BACKGROUND Rhabdomyolysis(RML)as an etiological factor causing acute kidney injury(AKI)is sparsely reported in the *** To study the incidence of RML after surgical repair of an ascending aortic dissection(AAD)and to c...
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BACKGROUND Rhabdomyolysis(RML)as an etiological factor causing acute kidney injury(AKI)is sparsely reported in the *** To study the incidence of RML after surgical repair of an ascending aortic dissection(AAD)and to correlate with the outcome,especially regarding renal *** pinpoint the perioperative risk factors associated with the development of RML and adverse renal outcomes after aortic dissection *** Retrospective single-center cohort study conducted in a tertiary cardiac *** included all patients who underwent AAD repair from ***-operative RML workup is part of the institutional protocol;studied patients were divided into two groups:Group 1 with RML(creatine kinase above cut-off levels 2500 U/L)and Group 2 without *** potential determinants of RML and impact on patient outcome,especially postoperative renal function,were *** outcome parameters studied were markers of cardiac injury,length of ventilation,length of stay in the intensive care unit),and length of *** Out of 33 patients studied,21 patients(64%)developed RML(Group RML),and 12 did not(Group non-RML).Demographic and intraoperative factors,notably body mass index,duration of surgery,and cardiopulmonary bypass,had no significant impact on the incidence of *** visceral/peripheral malperfusion,though not statistically significant,was higher in the RML group.A significantly higher incidence of renal complications,including de novo postoperative dialysis,was noticed in the RML *** morbidity parameters were also higher in the RML *** was a significantly higher incidence of AKI in the RML group(90%)than in the non-RML group(25%).All four patients who required de novo dialysis belonged to the RML *** peak troponin levels were significantly higher in the RML *** In this study,we noticed a high incidence of RML after aortic dissection surgery,coupled with an adverse renal outcome and th
The study was undertaken to develop and evaluate evapotranspiration model for black gram (Vigna Mungo L.) crop under climatic conditions of Udaipur, India. Pan evaporation data for the duration of twenty three years (...
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The study was undertaken to develop and evaluate evapotranspiration model for black gram (Vigna Mungo L.) crop under climatic conditions of Udaipur, India. Pan evaporation data for the duration of twenty three years (1978-2001) and measured black gram evapotranspiration data by electronic lysimeter for duration of kharif season of 2001 were used for analysis. Black gram is an important crop of Udaipur region. No sys-tematic study on modelling of black gram evapotranspiration was conducted in past under above said cli-matic conditions. Therefore, stochastic model was developed for the estimation of daily black gram evapotranspiration using 24 years data. Validation of the developed models was done by the comparison of the estimated values with the measured values. The developed stochastic model for black gram evapotran-spiration was found to predict the daily black gram evapotranspiration very accurately.
BACKGROUND Coronavirus disease 2019(COVID-19)caused by the severe acute respiratory syndrome coronavirus 2 virus most commonly presents with respiratory *** gastrointestinal(GI)manifestations either at presentation or...
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BACKGROUND Coronavirus disease 2019(COVID-19)caused by the severe acute respiratory syndrome coronavirus 2 virus most commonly presents with respiratory *** gastrointestinal(GI)manifestations either at presentation or during hospitalization are also common,their impact on clinical outcomes is *** studies have described worse outcomes in COVID-19 patients with GI symptoms,while others have shown either no association or a protective *** is a need for consistent standards to describe GI symptoms in COVID-19 patients and to assess their effect on clinical outcomes,including mortality and disease *** To investigate the prevalence of GI symptoms in hospitalized COVID-19 patients and their correlation with disease severity and clinical *** We retrospectively reviewed 601 consecutive adult COVID-19 patients requiring hospitalization between May 1-15,*** symptoms were recorded at admission and during ***,clinical,laboratory,and treatment data were *** outcomes included all-cause mortality,disease severity at presentation,need for intensive care unit(ICU)admission,development of acute respiratory distress syndrome,and need for mechanical *** logistic regression model was used to identify independent predictors of the adverse *** The prevalence of any GI symptom at admission was 27.1%and during hospitalization was 19.8%.The most common symptoms were nausea(98 patients),diarrhea(76 patients),vomiting(73 patients),and epigastric pain or discomfort(69 patients).There was no difference in the mortality between the two groups(6.21%vs 5.5%,P=0.7).Patients with GI symptoms were more likely to have severe disease at presentation(33.13%vs 22.5%,P<0.001)and prolonged hospital stay(15 d vs 14 d,P=0.04).There was no difference in other clinical outcomes,including ICU admission,development of acute respiratory distress syndrome,or need for mechanical ventil
BACKGROUND Left main coronary artery(LMCA)supplies more than 80%of the left ventricle,and significant disease of this artery carries a high mortality unless intervened ***,the influence of coronary artery bypass graft...
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BACKGROUND Left main coronary artery(LMCA)supplies more than 80%of the left ventricle,and significant disease of this artery carries a high mortality unless intervened ***,the influence of coronary artery bypass grafting(CABG)surgery on patients with LMCA disease on morbidity intensive care unit(ICU)outcomes needs to be ***,the impact of CABG surgery on the morbidity of the ICU population with LMCA disease is worth *** To determine whether LMCA disease is a definitive risk factor of prolonged ICU stay as a primary outcome and early morbidity within the ICU stay as secondary *** Retrospective descriptive study with purposive sampling analyzing 399 patients who underwent isolated urgent or elective *** were divided into 2 groups;those with LMCA disease as group 1(75 patients)and those without LMCA disease as group 2(324 patients).We correlated ICU outcome parameters including ICU length of stay,post-operative atrial fibrillation,acute kidney injury,re-exploration,perioperative myocardial infarction,post-operative bleeding in both *** Patients with LMCA disease had a significantly higher prevalence of diabetes(43.3%vs 29%,P=0.001).However,we did not find a statistically significant difference with regards to ICU stay,or other morbidity and mortality outcome *** Post-operative performance of Patients with LMCA disease who underwent CABG were comparable to those without LMCA *** was more prevalent in patients with LMCA *** findings may help in guiding decision making for future practice and stratifying the patients’care.
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