The impact of surgical technique on postoperative hypoparathyroidism in bilateral thyroid surgery: A multivariate analysis of 5846 consecutive patients

The authors present an outline of the development of thyroid surgery from the ancient times to the beginning of the 20th century, when the definitive surgical technique have been developed and the physiologic and pathopfysiologic consequences of thyroid resections have been described. The key representatives, as well as the contribution of the most influential czech surgeons are mentioned.

Download Full-text

The Impact of Coronary Artery Bypass Grafting Surgical Technique on Stroke in Young and Elderly Patients

The Heart Surgery Forum ◽

10.1532/hsf98.20081132 ◽

2009 ◽

Vol 12 (1) ◽

pp. E17-E23 ◽

Cited By ~ 1

Author(s):

Onder Teskin ◽

Yesım Bıcer ◽

Ugur Kaya ◽

Sertac Cıcek

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Surgical Technique ◽

Elderly Patients ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

The Impact ◽

Stroke In Young

Download Full-text

Which patients with clinical localized renal mass would achieve the trifecta after partial nephrectomy? The impact of surgical technique

Minerva Urologica e Nefrologica ◽

10.23736/s0393-2249.19.03485-4 ◽

2020 ◽

Vol 72 (3) ◽

Cited By ~ 6

Author(s):

Lorenzo Bianchi ◽

Riccardo Schiavina ◽

Marco Borghesi ◽

Francesco Chessa ◽

Carlo Casablanca ◽

...

Keyword(s):

Surgical Technique ◽

Partial Nephrectomy ◽

Renal Mass ◽

The Impact

Download Full-text

The impact of business tourism clustering on the regional economy's development: A Greater Moscow case study

Regional Economics Theory and Practice ◽

10.24891/re.18.7.1397 ◽

2020 ◽

Vol 18 (7) ◽

pp. 1397-1414

Author(s):

K.S. Golondarev

Keyword(s):

Multivariate Analysis ◽

The State ◽

Investment Climate ◽

Private Investors ◽

The Impact

Subject. This article explores the issues of business tourism clustering in Greater Moscow. Objectives. The article intends to justify the need to create a business tourism cluster in Greater Moscow to improve the investment climate in the region. Methods. For the study, I used a multivariate analysis, forecasting, and extrapolation. Results. The article shows a certain relationship between the efficient functioning of the business tourism cluster and the economy's development. Conclusions and Relevance. Certain types of tourist clusters can serve as platforms for attracting investors and implementing marketing plans. The business tourism cluster is a link between buyers and sellers in various industries. The results of the study can be used to improve the effectiveness of the cluster initiative in business tourism, as well as find ways of cooperation between the State and private investors when creating the business tourism cluster in Greater Moscow.

Download Full-text

Assessment of the impact of an opioid-specific education series on rates of medication-assisted treatment for opioid use disorder in veterans

American Journal of Health-System Pharmacy ◽

10.1093/ajhp/zxaa386 ◽

2020 ◽

Author(s):

Taylor Kirby ◽

Robert Connell ◽

Travis Linneman

Keyword(s):

Multivariate Analysis ◽

Hospital Admission ◽

Intervention Group ◽

Opioid Use Disorder ◽

Control Group ◽

Opioid Use ◽

Motivation To Change ◽

Heroin Use ◽

Ed Visits ◽

The Impact

Abstract Purpose The impact of a focused inpatient educational intervention on rates of medication-assisted therapy (MAT) for veterans with opioid use disorder (OUD) was evaluated. Methods A retrospective cohort analysis compared rates of MAT, along with rates of OUD-related emergency department (ED) visits and/or hospital admission within 1 year, between veterans with a diagnosis of OUD who completed inpatient rehabilitation prior to implementation of a series of group sessions designed to engage intrinsic motivation to change behavior surrounding opioid abuse and provide education about MAT (the control group) and those who completed rehabilitation after implementation of the education program (the intervention group). A post hoc, multivariate analysis was performed to evaluate possible predictors of MAT use and ED and/or hospital readmission, including completion of the opioid series, gender, age (>45 years), race, and specific prior substance(s) of abuse. Results One hundred fifty-eight patients were included: 95 in the control group and 63 in the intervention group. Rates of MAT were 25% (24 of 95 veterans) and 75% (47 of 63 veterans) in control and intervention groups, respectively (P < 0.01). Gender, completion of the opioid series, prior heroin use, and marijuana use met prespecified significance criteria for inclusion in multivariate regression modeling of association with MAT utilization, with participation in the opioid series (odds ratio [OR], 9.56; 95% confidence interval [CI], 4.36-20.96) and prior heroin use (OR, 3.26; 95% CI, 1.18-9.01) found to be significant predictors of MAT utilization on multivariate analysis. Opioid series participation and MAT use were independently associated with decreased rates of OUD-related ED visits and/or hospital admission (hazard ratios of 0.16 [95% CI, 0.06-0.44] and 0.32 [95% CI, 0.14-0.77], respectively) within 1 year after rehabilitation completion. Conclusion Focused OUD-related education in a substance abuse program for veterans with OUD increased rates of MAT and was associated with a decrease in OUD-related ED visits and/or hospital admission within 1 year.

Download Full-text

Relative Frequency and Risk Factors of COVID-19 Related Headache in a Sample of Egyptian Population: A Hospital-Based Study

Pain Medicine ◽

10.1093/pm/pnab020 ◽

2021 ◽

Author(s):

Mona Hussein ◽

Wael Fathy ◽

Ragaey A Eid ◽

Hoda M Abdel-Hamid ◽

Ahmed Yehia ◽

...

Keyword(s):

Multivariate Analysis ◽

Platelet Count ◽

Relative Frequency ◽

Clinical Laboratory ◽

Primary Headache ◽

Female Gender ◽

Imaging Data ◽

Laboratory Findings ◽

Neutrophil Lymphocyte Ratio ◽

The Impact

Abstract Objectives Headache is considered one of the most frequent neurological manifestations of coronavirus disease 2019 (COVID-19). This work aimed to identify the relative frequency of COVID-19-related headache and to clarify the impact of clinical, laboratory findings of COVID-19 infection on headache occurrence and its response to analgesics. Design Cross-sectional study. Setting Recovered COVID-19 patients. Subjects In total, 782 patients with a confirmed diagnosis of COVID-19 infection. Methods Clinical, laboratory, and imaging data were obtained from the hospital medical records. Regarding patients who developed COVID-19 related headache, a trained neurologist performed an analysis of headache and its response to analgesics. Results The relative frequency of COVID-19 related headache among our sample was 55.1% with 95% confidence interval (CI) (.516–.586) for the estimated population prevalence. Female gender, malignancy, primary headache, fever, dehydration, lower levels of hemoglobin and platelets and higher levels of neutrophil/lymphocyte ratio (NLR) and CRP were significantly associated with COVID-19 related headache. Multivariate analysis revealed that female gender, fever, dehydration, primary headache, high NLR, and decreased platelet count were independent predictors of headache occurrence. By evaluating headache response to analgesics, old age, diabetes, hypertension, primary headache, severe COVID-19, steroid intake, higher CRP and ferritin and lower hemoglobin levels were associated with poor response to analgesics. Multivariate analysis revealed that primary headache, steroids intake, moderate and severe COVID-19 were independent predictors of non-response to analgesics. Discussion Headache occurs in 55.1% of patients with COVID-19. Female gender, fever, dehydration, primary headache, high NLR, and decreased platelet count are considered independent predictors of COVID-19 related headache.

Download Full-text