The early and late results of surgical treatment in 23 patients with congenital coronary artery fistula (CCAF) are presented. One patient died for reasons unrelated to the fistula during corrective surgery for an associated complex cyanotic abnormality. The patients with isolated CCAF and preoperative symptoms improved significantly after surgical closure of the CCAF (p less than 0.05). We conc...

OBJECTIVES The purpose of this study was to evaluate the impact of door-to-balloon time with primary percutaneous coronary intervention (PCI) on late cardiac mortality. BACKGROUND The impact of door-to-balloon time on outcomes is controversial, and the impact on late mortality has not been studied. METHODS Consecutive patients (n = 2,322) treated with primary PCI from 1984 to 2003 were pros...

Speakers' prosodic marking of syntactic constituency is often measured in sentence reading tasks that lack realistic situational constraints on speaking. Results from such studies can be criticized because the pragmatic goals of readers differ dramatically from those of speakers in typical conversation. On the other hand, recordings of unscripted speech do not readily yield the carefully contro...

OBJECTIVES To compare early and late presentations of fetal haemoglobin Bart's disease in the Kowloon West Cluster in Hong Kong, and to find reasons for the re-emergence of late presentations. DESIGN Case series with internal comparisons. SETTING Two tertiary obstetric units in Hong Kong. PATIENTS All cases with confirmed diagnosis of fetal haemoglobin Bart's disease from 1 January 2000 t...

Premature beats can trigger ventricular arrhythmias in heart disease, but the mechanisms are not well defined. We studied the effect of premature beats on activation and repolarization dispersion in seven patients with cardiomyopathy (57 ± 10 yr, left ventricular ejection fraction 31 ± 7%). Activation time (AT), activation-recovery interval (ARI), and total repolarization time (TRT) were measur...

OBJECTIVES/HYPOTHESIS The purpose of this study is to evaluate the outcomes and complications associated with early gold weight implantation for management of the paralyzed eyelid. STUDY DESIGN A retrospective review of clinical charts was conducted to analyze results and complications in patients who underwent gold weight implantation within 30 days of onset of facial nerve paralysis and to ...

OBJECTIVE To measure the long-term rate of radiographic progression in a cohort of patients treated early vs late with conventional DMARDs. METHODS The long-term rate of radiographic progression in patients included in the Swiss clinical quality management in rheumatoid arthritis (SCQM-RA) registry who initiated treatment with conventional DMARDs within the first year of symptom onset (early ...

The efficiency of livestock production in shortgrass steppe may be increased by grazing fourwing saltbush (Atriplex canescens [Pursh] Nutt)-dominated rangeland in late fall and/or early spring, but there is a paucity of information concerning stocking rates and animal gains. The objective of this study was to compare the effects of light and moderate stocking rates on weight gains of heifers gr...