Sleep patterns in a randomized controlled trial of auricular acupuncture and cognitive behavioral therapy for insomnia.

The aim of the study was to objectively examine how sleep patterns were affected in a short- and long-term perspective after auricular acupuncture (AA) and cognitive behavioral therapy for insomnia (CBT-i). Sixty participants with insomnia disorders (men/women 9/51; mean age of 60.5 years, (SD 9.

Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study.

Objective. The most effective nonpharmacological treatment for insomnia disorder is cognitive behavioural therapy-insomnia (CBT-i). However CBT-i may not suit everyone.

Patients' experience of auricular acupuncture during protracted withdrawal.

Over the last decades interest in using auricular acupuncture for substance dependence care has increased. The specific auricular acupuncture protocol used follows the National Acupuncture Detoxification Association (NADA) definition. This paper describes patients' experiences of receiving auricular acupuncture during protracted withdrawal.

A comparison of flat-sheet and hollow-fiber membrane oxygenators: the Shiley M-2000 vs. the Bentley BOS-CM 40.

To compare new flat-sheet and hollow-fiber membrane oxygenators for use in cardiopulmonary bypass, we randomly divided 40 coronary artery surgery patients into 2 groups of 20 patients each. The Shiley M-2000 flat-sheet membrane oxygenator was used in 1 group, and the Bentley BOS-CM40 hollow-fiber membrane oxygenator was used in the other group. Both oxygenators allowed for adequate transfer of oxygen and carbon dioxide.

Combined mitral valve and coronary artery surgery.

During the past 10 years, 50 patients underwent combined coronary artery bypass grafting (CABG) and mitral valve replacement (MVR) at our clinic, with additional aortic valve replacement (AVR) in six cases. The early mortality was 8%. During the first half of the study period this mortality was 4/11 patients, but in the second half it was 0/39.

The immediate function of sequential aortocoronary vein grafts to closely adjacent myocardial areas.

Blood-flow measurements were performed in 72 patients after sequential vein grafting (Y-grafting) to LAD and diagonal branches. The mean blood flow in the joint graft was 69 ml/min, i.e.

Pancreatitis after cardiac and cardiopulmonary transplantation.

In a review of 176 patients who died after either cardiac or cardiopulmonary transplantation, 15 cases of pancreatitis were identified. The diagnosis was clinically inapparent in 11 of the 15 cases of pancreatitis. A high index of suspicion should therefore be maintained when these patients are cared for.

The advantage of the thoraco-retroperitoneal approach for aortorenal bypass grafting.

Postoperative angiographic studies after aortorenal saphenous vein bypass grafting have revealed a high incidence of graft dilatation and aneurysms. The aortorenal bypasses in all these series were performed via the transabdominal approach which gives an angle of at least 90 degrees between the graft and aorta. The routine approach in the present study has been the thoraco-retroperitoneal one which has been used since more than 20 years in 189 patients.

Relationship of brain blood flow and oxygen consumption to perfusion flow rate during profoundly hypothermic cardiopulmonary bypass. An experimental study.

A study was made of the relation of brain blood flow and oxygen consumption to changes in perfusion flow rate during cardiopulmonary bypass at 20 degrees C in nine cynomolgus monkeys. Four perfusion flow rates varying from 0.25 to 1.

Early and late efficacy of three types of transvenous atrial leads.

Experience with three transvenous atrial leads, representing different principles, is presented. The types were screw-in (Vitatron Helifix-12), J-lead (Intermedics Lifeline 483-01) and straight-tined (Medtronic 6961). The study comprised insertion of 86 leads (30 Helifix, 40 Lifeline, 16 Medtronic) in 76 patients.

Prosthetic valve endocarditis.

Fifty-three (3.6%; actuarially 4.1% at 48 months) of 1465 consecutive in-hospital survivors of valve replacement from 1975 to July 1979 (aortic, mitral, or aortic and mitral, only one untraced) developed prosthetic valve endocarditis (PVE).

Traumatic disruption of the thoracic aorta.

Fourteen cases of injury to the thoracic aorta treated in 1959-1981 are reviewed. Acute rupture was present in nine patients and chronic post-traumatic aneurysm in five. Most of the patients had other, associated injuries, and physical signs of the aortic injury were often scanty.

Intrathoracic tracheal rupture following blunt chest trauma.

Intrathoracic tracheal rupture following closed chest trauma is a potentially lethal injury which can be successfully repaired if the diagnosis is made early. Dyspnoea, mediastinal emphysema and pneumothorax which do not respond to intercostal tube drainage should alert the clinician to the possibility of intrathoracic tracheal rupture. A case is described.

Extracranial carotid and vertebral artery aneurysms.

Extracranial carotid aneurysms are uncommon, and in the past their management has not always been satisfactory. These aneurysms may be caused by arteriosclerosis, infection or trauma, or they may be congenital. Neurologic symptoms are common.

Determinants of early success in repair of aortic coarctation in infants.

Fifty-five infants less than 1 year of age underwent repair of coarctation of the aorta between 1967 and 1981. Sixteen (29%) died while in the hospital, with one death occurring from "pure" coarctation. Of the remaining patients, four among 20 with associated ventricular septal defect (VSD) and 11 among 19 with other major associated cardiac anomalies (p = 0.

Repair of double-outlet right ventricle. Experience of 13 cases.

Surgery for double-outlet right ventricle (DORV) was performed in 13 patients between November 1974 and January 1979. Subaortic ventricular septal defect (VSD) was present in 11 patients, complicated forms of DORV in 2 patients and 5 patients had important concomitant cardiac defects. Six infants (mean age 0.

Aortic valve replacement in patients over 70 years.

Twenty-seven patients 70 years of age or more were operated upon with aortic valvular replacement with an early mortality rate of 7%. No more patients died during a mean follow-up period of 28 months. The Björk-Shiley standard tilting disc valve was implanted in 15 cases and the new convexo-concave model in 12 cases.

The importance of a careful search for intra-abdominal testes in cryptorchidism. Report of a case with failure of urogenital union.

A five-year-old boy was operated upon for left-sided cryptorchidism. Failure of uro-genital union was found with the left testis and caput epididymidis intra-abdominally situated, and vas deferens and the rest of the epididymis in the lower part of the inguinal canal. The risk of development of malignancy in an intra-abdominal testis has been calculated to be one in 20.

Helifix, an electrode suitable for transvenous atrial and ventricular implantation.

The Helifix endocardial fixation lead can be screwed in between the trabeculae of the right ventricle or the right atrial appendage. The lead was used for ventricular stimulation in 30 patients. In seven of them, the Helifix electrode was used because of dislocation of other leads and in eight patients because acceptable threshold levels could not be obtained with other electrodes.