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Off-Pum..Coronary Artery Bypass Grafting in Patients with Left Ventricular Dysfunction: Short-Term..esults from.. Single Center in Bangladesh

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World Journal of Cardiovascular Surgery 2024年第9期14卷 145-156页

作者： m..it Abdullah m.. abir tazim.chowdhury Satyajit Sharm..Rehana Akther m..am..m..dum..unjerin Refat Synthee m.. Zafar-Al-Nim..i Saikat Das Gupta Saleh Ahm.. Sam.. Kum.. Biswas m..Quam..l Islam..alukder Farooque Ahm.. Departm..t of Cardiac Surgery National Heart Foundation Hospital and Research Institute (NHFH&RI) Dhaka Bangladesh Departm..t of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Dhaka Bangladesh Ispahani Islam.. Eye Institute & Hospital Khamarbari Dhaka Bangladesh National Institute of Preventive and Social m..icine Dhaka Bangladesh Square Hospital Dhaka Bangladesh

Background: Off-pum..coronary artery bypass grafting (OPCAB) is considered a safer alternative to on-pum..surgery, especially in patients with left ventricular dysfunction (LVD). Objectives: This study assessed short-term..utcom.. and functional im..ovem..ts in LVD patients post-OPCAB. m..hods: The study included 200 coronary artery disease patients who underwent isolated off-pum..coronary artery bypass grafting (OPCAB) at the National Heart Foundation Hospital and Research Institute between January 2019 and June 2020. Patients were categorized into Group 1, with a left ventricular ejection fraction (LVEF) of 30% - 39%, and Group 2, with an LVEF of 40% or higher. Echocardiographic assessm..ts of left ventricular dim..sions and ejection fraction were perform.. preoperatively, at discharge, and one m..th postoperatively. Results: In Group 1, preoperative left ventricular internal dim..sions during diastole (LVIDd) and systole (LVIDs) were 53.48 ± 4.40 m..and 44.23 ± 3.93 m.. respectively, with a left ventricular ejection fraction (LVEF) of 35.28% ± 2.26%. At discharge, these values im..oved to 51.58 ± 4.04 m..(LVIDd), 41.23 ± 5.30 m..(LVIDs), and 39.25% ± 3.75% (LVEF). One m..th postoperatively, further im..ovem..ts were observed: 46.29 ± 3.76 m..(LVIDd), 37.45 ± 3.68 m..(LVIDs), and 43.22% ± 4.67% (LVEF). Group 2 showed sim..ar positive outcom.., with preoperative values of 47.09 ± 5.06 m..(LVIDd), 35.11 ± 5.25 m..(LVIDs), and 50.13% ± 7.25% (LVEF), im..oving to 42.37 ± 4.18 m..(LVIDd), 31.05 ± 4.19 m..(LVIDs), and 55.33% ± 7.05% (LVEF) at one m..th postoperatively. Both groups dem..strated significant im..ovem..ts in left ventricular function and NYHA class, with m..t patients m..ing from..lass III/IV to I/II. Com..ications were m..im.., and no m..tality was observed. Conclusion: OPCAB is safe and effective for patients with LVEF 30% - 39% and LVEF ≥ 40%, providing significant short-term..unctional im..ovem..ts without increased risk.

关键词： Off-Pum..Coronary Artery Bypass Grafting Left Ventricular Dysfunction (LVD) Short-Term..utcom..

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Com..rison of Propofol and Fentanyl for Preventing Em..gence Agitation Following Sevoflurane Anesthesia in Pediatric Patients: A Single-Center Study in Bangladesh

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Pharm..ology & Pharm..y 2024年第6期15卷 223-235页

作者： m.. Saiful Islam..han m.. abir tazim.chowdhury Farzana Fardousi m..am..m..dum..d. Ahaduzzam.. Taneem..oham..d Sham..a Akter Suriya Akter m.. Saiful Islam..zad m.. m..affer Hossain m..Abdur Rahm.. Departm..t of Cardiothoracic Anesthesia Evercare Hospital Dhaka Bangladesh Departm..t of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Bangladesh Departm..t of Pathology National Institute of Cancer Research & Hospital Dhaka Bangladesh Departm..t of Preventive and Social m..icine National Institute of Preventive and Social Medicine Dhaka Bangladesh Departm..t of Anesthesia Sheikh Sayera Khatun Medical College Gopalgonj Bangladesh Departm..t of Anesthesia Dhaka Medical College Dhaka Bangladesh Departm..t of Anesthesia Combined Military Hospital Dhaka Bangladesh Departm..t of Cardiac Anesthesia National Institute of Cardiovascular Disease Dhaka Bangladesh Departm..t of Anesthesia Bangladesh Medical College Dhaka Bangladesh

Background: Em..gence agitation (EA) is a com..n phenom..on observed in pediatric patients following general anesthesia. This study aim.. to assess the efficacy of propofol and fentanyl in preventing EA and to com..re their associated com..ications or side effects. m..hods: This prospective random..ed observational com..rative study was conducted at Dhaka m..ical College Hospital from..uly 2013 to June 2014. The study aim.. to evaluate the effects of propofol and fentanyl on EA in children aged 18 to 72 m..ths undergoing circum..sion, herniotom.. and polypectom..operations. Ninety children were included in the study, with 45 in each group. Patients with psychological or neurological disorders were excluded. Various param..ers including age, sex, weight, Am..ican Society of Anesthesiologists (ASA) class, duration of anesthesia, Saturation of Peripheral Oxygen (SPO2), heart rate (HR), respiratory rate (RR), Pediatric Anesthesia Em..gence Delirium..PAED) score, duration of post-anesthesia care unit (PACU) stay, incidence of laryngospasm..nausea, vom..ing, and rescue drug requirem..t were com..red between the two groups. Results: Age, sex, weight, ASA class, and duration of anesthesia were com..rable between the two groups. Perioperative SpO2 and HR were sim..ar in both groups. However, the PAED score was significantly higher in the fentanyl group during all follow-ups except at 30 m..utes postoperatively. The m..n duration of PACU stay was significantly longer in the fentanyl group. Although the incidence of laryngospasm..as higher in the fentanyl group, it was not statistically significant. Conversely, nausea or vom..ing was significantly higher in the fentanyl group. The requirem..t for rescue drugs was significantly higher in the fentanyl group com..red to the propofol group. Conclusion: Both propofol and fentanyl were effective in preventing em..gence agitation in pediatric patients undergoing various surgical procedures under sevoflurane anesthesia. However, propo

关键词： Em..gence Agitation (EA) General Anesthesia Propofol Fentanyl Pediatric Patients Pediatric Anesthesia Em..gence Delirium..PAED) Score Bangladesh

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m..iastinal em..ysem..in the context of perforated gastric ulcer

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World Journal of Clinical Cases 2024年第15期12卷 2479-2481页

作者： Debkum.. chowdhury Departm..t of Em..gency m..icine Wythenshawe HospitalManchester M239LTUnited Kingdom

In the context of m..iastinal em..ysem..pneum..ediastinum..he m..n aetiologies are associated with oesophageal perforation,lung pathology or post head and neck surgery *** m..n way to differentiate the pathologies would be through Com..ted Tom..raphic Im..ing of the Thorax and abdom.. with oral and intravenous contrast in the context of triple phase *** causes of pneum..ediastinum..hould be differentiated between traum..ic and *** perforation(Boerhaave syndrom..is associated with m..kler’s triad in upto 50%of patients(severe retrosternal chest pain,pneum..ediastinum..ediastinitis).Whereas in cases of lung pathology this can be associated with pneum..horax and pleural effusion.

关键词： Pneum..ediastinum Duodenal ulcer Com..ted tom..raphy Visceral perforation Diagnostic im..ing Em..gency care

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Detailed characterization of kHz-rate laser-driven fusion at a thin liquid sheet with a neutron detection suite

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High Power Laser Science and Engineering 2024年第1期12卷 13-23页

作者： Benjam.. m..night Connor m..autam..olton R.Stoner Bryan V.Egner Joseph R.Sm..h Chris m..rban Juan J.m..fredi Kyle D.Frische m..hael L.Dexter Enam...chowdhury Anil K.Patnaik Departm..t of Engineering Physics Air Force Institute of TechnologyWPAFBOHUSA Physics Departm..t Marietta CollegeMariettaOHUSA Departm..t of Physics The Ohio State UniversityColumbusOHUSA Departm..t of m..erials Science and Engineering and Department of Electrical and Computer ScienceThe Ohio State UniversityColumbusOHUSA Intense Energy Solutions LLCPlain CityOHUSA

We present detailed characterization of laser-driven fusion and neutron production(-10^(5)/second) using 8 m.. 40 fs laser pulses on a thin(<1 μm..D_2O liquid sheet em..oying a m..surem..t suite. At relativistic inte... 详细信息

We present detailed characterization of laser-driven fusion and neutron production(-10^(5)/second) using 8 m.. 40 fs laser pulses on a thin(m..D_2O liquid sheet em..oying a m..surem..t suite. At relativistic intensity(~ 5 × 10^(18)W/cm..2))and high repetition rate(1 kHz), the system..roduces deuterium..euterium..-D) fusion, allowing for consistent neutron generation. Evidence of D-D fusion neutron production is verified by a m..surem..t suite with three independent detection system.. an EJ-309 organic scintillator with pulse-shape discrim..ation, a ~3He proportional counter and a set of 36 bubble detectors. Tim..of-flight analysis of the scintillator data shows the energy of the produced neutrons to be consistent with 2.45 m... Particle-in-cell sim..ations using the WarpX code support significant neutron production from..-D fusion events in the laser±target interaction region. This high-repetition-rate laser-driven neutron source could provide a low-cost, on-dem..d test bed for radiation hardening and im..ing applications.

关键词： high-repetition-rate laser-driven fusion laser-plasm..interaction liquid target neutron detectors

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Influence of cerium..ons on structure-dependent m..netic properties of Ba-Sr m..ype hexaferrite nanocrystals

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Journal of Rare Earths 2024年第2期42卷 364-372,I0005页

作者： Ram...Pawar Sunil m..atange P.m..ighe Sher Singh m..na Abdullah GAl-Sehem..m..boobali Pannipara Santosh S.Jadhav Departm..t of Physics ArtsCommerce and Science CollegeAhmednagar413711MaharashtraIndia Departm..t of Physics Shri Krishna MahavidyalayaGunjotiDistOsmanabad413606MaharashtraIndia Padm..hri Vikhe Patil College of Arts Science and CommercePravaranagarA/P.Loni(Kd)Tal.RahataDistAhmednagar413713MaharashtraIndia Solid State Physics Division Bhabha Atomic Research CentreMumbai400085MaharashtraIndia Departm..t of Chem..try King Khalid UniversityAbha61413Saudi Arabia Departm..t of Physics D.S.M's ArtsCommerce and Science CollegeJintur431509MaharashtraIndia

The present study is a system..ic effort to investigate the structure-sensitive m..netic param..ers of Ce^(3+) substituted Ba-Sr hexaferrite nanocrystals chem..ally form..ated as Ba_(0.5)Sr_(0.5)Ce_(x)Fe_(12-x)O_(19) where x=0.0-0.2 with Δx=*** hexaferrite powders were prepared using the sol-gel self-ignition route and structurally characterized by m..ns of powder X-ray diffraction and Fourier transform..nfrared *** creation of the m..ype hexaferrite phase within the synthesized sam..es was revealed from..he Rietveld refinem..t of the X-ray *** occurrence of a secondary phase of CeO_(2) was revealed within the hexaferrites for the substitution,x> *** refined X-ray diffraction data were utilized to com..te the lattice param..ers,X-ray density,and lattice param..er *** crystal structure plotted from..he refined XRD data reveals the occupancy of the ions at different lattice *** XPS data of the hexaferrite were analyzed to confirm..he oxidation states of the constituent *** nanocrystalline nature of the hexaferrites was revealed from..he crystallite sizes calculated using Scherer's *** analysis of FTIR spectra confirm..that only a fraction of Ce^(3+)accom..dated in the lattice and the rem..ning Ce content reside in the form..f the CeO_(2) *** m..phology of the hexaferrites was analyzed from..he FESEm..rofiles of the ferrite *** m..netic behavior study was perform.. by analyzing the Curie tem..rature,hysteresis loops,and hyperfine interactions by m..ns of susceptibility,V.S.m..nd m..sbauer spectroscopy,*** hexaferrites with increasing coercivity,decreasing saturation m..netization,and decreasing Curie tem..rature are reported in the *** substituted Ce^(3+)ions inhibit the grain growth and create lattice im..rfections giving rise to hexaferrites with tuned m..netic param..ers suitable for different applications.

关键词： Ba-Sr hexaferrite Ce^(3+)substitution XPS Saturation m..netization Coercivity m..sbauer spectroscopy

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Frequency-dependent viscoelasticity effects on the wave attenuation perform..ce of m..ti-layered periodic foundations

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Applied m..hem..ics and m..hanics(English Edition) 2024年第3期45卷 407-424页

作者： m..AFI m..AKILIFARD m...m..m..DI Faculty of Civil Water&Environmental EngineeringShahid Beheshti UniversityTehran ***Iran Faculty of m..hanical and Energy Engineering Shahid Beheshti UniversityTehran ***Iran

In this paper,layered periodic foundations(LPFs)are num..ically exam..ed for their responses to longitudinal and transverse m..es in the tim..and frequency *** different unit-cells,i.e.,2-layer,4-layer,and 6-layer unit-cells,com..ising concrete/rubber,concrete/rubber/steel/rubber,and concrete/rubber/steel/rubber/lead/rubber m..erials,respectively,are taken into ***,the viscoelasticity behavior of the rubber is m..eled with two factors,i.e.,a frequency-independent(FI)loss factor and a linear frequency-dependent(FD)loss *** the extraction of the com..ex dispersion curves and the identification of the band gaps(BGs),the sim..ations of wave transm..sion in the tim..and frequency dom..ns are perform.. using the COm..L *** param..ric studies evaluate the effects of the rubber viscoelasticity m..els on the dispersion curves and the wave transm..sion for the longitudinal and transverse *** results show that considering the rubber viscoelasticity enhances the wave attenuation ***,the transverse-m..e dam..ng is m..e sensitive to the viscoelasticity m..el than its longitudinal *** 6-layer unit-cell LPF exhibits the lowest BG,ranging from...8 Hz to 6.5 Hz.

关键词： layered m..am..erial periodic foundation com..ex dispersion curve wave transm..sion diagram

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Engineering of efficient visible light photocatalysts:Ti_(1-x+y)Cu_(x)La_(y)O_(2)(x=0.03;y=0,0.005,0.01) com..sitions

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Journal of Rare Earths 2024年第3期42卷 497-505,I0003页

作者： S.m..akout A.m..oussef Inorganic Chem..try Departm..t National Research Centre(NRC)El Buhouth StDokkiCairo12622Egypt

In dye-photocatalysis, widening the wavelengths absorption range of catalysts as well as aborting the recom..nation of the photoexcited charge carriers(electrons-holes pairs) are of param..nt *** the current study, we report the photocatalytic characteristics of four com..sitions com..sed of TiO_(2),Ti_(0.97)Cu_(0.03)O_(2), Ti_(0.965)Cu_(0.03)La_(0.005)O_(2)and Ti_(0.96)Cu_(0.03)La_(0.01)O_(2)powders for two harm..l dyes(Congo red and m..hylene blue). The X-ray diffraction technique verified the configuration of m..ed anatase and rutile phases in pure TiO_(2)and Ti_(0.97)Cu_(0.03)O_(2)powders while Ti_(0.965)Cu_(0.03)La_(0.005)O_(2)and Ti_(0.96)Cu_(0.03)La_(0.01)O_(2)powders possess anatase phase only. The changes of the band gap structure and dim..sions of the unit cell volum..of TiO_(2)confirm..he substitution of Ti^(4+)sites by Cu^(2+)and La^(3+)ions. Rem..kable widening of wavelengths absorption with form..ion of long absorption tails were found in TiO_(2)(3.13 e V) through insertion of La^(3+)plus Cu^(2+)ions. Ti_(0.965)Cu_(0.03)La_(0.005)O_(2)and Ti_(0.96)Cu_(0.03)La_(0.01)O_(2)sam..es exhibit a visible light band gap of 2.3 and 2.7 e V, respectively. Based on SEm..m..es, incorporation of Cu^(2+)and La^(3+)ions influences the surface m..phology of TiO_(2). The resulting Ti_(0.97)Cu_(0.03)O_(2), Ti_(0.965)Cu_(0.03)La_(0.005)O_(2)and Ti_(0.96)Cu_(0.03)La_(0.01)O_(2)powders present enhanced photocatalytic activity towards Congo red dye degradation com..red to pure one under natural solar spectrum..The best Ti_(0.96)Cu_(0.03)La_(0.01)O_(2)catalyst exhibits superior photocatalytic activity of 96% for 10 ppm..R dye in 20 m.. as well as above average photocatalytic efficiency of 63% for 30 ppm..R dye in 120 m... As well, it showed acceptable photodegradation activity of 52% for 30 ppm..B solution in 140 m.. of sunlight irradiation. The heightened photodegradation efficiency of Ti_(0.96)Cu_(0.03)La_(0.01)O_(2)catalyst can be clarified in term..of higher ch

关键词： Sem..onductor TiO_(2) Rare earths Congo red m..hylene blue Solar spectrum Photodegradation

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Nonlinear dynam.. m..eling of planar m..ing Tim..henko beam..onsidering non-rigid non-elastic axial effects

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Applied m..hem..ics and m..hanics(English Edition) 2024年第3期45卷 479-496页

作者： m..BBASI GAVARI m...HOm..INEZHAD Faculty of m..hanical Engineering K.N.Toosi University of TechnologyTehran 19991-43344Iran

Due to the im..rtance of vibration effects on the functional accuracy of m..hanical system..this research aim..to develop a precise m..el of a nonlinearly vibrating single-link m..ile flexible *** m..ipulator consists of an elastic arm.. rotary m..or,and a rigid carrier,and undergoes general in-plane rigid body m..ion along with elastic transverse *** accurately m..el the elastic behavior,Tim..henko’s beam..heory is used to describe the flexible arm..hich accounts for rotary inertia and shear deform..ion *** applying Newton’s second law,the nonlinear governing equations of m..ion for the m..ipulator are derived as a coupled system..f ordinary differential equations(ODEs)and partial differential equations(PDEs).Then,the assum.. m..e m..hod(Am..is used to solve this nonlinear system..f governing equations with appropriate shape *** assum.. m..es can be obtained after solving the characteristic equation of a Tim..henko beam..ith clam..d boundary conditions at one end and an attached m..s/inertia at the *** addition,the effect of the transverse vibration of the inextensible arm..n its axial behavior is *** the axial rigidity,the effect m..es the rigid body dynam..s invalid for the axial behavior of the ***,num..ical sim..ations are conducted to evaluate the perform..ce of the developed m..el,and the results are com..red with those obtained by the finite elem..t *** com..rison confirm..the validity of the proposed dynam.. m..el for the *** to the m..tioned features,this m..el can be reliable for investigating the system.. vibrational behavior and im..em..ting vibration control algorithm..

关键词： planar m..ing Tim..henko beam non-rigid non-elastic axial effect as-sum.. m..e m..hod(Am.. nonlinear m..ion analysis

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Free vibration and buckling analysis of polym..ic com..site beam..reinforced by functionally graded bam..o fbers

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Applied m..hem..ics and m..hanics(English Edition) 2024年第3期45卷 543-562页

作者： H.m..EIZABAD m...YAS Departm..t of m..hanical Engineering Razi UniversityKermanshah ***Iran

Natural fibers have been extensively researched as reinforcem..t m..erials in polym..s on account of their environm..tal and econom.. advantages in com..rison with synthetic fibers in the recent *** fibers are renowned for their good m..hanical properties,abundance,and short cycle *** beam..are one of the fundam..tal structural com..nents and are susceptible to m..hanical loads in engineering applications,this paper perform..a study on the free vibration and buckling responses of bam..o fiber reinforced com..site(BFRC)beam..on the elastic *** different functionally graded(FG)layouts and a uniform..ne are the considered distributions for unidirectional long bam..o fibers across the *** elastic properties of the com..site are determ..ed with the law of *** Ham..ton’s principle,the governing equations of m..ion are *** generalized differential quadrature m..hod(GDQm..s then applied to the equations to obtain the *** achieved outcom.. exhibit that the natural frequency and buckling load values vary as the fiber volum..fractions and distributions,elastic foundation stiffness values,and boundary conditions(BCs)and slenderness ratio of the beam..**,a com..rative study is conducted between the derived analysis outcom.. for BFRC and hom..enous polym.. beam..to exam..e the effectiveness of bam..o fibers as reinforcem..t m..erials,dem..strating the significant enhancem..ts in both vibration and buckling responses,with the exception of natural frequencies for cantilever beam..on the Pasternak foundation with the FG-◇fiber ***,the obtained analysis results of BFRC beam..are also com..red with those for carbon nanotube reinforced com..site(CNTRC)beam..found in the literature,indicating that the buckling loads and natural frequencies of BFRC beam..are lower than those of CNTRC beam..

关键词： bam..o fiber free vibration buckling analysis functionally graded(FG)beam elastic foundation generalized differential quadrature m..hod(GDQm)

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Com..rison of Sternal Wound Com..ication after Off-Pum..CABG between Skeletonized and Pedicled LIm..Harvesting: A Single Centre Experience in Bangladesh

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World Journal of Cardiovascular Surgery 2023年第6期13卷 101-110页

作者： m..Asm..l Alam..l Nur m.. Aslam..ossain m.. abir tazim.chowdhury Farhat Tabassum..ishat m..am..m..dum Departm..t of Cardiac Surgery National Institute of Cardiovascular Diseases Dhaka Bangladesh Departm..t of Cardiac Surgery Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh Departm..t of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Bangladesh Departm..t of Casualty Dhaka Medical College Hospital Dhaka Bangladesh Departm..t of Com..nity m..icine Shaheed Monsur Ali Medical College Dhaka Bangladesh

Background: Off-pum..coronary artery bypass grafting (OPCAB) is a surgical procedure that has gained popularity due to its potential benefits over traditional coronary artery bypass grafting, including reduced m..bidity and m..tality. However, sternal wound com..ication (SWC) rem..ns challenging following the procedure. The technique of left internal m..m..y artery (LIm.. harvesting has been shown to im..ct the incidence of SWC. This study aim.. to com..re the incidence of SWC between two techniques of LIm..harvesting, i.e., skeletonized and pedicled. m..hods: The study was conducted at the Departm..t of Cardiac Surgery, Bangabandhu Sheikh m..ib m..ical University, and included 60 patients who underwent OPCAB. The patients were divided into two groups of 30 each based on the technique of LIm..harvesting used, i.e., skeletonized (group A) or pedicled (group B). The postoperative ICU care was given to each patient as per the protocol. The statistical analysis was conducted using the SPSS version 26.0 for Windows software. Results: The results showed that 5 (8.33%) patients developed SWC, with 1 (1.67%) patient in group A and 4 (6.66%) patients in group B. However, the occurrence of SWC was not statistically significant between the two groups (p = 0.35). The m..n age, gender distribution, and com..bidities such as hypertension, diabetes, dyslipidem.., and anem.. were also not statistically significant between the two groups. The num..r of sm..ers was statistically significant between the two groups (p = 0.03), and the occurrence of SWC was found to be higher in sm..er patients in group B (p = 0.04). Preoperative and postoperative param..ers such as duration of operation, duration of m..hanical ventilation, duration of chest drains, duration of the central venous line, and am..nt of postoperative m..iastinal bleeding were also not statistically significant between the two groups. The distribution of wound com..ications, duration of ICU stays, and hospital stay between t

关键词： Sternal Wound Com..ication (SWC) Off-Pum..Coronary Artery Bypass Grafting (OPCAB) Left Internal m..m..y Artery (LIm.. Skeletonized LIm..Harvesting Pedicle LIm..Harvesting

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