scholarly journals Availability of interventional-radiological revascularization procedures in Germany – an analysis of the DeGIR Registry Data 2018/19

2021 ◽  
Author(s):  
Andreas H. Mahnken ◽  
Jonathan Nadjiri ◽  
Balthasar Schachtner ◽  
Arno Bücker ◽  
Lothar J. Heuser ◽  
...  
Keyword(s):  
Quality Management System ◽  
High Volume ◽  
Absolute Number ◽  
Administrative District ◽  
High Quality ◽  
Radiological Society ◽  
Radiology Service ◽  
Key Points ◽  
Artery Disease ◽  
Revascularization Procedures

Purpose Peripheral artery disease (PAD) is a common condition with high socio-economic relevance. Therefore, qualified nationwide provision of interventional treatments of PAD is important for maintaining a high quality medical service in Germany. Materials and Methods All data on revascularization procedures from the quality management system of the German interventional radiological society (DeGIR) for the years 2018 and 2019 were retrospectively analysed. Number and distribution of DeGIR certified endovascular specialists and treatment centres was mapped. Documented procedures were broken down to the level of administrative districts. Absolute number of revascularization procedures and normalized number per one million inhabitants were computed. Results In 2019 there were 57 732 revascularization procedures from 228 participating centres performed by DeGIR certified interventional radiologists. A median of 62 recanalization procedures were documented per centre. 36 centres were considered to be high volume centres, with more than 500 procedures each. On a regional level in the years 2018 and 2019 combined a median (range) of 2324 (323–12 518) revascularization procedures per administrative district were performed by DeGIR certified interventional radiologist. Conclusion There is a comprehensive nationwide high quality interventional-radiology service for the provision of revascularization procedures available in Germany. Key points:  Citation Format

Pyometra Management Practices in the High Quality, High Volume Spay-Neuter Environment

2021 ◽  
Vol 42 ◽  
pp. 100499
Author(s):  
Ashlee J. McCallin ◽  
Veronica A. Hough ◽  
Rachael E. Kreisler
Keyword(s):  
Management Practices ◽  
High Volume ◽  
High Quality

scholarly journals Levels of Evidence in Rhinology and Skull Base Surgery Research

2021 ◽  
pp. 019459982098713
Author(s):  
Jennifer A. Silver ◽  
Marco Mascarella ◽  
George Tali ◽  
Rickul Varshney ◽  
Marc A. Tewfik ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Absolute Number ◽  
High Quality ◽  
Level Of Evidence ◽  
Levels Of Evidence ◽  
The Past ◽  
Significant Difference ◽  
Surgery Research ◽  
Based Medicine

Objective The purpose of this study was to evaluate the quality of evidence of rhinology and rhinologic skull base surgery (RSBS) research and its evolution over the past decade. Study Design Review article. Setting We reviewed articles from 2007 to 2019 in 4 leading peer-reviewed otolaryngology journals and 3 rhinology-specific journals. Methods The articles were reviewed and levels of evidence were assigned using the Oxford Centre for Evidence-Based Medicine 2011 guidelines. High quality was defined as level of evidence 1 or 2. Results In total, 1835 articles were reviewed in this study spanning a 13-year period. Overall, the absolute number of RSBS publications increased significantly 22.6% per year, from 108 articles in 2007 to 481 in 2019 ( P < .001; 95% CI, 7.9-37.2). In 2007, only 13 articles, or 15%, were high quality, and this grew to 146 articles, or 39%, in 2019. A 14.0% per year exponential increase in the number of high-quality publications was found to be statistically significant ( P < .001; 95% CI, 7.2, 20.7). Overall, high-quality publications represented just 25.8% of RSBS articles overall. There was no significant difference in quality between rhinology-specific journals and general otolaryngology journals (χ2 = 3.1, P = .077). Conclusion The number of overall publications and of high-quality RSBS publications has significantly increased over the past decade. However, the proportion of high-quality studies continues to represent a minority of total RSBS research.

scholarly journals The argument of the ORBITA study: angioplasty is useless

2020 ◽  
Vol 22 (Supplement_E) ◽  
pp. E34-E36
Author(s):  
Leonardo Bolognese
Keyword(s):  
Quality Of Life ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Functional Capacity ◽  
Coronary Angioplasty ◽  
Stable Coronary Artery Disease ◽  
Artery Disease ◽  
Revascularization Procedures ◽  
Vessel Coronary Artery

Abstract The goal of treatment in stable coronary artery disease is to improve prognosis and quality of life of the patients. International Guidelines support revascularization procedures for symptomatic patients unresponsive to optimal medical treatment. Previous studies demonstrated, in fact, the therapeutic efficacy of coronary angioplasty in reducing angina and improving the functional capacity of these patients. The ORBITA study, recently published, challenged these assertions by demonstrating the lack of benefit of angioplasty over placebo in terms of effort tolerance in a population of patients with single-vessel coronary artery disease. What lesson could we learn from the ORBITA study?

Platelet Glycoprotein Receptor IIIa Polymorphism PlA1/PlA2 and Coronary Risk: a Meta-Analysis

2001 ◽  
Vol 85 (04) ◽  
pp. 626-633 ◽  
Author(s):  
Augusto Di Castelnuovo ◽  
Giovanni de Gaetano ◽  
Maria Benedetta Donati ◽  
Licia Iacoviello
Keyword(s):  
Odds Ratio ◽  
Meta Analysis ◽  
Platelet Glycoprotein ◽  
Published Data ◽  
Coronary Risk ◽  
Gene Encoding ◽  
Glycoprotein Iiia ◽  
Artery Disease ◽  
Revascularization Procedures

SummaryMembrane glycoprotein IIb/IIIa plays a major role in platelet function. The gene encoding the glycoprotein IIIa shows a common polymorphism PlA1/PlA2 that was variably associated with vascular disease. To clarify the role of PlA1/PlA2 polymorphism in coronary risk, a meta-analysis of published data was conducted. Studies were identified both by MEDLINE searches, and hand searching of journals and abstract books.A total of 34 studies for coronary artery disease (CAD), and 6 for restenosis after revascularization were identified, for a total of 9,095 cases and 12,508 controls. In CAD, the overall odds ratio for carriers of the PlA2 allele was 1.10 (95% CI: 1.03 to 1.18), and it was 1.21 (95% CI: 1.05 to 1.38) in subjects younger than 60. Overall odds ratio was 1.31 (95% CI: 1.10 to 1.56) after revascularization procedures.The association of PlA2 status with overall cardiovascular disease in the general population is significant but weak; higher risk has been identified in less heterogeneous subgroups as in the younger cohorts and in the restenosis subset with stents.

Vision-based assessment of viability of acorns using sections of their cotyledons during automated scarification procedure

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Mirosław Jabłoński ◽  
Ryszard Tadeusiewicz ◽  
Adam Piłat ◽  
Józef Walczyk ◽  
Paweł Tylek ◽  
...  
Keyword(s):  
Computer Vision ◽  
Color Image ◽  
High Volume ◽  
The Other ◽  
Assessment Criteria ◽  
High Quality ◽  
Overall Design

Abstract The goal of the research described in the article was to develop the device for the automatic scarification of acorns and computer vision-based assessment of their viability. The color image of the intersection of the tissue of cotyledons was selected as a key feature for separating healthy seeds from the spoiled ones. Because the device is being designed for the diagnosis of high volume of seeds aiming at producing high-quality seedlings, several assessment criteria of the overall design of the automaton are being assessed. The basic one is the overall accuracy of viability recognition. The other refers to particular functions implemented in the model of the device being described.

Upper Extremity Revascularization Procedures

2017 ◽  
Author(s):  
David L. Cull ◽  
Sagar S Gandhi
Keyword(s):  
Upper Extremity ◽  
Innominate Artery ◽  
Rational Approach ◽  
Acute Ischemia ◽  
Survival Times ◽  
Arterial Embolism ◽  
Surgical Bypass ◽  
Rising Incidence ◽  
Artery Disease ◽  
Revascularization Procedures

Acute arm ischemia due to arterial embolism is relatively common and amenable, in most cases, to simple embolectomy. Chronic arm ischemia is more infrequent. Although endovascular techniques have largely replaced surgical bypass for innominate artery and subclavian artery disease, the rising incidence of diabetes and longer survival times reported in patients with renal impairment have led to increased use of distal bypass procedures in the arm. In this review, we describe a rational approach to emergency and elective arm revascularization, with an emphasis on the technical aspects of these procedures. Key words: acute ischemia, axillary, brachial, chronic ischemia, innominate artery, radial, revascularization, subclavian, ulnar, upper extremity

Out of Hospital Cardiac Arrest

2018 ◽  
pp. 89-93
Author(s):  
Erik Rueckmann
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Medical Services ◽  
Evidence Based ◽  
Early Defibrillation ◽  
Key Factors ◽  
High Quality ◽  
Key Points ◽  
Neurologically Intact ◽  
Hospital Cardiac Arrest

The management of out-of-hospital, atraumatic cardiac arrest has changed over the past decade. This case details the evidence-based changes in care that optimize the chance of neurologically intact survival. The key factors include immediate, continuous, high-quality cardiopulmonary resuscitation with minimal interruptions, early defibrillation, and the use of capnography to assess resuscitative efforts. The orchestration of resuscitative efforts is a bundle of care that must all be met to provide the patient the best chance of survival. Furthermore, this case illustrates the key points of postarrest care and touches on termination of resuscitation. This chapter examines the case of emergency medical services call for an unresponsive patient in cardiac arrest on arrival.

scholarly journals Accreditation of research in the thermo-climatic chamber - various aspects

2018 ◽  
Vol 183 ◽  
pp. 01009
Author(s):  
Artur Gawlik ◽  
Piotr Kucybała ◽  
Danuta Owczarek ◽  
Janusz Pobędza
Keyword(s):  
Quality Management ◽  
Environmental Conditions ◽  
Quality Management System ◽  
New Products ◽  
Heavy Duty ◽  
Climatic Chamber ◽  
High Quality ◽  
University Of Technology ◽  
The Impact

One of the important aspects in the implementation of new products for production in the open field is the assessment of the impact of environmental conditions on their operation. Typically thermo-climatic research is carried out for such project. The laboratory of Techno-climatic Research and Heavy Duty Machines of Cracow University of Technology, equipped with a large-sized thermo-climatic chamber conducts this type of research. Bearing in mind the assurance of high quality of the conducted research, the quality management system (QMS) was developed and implemented. The article describes the requirements, scope and process of obtaining a Polish Centre for Accreditation (PCA) certificate.

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