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1

Sylaidis, Peter. "Multi media applications in medical education : evaluation of an interactive CD-ROM on practical skin wound management for medical undergraduate learning /." Title page, contents and summary only, 1999. http://web4.library.adelaide.edu.au/theses/09MS/09mss984.pdf.

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2

Lou, Meei-Fang. "Cognitive disturbance among elderly Taiwanese patients after elective surgery /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/7360.

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3

Lindblad, Alex J. "Increasing the functionality of finite element based surgical suturing simulators /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/10127.

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4

Otto, Stephanus Daniel. "Chewing gum therapy in third molar surgery." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4769_1222844033.

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<p>The aim of this study was to determine how effective a chewing gum regime is in treating the common minor complaints of third molar surgery. The efficacy of a six-day chewing gum regimen in reducing pain, swelling and trismus after third molar surgery was compared to no chewing gum therapy. Third molar surgery is an important part of any maxillofacial surgery practice. There is an ongoing quest to find new and innovative methods to treat the minor complaints of this procedure.</p>
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5

Haggart, Paul C. "Myocardial injury in abdominal aortic surgery." Thesis, University of Aberdeen, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288261.

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Background:  Peri-operative myocardial infarction (PMI) may be under- and/or mis-diagnosed because WHO criteria are often not met and creatinine kinase (CK/CK-MB) ratios can be difficult to interpret.  Cardiac troponin (cTn) I is the most sensitive and specific marker of myocardial cell necrosis but is not yet widely available. Aims: 1.  To examine the use of pre-operative risk indices, including ASA score, POSSUM score and Goldman’s cardiac risk index and compare these with peri-operative cTnI rise. 2.  To compare cTnI levels with CK/CK-MB levels peri-operatively in the diagnosis of MI. 3.  T
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6

Nassif, Mohammed. "Early post operative findings in retroperitoneal sarcoma surgery." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121244.

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INTRODUCTION: Retroperitoneal sarcomas (RPS) are large in size and often involve adjacent organs or vital structures. Completeness of resection is critical for long-term survival. However, this often involves extensive operations. OBJECTIVE: The objective of this study was to determine the incidence of early postoperative complications after RPS surgery and identify their predictors. Return to the operating room (OR) and all-cause mortality within 30 days were also examined. METHODS: Administrative claims from the universal health insurance program that covers all residents in the province of
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7

Chow, Yuen-yi, and 周婉儀. "Pre-operative music intervention to reduce patients' pre-operative anxiety in acute care setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623021.

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8

Hunt, Judith Mary. "The pathophysiology of equine post-operative ileus." Thesis, Royal Veterinary College (University of London), 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309273.

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9

Steen, Alexander, and Marcus Widegren. "3D Visualization for Pre-operative Planning of Orthopedic Surgery." Thesis, Linköpings universitet, Medie- och Informationsteknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-94556.

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This report presents a master thesis on 3D visualization for pre-operation planning of orthopedic surgery done for Sectra Medical Systems AB. The focus is on visualizing clinically relevant data for planning a Total Hip Replacement (THR). The thesis includes a pre-study and the implementation of a prototype using the Sectra IDS7 workstation.
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10

Moonda, Zaheer. "Does the Intra-operatively measured Leg Length Correction compare to the Post-operative radiograph in Total Hip Replacement surgery?" Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33852.

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Aims This study aims to compare the leg length correction (LLC) measured intra-operatively using the Vertical Measurement SystemTM (VMS) in total hip arthroplasty (THA), with the LLC measured on a 6-week post-operative Xray. We also wanted to quantify any residual leg length discrepancy (LLD) using this method. Patients and Methods A prospective cohort study was conducted, in which patients undergoing primary THA were enrolled at two centres in Cape Town, over a period of 19 weeks. THA's were performed by four surgeons. Pre-operative leg length discrepancy measurements were obtained in 92 pati
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11

Hughes, Michael John. "Enhanced recovery after liver surgery." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/22803.

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Introduction Liver resection offers curative treatment to a number of malignant conditions. It has traditionally been associated with poor post-operative outcomes. More recently a mortality rate of less than five per cent has become established but morbidity remains high. Enhanced Recovery After Surgery (ERAS) has become established practice in a number of surgical specialties and has shown improvement in post-operative outcomes. ERAS has been introduced for liver resection however practice is less well established and liver surgery has several complexities that need to be accommodated in orde
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12

Cairncross, Lydia Leone. "Pre-operative diagnosis of thyroid cancer : clinical, radiological and pathological correlation." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/10230.

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Primary Aim: assess the accuracy of pre operative diagnosis of thyroid cancer in a single centre. Secondary Aims: evaluate the impact of preoperative diagnosis on surgical interventions for thyroid carcinoma; develop locally applicable guidelines for patients with nodular disease of the thyroid.
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13

Dilworth, John Paul. "Studies on post-operative chest infection after upper abdominal surgery." Thesis, University of Oxford, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316884.

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14

Lee, Alex Chi Hang. "Ergonomics of the operative field in paediatric minimal access surgery." Thesis, Imperial College London, 2011. http://hdl.handle.net/10044/1/8461.

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This thesis studies the physical and sensorial aspects of surgical ergonomics in relation to paediatric MAS. The aims of the project are to optimise the choice of instrument size, to evaluate alternative illumination sources in paediatric MAS, and to investigate the role of shadows in potentially assisting visual perception in MAS. The ergonomic limitation of the small size of the endoscopic operative field is evaluated and a paediatric simulator is developed using anthropometric data from healthy infants to provide the experimental workspace for ergonomic studies. A study on the effect of the
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15

Nduka, Charles. "Operative dissemination of cancer : the impact of microenvironmental manipulation on post-operative tumour growth." Thesis, Imperial College London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391634.

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16

Ismail, Zarina. "Pre-operative anxiety and uncertainty in gynecological cancer patients /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36396692.

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17

Indja, Ben. "Subclinical brain injury after cardiac surgery." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/24086.

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Brain injury continues to be one of the most feared complications following cardiac procedures. While clinically overt cerebrovascular accidents are extremely well characterised and relatively rare under optimised conditions, at the other end of the spectrum, subclinical brain injury – which consists of post-operative cognitive dysfunction and silent brain infarcts (SBIs) – is poorly defined but of greater incidence. The lack of knowledge of subclinical brain injury is in large part due to lack of an objective means of measurement, meaning it is quantified using variable definitions and genera
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18

Idsoe, Tore, University of Western Sydney, of Science Technology and Environment College, and School of Engineering and Industrial Design. "Teleoperated system for visual monitoring of surgery." THESIS_CSTE_EID_Idsoe_T.xml, 2002. http://handle.uws.edu.au:8081/1959.7/396.

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In this thesis the development of a remotely controlled system used for visual monitoring of surgical procedures at distant locations in described. The system has been developed for laboratory testing, where in the longer term it is to be verified under field conditions. Using existing technology in areas of serial communication and videoconferencing in a new configuration, it has been possible to achieve such a system. The system is intended to assist in performing complex surgical procedures at remote locations where specialist surgeons are normally unavailable. With the prototype system dev
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19

Baxendale, Sally Ann. "The neuropsychology of temporal lobectomy : preoperative correlations and post operative predictions." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286670.

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20

Haddad, Michel. "Peri-operative amiodarone in cardiac surgery patients at high risk for post-operative atrial fibrillation, clinical and economic analysis." Thesis, University of Ottawa (Canada), 2008. http://hdl.handle.net/10393/27691.

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Atrial fibrillation (AF) affects up to 50% of post-operative cardiac surgery patients. AF is rarely fatal and most cases are transient and clinically benign. AF however could occasionally lead to many serious complications such as thromboembolic strokes, ischemic bowel, hypotension, or hemorrhage secondary to the required anticoagulation therapy. In addition, hospital length of stay is often prolonged due to the need to control this arrhythmia prior to discharge. Many strategies to prevent the onset of this condition have been the subject of intense research in recent years. Many pharmacologic
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21

Stock, Simon E. "Post-operative fatigue and its' relationship to nutrition and disease state." Thesis, University of Newcastle Upon Tyne, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.329232.

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22

Janse, van Rensburg Karina. "Pre-operative urodynamic studies : is there value in predicting post-operative stress urinary incontinence in women undergoing prolapse surgery." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85662.

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Thesis (MMed)-- Stellenbosch University, 2013.<br>ENGLISH ABSTRACT: Aims of the study Urodynamic studies (UDS) have been suggested to be performed as part of the pre-operative work-up of patients undergoing prolapse surgery. Some women with POP have occult stress urinary incontinence (OSUI) and even if subjectively continent, have a higher incidence of developing de novo stress urinary incontinence (SUI). The aim of this study was to describe the outcome of a group of patients who had pre-operative UDS and manual prolapse reduction. Methods This was a retrospective descriptive study includi
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23

Baker, R. C. "Modulation of peri-operative renal injury in a model of vascular surgery." Thesis, Queen's University Belfast, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.396890.

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24

Rafferty, Pauline. "Recovery following gynaecological surgery : an evaluation of pre-operative intervention by physiotherapists." Thesis, Open University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.384864.

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25

Mouratoglou, Vassilis M. "A longitudinal study of primary lower-limb amputees : inter-relationships and predictive abilities of pre-operative psychological, physical and social variables on amputees' post-operative rehabilitation characteristics." Thesis, University of Surrey, 1989. http://epubs.surrey.ac.uk/844230/.

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The nature of, indications for, and aims of amputation and prosthetic rehabilitation are described. The influence of those procedures on patients' physical, psychological and social states are examined over time. Psychological theories of the coping techniques of surgical patients are used to develop an understanding of the influence of patients' pre-surgical characteristics on their post-operative rehabilitation. The Roehampton Functional Assessment Scale has been developed and validated on three separate samples of primary lower-limb amputees. The developmental sample consisted of 121 patien
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26

Keller, Evelyn E. "Anxiety and post-operative delirium in the elderly patient: is there a link?" Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=92141.

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27

Ebert, Jay Robert. "Post-operative load bearing rehabilitation following autologous chondrocyte implantation." University of Western Australia. School of Sport Science, Exercise and Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0196.

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[Truncated abstract] Autologous Chondrocyte Implantation (ACI) has shown early clinical success as a repair procedure to address focal articular cartilage defects in the knee, and involves isolating and culturing a patient's own chondrocytes in vitro and re-implantation of those cells into the cartilage defect. Over time, repair tissue can develop and remodel into hyaline-like cartilage. A progressive partial weight bearing (PWB) program becomes the critical factor in applying protection and progressive stimulation of the implanted cells, to promote best chondrocyte differentiation and develop
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28

Hawley, Torrey. "Pediatric Obesity and Peri-Operative Adverse Events." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/453.

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Most surgeries and many medical procedures commonly make use of some form of anesthesia to maximize patient comfort and safety. However, all are associated with risks. Obesity and related health care problems are relatively common in anesthesia and also have a negative effect on morbidity and mortality. Trends in pediatric obesity show increases in both the prevalence and risks for the development of other disease. Using the 1997 through 2009 Kids’ Inpatient Database (KID), this study will assess diagnostic codes to identify complications related to anesthesia in the obese pediatric popula
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29

Mwangi, Grace Wangari. "Post-operative Trachomatous Trichiasis in Africa: a systematic review and online survey." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30108.

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Background High incidence of post-operative trichiasis and other poor outcomes after surgery in most trachoma-endemic settings poses a major challenge to global elimination of trachoma. This systematic review aimed to assess the incidence of post-operative trichiasis and other poor outcomes of trichiasis surgery in Africa, based on findings of observational and interventional studies. Search methods We searched PubMed, Academic Search Premier, Africa-Wide Information, CINAHL and Health Source Nursing through EBSCOhost, Web of Science [all databases], and Cochrane Central Register of Contro
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GUANA, RICCARDO. "Three-Dimensional Minimally Invasive Surgery Enhances Surgeon’s Performances, Reducing Operative Time and Errors. Comparative Study in a Pediatric Surgery Setting." Doctoral thesis, Politecnico di Torino, 2018. http://hdl.handle.net/11583/2710944.

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Assumptions Advanced MIS procedures in neonates & infants <5 kg are a very demanding field because of: • very small anatomical structures • limited operative spaces (5-7 cm3) Postulate 3D laparoscopy improves operative time & precision in small spaces Advantages in 3D laparoscopy are mostly described in adults for better depth perception, more precise visualization of anatomical structures, as well as for complex manoeuvres such as suturing. In the pediatric field these data are lacking. In collaboration with Neuromed (Neuromed Spa, Torino) and Storz (Karl Storz, Tuttlingen, Germa
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Idsoe, Tore. "Teleoperated system for visual monitoring of surgery." Thesis, View thesis View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/396.

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In this thesis the development of a remotely controlled system used for visual monitoring of surgical procedures at distant locations in described. The system has been developed for laboratory testing, where in the longer term it is to be verified under field conditions. Using existing technology in areas of serial communication and videoconferencing in a new configuration, it has been possible to achieve such a system. The system is intended to assist in performing complex surgical procedures at remote locations where specialist surgeons are normally unavailable. With the prototype system dev
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32

McAllen, Patricia Ann. "The Relationship of Self-efficacy and Weight Loss Maintenance in Post-operative Bariatric Patients." Kent State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=kent1239288487.

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33

Taipale, Priscilla Gail. "Nursing care and post-operative delirium in the cardiac surgery intensive care unit." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/29278.

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Post-operative delirium is a debilitating and costly adverse event that has detrimental effects on patients’ recovery and complicates nursing care. Its numerous risk factors make the disorder seem unavoidable and unpreventable. Although pre-operative and intra-operative risk factors for delirium may not be controllable, the post-operative risk factors directly related to nursing practice are directly controllable. Practices to control pain through analgesia and sedation administration given at nurses’ prerogative may be associated with the onset of delirium in the immediate post-operative per
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Fan, Ka Lun. "Characterisation of a human/robot co operative system for total knee replacement surgery." Thesis, Imperial College London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272405.

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Shuldham, Caroline. "The impact of pre-operative education on recovery following coronary artery bypass surgery." Thesis, Imperial College London, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312550.

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36

Husson, Malinda. "Evaluating Dental Surgery Post-operative Pain in Children Following Treatment Under General Anesthesia." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2481.

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Purpose: The purpose of this pilot study was to determine if there is a difference in post-operative pain experience for children following dental restorations and/or extractions under general anesthesia (GA), with and without local anesthetic (LA). The alternative hypothesis is that children will experience less post-operative discomfort and soft tissue trauma when using intra-ligamental local anesthetic during the intra-operative time period. Methods: Patients were recruited for this single blind, randomized, prospective cohort study with the following inclusion criteria, children age 2-6 y
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Van, Wyngaard Tirsa. "Pre-operative localization and surgical outcomes for primary hyperparathyroidism (PHPT): An 11-year review at a South African hospital." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29225.

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Introduction: Primary Hyperparathyroidism (PHPT) is characterized by hypersecretion of PTH leading to hypercalcaemia with successful surgery being the only definitive cure. Broadly, three techniques of parathyroidectomy exist: open bilateral neck exploration and minimally invasive parathyroidectomy, which is subdivided into open focused approaches and endoscopic focused approaches. A focused parathyroid gland exploration guided by pre-operative imaging is associated with less morbidity compared to a bilateral approach. Focused explorations may target either the side or the specific parathyro
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Smith, Brian Patrick. "Surgery Improves Survival Among Patients With Intestinal Obstruction." Master's thesis, Temple University Libraries, 2010. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/84371.

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Clinical Research and Translational Medicine<br>M.S.<br>Introduction: Intestinal obstruction is a common cause of hospital admissions and carries a mortality rate around 5%. We hypothesized that surgical intervention reduces mortality among these patients. Methods: We conducted a retrospective cohort study using the 2006 Nationwide Inpatient Sample (NIS) to analyze patients with a diagnosis of intestinal obstruction without hernia. We used multiple variable logistic regression to calculate the odds ratio for surgery as a predictor of death after adjusting for illness severity. Results: Among 3
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Gibson, Simon C. "Peri-operative cardiac morbidity : prediction, prevention and the novel role of B-type natriuretic peptide." Thesis, University of Glasgow, 2008. http://theses.gla.ac.uk/446/.

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Cardiovascular disease is the leading cause of death in surgical patients and because of this a number of strategies have been utilised to attempt to predict the cardiac risk of surgery. Theoretically, accurate pre-operative risk stratification would allow patients at low risk to have their surgery expedited efficiently, whilst those at higher risk could have a change made to their treatment plan such as peri-operative cardiac optimisation or in some cases, modification of the operative procedure. Despite this rationale, no guidelines currently exist in the United Kingdom for the management of
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Machoki, Mugambi Stanley. "Local anesthetic wound infusion versus standard analgesia in paediatric post-operative pain control : a randomised control trial." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/13787.

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Post-operative analgesia currently relies on multimodal therapy including epidural analgesia, intravenous morphine and/or paracetamol (Perfalgan ®) infusion. Local wound infusion has been effectively utilized in adults with promising results but has not been prospectively tested in children undergoing different abdominal operations. The aim of this study was to compare continuous local anesthetic wound infusion to the current standard of care in post-operative pain control in children. Methods: We conducted a prospective randomized, pain assessor blinded trial comparing Bupivacaine wound infu
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Wu, Lily. "Metabolic profile and post-operative outcomes in contemporary patients with peripheral arterial disease and critical limb ischaemia." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28147.

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Background: Peripheral arterial disease (PAD) is an established occlusive disease of the peripheral arteries and is not uncommon in the elderly. Atherosclerosis accounts for 90% of the pathology. Only 15% of affected individuals become symptomatic. Most symptomatic individuals present with intermittent claudication (IC). Only a small proportion (1%) of affected individuals present with critical limb ischaemia (CLI). Revascularization aimed at limb salvage, and recovery of ambulation and independent living is the ultimate therapeutic option for the advanced form of PAD (CLI). Traditionally, the
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Jayaram, Raja. "Effects of peri-operative statin treatment on atrial electrical properties, post-operative atrial fibrillation and in-hospital clinical outcomes in patients undergoing elective cardiac surgery." Thesis, University of Oxford, 2014. https://ora.ox.ac.uk/objects/uuid:224a03c7-30f5-456b-a996-0679591ea6a8.

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Surgical myocardial revascularization remains the standard of care for patients with multi-vessel coronary artery disease. A growing body of evidence indicates that systemic inflammation and myocardial oxidative stress are associated with the development of postoperative atrial fibrillation (POAF) and low cardiac output syndrome in patients undergoing cardiac surgery. Statins have been shown to exert rapid anti-inflammatory and antioxidant effects by inhibiting myocardial NOX2 oxidases and by increasing the bioavailability of nitric oxide (NO). However, whether these so-called pleiotropic effe
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Itobi, Emmanuel Onome. "The impact of post-operative oedema on clinical recovery and its potential causes." Thesis, University of Southampton, 2007. https://eprints.soton.ac.uk/63838/.

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The postoperative period is characterized by massive shifts of fluid between body compartments and accumulation of fluid in the extracellular space, which may manifest clinically as central and or peripheral oedema. The incidence of oedema in patients undergoing routine major abdominal surgery (MAS) is unknown and there are no objective means of quantifying or monitoring its presence. Furthermore, the aetiological factors responsible for post-surgical oedema formation in patients with no overt signs of cardiovascular disturbance are poorly understood and the relationship between the developmen
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Harrison, Michael J. "The enhancement of intra-operative diagnostics and decision-making using computational methods." Thesis, University of Auckland, 2005. http://hdl.handle.net/2292/74.

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The data presented and views expressed in this document are the result of multiple published and unpublished studies over the last 25 years. My over-arching goal in this research was to use modern computing power to create functionally useful diagnoses, in real time, from the monitoring systems used during routine anaesthesia and to present these diagnoses in an ergonomic manner. In addition it was intended to incorporate into the anaesthetic monitor, expert systems that help with the management of uncommon situations. The Australian and New Zealand College guidelines on monitoring during anae
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Rushforth, Helen Elizabeth. "An exploration of an expanded nursing role in paediatric pre-operative assessment." Thesis, University of Southampton, 2000. https://eprints.soton.ac.uk/50633/.

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This thesis explores the appropriateness of suitably trained children's nurses undertaking the pre-operative assessment of children prior to day case and minor surgery. The central focus of the study is a 60 subject hypothesis refining randomised controlled trial (RCT), comparing the pre-operative assessment of children carried out by suitably trained nurses with the assessment carried out by senior house officers (SHO's). Findings demonstrate significantly greater accuracy by nurses in the detection of abnormalities in children's history, when compared with the SHO's. No significant differenc
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Rosha, Deepinder Singh. "Chemoprophylaxis for the prevention of endophthalmitis after cataract surgery: patterns of use and economic costs." Thesis, Curtin University, 2006. http://hdl.handle.net/20.500.11937/2135.

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Objectives: The objectives of study were to (i) examine the regional differences in methods of performing cataract surgery across different jurisdictions in Australia and New Zealand (ii) identify risk factors for post-operative endophthalmitis and (iii) explore the implication of changes in surgical practice on the number of cases of post-operative endophthalmitis and resultant net cost to health system. Methods: Cataract surgeons across Australia and New Zealand were surveyed about their demographics, surgical techniques, use of pre- and post-operative antibiotics and antiseptics and cases o
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Idsoe, Tore. "Teleoperated system for visual monitoring of surgery /." View thesis View thesis, 2002. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030506.155915/index.html.

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Thesis (M. E.) (Honours) -- University of Western Sydney, 2002.<br>Thesis submitted in fulfilment of the requirements for the degree of Master of Engineering (Honours), University of Western Sydney, School of Engineering & Industrial Design, March 2002. Bibliography : p. 99-104.
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Lui, Wai-kay Wilkie, and 雷偉基. "A cephalometric study of stability after maxillary impaction." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31954030.

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49

Nordin, Pär. "Groin hernia surgery : studies on anaesthesia and surgical technique /." Linköping : Univ, 2003.

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50

Challand, Christopher Philip. "Pre-operative cardiopulmonary exercise testing and oesophageal doppler guided fluid therapy in elective colorectal surgery." Thesis, Exeter and Plymouth Peninsula Medical School, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.566045.

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Recent advances in peri-operative care and surgical technique have influenced the short-term outcomes for patients undergoing elective major colorectal surgery. Intraoperative Goal Directed fluid Therapy (GDT) has been shown to reduce length of stay and decrease morbidity in elective colorectal resections. Pre-operative Cardiopulmonary Exercise testing (CPET) characterises baseline aerobic fitness and may identify 'high-risk' patients more likely to benefit from GDT. COMPETE-C was a randomised, single-centre trial comparing the effect of oesophageal Doppler guided GDT against standard care in
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