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World J Urol 2021 Feb 27. Epub 2021 Feb 27.

Department of Urology, University of Tuebingen, Tübingen, Germany.

Purpose: The 7th TNM classification summarizes renal cell carcinoma (RCC) with perirenal (PFI) and/or sinus fat invasion (SFI) as well as hilar vein involvement (RVI) as pT3a tumors. In this study, we aimed to determine the prognostic value of fat invasion (FI) in the different compartments and RVI for medium-term cancer-specific-survival (CSS) in pT3a RCC.

Materials And Methods: Patients with pT3a RCC were identified using an institutional database. Read More

PLoS One 2021 25;16(2):e0247464. Epub 2021 Feb 25.

Kisoro District Hospital, Kisoro, Uganda.

Background: Although hypertension, the largest modifiable risk factor in the global burden of disease, is prevalent in sub-Saharan Africa, rates of awareness and control are low. Since 2011 village health workers (VHWs) in Kisoro district, Uganda have been providing non-communicable disease (NCD) care as part of the Chronic Disease in the Community (CDCom) Program. The VHWs screen for hypertension and other NCDs as part of a door-to-door biannual health census, and, under the supervision of health professionals from the local district hospital, also serve as the primary providers at monthly village-based NCD clinics. Read More

Am Surg 2021 Feb 25:3134821998677. Epub 2021 Feb 25.

Department of Anesthesia, Aspirus Iron River Hospital & Clinics, Iron River, MI, USA.

Introduction: Obesity is a known risk factor for gastroesophageal reflux disease (GERD). Morbidly obese patients in rural areas are usually referred to the local surgeon for endoscopic evaluation. This situation poses significant challenges given the increased risk for perioperative complications due to anatomical and metabolic factors. Read More

Perfusion 2021 Feb 24:267659121995995. Epub 2021 Feb 24.

Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany.

Objectives: Out-of-hospital cardiac arrest (OHCA) is associated with excessively high mortality rates. Recent studies suggest benefits from extracorporeal cardiopulmonary resuscitation (ECPR) performed in selected patients. We sought to present the first results from our interdisciplinary ECPR program with a particular focus on early outcomes and potential risk factors associated with in-hospital mortality. Read More

Acta Radiol Open 2021 Feb 10;10(2):2058460120988822. Epub 2021 Feb 10.

Health Sciences and Innovation, Surrey Memorial Hospital, Fraser Health Authority, British Columbia, Canada.

Background: The narrowing of the carotid arteries with plaque formation represents a major risk factor for ischemic stroke and cognitive impairments. Carotid angioplasty and stenting is a standard clinical treatment to reduce stroke risk. The cognitive effect of carotid angioplasty and stenting remains largely unknown. Read More