Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

Juniper Publishers: Geological and Engineering Characteristics of Expa... : Civil Engineering Research Journal Introduction Expansive soil is defined as partially saturated plastic soil that exhibits high vol...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Objective: To determine the optimal dose of intrathecal morphine in patients undergoing off-pump coronary artery bypass grafting (OPCAB) surgery. Design: A prospective, randomized, double-blinded, placebo-controlled study. Setting: A tertiary-level university teaching hospital. Participants: 31 adult patients scheduled for elective primary OPCAB surgery. Interventions: Patients were randomized to receive 2.5μg/kg (ITM-2.5) or 5μg/kg (ITM-5) intrathecal morphine or sham-control preoperatively. Anaesthesia was induced and maintained with sufentanil (limited to 1μg/kg), propofol, rocuronium and isoflurane. Blinded observer-caregivers extubated the patients using protocol-defined criteria, and on-demand intravenous morphine (IVM) was administered to patients using a standardized protocol. Measurements and Results: Blinded observers measured the time to extubation, the...

Juniper Publishers: Contextualizing Disruptive Technologies in Media P... : Global Journal of Archaeology & Anthropology Introduction Technology is defined as the application of science to solve the probl...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction The art and technique of CTO PCI have been growing at an amazing pace since past one decade. Despite many CTO specific hardware and techniques like CTO specific wires, parallel wire technique, IVUS guided side branch access, sub-intimal tracking and re-entry technique (STAR), micro-channel technique and limited antegrade sub-adventitial tracking (LAST) have been proven to be useful in antegrade approach; about 20-30% of CTOs require retrograde approach, as advocated first by Hartzler (1990) and later championed by Japanese operators (2006-2014). Retrograde approach through collateral channels (CC) is gaining acceptance to improve the success rates of CTO recanalization from 65-70% to 90-94% as distal cap is softer because it is exposed to low haemodynamic pressure shear stress from collateral flow whereas proximal cap is harder as it is exposed to high aortic pressure shea...

Juniper Publishers: Framework for Detecting Fault in Real Time Distrib... : Trends in Technical & Scientific Research Fault tolerance is in the center of distributed system design that covers various metho...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The management of pelvic arteriovenous malformations (AVMs) remains challenging due to extensive muscle plane involvement, higher probability of incomplete surgical resection and high recurrence rate. This report describes the case of a 24-year-old male with AVM in the left gluteal region. Vascular surgery would have involved widespread muscle debulking and extensive bleeding. So embolotherapy was preferred over surgical therapy to block the blood flow into the nidus of the AVM. The malformation was successfully treated with no recurrence after 1 year. Peripheral AVMs demands multidisciplinary approach that integrates surgical therapy with embolotherapy. However, embolotherapy can be exclusively developed to improve the outcomes in unusual pelvic AVMs with very low morbidity and no recurrence. Keywords: Arteriovenous malformation; Embolotherapy; Amplatzer Vascular Plug Ab...

Juniper Publishers: Ecological Methods of Assessing the Quality of The... : Biostatistics and Biometrics Open Access Journal Abstract The methods of ecological assessment of the environmental quality of grow...