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31.
Demirturk F Aytan H Caliskan AC 《The journal of obstetrics and gynaecology research》2007,33(3):341-345
AIM: The aim of the present study was to compare the use of electrothermal bipolar vessel sealer (EBVS) with harmonic scalpel (HS) during total laparoscopic hysterectomy with respect to operation time, estimated blood loss and related complications. METHODS: A retrospective study was conducted in the university hospital. Forty patients who underwent total laparoscopic hysterectomy and bilateral salpingo-oophorectomy were enrolled. Nineteen hysterectomies were performed with HS and in 21 patients the same surgeons used EBVS. Data about the characteristics of the patients, operation time, estimated blood loss, uterine weights, related complications and length of hospital stay were registered and compared. RESULTS: Mean procedure time and estimated blood loss were significantly less in the EBVS arm (59.57 +/- 3.71 vs 90.95 +/- 5.73 min, P < 0.001; 87.76 +/- 25.48 vs 152.63 +/- 60.90 mL; P < 0.001, respectively). The change in hemoglobin and hematocrit values was found to be more significant in the HS group. CONCLUSION: EBVS was found to be less time-consuming and caused less bleeding when compared with HS. 相似文献
32.
New quasi-imputation and expansion strategies for correlated binary responses are proposed by borrowing ideas from random number generation. The core idea is to convert correlated binary outcomes to multivariate normal outcomes in a sensible way so that re-conversion to the binary scale, after performing multiple imputation, yields the original specified marginal expectations and correlations. This conversion process ensures that the correlations are transformed reasonably which in turn allows us to take advantage of well-developed imputation techniques for Gaussian outcomes. We use the phrase 'quasi' because the original observations are not guaranteed to be preserved. We argue that if the inferential goals are well-defined, it is not necessary to strictly adhere to the established definition of multiple imputation. Our expansion scheme employs a similar strategy where imputation is used as an intermediate step. It leads to proportionally inflated observed patterns, forcing the data set to a complete rectangular format. The plausibility of the proposed methodology is examined by applying it to a wide range of simulated data sets that reflect alternative assumptions on complete data populations and missing-data mechanisms. We also present an application using a data set from obesity research. We conclude that the proposed method is a promising tool for handling incomplete longitudinal or clustered binary outcomes under ignorable non-response mechanisms. 相似文献
33.
Meningiomas are the most common primary intracranial tumors. They are usually benign and slowly growing; however, they may show histologically malignant features categorizing them into grade II or III of World Health Organization (WHO) classification. Rhabdoid meningioma (RM) is an uncommon meningioma variant categorized as WHO grade III. The clinical course of RM is determined by local recurrences, invasion of adjacent brain and/or dura, widespread leptomeningeal dissemination, remote metastases and fatal clinical outcome. Herein we report a case with recurrent aggressive left occipital parasagittal region RM in which the patient initially declined radiation treatment. The tumor was resected four times in 5 years. Histopathological examination revealed a rhabdoid meningioma with metaplastic, papillary and chordoid differentiation. Six months after her fourth operation the patient died of progressive disease. RM is a rare subtype of malignant meningioma and the role of different adjuvant therapeutic options are still unknown. Clinical presentation, radiological features and pathologic findings of this uncommon tumor are discussed. 相似文献
34.
Gastric emptying time measurement by radionuclide study, although quite informative, is rarely remembered in clinical practice. We presented a patient with brittle diabetes who had multiple emergency admissions due to hypoglycemia under routinely prescribed insulin therapy. She had severe gastroparesis, which was determined by scintigraphic gastric emptying study (gastric half-emptying time = 260 min for a mixed meal). She had not presented to the emergency service for two years because of only a slight change the timing of her insulin administration time (after meal instead of before meal) in the light of gastric-emptying study. 相似文献
35.
36.
Nafiye Yılmaz Banu Seven Hakan Timur Ayçağ Yorgancı Hasan Ali İnal Müberra Namlı Kalem Ziya Kalem Özge Han Banu Bilezikçi 《Journal of the Chinese Medical Association》2018,81(10):905-911
Background
Ginger (Zingiber officinale) is a well known and extensively used antioxidant in traditional remedies. In this study, we aimed to investigate the effects of ginger powder on ovarian folliculogenesis and implantation in rats.Methods
There were two study groups. In the 5-day treatment group (one estrous cycle), 100 mg ginger powder, 200 mg ginger powder or distilled water was given for 5 days to the three subgroups each containing seven rats. In the 10-day treatment group, same doses were given for 10 days (two estrous cycle) to the three subgroups each containing seven rats. At the end of the 5th and 10th days, ovarian volumes, ovarian weights, primordial follicles, antral follicles, atretic follicles, and corpus luteum counts were assessed. To evaluate the angiogenic effects of ginger, vascular endothelial growth factor (VEGF) and for the antioxidant effects of ginger endothelial nitric oxide synthase (eNOS) were examined in the ovaries and in the endometrium immunohistochemically.Results
In the 5-day treatment group, antral follicle count and ovarian stromal VEGF were significantly high in the 100 mg ginger subgroup in comparison to the control group (p < 0.05). In the 10-day treatment group, endometrial VEGF and ovarian stromal eNOS were significantly high in the 100 mg ginger subgroup in comparison to the control group (p < 0.05). There was no statistically significant difference at 200 mg ginger dose both in 5-day and 10-day treatment groups.Conclusion
The increases in the antral follicle count and ovarian stromal VEGF in the 100 mg/5-day treatment subgroup indicate that ginger have positive effects on folliculogenesis in short term with low dose. Additionally, ginger may enhance implantation in rats in long term with low dose. 相似文献37.
38.
Right ventricular free‐wall longitudinal speckle tracking strain in patients with pulmonary arterial hypertension under specific treatment 下载免费PDF全文
39.
Ziya Simsek M.D. Yavuzer Koza M.D. Hakan Tas M.D. 《Echocardiography (Mount Kisco, N.Y.)》2014,31(4):E124-E127
Cor triatriatum dexter (CTD) is an extremely rare congenital anomaly in which the right atrium is divided into 2 chambers by a membrane. The estimated incidence of cor triatriatum has been reported as 0.1% of congenital cardiac malformations. The septation of the right atrium in the setting of CTD is the result of failed resorption of the right valve of the sinus venosus. This results in anterolateral and posteromedial portions of the divided right atrium. CTD can be diagnosed at any age, especially if it is incidentally discovered. 相似文献
40.
Murat Yilmaz Orhan Kalemci Hakan Yilmaz Necdet M. Palaz 《International journal of surgery case reports》2013,4(8):645-647
INTRODUCTIONSymtomatic lumbar ligamantum flavum calcification is quite rare in the young age group.PRESENTATION OF CASEThe authors report a case of young adult with diagnosis of lumbar spinal stenosis, presenting with leg pain and neurological deficits. Computerized tomography (CT) scan and magnetic resonance (MR) imaging studies revealed ossification of the ligamantum flavum as the causative factor of the disease and the patient recovered completely after the decompressive operation.DISCUSSIONIt is emphasized that attention should be given to this rare etiological factor of lumbar spinal stenosis.CONCLUSIONComplete relief can be achieved with early and adequate surgery. 相似文献