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‘Political will’—the missing rung in ‘public health’ “政治意愿”——“公共卫生”缺失的一环
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-07 DOI: 10.1007/s12055-023-01639-9
Om Prakash Yadava
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引用次数: 0
Systemic embolization in infective endocarditis 感染性心内膜炎的全身栓塞治疗
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-06 DOI: 10.1007/s12055-023-01616-2
Henrik Agerup Kildahl, Evelyn Lauvstad Brenne, Håvard Dalen, Alexander Wahba
Abstract Embolism is a common complication in infective endocarditis which may lead to serious complications, such as stroke, intestinal ischemia, and peripheral embolization. A comprehensive literature search was performed and the registry at our centre, including 390 cases of infective endocarditis, diagnosed between 2010 and 2020, was investigated. Large registries show that 20–40% of patients with infective endocarditis (IE) are affected by embolism. In many instances, embolism is present already at the time of diagnosis. The rate of embolism during the hospital stay in our data was 11%. However, only 2% developed clinical embolism during or following surgery. According to recent guidelines, previous embolism, and the presence of vegetations > 10 mm present an indication for surgical treatment. Routine imaging revealed non-symptomatic cerebral embolism in 8.5% of surgical patients. However, it is not clear whether detection of non-symptomatic embolism and consecutive surgical treatment improves the prognosis of infective endocarditis.
栓塞是感染性心内膜炎的常见并发症,可导致严重的并发症,如脑卒中、肠缺血、外周栓塞等。我们进行了全面的文献检索,并对我们中心的登记处进行了调查,其中包括2010年至2020年间诊断的390例感染性心内膜炎。大型登记显示,20-40%的感染性心内膜炎(IE)患者受到栓塞的影响。在许多情况下,栓塞在诊断时已经存在。在我们的数据中,住院期间的栓塞率为11%。然而,只有2%的患者在手术期间或手术后出现临床栓塞。根据最近的指南,既往栓塞和植物的存在;10mm有手术治疗的指征。常规影像学显示8.5%的手术患者无症状性脑栓塞。然而,发现无症状栓塞并连续手术治疗是否能改善感染性心内膜炎的预后尚不清楚。
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引用次数: 0
Type 4 retro-aortic left renal vein with an aneurysm 4型左肾主动脉后静脉伴动脉瘤
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-06 DOI: 10.1007/s12055-023-01621-5
Vedat Yaman, Selin Ardali Duzgun, Tuncay Hazirolan
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引用次数: 0
Surgical resection of primary intracardiac sarcomas and outcomes 原发性心内肉瘤的手术切除及预后
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-04 DOI: 10.1007/s12055-023-01618-0
Nithiananthan Mayooran, A. Sherif, M. Koulouroudias, S. Gnanalingham, W. U. Ahmed Saleh, S. Tan, A. Boulemden, A. Szafranek
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引用次数: 0
Identification of early delirium and its outcomes after cardiopulmonary bypass among adult patients with cardiovascular disease: a prospective observational study 成人心血管疾病患者体外循环术后早期谵妄的鉴定及其结局:一项前瞻性观察研究
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-04 DOI: 10.1007/s12055-023-01613-5
Saleh Mohammed Alhaj Othman, Qin Xu, Kang Zhao, Lina Kafi, Mohammed Ali Ali Aziz
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引用次数: 0
Role of live streaming surgical video in CVTS residency program in India: a strategy to improve learning curve of surgical residents. 直播手术视频在印度CVTS住院项目中的作用:改善手术住院患者学习曲线的策略。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-01 Epub Date: 2023-09-30 DOI: 10.1007/s12055-023-01607-3
Avinash Prakash

Recording surgical video is not new in medicine. But not many surgical residency programs in India have this facility. The coronavirus disease (COVID) pandemic made us search for new ways to progress ahead in our surgical careers. We present a way to record surgical videos and live stream them to a select audience comprising surgical residents and faculty, wherever they may be. This may become a standard of teaching once adopted by all top surgical residency programs across the country.

录制手术视频在医学上并不新鲜。但在印度,没有多少外科住院医师项目拥有这种设施。冠状病毒疾病(COVID)大流行使我们在外科事业中寻找新的前进道路。我们提供了一种录制手术视频并将其直播给由外科住院医师和教员组成的精选观众的方法,无论他们身在何处。一旦全国所有顶级外科住院医师项目采用,这可能会成为教学标准。
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引用次数: 0
Wire-skills for cardiac surgeons? - No, with a capital 'N'. 心脏外科医生的接线技巧?-不,大写'N'。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-01 Epub Date: 2023-09-22 DOI: 10.1007/s12055-023-01610-8
Om Prakash Yadava
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引用次数: 0
Complete genome and two plasmids sequences of Lactiplantibacillus plantarum L55 for probiotic potentials. 植物乳杆菌(Lactiplantibacillus plantarum L55)的完整基因组和两个质粒序列,以挖掘其益生菌潜力。
IF 2.3 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-01 Epub Date: 2023-11-30 DOI: 10.5187/jast.2023.e37
Bogun Kim, Kiyeop Kim, Xiaoyue Xu, Hyunju Lee, Duleepa Pathiraja, Dong-June Park, In-Geol Choi, Sejong Oh

In this study, we report the complete genome sequence of Lactiplantibacillus plantarum L55, a probiotic strain of lactic acid bacteria isolated from kimchi. The genome consists of one circular chromosome (2,077,416 base pair [bp]) with a guanine cytosine (GC) content of 44.5%, and two circular plasmid sequences (54,267 and 19,592 bp, respectively). We also conducted a comprehensive analysis of the genome, which identified the presence of functional genes, genomic islands, and antibiotic-resistance genes. The genome sequence data presented in this study provide insights into the genetic basis of L. plantarum L55, which could be beneficial for the future development of probiotic applications.

在这项研究中,我们报告了植物乳杆菌(Lactiplantibacillus plantarum L55)的完整基因组序列,这是一株从泡菜中分离出来的益生乳酸菌。该菌株的基因组由一条环状染色体(2,077,416 碱基对 [bp])和两条环状质粒序列(分别为 54,267 和 19,592 bp)组成,其中环状染色体的鸟嘌呤胞嘧啶(GC)含量为 44.5%。我们还对基因组进行了全面分析,确定了功能基因、基因组岛和抗生素耐药基因的存在。本研究提供的基因组序列数据有助于深入了解 L. plantarum L55 的遗传基础,这对未来益生菌应用的开发大有裨益。
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引用次数: 0
Effects of different levels of organic chromium and selenomethionine cocktails in broilers. 不同水平的有机铬和硒蛋氨酸鸡尾酒对肉鸡的影响
IF 2.3 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-01 Epub Date: 2023-11-30 DOI: 10.5187/jast.2023.e32
Jaewoo An, Younggwang Kim, Minho Song, Jungseok Choi, Hanjin Oh, Seyeon Chang, Dongcheol Song, Hyunah Cho, Sehyun Park, Kyeongho Jeon, Yunhwan Park, Gyutae Park, Sehyuk Oh, Yuna Kim, Nayoung Choi, Jongchun Kim, Hyeunbum Kim, Jinho Cho

Selenium (Se) is an essential trace mineral that plays an important role in physiological processes by regulating the antioxidant defense system and enhancing immunity. Chromium is an essential mineral involved in carbohydrate and lipid metabolism and also plays a role in maintaining normal insulin function. Based on these advantages, we hypothesized that the addition of selenomethionine (SeMet) and organic chromium (OC) to broiler diets would increase Se deposition, antioxidant capacity and immune response in meat. Therefore, this study analyzed the effects of OC and SeMet on growh performance, nutrients digestibility, blood profiles, intestinal morphology, meat quality characteristics, and taxonomic analysis of broilers. A total of 168 one-day-old broiler chicken (Arbor Acres) were randomly allotted to 3 groups based on the initial body weight of 37.33 ± 0.24 g with 7 replicate per 8 birds (mixed sex). The experiments period was 28 days. Dietary treatments were folloewd: Basal diets based on corn-soybean meal (CON), basal diet supplemented with 0.2 ppm OC and 0.2 ppm SeMet (CS4), and basal diet supplemented with 0.4 ppm OC and 0.4 ppm SeMet (CS8). Supplementation of OC and SeMet did not affect on growth performance, nutrient digestibility. However, CS8 supplementation increased in duodenum villus height and villus height : crypt depth, and increased in breast meat Se deposition. In addition, CS8 group showed higher uric acid and total antioxidant status than CON group. Taxonomic analysis at phylum level revealed that Proteobacteria and Firmicutes of CS4 and CS8 were lower than CON group. In genus level, the relative abundance of fecal Lactobacillus and Enterococcus of CS4 and CS8 groups were higher than CON group. In short, 0.4 ppm OC and 0.4 ppm SeMet supplementation to broiler diet supporitng positive gut microbiome change, also enhancing antioxidant capacity, and Se deposition in breast meat.

硒(Se)是一种人体必需的微量元素,通过调节抗氧化防御系统和增强免疫力,在生理过程中发挥着重要作用。铬是一种参与碳水化合物和脂质代谢的必需矿物质,在维持正常的胰岛素功能方面也发挥着作用。基于这些优势,我们假设在肉鸡日粮中添加硒蛋氨酸(SeMet)和有机铬(OC)可增加肉鸡体内的硒沉积、抗氧化能力和免疫反应。因此,本研究分析了 OC 和 SeMet 对肉鸡生长性能、营养物质消化率、血液概况、肠道形态、肉质特征和分类分析的影响。将 168 只一日龄肉鸡(Arbor Acres)按初始体重(37.33 ± 0.24 g)随机分为 3 组,每 8 只鸡设 7 个重复(性别混合)。实验周期为 28 天。日粮处理如下:以玉米-豆粕为基础的基础日粮(CON)、添加 0.2 ppm OC 和 0.2 ppm SeMet 的基础日粮(CS4)以及添加 0.4 ppm OC 和 0.4 ppm SeMet 的基础日粮(CS8)。添加 OC 和 SeMet 对生长性能和养分消化率没有影响。然而,添加 CS8 会增加十二指肠绒毛高度和绒毛高度:隐窝深度,并增加胸肉的 Se 沉积。此外,CS8组的尿酸和总抗氧化剂含量高于CON组。分类学分析表明,CS4 和 CS8 组的变形菌和固缩菌含量低于 CON 组。在属一级,CS4 和 CS8 组粪便中乳酸杆菌和肠球菌的相对丰度高于 CON 组。总之,在肉鸡日粮中添加 0.4 ppm OC 和 0.4 ppm SeMet 可支持肠道微生物组的积极变化,同时还能提高抗氧化能力和胸肉中的硒沉积。
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引用次数: 0
Native aortic valve regurgitation: TAVR's place in the PANTHEON. 自体主动脉瓣反流:TAVR在PANTHEON中的位置。
IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-11-01 Epub Date: 2023-09-22 DOI: 10.1007/s12055-023-01609-1
Pradeep Narayan

The PANTHEON (Performance of Currently Available traNscaTHEter Aortic Valve Platforms in Inoperable Patients With Pure Aortic regurgitatiON of a native valve) study examined transcatheter aortic valve replacement in patients with severe pure native aortic valve regurgitation. With a real-world dataset from 16 centres in Europe and the USA, the study encompassed 201 patients. The major complications included valve embolization or migration in 12.4%, moderate to severe aortic regurgitation in 9.5% cases and need for permanent pacemaker in 22.3% cases. Self-expanding and balloon-expandable devices demonstrated similar outcomes. Those experiencing valve embolization or migration had higher 1-year adverse event rates.

PANTHEON(目前可用的traNscaTHEter主动脉瓣平台在无法手术的纯主动脉瓣反流患者中的性能)研究检查了严重纯主动脉瓣返流患者的经导管主动脉瓣置换术。该研究使用了来自欧洲和美国16个中心的真实世界数据集,涵盖了201名患者。主要并发症包括12.4%的瓣膜栓塞或移位,9.5%的中重度主动脉瓣反流,22.3%的病例需要永久性起搏器。自膨胀和球囊扩张装置显示出相似的结果。经历瓣膜栓塞或移位的患者1年不良事件发生率较高。
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Indian Journal of Thoracic and Cardiovascular Surgery
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