From June 2001 to September 2001, 72 patients with diabetes in 20 communes Gia Lam, Soc Son and Dong Da District were enrolled in the study. The common complications reported are loss of visual capacity <8/10 (76.39%), pathology of retina (59.72%), cataract (58.33%), choroiditis (5.56%), conjunctivitis (4.17%). Pathology of retina, cataract are most common in male than in female patients, but choroditis and conjunctivitis in female than in male. The older age, and later diagnosis the more rate of complication in retina and in visual capacity, the same
Diabetes Complications ; Eye ; complications

Although posterior lumbar interbody fusion (PLIF) is a widely accepted procedure, perioperative and postoperative complications are still encountered. In particular, cage migration can result in severe sequelae, and revision surgery is technically demanded. Here, we report a rare case of repeated migration of a fusion cage after PLIF. To the best of our knowledge, no report has been previously issued on repeated migration of a fusion cage after PLIF. The authors discuss the radiological and clinical findings of this unusual complication with a review of the literature.
Postoperative Complications

Achieving and maintaining good glycaemic control remains an important goal in the management of this common and prevalent disorder. Recent evidence from important megatrials, ACCORD, ADVANCE, VADT, UKPDS-10 year follow-up as well as the STENO-2 follow-up study, have cleared doubts concerning the benefits of targeting good glycaemic control. For the first time, we have the reassurance that macrovascular benefits can be realised from good glycaemic control. The legacy effect of prior good glucose control from the UKPDS-10 year follow-up, reinforces the results seen from the DCCT-EDIC (for Type 1 diabetes). The Intervention Phase of the UKPDS revealed benefits for reduction of microvascular complications, while it was only at the end of the Post-Trial Monitoring Phase where significant improvements in both micro and macrovascular outcomes were seen. The other three Trials assessing the effect of glycaemic control on cardiovascular outcomes, although largely negative for CV benefit, give valuable insight towards appropriate patient characteristics for which aggressive glucose control can and should be instituted. Individualising glycaemic targets, which has been the approach that many clinicians have been practising, has received new impetus albeit with clearer details. Getting to glycaemic goal early in the course of T2DM and Doing to Safely (Avoiding hypoglycaemia) are the key ingredients to successful management. The legacy of the memory of initial good metabolic/glycaemic control is investment in good health with benefits of reductions in both micro and more importantly, macrovascular disease, years later. Multifactorial interventions that include blood pressure, lipid lowering in addition to glucose control in these individuals with the Metabolic Syndrome result in more immediate beneficial additive effects on cardiovascular outcomes.
Diabetes Complications

No abstract available.
Postoperative Complications*

No abstract available.
Diabetes Complications

INTRODUCTION

Prostate cancer, a significant male health concern (ASR: 29.3/100,000), demands accurate diagnosis. Prostate biopsy, pivotal for clinical decisions, relies on transrectal biopsy as the norm, despite limitations like infection risk and incomplete sampling. An alternative, transperineal biopsy, grants broader access but demands more time and anesthesia. Escalating complications due to antibiotic resistance heighten apprehensions. Discrepancies in complications emerge from varied studies, while cancer detection rates stay consistent (45-49%). These conflicting outcomes raise vital safety issues. This study strives to bridge the information void by assessing complications within the local context, offering clarity for informed biopsy choices. With 150 words, the importance of evaluating biopsy methods in light of complications becomes evident, emphasizing the significance of this research in guiding clinical practice.

This research aims to compare ultrasound guided transrectal prostate biopsy and freehand ultrasound guided transperineal biopsy at a Quezon City government hospital. Specific objectives include describing patient profiles for each technique, assessing infection rates, evaluating pain tolerance, comparing hematuria levels, measuring dysuria immediately post-biopsy and 1 day after, analyzing hospitalization rates, evaluating the techniques’ effectiveness in detecting prostate cancer, and reviewing histopathologic differences in prostatitis between the two methods.

The study was conducted at the Veterans Memorial Medical Center Urology Section from January to October 2023. Using a prospective, descriptive, cross-sectional design, male patients undergoing ultrasound guided transrectal or transperineal prostate biopsies were included. Inclusion criteria include males aged 45 and above with PSA above 4.0 ng/dl and abnormal prostate findings. Exclusion criteria cover repeat biopsy cases and prior prostate cancer diagnosis. With an assumed 50% detection and complication rate, a minimum of 109 patients for each biopsy type was required for a 95% confidence level and 5% margin of error, totaling 218 participants.

The study compared transrectal and transperineal prostate biopsies in terms of patient characteristics, complications, diagnostic accuracy, and cancer detection rates. Patients undergoing transrectal biopsy had higher mean PSA levels (53.41 vs. 28.59, p=0.024) and received more fosfomycin prophylactic antibiotics (27% vs. 18%, p=0.044) compared to transperineal biopsy patients. Complication rates varied significantly between the two techniques, with chronic prostatitis seen in 5% of transperineal cases (p < 0.01). Transrectal biopsy patients experienced more pain, gross hematuria, urinary retention, fever, and hospitalization (p < 0.01). Diagnostic performance, assessed through the ROC curve’s area under the curve, showed comparable sensitivity and specificity for transrectal (AUC=0.559) and transperineal (AUC=0.441) biopsies (p=0.108). Cancer detection rates did not significantly differ between transrectal (34.4%) and transperineal (45.9%) biopsies (p=0.114). These results provide insights into the differences and similarities between the two biopsy techniques, impacting patient demographics, complications, and diagnostic outcomes.

This comparative investigation of transrectal and transperineal prostate biopsies in a tertiary hospital setting yields impactful insights. Participant ages were similar, but transrectal patients had higher PSA levels. Complication rates varied, with more chronic prostatitis in the transperineal group. Transperineal biopsies reduced pain, while transrectal group faced more complications. Cancer detection rates remained comparable. Transperineal biopsies demonstrated advantages in alleviating discomfort and potentially reducing complications. Tailoring biopsy approach based on patient profiles is crucial for diagnostic efficacy and patient well-being. These findings guide informed decision-making, prioritizing safety and experience in prostate biopsy practices.

Aged ; Humans ; Hypercalcemia ; complications ; Liver Neoplasms ; complications ; Lymphoma ; complications ; Male

Blepharoptosis ; parasitology ; Cysticercosis ; complications ; Echinococcosis ; complications ; Humans ; Trichuriasis ; complications

Cardiomyopathies ; complications ; Diverticulum ; complications ; Hematoma ; complications ; Humans ; Male ; Middle Aged

Hidradenitis suppurative is a chronic, refractory and recurrent dermatological disease. The disease should be managed by targeted surgical intervention on the basis of medical treatment. Currently, the surgical treatment methods include local treatments like incision and drainage, unroofing, laser therapy, intense pulsed light therapy, photodynamic therapy, as well as complete lesion resection such as skin-tissue saving excision with electrosurgical peeling and extended excision. The clearance range, therapeutic effect, postoperative complications, and recurrence risk vary among the different treatment methods. Local treatments cause less damage, but have high recurrence rates, and are mainly for mild to moderate hidradenitis suppurative patients. Complete lesion resections have relatively low recurrence rates, but may bring more surgical injuries, and postoperative reconstructions are needed, which are mainly for moderate to severe hidradenitis suppurative patients. In this article, the surgical treatment principles and various surgical treatment methods of hidradenitis suppurative are reviewed, to provide a reference for the diagnosis and treatment of this disease in clinical practice.
Humans ; Hidradenitis Suppurativa/complications* ; Hidradenitis/complications* ; Drainage ; Postoperative Complications ; Skin