Medical principles and practice : international journal of the Kuwait University, Health Science Centre
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Observational Study
Impact of Preoperative Neutrophil-Lymphocyte and Platelet-Lymphocyte Ratios on Long Term Survival in Patients with Operable Pancreatic Ductal Adenocarcinoma.
Pancreatic ductal adenocarcinoma (PDAC) has an extremely poor prognosis. The outcomes of patients with cancer are determined not only by tumor-related factors but also by systemic inflammatory response. The objective of the study was to identify whether the preoperative neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are associated with the prognosis of PDAC of the pancreas head after curative pancreatoduodenectomy. ⋯ NLR and PLR measurements cannot provide important prognostic results in patients with resectable PDAC.
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Fingertip-reactive hyperemia-peripheral artery tonometry (RH-PAT) is an emerging novel noninvasive method for evaluating endothelial function. We aimed to evaluate endothelial function with fingertip-reactive hyperemia by RH-PAT in symptomatic patients undergoing elective coronary angiography and to assess the relationship between the degree of endothelial dysfunction (ED) and the presence and the severity of coronary artery disease (CAD). ⋯ RH-PAT is an objective and highly reproducible test with superior diagnostic accuracy for the evaluation of ED. We found significant correlations between ED and the presence and the severity of CAD.
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The aim of this study was to evaluate the Quality of Life (QoL) of Kuwaiti patients with Type 2 Diabetes Mellitus (T2DM), aged ≥45 years of both genders, and identifying factors associated with poor QoL. ⋯ Kuwaiti patients with T2DM aged ≥45 years reported an overall good level of QoL with higher scores in psychological and social relationships than physical and environmental domains of QoL. Health region, type of treatment, educational level, marital status, and BMI level were statistically significant predictors of poor QoL. More public health action is required to control the disease and improve the QoL.
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Wound infections represent a serious complication after vascular surgery particularly after vascular reconstructive procedures. We aimed to identify risk factors predisposing patients to these complications. ⋯ Diabetes, hypertension, ischemic heart disease, hyperlipidemia, and chronic renal failure were associated with post-operative wound infections. Anticipation of wound complications in patients with these risk factors may aid early diagnosis and treatment.
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We aimed to evaluate whether the retrograde intrarenal surgery (RIRS) scoring systems (Resorlu-Unsal Stone Score [RUSS], modified Seoul National University Renal Stone Complexity Score [modified S-ReCS], and R.I.R.S. score) can predict the infective complications after RIRS. ⋯ We suggest that the R.I.R.S. score can be used to predict infective complications in RIRS.