The incidence of colorectal carcinoma is increasing in young patients, in contrast to the well established wisdom that it is exclusively diagnosed in patients older than 40 years. In this survey, we examined all possi...The incidence of colorectal carcinoma is increasing in young patients, in contrast to the well established wisdom that it is exclusively diagnosed in patients older than 40 years. In this survey, we examined all possible risk factors, and we recommend a number of measures for early detection in young patients who are at risk of developing this malignant tumor.展开更多
Constipation is a significant manifestation of a number of psychological disorders.Published papers recommend using self-assessment questionnaires for discriminating psychological from non-psychological constipated pa...Constipation is a significant manifestation of a number of psychological disorders.Published papers recommend using self-assessment questionnaires for discriminating psychological from non-psychological constipated patients before operating on them but reports from major surveys revealed that general practitioners failed to diagnose 70%of depressed patients using self-assessment questionnaires.Lower circulating concentrations of progesterone,17-hydroxyprogesterone,cortisol,testosterone,androstenedione,and dehydroepiandrostenedione sulfate(DHEAS) during the follicular phase in constipated young women compared with respective controls were found during the follicular phase of the menstrual cycles. During the luteal phase of the cycle,reductions were identified in estriol,cortisol and testosterone in the constipated group.Likewise,circulating concentrations of DHEAS were found to be lower in depressed patients than comparable healthy controls.DHEAS/cortisol ratios in morning serum and salivary samples were lower than those retrieved during other times of the day in depressed patients.The idea of recognizing major depression in constipated patients by measuring DHEAS/cortisol ratios in saliva and serum may be plausible but this possibility needs to be confirmed in well-designed studies.展开更多
Peri-anal fistulae are a worldwide health problem that can affect any person anywhere.Surgical management of these fistulae is not free from risks.Recurrence and fecal incontinence are the most common complications af...Peri-anal fistulae are a worldwide health problem that can affect any person anywhere.Surgical management of these fistulae is not free from risks.Recurrence and fecal incontinence are the most common complications after surgery.The cumulative personal surgical experience in managing cases with anal fistulae is significantly considered as necessary for obtaining better results with minimal adverse effects after surgery.The purpose for conducting this survey is to facilitate better outcome after surgical interventions in idiopathic anal fistulae’ cases.展开更多
文摘The incidence of colorectal carcinoma is increasing in young patients, in contrast to the well established wisdom that it is exclusively diagnosed in patients older than 40 years. In this survey, we examined all possible risk factors, and we recommend a number of measures for early detection in young patients who are at risk of developing this malignant tumor.
文摘Constipation is a significant manifestation of a number of psychological disorders.Published papers recommend using self-assessment questionnaires for discriminating psychological from non-psychological constipated patients before operating on them but reports from major surveys revealed that general practitioners failed to diagnose 70%of depressed patients using self-assessment questionnaires.Lower circulating concentrations of progesterone,17-hydroxyprogesterone,cortisol,testosterone,androstenedione,and dehydroepiandrostenedione sulfate(DHEAS) during the follicular phase in constipated young women compared with respective controls were found during the follicular phase of the menstrual cycles. During the luteal phase of the cycle,reductions were identified in estriol,cortisol and testosterone in the constipated group.Likewise,circulating concentrations of DHEAS were found to be lower in depressed patients than comparable healthy controls.DHEAS/cortisol ratios in morning serum and salivary samples were lower than those retrieved during other times of the day in depressed patients.The idea of recognizing major depression in constipated patients by measuring DHEAS/cortisol ratios in saliva and serum may be plausible but this possibility needs to be confirmed in well-designed studies.
文摘Peri-anal fistulae are a worldwide health problem that can affect any person anywhere.Surgical management of these fistulae is not free from risks.Recurrence and fecal incontinence are the most common complications after surgery.The cumulative personal surgical experience in managing cases with anal fistulae is significantly considered as necessary for obtaining better results with minimal adverse effects after surgery.The purpose for conducting this survey is to facilitate better outcome after surgical interventions in idiopathic anal fistulae’ cases.
