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31.
Janjaap van der Net Patrick van der Torre Raoul HH Engelbert Vivian Engelen Femke van Zon Tim Takken Paul JM Helders 《Pediatric rheumatology online journal》2008,6(1):2
Objective
To describe the level of motor performance and functional skills in young children with JIA. 相似文献32.
33.
Manabe J Ahmed AR Kawaguchi N Matsumoto S Kuroda H 《Clinical orthopaedics and related research》2004,(419):258-266
For skeletal reconstruction in surgery for bone tumors, pasteurization of bone has been used with favorable results over autoclaving or boiling. Twenty-three patients with primary malignant bone tumors and two patients with soft tissue sarcoma invading bone reconstruction surgery with pasteurized autologous bone graft comprised the study group. There were 16 females and nine males, between 7 and 77 years of age who were followed up for at least 3 years (mean, 52 months). The International Society of Limb Salvage graft evaluation method was used for evaluation of the radiographs. Fifteen patients (60%) had complete incorporation of the graft and eight patients (32%) had partial incorporation. Viability of the grafts was evaluated by bone scintigraphy. Of 22 patients evaluated, uptake was detected in 17 patients from approximately 6 months postoperatively after which it increased gradually. The functional results were assessed by the system of the Musculoskeletal Tumor Society, and the mean functional rating was 86%. Eighteen patients have been disease-free and seven have died of disease. Fracture (12%) and infection (20%) were the main complications. No local recurrence was detected. These results indicate that pasteurization of bone may be a useful option for reconstruction after resection of malignant bone tumors. The advantages of extracorporeal pasteurization include convenience of use, avoidance of intraspecies infection and allogenic reactions, and satisfactory bone remodeling. 相似文献
34.
35.
There continues to be a high rate of female circumcision being practiced in Egypt. A questionnaire covering circumcision status, circumstances of circumcision procedures, and attitudes towards circumcising their daughters was given to female students in nursing secondary schools. This population was chosen as a representative sample of future mothers who also will work in a very sensitive area related to female circumcision. Results showed that all the students surveyed were circumcised. The peak ages for circumcision performance were between 10 and 12 years. About 60% of operations were performed by physicians and about 80% were done under anaesthesia at home. Rural residence was the main variable influencing the continuation of this practice in a culture in which traditions and habits are strongly respected. This points to the difficulties that face any efforts to eradicate this process. 相似文献
36.
Bernard MY Cheung THY Au SY Chan CM Lam SH Lau RP Lee SF Lee WS Lo EHF Sin MY Tang HH Tsang 《Experimental & Clinical Cardiology》2005,10(1):21-24
BACKGROUND:
Psychosocial stress can be the cause or the consequence of hypertension.OBJECTIVE:
To study the association between hypertension and anxiety or depression in adults from Hong Kong, China.SUBJECTS AND METHODS:
Patients with diagnosed hypertension (n=197) were recruited to complete the Hospital Anxiety and Depression Scale (HADS) questionnaire. The control group comprised 182 normotensive subjects recruited using random telephone numbers.RESULTS:
The score in the anxiety subscale (HADS-A) of the HADS correlated with age (r= −0.23, P<0.001) and sex (r=0.11, P=0.042), and was found to be higher in women. The score in the depression subscale (HADS-D) correlated with age (r=0.17, P=0.003) and hypertension (r=0.12, P=0.039), but not with sex (r=0.02, P=0.68). When the control subjects were matched for sex and age with the subjects with hypertension, the mean HADS-A score was 5.51±0.41 in 113 hypertensive subjects and 4.38±0.39 in 113 normotensive subjects (P=0.047). The mean HADS-D score was 5.56±0.39 in the hypertensive and 4.76±0.32 in the normotensive subjects (P=0.11). Multiple regression analysis using data from both groups indicated that the HADS-A score was related to the HADS-D score (β=0.49, P<0.001), age (β= −0.25, P<0.001) and sex (β=0.12, P=0.01) (R2=0.28), whereas the HADS-D score was related to the HADS-A score (β=0.48, P<0.001), age (β=0.30, P<0.001), positive smoking status (β=0.13, P=0.004) and lack of exercise habit (β=0.12, P=0.008) (R2=0.31). Hypertension was related to waist circumference, history of parental hypertension and age (R2=0.38, P<0.001). Anxiety and depression scores were rejected as independent variables.CONCLUSIONS:
Hypertension was associated with anxiety but not depression; however, age, history of parental hypertension and central obesity appeared to have a stronger association with hypertension in adults from Hong Kong. 相似文献37.
Adel Refaat Ahmed Tamer Sweed Adel Wanas 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2008,18(8):571-576
Introduction Fractures of the olecranon are among the most common injuries involving the upper extremity and require operative intervention
if displaced. The most commonly used method of fixation for this type of fracture is the AO tension band wiring, although
the results of this technique have been generally good, still problems have occurred, including loss of fixation, nonunion,
and high re-operation rate for hardware removal.
Aim of the study To compare the results of treatment of displaced fractures of the olecranon using AO tension band wiring versus intramedullary
screw with tension band.
Materials and methods In a prospective study, 30 patients with transverse or oblique olecranon fractures, were randomly divided into two equal groups,
one group treated using AO tension band wiring the other group using an intramedullary cancellous screw plus tension band.
Results In the screw plus tension band group, 11 (73.3%) patients had excellent results, four (26.7%) had good results and none had
fair or poor results, only one(6.6%) patient required second operation for removal of prominent hardware. In the AO tension
band group, six (40%) patients had excellent results, five (33.3%) had good, three (20%) had fair and one (6.7%) patient had
poor result, and eight patients (53.3%) required second operation for removal of prominent hardware.
Conclusion Using an intramedullary screw combined with tension band in treatment of displaced transverse and oblique olecranon fractures
gives better clinical results and has much less re-operation rate for removal of hardware when compared to AO tension band
wire fixation, avoiding costs, work time loss and possible complications from hardware removal. 相似文献
38.
Abdel-Nasser AM Ghaleb RM Mahmoud JA Khairy W Mahmoud RM 《Clinical rheumatology》2008,27(11):1377-1385
The objective of our study was to determine the prevalence of neuropsychiatric manifestations and anti-ribosomal P antibodies
(aRP) in SLE and to examine the diagnostic utility and associations of aRP with neuropsychiatric and other disease manifestations.
Thirty two consecutive SLE patients, diagnosed according to the updated 1997 ACR criteria, were studied. A full medical history,
rheumatological, neurological, psychiatric examination, and psychometric evaluation, including a battery of tests for cognitive
dysfunction and the Symptom Checklist-90-Revised depression and anxiety scales were administered to all patients. Disease
activity was scored using the SLEDAI. Neuropsychiatric manifestations were diagnosed and categorized according to the 1999
ACR case definitions for 19 NPSLE syndromes. Laboratory and serologic tests including ANA, anti-ds DNA, anti-cardiolipin antibodies
(aCL) and aRP (ELISA) were also carried out. Twenty six (81.2%) patients had one or more NP manifestations. Depression (59.4%),
headache (46.9%) and cognitive dysfunction (37.5%) were the commonest NPSLE syndromes. Other less commonly detected manifestations
included seizures, anxiety, acute confusional state, stroke, and psychosis. aRP was positive in seven (21.9%) patients, all
of whom had one or more NPSLE syndromes. Patients with psychiatric manifestations in general and mood disorders in particular
had significantly higher mean titers of aRP than patients without these disorders (p < 0.05). aRP were found to be significantly associated with a younger age at the onset of SLE, with more severe articular
manifestations and with the presence but not the severity of depression. aRP were highly specific for NPSLE and depression,
and they were highly sensitive for psychosis. Neuropsychiatric manifestations are found in 81.2% of unselected Egyptian SLE
patients. The presence of aRP antibodies positively predicts patients with psychiatric manifestations in general and mood
disorders in particular, for which aRP is specific, but not sensitive. However, aRP is sensitive for psychosis, so that its
absence in patients with SLE may help exclude Lupus psychosis.
The authors have no conflicts of interest or disclosures. 相似文献
39.
Waleed Ali Sayed Ahmed Magdy Refaat Ahmed Mariam Lotfi Mohamed Mostafa Ahmed Hamdy Zenab Kamel Khaled Mohamed Elnahas 《The journal of maternal-fetal & neonatal medicine》2016,29(19):3162-3166
Aim: To evaluate the clinical usefulness of maternal serum interleukin-6 for the detection of subclinical chorioamnionitis and in the prediction of the latency period in patients with preterm premature rupture of membrane (PPROM).Methods: The study group included 60 patients at 24–34 weeks of gestation complaining of PPROM. Laboratory investigations included serial measurements of IL-6, TLC and CRP. Conservative management was carried out till 36 weeks unless delivery was indicated beforehand. The main outcome measures were the latency period and the occurrence of subclinical chorioamnionitis.Results: The mean gestational age at presentation was 30.9 weeks and 35.2 weeks at delivery. The mean IL-6 level at presentation was 4.7?pg/ml. There was no correlation between IL-6 at presentation and the latency period. In addition, those diagnosed as having subclinical chorioamnionitis by placental histopathology had significantly higher levels of IL-6 at delivery. Taking IL-6 level cutoff point of 8.5?pg/ml, histological chorioamnionitis, RDS and NICU admission were significantly higher above that level while neonatal birth weight, Apgar scores at one and five minutes were significantly lower.Conclusion: Maternal serum IL-6 at the time of PPROM has no correlation to the latency period while IL-6 levels at the time of delivery have significant correlation to the subclinical chorioamnionitis and neonatal outcome measures. 相似文献
40.
Kung FT; Chen WJ; Chou HH; Ko SF; Chang SY 《Human reproduction (Oxford, England)》1997,12(8):1649-1653
We report a rare case of early-stage endometrial adenocarcinoma in a 22
year old nullipara with polycystic ovaries undergoing conservative
treatment. Pretreatment evaluation including tumour grade, depth of
myometrial invasion, tumour size, hormone receptor status and flow
cytometric analysis indicated a favourable prognosis. The patient underwent
repeat endometrial curettage and a 6 month period of therapy with megestrol
acetate and tamoxifen. A combination contraceptive pill was then prescribed
to ensure withdrawal of the menstrual cycle thereafter. Now, 1 year after
the last curettage, there is no evidence of disease. During the treatment
period, hysteroscopy allowed for a more precise approach in panoramically
examining the tumour nest in the endometrial cavity, and the subsequent
endometrial response to hormone therapy. Laparoscopy using bulldog clamps
applied to the isthmic portion of the Fallopian tubes prevented i.p. spread
of endometrial tissue from retrograde regurgitation during hysteroscopy.
Laparoscopic ovarian electrocautery resulted in the reduction of abnormal
hypervascularization on the surface of polycystic ovaries postoperatively
but caused a peri-ovarian adhesion complication. It is interesting that
this case posed a unique opportunity to demonstrate the tumour regression
under the assistance of laparoscopy and hysteroscopy.
相似文献