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  • 1
    Online Resource
    Online Resource
    Biomechanical Evaluation of Knotless Anatomical Double-Layer Double-Row Rotator Cuff Repair : A Comparative Ex Vivo Study
    SAGE Publications ; 2009
    In:  The American Journal of Sports Medicine Vol. 37, No. 7 ( 2009-07), p. 1363-1369
    Details
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 37, No. 7 ( 2009-07), p. 1363-1369
    Abstract: The layered configuration of the rotator cuff tendon is not taken into account in classic rotator cuff tendon repair techniques. Hypothesis The mechanical properties of (1) the classic double-row technique, (2) a double-layer double-row (DLDR) technique in simple suture configuration, and (3) a DLDR technique in mattress suture configuration are significantly different. Study Design Controlled laboratory study. Methods Twenty-four sheep shoulders were assigned to 3 repair groups of full-thickness infraspinatus tears: group 1, traditional double-row repair; group 2, DLDR anchor repair with simple suture configuration; and group 3, DLDR knotless repair with mattress suture configuration. After ultrasound evaluation of the repair, each specimen was cyclically loaded with 10 to 100 N for 50 cycles. Each specimen was then loaded to failure at a rate of 1 mm/s. Results There were no statistically significant differences among the 3 testing groups for the mean footprint area. The cyclic loading test revealed no significant difference among the 3 groups with regard to elongation. For the load-to-failure test, groups 2 and 3 showed no differences in ultimate tensile load when compared with group 1. However, when compared to group 2, group 3 was found to have significantly higher values regarding ultimate load, ultimate elongation, and energy absorbed. Conclusion The DLDR fixation techniques may provide strength of initial repair comparable with that of commonly used double-row techniques. When compared with the knotless technique with mattress sutures, simple suture configuration of DLDR repair may be too weak. Knotless DLDR rotator cuff repair may (1) restore the footprint by the use of double-row principles and (2) enable restoration of the shape and profile. Clinical Relevance Double-layer double-row fixation in mattress suture configuration has initial fixation strength comparable with that of the classic double-row fixation and so may potentially improve functional results of rotator cuff repair.
    Type of Medium: Online Resource
    ISSN: 0363-5465 , 1552-3365
    URL: Article
    DOI: 10.1177/0363546509332431
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2009
    detail.hit.zdb_id: 2063945-4
    SSG: 31
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  • 2
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    Response to eculizumab in patients with myasthenia gravis recently treated with chronic IVIg: a subgroup analysis of REGAIN and its open-label extension study
    SAGE Publications ; 2020
    In:  Therapeutic Advances in Neurological Disorders Vol. 13 ( 2020-01), p. 175628642091178-
    Details
    In: Therapeutic Advances in Neurological Disorders, SAGE Publications, Vol. 13 ( 2020-01), p. 175628642091178-
    Abstract: In the phase III eculizumab for refractory generalized myasthenia gravis REGAIN study [ClinicalTrials.gov identifier: NCT01997229] and its open-label extension (OLE) [ClinicalTrials.gov identifier: NCT02301624] , patients with treatment-refractory antiacetylcholine receptor antibody-positive generalized myasthenia gravis had clinically meaningful improvements with eculizumab versus placebo. This subgroup analysis evaluated data from patients with a recent history of chronic intravenous immunoglobulin (IVIg) use before study entry. Methods: The subgroup comprised patients who had received IVIg at least four times in 1 year, with at least one IVIg treatment cycle during the 6 months before the first REGAIN study dose. Data from REGAIN and the OLE were analyzed. Response to eculizumab versus placebo was assessed using four validated, disease-specific measures. Incidences of exacerbations and safety endpoints were recorded. Results: The subgroup had similar patient and disease characteristics as the overall REGAIN population. Clinical assessments showed sustained eculizumab efficacy during REGAIN and the OLE over 18 months. Patients receiving placebo in REGAIN experienced rapid improvements in assessment scores when treated with eculizumab in the OLE. There was a lower rate of disease exacerbations with eculizumab than with placebo during REGAIN, and eculizumab was well tolerated. Conclusion: Eculizumab treatment, compared with placebo, results in meaningful clinical improvements and fewer disease exacerbations for patients who previously received chronic IVIg. Trial registration: REGAIN [ClinicalTrials.gov identifier: NCT01997229]; REGAIN open-label extension [ClinicalTrials.gov identifier: NCT02301624] .
    Type of Medium: Online Resource
    ISSN: 1756-2864 , 1756-2864
    URL: Article
    DOI: 10.1177/1756286420911784
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2442245-9
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  • 3
    Online Resource
    Online Resource
    Call-Accounting Decision : How to Select a System
    SAGE Publications ; 1982
    In:  Cornell Hotel and Restaurant Administration Quarterly Vol. 23, No. 1 ( 1982-05), p. 57-69
    Details
    In: Cornell Hotel and Restaurant Administration Quarterly, SAGE Publications, Vol. 23, No. 1 ( 1982-05), p. 57-69
    Abstract: New laws that permit hotels to resell telephone calls to guests, and new call-accounting systems capable of recording and billing such calls, may make the hotel telephone department —historically run in the red-profitable. This article shows you how to steer through a sea of competing systems to select the one most appropriate for your operation
    Type of Medium: Online Resource
    ISSN: 0010-8804
    URL: Article
    DOI: 10.1177/001088048202300111
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1982
    detail.hit.zdb_id: 2025727-2
    detail.hit.zdb_id: 2381244-8
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  • 4
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    Characterizing user mobility using mobile sensing systems
    SAGE Publications ; 2017
    In:  International Journal of Distributed Sensor Networks Vol. 13, No. 8 ( 2017-08), p. 155014771772631-
    Details
    In: International Journal of Distributed Sensor Networks, SAGE Publications, Vol. 13, No. 8 ( 2017-08), p. 155014771772631-
    Abstract: Recent technological advances and the ever-greater developments in sensing and computing continue to provide new ways of understanding our daily mobility. Smart devices such as smartphones or smartwatches can, for instance, provide an enhanced user experience based on different sets of built-in sensors that follow every user action and identify its environment. Monitoring solutions such as these, which are becoming more and more common, allows us to assess human behavior and movement at different levels. In this article, extended from previous work, we focus on the concept of human mobility and explore how we can exploit a dataset collected opportunistically from multiple participants. In particular, we study how the different sensor groups present in most commercial smart devices can be used to deliver mobility information and patterns. In addition to traditional motion sensors that are obviously important in this field, we are also exploring data from physiological and environmental sensors, including new ways of displaying, understanding, and analyzing data. Furthermore, we detail the need to use methods that respect the privacy of users and investigate the possibilities offered by network traces, including Wi-Fi and Bluetooth communication technologies. We finally offer a mobility assistant that can represent different user characteristics anonymously, based on a combination of Wi-Fi, activity data, and graph theory.
    Type of Medium: Online Resource
    ISSN: 1550-1477 , 1550-1477
    URL: Article
    DOI: 10.1177/1550147717726310
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2017
    detail.hit.zdb_id: 2192922-1
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  • 5
    Online Resource
    Online Resource
    Assessing Knowledge Regarding Managing Congestive Health Failure Symptoms: Differences in Patient and Professional Scores
    SAGE Publications ; 2018
    In:  Journal of Patient Experience Vol. 5, No. 4 ( 2018-12), p. 289-295
    Details
    In: Journal of Patient Experience, SAGE Publications, Vol. 5, No. 4 ( 2018-12), p. 289-295
    Abstract: To assess whether patients with congestive heart failure (CHF) and health coaches agree about patient knowledge of health-enhancing practices related to CHF after ongoing telehealth coaching. Methods: Forty patients with CHF and eligible for both Medicare and Medicaid were recruited from a regional managed care organization for this pilot study. Telecoaching sessions via a health insurance portability and accountability act(HIPAA)-compliant tablet-based platform focused on educational information designed to improve patient self-care. Social workers administered the 13-item Member Confidence Measure at baseline and at 30 and 180 days into the intervention. Patients and social workers provided separate ratings. Results: As expected at baseline, patient and coach scores differed, with patients reporting higher perceived knowledge scores ( P 〈 .01). Contrary to expectation, patient and coach scores did not converge at 30 and 180 days. Patient scores continued to increase at 30 and 180 days, while coaches’ scores increased at 30 days, but not at 180 days. Conclusion: Overall, patients continued to overrate their understanding about CHF. A telecoaching platform provides an opportunity to enhance patient’s knowledge of their chronic disease and for patients to sustain that knowledge over time. Practice Implications: Addressing a patient’s misperception of their knowledge to manage a chronic disease is critical for enhancing well-being. Coaches’ scores did increase at 30 days suggesting that telecoaching is effective, but more monitoring may be required to ensure that these gains persist over time.
    Type of Medium: Online Resource
    ISSN: 2374-3735 , 2374-3743
    URL: Article
    DOI: 10.1177/2374373518765793
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2857285-3
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  • 6
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    Acute triage of childhood stroke in Denmark
    SAGE Publications ; 2023
    In:  European Stroke Journal Vol. 8, No. 2 ( 2023-06), p. 483-491
    Details
    In: European Stroke Journal, SAGE Publications, Vol. 8, No. 2 ( 2023-06), p. 483-491
    Abstract: This 2-year observational study aimed to test the feasibility of implementing a pediatric stroke triage-setup that connected frontline providers with vascular neurologists and to examine final diagnoses in children triaged for suspected stroke. Methods: Prospective, consecutive registration of children with suspected stroke triaged by a team of vascular neurologists from Jan 1st, 2020 and through Dec 2021, Eastern Denmark (census 530,000 children). Based on the provided clinical information, the children were triaged to either assessment at the Comprehensive Stroke Center (CSC) in Copenhagen or to a pediatric department. All included children were retrospectively followed-up for clinical presentations and final diagnosis. Results: A total of 163 children with 166 suspected stroke events were triaged by the vascular neurologists. Cerebrovascular disease was present in 15 (9.0%) suspected stroke events; one child had intracerebral hemorrhage, one had subarachnoid hemorrhage, two children presented with three TIA events and nine children presented with 10 ischemic stroke events. Two children with ischemic stroke were eligible for acute revascularization treatment of which both were triaged to the CSC. The sensitivity of the triage by acute revascularization indication was 1.00 (95% confidence interval (95% CI): 0.15–1.00) and specificity 0.65 (95% CI: 0.57–0.73). Non-stroke neurological emergencies were present in 34 (20.5%) children, including seizures in 18 (10.8%) and acute demyelinating disorders in 7 (4.2%). Conclusion: Implementing regional triage-setup that connected frontline providers to vascular neurologists was feasible; this system was activated for the majority of children with ischemic stroke according to an expected incidence and led to identification of children eligible for revascularization treatments.
    Type of Medium: Online Resource
    ISSN: 2396-9873 , 2396-9881
    URL: Article
    DOI: 10.1177/23969873231161381
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2851287-X
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  • 7
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    Online Resource
    Making the Case for a Qualitative Study of Medical Errors in Primary Care
    SAGE Publications ; 2003
    In:  Qualitative Health Research Vol. 13, No. 6 ( 2003-07), p. 743-780
    Details
    In: Qualitative Health Research, SAGE Publications, Vol. 13, No. 6 ( 2003-07), p. 743-780
    Abstract: In the interest of publicizing examples of funded qualitative health research, the authors share a proposal to the Agency for Healthcare Research and Quality in Washington, D.C., in which they sought to elicit patient stories of preventable problems in their primary health care that were associated with psychological or physical harms. These stories would allow for the construction of a tentative typology of errors and harms as experienced by patients and the contrasting of this with errors and harms reported by primary care physicians in the United States and other countries. The authors make explicit the anticipated concerns of reviewers more accustomed to quantitative research proposals and the arguments and strategies employed to address them.
    Type of Medium: Online Resource
    ISSN: 1049-7323 , 1552-7557
    URL: Article
    DOI: 10.1177/1049732303013006002
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2003
    detail.hit.zdb_id: 2010333-5
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  • 8
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    Qualitative assessment of expectations on the content, form and way of delivery of a prehabilitation programme in patients with lung resection surgery – A Swiss tertiary centre experience
    SAGE Publications ; 2024
    In:  SAGE Open Medicine Vol. 12 ( 2024-01)
    Details
    In: SAGE Open Medicine, SAGE Publications, Vol. 12 ( 2024-01)
    Abstract: To assess the interest in a prehabilitation programme of patients awaiting lung resection and to identify expectations from such a programme. Introduction: At present, in Switzerland, there are no multimodal clinical prehabilitation programmes for lung resection patients awaiting surgery. Methods: Semi-structured face-to-face interviews were conducted with patients who have had or were awaiting lung resection at a Swiss tertiary centre. Thematic analysis was performed to identify common prespecified themes. Results: Twenty-two patients (45.5% female, age 70.6 ± 16.6 years) were interviewed. Seventy-seven percent were interested in a prehabilitation programme. Sixty-two percent, 67% and 90% were interested in endurance, strength and respiratory training, respectively. Six patients (27%) were active smokers, of whom two (one-third) were interested in a smoking cessation programme. Seventy-six percent were interested in nutrition counselling and 90% in receiving education on risk factor management. Forty percent preferred centre-based training/counselling sessions, 20% preferred home-based training/counselling and 30% found both forms acceptable. Patients were willing to perform prehabilitation activities on 2.6 days/week for a total of 162 min/week. Participating in peer groups was desired by only 25%. Conclusions: Patients with lung resection were highly interested in participating in prehabilitation, albeit only for a mean time cost of 2.7 h per week. Offering a prehabilitation programme with a combination of in-hospital group sessions and home-based training seems feasible.
    Type of Medium: Online Resource
    ISSN: 2050-3121 , 2050-3121
    URL: Article
    DOI: 10.1177/20503121241233427
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2024
    detail.hit.zdb_id: 2735399-0
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  • 9
    Online Resource
    Online Resource
    "Sesame Street" Revisited.
    SAGE Publications ; 1977
    In:  Contemporary Sociology Vol. 6, No. 5 ( 1977-09), p. 612-
    Details
    In: Contemporary Sociology, SAGE Publications, Vol. 6, No. 5 ( 1977-09), p. 612-
    Type of Medium: Online Resource
    ISSN: 0094-3061
    URL: Article
    DOI: 10.2307/2065397
    RVK:
    MN 1000
    Language: Unknown
    Publisher: SAGE Publications
    Publication Date: 1977
    detail.hit.zdb_id: 121249-7
    detail.hit.zdb_id: 2010085-1
    SSG: 3,4
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  • 10
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    To Pay or Not To Pay: Differentiating Employment And Training Relationships Through Regulation And Litigation
    SAGE Publications ; 1998
    In:  Career Development for Exceptional Individuals Vol. 21, No. 2 ( 1998-10), p. 187-202
    Details
    In: Career Development for Exceptional Individuals, SAGE Publications, Vol. 21, No. 2 ( 1998-10), p. 187-202
    Abstract: The Fair Labor Standards Act (1938), administered by the U.S. Department of Labor, utilizes criteria established in landmark Supreme Court cases to distinguish nonpaid instructional work experiences from paid employment. Special Education teachers involved in developing jobs for students with disabilities should understand this distinction in order to prevent problems that could accrue from providing employment-related instruction without pay, when payment may be required. Recent federal appellate and district court cases have interpreted these earlier Supreme Court cases and regulations, leading the U.S. Departments of Education and Labor to revise their guidelines relating to community-based employment instruction. This paper provides a careful description of the underlying themes and legal parameters within which nonpaid training programs can operate through a review and analysis of this litigation. We also review recent U.S. Department of Education and U.S. Department of Labor guidelines, in order to assist in the design and implementation of instruction that is both programmatically and legally sound.
    Type of Medium: Online Resource
    ISSN: 0885-7288 , 1557-5047
    URL: Article
    DOI: 10.1177/088572889802100207
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1998
    detail.hit.zdb_id: 2742988-X
    detail.hit.zdb_id: 2251561-6
    SSG: 5,3
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