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1

Merle, Geraldine, Marianne Comeau-Gauthier, Vahid Tayari, Mohamad Nizar Kezzo, Chrouk Kasem, Faisal Al-Kabraiti, Carl Laverdiere, George Xereas, and Edward J. Harvey. "Comparison of Three Devices to Measure Pressure for Acute Compartment Syndrome." Military Medicine 185, Supplement_1 (January 2020): 77–81. http://dx.doi.org/10.1093/milmed/usz305.

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Abstract Introduction: Acute compartment syndrome (ACS) is a well-recognized and common emergency. Undiagnosed ACS leads to muscle necrosis, limb contracture, intractable pain, and may even result in amputation. Methods: Three devices (Synthes, Stryker, and MY01) were compared in a pre-clinical rat abdominal compartment syndrome simulation. Simultaneous measurements of intracompartmental pressures allowed concurrent comparison among all devices. Results: Large variations from the reference values are seen with the Synthes and Stryker devices. Variances are large in these two devices even under ideal conditions. The MY01 device was the truest indicator of reference pressure in this ACS model (over 600% more accurate). Conclusions: The MY01 device was the most accurate device in tracking pressure changes in this rat model of abdominal compartment syndrome.
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2

Khachatryan, Tigran, Roy Beigel, Reza Arsanjani, and Robert J. Siegel. "The ‘Inextricabilis Syndrome’: a case with no solution." Echo Research and Practice 1, no. 2 (November 2014): K13—K16. http://dx.doi.org/10.1530/erp-14-0044.

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Summary We describe a case of a 58-year-old man with cardiogenic shock who underwent triple vessel coronary artery bypass and a left ventricular assist device (LVAD) implantation. His course was complicated by stroke, worsening mitral regurgitation, aortic regurgitation, and multiple cardiac thrombi while on the device. We provide the details of the patient's hospital course, management, and echocardiographic findings. We also discuss the utility of echocardiography before LVAD insertion and its role for continued monitoring after insertion. Learning points Ventricular assist devices (VADs) are used as bridge to decision, transplant, recovery, or destination therapy in patients with advanced heart failure and cardiogenic shock. VADs improve survival and the quality of life but have significant associated complications. Echocardiography plays an essential role before VAD insertion and for postoperative cardiac monitoring. Information provided by echocardiography is used in device selection, consideration for corrective surgical interventions, and device explantation.
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3

Norese, Mariano, Gustavo F. Andersen, and Diego L. Sinagra. "Fractura de catéter implantable con reservorio por síndrome de pinch-off." Revista Argentina de Cirugía 113, no. 2 (June 1, 2021): 258–62. http://dx.doi.org/10.25132/raac.v113.n2.1539.ei.

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Fracture and migration of totally implantable venous access devices is a rare but potentially serious complication. Pinch-off syndrome was described in subclavian venous accesses when the intermittent compression of the catheter between the first rib and the clavicle produces catheter fracture. The report the case of a patient with cancer who underwent implantation of a totally implantable venous access device through the subclavian vein under ultrasound and radioscopy guidance. After several cycles of chemotherapy, the patient started with malfunctioning of the device. The chest X-ray showed a complete fracture of the catheter at the level of the costoclavicular space with migration of a fragment of the catheter to the right cardiac chambers. The fractured catheter was percutaneously removed via the right femoral vein using nitinol gooseneck snare without complications. The incidence of the pinch-off syndrome, risk factors and prevention measures in totally implantable venous access devices are analyzed.
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4

Ilango, K. "Warming device for computer vision syndrome." Indian Journal of Ophthalmology 56, no. 2 (2008): 171. http://dx.doi.org/10.4103/0301-4738.39139.

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5

Lesnick, Jason, Benjamin Cooper, and Pratik Doshi. "Twiddler’s Syndrome." Clinical Practice and Cases in Emergency Medicine 3, no. 3 (May 20, 2019): 299–300. http://dx.doi.org/10.5811/cpcem.2019.4.42123.

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Twiddler’s syndrome refers to a rare condition in which a pacemaker or automatic implantable cardioverter-defibrillator (AICD) malfunctions due to coiling of the device in the skin pocket and resultant lead displacement. This image is the chest radiograph (CXR) of a 54-year-old male who presented to the emergency department with chest pain five months after his AICD was placed. The CXR shows AICD leads coiled around the device and the absence of leads in the ventricle consistent with Twiddler’s syndrome. Patients with twiddler’s syndrome should be admitted for operative intervention.
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6

Steller, M., L. Chou, and T. E. Daniels. "Electrical Stimulation of Salivary Flow in Patients with Sjögren's Syndrome." Journal of Dental Research 67, no. 10 (October 1988): 1334–37. http://dx.doi.org/10.1177/00220345880670101701.

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Patients with the salivary component of Sjögren's syndrome (SS) develop chronic xerostomia, which causes oral symptoms and functional impairment in approximate proportion to its severity. The purpose of this double-blind study was to determine whether an electrical stimulus applied to the tongue and hard palate by a battery-operated device (SAL II, Biosonics, Inc.) could stimulate salivary flow in subjects with generally severe SS. Twenty-nine patients with the salivary component of SS (diagnosed as the presence of focal chronic sialadenitis in a labial salivary gland biopsy specimen with a focus score of > 1 focus/4 mm2) were randomly assigned active or placebo devices, which they used for three minutes, three times a day for four weeks. Whole saliva flow rates were measured at weeks 0, 2, and 4 by collection of whole saliva both before and after stimulation with the device. Twenty-four subjects completed the study. The change in mean post-stimulation flow rate from week 0 to week 4 was greater for the 13 subjects using an active device (0.08 ± S.D. 0.08 gl2 min, to 0.24 ± 0.33 gl2 min) than for the 11 subjects using a placebo device (0.11 ± 0.15 gl2 min, to 0.08 ± 0.18 gl2 min) (p = 0.04). However, the magnitude of the mean difference was small, because three subjects using active devices responded and others did not. Only five subjects, all using active devices, reported a subjective increase in the amount of their saliva. The results of this study indicate that some SS patients with residual salivary flow show a significant response to electrical stimulation, but others with low or absent whole saliva flow rates do not respond.
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7

Ptaszek, Leon M., Fidencio Saldana, Igor F. Palacios, and Sean M. Wu. "Platypnea-Orthodeoxia Syndrome in Two Previously Healthy Adults: A Case-based Review." Clinical medicine. Cardiology 3 (January 2009): CMC.S2326. http://dx.doi.org/10.4137/cmc.s2326.

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We describe here the clinical manifestations of platypnea-orthodeoxia in two patients with interatrial shunting. In both cases, the patients were asymptomatic prior to developing additional cardiopulmonary issues that apparently enhanced right-to-left intracardiac shunting. The patients were both treated with percutaneously deployed occlusion devices, with excellent results. Symptoms and positional oxygen desaturation resolved after device placement in both cases. In addition, these patients remain symptom-free 30 months after device implantation.
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8

Soroka, A. V., M. V. Nadezhdina, I. A. Stolayrov, V. A. Khizhenok, and E. T. Afina. "Correction of a muscular-tonic syndrome at a cervical osteochondrosis by device Multi-Cervical Unit «Hanoun medical»." Bulletin of Siberian Medicine 7, no. 5-2 (December 30, 2008): 393–98. http://dx.doi.org/10.20538/1682-0363-2008-5-2-393-398.

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Neurologic, radiological inspection of 30 men (middle age is 36,5 ± 7,5) with a muscular-tonic syndrome at a cervical osteochondrosis. According to an index of a muscular syndrome on 3 degrees of weight 3 groups of patients are allocated. Diagnostics by device MСU allows to reveal authentically and precisely dysfunction in the certain group of muscles of a neck and to spend their adequate training, promoting duly correction. The medical technique of device MCU leads to full recourse muscular-tonic and liquidations of a painful syndrome at muscular-tonic syndrome I and to II degree, significant recourse of expressiveness of syndromes at sick of a cervical osteochondrosis with muscular-tonic a syndrome of III degree. Formation of a correct muscular stereotype provides achievement of proof medical effect, preventive maintenance of a reflex painful syndrome in a cervical department of a backbone and prevention of chronic disease.
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9

BOSCHERT, SHERRY. "Device Improves Diagnosis of Acute Coronary Syndrome." Internal Medicine News 38, no. 1 (January 2005): 44. http://dx.doi.org/10.1016/s1097-8690(05)70490-x.

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10

Galand, Vincent, Raphaël P. Martins, and Christophe Leclercq. "Twiddler's syndrome with a baroreflex stimulator device." Europace 18, no. 9 (August 31, 2016): 1433. http://dx.doi.org/10.1093/europace/euw111.

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11

SCHOLTEN, MARCOEN F., ANDREW S. THORNTON, DOMINIC A. THEUNS, JAN RES, and LUC J. JORDAENS. "Twiddler's Syndrome Detected by Home Monitoring Device." Pacing and Clinical Electrophysiology 27, no. 8 (August 2004): 1151–52. http://dx.doi.org/10.1111/j.1540-8159.2004.00599.x.

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12

Kounis, Nicholas G., George D. Soufras, Grigorios Tsigkas, and George Hahalis. "Device Thrombosis With Continuous-Flow Left Ventricular Assist Devices: Is Kounis Syndrome Involved?" Artificial Organs 38, no. 6 (June 2014): 521–23. http://dx.doi.org/10.1111/aor.12320.

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13

Flannery, Kaitlin M., Komal Kamra, Katsuhide Maeda, Paul Shuttleworth, Christopher Almond, and Manchula Navaratnam. "Management of a Pediatric Patient With a Left Ventricular Assist Device and Symptomatic Acquired von Willebrand Syndrome Presenting for Orthotopic Heart Transplant." Seminars in Cardiothoracic and Vascular Anesthesia 24, no. 4 (August 10, 2020): 355–59. http://dx.doi.org/10.1177/1089253220949386.

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We present the successful perioperative management of an 11-year-old patient presenting for heart transplant with a left ventricular assist device, symptomatic acquired von Willebrand syndrome, and recent preoperative intracranial hemorrhage. A brief review of the pathophysiology of acquired von Willebrand syndrome is included. As the number of pediatric patients supported with ventricular assist devices continues to increase, the management of symptomatic acquired von Willebrand syndrome during the perioperative period is an important consideration for anesthesiologists.
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14

Hoorntje, T., N. Sreeram, and R. de Vroet. "Device therapy for malignant neonatal long QT syndrome." International Journal of Cardiology 71, no. 3 (December 1999): 289–90. http://dx.doi.org/10.1016/s0167-5273(99)00151-5.

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15

Al Mohajer, Mayar, and Rabih O. Darouiche. "Sepsis Syndrome, Bloodstream Infections, and Device-Related Infections." Medical Clinics of North America 96, no. 6 (November 2012): 1203–23. http://dx.doi.org/10.1016/j.mcna.2012.08.008.

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16

Politis, M. "(552) Therapeutic device successfully treats carpal tunnel syndrome." Journal of Pain 16, no. 4 (April 2015): S114. http://dx.doi.org/10.1016/j.jpain.2015.01.473.

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17

Klug, Cameron D., C. Ryan Keay, and Adit A. Ginde. "Fatal Toxic Shock Syndrome From an Intrauterine Device." Annals of Emergency Medicine 54, no. 5 (November 2009): 701–3. http://dx.doi.org/10.1016/j.annemergmed.2009.05.030.

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18

Hindryckx, Pieter, Barbara Dhooghe, and Andreas Wannhoff. "A novel device for the endoscopic management of buried bumper syndrome." Endoscopy 51, no. 07 (February 13, 2019): 689–93. http://dx.doi.org/10.1055/a-0833-8516.

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Abstract Background Buried bumper syndrome (BBS) is a complication of percutaneous endoscopic gastrostomy (PEG) in which the internal bumper is overgrown by the gastric mucosa. Apart from loss of patency of the PEG tube, the buried bumper may evoke symptoms such as abdominal pain or peritubular leakage. While the management of an incompletely buried bumper is fairly straightforward, this is not the case for a completely buried bumper. Different approaches to remove completely buried bumpers have been described, including endoscopic knife- or papillotome-based techniques. However, these devices are used off-label and the procedures can be laborious. Methods The Flamingo device has recently been introduced as the first tool specifically designed to remove a completely buried bumper. Results We describe the technique and our first experience in five patients with a completely (n = 4) or almost completely (n = 1) buried bumper. Fast and save removal of the buried bumper was obtained in all patients. Conclusion We believe that this device has the potential to become the standard first-line tool for the management of completely buried bumpers.
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19

Calculator, Stephen N. "Parents' Perceptions of Communication Patterns and Effectiveness of Use of Augmentative and Alternative Communication Systems by Their Children With Angelman Syndrome." American Journal of Speech-Language Pathology 23, no. 4 (November 2014): 562–73. http://dx.doi.org/10.1044/2014_ajslp-13-0140.

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Purpose The author describes communication patterns and outcomes of augmentative and alternative communication (AAC) intervention for individuals with Angelman syndrome. Method Parents self-administered a web-based survey using Qualtrics software. A series of rating scales and closed questions were used to gather information about individuals' current methods of communication, including AAC devices they were using. Individuals' uses of their single most advanced AAC devices were further explored in terms of associated importance, usefulness, success, acceptance, and functional outcomes. Results Nonsymbolic methods of communication proved to be very important to individuals, as did electronic AAC devices, although to a lesser extent. Individuals tended to have access to more than one electronic device concurrently. Although numerous devices were cited, mobile technologies, particularly iPads, were especially prevalent. This represented a significant change from a previous investigation. Overall, device use was perceived to be frequently important, accepted, successful, and useful in relation to 8 different factors, although ratings across a series of 19 functional outcomes varied. Differences were noted on several measures when individuals' ages and educational placements were considered. Conclusion Results suggest a changing landscape in terms of types of devices used, particularly with respect to mobile technologies, and show clear evidence that device use is often, although not uniformly, associated with positive outcomes.
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20

McRae, Simon, Susan Kahn, Jim Julian, Clive Kearon, Betsy MacKinnon, Debbie Magier, Carla Strulovich, et al. "Evaluation of a venous-return assist device to treat severe post-thrombotic syndrome (VENOPTS)." Thrombosis and Haemostasis 99, no. 03 (2008): 623–29. http://dx.doi.org/10.1160/th07-09-0546.

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SummarySevere post-thrombotic syndrome (PTS) is responsible for considerable disability, reduced quality of life and increased health care costs. Current therapies are limited and often ineffective. We performed a two-centre,randomized,cross-over controlled trial to evaluate Venowave TM, a novel lower-limb venous-return assist device, for the treatment of severe PTS. Eligible subjects were allocated to receive, in randomized order, Venowave for eight weeks and a control device for eight weeks. The eightweek treatment periods were separated by a four-week period when no device was used (i.e. wash-out period). The primary outcome measure was a ‘clinical success’ defined as: i) reported benefit from the device; and ii) moderate or greater improvement in symptoms of PTS; and iii) willingness to continue using the device. Secondary outcome measures included quality of life (QOL) as measured by VEINES-QOL questionnaire (higher scores indicate better QOL), and PTS severity as measured by the Villalta PTS scale (higher scores indicate more severe PTS). The study was registered with ClinicalTrials.gov (NCT00182208). Thirty-two patients were enrolled. Of these, 26 (80%) were also using graduated compression stockings. Twenty-six participants completed both trial periods. Clinical success occurred in 10 (31%) participants receiving Venowave and four (13%) participants receiving the control device, with two (6%) participants reporting a clinical success with both devices (P=0.11). Mean VEINES-QOL score at the end of study period was significantly greater (P=0.004) forVenowave (52.5; SD 5.8) compared to control (50.2;SD 6.2).MeanVillalta scale score at the end of study period was significantly decreased (P=0.004) for Venowave (12.2; SD 6.3) compared to control (15.0; SD 6.1). In conclusion,Venowave appears to be a very promising new therapy for patients with severe PTS, which may be used alone or in combination with graduated compression stockings.
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Foley, Edward D., Ricardo Diaz, and Manuel R. Castresana. "Prolonged circulatory support with an Impella assist device in the management of cardiogenic shock associated with takotsubo syndrome, severe sepsis and acute respiratory distress syndrome." SAGE Open Medical Case Reports 5 (January 1, 2017): 2050313X1774101. http://dx.doi.org/10.1177/2050313x17741013.

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Severe sepsis has been known to trigger for takotsubo syndrome which is associated with profound physical or emotional stress. Severe sepsis is also associated with sepsis-induced cardiomyopathy, a reversible myocardial depression. We report a case in which a patient with takotsubo syndrome, cardiogenic shock, severe sepsis, and adult respiratory distress syndrome was managed with an Impella Cardiac Power circulatory support device for 108 h (4.5 days) because of sustained hemodynamic compromise. To the best of our knowledge, this represents the longest reported use of the Impella Cardiac Power device for the management of cardiogenic shock in a patient with takotsubo syndrome and severe sepsis. This report also highlights the importance of considering a ventricular assist device in the management of takotsubo syndrome cardiogenic shock with severe sepsis which is unresponsive to maximal medical therapy.
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Alkhayru, Ali. "Addressing Stroke Risk in a Patient with CREST Syndrome and Atrial Fibrillation with Left Atrial appendage Occluder Device (WATCHMAN)." Clinical Cardiology and Cardiovascular Interventions 4, no. 1 (January 6, 2021): 01–04. http://dx.doi.org/10.31579/2641-0419/123.

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CREST syndrome is rare autoimmune disease causing calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly and telangiectasias. We present a case of an eighty-two year old female with CREST syndrome who presented to our clinic with atrial fibrillation and prohibitive bleeding risk. Managing stroke risk in atrial fibrillation is essential to minimize the morbidity and mortality of the condition. Those with CREST syndrome presenting with recurrent gastrointestinal bleeding may require alternatives to anticoagulation. Recently, the left atrial appendage occluder device became widely used to manage patients at increased risk for bleeding. The device provides a safe and efficacious alternative in lowering atrial fibrillation associated stroke risk. Our patient underwent uncomplicated implantation of the left atrial appendage occluder device. She was closely monitored for one year where she remained stroke free and had one minor episode of gastrointestinal hemorrhage.
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23

Maida, Giuseppe, Eleonora Marcati, and Silvio Sarubbo. "Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case." Case Reports in Surgery 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/970642.

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We present here a rare case of heterotopic ossification in interspinous/interlaminar Coflex device. The classical surgical indications for these implants are degenerative canal stenosis, discogenic low back pain, disk herniations, facet syndrome, and instability. However, fractures of spinous processes are a potential risk after interspinous/interlaminar devices’ implantation. Recently, heterotopic ossification, a well-known complication of hip and knee arthroplasty, has been reported after cervical and lumbar prosthesis. We performed undercutting and implantation of the dynamic interspinous/interlaminar device to treat an adult male patient with L4-L5 stenosis. The patient underwent 45-day imaging and clinical followup, and we observed both a neurological and imaging improvement. A CT bone scan, performed 3 years after surgery for recurrence of neurogenic claudication, showed a new stenosis due to an abnormal ossification all over the device. To our knowledge, this is the first reported case of heterotopic ossification in an interspinous/interlaminar dynamic device. Accordingly, we aim to suggest it as a new complication of interspinous/interlaminar devices.
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24

Nascimbene, Angelo, Sriram Neelamegham, O. H. Frazier, Joel L. Moake, and Jing-fei Dong. "Acquired von Willebrand syndrome associated with left ventricular assist device." Blood 127, no. 25 (June 23, 2016): 3133–41. http://dx.doi.org/10.1182/blood-2015-10-636480.

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Abstract Left ventricular assist devices (LVAD) provide cardiac support for patients with end-stage heart disease as either bridge or destination therapy, and have significantly improved the survival of these patients. Whereas earlier models were designed to mimic the human heart by producing a pulsatile flow in parallel with the patient’s heart, newer devices, which are smaller and more durable, provide continuous blood flow along an axial path using an internal rotor in the blood. However, device-related hemostatic complications remain common and have negatively affected patients’ recovery and quality of life. In most patients, the von Willebrand factor (VWF) rapidly loses large multimers and binds poorly to platelets and subendothelial collagen upon LVAD implantation, leading to the term acquired von Willebrand syndrome (AVWS). These changes in VWF structure and adhesive activity recover quickly upon LVAD explantation and are not observed in patients with heart transplant. The VWF defects are believed to be caused by excessive cleavage of large VWF multimers by the metalloprotease ADAMTS-13 in an LVAD-driven circulation. However, evidence that this mechanism could be the primary cause for the loss of large VWF multimers and LVAD-associated bleeding remains circumstantial. This review discusses changes in VWF reactivity found in patients on LVAD support. It specifically focuses on impacts of LVAD-related mechanical stress on VWF structural stability and adhesive reactivity in exploring multiple causes of AVWS and LVAD-associated hemostatic complications.
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25

Nicolaou, Zoe. "Mandibular Repositioning Device (MRD) and obstructive sleep apnea syndrome." Annals of Maxillofacial Surgery 9, no. 2 (2019): 225. http://dx.doi.org/10.4103/ams.ams_255_19.

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26

Williams, Thomas L., Leo A. Smith, and Richard T. Herrick. "Exercise as a Prophylactic Device against Carpal Tunnel Syndrome." Proceedings of the Human Factors Society Annual Meeting 33, no. 11 (October 1989): 723–27. http://dx.doi.org/10.1177/154193128903301121.

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The null hupothesis that participation in an on-the-job strength and flexibility exercise program typical of those directed toward prevention of musculoskeletal stress has no prophylactic effect against carpal tunnel syndrome when used as an intervention measure in a population of female garment workers was examined. Grip strength, Phelan's test results, and hand/wrist thermograms obtained by liquid crystal thermography were taken on an experimental group of female employees in a southern garment manufacturing facility before, after five weeks, and after ten weeks of an exercise program and compared with data obtained from a control group. Although the test results suggested the exercise program may have had some benefit, the null hypothesis could not be rejected. An engineering economic analysis, assuming the exercise program was effective and implemented throughout the corporation, indicated the payback period would be approximately eleven years thus casting doubt on its economic efficacy also.
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27

Lynch, John E., Joseph S. Heyman, and Alan R. Hargens. "Ultrasonic device for the noninvasive diagnosis of compartment syndrome." Physiological Measurement 25, no. 1 (December 19, 2003): N1—N9. http://dx.doi.org/10.1088/0967-3334/25/1/n01.

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GUL, ENES E., USAMA BOLES, SOHAIB HASEEB, BENEDICT GLOVER, CHRIS SIMPSON, ADRIAN BARANCHUK, and KEVIN MICHAEL. "“Spontaneous Twiddler's” Syndrome: The Importance of the Device Shape." Pacing and Clinical Electrophysiology 40, no. 3 (December 26, 2016): 326–29. http://dx.doi.org/10.1111/pace.12974.

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Zaidenberg, Ezequiel E., Luciano A. Rossi, Santiago L. Bongiovanni, Ignacio Tanoira, Gaston Maignon, and Maximiliano Ranalletta. "Snapping scapular syndrome secondary to rib intramedullary fixation device." International Journal of Surgery Case Reports 17 (2015): 158–60. http://dx.doi.org/10.1016/j.ijscr.2015.11.010.

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30

Filbey, Kevin, Farbod Sedaghat-Hamedani, Elham Kayvanpour, Panagiotis Xynogalos, Daniel Scherer, Benjamin Meder, Hugo A. Katus, and Edgar Zitron. "Postcardiac injury syndrome after cardiac implantable electronic device implantation." Herz 45, no. 7 (March 13, 2020): 696–702. http://dx.doi.org/10.1007/s00059-020-04910-6.

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Abstract Background Postcardiac injury syndrome (PCIS) is an inflammatory complication that derives from injury to the epicardium, myocardium, or endocardium. It occurs after trauma, myocardial infarction, percutaneous coronary intervention, cardiac surgery, intracardiac ablation, and implantation of cardiac implantable electronic device (CIED). In this study we assessed the incidence of PCIS after CIED implantation and its possible risk factors. Material and methods All patients who received CIED implantation at Heidelberg University Hospital between 2000 and 2014 were evaluated (n = 4989 patients). Clinical data including age, sex, underlying cardiac disease, type of implanted CIED, location of electrode implantation, clinical symptoms, time of symptom onset of PCIS, therapy, and outcome were extracted and analyzed. Results We identified 19 cases of PCIS in 4989 patients, yielding an incidence of 0.38%. The age of patients with PCIS ranged from 39 to 86 years. Dilated cardiomyopathy (DCM) as underlying cardiac disease and right atrial (RA) lead implantation had a significant association with occurrence of PCIS (p = 0.045 in DCM and p < 0.001 in RA lead implantation). Dyspnea, chest pain, dry cough, and fever were the most frequently reported symptoms in patients with PCIS. Pericardial and pleura effusion as well as elevated C‑reactive protein (CRP), increased erythrocyte sedimentation rate (ESR), and leukocytosis were the most common findings. Conclusion To the best of our knowledge, this is the largest cohort evaluating the incidence of PCIS after CIED implantation. The data show that PCIS is a rare complication after CIED implantation and occurs more frequently in patients with DCM and those with RA lead implantation. Although rare and mostly benign, PCIS can lead to potentially lethal complications and physicians must be aware of its symptoms.
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31

Cho, Elizabeth E., and Dinali Fernando. "Fatal Streptococcal Toxic Shock Syndrome from an Intrauterine Device." Journal of Emergency Medicine 44, no. 4 (April 2013): 777–80. http://dx.doi.org/10.1016/j.jemermed.2012.03.020.

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32

Al-Naamani, A., A. L. Meyer, K. Jawad, J. Fischer, A. Siegemund, T. Siegemund, A. Oberbach, et al. "Antiphospholipid Syndrome in Patients with Left Ventricular Assist Device." Journal of Heart and Lung Transplantation 36, no. 4 (April 2017): S251. http://dx.doi.org/10.1016/j.healun.2017.01.669.

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33

Rhodes, Troy, and Raul Weiss. "Device Therapy in the Setting of Long QT Syndrome." Cardiac Electrophysiology Clinics 7, no. 3 (September 2015): 479–86. http://dx.doi.org/10.1016/j.ccep.2015.05.018.

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34

Kounis, Nicholas G., George D. Soufras, and Periklis Davlouros. "Device thrombosis in continuous-flow left ventricular assist devices: A new manifestation of Kounis syndrome?" Journal of Heart and Lung Transplantation 33, no. 6 (June 2014): 665. http://dx.doi.org/10.1016/j.healun.2014.02.017.

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35

Fatema, Nurun N., and Abul K. M. Razzaque. "Device closure of patent ductus arteriosus: analysis of cases in a Bangladeshi centre." International Journal of Contemporary Pediatrics 7, no. 7 (June 24, 2020): 1481. http://dx.doi.org/10.18203/2349-3291.ijcp20202573.

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Background: Transcatheter closure of Patent ductus arteriosus (PDA) has become the first-choice therapy for closure in patients of any age group. Authors reviewed the outcome of device closure in all age groups starting from neonate to adult.Methods: From December 2014 to December 2019, 440 cases underwent transcatheter closure in a catheterization laboratory of a tertiary level cardiac hospital. Selection criteria were isolated PDA or PDA with associated conditions which can be managed in the same setting by an intervention. Exclusion criteria were proven Eisenmenger syndrome. A retrospective review of outcome and complications were recorded from computerized data records.Results: Age of the patient varied from 10 days to 65 years. The median age was 3 years. Most of the patients were female (63%), weight varied from 1.8 kg to 75 kg. the median weight was 7.5 kg. Isolated PDA cases were 74.77 %. Among syndromes, congenital rubella syndrome was common (7.5%), followed by Down Syndrome (6.36%). The narrowest PDA diameter varied for 1.8 mm - 14 mm with a median of 5 mm. Among duct occluders, 8x6 mm CeraTM was the commonest one used in the study population. Complete occlusion was observed in 99.55% of cases.Conclusions: Transcatheter closure of PDA is considered safe and efficacious in all age groups. It is the gold standard now and replaced surgical option in most of the places.
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Dell'Amore, Andrea, Rocco D'Andrea, Guido Caroli, Carlo Alberto Mazzoli, Alberto Rocca, Franco Stella, Alessandro Bini, and Rita Melotti. "Intraoperative Management of Hypercapnia with an Extracorporeal Carbon Dioxide Removal Device during Giant Bullectomy." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 11, no. 2 (March 2016): 142–45. http://dx.doi.org/10.1097/imi.0000000000000250.

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Extracorporeal CO2-removal devices have been introduced in clinical practice to provide protective and ultraprotective ventilation strategies in different settings to avoid retention of carbon dioxide. The need to facilitate lung-protective ventilation is required not only for the treatment of acute respiratory distress syndrome but also in thoracic surgery during complex operations, especially in respiratory compromised patients. This report describes a case of giant bullectomy for vanishing lung syndrome in which intraoperative hypercapnia secondary to protective ventilation was managed with a CO2-removal device (Decap-Hemodec s.r.l., Salerno, Italy). To the best of our knowledge, this is the first report in the literature of the intraoperative use of the Decap system for giant bullectomy.
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Maricoto, Tiago, Eurico Alves Rrodrigues Silva, Pedro Damião, and José Mesquita Bastos. "The OXIMAPA Study: Hypertension Control by ABPM and Association with Sleep Apnea Syndrome by Pulse Oximetry." Acta Médica Portuguesa 30, no. 2 (February 27, 2017): 93. http://dx.doi.org/10.20344/amp.7495.

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Introduction: Ambulatory blood pressure monitoring by automatic device is the best blood pressure evaluation method and sleep apnea syndrome is the leading cause of poor control. Oximetry allows screening these individuals but its usefulness has been poorly explored in Primary Health Care. The aim was to evaluate the blood pressure control at the office and with ambulatory blood pressure monitoring by automatic device and to relate it to sleep apnea syndrome.Material and Methods: We selected a sample of 50 participants, representative of 3036 hypertensive patients. The variables were: blood pressure value at the office and blood pressure with ambulatory blood pressure monitoring by automatic device; presence of criteria of sleep apnea syndrome in oximetry.Results: The prevalence of uncontrolled blood pressure was 56% on office evaluation and 68% on ambulatory blood pressure monitoring by automatic device. It was found: 36% of daytime hypertension, 52% nocturnal hypertension, 40% non-dipper profile, 16% of white coat hypertension and 28% masked hypertension. The prevalence of sleep apnea syndrome was 16%. Blood pressure in ambulatory blood pressure monitoring by automatic device and blood pressure in office showed no statistically significant association (p = 0.761). We found a statistically significant association between sleep apnea syndrome and daytime hypertension (p = 0.019) and non-dipper profile (p = 0.005).Discussion and Conclusion: Ambulatory blood pressure monitoring by automatic device detected more 12% of uncontrolled hypertension than office blood pressure. Sleep apnea syndrome is strongly associated with uncontrolled hypertension and oximetry may be a good screening method, but should be studied further.
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38

Hsieh, Tsung-Hsun, Chih-Wei Peng, Kai-Yun Chen, Ying-Zu Huang, Yi-Huang Lin, Wei-Zong Zhong, Jen-I. Liang, et al. "THE APPLICATIONS OF SMART MOBILE DEVICE FOR DETECTING BALANCE DYSFUNCTION IN INDIVIDUALS WITH DOWN SYNDROME." Biomedical Engineering: Applications, Basis and Communications 30, no. 01 (February 2018): 1850007. http://dx.doi.org/10.4015/s1016237218500072.

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Falls are a major health concern leading cause of fatal and non-fatal injuries for neurological disorders. Balance dysfunction is one of the common factors to determine fall risk in neurological patients. Preventative measures may help to reduce the incidence and severity of falls for detecting balance function and fall risk factors. However, the objective measures for balance require expensive equipment with the assessment of clinical expertise. A main gap remains in the evaluation method to objectively characterize the balance functions in individuals with high risk of falling. With the development of wearable and mobile devices, recent advances in smart mobile devices may provide a potential opportunity to manage the gap in the detailed quantification of balance impairments. The purpose of this study is to identify whether the biomechanical data measured by the mobile device is reliable to characterize the posture stability in various balance test conditions. A total of 39 children with Down syndrome completed four balance-testing tasks under altered base of support and vision. Simultaneous biomechanical measurements were gathered from the iPod and force plate analysis system during functional balance testing. The force plate and mobile system provided similar patterns of stability across groups. Correlation ([Formula: see text] between two systems for path length, 95% ellipse area, peak-to-peak, standard deviation and mean ranged from 0.60 to 0.99. We expect that the smart mobile device can provide reliable and accurate information to quantify the postural stability in individuals with elderly people or neurological disorders. The objectivity, portability and easy use of such mobile device make it ideal to apply in clinical environments for detecting balance functions and reducing the risk of falls in Down syndrome or other neurological patients.
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Fenton, J. E., C. Fitzgerald, P. J. Dillon, and D. O'Shea. "Never say never: circumventing a contraindication to control apnoea-induced epileptic events with a mandibular advancement device." Journal of Laryngology & Otology 132, no. 11 (November 2018): 1036–38. http://dx.doi.org/10.1017/s0022215118001858.

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AbstractBackgroundThe benefit of mandibular advancement devices in patients with sleep-disordered breathing and as a potential option for obstructive sleep apnoea syndrome is well recognised. Their use in the setting of epilepsy or other seizure disorders is typically contraindicated.Case reportA 48-year-old patient with a history of poorly controlled epilepsy and obstructive sleep apnoea syndrome was referred for ENT review for possible tracheostomy. The patient was wheelchair-bound with 24-hour continuous positive airway pressure, but sleep studies demonstrated persistent, severe episodes of apnoea and notable sleep disturbance. Sleep nasendoscopy demonstrated marked improvement on capnography with the laryngeal mask airway in situ, and this was maintained with mandibular advancement using jaw thrust following removal of the laryngeal mask airway. A mandibular advancement device was subsequently trialled; this had no subjective benefit for the patient, but the seizures resolved and control of apnoea was achieved with the combination of a mandibular advancement device and continuous positive airway pressure.ConclusionThis paper highlights a novel application of mandibular advancement devices, used in combination with continuous positive airway pressure, which resulted in complete resolution of sleep deprivation and apnoea-induced epileptic events.
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Saito, Kazuo, and Yumiko Saito. "Relationship between Information and Communication Device Usage and Development of Hand Disorders." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58 (January 2021): 004695802110296. http://dx.doi.org/10.1177/00469580211029607.

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This study examined the association between hand disorders and time spent using information and communication devices. The participants in this study, conducted between January 2017 and 2020, were 150 healthy university students. They were tested for carpal tunnel syndrome and De Quervain’s tenosynovitis. Average daily device usage time was found to be 5.76 ± 3.00 (1.9-16.2) h. Smartphones were used the most, followed by personal computers and gaming consoles. However, usage time did not vary significantly by device type. Intensive users were significantly more likely to have De Quervain’s tenosynovitis ( P < .001), while non-intensive users were significantly less likely to have hand disorders ( P < .001) and less likely to have De Quervain’s tenosynovitis. These results can form the basis of guidelines for the prevention of information and communication device overuse.
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41

Stadie, Axel Thomas, Doerthe Keiner, Gerrit Fischer, Jens Conrad, Stefan Welschehold, and Joachim Oertel. "Simple Endoscopic Decompression of Cubital Tunnel Syndrome With the Agee System." Operative Neurosurgery 66, suppl_2 (June 1, 2010): ons325—ons332. http://dx.doi.org/10.1227/01.neu.0000369949.97016.b1.

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Abstract BACKGROUND Simple decompression in ulnar nerve compression syndromes offers options for endoscopic applications. OBJECTIVE The authors present their initial experience with the Agee device. PATIENTS AND METHODS The monoportal endoscopic technique (Agee system) was evaluated on 10 cadaveric arms. Subsequently, 32 arms of 29 patients were operated on between January 2006 and March 2009. All patients presented with typical clinical signs and neurophysiologic studies. Long-term follow-up examinations were obtained in 27 of 32 arms. RESULTS In the cadaver study, the ulnar nerve was always correctly identified. No nerve damage occurred, and sufficient decompression of the ulnar nerve was always achieved. In the clinical series, no intraoperative complications were observed. A change to open technique was not required, and no worsening of the cubital tunnel syndrome occurred. Two wound infections required surgical wound cleaning. Wound hematomas treated conservatively were found in 5 cases. On long-term follow-up, an improvement in the McGowan-Classification was achieved in 22 of 27 cases. One patient was operated on by open surgery after endoscopic surgery. CONCLUSION The endoscopic technique for ulnar nerve entrapment syndrome using an Agee device appears to be safe and efficient. The results are comparable to those achieved with simple open decompression. A randomized prospective study should be performed to further evaluate the value of new technique in ulnar nerve entrapment syndrome.
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42

Tian, Kaihao. "Muse Headband: Potential Communication Tool for Locked-in People." Mechanical Engineering Research 8, no. 1 (February 27, 2018): 16. http://dx.doi.org/10.5539/mer.v8n1p16.

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As an affordable brain wave sensing device, Muse Headband has a strong potential use of being a basic communication tool for people with locked-in syndrome. With the assistance of other external devices, such as EEG and computers, it is possible to create an affordable device that displays these patients’ emotions with simple and comprehensible images or graphs so that they can be understood by those who take care of them. My paper introduces Unlock, an in-progress design project based on Muse Headband. The whole program is designed as an approach to help the communication of locked-in people, and consists of both hardware and software.
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43

Williams, L. R., R. K. Darragh, D. K. Sokol, M. Edwards-Brown, and M. W. Turrentine. "Reversible Posterior Leukoencephalopathy Syndrome Associated With Left Ventricular Assist Device." Transplantation Proceedings 37, no. 10 (December 2005): 4513–14. http://dx.doi.org/10.1016/j.transproceed.2005.10.103.

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44

Guler, Adem, Mehmet Sahin, Murat Kadan, Murat Tavlasoglu, Celalettin Gunay, and Ufuk Demirkilic. "Levitronix centrimag ventricular assist device use in post-cardiotomy syndrome." Gulhane Medical Journal 56, no. 1 (2014): 1. http://dx.doi.org/10.5455/gulhane.11879.

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45

Tolonen, U., M. Kallio, J. Ryhänen, T. Raatikainen, V. Honkala, and V. Lesonen. "A handheld nerve conduction measuring device in carpal tunnel syndrome." Acta Neurologica Scandinavica 115, no. 6 (June 2007): 390–97. http://dx.doi.org/10.1111/j.1600-0404.2007.00799.x.

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46

Yoshida, Kazuya. "Oral device therapy for the upper airway resistance syndrome patient." Journal of Prosthetic Dentistry 87, no. 4 (April 2002): 427–30. http://dx.doi.org/10.1067/mpr.2002.123228.

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47

Kim, Sung-Jae, Jae-Hoon Jeong, and Yong-Gon Ko. "Synovitic cyclops syndrome caused by a Kennedy ligament augmentation device." Arthroscopy: The Journal of Arthroscopic & Related Surgery 19, no. 4 (April 2003): 1–4. http://dx.doi.org/10.1053/jars.2003.50127.

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48

Osman, F., R. Ward, and A. Morley-Davies. "Twiddler's syndrome in a patient with a biventricular-defibrillator device." Europace 10, no. 3 (March 1, 2008): 364–65. http://dx.doi.org/10.1093/europace/eum292.

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49

Prat, Gwénaël, Anne Renault, Jean-Marie Tonnelier, David Goetghebeur, Emmanuel Oger, Jean-Michel Boles, and Erwan L'Her. "Influence of the humidification device during acute respiratory distress syndrome." Intensive Care Medicine 29, no. 12 (August 6, 2003): 2211–15. http://dx.doi.org/10.1007/s00134-003-1926-5.

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Limthongkul, Worawat, and Wicharn Yingsakmongkol. "Case Report: Cauda Equina Syndrome Associated With an Interspinous Device." Clinical Orthopaedics and Related Research® 470, no. 6 (August 26, 2011): 1668–72. http://dx.doi.org/10.1007/s11999-011-2031-7.

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