scholarly journals Arrested Pneumatization of the Skull Base and its Relationship with Sphenoid Sinus Hypoplasia; a Cross-Sectional Retrospective Study

2021 ◽  
Author(s):  
Başak ATALAY ◽  
Umut Percem ORHAN SOYLEMEZ
Keyword(s):  
Retrospective Study ◽  
Skull Base ◽  
Sphenoid Sinus ◽  
Cross Sectional

Queixas de nutrizes que buscam atendimento em um banco de leite humano e fatores associados

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Lara Thaiane Souza Pereira ◽  
Taynara Cassimiro de Moura Alves ◽  
Nathalya da Silva Louro ◽  
Nayara Franklin Cesar ◽  
Juliana das Dores Ferreira ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Data Collection ◽  
Women's Health ◽  
Breast Feeding ◽  
Reliable Information ◽  
Previous Experience ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Milk Banks ◽  
Nutrient Conditions

O objetivo deste artigo é analisar as queixas de nutrizes que buscaram atendimento em um BLH e fatores associados.Trata-se de um estudo descritivo, analítico, transversal, retrospectivo, cuja população é composta por 1.709 nutrizes quebuscaram atendimento no período de Janeiro a Dezembro de 2016. Para a coleta de dados, utilizaram-se as fichas deatendimento do BLH. As principais queixas que levaram as nutrizes a buscarem atendimento no BLH relacionam-se àdificuldade com a técnica de amamentação (41,9%) e a problemas mamários, como o ingurgitamento mamário (27,1%) eo trauma mamilar (18,1%). A necessidade de auxílio na técnica de amamentação esteve associada às seguintes condiçõesrelativas à nutriz: ser procedente da capital (p=0,001), apresentar mais de oito anos de estudo (p=0,040), ter uma ocupação (p=0,010), ser primípara (p=<0,001), optar pela realização de parto cesárea (p=<0,001) e ter experiência préviacom amamentação (p=0,004). Houve associação entre ingurgitamento mamário e primiparidade (p=0,038), além do fatode a nutriz ter contado com o apoio ao aleitamento materno na maternidade (p=0,021). O estudo possibilitou verificar aimportância dos BLH no processo de lactação, um período em que as mulheres ficam ansiosas, necessitam de informaçõesconfiáveis e apresentam muitas queixas em relação à lactação.PALAVRAS-CHAVES : Aleitamento materno, Bancos de leite, Saúde da mulher. Abstract: The aim of this article is to analyze the complaints of lactating mothers who sought care in a HMB and associatedfactors. It is a descriptive, cross-sectional, retrospective study, whose population is composed of 1.709 lactating mothers whosought care in the period from January to December the 2016. For the data collection, were used the service records ofthe HMB. The main complaints that led the lactating mothers to seek care at HMB were related to the difficulty with thebreastfeeding technique (41.9%) and to breast problems, such as breast engorgement (27.1%) and nipple trauma (18,1%). Theneed for breastfeeding technique was associated to the following nutrient conditions: coming from the capital (p = 0.001),presenting more than eight years of study (p = 0.040), having an occupation (p = 0.010), being primiparous (p = <0.001), optfor cesarean (p = 0.001) and to have previous experience with breastfeeding (p = 0.004). There was an association betweenbreast engorgement and primiparity (p = 0.038), in addition to the fact that the mother had support for breastfeeding in thematernity ward (p = 0.021). The study made it possible to verify the importance of HMBs in the lactation process, a period inwhich women become anxious, require reliable information and have many complaints about lactation.Keywords: Breast feeding, Milk banks, Women’s health

scholarly journals A Cross-sectional Survey of the North American Skull Base Society: Current Practice Patterns of Vestibular Schwannoma Evaluation and Management in North America

2017 ◽  
Vol 79 (03) ◽  
pp. 289-296 ◽  
Author(s):  
Jamie Van Gompel ◽  
R. Wiet ◽  
Nicole Tombers ◽  
Anand Devaiah ◽  
Devyani Lal ◽  
...  
Keyword(s):  
North America ◽  
Skull Base ◽  
Vestibular Schwannoma ◽  
North American ◽  
Management Practices ◽  
Current Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Wide Range

Background Very few studies have examined vestibular schwannoma (VS) management trends across centers and between providers. The objective of this study is to examine current practice trends, variance in treatment philosophies, and nuanced or controversial aspects of VS care across North America. Methods This is a cross-sectional survey of North American Skull Base Society (NASBS) members who report regular involvement in VS care. Results A total of 57 completed surveys were returned. Most respondents claimed to have over 20 years of experience and the majority reported working in an academic practice with an affiliated otolaryngology and/or neurosurgery residency program. Sixty-three percent of respondents claimed to evaluate VS patients in clinic with both an otolaryngologist and neurosurgeon involved. Eighty-six percent of respondents claimed to operate on VS with both an otolaryngologist and neurosurgeon involved, while only 18% of neurosurgeons and 9% of otolaryngologists performed surgery alone. There was a wide range in the number of cases evaluated at each center annually. Similarly, there was wide variation in the number of patients treated with microsurgery and radiation at each center. Additional details regarding management preferences for microsurgery, stereotactic radiosurgery, stereotactic radiotherapy, and conservative observation are presented. Conclusion VS management practices vary between providers and centers. Overall, most centers employ a multidisciplinary approach to management with collaboration between otolaryngology and neurosurgery. Overall, survey responses concur with previous studies suggesting a shift toward conservatism in management.

Ossifying fibromyxoid tumour of the sphenoid sinus

2009 ◽  
Vol 124 (4) ◽  
pp. 437-440
Author(s):  
S D Shetty ◽  
R J Salib ◽  
S B Nair ◽  
N Mathad ◽  
J Theaker
Keyword(s):  
Skull Base ◽  
Sphenoid Sinus ◽  
Neoplastic Disease ◽  
Clinical Effects ◽  
Soft Tissue Neoplasm ◽  
Transnasal Approach ◽  
Fibrous Stroma ◽  
Neuroectodermal Origin ◽  
Endoscopic Transnasal Approach

AbstractIntroduction:Ossifying fibromyxoid tumour is a recently described, rare but morphologically distinctive soft tissue neoplasm characterised by a combination of myxoid and/or fibrous stroma with areas of ossification. Although most authors postulate a neuroectodermal origin for this peculiar tumour, there is no agreement in the literature regarding its histopathogenesis. To our knowledge, this is the first reported case of ossifying fibromyxoid tumour involving the sphenoid sinus.Histological findings:Tumour of low cell density, composed of small, spindle-shaped or stellate cells with small, irregular nuclei set in a fibromyxoid stroma.Management:Following discussion at the skull base multidisciplinary team meeting, a combined surgical team including an otorhinolaryngologist and a neurosurgeon carried out resection of the lesion, using an endoscopic transnasal approach, followed by reconstruction of the defect.Conclusions:An awareness of the distinctive histopathological features of ossifying fibromyxoid tumour, and of its clinical effects, is crucial to establishing a definitive diagnosis and thereby instituting appropriate management. This case report also reinforces the evolving role of the endoscopic transnasal approach in the management of inflammatory and neoplastic disease involving the skull base. This is increasingly being made possible by close collaboration between multiple surgical specialties, including otorhinolaryngology and neurosurgery.

scholarly journals Endoscopic Endonasal Partial Middle Turbinectomy Approach: Adaptability of the Procedure in a Cadaveric Study and in Surgery for Different Sphenoid Sinus and Skull Base Lesions

Skull Base ◽  
2006 ◽  
Vol 16 (01) ◽  
pp. 001-013 ◽  
Author(s):  
Omar A El-Banhawy ◽  
Abd El-Hafiz Shehab El-Dien ◽  
Ahmed Said Zolfakar ◽  
Ahmed N Halaka ◽  
Heshmat Ayad
Keyword(s):  
Skull Base ◽  
Sphenoid Sinus ◽  
Cadaveric Study ◽  
Endoscopic Endonasal ◽  
Skull Base Lesions

Perioperative Use of Total Parenteral Nutrition: Variations in Guidelines and Practice in Three Norwegian Hospitals

1995 ◽  
Vol 11 (4) ◽  
pp. 741-749 ◽  
Author(s):  
Marianne Mjaaland ◽  
Arthur Revhaug ◽  
Olav Helge Førde
Keyword(s):  
Retrospective Study ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Gastrointestinal Surgery ◽  
Patient Characteristics ◽  
Substantial Part ◽  
Cross Sectional

AbstractIn a cross-sectional, retrospective study of 604 cases, variations among three Norwegian hospitals in use of perioperative parenteral nutrition (TPN) after gastrointestinal surgery was determined. Postoperative TPN rates were 25%, 34% (p =.05) and 56% (p <.0001). respectively. However, a substantial part of the variation was explained by differences in patient characteristics.

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