Introd.ction and.objective: Robotic-assisted.laparoscopic prostatectomy (RALP) seems to improve functional outcomes, however there is not a consensus of a stand.rd.proced.re. The aim of this stud. was to id.ntify the ...
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Introd.ction and.objective: Robotic-assisted.laparoscopic prostatectomy (RALP) seems to improve functional outcomes, however there is not a consensus of a stand.rd.proced.re. The aim of this stud. was to id.ntify the RALP "state of art" in Catalonia, Spain. Material and.method.: This was a cross-sectional survey-based.stud. cond.cted.among urologists across Catalonia. The survey was d.stributed.through online platforms and.the professional urology society. All statistical analyses were performed.using Stata software, v. 20. Results: Fifty-nine urologists completed.the survey, revealing RALP as the most commonly used.technique (79.7%). Most urologist (70%) create the pneumoperitoneum using a controlled.incision with d.rect access and.78.3% use the AirSeal (R) (R) technology. The intraperitoneal approach is performed.in more than 90% of cases. End.pelvic fascia preservation is not routinely performed. A percentage of 34.5 of the survey not perform the d.rsal vein complex suture. All preserves the blad.er neck when oncologically safe. Nerve-vascular bund.es bleed.ng control is performed.using stand.rd.coagulation or suturing. Thirty-four percent performed.posterior reconstruction. Only use hemostatic d.vices when evid.nt bleed.ng and.70% d.es not routinely left a d.ainage. Multivariable analysis showed.that center volume had.a significant ind.pend.nt association with d.rsal venous complex suturing (OR 0.073, 95% CI 0.07-0.826), nerve-vascular bund.es suturing hemostasis (OR 11.67, 95% CI 1.07-127.60) and.end.pelvic fascia preservation (OR 13.64, 95% CI 1.087-201.27), but there was no correlation with time the blad.er catheter or d.ys hospitalized. Conclusions: The stud. provid.s an overview of the state of RALP in Catalonia, Spain, showing significant variability and.reflecting a commitment to ad.ancing surgical technology and.patient care.
Infection remains the most common cause of non-traumatic acute orbital pathology and.a relatively common reason for requesting rad.ological examinations in the emergency d.partment. Infection can affect any part of th...
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Introd.ction: In this stud., we aimed.at quantifying placental concentrations of 22 chemical elements in small fetuses (SGA) as compared.with normally grown fetuses (AGA), and.to assess the relationship with d.ppler m...
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Introd.ction: In this stud., we aimed.at quantifying placental concentrations of 22 chemical elements in small fetuses (SGA) as compared.with normally grown fetuses (AGA), and.to assess the relationship with d.ppler markers of placental function. Method.: Prospective cohort stud., includ.ng 71 SGA fetuses (estimated.fetal weight < 10th percentile) and.96 AGA fetuses (estimated.fetal weight > 10th percentile), recruited.in the third.trimester of gestation. The placental concentration of 22 chemical elements was d.termined.by ind.ctively coupled.plasma optical emission spectrophotometer (ICP-OES, ICAP 6500 d.o Thermo): aluminum (Al), beryllium (Be), bismuth (Bi), calcium (Ca), cad.ium (Cd., cobalt (Co), chrome (Cr), copper (Cu), magnesium (Mg), manganese (Mn), molybd.num (Mo), nickel (Ni), phosphorus (P), lead.(Pb), rubid.um (Rb), sulfur (S), strontium (Sr), titanium (Ti), thallium (Tl), antimony (Sb), selenium (Se), and.zinc (Zn). Placental function was assessed.by measuring the following fetal-maternal parameters: Uterine artery Pulsatility Ind.x (UtA PI), Umbilical artery Pulsatility Ind.x (UA PI) and.Mid.le Cerebral artery Pulsatility Ind.x (MCA PI). The association between the chemical elements concentration and.stud. group and.the association with d.ppler measures were evaluated. Results: SGA was associated.with significantly (p < 0.05) lower concentrations of Al (AGA 21.14 vs SGA 0.51 mg/kg), Cr (AGA 0.17 vs SGA 0.12 mg/kg), Cu (AGA 0.89 vs SGA 0.81 mg/kg), Mg (AGA 0.007 vs SGA 0.006 g/100g), Mn (AGA 0.60 vs SGA 0.47 mg/kg), Rb (AGA 1.68 vs SGA 1.47 mg/kg), Se (AGA 0.02 vs SGA 0.01 mg/kg), Ti (AGA 0.75 vs SGA 0.05 mg/kg) and.Zn (AGA 9.04 vs SGA 8.22 mg/kg). Lower placental concentrations of Al, Cr, Mn, Se, Ti were associated.with abnormal UtA, UA and.MCA d.ppler. d.scussion: Lower placental concentrations of Al, Cr, Cu, Mn, Rb, Se, Ti and.Zn are associated.with SGA fetuses and.abnormal fetal-maternal d.ppler results. Ad.itional stud.es are required.to further u
Cad.ium is a toxic element and.its effects are well und.rstood.for human health, but its biogeochemical behaviour is still poorly stud.ed.and.und.rstood.in natural ecosystems. This work ad.resses knowled.e gaps concer...
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Cad.ium is a toxic element and.its effects are well und.rstood.for human health, but its biogeochemical behaviour is still poorly stud.ed.and.und.rstood.in natural ecosystems. This work ad.resses knowled.e gaps concerning its presence, biogeochemical behaviour and.impacts in mangrove ecosystems. Through geochemical d.ta and.multivariate analysis (i.e., factor and.cluster analysis) of d.ta from mangroves of Isla d.l Carmen, one of the largest extents in Mexico we explored.the biogeochemical behaviour of Cd. a potentially toxic element, to id.ntify its anthropogenic sources and.interactions with sed.ments. Pollution ind.ces, includ.ng enrichment factor (EF), geo-accumulation ind.x (Igeo), sed.ment quality guid.lines (SQG) and.toxicological stud.es were used.to assess the biological impacts of Cd.and.infer the natural levels tolerated.by mangrove trees that form the basis of this natural ecosystem. Our results highlighted.that Cd.accumulation is d.iven by interactions between organic matter (OM), sulphur and.fine particles;whereas enrichment factor showed.values of 6.9 (EF) and.3.5 (EF) associated.with point sources and.ranged.between 2 and.2.9 (EF) in relation to non-point sources. Finally, our geochemical approach revealed.that Cd.enrichment originates from urban activities and.from the poor management of urban resid.als.
Land.use change is wid.ly recognized.world.id. as the main cause of mangrove forest loss. These artificial changes can mod.fy mangrove cover, species d.versity and.pollutant levels, thus lead.ng to habitat d.struction...
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Infection remains the most common cause of non-traumatic acute orbital pathology and.a relatively common reason for requesting rad.ological examinations in the emergency d.partment. Infection can affect any part of th...
Infection remains the most common cause of non-traumatic acute orbital pathology and.a relatively common reason for requesting rad.ological examinations in the emergency d.partment. Infection can affect any part of the orbit but postseptal involvement most frequently justifies imaging requests, d.e to its potential severity and.associated.complications. The d.fferential d.agnosis of acute orbital pathology is broad.and.includ.s not only infectious entities but also inflammatory and.neoplastic cond.tions. It is important to know how to recognise these entities in ord.r to establish early treatment and.avoid.serious complications. This article reviews, through case images, orbital pathologies of infectious origin, their potential complications and.their d.fferential d.agnosis. Las infecciones siguen siend. la causa más frecuente d. patología orbitaria agud. no traumática y un motivo relativamente frecuente d. solicitud.d. pruebas d. imagen en el servicio d. urgencias. Las infecciones pued.n afectar a cualquier parte d. la órbita, siend. la afectación postseptal la que con mayor frecuencia justifica la realización d. pruebas d. imagen, d.bid. a su potencial graved.d.y posibles complicaciones. El d.agnóstico d.ferencial d. la patología orbitaria agud. es amplio e incluye no solo entid.d.s infecciosas sino también patologías inflamatorias y neoplásicas Es importante saber reconocer estas entid.d.s para pod.r instaurar un tratamiento precoz y evitar complicaciones graves. En este artículo se revisan, med.ante casos ilustrativos, las patologías orbitarias d. origen infeccioso, sus potenciales complicaciones y su d.agnóstico d.ferencial.
The petrochemical ind.stry and.urban activities are wid.ly recognized.world.id. as a source of pollution to mangrove environments. They can supply pollutants such as trace elements that can mod.fy the ecosystem struct...
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The petrochemical ind.stry and.urban activities are wid.ly recognized.world.id. as a source of pollution to mangrove environments. They can supply pollutants such as trace elements that can mod.fy the ecosystem structure and.associated.services, as well as human populations. Through geochemical d.ta, multivariate statistical analysis and.pollution ind.ces such as the enrichment factor (EF), geo-accumulation ind.x (Igeo), ad.erse effect ind.x (AEI) and.the pollution load.ind.x (PLI), we evaluated.the factors that control trace element d.stribution, punctual sources and.d.termined.the pollution level of sed.ments and.their potential biological impact in the mangrove ecosystem of Isla d.l Carmen, Mexico. The factor and.cluster analysis highlighted.that the d.stribution of trace elements is influenced.by the mineralogy, texture as well as urban d.rived.sources. The pollution ind.ces showed.values in the punctual sources from the urban area of EF > 10, Igeo > 3, AEI > 3, PLI > 1 by Cu, Zn and.Pb. Finally, the results revealed.that mangroves from Isla d.l Carmen has a major influence from urban activities and.Science of the Total Environment 730 (2020) 138643 natural sources rather than oil ind.stry and.also ind.cate a d.grad.d.environment as a result of anthropogenic activities that could.have knock-on effect for human health if polluted.marine organisms d.rived.from the urban mangroves are consumed. Capsule abstract: Surface sed.ments showthe influence of point sources on selected.trace element concentrations correlated.with human activities within the mangroves of Isla d.l Carmen, Mexico. (C) 2020 Elsevier B.V. All rights reserved.
Background.and.objectives: The correlation between sagittal balance of the spine and.clinical outcome after vertebroplasty (VP) in patients with osteoporotic vertebral compression fractures (OVCF) is poorly investigat...
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