Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction

1992 ◽  
Vol 35 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Steven D. Wexner ◽  
John D. Cheape ◽  
Jose M. N. Jorge ◽  
Steve Heymen ◽  
David G. Jagelman
Keyword(s):  
Paradoxical Puborectalis Contraction ◽  
Prospective Assessment

scholarly journals Transoral Laser Microsurgery (TLM) for Glottic Cancer: Prospective Assessment of a New Pathology Workup Protocol

2020 ◽  
Vol 7 ◽  
Author(s):  
Jeroen Meulemans ◽  
Esther Hauben ◽  
Samuel Peeperkorn ◽  
Sandra Nuyts ◽  
Pierre Delaere ◽  
...  
Keyword(s):  
Glottic Cancer ◽  
Transoral Laser Microsurgery ◽  
Laser Microsurgery ◽  
Prospective Assessment

Prospective assessment of liver stiffness by shear wave elastography in childhood obesity: a pilot study

Endocrine ◽  
2021 ◽  
Author(s):  
Domenico Corica ◽  
Antonio Bottari ◽  
Tommaso Aversa ◽  
Letteria Anna Morabito ◽  
Selenia Curatola ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Pilot Study ◽  
Shear Wave ◽  
Liver Stiffness ◽  
Shear Wave Elastography ◽  
Prospective Assessment

scholarly journals Rotational thrombelastometry (ROTEM) improves hemostasis assessment compared to conventional coagulation test in ACLF and Non-ACLF patients

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jessica Seeßle ◽  
Jan Löhr ◽  
Marietta Kirchner ◽  
Josefin Michaelis ◽  
Uta Merle
Keyword(s):  
Liver Cirrhosis ◽  
Test Performance ◽  
Coagulation System ◽  
Bleeding Events ◽  
Coagulation Parameters ◽  
Normal Limits ◽  
Coagulation Tests ◽  
Prospective Assessment ◽  
Patient Groups ◽  
Coagulation Assay

Abstract Background Patients with liver cirrhosis typically exhibit abnormal coagulation parameters in conventional coagulation tests (CCTs). Rotational thromboelastometry (ROTEM) is a holistic blood coagulation assay. This method provides an insight into the global hemostatic capabilities and has been suggested to provide a better overview of the coagulation system in liver cirrhosis. Methods The goal of this study was to examine hemostasis in patients with stable liver cirrhosis (Non-ACLF) and in acute-on-chronic liver failure (ACLF) by CCT and ROTEM including agreement of both tests and the prospective assessment of test performance based on clinical outcomes in ACLF patients. Therefore, ACLF patients were additionally subgrouped by bleeding events. Fifty-five Non-ACLF patients and twenty-two patients with ACLF were analysed in this prospective cohort study. Results Coagulation parameters analysed by CCT were outside the normal range in Non-ACLF and ACLF patients, but were significantly more aberrant in ACLF patients. Non-ACLF patients analysed by ROTEM revealed parameters largely within the normal limits, while significantly more ROTEM parameters in ACLF patients were affected. Maximum clot firmness (MCF) was significantly divergent between both patient groups and correlated well with levels of fibrinogen and platelet count. Using Cohen’s Kappa coefficient κ, the strength of agreement between CCT and ROTEM analyses was determined to be fair for Non-ACLF patients and moderate for ACLF patients. Bleeding events occurred significantly more often in ACLF group with significantly reduced A10 and MCF. Conclusions For assessing hemostasis in Non-ACLF and ACLF patients the underlying dataset shows advantages of ROTEM over CCT. A10 and MCF represent suitable prognostic parameters in predicting bleeding events in ACLF group.

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