Advances in medical sciences
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Chlamydia trachomatis and Mycoplasma hominis, Mycoplasma genitalium, and Ureaplasma urealyticum are associated with various diseases of the urogenital tract, but they are usually not detected by routine microbiological diagnosis. To determine the occurrence of Chlamydia trachomatis, Mycoplasma hominis, Mycoplasma genitalium, and Ureaplasma urealyticum in patients with sterile pyuria. ⋯ PCR testing of sterile pyuria showed a significant number of C. trachomatis, Mycoplasma, and Ureaplasma infections. Consequently, PCR is recommended for the detection of those microorganisms in the urine samples of sterile pyuria patients.
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There are various definitions and monitoring modalities for hemodynamic status. Each of them has its own advantages and shortcomings. A new hemodynamic index is proposed in this study. This index can be calculated by placing the measured hemoglobin saturation in a formula. Blood samples for this measurement are taken from arterial, antecubital and central venous blood. ⋯ As the hemodynamic condition deteriorates, this index decreases significantly. This index is an accurate indicator for predicting hemodynamic changes compared to some other modalities. Further investigations are needed into the prognostic and therapeutic advantages of this index.
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Splenic artery aneurysms (SAA) occur predominantly in women, and the majority of them are asymptomatic until rupture. Over half of those that rupture occur during pregnancy. ⋯ We report the case of a 29-year-old woman at 34 weeks' gestation with spontaneous rupture of SAA who underwent emergency exploratory laparotomy and splenectomy. This case illustrates the need to consider ruptured SAA as part of important differential diagnosis in haemodynamically unstable pregnant women.