Bilateral gonadal artery injury after peripartum hysterectomy

Bilateral gonadal artery injury after peripartum hysterectom

Anales de Edafología y Agrobiología Tomo 43 Número 5-6

Suelos. Estudio de los minerales de la arcilla en unos perfiles de suelos con distintos contenidos en materia organica (Rasgos turbosos), de la Sierra de Guadarrama, por Jiménez Ballesta, R., Martín de Vidales, J. L., Reñones, O. y Gumuzzio, J.-- Distribución de la actividad ureásica en las unidades de estructura del suelo. II. Estado y comportamiento enzimático, por Pérez Mateos, M. y González Carcedo, S.-- Contribución al estudio de los suelos de la Sierra del Pozo (Jaén), por J. González Parra, C. González Huecos y A. López Lafuente.-- Influencia del suelo y métodos de cultivo sobre Longidorus profundorum. Nematodo fitoparasito de interés en las áreas cerealistas de la región central, por M. Fé Andrés y A. Bello.-- Aproximación paramétrica para la evaluación de la aptitud de las tierras, por Gilberto Hernández-Silva, Mariano Vinegas Soto, Mireya Maples Vermeersch y Lourdes Flores Delgadillo.-- Reacción con el FNa de los suelos de Galicia l. Características y significado del test de FNa. Distribución de la reactividad en función del material de partida, por E. García-Rodeja, F. MacÍas y F. Guitian Ojea.-- Naturaleza y propiedades del Humus subacuatico del embalse de Gasset (Ciudad Real), por G. Almendros, A. Polo y E. Dorado.-- Reacción con el FNa de los suelos de Galicia II. Suelos sobre rocas graníticas, por E. García-Rodeja Gayoso, F. Macías Vázquez, F. Guitián Ojea.-- Reacción con el FNa de los suelos de Galicia 111. Suelos formados sobre micaesquistos, pizarras, areniscas y cuarcitas, por E. García-Rodeja Gayoso, Macías Vázquez, F. y Guitián Ojea, F.—Fertilidad del Suelo. Effect o f nitrogen, phosphorus and crude organic matter on the yield and composition of potato and chilli, by K. R. Maurya and N. R. Dhar.-- Efecto de diferentes dosis de fertilización y abonamiento en el contenido y rendimiento de hierro y cobre en Lolium multiflorum lam. var. "Westerwolds", por David Flores-Román, Lourdes Flores-Delgadillo y Nicolás Aguilera-Herrera.-- Criterios para determinar la tolerancia a la salinidad de portainjertos de aguacates. por Díaz, A., Altares, M., Alvarez, C. E. y Fernández, .M.-- Estudio de la asimilabilidad de calcio por plantas de Ryegrass en un suelo tratado con compost urbano, por R. Nogales, F. Gallardo-Lara y M. Gómez.—Nutrición y Fisiología Vegetal. Cultivo de hipocotilos de Digitalis obscura L.: Relación entre morfogénesis y producción de glucosidos cardiotonicos, por M. C. Brisa, P. Pérez-Bermudez y J. Segura.-- Efecto del ácido 2,4-diclorofenoxiacético sobre la inducción de callos en cotiledones de Pinus Canariensis, por Pérez Francés, J. F., C. Martínez y A. C. Blesa.-- Desarrollo de técnicas de cultivo "in vitro" para la micopropagación de variedades de manzana sidrera, por Ricardo Ordas, Ana Rodríguez, Roberto Rodríguez y Ricardo Sánchez Tames.-- Caracterización estadística de limón, por F. A. Melendreras y A. Ortuño.-- Trabajos recapitulativos. Avances recientes en el estudio de las micorrizas V-A. II. Factores que afectan su formación y función y aplicaciones prácticas en agricultura, por C. Azcón-Aguilar, J. M. Barea y B. E. Roldán-Fajardo.-- El tiempo como factor formador del suelo, por M. Delgado Rodríguez y R. Delgado Calvo-Flores.-- Notas.-- BibliografíaPeer reviewe

Tocilizumab in giant cell arteritis. Observational, open-label multicenter study of 134 patients in clinical practice.

Tocilizumab (TCZ) has shown efficacy in clinical trials on giant cell arteritis (GCA). Real-world data are scarce. Our objective was to assess efficacy and safety of TCZ in unselected patients with GCA in clinical practice Methods: Observational, open-label multicenter study from 40 national referral centers of GCA patients treated with TCZ due to inefficacy or adverse events of previous therapy. Outcomes variables were improvement of clinical features, acute phase reactants, glucocorticoid-sparing effect, prolonged remission and relapses. A comparative study was performed: (a) TCZ route (SC vs. IV); (b) GCA duration (≤6 vs. >6 months); (c) serious infections (with or without); (d) ≤15 vs. >15 mg/day at TCZ onset. 134 patients; mean age, 73.0 ± 8.8 years. TCZ was started after a median [IQR] time from GCA diagnosis of 13.5 [5.0-33.5] months. Ninety-eight (73.1%) patients had received immunosuppressive agents. After 1 month of TCZ 93.9% experienced clinical improvement. Reduction of CRP from 1.7 [0.4-3.2] to 0.11 [0.05-0.5] mg/dL (p  In clinical practice, TCZ yields a rapid and maintained improvement of refractory GCA. Serious infections appear to be higher than in clinical trials

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2