Search results for "OPERATION"
showing 10 items of 2969 documents
Adaptation to life after surgical removal of the bladder—an application of graphical Markov models for analysing longitudinal data
2004
Graphical Markov models have been developed particularly for the analysis of observational data. They allow the control of various background variables when analysing theoretically relevant associations. This paper demonstrates the application and some advantages of graphical Markov models in comparison to conventional statistical analyses. The aim of the study was to identify patients at risk for developing decreased health-related quality of life (QoL) after cystectomy and to explore the influence of coping on QoL in this situation. Therefore, the method was applied to analyse the data of a prospective study, in which 81 patients with bladder cancer were interviewed pre-operatively and in…
Critical issues for employees in inter-municipal health care services: a multiple case study
2018
Abstract Background Traditional, hierarchical government structures have recently been challenged by increased complexity, fragmented services and heavy public demand. When healthcare services become fragmented and decentralised, they require redesign. Inter-municipal cooperation is a strategy to deal with current challenges and future demographic changes. Few studies exist that can help us conceptualize challenges regarding employment in this context and inform managers in the involved municipalities. This study aims to identify critical issues for employees in inter-municipal health care services and to elaborate on how and why these issues are experienced. Methods A multiple qualitative …
From heart-rate data to training quantification: a comparison of 3 methods of training-intensity analysis.
2014
Purpose:The authors directly compared 3 frequently used methods of heart-rate-based training-intensity-distribution (TID) quantification in a large sample of training sessions performed by elite endurance athletes.Methods:Twenty-nine elite cross-country skiers (16 male, 13 female; 25 ± 4 y; 70 ± 11 kg; 76 ± 7 mL · min−1 · kg−1 VO2max) conducted 570 training sessions during a ~14-d altitude-training camp. Three analysis methods were used: time in zone (TIZ), session goal (SG), and a hybrid session-goal/time-in-zone (SG/TIZ) approach. The proportion of training in zone 1, zone 2, and zone 3 was quantified using total training time or frequency of sessions, and simple conversion factors across…
Does the Compliance to Intravesical BCG Differ between Common Clinical Practice and International Multicentric Trials?
2015
<b><i>Introduction:</i></b> The aim of this study was to analyze the reasons for intravesical BCG interruption in clinical practice. BCG for at least one year is advocated as the best regimen to treat high-risk non-muscle invasive bladder cancer (NMIBC). However, almost 50% of patients don't complete it. Toxicity accounts for 10% of dropouts in international trials. <b><i>Materials and Methods:</i></b> Patients with T1HG NMIBC undergoing 1-year BCG were enrolled in this study. BCG was administered for one year. Toxicity and causes of treatment interruption were recorded. <b><i>Results:</i></b> A total of 411 patients we…
Human cooperation in groups: variation begets variation
2015
Open Access Published: 04 November 2015 Human cooperation in groups: variation begets variation Pieter van den Berg, Lucas Molleman, Jaakko Junikka, Mikael Puurtinen & Franz J. Weissing Scientific Reports volume 5, Article number: 16144 (2015) Cite this article 383 Accesses 4 Citations 6 Altmetric Metricsdetails Abstract Many experiments on human cooperation have revealed that individuals differ systematically in their tendency to cooperate with others. It has also been shown that individuals condition their behaviour on the overall cooperation level of their peers. Yet, little is known about how individuals respond to heterogeneity in cooperativeness in their neighbourhood. Here, we presen…
Do elite endurance athletes report their training accurately?
2013
Purpose:The purpose of this study was to validate the accuracy of self-reported (SR) training duration and intensity distribution in elite endurance athletes.Methods:Twenty-four elite cross-country skiers (25 ± 4 y, 67.9 ± 9.88 kg, 75.9 ± 6.50 mL · min−1 · kg−1) SR all training sessions during an ~14-d altitude-training camp. Heart rate (HR) and some blood lactate measurements were collected during 466 training sessions. SR training was compared with recorded training duration from HR monitors, and SR intensity distribution was compared with expert analysis (EA) of all session data.Results:SR training was nearly perfectly correlated with recorded training duration (r = .99), but SR training…
Innervated Island Flaps in Morphofunctional Vulvar Reconstruction
2000
In this article, the authors present their own experience in vulvar reconstruction following vulvectomy using two different innervated island flaps according to the size and site of the defect. Island-flap mobilization is possible thanks to the rich blood supply of the perineal region. The methods described are a "V-Y amplified sliding flap from the pubis" and a "fasciocutaneous island flap" raised from one or both gluteal folds. The V-Y amplified sliding flap from the pubis is indicated when the defect is symmetric and located anteriorly. This flap is harvested from the pubis and vascularized by the deep arterial network of the pubis. Sensory innervation is provided by branches of the ileo…
Ovarian Endometrioid-like Yolk Sac Tumor Treated by Surgery Alone, with Recurrence at 12 Years
1999
Abstract We describe the case of a stage Ia endometrioid-like yolk sac tumor (YST) of the ovary, which was originally misdiagnosed as a malignant struma ovarii and not treated with adjuvant chemotherapy. After 12 years, a contralateral dermoid cyst was excised along with a small omental nodule of partially necrotic and calcified endometrioid-like YST. No tumor was detected in several other biopsy specimens, and a peritoneal lavage was negative for tumor cells. Since there was no evidence of remaining tumor and the serum α-fetoprotein (AFP) level was normal after the second operation, the patient was followed. Serial serum AFP levels remained normal for 4 months. At a second-look laparotomy …
Salvage (tertiary) breast reconstruction after implant failure
2011
Summary Background Salvage breast reconstruction is defined as a complete revision of a previous reconstruction in case of unsatisfactory results or failure of primary or secondary breast reconstruction. We have termed this ‘tertiary breast reconstruction'. This article presents our experience with tertiary reconstructions, including the indications, method of reconstruction and outcomes. Methods A retrospective note review was performed for all patients who underwent breast reconstruction with autologous tissue under one surgeon between 2002 and 2009 at the University Hospital, Ghent. Out of these 688 patients, 54 patients (7.8%) required tertiary surgery with autologous tissue after failu…
Impact of the line of sight on toric phakic intraocular lenses for hyperopia
2003
We present a hyperopic patient with a decentered line of sight in whom the residual refractive error after toric phakic intraocular lens (TP IOL) implantation was improved by displacement and individualized treatment. A 35-year-old woman presented with asthenopic complaints 2 months after bilateral TP IOL implantation and IOL rotation 4 weeks later. Examination revealed the line of sight to be nasally and inferiorly decentered in relation to the center of the pupil. A more nasal reenclavation of the TP IOL decreased the coma, and the uncorrected visual acuity was 20/20. We conclude that line of sight should be measured before TP IOL implantation, especially in hyperopic eyes.