[The endometriosis combined treatment results of the Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital, Prague in six years period 2001--2007]. / Výsledky kombinované lécby endometriózy v sestiletém období (2001--2007) na oddelení gynekologie a minimálne invazivní chirurgie Nemocnice Na Homolce Praha.

OBJECTIVE: The endometriosis combined treatment optimisation on the basis of own results. DESIGN: The retrospective clinical study. DEPARTMENT: Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital Prague. METHODS: The retrospective analysis of the endometriosis treatment results on the basis of subjective severity and the inspection laparoscopy objective determination including work-up and imaging examinations. RESULTS: Out of 586 patients, who underwent endometriosis combined (surgical and medicamentous) treatment, there were 91% of patients with no subjective severity with normal inspection laparoscopy determination in area of lesser pelvis. CONCLUSION: 91% of treatment success entitles us to consider that our method of the endometriosis treatment is an option for future. We plan a long term monitoring of patients after restore to health within a period of years and percentage of pregnancy success, which we monitored alongside patients with the deep-infiltrating endometriosis.

[Laparoscopic sterilization using the Filshie clip--a prospective study of 180 patients]. / Laparoskopická sterilizace Filshie klipem--prospektivní studie 180 pacientek.

OBJECTIVE: In this prospective study from 1997-2000, authors have been analyzing preliminary results of 180 tubal sterilizations, which were performed by method of the laparoscopic application of Filshie clips. DESIGN: Prospective study. SETTING: Department of operative gynaecology and minimally invasive surgery, Hospital Na Homolce, Prague. METHODS: The procedures were performed in accordance with the still valid Public Notice of the Czech Republic Ministry of Health n. 1/1972, section 5/1972. The mean age of the patients was 38.6 years, with each patient having 2.1 living children on average. During the intervention 42% of the patients either had IUD or were taking a hormonal contraceptive, while 29% of the patients had in their history a record of previous abdominal surgery. RESULTS: The average duration of the operation (from the incision to the closure) was 14 min. There were no per- or postoperative complications and until the present we have no knowledge of failure. In the view of both the patient and the surgeon, this is the most acceptable procedure. CONCLUSION: In accordance with the British (RCOG) and the Canadian Gynecological Society conclusions and also on the basis of many randomized studies and recommendations from WHO, we conclude that the laparoscopic approach with the mechanical tubal occlusion by means of the clip is the first choice method. Our previous experience and meta-analytic studies of the literature, demonstrate that from all accessible clip methods, the Filshie clip method is the most suitable as it has the lowest failure rate, the least occurrences of extrauterine gravidity (in a case of failure). Most importantly it is a simple, quick and easily taught method. Another potentially significant factor is the highest rate of successful reversibility.

The role of sentence context in accessing partial knowledge of word meanings.

Two experiments are reported that test the hypothesis that a reader can make use of the size of the semantic domain activated by a sentence context when inferring the meaning of a partially known word. We investigated words at three levels of knowledge: known, frontier, and unknown (e.g., Durso & Shore, 1991). Experiment 1 demonstrated that participants have knowledge about the meanings of words that they deny are part of the language (the unknown level), and that they make use of relative differences in the size of the semantic domains tapped by two sentences when asked to decide on correct usage of these unknown words. Experiment 2 demonstrated that participants have knowledge about the general semantic constraints operating on their unknown words, even when relative differences in size of semantic domains are controlled. Implications for the role of contextual constraints in vocabulary acquisition are discussed.