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Hypertension 2017

Jan P Mulier, Bruno Dillemans
BACKGROUND: Deep neuromuscular block (NMB) and opioid-free anaesthesia (OFA) improve surgical workspace and reduce post-operative opioid consumption, but its impact on perioperative outcomes is unknown. This observational study compared complications and healthcare resource utilization after bariatric surgery, with or without continuous deep NMB or OFA. METHODS: We included all 9246 patients who underwent laparoscopic bariatric surgery at our institution from January 2009 to February 2017...
March 16, 2019: Obesity Surgery
Yoshihiro Ono, Masayuki Tanaka, Kiyoshi Matsueda, Makiko Hiratsuka, Yu Takahashi, Yoshihiro Mise, Yosuke Inoue, Takafumi Sato, Hiromichi Ito, Akio Saiura
BACKGROUND: Pancreaticoduodenectomy (PD) with splenic vein (SV) ligation may result in sinistral portal hypertension (SPH). The aim of this study was to compare the outcomes of various types of SV reconstruction to prevent SPH and to define the optimal reconstruction method. METHODS: This study included patients who underwent PD with SV resection and reconstruction for pancreatic cancer between December 2013 and June 2017. The patency of various types of SV anastomosis and SPH was evaluated by follow up computed tomography...
March 13, 2019: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Eniko Barczi, Livia Starobinski, Abigel Kolonics-Farkas, Noemi Eszes, Aniko Bohacs, Martina Vasakova, Karel Hejduk, Veronika Müller
INTRODUCTION: Idiopathic pulmonary fibrosis (IPF) is one of the most common interstitial lung diseases with limited survival. The effect of IPF therapy in patients with severely impaired lung function is not well established. The aim of this study was to characterize IPF patients with a forced vital capacity (FVC) < 50% (group 1) and FVC 50-60% predicted (group 2) and analyze the effect and adverse events of nintedanib in Hungarian patients diagnosed between April 2015 and July 2017...
March 14, 2019: Advances in Therapy
Xiaofeng Chen, Tianzhu Qiu, Yingwei Zhu, Jing Sun, Ping Li, Biao Wang, Peinan Lin, Xiaomin Cai, Xiao Han, Fengjiao Zhao, Yongqian Shu, Lianpeng Chang, Hua Jiang, Yanhong Gu
LESSONS LEARNED: Patients with metastatic colorectal cancer with good performance status or no liver metastasis could benefit from apatinib.Circulating tumor DNA abundance may be a predictor in serial monitoring of tumor load. BACKGROUND: Apatinib, an oral vascular endothelial growth factor (VEGF) receptor-2 inhibitor, has been approved as third-line treatment for metastatic gastric cancer in China. The aim of this study was to evaluate the efficacy and safety of apatinib, in the treatment of patients with refractory metastatic colorectal cancer after failure of two or more lines of chemotherapy...
March 15, 2019: Oncologist
Minqiang Liu, Zhichao Li, Song Wang, Yong Liu, Xiangpeng Zhong, Renliang He, Fengxian Li
BACKGROUND: It was reported that prolonging the injection time or diluting administration can reduce the incidence of opioid-induced cough. However, the incidence of sufentanil-induced cough (SIC) via a standardized infusion rate is unclear. A mechanical dropper is an infusion filtering device commonly used for intravenous degassing; it can also be used to administer special drugs due to its temporary storage and dilution effect. This study assesses the effectiveness of administration via mechanical dropper on SIC...
March 15, 2019: Trials
Despo Ierodiakonou, Maria Kampouraki, Ioannis Poulonirakis, Polyvios Papadokostakis, Eleftheria Lintovoi, Dimitris Karanassos, Kyriakos Maltezis, Maria Chorti, Evangelos Petrovitsos, Sofia Dimopoulou, Sam Hamind, Ioannis Gialamas, Polyxeni Athanasiou, Vasiliki Bempi, Irene Lambraki, Ioanna Tsiligianni
BACKGROUND: Frailty is a state of increased vulnerability that has a significant risk of unfavorable outcomes such as increased dependency and/or death, but little is known about frailty in people with chronic obstructive pulmonary disease (COPD). METHOD: We aimed to determine the prevalence of frailty in COPD patients and to identify the associated risk factors. Two hundred fifty-seven COPD patients enrolled from primary care in Greece between 2015 and 2016. Physicians used structured interviews to collect cross-sectional data including demographics, medical history, symptoms and COPD Assessment Tool (CAT) or modified Medical Research Council Dyspnea scale (mMRC) score...
March 15, 2019: BMC Pulmonary Medicine
Hui-Hua Chen, Wan-Hua Ting, Ho-Hsiung Lin, Sheng-Mou Hsiao
Background: Lymphoceles could represent a detrimental complication after retroperitoneal lymph node dissection. Our aim was to elucidate predictors of lymphoceles. Methods: Between 2011 and 2017, medical records of consecutive women who underwent laparotomic retroperitoneal lymph node dissection for FIGO stage I or II gynecologic cancer were reviewed. Results: A total of 204 women, including those with lymphoceles (n = 31) and symptomatic lymphoceles (n = 7), were reviewed. According to multivariable analysis, parity (odds ratio = 0...
March 15, 2019: International Journal of Environmental Research and Public Health
Olumide Abiodun, Akindele Ladele, Oluwatosin Olu-Abiodun, Temitope Ashipa
Purpose The burden of hypertension is rising both globally and in Africa specifically. We determined the prevalence of hypertension and the risk factors for clinical hypertension in a population of new university intakes over a 4-year period. Methods We analyzed retrospectively, the records of 6980 older adolescents (15-19 years). We used population-specific metrics to categorize blood pressure (BP) based on the 2017 Clinical Practice Guidelines by the American Academy of Pediatrics. Results The overall prevalence of high BP in our study was 25...
March 16, 2019: International Journal of Adolescent Medicine and Health
Salih Kılıç, Erhan Saraçoğlu, Yusuf Çekici, Arafat Yıldırım, Zülfiye Kuzu, Dilara Deniz Kılıç, Meral Kayıkçıoglu
OBJECTIVE: The aim of the present study was to assess differences between urban and rural patients with coronary heart disease (CHD) with respect to secondary prevention. METHODS: This cross-sectional study included all consecutive patients diagnosed with CHD at 2 cardiology clinics between January 2016 and January 2017. The demographic characteristics and laboratory parameters were recorded at routine control visits. The patients were divided into 2 groups according to residence based on their statements: urban (n=1752) and rural (n=456)...
March 2019: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Jiaxin Liu, Li Chen, Xin Duan, Zhou Xiang
Objective: To evaluate the effect of early preoperative mobilization on the rehabilitation of the elderly patients with hip fractures after operation. Methods: The clinical data of 16 elderly patients with hip fractures between February 2017 and April 2018 who met the selection criteria was retrospectively analyzed. There were 8 males and 8 females, with an average age of 80.3 years (range, 69-90 years). There were 8 cases of intertrochanteric fracture and 8 cases of femoral neck fracture...
March 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
Maurizio Rizzi, Dejan Radovanovic, Andrea Airoldi, Andrea Cristiano, Francesca Frassanito, Paolo Gaboardi, Marina Saad, Fabiola Atzeni, Piercarlo Sarzi-Puttini, Pierachille Santus
Systemic sclerosis (SSc) is an autoimmune disease characterised by tissue fibrosis leading to vascular injury. Nitric oxide (NO) has been implicated in the pathogenesis of autoimmune diseases. A deficiency in basal NO production by the constitutive endothelial isoform of nitric oxide synthase may promote vasoconstriction and vascular wall thickening. In January 2017, we searched the PubMed/Medline, Cochrane Library and Enbase/Medline databases for studies analysing physio-pathological correlations with lung fractional exhaled NO (FeNO) production...
February 27, 2019: Clinical and Experimental Rheumatology
Edoardo Picetti, Ronald V Maier, Sandra Rossi, Andrew W Kirkpatrick, Walter L Biffl, Philip F Stahel, Ernest E Moore, Yoram Kluger, Gian Luca Baiocchi, Luca Ansaloni, Vanni Agnoletti, Fausto Catena
Background: Traumatic brain injury (TBI) is a global health problem. Extracranial hemorrhagic lesions needing emergency surgery adversely affect the outcome of TBI. We conducted an international survey regarding the acute phase management practices in TBI polytrauma patients. Methods: A questionnaire was available on the World Society of Emergency Surgery website between December 2017 and February 2018. The main endpoints were the evaluation of (1) intracranial pressure (ICP) monitoring during extracranial emergency surgery (EES), (2) hemodynamic management without ICP monitoring during EES, (3) coagulation management, and (4) utilization of simultaneous multisystem surgery (SMS)...
2019: World Journal of Emergency Surgery: WJES
Nam Han Cho, Young Rak Cho, Mi Kyoung Park, Duk Kyu Kim, Chol Shin, Moon-Kyu Lee, Sunghwan Suh
The American College of Cardiology/American Heart Association (ACC/AHA) recently published a Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. However, the data in other ethnic groups are not well known. We evaluated the prevalence and associated cardiovascular prognosis of Korean subjects with newly reclassified hypertension based on the 2017 ACC/AHA guideline. We analyzed data from the Korean Health and Genome Study (n = 10,038). Supine blood pressure (BP) was measured thrice following a standardized protocol and averaged...
February 23, 2019: American Journal of Cardiology
Alexandre Vallée, Alexandre Cinaud, Vincent Blachier, Hélène Lelong, Michel E Safar, Jacques Blacher
BACKGROUND: Cardiovascular disease, such as coronary heart disease (CHD), are the main cause of mortality and morbidity worldwide. CHD is not entirely predicted by classic risk factors; however, they are preventable. Facing this major problem, the development of novel methods for CHD risk prediction is of practical interest. The purpose of our study was to construct an artificial neural networks (ANNs)-based diagnostic model for CHD risk using a complex of clinical and haemodynamics factors of this disease and aortic pulse wave velocity (PWV) index...
March 11, 2019: Journal of Hypertension
Collin L Chen, Sam P Most, Gregory H Branham, Emily A Spataro
Importance: Paramedian forehead flaps are commonly used to reconstruct facial defects caused by skin cancers. Data are lacking on the complications from this procedure, postoperative outcomes, and association of cancer diagnosis with rate of deep venous thrombosis (DVT). Objectives: The primary objective was to determine complication rates after paramedian forehead flap reconstruction for defects resulting from resection of facial cancers; and the secondary objective was to determine patient factors and complications that are associated with readmission...
March 14, 2019: JAMA Facial Plastic Surgery
Zaeem Lone, Shelby Hall, Tomoaki Terakawa, Ahmed Hussein, Youssef Ahmed, Ahmed S Elsayed, Naif A Aldhaam, Paul May, Austin Miller, Zhe Jing, Luciano Nunez Bagayrac, Hijab Khan, Jared Cohen, Adam Cole, Omer Rana, Renuka Kanapan, Christian Prechtl, Khurshid A Guru
INTRODUCTION: There is paucity of literature about the validation American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) surgical risk calculator for prediction of outcomes after robot-assisted radical cystectomy (RARC). We sought to evaluate the accuracy of the ACS NSQIP® surgical risk calculator in the patients who underwent RARC at our institute. METHODS: We retrospectively reviewed our prospectively maintained database for patients who underwent RARC between 2005 and 2017...
March 14, 2019: Journal of Endourology
Bing Yan, Yaxin Yu, Mingzhu Lin, Zhibin Li, Liying Wang, Peiying Huang, Haiqu Song, Xiulin Shi, Shuyu Yang, Xiaoying Li, Xuejun Li
AIM/INTRODUCTION: Diabetes prevalence in China has increased, but the trend in gestational diabetes mellitus prevalence is unclear. The objective of the present study was to examine prevalence of gestational diabetes in Xiamen, China and its association with maternal risk factors. MATERIALS AND METHODS: This linked-database cohort study used the Medical Birth Registry of Xiamen (MBRX). Between March 1, 2011 and March 30, 2018, 78,572 women who were diagnosed with GDM...
March 14, 2019: Journal of Diabetes Investigation
Simon Sensalire, Paul Isabirye, Esther Karamagi, John Byabagambi, Mirwais Rahimzai, Jacqueline Calnan
BACKGROUND: Uganda's maternal and newborn mortality remains high at 336 maternal deaths per 100,000 live births and 27 newborn deaths per 1,000 live births. The Saving Mothers, Giving Life (SMGL) initiative launched in 2012 by the U.S. government and partners, with funding from the U.S. President's Emergency Plan for AIDS Relief, focused on reducing maternal and newborn deaths in Uganda and Zambia by addressing the 3 major delays associated with maternal and newborn deaths. In Uganda, SMGL was implemented in 2 phases...
March 11, 2019: Global Health, Science and Practice
Dongmei Pei, Yang Gong, Hong Kang, Chengpu Zhang, Qiyong Guo
BACKGROUND: Prediction or early diagnosis of diabetes is crucial for populations with high risk of diabetes. METHODS: In this study, we assessed the ability of five popular classifiers (J48, AdaboostM1, SMO, Bayes Net, and Naïve Bayes) to identify individuals with diabetes based on nine non-invasive and easily obtained clinical features, including age, gender, body mass index (BMI), hypertension, history of cardiovascular disease or stroke, family history of diabetes, physical activity, work stress, and salty food preference...
March 12, 2019: BMC Medical Informatics and Decision Making
Shreya G Rao, Karla I Galaviz, Hawkins C Gay, Jingkai Wei, Wendy S Armstrong, Carlos Del Rio, K M Venkat Narayan, Mohammed K Ali
OBJECTIVES: To estimate the pooled relative risk of incident acute myocardial infraction (AMI) among HIV-infected adults compared to HIV-uninfected controls and explore the contribution of traditional and HIV-related risk factors. BACKGROUND: Understanding AMI risk and associated risk factors in HIV-infected populations has the potential to inform clinical management and prevention strategies. METHODS: We systematically identified cohort studies of HIV-infected or HIV-infected and matched uninfected adults reporting AMI incidence rates published up to January 1, 2017...
February 20, 2019: Journal of Acquired Immune Deficiency Syndromes: JAIDS
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