ABSTRACT
Pneumonectomy for lung cancer is associated with significant morbidity and mortality. Risk factors for the morbidity and mortality have been reported, but consistent conclusive data are undetermined. Current accepted 30-day mortality rates for pneumonectomy range from 7 to 11 per cent. The objective of this study is to determine whether various perioperative factors can serve as predictors of morbidity and mortality in pneumonectomy patients and to review outcome data on patients undergoing pneumonectomy for lung cancer. A total of 105 patients undergoing pneumonectomy for lung cancer from 1988 through 1998 are studied in a retrospective chart review. The main outcome measure is the 30-day operative mortality and morbidity. Complications occurring in 10 per cent or more of the patients included atrial fibrillation (33.3%), respiratory failure (23.8%), pneumonia (21.9%), and bronchopleural fistula (12.4%). The 30-day mortality rate was 10.5 per cent (11 deaths). By Fisher's exact test for Chi-square only three statistically significant mortality factors were identified: respiratory failure (P < 0.021), sepsis (P < 0.008), and male sex (P < 0.031); respiratory failure, sepsis, and sex were predictors of death. Significant correlation could not be made to predict postoperative morbidity. Overall long-term clinical outcome for pneumonectomy as lung cancer treatment was poor. Clinical judgment remains an essential factor when considering pneumonectomy as an option for lung cancer treatment.
Subject(s)
Lung Neoplasms/surgery , Pneumonectomy/adverse effects , Pneumonectomy/mortality , Adult , Aged , Aged, 80 and over , Atrial Fibrillation/complications , Bronchial Fistula/complications , Chi-Square Distribution , Female , Hospital Mortality , Humans , Lung Neoplasms/complications , Male , Middle Aged , Morbidity , Pneumonia/complications , Predictive Value of Tests , Prognosis , Respiratory Insufficiency/complications , Retrospective Studies , Risk Factors , Sepsis/complications , Sex Distribution , Survival Analysis , Treatment OutcomeABSTRACT
Results indicate that under some conditions the Sander parallelogram illusion can affect time-to-contact (TTC) estimation in a prediction-motion (PM) task and in an interceptive action (IA). The illusion also affected mimed manual prehension. The implication is that the timing of responses in the PM and IA tasks may involve an estimate of TTC that is based on the perceived dimensions of the environment. Further research is warranted in the development of models of perceived collision and of visually guided actions.
Subject(s)
Motion Perception , Optical Illusions , Pattern Recognition, Visual , Psychomotor Performance , Adult , Attention , Depth Perception , Distance Perception , Female , Humans , Male , Orientation , Reaction TimeSubject(s)
Drug Labeling , Drug Prescriptions , Drug-Related Side Effects and Adverse Reactions , Female , Humans , MaleSubject(s)
Brucellosis, Bovine/transmission , Brucellosis/transmission , Endocarditis, Bacterial/etiology , Adult , Animals , Blood , Brucella abortus , Cattle , Drinking , Endocarditis, Bacterial/therapy , Humans , MaleABSTRACT
In an effort to determine whether renal biopsy substantially altered patient treatment, 100 consecutive cases were reviewed. From a pathologic standpoint, 41 cases were considered "definitely" diagnostic, 36 were in the "probable" category, and the remaining 23 were "nondiagnostic." In 19 cases, a therapy change occurred on the basis of biopsy results. These patients all had significant proteinuria. No alteration in therapy took place in patients with acute or chronic renal failure or hematuria alone.
Subject(s)
Biopsy , Kidney Diseases/pathology , Kidney/pathology , Acute Kidney Injury/pathology , Adolescent , Adult , Aged , Female , Hematuria/pathology , Humans , Kidney Failure, Chronic/pathology , Kidney Transplantation , Male , Middle Aged , Nephrotic Syndrome/pathology , Postoperative Complications/pathology , Proteinuria/pathologyABSTRACT
Foram estudados 31 pacientes com feridas anfractuosas e/ou contaminadas, bem como com ulceras por pressao, aos quais se aplicou um composto de enzimas proteoliticas, associado a um antimicrobiano em forma topica, na frequencia de uma a duas vezes ao dia. Foram adotadas medidas gerais de apoio como repouso relativo, asseio local e geral e, em alguns casos, procedimentos cirurgicos complementares. Os resultados foram tabulados quanto a idade, sexo, diagnostico e parametros clinicos evolutivos. Foram obtidos resultados favoraveis em todos os casos e na grande maioria dentro das duas primeiras semanas de tratamento
