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Book ; Online ; E-Book: Barrier dynamics and response to changing climate

Moore, Laura J. / Murray, A. Brad

2018

Author's details	Laura J. Moore, A. Brad Murray, editors
Keywords	Geography ; Climate change ; Coasts ; Physical geography ; Geomorphology ; Environmental management
Subject code	910.02
Language	English
Size	1 Online-Ressource (395 Seiten), Illustrationen
Publisher	Springer International Publishing
Publishing place	Cham
Publishing country	Switzerland
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
HBZ-ID	HT019598544
ISBN	978-3-319-68086-6 ; 9783319680842 ; 3-319-68086-2 ; 3319680846
DOI	10.1007/978-3-319-68086-6
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Velocity changes in femoral vessel ultrasound with Doppler in Porcine hemorrhagic shock

Ioana Antonescu / Brad Moore / Erica Peethumnongsin / Sean P. Montgomery

Heliyon, Vol 10, Iss 1, Pp e23269- (2024)

1481

Abstract: Structured Abstract: Objective: Physician-directed point-of-care ultrasound (PoCUS) is routinely used to identify the etiology of shock and guide therapy in the ICU. We performed a preclinical study to determine what changes are manifested in the femoral ...

Abstract	Structured Abstract: Objective: Physician-directed point-of-care ultrasound (PoCUS) is routinely used to identify the etiology of shock and guide therapy in the ICU. We performed a preclinical study to determine what changes are manifested in the femoral vessels during hemorrhagic shock on Duplex imaging and to generate a femoral vessel sonographic profile over the time course of shock. Design & setting: A preclinical study in swine was performed using a convenience sample of animals that were being used in a Trauma Surgery training lab. The animals developed progressive unregulated hemorrhage during the lab. Subjects: Six anesthetized swine underwent Duplex studies of the femoral vessels prior to any hemorrhage and at two time points after the start of hemorrhage. Interventions: N/A. Measurements: Femoral vessel imaging was performed using a portable ultrasound (Sonosite and Clarius). Main results: Femoral arterial peak systolic velocity decreased in all animals with hemorrhage, from a mean (SD) of 77 (27) cm/s pre-hemorrhage to 42 (17) and 32 (16) cm/s at the two post-hemorrhage time points. There were also changes to the arterial waveform morphology. Mean venous velocities also decreased with hemorrhage (20, 11, 7 cm/s). Animals with severe hemorrhage had a cessation of venous flow during positive pressure ventilation. Conclusion: In this preclinical study, both femoral peak systolic velocity and venous velocity decreased with hemorrhage. Femoral vessels represent an easily accessible target for non-invasive hemodynamic monitoring. Changes in femoral vessel Duplex waveforms and velocities should be studied both in a larger sample of animals with controlled hemorrhage and in human trauma patients to determine whether changes appear in early hemorrhage, before the onset of clinically evident hemorrhagic shock.
Keywords	Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
Subject code	610
Language	English
Publishing date	2024-01-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Velocity changes in femoral vessel ultrasound with Doppler in Porcine hemorrhagic shock.

Antonescu, Ioana / Moore, Brad / Peethumnongsin, Erica / Montgomery, Sean P

Heliyon

2023 Volume 10, Issue 1, Page(s) e23269

Abstract: Objective: Physician-directed point-of-care ultrasound (PoCUS) is routinely used to identify the etiology of shock and guide therapy in the ICU. We performed a preclinical study to determine what changes are manifested in the femoral vessels during ... ...

Abstract	Objective: Physician-directed point-of-care ultrasound (PoCUS) is routinely used to identify the etiology of shock and guide therapy in the ICU. We performed a preclinical study to determine what changes are manifested in the femoral vessels during hemorrhagic shock on Duplex imaging and to generate a femoral vessel sonographic profile over the time course of shock. Design & setting: A preclinical study in swine was performed using a convenience sample of animals that were being used in a Trauma Surgery training lab. The animals developed progressive unregulated hemorrhage during the lab. Subjects: Six anesthetized swine underwent Duplex studies of the femoral vessels prior to any hemorrhage and at two time points after the start of hemorrhage. Interventions: N/A. Measurements: Femoral vessel imaging was performed using a portable ultrasound (Sonosite and Clarius). Main results: Femoral arterial peak systolic velocity decreased in all animals with hemorrhage, from a mean (SD) of 77 (27) cm/s pre-hemorrhage to 42 (17) and 32 (16) cm/s at the two post-hemorrhage time points. There were also changes to the arterial waveform morphology. Mean venous velocities also decreased with hemorrhage (20, 11, 7 cm/s). Animals with severe hemorrhage had a cessation of venous flow during positive pressure ventilation. Conclusion: In this preclinical study, both femoral peak systolic velocity and venous velocity decreased with hemorrhage. Femoral vessels represent an easily accessible target for non-invasive hemodynamic monitoring. Changes in femoral vessel Duplex waveforms and velocities should be studied both in a larger sample of animals with controlled hemorrhage and in human trauma patients to determine whether changes appear in early hemorrhage, before the onset of clinically evident hemorrhagic shock.
Language	English
Publishing date	2023-12-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e23269
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Optic Nerve Sheath Point of Care Ultrasound: Image Acquisition.

Montgomery, Sean P / Moore, Brad / Hampton, Spencer M / Macy, Gary / Li, Weizhe / Bronshteyn, Yuriy S

Journal of visualized experiments : JoVE

2023 , Issue 198

Abstract: The goal of this protocol is to develop a standardized method for acquiring images of the optic nerve sheath and measuring the optic nerve sheath diameter (ONSD). Diagnostic ultrasound of the ONSD to detect intracranial hypertension has traditionally ... ...

Abstract	The goal of this protocol is to develop a standardized method for acquiring images of the optic nerve sheath and measuring the optic nerve sheath diameter (ONSD). Diagnostic ultrasound of the ONSD to detect intracranial hypertension has traditionally faced many problems because of methodologic discrepancies. Due to inconsistencies in the measuring techniques, the potential for ONSD to become a non-invasive bedside monitoring tool for ICP has been hampered. However, establishing a transparent, consistent methodology for measuring the ONSD would support its use as a valid and reliable method of identifying intracranial hypertension. This is important as it has both high sensitivity and specificity in acute care settings. This narrative review describes ONSD POCUS image acquisition, including patient positioning, transducer selection, probe placement, the acquisition sequence, and image optimization. Further, visual aids are provided to assist in real-time during image acquisition. This method should be considered for patients for whom there are concerns regarding intracranial hypertension but who do not have an intracranial monitor in place.
MeSH term(s)	Humans ; Point-of-Care Systems ; Intracranial Hypertension/diagnostic imaging ; Critical Care ; Ultrasonography ; Optic Nerve/diagnostic imaging
Language	English
Publishing date	2023-08-18
Publishing country	United States
Document type	Review ; Journal Article ; Video-Audio Media ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2259946-0
ISSN	1940-087X ; 1940-087X
ISSN (online)	1940-087X
ISSN	1940-087X
DOI	10.3791/64929
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Effect of physical activity goals on aerobic physical activity: testing the mediating role of external and internal motivation.

Dodge, Tonya / Joshi, Deepti / Alharbi, Malak / Moore, Brad

Psychology, health & medicine

2021 Volume 27, Issue 6, Page(s) 1296–1310

Abstract: Prior work has shown that primary care patients endorse one or more of the following PA goals, weight maintenance, overall benefits, stress reduction, weight loss, tone/body shape, overall well-being, cardiovascular fitness, and increased energy. Using ... ...

Abstract	Prior work has shown that primary care patients endorse one or more of the following PA goals, weight maintenance, overall benefits, stress reduction, weight loss, tone/body shape, overall well-being, cardiovascular fitness, and increased energy. Using self-determination theory as a guide, the present study tested whether these eight goals had indirect effects on likelihood of meeting aerobic PA guidelines through internal motivation, external motivation or both. Patients (N = 642; 60.7% female; 44.5% Black; M
MeSH term(s)	Exercise ; Female ; Goals ; Humans ; Male ; Middle Aged ; Motivation ; Personal Autonomy ; Weight Loss
Language	English
Publishing date	2021-01-25
Publishing country	England
Document type	Journal Article
ZDB-ID	1477841-5
ISSN	1465-3966 ; 1354-8506
ISSN (online)	1465-3966
ISSN	1354-8506
DOI	10.1080/13548506.2021.1874430
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Successful Use of Limited Transthoracic Echocardiography to Guide Veno-venous Extracorporeal Membrane Oxygenator Placement in a Patient With Coronavirus Disease 2019.

Moore, Brad / Morgan, Ned / Selzman, Craig / Zimmerman, Josh

Journal of cardiothoracic and vascular anesthesia

2020 Volume 34, Issue 12, Page(s) 3491–3493

MeSH term(s)	Betacoronavirus ; COVID-19 ; Cardiology ; Coronavirus ; Coronavirus Infections ; Echocardiography ; Humans ; Oxygenators, Membrane ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; United States
Keywords	covid19
Language	English
Publishing date	2020-05-06
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	1067317-9
ISSN	1532-8422 ; 1053-0770
ISSN (online)	1532-8422
ISSN	1053-0770
DOI	10.1053/j.jvca.2020.04.047
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Zs.A 2203: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 31: Show issues

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Article ; Online: Primary Care Providers in Federally Qualified Health Centers Can Treat Hepatitis C Effectively Without Ongoing Consultative Support From Specialists.

Moore, Richard A / Fried, Michael W / Wright, Brad

Medical care

2021 Volume 59, Issue 8, Page(s) 699–703

Abstract: Background: Hepatitis C virus (HCV) infection remains underdiagnosed and undertreated, but treatment advances may allow primary care providers to address gaps in care by delivering HCV treatment themselves.: Objective: The objective of this study was ...

Abstract	Background: Hepatitis C virus (HCV) infection remains underdiagnosed and undertreated, but treatment advances may allow primary care providers to address gaps in care by delivering HCV treatment themselves. Objective: The objective of this study was to evaluate results of an HCV treatment program at a federally qualified health center (FQHC) in rural North Carolina and assess the extent to which program success depends upon ongoing consultative support from specialists. Methods: In this retrospective cohort study, we used data on 381 FQHC patients internally referred for HCV care from January 2015 to December 2018, with follow-up through December 2019. Using modified Poisson regression analyses we compared outcomes during periods with (2015-2016) and without (2017-2018) consultative support. Outcomes included treatment initiation, completion, and cure. We also modeled the likelihood of keeping the first appointment, but because multiple referral attempts were made among nonresponsive patients throughout the study period, we could not compare this outcome in periods with and without consultative support. Results: Of all patients referred for evaluation, 91.3% kept at least 1 appointment, 74.1% initiated treatment, 72% completed treatment, and 68.1% were cured. When comparing periods with and without consultative support, there were no significant differences in treatment initiation ([relative risk (RR): 0.975, 95% confidence interval (CI): 0.871, 1.092], treatment completion (RR: 0.989, 95% CI: 0.953, 1.027), or cure (RR: 0.977, 95% CI: 0.926, 1.031). Conclusions: After 2 years of consultative support from specialists, primary care providers at FQHCs can deliver HCV treatment effectively without ongoing support. However, more research is needed to determine whether our findings are generalizable across primary care settings.
MeSH term(s)	Adult ; Aged ; Cohort Studies ; Community Health Services/statistics & numerical data ; Female ; Hepatitis C/therapy ; Humans ; Male ; Middle Aged ; North Carolina ; Primary Health Care/methods ; Primary Health Care/statistics & numerical data ; Referral and Consultation/statistics & numerical data ; Retrospective Studies ; Treatment Adherence and Compliance/statistics & numerical data
Language	English
Publishing date	2021-05-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	411646-x
ISSN	1537-1948 ; 0025-7079
ISSN (online)	1537-1948
ISSN	0025-7079
DOI	10.1097/MLR.0000000000001582
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.B 518: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 63: Show issues

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Article ; Online: Integrating dissemination and implementation sciences within Clinical and Translational Science Award programs to advance translational research: Recommendations to national and local leaders - ADDENDUM.

Mehta, Tara G / Mahoney, Jane / Leppin, Aaron L / Stevens, Kathleen R / Yousefi-Nooraie, Reza / Pollock, Brad H / Shelton, Rachel C / Dolor, Rowena / Pincus, Harold / Patel, Sapana / Moore, Justin B

Journal of clinical and translational science

2023 Volume 7, Issue 1, Page(s) e97

Language	English
Publishing date	2023-04-26
Publishing country	England
Document type	Journal Article ; Published Erratum
ISSN	2059-8661
ISSN (online)	2059-8661
DOI	10.1017/cts.2022.478
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Operation Orphan and Danbro: an SME–charity partnership

Russon, Jo-Anna / Moore, Brad / Broughton, Helen

Development in practice. 2021 Oct. 03, v. 31, no. 7

2021

Abstract: This Practical Note reviews a long-term partnership between Operation Orphan–a small development charity–and Danbro–an accounting services firm. This partnership was formed in 2010 when Danbro committed to underwriting 100% of Operation Orphan’s UK ... ...

Abstract	This Practical Note reviews a long-term partnership between Operation Orphan–a small development charity–and Danbro–an accounting services firm. This partnership was formed in 2010 when Danbro committed to underwriting 100% of Operation Orphan’s UK administrative costs, enabling other donations to directly support orphans and vulnerable children in Zimbabwe and beyond. We discuss the core elements underpinning the partnership: governance arrangements, trust, relationship and long-term financial commitment, and explore how issues of power and partnership sustainability are perceived and managed. The case concludes with a reflective note on the broader implications of this type of SME–charity partnership model.
Keywords	governance ; models ; Zimbabwe
Language	English
Dates of publication	2021-1003
Size	p. 927-933.
Publishing place	Routledge
Document type	Article
ZDB-ID	1484991-4
ISSN	1364-9213 ; 0961-4524
ISSN (online)	1364-9213
ISSN	0961-4524
DOI	10.1080/09614524.2021.1911953
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: A Randomized, Self-Controlled Case Series Evaluating Core Osteostixis of Osseous Cyst-Like Lesions of the Navicular Bone to Improve Lameness in Horses with Podotrochlear Syndrome.

Brock, Bo A / Greer, Hunter R / Honnas, Clifford M / Gilleland, Brad E / Barrett, Myra F / Moore, James N / Cohen, Noah D

Veterinary medicine (Auckland, N.Z.)

2023 Volume 14, Page(s) 35–46

Abstract: Introduction: Podotrochlear syndrome is a common cause of lameness in Quarter Horses involving both soft tissue and bony structures within the heel region. Current surgical treatment of podotrochlear syndrome addresses pathological changes affecting the ...

Abstract	Introduction: Podotrochlear syndrome is a common cause of lameness in Quarter Horses involving both soft tissue and bony structures within the heel region. Current surgical treatment of podotrochlear syndrome addresses pathological changes affecting the soft tissue structures of the navicular region but does not address either edema or cyst-like lesions of the navicular bone. Objective: The objective of this randomized, self-controlled case series was to determine whether core osteostixis improved lameness in Quarter Horses with podotrochlear syndrome characterized by bilateral magnetic resonance imaging (MRI) findings of osseous cyst-like lesions of the navicular bone. Methods: Seven Quarter Horses that had not responded to standard medical management were included. Each horse had an affected forefoot randomly assigned to surgical treatment with navicular bursoscopy and core osteostixis; the contralateral limb was assigned to navicular bursoscopy only. Video recordings were used to assign lameness scores and make comparisons of each limb at baseline and 24 weeks post-operatively by an observer blinded to the surgical treatment. A second MRI was performed 24 weeks after surgery to reevaluate navicular bone edema, osseous cyst-like lesions of the navicular bone, and tears of the deep digital flexor tendon (DDFT). Results: Reduction of lameness score from baseline was significantly (P = 0.0254) greater for the limbs treated with core osteostixis than limbs treated with bursoscopy. New DDFT tears were noted in 3 of 7 limbs treated with core osteostixis and in 1 of 7 bursoscopy limbs. Conclusion: Results of this study suggest that core osteostixis of the navicular bone combined with navicular bursoscopy can improve lameness in horses with osseous cyst-like lesions. Further evaluation of this technique is warranted.
Language	English
Publishing date	2023-03-15
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2708944-7
ISSN	2230-2034 ; 2230-2034
ISSN (online)	2230-2034
ISSN	2230-2034
DOI	10.2147/VMRR.S399835
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