scholarly journals Vulvar Epidermoid Cyst and Type 2 Radical Genital Mutilation

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Ozer Birge ◽  
Ertugrul Gazi Ozbey ◽  
Deniz Arslan ◽  
Mustafa Melih Erkan ◽  
Feyza Demir ◽  
...  
Keyword(s):  
Menstrual Irregularity ◽  
Genital Mutilation ◽  
First Case ◽  
Female Case ◽  
Short And Long Term ◽  
Prolonged Labor ◽  
Tract Infections ◽  
Multiparous Female

About 100 million women are estimated to be circumcised globally. Various rates of complications have been encountered, especially after circumcision, such as bleeding, infection, shock, menstrual irregularity, difficulty in urination or common urinary tract infections, inguinal pain, difficulty in sexual intercourse, and genital circumcision scar especially at the vulvar region, and cystic or solid character mass in short and long term. Furthermore, the maternal-fetal morbidity and mortality increase due to bleeding and fistula, which develop after prolonged labor, travail, and difficult labors. Our aim in this paper was to discuss a 42-year-old multiparous female case who had undergone type 2 radical genital mutilation (circumcision) when she was 7 years of age, along with the literature, which has been evaluated for the gradually growing mass at the left inguinal canal region in the last 10 years and diagnosed as epidermoid inclusion cyst developing secondary to postcircumcision surgical ground trauma, since there was no other case found in the literature search that had been circumcised at such an early age and developing after circumcision at such advanced age, and, therefore, this is suggested to be the first case on this subject.

scholarly journals Short And Long-Term Cost-Effectiveness Of Starting Insulin Detemir In Insulin-Naïve People With Type-2 Diabetes

2013 ◽  
Vol 16 (3) ◽  
pp. A164
Author(s):  
P.D. Home ◽  
G.G. Gálvez ◽  
R. Malek ◽  
E. Hammerby ◽  
A. Nikolajsen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cost Effectiveness ◽  
Insulin Detemir ◽  
Short And Long Term

Surgical Management of the Urinary Tract for the Prune-Belly (Triad) Syndrome

2019 ◽  
Author(s):  
David B. Joseph
Keyword(s):  
Urinary Tract ◽  
Prune Belly Syndrome ◽  
Ureteral Reconstruction ◽  
Prune Belly ◽  
Short And Long Term ◽  
Tract Infections ◽  
Vascular Preservation ◽  
Urinary Reconstruction

Urinary reconstruction is tempting based on the impressive abnormal findings that are revealed on imaging. The abnormal appearance of the urinary system by itself is not enough to warrant reconstruction. Reconstruction should only be undertaken when there is clear clinical evidence that stagnant urine leads to urinary tract infections and/or obstruction that is associated with renal compromise. This chapter describes temporary and permanent upper and lower urinary reconstructions. Particular consideration is given to the pathophysiology of prune belly syndrome and the disproportionate dilation and dysfunction of the distal ureter when undertaking ureteral remodeling. The techniques of ureteral folding and formal excisional ureteral tapering are described stressing the importance of vascular preservation. The role of reduction cystoplasty is placed in perspective of short- and long-term benefits. This review contains 18 references. Key Words: Eagle-Barrett syndrome, megacystis, megaureter, prune-belly syndrome, tapered ureteral reimplant, triad syndrome, ureteral reconstruction, urinary diversion, bladder reduction.

scholarly journals Patient expectations of hypertension and diabetes medication: Excessive focus on short-term benefits

2018 ◽  
Vol 6 ◽  
pp. 205031211882111 ◽  
Author(s):  
Demetra S Gibson ◽  
Aviva G Nathan ◽  
Michael T Quinn ◽  
Neda Laiteerapong
Keyword(s):  
Odds Ratio ◽  
Hemoglobin A1c ◽  
Perceived Benefits ◽  
Short Term ◽  
Oral Medications ◽  
Lower Blood ◽  
Short And Long Term ◽  
Additional Education

Objectives: The objectives of this study are to assess patient perspectives on their perceived benefits of hypertension and diabetes medications and determine associations between perceived benefits and demographics, adherence, and disease control. Methods: We interviewed 60 adults with type 2 diabetes and hypertension on oral medications. Participants were asked what benefits they expected from taking their medications. Transcripts were analyzed using a modified template approach. Benefits were categorized into short-term, long-term, or misconceptions (e.g. “medications cure diabetes”). Associations between perceived benefits and demographics, adherence, hemoglobin A1c, and blood pressure were analyzed. Results: In general, participants had relatively high self-reported medication adherence and well-controlled disease. All participants identified benefits of their hypertension medications; however, only 85% identified benefits of their diabetes medications. Half described only short-term benefits (e.g. lower blood sugar) (48%); almost one-third described both short- and long-term benefits (e.g. prevent complications) (30% and 28%, respectively). In multivariate analysis, participants with higher comorbidity were more likely to name long-term benefits of hypertension medications (odds ratio 13.3 (1.8–97.8), p = 0.01). Discussion: Participants perceived short-term benefits of hypertension and diabetes medications more often than long-term benefits; participants with higher comorbidity identified more long-term benefits. Further studies are warranted to determine whether additional education on long-term benefits may improve adherence.

scholarly journals Pediatric bladder augmentation – Panacea or Pandora’s box?

2020 ◽  
Vol 14 (6) ◽  
Author(s):  
James P.J. Ross ◽  
Melise Keays ◽  
Christopher Neville ◽  
Michael Leonard ◽  
Luis Guerra
Keyword(s):  
Stone Formation ◽  
Bladder Capacity ◽  
Primary Objective ◽  
Bladder Augmentation ◽  
Pediatric Hospital ◽  
Short And Long Term ◽  
Tract Infections ◽  
Stomal Stenosis ◽  
Over Time

Introduction: Bladder augmentation is a surgery that can increase bladder capacity and compliance. The objective of this study was to provide a longitudinal review of pediatric bladder augmentation at a tertiary Canadian center. Methods: A retrospective review was performed on patients who underwent bladder augmentation at a tertiary pediatric hospital between 1986 and 2014. The primary objective was short- and long-term complications of augmentation. Secondary objectives were to review number of augmentation procedures performed over time and the utility of routine postoperative cystograms. Results: A total of 56 procedures were performed on 54 patients (28 males, 26 females) of mean age 10 years (standard deviation [SD] 5) and mean followup eight years (SD 5). The most common bowel segment used was ileum (87.5%). Twenty-eight patients (50%) received catheterizable channels. Overall complication rate was 15%, and the most common complications were urinary tract infections (68.5%), worsening hydronephrosis (14.8%), bladder stone formation (14%), and hematuria (13%). In total, 19 of 54 (35.2%) patients returned to the operating room. The incidence of bladder perforation was 3.6%. Complications with the catheterizable channel occurred in 13 of 28 (46.4%), of which 10 were related to stomal stenosis. Forty patients had postoperative cystograms and extravasation was seen in three (7.5%). There was no malignancy during the followup. Only four augmentations were performed from 2008–2014. Conclusions: Bladder augmentation likely represents a safe surgical treatment option. Extravasation on postoperative cystogram was uncommon and thus it may not be indicated routinely. The number of augmentation procedures performed has declined in recent years.

Serum Leptin and Adiponectin Concentration in Type 2 Diabetes Patients in the Short and Long Term Following Biliopancreatic Diversion

2016 ◽  
Vol 26 (10) ◽  
pp. 2442-2448 ◽  
Author(s):  
Gian Franco Adami ◽  
Raffaella Gradaschi ◽  
Gabriella Andraghetti ◽  
Nicola Scopinaro ◽  
Renzo Cordera
Keyword(s):  
Type 2 Diabetes ◽  
Biliopancreatic Diversion ◽  
Adiponectin Concentration ◽  
Serum Leptin ◽  
Short And Long Term ◽  
Diabetes Patients

Short and Long Term Effects of a DPP-4 Inhibitor Versus Bedtime NPH Insulin as ADD-ON Therapy in Patients with Type 2 Diabetes

2017 ◽  
Vol 22 (44) ◽  
pp. 6716-6721 ◽  
Author(s):  
Giordana Maluf da Silva ◽  
Katia Camarano Nogueira ◽  
Rosa Tsuneshiro Fukui ◽  
Marcia Regina Soares Correia ◽  
Rosa Ferreira dos Santos ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Long Term Effects ◽  
Nph Insulin ◽  
Short And Long Term

scholarly journals Risk Factors For Gestational Diabetes – An Update

2015 ◽  
Vol 22 (2) ◽  
pp. 201-207 ◽  
Author(s):  
Carmen Dobjanschi ◽  
Rucsandra Dănciulescu Miulescu
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Treatment Modalities ◽  
Substantial Impact ◽  
Short And Long Term

AbstractWomen with gestational diabetes mellitus (GDM) have an increased lifetime risk of developing type 2 diabetes mellitus (T2DM). GDM has a substantial impact on maternal and foetal short and long-term health. Risk factors for GDM may be genetic or nongenetic and have been analysed in numerous studies. Researches in recent years allowed the identification of other risk factors for GDM except for those already known. Knowledge and identification of all risk factors for GDM allows the elaboration of a prevention strategy of T2DM, it may influence the screening, diagnosis, and, subsequently, treatment modalities for this disease.

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