24 research outputs found
Das Projekt âCorpus Coranicumâ als Ausdruck neuer Koranexegese
Die vorliegende Arbeit nimmt beide Aspekte, nÀmlich Neuwirths Arbeiten und das Corpus Coranicum, in den Blick. Ein wesentliches Ziel dieser Arbeit ist es, durch die Darstellung der von Neuwirth entwickelten bzw. bearbeiteten Ideen und Theorien sowie des Corpus der Frage nach der Art des VerhÀltnisses zwischen Neuwirths Werken und dem Corpus Coranicum nachzugehen
Hepatobiliary scintigraphy as a diagnostic modality for gastroparesis of the bypassed stomach after gastric bypass for morbid obesity.
After Roux-en-Y gastric bypass (RYGBP), the excluded gastric remnant represents a challenge for the surgeon. Many diseases are reported to take place in that remnant, such as cancer, gastritis, and ulcer. On the other hand, diagnosing these pathological changes requires invasive intervention. We report the use of a noninvasive study to diagnose pathology in the bypassed stomach
Should axillary artery to coronary artery bypass be part of the cardiac surgeon\u27s armamentarium?
BACKGROUND: The axillary artery has been used as an alternate inflow source for revascularization of the lower extremities for four decades. Since 1997, there have been several reports of axillary artery to coronary artery bypass.
METHODS: All cases of axillary artery to coronary artery bypass at our institution from 1997 through 2003 were reviewed. PubMed was queried for publications on this subject and all pertinent reports were reviewed.
RESULTS: Thirty-eight patients underwent axillary artery to coronary artery bypass at our hospital. Most (34) of the operations were performed without cardiopulmonary bypass. Saphenous vein (37) or radial artery (1) grafts were placed to one or more coronary arteries from either the left (36) or right (2) axillary artery. Twenty patients underwent sternotomy, and 18 had either a left (16) or right (2) minimally invasive direct coronary artery bypass (MIDCAB) procedure performed. Most of the sternotomies were for primary myocardial revascularization and most of the MIDCABs were reoperations. There were three deaths-all from non-cardiac causes, one myocardial infarction, and one transient brachial plexus injury. Doppler ultrasound, angiographic, and clinical follow-up were limited, but graft patency has been demonstrated up to 9 years.
CONCLUSION: Axillary artery to coronary artery bypass should be part of the armamentarium of surgeons who perform myocardial revascularization operations
Das Projekt âCorpus Coranicumâ als Ausdruck neuer Koranexegese
Die vorliegende Arbeit nimmt beide Aspekte, nÀmlich Neuwirths Arbeiten und das Corpus Coranicum, in den Blick. Ein wesentliches Ziel dieser Arbeit ist es, durch die Darstellung der von Neuwirth entwickelten bzw. bearbeiteten Ideen und Theorien sowie des Corpus der Frage nach der Art des VerhÀltnisses zwischen Neuwirths Werken und dem Corpus Coranicum nachzugehen
The risk of carotid endarterectomy in patients with chronic renal insufficiency.
OBJECTIVE: Carotid endarterectomy (CEA) has been associated with less favorable outcome in patients with chronic renal insufficiency (CRI). The authors compared results of CEA in the presence and absence of CRI at their institution over a 5-year period.
DESIGN/SETTING/PARTICIPANTS: This article is a retrospective review of 1351 patients who underwent CEA between 1998 and 2004. Chronic renal insufficiency was present in 143 patients. Renal insufficiency was graded as mild (creatinine 1.6-2.9 mg/dL) or severe (creatinine \u3e or = 3.0 mg/dL or on hemodialysis). The composite endpoint was stroke or death within 30 days postoperatively. The results were compared with 150 consecutive patients having CEA in the absence of renal insufficiency between 2002 and 2003.
RESULTS: For the 143 patients with CRI, the composite endpoint was 9.0%, whereas the composite endpoint for the 150 control patients without CRI was 2.6% (p = 0.032). For patients with severe CRI (creatinine \u3e or = 3.0 or on hemodialysis), the composite endpoint was 19.0% (p = 0.08). For those with mild CRI (creatinine 1.6-2.9), the composite endpoint was 7.3% (p = 0.06).
CONCLUSIONS: Chronic renal insufficiency is associated with increased incidence of stroke, myocardial infarction, and death after CEA. For patients with advanced CRI, carotid artery stenting (CAS) or aggressive medical management may be alternative treatment options
Hepatobiliary Scintigraphy as a Diagnostic Modality for Gastroparesis of the Bypassed Stomach after Gastric Bypass for Morbid Obesity
368âComparison of Budesonide and Fluticasone in the Treatment of Patients With Eosinophilic Esophagitis: A Systematic Review and Meta-Analysis
A Unique Case of Low-Grade Mucinous Neoplasm in Stump Appendectomy
Background. We describe a case of a young male with a history of appendectomy one year ago, who developed symptoms of stump appendicitis, and after removing this stump, histopathology showed low grade neoplasm. Summary. Stump appendicitis is an uncommon complication after appendectomy and may lead to serious complications. Management of low-grade appendiceal mucinous neoplasm (LAMN) is controversial, and we discuss the importance of the case. Conclusion. The case of young male post stump appendectomy with histopathology showing LAMN in the stump of the appendix, which to our knowledge, is the first in the medical literature and, discuss the stump appendicitis and incomplete appendectomy concerning malignancy, mucinous neoplasm, and adenocarcinoma
Comparison of Performance on the Clock Drawing Test Using Three Different Scales in Dialysis Patients
Background. The clock drawing test (CDT) is frequently used to detect changes in cognition. Multiple scales of varying length have been published to assess performance. The aim of this study is to compare the CDT performance measured by three scales among a sample of nondemented patients on renal dialysis and identify the variables that affect performance. Methodology. This is a cross-sectional study performed at the dialysis unit at King Saud University Medical City. Eighty-nine dialysis patients performed the CDT. The CDT was scored by the methods of Rouleau et al. (RCS 10-point), Babins et al. (BCS 18-point), and the MoCA (MCS 3-point). Regression models were used to determine influencing demographic and dialysis variables. Scores were then correlated, and a combined factor analysis of scale components was done. Results. Females represented 44.6%, the mean (SD) age was 49.99 (15.49) years, and education duration was 10.29 (5.5) years. Dialysis vintage was 55.81 (62.91) months. The scores for the MCS, RCS, and BCS were 2.18 (1.08), 6.67 (3.07), and 11.8 (5.5), respectively, with significant correlation (P<0.0001). In all scales, increasing age was associated with a lower score (each P<0.0001). The scores increased with increasing education (each P<0.0001). Diabetics had a lower score on both the BCS and MCS by 2.56 (SE 1.2) (P=0.035) and 0.71 (P=0.003) points, respectively. However, only age and years of education were significant in the multivariable analysis. In factor analysis, two shared factors appeared between the three scales: hand and number placement and the clock face. Conclusion. Age and education influence the performance on the CDT, and factors diverged into executive and visuospatial components. The MCS is likely to yield useful information but should be interpreted as part of the MoCA