Washingtonegholm5220

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OBJECTIVES This study aimed to evaluate data on early diagnosis and therapeutic management of rudimentary horn pregnancy (RHP). MATERIAL AND METHODS Patients diagnosed with RHP at a tertiary center between for two periods of 2008-2012 and 2013-2018 were analysed retrospectively. We obtained information of patients from hospital electronic archive registration system. Data on demographic characteristics, clinical presentation, gestational age at presentation, presenting symptoms, diagnostic methods, and therapeutic management were noted and analysed by descriptive statistical method. Demographic datas, the complaint of patient's admission to hospital, history of cesarean section, preliminary diagnosis and intraoperative diagnosis were compared between periods of 2008-2012 and 2013-2018. RESULTS A total of 14 RHP patients were included. Cyclopamine clinical trial Eight (57.1%) of these patients were diagnosed between 2008-2012 (Group 1), whereas six patients (42.9%) were diagnosed between 2013-2018 (Group 2). Rudimentary horn was non-communicating in 13 patients (92.8%). Communicated form was observed in 1 patient in group 1. RHP was diagnosed on the left side in nine patients (64.2%). Six of these patients were observed in group 1 and 3 were in group 2. The pre-rupture diagnosis was made in 10 (71.4%) patients. Six (100%) of 10 patients were in group 2. In addition, in group 1, four patients (50%) experienced intraoperative RHP rupture. RHP was diagnosed before rupture in 2 (33.3%) patients in group 2. CONCLUSIONS It is an indication of advanced ultrasonographic technology as well as increased carefulness on the physician side and raised alertness on the patient side that today both RHP and preoperative rupture of RHP are less frequent. Still, further awareness is required among physicians of the necessity of excision of a rudimentary horn that is detected at the time of C-section.OBJECTIVES To analyze the correlation between ultrasound typing and treatment modality of patients with an intrauterine ectopic pregnancy (cervical and cesarean scar). MATERIAL AND METHODS We retrospectively enrolled 65 patients diagnosed with cesarean scar pregnancy (CSP) or cervical pregnancy (CP) between February 2014 and May 2018. The cases were divided into two types according to the ultrasound presentation with a gestational sac (GS, type I) or a heterogeneous mass (HM, type II). Type I was further divided into type Ia ( less then 8 weeks) and type Ib (≥ 8 weeks); type II was defined as type IIa (with poor or no vascularity) and type IIb (with rich vascularity). Three treatment methods were applied in each group. RESULTS Of included cases, there were 53 CSP and 12 CP. There was no significant difference between Type I and Type II groups in any variable. The beta human chorionic gonadotropin (β-hCG) level and gestational age of type IIb were significantly higher compared to type IIa (p less then 0.05). There was a positive correlation between ultrasound categories and treatment methods (rs = 0.723, p = 0.000). Analysis of CSP cases of initial treatment failure indicated success rate of initial dilation and curettage (D&C) was dependent upon ultrasonic types, mean sac diameter, gestational age, hCG level, and number of cesarean sections. CONCLUSIONS The features of ultrasound imaging might provide an additional reference for the selection of clinical treatment methods.OBJECTIVES Age at menarche and hormonal disturbances have been linked to the occurrence and severity of adolescent idiopathic scoliosis (AIS). Concomitantly, an increase in the production of sex hormones during puberty may result in steroid hormones-related gingivitis. Thus, the study aimed to assess the prevalence and factors affecting puberty gingivitis, including menarcheal status, in female patients with AIS and control subjects. MATERIAL AND METHODS The study group was comprised of 59 girls aged 12-16 years with AIS and 50 healthy controls. Dental examination included the assessment of oral hygiene, gingivitis, and dental caries intensity. Data were statistically analyzed with a significance taken as p less then 0.05. RESULTS There wasn't any statistically significant difference in the age at menarche and menarcheal status of both groups. During regression analysis, three predictors significantly affected gingival status of girls oral hygiene, orthopedic condition, and laterality of the curve. Scoliosis and left convex of the curve significantly increased the index of gingival inflammation. CONCLUSIONS The results indicate that gingivitis is frequent among female adolescents with AIS, due to poor oral hygiene and higher susceptibility to inflammation. It emphasizes a need for a development of preventive strategy for scoliotic patients, since incipient periodontal problems in children may turn into irreversible advanced periodontal diseases in adults.AIM OF THE STUDY To investigate the speculated interhemispheric symmetry and the pattern of propagation of paediatric photoparoxysmal response. CLINICAL RATIONALE FOR THE STUDY Quantitative analysis of the photoparoxysmal response (PPR) to intermittent photic stimulation is a promising method of assessing photosensitivity (PS). The pattern of PPR propagation underlies the model used for calculations. The generalisation of a discharge should correspond with the parameters objectively characterising the PPR in both cerebral hemispheres. Cyclopamine clinical trial However, to date no evidence of a postulated symmetry has been demonstrated. MATERIALS AND METHODS Our analysis was performed by comparing the EEG amplitude and interhemispheric coherence (ICoh) in both hemispheres in 100 non-epileptic individuals of both sexes, aged 5-18 years, with PS grade IV (the PPR group) and without PS (the control group). The amplitude and ICoh values were recorded and analysed statistically. RESULTS The distribution of amplitude values between the hemispheres was comparable in both groups, but was significantly different between the PPR group and the control group. Individual tracks of propagation revealed hemispheric symmetry. Interhemispheric coherence values were significantly higher in occipital, temporal and fronto-polar areas in children with PS. CONCLUSIONS AND CLINICAL IMPLICATIONS This study provides objective evidence of interhemispheric symmetry in paediatric PPR, which supports the link with generalised seizures. Interhemispheric propagation is facilitated in children with PS, and propagation is more likely in the occipital and temporal regions.