James Landale, Julia Llewellyn Smith, Jon Ashworth, Freud, Andrew Pierce, Rob Hughes, Jeremy Laurance, Neil Watson, Bill Frost, Andrew Longmore, Neil Bennett, Max Glaskin, Nicholas Allan, David Bailey, Ross Tieman, Industrial Correspondent, Philip Howard, Susan Bell, S. J. Green, Jeremy Kingston, Noel Goodwin, Lynne Truss, Carl Mortished, Ginny Dougary, Roger Maynard, Colin Narborough and Nicholas Wood, Stefan Inglin, Philip Bassett Industrial Editor, Robert Sheehan, Bridge Correspondent, Robert Miller, Bernard Levin, Martin Fletcher, Pat Gibson, John Hopkins, Golf Correspondent, Bruce Sawford, Peter Ball, Alice Thomson Political Reporter, John O'leary, Education Editor, Nicholas Watt, Ireland Correspondent, Raymond Keene Chess Correspondent, Rob Hughes Football Correspondent, Matthew May, Martin Barrow, Libby Purves, Peter Hain, Alan Hamilton, Robin Young, Stuart Jones, Tennis Correspondent, Sarah J. Burton (Campaign and Legal Director), Michael Clark, Charles Bremner, Philip Bassett, David Miller, Ronald Forrest, John Higgins, Marcus Binney, Raymond Keene, Christine Buckley, Peter Davalle, Frances Gibb, Legal Correspondent, P. H. S, Richard Evans, Walter Cairns, Eric Reguly, Oliver Holt, Sarah Cunningham, Nigel Hawkes, Science Editor, Roger Boyes, Nicholas Thompson, Dena Randall, James Eliot, Jeremy Laurance and Nigel Hawkes, Julian Muscat, Nigel Williamson Whitehall Correspondent, Richard Duce, Rodney Pattisson, Christopher Thomas, John Goodbody, Dominic Kennedy, Agence France-Presse, Giles Whittell, Ross Tieman Industrial Correspondent, Nick Nuttall, Technology Correspondent, Rob Hughes, Football Correspondent, James Pringle, J. M. T. Collett (Campaign Director), Craig Lord, Mel Webb, Michael Evans, Stacy Sullivan and Michael Binyon, David Simpson, Kevin McCarra, Jennai Cox, Anthony Bennett, Caitlin Moran, Keith Blackmore, Alan Lee, Walter Gammie, Paul Barker, Neil Deakin, Richard Beeston, Michael Dynes, J. A. Harding, John Samson, David Sinclair, Nigel Spearing (Chairman), C. J. TAYLOR(Administrator), Martin Waller, Christopher Walker Middle East Correspondent, Michael Horsnell, Kate Bassett, Benedict Nightingale, Dr Thomas Stuttaford, Leo Katan, Laurence Barron, Alan Jackson, N. H. Cunnington, Colin Campbell, David Hands, Rugby Correspondent, Catherine Milton, George Brock, European Editor,
... Eye Palace, Watford Theatre 1 Madcap in Mexico MacArio Lyric Studio, W6 The Times Theatre 2 The ... Doncaster Indian Light has bright prospects Goodwood BBC2 William Hill English youth flowers in playful clime Rob ...
1995 - Gale Group | TDA
Andrew J. Senchak, Alex McKinlay, Jason L. Acevedo, Brenda Swain, Maitram Christine Tiu, Brian S. Chen, Jon Robitschek, Douglas S. Ruhl, L Williams, Macario Camacho, William C. Frey, Peter O’Connor,
Objective The purpose of this study was to determine the effect of tonsillectomy as a single procedure in the treatment of adult obstructive sleep apnea (OSA). Study Design Prospective multi‐institutional study evaluating adults with tonsillar hypertrophy scheduled to undergo tonsillectomy as an isolated surgery. Setting Tertiary care medical centers within the US Department of Defense. Subjects and Methods Adult subjects with tonsillar hypertrophy who were already scheduled for tonsillectomy were ...
Tópico(s): Sleep and Wakefulness Research
2015 - Wiley | Otolaryngology
Ana Macario, William F. Haxby, John A. Goff, William B. F. Ryan, Steve C. Cande, C. A. Raymond,
We present the results of a statistical study on the morphological characteristics of abyssal hills recently mapped along two adjacent segments of the Pacific‐Antarctic Ridge at 65°S. The studied area is a densely surveyed corridor (60 km wide by 600 km long) which is centered on the Pitman Fracture Zone (PFZ) and extends to 12 Ma crust on both sides of the ridge. Abyssal hill size parameters (RMS height H and characteristic width λ) are estimated using Hydrosweep multibeam data. Variations in abyssal ...
Tópico(s): Geological formations and processes
1994 - American Geophysical Union | Journal of Geophysical Research Atmospheres
Hester Kobayashi, Everly Conway de Macario, Regan S. Williams, Alberto J.L. Macario,
The methanogenic flora from two types of turbulent, high-rate reactors was studied by immunologic methods as well as by phase-contrast, fluorescence, and scanning electron microscopy. The reactors were a fluidized sand-bed biofilm ANITRON reactor and an ultrafiltration membrane-associated suspended growth MARS reactor (both trademarks of Air Products and Chemicals, Inc., Allentown, Pa.). Conventional microscopic methods revealed complex mixtures of microbes of a range of sizes and shapes, among which ...
Tópico(s): Microbial Community Ecology and Physiology
1988 - American Society for Microbiology | Applied and Environmental Microbiology
Matthew B. Weinger, Alison G. Vredenburgh, Cynthia M. Schumann, Alex Macario, Kevin J. Williams, Michael J. Kalsher, Brian E. Smith, Phuong C Truong, Ann Kim,
Tópico(s): Risk and Safety Analysis
2000 - Elsevier BV | Journal of Clinical Anesthesia
Peter Perger, Matteo Buccioli, Vanni Agnoletti, Emanuele Padovani, Giorgio Gambale,
... safety. Data analysis is based on scientific literature (Macario, 2006; Williams/DeRiso/Figallo et al., 1998; McIntosh/Dexter/Epstein, ...
Tópico(s): Hemodynamic Monitoring and Therapy
2013 - Springer Nature | IFMBE proceedings
Ana Macario, Alberto Malinverno, William F. Haxby,
In order to uniquely determine the elastic thickness of the lithosphere, T e , from gravity and topography data, the coherence method explicitly assumes that surface and subsurface loads are statistically uncorrelated. In many realistic cases (e.g., mountain building) this assumption is likely to be violated. We present the results of Monte Carlo simulations designed to measure the bias and variance of T e estimates when the degree of correlation, R , between fractal surface and subsurface loads is not ...
Tópico(s): High-pressure geophysics and materials
1995 - American Geophysical Union | Journal of Geophysical Research Atmospheres
Soroush Zaghi, Sanda Valcu‐Pinkerton, Mia Jabara, Leyli Norouz‐Knutsen, Chirag Govardhan, Joy L. Moeller, Valerie Sinkus, Rebecca S. Thorsen, Virginia Downing, Macario Camacho, Audrey Yoon, William M. Hang, Brian Hockel, Christian Guilleminault, Stanley Yung‐Chuan Liu,
Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer-reviewed evidence. Here, we explore the safety and efficacy of lingual frenuloplasty and myofunctional therapy for the treatment of these conditions in a large and diverse ...
Tópico(s): Cleft Lip and Palate Research
2019 - Wiley | Laryngoscope Investigative Otolaryngology
Alex Macario, Ricardo B. Ronquillo, William G. Brose, Raymond Gaeta,
... the management of chronic nausea and vomiting. Alex Macario, MD, MBA Ricardo B. Ronquillo, MD William G. Brose, MD Raymond R. Gaeta, MD Department ...
Tópico(s): Drug-Induced Adverse Reactions
1996 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Bassam Kadry, William Feaster, Alex Macario, Jesse M. Ehrenfeld,
Abstract Documenting a patient's anesthetic in the medical record is quite different from summarizing an office visit, writing a surgical procedure note, or recording other clinical encounters. Some of the biggest differences are the frequent sampling of physiologic data, volume of data, and diversity of data collected. The goal of the anesthesia record is to accurately and comprehensively capture a patient's anesthetic experience in a succinct format. Having ready access to physiologic trends is ...
Tópico(s): Anesthesia and Sedative Agents
2012 - Wiley | Mount Sinai Journal of Medicine A Journal of Translational and Personalized Medicine
Alex Macario, Ricardo B. Ronquillo, William G. Brose, Raymond Gaeta,
... the management of chronic nausea and vomiting. Alex Macario, MD, MBA Ricardo B. Ronquillo, MD William G. Brose, MD Raymond R. Gaeta, MD Department ...
Tópico(s): Drug-Induced Adverse Reactions
1996 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
It is 3 pm. The anesthesia phone in operating room (OR) # 7 rings. "How much longer is left in your case?" asks the clerk at the front desk. This scenario repeats itself over and over in every OR suite in every hospital in the United States, and probably around the world. Why? We attempt to estimate the time remaining in a case for a number of reasons. Perhaps first among these is a desire to match staff to workload, such that late running rooms have on-call nurses and anesthesiologists assigned to ...
Tópico(s): Health Systems, Economic Evaluations, Quality of Life
2009 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Tópico(s): Hospital Admissions and Outcomes
2006 - Lippincott Williams & Wilkins | Anesthesiology
Brian M. Ilfeld, Edward R. Mariano, Bryan Williams, Jennifer Woodard, A MACARIO,
After total knee arthroplasty (TKA), hospitalization may be shortened by allowing patients to return home with a continuous femoral nerve block (CFNB). This study quantified the hospitalization costs for 10 TKA patients receiving ambulatory CFNB versus a matched cohort of 10 patients who received CFNB only during hospitalization.We examined the medical records (n = 125) of patients who underwent a unilateral, primary, tricompartment TKA with a postoperative CFNB by 1 surgeon at one institution in an ...
Tópico(s): Orthopaedic implants and arthroplasty
2006 - BMJ | Regional Anesthesia & Pain Medicine
Alex Macario, Peter L. Schilling, Richard Rubio, Stuart B. Goodman,
Patients requiring bilateral total knee arthroplasties may have both joints replaced simultaneously during one hospitalization (one-stage) or during two separate hospitalizations (two-stage). The goals of the current study were to retrospectively analyze discharge patterns for 91 patients who had one-stage bilateral total knee arthroplasties and 32 patients who had two-stage surgeries, and to quantify their inhospital costs and their costs if the patients were discharged from the hospital to an inpatient ...
Tópico(s): Health Systems, Economic Evaluations, Quality of Life
2003 - Lippincott Williams & Wilkins | Clinical Orthopaedics and Related Research
Alex Macario, Franklin Dexter,
Anesthesiologists attempt to maintain perioperative normothermia for surgical patients. We surveyed clinical anesthesiologists and physician researchers and asked them to prioritize risk factors for a patient to develop intraoperative hypothermia. The questionnaire included 41 factors associated with changes in patient temperature identified during a computerized literature search. We asked respondents to estimate the relative importance of each risk factor on a 10-point scale. The survey was mailed ...
Tópico(s): Thermoregulation and physiological responses
2002 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Franklin Dexter,
Anesthesiologists attempt to maintain perioperative normothermia for surgical patients. We surveyed clinical anesthesiologists and physician researchers and asked them to prioritize risk factors for a patient to develop intraoperative hypothermia. The questionnaire included 41 factors associated with changes in patient temperature identified during a computerized literature search. We asked respondents to estimate the relative importance of each risk factor on a 10-point scale. The survey was mailed ...
Tópico(s): Thermoregulation and physiological responses
2002 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Franklin Dexter, Rodney D. Traub,
The operating margins (i.e., profits) of hospitals are decreasing. An important aspect of a hospital's finances is the profitability of individual surgical cases, which is measured by contribution margin. We sought to determine the extent to which contribution margin per hour of operating room (OR) time can vary among surgeons. We retrospectively analyzed 2848 elective cases performed by 94 surgeons at the Stanford University School of Medicine. For each case, we subtracted variable costs from the ...
Tópico(s): Hospital Admissions and Outcomes
2001 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, W. Craig Scibetta, John Navarro, E T Riley,
Background Epidural analgesia and intravenous analgesia with opioids are two techniques for the relief of labor pain. The goal of this study was to develop a cost-identification model to quantify the costs (from society's perspective) of epidural analgesia compared with intravenous analgesia for labor pain. Because there is no valid method to assign a dollar value to differing levels of analgesia, the cost of each technique can be compared with the analgesic benefit (patient pain scores) of each technique. ...
Tópico(s): Spine and Intervertebral Disc Pathology
2000 - Lippincott Williams & Wilkins | Anesthesiology
Alex Macario, Franklin Dexter,
For some scheduled cases, there may be no previous cases of the same procedure type by the same surgeon for use in estimating the duration of the new case. We evaluated which of 16 different methods of analysis of other surgeons' cases of the same procedure type resulted in the most accurate prediction of the duration of the case that the surgeon had not recently scheduled. We analyzed durations for 4,955 cases, from an operating room information system, for which a surgeon had only scheduled the ...
Tópico(s): Healthcare Policy and Management
1999 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Matthew B. Weinger, Phuong Truong, M. Lee,
Anesthesia groups may need to determine which clinical anesthesia outcomes to track as part of quality improvement efforts.The goal of this study was to poll a panel of expert anesthesiologists to determine which clinical anesthesia outcomes associated with routine outpatient surgery were judged to occur frequently and to be important to avoid. Outcomes scoring highly in both scales could then be prioritized for measurement and improvement in ambulatory clinical practice. A mailed survey instrument ...
Tópico(s): Nausea and vomiting management
1999 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Matthew B. Weinger, Phuong Truong, M. Lee,
Anesthesia groups may need to determine which clinical anesthesia outcomes to track as part of quality improvement efforts.The goal of this study was to poll a panel of expert anesthesiologists to determine which clinical anesthesia outcomes associated with routine outpatient surgery were judged to occur frequently and to be important to avoid. Outcomes scoring highly in both scales could then be prioritized for measurement and improvement in ambulatory clinical practice. A mailed survey instrument ...
Tópico(s): Nausea and vomiting management
1999 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Matthew B. Weinger, Stacie Carney, Ann Kim,
Healthcare quality can be improved by eliciting patient preferences and customizing care to meet the needs of the patient. The goal of this study was to quantify patients’ preferences for postoperative anesthesia outcomes. One hundred one patients in the preoperative clinic completed a written survey. Patients were asked to rank (order) 10 possible postoperative outcomes from their most undesirable to their least undesirable outcome. Each outcome was described in simple language. Patients were also ...
Tópico(s): Patient Satisfaction in Healthcare
1999 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Matthew B. Weinger, Stacie Carney, Ann Kim,
Healthcare quality can be improved by eliciting patient preferences and customizing care to meet the needs of the patient. The goal of this study was to quantify patients' preferences for postoperative anesthesia outcomes. One hundred one patients in the preoperative clinic completed a written survey. Patients were asked to rank (order) 10 possible postoperative outcomes from their most undesirable to their least undesirable outcome. Each outcome was described in simple language. Patients were also ...
Tópico(s): Patient Satisfaction in Healthcare
1999 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Michael Horne, Stuart B. Goodman, Terry S. Vitez, Franklin Dexter, Rainee Heinen, Byron W. Brown,
Clinical pathways are being introduced by hospitals to reduce costs and control unnecessary variation in care.We studied 766 inpatients to measure the impact of a perioperative clinical pathway for patients undergoing knee replacement surgery on hospital costs. One hundred twenty patients underwent knee replacement surgery before the development of a perioperative clinical pathway, and 63 patients underwent knee replacement surgery after pathway implementation. As control groups, we contemporaneously ...
Tópico(s): Healthcare Quality and Management
1998 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Michael Horne, Stuart B. Goodman, Terry S. Vitez, Franklin Dexter, Rainee Heinen, Byron W. Brown,
Clinical pathways are being introduced by hospitals to reduce costs and control unnecessary variation in care. We studied 766 inpatients to measure the impact of a perioperative clinical pathway for patients undergoing knee replacement surgery on hospital costs. One hundred twenty patients underwent knee replacement surgery before the development of a perioperative clinical pathway, and 63 patients underwent knee replacement surgery after pathway implementation. As control groups, we contemporaneously ...
Tópico(s): Healthcare Quality and Management
1998 - Lippincott Williams & Wilkins | Anesthesia & Analgesia
Alex Macario, Terry S. Vitez, Brian Dunn, Tom McDonald, Byron W. Brown,
If patients who are more severely ill have greater hospital costs for surgery, then health-care reimbursements need to be adjusted appropriately so that providers caring for more seriously ill patients are not penalized for incurring higher costs. The authors' goal for this study was to determine if severity of illness, as measured by either the American Society of Anesthesiologists Physical Status (ASA PS) or the comorbidity index developed by Charlson, can predict anesthesia costs, operating room ...
Tópico(s): Abdominal Surgery and Complications
1997 - Lippincott Williams & Wilkins | Anesthesiology
Alex Macario, Terry S. Vitez, Bruce L. Dunn, Tom McDonald,
Comment This provocative investigation led the authors to estimate that intraoperative anesthesia costs constitute merely 5.6% of the total hospital cost of an inpatient surgical procedure. Moreover, only about half of these costs were classified as direct or variable and thus subject to the anesthesiologist's clinical decisionmaking and potentially substrate for savings. The message is clear: restricting the use of "expensive" drugs will have minimal impact on total costs. If one assumes that hospital ...
Tópico(s): Global Health Care Issues
1996 - Lippincott Williams & Wilkins | Survey of Anesthesiology
Alex Macario, Pei-Lin Chang, Dan B. Stempel, John G. Brock‐Utne,
Since the introduction of the laryngeal mask airway (LMA) into the United States in 1991, the device has become widely used in anesthesia practice. The purpose of this economic analysis was to use existing data to evaluate the costs of the LMA relative to three other common airway management techniques and to identify the variables that had the greatest effect on cost efficiency.We evaluated four airway management techniques for healthy adults receiving an isoflurane-nitrous oxide-oxygen anesthetic ...
Tópico(s): Cardiac, Anesthesia and Surgical Outcomes
1995 - Lippincott Williams & Wilkins | Anesthesiology
Alex Macario, Terry S. Vitez, Brian Dunn, Tom McDonald,
Abstract Background Many health-care institutions are emphasizing cost reduction programs as a primary tool for managing profitability. The goal of this study was to elucidate the proportion of anesthesia costs relative to perioperative costs as determined by charges and actual costs.
Tópico(s): Healthcare Operations and Scheduling Optimization
1995 - Lippincott Williams & Wilkins | Anesthesiology