1,720,964 research outputs found
Combined ultrasonographically guided drenage and laparoscopic excision of large endometriomas.
No full textWe report a prospective pilot study which evaluated the feasibility of combined ultrasonographically guided drainage and laparoscopic excision after pre-operative administration of a gonadotrophin-releasing hormone analogue for 3 months in the management of ovarian endometriotic cysts >5 cm. Ten patients with an ultrasonographic diagnosis of large unilateral or bilateral ovarian endometriotic cysts received an intramuscular injection of leuprorelinum acetate 3.75 every 4 weeks for 12 weeks. After 4 weeks of medical treatment, the endometrioma was carefully drained transabdominally under ultrasonographic control. Within 8 weeks since the last injection, the patients were submitted to a second ultrasonography, and laparoscopy-guided stripping of the endometrioma was performed. A videotape review was undertaken to evaluate duration and complexity of the different phases of surgery. Stripping of endometriomas with preservation of residual ovarian parenchymas was obtained in all cases; adhesiolysis was complete in 6 cases. There were neither intra-operative complications nor conversions in laparotomy. In conclusion, gonadotrophin-releasing hormone analogue and cyst drainage seem to permit an easy laparoscopic approach of large endometriomas; the findings of our pilot phase seem to justify a randomized trial to better define the effectiveness of this approach with respect to standard procedures
Evolving the "How Might We?" Tool to Include Planetary Boundaries
Full text linkThis work aims to study the evolution of the “Human and planet balance tool” as part of Prosperity Thinking. Prosperity Thinking is a sustainable design methodology that takes into account human and planet means. Through a literature review on sustainable design, we noticed that there is a lack of methods that take into account the problem definition stage. We developed a “Human and planet balance tool” which helps framing sustainable design challenges. Results show that designers, innovators, and changemakers have an interest in a methodology to analyze and address systemic challenges
Attuali criteri di valutazione del cardiotocogramma antepartum.
No full textGli Autori riportano la loro esperienza nella applicazione alla pratica clinica delle nuove conoscenze del comportamento del feto in utero e della reattività fetale. La lettura e la interpretazione del cardiotogramma antepartum attraverso questi criteri possono consentire una più precisa identificazione della popolazione a rischio ipossico
Valutazione del rapporto testosterone/androstenedione nella donna iperandrogenica:indagine preliminare.
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