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81.
Panagiotis Kallidonis Vasilis Panagopoulos Iason Kyriazis Marinos Vasilas Evangelos Liatsikos 《World journal of urology》2016,34(6):779-787
The demand for urological surgical treatment associated with better cosmesis, lower morbidity rates and shorter hospitalization constantly grows. The transvaginal route has been proposed in an attempt to avoid long abdominal incisions for the removal of the large laparoscopic specimens. Moreover, the transvaginal NOTES approach represents a promising evolution of laparoscopic surgery to a more “minimally invasive” alternative. The current review summarizes the available experience in the literature in transvaginal conventional laparoscopy and NOTES in urology, gynecology and general surgery. The clinical outcome is presented. The most important issues associated with the transvaginal approach are the complications and the postoperative sexual function. These issues are presented. 相似文献
82.
Antonios Papadomanolakis Eleni Theodoridou Nikistratos Vogiatzis Alexandra Pentheroudaki Despoina Daskalaki Evangelos D. Lolis 《World journal of surgery》2016,40(6):1355-1361
Background
About 50 cases of azygos venous system injuries following civilian trauma have been published in current literature. The purpose of our study was to investigate the incidence of these injuries, the causative mechanism and type of trauma, the co-existing injuries, and the mortality rate in our institution.Methods
We performed a retrospective review of all trauma patients who were admitted to the surgical department of the General Hospital of Rethymno during an 11-year period. Our study included patients arriving at our institution dead or alive with an azygos venous system injury following blunt or penetrating civilian trauma.Results
Seven patients—five men and two women—were identified with azygos venous system injuries. Five had an azygos vein laceration, one suffered from both azygos and hemiazygos vein lacerations, and the last one had sustained hemiazygos and accessory hemiazygos vein injuries. All of them suffered from a blunt trauma. Three arrived at our hospital in extremis, and all died within 24 h despite our resuscitation attempts. All of our patients were polytrauma patients. All of them had co-existing torso injuries which were severe in all but one case, three of them suffered also from serious head injuries, and all but one had at least serious extremity’s injuries.Conclusion
Azygos venous system injuries are rare, although it seems that they are more frequent than current literature would indicate. Blunt trauma mechanism seems to be predominant in civilian trauma setting, and the patients have usually sustained a lot of serious and severe co-existing injuries with high resultant lethality.83.
Robot‐assisted technique for Boari flap ureteric reimplantation: replicating the techniques of open surgery in robotics 下载免费PDF全文
84.
Zoe Giannousi Evangelos C. Karademas Georgia Dimitraki 《Journal of behavioral medicine》2016,39(1):85-93
The aim was to examine the impact of the dyadic, interaction and dissimilarity effects of the illness representations on the psychological health of recently diagnosed cancer patients and spouses in Greece. The sample consisted of 298 individuals nested in 149 couples. Effects were examined with the Actor–Partner Interdependence Model. Both actor (i.e., within person) and partner (i.e., between partners) effects were detected for both patients’ and spouses’ psychological symptoms. The negative association of patients’ psychological symptoms with their representations of illness coherence was weak at the higher and medium levels, and stronger at the lower levels of spouse corresponding representations. Patient–partner discrepancy in perceived illness consequences was associated with more psychological symptoms in patients. Adaptation to cancer is a dyadic process within the context of which patient and partner psychological well-being is affected by each other’s understanding of illness. Thus, the parallel examination of the illness representations of both partners is needed from the early phases of the illness trajectory. 相似文献
85.
Christou EA Rudroff T Enoka JA Meyer F Enoka RM 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》2007,178(3):285-295
The purpose of the study was to determine whether pairs of motor units that discharge action potentials at different rates
during isometric contractions exhibit different levels of motor unit synchronization or coherence. Twelve subjects (28.6 ± 6.1 years)
performed isometric contractions at target forces slightly above the recruitment threshold (1.02–20.9%) of an isolated motor
unit. Based on audio feedback, subjects maintained a relatively constant discharge rate of the isolated unit for about 80 s.
Intramuscular electrodes were used to record the discharge of 47 pairs of motor units at rates that ranged from 8.07 to 13.6 pps.
Correlated discharge between pairs of motor units was quantified with the common input strength (CIS) index, k′ index, and coherence spectrum. Greater discharge rates across pairs of motor units were predicted (R
2 = 0.36, P < 0.001) by higher coherence from 8 to 13 Hz (r = −0.52) and lower coherence from 0 to 4 Hz (r = 0.37). Indexes of motor unit synchronization (CIS and k′) were strongly associated with motor unit coherence from 16 to 32 Hz (CIS: R
2 = 0.63; k′: R
2 = 0.4; P = 0.001). The CIS index of motor unit synchronization and the motor unit coherence from 16 to 32 Hz did not vary with discharge
rate. In contrast, the k′ index of motor unit synchronization declined with discharge rate (r
2 = 0.20, P = 0.001). Furthermore, greater discharge rates across pairs of motor units were accompanied by higher motor unit coherence
in the 8–13 Hz band and lower motor unit coherence in the 0–4 Hz band. These results demonstrate that differences in discharge
rate between pairs of motor units in first dorsal interosseus during low-force, isometric contractions were associated with
modulation of the correlation in the discharge times of the two motor units at frequencies less than 15 Hz. 相似文献
86.
Livaditi O Giamarellos-Bourboulis EJ Kakkas I Kapsimali V Lymberi P Papastariades C Douzinas EE 《Immunology letters》2007,114(2):103-109
The present study compared two different systems of classification of patients with common variable immunodeficiency (CVID); one based on in vitro immunoglobulin biosynthesis; and another on CD4-na?ve cell counts. Peripheral blood mononuclear cells (PBMCs) were isolated from 35 patients with CVID and 20 healthy controls. They were stimulated for the secretion of IgM and IgG after stimulation with Staphylococcus aureus Cowan I (SAC) upon supplementation of interleukin-2 (IL-2) or with pokeweed mitogen. T cell subsets were estimated by flow cytometry. By the first system, patients were classified into group A (n=18) with secretion of neither IgG nor IgM; into group B (n=12) with detectable IgM but no IgG secretion; and into group C (n=5) with IgM and IgG secretion similar to controls. By the second system, patients were classified into group I (n=12) with less than 109 CD4-na?ve cells/mul; into group II (n=12) with CD4-na?ve cells within 109-225microl(-1); and into group III (n=11) with more than 225 CD4-na?ve cells/mul. All groups I-III were defective for in vitro release of IgG and IgM. The likelihood ratio for splenomegaly in patients with <225 CD4-na?ve cells/mul was 5.08 (p: 0.024). CD4-na?ve cell counts of patients were positively correlated to serum levels of IgG and IgA of patients. The presented results revealed that the former system described adequately the function of B cells and the latter the clinical status of the patient. Our proposal is that both should be used for the characterization of patients with CVID. 相似文献
87.
Fotios Barkas Moses Elisaf Evangelos Liberopoulos Rigas Kalaitzidis 《Current medical research and opinion》2018,34(7):1193-1199
Background: Elevated uric acid (UA) is a recognized risk factor for chronic kidney disease (CKD). This study aimed to investigate whether this association exists in dyslipidemic patients receiving multifactorial treatment.Methods: An observational study conducted in Greece including 1,269 dyslipidemic individuals followed-up in a lipid clinic for ≥3 years. Estimated glomerular filtration rate (eGFR) was calculated by CKD-EPI equation and CKD was defined as ≤60?mL/min/1.73 m2. The correlation was assessed between UA levels and the CKD risk after adjusting for potential confounding factors, after defining the following UA quartiles: Q1: 4, Q2: 4–5, Q3: 5–6, and Q4: >?6?mg/dL.Results: After excluding patients with baseline eGFR <60?mL/min/1.73 m2, gout and those taking UA-lowering drugs, 1,095 individuals were eligible; of those, 91% and 69% were treated with statins and anti-hypertensive drugs, respectively. During their follow-up (6 years; IQR?=?4–10), 11.9% of the subjects developed CKD, whereas the median annual eGFR decline was 0.69?mL/min/1.73 m2 (IQR?=?0.45–2.33). Multivariate analysis showed that baseline UA levels (HR?=?1.26; 95% CI?=?1.09–1.45, p?=?.001), female gender (HR?=?1.74; 95% CI?=?1.14–2.65, p?=?.01), age (HR?=?1.10; 95% CI?=?1.07–1.12, p?.001), diabetes (HR?=?1.67; 95% CI?=?1.05–2.65, p?=?.03), cardiovascular disease (HR?=?1.62; 95% CI?=?1.02–2.58, p?=?.04), decreased baseline renal function (eGFR <90?mL/min/1.73 m2) (HR?=?2.38; 95% CI?=?1.14–4.81, p?=?.02), and low-density lipoprotein cholesterol reduction (HR?=?0.995; 95% CI?=?0.991–0.998, p?=?.01) were associated with incident CKD. Additionally, patients with UA ≥6?mg/dL exhibited a higher risk of incident CKD compared with those in the lowest UA quartile (HR?=?2.01; 95% CI?=?1.11–3.65, p?=?.02).Conclusion: Higher UA levels are correlated with a higher risk of incident CKD in dyslipidemic individuals taking multifactorial treatment. 相似文献
88.
Papanastasiou Evangelos I. Theodorou Daphne J. Theodorou Stavroula J. Pakos Emilios E. Ploumis Avraam Korompilias Anastasios V. Gelalis Ioannis D. 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2020,30(3):441-446
European Journal of Orthopaedic Surgery & Traumatology - To evaluate the associations between magnetic resonance imaging (MRI) findings and pain, disability and quality of life before surgery... 相似文献
89.
Martin Schoenthaler Noor Buchholz Erik Farin Hammad Ather Christian Bach Thorsten Bach John D. Denstedt Hans-Martin Fritsche Michael Grasso Oliver W. Hakenberg Ralf Herwig Thomas Knoll Franklin Emmanuel Kuehhas Evangelos Liatsikos Peter Liske Michael Marberger Palle J. S. Osther José Manuel Reis Santos Kemal Sarica Christian Seitz Michael Straub Olivier Traxer Alberto Trinchieri Ben Turney Arkadiusz Miernik 《World journal of urology》2014,32(4):1033-1040
90.
Steeve Doizi Thomas Knoll Cesare M. Scoffone Alberto Breda Marianne Brehmer Evangelos Liatsikos Jean-Nicolas Cornu Olivier Traxer 《World journal of urology》2014,32(1):143-147