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排序方式: 共有1221条查询结果,搜索用时 15 毫秒
1.
Péter Móricz Imre Gerlinger Jenő Solt Krisztina Somogyvári József Pytel 《European archives of oto-rhino-laryngology》2007,264(12):1441-1445
Stenosis of the hypopharyngo-oesophageal junction can be a rare complication of laryngectomy and/or partial pharyngectomy
and makes the insertion of voice prosthesis extremely difficult. This study describes the authors’ experiences gained by endoscopic
balloon-catheter dilatation of hypopharyngo-oesophageal stenoses prior to implantation of voice prostheses in four cases.
In two patients a single balloon-catheter dilatation resulted in wide enough pharyngo-oesophageal lumen on the long run. The
average prosthesis wearing-times were 6.8 months in case 1 and 4.6 months in case 2, corresponding to the published literature
data. In case 3, repeated dilatation of the pharyngo-oesophageal transition had proved to be unsuccessful despite taking every
effort with the endoscopic balloon-catheter method. Having excised the stenotic segment, reconstruction with pectoralis major
myocutaneous flap (PMMF) was indicated. Eighteen months later, a repeated restenosis was observed and a free jejunal flap
needed to be performed as a final solution. In case 4, the insertion was carried out into a previously dilated jejunal free
flap, which became gradually ischemic and stenotic since the major head-and neck procedure was carried out that resulted in
prosthesis rejection after just 1 week. The authors emphasize that correct indication of pedicled and free flaps in head and
neck reconstruction is a prerequisite from the aspect of prevention of pharyngo-oesophageal strictures. Endoscopic balloon-catheter
dilatation is a safe and established method for dilatating hypopharyngo-oesophageal stenoses of different origin. The procedure
provides maximum patient benefit with minimal trauma and morbidity; moreover, facilitates insertion of voice prostheses. However,
a single balloon-catheter dilatation cannot always result in wide enough oesophageal lumen on the long run (case 3). Insertion
of a voice prosthesis into a previously dilated ischemic jejunal segment is challenging and avoidable due to risks of complications. 相似文献
2.
Krisztina Bencsik Judit Füvesi Zsanett Fricska-Nagy Cecília Rajda Erika Losonczi Margit T?r?k László Vécsei 《Journal of interferon & cytokine research》2006,26(2):96-100
The first pharmacon with proved efficacy for the treatment of patients with the relapsing-remitting or relapsing-progressive form of multiple sclerosis (MS) was interferon-beta1b (IFN-beta1b). In 1996, we started treating 34 relapsing-remitting (RRMS) and 2 relapsing-progressive MS (RPMS) patients with IFN-beta1b. Of these 36 patients, 28 received continuous medication for 6 years. The primary end point of the study was the effect of 6 years of continuous IFN-beta1b treatment on the annual relapse rate, the secondary end point was the change in the progression index during the 6 years, and the tertiary end point was the alteration in the expanded disability status scale (EDSS) score of the patients. Finally, we give the reasons for the dropouts. The relapse rate decreased by 80.62% (p < 0.001), the mean EDSS score increased significantly, by approximately 0.5 points, to 2.21 +/- 1.48 (p = 0.016), and the reduction in the mean progression index was 67.19% (p < 0.001). This increase of < 0.5 point in the EDSS score is appreciably different from the 3-point deterioration expected after 6 years for the natural course of the disease. The significant improvement in the progression index clearly demonstrates that 6 years of IFN-beta1b therapy slowed the progression of the disease, thereby improving the quality of life of these MS patients. 相似文献
3.
Pedro Vasquez Angela Burd Rajeev Mehta Mark Hiatt Thomas Hegyi 《Journal of perinatology》2003,23(4):348-350
Tissue ischemia, necrosis, and gangrene are uncommon but well-described complications of arterial catheterization in the neonate. Treatment options for progressive tissue necrosis following arterial embolization and/or vasospasm are limited in these patients secondary to unpredictable pharmacokinetics and risks associated with systemic anticoagulation or vasodilatation in newborns. We report a case of a multidose regimen of topical 2% nitroglycerin ointment for reversing severe tissue ischemia following peripheral arterial line placement. The favorable response in this infant suggests that topical nitroglycerin therapy should be considered as potential therapy to ameliorate the effects of vascular compromise following arterial line placement in neonates. 相似文献
4.
Rita Nagy Klementina Ocskay Alex Vradi Mria Papp Zsuzsanna Vitlis Ferenc Izbki Eszter Boros Lszl Gajdn Andrea Szentesi Blint Erss Pter Jen Hegyi ron Vincze Judit Bajor Patricia Sarlos Alexandra Mik Katalin Mrta Dniel Pcsi Andrea Prniczky Pter Hegyi 《Nutrients》2022,14(10)
Although excessive alcohol consumption is by far the most frequent cause of recurrent acute pancreatitis (AP) cases, specific therapy is still not well established to prevent recurrence. Generally, psychological therapy (e.g., brief intervention (BI)) is the cornerstone of cessation programs; however, it is not yet widely used in everyday practice. We conducted a post-hoc analysis of a prospectively collected database. Patients suffering from alcohol-induced AP between 2016 and 2021 received 30 min BI by a physician. Patient-reported alcohol consumption, serum gamma-glutamyl-transferase (GGT) level, and mean corpuscular volume (MCV) of red blood cells were collected on admission and at the 1-month follow-up visit to monitor patients’ drinking habits. Ninety-nine patients with alcohol-induced AP were enrolled in the study (mean age: 50 ± 11, 89% male). A significant decrease was detected both in mean GGT value (294 ± 251 U/L vs. 103 ± 113 U/L, p < 0.001) and in MCV level (93.7 ± 5.3 U/L vs. 92.1 ± 5.1 U/L, p < 0.001) in patients with elevated on-admission GGT levels. Notably, 79% of the patients (78/99) reported alcohol abstinence at the 1-month control visit. Brief intervention is an effective tool to reduce alcohol consumption and to prevent recurrent AP. Longitudinal randomized clinical studies are needed to identify the adequate structure and frequency of BIs in alcohol-induced AP. 相似文献
5.
Borbála Eszter Hegyi Zoltan Kozinszky Attila Badó Edina Dombi Gábor Németh 《Journal of psychosomatic obstetrics and gynaecology》2013,34(4):311-317
Objective: To assess the psychological condition of men at the start of the infertility work-up.Methods: Men seeking an infertility evaluation for the first time were recruited. Depression and anxiety symptoms and subjective psychological burden were assessed with the Beck Depression Inventory (BDI), the Spielberger State-Trait Anxiety Inventory (STAI), and a visual analog scale (VAS).Results: Data from 113 patients were analyzed. The mean age of the patients was 33.3 (range: 23–54) years, whereas the mean duration of infertility was 16.3 (range: 0–96) months. Results from the BDI and STAI were 2.24 (SD: ±3.18) and 33.74 (SD: ±8.04). Mild depressive symptoms were found in 4.5% of patients, whereas anxiety reached an abnormal level in 4.9%. There were significant correlations between the results from the BDI score and the duration of infertility (p?=?.024), whereas the STAI and VAS scores showed no similar connection (p?=?.142 and p?=?.261, respectively). Among patients with infertility longer than 2 years, mild depressive symptoms occurred in 23.1%.Conclusion: Among men, the levels of depressive and anxiety symptoms were low at the start of the infertility work-up. Depressive symptom levels increased significantly with the duration of infertility, whereas anxiety levels and VAS scores did not demonstrate a similar correlation. 相似文献
6.
Extraction of Metals from Polluted Soils by Bioleaching in Relation to Environmental Risk Assessment
Environmental pollution has particular implications for the whole geosystem and increases the global risk to human and ecological health. In this regard, investigations were carried out on soil samples to perform the quality status assessment by determining: pH, texture, structure and metal concentration, as well as carrying out an assessment of anthropogenic activity by determining pollution indices: Cf (contamination factor), Cd (degree of contamination), PLI (pollution load index), Er (ecological risk index) and PERI (potential ecological risk index). Analyses on soil samples showed high concentrations of metals (Cu: 113–2996 mg kg−1; Pb: 665–5466 mg kg−1; Cr: 40–187 mg kg−1; Ni: 221–1708 mg kg−1). The metal extraction experiments were carried out by bioleaching using Thiobacillus ferrooxidans, microorganisms at different amounts of bioleaching solution (20 mL and 40 mL 9K medium) and a stirring time of up to 12 h. The results on the degree of contamination, pollution loading index PLI (2.03–57.23) and potential ecological risk index PERI (165–2298) indicate that the soils in the studied area have a very high degree of pollution. The decontamination procedure by bioleaching showed a decrease, but at the end of the test (12 h), the followed indices indicate high values, suggesting that bioleaching should continue. The depollution yield after 12 h of treatment is, however, encouraging: Cu 29–76%, Pb: 10–32%, Cr: 39–72% and Ni 44–68%. The use of yield–time correlation equations allows the identification of the optimal exposure time on the bioleaching extraction process to obtain optimal results. The aim of the research is to determine the soil quality, soil environmental risk, extraction of metals from polluted soils by bioleaching and to identify influencing factors in achieving high remediation yields. 相似文献
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10.
Lajos Szak D vid N meth Nelli Farkas Szabolcs Kiss R ka Zsuzsa D m t r Marie Anne Engh P ter Hegyi Balint Eross r s Papp 《World journal of gastroenterology : WJG》2022,28(30):4201-4210