Michael R. Marvin

Hepatocellular carcinoma metastasis to salivary glands: a systematic review of diagnostic challenges and survival outcomes

Anthony Morada, Caroline Kai Chen, Clifford Akateh, Michael R. Marvin et autres

Background: Hepatocellular carcinoma (HCC) metastasizes predominantly to the lungs, lymph nodes, and bone; salivary gland involvement is exceedingly rare and poorly characterized. We conducted a systematic review to define the clinical profile, diagnostic challenges, and outcomes of this unusual metastatic pattern. Methods: …

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In Hepatitis C Virus–Negative Recipients of a Hepatitis C Virus–Infected Donor Kidney, Direct Antiviral Agent Therapy for 8 Weeks Is Noninferior to 12 Weeks

Sandeep Khurana, Sara Gaines, Deepa Kumarjiguda, Anil Kotru et autres

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The Current Status of Organ Recovery Surgeon Remuneration in the United States

Michael R. Marvin, Haaris Kadri, Jason R. Wellen, Marc L. Melcher

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Region 11 MELD Na exception prospective study

Douglas M. Heuman, James D. Eason, Mark W. Russo, John W. McGillicuddy et autres

"INTRODUCTION: Hyponatremia complicates cirrhosis and predicts short term mortality, including adverse outcomes before and after liver transplantation. MATERIAL AND METHODS: From April 1, 2008, through April 2, 2010, all adult candidates for primary liver transplantation with cirrhosis, listed in Region 11 with …

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Use of rapid Model for End-Stage Liver Disease (MELD) increases for liver transplant registrant prioritization after MELD-Na and Share 35, an evaluation using data from the United Network for Organ Sharing

Guy Brock, Kenneth Washburn, Michael R. Marvin

The Model for End-Stage Liver Disease (MELD) score has been successfully used to prioritize patients on the United States liver transplant waiting list since its adoption in 2002. The United Network for Organ Sharing (UNOS)/Organ Procurement Transplantation Network (OPTN) allocation policy has …

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Hemodynamically Directed Two-Person Chest Compressions

Michael Dorbad, Ashley Kass, Michael R. Marvin

Cardiopulmonary resuscitation has a low success rate both in and out of the hospital setting. Return of spontaneous circulation, however, is considerably higher for intraoperative cardiac arrests. Chest compressions remain of utmost importance. Optimal chest compression depth is believed to be greater …

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Comparison of two equivalent model for end-stage liver disease scores for hepatocellular carcinoma patients using data from the United Network for Organ Sharing liver transplant waiting list registry

Sarah K. Alver, Douglas Lorenz, Kenneth Washburn, Michael R. Marvin et autres

; P = 0.015, deMELD). While both scores result in better equity of waitlist outcomes compared with scheduled progression, continued development and calibration is recommended.

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Projected outcomes of 6‐month delay in exception points versus an equivalent Model for End‐Stage Liver Disease score for hepatocellular carcinoma liver transplant candidates

Sarah K. Alver, Douglas Lorenz, Michael R. Marvin, Guy Brock

The United Network for Organ Sharing (UNOS) recently implemented a 6-month delay before granting exception points to liver transplantation candidates with hepatocellular carcinoma (HCC) to address disparity in transplantation access between HCC and non-HCC patients. An HCC-specific scoring scheme, the Model for …

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Minimization of Hypoglycemia as an Adverse Event During Insulin Infusion: Further Refinement of the Yale Protocol

Michael R. Marvin, Silvio E. Inzucchi, Brian Besterman

BACKGROUND: The management of hyperglycemia in the intensive care unit has been a controversial topic for more than a decade, with target ranges varying from 80-110 mg/dL to <200 mg/dL. Multiple insulin infusion protocols exist, including several computerized protocols, which have attempted …

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Immunobiology in VCA

Christina L. Kaufman, Michael R. Marvin, Paula M. Chilton, James B. Hoying et autres

Transplantation of vascularized composite tissue is a relatively new field that is an amalgamation of experience in solid organ transplantation and reconstructive plastic and orthopedic surgery. What is novel about the immunobiology of VCA is the addition of tissues with unique immunologic …

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Simeprevir and sofosbuvir with or without ribavirin to treat recurrent genotype 1 hepatitis C virus infection after orthotopic liver transplantation

Neil E. Crittenden, Laura Buchanan, Christina Pinkston, Barbra Cave et autres

Although combination simeprevir (SIM) plus sofosbuvir (SOF) is an approved regimen for genotype 1 chronic hepatitis C virus (HCV), data regarding its safety and efficacy in liver transplant recipients remain limited. A multicenter retrospective study was performed to determine the efficacy and …

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Federal Preemption and Interest Rate Exportation: Madden's Impact on National Banks, the Secondary Credit Market, and P2P Lending Counsels for Its Reversal

Michael R. Marvin

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