193,526 research outputs found

    Barrow, P

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    A history of the Barrow Neurological Institute.

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    The Barrow Neurological Institute (BNI), founded in 1961, is in partnership with St. Joseph\u27s Hospital and Medical Center and part of the Catholic Healthcare West system. The BNI is a relative newcomer to academic neuroscience. However, since its inception it has grown to become an international destination for neurologic disease. This article describes the history of the institute as it has grown over the years in its commitment to excellence in patient care, education, and research

    Letters / compiled by P. Barrow

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    Animals and Cotswold-Severn long-barrows: a re-examination.

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    In this paper new collaborative research is presented following a re-examination of the faunal remains and architectural evidence from a selected number of Cotswold-Severn long barrow sites. Five different loci of deposition are considered: ‘pre-barrow’ contexts; the chambers; the superstructure of the barrow and the ditches; the forecourt; and blocking material. These spatial locations were chosen following research that has demonstrated that these areas are likely to represent different temporal, as well as spatial, patterns of activity. While the faunal remains are diverse in character, common themes observed at the sites include: the deposition of complete or partial remains of foetal and young animals within chambers; the use of teeth and cranial elements within blocking material; and, within each temporal context, the absence of clear evidence for feasting and the importance of cattle, and the small but constant inclusion of wild mammals. This complexity of practice has the potential to mature our thinking regarding the nature of human–animal relationships within the early Neolithic of Britain and provide a secure foundation of evidence for subsequent interpretations

    Small intracranial aneurysms in the Barrow Ruptured Aneurysm Trial (BRAT)

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    Background: Treatment of small ruptured aneurysms (SRAs) remains controversial, with literature reporting difficulty with endovascular versus microsurgical approaches. This paper analyzes outcomes after endovascular coiling and microsurgical clipping among patients with SRAs prospectively enrolled in the Barrow Ruptured Aneurysm Trial (BRAT). Method: All BRAT patients were included in this study. Patient demographics, aneurysm size, aneurysm characteristics, procedure-related complications, and outcomes at discharge and at 1-year and 6-year follow-up were evaluated. A modified Rankin scale (mRS) score \u3e 2 was considered a poor outcome. Results: Of 73 patients with SRAs, 40 were initially randomly assigned to endovascular coiling and 33 to microsurgical clipping. The rate of treatment crossover was significantly different between coiling and clipping; 25 patients who were assigned to coiling crossed over to clipping, and no clipping patients crossed over to coiling (P \u3c 0.001). Among SRA patients, 15 underwent coiling and 58 underwent clipping; groups did not differ significantly in demographic characteristics or aneurysm type (P ≥ 0.11). Mean aneurysm diameter was significantly greater in the endovascular group (3.0 ± 0.3 vs 2.6 ± 0.6; P = 0.02). The incidence of procedure-related complications was similar for endovascular and microsurgical treatments (odds ratio [95% confidence interval], 1.0 [0.1–10.0], P = 0.98). Both groups had comparable overall outcome (mRS score \u3e 2) at discharge and 1-year and 6-year follow-up (P = 0.48 and 0.73, respectively). Conclusions: Most SRA patients in the BRAT underwent surgical clipping, with a high rate of crossover from endovascular approaches. Endovascular treatment was equivalent to surgical clipping with regard to procedure-related complications and neurologic outcomes

    Título: Opera

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    Copia digital. Madrid : Ministerio de Cultura. Subdirección General de Coordinación Bibliotecaria, 2010Error de pag., de p. 151 pasa a 252Grab. calc. de esquemas de geometrí

    Jašiūnai (Geložė) barrow cemetery

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    2002 m. VU tęsė 2000 m. pradėtus Jašiūnų (Geložės) pilkapyno (A 1036) (Vilniaus aps., Šalčininkų r., Jašiūnų sen.) archeologinius tyrimus (žr. ATL 2000 metais, V., 2002, p. 77-79; ATL 2001 metais, V., 2002, p. 97–99). Buvo ištirtas dar vienas kvartalinės linijos ardomas pilkapis R pilkapyno dalyje (iš viso 210 m² plotas). Tyrinėjimus finansavo KVAD pagal apardytų ir ardomų archeologinių vietų tyrimų programą [p. 80].In 2002 VU continued to explore the Jašiūnai (Geložė) barrow cemetery (Šalčininkai district, Jašiūnai). Destroyed barrow 5 was explored. According to the construction of the earth pile, the barrow was dated to the 7th-8th centuries. While exploring the barrow, only single cremated bones were found

    Long-Term Independence in Older Patients with Aneurysmal Subarachnoid Hemorrhage in the Barrow Ruptured Aneurysm Trial

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    Objective: Older patients have a higher risk for poor neurological outcomes following aneurysmal subarachnoid hemorrhage (aSAH). This study compared functional independence in older versus younger patients with aSAH and compared endovascular coiling with microsurgical clipping in the older cohort. Methods: Patients enrolled in the Barrow Ruptured Aneurysm Trial (BRAT) with confirmed aSAH were analyzed. Patients were grouped by age: older (≥65 years old) or younger (\u3c65 years old). The primary outcome analyzed was functional independence at long-term follow-up, defined as Barthel index \u3e80 at 6-year follow-up. A second analysis was performed comparing functional independence in older patients treated with endovascular coiling versus microsurgical clipping. Results: Of 405 patients with aSAH enrolled in BRAT, 77 (19%) were ≥65 years old, and 328 (81%) were \u3c65 years old. A lower percentage of older versus younger patients was functionally independent (Barthel index \u3e80) at 6-year follow-up (42.0% [29/69] vs. 82.2% [217/264]; P \u3c 0.001). A higher percentage of younger patients (69.7% [184/264]) had good neurological outcomes (modified Rankin Scale score \u3c3) at 6-year follow-up compared with older patients (31.9% [22/69]; P \u3c 0.001). A greater percentage of older patients treated with microsurgical clipping (51.0% [18/47]) versus endovascular coiling (22.7% [5/22]) had functional independence at 6-year follow-up (P \u3c 0.04). Conclusions: Patients ≥65 years old with aSAH are at increased risk for poor neurological outcomes compared with younger patients. Greater independence was observed in older patients after microsurgical clipping than after endovascular coiling at long-term follow-up

    Kurklių Šilas barrow cemetery

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    2004 m. buvo tęsiami archeologiniai tyrinėjimai Kurklių Šilo pilkapyne (A 1413) (Anykščių r.), pradėti 1998 m. (žr. ATL 1998 ir 1999 metais, V., 2000, p. 164-166; ATL 2000 metais, V., 2002, p. 60-63; ATL 2001 metais, V., 2002, p. 86-87; ATL 2002 metais, V., 2005, p. 57-59; ATL 2003 metais, V., 2005, p. 83-84). 2004 m. ištirti du pilkapiai (bendras ištirtas plotas 344 m2). Kaip ir kitus tyrinėtus šio pilkapyno pilkapius juos žalojo miško kvartalinė linija, priešgaisrinis arimas. Tirti pilkapiai buvo R bei ŠR pilkapyno dalyje.In 2004 the archaeological excavations of the Kurklių Šilas barrow cemetery (in Anykščiai district) were continued. In 2004 two barrows were investigated (an area of 344 m2 in total). The barrow No. 11 (41) was 0.65-0.75 m high and had 13 x 9 m in diameter. It was surrounded by an unbroken ditch. Neither burials, nor loose artefacts were found in the barrow. According to the construction the barrow is datable to the 8th-10th century and should be attributed to the Eastern Lithuanian Barrow Culture. Excavations of the barrow No. 12 (106) revealed that this was not a barrow, but a mound formed during fire prevention earthworks
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