Notes

Clonal hematopoiesis, myeloid problems and also BAX-mutated myelopoiesis in people getting venetoclax regarding CLL.
To evaluate the risk factors for developing rectus sheath hematoma (RSH).

An observational study.

Department of General Surgery, Hitit University School of Medicine, Erol Olcok Training and Research Hospital, Turkey; from January 2018 to April 2020.

Patients with RSH were studied. Those with other pathologies in rectus sheath, and repeat studies, were excluded. Demographic data, presenting symptoms, comorbidities, medications administered containing anticoagulant drugs, imaging results, laboratory findings, coagulation parameters, length of hospital stay, treatments administered, type of RSH, morbidity, mortality and risk factors of increased bleeding diathesis, were recorded.

Of the 61 studied patients, 56 (91.8%) had at least one chronic disease, and 77% were receiving anticoagulation therapy. RSH size was significantly larger for patients taking acetylsalicylic acid than for patients taking other anticoagulants, and an RSH area less than1,924 mm2 was associated with increased length of hospital sle sex, older age, anticoagulant drug use and cancer-related immunosuppression. Key Words Rectus sheath hematoma, Conservative treatment, Anticoagulant treatment.
To investigate the survival rate and the return of spontaneous circulation (ROSC) in patients who underwent the resuscitative thoracotomy in the emergency department (EDRT), and determine the difference in survival rate of the patients who underwent EDRT with and without out of hospital CPR.

Observational study.

Department of Emergency Medicine, Edremit State Hospital, Balıkesir, Turkey between January 2014 and March 2020.

Patients who underwent EDRT were included. Post-CPR ROSC success and 6-month survival were determined as the study endpoints. Categorical data were compared using the Chi-square test so expressed as frequency and percentage, and continuous parametric data were expressed as mean ± standard deviation (SD).

Twenty-seven patients were included in the study. The 6-month survival was 51.9% for all patients, and ROSC was achieved in 61.1% of patients requiring CPR. Comparing patients with and without out of hospital CPR, survival was observed in 16.7% and 80%. ROSC success was observed iuscitative thoracotomy, Stab-wound injury; Trauma resuscitation.
To compare the outcomes between two methods of dissection (balloon trocar vs. telescopic dissection) used in total extra-peritoneal (TEP) inguinal hernia repair.

Comparative study.

Department of General Surgery, Faculty of Medicine, Sakarya University, conducted between January 2018 and January 2020.

The study included patients who underwent elective TEP inguinal hernia repair. Preoperative and early postoperative results were compared, after the patients had been divided into a balloon trocar group (Group 1) and telescopic dissection group (Group 2). The technique performed depended on equipment availability. Permission was obtained from the Institutional Review Board. selleck The study data are presented as descriptive statistics (mean, standard deviation, median, first quartile, third quartile, frequency and percentage); p-value <0.05 was considered significant.

A total of 189 patients were included; 95 patients in Group 1 and 94 patients in Group 2. No significant differences in age, gender, body mass index, body weight, ASA performance status, operating time, duration of hospitalisation or postoperative bleeding values were observed between the groups (p >0.05). European Hernia Society Quality of Life pain score values were higher in Group 2 than Group 1 (p = 0.016).

Telescopic dissection was cheaper than balloon dissection. The bleeding values and operating time were similar between the two methods, but telescopic dissection caused more postoperative pain. Key Words Inguinal hernia, Telescopic dissection, Balloon dissection, Total extra-peritoneal (TEP) surgery.
Telescopic dissection was cheaper than balloon dissection. The bleeding values and operating time were similar between the two methods, but telescopic dissection caused more postoperative pain. Key Words Inguinal hernia, Telescopic dissection, Balloon dissection, Total extra-peritoneal (TEP) surgery.
To determine the predictive effect of pleth variability index（PVI）before anesthesia on hypotension after epidural anesthesia in cesarean section parturient women.

Observational study.

GansuProvincePeople'sHospital, China, from March 2019 to May 2020.

One hundred and seven singleton parturient women, who underwent elective cesarean section, were selected. They were divided into no hypotension group (Group A) and hypotension group (Group B). Hypotension was defined as systolic blood pressure lower than 90 mmHg or >30% decrease in the mean arterial pressure. Receiver operating characteristic (ROC) curve was used to evaluate the predictive value of PVI before anesthesia and heart rate (HR) for hypotension after epidural anesthesia.

After epidural anesthesia, 41 (38.32%) parturient women had hypotension. Basic values of HR and PVI before anesthesia in Group B were significantly higher than Group A (both p <0.001). The area under the ROC curve (AUC) of PVI basic value predicting hypotension was 0.824 (95% CI 0.746-0.903, p <0.001), was greater than the AUC of HR basic value predicting hypotension, and the sensitivity and specificity of predicting hypotension were 92.7% and 66.7%, respectively.

The PVI and HR values before anesthesia have certain value in predicting hypotension after epidural anesthesia in cesarean section. PVI value before epidural anesthesia has more clinical significance than the HR. Key Words Pleth variability index (PVI, Heart rate (HR), Epidural anesthesia, Cesarean, Hypotension.
The PVI and HR values before anesthesia have certain value in predicting hypotension after epidural anesthesia in cesarean section. PVI value before epidural anesthesia has more clinical significance than the HR. Key Words Pleth variability index (PVI, Heart rate (HR), Epidural anesthesia, Cesarean, Hypotension.Null.
Long-term changes in post-stroke depression (PSD), post-stroke emotional incontinence (PSEI), and post-stroke anger (PSA) have rarely been studied.

This is a sub-study of EMOTION, a randomized, placebo-controlled trial, that examined the efficacy of escitalopram on PSD, PSEI, and PSA in patients with stroke. We interviewed patients at the long-term period (LTP) using predefined questionnaires Montgomery-Åsberg depression rating scale (MADRS) for PSD, modified Kim's criteria for PSEI, and Spielberger trait anger scale for PSA. Additionally, the ENRICHD Social Support Instrument (ESSI) for the social support state and the modified Rankin Scale (mRS) were measured. We investigated the changes in and factors behind PSD, PSEI, and PSA at LTP.

A total of 222 patients were included, and the median follow-up duration was 59.5 months (interquartile range, 50 to 70). Compared to the data at 6 months post-stroke, the prevalence of PSEI (11.7% at 6 months, 6.3% at LTP; P=0.05) and mean anger score (21.62, 16.24; P<0.
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