Comparison of treatment modalities in post-irradiation carotid blowout syndrome: a multi-center retrospective review

2021 ◽  
Author(s):  
Pak To Yuen ◽  
Sai Lok Chu ◽  
Chun On Tsang ◽  
Kam Fuk Fok ◽  
Siu Kei Lam
Keyword(s):  
Retrospective Review ◽  
Treatment Modalities ◽  
Post Irradiation ◽  
Carotid Blowout Syndrome

Shigella Vaginitis: Report of 38 Patients and Review of the Literature

PEDIATRICS ◽  
1979 ◽  
Vol 63 (4) ◽  
pp. 511-516
Author(s):  
Trudy V. Murphy ◽  
John D. Nelson
Keyword(s):  
Antibiotic Therapy ◽  
Retrospective Review ◽  
Vaginal Discharge ◽  
Treatment Modalities ◽  
Adult Women ◽  
Review Of The Literature ◽  
Systemic Antibiotic ◽  
The Past ◽  
Systemic Antibiotic Therapy ◽  
Topical Antimicrobials

Thirty-eight cases of Shigella vaginitis were identified in a retrospective review of records kept over the past 14 years. The cases of vaginitis were due to three subgroups of Shigella. Vaginitis varied in severity and duration, persisting for several months in some instances. In 47% of the cases, there was associated bloody vaginal discharge. Only two children had diarrhea temporally associated with vaginitis, but six others had had diarrhea. Many treatment modalities were used. Systemic antibiotic therapy appeared more effective than topical antimicrobials in the few patients who could be evaluated. Review of the literature revealed 32 additional cases, including four in adult women.

scholarly journals The autologous fascia pubovaginal sling for complicated female

2013 ◽  
Vol 6 (1) ◽  
pp. 36 ◽  
Author(s):  
Blayne K. Welk ◽  
Sender Herschorn
Keyword(s):  
Quality Of Life ◽  
Retrospective Review ◽  
Midurethral Sling ◽  
Mesh Erosion ◽  
Intermittent Catheterization ◽  
Treatment Modalities ◽  
Mesh Removal ◽  
Urogenital Distress Inventory

Introduction: The purpose of this study is to review our contemporary experience with autologous fascia pubovaginal slings (AF-PVS) in the era of the midurethral sling.Methods: A retrospective review was completed to identify allpatients who underwent an AF-PVS between 2002 and 2009. Across-sectional questionnaire was used to assess postoperative urinary- specific quality of life (consisting of the Urogenital Distress Inventory [UDI-6] and the Incontinence Impact Questionnaires [IIQ-7]).Results: We identified 33 patients. They had failed a median oftwo previous incontinence treatments. Of these patients, 16 (48%) had failed a previous midurethral sling, and of these half had experienced a significant mesh erosion necessitating mesh removal. Preoperative median incontinence pad usage was 5/day. After a median follow-up of 16 months from the time of AF-PVS, the median pad usage had decreased to 1/day (p = 0.003). A third of the patients had postoperative urgency, and only 1 patient continues to use intermittent catheterization. The median IIQ-7 score was 19/100, and the median UDI-6 score was 44/100. Overall quality of life was mixed-to-delighted in 62% of patients.Conclusions: The AF-PVS has reasonable outcomes in a diversepopulation of patients, despite failure of other treatment modalities.

HAND AND WRIST INJURIES IN PROFESSIONAL COUNTY CRICKET

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 89-92 ◽  
Author(s):  
Nathanael Ahearn ◽  
Raj Bhatia ◽  
Stephen Griffin
Keyword(s):  
Retrospective Review ◽  
Senior Author ◽  
Subsequent Treatment ◽  
Interphalangeal Joint ◽  
Operative Intervention ◽  
Treatment Modalities ◽  
Wrist Injuries ◽  
Distal Interphalangeal Joint ◽  
Joint Dislocations ◽  
Distal Interphalangeal

Aim: This study aims to examine the mechanism and subsequent treatment modalities of hand and wrist injuries sustained in a professional cricket team. Methods: We performed a retrospective review of prospectively collected injury data at Gloucestershire County Cricket Club (GCCC) over six seasons (2008–2013). We investigated all injuries sustained, treated by the team lead physiotherapist and senior author. Results: There were a total of 64 injuries recorded, with 55 (86%) hand and 9 (14%) wrist injuries. The little and ring fingers were the most commonly injured, and the most commonly occurring specific injury was distal interphalangeal joint dislocations. The majority of injuries, 33 (52%), occurred during fielding activities. There were a total of 10 fractures (16%), predominantly phalangeal, and only 7 players (11%) had injuries that required operative intervention. Conclusions: The majority of injuries sustained by professional cricketers occur in the little and ring fingers, whilst fielding during match situations. We recommend buddy strapping of little and ring fingers during fielding to prevent injury.

scholarly journals Vesicoureteral Reflux: Where Have We Been, Where Are We Now, and Where Are We Going?

2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
Gordon A. McLorie
Keyword(s):  
Clinical Trials ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Retrospective Review ◽  
Renal Injury ◽  
Clinical Studies ◽  
Treatment Modalities ◽  
Clinical Advances

We present a retrospective review of the scientific and clinical advances, extending over four decades, which have linked vesicoureteral reflux, with renal injury, and urinary tract infection. We have traced the original studies, coupled with advances in technology which led to the awareness, and ability to detect and diagnose the problems early in childhood. These advances progressed through clinical studies which defined the epidemiology of both reflux and urinary tract infection. Along with these diagnostic advances, there were numerous surgical developments, which allowed progressive improvements in the outcomes and effectiveness of a variety of treatment modalities. All of this literature leads us to the current era, when several clinical trials are currently underway in an effort to more fully define the most efficacious and safe methods to treat vesicoureteral reflux and associated urinary tract infection.

scholarly journals LGG-19. SPINAL LOW-GRADE GLIOMAS IN CANADIAN CHILDREN: A MULTI-CENTRE RETROSPECTIVE REVIEW

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii369-iii370
Author(s):  
Hallie Coltin ◽  
Savvy Benipal ◽  
S Rod Rassekh ◽  
Liana Figueiredo Nobre ◽  
Julie Bennett ◽  
...  
Keyword(s):  
Retrospective Review ◽  
Progression Free Survival ◽  
Tumor Location ◽  
Braf V600e ◽  
Treatment Modalities ◽  
Low Grade ◽  
Significant Heterogeneity ◽  
Low Grade Gliomas ◽  
First Line Therapy ◽  
Age Of Diagnosis

Abstract PURPOSE Primary spinal low-grade gliomas (LGGs) are rare, can be difficult to treat, and can result in significant morbidity. The management of pediatric spinal LGGs remains controversial. METHODS A national multi-centre retrospective review of spinal LGGs diagnosed in children less than 18 years of age between 1990–2015 was undertaken to examine the clinical features, pathological subtypes, and treatment outcomes. RESULTS Forty-three patients from five institutions were included. The median age of diagnosis was 5.2 years. All patients were symptomatic at diagnosis. Forty-four percent of patients were diagnosed at least 6 months after symptoms developed. Two patients had metastatic disease at diagnosis. The most common histology was pilocytic astrocytoma (48.8%). Molecular information was available for 15/43 patients: 6 patients had BRAF fusions and 4 patients had BRAF V600E mutations. Gross-total resection was achievable in only 6 patients. Twenty-seven patients were treated with surgery-only and the others received chemotherapy and/or focal radiation. Eleven patients were irradiated. No patients were registered in clinical trials for first-line therapy. Twenty-three patients experienced relapse or progression. Patients were followed for a median of 8.3 years (range, 0.5–20.4 years). Five-year progression-free survival (PFS) and overall survival (OS) rates were 48.3% (95% CI, 32.3% to 62.5%) and 89.7% (95% CI, 74.6% to 96.1%) respectively. CONCLUSION There is significant heterogeneity in surgical outcomes and treatment modalities of pediatric spinal LGGs. The PFS and OS rates remain suboptimal, likely due to tumor location. The low clinical trial enrollment rate highlights the paucity of available trials for spinal LGGs.

scholarly journals Hidradenitis Suppurativa in Kuala Lumpur, Malaysia: A 7-Year Retrospective Review

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Moonyza Akmal Ahmad Kamil ◽  
Azura Mohd Affandi
Keyword(s):  
Retrospective Review ◽  
Hidradenitis Suppurativa ◽  
Clinical Characteristics ◽  
Surgical Intervention ◽  
Skin Condition ◽  
Treatment Modalities ◽  
Kuala Lumpur ◽  
Delay In Diagnosis ◽  
Males And Females ◽  
Systemic Antibiotics

Introduction. Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition characterized by inflamed nodules, abscesses, sinus tracts, and scarring, which can occur in any skin containing folliculopilosebaceous units. We aim to identify the demographic and clinical characteristics and treatment modalities in patients with HS. Methods. A retrospective analysis involving records of patients diagnosed with HS in Hospital Kuala Lumpur from July 2009 to June 2016. Results. Sixty-two patients were identified, with equal cases involving males and females. Majority of patients were Malays (41.9%), followed by Indians (35.5%), Chinese (17.7%), and other ethnicities (4.8%). Median age at diagnosis was 25 (IQR: 14) years. There is a delay in diagnosis with a median of 24 (IQR: 52) months. Most of the patients had lesions on the axilla (85.5%), followed by groin (33.9%) and gluteal region (29%). Gluteal lesions were more common in males. Nodules (67.7%), sinuses (56.5%), and abscesses (33.9%) were the main clinical features, with 43.5% classified under Hurley stage 2. There was no difference in terms of symptoms and types of lesions among different ethnicities and genders. Majority received systemic antibiotics, more than half had retinoid, and third of the patients had surgical intervention. Conclusions. A prompt recognition of HS is imperative, to screen for comorbidities and to initiate early treatment to reduce physical and psychological complications.

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