surgical treatment of mitral valve disease in the elderly

... morbidities These results show how vaginal approach had a similar outcome in selected patients We compared the clinical outcome of the vaginal versus the abdominal hysterectomy in a population of elderly ... morbidity [8] Nevertheless, these procedures could be often severely contra-indicated in endometrial cancer patient, since they require a general anesthesia, which is contra-indicated in endometrial ... groups The primary objective of the study was to evaluate the role of vaginal hysterectomy in elderly women with endometrial carcinoma Materials and methods We retrospectively reviewed a series of...

Ngày tải lên: 09/08/2014, 02:20

... manifest in the development of the aforementioned cardinal motor signs of Parkinson’s disease (6) Descending basal ganglia output to the PPN may also play a role in the development of parkinsonism The ... reported on the injection of alcohol into the same area of the cortex with variable results (3) The first surgical treatment of Parkinson’s disease (PD) was performed in 1912 by the French physician ... reduced in the parkinsonian state were again active following pallidotomy (98,104–108) The latest addition to the neurosurgical armamentarium used in the treatment of parkinsonism is deep brain stimulation...

Ngày tải lên: 05/03/2014, 23:20

... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American Association of Geriatric...

Ngày tải lên: 22/03/2014, 14:20

... the tips of the mitral valve leaflets but this requires a specialised imaging sequence which tracks the motion of the mitral valve annulus during the cardiac cycle [31] In the absence of other regurgitant ... the following: a) the measurement is reliable only for the case of single regurgitant valve; in the cases of combined aortic and mitral regurgitation, the difference represents the sum of regurgitant ... limitation of imaging windows the MRI mapping protocol enabled a complete and systematic assessment of the mitral valve in every patient Acquisition of the mapping images is usually efficient, requiring...

Ngày tải lên: 10/08/2014, 10:20

... learning and teaching foreign language Interest in culture is linked to the intrinsic motivation of a learner Therefore, if the teacher can get the learner interested in the culture of the L2, then ... discussion of the finding Chapter contains the summary of findings, the suggestions for treatment of cross-cultural characteristics into speaking lesson and the recommendation for further studies ... The attitudes of the students toward the rank of skills in order of importance in learning speaking skill 31 - Can you rank these things in order of importance in learning speaking skill? (Teachers)...

Ngày tải lên: 28/02/2015, 11:54

... rhabdomyolysis  In the presence of liver disease, FENa can be less than 1% in the presence of ATN  Because administration of diuretics may cause the FENa to be greater than 1%, these findings cannot ... recognition, monitoring, and early surgical treatment offer the best potential for recovery Role of Loop Diuretics in AKI   maintaining a greater urine flow to flush out the tubules with loop diuretics ... Urinary IL-18 as an Early Marker of AKI IL-18 as a marker for the diagnosis of ATN and delayed graft function: •ROC - discriminatory power of IL-18 for the diagnosis of ATN The area under the...

Ngày tải lên: 28/10/2016, 20:22

... to their prominence and influence in the network The aim of this study was to examine the connectedness in a newly established regional ParkinsonNet of health professionals involved in the treatment ... name indicating whether this person was known to the participant and another box to indicate whether this person was involved in professional contacts so far Knowing each other was defined in the ... following published guidelines [15] We examined the reciprocity of reported connections as an indicator of the reliability of the data collection instrument Then we replaced missing values of the...

Ngày tải lên: 10/08/2014, 11:20

... treating single de novo lesions in patients with symptomatic coronary artery disease has been examined in the first four trials of the ongoing ENDEAVOR clinical trials program The results of these ... however, the incidence of MACE in the ZES treated group was 10% at the end of the two year follow-up (Table 4) Additionally, the incidence of Q wave MI ranged from 0% to 0.3% in the first four ... with the in- hospital incidence of MACE (1.7%) for the ZES treated group in our study Despite the small population size used in our study, our results confirm the in- hospital rate of MACE of E-Five...

Ngày tải lên: 25/10/2012, 11:18

... Assessment of Risk Status ssessment of the patient’s risk status includes the determination of the following: the degree of overweight or obesity using BMI, the presence of abdominal obesity using waist ... cleft, by inhibiting the reuptake of these neurotransmitters into the neuron, or by a combination of both mechanisms Sibutramine inhibits the reuptake of norepinephrine and serotonin Orlistat ... miles in 30 minutes Bicycling miles in 30 minutes Raking leaves for 30 minutes Dancing fast (social) for 30 minutes Walking miles in 30 minutes (15 min/mile) Water aerobics for 30 minutes Shoveling...

Ngày tải lên: 14/02/2014, 09:20

... barriers to the use of other therapies for treatment of sickle cell disease, including the receipt of routine, scheduled care; adherence to medications; and receipt of therapies, including pain control ... described their occurrence in a black dental student The abnormality was subsequently identified as the result of an exchange of the amino acid valine for glutamine in the β-globin chain of the hemoglobin ... reported on the efficacy and/or effectiveness of hydroxyurea treatment of hematologic diseases, the toxicity of hydroxyurea in the treatment of any disease, and the barriers to the treatment of sickle...

Ngày tải lên: 05/03/2014, 10:20

... and, by then delivering the bound metals into the cell, it activates specific protein kinases that induce an increase in the production of Ab-degrading MMPs Neurotoxicity generated by the interaction ... in all aspects is clear In the AD affected brain, metal dyshomeostasis is evident in the form of a substantial increase in the levels of extracellular metals and a decrease in the levels of intracellular ... precursor APP both bind Cu, and over-expression of a C-terminal fragment of APP or full length APP, both containing the Ab domain, results in an overall decrease in Cu within the brain of Tg mice [81]...

Ngày tải lên: 07/03/2014, 10:20

... with the gap There are two constraint parameters in each modality: the combinatory directionality d ∈ {< , >} and the syntactic category c, resulting in the filler and the gap denoted in the forms ... feature of the memory mechanism is that it handles all kinds of intra-sentential ellipses in SVC This is because the coordination and serialization rules allow pro-dropping in either the left or the ... category The fillers and the gaps are then associated in the coordination and the serialization rules This results in a more flexible way of dealing with intrasentential ellipses in SVC than the decomposition...

Ngày tải lên: 08/03/2014, 21:20

... 1.73 m2 in 3.8% of the individuals in the teriparatide trial,125 in 52% of the individuals in the pooled risedronate trials,126 and in 9% of the individuals in the alendronate Fracture Intervention ... meetings in Europe and in North America The meetings included a formal instruction in the state of the art and science of guideline development, and training in the necessary process steps, including ... assessment of the multiple sources of vitamin D, including both nutritional intake and skin synthesis of vitamin D There is a seasonal variation in calcidiol levels because of an increased production of...

Ngày tải lên: 22/03/2014, 09:20

... components of the training per se but rather the training effect may be enhanced through regular therapist contact for motivation Despite the number of studies including skill training in the PFMT ... sneezing or coughing (symptom) or the observation of urine leakage at the same time as the exertion (sign) SUI is the most common type of UI Urge urinary incontinence (UUI) is the complaint of involuntary ... providing a profile of each study using the following headings: • Information about service delivery (health professional and setting/institution) • Demographic information about the subjects in the...

Ngày tải lên: 28/03/2014, 14:20

... also observed in the subgroup of 28 elderly patients Despite efforts in including the elderly in RCTs, most ­ tudies on the use of laxatives in the elderly are s limited because of small sample ... ­ paring of neuronal nitric oxide in human colon.20 These fi ­ ndings suggest an increase in inhibitory neurons in the aging colon, affecting gut motility However, the ­ ignificance of s these ... straightening the anorectal angle Simultaneously, the voluntary efforts of bearing down increases the intra-abdominal pressure, facilitating the development of a stripping wave, resulting in stool...

Ngày tải lên: 28/03/2014, 20:20

... islands, the interior Amazon River basin and certain parts of the Caribbean (Haiti and the Dominican Republic) [2] In Italy, the prevalence of HBV infection is set under 2% from the beginning of the ... changes in slope with an overall significance level of 0.05 divided by the number of join-points in the final model The joinpoint analysis showed a statistically significant decrease of HBV infection ... is the main way of acquiring infection thus determining the highest HBV incidence rates among adults [21] Improved sanitation, obtained with the use of universal precautions in medical settings...

Ngày tải lên: 20/06/2014, 01:20

... proteins in mice Increase in the expression of caspase-3 and cleaved PARP proteins noticed in the mice treated in vivo with GnRH-Ag also showed increase in the number of atretic follicles in the ... in the ovary was investigated following in vivo and in vitro administration of GnRH agonist in the intact cyclic mice Methods Animals All the experiments were conducted in accordance with principles ... Effect of in vitro treatment of different doses of GnRH-Ag on progesterone synthesis and western blot analyses of LH-R and 3b-HSD proteins in the ovaries of mice Progesterone synthesis by the ovary...

Ngày tải lên: 20/06/2014, 07:20

... knowledge on the selection of the right vaccine and improving the efficacy of vaccination 5.3 Capacity Building Training and education of field veterinarians in disease prevention, disease investigation ... vaccine application strategies Completing these objectives will improve the diagnostic capability of the Veterinary laboratories in Vietnam and the training of DAH veterinarians in disease investigation ... supplied to the laboratories in Vietnam for the first months of the project AAHL staff prepared the information necessary for the training of field veterinarians This workshop information and the lectures...

Ngày tải lên: 22/06/2014, 12:20

... vaccine application strategies Completing these objectives will improve the diagnostic capability of the veterinary laboratories in Vietnam and the training of DAH veterinarians in disease investigation ... training to other laboratories in the network The project has highlighted the need for training of field veterinarians in the collection of data and how to ensure the correct information is obtained ... and in the field the field data to allow the interpretation of the laboratory results The whole veterinary network is important in the control of disease, there needs to be strong link between the...

Ngày tải lên: 22/06/2014, 12:20