Annales chirurgiae et gynaecologiae Fenniae最新文献

Bone and joint infections caused by mucormycetes: A challenging osteoarticular mycosis of the twenty-first century. 由粘孢子菌引起的骨与关节感染：二十一世纪具有挑战性的骨关节真菌病。

IF 1

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 2017-10-01 DOI: 10.1093/mmy/myw136

Saad J Taj-Aldeen, Maria N Gamaletsou, Blandine Rammaert, Nikolaos V Sipsas, Valerie Zeller, Emmanuel Roilides, Dimitrios P Kontoyiannis, Michael Henry, Vidmantas Petraitis, Brad Moriyama, David W Denning, Olivier Lortholary, Thomas J Walsh

{"title":"Bone and joint infections caused by mucormycetes: A challenging osteoarticular mycosis of the twenty-first century.","authors":"Saad J Taj-Aldeen, Maria N Gamaletsou, Blandine Rammaert, Nikolaos V Sipsas, Valerie Zeller, Emmanuel Roilides, Dimitrios P Kontoyiannis, Michael Henry, Vidmantas Petraitis, Brad Moriyama, David W Denning, Olivier Lortholary, Thomas J Walsh","doi":"10.1093/mmy/myw136","DOIUrl":"10.1093/mmy/myw136","url":null,"abstract":"<p><p>Osteomyelitis and arthritis caused by mucormycetes are rare diseases that rank among the most challenging complications in orthopedic and trauma surgery. The aim of this work is to review the epidemiological, clinical, diagnostic, and therapeutic aspects of the osteoarticular mucormycosis with particular emphasis on high-risk patients. A systematic review of osteoarticular mucormycosis was performed using PUBMED and EMBASE databases from 1978 to 2014. Among 34 patients with median age 41 (0.5-73 years), 24 (71%) were males. While 12 (35%) were immunocompromised patients, 14 (41%) had prior surgery, and seven (21%) suffered trauma. Other underlying conditions included diabetes mellitus, hematological malignancies, transplantation, and corticosteroid therapy. The median diagnostic delay from onset of symptoms and signs was 60 (10-180) days. The principal mechanism of the infection was direct inoculation (n = 19; 56%), and in immunocompromised patients was usually hematogenous disseminated. The long bones were infected by trauma or surgery, while a wide variety of bones were involved by hematogenous dissemination. Combined surgery and amphotericin B treatment were implemented in 28 (82%) and eight (23%) had an unfavorable outcome. Osteoarticular mucormycosis occurs most frequently after trauma or surgical procedures. These infections are progressively destructive and more virulent in individuals with impaired immune systems. Early diagnosis, timely administration of amphotericin B, control of underlying conditions, and surgical debridement of infected tissue are critical for successful management of osteoarticular mucormycosis.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"44 1 1","pages":"691-704"},"PeriodicalIF":1.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89624664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Morton's metatarsalgia in rheumatoid arthritis. 类风湿性关节炎的莫顿跖痛。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1979-07-01 DOI: 10.1097/00003086-197907000-00013

V. Ritama, K. Vainio

引用次数: 23

The effect of systematic treatment of toxaemia of pregnancy upon fetal prognosis. 妊娠毒血症系统治疗对胎儿预后的影响。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1976-06-01 DOI: 10.1097/00006254-197606000-00014

L. Rauramo, A. Kivikoski, T. Salmi

引用次数: 3

Clonidine in the treatment of menopausal symptoms. 可乐定在治疗更年期症状中的作用。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1976-05-01 DOI: 10.1097/00006254-197605000-00019

O. Ylikorkala

引用次数: 11

The prognosis in pregnancy after threatened abortion. 先兆流产后妊娠的预后。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-08-01 DOI: 10.1097/00006254-197508000-00005

P. Jouppila, M. Koivisto

{"title":"The prognosis in pregnancy after threatened abortion.","authors":"P. Jouppila, M. Koivisto","doi":"10.1097/00006254-197508000-00005","DOIUrl":"https://doi.org/10.1097/00006254-197508000-00005","url":null,"abstract":"\u0000 A study of the outcome of pregnancy in 143 cases of threatened abortion is presented. Fetal life was confirmed by ultrasonic technique during the 1st half of pregnancy. 7% of the pregnancies terminated in abortion and the remainder ended in delivery. The frequency of preeclampsia (21%) and placenta praevia (3%) was significantly higher than in the control group, as was the case with the number of manual removals (6) of the placenta (p less than .001). Breech extractions were required in 5 cases. 13.2% of the deliveries occurred before Week 37 of pregnancy, and 8.1% of the infants weighed less than 2500 gm. The perinatal mortality rate (3.7%) and the frequency of infant malformation (5.2%) were not statistically significant compared with the control group. However, the frequency of respiratory difficulties (14.7%) and hyperbilirubinemia (8.1%) was significantly higher (p less than .001). It was concluded that a pregnancy continuing after threatened abortion does not noticeably increase the risk of severe infant malformations or perinatal death, though mothers with threatened abortion constitute a high-risk group that requires careful follow-up.\u0000","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 6 1","pages":"439-44"},"PeriodicalIF":0.0,"publicationDate":"1975-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00006254-197508000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61910171","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: 8

The absorption of conjugated oestrogen and sodium oestrone sulphate from the vagina. 从阴道吸收共轭雌激素和硫酸雌酮钠。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-05-01 DOI: 10.1097/00006254-197505000-00019

O. Widholm, E. Vartiainen

引用次数: 26

Effects of high-dose medroxyprogesterone given for endometrial carcinoma on serum proteins. 大剂量甲孕酮对子宫内膜癌患者血清蛋白的影响。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-04-01 DOI: 10.1097/00006254-197504000-00026

P. Ylöstalo, A. Vehaskari, A. Kauppila

{"title":"Effects of high-dose medroxyprogesterone given for endometrial carcinoma on serum proteins.","authors":"P. Ylöstalo, A. Vehaskari, A. Kauppila","doi":"10.1097/00006254-197504000-00026","DOIUrl":"https://doi.org/10.1097/00006254-197504000-00026","url":null,"abstract":"\u0000 29 women with endometrial cancer were treated with 50-mg medroxyprogesterone twice daily for 1 year and studied to determine what effect this dose of progesterone had on serum proteins. Total serum proteins were significantly (p less than .01) elevated at 3 months until 6 months after treatment. There was a transient decline in albumin at 1 month (p less than .01) which reelevated after 3 months. Alpha-1-globulin and alpha-2-globulin increased at the beginning of therapy (p less than .001 at 1 month) and returned to pretreatment levels at the end of therapy. Gamma globulin levels were significantly less after 1 year of therapy. Alpha-1-acid-glycoprotein was significantly elevated at 1 month and returned to normal after therapy ended. These protein levels are compared with those in pregnancy and during oral contraceptive therapy. It is concluded that these changes are smaller and even the reverse of those seen in pregnancy and oral contraceptive therapy; the changes are attributed to the effect of sex hormones on hepatic metabolic activities.\u0000","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 2 1","pages":"86-92"},"PeriodicalIF":0.0,"publicationDate":"1975-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00006254-197504000-00026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61909278","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: 2

A case of malignant arrhenoblastoma. 恶性肾母细胞瘤1例。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01

O Widholm, M Ikonen

引用次数: 0

Haemophilus influenzae as a cause of salpingitis. 流感嗜血杆菌引起输卵管炎。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01

E Herva, R Pokela, O Ylikorkala

引用次数: 0

Gastric retention following antrectomy and gastroduodenal anastomosis combined with truncal vagotomy. 胃前切除术及胃十二指肠吻合联合迷走神经截切术后胃潴留。

Annales chirurgiae et gynaecologiae Fenniae Pub Date : 1975-01-01

T Monclair

引用次数: 0