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Off-pump coronary artery bypass (OPCAB), or beating-heart surgery, is a form of coronary artery bypass graft (CABG) surgery performed without cardiopulmonary bypass (heart-lung machine) as a treatment for coronary heart disease. It was primarily developed in the early 1990s by Dr. Amano Atsushi.
"Results of completion arteriography after minimally invasive off-pump coronary artery bypass". The Annals of Thoracic Surgery. 91 (1): 31– 6, discussion 36–7. doi: 10.1016/j.athoracsur.2010.09.057. PMID 21172481. Hoff SJ (2009). "Off-pump coronary artery bypass: techniques, pitfalls, and results". Seminars in Thoracic and Cardiovascular ...
Spent backwash water is either discharged without treatment to a sanitary sewer system or is treated and recycled within the plant. [4]: 22.37–22.40 Historically, backwash water was discharged directly to surface water supplies; however, direct discharge is now highly regulated through NPDES discharge permits and is often discouraged. Used ...
Cognitive impairment has been reported in up to 80% cases after CABG at discharge and lasts for a year in up to 40% of cases. The cause remains unclear; CPB is an unlikely cause because even in CABG patients without CPB, as in off-pump CABG, and PCI patients, the incidence is the same. [38] [39]
Furthermore, the Van Dijk study showed no difference between the on-pump and off-pump groups in quality of life, stroke rate, or all-cause mortality at 3 and 12 months. A study by Jenson et al. published in Circulation found no significant difference in the incidence of cognitive dysfunction 3 months after either OPCAB or conventional on-pump CABG.
Water softening is the removal of calcium, magnesium, and certain other metal cations in hard water. The resulting soft water requires less soap for the same cleaning effort, as soap is not wasted bonding with calcium ions. Soft water also extends the lifetime of plumbing by reducing or eliminating scale build-up in pipes
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