scholarly journals Predictors of Success of Different Treatment Modalities for Management of Ectopic Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Sümeyra Nergiz Avcioğlu ◽  
Sündüz Özlem Altinkaya ◽  
Mert Küçük ◽  
Selda Demircan Sezer ◽  
Hasan Yüksel
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Success Rate ◽  
Multiple Dose ◽  
Treatment Modalities ◽  
Predictors Of Success ◽  
Success Rates ◽  
Factors Affecting ◽  
The Difference ◽  
Single Dose Treatment

Aim. The purpose of this study was to investigate factors affecting the success of different treatment modalities for the management of ectopic pregnancy (EP).Methods. One hundred and ninety-seven patients with EP, were included in the study. Patients were treated with either intramuscular methotrexate (Mtx) or surgical treatment.Results. Mtx was applied in 97 (49.2%) patients. In 67 patients (69.1%), a single dose of Mtx and in 30 patients (30.9%) a multiple dose of Mtx was applied. Forty-seven (70.14%) patients were successfully treated with a single-dose Mtx. In the multiple-dose group, the success rate was 70% (21/30 patients). The difference between the success rates was not statistically significant. When the initial serumβhCG value was <1000 mIU/mL, the overall success rate of Mtx treatment was determined to be 86.11%; however, the rate decreased to 42.3% when theβhCG value was >3000 mIU/mL. On the other hand, if the EP mass diameter was <25 mm, the success rate was 89.28% and decreased to 52.63% when it was≥25 mm.Conclusion. The results of the study showed that single-dose treatment with Mtx could be as successful as multiple doses. Overall success of Mtx treatment depended on initialβhCG value and EP mass diameter.

scholarly journals Is Allergic Rhinitis a Factor That Affects Success of Tympanoplasty?

2016 ◽  
Vol 59 (1) ◽  
pp. 10-13
Author(s):  
Elif Ersoy Callioglu ◽  
A. Sami Bercin ◽  
Hayati Kale ◽  
Togay Muderris ◽  
Sule Demirci ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Success Rate ◽  
Middle Ear ◽  
Success Rates ◽  
Type 1 Tympanoplasty ◽  
Significant Difference ◽  
Patient Groups ◽  
The Difference ◽  
Graft Success

Objective: The aim of the present study was to investigate the effect of allergic rhinitis on the success of the operation in chronic otitis surgery by using score for allergic rhinitis (SFAR). Materials and Methods: In the present study; 121 patients, who underwent type 1 tympanoplasty were examined retrospectively. SFAR of all patients were recorded. The graft success rates of 26 patients with allergic rhinitis (AR) and 95 patients with no allergic rhinitis group (NAR) were compared. Results: While the graft success rate in NAR group was 89.5%, this rate was 80.8% in the AR group. However, the difference between groups was not statistically significant (p = 0.311). Conclusion: These findings suggest that allergic rhinitis decreases the graft success rate of the pathologies occurring in eustachian tube, middle ear and mastoid although statistically significant difference wasn’t found. Prospective studies with larger patient groups are required in order to evaluate this pathology.

Predictors of Success of Methotrexate Treatment for Tubal Ectopic Pregnancies

2021 ◽  
pp. 267-271
Author(s):  
Mary Louise Fowler ◽  
Paul Hendessi ◽  
Nyia Noel
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Cardiac Activity ◽  
Predictors Of Success ◽  
Therapy Failure ◽  
Methotrexate Treatment ◽  
Ectopic Pregnancies

This study reviewed the use of a single dose of intramuscular methotrexate as therapy in women with an ectopic pregnancy. Therapy failure was more likely in women with higher hCG level and presence of cardiac activity at time of treatment. Age, parity, size of pregnancy, and the presence of intraperitoneal fluid were not found to correlate with treatment failures.

scholarly journals Failure Rate of Single Dose Methotrexate in Managment of Ectopic Pregnancy

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Feras Sendy ◽  
Eman AlShehri ◽  
Amani AlAjmi ◽  
Elham Bamanie ◽  
Surekha Appani ◽  
...  
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Failure Rate ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Treatment Modalities ◽  
Pregnancy Failure ◽  
Dose Methotrexate ◽  
Mass Size ◽  
Primary Management

Background. One of the treatment modalities for ectopic pregnancy is methotrexate. The purpose of this study is to identify the failure rate of methotrexate in treating patients with ectopic pregnancy as well as the risk factors leading to treatment failure.Methods. A retrospective chart review of 225 patients who received methotrexate as a primary management option for ectopic pregnancy. Failure of single dose of methotrexate was defined as drop of BHCG level less than or equal to 14% in the seventh day after administration of methotrexate.Results. 225 patients had methotrexate. Most of the patients (151 (67%)) received methotrexate based on the following formula: f 50 mg X body surface area. Single dose of methotrexate was successful in 72% (162/225) of the patients. 28% (63/225) were labeled as failure of single dose of methotrexate because of suboptimal drop in BhCG. 63% (40/63) of failure received a second dose of methotrexate, and 37% (23/63) underwent surgical treatment. Among patient who received initial dose of methotrexate, 71% had moderate or severe pain, and 58% had ectopic mass size of more than 4 cm on ultrasound.Conclusion. Liberal use of medical treatment of ectopic pregnancy results in 71% success rate.

scholarly journals Predictors of Success of Repeated Injections of Single-dose Methotrexate Regimen for Tubal Ectopic Pregnancy

2006 ◽  
Vol 21 (1) ◽  
pp. 86 ◽  
Author(s):  
Geum Joon Cho ◽  
Sang Hoon Lee ◽  
Jin Woo Shin ◽  
Nak Woo Lee ◽  
Tak Kim ◽  
...  
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Predictors Of Success ◽  
Tubal Ectopic Pregnancy ◽  
Dose Methotrexate

Factors Predicting the Success Rate of a Single Dose of Systemic Methotrexate for the Treatment of Ectopic Pregnancy

2015 ◽  
Vol 22 (6) ◽  
pp. S89-S90
Author(s):  
W Chong ◽  
D Fridman ◽  
O Rotenberg ◽  
E Hawkins ◽  
S Mehta ◽  
...  
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Success Rate

Live-capture of feral cats using tracking dogs and darting, with comparisons to leg-hold trapping

2016 ◽  
Vol 43 (4) ◽  
pp. 313 ◽  
Author(s):  
Hugh W. McGregor ◽  
Jordan O. Hampton ◽  
Danielle Lisle ◽  
Sarah Legge
Keyword(s):  
Success Rate ◽  
Success Rates ◽  
Feral Cats ◽  
Factors Affecting ◽  
Setup Costs ◽  
Capture Success ◽  
Physical Injuries ◽  
Live Trapping ◽  
Capture Method ◽  
Capture Rates

Context Predation by feral cats is a key threatening process to many species of native Australian wildlife. Unfortunately, cats are difficult to capture using standard trapping techniques, limiting the potential to conduct research on their ecology and impacts. Aims We present an alternative capture method: remote chemical immobilisation after tracking with trained dogs. We also compare capture rates to a concurrent soft-jaw leg-hold trapping program. Methods We used dogs to capture cats detected by spotlighting at night, and also recaptured cats fitted with telemetry collars during the day. Cats were either bailed on the ground or treed and then hand-netted, or chemically immobilised using darts shot from a CO2-powered dart rifle, loaded with tiletamine–zolazepam at ~6 mg kg–1. Factors affecting the success rate of capturing cats using dogs were assessed. Efficiency in terms of cats captured per person-hours of fieldwork were compared using trained dogs versus leg-hold trapping. Key results We attempted 160 cat captures using the tracking dogs with 114 of those being successful. There were no mortalities or debilitating physical injuries associated with chemical immobilisation; however, sedated cats had prolonged recoveries (>4 h). Capture success with the tracking dogs increased as the dogs gained experience. Capture success rates per person-hour of fieldwork were four times greater using spotlighting with tracking dogs than using leg-hold traps. The success rate of recaptures using dogs was 97%. Conclusions The use of trained tracking dogs proved an effective method for capturing feral cats. The method had a much higher success rate than live-trapping with leg-hold traps, took less effort (in terms of person-hours) and caused less physical injuries than did leg-hold traps. However, substantial setup costs and time are required, which are discussed. Implications Using these methods could improve efficiency and outcomes when catching feral cats, and enable more data per individual cat to be collected than otherwise.

The use of an ostial stent does not increase the success rate of endoscopic dacryocystorhinostomy

2018 ◽  
Vol 132 (8) ◽  
pp. 718-723 ◽  
Author(s):  
M E Dinc ◽  
S Ulusoy ◽  
E Sahin ◽  
N Bozan ◽  
M O Avincsal ◽  
...  
Keyword(s):  
Success Rate ◽  
Controlled Study ◽  
Complication Rates ◽  
Success Rates ◽  
Silicone Tube ◽  
Endoscopic Dacryocystorhinostomy ◽  
Silicone Tube Intubation ◽  
The Difference ◽  
Group 2 ◽  
Prospective Controlled Study

AbstractObjectiveThis prospective, controlled study assessed how placing a stent into a newly formed ostium affects ostial patency, success and complication rates in endoscopic dacryocystorhinostomy patients.MethodsIn group 1 (40 eyes of 36 patients), both silicone tube intubation and tube stenting were performed. In group 2 (36 eyes of 34 patients), only silicone tube intubation was performed. Success, operative time and post-surgical complications were investigated two months post-operatively in each group.ResultsThe success rates were 92.5 per cent and 83.3 per cent for groups 1 and 2 respectively, but the difference was not statistically significant (p = 0.294). The complication rates also differed between the two groups, but this was again insignificant.ConclusionCompared with the use of a silicone tube alone, the addition of an ostial stent did not significantly increase the success rate of endoscopic dacryocystorhinostomy.

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