Surgical management of CHD in the adult population: the role of humanitarian cardiac surgery mission in Nigeria

2018 ◽  
Vol 29 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Ikechukwu A. Nwafor ◽  
John C. Eze

AbstractBackgroundThe clinical effects of CHD can occur during the neonatal period, childhood, adolescent, and even adulthood. Some CHD in the adult population have indications for surgical management.ObjectiveThe objective of this study was to review the role of humanitarian cardiac surgery missions in the surgical management of CHD in the adult population in a developing country.Materials and methodOver a 5.5-year period – June, 2003, February, 2013–October, 2017 – five different humanitarian cardiac surgery teams visited National Cardiothoracic Center of Excellence, Nigeria. During the period, they operated on adults with CHD. A retrospective study of the patients treated was performed using data obtained from our Hospital Information Technology Department. The demography of the patients, types of CHD, operative modalities, as well as the outcome was analysed using Microsoft Excel. The results were presented in arithmetic of percentages using tables.ResultsDuring the period, a total of 18 CHD patients were treated.

2014 ◽  
Vol 19 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Nousjka P.A. Vranken ◽  
Patrick W. Weerwind ◽  
Paul J.C. Barenbrug ◽  
Steven Teerenstra ◽  
Yuri M. Ganushchak ◽  
...  

2012 ◽  
Vol 94 (8) ◽  
pp. e1-e3 ◽  
Author(s):  
E Chipp ◽  
H Duncan ◽  
R Papini

Burns in the neonatal period are rare and most commonly due to iatrogenic causes. We report a case of a preterm neonate who sustained a full thickness electrical burn following the use of a temporary pacing pad. The case was complicated by significant co-morbidities and the need for cardiac surgery. We describe the surgical management of the case, using excision and closure in the form of a W-plasty. We discuss the reasons for this surgical decision and the importance of managing complex cases such as this on an individual basis.


Organizacija ◽  
2019 ◽  
Vol 52 (2) ◽  
pp. 143-154
Author(s):  
Katarzyna Tworek ◽  
Katarzyna Walecka-Jankowska ◽  
Anna Zgrzywa-Ziemak

Abstract Background and Purpose: This article refers to the relation between information technology (IT) reliability and types of innovations. The main objective of the article is to identify the role of reliability of IT (mainly information reliability) in shaping organization ability to develop different types of innovations, according to Oslo Manual. Design/Methodology/Approach: Theoretical concept of IT reliability is proposed as a one of innovation determinants. Authors proposed four hypotheses and developed a questionnaire to measure the relation between four types of innovation (product, process, organizational and marketing) and IT reliability. The hypotheses were verified using data collected in 2017 from 400 SMEs operating in Poland. Results: Information reliability as the whole notion is statistically significantly correlated with all four types of innovation in organization. Searchability, accuracy and relevance of information have significant relation with product, process, organizational and marketing innovation. Conclusion: The performed empirical research should be treated as the first step of the analysis of innovation determinants, however allowing to draw a set of conclusions useful for the development of next steps of the study.


2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
U Boeken ◽  
P Akhyari ◽  
JP Minol ◽  
A Assmann ◽  
A Lichtenberg

2005 ◽  
Vol 53 (S 3) ◽  
Author(s):  
U Boeken ◽  
P Feindt ◽  
J Litmathe ◽  
D Kindgen-Milles ◽  
S Loer ◽  
...  
Keyword(s):  

2018 ◽  
Vol 2 (1) ◽  
pp. 52-63
Author(s):  
Ansori Ansori

The use of various methods will greatly help students in achieving learning goals. As role play method is one way mastery of learning materials through the development of imagination and appreciation of students on learning materials. Data collection techniques in this study are observation, interviews, and documentation. To analyze the data in this research using data analysis technique of Miles and Huberman model that is data reduction (Data Reduction), data presentation (Data Display) and conclusion (Conclution Drawing / verification) The findings in this research is innovation of role play method can change paradigm to the new paradigm so that the role of the teacher is more as a facilitator, counselor, consultant, and comrade study Flexible schedule, open as needed Learning directed by students themselves Problem-based, project, real world, real action, and reflection Design and investigation. Computers as tools, and dynamic media presentations.


2012 ◽  
Vol 15 (2) ◽  
pp. 84 ◽  
Author(s):  
Canturk Cakalagaoglu ◽  
Cengiz Koksal ◽  
Ayse Baysal ◽  
Gokhan Alici ◽  
Birol Ozkan ◽  
...  

<p><b>Aim:</b> The goal was to determine the effectiveness of the posterior pericardiotomy technique in preventing the development of early and late pericardial effusions (PEs) and to determine the role of anxiety level for the detection of late pericardial tamponade (PT).</p><p><b>Materials and Methods:</b> We divided 100 patients randomly into 2 groups, the posterior pericardiotomy group (n = 50) and the control group (n = 50). All patients undergoing coronary artery bypass grafting surgery (CABG), valvular heart surgery, or combined valvular and CABG surgeries were included. The posterior pericardiotomy technique was performed in the first group of 50 patients. Evaluations completed preoperatively, postoperatively on day 1, before discharge, and on postoperative days 5 and 30 included electrocardiographic study, chest radiography, echocardiographic study, and evaluation of the patient's anxiety level. Postoperative causes of morbidity and durations of intensive care unit and hospital stays were recorded.</p><p><b>Results:</b> The 2 groups were not significantly different with respect to demographic and operative data (<i>P</i> > .05). Echocardiography evaluations revealed no significant differences between the groups preoperatively; however, before discharge the control group had a significantly higher number of patients with moderate, large, and very large PEs compared with the pericardiotomy group (<i>P</i> < .01). There were 6 cases of late PT in the control group, whereas there were none in the pericardiotomy group (<i>P</i> < .05). Before discharge and on postoperative day 15, the patients in the pericardiotomy group showed significant improvement in anxiety levels (<i>P</i> = .03 and .004, respectively). No differences in postoperative complications were observed between the 2 groups.</p><p><b>Conclusion:</b> Pericardiotomy is a simple, safe, and effective method for reducing the incidence of PE and late PT after cardiac surgery. It also has the potential to provide a better quality of life.</p>


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