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1.
Branislava Milenkovi? Jelena Stojsi? Dragan Mandari? Ruza Stevi? 《The Journal of asthma》2007,44(9):789-793
We report a case of mucous gland adenoma arising in the left main bronchus which was initially misdiagnosed as asthma and review the previous reported cases of this rare tumor published in the available literature. 相似文献
2.
Milica Kontic Jelena Stojsic Ruza Stevic Vera Bunjevacki Biljana Jekić Valerija Dobricic 《Pathology oncology research : POR》2013,19(1):129-133
The actual nature of spindle cell carcinoma has been debated extensively because of its rarity. It carries a poor prognosis, even when early-stage disease is diagnosed and resected. In view of the rarity and the significance of the histological diagnosis, we report a patient with rapidly progressing spindle cell lung carcinoma with soft tissue metastasis. Diagnosis was confirmed by immunohistochemistry finding. Analysis of the TP53 gene mutations by polymerase chain reaction and DNA sequencing revealed insertion of single thymine resulting in frameshift mutation in the exon 8. Prognosis of spindle cell lung carcinoma might be determined by the sarcoma component of the tumor and, based on that, we wonder if this type of lung carcinoma could be followed-up and treated by strategies for soft tissue sarcomas, because of its rapid, sarcomatous type of growth, beside the properly lung carcinoma oncological treatment. 相似文献
3.
This study aimed at determining the characteristics of nonverbal communication (NVC) of caregivers in Slovene nursing homes. The cross-sectional study was performed on 267 randomly selected caregivers from 27 randomly selected nursing homes. Facial expressions/head movements, hand gestures/trunk movements, and modes of speaking/paralinguistic signals were observed. The caregivers manifested altogether 11,324 NVC expressions. Those definitely reflecting positive attitude prevailed and accounted for 59.3% of all expressions, whereas those definitely reflecting negative attitude were very rare and accounted for 9.1% of all expressions, at a ratio of 6.5:1 (p < 0.001). Differences were statistically highly significant between genders (men manifested negative attitude expressions significantly more frequently, 11.8%) and professions (social helpers manifested positive attitude expressions significantly less frequently, 56.4%; other professionals manifested negative attitude expressions significantly less frequently, 5.4%) (p < 0.001). The results were similar within groups of NVC expressions. Although our study showed that caregivers in Slovene nursing homes use positive attitude expressions much more frequently than negative there is a reason for concern due to a general decline in positive values and beliefs in Slovene society. Promoting positive attitude NVC among new generations of caregivers in nursing homes need to become one of the most important contents of their life-long learning and training. 相似文献
4.
Graf Josephine Pape Ulrich-Frank Jann Henning Denecke Timm Arsenic Ruza Brenner Winfried Pavel Marianne Prasad Vikas 《European journal of nuclear medicine and molecular imaging》2020,47(4):881-894
European Journal of Nuclear Medicine and Molecular Imaging - One of the primary prerequisites for peptide receptor radionuclide therapy (PRRT) in patients with neuroendocrine tumors (NET) is the... 相似文献
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Ruza E Sotillo E Sierrasesúmaga L Azcona C Patiño-García A 《Journal of pediatric hematology/oncology》2003,25(10):780-786
PURPOSE: The authors' objectives were to compare height at diagnosis of children with bone tumors with that of Spanish reference children; to analyze the frequency of the genotypes for the polymorphisms of the vitamin D receptor (VDR), estrogen receptor (ER), and collagen Ialpha1 (COLIalpha1) genes in patients and in healthy controls; and to test the relationship between the genetic markers and height. PATIENTS AND METHODS: Height and weight at diagnosis were measured in 58 osteosarcoma and 36 Ewing sarcoma patients and compared with standards published for Spanish reference children according to sex and age. For the molecular analysis, genetic polymorphisms of the VDR (Fok I, Apa I, and TaqI), ER (Pvu II and XbaI), and COLIalpha1 (Msc I) genes were characterized in 72 osteosarcoma and 53 Ewing sarcomas and in a group of 143 healthy matched children. RESULTS: Osteosarcoma and Ewing sarcoma patients were significantly taller than Spanish reference children. Osteosarcoma patients showed a significantly higher frequency of the Ff genotype for the Fok I polymorphism (VDR gene) than the control group. The odds ratio for this genotype was 1.78, with an increased relative risk of 78% for heterozygous Ff carriers. Among Ewing sarcoma patients, this same genotype was significantly associated with lower height than homozygotes (FF or ff). CONCLUSIONS: Children with bone cancer are significantly taller than the reference population, which may be influenced by the genotype for the Fok I polymorphism of the VDR gene. 相似文献
7.
S. García F. Ruza F. Alvarado R. Madero M. A. Delgado P. Dorao M. Frias 《Intensive care medicine》1997,23(2):218-225
Objective: To analyze the actual cost of pediatric intensive care and its different components, particularly the differences between
various patient groups, with special reference to the variable cost and the elements included in it. Design: Prospective, observational study. Setting: Multidisciplinary 12-bed pediatric intensive care unit (PICU) in a tertiary university hospital. Patients: 495 admissions to the unit over 17 consecutive months; 64.2 % were medical patients and 35.8 % were surgical patients; the
mean (SE) stay in the PICU was 6.6 ± 0.4 days. Measurements and results: The fixed cost per day per patient was calculated, including the costs of physicians, nurses, auxiliary and other personnel
who worked during the study period, and the costs of structural depreciation, maintenance, consumption, and disposable material.
The variable cost was individually calculated from the costs of routine procedures and also included expenditure on pharmaceuticals,
blood products, biochemical, hematological, and bacteriologic tests, radiology, image diagnosis procedures, and other procedures.
The Physiologic Stability Index (PSI) was obtained in the first 24 h after admission. The mean fixed cost per patient per
day was u. s. $ 608, which represents 72 % of the total patient cost during this study; 86 % of this amount was for personnel
(58 % for nurses and auxiliary staff). Variable costs came to 28 % of the total amount, and were $ 218 ± 100 (M± SEM) per patient per day. In addition to the costs of their longer stay in the PICU, the daily variable costs of nonsurvivors
were higher than those of survivors ($ 542 ± 52 vs $ 179 ± 7; p < 0.001). We classified the patients into four groups according to their PSI score in the first 24 h; variable daily costs
increased (p < 0.05) in all comparisons with the PSI level: group I: < 4 points ($ 155 ± 0.5), group II: 5–9 points ($ 210 ± 13), group
III: 10–14 points ($ 324 ± 54), group IV: > 15 points ($ 480 ± 42). However, this pattern was not found for all resources:
the cost of treatment techniques and biochemical and hematological tests increased, but the consumption of antibiotics, parenteral
nutrition, blood products, and bacteriologic tests reached their maximum level in groups I–III and radiology was not significantly
influenced by PSI level. Conclusions: The cost of personnel was the biggest factor in intensive care costs: 62.4 % of the total costs. Nonsurvivors generated 3
times the mean variable daily expenditure on survivors and had longer stays in the PICU. The increase in PSI score on the
first day was associated with a global increase in variable costs. The cost of treatment techniques significantly increased
as the illness became more severe but consumption of antibiotics and parenteral nutrition and use of bacteriologic tests and
radiology did not.
Received: 28 February 1995 Accepted: 8 October 1996 相似文献
8.
Francisco Ruza Francisco Alvarado Rafael Herruzo Miguel A. Delgado Santos García Paloma Dorao Federico Goded 《European journal of epidemiology》1998,14(7):719-727
Objective: To assess the effectiveness of selective digestive decontamination (SDD) on the control of nosocomial infection (NI) in critically ill pediatric patients. Design: A prospective, randomized, non-blinded and controlled clinical microbiology study. Setting: The pediatric intensive care unit (PICU) of a tertiary level pediatric university hospital. Criteria for inclusion: Patients 1 month to 14 years old, who underwent some kind of manipulation or instrumentation (mechanical ventilation, vascular cannulation, monitoring of intracranial pressure, thoracic or abdominal drainage, bladder catheterization, peritoneal dialysis, etc.) and/or presented a neurological coma requiring a stay in the PICU of 3 or more days. Patients: Over a period of 2 years, 244 patients met the inclusion criteria; 18 patients were withdrawn because of protocol violation. The treatment group comprised 116 patients and the control group, 110 patients. Intervention: The treatment group received a triple therapy of colimycin, tobramycin and nystatin administered orally or via nasogastric tube every 6 hours. All patients with mechanical ventilation or immune-depression received decontamination treatment of the oropharyngeal cavity with hexitidine (Oraldine® 0.5 mg/ml) every 6–8 hours in accordance with the PICU's conventional protocol. Method: Up to 10 types of nosocomial infection were diagnosed following criteria of the Centers for Disease Control (CDC). The severity and manipulation of the patients on admission was assessed using the therapeutic intervention scoring system (TISS) and multi-organ system failure scores (MOSF). Measurements and main results. Univariant analysis: SDD did not significantly reduce the incidence of NI, antibiotic use, the length of stay, or mortality; although a small percentage of respiratory and urinary tract infections was detected, catheter-related bacteremia was the most common infection. Multivariant analysis: Controlling the risk factors for each child through log regression showed that SDD acted as a protective factor for more than 90% of the sample with respect to the appearance of respiratory and urinary tract infections, reducing the risk of such infections to 1/5 and 1/3, respectively. Conclusions: SDD was effective in controlling respiratory and urinary tract infections in children admitted to the PICU, but it did not reduce the incidence of other types of nosocomial infection. 相似文献
9.
José I. Bilbao Manuel Ruza Jesús M. Longo Francisco Mansilla Antonio Picardi Vanessa de Villa Fernando Pardo Jesús Sola Jorge Quiroga 《Cardiovascular and interventional radiology》1994,17(4):210-213
Posttransplant lymphoproliferative disorders are infrequent tumors related to chronic immunosuppressive therapy. We present a liver transplant recipient who developed such a tumor in the porta hepatis that provoked obstruction of the entire portal triad. Treatment consisted of systemic chemotherapy, percutaneous dilatation, and placement of Wallstent endoprostheses across both biliary and portal vein stenoses. The patient died 3 weeks later of pneumonia and sepsis. At necropsy, the tumor was completely necrosed and the prostheses in both the common bile duct and the portal vein were patent. 相似文献
10.