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671.
Seyan M.T. Dattani Maria Luiza Yamada Nilu Malpani Dhoot Gamal Ghazala Adam Levene Ramkumar Somsundaram 《Radiology Case Reports》2022,17(6):2247
The presence of metastatic lymph nodes is a poor prognostic factor in patients with prostate cancer. Currently, there is no national prostate cancer screening program through prostate-specific antigen testing and the benefits of initiating such a scheme have not yet been proven. However, an informed choice program is in place, on request, for men over the age of 50, following discussion with a healthcare professional and an assessment of the potential benefits. This test is also available to men presenting with lower urinary tract symptoms. We report three cases in men who were imaged for non-specific reasons and found to have pelvic lymphadenopathy. The patients reported no urinary symptoms and all were subsequently diagnosed as metastases from a prostatic primary. As this diagnosis was not considered at an earlier stage, there was a delay in initiating appropriate treatments. 相似文献
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Vlaho Brailo Marcio Diniz Freitas Jacobo Limeres Posse Luis Monteiro Luis Martins Silva Jean-Cristophe Fricain Sylvain Catros Mathilde Fénelon Giovanni Lodi Raj Ariyaratnam Vignesh Murthy Ross Keat Richard James Cook Michael P. Escudier Kristina Horvat Niccolò Lombardi Barbara Carey Rui Albuquerque 《European journal of dental education》2023,27(3):622-632
Introduction
The aim of this study was to assess the knowledge and clinical experience of oral potentially malignant disorders (OPMDs) in undergraduate dental students in six European countries (Croatia, France, Italy, Portugal, Spain and United Kingdom) and assess student’s attitude and preference to future education on the topic. A secondary aim was to identify gaps in student’s knowledge and clinical practice. The study was a part of the Erasmus+ project “Oral Potentially Malignant Disorders: Healthcare Professionals Training“ (Grant No: 2020-1-UK01-KA202-078917).Materials and Methods
An online questionnaire was distributed to all final-year students in six partner universities. This consisted of four parts assessing: (1) knowledge on OPMDs, (2) clinical experience with this group of patients, (3) self-rated competence in the management of OPMDs and (4) preferences with regard to future education.Results
Two hundred and sixty final-year dental students from six partner universities responded to the questionnaire. Response rates varied from 12% to 92% between partner universities. Significant differences in clinical experience and knowledge were found between students. Students with more clinical exposure to OPMDs rated their knowledge and competence in the management of OPMDs higher than students with less clinical experience. The majority of students were interested in future education on OPMDs, preferably via short educational videos.Conclusion
The majority of students have received theoretical knowledge of OPMDs during their undergraduate studies, however, not all had clinical exposure to this group of patients. Students were open to further education on OPMDs. Important deficiencies in knowledge were identified that need to be addressed and it is anticipated that the e-learning platform and e-book that are in development by partner institutions will help to improve overall knowledge of OPMDs. 相似文献673.
Vignesh Raman MBBS BSc Liam Maclachlan PhD Michael Redmond MBBS FRACS 《Emergency medicine Australasia : EMA》2023,35(3):406-411
Objectives
Delayed inter-hospital transfers of deteriorating neurotrauma patients from rural and regional hospitals to tertiary centres have seen the need for non-neurosurgeons to undertake emergency intracranial haematoma evacuation surgery locally. In the present study, the authors contributed to the paucity in the literature regarding the widespread availability of cranial access equipment in non-tertiary centres and patient outcomes in Queensland.Methods
We surveyed delegates (senior theatre nurses or surgical service directors) from rural and regional Queensland hospitals if they were located outside the local catchment of a tertiary centre and had a CT scanner. Questions regarded availability, location and storage conditions of mechanical cranial access kits, as well as last usage, and associated patient outcomes.Results
Twenty-six delegates from eligible hospitals responded. Eighteen hospitals offered surgical services. Eleven hospitals housed complete mechanical cranial access kits. Five hospitals housed incomplete kits. Thirteen hospitals housed their equipment sterile in the operating theatre or ED. Eleven hospitals reported using the equipment, with last usage ranging from 4 months to over 30 years. Two hospitals reported using the equipment within 12 months while a further five reported using it within 10 years. Two hospitals reported ‘good’ outcomes, two ‘ok’ and one ‘poor’.Conclusions
The availability of cranial access equipment outside Queensland tertiary centres has been limited. Inter-hospital transfers are likely to persist in Queensland and haematoma evacuation surgery has been a life-saving endeavour, so improving access to cranial access equipment in hospitals where it is currently lacking is highly warranted. 相似文献674.
Amos Nepacina Liew MBBS Vignesh Narasimhan PhD FRACS Saania Peeroo MBBS Asiri Arachchi MBBS FRACS Yeng Kwang Tay MBBS FRACS James Lim MBBS FRACS Thang Chieng Nguyen MBBS FRACS Chaminda Saranasuriya MBBS FRACS Thomas Surya Suhardja MS FRACS William Teoh MBBS FRACS Suellyn Centauri MBBS FRACS Hanumant Chouhan MS FRACS 《ANZ journal of surgery》2023,93(10):2439-2443
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Christophe Hansen-Estruch Mohamed H. Bikhet Imam H. Shaik Vignesh Vasudevan Wenchen Zhao Mariyam Javed Dalis E. Collins David Ayares Eric Judd David K. C. Cooper Raman Venkataramanan 《Xenotransplantation》2023,30(2):e12795
With pig kidney xenotransplantation nearing clinical reality, it is imperative to measure pig kidney function in the graft recipients. Our aims were (i) to compare inulin clearance after a short intravenous (IV) bolus with steady-state inulin IV infusion, (ii) to use this method to measure the glomerular filtration rate (GFR), and (iii) to determine the tubular secretory function using cefoxitin in a pig-to-baboon renal transplant model. A short IV infusion of inulin and cefoxitin were followed by a maintenance IV infusion of inulin over 5 h in seven healthy baboons, three healthy pigs, and five baboons after bilateral native nephrectomy and intra-abdominal pig renal transplantation. Blood and urine samples were collected. Serum and urinary inulin and serum cefoxitin concentrations measured by validated assays were used to calculate GFR and renal secretion. GFR calculated were similar by both methods. The body weight normalized total body clearance of inulin was similar in pigs and baboons despite differences in absolute clearances. Pig kidney transplanted into baboons provided similar clearance in baboons when normalized to baboon body weight and sustained filtration and secretory functions. The study documented that pig kidneys support the physiologic needs of baboons and are likely to support human recipients as well. 相似文献
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Right hemicolectomy for colon cancer: does the anastomotic configuration affect short-term outcomes?
Ashray Rajagopalan MBBS Suellyn Centauri MBBS FRACS Ellathios Antoniou BSc BP Asiri Arachchi MBBS FRACS Yeng Kwang Tay MBBS FRACS Hanumant Chouhan MBBS FRACS MS James Tow-Hing Lim MBBS FRACS Thang Chien Nguyen MBBS FRACS Vignesh Narasimhan MBChB FRACS PhD William M. K. Teoh MBChB FRACS 《ANZ journal of surgery》2023,93(7-8):1870-1876