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Fayolle, G., primary, Levick, W., additional, Lajiness-O'Neill, R., additional, Fastenau, P., additional, Briskin, S., additional, Bass, N., additional, Silva, M., additional, Critchfield, E., additional, Nakase-Richardson, R., additional, Hertza, J., additional, Loughan, A., additional, Perna, R., additional, Northington, S., additional, Boyd, S., additional, Anderson, A., additional, Peery, S., additional, Chafetz, M., additional, Maris, M., additional, Ramezani, A., additional, Sylvester, C., additional, Goldberg, K., additional, Constantinou, M., additional, Karekla, M., additional, Hall, J., additional, Edwards, M., additional, Balldin, V., additional, Strutt, A., additional, Pavlik, V., additional, Marquez de la Plata, C., additional, Cullum, M., additional, lacritz, l., additional, Reisch, J., additional, Massman, P., additional, Royall, D., additional, Barber, R., additional, Younes, S., additional, Wiechmann, A., additional, O'Bryant, S., additional, Patel, K., additional, 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- Published
- 2012
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3. W. F. Royce: Fishery Development.—248 pp., 6 figs., 5 tabs. London/New York: Academic Press Inc. 1987. ISBN 0126009554. £ 18.50
- Author
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Biester, R., primary
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- 1989
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4. Validation of a brief telephone battery for neurocognitive assessment of patients with pulmonary arterial hypertension
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Palevsky Harold I, Hansen-Flaschen John, Kaplan Sandra, White Joanne, Mortensen Jennifer, Biester Rosette, Christie Jason, Taichman Darren B, Elliott C Gregory, and Hopkins Ramona O
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Diseases of the respiratory system ,RC705-779 - Abstract
Abstract Background The effects of pulmonary arterial hypertension on brain function are not understood, despite patients' frequent complaints of cognitive difficulties. Using clinical instruments normally administered during standard in-person assessment of neurocognitive function in adults, we assembled a battery of tests designed for administration over the telephone. The purpose was to improve patient participation, facilitate repeated test administration, and reduce the cost of research on the neuropsychological consequences of acute and chronic cardiorespiratory diseases. We undertook this study to validate telephone administration of the tests. Methods 23 adults with pulmonary arterial hypertension underwent neurocognitive assessment using both standard in-person and telephone test administration, and the results of the two methods compared using interclass correlations. Results For most of the tests in the battery, scores from the telephone assessment correlated strongly with those obtained by in-person administration of the same tests. Interclass correlations between 0.5 and 0.8 were observed for tests that assessed attention, memory, concentration/working memory, reasoning, and language/crystallized intelligence (p ≤ 0.05 for each). Interclass correlations for the Hayling Sentence Completion test of executive function approached significance (p = 0.09). All telephone tests were completed within one hour. Conclusion Administration of this neurocognitive test battery by telephone should facilitate assessment of neuropsychological deficits among patients with pulmonary arterial hypertension living across broad geographical areas, and may be useful for monitoring changes in neurocognitive function in response to PAH-specific therapy or disease progression.
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- 2005
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5. W. F. Royce: Fishery Development.-248 pp., 6 figs., 5 tabs. London/New York: Academic Press Inc. 1987. ISBN 0126009554. £ 18.50.
- Author
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Biester, R.
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- 1989
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6. Clinical and Psychological Factors Associated With Return to Work Among United States Diplomats Who Sustained a Work-Related Injury While on Assignment in Havana, Cuba.
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Green-McKenzie J, Shofer FS, Matthei J, Biester R, and Deibler M
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- Adult, Cuba, Depression epidemiology, Depression psychology, Female, Humans, Male, Return to Work, Surveys and Questionnaires, United States epidemiology, Government Employees, Occupational Injuries epidemiology
- Abstract
Objective: To determine factors associated with return to work in US diplomats injured during a work assignment in Cuba., Methods: In this case series work ability was determined at each visit. Questionnaires used included the Symptom Score Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, Quality-of-Life Inventory, and Patient Health Questionnaire., Results: Of the 45 employees referred to Occupational Medicine, the mean age was 42.5 years, 60% were men, 68% were never out of work, 22% were out of work for some period, and 15% remain out of work. Vestibular, cognitive, hearing, sleep, and visual symptoms, and a higher initial symptom score were significantly associated with work inability while psychiatric symptoms were not., Conclusions: This exposure resulted in prolonged illness with cognitive impairment and other clinical manifestations associated with work inability., Competing Interests: Dr Marla Deibler has the following conflicts of interest: 1. TLC Foundation for Body-Focused Repetitive Behaviors (Consultation and Speaker Fees); 2. NJ Center for Tourette Syndrome (Speaker Fees); 3. The Center for Emotional Health of Greater Philadelphia (private practice); 4. State of NJ (Psychological Testing and Expert Testimony); 5. Voorhees School District (Speaker Fees, Consultation). The authors report no conflicts of interest., (Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Occupational and Environmental Medicine.)
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- 2022
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7. Neurological Manifestations Among US Government Personnel Reporting Directional Audible and Sensory Phenomena in Havana, Cuba.
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Swanson RL 2nd, Hampton S, Green-McKenzie J, Diaz-Arrastia R, Grady MS, Verma R, Biester R, Duda D, Wolf RL, and Smith DH
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- Adult, Brain diagnostic imaging, Brain Concussion diagnosis, Brain Concussion etiology, Cuba, Diagnosis, Differential, Female, Headache etiology, Hearing Loss, Sensorineural diagnosis, Humans, Male, Middle Aged, Nervous System Diseases diagnosis, Nervous System Diseases rehabilitation, Neuroimaging, Neuropsychological Tests, Oculomotor Nerve Diseases etiology, Postural Balance, Sensation Disorders etiology, Somatoform Disorders diagnosis, Somatoform Disorders rehabilitation, United States, Government Employees, Hearing Loss, Sensorineural etiology, Nervous System Diseases etiology, Noise adverse effects, Somatoform Disorders etiology
- Abstract
Importance: From late 2016 through August 2017, US government personnel serving on diplomatic assignment in Havana, Cuba, reported neurological symptoms associated with exposure to auditory and sensory phenomena., Objective: To describe the neurological manifestations that followed exposure to an unknown energy source associated with auditory and sensory phenomena., Design, Setting, and Participants: Preliminary results from a retrospective case series of US government personnel in Havana, Cuba. Following reported exposure to auditory and sensory phenomena in their homes or hotel rooms, the individuals reported a similar constellation of neurological symptoms resembling brain injury. These individuals were referred to an academic brain injury center for multidisciplinary evaluation and treatment., Exposures: Report of experiencing audible and sensory phenomena emanating from a distinct direction (directional phenomena) associated with an undetermined source, while serving on US government assignments in Havana, Cuba, since 2016., Main Outcomes and Measures: Descriptions of the exposures and symptoms were obtained from medical record review of multidisciplinary clinical interviews and examinations. Additional objective assessments included clinical tests of vestibular (dynamic and static balance, vestibulo-ocular reflex testing, caloric testing), oculomotor (measurement of convergence, saccadic, and smooth pursuit eye movements), cognitive (comprehensive neuropsychological battery), and audiometric (pure tone and speech audiometry) functioning. Neuroimaging was also obtained., Results: Of 24 individuals with suspected exposure identified by the US Department of State, 21 completed multidisciplinary evaluation an average of 203 days after exposure. Persistent symptoms (>3 months after exposure) were reported by these individuals including cognitive (n = 17, 81%), balance (n = 15, 71%), visual (n = 18, 86%), and auditory (n = 15, 68%) dysfunction, sleep impairment (n = 18, 86%), and headaches (n = 16, 76%). Objective findings included cognitive (n = 16, 76%), vestibular (n = 17, 81%), and oculomotor (n = 15, 71%) abnormalities. Moderate to severe sensorineural hearing loss was identified in 3 individuals. Pharmacologic intervention was required for persistent sleep dysfunction (n = 15, 71%) and headache (n = 12, 57%). Fourteen individuals (67%) were held from work at the time of multidisciplinary evaluation. Of those, 7 began graduated return to work with restrictions in place, home exercise programs, and higher-level work-focused cognitive rehabilitation., Conclusions and Relevance: In this preliminary report of a retrospective case series, persistent cognitive, vestibular, and oculomotor dysfunction, as well as sleep impairment and headaches, were observed among US government personnel in Havana, Cuba, associated with reports of directional audible and/or sensory phenomena of unclear origin. These individuals appeared to have sustained injury to widespread brain networks without an associated history of head trauma.
- Published
- 2018
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8. Comparison of blast-exposed OEF/OIF veterans with and without a history of TBI symptoms on a brief computerized neuropsychological battery.
- Author
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Kalkstein S, Scott JC, Biester R, Brownlow JA, Harpaz-Rotem I, and Gur RC
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- Adult, Female, Humans, Male, Multivariate Analysis, Young Adult, Blast Injuries complications, Diagnosis, Computer-Assisted, Neuropsychological Tests, Stress Disorders, Post-Traumatic complications, Stress Disorders, Post-Traumatic diagnosis, Stress Disorders, Post-Traumatic etiology, Veterans psychology
- Abstract
Mild traumatic brain injuries (mild TBIs) resulting from exposure to Improvised Explosive Devices (IEDs) are highly prevalent among veterans of the wars in Iraq and Afghanistan. This exploratory study compared the neurocognitive performance of blast-exposed veterans with (n = 19) and without (n = 15) reported symptoms of mild TBI. All subjects had diagnoses of posttraumatic stress disorder (PTSD). Neurocognitive testing was administered using a well-established computerized battery, the Penn Computerized Neuropsychological Battery (CNB), and groups were well matched on age, race, education, and time since most recent blast exposure. Although differences were not observed on CNB accuracy scores, MANOVAs revealed slower processing speed in the mTBI group when answering correctly on tests of simple and sustained attention, with large effect sizes. Results suggest a potential speed-accuracy tradeoff in blast-related mild TBI, which should be further examined in larger samples.
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- 2017
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9. Validation of a brief telephone battery for neurocognitive assessment of patients with pulmonary arterial hypertension.
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Taichman DB, Christie J, Biester R, Mortensen J, White J, Kaplan S, Hansen-Flaschen J, Palevsky HI, Elliott CG, and Hopkins RO
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- Adult, Comorbidity, Female, Humans, Interviews as Topic standards, Male, Middle Aged, Neuropsychological Tests standards, Reproducibility of Results, Sensitivity and Specificity, Utah epidemiology, Cognition Disorders diagnosis, Cognition Disorders epidemiology, Hypertension, Pulmonary diagnosis, Hypertension, Pulmonary epidemiology, Interviews as Topic methods, Neuropsychological Tests statistics & numerical data
- Abstract
Background: The effects of pulmonary arterial hypertension on brain function are not understood, despite patients' frequent complaints of cognitive difficulties. Using clinical instruments normally administered during standard in-person assessment of neurocognitive function in adults, we assembled a battery of tests designed for administration over the telephone. The purpose was to improve patient participation, facilitate repeated test administration, and reduce the cost of research on the neuropsychological consequences of acute and chronic cardiorespiratory diseases. We undertook this study to validate telephone administration of the tests., Methods: 23 adults with pulmonary arterial hypertension underwent neurocognitive assessment using both standard in-person and telephone test administration, and the results of the two methods compared using interclass correlations., Results: For most of the tests in the battery, scores from the telephone assessment correlated strongly with those obtained by in-person administration of the same tests. Interclass correlations between 0.5 and 0.8 were observed for tests that assessed attention, memory, concentration/working memory, reasoning, and language/crystallized intelligence (p < or = 0.05 for each). Interclass correlations for the Hayling Sentence Completion test of executive function approached significance (p = 0.09). All telephone tests were completed within one hour., Conclusion: Administration of this neurocognitive test battery by telephone should facilitate assessment of neuropsychological deficits among patients with pulmonary arterial hypertension living across broad geographical areas, and may be useful for monitoring changes in neurocognitive function in response to PAH-specific therapy or disease progression.
- Published
- 2005
- Full Text
- View/download PDF
10. Complications following ureteroscopy.
- Author
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Biester R and Gillenwater JY
- Subjects
- Adult, Endoscopy methods, Female, Humans, Male, Middle Aged, Endoscopy adverse effects, Ureter injuries, Ureteral Calculi therapy, Ureteral Obstruction etiology
- Abstract
We report 4 cases of ureteral injury and stricture formation following ureteroscopic stone manipulation. Possible etiologies of stricture formation and our methods of managing them are discussed. The complications of ureteroscopy have been reported only rarely and the ureteroscopist should be aware that the procedure is not always benign.
- Published
- 1986
- Full Text
- View/download PDF
11. Late recurrence of a seminoma.
- Author
-
Biester RJ, Lippert MC, and Mills SE
- Subjects
- Humans, Male, Middle Aged, Time Factors, Dysgerminoma drug therapy, Mediastinal Neoplasms drug therapy, Neoplasm Recurrence, Local therapy
- Abstract
We report a case of an extragonadal mediastinal seminoma that recurred almost 19 years after successful initial remission had been achieved with actinomycin D and chlorambucil. Treatment of the recurrence consisted of excision of a single involved supraclavicular lymph node followed by combination chemotherapy with cis-platinum, vinblastine and bleomycin. The patient has remained free of residual disease for 3 years. To our knowledge this case represents the longest reported interval to recurrence for a germ cell neoplasm.
- Published
- 1987
- Full Text
- View/download PDF
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