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Ascites Index - an attempt to objectify the assessment of ascites.

IntroductionAscites is observed in cancer patients as well as in other non-neoplastic processes. In some patients, it may cause severe symptoms that can become directly life-threatening. The assessment of the degree of ascites seems useful in the determination of treatment effects as well as in the monitoring of fluid accumulation and early planning of decompression procedures.AimDetermination of the clinical usefulness of a quantitative method of determining the degree of ascites, so-called Ascites Index.Material and methodsThe Ascites Index is an ultrasonographic way of assessing the grade o

Mesh versus non-mesh for inguinal and femoral hernia repair.

BACKGROUND: This is an update of a Cochrane Review first published in 2001.Hernias are protrusions of all or part of an organ through the bo … I 0.63 to 1.76, I2 = 0%, NNTB = 2000, low-quality evidence). Mesh reduced the risk of postoperative urinary retention compared to non-mesh (eight studies, 1539 participants; RR 0.53, 95% CI 0.38 to 0.73, I2 = 56%, NNTB = 16, moderate-quality evidence).Postoperative and chronic pain could not be compared due to variations in measurement methods and follow-up time (l …

Сексуальная дисфункция при расстройствах движения: распространенность, клинические особенности, связанные с этим факторы и управление.

Сексуальная дисфункция является распространенным, но недостаточно изученным симптомом немоторного расстройства движения. В то время как болезнь Паркинсона (PD) чаще всего исследуется, сексуальная дисфункция также отмечается в болезни Хантингтона, диспропорции и других расстройствах движения. Клинические представления являются разнородными и включают в себя сокращение желания, эректильную дисфункцию, эякуляционные и оргазмические расстройства, трудности с смазкой, диспаревинию и гиперсексуальность. В ДИ оценки распространенности заболеваний в различных исследованиях сильно различаются, главным

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… Reduce dose or discontinue if urinary retention or cognitive impairment occurs. Propranolol [88] , [112] , [113] ED is a common side effect. Fatigue and depression may indirectly impair sexual function. Switch to primidone or other tremor medications. Add PDE5 inhibitors for ED. … Reduce dose or discontinue if urinary retention or cognitive impairment occurs. Propranolol [88] , [112] , [113] ED is a common side effect. Fatigue and depression may indirectly impair sexual function. Switch to primidone or other tremor medications. Add PDE5 inhibitors for ED. …

Cardiac Amyloidosis: A Rare TTR Mutation Found in an Asian Female.

BACKGROUND: Transthyretin cardiac amyloidosis (ATTR) is a life-threatening, debilitating disease caused by abnormal formation and deposit of transthyretin (TTR) protein in multiple tissues, including myocardial extracellular matrix. It can be challenging to diagnose due to the myriad of presenting signs and symptoms. Additionally, numerous TTR mutations exist in certain ethnicities. Interestingly, our patient was discovered to have a very rare Gly67Ala TTR mutation typically not found in individuals of Asian descent. Recent advances in cardiovascular imaging techniques have allowed for earlier

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… She was also hospitalized on several occasions with obstructive urinary tract infections and urinary retention, which ultimately resulted in the placement of a chronic foley catheter. She is now being closely monitored by urology services as well. … Our patient had multiple signs and symptoms suggestive of cardiac amyloidosis that helped us achieve a quick diagnosis, including autonomic dysfunction (peripheral neuropathy, dizziness, syncope, urinary retention), HFpEF with diastolic dysfunction, first-degree AVB, small, persistent pericardial effusion …

Неполный синдром Браун-Секвар, вторичный по сравнению с гематомилией, вызванной аценокоумаролом: отчет о деле.

Внутреннее кровоизлияние в спинной мозг, известное также как гематомия, является необычным, но клинически значимым заболеванием. На него приходится около 0,82% всех спинных гематом, что делает его одной из наименее часто встречающихся этиологических причин острой миэлопатии. Гематомиелия может быть результатом различных причин, включая сосудистые дефекты (такие, как пещерные или артериогенные свищи), кровотечения диатеза, опухоли спинного мозга, травмы или осложнения, связанные с антикоагуляционной терапией. КИСЛОТА: Здесь мы описываем пациента на аценокоумароле, у которого появился неполный с

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… By day 2, the pain extended to the left hemithoracic region, and she noted abnormal right-sided truncal sensations; by day 3, progressive stiffness of the left lower limb developed, followed by urinary retention and constipation within the next 24 hours, prompting an emergency evaluation. … Sphincter dysfunction was present, with urinary retention and constipation. These findings were consistent with those of incomplete BSS. Laboratory examinations Coagulation tests revealed a prothrombin time of 30% and an INR of 2.6. …

A Rare Case of Epidural Myeloma Presenting as Recurrent Subdural Bleeding.

Multiple myeloma (MM) is an incurable clonal B-cell malignancy that usually presents with neoplastic monoclonal plasma cells in either bone or soft tissues. Central nervous system involvement of the myeloma (CNS-MM), such as dural myeloma or intraparenchymal infiltration, or diffuse leptomeningeal involvement, is uncommon. Dural involvement of myeloma without parenchymal or leptomeningeal disease is even rarer, with only seven cases reported previously. We present a case of epidural myeloma in a 50-year-old man with known kappa light chain MM, presenting with multiple episodes of subdural hemo

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… He also developed progressive weakness and urinary retention during hospitalization. His K:L was > 500; however, his beta-2 microglobulin, albumin, and LDH levels were normal. CT of the brain showed scattered calvarial lucencies, which is compatible with the known diagnosis of MM. … MRI showed diffuse epidural dural enhancement involving the cavernous sinus and the thoracic and lumbar spine, explaining the third, sixth, and seventh cranial nerve palsies, weakness, and urinary retention, respectively. Previous studies have shown a false negative rate of 10% with MRI [ 8 ]. …

Surgical techniques for patients with cancer-related neuropathic pain.

In this manuscript, we discuss the use of neuromodulatory techniques such as intrathecal therapy (IT) and spinal cord stimulation (SCS) for cancer pain in neuro-oncology patients. Currently, cancer pain management relies on oral opioids, which have a number of systemic side effects particularly in a chronic setting. An escalation of pain therapy for pain relief, such as neuromodulation, is necessary to improve neuro-oncology patients' quality of life. The paper highlights the need for more comprehensive pain management for patients during and after receiving cancer therapies. IT allows analges

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… retention 28 Hallucinations 28 Dizziness 28 Nystagmus 28 Confusion 28 Abnormal gait 28 Somnolence 28 Ataxia 28 Postural hypotension 28 Bupivacaine | Sodium voltage channel antagonist 16 | Local anesthetic activity Use in combination therapy could stabilize opioid dosing 3 Track record of safety and … Side effects included urinary retention issues, hemiparesis, and mirror-image pain. 44 High-level cervical cordotomy may put patients at risk for respiratory insufficiency. 7 One case report discussed a patient with a metastatic lesion in L5 and S1 causing low back pain even after radiation therapy and …

Epidemiology of Non-Emergent Cancer-Related Emergency Department Visits in Korea between 2016 and 2020.

PurposeAs people living with cancer increase in the aging society, cancer-related emergency department (ED) visits are also increasing. This study aimed to investigate the epidemiologic characteristics of non-emergent cancer-related ED visits using a nationwide ED database.Materials and methodsA cross-sectional study was conducted using the National Emergency Department Information System (NEDIS) database. All cancer-related ED visits between 2016 and 2020 were included. The study outcome was non-emergent ED visits, defined as patients triaged into non-emergent condition at both the time of ar

Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent's Disease.

Polyuria after kidney transplantation causes graft dysfunction and increased thrombotic risk. We present a case of a polyuric adult with Dent's disease who underwent staged bilateral native nephrectomies, the first operation before transplant and the second four months after transplant. This led to improved allograft function maintained during four years of follow-up. The retroperitoneal laparoscopic approach was well tolerated and allowed continuation of peritoneal dialysis before transplantation. A staged approach helps regulate fluid balance perioperatively and may be tailored to individual

Сердечная недостаточность с сохранившейся фракцией выброса: синергия между кардиологическими и экстракардиальными механизмами и эффекты новых методов лечения.

Сердечная недостаточность с консервированной фракцией выброса (HFFEF) является системным заболеванием, в котором метаболические коморбиды ожирение, тип 2 диабет (T2D) и хронические заболевания почек (CKD) сходятся, вызывая системное воспаление, эндотелиальную дисфункцию и миокардный фиброз. Микроваскулярная дисфункция представляет собой важную связь между этими коморбидами и аномалиями внутри и за пределами сердца, хотя ее причинно-следственная связь с ГФФФ по-прежнему не до конца установлена. Помимо поощрения миокардной жесткости и диастотической дисфункции, поврежденная микроваскулярная функ

Treating Lows: Management of Orthostatic Hypotension.

AbstractOrthostatic hypotension is a prevalent clinical condition, caused by heterogenous etiologies and associated with significant morbidity and mortality. Management is particularly challenging in patients with uncontrolled hypertension. A thorough assessment is needed to draw an appropriate management plan. The treatment aims to improve postural symptoms while minimizing side effects and reducing iatrogenic exacerbation of supine hypertension. A personalized management plan including rationalizing medications, patient education, identification, and avoidance of triggers, as well as nonphar

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… retention | Chills; flushing; gastrointestinal discomfort; headache; nausea; paraesthesia; piloerection; scalp pruritus; supine hypertension (dose-dependent); and urinary disorders Pyridostigmine | An anticholinesterase that reduces the breakdown of acetylcholine in the synaptic cleft | 60 mg used in … SH and urinary retention are the most cited reasons for discontinuation. Midodrine is the only drug licensed for nOH in the United Kingdom. It was approved based on a reduction of the drop in 1-minute standing BP. …

Atypical Causes of Urinary Tract Obstruction.

Acute kidney injury due to urinary tract obstruction invariably suggests lower urinary tract obstruction or bilateral ureteric obstruction since obstruction of a single kidney while the contralateral kidney is normal and not obstructed would not cause a perceptible rise in creatinine. Assuming a total body volume of 42 L, 70 kg male that generates approximately 1400 mg of creatinine daily (20 mg/kg/day) who has complete urinary tract obstruction would experience a 3.33 mg/dL per day increase in serum creatinine. Thus, for an individual who had prior normal renal function and who presents with

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… Management of urinary retention: rapid versus gradual decompression and risk of complications Mayo Clinic Proceedings 1997 72 10 951 956 10.1016/S0025-6196(11)63368-5 2-s2.0-0030727359 9379700 8 Harris R. H. Yarger W. E. The pathogenesis of post obstructive diuresis. …

Boosting and broadening recruitment to UK cancer trials: towards a blueprint for action.

Recruitment and retention in cancer trials are long-standing issues, exacerbated by the COVID-19 pandemic. The UK National Institute of Health Research and leading clinicians have emphasised the urgency to achieve and surpass prepandemic levels of participation. Data from a recent UK trial demonstrated the impact of COVID-19 and highlighted factors that limited recruitment. In response to this worldwide problem, studies have identified strategies for remediation at the levels of funding, the research environment, study design and trial team-related aspects, yet evidence of progress is lacking.

Применение искусственного интеллекта в перипостетической суставной инфекции.

Перипростетическая суставная инфекция (ПСО) представляет собой one Из наиболее разрушительных осложнений, вызванных общей совместной артропластикой, часто требующих дополнительных операций и антимикробной терапии, и потенциально ведущих к инвалидности. Это значительно увеличивает нагрузку как на пациентов, так и на систему здравоохранения. С учетом значительных страданий, причиняемых ПСО, его профилактика и лечение уже давно являются ключевыми факторами, вызывающими озабоченность. Вместе с тем сохраняются проблемы, связанные с точной оценкой индивидуального риска, предотвращением инфекции, сов

Множественная миелома в West Highland White Terrier: клинические презентации и терапевтическое вмешательство.

В настоящем докладе представлен случай: seven- годовой Вест Хайленд Уайт Терриер, диагностировавший рецидив и рефрактную множественные миеломы (ММ), управлялся с использованием различных методов лечения, включая обычную химиотерапию (мельфалан, винкристин, доксорубицин и дексаметазон), радиационную терапию (РТ) и такие новые агенты, как селективный ингибитор ядерного экспорта (вердинексор), протеозные ингибиторы (бортезомиб, карфилзомиб и ixazomib) и ингибиторы тиросиновой кинезы (TKIs; тосераниб и сорафениб). Реакция на лечение отслеживалась с помощью анализа концентрации глобулина в сыворотк

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… MRI was performed on day 394 to investigate newly developed urinary retention. No central nervous system lesion was identified. The L3 vertebral lesion exhibited a fat signal on both T1- and T2-weighted images and was reduced in size with minimal spinal cord compression ( Figure 8 ). …

Nanotechnology in Prostate Cancer: PSMA-Targeted Nanoplatforms, TME-Responsive Therapy, Immunomodulation, and Clinical Translation Challenges.

The field of nanotechnology has demonstrated considerable potential in the diagnosis and treatment of prostate cancer, particularly through the use of prostate-specific membrane antigen (PSMA)-targeted platforms and tumor microenvironment (TME)-responsive systems. In the context of diagnosis, nanoparticle-based molecular imaging probes have been shown to enhance detection sensitivity and specificity. These probes include superparamagnetic iron oxide, which is utilized in magnetic resonance imaging, and near-infrared fluorescent nanomicelles. Additionally, nanostructured liquid biopsy systems h

Совокупное и интерактивное воздействие тяжелых металлов на нейродегенеративные заболевания: сравнительный обзор болезни Альцгеймера, Паркинсона, амиотропического бокового склероза и множественного склероза.

Тяжелые металлы и металллоиды являются стойкими загрязнителями окружающей среды, которые накапливаются в центральной нервной системе и взаимодействуют с местными основными металлами, однако в большинстве нейротоксических исследований металлы по-прежнему рассматриваются как независимые агенты, а не как смешанные смеси. В настоящем обзоре систематически сопоставляются данные о совокупном и интерактивном воздействии смесей тяжелых металлов на четыре основных нейродегенеративных заболевания: болезнь Альцгеймера (AD), болезнь Паркинсона (PD), амиотропический боковой склероз (ALS) и множественный ск

Biochemical and Clinical Impact of Organic Uremic Retention Solutes: A Comprehensive Update.

In this narrative review, the biological/biochemical impact (toxicity) of a large array of known individual uremic retention solutes and groups of solutes is summarized. We classified these compounds along their physico-chemical characteristics as small water-soluble compounds or groups, protein bound compounds and middle molecules. All but one solute (glomerulopressin) affected at least one mechanism with the potential to contribute to the uremic syndrome. In general, several mechanisms were influenced for each individual solute or group of solutes, with some impacting up to 7 different biolo

Secondary Hyperparathyroidism Presenting as a Brown Tumor: A Case Report and Review of the Literature.

Severe secondary hyperparathyroidism in advanced stages of chronic kidney disease (CKD) is associated with CKD-related mineral and bone disease (CKD-MBD). A 70-year-old woman was admitted at the Hospital for generalized bone pain and peripheral edema. Initial laboratory tests revealed normocytic anemia and severe renal dysfunction, and further tests evidenced severe secondary hyperparathyroidism. Full-body computerized tomography showed an osteolytic lesion in the right iliac wing. The iliac bone lesion was biopsied and histological examination was consistent with the diagnosis of a brown tumo

In silico investigations of the anti-catabolic effects of pamidronate and denosumab on multiple myeloma-induced bone disease.

It is unclear whether the new anti-catabolic agent denosumab represents a viable alternative to the widely used anti-catabolic agent pamidronate in the treatment of Multiple Myeloma (MM)-induced bone disease. This lack of clarity primarily stems from the lack of sufficient clinical investigations, which are costly and time consuming. However, in silico investigations require less time and expense, suggesting that they may be a useful complement to traditional clinical investigations. In this paper, we aim to (i) develop integrated computational models that are suitable for investigating the ef