scholarly journals Endoscopic balloon dilatation of primary obstructive megaureter: method standardization and predictive prognostic factors

2019 ◽  
Vol 41 (2) ◽  
Author(s):  
Salvatore Fabio Chiarenza ◽  
Cosimo Bleve ◽  
Elisa Zolpi ◽  
Francesco Battaglino ◽  
Lorella Fasoli ◽  
...  
Keyword(s):  
High Pressure ◽  
Prognostic Factors ◽  
Balloon Dilatation ◽  
Pneumatic Dilatation ◽  
Diuretic Renogram ◽  
Obstructive Megaureter ◽  
One Year ◽  
The Stability ◽  
First Year Of Life

The management of congenital primary obstructive megaureter (POM) is usually conservative, especially during the first year of life. Endoscopic high-pressure balloon dilatation (EHPBD) is indicated when symptoms, increasing dilatation and progressive renal damage are recorded, particularly in children younger than one year of age. We identified and described endoscopic prognostic factors predicting the success or failure of endoscopic dilatation. Thirty-eight patients (33 M;5 F) with POM from 2005-2018 were included. Diagnosis was based on US distal ureter dilatation (>7 mm), obstructive MAG-3 diuretic renogram and absence of vesicoureteral reflux (cystography). 24 patients were under 1 year of age. All patients underwent cystoscopy and high-pressure balloon dilatation with 3,5 Fr dilating balloon, after ascending pyelography. Median follow-up was of 6.5 years. We identified characteristics with poor prognosis: stenotic punctiform ureteral ostium and/or ostium located in a bladder diverticulum (9 pts) and stenotic tract longer than 1 cm (5 pts). The patients with a stenotic tract shorter than 1 cm (18 pts) were divided into two groups: <5 mm (5 pts) and between 5 and 10 mm (13 pts) showed a good response to dilatation. Endoscopic evaluation of ureteral ostium with pneumatic dilatation when possible is a useful diagnostic and therapeutic solution for POM treatment, especially under one year of age. EHPBD is effective in short stenotic tracts (<5 mm). It may also be repeated with good results in intermediate stenotic sections (5 mm-1 cm). According to our preliminary results, the procedure is more effective if performed earlier (3-7 months of life). Greater cohort and longer follow-up are needed to verify the stability of these results.

scholarly journals PROGNOSTIC FACTORS OF LUMBAR DISCECTOMY RECOVERY.A PROSPECTIVE ANALYSIS

2017 ◽  
Vol 16 (4) ◽  
pp. 283-287
Author(s):  
Thiago Kolachinski Brandão ◽  
André Nunes Machado ◽  
Bruno Vieira Moter ◽  
Adriano Masayuki Yonezaki ◽  
Fabrício Hidetoshi Ueno ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Short Form ◽  
Lumbar Discectomy ◽  
Social Aspect ◽  
Prospective Analysis ◽  
Domain Functional ◽  
One Year ◽  
Short Form Health

ABSTRACT Objective: To perform a prospective analysis of the quality of life prognostic factors in patients undergoing lumbar discectomy after two years of the procedure, relating the tools Short Form Health Survey, Roland Morris, Oswestry Disability Index, and VAS. Methods: Seventy-two patients were evaluated through the questionnaires in the preoperative, and one month, six months, one year and two years in the postoperative period, being performed lumbar discectomy after failure of conservative treatment. Results: We observed an improvement in comparative analysis during follow-up regarding baseline values. Conclusion: The domains social aspect, pain, general state, emotional aspect, mental health and vitality presented an improvement from the first month after the surgery; however, the domain functional capacity only showed significant improvement after 6 months and the physical aspects only after one year. Roland-Morris and VAS scales improved after one month after surgery, but Oswestry scale showed that for the measured aspects there was only improvement after six months of surgery.

High pressure balloon dilatation of the ureterovesical junction in primary obstructive megaureter: Infectious morbidity

2017 ◽  
Vol 27 (10) ◽  
pp. 507-512 ◽  
Author(s):  
I. Kassite ◽  
K. Braïk ◽  
B. Morel ◽  
T. Villemagne ◽  
C. Szwarc ◽  
...  
Keyword(s):  
High Pressure ◽  
Balloon Dilatation ◽  
Ureterovesical Junction ◽  
Infectious Morbidity ◽  
Obstructive Megaureter

scholarly journals High-pressure balloon dilatation for the treatment of primary obstructive megaureter: is it the first line of treatment in children and infants?

2021 ◽  
Author(s):  
Giovanni Torino ◽  
Agnese Roberti ◽  
Elisa Brandigi ◽  
Francesco Turr ◽  
Antonio Fonzone ◽  
...  
Keyword(s):  
High Pressure ◽  
Balloon Dilatation ◽  
First Line ◽  
Obstructive Megaureter

scholarly journals High-pressure balloon dilatation in children: our results in 30 patients with POM and the implications of the cystoscopic evaluation

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Francesca Destro ◽  
Giorgio Selvaggio ◽  
Federica Marinoni ◽  
Andrea Pansini ◽  
Giovanna Riccipetitoni
Keyword(s):  
High Pressure ◽  
Balloon Dilatation ◽  
Invasive Procedure ◽  
Definitive Treatment ◽  
Ureteral Stenting ◽  
Diagnostic Modalities ◽  
Almost All ◽  
Type 3

Primary Obstructive Megaureter (POM) is a common cause of hydronephrosis in children with spontaneous resolution in most cases. High-Pressure Balloon Dilatation (HPBD) has been proposed as a minimally invasive procedure for POM correction in selected patients. The aim of the paper is to review our experience with HPBD in patients with POM. We performed a retrospective study in a single Centre collecting data on patients’ demographics, diagnostic modalities, surgical details, results and follow-up. In particular, the endoscopic aspect of the orifice permitted the identification of 3 patterns: adynamic ureteral segment, stenotic ureteric ring and pseudoureterocelic orifice. We performed HPBD in 30 patients over 6 years. We had 23 patients with adynamic distal ureteral segment (type 1), 4 with stenotic ring (type 2) and 3 with ureterocelic orifice (type 3). In 3 patients (10%) the guidewire did not easily pass into the ureter requiring ureteral stenting or papillotomy. Post-operative course was uneventful. Five patients (3 pseudoureterocelic) required open surgery during follow-up. HPBD for the treatment of POM is a safe and feasible procedure and it can be a definitive treatment of POM. Complications are mainly due to double J stent and none of our patients had symptoms related to vescico-ureteral reflux. The aspect of the orifice, identified during cystoscopy, seems to correlate with the efficacy of the dilatation: type 1 and 2 are associated with good and excellent results respectively; type 3 do not permit dilatation in almost all cases requiring papillotomy. HPBD can be performed in selected patients of all paediatric ages as first therapeutic line. The presence of a pseudoureterocelic orifice or long stenosis might interfere with the ureteral stenting and seems associated with worse outcomes.

scholarly journals Spectrophotometric Evaluation of Enamel Color Variation Using Infiltration Resin Treatment of White Spot Lesions at One Year Follow-Up

2020 ◽  
Vol 8 (2) ◽  
pp. 35 ◽  
Author(s):  
Roberto Lo Giudice ◽  
Frank Lipari ◽  
Francesco Puleio ◽  
Angela Alibrandi ◽  
Fabrizio Lo Giudice ◽  
...  
Keyword(s):  
Color Change ◽  
Statistical Significance ◽  
Color Variation ◽  
White Spot ◽  
White Spot Lesions ◽  
Color Changes ◽  
The Difference ◽  
One Year ◽  
The Stability

The aim of this study is to evaluate the color changes and the stability at a 1-year follow-up of white spot lesions (WSLs) treated with an infiltrating technique by using etching and TEGDMA resin. The color of 22 white spot lesions and the sound adjacent enamel (SAE) were assessed with a spectrophotometer at T0 (baseline), T1 (after treatment), and T2 (1 year after). The color change ΔE (WSLs-SAE) at T0 vs. T1 were compared to evaluate the camouflage effect efficiency, and at T1 vs. T2 to assess the stability of outcomes. To evaluate the effect on the treatment outcome of gender, the presence or not of previous orthodontic treatment, WSLs onset more/less than 10 years, the age of the patient, and the ΔE WSL (T0 vs. T1) was analyzed. The difference between ΔE (WSLs-SAE) at T0 and T1 resulted in statistical significance (p < 0.01). No statistical difference was found between ΔE (WSLs-SAE) at T1 vs. T2. The variables considered showed no statistical differences in treatment outcomes. The results of our investigation show that the technique used is immediately effective and the camouflage effect keeps up and steady one year after treatment. Such results do not appear to be influenced by analyzed clinical variables.

The stability of cardiovascular parameters under different behavioral challenges: one-year follow-up

1993 ◽  
Vol 14 (3) ◽  
pp. 241-248 ◽  
Author(s):  
Maria M. Llabre ◽  
Patrice G. Saab ◽  
Barry E. Hurwitz ◽  
Neil Schneiderman ◽  
Charles A. Frame ◽  
...  
Keyword(s):  
Cardiovascular Parameters ◽  
Behavioral Challenges ◽  
One Year ◽  
The Stability

scholarly journals The influence of gestational age at term on breastfeeding: a cohort study

2021 ◽  
Vol 55 ◽  
Author(s):  
Nathallia Seródio Michelin ◽  
Hélio Rubens de Carvalho Nunes ◽  
Maria Antonieta de Barros Leite Carvalhaes ◽  
Cristina Maria Garcia de Lima Parada
Keyword(s):  
Gestational Age ◽  
Exclusive Breastfeeding ◽  
Cox Regression ◽  
Final Analysis ◽  
Negative Influence ◽  
First Year ◽  
Baby Bottle ◽  
One Year ◽  
First Year Of Life

ABSTRACT Objective: To identify the effect of the category gestational age at term on breastfeeding in he first hour of life, the duration of exclusive breastfeeding, and practice of breastfeeding twelve months from birth. Method: Single cohort, with a one-year prospective follow-up of 541 children. A hierarchical analysis was performed, with models adjusted per Cox regression, considering critical p < 0.05. Results: During raw analysis there was a statistical difference on breastfeeding in the first hour of life (RR = 1.54; CI 95% = 1.12–2.12; p = 0.008). However, in the final analysis, there was no association between gestational age at term and breastfeeding in the first hour of life, duration of exclusive breastfeeding, and the practice of breastfeeding twelve months from birth. Secondarily, higher age and education, cesarean section, birth at private services, and the need for resuscitation were observed to have a negative influence. Duration of previous pregnancy favored breastfeeding in the first hour of life. Using baby bottle and pacifier was negative for breastfeeding in the first year of life. Conclusion: There was no association between the category gestational age at term and breastfeeding. The association of outcomes pointed out by the scientific literature have been confirmed.

Post-Hysterectomy Adaptation: A Review and Report of two Follow-Up Studies

1983 ◽  
Vol 17 (3) ◽  
pp. 227-235 ◽  
Author(s):  
B. Singh ◽  
B. Raphael ◽  
R. Gyaneshwar ◽  
P. Johnston
Keyword(s):  
Prognostic Factors ◽  
Factors Associated ◽  
Follow Up Studies ◽  
One Year ◽  
Psychiatric Outcome

Hysterectomy, its indications and its consequences for later health, have been prominent topics in recent psychiatric, gynaecological and lay literature. This study describes the results of two recent surveys, one of 216 women less than 45 years old who had a hysterectomy for non-malignant conditions at a major Sydney hospital. These women were interviewed on the seventh to tenth postoperative day. One hundred and ninety-four were then followed up by questionnaire 13 months later. In a later study carried out at a hospital on the outskirts of Sydney, 100 out of 146 women responded to a follow-up questionnaire approximately one year after their operations. These studies and their relevance to recent similar studies are discussed in terms of post-hysterectomy adaptation and prognostic factors associated with poor psychiatric outcome.

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