BACKGROUND Although the proximal radial artery has been reported as an alternative inflow to prevent steal syndrome, brachiobasilic fistula has been reported to be associated with steal syndrome in 10-20% of cases. We aimed to compare proximal radiobasilic arteriovenous fistula (AVF) with brachiobasilic AVFs on the upper arm in terms of steal syndrome and outcomes. MATERIAL AND METHODS We use...

The effect of endotoxin upon oxygen consumption in a peripheral vascular bed was assessed in a canine hind-limb preparation. The left iliac vessels in 12 adult male mongrel dogs were isolated, the artery cannulated proximally and distally such that arterial inflow could be routed through a roller pump, and a nonocclusive catheter placed in the vein. Oxygen consumption was then calculated as the...

A 45-year-old man with recurrence of acute HF due to end-stage dilatative cardiomyopathy, evolving from hy-pertrophic non-obstructive cardiomyopathy, despite maximal medical therapy and mitral-annuloplasty (Carpentier Physio N 30), underwent a Jarvik 2000 FlowMaker implantation (Fig. 1). Heart transplantation was contra-indicated due to severe fixed pulmonary hypertension (11 UW). Fig. 1. A pos...

OBJECTIVES We tested the hypothesis that patients with incomplete systolic mitral leaflet closure (IMLC: apically displaced coaptation) also have restricted diastolic leaflet opening that is independent of mitral inflow volume and provides evidence supporting increased leaflet tethering. BACKGROUND Competing hypotheses for functional mitral regurgitation (MR) with IMLC include global left ven...

The objective of this study is to analyze the pollution inflow into California during summertime and how it impacts surface air quality through combined analysis of a suite of observations and global and regional models. The focus is on the transpacific pollution transport investigated by the NASA Arctic Research of the Composition of the Troposphere from Aircraft and Satellites (ARCTAS) missio...

BACKGROUND The European Best Practice Guidelines on Vascular Access propose magnetic resonance angiography (MRA) of dysfunctional dialysis fistulae and grafts if visualization of the complete arterial inflow and outflow vessels is needed. In a prospective multi-centre study we determined the technical success rate of complete vascular access tree depiction by digital subtraction angiography (DS...

This paper examines issues related to the future supply of registered nursing staff, midwives and health visitors in the National Health Service (NHS) in England at a time when there are major public sector funding constraints and as more of these staff are reaching retirement age. Based on available workforce data, the paper reviews different possible scenarios for the supply of NHS nurses ove...