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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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[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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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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[Evaluation of blood loss and absorption of irrigating fluid in transurethral resection of the prostate].

https://arctichealth.org/en/permalink/ahliterature204868
Source
Ugeskr Laeger. 1998 Jul 27;160(31):4528-30
Publication Type
Article
Date
Jul-27-1998
Author
E U Poulsen
P. Wedel
T. Krarup
Author Affiliation
Aalborg Sygehus, urologisk afdeling.
Source
Ugeskr Laeger. 1998 Jul 27;160(31):4528-30
Date
Jul-27-1998
Language
Danish
Publication Type
Article
Keywords
Blood Loss, Surgical - prevention & control
Breath Tests
Denmark
Extravasation of Diagnostic and Therapeutic Materials
Humans
Male
Physician's Practice Patterns
Postoperative Complications - diagnosis - prevention & control
Prostatectomy - adverse effects - methods
Questionnaires
Therapeutic Irrigation
Abstract
A questionnaire was sent to all Danish departments performing transurethral resection of the prostate (TUR-P) concerning the use of irrigating fluids and methods to estimate peroperative blood loss and absorption of irrigating fluid. Fifty-six of 60 departments used glycine as an irrigant. Seventeen percent of the departments measured blood loss peroperatively (HemoCue). Only two departments (3%) measured absorption of irrigating fluid quantitatively by the expired breath ethanol method. The other departments estimated blood loss and absorption of irrigant from the colour of the irrigating fluid. From studies of the literature we suggest the use of sorbitol/mannitol as irrigating fluid instead of glycine, as this may have fewer adverse effects, and we recommend quantitative measurements of blood loss and absorption of irrigating fluid to minimise the potentially dangerous consequences of TUR-P.
Notes
Comment In: Ugeskr Laeger. 1998 Oct 26;160(44):63669810247
PubMed ID
9700309 View in PubMed
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Fecal transplantation, through colonoscopy, is effective therapy for recurrent Clostridium difficile infection.

https://arctichealth.org/en/permalink/ahliterature128949
Source
Gastroenterology. 2012 Mar;142(3):490-6
Publication Type
Article
Date
Mar-2012
Author
Eero Mattila
Raija Uusitalo-Seppälä
Maarit Wuorela
Laura Lehtola
Heimo Nurmi
Matti Ristikankare
Veikko Moilanen
Kimmo Salminen
Maaria Seppälä
Petri S Mattila
Veli-Jukka Anttila
Perttu Arkkila
Author Affiliation
Department of Infectious Diseases, Helsinki University Central Hospital, Helsinki, Finland. eero.mattila@hus.fi
Source
Gastroenterology. 2012 Mar;142(3):490-6
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Clostridium difficile - pathogenicity
Colonoscopy - adverse effects - mortality
Enterocolitis, Pseudomembranous - microbiology - mortality - therapy
Feces - microbiology
Female
Finland
Humans
Male
Middle Aged
Polyethylene Glycols - administration & dosage
Recurrence
Retrospective Studies
Therapeutic Irrigation
Time Factors
Treatment Outcome
Virulence
Young Adult
Abstract
Treatment of recurrent Clostridium difficile infection (CDI) with antibiotics leads to recurrences in up to 50% of patients. We investigated the efficacy of fecal transplantation in treatment of recurrent CDI.
We reviewed records from 70 patients with recurrent CDI who had undergone fecal transplantation. Fecal transplantation was performed at colonoscopy by infusing fresh donor feces into cecum. Before transplantation, the patients had whole-bowel lavage with polyethylene glycol solution. Clinical failure was defined as persistent or recurrent symptoms and signs, and a need for new therapy.
During the first 12 weeks after fecal transplantation, symptoms resolved in all patients who did not have strain 027 C difficile infections. Of 36 patients with 027 C difficile infection, 32 (89%) had a favorable response; all 4 nonresponders had a pre-existing serious condition, caused by a long-lasting diarrheal disease or comorbidity and subsequently died of colitis. During the first year after transplantation, 4 patients with an initial favorable response had a relapse after receiving antibiotics for unrelated causes; 2 were treated successfully with another fecal transplantation and 2 with antibiotics for CDI. Ten patients died of unrelated illnesses within 1 year after transplantation. No immediate complications of fecal transplantation were observed.
Fecal transplantation through colonoscopy seems to be an effective treatment for recurrent CDI and also for recurrent CDI caused by the virulent C difficile 027 strain.
Notes
Comment In: Gastroenterology. 2012 Aug;143(2):e19; author reply e19-2022732575
PubMed ID
22155369 View in PubMed
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36 records – page 1 of 4.