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Diagnostics of endometriosis by using magnetic resonance imaging. 子宫内膜异位症的磁共振诊断。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Eija Pääkkö, Maarit Niinimäki
{"title":"Diagnostics of endometriosis by using magnetic resonance imaging.","authors":"Eija Pääkkö,&nbsp;Maarit Niinimäki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endometriosis affects about 2 to 10% of women in fertile age, It causes pain and infertility. In the ovaries, endometrios causes endometriomas. The disease may spread into the abdominal cavity and even result in ileus. Deep endometriomas are located under the peritoneal surface, typically behind the uterus and in the region of uterosacral ligaments. History, clinical examination and transvaginal ultrasound scanning usually lead to the diagnosis. Magnetic resonance imaging is in particular utilized prior to surgery. It provides a comprehensive view of endometriosis lesions in the pelvis, including deep foci.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 1","pages":"61-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35217609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypothermia caused by psoriasis. 牛皮癣引起的体温过低。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Harri Ruhanen, Satu Wastimo, Matti Reinikainen
{"title":"Hypothermia caused by psoriasis.","authors":"Harri Ruhanen,&nbsp;Satu Wastimo,&nbsp;Matti Reinikainen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Severe psoriasis can lead to erythroderma, which is a widespread inflammatory condition of the skin. Erythroderma increases the amount of water evaporating from the skin and heat loss. We present a case of severe hypothermia with rectal temperature of 29.3 °C caused by psoriasis and a septic infection.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 1","pages":"85-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35217613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dislocation of cochlear implant magnet as a complication following MRI. MRI后人工耳蜗磁铁脱位的并发症。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Sarita Murtojärvi, Jaakko Salonen
{"title":"Dislocation of cochlear implant magnet as a complication following MRI.","authors":"Sarita Murtojärvi,&nbsp;Jaakko Salonen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>According to current best knowledge, an MRI scan can be performed for patients with cochlear implants. The warnings and recommendations of the implant manufacturers must be followed strictly to prevent complications, such as overheating, migration or demagnetization of the magnet in the implant. We report on a case of cochlear implant magnet dislocation as a complication for an MRI scan. The patient had a tight bandage around the head to hold the magnet in place as recommended by the manufacturer, but apparently the bandage was not in the correct place.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 5","pages":"497-500"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35220983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Allergic rhinitis. 过敏性鼻炎。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Jura Numminen
{"title":"Allergic rhinitis.","authors":"Jura Numminen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There have been no major changes in the pharmacological treatment of allergic rhinitis in recent years. Treatment is symptomatic and tailored individually, taking into account the type and severity of symptoms. Few new products have entered the market, and treatment is still largely based on antihistamines and nasally administered glucocorticoids. However, the general strategies for treating allergic rhinitis have developed over the last decade due to the introduction of the Finnish National Allergy Program. The treatment should aim at improving tolerance. Avoiding allergens is not necessary but it may help in controlling the symptoms. Hyposensitization, the only disease-modifying therapy, is a recommended, effective and safe form of treatment. New, practical sublingual hyposensitization products have facilitated treatment implementation and moved it from outpatient clinics into homes, which is a more patient-oriented approach and also cost-effective in the long term. However, the unit costs of treatment are relatively high for the patients.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 5","pages":"473-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35221042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment options for acute mesenteric ischemia have improved. 急性肠系膜缺血的治疗方案已有所改善。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Jussi M Kärkkäinen, Hannu Manninen, Hannu Paajanen
{"title":"Treatment options for acute mesenteric ischemia have improved.","authors":"Jussi M Kärkkäinen,&nbsp;Hannu Manninen,&nbsp;Hannu Paajanen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute mesenteric ischemia resulting from mesenteric arterial thrombosis is a life-threatening cardiovascular complication with symptoms ranging from sudden-onset abdominal pain to vague symptoms of several days' duration. Although contrast-enhanced computed tomography is an excellent diagnostic tool, detection of the disease before the development of permanent intestinal injury is still difficult. Endovascular treatment is usually successful in restoring intestinal blood flow acutely. Chronic mesenteric ischemia requires urgent detection and therapy in order to prevent irreversible intestinal ischemia.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 2","pages":"150-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35223664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Genetic code" of brain ageing. 大脑衰老的“遗传密码”。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Pentti Tienari, Liisa Myllykangas
{"title":"\"Genetic code\" of brain ageing.","authors":"Pentti Tienari,&nbsp;Liisa Myllykangas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neurons are more susceptible than other cells to the effects of ageing, since most of them are not capable of dividing, and they consume plenty of energy. In the \"genetic code of brain ageing\", central role is played by the genes that regulate the risk of Alzheimer's disease and vascular diseases. Genes have been recognized underlying memory disorders and longevity. Genetic studies have revealed metabolic routes, including fat and energy metabolism, that can be influenced by an individual through living habits, and also through structures maintaining social activity.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 2","pages":"201-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35223668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disorders of DNA repair mechanisms and their clinical significance. DNA修复机制紊乱及其临床意义。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Minttu Kansikas, Minna Nyström, Päivi Peltomäki
{"title":"Disorders of DNA repair mechanisms and their clinical significance.","authors":"Minttu Kansikas,&nbsp;Minna Nyström,&nbsp;Päivi Peltomäki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>DNA repair mechanisms maintain genome stability by preventing the multiplication of genetic errors, caused by environmental factors and intracellular processes, during cell division. Unrepaired damage may permanently alter genome and cell functions, and even minor changes in DNA strand may initiate malignant transformation of the cell. Up to 25 000 changes in DNA are occur daily in a single, actively dividing, cell, and these changes are continuously repaired. If DNA repair mechanisms are impaired, errors will accumulate into the genome. As numerous factors of different nature can cause genetic errors, and thus several different DNA repair mechanisms are necessary to ensure genomic stability.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 3","pages":"259-5"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35223672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can we prevent post-ERCP pancreatitis? 我们能预防ercp后胰腺炎吗?
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2017-01-01
Antti Siiki, Johanna Laukkarinen
{"title":"Can we prevent post-ERCP pancreatitis?","authors":"Antti Siiki,&nbsp;Johanna Laukkarinen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endoscopic retrograde cholangiopancreatography (ERCP) is the primary method for treating cholestasis and biliary tract gallstones. Although noninvasive imaging has replaced ERCP in diagnostics, ERCP remains the mainstay in collecting diagnostic specimens from the biliary tract. ERCP carries a risk of post-ERCP pancreatitis, which can vary from mild to life-threatening. Difficult cannulation is the most important risk factor for pancreatitis. Careful patient selection and adequate endoscopy training are the foundation of safe ERCP practice. Current evidence supports the routine use of prophylactic rectal NSAID in all patients to prevent post-ERCP pancreatitis.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"133 3","pages":"267-74"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35310220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How does early stress affect brain development? 早期压力是如何影响大脑发育的?
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2016-01-01
Satu Lehtola, Jetro J Tuulari, Linnea Karlsson, Riitta Parkkola, Hasse Karlsson, Noora M Scheinin
{"title":"How does early stress affect brain development?","authors":"Satu Lehtola,&nbsp;Jetro J Tuulari,&nbsp;Linnea Karlsson,&nbsp;Riitta Parkkola,&nbsp;Hasse Karlsson,&nbsp;Noora M Scheinin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Early stress would seem to be associated with alterations in certain structures of the brain, such as the amygdala and hippocampus, cerebral cortex and white matter, in structures of pathways essential to emotional control. Furthermore, a tendency to have higher levels of stress hormone, i.e. cortisol, as well as hormonal responses to stress has been shown in individuals exposed to early stress. Early stress, already experienced in utero, may in fact program the central nervous system to become more susceptible to later-onset disturbances of regulation of stress and emotions. Prevention and treatment of stress during pregnancy and its consequences would thus require more investments than at present.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"132 15","pages":"1345-50"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35271967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ischemic stroke and TIA. 缺血性卒中和TIA。
Duodecim; laaketieteellinen aikakauskirja Pub Date : 2016-01-01
{"title":"Ischemic stroke and TIA.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The key steps to improve the outcome are early diagnosis of TIA and stroke symptoms, access to thrombolytic and thrombectomy therapy, urgent medical secondary prevention and acute care in a dedicated stroke unit where assessment and rehabilitation are started and carried out by a multi-professional rehabilitation team. Long-term outcome is also improved by reinforced screening of specific etiologies such as atrial fibrillation and carotid stenosis.</p>","PeriodicalId":72850,"journal":{"name":"Duodecim; laaketieteellinen aikakauskirja","volume":"132 24","pages":"2367-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35611084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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