BACKGROUND Coronary artery bypass grafting (CABG) reoperation is being performed with increasing frequency. OBJECTIVE To determine the clinical outcome and the long-term results of a second CABG. SETTING An 1100-bed urban university-affiliated hospital. DESIGN Retrieval of data on selected parameters from medical records before surgery and prospective follow-up afterwards. PATIENTS AND ...

CONTEXT Cardiac disease and treatment with an implantable cardioverter-defibrillator (ICD) may be psychologically traumatic. Posttraumatic stress disorder (PTSD) is generally overlooked in cardiac patients, and no study to date (to our knowledge) has evaluated the effect of PTSD symptoms on the prognosis in patients with ICDs. OBJECTIVE To test whether PTSD symptoms at baseline predict long-t...

Cardiovascular disease is the leading cause of death globally, resulting in 17 million deaths each year. Despite the availability of various treatment options, existing techniques based upon conventional medical knowledge often fail to identify patients who might have benefited from more aggressive therapy. In this paper, we describe and evaluate a novel unsupervised machine learning approach f...

background: this study aims to investigate the patterns of bioaccumulation and depuration of copper in the selected kidney and liver of capoeta fusca. methods: the fish were collected between september and november 2010 from a qanat in birjand. they were exposed to two types treatments with copper (0.25 and 0.75 mg/l) for a period of 41 days. the fish under study were exposed to the above-menti...

objective: successful bonding of a dental implant to bone, which was referred to as osseointegration by branemark has been well documented. however, long-term prognosis of an implant depends on adequate maintenance and long-term care. an effective maintenance program is required to preserve the health of peri-implant tissues. several techniques have been suggested for this purpose but it is not...