Optimal donor management should aim to maximiz


Optimal donor management should aim to maximize lung donation through aggressive donor management and consideration of the complete and expanded donor pool. However, long-term studies are required to validate such an approach and to

confirm that long-term outcomes are not being compromised by the use of both traditional and nontraditional organ donors.”
“Palladium-catalyzed cross-coupling of isoalantolactone with 1,3-disubstituted or 1-substituted 5-bromo(iodo)uracils afforded mainly (13E)-13-(2,4-dioxotetrahydropyrimidin-5-yl)eudesma-4(15),11(13)-dien-8 beta,12-olides whose yields depended on the composition of the catalytic system, base, and additive. The structure of (13E)-13-[3-(2-cyanoethyl)-2,4-dioxotetrahydropyrimidin-5-yl]eudesma-4(15),11(13)-dien-8

beta,12-olide was proved by X-ray analysis.”
“Introduction: Carotid endarterectomy (CEA) should be performed within two weeks of symptoms for patients With carotid stenosis >50%. Whether these standards are being achieved and causes of delay between symptoms and CEA were investigated.

Design: An analysis of prospectively collected multi-centre data.

Materials: Consecutive data for patients undergoing CEA between January-2006 and September-2010 were collected. Asymptomatic patients and those with no details on the timing of cerebral symptoms were excluded.

Methods: ‘Delay’ from symptom to CEA was defined as more than two

weeks and ‘prolonged-delay’ more than eight PXD101 weeks. Univariable and multivariable analyses were used to identify factors associated with these delays.

Results: Of 2147 patients with symptoms of cerebral ischaemia, 1522(70.9%) experienced ‘delay’ and 920(42.9%) experienced ‘prolonged delay’. Patients with ischaemic heart disease were more likely to experience ‘delay’ (OR = 1.56; 95% CI 1.11-2.19, p = 0.011), whereas patients with stroke (OR = 0.77; 95% CI 0.63-0.94, p = 0.011) and those treated at hospitals with a stroke-prevention clinic (OR = 0.57; 95%CI 0.46-0.71, p < 0.001) were less likely to experience ‘delay’. Patients treated after the publication of National Institute for Health and Clinical Excellence (NICE) guidelines were less likely to experience ‘prolonged delay’ (OR Selleckchem SN-38 = 0.77; 95%CI 0.65-0.91, p = 0.003) but not ‘delay’.

Conclusion: Few patients achieved CEA within two weeks of symptoms. Introducing stroke-prevention clinics with one-stop carotid imaging appears important. (C) 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“Objectives: The aim of this review was to identify studies on patterns of associative multimorbidity, defined as the nonrandom association between diseases, focusing on the main methodological features of the studies and the similarities among the detected patterns.

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