Some types of vegetarian diet can raise heart disease risk
Conclusion This large pooled cohort study seems to demonstrate an association between a healthy plant-based diet and reduced risk of coronary heart disease, and an increased risk of heart disease with an unhealthy plant-based diet. This adds to the evidence base supporting the possible benefits of healthy plant-based diets in protecting against certain illnesses. However there are some limitations to the research: The cohort included only health professionals from the US so might not be representative of wider populations in the UK or elsewhere. The study can't provide information on the benefits or otherwise of this diet in people with established coronary heart disease, stroke or cancer as these people were excluded. The questionnaire was self-reported and asked for recall of food habits over the previous year so there might be some inaccuracies in reporting. Also, people might not want to admit to consuming less healthy foods – although if unhealthy foods were under-reported, this could have meant an even bigger difference in results. Heart disease outcomes were mainly self-reported and then verified, so some cases may have been missed. Although analyses adjusted for various health and lifestyle factors, there are likely to be many other confounding variables influencing likelihood of coronary heart disease, such as education, occupation or stress levels. Nevertheless the study supports general understanding about the benefits of wholegrains, fruits ...
ConclusionPlasmalogens could be a potential biomarker for evaluating the early stages of oxidation in NASH.
This study was based on a randomized controlled trial (NCT01998230). Patients with esophageal cancer who received McKeown MIE were randomly allocated into a group that started oral feeding on postoperative day (POD) 1 (EOF group) or a second group that received nil by mouth until 7 days after operation (late oral feeding [LOF] group). We chose 86 patients, 46 patients in the EOF group and 40 patients in the LOF group, in which to analyze inflammatory cytokine levels (interleukin [IL]-6, IL-8, tumor necrosis factor-a [TNF-α], and monocyte chemotactic protein-1 [MCP-1]).ResultsThe EOF and LOF groups exhibited similar p...
ConclusionsIt remains premature to declare superiority for uniportal VATS in lung cancer surgery. A higher level of evidence is needed, especially in investigating objective benefits and treatment efficacy of the single-incision approach.
This report discusses an infarct exclusion technique modified from the one described by Tirone David and associates. In this technique two separate pericardial patches are used. The first patch excludes the rupture. The second patch is sutured to the margins of the first patch and thus provides strength to the margins of the first patch. The repair is simple and durable and has reduced the incidence of residual ventricular septal defects and patch dehiscence.
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Raymond A. Jean, Alexander S. Chiu, Jessica R. Hoag, Justin D. Blasberg, Daniel J. Boffa, Frank C. Detterbeck, Anthony W. KimBackgroundReadmissions after pulmonary lobectomy for lung cancer are important markers of healthcare quality for surgeons and hospitals. The implications on resources and quality are magnified when examining patients who require multiple readmissions within the perioperative period.MethodsThe Nationwide Readmission Database between 2013 and 2014 was investigated for patients with a primary diagnosis of l...
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Robert M. Van Haren, Arlene M. Correa, Boris Sepesi, David C. Rice, Wayne L. Hofstetter, Reza J. Mehran, Ara A. Vaporciyan, Garrett L. Walsh, Jack A. Roth, Stephen G. Swisher, Mara B. AntonoffBackgroundGround glass opacities (GGOs) on computed tomography (CT) have gained significant recent attention, with unclear incidence and epidemiologic patterns. Natural language processing (NLP) is a powerful computing tool that collects variables from unstructured data fields. Our objective was to characterize trends of GGO detection usi...
ConclusionsPhrenic nerve preservation in cases of invasive thymomas is feasible and may warrant an acceptable local control of disease, if associated with radiotherapy. According to these results, this technique could be proposed to all patients with invasive thymoma, especially in those affected by severe comorbidities or with a poor performance status.
ConclusionsThe current study identified risk factors for major adverse outcome after proximal thoracic aortic surgery with hypothermic circulatory arrest for degenerative pathology. The proposed simple, accurate model can quantify risk and facilitate physician-patient counseling before possible surgical intervention.
SMARTChip biosensor undergoing clinical trials in England could pave way for clinical laboratories to provide additional diagnostic tests for monitoring patient progress Emergency medical workers and mobile clinical laboratory technicians may soon have a point-of-care blood test that can identify patients having a stroke from its earliest moments. Currently being developed by Sarissa Biomedical at […]
CONCLUSIONS: Patients were evaluated more efficiently in the RACPC than in a traditional cardiology clinic, and their subsequent rates of emergency department re-attendances and adverse cardiovascular events were lower. PMID: 30773636 [PubMed - as supplied by publisher]
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