Suggestions for topics suitable for these Point/Counterpoint debates should be addressed to the Moderator: William R. Hendee, Medical College of Wisconsin, Milwaukee: [email protected]. Persons participating in Point/Counterpoint discussions are selected for their knowledge and communicative skill. Their positions for or against a proposition may or may not reflect their personal opinions or the ...

Asthma, and severe asthma, in particular, is increasingly recognised as a heterogeneous disease. Identifying these different phenotypes of asthma and assigning patients to phenotype-specific treatments is one of the current conundrums in respiratory medicine. Any diagnostic procedure in severe asthma (or any disease) should have two aims: 1) better understanding or identifying the diagnosis, an...

In Western countries gastric cancer continues to remain a biologically aggressive tumor, with poor long-term oncological outcomes. In Romania, the estimated gastric cancer was the fifth cause of oncological death in men and the eighth cause of oncological death in women in 2012.The objective of the study is to detail when should the hepatoduodenal ligament (station 12) be cleared surgically as ...

BACKGROUND Primary sclerosing cholangitis (PSC) is a chronic inflammatory disease affecting the intra- and extrahepatic bile duct system that can ultimately cause liver cirrhosis. Apart from the risk of progression to end-stage liver disease the prognosis of PSC is primarily determined by the risk to develop hepatobiliary or extrahepatic malignancies. A reasonable surveillance strategy for PSC ...

Background and Purpose—In malignant cerebral venous thrombosis (CVT) patients, emergency decompressive surgery has been suggested as a life-saving procedure. We report 12 patients with malignant CVT, among whom 8 underwent operation. Methods—Retrospective study of 12 patients from 3 stroke units who had a malignant CVT as defined: (1) supratentorial cortical lesions attributable to superficial ...

The prevalence of endometrial polyps in postmenopausal womencanbeashighas35%, and it hasbeen steadily increasing with the wide dissemination of ultrasound in the routine gynecological practice.1 Endometrial polyps are important because they can cause symptoms, and might be associated with endometrial cancer. The percentage of malignant lesions found in association with the polyps, or even withi...

BACKGROUND The introduction of newborn hearing screening has led to earlier identification of children with congenital sensorineural hearing loss (SNHL). Aetiological clarification offers several benefits. There is currently a lack of agreement on which examinations should be recommended. OBJECTIVE Descriptive review of the literature reporting investigations performed to establish the aetiol...

OBJECTIVES Current health care management has resulted in a change in referral patterns. The present study was undertaken to define the efficacy and value of pediatric echocardiography performed and interpreted in adult laboratories. METHODS We reviewed the findings in 100 consecutive pediatric patients 1 month to 18 years of age referred for possible heart disease and evaluated previously by...

Liver Transplantation for Malignant Disease" Results in 93 consecutive patients. Ninety-three patients with malignant disease underwent orthotopic liver transplantation between May 1968 and April 1987 in the Cambridge/King's Hospital program. Of 50 patients with primary hepatocellular carcinoma (HCC) (19 with cirrhosis, 31 without cirrhosis, including 7 with fibrolamellar variant), 37 (74%) sur...