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Results 301 - 350 of 7913
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Cennamo Vincenzo - - 2012
BACKGROUND: The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity model, and its Portsmouth and colorectal modifications are used to predict postoperative mortality and morbidity after colorectal surgery. AIMS: To compare stent placement as a bridge to surgery vs. emergency surgical resection in patients with acute ...
Cheng Ching-Hsiao - - 2012
Object Gamma Knife surgery (GKS) has emerged as the treatment of choice for small- to medium-sized cerebral arteriovenous malformations (AVMs) in deep locations. The present study aims to investigate the outcomes of GKS for AVMs in the basal ganglia and thalamus. Methods Between 1989 and 2007, 85 patients with AVMs ...
Cillóniz Catia - - 2012
The purpose of this study was to establish the microbial aetiology and outcomes of patients with community-acquired pneumonia (CAP) treated as outpatients after presenting to a hospital emergency care unit. A prospective observational study was carried out in the Hospital Clinic of Barcelona (Barcelona, Spain). All consecutive cases of CAP ...
Norris J H - - 2012
To investigate the effect of orbital decompression surgery in thyroid orbitopathy (TO) on both refractive status and intraocular pressure (IOP). A prospective, multicentre, consecutive audit of patients undergoing thyroid decompression surgery. Indications for surgery included cosmetically unacceptable proptosis or corneal exposure. Exclusion criteria included the following: previous orbital surgery, glaucoma, ...
Pasquali Sara K - - 2012
Recent studies suggest adverse events associated with aprotinin in adults may not occur in children, and there is interest in further pediatric study of aprotinin. However, there are limited contemporary data comparing aprotinin with other available antifibrinolytics (aminocaproic acid [ACA] and tranexamic acid [TXA]) to guide current practice and aid ...
Elkassabany Nabil N Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA. - - 2012
The aim of this study was to describe anesthetic management and perioperative complications in patients undergoing pulmonary vein isolation for the treatment of atrial fibrillation under general anesthesia using high-frequency jet ventilation. The authors also identified variables associated with longer ablation times in this patient cohort. A retrospective observational study. ...
Fuehner Thomas T Department of Respiratory Medicine, Hannover Medical School, Hannover, - - 2012
The use of extracorporeal membrane oxygenation (ECMO) in patients who are awake and spontaneously breathing may represent a novel bridging strategy toward lung transplantation (LuTx). To evaluate the outcomes of patients treated with the "awake ECMO" concept as bridge to transplantation. We performed a retrospective, single-center, intention-to-treat analysis of consecutive ...
von Delius S - - 2012
Introduction: Bispectral index (BIS) monitoring provides a non-invasive measure of the level of sedation. The purpose of this randomized, single-blind clinical trial was to evaluate whether BIS monitoring of sedation would lead to improved oxygenation and a reduced rate of cardiopulmonary complications during endoscopy. Patients and methods: Patients undergoing endoscopic ...
Preiss Marek - - 2012
Background and purpose. This prospective study investigated whether surgery or endovascular treatment for unruptured intracranial aneurysms (UIAs) affects cognitive functions. Methods. Four neuropsychological variables from an Auditory Verbal Learning Test (overall capacity of verbal memory and delayed recall) and a Trail Making Test (psychomotor speed and cognitive flexibility) were investigated ...
Lakhdar-Idrissi Mounia - - 2012
INTRODUCTION:: Esophageal strictures in children are serious and require specialized care. Peptic stricture is most common in our context, caustic and congenital strictures are rare. OBJECTIVE:: This study reports our experience in esophageal endoscopic dilation while specifying the causes of esophageal strictures as well as their response to endoscopic treatment. ...
Denard Patrick J - - 2012
PURPOSE: The purpose of this study was to determine the long-term functional outcome of anatomic arthroscopic repair of type II SLAP lesions with suture anchors. METHODS: We examined all arthroscopic repairs of isolated type II SLAP lesions from January 2002 through December 2007. Fifty-five patients were available for long-term follow-up ...
Borsato Garry W - - 2012
PURPOSE: To determine the safety and outcomes of performing endovascular interventions across pacemaker (PM) lead-related central vein stenosis/occlusion. MATERIALS AND METHODS: Clinical and imaging records from April 2002 to August 2010 were reviewed for patients presenting with clinically significant central venous stenosis or central venous obstruction with indwelling PM leads ...
Ronellenfitsch Ulrich - - 2012
BACKGROUND: Bariatric surgery demands a multidisciplinary approach and enhanced recovery schemes. Such schemes are complex and cumbersome to introduce into practice. This study evaluates if a clinical pathway (CP) facilitates implementation of an enhanced recovery scheme in bariatric surgery with the goal of improving perioperative quality of care. METHODS: We ...
Wylde Vikki - - 2012
Background: currently, assessment of outcomes after joint replacement is predominantly centred on impairment and activity limitation (e.g. walking), with little consideration of participation restriction.Method: structured telephone interviews about participation in leisure activities were conducted with 56 total hip replacement (THR) and 60 total knee replacement (TKR) patients before and 1 ...
Mieog J Sven D - - 2012
BACKGROUND: Aromatase inhibitors are more effective than is tamoxifen in prevention of breast-cancer recurrence, but at the expense of increased musculoskeletal side-effects, such as carpal tunnel syndrome. The aim of this study was to assess risk factors and the prognostic value of musculoskeletal symptoms during treatment with the steroidal aromatase ...
Jeon P - - 2012
BACKGROUND AND PURPOSE:Fusiform aneurysms and ultrawide-neck circumferential aneurysms are still some of the most challenging lesions. The aim of this study was to investigate the efficacy and feasibility of the use of multiple overlapping Enterprise stents with coiling for the treatment of fusiform or ultrawide-neck circumferential aneurysms.MATERIALS AND METHODS:Twelve consecutive ...
Günebakmaz Ozgür - - 2012
BACKGROUND: An experimental study showed that nebivolol is an effective agent in contrast-induced nephropathy (CIN) prophylaxis. HYPOTHESIS: We hypothesized that prophylactic nebivolol use had protective effects on renal function in human beings subjected to iodinated contrast agent since it has vasodilatory effect and antioxidant properties. METHODS: The present study enrolled ...
Matute María-Consuelo - - 2012
Background: Information is scare regarding the safety of intravenous thrombolysis in patients under anticoagulant treatment, given that this is an exclusion criterion in clinical trials. We analyzed the risk of hemorrhagic complications following thrombolysis in patients under treatment with low-molecular-weight heparins (LMWH) and oral anticoagulants (OA). Methods: In a multicentered ...
Rayar Michel - - 2012
BACKGROUND: Delayed gastric emptying (DGE) is a common complication following pancreaticoduodenectomy (PD). Our retrospective study aimed to evaluate the influence of enteral nutrition (EN) on DGE incidence after standard PD with antrectomy and Child reconstruction. METHODS: We retrospectively analyzed 275 consecutive patients who underwent standard PD between January 2000 and ...
Baker Joseph F - - 2012
OBJECTIVE: Hyaluronic acid (HA) is a naturally occurring substance within normal synovial joints. Although its efficacy in treating osteoarthritis has been evaluated, it has not been established whether it is of benefit after routine arthroscopic procedures. We hypothesized that immediate supplementation with HA after completion of arthroscopy would result in ...
Kahokehr Arman - - 2012
BACKGROUND: Fatigue is one of the main complaints after surgery and may last longer than physical symptoms. It prevents return to normal function and activity. Relaxation interventions, performed prior to abdominal surgery, have been shown to reduce pain, wound erythema, and systemic cortisol levels. However, there is a lack of ...
Malde Sachin - - 2012
Purpose: The 80-W potassium-titanyl-phosphate (KTP) laser photoselective vaporisation of the prostate (PVP) is a minimally-invasive surgical option for patients with symptomatic BPH, although evidence of long-term efficacy is limited. We present the long-term outcomes from a heterogeneous patient population. Patients and methods: We prospectively collected data for all patients who ...
Becattini Cecilia - - 2012
Heparin, fondaparinux and vitamin K antagonists (VKAs) are effective for the prevention and treatment of venous thromboembolism. VKAs reduce by almost 60% the rate of cardioembolic complications in patients with atrial fibrillation. The risk for bleeding and the inconvenience for laboratory monitoring, dose adjustment and drug or food interactions are ...
Chowdhury Muhibbur - - 2012
BackgroundTelemedicine is increasingly used in the UK to deliver thrombolysis. It is primarily used to enable assessment of people presenting with an acute stroke by a remote specialist in stroke care, and to determine eligibility for thrombolysis with alteplase (recombinant tissue plasminogen activator). This study aims to evaluate the process ...
Renesto Adimara da Candelaria - - 2012
PURPOSE: To report refractive, topographic, pachymetric, tonometric, and corneal biomechanical outcomes 24 months after corneal cross-linking (CXL), followed by insertion of intrastromal corneal ring segments (ICRS) in keratoconic eyes. DESIGN: Prospective randomized clinical trial. METHODS: settings: Institutional. Study population: Thirty-nine eyes of 31 patients, allocated into 2 groups. Intervention: Patients ...
McDermott Colleen D - - 2012
BACKGROUND: Obesity is a risk factor for female pelvic floor disorders. The study objective was to determine whether there was a difference in the subjective reporting of pelvic symptoms before and after bariatric surgery. METHODS: This was a prospective cohort study of female patients that underwent bariatric surgery. Patients completed ...
Cho Kyung-Hee - - 2012
Background: A substantial number of acute stroke patients do not respond immediately to aggressive intra-arterial (IA) recanalization therapy. The factors and outcomes associated with timing of recanalization after IA thrombolysis, however, have not yet been determined. Methods: Factors and outcomes in 75 acute ischemic stroke patients treated with IA urokinase ...
Agostini Aubert - - 2012
BACKGROUND: The study was conducted to evaluate the effectiveness of oxygen/nitrous oxide (O(2)/NO(2)) in elective abortions by vacuum aspiration with paracervical block and intravenous paracetamol. DESIGN: This single-center double-blinded randomized study tested O(2)/NO(2) (n=36) and placebo (air, n=36) for additional analgesia in elective abortions with paracervical block and intravenous paracetamol. ...
Andreetti Claudio - - 2012
The aim of the study was to assess the feasibility, efficacy and safety of the use of a conical self-expandable stent for the treatment of post-pneumonectomy bronchopleural fistula (PPBPF). Between April 2008 and November 2010, six patients underwent treatment for the PPBPF by the introduction of a tracheobronchial conical fully ...
Yeung Eric - - 2012
Alumina ceramic-on-ceramic bearings have gained popularity in hip arthroplasty because of their properties of low wear and chemical inertness. In a previous study, we reported the excellent clinical results in a series of cementless ceramic-on-ceramic primary total hip arthroplasties at a minimum of five years of follow-up. The purpose of ...
Franchini M - - 2012
Summary.  In the last three decades there have been dramatic improvements in the availability and quality of treatment for people with inherited coagulation disorders. Indeed, the improvement of methods of purification and viral inactivation for plasma-derived coagulation factor concentrates first and then the development of products utilizing recombinant DNA technology ...
Manestar D - - 2012
Objectives:  To determine minimum airflow rate required for olfactory stimulation in successfully rehabilitated laryngectomised patients after learning the polite yawning technique (PYT) and to confirm the hypothesis that sense of smell is rehabilitated once the nasal airflow is re-established. Study design:  Prospective open interventional trial. Setting:  Tertiary academic hospital. Participants:  ...
Tillema Jan-Mendelt - - 2012
OBJECTIVE:Diffusion tensor imaging (DTI) analysis was performed on patients with tuberous sclerosis complex (TSC) to investigate potential changes in normal-appearing white matter after treatment with everolimus, a mammalian target of rapamycin (mTOR) inhibitor. METHODS:Recently, a phase I/II trial of everolimus demonstrated significant reductions in subependymal giant cell astrocytoma (SEGA) volume ...
Warkentin A E - - 2012
Background: Warfarin and aspirin (ASA) are the most commonly used anticoagulant and antiplatelet drugs in the treatment of cardiovascular disease. Objectives: To provide a pooled estimate of the bleeding risk from randomized controlled trials (RCTs) comparing warfarin and ASA at the dose ranges recommended in evidence-based guidelines. Patients/Methods: Ovid MEDLINE, ...
Menzin J - - 2012
Background: Delayed correction of blood clotting times as measured by the international normalized ratio (INR) is associated with adverse outcomes among certain patients with warfarin-related major bleeding. However, there are limited data on the association between INR correction and mortality. Objective: This study assessed factors associated with 30 day mortality ...
Pereira-Correia João Antonio - - 2012
Study Type - Therapy (RCT) Level of Evidence 1b What's known on the subject? and What does the study add? Photovaporization of the prostate (PVP) is now challenging TURP as the standard treatment for lower LUTS caused by BPH. The learning curve for PVP is short and the main advantages of ...
Petilon Julio M - - 2012
ABSTRACT: Study Design. Propensity-matched case control study.Objective. To evaluate the two year clinical outcomes of patients that have undergone instrumented spinal fusions complicated by deep wound infections and compare them to a propensity-matched control group who did not have infectionsSummary of Background Data. Postoperative infection following instrumented spinal fusion is ...
Samdani Amer F - - 2012
Study Design. Prospective, longitudinal cohort (non-randomized).Objective. To compare thoracoplasty (Th), direct vertebral body derotation (DVBD), and Th/DVBD with respect to correction of the rib prominence and SRS self-image scores in patients undergoing surgery for adolescent idiopathic scoliosis (AIS).Summary of Background Data. Rib prominence correction is one of the main goals ...
Januel Jean-Marie - - 2012
Symptomatic venous thromboembolism (VTE) after total or partial knee arthroplasty (TPKA) and after total or partial hip arthroplasty (TPHA) are proposed patient safety indicators, but its incidence prior to discharge is not defined. To establish a literature-based estimate of symptomatic VTE event rates prior to hospital discharge in patients undergoing ...
Vergez Sebastien - - 2012
Objectives. Compare the survival and the complication rates of 2 comparable groups of patients who underwent either endoscopic or transfacial resection of a sinonasal adenocarcinoma.Study Design. Historical cohort study.Setting. Tertiary referral center.Subjects and Methods. Twenty-four patients with sinonasal adenocarcinomas who recently underwent an endoscopy (the ENDO group, 1999-2009) were compared ...
Rice Robert S - - 2012
PURPOSE: The purpose of this study was to determine the optimal decision between autograft and allograft for patients undergoing anterior cruciate ligament (ACL) reconstruction. METHODS: An expected-value decision analysis with sensitivity analysis was performed to systematically quantify the clinical decision. We evaluated 100 randomly selected individuals aged 16 to 70 ...
Dreher Thomas - - 2012
Hamstring lengthening commonly is performed for the treatment of flexed knee gait in patients with spastic diplegic cerebral palsy. Satisfactory short-term results after hamstring lengthening have been demonstrated in various studies. However, evidence for the effectiveness of hamstring lengthening to correct flexed knee gait is scant because of small and ...
Gokce Mehmet Ilker - - 2012
OBJECTIVES: Erectile dysfunction (ED) is a common problem for elderly males. Higher serum lipid levels have important role in the pathogenesis, and in this prospective randomized trial, it is aimed to identify the effect of atorvastatin on erectile functions in comparison with regular tadalafil use. MATERIALS AND METHODS: 120 patients ...
Picelli Alessandro - - 2012
BACKGROUND: Gait impairment is a common cause of disability in Parkinson disease (PD). Electromechanical devices to assist stepping have been suggested as a potential intervention. OBJECTIVE: To evaluate whether a rehabilitation program of robot-assisted gait training (RAGT) is more effective than conventional physiotherapy to improve walking. METHODS: A total of ...
Kume Teruyoshi - - 2012
Background: The clinical impact of stent edge dissection, tissue protrusion, and incomplete stent apposition (ISA) after stent implantation, detectable only on optical coherence tomography (OCT), is still unknown because the natural course has not been investigated. Methods and Results: All consecutive patients with angina pectoris in whom both intravascular ultrasound ...
Jung Kwang-Hwan - - 2012
PURPOSE: The purpose was to analyze the association between posterior tibial slope (PTS) and mucoid degeneration of the anterior cruciate ligament (ACL). METHODS: From October 1999 to May 2010, 84 arthroscopies were performed in 82 patients (18 men and 64 women) with mucoid degeneration of the ACL. The mean patient ...
Mangat Harshdeep Singh - - 2012
Objective. To describe a series of children diagnosed with type I congenital laryngeal clefts (LC-I) and treated, due to various presentations, with endoscopic injection augmentation (IA).Study Design. Case series with chart review.Setting. Tertiary care academic children's hospital in Edmonton, Canada.Subjects. All pediatric patients diagnosed with LC-I and treated with IA ...
Pennekamp C W A - - 2012
OBJECTIVES: To determine the diagnostic value for predicting cerebral hyperperfusion syndrome (CHS) by adding a transcranial Doppler (TCD) measurement in the early postoperative phase after carotid endarterectomy (CEA). DESIGN: Patients who underwent carotid endarterectomy between January 2004 and August 2010 and in whom both intra- and postoperative TCD monitoring were ...
Christman Matthew S - - 2012
PURPOSE: We determined the efficacy and potential complications of endoscopic incision and balloon dilation with double stenting for the treatment of primary obstructive megaureter in children. MATERIALS AND METHODS: We prospectively reviewed cases of primary obstructive megaureter requiring repair due to pyelonephritis, renal calculi and/or loss of renal function. A ...
Vasapollo Barbara - - 2012
Background. Complications in early onset mild gestational hypertension (GH) are predicted by Total Peripheral Vascular Resistance (TPVR)>1350 dyne more than by blood pressure levels. We therefore assessed the possible reduction of severe complications lowering TPVR with NO donors, oral fluids and standard antihypertensive therapy in women with early onset mild ...
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