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Results 351 - 400 of 3922
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Krishna Somashekar G SG Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas; Department of Gastroenterology, Hepatology and Nutrition, The Ohio State University Medical Center, Columbus, Ohio, - - 2014
The risk of endoscopic interventions in thrombocytopenia has received little attention in the medical literature. The aim of this study was to assess the safety of endoscopic interventions including evaluation of GI bleeding (GIB) in patients with thrombocytopenia. Retrospective study, tertiary oncology center. Review of consecutive endoscopies with preprocedure platelet ...
Santana Orlando O Columbia University Division of Cardiology, Mount Sinai Medical Center, Miami Beach, Florida. Electronic address: - - 2014
A subset of patients requiring coronary revascularization and valve operations may benefit from a hybrid approach of percutaneous coronary intervention (PCI) followed by a minimally invasive valve operation, rather than the standard combined median sternotomy coronary artery bypass grafting (CABG) and a valve operation. This study sought to evaluate the ...
Zhou Lulu L Departments of Neurology at Jinling Hospital, Southern Medical University, Nanjing, PR - - 2014
Background/Aims: Restenosis following extracranial artery stenting is a limitation that affects long-term outcomes. Effective and satisfying pharmacological strategies in preventing restenosis have not been established. This study aimed to evaluate whether argatroban, a direct thrombin inhibitor, could reduce the risk of in-stent restenosis after extracranial artery stenting. Methods: One hundred ...
Sturkenboom Ingrid H W M IH Department of Rehabilitation, Radboud University Medical Center, Nijmegen, - - 2014
There is insufficient evidence to support use of occupational therapy interventions for patients with Parkinson's disease. We aimed to assess the efficacy of occupational therapy in improving daily activities of patients with Parkinson's disease. We did a multicentre, assessor-masked, randomised controlled clinical trial in ten hospitals in nine Dutch regional ...
Bainey Kevin R KR University of Alberta, Mazankowski Alberta Heart Institute, Edmonton, Alberta, - - 2014
Abstract Background: The Timing of Intervention in Acute Coronary Syndromes (TIMACS) trial demonstrated that early invasive intervention (within 24 hours) was similar to a delayed approach (after 36 hours) overall but improved outcomes were seen in patients at high-risk. However, the cost implications of an early versus delayed invasive strategy ...
Kieves Nina R NR Iowa State University Lloyd Veterinary Medical Center, Ames, - - 2014
To describe the technique for, and long-term clinical outcome of, a modified hip toggle stabilization using the TightRope® system for coxofemoral luxation repair. Retrospective case series. Medical records (July 2008-July 2010) including radiographs (17 limbs) of dogs that had coxofemoral luxation repaired with the TightRope system were reviewed. Follow-up (≥12 ...
Paul Raina R Department of Emergency Medicine, Pediatric Section, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina; - - 2014
Few studies have demonstrated improvement in adherence to Pediatric Advanced Life Support guidelines for severe sepsis and septic shock. We sought to improve adherence to national guidelines for children with septic shock in a pediatric emergency department with poor guideline adherence. Prospective cohort study of children presenting to a tertiary ...
Barbieri Lucia L Division of Cardiology, Azienda Ospedaliera-Universitaria "Maggiore della Carità", Eastern Piedmont University, Corso Mazzini, 18, 28100, Novara, - - 2014
Contrast induced nephropathy (CIN) is a common complication of coronary angiography/angioplasty. Prevention is the key to reduce the incidence of CIN and it begins with appropriate pre-procedural management. Statins have been shown to possess pleiotropic effects (anti-oxidant, anti-inflammatory and anti-thrombotic properties) and their effects on CIN were assessed in several ...
Biasco Luigi L Division of Cardiology, Department of Medical Sciences, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Turin, Italy. Electronic address: - - 2014
To retrospectively evaluate the impact on daily activities of transcatheter closure of patent foramen ovale (PFO) versus medical therapy in patients with migraine and to analyze the role of the residual shunt after PFO closure. While non-controlled observational studies reported an improvement of migraine after PFO closure, a randomized trial ...
Edmiston Charles E CE Jr Department of Surgery, Division of Vascular Surgery, Surgical Microbiology Research Laboratory, Medical College of Wisconsin, Milwaukee, WI. Electronic address: - - 2014
Surgical site infections (SSIs) are responsible for significant morbidity, mortality, and excess use of health care resources. The preadmission antiseptic shower is accepted as an effective strategy for reducing the risk for SSIs. The study analyzes the benefit of an innovative electronic patient alert system (EAS) for enhancing compliance with ...
Aldoss Osamah O Division of Pediatric Cardiology, Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa, - - 2014
We sought to review and analyze the hemodynamic derangements during prograde transcatheter aortic intervention (PTAI) in single ventricle patients. Although PTAI for postsurgical recurrent coarctation in single ventricle patients has been described; hemodynamic instability during the intervention is variably reported. Pre-, intra-, and postprocedural records and outcomes of patients with ...
Mitchell Elizabeth E Heart Center, Nationwide Children's Hospital, Columbus, Ohio, - - 2014
Hybrid procedure is an alternative initial palliation for patients with hypoplastic left heart syndrome (HLHS). One major complication with this procedure is stenosis in the aortic arch isthmus possibly due to inflammation from the patent ductus arteriosus (PDA) stent. In adult studies, neutrophil/lymphocyte (N/L) ratio has been used as a ...
Elsheemy Mohammed S MS Division of Pediatric Urology, Aboul-Riche Children's Hospital, Cairo University, Cairo, - - 2014
• To compare percutaneous nephrostomy (PCN) versus double J ureteric stent (JJ) as an initial urinary drainage in children with obstructive calcular anuria (OCA) and post-renal acute renal failure (ARF) due to bilateral ureteric calculi to identify the selection criteria for the initial urinary drainage method that will improve the ...
Diener Markus K MK Study Centre of the German Surgical Society, University of Heidelberg, Heidelberg, Germany; Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, - - 2014
Postoperative surgical site infections are one of the most frequent complications after open abdominal surgery, and triclosan-coated sutures were developed to reduce their occurrence. The aim of the PROUD trial was to obtain reliable data for the effectiveness of triclosan-coated PDS Plus sutures for abdominal wall closure, compared with non-coated ...
Geis Nicolas A NA Department of Internal Medicine III, University of Heidelberg, Heidelberg, - - 2014
Aims: We assessed feasibility, efficacy and safety of a suture-mediated closure device, Perclose Proglide® (Abbott Vascular Devices, Santa Clara, CA, USA), for closure of the femoral vein access after percutaneous MitraClip® (Abbott Vascular Devices) implantation. Methods and results: Venous access of 80 consecutive patients undergoing percutaneous mitral valve repair using ...
Harkey Matthew M Department of Exercise and Sports Science, University of North Carolina at Chapel Hill, Chapel Hill, - - 2014
Altered neuromuscular function and decreased dorsiflexion range of motion (DFROM) have been observed in patients with chronic ankle instability (CAI). Joint mobilizations are indicated for restoring DFROM and dynamic postural control; yet, it remains unknown if a mobilization can alter neuromuscular excitability in muscles surrounding the ankle. To determine the ...
Markar S R SR Department of Thoracic Surgery, Virginia Mason Medical Center, Seattle, Washington, - - 2014
The aim of this systematic review and pooled analysis is to determine the effect of enhanced recovery programs (ERP) on clinical outcome measures following esophagectomy. Medline, Embase, trial registries, conference proceedings, and reference lists were searched for trials comparing clinical outcome from esophagectomy followed by a conventional pathway with esophagectomy ...
Torres R R IRTA, XaRTA-Postharvest, Rovira Roure 191, 25198, Lleida, Catalonia, - - 2014
This study aimed to evaluate different packaging strategies to extend the shelf life of a freeze-dried formulation of the biocontrol agent Pantoea agglomerans strain CPA-2. Different materials and atmosphere packaging conditions (vacuum and air) were analyzed on formulated P. agglomerans cells stored at 25, 5, and -20 °C. Results showed ...
Morice Marie-Claude MC Institut Cardiovasculaire Paris Sud, Hopital Privé Jacques Cartier, Générale de santé, Massy, - - 2014
Current guidelines recommend coronary artery bypass graft surgery (CABG) when treating significant de novo LM stenosis; however, percutaneous coronary intervention (PCI) has a Class IIa indication for unprotected LM disease in selected patients. This analysis compares 5-year clinical outcomes in PCI- and CABG-treated LM patients in the SYNTAX trial, the ...
Caskey Paul M PM *Walter E. Griffin & Agnes M. Griffin Motion Analysis Laboratory, Shriners Hospitals for Children, Spokane, WA †Blanchfield Army Community Hospital, Campbell, - - 2014
Flexion-rotational osteotomy of the proximal femur is an accepted intervention in the management of severe deformity and femoral acetabular impingement secondary to slipped capital femoral epiphysis (SCFE). The impact of this surgical intervention on gait kinematics and kinetics, validated functional questionnaires, and patient outcomes has not been well studied. The ...
Prusa Alexander M AM Department of Vascular Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria, Europe. Electronic address: - - 2014
Reports of secondary modifications into aortouniiliac configuration to salvage-failed endovascular aneurysm repair (EVAR) are limited. We evaluated long-term results after these procedures and compared them with those after primary aortouniiliac endografting (AUE). A retrospective review of all EVAR performed from March 1995 until July 2011 was conducted. Patients were included ...
Grenville Jeffrey Lorne JL Diagnostic Radiology Program, Department of Medical Imaging, University of Toronto, Toronto, Ontario, - - 2014
Purpose:Describe outcomes after endovascular intervention of TransAtlantic Inter-Society Consensus C and D femoro-popliteal disease.Materials and methods:Retrospective cohort study. Patient demographics, ankle-brachial indices, and lesion details were analyzed from a prospectively maintained database. In all, 980 limbs treated with percutaneous transluminal angioplasty ± stenting of the femoro-popliteal segment between 2005 and 2012 were ...
Neuen Brendon L BL School of Medicine and Dentistry (B.L.N., R.G.), James Cook University, Cairns, Queensland, Australia. Electronic address: - - 2014
Percutaneous transluminal angioplasty (PTA) is an established treatment for dysfunctional hemodialysis fistulas. This article systematically reviews evidence for predictors of patency after PTA. Outcomes assessed were primary, assisted primary, and secondary patency after intervention, and findings were summarized descriptively. This review included 11 nonrandomized observational studies of 965 fistulas in ...
Myers Jeremy B JB Department of Surgery and the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City, UT. Electronic address: - - 2014
To examine our short-term experience of antegrade continence enema (ACE) delivered via a Chait Trapdoor (Cook Medical, Bloomington, IN) in adults with intractable neurogenic bowel. We performed a retrospective review at the Universities of Utah and Minnesota of 15 patients with Chait Trapdoor placed for the purpose of ACE from ...
Woods R S R RS Department of Otolaryngology, Royal Victoria Eye and Ear Hospital, Dublin, - - 2014
Drainage after routine thyroid and parathyroid surgery remains controversial. However, there is increasing evidence from a number of randomized clinical trials (RCTs) suggesting no benefit from the use of drains. A systematic review and meta-analysis was performed according to PRISMA guidelines. A literature search was carried out, and RCTs comparing ...
Kandakure Pramod P Cardiac Surgical Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United - - 2014
We sought to evaluate the mid-term results of a repair-oriented strategy of the aortic valve in children. Between February 2007 and November 2011, we performed 39 aortic valve repairs in children. Median age and weight at surgery were 5.5 years (3 days-18 years) and 16.7 kg (2.7-83.5), respectively. A total ...
Kitrou P P Department of Interventional Radiology Guy's and St. Thomas' Hospitals, NHS Foundation Trust King's Health Partners, London, UK - - - 2014
Aim of the present study was to report the imaging and clinical outcomes of a prospective single-center study investigating paclitaxel-coated balloons (PCB) for the treatment of failing peripheral bypass grafts (BYPACS study). In total, 32 patients had their failing peripheral native or synthetic bypass graft treated with PCB angioplasty (Group ...
Kim Gahyun G Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul, 135-710, - - 2014
The aim of this study was to evaluate the effects of pre-warmed (approximately 41 °C) intravenous fluids (IV) on perioperative hypothermia and postoperative shivering in female patients undergoing short, ambulatory urological surgery under monitored anesthesia care (MAC). Patients between the ages of 35 and 80 years were randomly assigned to either the ...
van Jonbergen H P W HP Deventer Hospital, Department of Orthopaedic Surgery, PO Box 5001, 7400 GC Deventer, The - - 2014
In the absence of patellar resurfacing, we have previously shown that the use of electrocautery around the margin of the patella improved the one-year clinical outcome of total knee replacement (TKR). In this prospective randomised study we compared the mean 3.7 year (1.1 to 4.2) clinical outcomes of 300 TKRs ...
Aptel Florent F Department of Ophthalmology, University Hospital, CHU Grenoble, Joseph Fourier University, GRENOBLE, F-38043, - - 2014
Abstract Objective: To evaluate the efficacy and safety of the Ultrasonic Circular Cyclo Coagulation (UC(3)) procedure in patients with refractory primary open-angle glaucoma. Research design and methods: Prospective non-comparative interventional case series performed in 2 French glaucoma centers. 28 eyes of 28 patients with primary open-angle glaucoma, intraocular pressure (IOP) ...
McIntosh Keith S - - 2014
Colonoscopy simulators that enable one to perform computer-based virtual colonoscopy now exist. However, data regarding the effectiveness of this virtual training are limited. To determine whether virtual reality simulator training translates into improved patient-based colonoscopy performance. The present study was a prospective controlled trial involving 18 residents between postgraduate years ...
Demirel I I Department of Anesthesiology and Reanimation, Firat University, Faculty of Medicine, Elazig, Turkey. - - 2014
Just as hip prosthesis, most of the patients undergoing orthopedic lower extremity surgery (OLES) belong to the advanced age group. Sciatic nerve block combined with psoas compartment block is used as a technique alternative to central neuraxial block and GA. In geriatric patients that will undergo partial hip prosthesis, the ...
Bhatia R - - 2014
Clonidine is used with local anaesthetics to improve analgesia. However, the improvement conferred when clonidine is used together with ropivacaine is controversial. Thus, the present study aimed to evaluate the improvement in analgesia when clonidine is used together with ropivacaine for supraclavicular brachial plexus block. This was a prospective, randomised, ...
Antoniou Ga G Central Manchester University Hospitals NHS Foundation Trust, UK. - - 2014
The retrojugular approach for carotid endarterectomy (CEA) has been reported to have the advantages of shorter operative time and ease of dissection, especially in high carotid lesions. Controversial opinion exists with regard to its safety and benefits over the conventional antejugular approach. A systematic review of electronic information sources was ...
Kim Kwang Joon KJ Division of Endocrinology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. ; Severance Executive Healthcare Clinic, Severance Hospital, Yonsei University Health System, Seoul, Korea. ; Severance Check-up, Severance Hospital, Yonsei University Health System, Seoul, - - 2014
Vitamin D (vit-D) is essential for bone health, although many osteoporosis patients have low levels of 25-hydroxy-vit-D [25(OH)D]. This randomized, open-label study compared the effects of once weekly alendronate 70 mg containing 5600 IU vit-D₃ (ALN/D5600) to alendronate 70 mg without additional vit-D (ALN) on the percent of patients with ...
Shin Jeoung-Sook JS Department of Cardiology, Ajou University School of Medicine, Suwon, - - 2014
Besides poor clinical outcomes, female gender has been known as a high-risk factor for bleeding complications. This study aimed to investigate the impact of gender on clinical outcomes and bleeding complications after transradial coronary intervention (TRI). The Korean TRI registry is a retrospective multicenter registry with 4,890 patients who underwent ...
Allegra Eugenia - - 2014
The purpose of this study was to verify CD44sol levels in the saliva of patients during follow-up after surgery for laryngeal cancer, to compare them with those registered at the time of diagnosis (pre-intervention) in the same patients, and to assess the reliability of the test as a prognostic indicator. ...
Bozgeyik Semsettin S Anesthesiology and Reanimation, Gaziantep University School of Medicine, - - 2014
Shivering, the rate of which in regional anesthesia is 39% is an undesired complication seen postoperatively. This study aims to compare the ability of preventing the shivering of preemptive tramadol and dexmedetomidine during the spinal anesthesia (SA). A total of 90 patients with American Society of Anesthesiologists physical status I-II, ...
Saha P K PK Dr Prodyut Kumar Saha, Associate Professor, Department of Urology, Dhaka Medical College, Dhaka, - - 2014
Transrectal ultrasound (TRUS) guided biopsy of the prostate is the gold standard for detecting prostate cancer. Intraprostatic administration of local anesthesia significantly decreases pain during prostatic biopsy. Transrectal ultrasound guided intraprostatic lidocaine administration along with intrarectally lidocaine gel is a new local anesthesia technique for prostatic biopsy. It was a ...
Chen Wenfeng - - 2014
Background: Peripherally inserted central venous catheters (PICCs) have been increasingly utilized in treating patients in intensive care. The purpose of this study is to analyze the related complications and to evaluate effect of a comprehensive intervention on long-term PICCs. Materials and Methods: We selected 217 and 243 cases before and ...
Bharath Kp K Department of Pedodontics and Preventive Dentistry, Rishiraj College of Dental Sciences, Bhopal, - - 2014
The present study was conducted to compare and evaluate the relative efficacy of enamel microabrasion (using 18% HCl) and bleaching with McInnes solution in the esthetic improvement of fluorosed teeth and to check postoperative sensitivity. Study design: 30 children aged between 9-14yrs with a mild or moderate grade of fluorosis ...
Watkins Tobie J - - 2014
The primary purpose of this investigation was to evaluate postprocedure cognitive function associated with 3 distinct standard sedation regimens used for endoscopic procedures. A secondary aim was to identify complications requiring provider interventions. Subjects scheduled for colonoscopies were approached for enrollment the day of their procedure. A convenience sample of ...
Sobrinho Moises Teixeira MT Hospital das Clinicas, Faculdade de Medicina de Botucatu-SP, Botucatu, SP, - - 2014
The frequency of surgical procedures has increased steadily in recent decades, including the myocardial revascularization. To demonstrate the importance of physiotherapy in the preoperative period of cardiac surgery in relation to the reduction of hospital stay, changes in lung volumes and respiratory muscle strength. We conducted a prospective study with ...
Schlesinger Ilana I Department of Neurology, Technion Faculty of Medicine, Haifa, - - 2014
Background: Motor fluctuations in Parkinson's disease (PD) cause major disabling symptoms. Objective: We aimed to assess the efficacy of relaxation guided imagery in PD patients with motor fluctuation. Methods: In a prospective pilot, case cohort, PD patients underwent (i) a relaxation session with relaxation guided imagery, and (ii) a control ...
Skevas Christos C University Medical-Centre Hamburg-Eppendorf, Department of Ophthalmology, Hamburg, Germany. Electronic address: - - 2014
To analyze the need for surgical intervention in Terson's syndrome (TS) and the rate of TS, as well as the effect of pars plana vitrectomy (PPV) with or without internal limiting membrane (ILM) peeling, complications, correlations between TS and sex, and the influence of the severity of subarachnoid hemorrhage (SAH) ...
Sofu Hakan H Amasya Suluova State Hospital, Hürriyet Mahallesi Hastane Caddesi No: 16, Suluova, Amasya, Turkey, - - 2014
This study aims to analyse the short-term effects of partial meniscectomy on the clinical results of anterior cruciate ligament reconstruction surgery. Clinical outcomes of 19 patients who had partial medial meniscectomy and anterior cruciate ligament reconstruction during the same surgery (Group 1) were compared with the outcomes of 25 patients ...
Yue Chen C Department of Orthopedic Surgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan Province, - - 2014
So far, studies of topical tranexamic acid (TXA) in total hip arthroplasty (THA) were still lacking and controversial. We conducted this randomized double-blind controlled trial which included 101 patients to assess the effect of a high-dose 3g topical TXA in THA. The results showed that 3g topical TXA could significantly ...
Clerveus Michael M Department of Surgery, "La Mancha Centro" General Hospital, Avd. de la Constitución nº 3. 13600, Alcázar de San Juan, Ciudad Real, Spain, - - 2014
Single incision laparoscopic appendectomy (SILA) has been proposed as an alternative to conventional laparoscopic appendectomy (CLA). The aim of this study was to evaluate the safety and efficacy of SILA when compared with CLA through a systematic review. We performed an electronic search of EMBASE, PubMed, MEDLINE, and Cochrane Central ...
Herbold Janet A JA Burke Rehabilitation Hospital, Department of Outcomes and Clinical Research, 785 Mamaroneck Avenue, White Plains, NY 10605; Department of Physical Therapy, Nova Southeastern University, 3200 S, University Drive, Fort Lauderdale, FL 33328. Electronic address: - - 2014
To determine the effects of using a Continuous Passive Motion (CPM) device for individuals with poor range of motion following a total knee replacement (TKR) admitted for post acute rehabilitation. Randomized controlled trial. An inpatient rehabilitation facility (IRF). Adults (n=141) following TKR with initial active knee flexion of less than ...
Iwata Toshio T Department of Anesthesiology, Nara Prefectural Mimuro Hospital, Nara, - - 2014
To improve residual pain management in acute cervical radiculopathy treated with NSAIDs, the feasibility of early and repeated low-dose interscalene brachial plexus block (IS-BPB) needs to be assessed. This was a prospective study on patients receiving NSAIDs (loxoprofen) for cervical radiculopathy of ≤ 2-week onset. Pain was assessed using the ...
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