Preoperative NLR is clearly an independent predictor of saphenous vein graft patency in patients after CABG.
When a cystic mass is detected on the floor of oral cavity, we must consider dermoid cysts for differential diagnosis. Surgery is the only treatment. If possible, intraoral approach should be preferred because of its perfect cosmetic results.
Bu çalışmada vasküler cerrahi konulu literatürün incelenmesi amaçlandı. Çalışmada dokuman araştırma yöntemlerinden bibliyometrik analiz metodu kullanıldı. Bibliyometrik veri tabanlarından olan Web of Science (WOS) veri tabanı anahtar kelimeler kullanılarak değerlendirme yapıldı. Arama dili olarak İngilizce tercih edildi. Arama çubuğu kısmında'vascular surgery' yazılarak yayınlara ulaşıldı. Sadece araştırma makaleleri değerlendirildi. Yayınlar yıllara göre dağılım, ülke, kurum, yayınlandıkları dergi, finansal destek sağlayan kuruluşlara göre ayrıntılı olarak değerlendirildi. 67166 yayına ulaşıldı. Sadece araştırma makaleleri araştırmanın örneklemini oluşturduğundan 55508'i araştırma makalesi ayrıntılı olarak incelendi.
After a long-term untreated fistula, right-sided heart failure, acute renal and hepatic insufficiency, deep vein thrombosis and pulmonary thrombo-embolism can be seen in these patients. Increased venous pressure should be the reason for decreased arterial flow results in renal insufficiency. Emergency intervention in these patients saves the patient's life as well as prevents irreversible organ failure.
Introduction Effective treatment of postoperative pain due to median sternotomy speeds up hemodynamic healing of patients. For this purpose, opioids with a wide range of side effects are widely used at high doses. The aim of this study is to investigate the effect of continuous local anesthetic (bupivacaine) infusion on opioid use on cardiac surgery patients undergoing median sternotomy. Methods A total of 215 patients undergoing isolated coronary artery bypass grafting surgery were included in the study; and 105 patients who underwent parasternal continuous local anesthetic infusion (0.5% bupivacaine at 4 mL/h, for 48h) were determined as local anesthesia group and other patients were as control group. The primary outcomes evaluated between the groups in the postoperative period were pain scores (VAS: Visual Analogic Score, PHHPS: Prince Henry Hospital Pain Score) and the number of opioids used. Secondary outcomes were mechanical ventilation time, intensive care unit and hospital stay duration, development of atrial fibrillation and atelectasis. Results Postoperative pain was found to be significantly lower in the local anesthesia group compared to the control group (VAS: 3 ± 1.9 vs 6.4 ± 1.8, p < 0.001; PHHPS: 0.9 ± 0.8 vs 1.62 ± 0.82, p < 0.001). As a result of this, opioid drug use was significantly lower in the local anesthesia group compared to the control group (0 (0 - 4) vs 1 (0 - 8), p < 0.001). Mechanical ventilation time, intensive care unit and hospital stay duration, and development of atelectasis were significantly lower in the local anesthesia group. In terms of the development of atrial fibrillation, no significant difference was found between the groups. Conclusion Parasternal continuous local anesthetic infusion reduces postoperative opioid use and speeds up hemodynamic healing by preventing possible side effects of opioids. It is a simple and effective method in the treatment of postoperative pain due to median sternotomy.
ABSTRACT Background: Bibliometric studies can direct academics. There have been many specialties and subspecialties where bibliometric analyses have been published, but our literature search yielded no bibliometric analysis of the frozen elephant trunk (FET) procedure. The primary objective of this study was to identify the most frequently referenced papers on FET procedure research and investigate the research trends. Methods: A dataset of all scientific journals published in the English language was created using the Web of Science (WOS) database. This search was then cross-referenced with a comparable search phrase query of the Scopus Library database in order to locate any publications that could have been overlooked during the first search. Citation counts were used to rank the articles. Also knowledge maps were created using VOSviewer software, and articles and reviews pertaining to the FET procedure in CVDs were taken from the WOS Core Collection. Results: A total of 484 documents on Scopus and 494 documents on WOSpertaining to the FET procedure were included in this study. The leading countries that published most of the research were Germany, Japan, and Italy in both databases. The largest subset of the FET procedure articles was published since 2012. The most cited authors were Karck, Shrestha, and Uchida. The mean Hirsch index of the articles was 40 and 10.47 per article. Conclusion:This study offers information on the traits and standards of the FET procedure literature that has received the most citations, as well as a ranking of the most important sources for this procedure. This work provides as a guide to what constitutes a citeable FET procedure publication by offering the most important references and mostly publishing journals.
Abstract. Though East Friesian sheep are known to have very high milk yield, their various degree crosses may have different levels of milk yield under different conditions due to genotype × environment interaction. The major purpose of this study was to investigate whether increasing milking frequency for a short period (21 days) increases milk yield in two East Friesian crosses, Tahirova and Sonmez sheep. Tahirova is 75 % East Friesian and 25 % Kivircik, while Sonmez is 75 % Tahirova and 25 % Sakiz (Chios). Two milking groups were formed and were treated the same in terms of feeding and management. The sheep in the 4× group were milked 4 times a day after weaning for a short period, namely 21 days and then were milked twice a day for the rest of the lactation. The sheep in the 2× group were milked twice a day throughout the whole milking season. Repeated measures analyses indicated that overall differences between the 2× (520.68 g) and 4× (873.03 g) groups were highly significant for milk yield (P<0.01). Parity differences were significant in the treatment group and the 3rd lactation animals responded better to the 4× treatment (P<0.01), but they were non-significantly different than the 2nd lactation animals in the 2× group. Sheep in the 4× group had higher milk fat yield (P=0.02) but the groups were similar in terms of fat percentage (P=0.11). Differences between the breeds were highly significant (P<0.01) also. Tahirova breed, which has a higher percentage of East Friesian had a daily milk yield of 566.66 g, while Sonmez breed with a lower percentage of East Friesian produced a higher daily milk yield of 827.05 g. Results of this study suggests that increasing milking frequency for a short time increases milk yield throughout lactation, especially for older animals, and sheep with too high East Friesian breeding may have lower milk yield than those with lower East Friesian breeding.
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