Accidental vascular catheter removal (AVCR) by patients with cognitive impairment can result in loss of access for infusion therapy, significant blood loss, air embolism with large bore catheters, and withholding life-sustaining dialysis treatment. Chest-to-back (CTB) tunneling of central venous catheters is a technique described in the Rapid Assessment of Vascular Access Exit Site and Tunneling Options (RAVESTO) for patients at risk for AVCR. In this retrospective review, data was collected for all venous access devices inserted using CTB tunneling in patients requiring medium to long term intravenous access for infusion or hemodialysis, who had a history of self-removing medical devices due to an alteration in mental status, or patients with severely impaired skin integrity.
View Article and Find Full Text PDFAnimals (Basel)
February 2025
Faculty of Veterinary Medicine, "Ion Ionescu de la Brad" Iasi University of Life Sciences, 700489 Iasi, Romania.
Radiology plays an important role in veterinary cardiology, along with other methods, such as electrocardiography, echocardiography, and biomarkers, in the diagnosis of cardiac diseases. Particularly, thoracic radiography is often used to assess heart size and for confirmation of left-sided congestive heart failure by the presence of pulmonary edema. Many cardiac diseases in dogs are associated with a heart size increase, especially in more advanced stages, and cardiac size assessment has been of great interest for a long time for both clinicians and researchers.
View Article and Find Full Text PDFDiagnostics (Basel)
March 2025
Department of Cardiology, Elazığ Fethi Sekin City Hospital, University of Health Sciences, 23280 Elazığ, Turkey.
Heart rate turbulence (HRT) is a non-invasive technique that can be used to evaluate autonomic nervous system (ANS) function and cardiac arrhythmia. The objective of this study is to investigate whether COVID-19 can lead to long-term blunted HRT following recovery. This retrospective cohort study included 253 individuals with a confirmed history of COVID-19, referred to as the recovered COVID-19 group, along with 315 healthy participants who had no history of the virus.
View Article and Find Full Text PDFDiagnostics (Basel)
March 2025
Pediatric Cardiology Department, Istanbul Faculty of Medicine, Istanbul 34093, Turkey.
: Secundum-type atrial septal defect (ASD) is one of the most common congenital heart defects, with an incidence of 5.64 per 10,000 live births worldwide. In our study, long-term follow-up results of children who underwent percutaneous ASD closure and patients who underwent surgical treatment were evaluated using right ventricular strain echocardiography and electrocardiography.
View Article and Find Full Text PDFSci Rep
March 2025
Centro Asistencial Docente e Investigación (CADI-UMAG), Universidad de Magallanes, Punta Arenas, Chile.
This work aimed to develop and validate a novel non-linear model to characterize RR interval (RRi) time-dependent fluctuations throughout a rest-exercise-recovery protocol, offering a more precise and physiologically relevant representation of cardiac autonomic responses than traditional HRV metrics or linear approaches. Using data from a cohort of 272 elderly participants, the model employs logistic functions to capture the non-stationary and transient nature of RRi time-dependent fluctuations, with parameter estimation achieved via Hamiltonian Monte Carlo. Sobol sensitivity analysis identified baseline RRi (α) and recovery proportion (c) as the primary drivers of variability, underscoring their critical roles in autonomic regulation and resilience.
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