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Burgess D, McGrath KH, Watson C, Collins T, Brown S, Marks K, Dehlsen K, Herbison K, Landorf E, Benn L, Fox J, Liew M. Exclusive enteral nutrition: An optimal care pathway for use in children with active luminal Crohn's disease. J Paediatr Child Health 2022; 58:572-578. [PMID: 35181966 DOI: 10.1111/jpc.15911] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Revised: 01/16/2022] [Accepted: 01/24/2022] [Indexed: 12/30/2022]
Abstract
AIM Exclusive enteral nutrition (EEN) is recommended as a first-line therapy for active luminal paediatric Crohn's disease, by many contemporary consensus guidelines. However, EEN protocols vary internationally. A key enabler for the use of EEN therapy has been identified as the standardisation of protocols. The aim of this study was to develop an optimal care pathway for use of EEN in children with active luminal Crohn's disease. METHODS A working group of 11 paediatric gastroenterology dietitians and one paediatric gastroenterologist from Australia and New Zealand was convened to develop a standard optimal care pathway. Seven key areas were identified; clinical indications, workup assessments, EEN prescription, monitoring, food reintroduction, partial enteral nutrition and maintenance enteral nutrition. Recent literature was reviewed, assessed according to the National Health and Medical Research Council guidelines, and consensus statements were developed and voted on. Consensus opinion was used where literature gaps existed. RESULTS A total of nineteen consensus statements from the seven key areas were agreed upon. The consensus statements informed the optimal care pathway for children with active luminal undertaking EEN in Australia and New Zealand. CONCLUSION This study developed an EEN optimal care pathway to facilitate standardisation of clinical care for children with active luminal Crohn's disease, and hopefully improve clinical outcomes and identify areas for future research.
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Affiliation(s)
- Deirdre Burgess
- Department of Paediatric Gastroenterology, John Hunter Children's Hospital, Newcastle, New South Wales, Australia
| | - Kathleen H McGrath
- Department of Gastroenterology and Clinical Nutrition, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
| | - Caitlin Watson
- Department of Paediatric Dietetics, Monash Children's Hospital, Melbourne, Victoria, Australia
| | - Tanya Collins
- Department of Paediatric Dietetics, Perth Children's Hospital, Perth, Western Australia, Australia
| | - Stephanie Brown
- Department of Paediatrics, Christchurch Public Hospital, Christchurch, New Zealand
| | - Katie Marks
- Children's Hospital Westmead, Sydney Children's Hospital Network, Sydney, New South Wales, Australia
| | - Kate Dehlsen
- Sydney Children's Hospital, Sydney Children's Hospital Network, Sydney, New South Wales, Australia
| | - Kim Herbison
- Department of Paediatric Dietetics, Starship Children's Hospital, Auckland, New Zealand
| | - Emma Landorf
- Department of Paediatric Dietetics, Womens and Children's Hospital, Adelaide, South Australia, Australia
| | - Laura Benn
- Department of Paediatric Dietetics, Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
| | - Julia Fox
- Department of Paediatric Dietetics, Queensland Children's Hospital, Brisbane, Queensland, Australia
| | - Ming Liew
- Department of Paediatric Dietetics, Queensland Children's Hospital, Brisbane, Queensland, Australia
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Kozan AA, Logan M, Parnham A, Liew M, Barrass B, Venugopal S, Biyani CS, Taylor J. Design and assessment of a penile fracture simulation model. Actas Urol Esp 2021; 45:S0210-4806(21)00118-2. [PMID: 34210510 DOI: 10.1016/j.acuro.2020.10.017] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 09/26/2020] [Accepted: 10/26/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To design and assess a novel penile fracture simulation model for teaching penile fracture repair. METHODS We used a validated circumcision simulator to create a model. Foreskin for a circumcision was divided into two halves. A transverse slit ("simulated fracture") was created on one part of the first half of the foreskin (mimicking "tunica") and was applied over the penile model. A red jelly tablet ("clot") was placed underneath the cut. A second full-length of foreskin was applied over it to cover the defect. The model was assessed by participants and expert faculty at the Urology Simulation Boot Camp. Evaluation was performed using a 5-point Likert Scale questionnaire. Data was analysed using Microsoft Excel and IBM SPSS Statistics V25. The intra-class correlation was calculated using a "One-way random model". RESULTS Twenty-two urology trainees and four experts participated in the evaluation. The majority of trainees strongly agreed (59%, n=13) the model is useful for training with experts similarly agreeing in 75% of cases. The appearance of penile fracture was considered good by both trainees (68%, n=14) and faculty (75%). Overall, the ability of the model to represent a realistic simulation of the task was considered excellent by 23% of participants and good by 64%. Personal confidence after simulation in managing a similar situation was considered high among trainees. The main difficulties reported were related to fascial planes and urethra. CONCLUSION This is the first simulation model for penile fracture repair and has demonstrated face validity at a national urology bootcamp.
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Affiliation(s)
- A A Kozan
- Department of Urology, Hull University Teaching Hospital, Castle Hill Hospital, Cottingham, Reino Unido
| | - M Logan
- Leeds Teaching Hospitals NHS Trust, Department of Medical Education, Leeds, Reino Unido
| | - A Parnham
- Department of Urology, The Christie NHS Foundation Trust, Manchester, Reino Unido
| | - M Liew
- Department of Urology, Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan, Reino Unido
| | - B Barrass
- Luton & Dunstable University Hospital, Bedfordshire Hospitals NHS Foundation Trust, Department of Urology, Luton, Reino Unido
| | - S Venugopal
- Department of Urology, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, Reino Unido
| | - C S Biyani
- Department of Urology, Leeds Teaching Hospitals NHS Trust, Leeds, Reino Unido.
| | - J Taylor
- Department of Urology, Forth Valley Royal Hospital, Larbert, Escocia
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Moris L, Cumberbatch M, Van Den Broeck T, Gandaglia G, Fossati N, Briers E, Cornford P, De Santis M, Fanti S, Gillessen S, Grummet J, Henry A, Lam T, Lardas M, Liew M, Mason M, Rouvière O, Tilki D, Schoots I, Van Den Bergh R, Van Der Kwast T, Van Der Poel H, Willemse P, Mottet N, Wiegel T. Current treatment options for locally advanced prostate cancer: EAU (-SIOG) guidelines view and recommendations. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33811-8] [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: 10/23/2022] Open
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Lloyd‐Fox S, Blasi A, Pasco G, Gliga T, Jones EJH, Murphy DGM, Elwell CE, Charman T, Johnson MH, Baron‐Cohen S, Bedford R, Bolton P, Cheung HMC, Davies K, Elsabbagh M, Fernandes J, Gammer I, Guiraud J, Liew M, Maris H, O'Hara L, Pickles A, Ribeiro H, Salomone E, Tucker L, Yemane F. Cortical responses before 6 months of life associate with later autism. Eur J Neurosci 2018; 47:736-749. [PMID: 29057543 PMCID: PMC5900943 DOI: 10.1111/ejn.13757] [Citation(s) in RCA: 79] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Revised: 10/05/2017] [Accepted: 10/17/2017] [Indexed: 01/12/2023]
Abstract
Autism spectrum disorder (ASD) is a common, highly heritable, developmental disorder and later-born siblings of diagnosed children are at higher risk of developing ASD than the general population. Although the emergence of behavioural symptoms of ASD in toddlerhood is well characterized, far less is known about development during the first months of life of infants at familial risk. In a prospective longitudinal study of infants at familial risk followed to 36 months, we measured functional near-infrared spectroscopy (fNIRS) brain responses to social videos of people (i.e. peek-a-boo) compared to non-social images (vehicles) and human vocalizations compared to non-vocal sounds. At 4-6 months, infants who went on to develop ASD at 3 years (N = 5) evidenced-reduced activation to visual social stimuli relative to low-risk infants (N = 16) across inferior frontal (IFG) and posterior temporal (pSTS-TPJ) regions of the cortex. Furthermore, these infants also showed reduced activation to vocal sounds and enhanced activation to non-vocal sounds within left lateralized temporal (aMTG-STG/pSTS-TPJ) regions compared with low-risk infants and high-risk infants who did not develop ASD (N = 15). The degree of activation to both the visual and auditory stimuli correlated with parent-reported ASD symptomology in toddlerhood. These preliminary findings are consistent with later atypical social brain responses seen in children and adults with ASD, and highlight the need for further work interrogating atypical processing in early infancy and how it may relate to later social interaction and communication difficulties characteristic of ASD.
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Affiliation(s)
- S. Lloyd‐Fox
- Centre for Brain and Cognitive DevelopmentBirkbeck, University of LondonMalet St.WC1E 7HXLondonUK
| | - A. Blasi
- Centre for Brain and Cognitive DevelopmentBirkbeck, University of LondonMalet St.WC1E 7HXLondonUK
| | - G. Pasco
- Department of PsychologyInstitute of Psychiatry, Psychology, & NeuroscienceKing's College LondonLondonUK
| | - T. Gliga
- Centre for Brain and Cognitive DevelopmentBirkbeck, University of LondonMalet St.WC1E 7HXLondonUK
| | - E. J. H. Jones
- Centre for Brain and Cognitive DevelopmentBirkbeck, University of LondonMalet St.WC1E 7HXLondonUK
| | - D. G. M. Murphy
- Department of Forensic and Neurodevelopmental ScienceThe Sackler Institute for Translational NeurodevelopmentInstitute of Psychiatry, Psychology, & NeuroscienceKing's College LondonLondonUK
| | - C. E. Elwell
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
| | - T. Charman
- Department of PsychologyInstitute of Psychiatry, Psychology, & NeuroscienceKing's College LondonLondonUK
| | - M. H. Johnson
- Centre for Brain and Cognitive DevelopmentBirkbeck, University of LondonMalet St.WC1E 7HXLondonUK
- Department of PsychologyUniversity of CambridgeCambridgeUK
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Liew M, Mao R, Wittwer CT, Salama ME. Detection of chromosomal translocations in formalin-fixed paraffin-embedded (FFPE) leukemic specimens by digital expression profiling. Int J Lab Hematol 2015; 37:690-8. [DOI: 10.1111/ijlh.12388] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2014] [Accepted: 04/14/2015] [Indexed: 02/02/2023]
Affiliation(s)
- M. Liew
- ARUP Institute for Clinical and Experimental Pathology; Salt Lake City UT USA
| | - R. Mao
- ARUP Institute for Clinical and Experimental Pathology; Salt Lake City UT USA
- Department of Pathology; University of Utah School of Medicine; Salt Lake City UT USA
| | - C. T. Wittwer
- ARUP Institute for Clinical and Experimental Pathology; Salt Lake City UT USA
- Department of Pathology; University of Utah School of Medicine; Salt Lake City UT USA
| | - M. E. Salama
- ARUP Institute for Clinical and Experimental Pathology; Salt Lake City UT USA
- Department of Pathology; University of Utah School of Medicine; Salt Lake City UT USA
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Youssef AA, Kishk YT, Abdelhafez HA, Bafadhl TA, Tsui PT, Lau CL, Lo YK, Chan NY, Choy CC, Yuen HC, Chu PS, Chow HF, Fong HF, Mok NS, Lau ST, Tsui PT, Lau CL, Lo YK, Chan NY, Choy CC, Yuen HC, Chu PS, Chow HF, Fong HF, Mok NS, Lau ST, Chow HF, Tsui PT, Lau CL, Lo YK, Chan NY, Choy CC, Yuen HC, Chu PS, Fong HF, Mok NS, Lau ST, Chen YL, Yip HK, Chen SY, Poon KKC, Luis SA, Savage M, Raffel OC, Walters DL, Poon KKC, Luis SA, Raffel OC, Aroney C, Walters DL, Qin J, Li S, Wu HS, Wang LS, Wang XX, Wong TT, Yu CM, Heng PA, Liew M, Ong SH, Gan HW, Chai SC, Goh PP, Chair SY, Wong EML, Sit JWH, Leung DYP, So WKW, Chan CWH, Pun SPY, Chan AWK, Sattwika PD, Taufiq N, Kurniawan IWSE, Sattwika KA. P097 * Prognostic significance of high sensitivity C-reactive protein before and after percutaneous coronary intervention in patients with angina pectoris. Eur Heart J Suppl 2012. [DOI: 10.1093/eurheartj/sur030] [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]
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Lee WY, Tam CS, Yan PY, Lam YY, Duchatelet S, Peat RA, Denjoy I, Itoh H, Berthet M, Crotti L, Ohno S, Pedrazzini M, Klug D, Schwartz PJ, Shimizu W, Horie M, Tregouet DA, Guicheney P, Tiong WN, Hwang SS, Fong AYY, Wee CC, Lai LYH, Tiong LL, Chang BC, Ong TK, Garg P, Ashraffi R, Chuah S, Baho H, Draz S, Mously F, Atta J, Kouatly A, Hussian A, Abu zeid H, Courtney A, Hamilton-Craig C, Strugnell W, Slaughter R, Luis CR, Habibian M, Luis SA, Raffel OC, Tung TH, Hsiung MC, Wei J, Clements IP, Hodge DO, Scott CG, Chai SC, Liew M, Leong G, Peng H, Ding J, Peng Y, Zhang Q, Xu Y, Chao X, Tian H, Zhang Y, Liu Y, Tong WJ, Liu YY, Wang J, Zhang YH, Wong MCS, Yan B, Tam WWS, Wang HHX, Liu KSD, Liu KQ, Cheung CSK, Tong ELH, Sek ACH, Cheung NT, Yu CM, Leeder S, Griffiths S, Poon KKC, Wong HL, Ng SH, Kwok WT, Yeung CL, Yu SY, Wan YP, Wan S, Underwood MJ, Chan PH, Alegria-Barrero E, Price S, Kelleher A, Moat N, Mario CD, Franzen O, Zhang YC, Lee AP, Lin QS, Fang F, Wan S, Underwood M, Yu CM, Mirhoseini SJ, Frouzannia SK, Mostafavi Pour Manshadi SMY, Naderi N, Sayegh S, Dandekar PG, Verma Y. A001 * Barriers of warfarin use for atrial fibrillation patients in Hong Kong. Eur Heart J Suppl 2012. [DOI: 10.1093/eurheartj/sur021] [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: 11/14/2022]
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Vossler M, Liew M. SU-GG-T-537: Implementation of a Sector-Integration Method for Calculating Electron Cutout Factors at Extended Distances. Med Phys 2008. [DOI: 10.1118/1.2962286] [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: 11/07/2022] Open
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Higa H, Liew M, McCarty C, Taylor H. Predictability of excimer laser treatment of myopia and astigmatism by the VISX Twenty-Twenty. Melbourne Excimer Laser Group. J Cataract Refract Surg 1997; 23:1457-64. [PMID: 9456402 DOI: 10.1016/s0886-3350(97)80015-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [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: 02/06/2023]
Abstract
BACKGROUND To determine the predictability of excimer laser photorefractive keratectomy (PRK) to correct myopia, astigmatism, or both between -1.00 and -19.00 diopters (D). SETTING Royal Victorian Eye and Ear Hospital, East Melbourne, Australia. METHODS This study comprised 1218 consecutive eyes treated with a VISX Twenty-Twenty excimer laser and followed prospectively for 12 months. Low myopia was treated with one ablation zone (6.0 mm), high myopia with two ablation zones (5.0 and 6.0 mm), and extreme myopia with three ablation zones (4.5, 5.0, and 6.0 mm). Maximum spherical treatment was 15.00 D at the corneal plane. Data were analyzed to determine the predictability of the postoperative outcomes by preoperative refraction. RESULTS Nine hundred eighty eyes (80.5%) were available for the 12 month follow-up. The predictability of refraction and uncorrected and best corrected visual acuities progressively decreased with increasing myopia, although a comparable percentage of spherical correction was achieved at each diopter of myopia. The likelihood of losing lines of best corrected visual acuity and corneal haze increased with increasing myopia. CONCLUSION These data can be used to counsel patients of likely outcomes of excimer laser PRK to correct myopia.
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Affiliation(s)
- H Higa
- Department of Opthalmology, University of Melbourne, Victoria, Australia
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Abstract
OBJECTIVE To compare the efficacy and complications of three different excimer laser algorithms for multizone photorefractive and photoastigmatic keratectomy. METHODS Three different software algorithms were applied to treat myopia and myopic astigmatism with the VISX 20/20 excimer laser. Each algorithm had a maximum ablation zone of 6 mm but differed in the number of zones employed, the proportion of the total treatment allocated to each ablation zone, and the treatment of astigmatism. The Melbourne multizone technique equally divided myopia correction into a maximum of three ablation zones. The Pop multizone technique biased myopia treatment into the smaller diameter zones to a maximum of six ablation zones, with one central island pretreatment. The Alpins multizone technique equally divided myopia treatment through all zones up to a maximum of six, with one central island pretreatment. RESULTS A total of 585 patients (780 eyes) were treated and 625 eyes (80%) were followed for more than 6 months. The mean baseline spherical equivalent refractive error was -5.63 D (-1.00 to -19.50 D). Between 71 and 79% of eyes were treated for astigmatism. There was no statistically significant differences in baseline refractive error or other characteristics among the three groups. At 6 months, the Alpins multizone algorithm had more eyes with a refractive error within +/- 1.00 D of emmetropia (p = 0.01) and more within +/- 2.00 D of emmetropia (p < 0.01). This new algorithm produced more eyes with an uncorrected visual acuity of 20/20 or better at 6 months (p < 0.01). When multiple logistic regression was used to correct for any differences in baseline myopia among the three groups, this algorithm also had a higher odds ratio for achieving 20/20 or better uncorrected visual acuity (OR = 1.58). CONCLUSION At 6 months, all three algorithms were effective in the reduction of myopia. Significantly better visual acuity and refractive results were achieved with the Alpins multizone algorithm that spread the total treatment over a larger number of ablation zones, with an equal number of diopters of treatment in each zone.
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Affiliation(s)
- N A Alpins
- Melbourne Excimer Laser Group, Australia
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Abstract
An educational package of common ergonomic training as well as behavioural training was implemented in nursing education. The teaching methods also had the aim of increasing students' awareness of the importance of total work environment for the prevention of back injuries. The experimental group was, on the whole, more pleased with their education than the control group. The experimental group judged their ability to analyse the work environment higher than the control group did. Observations in some practical work-tasks showed that students from the experimental group worked in physically more favourable positions with less strain on the body.
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Affiliation(s)
- A L Hellsing
- Department of Occupational Medicine, Orebro Regional Hospital, Sweden
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Liew M. Terminal care at home. Nurs J Singapore 1985; 24:49-52. [PMID: 3851302] [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: 01/07/2023]
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Fleming A, Charlesworth J, Liew M, Portek I, Bertouch J, Quin J. Clinical significance of immune complexes in rheumatoid disease. Aust N Z J Med 1981; 11:231-4. [PMID: 6945832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Circulating immune complexes were measured by the Clq binding assay in 49 cases of rheumatoid disease. Raised levels showed a positive correlation with activity of the arthritis, the number of involved joints and the erythrocyte sedimentation rate. No correlation was found with age, sex, duration of disease, rheumatoid nodules, presented of radiographic joint erosions or other haematological and serological parameters. In 12 patients the arthritis subsequently remitted and this remission in disease activity correlated with reduced levels of immune complexes.
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Edmonds J, Macauley D, Tyndall A, Liew M, Alexander K, Geczy A, Bashir H. Lymphocytotoxicity of anti-Klebsiella antisera in ankylosing spondylitis and related arthropathies: patient and family studies. Arthritis Rheum 1981; 24:1-7. [PMID: 7008798 DOI: 10.1002/art.1780240101] [Citation(s) in RCA: 40] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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Liew M, Wilson D, Horton D, Fleming A. Successful valve replacement for aortic incompetence in rheumatoid arthritis with vasculitis. Ann Rheum Dis 1979; 38:483-4. [PMID: 518150 PMCID: PMC1000399 DOI: 10.1136/ard.38.5.483] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A patient with rheumatoid arthritis (RA), vasculitis, and aortic valve incompetence of the histologically nonspecific type is described. Valve replacement was undertaken, and an excellent haemodynamic result was achieved. Both arthritis and vasculitis subsequently remitted. Valve replacement can be successfully performed in RA despite active vasculitis.
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