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24846454
background
Vascular surgeons perform majority of EVAR .
2
24846454
background
There are no reports for the long-term results of this intervention performed by interventional cardiologists .
3
24846454
background
We present one of the first reports of periprocedural and long-term outcomes of EVAR performed by interventional cardiologists .
4
24846454
methods
Retrospective chart review on patients with attempted EVAR between September @ and January @ was performed .
5
24846454
methods
Included cases were all consecutive patients who had attempted EVAR by interventional cardiologists .
6
24846454
results
During the study period EVAR was attempted in @ patients , with @ % being women .
7
24846454
results
The mean age was @ years ( range @-@ ) .
8
24846454
results
The endovascular graft placement was successful in @ % ( @/@ ) of patients .
9
24846454
results
Procedure failures were more common in women ( @ of @ vs @ of @ , P = @ ) .
10
24846454
results
The @-day mortality was @ % ( @ of @ ) .
11
24846454
results
In patients with successful EVAR the mean follow-up was @ months and mean length of hospital stay was @ days .
12
24846454
results
Major periprocedural complications were noted in @ % patients ( @ of @ ) .
13
24846454
results
During follow-up , six patients ( @ % ) required re-intervention and additional @ patients died with no aneurysm related deaths .
14
24846454
conclusions
EVAR primarily performed by interventional cardiologists demonstrates high periprocedural and long-term success rates .
15
24846454
conclusions
A higher EVAR failure rate has been observed in women .
16
24488838
objective
Anorexia nervosa ( AN ) is a severe illness with high rates of relapse .
0
24488838
objective
Exposure and Response Prevention for AN ( AN-EXRP ) is a new approach that specifically addresses maladaptive eating behavior by targeting eating-related fear and anxiety .
1
24488838
objective
The aim of this study was to evaluate AN-EXRP as an adjunctive strategy to improve eating behavior during weight restoration , at a pivotal moment when treatment goals shift toward relapse prevention .
2
24488838
methods
A randomized controlled trial was conducted to compare AN-EXRP with a comparison condition , Cognitive Remediation Therapy ( CRT ) .
3
24488838
methods
Hospitalized patients with AN ( n = @ ) who had achieved weight restoration to a BMI > @ kg/m ( @ ) received @ sessions of either AN-EXRP or CRT .
4
24488838
methods
Outcome was assessed by change in caloric intake in an objective assessment of eating behavior .
5
24488838
results
The average test meal caloric intake of participants who received AN-EXRP increased from @ kcal at baseline to @ kcal post-treatment , while that of participants who received CRT decreased from @ kcal at baseline to @ kcal post-treatment -LSB- t ( @ ) = @ , p = @ -RSB- .
6
24488838
results
Improvement in intake was significantly associated with improvement in eating-related anxiety ( Spearman 's = @ , p = @ ) .
7
24488838
conclusions
These data demonstrate that AN-EXRP , compared to a credible comparison intervention , is associated with better caloric intake in a laboratory meal over time in AN .
8
24488838
conclusions
Additional studies are required to determine whether incorporation of these techniques into a longer treatment program leads to enduring and clinically significant change .
9
25007421
objective
Aggressive behaviour in psychosis is not uncommon .
0
25007421
objective
Community provision for people with psychosis has left informal caregivers to take on a greater role in their care .
1
25007421
objective
However , few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning .
2
25007421
objective
Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes .
3
25007421
methods
Caregivers of patients with a recent relapse of psychosis , recruited to a psychological therapy trial , completed the audiotaped Camberwell Family Interview at baseline .
4
25007421
methods
This semi-structured interview includes questions on the quality of the relationship between caregiver and patient , and patient history of violence .
5
25007421
methods
Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence .
6
25007421
results
One-half of the caregiver sample ( @ % ) reported an incident of patient-initiated violence during their interview ; @ % of these involved violence toward themselves , and @ % toward property .
7
25007421
results
Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients , lower self-esteem , and emotion-focused coping .
8
25007421
results
People caring on their own were more likely to report incidents of patient violence .
9
25007421
results
Younger patients , males , and inpatients were more frequently identified as having a history of this kind of violence .
10
25007421
conclusions
Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon .
11
25007421
conclusions
Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis , and consider appropriate procedures for minimizing it .
12
24958362
background
Positive-pressure ventilation during transport of intubated patients is generally delivered via a hand-pressurized device .
0
24958362
background
Of these devices , self-inflating resuscitators ( SIR ) and flow-inflating resuscitators ( FIR ) constitute the two major types used .
1
24958362
background
Selection of a particular device for transport , however , remains largely an institutional practice .
2
24958362
objective
To evaluate the hypothesis that transport ventilation goals of intubated pediatric patients are better achieved using an FIR compared to an SIR .
3
24958362
methods
This randomized crossover simulation study compared the performance of SIR and FIR among anesthesia providers in a pediatric transport scenario .
4
24958362
methods
Subjects hand-ventilated a test lung while simultaneously maneuvering a stretcher bed to simulate patient transport .
5
24958362
methods
Hand ventilation was carried out using a Jackson-Rees circuit ( FIR ) and a Laerdal pediatric silicone resuscitator ( SIR ) .
6
24958362
methods
The primary outcome was the proportion of total breaths delivered within the predefined target PIP/PEEP range ( @ + / - @ , @ + / - @ cm H@O ) .
7
24958362
methods
Secondary outcomes included proportion of total breaths delivered with operationally defined unacceptable breath variables ( PIP > @ cm H@O or PEEP < @ cm H@O ) .
8
24958362
results
Overall , participants were four times more likely to deliver target breaths and one-third less likely to deliver unacceptable breaths using the FIR compared to the SIR .
9
24958362
results
When comparing device performance , a @ % increase in the proportions of target breaths and a @ % decrease in unacceptable breaths using the FIR were observed ( P < @ for both ) .
10
24958362
conclusions
Hand ventilation during patient transport is superior using the FIR compared to the SIR to achieve target ventilatory goals and avoid unacceptable ventilatory cycles .
11
25446547
objective
To examine efficacy of hysteroscopic removal of polyps and myomas on health-related quality of life and symptom severity at @-year postprocedure .
0
25446547
methods
Randomized , prospective , comparative setting clinical trial ( Canadian Task Force classification II-@ ) .
1
25446547
methods
Nine outpatient obstetrics and gynecology practices and hospitals in the United States .
2
25446547
methods
Women @ to @years of age with polyps and/or type @ or I myomas @ and @ cm .
3
25446547
methods
Treatment of polyps and fibroids with the MyoSure device .
4
25446547
results
A total of @ lesions ( @ polyps , @ myomas ) were removed .
5
25446547
results
Among the @ pathologies removed , @ were removed in an office setting ( @ myomas , @ polyps ) , and @ were removed in an ambulatory surgical center ( ASC ) setting ( @ myomas , @ polyps ) .
6
25446547
results
The mean percentage of pathology removed was @ % for fibroids and @ @ % for polyps .
7
25446547
results
Symptom severity as measured by the Uterine Fibroid Symptom-Quality of Life ( UFS-QOL ) scale improved significantly ( p < @ ) between baseline ( mean score of @ ) and @months postprocedure ( mean score of @ ) .
8
25446547
results
The Health-Related Quality of Life ( HRQOL ) scale also improved significantly ( p < @ ) between baseline ( mean score @ ) and @months postprocedure ( mean score of @ ) .
9
25446547
results
Both the office and ASC groups demonstrated a statistically significant ( p < @ ) improvement in UFS-QOL and HRQOL .
10
25446547
conclusions
For women with intrauterine polyps and/or myomas who experienced abnormal uterine bleeding , hysteroscopic morcellation with the MyoSure device provided significant , durable health-related , quality-of-life improvements up to @months postprocedure .
11
25446547
conclusions
These findings were the same for patients treated in both an office-based setting and ASCs .
12
24530651
objective
To evaluate the effects of a home-monitoring device with tele-monitoring compared with standard care in detection of progression to choroidal neovascularization ( CNV ) associated with age-related macular degeneration ( AMD ) , the leading cause of blindness in the US .
0
24530651
methods
Participants , aged @ to @ years , at high risk of developing CNV associated with AMD were recruited to the HOme Monitoring of Eye ( HOME ) Study , an unmasked , multi-center , randomized trial of the ForeseeHome ( FH ) device plus standard care vs. standard care alone .
1
24530651
methods
The FH device utilizes preferential hyperacuity perimetry and tele-monitoring to detect changes in vision function associated with development of CNV , potentially prior to symptom and visual acuity loss .
2
24530651
methods
After establishing baseline measurements , subsequent changes on follow-up are detected by the device , causing the monitoring center to alert the clinical center to recall participants for an exam .
3
24530651
methods
Standard care consists of instructions for self-monitoring visual changes with subsequent self-report to the clinical center .
4
24530651
methods
The primary objective of this study is to determine whether home monitoring plus standard care in comparison with standard care alone , results in earlier detection of incident CNV with better present visual acuity .
5
24530651
methods
The primary outcome is the decline in visual acuity at CNV diagnosis from baseline .
6
24530651
methods
Detection of CNV prior to substantial vision loss is critical as vision outcome following anti-angiogenic therapy is dependent on the visual acuity at initiation of treatment .
7
24530651
conclusions
HOME Study is the first large scale study to test the use of home tele-monitoring system in the management of AMD patients .
8
24807156
background
Avastin Biomarkers In lunG And @D Innovative anaLysis ( ABIGAIL ) , which is a phase II , open-label , randomized study , investigated correlations between biomarkers and best overall response to bevacizumab plus platinum-doublet chemotherapy for patients with advanced/recurrent non-small-cell lung cancer .
0
24807156
methods
Patients received bevacizumab ( @ or @ mg/kg , @-weekly until disease progression/unacceptable toxicity ) plus carboplatin/gemcitabine or carboplatin/paclitaxel ( maximum six cycles ) .
1
24807156
methods
Plasma samples ( baseline/throughout treatment ) were analyzed for vascular endothelial growth factor ( VEGF ) - A ( baseline only ) , VEGF receptors ( VEGFR-@ / VEGFR-@ ) , basic fibroblast growth factor , E-selectin , intercellular adhesion molecule-@ , and placental growth factor ( baseline only ) .
2
24807156
methods
Tumor samples ( primary specimen ) were analyzed for VEGF-A , VEGFR-@ / VEGFR-@ , neuropilin ( NRP ) , and CD@ .
3
24807156
methods
Response was evaluated at baseline and every @ weeks ( Response Evaluation Criteria in Solid Tumors ) .
4
24807156
results
Patients were randomized to receive chemotherapy plus @ mg/kg ( n = @ ) or @ mg/kg ( n = @ ) bevacizumab .
5
24807156
results
For the primary analysis , none of the baseline plasma biomarkers correlated with best overall response .
6
24807156
results
Exploratory analyses showed that low VEGF-A levels were associated with longer progression-free survival ( @ versus @ months ; hazard ratio , @ ; @ % confidence intervals , @ to @ ; p = @ ) and overall survival ( @ versus @ months ; hazard ratio , @ ; @ % confidence interval , @-@ @ ; p = @ ) compared with these in high baseline plasma VEGF-A levels .
7
24807156
results
No plasma biomarkers changed significantly over time .
8
24807156
results
No significant correlations were observed between tumor biomarkers and clinical outcomes .
9
24807156
results
No new safety signals were observed .
10
24807156
conclusions
Baseline and/or dynamic changes in plasma basic fibroblast growth factor , E-selectin , intercellular adhesion molecule-@ , placental growth factor , VEGFR-@ and VEGFR-@ , and tumor biomarkers did not correlate statistically with treatment outcomes for bevacizumab plus chemotherapy .
11
24807156
conclusions
Only baseline plasma VEGF-A was significantly correlated with progression-free survival/overall survival .
12
24716478
background
Evidence from armed conflict settings points to high levels of intimate partner violence ( IPV ) against women .
0
24716478
background
Current knowledge on how to prevent IPV is limited-especially within war-affected settings .
1
24716478
background
To inform prevention programming on gender-based violence in settings affected by conflict , we evaluated the impact of adding a targeted men 's intervention to a community-based prevention programme in Cte d'Ivoire .
2
24716478
methods
We conducted a two-armed , non-blinded cluster randomized trial in Cte d'Ivoire among @ pair-matched communities spanning government-controlled , UN buffer , and rebel-controlled zones .
3
24716478
methods
The intervention communities received a @-week IPV prevention intervention using a men 's discussion group format .
4
24716478
methods
All communities received community-based prevention programmes .
5
24716478
methods
Baseline data were collected from couples in September @ ( pre-intervention ) and follow-up in March @ ( one year post-intervention ) .
6
24716478
methods
The primary trial outcome was women 's reported experiences of physical and/or sexual IPV in the last @ months .
7
24716478
methods
We also assessed men 's reported intention to use physical IPV , attitudes towards sexual IPV , use of hostility and conflict management skills , and participation in gendered household tasks .
8
24716478
methods
An adjusted cluster-level intention to treat analysis was used to compare outcomes between intervention and control communities at follow-up .
9
24716478
results
At follow-up , reported levels of physical and/or sexual IPV in the intervention arm had decreased compared to the control arm ( ARR @ , @ % CI @-@ @ , not significant ) .
10
24716478
results
Men participating in the intervention reported decreased intentions to use physical IPV ( ARR @ , @ % CI @-@ @ ) and improved attitudes toward sexual IPV ( ARR @ , @ % CI @-@ @ ) .
11
24716478
results
Significant differences were found between men in the intervention and control arms ' reported ability to control their hostility and manage conflict ( ARR @ , @ % CI @-@ @ ) , and participation in gendered household tasks ( ARR @ , @ % CI @-@ @ ) .
12
24716478
conclusions
This trial points to the value of adding interventions working with men alongside community activities to reduce levels of IPV in conflict-affected settings .
13
24716478
conclusions
The intervention significantly influenced men 's reported behaviours related to hostility and conflict management and gender equitable behaviours .
14