... Questions regarding the prevalence andtreatmentofatrialfibrillationin medical intensive care unit patients What is the pathophysiology ofatrialfibrillationin medical intensive care unit ... search inthe databases of MEDLINE, EMBASE andthe Cochrane Library, from 1966 to 2007, combining the following key words: ‘intensive care’ or ‘critical care’ or ‘critically ill’ andatrialfibrillation ... to morbidity? AF did increase the length of stay (LOS) in a mixed medical– cardiac ICU [2] Onset of AF in a patient inthe surgical ICU increases their LOS inthe ICU andinthe hospital [11,16,32,33,39,40]...
... from: • the Expanded Review Panel in defining the scope ofthe guidelines andin reviewing the evidence retrieval report; • the Guidelines Development Group in reviewing and appraising the available ... formulating the recommendations, and defining the core principles on assessment, evaluation andtreatmentof pain; • the Peer Review Group in providing feedback on the draft guidelines and finalizing ... settings (51) 2.4 Defining criteria and selecting a pain measurement tool in clinical settings In a clinical setting, the selection of pain scales and pain measurement tools should be guided by the...
... recommended that the target intensity of anticoagulation with a VKA should be based on the type and position ofthe prosthesis, maintaining an INR of at least 2.5 inthe mitral position and at least ... indicated when AF is present The use of aspirin is not recommended due to the increased risk of bleeding in combination with OAC therapy and some evidence that aspirin may increase the risk of ... There are differences inthe availability of therapies, delivery of care, and patient characteristics in Europe andin other parts ofthe world Therefore, these European guidelines, though based...
... use ofthe work must explicitly identify the original source Notice Statements and opinions expressed inthe chapters are these ofthe individual contributors and not necessarily those ofthe ... long-lasting remission and prolonged survival of patients with AASV, it has its drawbacks; the worst being life-threat‐ ening infections early inthe course ofthe disease and risk of malignancy in ... activation of innate immunity Elevated levels of inflammatory cytokines are usually detectable inthe serum and affected tissues in these diseases 15 16 Updates inthe Diagnosis andTreatmentof Vasculitis...
... during a heart operation both theatrial septum andatrial wall remain warmer than the wall ofthe left ventricle [4,21,22] Therefore, the protection oftheatrial wall remains relatively inadequate ... AF is the result ofthe dispersion ofatrial refractoriness resulting in multiple reentry wavelets inthe atria [8] Inthe postsurgical state ofthe heart several parameters may alter the refractoriness ... Results Tables and describe the patients’ preoperative and main intra and post-operative characteristics respectively The incidence of postoperative atrialfibrillation for the total cohort of patients...
... Accordingly patients undergoing combined cardiac surgery suffered in 20% of cases of paroxysmal, in 37% of persistent, andin 41% of cases of long standing persistent AF There was no statistical ... placement ofthe device was passed behind the superior vena cava through the transverse sinus andthe oblique sinus underneath the inferior vena cava After measurement ofthe proper size, the sizer ... medication and maintained for months After months continuance of oral anticoagulation was determined on basis ofthe CHADS2 score In case of contraindications for amiodarone treatment, the latter...
... demonstrated Vasopressin inhibits the synthesis of iNOS, blunts the increase in cGMP induced by NO and directly inactivates KATP channels in vascular smooth muscle [10] Moreover, vasopressin is able to ... expansion and epinephrine infusions Our decision to start CPB might have been questionable since the patient might have been stabilized with epinephrine and vasopressin andthe case rescheduled Nevertheless, ... maintain all the described pathophysiologic mechanisms and induce a relative deficiency in vasopressin plasma concentration further amplifying the vasoplegic scenario [5] Despite the presence of...
... preservation and replacement This book covers the main themes ofthe congress The starting point for thetreatmentof hip disease depends on how we can preserve the natural hip joint and on steps leading ... pinning inof 11 hips (54.5%), osteotomy inof hips (44.4%), andin situ pinning inof hips Additional operations using bone grafts were performed for avascular necrosis ofthe femoral head in ... paid to these demerits, resulting in a yearly decrease inthe number of cases receiving joint-preserving treatment This move away from traditional methods denies the surgeon the experience and knowledge...
... normally the blade is inserted into the axis ofthe femur vertically normal with the convexity ofthe anterior margin ofthe femoral head running into a concavity, which was the anterior border ofthe ... neck; in type B, the anterior outline ofthe head and neck appeared as a straight line; andin type C, the profile was convex, the anterior margin ofthe femoral head being posterior to the anterior ... controversy about the necessity of physeal fixation for stabilization at the time of osteotomy Of course, there is still also expansion ofthe indications for in situ pinning [1–5], and also the indications...
... In Situ Pinning for SCFE 63 In type B, the anterior outline ofthe head and neck appears as a straight line andthe anterior margin ofthe femoral head and neck are the same line In type C, the ... aspect ofthe femoral shaft, then in situ pinning would be indicated [8] Recently, the use of cannulated screws and pinning from the anterolateral aspect ofthe proximal femur makes in situ pinning ... posterior tilting angle Results The chief complaint was hip joint pain in 11 patients, pain from the hip joint to the knee in 3, pain from the hip joint to the thigh in 1, femoral pain in 1, and lower...
... expected to result in more than 34% ofthe ratio ofthe intact articular in both the joints The osteotomy was carried out inthe right hip joint, and then inthe left hip months after the first operation ... area ofthe femoral head, it usually progresses Collapse causes incongruity and instability ofthe hip joint, andthe progression of collapse causes incongruity and instability to increase and ... not progressed in either ofthe hip joints, and no OA changes are observed inthe postoperative radiographs (Fig 9) She has no problems in walking, squatting, and going up and down the stairs (Fig...
... environment, thereby preventing the destruction of cartilage and preventing the progression of OA Inthe case of advanced- and terminal-stage OA, when there is no longer cartilage inthe weight-bearing ... process in VFO The basic principle of OA treatment for the pre- and initial stage of OA, where the cartilage is still intact, is to enlarge the weight-bearing area and to improve congruency andthe ... tissue along the distal border ofthe gluteus minimus and provides the perfusion ofthe supraacetabular bone together with arcades ofthe anastomosing supraacetabular artery and branches ofthe iliolumbar...
... replacement in Europe was mainly in uenced by the initial cemented hip design developments in England inthe 1960s by Charnley [1], the beginning of cementless hip replacement in France by Judet [2] and ... [31], there has been only loosening and radiolucencies inthe most recent 138 hips, and none when the stem was cemented in despite the presence of large cystic defects Discussion The clinical and ... a bicycling accident The femoral neck fracture was pinned, andthe tracks are visible both on the radiograph andinthe intraoperative photograph (insert) Note the extensive defects inthe femoral...
... Anteroposterior and lateral radiographs ofthe lumbosacral spine in a standing position were obtained routinely, with a long-standing view ofthe lower part ofthe body with anteroposterior and lateral ... distally andthe adjusting down ofthe femur was accomplished (Fig 17C) Inthe second stage ofthe procedure, enlargement ofthe femoral medullary canal and implanting ofthe stem prosthesis were ... bone–implant interfaces inthe Gruen zones and [26] Only 0.5% of radiolucent lines in these zones were found inthe Bicontact multicenter study of 553 implantations in four German institutions [27] The...
... in fixation of periprosthetic fractures ofthe femur in THA, andthe use ofthe system in augmentation of other forms of fracture fixation, emphasizing its value inthetreatmentof fractures in ... to the level ofthe original acetabulum, the femoral prosthesis is implanted inthe second stage andthe joint is reduced To avoid intraoperative nerve damage under anesthesia, monitoring ofthe ... time the yield point andthe level of pretension In other words, the higher the level of pretension, the lower the reserve strength Furthermore, it should be realized that in tensioning cerclage...
... [29] In neither of these two studies could the results for the treated group of patients be compared to natural history or other types oftreatmentand 3) a pilot study published in 2006, investigating ... the titles ofthe case reports and found 35 studies of dislocations Excluding dislocations, we were able to identity 23 studies describing the effect of manual therapy in children Eleven of these ... attempted to look at the effectiveness of joint manipulation for children or adolescents with spinal problems, and none of these was a randomized controlled clinical trial In other words, there is no...
... to the cytoplasmic domain ofthe receptor [10] Subsequently, TRAF6 interacts with UBC13/UEV1A, a heterodimer that catalyzes the synthesis of polyubiquitin chains assembled through linkage ofthe ... the carboxyl terminus of one ubiquitin molecule to an internal lysine residue at position 63 ofthe subsequent ubiquitin molecule (K63-linked chains) [11-13] K63-linked chains are the primary signal ... anti-NF-κB intervention than the IKK cascade for treatmentof septic shock Clinically, our findings may help explain why Velcade has greater efficacy than the IKK inhibitor PS-1145 in blocking the activation...
... portraits ofthe suffering of children diagnosed with BP (and ofthe suffering these children’s symptoms can cause others) can also be found in some ofthe more detailed media reports, including the Time ... resolve the important questions regarding diagnosis andtreatmentof BP that were the focus of our workshop and are the focus of this commentary The rate of BP diagnoses is rising faster inthe US ... symptom of BP, it must appear in distinct and sustained episodes–not as chronic or rapidly cycling As Klein put it, episodicity is a sine qua non of BP Stage Tightening the definition of BP and beginning...
... gain, headache, rhinitis, vomiting, dyspepsia and an increase in prolactin Prolactin levels rapidly increased during the first month oftreatmentand then declined over the following year The incidence ... (including trivial belongings) in line with Keenan and Wakschlag (2004) [15] In actuality, most ofthe weapon-brandishing children used knifes with the intention of threatening others Fighting, ... their respective forms ofthe scales at the beginning ofthe study, during Week and at the end ofthe study The senior author, who also adapted and translated the T-DSM-IV-S into Turkish, scored...
... according to the decision ofthe responsible intensivist Type of AF therapy and success ofthe therapy with respect to restoration of SR were recorded in all patients Diagnosis of septic shock The ... preexisting chronic or intermittent atrial AF Forty-nine (7.8%) ofthe remaining 629 patients developed newonset AF during their stay on the ICU The incidence of new-onset AF was 9.2% (38/413) in ... and reported an incidence of AF of 31% [15] With respect to the incidence of new-onset AF in septic shock, Seguin and colleagues included a subgroup of 23 patients and observed new-onset AF in...