BACKGROUND In some studies, tight glycemic control with insulin improved outcomes in adults undergoing cardiac surgery, but these benefits are unproven in critically ill children at risk for hyperinsulinemic hypoglycemia. We tested the hypothesis that tight glycemic control reduces morbidity after pediatric cardiac surgery. METHODS In this two-center, prospective, randomized trial, we enrolle...

PURPOSE To analyse and quantitatively compare the outcomes of microincisional cataract surgery (CCMIC) with those of conventional phacoemulsification, evaluating the induced astigmatism, endothelial cell count, corneal thickness and foveal thickness in the pre- and postoperative period. METHODS Prospective and randomised study, including 74 eyes of 37 patients with a mean age of 72.97±7.55 ye...

www.thelancet.com Published online December 20, 2016 http://dx.doi.org/10.1016/S0140-6736(16)32595-8 1 As reconstructive pelvic surgeons sought to reduce anatomical and symptomatic recurrence of transvaginal prolapse, the concept of incorporating an augmenting material was adopted. With this idea, similar to mesh-based hernia repair, health-care professionals aim to decrease anatomical recurren...

PURPOSE To report the surgical outcomes of reoperation of unclosed macular holes after initial vitrectomy with internal limiting membrane peeling. PROCEDURES Seven eyes of 7 patients were submitted to a second procedure in which five radial retinal incisions were made, as deep as the retinal pigment epithelium, beginning one hole diameter away from its borders and extending centripetally unti...

purpose : to evaluate the near visual performance of an accommodative intraocular lens (iol) tetraflex, in comparison to a standard monofocal foldable iol in cataract surgery. setting: eye research center , farabi eye hospital , department of ophthalmology, tehran university of medical sciences, iran . methods : forty six eyes of 23 patients with cataract underwent phacoemulsification and accom...

children, similar to adults, are required to fast before general anesthesia in order to reduce  the volume and acidity of stomach contents. it is thought that npo regulations reduce the risk of regurgitation and aspiration of gastric contents during surgery. recent developments have encouraged a shift from the standard 'nil by mouth from midnight' fasting policy to more relaxed regime...

Ewing sarcoma is a rare tumor that requires complex multidisciplinary management. This report describes the general management and standard radiotherapy guidelines in both North America (Children's Oncology Group) Europe (International Society of Pediatric Oncology). Standard treatment involves multiagent induction chemotherapy followed by local with surgery, definitive radiation, or combinatio...

Children, similar to adults, are required to fast before general anesthesia in order to reduce  the volume and acidity of stomach contents. It is thought that NPO regulations reduce the risk of regurgitation and aspiration of gastric contents during surgery. Recent developments have encouraged a shift from the standard 'nil by mouth from midnight' fasting policy to more relaxed regimens. Preope...