Journal ArticleMed Educ Online · 2016
BACKGROUND: There is a paucity of information regarding institutional targets for the number of undergraduate medical education (UME) graduates being matched to graduate medical education (GME) programs at their home institutions. At our institution, the D ...
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Journal ArticleMed Educ Online · January 2016
Background There is a paucity of information regarding institutional targets for the number of undergraduate medical education (UME) graduates being matched to graduate medical education (GME) programs at their home institutions. At our institution, the Du ...
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Journal ArticleAcad Med · February 2013
The Duke Medicine Graduate Medical Education Quasi-Endowment, established in 2006, provides infrastructure support and encourages educational innovation. The authors describe Duke's experience with the "grassroots innovation" part of the fund, the Duke Inn ...
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Journal ArticleJ Grad Med Educ · December 2010
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) mandates that sponsoring institutions conduct internal reviews. In 1998, the ACGME Institutional Review Committee gave Duke University Hospital a citation for an inadequate intern ...
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Journal ArticleJ Grad Med Educ · June 2010
PURPOSE: The Accreditation Council for Graduate Medical Education (ACGME) expects programs to engage in ongoing, meaningful improvement, facilitated in part through an annual process of program assessment and improvement. The Duke University Hospital Offic ...
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Journal ArticleDrugs: Education, Prevention and Policy · February 1, 2008
Aims: There is a high risk of physicians developing a chemical dependence. Detection of chemically dependent resident physicians is difficult. Our objective was to assess our experience with pre-placement substance-abuse screening of resident physicians an ...
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Journal ArticleAm J Gastroenterol · December 1997
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A 53-yr-old woman presented with a 2-yr history of recurrent episodes of severe abdominal pain and nausea. Multiple investigations by a general surgeon, a urologist, and a gastroenterologist failed to identify the cause. She was referred to our Biliary Ser ...
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Journal ArticleAmerican Journal of Gastroenterology · December 1, 1997
A 53-yr-old woman presented with a 2-yr history of recurrent episodes of severe abdominal pain and nausea. Multiple investigations by a general surgeon, a urologist, and a gastroenterologist failed to identify the cause. She was referred to our Biliary Ser ...
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Journal ArticleClin Orthop Relat Res · February 1993
Featured Publication
Extracorporeal shock-wave lithotripsy has been proposed as a modality to facilitate the removal of bone cement during revision arthroplasty; however, concomitant cortical microfractures have been reported. The current study examines the effect on whole bon ...
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Journal ArticleJ Arthroplasty · June 1992
Featured Publication
The effect of extracorporeal shock wave lithotripsy on interfacial strength between prosthesis and bone in cementless arthroplasty was examined using a rabbit model. Paired femora, each implanted with fiber mesh porous coated titanium implants, were harves ...
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Journal ArticleProblems in Urology · January 1, 1992
The formation of stones within a Koch pouch is not uncommon. Stones form as a result of exposed or free staples within the pouch. The stones can be managed successfully using endoscopic techniques without damaging the nipple valves. ...
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Journal ArticleJournal of Endourology · January 1, 1992
Although “sandwich” therapy (percutaneous debulking followed by extracorporeal lithotripsy, with further percutaneous procedures if needed) is the preferred approach for large renal stone burdens, occasionally, the initial use of shock wave lithotripsy may ...
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Journal ArticleGastroenterology · October 1990
Experimental work has established that the Candela (Candela Laser Corporation, Wayland, MA) flashlamp excited dye laser (wavelength, 504 nm) is a highly effective method for fragmenting biliary stones and has minimal potential for injuring the bile duct wa ...
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Journal ArticleJournal of Endourology · January 1, 1990
The treatment of stones within Kock pouch urinary diversions is challenging yet gratifying in terms of reduction of symptoms. Using endoscopic means, the procedures can be done totally on an outpatient basis, with a considerable reduction in cost. Extracor ...
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Journal ArticleProblems in Urology · January 1, 1990
Juxtaglomerular cell (JGC) tumors are a rare but surgically treatable form of hypertension. Patients are typically young and present with severe hypertension, elevated peripheral renin activity, and secondary hyperaldosteronism. Selective renal vein renins ...
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Journal ArticleJ Urol · December 1989
Experience with 19 patients (25 ureters) who suffered the complication of a large steinstrasse (a third or more of the ureteral length) has led to lessons regarding the management of this complication as well as to insights into patient presentation, metab ...
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Journal ArticleArch Surg · June 1989
In a patient with acute cholecystitis whose body habitus precluded cholecystectomy, we used percutaneous transhepatic ultrasonic cholelithotripsy. We compare it with other modalities applicable in such cases. Although not commonly used, these alternatives ...
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Journal ArticleUrology · March 1989
One hundred twenty-four consecutive patients with suspected or known nephrolithiasis were referred for evaluation by linear tomography. Renal calculi were detected in 98 patients (79%). Linear tomography revealed more renal calculi than did preliminary KUB ...
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Journal ArticleProblems in Urology · January 1, 1989
Persistent or recurrent pain in the wound of a patient who has undergone flank exploration has many possible etiologies, one of which may be the development of a painful neuropathy. Careful diagnostic evacuation will identify these uncommon occurrences. Pa ...
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Journal ArticleJ Urol · February 1988
Percutaneous lithotripsy is an established, safe, effective method for the management of renal calculi. Obesity long has been associated with increased surgical morbidity and may eliminate a patient from shock wave treatment. We compared 44 obese patients ...
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Journal ArticleJournal of Endourology · January 1, 1988
Hourglass-shaped vesicoprostatic calculi have been reported as a late complication of prostatectomy and in association with chronic urinary tract infections in young men. The accepted treatment for these calculi has been removal by suprapubic cystostomy. W ...
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Journal ArticleJ Urol · November 1987
Extracorporeal shock wave lithotripsy (ESWL) can require more than two thousand acoustic shocks to achieve an adequate degree of renal calculus comminution. A decrease in the number of shocks necessary for effective treatment offers both technical and clin ...
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Journal ArticleJ Urol · July 1987
Of 65 surgically removed donor kidneys intravenous digital subtraction angiography demonstrated accurately the number of renal arteries in 58 (89 per cent). All accessory vessels missed at digital subtraction angiography were small and their presence did n ...
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Journal ArticleUrology · May 1987
The medical records of the first 210 patients treated with percutaneous nephrolithotripsy at Duke University Medical Center were reviewed. Eleven patients were treated for bilateral stones for a total of 221 renal units. The procedure failed in 6 patients ...
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Journal ArticleAJR Am J Roentgenol · March 1987
Lumbar hernias occur in the region of the flank bounded by the 12th rib, the iliac crest, and the erector spinae and external oblique muscles. We present the CT findings of seven lumbar hernias: six traumatic (four secondary to postoperative flank incision ...
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Journal ArticleJournal of Endourology · January 1, 1987
In more than 400 cases of percutaneous renal surgery, three patients suffered significant vascular injury: two arterio venous fistulas and an arterial laceration caused by postprocedure trauma. Each of these patients was initially managed conservatively. T ...
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Journal ArticleJournal of Endourology · January 1, 1987
Almost one-third (32%) of 221 kidneys manipulated percutaneously for calculi had had previous open procedures. Tract dilation was more difficult in these kidneys, and there was a statistically significant increase in the frequency of cases requiring multip ...
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Journal ArticleJ Urol · August 1986
The medical records of the first 210 patients treated with percutaneous nephrolithotripsy at our university medical center were reviewed. The data were analyzed in an attempt to define those factors that affect the success rate and incidence of retained fr ...
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Journal ArticleJ Urol · June 1986
A series of 47 percutaneous procedures for renal calculi was matched by description of calculi and previous flank exploration to 47 open flank procedures for comparison of relative morbidity and cost-efficiency. A retrospective analysis of paired data demo ...
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Journal ArticleUrol Radiol · 1986
The complementary use of sonography in the evaluation of a bladder-base leiomyoma is reported. Sonography, as compared to computed tomography, was able to document the solid nature of the tumor, its submucosal location, and determined the site of origin an ...
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Journal ArticleEur Urol · 1986
Concern has been expressed regarding the use of ultrasonic lithotripsy in the percutaneous treatment of renal calculi with the suggestion that high rates of retained stones may be experienced. Evaluation of 89 patients with stones confined to the renal pel ...
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Journal ArticleJ Urol · November 1985
Ejaculatory duct obstruction is considered a rare cause of infertility. Based on the results of treatment in our 5 patients and a review of 14 additional well documented cases we were able to classify these patients prognostically. Whereas congenital and a ...
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Journal ArticleRadiology · October 1985
In 224 patients, renal stones were removed from the urinary tract using either direct extraction with a basket or forceps (59 patients), ultrasonic lithotripsy (164 patients), or infusion chemotherapy (one patient). Residual stone fragments were present mo ...
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Journal ArticleAJR Am J Roentgenol · March 1985
Percutaneous techniques were successful in removing stones from 101 (92%) of 110 kidneys attempted. Ultrasonic lithotripsy was used on 80 kidneys in 74 patients with stones 5-38 mm in diameter. The most common complication was incomplete disintegration wit ...
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Journal ArticleUrology · October 1984
A modification of a classic Johnson stone basket has been made, such that this basket can pass easily over an angiographic guide wire. With this modification, the Johnson stone basket is an excellent instrument for use in an antegrade or a retrograde fashi ...
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Journal ArticleFertil Steril · April 1984
Follow-up of 54 patients undergoing modified single-layer bilateral vasovasostomies are presented with attention to semen quality, pregnancy rates, and postoperative findings potentially inhibiting fertility. The technical success rate was 98%, but 3-month ...
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Journal ArticleSouth Med J · February 1984
The surgical treatment of renal calculi has been markedly changed by percutaneous manipulation and ultrasonic dissolution. The low morbidity and decreased cost of this procedure make it an obvious choice over classic surgical operations. We report our expe ...
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Journal ArticleUrology · January 1984
Xanthogranulomatous pyelonephritis is reported in the native kidney of a renal allograft recipient. Immunoglobulin deposition in the transplant kidney in the absence of cell-mediated rejection, accompanied by selective cultures showing Escherichia coli fro ...
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Journal ArticleEur Urol · 1980
The experience with 94 patients undergoing bilateral nephrectomy suggests that the posterior retroperitoneal approach has lower morbidity and mortality than transabdominal procedures. In addition, the lack of transgression of the peritoneal cavity facilita ...
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Journal ArticleJ Urol · July 1978
The amount and duration of extraperitoneal gas in normal patients after major renal operations have not been documented. This air may be difficult to separate from that owing to abdominal abscess and, therefore, can be a potential source of diagnostic erro ...
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Journal ArticleUrology · July 1978
A case of massive hydronephrosis of the upper portion of a duplicated collecting system in a middle-aged male is presented. Computerized tomographic examination of the abdomen provided the most precise information and led to a correct preoperative diagnosi ...
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Journal ArticleUrology · March 1977
Eight hundred fourteen renal operative procedures were reviewed to determine overall mortality and to identify patients at risk. The over-all mortality was 1.35%, but as high as 30% in patients with uremia and spesis. Carcinomatosis contributed to higher m ...
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Journal ArticleInvest Urol · March 1977
Experiments were conducted in order to prove the usefulness of ultrasound, B-Scan and A-Mode, and A-Mode alone in the localization of small (3 to 10 mm) fragments of foreign materials in renal substance. Clinical experience indicates that stone fragments a ...
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Journal ArticleSurgery · March 1977
During the past decade 45 living related renal allografts have been performed between siblings genotypically identical for HLA. In each case all available family members were serotyped and haplotype analysis was performed. Immunosuppressive therapy consist ...
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Journal ArticleUrology · January 1977
Two patients with solitary kidneys had ureteral obstruction caused by iliac artery aneurysms. Both patients were treated successfully with ureterolysis and temporary proximal diversion. Iliac artery aneurysms generally remain asymptomatic; however, patient ...
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Journal ArticleJ Urol · November 1976
We reviewed 428 renal arteriograms done during a 5-year period to document the accuracy of angiography in the diagnosis of renal mass lesions and non-function. Subsequently, 198 kidneys (46%) were explored for treatment and diagnostic confirmation. Of the ...
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Journal ArticleSurgery · March 1976
Fifty-nine recipients received renal allografts from an HL-A haploidentical family member. Immunogenicity of the incompatible haplotype was measured by skin grafts exchanged within each family when possible, and renal allograft recipients were assigned pro ...
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Journal ArticleUrology · February 1975
Three new cases are utilized to illustrate the anatomy, embryology, and symptomatology of blind-ending branches of bifid ureters. Diagnosis can usually be made by intravenous pyelogram. The complications are recurrent urinary tract infections, calculi, and ...
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Journal ArticleUrology · February 1975
Urethral diverticula are uncommon, and congenital origin has been disputed. A well-documented case in a six-hour-old baby girl is presented to reinforce the concept of congenital origin in some instances. Surgical diagnosis and management are discussed. ...
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Journal ArticleAnn Surg · December 1974
A biochemical assay of renal viability previously described for rabbits is validated in a canine model using anoxia, hypothermia, and hypothermic perfusion. The assay correlated well with the decree of anoxic injury and protective effect of hypothermia. It ...
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