The rupture of the guide wire is a very uncommon complication that may produce important consequences as occlusion of the artery of systemic embolism. The management of this event may be ...interventional or conservative, depending on the clinical situation of the patient and the position of the guide wire inside vessel. Here we present a case that we decided to leave the fragment in the artery. The retained filament and the coronary stenotic lesion was stented successfully.
Introduction: This present study aimed to examine the effects of long-term resistance exercise (REG) and aerobic exercise (AEG) on the adiponectin, insulin resistance, lipid profile and body ...composition in adolescent boys with obesity. Methods: Sixteen obese adolescent boys (age: 16.81±0.91 years) who studied at high school in İstanbul voluntarily participated in the study. The participants were randomly divided into two groups of (REG; n=8) and (AEG; n=8). The participants followed their exercise schedule for six months (3 days/wk, 60 min/day). The serum lipid profile, adiponectin, glucose, insulin resistance (HOMA-IR) levels and body composition of the participants were evaluated at the beginning and end of the study. A Wilcoxon matched-pairs signed-rank test and Mann-Whitney U test were used for analyses, and the criterion for statistical significance was set at p<0.05. Results: HOMA-IR, insulin, glucose and serum lipid levels decreased in both groups (p<0.05). Adiponectin and highdensity lipoprotein increased only in the AEG (p<0.05). Lowdensity lipoprotein level was statistically decreased only in the REG (p<0.05). Conclusion: These results indicated that both types of exercises had positive effects on insulin resistance, per cent body fat, weight and fat-free body mass. Long-term (6 months) aerobic and REG had different positive effects on adiponectin and the lipid profile. Although the effects of long-term aerobic exercise on biochemical parameters are higher than REG, it was remarkable that REG proved to be an alternative model to AEG.
Currently, clinical information is stored in all kinds of proprietary formats through a multitude of medical information systems available on the market. This results in a severe interoperability ...problem in sharing electronic healthcare records. To address this problem, an industry initiative, called "Integrating Healthcare Enterprise (IHE)" has specified the "Cross Enterprise Document Sharing (XDS)" Profile to store healthcare documents in an ebXML registry/ repository to facilitate their sharing. Through a separate effort, IHE has also defined interdepartmental Workflow Profiles to identify the transactions required to integrate information flow among several information systems. Although the clinical documents stored in XDS registries are obtained as a result of executing these workflows, IHE has not yet specified collaborative healthcare processes for the XDS. Hence, there is no way to track the workflows in XDS and the clinical documents produced through the workflows are manually inserted into the registry/ repository. Given that IHE XDS is using the ebXML architecture, the most natural way to integrate IHE Workflow Profiles to IHE XDS is using ebXML Business Processes (ebBP). In this paper, we describe the implementation of an enhanced IHE architecture demonstrating how ebXML Business Processes, IHE Workflow Profiles and the IHE XDS architecture can all be integrated to provide collaborative business process support in the healthcare domain.
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