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1.
J Dairy Sci ; 105(4): 2815-2827, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35086710

RESUMEN

Mechanical and physicochemical treatments of milk induce structural modifications of the casein (CN) micelles, affecting their techno-functional properties in dairy processing. Here, we studied the effect of alkalinization and ultra-high-pressure homogenization (UHPH) on CN micelles in raw skim milk (rSM) and pasteurized skim milk (pSM). The pH of both skim milks (approximately 6.7) was adjusted to 8.5 and 10.5 before UHPH at 100, 200, and 300 MPa. The structural changes of the CN micelles during the treatments were assessed using laser diffraction, transmission electron microscopy, and turbidity measurements. Finally, ultracentrifugation (70,000 × g for 1 h at 20°C) was carried out to evaluate the protein's distribution between the supernatant (serum phase) and the pellet (colloidal phase) by gel electrophoresis and protein concentration measurement. Alkalinization of both skim milks induced a significant reduction in turbidity, whereas an increase of the average particle size was observed, the effect being more severe in pSM than rSM. At alkaline pH, more proteins were recovered in the serum phase, which suggested that the CN underwent major rearrangements into nonsedimentable CN forms of various sizes, as confirmed by transmission electron microscopy. The amount of CN found in the serum phase at pH 8.5 also increased with the UHPH pressure. Although UHPH did not influence the average CN micelle size at pH 6.7 and 8.5, a pressure-dependent decrease was observed at pH 10.5 for both skim milks. The structural changes of the CN micelles observed in this study throughout the combination of alkalinization and UHPH could be of interest for developing new dairy ingredients with improved functionality.


Asunto(s)
Caseínas , Micelas , Animales , Caseínas/química , Concentración de Iones de Hidrógeno , Leche/química , Proteínas de la Leche/análisis , Tamaño de la Partícula
2.
Phys Rev Lett ; 122(6): 067002, 2019 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-30822056

RESUMEN

Optimally doped cuprate are characterized by the presence of superconducting fluctuations in a relatively large temperature region above the critical transition temperature. We reveal here that the effect of thermal disorder, which decreases the condensate phase coherence at equilibrium, can be dynamically contrasted by photoexcitation with ultrashort midinfrared pulses. In particular, our findings reveal that light pulses with photon energy comparable to the amplitude of the superconducting gap and polarized in plane along the copper-copper direction can dynamically enhance the optical response associated with the onset of superconductivity. We propose that this effect can be rationalized by an effective d-wave BCS model, which reveals that midinfrared pulses result in a transient increase of the phase coherence.

3.
Phys Chem Chem Phys ; 19(30): 19822-19828, 2017 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-28678271

RESUMEN

Unraveling ultrafast dynamical processes in highly excited molecular species has an impact on our understanding of chemical processes such as combustion or the chemical composition of molecular clouds in the universe. In this article we use short (<7 fs) XUV pulses to produce excited cationic states of benzene molecules and probe their dynamics using few-cycle VIS/NIR laser pulses. The excited states produced by the XUV pulses lie in an especially complex spectral region where multi-electronic effects play a dominant role. We show that very fast τ ≈ 20 fs nonadiabatic processes dominate the relaxation of these states, in agreement with the timescale expected for most excited cationic states in benzene. In the CH3+ fragmentation channel of the doubly ionized benzene cation we identify pathways that involve structural rearrangement and proton migration to a specific carbon atom. Further, we observe non-trivial transient behavior in this fragment channel, which can be interpreted either in terms of propagation of the nuclear wavepacket in the initially excited electronic state of the cation or as a two-step electronic relaxation via an intermediate state.

4.
J Chem Phys ; 147(1): 013929, 2017 Jul 07.
Artículo en Inglés | MEDLINE | ID: mdl-28688435

RESUMEN

The standard velocity-map imaging (VMI) analysis relies on the simple approximation that the residual Coulomb field experienced by the photoelectron ejected from a neutral or ion system may be neglected. Under this almost universal approximation, the photoelectrons follow ballistic (parabolic) trajectories in the externally applied electric field, and the recorded image may be considered as a 2D projection of the initial photoelectron velocity distribution. There are, however, several circumstances where this approximation is not justified and the influence of long-range forces must absolutely be taken into account for the interpretation and analysis of the recorded images. The aim of this paper is to illustrate this influence by discussing two different situations involving isolated atoms or molecules where the analysis of experimental images cannot be performed without considering long-range Coulomb interactions. The first situation occurs when slow (meV) photoelectrons are photoionized from a neutral system and strongly interact with the attractive Coulomb potential of the residual ion. The result of this interaction is the formation of a more complex structure in the image, as well as the appearance of an intense glory at the center of the image. The second situation, observed also at low energy, occurs in the photodetachment from a multiply charged anion and it is characterized by the presence of a long-range repulsive potential. Then, while the standard VMI approximation is still valid, the very specific features exhibited by the recorded images can be explained only by taking into consideration tunnel detachment through the repulsive Coulomb barrier.

5.
Clin Exp Obstet Gynecol ; 43(6): 893-895, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-29944247

RESUMEN

Ectopic pregnancy is the development of the embryo outside the uterine cavity. In recent years an increase in the incidence of ectopic pregnancies has been observed. It is mainly related to the increased number of IVF procedures. The most frequent localization is the ampulla of the fallopian tube. In cases of intramural or cornual ectopic pregnancies, many patients have a history of ectopic pregnancy on the same side or underwent partial salpingectomy in the past. Treatment of such pregnancies involves laparotomy and removal of the uterus or comu of the uterus. This case concerns a patient operated because of intramural pregnancy. She had a salpingectomy in the past because of tubal ectopic pregnancy on the same side. This case shows that even after removal of the fallopian tube there is still a risk of ectopic pregnancy in the intramural part of this tube.


Asunto(s)
Embarazo Intersticial/cirugía , Embarazo Tubario/cirugía , Salpingectomía , Útero/cirugía , Adulto , Femenino , Humanos , Embarazo , Riesgo
6.
Pol J Vet Sci ; 19(4): 793-800, 2016 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-28092599

RESUMEN

The objective of the study was to determine selenium content in selected organs (liver, kidney) of wild boars from different regions of Poland. Materials for the study were obtained from 28 sites located in 16 provinces of Poland. Selenium concentrations in organs were determined using spectrofluorometric methods after wet mineralization in HNO3 and HClO4 mixture. Mean selenium concentrations in the investigated wild boars from Poland were 0.230 µg/g wet weight in the liver and 1.327 µg/g w.w. in the kidneys. Hepatic and nephric Se concentrations ranged from 0.036-0.626 µg/g w.w. and 0.322-4.286 µg/g w.w., respectively. Selenium concentrations in the wild boars differed considerably according to geographical location. Concentrations of selenium were highest in wild boars from south-eastern provinces and lowest in animals from northern provinces. Most of Poland's area is environmentally deficient in this trace element, as evidenced by marginal selenium levels in the organs of the wild boars.


Asunto(s)
Monitoreo del Ambiente/métodos , Contaminantes Ambientales/química , Selenio/química , Sus scrofa , Animales , Riñón/química , Hígado/química , Polonia
7.
Eur J Gynaecol Oncol ; 36(3): 330-2, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26189263

RESUMEN

Ovarian malignant tumours are mostly ovarian cancers. The most frequent ovarian benign lesions are mature teratomas. A very rare ovarian neoplasm is carcinoid. It mostly occurs as a component of mature teratoma, what causes rare diagnosis before surgery. Study presents the case of patient with primary ovarian carcinoid in mature teratoma of one ovary, co-existing with primary epithelial carcinoma of another ovary. Surgical treatment of carcinoid involves adnexectomy or hysterectomy with adnexa and removal of great omenturn, followed by chemotherapy and radiotherapy. In young women with early-stage tumours, treatment can be limited to adnexectomy followed by close monitoring. In the presented case, management associated with the diagnosis of ovarian carcinoid, resulted in the detection of early-stage ovarian epithelial cancer. This case seems to confirm the recommendations to take tissue samples from the other ovary for histopathological evaluation in cases of ovarian unilateral benign tumours.


Asunto(s)
Tumor Carcinoide/patología , Neoplasias Quísticas, Mucinosas y Serosas/patología , Neoplasias Primarias Múltiples/patología , Neoplasias Ováricas/patología , Teratoma/patología , Adulto , Femenino , Humanos , Estadificación de Neoplasias
8.
Pol J Vet Sci ; 17(1): 165-7, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24724485

RESUMEN

The aim of this study was to determine serum selenium concentrations in Polish Konik horses residing in the Odra Delta Nature Park (Poland) and to evaluate the activity of glutathione peroxidase and Se content in testes of this horse breed. In over 95% of cases, serum Se concentration was below the optimal range, and none of the horses examined was deficient in this trace element. The lack of Se deficiency in the animals examined suggests however, that the Polish Konik horses have a natural ability to the optimal use of nutrients available in their life area. Testicular content of Se and GSHPx activity in the colts was higher than those found in stallions, and a positive relationship between these antioxidants was demonstrated. The differences in Se contents and GSHPx activities in testes between colts and stallions suggest that selenoenzymes play important roles during the puberty of male horses.


Asunto(s)
Glutatión Peroxidasa/metabolismo , Caballos/metabolismo , Selenio/metabolismo , Testículo/metabolismo , Animales , Femenino , Glutatión Peroxidasa/genética , Masculino , Polonia , Selenio/sangre
9.
Osteoporos Int ; 24(12): 3001-10, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23754200

RESUMEN

UNLABELLED: We studied 7,897 women with postmenopausal osteoporosis to assess factors that influence health-related quality of life (HRQoL). An increased number of comorbidities, fear of falling, and previous vertebral fracture were associated with significant reductions in HRQoL. Understanding the factors that affect HRQoL may improve management of these patients. INTRODUCTION: HRQoL is impaired in women treated for postmenopausal osteoporosis (PMO). The objective of this study was to examine the relationship between clinical characteristics, comorbidities, medical history, patient demographics, and HRQoL in women with PMO. METHODS: Baseline data were obtained and combined from two large and similar multinational observational studies: Prospective Observational Scientific Study Investigating Bone Loss Experience in Europe (POSSIBLE EU®) and in the US (POSSIBLE US™) including postmenopausal women in primary care settings initiating or switching bone loss treatment, or who had been on bone loss treatment for some time. HRQoL measured by health utility scores (EQ-5D™) were available for 7,897 women (94 % of study participants). The relationship between HRQoL and baseline clinical characteristics, medical history and patient demographics was assessed using parsimonious, multivariable, mixed-model analyses. RESULTS: Median health utility score was 0.80 (interquartile range 0.69-1.00). In multivariable analyses, young age, low body mass index, previous vertebral fracture, increased number of comorbidities, high fear of falling, and depression were associated with reduced HRQoL. Regression-based model estimates showed that previous vertebral fracture was associated with lower health utility scores by 0.08 (10.3 %) and demonstrated the impact of multiple comorbidities and of fear of falling on HRQoL. CONCLUSIONS: In this large observational study of women with PMO, there was substantial interindividual variability in HRQoL. An increased number of comorbidities, fear of falling, and previous vertebral fracture were associated with significant reductions in HRQoL.


Asunto(s)
Accidentes por Caídas/estadística & datos numéricos , Miedo , Osteoporosis Posmenopáusica/rehabilitación , Fracturas Osteoporóticas/rehabilitación , Calidad de Vida , Anciano , Comorbilidad , Europa (Continente)/epidemiología , Femenino , Indicadores de Salud , Humanos , Persona de Mediana Edad , Osteoporosis Posmenopáusica/epidemiología , Osteoporosis Posmenopáusica/psicología , Fracturas Osteoporóticas/epidemiología , Fracturas Osteoporóticas/psicología , Estudios Prospectivos , Psicometría , Fracturas de la Columna Vertebral/epidemiología , Fracturas de la Columna Vertebral/psicología , Fracturas de la Columna Vertebral/rehabilitación , Estados Unidos/epidemiología
10.
Eur J Sport Sci ; 23(8): 1800-1809, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-36815759

RESUMEN

We aimed to assess the prognostic utility of different parameters routinely assessed from cardiopulmonary exercise testing (CPET) and exercise echocardiography in adults with end-stage renal disease (ESRD). Forty-two ESRD (37 male) individuals (age: 58 ± 13 years, height: 169.30 ± 8.30 cm, weight: 81 ± 15 kg, body surface area: 1.92 ± 0.20 m2) underwent a maximal/symptom limited CPET, with a full cross-sectional echocardiogram performed at baseline and peak exercise. All participants were prospectively followed over a 10-year period, with all-cause mortality as the primary endpoint. After the follow-up period, a total of 19 participants (45%) died. Left atrial size (4.70 ± 0.70 vs. 3.65 ± 0.50 cm, P < 0.001) and anteroseptal wall thickness (1.28 ± 0.40 vs. 1.06 ± 0.02 cm, P = 0.002) were significantly greater in those that died, while peak heart rate was significantly lower (108 ± 12 vs. 128 ± 14 bpm, P < 0.001). The prevalence of myocardial ischaemia (13 vs. 8 participants, P = 0.03) was significantly greater, while peak VO2 (9.80 ± 2.10 vs. 15.90 ± 4.30 ml·kg-1·min-1, P < 0.001) was significantly lower in those that died. Following multivariate cox regression, myocardial ischaemia (Hazard Ratio 3.08; 95% Confidence Interval 1.09-8.70; P = 0.03) and peak VO2 (HR 0.73; 95% CI 0.64-0.84; P < 0.001) were significant independent predictors of 10-year all-cause mortality. This is the first study to establish peak VO2 as powerful marker of all-cause mortality when assessed with clinical, resting and stress echocardiography parameters in people with ESRD over a 10-year follow up period. This observation indicates that, in clinical practice, CPET and exercise echocardiography may serve as valuable tools for the risk stratification of individuals with ESRD.HighlightsWe aimed to assess the prognostic utility of cardiopulmonary exercise testing (CPET) and exercise echocardiography in end-stage renal disease (ESRD) with 10-year mortality.Peak aerobic capacity and the presence of ischaemic heart disease were independently associated with all-cause mortality.This observation indicates that, in clinical practice, CPET and exercise echocardiography may serve as valuable tools for the risk stratification of individuals with end-stage renal disease.


Asunto(s)
Fallo Renal Crónico , Isquemia Miocárdica , Humanos , Masculino , Adulto , Persona de Mediana Edad , Anciano , Ecocardiografía de Estrés , Prueba de Esfuerzo , Estudios Transversales , Consumo de Oxígeno
11.
J Parasitol Res ; 2022: 1165782, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35127154

RESUMEN

Due to their limited environment, farm animals are at greater risk of parasitic infection than free-living animals, which also have greater natural resistance to parasitic diseases. The aim of the present study was to determine the influence of season and meteorological conditions (temperature and humidity) on the species composition and dynamics of parasitic infections in farmed mouflons. The study was conducted in a herd of mouflon (n = 40) in an extensive system: the animals remained on pasture all year round. The herd was dewormed twice per year with albendazole. Fecal samples were collected at monthly intervals over three years and tested. The prevalence of infection was defined based on coproscopic methods. For most of the studied protozoans (except for E. parva), a greater prevalence was recorded in spring and summer (i.w. from May to September). Regarding nematodes, Capillaria spp., Nematodirus sp., and the Trichostrongylidae demonstrated a much greater prevalence in winter (i.e., in January and December). Temperature and precipitation were found to be positively correlated with intensity of infection by protozoans. However, maximum air temperature was negatively correlated with infection intensity by some nematodes. The deworming practice used in the herd (selection of substance, date, and method of dosing) did not effectively protect the mouflons against parasitoses. Changes in the microclimate resulted in high extent and intensity of mouflon infection with gastrointestinal parasites. Understanding the dynamics of parasitic infections in mouflons during the year allows the development of an appropriate preventive programme.

12.
Phys Rev Lett ; 107(21): 215004, 2011 Nov 18.
Artículo en Inglés | MEDLINE | ID: mdl-22181891

RESUMEN

The x-ray emission in laser-plasma accelerators can be a powerful tool to understand the physics of relativistic laser-plasma interaction. It is shown here that the mapping of betatron x-ray radiation can be obtained from the x-ray beam profile when an aperture mask is positioned just beyond the end of the emission region. The influence of the plasma density on the position and the longitudinal profile of the x-ray emission is investigated and compared to particle-in-cell simulations. The measurement of the x-ray emission position and length provides insight on the dynamics of the interaction, including the electron self-injection region, possible multiple injection, and the role of the electron beam driven wakefield.

13.
Pol J Vet Sci ; 14(3): 453-7, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21957741

RESUMEN

The objective of the study was to determine selenium status and its distribution in the organs of free living foxes from selenium deficient areas of north-western Poland. Samples of organs harvested from 40 foxes shot during the 2008-2009 hunting seasons served as experimental material. Selenium concentration in the organs was determined spectrofluorometrically. Selenium distribution in tissues depends largely on its dietary content. Our study indicated that concentrations of selenium in the examined organs followed the order: kidney>liver>spleen>lung>heart and kidneys were the organ with the highest retention of this element. Mean selenium concentration in fox kidneys was 0.60 +/- 0.15 microg/g wet weight. Several times less selenium on average was found in the liver (0.27 +/- 0.09 microg/g w.w.), lungs (0.17 +/- 0.06 microg/g w.w.), spleen (0.19 +/- 0.06 microg/g w.w.) and heart (0.13 +/- 0.05 microg/g w.w.). All the animals studied were deficient in selenium.


Asunto(s)
Zorros/metabolismo , Selenio/metabolismo , Animales , Riñón/química , Riñón/metabolismo , Hígado/química , Hígado/metabolismo , Pulmón/química , Pulmón/metabolismo , Miocardio/química , Miocardio/metabolismo , Polonia , Selenio/química , Bazo/química , Bazo/metabolismo
14.
Eur Rev Med Pharmacol Sci ; 25(10): 3859-3867, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-34109594

RESUMEN

OBJECTIVE: The results of pioneering studies indicate that probiotics can alleviate menopausal symptoms (including cardiometabolic dysfunctions) and improve the quality of life of perimenopausal/postmenopausal women. However, the results of randomized control trials are scarce to evaluate whether the administration of probiotics could affect the balance of sex hormones during the menopause period. PATIENTS AND METHODS: In this randomized, double-blind, and placebo-controlled study, 48 perimenopausal and postmenopausal women received multispecies probiotic Sanprobi Barrier in a dose of 2.5 × 109 (CFU) for five weeks. Dietary guidelines were introduced in both groups simultaneously (~1800 kcal/per day, whole grain, no-wheat meals). The study aimed to assess the variations in follicle-stimulating hormone (FSH), estradiol (E2), cortisol (as the hypothalamic-pituitary-ovarian axis hormone), and the body mass during the intervention. RESULTS: At the endpoint, FSH level has increased significantly concerning the baseline after the probiotic intake (31.91 vs. 42.00 mIU/ml; p < 0.009). Also, in the placebo group, a strong trend to elevate FSH was observed (22.31 vs. 41.99 mIU/ml; p = 0.055). Body mass has crucially decreased in reference to the baseline in both groups (PRO: 27.90 vs. 26.30 kg/m2, p<0.001; PBO: 25.90 to 24.60 kg/m2, p<0.001). CONCLUSIONS: Probiotics affect FSH levels in perimenopausal women while simultaneously representing a non-invasive strategy to impact hormonal homeostasis. They could potentially have an impact on cardiometabolic health.


Asunto(s)
Hormona Folículo Estimulante/sangre , Perimenopausia/sangre , Posmenopausia/sangre , Probióticos/uso terapéutico , Índice de Masa Corporal , Dieta , Método Doble Ciego , Estradiol/sangre , Femenino , Humanos , Hidrocortisona/sangre , Persona de Mediana Edad
16.
Vet World ; 13(8): 1654-1660, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33061241

RESUMEN

BACKGROUND AND AIM: The most common causes of loss and diarrhea in rabbit farming are nutritional errors and coccidiosis. The infection can spread rapidly throughout a breeding area, reducing the rabbit population, and causing heavy losses. The aim of the study was to determine the influence of the system of animal management on the extensity and intensity of infection by Eimeria of farmed rabbits, together with the effect of the sex, age, and breed of the rabbits themselves. MATERIALS AND METHODS: The study included 91 rabbits (Flemish Giant, New Zealand White, French Lope, Vienna Blue, California White, and mixed breed) from eight domestic (small-scale) farms from Poland. The prevalence and intensity of coccidial infection were determined by the Willis-Schlaf and McMaster coprological methods. The species were determined based on oocyst morphology: Their shape, color, form index, the presence or absence of micropyle and cap, and the presence or absence of residual, polar, and Stiedé bodies. RESULTS: Seven species of Eimeria were isolated from the tested rabbits: Eimeria magna, Eimeria media, Eimeria perforans, Eimeria stiedae, Eimeria coecicola, Eimeria exigua, and Eimeria irresidua. Most infections were found to be of relatively low intensity. No significant differences in the extensity of Eimeria protozoan infection were observed with regard to sex. However, rabbit age had a significant influence on the extensity of infection by E. magna and of Eimerian protozoans combined. The greatest extensity was observed in rabbits aged below 6 months. For all species of Eimeria, greater extensity was observed among rabbits kept in groups than individually. The system of rabbit management also had a significant influence on the intensity of infection. Those kept in groups demonstrated a significantly higher mean intensity of infection of E. magna and all Eimeria species combined than those kept individually. CONCLUSION: Our findings indicate that Eimeria protozoa are a common occurrence on small-scale rabbit farms. As coccidiosis treatment does not always give good results, prevention is very important in the fight against this disease. It is necessary to develop a new preventive paradigm that pays special attention to the factors that promote the spread and development of infection in domestic (small-scale) farms from Poland. For example, it would be recommended to use large, dry, bright rooms with access to the sun, as these are conducive to preventing the occurrence of coccidia infections.

17.
Nat Commun ; 10(1): 337, 2019 01 18.
Artículo en Inglés | MEDLINE | ID: mdl-30659172

RESUMEN

The many-body quantum nature of molecules determines their static and dynamic properties, but remains the main obstacle in their accurate description. Ultrashort extreme ultraviolet pulses offer a means to reveal molecular dynamics at ultrashort timescales. Here, we report the use of time-resolved electron-momentum imaging combined with extreme ultraviolet attosecond pulses to study highly excited organic molecules. We measure relaxation timescales that increase with the state energy. High-level quantum calculations show these dynamics are intrinsic to the time-dependent many-body molecular wavefunction, in which multi-electronic and non-Born-Oppenheimer effects are fully entangled. Hints of coherent vibronic dynamics, which persist despite the molecular complexity and high-energy excitation, are also observed. These results offer opportunities to understand the molecular dynamics of highly excited species involved in radiation damage and astrochemistry, and the role of quantum mechanical effects in these contexts.

18.
Eur J Gynaecol Oncol ; 28(2): 128-30, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17479675

RESUMEN

Persistent minimal residual disease diagnosed after the first line of chemotherapy during second-look surgery can be an indication for intraperitoneal chemotherapy. Another treatment option is intraperitoneal hyperthermic perfusion chemotherapy (IHPC) where the drug is administrated into the peritoneal cavity with the use of extracorporeal closed circuit perfusate circulation at a temperature of 41-42 degrees C. We have started to perform, as a second-line treatment, a combination of one IHPC procedure and four cycles of standard intraperitoneal chemotherapy. In a patient who had previously undergone three different chemotherapy regimens, stabilization of the disease was achieved. In our opinion combining the IHPC procedure with intraperitoneal chemotherapy can be valuable in patients with small volume residual tumor.


Asunto(s)
Antineoplásicos/administración & dosificación , Quimioterapia del Cáncer por Perfusión Regional/métodos , Hipertermia Inducida , Neoplasias Ováricas/terapia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Cisplatino/administración & dosificación , Terapia Combinada , Ciclofosfamida/administración & dosificación , Supervivencia sin Enfermedad , Femenino , Humanos , Infusiones Parenterales/métodos , Estadificación de Neoplasias , Neoplasias Ováricas/tratamiento farmacológico , Neoplasias Ováricas/cirugía , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
19.
Eur J Gynaecol Oncol ; 26(2): 151-4, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-15857018

RESUMEN

Hemorrhage has always been a significant potential complication in the field of gynecological oncology. Throughout the years, a variety of medical and surgical modalities aimed at controlling pelvic hemorrhage have been developed. Most recently, these have focused on attempting to decrease the morbidity associated with pelvic bleeding. The effectiveness of and the complications involved in controlling massive hemorrhage by the preemptive method of vascular clamping of the aorta, intraoperative methods, such as the local application of procoagulants and of prolonged compression (pelvic gauze packing, plastic wrapped gauze packing, autograft tissue compression and balloon compression) have all been reviewed. Surgeons are able to acquaint themselves with the choice of methods that can be employed during massive pelvic bleeding resulting from procedures on gynecological malignancies.


Asunto(s)
Neoplasias de los Genitales Femeninos/complicaciones , Hemorragia/terapia , Femenino , Hemorragia/etiología , Humanos , Pelvis , Sacro
20.
Eur J Gynaecol Oncol ; 26(4): 418-22, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16122192

RESUMEN

Pelvic exenteration offers the last chance for some women with gynecological and rectal malignancy. A series of 23 patients who underwent pelvic exenteration for local advanced gynecological and rectal malignancies between 1996 and 2004 were retrospectively reviewed. The exenteration was performed because of vulvar cancer in 14 patients and other pelvic malignancies in nine cases: rectal cancer in four cases, in three cases cervical cancer, in one case ovarian cancer and in one case uterine sarcoma. Nine patients developed major complications of the operative field involving the urinary tract or the wound. Early complications included massive bleeding from the sacral plexus in two cases (one patient died during surgery), acute respiratory distress syndrome (ARDS) in one case and thrombophlebitis in one case. Urinary incontinence was observed in two women as a late complication. Only one patient had a complication connected with the gastrointestinal tract. Twenty-two patients were followed-up. In the group of patients with vulvar cancer five women died after 4-29 months because of recurrence of disease. The nine surviving patients are still being followed-up and are without disease; survival time ranges from 6-74 months. In the group of patients with other malignancies four women died.


Asunto(s)
Neoplasias de los Genitales Femeninos/cirugía , Exenteración Pélvica/mortalidad , Neoplasias Pélvicas/cirugía , Complicaciones Posoperatorias , Neoplasias del Recto/cirugía , Anciano , Femenino , Neoplasias de los Genitales Femeninos/mortalidad , Humanos , Persona de Mediana Edad , Neoplasias Pélvicas/mortalidad , Neoplasias del Recto/mortalidad , Análisis de Supervivencia , Resultado del Tratamiento
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