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Pleuropericardial Cyst: A Review of the Literature 胸膜心包膜囊肿:文献综述
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/4.1175
Christina Koumantzia, N. Saridakis, A. Eleftheriou
Background: Pleuropericardial cysts (PPCs), account for 5 - 10% of all mediastinal tumours, are rare lesions occurring in approximately 1 in 100000 persons and are usually congenital and rarely acquired. They are detected post-mortem or incidentally on routine chest X-ray (CXR) and in most cases multi detector Computer Tomography is used to confirm the diagnosis. As benign course and clinical latency are characteristic features of such cysts and the occurrence of complications is rare, the majority of them can be left untreated. Methods: The aim of the study is to review the literature regarding PPCs and create a table which summarises all the published cases in order to draw a conclusion about the epidemiology, as well as the diagnostic and therapeutic approach to PPCs exclusively. We reviewed retrospectively the clinical manifestation, diagnostic and therapeutic approach in 101 cases of PPCs since the 19 th century Results: Our statistical analysis led to the following results: mean age of initial detection: 48.7 ± 17.2 years, female:male ratio: about 3:2, presence of symptomatology: 37/101 cases, most common location: right cardiophrenic angle (RCPA), most common method of initial detection: CXR in 49/101 cases, mean maximal diameter: 8,3 ± 3 cm. Conclusion: The management of a pleuropericardial cyst should be based on an algorithm in which the cyst’s size, shape and compressibility along with clinical presentation and patient’s fitness and preferences are be taken into consideration. When interventional is required, surgical resection by means of traditional open surgery or minimally invasive methods are considered to be the gold standard and along with percutaneous aspiration are the methods that have mostly been used.
背景:胸膜心囊肿(PPCs)占所有纵隔肿瘤的5-10%,是一种罕见的病变,约每100000人中就有1人发生,通常是先天性的,很少获得。它们是在死后或在常规胸部X光检查(CXR)中偶然发现的,在大多数情况下,多探测器计算机断层扫描用于确认诊断。由于良性病程和临床潜伏期是此类囊肿的特征,并发症的发生率很低,大多数囊肿可以不治疗。方法:本研究的目的是回顾有关PPCs的文献,并创建一个总结所有已发表病例的表格,以得出关于流行病学的结论,以及专门针对PPCs的诊断和治疗方法。我们回顾性地回顾了19世纪以来101例PPCs的临床表现、诊断和治疗方法,最常见的初步检测方法:49/101例患者的CXR,平均最大直径:8.3±3cm。结论:胸膜胸壁囊肿的治疗应基于一种算法,该算法应考虑囊肿的大小、形状和压缩性,以及临床表现和患者的适合性和偏好。当需要介入时,通过传统的开放手术或微创方法进行手术切除被认为是金标准,并且与经皮抽吸一起是最常用的方法。
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引用次数: 1
Commentary: Teaching Games of Understanding (TGfU) coaching effects on Heart Rate among Malaysian and Indian Junior Hockey Players 评论:教学理解游戏(TGfU)教练对马来西亚和印度青少年曲棍球运动员心率的影响
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/3.1151
S. Nathan
Teaching Games for Understanding (TGfU) offers tactical-technical instruction is gaining international recognition for its ability to produce intelligent players via a problem-solving approach in game play such as hockey. However the effect of TGfU pedagogical approach through small side game play (SSG) towards physiology components of Heart Rate (HR) still takes a backseat compared to research on tactical decision making and skill execution that has been studied widely. SSG proposed in TGfU approach dwells around duration of game play (load), how fast the SSG game manouvers (intensity) and players cardiovascular fitness can be detected by HR tool and therefore HR crucial to be investigated. This quasi-experimental study investigated the effect of TGfU compared to skill mastery instruction, termed as Skill Drill Technical (SDT), among Malaysian and Indian elite junior hockey players in terms of SSG game play intensity via heart rate (HR) measurement at different points of game play. A total of n = 60 players with an average age of 15 ± 1.03 were selected via simple random technique from both countries involved in this study and assigned equally into groups, with 15 players per group for TGfU and for SDT across Malaysia and India. Gathered data were analysed using the ANOVA and ANCOVA techniques. There was significant higher warm-up HR bpm among players via TGfU compated to SDT across the two countries. Whereas HR bpm immediately after the 5 vs. 5 game play intervention and HR bpm after three minutes’ recovery, Indian players with TGfU recorded a higher and significant difference compared to SDT. However, in contrast, findings indicated no significant difference between these two instruction models among Malaysian player. Therefore, overall findings reiterated that TGfU is a useful approach for game play to enhance intensity and cardiac output through HR bpm measurement. In conclusion, future research can employ together HR and RPM (Borg Scale) or electronic device for more accurate reading coupled 6 sec and 15 sec HR readings. Future study, should too address the effect of TGfU on different variation of small sided game play intensity along skill execution and tactical decision making.
教学游戏理解(TGfU)提供战术技术指导,通过在游戏中解决问题的方法(如曲棍球)培养聪明的球员的能力获得了国际认可。然而,与广泛研究的战术决策和技能执行的研究相比,通过小边游戏(SSG)的TGfU教学方法对心率(HR)生理成分的影响仍然处于次要地位。在TGfU方法中提出的SSG围绕游戏持续时间(负载),SSG游戏操作的速度(强度)和玩家心血管健康可以被HR工具检测到,因此HR至关重要。本准实验研究考察了TGfU与技能掌握教学(称为技能训练技术(SDT))在马来西亚和印度优秀青少年曲棍球运动员的SSG比赛强度方面的影响,通过测量比赛不同阶段的心率(HR)。通过简单的随机技术从参与本研究的两国共选择了n = 60名平均年龄为15±1.03岁的球员,并将其平均分配到小组中,在马来西亚和印度的TGfU和SDT中每组15名球员。收集的数据使用方差分析和方差分析技术进行分析。两国运动员通过TGfU进行的热身心率比SDT高得多。而在5 vs 5游戏干预后立即的心率bpm和3分钟恢复后的心率bpm,与SDT相比,TGfU的印度玩家记录了更高且显著的差异。然而,相比之下,研究结果表明,这两种教学模式在马来西亚球员中没有显著差异。因此,总体研究结果重申,TGfU是通过心率bpm测量提高游戏强度和心输出量的有用方法。总之,未来的研究可以将HR和RPM(博格量表)或电子设备结合使用,以获得更准确的6秒和15秒HR读数。在未来的研究中,还应进一步探讨TGfU对小方游戏强度随技术执行和战术决策变化的影响。
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引用次数: 1
Utility of A Cardiorenal Monographic Consultation to Reduce The Cardiovascular Mortality of The Renal Transplant Patient 心肾专题会诊对降低肾移植患者心血管死亡率的作用
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/3.1170
Juan Arjona-Barrionuevo, M. Vargas-Machuca, Francisco J Guerrero-Márquez, L. Gil-Sacaluga, M. Gentil-Govantes
Page 1 of 8 Utility of A Cardiorenal Monographic Consultation to Reduce The Cardiovascular Mortality of The Renal Transplant Patient Juan de Dios Arjona-Barrionuevo1, Manuel Gonzales Vargas-Machuca2, Francisco José Guerrero-Márquez3*, Luis Gil-Sacaluga4, Miguel Ángel Gentil-Govantes4 1Department of Cardiology, Hospital University Virgen del Rocio, Seville, Spain 2Departament of Cardiology, Hospital San Juan de Dios del Aljarafe, Bormujos (Seville), Spain 3Department of Cardiology, Hospital de la Serrania Ronda, Spain 4Department of Nephrology, Hospital University Virgen del Rocio, Seville, Spain
第1页,共8页降低肾移植患者心血管死亡率的心肾专题咨询的实用性Juan de Dios Arjona-Barrionuevo1、Manuel Gonzales Vargas-Machuca2、Francisco JoséGuerrero Márquez3*、Luis Gil-Sacaluga4、MiguelÁngel Gentil-Ggovantes4 1西班牙塞维利亚Virgen del Rocio医院大学心内科2,西班牙Bormujos(塞维利亚)San Juan de Dios del Aljarafe医院3西班牙Serrania Ronda医院心内科4西班牙塞维利亚Virgen del Rocio大学肾脏科
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引用次数: 4
Changes in Cardiac Isomyosin Composition in an Iron Loading Anemia Rat Model 铁负荷贫血大鼠心肌异肌球蛋白组成的变化
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/4.1172
W. Cheng, N. Kim, P. Bhattarai, Murui Han, Archita V. Menon, Jonghan Kim, B. Khaw
A rat model of iron loading anemia resulting in hypertrophic cardiomyopathy was used to assess the composition of cardiac isomyosin by ELISAs and immunohistochemistry relative to the chronological age of these animals and their normal controls. Cardiac myosin extracts of homozygous Belgrade (b/b) rats that develop hypertrophic cardiomyopathy were compared to those from the heterozygous (b/+) control rats at 4.5 and 11.5 weeks of age. Confirmation of the ELISA data in the increase in β-isomyosin in 11.5 weeks old b/b rat hearts were obtained by immunohistochemical staining relative to 4.5 weeks old b/b hearts and control 4.5 and 11.5 weeks old b/+ hearts. Quantitation and immunohistochemical demonstration of an increase in the β-isomyosin isoform can be confirmed in hypertrophic cardiomyopathy in iron loading anemia model.
采用elisa法和免疫组织化学方法,对铁负荷性贫血导致肥厚性心肌病的大鼠模型进行心肌异肌球蛋白组成的评估,并与这些动物及其正常对照的实足年龄进行比较。在4.5和11.5周龄时,将发生肥厚性心肌病的纯合子贝尔格莱德(b/b)大鼠的心肌肌球蛋白提取物与杂合子(b/+)对照大鼠的心肌肌球蛋白提取物进行比较。免疫组化染色证实11.5周龄b/b大鼠心脏β-异肌球蛋白升高的ELISA数据,相对于4.5周龄b/b心脏和对照4.5、11.5周龄b/b +心脏。定量和免疫组织化学证明β-异肌球蛋白异构体的增加可以在肥厚性心肌病铁负荷贫血模型中证实。
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引用次数: 0
https://www.cardiologyresearchjournal.com/old-issues.php?journal=jccs&&v=3&&i=4&&y=2019&&m=May https://www.cardiologyresearchjournal.com/old-issues.php?journal=jccs&&v=3&&i=4&&y=2019&&m=May
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/4.1176
A. Yu, J. Nguyen, Anthony Brown
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引用次数: 0
Healthcare Resource Utilization among Non-Valvular Atrial Fibrillation Patients Who Switched from Warfarin to a Novel Oral Anti-Coagulant 从华法林转向新型口服抗凝剂的非瓣膜性心房颤动患者的医疗资源利用
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/4.1177
J. Franchino-Elder, A. Gilligan, Xue Song, Bríain ó. Hartaigh, C. Henriques, A. Sainski‐Nguyen, Cheng Wang
Among patients with non-valvular atrial fibrillation (NVAF), switching from warfarin to novel oral anticoagulants (NOACs) is common, yet clarifying the differences in the effect of NOACs on all-cause healthcare resource utilization (HCRU) are unknown. Adult NVAF patients who switched from warfarin to dabigatran, apixaban, or rivaroxaban were identified in MarketScan databases between 10/2010-12/2015. Patients had 12 months pre-period (index date was 1st NOAC claim) and were followed up to 12 months until medication discontinuation, end of enrollment, inpatient death, or 12/2016. Overall, 8,679 and 5,761 dabigatran switchers were matched (1:1) to rivaroxaban and apixaban switchers (mean age 73-74 years). Compared with rivaroxaban switchers, a lower proportion of dabigatran switchers had an inpatient (IP) visit (20.0% vs. 21.6%, p=0.008). Dabigatran switchers had lower per-patient-per-month (PPPM) total outpatient (3.87 vs. 4.06, p=0.002), emergency department (ED; 0.48 vs. 0.52, p=0.026), outpatient office (1.17 vs. 1.22, p<0.001), and other outpatient (2.71 vs. 2.83, p=0.043) visits compared with rivaroxaban switchers. A similar proportion of dabigatran and apixaban switchers had an IP visit (20.7% vs. 21.2%); compared with apixaban switchers, dabigatran switchers had significantly more PPPM IP visits (0.23 vs. 0.21, p=0.031) but significantly lower ED visits (0.47 vs. 0.52, p=0.016). Post-discharge 30-day readmission rates were comparable among warfarin-to-NOAC switching groups. Time to readmission was longer for dabigatran versus rivaroxaban switchers (8.2 vs. 7.8 days, p<0.001), but comparable with apixaban patients (8.1 vs. 8.4 days). Switching to dabigatran after warfarin discontinuation may lower HCRU among NVAF patients compared with switching to rivaroxaban or apixaban.
在非瓣膜性心房颤动(NVAF)患者中,从华法林转为新型口服抗凝剂(NOAC)很常见,但尚不清楚NOAC对全因医疗资源利用(HCRU)影响的差异。在2010年10月至2015年12月期间,MarketScan数据库中发现了从华法林转为达比加群、阿哌沙班或利伐沙班的成年NVAF患者。患者术前12个月(指标日期为首次NOAC索赔),随访12个月,直到停药、入组结束、住院死亡或2016年12月。总体而言,8679和5761个达比加群切换器与利伐沙班和阿哌沙班切换器匹配(1:1)(平均年龄73-74岁)。与利伐沙班换药者相比,达比加群换药者的住院(IP)就诊比例较低(20.0%对21.6%,p=0.008)。达比加特兰换药者每月每位患者的门诊总人数(3.87对4.06,p=0.002)、急诊科(ED;0.48对0.52,p=0.026)、门诊部(1.17对1.22,p<0.001),和其他门诊就诊(2.71对2.83,p=0.043)。类似比例的达比加群和阿哌沙班交换机有IP访问(20.7%对21.2%);与阿哌沙班换药组相比,达比加群换药组的PPPM IP访视次数显著增加(0.23 vs.0.21,p=0.031),ED访视次数明显减少(0.47 vs.0.52,p=0.016)。达比加群与利伐沙班转换者的再入院时间更长(8.2天vs.7.8天,p<0.001),但与阿哌沙班患者的再次入院时间相当(8.1天vs.8.4天)。与改用利伐沙班或阿哌沙班相比,停用华法林后改用达比加群可能会降低NVAF患者的HCRU。
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引用次数: 1
Long Term Health Outcomes Following Coronary Artery Bypass Grafting: A Different Journey for Men and Women 冠状动脉搭桥术后的长期健康结果:男性和女性的不同旅程
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/4.1171
G. Lindsay, P. Ponaiah, I. Nomani, S. Lamadah, N. Tayyib, A. Johargy
Method: SF36 data and the presence of cardiac symptoms were collected from 44 women and 166 men prior to surgery and from consenting survivors at one and eight-year follow-ups. Survival data were collected from government records for 18 years post operation. Paired t-tests, Pearson correlation coefficients, chi-squared tests and the log-rank test were used to investigate connections between HRQoL and age, presence of angina/breathlessness and survival within and across genders.
方法:收集手术前44名女性和166名男性的SF36数据和心脏症状的存在,以及同意的幸存者在1年和8年的随访中。术后18年的生存数据来源于政府记录。使用配对t检验、Pearson相关系数、卡方检验和log-rank检验来研究HRQoL与年龄、心绞痛/呼吸困难的存在以及性别间和性别间生存之间的关系。
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引用次数: 1
A Pericardial Cyst Causing Obstructive Shock 心包囊肿引起梗阻性休克
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/3.1173
Mit Patel, Injoon Lee, N. Parikh, D. Sane, T. Bishop
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引用次数: 0
The Effect of eHealth Interventions on Physical Activity in Patients with Chronic Obstructive Pulmonary Disease: A Mini Review 电子健康干预对慢性阻塞性肺病患者体育活动的影响:一项小型综述
Pub Date : 2019-05-01 DOI: 10.29245/2578-3025/2019/3.1169
Yoshiki Tsuchida, S. Vorrink
Page 9 of 13 The Effect of eHealth Interventions on Physical Activity in Patients with Chronic Obstructive Pulmonary Disease: A Mini Review Yoshiki Tsuchida1#, Sigrid N.W. Vorrink2,3* 1Department of Physical Therapy, Nagoya University Graduate School of Medicine, Nagoya, Japan 2Utrecht University of Applied Sciences, Research Group Technology for Healthcare Innovations, Utrecht, Netherlands 3JointResearch, Department of Orthopaedic Surgery, OLVG Amsterdam, Netherlands
第9页,共13页电子健康干预对慢性阻塞性肺病患者体育活动的影响:一篇迷你评论Yoshiki Tsuchida1#,Sigrid N.W.Vorink2,3*1日本名古屋名古屋大学医学研究生院物理治疗系2高等应用科学大学,医疗保健创新研究小组技术,乌得勒支,荷兰3JointResearch,整形外科,OLVG阿姆斯特丹,荷兰
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引用次数: 2
A Rare Case of Single Right Coronary Artery with Absent Left Main Coronary Artery 单右冠状动脉伴左主冠状动脉缺失1例
Pub Date : 2019-03-01 DOI: 10.1016/J.HLC.2018.06.382
A. Yu, M. Rowe, J. Atherton, A. Dahiya
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引用次数: 0
期刊
Journal of cardiology and cardiovascular sciences
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