Hansonmagnusson1847

To evaluate the safety and primary technical success rate of gastric decompression via percutaneous transabdominal gastrostomy (PTAG) or percutaneous transesophageal gastric (PTEG) catheter placement for management of malignant bowel obstruction (MBO). A secondary purpose was to evaluate the safety and success rate for PTAG catheter placement in patients with both MBO and ascites.

A single-institution retrospective review of 385 patients who underwent attempted decompression gastric catheter placement from March 2013 to August 2018 was performed. Medical records and imaging studies were reviewed. A subgroup of patients with concomitant MBO and ascites were identified. The primary outcome measures were procedural technical success and procedural complications.

394 decompression gastrostomy catheters were attempted from 2013 to 2018, n = 353 PTAG and n = 41 PTEG. The success rate was 95.5% (n = 337 of 353) for PTAG and 97.6% (n = 40 of 41) for PTEG. There were 63 total complications involving 47 (13.9%) patients following PTAG and 13 total complications involving 9 (22.5%) patients following PTEG, P = 0.16. For the subgroup of patients with MBO and ascites, the success rate was 94.8% (n = 182 of 192 patients), and there were 20 complications involving 17 (12.9%) of 132 patients.

Gastric decompression for patients with MBO via PTAG or PTEG catheter placement is associated with high success rates and low complications.

Gastric decompression for patients with MBO via PTAG or PTEG catheter placement is associated with high success rates and low complications.

To initiate a peer learning conference for our abdominal radiology division across multiple geographically separated sites and different time zones, and to determine radiologist preference for peer learning versus traditional score-based peer review.

We implemented a monthly peer learning videoconference for our abdominal radiology division. Surveys regarding radiologist opinion regarding traditional peer review and the new peer learning conferences were conducted before and after 6 months of conferences.

Peer learning conferences were well attended across our multiple sites, with an average of 43 participants per conference. Radiologist opinion regarding peer review was poor, with survey radiologists responding positively to only 1 out of 12 process questions. Opinion regarding peer learning was extremely favorable, with radiologists responding positively to 12 out of the same 12 process questions. After 6 months of peer learning conferences, 87.9% of surveyed radiologists wished to continue them in some fashion, and no one preferred to return to score-based peer review alone.

We successfully implemented a peer learning conference for our abdominal radiology division spread out over multiple geographic sites. Our radiologists strongly preferred peer learning conferences over our traditional peer review system for quality control.

We successfully implemented a peer learning conference for our abdominal radiology division spread out over multiple geographic sites. Our radiologists strongly preferred peer learning conferences over our traditional peer review system for quality control.

The aim of this pooled sub-analysis of the Intraaortic Balloon Pump in Cardiogenic Shock II (IABP-SHOCK II) and Culprit Lesion Only PCI versus Multivessel PCI in Cardiogenic Shock (CULPRIT-SHOCK) trial was to compare the clinical outcome of patients with acute myocardial infarction complicated by cardiogenic shock treated either with clopidogrel or the newer, more potent ADP-receptor antagonists prasugrel or ticagrelor.

For the current analysis the primary endpoint was 1-year mortality and the secondary safety endpoint was moderate or severe bleedings until hospital discharge with respect to three different ADP-receptor antagonists. 856 patients were eligible for analysis. Of these, 507 patients (59.2%) received clopidogrel, 178 patients (20.8%) prasugrel and 171 patients (20.0%) ticagrelor as acute antiplatelet therapy. The adjusted rate of mortality after 1-year did not differ significantly between prasugrel and clopidogrel (hazard ratio [HR] 0.81, 95% confidence interval [CI] 0.60-1.09, p

 = 0.17) or r is no independent predictor of 1-year mortality. Treatment with ticagrelor seems independently associated with less in-hospital moderate and severe bleeding events compared to clopidogrel. This finding might be due to selection bias and should be interpreted with caution.Some effects of biochar on soil properties (such as pore water DOC) are not very clear. The changes of soil properties [cation exchange capacity (CEC)], pore water properties [pH, dissolved organic carbon (DOC), and Cd concentration (CPW-Cd)], Cd concentration measured by diffusive gradients in thin films (CDGT-Cd), and available Cd content (Cd in weak acid extractable state and reducible state, CBCR-Cd) determined by the BCR sequential extraction procedure over time after biochar addition were studied by soil incubation and potted corn experiments with five soils from a mining area. The results showed increases of 20.3%-64.6% in CEC and 0.34-1.02 in pH (both p  less then  0.05) in the soil incubation after adding biochar. The DOC concentration was reduced by 8.2%-33.2% (p  less then  0.05). CPW-Cd, CDGT-Cd, and CBCR-Cd decreased by 14.2%-47.2%, 15.3%-47.9%, and 22.3%-61.4%, respectively. During the corn cultivation phase, CEC increased by 5.1%-29.0%, and DOC concentration decreased by 10.4%-41.3% (p  less then  0.05). CPW-Cd, CDGT-Cd, and CBCR-Cd decreased by 5.9%-22.4%, 7.2%-25.1%, and 10.5%-64.8%, respectively. Biochar effectively increased the biomass of corn roots and reduced the concentration of Cd in the roots. Biochar altered the properties of soil and pore water, reduced the bioavailability of Cd in soil, and mitigated the harm to corn caused by Cd.A phenotypic analysis of the Meatmaster breed was done, using linear body measurements, qualitative assessment, slaughter data and pedigree performance data. The linear body measurements and pedigree performance data were collected from 187 rams and 222 ewes of all age categories. The following means were recorded in rams and ewes respectively Body weight (kg) (80.47±13.33; 57.51±12.43), head length (cm) (23.93±1.55; 22.68±2.05), neck length (cm) (28.35±5.16; 29.61±3.82), chest girth (cm) (102.45±8.42; 92.95±8.08), tail length (cm) (38.24±4.88; 36.64±4.70), wither height (cm) (63.91±4.04; 58.99±4.86), chest depth (cm) (37.51±2.97; 34.47±2.97), chest width (cm) (23.47±2.56; 21.24±2.85), body length (cm) (78.95±5.59; 72.67±6.06), rump length (cm) (21.82±3.29; 20.77±1.93), rump width (cm) (23.87±2.82; 21.36±3.15), skin thickness (mm) (2.846±0.5; 2.805±0.5), pelvic length (cm) (7.66±.98), pelvic width (cm) (7.66±.90), pelvic area (cm2) (46.69±10.62) and scrotal circumference (cm) (35.12±3.03). APR-246 in vitro The pedigree performance data of 177 ewes showed the following means age at first lambing (15.