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Cole B, Nilsen DM, Will L, Etkind SC, Burgos M, Chorba T. Essential Components of a Public Health Tuberculosis Prevention, Control, and Elimination Program: Recommendations of the Advisory Council for the Elimination of Tuberculosis and the National Tuberculosis Controllers Association. MMWR Recomm Rep 2020; 69:1-27. [PMID: 32730235 PMCID: PMC7392523 DOI: 10.15585/mmwr.rr6907a1] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
This report provides an introduction and reference tool for tuberculosis (TB) controllers regarding the essential components of a public health program to prevent, control, and eliminate TB. The Advisory Council for the Elimination of Tuberculosis and the National Tuberculosis Controllers Association recommendations in this report update those previously published (Advisory Council for the Elimination of Tuberculosis. Essential components of a tuberculosis prevention and control program. Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR Recomm Rep 1995;44[No. RR-11]). The report has been written collaboratively on the basis of experience and expert opinion on approaches to organizing programs engaged in diagnosis, treatment, prevention, and surveillance for TB at state and local levels. This report reemphasizes the importance of well-established priority strategies for TB prevention and control: identification of and completion of treatment for persons with active TB disease; finding and screening persons who have had contact with TB patients; and screening, testing, and treatment of other selected persons and populations at high risk for latent TB infection (LTBI) and subsequent active TB disease. Health departments are responsible for public safety and population health. To meet their responsibilities, TB control programs should institute or ensure completion of numerous responsibilities and activities described in this report: preparing and maintaining an overall plan and policy for TB control; maintaining a surveillance system; collecting and analyzing data; participating in program evaluation and research; prioritizing TB control efforts; ensuring access to recommended laboratory and radiology tests; identifying, managing, and treating contacts and other persons at high risk for Mycobacterium tuberculosis infection; managing persons who have TB disease or who are being evaluated for TB disease; providing TB training and education; and collaborating in the coordination of patient care and other TB control activities. Descriptions of CDC-funded resources, tests for evaluation of persons with TB or LTBI, and treatment regimens for LTBI are provided (Supplementary Appendices; https://stacks.cdc.gov/view/cdc/90289).
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Will L, Maus V, Maurer C, Weber A, Weber W, Fischer S. Mechanical Thrombectomy in Acute Ischemic Stroke Using a Manually Expandable Stent Retriever (Tigertriever) : Preliminary Single Center Experience. Clin Neuroradiol 2020; 31:491-497. [PMID: 32529306 DOI: 10.1007/s00062-020-00919-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 05/20/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the safety and efficacy of a manually expandable stent retriever (Tigertriever, Rapid Medical, Yoqneam, Israel) in the treatment of acute ischemic stroke caused by intracranial large vessel occlusions (LVO). METHODS We performed a single center retrospective analysis of all patients treated by mechanical thrombectomy due to LVO using the Tigertriever. The angiographic and clinical success was evaluated by the modified thrombolysis in cerebral infarction score (mTICI) and the modified Rankin score (mRS). RESULTS A total of 68 acute intracranial arterial occlusions in 61 patients (42 female, median age 77 years, range 43-92 years) were treated by mechanical thrombectomy using the Tigertriever. The overall successful reperfusion rate (mTICI 2b-3) was 85.3% (58/68 occlusions) with a first pass effect (mTICI 3) of 23.5% (16/68 occlusions). In 57 of the 68 occlusions the Tigertriever was used on an intention to treat approach with a success rate of 86.0% and in the 11 remaining occlusions where the Tigertriever was used as a bail-out device the success rate was 81.9%. In seven patients a mild subarachnoid hemorrhage occurred (11.5%) and one symptomatic intracerebral hemorrhage was observed (1.6%). At discharge 39.3% of the patients (24/61) had a favorable outcome (mRS 0-2). CONCLUSION The Tigertriever offers a safe and effective treatment option in ischemic stroke due to LVOs with reperfusion rates and a safety profile similar to alternative devices. The Tigertriever is a promising bail-out tool in complex cases. Its role as a first line device has to be evaluated in further prospective studies.
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Affiliation(s)
- L Will
- Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum-Universitätsklinikum Bochum, In der Schornau 23-25, 44829, Bochum, Germany
| | - V Maus
- Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum-Universitätsklinikum Bochum, In der Schornau 23-25, 44829, Bochum, Germany
| | - C Maurer
- Klinik für Diagnostische, Radiologie und Neuroradiologie, Universitätsklinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Germany
| | - A Weber
- Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum-Universitätsklinikum Bochum, In der Schornau 23-25, 44829, Bochum, Germany
| | - W Weber
- Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum-Universitätsklinikum Bochum, In der Schornau 23-25, 44829, Bochum, Germany
| | - S Fischer
- Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum-Universitätsklinikum Bochum, In der Schornau 23-25, 44829, Bochum, Germany.
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Sosa LE, Njie GJ, Lobato MN, Morris SB, Buchta W, Casey ML, Goswami ND, Gruden M, Hurst BJ, Khan AR, Kuhar DT, Lewinsohn DM, Mathew TA, Mazurek GH, Reves R, Paulos L, Thanassi W, Will L, Belknap R. Tuberculosis screening, testing, and treatment of U.S. health care personnel: Recommendations from the National Tuberculosis Controllers Association and
CDC
, 2019. Am J Transplant 2019. [DOI: 10.1111/ajt.15512] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Lynn E. Sosa
- Connecticut Department of Public Health Hartford Connecticut
- National Tuberculosis Controllers Association Smyrna Georgia
| | - Gibril J. Njie
- Division of Tuberculosis Elimination National Center for HIV/AIDS Viral Hepatitis, STD, and TB Prevention CDC Atlanta Georgia
| | - Mark N. Lobato
- National Tuberculosis Controllers Association Smyrna Georgia
| | - Sapna Bamrah Morris
- Division of Tuberculosis Elimination National Center for HIV/AIDS Viral Hepatitis, STD, and TB Prevention CDC Atlanta Georgia
| | - William Buchta
- Logistics Health Incorporated La Crosse Wisconsin
- American College of Occupational and Environmental Medicine Elk Grove Village Illinois
| | - Megan L. Casey
- Respiratory Health Division National Institute for Occupational Safety and Health CDC Atlanta Georgia
| | - Neela D. Goswami
- Division of Tuberculosis Elimination National Center for HIV/AIDS Viral Hepatitis, STD, and TB Prevention CDC Atlanta Georgia
| | - MaryAnn Gruden
- Association of Occupational Health Professionals in Healthcare Warrendale Pennsylvania
| | - Bobbi Jo Hurst
- Association of Occupational Health Professionals in Healthcare Warrendale Pennsylvania
| | - Amera R. Khan
- Division of Tuberculosis Elimination National Center for HIV/AIDS Viral Hepatitis, STD, and TB Prevention CDC Atlanta Georgia
| | - David T. Kuhar
- Division of Healthcare Quality Promotion National Center for Emerging and Zoonotic Infectious Diseases CDC Atlanta Georgia
| | | | | | - Gerald H. Mazurek
- Division of Tuberculosis Elimination National Center for HIV/AIDS Viral Hepatitis, STD, and TB Prevention CDC Atlanta Georgia
| | - Randall Reves
- National Tuberculosis Controllers Association Smyrna Georgia
- Denver Health and Hospital Authority Denver Public Health Denver Colorado
| | - Lisa Paulos
- National Tuberculosis Controllers Association Smyrna Georgia
- Maryland Department of Health Baltimore Maryland
| | - Wendy Thanassi
- National Tuberculosis Controllers Association Smyrna Georgia
- Veterans Administration Palo Alto Healthcare System Palo Alto California
| | - Lorna Will
- National Tuberculosis Controllers Association Smyrna Georgia
| | - Robert Belknap
- National Tuberculosis Controllers Association Smyrna Georgia
- Denver Health and Hospital Authority Denver Public Health Denver Colorado
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Sosa LE, Njie GJ, Lobato MN, Bamrah Morris S, Buchta W, Casey ML, Goswami ND, Gruden M, Hurst BJ, Khan AR, Kuhar DT, Lewinsohn DM, Mathew TA, Mazurek GH, Reves R, Paulos L, Thanassi W, Will L, Belknap R. Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019. MMWR Morb Mortal Wkly Rep 2019; 68:439-443. [PMID: 31099768 PMCID: PMC6522077 DOI: 10.15585/mmwr.mm6819a3] [Citation(s) in RCA: 48] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Cotter JJ, Gendron T, Kupstas P, Tartaglia A, Will L. Perceived Benefits of Mobile Learning Devices for Doctoral Students in a School of Allied Health Professions. J Allied Health 2015; 44:e29-e35. [PMID: 26661706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 09/18/2015] [Indexed: 06/05/2023]
Abstract
Graduate students increasingly use personal electronic devices for learning but little is known about how they evaluate their benefits as mobile learning devices (MLDs). This study surveyed students in a hybrid distance education doctoral (PhD) program about their perceptions of the benefits of MLDs. Overall, the study found a range of opinions about the value of MLDs with about one-half of respondents finding benefits. Respondents emphasized that the MLDs improved motivation and productivity and that they were helpful in reviewing course-casts of on-campus sessions. Continued research is needed on doctoral education in general and the increasing use of innovations such as MLDs.
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Affiliation(s)
- J James Cotter
- Department of Gerontology, Virginia Commonwealth University, 730 East Broad St., Theater Row, 2nd Floor, Rm 2018, Richmond, VA 23298-0228, USA. Tel 804 828-1565 fax 804 828-5259.
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Dünschede F, Will L, von Langsdorf C, Möhler M, Galle PR, Otto G, Vahl CF, Junginger T. Treatment of metachronous and simultaneous liver metastases of pancreatic cancer. Eur Surg Res 2010; 44:209-13. [PMID: 20571276 DOI: 10.1159/000313532] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2009] [Accepted: 04/13/2010] [Indexed: 12/15/2022]
Abstract
AIM Patients were analyzed who underwent treatment of liver metastases from pancreatic cancer. METHODS Selection criteria were the possibility of R0 resection of the primary and/or the liver metastases, no other sites of metastases, and the presentation of liver metastases. A comparison of treatment by surgery versus chemotherapy regarding overall survival and disease-free interval was performed. RESULTS Between 1996 and 2008, a total number of 23 patients were retrospectively identified from a prospective database of 193 cases of pancreatic cancer. In 14 cases, liver metastases were found simultaneously, and in 9 cases metachronously, fulfilling the abovementioned selection criteria. Of these, 13 patients underwent surgery and 10 were treated by gemcitabine. There were no differences in survival in patients with synchronous liver metastases of pancreatic cancer treated by resection of the primary combined with partial hepatectomy versus treatment by gemcitabine (8 vs. 11 months). In patients with metachronous liver metastases, the median survival was increased after liver resection compared to patients who were treated with gemcitabine (31 vs. 11 months). CONCLUSIONS Simultaneous resection of pancreatic cancer and liver metastases cannot be recommended. Resection of metachronous liver metastases of pancreatic cancer seems to improve survival in highly selected patients.
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Affiliation(s)
- F Dünschede
- Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Hospital, Mainz, Germany. Duenschede @ htg.klinik.uni-mainz.de
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Moore DB, Hanson B, Panzer D, Matushek D, Graewin A, Breen G, Mormann D, Nelson S, Moldenhauer E, Rollins C, Ferry D, Hovell C, Will L. 231: Operating a Mass Influenza Vaccination Clinic using the Strategic National Stockpile Model Five Days after the Vaccine Shortage Announcement: An Epidemiologic Analysis. Am J Epidemiol 2005. [DOI: 10.1093/aje/161.supplement_1.s58b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D B Moore
- La Crosse County Health Department, La Crosse, WI 54601
| | - B Hanson
- La Crosse County Health Department, La Crosse, WI 54601
| | - D Panzer
- La Crosse County Health Department, La Crosse, WI 54601
| | - D Matushek
- La Crosse County Health Department, La Crosse, WI 54601
| | - A Graewin
- La Crosse County Health Department, La Crosse, WI 54601
| | - G Breen
- La Crosse County Health Department, La Crosse, WI 54601
| | - D Mormann
- La Crosse County Health Department, La Crosse, WI 54601
| | - S Nelson
- La Crosse County Health Department, La Crosse, WI 54601
| | - E Moldenhauer
- La Crosse County Health Department, La Crosse, WI 54601
| | - C Rollins
- La Crosse County Health Department, La Crosse, WI 54601
| | - D Ferry
- La Crosse County Health Department, La Crosse, WI 54601
| | - C Hovell
- La Crosse County Health Department, La Crosse, WI 54601
| | - L Will
- La Crosse County Health Department, La Crosse, WI 54601
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Abstract
Nineteen of 30 patients who had midface advancement procedures between 1972 and 1980 had sufficient cephalometric data to be included in this retrospective study. The position of the midface in relation to the cranium and mandible was evaluated immediately postoperatively and for a period of 2 to 11 years (mean 5.8 years). At 1 year, midface position after LeFort III advancement was stable in 12 of 19 patients. Of these 12 patients, 8 showed some evidence of downward and/or forward movement of the midface. The remaining 7 patients showed a minor degree of midface relapse in the first year of follow-up. In 15 of 19 patients, at 2 years or more postoperatively, the final position of the midface was either at, anterior to, or inferior to its immediate postoperative location. Correction of exorbitism remained stable in all but one patient, who required a second advancement of the orbital segment. Three patients required subsequent LeFort I osteotomy to correct class III occlusion. Prognathism was determined to be secondary to mandibular growth, not midface relapse.
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Mattison R, Cantwell DP, Russell AT, Will L. A comparison of DSM-II and DSM-III in the diagnosis of childhood psychiatric disorders. II. Interrater agreement. Arch Gen Psychiatry 1979; 36:1217-22. [PMID: 485779 DOI: 10.1001/archpsyc.1979.01780110071008] [Citation(s) in RCA: 72] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A case-history format was utilized to compare interrater agreement on childhood and adolescent psychiatric disorders, using DSM-II and DSM-III. The average interrater agreement was 57% for DSM-II and 54% for axis I (clinical psychiatric syndrome) of DSM-III. There was high agreement in both systems on cases of psychosis, conduct disorder, hyperactivity, and mental retardation, with DSM-III appearing slightly better. There was noteworthy interrater disagreement in both systems for "anxiety" disorders, complex cases, and in the subtyping of depression. Overall, the reliability of DSM-III appears to be good and is comparable with that of DSM-II and other classification systems of childhood psychiatric disorders.
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Cantwell DP, Russell AT, Mattison R, Will L. A comparison of DSM-II and DSM-III in the diagnosis of childhood psychiatric disorders. I. Agreement with expected diagnosis. Arch Gen Psychiatry 1979; 36:1208-13. [PMID: 485778 DOI: 10.1001/archpsyc.1979.01780110062007] [Citation(s) in RCA: 40] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
This study was conducted to compare DSM-II and DSM-III in the diagnosis of childhood and adolescent psychiatric disorders. Twenty psychiatrist-raters completed standardized diagnostic questionnaires for 24 actual case histories. This report, the first of four, presents the rater agreement with the "expected diagnosis," ie, the diagnosis that we considered most appropriate for each case. The average rater agreement with the expected diagnosis was less than 50%. It was highest in cases of mental retardation, psychosis, hyperactivity, and conduct disorder. In only five cases did the most common diagnosis of the raters differ from the expected diagnosis. Analyses of these cases and those we selected to present specific diagnostic problems to the raters have produced suggestions to improve the reliability of DSM-III.
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Russell AT, Cantwell DP, Mattison R, Will L. A comparison of DSM-II and DSM-III in the diagnosis of childhood psychiatric disorders. III. Multiaxial features. Arch Gen Psychiatry 1979; 36:1223-6. [PMID: 485780 DOI: 10.1001/archpsyc.1979.01780110077009] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A major feature of DSM-III is its multiaxial format. One purpose of this study was to examine the purported advantages of a multiaxial system as compared to those of a multicategory system, eg., DSM-II. We found that the multiaxial system led to a more complete and reliable diagnosis of complex clinical cases. Concomitant medical disorder and psychosocial stressors were coded with high levels of interrater agreement. We conclude that the multiaxial framework is a major strength of DSM-III.
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Will L. The interpersonal relationships of the successful dentist. Dent Stud 1971; 49:46-7 passim. [PMID: 5281838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Abstract
Response of transplanted and nontransplanted fat bodies to various hormones, tolbutamide, and hypoglycin A was compared by measuring the amount of lipids in the dissected fat bodies after 2 weeks treatment. Simultaneous measurements of food intake and body weight were made to serve as a basis for evaluating the effects on fat. Protamine zinc insulin produced an increase in lipid content of the testicular fat body, accompanied by elevation in food intake in three of five experiments; hydrocortisone acetate, triamcinolone or its 16,21-diacetate, or diethylstilbestrol brought about decreases in lipid with either no change or a decline in food intake; epinephrine·HCl or growth hormone elicited decreases in lipid without significantly influencing food intake or body weight. Generally, transplanted fat was more responsive to these agents than the undisturbed fat body. Both tolbutamide and hypoglycin A decreased lipids in the transplant without affecting those in untransplanted fat. Food intake, body weight, and blood glucose were not changed.
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Affiliation(s)
- T. C. Smith
- Experimental Therapeutics Research, Lederle Laboratories, Pearl River, New York
| | - L. Will
- Experimental Therapeutics Research, Lederle Laboratories, Pearl River, New York
| | - J. Oleson
- Experimental Therapeutics Research, Lederle Laboratories, Pearl River, New York
| | - K. -F. Benitz
- Experimental Therapeutics Research, Lederle Laboratories, Pearl River, New York
| | - J. Perrine
- Experimental Therapeutics Research, Lederle Laboratories, Pearl River, New York
| | - I. Ringler
- Experimental Therapeutics Research, Lederle Laboratories, Pearl River, New York
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Berl E, Will L. Über die Absorption von organischen Lösungsmitteln durch aktive Kohlen, Silicagel, sowie durch Waschflüssigkeiten. Angew Chem Int Ed Engl 1932. [DOI: 10.1002/ange.19320453502] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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