3 research outputs found

    Serous cystic neoplasm of the pancreas: A multinational study of 2622 patients under the auspices of the International Association of Pancreatology and European Pancreatic Club (European Study Group on Cystic Tumors of the Pancreas)

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    OBJECTIVES: Serous cystic neoplasm (SCN) is a cystic neoplasm of the pancreas whose natural history is poorly known. The purpose of the study was to attempt to describe the natural history of SCN, including the specific mortality. DESIGN: Retrospective multinational study including SCN diagnosed between 1990 and 2014. RESULTS: 2622 patients were included. Seventy-four per cent were women, and median age at diagnosis was 58\u2005years (16-99). Patients presented with non-specific abdominal pain (27%), pancreaticobiliary symptoms (9%), diabetes mellitus (5%), other symptoms (4%) and/or were asymptomatic (61%). Fifty-two per cent of patients were operated on during the first year after diagnosis (median size: 40\u2005mm (2-200)), 9% had resection beyond 1\u2005year of follow-up (3\u2005years (1-20), size at diagnosis: 25\u2005mm (4-140)) and 39% had no surgery (3.6\u2005years (1-23), 25.5\u2005mm (1-200)). Surgical indications were (not exclusive) uncertain diagnosis (60%), symptoms (23%), size increase (12%), large size (6%) and adjacent organ compression (5%). In patients followed beyond 1\u2005year (n=1271), size increased in 37% (growth rate: 4\u2005mm/year), was stable in 57% and decreased in 6%. Three serous cystadenocarcinomas were recorded. Postoperative mortality was 0.6% (n=10), and SCN's related mortality was 0.1% (n=1). CONCLUSIONS: After a 3-year follow-up, clinical relevant symptoms occurred in a very small proportion of patients and size slowly increased in less than half. Surgical treatment should be proposed only for diagnosis remaining uncertain after complete workup, significant and related symptoms or exceptionally when exists concern with malignancy. This study supports an initial conservative management in the majority of patients with SCN

    SHELTER FOR THE URBAN POOR IN SANPASADA

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    With urbanization comes the problem of shelter provision for the urban poor in developing countries like the Philippines. The objective of this paper is to assess the socialized housing provision for the urban poor in the local government units of the Municipality of Sta. Cruz, Panabo City, Island Garden City of Samal, and Davao City (also known as SANPASADA). The assessment of the physical stock as an indicator includes the provision of land and the housing structure.  The study shows that both local and national government units mostly assisted only in the lot acquisition of housing beneficiaries. The provision of housing structures was mostly provided through the initiative and ingenuity of the urban poor beneficiaries or with the assistance of the non-government organizations. Site development and the provision of infrastructure and utilities were done phase by phase through the initiative of the homeowners associations and from limited assistance of local government units.  It is generally recommended that to promote a comprehensive approach in the provision of shelter needs of the urban poor, both the local and national government units should encourage the active participation and collaboration with NGOs and urban poor beneficiaries

    D. Die einzelnen romanischen Sprachen und Literaturen.

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