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Uterine cervical stenosis: from classification to advances in management. Overcoming the obstacles to access the uterine cavity
Background: To date hysteroscopy is the gold standard technique for the evaluation and management of intrauterine pathologies. The cervical canal represents the access route to the uterine cavity. The presence of cervical stenosis often makes entry into the uterine cavity difficult and occasionally impossible. Cervical stenosis has a multifactorial etiology. It is the result of adhesion processes that can lead to the narrowing or total obliteration of the cervical canal. Purpose: In this review, we summarize the scientific evidence about cervical stenosis, aiming to identify the best strategy to overcome this challenging condition. Methods: The literature review followed the scale for the q…
Benchmarking plant diversity of Palaearctic grasslands and other open habitats
© 2021 The Authors.
Scale dependence of species–area relationships is widespread but generally weak in Palaearctic grasslands
Questions: Species–area relationships (SARs) are fundamental for understanding biodiversity patterns and are generally well described by a power law with a constant exponent z. However, z-values sometimes vary across spatial scales. We asked whether there is a general scale dependence of z-values at fine spatial grains and which potential drivers influence it. Location: Palaearctic biogeographic realm. Methods: We used 6,696 nested-plot series of vascular plants, bryophytes and lichens from the GrassPlot database with two or more grain sizes, ranging from 0.0001 m² to 1,024 m² and covering diverse open habitats. The plots were recorded with two widespread sampling approaches (rooted presenc…
Predictors of Pain Development after Laparoscopic Adnexectomy: A Still Open Challenge
Surgical postoperative pain is one of the key factors affecting patient recovery after a procedure and one of the most important elements to consider when dealing with new surgical approaches.
Reproductive outcomes after expectant and surgical management for tubal pregnancy: a retrospective study
Background: The management of ectopic pregnancy is widely debated. Salpingectomy, salpingostomy, and expectant management are widely performed, but the best approach in terms of keeping good future spontaneous fertility chances is yet to be determined. Material and methods: We performed a retrospective analysis (Clinical Trial ID: NCT05479786) of the medical records of patients with an ultrasonographic or surgical diagnosis of tubal ectopic pregnancy that were admitted to the University of Debrecen Clinical Centre between 2012 and 2020. Results: A total of 312 patients were included in the analysis. Patients managed expectantly and patients treated with salpingostomy had significantly highe…
Evaluation of Borderline Ovarian Tumor Recurrence Rate after Surgery with or without Fertility-Sparing Approach: Results of a Retrospective Analysis
Borderline ovarian tumors (BOTs) comprise 15-20% of primary ovarian neoplasms and represent an independent disease entity among epithelial ovarian cancers. The present study (Clinical Trial ID: NCT05791838) aimed to report a retrospective analysis of the management and outcomes of 86 consecutive BOTs patients, 54 of which were at a reproductive age. All patients with BOTs undergoing surgical treatment from January 2010 to December 2017 were included. Data were retrospectively reviewed. High levels of Ca-125 were observed in 25.6% of the FIGO stage I patients and 58.3% of the advanced disease patients. Fertility-sparing surgery and comprehensive surgical staging were performed in 36.7% and 4…
Fertility-Sparing Strategies for Early-Stage Endometrial Cancer: Stepping towards Precision Medicine Based on the Molecular Fingerprint
Endometrial cancer represents the fifth most common cancer in women, and the most common gynecological malignancy in developed countries [...]
Landscape and habitat filters jointly drive richness and abundance ofspecialist plants in terrestrial grassland islands
Land use changes have resulted in the loss and isolation of semi-natural habitats worldwide. In intensively used agricultural landscapes the remnants of natural flora only persist in small habitat islands embedded in a hostile matrix (Deák et al. 2016a). Species composition of small habitat islands is substantially influenced by habitat and landscape filters through persistence and dispersal traits of plant species. Due the interaction of factors acting in different spatial scales, vegetation of habitats islands can be evaluated by a complex approach considering multiple spatial scales. We sampled grassland specialist plant species, local environmental factors (habitat filter) and the lands…