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Manning E, Emerson R. Intraoperative Monitoring of Scoliosis Surgery in Young Patients. J Clin Neurophysiol 2024; 41:138-147. [PMID: 38306222 DOI: 10.1097/wnp.0000000000001058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2024] Open
Abstract
SUMMARY Intraoperative neurophysiologic monitoring has added substantially to the safety of spinal deformity surgery correction since its introduction over four decades ago. Monitoring routinely includes both somatosensory evoked potentials and motor evoked potentials. Either modality alone will detect almost all instances of spinal cord injury during deformity correction. The combined use of the two modalities provides complementary information, can permit more rapidly identification of problems, and enhances safety though parallel redundancy should one modality fail. Both techniques are well established and continue to be refined. Although there is room for provider preference, proper monitoring requires attention to technical detail, understanding of the underlying physiology, and familiarity with effects of commonly used anesthetic agents.
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Affiliation(s)
- Erin Manning
- Hospital for Special Surgery, New York, New York, U.S.A.; and
| | - Ronald Emerson
- Weill Cornell Medical Center, Hospital for Special Surgery, New York, New York, U.S.A
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Bullock WM, Kumar AH, Manning E, Jones J. Perioperative Analgesia in Spine Surgery: A Review of Current Data Supporting Future Direction. Orthop Clin North Am 2023; 54:495-506. [PMID: 37718088 DOI: 10.1016/j.ocl.2023.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/19/2023]
Abstract
This Clinical Research discusses the diverse nature of spine surgery procedures and the use of multimodal analgesia within enhanced recovery after surgery (ERAS) protocols to improve patient outcomes. Spine surgeries range from minor decompressions to extensive tumor resections, performed by neurosurgeons or orthopedic spine surgeons on adults and children. To manage perioperative pain effectively, various methods have been employed, including multimodal analgesia within ERAS protocols. Incorporating ERAS protocols into spine surgery has shown benefits such as reduced pain scores, decreased opioid use, shorter hospital stays, and improved functionality. ERAS protocols help to enhance patient outcomes, focusing on deconstructing these protocols for surgeons and anesthesiologists.
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Affiliation(s)
- William Michael Bullock
- Department of Anesthesiology, Duke University Medical Center, 2301 Erwin Road, 5672C HAFS, Durham, NC 27710, USA. https://twitter.com/wmbullockMDPhD
| | - Amanda H Kumar
- Department of Anesthesiology, Duke University Medical Center, 2301 Erwin Road, 5672C HAFS, Durham, NC 27710, USA. https://twitter.com/amandakumarMD
| | - Erin Manning
- Department of Anesthesiology, Duke University Medical Center, 2301 Erwin Road, 5672C HAFS, Durham, NC 27710, USA. https://twitter.com/ukmdphd2006
| | - Jerry Jones
- East Memphis Anesthesia Services, 5545 Murray Avenue, Suite 130, Memphis, TN 38119, USA; Department of Anesthesiology, University of Tennessee Health Science Center, 877 Jefferson Avenue, Chandler Building, Suite 600, Memphis, TN, USA.
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Colleran H, San Diego L, Manning E, Fuller T, Cook M. Diet Patterns and Quality of Student Athletes at an HBCU. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.06.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
OBJECTIVE To apply the iceberg model, quantifying absolute and relative incidence, to the four main causes of maternal morbidity and mortality in Ireland: haemorrhage, hypertension, sepsis and thrombosis. DESIGN Secondary analysis of national data on maternal morbidity and mortality. SETTING Republic of Ireland. POPULATION OR SAMPLE Approximately 715 000 maternities, 1 200 000 maternal hospitalisations, 2138 cases of severe maternal morbidity (SMM) and 54 maternal deaths. METHODS Incidence rates and case-fatality ratios were calculated. MAIN OUTCOME MEASURES Maternal death, SMM and hospitalisation. RESULTS At the 'tip of the iceberg', the incidence of maternal death per 10 000 maternities was 0.09 (95% CI 0.03-0.20) due to thrombosis and 0.03 (95% CI 0-0.11) due to haemorrhage, hypertension disorders or sepsis. For one death due to thrombosis there were 35 cases of pulmonary embolism and 257 thrombosis hospitalisations. For one death due to eclampsia, there were 58 eclampsia cases, 13 040 hospitalisations with pre-existing hypertension and 40 781 hospitalisations with gestational hypertension. For one death due to pregnancy-related sepsis, there were 92 cases of septicaemic shock and 9005 hospitalisations with obstetric sepsis. For one maternal death due to haemorrhage, there were 1029 cases of major obstetric haemorrhage and 53 715 maternal hospitalisations with haemorrhage. For every 100 maternities, there were approximately 16 hospitalisations associated with haemorrhage, 12 associated with hypertension disorders, three with sepsis and 0.2 with thrombosis. CONCLUSIONS Haemorrhage and hypertension disorders are leading causes of maternal morbidity in Ireland but they have very low case fatality. This indicates that these morbidities are managed effectively but their prevention requires more focus. TWEETABLE ABSTRACT Study shows that haemorrhage and hypertension are main causes of #maternalmorbidity in Ireland. Timely interventions for #maternalhealth and focus on prevention of severe and non-severe morbidities are needed. @NPEC #maternityservices #clinicalaudit #qualityimprovement.
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Affiliation(s)
- S Leitao
- National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland
| | - E Manning
- National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland
| | - R A Greene
- National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland
| | - P Corcoran
- National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland
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Cooke SJ, Nguyen VM, Anastakis D, Scott SD, Turetsky MR, Amirfazli A, Hearn A, Milton CE, Loewen L, Smith EE, Norris DR, Lavoie KL, Aiken A, Ansari D, Antle AN, Babel M, Bailey J, Bernstein DM, Birnbaum R, Bourassa C, Calcagno A, Campana A, Chen B, Collins K, Connelly CE, Denov M, Dupont B, George E, Gregory-Eaves I, High S, Hill JM, Jackson PL, Jette N, Jurdjevic M, Kothari A, Khairy P, Lamoureux SA, Ladner K, Landry CR, Légaré F, Lehoux N, Leuprecht C, Lieverse AR, Luczak A, Mallory ML, Manning E, Mazalek A, Murray SJ, Newman LL, Oosterveld V, Potvin P, Reimer-Kirkham S, Rowsell J, Stacey D, Tighe SL, Vocadlo DJ, Wilson AE, Woolford A. Diverse perspectives on interdisciplinarity from Members of the College of the Royal Society of Canada. Facets (Ott) 2020. [DOI: 10.1139/facets-2019-0044] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Various multiple-disciplinary terms and concepts (although most commonly “interdisciplinarity,” which is used herein) are used to frame education, scholarship, research, and interactions within and outside academia. In principle, the premise of interdisciplinarity may appear to have many strengths; yet, the extent to which interdisciplinarity is embraced by the current generation of academics, the benefits and risks for doing so, and the barriers and facilitators to achieving interdisciplinarity, represent inherent challenges. Much has been written on the topic of interdisciplinarity, but to our knowledge there have been few attempts to consider and present diverse perspectives from scholars, artists, and scientists in a cohesive manner. As a team of 57 members from the Canadian College of New Scholars, Artists, and Scientists of the Royal Society of Canada (the College) who self-identify as being engaged or interested in interdisciplinarity, we provide diverse intellectual, cultural, and social perspectives. The goal of this paper is to share our collective wisdom on this topic with the broader community and to stimulate discourse and debate on the merits and challenges associated with interdisciplinarity. Perhaps the clearest message emerging from this exercise is that working across established boundaries of scholarly communities is rewarding, necessary, and is more likely to result in impact. However, there are barriers that limit the ease with which this can occur (e.g., lack of institutional structures and funding to facilitate cross-disciplinary exploration). Occasionally, there can be significant risk associated with doing interdisciplinary work (e.g., lack of adequate measurement or recognition of work by disciplinary peers). Solving many of the world’s complex and pressing problems (e.g., climate change, sustainable agriculture, the burden of chronic disease, and aging populations) demands thinking and working across long-standing, but in some ways restrictive, academic boundaries. Academic institutions and key support structures, especially funding bodies, will play an important role in helping to realize what is readily apparent to all who contributed to this paper—that interdisciplinarity is essential for solving complex problems; it is the new norm. Failure to empower and encourage those doing this research will serve as a great impediment to training, knowledge, and addressing societal issues.
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Affiliation(s)
- Steven J. Cooke
- Institute of Environmental and Interdisciplinary Sciences, Carleton University, 1125 Colonel By Dr., Ottawa, ON K1S 5B6, Canada
| | - Vivian M. Nguyen
- Institute of Environmental and Interdisciplinary Sciences, Carleton University, 1125 Colonel By Dr., Ottawa, ON K1S 5B6, Canada
| | - Dimitry Anastakis
- History Department, Trent University, 1600 West Bank Dr., Peterborough, ON K9L 0G2, Canada
| | - Shannon D. Scott
- Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, 11405-87 Ave., Edmonton, AB T6G 1C9, Canada
| | - Merritt R. Turetsky
- Department of Integrative Biology, University of Guelph, 50 Stone Rd. E, Guelph, ON N1G 2W1, Canada
- Institute of Arctic and Alpine Research, University of Colorado Boulder, Boulder, CO 80309, USA
| | - Alidad Amirfazli
- Department of Mechanical Engineering, York University, 4700 Keele St., Toronto, ON M3J 1P3, Canada
| | - Alison Hearn
- Faculty of Information and Media Studies, Western University, London, ON N6A 5B7, Canada
| | - Cynthia E. Milton
- Département d’histoire, Université de Montréal, 2900 Edouard Montpetit Blvd, Montréal, QC H3T 1J4, Canada
| | - Laura Loewen
- Desautels Faculty of Music, University of Manitoba, 150 Dafoe Rd. W, Winnipeg, MB R3T 2N2, Canada
| | - Eric E. Smith
- Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Dr. NW, Calgary, AB T4N 2N1, Canada
| | - D. Ryan Norris
- Department of Integrative Biology, University of Guelph, 50 Stone Rd. E, Guelph, ON N1G 2W1, Canada
- Nature Conservancy of Canada, 245 Eglington Avenue East, Toronto, ON M4P 3J1, Canada
| | - Kim L. Lavoie
- Department of Psychology, University of Quebec at Montreal and CIUSSS-NIM Hopital du Sacre-Coeur de Montreal, CP 8888, succursale Centre-ville, Montreal, QC H3C 3P8, Canada
| | - Alice Aiken
- Faculty of Health and Office of the Vice-President, Research and Innovation, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Daniel Ansari
- Department of Psychology & Faculty of Education, University of Western Ontario, London, ON N6A 3K7, Canada
| | - Alissa N. Antle
- School of Interactive Arts and Technology, Simon Fraser University, 250—13450 102 Avenue, Surrey, BC V3T 0A3, Canada
| | - Molly Babel
- Department of Linguistics, University of British Columbia, 2613 West Mall, Vancouver, BC V6T 1Z4, Canada
| | - Jane Bailey
- Faculty of Law (Common Law), University of Ottawa, 57 Louis Pasteur St, Ottawa, ON K1N 6N5, Canada
| | - Daniel M. Bernstein
- Department of Psychology, Kwantlen Polytechnic University, 12666-72nd Ave., Surrey, BC V3W 2M8, Canada
| | - Rachel Birnbaum
- School of Social Work and Childhood Studies and Interdisciplinary Programs, King’s University College at Western, 266 Epworth Avenue, London, ON N6A 2M3, Canada
| | - Carrie Bourassa
- Indigenous Health, Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, Canada
| | - Antonio Calcagno
- Department of Philosophy, King’s University College at Western University, 266 Epworth Avenue, London, ON N6A 2M3, Canada
| | - Aurélie Campana
- Département de science politique, Faculté des sciences sociales, Université Laval, 1030 avenue des Sciences humaines, Québec, QC G1V 0A6, Canada
| | - Bing Chen
- Department of Civil Engineering, Memorial University, 240 Prince Philip Drive, St. John’s, NL A1A 3X5, Canada
| | - Karen Collins
- Department of Communication Arts, University of Waterloo, 200 University Ave W., Waterloo, ON N2L 3G1, Canada
| | - Catherine E. Connelly
- DeGroote School of Business, McMaster University, 1280 Main St. W., Hamilton, ON L8S 4M4, Canada
| | - Myriam Denov
- School of Social Work, McGill University, 3506 University Street, Montreal, QC H3A 2A7, Canada
| | - Benoît Dupont
- Centre international de criminologie comparée, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, QC H3C 3J7, Canada
| | - Eric George
- École des medias, The Université du Québec à Montréal, 405 Rue Sainte-Catherine Est, Montréal, QC H2L 2C4, Canada
| | - Irene Gregory-Eaves
- Department of Biology, McGill University, 1205 Dr. Penfield Ave, Montreal, QC H3A 1B1, Canada
| | - Steven High
- Department of History, Concordia University, 1455 de Maisonneuve Blvd Ouest, Montreal, QC H3G 1M8, Canada
| | - Josephine M. Hill
- Department of Chemical & Petroleum Engineering, University of Calgary, 2500 University Dr. NW, Calgary, AB T2N 1N4, Canada
| | - Philip L. Jackson
- École de psychologie, Université Laval, 2325 Allée des Bibliothèques, Québec, QC G1V 0A6, Canada
| | - Nathalie Jette
- Departments of Neurology and Population Health Sciences & Policy, Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, New York, NY, 10029, USA
| | - Mark Jurdjevic
- Department of History, York University-Glendon Campus, 2275 Bayview Ave, Toronto, ON M4N 3M6, Canada
| | - Anita Kothari
- Faculty of Health Studies, Western University, 1151 Richmond St, London, ON N6A 3K7, Canada
| | - Paul Khairy
- Department of Medicine, Montreal Heart Institute, University of Montreal, 5000 Bélanger, Montreal, QC H1T 1C8, Canada
| | - Sylvie A. Lamoureux
- Faculty of Arts, Official Languages and Bilingualism Institute, Université d’Ottawa, 70 Laurier Est, Ottawa, ON K1N 6N5, Canada
| | - Kiera Ladner
- Political Studies, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Christian R. Landry
- Département de biologie & Département de biochimie, microbiologie et bioinformatique, Université Laval, 1030 Avenue de la Médecine, Québec, QC G1V 0A6, Canada
| | - François Légaré
- INRS, Centre Énergie Matériaux Télécommunications, 1650, boulevard Lionel-Boulet, Québec, QC J3X 1S2, Canada
| | - Nadia Lehoux
- Department of Mechanical Engineering, Pavillon Pouliot, Université Laval, 1065 avenue de la Médecine, Québec, QC G1V OA6, Canada
| | - Christian Leuprecht
- Department of Political Science and Economics, Royal Military College of Canada, P.O. Box 17000, Station Forces, Kingston, ON K7K 7B4, Canada
| | - Angela R. Lieverse
- Department of Archaeology and Anthropology, University of Saskatchewan, 55 Campus Dr., Saskatoon, SK S7N 5B1, Canada
| | - Artur Luczak
- Canadian Center for Behavioural Neuroscience, University of Lethbridge, 4401 University Dr., Lethbridge, AB T1K 3M4, Canada
| | - Mark L. Mallory
- Department of Biology, Acadia University, 15 University Dr., Wolfville, NS B4P 2R6, Canada
| | - Erin Manning
- Film Studies and Studio Art, Concordia University, 1455 de Maisonneuve W, Montreal, QC H3G 1M8, Canada
| | - Ali Mazalek
- Synaesthetic Media Lab, Ryerson University, Bell Trinity Square N103, 483 Bay St., Toronto, ON M5G 2E1, Canada
| | - Stuart J. Murray
- Department of English Language and Literature and Department of Health Sciences, Carleton University, 1125 Colonel By Dr., Ottawa, ON K1S 5B6, Canada
| | - Lenore L. Newman
- Department of Geography, University of the Fraser Valley, 33844 King Rd., Abbotsford, BC V2S 7M8, Canada
| | - Valerie Oosterveld
- Faculty of Law, Western University, 1151 Richmond St., London, ON N6A 3K7, Canada
| | - Patrice Potvin
- Département de didactique, Faculté des sciences de l’éducation, Université du Québec à Montréal, C.P. 8888, Succursale Centre-Ville, Montréal, QC H3C 3P8, Canada
| | - Sheryl Reimer-Kirkham
- School of Nursing, Trinity Western University, 7600 Glover Rd., Langley, BC V2Y 1Y1, Canada
| | - Jennifer Rowsell
- Department of Educational Studies, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON L2S 3A1, Canada
| | - Dawn Stacey
- School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada
| | - Susan L. Tighe
- Department of Civil and Environmental Engineering, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
| | - David J. Vocadlo
- Department of Chemistry, Simon Fraser University, 8888 University Dr., Burnaby, BC V5A 1S6, Canada
| | - Anne E. Wilson
- Psychology Department, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON N2L 3C5, Canada
| | - Andrew Woolford
- Department of Sociology and Criminology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
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Manning E, Hall J, Rosene J. Effect Of 3d Multiple Object Tracking Training On Collegiate Ice Hockey And Lacrosse Game Performance. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000563393.34307.b1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Setji T, Hopkins TJ, Jimenez M, Manning E, Shaughnessy M, Schroeder R, Mendoza-Lattes S, Spratt S, Westover J, Aronson S. Rationalization, Development, and Implementation of a Preoperative Diabetes Optimization Program Designed to Improve Perioperative Outcomes and Reduce Cost. Diabetes Spectr 2017; 30:217-223. [PMID: 28848317 PMCID: PMC5556583 DOI: 10.2337/ds16-0066] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Tracy Setji
- Department of Medicine (Endocrinology Division), Duke University Medical Center, Durham, NC
| | - Thomas J. Hopkins
- Department of Anesthesiology, Duke University Medical Center, Durham, NC
| | - Maria Jimenez
- Department of Anesthesiology, Duke University Medical Center, Durham, NC
| | - Erin Manning
- Department of Anesthesiology, Duke University Medical Center, Durham, NC
| | | | - Rebecca Schroeder
- Department of Anesthesiology, Duke University Medical Center, Durham, NC
| | | | - Susan Spratt
- Department of Medicine (Endocrinology Division), Duke University Medical Center, Durham, NC
| | - Julie Westover
- Department of Anesthesiology, Duke University Medical Center, Durham, NC
| | - Solomon Aronson
- Department of Anesthesiology, Duke University Medical Center, Durham, NC
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Nguyen J, Su E, Lyman S, Manning E, Cummings K, Wu A, Sasaki M, Dalal A, Ching C, Shetty T. Incidence and risk factors for neuropathy following primary total knee arthroplasty. Neuromuscul Disord 2017. [DOI: 10.1016/s0960-8966(17)30299-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Nguyen J, Su E, Lyman S, Manning E, Cummings K, Wu A, Sasaki M, Dalal A, Ching C, Shetty T. Incidence and risk factors for neuropathy following primary total hip arthroplasty. Neuromuscul Disord 2017. [DOI: 10.1016/s0960-8966(17)30298-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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O'Shea E, Trawley S, Manning E, Barrett A, Browne V, Timmons S. Malnutrition in Hospitalised Older Adults: A Multicentre Observational Study of Prevalence, Associations and Outcomes. J Nutr Health Aging 2017; 21:830-836. [PMID: 28717814 DOI: 10.1007/s12603-016-0831-x] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Malnutrition is common in older adults and is associated with high costs and adverse outcomes. The prevalence, predictors and outcomes of malnutrition on admission to hospital are not clear for this population. DESIGN Prospective Cohort Study. SETTING Six hospital sites (five public, one private). PARTICIPANTS In total, 606 older adults aged 70+ were included. All elective and acute admissions to any speciality were eligible. Day-case admissions and those moribund on admission were excluded. MEASUREMENTS Socio-demographic and clinical data, including nutritional status (Mini-Nutritional Assessment - short form), was collected within 36 hours of admission. Outcome data was collected prospectively on length of stay, in-hospital mortality and new institutionalisation. RESULTS The mean age was 79.7; 51% were female; 29% were elective admissions; 67% were admitted to a medical specialty. Nutrition scores were available for 602/606; 37% had a 'normal' status, 45% were 'at-risk', and 18% were 'malnourished'. Malnutrition was more common in females, acute admissions, older patients and those who were widowed/ separated. Dementia, functional dependency, comorbidity and frailty independently predicted a) malnutrition and b) being at-risk of malnutrition, compared to normal status (p < .001). Malnutrition was associated with outcomes including an increased length of stay (p < .001), new institutionalisation (p =<0.001) and in-hospital mortality (p < .001). CONCLUSIONS These findings support the prioritisation of nutritional screening in clinical practice and public health policy, for all patients ≥70 on admission to hospital, and in particular for people with dementia, increased functional dependency and/or multi-morbidity, and those who are frail.
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Affiliation(s)
- E O'Shea
- Emma O'Shea, Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland, (+353) (0) 214627347,
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Manning E, Goldstein JM. Myasthenia Gravis in the Elderly: Differential Diagnosis and Management. Curr Geri Rep 2016. [DOI: 10.1007/s13670-016-0170-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
Context: The diagnosis of chronic traumatic encephalopathy (CTE) can only be made pathologically, and there is no concordance of defined clinical criteria for premorbid diagnosis. The absence of established criteria and the insufficient imaging findings to detect this disease in a living athlete are of growing concern. Evidence Acquisition: The article is a review of the current literature on CTE. Databases searched include Medline, PubMed, JAMA evidence, and evidence-based medicine guidelines Cochrane Library, Hospital for Special Surgery, and Cornell Library databases. Study Design: Clinical review. Level of Evidence: Level 4. Results: Chronic traumatic encephalopathy cannot be diagnosed on imaging. Examples of imaging findings in common types of head trauma are discussed. Conclusion: Further study is necessary to correlate the clinical and imaging findings of repetitive head injuries with the pathologic diagnosis of CTE.
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Affiliation(s)
- Teena Shetty
- Hospital for Special Surgery, New York, New York
| | | | - Erin Manning
- Hospital for Special Surgery, New York, New York
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Corcoran P, Manning E, Meaney S, Lutomski JE, O’Connor L, Drummond L, Greene RA. PP28 The incidence and cause of perinatal mortality and severe maternal morbidity in Ireland: findings from two national clinical audits. J Epidemiol Community Health 2014. [DOI: 10.1136/jech-2014-204726.124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Boman KK, Hornquist L, Rickardsson J, Lannering B, Gustafsson G, Pitchford N, Davis E, Walker D, Hoang DH, Pagnier A, Cousin E, Guichardet K, Schiff I, Dubois-Teklali F, Krainik A, Lazar MB, Resnik K, Olsson IT, Perrin S, Burtscher IB, Lundgren J, Kahn A, Johanson A, Korzeniewska J, Dembowska-Baginska B, Perek-Polnik M, Walsh K, Gioia A, Wells E, Packer R, de Speville ED, Dufour C, Bolle S, Giraudat K, Longaud A, Kieffer V, Grill J, Puget S, Valteau-Couanet D, Hetz-Pannier L, Noulhiane M, Chieffo D, Tamburrini G, Caldarelli M, Di Rocco C, Margelisch K, Studer M, Steinlin M, Leibundgut K, Heinks T, Longaud-Vales A, Chevignard M, Dufour C, Grill J, Pujet S, Sainte-Rose C, Valteau-Couanet D, Dellatolas G, Kahalley L, Grosshans D, Paulino A, Ris MD, Chintagumpala M, Okcu F, Moore B, Stancel H, Minard C, Guffey D, Mahajan A, Herrington B, Raiker J, Manning E, Criddle J, Karlson C, Guerry W, Finlay J, Sands S, Dockstader C, Skocic J, Bouffet E, Laughlin S, Tabori U, Mabbott D, Moxon-Emre I, Scantlebury N, Taylor MD, Bouffet E, Malkin D, Laughlin S, Law N, Kumabe T, Leonard J, Rubin J, Jung S, Kim SK, Gupta N, Weiss W, Faria C, Vibhakar R, Spiegler B, Janzen L, Liu F, Decker L, Mabbott D, Lemiere J, Vercruysse T, Haers M, Vandenabeele K, Geuens S, Jacobs S, Van Gool S, Riggs L, Piscione J, Bouffet E, Timmons B, Laughlin S, Cunningham T, Bartels U, Skocic J, Liu F, Mabbott D, Riggs L, Bouffet E, Chakravarty M, Laughlin S, Laperriere N, Liu F, Skocic J, Pipitone J, Strother D, Hukin J, Fryer C, McConnell D, Mabbott D, Secco DE, Cappelletti S, Gentile S, Chieffo D, Cacchione A, Del Bufalo F, Staccioli S, Spagnoli A, Messina R, Carai A, Marras CE, Mastronuzzi A, Brinkman T, Armstrong G, Kimberg C, Gajjar A, Srivastava DK, Robison L, Hudson M, Krull K, Hardy K, Hostetter S, Hwang E, Walsh K, Leiss U, Bemmer A, Pletschko T, Grafeneder J, Schwarzinger A, Deimann P, Slavc I, Batchelder P, Wilkening G, Hankinson T, Foreman N, Handler M. NEUROPSYCHOLOGY. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Mahoney C, Yeatman T, Rohrer JD, Manning E, Leung KK, Rossor MN, Warren JD, Fox N. THE EVOLUTION OF FRONTOTEMPORAL DEMENTIA DUE TO THE MAPT MUTATION: A SEVENTEEN YEAR NATURAL HISTORY STUDY. J Neurol Neurosurg Psychiatry 2013. [DOI: 10.1136/jnnp-2013-306573.86] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Nakase-Thompson R, Manning E, Sherer M, Yablon SA, Gontkovsky SLT, Vickery C. Brief assessment of severe language impairments: Initial validation of the Mississippi aphasia screening test. Brain Inj 2009; 19:685-91. [PMID: 16195182 DOI: 10.1080/02699050400025331] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PRIMARY OBJECTIVE To validate the Mississippi Aphasia Screening Test (MAST) which includes nine sub-scales measuring expressive and receptive language abilities. RESEARCH DESIGN Evaluation of inpatients admitted to neurology, neurosurgery or rehabilitation units at two local hospitals and who were within 60 days of onset of a unilateral ischemic or haemorrhagic stroke (left hemisphere (LH; n=38); right hemisphere (RH; n=20)). Additional participants were recruited from the community to comprise a non-patient control sample (NP; n=36). METHODS Data collection included administration of the MAST and chart review. RESULTS The LH group showed more impairment than the RH and NP groups on summary scores. The LH group performed worse than the NP group on all sub-scales. The object recognition and verbal fluency sub-scales did not discriminate the stroke groups. CONCLUSION Analyses suggest good criterion validity for the MAST in differentiating communication impairments among clinical and control samples.
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Affiliation(s)
- R Nakase-Thompson
- Department of Neuropsychology, Methodist Rehabilitation Center, Jackson, MI 39216, USA.
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Salgar SK, Manning E, Li S, Vazquez-Padron R, Mathew J, Ruiz P, Pham S. Interleukin-10 delivery via mesenchymal stem cells (MSC) to prevent ischemia/reperfusion injury in lung transplantation (141.46). The Journal of Immunology 2009. [DOI: 10.4049/jimmunol.182.supp.141.46] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Abstract
Ischemia-reperfusion injury (IR) is an important cause for lung graft loss (~30%). In this study, MSC & viral interleukin-10 (vIL-10) engineered MSC were tested for their ability to prevent lung IR injury. Bone marrow derived MSC from Lewis rat were transduced with rvIL-10-retrovirus & selected on neomycin. Following 120 min of left lung ischemia induction, Group A, rats received vIL-10-MSC (~15 x 106; i.v.); Group B, empty vector engineered MSC; Group C, MSC; Group D, saline; and Group E, no ischemia or MSC. Mean blood oxygenation (PaO2/FiO2 ratio, mmHg) was reduced (P<0.05) at 24h post-IR injury in Group B (138±86; n=9) & Group D (87±39; n=10), compared to MSC-vIL10 (353±105; Group A; n=10) group. By days 3 & 7 with MSC-vIL10 oxygenation was normal (475±55 & 435±33; n>9); by 4h it was 319±94 (n=7). MSC (passage ≤6) increased PaO2/FiO2 (454 ± 59; n=5) by 24h post-IR. Bronchoalveolar lavage at 24h post-MSC-vIL10 therapy reduced (P<0.05) granulocytes, CD4 & CD8 T cells. Lung injury score (histopathology) was higher (P<0.05) with no treatment (3.5 ± 1.3; n=5) compared to MSC-vIL10 (1.21± 0.6; n=7) & MSC (1.6±0.9; n=6) treated groups. Lung microvascular permeability & wet:dry ratio were lower (P<0.05) in MSC-vIL10 group. IL-1α, MCP-1α, MIP-1α, & IL1-β were increased in IR injured lung. ISOL (in situ staining for DNA fragmentation) & CASPACE-3 demonstrated reduced (p<0.05) number of apoptotic cells in MSC-vIL10 treated lungs. Ex vivo, expanded MSC were CD34-, CD31+ & CD45+ (5-10%), CD29+, CD90+ & CD44+ (65-95%), CD80 (0%), CD 86 (8%), MHC Class I+ (23-57%), & MHC Class II-. MSC & IL-10 delivery via MSC to prevent lung transplant IR injury seems promising.
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Affiliation(s)
| | - E Manning
- 2Surgery, University of Miami, Miami, Florida
| | - S Li
- 2Surgery, University of Miami, Miami, Florida
| | | | - J Mathew
- 2Surgery, University of Miami, Miami, Florida
| | - P Ruiz
- 2Surgery, University of Miami, Miami, Florida
| | - S Pham
- 2Surgery, University of Miami, Miami, Florida
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Elliott J, Cannata E, Christensen E, Demaris J, Kummrow J, Manning E, Nielsen E, Romero T, Barnes C, Jull G. MRI analysis of the size and shape of the oropharynx in chronic whiplash. Otolaryngol Head Neck Surg 2008; 138:747-51. [PMID: 18503848 DOI: 10.1016/j.otohns.2008.02.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2007] [Revised: 02/04/2008] [Accepted: 02/21/2008] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To quantify differences in the size/shape of the oropharynx between female subjects with whiplash and controls. DESIGN Retrospective cohort. METHODS A total of 113 subjects (79 whiplash, 34 controls) were included. T1-weighted MRI was used to measure 1) cross-sectional area (CSA [mm(2)]) and 2) shape ratios for the oropharynx. Reliability data were established. RESULTS Whiplash subjects had significantly smaller oropharynx CSAs (P < 0.001) and shape ratios (P < 0.001) compared with healthy controls. Self-reported levels of pain and disability and duration of symptoms were not associated with size and shape of the oropharynx in whiplash subjects (P = 0.75 and P = 0.99, respectively). Age and BMI did influence the size (P = 0.01) and shape of the oropharynx (P < 0.001) in the whiplash subjects, but only 20 to 30 percent of the variance could be explained by these factors. CONCLUSION Significant difference in the size and shape of the oropharynx was noted in subjects with chronic whiplash compared with controls. Future studies are required to investigate the relationships between oropharynx morphometry and symptoms in patients with chronic whiplash.
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Affiliation(s)
- James Elliott
- Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
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Mercer KB, Szlam SM, Manning E, Gernert KM, Walthall WW, Benian GM, Gutekunst CA. A C. elegans homolog of huntingtin-associated protein 1 is expressed in chemosensory neurons and in a number of other somatic cell types. J Mol Neurosci 2008; 37:37-49. [PMID: 18592415 DOI: 10.1007/s12031-008-9109-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2008] [Accepted: 05/21/2008] [Indexed: 12/20/2022]
Abstract
Huntingtin-associated protein 1 (HAP1) is a binding partner for huntingtin, the protein responsible for Huntington's disease. In mammals, HAP1 is mostly found in brain where it is expressed in neurons. Although several functions have been proposed for HAP1, its role has not yet been clearly established. In this paper, we report on the identification of a HAP1 Caenorhabditis elegans homolog called T27A3.1. T27A3.1 shows conservation with rat and human HAP1, as well as with Milton, a Drosophila HAP1 homolog. To determine the cellular expression of T27A3.1 (multiple isoforms; a-e), we generated several transgenic worm lines expressing a fluorescent reporter protein [green fluorescent protein (GFP) and DsRed2] under the control of the promoter for T27A3.1. We have found that T27A3.1 is expressed in many cell types including a subset of chemosensory neurons in the head and tail. These include the amphid chemosensory neurons ASKL and R, ASIL and R, ADFL and ASEL, the phasmid neurons PHBL and R, and the CAN neurons that are required for worm survival.
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Affiliation(s)
- Kristina B Mercer
- Department of Experimental Pathology, Emory University, Atlanta, GA 30322, USA
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Bernard A, Kasten M, Meier C, Manning E, Freeman S, Adams W, Chang P, Boulanger B, Kearney P. Red blood cell arginase suppresses Jurkat (T cell) proliferation by depleting arginine. Surgery 2007; 143:286-91. [PMID: 18242346 DOI: 10.1016/j.surg.2007.07.037] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2007] [Revised: 07/19/2007] [Accepted: 07/22/2007] [Indexed: 10/22/2022]
Abstract
BACKGROUND Transfusion of packed red blood cells (PRBC) suppresses immunity, but the mechanisms are incompletely understood. PRBCs contain arginase, an enzyme which converts arginine to ornithine and depletes arginine in vitro. Arginine depletion suppresses proliferation of Jurkat T cells in other models. We hypothesize that PRBC arginase-mediated arginine depletion will suppress proliferation of T cells. METHODS A transfusion model was designed adding PRBC to culture RPMI media with or without an irreversible arginase blocker (nor-NOHA), incubating for 6-48 hours and then removing the PRBCs. Amino acid concentrations in the media were measured using liquid chromatography mass spectrometry. T cells were then added to the pre-conditioned media, cultured for 24 hours, and proliferation was measured. RESULTS PRBC depleted arginine significantly and increased ornithine in media compared to baseline PRBC treated wells and significantly decreased T cell proliferation. These effects were enhanced with volume of PRBC exposure. Nor-NOHA inhibition of arginase restored T cell proliferation in PRBC treated cultures. CONCLUSIONS Jurkat T cell proliferation was impaired by PRBC in clinically relevant volumes. The mechanism influencing T cell impairment appears to result from arginine depletion by arginase. Arginine depletion by PRBC arginase may be a novel mechanism for immunosuppression after transfusion.
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Affiliation(s)
- Andrew Bernard
- Trauma/Critical Care Research Program, Department of Surgery, University of Kentucky College of Medicine, Lexington, Kentucky, USA
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Cook G, Taylor D, France M, Burrows G, Manning E, Lyratzopoulos G, McElduff P, Lewis P, Martin M, Heller RF. Survival among hospital in-patients with troponin T elevation below levels defining myocardial infarction. QJM 2005; 98:275-82. [PMID: 15760923 DOI: 10.1093/qjmed/hci045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Cardiac troponin T (cTnT) has an accepted place in the management of patients presenting with suspected acute coronary syndrome (ACS). Uncertainty remains about the significance and interpretation of elevated cTnT below the cut-off levels defining myocardial infarction (0.1 microg/l). AIM To compare the mortality risks for elevation of cTnT in the ranges 0.01-0.029 microg/l, 0.03-0.099 microg/l and <0.01 microg/l. DESIGN Retrospective record study in three hospitals. METHODS All cTnT measurements with values in the range >0.01-0.099 microg/l analysed during January 2002 were extracted from clinical biochemistry laboratory databases. Following agreed exclusion criteria, 179 patients with cTnT in the range 0.01-0.099 microg/l and 60 patients <0.01 microg/l were selected at random from across the three sites. Six-month follow-up was completed by review of case notes and contact with the patients' GP. RESULTS There was a graded increase in mortality with increasing cTnT, although only achieving statistical significance for patients in the 0.03-0.099 microg/l range. The graded increase in relative risk with cTnT was weaker after adjustment for potential confounding factors DISCUSSION We found a trend for worse survival with increasing cTnT within the range 0.01-0.099 microg/l in unselected patient populations presenting with possible acute coronary syndrome. This suggests that the combined effects of assay imprecision and co-morbidity should be taken into account when interpreting borderline elevation of cTnT. The use of a cut-off based on current standards of assay precision should be used to define the sensitivity of cTnT as biochemical evidence of ischaemic cardiac damage and as an indicator of mortality risk. This level is likely to be between 0.03 and 0.1 microg/l.
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Affiliation(s)
- G Cook
- Consultant in Public Health Medicine, The Willows, Stepping Hill Hospital, Stockport NHS Trust, Poplar Grove, Stockport SK2 7JE, UK.
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Geanellos R, Fry A, Pearce H, Williams J, Hawkins J, Manning E, Cowell K. 'The experience of community mental health case management provided from an acute in-patient psychiatric unit'. Int J Psychiatr Nurs Res 2001; 7:815-32. [PMID: 11915388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
In Australia, case management is the cornerstone of mental health service delivery for seriously ill clients living in the community. In this study, case management was provided from an acute, inpatient psychiatric unit; a model thought to be unique. Findings from this qualitative study explicated the experience of case management from client and case manager (CM) perspectives. They note the nature, purpose, processes and outcomes of case management within that context. Findings were positive, suggesting clients and CM's develop a therapeutic alliance through which interventions are implemented and which result in clients experiencing personal (re) integration and enhanced well-being. These findings are discussed and they suggest an alternative model of service delivery well regarded by both clients and CM's.
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Affiliation(s)
- R Geanellos
- University of Western Sydney, School of Nursing, Family & Community Health Building, ER-Parramatta Campus, Locked Bag 1797, Penrith South DC 1797, NSW, Australia.
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Peel RK, Bhandari S, Manning E, Fernando B, Mendis K. Accessing emergency test results on ward computers. West J Med 2001. [DOI: 10.1136/bmj.323.7311.516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Manning E. Accessing emergency test results on ward computers. Electronic transmission is generally the way forward. BMJ 2001; 323:516. [PMID: 11560145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
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Ledson JF, Masterson GR, Mostafa SM, Hankin T, Gratton N, Manning E, Fraser WD. Bone resorption and acute renal failure in the hypercalcaemic critically ill. Crit Care 2001. [PMCID: PMC3333397 DOI: 10.1186/cc1277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Thompson N, Sherer M, Nick T, Yablon S, Hoye W, Gaines C, Manning E, McDonald J. Predicting change in functional outcomes in minimally responsive patients using the coma recovery scale. Arch Clin Neuropsychol 1999. [DOI: 10.1093/arclin/14.8.790a] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Abstract
In a follow-up survey to a 1984 study, 339 paediatricians in Australia were invited to complete a brief questionnaire in 1990, in which they indicated their usual recommendations, practices and advice when managing children with Down syndrome. The response rate was 67%. The results indicated that the most frequent paediatrician-initiated referrals were for early intervention and for discussion with other parents; these options were selected more frequently in 1990 than in 1984. While referral to a social worker was the next most frequent choice, it occurred less in 1990 than in 1984. Other increases in referrals were for physiotherapy and speech therapy. Paediatricians were more likely to support referral to a geneticist, speech therapist or cosmetic surgeon in response to a specific parental enquiry, and less likely to support referral to a social worker or to full-time care. There had been significant increases since 1984 in the likelihood that paediatricians would order audiology and investigation of thyroid and cardiac function. There was less opposition to the use of sedatives, and virtual cessation of the use of tryptophan. Paediatricians were more optimistic about the likelihood of persons with Down syndrome living independently, caring for their own finances, and marrying, but not about other developmental areas.
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Affiliation(s)
- P J Foreman
- Special Education Centre, University of Newcastle, New South Wales, Australia
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Rowe R, Manning E. Sources of satisfaction for nurses. AUST HEALTH REV 1986; 10:165-70. [PMID: 10286164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
This article completes the reporting of a survey in which 275 nurses were asked to indicate their needs, their sources of stress, and (in the present article) their sources of work satisfaction. A panel of three senior nurses classified the sources of satisfaction into 10 categories. The greatest number of replies proved to be in categories which the panel named Patients, Education and Achievement. The smallest number was in categories called Conditions and Responsibility. These came mainly from nurses in administrative or special positions.
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Abstract
Conformity to the lateral eye movement patterns of (1) a preferred direction in a face-to-face situation and (2) direction contralateral to the cerebral hemisphere tapped by a question in a nonface-to-face situation was studied in forty right-handed male college students in four groups: (1) Normal vision (N = 10), (2) Nearsighted wearing glasses full-time (N = 10), (3) Nearsighted wearing contact lenses (N = 10), and (4) Nearsighted wearing glasses part-time (N = 10). Subjects were of normal weight with no familial left-handedness or psychiatric hospitalization and no ocular or visual problems other than nearsightedness. Ratings of eye movement direction were made from videotapes. Subjects wearing glasses full-time or part-time were significantly more likely than other subjects to show the contralateral eye movement pattern in the nonface-to-face situation (p less than 0.05). Tall subjects showed more up eye movements (p less than 0.05). These findings were interpreted as an effect of long-standing visual expectancies. Myopic subjects were significantly more likely to be left-lookers than right-lookers (p less than 0.05).
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Watermeyer GS, Manning E. The effects of carbohydrate, fat and total energy adjustment of Fredrickson's type IIb hyperlipoproteinaemia. S Afr Med J 1977; 51:71-3. [PMID: 189446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Fifteen patients with Fredrickson's type IIb hyperlipoproteinaemia were subjected to a 10-week dietary study during which time qualitative and quantitative alterations were carried out on the fat, carbohydrate and energy content of the diet. Significant reduction was observed in fasting serum cholesterol and triglyceride levels on substitution of polyunsaturated for saturated fat, and on total fat restriction. No changes in cholesterol and triglyceride levels were observed when dietary sucrose was replaced with complex carbohydrate, or when there was total carbohydrate restriction. The possible practical applications of these observations are discussed.
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Bonitati J, Kinkel WR, Manning E. Letter: Cerebrospinal fluid immunoglobulins: test modifications and results in multiple sclerosis. Clin Chem 1976; 22:1234-5. [PMID: 1277520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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