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Bransgrove NJ, Porter JE, Prokopiv V, Wildblood R, Prezioso M, Bradley V, Look B. Local Men Local Communities: A rural placed-based approach to increase men's engagement with mental health training and events. Health Promot J Austr 2024. [PMID: 38566273 DOI: 10.1002/hpja.861] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 02/28/2024] [Accepted: 03/18/2024] [Indexed: 04/04/2024] Open
Abstract
ISSUE ADDRESSED Suicide is the leading cause of death for Australians aged 15-49 (Department of Health and Aged Care Suicide in Australia, https://www.health.gov.au/health-topics/mental-health-and-suicide-prevention/suicide-in-australia, 2021). With the loss of one community member impacting the individual's family, friends, and wider community. The aim of the article is to showcase a process evaluation of a place-based approach to suicide prevention, exploring the elements of mental health training and events that can be tailored to increase engagement with the men living in a rural Local Government Area in Gippsland, Victoria, Australia. METHODS Participation records and promotional material for the Local Men Local Communities project was utilised to explore similarities and differences between the training and events offered. RESULTS Results indicated that men living in rural areas engaged best with events that included a social element such as food or an activity, highlighting that men may find it easier to talk and connect when they have something to do. CONCLUSION Mental health training and events need to be tailored to meet the needs of the target population. Key details to consider include location, time, promotional material, content, and inclusion of a social element. SO WHAT?: When rural men were provided ownership of their conversations, they were more likely to have them. This challenges the stereotype that men do not talk and creates the opportunity for social connection within the community.
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Affiliation(s)
- Natalie J Bransgrove
- Collaborative Evaluation & Research Group (CERG), Federation University, Churchill, Victoria, Australia
| | - Joanne E Porter
- Collaborative Evaluation & Research Group (CERG), Federation University, Churchill, Victoria, Australia
| | - Valerie Prokopiv
- Collaborative Evaluation & Research Group (CERG), Federation University, Churchill, Victoria, Australia
| | - Robyn Wildblood
- Collaborative Evaluation & Research Group (CERG), Federation University, Churchill, Victoria, Australia
| | - Michelle Prezioso
- Collaborative Evaluation & Research Group (CERG), Federation University, Churchill, Victoria, Australia
| | - Vicki Bradley
- Community Strengthening, South Gippsland Shire Council, Leongatha, Victoria, Australia
| | - Barbara Look
- Community Strengthening, South Gippsland Shire Council, Leongatha, Victoria, Australia
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Bradley V, Hiersteiner D, Rotholz D, Maloney J, Li H, Bonardi A, Bershadsky J. Personal characteristics and outcomes of individuals with developmental disabilities who need support for self-injurious behaviour. J Intellect Disabil Res 2018; 62:1043-1057. [PMID: 30022570 DOI: 10.1111/jir.12518] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Revised: 03/09/2018] [Accepted: 06/14/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND For people with intellectual and developmental disabilities, self-injurious behaviour (SIB) can have serious negative effects on both health and quality of life. This descriptive analysis will provide information on the characteristics and outcomes of a subsample of individuals who are identified as needing some or extensive support for SIB in the National Core Indicators Adult Consumer Survey sample. METHODS The data for this analysis come from states that participated in the 2015-2016 data collection cycle of National Core Indicators Adult Consumer Survey which is a face-to-face survey of adults receiving services through state developmental disability agencies. RESULTS The characteristics and outcomes of individuals who need at least some support for SIB differ from those of individuals with intellectual and developmental disabilities who do not need support for SIB. Individuals with SIB support needs, for example, tend to live in more structured settings, have fewer relationships, less inclusion in their communities and poorer employment outcomes. CONCLUSIONS The exploratory descriptive analysis concludes with suggested recommendations for more standardised definitions of SIB in public systems, enhanced behaviour plan protocols and the need for additional research.
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Affiliation(s)
- V Bradley
- Human Services Research Institute, Cambridge, MA, USA
| | - D Hiersteiner
- Human Services Research Institute, Cambridge, MA, USA
| | - D Rotholz
- Department of Pediatrics, Center for Disability Resources, School of Medicine, Columbia, SC, USA
| | - J Maloney
- Human Services Research Institute, Cambridge, MA, USA
| | - H Li
- Human Services Research Institute, Cambridge, MA, USA
| | - A Bonardi
- Human Services Research Institute, Cambridge, MA, USA
| | - J Bershadsky
- Human Services Research Institute, Cambridge, MA, USA
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Agius M, Rashid Z, Slattery C, Kelly C, Ryan D, Wear H, Pepper H, Kilsby A, Bradley V, Davis A, Gilhooley M. How to Involve Undergraduate Medical Students in Psychiatric Research. Eur Psychiatry 2009. [DOI: 10.1016/s0924-9338(09)71115-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The poster will address the important issue of how we can use opportunities in teaching our medical students how to take a wider view of psychiatry and learn to ‘think outside the box’ thus broadening their vision, enabling them to challenge presently held concepts, while at the same time learning the basic tenets of our profession.Clearly, this is done by involving our students in clinical research based and audit based activities. However not all schools or teachers are comfortable with doing this, while the medical curriculum is broad, and there is a risk that students ‘only study for exams’.Research based activities, including simple things such as using basic it skills to do a literature search for a review article or carrying out a useful clinical audit, using a unit held database, are however things which students can easily do, and these can lead to publishable case reports, posters, or ever articles in peer reviewed journals.The poster will illustrate how we developed research activities with students at Cambridge University Clinical School. It shall discuss the advantages, difficulties, and indeed enjoyment of carrying out such activities.
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Abstract
PURPOSE Rectal prolapse in children is not uncommon and usually is a self-limiting condition in infancy. Most cases respond to conservative management; however, surgery is occasionally required in cases that are intractable to conservative treatment. This study was designed to analyze the outcomes of rectal prolapse in children and to propose a pathway for the management of these cases in children. METHODS A retrospective analysis of all cases of rectal prolapse referred to our surgical unit during a period of five years was performed. End point was recurrence of prolapse requiring manual reduction under sedation or an anesthetic. Results are presented as median (range) and statistical analysis was performed using chi-squared test; P < 0.05 was considered significant. RESULTS A total of 49 children (25 males) presented with symptoms of rectal prolapse at a median age of 2.6 years (range, 4 months -10.6 years). All children received an initial period of conservative treatment with watchful expectancy and/or laxatives. Twenty-five patients were managed conservatively without any additional procedures (Group A), and 24 patients had one or more interventions, such as injection sclerotherapy, Thiersch procedure, anal stretch, banding of prolapse, and rectopexy (Group B). Management of rectal prolapse was successful with no recurrences in 24 patients (96 percent) in Group A vs. 15 patients (63 percent) in Group B at a median follow-up period of 14 (range, 2-96) months. An underlying condition was found in 84 percent of patients in Group A vs. 54 percent in Group B (P = 0.024). The age at presentation was younger than four years in 88 percent of patients in Group A vs. 58 percent in Group B (P = 0.019). CONCLUSIONS Rectal prolapse in children does respond to conservative management. A decision to operate is based on age of patient, duration of conservative management, and frequency of recurrent prolapse (>2 episodes requiring manual reduction) along with symptoms of pain, rectal bleeding, and perianal excoriation because of recurrent prolapse. Those cases presenting younger than four years of age and with an associated condition have a better prognosis. The authors propose an algorithm for the management of rectal prolapse in children.
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Affiliation(s)
- B Antao
- Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom.
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Abstract
BACKGROUND Both the eicosanoids and nitric oxide are known to play an important role in the pathogenesis of postischemic injury. Recent evidence has suggested that the generation of each may affect the other via a feedback loop. This was investigated in an experimental model of renal warm ischemia reperfusion injury. METHODS Rats underwent bilateral renal warm ischemia (15-60 min) then reperfusion (20 or 80 min) followed by a unilateral nephrectomy to measure renal nitric oxide (as nitroxides) and eicosanoids. Renal function was measured on days 2 and 7 prior to terminal nephrectomy for tissue analysis. RESULTS Vasodilator eicosanoids (6-KPGF1alpha and PGE2) fell on reperfusion in line with the duration of warm ischemia with a concomitant rise in the vasoconstrictor TxA2. The ratio of vasodilator to vasoconstrictor eicosanoids fell from 8.22 (2.3) in the control to 0.82 (0.1) in the 60-min warm ischemia group (P<0.01). Renal levels of nitroxides rose on reperfusion demonstrating an inverse correlation with the eicosanoid ratio (r2=0.86). Renal function was impaired at both day 2 and day 7 and showed a positive correlation with the eicosanoid ratio (r2=0.67 and 0.62, respectively). CONCLUSIONS Renal warm ischemic injury is associated with a progressive fall in the ratio of vasodilator-to-vasoconstrictor eicosanoids from early in reperfusion through to day seven although nitric oxide was elevated throughout the same period. There was no evidence of coinduction of nitric oxide synthase and cyclooxygenase in this model.
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Affiliation(s)
- S C Weight
- University Department of Surgery, Leicester General Hospital, UK
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Vaughn M, Bradley V. Bookmarks for trauma Web resources. J Emerg Nurs 1999; 25:538-40. [PMID: 10579783 DOI: 10.1016/s0099-1767(99)70024-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Vaughn
- Chandler Medical Center, Lexington, KY, USA
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Affiliation(s)
- V Bradley
- University of Kentucky Hospital, Lexington, USA
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Affiliation(s)
- V Bradley
- University of Kentucky Hospital, Lexington, USA.
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Affiliation(s)
- V Bradley
- University of Kentucky Hospital, Lexington, USA
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Affiliation(s)
- V Bradley
- University of Kentucky Hospital, Lexington, USA
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Affiliation(s)
- V Bradley
- University of Kentucky Hospital, Lexington, USA
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Pollock DA, Adams DL, Bernardo LM, Bradley V, Brandt MD, Davis TE, Garrison HG, Iseke RM, Johnson S, Kaufmann CR, Kidd P, Leon-Chisen N, MacLean S, Manton A, McClain PW, Michelson EA, Pickett D, Rosen RA, Schwartz RJ, Smith M, Snyder JA, Wright JL. Data elements for emergency department systems, release 1.0 (DEEDS): a summary report. DEEDS Writing Committee. Ann Emerg Med 1998; 31:264-73. [PMID: 9472191] [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] [Indexed: 02/06/2023]
Abstract
Variations in the way that data are entered in emergency department record systems impede the use of ED records for direct patient care and deter their reuse for many other legitimate purposes. To foster more uniform ED data, the Centers for Disease Control and Prevention's National Center for Injury Prevention and Control is coordinating a public-private partnership that has developed recommended specifications for many observations, actions, instructions, conclusions, and identifiers that are entered in ED records. The partnership's initial product, Data Elements for Emergency Department Systems, Release 1.0 (DEEDS), is intended for use by individuals and organizations responsible for ED record systems. If the recommended specifications are widely adopted, then problems--such as data incompatibility and high costs of collecting, linking, and using data--can be substantially reduced. The collaborative effort that led to DEEDS, Release 1.0 sets a precedent for future review and revision of the initial recommendations.
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Affiliation(s)
- D A Pollock
- National Center for Injury Prevention and Control (NCIPC), Centers for Disease Control and Prevention (CDC)
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Pollock DA, Adams DL, Bernardo LM, Bradley V, Brandt MD, Davis TE, Garrison HG, Iseke RM, Johnson S, Kaufmann CR, Kidd P, Leon-Chisen N, MacLean S, Manton A, McClain PW, Michelson EA, Pickett D, Rosen RA, Schwartz RJ, Smith M, Snyder JA, Wright JL. Data elements for emergency department systems, release 1.0 (DEEDS): a summary report. DEEDS Writing Committee. J Emerg Nurs 1998; 24:35-44. [PMID: 9534532 DOI: 10.1016/s0099-1767(98)90168-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Variations in the way that data are entered in ED record systems impede the use of ED records for direct patient care and deter their reuse for many other legitimate purposes. To foster more uniform ED data, the Centers for Disease Control and Prevention's (CDC) National Center for Injury Prevention and Control is coordinating a public-private partnership that has developed recommended specifications for many observations, actions, instructions, conclusions, and identifiers that are entered in ED records. The partnership's initial product. Data Elements for Emergency Department Systems, Release 1.0 (DEEDS), is intended for use by individuals and organizations responsible for ED record systems. If the recommended specifications are widely adopted, then problems--such as data incompatibility and high costs of collecting, linking, and using data--can be substantially reduced. The collaborative effort that led to DEEDS, Release 1.0 sets a precedent for future review and revision of the initial recommendations.
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Affiliation(s)
- D A Pollock
- National Center for Injury Prevention and Control (NCIPC), Centers for Disease Control and Prevention (CDC), Atlanta, GA 30341-3724, USA.
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Affiliation(s)
- V Bradley
- University of Kentucky Hospital, Lexington, USA. vmbradle%
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Affiliation(s)
- V Bradley
- Operating Room Services, University of Kentucky Hospital, Lexington, USA
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Bradley V. On course for the future: the ENA Foundation endowment campaign. J Emerg Nurs 1995; 21:369-70. [PMID: 7500558 DOI: 10.1016/s0099-1767(05)80082-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Bradley V. On-line charging = increased revenue. J Emerg Nurs 1995; 21:61-4. [PMID: 7776586 DOI: 10.1016/s0099-1767(95)80021-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Although the new ED charge system is not perfect, it has resulted in improved charging for services delivered; this increase in correct charges has more than offset the resources to develop the entire tracking system project within 1 year. This is one example in which computerization paid for itself, which should help ED managers justify computerization of their departments. It is hoped that more effective charge systems will occur as a component of the computerized patient record in which the patient charge is calculated on the basis of preset formulas for the amount of resources utilized, thus eliminating subjectivity in charging. With the capture of all services rendered, evaluation of practice patterns and outcomes would allow the ED staff to identify effective treatment regimens. Hopefully, unnecessary tests or treatments can be eliminated to promote a decrease in resource utilization and costs without compromising quality patient care.
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Bradley V. Systems analysis: a baseline. J Emerg Nurs 1994; 20:407-9. [PMID: 7823440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Bradley V. Our computerized patient-tracking system. J Emerg Nurs 1994; 20:320-3. [PMID: 8057598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Bradley V. CPR: computerized patient record. J Emerg Nurs 1994; 20:230-2. [PMID: 8007503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Bradley V. Computers: getting started. J Emerg Nurs 1994; 20:146-8. [PMID: 7807788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Because there is not much written about computer application in the emergency department you will frequently find yourself reading about applications in other areas. It is up to you to apply this information in the emergency setting. This makes you pioneers, in search of a new and better tomorrow. Our future is not yet written. It is waiting on you and your creative ideas to keep the wagon rolling. Don't let the new territory of informatics, hardware hardships, and foreign computer languages get you down. Accept informatics as just another challenge, like the many we have faced successfully in the past. Use these resources and your expertise in emergency nursing to create innovative informatic systems.
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Bradley V, Shawler C. One emergency department's guidelines for the care of suicidal patients. J Emerg Nurs 1993; 19:393-5. [PMID: 8277650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Bradley V. More on emergency medical technicians (EMTs) in the emergency department. J Emerg Nurs 1993; 19:3. [PMID: 8437396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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Bradley V. Workplace abuse: unrecognized emergency department violence. J Emerg Nurs 1992; 18:489-90. [PMID: 1469807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Bradley V. Healthy America: practitioners for 2005. J Emerg Nurs 1992; 18:365-7. [PMID: 1474722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Bradley V. Computer systems: answers to your prayers. J Emerg Nurs 1992; 18:181-2. [PMID: 1602693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Bradley V. Empowerment: "it pays to share". J Emerg Nurs 1992; 18:93-4. [PMID: 1573813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Evans RM, Doelle GC, Lindner J, Bradley V, Rabin D. A luteinizing hormone-releasing hormone agonist decreases biological activity and modifies chromatographic behavior of luteinizing hormone in man. J Clin Invest 1984; 73:262-6. [PMID: 6228566 PMCID: PMC425009 DOI: 10.1172/jci111200] [Citation(s) in RCA: 72] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
The effect of the luteinizing hormone-releasing hormone (LHRH) agonist, [D-Trp6,Pro9-NEth]LHRH (LHRHA), on luteinizing hormone (LH) bioactivity was assessed with a rat interstitial cell assay in four men during a 14-d treatment period. Biologic/immunologic (B/I) ratios were unchanged initially with treatment but by day 12 had fallen to levels lower than basal values. Frequent sampling on day 12 revealed blunted gonadotropin responsiveness to LHRHA and absence of spontaneous LH pulsations. Despite continued administration of LHRHA, human chorionic gonadotropin administration resulted in elevated B/I ratios and testosterone levels. Further characterization of the serum immunoreactive LH by Sephadex chromatography revealed a later elution profile during treatment with LHRHA. Thus, LHRHA appears to act, in part, by modification of the bioactivity of LH in man.
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Sugawa C, Raouf R, Bradley V, Westreich M, Lucas CE, Walt AJ. Peroral endoscopic cholangiography and pancreatography. The surgeon's helper. Arch Surg 1974; 109:231-7. [PMID: 4846492 DOI: 10.1001/archsurg.1974.01360020093018] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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