The Effect of Long-Term Cimetidine Treatment on PRL and TSH Response Capacity to TRH in Male Patients with Duodenal Ulcer

Intravenous ports serve as vascular access and are indispensable in cancer treatment. Most studies are not based on a systematic and standardized approach. Hence, the aim of this study was to demonstrate long-term results of port implantation following a standard algorithm. A total of 2950 patients who underwent intravenous port implantation between March 2012 and December 2018 were included. Data of patients managed following a standard algorithm were analyzed for safety and long-term outcomes. The cephalic vein was the predominant choice of entry vessel. In female patients, wire assistance without use of puncture sheath was less likely and echo-guided puncture via internal jugular vein (IJV) with use of puncture sheath was more likely to be performed, compared to male patients (p < 0.0001). The procedure-related complication rate was 0.07%, and no pneumothorax, hematoma, catheter kinking, catheter fracture, or pocket erosion was reported. Catheter implantations by echo-guided puncture via IJV notably declined from 4.67% to 0.99% (p = 0.027). Mean operative time gradually declined from 37.88 min in 2012 to 23.20 min in 2018. The proposed standard algorithm for port implantation reduced the need for IJV echo-guided approach and eliminated procedure-related catastrophic complications. In addition, it shortened operative time and demonstrated good functional results.

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Influence of Sex on Outcomes After Thoracic Endovascular Repair for Type B Aortic Dissection

Angiology ◽

10.1177/0003319720987956 ◽

2021 ◽

pp. 000331972098795

Author(s):

Songyuan Luo ◽

Yi Zhu ◽

Enmin Xie ◽

Huanyu Ding ◽

Fan Yang ◽

...

Keyword(s):

Aortic Dissection ◽

Clinical Outcomes ◽

Cox Regression ◽

Type B ◽

Type B Aortic Dissection ◽

Landing Zone ◽

End Point ◽

Male Patients ◽

Long Term Mortality

We aimed to investigate whether sex differences influence the clinical outcomes of patients who undergo thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). We retrospectively analyzed a prospectively maintained single-center cohort of patients with TBAD who underwent TEVAR between January 2010 and June 2017. We evaluated the in-hospital and long-term mortality and composite end point. Of the 913 patients, 793 (86.8%) were male and 120 (13.1%) were female. Compared to male patients, the female patients were older, more likely to have diabetes mellitus, but less likely to smoke or have hypertension. The proximal landing zone in 0 and 1 was higher in male patients ( P = .023), who were more likely to require an aortic arch bypass. Endoleak, delirium, and ICU stay after stent-graft implantation were also more frequent in men. Sex factor was not associated with in-hospital or long-term mortality or the composite end point in the multivariable regression analyses and Cox regression model. The mean estimated survival time was similar between males and females (2462.9 ± 141.2 vs 2804.1 ± 117.4 days, P = .167) in the propensity score–matched cohort. Despite distinct characteristics between sex, there was no sex-related difference in long-term clinical outcomes after TEVAR for TBAD.

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Long-term cimetidine in duodenal ulcer disease

Digestive Diseases and Sciences ◽

10.1007/bf01299829 ◽

1979 ◽

Vol 24 (6) ◽

pp. 465-467 ◽

Cited By ~ 29

Author(s):

J. Hansky ◽

M. G. Korman

Keyword(s):

Duodenal Ulcer ◽

Duodenal Ulcer Disease ◽

Ulcer Disease

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Radiation Risk Assessment in Patients for Chest CT Diagnostics of COVID-19

Medical Radiology and radiation safety ◽

10.12737/1024-6177-2021-66-2-59-66 ◽

2021 ◽

Vol 66 (2) ◽

pp. 59-66

Author(s):

E. Matkevich

Keyword(s):

Older Persons ◽

Radiation Risk ◽

Chest Ct ◽

Risk Indicators ◽

Radiation Doses ◽

Diagnostic Center ◽

Adolescents And Adults ◽

Male Patients ◽

Effective Radiation

Purpose: To assess effective radiation doses for chest CT for the diagnosis of COVID-19 and calculate the radiation risk of the effects of this exposure. Material and methods: We analyzed the results of 1003 CT examinations of the chest performed in patients (6.2 %‒children 12–14 years, 15.3 %‒adolescents 15–19 years, 60.1 %‒adults 20–64 years, 18.4 %‒older persons 65 years and older) with suspected COVID-19 during one week in October 2020 in the city diagnostic center. In each group, the average effective dose (ED, mSv) was calculated. Results: The average ED values and confidence intervals (P=0.05) for patients with a single CT scan were: in children 2.59±0.19 mSv, in adolescents 3.23±0.17 mSv, in adults 3.43±0.08 mSv, in older persons 3.28±0.19 mSv. The maximum radiation risk indicators were observed in groups of children (24.1×10-5) and adolescents (23.3×10-5). For adult patients the means risk was 14.4×10-5. In groups of women radiation risk was 1.3–2.3 twice as high, as in male patients. The risk values in children, adolescents and adults are in the range 10×10-5 – 100×10-5 (low), for the older patients were 2.6×10-5 (very low). Conclusion: Because of the study established effective radiation doses for chest CT of patients with the diagnosis of COVID-19 and the radiation risk for 1-3 times chest CT by age and sex of patients was calculated. It was found that the radiation risk for single, double and triple chest CT for patients under 65 is low, 65 and older is very low. Taking into account the radiation risk during CT is necessary to reduce the long-term consequences of radiation exposure on the population.

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Long term complications after radical cystoprostatectomy with orthotopic diversion in male patients: Preliminary experience

African Journal of Urology ◽

10.1016/j.afju.2013.02.008 ◽

2013 ◽

Vol 19 (2) ◽

pp. 89-93 ◽

Cited By ~ 2

Author(s):

A. Shelbaia ◽

H.K. Salem ◽

A. Emran ◽

M.A. Raouf ◽

S.A. Rahman

Keyword(s):

Radical Cystoprostatectomy ◽

Male Patients

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The evaluation of long-term screw pull-out rates following posterior thoracolumbar fusion surgery with short and thin pedicle screws

Romanian Neurosurgery ◽

10.33962/roneuro-2019-033 ◽

2019 ◽

pp. 178-182

Author(s):

Umit Kocaman ◽

Hakan Yilmaz

Keyword(s):

Pedicle Screws ◽

Fusion Surgery ◽

Pull Out ◽

Transpedicular Screw ◽

Thoracic Pedicle Screws ◽

Pedicle Length ◽

Neurocentral Junction ◽

Male Patients ◽

Lumbar Pedicle

Background. The aim of this study was to evaluate screw pull-out rates after fusion operations with short and thin pedicle screws.Methods. A total of 200 posterior lumbar and thoracolumbar fusion operations performed at our clinic with short and thin pedicle screws (5.5x35 mm) were retrospectively evaluated. The patients were assessed with computed tomography postoperatively on the day of surgery and at the 6th month. Single groove retraction of the transpedicular screw was evaluated as pull-out. The results were evaluated by the 'number of pull-out cases / total number of cases' and also the 'total number of pull-out screws / total number of screws used' ratios. Results. There were 112 (56%) female and 88 (44%) male patients with a mean age of 58 years. The total number of screws used in the 200 cases was 1188. There were 88 (7.4%) thoracic pedicle screws, 1056 (88.9%) lumbar pedicle screws and 44 (3.7%) sacral pedicle screws used. No pull-out was found in the control CTs taken postoperatively. Left side T11 and T12 pull-out was observed in one case and left L4 pull-out was observed in another case in the control CTs taken at the postoperative 6th month. Pull-out was observed in 2 (1%) of the 200 cases and 3 (0.25%) of the 1188 screws.Conclusions. All the short and thin pedicle screws used had passed the pedicle length and neurocentral junction. The use of a 5.5x35 mm screws in fusion operations is less invasive than using longer and thicker screws while the pull-out rates may be similar.

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