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Yonekawa Chikara C Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, - - 2014
We constructed a prototype community first responder (CFR) dispatch system. The system sends incident information, including a map, to the chosen CFR's mobile phone. We tested it in a simulation of 30 out-of-hospital cardiac arrest incidents which had occurred in the town of Motegi during the previous year. Thirty off-duty ...
Prochazka Allan V AV From the *Denver VAMC, Denver; †University of Colorado Health Outcomes Program, Aurora, Colorado; ‡Atlanta VAMC, Decatur; §Department of Surgery, Emory University School of Medicine, Atlanta, Georgia; ∥Baylor College of Medicine, Operative Care Line Executive, Michael E. Debakey VAMC, Houston, Texas; ¶Boston VA Health Care System, Boston University and Harvard Medical School, Boston, Massachusetts; **Portland VAMC and Department of Surgery, Oregon Health Science University, Portland, Oregon; ††Pittsburgh VAMC and Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; ‡‡Tampa VAMC and Department of Surgery, University of South Florida, Tampa, Florida; and §§Department of Psychology, University of Alabama, Tuscaloosa, - - 2014
Informed consent (IC)comprehension is suboptimal. Repeat back (RB)-asking the patient to repeat in their own words key elements of the consent-is believed to improve the consent process. This study aims to assess the impact of RB on patient perceptions of surgical informed consent. Secondary analysis of a randomized trial. Elective ...
Huang Ze Yu ZY Department of Orthopaedics, West China Hospital, Sichuan University, 37# Wainan Guoxue Road, Chengdu, 610041, People's Republic of China, - - 2014
It is still controversial on the optimal timing of tourniquet used in total knee arthroplasty (TKA). Most previous studies focused on the comparison of different tourniquet application in controversial TKA, while the aim of our work was to compare three strategies of tourniquet application in minimally invasive TKA. 90 patients ...
Pergantou Helen H Haemostasis Unit, Haemophilia Centre, "Aghia Sophia" Children's Hospital, Athens, - - 2014
We retrospectively analyzed the data of 24 children (whereof 11 neonates), with non-central venous line-related and nonmalignancy-related venous thromboembolism (VTE) at uncommon sites, referred to our Unit from January 1999 to January 2012. Thirty patients who also suffered deep vein thrombosis, but in upper/low extremities, were not included in the ...
Rogers Brandon S BS Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, - - 2014
Profound pulpal anesthesia in mandibular molars with irreversible pulpitis (IP) is often difficult to obtain and often requires supplemental injections after an ineffective inferior alveolar nerve block (IANB). The purpose of this prospective, randomized, double-blind study was to compare the efficacy of 4% articaine with 2% lidocaine for supplemental buccal ...
Ohri Rachit R From the *Covidien Surgical Solutions, Bedford, MA; †Pain Research Center, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and ‡Mallinckrodt Pharmaceuticals, St. Louis, - - 2014
Postoperative pain alters physiological functions and delays discharge. Perioperative local anesthetics are effective analgesics in the immediate 1- to 2-day postoperative period, but acute pain often lasts longer. The goal of this work was to develop a local anesthetic formulation adhering to an intraoperative implanted device that reduces pain for ...
Bilgin Gorkem G Hacettepe University Beytepe Health Center , Ankara , Turkey - - 2014
Abstract Purpose: To compare the results of combined non-penetrating deep sclerectomy with phacoemulsification (Phaco-NPDS) to those of non-penetrating deep sclerectomy (NPDS) alone. Materials and Methods: Fifty-two eyes with cataract and primary open angle glaucoma (POAG) or pseudoexfoliative glaucoma (PXG) were randomly assigned to either Phaco-NPDS or NPDS. Follow-up was performed ...
Uner A A 1Division of Pediatric Cardiology, Department of Pediatrics, School of Medicine, Yuzuncu Yil University, Van, - - 2014
Although advanced diagnostic and treatment methods are available, congenital heart disease (CHD) holds an important place among the causes of death within the first year of age. Therefore, several prognostic factors are needed for diagnosis and monitoring of these patients. In this study, which includes 66 CHD patients and 38 ...
Takami Hideki H Department of Gastroenterological Surgery (Surgery II), Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, - - 2014
The clinical significance of preservation of the pyloric ring in total pancreatectomy (TP) has not been elucidated. A total of 48 consecutive patients underwent TP and were categorized into two groups based on the absence or presence of pylorus resection: the TP (N = 33) and pylorus-preserving TP (PPTP) (N = 15) groups. Preoperative ...
Sündermann Simon H SH Division of Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland. Electronic address: - - 2014
To update the current evidence on mitral valve surgery through a lateral minithoracotomy versus median sternotomy. A comprehensive literature research was performed for studies comparing mitral valve surgery through a right lateral minithoracotomy (MIVS) and median sternotomy in MEDLINE, EMBASE, Cochrane Central, CTSnet, and Google Scholar for the most recent ...
Murashita Takashi T Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, - - 2014
Purpose: We describe midterm outcomes after division of secondary chords (chordal cutting) combined with downsized ring annuloplasty for ischemic mitral regurgitation (IMR).Methods: We compared the clinical outcomes in patients who underwent chordal cutting with downsized ring annuloplasty (CC-group, n = 15) and those who underwent conventional ring annuloplasty only (Conventional-group, ...
Reich Sven S Department of Prosthodontics and Biomaterials, Centre of Implantology, Medical Faculty, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany, - - 2014
Lithium disilicate can easily be machined by CAM techniques in its metasilicate status. Due to slightly inferior material properties, the material is not yet recommended for three-unit fixed dental prosthesis (FDP) as it is the case for the press material up to the second bicuspid. Therefore, the aim of this ...
Arish Mohammad M Zahedan University of Medical Sciences, Zahedan, Sistan and Baloochestan, Islamic Republic of - - 2014
The aim of this study was to compare the outcome and complications of sutureless trabeculectomy with conventional trabeculectomy. A total of 52 eyes were randomly assigned to two groups. One group received standard conventional trabeculectomy and the other group received sutureless trabeculectomy. The patients were evaluated at 1, 3, 6 ...
Vallabhajosyula Prashanth P Department of Cardiac Surgery, University of Pennsylvania Health System, Philadelphia, - - 2014
To determine operative outcomes of right mini-thoracotomy mitral valve surgery utilizing port access technology in first-time and reoperative cardiac surgery patients. From 2002 to 2011, 881 patients underwent minimally invasive mitral valve surgery. Of these, 154 patients had previous cardiac operations via sternotomy (Group 1), of which 18 (12%) had ...
Yang Hee Kyung HK Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, - - 2014
To compare the effects of topical diclofenac sodium with those of fluorometholone on intraocular pressure (IOP) and conjunctival inflammation after strabismus surgery. We retrospectively analysed 60 Korean children who underwent strabismus surgery for intermittent exotropia in an institutional referral centre. Patients received topical diclofenac 0.1% or fluorometholone 0.1% after surgery ...
Kim E M EM Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, 120-752 Seoul, Republic of - - 2014
/st>Epidural administration of dexamethasone might reduce postoperative pain in adults. We evaluated whether a caudal block of 0.1 mg kg(-1) dexamethasone combined with ropivacaine improves analgesic efficacy in children undergoing day-case orchiopexy. /st>This randomized, double-blind study included 80 children aged 6 months to 5 yr who underwent day-case, unilateral orchiopexy. ...
Gombár Csaba C Department of Orthopaedics, Szent-Györgyi Albert Clinical Center, University of Szeged, Semmelweis Street 6, 6725, Szeged, Hungary, - - 2014
Orally administered chemical thromboprophylactic agents for total hip replacement (THR) have become popular in recent years. Certain clinical trials suggest that the efficacy and the risk of major bleeding after administration of direct thrombin inhibitor dabigatran etexilate are equivalent to the clinical trial comparator, subcutaneous low-molecular-weight heparin enoxaparin. Our aim ...
Sivak Wesley N WN Pittsburgh, Pa. From the Department of Pediatric Plastic and Reconstructive Surgery, University of Pittsburgh, Cleft/Craniofacial Center, Children's Hospital of - - 2014
This study demonstrates the safety and efficacy of allograft alone in revision alveolar bone graft surgery. A retrospective review of the authors' institution's alveolar bone graft experience (from 2004 to 2012) with open iliac crest bone graft, minimal-access iliac crest bone graft plus supplemental allograft, and revision allograft alone was ...
Verim Ayşegül A *Department of Otorhinolaryngology/Head and Neck Surgery, Haydarpaşa Numune Educational and Research Hospital, Istanbul; and †Department of Otorhinolaryngology/Head and Neck Surgery, Kütahya Educational and Research Hospital, Kütahya, - - 2014
To investigate the duration of time elapsed between the onset of symptoms for necrotizing external otitis (NEO) and admission to hospital that may play a role in patient outcome. Retrospective case review. Tertiary referral center. Fourteen consecutive male patients with NEO with no improvement from the previous course of antibiotherapy ...
Singh Preet Mohinder - - 2014
This study compared 2 well-accepted and safe methods of pediatric inhalation induction using sevoflurane. Incremental and fixed 8% induction methods were evaluated for economic outcomes by comparing the amount of liquid sevoflurane consumed. We also tried to establish the relation between cost of induction and demographic parameters in both groups. ...
Wuethrich Patrick Y PY From the Department of Anaesthesiology and Pain Therapy (P.Y.W., F.S.) and Department of Urology (F.C.B., G.N.T., U.E.S.), University Hospital Bern, Bern, - - 2014
Anesthetics and neuraxial anesthesia commonly result in vasodilation/hypotension. Norepinephrine counteracts this effect and thus allows for decreased intraoperative hydration. The authors investigated whether this approach could result in reduced postoperative complication rate. In this single-center, double-blind, randomized, superiority trial, 166 patients undergoing radical cystectomy and urinary diversion were equally allocated ...
Pham Khanh N - - 2014
The purpose of this study is to determine if administration of total parenteral nutrition (TPN) immediately following radical cystectomy and urinary diversion provides significant recovery benefit when compared to patients who did not receive TPN. Retrospective chart review was performed on patients who underwent open radical cystectomy and urinary diversion ...
Kunopart Mutita - - 2014
Pain after total knee arthroplasty (TKA) is severe, thus adequate pain control can be a challenge. Intrathecal morphine (ITM) provides excellent postoperative analgesia for TKA, but may have side effects. Femoral nerve block (FNB) also has been used for postoperative analgesia in TKA. We examined postoperative analgesia efficacy and side ...
Uyar Ihsan Sami IS Department of Cardiovascular Surgery, Sifa University Faculty of Medicine, Izmir, - - 2014
Aim: The aim of this study was to evaluate the serum levels of interleukin-6 (IL-6), IL-8, and neopterin as a sign of systemic inflammatory response syndrome after open-heart surgery. In this study, we evaluated the influences on the levels of IL-6, IL-8, and neopterin of coronary artery bypass grafting (CABG) ...
Breebaart M B - - 2014
This randomised, double blind prospective study compares intrathecal lidocaine with chloroprocaine in day-case surgery and the influence of a 500 ml pre-load intravenously. We tested the hypothesis that chloroprocaine provides faster recovery and discharge in day-case surgery. Secondary we studied the influence of a preload compared with fluid restriction on ...
Winder Richard P - - 2014
This study compares the 90-day complication rate of 28 patients who underwent simultaneous bilateral unicompartmental knee arthroplasty (UKA) with a matched control group of 56 patients who underwent simultaneous total knee arthroplasty (TKA.) We matched the groups 2:1 for age, gender, and American Society of Anesthesiologists scores and reviewed their ...
Al-Zaben Khaled R - - 2014
The present study is a prospective randomized double-blinded study that designed to evaluate and compare the effectiveness of postoperative pain control and incidence of complications between ilioinguinal/iliohypogastric nerve block and intravenous morphine in paediatric patients undergoing unilateral orchidopexy in day surgery unit. Seventy patients aged 2-12 years were randomly allocated ...
Kopcsányi Gábor G Department of Pediatrics, University of Pécs Medical School, Pécs, Hungary. Electronic address: - - 2014
Contradictory data have been published on the outcomes of ear surgeries in cleft patients. To investigate whether there are differences in the short and long term outcomes of tympanoplasty performed due to childhood chronic mesotympanic otitis media in patients without and with cleft palate. Tertiary care pediatric medical centre. The ...
Kallio Merja M Department of Pediatrics, Oulu University Hospital, Oulu, - - 2014
Neurally adjusted ventilatory assist (NAVA) has been shown to improve patient-ventilator synchrony during invasive ventilation. The aim of this trial was to study NAVA as a primary ventilation mode in pediatric intensive care and to compare it with current standard ventilation modes. One hundred seventy pediatric intensive care patients were ...
Pavlakis Kitty K 1st Department of Pathology, National and Kapodistrian University of Athens (K.P.) Department of Pathology, "IASO" Women's Hospital (K.P., T.G.) Department of Laparoscopic Surgery, "Lefkos Stavros" (G.P.) 2nd Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens (T.P.) Department of Pathology, Medical School, University of Crete (T.V.), Crete, - - 2014
The aim of the study was to evaluate whether the preoperative intrauterine injection of methylene blue could help in visualizing the endometrium of uterine morcellation specimens. A total of 48 laparoscopic subtotal hysterectomies using the uterine morcellation technique were used for the study. In 19 of these cases, a preoperative ...
Wine Todd M TM Department of Otolaryngology, University of Colorado School of Medicine, Aurora2Department of Pediatric Otolaryngology, Children's Hospital of Colorado, - - 2014
IMPORTANCE Tracheocutaneous fistula (TCF) can be repaired using various techniques. This research is an outcomes and health care use comparative analysis of 2 commonly used techniques to repair TCF. OBJECTIVES To compare outcomes and health care use for 2 techniques of TCF repair. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study ...
Ambrosio Art A Department of Otolaryngology-Head & Neck Surgery, Naval Medical Center San Diego, San Diego, California, - - 2014
To detect a difference in (1) intubation success and (2) successful intubation times between novice physicians using a Macintosh-style or video-assisted laryngoscope on a difficult airway manikin. Prospective randomized trial. Academic, tertiary medical center. Forty first-year residents across a variety of disciplines with fewer than 5 total live intubations were ...
Gu Hai-Feng HF Department of Orthopedics, Zhejiang Provincial People's Hospital, No.158 Shangtang Road, Hangzhou, 310014, Zhejiang, - - 2014
To compare the outcomes of diffuse pigmented villonodular synovitis (PVNS) of the knee treated with routine anteroposterior open surgery or modified multi-directional arthroscopy. Medical records of patients with diffuse PVNS who underwent surgery between 2002 and 2010 were reviewed. Patients were followed up at 3, 6, 12, 24, and 36 months. ...
Haksever Mehmet M Department of Otorhinolaryngology, Bursa Sevket Yilmaz Training and Research Hospital, 16800 , Yıldırım, Bursa, Turkey, - - 2014
The aim of this study is to compare the inlay butterfly transcanal cartilage tympanoplasty with the conventional underlay tympanoplasty. Operation time, pre- and postoperative hearing levels, successful closure rate of tympanic membrane (take rate) and long-term re-perforation in dry perforated chronic otitis media were evaluated. The study design consists of ...
Sidler-Maier Claudia C CC Orthopaedic Division of the Department of Surgery, University Children's Hospital, Steinwiesstr. 75, 8032, Zurich, - - 2014
Femoral osteotomy is one of the most widely performed reconstructive operations in pediatric orthopedic surgery. Many implants for fixation have been used, but so far there is no literature about the application and outcome of the LCP 140° Pediatric Hip Plate for proximal femoral valgisation in children. Data of patients ...
Kayaci Selim S Department of Neurosurgery, Recep Tayyip Erdogan - - 2014
The postoperative results of chronic subdural hematoma (CSDH) procedures using catheterization and tearing of inner membrane (CTIM) technique have not previously been discussed in the literature. This article compares the effects of CTIM technique on brain re-expansion and re-accumulation with cases operated on with a burr-hole craniotomy and outer membrane ...
Desai Mihir M MM USC Institute of Urology, Catherine and Joseph Aresty Department of Urology, Keck Medical Center of USC, University of Southern California, Los Angeles, CA, USA. Electronic address: - - 2014
Concerns have been raised regarding partial nephrectomy (PN) techniques that do not occlude the main renal artery. Compare the perioperative outcomes of superselective versus main renal artery control during robotic PN. A retrospective analysis of 121 consecutive patients undergoing robotic PN using superselective control (group 1, n=58) or main artery ...
Borchert Dietmar H DH Department of General, Visceral, Vascular and Pediatric Surgery, and Institute of Biometry, Epidemiology and Medical Informatics, Saarland University Hospitals, Kirrberger Straße 100, 66421, Homburg, Saarland, Germany, - - 2014
Natural orifice transluminal endoscopic surgery (NOTES) has the potential to reduce postoperative pain. We compared postoperative pain in the hybrid NOTES procedure transvaginal video-assisted cholecystectomy (TVC) with standard conventional laparoscopic cholecystectomy (CLC). Single-center, double-blind, randomized controlled trial in a level II hospital between June 2008 and June 2012. Female patients, ...
Abud Burcin B Cardiovascular Surgery Department, Izmir Tepecik Research an Education Hospital, Izmir, - - 2014
IntroductionWe aimed to investigate whether the temperature of tumescent anesthesia is important, if so, to establish an opinion about the ideal temperature.Materials and methodsEndovenous laser ablations were performed in 72 patients; 35 patients (Group A) received tumescent anesthesia at +4, while other 37 patients (Group B) received tumescent anesthesia at ...
Yoshida T T Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata-city, - - 2014
Factors affecting the distribution of continuous thoracic paravertebral block have never been examined. We designed this prospective, double-blind study to check whether continuous thoracic paravertebral block with a higher ropivacaine concentration would provide a wider segmental sensory block spread. Sixty consecutive patients undergoing pulmonary lobectomy or segmentectomy were randomly allocated ...
Chaykovska Lyubov L Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland. Electronic address: - - 2014
Opiates are widely used for postoperative pain relief. Unfortunately, their side effects, such as inhibited gastrointestinal motility and respiratory depression may compromise or delay postoperative recovery after laparotomy. We used paraincisional subcutaneous catheters and applied 0.25% ropivacaine infusion to improve pain relief and decrease postoperative morphine consumption in patients after ...
Miwa Yosuke Y Department of Cardiology, Good Samaritan Hospital, 1225 Wilshire Boulevard, Third floor, Los Angeles, CA 90017, - - 2014
The step-wise approach to catheter ablation for persistent atrial fibrillation (AF) requires considerable substrate modification targeting at complex fractionated atrial electrograms (CFAEs) in addition to pulmonary vein (PV) isolation. An alternative strategy that minimizes the amount of ablation would be desirable. The aim of this study was to investigate whether ...
Onal Bulent B University of Istanbul, Cerrahpasa School of Medicine, Department of Urology, Istanbul, Turkey. Electronic address: - - 2014
To analyze the success and complication rates of percutaneous nephrolithotomy (PCNL) performed in pediatric patients and to compare outcomes of the patients undergoing primary PCNL with those of patients who had undergone previous open nephrolithotomy. Between 2000 and 2011, PNL procedures were performed in 123 renal units (RU) of 111 ...
Zoric L L Department of Anesthesiology and Pain Management, Centre Hospitalo-Universitaire Carémeau, Place du Professeur Debré, Nîmes, - - 2014
/st>The infiltration of local anaesthetic (LA), ketorolac, and epinephrine has been suggested to be effective for analgesia after total hip arthroplasty (THA). The part of action of each component of the mixture remains unclear. We investigated the contribution of infiltration of ropivacaine alone on the morphine consumption during the first ...
Verma Atul A 1Southlake Regional Health Centre, Newmarket, Ontario, - - 2014
-This study compared generalized CFAE ablation vs a selective CFAE ablation strategy targeting areas of continuous electrical activity (CEA). -Subjects with symptomatic, persistent/high burden paroxysmal AF were enrolled at 6 centers (n=86) & randomized to one of 2 arms. For group I, all CFAE regions with an interval confidence level ...
Tuffaha Haitham W HW Griffith Health Institute, Griffith University, Gold Coast, QLD, Australia, - - 2014
Millions of peripheral intravenous catheters are used worldwide. The current guidelines recommend routine catheter replacement every 72-96 h. This practice requires increasing healthcare resource use. The clinically indicated catheter replacement strategy is proposed as an alternative. To assess the cost effectiveness of clinically indicated versus routine replacement of peripheral intravenous catheters. ...
Heist Kathleen K Department of Medicine, Division of General Internal Medicine, University of Colorado Denver, 1635 Aurora Court, F 729 Aurora, Denver, CO, 80045, USA, - - 2014
Leaders in medical education have called for redesign of internal medicine training to improve ambulatory care training. 4 + 1 block scheduling is one innovative approach to enhance ambulatory education. To determine the impact of 4 + 1 scheduling on resident clinic continuity. Resident continuity clinic in traditional scheduling in which clinics are scheduled ...
Vallabhajosyula Prashanth P Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, - - 2014
At our institution, type I bicuspid aortic valve (BAV) patients with aortic insufficiency (AI) who are candidates for valve preservation are stratified into two groups by aortic root pathology: nonaneurysmal root undergoing primary cusp repair + subcommissural annuloplasty (repair group) vs aneurysmal root undergoing primary cusp repair + root reimplantation (reimplantation group). ...
Gurnaney Harshad H From the Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia and Perelman School of Medicine at University of Pennsylvania, Philadelphia, - - 2014
Although the role of regional anesthesia in pediatric patients has been increasing over the last few years, there are only a few small case series that describe the use of ambulatory continuous peripheral nerve blocks (CPNBs) in this patient population. In this report, we describe our experience with the use ...
Park Sang Hyoung SH *Department of Gastroenterology, and †Department of Colon and Rectal Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, - - 2014
To date, no large-scale studies have evaluated the prognosis of Crohn's disease (CD) over a period of 3 decades in non-Caucasian populations. The aims of this study were to update the current information on the long-term prognosis of CD using a large series of patients and to evaluate changes in ...
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