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Cruise A, Ellsworth-Kopkowski A, Villezcas AN, Eldredge J, Rethlefsen ML. Academic health sciences libraries' outreach and engagement with North American Indigenous communities: a scoping review. J Med Libr Assoc 2023; 111:630-656. [PMID: 37483362 PMCID: PMC10361548 DOI: 10.5195/jmla.2023.1616] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Abstract
Objective We sought to identify trends and themes in how academic health sciences libraries in the United States, Canada, and Mexico have supported engagement and outreach with Native Americans, Alaska Natives, First Nations, and Indigenous peoples, in or from those same countries. We also sought to learn and share effective practices for libraries engaging with these communities. Methods We conducted a scoping review utilizing Arksey and O'Malley's framework for scoping reviews and followed principles from JBI Manual for Evidence Synthesis. We searched seven bibliographic databases, E-LIS (Eprints in Library and Information Science repository), and multiple sources of grey literature. Results were screened using Covidence and Google Sheets. We reported our review according to the PRISMA and PRISMA-S guidelines. We determined types of interventions used by academic health sciences libraries in engagement with our included populations, the level of public participation reached by these interventions, what partnerships were established, and what practices emerged. Results Database searching returned 2,020 unique results. Additional searching resulted in 211 further unique results. Full text screening of relevant articles found 65 reports meeting criteria for inclusion. Data extraction was conducted on these programs to identify partners, intervention type, and evaluation method. The programs were categorized using the IAP2 Spectrum of Public Participation. Conclusion Our scoping review found that many programs were health information trainings and did not move beyond informing the public with little further involvement. The need for sustained funding, greater community participation and more publishing on engagement and outreach are discussed.
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Affiliation(s)
- Allison Cruise
- , Health Sciences Library & Informatics Center, University of New Mexico, Albuquerque, NM
| | | | - A Nydia Villezcas
- , College of Population Health, University of New Mexico, Albuquerque, NM
| | - Jonathan Eldredge
- , Health Sciences Library & Informatics Center, University of New Mexico, Albuquerque, NM
| | - Melissa L Rethlefsen
- , Health Sciences Library & Informatics Center, University of New Mexico, Albuquerque, NM
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Imada AO, Eldredge J, Wells L, Moneim MS. Review of surgical treatment for chronic scapholunate ligament reconstruction: a long-term study. Eur J Orthop Surg Traumatol 2022; 33:787-793. [PMID: 35608691 DOI: 10.1007/s00590-022-03294-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Accepted: 05/09/2022] [Indexed: 12/21/2022]
Abstract
PURPOSE Scapholunate dissociation (SLD) is a common entity encountered by hand surgeons. While multiple methods for surgical treatment exist, there is little agreement on the best surgical techniques to treat chronic, static SLD. Our study's goal was to assess the long-term (greater than five years), clinical and radiologic outcomes of the currently recommended treatment options for chronic, static SLD. METHODS We performed a review of the literature to assess outcomes after surgical treatment of chronic, static SLD with long-term follow-up of greater than five years. RESULTS We found only six studies that encompassed the modified Brunelli tenodesis, capsulodesis, scapholunate arthrodesis, and bone-ligament-bone graft using the modified Cuenod procedure. All were level of evidence IV. Many patients went back to some form of work. Tenodesis showed less development of arthritis and greater improvement in scapholunate gap, while capsulodesis showed greater postoperative flexion and extension. Of note, study size varied with 67 combined patients in the capsulodesis studies and 30 patients in the tenodesis studies. CONCLUSION There was no clear superiority of one procedure over the others. More long-term data are needed to identify the best surgical treatment of chronic, static SLD.
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Affiliation(s)
- Allicia O Imada
- Department of Orthopaedics & Rehabilitation, The University of New Mexico, Albuquerque, NM, 87121, USA.
| | - Jonathan Eldredge
- Health Science Library and Informatics Center, The University of New Mexico, Albuquerque, NM, USA
| | - Laurie Wells
- Department of Orthopaedics & Rehabilitation, The University of New Mexico, Albuquerque, NM, 87121, USA
| | - Moheb S Moneim
- Department of Orthopaedics & Rehabilitation, The University of New Mexico, Albuquerque, NM, 87121, USA
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Eldredge J, Nogar C. Physician Assistant Student Training in Question Formulation: A Quasi-Experiment. J Physician Assist Educ 2022; 33:47-50. [PMID: 35170558 DOI: 10.1097/jpa.0000000000000409] [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: 11/25/2022]
Abstract
PURPOSE To measure improvement in evidence-based practice (EBP) question formulation skills in physician assistant (PA) students using a new approach that included a rubric. METHODS Quasi-experiment study design featuring pre- and posttests in which the participants are their own controls using a paired t-test to measure skills improvement. RESULTS Physician assistant students increased their skills in formulating EBP questions by a statistically significant margin. CONCLUSIONS This new approach to teaching EBP question formulation with its rubric offers a vehicle for training PA students in question formulation skills that is potentially more versatile than the conventional PICO (Population, Intervention, Comparison, and Outcomes) approach.
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Affiliation(s)
- Jonathan Eldredge
- Jonathan Eldredge, PhD, is an associate professor at the University of New Mexico School of Medicine, HSLIC/Family & Community Medicine, in Albuquerque, New Mexico
- Carmella Nogar, PA-C, is instructional faculty at the University of New Mexico School of Medicine, HSLIC/Family & Community Medicine, in Albuquerque, New Mexico
| | - Carmella Nogar
- Jonathan Eldredge, PhD, is an associate professor at the University of New Mexico School of Medicine, HSLIC/Family & Community Medicine, in Albuquerque, New Mexico
- Carmella Nogar, PA-C, is instructional faculty at the University of New Mexico School of Medicine, HSLIC/Family & Community Medicine, in Albuquerque, New Mexico
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Eldredge J, Schiff MA, Langsjoen JO, Jerabek RN. Question formulation skills training using a novel rubric with first-year medical students. J Med Libr Assoc 2021; 109:68-74. [PMID: 33424466 PMCID: PMC7772986 DOI: 10.5195/jmla.2021.935] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: The authors used an assessment rubric to measure medical students' improvement in question formulation skills following a brief evidence-based practice (EBP) training session conducted by a health sciences librarian. Method: In a quasi-experimental designed study, students were assessed using a rubric on their pre-instructional skills in formulating answerable EBP questions, based on a clinical scenario. Following their training, they were assessed using the same scenario and rubric. Student pre- and post-test scores were compared using a paired t-test. Results: Students demonstrated statistically significant improvement in their question formulation skills on their post-instructional assessments. The average score for students on the pre-test was 45.5 (SD 11.1) and the average score on the post-test was 65.6 (SD 5.4) with an average increase of 20.1 points on the 70-point scale, p<0.001. Conclusion: The brief instructional session aided by the rubric improved students' performance in question formulation skills.
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Affiliation(s)
- Jonathan Eldredge
- , Associate Professor, Health Sciences Library and Informatics Center, Family & Community Medicine Department, School of Medicine, College of Population Health, University of New Mexico, Albuquerque, NM
| | - Melissa A Schiff
- , Research Professor, Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, University of New Mexico, Albuquerque, NM
| | - Jens O Langsjoen
- , Associate Professor, Division of Hospital Medicine, Department of Internal Medicine, University of New Mexico, Albuquerque, NM
| | - Roger N Jerabek
- , Associate Scientist II, Program, Evaluation, Education, and Research, School of Medicine, University of New Mexico, Albuquerque, NM
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Bruce V, Eldredge J, Leyva Y, Mera J, English K, Page K. Hepatitis C Virus Infection in Indigenous Populations in the United States and Canada. Epidemiol Rev 2019; 41:158-167. [PMID: 31781749 PMCID: PMC7305812 DOI: 10.1093/epirev/mxz015] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 10/02/2019] [Accepted: 10/29/2019] [Indexed: 12/31/2022] Open
Abstract
American Indian/Alaska Native (AI/AN) and Canadian Indigenous people are disproportionally affected by hepatitis C virus (HCV) infection yet are frequently underrepresented in epidemiologic studies and surveys often used to inform public health efforts. We performed a systematic review of published and unpublished literature and summarized our findings on HCV prevalence in these Indigenous populations. We found a disparity of epidemiologic literature of HCV prevalence among AI/AN in the United States and Indigenous people in Canada. The limited data available, which date from 1995, demonstrate a wide range of HCV prevalence in AI/AN (1.49%-67.60%) and Indigenous populations (2.28%-90.24%). The highest HCV prevalence in both countries was reported in studies that either included or specifically targeted people who inject drugs. Lower prevalence was reported in studies of general Indigenous populations, although in Canada, the lowest prevalence was up to 3-fold higher in Aboriginal people compared with general population estimates. The disparity of available data on HCV prevalence and need for consistent and enhanced HCV surveillance and reporting among Indigenous people are highlighted. HCV affects Indigenous peoples to a greater degree than the general population; thus we recommend tribal and community leaders be engaged in enhanced surveillance efforts and that funds benefitting all Indigenous persons be expanded to help prevent and cover health care expenses to help stop this epidemic.
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Affiliation(s)
- Veronica Bruce
- Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico
| | - Jonathan Eldredge
- Health Sciences Library and Informatics Center, University of New Mexico Health Sciences Center, Albuquerque, New Mexico
| | - Yuridia Leyva
- Office of Research, Center for Healthcare Equity in Kidney Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico
| | - Jorge Mera
- Cherokee Nation Health Services, Tahlequah, Oklahoma
| | - Kevin English
- and Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque Area Indian Health Board, Inc, Albuquerque, New Mexico
| | - Kimberly Page
- Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico
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Gerotziafas G, Spyropoulos A, Syrigos K, Eldredge J, Anand L, Nourabadi S, Rosenberg D, Papageorgiou L, Qiu M, Taher A, Abdel-Razeq H, AboElnazar E, El Shemmari S, Larsen A, Elalamy I. First External Validation of the New COMPASS-CAT Risk Assessment Model for Ambulatory Patients with Breast, Colorectal, Lung or Ovarian Cancer. Thromb Res 2018. [DOI: 10.1016/j.thromres.2018.02.111] [Citation(s) in RCA: 1] [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: 11/28/2022]
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Brettle A, Grant M, Fraser K, Dalziel K, Gardois P, Lewis S, Kaalvik H, Eldredge J. The 6th International Evidence Based Library and Information Practice Conference (EBLIP6): Conference Report and Reflections. EBLIP 2011. [DOI: 10.18438/b8jw3t] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
No abstract.
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Haglund L, Wakimoto D, Hunsucker L, Mohan VV, Shea A, Usova T, Plevier JW, Eldredge J, De Meulemeester A, Wilson V. The 5th International Evidence Based Library and Information Practice Conference (EBLIP5): Conference Report and Reflections. EBLIP 2009. [DOI: 10.18438/b8gd07] [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: 11/05/2022] Open
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Waitzkin H, Iriart C, Buchanan HS, Mercado F, Tregear J, Eldredge J. The Latin American Social Medicine Database: a resource for epidemiology. Int J Epidemiol 2009; 37:724-8. [PMID: 18653507 DOI: 10.1093/ije/dyn148] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Howard Waitzkin
- Departments of Sociology, Family & Community Medicine, and Internal Medicine, University of New Mexico, MSC 05 3080, Albuquerque, NM 87131-0001, USA
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Abstract
A review of:
Marshall, Joanne Gard, and Victor R. Neufeld. “A Randomized Controlled Trial of Librarian Educational Participation in Clinical Settings.” Journal of Medical Education 56.5 (1981): 409-16.
Objectives – To determine whether clinical librarian services cause healthcare providers to change their information seeking behaviors. To evaluate librarians’ educational roles for clinicians, patients, and patients’ families.
Design – Randomized controlled trial.
Setting – An academic, health-sciences-center, teaching hospital in Canada.
Subjects – A total of eight teams, each consisting of at least eight members who represented at least three different types of health professionals. Four teams (rheumatology, obstetrics, neurology, and pediatrics) were randomized into the intervention group to receive clinical librarian services for a six-month period, and four teams (hematology, diabetic day care, pain clinic, and community psychiatry) were randomized into the control group that did not receive clinical librarian services.
Methods – Two half-time clinical librarians attended the intervention groups’ rounds, clinics, and conferences identified as having educational components or where questions would likely arise related to patient care. The two clinical librarians handled 600 perceived or actual information requests, delivered 1,200 documents, and provided over 3,000 references during the twelve-month study period of September 1978 to August 1979. The typical service consisted of the clinical librarian securing one or two articles relevant to the question raised along with pertinent references placed in a “hot topics” ring binder located in the clinical wards. Healthcare providers were alerted to or reminded about the clinical librarian service through a brochure and an exhibit. The brochure also advertised the clinical librarian service to patients or their families. Approximately 24% of all information requests fielded by the clinical librarians originated from patients or their families. The remaining information requests originated from physicians (40%), allied health professionals (21%), and nurses (15%) belonging to these interdisciplinary intervention group teams.
Main Results – Trained impartial interviewers conducted in-depth interviews with members of both the intervention group teams and the control group teams immediately following the first six-month study period and then again three months after the end of the study period. Following the initial six months of the study period, 67% of the members of the intervention group compared to 37% of the members of the study group used the library’s reference services. Three months after the study period had ended, 76% of the members of the intervention group compared to 49% of the members of the study group had used the reference services. The authors reported in a one-sentence page note that these findings were statistically significant beyond the .05 level as measured by chi-square and analysis of variance tests. Three months after the study period had ended, 60% of the members of the intervention group compared to 38% of the members of the study group reported rating highly the use of library resources. In addition, three months after the study period had ended, 36% of the members of the intervention group compared to 27% of the members of the study group reported rating highly the use of reference librarians. Although patients or their families were generally positive in rating the clinical librarians’ services, they proved to be a difficult population upon which to conduct a comprehensive follow-up evaluation study once patients had left the hospital.
Conclusion – The authors conclude that the clinical librarian services to the four intervention groups had changed the group members’ information seeking behavior.
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Abstract
PurposeThe paper seeks to describe the EBL process in sufficient detail that the readers can apply it to their own professional practice.Design/methodology/approachThe paper takes the form of a narrative literature review.FindingsThe EBL process can be summarized through its five steps: formulate a clearly defined, relevant, and answerable question; search for an answer in both the published and unpublished literature, plus any other authoritative resources, for the best available evidence; critically appraise the evidence; assess the relative value of expected benefits and costs of any decided upon action plan; and evaluate the effectiveness of the action plan.Originality/valueReferences for readers to pursue more in‐depth research into any particular step or a specific aspect of the EBL process are provided. The EBL process assists librarians in applying the best available evidence to answering the more important questions facing their practice, their institutions, and the profession. This evidence can become the basis for making sound decisions.
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Buchanan HS, Waitzkin H, Eldredge J, Davidson R, Iriart C, Teal J. Increasing access to Latin American social medicine resources: a preliminary report. J Med Libr Assoc 2003; 91:418-25. [PMID: 14566372 PMCID: PMC209507] [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] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2002] [Accepted: 04/01/2003] [Indexed: 04/27/2023] Open
Abstract
PURPOSE This preliminary report describes the development and implementation of a project to improve access to literature in Latin American social medicine (LASM). METHODS The University of New Mexico project team collaborated with participants from Argentina, Brazil, Chile, and Ecuador to identify approximately 400 articles and books in Latin American social medicine. Structured abstracts were prepared, translated into English, Spanish, and Portuguese, assigned Medical Subject Headings (MeSH), and loaded into a Web-based database for public searching. The project has initiated Web-based publication for two LASM journals. Evaluation included measures of use and content. RESULTS The LASM Website (http://hsc.unm.edu/lasm) and database create access to formerly little-known literature that addresses problems relevant to current medicine and public health. This Website offers a unique resource for researchers, practitioners, and teachers who seek to understand the links between socioeconomic conditions and health. The project provides a model for collaboration between librarians and health care providers. Challenges included procurement of primary material; preparation of concise abstracts; working with trilingual translations of abstracts, metadata, and indexing; and the work processes of the multidisciplinary team. CONCLUSIONS The literature of Latin American social medicine has become more readily available to researchers worldwide. The LASM project serves as a collaborative model for the creation of sustainable solutions for disseminating information that is difficult to access through traditional methods.
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Affiliation(s)
- Holly Shipp Buchanan
- The University of New Mexico MSC09 5100 1 University of New Mexico Albuquerque, NM 87131-0001
| | - Howard Waitzkin
- The University of New Mexico MSC09 5100 1 University of New Mexico Albuquerque, NM 87131-0001
| | - Jonathan Eldredge
- The University of New Mexico MSC09 5100 1 University of New Mexico Albuquerque, NM 87131-0001
| | - Russ Davidson
- The University of New Mexico MSC09 5100 1 University of New Mexico Albuquerque, NM 87131-0001
| | - Celia Iriart
- The University of New Mexico MSC09 5100 1 University of New Mexico Albuquerque, NM 87131-0001
| | - Janis Teal
- The University of New Mexico MSC09 5100 1 University of New Mexico Albuquerque, NM 87131-0001
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Eldredge J. Cohort studies in health sciences librarianship. J Med Libr Assoc 2002; 90:380-92. [PMID: 12398244 PMCID: PMC128954] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
Abstract
QUESTION What are the key characteristics of the cohort study design and its varied applications, and how can this research design be utilized in health sciences librarianship? DATA SOURCES The health, social, behavioral, biological, library, earth, and management sciences literatures were used as sources. STUDY SELECTION All fields except for health sciences librarianship were scanned topically for either well-known or diverse applications of the cohort design. The health sciences library literature available to the author principally for the years 1990 to 2000, supplemented by papers or posters presented at annual meetings of the Medical Library Association. DATA EXTRACTION A narrative review for the health, social, behavioral, biological, earth, and management sciences literatures and a systematic review for health sciences librarianship literature for the years 1990 to 2000, with three exceptions, were conducted. The author conducted principally a manual search of the health sciences librarianship literature for the years 1990 to 2000 as part of this systematic review. MAIN RESULTS The cohort design has been applied to answer a wide array of theoretical or practical research questions in the health, social, behavioral, biological, and management sciences. Health sciences librarianship also offers several major applications of the cohort design. CONCLUSION The cohort design has great potential for answering research questions in the field of health sciences librarianship, particularly evidence-based librarianship (EBL), although that potential has not been fully explored.
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Affiliation(s)
- Jonathan Eldredge
- Health Sciences Library & Informatics Center, The University of New Mexico, Albuquerque 87131-5686, USA.
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Abstract
Many variations exist in editorial peer review practices in clinical medicine journals. These practices will become more crucial as medical journals make more of their contents available via the World Wide Web. This paper explores five fundamental dimensions of editorial peer review variations: (1) the extent to which manuscripts are subjected to peer review; (2) the sequence of decision points in the peer review process; (3) blinding practices; (4) acceptance rates for submitted manuscripts; and (5) guidelines stating editors' expectations of reviewers. Variations in editorial peer review practices make it difficult to define a "peer reviewed journal" in clinical medicine. Research in this relatively new area of inquiry has not established the relative strengths of each variation in relation to a journal's quality.
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Affiliation(s)
- J Eldredge
- Health Sciences Center Library, University of New Mexico, Albuquerque 87131-5686, USA
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Anderson WA, Ilkowski DA, Eldredge J, Cha R, Chen C, Waters D, Mahan VL, Anolik G, Laub GW, Fernandez J, McGrath LB. The small aortic root and the Medtronic Hall valve: ultrafast computed tomography assessment of left ventricular mass following aortic valve replacement. J Heart Valve Dis 1996; 5 Suppl 3:S329-35. [PMID: 8953463] [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: 02/03/2023]
Abstract
BACKGROUND AND AIMS OF THE STUDY The selection of an appropriate size aortic valve substitute with respect to patient size and life-style, in the presence of a small aortic root, is problematic, and a decision to enlarge the aortic annulus is often arbitrary. An aortic valve substitute-patient mismatch may place an excessive load on the left ventricle resulting in residual left ventricular mass with attendant patient morbidity and mortality. The aim of this study was to assess the adequacy of the Medtronic Hall valve in the small aortic root using ultrafast computed tomography analysis of left ventricular mass. MATERIALS AND METHODS In 13 patients the smallest Medtronic Hall valves (size 20 and 21; measured internal orifice area of 2.01 cm2 for both) were used to replace the native aortic valve. All patients had aortic stenosis, and left ventricular hypertrophy was established by echocardiography. The mean body surface area was 1.8 +/- 0.2 m2 (range 1.50-2.06 m2) and the mean weight was 75 +/- 15 Kg (range 50-97 Kg). The mean preoperative New York Heart Association functional class was 3.54 +/- 0.5. RESULTS There was no operative or late mortality. At a mean follow up of 22 months after aortic valve replacement, the mean left ventricular mass index was 89 +/- 11.4 g/m2 (normal left ventricular mass index by ultrafast computed tomography = 97 +/- 14 g/m2) and mean New York Heart Association functional class was 1.6 +/- 0.8 (p (Binomial) = 0.0001 compared to preoperative). Doppler echocardiogram demonstrated a mean gradient across the prosthetic valve of 17 +/- 7 mmHg. There was no trend towards greater left ventricular mass index in patients with greater body surface area or weight. In no patient was the aortic annulus enlarged. CONCLUSIONS Trends from this preliminary data suggest that implanting the smallest Medtronic-Hall aortic valves (sizes 20 and 21) results in normal left ventricular mass following aortic valve replacement in patients up to a body surface area of 2.06 m2 and provides support for the notion that an aortic annulus enlarging procedure was not necessary in this group of patients.
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Affiliation(s)
- W A Anderson
- Deborah Heart and Lung Center, Department of Cardiovascular and Thoracic Surgery, New Jersey, USA
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16
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Goldberg N, Roman CF, Cha SD, Weiner R, Maranhao V, Eldredge J, Fernandez J. Right to left interatrial shunting following balloon mitral valvuloplasty. Cathet Cardiovasc Diagn 1989; 16:133-5. [PMID: 2644043 DOI: 10.1002/ccd.1810160214] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A complication of balloon mitral valvuloplasty is development of left-to-right interatrial shunt. This report describes right-to-left interatrial shunting following balloon mitral valvuloplasty in a patient with mitral stenosis, tricuspid regurgitation and pulmonary hypertension.
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Affiliation(s)
- N Goldberg
- Deborah Heart and Lung Center, Browns Mills, NJ 08015
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Rashtchian A, Eldredge J, Ottaviani M, Abbott M, Mock G, Lovern D, Klinger J, Parsons G. Immunological capture of nucleic acid hybrids and application to nonradioactive DNA probe assay. Clin Chem 1987; 33:1526-30. [PMID: 2441901] [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: 12/31/2022]
Abstract
Antibodies specific for DNA:RNA hybrids were coated onto polystyrene test tubes and applied to hybridization assays involving DNA and RNA. Synthetic DNA probes complementary to 16S rRNA of Campylobacter were labeled with biotin and hybridized to ribosomal RNA directly in lysates of bacterial cells. After hybridization, DNA:RNA hybrids were captured with immobilized anti-DNA:RNA antibody, and the biotinylated probe was detected with streptavidin-horseradish peroxidase (EC 1.11.1.7) conjugate. The assay was optimized to detect as few as 70,000 Campylobacter cells in a sample. We compared the utility of this hybridization assay with that of conventional microbiology methods by examination of 1448 stool samples from hospital clinical laboratories. The DNA hybridization assay had a sensitivity of 98.7% (75/76) and a specificity of 98.2% (1347/1372) and overall agreed with 98.2% of the conventional results for a test population that had a 5.2% incidence (76/1448) of Campylobacter infection. The assay is simple to perform and yields results within 2.5 h.
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Rashtchian A, Eldredge J, Ottaviani M, Abbott M, Mock G, Lovern D, Klinger J, Parsons G. Immunological capture of nucleic acid hybrids and application to nonradioactive DNA probe assay. Clin Chem 1987. [DOI: 10.1093/clinchem/33.9.1526] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Antibodies specific for DNA:RNA hybrids were coated onto polystyrene test tubes and applied to hybridization assays involving DNA and RNA. Synthetic DNA probes complementary to 16S rRNA of Campylobacter were labeled with biotin and hybridized to ribosomal RNA directly in lysates of bacterial cells. After hybridization, DNA:RNA hybrids were captured with immobilized anti-DNA:RNA antibody, and the biotinylated probe was detected with streptavidin-horseradish peroxidase (EC 1.11.1.7) conjugate. The assay was optimized to detect as few as 70,000 Campylobacter cells in a sample. We compared the utility of this hybridization assay with that of conventional microbiology methods by examination of 1448 stool samples from hospital clinical laboratories. The DNA hybridization assay had a sensitivity of 98.7% (75/76) and a specificity of 98.2% (1347/1372) and overall agreed with 98.2% of the conventional results for a test population that had a 5.2% incidence (76/1448) of Campylobacter infection. The assay is simple to perform and yields results within 2.5 h.
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