Search Results
Results 401 - 450 of 3922
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Beeler P E PE Research Center for Medical Informatics, University Hospital Zurich, Zurich, - - 2014
Clinical decision support has the potential to improve prevention of venous thromboembolism (VTE). The purpose of this prospective study was to analyze the effect of electronic reminders on thromboprophylaxis rates in wards to which patients were admitted and transferred. The latter was of particular interest since patient handoffs are considered ...
Chang Won Hyuk WH Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, - - 2014
The brain-derived neurotrophic factor (BDNF) gene often shows a single nucleotide polymorphism that is thought to influence synaptic plasticity. It also affects the modulatory effects of repetitive transcranial magnetic stimulation (rTMS) on motor cortex excitability. This study investigated whether BDNF polymorphism influences the effect of rTMS on the motor recovery ...
Pérez-Granda María Jesús - - 2014
Ventilator-associated pneumonia (VAP) is the most frequent infection in patients admitted to intensive care units.The efficacy of individual measures for the prevention of VAP is well-documented, and data on the impact of implementing bundle measures have usually been reported from studies where several measures are implemented simultaneously in the general ...
Caro-Tarrago A A General and Digestive Surgery Service, Parc Taulí University Hospital, Parc Taulí s/n, 08208, Sabadell, Barcelona, Spain, - - 2014
Our objective was to evaluate the prevention of incisional hernia (IH) during the postoperative period of a midline laparotomy during elective surgery. A controlled, prospective, randomized, and blind study was carried out. The patients in group A (mesh) were fitted with a polypropylene mesh, to reinforce the standard abdominal wall ...
Koca Kutlu Adalet A College of Health Sciences, Celal Bayar University, Manisa, - - 2014
The study was planned as a case-control study to examine the effects of music on some of the complications experienced by chronic renal failure (CRF) patients during hemodialysis. A total of 60 patients (30 intervention and 30 control) diagnosed with end-stage renal failure undergoing hemodialysis treatment participated in this study. ...
Marzelle J J *Department of Vascular Surgery, Hospital Henri Mondor, University Paris XII, Creteil, France †Unité de Recherche Clinique, Innovation et Pharmacologie, CHU Saint Etienne, France and INSERM, CIE3, F-42055 Saint Etienne, - - 2014
To present results and to identify predictive factors of early outcome after fenestrated and/or branched endovascular repair (f/b-EVAR) for complex aortic aneurysms, abdominal (AAA) and thoracoabdominal (TAAA). Feasibility of f/b-EVAR for complex aneurysms is now established, but little is known about which patients will benefit from this technique. Univariate and ...
Magli Adriano - - 2014
The aim of this retrospective study is a long-term evaluation of postoperative motor outcomes and the inferential analysis of strabismus surgery in infant eyes with essential infantile esotropia. 576 patients were compatible with the criteria: confirmed EIE diagnosis, angle >= 30 pD, absence of associated ocular anomalies, onset by 6 ...
Jang Woo Jin WJ Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, - - 2014
Objective: To compare the long-term clinical outcomes of patients treated with 1- versus 2-stent techniques for Medina 0,0,1 type bifurcation lesions. Background: Little is known about clinical outcomes and optimal treatment strategies for Medina 0,0,1 type bifurcation lesions. Methods: A total of 2,897 consecutive patients who underwent percutaneous coronary intervention ...
Ogihara Shigeki S Private practice, Tokyo, - - 2014
Background: Promising clinical outcomes have been reported with the combination of enamel matrix derivative (EMD) and allograft materials. Direct comparison between a freeze-dried bone allograft (FDBA)/EMD and a demineralized freeze-dried bone allograft (DFDBA)/EMD was evaluated in one case series study. To date, no randomized control trial has been reported. Therefore, ...
Wiebe Jens J CardioVascular Center - - 2014
Objective: To evaluate in-hospital and short-term outcomes of percutaneous mitral valve repair according to patients' logistic EuroSCORE (logEuroSCORE) in a multicenter registry. Background: The logEuroSCORE is an established tool to predict the risk of mortality during cardiac surgery. In high-risk patients percutaneous mitral valve repair with the MitraClip system represents ...
Lim Sun Gyo SG Department of Gastroenterology, Ajou University School of Medicine, Suwon, Republic of - - 2014
A conformable self-expandable metallic stent was developed to overcome the limitation of previous self-expandable metallic stents. The aim of this study was to evaluate outcomes after placement of conformable covered and uncovered self-expandable metallic stents for palliation of malignant gastroduodenal obstruction. A single-blind, randomized, parallel-group, prospective study were conducted in ...
Wei Ziran - - 2014
Nutrients such as omega-3 fatty acids including fish oil components eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) suppress the growth and promote apoptosis of tumor cells, improve immune function and reduce the effects of systemic inflammatory response syndrome. We sought to investigate the effect of omega-3 fish oil fat emulsion-based ...
Krychtiuk Konstantin A KA Department of Internal Medicine II-Division of Cardiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria, - - 2014
Atrioventricular (AV) delay optimization improves hemodynamics and clinical parameters in patients treated with cardiac resynchronization therapy and dual-chamber-pacemakers (PM). However, data on optimizing AV delay in patients treated with VDD-PMs are scarce. We, therefore, investigated the acute and chronic effects of AV delay optimization on hemodynamics in patients treated with ...
Boudoulas Konstantinos Dean KD Division of Cardiovascular Medicine, Section of Interventional Cardiology, The Ohio State University Medical Center , Columbus, Ohio , - - 2014
Background: Intra-aortic balloon pump (IABP) use may be associated with complications; however, in certain patients with ST-elevation myocardial infarction (STEMI) with hemodynamic instability refractory to medical management its use may become necessary. Methods: 36 STEMI patients with IABP placement for hemodynamic instability after percutaneous coronary intervention were studied. IABP duration ...
Chaudhry Umar A R UA Department of Surgery and Cancer, St Mary's Hospital, Imperial College London, London, - - 2014
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether off-pump coronary artery bypass grafting (CABG) surgery offered superior long-term outcomes compared with on-pump CABG surgery. Best evidence papers were considered to be those that had a follow-up period of ≥5 ...
Liaska A A Glaucoma Clinic, Department of Ophthalmology, General Hospital of Lamia , Lamia , Greece - - 2014
Abstract Background: To examine the efficacy and safety of combined phaco-trabeculectomy in patients with cataract and controlled, open-angle advanced glaucoma and to identify preoperative predictive factors of postoperative glaucoma course. Setting: Departments of Ophthalmology, University of Athens, and General Hospital of Lamia, Greece. Methods: Prospective, interventional, parallel, cluster (units = examinations), randomized ...
Assuncao Murillo Santucci Cesar MS Department of Critically Ill Patient, Intensive Care Unit, Hospital Israelita Albert Einstein, Av Albert Einstein, 627/701, Sao Paulo (SP), Brazil 05652-000. Electronic address: - - 2014
Severe sepsis is a time-dependent disease, and implementation of early treatment has been associated with mortality rate reduction. However, the literature is controversial regarding cost-effectiveness analysis of this intervention. The aim was to assess the cost-effectiveness of a managed protocol for the treatment of severe sepsis. This is a prospective ...
Hameau S S Groupement de Recherche Clinique et Technologique sur le Handicap (EA 4497), CICIT805, Université de Versailles Saint Quentin en Yvelines, Garches, France - - - 2014
Background: Peak knee flexion during swing phase is frequently reduced following stroke. The main treatment is botulinum toxin injection (BoNT-A) of the Rectus Femoris (RF) muscle. BoNT-A injections have been shown to decrease spasticity (assessed using the modified Ashworth scale) and to improve peak knee flexion during swing phase. Although ...
Warner L L Department of Vascular and Endovascular Surgery, University Hospital of South Manchester - - - 2014
Aims: Endovascular aneurysm repair offers improved perioperative morbidity and mortality compared to open repair, counterbalanced by a higher incidence of graft-related complications and re-interventions. Randomised studies comparing EVAR to open repair are yet to report greater than ten-year outcomes. This study reports the outcomes of patients who underwent EVAR greater ...
Vervloet M M NIVEL, Netherlands Institute for Health Services Research, - - 2014
To investigate short- and long-term effects of real-time monitoring medication use combined with short message service (SMS) reminders for missed doses on refill adherence to oral anti-diabetic medications. A randomized controlled trial with two intervention groups and one control group involving 161 participants with Type 2 diabetes with suboptimal adherence. For ...
Fan Yi-Ling - - 2014
Symptomatic internal carotid artery (ICA) occlusion with hemodynamic impairment remains a dismal disease when untreated. In this prospective, single-center, controlled study, we investigated the feasibility, safety, and long-term outcome of stenting by endovascular recanalization for patients with chronic ICA occlusion. Forty patients with symptomatic chronically occluded ICA were assigned to ...
Otillio Jaime K JK 1Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN, - - 2014
Objective. To determine the effectiveness of a medicolegal lecture on risk-reduction documentation by residents in a pediatric emergency department. Design/Methods. Pediatric residents at an academic children's hospital were offered a 1-hour lecture on reducing medicolegal risks. Residents in attendance made up the intervention group (IG) and nonattendants were the control ...
Loorents Vera V Department of Radiation Oncology, County Council of Östergötland , Linköping , - - 2014
Background. Radiotherapy-induced trismus (RTIT) is a debilitating condition without any proven effective treatment. This study investigates the effectiveness of prophylactic training to prevent RTIT during and up to 12 months after completed RT in patients with head and neck cancer (HNC), also investigating the incidence of RTIT. Methods. Sixty-six consecutive ...
Siracuse Jeffrey J JJ Department of Surgery, New York-Presbyterian Hospital, Columbia University, College of Physicians and Surgeons, New York, NY. Electronic address: - - 2014
Endovascular interventions are increasing; however, there are little data regarding outcomes of complex interventions involving the below-knee popliteal/P3 artery. This study evaluated the short-term and long-term results and predictors of success of below-knee popliteal artery endovascular interventions. This was a retrospective review of a prospectively maintained endovascular lower extremity database ...
Bazan Hernan A HA Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Clinic, New Orleans, La. Electronic address: - - 2014
Retrograde pedal access may allow the treatment of tibial occlusive lesions when standard endovascular techniques fail. We aimed to analyze the outcomes in patients with chronic limb ischemia (Rutherford class IV and V) who were not surgical candidates for a tibial bypass and had undergone an unsuccessful attempt at revascularization ...
Yüce Imdat I Erciyes University Department of Otorhinolaryngology, 38039, Kayseri, - - 2014
Background: The aim is investigating the functionality of autotransplantated thyroid tissues immediately or after cryopreservation in rabbits. Methods: The study was completed with 12 rabbits randomized in two groups. Preoperative scintigraphies were performed for all subjects. The rabbits underwent total thyroidectomy. The first group underwent immediate thyroid autotransplantation. Thyroid tissues ...
Iwakoshi Shinichi S Departments of Radiology (S.Iw., S.Ic., W.H., H.I., S.S., H.U., - - 2014
To present 10-year outcomes and risk factors for sac enlargement after endovascular aneurysm repair (EVAR) using the Zenith AAA Endovascular Graft (Cook, Inc, Bloomington, Indiana) in a Japanese population. During the period 1999-2011, 127 patients underwent elective EVAR using Zenith endografts at a single institution. A retrospective investigation looked at ...
Garatti Andrea A Department of Cardiovascular Disease 'E. Malan', Cardiac Surgery Unit, IRCCS Policlinico S. Donato, San Donato Milanese, Milan, - - 2014
The aim of the study was to analyse the early and long-term outcomes of a consecutive series of patients who underwent sequential coronary artery bypass grafting (CABG) and to compare them with a matched population of totally arterial revascularized patients. From January 1994 to December 1996, 209 patients underwent total ...
Jabbour Jad J Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, - - 2014
IMPORTANCE The clinical course and outcomes of pediatric vocal fold immobility (VFI) vary widely in the literature, and follow-up in these patients varies accordingly. A better understanding of the natural history of pediatric VFI is crucial to improved management. OBJECTIVE To characterize the natural history of pediatric VFI, including symptoms ...
Barbash Israel M IM Interventional Cardiology, MedStar Washington Hospital Center, Washington, - - 2014
Our study aimed to assess the characteristics and outcomes of transfemoral approach (TFA) versus the initial steps of a transradial approach (TRA) program and to assess the learning curve of TRA in contemporary, US practice. When compared to TFA, TRA has been shown to lower bleeding and vascular complications during ...
Lee Sue-Young SY Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 103 Daehangno, Jongno-gu, Seoul, 110-744, - - 2014
Minimizing hemodynamic changes during the peri-intubation period is a concern for anesthesiologists. We investigated the effect of lidocaine sprayed on the laryngoscope blade and trachea on hemodynamics during direct laryngoscopic intubation. Seventy-two patients were randomly allocated to one of four groups: 10 % lidocaine was sprayed either on the laryngoscope blade ...
Lecouflet Marie M Department of Dermatology, Le Mans Hospital. Electronic address: - - 2014
Intradermal injections of botulinum toxin are effective but transitory in primary palmar hyperhidrosis. These injections are repeated when the symptoms recur. We do not know how the duration of efficacy changes when injections are repeated. In this retrospective study, we aimed to investigate the change in the duration of efficacy ...
Vlachadis Castles Anastasia A Cardiology Department, The Northern Hospital, Epping, Victoria, Australia; Radiology Department, The Northern Hospital, Epping, Victoria, Australia. Electronic address: - - 2014
Use of the radial approach for coronary angiography and percutaneous coronary intervention (PCI) is known to improve many patient outcome measures. However, there is some concern that it may be associated with increased patient radiation exposure. This study explores radiation exposure with the radial approach compared with the femoral approach ...
Barber Matthew D MD Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, - - 2014
More than 300,000 surgeries are performed annually in the United States for pelvic organ prolapse. Sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (ULS) are commonly performed transvaginal surgeries to correct apical prolapse. Little is known about their comparative efficacy and safety, and it is unknown whether perioperative behavioral therapy ...
McClintic Scott M SM University of California, San Francisco, San Francisco, CA, 94143, United - - 2014
Purpose: To describe the change in visual acuity experienced by eyes successfully treated for bacterial keratitis. Methods: This was a prospective cohort study of a subset of study participants who had previously enrolled in the Steroids for Corneal Ulcers Trial (SCUT). All study participants had been diagnosed with culture-proven bacterial ...
Subak Leslee L LL University of California, San Francisco, Department of Obstetrics, Gynecology & Reproductive Sciences, Epidemiology & Biostatistics, and Urology, San Francisco, CA; San Francisco Veterans Affairs Medical Center, San Francisco, CA. Electronic address: - - 2014
To estimate the effect of Burch and fascial sling surgery on out-of-pocket urinary incontinence (UI) management costs at 24 months post-operatively and identify predictors of change in cost among women enrolled in a randomized trial comparing these procedures. Resources used for UI management (supplies, laundry, dry cleaning) were self-reported by ...
Hamon Martial M University of Caen, France; INSERM U 744, Lille, France. Electronic address: - - 2014
The prospective EUROVISION Registry was designed to capture patterns of use and short term outcomes in consecutive patients undergoing PCI with bivalirudin (BIV) in European centres. A total of 2018 consecutive BIV-treated patients were included from 58 sites in 5 countries (Germany, Italy, France, Austria, United Kingdom). In-hospital and 30-day ...
Guirgis Faheem W FW From the *Department of Emergency Medicine, and †Director of Critical Care Nursing, University of Florida and Shands Jacksonville Medical Center, Jacksonville, - - 2014
At our institution, we observed an increase in opioid-related adverse events after instituting a new pain treatment protocol. To prevent this, we programmed the Omnicell drug dispensing system to page the RRT whenever naloxone was withdrawn on the general wards. Retrospective review of a prospectively collected database with a before ...
Lopatto J J School of Population Health, Thomas Jefferson University, Philadelphia, PA, - - 2014
Although quality improvement initiatives targeting physician practice patterns have been effective, evidence is lacking on their long-term sustainability. We previously demonstrated the success of a population-wide, physician-focused quality improvement intervention targeting potentially inappropriate prescribing (PIP) in an aged population of the Local Health Authority (LHA) of Parma, Italy. We sought ...
Manoly Imthiaz I Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, - - 2014
Video-assisted thoracoscopic surgery (VATS) for thymoma has uncertain safety and effectiveness in comparison with trans-sternal resection. This feasibility study compared short- and mid-term outcomes for patients undergoing these two procedures, highlights weaknesses in current research and makes recommendations for long-term technological evaluations in this field. Consecutive thymoma cases between 2004 ...
Hassani Valiollah V Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran ; Department of Anesthesiology, Rasoul Akram Medical Center, Iran University of Medical Sciences, Tehran, - - 2014
The addition of intrathecal opioids to local anesthetics seems to improve the quality of analgesia and prolong the duration of analgesia, when using a subarachnoid block in Iranian patients with their specific pain tolerance. The aim of this study was to evaluate the effects of adding fentanyl or sufentanil, to ...
Führer-Valdivia A A Universidad de los Andes, Facultad de Odontología, Monseñor Álvaro del Portillo N 12.455, Las Condes, Santiago, Chile, - - 2014
Objective: Evaluate the effect on the application of low level laser therapy, in patients that have been previously intervened with a sagittal ramus split osteotomy and present neurosensory impairment due to this surgery, compared with placebo. Study Design: This preliminary study is a randomized clinical trial, with an experimental group ...
Santo Vincent J VJ Department of Surgery, Oregon Health and Science University, Portland, Ore. Electronic address: - - 2014
It has been reported that a failed endovascular intervention adversely affects results of lower extremity bypass (LEB). We reviewed rates of prior endovascular intervention (PEI) in patients undergoing LEB with autologous vein for critical limb ischemia (CLI) to determine effects on graft patency, limb salvage, and amputation-free survival. Retrospective review ...
Sevestre Marie-Antoinette MA Department of Vascular Medicine, South Hospital, Amiens, - - 2014
Restenosis is a limitation of endovascular interventions performed in the superficial femoral artery (SFA). Preclinical studies have demonstrated that the perivascular delivery of tissue-engineered allogeneic aortic endothelial cells (PVS-10200) reduced stenosis in porcine models of SFA revascularization. The purpose of this study was to investigate the safety and feasibility of ...
Deshaies Eric M EM Departments of - - 2014
Object There is limited information regarding patient outcomes following interventions for stroke during the window for endovascular therapy. Studies have suggested that recently approved stent retrievers are safer and more effective than earlier-generation thrombectomy devices. The authors compared cases in which the Solitaire-FR device was used to those in which ...
van Adrichem Edwin J EJ Department of Rehabilitation Medicine, University of Groningen, University Medical Centre Groningen (UMCG), Groningen, The - - 2014
Postoperative pulmonary complications (PPCs) are the most commonly reported complications after esophagectomy. The aim of this study was to examine the effect and feasibility of preoperative inspiratory muscle training-high intensity (IMT-HI), and IMT-endurance (IMT-E) on the incidence of PPCs in patients following esophagectomy for esophageal cancer (EC). A single-blind, randomized, ...
Wei Yi Hsuan YH Department of Ophthalmology, National Taiwan University Hospital, 7, Chung Shan South Rd, Taipei, - - 2014
To report the efficacy of a full-thickness skin graft (FTSG) for the reconstruction of a contracted eye socket. A retrospective, non-comparative, interventional case series. This was a retrospective review of patients with a contracted eye socket who underwent socket reconstruction using a post-auricular FTSG from 2001 to 2011 at the ...
Nohuz Erdogan E Department of Obstetrics and Gynecology, General Hospital of Thiers, Route du Fau, 63300, Thiers, France, - - 2014
Polypropylene (PP) mesh shrinkage represents a serious complication, as a significant cause of pain and recurrence of pelvic organ prolapse or ventral hernias, frequently requiring several surgical interventions. The retraction seems to be caused by the host, in response to the implantation, through the occurrence of periprosthetic adhesions and fibrosis. ...
Jones Nicole - - 2014
Abstract Purpose. Several field triage systems have been developed to rapidly sort patients following a mass casualty incident (MCI). JumpSTART (Simple Triage and Rapid Transport) is a pediatric-specific MCI triage system. SALT (Sort, Assess, Lifesaving interventions, Treat/Transport) has been proposed as a new national standard for MCI triage for both ...
Ormerod Julian O M JO Wiltshire Cardiac Centre, Great Western Hospital, Swindon SN3 6BB, - - 2014
Preliminary study to assess the risk profile and outcomes of patients aged over 90years at the time of percutaneous coronary intervention. A database search was performed to identify patients 90years or over at the time of percutaneous coronary intervention. Risk profile scores (Charlson Comorbidity Index, SYNTAX, Logistic clinical SYNTAX, New ...
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