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Approach to the Diagnosis and Management of Complex Fascicular Ventricular Tachycardias.
Circ Arrhythm Electrophysiol
January 2025
Division of Cardiology, University of California San Francisco (H.H.H., A.C.L., M.M.S.).
Complex ventricular tachycardias involving the fascicular system (fascicular ventricular tachycardias [FVTs]) can be challenging. In this review, we describe our approach to the diagnosis and ablation of these arrhythmias with 10 illustrative cases that involve (1) differentiation from supraventricular tachycardia; (2) assessment for atypical bundle branch reentry and other interfascicular FVTs; (3) examination of P1/P2 activation sequences in sinus rhythm, pacing, and tachycardia; and (4) entrainment techniques to establish the tachycardia mechanism and aid circuit localization. To summarize, 5 cases had prior ablation with 2 previously misdiagnosed as supraventricular tachycardia.
View Article and Find Full Text PDFThe History and Current State of Neurosurgery in the Republic of Moldova: Celebrating the 25th Anniversary of the Founding of the Department of Neurosurgery.
World Neurosurg
October 2024
Institute of Neurology and Neurosurgery "Diomid Gherman", Chișinău, Chișinău, Republic of Moldova.
Article Synopsis
- Five billion people globally lack access to safe surgical care, with the greatest need in low- and middle-income countries like Moldova, particularly in specialized fields like neurosurgery.
- The history of neurosurgery in Moldova dates back to Soviet times, with its integration into the national health system beginning in the 1940s and the establishment of the first department in 1999.
- The article outlines the current state of neurosurgery in Moldova, noting the presence of eleven hospitals providing services, a growing number of female residents in training, and the availability of advanced imaging technology, while offering recommendations for improving neurosurgical care in underserved areas.
Role of microsurgical techniques combined with Ilizarov techniques in limb salvage and functional reconstruction of thermal‑crush injuries of the hand: A case report.
Exp Ther Med
July 2024
Department of Hand and Microsurgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, P.R. China.
The Ilizarov technology was proposed by Former Soviet orthopedic physician Ilizarov. It is a medical method to reconstruct missing tissues. Ilizarov technology combined with soft tissue stretching technology is of great significance in the treatment of common orthopedic problems like bone defects, finger absence, joint contracture and joint stiffness following thermal-crush injuries of the hand.
View Article and Find Full Text PDF[The birthing chair, obstetric bed and gynecological chair in obstetrics and gynecology in Russia of XVIII-XX centuries].
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med
March 2024
The Federal State Budget Educational Institution of Higher Education "The Smolensk State Medical University" of Minzdrav of Russia, 214019, Smolensk, Russia.
The purpose of the study is to investigate material culture of obstetrics in New and Modern history of Russia. The most important objective of research is to involve into scientific circulation Russian empirical material in order to study transformation of culture of childbirth during transition from traditional to biomedical model of childbirth exemplified by material culture items (maternity beds, chairs, armchairs). The key approaches were those of historical anthropology, social history of medicine, theory of social control and medicalization.
View Article and Find Full Text PDFDistraction osteogenesis in combined sequential use of external fixation and nailing (lengthening and then nailing): An experimental study in rabbits.
J Orthop Res
August 2024
Vreden Russian Research, Institute of Traumatology and Orthopedics, Ministry of Health of Russia, St. Petersburg, Russia.
Limb lengthening relies on the process of distraction osteogenesis. The active periosteal bone formation has been detected in clinical practice with a lengthening and then nail (LATN) technique but has not been confirmed by experimental studies to date. The aim of this study is to compare the tissue regeneration of the distraction regenerate during tibial lengthening in rabbits using a LATN technique.
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