Interobserver variability was assessed by using 400 randomly selected clinical records.\n\nResults: Data on pregnancy complications and maternal anthropometric parameters were successfully recovered. Agreement between the questionnaire and records in family history data was fair, particularly for cardiovascular disease [k = 0.27; 95% confidence interval www.selleckchem.com/products/selonsertib-gs-4997.html (95%CI): 0.23-0.32]. The highest agreement was observed for personal history of diabetes (k = 0.82;
95%CI 0.70-0.93), while agreement for hypertension was moderate (k = 0.60; 95%CI 0.50-0.69). Discrepancies in prepregnancy body mass index classes were observed in 10.3% women. Data were highly consistent between the two reviewers, with the highest agreement found for gestational diabetes (k = 1.00) and birth weight (99.5% concordance).\n\nConclusion: Data from the medical records and questionnaire were concordant with regard to pregnancy and well-known risk factors. The low interobserver variability did
not threaten the precision of our data. (C) 2010 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.”
“Background: Carcinoid tumors are low grade, malignant, neuroendocrine neoplasms. Although rare, they represent the most common primary bronchial tumours in childhood. The aim of our study was to analyse the long-term survival and surgical treatment outcome in our young patients operated for carcinoid tumour.\n\nPatients: selleck compound We retrospectively reviewed the data of 15 paediatric patients who underwent surgery at our Institution. There were I I male and 4 female patients with a median age of 15 years (range 8-18). All carcinoids were centrally located and symptomatic.\n\nResults: We performed 10 (66.7%) parenchyma-saving procedures (5 sleeve lobectomies, 3 sleeve resections of the main bronchus, 2 bronchoplasties associated with lung resection) and 5 (33.3%) standard resections (3 bilobectomies and 2 lobectomies). There were 13 typical and 2 atypical carcinoids. Three patients (20%) had nodal metastases. There were no surgery-related deaths or complications. At long-term follow-up all patients AC220 presented
with regular growth and all but one are alive. Two (13.3%) patients needed re-operation.\n\nConclusions: Results suggest that, in experienced and skilled hands, conservative procedures are the treatment of choice for the management of paediatric bronchial carcinoids. Relapses can be successfully treated with re-operation and they can occur even after many years, underlining the importance of long-term follow-up.”
“Objective To prospectively compare norfloxacin (N) with trimethoprim-sulfamethoxazole (T-S) in preventing infection in cirrhotic patients. Methods Cirrhotic patients at high risk of spontaneous bacterial peritonitis (SBP) were recruited and assigned N (400 mg daily) or T-S (160/800 mg daily). Patients were followed up for 12 months. The primary end-point was the incidence of infection.