Elective Primary or Secondary Delayed Sternal Closure Improves Outcome in Severely Compromised Patients.

Background: Delayed sternal closure (DSC) in patients with severely compromised preoperative hemodynamics can be helpful as the chest sometimes cannot be able to contain both lungs and heart. We report our experience to evaluate the midterm results of this strategy in an adult population.

Materials And Methods: From May 2009 till July 2015, 33 patients had DSC as first treatment of severe hemodynamic deterioration after cardiac surgery.

Revision of the Nearctic Robineau-Desvoidy (Diptera: Calliphoridae).

The Nearctic species of Calliphora Robineau-Desvoidy are revised and all species are redescribed and/or diagnosed. Diagnostic characters to permit reliable identification of both sexes of Calliphora aldrichia (Shannon) and C. montana (Shannon) and detailed distributional records for both species are provided for the first time.

Microalbuminuria and pegylated interferon in hepatitis-C patients.

To determine the relation between hepatitis C virus (HCV) genotype 4 and microalbuminuria in relation to hepatic histology and viremia in the absence of cryoglobulinemia and to examine the effect of treatment on microalbuminuria, we studied 400 HCV genotype-4-infected patients who were tested for microalbuminuria, albumin creatinine ratio (ACR), urea, creatinine and estimated glomerular filtration rate (eGFR). The parameters were measured again in the HCV patients after six months of treatment with pegylated interferon and ribavirin. Microalbuminuria was detected in 56 (14%) HCV-positive patients.

First record of Lucilia bufonivora Moniez, 1876 (Diptera: Calliphoridae) from North America and key to North American species of the L. bufonivora species group.

The obligate anuran myiasis blow fly Lucilia bufonivora Moniez is reported from North America for the first time. The L. bufonivora species group is defined on the basis of the aedeagus and the history and biology of the North American species (L.

Intraoperative coronary artery spasm after off-pump coronary surgery.

Coronary artery spasm is rare after coronary artery bypass surgery. We describe a case of intraoperative severe native coronary artery and graft spasm after successful off-pump coronary bypass surgery in a 55-year-old man, which was detected by suspicious electrocardiographic changes, and documented postoperatively by coronary angiography.

An update of the blow flies (Diptera: Calliphoridae) of the Galápagos Islands, and first record of Chrysomya rufifacies (Macquart) from mainland Ecuador.

Seven species of Calliphoridae are reported from the Galápagos Islands, Ecuador: Lucilia pionia (Walker), L. setosa (James), L. deceptor (Curran), L.

An accidental but safe and effective use of Lucilia cuprina (Diptera: Calliphoridae) in maggot debridement therapy in Alexandria, Egypt.

The calliphorid fly, Lucilia cuprina (Wiedemann), is known to cause serious malign myiasis in animals, whereas its sibling species Lucilia sericata (Meigen) is commonly a carrion breeder and is used in maggot debridement therapy (MDT). The current study reports an accidental involvement of L. cuprina in MDT in Alexandria, Egypt, that has proved to be safe and effective.