scholarly journals Paving the way for E‐vita open NEO hybrid prosthesis implantation for complex aortic arch disease in Asia‐Pacific

Author(s):  
Heinz Jakob ◽  
Jacky Y. K. Ho ◽  
Randolph H. L. Wong ◽  
Mohammed Idhrees ◽  
Bashi Velayudhan ◽  
...  
Author(s):  
Heinz Jakob ◽  
Jacky YK Ho ◽  
Hung Leung Randolph Wong ◽  
Mohammed Idhrees ◽  
Bashi Velayudhan ◽  
...  

We report first in man implantations of the newly designed Evita-open-NEO hybrid prosthesis (HP) for complex aortic arch disease from 3 different countries in Asia-Pacific including suggestions on how to proceed with optimized perioperative coagulation.


Author(s):  
Sushil K. Sharma ◽  
Nilmini Wickramasinghe

As electronic commerce (e-commerce) is becoming the way to trade, it is the large corporations that are exploiting their finances and technical expertise to jump into this abyss. Small and medium enterprises (SMEs) are finding too many obstacles to participate in e-commerce. SMEs in Asia Pacific in particular, face many obstacles and thus are still not comfortable with the concept of putting their business online, conducting transactions online or revamping entire business processes. This chapter describes the key factors that are hindering SMEs’ participation in e-commerce and the obstacles to SMEs for e-adoption in Asia Pacific. Although this study is limited to the Asia Pacific region many of the findings do contribute significantly to the factors hindering all SMEs’ e-adoption efforts.


2011 ◽  
pp. 1466-1473
Author(s):  
Sushil K. Sharma ◽  
Nilmini Wickramasinghe

As electronic commerce (e-commerce) is becoming the way to trade, it is the large corporations that are exploiting their finances and technical expertise to jump into this abyss. Small and medium enterprises (SMEs) are finding too many obstacles to participate in e-commerce. SMEs in Asia Pacific in particular, face many obstacles and thus are still not comfortable with the concept of putting their business online, conducting transactions online or revamping entire business processes. This chapter describes the key factors that are hindering SMEs’ participation in e-commerce and the obstacles to SMEs for e-adoption in Asia Pacific. Although this study is limited to the Asia Pacific region many of the findings do contribute significantly to the factors hindering all SMEs’ e-adoption efforts.


ESC CardioMed ◽  
2018 ◽  
pp. 2575-2577
Author(s):  
Roberto Bartolomeo ◽  
Alessandro Leone ◽  
Luca Di Marco ◽  
Davide Pacini

Thoracic aortic aneurysm (TAA) is defined as aneurysmal degeneration that occurs in the thoracic aorta. The incidence of TAA is increasing with improvements in screening, as well as advances in imaging. They are often asymptomatic but in some cases, they may compress the innominate vein or airway or they may stretch the left recurrent laryngeal nerve, causing hoarseness. TAA often results from cystic medial degeneration and when it occurs at younger ages, it is classically associated with connective tissue disorders, such as Marfan syndrome or, less commonly, Ehlers–Danlos syndrome and Loeys–Dietz syndrome. Mycotic aneurysms, once the predominant cause of ascending and arch aneurysms, are rare today. Diagnosis is often casual and can be suspected on the basis of chest X-ray or as for ascending aortic aneurysms, diagnosed by transthoracic echocardiogram. However, the computed tomography angiography scan represents the gold standard examination for diagnosis. The aortic arch operation consists of the replacement of the arch with reimplantation of the supra-aortic vessels. Effective methods of cerebral, myocardial, as well as visceral protection are necessary to obtain acceptable results in terms of hospital mortality and morbidity. The ‘elephant trunk’ procedure can be an alternative technique for total arch repair; however, a recent evolution of the ‘elephant trunk’ procedure is the ‘frozen elephant trunk’ technique. This technique consists of the implantation of the stented distal segment of the hybrid prosthesis into the descending aorta through the opened aortic arch, while the proximal, non-stented segment is used for conventional replacement of the aortic arch.


2007 ◽  
Vol 13 (2) ◽  
pp. 9-16 ◽  
Author(s):  
Chris Warren

Even as journalists look forward to the benefits that technology will surely bring to digital democracy and journalism, they need to also reflect on the approaching ‘shadows’. These shadows are cast by three fundamental crises that threaten the free and independent practice of journalism and the very craft of journalism itself. These intertwined crises are: a crisis of press freedom, a crisis of safety and a crisis confronting the way journalists work. These crises are putting pressure on all journalists. But journalists and media workers are fighting back. The two commentaries over the next few pages outline some of these issues from the broad issue of media freedom in the Asia-Pacific region to women’s ‘suitcase’ broadcasting in the Pacific.


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