Combined liver and lung transplantation (CLLT) is indicated in patients with both end‐stage liver and lung disease. Ex‐situ normothermic machine perfusion (NMP) has been previously used for extended normothermic lung preservation in CLLT. We aim to describe our single‐center experience using ex‐situ NMP for extended normothermic liver preservation in CLLT. Four CLLTs were performed from 2019 to 2020 with the lung transplanted first for all patients. Median ex‐situ pump time for the liver was 413 min (IQR 400–424). Over a median follow‐up of 15 months (IQR 14–19), all patients were alive and doing well. Normothermic extended liver preservation is a safe method to allow prolonged cold ischemia using normothermic perfusion of the liver during CLLT.
Background: In UAE, stroke is the second leading cause of disability after RTA, where annually 8,000 to 10,000 patients get a stroke. Our aim is to identify the knowledge levels of stroke among Sharjah’s adult citizens.Methods: Using self-administered questionnaires, in a cross-sectional design, a non-probability convenience sampling method was used to enrol subjects. Eligible subjects were above 18 years of age, comprehended Arabic or English, and are currently residing in Sharjah. The questionnaire was 17 questions structured in 5 sections which included: demographics, general knowledge, knowledge of signs and symptoms, risk factors, and appropriate response towards stroke. SPSS V.22 was used to analyse the data. Percentages, means, and ANOVA were used. A P-value less than 0.05 was considered to be statistically significant.Results: The study included 426 subjects, mean age was 35.1 years, 65.2% were females. 51.8% of the subjects claimed they know what stroke is, out of whom 24.3% provided incorrect descriptions. The mean knowledge level of signs and symptoms was 55.4%, and of risk factors was 40.6%. Visual disturbance was the least identified of the five signs and symptoms (38.0%). Female gender, African American race, and age above 60, were the least identified of the 8 risk factors (4.7%, 3.5%, 19.8% respectively). Better knowledge was associated with increased age and higher education. Conclusion: The majority of the sample showed an average to low level of knowledge. Such results indicate the importance of implementing more awareness programs that target younger age groups in the community.
Background
Acute upper gastrointestinal bleeding (UGIB) is a common cause of hospitalization, and esophagogastroduodenoscopy is the gold standard for diagnosis and therapy. Although cold forceps biopsies are considered a low bleeding risk, many defer gastric biopsies in the setting of UGIB. We aimed to conduct a study to assess the safety of gastric ulcer and random gastric biopsies in the setting of an overt UGIB.
Methods
This is a retrospective study conducted at a tertiary care center. All patients with a diagnosis of an UGIB who had an esophagogastroduodenoscopy performed with gastric ulcer or a random gastric biopsy were included. Primary outcomes were bleeding and mortality within 30 days. Secondary outcomes included procedure length, rate of H. pylori or cancer diagnosis, and patient follow-up rate.
Results
Our study included 254 UGIB patients, with only 171 undergoing biopsies. Patients with more severe bleeding using Glasgow-Blatchford Bleeding Score and Rockall Score were less likely to have a biopsy (p < 0.001). There was no statistically significant association between both groups in length of procedure and 30-day mortality (p = 0.482 and p = 0.201, respectively). Patients who underwent biopsies were less likely to be associated with 30-day rebleeding (p = 0.04). There was no difference in H. pylori incidence and cancer detection between the two groups (p = 0.32 and p = 1.0, respectively).
Conclusions
Gastric biopsies were found to be safe to obtain in the setting of an UGIB and did not increase the risk of 30-day rebleeding or 30-day mortality.
Prior Ergonomics Training 1st year 2 (66%) 2nd year 2 (100%) 3rd year 3 (100%) Musculoskeletal Pain Related to Endoscopy 1st year 2 (66%) 2nd year 1 (50%) 3rd year 0 (0%)
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