Niles Brian S MD

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Categories: Physicians & Surgeons, Mental Health Services, Physical Therapists, Physicians & Surgeons, Cardiology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Infectious Diseases, Physicians & Surgeons, Nephrology (Kidneys), Physicians & Surgeons, Nuclear Medicine, Physicians & Surgeons, Obstetrics, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Sleep Disorders, Physicians & Surgeons, Urology, Skin Care, Sleep Disorders-Information & Treatment, Surgery Centers

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Phone: (573) 218-9670

Address: 703 Maple Valley Dr, Farmington, MO 63640

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Niles Brian S MD

General Practitioners

Osteoporosis
Arthritis
Family Practice
Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S.News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. More than 3,000 full-time salaried physicians and researchers and 11,000 nurses represent 120 medical specialties and subspecialties. The Cleveland Clinic health system includes a main campus near downtown Cleveland, eight community hospitals, more than 90 northern Ohio outpatient locations, including 18 full-service family health centers, Cleveland Clinic Florida, the Lou Ruvo Center for Brain Health in Las Vegas, Cleveland Clinic Canada, and Cleveland Clinic Abu Dhabi. In 2014, there were 5.9 million outpatient visits throughout the Cleveland Clinic health system and 152,500 hospital admissions. Patients came for treatment from every state and 147 countries
Emergency Care
The Community Acquired Pneumonia and Sepsis Outcome Diagnostic (CAPSOD) study, led by Stephen Kingsmore, M.B, D.Sc., of Children’s Mercy Hospitals and Clinic, was initially created as a repository for patients visiting the emergency department with suspected sepsis. The researchers used clinical and molecular information generated in the CAPSOD study to correlate patient-level data with changes in molecular markers in the blood.
Infectious Diseases
Fisher collaborated on this research with Devanand Sarkar, M.B.B.S., Ph.D., Harrison Scholar and member of the Cancer Molecular Genetics research program at Massey, Blick Scholar and associate professor in the Department of Human and Molecular Genetics at the VCU School of Medicine and associate scientific director of cancer therapeutics in the VIMM; Swadesh K. Das, Ph.D., member of the Massey Cancer Molecular Genetics research program, VIMM member and assistant professor in the VCU Department of Human and Molecular Genetics; Xiang-Yang Wang, Ph.D., Harrison Scholar and member of the Massey Cancer Molecular Genetics program, associate scientific director of immunology and infectious diseases in the VIMM and professor in the VCU Department of Human and Molecular Genetics; Luni Emdad, M.B.B.S., Ph.D., member of the Massey Cancer Molecular Genetics research program, VIMM member and assistant professor in the VCU Department of Human and Molecular Genetics; Siddik Sarkar, Ph.D., postdoctoral research scientist in the VCU Department of Human and Molecular Genetics; Bridget A. Quinn, Ph.D., M.D./Ph.D. student in the VCU Department of Human and Molecular Genetics; Xue-Ning Shen, M.D., senior research technician in the VCU Department of Human and Molecular Genetics; and Rupesh Dash, Ph.D., former postdoctoral research scientist in the VCU Department of Human and Molecular Genetics; Alexander L. Klibanov, Ph.D., associate professor at the University of Virginia; and Maurizio Pellecchia, professor at Sanford-Burnham Medical Research Institute.
Electrocardiogram
A new test has been developed to predict sudden cardiac death in hemodialysis patients in whom such forecasts were previously impossible. The novel method was presented at ICNC 12 by Dr Akiyoshi Hashimoto, a cardiologist at Sapporo Medical University in Japan. The test uses a combination of nuclear medicine, C-reactive protein and electrocardiogram (ECG).
Urinary Incontinence
Urinary incontinence (UI), or the unintentional loss of urine, is a problem for more than 13 million Americans—85 percent of them women. Although about half of the elderly have episodes... Read more
Pneumonia

Gynecology
Urinary incontinence is a “huge” and underreported problem, says Johnson, who is also the associate chairman of the department of obstetrics, gynecology and reproductive sciences at the University of Maryland School of Medicine.
Obstetrics
Pregnancy
Incontinence has several causes. Women are most likely to develop incontinence either during pregnancy and childbirth, or after the hormonal changes of menopause, because of weakened pelvic muscles. Older men can become incontinent as the result of prostate surgery. Pelvic trauma, spinal cord damage, caffeine, or medications including cold or over-the-counter diet tablets also can cause episodes of incontinence.
Labor and Delivery
Stress incontinence occurs when there is a leakage of urine due to pressure on the abdomen, like when coughing, laughing, or lifting something heavy. This form of urinary incontinence is more common in women and is often caused by circumstances that lead to the weakening of pelvic muscles, such as childbirth or local surgery.

Urology
“ Around 50 percent of men who undergo a prostate biopsy will not have cancer. We need better ways to manage elevated PSA and determine who really needs to have a biopsy. MiPS gives men and their doctors better information to help make those decisions,” says lead study author Scott A. Tomlins, M.D., Ph.D., assistant professor of pathology and urology at the University of Michigan Medical School.
Nephrology
Published in the Journal of the American Society of Nephrology, the treatment, which involves targeting tiny blood and lymphatic vessels inside the kidneys, is shown to improve renal function and slow progression of disease in mice.
Kidney Stones
Many different health problems can also cause the condition. Symptoms can range from mild to severe and can be a sign of cancer, kidney stones, infection, or an enlarged prostate, among other causes.
Urinary Tract Infection
Indeed, their results implicate cranberries among other possible dietary interventions. Shield-Cutler noted that many studies already have investigated extracts or juices from cranberries as UTI treatments but the results of such investigations have not been consistent.
Prostate Cancer
Prostate-specific membrane antigen (PSMA) is a surface protein that is normally present on healthy prostate cells, but is found at much higher levels on prostate cancer cells. It is barely... Read more
Cancer Care
What this suggests, Sammon says, is that “market forces” behind the adoption of robotic surgery may have unintentionally had the salutary effect of centralizing prostate cancer care.

Depression
Mental Health
For the month of November, men are asked to grow and groom a moustache and start conversations about prostrate and testicular cancers, as well as mental health.
Insomnia
Anxiety

Ultrasound
Critical to the therapy is the stealth delivery technique known as ultrasound-targeted microbubble destruction (UTMD). If injected directly into the bloodstream by itself, the CTV may get trapped in the liver or be removed by the body’s immune system. UTMD uses microscopic, gas-filled bubbles that can be paired with viral therapies, therapeutic genes and proteins, and imaging agents. The bubbles are released in a site-and target-specific manner via ultrasound, and, with appropriate modification of the therapeutic virus, can be imaged in real-time to track the delivery of the CTV to the tumor. Fisher and his colleagues are pioneering this approach and have already reported success in preclinical experiments utilizing UTMD technology and mda-7/IL-24 gene therapy in prostate and colorectal cancer models. UTMD has also been used elsewhere in clinical trials testing therapies for patients with heart disease.
MRI
The study is the first to examine this highly promising PET tracer in the use of a homogeneous patient collective consisting of only those with biochemical recurrence after radical prostatectomy. It found superb detection rates compared to other tracers, like choline, or imaging modalities, like MRI. For patients, this means that the referring urologist can receive earlier and more precise information about the site and extent of metastatic disease. Physicians will also be better able estimate whether a PSMA-PET scan might be useful in a specific setting.”
X-Rays
Nuclear Medicine
ICNC is organised by the Nuclear Cardiology and Cardiac CT section of the European Association of Cardiovascular Imaging (EACVI), a registered branch of the European Society of Cardiology (ESC), the American Society of Nuclear Cardiology (ASNC), and the European Association of Nuclear Medicine (EANM). ICNC 12 is held 3 to 5 May 2015 in Madrid, Spain.
Computed Tomography
PSMA is expressed in the majority of prostate cancers, and high PSMA expression is associated with metastatic spread. In this study, the research team from Johns Hopkins Medical Institutions compared the results of PET/CT scans using F-18-DCFBC with conventional imaging modalities (expanded Tc-99m-methylene diphosphonate (MDP) bone scan and contrast-enhanced CT of the chest, abdomen, and pelvis).
Chemotherapy
The trial, led in the UK by Professor Johann de Bono of The Institute of Cancer Research, London, and The Royal Marsden NHS Foundation Trust, could fill an important gap in previous evidence for abiraterone’s effectiveness pre chemotherapy.
Radiation Therapy
“Specifically for early cases, we have improved the way we operate on patients with new equipment, same thing with radiation therapy. From advanced prostate cancer point-of-view… we have been able to more than double the life expectancy of patients with advanced prostate cancer,” said Rendon in an interview with CTV Morning Live Monday.
Radiation Oncology
Across 128 facilities, PSA screening rates declined from 47% in 2005 to 37% in 2019, which was observed across all ages and races, reported Brent S. Rose, MD, of the University of California San Diego, during a press briefing at the American Society for Radiation Oncology (ASTRO) annual meeting. The study was also published in JAMA Oncology.

Robotic Surgery
Researchers at Henry Ford Hospital, a pioneer in robotic surgery that has now performed more than 10,000 RARPs, saw a rapid increase in U.S. hospitals investing in the technology and performing the procedure during the past decade.
Reconstructive Surgery
Incontinence doesn’t necessarily involve large quantities of pee. “Incontinence means the involuntary loss of urine – when you’ve lost control,” says Dr. Harry Johnson, who specializes in female pelvic medicine and reconstructive surgery at the University of Maryland Medical Center. “There’s not an amount. It just means you leak urine when you don’t want to.”

Plastic Surgeons

Botox

Skin Cancer
According to the CDC, prostate cancer is the most common cancer among men in the United States, after non-melanoma skin cancer. While many men with prostate cancer die from other causes, prostate cancer remains one of the leading causes of cancer death among men of all races. Treatment and survival after recurrence depend on many factors, but early detection of the recurrence is certainly key.
Lesions
In this study of lesion-by-lesion analysis of 17 patients, DCFBC PET was able to detect a larger number of lesions – 592 positive versus 520 with the conventional methods. In lymph nodes, bone, and visceral tissue, DCFBC PET proved to have a much greater sensitivity for detecting prostate cancer lesions (0.92) compared with current methods (0.71).

Physical Therapists

Physical Therapy
“Although these treatments are effective, there are many shortcomings: Medications have poor compliance and potential significant side effects; patients often lack the knowledge to identify specific pelvic muscles and motivation to complete physical therapy and the surgical procedures are invasive with potential complications,” said Hari Tunuguntla, lead author of the study and an Associate Professor of Urological Surgery at Rutgers, Robert Wood Johnson Medical School.

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