European medical Journal. Urology最新文献_第4页

A Case Control Study of Mesoamerican Nephropathy in Farmers with Long-Term Exposure to Agrochemical Compounds in El Salvador 萨尔瓦多长期接触农用化学品农民的中美洲肾病病例对照研究

European medical Journal. Urology Pub Date : 2023-07-14 DOI: 10.33590/emj/10306306

R. Aguilar, Luis Mozo, Santiago Ceron, Jaime Sanchez

{"title":"A Case Control Study of Mesoamerican Nephropathy in Farmers with Long-Term Exposure to Agrochemical Compounds in El Salvador","authors":"R. Aguilar, Luis Mozo, Santiago Ceron, Jaime Sanchez","doi":"10.33590/emj/10306306","DOIUrl":"https://doi.org/10.33590/emj/10306306","url":null,"abstract":"Introduction: Chronic kidney diseases (CKD) are very prevalent in Central America, particularly in El Salvador. Mesoamerican nephropathy (MN) is a CKD diagnosis that mostly affects male agricultural labourers; its aetiology is debatable. Prolonged contact with plague control pesticides is among the possible causes. To determine if there is any association between farming and long-term exposure to such chemical substances and MN in male agricultural labourers, a case control study was performed.\u0000\u0000Methods: From January 2020–December 2021, the authors gathered a group of 143 male patients with CKD who met the MN criteria, as well as 572 male matched controls with no kidney disease. All were asked about any long-term exposure to agrochemical pesticides, and the odds ratio was calculated.\u0000\u0000Results: A total of 715 individuals were included. There were 127 cases of MN in individuals who were exposed to agrochemicals and 16 cases in the non-exposed patients. Among the controls, the authors found that 348 had been exposed, while 224 had not. Exposure to pesticides was 5.2 times more likely to be associated with MN compared with individuals with no kidney disease.\u0000\u0000Conclusion: MN could be a multifactorial disease, where heat stress and dehydration combine with direct long-term exposure to pesticides, causing damage to kidneys’ tubular network and leading to CKD. Further research is needed.","PeriodicalId":90162,"journal":{"name":"European medical Journal. Urology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84154999","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}

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Elevating Aesthetics: Patient-Specific Treatment with Hyaluronic Acid Fillers to Improve Appearance and Psychosocial Wellbeing 提升美学:玻尿酸填充物改善外观和心理健康的患者特异性治疗

European medical Journal. Urology Pub Date : 2023-06-15 DOI: 10.33590/emj/10306368

Bárbara Magalhães

{"title":"Elevating Aesthetics: Patient-Specific Treatment with Hyaluronic Acid Fillers to Improve Appearance and Psychosocial Wellbeing","authors":"Bárbara Magalhães","doi":"10.33590/emj/10306368","DOIUrl":"https://doi.org/10.33590/emj/10306368","url":null,"abstract":"Perception of beauty is changing from a rigid concept (i.e., the universal idea of beauty) to a multifaceted and personalised view of one’s appearance. One of the main concerns of patients is looking artificial and losing their unique facial expressions, which encourages them to seek aesthetic procedures that yield the most natural results. Patients also wish to increase their self-esteem and, ultimately, improve their quality of life. It is now well-established that treatment with hyaluronic acid (HA)-based dermal fillers improves the psychosocial state of patients. The assessment of facial anatomy and patient needs, accompanied by the proven holistic benefit and good safety profile of HA dermal filler treatment, is also a key factor for an optimal outcome. In addition, clear communication between patient and physician is crucial to manage patient expectations, maximise satisfaction, and minimise procedural risks. The availability of a wide range of HA dermal fillers, customised for specific anatomical areas and facial movements, allows physicians to develop patient-specific treatment plans.\u0000 \u0000\u0000This review of the ‘Elevating Aesthetics’ symposium held at the International Master Course on Aging Science (IMCAS) 2023 shares insights into the patient’s facial anatomy and possible danger zones presented during a cadaver workshop. Several successful treatment plans tailored to different patient profiles (i.e., patients seeking full-face aesthetic improvement, patients with facial asymmetry, low lip volume in mature and millennial women) were also implemented live. A comprehensive and patient-specific HA dermal filling treatment should be considered by physicians to achieve natural outcomes and improve the general wellbeing of the patient.","PeriodicalId":90162,"journal":{"name":"European medical Journal. Urology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76782585","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}

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The Backbone of Mobility: Interconnected Musculoskeletal Health 活动的骨干:相互联系的肌肉骨骼健康

European medical Journal. Urology Pub Date : 2023-06-15 DOI: 10.33590/emj/10306291

Emj

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Lupus Enteritis: A Case Report 狼疮肠炎1例报告

European medical Journal. Urology Pub Date : 2023-06-13 DOI: 10.33590/emj/10308412

Lucas Zambiasi, Alícia Regina Zambiasi, Mariangela Tomasetto, Patrick Bonacina, Matheus Augusto Eisenreich, Lísia Hoppe, F. Fornari, Ricardo Valões

引用次数: 0

Relationships of Chronic Kidney Disease and Thyroid Dysfunction in Patients with Stage 4 and 5 Chronic Kidney Disease: A Cross-Sectional Study 4期和5期慢性肾病患者慢性肾病与甲状腺功能障碍的关系:一项横断面研究

European medical Journal. Urology Pub Date : 2023-06-06 DOI: 10.33590/emj/10306741

Puneet Bhuwania

{"title":"Relationships of Chronic Kidney Disease and Thyroid Dysfunction in Patients with Stage 4 and 5 Chronic Kidney Disease: A Cross-Sectional Study","authors":"Puneet Bhuwania","doi":"10.33590/emj/10306741","DOIUrl":"https://doi.org/10.33590/emj/10306741","url":null,"abstract":"Introduction: Chronic kidney disease (CKD) affects the pituitary-thyroid axis and peripheral metabolism of thyroid hormones, thereby causing dysfunction of thyroid hormones. This study aimed to highlight the correlation between thyroid dysfunction and the staging of chronic kidney disease.\u0000\u0000Methods: Fifty patients with CKD were studied between 2014–2017 in a tertiary care centre in Western India. These patients were split into a subgroup for Stage 4 and 5 CKD, based upon estimated glomerular filtration rate as per the Kidney Disease Improving Global Outcomes (KDIGO) guidelines. Thyroid function tests and lipid levels were compared in the different CKD subgroups by analysis of variance. Pearson’s correlation coefficient was used to evaluate the thyroid dysfunction with respect to degree of renal dysfunction in the study population.\u0000\u0000Results: Thyroid abnormalities were seen in 68% of the author’s patients. Euthyroid sick syndrome (ESS) was the most prevalent thyroid hormonal abnormality seen in 32% (n=16), followed by hypothyroidism category seen in the remaining 36% (n=18) of the study population. Of these, 18% (n=9) of the patients had subclinical hypothyroidism, while the remaining 18% (n=9) manifested overt hypothyroidism. Results showed that ESS had a positive correlation with estimated glomerular filtration rate (r=0.822; p<0.001). No significant differences were found between groups in thyroxine or thyroid-stimulating hormone (p>0.05). Linear regression in unadjusted analysis revealed that deranged low-density lipoprotein levels was found to be significantly associated negatively with hypothyroidism (p<0.001) in patients with CKD.\u0000\u0000Conclusion: Patients with Stage 4 and 5 CKD have many hormonal disturbances, of which ESS is a common occurrence, and has a significant association with dyslipidaemia, increasing morbidity in these patients. Hypothyroidism is more prevalent in patients with severe renal dysfunction, as a result of higher uremic milieu in these patients.","PeriodicalId":90162,"journal":{"name":"European medical Journal. Urology","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81522180","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

Technology Advance: Embolic Protection, Heart Failure, and Artificial Intelligence 技术进步:栓子保护、心力衰竭和人工智能

European medical Journal. Urology Pub Date : 2023-06-06 DOI: 10.33590/emjintcardiol/10305569

Abigail Craig

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Infographic: Summary of the British Geriatrics Society’s Blueprint for Preventing and Managing Frailty in Older People 信息图:英国老年医学会关于预防和管理老年人虚弱的蓝图摘要

European medical Journal. Urology Pub Date : 2023-06-02 DOI: 10.33590/emj/10301433

Emj

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Prevalence of Carbapenem-Resistant Enterobacteriaceae and the Genes Responsible for Carbapenemase Production in a Tertiary Care Hospital in South India 南印度三级医院碳青霉烯耐药肠杆菌科患病率和碳青霉烯酶产生基因

European medical Journal. Urology Pub Date : 2023-05-25 DOI: 10.33590/emj/10300425

D. N. Joshi, B. Shenoy, Bhavana Mv, R. Adhikary, Shivkumar Shamarao, A. Mahalingam

{"title":"Prevalence of Carbapenem-Resistant Enterobacteriaceae and the Genes Responsible for Carbapenemase Production in a Tertiary Care Hospital in South India","authors":"D. N. Joshi, B. Shenoy, Bhavana Mv, R. Adhikary, Shivkumar Shamarao, A. Mahalingam","doi":"10.33590/emj/10300425","DOIUrl":"https://doi.org/10.33590/emj/10300425","url":null,"abstract":"Introduction: Carbapenem resistance in Gram-negative bacilli (GNB) is a major concern in the management of resistant infections. The mechanism of carbapenem resistance is most commonly mediated by carbapenemases. The five most common genes (NDM, KPC, VIM, OXA, and IMP) are responsible for carbapenemase production. Knowledge of these genes is important for the management of the disease.\u0000\u0000Objective: To estimate the prevalence of different genes responsible for carbapenemase production in GNB at a tertiary healthcare centre in South India.\u0000\u0000Method: In this retrospective study, samples were collected over 16 months. Carbapenem-resistant GNB underwent to Xpert Carba-R assay (Cepheid, Sunnyvale, California, USA) for the detection of five important genes responsible for carbapenemase production: NDM, KPC, VIM, OXA, and IMP.\u0000\u0000Results: Out of 184 carbapenem-resistant GNB, 20 samples were not included in this study. The rest of the 164 samples grew Klebsiella pneumoniae (152), Escherichia coli (10), and Enterobacter (2). OXA-48 and NDM were the most common genes responsible, with 137 (84.5%) and 95 (58.6%), respectively. Among them, 70 (43.2%) showed the presence of both genes, and 1 (0.6%) showed the presence of OXA-48, NDM, and VIM. Individually, 66 (40.7%) of OXA-48, 24 (14.8%) of NDM, and one (0.6%) of VIM. In this study, the authors did not find the presence of IMP or KPC genes.\u0000\u0000Conclusion: As a result of limited options and the higher cost of antibiotics for carbapenem-resistant infections, knowledge of these genes helps in the selection and rational use of antibiotics reduces the cost of management and will prevent mortality and morbidity from these infections.","PeriodicalId":90162,"journal":{"name":"European medical Journal. Urology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75190737","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}

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Pulmonary Tuberculosis Presenting as Acute Respiratory Failure and Unilateral Complete Lung Collapse: Two Case Reports With Review of Literature 肺结核表现为急性呼吸衰竭和单侧完全肺萎陷:两例报告并文献复习

European medical Journal. Urology Pub Date : 2023-05-25 DOI: 10.33590/emj/10308510

D. Rai, Vatsal Bhushan Gupta, Priya Sharma, Ameet Harish

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Interview: Nicola Veronese 采访:Nicola Veronese

European medical Journal. Urology Pub Date : 2023-05-11 DOI: 10.33590/emj/10304659

N. Veronese

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