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https://www.readbyqxmd.com/read/27869481/papillary-versus-non-papillary-puncture-in-percutaneous-nephrolithotomy-a-prospective-randomized-trial
#1
Panagiotis Kallidonis, Iason Kyriazis, Dimitrios Kotsiris, Adamantia Koutava, Wissam Kamal, Evangelos N Liatsikos
INTRODUCTION: Literature suggests that the percutaneous punctures for PCNL must be performed at the papilla of the renal calyx and a puncture at the infundibulum or the direction of the pelvis is not advisable due to increased hemorrhagic risk. A prospective randomized study was conducted to investigate the safety in terms of blood loss of the infundibular approach for PCNL. MATERIALS AND METHODS: Patients with renal stones with a accumulative size of at least 2cm were randomly assigned to one of two parallel groups to undergo PCNL with either papillary (Group 1) or infundibular (Group 2) renal access...
November 21, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27813460/comparative-anatomical-analysis-of-the-transcallosal-transchoroidal-and-transcallosal-transforniceal-transchoroidal-approaches-to-the-third-ventricle
#2
João Luiz Vitorino Araujo, José C E Veiga, Hung Tzu Wen, Almir F de Andrade, Manoel J Teixeira, José P Otoch, Albert L Rhoton, Mark C Preul, Robert F Spetzler, Eberval G Figueiredo
OBJECTIVE Access to the third ventricle is a veritable challenge to neurosurgeons. In this context, anatomical and morphometric studies are useful for establishing the limitations and advantages of a particular surgical approach. The transchoroidal approach is versatile and provides adequate exposure of the middle and posterior regions of the third ventricle. However, the fornix column limits the exposure of the anterior region of the third ventricle. There is evidence that the unilateral section of the fornix column has little effect on cognitive function...
November 4, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27783100/micro-structural-white-matter-abnormalities-in-type-2-diabetic-patients-a-dti-study-using-tbss-analysis
#3
Xin Tan, Peng Fang, Jie An, Huan Lin, Yi Liang, Wen Shen, Xi Leng, Chi Zhang, Yanting Zheng, Shijun Qiu
INTRODUCTION: Patients with type 2 diabetes mellitus (T2DM) have usually been found cognitive impairment associated with brain white matter (WM) abnormalities. However, findings have varied across studies, and any potential relationship with Alzheimer's disease (AD) remains unclear. The aim of this study was to assess the whole-brain WM integrity of T2DM patients and to compare our findings with those of published AD cases. METHODS: In this study, we used diffusion tensor imaging (DTI) combined with tract-based spatial statistics (TBSS) to investigate whole-brain WM abnormalities in 48 T2DM patients and 48 healthy controls...
October 25, 2016: Neuroradiology
https://www.readbyqxmd.com/read/27762472/treatment-of-total-pelvic-organ-prolapse-using-a-whole-biological-patch-a-pilot-study-of-17-patients
#4
Xianghua Liang, Lili Zhang, Yanwei Lv
AIM: A complete and non-splice porcine small-intestine submucosa (SIS) patch was used for total pelvic anatomical repair of organ prolapse. METHODS: This study included a total of 17 patients with severe total pelvic organ prolapse, including five patients with combined stress urinary incontinence (SUI). Panhysterectomy was performed, and then a porcine SIS patch was placed on the anterior (posterior) vaginal wall. The top of the vaginal wall was moved to the corresponding side of the vaginal wall, and the patch was sutured to bilateral uterosacral ligaments, the sacrospinous ligament, and arcus tendineus fasciae pelvis...
October 20, 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27751944/hippocampal-to-basal-forebrain-transport-of-mn-2-is-impaired-by-deletion-of-klc1-a-subunit-of-the-conventional-kinesin-microtubule-based-motor
#5
Christopher S Medina, Octavian Biris, Tomas L Falzone, Xiaowei Zhang, Amber J Zimmerman, Elaine L Bearer
Microtubule-based motors carry cargo back and forth between the synaptic region and the cell body. Defects in axonal transport result in peripheral neuropathies, some of which are caused by mutations in KIF5A, a gene encoding one of the heavy chain isoforms of conventional kinesin-1. Some mutations in KIF5A also cause severe central nervous system defects in humans. While transport dynamics in the peripheral nervous system have been well characterized experimentally, transport in the central nervous system is less experimentally accessible and until now not well described...
October 14, 2016: NeuroImage
https://www.readbyqxmd.com/read/27736678/white-matter-disruptions-in-male-cocaine-polysubstance-users-associations-with-severity-of-drug-use-and-duration-of-abstinence
#6
Dana van Son, Reinout W Wiers, Andrés Catena, Miguel Perez-Garcia, Antonio Verdejo-García
BACKGROUND: Cocaine dependence has been associated with alterations in the brain's white matter integrity, yet relevant questions remain about what alterations are linked to cocaine use and/or polysubstance use, and whether they are amenable to abstinence. METHODS: This study applied a single measurement session of diffusion tensor imaging (DTI) to examine white matter structure in male cocaine polysubstance users (n=37) versus male healthy controls (n=38), along with correlations between DTI measures and patterns of polysubstance use and duration of abstinence...
October 6, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/27721189/white-matter-correlates-of-anxiety-sensitivity-in-panic-disorder
#7
Min-Kyoung Kim, Borah Kim, Tai Kiu Choi, Sang-Hyuk Lee
BACKGROUND: Anxiety sensitivity (AS) refers to a fear of anxiety-related sensations and is a dispositional variable especially elevated in patients with panic disorder (PD). Although several functional imaging studies of AS in patients with PD have suggested the presence of altered neural activity in paralimbic areas such as the insula, no study has investigated white matter (WM) alterations in patients with PD in relation to AS. The objective of this study was to investigate the WM correlates of AS in patients with PD...
January 1, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27698600/comparison-between-sublingual-and-vaginal-route-of-misoprostol-in-management-of-first-trimester-miscarriage-missing
#8
Zahra Dehbashi, Mahmood Moosazadeh, Mahdi Afshari
BACKGROUND: Each year, more than forty million abortions are occurred whole of the world. Misoprostol is a prostaglandin analogue with a strong uterotonic effect. The present study aimed to compare the efficacy of Misoprostol in first trimester abortion through two sublingual and vaginal routes of administration. METHODS: This randomized clinical trial was conducted on 52 consecutive women in first trimester candidate for pregnancy termination because of fetal IUFD or missed abortion in sonography reports...
July 24, 2016: Materia Socio-medica
https://www.readbyqxmd.com/read/27647705/a-multimodal-imaging-study-of-recognition-memory-in-very-preterm-born-adults
#9
Chieh-En Jane Tseng, Seán Froudist-Walsh, Philip J Brittain, Vyacheslav Karolis, Chiara Caldinelli, Jasmin Kroll, Serena J Counsell, Steven C R Williams, Robin M Murray, Chiara Nosarti
Very preterm (<32 weeks of gestation) birth is associated with structural brain alterations and memory impairments throughout childhood and adolescence. Here, we used functional MRI (fMRI) to study the neuroanatomy of recognition memory in 49 very preterm-born adults and 50 controls (mean age: 30 years) during completion of a task involving visual encoding and recognition of abstract pictures. T1-weighted and diffusion-weighted images were also collected. Bilateral hippocampal volumes were calculated and tractography of the fornix and cingulum was performed and assessed in terms of volume and hindrance modulated orientational anisotropy (HMOA)...
September 20, 2016: Human Brain Mapping
https://www.readbyqxmd.com/read/27624750/twelve-year-natural-history-of-a-gastric-adenocarcinoma-of-fundic-gland-type
#10
Yoshinori Sato, Takashi Fujino, Akira Kasagawa, Ryo Morita, Shun-Ichiro Ozawa, Yasumasa Matsuo, Tadateru Maehata, Hiroshi Yasuda, Masayuki Takagi, Fumio Itoh
A 77-year-old woman underwent an upper gastrointestinal (UGI) endoscopy screening examination, and a 10-mm reddish, submucosal tumor-like lesion was found on the posterior wall of the fornix. Biopsy was performed, but there was no evidence of malignancy, so annual follow-up by UGI endoscopy was decided upon. After 12 years, examination of another biopsy specimen revealed an adenocarcinoma of the fundic gland type. There had been no significant change in the size or shape of the lesion over the long follow-up period...
December 2016: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/27479923/white-matter-correlates-of-episodic-memory-encoding-and-retrieval-in-schizophrenia
#11
Amity E Green, Rodney J Croft, Jerome J Maller, Paul B Fitzgerald
Episodic memory (EM) impairments in schizophrenia (SZ) are predictive of functional outcome and are a potential endophenotype of the disorder. The current study investigated the neuroanatomical correlates of EM encoding and retrieval in SZ with structural magnetic resonance and diffusion tensor imaging (DTI) measures in 22 patients with SZ and 22 age- and gender-matched healthy controls. Tract-based Spatial Statistics (TBSS) was used to investigate microstructural alterations in white matter (WM), while FreeSurfer surface-based analysis was used to determine abnormalities in grey matter (GM) and WM volumetrics and cortical thickness...
August 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27465870/-utilize-the-simplified-pop-q-system-in-the-clinical-practice-of-staging-for-pelvic-organ-prolapse-comparative-analysis-with-standard-pop-q-system
#12
H Zhang, L Zhu, T Xu, J H Lang
OBJECTIVE: To determine the association between simplified pelvic organ prolapse quantification system(S-POP-Q)and the standard pelvic organ prolapse quantification system(POP-Q)in describing pelvic organ prolapse. METHODS: This was an observational study. From Jan. 2010 to Jan. 2014, 256 subjects with pelvic floor disorder symptoms underwent two exams: a POP-Q exam and a S-POP-Q exam. For the S-POP-Q system, vaginal segments of the exam were defined using points Ba, Bp, C, and D...
July 25, 2016: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/27403846/vaginal-fluid-il-6-concentrations-as-a-point-of-care-test-is-of-value-in-women-with-preterm-prom
#13
Ivana Musilova, Tomas Bestvina, Martina Hudeckova, Igor Michalec, Teresa Cobo, Bo Jacobsson, Marian Kacerovsky
BACKGROUND: Preterm prelabor rupture of membranes (PROM) is frequently complicated/accompanied by infection and inflammation in the amniotic cavity. A point-of-care determination of amniotic fluid interleukin-6 has been shown to be a potentially clinically useful approach to assess inflammatory status of the amniotic cavity. Amniocentesis in preterm PROM is not broadly used in clinical practice, and therefore a shift towards a non-invasive amniotic fluid sampling method is needed. OBJECTIVE: The first aim of this study was to evaluate the association between the point-of-care vaginal and amniotic fluid interleukin-6 concentrations in fresh unprocessed samples obtained simultaneously...
July 9, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27402051/vaginal-fluid-il-6-concentrations-as-a-point-of-care-test-is-of-value-in-women-with-preterm-prom
#14
Ivana Musilova, Tomas Bestvina, Martina Hudeckova, Igor Michalec, Teresa Cobo, Bo Jacobsson, Marian Kacerovsky
BACKGROUND: Preterm prelabor rupture of membranes (PROM) is frequently complicated/accompanied by infection and inflammation in the amniotic cavity. A point-of-care determination of amniotic fluid interleukin-6 has been shown to be a potentially clinically useful approach to assess inflammatory status of the amniotic cavity. Amniocentesis in preterm PROM is not broadly used in clinical practice, and therefore a shift towards a non-invasive amniotic fluid sampling method is needed. OBJECTIVE: The first aim of this study was to evaluate the association between the point-of-care vaginal and amniotic fluid interleukin-6 concentrations in fresh unprocessed samples obtained simultaneously...
July 8, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27279958/-postcoital-bleeding-68-case-reports-and-review-of-the-literature
#15
Lahssen Boukhanni, Hanane Dhibou, Wafaa Zilfi, Kawtar Iraki Housseini, Yasser Ait Benkeddour, Abderrahim Aboulfalah, Hamid Asmouki, Abderraouf Soummani
Consensual or imposed sexual act can cause traumas. Post coital bleeding is a common gynecological symptom. It can reveal serious problems. The aim of our study is to analyze the epidemiological, diagnostic and therapeutic profile as well as preventive measures in case of post coital tear. This is a prospective study, over two years, conducted in the Department of Obstetrics and Gynecology at the Center Hospital University Mohammad VI (CHU) in Marrakech. We collected 68 patients. The average age was 27 years...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27178397/decreased-fractional-anisotropy-values-in-two-clusters-of-white-matter-in-patients-with-schizotypal-personality-disorder-a-dti-study
#16
Yueji Sun, Liang Zhang, S Shasheekant Ancharaz, Sijian Cheng, Wenheng Sun, Hongjun Wang, Yan Sun
OBJECTIVE: To find a difference in fractional anisotropy (FA) between young adult males with schizotypal personality disorder (SPD) and healthy controls (HCs). METHODS: Sixteen males with SPD and sixteen HCs were selected from 3500 freshmen across two universities. The 32 participants were evaluated by the Minnesota Multiphasic Personality Inventory (MMPI) (Chinese Version Sc≥70) and the Schizotypal Personality Questionnaire (SPQ). Structured diagnostic interview was carried out and all the subjects in the SPD group met DSM-IV diagnostic criteria for SPD...
September 1, 2016: Behavioural Brain Research
https://www.readbyqxmd.com/read/27133012/fetal-fibronectin-testing-for-prevention-of-preterm-birth-in-singleton-pregnancies-with-threatened-preterm-labor-a-systematic-review-and-metaanalysis-of-randomized-controlled-trials
#17
REVIEW
Vincenzo Berghella, Gabriele Saccone
OBJECTIVE DATA: Fetal fibronectin is an extracellular matrix glycoprotein that is produced by amniocytes and cytotrophoblasts and has been shown to predict spontaneous preterm birth. STUDY: The aim of this systematic review and metaanalysis of randomized clinical trials was to evaluate the effect of the use of fetal fibronectin in the prevention of preterm birth in singleton pregnancies with threatened preterm labor. STUDY APPRAISAL AND SYNTHESIS METHODS: The research was conducted with the use of MEDLINE, EMBASE, Web of Sciences, Scopus, ClinicalTrial...
October 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27126664/metastasis-of-extra-ampullary-duodenal-adenocarcinoma-to-the-uterine-cervix
#18
K Takahashi, H Yoshida, R Watanabe, M Ishikawa, S I Ikeda, T Kato
Secondary metastatic tumours of the uterine cervix are rare. There have been no reports of duodenal cancer metastasizing to the uterine cervix. Here we present a rare case of an extra-ampullary duodenal adenocarcinoma that has metastasized to the uterine cervix. The patient was a 71-year-old woman who had surgery for an extra-ampullary duodenal adenocarcinoma five years previously. Follow-up examination revealed a suspicious right ovarian mass and nodules in the cervix and posterior fornix of the vagina. Biopsies suggested squamous cell carcinoma in the cervix and adenocarcinoma in the fornix...
April 2016: Malaysian Journal of Pathology
https://www.readbyqxmd.com/read/26972719/changes-in-muscularis-propria-of-anterior-vaginal-wall-in-women-with-pelvic-organ-prolapse
#19
A Vetuschi, A D'Alfonso, R Sferra, D Zanelli, S Pompili, F Patacchiola, E Gaudio, G Carta
The objective of this study was to evaluate the morphological and immunohistochemical alterations of tissue removed from the upper third of anterior vaginal wall in a sample group of the female population presenting homogenous risk factors associated with Pelvic Organ Prolapse (POP). The case study consisted of 14 patients with POP and there were 10 patients in the control group. Patient selection was carried on the basis of specific criteria and all of the patients involved in the study presented one or more of the recognized POP risk factors...
2016: European Journal of Histochemistry: EJH
https://www.readbyqxmd.com/read/26968288/maternal-outcome-of-early-intervention-in-women-with-prom-at-term-37-weeks-or-more
#20
Sajida Alias Sahibzadi Hingoro, Naushaba Rizwan, Roshan Ara Qazi
Pre-labour rupture of membranes (PROM) is associated with complications as increase in the rate of induction of labour, foetal distress, foetal and maternal infection, and caesarean section. The objective of this case series was to determine the maternal outcome of early intervention with prostaglandin E2 in women with PROM at term in a Tertiary Care Hospital. The study period was six months from 2nd July 2014 to 1st January 2015. A total of 183 women with spontaneous PROM were selected. Detailed history was taken and clinical examination was performed...
March 2016: JPMA. the Journal of the Pakistan Medical Association
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