the non arthroplasty surgical options
SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 1 potx
... for these patients, in the context of their expected medical longevity The survival for our low EF CABG patients at years is 80% At five years, the survival is 60% These figures include the post-operative ... vigorous preventive measures and earlier surgical interventions This book outlines the major surgical options for the treatment of heart failure and brings together a very broad base of opinions with ... into the apphcation of coronaiy aitery' bypass grafting (CARCT) to the patient with advanced lefl ventricular dystunction were made since the early days of open heart surgery, the opinion that the...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 2 pdf
... etiologies."' '' The results from these studies suggest that the changes in adrenergic receptors in the myocardium may depend both on the etiology of congestive heart failure and the stage of the heart ... increased wall stress are the potential triggers of apoptosis in the failing heart '"' However, the rt)ie of apoptosis IS usually questioned on the basis of the fact that the number of mvocytes ... activiation The activation of the sympathetic nervous system is the first response to left ventricular dysfunction S\Tnpathetic activation initially compensates for the loss of cardiac output b\...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 3 doc
... operation because the likelihood of improvement is too low? This issue deserves careful analysis The greater the left ventricular dysfiinction and the greater the symptoms, the worse is the outcome ... decompresses the left ventricle and removes the afterload mismatch, improving the loading conditions that the ventricle will see in the ftiture A small mmority of the patients in the high-nsk ... close to the LAD and entering the ventricular septum or t(K) far away from the LAD and damaging the anterior papillan," muscle." Once an initial incision IS made into the apex of the aneurysm the...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 4 pot
... opening in the ventricle and the size of the endocardia! patch to be used The patch is usually 2-3 em in diameter and can be Daeron or perieardium The patch is sutured at the level of the purscstring ... aneuiysms, which is the usual ease, the excluded edges should not be sutured together but rather should be tacked down to the edges of the patch This prevents distortion of the right ventricle ... pursestring at the base of the aneurysm and tighten it to restore the more normal conical relationship between the septum and the free wall In doing so the proper orientation of the myocardial...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 5 pot
... on the other hand, generally indicate the potential for improvement from further adjustment of medical therapy) More subtle frends of declimng cardiac index and renal function on maximal therapy ... which some of the factors which led to deterioration and referral may resolve spontaneously, and the benefits of optimal medical therapy may be realized The Bethesda Conference and the Consensus ... Comment The personal dedication of the early heart transplantation teams combined with the advances m surgical techniques and immunosuppression have established this as the best current therapy...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 6 potx
... for the entire curve is 2.6 years because of the high first-year mortality rate The conditional Yi life for those sun-iving the first year is more than 8.4 years Tables V and VI demonstrate the ... recipemt Given the verv' small numbers, the confidence is wide in these latter two factors, and (he predietive ab.ility of •these factors needs confirmalion Figures 37 ,'md38 dem,on.strale the activity ... demonstrates the age distribution for heart-lung transplantation, with clustering between 18 and 49 years Figure 23 demonstrates the indications for heart-lung Iran.splantation in the adull population The...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 7 docx
... to the femoral arterv' or the ascending aorta (for support needed for days) The catheter is then advanced through the aortic valve into the left ventricle with the inflow port located in the ... mandatory The device operates in several modes In the Auto mode, the venous return to the VAD determines the ventricular output The venous return is in turn augmented by lowering the pump to the floor ... made at the center of the sewing ring A core of apical myocardium is then cut using a circumferential blade and removed The apical cannula is then introduced and the purse-string suture of the apical...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 8 pdf
... valve, and the other at the inferior vena cava-right atrial junction.''' The LDM is then folded around the heart from posterior to anterior, and the edges are sutures together to form the completed ... avoid tension of the intact neurovascular pedicle The ligamentous insertion of the LDM is then affixed to the periosteum of the second or third rib with a non- absorbable heavy suture The skin is closed ... of these fragile ventricles This can be accomplished by sliding the muscle posterior to the heart, and anchoring it with two sutures to the posterior pericardium; one just to the left of the...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 9 doc
... Activation of the system, either by the classical (antigen-antibody mediated) or the alternative pathway, leads to the generation of C3b by C3 convertase and then membrane attack complex (MAC) There ... against the white cell count, the aim being to prevent the total white count falling below 2xlO'cells/L The steroids were commenced at the time of reperftision of the xenograft at mg/kg, and then ... organs to meet the demand, and perhaps being Roy Masters (editor) Surgical Options for the Treatment of Heart Failure 165-173 © 1999 Kluwer Academic Publishers Printed in the Netherlands 166...
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SURGICAL OPTIONS FOR THE TREATMENT OF HEART FAILURE - PART 10 pot
... with the TAH, the patients are tethered to external consoles reducing their mobilit)', and essentially confining them to hospital These devices however have demonstrated the potential of the technology ... recently the only devices approved for sale in the U.S.A were the external devices or console driven versions of the implantable devices."' Unfortunately these are the devices least suited to the ... reduce the incidence of infection seen with other devices which utilize percutaneous coimections In addition, the system has the device controls built into the implanted unit allowing the device...
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Designing & evaluating an English reading test for the non-majors of Civil Engineering at Haiphong private university
... the scope of the study, the aims of the study, the methods of the study and finally the design of the study *Part II includes three chapters: + Chapter one is the literature review in which the ... inaccuracies in the test In the same way, it is important that the student’s score should be the same (or as nearly the same as possible) whether he takes one version of the test or another and whether ... in the previous chapter 3.1 The content area of the test The following topic checklist of the course book will help to point out the content area of the reading test The Topic checklist of the...
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A study on group discussion and its impacts on speaking ability of the non major students at the post elementary level in military science academy
... presentations” The more they participate, the more they speak and the more they speak, the more fluent they become in English In short, most of the students responded that they found satisfied when they ... they respond enthusiastically to the opportunity They are told the tasks they will complete for the purposes of research, but they are not told the precise purpose They are all assured that the ... PARTICIPATE IN THE STUDY IN FACT, THEY RESPOND ENTHUSIASTICALLY TO THE OPPORTUNITY THEY ARE TOLD THE TASKS THEY WILL COMPLETE FOR THE PURPOSES OF RESEARCH, BUT THEY ARE NOT TOLD THE PRECISE PURPOSE THEY...
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Tài liệu Finance For The Non-Financial Manager pdf
... Chapter The Income Statement: The Flow of Progress They Say Timing Is Everything—And They’re Right! Sales: The Grease for the Engine Cost of Sales: What It Takes to Earn the Sale Gross Profit: The ... are finding their particular specialties aren’t going to carry them to the finish line as they might once have Their first clue might have been the arrival of the personal Counting the Beans computer ... at the expense of the protection function In these companies, folks outside of Finance get their needs met, but auditors and others outside the company may be concerned about the safety of the...
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Slide a study on group discussion and its impacts on speaking ability of the non major students at the post elementary level in military science academy
... presentation Objectives of the study contribute more theory to the understandings of group discussion find out the essentials of group discussion provide the teachers with the basic framework ... Methods of the study Qualitative : - Observation - Questionnaire Quantitative: - Descriptive statistics Subjects of the study 16 post-elementary non major students all of them learned ... them learned English for years at school None of them has ever been to an English speaking country they have little opportunity to use English outside the classroom age : 21 – 24 Sex : male...
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NEGOTIATING THE NON-NARRATIVE, AESTHETIC AND EROTIC IN NEW EXTREME GORE docx
... advertising is the key to filling the theaters, the bodies will be dead, and the machines will be covered in blood The 42 audience enters the theater with the advertising already assuring them that they ... You see the man and the drill enter the right side of the frame He cowers and begs The man walks closer and the shot pulls in, framing just the two figures The view then cuts to see the man from ... representation of the content of the film The posters tell the audience that the bodies on the screen could be anyone; the identity is not what matters, what matters are their limbs Furthermore, the introduction...
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Báo cáo khoa học: "Words and Echoes: Assessing and Mitigating the Non-Randomness Problem in Word Frequency Distribution Modeling" ppt
... based on the empirical standard deviation of the ei across the 20 trials (the confidence intervals are usually somewhat larger than the actual range of values found in the experiments, so they should ... than the more sophisticated fZM and GIGP models, despite its poor goodness-of-fit The effect of non- randomness is illustrated very clearly for the BNC (but the same could be shown for the other ... chronologically, the data one wants to generalize to We estimate parameters of the ZM, fZM and GIGP models on each training set, using the zipfR toolkit.5 The models are then used to predict the expected...
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Intra-Operative Neuropathology for the Non-Neuropathologist pptx
... to make many touches over the length of the slide to clear the RBCs off the outside of the specimen, then you can get an idea how many epithelial cells are coming off the tissue Without constant ... quality, as the images would otherwise be extremely grainy) Both of these sets of images are obtained from the same scan The images are then sent to other computers (or printed on film), where they are ... components The lesion extends from the nasal cavity and nasopharynx to the frontal lobe, with the epicenter and waist at the level of the cribriform plate The intracranial portion of the tumor...
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Báo cáo khoa học: The ‘pair of sugar tongs’ site on the non-catalytic domain C of barley a-amylase participates in substrate binding and activity potx
... well as to the active site cleft and the sugar tongs [21] The three rings dened at the Trp278Trp279 site corresponded to acarbose with the reducing-end glucose cleaved off and with the same orientation, ... agreement with the 5062 reduced DMA of the AMY1 Y380A sugar tongs mutant, these effects may stem from allosteric regulation The mutational analysis of the sugar tongs in barley AMY1 explored the role ... connects b5 and a5 of the catalytic (b a)8-barrel at the end of the aglycon-binding area of the active site cleft Earlier, signicant deviation was found in this region between the backbone conformation...
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The finance and accounting desktop guide Accounting literacy for the non-financial manager pot
... about their businesses – more than the accountant knows! With knowledge of the business and the understanding that the figures should represent the form of the business being displayed in the financial ... How old are the assets? This can be deduced from the size of the accumulated depreciation with respect to the cost of the assets Most of this information will be found in the notes to the accounts ... accounts and for the telecommunication company the relevant note 11 is given on the page following the balance sheet Does the company have other fixed assets? In this company’s case there are considerable...
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