 22350) adult smokers, equivalent to 1.4% (1.2% to 1.6%) of the mean adult smoking population, stopped smoking with direct help from Smokeling. During the second year of the campaign (1994) smoking prevalence among 25-65 year olds in Scotland was 6% (2.0% to 10.0%) lower than it had been before the start of the campaign. CONCLUSION: The Health Education Board for Scotland's antismoking campaign reached a high number of adult smokers, was associated with a highly acceptable quit rate among adults given direct help through Smokeline, and contributed considerably to an accelerated decline in smoking prevalence in Scotland.

Platt, S.; Tannahill, A.; Watson, J.; Fraser, E.

1997-01-01

218

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.

2011-01-01

219

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

220

Funnel chest: treatment strategy and follow-up.  

PubMed

Although funnel chest is the most frequently seen deformity of the anterior chest wall in children, there is still considerable controversy regarding three major aspects, namely, the frequency of such deformities, their physiological importance, and the methods available for treatment. We retrospectively analyzed our experience with the 154 patients managed in our department. In 81 of these an operation was performed (OP), and the clinical findings for this group were compared with the 73 patients in whom an operation was not performed (NOP). Evaluation included subjective findings, especially the views of the patients' parents, and objective findings, including chest radiographs, computed tomography (CT), spirogram, electrocardiography, and echocardiography. In all patients the assessment included postoperative respiratory symptoms, appearance of the chest, and psychological aspects related to the deformity. Post-operatively, respiratory symptoms almost invariably subsided. The cosmetic result could initially be regarded as satisfactory or fair during the first 10 years following surgery, but over time there was frequently increasing concern regarding the scar. The NOP patients showed significantly less severity of the funnel index compared with OP patients. However, there was no spontaneous improvement in the deformity in older patients; most of the NOP patients continued to show a cosmetic deformity and 26.7% had psychological problems. This retrospective study confirms that our treatment strategy of objective criteria for operation (functional compression index > 0.2, % vital capacity <80, and CT index less than 0.25) and timing of operation (between 4 and 6 years of age) provides good results. Based on the analysis of long-term follow-up, surgery is considered indicated in patients with severe deformity. However, in the interest of psychological development, the indications for surgery may be extended. PMID:11527162

Suita, S; Taguchi, T; Masumoto, K; Kubota, M; Kamimura, T

2001-07-01

221

A follow-up study of synthetic rubber workers.  

PubMed

Although 1,3-butadiene (BD) has been classified as an animal carcinogen, epidemiologic research has reported inconsistent results on the relationship between BD and lymphopoietic and other cancers in humans. This study evaluated the mortality experience of 15649 men employed for at least 1 year at any of eight North American styrene-butadiene rubber (SBR) plants. About 75% of the subjects were exposed to BD; 83% were exposed to styrene (STY). During 1943-1991, the cohort had a total of 386172 and an average of 25 person-years of follow-up, with 3976 deaths observed compared to 4553 deaths expected based on general population mortality rates (standardized mortality ratio (SMR) = 87, 95% confidence interval (CI) = 85-90). More than expected leukemia deaths occurred in the overall cohort (48 observed/37 expected, SMR = 131, CI = 97-174) and among ever hourly subjects (45/32, SMR = 143, CI = 104-191). The excess was concentrated among ever hourly subjects with 10+ years worked and 20+ years since hire (28/13, SMR = 224, CI = 149-323) and among subjects in polymerization (15/6.0, SMR = 251, CI = 140-414), maintenance labor (13/4.9, SMR = 265, CI = 141-453) and laboratories (10/2.3, SMR = 431, CI = 207-793), three areas with potential for relatively high exposure to BD or STY monomers. Some cohort sub-groups had slight increases in deaths from lymphopoietic cancers other than leukemia, but mortality patterns by race, years worked and process group within the SBR industry did not indicate a causal association with occupational exposures. These results indicate that exposures in the SBR industry cause leukemia. PMID:8901897

Delzell, E; Sathiakumar, N; Hovinga, M; Macaluso, M; Julian, J; Larson, R; Cole, P; Muir, D C

1996-10-28

222

Australian Participation in the Gaia Follow-up Network for Solar System Objects  

NASA Astrophysics Data System (ADS)

The Gaia satellite, planned for launch by the European Space Agency (ESA) in 2013, is the next-generation astrometry mission following Hipparcos. Gaia's primary science goal is to determine the kinematics, chemical structure, and evolution of the Milky Way Galaxy. In addition to this core science goal, the Gaia space mission is expected to discover thousands of Solar System objects. Because of orbital constraints, Gaia will only have a limited opportunity for astrometric follow-up of these discoveries. In 2010, the Gaia Data Processing and Analysis Consortium (DPAC) initiated a program to identify ground-based optical telescopes for a Gaia follow-up network for Solar System Objects to perform the following critical tasks: confirmation of discovery, identification of body, object tracking to constrain orbits. To date, this network comprises 37 observing sites (representing 53 instruments). The Zadko Telescope, located in Western Australia, was highlighted as an important network node because of its southern location, longitude, and automated scheduling system. We describe the first follow-up tests using the fast moving Potentially Hazardous Asteroid 2005 YU55 as the target.

Todd, M.; Coward, D. M.; Tanga, P.; Thuillot, W.

2013-01-01

223

Progression of remnant gastric cancer is associated with duration of follow-up following distal gastrectomy  

PubMed Central

AIM: To re-evaluate the recent clinicopathological features of remnant gastric cancer (RGC) and to develop desirable surveillance programs. METHODS: Between 1997 and 2008, 1149 patients underwent gastrectomy for gastric cancer at the Department of Digestive Surgery, Kyoto Prefectural University of Medicine, Japan. Of these, 33 patients underwent gastrectomy with lymphadenectomy for RGC. Regarding the initial gastric disease, there were 19 patients with benign disease and 14 patients with gastric cancer. The hospital records of these patients were reviewed retrospectively. RESULTS: Concerning the initial gastric disease, the RGC group following gastric cancer had a shorter interval [P < 0.05; gastric cancer vs benign disease: 12 (2-22) vs 30 (4-51) years] and were more frequently reconstructed by Billroth-I?procedure than those following benign lesions (P < 0.001). Regarding reconstruction, RGC following Billroth-II reconstruction showed a longer interval between surgical procedures [P < 0.001; Billroth-II vs Billroth-I: 32 (5-51) vs 12 (2-36) years] and tumors were more frequently associated with benign disease (P < 0.001) than those following Billroth-I?reconstruction. In tumor location of RGC, after Billroth-I?reconstruction, RGC occurred more frequently near the suture line and remnant gastric wall. After Billroth-II reconstruction, RGC occurred more frequently at the anastomotic site. The duration of follow-up was significantly associated with the stage of RGC (P < 0.05). Patients diagnosed with early stage RGC such as stage?I-II tended to have been followed up almost every second year. CONCLUSION: Meticulous follow-up examination and early detection of RGC might lead to a better prognosis. Based on the initial gastric disease and the procedure of reconstruction, an appropriate follow-up interval and programs might enable early detection of RGC.

Komatsu, Shuhei; Ichikawa, Daisuke; Okamoto, Kazuma; Ikoma, Daito; Tsujiura, Masahiro; Nishimura, Yukihisa; Murayama, Yasutoshi; Shiozaki, Atsushi; Ikoma, Hisashi; Kuriu, Yoshiaki; Nakanishi, Masayoshi; Fujiwara, Hitoshi; Ochiai, Toshiya; Kokuba, Yukihito; Otsuji, Eigo

2012-01-01

224

Nurse-led follow-up on demand or by a physician after breast cancer surgery: a randomised study.  

PubMed

The value of routine follow-up with frequent visits to a breast cancer specialist-both in terms of detection of recurrence and patient satisfaction-has been questioned. The aim of this study was to compare nurse-led follow-up on demand versus physician follow-up after breast cancer treatment with regards to patients' well-being, satisfaction, access to medical care and medical safety. Two hundred and sixty-four consecutively selected women with newly diagnosed breast cancer, classified as UICC stage I or stage II, were randomised to follow-up at two hospitals in Sweden, either by routine medical follow-up, the physician group (PG, n=131), or on demand by a specialist nurse, the nurse group (NG, n=133). Measures were done at baseline and twice a year over a period of 5 years by means of a questionnaire containing the Hospital Anxiety and Depression Scale (HAD), and the Satisfaction and Accessibility (SaaC) scale. Number of contacts with the health care services, number of diagnostic procedures, and time to recurrence or death were monitored. The ratings of HAD and SaaC did not show any statistically significant differences between the groups. The levels of anxiety and depression were generally low and levels of patient satisfaction high. There were no differences between the groups concerning time to recurrence or death. This study indicates that women with breast cancer in stages I to II can be followed up by a specialist nurse with high patient satisfaction and good medical safety. PMID:15171968

Koinberg, I-L; Fridlund, B; Engholm, G-B; Holmberg, L

2004-06-01

225

Adult cancer survivors discuss follow-up in primary care: 'not what i want, but maybe what i need'.  

PubMed

BACKGROUND Nearly one-third of office visits for cancer are handled by primary care physicians. Yet, few studies examine patient perspectives on these physicians' roles in their cancer follow-up care or their care preferences. METHODS We explored survivor preferences through qualitative, semistructured, in-depth interviews drawing on patients recruited from 2 National Cancer Institute-designated comprehensive cancer centers and 6 community hospitals. We recruited a purposive sample of early-stage breast and prostate cancer survivors aged 47 to 80 years, stratified by age, race, and length of time from and location of cancer treatment. Survivors were at least 2 years beyond completion of their active cancer treatment RESULTS Forty-two survivors participated in the study. Most participants expressed strong preferences to receive follow-up care from their cancer specialists (52%). They described the following barriers to the primary care physician's engagement in follow-up care: (1) lack of cancer expertise, (2) limited or no involvement with original cancer care, and (3) lack of care continuity. Only one-third of participants (38%) believed there was a role for primary care in cancer follow-up care and suggested the following opportunities: (1) performing routine cancer-screening tests, (2) supplementing cancer and cancer-related specialist care, and (3) providing follow-up medical care when "enough time has passed" or the survivors felt that they could reintegrate into the noncancer population. CONCLUSION Survivors have concerns about seeing their primary care physician for cancer-related follow-up care. Research interventions to address these issues are necessary to enhance the quality of care received by cancer survivors. PMID:22966105

Hudson, Shawna V; Miller, Suzanne M; Hemler, Jennifer; Ferrante, Jeanne M; Lyle, Jennifer; Oeffinger, Kevin C; Dipaola, Robert S

226

Antietam Visit.  

National Technical Information Service (NTIS)

Describes the battle of antietam and its historical impact. It reenacts abraham lincoln's visit to antietam two weeks after the battle. Through the president's eyes, we learn of the bloodiest single day that 23,000 men were killed, wounded, and captured. ...

1994-01-01

227

Antietam Visit.  

National Technical Information Service (NTIS)

Describes the battle of Antietam and its historical impact. It reenacts Abraham Lincoln's visit to Antietam two weeks after the battle. through the president's eyes, we learn of the bloodiest single day that 23,000 men were killed, wounded, and captured. ...

1994-01-01

228

Premature thelarche: a long-term follow-up.  

PubMed

The differentiation between premature thelarche and idiopathic central precocious puberty is essential for both long-term prognosis and therapeutic approach but, until now, there have been insufficient data to predict the future of the girls with premature thelarche. We studied 46 girls with premature thelarche longitudinally. The girls were subdivided into two groups according to the time of onset of thelarche: Group A consisted of 26 girls who presented thelarche before the second year of life (mean +/- SD 14.7 +/- 5.2 months) and Group B contained 20 girls who showed breast enlargement after the second year of life (5.7 +/- 3.1 years). The mean basal follicle-stimulating hormone (FSH) level of the patients as a whole was significantly higher than normal values (2.1 +/- 0.05 vs. 0.7 +/- 0.9 mIU/ml, p < 0.01) and the luteinizing hormone (LH) level was not significantly different from that in healthy control subjects (0.8 +/- 0.6 vs. 0.6 +/- 0.7 mIU/ml). After gonadotropin-releasing hormone test the FSH response was significantly higher than normal prepubertal values (12.9 +/- 2.1 vs. 3.9 +/- 2.9 mIU/ml, p < 0.001) whereas the LH response did not differ significantly (1.8 +/- 0.6 vs. 1.7 +/- 0.9 mIU/ml). After a follow-up time ranging from 5.1 to 7.8 years (mean +/- SD 5.9 +/- 1.9) we observed a greater percentage of disappearance in the girls in Group A than in those in Group B. The present data show that the percentage of girls who developed precocious puberty was significantly higher when they presented thelarche after the age of 2 years than before; the age of onset of thelarche can be useful to distinguish patients at risk of progressing towards precocious puberty. PMID:8908524

Verrotti, A; Ferrari, M; Morgese, G; Chiarelli, F

1996-08-01

229

TPS and CA 19-9 measurements in the follow-up of patients with pancreatic cancer and chronic pancreatitis.  

PubMed

The aim of this study was to assess the value of TPS and CA 19-9 in a long-term follow-up analysis of 11 patients with chronic pancreatitis (CP) and 15 patients with pancreatic cancer (PC). In all monitored patients with chronic pancreatitis the initial TPS level was below 200 U/L, whereas CA 19-9 was elevated in two of them. In one patient a dramatic increase in the TPS concentration (820 U/L) was measured at the last follow-up visit (after 8.6 months), which led to the detection of PC. In all patients with PC the preoperative TPS level exceeded 200 U/L, whereas CA 19-9 was elevated in only nine patients. After the Kausch-Whipple operation 11 patients showed no evidence of disease and in eight of these patients both TPS and CA 19-9 were within the reference range; however, in three patients liver metastases were detected after 8-24 months from the last tumor marker measurement. In four of the 15 patients both markers were elevated at the end of the follow-up period and distant metastases were clinically confirmed. Our results indicate that in patients with CP and PC undergoing long-term follow-up, TPS reflects the clinical status of patients more accurately than CA 19-9. PMID:15255543

Slesak, B; Harlozinska-Szmyrka, A; Knast, W; Sedlaczek, P; Einarsson, R; van Dalen, A

230

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

2011-09-17

231

Long-term follow-up of behavioral treatment for obesity: patterns of weight regain among men and women.  

PubMed

Maintenance of weight loss continues to be a critical concern in behavioral treatment programs. Problems with the acquisition and/or application of behavioral skills are a likely contributor to relapse. However, biological models, especially the hypothesis of a body weight setpoint, are being offered increasingly as alternative explanations for maintenance failure. Within the context of these sometimes opposing viewpoints the present study describes long-term weight outcomes for 114 men and 38 women assessed annually for 4 or 5 years following completion of a 15 week behavioral weight loss program. Although significant mean weight loss was evident at long-term follow-up, a negatively accelerating pattern of weight regain was the predominant outcome. Less than 3 percent of the subjects were at or below their posttreatment weight on all follow-up visits. Consistent sex differences were found, with women having better weight loss maintenance than men. Implications and potential future directions are discussed. PMID:2663745

Kramer, F M; Jeffery, R W; Forster, J L; Snell, M K

1989-01-01

232

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

2007-03-01

233

Improved training in primary health care: field follow-up essential.  

PubMed

A strategy was developed for the evaluation of a management course for medical officers assigned to rural hospitals in the Sudan. The training program on primary care and rural hospital management was designed by the Faculty of Medicine of the University of Gezira, the Center for Population and Family Health of Columbia University, and the Sudanese Ministry of Health. The 3-week training program was designed to deal with: primary care strategy and priority measures such as immunization, oral rehydration, nutrition and growth monitoring, antenatal care, the identification and referral of high-risk pregnancies, and child-spacing; the planning, implementation and evaluation functions of management, using the community as a learning laboratory; and the selected policies and rules of the Ministry of Health, with emphasis on the control of epidemics an the management of drug supplies and information reporting systems. Assessment tools were introduced during the training for use during field visits to trainees 3-5 months later. These follow-up visits involved both conversational interviews and structured data collection. During the field visits 26 rural medical officers gave information on locations of hospitals and durations of assignments; areas served; hospital and primary care unit personnel, vehicles, petrol allowances, refrigeration, maternal and child health records, immunization equipment and supplies, and drugs; road conditions and distances between regional hospitals and outlying units; key events since training; primary care and hospital problems, assessment of needs and resources, objectives and strategies for the next 12 months; 12-month implementation plans and training activities undertaken or planned; planning and perception of supervision; supervisory visits made to rural hospitals by senior officers of the Ministry of Health; use of training materials; management audit exercies; trainees' impressions of the course; and support given by projects of the Ministry of Health or nongovernmental organizations. The field assessment revealed that 60-80% of the trainees were using newly learned techniques and initiating new primary care activities and viewed the fieldvisits as supportive and important to continuation with their new undertakings. PMID:3252833

Abdel Rahim, I M; Nalder, S; el Faki, B A; Ghorashi, G S; Bower, B

1988-01-01

234

A randomized study of remote follow-up of implantable cardioverter defibrillators: safety and efficacy report of the ECOST trial  

PubMed Central

Aims The ECOST trial examined prospectively the long-term safety and effectiveness of home monitoring (HM) of implantable cardioverter defibrillators (ICD). Methods and results The trial's primary objective was to randomly compare the proportions of patients experiencing ?1 major adverse event (MAE), including deaths from all causes, and cardiovascular, procedure-related, and device-related MAE associated with HM (active group) vs. ambulatory follow-ups (control group) in a sample of 433 patients. The 221 patients assigned to the active group were seen once a year, unless HM reported an ICD dysfunction or a clinical event requiring an ambulatory visit, while the 212 patients in the control group underwent ambulatory visits every 6 months. The characteristics of the study groups were similar. Over a follow-up of 24.2 months, 38.5% of patients in the active and 41.5% in the control group experienced ?1 MAE (P < 0.05 for non-inferiority). The overall number of shocks delivered was significantly lower in the active (n = 193) than in the control (n = 657) group (P < 0.05) and the proportion of patients who received inappropriate shocks was 52% lower in the active (n = 11) than in the control (n = 22) group (P < 0.05). At the end of the follow-up, the battery longevity was longer in the active group because of a lower number of capacitor charges (499 vs. 2081). Conclusion Our observations indicate that long-term HM of ICD is at least as safe as standard ambulatory follow-ups with respect to a broad spectrum of MAE. It also lowered significantly the number of appropriate and inappropriate shocks delivered, and spared the device battery. Clinical trials registration NCT00989417.

Guedon-Moreau, Laurence; Lacroix, Dominique; Sadoul, Nicolas; Clementy, Jacques; Kouakam, Claude; Hermida, Jean-Sylvain; Aliot, Etienne; Boursier, Michel; Bizeau, Olivier; Kacet, Salem

2013-01-01

235

Adjusting Mortality for Loss to Follow-Up: Analysis of Five ART Programmes in Sub-Saharan Africa  

PubMed Central

Background Evaluation of antiretroviral treatment (ART) programmes in sub-Saharan Africa is difficult because many patients are lost to follow-up. Outcomes in these patients are generally unknown but studies tracing patients have shown mortality to be high. We adjusted programme-level mortality in the first year of antiretroviral treatment (ART) for excess mortality in patients lost to follow-up. Methods and Findings Treatment-naïve patients starting combination ART in five programmes in Côte d'Ivoire, Kenya, Malawi and South Africa were eligible. Patients whose last visit was at least nine months before the closure of the database were considered lost to follow-up. We filled missing survival times in these patients by multiple imputation, using estimates of mortality from studies that traced patients lost to follow-up. Data were analyzed using Weibull models, adjusting for age, sex, ART regimen, CD4 cell count, clinical stage and treatment programme. A total of 15,915 HIV-infected patients (median CD4 cell count 110 cells/µL, median age 35 years, 68% female) were included; 1,001 (6.3%) were known to have died and 1,285 (14.3%) were lost to follow-up in the first year of ART. Crude estimates of mortality at one year ranged from 5.7% (95% CI 4.9–6.5%) to 10.9% (9.6–12.4%) across the five programmes. Estimated mortality hazard ratios comparing patients lost to follow-up with those remaining in care ranged from 6 to 23. Adjusted estimates based on these hazard ratios ranged from 10.2% (8.9–11.6%) to 16.9% (15.0–19.1%), with relative increases in mortality ranging from 27% to 73% across programmes. Conclusions Naïve survival analysis ignoring excess mortality in patients lost to follow-up may greatly underestimate overall mortality, and bias ART programme evaluations. Adjusted mortality estimates can be obtained based on excess mortality rates in patients lost to follow-up.

Yiannoutsos, Constantin; Weigel, Ralf; Wood, Robin; Messou, Eugene; Boulle, Andrew; Egger, Matthias; Sterne, Jonathan A. C.

2010-01-01

236

Patient Perspectives of Clinical Care and Patient Navigation in Follow-up of Abnormal Mammography  

PubMed Central

ABSTRACT Background Racial and ethnic disparities in cancer care and survival are well documented. Patient navigation has been shown to improve timely follow-up of abnormal breast screenings for underserved patients. Few studies showed the impact of navigation on patient experiences of care. Objective We compared the experiences of patients enrolled in a patient navigator program and non-navigated patients referred to a hospital breast center for follow-up of abnormal mammogram in an underserved community health center population. Design Group comparison study using data from a mail and telephone survey to measure the experience of navigated and non-navigated patients. Participants English- and Spanish-speaking patients with abnormal mammography attending the Avon Breast Center between April 1, 2005 and April 30, 2007. Seventy-two navigated patients and 181 non-navigated patients completed surveys; the survey response rate was 53.6%. Main Measures Timeliness of care, preparation for the visit to the breast center, ease of access, quality of care, provider communication, unmet need and patient satisfaction. Key Results Most measures of the patient experience did not differ between navigated and non-navigated patients. Overall quality of care was rated as excellent (55% vs 62%, p?=?0.294). Navigated patients were significantly more likely than non-navigated to ‘definitely’ understand what to expect at their visit (79% vs 60%, p?=?0.003), to receive a reminder letter or telephone call (89% vs 77%, p?=?0.029), and to feel welcome (89% vs 75%, p?=?0.012). Navigated patients were less likely than non-navigated to rate the concern shown for their cultural/religious beliefs as excellent (45% vs 54%, p?=?0.014). Conclusions Assessing patient perspectives is essential to evaluate the success of quality improvement interventions. In our center, we measured few significant disparities in the perceptions of care of these two very different populations of patients, although, there are still areas in which our program needs improvement. Further research is needed to understand the effectiveness of patient navigation programs in reducing racial and ethnic disparities.

Mailhot, Johanna R.; Dutwin, David; Barnicle, Kristen; Oo, Sarah Abernethy; Hobrecker, Karin; Percac-Lima, Sanja; Chabner, Bruce A.

2010-01-01

237

Follow-Up and Monitoring of Adrenocortical Carcinoma  

Microsoft Academic Search

\\u000a Patients with adrenocortical carcinoma (ACC) usually present with (1) symptoms caused by tumor growth and\\/or (2) hormone production\\u000a or (3) ACC is discovered incidentally by imaging conducted for reasons other than suspicion of an adrenocortical tumor. Recurrent\\u000a ACC will therefore mainly be discovered by detection of tumor growth, which can occur at the former resection site or present\\u000a as distant

Britt Skogseid; Gerard M. Doherty

238

Role of ?-Subunit VISIT-DG Sequence Residues Ser-347 and Gly-351 in the Catalytic Sites of Escherichia coli ATP Synthase*  

PubMed Central

This paper describes the role of ?-subunit VISIT-DG sequence residues ?Ser-347 and ?Gly-351 in catalytic sites of Escherichia coli F1Fo ATP synthase. X-ray structures show the very highly conserved ?-subunit VISIT-DG sequence in close proximity to the conserved phosphate-binding residues ?Arg-376, ?Arg-182, ?Lys-155, and ?Arg-246 in the phosphate-binding subdomain. Mutations ?S347Q and ?G351Q caused loss of oxidative phosphorylation and reduced ATPase activity of F1Fo in membranes by 100- and 150-fold, respectively, whereas ?S347A mutation showed only a 13-fold loss of activity and also retained some oxidative phosphorylation activity. The ATPase of ?S347Q mutant was not inhibited, and the ?S347A mutant was slightly inhibited by MgADP-azide, MgADP-fluoroaluminate, or MgADP-fluoroscandium, in contrast to wild type and ?G351Q mutant. Whereas 7-chloro-4-nitrobenzo-2-oxa-1, 3-diazole (NBD-Cl) inhibited wild type and ?G351Q mutant ATPase essentially completely, ATPase in ?S347A or ?S347Q mutant was inhibited maximally by ?80–90%, although reaction still occurred at residue ?Tyr-297, proximal to the ?-subunit VISIT-DG sequence, near the phosphate-binding pocket. Inhibition characteristics supported the conclusion that NBD-Cl reacts in?E (empty) catalytic sites, as shown previously by x-ray structure analysis. Phosphate protected against NBD-Cl inhibition in wild type and ?G351Q mutant but not in ?S347Q or ?S347A mutant. The results demonstrate that ?Ser-347 is an additional residue involved in phosphate-binding and transition state stabilization in ATP synthase catalytic sites. In contrast, ?Gly-351, although strongly conserved and clearly important for function, appears not to play a direct role.

Li, Wenzong; Brudecki, Laura E.; Senior, Alan E.; Ahmad, Zulfiqar

2009-01-01

239

SRC liquid spill episode, SRC Pilot Plant, Ft. Lewis, Washington. Intermediate report: site visit observations and findings, January 29-February 20, 1980. [2300 gallon spill  

SciTech Connect

This report is intended to provide responsible DOE authorities with the professional observations and recommendations resulting from this firm's technical assistance in evaluating an accidental release of solvent refined coal (SRC) processed liquids at the SRC Pilot Plant, Ft. Lewis, Washington. The spill occurred during the night of December 19-20, 1979 at the facility operated for DOE by the Pittsburgh and Midway Coal Mining Company. The site visit on January 29, 1980 was made by DOE's staff member, Mr. John Abrahams, and this firm's representative, Mr. ALvin F. Meyer, Jr., P.E., President. In brief, the spill of approximately 2300 gallons of SRC processed liquids was caused by human failure. Compounding the circumstances was the presence of a bleeder valve which was inexplicably left open. Additional factors contributing to the episode were the fact that the operation was conducted at night, and the presence of steam and noise which obscured, at least partially, the possibility of detecting the spill occurrence. After operating personnel discovered the spill, the plant management of Pittsburg and Midway Coal Mining Company were informed. It was decided that environmental surveys and measurements would be undertaken to detect any possible contamination. Subsequent to the site visit, additional information was provided by Pittsburg and Midway Coal Mining Company, and by Hqs. ASFE Program officials. Analysis of the available data to date (February 22, 1980) indicates that no off site (SRC Plant boundaries) environmental contamination has occurred. A need exists for close further study and evaluation.

Meyer, A.F. Jr.

1980-02-27

240

Visiting a Recycling Plant  

NSDL National Science Digital Library

Recycling is perhaps the most well-known and successful part of the popular three-pronged resource conservation strategy known as 'reduce, reuse, and recycle'. This site provides some general information about recycling, and a video segment from the television program 'ZOOM', in which a cast member visits a material recovery center to watch the recycling process unfold.

2005-01-01

241

Transdiciplinary Approach to the Follow-Up of Patients After Myocardial Infarction  

PubMed Central

OBJECTIVES To compare conventional and transdisciplinary care in a tertiary outpatient clinic for patients after their first acute myocardial infarction. METHODS One hundred fifty-three patients with acute myocardial infarction were randomized at hospital discharge and followed-up to compare conventional (n=75) and transdisciplinary care (n=78). They were submitted to a clinical evaluation, received a dietary plan, and were re-evaluated twice in 60–180 days by a nurse, dietitian and physician, when new clinical and laboratory data were collected. The primary outcome was clinical improvement, as evaluated by an index including reduction of body weight, lowering of blood pressure, smoking cessation, increase in physical activity and compliance with medication. RESULTS The groups were similar at baseline: 63.4% were men, 89.9% had an acute myocardial infarction with ST-segment-elevation, 32.7% were diabetic, and 72.2% were hypertensive. The clinical improvement index was similar between the studied groups: in 33.3 % (transdisciplinary care) vs. 30.4 % (conventional care) of patients, the improvement was very good (P=1.000). Rates of re-hospitalization and death (p=0.127) were similar between transdisciplinary and conventional care. Compliance with diet was higher for transdisciplinary care (50.0%) vs. conventional care (26.1%) (p=0.007), as was compliance with visits (73.3 vs. 40.3%, respectively, p<0.001). CONCLUSIONS Compliance with diet and visits was higher for transdisciplinary care vs. conventional care; however, the transdisciplinary approach did not provide more clinical benefits than the conventional approach after patients’ first acute myocardial infarction in this setting.

Silva, Rosana Costa e; Pellanda, Lucia; Portal, Vera; Maciel, Patricia; Furquim, Aline; Schaan, Beatriz

2008-01-01

242

Bone mineral density changes after total knee arthroplasty: one-year follow-up.  

PubMed

The study involved analysis of differences in bone mineral density (BMD) in the region of knee arthroplasty in 106 female patients. BMD was assessed using dual-energy X-ray absorptiometry in a follow-up time schedule: before surgery and 2 weeks postoperatively (baseline), 5, 12, 24, and 48 weeks after knee joint arthroplasty. Four assessment regions A, B, C, and D were determined in immediate proximity to the arthroplasty site. A year after surgery, a decrease in BMD was observed in all determined regions-(9.9%, 13.8%, 9.9%, and 7.6% respectively) in comparison with the baseline value. The most significant BMD decrease was observed in the period between 5 and 12 weeks after the knee joint arthroplasty. In our opinion, the decrease in BMD at the knee joint arthroplasty site is a result of the postoperative increased bone resorption and decreased patient motor activity. PMID:18619880

Gazdzik, Tadeusz S; Gajda, Tomasz; Kaleta, Marek

2008-07-10

243

RUPP AUTISM NETWORK RANDOMIZED CLINICAL TRIAL OF PARENT TRAINING AND MEDICATION: ONE-YEAR FOLLOW-UP  

PubMed Central

Objective To follow up on a 3-site 24-week randomized clinical trial (N=124) comparing antipsychotic medication alone (MED) to antipsychotic plus parent training (PT) in behavior management (COMB) for autism spectrum disorders with severe behavior problems. COMB had shown a significant advantage for child behavioral noncompliance (p=.006, d=.34), irritability (p=.01, d=.48), and hyperactivity/noncompliance (p=.04, d=.55), with a lower medication dose. Method: A year after each participant’s termination we priority-mailed an assessment packet with a return-addressed envelope; a phone call alerted the family. Failure to return packets within a month elicited recontact and offers to resend. Results Eighty-seven of 124 families (70.2%) participated in follow-up. The improvement difference between treatments attenuated from post-treatment to follow-up for noncompliance (d=0.32 to d=0.12) and irritability (d=0.46 to d=0.03). Follow-up differences were nonsignificant. (The noncompliance difference was nonsignificant also at post-treatment for these 87.) 67% of COMB and 53% of MED were still taking risperidone, the original study medication. Most had needed dose adjustments or additional medication, and COMB no longer had a significantly lower dose. All COMB families but only 39% of MED reported seeking PT post-treatment. Daily living skills improvement during treatment predicted noncompliance improvement at follow-up for COMB, but noncompliance deterioration, and especially hyperactivity/noncompliance deterioration for MED-only children. Conclusions Study treatment experience/familiarity greatly influenced follow-up treatment: those who had received PT reported seeking it while those who had not experienced it tended not to seek it. The superiority of COMB over MED at post-treatment attenuated by over half at follow-up.

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

2013-01-01

244

Follow-up care for childhood cancer survivors: A focus group analysis  

Microsoft Academic Search

Follow-up of survivors of childhood cancer is recommended to improve detection of late-effects, and provide individuals with information and advice. This study aimed to follow-up survivors of childhood cancer and report on their attitudes to current follow-up methods. Twenty-six survivors (13–25 years) of childhood cancer and their parent(s) attended focus groups (n=7) to discuss views about follow-up care. Transcripts were

Emily A. Earle; Helena Davies; Diana Greenfield; Richard Ross; Christine Eiser

2005-01-01

245

Predictors of Follow-Up Completion Among Runaway Substance-Abusing Adolescents and their Primary Caretakers  

Microsoft Academic Search

Follow-up rates reported among longitudinal studies that focus on runaway adolescents and their families are relatively low.\\u000a Identifying factors associated with follow-up completion might be useful for improving follow-up rates and therefore study\\u000a validity. The present study explored how individual- and family-level constructs, as well as research project activities,\\u000a influence the follow-up completion rate among runaway adolescents (N = 140) and their

Rikki Patton; Natasha Slesnick; Denitza Bantchevska; Xiamei Guo; Yunhwan Kim

2011-01-01

246

Multiband photometric follow-up of ASASSN-13aw (SN 2013dr)  

NASA Astrophysics Data System (ADS)

We report the result of an extensive photometric follow-up of ASASSN-13aw (ATEL#5183) aka SN 2013dr, classified as type Ia supernova (Tomasella et al., CBAT TOCP for PSN J17193026+4742046). The telescopes involved in the follow-up operated in the preparatory mode for the forthcoming Gaia Science Ale$ follow-up network.

Wyrzykowski, L.; Campbell, H. C.; Koposov, S.; Ulaczyk, K.; Damljanovic, G.; Vince, O.; Pavlovic, R.; Cvetkovic, Z.; Stojanovic, M.; Kolb, U.; Bochinski, J.; Burwitz, V.; Haswell, C.; Rodriguez, J.; Harding, J.; Busuttil, R.

2013-08-01

247

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...

248

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

PubMed

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

Berg, Wendie A; Zhang, Zheng; Cormack, Jean B; Mendelson, Ellen B

2013-04-24

249

Detection of local recurrence following breast-conserving treatment in young women with early breast cancer: optimization of long-term follow-up strategies.  

PubMed

The detection of a local recurrence (LR) in young women with breast cancer after breast-conserving treatment (BCT) was investigated to compare the impact of different long-term follow-up strategies. Between 1988 and 2005, 937 women aged ?40 years were treated with BCT for early-stage breast cancer in the southern part of the Netherlands. Up to October 2009, 152 had developed an isolated LR. Information on follow-up visits was available for 124 of them. Fifty-four LRs (44%) were diagnosed within 5 years and 70 (56%) more than 5 years after BCT. Fifty-six LRs (45%) were detected during routine follow-up visits and 68 (55%) presented between two visits. Sixty-six LRs (53%) were diagnosed in patients reporting symptoms. In 31 patients (25%) the LR was found by mammography alone. About a quarter of the LRs was larger than 2 cm in diameter. These results imply that current follow-up strategies for young women with BCT do not guarantee a timely detection of LR. PMID:22989668

van der Sangen, Maurice J C; Scheepers, Sanne W M; Poortmans, Philip M P; Luiten, Ernest J T; Nieuwenhuijzen, Grard A P; Voogd, Adri C

2012-09-16

250

Transcatheter closure of fontan fenestrations using the Amplatzer septal occluder: initial experience and follow-up.  

PubMed

We have recently used the Amplatzer septal occluder to close Fontan fenestrations. Between June 1998 and December 1999, 13 patients underwent transcatheter occlusion of their Fontan fenestrations. Systemic blood flow decreased significantly without a concomitant decrease in pulmonary blood flow. All residual shunts detectable by oximetry were at sites separate from those into which occlusion devices were implanted. One patient developed severe tricuspid regurgitation following the procedure requiring surgical removal of the device. At the last follow-up, all patients were doing well clinically. There were no shunts detectable through or around the devices by echocardiography. Our experience indicates that the location of the fenestration within the Fontan baffle is critical to avoiding device interference with other intracardiac structures. The Amplatzer septal occluder offers an effective means of transcatheter closure of Fontan baffle fenestrations. Although more experience is needed, our current follow-up data suggest that long-term outcomes will be favorable. Cathet. Cardiovasc. Intervent. 51:301-304, 2000. PMID:11066111

Cowley, C G; Badran, S; Gaffney, D; Rocchini, A P; Lloyd, T R

2000-11-01

251

Putting Teacher Visits into Perspective.  

ERIC Educational Resources Information Center

|This article, intended for Reading Recovery teacher leaders, site coordinators, and trainers, discusses the issue of field visits by teacher leaders to teachers. The article argues that it is helpful, in considering field visits to teachers, to understand the various means of assisting performance described by Tharp and Gallimore in 1988. The…

Jones, Noel

1995-01-01

252

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

253

Long-term safety of budesonide nasal aerosol: a 5.5-year follow-up study.  

PubMed

The effects of prolonged treatment with intranasally applied budesonide was studied in twenty-four patients with perennial allergic or non-allergic rhinitis. Patients on continuous treatment were followed up for 5.5 years. At entry and follow-up visits, rhinoscopic findings, nasal symptom scores, blood chemistry, haematology, urine analysis and determination of plasma cortisol levels, before and after stimulation with ACTH (Synacthen, Ciba-Geigy AG, Basel, Switzerland), were registered. Biopsies of the nasal mucosa were taken before entry into the study, after 1 year of treatment, and after varying time intervals ranging from 2.5 to 5.5 years during the treatment. The biopsy specimens were examined blindly by an independent pathologist. The analyses revealed no histopathological changes in the nasal mucosa. All nasal symptom parameters assessed by the patients were significantly reduced from the baseline during the entire follow-up period. No clinically significant changes in the haematological and blood chemistry parameters were observed. Plasma cortisol analyses before and after challenge with ACTH revealed no influence on the hypothalamic pituitary adrenal (HPA) axis. The present study suggests that intranasal budesonide in the dose of 200-400 micrograms/day is also a safe treatment for prolonged treatment of perennial rhinitis. PMID:3396194

Pipkorn, U; Pukander, J; Suonpää, J; Mäkinen, J; Lindqvist, N

1988-05-01

254

A Randomized Trial of Early Hospital Discharge and Home Follow-Up of Women Having Cesarean Birth  

PubMed Central

Objective To determine the safety, efficacy, and cost savings of early hospital discharge of women delivered by unplanned cesarean delivery. Methods Using randomized assignment, 61 postpartum women were discharged from the hospital at the usual time, and 61 were discharged early and had nurse specialist home follow-up care. The latter group received comprehensive discharge planning, instruction, counseling, home visits, and daily on-call availability from the nurse specialists. Both groups were followed from delivery to 8 weeks postpartum. Results Women who were discharged early and received transitional home care services by clinical nurse specialists were sent home a mean of 30.3 hours earlier than the control group (P < .001). They had significantly greater satisfaction with care, more of their infants had timely immunizations at the end of follow-up, and they had a 29% reduction in health care charges compared to the control group receiving routine care. Although there were no statistically significant differences in maternal and infant rehospitalizations and acute-care visits, there were more maternal rehospitalizations in the control group than in the nurse specialist-followed group (three versus zero). No statistically significant differences were found between the groups in the outcomes of maternal affect and overall functional status. Conclusion Early hospital discharge of women after unplanned cesarean birth, using the model of nurse specialist transitional home care, is safe, feasible, and cost-effective.

BROOTEN, DOROTHY; RONCOLI, MARIANNE; FINKLER, STEVEN; ARNOLD, LAUREN; COHEN, ARNOLD; MENNUTI, MICHAEL

2013-01-01

255

Follow-up care for cancer survivors: the views of clinicians  

PubMed Central

Background: Evidence for the efficacy of late effects surveillance in adult cancer survivors is lacking and there is little agreement among clinicians on appropriate follow-up care. Methods: We report the views of both cancer experts and general practitioners (GPs) on long-term follow-up provision for cancer survivors, focussing on the 18–45 years age group. A total of 421 cancer experts (36% haematologists, 33% oncologists, 18% surgeons, 10% nurses, 2% other) and 54 GPs responded to a structured online survey. Reasons for follow-up care (clinical or supportive); advantages and disadvantages of follow-up in primary care; current practice; and resources required for a quality follow-up service were assessed. Results: Clinicians valued clinical reasons for follow-up more highly than supportive reasons (P<0.001). Learning more about late effects and checking for cancer recurrence were rated as the most important reasons for follow-up by cancer experts and GPs. A total of 85% of cancer specialists hold follow-up consultations alongside patients on active treatment. Cancer experts agreed that primary care follow-up would increase their availability for acute oncological care, but reduce information on late effects. The most important resource to provide a quality follow-up service was specialist nursing support (91%). Conclusions: Follow-up guidelines that include late effects surveillance are needed. Where and who should deliver this care requires further debate.

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

2009-01-01

256

Not All Are Lost: Interrupted Laboratory Monitoring, Early Death, and Loss to Follow-Up (LTFU) in a Large South African Treatment Program  

PubMed Central

Background Many HIV treatment programs in resource-limited settings are plagued by high rates of loss to follow-up (LTFU). Most studies have not distinguished between those who briefly interrupt, but return to care, and those more chronically lost to follow-up. Methods We conducted a retrospective cohort study of 11,397 adults initiating antiretroviral therapy (ART) in 71 Southern African Catholic Bishops Conference/Catholic Relief Services HIV treatment clinics between January 2004 and December 2008. We distinguished among patients with early death, within the first 7 months on ART; patients with interruptions in laboratory monitoring (ILM), defined as missing visits in the first 7 months on ART, but returning to care by 12 months; and those LTFU, defined as missing all follow-up visits in the first 12 months on ART. We used multilevel logistic regression models to determine patient and clinic-level characteristics associated with these outcomes. Results In the first year on ART, 60% of patients remained in care, 30% missed laboratory visits, and 10% suffered early death. Of the 3,194 patients who missed laboratory visits, 40% had ILM, resuming care by 12 months. After 12 months on ART, patients with ILM had a 30% increase in detectable viremia compared to those who remained in care. Risk of LTFU decreased with increasing enrollment year, and was lowest for patients who enrolled in 2008 compared to 2004 [OR 0.49, 95%CI 0.39–0.62]. Conclusions In a large community-based cohort in South Africa, nearly 30% of patients miss follow-up visits for CD4 monitoring in the first year after starting ART. Of those, 40% have ILM but return to clinic with worse virologic outcomes than those who remain in care. The risk of chronic LTFU decreased with enrollment year. As ART availability increases, interruptions in care may become more common, and should be accounted for in addressing program LTFU.

Ahonkhai, Aima A.; Noubary, Farzad; Munro, Alison; Stark, Ruth; Wilke, Marisa; Freedberg, Kenneth A.; Wood, Robin; Losina, Elena

2012-01-01

257

Timeliness of Follow-up after Abnormal Screening Mammogram: Variability of Facilities  

PubMed Central

Purpose: To describe the timeliness of follow-up care in community-based settings among women who receive a recommendation for immediate follow-up during the screening mammography process and how follow-up timeliness varies according to facility and facility-level characteristics. Materials and Methods: This was an institutional review board–approved and HIPAA-compliant study. Screening mammograms obtained from 1996 to 2007 in women 40–80 years old in the Breast Cancer Surveillance Consortium were examined. Inclusion criteria were a recommendation for immediate follow-up at screening, or subsequent imaging, and observed follow-up within 180 days of the recommendation. Recommendations for additional imaging (AI) and biopsy or surgical consultation (BSC) were analyzed separately. The distribution of time to follow-up care was estimated by using the Kaplan-Meier estimator. Results: Data were available on 214?897 AI recommendations from 118 facilities and 35?622 BSC recommendations from 101 facilities. The median time to subsequent follow-up care after recommendation was 14 days for AI and 16 days for BSC. Approximately 90% of AI follow-up and 81% of BSC follow-up occurred within 30 days. Facilities with higher recall rates tended to have longer AI follow-up times (P < .001). Over the study period, BSC follow-up rates at 15 and 30 days improved (P < .001). Follow-up times varied substantially across facilities. Timely follow-up was associated with larger volumes of the recommended procedures but not notably associated with facility type nor observed facility-level characteristics. Conclusion: Most patients with follow-up returned within 3 weeks of the recommendation. © RSNA, 2011

Haneuse, Sebastien J. P. A.; Geller, Berta M.; Buist, Diana S. M.; Miglioretti, Diana L.; Brenner, R. James; Smith-Bindman, Rebecca; Taplin, Stephen H.

2011-01-01

258

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.

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

259

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.

2013-01-01

260

Long-term Outcomes of Ulnar Shortening Osteotomy for Idiopathic Ulnar Impaction Syndrome: At Least 5-Years Follow-up  

PubMed Central

Background There have been few outcomes studies with follow-up after performing ulnar shortening osteotomy for ulnar impaction syndrome. We investigated the long-term clinical and radiological outcomes of ulnar shortening osteotomy for the treatment of idiopathic ulnar impaction syndrome. Methods We retrospectively reviewed 36 patients who had undergone ulnar shortening osteotomy for idiopathic ulnar impaction syndrome for a mean follow-up of 79.1 months (range, 62 to 132 months). The modified Gartland and Werley scores were measured pre- and postoperatively. The radiographic parameters for the assessment of the distal radioulnar joint (DRUJ) as well as the relationship between these radiographic parameters and the clinical and radiological outcomes were determined. Results The average modified Gartland and Werley wrist score improved from 65.5 ± 8.1 preoperatively to 93.4 ± 5.8 at the last follow-up visit. The average preoperative ulnar variance of 4.7 ± 2.0 mm was reduced to an average of -0.6 ± 1.4 mm postoperatively. Osteoarthritic changes of the DRUJ were first seen at 34.8 ± 11.1 months follow-up in 6 of 36 wrists (16.7%). Those who had osteoarthritic changes in the DRUJ had significantly wider preoperative ulnar variance, a longer distal radioulnar distance and a greater length of ulnar shortening, but the wrist scores of the patients who had osteoarthritic changes in the DRUJ were comparable to those who did not have osteoarthritic changes in the DRUJ. Conclusions The clinical outcomes are satisfactory for even more than 5 years after ulnar shortening osteotomy for treating idiopathic ulnar impaction syndrome despite the osteoarthritic changes of the DRUJ. The patients who need a larger degree of ulnar shortening may develop DRUJ arthritis.

Lee, Hyuk Jin; Gong, Hyun Sik; Rhee, Seung Hwan; Kim, Jihyeung; Kim, Kang Wook; Kong, Bong Young; Oh, Won Seok

2011-01-01

261

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

262

Serum Adiponectin and Type 2 Diabetes: A 6-Year Follow-Up Cohort Study  

PubMed Central

Background Studies on factors which may predict the risk of diabetes are scarce. This prospective cohort study was conducted to determine the association between adiponectin and type 2 diabetes among Korean men and women. Methods A total of 42,845 participants who visited one of seven health examination centers located in Seoul and Gyeonggi province, Republic of Korea between 2004 and 2008 were included in this study. The incidence rates of diabetes were determined through December 2011. To evaluate the effects of adiponectin on type 2 diabetes, the Cox proportional hazard model was used. Results Of the 40,005 participants, 959 developed type 2 diabetes during a 6-year follow-up. After the adjustment for age, body mass index (BMI), and waist circumference, the risks for type 2 diabetes in participants with normoglycemia had a 1.70-fold (95% confidence interval [CI], 1.21 to 2.38) increase in men and a 1.83-fold (95% CI, 1.17 to 2.86) increase in women with the lowest tertile of adiponectin when compared to the highest tertile of adiponectin. For participants with impaired fasting glucose (IFG), the risk for type 2 diabetes had a 1.46-fold (95% CI, 1.17 to 1.83) increase in men and a 2.52-fold (95% CI, 1.57 to 4.06) increase in women with the lowest tertile of adiponectin. Except for female participants with normoglycemia, all the risks remained significant after the adjustment for fasting glucose and other confounding variables. Surprisingly, BMI and waist circumference were not predictors of type 2 diabetes in men or women with IFG after adjustment for fasting glucose and other confounders. Conclusion A strong association between adiponectin and diabetes was observed. The use of adiponectin as a predictor of type 2 diabetes is considered to be useful.

Ahn, Chul Woo; Park, Jong Suk; Park, Chang Gyu; Kim, Hyon-Suk; Lee, Sang-Hak; Park, Sungha; Lee, Myoungsook; Lee, Chang Beom; Park, Hye Soon; Kimm, Heejin; Choi, Sung Hee; Sung, Jidong; Oh, Seungjoon; Joung, Hyojee; Kim, Sung Rae; Youn, Ho-Joong; Kim, Sun Mi; Lee, Hong Soo; Mok, Yejin; Choi, Eunmi; Yun, Young Duk; Baek, Soo-Jin; Jo, Jaeseong; Huh, Kap Bum

2013-01-01

263

Using a site visit to a contaminated location as a focus for environmental health education for academic and public health nurses.  

PubMed

We describe a conference initiative that is distinguished by the use of a "community case study" to increase the knowledge and skills of nursing faculty and public health nurses in environmental health and to provide networking support to facilitate infusion of environmental health into nursing curricula and public health nursing practice. The Institute of Medicine's (1995) general environmental health competencies for nurses provided the conference framework. Woburn, Massachusetts, a Superfund site, served as the community case study to illustrate a complex environmental health problem. Over an extended period of time, Woburn was contaminated with multiple chemicals that eventually contaminated the drinking water supply; a cluster of childhood leukemia cases was linked subsequently to the Superfund site contaminants. A 6-hr interpreted walking and bus tour of the Superfund site enabled us to visit the premises of responsible parties, the vapor extraction fields, the capped Well H in the wooded wetlands, and to tour the affected neighborhood. This intensive, hands-on approach to learning environmental health content and skills that incorporated multiple learning strategies serves as a model for developing future conferences for public health nurses and nursing faculty. PMID:16961561

Backus, Ann S N; Hewitt, Jeanne Beauchamp; Chalupka, Stephanie M

264

Loss to specialist follow-up in congenital heart disease; out of sight, out of mind  

PubMed Central

Objective To evaluate the scale and clinical importance of loss to follow-up of past patients with serious congenital heart disease, using a common malformation as an example. To better understand the antecedents of loss to specialist follow-up and patients’ attitudes to returning. Design Cohort study using NHS number functionality. Content and thematic analysis of telephone interviews of subset contacted after loss to follow-up. Patients, intervention and setting Longitudinal follow-up of complete consecutive list of all 1085 UK patients with repair of tetralogy of Fallot from single institution 1964–2009. Main outcome measures Survival, freedom from late pulmonary valve replacement, loss to specialist follow-up, shortfall in late surgical revisions related to loss to follow-up. Patients’ narrative about loss to follow-up. Results 216 (24%) of patients known to be currently alive appear not to be registered with specialist clinics; some are seen in general cardiology clinics. Their median age is 32?years and median duration of loss to follow-up is 22?years; most had been lost before Adult Congenital services had been consolidated in their present form. 48% of the late deaths to date have occurred in patients not under specialist follow-up. None of those lost to specialist follow-up has had secondary pulmonary valve replacement while 188 patients under specialist care have. Patients lost to specialist follow-up who were contacted by telephone had no knowledge of its availability. Conclusions Loss to specialist follow-up, typically originating many years ago, impacts patient management.

Wray, Jo; Frigiola, Alessandra; Bull, Catherine

2013-01-01

265

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

266

Fifteen-month follow-up with asthmatics utilizing EMG\\/Incentive inspirometer feedback  

Microsoft Academic Search

This study reports on the follow-up data of an integrated group program to reduce asthmatic symptoms. The 16 sessions included a comprehensive multibehavioral\\/desensitization retraining program and utilized EMG\\/Incentive inspirometer feedback to encourage slow diaphragmatic breathing in all situations. 17 out of 21 volunteers participated in the 15-month follow-up study. At the follow-up all subjects significantly reduced their EMG tension levels

Erik Peper; Vicci Tibbetts

1992-01-01

267

Remote monitoring and follow-up of pacemakers and implantable cardioverter defibrillators  

PubMed Central

In the era of communication technology, new options are now available for following-up patients implanted with pacemakers (PMs) and defibrillators (ICDs). Most major companies offer devices with wireless capabilities that communicate automatically with home transmitters, which then relay data to the physician, thereby allowing remote patient follow-up and monitoring. These systems are being widely used in the USA for remote follow-up, and have been more recently introduced in Europe, where their adoption is increasing. In this article, we describe the currently existing systems, review the available evidence in the literature regarding remote follow-up and monitoring of PMs and ICDs, and finally discuss some unresolved issues.

Burri, Haran; Senouf, David

2009-01-01

268

Breast cancer follow-up: from the perspective of health professionals and patients.  

PubMed

Increased breast cancer incidence and better survival have raised the number of patients requiring follow-up care. Despite guidelines, there is controversy about appropriate breast cancer follow-up. Therefore, semi-structured interviews were conducted in two hospitals with 23 patients and 18 health professionals (HPs) in order to explore opinions and preferences about the purpose, the duration and frequency of breast cancer follow-up and which examinations should be done, by whom. The transcripts were inductively analysed and coded into pre-identified themes. Patients were followed more intensively than guidelines recommend. HPs mentioned three major reasons; patient preferences, each discipline wanting to observe the patient, and financial incentives. For patients and HPs the most important purpose of follow-up was early detection of new malignancies. A highly valued aspect of follow-up mentioned by HPs was the psychosocial support, which was rarely mentioned by patients. Patient's expectations about the benefits of follow-up and additional examinations were sometimes unrealistic. Patients and HPs were positive about nurse practitioner-led follow-up, but less positive about general practitioner-led follow-up. Important barriers to current guideline adherence were revealed and should be taken into account by implementing new individualised guidelines. Furthermore, patients should be better informed about the benefits of follow-up to prevent unrealistic expectations. PMID:23834485

Kwast, A B G; Drossaert, C H C; Siesling, S

2013-07-08

269

The Impact of Smoking on Clinical Outcomes After First Episode Psychosis: Longer-Term Outcome Findings From the EPPIC 800 Follow-Up Study  

Microsoft Academic Search

OBJECTIVE: This study aims to investigate the impact of tobacco smoking on longer-term outcomes following a first episode of psychosis. METHODS: Data on 193 individuals were collected as part of a prospective follow-up visit of a cohort of patients after a mean of 7.5 years (SD = 0.8) after first treatment presentation. Primary outcome measures were positive and negative psychotic

Michael Berk; Lisa P. Henry; Kathryn S. Elkins; Susy M. Harrigan; Meredith G. Harris; Helen Herrman; Henry J. Jackson; Patrick D. McGorry

2010-01-01

270

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

271

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

272

The Role of Follow-up Imaging in Paediatric Blunt Abdominal Trauma  

Microsoft Academic Search

AIM: To assess the role of follow-up imaging in paediatric blunt abdominal trauma. METHOD: All children who underwent CT scanning of their abdomen at our institution following acute blunt injury between January 1997 and December 2000 were included in the study. Case notes where researched for details regarding mechanism of injury, initial clinical presentation, acute management, complications and follow-up until

A Mizzi; A Shabani; A Watt

2002-01-01

273

Utility of Follow-Up Skeletal Surveys in Suspected Child Physical Abuse Evaluations  

ERIC Educational Resources Information Center

|Objective: To evaluate the utility of a follow-up skeletal survey in suspected child physical abuse evaluations. Methods: In this prospective study, follow-up skeletal surveys were recommended for 74 children who, after an initial skeletal survey and evaluation by the Child Abuse Team, were suspected victims of physical abuse. The number and…

Zimmerman, Stephanie; Makoroff, Kathi; Care, Marguerite; Thomas, Amy; Shapiro, Robert

2005-01-01

274

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

275

SW3A: Web-Based System for Academic Assessment and Follow-Up  

Microsoft Academic Search

This work presents the development of a Web based system for Academic Assessment and Follow-up which is being developed for allowing educational institutions to manage both the application of eval uation processes of the teaching activities and the pedago gic follow-up of their courses. This system will make i t possible to collect the students' opinion about the disciplines, teachers

José Celso Freire Junior; Edson Luiz França Senne; Galeno José de Sena

2007-01-01

276

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

277

Marked point process framework for living probabilistic safety assessment and risk follow-up  

Microsoft Academic Search

We construct a model for living probabilistic safety assessment (PSA) by applying the general framework of marked point processes. The framework provides a theoretically rigorous approach for considering risk follow-up of posterior hazards. In risk follow-up, the hazard of core damage is evaluated synthetically at time points in the past, by using some observed events as logged history and combining

Jan Holmberg

1995-01-01

278

Risk follow-up by probabilistic safety assessment—experience from a Finnish pilot study  

Microsoft Academic Search

Risk follow-up by probabilistic safety assessment (PSA) provides a systematic method to analyze incidents. Events can be evaluated from the safety point of view to get feedback from operating experience, for the identification of risk contributors and for the verification of PSA models. This paper is concerned with the risk follow-up methodology, which is based on a marked point process

Jan Holmberg

1996-01-01

279

Immediate and follow-up findings after stent treatment for severe coarctation of aorta  

Microsoft Academic Search

Experimental studies have shown that stents implanted at the aorta become incorporated within the aortic wall and can be further expanded in growing animals. Few clinical studies have shown that the stent repair of severe coarctation of aorta provides excellent initial results, and little is known on the follow-up of these patients. We assessed the immediate and follow-up results obtained

José Suárez de Lezo; Manuel Pan; Miguel Romero; Alfonso Medina; José Segura; Mercedes Lafuente; Djordje Pavlovic; Enrique Hernández; Francisco Melián; José Espada

1999-01-01

280

Affective Psychosis: A Follow-Up, Retrospective Classification and Heredofamilial Study.  

National Technical Information Service (NTIS)

A follow-up, retrospective classification and heredofamilial study on affective psychosis is reported. Since 1958 704 cases (1.2% of the total admissions) of affective psychosis have been encountered, with 595 cases followed up for 11 years in average. In...

X. Zhenyi Z. Mingdao Y. Heqin

1980-01-01

281

Follow-up Strategies in a Mail Survey: Effect on Return Rate and Response Bias.  

National Technical Information Service (NTIS)

The present study was designed (1) to assess the effects of various follow-up techniques on the return rate and response bias of demographic and attitudinal measurements, and (2) to explore the possibility that reaction to extensive follow-ups biases the ...

J. Sachar S. Stumpf W. Kieckhaefer

1976-01-01

282

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

283

Career Program Completers. 1989-90 Long-Term Follow-Up Study.  

ERIC Educational Resources Information Center

In summer 1994, a long-term follow-up study was conducted of 1989-90 graduates of career programs at Johnson County Community College (JCCC) in Kansas. A survey was mailed to 536 graduates, certificate holders, and students who left JCCC with marketable skills to assess their satisfaction with JCCC and their jobs. With telephone follow-up, a…

Johnson County Community Coll., Overland Park, KS. Office of Institutional Research.

284

The RETHINK Parenting and Anger Management Program: A Follow-Up Validation Study  

ERIC Educational Resources Information Center

|This study is the first follow-up assessment of the RETHINK Parenting and Anger Management Program. Parent participants (N = 168) reduced their anger, violence, and family conflict levels from posttest to follow-up, on average, at 2.5 months on 13 of 15 dependent variables. Current findings are consistent with a small, albeit growing body of…

Fetsch, Robert J.; Yang, Raymond K.; Pettit, Matthew J.

2008-01-01

285

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

286

The RETHINK Parenting and Anger Management Program: A Follow-Up Validation Study  

ERIC Educational Resources Information Center

This study is the first follow-up assessment of the RETHINK Parenting and Anger Management Program. Parent participants (N = 168) reduced their anger, violence, and family conflict levels from posttest to follow-up, on average, at 2.5 months on 13 of 15 dependent variables. Current findings are consistent with a small, albeit growing body of…

Fetsch, Robert J.; Yang, Raymond K.; Pettit, Matthew J.

2008-01-01

287

Follow-up of women seeking sterilization reversal: A Brazilian experience  

Microsoft Academic Search

Objective: To analyze the follow-up of a cohort of women who requested reversal of surgical sterilization. Methods: This retrospective study was carried out at the State University of Campinas, Brazil. A cohort of 394 women who requested sterilization reversal was followed up for one year after reversal surgery. The analysis includes the percentage of women who completed the steps between

C. A. Petta; L. Bahamondes; M. Hidalgo; A. Faúndes; A. J. Bedone; D. Faundes

1995-01-01

288

Thirty-Month Follow-Up of Drinking Moderation Training for Women: A Randomized Clinical Trial  

ERIC Educational Resources Information Center

|This study examined the durability of a group-based drinking moderation training for heavily drinking women reporting low physical dependence on alcohol. A 30-month follow-up of participants was conducted based on a previous study of 144 women randomly assigned to treatment conditions (G. J. Connors & K. S. Walitzer, 2001). Thirty-month follow-up

Walitzer, Kimberly S.; Connors, Gerard J.

2007-01-01

289

Documentation for the 2008-09 Teacher Follow-up Survey. NCES 2011-304  

ERIC Educational Resources Information Center

|The Teacher Follow-up Survey (TFS) is sponsored by the National Center for Education Statistics (NCES) on behalf of the U.S. Department of Education and is conducted by the U.S. Census Bureau. TFS is a follow-up survey of selected elementary and secondary school teachers who participated in the Schools and Staffing Survey (SASS). SASS is the…

Graham, Shawna; Parmer, Randall; Chambers, Lisa; Tourkin, Steven; Lyter, Deanna M.

2011-01-01

290

Permanent pacing in children: Acute lead implantation and long-term follow-up  

Microsoft Academic Search

Optimal pacing in children mandates the proper selection of the pacing electrode system and appropriate follow-up testing. This review discusses factors that influence electrode selection, acute and chronic thresholds to be expected from each electrode type, electrode longevity in the child, and appropriate follow-up techniques applicable to the pediatric patient. Much information in this article is drawn from the Midwest

Gerald A. Serwer

1995-01-01

291

Observing High-Energy Sources with REM: A Facility for Fast GRB Follow-up  

NASA Astrophysics Data System (ADS)

REM is a fast slewing automatic telescope dedicated to the prompt observation of GRB afterglows. The telescope automatically reacts to GCN alerts, beginning follow-up observations in both infra-red and optical wavelengths. Recent observations of GRBs have shown the capabilities of REM to begin follow up observation in the order of 10s of seconds after the burst.

Ward, P.; Meurs, E. J. A.

292

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

PubMed Central

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 appointments and 102 were recruited by post. Measures of health status (including late effects, perceived vulnerability to late effects and quality of life), reasons for attending follow-up (clinical and supportive), issues to be discussed at follow-up and preferences for different models of care were assessed. Results: In all, 59% of the survivors reported experiencing one or more cancer-related health problems. Survivors rated clinical reasons for attending follow-up more highly than supportive reasons (P<0.001), although nutritional advice and counselling were considered useful (60 and 47%, respectively). Those still receiving scheduled follow-up appointments did not discuss the range of issues intended with ‘late effects' and ‘fertility', which were particularly under-discussed. Hospital rather than GP follow-up was more highly rated. Conclusion: Survivors value the clinical reassurance currently provided by consultant-led care. However, supportive needs are not systematically addressed. Multi-disciplinary services are recommended to meet supportive needs in addition to clinical care.

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

2009-01-01

293

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

Code of Federal Regulations, 2010 CFR

...2009-10-01 2009-10-01 false Calculating Sample Size for NYTD Follow-Up Populations C Appendix C to...1356, App. C Appendix C to Part 1356âCalculating Sample Size for NYTD Follow-Up Populations 1. Using Finite...

2009-10-01

294

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

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Calculating Sample Size for NYTD Follow-Up Populations C Appendix C to...1356, App. C Appendix C to Part 1356âCalculating Sample Size for NYTD Follow-Up Populations 1. Using Finite...

2010-10-01

295

Infantile autism and developmental receptive dysphasia: A comparative follow-up into middle childhood  

Microsoft Academic Search

An interim follow-up study of a group of “higher functioning” boys with infantile autism and control group of boys with severe (receptive) developmental language disorder (or dysphasia) is reported. The boys were compared both initially and at follow-up for overall functioning in the areas of language, peer relationships, stereotyped behaviors, and disruptive public behaviors, as well as for the presence

Dennis P. Cantwell; Lorian Baker; Michael Rutter; Lynn Mawhood

1989-01-01

296

Nonoperative management of blunt renal trauma: Is routine early follow-up imaging necessary?  

PubMed Central

Background There is no consensus on the role of routine follow-up imaging during nonoperative management of blunt renal trauma. We reviewed our experience with nonoperative management of blunt renal injuries in order to evaluate the utility of routine early follow-up imaging. Methods We reviewed all cases of blunt renal injury admitted for nonoperative management at our institution between 1/2002 and 1/2006. Data were compiled from chart review, and clinical outcomes were correlated with CT imaging results. Results 207 patients were identified (210 renal units). American Association for the Surgery of Trauma (AAST) grades I, II, III, IV, and V were assigned to 35 (16%), 66 (31%), 81 (39%), 26 (13%), and 2 (1%) renal units, respectively. 177 (84%) renal units underwent routine follow-up imaging 24–48 hours after admission. In three cases of grade IV renal injury, a ureteral stent was placed after serial imaging demonstrated persistent extravasation. In no other cases did follow-up imaging independently alter clinical management. There were no urologic complications among cases for which follow-up imaging was not obtained. Conclusion Routine follow-up imaging is unnecessary for blunt renal injuries of grades I-III. Grade IV renovascular injuries can be followed clinically without routine early follow-up imaging, but urine extravasation necessitates serial imaging to guide management decisions. The volume of grade V renal injuries in this study is not sufficient to support or contest the need for routine follow-up imaging.

Malcolm, John B; Derweesh, Ithaar H; Mehrazin, Reza; DiBlasio, Christopher J; Vance, David D; Joshi, Salil; Wake, Robert W; Gold, Robert

2008-01-01

297

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...

298

A simple booklet for patient follow-up after endovascular abdominal aortic aneurysm repair procedures.  

PubMed

Endovascular abdominal aortic aneurysm (AAA) repair (EVAR) procedures require lifelong patient surveillance for the detection of complications (eg, endoleaks or graft migration). This follow-up may be suboptimal. Between November 2010 and November 2011, a follow-up booklet was provided at hospital discharge to 42 consecutive patients undergoing EVAR for an infrarenal AAA. Each patient was given specific instructions for completion of the booklet at each follow-up examination whether this took place at our hospital or elsewhere. After a mean follow-up of 7 ± 3 months, all patients had fully complied with the instructions. This booklet may be useful for patients who find it difficult to attend follow-up appointments. Additionally, this booklet is useful for patients who move to another town/country or in cases of emergency when patients are admitted to another hospital. PMID:22323834

Antoniadis, Pavlos N; Kyriakidis, Konstantinos D; Paraskevas, Kosmas I

2012-02-08

299

Emotionally focused interventions for couples with chronically ill children: a 2-year follow-up.  

PubMed

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 chronically ill children who received treatment were assessed to determine if the significant improvement in relationship distress observed at posttreatment and 5-month follow-up would be maintained at 2-year follow-up. Results demonstrated that improvements in marital functioning were not only maintained but, in some cases, enhanced at the 2-year follow-up. This uncontrolled follow-up study provides initial evidence of the longer-term benefits of EFT. PMID:12382548

Cloutier, Paula F; Manion, Ian G; Walker, Jan Gordon; Johnson, Susan M

2002-10-01

300

Medical follow up after bariatric surgery: nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies.  

PubMed

This review is an update of the long-term follow-up of nutritional and metabolic issues following bariatric surgery, and also discusses the most recent guidelines for the three most common procedures: adjustable gastric bands (AGB); sleeve gastrectomy (SG); and roux-en-Y gastric bypass (GBP). The risk of nutritional deficiencies depends on the percentage of weight loss and the type of surgical procedure performed. Purely restrictive procedures (AGB, SG), for example, can induce digestive symptoms, food intolerance or maladaptative eating behaviours due to pre- or postsurgical eating disorders. GBP also has a minor malabsorptive component. Iron deficiency is common with the three types of bariatric surgery, especially in menstruating women, and GBP is also associated with an increased risk of calcium, vitamin D and vitamin B12 deficiencies. Rare deficiencies can lead to serious complications such as encephalopathy or protein-energy malnutrition. Long-term problems such as changes in bone metabolism or neurological complications need to be carefully monitored. In addition, routine nutritional screening, recommendations for appropriate supplements and monitoring compliance are imperative, whatever the bariatric procedure. Key points are: (1) virtually routine mineral and multivitamin supplementation; (2) prevention of gallstone formation with the use of ursodeoxycholic acid during the first 6 months; and (3) regular, life-long, follow-up of all patients. Pre- and postoperative therapeutic patient education (TPE) programmes, involving a new multidisciplinary approach based on patient-centred education, may be useful for increasing patients'long-term compliance, which is often poor. The role of the general practitioner has also to be emphasized: clinical visits and follow-ups should be monitored and coordinated with the bariatric team, including the surgeon, the obesity specialist, the dietitian and mental health professionals. PMID:20152742

Ziegler, O; Sirveaux, M A; Brunaud, L; Reibel, N; Quilliot, D

2009-12-01

301

Quality of life in the follow-up of uveal melanoma patients after CyberKnife treatment.  

PubMed

To assess quality of life in uveal melanoma patients within the first and second year after CyberKnife radiosurgery. Overall, 91 uveal melanoma patients were evaluated for quality of life through the Short-form (SF-12) Health Survey at baseline and at every follow-up visit over 2 years after CyberKnife radiosurgery. Statistical analysis was carried out using SF Health Outcomes Scoring Software and included subgroup analysis of patients developing secondary glaucoma and of patients maintaining a best corrected visual acuity (BCVA) of the treated eye of 0.5 log(MAR) or better. Analysis of variance, Greenhouse-Geisser correction, Student's t-test, and Fisher's exact test were used to determine statistical significance. Physical Functioning (PF) and Role Physical (RP) showed a significant decrease after CyberKnife radiosurgery, whereas Mental Health (MH) improved (P=0.007, P<0.0001 and P=0.023). MH and Social Functioning (SF) increased significantly (P=0.0003 and 0.026) in the no glaucoma group, MH being higher compared with glaucoma patients (P=0.02). PF and RP were significantly higher in patients with higher BCVA at the second follow-up (P=0.02). RP decreased in patients with BCVA<0.5 log(MAR) (P=0.013). Vitality (VT) increased significantly in patients whose BCVA could be preserved (P=0.031). Neither tumor localization nor size influenced the development of secondary glaucoma or change in BCVA. Although PF and RP decreased over time, MH improved continuously. Prevention of secondary glaucoma has a significant influence on both SF and MH, whereas preservation of BCVA affects VT. Emotional stability throughout follow-up contributes positively toward overall quality of life. CyberKnife radiosurgery may contribute to attenuation of emotional distress in uveal melanoma patients. PMID:24048223

Klingenstein, Annemarie; Fürweger, Christoph; Nentwich, Martin M; Schaller, Ulrich C; Foerster, Paul I; Wowra, Berndt; Muacevic, Alexander; Eibl, Kirsten H

2013-12-01

302

Factors associated with intentions to adhere to colorectal cancer screening follow-up exams  

PubMed Central

Background To increase adherence rate to recommendations for follow-up after abnormal colorectal cancer (CRC) screening results, factors that inhibit and facilitate follow-up must be identified. The purpose of this study was to identify the factors associated with intention to adhere to CRC screening follow-up exams. Methods During a 4-week period in October 2003, this survey was conducted with 426 subjects participating in a community-based CRC screening program in Nagano, Japan. Study measures included intention to adhere to recommendation for clinical follow-up in the event of an abnormal fecal occult blood test (FOBT) result, perceived susceptibility and severity of CRC, perceived benefits and barriers related to undergoing follow-up examination, social support, knowledge of CRC risk factors, health status, previous CRC screening, personality and social demographic characteristics. Univariate and multivariate logistic regression analyses on intention to adhere to recommendations for follow-up were performed. Results Among the 288 individuals analyzed, approximately 74.7% indicated that they would definitely adhere to recommendations for follow-up. After controlling for age, gender, marital status, education, economic status, trait anxiety, bowel symptoms, family history of CRC, and previous screening FOBT, analyses revealed that lower levels of perceived barriers, higher levers of perceived benefits and knowledge of CRC risk factors were significantly associated with high intention respectively. Conclusion The results of this study suggest that future interventions should focus on reducing modifiable barriers by clarifying misperceptions about follow-up, promoting the acceptance of complete diagnostic evaluations, addressing psychological distress, and making follow-up testing more convenient and accessible. Moreover, educating the public regarding the risk factors of CRC and increasing understanding of the benefits of follow-up is also important.

Zheng, Ying-Fang; Saito, Tami; Takahashi, Miyako; Ishibashi, Teruo; Kai, Ichiro

2006-01-01

303

Interventions to Improve Follow-Up of Abnormal Findings in Cancer Screening  

PubMed Central

The potential reduction in morbidity and mortality through cancer screening cannot be realized without receipt of appropriate follow-up care for abnormalities identified via screening. In this paper, the authors critically examine the existing literature on correlates of receipt of appropriate follow-up care for screen-detected abnormalities, as well as the literature on interventions designed to increase rates of receipt of follow-up care. Lessons learned describe what is known and not known about factors that are related to or predict receipt of follow-up care. Similarly, effective interventions to increase follow-up are described and gaps identified. A conceptual model is developed that categorizes the health care system in the United States as comprising four levels: policy, practice, provider, and patient. Some patient-level factors that influence follow-up receipt are identified, but the lack of data severely limit the understanding of provider, practice, and policy-level correlates. The majority of intervention studies to increase follow-up receipt have focused on patient-level factors and have targeted follow-up of abnormal Papanicolaou smears. Insufficient information is available regarding the effectiveness of provider, practice, or policy-level interventions. Standard definitions of what constitutes appropriate follow-up are lacking, which severely limit comparability of findings across studies. The validity of various methods of obtaining outcome data has not been clearly established. More research is needed on interventions targeting provider, system, and policy-level factors, particularly interventions focusing on follow-up of colorectal and breast abnormalities. Standardization of definitions and measures is needed to facilitate comparisons across studies.

Bastani, Roshan; Yabroff, K. Robin; Myers, Ronald E.; Glenn, Beth

2006-01-01

304

SITE CLOSURE USING MONITORED NATURAL ATTENUATION AS FOLLOW UP TO AN ACTIVE SOURCE REMEDIATION IN ITALY  

Microsoft Academic Search

SUMMARY A multi-phase remediation project was applied at an operating manufacturing facility located in an environmentally sensitive area in Northern Italy. A soil gas investigation was first completed to delineate the source of contamination present in soils. The remediation project, approved by the Italian Authorities, included an active phase of remediation to remove the source of contamination followed by Monitored

MEREGAGLIA Marco; LONGONI Giovanni; BLUESTONE Simon; BASEL Michael

305

Longitudinal health study of US 1991 Gulf War veterans: changes in health status at 10-year follow-up.  

PubMed

The authors assessed changes in the health status of US 1991 Gulf War-era veterans from a 1995 baseline survey to a 2005 follow-up survey, using repeated measurement data from 5,469 deployed Gulf War veterans and 3,353 nondeployed Gulf War-era veterans who participated in both surveys. Prevalence differences in health status between the 2 surveys were estimated for adverse health indices and chronic diseases for each veteran group. Persistence risk ratios and incidence risk ratios were calculated after adjustment for demographic and military service characteristics through Mantel-Haenszel stratified analysis. At 10-year follow-up, deployed veterans were more likely to report persistent poor health, as measured by the health indices (functional impairment, limitation of activities, repeated clinic visits, recurrent hospitalizations, perception of health as fair or poor, chronic fatigue syndrome-like illness, and posttraumatic stress disorder), than nondeployed veterans. Additionally, deployed veterans were more likely to experience new onset of adverse health (as measured by the indices) and certain chronic diseases than were nondeployed veterans. During the 10-year period from 1995 to 2005, the health of deployed veterans worsened in comparison with nondeployed veterans because of a higher rate of new onset of various health outcomes and greater persistence of previously reported adverse health on the indices. PMID:21795757

Li, Bo; Mahan, Clare M; Kang, Han K; Eisen, Seth A; Engel, Charles C

2011-07-27

306

Improvement in lipid profiles over 6 years of follow-up in adults with AIDS and immune reconstitution  

PubMed Central

Objectives To evaluate long-term changes in lipids and assess other coronary heart disease (CHD) risk factors in highly-experienced AIDS patients with immune reconstitution, and examine their association with antiretroviral treatment (ART). Methods We evaluated 433 AIDS patients with prior severe immunosuppression and ART-based immune reconstitution, followed in a multicenter prospective observational study between 2000-2006. We estimated prevalence at entry of hypercholesterolemia, metabolic syndrome, and 10-year CHD risks. Trends in total cholesterol (TC), triglycerides (TG), and HDL cholesterol were evaluated over time and use of specific ART drugs at each study visit was assessed using mixed effect models, adjusting for CHD risk factors and use of lipid-lowering agents. Results At entry to observational follow-up, 28% of the 433 subjects had hypercholesterolemia and 15% had predicted 10-year CHD risk above 20%. Average TC and fasting TG levels declined over follow-up (median=5.8 years), associated with increased use of physician-prescribed lipid-lowering agents and changing ART regimens. After adjustment for CHD risk factors, TC and TG levels were significantly higher for those on ritonavir-boosted protease inhibitors and on NNRTIs, particularly efavirenz. Conclusions Abnormalities in serum lipids were common at baseline but improved over time, associated with increased use of lipid-lowering agents and selection of ART agents with less deleterious effects on lipids.

Williams, P. L.; Wu, J. W.; Cohn, S. E.; Koletar, S. L.; McCutchan, J. A.; Murphy, R. L.; Currier, J. S.

2009-01-01

307

Effectiveness of an Electronic Health Record-Based Intervention to Improve Follow-up of Abnormal Pathology Results: a Retrospective Record Analysis  

PubMed Central

Background and Objective On March 11, 2009, the Veterans Health Administration (VA) implemented an electronic health record (EHR)-based intervention that required all pathology results to be transmitted to ordering providers via mandatory automated notifications. We examined the impact of this intervention on improving follow-up of abnormal outpatient pathology results. Research Design and Subjects We extracted pathology reports from the EHR of two VA sites. From 16,738 pre- and 17,305 post-intervention reports between 09/01/2008 and 09/30/2009, we randomly selected about 5% and evaluated follow-up outcomes using a standardized chart review instrument. Documented responses to the alerted report (e.g., ordering follow-up tests or referrals, notifying patients, and prescribing/changing treatment) were recorded. Measures Primary outcome measures included proportion of timely follow-up responses (within 30 days) and median time to direct response for abnormal reports. Results Of 816 pre- and 798 post-intervention reports reviewed, 666 (81.6%) and 688 (86.2%) were abnormal. Overall, there was no apparent intervention effect on timely follow-up (69% vs. 67.1%;p=0.4) or median time to direct response (8 days vs. 8 days; p=0.7). However, logistic regression uncovered a significant intervention effect (pre-intervention OR, 0.7; 95%CI 0.5-1.0) after accounting for site-specific differences in follow-up, with a lower likelihood of timely follow-up at one site (OR,0.4; 95%CI 0.2-0.7). Conclusion An electronic intervention to improve test result follow-up at two VA institutions using the same EHR was found effective only after accounting for certain local contextual factors. Aggregating the effect of EHR interventions across different institutions and EHRs without controlling for contextual factors might underestimate their potential benefits.

Laxmisan, Archana; Sittig, Dean F.; Pietz, Kenneth; Espadas, Donna; Krishnan, Bhuvaneswari; Singh, Hardeep

2012-01-01

308

Trabectome (Trabeculectomy--Internal Approach): Additional Experience and Extended Follow-Up  

PubMed Central

Purpose To report a retrospective case series of 1127 Trabectome surgical procedures, including 738 Trabectome-only and 366 Trabectome-phacoemulsification surgeries. Methods Electroablation of meshwork via a temporal corneal incision. Outcomes included changes in intraocular pressure (IOP) and medication use, complications, and Kaplan-Meier success estimates. Results For all cases, mean preoperative IOP of 23.8 ± 7.7 mm Hg decreased by 39% to 16.5 ± 4.0 mm Hg at 24 months (n = 50). Intraoperative reflux bleeding occurred in 77.6%. Medications decreased from 2.8 to 1.2 by 24 months. Sixty-five patients (5.8%) had IOP elevation > 10 mm Hg above baseline on day 1. Failure led to trabeculectomy in 5.9% (n = 67) and shunt installation in 1.6% (n = 18). Kaplan-Meier failure was defined across groups with at least 2 weeks follow-up as IOP > 21 mm Hg with or without medications and not reduced by 20% below baseline on 2 consecutive visits or repeat surgery. For Trabectome-only cases, mean preoperative IOP of 25.7 ± 7.7 mm Hg was reduced by 40% to 16.6 ± 4.0 mm Hg at 24 months (n = 46). No prolonged hypotony, choroidal effusion, choroidal hemorrhage, or infections occurred. Failure led to trabeculectomy in 8.1% (n = 60) and shunt installation in 1.9% (n = 14). Medications decreased from 2.93 to 1.2 by 24 months. For Trabectome-phacoemulsification cases, baseline IOP of 20.0 ± 6.2 mm Hg decreased at 12 months to 15.9 ± 3.3 mm Hg (18%) (n = 45) and medications decreased from 2.63 ± 1.12 to 1.50 ± 1.36. Sixteen (4.4%) of 365 had prior failed trabeculectomy, and 139 of 365 (38%) had prior laser trabeculoplasty. Conclusion Trabectome offers a minimally invasive method of improving IOP control in open-angle glaucomas.

Minckler, Don; Mosaed, Sameh; Dustin, Laurie; MS, Brian Francis

2008-01-01

309

Can Follow-Up Examination of Tuberculosis Patients Be Simplified? A Study in Chhattisgarh, India  

PubMed Central

Background Each follow-up during the course of tuberculosis treatment currently requires two sputum examinations. However, the incremental yield of the second sputum sample during follow-up of different types of tuberculosis patients has never been determined precisely. Objectives To assess the incremental yield of the second sputum sample in the follow-up of tuberculosis patients under the Revised National Tuberculosis Control Programme (RNTCP) in Chhattisgarh, India. Methodology A record review of tuberculosis (TB) patients registered in 2009 using a structured proforma from two sources, Tuberculosis and Laboratory Register, was undertaken in the six districts of Chhattisgarh, India. Results In smear positive cases, of 10,048 follow-up examinations, 45 (0.5%) were found to be smear positive only on the second sputum when the result of the first sample was negative. In smear negative pulmonary and extra pulmonary TB patients, of 6,206 follow-up smear examinations, 11(0.2%) were found to be smear positive. Conclusions The incremental yield of a second smear examination was very low, indicating that examination of one sputum sample is enough during follow-up among TB patients. There is insufficient yield to support sputum smear microscopy for monitoring smear negative pulmonary TB and extra pulmonary TB patients. These results indicate that the follow-up smear microscopy can be substantially simplified with favourable resource implications.

Kundu, Debashish; M. V. Kumar, Ajay; Satyanarayana, Srinath; Dewan, Puneet Kumar; Achuthan Nair, Sreenivas; Khaparde, Kshitij; Nayak, Priyakanta; Van den Bergh, Rafael; Manzi, Marcel; Enarson, Donald A.; Deshpande, Madhav Rao; Chandraker, Sachin

2012-01-01

310

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.

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

2008-01-01

311

Influencing Factors on the Outcome and Prognosis of Patients With HBV Infction: Seven Years Follow-up  

PubMed Central

Background Hepatitis B virus (HBV) is one of the most common chronic viral infections in the world. Iran has a low to intermediate HBV prevalence and approximately 1.5 million people are living with HBV infection. The impact of HBV in Iran is unknown and given the very low levels of alcohol consumption, this region provides an opportunity to examine the impact of isolated chronic HBV infection. Objectives To examine and evaluate outcome and prognosis of HBV in Iran. Patients and Methods A longitudinal cohort study dating from 2003-2010 was performed. The patients were assessed six months after their first visit and then during periodic visits for the subsequent seven years. The patients’ medical history, route of diagnosis of infection, family history, and liver diseases status including: carrier state of HBV, chronic HBV, cirrhosis, and HCC were recorded. Descriptive and analytic statistics were performed, using SPSS software version 18. Results 275 HBsAg positive patients, who had completed a 7 year follow up period, were selected. The annual incidence rate for chronic hepatitis B in inactive carrier states and cirrhosis were 0.46% and 0.2% respectively. Over seven years, the rate of inactive carriers decreased by eight percent (They turned into chronic HBV or became HBSAg negative). No significant association was found between HBSAg seroclearance, HBeAg seroconversion and the outcome in the end of each year of follow up. Different treatment regimens did not have any statistically significant difference regarding HBeAg seroconversion. There was no significant association between the outcome and different habitual characteristics, especially smoking, as well as family history on HBsAg, HBsAb, HBeAg, and Anti-HBeAg. Values of platelets and ALT showed a significant change during the follow ups. Annual incidence rate of HCC in the present study was in the range of other studies. Conclusions These data confirm and extend data from other populations showing a low incidence of significant change in chronic HBV infection in short term with good responses to currently available therapeutics.

Sali, Shahnaz; Alavian, Seyed Moayed; Foster, Graham R; Keyvani, Hossein; Mehrnoosh, Leila; Mohammadi, Navid

2013-01-01

312

Ginkgo Biloba Extract and Long-Term Cognitive Decline: A 20-Year Follow-Up Population-Based Study  

PubMed Central

Background Numerous studies have looked at the potential benefits of various nootropic drugs such as Ginkgo biloba extract (EGb761®; Tanakan®) and piracetam (Nootropyl®) on age-related cognitive decline often leading to inconclusive results due to small sample sizes or insufficient follow-up duration. The present study assesses the association between intake of EGb761® and cognitive function of elderly adults over a 20-year period. Methods and Findings The data were gathered from the prospective community-based cohort study ‘Paquid’. Within the study sample of 3612 non-demented participants aged 65 and over at baseline, three groups were compared: 589 subjects reporting use of EGb761® at at least one of the ten assessment visits, 149 subjects reporting use of piracetam at one of the assessment visits and 2874 subjects not reporting use of either EGb761® or piracetam. Decline on MMSE, verbal fluency and visual memory over the 20-year follow-up was analysed with a multivariate mixed linear effects model. A significant difference in MMSE decline over the 20-year follow-up was observed in the EGb761® and piracetam treatment groups compared to the ‘neither treatment’ group. These effects were in opposite directions: the EGb761® group declined less rapidly than the ‘neither treatment’ group, whereas the piracetam group declined more rapidly (??=??0.6). Regarding verbal fluency and visual memory, no difference was observed between the EGb761® group and the ‘neither treatment’ group (respectively, ??=?0.21 and ??=??0.03), whereas the piracetam group declined more rapidly (respectively, ??=??1.40 and ??=??0.44). When comparing the EGb761® and piracetam groups directly, a different decline was observed for the three tests (respectively ??=??1.07, ??=??1.61 and ??=??0.41). Conclusion Cognitive decline in a non-demented elderly population was lower in subjects who reported using EGb761® than in those who did not. This effect may be a specific medication effect of EGb761®, since it was not observed for another nootropic medication, piracetam.

Amieva, Helene; Meillon, Celine; Helmer, Catherine; Barberger-Gateau, Pascale; Dartigues, Jean Francois

2013-01-01

313

Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation.  

PubMed

From 1982 to 1988, 147 cemented acetabular components were revised with cementless hemispheric press-fit components, with an average follow-up period of 5.7 years (range, 3-9 years). Acetabular defects were typed from 1 to 3 and reconstructed with a bulk or support allograft. Type 1 defects had bone lysis around cement anchor sites and required particulate graft. Type 2A and B defects displayed progressive bone loss superiorly and required particulate graft, femoral head bulk graft, or cup superiorization. Type 2C defects required medial wall repair with wafer femoral head graft. Type 3A and B defects demonstrated progressive amounts of superior rim deficiencies and were treated with structural distal femur or proximal tibia allograft. Six of the 147 components (4.0%), all type 3B, were considered radiographically and clinically unstable, warranting revision. Three of the six were revised. Moderate lateral allograft resorption was noted on radiographs, but host-graft union was confirmed at revision. Size, orientation, and method of fixation of the allografts play an important role in the integrity of structural allografts, while adequate remaining host-bone must be present to ensure bone ingrowth. PMID:8163974

Paprosky, W G; Perona, P G; Lawrence, J M

1994-02-01

314

A case of giant naevus followed up for 22 years after treatment with artificial dermis.  

PubMed

We present an ultra-long followed-up case in which an artificial dermis was used for the treatment of a giant naevus. A 5-year-old boy had a giant naevus on his lower back and both buttocks. The light black pigmentation extended to the lower abdomen and both upper thighs. The lesions on the lower back and both buttocks were treated using the artificial dermis Pelnac in three operative series every 2 years. After removal of the lesion, Pelnac was placed onto the skin defect. Three weeks postoperatively, the silicone film was peeled off and a thin split-thickness skin graft (STSG) taken from the upper-middle back was placed on the regenerated dermis-like connective tissue. Thin STSGs were harvested from the same upper back area repeatedly. The lesions on both posteromedial upper thighs and the lower abdomen were treated in three operative series using tissue expanders. Finally, tissue expanders were inserted subcutaneously in both buttocks where Pelnac had been used 5 years or 7 years before. The lesions around the anus were reconstructed using the expanded skin and local skin flaps. Twenty-two years after the first operation, both grafted and donor sites keep good condition not only cosmetically but also functionally. PMID:23583608

Suzuki, Shigehiko; Morimoto, Naoki; Yamawaki, Satoko; Fujitaka, Junpei; Kawai, Katsuya

2013-04-11

315

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

316

Interventional Radiology in the Diagnosis, Management, and Follow-Up of Pseudoaneurysms  

SciTech Connect

Arterial wall disruption, as a consequence of inflammation/infection, trauma (penetrating or blunt), or iatrogenic causes, may result in pseudoaneurysm formation. Currently, iatrogenic causes are increasing as a result of the growth of endovascular intervention. The frequency of other causes also seems to be increasing, but this may simply be the result of increased diagnosis by better imaging techniques, such as multidetector contrast-enhanced computed tomography. Clinically, pseudoaneurysms may be silent, may present with local or systemic signs, or can rupture with catastrophic consequences. Open surgical repair, previously the mainstay of treatment, has largely been replaced by image-guided occlusion methods. On the basis of an experience of over 100 pseudoaneurysms, treatments at various anatomical sites, imaging modalities used for accurate diagnosis, current changing therapeutic options for pseudoaneurysm management, approved embolization agents, and clinical follow-up requirements to ensure adequate treatment will be discussed. Image-guided direct percutaneous and endovascular embolization of pseudoaneurysms are established treatment options with favorable success rates and minimal morbidity. The pendulum has now swung from invasive surgical repair of pseudoaneurysms to that of image-guided interventional radiology.

Keeling, A. N.; McGrath, F. P.; Lee, M. J., E-mail: mlee@rcsi.i [Beaumont Hospital, Department of Academic Radiology (Ireland)

2009-01-15

317

Recycling of Extracorporeally Irradiated Autograft for Malignant Bone Tumors: Long-term Follow-up.  

PubMed

This study was conducted to evaluate the long-term oncological and functional outcomes. Forty-two patients (29 men and 13 women) with primary malignant bone tumors were included in this study. The procedure consisted of wide en bloc resection, clearing the extraosseous soft tissue and medullary content, extracorporeal irradiation with a single dose of 50 Gy using linear accelerator, and reimplantation using suitable fixation devices. The mean survivor follow-up was 54 months (24-174 months). There were 32 (76.2%) patients continuously disease free, 7 (16.7%) died of disease, and 3 (7.1%) alive with disease. Local recurrence was encountered in 4 (9.5%) patients. Nonunion occurred at 3 (6.4%) osteotomy sites. Deep infection developed in 4 (9.5%) cases. There were 13 patients rated excellent, 17 good, 10 fair, and 2 failures according to the Mankin scoring system. The mean ratings of the Musculoskeletal Tumor Society score and the Toronto Extremity Salvage Score were 77 and 81, respectively. The long-term oncological and functional results are encouraging and suggest that extracorporeal irradiation and reimplantation can be a long-lasting biological reconstructive technique in properly selected patients. PMID:24126336

Kotb, Samir Z; Mostafa, Mohamed F

2013-11-01

318

Twenty-four Years of Follow-Up for a Hanford Plutonium Wound Case  

SciTech Connect

A 1985 plutonium puncture wound resulted in the initial deposition of 48 kBq of transuranic alpha activity, primarily 239Pu and 241Am, in a worker’s right index finger. Surgical excisions in the week following reduced the long-term residual wound activity to 5.4 kBq, and 164 DTPA chelation therapy administrations over a 17-month period resulted in urinary excretion of about 7 kBq. The case was published in 1988, but now 20 additional years of follow-up data are available. Annual bioassay measurements have included wound counts, skeleton counts, liver counts, lung counts, axillary lymph node counts, and urinalyses for plutonium and 241Am. These measurements have shown relatively stable levels of 241Am at the wound site, with gradually increasing amounts of 241Am detected in the skeleton. Liver counts has shown erratic detection of 241Am, and lung counts indicate 241Am as shine from the axillary lymph nodes and skeleton. Urine excretion of 239Pu since termination of chelation therapy has typically ranged from 10 to 20 mBq d-1, with 241Am excretion being about 10% of that for 239Pu. In addition, the worker has undergone annual routine medical exams, which have not identified any adverse health effects associated with the intake.

Carbaugh, Eugene H.; Lynch, Timothy P.; Antonio, Cheryl L.; Medina-Del Valle, Fernando

2010-10-01

319

Joining the visiting team  

SciTech Connect

As an extention of The Selection and use of VA/VE Professionals'' this paper addresses the questions of: What will guarantee success for the VE studies Will the Job Plan always produce a study that saves 10% and yields a return on investment of 30:1 What help does the VE team need for it to do its job more effectively What work does the VE site coordinator need to do to raise the implementation rate on VE studies performed by visiting teams 3 refs.

Sperling, R.B.

1990-01-04

320

Postoperative follow up in patients showing no evident residual disease - cut-offs for imaging/ intervention  

PubMed Central

The European Group generally agrees with the American guidelines on the issue of the indications for additional surgery in patients with recurrence of medullary thyroid cancer. The discussions have been focused mainly on the postoperative follow-up, where some European experts feel that a postoperative calcitonin-stimulating test is of some importance in assigning the patient to the “Cured” or “Non-cured” group immediately after surgery. A part of the European group feels that a negative calcitonin-stimulating test might lead to a less intensive follow-up in the late follow-up of these patients.

2013-01-01

321

Mercury Control Technology Assessment Study: Veterans Administration Medical Center Dental Services Clinic, Salt Lake City, Utah. In-Depth Survey Report for the Site Visit of January 11-12, 1982.  

National Technical Information Service (NTIS)

A site visit was made to the Veterans Administration Medical Center Dental Services Clinic, located in Salt Lake City, Utah for the purpose of investigating control methods used to lessen worker exposures to mercury (7439976). Mercury was used at the clin...

1982-01-01

322

The positive effect of posterolateral lumbar spinal fusion is preserved at long-term follow-up: a RCT with 11–13 year follow-up  

Microsoft Academic Search

Introduction Few studies have investigated the long-term effect of posterolateral lumbar spinal fusion on functional outcome. Aim To investigate the long-term result after posterolateral lumbar spinal fusion with and without pedicle screw instrumentation.\\u000a Methods Questionnaire survey of 129 patients originally randomised to posterolateral lumbar spinal fusion with or without pedicle\\u000a screw instrumentation. Follow-up included Dallas Pain Questionnaire (DPQ), Oswestry Disability

Thomas Andersen; Tina S. Videbæk; Ebbe S. Hansen; Cody Bünger; Finn B. Christensen

2008-01-01

323

Early and personalized ambulatory follow-up to tailor furosemide and fluid intake according to congestion in post-discharge heart failure.  

PubMed

Congestive heart failure (CHF) worsening is a worldwide cause of rehospitalization and mortality, specially during the early period after hospitalization. Fluid accumulation plays a key role in the pathophysiology of both acute heart decompensation and disease progression. The effective use of drugs to maintain restored clinical stabilization in recently discharged patients is a difficult task, and it relies on matching the most appropriately tailored therapy to specific clinical profiles. However, no successful treatment has been shown to reduce post-discharge readmission. We evaluated in a case-control study the effectiveness of an early and personalized congestion-guided ambulatory program on medium-term (6 months) compensation in recently discharged CHF patients. Group A (22 patients) underwent a post-discharge close follow-up consisting of: an early clinic visit within 10 days; a second visit within 10 days after the first; and the other visits at month 1, 2, 3 after discharge. Controls (Group B, 21 patients) underwent a conventional ambulatory follow-up only at month 1, 2, 3 after discharge. The ambulatory approach in both groups was based on the monitoring of signs/symptoms of congestion and body weight, body hydration estimation by using bioelectrical impedance analysis (BIA) and laboratory data. This assessment was finalized to tailor furosemide and daily fluid intake at each visit to eliminate clinical or instrumental evidence of persistent congestion relieving the signs and symptoms. At 6 months, Group A was associated with a better clinical compensation (improved hydration state, lower BNP levels and congestion score), an improved quality of life, and reduced re-hospitalizations. We conclude that in CHF the early and personalized ambulatory follow-up based on congestion-guided treatment is effective to optimize management and maintain clinical stability in the post-discharge period. PMID:21594682

Parrinello, Gaspare; Torres, Daniele; Paterna, Salvatore; Di Pasquale, Pietro; Trapanese, Caterina; Cardillo, Mauro; Bellanca, Michele; Fasullo, Sergio; Licata, Giuseppe

2011-05-19

324

48 CFR 2027.305-3 - Follow-up by Government.  

Code of Federal Regulations, 2012 CFR

... false Follow-up by Government. 2027.305-3 Section 2027.305-3 Federal Acquisition Regulations System NUCLEAR REGULATORY COMMISSION GENERAL CONTRACTING REQUIREMENTS PATENTS, DATA, AND COPYRIGHTS Patent Rights Under...

2012-10-01

325

Purchase Intention, Purchase Behavior and the Active Solar Market: A Follow-Up Study. Final Report.  

National Technical Information Service (NTIS)

By following up on some prior respondents to solar surveys, solar energy purchase intentions are related to actual purchase behavior. Also examined is the relationship between attitudinal and demographic variables and trends in intention variables. Two se...

P. E. Johnston G. L. Lilien

1982-01-01

326

25 CFR 26.36 - What follow-up service is available after I complete training?  

Code of Federal Regulations, 2011 CFR

...INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES JOB PLACEMENT AND TRAINING PROGRAM Training Services § 26.36...follow-up service is available after I complete training? Job Placement assistance may follow...

2011-04-01

327

25 CFR 26.28 - What follow-up services are available after I become employed?  

Code of Federal Regulations, 2011 CFR

... Section 26.28 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES JOB PLACEMENT AND TRAINING PROGRAM Job Placement Services § 26.28 What follow-up services are available after I become employed?...

2011-04-01

328

Using Relative Physician Effort to Identify Mispriced Procedures: The 1987 Physicians' Practice Follow-Up Survey.  

National Technical Information Service (NTIS)

The 1987 Physicians' Practice Follow-up Survey was sponsored jointly by the Assistant Secretary for Planning and Evaluation (ASPE) and the Health Care Financing Administration (HCFA) and was designed to address several high priority health policy issues. ...

J. B. Mitchell J. Cromwell M. L. Rosenbach S. Hurdle W. B. Stason

1988-01-01

329

Loss to follow-up of adults in public HIV care systems in Mozambique: Identifying obstacles to treatment  

PubMed Central

Introduction Access to antiretroviral treatment (ART) has expanded dramatically in resource-limited settings. Evaluating loss to follow-up from HIV testing through post-ART care can help identify obstacles to care. Methods Routine data was analyzed for adults receiving services in two public HIV care systems in central Mozambique. The proportion of people passing through the following steps was determined: (1) HIV testing, (2) enrollment at an ART clinic, (3) CD4 testing, (4) starting ART if eligible, and (5) adhering to ART. Results During the 12-month study period (2004–2005), an estimated 23,430 adults were tested for HIV, and 7,005 (29.9%) were HIV-positive. Only 3,956 (56.5%) of those HIV-positive enrolled at an ART clinic ?30 days after testing. CD4 testing was obtained in 77.1% ?30 days of enrollment. Of 1,506 eligible for ART, 471 (31.3%) started ART ?90 days after CD4 testing. Of 382 with ?180 days of potential follow-up time on ART, 317 (83.0%) had pharmacy-based adherence rates ?90%. Discussion Substantial drop-offs were observed for each step between HIV testing and treatment, but were highest for referral from HIV testing to treatment sites and for starting ART. Interventions are needed to improve follow-up and ensure that people benefit from available HIV services.

Micek, Mark A; Gimbel-Sherr, Kenneth; Baptista, Alberto Joao; Matediana, Eduardo; Montoya, Pablo; Pfeiffer, James; Melo, Armando; Gimbel-Sherr, Sarah; Johnson, Wendy; Gloyd, Stephen

2009-01-01

330

Autistic children exposed to simultaneous communication training: A follow-up  

Microsoft Academic Search

Fourteen originally mute, low-functioning autistic children, exposed to intensive simultaneous communication training, were followed up 1 to 4 years later. Psychometric testing, communication assessment, and teacher and parent interviews were employed. Results showed that at least half of the children who had become verbal by program termination remained verbal at follow-up. Higher-functioning and verbal children performed overall better than their

M. Mary Konstantareas

1987-01-01

331

The value of routine follow-up imaging in pediatric blunt liver trauma  

Microsoft Academic Search

Purpose. To evaluate the utility of routine follow-up computed tomography (CT) and\\/or ultrasound (US) scans in children with blunt\\u000a hepatic trauma initially managed non-operatively. Materials and methods. Review of the records of 66 children with proven blunt liver injury on initial CT scan, who were initially managed non-operatively\\u000a during the period January 1991 to December 1996. Follow-up CT and US

Oscar Navarro; P. S. Babyn; Richard H. Pearl

2000-01-01

332

Starting Point Bias in Dichotomous Choice Valuation with Follow-Up Questioning  

Microsoft Academic Search

Follow-up questions are frequently used to improve the efficiency of dichotomous choice contingent valuation questionnaires. However, a number of authors (e.g., [12, 16]) have noted a significant difference between the WTP distributions implied by initial and follow-up question responses. This paper investigates starting point bias as one explanation for the phenomenon. We develop a model of starting point bias in

Joseph A. Herriges; Jason F. Shogren

1996-01-01

333

Celiac Disease and the Transition from Childhood to Adulthood: A 28Year Follow-Up  

Microsoft Academic Search

OBJECTIVES:Follow-up of celiac disease diagnosed in childhood is variable or nonexistent after transition to adulthood. Outcome, continuity of care, and adherence to a gluten-free diet are poorly documented. We report a 28-yr follow-up of 50 adults in whom the original childhood diagnosis could be confirmed.METHODS:Original pediatric charts were reviewed, and subjects were invited to undergo dietary evaluation, measurement of bone

Clare O'Leary; Peter Wieneke; Mary Healy; Cornelius Cronin; Paud O'Regan; Fergus Shanahan

2004-01-01

334

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

Microsoft Academic Search

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 on the Hamilton Rating Scale for Depression (HRSD) and the Geriatric Depression Scale (GDS).

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

2006-01-01

335

In Vivo Assessment of Drug Efficacy against Plasmodium falciparum Malaria: Duration of Follow-Up  

Microsoft Academic Search

To determine the optimum duration of follow-up for the assessment of drug efficacy against Plasmodium falciparum malaria, 96 trial arms from randomized controlled trials (RCTs) with follow-up of 28 days or longer that were conducted between 1990 and 2003 were analyzed. These trials enrolled 13,772 patients, and partic- ipating patients comprised 23% of all patients enrolled in RCTs over the

Kasia Stepniewska; Walter R. J. Taylor; Mayfong Mayxay; Ric Price; Frank Smithuis; Jean-Paul Guthmann; Karen Barnes; Hla Yin Myint; Martin Adjuik; Piero Olliaro; Sasithon Pukrittayakamee; Sornchai Looareesuwan; Tran Tinh Hien; Jeremy Farrar; Francois Nosten; Nicholas P. J. Day; Nicholas J. White

2004-01-01

336

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

337

Follow-Up Surveillance for Recurrence After Curative Gastric Cancer Surgery Lacks Survival Benefit  

Microsoft Academic Search

Background: Although routine follow-up to detect asymptomatic recurrence after surgery for gastric cancer is recommended, the effect\\u000a of such reassessment on survival has not been evaluated.\\u000a \\u000a \\u000a Methods: Clinical records of patients developing recurrent disease after potentially curative resection between 1985 and 1996 were\\u000a retrieved. Among these patients, 197 were in our follow-up program. We analyzed survival in these patients according

Yasuhiro Kodera; Seiji Ito; Yoshitaka Yamamura; Yoshinari Mochizuki; Michitaka Fujiwara; Kenji Hibi; Katsuki Ito; Seiji Akiyama; Akimasa Nakao

2003-01-01

338

Impact of Patient Follow-Up on Weight Loss after Bariatric Surgery  

Microsoft Academic Search

Background: Postoperative follow-up after bariatric surgery is important. Because of the need for adjustments, follow-up after\\u000a gastric banding may have a greater impact on weight loss than after Roux-en-Y gastric bypass.We reviewed all patients at 1\\u000a year after these two operations. Methods: During the first year after surgery, laparoscopic adjustable gastric banding (LAGB)\\u000a patients were followed every 4 weeks and

Roy Shen; Giovanni Dugay; Kavitha Rajaram; Izumi Cabrera; Niccole Siegel; Christine J. Ren

2004-01-01

339

Neuropsychological assessment in multiple sclerosis: a follow-up study with magnetic resonance imaging  

Microsoft Academic Search

Nineteen moderately impaired patients with clinically definite multiple sclerosis and an initially relapsing-remitting course were included in a neuropsychological and magnetic resonance imaging (MRI) follow-up study. The average test\\/re-test interval was about 2 years. The neuropsychological findings were indicative of a very mild overall impairment; the patients, as a group, showed no evidence of cognitive deterioration in the follow-up period.

C. Mariani; E. Farina; S. F. Cappa; G. P. Anzola; L. Faglia; L. Bevilacqua; R. Capra; F. Mattioli; L. A. Vignolo

1991-01-01

340

The impact of follow-up telephone calls to patients after hospitalization  

Microsoft Academic Search

We studied whether pharmacists involved in discharge planning can improve patient satisfaction and outcomes by providing telephone follow-up after hospital discharge. We conducted a randomized trial at the General Medical Service of an academic teaching hospital. We enrolled General Medical Service patients who received pharmacy-facilitated discharge from the hospital to home. The intervention consisted of a follow-up phone call by

Vicky Dudas; Thomas Bookwalter; Kathleen M. Kerr; Steven Z. Pantilat

2002-01-01

341

The impact of follow-up telephone calls to patients after hospitalization  

Microsoft Academic Search

We studied whether pharmacists involved in discharge planning can improve patient satisfaction and outcomes by providing telephone follow-up after hospital discharge. We conducted a randomized trial at the General Medical Service of an academic teaching hospital. We enrolled General Medical Service patients who received pharmacy-facilitated discharge from the hospital to home. The intervention consisted of a follow-up phone call by

Vicky Dudas; Thomas Bookwalter; Kathleen M Kerr; Steven Z Pantilat

2001-01-01

342

The Impact of Follow-up Telephone Calls to Patients After Hospitalization  

Microsoft Academic Search

We studied whether pharmacists involved in dis- charge planning can improve patient satisfaction and outcomes by providing telephone follow-up after hospital discharge. We conducted a randomized trial at the General Medical Service of an academic teaching hospital. We enrolled General Medical Ser- vice patients who received pharmacy-facilitated dis- charge from the hospital to home. The intervention consisted of a follow-up

Vicky Dudas; Thomas Bookwalter; Kathleen M. Kerr; Steven Z. Pantilat

343

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

Microsoft Academic Search

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

Michael B. Pitton; Tobias Scheschkowski; Markus Ring; Sascha Herber; Katja Oberholzer; Annegret Leicher-Dueber; Achim Neufang; Walther Schmiedt; Christoph Dueber

2009-01-01

344

Survival with congenital heart disease and need for follow up in adult life  

Microsoft Academic Search

OBJECTIVETo predict the growth in demand for long term follow up of adults with congenital heart disease.DESIGNObserved diagnoses of congenital heart disease in infancy and childhood were adjusted for observed infant survival, predicted further survival to age 16 years, underascertainment in older childhood, and predicted need for long term follow up.SETTINGThe resident population of one health region in the UK.PATIENTSAll

C Wren; J J OSullivan

2001-01-01

345

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

346

Follow-up in colorectal cancer patients: A cost-benefit analysis  

Microsoft Academic Search

Background: No conclusive evidence exists concerning the effectiveness of follow-up programs after curative surgery for colorectal cancer, and presently cost-benefit analyses have not indicated that follow-up strategies increase survival or quality of life.\\u000aMethods: Five hundred five patients who survived curvative surgery for stage I–III colorectal adenocarcinoma were closely followed for at least 4 years.\\u000aResults: One hundred forty-one (28%)

Riccardo A. Audisio; Paolo Setti-Carraro; Marco Segala; Deborah Capko; Bruno Andreoni; Giorgio Tiberio

1996-01-01

347

Coping and other predictors of outcome in chronic fatigue syndrome: A 1-year follow-up  

Microsoft Academic Search

In this prospective study, 137 patients with chronic fatigue syndrome were followed-up at a 1-year interval to determine factors relating to outcomes. Nearly two thirds reported an improvement on direct ratings of change. In analyses with fatigue and functional impairment at follow-up as the criteria, and controlling for earlier status, poorer outcomes were predicted by illness duration, subjective cognitive difficulty,

Colette Ray; Sally Jefferies; William R. C. Weir

1997-01-01

348

Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review.  

PubMed

The carpal tunnel syndrome is a compressive neuropathy with high incidence rates, and its correct diagnosis, treatment and follow-up may lead to significant benefits in healthcare, social and economic terms. In this review, based on systematic review databases and guidelines, we summarise the appropriate indications for the diagnosis, treatment and follow-up, accompanied, whenever possible, by the levels of evidence and strength of recommendations. PMID:20145967

Alfonso, Calogero; Jann, Stefano; Massa, Roberto; Torreggiani, Aldo

2010-02-10

349

Follow-up of subjects who developed chloracne following TCDD exposure at Seveso  

Microsoft Academic Search

Three follow-up surveys from 1976 to 1985 were carried out on 193 subjects who developed chloracne following the Seveso accident (1976). A comparison group, age and sex matched, was selected randomly from the list of residents of the town of Varedo (in the same health district but out of the dioxin-contaminated zone). At each follow-up a questionnaire was administered and

G. Assennato; D. Cervino; E. A. Emmett; G. Longo; F. Merlo

1989-01-01

350

Predictors of changes in sick leave in workers with asthma: a follow-up study  

Microsoft Academic Search

Objective: The aim of this prospective study was to investigate predictors of 1-year changes in sick leave in workers with asthma.\\u000a Methods: The initial cohort consisted of 111 workers with asthma. One-hundred and one participants completed the follow-up after\\u000a 1 year. Self-reported sick leave over the past 12 months was reported at baseline and at follow-up. At the start of this study,

Cécile R. L. Boot; Jan H. M. M. Vercoulen; Karin H. Orbon; Jos M. Rooijackers; Chris van Weel; Hans Th. M. Folgering

2005-01-01

351

Analysis of patient follow-up as part of the surgical education  

Microsoft Academic Search

In an era of reduced training hours for registrars, outpatient follow-up becomes an important tool in acquiring confidence\\u000a in the management of various conditions. We audited the follow-up pattern for the metacarpal fractures operated by registrars\\u000a only, in a tertiary referral centre, over a period of 18 months. Of 71 operated patients, 38% were seen at some point during\\u000a their postoperative

Victor George Ilie; Vlad Ionut Ilie; Mihaela Lefter

352

Predictors of ADHD Persistence in Girls at 5Year Follow-Up  

Microsoft Academic Search

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 persistent at follow-up if participants met

Eric Mick; Deirdre Byrne; Ronna Fried; Michael Monuteaux; Stephen V. Faraone; Joseph Biederman

2011-01-01

353

Bobath or Motor Relearning Programme? A follow-up one and four years post stroke  

Microsoft Academic Search

Objective: The purpose of this follow-up one and four years post stroke was to find out whether the initial physiotherapy approach had had any long-term effects on mortality, motor function, postural control, activities of daily living, life quality, follow-up from community services and living conditions.Design: A randomized controlled trial of first time ever stroke patients. Group 1 (n = 33)

Birgitta Langhammer; Johan K Stanghelle

2003-01-01

354

Follow-up of a group of unemployed patients consecutively admitted to an emergency psychiatric department  

Microsoft Academic Search

This investigation is a follow-up of 70 unemployed patients consecutively admitted to an emergency psychiatric department. The follow-up took place 1\\/2 and 1 year after the admission. There was a significant fall in the consumption of alcohol and benzodiazepines and approximately a half maintained that their general mental condition had improved. About a half had had work in the followup

Kjeld Fruensgaard; Sigurd Benjaminsen; Sofus Joensen; Knud Helstrup

1983-01-01

355

ALCOHOLISM: A LONG-TERM FOLLOW-UP STUDY OF PARTICIPANTS IN AN ALCOHOL TREATMENT PROGRAMME  

Microsoft Academic Search

This paper reports the results of a long-term follow-up study of 112 alcoholic patients admitted to an intensive 1-month residential programme. Outcomes at the 6-month and 1-year stages were reported in an earlier paper (G. K. Shaw et al. (1990) British Journal of Psychiatry 157, 190-196). The length of the follow-up period in this study was an average of 9

G. K. SHAWf; S. WALLER; C. J. LATHAM; G. DUNN; A. D. THOMSON

356

Views of breast and colorectal cancer survivors on their routine follow-up care  

PubMed Central

Objective Our understanding of optimum health care delivery for cancer survivors is limited by the lack of a patient-centred perspective. The objectives of the present study were to explore the views of breast and colorectal cancer survivors on their routine follow-up care, with respect to needs, preferences, and quality of follow-up, and their views on cancer specialist– compared with family physician (fp)–led follow-up care. Methods In Nova Scotia, Canada, 23 cancer survivors (13 breast, 10 colorectal) participated in either a focus group or a one-on-one interview. Participants were asked to reflect upon their lives as cancer survivors and on the type and quality of care and support they received during the follow-up period. Each focus group or interview was transcribed verbatim, and the transcripts were audited and subjected to a thematic analysis. Results Six themes were identified: My care is my responsibilityHow I receive information on follow-up careI have many care needsI want to be prepared and informedThe role of my fp in my cancer experience and follow-up careThe role of media Survivors often characterized the post–primary treatment experience as lacking in information and preparation for follow-up and providing inadequate support to address many of the care needs prevalent in survivor populations. Despite valuing fp participation in follow-up care, many survivors continued to receive comfort and reassurance from specialist care. Conclusions Our findings point to the need to implement strategies that better prepare breast cancer and colorectal cancer survivors for post-treatment care and that reassure survivors of the ability of their fp to provide quality care during this period.

Urquhart, R.; Folkes, A.; Babineau, J.; Grunfeld, E.

2012-01-01

357

Predictors of entry to the nursing home: does length of follow-up matter?  

PubMed

This study examined the extent to which predictors of nursing home entry vary in their salience as a function of length of follow-up. Participants were 201 persons attending five senior day care centers. The impact of baseline assessment on nursing home entry was examined at one, two, and three-year follow-up periods. Analysis revealed that MMSE, IADL, physical non-aggressive agitated behavior, and 4 indicators of caregiver burden had significantly changing impacts on time to nursing home entry. Only depressed affect and age remained significant predictors at all three follow-up periods in the multivariate analysis. Physical and verbal aggressive agitation and declining caregiver health were significant predictors in the short term. Socializing and ethnicity became predictors at year three. We have demonstrated that while some predictors of nursing home placement are robust over varying follow-up times, the predictive value of others changes with length of the follow-up period. Length of follow-up needs to be taken into account in clarifying the processes that predict nursing home entry. PMID:21251719

Cohen-Mansfield, Jiska; Wirtz, Philip W

2011-01-19

358

Cohort Profile of the Japan Collaborative Cohort Study at Final Follow-up  

PubMed Central

The Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC Study) was established in the late 1980s to evaluate the risk impact of lifestyle factors and levels of serum components on human health. During the 20-year follow-up period, the results of the study have been published in almost 200 original articles in peer-reviewed English-language journals. However, continued follow-up of the study subjects became difficult because of the retirements of principal researchers, city mergers throughout Japan in the year 2000, and reduced funding. Thus, we decided to terminate the JACC Study follow-up at the end of 2009. As a final point of interest, we reviewed the population registry information of survivors. A total of 207 (0.19%) subjects were ineligible, leaving 110 585 eligible participants (46 395 men and 64 190 women). Moreover, errors in coding date of birth and sex were found in 356 (0.32%) and 59 (0.05%) cases, respectively, during routine follow-up and final review. Although such errors were unexpected, their impact is believed to be negligible because of the small numbers relative to the large total study population. Here, we describe the final cohort profile at the end of the JACC Study along with selected characteristics of the participants and their status at the final follow-up. Although follow-up of the JACC Study participants is finished, we will continue to analyze and publish study results.

Tamakoshi, Akiko; Ozasa, Kotaro; Fujino, Yoshihisa; Suzuki, Koji; Sakata, Kiyomi; Mori, Mitsuru; Kikuchi, Shogo; Iso, Hiroyasu

2013-01-01

359

Radiology-led Follow-up System for IVC Filters: Effects on Retrieval Rates and Times  

SciTech Connect

Purpose: Successful IVC filter retrieval rates fall with time. Serious complications have been reported following attempts to remove filters after 3-18 months. Failed retrieval may be associated with adverse clinical sequelae. This study explored whether retrieval rates are improved if interventional radiologists organize patient follow-up, rather than relying on the referring clinicians. Methods: Proactive follow-up of patients who undergo filter placement was implemented in May 2008. At the time of filter placement, a report was issued to the referring consultant notifying them of the advised timeframe for filter retrieval. Clinicians were contacted to arrange retrieval within 30 days. We compared this with our practice for the preceding year. Results: The numbers of filters inserted during the two time periods was similar, as were the numbers of retrieval attempts and the time scale at which they occurred. The rate of successful retrievals increased but not significantly. The major changes were better documentation of filter types and better clinical follow-up. After the change in practice, only one patient was lost to follow-up compared with six the preceding year. Conclusions: Although there was no significant improvement in retrieval rates, the proactive, radiology-led approach improved follow-up and documentation, ensuring that a clinical decision was made about how long the filter was required and whether retrieval should be attempted and ensuring that patients were not lost to follow-up.

Lee, L.; Taylor, J.; Munneke, G.; Morgan, R.; Belli, A.-M., E-mail: anna.belli@stgeorges.nhs.uk [St George's Hospital NHS Trust, Department of Radiology (United Kingdom)

2012-04-15

360

A long-term follow-up of treatment for severe self-injury.  

PubMed

One of the shortcomings in the literature is the paucity of long-term follow-up reports of the treatment of self-injury and other destructive behavior, particularly of treatment involving contingent shock. This is a report of a long-term follow-up of treatment for a woman with severe mental retardation and severe self-injurious behavior (SIB) treated initially with the Self-Injurious Behavior Inhibiting System (SIBIS) in brief clinical trials. Programmed generalization and maintenance procedures consisted of treatment throughout all waking hours in all settings as well as during brief sessions. Significant reductions attained in the SIBIS clinical trials generalized to the natural environment and the brief follow-up sessions; however, rates began to climb in the natural environment until a SIBIS pairing procedure could be applied more consistently as a consequence of self-injury. Contingent shock was discontinued after month 30 of follow-up. Overall rates of SIB episodes in the natural environment were reduced from an average of 24.6 per month in the 7 months prior to the SIBIS clinical trials to less than 2 per month during the 72 months of follow-up. Rates in brief treatment sessions remained low during the entire follow-up period. Implications of these results are discussed. PMID:7871235

Williams, D E; Kirkpatrick-Sanchez, S; Crocker, W T

361

Natural language processing to extract follow-up provider information from hospital discharge summaries  

PubMed Central

Objective: We evaluate the performance of a Natural Language Processing (NLP) application designed to extract follow-up provider information from free-text discharge summaries at two hospitals. Evaluation: We compare performance by the NLP application, called the Regenstrief EXtracion tool (REX), to performance by three physician reviewers at extracting follow-up provider names, phone/fax numbers and location information. Precision, recall, and F-measures are reported, with 95% CI for pairwise comparisons. Results: Of 556 summaries with follow-up information, REX performed as follows in precision, recall, F-measure respectively: Provider Name 0.96, 0.92, 0.94; Phone/Fax 0.99, 0.92, 0.96; Location 0.83, 0.82, 0.82. REX was as good as all physician-reviewers in identifying follow-up provider names and phone/fax numbers, and slightly inferior to two physicians at identifying location information. REX took about four seconds (vs. 3–5 minutes for physician-reviewers) to extract follow-up information. Conclusion: A NLP program had physician-like performance at extracting provider follow-up information from discharge summaries.

Were, Martin C.; Gorbachev, Sergey; Cadwallader, Jason; Kesterson, Joe; Li, Xiaochun; Overhage, J. Marc; Friedlin, Jeff

2010-01-01

362

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

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

2009-01-01

363

Physician Roles in the Cancer-Related Follow-Up Care of Cancer Survivors  

PubMed Central

BACKGROUND AND OBJECTIVES Information about primary care physicians’ (PCPs) and oncologists’ involvement in cancer-related follow-up care, and care coordination practices, is lacking but essential to improving cancer survivors’ care. This study assesses PCPs’ and oncologists’ self-reported roles in providing cancer-related follow-up care for survivors who are within five years of completing cancer treatment. METHODS In 2009, the National Cancer Institute and American Cancer Society conducted a nationally-representative survey of PCPs (n=1014) and medical oncologists (n=1125) (response rate=57.6%; cooperation rate=65.1%). Mailed questionnaires obtained information on physicians’ roles in providing cancer-related follow-up care to early-stage breast and colon cancer survivors; personal and practice characteristics; beliefs about and preferences for follow-up care; and care coordination practices. RESULTS Over 50% of PCPs reported providing cancer-related follow-up care for survivors, mainly by co-managing with an oncologist. In contrast, over 70% of oncologists reported fulfilling these roles by providing the care themselves. In adjusted analyses, PCP co-management was associated with: specialty, training in late or long-term effects of cancer, higher cancer patient volume, favorable attitudes about PCP care involvement, preference for a shared model of survivorship care, and receipt of treatment summaries from oncologists. Among oncologists, only preference for a shared care model was associated with co-management with PCPs. CONCLUSIONS PCPs and oncologists differ in their involvement in cancer-related follow-up care of survivors, with co-management more often reported by PCPs than by oncologists. Given anticipated national shortages of PCPs and oncologists, study results suggest that improved communication and coordination between these providers is needed to ensure optimal delivery of follow-up care to cancer survivors.

Klabunde, Carrie N.; Han, Paul K. J.; Earle, Craig C.; Smith, Tenbroeck; Ayanian, John Z.; Lee, Richard; Ambs, Anita; Rowland, Julia H.; Potosky, Arnold L.

2013-01-01

364

Options for early breast cancer follow-up in primary and secondary care - a systematic review  

PubMed Central

Background Both incidence of breast cancer and survival have increased in recent years and there is a need to review follow up strategies. This study aims to assess the evidence for benefits of follow-up in different settings for women who have had treatment for early breast cancer. Method A systematic review to identify key criteria for follow up and then address research questions. Key criteria were: 1) Risk of second breast cancer over time - incidence compared to general population. 2) Incidence and method of detection of local recurrence and second ipsi and contra-lateral breast cancer. 3) Level 1–4 evidence of the benefits of hospital or alternative setting follow-up for survival and well-being. Data sources to identify criteria were MEDLINE, EMBASE, AMED, CINAHL, PSYCHINFO, ZETOC, Health Management Information Consortium, Science Direct. For the systematic review to address research questions searches were performed using MEDLINE (2011). Studies included were population studies using cancer registry data for incidence of new cancers, cohort studies with long term follow up for recurrence and detection of new primaries and RCTs not restricted to special populations for trials of alternative follow up and lifestyle interventions. Results Women who have had breast cancer have an increased risk of a second primary breast cancer for at least 20 years compared to the general population. Mammographically detected local recurrences or those detected by women themselves gave better survival than those detected by clinical examination. Follow up in alternative settings to the specialist clinic is acceptable to women but trials are underpowered for survival. Conclusions Long term support, surveillance mammography and fast access to medical treatment at point of need may be better than hospital based surveillance limited to five years but further large, randomised controlled trials are needed.

2012-01-01

365

Maternal and infant predictors of attendance at Neonatal Follow-Up programmes.  

PubMed

BACKGROUND: Neonatal Follow-Up (NFU) programmes provide health services for families of infants at high risk of developmental problems following difficult or extremely premature birth: yet, up to 30% of families do not attend these programmes with their infants. METHODS: The study objective was to determine maternal and infant factors that predicted attendance at NFU programmes. Utilizing Andersen's Behavioural Model of Health Services Use, a prospective two-phase multi-site descriptive cohort study was conducted in three Canadian Neonatal Intensive Care Units (NICU) that refer to two affiliated NFU programmes. In Phase 1, 357 mothers completed standardized questionnaires that addressed maternal and infant factors, prior to their infants' NICU discharge. In Phase 2, attendance at NFU was followed at three time points over a 12-month period. Factors of interest included predisposing factors (e.g. demographic characteristics and social context); enabling factors (e.g. social support, travel distance, and income); and infant illness severity (i.e. needs factors). Multivariate logistic regression was used to estimate the odds ratio for each independent factor. RESULTS: Mothers parenting alone, experiencing higher levels of worry about maternal alcohol or drug use, or at greater distances from NFU were less likely to attend. Mothers experiencing higher maternal stress at the time of the infant's NICU hospitalization were more likely to attend NFU. No infant factors were predictive of NFU attendance. CONCLUSIONS: Mothers at risk of not attending NFU programmes with their infants require better identification, triage, referral and additional support to promote engagement with NFU programmes and improved quality of life for their high-risk infants. PMID:23294101

Ballantyne, M; Stevens, B; Guttmann, A; Willan, A R; Rosenbaum, P

2013-01-01

366

Canadian breast implant cohort: extended follow-up of cancer incidence.  

PubMed

Cosmetic breast implants are not associated with increased breast cancer incidence, but variations of risk according to implant characteristics are still poorly understood. As well, the assessment of cancer risk for sites other than breast needs to be clarified. The purpose of this study was to fill these research gaps. This study presents an extended analysis of 10 more years of follow-up of a large Canadian cohort of women who received either cosmetic breast implants (n = 24,558) or other cosmetic surgery (15,893). Over 70% of the implant cohort was followed for over 20 years. Cancer incidence among implant women was compared to those of controls using multivariate Poisson models and the general female population using the standardized incidence ratios (SIRs). Women with breast implants had reduced rates of breast and endometrial cancers compared to other surgery women. Subglandular implants were associated to a reduced rate of breast cancer compared to submuscular implants [incidence rate ratio (IRR) = 0.78, 95% confidence interval (CI) = 0.63-0.96] and this reduction persisted over time. We observed a sevenfold increased rate (IRR = 7.36, 95% CI = 1.86-29.12) of breast cancer in the first 5 years after the date of surgery for polyurethane-coated subglandular implant women but this IRR decreased progressively over time (p value for trend = 0.02). We also observed no increased risk of rarer forms of cancer among augmented women. A reduction in breast cancer incidence was observed for women with subglandular implants relative to women with submuscular implants. Possible increase of breast cancer incidence shortly after breast augmentation with polyurethane implants needs to be verified. PMID:22514048

Pan, Sai Yi; Lavigne, Eric; Holowaty, Eric J; Villeneuve, Paul J; Xie, Lin; Morrison, Howard; Brisson, Jacques

2012-05-17

367

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

368

Genotype and phenotype characterization in a large dystrophinopathic cohort with extended follow-up.  

PubMed

Duchenne and Becker muscular dystrophy (DMD and BMD, respectively) are allelic disorders with different clinical presentations and severity determined by mutations in the gene DMD, which encodes the sarcolemmal protein dystrophin. Diagnosis is based on clinical aspects and muscle protein analysis, followed by molecular confirmation. We revised the main aspects of the natural history of dystrophinopathies to define genotype-phenotype correlations in large patient cohorts with extended follow-up. We also specifically explored subjects carrying nucleotide substitutions in the DMD gene, a comparatively less investigated DMD/BMD subgroup. We studied 320 dystrophinopathic patients (205 DMD and 115 BMD), defining muscular, cardiac, respiratory, and cognitive involvement. We also subdivided patients according to the kind of molecular defect (deletions, duplications, nucleotide substitutions or other microrearrangements) and the mutation sites (proximal/distal to exon 45), studying phenotype-genotype correlations for each group. In DMD, mutation type did not influence clinical evolution; mutations located in distal regions (irrespective of their nature) are more likely to be associated with lower IQ levels (p = 0.005). BMD carrying proximal deletions showed a higher degree of cardiac impairment than BMD with distal deletions (p = 0.0046). In the BMD population, there was a strong correlation between the entity of muscle dystrophin deficiency and clinical course (p = 0.002). An accurate knowledge of natural history may help in the clinical management of patients. Furthermore, several clinical trials are ongoing or are currently planned, some of which aim to target specific DMD mutations: a robust natural history is therefore essential to correctly design these experimental trials. PMID:21399986

Magri, Francesca; Govoni, Alessandra; D'Angelo, Maria Grazia; Del Bo, Roberto; Ghezzi, Serena; Sandra, Gandossini; Turconi, Anna Carla; Sciacco, Monica; Ciscato, Patrizia; Bordoni, Andreina; Tedeschi, Silvana; Fortunato, Francesco; Lucchini, Valeria; Bonato, Sara; Lamperti, Costanza; Coviello, Domenico; Torrente, Yvan; Corti, Stefania; Moggio, Maurizio; Bresolin, Nereo; Comi, Giacomo Pietro

2011-03-12

369

Relocation of ventricular catheter trough ventriculostomy due to congenital unilateral hydrocephalus: Nine year follow-up  

PubMed Central

Background: Congenital unilateral hydrocephalus is an uncommon entity occurring almost exclusively in children. Atresia, stenosis, membranous occlusion and even functional obstruction of the foramen of Monro have been described to be the main cause of this type of hydrocephalus. There are two options available in the surgical management of unilateral hydrocephalus: one is the placement of shunt CSF diversion from the dilated ventricle and the other is fenestration of the occluded foramen of Monro or septum pellucidum by endoscopy or by stereotactic method. Migration of the ventriculoperitoneal (VP) shunt in or out of ventricles is not so uncommon, but the relocation of the ventricular tip of a catheter from the ventricle into the quadrigeminal cisterns and superior vermis in association with ventriculostomy is extremely rare. Spontaneous ventriculostomy is a rare event and results from spontaneous rupture of a ventricle into the subarachnoid space. Case Description: A 5½-month-old baby with a right-sided congenital unilateral hydrocephalus underwent a VP shunt andhad experienced an uneventful outcome. Four years later on an MR imaging examination, the tip of the ventricular catheter passing through the medial wall of the ventricle and the quadrigeminal cistern was found to be situated in the superior vermis. During the follow-up period, there were no neurological difficulties. The cognitive and motor skill development corresponded well with the child's age. It transpired that the hydrocephalic ventricle reduced its size dramatically to normal. Conclusion: We have described the extremely rare site of the relocation of the ventricular catheter after the treatment of the congenital unilateral hydrocephalus by VP shunting. Spontaneous ventriculostomy as a rare phenomenon may be the explanation of the relocation of the ventricular catheter.

Zoran, Milenkovic J.; Biljana, Stevanovic S.; Ivana, Markovic P.

2011-01-01

370

Intervention reduces chronic pain visits.  

PubMed

It's hard to believe that something as simple as a 15-30 minute consultation can have an impact on chronic pain patients using the ED as their venue of choice for medical care; however, that's just what happened in the ED at Providence Newberg Medical Center in Newberg, OR. The average number of visits per patient per year dropped from 6.8 to 2.3 in just three years. Grad students met patients at the bedside, validating their physical pain while introducing the concept that there are other treatment options besides opioids. A series of letters went to patients after discharge to reinforce follow-up recommendations. Local primary care providers were enlisted to treat patients who had no "medical home." PMID:21141082

2010-12-01

371

Accuracy of Short-Interval Follow-Up Mammograms by Patient and Radiologist Characteristics  

PubMed Central

OBJECTIVE The purpose of our study was to examine the accuracy of short-interval follow-up mammograms and evaluate patient and radiologist characteristics associated with accuracy. MATERIALS AND METHODS We evaluated 45,007 initial short-interval follow-up mammograms from the Breast Cancer Surveillance Consortium interpreted 3–9 months after a probably benign assessment on a screening or diagnostic examination between 1994 and 2004. We linked these mammograms with patient characteristics and breast cancer diagnoses within 12 months. A subset of short-interval follow-up examinations (n = 13,907) was merged with radiologist characteristics collected from survey data from 130 interpreting radiologists. Using logistic regression, we fit generalized estimating equations to model sensitivity and specificity of short-interval follow-up mammograms by patient and radiologist characteristics. RESULTS For every 1,000 women, 8.0 women (0.8%) were diagnosed with breast cancer within 6 months and 11.3 (1.1%) within 12 months. Sensitivity was 83.3% (95% CI, 79.4–87.3%) for cancers diagnosed within 6 months and 60.5% (56.2–64.7%) for those diagnosed within 12 months. Specificity was 97.2% (96.9–97.6%) at 6 months and 97.3% (96.9–97.6%) at 12 months. Sensitivity at 12 months increased among women with unilateral short-interval follow-up mammograms (odds ratio, 1.56 [95% CI, 1.06–2.29]) and when the interpreting radiologist spent more than 10 hours a week in breast imaging (odds ratio, 3.25 [1.00–10.52]). CONCLUSION Initial short-interval follow-up mammography examinations had a lower sensitivity for detecting breast cancer within 12 months than other diagnostic mammograms (61% for short-interval follow-up vs 80% for diagnostic mammograms reported in the literature). However, sensitivity within the 6-month interval that is usually recommended for subsequent follow-up was 83%. Accuracy of short-interval follow-up mammograms was influenced by few patient and radiologist characteristics.

Aiello Bowles, Erin J.; Miglioretti, Diana L.; Sickles, Edward A.; Abraham, Linn; Carney, Patricia A.; Yankaskas, Bonnie C.; Elmore, Joann G.

2011-01-01

372

Abdominal aortic aneurysm: Treatment options, image visualizations and follow-up procedures  

PubMed Central

Abdominal aortic aneurysm is a common vascular disease that affects elderly population. Open surgical repair is regarded as the gold standard technique for treatment of abdominal aortic aneurysm, however, endovascular aneurysm repair has rapidly expanded since its first introduction in 1990s. As a less invasive technique, endovascular aneurysm repair has been confirmed to be an effective alternative to open surgical repair, especially in patients with co-morbid conditions. Computed tomography (CT) angiography is currently the preferred imaging modality for both preoperative planning and post-operative follow-up. 2D CT images are complemented by a number of 3D reconstructions which enhance the diagnostic applications of CT angiography in both planning and follow-up of endovascular repair. CT has the disadvantage of high cummulative radiation dose, of particular concern in younger patients, since patients require regular imaging follow-ups after endovascular repair, thus, exposing patients to repeated radiation exposure for life. There is a trend to change from CT to ultrasound surveillance of endovascular aneurysm repair. Medical image visualizations demonstrate excellent morphological assessment of aneurysm and stent-grafts, but fail to provide hemodynamic changes caused by the complex stent-graft device that is implanted into the aorta. This article reviews the treatment options of abdominal aortic aneurysm, various image visualization tools, and follow-up procedures with use of different modalities including both imaging and computational fluid dynamics methods. Future directions to improve treatment outcomes in the follow-up of endovascular aneurysm repair are outlined.

Sun, Zhong-Hua

2012-01-01

373

Outpatient follow-up in women with HIV infection in Parkside Health Authority (UK).  

PubMed Central

OBJECTIVE--To describe patterns of attendance for follow-up among HIV infected women in Parkside, UK and their correlates. DESIGN--Retrospective cohort study. SUBJECTS--103 HIV infected women. MAIN OUTCOME MEASURES--Whether patients attended for follow-up between three and 18 months. RESULTS--31% of women were married and 46% had children. Women born in sub-Saharan Africa were significantly less likely to attend for follow-up after three months (56%) than women born in other areas who had acquired HIV either heterosexually (82%) or through injecting drug use (81%). This pattern persisted on multivariate analysis controlling for whether women were symptomatic, had had a previous positive test, were married or had children. CONCLUSIONS--HIV positive sub-Saharan African women are less likely to reattend for follow-up than women with heterosexually acquired HIV from other areas or those who acquired infection through intravenous drug use. Further studies are needed to identify barriers to follow-up for women and to shape the development of more appropriate and accessible services for HIV infected women, especially those of sub-Saharan African origin.

Horner, P J; McBride, M; Coker, R J; Crowley, S; Harris, J R; Murphy, S M; Weber, J N; Renton, A M

1993-01-01

374

Depressive symptoms in first episode psychosis: a one-year follow-up study  

PubMed Central

Background Depressive symptoms are common in patients with first episode psychosis (FEP) and have serious consequences for them. The main aims of this study were to examine the course of depression in FEP patients and explore whether any patient characteristics at baseline predicts depressive symptoms after one year. Method A total of 198 FEP patients with schizophrenia spectrum disorders were assessed for depressive symptoms with Calgary Depression Scale for Schizophrenia (CDSS) at baseline and 127 were followed for one year. A CDSS score [greater than or equal to] 6 was used as a cut-off score for depression. Results Approximately 50% of the patients were depressed (CDSS[greater than or equal to]6) at baseline. At follow-up approximately 35% had depression. The course of depressive symptoms varied, 26% was depressed at both baseline and follow-up, 9% became depressed during the follow-up, 22% remitted from depression during the 12 months and 43% was neither depressed at baseline nor at follow-up. Poor childhood social functioning, long duration of untreated psychosis (DUP) and depressive symptoms at baseline predicted depression at 12 months follow-up. Conclusion Depressive symptoms are frequent in the first year after onset of psychosis. Patients with poor social functioning in childhood, long DUP and depressive symptoms at baseline are more prone to have depressive symptoms after one year. These patients should be identified and proper treatment provided.

2013-01-01

375

Perspectives on Pap Test Follow Up Care Among Rural Appalachian Women  

PubMed Central

Approximately one to three quarters of women notified of abnormal Pap test results do not receive appropriate follow up care, dramatically elevating their risk for invasive cervical cancer (ICC). We explored barriers to/facilitators of follow up care for women in two counties in Appalachian Kentucky, where ICC incidence and mortality are significantly higher than the national average. In-depth interviews were conducted among 27 Appalachian women and seven local health department personnel. Those who had been told of an atypical Pap test result tended to have one of three reactions; (1) not alarmed and generally did not obtain follow-up care; (2) alarmed and obtained follow up care; or (3) alarmed, but did not obtain care. Each of these typologies appeared to be shaped by a differing set of three categories of influences: personal factors; procedure/provider/system factors; and ecological/community factors. Recommendations to increase appropriate follow up care included pursuing research on explanations for these typologies and developing tailored interventions specific to women in each of the response types.

Schoenberg, Nancy; Baltisberger, Julie; Bardach, Shoshana; Dignan, Mark

2010-01-01

376

Loss to Follow-Up as a Competing Risk in an Observational Study of HIV-1 Incidence  

PubMed Central

Objective Conventional survival estimates may be biased if loss to follow-up (LTF) is associated with the outcome of interest. Our goal was to assess whether the association between sexual risk behavior and HIV-1 acquisition changed after accounting for LTF with competing risks regression. Methods HIV-1-seronegative women who enrolled in a Kenyan sex worker cohort from 1993–2007 were followed prospectively and tested for HIV at monthly clinic visits. Our primary predictor was self-reported sexual risk behavior in the past week, analyzed as a time-dependent covariate. Outcomes included HIV-1 acquisition and LTF. We analyzed the data using Cox proportional hazards regression and competing risks regression, in which LTF was treated as a competing event. Results A total of 1,513 women contributed 4,150 person-years (py), during which 198 (13.1%) acquired HIV-1 infection (incidence, 4.5 per 100 py) and 969 (64.0%) were LTF (incidence, 23.4 per 100 py). After adjusting for potential confounders, women reporting unprotected sex with multiple partners were less likely to be lost to follow-up (adjusted sub-hazard ratio (aSHR) 0.50, 95% confidence interval (CI) 0.32–0.76, relative to no sexual activity). The risk of HIV-1 acquisition after reporting unprotected sex with multiple partners was similar with Cox regression (adjusted hazard ratio (aHR) 2.41, 95% CI 1.36–4.27) and competing risks regression (aSHR 2.47, 95% CI 1.33–4.58). Conclusions Unprotected sex with multiple partners was associated with higher HIV-1 acquisition risk, but lower attrition. This differential attrition did not substantially bias Cox regression estimates when compared to competing risks regression results.

Graham, Susan M.; Raboud, Janet; McClelland, R. Scott; Jaoko, Walter; Ndinya-Achola, Jeckoniah; Mandaliya, Kishor; Overbaugh, Julie; Bayoumi, Ahmed M.

2013-01-01

377

Outpatient management of childhood asthma by paediatrician or asthma nurse: randomised controlled study with one year follow up  

PubMed Central

Methods: Seventy four children referred because of insufficient control of persistent asthma were randomly allocated to 1 year follow up by a paediatrician or asthma nurse. The main outcome measure was the percentage of symptom-free days. Additional outcome measures were airway hyperresponsiveness, lung function, daily dose of inhaled corticosteroids (ICS), number of exacerbations, number of additional visits to the general practitioner, absence from school, functional health status, and disease specific quality of life. Results: There were no significant differences at the end of the 1 year study period between the two treatment groups in percentage of symptom-free days (mean difference 2.5%; 95% CI -8.8 to 13.8), airway hyperresponsiveness (log10 PD20 0.06; -0.19 to 0.32), functional health status (10.1; -0.3 to 19.8), disease specific quality of life of patients (0.08; -0.9 to 0.7), and disease specific quality of life of caregivers (0.09; -0.2 to 0.3), nor in any other outcome parameters. Most outcome parameters improved considerably over the 1 year study period. These improvements were achieved although the daily dose of ICS was reduced by a mean of 26% compared with the dose received by children at referral. All parents were satisfied with the asthma care received. Conclusions: After initial assessment in a multidisciplinary clinic, childhood asthma can be successfully managed by an asthma nurse in close cooperation with a paediatrician. During close follow up by paediatrician or asthma nurse, asthma control improved despite a reduction in ICS dose.

Kamps, A; Brand, P; Kimpen, J; Maille, A; de G. Overgoor-van; van Helsdingen-Pe..., L C J A M; Roorda, R

2003-01-01

378

Do smoke alarms still function a year after installation? A follow-up of the get-alarmed campaign.  

PubMed

The Get-Alarmed Campaign Follow-up Study was the second phase of an initiative to assure that homes of families at high risk of fire-related injury and death had functioning smoke alarms. Smoke alarms and/or batteries were installed in over 94 percent of 454 participating households in Schley and Henry Counties, Georgia, in 2000. Before the study began, 60.6 percent of these homes had smoke alarms, but only 36.6 percent had functioning smoke alarms. The follow-up study was designed to determine the experiences of participants with smoke alarms and whether participating households had functioning smoke alarms a year after baseline. Participants were phoned or visited and asked about their experiences with smoke alarms since the baseline study. During the interview, they were asked to test a smoke alarm, the results of which could frequently be heard. Respondents included 237 from Schley County and 113 from Henry County, for an overall 77.1 percent response rate. While 80.3 percent of respondents had a smoke alarm that was heard by the interviewer when it was tested, 6.6 percent reported that their smoke alarm had been disabled or had a dead battery. Over 75 percent of respondents had smoke alarm sound offs in the prior year, predominately due to cooking smoke, but only about 5 percent reported removing the battery or otherwise disabling it to prevent sound offs. However, the measures taken may render a household unprotected at a critical time. Efforts to increase protection with smoke alarms should be augmented with programs to insure adequate and timely testing and maintenance of existing smoke alarms. PMID:15065735

Thompson, Corleen J; Jones, Alma R; Davis, Mary Kidd; Caplan, Lee S

2004-04-01

379

Progression of spondylolisthesis in children and adolescents. A long-term follow-up of 272 patients.  

PubMed

The radiologic progression of spondylolisthesis during a long-term follow-up was studied in 272 children and adolescents. There were 134 girls and 138 boys. The mean age at the first visit was 14.3 years (girls, 13.8 years; boys, 14.9 years). The radiologic follow-up time was 14.8 years on average (range, 5-32). The operation was done in 190 patients younger than 20 years of age. Fusion in situ, using a posterior or posterolateral technique, had no statistically significant effect on progression. Surgically treated patients did not differ from conservatively treated patients. Ninety percent of the slip, on average, had already occurred at the first radiologic examination compared with the final amount of slip. More than 10% progression occurred in 62 patients, mainly within the first year postoperatively or after the first examination. Progression of the lumbosacral kyphosis and sinking of the vertebral body was noted in severe slips. Although female gender and dysplasia (spina bifida) at the lumbosacral junction were more frequent in severe slips, they statistically had no value in predicting progression. A wedge form of L5 or sacral rounding also had no prognostic value. These were secondary to the slip and expressed it but did not predict it. The only radiologic variable with predictive value of progression was the percentage amount of the primary slip. In age groups corresponding to the growth spurt in early puberty (girls, 9-12 years; boys, 11-14 years), there was a tendency to progress. PMID:2047915

Seitsalo, S; Osterman, K; Hyvãrinen, H; Tallroth, K; Schlenzka, D; Poussa, M

1991-04-01

380

Influence of body mass index on the choice of therapy for depression and follow-up care  

PubMed Central

Overweight and obese patients commonly suffer from depression and choice of depression therapy may alter weight. We conducted a cohort study to investigate whether obesity is associated with treatment choices for depression; and whether obesity is associated with appropriate duration of depression treatment and receipt of follow-up visits. Adults with a diagnosis of depression between January 1, 2006 and March 31, 2010 who had 1+ new episodes of an antidepressant medication and/or psychotherapy were eligible. Medication use, encounters, diagnoses, height, and weight were collected from health plan databases. We modeled receipt of the different therapies (medication and psychotherapy) by BMI and BMI trajectory during the 9-months prior to initiation of therapy using logistic regression models that accommodated correlation within provider and adjusted for covariates. We modeled BMI via a restricted cubic spline. Fluoxetine was the reference treatment option in the medication models. Lower BMI was associated with greater use of mirtazapine, and a declining BMI prior to treatment was associated with greater odds of initiating mirtazapine and paroxetine. Higher BMI was associated with greater odds of initiating bupropion even after adjustment for smoking status. Obese patients were less likely to receive psychotherapy and less likely to receive appropriate duration (180-days) of depression treatment compared to normal weight subjects. Our study provides evidence that BMI is considered when choosing therapy but associations were weak. Our results should prompt discussion about recommending and choosing depression treatment plans that optimize depression care and weight management concurrently. Differences in care and follow-up by BMI warrant additional research.

Boudreau, Denise M.; Arterburn, David; Bogart, Andy; Haneuse, Sebastien; Theis, Mary Kay; Westbrook, Emily; Simon, Greg

2012-01-01

381

Home versus hospital deliveries: follow up study of matched pairs for procedures and outcome. Zurich Study Team.  

PubMed Central

OBJECTIVE: To assess procedures and outcomes in deliveries planned at home versus those planned in hospital among women choosing the place of delivery. DESIGN: Follow up study of matched pairs. SETTING: Antenatal clinics and reference hospitals in Zurich between 1989 and 1992. SUBJECTS: 489 women opting for home delivery and 385 opting for hospital delivery; the women comprised all those attending members of the study team for antenatal care and those attending the reference hospital for antenatal care who could be matched with the women planning home confinement. MAIN OUTCOME MEASURES: Need for medication and incidence of interventions during delivery (caesarean section, forceps, vacuum extraction, episiotomy), duration of labour, occurrence of severe perineal lesions, maternal blood loss, and perinatal morbidity and death. RESULTS: All women were followed up from their first antenatal visit till three months after delivery. Referrals during pregnancy (n = 37) and labour (70), changes of mind (15 home to hospital, eight hospital to home), and 17 miscarriages resulted in 369 births occurring at home and 486 in hospital. During delivery the home birth group needed significantly less medication and fewer interventions whereas no differences were found in durations of labour, occurrence of severe perineal lesions, and maternal blood loss. Perinatal death was recorded in one planned hospital delivery and one planned home delivery (overall perinatal mortality 2.3/1000). There was no difference between home and hospital delivered babies in birth weight, gestational age, or clinical condition. Apgar scores were slightly higher and umbilical cord pH lower in home births, but these differences may have been due to differences in clamping and the time of transportation. CONCLUSION: Healthy low risk women who wish to deliver at home have no increased risk either to themselves or to their babies.

Ackermann-Liebrich, U.; Voegeli, T.; Gunter-Witt, K.; Kunz, I.; Zullig, M.; Schindler, C.; Maurer, M.

1996-01-01

382

BENEFITS OF TOTAL BODY PHOTOGRAPHY AND DIGITAL DERMOSCOPY ("TWO-STEP METHOD OF DIGITAL FOLLOW-UP") IN THE EARLY DIAGNOSIS OF MELANOMA IN HIGH-RISK PATIENTS  

PubMed Central

Background Early detection of melanoma is the best way to improve prognosis. Digital follow up (DFU) programs of high-risk populations could be an efficient strategy for detecting early melanomas with low morbidity. Objective to report the added value of the use of the “two-step method” (digital total-body photography and digital dermoscopy) Methods Analysis of the surveillance of 618 high-risk melanoma patients included in our DFU-program from 1999 to 2008. Results A total of 11396 lesions were monitored (mean 18.44 per patient) during a median follow-up of 96 months (median 10 visits per patient). 1152 lesions, 1.86 per patient, were excised. Almost 70% (798) were lesions previously registered at least twice, while 356 (30%) were detected and removed in the same visit. During follow-up, 98 melanomas (8.5% of excised lesions) were diagnosed in 78 patients (12.6%). 53 melanomas were in situ (53.3%), while invasive (45) showed a Breslow index of less than 1 mm (median 0.5 mm) and none was ulcerated. Limitations Since there are no control groups we cannot convey if the combined use of total-body photography and digital dermoscopy is more beneficial than these techniques used separately. Conclusion DFU with Total-Body Photography and Dermoscopy in a selected high-risk population demonstrated the early detection of melanomas with a low rate of excisions. Long-term follow-up is required to allow the detection of slow growing melanomas. Based on our 10-year experience, melanomas can be diagnosed at any time, suggesting that in high-risk population, DFU should be maintained with time.

Salerni, Gabriel; Carrera, Cristina; Lovatto, Louise; Puig-Butille, Joan Anton; Badenas, Celia; Plana, Estel; Puig, Susana; Malvehy, Josep

2011-01-01

383

Optimal HAART adherence over time and time interval between successive visits: their association and determinants  

PubMed Central

We aimed to investigate the determinants of optimal highly active antiretroviral therapy (HAART) adherence and time interval between successive clinic visits, as well as the association between these two processes. This was done by reviewing routinely collected patient information in the Centre for the AIDS Programme of Research in South Africa (CAPRISA). Records of 688 patients enrolled in the CAPRISA AIDS treatment (CAT) programme between 2004 and 2006 were analysed. Patients were considered adherent if they had taken at least 95% of their prescribed drugs. The adherence has been measured using the pill counts data. A multivariate generalized mixed random effects approach was used to jointly analyse optimal HAART adherence and time interval between successive visits. The results showed that on the overall, the association between optimal HAART adherence and time interval between successive visits was negative. The results further showed that the interaction between time and treatment site had a significant joint effect on optimal HAART adherence and time interval between successive visits. The interaction revealed that as the number of follow-up visits increased, the interval between successive visits also increased while at the same time high levels of optimal adherence were maintained in the rural treatment site. Moreover, after accounting for the time interval between successive visits, the results showed that optimal HAART adherence was significantly associated with having a cell phone, living with a partner as well as interactions that include time and gender, time and treatment site, age and gender and age and education. The findings provide evidence of a negative association between optimal HAART adherence and the time interval between successive clinic visits on the overall, which therefore indicates that longer time interval between successive clinic visits is undesirable if optimal HAART adherence is to be maintained. This notwithstanding, rural patients were able to maintain HAART adherence for longer time interval between successive clinic visits. Furthermore, the findings indicated that optimal HAART adherence was low for some sub-populations, such as the urban and male populations, thus vigorous ongoing adherence counseling is required.

Maqutu, Dikokole; Zewotir, Temesgen

2013-01-01

384

Capsule endoscopy for obscure GI bleeding: therapeutic yield of follow-up procedures.  

PubMed

Positive findings on capsule endoscopy (CE) often prompt a follow-up procedure with therapeutic intent. Our purpose was to review the therapeutic yield of subsequent procedural interventions based on positive CE findings. The medical records of all patients who underwent CE between June 2002 and February 2005 for obscure bleeding were retrospectively reviewed. Fifty-two patients had follow-up procedures based on positive capsule findings. In this group, angiodysplasia was the most common CE finding (n=30), with therapeutic intervention performed in 16 cases (53%). Fresh blood without clear lesion was the second most common finding (n=9), with therapeutic intervention performed in 6 cases (67%). Overall, a therapeutic intervention was performed in 33 of the 52 follow-up procedures (63%). Positive capsule findings directed further procedural investigation in 52 cases, with a high therapeutic yield of 63% in those cases. The long-term efficacy of such interventions warrants further investigation. PMID:17357840

Baichi, Matthew M; Arifuddin, Razi M; Mantry, Parvez S

2007-03-15

385

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

PubMed

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

2010-10-01

386

A second look at the effects of supportive follow-up on smoking cessation.  

PubMed Central

In 1982 a report in CMAJ (1982; 126: 127-129) indicated that the addition of supportive follow-up appointments in a family practice increased the 6-month cigarette abstinence rate from 12% to 23%. We reanalysed the data by means of recognized standards for treatment success and found little evidence that the treatment had any reliable effect on attempts to quit that lasted at least 3 months: 8.5% and 4.8% of the groups with and without supportive follow-up respectively abstained for more than 3 months. We discuss a problem of the experimental design (longer evaluative follow-up for the control group than for the treatment group) and cost-benefit issues.

Kozlowski, L T; Page, A

1987-01-01

387

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

388

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.

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

2010-01-01

389

Sierra Leone's Former Child Soldiers: A Follow-up Study of Psychosocial Adjustment and Community Reintegration  

PubMed Central

This is the first prospective study to investigate psychosocial adjustment in male and female former child soldiers (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 two-year period of follow up, youth who had wounded or killed others during the war demonstrated increases in hostility. Youth who survived rape had higher levels of anxiety and hostility, but also demonstrated greater confidence and prosocial attitudes at follow up. Of the potential protective resources examined, improved community acceptance was associated with reduced depression at follow up and improved confidence and prosocial attitudes regardless of levels of violence exposure. Retention in school was also associated with greater prosocial attitudes.

Betancourt, Theresa Stichick; Borisova, Ivelina Ivanova; Williams, Timothy Philip; Brennan, Robert T.; Whitfield, T. Hatch; de la Soudiere, Marie; Williamson, John; Gilman, Stephen E.

2009-01-01

390

Lack of follow-up exams after failed school vision screenings: an investigation of contributing factors.  

PubMed

Programs to facilitate professional eye exams after failed school vision screenings often are based on the assumption that funding and access to services are major obstacles to care. Despite such programs, many children do not receive professional exams. The purpose of this study was to identify additional barriers to follow-up eye care. School nurses in an urban, midwestern public school district identified elementary school students who had not received follow-up eye exams after failed school vision screenings. Parents of these students were interviewed during the summer to determine financial, logistical, social/family, and perceptual barriers to care. Family issues, parental perceptions of vision problems, and difficulty planning ahead were found to be significant factors. Strategies to increase follow-up compliance and recommendations for overcoming barriers to care were also identified. PMID:16704285

Kimel, Linda S

2006-06-01

391

Reappraisal of Tc-99m DMSA scintigraphy for follow up in children with vesicoureteral reflux.  

PubMed

We reviewed Tc-99m DMSA scintigraphy in children with vesicoureteral reflux (VUR) in order to assess whether repeated Tc-99m DMSA scans are necessary for the follow up of these patients. Ninety-seven children who were followed up for more than one year (1-7.4 years, average 2.8 years) after the first DMSA scan were included in the study. Fifty-one patients had been diagnosed as primary VUR and 46 as secondary VUR. Age at the first examination ranged from 0 to 14 years (average 5.1 years). Planar images were taken 2 hours after injection. The % renal uptake per injected dose (%RU) was calculated from posterior images. Kidneys in 11 patients (11.3%) changed morphologically during the follow up. Of these, new photon deficient areas (PD) were detected in only 4 patients (4.1%). All of these 4 patients had neurogenic bladder and were managed with self-catheterization. Of the remaining 7 patients, cortical thinning progressed in 5 patients (5.2%) and PDs resolved in 3 patients (3.1%). In one of these 7 patients, PD resolved in one kidney and cortical thinning progressed in the contralateral kidney. Of 97 patients reviewed, % RU decreased more than 20% during the follow up in 6 patients (6.2%). All were diagnosed as secondary VUR due to neurogenic bladder. %RU decreased only in the contracted kidneys at the initial scan. Two of them underwent renal transplantation because of severe renal failure. In conclusion, new PD rarely developed and % RU decreased in only a few patients during the follow up of children with VUR. Repeated Tc-99m DMSA scintigraphy therefore seems to have little benefit in the follow up of children with VUR. It should be performed in selected patients with high risk of urinary tract infection or renal failure. PMID:10656274

Sukamoto, E; Itoh, K; Morita, K; Katoh, C; Nakada, K; Nonomura, K; Kakizaki, H; Koyanagi, T; Tamaki, N

1999-12-01

392

Four years follow-up of 101 children with melamine-related urinary stones.  

PubMed

The melamine-contaminated milk powder incidence occurred in China in 2008. Many studies have been published regarding the epidemiology, clinical symptoms, diagnosis and treatment of melamine-related urinary stones. The objective of this study is to follow-up the effects of melamine-contaminated milk powder consumption on kidney and body growth in children with melamine-related urinary stones 4 years ago. One hundred and one children with melamine-related urinary stones were followed up by urinalysis, renal function tests and urinary ultrasonography. The data of body weight and height, clinical signs and complications were collected. Eighty normal children without the history of consuming melamine-contaminated milk powder were collected as controls. Eighty-one children with melamine-related urinary stones were successfully followed up. Of 45 cases with melamine-related urinary stones treated conservatively after discharge, 34 disappeared completely, 6 dissolved partially, 1 increased in size and 4 did not change at 4 years follow-up. The percentages of under-height and under-weight infants were significantly higher in melamine-related urinary stones group compared to the controls, respectively (p < 0.05). Routine blood, renal and bladder function tests as well as urinalysis were normal in all children. No urological tumors were detected. No noticeable impact of melamine-related urinary stones on kidney and bladder was found at 4 years follow-up. However, whether or not melamine-related urinary stones had effect on body growth needs follow-up in future. PMID:23549684

Yang, Li; Wen, Jian Guo; Wen, Jian Jun; Su, Zhi Qiang; Zhu, Wen; Huang, Chen Xu; Yu, Si Long; Guo, Zhan

2013-04-03

393

Follow-up Actions on Electronic Referral Communicationin a Multispecialty Outpatient Setting  

PubMed Central

ABSTRACT OBJECTIVES Electronic health records (EHR) enable transmission and tracking of referrals between primary-care practitioners (PCPs) and subspecialists. We used an EHR to examine follow-up actions on electronic referral communication in a large multispecialty VA facility. METHODS We retrieved outpatient referrals to five subspecialties between October 2006 and December 2007, and queried the EHR to determine their status: completed, discontinued (returned to PCP), or unresolved (no action taken by subspecialist). All unresolved referrals, and random samples of discontinued and completed referrals were reviewed to determine whether subspecialists took follow-up actions (i.e., schedule appointments anytime in the future) within 30 days of referral-receipt. For referrals without timely follow-up, we determined whether inaction was supported by any predetermined justifiable reasons or associated with certain referral characteristics. We also reviewed if PCPs took the required action on returned information. RESULTS Of 61,931 referrals, 22,535 were discontinued (36.4%), and 474 were unresolved (0.8%). We selected 412 discontinued referrals randomly for review. Of these, 52% lacked follow-up actions within 30 days. Appropriate justifications for inaction were documented in 69.8% (150/215) of those without action and included lack of prerequisite testing by the PCP and subspecialist opinion that no intervention was required despite referral. We estimated that at 30 days, 6.3% of all referrals were associated with an unexplained lack of follow-up actions by subspecialists. Conversely, 7.4% of discontinued referrals returned to PCPs were associated with an unexplained lack of follow-up. CONCLUSIONS Although the EHR facilitates transmission of valuable information at the PCP-subspecialist interface, unexplained communication breakdowns in the referral process persist in a subset of cases.

Esquivel, Adol; Sittig, Dean F.; Murphy, Daniel; Kadiyala, Himabindu; Schiesser, Rachel; Espadas, Donna; Petersen, Laura A.

2010-01-01

394

The Course and Outcomes of Episodic Endogenous Psychoses with Juvenile Onset (a follow-up study)  

Microsoft Academic Search

A clinical follow-up study (mean follow-up period 16.8 ± 6.4 years) of 278 patients with juvenile-onset endogenous episodic\\u000a psychosis (Endogenous Psychosis Episodic Type, EPET – ICD-10 F20.03, F20.23, F25) with first episodes in 1984–1995 was performed.\\u000a The period of the most intense occurrence of repeated episodes occurred during the first five years from the initial episode\\u000a (almost all repeat episodes

V. G. Kaleda

2009-01-01

395

Psychosocial aspects of follow-up of children operated for intermediate anorectal malformations  

Microsoft Academic Search

Purpose  To determine the degree of stress in parents of children operated for intermediate anorectal malformations, and their quality\\u000a of life (QOL) at follow-up.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  Forty-two of the 166 children who had undergone a sacroperineal pullthrough operation for an intermediate type of anorectal\\u000a malformation, between 1996 and 2005, in the department of paediatric surgery at Christian Medical College, Vellore, responded\\u000a to follow-up.

Viju John; Jacob Chacko; John Mathai; Sampath Karl; Sudipta Sen

2010-01-01

396

Methods used for successful follow-up in a large scale national cohort study in Thailand  

Microsoft Academic Search

Background  Ensuring successful follow-up is essential when conducting a prospective cohort study. Most existing literature reviewing\\u000a methods to ensure a high response rate is based on experience in developed nations.\\u000a \\u000a \\u000a \\u000a \\u000a Findings  We report our 4-year follow-up success for a national cohort study examining the health transition underway in Thailand. We\\u000a began the cohort study in 2005 with a baseline postal questionnaire sent

Sam-ang Seubsman; Matthew Kelly; Adrian Sleigh; Janya Peungson; Jaruwan Chokkanapitak; Duangkae Vilainerun

2011-01-01

397

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

PubMed

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 a24-month follow-up, periapical radiolucency had disappeared and thickening of the root wall was observed. In cases 2 and 3, a10-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

2012-06-01

398

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.

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

399

Hepatic portocholecystostomy for biliary atresia: a 25-year follow-up and review.  

PubMed

We report the successful salvage of a patient's native liver 25 years after hepatic portocholecystostomy for biliary atresia. Our case demonstrates the effectiveness of biliary specific, high-resolution CT imaging in the diagnosis of, and operative planning for complex cases of biliary obstruction. We also report the longest-term pathologic follow-up of biliary atresia after hepatic portocholecystostomy. Life-long follow-up of patients with biliary atresia is important to prevent life-threatening complications of biliary stasis/obstruction. PMID:23331828

Schecter, Samuel C; Courtier, Jesse; Cho, Soo-Jin; Saadai, Payam; Hirose, Shinjiro; Mackenzie, Tippi C; Miniati, Doug

2013-01-01

400

Long-term follow-up study of patients with refractory obsessive-compulsive disorder.  

PubMed

The authors prospectively followed patients with treatment-resistant obsessive-compulsive disorder (OCD). Between 1988 and 1995, 56 patients with a history of inadequate response to oral clomipramine received 14 infusions of intravenous clomipramine. The follow-up period ranged from 4 to 11 years after treatment. Of the 44 subjects interviewed at follow-up, 70.5% had current OCD and 29.5% had sub-threshold OCD. Almost half reported feeling much improved or very much improved compared to their state prior to treatment with intravenous clomipramine. PMID:19196930

Ross, Stephen; Fallon, Brian A; Petkova, Eva; Feinstein, Suzanne; Liebowitz, Michael R

2008-01-01

401

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

402

Controlled Cyclophotocoagulation with diode laser in refractory glaucoma and long term follow up at King Abdulaziz University Hospital, Riyadh  

PubMed Central

Purpose To evaluate the clinical efficacy and safety of controlled contact transscleral diode laser Cyclophotocoagulation (COCO) procedure in reducing the Intraocular Pressure (IOP) among patients with refractory glaucoma. Methods Thirty two patients (35 eyes) with refractory glaucoma in prospective clinical studies were treated with trans-sclera diode laser in a controlled manner. The energy power used was 5 W in adults and 3 W in children, exposure time was 0.5 s, a total of 16 shots were applied over ciliary body and four shots in each quadrant. Pre and postoperative IOP were measured at different postoperative visits. Snellen visual acuity, the number of anti-glaucoma medications and associated complications were also recorded. Student T test was used to compare the pre and post intervention IOPs, while Wilcoxon Signed Ranks test was used, to detect significance change in medication dependency. Results The mean (SD) follow up time was 80.2(±9.6) months, range (36–84) m, where the mean IOP was significantly reduced from 35.1 mm Hg (±10.7) before intervention to 18.8 mm Hg (±7.3) after intervention, in the final visit (P < 0.0001). Complete success was achieved in seven eyes (20%), 22 eyes (62.8%) showed qualified successes and complete failure was reported in six eyes (17.1%). The overall success rate was 82.8% (95% CI: 70.4–95.3). Visual acuity improved in three eyes (8.5%), no change took place in 27 eyes (77.1%) and decreased in five eyes (14.2%). The number of anti-glaucoma medications has significantly changed between pre and post intervention (P < 0.0001). No cases of hypotony, phthisis bulbi or sympathetic ophthalmia were reported. Conclusion Controlled COCO is a simple procedure, safe with minimal complications and fewer side effects.

Osman, Essam A.; Al-Muammar, Abdulrahman; Mousa, Ahmed; Al-Mezaine, Hani; Al-Obeidan, Saleh A.

2010-01-01

403

Effectiveness of Cleaning and Health Education in Reducing Childhood Lead Poisoning Among Children Residing Near Superfund Sites in Missouri  

Microsoft Academic Search

In this study, the authors evaluated whether a combination of tailored education, lead dust removal by trained cleaning specialists, and family follow-up visits would be more effective than conventional health educational programs in reducing elevated blood lead levels in children living in or near lead mining hazardous waste sites. The authors randomized children between 6 and 72 mo of age

David A. Sterling; R. Gregory Evans; Brooke N. Shadel; Fernando Serrano; Brenda Arndt; John J. Chen; Lori Harris

2004-01-01

404

Mercury control technology assessment study: Micro Switch, a Honeywell Division, Freeport, Illinois. Preliminary survey report for the site visit of May 5, 1981. Final report  

Microsoft Academic Search

A visit was made to the Micro Switch Division of Honeywell, Freeport, Illinois to investigate the effectiveness of control methods for mercury. There were 150 workers employed in the mercury-switch department. Of the eight rooms involved in this department, the press seal room, the fill room, and the room where adjusting and leading were accomplished were the areas where mercury

Telesca

1981-01-01

405

Control Technology Assessment of Chemical Processes. Preliminary Survey Report for the Site Visit of Quaker Oats Company, Chemicals Division, Omaha, Nebraska, August 19, 1981.  

National Technical Information Service (NTIS)

An onsite visit was made to the Quaker Oats Company, Omaha, Nebraska to evaluate control methods in use at this facility to reduce worker exposure to hazardous substances. This facility produces furfural (98011) and furfuryl-alcohol (98000) in two separat...

1982-01-01

406

Follow-Up Study of 1994 Nursing Graduates. Volume XXIV, Number 6.  

ERIC Educational Resources Information Center

As part of an evaluation of the effectiveness of its nursing program, William Rainey Harper College (WRHC) in Illinois conducted a follow-up study of program graduates from 1994. One year after their graduation, questionnaires were sent to all 114 graduates from 1994, soliciting information on their employment status, future educational plans, and…

Lucas, John A.; Dincher, Judy

407

Art and memory: A 7-year follow-up of herpes encephalitis in a professional artist  

Microsoft Academic Search

Improvement following acute disorders giving rise to severe amnesia may be more common than is generally assumed, although there have been relatively few follow-up studies in herpes encephalitis. Patient DJ is a professional artist whose herpes encephalitis was remarkably unilateral, affecting the left temporal lobe. This resulted in severe impairments of episodic memory, naming and word-finding, and a surface dyslexia.

Nicola Stanhope; Michael D. Kopelman

2000-01-01

408

Therapeutic community drug treatment success in Peru: a follow-up outcome study  

Microsoft Academic Search

BACKGROUND: The purpose of this study was to assess the impact of drug abuse treatment in Peru that used the therapeutic community (TC) model. Program directors and several staff members from all study treatment facilities received two to eight weeks of in-country training on how to implement the TC treatment model prior to the follow-up study. METHODS: This outcome study

Knowlton Johnson; Zhenfeng Pan; Linda Young; Jude Vanderhoff; Steve Shamblen; Thom Browne; Ken Linfield; Geetha Suresh

2008-01-01

409

The George Engelmann Mathematics & Science Institute. A Follow Up Study and Evaluation: 1992 Alumni.  

ERIC Educational Resources Information Center

|A follow-up study and evaluation were done on the effect of an annual 4-week academically intensive program for 50 St. Louis (Missouri) area high school junior and senior students. The program consists of two summers, the first offering general scientific experience and education, and the second providing students with the chance to conduct…

Granger, Charles R.; Mares, Kenneth R.

410

Freshman to Senior Year: A Follow-Up Study of Identity, Narcissism, and Defense Mechanisms  

Microsoft Academic Search

The identity status, narcissism, and use of defense mechanisms of 89 college seniors who had previously been assessed as they entered college (Cramer, 1995) was determined. As compared to earlier follow-up studies, fewer students were found in the Foreclosed status, and more students remained in Moratorium. Support was found for the previously made predictions that change in identity status would

Phebe Cramer

1998-01-01

411

Psychopathy and Offending From Adolescence to Adulthood: A 10-Year Follow-Up  

ERIC Educational Resources Information Center

|This study examined the predictive validity of the Hare Psychopathy Checklist: Youth Version (PCL:YV; A. E. Forth, D. S. Kosson, & R. D. Hare, 2003) from adolescence to early adulthood. The authors coded the PCL:YV using file information and collected criminal record information over a 10-year follow-up period on 157 boys, ages 12 through 18,…

Gretton, Heather M.; Hare, Robert D.; Catchpole, Rosalind E. H.

2004-01-01

412

Impact of Early Programming for the Handicapped: A Follow-Up Study into the Elementary School  

Microsoft Academic Search

Follow-up data from school records, teacher ratings, and parent ratings were obtained for a sample of 86 handicapped children who had been enrolled during 1973-1979 in a preschool program organized by the Rural Champaign County Special Education Cooperative and the University of Illinois. Results indicate that, in general, these children made a successful transition into elementary school. Only 20% were

Merle B. Karnes; Allan M. Schwedel; George F. Lewis; Darryl A. Ratts; D. Ruth Esry

1981-01-01

413

Secondary Preventive Interventions with Preschool Children: A Follow-up Study.  

ERIC Educational Resources Information Center

The long term effects of a preschool intervention program for an experimental group of high-risk, black, low income children were assessed and compared to a high-risk placebo control group and low-risk "normal" controls. Seventy first grade children were involved in this 2-year follow-up study. Of these children, 42 were involved in the preschool…

Rickel, Annette U.; Dyhdalo, Louise L.

414

Psychopathy, Treatment Behavior, and Recidivism: An Extended Follow-Up of Seto and Barbaree  

ERIC Educational Resources Information Center

|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…

Barbaree, Howard E.

2005-01-01

415

Charnley total hip arthroplasty. A ten- to 14-year follow-up study.  

PubMed

The long-term results of 325 consecutive Charnley total hip arthroplasties (THAs) were assessed at an average of 62 and 140 months (five-year and ten-year follow-up examinations) postoperatively. Cases developing deep infection during the first five years were not included. Pain, walking ability, and mobility were rated as advocated by Charnley. The results were then graded as excellent, good, fair (clinically successful), and failure. At the five-year follow-up evaluation, 77 hips were excluded; 92% (228/248) of the results were successful. At the ten-year follow-up examination, interest was focused on the 228 hips graded as successful after five years. Sixty-six were excluded, one that had not been included at the five-year evaluation was traced, and 92% (150/163) were again clinically successful. The failure rate owing to mechanical causes during the first five years and between the five-year and ten-year follow-up examinations was 6.9% and 6.7%, respectively. The clinical results were considered highly satisfactory because only 50% of the hips judged successful at the ten-year examination had roentgenographically intact components. There is good reason to have great confidence in the Charnley THA. PMID:3370865

Wejkner, B; Stenport, J

1988-06-01

416

Unresolved major pulmonary embolism: Importance of follow-up lung scan in diagnosis  

Microsoft Academic Search

Unresolved major pulmonary embolism (UMPE) is an uncommon condition which causes pulmonary hypertension, cor pulmonale and death. An accurate and prompt diagnosis of UMPE is very important in the management of such patients with pulmonary embolectomy. Follow-up lung scans can lead to earlier diagnosis of UMPE, especially in patients who have a history of acute pulmonary embolism and present with

Hyung S. Yoo; Charles M. Intenzo; Chan H. Park

1986-01-01

417

Follow up Study of Moderate Alcohol Intake and Mortality among Middle Aged Men in Shanghai, China  

Microsoft Academic Search

Objective: To assess the risk of death associated with various patterns of alcohol intake. Design: Prospective study of mortality in realtion to alcohol consumption at recruitment, with active annual follow up. Setting: Four small, geographically defined communities in Shanghai, China. Subjects: 18 244 men aged 45-64 years enrolled in a prospective study of diet and cancer during January 1986 to

Jian-Min Yuan; Ronald K. Ross; Yu-Tang Gao; Brian E. Henderson; Mimi C. Yu

1997-01-01

418

Long-term follow-up study of children with chronic ITP  

Microsoft Academic Search

A total of 126 children with chronic idiopathic thrombocytopenic purpura, including 35 splenectomized cases, were investigated in a long-term follow-up study, with regard to residual hematologic and immunologic abnormalities, complications and physical growth. Such hemorrhagic symptoms as petechiae, ecchymosis and epistaxis were still observed in about 22% – 28% of the patients with a period of morbidity ranging from 3

Jun-ichi Akatsuka; Koji Fujisawa; Naoko Ishidoya; Nobuyuki Taguchi; Ichiro Tsukimoto; Giichi Tsujino; Takeshi Nagao; Tatsutoshi Nakahata; Sumio Miyazaki; Takeo Takeda; Taro Akabane

1989-01-01

419

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.

420

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

421

What patients think about ICU follow-up services: a qualitative study  

Microsoft Academic Search

INTRODUCTION: UK policy recommendations advocate the use of intensive care unit (ICU) follow-up services to help detect and treat patients' physical and emotional problems after hospital discharge and as a means of service evaluation. This study explores patients' perceptions and experiences of these services. METHODS: Thirty-four former ICU patients were recruited throughout the UK, using maximum variation sampling to achieve

Suman Prinjha; Kate Field; Kathy Rowan

2009-01-01

422

Knee scores change with length of follow-up after total knee arthroplasty  

Microsoft Academic Search

Patients undergoing primary total knee arthroplasty (TKA) between 1989 and 1994 were evaluated preoperatively and postoperatively with the Knee Society scoring system at 3 time intervals: 1 to 2 years, 3 to 6 years, and more than 7 years. Knee prosthesis and functional scores improved statistically after TKA. At last follow-up evaluation, a statistically significant decline was found in functional

James Benjamin; Randy Johnson; Steve Porter

2003-01-01

423

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...

424

Mixed Tumors of Salivary Glands. Long-Term Follow-up.  

National Technical Information Service (NTIS)

A long-term follow-up study of the behavior of mixed tumors of salivary gland origin was undertaken in order to determine the recurrence rate and to see if a particular histologic pattern was related to recurrence. The first 100 mixed tumors accessioned a...

R. C. Boyers S. O. Krolls

1971-01-01

425

Two-Year Follow-Up of Behavioral Treatment and Maintenance for Body Dysmorphic Disorder  

Microsoft Academic Search

Recent research has suggested that body dysmorphic disorder (BDD) is part of the obsessivecompulsive spectrum of disorders. As such, it has been hypothesized that these disorders respond in a similar manner to obsessive-compulsive disorder when behavioral interventions are used. A continuation of follow-up was conducted with a group of patients with BDD following treatment. Ten patients completed an intensive behavioral

Dean McKay

1999-01-01

426

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

427

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

428

Arthroscopic subacromial decompression: Two to seven-year follow-up  

Microsoft Academic Search

Arthroscopic subacromial decompression (ASD) was performed in 88 patients (90 shoulders) with stage II or early III impingement syndrome of the shoulder unresponsive to nonoperative treatment. The purpose of this retrospective study was to evaluate the follow-up an average of 41 months (range 24 to 82 months) after surgery. We wished to compare results in (1) patients with and without

Robert P. Roye; William A. Grana; Carlan K. Yates

1995-01-01

429

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

430

Education Longitudinal Study of 2002: Base-Year to First Follow-Up Data File Documentation.  

National Technical Information Service (NTIS)

This manual has been produced to familiarize data users with the procedures followed for data collection and processing for the base year and first follow-up of the Education Longitudinal Study of 2002 (ELS:2002). It also provides the necessary documentat...

D. J. Pratt E. S. Stutts J. E. Rogers P. H. Siegel S. J. Ingels

2005-01-01

431

Pre-Placement Anxiety among Foundation-Year MSW Students: A Follow-up Study  

ERIC Educational Resources Information Center

This Field Note presents a follow-up to a pilot study that explored pre-field placement anxiety for 1st-year MSW students. Previous studies report that students experience significant anxiety as they anticipate their field placement, and research indicates that anxiety has the potential to affect learning. A sample of 204 students reported…

Rosenthal Gelman, Caroline; Lloyd, Chrishana M.

2008-01-01

432

Treatment Implementation Following Behavioral Consultation in Schools: A Comparison of Three Follow-Up Strategies  

ERIC Educational Resources Information Center

|This study examined teachers' implementation of treatment plans following consultation. Interventions were implemented for 45 elementary school students referred for consultation and intervention due to academic concerns, challenging behavior, or a combination of the two. The consultation follow-up procedures examined were brief weekly…

Noell, George H.; Witt, Joseph C.; Slider, Natalie J.; Connell, James E.; Gatti, Susan L.; Williams, Kashunda L.; Koenig, Jennifer L.; Resetar, Jennifer L.; Duhon, Gary J.

2005-01-01

433

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

434

Serum p53 Autoantibodies in the Follow-Up of Head and Neck Cancer Patients  

Microsoft Academic Search

p53 autoantibodies (AAB) are a fairly new serological parameter in patients with malignancies. Although the actual mechanism of how they develop is still unclear, it seems that these AAB could be of prognostic relevance. Very few studies demonstrated the usefulness of p53 AAB in the follow-up of cancer patients. In this study, 109 patients with head and neck cancer were