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  • 1
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Annals of Medicine & Surgery Vol. 64 ( 2021-04)
    In: Annals of Medicine & Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 64 ( 2021-04)
    Type of Medium: Online Resource
    ISSN: 2049-0801
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
    detail.hit.zdb_id: 2745440-X
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2020
    In:  Asian Cardiovascular and Thoracic Annals Vol. 28, No. 8 ( 2020-10), p. 476-481
    In: Asian Cardiovascular and Thoracic Annals, SAGE Publications, Vol. 28, No. 8 ( 2020-10), p. 476-481
    Abstract: Data regarding predictors of the eventual need for postoperative peritoneal dialysis in infants undergoing open heart surgery is still limited. We aimed to determine whether prolonged cardiopulmonary bypass time, surgical complexity classified according to Risk Adjustment for Congenital Heart Surgery category, younger age, and lower body weight increase the probability of requiring postoperative peritoneal dialysis. Methods We retrospectively analyzed data of 181 infants who underwent open heart surgery at our institution from January 1 to December 31, 2018. Cardiopulmonary bypass time, Risk Adjustment for Congenital Heart Surgery category, age, body weight, and the need for postoperative peritoneal dialysis were recorded and analyzed. Results Thirteen (7.2%) of the 181 patients required postoperative peritoneal dialysis. This group was found to have a longer cardiopulmonary bypass time, younger age, and lower body weight. Longer cardiopulmonary bypass time ( p = 0.001), higher Risk Adjustment for Congenital Heart Surgery category ( p = 0.018), younger age ( p  〈  0.001), and lower body weight ( p  〈  0.001) significantly increased the risk of postoperative peritoneal dialysis. Conclusion Longer cardiopulmonary bypass time, more complex surgery, younger age, and lower body weight increase the probability of requiring postoperative peritoneal dialysis in infants undergoing open heart surgery.
    Type of Medium: Online Resource
    ISSN: 0218-4923 , 1816-5370
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2044527-1
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2020
    In:  SAGE Open Medical Case Reports Vol. 8 ( 2020-01), p. 2050313X2095641-
    In: SAGE Open Medical Case Reports, SAGE Publications, Vol. 8 ( 2020-01), p. 2050313X2095641-
    Abstract: A 13-week-old baby was referred with dextrocardia, situs inversus, transposition of the great arteries, intact ventricular septum, patent foramen ovale, right aortic arch with severe preductal aortic coarctation and large patent ductus arteriosus. Left ventricular mass index as well as thickness was adequate, 118 g/m 2 and 5.9 mm, respectively; thus, a primary arterial switch with aortic coarctation repair was performed. The patient made a full recovery without the need for extracorporeal life support. Adequate left ventricular mass index and thickness in late-presenting transposition of the great arteries with intact ventricular septum might justify primary arterial switch.
    Type of Medium: Online Resource
    ISSN: 2050-313X , 2050-313X
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2736953-5
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  • 4
    In: Cardiovascular Engineering and Technology, Springer Science and Business Media LLC, Vol. 13, No. 2 ( 2022-04), p. 193-206
    Type of Medium: Online Resource
    ISSN: 1869-408X , 1869-4098
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2543111-0
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  • 5
    In: Asian Cardiovascular and Thoracic Annals, SAGE Publications, Vol. 26, No. 3 ( 2018-03), p. 196-202
    Abstract: Myocardial protection is vital to ensure successful open heart surgery. Cardioplegic solution is one method to achieve good myocardial protection. Inevitably, ischemia-reperfusion injury occurs with aortic crossclamping. Histidine-tryptophan-ketoglutarate solution is a frequently used cardioplegia for complex congenital heart surgery. We postulated that addition of terminal warm blood cardioplegia before removal of the aortic crossclamp might improve myocardial protection. Method A randomized controlled trial was conducted on 109 cyanotic patients aged, 1 to 5 years who underwent complex biventricular repair. They were divided into a control group of 55 patients who had histidine-tryptophan-ketoglutarate only and a treatment group of 54 who had histidine-tryptophan-ketoglutarate with terminal warm blood cardioplegia. Endpoints were clinical parameters, troponin I levels, and caspase-3 as an apoptosis marker. Results The incidence of low cardiac output syndrome was 34%, with no significant difference between groups (35.2% vs. 33.3%, p = 0.84). The incidence of arrhythmias in our treatment group was lower compared to the control group (36% vs. 12%, p = 0.005). Troponin I and caspase-3 results did not show any significant differences between groups. For cases with Aristotle score ≥ 10, weak expression of caspase-3 in the treatment group post-cardiopulmonary bypass was lower compared to the control group. Conclusion For complex congenital cardiac surgery, the addition of terminal warm blood cardioplegia does not significantly improve postoperative clinical or metabolic markers.
    Type of Medium: Online Resource
    ISSN: 0218-4923 , 1816-5370
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2044527-1
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  • 6
    Online Resource
    Online Resource
    Ikatan Dokter Indonesia ; 2022
    In:  Journal Of The Indonesian Medical Association Vol. 71, No. 6 ( 2022-06-16), p. 267-273
    In: Journal Of The Indonesian Medical Association, Ikatan Dokter Indonesia, Vol. 71, No. 6 ( 2022-06-16), p. 267-273
    Abstract: Pendahuluan: Teknik bedah pintas arteri koroner (BPAK) off pump diharapkan mampu menghilangkan efek samping dan komplikasi yang ditimbulkan akibat penggunaan mesin pintas jantung paru (PJP). Namun teknik ini tidak sepenuhnya bebas dari efek samping atau komplikasi. Salah satu efek yang dapat ditimbulkan adalah peningkatan respons inflamasi sistemik, sehingga durasi rawat menjadi lebih lama. Hal tersebut menjadi dasar penelitian ini untuk melakukan studi pemberian deksametason dalam memengaruhi durasi rawat inap pada pasien yang menjalani operasi BPAK off pump. Metode: Penelitian ini merupakan studi observasional analitik dengan enam puluh pasien yang menjalani operasi BPAK off-pump dan dibagi dalam kelompok deksametason atau plasebo masing-masing 30 orang. Hasil klinis dianalisis. Hasil: Lama rawat inap kelompok deksametason berbeda bermakna dibandingkan kelompok plasebo berturut-turut 5 (5-8) hari vs 6,5 (5-30) hari; p=0,04). Keluaran klinis lain pada kelompok deksametason lebih baik daripada kelompok plasebo, dalam hal durasi ventilasi mekanis (p=0,03) dan perawatan di unit perawatan intensif (p=0,03). Terdapat perbedaan penanda inflamasi yang signifikan antara kedua kelompok: interleukin-6 (p=0,0001), prokalsitonin (p=0,0001), dan C-reaktif protein (p=0,0001) lebih rendah pada kelompok deksametason. Kesimpulan: Deksametason praoperasi pada pasien yang menjalani operasi BPAK off pump efektif dalam mengurangi lama rawat pasien di rumah sakit dan mengendalikan reaksi inflamasi pascaoperasi.
    Type of Medium: Online Resource
    ISSN: 2654-3796 , 2089-1067
    URL: Issue
    Language: Unknown
    Publisher: Ikatan Dokter Indonesia
    Publication Date: 2022
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  • 7
    Online Resource
    Online Resource
    Informing Science Institute ; 2023
    In:  Interdisciplinary Journal of Information, Knowledge, and Management Vol. 18 ( 2023), p. 583-607
    In: Interdisciplinary Journal of Information, Knowledge, and Management, Informing Science Institute, Vol. 18 ( 2023), p. 583-607
    Abstract: Aim/Purpose: This study analyzes health professionals’ information security behavior (ISB) as health information system (HIS) users concerning associated information security controls and risks established in a public hospital. This work measures ISB using a complete measuring scale and explains the relevant influential factors from the perspectives of Protection Motivation Theory (PMT) and General Deterrence Theory (GDT) Background: Internal users are the primary source of security concerns in hospitals, with malware and social engineering becoming common attack vectors in the health industry. This study focuses on HIS user behavior in developing countries with limited information security policies and resources. Methodology: The research was carried out in three stages. First, a semi-structured interview was conducted with three hospital administrators in charge of HIS implementation to investigate information security controls and threats. Second, a survey of 144 HIS users to determine ISB based on hospital security risk. Third, a semi-structured interview was conducted with 11 HIS users to discuss the elements influencing behavior and current information security implementation. Contribution: This study contributes to ISB practices in hospitals. It discusses how HIS managers could build information security programs to enhance health professionals’ behavior by considering PMT and GDT elements. Findings: According to the findings of this study, the hospital has implemented particular information security management system (ISMS) controls based on international standards, but there is still room for improvement. Insiders are the most prevalent information security dangers discovered, with certain working practices requiring HIS users to disclose passwords with others. The top three most common ISBs HIS users practice include appropriately disposing of printouts, validating link sources, and using a password to unlock the device. Meanwhile, the top three least commonly seen ISBs include transferring sensitive information online, leaving a password in an unsupervised area, and revealing sensitive information via social media. Recommendations for Practitioners: Hospital managers should create work practices that align with information security requirements. HIS managers should provide incentives to improve workers’ perceptions of the benefit of robust information security measures. Recommendation for Researchers: This study suggests more research into the components that influence ISB utilizing diverse theoretical foundations such as Regulatory Focus Theory to compare preventive and promotion motivation to enhance ISB. Impact on Society: This study can potentially improve information security in the healthcare industry, which has substantial risks to human life but still lags behind other vital sector implementations. Future Research: Future research could look into the best content and format for an information security education and training program to promote the behaviors of healthcare professionals that need to be improved based on this ISB measurement and other influential factors.
    Type of Medium: Online Resource
    ISSN: 1555-1229 , 1555-1237
    Language: English
    Publisher: Informing Science Institute
    Publication Date: 2023
    detail.hit.zdb_id: 2232530-X
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