Use of the Heartmate 3 for biventricular support as a bridge to heart transplant‐first US implant

Right ventricular failure continues to be the Achilles heel in the management of heart failure patients. Traditionally, either high doses of inotropes and inhaled nitric oxide or jerry‐rigged temporary mechanical devices have been used to support failing right ventricles. No durable implantable right ventricular assist device has been developed to address this long‐standing concern. Because of this vacuum of innovation, surgeons have started using the third‐generation LVADs to support the right ventricle. The HeartMate 3 (Abbott) LVAD is a safe and effective therapy for the management of biventricular failure.     

Differentiating benign from malignant cardiac tumors with cardiac magnetic resonance imaging

Background

The purpose of this analysis is to describe the differences in cardiac magnetic resonance characteristics between benign and malignant tumors, which would be helpful for surgical planning.

Incidence,Cost, and Risk Factors for Readmission After Coronary Artery Bypass Grafting

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On admission hypomagnesemia in critically ill children: Risk factors and outcome

Objective  

To determine the frequency and associated risk factors of hypomagnesemia in pediatric intensive care unit on admission in a developing country.     

Colorectal cancer screening, intentions, and predictors in Jewish and Arab Israelis: a population-based study.

Random samples of 358 Jews and 162 Arabs in Israel aged 50 to 75 were compared by telephone survey for colorectal cancer (CRC) screening performance and intentions. Participants completed questionnaires on CRC screening, health beliefs, health locus of control, and CRC worries; rate of CRC screening and intention to be screened proved lower among Arabs. They received fewer recommendations from physicians, perceived lower severity of CRC and lower benefits of early detection of CRC, and had lower cancer worries, lower internal health locus of control, and higher external health locus of control. Jewish/Arab ethnicity predicted ever undergoing screening and screening intention before cognitive perceptions and worries were entered. After that, perceiving higher susceptibility and more benefits to screening, and having lower external health locus of control predicted CRC screening and screening intention, which was associated with higher cancer worries. Programs should be tailored to address ethnic groups' different health beliefs.     

Subamnionic Vernix Caseosa

Vernix caseosa occasionally dissects underneath the amnion, presumably following rupture of the amnion prior to rupture of the chorion laeve. We describe the clinicopathological features of 18 cases in which large quantities of vernix caseosa were present beneath the amnion of the parietal membranes or the chorionic plate. The subamnionic vernix caseosa was an unexpected microscopic finding in each case and was not associated with any inflammation, giant cell reaction, or other chronic change in the adjacent membranes. The gestational age ranged from 29 to 42 weeks (mean, 37). Five (28%) of the 18 were twin pregnancies. Five (28%) were delivered by cesarean section. In no case was there a history of amniocentesis, prolonged rupture of membranes, or amnionic fluid leakage. None of the mothers had signs of amnionic fluid embolism. The absence of tissue response around the vernix caseosa suggests rupture of the amnion close to the time of delivery.     

Early breast cancer detection practices, health beliefs, and cancer worries in Jewish and Arab women

BACKGROUND: Breast examinations (BE) for the early detection of breast cancer are the principal way of increasing survival rates in breast cancer. To date, BE practices among Jewish as compared with Arab women, and the factors associated with them have not been examined in Israel. OBJECTIVES: (1) To study differences in BE practices among Arab and Jewish women. (2) To characterize demographic, cognitive, and emotional factors related to Arab and Jewish women's BE practices. METHOD: In 2004, 489 Jewish women and 440 Arab women, ages 20-60, and randomly sampled from the female population of Israel, answered a telephone questionnaire related to BE practices, health beliefs, and breast cancer worries.