... was 73 primary and 28 recurrent sarcomas for a total of 101 contacts Sixty-five of 73 (89%) primary sarcomas had surgery, and 22 of 28 (79%) patients with recurrent disease were Page of considered ... of considered operable (p = 0.11) Of these 87 operations, R0- resection was achieved in 51 of 65 (78%) of the patients with primary tumor and 11 of 22 (50%) of the patients with first-recurrence ... December 2008 We registered a total of 114 contacts in 96 patients Of the 114 contacts, 73 presented with a primary tumor while 28 had a first recurrence of tumor 13 of the contacts had second- or...
... long term follow up is needed The treatmentof liver metastases from RCT is not well defined due to scarcity of cases Most of the experience regarding the treatmentof metastatic neuroendocrine disease ... gastrointestinal and other cancers For this reason the treatmentof these lesions has been the focus of multiple therapeutic approaches We report a case of a carcinoid from renal origin with a synchronous ... testes, prostate and other locations The prognosis of carcinoid tumors of renal origin is unclear due to the rarity of these lesions The pathogenesis of renal carcinoid tumors (RCT) is controversial...
... software (SPSS Inc, Chicago, IL, USA) views, for the initial treatmentofprimary spontaneous pneumothorax Interpretation of CT images with regard to ELCs ELCs were defined as the presence of ... necessary to overcome the disadvantages of traditional imaging methods The introduction of coronal imaging might provide more accurate examination of ELCs in cases ofprimary spontaneous pneumothorax ... visible on gross inspection are Page of Figure The ideal resection margin of bleb and bullae The dotted line shows the ideal resection margin of ELC in the treatmentof pneumothroax The visible lesions...
... size of networks, network centralization of medical treatment and advice, degree centrality of health professionals and patients, and in overlap of medical and advice networks Centrality of the ... diversity Treatment Number of professionals 7,08 9,67 0,025 Different disciplines 5,08 4,33 0,222 Advice Number of professionals 6,56 9,57 0,029 Different disciplines 5,00 4,29 0,299 Number of professionals ... central health professional The discipline of the most central health professional was also noted A high centrality of the health professional can contribute to coordination of care through connection...
... 241, 71% (41 of 58) of patients of CCM habitual users (making 10 or more referrals), 78% (42 of 54) of patients of CCM early adopters (making to referrals), 64% (36 of 56) of patients of CCM slow ... of between 0.21 and 0.29 Survey and administrative data measures Our primary study outcome measure, and the basis for our power calculations, was receipt of appropriate treatment, a process of ... http://www.implementationscience.com/content/6/1/121 Page 10 of 15 Table Early adopter clinician effects on adequacy of care manager follow-up in EBQI-CCM sites Patients’ primary care clinicians’ history of early adoption of collaborative...
... Increased levels of 1a(OH)ase can cause excessive conversion of 25(OH) D to 1,25(OH) D High levels of 1,25(OH) D increases the absorption of calcium from the gut and resorption of calcium from ... decreased secretion of parathormone by the parathyroid glands, increased filtering load of calcium through the kidneys, and hypercalciuria [2] The treatment consists of reducing the amount of dietary ... reaction; PHPT: primaryhyperparathyroidism Author details Department of Endocrinology and Metabolism, Trabzon Numune Training and Research Hospital, Trabzon, 61000, Turkey 2Department of Pathology,...
... treatment were recorded in any of the six patients we described Conclusions This series of six patients with acromegaly is one of the first specific reports ofprimarytreatment with lanreotide, ... showing an attenuation of response to lanreotide doses of 120 mg every four weeks This report confirms the efficacy and tolerability of lanreotide in the primarytreatmentof acromegaly Further ... substantially reduced after initiating the treatment, but they did not drop to the target of
... Brown tumors as a manifestation ofprimaryhyperparathyroidism are extremely rare In such cases, the primaryhyperparathyroidism usually results from the overproduction of parathyroid hormone by a ... findings were indicative of a giant cell bone expanding lesion with brown tumor being the most probable diagnosis Blood tests confirmed primaryhyperparathyroidism The treatmentofhyperparathyroidism ... parathyroidectomy or normalization ofhyperparathyroidism levels [10] In these cases, brown tumor resection should be the treatmentof choice The incidence of bone lesions in patients with hyperparathyroidism...
... I is Professor of Clinical Psychology in the Department of Psychology at the University of Montreal Fearing Others The Nature and Treatmentof Social Phobia Ariel Stravynski University of Montreal ... disruptive social anxiety are features of the lives of many thousands of people But exactly what is social phobia? What causes it? What is its nature and what kinds of treatments can improve it? Using ... and ways of testing them 81 5.3 Reliability: agreeing about the entity of social phobia 86 5.4 Predictors of response to treatment 95 5.5 Social phobia in the family 99 5.6 Association of social...
... by insufficient treatmentof AF or, on the contrary, is caused by adverse effects of the treatment, however, is too realistic to be ignored All we have stated about the treatmentof AF in MICU ... 80% of patients with AF convert to SR within 24 hours The use of β-blockers before the start of AF and the absence of diabetes and left ventricular hypertrophy were independent predictors of conversion ... disease and other nosocomial complications Can treatmentof atrial fibrillation improve survival? There are few data on the effect oftreatmentof AF on mortality in ICU patients A meta-analysis...
... Antipsychotics [29] Initiation ofTreatment First Year ofTreatment Duration ofTreatment • Baseline fasting glucose level • Fasting glucose level every 3–4 months • Observe for signs of hyperglycemia • ... of our patients develop renal disease, psychiatrists must be aware of the effects of psychotropics on the kidneys, as well the effects of decreased renal functioning on the pharmacokinetics of ... bioavailability of free, active highly protein-bound drugs Accumulation of active hydroxylated metabolites of carbamazepine may lead to symptoms of drug toxicity despite therapeutic drug levels [70] Of all...
... mind, in the presence of adherent scars, after having infiltrated the whole area with a solution of Lidocaine 0.5% and Epinephrine 1:200,000 very close to one of the two edges of the scar, a small ... that brings great improvement to the treatmentof depressed scars AUTHORS' CONTRIBUTIONS FI: participated in the surgical treatment and in the follow-up of this patient MT: drafted the manuscript ... literature FMA: participated in the surgical treatment and in the follow-up of this patient MM: participated in the design of this case study and in the follow-up of this patient ADI: revised the literature...
... Position of Occlusion Begnning of the CCA Begnning of the CCA Begnning of the ICA Left cavernous sinus part of the ICA, right beginning of the ICA Begnning of the ICA Symptom Other aeurysms SAH PCA SAH ... sclerosis of the CCA PCA VA→ECA→IC A Present case 2010 69/F Arterio- Begnning SAH sclerosis of the ICA No No Year Age/ Cause gender 41/F aortitis 63/M Position of Occlusion Begnning of the CCA ... arteries The angiograph of the vertebral artery showed no delay in the blood flow of anterior circulation The saccular aneurysm with a diameter of 3.2 mm was observed at the apex of the basilar artery...
... Different methods of decompressive craniectomy in the treatmentof TBI Different methods of decompressive craniectomy have been developed for, or applied to, decompression of the brain at risk ... most authors.11, 26 The temporary removal of a piece of skull followed by loose closure of the dura and skin layers presumably allows for expansion of the edematous brain into a durotomy “bag” ... comes down to the floor of the middle cranial fossa, at the root of the zygoma; this ensures adequate lateral decompression of the temporal lobe, allowing it to “fall out” of its usual calvarial...
... indication of techniques for the treatmentof this kind of surgical complication Spontaneous healing of to mm openings can occur, while untreated larger defects are connected with the pathogenesis of ... attention for the presence of sporadic intraoral drainage in posterior left maxilla The discomfort was of a few years duration and had its origin following an endodontic treatmentof tooth 2.6 provided ... characteristics of OAC/OAF; the apexes of tooth 26 were in extremely close approximation to the maxillary sinus, and an area of periapical rarefaction was evident (Fig 1) After the failure of the endodontic...
... restraints of the surgery RESULTS A total of 174 people (77 women, 97 men; mean age 64, range 22-89) were included Length of follow-up was at least years with a maximum of years Location of facet ... the treatmentof low back syndrome Pain 1977;3:257-63 Savitz MH Percutaneous radiofrequency rhizotomy of the lumbar facets: ten years' experience Mt Sinai J Med 1991;58:177-8 Schaerer JP Radiofrequency ... elsewhere as treatment prior to considering the endoscopic option The facet injections in these 72 patients gave 50 to 100% relief of their pain in 86% of the patients with a median relief period of months...
... objectives adaptation and the development of new forms oftreatment are necessary This team is composed of the lymphologist or professional trained in the treatmentof lymphedema, psychologists, nutritionists, ... was developed for the treatmentof the lower extremities by producing dorsoflexion of the foot and allows treatment sessions of hours or more daily with losses of as much as 20 cm in circumference ... research of lymphedema with excellent results attending the necessities of patients from distant localities This option of simple and feasible treatment can change the lives of millions of people...
... adhered to the dosing schedule less than 75% of the time Method of assigning patients to treatment groups Patients were assigned to treatment groups (order of treatments) using computer-generated randomization ... thus compromising the quality of life of millions of Americans In addition, OA costs the North American economy approximately $60 billion per year Current treatmentof OA includes exercise, heat/cold ... ingredients Use of concomitant prohibited medication (narcotics, oral NSAIDs, topical NSAIDs) within four weeks of randomization Use of acetaminophen or ibuprofen within days of randomization...
... 10/3/7 42 17 18 65/ M 49/ F primary THA primary THA 4 42 35 19 20 71/ M 79/ F primary THA primary THA 7/9 1 30 30 THA after spacer implantation aseptic cup loosening primary THA aseptic cup loosening ... efficient treatment option even for deep wound infections The most important advantages of this system are an increased localised blood flow, the reduction of tissue bacterial counts, elimination of ... 43/ M 79/ F 28 67/ M aseptic stem loosening primary THA aseptic stem loosening resection of heterotopic ossification after primary THA tumour prosthesis primary THA spacer implantation spacer implantation...
... total dose of antibiotics should not exceed 10% of the weight of the cement in order to avoid fracture of the cement spacer [27] The implantation of an ALC spacer shortens the duration of systemic ... time of reimplantation and allow delivery of the antibiotics of choice according to sensitivities [23,36] The disadvantage of a static spacer is that it does not allow physiological motion of the ... substantial impairment of patients’ normal daily activities during the prolonged course oftreatment Another drawback of the static spacer is bone loss attributed to migration of the block spacer...