Search Results
Results 401 - 450 of 2095
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Amato Bruno - - 2013
Chronic venous ulceration (CVU) of the lower limbs is a common condition affecting 1% of the adult population in Western countries, which is burdened with a high complication rate and a marked reduction in the quality of life often due to prolonged healing time. Several metalloproteinases (MMPs) such as MMP-9 ...
Lim D Scott - - 2013
To evaluate treatment of mitral regurgitation (MR) in patients with severe degenerative MR (DMR) at prohibitive surgical risk undergoing transcatheter mitral valve repair with the MitraClip. Surgical mitral valve repair remains the gold standard for severe DMR. However, the results with MitraClip in prohibitive risk DMR patients have not been ...
Kotela Ireneusz I Clinical Department of Orthopedics and Traumatology, Central Clinical Hospital of the Ministry of Interior in Warsaw, - - 2013
Background. Spontaneous intraarticular bleeds in congenital coagulation disorders result in early and extensive damage to the joints and periarticular structures. Total arthroplasty is the only effective method of treating these defects. Interim surgical procedures (arthroscopy, osteotomy, etc.) exist that can postpone arthroplasty, especially considering the fact that the condition affects ...
Krol Robin - - 2013
Pelvic radiotherapy may lead to changes of anorectal function resulting in incontinence-related complaints. The aim of this study was to systematically review objective findings of late anorectal physiology and mucosal appearance after irradiation for prostate cancer. MEDLINE, EMBASE, and the Cochrane library were searched. Original articles in which anal function, ...
Deutsch Marcus-André - - 2013
An increasing number of octogenarians are referred for cardiac surgical procedures. In this subset of patients, information on the health-related quality of life (HrQoL) is critical for decision making. However, there is a paucity of prospective data. Thus, we sought to prospectively evaluate the HrQoL in octogenarians undergoing cardiac surgery. ...
Seth Rahul - - 2013
To compare long-term symptomatic outcomes between external transcervical (ET) and endoscopic stapling diverticulotomy (ESD) surgeries for Zenker's diverticulum. Retrospective review. Patients undergoing surgery for Zenker's diverticulum surgery between 1998 and 2010 with at least 1 year follow-up were telephoned and questioned for dysphagia, choking, regurgitation, and halitosis based on a ...
van Kordelaar Joost - - 2013
To establish the time course of recovery regarding smoothness of upper limb movements in the first six months post stroke. Cohort study with 3D-kinematic measurements in week 1, 2, 3, 4, 5, 8, 12 and 26 post stroke. On-site 3D-kinematic measurements in stroke-units, rehabilitation centers, nursing homes and patients' homes. ...
Frans F A - - 2013
Interpreting whether changes in quality of life (Qol) in patients with peripheral arterial disease (PAD) are not only statistically significant but also clinically relevant, may be difficult. This study introduces the concept of the minimally important difference (MID) to vascular surgeons using Qol outcomes of patients treated for chronic critical ...
Chen Xiao-Bing XB Xiao-Bing Chen, Dai-Xiang Liao, Jun-Hui Yu, Cheng-Hua Luo, Department of General and Colorectal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, - - 2013
To evaluate the efficacy of gracilis muscle transposition and postoperative salvage irrigation-suction in the treatment of complex rectovaginal fistulas (RVFs) and rectourethral fistulas (RUFs). Between May 2009 and March 2012, 11 female patients with complex RVFs and 8 male patients with RUFs were prospectively enrolled. Gracilis muscle transposition was undertaken ...
Perez-Cruet Mick J - - 2013
Study Design/Setting. This was a prospective clinical study that took place in an outpatient spine clinic.Objective. To demonstrate the short/long-term outcomes from a large cohort of patients undergoing minimally invasive transforaminal lumbar interbody fusion (MITLIF).Summary of Background Data. Long-term prospective outcomes in patients undergoing minimally invasive spinal fusion for debilitating ...
Yesil Atilla - - 2013
The use of alloplastic meshes for repair of female pelvic organ prolapse (POP) has recently been discussed for its indications and safety. Mesh exposure and chronic pelvic pain are among the risks that need to be addressed to the patients. The purpose of this prospective observational study is to investigate ...
Timmers Tim K - - 2013
Open repair of abdominal aortic aneurysm (AAA) generally involves postsurgery admission to the intensive care unit (ICU). Few studies have evaluated the impact of surgery for either ruptured or nonruptured AAA (with postoperative ICU treatment) on long-term survival and quality of life. The primary aim of this study was to ...
Revenaugh Peter C - - 2013
Patients undergoing laryngopharyngectomy with extensive pharyngeal mucosal resection or those failing chemoradiation protocols are commonly reconstructed using free tissue transfer. Radial forearm free flaps (RFFFs) and anterolateral thigh free flaps (ALTs) are two of the most commonly used free flaps for laryngopharyngectomy reconstruction. It has been suggested that alaryngeal tracheoesophageal ...
Mahoney Andrew - - 2013
Health care payers, including the federal government, increasingly base reimbursement on quality. Payers consider readmission rates after total joint arthroplasty an indicator of quality. The Patient Protection and Affordable Care Act contains provisions that preclude payment of hospital cost associated with joint arthroplasty readmissions occurring within 30 days of discharge. ...
Renfree Kevin J - - 2013
Reverse shoulder arthroplasty provides satisfactory outcomes, but its cost-effectiveness is unproven. We prospectively analyzed outcomes and costs for primary reverse shoulder arthroplasty. Thirty serial patients (16 women and 14 men; mean age, 74.1 years [range, 61.1-87.3 years]) with rotator cuff arthropathy had active motion recorded and completed function tests (visual pain analog ...
Struik F M - - 2013
The effects of nocturnal noninvasive positive pressure ventilation (NIPPV) in patients with stable chronic obstructive pulmonary disease (COPD) remain controversial. The Cochrane Airways group Register of Trials, MEDLINE, EMBASE and CINAHL were searched up to August 2012. Individual patient data from randomised controlled trials on NIPPV outcomes were selected for ...
Zhang Bin B Bin Zhang, Jian-Hua Ding, Yu-Juan Zhao, Shu-Hui Yin, Ying-Ying Feng, Ke Zhao, Department of Colorectal Surgery, the Second Artillery General Hospital, Beijing 100088, - - 2013
To assess midterm results of stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS) and predictive factors for outcome. From May 2007 to May 2009, 75 female patients underwent STARR and were included in the present study. Preoperative and postoperative workup consisted of standardized interview and physical examination including ...
de Almeida Adriano Marques - - 2013
This study assessed the results of two-portal knee arthroscopic synovectomy in terms of bleeding recurrence, knee function, quality of life (QOL), and radiographic staging in a prospective case series of patients with haemophilia. Nine knees from eight patients (median age 16.1 years; range 9.6-25 years) with haemophilia and recurrent knee haemarthrosis were ...
Schjerling Lisbeth L Department of Neurosurgery, Rigshospitalet, Copenhagen University - - 2013
The authors' aim was to compare the subthalamic nucleus (STN) with the globus pallidus internus (GPi) as a stimulation target for deep brain stimulation (DBS) for medically refractory dystonia. In a prospective double-blind crossover study, electrodes were bilaterally implanted in the STN and GPi of 12 patients with focal, multifocal, ...
Aagaard Mark Faurholt - - 2013
Abstract Objective. The aim of this study was to evaluate transurethral microwave thermotherapy (TUMT) in the treatment of chronic urinary retention due to benign prostatic hyperplasia (BPH) in patients unsuitable for surgery. Material and methods. The study enrolled 124 patients with chronic urinary retention due to BPH. The median age ...
Kolanek B - - 2013
Background: Preventing postoperative nausea and vomiting (PONV) is a major priority for postsurgical patient care. Our objective was to assess the efficacy of a multimodal postoperative nausea and vomiting (PONV) approach, which was associated with a continuous quality improvement program, in maintaining a low PONV incidence in the PACU. Methods: ...
Gozalo-Marcilla Miguel - - 2013
Twenty adult healthy horses undergoing elective surgery were involved in this prospective, blinded, clinical study. Horses were randomly allocated to receive a constant rate infusion (CRI) of morphine or dexmedetomidine. After induction, anaesthesia was maintained with isoflurane in oxygen/air and mechanical ventilation applied. The end-tidal isoflurane concentration (FEĢISO) was initially ...
Yang Zhengfei - - 2013
The latest guidelines both increased the requirements of chest compression rate and depth during cardiopulmonary resuscitation (CPR), which may make it more difficult for the rescuer to provide high-quality chest compression. In this study, we investigated the quality of chest compressions during compression-only CPR under the latest 2010 American Heart ...
Luengo-Fernandez Ramon R From the Health Economics Research Centre (R.L.-F., A.M.G.), Nuffield Department of Population Health, University of Oxford; and the Stroke Prevention Research Unit (L.B., S.W., F.C., P.M.R), Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, - - 2013
To evaluate the 5-year impact of stroke and TIA on utility and quality-adjusted survival. TIA and stroke patients from a UK population-based study (Oxford Vascular Study) were recruited from 2002 to 2007, and followed up until 2012. Quality of life was assessed over 5 years using the EQ-5D (EuroQol-5 Dimensions), ...
Bulian Dirk Rolf - - 2013
For cholecystectomy, both the needlescopic cholecystectomy (NC) 3-trocar technique using 2 to 3 mm trocars and the umbilical-assisted transvaginal cholecystectomy (TVC) technique have found their way into clinical routine. This study compares these 2 techniques in female patients who are in need of an elective cholecystectomy. Natural orifice transluminal endoscopic ...
Durães André R - - 2013
Heart valve prosthesis unquestionably improve quality of life and survival of patients with severe valvular heart disease, but the need for antithrombotic therapy to prevent thromboembolic complications is a major challenge to clinicians and their patients. Of the articles analyzed, most were retrospective series of cases or historical cohorts obtained ...
Menotti Federica - - 2013
Background:Ankle-foot orthoses are commonly prescribed in Charcot-Marie-Tooth type 1A disease to improve quality of walking and reduce the risk of falling due to the foot drop.Objectives:This study aimed at assessing the effect of an anterior ankle-foot orthosis on walking economy in a group of Charcot-Marie-Tooth type 1A patients.Study design:Within-group comparisons.Methods:7 ...
Järvinen Otso - - 2013
To assess whether the use of either the on-pump or the off-pump method affects changes in health-related quality of life (QOL) in the long term after coronary artery bypass graft (CABG) surgery. Four hundred and fifty-two (89.0%) of the 508 patients in a single institution were operated on-pump and 56 ...
Tiburtius Christian - - 2013
To evaluate changes in erectile function after thulium VapoEnucleation of the prostate (ThuVEP) for the treatment of benign prostatic obstruction at 12-month follow-up. We prospectively evaluated 72 patients who underwent ThuVEP between January and July 2011. Preoperative evaluation included maximum urinary flow rate (Qmax), international prostate symptom score (IPSS), quality ...
Boogaarts Hieronymus D - - 2013
Object Increasing evidence exists that treatment of complex medical conditions in high-volume centers is found to improve outcome. Patients with subarachnoid hemorrhage (SAH), a complex disease, probably also benefit from treatment at a high-volume center. The authors aimed to determine, based on published literature, whether a higher hospital caseload is ...
Samuel Nehemiah - - 2013
Venous leg ulcers represent the worst extreme within the spectrum of chronic venous disease. Affecting up to 3% of the adult population, this typically chronic, recurring condition significantly impairs quality of life, and its treatment places a heavy financial burden upon healthcare systems.  The current mainstay of treatment for venous ...
De Oliveira Gildasio S GS - - 2013
To compare time to awakening and upper airway morbidity between desflurane and sevoflurane using a Laryngeal Mask Airway (LMA) and a balanced anesthetic regimen inclusive of opioids. Randomized, double-blinded, placebo-controlled clinical trial. Ambulatory surgery unit of a university hospital. 80 subjects receiving general anesthesia for outpatient gynecological surgery using a ...
Aspinen Samuli - - 2013
The long-term outcome between laparoscopic cholecystectomy (LC) and minilaparotomy (MC) has not been compared in randomised trials as day-surgery procedures. We therefore investigated the outcome after day-case LC and MC in 48 patients. Initially 60 patients with noncomplicated symptomatic gallstone disease were randomly allocated to a day-case MC (n = 29) or ...
Kaye Deborah R - - 2013
To assess the effect of nerve sparing (NS) quality on self-reported patient urinary outcomes after radical prostatectomy. A total of 102 preoperatively potent men underwent laparoscopic or robotic radical prostatectomy; NS was prospectively graded at surgery using a 0-4 scale/neurovascular bundle. Urinary functional outcomes were measured by validated Expanded Prostate ...
Lusuardi L - - 2013
Background/Aims/Objectives: To describe the depth of the laser coagulation zone in vivo based on histological examinations and the functional outcome of a 1,318-nm diode laser for enucleation in benign prostatic enlargement (BPE). Methods: A total of 20 patients with BPE were treated by laser Eraser® enucleation of the prostate (ELEP). ...
Panhofer P - - 2013
The aim of this study was to evaluate long-term results, quality of life, satisfaction and compensatory sweating after endothoracic sympathetic block at T4 (ESB4). Patients who underwent an ESB4 procedure for palmar or palmoaxillary hyperhidrosis between 2001 and 2008 were included in a prospective study at a university hospital. Questionnaires ...
Teixeira Pedro G R - - 2013
The use of a "quality rounds checklist" (QRC) is an effective tool for improving compliance with evidence-based preventative measures and outcomes in the surgical intensive care unit (SICU). Our aim was to evaluate the long-term sustainability and outcome impact of this quality improvement strategy. Prospective observational study evaluates the use ...
Kuo H-C - - 2013
Patients with spinal cord lesions and detrusor sphincter dyssynergia (DSD) may be treated with urethral sphincter botulinum toxin A (BoNT-A) injection for difficult urination or detrusor BoNT-A injection for incontinence. Although objective data showed improvement, patients might not be satisfied with the result especially in quality of life (QOL) issue. ...
Frans Franceline Alkine - - 2013
This study evaluated changes in functional status with the Academic Medical Center Linear Disability Score (ALDS) and in quality of life with the Vascular Quality of Life Questionnaire (VascuQol) in patients treated for critical limb ischemia (CLI). We conducted a prospective observational cohort study in a single academic center that ...
Zapf Matthew - - 2013
Our objective was to compare hospital charges and both perioperative and mid-term quality of life between single- (SILC) and multi-incision (MILC) laparoscopic cholecystectomy in a randomized controlled trial. Patients with acute or chronic biliary disease were invited to participate. Pain scores, quality of life, and perioperative outcomes were measured. Patients ...
Peters Kenneth M - - 2013
To evaluate the outcomes after cystectomy for ulcerative interstitial cystitis (IC). Medical records were reviewed for history, operative data, and postoperative events. A mailed survey assessed preoperative symptom severity/duration, providers seen, and symptom changes on 7-point scaled global response assessments. Descriptive statistics were performed. Of 10 women (mean age 64 ...
Laoufi Samia - - 2013
Objective: To compare voice handicap and quality of life after radiotherapy (RT) versus transoral laser surgery (LS) for T1a glottic carcinoma. Study design: Retrospective study (1996-2011) of patients treated with RT or LS for T1a glottic squamous cell carcinoma with curative intent. Methods: Disease-free patients were assessed using Voice Handicap ...
Chan Micah R - - 2013
The rope-ladder (RL) technique is the most common technique used for cannulation of arteriovenous fistulae (AVF). Buttonhole cannulation (BHC), or constant-site technique, is recommended by the National Kidney Foundation's Kidney Disease Outcome Quality Initiative (NKF/KDOQI) vascular access guidelines. We compared outcomes of primary patency, episodes of bacteremia, access blood flow ...
Temizkan Veysel - - 2013
Background: Saphenous vein mapping provides accurate identification of the graft diameter, location of the harvest side, and quality of graft and also led to a selective leg skin incision. In this article, we aimed to compare patients who underwent coronary artery bypass graft (CABG) surgery with or without vein mapping.Methods: ...
Klit Jakob - - 2013
In this prospective multicenter study we included subjects younger than 60years of age and scheduled for primary total knee arthroplasty (TKA). The study assessed patients' overall satisfaction, fulfillment of preoperative expectations, the effect on socioeconomic parameters, and quality of sexual life. Questionnaires including Oxford Knee Score (OKS) and SF-36 were ...
Gupta Shikha S Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, - - 2013
Opioids are being increasingly used these days as adjuvants to local anesthetics in spinal anesthesia. The aim of this study is to compare the effects of adding sufentanil or fentanyl to low dose bupivacaine in spinal anesthesia for endoscopic urological procedures. Prospective, randomized, double-blind study. A total of 90 elective ...
Smith Micah W MW Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, United - - 2013
Study Type Retrospective review. Introduction Sagittal imbalance has been associated with lower health-related quality of life outcomes, and restoration of imbalance is associated with improved outcomes.123 The long constructs used in adult spinal deformity have potential consequences such as proximal junctional kyphosis (PJK). Clinically, the development of PJK may not be as ...
Fletcher Joel G JG 1 Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN - - 2013
Cathartic bowel preparation is a major barrier for colorectal cancer screening. We examined noncathartic CT colonography (CTC) quality and performance using four similar bowel-tagging regimens in an asymptomatic screening cohort. This prospective study included 564 asymptomatic subjects who underwent noncathartic CTC without dietary modification but with 21 g of barium ...
Wang Gongping - - 2013
Background/Aims: This study aims to evaluate the application value of two reconstruction technique types, namely, Roux-en-Y reconstruction with pouch (RYP) and jejunal interposition with pouch (JIP), after total gastrectomy. Methodology: MEDLINE, EM-BASE, PubMed, CBM, and Vol. 2, 2010 of the Cochrane Library were indexed using computers, whereas relevant Chinese journals ...
Gutman Robert E RE Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Women and Infants' Services, MedStar Washington Hospital Center/Georgetown University School of Medicine, Washington, DC; the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California; and MedStar Health Research Institute, Hyattsville, - - 2013
To present the 3-year outcomes of a double-blind, multicenter, randomized trial comparing vaginal prolapse repair with and without mesh. This was a planned final analysis of women with Pelvic Organ Prolapse Quantification (POP-Q) stage 2-4 prolapse randomized to traditional vaginal prolapse surgery without mesh and vaginal colpopexy repair with mesh. ...
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