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1.
Acta Chir Plast ; 64(3-4): 121-123, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36868817

RESUMEN

Lymph node transfer has recently become one of the popular techniques for surgical treatment of lymphedema. We aimed to evaluate postoperative donor site numbness and other complications in patients who underwent supraclavicular lymph node flap transfer to treat lymphedema with preservation of the supraclavicular nerve. From 2004 to 2020, 44 cases of supraclavicular lymph node flap were reviewed retrospectively. In the donor area, sensorial evaluation was clinically done with the postoperative controls. Among them 26 had no numbness at all, 13 had short-term numbness, two had numbness for > 1 year and three had numbness for > 2 years. We suggest that careful preservation of the supraclavicular nerve branches can avoid the major complication of numbness around the clavicle.


Asunto(s)
Clavícula , Linfedema , Humanos , Estudios Retrospectivos , Donantes de Tejidos , Hipoestesia , Ganglios Linfáticos
2.
Clin Radiol ; 74(7): 571.e9-571.e18, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31010584

RESUMEN

AIM: To further verify the effectiveness of diffusion-weighted (DWI) magnetic resonance imaging (MRI) and 1H magnetic resonance spectroscopy (MRS) using a 3 T MRI system to differentiate benign leiomyomas from uterine sarcoma; to investigate the benefit of adding MRS to the apparent diffusion coefficient (ADC) for improving the specificity of the benign/malignant classification. MATERIALS AND METHODS: The dataset included 21 uterine sarcoma from 14 patients and 84 benign leiomyomas from 51 patients. T1-and T2-weighted images as well as DWI were obtained using a 3-T MRI system. Approximately 60% of patients also underwent MRS. The chi-square test was used to compare the percentage of malignant lesions that showed choline peaks, lipid peaks, and restricted diffusion to the corresponding percentage of benign masses. Using the area under a receiver operating characteristic (AUC) curve, the efficacy of different parameters for distinguishing uterine sarcomas from leiomyomas was measured. RESULTS: The visual assessment of DWI images showed that 100% of malignant lesions exhibited restricted diffusion while the corresponding figure for benign leiomyomas was only 5%. The mean ADC of malignant tumours differed significantly from that of benign ones (p<0.001). The percentage of malignant lesions for which choline and lipid peaks were present was significantly higher than that of benign lesions. By combining the ADC and MRS findings, an accuracy of 98.3 (95.1-100) was achieved. CONCLUSIONS: The findings suggested that a combination of DWI and MRS could be useful in the preoperative assessment of uterine masses to differentiate benign leiomyomas from leiomyosarcoma.


Asunto(s)
Imagen de Difusión por Resonancia Magnética/métodos , Leiomioma/diagnóstico por imagen , Espectroscopía de Resonancia Magnética/métodos , Miometrio/diagnóstico por imagen , Neoplasias Uterinas/diagnóstico por imagen , Adolescente , Adulto , Anciano , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana Edad , Sensibilidad y Especificidad , Útero/diagnóstico por imagen , Adulto Joven
3.
Eur J Gynaecol Oncol ; 37(5): 703-709, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-29787015

RESUMEN

PURPOSE OF INVESTIGATION: In Iran, the authors use neoadjuvant chemotherapy (NACT) prior to surgery in cervical cancer due to limited access to the radiotherapy and very prolonged waiting time in accession to radiotherapy. The study was done to analyze the efficacy of the NACT with high dose-dense paclitaxel and cisplatin before radical surgery on cure rate, survival rate, and the progression of free survival rate of bulky tumor of cervical cancer in Stages 1B2, IId A2, and IIB. MATERIALS AND METHODS: Fifty-two patients with cervical cancer in Stages Ib2, IIA2, and IIB were selected, and responding patients to chemotherapy were scheduled to undergo radical hysterectomy and bilateral pelvic lymphadenectomy with or without para-aortic lymphadenectomy. RESULTS: Fifty out of 52 patients with a median age of 50 years were evaluable for clinical response. Thirty-two patients (64%) responded to the NACT including six (12%) with a complete clinical response. There was no statistical relationship between clinical response, tumor stage and size, and parametrical involvement, however, patients with higher grade of tumor, adenocarcinoma or tumor in upper 2/3 of vagina showed a higher probability of no response to chemotherapy. Downstaging after NACT in all stages was statistically significant regarding pathologic findings and clinical response (p = 0.002). Five-year survival was 88% and factors affecting survival and disease-free survival were pathological response and tumor site based on cox-regression analysis. Overall recurrence rate was 20% and tumor size was the only significant relevant factor for recurrence (p = 0.017). CONCLUSION: Combined regimen of chemotherapy in locally advanced cervical cancer proved to be valuable and efficacious without any late complications.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias del Cuello Uterino/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Quimioterapia Adyuvante , Cisplatino/administración & dosificación , Terapia Combinada , Femenino , Humanos , Persona de Mediana Edad , Terapia Neoadyuvante , Recurrencia Local de Neoplasia , Estadificación de Neoplasias , Paclitaxel/administración & dosificación , Modelos de Riesgos Proporcionales , Neoplasias del Cuello Uterino/mortalidad , Neoplasias del Cuello Uterino/patología
4.
Actas Urol Esp (Engl Ed) ; 48(1): 11-18, 2024.
Artículo en Inglés, Español | MEDLINE | ID: mdl-38043680

RESUMEN

Nephrolithiasis is a globally prevalent urologic condition associated with significant morbidity and patient discomfort. Current management of kidney stones includes both surgical and pharmacologic interventions. Though surgery may be necessary under certain circumstances, pharmacologic treatment is a more affordable, readily available, and a less invasive option for patients. A comprehensive scoping review was conducted to summarize the available literature on the pharmacologic strategies for managing the predominant stone types including calcium oxalate, calcium phosphate, uric acid, struvite, and cystine stones. Central to these therapeutic approaches is the regulation of factors such as urine pH, stone crystallization, and patient metabolics that precipitate stone development and growth. This review highlights the pharmacological options available for treating each kidney stone type, emphasizing the importance of patient tailored medical management that should be considered by every physician.


Asunto(s)
Cálculos Renales , Humanos , Cálculos Renales/tratamiento farmacológico , Oxalato de Calcio/metabolismo , Ácido Úrico , Concentración de Iones de Hidrógeno
5.
Bone Marrow Transplant ; 59(2): 232-238, 2024 02.
Artículo en Inglés | MEDLINE | ID: mdl-38007531

RESUMEN

Allogeneic haematopoietic cell transplantation (alloHCT) has curative potential counterbalanced by its toxicity. Prognostic scores fail to include current era patients and alternative donors. We examined adult patients from the EBMT registry who underwent alloHCT between 2010 and 2019 for oncohaematological disease. Our primary objective was to develop a new prognostic score for overall mortality (OM), with a secondary objective of predicting non-relapse mortality (NRM) using the OM score. AI techniques were employed. The model for OM was trained, optimized, and validated using 70%, 15%, and 15% of the data set, respectively. The top models, "gradient boosting" for OM (AUC = 0.64) and "elasticnet" for NRM (AUC = 0.62), were selected. The analysis included 33,927 patients. In the final prognostic model, patients with the lowest score had a 2-year OM and NRM of 18 and 13%, respectively, while those with the highest score had a 2-year OM and NRM of 82 and 93%, respectively. The results were consistent in the subset of the haploidentical cohort (n = 4386). Our score effectively stratifies the risk of OM and NRM in the current era but do not significantly improve mortality prediction. Future prognostic scores can benefit from identifying biological or dynamic markers post alloHCT.


Asunto(s)
Inteligencia Artificial , Trasplante de Células Madre Hematopoyéticas , Humanos , Adulto , Trasplante Homólogo , Recurrencia Local de Neoplasia , Trasplante de Células Madre Hematopoyéticas/métodos , Pronóstico , Enfermedad Crónica , Estudios Retrospectivos
6.
Br Poult Sci ; 54(4): 524-30, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23906220

RESUMEN

1. In this study, neural network (NN) and response surface (RS) models were developed to investigate the response [average daily gain (ADG) and feed efficiency (FE)] of young broiler chickens to dietary protein and lysine. For this purpose, data on their responses to dietary protein and lysine were extracted from the literature and separate NN and RS models were constructed. 2. Comparison between the NN and RS models revealed higher accuracy of prediction with the NN models compared to the RS models. In terms of R (2) values, the NN models developed for both ADG (R (2) = 0.923) and FE (R (2) = 0.904) were far superior to the RS models (R (2) for ADG = 0.511; R (2) for FE = 0.67). This suggests that the NN models can serve as an alternative option to conventional regression approaches including use of RS models. 3. Optimisation of the NN models developed for response to protein and lysine showed that diets containing 220.7 (g/kg of diet) protein and 12.85 (g/kg of diet) lysine maximise ADG, whereas maximum FE is achieved with diets containing 241.3 and 13.12 (g/kg) protein and lysine, respectively. Based on the optimisation results, optimal dietary protein and lysine concentrations for maximum FE in broiler chickens during the starting period are higher than for ADG.


Asunto(s)
Crianza de Animales Domésticos/métodos , Pollos/fisiología , Proteínas en la Dieta/metabolismo , Digestión/efectos de los fármacos , Lisina/metabolismo , Aumento de Peso/efectos de los fármacos , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Pollos/crecimiento & desarrollo , Dieta/veterinaria , Relación Dosis-Respuesta a Droga , Femenino , Masculino , Modelos Biológicos , Modelos Estadísticos , Redes Neurales de la Computación
7.
J Biomed Biotechnol ; 2011: 165852, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21772789

RESUMEN

In pursuit of strong shikalkin-producing cell lines, seeds of the Iranian Arnebia euchroma were collected from Dena altitudes in the central Zagross. Chemical analysis showed that the dried root of the plant contained about 8.5% (w/w) shikalkin pigment. The root explants of the young plantlets, obtained from the germinated seeds, were used for establishing callus. Then, parameters effective on proliferation and pigment production of the resulting calli were studied in detail. Accordingly, two modified media called mLS and mM9 were optimized for propagation and pigment production, respectively. Using these media, the biomass of the A. euchroma calli was increased to 600%, and the pigment production reached to a maximum of 16.3 mg per gram of the wet biomass in a period of a subculture (21 days). Parallel to these experiments, the antimicrobial activity of shikalkin pigment was examined on some fungi and gram-positive and gram-negative bacteria. Results indicated that the pigment was almost ineffective on fungi and gram-negative bacteria, but it was meaningfully effective against Micrococcus luteus.


Asunto(s)
Antibacterianos/farmacología , Boraginaceae/química , Boraginaceae/crecimiento & desarrollo , Extractos Vegetales/farmacología , Técnicas de Cultivo de Tejidos/métodos , Antibacterianos/química , Antibacterianos/aislamiento & purificación , Bacterias/efectos de los fármacos , Hongos/efectos de los fármacos , Naftoquinonas/química , Naftoquinonas/aislamiento & purificación , Naftoquinonas/farmacología , Extractos Vegetales/química , Extractos Vegetales/aislamiento & purificación , Raíces de Plantas/química , Semillas/química
8.
Mol Biol Rep ; 38(2): 711-9, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20419350

RESUMEN

Transgenic doubled haploid rapeseed (Brassica napus L. cvs. Global and PF(704)) plants were obtained from microspore-derived embryo (MDE) hypocotyls using the microprojectile bombardment. The binary vector pCAMBIA3301 containing the gus and bar genes under control of CaMV 35S promoter was used for bombardment experiments. Transformed plantlets were selected and continuously maintained on selective medium containing 10 mg l(-1) phosphinothricin (PPT) and transgenic plants were obtained by selecting transformed secondary embryos. The presence, copy numbers and expression of the transgenes were confirmed by PCR, Southern blot, RT-PCR and histochemical GUS analyses. In progeny test, three out of four primary transformants for bar gene produced homozygous lines. The ploidy level of transformed plants was confirmed by flow cytometery analysis before colchicine treatment. All of the regenerated plants were haploid except one that was spontaneous diploid. High frequency of transgenic doubled haploid rapeseeds (about 15.55% for bar gene and 11.11% for gus gene) were considerably produced after colchicines treatment of the haploid plantlets. This result show a remarkable increase in production of transgenic doubled haploid rapeseed plants compared to previous studies.


Asunto(s)
Brassica rapa/genética , Plantas Modificadas Genéticamente/genética , Aminobutiratos , Southern Blotting , Brassica/genética , Ciclo Celular , Colchicina/farmacología , Diploidia , Haploidia , Fenómenos Fisiológicos de las Plantas , Plásmidos/metabolismo , Reacción en Cadena de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
9.
Eur Rev Med Pharmacol Sci ; 15(3): 267-73, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21528772

RESUMEN

INTRODUCTION: Cytokines are glycoproteins that modulate reproductive function through a series of various mechanisms (by both conditioning gonadal steroidogenesis and contributing to the preservation of an inflammatory microenvironment). AIM OF THE STUDY: To evaluate the impact of certain clinical variables (i.e., age, obesity, insulin resistance index, serum antithyroid antibodies serum levels) on the serum concentrations of cytokines TNF-alpha, IL-6, and IL-10 in the follicular fluid of women undergoing a medically assisted procreation (PMA) cycle. MATERIALS AND METHODS: A total of 40 female patients undergoing an intracytoplasmic sperm injection (ICSI) in oocytes, following ovarian stimulation by purified FSH and hCG carried out after suppression of ovarian function. The follicular fluid, obtained by surgical ultrasonography-guided withdrawal, was stored at -30 degrees C. Subsequently the cytokines were assayed by ELISA technique. RESULTS: Women suffering from class II obesity showed follicular levels of TNF-alpha significantly higher (p < 0.05) than women with a normal body mass index (BMI). Significantly higher concentrations of TNF-alpha and IL-6 were found in women with HOMA index > 2.5. Women clinically presenting with concomitant obesity and high serum levels of antithyroid antibodies were found to have higher follicular levels of TNF-alpha and IL-6 (p < 0.05) in comparison with women suffering from obesity only or low antithyroid antibodies levels only, or from both these conditions. CONCLUSION: Obesity is a common clinical condition associated with a higher concentration of inflammatory substances in the follicular fluid of infertile women. It is not understood, as yet, the possible pejorative role exerted by the presence of other clinical conditions, such as insulin resistance and high levels of antithyroid antibodies, that are conditions frequently encountered in the clinical practice.


Asunto(s)
Citocinas/análisis , Líquido Folicular/inmunología , Mediadores de Inflamación/análisis , Obesidad/inmunología , Técnicas Reproductivas Asistidas , Adulto , Factores de Edad , Análisis de Varianza , Autoanticuerpos/sangre , Índice de Masa Corporal , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Resistencia a la Insulina , Interleucina-10/análisis , Interleucina-6/análisis , Italia , Obesidad/fisiopatología , Inducción de la Ovulación , Inyecciones de Esperma Intracitoplasmáticas , Glándula Tiroides/inmunología , Factor de Necrosis Tumoral alfa/análisis , Regulación hacia Arriba
10.
Eur J Gynaecol Oncol ; 32(6): 710-2, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22335046

RESUMEN

AIM: Radical trachelectomy or removal of the cervix and uterine ligaments with uterus and ovary preservation is done in primary stages of cervical cancer in women who wish to preserve their fertility. CASES: The first case had cervical cancer in situ with lymphovascular involvement, while the second case had papillary serous adenocarcinoma, Stage Ib1 (lesion < 4 cm and limited to the cervix) diagnosed during pregnancy, who underwent surgery two months following labor. Radical trachelectomy and total pelvic lymphadenectomy to preserve the uterus were done without any intra- or postoperative complications. Both patients had regular postoperative menstruation, but in the second case, the disease relapsed in the vaginal cuff and the patient was a candidate for radical hysterectomy and radiotherapy. CONCLUSION: Radical trachelectomy as a new technique to preserve fertility in early stages of cervical cancer seems to be less effective in adenocarcinoma than squamous cell carcinoma due to a worse prognosis.


Asunto(s)
Procedimientos Quirúrgicos Ginecológicos/métodos , Complicaciones Neoplásicas del Embarazo/cirugía , Neoplasias del Cuello Uterino/cirugía , Adulto , Cuello del Útero/cirugía , Femenino , Preservación de la Fertilidad , Humanos , Embarazo
11.
Eur J Gynaecol Oncol ; 32(6): 695-8, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22335041

RESUMEN

BACKGROUND: Although endometrial cancer is primarily a postmenopausal disease, 25% of patients are in premenopausal age with 3-5% being 40 years old or younger. The younger groups of women with endometrial carcinoma are frequently nulligravid with a history of infertility and strong desire to preserve fertility, which may pose a therapeutic dilemma for both patients and physicians. CASE REPORTS: We report on three young women with atypical complex hyperplasia or early-stage endometrial cancer that were treated with conservative hormonal therapy. DISCUSSION/CONCLUSION: Hormonal therapy has been proposed for young women with endometrial cancer (grade 1) who wish to preserve their fertility. However, detailed evaluation including physical examination, history taking, performing D&C, examining the specimen by a skilled pathologist, using imaging techniques, especially contrast enhanced MRI and for some patients explorative laparoscopy with sampling of peritoneal and lymph nodes, and evaluation of adnexa is necessary. Also for patients in Stage I/grade 1, advisory sessions on the benefits and side-effects of high-dose progesterone with evaluation of the endometrium every three months until total regression is recommended.


Asunto(s)
Adenocarcinoma/tratamiento farmacológico , Hiperplasia Endometrial/tratamiento farmacológico , Neoplasias Endometriales/tratamiento farmacológico , Lesiones Precancerosas/tratamiento farmacológico , Adenocarcinoma/diagnóstico , Adenocarcinoma/patología , Adulto , Hiperplasia Endometrial/diagnóstico , Hiperplasia Endometrial/patología , Neoplasias Endometriales/diagnóstico , Neoplasias Endometriales/patología , Femenino , Preservación de la Fertilidad , Humanos , Lesiones Precancerosas/diagnóstico , Lesiones Precancerosas/patología , Adulto Joven
12.
Clin Exp Obstet Gynecol ; 37(4): 290-4, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-21355460

RESUMEN

BACKGROUND: Surveys have shown that fertility sparing in patients with ovarian tumors has proven to be effective. Thus this approach in ovarian tumor cases has been carried out. The purpose of this study was to evaluate the clinical outcome and pregnancies in women who suffered from ovarian tumor and underwent conservative treatment. MATERIALS AND METHODS: All cases who received conservative treatment and those who had recurrence of the disease during the follow-up period were evaluated at Vali-Asr Hospital from 2000-2004. RESULTS: 60 of 410 patients with ovarian tumor (age range: 13-34) were treated conservatively. Three patients (5%) were infertile. Histology of tumors showed: 26 (43.3%) germ cell tumors, 15 (25%) borderline tumors, ten (16.7%) epithelial tumors and nine (15%) sex cord tumors. The cases were followed for 12-48 months. Seven term pregnancies occurred in six patients. Three in the borderline group, two in the germ cell group, one in the epithelial group and one in the sex-cord group. Nine recurrences were reported among our cases. Two of the patients (serous carcinoma and immature teratoma, both Stage IIIc) died during follow-up due to refusal to undergo radical surgery. CONCLUSION: Fertility preserving surgery in young women with epithelial ovarian tumors, borderline and sex-cord tumors Stage I, grade 1 and 2 is recommended.


Asunto(s)
Infertilidad Femenina/prevención & control , Neoplasias Ováricas/cirugía , Adolescente , Adulto , Quimioterapia Adyuvante/efectos adversos , Femenino , Humanos , Infertilidad Femenina/etiología , Recurrencia Local de Neoplasia , Estadificación de Neoplasias , Neoplasias Glandulares y Epiteliales/mortalidad , Neoplasias Glandulares y Epiteliales/patología , Neoplasias Glandulares y Epiteliales/cirugía , Neoplasias Ováricas/mortalidad , Neoplasias Ováricas/patología , Ovariectomía , Embarazo , Salpingectomía , Tumores de los Cordones Sexuales y Estroma de las Gónadas/mortalidad , Tumores de los Cordones Sexuales y Estroma de las Gónadas/patología , Tumores de los Cordones Sexuales y Estroma de las Gónadas/cirugía , Teratoma/mortalidad , Teratoma/patología , Teratoma/cirugía
13.
J Mech Behav Biomed Mater ; 103: 103566, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32090956

RESUMEN

A modified single edge cracked bend beam specimen called "inclined edge crack asymmetric bend" (IE-CAB) specimen was designed and proposed for investigating mixed mode I/II fracture toughness behavior of brittle materials. Using a large number of finite element analyses performed for different geometry and loading conditions, it was demonstrated that unlike the conventional single edge notch beam specimen, the IE-CAB configuration can provide full combinations of mode mixities from pure mode I to pure mode II. Then the IE-CAB specimen was employed for mixed mode I/II fracture toughness testing of two PMMA based denture materials (i.e. neat PMMA and toughened PMMA with Nano-hydroxyapatite (HAP)and Nano-alumina (Al2O3) particles). The obtained experimental results showed that adding bio-compatible (HAP and Al2O3) Nano-particles can increase both modes I and II fracture resistance (KIc and KIIc) values of base PMMA denture. However, the influence of such particles was more pronounced on enhancing mode I fracture toughness (KIc) value. Pure mode II fracture toughness value was obtained less than the pure mode I fracture toughness in the tested specimen showing the higher crack growth risk of such PMMA base dentures against dominantly shear loads. The well-known maximum tangential stress theory was also used for estimating the obtained experimental data both for mixed mode fracture toughness and fracture initiation direction in the tested PMMA base denture materials.


Asunto(s)
Fracturas Óseas , Polimetil Metacrilato , Dentaduras , Análisis de Elementos Finitos , Humanos , Ensayo de Materiales , Estrés Mecánico
14.
Eur J Surg Oncol ; 32(10): 1226-30, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16952434

RESUMEN

AIM: The aim of this study was evaluation of the efficacy of neoadjuvant chemotherapy (NACT) and radical hysterectomy on long-term survival in stage IB-IIA locally advanced cervical cancer as compared with radical surgery alone. METHODS: We reviewed all patients with cervical cancer stage IB-IIA who were treated with two treatment modalities, i.e. NACT followed by radical hysterectomy and lymphadenectomy, and radical hysterectomy alone between March 1996 and March 2004. There were 22 patients in the NACT group (group 1) and 160 patients in the immediate radical surgery group (group 2). All patients in group 1 were followed for more than 108months, and long-term survival and factors affecting recurrence were evaluated. RESULTS: Nineteen patients in the NACT arm underwent radical surgery. Pelvic lymph node metastasis was found in 8 patients in this group and in 36 in the radical surgery group. Eighteen patients in the NACT group and 96 patients in the radical surgery group were scheduled for adjuvant postoperative chemoradiation. During the 9-year follow-up, recurrence rate was 47.1% and 30.2% in NACT and control groups, respectively. In the NACT group lymph node metastasis was a significant independent risk factor for recurrence. Overall survival in the NACT arm was not statistically significantly lower than the control arm (p=0.06). CONCLUSION: NACT did not improve long-term overall survival of bulky early-stage cervical cancer patients compared to primary radical surgery.


Asunto(s)
Adenocarcinoma/terapia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Histerectomía , Terapia Neoadyuvante , Neoplasias del Cuello Uterino/terapia , Adenocarcinoma/mortalidad , Adenocarcinoma/patología , Adulto , Anciano , Cisplatino/administración & dosificación , Femenino , Humanos , Escisión del Ganglio Linfático , Persona de Mediana Edad , Radioterapia Adyuvante , Tasa de Supervivencia , Neoplasias del Cuello Uterino/mortalidad , Neoplasias del Cuello Uterino/patología , Vincristina/administración & dosificación
15.
Bone Marrow Transplant ; 35(11): 1095-9, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15821773

RESUMEN

We compared the effects of cyclosporin A (CsA) alone as graft-versus-host disease (GVHD) prophylaxis vs cyclosporine with short-course methotrexate (MTX) in patients with thalassemia. In all, 140 patients were enrolled in this study. The first group, of 50 patients, received CsA alone at 3 mg/kg i.v. from day -2 to +5 followed by 12.5 mg/kg p.o., which was tapered according to the patient's condition. The other group, of 90 patients, received the combination of CsA+MTX in which CsA was used with the above-mentioned dose and MTX was on 10 mg/m(2) day +1 and 6 mg/m(2) on days +3 and +6. Incidence of acute GVHD grade II-IV in the CsA group was 78% and in the CsA+MTX group was 52.2%, which was statistically significant (P=<0.001). There were no significant differences in the incidence of chronic GVHD between the two groups. The mean neutrophil engraftment to 0.5 x 10(9)/l was 14 and 23 days for CsA group and CsA+MTX group, respectively (P=<0.001). There were no significant differences for platelet recovery between the two groups. Graft failure in the CsA and CsA+MTX groups was seven (14%) and nine (10%) patients, respectively (P=0.58). Overall survival in the CsA and CsA+MTX groups was 77 and 85%, respectively. Disease-free survival in the CsA and CsA+MTX groups were 58 and 80%, respectively.


Asunto(s)
Transfusión Sanguínea/métodos , Trasplante de Médula Ósea/métodos , Ciclosporina/administración & dosificación , Enfermedad Injerto contra Huésped/prevención & control , Inmunosupresores/administración & dosificación , Metotrexato/administración & dosificación , Trasplante Homólogo/métodos , Talasemia beta/terapia , Adolescente , Trasplante de Médula Ósea/efectos adversos , Niño , Preescolar , Supervivencia sin Enfermedad , Relación Dosis-Respuesta a Droga , Femenino , Rechazo de Injerto , Trasplante de Células Madre Hematopoyéticas/métodos , Humanos , Masculino , Neutrófilos/citología , Factores de Tiempo , Reacción a la Transfusión , Resultado del Tratamiento , Talasemia beta/mortalidad
16.
Curr Med Mycol ; 1(1): 22-25, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28680977

RESUMEN

BACKGROUND AND PURPOSE: TGF-ß is a potent regulator and suppressor of the immune system and overproduction of this cytokine may contribute to immunosuppression in HIV-infected patients. Increasing population of immunosuppressed patients has resulted in increasingly frequent of fungal infections, including oral candidiasis. The aim of this study was to evaluate the plasma levels of TGF-ß under in vivo conditions. MATERIALS AND METHODS: Seventy- two samples were obtained from the oral cavities of HIV-positive Iranian patients and cultured on Sabouraud's dextrose agar and CHROMagar. Also blood samples were obtained to assess TGF-ß levels using ELISA technique. RESULTS: Thirty-three out of 72 oral samples yielded candida isolates, Candida albicans in 14 and non-albicans candida in 19.Fungal infection decreased significantly more TGF-ß level than non-fungal infection also HIV negative were significantly more TGF-ß than HIV positive. CONCLUSION: Our findings suggest a significant interaction between fungal infection and HIV on expression of Transforming Growth Factor Beta.

17.
Actas urol. esp ; 48(1): 11-18, Ene-Febr. 2024. tab, ilus
Artículo en Inglés, Español | IBECS (España) | ID: ibc-229102

RESUMEN

La nefrolitiasis es una enfermedad urológica de prevalencia mundial asociada a una importante morbilidad y malestar para el paciente. El tratamiento actual de los cálculos renales se basa en intervenciones quirúrgicas y farmacológicas. Aunque la cirugía puede ser necesaria en casos determinados, el tratamiento farmacológico es una opción más asequible, fácilmente disponible y menos invasiva para el paciente. Se realizó una revisión exhaustiva para resumir la bibliografía disponible sobre las estrategias de manejo farmacológico de los principales tipos de litiasis: oxalato cálcico, fosfato cálcico, ácido úrico, estruvita y cistina. La regulación de factores como el pH urinario, la cristalización de los cálculos y los trastornos metabólicos del paciente que precipitan el desarrollo y el crecimiento de los cálculos es fundamental para estos enfoques terapéuticos. Esta revisión hace hincapié en las opciones farmacológicas disponibles para el tratamiento según el tipo de litiasis y destaca la importancia de un tratamiento médico personalizado para cada paciente, aspecto que debe ser tenido en cuenta por todos los médicos. (AU)


Nephrolithiasis is a globally prevalent urologic condition associated with significant morbidity and patient discomfort. Current management of kidney stones includes both surgical and pharmacologic interventions. Though surgery may be necessary under certain circumstances, pharmacologic treatment is a more affordable, readily available, and a less invasive option for patients. A comprehensive scoping review was conducted to summarize the available literature on the pharmacologic strategies for managing the predominant stone types including calcium oxalate, calcium phosphate, uric acid, struvite, and cystine stones. Central to these therapeutic approaches is the regulation of factors such as urine pH, stone crystallization, and patient metabolics that precipitate stone development and growth. This review highlights the pharmacological options available for treating each kidney stone type, emphasizing the importance of patient tailored medical management that should be considered by every physician. (AU)


Asunto(s)
Humanos , Nefrolitiasis/tratamiento farmacológico , Nefrolitiasis/prevención & control , Cálculos Renales/tratamiento farmacológico , Concentración de Iones de Hidrógeno
18.
Placenta ; 34(5): 460-2, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23478075

RESUMEN

Placental site trophoblastic tumor (PSTT) is the rarest type of gestational trophoblastic tumors. Common presentation is irregular vaginal bleeding. A 26-year-old G1P1 woman presented with 15 month amenorrhea, a large uterine mass and plateau low level of serum human chorionic gonadotropin (hCG) which raised the possibility of PSTT. Since whole myometrium had been substituted with the large tumoral mass, hysterectomy was considered despite the young age of the patient. The patient has been in remission 36 months postoperatively without receiving any adjuvant treatment. It seems that plateau low levels of hCG in the presence of amenorrhea should prompt the possibility of PSTT.


Asunto(s)
Tumor Trofoblástico Localizado en la Placenta/diagnóstico , Neoplasias Uterinas/diagnóstico , Adulto , Amenorrea , Gonadotropina Coriónica/sangre , Femenino , Humanos , Histerectomía , Embarazo , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Tumor Trofoblástico Localizado en la Placenta/cirugía , Ultrasonografía , Neoplasias Uterinas/cirugía
19.
Iran J Public Health ; 41(11): 85-91, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23304681

RESUMEN

BACKGROUND: The aim of this study was assessment the risk management status of waste anesthetic gases in academicals hospitals in Iran to prevent from harmful effects of these gases on employees' health. METHODS: A descriptive-analytic study was designed in 2011. Standard structured checklist developed by ECRI institute (Emergency Care Research Institute) was applied. Checklists were filled onsite through direct observation and interviews with anesthesia personnel in 46 operating rooms at 4 hospitals from all of the hospitals under affiliation of Isfahan University of Medical Sciences. These hospitals were selected based on the number of surgical beds. RESULTS: Total means score of WAGs risk management status was 1.72 from the scale of 3. In the studied operating rooms, only 28% complied with predetermined standards, 16% needed improvement and 56% had no compliance. Total mean scores of compliance in planning, training and evaluation and monitoring of waste anesthetic gases were weak and equipment and work activity was at medium level. CONCLUSION: The risk management status of waste anesthetic gases in the hospitals to be weak, therefore operating room personnel are exposed to medium to high level of these gases. The hospital mangers should prepare and apply scavenging equipment, development of control program, quality improvement, risk management and maintenance of anesthesia equipment. Finally, ongoing monitoring and evaluation, education to personnel and modification of policy and procedures and improvement of work activities should be considered.

20.
Pak J Biol Sci ; 13(21): 1030-5, 2010 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-21313873

RESUMEN

In order to investigation of allelopathic effects of some ornamental trees on seed germination of rye-grass (Lolium prenne) and tall fescue (Festuca arundinaceae), this experiment was conducted in a randomized complete block design with 3 replicates at the laboratory of Horticultural Sciences Department of Ferdowsi University of Mashhad, during 2008. In this research, we studied the effect of aqueous and hydro-alcoholic extracts of Afghanistan pine (Pinus eldarica), arizona cypress (Cupressus arizonica), black locust (Robinia psedue acacia) and box elder (Acer negundo) leaves that prepared in 1:5 ratio on seed germination percent and rate for two grasses. The results showed that all extracts decreased statistically seed germination in compared to control treatment. The highest germination percentage and germination rate of tested grass detected in control treatment. Hydro-alcoholic extracts of all woody plants (15, 30%) were completely inhibited seed germination of rye-grass and tall fescue. Also aqueous extract of arizona cypress was completely inhibited seed germination of tall fescue and had more inhibitory activity than other aqueous extracts on rye-grass. Between aqueous extracts, the highest and lowest seed germination of rye-grass was found in Afghanistan pine and arizona cypress, respectively.


Asunto(s)
Germinación , Poaceae/fisiología , Semillas/fisiología
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