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Nguyen J, Abdoli S, Ochoa C. Caverno-saphenous shunt for recurrent priapism. J Vasc Surg Cases Innov Tech 2023; 9:101359. [PMID: 38106342 PMCID: PMC10725074 DOI: 10.1016/j.jvscit.2023.101359] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 10/11/2023] [Indexed: 12/19/2023] Open
Abstract
We present a case of medication-induced priapism that was refractory to conventional urologic methods and required treatment with a caverno-saphenous bypass. The patient had been misusing an injectable erectile dysfunction medication consisting of alprostadil, papaverine, and phentolamine (Trimix), resulting in multiple episodes of priapism. His initial episodes of priapism were successfully treated with the traditional urologic algorithm, including phenylephrine, aspiration, and distal shunting. However, due to his continued medication misuse, these became ineffective, requiring proximal shunt surgery. Priapism requiring an extra-anatomic bypass is exceedingly rare. Following our proximal shunt surgery, he maintained partial sexual function, and his bypass remained patent.
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Affiliation(s)
- Jade Nguyen
- Department of Vascular Surgery, Huntington Hospital, Pasadena, CA
| | - Sherwin Abdoli
- Department of Vascular Surgery, Huntington Hospital, Pasadena, CA
| | - Christian Ochoa
- Department of Vascular Surgery, Keck Medicine of USC, Los Angeles, CA
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Abdoli S, Mert M, Lee WM, Ochoa CJ, Katz SG. Network meta-analysis of drug-coated balloon angioplasty versus primary nitinol stenting for femoropopliteal atherosclerotic disease. J Vasc Surg 2021; 73:1802-1810.e4. [PMID: 33249205 PMCID: PMC8330618 DOI: 10.1016/j.jvs.2020.10.075] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 10/19/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Primary nitinol stenting (PNS) and drug-coated balloon (DCB) angioplasty are two of the most common endovascular interventions for femoropopliteal atherosclerotic disease. Although many prospective randomized controlled trials have compared PNS or DCB with plain balloon angioplasty (POBA), no studies have directly compared PNS against DCB therapy. The purpose of this network meta-analysis is to determine whether there is a significant difference in outcomes between PNS and DCB. METHODS The primary outcome measure was binary restenosis, the secondary outcome measures were target lesion revascularization (TLR) and change in the ankle-brachial index (ABI). Outcomes were evaluated at 6, 12, and 24 months. A literature review identified all randomized controlled trials published before March 2020 that compared DCB with POBA or PNS with POBA in the treatment of native atherosclerotic lesions of the femoropopliteal artery. Studies were excluded if they contained in-stent stenosis or tibial artery disease that could not be delineated out in a subgroup analysis. Network meta-analysis was performed using the network and mvmeta commands in STATA 14. RESULTS Twenty-seven publications covering 19 trials were identified; 8 trials compared PNS with POBA and 11 trials compared DCB with POBA. The odds of freedom from binary restenosis for patients treated with DCB compared with PNS at 6 months was 1.19 (95% confidence interval [CI], 0.63-2.22), at 12 months was 1.67 (95% CI, 1.04-2.68), and at 24 months was 1.36 (95% CI, 0.78-2.37). The odds of freedom from TLR for patients treated with DCB compared with PNS at 6 months was 0.66 (95% CI, 0.12-3.80), at 12 months was 1.89 (95% CI, 1.04-3.45), and at 24 months was 1.68 (95% CI, 0.82-3.44). The mean increase in ABI for patients treated with PNS compared with DCB at 6 months was 0.06 higher (95% CI, -0.03 to 0.15), at 12 months was 0.05 higher (95% CI, 0.00-0.09), and at 24 months was 0.07 higher (95% CI, -0.01 to 0.14). CONCLUSIONS Both DCB and PNS demonstrated a lower rate of binary restenosis compared with POBA at the 6-, 12-, and 24-month timepoints. When comparing DCB with PNS through network meta-analysis, DCB had a statistically lower rate of a binary restenosis and TLR at the 12-month timepoint. This network meta-analysis demonstrates that both DCB and PNS are superior to POBA, and that PNS is a satisfactory substitute for DCB when paclitaxel is not desirable.
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Affiliation(s)
- Sherwin Abdoli
- Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif.
| | - Melissa Mert
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, Calif
| | - William M Lee
- Division of Vascular Surgery and Endovascular Therapy, Keck School of Medicine, University of Southern California, Los Angeles, Calif
| | - Christian J Ochoa
- Division of Vascular Surgery and Endovascular Therapy, Keck School of Medicine, University of Southern California, Los Angeles, Calif
| | - Steven G Katz
- Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif; Division of Vascular Surgery and Endovascular Therapy, Keck School of Medicine, University of Southern California, Los Angeles, Calif
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Abdoli S, Hessler D, Vora A, Smither B, Stuckey H. Descriptions of diabetes burnout from individuals with Type 1 diabetes: an analysis of YouTube videos. Diabet Med 2020; 37:1344-1351. [PMID: 31168875 DOI: 10.1111/dme.14047] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [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] [Accepted: 06/04/2019] [Indexed: 01/02/2023]
Abstract
AIM The purpose of the study was to analyse self-descriptions of diabetes burnout in individuals with Type 1 diabetes via YouTube videos. METHODS In this qualitative descriptive study, a systematic approach was used to search YouTube videos with a title, description or content specifically about diabetes burnout dated between 2007 and 2017. Irrelevant or duplicated videos were excluded using eligibility criteria. All videos meeting inclusion criteria (n = 32) from individuals with Type 1 diabetes were transcribed verbatim and analysed using a qualitative content analysis approach. Descriptive statistics were used to analyse video characteristics. RESULTS The four major themes associated with diabetes burnout were: (i) feeling mentally drained and physically tired of dealing with self-care; (ii) experiencing a detachment from self, diabetes care and support system; (iii) being powerless and paralysed to 'climb out' of diabetes burnout; and (iv) contributing potential factors to diabetes burnout. CONCLUSIONS Self-descriptions of diabetes burnout suggest that it is a combination of emotions and behaviours on a spectrum from exhaustion to detachment accompanied by an overwhelming sense of powerlessness. More studies are needed to further clarify diabetes burnout and its distinction from, or overlap with, other related psychosocial concepts in diabetes care.
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Affiliation(s)
- S Abdoli
- College of Nursing, University of Tennessee, Knoxville
| | - D Hessler
- Department of Family & Community Medicine, University of California, San Francisco, CA
| | - A Vora
- Graduate School of Medicine, University of Tennessee, Knoxville
- Endocrinology Consultants of East Tennessee, University of Tennessee, Knoxville
| | - B Smither
- Oak Ridge Associated Universities, Oak Ridge TN
| | - H Stuckey
- Public Health Sciences and Humanities, Penn State University, Hershey, PA, USA
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Abdoli S, Sui J, Ziegler K, Katz S, Burnham W, Ochoa C. The periumbilical incision for anterior lumbar interbody fusions. J Vasc Surg Cases Innov Tech 2020; 6:384-387. [PMID: 32715175 PMCID: PMC7371723 DOI: 10.1016/j.jvscit.2020.06.011] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 06/09/2020] [Indexed: 10/28/2022]
Abstract
The traditional retroperitoneal approach for the anterior lumbar interbody fusion (ALIF) uses a longitudinal paramedian incision. In this study, we use a discrete periumbilical incision. A 270-degree semicircular incision is made around the umbilicus and the subcutaneous tissue is dissected radially at a 45-degree angle, creating a mound around the umbilical stalk. Once the anterior sheath is encountered, the steps of the operation converge with those of the traditional approach. In this study, 30 patients underwent a periumbilical ALIF with an average of 2.1 levels fused. Perioperative outcomes were comparable to those described in the ALIF literature. No patients experienced complications attributable to the periumbilical incision.
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Affiliation(s)
- Sherwin Abdoli
- Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Jin Sui
- Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Kenneth Ziegler
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif
| | - Steven Katz
- Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif.,Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif
| | - Walter Burnham
- Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Christian Ochoa
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif
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Abdoli S, Katz S, Ochoa C. Long-Term Patency and Clinical Outcomes of Nitinol Stenting for Femoropopliteal Atherosclerotic Disease. Ann Vasc Surg 2019; 66:566-572. [PMID: 31705987 DOI: 10.1016/j.avsg.2019.11.002] [Citation(s) in RCA: 4] [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: 08/15/2019] [Revised: 10/18/2019] [Accepted: 11/01/2019] [Indexed: 11/25/2022]
Abstract
BACKGROUND Treatment of peripheral arterial disease (PAD) has become increasingly dominated by endovascular interventions. The short-term outcomes of endovascular therapy have been well studied, but late outcomes remain largely unpublished; in this series, we report the late outcomes of primary nitinol stenting. METHODS All patients undergoing primary nitinol stenting of the superficial femoral artery (SFA) and/or popliteal artery (PA) during a 10-year period by a single surgeon (S.K.) were reviewed. No attempts were made on patients with orificial or total occlusion of the SFA, PA, and proximal tibial arteries. Differences in primary patency, primary-assisted patency, secondary patency, and freedom from bypass were evaluated at 1, 5, and 9 years. RESULTS A total of 294 limbs in 240 patients were treated. One hundred and thirty additional endovascular procedures were observed during the study period averaging to 0.16 endovascular interventions per limb per year. Primary patency in TASC A/B limbs at 1, 5, and 9 years was 79%, 35%, and 19%, respectively, and in TASC C/D limbs was 62%, 11%, and 3%, respectively. Secondary patency in TASC A/B limbs at 1, 5, and 9 years was 96%, 81%, and 65%, respectively, and in TASC C/D limbs was 92%, 64%, and 41%, respectively. Freedom from bypass in TASC A/B limbs at 1, 5, and 9 years was 98%, 89%, and 85%, respectively, and in TASC C/D limbs was 95%, 78%, and 69%, respectively. Five below-the-knee amputations were observed during the study period. CONCLUSIONS An endovascular-first approach can be applied to the vast majority of femoropopliteal lesions. While the late outcomes of TASC C/D lesions are inferior to those of TASC A/B lesions, an endovascular-first approach still provides durable outcomes.
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Affiliation(s)
- Sherwin Abdoli
- Department of Surgery, Huntington Memorial Hospital, Pasadena, CA.
| | - Steven Katz
- Department of Surgery, Huntington Memorial Hospital, Pasadena, CA; Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, CA
| | - Christian Ochoa
- Department of Surgery, Huntington Memorial Hospital, Pasadena, CA; Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, CA
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Palmer SL, Abdoli S, Crookes PF. Preoperative Pneumoperitoneum: Low-Risk Surgical Adjunct to the Surgical Management of Dense Abdominal Adhesions. J Vasc Interv Radiol 2019; 30:761-764. [PMID: 30948324 DOI: 10.1016/j.jvir.2018.10.012] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 08/21/2018] [Accepted: 10/11/2018] [Indexed: 10/27/2022] Open
Abstract
Surgical lysis of intra-abdominal adhesions is associated with a high rate of complications. This brief report presents 24 patients with dense intra-abdominal adhesions who underwent preoperative progressive pneumoperitoneum (PPP) prior to surgical lysis of adhesions. PPP was successfully performed in 23 patients, with few adverse events, resulting in subjectively improved ease of intraoperative tissue dissection. One patient withdrew due to intractable pain during insufflation. The results suggest that PPP is a low-risk technique with the potential to improve access to intra-abdominal structures in patients for whom conventional surgical therapy is predicted to carry a high rate of complications.
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Affiliation(s)
- Suzanne L Palmer
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Los Angeles, CA 90033.
| | - Sherwin Abdoli
- Surgery, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Los Angeles, CA 90033
| | - Peter F Crookes
- Surgery, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Los Angeles, CA 90033
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Abdoli S, Mahajan A, Han SM, Rowe VL, Katz SG, Ochoa CJ. Early cannulation of bovine carotid artery grafts (Artegraft) after primary vascular access and fistula revision procedures. J Vasc Surg 2018; 68:1865-1871. [PMID: 29960792 DOI: 10.1016/j.jvs.2018.04.061] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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] [Received: 12/17/2017] [Accepted: 04/27/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Tunneled dialysis catheter (TDC) use has been associated with increased infectious complications and mortality in hemodialysis-dependent patients. Unfortunately, patients who undergo fistula revisions or creation of a new arteriovenous fistula frequently require a TDC during the postoperative period. Bovine carotid artery grafts (BCAGs) can be used as an early-access dialysis conduit to reduce TDC dependence. This study describes the performance of BCAGs that were cannulated early (<3 days) after implantation and associated clinical outcomes. METHODS BCAGs were implanted in 63 consecutive dialysis-dependent patients. Patients and dialysis centers were directly provided early cannulation instructions; 31 (49%) patients were cannulated early, and of the 31 patients cannulated early, 21 (68%) were cannulated during the first postoperative day. Early complications, primary patency, secondary patency, and TDC incidence were monitored through clinic visits, hospital records, and phone calls to dialysis centers. RESULTS The primary patency of BCAGs at 1 year in the early and late cannulation cohorts was 28% and 39%, respectively. The secondary patency of BCAGs at 1 year in the early and late cannulation cohorts was 74% and 77%, respectively. Early complications occurred in 11 (19%) patients who received a BCAG. There were no significant differences in complication rates between early and late cannulation patients. Of the 24 patients who underwent the operation without a pre-existing TDC, only three (13%) required TDC placement during the 30-day postoperative period. CONCLUSIONS BCAGs can be cannulated early without increased complication rates or a negative impact on midterm patency. Early cannulation of BCAGs obviates the need for a TDC postoperatively in dialysis-dependent patients undergoing primary vascular access or fistula revision procedures.
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Affiliation(s)
- Sherwin Abdoli
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Anuj Mahajan
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Sukgu M Han
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Vincent L Rowe
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Steven G Katz
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif
| | - Christian J Ochoa
- Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Department of Surgery, Huntington Memorial Hospital, Pasadena, Calif.
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Abdoli S, Ham SW, Wilcox AG, Fleischman F, Lam L. Symptomatic Intragraft Thrombus following Endovascular Repair of Blunt Thoracic Aortic Injury. Ann Vasc Surg 2017; 42:305.e7-305.e12. [PMID: 28389290 DOI: 10.1016/j.avsg.2016.12.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 11/23/2016] [Accepted: 12/11/2016] [Indexed: 11/25/2022]
Abstract
Thoracic endovascular aortic repair (TEVAR) can be complicated by graft collapse, endoleaks, and stent migration. The incidence of these complications and other outcomes is poorly understood in young trauma victims who receive endovascular aortic repair of blunt thoracic aortic injury (BTAI). A 29-year-old pedestrian was struck by a vehicle resulting in polytrauma including BTAI with transection distal to the left subclavian artery origin. The patient underwent successful TEVAR. Nine months later, the patient developed transient paresthesia below the waist that progressed to bilateral lower extremity paralysis and malperfusion syndrome below the diaphragm including nonpalpable pulses in the lower extremities, acute renal failure, and ischemic colitis. Imaging demonstrated near occlusive thrombosis of the distal end of the thoracic endograft. An emergent axillobifemoral bypass resolved the organ malperfusion and acute limb ischemia. Patients who have undergone TEVAR for BTAI may develop asymptomatic or symptomatic intragraft thrombosis. In patients presenting with malperfusion syndrome below the diaphragm, extra-anatomic bypass can expeditiously resolve symptoms until definitive treatment can be performed. Oversizing of thoracic stents in trauma patient may lead to intragraft thrombosis.
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Affiliation(s)
- Sherwin Abdoli
- Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, Los Angeles, CA
| | - Sung Wan Ham
- Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Southern California, Los Angeles, CA
| | - Alison G Wilcox
- Department of Radiology, University of Southern California, Los Angeles, CA
| | - Fernando Fleischman
- Division of Cardiothoracic Surgery, Department of Surgery, University of Southern California, Los Angeles, CA
| | - Lydia Lam
- Division of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA.
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Abdoli S, Tatum JM, Fratello AL, Bowdish ME, Baker CJ. Type B Aortic Arch Interruption in an Adult. Ann Thorac Surg 2017; 102:e431-e432. [PMID: 27772600 DOI: 10.1016/j.athoracsur.2016.04.040] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Revised: 04/06/2016] [Accepted: 04/12/2016] [Indexed: 11/30/2022]
Abstract
The presentation and treatment of a patient with a type B interrupted aortic arch with an isolated left subclavian artery is described.
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Affiliation(s)
- Sherwin Abdoli
- Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California
| | - James M Tatum
- Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California
| | - Ashley L Fratello
- Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California
| | - Michael E Bowdish
- Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California
| | - Craig J Baker
- Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California.
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Abdoli S, Ho LC, Zhang JW, Dong CM, Lau C, Wu EX. Diffusion tensor imaging reveals changes in the adult rat brain following long-term and passive moderate acoustic exposure. J Acoust Soc Am 2016; 140:4540. [PMID: 28040046 DOI: 10.1121/1.4972300] [Citation(s) in RCA: 2] [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: 06/06/2023]
Abstract
This study investigated neuroanatomical changes following long-term acoustic exposure at moderate sound pressure level (SPL) under passive conditions, without coupled behavioral training. The authors utilized diffusion tensor imaging (DTI) to detect morphological changes in white matter. DTIs from adult rats (n = 8) exposed to continuous acoustic exposure at moderate SPL for 2 months were compared with DTIs from rats (n = 8) reared under standard acoustic conditions. Two distinct forms of DTI analysis were applied in a sequential manner. First, DTI images were analyzed using voxel-based statistics which revealed greater fractional anisotropy (FA) of the pyramidal tract and decreased FA of the tectospinal tract and trigeminothalamic tract of the exposed rats. Region of interest analysis confirmed (p < 0.05) that FA had increased in the pyramidal tract but did not show a statistically significant difference in the FA of the tectospinal or trigeminothalamic tract. The results of the authors show that long-term and passive acoustic exposure at moderate SPL increases the organization of white matter in the pyramidal tract.
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Affiliation(s)
- Sherwin Abdoli
- Keck School of Medicine, University of Southern California, 1975 Zonal Avenue, Los Angeles, California 90033, USA
| | - Leon C Ho
- Laboratory of Biomedical Imaging and Signal Processing, LB1037, 10/F, Laboratory Block, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China
| | - Jevin W Zhang
- Laboratory of Biomedical Imaging and Signal Processing, LB1037, 10/F, Laboratory Block, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China
| | - Celia M Dong
- Laboratory of Biomedical Imaging and Signal Processing, LB1037, 10/F, Laboratory Block, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China
| | - Condon Lau
- Department of Physics and Materials Science, G6702, 6/F, Academic Building 1, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong, China
| | - Ed X Wu
- Laboratory of Biomedical Imaging and Signal Processing, LB1037, 10/F, Laboratory Block, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China
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Mahajan A, Abdoli S, Han S, Ochoa C. Early Access of Bovine Carotid Artery Graft Can Eliminate the Use of Tunneled Hemodialysis Catheters. J Vasc Surg 2016. [DOI: 10.1016/j.jvs.2016.05.033] [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: 10/21/2022]
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Tatum J, Abdoli S, Schenkel F, Possemato T, Barr M, Crookes P, Bowdish M. Change in Body Mass Index over Time after Continuous Flow Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.134] [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: 11/16/2022] Open
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Abstract
BACKGROUND Empowerment and power are well-researched concepts concerning people with chronic diseases. However, few researchers have focused specifically on the process of empowerment in Iranian people with diabetes. Understanding the empowerment process could help health professionals facilitate empowerment. AIM To explore the empowerment process in Iranian people with diabetes. METHOD A grounded theory research design was used incorporating in-depth interviews to collect the data from men and women aged 21-73 years (n = 16). Data were collected between February and July 2007. Constant comparative analysis was undertaken to identify key categories. FINDINGS Participants indicated being embarrassed by the diagnosis, thirsting to learn, living in the shadow of fear, accepting diabetes as reality, managing diabetes and feeling empowered were distinct but interconnected phases in the empowerment process. The empowerment process was influenced by cultural and religious beliefs including the concept of the doctor as holy man, accepting diabetes as God's will, caring for the body because it was God's gift, paying attention to symptomatic disease, and support from peers and family, especially daughters. CONCLUSION The empowerment process consists of several distinct but interconnected phases. The findings will help health professionals develop a deeper understanding of how Iranian people with diabetes become empowered.
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Affiliation(s)
- S Abdoli
- Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran
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