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Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary art...

BACKGROUND While it is believed that total arterial grafting (TAG) for coronary artery bypass grafting (CABG) confers improved long-term outcomes when compared to conventional grafting with left internal mammary artery and saphenous vein grafts (LIMA+SVG), to date, this has not become the standard of care. In this study, we assessed the impact of TAG on medium-term outcomes after CABG. METHOD...

the most common type of arrhythmia following coronary artery bypass graft (cabg) is atrial fibrillation (af) with an incidence rate of 20-30%. pericardial effusion is one of the etiologic factors of atrial fibrillation occurring after cabg. posterior pericardiotomy (pp) causes the drainage of blood and fluids from the pericardial space into the pleural space leading to a decreased pericardial e...

Department of Bacteriology,* Central Laboratory for Diagnosist and 2nd Surgery Clinic, * Tohoku University School of Medicine, Sendai, Japan Department of Bacteriology,?? Nagasaki University School of Medicine, Nagasaki, Japan Institutos Nacionales de Salud,' Lima, Peru Department of Microbiology,?? Universidad Peruana Cayetano Heredia, Lima, Peru The Institute for Cancer Research,** The Fox Ch...

Chemical composition and protein quality of raw and heat-processed (boiled and autoclaved) samples of selected advanced breeding lines of lima beans (Tpl 1, Tpl 7 and Tpl 175), part of a larger collection developed by the International Institute for Tropical Agriculture (IITA), and evaluated in agronomic field trials in Nigeria, were studied. Protein quality was evaluated using weanling albino ...

BACKGROUND Asthma is a growing public health problem in developing countries. However, few studies have studied the role of urbanisation in this phenomenon. It was hypothesised that children living in a peri-urban setting in Peru have higher rates of asthma and allergy than rural counterparts. METHODS 1441 adolescents aged 13-15 years were enrolled from two settings: a peri-urban shanty town ...

Introduction: The primary aim of facial reanimation surgery is to restore tone, symmetry, and movement to the paralyzed face. Hypoglossal-facial end-to-side anastomosis provides satisfactory facial reanimation in the irreversible proximal injury of the facial nerve. This study discussed the facial function results of end-to-side anastomosing of hypoglossal nerve to facial nerve when the i...

Transthoracic Doppler echocardiography (TDE) is a non-invasive and easy reproducible method to assess the left internal mammary artery (LIMA) graft patency after coronary artery bypass graft surgery (CABG). LIMA graft dysfunction is rare, its rate being 10% at 10 to 15 years after revascularization. The most common cause of graft dysfunction is the competitive flow with the native coronary arte...