Search results for " graf"

showing 10 items of 456 documents

Clavicle aseptic nonunion: is there a place for cortical allogenic strut graft?

2017

Abstract We investigated functional and radiological outcome in 57 cases of midshaft clavicle nonunion treated with open reduction and internal fixation with plate and screws over a 13 year-period. Intercalary bone graft was used in 42 patients; opposite autologous strut graft was used in 31 cases to provide mechanical support to the host bone. Patients were analysed using chart and radiological review and assessed with DASH questionnaire obtained at the latest follow-up. 37 patients were male while 20 were females, with a mean age of 35 years (63–17). All cases were of nonunion, 35 atrophic and 22 hypertrophic. The dominant side was injured in 32 cases and the non dominant in 25 cases. Pri…

AdultMalemusculoskeletal diseasesmedicine.medical_specialtyAdolescentmedicine.medical_treatmentNonunionFractures BoneYoung Adult03 medical and health sciences0302 clinical medicineSurveys and QuestionnairesmedicineHumansInternal fixation030212 general & internal medicineReduction (orthopedic surgery)Retrospective StudiesGeneral Environmental ScienceFracture Healing030222 orthopedicsBone Transplantationbusiness.industryRecovery of FunctionMiddle Agedmusculoskeletal systemmedicine.diseaseClavicleSurgeryRadiographyOpen Fracture ReductionTreatment Outcomesurgical procedures operativemedicine.anatomical_structureClavicleFractures UnunitedRadiological weaponGeneral Earth and Planetary SciencesFemaleAseptic processingbusinessStrut graftBandageFollow-Up StudiesInjury
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Repair of the mandibular nerve by means of autologous nerve grafting after resection of the lower jaw

1973

Summary On the basis of two cases we demonstrate our method of autologous nerve grafting for substitution of the mandibular nerve after mandibular resection. The sural nerve served as a donor nerve, the graft was imbedded microsurgically at the juncture points by means of a perineurial interfascicular nerve suture. Oversized grafts of about 20 cm in length were chosen intentionally in order to insert them without tension between the stumps of the recipient nerve and outside the regeneration zone of the bone. In both cases complete resensibilization of the lower lip was reached after about six months.

AdultMicrosurgerymedicine.medical_specialtyMandibular NerveMandibular nerveLower lipSural nerveTransplantation AutologousResectionAmeloblastomaPostoperative ComplicationsSural Nervestomatognathic systemmedicineHumansParesthesiaChildNerve graftingbusiness.industryGeneral MedicineAnatomyDenervationMandibular resectionLipNerve RegenerationOsteotomySurgeryMandibular Neoplasmssurgical procedures operativeFemaleSurgeryEpineurial repairNerve suturebusinessJournal of Maxillofacial Surgery
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The efficacy of N-acetylcysteine as a hepatoprotective agent in liver transplantation

1998

One of the most common complications after liver transplantation is primary graft dysfunction which results from severe deterioration of the microcirculation. The data obtained from our experimental studies indicate that N-acetylcysteine (NAC) is able to reduce the severity of ischemia/reperfusion injury and improves postoperative graft function after liver transplantation in rats. The aim of this pilot study was to evaluate the efficacy of NAC as a hepatoprotective agent under clinical conditions. A group of 30 liver transplanted patients were treated with NAC, and 30 patients (control group) were treated with a 5 % solution of glucose only. In the NAC group we observed a distinct reductio…

AdultNephrologymedicine.medical_specialtymedicine.medical_treatmentIschemiaPrimary Graft DysfunctionPilot ProjectsLiver transplantationGastroenterologyAcetylcysteineInternal medicineHumansMedicineProspective StudiesHepatoprotective AgentTransplantationbusiness.industryMiddle Agedmedicine.diseaseAcetylcysteineLiver TransplantationSurgeryReperfusion InjuryLiver functionbusinessReperfusion injurymedicine.drugTransplant International
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Phase information of time-frequency transforms as a key feature for classification of atrial fibrillation episodes

2015

[EN] Patients suffering from atrial fibrillation can be classified into different subtypes, according to the temporal pattern of the arrhythmia and its recurrence. Nowadays, clinicians cannot differentiate a priori between the different subtypes, and patient classification is done afterwards, when its clinical course is available. In this paper we present a comparison of classification performances when differentiating paroxysmal and persistent atrial fibrillation episodes by means of support vector machines. We analyze short surface electrocardiogram recordings by extracting modulus and phase features from several time-frequency transforms: short-time Fourier transform, Wigner-Ville, Choi-…

AdultSupport Vector MachineEXPRESION GRAFICA EN LA INGENIERIAPhysiologyBiomedical EngineeringBiophysicsPhase (waves)Sensitivity and SpecificityS-transform general Fourier-family transformCohort StudiesTertiary Care CentersElectrocardiographysymbols.namesakeText miningPhysiology (medical)Atrial FibrillationmedicineHumanscardiovascular diseasesAgedAged 80 and overPrincipal Component AnalysisFourier Analysisbusiness.industryCardiovascular AgentsAtrial fibrillationPattern recognitionMiddle Agedmedicine.diseaseAtrial fibrillationTime–frequency analysisSupport vector machineFourier transformROC CurveFeature (computer vision)Fourier analysisArea Under CurveTime-frequency transformsHypertensionsymbolsArtificial intelligenceMedical emergencybusiness
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Intratissular expansion–mediated, serial fat grafting: A step-by-step working algorithm to achieve 3D biological harmony in autologous breast reconst…

2016

Background Breast reconstruction involves the use of autologous tissues or implants. Occasionally, microsurgical reconstruction is not an option because of insufficient donor tissues. Fat grafting has become increasingly popular in breast surgery. The challenge with this technique is how to reconstruct a stable and living “scaffold” that resembles a breast. Methods Breast reconstruction (n = 7) was performed using intratissular expansion with serial deflation–lipofilling sessions. Mean age of the patients was 41 years (22–53). The expander generated a vascularized capsule at 8 weeks, which demarcated a recipient site between the skin and the capsule itself, and functioned as a vascular sour…

Adultmedicine.medical_specialtyBreast surgerymedicine.medical_treatmentMammaplastyTissue ExpansionSettore MED/19 - Chirurgia PlasticaBreast Neoplasms030230 surgeryTransplantation AutologousAutologouFollow-Up Studie03 medical and health sciences0302 clinical medicineBelgiumFat graftingMedicineHumansBreast reconstructionTissue survivalMastectomyLipofillingTissue Survivalbusiness.industryCapsuleMean ageMiddle AgedMagnetic Resonance ImagingSurgeryAlgorithmTransplantation AutologouTreatment OutcomeSatisfaction rateAdipose TissuePatient Satisfaction030220 oncology & carcinogenesisSurgeryFemalebusinessBreast reconstructionTissue expansionAlgorithmsBreast NeoplasmFollow-Up StudiesHuman
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Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of Miller class I and II gingival recessions: a cont…

2012

Background The aim of this study was to evaluate whether the combination of enamel matrix derivative (EMD) with subepithelial connective tissue graft (SCTG) plus coronally advanced flap (CAF) would improve the treatment outcomes of Miller class I and II gingival recessions when compared with the same technique (SCTG plus CAF) alone. Methods The study was designed as a randomized, parallel, controlled, double-blinded clinical trial. Forty-two patients were randomly assigned in the test group (SCTG plus EMD) and in the control group (SCTG). Patients had at least one gingival recession ≥ 2 mm. The clinical parameters were evaluated at baseline and at 14 d, 1, 3, 6 and 12 mo follow-up time poin…

Adultmedicine.medical_specialtyTest groupTreatment outcomeGingivaDentistrySubepithelial connective tissue graftEsthetics DentalSurgical FlapsRoot Planinglaw.inventionYoung AdultDental Enamel ProteinsDouble-Blind MethodRandomized controlled triallawEnamel matrix derivativemedicineHumansPeriodontal PocketGingival RecessionTooth RootGingival recessionbusiness.industryMean ageMiddle AgedSurgeryTreatment OutcomeConnective TissuePhotography DentalKeratinsPeriodonticsmedicine.symptombusinessAfter treatmentFollow-Up StudiesJournal of Periodontal Research
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Chimney and periscope grafts to facilitate endovascular treatment of aortic transection in a patient with aberrant right subclavian artery

2014

Purpose: To report the use of parallel grafts to extend the proximal landing zone for stentgraft repair of aortic transection involving an aberrant right subclavian artery (ARSA). Case Report: A 28-year-old patient was referred for treatment of traumatic aortic transection with contained rupture at the level of an ARSA. Immediate thoracic endovascular aortic repair (TEVAR) was planned because of hemodynamic instability. To achieve rapid sealing and maintain perfusion to both subclavian arteries, a chimney stent to the left subclavian artery (LSA) and a periscope stent-graft to the ARSA were deployed successfully. After surgical repair of all fractures, the patient was discharged 1 month aft…

Adultmedicine.medical_specialtyTime FactorsAortic RuptureCardiovascular AbnormalitiesSubclavian ArteryHemodynamics610 Medicine & healthProsthesis DesignAortographySettore MED/22 - Chirurgia Vascolare2705 Cardiology and Cardiovascular MedicineBlood Vessel Prosthesis ImplantationBlood vessel prosthesisX ray computedmedicine.arterymedicineHumansThoracic aorta2741 Radiology Nuclear Medicine and ImagingRadiology Nuclear Medicine and imagingcardiovascular diseasesEndovascular treatmentAortabusiness.industryEndovascular ProceduresHemodynamicsAberrant right subclavian arteryVascular System InjuriesAneurysmBlood Vessel ProsthesisSurgery10020 Clinic for Cardiac Surgery2746 SurgeryTreatment Outcomesurgical procedures operativeRegional Blood FlowLanding zonecardiovascular systemStentsSurgeryAneurysm surgeryRadiologyDeglutition DisordersTomography X-Ray ComputedCardiology and Cardiovascular Medicinebusinessthoracic aorta aortic transection trauma thoracic endovascular aortic repair aberrant right subclavian artery left subclavian artery stent-graft parallel graft chimney graft periscope graft landing zone
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Improved short-term outcomes of kidney transplants in controlled donation after the circulatory determination of death with the use of normothermic r…

2021

Normothermic Regional Perfusion (NRP) allows the in situ perfusion of organs with oxygenated blood in donation after the circulatory determination of death (DCDD). We aimed at evaluating the impact of NRP on the short-term outcomes of kidney transplants in controlled DCDD (cDCDD). This is a multicenter, nationwide, retrospective study comparing cDCDD kidneys obtained with NRP versus the standard rapid recovery (RR) technique. During 2012-2018, 2,302 cDCDD adult kidney transplants were performed in Spain using NRP (n=865) or RR (n=1,437). The study groups differed in donor and recipient age, warm and cold ischemic time and use of ex situ machine perfusion. Transplants in the NRP group were m…

Adultmedicine.medical_specialtyTissue and Organ Procurementdonors and donationdelayed graft function (DGF)graft survivalnephrologyUrologykidney transplantationorgan procurement and allocationRegional perfusion030230 surgery03 medical and health sciences0302 clinical medicineHumansImmunology and AllergyMedicinePharmacology (medical)Retrospective StudiesTransplantationKidneyMachine perfusionorgan perfusion and preservationbusiness.industryGraft SurvivalRetrospective cohort studyOrgan PreservationKidney TransplantationTissue DonorspracticeDelayed Graft FunctionDeathPerfusionmedicine.anatomical_structureclinical researchDonationPropensity score matchingCirculatory systembusinessdonation after circulatory death (DCD)
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Kinetics of Torque Teno virus DNA in stools may predict occurrence of acute intestinal graft versus host disease early after allogeneic hematopoietic…

2020

Torque Teno virus (TTV) DNA load in blood may act as a marker of immune competence after allogeneic hematopoietic stem cell transplant recipients (allo-HSCT). Conflicting data have been reported as to the value of this biomarker for anticipating acute Graft-versus-host disease (aGvHD) occurrence. Here, we hypothesized that quantitation of TTV DNA load in stool specimens early after allo-HSCT could be used to identify patients at high risk of acute intestinal graft-versus-host disease (aIGvHD). In this prospective two-center study we recruited a total of 83 non-consecutive adult patients undergoing allo-HSCT. The study period comprised the first 120 days after allo-HSCT. TTV DNA was quantita…

Adultmedicine.medical_specialtyTorque teno virusmedicine.medical_treatmentGraft vs Host DiseaseHematopoietic stem cell transplantationDisease030230 surgeryGastroenterology03 medical and health sciences0302 clinical medicineImmune systemInternal medicinemedicineHumansIn patientProspective StudiesTorque teno virusTransplantationbusiness.industryHematopoietic Stem Cell TransplantationViral LoadDNA Virus InfectionsTorque teno virus DNAKineticssurgical procedures operativeInfectious DiseasesDNA ViralBiomarker (medicine)030211 gastroenterology & hepatologyIntestinal Graft Versus Host DiseasebusinessTransplant Infectious Disease
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Cytomegalovirus DNA load monitoring in stool specimens for anticipating the occurrence of intestinal acute graft‐versus‐host disease following alloge…

2020

Background Data have been published suggesting a bidirectional interaction between cytomegalovirus (CMV) infection and acute graft-versus-host disease (aGvHD) in allogeneic hematopoietic stem cell transplant (allo-HSCT) recipients. Here, we hypothesized that prospective CMV DNA monitoring in stool specimens may be useful for predicting subsequent occurrence of intestinal aGvHD (IaGvHD). Methods This two-center study enrolled 121 consecutive adult patients undergoing any modality of allo-HSCT. A total of 1,009 stool specimens were collected (a median of 7 specimens/patient; range, 1-18). CMV DNA monitoring in stools and plasma was performed using real-time PCR assays. Results CMV DNA was det…

Adultmedicine.medical_specialtymedicine.medical_treatmentCytomegalovirusGraft vs Host DiseaseHematopoietic stem cell transplantationDisease030230 surgerymedicine.disease_causeGastroenterologyCytomegalovirus DNAFeces03 medical and health sciences0302 clinical medicineInternal medicineAcute graft versus host diseasemedicineHumansCumulative incidenceProspective StudiesFecesTransplantationbusiness.industryHematopoietic Stem Cell Transplantationvirus diseasesCytomegalovirusViral LoadIntestinal DiseasesInfectious DiseasesCytomegalovirus InfectionsDNA ViralCohort030211 gastroenterology & hepatologybusinessTransplant Infectious Disease
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