ABSTRACT
The aim of this review is to describe the state of the art in the use of Arabin Pessary for the prevention of spontaneous preterm birth (SPTB). We conducted a review of the literature in order to collect relevant studies concerning the efficacy of Arabin Pessary in preventing preterm birth, also considering it in addition or in comparison with other methods such as cervical cerclage or vaginal progesterone and in both singleton and twin pregnancy. Despite the large number of studies available there is not a clear consensus about the superiority of one of this methods over the others. In addition to this, although Arabin Pessary is widely used in clinical practice, no guidelines for management and use of cervical pessary during pregnancy have been assessed.
Subject(s)
Pessaries , Premature Birth/prevention & control , Administration, Intravaginal , Cerclage, Cervical , Cervical Length Measurement , Cervix Uteri/pathology , Combined Modality Therapy/methods , Female , Fetofetal Transfusion/surgery , Humans , Laser Therapy/adverse effects , Multicenter Studies as Topic , Pregnancy , Pregnancy, Twin , Progesterone/administration & dosage , Progestins/administration & dosage , Randomized Controlled Trials as Topic , Retrospective StudiesABSTRACT
In our letter, we comment the paper of Kounis et al., that highlights a poor-known clinical entity determined by systemic use of corticosteroids, the so-called "Kounis syndrome type I". We appreciated and shared the intent of Authors to treat the important issue of high risk of adverse drug reaction in patients with atopic diathesis and we confirm the need to administer corticosteroids with caution in patients suffering from allergic disease.
Subject(s)
Anaphylaxis , Adrenal Cortex Hormones , Humans , Methylprednisolone , SyndromeABSTRACT
Root canal morphology was evaluated in 72 maxillary fourth premolar and 59 mandibular first molar teeth. An apical delta was present in all roots (n = 334). The apical delta represented approximately 12-18% of the total root length for all roots. Non-apical ramifications from the main canal were observed in 25.1% of roots. Secondary canal(s) were present in 20.6% of roots, while lateral canal(s) were present in 6.9% of roots. The distal root of the maxillary fourth premolar had the highest incidence (47.2%) of non-apical ramifications. Overall, 68.0 and 20.4% of maxillary fourth premolar and mandibular first molar teeth had non-apical ramifications, respectively. The prevalence and location of non-apical ramifications may influence clinical decision making when performing endodontic therapy.
Subject(s)
Bicuspid/anatomy & histology , Dental Pulp Cavity/anatomy & histology , Dogs/anatomy & histology , Molar/anatomy & histology , Animals , Bicuspid/innervation , Female , Male , Mandible/anatomy & histology , Maxilla/anatomy & histology , Molar/innervation , Tooth Apex/anatomy & histology , Tooth Root/anatomy & histologyABSTRACT
OBJECTIVE: To describe an additional case of malakoplakia of the prostate. The etiopathogenesis, the histological and clinical features of this disease are analyzed and the literature briefly reviewed. METHODS/RESULTS: The pathological features of malakoplakia of the prostate in an elderly man with severe prostatic syndrome and recurrent urinary infections from E. Coli are described. The clinical manifestations disappeared following adenomectomy according to the Millin technique. CONCLUSION: Diagnosis of malakoplakia of the prostate is based on the pathological findings. The importance of the pathologist's role in the diagnosis of this condition, which will determine the treatment to follow, is therefore underscored.
