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Electrocardiographic Changes in a Patient With Pulmonary Embolism and Septic Shock
Antonios N Pavlidis,Leonidas E Poulimenos,Antreas K Giannakopoulos,Athanasios Tsoukas,Manolis S Kallistratos,Athanasios J Manolis 대한심장학회 2011 Korean Circulation Journal Vol.41 No.11
Various electrocardiography (ECG) abnormalities have been reported in patients who present with pulmonary embolism (PE). Severe sepsis is also associated with ECG changes that may mimic ST elevation myocardial infarction. We report a case of an elderly patient with PE and septic shock associated with striking ECG changes.
Comparison of three skin-stretching devices for closing skin defects on the limbs of dogs
Vassiliki Tsioli,Lysimachos G. Papazoglou,Nikolaos Papaioannou,Dimitra Psalla,Ioannis Savvas,Leonidas Pavlidis,Maria Karayannopoulpou 대한수의학회 2015 Journal of Veterinary Science Vol.16 No.1
Our objective was to evaluate the effectiveness of skin-stretching devices for closing defects on the extremities of dogs. Antebrachial skindefects were created on the limbs of 24 dogs randomly divided into three groups. Skin stretchers included staples and sutures passing throughthem (group A), sutures and hypodermic needles (group B), and Pavletic device (group C). Wounds on the left were further undermined inall groups. Tension and blood perfusion were assessed. After removing the stretchers on day 3, the defects were sutured and wound healingwas clinically scored. Histological variables evaluated were cellular infiltration, edema, collagen orientation, and thickness of epidermis. Significant differences in tension were found among groups (p < 0.0005) and between measurement times for undermined (p = 0.001) ornon-undermined (p < 0.0005) wounds. In contrast, blood perfusion values did not differ significantly. Clinical scores for group B seemedto be better than those for groups A and C, but differences were not significant. Primary wound closure using the Pavletic device was notfeasible. Νo significant differences in histological variables were found between groups. Skin stretching with staples or hypodermic needlesresulted in successful wound management with minor side effects on skin histology and circulation.