Objective: Trans-catheter Aortic Valve Replacement/Aortic Valve Implantation (TAVR) are increasingly performed today. We compared insulin requirements between TAVR and Surgical Aortic Valve Replacement (SAVR) patients...Objective: Trans-catheter Aortic Valve Replacement/Aortic Valve Implantation (TAVR) are increasingly performed today. We compared insulin requirements between TAVR and Surgical Aortic Valve Replacement (SAVR) patients with and without diabetes mellitus (DM) to determine optimal glucose management strategies during the perioperative period (POP). Methods: Charts of consecutive patients undergoing aortic procedures were retrospectively reviewed for glucose ranges, insulin requirements and routes of insulin administration (subcutaneous vs. intravenous) for patients with and without DM to maintain BG Results: Patients with SAVRs without DM and A1C Conclusions: TAVR patients have different insulin requirements compared to SAVRs (p < 0.05). This information helps build a glucose management algorithm for a procedure which is increasingly performed.展开更多
This paper describes the experience of introducing Environmental education in small rural local communities, streets in neighborhood towns in African countries.It further explains the role of indigenous community in m...This paper describes the experience of introducing Environmental education in small rural local communities, streets in neighborhood towns in African countries.It further explains the role of indigenous community in management of natural resources, environmental conservation and the need of decentralized governance aiming at providing authorities from the grass root level.The research has been carefully studied from the experience of African countries;some developed countries were several researches have been undertaken.Since the indigenous communities have little knowledge of understanding better their environment,its展开更多
文摘Objective: Trans-catheter Aortic Valve Replacement/Aortic Valve Implantation (TAVR) are increasingly performed today. We compared insulin requirements between TAVR and Surgical Aortic Valve Replacement (SAVR) patients with and without diabetes mellitus (DM) to determine optimal glucose management strategies during the perioperative period (POP). Methods: Charts of consecutive patients undergoing aortic procedures were retrospectively reviewed for glucose ranges, insulin requirements and routes of insulin administration (subcutaneous vs. intravenous) for patients with and without DM to maintain BG Results: Patients with SAVRs without DM and A1C Conclusions: TAVR patients have different insulin requirements compared to SAVRs (p < 0.05). This information helps build a glucose management algorithm for a procedure which is increasingly performed.
文摘This paper describes the experience of introducing Environmental education in small rural local communities, streets in neighborhood towns in African countries.It further explains the role of indigenous community in management of natural resources, environmental conservation and the need of decentralized governance aiming at providing authorities from the grass root level.The research has been carefully studied from the experience of African countries;some developed countries were several researches have been undertaken.Since the indigenous communities have little knowledge of understanding better their environment,its
