Institution
Beaumont Health
Nonprofit•Royal Oak, Michigan, United States•
About: Beaumont Health is a nonprofit organization based out in Royal Oak, Michigan, United States. It is known for research contribution in the topics: Medicine & Population. The organization has 1483 authors who have published 1448 publications receiving 15407 citations. The organization is also known as: William Beaumont Health System & Beaumont Hospitals.
Topics: Medicine, Population, Cancer, Breast cancer, Arthroplasty
Papers published on a yearly basis
Papers
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TL;DR: The most recent literature regarding neuromodulation is reviewed and their advantages and limitations and recent innovations in their use are discussed.
Abstract: Neuromodulation is an important treatment modality for a variety of pelvic floor disorders. Percutaneous tibial nerve stimulation (PTNS) and sacral neuromodulation (SNM) are currently the two approved methods for delivering this therapy. Percutaneous tibial nerve stimulation is a minimally invasive office-based procedure that has shown efficacy in the treatment of overactive bladder, fecal incontinence, and pelvic pain. It has the advantage of minimal side effects but is limited by the need for patients to make weekly office visits to receive the series of treatments. Sacral neuromodulation uses an implanted device that stimulates the S3 nerve root and can improve symptoms of overactive bladder, non-obstructive urinary retention, fecal incontinence, and pelvic pain. This paper will review the most recent literature regarding this topic and discuss their advantages and limitations and recent innovations in their use.
66 citations
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TL;DR: In this cohort of patients undergoing primary RTSA, TXA was effective in reducing total drain output, total Hb loss, and total blood loss compared with a placebo control.
65 citations
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TL;DR: This prospective randomized controlled trial demonstrated that Liposomal bupivacaine provides excellent postoperative pain relief for shoulder arthroplasty patients, and had fewer complications and lower cost, making it a promising addition to a multimodal pain regimen.
65 citations
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TL;DR: Hypercoagulability may contribute to COVID‐19 pathogenicity and the role of anticoagulation (AC) at therapeutic or prophylactic doses (pAC) is unclear.
Abstract: Background Hypercoagulability may contribute to COVID-19 pathogenicity. The role of anticoagulation (AC) at therapeutic (tAC) or prophylactic doses (pAC) is unclear. Objectives We evaluated the impact on survival of different AC doses in COVID-19 patients. Methods Retrospective, multi-center cohort study of consecutive COVID-19 patients hospitalized between March 13 and May 5, 2020. Results A total of 3480 patients were included (mean age, 64.5 years [17.0]; 51.5% female; 52.1% black and 40.6% white). 18.5% (n = 642) required intensive care unit (ICU) stay. 60.9% received pAC (n = 2121), 28.7% received ≥3 days of tAC (n = 998), and 10.4% (n = 361) received no AC. Propensity score (PS) weighted Kaplan-Meier plot demonstrated different 25-day survival probability in the tAC and pAC groups (57.5% vs 50.7%). In a PS-weighted multivariate proportional hazards model, AC was associated with reduced risk of death at prophylactic (hazard ratio [HR] 0.35 [95% confidence interval {CI} 0.22-0.54]) and therapeutic doses (HR 0.14 [95% CI 0.05-0.23]) compared to no AC. Major bleeding occurred more frequently in tAC patients (81 [8.1%]) compared to no AC (20 [5.5%]) or pAC (46 [2.2%]) subjects. Conclusions Higher doses of AC were associated with lower mortality in hospitalized COVID-19 patients. Prospective evaluation of efficacy and risk of AC in COVID-19 is warranted.
63 citations
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TL;DR: This paper found microbial dysbiosis affecting lipid metabolism, including an upregulation of bacteria responsible for secondary bile acid synthesis, which suggests biliary abnormalities may play a role in PD pathogenesis.
Abstract: The gut microbiome can impact brain health and is altered in Parkinson's disease (PD). The vermiform appendix is a lymphoid tissue in the cecum implicated in the storage and regulation of the gut microbiota. We sought to determine whether the appendix microbiome is altered in PD and to analyze the biological consequences of the microbial alterations. We investigated the changes in the functional microbiota in the appendix of PD patients relative to controls (n = 12 PD, 16 C) by metatranscriptomic analysis. We found microbial dysbiosis affecting lipid metabolism, including an upregulation of bacteria responsible for secondary bile acid synthesis. We then quantitatively measure changes in bile acid abundance in PD relative to the controls in the appendix (n = 15 PD, 12 C) and ileum (n = 20 PD, 20 C). Bile acid analysis in the PD appendix reveals an increase in hydrophobic and secondary bile acids, deoxycholic acid (DCA) and lithocholic acid (LCA). Further proteomic and transcriptomic analysis in the appendix and ileum corroborated these findings, highlighting changes in the PD gut that are consistent with a disruption in bile acid control, including alterations in mediators of cholesterol homeostasis and lipid metabolism. Microbially derived toxic bile acids are heightened in PD, which suggests biliary abnormalities may play a role in PD pathogenesis.
63 citations
Authors
Showing all 1494 results
Name | H-index | Papers | Citations |
---|---|---|---|
Barry P. Rosen | 102 | 529 | 36258 |
Praveen Kumar | 88 | 1339 | 35718 |
George S. Wilson | 88 | 716 | 33034 |
Ahmed Ali | 61 | 728 | 15197 |
Di Yan | 61 | 295 | 11437 |
David P. Wood | 59 | 243 | 12154 |
Brian D. Kavanagh | 58 | 322 | 15865 |
James A. Goldstein | 49 | 193 | 12312 |
Kenneth M. Peters | 46 | 197 | 6513 |
James M. Robbins | 45 | 157 | 8489 |
Bin Nan | 44 | 139 | 5321 |
Inga S. Grills | 43 | 217 | 6343 |
Sachin Kheterpal | 43 | 169 | 8545 |
Craig W. Stevens | 42 | 164 | 6598 |
Thomas Guerrero | 41 | 93 | 5018 |