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1.
Nicola Crea Giacomo Pata Ernesto Di Betta Amin Titi Francesco Mittempergher 《Obesity surgery》2011,21(2):151-156
Although the appendix has been recognized as a preferential site for carcinoid tumors in obese patients, no definitive guidelines
are so far available regarding the management of these patients when candidates for bariatric surgery. This study was designed
to fill that gap. Between 2000-2008, 558 patients underwent bariatric procedures. Appendectomy was routinely performed in
477 cases. Their charts were retrospectively retrieved and histopathology responses on surgical specimens were recorded. We
aimed to assess: incidence of appendix carcinoid tumors (ACTs) and any possible risk-factor; modality of diagnosis (pre-,
intra- or post-operatively); impact on the planned bariatric procedure; treatment reserved to such cases. Typical ACTs were
diagnosed in 7 patients (1.4%) (median age: 33 years; median BMI: 49 kg/m2; males/females: 1/6). Four were diagnosed intra-operatively.
Because of dimensions (<2 cm) and absence of mesoappendiceal or serosal involvement, simple appendectomy was performed during
bariatric procedure, as planned. Three were diagnosed post-operatively (all <2 cm). In 1 case right hemicolectomy was performed
1 month later due to mesoappendiceal involvement. No appendectomy-related complication was encountered. All patients remained
tumor-free during follow-up (mean: 64 months; range, 25-92). Young age, female sex, high BMI and diabetes mellitus resulted
significantly associated with ACT. Our study sustains routine appendectomy or at least careful investigation of the appendix
during bariatric surgery. For tumors <2 cm without mesoappendiceal or serosal involvement, simple appendectomy proved sufficient.
Bariatric surgery did not have a negative effect on the treatment of malignancies that are discovered intra- or post-operatively. 相似文献
2.
Bs. Titi Haerana Nurhayati Adnan Prihartono Pandu Riono Ratna Djuwita Syahrizal Syarif Ella Nurlaella Hadi Nastiti Kaswandani 《The Indian journal of tuberculosis》2021,68(3):350-355
BackgroundChildren who inhabit the same house with tuberculosis (TB) patients are at high risk for infection and illness with TB. Nutritional status (stunting) in children is related to the child's ability to withstand MTB (Mycobacterium Tuberculosis). This study aims to estimated the prevalence of tuberculosis infection and its relationship to stunting in children (under five years) with household contact (HHC) with new TB cases.MethodsA cross-sectional design was implemented. Conducted in July 2018–April 2019 at 13 Public Health Center in Makassar City. The sample size was calculated using one sample situation-about precision formula. Samples were children under five who had contact with new diagnosed TB cases. Tuberculosis infection was measured by TST (tuberculin skin test). Logistic regression with causal model to examine TB infection relationship with stunting and covariate variable, analyzed using Stata/MP 13.0 software.ResultsOne hundred twenty-six (126) eligible children. Prevalence of tuberculosis infection was 38.10%. Frequency of stunted was 31 children (24.60%). Stunted nutritional status (aPR): 2.36, 95% CI 1.60–3.44), boys (aPR: 1.47, 95% CI 0.96–2.25), not getting BCG immunization (aPR: 1.58, 95%) CI 0.89–2.82), and high contact intensity (aPR: 2.62, 95% CI 1.10–6.22) best predicted the tuberculosis infection in children with TB case household contacts with a model contribution of 64%.ConclusionStunted nutritional status (moderate and severe), boys, not getting BCG immunization, and high contact intensity are the determinants of TB infection transmission in children HHC with TB. Children under five years of age who have close contact with TB cases should be targeted for priority interventions to prevent the transmission of TB infection and progressing to TB cases. 相似文献
3.
Bukenya Badru Kasirye Rogers Lunkuse Joanne Kinobi Moses Vargas Sylvanna M. Legha Rupinder Tang Lingqi Miranda Jeanne 《The Psychiatric quarterly》2022,93(2):513-526
Psychiatric Quarterly - The current study examines the prevalence of depression, anxiety, suicide risk, and PTSD in Ugandan youth (13-25 years) attending vocational training programs. Youth from... 相似文献
4.
Tucker A Belcher C Moloo B Bell J Mazzulli T Humar A Hughes A McArdle P Talbot A 《Xenotransplantation》2002,9(3):203-208
This report describes the results of hematology, serum biochemistry, growth, and organ weight studies undertaken on pigs from nine cohorts of qualified pathogen free (QPF) pigs reared within a high welfare bioexclusion facility as potential organ source animals. Confirmation of the high health status of the pigs was given through total leukocyte counts and serum globulin concentrations that fell below the expected reference range for conventional pigs. The calculated mean growth rate for QPF pigs was found to exceed target rates set for optimum genotype commercial pig herds. Body weights of QPF pigs were compared with kidney, heart and liver weights at necropsy. 相似文献
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Gabrio Bassotti Vincenzo Villanacci Riccardo Nascimbeni Elisabetta Antonelli Moris Cadei Stefania Manenti Luisa Lorenzi Amin Titi Bruno Salerni 《International journal of colorectal disease》2013,28(2):267-272