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Assessment of results of surgical treatment for persistent atrial fibrillation during coronary artery bypass grafting using implantable loop recorders.

https://arctichealth.org/en/permalink/ahliterature259702
Source
Interact Cardiovasc Thorac Surg. 2014 Jun;18(6):727-31
Publication Type
Article
Date
Jun-2014
Author
Alexander Cherniavsky
Yulia Kareva
Inessa Pak
Sardor Rakhmonov
Evgeny Pokushalov
Alexander Romanov
Alexander Karaskov
Source
Interact Cardiovasc Thorac Surg. 2014 Jun;18(6):727-31
Date
Jun-2014
Language
English
Publication Type
Article
Keywords
Aged
Atrial Fibrillation - complications - diagnosis - physiopathology - surgery
Catheter Ablation
Coronary Artery Bypass
Coronary Artery Disease - complications - diagnosis - surgery
Disease-Free Survival
Electrocardiography, Ambulatory - instrumentation
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Pilot Projects
Predictive value of tests
Prospective Studies
Pulmonary Veins - physiopathology - surgery
Recurrence
Russia
Telemetry - instrumentation
Therapeutic Irrigation
Time Factors
Treatment Outcome
Abstract
We report our experience with a modified mini-maze procedure and pulmonary vein isolation using radiofrequency energy for treating persistent atrial fibrillation during coronary artery bypass grafting (CABG).
Ninety-five patients with persistent atrial fibrillation and coronary heart disease underwent open heart surgery combined with intraoperative irrigated radiofrequency ablation. Patients were randomized into the following three groups: CABG and irrigated radiofrequency pulmonary vein isolation (CABG+PVI, n = 31); CABG and an irrigated radiofrequency modified mini-maze procedure (CABG+MM, n = 30); and isolated CABG (CABG alone, n = 34). All patients received implantable loop recorders.
No reoperation and no hospital mortality were recorded. Mean follow-up was 14.4 ± 9.7 months. The implantable loop recorder-determined freedom from atrial fibrillation was 80% in the CABG+PVI group, 86.2% in the CABG+MM group and 44.1% in the CABG alone group.
Patients with concomitant atrial fibrillation and coronary heart disease may benefit from intraoperative ablation to prevent relapse of arrhythmia.
PubMed ID
24572769 View in PubMed
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Blunt liver trauma at the Sunnybrook Regional Trauma Unit.

https://arctichealth.org/en/permalink/ahliterature238857
Source
Can J Surg. 1985 May;28(3):220-3
Publication Type
Article
Date
May-1985
Author
S S Hanna
Y. Maheshwari
A W Harrison
G A Taylor
H A Miller
R. Maggisano
Source
Can J Surg. 1985 May;28(3):220-3
Date
May-1985
Language
English
Publication Type
Article
Keywords
Female
Humans
Liver - injuries
Male
Ontario
Peritoneal Cavity
Prognosis
Therapeutic Irrigation
Trauma Centers
Wounds, Nonpenetrating - mortality - surgery - therapy
Abstract
Between June 1, 1976 and Mar. 31, 1983, the Sunnybrook Medical Centre Regional Trauma Unit in Toronto, Ont., admitted 145 patients with liver trauma; of these, 141 (97%) had sustained blunt liver trauma. Of 113 patients who underwent open peritoneal lavage, 112 had a true-positive lavage. Resuscitation was successful in 137 patients and 134 of these underwent laparotomy. Seventy-nine (59%) of the 134 patients required only minor surgical treatment; the other 55 (41%) required major surgical procedures. The overall mortality was 32% (47 of 145). Eight patients died during resuscitation but only one of them died of liver hemorrhage. Of the 39 patients who died after admission, the cause of death was head injury in 22, while 6 died of liver hemorrhage and 11 of other causes. Overall, liver hemorrhage was the cause of death in 15% of cases (7 of 47).
PubMed ID
3995419 View in PubMed
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[Bowel preparation before colorectal surgery--a survey of Swedish surgeons].

https://arctichealth.org/en/permalink/ahliterature241660
Source
Lakartidningen. 1983 Aug 10;80(32-33):2888-90
Publication Type
Article
Date
Aug-10-1983

Clinical evaluation of a novel 12-hole irrigated tip catheter ablation system for the treatment of typical atrial flutter-results from the Duo FLAIR clinical study.

https://arctichealth.org/en/permalink/ahliterature116453
Source
J Interv Card Electrophysiol. 2013 Jun;37(1):97-103
Publication Type
Article
Date
Jun-2013
Author
Dhanunjaya Lakkireddy
Robert Sangrigoli
Stephen Sloan
Martin Wiseman
Raul Weiss
Frank Molin
Nabil Kanaan
Yashasvi Awasthi
Srijoy Mahapatra
Author Affiliation
Center for Excellence in Atrial Fibrillation and EP Research-KU Cardiovascular Research Institute, Bloch Heart Rhythm Center, Mid America Cardiology, University of Kansas Hospital and Medical Center, Kansas City, KS 66160, USA. dlakkireddy@kumc.edu
Source
J Interv Card Electrophysiol. 2013 Jun;37(1):97-103
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Aged
Atrial Flutter - mortality - surgery
Canada - epidemiology
Catheter Ablation - instrumentation - mortality
Equipment Design
Equipment Failure Analysis
Female
Humans
Male
Risk assessment
Survival Analysis
Therapeutic Irrigation - instrumentation - mortality
Treatment Outcome
United States - epidemiology
Abstract
Higher current density at the proximal end of a six-hole catheter is not irrigated and thus could lead to uneven heating and possibly coagulum and charring. This study tested a novel 12-hole irrigated catheter with six additional holes at the proximal end that provides more uniform cooling during atrial flutter (AFL) ablation.
A total of 188 patients (28 females, 66?±?11 years) were treated for typical AFL at 22 sites in the USA and Canada using Cool Path Duo at 50 W and 45 °C at an irrigation rate of 13 ml/min. The results were compared to historical data from an AFL study which used a six-hole catheter with similar design.
A total of 2,725 RF lesions were applied in 188 patients with a mean RF duration of 18.2?±?11.7 min per procedure. Procedural success was achieved in 96.3 % (181 of 188) acutely and 98.3 % (173 of 176) patients at 3 months. Steam pops occurred in 0.6 % of lesions (15 of 2,725) without coagulum or charring… Compared to the six-hole irrigated tip catheter, the Cool Path Duo catheter delivered more power (33.8?±?5.9 vs. 29.7?±?5.2 W, p?
PubMed ID
23397246 View in PubMed
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Comparison between vaginal tampon and cervicovaginal lavage specimen collection for detection of human papillomavirus DNA by the polymerase chain reaction. The Canadian Women's HIV Study Group.

https://arctichealth.org/en/permalink/ahliterature210306
Source
J Med Virol. 1997 Jan;51(1):42-7
Publication Type
Article
Date
Jan-1997
Author
F. Coutlée
C. Hankins
N. Lapointe
Author Affiliation
Départment de Microbiologie-Immunologie, Université de Montréal, Québec, Canada.
Source
J Med Virol. 1997 Jan;51(1):42-7
Date
Jan-1997
Language
English
Publication Type
Article
Keywords
Adult
Ambulatory Care Facilities
Canada - epidemiology
Cross-Sectional Studies
DNA Probes - genetics
DNA, Viral - genetics - isolation & purification
Female
HIV Infections - complications - epidemiology
HIV Seronegativity
HIV Seropositivity
Humans
Menstrual Hygiene Products - utilization
Papillomaviridae - genetics - isolation & purification
Papillomavirus Infections - diagnosis
Polymerase Chain Reaction - methods
Prospective Studies
Sensitivity and specificity
Sexually Transmitted Diseases - epidemiology
Specimen Handling - methods
Therapeutic Irrigation - utilization
Tumor Virus Infections - diagnosis
Vagina
Abstract
The aim of the study was to compare the accuracy of self-administered vaginal tampon (VT) specimens for the detection of human papillomaviruses (HPVs) with that of cervicovaginal lavage specimens (CVL). Two hundred seventy-four paired VT and CVL specimens were collected prospectively from women at risk of sexually transmitted diseases. Specimens were treated and amplified with the polymerase chain reaction (PCR). Each woman served as her own control. One hundred and forty-four of 272 (52.9%) CVLs and 159 of 271 (58.7%) VTs contained HPV DNA sequences (correlation of 88%). The sensitivity and specificity of vaginal tampons reached 93.9% (138/147) and 80.5% (99/123), respectively. HPV typing results were concordant for 99 negative paired samples and 114 paired samples positive for the same type(s) (correlation of 78.9%). It is concluded that these sampling methods collect cells from different areas of the genital epithelium, highlighting the importance of further assessment of the comparative predictive value of HPV detection in each sample.
PubMed ID
8986948 View in PubMed
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The control of haemolysis during transurethral resection of the prostate when water is used for irrigation: monitoring absorption by the ethanol method.

https://arctichealth.org/en/permalink/ahliterature10324
Source
BJU Int. 2000 Dec;86(9):989-92
Publication Type
Article
Date
Dec-2000
Author
J O Hultén
V T Tran
G. Pettersson
Author Affiliation
Department of Surgery, Piteå County Hospital, Piteå, Sweden.
Source
BJU Int. 2000 Dec;86(9):989-92
Date
Dec-2000
Language
English
Publication Type
Article
Keywords
Absorption
Aged
Breath Tests
Ethanol - diagnostic use
Hemolysis - physiology
Humans
Irrigation - methods
Male
Prostatic Hyperplasia - blood - surgery
Research Support, Non-U.S. Gov't
Transurethral Resection of Prostate - adverse effects
Water
Abstract
OBJECTIVE: To determine whether the addition of ethanol to water for irrigation during transurethral resection of the prostate (TURP) and monitoring breath ethanol could be used to detect irrigant absorption and to limit free plasma haemoglobin in cases of absorption. PATIENTS AND METHODS: One hundred patients (46 in Piteå, Sweden and 54 in Uong bi, Vietnam) underwent surgery for benign prostatic hyperplasia (BPH) under an intermittent irrigation technique using water containing 2% ethanol. An expired breath alcohol meter was used to monitor ethanol in the patients' breath every 5 min. Blood samples taken after TURP were assessed for free haemoglobin in 99 patients, and other markers of haemolysis were also evaluated in the Swedish group. RESULTS: Thirty-two patients had detectable ethanol in their breath. There was a close correlation between the maximum ethanol reading during surgery and the level of free plasma haemoglobin after TURP (r = 0.90, P
PubMed ID
11119090 View in PubMed
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[Coronavirus infection in immunodeficient patients with hemoblastosis and deficient hemopoesis].

https://arctichealth.org/en/permalink/ahliterature177318
Source
Zh Mikrobiol Epidemiol Immunobiol. 2004 Sep-Oct;(5):89-93
Publication Type
Article
Author
N B Rumel'
E R Shilova
A Ia Muradian
Source
Zh Mikrobiol Epidemiol Immunobiol. 2004 Sep-Oct;(5):89-93
Language
Russian
Publication Type
Article
Keywords
Anemia, Aplastic - complications - immunology
Comorbidity
Coronavirus - isolation & purification
Coronavirus Infections - epidemiology - etiology
Hemagglutination Tests
Humans
Immunocompromised Host
Leukemia - complications - immunology
Multiple Myeloma - complications - immunology
Nasal Cavity - virology
Opportunistic Infections - epidemiology - etiology
Pneumonia, Mycoplasma - epidemiology - etiology
Russia - epidemiology
Seasons
Therapeutic Irrigation
Abstract
Coronavirus infection (CVI) was studied in 227 patients hospitalized in the clinic of the Research Institute of Hematology and Transfusiology in 1993-2003 with diagnosed acute and chronic leucosis, multiple myelogenic disease and aplastic anemia. Their blood sera and secretions of the nasal cavity were examined in the indirect hemagglutination (IHA) test with dried standard erythrocyte diagnostic preparations. CVI was shown to be activated in three year cycles in immunodeficient patients, which occurred, respectively, in 66.1, 56.9, 47.8 and 51.6% of cases in the above mentioned groups of patients. In 87% of cases CVI was associated with other respiratory pathogens, the following being prevailed: respiratory syncytial virus (37.9%), parainfluenza virus (32.2%) and Mycoplasma pneumoniae (36.8%). CVI was provoked by such factors as the course of the main disease and specific treatment, previous respiratory infections of other etiology with M. pneumoniae infection playing the leading role (60%). The most severe course of CVI was observed in patients with acute leucosis (in 75% of cases accompanied by lesions of lower respiratory tracts). The use of the highly sensitive IHA test made it possible to determine the potential for both serum and local antibodies production in the patients under observation.
PubMed ID
15554322 View in PubMed
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Cost-effectiveness of transanal irrigation versus conservative bowel management for spinal cord injury patients.

https://arctichealth.org/en/permalink/ahliterature92637
Source
Spinal Cord. 2009 Feb;47(2):138-43
Publication Type
Article
Date
Feb-2009
Author
Christensen P.
Andreasen J.
Ehlers L.
Author Affiliation
Surgical Research Unit, Department of Surgery P, Aarhus University Hospital, and Institute of Public Health, University of Aarhus, Aarhus, Denmark. piz@webspeed.dk
Source
Spinal Cord. 2009 Feb;47(2):138-43
Date
Feb-2009
Language
English
Publication Type
Article
Keywords
Adult
Cost-Benefit Analysis
Drug Administration Routes
Female
Humans
International Cooperation
Irrigation - economics - methods
Male
Middle Aged
Neurogenic Bowel - economics - etiology - therapy
Outcome Assessment (Health Care)
Spinal Cord Injuries - complications
Treatment Outcome
Abstract
STUDY DESIGN: Cost-effectiveness analysis following international guidelines and taking the societal viewpoint. OBJECTIVES: To estimate the cost-effectiveness of transanal irrigation using a self-administered irrigation system when compared with conservative bowel management. SETTING: A randomized clinical trial was conducted at five spinal centres situated in Denmark, Germany, Italy, United Kingdom and Sweden. Estimates of resources and unit costs were made for the German health care system. METHODS: Efficacy outcomes were drawn from a randomized controlled trial conducted in 2003-2005. Adult spinal cord-injured patients with neurogenic bowel dysfunction were randomized to 10 weeks with either transanal irrigation using Peristeen Anal Irrigation or to conservative bowel management. Costs were calculated based on results from the clinical trial and on 24 interviews conducted in Germany. Unit costs were obtained from the Federal Statistical Office Germany and product list prices. RESULTS: When comparing outcome measures at termination, transanal irrigation significantly reduced symptoms of neurogenic bowel dysfunction. Product-related costs were higher for transanal irrigation using the self-administered system; however, costs for a carer to help with bowel management and changes/washing due to leakage were lower. For transanal irrigation, costs associated with urinary tract infections and patient time spent were reduced. Thus, the total cost to society is lower when patients use transanal irrigation. The results were shown to be robust in the sensitivity analysis. CONCLUSION: Transanal irrigation using a self-administered system reduces symptoms of neurogenic bowel dysfunction and results in a lower total cost to society than conservative bowel management. SPONSORSHIP: The study was supported by Coloplast A/S.
PubMed ID
18679401 View in PubMed
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Diagnosis of cytomegalovirus infections using polymerase chain reaction, virus isolation and serology.

https://arctichealth.org/en/permalink/ahliterature36438
Source
Scand J Infect Dis. 1993;25(3):311-6
Publication Type
Article
Date
1993
Author
W. Xu
V A Sundqvist
M. Brytting
A. Linde
Author Affiliation
Department of Virology, National Bacteriological Laboratory, Stockholm, Sweden.
Source
Scand J Infect Dis. 1993;25(3):311-6
Date
1993
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Comparative Study
Cytomegalovirus - isolation & purification
Cytomegalovirus Infections - congenital - diagnosis
Health status
Humans
Immunocompromised Host
Infant
Irrigation
Leukocytes - microbiology
Middle Aged
Pharynx - microbiology
Polymerase Chain Reaction
Research Support, Non-U.S. Gov't
Sweden
Abstract
The nested Polymerase Chain Reaction (PCR) was compared with virus isolation and serology to establish which is the best method for the diagnosis of active cytomegalovirus, (CMV) infection. Samples of blood leucocytes, urine and throat washings from immunosuppressed patients and patients with congenitally acquired CMV infection, as well as from healthy persons, were examined with PCR. CMV DNA was detected in all samples from which CMV could be isolated, but not from any sample from healthy adults, whether CMV seropositive or CMV seronegative. In contrast to the findings in healthy persons, CMV genomes were frequently detected in urine and throat washings from immunosuppressed, CMV-seropositive patients without symptoms of CMV infection. The appearance of CMV genomes in blood cells in immunosuppressed CMV-seronegative patients may be the first sign of primary CMV infection. Congenital CMV infection could be rapidly and safely diagnosed when urine samples were examined by PCR. Nested PCR is a valuable tool for the diagnosis of active CMV infection, when selected materials are used.
PubMed ID
8395703 View in PubMed
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Diagnosis of maxillary sinusitis in Finnish primary care. Use of imaging techniques.

https://arctichealth.org/en/permalink/ahliterature212495
Source
Scand J Prim Health Care. 1996 Mar;14(1):29-35
Publication Type
Article
Date
Mar-1996
Author
M. Mäkelä
K. Leinonen
Author Affiliation
National research and development centre for welfare and health, Helsinki, Finland.
Source
Scand J Prim Health Care. 1996 Mar;14(1):29-35
Date
Mar-1996
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Anti-Bacterial Agents - administration & dosage
Female
Finland
Follow-Up Studies
Humans
Male
Maxillary Sinusitis - diagnosis - therapy
Middle Aged
Primary Health Care
Radiography
Therapeutic Irrigation
Treatment Outcome
Ultrasonography
Abstract
To observe the effect of imaging techniques on the diagnostic pattern of sinusitis in primary care.
A multicentre survey.
14 health centres with varying facilities for clinical imaging.
446 adult patients with a suspicion of acute maxillary sinusitis. Ultrasound or radiography facilities existed in 337 cases while 109 could only be judged clinically. MAIN outcome measures--The use of ultrasound, radiography, laboratory tests, irrigation and control visits. The final number of patients with sinusitis in different facility groups.
When available, ultrasound was used in 82-92% and radiography in 6-32% of cases. The ultrasound finding showed mucosal thickening or was difficult to interpret in every third case; one half of these were interpreted as sinusitis and the rest were considered healthy. In total, sinusitis was diagnosed in 84-88% when ultrasound or radiography only could be used, and in 77% when both techniques were available (p
PubMed ID
8725091 View in PubMed
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62 records – page 1 of 7.