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To determine the validity of re-sternotomy for the management of recurrent post-sternotomy mediastinitis. A multicenter retrospective review of all patients with post-sternotomy mediastinitis who underwent re-sternotomy from January 2000 to March 2007 was performed. Patients who were admitted for a second-time mediastinitis were included in this study. Patients with a previous sternal infection were excluded. Those with a history of hypertension, diabetes mellitus and previous cardiovascular surgery were also excluded. Patient outcomes included risk factors for recurrent mediastinitis, post-operative complications and in-hospital mortality. Univariate and multivariate analysis were performed. A total of 22 patients with a history of previous sternotomy and mediastinitis were identified. The mean age was 56 years (range: 32-80 years). All of the wounds were infected due to anastomotic leaks. The median interval from initial to second operation was 4 months (range: 1-39 months). Post-operative complications occurred in all patients, including new wound dehiscence in 5 (23%), renal failure in 2 (9%) and myocardial infarction in 1 (4%) patient. However, there were no cases of pericardial window infection or sternal osteomyelitis. Survival was 70% (15/22) at 90 days and 50% (11/22) at 1 year. Risk factors for recurrent mediastinitis were previous mediastinitis (hazard ratio [HR]: 6.96, 95% confidence interval [CI]: 2.04-23.80), concomitant cardiac surgery (HR
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Check your local library and see if they have the “Trail Guide to the Body: How to Locate Muscles, Bones and More – 5th Edition”.
If not, try and get a copy of it. It is a good book to have. I have bought lots of books to help me with my drawing and I really like this one!
Sorry I don’t have a link to it available, I will edit the page when I can get one.
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Andrew is always interested in learning more about drawing and illustration, he can usually be seen trawling around second hand bookshops in the south east of England.
Trail Guides to the Body” is a reference book for illustration and graphic design students, artists and illustrators who are interested in anatomy.
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Trail Guide to the Body (5th Edition) 5th Edition by Andrew Biel. This is a reference guide for illustration and graphic design students, artists and
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The Ascension Church is a regional Episcopal congregation of the Episcopal Church, established in 1859. The current church building at 6381 Chester Avenue in San Diego, California is one of the oldest active parishes in San Diego. Today it is part of the Episcopal Diocese of San Diego.
History
The parish was established on July 18, 1859, with funds contributed by Fernando and Isabel Montaña. The early parish home was at the corner of Scranton and Dearborn in San Diego’s Plaza, though the congregation moved to build a permanent brick building on McKeon Avenue and St. Paul Street in 1863.
In the 1890s the church moved to a more central location at the corner of Santa Clara and Jones Street, where it remained for 50 years. The current building was designed by renowned architect Alfred Rosenfield in the Spanish Revival style and built in 1918.
Current building
The current building cost $100,000 to construct, and was designed by Alfred Rosenfield. Rosenfield also designed the Catholic Cathedral of San Diego, across the street.
The Ascension Church is a member of the Diocese of San Diego and is affiliated with the Episcopal Church USA.
The church is named after the Ascension of Jesus, the Christian festival celebrating the day of his resurrection, and is often referred to simply as Ascension. The parish hosts the Annunciation Centre which organizes service events and other activities such as a small social gathering for Ascension week on the Sunday before Easter.
Former altars
Veneration of the holy image of Christ, the Sacred Heart of Jesus, Christ in Majesty.
St. Michael and All Angels
St. John the Evangelist
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