155,725 results match your criteria Pelvic Ring Fracture Imagings


The effects of pelvic floor muscle therapy on symptoms, voiding, and pevic floor muscle activity parameters in children with overactive bladder.

Neurourol Urodyn 2019 Apr 20. Epub 2019 Apr 20.

Division of Pediatric Urology, Private Dayanc Urology Center, Ankara, Turkey.

Introduction: Refractory overactive bladder (OAB) in children can be treated with second line modalities such as as biofeedback, transcutaneous electrical stimulation (TENS), and botulinum toxin. In this study, we aimed to investigate the efficacy of biofeedback-assisted pelvic floor muscle therapy (PFMT) on symptoms, bladder capacity, uroflowmetry, and pelvic floor muscle activity (PFMA) in children with resistant OAB or dysfunctional voiding (DV) with associated seconder bladder overactivity (DV/SBO).

Materials And Methods: A total of 24 children with resistant OAB were included in the study. Read More

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http://dx.doi.org/10.1002/nau.24007DOI Listing

Learning to detect anatomical landmarks of the pelvis in X-rays from arbitrary views.

Int J Comput Assist Radiol Surg 2019 Apr 20. Epub 2019 Apr 20.

Computer Aided Medical Procedures, Johns Hopkins University, Baltimore, USA.

Purpose: Minimally invasive alternatives are now available for many complex surgeries. These approaches are enabled by the increasing availability of intra-operative image guidance. Yet, fluoroscopic X-rays suffer from projective transformation and thus cannot provide direct views onto anatomy. Read More

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http://dx.doi.org/10.1007/s11548-019-01975-5DOI Listing

Management of postoperative chylous ascites after surgery for ovarian cancer: a single-institution experience.

Updates Surg 2019 Apr 20. Epub 2019 Apr 20.

Division of Gynecologic Oncology, Department of Women's and Children's Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Postoperative chylous ascites is a rare complication from operative trauma to the cisterna chyli or lymphatic vessels in the retroperitoneum. In the present study, we aimed to identify the incidence of postoperative chylous ascites in patients treated for ovarian cancer and to describe its management. We retrospectively reviewed all patients submitted to surgery for ovarian cancer at our Institution from October 2016 to November 2018. Read More

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http://dx.doi.org/10.1007/s13304-019-00656-xDOI Listing

Indirect foraminal decompression and improvement in the lumbar alignment after percutaneous cement discoplasty.

Eur Spine J 2019 Apr 20. Epub 2019 Apr 20.

National Center for Spinal Disorders, Buda Health Center, Királyhágó St. 1-3, Budapest, 1126, Hungary.

Purpose: Percutaneous cement discoplasty (PCD) is a minimally invasive surgical procedure, that can provide a segmental stabilizing and indirect decompression effect in case of severely degenerated discs characterized by vacuum phenomenon. The objective of this study was to evaluate the effects of PCD on spinopelvic radiological parameters and their associations with the clinical outcome.

Methods: Retrospective analysis of prospectively collected dataset of 28 patients (112 lumbar segments) who underwent single- or multilevel PCD was performed. Read More

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http://dx.doi.org/10.1007/s00586-019-05966-7DOI Listing

Effect of metformin on clinical and biochemical hyperandrogenism in adolescent girls with type 1 diabetes.

J Pediatr Endocrinol Metab 2019 Apr 22. Epub 2019 Apr 22.

Department of Pediatric Endocrinology, DEMPU, Cairo University, Cairo, Egypt.

Background Hyperandrogenism with or without polycystic ovarian syndrome is seen in adolescents with type 1 diabetes (T1D), especially those with suboptimal control. Objective To assess the effect of metformin on hyperandrogenism and ovarian function in adolescents with T1D. Methods This prospective study included 28 T1D females showing signs of hyperandrogenism. Read More

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http://dx.doi.org/10.1515/jpem-2018-0430DOI Listing

Pre-operative laparoscopic staging of gastric cancer in patients who are candidates for neo-adjuvant chemotherapy: A Cross Sectional Study.

Biomol Concepts 2019 Apr 16;10(1):68-72. Epub 2019 Apr 16.

General Physician, Lorestan University of Medical Sciences, Khorramabad, Iran.

Objective The aim of this study is to evaluate the laparoscopic method in gastric cancer staging before surgery in patients undergoing Neo-adjuvant chemotherapy. Methods This was a cross-sectional study on patients with T3-T4 and node positive non-metastatic gastric adenocarcinoma who was candidates for neo-adjuvant chemotherapy. The patients were excluded from the study when they were not in the condition to continue the study. Read More

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http://dx.doi.org/10.1515/bmc-2019-0008DOI Listing

Do vaginal recurrence rates differ among adjuvant vaginal brachytherapy regimens in early-stage endometrial cancer?

Brachytherapy 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiation Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT. Electronic address:

Purpose: We sought to retrospectively examine clinical outcomes for three adjuvant vaginal high-dose-rate (HDR) brachytherapy regimens after hysterectomy for early-stage endometrial cancer.

Methods: Included were women of all ages from two independent hospital systems diagnosed with Stage I-II endometrial cancer of any grade between 2000 and 2016 who underwent hysterectomy followed by adjuvant vaginal cylinder HDR brachytherapy with either 7.0 Gy × 3 fractions prescribed to 0. Read More

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http://dx.doi.org/10.1016/j.brachy.2019.03.001DOI Listing

Magnetic resonance imaging response in patients treated with definitive radiation therapy for medically inoperable endometrial cancer-Does it predict treatment response?

Brachytherapy 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA. Electronic address:

Purpose: Many patients with endometrial cancer cannot undergo surgery and instead receive definitive radiation therapy (RT). We investigate the correlation between MRI response to RT and clinical outcomes.

Methods And Materials: Women with inoperable, clinical Stage I endometrial cancer were treated with definitive brachytherapy (BT) with/without pelvic RT (PRT). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15384721183064
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http://dx.doi.org/10.1016/j.brachy.2019.03.005DOI Listing
April 2019
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A nationwide surveillance of surgical site infection after mid-urethral slings in Japan.

J Infect Chemother 2019 Apr 17. Epub 2019 Apr 17.

Department of Urology, Jikei University School of Medicine, Katsushika Medical Center, Tokyo, Japan; The Japanese Research Group for Urinary Tract Infection (JRGU), Japan.

We performed a questionnaire-based, retrospective, nationwide survey on perioperative management and antimicrobial prophylaxis for mid-urethral sling surgery for stress urinary incontinence in Japan to realize the clinical practice and risk factors for SSI. Records of women receiving transobturator tape (TOT) and tension-free vaginal tape (TVT) surgeries from 2010 to 2012 were obtained from hospitals belonging to the Japanese Society of Pelvic Organ Prolapse Surgery. The questionnaire addressed hospital volume, perioperative management, and SSI. Read More

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http://dx.doi.org/10.1016/j.jiac.2019.03.024DOI Listing

Best Reporting Practices for Multipart CT Scans: A Pilot Evaluation and Construction of the Optimal Analysis Methodology.

J Am Coll Radiol 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiology, University of Chicago, Chicago, Illinois.

Purpose: Communication failure between radiologists and referring physicians contributes to a substantial portion of medical errors. With a rising number of complex imaging orders and subspecialization among radiologists, the best method of reporting those results has yet to be evaluated. The aim of this study was to create, validate, and pilot a survey to reveal best practices for communication of radiologic findings, specifically addressing multipart CT scans of the chest, abdomen, and pelvis. Read More

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http://dx.doi.org/10.1016/j.jacr.2019.02.046DOI Listing

Feasibility of stereotactic radiotherapy using a 1.5 T MR-linac: Multi-fraction treatment of pelvic lymph node oligometastases.

Radiother Oncol 2019 May 1;134:50-54. Epub 2019 Feb 1.

University Medical Center Utrecht, Department of Radiotherapy, 3508 GA Utrecht, The Netherlands.

Online adaptive radiotherapy using the 1.5 Tesla MR-linac is feasible for SBRT (5 × 7 Gy) of pelvic lymph node oligometastases. The workflow allows full online planning based on daily anatomy. Read More

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http://dx.doi.org/10.1016/j.radonc.2019.01.024DOI Listing

Nodal failure after chemo-radiation and MRI guided brachytherapy in cervical cancer: Patterns of failure in the EMBRACE study cohort.

Radiother Oncol 2019 May 26;134:185-190. Epub 2019 Feb 26.

Department of Radiation Oncology, University Medical Center Utrecht, the Netherlands. Electronic address:

Purpose/objective(s): To investigate the patterns of nodal failure in patients enrolled in the international multicentre EMBRACE study.

Materials/methods: Nodal disease at diagnosis (N-, N+) and nodal failure were analysed per region (NF) (pelvic (parametrial, common iliac, internal/external iliac), inguinal and para-aortic (PAO)) in 1338 patients. Treatment consisted of chemo-radiation and MRI guided brachytherapy. Read More

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http://dx.doi.org/10.1016/j.radonc.2019.02.007DOI Listing

MRI heterogeneity analysis for prediction of recurrence and disease free survival in anal cancer.

Radiother Oncol 2019 May 7;134:119-126. Epub 2019 Feb 7.

Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.

Background: The aim of this study was to evaluate the role of image heterogeneity analysis of standard care magnetic resonance imaging (MRI) in patients with anal squamous cell carcinoma (ASCC) to predict chemoradiotherapy (CRT) outcome. The ability to predict disease recurrence following CRT has the potential to inform personalized radiotherapy approaches currently being explored in novel clinical trials.

Methods: An IRB waiver was obtained for retrospective analysis of standard care MRIs from ASCC patients presenting between 2010 and 2014. Read More

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http://dx.doi.org/10.1016/j.radonc.2019.01.022DOI Listing

The INTERACT Trial: Long-term results of a randomised trial on preoperative capecitabine-based radiochemotherapy intensified by concomitant boost or oxaliplatin, for cT2 (distal)-cT3 rectal cancer.

Radiother Oncol 2019 May 7;134:110-118. Epub 2019 Feb 7.

Radiation Oncology Department, Centro di Riferimento Oncologico, IRCCS, Aviano, Italy.

Background And Purpose: Capecitabine-based radiochemotherapy (cbRCT) is standard for preoperative long-course radiochemotherapy of locally advanced rectal cancer. This prospective, parallel-group, randomised controlled trial investigated two intensification regimens. cT4 lesions were excluded. Read More

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http://dx.doi.org/10.1016/j.radonc.2018.11.023DOI Listing
May 2019
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Preoperative prediction of pelvic lymph nodes metastasis in early-stage cervical cancer using radiomics nomogram developed based on T2-weighted MRI and diffusion-weighted imaging.

Eur J Radiol 2019 May 20;114:128-135. Epub 2019 Mar 20.

Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, No.277, West Yanta Road, Xi'an, 710061, Shaanxi, People's Republic of China. Electronic address:

Objective: To explore an MRI-based radiomics nomogram for preoperatively predicting of pelvic lymph node (PLN) metastasis in patients with early-stage cervical cancer (ECC).

Methods: Ninety-six patients with ECC were enrolled in this study. All patients underwent T2WI and DWI scans before radical hysterectomy with PLN dissection surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X193000
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http://dx.doi.org/10.1016/j.ejrad.2019.01.003DOI Listing
May 2019
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Fabricated Tropoelastin-Silk Yarns and Woven Textiles for Diverse Tissue Engineering Applications.

Acta Biomater 2019 Apr 17. Epub 2019 Apr 17.

Charles Perkins Centre, University of Sydney, NSW 2006, Australia; School of Life and Environmental Sciences, University of Sydney, NSW 2006, Australia; Bosch Institute, University of Sydney, NSW 2006, Australia. Electronic address:

Electrospun yarns offer substantial opportunities for the fabrication of elastic scaffolds for flexible tissue engineering applications. Currently available yarns are predominantly made of synthetic elastic materials. Thus scaffolds made from these yarns typically lack cell signaling cues. Read More

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http://dx.doi.org/10.1016/j.actbio.2019.04.029DOI Listing

Association between preoperative adenomyosis detection rate during pelvic ultrasonography and the specialty of the reading physician.

J Minim Invasive Gynecol 2019 Apr 17. Epub 2019 Apr 17.

Department of Obstetrics and Gynecology, University of South Florida, Morsani College of Medicine, Tampa, FL. Electronic address:

Study Objective: To compare the detection rate of adenomyosis when ultrasound is performed by a radiologist compared to a gynecologic expert sonologist.

Design: A retrospective, single center study.

Setting: University teaching hospital PATIENTS: All women above 18 years of age with a positive histopathology diagnosis of adenomyosis obtained in a hysterectomy specimen from October 1, 2011 - October 1, 2017 were screened for inclusion. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.04.015DOI Listing

Extracorporeal Shockwave Therapy Combined with Drug Therapy in Chronic Pelvic Pain Syndrome - A Randomized Clinical Trial.

Urol J 2019 Apr 20. Epub 2019 Apr 20.

Department of Urology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Purpose: Chronic prostatitis/ chronic pelvic pain syndrome (CP/CPPS) is a nonspecific pelvic pain in the absence of signs of infection or other obvious local pathology for at least 3 of the last 6 months. The evidence for treatment is limited so the aim of this study is to investigate the effect of extracorporeal shock wave therapy (ESWT) combined with pharmacotherapy in the treatment of CP/CPPS.

Materials And Methods: In this randomized clinical  trial, 31 patients with CP/CPPS were investigated in two groups: the intervention group (n=16) was treated with a combination of an alfa-blocker, an anti-inflammatory agent, a muscle relaxant and a short course of antibiotic in combination with 4 sessions of focused ESWT (a protocol of 3000 impulses, 0. Read More

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http://dx.doi.org/10.22037/uj.v0i0.4673DOI Listing
April 2019
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Malignant melanoma in the pelvic cavity mimicking a gastrointestinal stromal tumor.

Dig Liver Dis 2019 Apr 16. Epub 2019 Apr 16.

Department of Gastroenterology, Aichi Medical University, Nagakute, Aichi, Japan.

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https://linkinghub.elsevier.com/retrieve/pii/S15908658193052
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http://dx.doi.org/10.1016/j.dld.2019.03.017DOI Listing
April 2019
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Abdominal Lymphoma Presenting as Terminal Ileitis: A Case Report.

J Emerg Med 2019 Apr 16. Epub 2019 Apr 16.

Department of Emergency Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Background: Most pediatric patients with lymphoma do not have classic symptoms of fever, night sweats, and weight loss. Lymphoma can present as vague symptoms and may mimic common pediatric abdominal emergencies. In this case report, we present a child who presented with abdominal pain and who was initially misdiagnosed as having a surgical emergency. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679193013
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http://dx.doi.org/10.1016/j.jemermed.2019.03.004DOI Listing
April 2019
2 Reads

The Gynecologic Health Consequences of Chlamydia trachomatis Infection in Military Servicewomen.

Semin Reprod Med 2018 Nov 19;36(6):340-350. Epub 2019 Apr 19.

Department of Clinical Investigation, Madigan Army Medical Center, Tacoma, Washington.

is the most common sexually transmitted bacterial infection in the United States. Within the U.S. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678752
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http://dx.doi.org/10.1055/s-0039-1678752DOI Listing
November 2018
5 Reads

[Do we need to perform systematic supracervical hysterectomy during laparoscopic sacrocolpopexy?]

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Département de Gynécologie-Obstétrique, Université de Liège, Centre Hospitalier Régional de la Citadelle, Boulevard du 12(e) de Ligne, 1, 4000 Liège, Belgique.

Objective: To evaluate the place of subtotal hysterectomy during laparoscopic sacrocolpopexy.

Methods: This retrospective observational study includes patients undergoing laparoscopic sacrocolpopexy between November 2010 and March 2015 at the Centre Hospitalier Régional de la Citadelle, Liège, Belgium. Patient characteristics, medical and surgical history were collected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687189193015
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http://dx.doi.org/10.1016/j.gofs.2019.04.007DOI Listing
April 2019
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[How I do Utero-vaginal suspension using a bilateral vaginal anterior sacrospinous fixation with mesh].

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Service de Chirurgie Gynécologique, Hôpital Femme Mère Enfant, Hospices Civils de Lyon Bron, France; Université Claude Bernard Lyon 1, France.

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http://dx.doi.org/10.1016/j.gofs.2019.04.006DOI Listing

Verrucous Carcinoma of the Vulva: A Case Report and Literature Review.

Am J Case Rep 2019 Apr 19;20:551-556. Epub 2019 Apr 19.

Department of Gynecological Oncology, Fudan University Shanghai Cancer Center, Fudan University, Shanghai, China (mainland).

BACKGROUND Verrucous carcinoma (VC) of the vulva is a variation of squamous carcinoma (SCC). Etiology and treatment of VC are still unclear. CASE REPORT A 50-year-old female visited our clinic with a giant vulvar tumor (8 cm of diameter maximum). Read More

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https://www.amjcaserep.com/abstract/index/idArt/914367
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http://dx.doi.org/10.12659/AJCR.914367DOI Listing
April 2019
2 Reads

Advanced Epithelial Ovarian Cancer: Do More Options Mean Greater Benefits?

J Clin Oncol 2019 Apr 19:JCO1900500. Epub 2019 Apr 19.

1 Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.

A healthy 51-year-old woman presented with increasing abdominal and pelvic pain. Computed tomography imaging of the abdomen and pelvis showed an 11.6-cm pelvic mass, retroperitoneal lymphadenopathy, right hydronephrosis, and mesenteric tumor deposits ( Fig 1A ). Read More

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https://ascopubs.org/doi/10.1200/JCO.19.00500
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http://dx.doi.org/10.1200/JCO.19.00500DOI Listing
April 2019
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Ultrasound grayscale image quality comparison between a 2D intracavitary transducer and a 3D intracavitary transducer used in 2D mode: A phantom study.

J Appl Clin Med Phys 2019 Apr 19. Epub 2019 Apr 19.

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Purpose: It is unclear if a 3D transducer with the special design of mechanical swing or 2D array could provide acceptable 2D grayscale image quality for the general diagnosis purpose. The aim of this study is to compare the 2D image quality of a 3D intracavitary transducer with a conventional 2D intracavitary transducer using clinically relevant phantom experiments.

Methods: All measurements were performed on a GE Logiq E9 scanner with both a 2D (IC5-9-D) and a 3D (RIC5-9-D) transducer used in 2D mode. Read More

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http://dx.doi.org/10.1002/acm2.12590DOI Listing

A Predictive Model of Postnatal Surgical Intervention in Children With Prenatally Detected Congenital Anomalies of the Kidney and Urinary Tract.

Front Pediatr 2019 2;7:120. Epub 2019 Apr 2.

Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands.

The aim of this study was to identify predictive factors and develop a model to assess individualized risk of postnatal surgical intervention in patients with antenatal hydronephrosis. This is a retrospective cohort study of 694 infants with prenatally detected congenital anomalies of kidney and urinary tract with a median follow-up time of 37 months. The main event of interest was postnatal surgical intervention. Read More

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http://dx.doi.org/10.3389/fped.2019.00120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454042PMC
April 2019
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Appraisal of Core Therapy, Supportive Therapy, and Alternative Therapy in a Tertiary Care Rural Hospital of Vidarbha Region in Correlation to Plethora of Menopausal Problems.

J Midlife Health 2019 Jan-Mar;10(1):14-21

OBGY, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.

Context: Menopause is a crucial phase of the women fraternity which marks the end of reproductive age. Mostly it is physiological; however, certain conditions may lead to premature menopause. Menopause has an extensive spectrum of symptoms which are extremely bothersome. Read More

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http://dx.doi.org/10.4103/jmh.JMH_131_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459068PMC

Ultrasonography and X-Ray guided drain placement to evacuate a pneumopericardium/pneumomediastinum in a 1-day-old infant.

Indian J Radiol Imaging 2019 Jan-Mar;29(1):94-97

Children's Hospital Cardiology Center, Women's and Children's Hospital, University of Missouri Health Care, Columbia, USA.

Ultrasonographic (US) guided procedures have wide range of application in the abdomen and pelvis, however their role is somewhat limited in the chest due to complete reflection of the ultrasound beam by the air in the lungs, preventing the direct imaging of the tissues deep to the air-sound interface. Most of the chest procedures, other than the exception of thoracentesis, rely on the use of CT (computed tomography) scan. The disadvantages of using CT scan is the cost, lack of portability, and most importantly the radiation involved, particularly in case of infants and children, whose tissues are more radiosensitive than the adults. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_447_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467035PMC

Role of apparent diffusion coefficient as a biomarker in the evaluation of cervical cancer.

Indian J Radiol Imaging 2019 Jan-Mar;29(1):25-32

Department of Radiation Oncology, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India.

Background: Diffusion-weighted magnetic resonance imaging (DW-MRI) has evolved as a major diagnostic and prognostic tool in cervical cancer. The aim of our study was to compare the change in mean apparent diffusion coefficient (ADC) value before and after concurrent chemoradiation therapy (CCRT) in carcinoma cervix thereby establishing its role as a cancer biomarker.

Materials And Methods: A hospital-based prospective study was conducted in 35 patients diagnosed with cervical cancer. Read More

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http://www.ijri.org/text.asp?2019/29/1/25/255235
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http://dx.doi.org/10.4103/ijri.IJRI_441_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467043PMC
April 2019
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Unusual lymphocele following radical cystectomy with orthotopic neobladder.

Indian J Urol 2019 Apr-Jun;35(2):168-169

Department of Urology, Urology Clinic, Gowtham Annexe, Coimbatore, Tamil Nadu, India.

A 65-year-old male patient, a known case of carcinoma bladder, underwent radical cystectomy with ileal neobladder in 2016. Eleven lymph nodes were identified in the specimen. Histopathology revealed reactive lymphadenitis with sinus histiocytosis. Read More

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http://dx.doi.org/10.4103/iju.IJU_284_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458803PMC
April 2019
1 Read

Long-term results of fertility-sparing treatment for early-stage cervical cancer.

Gynecol Oncol 2019 Apr 16. Epub 2019 Apr 16.

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Italy.

Objective: To evaluate the long-term outcomes of young early stage cervical cancer patients wishing to preserve their childbearing potential.

Methods: Data of young (aged <40 years) patients with early stage cervical cancer were prospectively collected. All patients with stage IA2, IB1 and IB2 cervical cancer were included; they have cervical conization and pelvic node dissection performed via minimally invasive surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00908258193050
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http://dx.doi.org/10.1016/j.ygyno.2019.04.007DOI Listing
April 2019
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Computational modal analysis of a composite pelvic bone: convergence and validation studies.

Comput Methods Biomech Biomed Engin 2019 Apr 19:1-9. Epub 2019 Apr 19.

a Department of Technologies and Structures , Technical University of Liberec , Liberec , Czech Republic.

The purpose of the present study was to describe the structural density and geometry of the bone, as well as its sensitivity to the resolution of finite element discretisation. The study introduces a novel way to validate biomechanical model of the bone by experimental modal analysis. The structural density and geometry of the model was obtained from a composite bone. Read More

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https://www.tandfonline.com/doi/full/10.1080/10255842.2019.1
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http://dx.doi.org/10.1080/10255842.2019.1604949DOI Listing
April 2019
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Comparison of Proton and Photon Beam Irradiation in Radiation-Induced Intestinal Injury Using a Mouse Model.

Int J Mol Sci 2019 Apr 17;20(8). Epub 2019 Apr 17.

Department of Radiation Oncology, Samsung Medical Center, Seoul 06351, Korea.

When radiotherapy is applied to the abdomen or pelvis, normal tissue toxicity in the gastrointestinal (GI) tract is considered a major dose-limiting factor. Proton beam therapy has a specific advantage in terms of reduced doses to normal tissues. This study investigated the fundamental differences between proton- and X-ray-induced intestinal injuries in mouse models. Read More

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http://dx.doi.org/10.3390/ijms20081894DOI Listing

Performance of stair negotiation in patients with cerebral palsy and stiff knee gait.

Gait Posture 2019 Apr 9;71:14-19. Epub 2019 Apr 9.

Clinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany; Pediatric Orthopaedics and Traumatology, University, Children's Hospital Zurich - Eleonore Foundation, Steinwiesstrasse 75, 8032 Zurich, Switzerland. Electronic address:

Background: Due to the limited knee range of motion, achieving adequate foot clearance while walking on level ground constitutes a major problem for patients with cerebral palsy and stiff knee gait. Stair negotiation as an activity of daily life requires a considerably higher knee range of motion than level ground walking, but little is known yet as to whether such patients are able to walk stairs.

Research Question: The aim of this study was to investigate how patients with a limited knee range of motion negotiate stairs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09666362183178
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http://dx.doi.org/10.1016/j.gaitpost.2019.04.005DOI Listing
April 2019
2 Reads

Does Compensatory Anterior Pelvic Tilt Decrease After Bilateral Periacetabular Osteotomy?

Clin Orthop Relat Res 2019 May;477(5):1168-1175

E. Daley, I. Zaltz, Department of Orthopedic Surgery, Beaumont Health, Royal Oak, MI, USA N. Nahm, Department of Orthopedic Surgery, Henry Ford Hospital, Detroit, MI, USA D. Koueiter, Orthopedic Research Laboratories, Beaumont Health, Royal Oak, MI, USA.

Background: The kinetic link among the lumbar spine, pelvic tilt, and the hip has been hypothesized, but this relationship requires further study in acetabular dysplasia. Anecdotal reports suggest that patients may compensate for acetabular dysplasia with an involuntary increase in anterior pelvic tilt; it is not known if this relationship is affected by acetabular reorientation.

Questions/purposes: (1) Does compensatory pelvic tilt decrease on preoperatively obtained standing AP pelvis radiographs compared with those obtained at a minimum of 6 months after bilateral periacetabular osteotomy (PAO)? (2) Does a modified surrogate measurement of pelvic tilt, the pubic symphysis to sacroiliac (PS-SI) index, correlate with a physical synthetic bones model in which pelvic tilt can be directly measured? (3) Can the PS-SI index demonstrate high interrater reliability?

Methods: We assessed the surgical records of one surgeon, who participates in the longitudinally maintained Academic Network of Conservational Hip Outcomes Research (ANCHOR) registry, for patients who had undergone the second side of a staged bilateral PAO between 2007 and 2016; there were 113 such patients. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000560DOI Listing

Hip Surveillance in Children With Cerebral Palsy.

J Am Acad Orthop Surg 2019 Apr 16. Epub 2019 Apr 16.

From the Department of Orthopedics, Alfred I. duPont Hospital for Children, Wilmington, DE (Dr. Shrader), the Texas Scottish Rite Hospital for Children, Dallas, TX (Dr. Wimberly), and the Orthopedic Institute for Children, University of California in Los Angeles, Los Angeles, CA (Dr. Thompson).

Hip dysplasia is common in children with cerebral palsy (CP), especially in those children with notable functional impairment. Severity of hip dysplasia has been shown to correlate with higher Gross Motor Function Classification System levels. Migration percentage measured on AP pelvis radiographs is the key radiographic measure quantifying hip displacement in CP. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00184DOI Listing
April 2019
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American Urogynecologic Society Systematic Review: Microscopic Hematuria as a Screening Tool for Urologic Malignancies in Women.

Female Pelvic Med Reconstr Surg 2019 Apr 12. Epub 2019 Apr 12.

Vanderbilt University Medical Center, Nashville, TN.

Introduction: Most causes of microscopic hematuria (MH) are benign but may indicate an underlying malignancy. Current MH evaluation guidelines are reflective of male urologic malignancy risks. The objective of this systematic review was to evaluate whether the finding of MH predicts subsequent urologic malignancy in women. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000726DOI Listing
April 2019
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Evaluating the Quality and Readability of Online Resources for Labiaplasty.

Female Pelvic Med Reconstr Surg 2019 Apr 12. Epub 2019 Apr 12.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, Ohio State University Wexner Medical Center, Columbus, OH.

Objectives: The aim of this study was to evaluate the quality, readability, and accuracy of Web-based information regarding labiaplasty and to characterize the types of Web sites providing this information.

Methods: Investigators used 3 major search engines to query the internet using the search terms labiaplasty, labia reduction, and vaginal rejuvenation. Two validated tools were used to evaluate Web sites: the JAMA benchmark tool and the DISCERN instrument. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000725DOI Listing

Case 269.

Radiology 2019 May;291(2):539-541

From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey.

History A 20-year old woman living in Turkey presented with a 3-month history of lower back pain. She had no medical history of note and was taking no medications. Complete blood count, C-reactive protein level, sedimentation rate, and creatinine, alanine aminotransferase, and aspartate aminotransferase levels were within normal limits. Read More

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http://dx.doi.org/10.1148/radiol.2019170905DOI Listing
May 2019
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Intravesical electromotive administration of botulinum toxin type A in improving the bladder and bowel functions: Evidence for novel mechanism of action.

J Spinal Cord Med 2019 Apr 18:1-7. Epub 2019 Apr 18.

b Department of pathology , Shariati Hospital, Tehran University of Medical Sciences , Tehran , Iran.

Objective: To examine the hypothesis that what is the concomitant mechanism of action botulinum toxin type A (BoNTA) administration by intravesical electromotive into the bladder resulting in bladder function improvement. We also tried to confirm the possibility of retrograde trans-axonal transportation of toxin.

Design: Animal study. Read More

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http://dx.doi.org/10.1080/10790268.2019.1603490DOI Listing

The expression of androgen receptor in neurons of the anterior pelvic ganglion and celiac-superior mesenteric ganglion in the male pig.

Pol J Vet Sci 2019 Mar;22(1):151-155

Department of Animal Anatomy, Faculty of Veterinary Medicine, University of Warmia and Mazury, Oczapowskiego 13, 10-718 Olsztyn, Poland.

The present study investigated the expression of androgen receptor (AR) in neurons of the anterior pelvic ganglion (APG) and celiac-superior mesenteric ganglion (CSMG; ganglion not involved in the innervation of reproductive organs) in the male pig with quantitative real-time PCR (qPCR) and immunohistochemistry. qPCR investigations revealed that the level of AR gene expression in the APG tissue was approximately 2.5 times higher in the adult (180-day-old) than in the juvenile (7-day-old) boars. Read More

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http://dx.doi.org/10.24425/pjvs.2019.127081DOI Listing

[Recognition and classification of posture and gait patterns of rollator users by distance measurements-a comparison between clinical assessment and automatic classification].

Z Gerontol Geriatr 2019 Apr 17. Epub 2019 Apr 17.

Budelmann Elektronik GmbH, Münster, Deutschland.

Background: This article describes the development of an add-on module for wheeled walkers dedicated to sensor-based posture and gait pattern recognition with the goal to develop an everyday aid for fall prevention. The core contribution is a clinical study that compared single gait parameter assessments coming from medical staff to those obtained from an automatic classification algorithm, i. e. Read More

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http://dx.doi.org/10.1007/s00391-019-01544-0DOI Listing

[Arterioureteral fistulas in the last 10 years at the University of Lübeck].

Urologe A 2019 Apr 17. Epub 2019 Apr 17.

Klinik und Poliklinik für Urologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Introduction: Arterioureteral fistulas are rare, life-threatening, and difficult to diagnose. Risk factors are medical interventions in the lesser pelvis (general, urological, gynecological, and vascular surgery), radiation therapy of the lesser pelvis, permanent double J catheters, and previous vessel malformations.

Materials And Methods: We retrospectively evaluated all cases of arterioureteral fistulas registered over the last 10 years in the clinic's documentation system. Read More

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http://link.springer.com/10.1007/s00120-019-0923-4
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http://dx.doi.org/10.1007/s00120-019-0923-4DOI Listing
April 2019
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Experimental study of a new original mesh developed for pelvic floor reconstructive surgery.

Int Urogynecol J 2019 Apr 17. Epub 2019 Apr 17.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, No.1 Shuai Fu Road, Dongcheng District, Beijing, People's Republic of China.

Introduction And Hypothesis: Most synthetic meshes used in transvaginal surgery are made of polypropylene, which has a stable performance, but does not easily degrade in vivo. However, mesh-related complications are difficult to address and have raised serious concerns. A new biomaterial mesh with good tissue integration and few mesh-related complications is needed. Read More

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http://link.springer.com/10.1007/s00192-019-03947-4
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http://dx.doi.org/10.1007/s00192-019-03947-4DOI Listing
April 2019
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The impact of vaginal dilator use on vaginal stenosis and sexual quality of life in women treated with adjuvant radiotherapy for endometrial cancer.

Strahlenther Onkol 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiation Oncology, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Background: Despite a lack of evidence and low compliance, current guidelines recommend the use of a vaginal dilator (VD) after pelvic radiotherapy (RT). We analyzed the effect of VD on vaginal stenosis (VS) and its influence on sexual quality of life (QoL) in women treated with adjuvant RT for endometrial cancer (EC).

Methods: Between 2014 and 2015, 56 consecutive patients were instructed to use a VD after completion of treatment. Read More

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http://dx.doi.org/10.1007/s00066-019-01466-1DOI Listing

Comparing the Pemberton osteotomy and modified San Diego acetabuloplasty in developmental dysplasia of the hip.

J Child Orthop 2019 Apr;13(2):172-179

University of California, San Diego Medical Center, San Diego, California, USA.

Purpose: Patients with developmental dysplasia of the hip (DDH) may require a pelvic osteotomy to treat acetabular dysplasia. The Pemberton osteotomy and modified San Diego acetabuloplasty are two options available when surgically treating DDH. The purpose of this study was to compare outcomes following the Pemberton and modified San Diego when treating patients with acetabular dysplasia in typical DDH. Read More

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http://dx.doi.org/10.1302/1863-2548.13.190004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442505PMC
April 2019
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Which patients with ischaemic priapism require further investigation for malignancy?

Int J Impot Res 2019 Apr 17. Epub 2019 Apr 17.

Andrology Department, University College, 47 Wimpole St, London, W1G 8PH, UK.

Ischaemic priapism (IP) is characterised by a persistent, painful penile erection lasting for >4 h. Many causes of IP have been identified including haematological dyscrasias (particularly, sickle cell disease), drugs and rarely malignancy. There are also a large proportion of men, in which no aetiology is identified. Read More

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http://dx.doi.org/10.1038/s41443-019-0141-zDOI Listing
April 2019
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