49 research outputs found

    Comment letters to the National Commission on Commission on Fraudulent Financial Reporting, 1987 (Treadway Commission) Vol. 1

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    https://egrove.olemiss.edu/aicpa_sop/1661/thumbnail.jp

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Transactions of the Medical Society of the State of New York.

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    Lists of members in each volume; some of these are merely partial lists, members in attendance at the annual meetings, etc.The volume for 1880 includes as appendix: By-laws of the society.-System of medical ethics.-Medical laws of the state [1806-80, including the act of 1806 to incorporate medical societies] Additional laws are included in subsequent volumes."Table of presidents and vice-presidents, subjects of presidents' addresses, &c., of the Medical society of the state of New York [1807-1875]" (includes summary of some of the more notable acts of the society): 1875, p. 78-93."Title of papers, addresses, &c., from 1807 to 1874": 1875 p. 94-111."Title of articles published in the Transactions of the Medical society, of the state of New-York, from 1832 to 1857": 1857, p. [183]-228.(33 v.) published at the expense of the society.The society published its transactions for 1807-31 (24 issues) in small annual pamphlets (the first bearing date 1808 on t.-p., pub. 1809) these were reprinted in 1868 in one volume; the transactions for 1832-49 were issued in parts, comprising 7 v. (these volumes, numbered v. 1-7, are the only ones in the series that bear volume numbers), the years 1840-43 were reprinted in 1868 in one volume; from 1850-72 (23 v.), issued under the patronage of the state, as Assembly or Senate documents; from 1873-1905Lists of members in each volume; some of these are merely partial lists, members in attendance at the annual meetings, etc.The volume for 1880 includes as appendix: By-laws of the society.-System of medical ethics.-Medical laws of the state [1806-80, including the act of 1806 to incorporate medical societies] Additional laws are included in subsequent volumes."Table of presidents and vice-presidents, subjects of presidents' addresses, &c., of the Medical society of the state of New York [1807-1875]" (includes summary of some of the more notable acts of the society): 1875, p. 78-93."Title of papers, addresses, &c., from 1807 to 1874": 1875 p. 94-111."Title of articles published in the Transactions of the Medical society, of the state of New-York, from 1832 to 1857": 1857, p. [183]-228.Mode of access: Internet

    Transactions.

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    Mode of access: Internet

    New York State Veterinary Conference, 2nd, Ithaca, NY, October 1-4, 2009

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    Contents of this program booklet include: Opening Letter; Conference Details; Continuing Education Program by day: Companion Animal Program (Thurs-Sun); Equine Program (Fri-Sat); Bovine Program (Fri-Sat); Camelid-Small Ruminant Program (Sat); Registration Form; Class Schedules

    New York State Veterinary Conference, On-site Program, 5th Spring, Tarrytown, NY, May 4-6, 2018

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    Contents of this program booklet include: Planning Committee; Welcome; Sponsors; Special Events; Conference Information; Continuing Education Information; Session grid; Speakers; Upcoming CE opportunities; Exhibits and floor plan; Exhibitor listing; NYSVMS membership information; Note pages

    New York State Veterinary Conference, 4th Spring, Tarrytown, NY, April 21-23, 2017

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    Contents of this program booklet include: Conference Highlights: Veterinarians, Veterinary Technicians, Veterinary Technicians-Veterinary Team; Special Events: Welcome Reception; Continuing Education Classes; Continuing Education Information; Conference Information; Registration Form

    New York State Veterinary Conference, 7th Fall, Ithaca, NY, October 11-12, 2014

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    Contents of this program booklet include: Opening Welcome; NYS-VC Planning Committee; Sponsors; Events incl. Clinical Investigators Day; Continuing Education Classes; Special Sessions; Conference Information; Exhibitors; Hotel Reservations; Registration Form
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