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91.
[Purpose] The purpose of this study was to compare the effect of childbirth delivery
method on vaginal pressure and abdominal thickness during the Valsalva maneuver (VAL).
[Subjects] Thirty healthy female volunteers (26–39 years of age) were selected for this
research. Their delivery histories were: nulliparous 10, vaginal delivery 10, and Cesarean
delivery 10. None of the participants had a history of incontinence. [Methods] In the
crook-lying position, a perineometer probe was inserted into the vagina and the transducer
was placed transversely on the right side of the body during the Valsalva maneuver.
[Results] There were significant differences in the thickness of the transverses abdominis
(TrA) between in all the groups rest and the Valsalva maneuver, and there were significant
differences in the internus oblique (IO) in the nulliparous group. During the Valsalva
maneuver, there were significant differences in the TrA between the nulliparous group and
the vaginal delivery group, and there were significant differences in the IO between the
nulliparous delivery group and the vaginal delivery group, and between the nulliparous
group and the Cesarean section group. Delivery history changed vaginal pressure, and there
were significant differences between the nulliparous group and the vaginal delivery group,
and between the nulliparous group and the Cesarean delivery group. [Conclusion] Pregnancy
and delivery method may affect pelvic floor and abdominal muscles during the Valsalva
maneuver.Key words: Ultrasound image, Valsalva maneuver, Vaginal pressure 相似文献
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D.C. dos Santos V. Limongi A.M. de Oliveira da Silva E.C. de Ataide M.F. Trovato Mei E.Y. Udo I.F.S.F. Boin R.S.B. Stucchi 《Transplantation proceedings》2014
Introduction
Muscular weakness in combination with malnutrition can induce a global motor impairment and physical inactivity, adversely impairing the daily living activities and quality of life of end-stage liver disease patients who are candidates for liver transplantation.Objectives
To evaluate functional status, pulmonary capacity, body composition and quality of life in end-stage liver disease patients who are candidates for liver transplantation; to verify if there is a correlation between the functional variables of the individuals tested through the 6-minute walk test (6MWT) and covariables: pulmonary function test (PFP), quality of life and body composition.Methods
This study was carried out at the Liver Transplantation Unit of the State University of Campinas (UNICAMP). We included 46 patients with end-stage liver disease who underwent the following evaluations: medical history, quality of life questionnaire “Short Form 36” (SF-36), surface electromyography (sEMG) of the diaphragm and rectus abdominis muscles, body composition assessment by electrical vioimpedance (BIA), 6MWT and PFP.Results
Univariate analysis and Pearson's correlation found correlations between distance walked on 6MWT and QOL (P = .006 and P = .02) and TBW (P = .5 and P = .02). Pearson's correlation were found between respiratory variables of 6MWT, QOL, and PFP.Conclusion
The functional status may be correlated to body composition, quality of life and pulmonary capacity of patients with liver disease, candidates for transplantation. 相似文献95.
Boin Lee Sang Yun Ha Dae Hyun Song Hyun Woo Lee Soo Youn Cho Cheol-Keun Park 《Gut and liver》2014,8(6):662-668
Background/Aims
Ribonucleotide reductase subunit M2 (RRM2) catalyzes the production of deoxynucleotide triphosphates, which are necessary for DNA synthesis. RRM2 has been reported to play an active role in tumor progression, and elevated RRM2 levels have been correlated with poor prognosis for colorectal cancer patients. This study aimed to elucidate the prognostic significance of RRM2 protein expression in hepatocellular carcinoma after surgery.Methods
RRM2 protein expression was evaluated using immunohistochemistry in tumor tissues from 259 hepatocellular carcinoma patients who underwent curative hepatectomy.Results
High RRM2 expression was observed in 210 of 259 patients (81.1%) with hepatocellular carcinomas. High RRM2 expression was significantly associated with viral etiology (p=0.035) and liver cirrhosis (p=0.036). High RRM2 expression was correlated with early recurrence (p=0.004) but not with late recurrence (p=0.144). Logistic regression analysis revealed that high RRM2 expression (p=0.040) and intrahepatic metastasis (p<0.001) were independent predictors of early recurrence. High RRM2 expression unfavorably influenced both shorter recurrence-free survival (p=0.011) and shorter disease-specific survival (p=0.002) and was an independent predictor of shorter disease-specific survival (p=0.008).Conclusions
High RRM2 protein expression might be a useful marker for predicting early recurrence and may be a marker for poor prognosis of hepatocellular carcinoma after curative hepatectomy. 相似文献96.
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Daniel Alvarenga Fernandes Eduardo Andreazza Dal Lago Felipe Aguera Oliver Bruna Melo Coelho Loureiro Daniel Lahan Martins Thiago Jos Penachim Ricardo Hoelz de Oliveira Barros Jos de Arimat ia Batista Ara jo Filho Larissa Bastos Eloy da Costa urea Maria Oliveira da Silva Elaine Cristina de Ata de Ilka de F tima Santana Ferreira Boin Nelson Marcio Gomes Caserta 《World journal of hepatology》2022,14(7):1459-1469
99.
L.A.C. Sardinha M.V.O. Athayde S.L.L. Rodrigues M.R.P.D. Cunha V.P. Dantas Filho H.J.L. Zambelli M.L. Lima S. Araujo I.F.S.F. Boin 《Transplantation proceedings》2019,51(2):595-601
The recovery or collection of postmortem semen raises relevant ethical and social concerns. In this study we report 2 cases witnessed by the authors in an organ procurement organization in Brazil. The patients had a diagnosis of brain death, were organ donors, and had no consent for the use of postmortem sperm. In Brazil, the diagnosis of brain death has been clearly established since 1997, with the most recent update in 2017, but has not considered the possibility of the collection of sperm or eggs from the donor. A review of the world literature has been carried out, as well as current legislation in different countries, including Brazil, with special interest in the impact on the autonomy of the deceased (informed consent or not), the wife, the generation of the child and their rights, and the ethical role of the physician. 相似文献