다중혈관 관상동맥 환자에서 y-문합을 이용하여 양쪽 내흉동맥만을 사용한 우회술의 조기 성적

[신간의 별자리x] 우리/미술, 그리고 ‘슬픔의 박물관’

Summary Background Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described. Methods In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death. Findings 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital. 91 (48%) patients had a comorbidity, with hypertension being the most common (58 [30%] patients), followed by diabetes (36 [19%] patients) and coronary heart disease (15 [8%] patients). Multivariable regression showed increasing odds of in-hospital death associated with older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043), higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p Interpretation The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future. Funding Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences; National Science Grant for Distinguished Young Scholars; National Key Research and Development Program of China; The Beijing Science and Technology Project; and Major Projects of National Science and Technology on New Drug Creation and Development.

Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study

Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China

South Australia is presently in the throes of major changes to its regulatory system governing land use, development of land and the development of planning policy against which development assessment decisions are to be made. Eventually the planning and development control system established under the Development Act 1993 (SA) will be replaced by a new system implemented by the Planning, Development and Infrastructure Act 2016 (SA) (the new Act).

COVID-19 Generated Changes to Planning and Development Controls in South Australia (preprint)

The effect of Pregabalin on sleep quality of patients treated with methadone maintenance therapy: A double-blind randomized clinical trial

2 وجشناد . ی  سانشراک ی  عونصم شوه دشرا ی ،  سدنهم هورگ ی  پماک ی ،رتو  سدنهم هدکشناد ی ،  سودرف هاگشناد ی  دهشم ،  ا ،دهشم ی نار .  1 رتکد . ی  سدنهم ی  پماک ی ،رتو  داتسا ،  سدنهم هورگ ی  پماک ی رتو ،  سدنهم هدکشناد ی ،  سودرف هاگشناد ی  دهشم ،  ا ،دهشم ی نار .  9 رتکد . ی  سدنهم ی  کشزپ ی ،  داتسا ی را ،  سدنهم هورگ ی  سدنهم هدکشناد ،قرب ی ،  سودرف هاگشناد ی  دهشم ،  ا ،دهشم ی نار .  4 وجشناد . ی  رتکد ی  صصخت ی  دار ی ژولو ی ،  دار هورگ ی ژولو ی ،  کشزپ مولع هاگشناد ی  ا ،دهشم ،دهشم ی نار .  9 رتکد . ی  صصخت ی  ر ی ،ه  داتسا ی را ،  لخاد هورگ ی ،  کشزپ مولع هاگشناد ی  ا ،دهشم ،دهشم ی نار .  6 رتکد . ی  صصخت ی  دار ی ژولو ی ،  شناد ی را ،  لخاد هورگ ی ،  کشزپ مولع هاگشناد ی  ا ،دهشم ،دهشم ی نار .

A Review of Computer-Aided Detection of Pulmonary Embolism in CT Angiograms

Primary neuroendocrine carcinoma (NEC) of the mediastinum is a rare type of carcinoma. According to the literature, only five cases of this condition have been reported so far. In this paper, we present a rare case of mediastinal NEC of unknown primary site. The patient was a 34-year-old man with mediastinal NEC, who presented with chronic dry cough and a right-sided mediastinal mass one year prior to hospital admission (winter 1391). His condition was confirmed by cervical lymph node biopsy. The patient refused to undergo chemotherapy treatment. During the hospital admission, the patient presented with severe dyspnea and signs of superior vena cava syndrome. Contrast-enhanced CT scan of the chest revealed a large heterogeneous mass extended from the right superior mediastinum to the right lung base with the encasement of the superior vena cava. After radiotherapy, the patient′s symptoms subsided and he underwent etoposide and cisplatin chemotherapy. After a 20-month patient follow-up, the subject remained alive and symptom-free.

http://jctm.mums.ac.ir/article_4757_bf9fb43025053d5eb87bc02c5d83d085.pdf

Mediastinal Neuroendocrine Carcinoma of Unknown Origin Presenting with Superior Vena Cava Syndrome (SVCS): A Case Report

https://doi.org/10.18502/jss.v6i(3-4).10891

The Bilateral Effects of Sleep-Related Breathing Disorders and Opioid Agonist Use: A Vicious Cycle in Methadone Maintenance Clinics

/pdf/survey-on-the-impact-of-covid-19-mandatory-lockdown-on-umkvob0i.pdf

Mahnaz Amini

Papers

The effect of Pregabalin on sleep quality of patients treated with methadone maintenance therapy: A double-blind randomized clinical trial

A Review of Computer-Aided Detection of Pulmonary Embolism in CT Angiograms

Mediastinal Neuroendocrine Carcinoma of Unknown Origin Presenting with Superior Vena Cava Syndrome (SVCS): A Case Report

The Bilateral Effects of Sleep-Related Breathing Disorders and Opioid Agonist Use: A Vicious Cycle in Methadone Maintenance Clinics

Survey on the Impact of COVID-19 Mandatory Lockdown on Clinical Condition of Patients with Chronic Pulmonary Diseases