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Ligation or Occlusion of the Internal Iliac Arteries for the Treatment of Placenta Accreta Spectrum:Why Is This Technique Still Performed?

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Maternal-Fetal Medicine 2023年第3期5卷 131-136页

作者： Albaro José Nieto-Calvache José M.Palacios-Jaraquemada Rozi Aditya Aryananda Nicolas Basanta Juan Manuel Burgos-Luna Fernando Rodriguez carlos ordonez Daniela Sarria-Ortiz Laura Munoz-Cordoba Juan carlos Quintero Valentina Galindo-Velasco Adriana Messa-Bryon Fundación Valle del Lili Departamento de Ginecología y ObstetriciaClínica de Espectro de Acretismo PlacentarioCali 760032Colombia Latin American Group for the Study of Placenta Accreta Spectrum Departamento de Ginecología y Obstetricia Hospital Universitario CEMICBuenos Aires C1431FWOArgentina Department of Obstetrics and Gynecology Dr.Soetomo Academic General HospitalUniversitas AirlanggaSurabaya 60131Indonesia Departamento de Ginecología y Obstetricia Hospital General de Agudos Juan A FernándezBuenos Aires 7011Argentina Fundación Valle del Lili Centro de Investigaciones ClínicasCali 760032Colombia Unidad de diagnóstico prenatal Clínica ImbanacoGrupo Quirón SaludCali 760042Colombia Departamento de ginecología y obstetricia Universidad del ValleCali 760042Colombia Universidad Icesi Facultad de Ciencias de la SaludCali 760031Colombia

Introduction The major complication of placenta accreta spectrum(PAS)disorder is massive bleeding;therefore,multiple vascular interventions have been described to prevent or treat pelvic bleeding.Ligature of the internal iliac arteries(IIAs)was published more than 130 years ago,and although research relating to the physiology of this procedure has demonstrated poor vascular control over the last few decades,2-this technique has evolved into an established technique known as endovascular IIA balloon occlusion.

关键词： balloon Internal bleeding

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Predictive models for the assessment of bodily harm

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Forensic Sciences Research 2017年第4期2卷 185-191页

作者： Lucia ordonez Mayan Isabel Martinez Silva carlos Represas Vazquez Jose Ignacio Munoz Barus Institute of Forensic Science University of Santiago de CompostelaLa CorunaSpain SiDOR Statistical InferenceDecision and Operations ResearchUniversity of VigoPontevedraSpain Department of Forensic Science PathologyGynecology and ObstetricsPediatricsUniversity of Santiago de CompostelaLa CorunaSpain

The Spanish scale to quantify or qualify bodily harm resulting from any unintentional traffic accident prior to 1 January 2016 is established by Royal Legislative Decree(RDL)8/2004.This scale assigns points to the sequelae,which are converted into Euros using a table that is updated annually.The objective of this study is to develop a predictive model of sequelae points that will enable the estimation of compensation a short time after the accident.This will facilitate the calculation of the money reserve and rapid access to compensation for the injured party.To conduct this study,we developed a database with information from 999 individuals who had suffered car crash injuries which were evaluated according to the scale contained in RDL 8/2004 for medical experts.Predictive models based on logistic regression models were designed on this database.To choose the best model,we calculated Mallow’s Cp.The use of hurdle models made it possible to predict the points received by an injured party within a relatively short period of time after the accident.Once these points are known,it is a simple matter to calculate the corresponding compensation.The prediction models developed provide an easy way to predict the compensation to be awarded to the injured party.These models use days of hospitalization,sex,age and the results of international scales based on the Abbreviated Injury Scale.These variables can be used soon after the occurrence of the crash.

关键词： Forensic science assessment of bodily harm AIS ISS default interest Royal Legislative Decree(RDL)

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Prognostic value of increased carbohydrate antigen in patients with heart failure

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World Journal of Cardiology 2014年第4期6卷 205-212页

作者： Ana B Méndez Jordi ordonez-Llanos Andreu Ferrero Mariana Noguero Teresa Mir Josefina Mora Antoni Bayes-Genis Sònia Mirabet Juan Cinca Eulàlia Roig Cardiology Department Hospital de la Santa Creu i Sant PauInstitut de Recerca Biomèdica Sant Pau and Universitat Autònoma Biochemistry Department Hospital de la Santa Creu i Sant PauInstitut de Recerca Biomèdica Sant Pau and Universitat Autònoma Cardiology Department Hospital Germans Trias I Pujol

AIM:To study the prognostic value of carbohydrateantigen 125(CA125) and whether it adds prognostic information to N-terminal pro-brain natriuretic peptide(NT-proBNP) in stable heart failure(HF) patients.METHODS:The predictive value of CA125 was retrospectively assessed in 156 patients with stable HF remitted to the outpatient HF unit for monitoring from 2009 to 2011.Patients were included in the study if they had a previous documented episode of HF and received HF treatment.CA125 and NT-proBNP concentrations were measured.The independent association between NT-proBNP or CA125 and mortality was assessed with Cox regression analysis,and their combined predictive ability was tested by the integrated discrimination improvement(IDI) index.RESULTS:The mean age of the 156 patients was 72 ± 12 years.During follow-up(17 ± 8 mo),27 patients died,1 received an urgent heart transplantation and 106 required hospitalization for HF.Higher CA125 values were correlated with outcomes:58 ± 85 KU/L if hospitalized vs 34 ± 61 KU/L if not(P 60 KU/L identified patients in stable HF with poor survival.Circulating CA125 level adds prognostic value to NT-proBNP level in predicting HF outcomes.

关键词： Heart failure Prognosis Carbohydrate antigen 125 Brain natriuretic peptides Survival

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