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Elke Rammant, Piet Ost, Martijn Swimberghe, Barbara Vanderstraeten, Nicolaas Lumen, Karel Decaestecker, Renée Bultijnck, Gert De Meerleer, Camille Sarrazyn, Roos Colman, Valérie Fonteyne
PURPOSE: The risk of developing acute radiotherapy(RT)-induced side effects may increase with hypofractionated RT. To detect treatment-related side effects, patient-reported outcomes (PROs) might be more reliable than physician-reported outcomes. Therefore, we tried to evaluate the rate of agreement between urinary and gastrointestinal (GI) side effects and the prevalence of side effects reported by patients and by physicians. METHODS: Data from a randomized controlled trial (RCT) comparing two hypofractionated RT schedules were used...
November 7, 2018: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
María J Uparela-Reyes, Alexis R Narváez-Rojas, Loraine Quintana-Pájaro, Yancarlos Ramos-Villegas, Luis R Moscote-Salazar
Introducción: La hidrocefalia de inicio fetal, perinatal y neonatal representa un gran reto terapéutico y a menudo cursa con un pronóstico neurológico pobre, debido a su etiología heterogénea, que incluye alteraciones del neurodesarrollo. Objetivo: Realizar una recopilación de los avances en terapia celular como propuesta que permite ampliar el espectro de tratamiento en la hidrocefalia congénita-neonatal. Desarrollo: Las intervenciones terapéuticas disponibles actualmente, como la derivación ventrículo-peritoneal y la tercera ventriculostomía, son insuficientes para resolver por completo la hidrocefalia y para prevenir o revertir los daños neurológicos asociados...
2018: Cirugia y Cirujanos
Juana Serret-Montoya, Miguel A Villasís-Keever, Alejandra Aguilar-Kitsu, Iliana Del Moral-Estrada, Abigail Hernandez-Cabezza, Jessie N Zurita-Cruz
Introducción: La enfermedad renal crónica (ERC) se asocia con alteraciones menstruales, y el manejo del sangrado uterino suele ser complejo por las condiciones de este grupo de pacientes. El objetivo de este trabajo fue describir la respuesta clínica al tratamiento hormonal de las alteraciones menstruales de adolescentes con ERC. Métodos: Se presentan los datos de una serie de casos de pacientes adolescentes con ERC que cursaron con alteraciones menstruales y que recibieron tratamiento desde el año 2008 al 2012...
2018: Boletín Médico del Hospital Infantil de México
Tomás A Ramos-Sánchez, Tomás Ramos-Morales, Rodolfo Morales-Avalos, Jaime Blázquez-Saldaña, Víctor M Peña-Martínez, Félix Vílchez-Cavazos
Antecedentes: El sangrado secundario es una de las principales causas de morbilidad después de la cirugía. El etamsilato se ha utilizado con buenos resultados para disminuir el sangrado en diversas patologías, como metrorragias, sangrado intraventricular, prostatectomías, cirugías de catarata y amigdalectomías. El objetivo de este estudio fue evaluar la efectividad del etamsilato para disminuir el sangrado en la cirugía de reemplazo total de cadera. Método: La población se dividió en dos grupos...
2018: Cirugia y Cirujanos
Sebastian Eduardo Velez
Background: nonoperative treatment (TNO) is suggested in blunt abdominal trauma in stable patients without necessarily addressing surgical trauma injuries. Among the tools used, it has highlighted the angioembolization as a method of stopping bleeding or potentially bleeding lesions. The existence of more than one lesion may be possible to treat this way. Objectives: to show the experience of a hospital emergency department in the use of angioembolization in nonoperative management of more than one injured abdominal organ...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
Yakup Yalçın, Burak Tatar, Ebru Erdemoğlu, Mehmet Özgür Akkurt, And Yavuz, Evrim Erdemoğlu
Cornual pregnancies carry a greater maternal mortality risk than ampullary ectopic pregnancies and they may cause significant hemorrhage. A woman aged 36 years with a six-week history of amenorrhea, slight vaginal bleeding, and low abdominal pain of three days duration presented to our clinic. A diagnosis of right cornual ectopic pregnancy was made using ultrasonographic findings. Laparoscopic exploration confirmed the diagnosis. We occluded the uterine artery at its origin and also transected vessels within the mesosalpinx and uteroovarian ligament to successfully accomplish avascularization of a cornual pregnancy...
September 2015: Turkish Journal of Obstetrics and Gynecology
Jacques Matone, Samuel Okazaki, Gabriel Naman Maccapani, Thiago Trolez Amancio, Renée Zon Filippi, Antonio Luiz de Vasconcellos Macedo
Liposarcoma is one of the most common soft tissue sarcomas in adults, occurring in 15 to 20% of all patients with sarcoma. Primary liposarcoma of the stomach is rare. We report a case of patient with giant gastric liposarcoma who underwent surgery after a gastrointestinal bleeding. Preoperative hystopathological diagnosis was not established, even after three biopsy attempts. We discuss differential diagnosis, genetic causes, diagnosis strategies and treatment. RESUMO O lipossarcoma é um tipo comum de sarcomas em adultos, com incidência entre 15 e 20% entre os sarcomas...
October 2016: Einstein
Marina Parca Cavelagna Teixeira, Tatiana Peloso Reis Queiroga, Maria Dos Anjos Mesquita
Objective: To determine the frequency and risk factors of small-for-gestational-age newborns in a high-risk maternity. Methods: This is an observational, cross-sectional, and case-control study, conducted in a public tertiary care maternity hospital. Data from 998 newborns and their mothers were collected through interviews and review of medical records and prenatal care cards. Some placentas underwent histopathological analysis. The variables of small-for-gestational-age and non-small-for-gestational-age newborns and of their mothers were statistically compared by means of Student's t test, Fisher's exact test, and odds ratio...
July 2016: Einstein
Carlos Walter Sobrado, Lucas Faraco Sobrado
Introduction: Acute severe colitis is a potentially lethal medical emergency and, even today, its treatment remains a challenge for clinicians and surgeons. Intravenous corticoid therapy, which was introduced into the therapeutic arsenal in the 1950s, continues to be the first-line treatment and, for patients who are refractory to this, the rescue therapy may consist of clinical measures or emergency colectomy. Objective: To evaluate the indications for and results from drug rescue therapy (cyclosporine, infliximab and tacrolimus), and to suggest a practical guide for clinical approaches...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Raphael Câmara, Marcelo Burlá, José Ferrari, Lana Lima, Joffre Amim, Antonio Braga, Jorge Rezende
Cesarean section by maternal request is the one performed on a pregnant woman without medical indication and without contraindication to vaginal delivery. There is great controversy over requested cesarean section. Potential risks include complications in subsequent pregnancies, such as uterine rupture, placenta previa and accreta. Potential benefits of requested cesareans include a lower risk of postpartum hemorrhage in the first cesarean and fewer surgical complications compared with vaginal delivery. Cesarean section by request should never be performed before 39 weeks...
July 2016: Revista do Colégio Brasileiro de Cirurgiões
Manel Giner, Jesús M Culebras, Michael M Meguid
No abstract text is available yet for this article.
March 1, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Bülent Gücyetmez, Hakan Korkut Atalan
INTRODUCTION: ApneaLink™ (RESMED-Munich, Germany) is a simple and inexpensive device that determines the apnea-hypopnea index. The sensitivity and specificity of the apnea-hypopnea index are 100 and 87.5%, respectively. Our hypothesis can be used to create a treatment plan using the apnea-hypopnea index for intensive care unit patients. CASE PRESENTATION: This treatment plan has been created by determining the apnea-hypopnea index of eight Caucasian patients with a variety of diagnoses...
2014: Journal of Medical Case Reports
Angel Lanas, Xavier Calvet, Faust Feu, Julio Ponce, Javier P Gisbert, Alan Barkun
No abstract text is available yet for this article.
November 6, 2010: Medicina Clínica
Cheickna Sylla, Babacar Diao, Abdoulaye Bobo Diallo, Papa Ahmed Fall, Anne Aurore Sankale, Mamadou Ba
OBJECTIVE: The aim of this study was to report complications of circumcision received in urologic center. MATERIAL AND METHODS: From a retrospective study during a period of 11 years, 63 cases of complications were noticed secondary to traditional circumcision (n = 45) or paramedics (n = 18). RESULTS: The different complications were: urethral fistulas (n = 41), total or partial glans amputation (n = 9), urethral stricture of the meatus (n = 8), penile pseudo elephantiasis (n = 2), penile denudation (n = 1), hemorragiae (n = 6) and septicaemia (n = 1)...
April 2003: Progrès en Urologie
J L Mergui, P Tauscher, C Bergeron, O Pambou, J Salat-Baroux
The experiment of electro-conization with diathermic loop was effected on 185 patients. The indications are represented by: a) low grade lesions: 21 cases (11.3%) only when the squamo-columnar junction was into the endocervix; b) CIN 2: 44 cases (23.7%): c) CIN 3: 118 cases (63.7%); d) cyto-histologic discordance: 2 cases. After one year, the following results could be noted: 94.1% of the patients were cured, only 11 out of the 185 presented a recurrence (or persistence). It seemed interesting to us to study the factors which could influence the "in sano" (Free margin)/or not character of the resection...
January 1994: Contraception, Fertilité, Sexualité
D Mellière, J Dermer, R K Danis, J P Becquemin, J Renaud
Two cases of arterial complications after inguinal hernia repair were revealed by a post-operative septic hemorragia and in the other case by a late intermittent claudication complicated by a distal emboly. Both were cured by replacement of the damaged artery with an autologous saphena. Twenty-three similar cases were found in literature. They were discovered either during operation, or post-operatively, or after recovery. In post-operative course, a late diagnosis in some cases lead to amputations or death...
October 1980: Journal de Chirurgie
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