Follow-up of adult males with chromosome 18p deletion

2004 ◽  
Author(s):  
T DERAVEL ◽  
P THIRY ◽  
J FRYNS
Keyword(s):  
Adult Males

scholarly journals Management and Complications of Nasal Septal Collections

2021 ◽  
Vol 18 (2) ◽  
pp. 79-84
Author(s):  
Olusola Ayodele Sogebi ◽  
Emmanuel Abayomi Oyewole
Keyword(s):  
Clinical Information ◽  
Delayed Presentation ◽  
Adult Males ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Factors Associated ◽  
Co Morbidity ◽  
Male Female Ratio ◽  
Nasal Trauma

Background: Nasal septum collections (hematoma and abscess) can lead to structural and functional abnormalities. Our objective was to assess the clinical characteristics, management and complications of nasal septal collections, and document factors associated withtheir complications. Methods: This was a retrospective study of patients managed for nasal septal collections. Socio-demographic and clinical information was recorded, and the main investigations and results noted. Follow-up and complications of septal collections were documented and the clinical factors associated with the complications explored. Results: Twenty-four patients records were studied: male: female ratio=2:1, mean age 40.1±13.1years,62.5% presented with complaints of nasal obstruction, 66.7% had antecedent nasal trauma, presentation was from 2 to 13 days,25%had co-morbid disease(s). All patients had incision and drainage of the septal collection within 1–7 h; 41.2% of the aspirated collections cultured microorganisms, 20.8% developed complications. Increased age above 45 years, co-morbidity, delayed presentation, culture-positive aspirate was all significantly associated with development of complications. Conclusion: Nasal septal collections were more common in adult males with antecedent nasal trauma; 20% developedcomplications associated with the presence of culturepositive abscesses, increased age, and duration of septal collection. Keywords: Nasal trauma, Septal hematoma, Septal abscess, Complications

Comparison of Bioabsorbable Pins and Nails in the Fixation of Adult Osteochondritis Dissecans Fragments of the Knee

2007 ◽  
Vol 35 (9) ◽  
pp. 1467-1476 ◽  
Author(s):  
Maria Weckström ◽  
Mickael Parviainen ◽  
Martti J. Kiuru ◽  
Ville M. Mattila ◽  
Harri K. Pihlajamäki
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Osteochondritis Dissecans ◽  
Group Versus ◽  
Long Term Results ◽  
Adult Males ◽  
Resonance Imaging ◽  
Level Of Evidence ◽  
Arthroscopic Fixation

Background The optimal device for the fixation of osteochondritis dissecans fragments of the knee remains controversial and lacks long-term results. Purpose To review a group of young adults with osteochondritis dissecans of the knee treated with arthroscopic fixation of the fragment using bioabsorbable pins and nails and to examine the medium-term outcome of the fixation via magnetic resonance imaging and clinical evaluation. Study Design Cohort study; Level of evidence, 3. Methods Twenty-eight patients (30 knees) with osteochondritis dissecans of the knee were treated with arthroscopic fixation using bioabsorbable, self-reinforced poly-L-lactide pins and nails. All patients were young adult males with closed physes. The average follow-up time was 5.4 years (range, 3-12). At follow-up, magnetic resonance imaging studies were used to evaluate subchondral bone healing, and the outcome was evaluated by the Kujala score. Results The functional results were excellent or good for 73% of the patients in the nail group versus 35% in the pin group. The lesions treated were large, with an average size of 447 mm2, affecting the weightbearing area in the majority of the patients. On magnetic resonance imaging, incomplete bone consolidation was predominant in the pin group. Conclusions Arthroscopic fixation with bioabsorbable nails seems to be a suitable method of repair for osteochondritis dissecans of the adult knee and appears to be superior to arthroscopic fixation with bioabsorbable pins.

scholarly journals Substance use identification and follow-up rates among commercial and Medicare health insurance members in primary care and other settings

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
John G. Baker ◽  
David R. Doxbeck ◽  
Melanie E. Washington ◽  
Angela Horton ◽  
Adam Dunning
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Health Insurance ◽  
Substance Use Disorder ◽  
Alcohol Problems ◽  
Adult Males ◽  
Linear Regression Models ◽  
Short Term ◽  
Private Health Insurer

Abstract Background The objective of this study was to investigate factors associated with substance use disorder identification and follow-up rates among samples of members of a private health insurance plan. Methods In an observational study, samples of claims data for 2017 for Commercial and Medicare members from a private health insurer were accessed and analyzed using descriptive statistics, decision tree analysis, and linear regression models. Results Commercial and Medicare members differed in age. Medicare members had higher rates of inclusion in a measure of substance use disorder than Commercial members, lower rates of initial short term follow-up, more opioid prescriptions from primary care provides, fewer prescriptions for opioid treatment, and higher rates of selected comorbid conditions. Mental health diagnoses and substance use disorder co-occurred frequently and to a greater extent in the Medicare sample. Among commercial members, there were primarily alcohol problems that increased with age, while opioid problems at about 10% peaked in the mid-twenties. More males were included among all substance types. The overall rate for an initial short term follow-up visit indicating initiation of treatment was 30%. There were large differences in the follow-up rates across settings with a very low rate (4.6% for alcohol and 6.9% for opioid) in primary care settings. Conclusions These results suggest that increased attention in primary care to young adult males and to older adults, may help to reduce substance use disorder rates, especially alcohol use disorders.

scholarly journals Substance Use Identification and Follow-up Rates among Commercial and Medicare Health Insurance Members in Primary Care and Other Settings

2020 ◽  
Author(s):  
John G. Baker ◽  
David R. Doxbeck ◽  
Melanie E. Washington ◽  
Angela Horton ◽  
Adam Dunning
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Health Insurance ◽  
Substance Use Disorder ◽  
Alcohol Problems ◽  
Adult Males ◽  
Linear Regression Models ◽  
Short Term ◽  
Private Health Insurer

Abstract Background: The objective of this study was to investigate factors associated with substance use disorder identification and follow-up rates among samples of members of a private health insurance plan. Methods: In an observational study, samples of claims data for 2017 for Commercial and Medicare members from a private health insurer were accessed and analyzed using descriptive statistics, decision tree analysis, and linear regression models. Results: Commercial and Medicare members differed in age. Medicare members had higher rates of inclusion in a measure of substance use disorder than Commercial members, lower rates of initial short term follow-up, more opioid prescriptions from primary care provides, fewer prescriptions for opioid treatment, and higher rates of selected comorbid conditions. Mental health diagnoses and substance use disorder co-occurred frequently and to a greater extent in the Medicare sample. Among commercial members, there were primarily alcohol problems that increased with age, while opioid problems at about 10% peaked in the mid-twenties. More males were included among all substance types. The overall rate for an initial short term follow-up visit indicating initiation of treatment was 30%. There were large differences in the follow-up rates across settings with a very low rate (4.6% for alcohol and 6.9% for opioid) in primary care settings. Conclusions: These results suggest that increased attention in primary care to young adult males and to older adults, may help to reduce substance use disorder rates, especially alcohol use disorders.

scholarly journals Chondroid Syringoma of Dorsum of the Nose

2018 ◽  
Vol 26 (3) ◽  
pp. 219-221
Author(s):  
Netra Aniruddha Pathak ◽  
Vidya Vasant Rokade ◽  
Kiran Jayawant Shinde
Keyword(s):  
Surgical Excision ◽  
Benign Tumors ◽  
Adult Males ◽  
Seborrheic Keratosis ◽  
Chondroid Syringoma ◽  
External Nose ◽  
Middle Aged Adult ◽  
Slow Growing ◽  
Mixed Tumors

IntroductionChondroid syrigomas are rare, usually benign tumors occurring predominantly in the head and neck area. These are also known as mixed tumors of skin. Preoperative diagnosis is difficult and generally histopathology examination confirms the diagnosis.  The usual presentation is that of a slowly growing mass.Case ReportA rare case of chondroid syringoma on dorsum of external nose in 30 year old female patient   is presented.DiscussionChondroid syringoma presents as slow‐growing, painless, subcutaneous or intracutaneous nodule in middle‐aged adult males. The tumor is often initially confused with more common dermatologic skin disorders such as sebaceous cysts, dermoid cysts, neurofibromas, dermatofibromas, basal cell carcinoma, histiocytoma and seborrheic keratosis. The treatment of choice is surgical excision with negative margins with follow-up to detect recurrences.

scholarly journals Substance Use Identification and Follow-up Rates among Commercial and Medicare Health Insurance Members in Primary Care and Other Settings

2020 ◽  
Author(s):  
John G. Baker ◽  
David R. Doxbeck ◽  
Melanie E. Washington ◽  
Angela Horton ◽  
Adam Dunning
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Health Insurance ◽  
Substance Use Disorder ◽  
Alcohol Problems ◽  
Adult Males ◽  
Linear Regression Models ◽  
Short Term ◽  
Private Health Insurer

Abstract Background: The objective of this study was to investigate factors associated with substance use disorder identification and follow-up rates among samples of members of a private health insurance plan. Methods: In an observational study, samples of claims data for 2017 for Commercial and Medicare members from a private health insurer were accessed and analyzed using descriptive statistics, decision tree analysis, and linear regression models. Results: Medicare members had higher rates of inclusion in a measure of substance use disorder than Commercial members, lower rates of initial short term follow-up, more opioid prescriptions from primary care provides, fewer prescriptions for opioid treatment, and higher rates of selected comorbid conditions. Mental health diagnoses and substance use disorder co-occurred frequently and to a greater extent in the Medicare sample. Among commercial members, there were primarily alcohol problems that increased with age, while opioid misuse at about 10% peaked in the mid-twenties. More males were included among all substance types. The overall rate for an initial short term follow-up visit indicating initiation of treatment was 30%. There were large differences in the follow-up rates across settings with a very low rate (4.6% for alcohol and 6.9% for opioid) in primary care settings. Conclusions: These results suggest that increased attention in primary care to young adult males and to older adults, may help to reduce substance use disorder rates, especially alcohol misuise.

Dynamic Self-Regulating Prosthesis (Protesi Autoregolantesi Dinamica): The Long-Term Results in the Treatment of Primary Inguinal Hernias

2006 ◽  
Vol 72 (3) ◽  
pp. 244-248 ◽  
Author(s):  
Gabriele Valenti ◽  
Emanuele Baldassarre ◽  
Alessandro Testa ◽  
Alessandro Arturi ◽  
Giovanni Torino ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Standard Of Care ◽  
Testicular Atrophy ◽  
Long Term Results ◽  
Adult Males ◽  
Short Term ◽  
Long Term Follow Up ◽  
Term Data

The dynamic self-regulating prosthesis (protesi autoregolantesi dinamica, PAD) is a double-layered prosthesi, in use since 1992 in inguinal hernia repair. In 1999, we published the short-term results on 500 patients and herein we report the long-term follow-up. Five hundred eighty-five PAD procedures were performed on 500 adult male, unselected patients. Hernias were unilateral in 415 patients, were bilateral in 85 patients, were direct in 197 patients (33.7%), were indirect in 269 patients (46.0%), and were combined in 119 patients (20.3%). Four hundred sixty-four patients were alive at the follow-up period of minimum 5 years, whereas 36 died (7.2%) of causes unrelated to the hernia. No information was available on 73 patients (14.6%). Therefore, the follow-up was consisted of 391 patients (78.2%) with 469 hernias. The recurrence and testicular atrophy rates were nil. Three patients (0.77%) presented chronic pain and 18 (4.6%) suffered persistent discomfort or paresthesia. A hydrocoele was observed in one patient (0.2%). The long-term data confirm the efficacy of the dynamic self-regulating posthesis hernioplasty. We propose it as a standard of care in all cases of primary inguinal hernia in adult males, retaining it as a definitive and comfortable solution.

scholarly journals Fifteen Year Regional Center Experience in Sperm Banking for Cancer Patients: Use and Reproductive Outcomes in Survivors

Cancers ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 116
Author(s):  
Sara Stigliani ◽  
Claudia Massarotti ◽  
Caterina De Leo ◽  
Elena Maccarini ◽  
Fausta Sozzi ◽  
...  
Keyword(s):  
Adult Males ◽  
Success Rates ◽  
Cancer Treatments ◽  
Reproductive Ability ◽  
Regional Center ◽  
Cumulative Live Birth ◽  
Oncological Patients ◽  
Pubertal Boys ◽  
Frozen Embryo Transfers

Cancer treatments frequently impair the reproductive ability of patients by damaging spermatogenesis. International guidelines recommend semen cryopreservation to preserve the fertility of oncological adult males and pubertal boys. However, due to the low usage rate of banked samples, not a lot of data on assisted reproductive treatments (ART) success rates in this population and follow-up data for children born are available in the literature. The aims of this study were to report our 15 years of experience, the clinical outcomes of ART as well as neonatal characteristics of babies born. We retrospectively reviewed 682 oncological patients who were referred to our center from 2004 to 2019 for fertility preservation. Over the years, only 26 patients (4%) returned to use their sperm by ART. They were survivors of leukemia and lymphomas (52%), testicular cancer (20%), and other malignant diseases (28%). These couples performed 45 cycles: 34 intracytoplasmic sperm injection (ICSI) plus 11 frozen embryo transfers. A total of 13 children were born, with 35% of the cumulative live-birth delivery rate per couple. No stillbirths or malformations were recorded. These successful findings demonstrated that pregnancy could be safely achieved using frozen-thawed sperm of cancer survivors who cryopreserved before gonadotoxic therapies.

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