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Reynolds T, Higgins P, Watanabe Y. MO-D-213-04: The Proximity to the Skin of PTV Affects PTV Coverage and Skin Dose for TomoTherapy. Med Phys 2015. [DOI: 10.1118/1.4925320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Haskett S, Boudaoud S, Reynolds T, Nocturne G, Themeles M, Dunstan R, Zheng T, Mingueneau M, Xavier M. AB0170 Cytof Analysis of Lip Biopsies from SjÖgren's Subjects Identifies Dysregulated Immune and Non-Immune Cell Subsets. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.6043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Wolfson P, Carter T, Kudhail J, Reynolds T, Moule R. EP-1681: Is understanding of the risks and benefits of radiotherapy affected by the consenting healthcare professional? Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41673-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Carter T, Wolfson P, Kudhail J, Reynolds T, Moule R. EP-1680: Does access to online resources affect patient satisfaction and understanding of radiotherapy treatment? Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41672-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Reynolds T, Gerbi B, Higgins P. SU-E-T-96: Demonstration of a Consistent Method for Correcting Surface Dose Measurements Using Both Solid State and Ionization Chamber Detectors. Med Phys 2014. [DOI: 10.1118/1.4888426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Reynolds T, Higgins P. SU-E-T-91: Correction Method to Determine Surface Dose for OSL Detectors. Med Phys 2014. [DOI: 10.1118/1.4888421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Mgalula S, Reynolds T, Mwafongo V, Runyon M. Management of patients with non-traumatic hypotension presenting at emergency department Muhimbili national hospital. Afr J Emerg Med 2013. [DOI: 10.1016/j.afjem.2013.08.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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George U, Ringo F, Mwafongo V, Kautz J, Runyon M, Reynolds T. The systemic inflammatory response syndrome as a predictor of mortality among febrile children in the emergency department. Afr J Emerg Med 2013. [DOI: 10.1016/j.afjem.2013.08.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Mfinanga J, Sawe H, Mwafongo V, Reynolds T. Paediatric trauma causes, patterns and early intervention at the Muhimbili national hospital emergency department in Dar es Salaam, Tanzania. Afr J Emerg Med 2013. [DOI: 10.1016/j.afjem.2013.08.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Ringo F, George U, Glomb N, Mwafongo V, Runyon M, Reynolds T. Clinical presentation, diagnostic evaluation, treatment and diagnoses of febrile children presenting to the emergency department at Muhimbili national hospital in Dar es Salaam, Tanzania. Afr J Emerg Med 2013. [DOI: 10.1016/j.afjem.2013.08.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Josephson E, Teitell R, Prota D, Waseem M, Kornberg. R, Reynolds T. Childhood Obesity: Assessing the Parents’ Perceptions of Children’s Weight as a Health Risk. Ann Emerg Med 2013. [DOI: 10.1016/j.annemergmed.2013.07.481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Reynolds T, Button AH, MacWilliam IC. MALTING WITH PRODUCTION OF MINIMUM EFFLUENT. JOURNAL OF THE INSTITUTE OF BREWING 2013. [DOI: 10.1002/j.2050-0416.1966.tb02966.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Reynolds T, MacWilliam IC. WATER UPTAKE AND ENZYMIC ACTIVITY DURING STEEPING OF BARLEY. JOURNAL OF THE INSTITUTE OF BREWING 2013. [DOI: 10.1002/j.2050-0416.1966.tb02947.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Kirsop BH, Reynolds T, Griffiths CM. THE DISTRIBUTION OF WATER IN GERMINATING BARLEY. JOURNAL OF THE INSTITUTE OF BREWING 2013. [DOI: 10.1002/j.2050-0416.1967.tb03033.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Pollock JRA, Pool A, Reynolds T. CHEMICAL ASPECTS OF MALTING: IX. ANTHOCYANOGENS IN BARLEY AND OTHER CEREALS AND THEIR FATE DURING MALTING. JOURNAL OF THE INSTITUTE OF BREWING 2013. [DOI: 10.1002/j.2050-0416.1960.tb01730.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Griffiths CM, MacWilliam IC, Reynolds T. EFFECTS OF ACETATES ON MALTING BARLEY. JOURNAL OF THE INSTITUTE OF BREWING 2013. [DOI: 10.1002/j.2050-0416.1965.tb02063.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Reynolds T, Jhanji S, Vivian-Smith A, Pearse RM. Observational study of the effects of age, diabetes mellitus, cirrhosis and chronic kidney disease on sublingual microvascular flow. Crit Care 2013. [PMCID: PMC3642591 DOI: 10.1186/cc12153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Sandberg JC, Ge Y, Nguyen HT, Arcury TA, Johnson AJ, Hwang W, Gage HD, Reynolds T, Carr JJ. Insight into the sharing of medical images: physician, other health care providers, and staff experience in a variety of medical settings. Appl Clin Inform 2012; 3:475-87. [PMID: 23646092 DOI: 10.4338/aci-2012-06-ra-0022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Accepted: 11/11/2012] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Scant knowledge exists describing health care providers' and staffs' experiences sharing imaging studies. Additional research is needed to determine the extent to which imaging studies are shared in diverse health care settings, and the extent to which provider or practice characteristics are associated with barriers to viewing external imaging studies on portable media. OBJECTIVE This analysis uses qualitative data to 1) examine how providers and their staff accessed outside medical imaging studies, 2) examine whether use or the desire to use imaging studies conducted at outside facilities varied by provider specialty or location (urban, suburban, and small town) and 3) delineate difficulties experienced by providers or staff as they attempted to view and use imaging studies available on portable media. METHODS Semi-structured interviews were conducted with 85 health care providers and medical facility staff from urban, suburban, and small town medical practices in North Carolina and Virginia. The interviews were audio recorded, transcribed, then systematically analyzed using ATLAS.ti. RESULTS Physicians at family and pediatric medicine practices rely primarily on written reports for medical studies other than X-rays; and thus do not report difficulties accessing outside imaging studies. Subspecialists in urban, suburban, and small towns view imaging studies through internal communication systems, internet portals, or portable media. Many subspecialists and their staff report experiencing difficulty and time delays in accessing and using imaging studies on portable media. CONCLUSION Subspecialists have distinct needs for viewing imaging studies that are not shared by typical primary care providers. As development and implementation of technical strategies to share medical records continue, this variation in need and use should be noted. The sharing and viewing of medical imaging studies on portable media is often inefficient and fails to meet the needs of many subspeciality physicians, and can lead to repeated imaging studies.
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Naqvi SG, Iqbal S, Reynolds T, Braithwaite I, Banim R. Is a lateral view essential in management of hip fracture? Eur J Radiol 2012; 81:3394-6. [DOI: 10.1016/j.ejrad.2012.03.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2011] [Accepted: 03/18/2012] [Indexed: 10/28/2022]
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Reynolds T, Sawe H, Lobue N, Mwafongo V. 107 Most Frequent Adult and Pediatric Diagnoses Among 60,000 Patients Seen in a New Urban Emergency Department in Dar Es Salaam, Tanzania. Ann Emerg Med 2012. [DOI: 10.1016/j.annemergmed.2012.06.084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Waseem M, James J, Ayanruoh S, Quee F, Reynolds T, Leber M. 134 Is MRSA Coverage Considered When Treating Skin and Soft Tissue Infections in the Emergency Department? Ann Emerg Med 2012. [DOI: 10.1016/j.annemergmed.2012.06.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Miss J, Noble J, Reynolds T, Stein J. 109 Bedside Ultrasonography Training and Barriers to Utilization in Chiapas, Mexico. Ann Emerg Med 2012. [DOI: 10.1016/j.annemergmed.2012.06.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Reynolds T, Cecconi M, Collinson P, Rhodes A, Grounds RM, Hamilton MA. Raised serum cardiac troponin I concentrations predict hospital mortality in intensive care unit patients. Br J Anaesth 2012; 109:219-24. [PMID: 22617093 DOI: 10.1093/bja/aes141] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Recent work suggests that increased plasma concentrations of cardiac troponin I (cTnI) are common in critically ill patients and are associated with poor outcome. We measured the frequency of increased plasma cTnI concentrations during patients' stay in a mixed medical/surgical intensive care unit (ICU) and compared our findings with hospital mortality. METHODS Basic details, organ support, and hospital mortality were recorded for all patients treated in ICU during a 6 month period. cTnI concentrations were sampled daily for all patients, using 0.04 µg litre(-1) as the upper limit of normal, and 0.12 µg litre(-1) as an additional stratification point. RESULTS Of 663 patients, 54% were male, with a mean (sd) age of 60 (18) yr, 65% were surgical patients, and the median Acute Physiology and Chronic Ill Health II (APACHE II) score was 15 (inter-quartile range 12-20). Increased cTnI concentrations were found in 345 patients (52%) while in ICU. One hundred and twenty patients (18%) died in hospital. cTnI concentration >0.04 µg litre(-1) was associated with reduced odds of hospital survival, independent of age, medical admission, unplanned admission, APACHE II score, mechanical ventilation, and haemofiltration (adjusted odds ratio 0.25, 95% confidence interval 0.08-0.75, P=0.014). Stratification by the degree of cTnI increase revealed an incremental trend towards a lower odds of hospital survival, including for patients with 'minor' elevations of cTnI (0.05-0.12 µg litre(-1)). CONCLUSIONS Increased serum cTnI concentrations during ICU stay independently predicts hospital mortality, even when the threshold is low. We found a trend towards an association between 'minor' elevations in cTnI and higher in-hospital mortality.
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Mistry N, Rockley TJ, Reynolds T, Hopkins C. Development and validation of a symptom questionnaire for recording outcomes in adult lacrimal surgery. Rhinology 2012; 49:538-45. [PMID: 22125784 DOI: 10.4193/rhino11.042] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND A symptom-based questionnaire (the `Lac-Q` questionnaire) for adult patients undergoing lacrimal drainage surgery was developed. The questionnaire yields a numerical score that can be used to assess severity of symptoms. METHODOLOGY In this study, the questionnaire was evaluated in 17 consecutive patients undergoing 22 dacryocystorhinostomy (DCR) procedures. The questionnaire was administered pre- and postoperatively. The pathology encountered at operation was recorded. The success of surgery was judged by patient satisfaction, endoscopic evaluation of DCR stomal patency, and objective lacrimal drainage testing using the functional endoscopic dye test (FEDT). In a further group of 12 pre-operative cases, the questionnaire was repeated after 4-6 weeks but before surgery, to assess test-retest reliability in the absence of clinical change. RESULTS The Lac-Q questionnaire was based on two broad categories of eye-specific scores and social impact scores. A numerical score, the `Lac-Q` score, was generated pre- and postoperatively. When compared to pre-operative scores, the reduction in Lac-Q scores postoperatively was significant. Postoperative scores also correlated well with objective lacrimal drainage testing using the FEDT. Analysis of symptom scores shows that the questionnaire was reliable with regard to content validity, internal consistency, test-retest reliability, and responsiveness to clinical change. CONCLUSIONS We conclude that the Lac-Q questionnaire is a useful clinical tool to evaluate outcomes after adult lacrimal surgery.
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Stein J, Lee E, Wang R, Sanford E, Martinez C, Cortez A, McAlpine I, Reynolds T, Jacoby V. 250: The Utility of Formal Radiology Ultrasonography After Indeterminate Emergency Physician Pelvic Ultrasonography In the Evaluation of Ectopic Pregnancy. Ann Emerg Med 2010. [DOI: 10.1016/j.annemergmed.2010.06.299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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