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21.
22.
Clinical and urodynamic parameters associated with history of urinary tract infections in women 总被引:1,自引:0,他引:1
Athanasiou S Anstaklis A Betsi GI Sotiropoulou M Falagas ME 《Acta obstetricia et gynecologica Scandinavica》2007,86(9):1130-1135
OBJECTIVES: To evaluate the association of various clinical and urodynamic variables with history of urinary tract infections (UTIs) in women. METHODS: A prospective study of 2,081 women referred to a urogynecologic clinic between June 2000 and November 2005 for investigation of lower urinary tract symptoms. RESULTS: Some 144 women reported history of UTI(s) within the last year from the visit to the clinic, and 91 had recurrent episodes (> or =3 per year). The multivariable analysis showed that urge incontinence (odds ratio (OR) = 2.23, 95% confidence interval (CI): 1.46-3.42), suprapubic pain (OR = 4.12, 95% CI: 2.21-7.67), and low maximum flow rate during voiding cystometry (OR = 0.96, 95% CI: 0.94-0.98) associated with UTIs. CONCLUSIONS: Our results suggest that urodynamic testing does not help in identifying specific urogynecologic mechanisms that could improve medical and/or surgical management or prevent recurrent UTI. 相似文献
23.
Iavazzo C Vorgias G Papadakis M Manikis P Mavromatis I Akrivos T 《Archives of gynecology and obstetrics》2007,276(1):81-84
Background Polymyositis (PM) is an idiopathic inflammatory myopathy. Occasionally, it may present as a paraneoplastic syndrome and it
is strongly associated with ovarian and weakly with breast cancer. We present here a case of a 60-year-old patient with sequential
breast and ovarian (second primary) carcinomas followed by PM as a paraneoplastic disorder.
Case report The patient had been diagnosed with stage I breast carcinoma 3 years ago and had been treated with conservative surgery followed
by radiotherapy and six cycles of chemotherapy (CMF). One and a half year later an ovarian carcinoma was diagnosed for which
the patient underwent abdominal hysterectomy oophorectomy and omentectomy. The pathological report characterized it as second
primary. Adjuvant chemotherapy with carboplatin and taxol was administered. Fourteen months after the initial laparotomy,
the patient was re-operated due to ovarian carcinoma recurrence which was involving all lesser pelvis organs. After a successful
radical removal of the recurrence the patient developed a fully expressed PM. This case serves to remind that this disease
can occur as a paraneoplastic disorder. 相似文献
24.
Dimitrios Asvestas Vasileios Sousonis George Kotsovolis Stavros Karanikas Anastasia Xintarakou Eleftherios Sakadakis Angelos G. Rigopoulos Andreas S. Kalogeropoulos Panos Vardas Stylianos Tzeis 《Clinical cardiology》2022,45(5):503
BackgroundForce‐time integral (FTI) is an ablation marker of lesion quality and transmurality. A target FTI of 400 gram‐seconds (gs) has been shown to improve durability of pulmonary vein isolation, following atrial fibrillation ablation. However, relevant targets for cavotricuspid isthmus (CTI) ablation are lacking.HypothesisWe sought to investigate whether CTI ablation with 600 gs FTI lesions is associated with reduced rate of transisthmus conduction recovery compared to 400 gs lesions.MethodsFifty patients with CTI‐dependent flutter were randomized to ablation using 400 gs (FTI400 group, n = 26) or 600 gs FTI lesions (FTI600 group, n = 24). The study endpoint was spontaneous or adenosine‐mediated recovery of transisthmus conduction, after a 20‐min waiting period.ResultsThe study endpoint occurred in five patients (19.2%) in group FTI400 and in four patients (16.7%) in group FTI600, p = .81. First‐pass CTI block was similar in both groups (50% in FTI400 vs. 54.2% in FTI600, p = .77). There were no differences in the total number of lesions, total ablation time, procedure time and fluoroscopy duration between the two groups. There were no major complications in any group. In the total population, patients not achieving first‐pass CTI block had significantly higher rate of acute CTI conduction recovery, compared to those with first‐pass block (29.2% vs. 7.7% respectively, p = .048).ConclusionsCTI ablation using 600 gs FTI lesions is not associated with reduced spontaneous or adenosine‐mediated recurrence of transisthmus conduction, compared to 400 gs lesions. 相似文献
25.
Bone marrow changes in beta-thalassemia major: quantitative MR imaging findings and correlation with iron stores 总被引:2,自引:0,他引:2
The purpose of this study is to describe the MR imaging features of bone marrow in beta-thalassemia major and investigate
their relation to ferritin, liver and spleen siderosis. Spinal bone marrow was prospectively assessed on abdominal MR studies
of 40 transfused beta-thalassemic patients and 15 controls using T1-w, Pd, T2*-w Gradient Echo (GRE) and T1-w turbo Spin Echo
(TSE) sequences. Signal intensity (SI) ratios of liver, spleen and bone marrow to paraspinous muscles (L/M, S/M, B/M respectively)
and the respective T2 relaxation rates (1/T2) were calculated. Serum ferritin levels were recorded. Bone marrow hypointensity
in at least T2*-w GRE sequence was noted in 29/40 (72.5%) patients. Eleven/40 patients exhibited normal B/M on all MR sequences.
Five/40 patients had normal B/M and low L/M. B/M correlated with L/M in T1-w TSE sequence only (r = 0.471, p = 0.05). B/M correlated with S/M and mean ferritin values in all sequences (r > 0.489, p < 0.01 and r > − 0.496, p < 0.03 respectively). Marrow 1/T2 did not correlate with ferritin values or liver and spleen 1/T2. B/M in transfused beta-thalassemic
patients is related to splenic siderosis and ferritin levels. Although marrow is usually hypointense, it may occasionally
display normal SI coexisting with liver hypointensity, a pattern typical of primary hemochromatosis. 相似文献
26.
Stavros I. Tyritzis Abolfazl Hosseini Justin Collins Tommy Nyberg Martin N. Jonsson Oscar Laurin Dinyar Khazaeli Christofer Adding Martin Schumacher N. Peter Wiklund 《European urology》2013
Background
Robot-assisted radical cystectomy (RARC) with totally intracorporeal neobladder diversion is a complex procedure that has been reported with good outcomes in small series.Objective
To present complications and oncologic and functional outcomes of this procedure.Design, setting, and participants
Between 2003 and 2012 in a tertiary referral center, 70 patients were operated on by two experienced robotic surgeons. Data were collected prospectively and reviewed retrospectively.Intervention
RARC with totally intracorporeal modified Studer ileal neobladder formation.Outcome measurements and statistical analysis
The overall outcome of RARC with a totally intracorporeal neobladder was presented by assessing (1) surgical margins, (2) recurrence or cancer-specific death at 24 mo, (3) 30-d and 90-d complications graded according to the modified Clavien-Dindo system, (4) daytime and nighttime continence (no or one pad per day) at 6 and 12 mo, and (5) satisfactory sexual activity or potency at 6 mo and 12 mo. Survival rates were estimated by Kaplan-Meier plots.Results and limitations
Median follow-up of the cohort was 30.3 mo (interquartile range: 12.7–35.6). We recorded negative margins in 69 of 70 patients (98.6%). Clavien 3–5 complications occurred in 22 of 70 patients (31.4%) at 30 d and 13 of 70 (18.6%) at >30 d. At 90 d, the overall complication rate was 58.5%. Clavien <3 and Clavien ≥3 complications were recorded in 15 of 70 patients (21.4%) and 26 of 70 (37.1%), respectively. Kaplan-Meier estimates for recurrence-free, cancer-specific, and overall survival at 24 mo were 80.7%, 88.9%, and 88.9%, respectively. Daytime continence and satisfactory sexual function or potency at 12 mo ranged between 70% and 90% in both men and women. Limitations of this study include its retrospective design, selection bias due to the learning curve phase, and missing data.Conclusions
In this expert center for RARC, outcomes after RARC with totally intracorporeal neobladder diversion appear satisfactory and in line with contemporary open series. 相似文献27.
Background
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is currently the gold standard bariatric procedure for the treatment of morbid obesity. Laparoscopic sleeve gastrectomy (LSG) is a relatively innovative procedure which has been increasingly applied lately as a sole bariatric procedure. A randomized trial was conducted in a Greek population to evaluate perioperative safety and 3-years results. 相似文献28.
29.
Germaine Cumming Ameneh Khatami Brendan J. McMullan Jennie Musto Kit Leung Oanh Nguyen Mark J. Ferson Georgina Papadakis Vicky Sheppeard 《Emerging infectious diseases》2015,21(7):1144-1152
From October 2013 through February 2014, human parechovirus genotype 3 infection was identified in 183 infants in New South Wales, Australia. Of those infants, 57% were male and 95% required hospitalization. Common signs and symptoms were fever >38°C (86%), irritability (80%), tachycardia (68%), and rash (62%). Compared with affected infants in the Northern Hemisphere, infants in New South Wales were slightly older, both sexes were affected more equally, and rash occurred with considerably higher frequency. The New South Wales syndromic surveillance system, which uses near real-time emergency department and ambulance data, was useful for monitoring the outbreak. An alert distributed to clinicians reduced unnecessary hospitalization for patients with suspected sepsis. 相似文献
30.
Iris?Iglesia Isabelle?Guelinckx Pilar?M.?De?Miguel-Etayo Esther?M.?González-Gil Jordi?Salas-Salvadó Stavros?A.?Kavouras Joan?Gandy Homero?Martínez Saptawati?Bardosono Morteza?Abdollahi Esmat?Nasseri Agnieszka?Jarosz Guansheng?Ma Esteban?Carmuega Isabelle?Thiébaut Luis?A.?MorenoEmail author 《European journal of nutrition》2015,54(2):57-67