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Articles 212491 - 212520 of 269555

Full-Text Articles in Medicine and Health Sciences

Impact Of Pedometer Use And Self-Regulation Strategies On Junior High School Physical Education Students' Daily Step Counts, Jane Shimon, Linda M. Petlichkoff Mar 2009

Impact Of Pedometer Use And Self-Regulation Strategies On Junior High School Physical Education Students' Daily Step Counts, Jane Shimon, Linda M. Petlichkoff

Kinesiology Faculty Publications and Presentations

Background: The aim of this study was to determine the impact of pedometer use and self-regulation strategies on adolescents’ daily physical activity.

Methods: Junior high school students (n = 113) enrolled in seventh- and eighth-grade physical education classes (52 girls, 61 boys) volunteered to participate in a 5-week study to assess daily step counts. Ten physical education classes were randomly assigned to 1 of 3 groups: (a) self-regulation, (b) open, and (c) control.

Results: A repeated-measures, mixed-model analysis of variance revealed a significant 3 × 4 (Group by Time) interaction effect, F6,290 = 2.64, P < .02. Followup analyses indicated participants in the self-regulation group took 2071 to 4141 more steps/d than the control. No other significant differences emerged among groups on step counts.

Conclusions: It appears that …


State Recognition Of Same-Sex Relationships And Preparations For End Of Life Among Lesbian And Gay Boomers, Brian Devries, Anne Mason, Jean Quam, Kimberly D. Acquaviva Mar 2009

State Recognition Of Same-Sex Relationships And Preparations For End Of Life Among Lesbian And Gay Boomers, Brian Devries, Anne Mason, Jean Quam, Kimberly D. Acquaviva

Kimberly D. Acquaviva, PhD, MSW

The authors compared 793 nonheterosexual baby boomers on their relationship status (single or in a civil union) and the state in which they lived (did or did not recognize same-sex civil unions). Analyses revealed patterns attributable to participants’ relationship status, state recognition, and the combination of these variables. Findings showed that state recognition of same-sex unions has an impact not only on nonheterosexual individuals’ current quality of life but also on their future plans and emotional responses to those plans. A lack of legal recognition requires nonheterosexuals to take greater action to ensure that their end-of-life wishes will be carried …


Does Public Or Not-For-Profit Status Affect The Earnings Of Hospital Workers?, Edward J. Schumacher Mar 2009

Does Public Or Not-For-Profit Status Affect The Earnings Of Hospital Workers?, Edward J. Schumacher

Health Care Administration Faculty Research

This paper examines the earnings differentials among hospital workers in the public, private nonprofit, and private for-profit sectors. Utilizing data from the 1995 through 2007 Current Population Surveys, unadjusted earnings are highest in the private nonprofit sector and lowest in private for-profit firms. Once measurable characteristics are accounted for, health practitioners in for-profit and nonprofit hospitals earn similar wages while public sector workers earn small but significant wage penalties. Nonprofit hospitals tend to attract workers with higher levels of skill as measured by schooling and potential experience. This could be explained in part by worker sorting and lower cost containment …


Acetaminophen Prevents Aging-Associated Hyperglycemia In Aged Rats: Effect Of Aging-Associated Hyperactivation Of P38-Mapk And Erk1/2, Miaozong Wu, Devashish H. Desai, Sunil K. Kakarla, Anjaiah Katta, Satyanarayana Paturi, Anil K. Gutta, Kevin M. Rice, Ernest M. Walker Jr., Eric R. Blough Mar 2009

Acetaminophen Prevents Aging-Associated Hyperglycemia In Aged Rats: Effect Of Aging-Associated Hyperactivation Of P38-Mapk And Erk1/2, Miaozong Wu, Devashish H. Desai, Sunil K. Kakarla, Anjaiah Katta, Satyanarayana Paturi, Anil K. Gutta, Kevin M. Rice, Ernest M. Walker Jr., Eric R. Blough

MIIR Faculty Research

Background

Aging-related hyperglycemia is associated with increased oxidative stress and diminished muscle glucose transporter-4 (Glut4) that may be regulated, at least in part, by the mitogen-activated protein kinases (MAPK).

Methods

To test the possibility that aging-related hyperglycemia can be prevented by pharmacological manipulation of MAPK hyperactivation, aged (27-month old) Fischer 344/NNiaHSD × Brown Norway/BiNia F1 (F344BN) rats were administered acetaminophen (30 mg/kg body weight/day) for 6 months in drinking water.

Results

Hepatic histopathology, serum aspartate aminotransferase and alanine aminotransferase analyses suggested that chronic acetaminophen did not cause hepatotoxicity. Compared with adult (6-month) and aged (27-month) rats, very aged rats (33-month) …


Characterization Of Babies Discharged From Cabell Huntington Hospital During The Calendar Year 2005 With The Diagnoses Of Neonatal Abstinence Syndrome, F. Ross Baxter Md, Robert Nerhood Md, David Chaffin Md Mar 2009

Characterization Of Babies Discharged From Cabell Huntington Hospital During The Calendar Year 2005 With The Diagnoses Of Neonatal Abstinence Syndrome, F. Ross Baxter Md, Robert Nerhood Md, David Chaffin Md

Family and Community Health

Recent concern regarding the impact of maternal drug abuse on neonatal well-being was the impetus for this retrospective cohort study of newborns diagnosed with neonatal abstinence syndrome that were discharged from Cabell Huntington Hospital during the calendar year 2005. Medical records of the neonates and their mothers were analyzed for a variety of health related outcomes and healthcare cost. Forty-eight neonates were diagnosed with Neonatal Abstinence Syndrome in 2005, forty of which required NICU assistance. The average maternal age at delivery was 26; gravity was 3.1 and most were single, separated or divorced. The majority had poor or inconsistent prenatal …


Colocalization Of Increased Transforming Growth Factor-Β-Induced Protein (Tgfbip) And Clusterin In Fuchs Endothelial Corneal Dystrophy, Ula V. Jurkunas, Maya Bitar, Ian Rawe Mar 2009

Colocalization Of Increased Transforming Growth Factor-Β-Induced Protein (Tgfbip) And Clusterin In Fuchs Endothelial Corneal Dystrophy, Ula V. Jurkunas, Maya Bitar, Ian Rawe

Ophthalmology

PURPOSE: To investigate the differential expression of TGFBIp in normal human and Fuchs endothelial corneal dystrophy (FECD) endothelial cell-Descemet’s membrane (HCEC-DM) complex, and to asses the structural role of TGFBIp and clusterin (CLU) in guttae formation.

METHODS: HCEC-DM complex was dissected from stroma in normal and FECD samples. Proteins were separated by 2-D gel electrophoresis and subjected to proteomic analysis. N-terminal processing of TGFBIp was detected by Western blot analysis with two separate antibodies against the N- and C-terminal regions of TGFBIp. Expression of TGFBI mRNA was compared by using real-time PCR. Subcellular localization of TGFBIp and CLU in corneal …


Or Practice—Efficient Short-Term Allocation And Reallocation Of Patients To Floors Of A Hospital During Demand Surges, Steven M. Thompson, Manuel Nunez, Robert Garfinkel, Matthew D. Dean Mar 2009

Or Practice—Efficient Short-Term Allocation And Reallocation Of Patients To Floors Of A Hospital During Demand Surges, Steven M. Thompson, Manuel Nunez, Robert Garfinkel, Matthew D. Dean

Management Faculty Publications

Many hospitals face the problem of insufficient capacity to meet demand for inpatient beds, especially during demand surges. This results in quality degradation of patient care due to large delays from admission time to the hospital until arrival at a floor. In addition, there is loss of revenue because of the inability to provide service to potential patients. A solution to the problem is to proactively transfer patients between floors in anticipation of a demand surge. Optimal reallocation poses an extraordinarily complex problem that can be modeled as a finite-horizon Markov decision process. Based on the optimization model, a decision-support …


Detection Of Viruses In Human Adenoid Tissues By Use Of Multiplex Pcr, Masatoki Sato, Haijing Li, Mine R. Ikizler, Jay A. Werkhaven, John V. Williams, James D. Chappell, Yi-Wei Tang, Peter F. Wright Mar 2009

Detection Of Viruses In Human Adenoid Tissues By Use Of Multiplex Pcr, Masatoki Sato, Haijing Li, Mine R. Ikizler, Jay A. Werkhaven, John V. Williams, James D. Chappell, Yi-Wei Tang, Peter F. Wright

Dartmouth Scholarship

By PCR, we detected a high frequency of viruses in adenoids obtained from children without acute respiratory symptoms. Our results suggest that persistent/latent viral infection in the respiratory tract confounds interpretation of the association of pathogen detection by PCR with acute respiratory infection in these sources.


The Tobacco Dependence Clinic (Tdc): Providing Smoking Cessation For A Drug Treatment Population, Milan Khara, Chizimuzo T.C. Okoli, Deanna Barlow, Catherine Hanley Mar 2009

The Tobacco Dependence Clinic (Tdc): Providing Smoking Cessation For A Drug Treatment Population, Milan Khara, Chizimuzo T.C. Okoli, Deanna Barlow, Catherine Hanley

Chizimuzo T.C. Okoli

BACKGROUND: Drug treatment populations are disproportionately affected by tobacco use morbidity and mortality. However, with adequate intervention, individuals in drug treatment settings can succeed in their efforts towards smoking cessation. The Tobacco Dependence Clinic (TDC) is a program that provides smoking cessation counseling and pharmacotherapy for clients through the Addiction Services program of the Vancouver Coastal Health Authority, British Columbia, Canada. OBJECTIVES: To a) describe smoking cessation services and programs provided by the TDC, and b) evaluate 26 week smoking cessation outcomes of drug treatment clients in the TDC. METHODS: Participants of the TDC program receive a structured 8 week …


Smoking Cessation And Drug Treatment: Identifying Gaps, Milan Khara, Chizimuzo T.C. Okoli, Ric M. Procyshyn, Joy Johnson, Alasdair Barr, Lorraine Greaves Mar 2009

Smoking Cessation And Drug Treatment: Identifying Gaps, Milan Khara, Chizimuzo T.C. Okoli, Ric M. Procyshyn, Joy Johnson, Alasdair Barr, Lorraine Greaves

Chizimuzo T.C. Okoli

BACKGROUND: An estimated 70% - 90% of individuals in drug treatment con-currently smoke cigarettes. Although individuals in drug treatment settings are motivated and can succeed in smoking cessation, there is still a lack of systematic knowledge regarding the long-term abstinence, methods employed for successful cessation, and the barriers to smoking cessation in this population.

OBJECTIVES: To: a) describe types of smoking cessation interventions (i.e., cognitive-behavioral and/or pharmacotherapy) employed in drug treatment settings, b) determine the effectiveness of such interventions, and c) identify gaps in knowledge regarding smoking cessation interventions among the drug treatment populations

METHODS: A comprehensive review of the …


Action Required: Revisiting Better Practices In Smoking Cessation Interventions For Pregnant Girls And Women, Chizimuzo T.C. Okoli, Lorraine Greaves, Joan Bottorff, Lenora Marcellus, Charmaine Enns, Richard Stanwick Mar 2009

Action Required: Revisiting Better Practices In Smoking Cessation Interventions For Pregnant Girls And Women, Chizimuzo T.C. Okoli, Lorraine Greaves, Joan Bottorff, Lenora Marcellus, Charmaine Enns, Richard Stanwick

Chizimuzo T.C. Okoli

Background

Despite considerable medical and research attention, smoking in pregnancy remains a serious public health problem, especially among young and disadvantaged women in high income countries and general populations of women in low and middle income countries. Facilitating successful and enduring smoking cessation during pregnancy and preventing relapse is therefore an ongoing public health challenge globally

Objectives

This Canadian project is aimed at better breaking the cycle of smoking during pregnancy, or quitting and relapsing during postpartum; especially for young, disadvantaged women. Equally, it will address the apparent blockages to effective uptake by health professionals, of research evidence and better …


Are Adolescents Smoking Identities Valid Descriptors Of Their Smoking Behaviour?, Chizimuzo T.C. Okoli, Chris G. Richardson, Pamela A. Ratner, Joy L. Johnson Mar 2009

Are Adolescents Smoking Identities Valid Descriptors Of Their Smoking Behaviour?, Chizimuzo T.C. Okoli, Chris G. Richardson, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Background: Studies have raised concerns regarding mismatches between researchers’ and adolescents’ characterizations of youth smoking behaviour; which may impede tobacco use prevention and cessation programs to reach their intended youth audience. Understanding how youth’s characterize their own smoking behaviour is an important factor for designing tailored interventions.

Objective: To address observations that youths’ smoking identities are valid descriptors of their smoking behaviour we examined the relationships between youths’ self-reported smoking identities, their perceived levels of addiction, and established taxonomies of smoking behaviour.

Methods: Cross-sectional data were collected on demographics, perceived extent of addiction to tobacco, smoking history, and self-reported smoking …


Human Performance Lab Newsletter, March 2009, St. Cloud State University Mar 2009

Human Performance Lab Newsletter, March 2009, St. Cloud State University

Human Performance Lab Newsletter

Contents of this issue include:

  • Kelly's Corner by David Bacharach
  • Visitor from Abroad by Mary Uderman (Zheng Xiaohong)
  • Is Stretching Before Exercise Really Beneficial? by Ashlee Ford
  • From the Drawing Board to the Track by Sam Johnson
  • Is It Easier for Men to Shed the Pounds? by April Kuschke


What's Happening: March, 2009, Maine Medical Center Mar 2009

What's Happening: March, 2009, Maine Medical Center

What's Happening

No abstract provided.


Functional Conservation Of Asxl2, A Murine Homolog For The Drosophila Enhancer Of Trithorax And Polycomb Group Gene Asx, Heather A. Baskind, Lucy Na, Quanhong Ma, Mayur P. Patel, David Geenen, Q Ting Wang Mar 2009

Functional Conservation Of Asxl2, A Murine Homolog For The Drosophila Enhancer Of Trithorax And Polycomb Group Gene Asx, Heather A. Baskind, Lucy Na, Quanhong Ma, Mayur P. Patel, David Geenen, Q Ting Wang

Peer Reviewed Articles

Background: Polycomb-group (PcG) and trithorax-group (trxG) proteins regulate histone methylation to establish repressive and active chromatin configurations at target loci, respectively. These chromatin configurations are passed on from mother to daughter cells, thereby causing heritable changes in gene expression. The activities of PcG and trxG proteins are regulated by a special class of proteins known as Enhancers of trithorax and Polycomb (ETP). The Drosophila gene Additional sex combs (Asx) encodes an ETP protein and mutations in Asx enhance both PcG and trxG mutant phenotypes. The mouse and human genomes each contain three Asx homologues, Asx-like 1, 2, …


Fate Of Libby Amphibole Fibers When Burning Contaminated Firewood, Tony Ward, Julie Faroni Hart, Terry M. Spear, Brienne J. Meyer, James S. Webber Mar 2009

Fate Of Libby Amphibole Fibers When Burning Contaminated Firewood, Tony Ward, Julie Faroni Hart, Terry M. Spear, Brienne J. Meyer, James S. Webber

Public and Community Health Sciences Faculty Publications

In Libby, Montana, over 70 years of mining amphibole-contaminated vermiculite has led to amphibole contamination in areas surrounding the abandoned mine and in other areas throughout the town. In addition to contaminated soils, tree bark has also been found to be contaminated with amphibole fibers throughout the Libby area. As residential woodstoves are the main source of home heating in Libby, the purpose of this study was to determine if amphibole fibers become liberated into the ambient air when amphibole-contaminated firewood is combusted.

Amphibole-contaminated firewood was combusted in new, EPA-certified stoves during three trials. The results of these trials showed …


Review Of Differential Diagnosis: A Comparative History Of Health Care Problems And Solutions In The United States And France. Paul V. Dutton. Reviewed By Krista Drescher Burke., Krista Drescher Burke Mar 2009

Review Of Differential Diagnosis: A Comparative History Of Health Care Problems And Solutions In The United States And France. Paul V. Dutton. Reviewed By Krista Drescher Burke., Krista Drescher Burke

The Journal of Sociology & Social Welfare

Book review of Paul V. Dutton, Differential Diagnosis: A Comparative History of Health Care Problems and Solutions in the United States and France. Ithaca, NY: Cornell University Press, 2007. $29.95 hardcover, $19.95 papercover.


Clinical Trial Of Tailored Activity And Eating Newsletters With Older Rural Women., Susan Noble Walker, Carol H. Pullen, Linda Boeckner, Patricia A. Hageman, Melody Hertzog, Maureen K. Oberdorfer, Matthew J. Rutledge Mar 2009

Clinical Trial Of Tailored Activity And Eating Newsletters With Older Rural Women., Susan Noble Walker, Carol H. Pullen, Linda Boeckner, Patricia A. Hageman, Melody Hertzog, Maureen K. Oberdorfer, Matthew J. Rutledge

Journal Articles: College of Nursing

BACKGROUND: Unhealthy diet and lack of physical activity increase rural midlife and older women's risk of chronic diseases and premature death, and they are behind urban residents in meeting Healthy People 2010 objectives.

OBJECTIVES: The objective of this study was to compare a tailored intervention based on the Health Promotion Model with a generic intervention to increase physical activity and healthy eating among rural women.

METHODS: In a randomized-by-site, community-based, controlled, clinical trial, Wellness for Women, 225 women aged 50 to 69 years were recruited in two similar rural areas. Over 12 months, women received by mail either 18 generic …


Motivation In Spinoza And Rosenzweig Or Transgressing The Boundaries Of A Rationally Constructed Self, Jules Simon Mar 2009

Motivation In Spinoza And Rosenzweig Or Transgressing The Boundaries Of A Rationally Constructed Self, Jules Simon

Jules Simon

No abstract provided.


Oral Healthcare In Kenya: Implications For Dental Hygiene Care, Grace Kogi Mar 2009

Oral Healthcare In Kenya: Implications For Dental Hygiene Care, Grace Kogi

Dental Hygiene Master's Papers and Projects

This paper is a review of literature describing the educational, healthcare delivery and healthcare finance systems in Kenya. The document discusses the unmet oral health needs of the Kenyan population and how implementing the role of the dental hygienist would positively impact oral health promotion throughout the country. Kenyan communities experience all of the major environmental determinants of oral disease, e.g., widespread poverty, underdevelopment, outdated dental equipment, insufficient supply and distribution of qualified dental care professionals and lack of preventive oral health services. About six in ten Kenyans are unable to afford healthcare, clothing, or food; therefore, oral healthcare has …


Rehabilitation Role In Childhood Dedecation Problem, N. Tantisiriwat Mar 2009

Rehabilitation Role In Childhood Dedecation Problem, N. Tantisiriwat

Chulalongkorn Medical Journal

No abstract provided.


Evaluation Of Glucose Testing Performance In Clinical Laboratory By Single-Rule And Westgard Multi-Rules, K. Kiatsiri, A. Kanya, K. Lerdsukviboon, Sanrattaki C., P. Tubseeruk, V. Suksa-Ard, N. Charuruks Mar 2009

Evaluation Of Glucose Testing Performance In Clinical Laboratory By Single-Rule And Westgard Multi-Rules, K. Kiatsiri, A. Kanya, K. Lerdsukviboon, Sanrattaki C., P. Tubseeruk, V. Suksa-Ard, N. Charuruks

Chulalongkorn Medical Journal

No abstract provided.


Avoidance-Suppressing Effect Of Antipsychotic Drugs Is Progressively Potentiated After Repeated Administration: An Interoceptive Drug State Mechanism, Alexa Lucille Mead, Ming Li Mar 2009

Avoidance-Suppressing Effect Of Antipsychotic Drugs Is Progressively Potentiated After Repeated Administration: An Interoceptive Drug State Mechanism, Alexa Lucille Mead, Ming Li

Department of Psychology: Faculty Publications

Antipsychotic drugs selectively suppress conditioned avoidance response. Using a two-way active avoidance response paradigm, we examined the role of drug-induced interoceptive state in the mediation of avoidance-suppressive effect. In Experiment 1, we found that rats intermittently treated with olanzapine (OLZ) (1.0 mg/kg, s.c.) or haloperidol (0.03 mg/kg, s.c.) on the 1st day of a 3-day cycle for seven cycles exhibited a progressive across-session decline in avoidance responding, despite the fact that they exhibited a comparable high level of avoidance responding on the 3rd day of each cycle during the drug-free retraining session. In Experiments 2 and 3, rats that were …


What Matters, And What Matters Most, For Change In Life Satisfaction In The Oldest-Old? A Study Over 6 Years Among Individuals 80+, Anne Ingeborg Berg, Lesa Hoffman, Linda Björk Hassing, Gerald M. Mcclearn, Boo Johansson Mar 2009

What Matters, And What Matters Most, For Change In Life Satisfaction In The Oldest-Old? A Study Over 6 Years Among Individuals 80+, Anne Ingeborg Berg, Lesa Hoffman, Linda Björk Hassing, Gerald M. Mcclearn, Boo Johansson

Department of Psychology: Faculty Publications

Objectives: The study investigates whether markers of life satisfaction identified in a cross-sectional study – quality of social network, self-rated health, depressive symptoms, locus of control and widowhood, in addition to financial satisfaction and the personality traits of extraversion and neuroticism - predict change in life satisfaction (LSI-Z) across four measurement occasions during a 6-year period in individuals aged 80+. Method: Data were drawn from the Swedish OCTO-Twin-study of individuals aged 80 and older. Results: Growth curve analysis showed a relatively consistent significant linear decline in life satisfaction, but certain markers predicted change in life satisfaction. The …


Does Cardiac Morphology Predict Plasma Brain Natriuretic Peptide Levels In Adolescent Athletes?, Kurt J. Nilsson, Michael S. Womack, Ronald Pfeiffer, Chad Harris, Mark Debeliso Mar 2009

Does Cardiac Morphology Predict Plasma Brain Natriuretic Peptide Levels In Adolescent Athletes?, Kurt J. Nilsson, Michael S. Womack, Ronald Pfeiffer, Chad Harris, Mark Debeliso

Kinesiology Faculty Publications and Presentations

Objective: The purpose of this study was to establish the relationship of plasma levels of brain natriuretic peptide (BNP) to physiological parameters and cardiac morphological characteristics in a population of young athletes. Our hypothesis is that physiological and cardiac morphological characteristics do not predict BNP levels in adolescent athletes.

Design: Observational study

Setting: Outpatient hospital Patients: 30 healthy male adolescent high school football players (16.0 +/- 1.1 yrs)

Interventions: Physical exam, electrocardiography, plasma BNP measurement by rapid fluorescent immunoassay, and limited echocardiography

Main Outcome Measure Null hypothesis: physiologic parameters and cardiac morphology do not predict plasma BNP levels in healthy …


Motivation To Self-Harm In Middle Childhood: Relationship To Emotional Symptomotology And Home Environment, Tara K. Cossel, Natasha Elkovitch, David J. Hansen Mar 2009

Motivation To Self-Harm In Middle Childhood: Relationship To Emotional Symptomotology And Home Environment, Tara K. Cossel, Natasha Elkovitch, David J. Hansen

Department of Psychology: Presentations

Self-harm in childhood is an important, though neglected area of empirical research. Research has, however, investigated the emotional and environmental factors associated with self-harm in adolescent and adult populations. This research provides a foundation from which to investigate desire to self-harm in child populations.

With regard to emotional factors, self-injurers report having a negative affect they wish to avoid (Polk & Liss, 2007). Further, distraction from emotional pain has been identified as the most prevalent motivation for self-harm across genders (Swannell, Martin, Scott, Gibbons, & Gifford, 2008). Briere and Gil (1998) found self-injury is used in an attempt to decrease …


Ultrasound Diagnosis, Phiwipha Kamonrat Mar 2009

Ultrasound Diagnosis, Phiwipha Kamonrat

The Thai Journal of Veterinary Medicine

No abstract provided.


Ophthalmology Snapshot, Nalinee Tuntivanich Mar 2009

Ophthalmology Snapshot, Nalinee Tuntivanich

The Thai Journal of Veterinary Medicine

No abstract provided.


What Is Your Diagnosis?, Pranee Tuntivanich, Suwicha Chuthatep Mar 2009

What Is Your Diagnosis?, Pranee Tuntivanich, Suwicha Chuthatep

The Thai Journal of Veterinary Medicine

No abstract provided.


Success And Failure Of Fast Track Extubation In Cardiac Surgery Patients Of Tertiary Care Hospital: One Year Audit, Mohammad Irfan Akhtar, Mohammad Hamid Mar 2009

Success And Failure Of Fast Track Extubation In Cardiac Surgery Patients Of Tertiary Care Hospital: One Year Audit, Mohammad Irfan Akhtar, Mohammad Hamid

Section of Cardiothoracic Surgery

OBJECTIVE: To identify the causes of delayed extubation in patients planned for fast tract extubation during cardiac surgery.

METHODS: A prospective observational study was conducted at cardiothoracic unit of Aga Khan University Hospital for the period of one year. All elective coronary artery bypass graft (CABG) surgery patients, between the ages of 35-75 years with LVEF > or = 40 percent were included. Patients with Intra aortic balloon pump, chronic renal failure, respiratory compromise and requiring high ionotropic support were excluded from this audit. A performa was designed and later filled by the primary investigator. Patient demographics and various reasons for …