scholarly journals MIS-C, Can Latency Interval Help in Diagnosis?

2021 ◽  
Vol 40 (7) ◽  
pp. e281-e282
Author(s):  
Pablo Mosquera Fernández ◽  
Sonsoles García García ◽  
Cristina Epalza ◽  
Daniel Blázquez-Gamero ◽  
Jaime Carrasco ◽  
...  
Keyword(s):  
Author(s):  
Hangjun Zhou ◽  
Guang Sun ◽  
Shuyang Du ◽  
Feng Liu ◽  
Bo Yang ◽  
...  

The article gives the world views on the main types of sexual disorders among the male contingent and their interrelation with the phases of sexual reaction. The interrelation of the development of sexual dysfunctions under the influence of significant stress or psychoemotional overload or in the absence of any psychoneurological disorders, among which the leading place occupy border disorder, is shown. The necessity of therapeutic correction of affective pathology in the complex therapy of sexual dysfunctions is substantiated. The basic mechanisms of complex treatment of sexual dysfunctions and psychopathological manifestations are shown. In order to work out a more effective therapeutic complex using the Questionnaire International Erectile Function Index (IEFI), calculation of the duration of sexual intercourse (the so-called Intravaginal latency interval (ILI) and the Hamilton Rating Scale for Depression (HDRS-17) were evaluated. 83 patients with sexual dysfunctions: 52 patients (1 group) with premature ejaculation (PE); 31 patients (2 groups) with erectile dysfunction (ED) (the presence of these sexual dysfunctions led to the development of anxiety-depressive and neurosis-like disorders, which was confirmed by the Hamilton Scales) and 45 patients (3 groups) with sexual dysfunctions that developed as a result of existing initial psychopathological or boundary disorders (BD). Each study group was divided into two subgroups (a and b), each of which used different therapies from each other. With the use of one or another therapeutic scheme, patients of each group received cognitive-behavioral psychotherapeutic correction, tadalafil, nootropic drugs (noofen or glycine) and antidepressants (fluoxetine or coaxiаl). The duration of the observation was 3 months. As a result of the study, improvement of the ejaculatory function (with an increase in the ILI score) was established, which significantly increased at each control examination. In the analysis of the dynamics of the overall indicator of the MIEF questionnaire after the therapy, improvement in sexual function was observed in all groups, but the best results were obtained in the ED group. The results of the HDRS questionnaire showed that after 3 months, patients in the PE group compared with the BD group were reliably less susceptible to depressive disorder, especially of a pronounced nature.


1988 ◽  
Vol 102 (12) ◽  
pp. 1142-1146 ◽  
Author(s):  
S. K. Lau ◽  
W. I. Wei ◽  
D. Choyt ◽  
J. S. T. Sham ◽  
U. C. G. Engzell

abstractBrainstem auditory evoked potentials (BAEP) were recorded in two patients with nasopharyngeal carcinoma (NPC) irradiated 14 and three years ago respectively and compared with 15 healthy controls. The patients had features of post- irradiation myelopathy of the brainstem with reduced gag reflex, unilateral vocal cord paralysis and fasciculation of the tongue. The first patient had a blind left eye. The second patient had quadriparesis. All ears revealed post-irradiation otitis media changes and mixed deafness. BAEP was not recognizable in the left ear of the first patient and was normal in the left ear of the second patient. Simultaneous electrocochleogram and BAEP were recorded from the right ear of the first case. The wave I–V latency interval were rolonged in both right ears. In the absence of local recurrence and brain secondaries, these BAEP changes are attributed to the post-irradiation myelopathy of brainstem.


2018 ◽  
Vol 36 (21) ◽  
pp. 2153-2159 ◽  
Author(s):  
Wassim Chemaitilly ◽  
Laurie E. Cohen ◽  
Sogol Mostoufi-Moab ◽  
Briana C. Patterson ◽  
Jill H. Simmons ◽  
...  

Endocrine complications are highly prevalent in childhood cancer survivors. Approximately 50% of survivors will experience at least one hormonal disorder over the course of their lives. Endocrine complications often are observed in survivors previously treated with radiation to the head, neck, or pelvis. We provide an overview the most common endocrine late effects seen in survivors, including hypothalamic-pituitary dysfunction, primary thyroid dysfunction, obesity, diabetes mellitus, metabolic syndrome, and decreased bone mineral density. Primary gonadal injury is discussed elsewhere in this series. Given a variable latency interval, a systematic approach where individuals are periodically screened on the basis of their risk factors can help to improve health outcomes by prompt diagnosis and treatment of evolving endocrinopathies. These recommendations must be revised in the future given changes and improvements in cancer treatment over time.


2005 ◽  
Vol 193 (3) ◽  
pp. 762-770 ◽  
Author(s):  
Catalin S. Buhimschi ◽  
Irina A. Buhimschi ◽  
Errol R. Norwitz ◽  
Anna K. Sfakianaki ◽  
Benjamin Hamar ◽  
...  

2018 ◽  
Vol 14 (4) ◽  
pp. 155014771876760 ◽  
Author(s):  
Muhammad K Shahzad ◽  
Dang Tu Nguyen ◽  
Vyacheslav Zalyubovskiy ◽  
Hyunseung Choo

Wireless sensor networks are composed of low-energy, small-size, and low-range unattended sensor nodes. Recently, it has been observed that by periodically turning on and off the sensing and communication capabilities of sensor nodes, we can significantly reduce the active time and thus prolong network lifetime. However, this duty cycling may result in high network latency, routing overhead, and neighbor discovery delays due to asynchronous sleep and wake-up scheduling. These limitations call for a countermeasure for duty-cycled wireless sensor networks which should minimize routing information, routing traffic load, and energy consumption. In this article, we propose a lightweight non-increasing delivery-latency interval routing referred as LNDIR. This scheme can discover minimum latency routes at each non-increasing delivery-latency interval instead of each time slot. Simulation experiments demonstrated the validity of this novel approach in minimizing routing information stored at each sensor. Furthermore, this novel routing can also guarantee the minimum delivery latency from each source to the sink. Performance improvements of up to 12-fold and 11-fold are observed in terms of routing traffic load reduction and energy efficiency, respectively, as compared to existing schemes.


1991 ◽  
Vol 75 (4) ◽  
pp. 512-524 ◽  
Author(s):  
L. Dade Lunsford ◽  
Douglas Kondziolka ◽  
John C. Flickinger ◽  
David J. Bissonette ◽  
Charles A. Jungreis ◽  
...  

✓ Stereotactic radiosurgery successfully obliterates carefully selected arteriovenous malformations (AVM's) of the brain. In an initial 3-year experience using the 201-source cobalt-60 gamma knife at the University of Pittsburgh, 227 patients with AVM's were treated. Symptoms at presentation included prior hemorrhage in 143 patients (63%), headache in 104 (46%), and seizures in 70 (31%). Neurological deficits were present in 102 patients (45%). Prior surgical resection (resulting in subtotal removal) had been performed in 36 patients (16%). In 47 selected patients (21%), embolization procedures were performed in an attempt to reduce the AVM size prior to radiosurgery. The lesions were classified according to the Spetzler grading system: 64 (28%) were Grade VI (inoperable), 22 (10%) were Grade IV, 90 (40%) were Grade III, 43 (19%) were Grade II, and eight (4%) were Grade I. With the aid of computer imaging-integrated isodose plans for single-treatment irradiation, total coverage of the AVM nidus was possible in 216 patients (95%). The location and volume of the AVM were the most important factors for the selection of radiation dose. Magnetic resonance (MR) imaging was performed at 6-month intervals in 161 patients. Seventeen patients who had MR evidence of complete obliteration underwent angiography within 3 months of imaging: in 14 (82%) complete obliteration was confirmed. Complete angiographic obliteration was confirmed in 37 (80%) of 46 patients at 2 years, the earliest confirmation being 4 months (mean 17 months) after radiosurgery. The 2-year obliteration rates according to volume were: all eight (100%) AVM's less than 1 cu cm; 22 (85%) of 26 AVM's of 1 to 4 cu cm; and seven (58%) of 12 AVM's greater than 4 cu cm. Magnetic resonance imaging revealed postirradiation changes in 38 (24%) of 161 patients at a mean interval of 10.2 months after radiosurgery; only 10 (26%) of those 38 patients were symptomatic. In the entire series, two patients developed permanent new neurological deficits believed to be treatment-related. Two patients died of repeat hemorrhage at 6 and 23 months after treatment during the latency interval prior to obliteration. Stereotactic radiosurgery is an important method to obliterate AVM's, especially those previously considered inoperable. Success and complication risks are related to the AVM location and the volume treated.


1986 ◽  
Vol 3 (4) ◽  
pp. 342-350 ◽  
Author(s):  
Alexander W. McNeill ◽  
Richard Mulholland

This study evaluated the effects of latency periods on the retention of gross motor skills in three profoundly retarded, multiply handicapped children, and the efficacy of a relearning model as a test of learning among these children. The study used a quasi-experimental, multiple baseline-across-subjects design. The subjects were taught a motor skill designed specifically to their abilities; the skill was retaught following latency periods of 90, 30, and 14 days during which time the skill was not practiced. Based upon the results of this study, it was concluded that the subjects had some ability to retrieve motor programs and that some feedback process operated to refine the motor program. It was determined that the number of trials required to achieve a criterion is dependent upon the latency interval, with a 14-day interval having no effect upon achievement of criterion. These findings are used to support an argument for intermittent programming for the retention of motor skills in profoundly retarded, multiply handicapped children, thereby helping them to maintain and expand their repertoire of behaviors.


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