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Anaortic Off-Pump Complete Arterial Revascularization Using Composite LIMA RIMA Y Sequential 5 Grafts in a Patient with Triple Vessel Disease Performed in a low resource country: A Case Report

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World Journal of Cardiovascular Surgery 2021年第12期11卷 125-132页

作者： Asraful Hoque Romena Rahman Abu Shadat Mohammad Saem Khan Md. Abdullah Yusuf Muhammad Asif Ahsan Chowdhury Imran Ahmed Wahida Salam Md. Monzur Hossain Tanvir Hossain Department of Cardiac Surgery National Institute of Cardiovascular Diseases Dhaka Bangladesh Department of Microbiology National Institute of Neurosciences and Hospital Dhaka Bangladesh

The use of bilateral internal thoracic arteries to treat coronary artery disease is very less despite of improved long-term survival. In this case report, a patient presented with TVD has been managed with anaortic off-pump complete arterial revascularization (OPCABG) by using composite LIMA RIMA Y Sequential 5 grafts to achieve complete arterial revascularization successfully. This type of operative procedure is technically difficult in a resource poor country like Bangladesh. However, this has been done by a group of young cardiac surgeon. During follow up, the patient is in a good condition.

关键词： Anaortic Off-Pump Complete Arterial Revascularization Composite LIMA RIMA Y Sequential 5 Grafts Triple Vessel Disease low resource country

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Frequency of otitis media with effusion among children aged 1-5 years presenting to immunization center of tertiary care hospitals,Rawalpindi

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第4期8卷 315-320页

作者： Nida Riaz Muhammad Ajmal Muhammad Sheharyar Khan Department of Otorhinolaryngology and Head and Neck Surgery Holy Family HospitalRawalpindiPakistan Department of Otorhinolaryngology and Head and Neck Surgery HBS Medical CollegeIslamabadPakistan Rawalpindi Medical University RawalpindiPakistan

Objective:We conducted this study to assess the etiopathogenic relation of otitis media with effusion(OME)in a group of children aged 1-5 years among the local population of ***:This was a cross-sectional retrospective *** was conducted among the children presenting to the immunization center of three tertiary care hospitals of *** media was assessed by clinical examination and tympanometry from August 2019 to January ***-factor regression analysis was then applied to recognize the statistical significance and association of various risk factors to ***:Out of 400 children enrolled in this study,108(27.0%)had OME,out of which 65(60.2%)were males and 30(27.8%)were of age group 2-3 *** regression analysis of risk factors associated with OME showed it was strongly associated with snoring(P<0.001),last year symptoms(attack of ear aches with hearing loss[P=0.002]),drugs(URTI antibiotics[P=0.026],All 3 drugs[P=0.013]).Conclusions:We found out that OME is a common disease which if not identified or treated timely can lead to other hard to cure health *** of its etiopathogenic factors can play a major role in its prevention.

关键词： Etiology low resource country Otitis media with effusion Prevelance Tympanometry

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