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91.
92.
Horibe EK Sacks JM Aksu AE Unadkat J Song DY Ferreira LM Feili-Hariri M Lee WP 《Journal of reconstructive microsurgery》2007,23(6):321-328
Described by Strauch and Murray in 1967, the rodent epigastric free flap remains a versatile tool for microsurgery research and training. We report herein three sequential phases of our quest to improve efficiency and effectiveness of the original technique, making it more accessible to more microsurgeons. Ninety-six allotransplants were performed. Surgical technique, complication rates, clinical findings, and histopathologic correlation of each phase are reported. In phase I, two experienced microsurgeons employed the original technique and succeeded in 77% of the procedures. In phase II, two junior microsurgeons achieved a patency rate of 16.6% using the same technique, as opposed to 100% in phase III, utilizing the not-yet-described simplified flow-thru technique. Although patency rate using the original method varies from 9 to 78% (according to other reports), this technical modification can increase even the less experienced microsurgeons' success rates, perpetuating the use of Strauch's epigastric flap in experimental microsurgery. 相似文献
93.
E. D. Sezer K. Aksu O. Caglayan G. Keser G. Karabulut G. Ercan 《Rheumatology international》2012,32(1):217-222
Beh?et’s disease (BD) is a multisystemic, chronic inflammatory, relapsing disorder that is characterized by oral/genital ulcerations,
ocular, arthritic, vascular, and neurologic involvements. Recent findings suggest the role of increased oxidative stress and
insufficient antioxidant defence system in BD pathogenesis. It has been proposed that the increase in phagocytic cell activity
by triggering oxidative reactions in various targets such as lipids, proteins, and DNA leads to severe inflammatory and degenerative
pathologies seen in BD In this study, oxidant/antioxidant status of patients with BD was evaluated in comparison with controls
and in respect to disease activity by measuring serum nitrite/nitrate, vitamin A, malondialdehyde (MDA), 8-hydroxy deoxyguanosine
(8-OHdG), and total sulfhydryl levels (T-SH). The increase in serum MDA and 8-OHdG levels (respectively 30.04 vs. 17.93 nmol/ml,
P = 0.0004 and 1.60 vs. 1.03 ng/ml, P = 0.0019) and the decrease in T-SH levels of patients with BD in comparison with controls (0.69 vs. 0.76 mmol/l, P = 0.0085) all indicate the impaired oxidant/antioxidant status in BD. The positive correlation found between MDA/8-OHdG levels
(P = 0.02), and the negative correlations both between T-SH/8-OHdG levels (P = 0.031) and T-SH/MDA levels (P = 0.009) show the concordance between the parameters evaluating oxidant-antioxidant status. Among the parameters used for
evaluating oxidant/antioxidant status, serum 8-OHdG was the only one showing significantly higher levels in patients with
clinically active disease in comparison (P = 0.004) to patients in inactive period. Therefore, 8-OHdG that is assessed for the fist time in BD with this study can be
proposed as a more reliable indicator of oxidant stress in evaluating disease activity. 相似文献
94.
Goal of work To examine the frequency and types of complementary and alternative medicine use in patients undergoing radiotherapy and to
analyze the effects these therapies have on the toxicities of radiotherapy.
Materials and methods A total of 210 consecutive cancer patients undergoing radiation therapy were included. After radiation therapy, each patient
completed a standard questionnaire, and the association between radiation toxicity and complementary and alternative medicine
use was analyzed.
Main results Among the study population, 44.3% of patients reported using at least one form of complementary and alternative medicine during
radiotherapy. The most commonly chosen complementary and alternative medicine was stinging nettle. Complementary and alternative
medicine use decreased lower gastrointestinal (F = 3.26, P = .009) and genitourinary toxicities (F = 2.38, P = .043), while it increased laryngeal toxicity (F = 2.63, P = .028). A significant correlation between the type of complementary and alternative medicine used and the degree of these
toxicities was not demonstrated.
Conclusions Use of complementary and alternative medicine among cancer patients during radiation therapy may affect the degree of radiation
toxicity. Further randomized controlled clinical trials are needed to determine the benefits and risks of complementary and
alternative medicine use during radiation therapy. 相似文献
95.
96.
97.
SEATON A; JELLINEK EH; KENNEDY P 《QJM : monthly journal of the Association of Physicians》1992,84(2):707-712
Five patients are described who presented with major organicbrain disease affecting one or more of pyramidal and extrapyramidaltracts, cerebellum, and higher cortical functions. All had ahistory of 10 years or more of regular occupational exposureto solvents in confined spaces, three in painting inside shipsand the others in weapons maintenance and printing. All hadbeen regularly exposed to high air vapour peaks as well as toskin contamination. Four showed some evidence of improvementafter the exposure ceased. None was initially suspected of havinga toxic encephalopathy by the consultant to whom he was referred.The spectrum of neurological disease presented by these menmirrors closely that described in solvent abusers. All wereforced by illness to retire from their work, a circumstancewhich might have in the past have led to such conditions beingmissed in cross-sectional studies, which in general have notshown evidence of major disease. We suggest that when such diseaseoccurs nowadays, its cause is usually not suspected. Furtherepidemiological study of the problem is necessary. 相似文献
98.
I. Sall M. Chourak S. M. Bouchentouf Z. Bouziane T. El Harroudi A. Benkabou R. Mbida M. Absi M. El Ouanani M. Echarrab E. F. EH El Alami M. Amraoui A. Errougani R. Chkoff 《Journal Africain d'Hépato-Gastroentérologie》2009,3(2):105-107
Diverticula of the right colon are a rare clinical entity. Diverticulitis can occur with these lesions, but the diagnosis is frequently missed as the presentation is similar to that of acute appendicitis and can mimic other acute intraabdominal infections such as cholecystitis. The authors report a case of solitary diverticulitis of the right colon in a young woman, an incidental discovery during surgery for suspected appendicitis, with emphasis on the diagnostic and therapeutic modalities. 相似文献
99.
Yavuz Gürkan Can Aksu Alparslan Kuş Kamil Toker Mine Solak 《Journal of clinical monitoring and computing》2017,31(2):331-336
Lumbar plexus block has been shown to be effective for providing postoperative analgesia after major hip surgeries in children. The goal of the study was to evaluate the feasibility of ultrasound guidance during lumbar plexus block in children undergoing hip surgery for congenital hip dislocation. After obtaining local institutional ethical committee approval and parental informed consent, ASA I or II, 1–6 years old children undergoing hip surgery were included into the study. Lumbar plexus block was performed after general anaesthesia using ultrasound guided Shamrock Method. Bupivacaine 0.25 % was used during block performance. Dose of the local anaesthetic was 1 ml/kg and the maximum dose was limited to 20 ml. In the postoperative period pain was assessed using modified CHEOPS (Children’s Hospital Eastern Ontario Pain Scale) pain score. If pain score in the postoperative period exceeded 3, patients received IV paracetamol 15 mg/kg?1. Morphine 0.1 mg/kg?1 IV was planned to administer if pain scores were still higher than 3 despite paracetamol treatment. 75 patients whose mean age was 47 months were enrolled into the study. All blocks were performed successfully and without complications. Mean time for the first analgesic is found as 10 h after surgery. Only one patient required morphine in the recovery unit and 23 patients received paracetamol. US guided lumbar plexus block using Shamrock Method is an effective technique for providing postoperative analgesia after hip surgeries in children and it’s effect lasts for 8–12 h after surgery. 相似文献
100.
Suheyla Komur Behice Kurtaran Ayse Seza Inal Husnu Pullukcu Aslihan Ulu Ferit Kuscu Tansu Yamazhan Yesim Tasova Hasan Salih Zeki Aksu 《Hepatitis monthly》2015,15(2)