lyzylyzy/PN huggingface dataset:
Need to measure outcome after discharge in surgical audit.
Patients were excluded from study participation if they were ineligible for thrombolytic therapy (history of stroke or transient cerebral event in the last six months, major surgery or active gastrointestinal bleeding within the previous two months, organ biopsy within two weeks, cardiopulmonary resuscitation lasting _10 min or resulting in rib fracture, systolic BP gt;200 mm Hg or diastolic BP gt;110 mm Hg), had cardiogenic shock (defined as systolic BP _80 mm Hg in the absence of bradycardia or requiring vasopressors) or had a life-expectancy of less than one year.
No cTnI concentration is absolutely diagnostic of acute myocardial infarction because myocardial cell injury can result from other mechanisms.
Examination of nursing practice specifically related to design and implementation of EPR systems should include: (1) characteristics of nurses_ work, i.e., what nurses do in the name of nursing and (2) characteristics of context of nurses_ work, i.e., systems and structures where organized nursing occurs [16].
Statistical methods Analysis was carried out according to the use of ACE inhibitor or aspirin at the screening visit.
The timeliness of electronic and paper-based systems was defined as t3 - t1 and t2 - t1, respectively.
Twelve-month follow-up In all patients, the medical record was reviewed to determine the occurrence either before the index DSE or in the ensuing 12 months of any of the following: MI, CABG, PTCA, death, hypertension, or diabetes.
Consequently, hyperglycemia was defined in the current study as a random blood glucose at admission that was gt;198 mg/dl (11 mmol/l) as per the 2002 and 1998 guidelines of the American and Canadian Diabetic Associations, respectively (23,24).
Diagnostic and therapeutic approaches for nonmetastatic breast cancer in Canada, and their associated costs.
Patients of any age who presented within 12 h of the onset of ischemic chest pain were considered for enrollment if ST segment elevation of at least 1 mm was present in two or more contiguous electrocardiographic leads.
Hence, the definition of a parental history of premature fatal CHD is the same.
Increased winter mortality from acute myocardial infarction and stroke: the effect of age
Death with cardiac dysfunction (cardiac death) was defined as either sudden death presumed to be secondary to dysrhythmia or as death associated with marked left ventricular dysfunction within the preceding six months.
Inclusion criteria for enrollment into the study included: established residence in the Lorraine region, age between 20 and 80 (inclusive), admission to hospital during 1994, diagnosis fo advanced CHF (defined as at least one hospital admission during a one-year period with NYHA class III or IV symptoms of CHF, radiological and clinical signs of pulmonary congestion, and/or signs of peripheral edema, left ventricular ejection fraction [LVEF]<30% [determined by the technique routinely available in the hospital concerned, mainly echocardiography] or a cardiothoracic ratio [CTR]>60%).
Patients without symptoms who had high-grade carotid stenosis (_70% diameter reduction) were also considered for CEA.
If the referral letter suggested the possibility of one of the study diagnoses the patient was asked to participate.
The diagnosis of flail leaflets was based on failure of leaflet coaptation, with rapid systolic movement of the flail segment into the LA (16,21).
Regarding selection and dosage of antibiotics, this policy follows national guidelines, i.e. that the first choice for patients with septicemia is penicillin or ampicillin in combination with an aminoglycoside [19].
Information was recorded on individual characteristics, including name, church ward, family relationships, birth date, death date, location of death, and date that the person moved into or out of that church ward.
__arge_ MI was pre-specified in the protocol as the development of Q waves or CPK-MB elevation to gt;8 _ ULN.
Further evaluation Evaluation subsequent to immediate treadmill testing consisted of further cardiac studies and/or clinical follow-up, which was attempted in each patient to determine clinical status at 30 days after the immediate treadmill test.
However, because about 50 different significance tests were carried out, there is a very high probability that at least one spuriously significant result will have occurred, and the results should be judged in this context.
Most of these cohort members had at least 20 years ofexposure history in their respective towns.
Hospitalizations for AVN occurring at any time after renal transplant, including after graft failure (censored for patient death), were counted in the analysis.
An overview of arsenic concentrations in drinking water and source-of-exposure information for the study area were presented in a previous feasibility assessment (18).
The pRV/pLV was also determined indirectly, during postoperative follow-up by using tricuspid valve regurgitation velocity on echocardiography as an estimate of the right ventricular pressure, and directly, by cardiac catheterization in the patients who required interventional cardiac catheterization after stage 3 repair.
Andrulis DP, Beers Weslowski V: Hospital trends and the financing of medical care for AIDS patients.
Left ventricular hypertrophy was defined as a ratio of observed to expected LV mass/height ratio exceeding 1.45 (11).
They were also excluded if a fasting blood sample could not be drawn within 24 h of the onset of chest pain because the effect of acute MI on lipid levels occurs after this period (12).
In the 40 to 50 age group, breast cancer reported 13 of 446 women of consanguineous and 37 of 633 of non-consanguineous parents (RR = 0.50, Cl 0.27 - 0.93).
In patients who underwent operation or had rupture, the last scan before the event was the final study considered.
Blood samples for hemostatic markers measurement (FPA, F1+2, TAT) were obtained immediately from these patients in the emergency room or coronary care unit within 12 h after the onset of symptoms and before the initiation of any thrombolytic or anticoagulant treatment.
If an ulcer with surrounding hematoma was seen, the lesion was considered a penetrating ulcer.
Examples of non-relevant items included type of formula for breat fed infants or type of syringe for diabetics not using insulin.
Alternative explanations for the lack of evidence in favor of the treatment hypothesis deal with the historical context within which the antihypertensive programswere introduced andthe differential outreach of such programs among the sociodemographic groups included in this study.
Measurements Serum creatinine Laboratory assessment of serum creatinine was made by a non-kinetic alkaline picrate (Jaffe) method 16 . Participants were stratified into two groups based on serum creatinine, using cut-points that have been validated with inulin clearance 17 . Based on data availability, a serum creatinine of 104 to 146 mol/L in women and 122 to 177 mol/L in men was used to define moderate renal insufficiency, which approximated a glomerular filtration rate of 30 to 60 mL/min/1.73 m2.
Adverse outcomes were correlated with age, gender, surgical procedure, activities, and the American Society of Anesthesiologist s Physical Status (ASA-PS) using receiver operator characteristic curve analysis.
Similarly, because the present exposure status of control infants is less relevant to this investigation than their exposure status when they were the age at which the case infants died, the address where the control infant lived at the time of the case infant s death was sampled, regardless of whether the family of the control infant was still residing there.
The lower limit of 45 years was used because POAD interventional procedures are not likely to be performed in younger patients.2 The distribution of groups was based on decade of life increments.
Ultimately, the rates in the 1995 Ontario Health Insurance Plan (OHIP) were used, because they were determined to approximate closely the average cost of physician assessments, tests and surgical procedures in Canada.
For prior admission diagnoses, both pneumonia and dementia coefficients were positive for death and negative for SGC.
Serum aflatoxin-albumin (AF-alb) adducts were analyzed to provide a measure of exposure.
3 Frick MH, Elo 0, Haapa K, Heinonen OP, Heinsalmi P, Helo P, et al. Helsinki heart study: primary-prevention trial with gemfibrozil in middleaged men with dyslipidemia.
3 ,20 To be accepted for the procedure, the pattern of emphysema on CT had to be severe and heterogeneous.
The primary preoperative imaging method was spiral CT angiography, with three-dimensional reconstructions, including surface shaded renderings and multiplanar reconstructed images.
For patients who underwent exercise as an adjunct to adenosine infusion, low-level treadmill exercise was performed at 0% grade and 1.0 to 1.7 mph.
HYPOTHESES TO BE TESTED AND STATISTICAL METHODS The main change expected to result from the new policy was a reduction in the number of antenatal visits to the hospital.
21 Material and methods This article is part of the Israeli Coronary Artery Bypass Graft study, for which every isolated CABG operation in 1994 was eligible.
Methods The cost of a regional adult cystic fibrosis centre serving 119 cystic fibrosis patients, categorised according to four treatment regimens, was determined.
Aneurysms of the femoral or popliteal arteries were defined as focal arterial dilations of at least 1.5 times the adjacent normal vessel.
Protocol The UKM data obtained at baseline of the long-term prospective study were analyzed to determine the session-to-session variation of the urea kinetic parameters.
End points Prognostic outcomes included cardiac survival, myocardial infarction and admission for unstable angina.
Exclusion criteria included segmental anatomy of {S,L,L} (i.e., solitus atria, L-ventricular loop and L-transposition) prior atrial repair (Mustard or Senning operations) and concomitant atrial and arterial switch operation (__ouble switch_).
As a result, the derived treatment algorithms are based upon the woman s age at the time of diagnosis (less than 50; or age 50 and over).
Health service costs included those that incurred during the hospital admission for microwave endometrial ablation and the first two weeks after treatment.
For all women who reported a diagnosis of CHD on a biennial follow-up questionnaire, we requested permission to examine the medical records.
The simpler approach groups procedures with similar expected short-term mortality rates into 6 predefined risk categories, in which category 1 has the lowest risk for death and category 6 the highest (Table 1), and examines mortality separately within each category.
Fetal growth and maternal exposure to particulate matter during pregnancy.
Data collection Patient variables included demographic information, prematurity (gestational age lt;37 weeks), birth weight, age, weight and body surface area at surgery and associated noncardiac malformations.
Patients undergoing a predischarge evaluation or those recently hospitalized for unstable angina, myocardial infarction or coronary revascularization were excluded.
We compared women booking during these two 12 month periods, both the women whose consultant changed their antenatal care policy (group A) and, to detect trends in care that were independent of the change in policy, women whose consultant maintained routine care throughout (group B).
Reinfarction was defined as recurrent chest pain lasting more than 30min with ST segment elevation and either emergency angiographic confirmation of an occluded vessel or recurrent elevation of cardiac enzymes.
The economic consequences of available diagnostic and prognostic strategies for the evaluation of stable angina patients: an observational assessment of the value of precatheterization ischemia
Follow-up for bypass graft patency and limb salvage was obtained from a review of the vascular laboratory records and outpatient clinic charts.
ACF was defined as a presence of metabolic acidosis (base deficit gt;4) and/or hyperlactatemia (arterial lactate gt;2mmol/l) during the first 24 hours of ICU care.
Study variables The following variables were prospectively recorded by a trained medical investigator at each center: demographic data, history of hypertension, diabetes, chronic obstructive pulmonary disease, peripheral vascular disease, smoking status, previous angina, acute pulmonary edema or cardiogenic shock, ECG changes during admission, presence of severe arrhythmia (defined as the occurrence of at least one episode of sustained ventricular tachycardia requiring immediate medical intervention or ventricular fibrillation), delay from onset of symptoms to first monitoring in an emergency room, hospital stay, exercise test, coronary angiography, PTCA and CABG.
Diabetes was defined as fasting blood sugar _140 mg/dl or blood sugar during a 75-g oral glucose tolerance test _200 mg/dl.
CRF for perinatal sepsis were defined as follows: a previous infant with GBS sepsis or GBS urinary tract infection; preterm labour (lt; 37 weeks gestation); prolonged rupture of membranes (PROM, gt; 18 hours); intrapartum fever (see below).
Firstly, patients were asked if they had received therapy or treatment for that problem (drugs or other therapy) and, secondly, they were asked to rate the intensity of the symptom on a 5 point visual analogue scale ranging from 1 (mild) to 5 (excruciating).9 At the end of the interview, patients were asked if they were: very satisfied, satisfied, somewhat satisfied, dissatisfied or very dissatisfied with their anaesthetic experience.
Baseline clinical information We collected the following data from patients during a pre-ExECG interview: age, symptoms, medication usage at the time of the ExECG, and other coronary risk factors.
For deceased members, death certificates were requested from the state where the death occurred.
We evaluated changes in CFS classification (partial or total remission, alternative medical or psychiatric diagnoses), CFS case-defining criteria, wellness scores, hours of activities and sleep, and treatments used to reduce fatigue.
The following anatomic variables were recorded: presence or absence of VSD__atients were categorized as having an intact ventricular septum if no VSD or a tiny defect was documented by a preoperative echocardiogram and/or catheterization, and VSD was defined as a defect judged to be sufficiently large to warrant surgical closure at the time of ASO; the presence of multiple VSDs; qualitative assessment of the position of the great arteries relative to each other; right ventricular hypoplasia (defined as tricuspid valve annulus z-score lt;_2 or a non__pex-forming right ventricle), and aortic arch anomalies including interruption, coarctation or arch hypoplasia.
Patients with gestational diabetes were excluded.
The choice of techniques and, for immunocytochemistry, the range of antibodies used were compared between each category of final diagnosis.
Total dialysate volume was calculated by multiplying the number of transfers by the transfer volume.
Adverse events were defined as follows: 1) death from any cause; 2) cardiac death, defined as sudden, unexplained death or death related to MI, heart failure or arrhythmia without a secondary cause; 3) nonfatal MI, defined as chest pain associated with a positive CK-MB test with return to a normal value; and 4) the need for hospital admission owing to UA (rest or accelerating chest pain associated with CAD determined by either angiography, a positive noninvasive stress test or new ST-T wave changes on the ECG) or heart failure (signs or symptoms of congestion believed to be secondary to cardiac dysfunction).
There was a negative association between the risk of death from colorectal cancer and the number of participations in the screening campaigns.
In a prior study in women, we found that cardiovascular risk appeared to increase above a serum creatinine level of 1.2 mg/dL 4 . Studies in men have used serum creatinine cutoffs to define renal insufficiency ranging from 1.4 to 1.7 mg/dL 1,2,5,10,15 . Our current study defined renal insufficiency as a serum creatinine level _1.5 mg/dL in men, and _1.3 mg/dL in women 17 . We also estimated creatinine clearance levels using the Cockcroft-Gault equation, which we standardized for body surface area and used to assess trends in cardiovascular disease prevalence with declining renal function 18 . Other predictor variables included demographic variables [age, sex, race (white, black, other), and education level] and cardiovascular risk factors [history of diabetes and hypertension, systolic and diastolic blood pressures, smoking status (never, current, former), low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol and triglyceride levels, alcohol intake, body mass index (BMI), and physical activity (kcals)].
The product has been promoted with claims that it is a significant step forward in NSAID therapy, prompting the inference that it produces fewer gastrointestinal disturbances than other products in its class.8 Since its introduction, a total of 12 case reports ofgastrointestinal bleeding and/or perforation in recipients of the product were reported to the Netherlands Centre for Monitoring of Adverse Reactions to Drugs (NARD).
Diabetes was defined as the use of insulin, oral hypoglycemic medications, or a fasting glucose level _126 mg/dL.
Eight-eight patients underwent orthotopic heart transplantation.
Information was collected in the following categories: demographics; medical history; primary indication for PCI; priority at PCI; therapy before, during, and after the procedure; cardiac anatomy and function; procedural information; and in-hospital outcomes, including death, emergency coronary artery bypass graft surgery (CABG), nonemergency CABG, or new myocardial infarction (MI), defined as chest pain, diaphoresis, dyspnea, and/or hypotension associated with the development of new Q waves or ST-TW__egment changes and a rise in creatine kinase (CK) to at least twice the normal value, with a positive CK-MB fraction.
* From the historical LDS church membership records: name, church ward affiliation, birth date, birth town, birth state, death date, death town, death state, cause of death, church-related events, gender, age, spouse name(s), father s name, and mother s name * From the LDS church census records: date of census, name, and residence at the time of the census Address correspondence to D.R. Lewis, U.S. Environmental Protection Agenicy, NHEERL, Human Studies Division, MD-58A, Research Triangle Park, NC 27711 USA.
Septicemia was defined as the occurrence of bacteremia in conjunction with hypotension (systolic blood pressure ,90 mmHg or diastolic blood pressure ,60 mmHg) or disseminated intravascular coagulation (decreased fibrinogen and increased fibrin degradation products) documented within 24 hours of the positive blood cultures.
Male and female patients aged 18_64 yr and ASA physical status I or II were included.
Wilcoxon__ test was used to assess the relationship between ascending aortic atherosclerosis and all dichotomous variables.
Transient ischemic attack was defined as a new neurologic deficit that resolved within 24 hours, and stroke was defined as a new or progression of a neurologic deficit that lasted beyond 24 hours.
To avoid the potential misclassification resulting from antibiotics prescribed for a child in the family, the analyses were restricted to primiparous women.
Both groups had toxicitys from treatment monitored and their quality of life and perception of symptom severity assessed.
Recurrent ischemia was prospectively defined as reinfarction or test angina with ST segment or T wave changes.
Information was collected from a semistructured interview consisting of open ended questions; it included details of the child s birth and postnatal hospital stay, contact with health professionals, and parents perceptions of the roles of community midwife and health visitor.
Survival from the date of echocardiography was obtained by using the Social Security Death Index of all patients (13,14)and was validated at clinical follow-up in 74% of patients in the AVR and control groups.
Potential predictors of initiation were identified using Students t-test for continuous variables and chi-square tests for categorical variables.
The appearance of new or worsening defects after stress were considered to be defect reversibility.
Ultrasonic methods Ultrasonic epiaortic imaging of the ascending aorta was performed during cardiac surgery in each patient by use of a 7-MHz linear ultrasound transducer (Acuson, Mountain View, California) inserted in a sterile sheath and placed directly over this vessel, as previously described (21,24_26,38).
Unweighted regression analyses were examined to determine the SROC curve.
Hospital re-admissions with a primary discharge diagnosis of COPD or asthma were identified from Medicare Part A claims for all hospitalizations billed to Medicare using ICD-9-CM codes.
An ischemic response was defined by an increase in WMSI _0.22 in the infarct region (homozonal ischemia) or in the noninfarcted region (remote ischemia) in comparison with WMSI during low-dose dobutamine.
They were included in the survey if the admission was for acute asthma, either through the general practitioner or accident and emergency department or directly from an outpatient clinic.
Any organ failure was defined as one or more organ systems failing during a single 24-hour period, and multiorgan failure was defined as the presence of two or more organ system failures during the same 24-hour period.
Clinical and laboratory evaluation of the 87 patients was made after each session of ethanol sclerotherapy.
Cases were defined as consecutive patients between the ages of 30 and 60 years (inclusive) who were admitted to the coronary care unit of the hospital with a first acute MI.
Patients were routinely treated with intravenous nitroglycerin for at least 24 h, followed by topical or oral nitrates, aspirin (325 mg orally daily) and diltiazem (30 to 60 mg orally four times a day).
Patients were divided into three groups solely according to AAA size at initial examination.
Clinical end points The primary end point (i.e., major adverse cardiac events [MACE]) was the combined occurrence of death, non-fatal reinfarction or disabling stroke at 30 days.
The dialysis prescription was carefully checked before, during, and at the end of the three modeled dialysis sessions by the same investigator (W.D.K.).
Starfield, B., Weiner, J.P., Mumford, L., and Steinwachs, D.: Ambulatory Care Groups: A Categorization of Diagnosis for Research and Management.
These preliminary observations are consistent with recent hypotheses for the etiology of IUGR-that initial changes leading to fetal growth retardation may be triggered in early pregnancy, around the time of implantation (9,10).
Only variables with a significant (p lt; 0.05) association with TIMI _2 flow were included in the final regression models.
Obesity was defined as body mass index _27.8 and _27.3 for men and women, respectively.
ClR was defined as the mean of the urea and creatinine clearances.
Place of residence was classified into 28 district health authorities.
Piecewise linear regression with unknown and specified breakpoints (16) was also used to identify inflection points for intervals greater than 30 days.
The patients were encouraged not to change their usual dietary habits, and were assured that the dietary record was not meant to check their adherence to the prescribed diet.
The VT diagnosis was based on accepted criteria (10,11)in any child showing at least three consecutive ventricular complexes at a rate clearly faster than the child__ sinus rhythm, and documented on surface electrocardiogram (ECG) or a Holter monitor.
Patients and methods We searched our fetal database for conotruncal anomalies diagnosed in our laboratory between January 1985 through September 1997 and included the following lesions in our study: tetralogy of Fallot, absent pulmonary valve syndrome, double outlet right ventricle, transposition and malposition of the great arteries as well as truncus arteriosus.