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Cognitive disturbance among elderly Taiwanese patients after elective surgery /Lou, Meei-Fang. January 2001 (has links)
Thesis (Ph. D.)--University of Washington, 2001. / Vita. Includes bibliographical references (leaves 153-169).
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Postoperative mediastinitis : risk factors, wound contamination and diagnostic possibilities /Bitkover, Catarina Yael, January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 4 uppsatser.
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Cardioplegia and cardiac function : evaluated by left ventricular pressure-volume relations /Ericsson, Anders B., January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.
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Renal dysfunction and protection in cardiovascular surgery /Bergman, Anders S.F., January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 6 uppsatser.
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Surgery for acute coronary syndromes /Bjessmo, Staffan, January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.
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Surgical infections at regional hospital in Gauteng:reasons for delay to care and profile of pathologyPatel, Nirav January 2018 (has links)
research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the degree of
Master of Medicine.
Johannesburg, 2018. / Objectives
Present on arrival infection is a common indication for admission in surgical patients initially managed at primary care level. We aimed to describe the demographic and disease profile of patients with infection requiring surgical management, describe determinants of patients’ health seeking behaviour and identify barriers to care.
Methods
A prospective descriptive questionnaire based study was conducted at Edenvale General
Hospital between February 2014 and October 2016. Minors were excluded.
Results
Eighty nine patients participated. Abscesses (26%, 23/89), diabetic foot (22%, 20/89), and
cellulitis (16%, 14/89) were the largest categories of infection necessitating admission. The majority of patients were South African (88%, 78/89), Black African (82%, 73/89), males (58%, 52/89), without medical aid (99%, 88/89), who were not formally employed (58%, 52/89), were from poor households (74%, 73/89), inhabited some form of formal housing (90%, 80/89), were in charge of decisions regarding personal health (80%, 71/89), and first sought help at the primary care level (71%, 62/89). Delay from onset of symptoms to presentation was noted in 69% (61/89) of patients, and delay from presentation to referral to specialist care in 46% (41/89) of patients. Age, race, history of diabetes, and main source of monthly income were significant variables in delayed presentation (p<0.05), and age and level of care on first contact in delayed referral (p<0.05). The most common reason for delay to presentation (84%, 51/61) and referral (61%, 25/41) was patients’ own belief that the problem would get better spontaneously.
Conclusions
Patients’ socio-economic status, past medical history, demographics, level of first contact
with the health care system, and perceptions of their own health contributed to delays in
seeking and receiving care. Barriers to care may be addressed by improvements targeting
issues of availability, accessibility, acceptability and affordability of health care services. / E.K. 2019
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Surgical treatment of atrial fibrillation : clinical, hormonal and electrophysiological aspects of the Maze operation /Albåge, Anders, January 2003 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst., 2003. / Härtill 5 uppsatser.
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Microdialysis in reconstructive surgery : a clinical and experimental study focusing on monitoring flap metabolism and viability /Röjdmark, Jonas, January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.
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Glandula thyreoideas funktion i den postoperative periode en undersøgelse af den normale glandula thyreoideas funktion hos 35 opererede og 10 ikke-opererede patienter baseret på måiling af den glandulaere omsaetning af radioaktivt jod (I 131) /Clementsen, Hans Jørgen. January 1963 (has links)
Thesis (doctoral)--Københavns universitet.
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Perioperative beta blockade for major vascular surgery: a descriptive study of current intended practice across South African specialist training facilitiesLawson, Richard Barry January 2013 (has links)
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand,
Johannesburg, in partial fulfillment of the requirements for the degree of Master of Medicine in
the branch of Anaesthesia
Johannesburg, April 2013 / BACKGROUND:
Once lauded as one of the most valuable interventions across all fields of contemporary
medicine, perioperative beta blockade (PBB) is a practice that has come under intense scrutiny.
Publication of the PeriOperative ISchemic Evaluation (POISE) study forced a modification of
recommendations for PBB in consensus guidelines. Practice in South Africa has not been
previously reported.
OBJECTIVES:
The primary objective of this study was to describe current intended practice, with respect to
PBB, in patients undergoing major vascular surgery at South African specialist training facilities.
Secondary objectives were describing participant satisfaction with current strategy, reporting
suggested modifications to clinician responsibilities in the future, and identifying potential
barriers to the intervention.
METHOD:
One anaesthesiologist and one vascular surgeon from each of the seven recognised training
facilities for vascular surgery in South Africa were included in a partially selective observational
survey. Data was generated by the use of a semi-structured questionnaire specifically developed
to address the objectives of the study.
RESULTS:
The POISE study results and updated international consensus guidelines had not prompted a
change in approach at most facilities. There was inconsistency in methods of risk stratification,
treatment implementation, titration practices, and the timing of withdrawal of medication.
Anaesthesiologist and vascular surgeon opinion on current intended practice correlated poorly.
Opinions correlated least well at facilities where both clinicians claimed responsibility for PBB,
implying that communication may be a problem. Similarities, where they did occur, were in
keeping with recommendations that are widely supported in the literature.
Less than half of the participants were satisfied with current practice.
The involvement of the anaesthesiologists in the perioperative management of vascular surgery
patients was less than reported in other countries. The participants supported a major role for
anaesthesiologists in the future, and a move towards multidisciplinary involvement in policy
development and patient management.
The need for appropriate monitoring was identified as one of many important barriers.
CONCLUSIONS:
This study describes current intended practice at South African training facilities for vascular
surgery. The variable practice across the country; the poor correlation of participant responses;
widespread dissatisfaction with current strategy; suggested changes to clinician responsibilities;
and the identification of multiple barriers to the implementation of strategy, highlight the need
for review at all facilities. Further research is needed, since the optimal strategy for reducing risk
in patients undergoing vascular surgery remains elusive.
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