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https://www.readbyqxmd.com/read/27903471/bovine-pericardium-as-new-technical-option-for-in-situ-reconstruction-of-aortic-graft-infection
#1
Brigitta Lutz, Christian Reeps, Gabor Biro, Christoph Knappich, Alexander Zimmermann, Hans-Henning Eckstein
OBJECTIVE: Alloplastic aortic graft infection is a devastating complication following aortic surgery. It is associated with excessively high mortality and morbidity caused by anastomotic rupture or septicemia. Many authors consider in situ replacement after complete surgical graft removal as the method of choice. However, there is an ongoing debate about the most suitable material for reconstruction. We present our first experiences with replacing the descending and infra-renal aorta using custom-made bovine pericardium grafts...
November 26, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27895905/outcomes-of-laparoscopic-sleeve-gastrectomy-at-a-bariatric-unit-in-south-africa
#2
Chrysis Sofianos, Constantinos Sofianos
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has gained popularity over the years as a standalone procedure. In 2014, it was the most rapidly growing bariatric procedure. The aim of this study was to describe the outcomes of LSG at a single bariatric unit in Johannesburg, South Africa, using the Bariatric Analysis and Reporting Outcome System (BAROS) standardised scoring. METHODS: A retrospective record review and analysis was carried out using data collected from patients who had LSGs...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27859564/excess-mortality-in-the-myelodysplastic-syndromes
#3
Meritxell Nomdedeu, Arturo Pereira, Fernando Ramos, David Valcárcel, Dolors Costa, Montserrat Arnan, Xavier Calvo, Helena Pomares, Elisa Luño, María Díaz-Campelo, Rosa Collado, Raquel de Paz, José-Francisco Falantes, Carme Pedro, Josefa Marco, Itziar Oirtzabal, Joaquín Sánchez-García, Mar Tormo, María-Teresa Cedena, Benet Nomdedeu, Guillermo Sanz
Myelodysplastic syndromes (MDS) are the commonest hematologic malignancies in the elderly. Since many patients with MDS actually die from age-related ailments, the very disease burden of MDS remains largely unknown. This registry-based study was aimed at investigating the excess mortality attributable to MDS. We analyzed 7,408 adult patients diagnosed with primary MDS from 1980 to 2014. Excess mortality was estimated by comparing the patients' survival with that expected in the matched general population. Median age of patients was 74 years, 58% were males, and 65% belonged to the lower risk categories of the Revised International Prognostic Scoring System (IPSS-R)...
November 14, 2016: American Journal of Hematology
https://www.readbyqxmd.com/read/27844134/high-mortality-in-younger-patients-with-major-osteoporotic-fractures
#4
R Ray, N D Clement, S A Aitken, M M McQueen, C M Court-Brown, S H Ralston
: Data were gathered with regard to mortality after fractures in 1006 younger patients. Results revealed that major osteoporotic fractures of the hip and humerus and drinking alcohol to excess were related to an increased risk of mortality. INTRODUCTION: Major osteoporotic fractures are known to be associated with increased mortality in older individuals. It is less clear whether this also applies to younger patients. METHODS: Date were gathered regarding patient demographics, fracture pattern, mechanism of injury, as well as smoking and alcohol intake at the time of injury in consecutive patients aged between 40 and 55 who presented to a UK trauma centre over a 12-month period...
November 14, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27825042/the-sex-ratio-at-birth-in-south-africa-may-be-a-sentinel-health-indicator
#5
Victor Grech, Gwinyai Masukume
INTRODUCTION: The sex ratio at birth is commonly expressed as M/T, denoting male births divided by total births. Males are almost invariably born slightly in excess. Stress and negative socioeconomic conditions lower M/T and this has been mooted as a possible reason for the observed low M/T for Black births worldwide. South Africa is experiencing a period of economic prosperity. This study was carried out in order to ascertain whether improving conditions in South Africa as measured by available health indicators, were associated with a rise in M/T in this country...
November 5, 2016: Early Human Development
https://www.readbyqxmd.com/read/27821834/impact-of-postoperative-bleeding-on-short-term-outcome-in-patients-after-orthotopic-heart-transplantation-a-retrospective-cohort-study
#6
Anna Kędziora, Karol Wierzbicki, Piotr Mazur, Bryan HyoChan Song, Jacek Piątek, Irena Milaniak, Piotr Węgrzyn, Bogusław Kapelak, Rafał Drwiła, Dorota Sobczyk, Izabela Górkiewicz-Kot, Krzysztof Bartuś, Bogdan Niekowal, Jerzy Sadowski
BACKGROUND Orthotopic heart transplantation (HTX) remains the ultimate treatment option in patients with end-stage heart failure, endorsed by the European Society of Cardiology guidelines. The aim of the study is a complex evaluation of the postoperative bleeding after HTX and its influence on short-term outcome. MATERIAL AND METHODS A retrospective cohort study consisted of 53 patients (4 females and 49 males, median age 52.5 years, IQR 17 years) who underwent HTX in the Department of Cardiovascular Surgery and Transplantology of John Paul II Hospital in Krakow between 2007 and 2014...
November 8, 2016: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/27812777/acromegaly-clinical-features-at-diagnosis
#7
REVIEW
Lucio Vilar, Clarice Freitas Vilar, Ruy Lyra, Raissa Lyra, Luciana A Naves
BACKGROUND: Acromegaly is a rare and underdiagnosed disorder caused, in more than 95% of cases, by a growth hormone (GH)-secreting pituitary adenoma. The GH hypersecretion leads to overproduction of insulin-like growth factor 1 (IGF-1) which results in a multisystem disease characterized by somatic overgrowth, multiple comorbidities, physical disfigurement, and increased mortality. OBJECTIVE: This article aims to review the clinical features of acromegaly at diagnosis...
November 3, 2016: Pituitary
https://www.readbyqxmd.com/read/27809801/increased-mortality-among-men-aged-50%C3%A2-years-old-or-above-with-elevated-iga-anti-transglutaminase-antibodies-nhanes-iii
#8
Alberto Rubio-Tapia, Jonas F Ludvigsson, Rok Seon Choung, Tricia L Brantner, S Vincent Rajkumar, Ola Landgren, Joseph A Murray
BACKGROUND: Immunoglobulin A (IgA) antibodies to tissue transglutaminase (tTG) are the serologic test of choice for diagnosing celiac disease (CD). Our aim was to determine if elevated IgA anti-tTG were associated with increased mortality risk. METHODS: Stored serum samples of National Health and Nutrition Examination Survey (NHANES) III (1988-1992) were available for 6032 individuals aged 50 years old or above, which were screened for IgA anti-tTG, and if positive, for IgA endomysial antibodies...
November 3, 2016: BMC Gastroenterology
https://www.readbyqxmd.com/read/27799241/total-and-cause-specific-mortality-of-finnish-military-personnel-following-service-in-international-peacekeeping-operations-1990-2010-a-comprehensive-register-based-cohort-study
#9
T Laukkala, K Parkkola, M Henriksson, S Pirkola, N Kaikkonen, E Pukkala, P Jousilahti
OBJECTIVES: To estimate total and cause-specific mortality after international peacekeeping deployments among the Finnish military peacekeeping personnel in comparison to the general population of similar age and sex. DESIGN: A register-based study of a cohort of military peacekeeping personnel in 1990-2010 followed for mortality until the end of 2013. Causes of death were obtained from the national Causes of Death Register. The standardised mortality ratio (SMR) for total and cause-specific mortality was calculated as the ratio of observed and expected number of deaths...
October 31, 2016: BMJ Open
https://www.readbyqxmd.com/read/27785743/excess-mortality-of-1%C3%A2-year-in-elderly-hip-fracture-patients-compared-with-the-general-population-in-beijing-china
#10
Shaoguang Li, Tiansheng Sun, Zhi Liu
: In a rapidly aging population, hip fractures have become an important public health issue in China. Presently, there is no study on the excess mortality of hip fractures in the mainland of China. This is the first study that presents excess mortality following hip fracture in Beijing, China. PURPOSE: This study aims to assess the incidence and excess mortality of hip fracture patients aged 60 years or older from a municipal population database of Beijing. METHODS: We retrieved the Beijing municipal health insurance database of 2013 to identify beneficiaries who were at least 60 years older as total population of this age group and obtained the number of mortalities in a year...
December 2016: Archives of Osteoporosis
https://www.readbyqxmd.com/read/27785137/surgery-for-massive-malignant-tumors-of-the-left-atrium-one-center-s-experience
#11
Uladzimir Andrushchuk, Youry Ostrovsky, Vladimir Zharkov, Siarhei Amelchanka, Valery Krutau, Olga Yudina, Tatsiana Ilyina, Irina Grinchuk
INTRODUCTION: Surgery for primary non-resectable malignant tumors of the left atrium is controversial. Today heart autotransplantation as a method of surgical treatment for patients suffering primary massive malignant tumors of the left atrium is still not sufficiently studied. MATERIAL AND METHODS: We provide information on our single-center 5-year experience in performing surgical interventions for massive malignant tumors of the left atrium and including cases of 5 patients (3 males - 60%, 2 females - 40%)...
September 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27779595/sympathoadrenal-activation-and-endotheliopathy-are-drivers-of-hypocoagulability-and-hyperfibrinolysis-in-trauma-a-prospective-observational-study-of-404-severely-injured-patients
#12
Sisse R Ostrowski, Hanne H Henriksen, Jakob Stensballe, Mikkel Gybel-Brask, Jessica C Cardenas, Lisa A Baer, Bryan A Cotton, John B Holcomb, Charles E Wade, Pär I Johansson
BACKGROUND: One third of severely injured patients present with a laboratory based diagnosis of coagulopathy. This study investigated clinical and biomarker profile of patients with rapid TEG (rTEG) coagulopathy hypothesizing that sympathoadrenal activation and endothelial damage were drivers of this condition. METHODS: Prospective observational study of 404 trauma patients admitted to a Level 1 US Trauma Center. Patients with admission rTEG and plasma measurements of catecholamines (adrenaline, noradrenaline) and biomarkers reflecting endothelial activation/damage (syndecan-1, thrombomodulin, sE-selectin, sVE-cadherin, nucleosomes) were included...
October 25, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27777265/prenatal-sex-selection-and-female-infant-mortality-are-more-common-in-india-after-firstborn-and-second-born-daughters
#13
Corry Gellatly, Marion Petrie
BACKGROUND: The Indian sex ratio has become highly male-biased in recent decades. This may be attributed to prenatal sex selection (PSS) and excess female infant mortality. However, the question of whether these factors are related has not been adequately studied. Here we examine whether increased use of PSS may offset excess female infant mortality, by reducing the number of 'unwanted' daughters being born. METHODS: We analyse the National Family Health Survey (NHFS) data sets for India, which contain nationally representative samples of birth histories for women aged 15-49, interviewed in 1992-1993, 1998-1999 and 2005-2006...
October 24, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27754290/br-08-2-cardiovascular-risk-assessment-in-hypertensives-with-ckd
#14
Jongha Park
Cardiovascular (CV) risk assessment is not easy in chronic kidney disease (CKD) patients. Age, male sex, race, family history of CV disease, smoking status and diabetes should be considered as CV risk factors as the general population. It is also accepted that hypertension (HTN) is associated with the greater risk of CV complications in this population. However, there are some concerns in this issue.First, supporting evidence for specific blood pressure (BP) targets in CKD is scarce. Many observational studies reported a J-shaped association between BP level and CV mortality unlike a linear association in the general population...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27748204/effects-of-stressful-events-in-france-1968-and-japan-1995-on-the-sex-ratio-at-birth
#15
Victor Grech, Dorota Zammit, Hagen Scherb
Males are usually born in excess of females. The sex ratio at birth (SR) is often expressed as the ratio of male to total births. A wide variety of factors have been shown to influence SR, including terrorist attacks, which have been shown to reduce SR. This paper reviews the effects on SR outcomes of the stressful events in France in 1968 (in association with the student and worker riots) and in Japan following the Aum Shinrikyo religious cult's attack on the Tokyo subway using sarin nerve gas in 1995. Both countries displayed seasonal variation in SR...
October 17, 2016: Journal of Biosocial Science
https://www.readbyqxmd.com/read/27698517/mortality-among-children-and-young-people-who-survive-cancer-in-northern-ireland
#16
D W Donnelly, A T Gavin
ABSTRACT: Whilst survival rates for childhood cancers are excellent, it is known that these patients have an increased risk of death from disease recurrence and other causes. We investigate patterns, trends and survival of cancers in children and young adults in N. Ireland. MATERIALS AND METHODS: 21 years (1993-2013) of cancer incidence data including non-malignant brain tumours from the N. Ireland Cancer Registry for persons aged 0-24 years was analysed using Joinpoint regresssion for trend and the Kaplan Meier method for survival analysis up to end 2013 with excess mortality calculated at one and five years after first cancer diagnosis using standardised mortality ratios...
September 2016: Ulster Medical Journal
https://www.readbyqxmd.com/read/27698256/development-and-testing-of-a-conceptual-model-regarding-men-s-access-to-health-care
#17
James E Leone, Michael J Rovito, Elizabeth M Mullin, Shan D Mohammed, Christina S Lee
Epidemiologic data suggest men often experience excessive morbidity and early mortality, possibly compromising family and community health over the lifespan. Moreover, the negative financial/economic consequences affected by poor male health outcomes also has been of great concern in the United States and abroad. Early and consistent access to preventative health care may improve health outcomes; however, men are far less likely to access these services. The purpose of this study was to understand what factors preclude men from accessing health care...
October 3, 2016: American Journal of Men's Health
https://www.readbyqxmd.com/read/27680100/gender-modulated-risk-of-coronary-heart-disease-diabetes-and-coronary-mortality-among-turks-for-three-major-risk-factors-and-residual-adiposity-risk
#18
Günay Can, Altan Onat, Eray Yurtseven, Yusuf Karadeniz, Tuğba Akbaş-Şimşek, Ayşem Kaya, Hüsniye Yüksel
BACKGROUND: We determined the proportion of the effects of body mass index (BMI) or its categories on cardiometabolic outcomes mediated through systolic blood pressure (SBP), total cholesterol and fasting glucose. METHODS: Cox regression analyses were performed for incident outcomes among Turkish Adult Risk Factor study participants in whom the three mediators had been determined (n = 2158, age 48.5 ± 11 years). Over a mean 10.2-years' follow-up, new coronary heart disease (CHD) developed in 406, diabetes in 284 individuals, and 149 CHD deaths occurred...
September 29, 2016: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/27678532/educational-inequalities-in-premature-mortality-in-poland-2002-2011-a-population-based-cross-sectional-study
#19
Małgorzata Pikala, Monika Burzyn Ska, Robert Pikala, Marek Bryła, Irena Maniecka-Bryła
BACKGROUND: The aim of the study is to evaluate the differences in premature mortality between educational groups of Polish inhabitants in 2002 and 2011. METHODS: The analysis included all deaths among inhabitants of Poland, aged 25-64 years, which occurred in 2002 (N=97 004) and 2011 (N=104 598). We calculated age-standardised death rates (SDRs) and summary measures on inequalities. The relative index of inequality (RII) was calculated with Poisson regression...
2016: BMJ Open
https://www.readbyqxmd.com/read/27669745/ethnic-inequalities-in-cancer-incidence-and-mortality-census-linked-cohort-studies-with-87-million-years-of-person-time-follow-up
#20
Andrea M Teng, June Atkinson, George Disney, Nick Wilson, Diana Sarfati, Melissa McLeod, Tony Blakely
BACKGROUND: Cancer makes up a large and increasing proportion of excess mortality for indigenous, marginalised and socioeconomically deprived populations, and much of this inequality is preventable. This study aimed to determine which cancers give rise to changing ethnic inequalities over time. METHODS: New Zealand census data from 1981, 1986, 1991, 1996, 2001, and 2006, were all probabilistically linked to three to five subsequent years of mortality (68 million person-years) and cancer registrations (87 million person years) and weighted for linkage bias...
September 26, 2016: BMC Cancer
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