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Have you received a discharge summary from us in the past year? If `Yes', continue with this section. If `No', go to section C. Were you satisfied with the information given in the discharge summary? Were you informed of the discharge prior to the patient being discharged? Was the time interval between discharge and receipt of the discharge summary acceptable? Did the discharge summary lack any vital or relevant information? If `Yes', please state, for example, corbon.
O. Ekinci 1 , A. Berkowitsch 2 , T. Neumann 2 , H. Greiss 2 , H.F. Pitschner 2 , C.W. Hamm 2 , T. Dill 2 . 1 German Clinic for Diagnostics, Cardiology, Wiesbaden, Germany; 2 Kerckhoff-Klinik, Kardiologie, Bad Nauheim, Germany Introduction: Arrhythmogenic myofibrills located at the orifice of pulmonary veins can trigger atrial fibrillation. Radiofrequency ablation RFCA ; around the ostia of pulmonary veins is done in patients with atrial fibrillation being refractory to medical treatment. Reduction of initial ostial PV diameter was found in patients directly after radiofrequency ablation. Furthermore, development of stenoses was reported in up to 10% of patients within a period of one year after ablation. Purpose: Aim of this study was to investigate prognostic significance of the relative reduction of PV diameter RRPVD ; assessed by magnetic resonance imaging at next day after the procedure for development of severe PV stenosis during long term follow up. Methods: Sixty four consecutive patients 5310 years; 24 female ; with highly symptomatic and drug refractory atrial fibrillation were enrolled in the study. The diameter of PV were evaluated using MR angiography one day prior to and one day after the RFCA procedure. The further follow-up was by MR angiography every three months after the procedure. MR angiography was done using a nongated contrast enhanced breath-hold FISP-3D sequence during an i.v. bolus injection of 20 mL Gd-DTPA Magnevist, Schering, Germany ; . Using multiplanar reformation, the ostial PV diameters were measured. Severe PV stenosis was defined as a diameter reduction 70% of the initial ostial PV diameter. RRPVD was analyzed as dichotomized variable using cut-off determined by the method of maximizing the log-rank test statistic. Results: A total of 228 PV were treated in study patients. The mean RRPVD at early control was 814%. Severe stenosis was found in 13 PV within follow-up mean 6.54.6 months ; . The optimal cut-off point was found at RRPVD 25%. The Kaplan-Meier analysis confirmed strong association of RRPVD 25% with long term development of PV stenosis p 0.0001; sensitivity: 42%; specificity: 90% ; . RRPVD was also tested in multivariate Cox regression model which revealed RRPVD to be the strongest predictor for development of severe PV stenosis p 0.0001; HR 4.97 ; . The cumulative energy amount per PV was predictive as continuous variable p 0.001 ; , but was not predictive after the dichotomization. Conclusion: Relative reduction of the initial ostial PV diameter 25%, observed by MR angiography at the next day after the procedure is a strong independent predictor for development of severe PV stenosis. Patients should routinely undergo MR angiography for assessment of pulmonary vein diameters, early after RFCA of PV.
1 This work was supported by National Institutes of Health Grant R01 GM48152 to J.F.A. ; and Grants R01 AI39501 and R01 AI46511 to L.C.E. ; . L.C.E. is a Leukemia and Lymphoma Scholar. This work was also supported by a development grant from the Muscular Dystrophy Association to M.T.H. ; and Training Grant AI07492 from the National Institutes of Health to M.B.Z. ; and by the Dr. Alfred W. and Mignon Dubbs Fellowship Fund. 2 Address correspondence and reprint requests to Dr. Laurence C. Eisenlohr, Department of Microbiology and Immunology, Bluemle Life Sciences Building 730A, Thomas Jefferson University, 233 South 10th Street, Philadelphia, PA 19107. E-mail address: L Eisenlohr mail.jci.tju 3, because trental medication.
Wild-type virus is destroyed by the offending drug, the drug-resistant form can reproduce and eventually become the dominant strain, sometimes within as little as a few days.Thus, only the "fittest" survive, as in the Darwinian understanding of natural selection.
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Brook RH, Chassin MR, Fink A, et al. A method for the detailed assessment of the appropriateness of medical technologies. International Journal of Technology Assessment in Health Care 1986; 2: 5363.
Most elderly persons with depression seek help from primary care providers rather than mental health professionals. For this reason, it is crucial that clinicians become accustomed to screening for and treating this disorder.1-3 This article will briefly discuss the epidemiology and diagnosis of depression in elderly patients and will review treatment alternatives for this patient population. CHARACTERISTICS OF DEPRESSION IN ELDERLY PATIENTS Epidemiology The prevalence of depression varies depending on the criteria used for diagnosis and the population studied. A large epidemiological study of communitydwelling elderly persons showed that mild to moderate depressive symptoms are more common 24% ; than major depression 1% ; .4 Major depression is present in 5% to 13% of hospitalized patients and in 12% to 16% of nursing home residents.5 Diagnosis The criteria outlined in Diagnostic and Statistical Manual of Mental Disorders, 4th Edition6 should be used as a guideline for the diagnosis of major depression. According to these criteria, patients must experience 5 of the following symptoms for at least 2 weeks: depressed mood, diminished interest or pleasure in daily activities, significant changes in weight or appetite, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue, feelings of guilt or worthlessness, impaired concentration, or suicidal ideation.6 Because some medical conditions may mimic or precipitate depressive symptoms, a thorough medical history, physical examination, and review of systems should be performed prior to the initiation of antidepressant therapy. Laboratory evaluations should be performed when appropriate. Consequences of Untreated Depression Depressive symptoms are associated with increased risk of disability, increased mortality, and impaired psychosocial functioning. 7-10 Furthermore, failure to detect and progesterone, because trental 40.
Medical Letter 2001; 43: 69-78. Gilbert, et al.: The Sanford Guide to Antimicrobial Therapy.
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Press release , mar 31, 2005 one in three 33% ; adults who have been prescribed drugs to take on a regular basis report that they are often or very often noncompliant with their treatment regime and rythmol.
Endorsed the Australian Medical Workforce Advisory Committee's recommendations on increasing the number of cancer professionals, particularly in rural areas, and The Cancer Council Australia's position on travel and accommodation support for non-metropolitan patients. Professors Coates, Currow and Elwood and Ms Myers were among 70 people from more than 25 organisations to have appeared as witnesses at hearings in Perth, Melbourne, Sydney and Canberra over the past month. Witnesses were called on the basis of the quality, depth and relevance of their written submissions, 93 of which were received since the announcement of the inquiry in February. Organisations that provided submissions included federal and state territory health departments, medical faculties, consumer organisations, industry associations, alternative centres and private individuals. The committee is scheduled to report its findings on 23 June, the final sitting day of the current Senate. When the Senate resumes in August, retiring Senators will have departed and the Government will have a majority. All 93 published submissions are available on the Senate website, along with more information about the inquiry, at: aph.gov.au Senate committee clac ctte cancer submissions sublist.
N a recent commentary summarizing the updated recommendations for the management of dyslipidemia and the prevention of cardiovascular disease, 1 the year in which the report of the US National Cholesterol Education Program Adult Treatment PanelIII was published was given incorrectly as 2002; this report was in fact published in 2001. In addition, in the appendix to the commentary, certain symbols are missing from the 3 tables on page 923 and, in the paragraph on diet page 924 ; , the body mass index to be achieved and maintained should be less than 25 kg m2. A corrected version of the appendix has been posted online at cmaj cgi content full 169 9 921 DC2 and pyrazinamide.
4. Fielding JWL, Donovan RM, Burrows FGO, Harlow RA. Reversible arteriopathy following ergotamine overdose in a heavy smoker. Br J Surg 1980; 67: 247-250 Greenberg OJ, Hallett JW. Lower extremity ischemia due to combined drug therapy for migraine. Postgrad Med, for example, trental 300.
ANTISEPTICS; DISINFECTANTS; PHARMACEUTICAL, VETERINARY AND SANITARY SUBSTANCES; CHEMICAL SUBSTANCES FOR PREVENTING MILDEW ON PLANTS NOT INCLUDED IN CLASS1 PREPARATIONS FOR THE TREATMENT OF DISEASES OF PLANTS NOT INCLUDED IN CLASS 1 DEODORIZERS; SHEEP DIPS; CATTLE AND DOG WASHES; PREPARATIONS FOR THE DESTRUCTION OF VERMIN AND LARVAE; INSECTICIDES, FUNGICIDES AND PARASITICIDES; WEED KILLER; PRESERVATIVES FOR PLANTS NOT INCLUDED IN CLASS 1 STERILIZING COMPOUNDS; MEDICATED BATH SALTS; MEDIC ANTISEPTICS; CHEMICAL PRODUCTS FOR USE IN HYGIENE NEWTON, CHAMBERS & NOT INCLUDED IN OTHER CLASSES DISINFECTANTS; COMPANY LIMITED. PHARMACEUTICAL, VETERINARY AND SANITARY SUBSTANCES; CHEMICAL SUBSTANCES FOR PREVENTING MILDEW ON PLANTS NOT INCLUDED IN CLASS 1 PREPARATIONS FOR THE TREATMENT OF DISEASES IN PLANTS NOT INCLUDED IN CLASS 1 DEODORIZERS; SHEEP DIPS; CATTLE AND DOG WASHES; PREPARATIONS FOR THE DESTRUCTION OF VERMIN AND LARVAE; INSECTICIDES, FUNGICIDES AND PARASITICIDES; PRESERVATIVES FOR PLANTS NOT INCLUDED IN C CHEMICAL SUBSTANCES PREPARED FOR USE IN MEDICINE ORGANON LABORATORIES AND PHARMACY. LIMITED. CHEMICAL SUBSTANCES PREPARED FOR USE IN MEDICINE ORGANON LABORATORIES AND PHARMACY. LIMITED CHEMICAL SUBSTANCES PREPARED FOR USE IN MEDICINE ORGANON LABORATORIES AND PHARMACY. LIMITED. CHEMICAL SUBSTANCES PREPARED FOR USE IN MEDICINE ORGANON LABORATORIES AND PHARMACY. LIMITED CHEMICAL SUBSTANCES PREPARED FOR USE IN MEDICINE ORGANON LABORATORIES AND PHARMACY. LIMITED. PHARMACEUTICAL PREPARATIONS. F. HOFFMANN-LA ROCHE and quetiapine.
Home navigation drugs by name drugs by manufacturer drugs by active ingredient drugs by availability drugs by form factor living longer, living better anti-aging and biotechnology anti-aging and hormone replacement therapy anti-aging and lifestyle anti-aging and medical conditions anti-aging and nutrition anti-aging trials and studies latest anti-aging articles tools » drug information drug information trental from aventis pharms the active ingredient in trental is pentoxifylline.
The Green Goddess fire engine, or self-propelled emergency pump, to give it its proper name was introduced in the 1950s to replace the wartime pumps then available to the Auxiliary Fire Service. As part of the Government's response to the threat of nuclear war, the Civil Defence and Auxiliary Fire Service were had been reconstituted under the Home Office with the idea that both would be made up of civilian volunteers. The postwar AFS initially relied on wartime fire engines but a large fleet of purpose-built appliances was established in the mid-1950s, with the intention that some would be deployed in mobile fire columns of 144 vehicles to reinforce hard-pressed local services anywhere in the country. These vehicles were painted green to distinguish them from local authority fire brigade appliances. So, why the name Green Goddess? The first part is obvious. They were originally completely green. The sexy, red, go-faster stripe was added later for safety reasons. They were meant to be life-saving machines, which is where the `Goddess' part comes from and seroquel.
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THE "BASIS" QUESTIONNAIRE, A NEW OUTCOMES MEASUREMENT TOOL Mazeika GG, Asplund J, Bugge D Sleep Medicine Northwest, Seattle, WA, USA Introduction : The BASIS Behaviors and Symptoms Impacting Sleep ; Questionnaire is a 95 item instrument developed for the purpose of measuring clinical outcomes in sleep medicine. Each item is a proposition representing symptoms or situations that may be encountered by patients in.
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Send reprint requests to: Dr. Oksana Lockridge, University of Nebraska Medical Center, Eppley Institute, 600 S. 42nd St., Omaha, NE 68198-6805. E-mail: olockrid mail.unmc and quinine.
Enrollment changes may take up to 2 billing cycles to be reflected on your bill. If 2 billing cycles have past, notify your BBG representative immediately. eBilling is available. Receive and pay your bills online. Are you utilizing your fitness reimbursement through the Healthy Lifestyles Program? Call 800 ; 275-2583 to sign up or to find out about other Healthy Lifestyles Programs.
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A. Randomized, single-blind, controlled trial from July 2001-June 2003 b. Participants: 2117 women, aged 15 to 24, attending 4 California clinics providing family planning services; mainly uninsured, low-income, urban clinic population c. Intervention: Patients were randomized to 1 of groups: 1 ; pharmacy access of EC access directly from a pharmacist without a prescription from a clinician ; , 2 ; advance provision of 3 packs of levonorgestrel EC "Plan B" ; , or 3 ; usual care control group access from the clinic ; . Patients not blinded. d. "Plan B" consists of two 0.75mg pills of levonorgestrel. One pill is taken ASAP within 72 hours after the unprotected intercourse; second pill taken 12 hours later. e. All patients were counseled about EC use, effectiveness, and STI prevention. f. Outcomes: assessed at 6 months by questionnaires, chart reviews, pregnancy tests, HSV-2 serology, and urine Chlamydia testing 4. Results a. Participant characteristics: a. mean age 20 with 25% age 15-17 and 25% age 18-19 ; b. 30.6% white, 22.2% Asian, 19.9% Latina, 15% African American, 12.3% multiracial or other c. 45% used oral contraceptives; 27% prior elective abortion; 11% positive for Chlamydia or HSV-2; 27% reported condom use at every encounter. b. Mean follow-up: 6.9 months. c. Overall, 29% of women used EC during the study. Women in the advance provision group were significantly more likely than the clinic access group to use EC p 0.001 ; Table 1 ; . There was no difference in pregnancies or STIs between treatment groups. Primary Outcomes Used EC Pregnancies STIs Table 1. Results: Primary Outcomes Usual Care Pharmacy Advance Provision Control ; Access N 310 N 826 N 814 24.2% 37.4% p-value Pharmacy vs. Control 0.25 0.93 0.73 p-value Advance vs. Control 0.001 0.71 0.79!
The Level I PASRR Form is used to identify individuals who may be subject to a Level II PASRR evaluation those known or suspected as having diagnoses of Major Mental Illness [MMI], Mental Retardation [MR], and or Developmental Disabilities [DD] ; . The Level I PASRR form applies to applicants and residents of all Medicaid certified nursing facilities, regardless of the individual's method of payment. This form must be completed on all individuals prior to NF admission. This format is consistent with federal requirements for identifying individuals with known or suspected MMI, MR, and DD. Screening information can be entered two ways and ribavirin.
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| Trental childrenYncope is defined as "sudden transient loss of consciousness with concurrent diminution in postural tone followed by spontaneous recovery". 1 Systematic approach to understanding of this disorder started more than two centuries ago. Hunter first identified the vasodepressor reaction as a cause of syncope in 1773.2 A century later, Foster described vagally induced cardio-inhibition as a putative cause of syncope.3 Approximately 3-5% of the emergency room visits and 1-6% of the hospital admissions are due to syncope. This disease thus places a tremendous burden on the economic, social and medical resources of any country. Syncope due to cardiovascular causes can broadly be divided into arrhythmia-induced syncope, mechanical dysfunction-related syncope and neurocardiogenic syncope. The present review will focus on approach to neurocardiogenic syncope, for instance, trfntal liver.
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This study sought to evaluate the use of influenza vaccine, rapid influenza testing, and influenza antiviral medication in nursing homes in the US to prevent and control outbreaks. Survey questionnaires were sent to 1017 randomly selected nursing homes in nine states. Information was collected on influenza prevention, detection and control practices, and on outbreaks during three influenza seasons 1995-1998 ; .The survey response rate was 78%. Influenza vaccine was offered to residents and staff by 99% and 86%, respectively, of nursing homes. Among nursing homes offering the influenza vaccine, the average vaccination rate was 83% for residents and 46% for staff. Sixty-seven percent of the nursing homes reported having access to laboratories with rapid antigen testing capabilities, and 19% reported having a written policy for the use of influenza antiviral medications for outbreak control. Nursing homes from New York, where organized education programs on influenza detection and control have been conducted for many years, were more likely to have reported a suspected or laboratory-confirmed influenza outbreak 51% versus 10%, p .01 ; , to have access to rapid antigen testing for influenza 92% versus 63%, p .01 ; , and to use antivirals for prophylaxis and treatment of influenza A for their nursing home residents 94% versus 55%, p .01 ; compared with nursing homes from the other eight states. Influenza outbreaks among nursing home residents can lead to substantial morbidity and mortality when prevention measures are not rapidly instituted. However, many nursing homes in this survey were neither prepared to detect nor to control influenza A outbreaks. Targeted, sustained educational efforts can improve the detection and control of outbreaks in nursing homes.
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Updated Information & Services References including high-resolution figures, can be found at: : pediatrics cgi content full 112 4 855 This article cites 24 articles, 5 of which you can access for free at: : pediatrics cgi content full 112 4 855#BIBL This article has been cited by 4 HighWire-hosted articles: : pediatrics cgi content full 112 4 855#otherarticle s This article, along with others on similar topics, appears in the following collection s ; : Premature & Newborn : pediatrics cgi collection premature and newbor n Information about reproducing this article in parts figures, tables ; or in its entirety can be found online at: : pediatrics misc Permissions.shtml Information about ordering reprints can be found online: : pediatrics misc reprints.shtml.
Table 12c. Incidence Density Rates per 100 person years ; for Suicidal Events following first therapy all time at risk considered ; . Incidence rates are for females aged 18 or under with a prior diagnosis of depression alone or with anxiety.
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Inister of Health, Tr e a t and Medical Education Kamran Baqeri Lankarani warned that the incidence of HIV virus is on the rise among women, in spite of preventive measures adopted by various organizations. Speaking at a seminar held on the occasion of the World AIDS Day Dec. 1 ; in Tehran University, Baqeri Lankarani said so far 70 HIV-infected infants have been born to AIDSaffected mothers in Iran, a report by the Persian Daily Saheb Qalam said. Stating that the women now account for 51 percent of people with AIDS across the globe, the minister went on, "Official statistics suggest that in our country 94.5 percent of AIDS patients are men and 5.5, for instance, trental dose.
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Molecular and Cellular Biochemistry, Ohio State University College of Medicine, Columbus, OH, USA We have previously shown that different extracellular stimuli require signaling through Raf-1 MEK p42 44MAPK signaling pathway to induce LDL receptor expression in hepatic cell types. The cellular signaling pathway and the molecular mechanism that underlie LDL receptor induction by intracellular calcium have now been examined. We show that increase in cellular calcium dramaticaly induce LDL receptor expression in a sterolresistant manner, without significantly affecting squalene synthase expression. Pharmacological reduction of intracellular and extracellular free calcium reversed the induction process. Although increase in intracellular calcium led to sustained activation of p42 44MAPK, induction of LDL receptor expression is independent of this pathway, since it was only slightly inhibited by MEK-1 2 inhibitors at doses which completely blocked p42 44MAPK activation. However, inhibition of protein kinase C by specific inhibitors completely abrogated LDL receptor induction without at the same time inhibiting p42 44MAPK activation. Studies to investigate the role of sterol response element-binding proteins and histones modifications in order to define the mechanism of induction will also be presented. The above results highlights the presence of a novel mechanism that has the ability to differentially regulate genes involved in cholesterol uptake and biosynthesis. Such a mechanism may be functional when a separate control of cholesterol biosynthesis and uptake via LDL receptor is required.
56 10. Include coverage for reconstructive breast surgery. For purposes of this section, "reconstructive breast surgery" means surgery performed on and after July 1, 1998, i ; coincident with a mastectomy performed for breast cancer or ii ; following a mastectomy performed for breast cancer to reestablish symmetry between the two breasts. For persons previously covered under the plan, there may be no denial of coverage due to preexisting conditions. 11. Include coverage for annual pap smears. 12. Include coverage providing a minimum stay in the hospital of not less than fortyeight hours for a patient following a radical or modified radical mastectomy and twenty-four hours of inpatient care following a total mastectomy or a partial mastectomy with lymph node dissection for treatment of breast cancer. Nothing in this subdivision shall be construed as requiring the provision of inpatient coverage where the attending physician in consultation with the patient determines that a shorter period of hospital stay is appropriate. 13. Include coverage i ; to persons age fifty and over and ii ; to persons age forty and over who are at high risk for prostate cancer, according to the most recent published guidelines of the American Cancer Society, for one PSA test in a twelvemonth period and digital rectal examinations, all in accordance with American Cancer Society guidelines. For the purpose of this subdivision, "PSA testing" means the analysis of a blood sample to determine the level of prostate specific antigen.
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Comparing the first quarter of each year shows an increase in items by 9.88% in 04 05 compared to 03 04, then 7.74% in 05 06 compared to 04 05. Expenditure increased by 4% in 04 compared to 03 04, then decreased by 3% in 05 compared to 04 05. The expenditure in 05 06 lower than anticipated due to medicines coming off patent See section 4.3 ; and the Pharmaceutical Price Regulation Scheme PPRS ; see section 4.1 ; 5.0 PRIMARY CARE MEDICINES WASTE INITIATIVE A Project Manager was appointed in February 2005 and seven high-level improvement measures were agreed by an "expert panel" in May 2005. Recruitment of pharmacies and practices was undertaken during April to June. The response was extremely good from community pharmacies but somewhat less than expected from practices. The Initiative was launched with the First Learning Workshop on 24th June. Eleven teams 11 practices and 17 pharmacies ; were recruited. The services of the project manager were lost shortly after the First Learning Workshop.
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22.7% ; , death 12.9% vs. 5.9% ; , and CABG 5.7% vs. 4.5% ; were higher 0.001 ; in patients with PVC compared to those without. Multivariate analysis identified PVC as a significant predictor of 1-year mortality P 0.045 ; . This study underscores the need to make diligent efforts to minimize PVC and follow up these patients for future coronary events. : ncbi.nlm.nih.gov entrez query.fcgi?cmd Retrieve&db PubMed&dopt Citatio n&list uids 15170707 J Cardiol 2005 95: 167-72 Impact of baseline renal function on mortality after percutaneous coronary intervention with sirolimus-eluting stents or bare metal stents P. A. Lemos, et al. Heart Institute InCor ; , University of Sao Paulo Medical School, Sao Paulo, Brazil. Renal impairment is an important predictor of mortality after percutaneous coronary intervention and may increase the restenosis rate. However, the relation between restenosis and the risk of death in patients who have renal impairment remains unclear. We evaluated the incidences of repeat revascularization and mortality in patients who had renal impairment and those who did not and who received sirolimus-eluting stents or bare stents. A total of 1, 080 consecutive patients treated for 1 year had available data to calculate baseline creatinine clearance. Patients received bare stents first 6 months, n 543 ; or sirolimus-eluting stents last 6 months, n 537 ; and were grouped according to the presence or absence of renal impairment creatinine clearance 60 ml min ; . Patients who had renal impairment had a higher mortality rate at 1 year 7.6% vs 2.5%, hazard ratio 3.14, 95% confidence interval 1.68 to 5.88, p 0.01 ; , with no differences in mortality between patients who received bare stents and those who received sirolimus-eluting stents hazard ratio 0.91, 95% confidence interval 0.49 to 1.68, p 0.8 ; . The incidence of target vessel revascularization decreased significantly in patients who were treated with sirolimus-eluting stents and did not have renal impairment hazard ratio 0.59, 95% confidence interval 0.39 to 0.90, p 0.01 ; and in those who had decreased renal function hazard ratio 0.37, 95% confidence interval 0.15 to 0.90, p 0.03 ; . Thus, sirolimus-eluting stents compared with conventional stents decreased clinical restenosis in patients who had renal impairment. However, this benefit was not paralleled by a decrease in the risk of death in this population. It seems unlikely that restenosis could be a contributing factor that influenced the increased mortality of patients who had impaired renal function. : ncbi.nlm.nih.gov entrez query.fcgi?cmd Retrieve&db PubMed&dopt Citatio n&list uids 15642546 J Coll Cardiol 2004 44: 1780-5 Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infarction G. Marenzi, et al. Centro Cardiologico Monzino, I.R.C.C.S., Institute of Cardiology of the University of Milan, Milan, Italy. giancarlo.marenzi ccfm OBJECTIVES: The aim of this research was to assess the incidence, clinical predictors, and outcome of contrast-induced nephropathy CIN ; after primary percutaneous coronary intervention PCI ; for acute myocardial infarction AMI ; . BACKGROUND!
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