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Search Results: 1 - 10 of 145686 matches for " Evan B. Grossman "
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Confounders in Adenoma Detection at Initial Screening Colonoscopy: A Factor in the Assessment of Racial Disparities as a Risk for Colon Cancer  [PDF]
Yakira David, Lorenzo Ottaviano, Jihye Park, Sadat Iqbal, Michelle Likhtshteyn, Samir Kumar, Helen Lyo, Ayanna E. Lewis, Brandon E. Lung, Jesse T. Frye, Li Huang, Ellen Li, Jie Yang, Laura Martello, Shivakumar Vignesh, Joshua D. Miller, Michele Follen, Evan B. Grossman
Journal of Cancer Therapy (JCT) , 2019, DOI: 10.4236/jct.2019.104022
Abstract: Background and Aims: The incidence and mortality of colorectal cancer is persistently highest in Black/African-Americans in the United States. While access to care, barriers to screening, and poverty might explain these findings, there in increased interest in examining biological factors that impact the colonic environment. Our group is examining biologic factors that contribute to disparities in development of adenomas prospectively. In preparation for this and to characterize a potential patient population, we conducted a retrospective review of initial screening colonoscopies in a cohort of patients. Methods: A retrospective review was performed on initial average risk screening colonoscopies on patients (age 45 - 75 years) during 2012 at three institutions. Descriptive statistics and multivariable logistic regression models were used to examine the relationship between potential risk factors and the detection of adenomas. Results: Of the 2225 initial screening colonoscopies 1495 (67.2%) were performed on Black/African-Americans and 566 (25.4%) on Caucasians. Multivariable logistic regression revealed that older age, male sex, current smoking and teaching gastroenterologists were associated with higher detection of adenomas and these were less prevalent among Black/African-Americas except for age. Neither race, ethnicity, BMI, diabetes mellitus, HIV nor insurance was associated with adenoma detection. Conclusion: In this sample, there was no association between race and adenoma detection. While this may be due to a lower prevalence of risk factors for adenomas in this sample, our findings were
Differential diagnosis of Cushing's syndrome
Newell-Price, John;Grossman, Ashley B.;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2007, DOI: 10.1590/S0004-27302007000800005
Abstract: the differential diagnosis of cushing's syndrome requires careful multidisciplinary interaction with a number of specialities, co-ordinated through endocrine centres with good experience of this condition. it is essential that the diagnosis of cushing's syndrome be fully established before differential diagnosis is attempted. the endocrinologist needs to be aware of the pitfalls and advantages of the tests in use. we discuss the approach to the differential diagnosis of this challenging condition.
Imaging in Cushing's syndrome
Sahdev, Anju;Reznek, Rodney H.;Evanson, Jane;Grossman, Ashley B.;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2007, DOI: 10.1590/S0004-27302007000800018
Abstract: once the diagnosis of cushing's syndrome (cs) has been established, the main step is to differentiate between acth dependent and independent disease. in adults, 80% of cs is due to acth-dependent causes and 20% due to adrenal causes. acth-secreting neoplasms cause acth-dependent cs. these are usually anterior pituitary microadenomas, which result in the classic cushing's disease. non-pituitary ectopic sources of acth, such as a small-cell lung carcinoma or carcinoid tumours, are the source of the remainder of acth-dependent disease. in the majority of patients presenting with clinical and biochemical evidence of cs, modern non-invasive imaging can accurately and efficiently provide the cause and the nature of the underlying pathology. imaging is essential for determining the source of acth in ectopic acth production, locating the pituitary tumours and distinguishing adrenal adenomas, carcinomas and hyperplasias. in our chapter we review the adrenal appearances in acth-dependent and acth-independent cs. we also include a discussion on the use of mri and ct for the detection and management of pituitary acth secreting adenomas. ct of the chest, abdomen and pelvis with intravenous injection of contrast medium is the most sensitive imaging modality for the identification of the ectopic acth source and detecting adrenal pathology. mri is used for characterising adrenal adenomas, problem solving in difficult cases and for detecting acth-secreting pituitary adenomas.
Clinical uses of the medicinal leech: A practical review
Porshinsky B,Saha S,Grossman M,Beery II PR
Journal of Postgraduate Medicine , 2011,
Abstract: The medicinal leech, Hirudo medicinalis, is an excellent example of the use of invertebrates in the treatment of human disease. Utilized for various medical indications since the ancient times, the medicinal leech is currently being used in a narrow range of well-defined and scientifically-grounded clinical applications. Hirudotherapy is most commonly used in the setting of venous congestion associated with soft tissue replantations and free flap-based reconstructive surgery. This is a comprehensive review of current clinical applications of hirudotherapy, featuring a comprehensive search of all major medical search engines (i.e. PubMed, Google Scholar, ScientificCommons) and other cross-referenced sources. The authors focus on indications, contraindications, practical application/handling of the leech, and therapy-related complications.
Glueball-Like Screening Masses in Pure SU(3) at Finite Temperatures
B. Grossman,Sourendu Gupta,U. M. Heller,F. Karsch
Physics , 1993, DOI: 10.1016/0550-3213(94)90548-7
Abstract: We investigate the finite-temperature excitation spectrum in the gluon sector of $SU(3)$ pure gauge theory through measurements of screening masses in correlations of loop operators. We develop the classification of such operators under the symmetry group of the `$z$-slice'. In the confined phase of the theory, we find that the spectrum dynamically realises the zero temperature symmetries. We observe a large thermal shift of the $0^{++}$ glueball mass. In the deconfined phase, the spectrum distinguishes between operators coupling to electrically and magnetically polarised gluon fields. The former yields a screening mass equal to the Wilson-line screening mass; the latter, a method for the measurement of the magnetic mass in the high-temperature limit.
Electronic topological transitions in Cd at high pressures
Varadharajan Srinivasan,B. K. Godwal,Jeffrey C. Grossman,Raymond Jeanloz
Physics , 2015,
Abstract: Pressure-induced changes in the Fermi surface of Cd up to 40 GPa are studied using highly accurate density-functional theory calculations. The topology of Fermi surface changes at pressures of 2, 8, 12 , 18 and 28 GPa indicating electronic topological transitions (ETTs). Structural parameters, compressibility data and elastic constant reveal anomalies across these ETTs. The computed equation of state at 300 K is in excellent agreement with the experimental data. In view of the highly controversial nature of these ETTs the present studies are aimed at motivating the experimentalists for their direct detection at high pressures.
Urinary Tract Infections in Adults
Evan B. Cohn,Anthony J. Schaeffer
The Scientific World Journal , 2004, DOI: 10.1100/tsw.2004.50
Abstract:
Modernes déhumanités
Grossman, Evelyne;
Alea : Estudos Neolatinos , 2010, DOI: 10.1590/S1517-106X2010000100004
Abstract: the discovery of the twentieth century is that language is man's inhuman essence. this divides him and makes of him other to himself (freud, lacan), that which he will never "really" possess, and to which he will always be a "stranger" (derrida, deleuze), the infinity whose eternal whisper threatens to make him mad (blanchot, artaud...). if the inhuman is in the heart of what is human, how can we reinvent another cultural and political "humanism" for the twenty-first century?
Management of type 2 diabetes mellitus in the elderly: role of the pharmacist in a multidisciplinary health care team
Grossman S
Journal of Multidisciplinary Healthcare , 2011, DOI: http://dx.doi.org/10.2147/JMDH.S21111
Abstract: nagement of type 2 diabetes mellitus in the elderly: role of the pharmacist in a multidisciplinary health care team Review (6549) Total Article Views Authors: Grossman S Published Date May 2011 Volume 2011:4 Pages 149 - 154 DOI: http://dx.doi.org/10.2147/JMDH.S21111 Samuel Grossman Department of Veterans Affairs, New York Harbor Healthcare System, New York, NY, USA; Diabetes Care On-The-Go Inc, Brooklyn, NY, USA; Hunter-Bellevue School of Nursing, Hunter College, City University of New York, New York, NY, USA; Arnold and Marie Schwartz College of Pharmacy of Long Island University, Brooklyn, NY, USA; Garden State Association of Diabetes Educators, Edison, NJ, USA Abstract: Intensive glycemic control using insulin therapy may be appropriate for many healthy older adults to reduce premature mortality and morbidity, improve quality of life, and reduce health care costs. However, frail elderly people are more prone to develop complications from hypoglycemia, such as confusion and dementia. Overall, older persons with type 2 diabetes mellitus are at greater risk of death from cardiovascular disease (CVD) than from intermittent hyperglycemia; therefore, diabetes management should always include CVD prevention and treatment in this patient population. Pharmacists can provide a comprehensive medication review with subsequent recommendations to individualize therapy based on medical and cognitive status. As part of the patient’s health care team, pharmacists can provide continuity of care and communication with other members of the patient’s health care team. In addition, pharmacists can act as educators and patient advocates and establish patient-specific goals to increase medication effectiveness, adherence to a medication regimen, and minimize the likelihood of adverse events.
What′s new in Emergencies Trauma and Shock? Still searching for a scoring system for sepsis!
Grossman Michael
Journal of Emergencies, Trauma and Shock , 2010,
Abstract:
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