检索结果-南通市图书馆

Complete Remission by Primary Chemotherapy of Advanced Non-Seminomatous Germ Cell Tumor in an Intra-Abdominal Testis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Urology 2014年第8期4卷 105-108页

作者： pierre Sarkis Hampig Raphael Kourie Joseph Gharios Joseph Kattan saint-Joseph hospital Raymond and Aida Najjar Medical Center Saint-Joseph University Beirut Lebanon

Ectopic testis predisposes to a high risk of germ cell tumor development. Treatment of advanced testicular germ cell tumor developing in an uncorrected abdominal testis is based on primary chemotherapy followed by removal of the testis along with residual masses. However, persistence of viable tumor particularly in the testis is always noted since testis penetration of chemotherapeutic agents is reduced. We report a case of complete pathological remission of a patient with advanced non-seminomatous germ cell tumor in intra-abdominal testis by primary chemotherapy alone, with a review of the literature.

关键词： Germ Cell Tumors Intra-Abdominal Testis Non-Seminomatous Germ Cell Tumors

Adult-to-adult living-donor liver transplantation: The experience of the Université catholique de Louvain

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatobiliary & Pancreatic Diseases International 2019年第2期18卷 132-142页

作者： Samuele Iesari Milton Eduardo Inostroza Nú?ez Juan Manuel Rico Juri Olga Ciccarelli Eliano Bonaccorsi-Riani Laurent Coubeau pierre-Fran?ois Laterre pierre Goffette Chantal De Reyck Beno?t Lengelé pierre Gianello Jan Lerut Starzl Abdominal Transplant Unit Cliniques Universitaires Saint-Luc Institut de Recherche Expérimentale et Clinique Université catholique de Louvain Department of Biotechnological and Applied Clinical Sciences University of L’Aquila Hepatobiliopancreatic Unit Las Higueras Hospital Cirugía de Trasplantes Centro Médico Imbanaco Department of Intensive Care Cliniques Universitaires Saint-Luc Université catholique de Louvain Department of Radiology Cliniques Universitaires Saint-Luc Université catholique de Louvain Department of Plastic and Reconstructive Surgery Cliniques Universitaires Saint-Luc Université catholique de Louvain P?le de Chirurgie Expérimentale et Transplantation Institut de Recherche Expérimentale et Clinique Université catholique de Louvain

Background: Liver transplantation is the treatment for end-stage liver diseases and well-selected malignancies. The allograft shortage may be alleviated with living donation. The initial UCLouvain experience of adult living-donor liver transplantation(LDLT) is presented. Methods: A retrospective analysis of 64 adult-to-adult LDLTs performed at our institution between 1998 and 2016 was conducted. The median age of 29(45.3%) females and 35(54.7%) males was 50.2 years(interquartile range, IQR 32.9–57.5). Twenty-two(34.4%) recipients had no portal hypertension. Three(4.7%) patients had a benign and 33(51.6%) a malignant tumor [19(29.7%) hepatocellular cancer, 11(17.2%) secondary cancer and one(1.6%) each hemangioendothelioma, hepatoblastoma and embryonal liver sarcoma]. Median donor and recipient follow-ups were 93 months(IQR 41–159) and 39 months(22–91), respectively. Results: Right and left hemi-livers were implanted in 39(60.9%) and 25(39.1%) cases, respectively. Median weights of right-and left-liver were 810 g(IQR 730–940) and 454 g(IQR 394–534), respectively. Graft-to-recipient weight ratios(GRWRs) were 1.17%(right, IQR 0.98%-1.4%) and 0.77%(left, 0.59%-0.95%). One-and five-year patient survivals were 85% and 71%(right) vs. 84% and 58%(left), respectively. Oneand five-year graft survivals were 74% and 61%(right) vs. 76% and 53%(left), respectively. The patient and graft survival of right and left grafts and of very small( < 0.6%), small(0.6%–0.79%) and large( ≥0.8%) GRWR were similar. Survival of very small grafts was 86% and 86% at 3-and 12-month. No donor died while five(7.8%) developed a Clavien–Dindo complication IIIa, IIIb or IV. Recipient morbidity consisted mainly of biliary and vascular complications; three(4.7%) recipients developed a small-for-size syndrome according to the Kyushu criteria. Conclusions: Adult-to-adult LDLT is a demanding procedure that widens therapeutic possibilities of many hepatobiliary diseases. The donor procedure can be done safely

关键词： Liver transplantation Living-donor Hepatocellular cancer Secondary liver tumor Small-for-size syndrome Small-for-size graft

Perspectives in Clinical Research of Acupuncture on Menopausal Symptoms

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Integrative Medicine 2011年第12期17卷 893-897页

作者： Alain Baumelou Liu Bingkai WANG Xiao-yun NIE Guang-ning Center of Integrated Chinese Medicine La Pitie Salpetriere Hospital Assistance Publique HSpitaux de Paris （AP-HP） Paris VI University （ Pierre and Marie Curie University ） Paris （75631） France Department of Gynecology Guangdong Provincial Hospital of Traditional Chinese Medicine Guangzhou University of Chinese Medicine Guangdong （510120） China

Seventy percentage of perimenopausal and early postmenopausal women will experience menopause symptoms. Primary menopause symptoms in Westem countries included hot flashes, insomnia, somatic pain, depression, and fatigue. Hot flashes were most commonly treated. Menopausal hormone replacement therapy （HRT） continues to have a clinical role in the management of vasomotor symptoms, but since 2002 there has been a marked global decline in its use due to concerns about the risks and benefits of HRT; consequently many women with menopause symptoms are now seeking alternatives including acupuncture. Acupuncture has a long tradition of use for the treatment of different menopause symptoms. Its effectiveness has been studied for natural menopause or chemical and surgery induced menopause. Here we provide an update on recent advances in the field for clinicians. The recent systematic reviews on acupuncture in menopausal symptoms suggest that acupuncture is aneffective and valuable option for women suffering from menopause. However, the science of acupuncture therapies is still inadequate to sufficiently support the benefits of acupuncture therapies. Finally, we discuss our points of view on clinical trials of acupuncture for menopause symptoms.

关键词： acupuncture menopausal symptoms randomized controlled trials

Patient education improves adherence to peg-interferon and ribavirin in chronic genotype 2 or 3 hepatitis C virus infection:A prospective,real-life,observational study

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2008年第40期14卷 6195-6203页

作者： Patrice Cacoub Denis Ouzan Pascal Melin Jean-Philippe Lang Michel Rotily Thierry Fontanges Marina Varastet Michel Chousterman Patrick Marcellin Department of Internal Medicine Pitié-Salpêtrière Hospital pierre and Marie Curie (Paris 6) University Department of Hepato-Gastroenterology Arnault Tzanck Institute Department of Polyvalent Medicine Hospital of Saint Dizier Department of Psychiatry and Addiction Hospital of Erstein ClinSearch Bagneux 92220France Department of Hepato-Gastroenterology General Hospital of Bourgoin Department of Hepato-Gastroentrology Hospital of Créteil (CHIC) Department of Hepatology Beaujon Hospital INSERM U 773 CRB3University of Paris VⅡBeaujon Hospital

AIM: To evaluate the impact of therapeutic education on adherence to antiviral treatment and sustained virological response (SVR) in a real-life setting in genotype 2/3 hepatitis C,as there are few adherence data in genotype 2/3 infection,even from randomized ***: This prospective survey included genotype 2/3 patients who received peg-interferon alfa-2b and *** was no *** was self-reported over the past 4 wk (peg-interferon) or 7 d (ribavirin).Adherence to bitherapy was defined as adherence to the two drugs for ≥ 20 *** was defined as undetectable RNA ≥ 12 wk after the end of ***: 370/674 patients received education during the first 3 mo of *** 6 mo,adherence to bitherapy was higher in educated patients (61% vs 47%,P = 0.01).Adherence to peg-interferon was 78% vs 69% (P = 0.06).Adherence to ribavirin was 70% vs 56% (P = 0.006).The SVR (77% vs 70%,P = 0.05) and relapse (10% vs 16%,P = 0.09) rates tended to be *** adjustment for baseline differences,education improved adherence [Odds ratio (OR) 1.58,P = 0.04] but not the SVR (OR 1.54,P = 0.06).CONCLUSION: In genotype 2/3 patients,therapeutic education helped maintain real-life adherence to bitherapy.

关键词：肝炎病毒治疗方法干扰素病毒唑

Radiotherapy among nonagenarians with anal or rectal carcinoma: should we avoid or adapt treatment?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Cancer 2017年第10期36卷 524-525页

作者： Alexis Vallard Chloé Rancoule Jean-Baptiste Guy Avi Assouline Alexander T. Falk pierre Auberdiac Julien Langrand-Escure Cyrus Chargari Nicolas Magné Department of Radiotherapy Lucien Neuwirth Cancer Institute 108 BisAvenue Albert.Raimond BP 60008 42271 Saint.Priest En Jarez France Department of Radiotherapy Porte De Saint Cloud Clinical Centre 92100 Boulogne-Billancourt France Department of Radiation Oncology Antoine Lacassagne Centre 06100 Nice France Department of Radiotherapy Claude Bernard Private Hospital 81000 Albi France Department of Radiotherapy Val-De-Grace Military Hospital 75230 Paris France

Dear editor,Radiotherapy is a cornerstone in the management of anal or rectal cancer. Because elderly patients are often excluded from clinical trials, little is known about radiotherapy’s therapeutic index (efficacy/toxicity ratio) in the geriatric population [1]. Still, the ageing of population imposes the challenge to treat older cancer patients and probably to adjust their treatment [2]. A few studies reported data on radiation-induced toxicities in nonagenarian patients, but data on efficacy are still scarce. For rectal cancer, preoperative radiotherapy programs were suggested to be feasible in elderly patients [3–5], with a preference for short protocols without chemotherapy [4]. For anal cancer, the safety of radiochemotherapy was only reported in limited sets of elderly patients [6]. The objective of the present study was to report efficacy and toxicity data on the radiotherapy treatment of nonagenarian patients with anal or rectal *** analyzed the data of 34 nonagenarian patients with anal or rectal cancers: 27 (79.4%) with a rectal adenocarcinoma and 7 (20.6%) with an anal canal squamous cell carcinoma.

关键词： Radiotherapy feasible in elderly patients

Pregnancy and Obstetrical Outcomes Following Treatment for Cervical Intra-Epithelial Neoplasia (CIN) in Two hospitals of a Low-Resource Country

在线全文

学校读者我要写书评

暂无评论

Advances in Reproductive Sciences 2024年第1期12卷 51-59页

作者： Bruno Kenfack Clovis-Achille Tanekeu Atem Bethel Ajong Zabdielle Blonde Goufack Kenfack Patrick Petignat pierre Marie Tebeu Department of Gynecology and Obstetrics Faculty of Medicine and Pharmaceutical Science University of Dschang Dschang Camer-on Institur Supérieur des Sciences de la Santé Université des Montagnes Bangangté Cameroon Kekem MD District Hospital West Region Cameroon Department of Epidemiology and Public Health Faculty of Medicine and Pharmaceutical Science University of Dschang Dschang Cameron Geneva University hospitals Genevas Switzerland Faculty of Medicine and Biomedical Science University of Yaounde I Yaounde Cameroon

Objective: In Cameroon, more than 80% of women suffering from cervical intraepithelial neoplasia (CIN) are within the reproductive age. This study intended to analyze the pregnancy outcomes following cervical treatment in Cameroon. Methods: This was a cohort study with two years retrospective data collection involving 82 women who underwent cervical treatment for CIN in two Cameroonian hospitals from January 2015 to December 2017. Data were collected from CIN treatment to end of pregnancy where applicable. Data analysis was done using Epi Info software version 3.5.4. Results: We collected data from 82 patients aged 27 to 48 years, with a mean age of 36.5 (SD: 5.3) years. During the study period, 33 out of 82 participants became pregnant 40.2 [29.56 - 51.66]%. The factor associated with pregnancy occurrence after treatment was age less than 35 years (Odds ratio = 4.37 [1.7 - 11.2]. From the 33 pregnancies recorded, 17 (51.5%) ended in a delivery, amongst which 15 (88.2%) were vaginal. Conclusion: Pregnancy frequency over two years following cervical treatment for CIN was relatively good, and younger women (age 35 years) were significantly more like to have conceived compared to their older counterparts. Post-treatment delivery outcomes seem to be similar to those in the general population.

关键词： Cervical Intraepithelial Neoplasia Cervical Treatment Pregnancy Outcome

Percutaneous embolization by direct puncture for the treatment of high-flow priapism

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Urology 2023年第2期10卷 208-209页

作者： Quentin Holay Michael Baboudjian Eric Lechevallier Marc Andre pierre-Henri Savoie Department of Radiology Conception Academic HospitalMarseilleFrance Department of Urology Conception Academic HospitalMarseilleFrance Department of Urology Sainte Anne HospitalToulonFrance

Dear Editor,High-flow priapism is a persistent erection,usually caused by blunt perineal trauma,resulting in pathologically increased arterial inflow to the corpora cavernosa[1].The therapeutic strategy of high-flow priapism,although codified,leaves room for a wide choice of techniques,ranging from conservative management,selective arterial embolization to surgical management[2].The aim of this letter was to report an alternative approach of percutaneous embolization by direct puncture for the treatment of high-flow priapism.

关键词： embolization puncture arterial

Efficacy and tolerability of chitin-glucan combined with simethicone(GASTRAP^(■)DIRECT)in irritable bowel syndrome:A prospective,open-label,multicenter study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Pharmacology and Therapeutics 2024年第3期15卷 10-22页

作者： Nathalie Talbodec Pauline Le Roy Peggy Fournier Benoit Lesage Elodie Lepoutre François Castex Jean Michel Godchaux Lionel Vandeville Benjamin Bismuth Xavier Lesage Pauline Bayart Michael Genin Christel Rousseaux Veronique Maquet Salvatore Modica pierre Desreumaux Caroline Valibouze Department of Gastroenterology Hôpital privéLe BoisLille 59000France Department of Gastroenterology Hôpital privéde Villeneuve d’AscqVilleneuve d’Ascq 59650France Univ.Lille CHU LilleULR 2694–METRICSÉvaluation des Technologies de Santéet des Pratiques MédicalesLille 59000France Development of Intestinal Biotech 1 Avenue Oscar LambretLille 59045France KitoZyme SA Parc Industriel des hauts Sarts Zone 2Rue de MilmortHerstal 4040Belgium BiOkuris A Parc Industriel des hauts Sarts Zone 2Rue de MilmortHerstal 4040Belgium Department of Hepato-Gastroenterology Lille University HospitalLille 59000France U1286-INFINITE Institute for Translational Research in InflammationUniv.LilleInsermCHU LilleLille 59000France Department of Digestive Surgery and Transplantation Lille University HospitalLille 59037France

BACKGROUND Irritable bowel syndrome(IBS),defined according to the Rome IV diagnostic criteria,is a chronic functional gastrointestinal disorder characterized by recurrent abdominal pain related to altered bowel ***-line recommended treatments are limited to combining drugs targeting predominant symptoms,particularly pain(antispasmodics),constipation(laxatives),and diarrhea(loperamide),yielding only a limited therapeutic ***^(■)DIRECT is a class IIa medical formulation composed of a combination of chitin-glucan and simethicone indicated for the symptomatic treatment of gas-related gastrointestinal disorders by combining different mechanisms of *** To evaluate the efficacy,tolerability,and safety of 4-week GASTRAP^(■)DIRECT treatment in patients with *** In this prospective,multicenter,open-label trial,120 patients with IBS received three sticks of GASTRAP^(■)DIRECT(1.5 g/d of chitin-glucan and 0.75 mg/d of simethicone)per day for 4 *** primary endpoint was the responder rate,defined as the number of patients whose abdominal pain score decreased by≥30%from baseline to week(W)*** analysis was performed using the per-protocol *** symptoms,impact of global symptoms on daily life,change in stool consistency,and improvement in defecatory disorders were *** Overall,100 patients were *** W4,67%(95%CI:57-75)showed improvement in abdominal pain(score:5.8±2.4 vs 2.9±2.0,P<0.0001).Similar improvements were observed for bloating[8.0±1.7 vs 4.7±2.9,P<0.0001;60%(95%CI:50-70)responders],abdominal distension[7.2±2.1 vs 4.4±3.1,P<0.0001;53%(95%CI:43-63)responders],and impact of global symptoms on daily life[7.1±2.0 vs 4.6±2.9,P<0.0001;54%(95%CI:44-64)responders].Stool consistency improved in most patients(90%and 57%for patients with liquid and hard stools,respectively).Overall,42%of patients with defecatory disorders reported very much/considerable improvements by *** severe adverse event occurred,and tolerabil

关键词： Chitin-glucan Irritable bowel syndrome Abdominal pain Flatulence Defecatory disorders Stool consistency Natural non-pharmacological treatment

Patterns of Gustatory Recovery in Patients Affected by the COVID-19 Outbreak

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Virologica Sinica 2020年第6期35卷 833-837页

作者： Carlos M.Chiesa-Estomba Jerome R.Lechien Maria R.Barillari Sven Saussez COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies(YO-IFOS) ParisFrance Department of Otorhinolaryngology-Head and Neck Surgery OsakidetzaHospital Universitario DonostiaSan Sebastian 20014Spain Biodonostia Health Research Institute San Sebastian 20014Spain Department of Human Anatomy and Experimental Oncology Faculty of MedicineUMONS Research Institute for Health Sciences and TechnologyUniversity of Mons(UMons)7000 MonsBelgium Department of Otolaryngology-Head and Neck Surgery Foch HospitalSchool of MedicineUFR Simone VeilUniversite´Versailles Saint-Quentin-en-Yvelines(Paris Saclay University)Paris 92150France Department of Otorhinolaryngology and Head and Neck Surgery CHU de BruxellesCHU Saint-PierreSchool of MedicineUniversite´Libre de BruxellesBrussels 1000Belgium Department of Mental and Physical Health and Preventive Medicine "L.Vanvitelli"University80138 NaplesItaly Department of Head and Neck Surgery EpiCURA HospitalHornu 7331Belgium

Dear Editor,Coronavirus disease 2019(COVID-19)is a viral infection caused by severe acute respiratory syndrome coronavirus 2(SARS-Co V-2).From March 2020,several studies indicate that many subjects affected by mild-to-moderate COVID-19 presented olfactory/gustatory dysfunction(OD/GD)that appeared strongly correlated between them but not with the other symptoms suggestive of upper airway infection(Lechien et al.2020a,b;Hopkins et al.2020;Paderno et al.2020).

关键词： Hopkins Pattern