ABSTRACT
OBJECTIVE: Enhanced recovery has been utilized to decrease length of stay and cost in bariatric surgery. We have recently focused efforts on pre-operative education with regards to discharge on the first post-operative day. The aim of this study was to determine the effectiveness of pre-operative education on discharge timing and readmission rates. METHODS: A retrospective review was conducted after revising discharge expectation education. Patients undergoing first time bariatric operations were included. Early group education focused on average patient stay of 2 postoperative days. Revised education informed patients they could go home on the first post-operative day. RESULTS: A total of 125 patients met inclusion criteria. Implementation of preoperative education was associated with a decrease in mean LOS and greater percentage of patients discharged on post-operative day one. There was no difference in readmission and complication rates. CONCLUSION: Effective pre-operative education can decrease length of stay in first time laparoscopic bariatric surgery.
Subject(s)
Bariatric Surgery , Length of Stay/statistics & numerical data , Patient Education as Topic/methods , Preoperative Care/methods , Adult , Female , Humans , Laparoscopy , Male , Middle Aged , Patient Discharge , Patient Readmission/statistics & numerical data , Retrospective StudiesABSTRACT
Nanoporous materials have important industrial applications as molecular sieves, catalysts and in gas separation and storage. They are normally produced as moderately dense silicates (SiO(2)) and aluminosilicates making their specific capacities for the uptake and storage of gases, such as hydrogen, relatively low. Here we report the synthesis and characterization of lightweight, nanoporous structures formed from the metal hydroxide Be(OH)(2) in combination with relatively low levels of framework phosphate or arsenate. Three new zeotype structures are described, constructed mainly of Be(OH)(4) tetrahedra bridged through hydroxide into three-membered rings; these units link together to produce several previously unknown zeotype cage types and some of the most structurally complex, nanoporous materials ever discovered. These materials have very low densities between 1.12 and 1.37 g cm(-3) and theoretical porosities of 63-68% of their total volume thereby yielding very high total specific pore volumes of up to 0.60 cm(3) g(-1).
Subject(s)
Hydroxides/chemistry , Metals/chemistry , Nanostructures/chemistry , Nanotechnology , PorosityABSTRACT
Several new berylloarsenate frameworks, layer structures and a new zeolite topology, employing the OH unit as a bridging anion, have been synthesised.
ABSTRACT
Sr[Be(OH)(4)] has been synthesised and its structure determination contains the first definitive characterisation of the discrete Be(OH)(4)(2-) anion.
ABSTRACT
An infant with non-mosaic 9p tetrasomy is described. The tetrasomy apparently results from a translocation involving the 9qh region. All the cells analyzed from multiple banding techniques from lymphocyte culture as well as skin fibroblast culture were 9p tetrasomic. The infant, who had the characteristic dysmorphic features of 9p tetrasomy, survived for 2 months. Prominent features included: low birth weight, severe retardation, brachycephaly with large anterior fontanelle, hypertelorism with short bilateral palpebral fissures, beaked nose, bilateral cleft lip and palate, and low-set, malformed ears. Skeletal anomalies, ambiguous genitalia and heart defect were also observed. These features are highly characteristic of the 9p tetrasomy syndrome based on six pure tetrasomy and four cases of tetrasomy that included part of the 9qh region.
Subject(s)
Chromosome Aberrations/genetics , Chromosomes, Human, Pair 9 , Abnormalities, Multiple/genetics , Chromosome Banding , Chromosome Disorders , Humans , Infant, Newborn , Karyotyping , Male , Syndrome , Translocation, GeneticABSTRACT
Apparently the first patient with de novo mosaicism 46,XX,t(13q13q)/46,XX,-13,+r(13) is described. The two cell lines were present at a frequency of 34% and 66%, respectively. The infant survived for about three months. The prominent dysmorphic features were: birth-weight and head circumference below the 3rd centile, encephalocele, multiple skin tags of low set dysplastic ears, coloboma of the left iris, short upward slanting palpebral fissures, and prominent nasal root. An imperforate anus, recto-vaginal fistula, enlarged adrenals, missing/hypoplastic kidneys, and limb anomalies were also present. It is postulated that the ring is a secondary anomaly arising from the 13q13q translocation.
