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Vincenzo Nuzzo, Tiziana Attardo, Giuseppe Augello, Davide Brancato, Salvatore Camerlingo, Clelia Canale, Federica Coretti, Alessandro Franco, Francesco Giacometti, Maurizio Gambacorta, Massimo Loreno, Ada Maffettone, Vincenzo Provenzano, Alfonso Zuccoli
Audit is a clinical instrument of government characterized by a whole process of evaluation inter pares to improve medical behaviors in the clinical practice. Different endocrinopathies are underestimated in the clinical and diagnostics practice but they can be a real problem in patients admitted in the departments of Internal Medicine. The Adrenal Incidentaloma (AI) is an accidental discovery with an incidence equal to 4% in radiologic studies but it's rarely considereted in the internal disorders. In the departments of Internal Medicine are hospitalized each year approximately 1...
February 13, 2018: Minerva Endocrinologica
Eliodoro Faiella, Giulia Frauenfelder, Domiziana Santucci, Giacomo Luppi, Emiliano Schena, Bruno Beomonte Zobel, Rosario Francesco Grasso
PURPOSE: To validate a CT-navigation system during percutaneous lung biopsy (PLB). METHODS: Four hundred-ninety-six patients underwent low-dose CT-guided PLB. Lesion diameter (LD), procedural time (PT), histologic validity, lesion distance from pleural surface (DPS), needle distance travelled during procedure (DTP), complications and radiation exposure were recorded. RESULTS: Hysto-patological diagnosis was obtained in 96.2% cases. Mean PT, DPS, DTP, LD were respectively 29...
December 2, 2017: Clinical Imaging
Patrizia Bisiacchi, Giovanni Mento, Vincenza Tarantino, Alberto Burlina
In this study we compared the neuropsychological profile of phenylketonuria (PKU) and human immunodeficiency virus (HIV) to examine the specificity of the executive function (EF) impairment reported in these two patologies. A total of 55 age-matched children and adolescents were assessed, including 11 patients with PKU, 16 patients with HIV and 28 healthy controls, underwent a neuropsychological assessment. Although neither the PKU nor the HIV group scored below the normative ranges, both groups showed lower scores in neuropsychological tests engaging EFs than controls...
May 2018: Cognitive Neuropsychology
Sabina Beg, Stefano Sansone, Francesco Manguso, John Schembri, Jay Patel, Mo Thoufeeq, Gareth Corbett, Krish Ragunath
OBJECTIVES: A cecal intubation rate (CIR) of >90% is a well-accepted quality indicator of colonoscopy and is consequently monitored within endoscopy units. Endoscopists' desire to meet this target may mean that incomplete colonoscopies are recorded as flexible sigmoidoscopies. The aim of this study was to examine whether the conversion of requested colonoscopies is a clinically significant phenomenon and whether this impacts upon the measurement of quality indicators. METHODS: A retrospective review of all flexible sigmoidoscopies performed between 1 January 2015 and 31 December 2015 at Nottingham University Hospitals, Sheffield Teaching Hospitals, and Cambridge University Hospitals was performed...
October 2017: American Journal of Gastroenterology
Luca Saba
 Background: The Primitive Extratesticular Seminoma is a very rare condition and represents 3% of germ cell tumors; it is an indeterminate origin disease, whose diagnosis is often complicated by a nonspecific and highly variable clinical finding. CASE PRESENTATION: A caucasian 55 years old male, non-smoker, arrived to our centre with cough, severe respiratory distress and dysphagia, in a context of the superior vena cava syndrome. A Computed Tomography was performed, which shows the presence of a mediastinal anterior mass with aorto-pulmonary window and left paracardiac invasion...
April 28, 2017: Acta Bio-medica: Atenei Parmensis
Janusz F Tyloch, Andrzej Paweł Wieczorek
The article discusses the principles of the proper performance of the ultrasound examination of the prostate gland. The paper has been divided into two parts: the general one and the detailed one. The first part presents the necessary requirements referring to the ultrasound apparatus for performing transabdominal examinations of the urinary bladder and the prostate gland as well as for transrectal examinations of the prostate gland. The paper also describes the techniques of performing both examinations together with the methods of measuring the capacity of the urinary bladder and the volume of the prostate gland...
December 2016: Journal of Ultrasonography
Alper Otunctemur, Murat Dursun, Huseyin Besiroglu, Kutan Ozer, Ozan Horsanali, Emin Ozbek
INTRODUCTION: We investigated the prognostic significance of the neutrophil-to-lymphocyte ratio on tumor stage and Fuhrman nuclear grade in renal cell carcinoma. METHODS: The records of 432 patients with RCC who underwent radical or partial nephrectomy between 2005 and 2014 were retrospectively reviewed. Patients were classified as group lower tumor stage(T1 + T2) and higher(T3 + T4). As like tumor stage, Fuhrman nuclear grade were classified lower (G1+G2) and higher(G3+G4) too...
July 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Milomir Gacević, Milena Jović, Lidija Zolotarevski, Ivan Stanojević, Marijan Novaković, Karolina Miller, Vesna Šuljagić, Željko Mijušković, Danilo Vojvodić
BACKGROUND/AIM: Melanoma is the most aggresive malignant tumor of the skin. Contradictory data was published on vascular endothelial growth factor (VGEF) in tumor samples and its role in skin melanoma progression and prognosis. The aim of this study was to investigate the significance of VEGF expression as a prognostic parameter in melanoma. METHODS: The experimental group included 81 patients with primary skin melanomas treated from 2009 to 2013 at the Military Medical Academy, Belgrade...
May 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Ingrid Bissinger, José Bareño
BACKGROUND: Fungi sensitization correlates with patologies like asthma, rhinitis, conjunctivitis and dermatitis. In general it is associated with other sensitizations. In Medellin the multisystemic pattern is associated with fungi sensitization. OBJECTIVE: To determine the clinical pattern of the fungi sensitization in Medellin. MATERIAL AND METHOD: We reviewed the medical records of 897 patients younger than 70 years old with fungi sensitization in the prick test during the period 1 January 2011 to 31 March 2014 in the allergy facility from 2 clinics...
April 2016: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
A Derbak
OBJECTIVE: To evaluate the ultrasound findings of ectopic pregnancy in the group of women examined in our department transvaginal ultrasound. Analysis of ectopic pregnancy cases covers the period from 1. 8. 2012. to 31. 9. 2015. We introduced several case studies. DESIGN: Retrospective analysis. SETTING: Department of Gynecology and Obstetrics, Hospital Jindrichuv Hradec. METHODS: The methodology is based on a retrospective evaluation of the history, laboratory and ultrasound findings in a group of 30 patients with ectopic pregnancy...
January 2016: Ceská Gynekologie
Zahir Kizilay, Ali Yilmaz, Sevilay Gurcan, Osman Berber, Yelda Ozsunar, Nuket Eliyatkın
The synovial and ganglion cysts originating from the facet joint have been named under the name of the Juxtafacet cyst by the several researchers. They put forward that the synovial cyst originated from the synovial joint. But, they failed to clarify the pathophysiology of the formation of the ganglion cyst. In this case report, we reported a 67-year-old male patient was referred to the emergency from another center with the complaint of a left leg pain and weakness in the left foot and patient was treated with microchirurgical technique...
2015: Neurologia i Neurochirurgia Polska
Ignacio Zapardiel, Mikel Gorostidi, Antonella Ravaggi, Maria T Allende, Margarida Silveira, Daniel Abehsera, Ronalds Macuks
OBJECTIVE: The aim of the study was to assess the utility of serum human epididymal secretory protein E4 (HE4) biomarker in the differential diagnosis of endometriosis and adnexal malignancies. METHODS: Multicentric prospective observational study between January 2010 and December 2011 in 4 European centers (Italy, Portugal, Latvia, and Spain) was carried out. We collected 981 healthy patients diagnosed with adnexal patology and selected 65 patients diagnosed with endometriosis and analyzed their serum markers CA125, HE4, and Risk of Ovarian Malignancy Algorithm (ROMA) index...
January 2016: International Journal of Gynecological Cancer
Marco Cilione
In 2012 the Italian Court of Cassation recognized a young woman the right not to be born and a compensation for her Down's syndrome. Before her birth, her parents asked their gynaecologist for abortion in case he had found any patology affecting the baby. The clinical tests didn't reveal the syndrome, so, after the baby's birth, the doctor was sued for damages. A similar case had occurred in France, where the High Court affirmed that constitution is based on the right to live, not to die. A debate was opened, in which the hippocratic oath has been used to support the pro vita position...
2014: Medicina Nei Secoli
Gisela Patrícia Borges, Juan Antonio Micó, Fani Lourença Neto, Esther Berrocoso
BACKGROUND: The corticotropin-releasing factor is a stress-related neuropeptide that modulates locus coeruleus activity. As locus coeruleus has been involved in pain and stress-related patologies, we tested whether the pain-induced anxiety is a result of the corticotropin-releasing factor released in the locus coeruleus. METHODS: Complete Freund's adjuvant-induced monoarthritis was used as inflammatory chronic pain model. α-Helical corticotropin-releasing factor receptor antagonist was microinjected into the contralateral locus coeruleus of 4-week-old monoarthritic animals...
June 2015: International Journal of Neuropsychopharmacology
M Hrimiuc, V Hrimiuc
The dento-maxillary system is, both in its development and in the maintainance of is integrity, in a close interdependence with the general state of the body, the deficitary enzymatic metabolic and immunologic alterations occuring during the evolution of some diseases concerning the general pathology. That fact implies the knowledge of the premorbid and morbid state of the entire body when establishing the diagnosis and the stomatologic therapy.
January 1982: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Fernando González-Panizo-Tamargo, Álvaro Rojas-Sánchez, Pablo Miranda-García, Diego Juzgado-Lucas, Enrique Vázquez-Sequeiros
BACKGROUND: Overstitch endoscopic suturing system (Apollo Endosurgery. Austin, Texas) was created for NOTES procedures.As it demonstrated to be feasible, secure and effective in this field, further studies have evaluated its use in common gastrointestinal disorders in which current therapeutic tools, endoscopic or not, are not efficient or safe enough. Published results are promising. We present our initial experience with this system in the management of pathologies we usually face in our clinical practice...
June 2014: Revista Española de Enfermedades Digestivas
Łukasz Janeczko, Robert Chrzanowski, Grzegorz Zieliński, Grzegorz Jarosławski
This paper describes two cases of gelatinous cyst of rare location within the peroneal nerve. Clinical picture was different in described patients. The gelatinous cyst was completely resected in both cases. The final diagnosis was established based on the histo-patological examination.
2014: Przegla̧d Lekarski
E Pálová, A Maľová, L Hammerová, M Redecha
The purpose of this study was to determine the frequency, indications, complications and risk factors associated with peripartum hysterectomy carried out at our clinical department between 1st January 2008 and 31th December 2012. Peripartum hysterectomy was defined as a hysterectomy performed less than 48 hours after delivery. Clinical characteristic and obstetric histories were retrospectively reviewed between 5 years. There were 20 emergency peripartum hysterectomies among 13 660 deliveries at our department...
June 2014: Ceská Gynekologie
Alex Daniel Mamani-Cancino, Maria Guadalupe Veloz-Martínez, Ivonne Casasola-Busteros, Christian Moctezuma-Meza, Juan Manuel García-Cebada
Her-2/neu is an oncogen related with a poor prognosis and high agresivity when overexpressed in breast cancer. Main objective was analyze the frecuency of positivity or negativity ofller/neu in patients with breast cancer after surgery and their relationship with hormone receptors. We perfomed a longitudinal, retrospective, descriptive and observational trial in all patients included in the Patology Service with a determination of Her-2/neu and hormone receptors analysis, between January 1st 2007 and December 31 st 2009...
June 2014: Ginecología y Obstetricia de México
Ondřej Hloch, Daša Gladišová, Miroslava Horáčková
The urine colour change is an important clinical sign associated with patological process not only in the urinary tract. Apart from the commonest urine colour modifications due to metabolites of haemoglobin, myoglobin and bilirubin one may come accross with some less frequent changes. The violet urine coloration is very rare but represents the important clinical finding that is known as purple urine bag syndrome. The change of colour is made by indirubin and indigo. It is connected all the time with urine tract infection...
May 2014: Vnitr̆ní Lékar̆ství
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