Memorial Hospital in Linkou (CGMH) … ... Linkou Chang Gung Memorial Hospital. Linkou Chang Gung Memorial Hospital (CGMH) is a JCI accredited, multi-specialty hospital situated amidst the flourishing district of Linkou, Taiwan. Cureus. Our coordinators will be by your side every step of the way, starting from your appointment, all the way to your airport pickup and hotel accommodations. Methods: The median total, intensive care unit (ICU), and ward costs of LT were US$64,250, $43,357, and $16,138 (currency ratio 1:30), respectively. 3) Take Taxi from Chiayi THSRstation to Chiayi Chang Gung Memorial Hospital, transportation time is around 10 mins, cost is around USD7. The average cost was NTD$45,709.30 ± NTD$66,697.40 (US$1408.70 ± US$2084.30; US$1 = NTD$32) and average LOS was 13.9 ± 14.1 days (range: 1-129). , The United States had the shortest LOS (6 days) in contrast to Canada with the longest LOS (34-47 days). Chiayi Chang Gung Memorial Hospital, certificated by College of American ...

Best Hospitals and Surgeons For Coronary Artery Bypass Grafting Surgery In India provides cost of coronary artery bypass grafting surgery in india, low cost coronary artery bypass grafting surgery in india, Best Hospitals and Surgeons For Coronary Artery Bypass Grafting Surgery In India, BLACKROCK NSW 4850

Keywords: Acute kidney injury, chronic kidney disease, end stage renal disease (ESRD), general anesthesia, hemodialysis, intraoperative hypotension, preventative nephrology.. Abstract: Background/Objective: Intraoperative hypotension (IOH) invariably follows the induction of general anesthesia during surgical operations. The current prevailing and predominant consensus is that IOH has immense clinical benefits such as reduced bleeding, less need for blood transfusions, and shorter surgery times. Simultaneously, it is assumed that IOH is devoid of adverse renal, hepatic and neurological consequences. Emerging new evidence and our experiences suggest a strong link between IOH and postoperative acute kidney injury (AKI). Method/Case Reports: We report on three case presentations to illustrate the impact of IOH on postoperative AKI. Conclusion: Our recent experiences suggest and show a link between IOH and postoperative AKI. Sun et al. (2015) recently demonstrated that postoperative AKI was ...

TY - JOUR. T1 - Deep learning models for the prediction of intraoperative hypotension. AU - Lee, Solam. AU - Lee, Hyung Chul. AU - Chu, Yu Seong. AU - Song, Seung Woo. AU - Ahn, Gyo Jin. AU - Lee, Hunju. AU - Yang, Sejung. AU - Koh, Sang Baek. N1 - Funding Information: MD-PhD/Medical Scientist Training Program through the Korea Health Industry Development Institute , funded by the Ministry of Health and Welfare , Republic of Korea. Publisher Copyright: © 2021 British Journal of Anaesthesia. PY - 2021/4. Y1 - 2021/4. N2 - Background: Intraoperative hypotension is associated with a risk of postoperative organ dysfunction. In this study, we aimed to present deep learning algorithms for real-time predictions 5, 10, and 15 min before a hypotensive event. Methods: In this retrospective observational study, deep learning algorithms were developed and validated using biosignal waveforms acquired from patient monitoring of noncardiac surgery. The classification model was a binary classifier of a ...

TY - JOUR. T1 - Childhood health problems following planned caesarean delivery at term. T2 - a population-based retrospective cohort study of Scottish data. AU - Black, Mairead Eileen. AU - Mclernon, D.. AU - Norman, J.. AU - Bhattacharya, Siladitya. PY - 2015/4. Y1 - 2015/4. M3 - Abstract. VL - 122. SP - 4. EP - 4. JO - BJOG-An International Journal of Obstetrics and Gynaecology. JF - BJOG-An International Journal of Obstetrics and Gynaecology. SN - 1470-0328. ER - ...

TY - JOUR. T1 - Sequential changes in heart rate variability after coronary artery bypass grafting. AU - Kuo, Cheng Deng. AU - Chen, Gau Yang. AU - Lai, Shiau Ting. AU - Wang, Yia Yi. AU - Shih, Chun Che. AU - Wang, Jia Horng. PY - 1999/3/1. Y1 - 1999/3/1. N2 - Heart rate variability (HRV) decreased soon after coronary artery bypass grafting and returned to the preoperative level within 2 months; however, HRV did not exceed the preoperative level, even 6 months after coronary artery bypass grafting. Although myocardial ischemia can be improved by coronary artery bypass grafting, HRV did not benefit from coronary artery bypass grafting within 6 months.. AB - Heart rate variability (HRV) decreased soon after coronary artery bypass grafting and returned to the preoperative level within 2 months; however, HRV did not exceed the preoperative level, even 6 months after coronary artery bypass grafting. Although myocardial ischemia can be improved by coronary artery bypass grafting, HRV did not benefit ...

Acute scrotal pain: - Torsion of the testes - Torsion of the testicular and epididymal appendices - Acute epididymo-orchitis - Fournierís gangrene - Other causes of acute scrotal pain and swelling - Renal tract colic - Acute urinary retention - Frank haematuria - Renal trauma - Bladder trauma - Urethral trauma - Priapism - Paraphimosis - Penile fracture - Early postoperative complications: nephrectomy - Early postoperative complications: radical cystectomy - Early postoperative complications: radical prostatectomy - Early postoperative complications: percutaneous nephrolithotomy - Early postoperative complications: transurethral resection of the prostate - Early postoperative complications: transurethral resection of bladder tumour and cystoscopy - Early postoperative complications: scrotal surgery - Early postoperative complications: circumcision - Early postoperative complications: lithotripsy - Early postoperative complications: ureteroscopy ...

TY - JOUR. T1 - Abdominoperineal resection, pelvic exenteration, and additional organ resection increase the risk of surgical site infection after elective colorectal surgery. T2 - An American College of Surgeons National Surgical Quality Improvement Program analysis. AU - Kwaan, Mary R.. AU - Melton-Meaux, Genevieve B. AU - Madoff, Robert D. AU - Chipman, Jeffrey G. PY - 2015/12/1. Y1 - 2015/12/1. N2 - Background: Determining predictors of surgical site infection (SSI) in a large cohort is important for the design of accurate SSI surveillance programs. We hypothesized that additional organ resection and pelvic exenterative procedures are associated independently with a higher risk of SSI. Methods: Patients in the American College of Surgeons National Surgical Quality Improvement Program® (ACS NSQIP®; American College of Surgeons, Chicago, IL) database (2005-2012) were identified (n=112,282). Surgical site infection (superficial or deep SSI) at 30 d was the primary outcome. Using primary and ...

Objective: The aim of this study was to investigate whether acute kidney injury (AKI) after coronary artery bypass grafting can be attributed to intraoperative hypotension during cardiopulmonary bypass (IOH-CPB). Design: Retrospective analysis. Setting: Tertiary-care hospital. Participants: Patients undergoing on-pump coronary artery bypass grafting from June 2011 to January 2014. Interventions: ... read more None. Measurements and Main Results: IOH-CPB was defined as blood pressure below several absolute and relative mean arterial pressure (MAP) thresholds and as the area under the curve for absolute MAP thresholds. AKI was defined as an absolute increase in serum creatinine of≥26 μmol/L within 48 hours or an increase to 150% or more within 7 days of surgery. Poisson regression with robust standard errors both before and after adjustment for confounders was used. Of the 1,891 patients included, 386 (20%) developed AKI. In univariable analysis, all IOH-CPB thresholds defined as a MAP of 50 ...

Minor Oral Surgery Procedures in Patients Taking Warfarin : A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman

TY - JOUR. T1 - Impact of the Extent of Coronary Artery Disease on Outcomes After Revascularization for Unprotected Left Main Coronary Artery Stenosis. AU - Kim, Young Hak. AU - Park, Duk Woo. AU - Kim, Won Jang. AU - Lee, Jong Young. AU - Yun, Sung Cheol. AU - Kang, Soo Jin. AU - Lee, Seung Whan. AU - Lee, Cheol Whan. AU - Hong, Myeong Ki. AU - Park, Seong Wook. AU - Park, Seung Jung. PY - 2010/6/8. Y1 - 2010/6/8. N2 - Objectives: This study was designed to examine the impact of the extent of coronary disease on long-term outcomes after coronary stenting or coronary artery bypass graft (CABG) surgery for unprotected left main coronary artery (ULMCA) stenosis. Background: The differential outcome of ULMCA revascularization according to the coronary involvement remains uncertain. Methods: From the MAIN-COMPARE (Revascularization for Unprotected Left Main Coronary Artery Stenosis: Comparison of Percutaneous Coronary Angioplasty versus Surgical Revascularization) registry, 2,240 patients with ULMCA ...

TY - JOUR. T1 - Preoperative Estimated Glomerular Filtration Rate Is a Marker for Postoperative Complications Following Revision Total Knee Arthroplasty. AU - Cohen, Jordan S.. AU - Gu, Alex. AU - Wei, Chapman. AU - Sobrio, Shane A.. AU - Liu, Jiabin. AU - Abdel, Matthew P.. AU - Sculco, Peter K.. PY - 2019/4. Y1 - 2019/4. N2 - Background: Revision total knee arthroplasty (TKA) is an increasingly common procedure, but complication rates are higher than for primary TKA. A requirement for dialysis has been shown to predict postoperative complications in this patient population, but the impact of less severe, but clinically significant, renal impairment has not been addressed. Methods: A retrospective cohort study was conducted using the American College of Surgeons National Quality Improvement Program Database. All patients who underwent revision TKA between 2007 and 2014 were identified and the estimated glomerular filtration rate (eGFR) was calculated for each patient. The incidence and ...

TY - JOUR. T1 - Network meta-analysis of antiplatelet therapy following coronary artery bypass grafting (CABG). T2 - none versus one versus two antiplatelet agents. AU - Chakos, Adam. AU - Jbara, Dean. AU - Singh, Kamal. AU - Yan, Tristan D.. AU - Tian, David H.. PY - 2018/9/1. Y1 - 2018/9/1. N2 - Background: Numerous agents have been trialed following coronary artery bypass grafting (CABG) to maintain long-term graft patency. While clear evidence exists for the use of aspirin in maintaining graft patency, the role of dual-antiplatelet therapy in CABG patients is not as well established. This network meta-analysis aimed to compare the short-term post-CABG graft patency outcomes for patients with none, one or two antiplatelet agents. Methods: Electronic databases were queried for randomized controlled trials comparing CABG graft patency rates at three months and beyond using various antiplatelet agents or placebo. Drug and graft patency data were compared using a mixed treatment comparison under ...

Title:Possible Molecular Mechanisms by which Vitamin D Prevents Inflammatory Bowel Disease and Colitis-associated Colorectal Cancer. VOLUME: 24 ISSUE: 9. Author(s):Zijian Luan, Yiming Ma, Yu Xin, Jiaming Qian* and Hongying Wang*. Affiliation:Department of Gastroenterology, Peking Union Medical College Hospital, Beijing, The State Key Laboratory of Molecular Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, Department of Gastroenterology, Peking Union Medical College Hospital, Beijing, Department of Gastroenterology, Peking Union Medical College Hospital, Beijing, The State Key Laboratory of Molecular Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing. Keywords:Vitamin D, IBD, colitis-associated colorectal cancer, inflammation, NF-κ B, EMT, cancer stem cell.. Abstract:It is well accepted that inflammatory bowel disease (IBD), including ...

TY - JOUR. T1 - A retrospective investigation of thiamin and energy intakes following an outbreak of beriberi in The Gambia. AU - Thurnham, D. I.. AU - Cathcart, A.E.. AU - Livingstone, Barbara. N1 - Reference text: 1. Tang, C.M.; Rolfe, M.; Wells, J.C.; Cham, K. Outbreak of beri-beri in the Gambia. Lancet 1989, 334, 206-207. 2. The Africa Rice Center (WARDA). Rice Trends in Sub-Saharan Africa, 3rd ed.; WARDA: Cotonou, Benin, 2005. Available online: http://www.warda.org/publications/Rice%20Trends.pdf (accessed on 10 January 2011). 3. Delgado, C.L.; Miller, C.P.J. Changing food patterns in West Africa, implications for policy research. Food Policy 1985, 10, 63-74. 4. Thurnham, D.I. Beriberi. In Encyclopedia of Human Nutrition; Caballero, B., Allen, L., Prentice, A., Eds.; Elsevier: Oxford, UK, 2005; pp. 269-278. 5. McGready, R.; Simpson, J.A.; Cho, T.; Dubowitz, L.; Changbumrung, S.; Böhm, V.; Munger, R.G.; Sauberlich, H.E.; White, N.J.; Nosten, F. Postpartum thiamine deficiency in a Karen ...

GUR, S y ACAR, A. A retrospective investigation of canine adenovirus (CAV) infection in adult dogs in Turkey. J. S. Afr. Vet. Assoc. [online]. 2009, vol.80, n.2, pp.84-86. ISSN 2224-9435.. Canine adenovirus (CAV) type 1 and 2, respectively, cause infectious canine hepatitis and infectious canine laryngotracheitis in members of the families Canidae and Ursidae worldwide. Both of these infections are acute diseases, especially in young dogs. The aim of this study was to conduct a serological investigation of canine adenovirus infection. For this purpose, serum samples were collected from native pure-bred Kangal (n = 11), and Akbash dogs (n = 17) and Turkish Greyhounds (n = 15) in Eskisehir and Konya provinces. None of the dogs were previously vaccinated against CAV types. Indirect ELISA detected 88.2 %, 93.3 % and 100 % prevalences in Akbash, Greyhound and Kangal dogs, respectively. The remainder of the samples (n = 51) were collected at the Afyonkarahisar Municipality Shelter. Fourty-two of these ...

O:13:\"PanistOpenUrl\":36:{s:10:\"\u0000*\u0000openUrl\";N;s:6:\"\u0000*\u0000idc\";N;s:6:\"\u0000*\u0000fmt\";s:7:\"journal\";s:6:\"\u0000*\u0000doi\";s:0:\"\";s:6:\"\u0000*\u0000pii\";s:0:\"\";s:7:\"\u0000*\u0000pmid\";s:0:\"\";s:9:\"\u0000*\u0000atitle\";s:116:\"A TEN-YEAR FOLLOW-UP STUDY ON MEASLES VACCINATION IN JAPAN: EVALUATION OF THE EFFICACY ANALYZED ON A COMPUTER SYSTEM\";s:9:\"\u0000*\u0000jtitle\";s:0:\"\";s:9:\"\u0000*\u0000stitle\";s:0:\"\";s:7:\"\u0000*\u0000date\";s:4:\"1978\";s:9:\"\u0000*\u0000volume\";s:0:\"\";s:8:\"\u0000*\u0000issue\";s:0:\"\";s:8:\"\u0000*\u0000spage\";s:0:\"\";s:8:\"\u0000*\u0000epage\";s:0:\"\";s:8:\"\u0000*\u0000pages\";s:0:\"\";s:7:\"\u0000*\u0000issn\";s:0:\"\";s:8:\"\u0000*\u0000eissn\";s:0:\"\";s:9:\"\u0000*\u0000aulast\";s:8:\"SHISHIDO\";s:10:\"\u0000*\u0000aufirst\";s:1:\"A\";s:9:\"\u0000*\u0000auinit\";N;s:10:\"\u0000*\u0000auinitm\";N;s:5:\"\u0000*\u0000au\";a:6:{i:0;s:10:\"SHISHIDO A\";i:1;s:11:\"SUGISHITA C\";i:2;s:11:\"TAKAHASHI ...

TY - JOUR. T1 - A three-year national follow-up study on the development of community-level cancer rehabilitation in Denmark. AU - Kristiansen, Maria. AU - Adamsen, Lis. AU - Piil, Karin. AU - Halvorsen, Ida. AU - Nyholm, Nanna. AU - Hendriksen, Carsten. PY - 2019/7/1. Y1 - 2019/7/1. N2 - AIMS: Scandinavian cancer care policies emphasise community-level rehabilitation services, but little is known about changes in service provision over time. This follow-up study explores development in these services in Danish municipalities, focusing on availability, utilisation and organisation of services, including existing opportunities and challenges.METHODS: A national survey among all 98 Danish municipalities was conducted in 2013 (baseline) and repeated in 2016 (follow-up). The electronic questionnaire comprised closed- and open-ended questions. Data were analysed using descriptive statistics and content analysis.RESULTS: A total of 93 municipalities responded (95% response rate) and the services ...

TY - JOUR. T1 - Pleural effusion is associated with a poor treatment outcome in stage III small non-cleaved cell lymphoma. AU - Sandlund, John T.. AU - Crist, William M.. AU - Abromowitch, Minnie. AU - Fairclough, Diane. AU - Berard, Costan W.. AU - Rafferty, Mary. AU - Pui, Ching Hon. PY - 1991/1. Y1 - 1991/1. N2 - The clinical significance of pleural effusion was assessed in 24 children with unresectable abdominal small non-cleaved cell lymphoma (St. Jude Stage III). Patients were consecutively enrolled and treated on a regimen including high dose fractionated cyclophosphamide and co-ordinated high dose methotrexate and cytarabine. The overall results were excellent, with 20 of 24 patients alive and event-free at a median follow-up of 4 years. Only one of the patients who lacked pleural effusion has relapsed (testicular), even though many had massive disease. In contrast, three of seven patients with pleural effusion have failed treatment (p=0.02) and subsequently died. Two measures of tumor ...

Methods We analysed data for patients undergoing major non-cardiac surgery in 2008 from The American College of Surgeons' National Surgical Quality Improvement Program database (a prospective validated outcomes registry from 211 hospitals worldwide in 2008). We obtained anonymised data for 30-day mortality and morbidity (cardiac, respiratory, CNS, urinary tract, wound, sepsis, and venous thromboembolism outcomes), demographics, and preoperative and perioperative risk factors. We used multivariate logistic regression to assess the adjusted and modified (nine predefined risk factor subgroups) eff ect of anaemia, which was defi ned as mild (haematocrit concentration ,29-,39% in men and ,29-,36% in women) or moderate-to-severe (≤29% in men and women) on postoperative outcomes.. Interpretation Preoperative anaemia, even to a mild degree, is independently associated with an increased risk of 30-day morbidity and mortality in patients undergoing major non-cardiac surgery." ...

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Sara A Hennessy, MD2, Tjasa Hranjec, MD, MS1, Peter T Hallowell, MD2, Bruce D Schirmer, MD2. 2University of Virginia, 1University of Southwestern Texas. Introduction: Approximately 3-13% of patients with abdominal surgery develop a ventral hernia and over 350,000 ventral hernias are repaired annually. A surgical site infection (SSI) after ventral hernia repair (VHR), either open or laparoscopic, is a highly morbid complication associated with increasing health care costs, hernia recurrences, mesh infections and their complications. With the many advances in preoperative, operative and post-operative care the current incidence of surgical sites infections after laparoscopic VHR is unclear. We hypothesized that the incidence of surgical site infections is significantly reduced with a laparoscopic ventral hernia repair.. Methods and Procedures: The prospectively collected American College of Surgeons' National Surgical Quality Improvement Program database was retrospectively reviewed for all VHRs ...

Also known as: T2DM / Noninsulin Dependent Diabetes Mellitus, Type II / Diabetes Type Two / Type Two Diabetes Mellitus / NIDDM / Non-Insulin-Dependent Diabetes Mellitus / Diabetes Mellitus Non-insulin-dependent / Type 2 Diabetes / Diabetes, Type 2 / Type 2 Diabetes Mellitus (T2DM) / Type 2 Diabetes (T2D) / Diabetes Mellitus，Type 2 / Diabetes Mellitus. Type 2 / Diabetes Mellitus Type 2 / Diabetes Mellitus Type-2 / Type-2 Diabetes Mellitus / Diabetes Mellitus 2 Type / Diabetes Mellitus Type 2 (T2DM) / Diabetes Mellitus, Type 2 (T2DM) / T2DM (Type 2 Diabetes Mellitus) / Type 2 Diabetes Mellitus (T2D) / Diabetes Mellitus, Type 2 / Type-2 Diabetes / Diabetes Type 2 / Type 2 Diabetes (T2DM) / Type II Diabetes / Diabetes, Type II / Type-II Diabetes Mellitus / Type II Diabetes Mellitus / Diabetes Mellitus, Type II / Diabetes Type II / Type II; Diabetes / Diabetes Mellitus Type II / Diabetes mellitus -adult onset / Diabetes mellitus non insulin-dep / Maturity onset diabetes / Diabetes mellitus maturity ...

Objective: The aim of this study was to assess the proportion of chronic diabetic complications and factors with type-2 diabetes mellitus at Debretabo..

TY - JOUR. T1 - Coronary artery bypass in patients with type 2 diabetes. T2 - Experience from the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial. AU - Sako, Edward Y.. AU - Brooks, Maria Mori. AU - Hardison, Regina M.. AU - Schaff, Hartzel. AU - Frye, Robert L.. N1 - Funding Information: The details of the design of BARI 2D have been previously presented. 1 The trial was sponsored by the National Institutes of Health, with additional support from industry. The industry sponsors did not have access to the outcomes data and did not participate in the data analysis or preparation of our report. The institutional review board at each participating site approved the protocol ( ClinicalTrials.gov NCT00006305). All patients provided written informed consent. An independent data and safety monitoring board approved the study protocol and monitored the conduct of the study and safety of the patients. PY - 2014/10/1. Y1 - 2014/10/1. N2 - Objective: Bypass Angioplasty Revascularization ...

TY - JOUR. T1 - On-pump versus off-pump coronary artery bypass graft surgery among patients with type 2 diabetes in the bypass angioplasty revascularization investigation 2 diabetes trial. AU - Singh, Ashima. AU - Schaff, Hartzell V.. AU - Mori Brooks, Maria. AU - Hlatky, Mark A.. AU - Wisniewski, Stephen R.. AU - Frye, Robert L.. AU - Sako, Edward Y.. N1 - Funding Information: The Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) is funded by the National Heart, Lung and Blood Institute and the National Institute of Diabetes and Digestive and Kidney Diseases (U01 HL061744, U01 HL061746, U01 HL061748, U01 HL063804, R21HL121495). BARI 2D receives significant supplemental funding provided by GlaxoSmithKline, Collegeville, PA; Lantheus Medical Imaging, Inc. (formerly Bristol-Myers Squibb Medical Imaging, Inc.), North Billerica, MA; Astellas Pharma US, Inc., Deerfield, IL; Merck & Co., Inc., Whitehouse Station, NJ; Abbott Laboratories, Inc., Abbott Park, IL and Pfizer, Inc., ...

Background: Prolonged cross-clamp time during cardiac surgery increases the risk of postoperative mortality and myocardial injury. This subanalysis from the pexelizumab for reduction of infarction and mortality in coronary artery bypass grafting surgery (PRIMO-CABG) trial, a phase III double-blind, placebo-controlled study of 3,099 patients undergoing on-pump coronary artery bypass graft surgery with or without valve surgery, assessed the impact of pexelizumab, an investigational C5 complement inhibitor, on postoperative outcomes after prolonged aortic cross-clamp time. Methods: The composite endpoint of death or myocardial infarction through postoperative day 30 and death alone through days 30, 90, and 180 were examined in subpopulations of patients across different cross-clamp times. Results: After prolonged cross-clamping (≥90 minutes), death, or myocardial infarction through day 30 and death through days 30, 90, and 180 were significantly increased in the intent-to-treat population and ...

TY - JOUR. T1 - The power of renal function estimation equations for predicting long-term kidney graft survival a retrospective comparison of the chronic kidney disease epidemiology collaboration and the modification of diet in renal disease study equations. AU - Choi, Hoon Young. AU - Joo, Dong Jin. AU - Song, Mi Kyung. AU - Kim, Myoung Soo. AU - Park, Hyeong Cheon. AU - Kim, Yu Seun. AU - Kim, Beom Seok. N1 - Publisher Copyright: © 2016 Wolters Kluwer Health, Inc. All rights reserved.. PY - 2016. Y1 - 2016. N2 - Evaluation of renal function using an accurate estimation equation is important for predicting long-term graft survival. We designed this retrospective cohort study to evaluate the predictive power of renal function estimation by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and the Modification of Diet in Renal Disease (MDRD) study equations for graft survival. We reviewed data of 3290 adult kidney transplant recipients who underwent transplantation at a single ...

TY - JOUR. T1 - Comparison of midterm outcomes of transcatheter aortic valve implantation in patients with and without previous coronary artery bypass grafting. AU - On behalf of the OCEAN-TAVI Investigators. AU - Kawashima, Hideyuki. AU - Watanabe, Yusuke. AU - Kozuma, Ken. AU - Kataoka, Akihisa. AU - Nakashima, Makoto. AU - Hioki, Hirofumi. AU - Nagura, Fukuko. AU - Nara, Yugo. AU - Shirai, Shinichi. AU - Tada, Norio. AU - Araki, Motoharu. AU - Naganuma, Toru. AU - Yamanaka, Futoshi. AU - Ueno, Hiroshi. AU - Tabata, Minoru. AU - Mizutani, Kazuki. AU - Higashimori, Akihiro. AU - Takagi, Kensuke. AU - Yamamoto, Masanori. AU - Hayashida, Kentaro. PY - 2018/4/21. Y1 - 2018/4/21. N2 - The midterm safety and feasibility of transcatheter aortic valve implantation (TAVI) for patients with a history of coronary artery bypass graft (CABG) and high operative risk are unclear. This study compared the midterm outcomes of patients undergoing TAVI with or without previous CABG surgery. Between October 2013 ...

DOI: 10.11607/jomi.4884 Purpose: To analyze the occurrence of intraoperative complications during sinus floor elevation with a lateral approach and their correlations with the technique adopted by surgeons. Materials and Methods: Electronic and manual searches resulted in 4,417 records on sinus floor elevation. Twenty-one randomized clinical trials (RCTs) and 11 prospective controlled clinical trials (CCTs) reporting occurrence of intraoperative complications were included. Risk of bias was assessed according to the Cochrane tool and a modified Downs and Black quality analysis for RCTs and CCTs, respectively. Results: Sinus membrane perforation and hemorrhagic events following vascular lesions were the only intraoperative complications reported by the selected studies with overall occurrences of 15.7% and 0.4%, respectively. Three different surgical devices (rotary instruments, piezoelectric osteotomes, and manual bone scrapers) were used to perform the lateral antrostomy. Ultrasonic devices and ...

This is the first study to compare the incidence and severity of transplant coronary artery disease in heart-lung and heart transplant recipients with the use of ICUS. The results of this study show that the incidence and severity of transplant coronary artery disease are less in heart-lung transplant recipients than in heart transplant recipients.. A major cause of mortality, and the main cause of retransplantation in heart transplant recipients, is transplant coronary artery disease. As many as 50% of the patients will develop significant angiographic disease by 5 years after transplantation. The majority of the heart-lung transplant recipients who survive the first year do not die as the result of cardiac disease or event.8 9 12 The present study confirms earlier reports that indicate that transplant coronary artery disease, as assessed by quantitative coronary angiography, does not play a major role in the morbidity and mortality of heart-lung transplant recipients. Richardson et al8 ...

The main purpose of this study is to observe the incidence of major adverse cardiac and cerebrovascular events (MACCE), target vessel failure (TVF), target vessel revascularization (TVR) and stent thrombosis out to 5 years after the procedure in patients who underwent percutaneous coronary intervention (PCI) with everolimus-eluting stents for unprotected left main coronary artery (ULMCA) disease and lesions involving the ULMCA in Japan. The investigators will also establish a method of adjustment to the Japanese version of the SYNTAX score by conducting an assessment using the SYNTAX score recently reported in the US and Europe as well as the EuroSCORE, and by clarifying the differences of PCI procedures and treatment results in Japan with those reported in the US and Europe ...

Methanol poisoning is a serious public health issue in developing countries, but few data are available in the literature on acute kidney injury (AKI) after methanol intoxication. This study examined the clinical features, spectrum and outcomes of AKI in patients with methanol intoxication and evaluated the predictors of mortality after methanol intoxication. A total of 50 patients with methanol intoxication were seen at Chang Gung Memorial Hospital between 2000 and 2013. Patients were grouped according to the status of renal damage as AKI (n = 33) or non-AKI (n = 19). Demographic, clinical, laboratory, and mortality data were obtained for analysis. Most patients were middle-aged (47.8 ± 14.9 years), predominantly male (74.0%), and habitual alcohol consumers (70.0%). Most incidents were oral exposures (96.0%) and unintentional (66.0%). Two (4.0%) patients attempted suicide by intravenous injection of methanol. Five (10.0%) patients suffered methanol intoxication after ingestion of methomyl pesticide

Shota Takano, MD, Cesar Reategui, MD, Giovanna da Silva, MD, Eric G Weiss, MD, Steven D Wexner, MD. Cleveland Clinic Florida. INTRODUCTION: Laparoscopic sigmoid colectomy has been universally accepted as the standard surgical treatment for sigmoid diverticulitis. Reported postoperative complication rates range from 7-25%. Predictive factors of complications remain unclear. The aim of this study was to investigate factors predictive factors of postoperative complications following laparoscopic sigmoidectomy for diverticulitis.. METHODS: After IRB approval, the medical records of all patients at our institution who underwent elective laparoscopic sigmoidectomy with anastomosis for diverticulitis between 05/2007 and 07/2011 were reviewed. Collected variables were demographics, body mass index (BMI), comorbidities, American Society of Anesthesiology (ASA) score, previous abdominal surgeries, presence of abscess or fistula, number of diverticulitis attacks, approach type (laparoscopy or ...

TY - JOUR. T1 - Esmolol versus diltiazem in atrial fibrillation following coronary artery bypass graft surgery. AU - Hilleman, Daniel E.. AU - Reyes, Antonio P.. AU - Mooss, Aryan N.. AU - Packard, Kathleen A.. N1 - Copyright: Copyright 2008 Elsevier B.V., All rights reserved.. PY - 2003. Y1 - 2003. N2 - Purpose: Atrial fibrillation (AF) is the most common arrhythmic complication following coronary artery bypass graft surgery (CABG). The efficacy and safety of esmolol and diltiazem were compared in patients with post-CABG AF. Methods: This study was a retrospective medical record review of consecutive patients with post-CABG AF ≥15 min in duration with a ventricular rate ≥110 b.p.m. who received either i.v. esmolol (n = 59) or i.v. diltiazem (n = 48) with or without concomitant digoxin therapy at a single university-affiliated teaching hospital. Treatment success was defined as either cardioversion to sinus rhythm or a reduction in the ventricular rate to ≤90 b.p.m. at 24h after the start ...

Liver transplantation as an ultimate step in the management of iatrogenic bile duct injury complicated by secondary biliary cirrhosis - Article statistics #883221

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Background: In this study, we aimed to investigate frequency, patterns, etiologies, and costs of unplanned readmissions after left ventricular assist device implantation.. Methods: Between April 2012 and September 2016, 99 unplanned readmissions of a total of 50 consecutive bridge-to-transplant patients (45 males, 5 females; mean age 46.9±10.3 years; range, 19 to 67 years) who were successfully discharged after left ventricular assist device implantation were retrospectively analyzed. Patient demographic data, hemodynamic measurements before implantation, and readmissions after discharge were recorded. Hospitalizations due to major problems which were unable to be managed in routine outpatient clinic were accepted as unplanned readmissions. Survival analysis was performed.. Results: The readmission rate was 1.7 per year after discharge. Survival of patients who were readmitted within the first 90 days was found to be significantly lower than those without early readmission. The most common ...

Introduction: Laparoscopic cholecystectomy (LC) is one of the most common surgical procedures performed by non academic surgeons as well as general surgery residents, under the supervision of academic surgeons. Bile duct injury is a catastrophic complication of this procedure. There is a general perception that performance of LC in a facility with a surgical training program offers a safer environment due to the presence of an assistant surgeon.. Objective: To compare the rate of bile duct injury, conversion and overall mortality between hospitals with surgical training programs (Group I), and hospitals without surgical training programs (Group II) after LC.. Methods: Methods: Using the Florida State Inpatient Database we extracted and analyzed data for LC and conversion from LC to open cholecystectomy (OC) during the years 1997 thru 2006. Bile duct injury was indicated by a biliary reconstruction procedure performed during the same admission. Hospitals with surgical training programs were ...

TY - JOUR. T1 - Association of the severity of diabetes-related complications with stage of breast cancer at diagnosis among elderly women with pre-existing diabetes. AU - Alenzi, Ebtihag O.. AU - Madhavan, S. Suresh. AU - Tan, Xi. N1 - Funding Information: We acknowledge the efforts of the National Cancer Institute, Centers for Medicare and Medicaid Services, Information Management Services, and the SEER program tumor registries in the creation of this database. We thank Dr. Charles D. Ponte and Dr. Usha Sambamoorthi for their review and feedback in an earlier version of this manuscript. The authors have no conflicts of interest to disclose. Publisher Copyright: © 2017, Springer Science+Business Media, LLC. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Purpose: This study assessed the association between the severity of diabetes complications using diabetes complications severity index (DCSI) and stage of breast cancer (BC) at diagnosis among ...

TY - JOUR. T1 - Clinical and operative characteristics of patients randomized to coronary artery bypass surgery in the Bypass Angioplasty Revascularization Investigation (BARI). AU - Schaff, Hartzell V.. AU - Rosen, Allan D.. AU - Shemin, Richard J.. AU - Leclerc, Yves. AU - Wareing, Thomas H.. AU - Aguirre, Frank V.. AU - Sopko, George. AU - VanderSalm, Thomas J.. AU - Loop, Floyd D.. AU - BARI Investigators, Investigators. PY - 1995/1/1. Y1 - 1995/1/1. N2 - The surgical cohort of the Bypass Angioplasty Revascularization Investigation (BARI) is the largest group of patients with multivessel coronary artery disease randomly assigned to surgical treatment. This report presents baseline and operative characteristics of the cohort and describes some aspects of the variability in surgical practice among the 14 primary clinical centers and 4 co-investigational sites participating in BARI. Preoperative clinical and angiographic data and intraoperative variables were reviewed in 892 patients who were ...

The BARI 2D trial reported no significant differences in the primary end point of all-cause mortality or in the principal secondary end point of all-cause death/MI/stroke between patients with type 2 diabetes mellitus undergoing revascularization and those undergoing IMT or between strategies of IS and IP. However, in the CABG stratum, a significant reduction in major cardiovascular events (all-cause mortality/MI/stroke) was seen with CABG compared with IMT, largely because of a reduction in MI in patients within the IS strategy.7 In our original report, MI rates included only nonfatal MI events; in this article, the MI rates reported include both fatal and nonfatal MI events.. In BARI 2D, 43% of the total mortality was attributed to cardiac causes over the average 5.3-year follow-up. Cardiovascular deaths accounted for 37% to 53% of all-cause mortality in the Action to Control Cardiovascular Risk in Diabetes Study Group (ACCORD), Veterans Affair Diabetes Trial (VADT), Action in Diabetes and ...

Medicinal Plants for Diabetes Complications used with Bahusua Jadi+Baal Pushpi Jadi+Bramhakoshee Booti and Sansevieria roxburghiana Schult & Schult. f in Pankaj Oudhia's Herbal Formulations" "Medicinal Plants for Diabetes Complications used with Bahusua Jadi+Baal Pushpi Jadi+Bramhakoshee Booti and Tacca leontopetaloides (L.) O. Ktze in Pankaj Oudhia's Herbal Formulations" "Medicinal Plants for Diabetes Complications used with Bahusua Jadi+Baal Pushpi Jadi+Bramhakoshee Booti and Dioscorea alata L. in Pankaj Oudhia's Herbal Formulations" "Medicinal Plants for Diabetes Complications used with Bahusua Jadi+Baal Pushpi Jadi+Bramhakoshee Booti and Dioscorea hispida Dennst. in Pankaj Oudhia's Herbal Formulations" "Medicinal Plants for Diabetes Complications used with Bahusua Jadi+Baal Pushpi Jadi+Bramhakoshee Booti and Dioscorea pentaphylla L. in Pankaj Oudhia's Herbal Formulations" "Medicinal Plants for Diabetes Complications used with Bahusua Jadi+Baal Pushpi Jadi+Bramhakoshee Booti and Dioscorea ...

Current International Diabetes Federation guidelines recommend a target HbA1c |7.0%, but many people with diabetes worldwide find this difficult to achieve, increasing their risk of developing complications. This publication examines the prevalence of diabetes complications and its association with baseline characteristics in people with type 2 diabetes who participated in the A1chieve study. A1chieve was a 24-week, multinational, open-label, observational study of 66,726 people with type 2 diabetes who had begun using biphasic insulin aspart 30, insulin aspart, or insulin detemir in routine clinical care. Participants were enrolled from 28 countries across four continents (Asia, Africa, Europe and South America). Baseline measurements of disease characteristics included: glycated haemoglobin (HbA1c), fasting (FPG) and post-prandial plasma glucose (PPG), high- and low-density lipoprotein cholesterol (H- or LDL-C), systolic blood pressure (SBP), and body mass index (BMI). Data on complications and use of

The term 'diabetes mellitus' refers to a group of disorders that relate to carbohydrate metabolism. The condition is characterised by hyperglycaemia due to decreased and therefore inadequate levels of insulin in the body, resistance to the effects of insulin, or a combination of both. The symptoms of marked hyperglycaemia include polyuria, polydipsia, weight loss, polyphagia and blurring of vision. The aetiological types of diabetes mellitus are type 1, type 2, gestational diabetes mellitus and other specific types. However, the two major categories of diabetes mellitus are type 1 and type 2. Type 1 (formerly known as insulin-dependent diabetes mellitus) patients are usually at risk of developing ketoacidosis and require insulin therapy. Patients who suffer from type 2 diabetes mellitus, formerly known as noninsulin-dependent diabetes mellitus, as opposed to those suffering from type 1 diabetes mellitus, still have functional pancreatic β cells which produce insulin. However, they suffer from a

Banujan Balachandran, MS1, Taha Mustafa, MD1, Theadore A Hufford, MD1, Kunal Kochar, MD1, Leela M Prasad, MD1, Suela Sulo, PhD3, Joubin Khorsand, MD2. 1Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 2General Surgery, Advocate Lutheran General Hospital, 3Russell Institute for Research & Innovation, Advocate Lutheran General Hospital. INTRODUCTION: To determine the safety and efficacy of single-site robotic cholecystectomy compared to multi-port laparoscopic cholecystectomy within a high-volume tertiary health care center.. METHODS AND PROCEDURES: A retrospective analysis of prospectively maintained data was conducted on patients undergoing single-site robotic cholecystectomy or multi-port laparoscopic cholecystectomy between October 2011 and July 2014. All surgeries included in the study were performed by a single surgeon. Pre-operative (i.e. age, gender), peri-operative (i.e. operative time, intra-operative complications, conversions), and post-operative (i.e. length ...

This is the first demonstration - using direct measurement of bone strength in the body - of compromised bone material in patients with type 2 diabetes," says Sundeep Khosla, M.D. , Mayo Clinic endocrinologist and senior author of the study. "Clearly, the skeleton needs to be recognized as another important target of diabetes complications.". Previous studies in the field showed that patients with diabetes experienced fractures at levels of bone density above that of the regular population, hinting that something was different about the "quality" of their bone. The Mayo researchers validated that assumption in a clinical study of 60 postmenopausal women, 30 of whom had type 2 diabetes. Using a new tool (OsteoProbe®), the researchers performed micro indentation testing of the tibia (actually causing a microscopic crack) to measure bone material strength. Compared to the control group of women, aged 50 to 80, the group with type 2 diabetes had significantly lower bone material strength. There was ...

Patients with OSA are reported to have a higher rate of severe respiratory complications associated with upper airway obstruction during anesthesia and sedation or immediately after anesthesia. Children with OSA (especially those under three years of age, those with severe OSA, cerebral palsy or craniofacial anomalies) are at increased risks for post-operative complications, and require careful monitoring post-operatively.. Although the etiology of obstructive sleep apnea is mainly obstruction due to anatomical and neuromuscular abnormalities, we believe that a central element may contribute to OSA.. The aim of this study is to evaluate whether administration of caffeine to children with OSA, scheduled for elective T & A under general anesthesia contributes to a faster recovery, less post-operative complications, and a shorter stay in the PACU, DSU and the hospital. ...

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Iatrogenic, intraoperative complications that are repaired at the same operative session are not separately reported. Since the small bowel...