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ABSTRACT 79 MINIMALLY INVASIVE CORONARY ARTERY SURGERY ART AND TECHNOLOGY AT ITS BEST Dr. Nitu Mandke, Dr. Ajay Choughule, Dr. Shirish Borker, Dr. Ashok Swarup, Dr. Alka Mandke Lilavati Hospital And Research Centre, Mumbai, India. AIM: This study is done to evaluate the data and emphasize the feasibility of doing more than 90% of coronary bypass surgeries off pump with excellent results. MATERIAL and METHODS: We started coronary artery surgery in 1995. Between 1st January 1996 and 30th June 2002. 2209 patients underwent offpump coronary artery surgery. Cardiac Stabilizers became available to us from January 2000. We analysed our data from 1st January 2000 till 30th June 2002. Total number of CABGs performed were 1474 out of which 1377 95.43% ; were done off pump. Ninety seven patients those who were done on C P Bypass, 63 of those were intended to be done offpump but had to be converted to C P Bypass due to haemodynamic instability. One hundred and sixty three patients were not suitable for offpump surgery were still done offpump. Four hundred and ninety three out of 1377 patients had composit 'Y' grafts using various conduits. In 1377 patients, 4699 anastomoses were performed 3.41 grafts patient ; . RESULTS: Two patient developed CVA, 5 patients were explored for bleeding and 14 patients died 1.01% ; . One hundred and sixty seven patients underwent graft angiography before discharge. All arterial grafts were patent either individual or composit 100% patency rate ; . One individual saphenous vein out of 18 got blocked 94.4% patency rate ; . CONCLUSION: This data over last 30 months, suggests that large number of patients can be done offpump with good results. Immediate graft patency rates are excellent. Allergy allegra-d claritin flonase nasacort aq nasonex promethazine zyrtec anti-depressants amitriptyline celexa effexor elavil fluoxetine nortriptyline paxil prozac remeron sarafem trazodone wellbutrin zoloft anti-inflammatory bextra diclofenac antibiotics amoxicillin amoxil biaxin cefzil cephalexin levaquin minocycline tetracycline trimox zithromax antipsychotic seroquel anxiety buspar buspirone aspirin naproxen asthma albuterol birth control mircette blood pressure accupril altace atenolol avapro captopril clonidine coreg cozaar diovan doxazosin enalpril glucophage lisinopril lotensin monopril norvasc prinigil terazosin toprol zestoretic zestril blood thinner plavix chest pain cartia xt diltiazem isosorbide nifedipine tiazac cholesterol gemfibrozil lipitor pravachol diabetes actos amaryl avandia glipizide glucophage metformin hcl fungal infection gris-peg gout colchicine heart burn nexium prilosec kidney stones allopurinol men's health cialis levitra propecia viagra mental disorder zyprexa migraine headache depakote fioricet imitrex motion sickness meclizine muscle relaxers carisoprodol cyclobenzaprine fioricet flexeril flextra-ds skelaxin osteoporosis actonel fosamax overactive bladder detrol la ditropan xl pain celebrex ultracet vicodin hydrocodone lortab vioxx pain relief imitrex motrin tramadol ultram prostate flomax rosacea metrogel sexual health acyclovir valtrex skin care lamisil renova retin-a sleep aids ambien sonata stop smoking nicotrol zyban tension headache esgic ulcer prevacid protonix weight loss adipex-p bontril didrex ionamin meridia phendimetrazine phentermine tenuate xenical women's health diflucan estradiol nordette ortho tri-cyclen ovral triphasil vaniqa powered by rx affiliate cozaar cozaar prescription 24 hour prescription delivery of your cozaar prescription order cozaar online - click here for secure order cozaar description angiotensin blockers - oral common cozaar brand name s ; atacand, avapro, cozaar, diovan, micardis, teveten cozaar side effects infrequent side effects such as dizziness, diarrhea, stomach upset, stuffed nose or dry mouth may occur the first several days as your body adjusts to the medication and relafen. Some men medication priniil ed upward because of the sharp entrance.

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This was the response of the religious lobby to the government's plea made by its spokes minister Sheikh Rashid Ahmad, "Restoration of the religion column is the enlightened reaction of the government; now the Ulema should also respond positively." The daily DIN, March 26, 2005. While the government decision to yield to the mediocrity of an intimidating minority, the mullah, brought it no acclaim, there were plenty of voices that strongly criticized it. Mr Iqbal Haider, a former attorney general wrote: "It appears that enlightened moderation is nothing more than a hollow slogan. In practice the ruling junta is only serving the agenda of reaction and conveying the image of Pakistan as a country of bigots, ruled by and for bigots". The Daily Times wrote an editorial on the decision and titled it: A `small' retreat for Shaukat or a `great' leap for Qazi? It wrote: `They the top leaders ; are still being guided by the PML-Q wallahs and intelligence advisors with beards in their stomachs instead of on their faces. This is another sad day for Musharraf's Pakistan'. The daily DAWN of March 24, editorialized the decision as `Retreat again' and its opening sentence was: "It was a sad day for `enlightened moderation' on Wednesday. It came up against conservative reaction and beat a retreat.If the idea is to remove a minor prop for agitation from the MMA hands, and pursue other major social reforms, then we have seen over and over again how giving away on religious issues that are raised for political mileage only strengthens retrogressive trends in society." Nazir Naji, the renowned columnist of the daily Jang opined, " such time, accepting the basic demand of the agitators is an open defeat of the government. As a result, the political clerics will get encouraged, and the common man will get impressed by their achievement and might support them. Political parties that are genuinely moderate and liberal will find it now ; difficult to have faith in Pervez Musharraf's callings. What will be the state of the American administration that is banking upon President Musharraf in its fight against terrorism, after this decision? . How will the liberal section of the society, who initially supported the government, have faith in the government after its manifest retreat? This is no longer the issue of the religion column; it is the issue of the clash of enlightened moderation and religious extremism." The daily Jang, Lahore; March 25, 2005. In short, the Mullah Military Alliance has made Pakistan `a Sahara of the spirit' as assessed by Ayaz Amir. Riddance from the clutches of obscurants has become a pipe dream. `Enlightened moderation' is just hot air, so long as it flirts with fundamentalists and serves mainly personal ends. Nothing substantial will be achieved so long as the establishment within and the international community without tolerates blatant discrimination and persecution of Ahmadis in Pakistan. The Quran mentions a great principle that whoever killed a person wrongfully shall be as if had killed all mankind; and whoso saved a life, it shall be as if had saved the life of all mankind. 5: 33. Pakistani leadership, by allowing itself wrongdoing against the Ahmadiyya Community, commits wrong against the entire people of Pakistan. A timid and self-serving administration that cannot see far beyond its nose cannot deliver on major issues and rid Pakistan of the evils of extremism and obscurantism. As and when, this government or the next takes a principled stand on the human rights of Ahmadis and corrects the wrongs of the past, this country will stand poised to jump into the 21st century from its medieval age disposition. If by retreating on an Ahmadi-related issue the government aimed at sparing itself the inconvenience of confronting political clerics, it was in for major disappointment. Within 10 days it was frontally challenged by the encouraged mullah, this time on the issue of `Women participation in marathon race', and blood was spilled on both sides, at Gujranwala. Four months later, a reporter of the weekly The. The drugs almost certainly helped limit the number of anthrax illnesses to just 17 confirmed infections and five suspected cases. Lisinopril zestril, prinivil ; - drug class, medical uses, medication blood lisinopril medication pressure home medications a-z list heart home page lisinopril.
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