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  1. Book ; Online: Chapter Designing Heterogeneous-mHealth Apps for Cystic Fibrosis Adults

    Vagg, Tamara / Fleming, C. / Shortt, C. / McCarthy, Mairead / Plant, Barry J. / Tabirca, Sabin

    2020  

    Keywords Respiratory medicine ; cystic fibrosis, patient passport, mHealth, digital health, self-management
    Size 1 Online-Ressource
    Publisher InTechOpen
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT021047706
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: The Functional Outcome of Surgical Management of Spondylolisthesis with Posterior Stabilization and Fusion.

    Noordeen, S / Fleming, C / Gokulakrishnan, R / Sivanandan, M Hari

    Journal of orthopaedic case reports

    2024  Volume 14, Issue 1, Page(s) 119–124

    Abstract: Introduction: Spondylolisthesis is a spinal condition characterized by the forward displacement of one vertebra over another, leading to instability and associated symptoms. Surgical intervention is often recommended for patients with symptomatic ... ...

    Abstract Introduction: Spondylolisthesis is a spinal condition characterized by the forward displacement of one vertebra over another, leading to instability and associated symptoms. Surgical intervention is often recommended for patients with symptomatic spondylolisthesis unresponsive to conservative treatment. The objective of this study was to analyze the functional outcomes of surgical management utilizing posterior stabilization and fusion techniques in patients with spondylolisthesis.
    Materials and methods: This is a prospective study conducted on 30 patients who underwent surgical treatment for spondylolisthesis with posterior trans-pedicular screw fixation with conventional or reduction screws and fusion. Meyerding's grade of listhesis, Japanese Orthopaedic Association (JOA) score, Oswestry disability index (ODI) score and pain scores such as visual analog scale (VAS), numerical rating scale 11 (NRS-11), and pain relief rate were used to analyze the functional outcome.
    Results: Postoperatively, Meyerding's grade of listhesis and the JOA score had improved significantly. The ODI score and pain scores such as VAS, NRS-11, and pain relief rate were better after surgical interventions. There was full motor recovery in 13 patients and 14 patients had full sensory recovery, while six patients had sensory blunting at the time of the time of the last follow-up. Twenty-six (80.7%) patients had clinically successful results and radiological/clinical fusion while four of the patients did not achieve a clinically successful result and radiological/clinical fusion. The average time for bony fusion was 5.58 months with the earliest being 4 months and the latest 12 months. Intraoperatively, one patient had screw slippage and one had a dural tear. Postoperatively, four patients had infection, two patients were presented with deep infection, and the instrumentation had been removed.
    Conclusion: This study demonstrated favorable functional outcomes and improvements in pain, disability, and quality of life measures following surgical intervention.
    Language English
    Publishing date 2024-01-23
    Publishing country India
    Document type Journal Article
    ZDB-ID 2658169-3
    ISSN 2250-0685
    ISSN 2250-0685
    DOI 10.13107/jocr.2024.v14.i01.4170
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Evaluating the Efficacy and Safety of Combined Administration of Systemic and Topical Tranexamic Acid in Total Knee Arthroplasty.

    Ramya, R / Noordeen, S / Fleming, C / Sivanandan, M Hari

    Journal of orthopaedic case reports

    2023  Volume 14, Issue 4, Page(s) 187–193

    Abstract: Introduction: Tranexamic acid (TXA) is an antifibrinolytic agent, thatagent that reduces substantial blood loss in total knee arthroplasty (TKA) surgeries without increasing the risk of thromboembolic complications. The purpose of our study was to ... ...

    Abstract Introduction: Tranexamic acid (TXA) is an antifibrinolytic agent, thatagent that reduces substantial blood loss in total knee arthroplasty (TKA) surgeries without increasing the risk of thromboembolic complications. The purpose of our study was to assess the effectiveness and safety of the combined use of intravenousIV and topical TXAtranexamic acid in uncomplicated primary Total knee Arthroplasty (TKA) without complications.
    Materials and methods: In this prospective study, we enrolled 61 patients who underwent unilateral primary TKR and were randomly divided into two groups: Group I received intravenous (IV) TXA and Group II received both IV and intraarticular (IA) TXA. Patients assigned to Group I received IV TXA preoperatively 30 mins before surgery and postoperatively at 3 and 6 hours after surgery, whereas in the combined group, in addition to IV doses, topical TXA was applied as mop 2 g of TXA diluted in 30 mL of isotonic sodium chloride solution) intraarticularly for about 5 minutes before closing the arthrotomy. We measured total blood loss (TBL), ) and mean reduction in haemoglobin (Hb) levels as primary outcomes. Transfusion rates, incidence of thromboembolic events (TE), and other adverse effects as secondary outcomes. Total blood loss TBL and Hb drops was were noted on the 3rd post-operative day. All the patients were followed-up for 6 months to note the incidence of deep venous thrombosisDVT and Thromboembolic Events (TE). An Iindependent t-test was used to evaluate between--group differences. P < 0.05 as is the cut-off for statistically significant differences.
    Results: The Total blood loss (TBL) in Group I was 780.05 ± 158.05 mL, compared to 660.80 ± 156.45 mL in Group II. (P < 0.001). The Hb drop was significantly lower in IV TXA group (2.3 ± 0.37) than the combined TXA group (1.40 ± 0.32). Furthermore, both groups required no transfusions. No thromboembolic complications was were noted postoperatively and at 6 6-month follow-up.
    Conclusion: TXATranexamic acid in total knee replacement surgery effectively decreases blood loss and significantly reduces the need for blood transfusions. Based on our study, the combined use of intravenous (IV) and IAintraarticular TXA in total knee replacement was found to be superior in reducing blood loss and significantly reducing the need for blood transfusions in TKA.
    Language English
    Publishing date 2023-06-30
    Publishing country India
    Document type Journal Article
    ZDB-ID 2658169-3
    ISSN 2250-0685
    ISSN 2250-0685
    DOI 10.13107/jocr.2024.v14.i04.4406
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Using neutron activation to assess heavy metal pollution in water and sediment along Savannah River.

    Nangeelil, Krishnakumar Divakar / Fleming, Colby / Sun, Zaijing

    Environmental analysis, health and toxicology

    2024  Volume 39, Issue 1, Page(s) e2024006–0

    Abstract: A comprehensive study was conducted to assess heavy elemental pollution in the Savannah River, which flows through diverse landscapes encompassing agricultural, industrial, and commercial zones in South Carolina and Georgia. The investigation focused on ... ...

    Abstract A comprehensive study was conducted to assess heavy elemental pollution in the Savannah River, which flows through diverse landscapes encompassing agricultural, industrial, and commercial zones in South Carolina and Georgia. The investigation focused on the impacts of various anthropogenic activities on the river, potentially harming human health and aquatic ecosystems. Thirty samples, collected from the beginning of the Savannah River at Lake Hartwell to the Savannah River estuary near the Atlantic Ocean, were analyzed using Instrumental Neutron Activation Analysis. In regions of intense industrial activities, water samples exhibited elevated concentrations of elements such as Al (0.04-1.99 mg/L), Mg (0.4-5.5 mg/L), Ba (0.08-2.8 mg/L), Zn (0.017-0.9 mg/L), Cr (0.005-1.5 mg/L), and Fe (2.8-110.13 mg/L). Similarly, sediment samples near industrial areas also exhibited enhanced concentrations of heavy elements like Cr, Zr, Rb, Co, Zn, Mg, Mn, and Al. The outcome of this study has identified a spatial trend along the Savannah River, revealing major elements responsible for pollution that could disrupt the ecological environment and potentially impact human health.
    Language English
    Publishing date 2024-02-27
    Publishing country Korea (South)
    Document type Journal Article
    ISSN 2671-9525
    ISSN (online) 2671-9525
    DOI 10.5620/eaht.2024006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A backward glance.

    Fleming, Carol

    Journal of visual communication in medicine

    2018  Volume 41, Issue 2, Page(s) 76–78

    Abstract: Medical illustrators have sought statutory regulation and a protected title to demonstrate credibility and status within the field of healthcare and to enhance practitioner's reputation. This has proved to be a challenging journey that has been intensely ...

    Abstract Medical illustrators have sought statutory regulation and a protected title to demonstrate credibility and status within the field of healthcare and to enhance practitioner's reputation. This has proved to be a challenging journey that has been intensely political. This paper summarises that journey to date.
    MeSH term(s) Humans ; Medical Illustration ; Societies/organization & administration ; Societies/standards ; State Medicine/legislation & jurisprudence ; State Medicine/organization & administration ; State Medicine/standards ; United Kingdom
    Language English
    Publishing date 2018-02-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2195926-2
    ISSN 1745-3062 ; 1745-3054
    ISSN (online) 1745-3062
    ISSN 1745-3054
    DOI 10.1080/17453054.2018.1427497
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1415: 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)

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  6. Article: Oncology Urgent Care Clinics: Understanding Utilization and Best Practices.

    Fleming, Cara / Kelly, Deirdre

    Journal of the advanced practitioner in oncology

    2022  Volume 13, Issue 3, Page(s) 265–269

    Abstract: An oncology urgent care clinic can improve patient satisfaction, reduce emergency room visits, and lower health-care costs for patients and facilities. At a session taking place at JADPRO Live Virtual 2021, presenters on the frontlines of the development ...

    Abstract An oncology urgent care clinic can improve patient satisfaction, reduce emergency room visits, and lower health-care costs for patients and facilities. At a session taking place at JADPRO Live Virtual 2021, presenters on the frontlines of the development of an oncology urgent care clinic provided the audience with an inside look at metrics, logistics, and workflow used when establishing a successful advanced practitioner-led oncology urgent care clinic.
    Language English
    Publishing date 2022-05-23
    Publishing country United States
    Document type Journal Article
    ISSN 2150-0878
    ISSN 2150-0878
    DOI 10.6004/jadpro.2022.13.3.17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Draining the pus.

    Fleming, C

    British dental journal

    2013  Volume 214, Issue 6, Page(s) 273

    MeSH term(s) Dental Caries/therapy ; Humans ; Tooth Extraction/methods
    Language English
    Publishing date 2013-03
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 218090-x
    ISSN 1476-5373 ; 0007-0610
    ISSN (online) 1476-5373
    ISSN 0007-0610
    DOI 10.1038/sj.bdj.2013.278
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ul III Zs.143: 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 447: Show issues

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  8. Article ; Online: Corrigendum: Molecular pathogenesis of

    Jury, Brittany / Fleming, Charlotte / Huston, Wilhelmina M / Luu, Laurence Don Wai

    Frontiers in cellular and infection microbiology

    2024  Volume 13, Page(s) 1358553

    Abstract: This corrects the article DOI: 10.3389/fcimb.2023.1281823.]. ...

    Abstract [This corrects the article DOI: 10.3389/fcimb.2023.1281823.].
    Language English
    Publishing date 2024-01-05
    Publishing country Switzerland
    Document type Published Erratum
    ZDB-ID 2619676-1
    ISSN 2235-2988 ; 2235-2988
    ISSN (online) 2235-2988
    ISSN 2235-2988
    DOI 10.3389/fcimb.2023.1358553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Evaluating the costs of primary forest conservation in the Democratic Republic of Congo, implications for policy and practice.

    Bush, Glenn / Taye, Fitalew Agimass / Fleming, Christopher / Samndong, Raymond Achu

    Journal of environmental management

    2024  Volume 352, Page(s) 119975

    Abstract: Accurate cost information is needed to assess the trade-offs in land management choices for policy and markets to effectively scale forest conservation impact. Choice of valuation method can affect value estimates of the costs associated with forest ... ...

    Abstract Accurate cost information is needed to assess the trade-offs in land management choices for policy and markets to effectively scale forest conservation impact. Choice of valuation method can affect value estimates of the costs associated with forest conservation for heterogenous rural households in poorly functioning markets. We present empirical evidence on the divergence in measures between a market price and contingent valuation estimate for costs of local forest access restrictions from household surveys deploying quantitative valuation methods, conducted in two forest communities in the Democratic Republic of Congo. Household demographic characteristics and attitudes of the household on forest use significantly influence required levels of compensation to participate in forest protection. Quantitative knowledge of such costs can help in the design of efficient and effective policies to protect primary forests aimed at reducing the drivers of deforestation.
    MeSH term(s) Humans ; Conservation of Natural Resources/methods ; Democratic Republic of the Congo ; Forests ; Policy ; Attitude ; Ecosystem ; Biodiversity
    Language English
    Publishing date 2024-01-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 184882-3
    ISSN 1095-8630 ; 0301-4797
    ISSN (online) 1095-8630
    ISSN 0301-4797
    DOI 10.1016/j.jenvman.2023.119975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Bonn / Germany

    Z 7556: Show issues

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  10. Article: A Multilevel Model of the Association Between School Climate and Racial Differences in Academic Outcomes.

    Jones, Tiffany M / Fleming, Charles

    Psychology in the schools

    2021  Volume 58, Issue 5, Page(s) 893–912

    Abstract: This study examined the relationships between school-level school climate and race differences in student grades, accounting for school sociodemographic composition. We found that schools with more positive school climates had smaller race differences in ...

    Abstract This study examined the relationships between school-level school climate and race differences in student grades, accounting for school sociodemographic composition. We found that schools with more positive school climates had smaller race differences in student self-reported grades. The moderating effect of school climate remained after accounting for the sociodemographic composition of the school and students' own perceptions of climate at their school. This moderating effect was confounded by school grade band (i.e., elementary, middle, or high) since perception of positive school climate was lower in middle and high schools than in elementary schools. Despite the difficulty of disentangling school climate from grade band, the findings suggest school improvement strategies focused on school climate may promote racial equity in academic outcomes. School practitioners' efforts to improve the school climate may also contribute to racial equity in academics.
    Language English
    Publishing date 2021-01-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2002070-3
    ISSN 1520-6807 ; 0033-3085
    ISSN (online) 1520-6807
    ISSN 0033-3085
    DOI 10.1002/pits.22477
    Database MEDical Literature Analysis and Retrieval System OnLINE

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