189 research outputs found

    Pre-Operative Left Ventricular Torsion, QRS Width/CRT, and Post-Mitral Surgery Outcomes in Patients With Nonischemic, Chronic, Severe Secondary Mitral Regurgitation

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    SummaryThe selection of appropriate candidates for mitral surgery among symptomatic patients with nonischemic, chronic, secondary severe mitral regurgitation (NICSMR) remains a clinical challenge. We studied 50 consecutive symptomatic NICSMR patients for a median follow-up of 2.5 years after mitral surgery and concluded that the pre-operative 2-dimensional speckle tracking echocardiography-derived left ventricular torsional profile and QRS width/cardiac resynchronization therapy are potentially important prognostic indicators for post-surgery survival and reverse remodeling

    News in Andrology Symposium

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    News in Andrology Symposium

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    The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology.

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    Ranked highly in its association with serious medical comorbidities, obesity, a rapidly growing epidemic worldwide, poses a significant socio-economic burden. While bariatric procedures offer the most efficacious treatment for weight loss, a subset of patients risk weight recidivism. Due to the heterogeneity of obesity, it is likely that there are phenotypes or sub-groups of patients that require evidence-based psychological support to produce more sustainable outcomes. So far, however, characteristics of patients have not led to a personalized treatment algorithm for bariatric surgery. Maintenance of weight loss following bariatric surgery requires long-term modification of eating behaviors and physical activity. A recent Clinical Obesity Maintenance Model (COMM) proposed a conceptual framework of salient constructs, including the role of habit, behavioral clusters, emotion dysregulation, mood, health literacy, and executive function as interconnected drivers of obesity maintaining behaviors relevant to the field of bariatric psychology. The primary aim of this concise review is to bring together emerging findings from experimental and epidemiological studies relating to the COMM constructs that may inform the assessment and follow up of bariatric surgery. We also aim to explain the phenotypes that need to be understood and screened prior to bariatric surgery to enable better pre-surgery intervention and optimum post-surgery response

    A comparative study of Tualang honey spray versus film spray (OPSITE®) as post-long bone fracture fixation wound dressing

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    Introduction: Honey-based dressings have a potential benefit in treating wounds in implant-related surgery due to its anti-microbial activities and healing potentials. The aim of the study is to compare Tualang honey spray with film spray (Opsite®) as an alternative dressing material following long bone fracture fixations. This is a preliminary study in Malaysia that involves human subjects. Methodology: This is a randomized, controlled trial involving patients with closed diaphyseal fracture of tibia or femur treated with open reduction and internal fixation (plates or intramedullary devices) at a single tertiary centre. Forty patients were randomly divided into three groups according to the dressing material used; film spray (Opsite®) dressing (n=16), Tualang honey spray (n=13), and control group (n=11). Each group used a same wound protocol except for the control group in which involve application of non-adhesive film (Mepore) only. Dressing materials were applied immediately after surgery and on day three post-surgery. Wound assessment was done on day 14 and day 42 post-surgery. Outcomes evaluated include wound complications, and the effects on skin commensals. On day 42, infection rate (wound dehiscence) and scar formation were also evaluated. Results: There was a case of superficial surgical site infection from the Opsite® spray group. Acinobacter species was isolated from one of the patients under the control group. There was no statistically significant association between dressing methods used and wound healing. All wounds healed without any infection at the end of the study. Tualang honey spray have a significant influence in reducing the risk of hypertrophic scar formation and has similar wound outcomes as compared to Opsite® spray. Conclusion: Tualang honey spray is comparable to the widely used Opsite* spray as a safe alternative for dressing material. Contradict to some previous studies; it promotes good wound healing with a low risk of hypertrophic scar formation

    Obesity health related quality of life and body image following bariatric surgery

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    Introduction: Previous research has found improvements post-bariatric surgery for obese persons on depression, quality of life, body image and weight loss. In this study we examined whether moderate to severely obese persons (BMI>30) who had undergone bariatric surgery would have better body image and better health-related quality of life compared to those who elected conventional treatments. Methods: The sample comprised 142 females with a MAge of 44 years who had undergone bariatric surgery. We used the Orwell-97 a measure of obesity specific health related quality of life relating to the somatic, physical function, emotional state and social engagement domains of life. The MBSRQ-AS 34 was used to assess body image. Results: Indepentent samples t-tests indicated no significant difference on the Orwell-97 subscales for those having had bariatric surgery compared to those obese individuals who had not had surgical treatment. There were no significant differences between the two groups on the MBSRQ-AS-34 subscales of appearance evaluation (AE), appearance orientation(AO), or body areas satisfaction (BASS), but significant differences were found for overweight preoccupation (OP) and self-classified weight (WC) with higher mean scores for those who reported having bariatric surgery. Conclusions: One explanation for obese individuals who had undergone bariatric surgery not having a better quality of life or improved body image could be that they were dissatisfied with the results from bariatric surgery and had unmet expectations in regards to treatment goals. Further research is needed to understand obese individuals’ long-term treatment goal expectations for weight and body image following bariatric surgery
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