However, two patients with endoscopic release had worsening of symptoms and underwent open CTS release 9 months and 5 months respectively after the intial procedure9. Only 1 patient with open CTS experienced worsening of symptoms and underwent a repeat open release 12 months after the first procedure9. One of the disadvantages of this study is that the post operative pain is rated by patients and there may be some bias associated with this as patient pain tolerance is subjective and may differ9. Additionally, patients were not blinded as blinding patient throughout surgery and follow up is not possible, thus this creates observed differences and biasness9. A randomized study by Trumble et al to compare endoscopic and open carp... ... middle of paper ... ...oscopic and open carpal tunnel release.
As a result they conducted two studies to measure the accuracy of the NIHSS for stroke and to measure the accuracy of hemispatial neglect for stroke. The first study they did measured the accuracy of NIHSS to the stroke. They gave patients MRI ... ... middle of paper ... ... between stroke and NIHSS score and the cognitive test. For this study, adults with acute, ischemic, supratentorial stroke that weren’t allergic to gadolinium, didn’t have an altered level of consciousness, were proficient in English, didn’t have a hemorrhage, and who gave their consent to the experiment were used in the study. These patients were then given both aphasia test and neglect test.
Guidet et al(2) conducted a study in sepsis patients to find haemodynamic efficacy and safety between 6%HES 130/0.4 vs 0.9% NaCl. He found that volume requirement was less with HES than NaCl in inial phase of fluid resuscitation and also the time required to reach haemodynamic stability was less with HES. There was no difference between AKIN and RIFLE criteria between two groups. There was also no difference in mortality upto 90days after resuscitation. Christoph K Hofer et(3) al performed a study to find which system has better prediction of fluid responsiveness between FloTrac/Vigileo and PiCCO plus system, using stroke volume variation(SVV) as a predictor of fluid responsiveness.
However, these studies and the guidelines previously proposed are mainly based on small studies which included young men with a low risk of experiencing a myocardial infarction. Furthermore, there have been few randomized, controlled studies conducted to evaluate the effects of cardiac rehabilitation on cardiovascular morbidity. According... ... middle of paper ... ...farctions and the risk reduction expressed as HR 0.51 (95% CI 0.31-0.86)” (Plüss, et al., 2011). The Danrehab study reported similar reduction in the length of stay for patients with heart disease and at high risk for ischemic heart disease. Transferring these findings into nursing practice will provide great benefits.
ADMA has been shown to inhib... ... middle of paper ... ...levated ADMA levels are associated with endothelial dysfunction in patients with DM . Based on these studies, we speculated that ADMA may play a pivotal role in the development of MHT via endothelial dysfunction. The most important limitation of the present study is that endothelial functions were not measured due a limited budget. Previous work has demonstrated that ADMA causes endothelial dysfunction via suppression of endothelial progenitor cells (EPCs) . EPCs are circulating immature cells that contribute to vascular homeostasis Fig.
The article “Patterns of Hospital Resource Utilization of Children with Leukemia and CNS Tumors: A Comparison of Children Who Survive and Those Who Die within 3 Years of Diagnosis” is a clearly written article. It identifies the variables as differences between children with leukemia and CNS tumors, in relation to cost, and resource utilization of children who either survived or died after 3 years. The population is stated as children from age 0-19 who had first time treatment for either leukemia or a CNS tumor. This article states the significance of to nursing as ensuring a better plan of care and better allocation of resources. Current resources are used as references, the majority of the articles used are within 10 years of the publication date.
“Ebstein’s anomaly is a rare cardiac anomaly that occurs in approximately one in 20,000 live births and accounts for less than 1% of all congenital heart disease (Ebstein’s anomaly in adults)”. The goal of this paper is to examine Ebstein’s Anomaly - to understand what it is, how it affects the heart, possible presenting symptoms, and other possible complications associated with this anomaly. Diagnosis of this anomaly is key in treating patients, thus echocardiographic as well as other test modalities are vital in assessing what the treatment options are available, as well as discerning what the prognosis may be. Advancing test modalities have helped distinguish Ebstein’s Anomaly with other differential diagnoses. Developments with testing modalities coupled with comprehensive calculations, formulas, and measurements have facilitated correctly diagnosing, and therefore properly treating cardiac patients.
Methods: In this analytic-experimental study a group of children aged 3-18 years with diagnosed type 1 diabetes, and a group of healthy children who were referred to Imam Hossein Children’s Hospital, the only pediatric referral center in Isfahan, affiliated to Isfahan University of Medical Sciences were enrolled. Patients with diabetes were selected by non-randomized convenience method from patients who were referred to endocrinology clinics of the Hospital. Children in control group were selected from outpatient children without appreciable cardiovascular risk factors who were referred for routine visit or from healthy brothers and sisters of selected patients. All subjects were nonsmokers, non-pregnant and without any history of systemic disease. Those with history of recent use of vitamin C, not cooperation and diagnosis of new disorders and any type of congenital heart disease which was found during echocardiograpy, were excluded.
Although the condition is usually considered benign, its potential arrhythmogenicity has been suggested by experimental studies. (12) The majority of such sudden cardiac arrests are caused by ventricular tachyarrhythmias, which occur in persons without structural heart disease in 6 to 14% of cases. (13,14) These results were replicated in similar studies and the association with increased arrhythmic risk was subsequently extended to the general population in large cohort studies (16,17). In brief, ER consists of 2 components: prominent J waves and ST-segment elevation.... ... middle of paper ... ... and QT interval association.In the recently study, patients with ERP had shorter QTc interval than subjects with normal ECG pattern. Also statistical results are significantly different about other paratemeters like QT,JT,JTc,QT-apex interval.The previous studies showed ERP and short QT interval relation however subjects had different heart rates.Conversely we showed this association one-to-one matching with heart rates.
The tensile modulus of CF/PP composite at 40% CF was about 1577.1 MPa. ACF/PP showed about 21% higher tensile modulus than CF/PP composite. ASCF/PP composite showed about 28% improvement in tensile modulus on comparing with other composites. S. H. P. Bettini et al.  investigates the use of coir fibre as alternative reinforcement in polypropylene.