scholarly journals THE RATIONALE FOR DIAGNOSTIC AND TREATMENT TACTICS IN PATIENTS WITH NEUROENDOCRINE TUMORS OF THE SMALL INTESTINE

2018 ◽  
Vol 177 (4) ◽  
pp. 28-37
Author(s):  
P. N. Romashchenko ◽  
N. A. Maistrenko ◽  
R. V. Orlova ◽  
M. V. Lysanyuk
Keyword(s):  
Small Intestine ◽  
Neuroendocrine Tumors ◽  
Morphological Characteristics ◽  
Main Method ◽  
Medical Centers ◽  
Increased Risk ◽  
Choice Of Treatment ◽  
Complicated Course ◽  
Generalized Net

The  OBJECTIVE  of the  study  was  to clarify the  rational  program of diagnosis and  choice  of treatment tactics  for patients with neuroendocrine tumors  (NET) of the  small  intestine, taking  into account their clinical and  morphological characteristics. MATERIAL AND METHODS.  We  studied the  results of examination and  treatment of 39  patients. RESULTS.  CT is the main  method of topical  diagnosis, the  sensitivity  of which  in the  detection of NET of the  small  intestine is 96.4  %. Sign of  the  localization   of  NET  in  the  small  intestine is  the  tumor  conglomerate of  its  mesentery, which  includes diffuse-infiltrative  and   nodular   variant   of  changes.  The   diffuse-infiltrative  variant   of  tumor   conglomerate  is  characterized   by increased risk  of complicated course of tumor  process.  Cytoreductive surgical  treatment allows  to  increase the  survival rate   of  patients with  generalized NET  of  the  small  intestine in  1.7  times.   CONCLUSION.  Treatment of  patients with NET  of  the  small  intestine should   be  carried   out  in  specialized medical   centers that  have   the  ability  to  implement   a multidisciplinary  approach that  can  significantly  increase the  duration   and  quality  of  life of  patients.

scholarly journals THE DIFFICULTIES OF DIAGNOSIS AND CHOICE OF TREATMENT TACTICS OF NEUROENDOCRINE TUMORS OF THE SMALL INTESTINE

2018 ◽  
Vol 177 (4) ◽  
pp. 76-80
Author(s):  
M. V. Lysanyuk ◽  
N. A. Maistrenko ◽  
P. N. Romashchenko
Keyword(s):  
Quality Of Life ◽  
Small Intestine ◽  
Surgical Treatment ◽  
Neuroendocrine Tumor ◽  
Neuroendocrine Tumors ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Diagnostic Methods ◽  
Choice Of Treatment

The paper presents the clinical case that reflects the difficulties of diagnosis and choice of treatment tactics of patients with neuroendocrine tumors   of the  small  intestine. The  sequence of instrumental diagnostic methods  made  it possible to determine the localization of the tumor in small intestine and to clarify the prevalence of the tumor process. The implementation of active surgical treatment tactics allowed performing cytoreductive surgical intervention, eliminating the risk of complications of the  tumor  process and  improving  the  quality of life of the  patient  with generalized neuroendocrine tumor of the small intestine.

scholarly journals Clinical case of endometrial cancer in a patient with complete doubling of the uterus and cervix

2021 ◽  
Vol 17 (2) ◽  
pp. 100-103
Author(s):  
A. L. Chernyshova ◽  
L. A. Коlomiets ◽  
Yu. M. Truschuk
Keyword(s):  
Endometrial Cancer ◽  
Clinical Case ◽  
Clinical Course ◽  
Combined Treatment ◽  
Morphological Characteristics ◽  
The Body ◽  
Choice Of Treatment ◽  
Similarities And Differences ◽  
Satisfactory Quality

A clinical case of endometrial cancer in a patient with complete doubling of the cervix and the body of the uterus is presented. The combination of this pathology is quite rare and is often accompanied by difficulties in timely diagnosis and choice of treatment tactics. The article presents an analysis of studies to identify similarities and differences in the clinical and morphological characteristics and prognosis of endometrial cancer associated with uterine abnormalities. This clinical case clearly demonstrates the features of the clinical course of endometrial cancer against the background of a congenital abnormality of the uterus. The standard combined treatment performed showed a good result and a satisfactory quality of life for the patient.

Severe impairments in health-related quality of life in patients with small intestine neuroendocrine tumors

2018 ◽  
Author(s):  
Niina Matikainen ◽  
Noora Karppinen ◽  
Riikka Linden ◽  
Harri Sintonen ◽  
Maija Tarkkanen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Small Intestine ◽  
Neuroendocrine Tumors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Results of chalazion cryosurgery with an increased risk of complications

2021 ◽  
Vol 6 (6-1) ◽  
pp. 181-189
Author(s):  
A. N. Steblyuk ◽  
V. E. Gunter ◽  
V. N. Khodorenko ◽  
E. V. Bykova ◽  
R. A. Avakimyan ◽  
...  
Keyword(s):  
Functional State ◽  
Titanium Nickelide ◽  
Heat Removal ◽  
High Rate ◽  
Pathological Conditions ◽  
Effi Ciency ◽  
Increased Risk ◽  
Complicated Course ◽  
New Generation

Background. At an appointment with an ophthalmologist, patients with pathological conditions of the eyelids are often dissatisfi ed with the effectiveness of the traditional surgical treatment.The aim: assessment of the functional state of the eye adnexa after cryodestruction of the chalazion with an increased risk of complications using modern cryosurgical equipment.Material and methods. Clinical studies were carried out in 254 patients (277 eyes) with chalazion, including a complicated course of the disease, with cryodestruction of the chalazion using an autonomous cryoapplicator made of porous-permeable titanium nickelide.Results. Cryosystems of the new generation, in comparison with the well-known industrial cryoapparatus, diff er in new properties. They can signifi cantly improve the quality of cryotherapy in surgery due to a clearer localization of cryotherapy and a high rate of heat removal from the surface of altered tissues without damaging the surrounding tissues. Depending on the size of the pathological formation, the duration of the exposure, the frequency of repetitions of the applications during the session, the regression of the chalazion occurred within 1–1.5 months with the preservation of the integrity of the intermarginal space and the functional state of the eyelid.Conclusion. Analysis of the data obtained indicates a high clinical and cosmetic effi ciency of cryosurgery of the eyelid chalazion using an autonomous cryoapplicator made of porous-permeable titanium nickelide.

scholarly journals Health-Related Quality of Life in Patients with Small Intestine Neuroendocrine Tumors

2018 ◽  
Vol 107 (4) ◽  
pp. 366-374 ◽  
Author(s):  
Noora Karppinen ◽  
Riikka Lindén ◽  
Harri Sintonen ◽  
Maija Tarkkanen ◽  
Risto Roine ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Small Intestine ◽  
Sexual Activity ◽  
Neuroendocrine Tumors ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Background: The prevalence of small intestine neuroendocrine tumors (SI-NETs) is increasing. Disease progression is often slow and treatment options and long-term survival rates have improved, but little is known about health-related quality of life (HRQoL) in these patients. Objective: To assess HRQoL and its predictors in SI-NET patients receiving contemporary treatments. Methods: We measured HRQoL with 15D and SF-36 questionnaires in 134 SI-NET patients and compared the 15D results to those of an age- and gender-standardized sample of the general population (n = 1,153). In the patients, we studied the impact of treatments, Ki-67, liver metastases, circulating tumor markers, comorbidities, and/or socioeconomic factors on HRQoL with linear regression analysis. Results: The mean disease duration of the patients was 81 (4–468) months, 91% had metastatic disease, and 79% received somatostatin analog treatment. Hepatic tumor load was 0% in 44.8%, < 10–25% in 44.0%, and > 25% in 11.2%, respectively. Mean fP-CgA and S-5HIAA concentrations were 15 (1.3–250) and 344 (24–7,470) nmol/L, respectively. Overall, HRQoL was significantly impaired in patients compared to controls (15D score 0.864 ± 0.105 vs. 0.905 ± 0.028, p < 0.001). SI-NET patients scored worse on 9 of 15 dimensions: sleep, excretion (i.e., bladder and bowel function), depression, distress, vitality, sexual activity (p < 0.001), breathing, usual activities, and discomfort and symptoms (p < 0.01–0.05). SF-36 scores were impaired and highly correlated with 15D scores (p < 0.001). HRQoL was impaired in patients with (n = 85) compared to patients without (n = 49) impaired excretion (0.828 vs. 0.933, p < 0.001). In the patient group, number of medications predicted impaired HRQoL. Conclusions: Despite contemporary treatments, SI-NET patients have severely impaired HRQoL, including diarrhea, sleep, depression, vitality, and sexual activity.

An Overview of Facilities Providing Clinical Services for Persons Who Stutter in Kuwait

2016 ◽  
Vol 1 (4) ◽  
pp. 79-95
Author(s):  
Latifa Alsalmi ◽  
Robert Mayo
Keyword(s):  
Special Education ◽  
Department Heads ◽  
Clinical Services ◽  
Medical Settings ◽  
Non Profit ◽  
Future Studies ◽  
Language Services ◽  
Medical Centers ◽  
Clinical Directors

Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.

The visualization and assessment of the anterior surface of the cornea using video keratotopography

The Eye ◽  
2020 ◽  
Vol 22 (130) ◽  
pp. 36-43
Author(s):  
Gulnara Andrienko
Keyword(s):  
Contact Lenses ◽  
Corneal Topography ◽  
Topographic Maps ◽  
Specific Situation ◽  
Main Method ◽  
Pathological Conditions ◽  
Quality Of Vision ◽  
Corneal Shape ◽  
Color Map

Corneal topography is the main method for assessing the regularity of the surface of the cornea. Corneal irregularity leads to a deterioration in its refractive properties and a decrease in the quality of vision. Learning the basics of corneal topography will help determine the choice of a color map for a specific situation, as well as understand and analyze the data associated with these maps. This article describes the main types of topographic maps, various patterns of corneal shape in normal and pathological conditions and how to use the data obtained to design and fit contact lenses. Despite the fact that images may vary depending on topographers used, the information presented in this article is universal.

Assessment of the Therapeutic Effect of Physiotherapy on Minimizing Imbalances of Geriatric Patients

2020 ◽  
Vol 62 (2) ◽  
pp. 86-91
Author(s):  
Justyna Pawlak ◽  
Małgorzata Dudkiewicz ◽  
Łukasz Kikowski
Keyword(s):  
Quality Of Life ◽  
Therapeutic Effect ◽  
Body Mass ◽  
Geriatric Patients ◽  
The Elderly ◽  
Risk Of Falling ◽  
Increased Risk ◽  
Climbing Stairs ◽  
Tinetti Test

Introduction: The progressing aging process and comorbidities worsen the efficiency of the balance system in the elderly, which leads to a weakening of stability and, as a consequence, to falls and injuries. The first ones lead to: worsening of functioning, reduced mobility, an increased risk of disease and mortality, therefore systematic physical activity and shaping the balance using physiotherapy, which can prevent dangerous falls is very important. Aim: Assessment of the therapeutic effect of physiotherapy on minimizing imbalances in geriatric patients. M aterial and Methods: The study group consisted of 46 people, including 32 women (69.6%) and 14 men (30.4%); average age of respondents – 72.5 years. They were patients of the Department of Rehabilitation of Poddębice Health Center, Ltd. The researchers used a self-made questionnaire, body mass to height index (BMI) and the Tinetti Test. Results: Patients with an elevated BMI (89.1%), as well as those taking more than 4 medication (78.3%), have had more falls over the past year (respectively 91.4% and 81.4%). After the use of comprehensive therapy, none of the patients achieved a worse result than before the physiotherapy while 91.3% of the respondents had an increase in the number of points scored in the Tinetti Test. The percentage of patients at high risk of falling reduced from 67.4% to 37%. There was also a decrease in the fear of walking (in 58.7%), falling (in 57.7%) and climbing stairs (in 47.9%). According to 78.3% of respondents, physiotherapy positively affected their independence and quality of life. Conclusions: The use of comprehensive physiotherapy reduces the fear of walking, climbing stairs and falling, which can be a good predictor of prevention. Both polypragmasia and an elevated body mass index (BMI) increase the risk of falling. Comprehensive physiotherapy of geriatric patients helps to improve balance and gait stereotype. Physiotherapy for the elderly helps improve the quality of life, independence, minimize imbalances, and thus reduce the risk of falls. Balance exercises play an important role in preventing falls.

Lung Function and Quality of Life in Workers with Chemical and Dust Exposure

2018 ◽  
Vol 69 (2) ◽  
pp. 346-349 ◽  
Author(s):  
Marina Ruxandra Otelea ◽  
Oana Cristina Arghir ◽  
Corina Zugravu ◽  
Eugenia Naghi ◽  
Sabina Antoniu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Occupational Exposure ◽  
Lung Function ◽  
Lung Diseases ◽  
Dust Exposure ◽  
Chronic Lung Diseases ◽  
Respiratory Exposure ◽  
Increased Risk ◽  
Occupational Settings

Regarding the widely distribution of respiratory exposure hazards in occupational settings, workers have an increased risk for chronic lung diseases. For assessing the quality of life and lung function in workers exposed to chemicals and dust, St George�s Respiratory Questionnaire (SGRQ) and spirometry were performed among 40 patients, admitted in Occupational Clinic Department of Colentina Hospital, Bucharest, Romania, during February, 2017. SGRQ showed different predictors for patients according to their occupational exposure and total symptoms score correlated better with decreased spirometric parameters in defining lung function deterioration. Quality of life is earlier affected than lung function deterioration and emphasises the need of more sensitive methods for an earlier identification and better evaluation of respiratory hazards in different workplaces.

Sign in / Sign up

Export Citation Format

Share Document