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98 result(s) for "Marsh, Ralph"
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Results of laparoscopic cryoablation in the treatment of small renal masses
Study of clinical outcome in renal cryoablation. Laparoscopic cryoablation (LCA) is emerging as a reliable treatment option for small renal masses (SRMs) particularly in elderly patients. Our aim was to study the results of cryoablation for small renal masses in our cohort of patients. We retrospectively studied all patients who underwent LCA for SRMs between September 2005 and July 2008. All patients were discussed in our multidisciplinary meeting prior to cryoablation. Our LCA protocol included two freeze-thaw cycles, achieving a core temperature of -70°C and a peripheral temperature of at least -40°C. Follow-up included serum creatinine measurements and pre- and postcontrast CT scans at 3, 6, 12, 18, and 24 months and yearly thereafter. Paired samples t-test was used to study statistical difference. Twenty-two patients underwent LCA with a mean (range) age of 68 (39-81 years) years. The mean (range) tumor size was 29 (19-45 mm) mm. Two patients required blood transfusions, one patient developed pneumonia, and another patient developed a small area of skin necrosis at the cryoneedle entry site. The average (range) hospital stay was 4 (2-14 days) days. Twenty-one patients have had CT follow-up at a mean (range) of 24 (4-42 months) months. Three of the 21 tumors showed central enhancement on follow-up CT scans, consistent with treatment failure. Laparoscopic cryoablation is a safe treatment option for SRM in a selected group of patients.
Palliation of Obstructing Malignant Colonic Lesions Using Self-Expanding Metal Stents: A Single-Center Experience
To evaluate the efficacy, risks, and survival after palliative colorectal stenting at a single center, we conducted a retrospective review of consecutive patients who had colorectal self-expanding metal stents (SEMSs) inserted over an 8-year period (September 1998 to September 2006) to relieve an obstructing colorectal tumor. All patients either had proven distant metastases or were unfit for surgical decompression. A single interventional radiologist (R.M.) inserted the stents, which were either Memotherm or WallFlex. Ninety-one patients with a median age of 73 years had a colorectal stent inserted for palliation of an obstructing colorectal malignancy. Technical success was achieved in 81 of 91 (89%) patients, and clinical success in 80 of 81 (99%). At the time of analysis (December 2006), 13 of 91 (14.2%) patients were alive. The patients who died had a median survival of 59 days, IQR 17–181 days. Seven (7/81) patients suffered stent migration, which occurred 10.3 days (IQR, 5–14 days) after the procedure. Three patients (3/81) re-presented with intestinal obstruction secondary to tumor ingrowth and 10 (10.9%) patients suffered bowel perforation. Ten patients (10.9%) had two stents inserted coaxially and overlapping in one procedure. This was performed in cases where the stricture was too long to be easily crossed by a single stent. We conclude that colorectal SEMS is a safe and effective mode of treatment for the palliation of obstructing colorectal cancers, which avoids high-risk surgery.
THE OTHER OKLAHOMAS THE CHANGING IMAGES OF A STATE SO COUNTRY--YET SO SOPHISTICATED
The land that is now Oklahoma was heralded as the adventurous man's last Eden. \"Free land!\" trumpeted the fliers seeking settlers. \"Grass belly-high to a tall horse!\" \"Deep black soil never touched by a plow!\" Since those early days, the word \"Oklahoma\" has called to mind everything from the dusty hell of John Steinbeck's Depression-era novel \"The Grapes of Wrath\" to the farmers and cowmen who praised the \"waving wheat that sure smells sweet\" in the Rodgers and Hammerstein musical \"Oklahoma!\" But a year ago all that changed. Oklahoma became known as the state where \"the bombing\" took place: April 19, 1995; the Alfred P. Murrah Federal Building, Oklahoma City; 169 dead.
GIVE THE OTHER 99 PERCENT SOME KIND OF EQUALITY
After viewing the movie \"Capitalism: a Love Story,\" which had many numbers and percentages in it, I was concerned about the 1 percent of the population owning more of the wealth of the U.S. than the other 99 percent. An interested citizen can track the money received by his/her senator or representative. My suggestion is that the citizen can write a letter to the representative in which he/she states that if the representative accepts any donations of any value after a time set by the citizen in the letter, then the representative will lose the vote and support of the citizen. This act must be honest and carried out by the citizen. This act is solely between the citizen and the representative. No parties are involved, no groups that ask for donations are involved, no outside \"leaders\" are involved, just the citizen and the representative are involved.
Inter-Tel reports record quarterly revenues and increased income
Inter-Tel Inc. (OTC:INTL) Thursday announced record quarterly revenues for the three months ended June 30, 1993. Revenues for the 1993 second quarter were $22.3 million, an increase of 12 percent over revenues of $20 million for the comparable period of 1992. Revenues for the six month period ended June 30, 1993 were $41 million, compared with $39.4 million for the six months ended June 30, 1992. Net income for the second quarter of 1993 was $838,000, or 10 cents per share, 23 percent higher than 1992 second quarter net income of $680,000, or 8 cents per share. Net income for the six months ended June 30, 1993 increased by 25 percent to $1,497,000, or 18 cents a share, compared with $1,185,000, or 14 cents a share for the comparable period of the prior year. (excerpt)
Nichols and Rauchle named presidents of two Inter-Tel subsidiaries
Inter-Tel Inc. (OTC:INTL) Thursday announced the appointments of Steven P. Nichols and Craig W. Rauchle, both senior vice presidents of Inter-Tel Inc., to the presidencies of Inter-Tel Communications Inc. and Inter-Tel DataCom Inc. respectively. Inter-Tel Communications Inc. is the national direct sales subsidiary of Inter-Tel Inc., except in California. Inter-Tel Communications' administrative offices are being relocated to Houston from Orange, Calif. In addition to several employee transfers, an undetermined number of new jobs will be created in the Houston area because of the relocation. (excerpt)
Inter-Tel Announces Sale of Facility Reduces Term Debt
Inter-Tel Inc. (OTC:INTL) Wednesday announced that it agreed to sell its Chandler headquarters facility to Intel Corp. The agreement provides for Inter-Tel to lease a portion of the facility until April 1993, while it completes its move to more cost effective quarters. The Chandler facility has been occupied by administrative, engineering, wholesale marketing and warehousing functions. Steven G. Mihaylo, chairman and chief executive officer of Inter-Tel stated that the sale was part of Inter-Tel's efforts to reduce its investment in real estate and the associated debt and operating expenses. (excerpt)
Inter-Tel Discontinues Private Label Supply Contract
Inter-Tel Inc. (OTC:INTL) Friday announced that, after lengthy discussions, it has discontinued further negotiations for the renewal of its supply contract with its private label customer, Premier Telecom Inc. Inter-Tel has a substantial backlog of orders for shipments to Premier for the remainder of this year, and the decision should have no effect on 1992 operations. Inter-Tel also expects to continue a relationship with Premier and to make volume shipments in future years to support the large installed Premier customer base. (excerpt)
Inter-Tel Continues Record-Shipments--Reports Increased Earnings
(BUSINESS WIRE )--Inter-Tel Inc. (OTC:INTL) Wednesday announced operating results for the second quarter and six months ended June 30, 1992. Shipments during the three months ended June 30, 1992, continued at a record pace. Revenues were a new quarterly record $20 million or 38 percent higher than revenues of $14.5 million for the second quarter of the preceding year. This brought revenues from Inter-Tel's continuing telecommunications software and systems business for the first half of 1992 to $39.4 million compared with $28.8 million for the same period in 1991. (excerpt)