George J. Joseph

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Instability of the patella occurs when it fails to track fully in the femoral groove during knee movement. The groove begins at the metaphysis of the distal femur and extends on its anterior surface inferiorly to the femoral notch. It is normally present at birth and the cartilaginous shape is similar to that of the adult. An abnormal trochlea may be(More)
BACKGROUND In the UK, chemotherapy is the standard treatment for inoperable, locally advanced, non-metastatic pancreatic cancer. Chemoradiotherapy is also an acceptable treatment option, for which gemcitabine, fluorouracil, or capecitabine can be used as concurrent chemotherapy agents. We aimed to assess the activity, safety, and feasibility of both(More)
BACKGROUND Several anti-inflammatory biologic medications are available in the United States for the treatment of moderate-to-severe rheumatoid arthritis, moderate-to-severe psoriasis, psoriatic arthritis, or ankylosing spondylitis. The tumor necrosis factor (TNF) blockers etanercept, adalimumab, and infliximab are approved for use in adults with any of(More)
Superior dislocation of the patella is a rare diagnosis, which usually occurs after a trivial trauma. It usually requires manipulation with analgesics or may even need anaesthesia. We report a case of spontaneous reduction of the dislocation, which lead us to believe that this may be more common in the community than has been reported.
Recent advances in Department of Veterans Affairs (VA) health care data systems have greatly increased access to operational pharmacy information. This article presents a brief guide to VA pharmacy data sources: the Veterans Health Information Systems and Technology Architecture files, the Pharmacy Benefits Management database, Decision Support System (DSS)(More)
INTRODUCTION Dose escalation with tumor necrosis factor (TNF)-blockers is poorly characterized in pharmacy benefit management (PBM) settings. METHODS This retrospective study used integrated pharmacy and medical claims from the PBM Medco to characterize dose escalation among rheumatoid arthritis (RA) patients treated with etanercept and adalimumab. Data(More)
AIM To assess outcome of 10 'difficult to treat' patients with Takayasu arteritis (TA) treated with tocilizumab. METHODS Records of 10 patients with TA who received at least six infusions of tocilizumab were studied and data related to demography, medications, investigations, angiography and outcome were analyzed. RESULTS Median age, disease duration(More)
  • Gasthuiszusters Augustinessen Van Lier, Missionarissen Van Steyl, +42 authors Michele Levoy
  • Lancet
  • 2007
The information contained herein is the sole responsibility of the author, and the Commission declines all responsibility for the use that may be made of it. PICUM, the Platform for International Cooperation on Undocumented Migrants, is a non-governmental organization that aims to promote respect for the human rights of undocumented migrants within Europe.(More)
Sahajpal D, Strauss EJ, Ishak C, O’Malley Keyes JM, Joseph S Jr, Jazrawi LM. Surgical management of os acromiale: a case report and review of the literature. Bull NYU Hosp Jt Dis. 2007;65(4):312-6. The acromion develops from three separate ossification centers that, typically, fuse to each other between the 15th and 18th year of life. These three regions(More)