We retrospectively reviewed 20 patients (21 elbows) after arthroscopic debridement and capsulectomy of the elbow for primary osteoarthritis. We aimed to see if there was an improvement in pain, function, and range of movement in the medium-term. Outcomes of 20 patients (18 men, 2 women) with primary osteoarthritis of the ...

Objectives: The purpose of this study was to identify the relationship between angiographic patterns of restenosis and outcomes after endovascular treatment of femoro-popliteal in-stent restenosis (FP-ISR). Background: ISR is a frequent clinical problem after femoro-popliteal stenting. Methods: This was a single center study of all endovascular interventions for FP-ISR from ...

OBJECTIVE: We analysed long-term results of percutaneous mitral commissurotomy (PMC) performed because of mitral restenosis after previous commissurotomy. DESIGN: Follow-up of a prospective cohort. SETTING: Tertiary university hospital. PATIENTS: We studied 163 consecutive patients who underwent PMC because of restenosis occurring 16±8 years after previous commissurotomy (closed-heart in 121, open-heart ...

BACKGROUND: The association between postoperative hyponatremia (Na < 135 mEq/L) and outcomes after cardiac surgery has not been established. We studied the prevalence of postoperative hyponatremia and its effects on outcomes after cardiac surgery. STUDY DESIGN: We studied 4,850 patients who underwent cardiac surgery from 2002 to 2008. We used ...

BACKGROUND: A newly developed collagen matrix (CM) of porcine origin has been shown to represent a potential alternative to palatal connective tissue grafts (CTG) for the treatment of single Miller Class I and II gingival recessions when used in conjunction with a coronally advanced flap (CAF). However, at present it ...

In this study, postoperative pain and anxiety level of the patients who were scheduled for spinal anesthesia (SA) and remained awake during the operation and patients who were scheduled for general anesthesia (GA) and were asleep during the operation were assessed. Thirty-six patients who underwent total knee arthroplasty in our ...

BACKGROUND: Carotid plaque echolucency as detected by Color Doppler ultrasonography (CDUS) has been used as a potential marker of plaque vulnerability. However, contrast-enhanced ultrasound (CEUS) has recently been shown to be a valuable method to evaluate the vulnerability and neovascularization within carotid atherosclerotic plaques. The aim of this study was ...

BACKGROUND: Lower urinary tract (LUT) discomfort is a common complaint after transurethral resection of the prostate (TURP), and it may lead to agitation and restlessnes. We have evaluated the efficacy of morphine for preventing TURP-related LUT discomfort symptoms. METHODS: This was a prospective randomised study including 60 patients (American Society ...

AIMS: The aim of the present study was to investigate 1 year clinical and functional efficacy of percutaneous mitral valve (MV) repair using MitraClip™ in high-risk surgical patients with symptomatic severe MV regurgitation (MR) and reduced LVEF. METHODS AND RESULTS: Between September 2009 and November 2011, 59 patients with reduced ...

AIMS: This study was designed to evaluate a new NT-proBNP monitoring concept in outpatients with systolic heart failure (HF). METHODS AND RESULTS: This was a multicentre, prospective randomized open-label blinded endpoint study. A total of 407 systolic HF patients were allocated to either clinical management (n = 208) or clinical ...

BACKGROUND: We aimed to assess whether echocardiographically-optimised atrioventricular (AV) and interventricular (VV) delay programming provided any additional benefit over standard settings following biventricular pacemaker implantation in patients with advanced heart failure. METHODS: Paired data were collected on 22 patients (aged 67.5±8.3 years, 16 male) with refractory heart failure, NYHA class ...

Objective: To investigate the occlusal configurations of the hyperdivergent skeletal Class II malocclusion and their alterations during the camouflaging treatment in an attempt to identify occlusal changes that might be related to mandibular counterclockwise rotation. Materials and Methods: Cephalograms of 126 subjects with hyperdivergent skeletal Class II malocclusion and 126 ...

The combination of osseous graft with barrier membrane and enamel matrix protein derivative (EMD) has the potential to result in a synergistic effect. Therefore, the aim of this study was to evaluate the effectiveness of EMD in combination with demineralized freeze-dried bone allograft (BG) and bioresorbable membrane (Biomesh) in the ...

To clinically evaluate proximal furcations treated with hydroxyapatite/β-tricalcium phosphate (HA/β-TCP) isolated or combined with enamel matrix derivative (EMD). Thirty patients, presenting at least one proximal class II furcation defect, probing pocket depth (PPD) ≥5 mm and bleeding on probing, were included. The defects were assigned to the HA/β-TCP group (n = 15); open-flap ...

Objectives:  To bring a neonatal classification system of unilateral cleft lip and palate (UCLP) and to correlate this classification with the distribution of the primary lateral incisor. Design:  Retrospective with longitudinal follow-up. Setting:  Tertiary. Patients:  One hundred twenty-one patients with treated UCLP. Thirteen plaster casts were used as controls. Main ...

The most effective approaches to escalating advanced therapies in pulmonary arterial hypertension (PAH) are controversial. To compare outcomes before and after introducing a target 6 min walk distance (6MWD) treatment strategy in PAH using registry data. From 2001 to 2005, WHO class II to IV patients were treated with bosentan ...

The purpose of this study was to investigate, through cone beam computed tomography, volumetric changes to the upper airway space in patients with skeletal class III skeletal deformities who had undergone mandibular setback surgery (group A [n = 24]) or bimaxillary surgery (mandibular setback surgery and maxillary setback Le Fort ...

This study aimed to evaluate the efficacy and safety of entecavir and/or tenofovir in compensated (CC) or decompensated (DC) hepatitis B cirrhotic patients in real-life clinical practice. Of the 48 patients, included between April 2007 and March 2010, 12 were DC. The mean age was 55 ± 12.2 years, 85.4% ...

The purpose of this study was to investigate differences in preoperative decompensation and postoperative compensation of the maxillary incisors in patients with skeletal Class III malocclusion treated with 2-jaw surgery and extraction or nonextraction of the maxillary first premolars. The subjects consisted of 50 skeletal Class III patients who had ...

Osteogenesis imperfecta is a heritable disorder affecting bone and tooth development. Malocclusion is frequent in those affected by osteogenesis imperfecta, but this has not been studied in detail. The purpose of this study was to describe and quantify the severity of malocclusions in patients with osteogenesis imperfecta. Articulated dental casts ...

Pyrethroid insecticides are generally regarded as acutely toxic to predatory phytoseiid mites; however, persistence of hull split spray pyrethroid residues on almond trees and their effects on phytoseiids have not been quantified over time. Hull split, the separation of the almond hull along the suture, exposes the new crop nuts ...

BACKGROUND: We previously found no reduction in heterotopic ossification (HO) rates after acetabular surgery with indomethacin compared with a placebo. We subsequently abandoned routine indomethacin therapy after acetabular surgery but questioned whether the incidence had changed using a posterior approach. QUESTIONS/PURPOSES: We therefore determined (1) the incidence of HO after ...

BACKGROUND: Surgical ventricular restoration (SVR) has been applied as a valuable adjunct procedure for patients undergoing coronary artery bypass grafting (CABG) to correct the geometry of the left ventricle on the basis of myocardial revascularization. It is necessary to find out at least which patient cohort is more likely to ...

OBJECTIVE: To evaluate the outcomes following recombinant activated Factor VII (rFVIIa) use during abdominal aortic aneurysms (AAA) repair. DESIGN: AAA patients were selected from the Australian and New Zealand Haemostasis Registry (ANZHR) who received off-licence rFVIIa to control critical bleeding. METHODS: Patient characteristics and outcomes were compared between responders (bleeding ...

Two decades after surgery for transposition of the great arteries, the clinical status, cardiac function, cardiorespiratory performance, and neurohormonal activity of patients who underwent either atrial switch (Mustard) operations or arterial switch operations (ASOs) were compared. Sixty-two patients with simple transposition of the great arteries who underwent either Mustard (n = ...

Object The middle cranial fossa (MCF) approach is a microsurgical technique described as a primary option in the treatment of small, intracanalicular schwannomas involving the eighth cranial nerve. Excellent rates of complete tumor resection, hearing preservation, preservation of facial nerve function, and low complication rates have been reproduced using this ...

The relationship between contralateral hip arthritis and co-morbid medical conditions that affect a patient's ability to walk, and outcome following total hip arthroplasty (THA) is not fully understood. We investigated this relationship in a prospective, multi-centre study. 1497 hips (1428 patients) were recruited. At five years follow-up there was complete ...

BACKGROUND: Chronic drug interactions that exist between symptomatic congestive heart failure (CHF) therapy and pharmacologic agents used for hyperuricemia and gout are a challenging problem in clinical practice. Recent observational studies showed that prednisone can induce a potent diuresis and lower serum uric acid concentration (SUA) in CHF. We therefore ...

PURPOSE: To evaluate the impact of prophylactic use of dexamethasone and scopolamine on analgesic and antiemetic agent requirements after transarterial chemoembolization. MATERIALS AND METHODS: A total of 148 patients underwent 316 rounds of chemoembolization for hepatocellular carcinoma at a single institution over a 17-month period. Patient charts were retrospectively reviewed ...

BACKGROUND: An enlarged left atrium (LA) is a major risk factor for atrial fibrillation (AF) recurrence after a maze operation. METHODS: Between 2000 and 2009, 35 patients underwent circumferential left atrium resection (CLAR), during mitral valve surgery. All patients had continuous AF. RESULTS: Hospital mortalities occurred in two patients (5.7%). ...

AIM: The use of multi-media information provided pre-operatively can potentially reduce anxiety in patients and improve the hospital experience. However the use of 2-D animation (cartoon) to provide information to patients undergoing colorectal surgery has not been investigated. The stufy investigated the effect of pre-operative 2-D information on anxiety and ...

BACKGROUND: This study aims to determine whether tricuspid regurgitation (TR) ≥ 2+ requires attention during mitral valve surgery. METHODS: From April 1999 to 2009, 161 patients undergoing primary, isolated mitral valve procedures were assessed. Preoperative moderate TR (≥2+) was present in 56 of 161 patients and tricuspid valve repair (TVR: ...

OBJECTIVE: To retrospectively evaluate the agreement between the angiographic scores and the clinical outcomes after endoluminal revascularization in diabetic patients with Fontaine stage IV critical limb ischemia (CLI). METHODS: Clinical and procedural data were retrospectively collected of consecutive diabetic patients with Fontaine stage IV CLI who underwent percutaneous lower limb ...

OBJECTIVE: The role of extended thymectomy in the treatment of class I myasthenia gravis is still controversial. This study compared the long-term outcomes of operated and nonoperated patients allocated according to their will. METHODS: We retrospectively reviewed 47 patients with class I nonthymomatous myasthenia gravis undergoing extended thymectomy between 1980 ...

OBJECTIVES: The efficacy of functional appliances remains highly debated. This randomized controlled trial investigated the skeletal and dentoalveolar effects determined by the Sander bite-jumping appliance (BJA). The null hypothesis to be tested was that the appliance would not induce supplementary mandibular growth compared to untreated controls. SETTING AND SAMPLE POPULATION: ...

This cross-sectional observational study was conducted in the Department of Medicine, Mymensingh Medical College Hospital, Mymensingh, Bangladesh over a period of 6 months from October 2011 to April 2012 and was carried out to evaluate the relation of different grades of esophageal varices with Child-Pugh classes of cirrhosis of liver ...

BACKGROUND: Total cavopulmonary connection (TCPC) has not been studied in adults. We investigated early and midterm morbidity and mortality in adults undergoing TCPC and assessed risk factors for mortality. METHODS: Between June 1994 and October 2010, 30 adults (21.3 ± 5.5 years) underwent TCPC (extracardiac conduit). Twenty-two patients who had ...

OBJECTIVESCirrhosis represents a serious risk in patients undergoing cardiac surgery. Several preoperative factors identify cirrhotic patients as high risk for cardiac surgery; however, a patient's preoperative status may be modified by surgical intervention and, as yet, no independent postoperative mortality risk factors have been identified in this setting. The objective ...

OBJECTIVE: This was a single-center retrospective study to assess the surgical outcomes and predictors of mortality of liver transplant recipients undergoing cardiac surgery. METHODS: From 2000 to 2010, 61 patients with a functioning liver allograft underwent cardiac surgery. The mean interval between liver transplantation and cardiac surgery was 5.4 ± 4.4 years. Of ...

The present study is aimed to identify the prevalence of Blastocystis subtypes isolated from patients in a major hospital in northeastern Thailand. A total of 562 stool samples were examined by culture technique, and 56 Blastocystis-positive samples were analyzed further by the combination of restriction fragment length polymorphism (RFLP) followed ...

BACKGROUND: Great saphenous vein (GSV) incompetence is involved in the majority of cases of varicose disease. Standardised pre-interventional assessment is required to analyse the relative merit of treatment modalities. We weighed GSV diameter measurement at the sapheno-femoral junction (SFJ) against measurement at the proximal thigh 15 cm distal to the groin ...

The aim of this pilot, registry study was to evaluate a dermatological solution Ureadin Rx Db (ISDIN) including urea in a water-lipid-based foam delivery system in diabetic subjects with microangiopathy and with mild-to-moderate xerosis of the foot. The product was applied to the whole surface of the foot and particularly ...

OBJECTIVES: The great difference in side effects of aprotinin was noted in adult and pediatric fields in recent reports because aprotinin was suspended for safety reasons. The aim of this study is to describe associations between aprotinin using and red blood cells transfusion, renal injury, and mortality in pediatric with ...

OBJECTIVE: The purpose of this perspective research was to study the long-term stability of skeletal, dentoalveolar and soft tissue after orthognathic surgery in subjects presenting with Class II and Class III malocclusions. METHODS: The available digitized cephalometric radiographs, including pretreatment (t(0)), presurgery (t(1)), a minimum of 12 months postsurgery (t(2)) ...

BACKGROUND:To assess whether the Mallampati class can affect the success rate of intubation through an intubating laryngeal mask airway (ILMA) with a reverse conventional tracheal tube direction. METHODS: Two-hundred ASA I-II adults, 100 patients with Mallampati class 1 or 2 (MP12) and 100 with Mallampati class 3 or 4 (MP34)., ...

Background. There are limited data on the performance of the pneumonia severity index (PSI) and CURB-65, which were originally developed for community-acquired pneumonia (CAP), for patients with healthcare-associated pneumonia (HCAP).Methods. The performances of PSI and CURB-65 were retrospectively evaluated in patients with HCAP compared to patients with CAP using prospectively collected data ...

Abstract Objective: To investigate the effects of the standard (Class II) Balters bionator in growing patients with Class II malocclusion with mandibular retrusion by using morphometrics (thin-plate spline [TPS] analysis). Materials and Methods: Thirty-one Class II patients (17 male and 14 female) were treated with the Balters bionator (bionator group). ...

Date of birth: 21/08/1988; sex: female. A. PRETREATMENT RECORDS: 3/2004 (15 years 8 months). DIAGNOSIS: Class II division 1 subdivision, normodivergent, asymmetry. TREATMENT: Bimaxillary multiband treatment with intermaxillary elastics and directional forces. B. POST-TREATMENT RECORDS: 3/2006 (17 years 8 months). RETENTION: Hawley plate and wire lingually bonded 33 to 43. ...

Date of birth: 21/08/1988; sex: female. A. PRETREATMENT RECORDS: 3/2004 (15 years 8 months). DIAGNOSIS: Class II division 1 subdivision, normodivergent, asymmetry. TREATMENT: Bimaxillary multiband treatment with intermaxillary elastics and directional forces. B. POST-TREATMENT RECORDS: 3/2006 (17 years 8 months). RETENTION: Hawley plate and wire lingually bonded 33 to 43. ...

OBJECTIVE: Identify novel prognostic factors for patients with peripartum cardiomyopathy (PPCM). DESIGN AND SETTING: Prospective cohort study conducted in a single tertiary care centre in South Africa. PATIENTS: 176 African women with newly diagnosed PPCM were studied. INTERVENTIONS: Clinical assessment, echocardiography and laboratory results were obtained at baseline and at ...