surgical options for the treatment of arrhythmias
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 1 potx
... VOLUME 225 The titles published in this series are listed at the end of this volume Surgical Options for the Treatment of Heart Failure edited by ROY G MASTERS, MD FRCSC Division of Cardiac ... preventive measures and earlier surgical interventions This book outlines the major surgical options for the treatment of heart failure and brings together a very broad base of opinions with contributions ... "eternity" for these patients, in the context of their expected medical longevity The survival for our low EF CABG patients at years is 80% At five years, the survival is 60% These figures include the...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 2 pdf
... are the potential triggers of apoptosis in the failing heart '"' However, the rt)ie of apoptosis IS usually questioned on the basis of the fact that the number of mvocytes so Pathophysiology of ... receptors in the myocardium may depend both on the etiology of congestive heart failure and the stage of the heart failure Tlie activation of the sympathetic nervous system is accompanied by the activation ... marked loss of myofibrillar protein was observed in electron micrographs of the failing human heart and this reduction of contiactile units seems to form the basis for the depression of both systolic...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 3 doc
... of sutures farther apart on the tissue than on the Teflon to plicate the length of the ventriculotomy and partially restore the shape of the ventricle.^'* Endoventricidar Repair ofJatene (Figure!) ... process The influence of these tliree factors is fijrther illustrated in Figure 4, which represents a continuum based on the severit}' of symptoms, the degree of left ventncular function and the ... performed with complete excision of the subvalvular apparatus.''" " * •fhe issues of depression of ejection fraction from elimination of the low-pressure decompression into the left atrium and of...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 4 pot
... represents only one facet of the therapies which should be offered by cenfres dedicated to the heart failure Roy Masters (editor) Surgical Options for the Treatment of Heart Failure 61-91 © 1999 ... consideration of all other medical and surgical options, the expected benefit of trans-planiation for botli fimction and sm-iaval is oiwious For the patient who remains unstable, in or out of the hospital, ... distal septum and the stabilized septum subsequently remains as part of the wall of the left ventricular wall The technique of Dor however excludes the aneurysmal portion of the distal ventricular...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 5 pot
... with the cost of immediate disappointment preventing the tragedy of protracted postoperative misery prior to death, and the tragedy of the premature end of a donor heart, fransplantation for otherwise ... ineligible for transplantation At the other end of the spectrum of heart failure, there is now increasing evidence that early intervention can reduce the development of heart failure ^*'" Even after the ... on the other hand, generally indicate the potential for improvement from further adjustment of medical therapy) More subtle frends of declimng cardiac index and renal function on maximal therapy...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 6 potx
... growtli through 1993, on the basis of tlie past years' data, this growth has clearly ceased, again m spite of the use of increasingly older donors (Figure 26) The age distribution for lung transplantation ... failure accounts for the largest proportion of deaths In the mtennediate penod, there is an approximately equal representation by aeute rejection and infection Late after transplantation the most common ... is 2.6 years because of the high first-year mortality rate The conditional Yi life for those sun-iving the first year is more than 8.4 years Tables V and VI demonstrate the multivariate logistic...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 7 docx
... with the use of these devices so that current results have improved The weanability and discharge rates appear to be related to a) the promptness of implantation of the device, b) the age of the ... (for support needed for < hrs) or via a graft sutured to the femoral arterv' or the ascending aorta (for support needed for days) The catheter is then advanced through the aortic valve into the ... an offshoot from the development of cardiopulmonary bypass Early efforts in the design and development of devices were focused on providing support for the body and the heart during periods of...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 8 pdf
... avoid tension of the intact neurovascular pedicle The ligamentous insertion of the LDM is then affixed to the periosteum of the second or third rib with a non-absorbable heavy suture The skin is ... two sutures to the posterior pericardium; one just to the left of the pulmonic valve, and the other at the inferior vena cava-right atrial junction.''' The LDM is then folded around the heart from ... as necessary The LDM is left unstimulated for 10 to 14 days while the patient recuperates from the operation.''"" ^ lliis is to allow for the reaivery of the distal jjortion of the mascle graft...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 9 doc
... xenografts.^" The first recipients of a xenograft will clearly be pioneers in the field The key issues here are that the recipient is fully informed of the likely outcome of the pr(x;edure, the need for ... Lives in the Balance The Ethics of using animals in biomedical research The Report of a Working Party of the Institute of Medical Ethics OUP 1991 Report on The Ethics of Xenotransplantation The Nuffield ... subject of in-depth research To date, there is no single, effective, widely practiced therapy for heart failure patients While Roy Masters (editor) Surgical Options for the Treatment of Heart...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 10 pot
... were the external devices or console driven versions of the implantable devices."' Unfortunately these are the devices least suited to the permanent application since, as with the TAH, the patients ... (i.e the rib cage) to prevent device migration and 3) eliminating the need for diaphragmatic perforation and extension of the incision into the abdominal area However, to achieve the goal of intrathoracic ... considered the gold standard for treatment of end-stage heart failure the chronic shortage of donor organs and the need for chronic immunosuppression with its attendant complications severely limits the...
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báo cáo khoa học: "Surgical perspectives from a prospective, nonrandomized, multicenter study of breast conserving surgery and adjuvant electronic brachytherapy for the treatment of breast cancer" pps
... guidelines for the screening and selection of patients for Page of 10 APBI [22,23], and these guidelines formed the basis for patient selection in the EBT multicenter study [20] Of the 65 patients ... of 1.8 was tabulated The mean score was 1.5 for the 20 patients who received local anesthesia, for the patient administered sedation, and 2.1 for the 18 patients who received both local anesthesia ... maintain the distance from the balloon to the skin surface The greater the volume of the balloon, with the attendant compression of adjacent breast tissue, the more fully the target breast tissue...
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Báo cáo khoa học: "Prior surgical intervention and tumor size impact clinical outcome after precision radiotherapy for the treatment of optic nerve sheath meningiomas (ONSM)" docx
... observed in the past [13] One main risk associated with surgery is the often inevitable dissection of the vascular supply of the nerve, which leads to severe visual impairment in about 95% of the patients ... returned in 32 out of the 40 patients (80%) The median age at the time of radiotherapy was 44 years (range 17-83 years) The tumor manifestation was on the right eye in 16 patients and on the left eye ... as the gross tumor volume (GTV), adding 1-2 mm safety margin for the planning target volume (PTV) The median PTV was 9.2 ml Radiotherapy planning for FSRT was performed using the Voxelplan ® software...
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Báo cáo y học: "Endoscopic Facet Debridement for the treatment of facet arthritic pain – a novel new technique
... 100% relief of their pain in 86% of the patients with a median relief period of months The range of relief varied from zero days to up to 13 months for the facet injection group None of the lumbar ... median period of pain relief being months The range of relief for the radiofrequency group was from zero days to 16 months for all 26 patients who underwent the radiofrequency procedure Of the 14 patients ... that the direct visualization of the joint allows better de-innervation of the joint and removal of the entire end-plate receptors that adhere to the bone and capsular tissue Limitations of the...
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Báo cáo y học: "Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy: report of 12 case"
... and neural structures increases the risk of adverse events with invasive approaches Open surgical correction is the current standard of care for foraminal stenosis of cervical and lumbar vertebrae ... laminoforaminoplasty, should decrease the risk of major adverse events, allow for same day hospital discharge, and decrease the need for postoperative analgesia and immobility [5] [6] In the current ... and all patients were discharged the day of surgery Additionally, there was no need for thoracotomy, unlike other surgical approaches At the same time, reports in the literature suggest similar...
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Behavior of Nitrite Oxidizers in the Nitrification/Denitrification Process for the Treatment of Simulated Coke-Oven Wastewater
... ethanol at a final concentration of 10%, then transported to the laboratory of UT at 4oCstored Then, each of the samples were divided into two One of them was for DNA extraction and was washed ... general, the higher concentration of primers can lead to the formation of primer dimers Also, the cost of the chemicals should be minimized if the same quantitativeness can be achieved The results ... Another was for FISH analysis and was stored at -80oC The extraction of DNA was performed with Fast DNA SPIN Kit for Soil (Qbuiogene, USA) according to the instruction by the manufacturer In the...
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Contact-Adsorption-Regeneration-Stabilization Process for the Treatment of Municipal Wastewater
... with the increased HRT of the adsorption tank From an engineering application point of view, the appropriate operational parameters of the recycle ratio, HRT of the regeneration tank, HRT of the ... in the PO43 P removal These results revealed that the selection of the operational parameters of the CARS process had a great influence on the overall system performance Adsorptive capability of ... technical feasibility of this process was demonstrated The effects of recycle ratio, HRT of the regeneration tank, HRT of the adsorption tank and SRT of the system were evaluated The removal efficiency...
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Tài liệu Bevacizumab and cetuximab for the treatment of metastatic colorectal cancer docx
... from data in the RCT The survival of patients receiving ASC/BSC was calculated from the survival of the patients in the cetuximab monotherapy arm of the RCT The data from the monotherapy arm NICE ... negligible if further active treatment was not available Therefore the results seen in the single-arm cetuximab studies for these outcomes could be interpreted as an effect of the drug It also ... from the perspective of the NHS Unlike the manufacturer’s models the outcome data were based on published overall survival curves from the two studies The utility value for pre-progression was the...
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Hydroxyurea for the Treatment of Sickle Cell Disease docx
... 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 ... reviewer reconciled the results of the first two reviewers in the case of the randomized trials 29 For the other study designs, the results of the two reviewers were averaged The quality assessment ... reliability of the instruments used A pair of reviewers each performed the quality assessment independently In the case of the RCTs, a third reviewer reconciled the results of the first two reviewers; for...
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Báo cáo khoa học: The modulation of metal bio-availability as a therapeutic strategy for the treatment of Alzheimer’s disease pptx
... (COX) In these enzymes, the redox potential of the metals is harnessed to provide the enzymes with their electron transfer capabilities Paradoxically, it is the same redox potential of the metals ... that the interaction between Ab and these metals can promote the formation of Ab oligomers, aggregates and fibrils [48,52–55] Metal mediated oligomerization of Ab may therefore contribute to the ... within the physiological ranges that could be expected within the brain The capacity for metals to facilitate this process may therefore be a critical factor in the Ab mediated pathology of the...
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Báo cáo khoa học: A guide to taming a toxin – recombinant immunotoxins constructed from Pseudomonas exotoxin A for the treatment of cancer ppt
... the inclusion of lysine residues in the protein sequence of the A fragment but not the B fragment of PE Because only the A fragment must traffic to the cytosol for activity, the lack of lysine residues ... altering the rate of internalization of the receptor or influencing the intracellular trafficking The proteome of the target cell also influences the pathway We have observed large differences in the ... 14) of patients showed a partial response to treatment 4692 J E Weldon and I Pastan The future of PE-based RITs Many obstacles have been overcome in the development of RITs for the treatment of...
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