INTRODUCTION With improvements in surgical techniques, instrumentation and perioperative care, Hartmann's procedure is now less frequently performed. Restoration of intestinal continuity after Hartmann's procedure has traditionally been viewed to be technically demanding and associated with significant morbidity and mortality. This is a study of outcomes after the reversal of Hartmann's procedu...

Despite these advantages, clinicians have been concerned over the lack of specific reversal agents for use in the event of a life-threatening bleeding event or when an emergent interventional procedure is required. This concern may limit the use of DOACs, as warfarin can be reversed with the combination of a factor product (fresh frozen plasma or prothrombin complex concentrate) and phytonadion...

BACKGROUND Hip fractures require operation within 36-48 h, and they are most common in the elderly. A high International Normalized Ratio should be corrected before surgery. In the current study, we analyzed the budget impact of various warfarin reversal approaches. METHODS Four reversal strategies were chosen for the budget impact analysis: the temporary withholding of warfarin, administrati...

The semantics of the times macro is given in [2] only for the case when the body of the macro is parahalting. We remedy this by defining a new times macro instruction in terms of while (see [9, 13]). The semantics of the new times macro is given in a way analogous to the semantics of while macros. The new times uses an anonymous variable to control the number of its executions. We present two e...

BACKGROUND AND OBJECTIVES The weight parameters for use of sugammadex in morbidly obese patients still need to be defined. METHODS A prospective clinical trial was conducted with sixty participants with body mass index≥40kg·m-2 during bariatric surgery, randomized into three groups: ideal weight (IW), 20% corrected body weight (CW20) and 40% corrected body weight (CW40). All patients received...

BACKGROUND Neuromuscular block (NMB) monitoring and use of reversal agents accelerate the recovery time and improve the workflow in the operating room. We aimed to compare recovery times after sugammadex or neostigmine administration, and estimate the time spent in operating theater and the possible economic impact of a faster recovery, in morbidly obese patients undergoing bariatric surgery. ...

Introduction: Surgery to the upper gastrointestinal region of the gut results in symptoms greatly impacting on dietary intake, and a diet high in energy and protein is encouraged. The aim of this study was to examine the food and nutrient intakes of people having had major upper gastrointestinal surgery, and compare them to current food and nutrient recommendations. Materials and Methods: Peopl...

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Analytic hierarchy process (AHP) has been criticized considerably for possible rank reversal phenomenon caused by the addition or deletion of an alternative. While in many cases this is a perfectly valid phenomenon, there are also many cases where ranks should be preserved. Our findings indicate that using the geometric mean reduces the variance in ratings substantially; hence, yielding lower i...