1
|
Hall T, Leeies M, Funk D, Hrymak C, Siddiqui F, Black H, Webster K, Tkach J, Waskin M, Dufault B, Kowalski S. Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study. Can J Anaesth 2023; 70:351-358. [PMID: 36670315 PMCID: PMC9857903 DOI: 10.1007/s12630-022-02390-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 07/08/2022] [Accepted: 09/20/2022] [Indexed: 01/21/2023] Open
Abstract
PURPOSE Emergency airway management can be associated with a range of complications including long-term neurologic injury and death. We studied the first-pass success rate with emergency airway management in a tertiary care trauma centre. Secondary outcomes were to identify factors associated with first-pass success and factors associated with adverse events peri-intubation. METHODS We performed a single-centre, prospective, observational study of patients ≥ 17 yr old who were intubated in the emergency department (ED), surgical intensive care unit (SICU), medical intensive care unit (MICU), and inpatient wards at our institution. Ethics approval was obtained from the local research ethics board. RESULTS In a seven-month period, there were 416 emergency intubations and a first-pass success rate of 73.1%. The first-pass success rates were 57.5% on the ward, 66.1% in the intensive care units (ICUs) and 84.3% in the ED. Equipment also varied by location; videolaryngoscopy use was 65.1% in the ED and only 10.6% on wards. A multivariate regression model using the least absolute shrinkage and selection algorithm (LASSO) showed that the odds ratios for factors associated with two or more intubation attempts were location (wards, 1.23; MICU, 1.24; SICU, 1.19; reference group, ED), physiologic instability (1.19), an anatomically difficult airway (1.05), hypoxemia (1.98), lack of neuromuscular blocker use (2.28), and intubator inexperience (1.41). CONCLUSIONS First-pass success rates varied widely between locations within the hospital and were less than those published from similar institutions, except for the ED. We are revamping ICU protocols to improve the first-pass success rate.
Collapse
Affiliation(s)
- Thomas Hall
- Department of Anesthesiology, Perioperative and Pain Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
| | - Murdoch Leeies
- Department of Emergency Medicine, Section of Critical Care, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Duane Funk
- Department of Anesthesiology, Perioperative and Pain Medicine, Section of Critical Care, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Carmen Hrymak
- Department of Emergency Medicine, Section of Critical Care, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Faisal Siddiqui
- Department of Anesthesiology, Perioperative and Pain Medicine, Section of Critical Care, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Holly Black
- Department of Emergency Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Kim Webster
- Health Sciences Centre, Winnipeg, MB, Canada
| | - Jenn Tkach
- Health Sciences Centre, Winnipeg, MB, Canada
| | - Matt Waskin
- Health Sciences Centre, Winnipeg, MB, Canada
| | - Brenden Dufault
- George and Fay Yee Centre for Health Care Innovation, University of Manitoba, Winnipeg, MB, Canada
| | - Stephen Kowalski
- Department of Anesthesiology, Perioperative and Pain Medicine, Section of Critical Care, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| |
Collapse
|
2
|
Carter H, Webster K, Smith B. The preoperative physiotherapy management strategies for patients awaiting anterior cruciate ligament reconstruction (ACLR): A survey of physiotherapists. Physiotherapy 2021. [DOI: 10.1016/j.physio.2021.10.082] [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: 10/19/2022]
|
3
|
Boundy-Mills K, McCluskey K, Elia P, Glaeser JA, Lindner DL, Nobles DR, Normanly J, Ochoa-Corona FM, Scott JA, Ward TJ, Webb KM, Webster K, Wertz JE. Preserving US microbe collections sparks future discoveries. J Appl Microbiol 2019; 129:162-174. [PMID: 31758754 PMCID: PMC7383923 DOI: 10.1111/jam.14525] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 06/27/2019] [Revised: 09/26/2019] [Accepted: 11/20/2019] [Indexed: 11/28/2022]
Abstract
Collections of micro‐organisms are a crucial element of life science research infrastructure but are vulnerable to loss and damage caused by natural or man‐made disasters, the untimely death or retirement of personnel, or the loss of research funding. Preservation of biological collections has risen in priority due to a new appreciation for discoveries linked to preserved specimens, emerging hurdles to international collecting and decreased funding for new collecting. While many historic collections have been lost, several have been preserved, some with dramatic rescue stories. Rescued microbes have been used for discoveries in areas of health, biotechnology and basic life science. Suggestions for long‐term planning for microbial stocks are listed, as well as inducements for long‐term preservation.
Collapse
Affiliation(s)
- K Boundy-Mills
- Phaff Yeast Culture Collection, Food Science and Technology, University of California Davis, Davis, CA, USA
| | - K McCluskey
- Department of Plant Pathology, Fungal Genetics Stock Center, Kansas State University, Manhattan, KS, USA
| | - P Elia
- Soybean Genomics and Improvement Laboratory, USDA-ARS Rhizobium Germplasm Resource Collection, Beltsville, MD, USA
| | - J A Glaeser
- Center for Forest Mycology Research, USDA-Forest Service, Northern Research Station, Madison, WI, USA
| | - D L Lindner
- Center for Forest Mycology Research, USDA-Forest Service, Northern Research Station, Madison, WI, USA
| | - D R Nobles
- UTEX Culture Collection of Algae, The University of Texas at Austin, Austin, TX, USA
| | - J Normanly
- Department of Biochemistry and Molecular Biology, University of Massachusetts, Amherst, MA, USA
| | - F M Ochoa-Corona
- National Institute for Microbial Forensics & Food and Agricultural Biosecurity, Oklahoma State University, Stillwater, OK, USA
| | - J A Scott
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - T J Ward
- USDA-Agricultural Research Service, Peoria, IL, USA
| | - K M Webb
- Soil Management and Sugar Beet Research Unit, USDA-ARS, Fort Collins, CO, USA
| | - K Webster
- Department of Biochemistry and Molecular Biology, University of Massachusetts, Amherst, MA, USA.,Institute of Applied Life Sciences, University of Massachusetts, Amherst, MA, USA
| | - J E Wertz
- E. coli Genetic Stock Center, Department of Molecular, Cellular and Developmental Biology, Yale University, New Haven, CT, USA
| |
Collapse
|
4
|
Perraton L, Mentiplay B, Bower K, Feller J, Whitehead T, Webster K, Clark R. Impairments in knee extensor and ankle plantarflexor rate of torque development are associated with slower walking following total knee arthroplasty. J Sci Med Sport 2019. [DOI: 10.1016/j.jsams.2019.08.222] [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: 10/25/2022]
|
5
|
Johnston P, Feller J, McClelland J, Webster K. Comparison of quadriceps and hamstring tendon grafts for anterior cruciate ligament reconstruction surgery. J Sci Med Sport 2019. [DOI: 10.1016/j.jsams.2019.08.253] [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]
|
6
|
McGrath BA, Lynch K, Templeton R, Webster K, Simpson W, Alexander P, Columb MO. Assessment of scoring systems to describe the position of tracheostomy tubes within the airway - the lunar study. Br J Anaesth 2018; 118:132-138. [PMID: 28039250 DOI: 10.1093/bja/aew336] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2016] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Malposition of tracheostomy tubes is difficult to detect at the bedside and may contribute to eventual device misplacement. Endoscopic examination can be undertaken via tracheoscopic (T-view) or trans-laryngeal (L-view) approach, offering more precise detail regarding positioning within the airway. The aims of this study were to evaluate inter-rater agreement between bespoke T and L view scoring systems and subsequently whether T-views could predict L-views. METHODS Adult intensive care unit patients with percutaneous or surgical tracheostomies were included and paired T and L-views of their tracheostomy tube within the airway were taken on up to four occasions. Images were later scored by five independent raters using bespoke scoring systems. The primary outcome was to determine the T and L view scoring system with the best inter-rater agreement, defined by weighted kappa and intra-class correlation coefficients. The secondary outcome was to assess agreement between T and L-view scoring systems. RESULTS Seventy-one T-views and 43 L-views were obtained from a total of 20 patients. Images were scored by five raters, resulting in 355 T-view scores, 215 L-view scores and 215 paired T and L-view scores for comparison. There was good inter-rater agreement (highest T-view k = 0.84, L-view k = 0.72). There was poor agreement between T and L-view scores for each of the paired images (highest k = 0.25) although extreme-to-extreme misclassification rates remained acceptable. CONCLUSIONS Whilst our data demonstrated good inter-rater agreement between scoring systems, it is not possible to reliably predict the T-view orientation and position of a tracheostomy tube within the airway from the paired L-view. CLINICAL TRIAL REGISTRATION NCT01356719.
Collapse
Affiliation(s)
- B A McGrath
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK .,Institute of Inflammation and Repair, Manchester Academic Health Sciences Centre, Manchester, UK
| | - K Lynch
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK
| | - R Templeton
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK
| | - K Webster
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK
| | - W Simpson
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK
| | - P Alexander
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK
| | - M O Columb
- Department of Anaesthesia and Intensive Care Medicine, University Hospital of South Manchester, Manchester, UK
| |
Collapse
|
7
|
Ebert J, Webster K, Edwards P, Joss B, D’Allesandro P, Janes G, Annear P. Current perspectives of Australian orthopaedic surgeons on rehabilitation and return to sport after anterior cruciate ligament reconstruction. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.103] [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: 10/28/2022]
|
8
|
Deek M, Sloan L, Blackford A, Abrams R, Cecil E, Starmer H, Fakhry C, Gourin C, Kang H, Webster K, Richmon J, Chung C, Koch W, Kiess A, Sanguineti G, McNutt T, Forastiere A, Quon H. A Phase II Study of Radiation Therapy Deintensification for HPV-Associated Oropharyngeal Carcinomas: Long-Term Oncologic and Toxicity Results. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.094] [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: 10/28/2022]
|
9
|
Howson ELA, Soldan A, Webster K, Beer M, Zientara S, Belák S, Sanchez-Vizcaino JM, Van Borm S, King DP, Fowler VL. Technological advances in veterinary diagnostics: opportunities to deploy rapid decentralised tests to detect pathogens affecting livestock. REV SCI TECH OIE 2018; 36:479-498. [PMID: 30152469 DOI: 10.20506/rst.36.2.2668] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Sustainable food production capable of feeding a growing human population is a significant global challenge, and is a priority encompassed within the United Nations Millennium Development Goal to 'eradicate extreme poverty and hunger'. Infectious diseases reduce the productivity of farm animals, and the globalised trade of animals and their products increases the threat of disease incursion. Accurate and rapid diagnostic tests are an essential component of contingency plans to detect, control and eradicate such diseases. Diagnosis involves a 'pipeline' that normally starts with clinical suspicion, followed by collecting samples, transporting specimens to a centralised laboratory setting (e.g. national/international Reference Laboratories), analysing these samples using a range of diagnostic tests and reporting the results. However, the transport of specimens from the field to the laboratory can be a lengthy process that can delay critical decision-making and severely affect the quality of the samples. This important limitation of centralised diagnostic testing has motivated the development of tools for the rapid, simple detection of livestock pathogens. Recent advances in the development of technologies for personalised human medicine have motivated the development of prototype diagnostic tests for a wide selection of diseases of livestock. However, many of these tests are not yet routinely used or commercially available. This paper critically reviews the most promising examples of such assays, and highlights the challenges that remain to transition these tests from applied research and development into routine use.
Collapse
|
10
|
Tsapkini K, Webster K, Ficek BN, Desmond J, Onyike C, Rapp B, Frangakis CE, Hillis AE. Transcranial direct current stimulation in primary progressive aphasia: Whom does it help? Brain Stimul 2017. [DOI: 10.1016/j.brs.2017.04.073] [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: 11/17/2022] Open
|
11
|
McClelland J, Maes M, Feller J, Webster K. Single limb landing from different directions in young athletes after anterior cruciate ligament reconstruction. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.040] [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: 11/26/2022]
|
12
|
Lai C, Webster K, Feller J. Fifteen-year audit of anterior cruciate ligament reconstructions in the Australian football league. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
13
|
Johnston P, McClelland J, Feller J, Webster K. Hip and knee kinematics during successful and failed single leg landings in anterior cruciate ligament reconstructed subjects. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2016.12.060] [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: 11/26/2022]
|
14
|
Lai C, Ardern C, Feller J, Webster K. Return to sport following anterior cruciate ligament reconstruction in elite athletes: A systematic review and meta-analysis. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.083] [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: 10/20/2022]
|
15
|
|
16
|
Vander Woude A, Faroqi-Shah Y, Ficek B, Webster K, Tsapkini K. Connected Language in Primary Progressive Aphasia: Testing the Utility of Linguistic Measures in Differentially Diagnosing PPA and its Variants. Front Hum Neurosci 2017. [DOI: 10.3389/conf.fnhum.2017.223.00112] [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: 11/13/2022] Open
|
17
|
Abstract
National and international research has repeatedly identified the specific gendered nature and context of women’s victimisation of violence, whereby women are disproportionately victims of sexual and partner violence and overwhelmingly at the hands of known male perpetrators. As such, violence against women warrants a targeted and substantial focus, within overall violence reduction and prevention efforts. In the Australian policy context, there is an emerging and influential focus on attitudes towards violence against women as key targets for primary prevention and as foci for monitoring progress in reducing this violence. The Australian National Community Attitudes Towards Violence Against Women Survey was established to estimate community-level understanding of and attitudes towards violence against women. It has arguably evolved into an important instrument both for monitoring shifts in Australians’ knowledge and attitudes, as well as for directing primary prevention efforts. The purpose of this article is to provide an integrative review in relation to one of the key dimensions of the national community attitudes survey: violence supportive attitudes (see Webster et al., 2014). Here, we seek to identify patterns in defining and measuring attitudes that support violence against women, as well as advance the field by offering recommendations for progressing the measurement of violence supportive attitudes in Australia in the future.
Collapse
Affiliation(s)
| | - Kim Webster
- School of Health Science, The University of Melbourne, Carlton, VIC, Australia
| |
Collapse
|
18
|
Chan SA, Hejmadi R, Webster K, Kaur MR. A unexpected growth arising within nevus sebaceous of Jadassohn. Dermatol Online J 2016; 22:13030/qt03s2g1c8. [PMID: 26990478] [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] [Received: 01/15/2016] [Accepted: 01/15/2016] [Indexed: 06/05/2023] Open
Abstract
The predisposition to epithelial neoplasms in nevus sebaceous is well established; most tumors occur in adults and are benign. Hidradenoma is a relatively rare benign tumor of sweat gland origin that can rarely arise within a nevus sebaceous. We present an interesting case of a hidradenoma and sebaceoma arising within a nevus sebaceous and present a literature review of the 2 conditions. Even though hidradenoma is a benign tumor, we would advocate complete excision given the potential for malignant transformation.
Collapse
|
19
|
Chan SA, Hejmadi R, Webster K, Kaur MR. A unexpected growth arising within nevus sebaceous of Jadassohn. Dermatol Online J 2016. [DOI: 10.5070/d3221029796] [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: 11/08/2022] Open
|
20
|
McClelland J, Webster K, Whitehead T, Feller J. Altered trunk movements during landing in people with anterior cruciate ligament reconstruction. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.149] [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: 10/22/2022]
|
21
|
Giles L, McClelland J, Webster K, Cook J. Atrophy of the quadriceps is not isolated to vastus medialis oblique in patellofemoral pain. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.205] [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: 11/24/2022]
|
22
|
Bohu Y, Klouche S, Lefevre N, Webster K, Herman S. Translation, cross-cultural adaptation and validation of the French version of the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale. Knee Surg Sports Traumatol Arthrosc 2015; 23:1192-6. [PMID: 24676789 DOI: 10.1007/s00167-014-2942-4] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [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: 11/09/2013] [Accepted: 03/09/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE The aim of this study was to translate, adapt and validate in French the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI), a 12-item English language scale assessing the psychological impact of returning to sports after ACL reconstruction. METHODS The ACL-RSI scale was forward and back translated, cross-culturally adapted and validated using international guidelines. The study population included all patients who were active in sports and underwent primary arthroscopic ACL reconstruction. The control group included subjects with no history of knee trauma. At the 6-month follow-up, the study population completed the ACL-RSI scale twice within 3-4 days, Knee injury and Osteoarthritis Outcome Score (KOOS) and subjective International Knee Documentation Committee (IKDC) scores. Statistical tests assessed the construct validity, discriminant validity, internal consistency, reliability and feasibility of the ACL-RSI scale. RESULTS Ninety-one patients with ACL tears and 98 control subjects were included: mean age 31.7 ± 8.1 and 21.8 ± 2, respectively. The ACL-RSI scores were correlated with all KOOS sub-categories (r = 0.22-0.64, p < 0.05) as well as the subjective IKDC score (r = 0.42, p < 0.00001). The mean scores of the study and control groups were significantly different (62.8 ± 19.4 vs. 89.6 ± 11.5, p < 0.00001), and scores were significantly better in patients who returned to the same sport (72.1 ± 21.4 vs. 60.3 ± 18.1, p = 0.008). Internal consistency was high (α = 0.96). Test-retest reproducibility was excellent: ρ = 0.90 (0.86-0.94), p < 0.00001. Administration time was 1.32 ± 0.7 mn, and all items were answered. CONCLUSION This study showed that the cross-cultural adaptation of the English version of the ACL-RSI was successful and validated in a French-speaking population. The discriminant capacity of the scale between patients who underwent reconstruction and healthy subjects was confirmed. LEVEL OF EVIDENCE II.
Collapse
Affiliation(s)
- Y Bohu
- Institut de l'Appareil Locomoteur Nollet, Paris, France
| | | | | | | | | |
Collapse
|
23
|
Ardern C, Taylor N, Feller J, Webster K. Returning to sport after ACL reconstruction varies according to different physical functioning and contextual factors. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.244] [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: 10/24/2022]
|
24
|
Webster K, Clarke J, Mack A, Ro T. Appropriately Colored Scenes Reduce Inattentional Blindness. J Vis 2014. [DOI: 10.1167/14.10.609] [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: 11/24/2022] Open
|
25
|
Giles L, Webster K, McClelland J, Cook J. Can diagnostic ultrasound measure quadriceps size and vastus medialis to vastus lateralis ratio in patellofemoral pain syndrome? J Sci Med Sport 2013. [DOI: 10.1016/j.jsams.2013.10.154] [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: 10/25/2022]
|
26
|
Kiwanuka T, Grant S, Zakai D, Jeynes P, Webster K. An valuation of the survival rates of extra-oral implants used to retain over 200 facial prostheses over a 10 year period. Br J Oral Maxillofac Surg 2013. [DOI: 10.1016/j.bjoms.2013.05.118] [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: 11/15/2022]
|
27
|
Harris JA, Bartelt D, Campion M, Gayler BW, Jones B, Hayes A, Haynos J, Herbick S, Kling T, Lingaraj A, Singer M, Starmer H, Smith C, Webster K. The use of low-osmolar water-soluble contrast in videofluoroscopic swallowing exams. Dysphagia 2013; 28:520-7. [PMID: 23529533 DOI: 10.1007/s00455-013-9462-0] [Citation(s) in RCA: 11] [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: 06/08/2012] [Accepted: 02/19/2013] [Indexed: 12/13/2023]
Abstract
The selection of the contrast agent used during fluoroscopic exams is an important clinical decision. The purpose of this article is to document the usage of a nonionic, water-soluble contrast (iohexol) and barium contrast in adult patients undergoing fluoroscopic exams of the pharynx and/or esophagus and provide clinical indications for the use of each. For 1 year, data were collected on the use of iohexol and barium during fluoroscopic exams. The contrast agent used was selected by the speech language pathologist (SLP) or the radiologist based on the exam's indications. A total of 1,978 fluoroscopic exams were completed in the 12-month period of documentation. Of these exams, 60.6 % were completed for medical reasons and 39.4 % for surgical reasons. Fifty-five percent of the exams were performed jointly by a SLP and a radiologist and 45 % were performed by a radiologist alone. Aspiration was present in 22 % of the exams, vestibular penetration occurred in 38 %, extraluminal leakage of contrast was observed in 4.6 %, and both aspiration and leakage were seen in 1 % of the exams. In cases with aspiration, iohexol was used alone in 8 %, iohexol and barium were both used in 45 %, and barium was used alone in 47 %. In cases with extraluminal leakage, iohexol was used alone in 58 %, iohexol and barium were both used in 31 %, and barium was used alone in 11 %. No adverse effects were seen with the use of iohexol. When barium was used in cases of aspiration and extraluminal leakage, the amount of aspirated barium was small and the extraluminal barium in the instances of leakage was small. Iohexol is a useful screening contrast agent and can safely provide information, and its use reduces the risk of aspiration and the chance of leakage of large amounts of barium.
Collapse
Affiliation(s)
- Julie A Harris
- Physical and Rehabilitation Medicine, Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA,
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Boyman O, Krieg C, Letourneau S, Webster K, Surh CD, Sprent J. Selectively expanding subsets of T cells in mice by injection of interleukin-2/antibody complexes: implications for transplantation tolerance. Transplant Proc 2012; 44:1032-4. [PMID: 22564618 DOI: 10.1016/j.transproceed.2012.01.093] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The biological activity of interleukin (IL)-2 and other cytokines in vivo can be augmented by binding to certain anti-cytokine monoclonal antibodies (mAb). Here, we review evidence on how IL-2/anti-IL-2 mAb complexes can be used to cause selective stimulation and expansion of certain T-cell subsets. With some anti-IL-2 mAbs, injection of IL-2/mAb complexes leads to expansion of CD8 T effector cells but not CD4 T regulatory cells (Tregs); these complexes exert less adverse side effects than soluble IL-2 and display powerful antitumor activity. Other IL-2/mAb complexes have minimal effects on CD8 T cells but cause marked expansion of Tregs. Preconditioning mice with these complexes leads to permanent acceptance of MHC-disparate pancreatic islets in the absence of immunosuppression.
Collapse
Affiliation(s)
- O Boyman
- Laboratory of Applied Immunobiology, University of Zurich, Zurich, Switzerland
| | | | | | | | | | | |
Collapse
|
29
|
Kiwanuka T, Grant S, Zakai D, Jeynes P, Webster K. An evaluation of the survival rates of extra-oral implants used to retain over 200 facial prostheses over a 10 year period. Br J Oral Maxillofac Surg 2012. [DOI: 10.1016/j.bjoms.2012.04.082] [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: 11/26/2022]
|
30
|
Kvist J, Österberg A, Gauffin H, Tagesson S, Webster K, Ardern C. Translation and measurement properties of the Swedish version of ACL-Return to Sports after Injury questionnaire. Scand J Med Sci Sports 2012; 23:568-75. [PMID: 22257241 DOI: 10.1111/j.1600-0838.2011.01438.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2011] [Indexed: 01/28/2023]
Abstract
Psychological factors may be a hindrance for returning to sport after an anterior cruciate ligament (ACL) reconstruction. The ACL-Return to Sport after Injury scale (ACL-RSI) measures athletes' emotions, confidence in performance, and risk appraisal in relation to return to sport. The aim of this study was to translate the ACL-RSI scale from English to Swedish and to examine some of the measurement properties of the Swedish version. The ACL-RSI was translated and culturally adapted. A professional expert group and five patients evaluated face validity. One hundred and eighty-two patients completed the translated ACL-RSI, a project-specific questionnaire, the Tampa Scale of Kinesiophobia (TSK), the Knee-Self-Efficacy Scale (K-SES), the Multidimensional Health Locus of Control (MHLC-C), the Knee injury and Osteoarthritis Outcome Score (KOOS), and the Anterior Cruciate Ligament-Quality of Life (ACL-QoL) questionnaires. Fifty-three patients answered the ACL-RSI twice to examine reproducibility. The ACL-RSI showed good face validity, internal consistency (Cronbach's alpha = 0.948), low floor and ceiling effects and high construct validity when evaluated against the TSK, K-SES, MHLC-C, KOOS, and ACL-QoL scales. The reproducibility was also high (intra-class correlation = 0.893). Therefore, the ACL-RSI can be used to evaluate psychological factors relevant to returning to sport after ACL reconstruction surgery.
Collapse
Affiliation(s)
- J Kvist
- Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| | | | | | | | | | | |
Collapse
|
31
|
Webster K, Whitehead T, Seccombe P. Double-bundle versus single-bundle anterior cruciate ligament reconstruction—Is the double bundle technique really better? J Sci Med Sport 2011. [DOI: 10.1016/j.jsams.2011.11.224] [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: 10/28/2022]
|
32
|
Webster K, Dickinson JE, Battista J, McKendrick AM, Badcock DR. Increased Internal Noise Cannot Account for Motion Coherence Processing Deficits in Migraine. J Vis 2011. [DOI: 10.1167/11.11.434] [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: 11/24/2022] Open
|
33
|
Mighell AJ, Atkin PA, Webster K, Thomas SJ, McCreary CE, Healy CM, Gibson J, Crighton AJ, Dawson LJ, Smalley JO, Allan RB, Oliver RJ, Pattrick MG, Pemberton MN, Theaker ED, Poate TW, Buchanan JAG, Greenwood M, Bee D, Yates JM, Crean SJ, Napier SS. Clinical medical sciences for undergraduate dental students in the United Kingdom and Ireland - a curriculum. Eur J Dent Educ 2011; 15:179-188. [PMID: 21762323 DOI: 10.1111/j.1600-0579.2010.00654.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The technical aspects of dentistry need to be practised with insight into the spectrum of human diseases and illnesses and how these impact upon individuals and society. Application of this insight is critical to decision-making related to the planning and delivery of safe and appropriate patient-centred healthcare tailored to the needs of the individual. Provision for the necessary training is included in undergraduate programmes, but in the United Kingdom and Ireland there is considerable variation between centres without common outcomes. In 2009 representatives from 17 undergraduate dental schools in the United Kingdom and Ireland agreed to move towards a common, shared approach to meet their own immediate needs and that might also be of value to others in keeping with the Bologna Process. To provide a clear identity the term 'Clinical Medical Sciences in Dentistry' was agreed in preference to other names such as 'Human Disease' or 'Medicine and Surgery'. The group was challenged to define consensus outcomes. Contemporary dental education documents informed, but did not drive the process. The consensus curriculum for undergraduate Clinical Medical Sciences in Dentistry teaching agreed by the participating centres is reported. Many of the issues are generic and it includes elements that are likely to be applicable to others. This document will act as a focus for a more unified approach to the outcomes required by graduates of the participating centres and act as a catalyst for future developments that ultimately aim to enhance the quality of patient care.
Collapse
Affiliation(s)
- A J Mighell
- The University of Leeds, Leeds Dental Institute, Leeds, UK.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
34
|
Bajwa M, McMillan R, Khattak O, Thomas M, Krishnan O, Webster K. Does extending the level I–III selective neck dissection to level IV offer a survival advantage in the management of the clinically N0 neck in patients with oral squamous cell carcinoma? Br J Oral Maxillofac Surg 2011. [DOI: 10.1016/j.bjoms.2011.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
35
|
Melaina M, Webster K. Role of fuel carbon intensity in achieving 2050 greenhouse gas reduction goals within the light-duty vehicle sector. Environ Sci Technol 2011; 45:3865-71. [PMID: 21456550 DOI: 10.1021/es1037707] [Citation(s) in RCA: 4] [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: 05/06/2023]
Abstract
Recent U.S. climate change policy developments include aggressive proposals to reduce greenhouse gas emissions, including cap-and-trade legislation with a goal of an 83% reduction below 2005 levels by 2050. This study examines behavioral and technological changes required to achieve this reduction within the light-duty vehicle (LDV) sector. Under this "fair share" sectoral assumption, aggressive near-term actions are necessary in three areas: vehicle miles traveled (VMT), vehicle fuel economy (FE), and fuel carbon intensity (FCI). Two generic scenarios demonstrate the important role of FCI in meeting the 2050 goal. The first scenario allows deep reductions in FCI to compensate for relatively modest FE improvements and VMT reductions. The second scenario assumes optimistic improvements in FE, relatively large reductions in VMT and less aggressive FCI reductions. Each generic scenario is expanded into three illustrative scenarios to explore the theoretical implications of meeting the 2050 goal by relying exclusively on biofuels and hybrid vehicles, biofuels and plug-in hybrid vehicles, or hydrogen fuel cell electric vehicles. These scenarios inform a discussion of resource limitations, technology development and deployment challenges, and policy goals required to meet the 2050 GHG goal for LDVs.
Collapse
Affiliation(s)
- M Melaina
- National Renewable Energy Laboratory, Golden, Colorado 80401, USA.
| | | |
Collapse
|
36
|
Loyo M, Agrawal N, Pattani K, Starmer H, Webster K, Tippett DC, Richmon JD. Early Post-Operative Function After Transoral Robotic Surgery. Laryngoscope 2011. [DOI: 10.1002/lary.22028] [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]
|
37
|
Webster K, Santamaria L, McClelland J, Feller J. Effect of fatigue on landing biomechanics following anterior cruciate ligament reconstruction surgery. J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2010.10.515] [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: 10/18/2022]
|
38
|
Ardern C, Webster K, Taylor N, Feller J. Return to sport following ACL reconstruction surgery: Are our expectations for recovery too high? J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2010.10.472] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
39
|
Wagner LI, Rosenbaum SE, Gandhi M, Webster K, Aneja MS, Cella D, Brieva J, Lacouture ME. Development of a functional assessment of chronic illness therapy questionnaire to assess dermatology-related quality of life in patients treated with EGFR inhibitors: FACT-EGFRI. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.9046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
40
|
Anderson S, Zhao J, Ubhi J, Bhatt V, Webster K. 79 Evaluation of conformity between clinical and pathological TNM staging for oral and oropharyngeal squamous cell cancer. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60080-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
41
|
Hanu-Cernat L, Martin T, Parmar S, Brown A, Webster K, Hanu-Cernat D. 81 Post-treatment pain in disease free head and neck cancer patients. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60082-4] [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: 11/30/2022]
|
42
|
Hanu-Cernat L, Martin T, Parmar S, Brown A, Webster K. 62 The Birmingham experience with composite free vascularised osseous flaps in the reconstruction of post osteoradionecrosis mandibular resection defects. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60063-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
43
|
Shaw R, Bickerstaff M, Butterworth C, Fisher S, Webster K, McCaul J, Blackburn T, Dodd S, Nutting C, Lane S, Chauhan S. 87 HOPON: hyperbaric oxygen to prevent osteoradionecrosis – results of a CRUK CTAAC feasibility study. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60088-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
44
|
Ardern C, Webster K, Taylor N, Feller J. Hamstring strength recovery is similar regardless of which hamstring tendons are harvested for ACL reconstruction. J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2009.10.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
45
|
Al-Hadad I, Kotecha S, Webster K. Multiple self-healing squamous cell carcinomas of the face. Br J Oral Maxillofac Surg 2009; 47:635-7. [DOI: 10.1016/j.bjoms.2008.10.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2008] [Indexed: 11/26/2022]
|
46
|
Neofytos D, Horn D, Anaissie E, Steinbach W, Olyaei A, Fishman J, Pfaller M, Chang C, Webster K, Marr K. Reply to Pagano et al. Clin Infect Dis 2009. [DOI: 10.1086/599232] [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: 11/03/2022] Open
|
47
|
Abstract
INTRODUCTION A study was completed to determine if operating has an effect on a surgeon's muscular fatigue. SUBJECTS AND METHODS Six head and neck surgery consultants, two ENT registrars, 20 normal controls from two tertiary referral centres in the West Midlands participated in the study. Electromyography (EMG) measurements were taken throughout a day of operating and fatigue indices were compared to controls performing desk work. RESULTS The percentage changes in mean frequency of muscular contractions were examined; there was no significant difference in fatigue levels between consultants and registrars. Operating led to an increase in fatigue in all subjects, compared to no increase in controls performing desk work. It was also found that the brachioradialis muscle is used more than the mid-deltoid muscle and, hence, fatigues at a faster rate. CONCLUSIONS Surgeons should be aware that their muscular fatigue levels will increase as an operation progresses; therefore, if possible, more complex parts of the operation should be performed as early as possible, or, in the case of a very long operation, a change in surgeon may be necessary.
Collapse
Affiliation(s)
- P S Slack
- Biomedical Engineering Research Group, Aston University, Birmingham, UK
| | | | | | | | | |
Collapse
|
48
|
|
49
|
Neofytos D, Horn D, Anaissie E, Steinbach W, Olyaei A, Fishman J, Pfaller M, Chang C, Webster K, Marr K. Epidemiology and outcome of invasive fungal infection in adult hematopoietic stem cell transplant recipients: analysis of Multicenter Prospective Antifungal Therapy (PATH) Alliance registry. Clin Infect Dis 2009; 48:265-73. [PMID: 19115967 DOI: 10.1086/595846] [Citation(s) in RCA: 596] [Impact Index Per Article: 39.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND With use of data from the Prospective Antifungal Therapy (PATH) Alliance registry, we performed this multicenter, prospective, observational study to assess the epidemiologic characters and outcomes of invasive fungal infection (IFI) in hematopoietic stem cell transplant (HSCT) recipients. METHODS Sixteen medical centers from North America reported data on adult HSCT recipients with proven or probable IFI during the period July 2004 through September 2007. The distribution of IFIs and rates of survival at 6 and 12 weeks after diagnosis were studied. We used logistic regression models to determine risk factors associated with 6-week mortality for allogeneic HSCT recipients with invasive aspergillosis (IA). RESULTS Two hundred thirty-four adult HSCT recipients with a total of 250 IFIs were included in this study. IA (59.2%) was the most frequent IFI, followed by invasive candidiasis (24.8%), zygomycosis (7.2%), and IFI due to other molds (6.8%). Voriconazole was the most frequently administered agent (68.4%); amphotericin B deoxycholate was administered to a few patients (2.1%). Ninety-three (46.7%) of 199 HSCT recipients with known outcome had died by week 12. The 6-week survival rate was significantly greater for patients with IA than for those with invasive candidiasis and for those with IFI due to the Zygomycetes or other molds (P < .07). The 6-week mortality rate for HSCT recipients with IA was 21.5%. At 6 weeks, there was a trend toward a worse outcome among allogeneic HSCT recipients with IA who received myeloablative conditioning (P = .07); absence of mechanical ventilation or/and hemodialysis (P = .01) were associated with improved survival. CONCLUSIONS IA remains the most commonly identified IFI among HSCT recipients, but rates of survival in persons with IA appear to have improved, compared with previously reported data. Invasive candidiasis and IFI due to molds other than Aspergillus species remain a significant problem in HSCT recipients.
Collapse
Affiliation(s)
- D Neofytos
- Division of Infectious Diseases, The Johns Hopkins University, School of Medicine, Baltimore, Maryland 21205, USA.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
50
|
Thress K, MacIntyre T, Wang H, Liu Z, Hoffmann E, Wang T, Whitston D, Brown J, Webster K, Omer C. 574 POSTER Identification and preclinical characterization of AZ-23, a novel, selective, and orally bioavailable inhibitor of the Trk kinase pathway. EJC Suppl 2008. [DOI: 10.1016/s1359-6349(08)72508-4] [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: 10/21/2022] Open
|