Search Results

1 - 9 of 9 items :

  • "efficiency" x
Clear All
Endoscopic ultrasound-guided pancreatic pseudocyst drainage with lumen-apposing metal stents or plastic double-pigtail stents: A multifactorial analysis

Introduction Endoscopic ultrasound (EUS)-guided puncture and drainage is a widely accepted nonsurgical intervention for pancreatic pseudocysts (PPs).[ 1 , 2 , 3 ] Endoscopic interventions include endoscopic cystogastrostomy, balloon dilation of the fistula, endoscopic necrosectomy, and placement of double-pigtail stents for drainage. Recently, covered self-expandable metal stents (CSEMS), which have a lumen-apposing design and are used to drain fluid collections, have been studied.[ 4 , 5 , 6 , 7 ] However, the efficiency of plastic stents and lumen

Open access
Pay for performance and the management of hypertension

. What is P4P? Pay for performance is an over-arching term for a method of rewarding organizations and/or individuals based upon their performance against identified criteria, which, depending upon the scheme, may include measures of quality, reporting, efficiency, and/or value. [ 4 ] Therefore, the aims, content, and structure of P4P schemes are highly diverse. However, there is commonality in that schemes are focused upon modifying healthcare provider behaviors and that payments are linked to achievement of identified criteria, frequently quality indicators. [ 5

Open access
Endoscopic diagnosis and treatment of precancerous colorectal lesions in patients with inflammatory bowel disease: How does the latest SCENIC international consensus intersect with our clinical practice?

endoscopic diagnostics, the SCENIC consensus recommends that the term ‘dysplasia associated lesion or mass’ (DALM) should no longer be used. Previously, limited resolution of classical endoscopy greatly compromised the visualization of mucosal surface details, and therefore, endoscopists had to rely on low-efficiency methods such as random biopsy to detect dysplasia. In this context, DALM was used to describe the colonic mucosa containing precancerous lesions. The rapid development of endoscopic techniques in recent years has enabled us to fully observe suspicious lesions

Open access
Hepatitis C in Cameroon: What is the progress from 2001 to 2016?

in patients with low CD4 cell count in Africa despite frequent coinfections with HBV or HCV. These findings clearly indicate that the effect of antiviral treatments on HCV coinfection is still poorly investigated in Cameroon and further investigations are necessary to determine and better understand potential drug interactions that might affect their efficiency. Treatment Modern treatments against hepatitis C in Cameroon The treatment of hepatitis C in Cameroon for more than 10 years was only based on the combination of pegylated interferon alpha

Open access
The third-time chronic myeloid leukemia in lymphoblastic crisis with ABL1 kinase mutation induced by decitabine, dexamethason combined with nilotinib and dasatinib

these patients with BCR-ABL1 kinase domain mutations. Since this patient still progressed to BC during being treated by dasatinib and nilotinib orderly, it was suggested that the mechanisms of resistance or BC were more than ABL1 kinase domain mutation. So, we had to seek the novel therapy for her. In CML, DNA hypermethylation was in concert with disease progression. [ 6 ] DAC, as one of hypomethylating agents, is a cytosine analog causing DNA methyltransferase (DNMT) inhibition. Beside its single-agent efficiency in CML, including imatinib-resistant cases, it has

Open access
Clinical value of ultrasonography in diagnosis of pulmonary embolism in critically ill patients

; spontaneous thrombolysis, and revascularization, which may change transthoracic ultrasonography images. Direct ultrasound signs of PE in proximal deep vein The formation of proximal deep venous thrombosis (DVT) is closely related to the development of PE. Therefore, a DVT history, WELLS score, or proximal DVT examination can improve the diagnostic efficiency of PE. A recent study showed that for patients with probable DVT, the diagnostic sensitivity and specificity can be up to 77.8% and 91.4%, respectively, if a 3-point venous compression ultrasound examination

Open access
Therapeutic approaches of obstructive sleep apnea in China

-group cohort study, upper airway stimulation has been shown to result in significant improvements in both lifequality and AHI of OSA patients.[ 28 ].ne study performed by Dr. Zhang in Nanjing evaluated the efficiency of transcutaneous stimulation of genioglossus on remaining mild-moderate OSA after uvulopalatopharyngoplasty. They found that nocturnal AHI, microarousal index, ratio of duration of pulse oxygen desaturation significantly decreased.[ 29 ] Risks associated with this procedure include hypoglossal nerve injury, infection, device failure and dislodgement. Tan et al

Open access
A single-step multiplex quantitative real time polymerase chain reaction assay for hepatitis C virus genotypes

has special significance in terms of the differential response of patients to antiviral treatment.[ 5 ]It has been shown that the efficiency of treatment is largely influenced by virus genotypes in addition to several other biological parameters. This aspect of HCV appeals to the necessity of prior knowledge and information on genotyping status of patients before planning the antiviral treatment. For this, there is a need to develop a fast, sensitive and economic assay to determine the genotype status in patients infected with HCV. The first type

Open access
The progress of traditional Chinese medicine in the treatment of aplastic anemia

increase the content of CD + cells in bone marrow.[ 52 ] “Kidney-tonifying therapy” can significantly inhibit the mRNA expression of TNF - α and IFN - γ in the bone marrow, and up-regulate the levels of IL-3 and stem cell factor (SCF),[ 53 ] which is conducive to the recovery of hematopoietic function. Reduce adverse reactions of western drugs and improve quality of life Early intervention of treatment in TCM can regulate the overall balance of Yin and Yang, increase efficiency and reduce toxicity. Xu et al .[ 54 ] observed 328 patients with chronic aplastic

Open access