Notes

Stamina-Enhancing Connection between Individual Adipose-Derived Originate Cells.
Although the effects of sub-maximal continuous aerobic training (SCT) and high-intensity interval training (HIIT) are well studied in performance athletes and in several patient groups, there is not much evidence about the effects of these exercises in sedentary healthy young population. The aim of the study was to compare the effects of these two different types of aerobic exercises on respiratory parameters, aerobic capacity and perceived stress in healthy university students.

Thirty-six healthy, young subjects with a mean age of 20.83±0.97 years were included in the study (N.=19 in HIIT and N.=17 in SCT). Pulmonary function tests (PFTs) and respiratory muscle strength (RMS) assessments were done using a desktop spirometer. Aerobic capacity was estimated with the Bruce treadmill exercise test. The Perceived Stress Scale (PSS) was used for the assessment of stress perception. All participants exercised 3 times per week for 4 weeks (a total of 12 sessions).

After 12 sessions, the peak expiratory flow parameter (a PFT value) of both groups showed significant increases, but there was no difference between the groups. The RMS of the subjects increased significantly in both the groups (P<0.05), but there was no significant difference between the groups. Both groups showed significant increases in terms of aerobic capacity (P>0.05), and the improvement was significantly higher in the HIIT group. Perceived stress values showed a significant increase in the SCT group.

Based on the results of this study, the two exercise types were found to have similar effects on RMS. Also, when compared with SCT, HIIT was found to have more effect on aerobic capacity.
Based on the results of this study, the two exercise types were found to have similar effects on RMS. Also, when compared with SCT, HIIT was found to have more effect on aerobic capacity.
Being little evidence on the real extent of the Minimally Invasive approaches on Donor Hepatectomy (MIDH), a World Survey was conducted aiming to picture the spread of MIDH and to identify geographical, institutional and individual differences.

A web-based survey was created with 5 sections (General, Institutional, Surgeon´s experience, Technical and Spread and dissemination), comprising up to a total of 47 questions. A thorough search was carried out to identify all possible centers and surgeons performing MIDH.

A global MIDH experience of 2370 cases was collected 1587 right hepatectomies -RH- (48.9% pure laparoscopic), 471 left lateral sectionectomies -LLS- (81,1% pure laparoscopic) and 366 left hepatectomies -LH- (77.6% laparoscopic-assisted). LLS and adult MIDH conversion rates were 5.4% and 3.9% respectively. Median blood loss was 250 mL (100-600), 100 mL (50-250) and 150 mL (50-500) for RH, LLS, and LH respectively. Intra and postoperative transfusion rates were 0.5%, 0%, and 0.3% and 1.3%, 1.6% and 0% for RH, LLS and LH, respectively. Geographically, Asia accounts up to 1730 cases (73% of the global experience, 49.6% pure lap), of which 1374 cases are right hepatectomies; Europe and Middle East -395 cases- stands out for its experience in left lateral sectionectomy 289 cases (93% pure lap). Selleck 6-Aminonicotinamide Finally, America accounts for 245 cases, using a laparoscopic-assisted technique in 72.6% of the cases -178-.

This world survey provides evidence and data on the global spread of MIDH and anticipates how in a near future a large-scale adoption of this techniques may be observed.
This world survey provides evidence and data on the global spread of MIDH and anticipates how in a near future a large-scale adoption of this techniques may be observed.Silent corticotroph tumors are composed of corticotroph cells, but do not manifest any biochemical or clinical evidence of hypercortisolism. A choristoma is a benign, congenital proliferation of histologically mature tissue elements normally not present at the site of occurrence. The existence of adrenocortical cells within the pituitary gland, which can be explained as a choristoma, is a very rare entity, and the co-occurrence of these two entities have only been reported in few cases. In the present case, we report an 11-year-old boy with central hypothyroidism. In his cranial magnetic resonance imaging a pituitary tumor was detected, and histopathological studies led to a diagnosis of an adrenal choristoma and a silent corticotroph tumor in the pituitary gland. The presence of adrenocortical cells were confirmed with positive calretinin, inhibin and Melan A staining, and the corticotroph cells with adrenocorticotropic hormone immunohistochemistry. Herein, we report the fourth and the youngest case of silent corticotroph tumor with adrenocortical choristoma in the literature. Even though the underlying mechanism is not fully understood, suggested mechanisms are discussed in the paper.
Prevalent symptoms that affect children and adolescents throughout the process of cancer diagnosis and treatment include nausea and vomiting, fatigue, pain, mucositis, and anxiety.

To examine the effect of a home-based multimodal symptom-management program for alleviation of nausea and vomiting, fatigue, pain, mucositis, and anxiety in children and adolescents undergoing chemotherapy for hematological malignancies or solid tumors.

In an exploratory pilot randomized study with qualitative interview, patients between 10 and 18 years of age were randomly assigned to either the symptom-management program plus usual care (intervention group) or usual care (control group). The program consisted of multiple nonpharmacological interventional components. The targeted symptoms were measured at baseline (after diagnosis), at the first 2 weeks of each cycle of chemotherapy, and at 6 months after baseline, using the Memorial Symptom Assessment Scale 10-18 and the State Anxiety Scale for Children.

Fifty children (3coping skills, and psychological preparation for symptoms associated with chemotherapy.
Severe carpal tunnel syndrome (CTS) readily lends itself to both clinical and electrophysiological recognition. The uncertainty sometimes is in identifying and quantifying motor involvement in mild and, perhaps, in moderate CTS. Our study aimed to evaluate F responses in mild and moderate CTS and determine the contribution of BMI to the F-wave parameters.

A retrospective review of the clinical and electrophysiological data of patients with CTS seen at the clinical neurophysiology laboratory of Aga Khan Hospital, Dar es Salaam, between 1 August 2017 and 31 July 2019 was retrieved. Carpal tunnel syndrome was graded according to the electrophysiological criteria of Padua. The F-wave parameters of patients with mild-to-moderate CTS were analyzed and compared with asymptomatic controls.

We studied 91 hands. Twenty-two hands were asymptomatic controls, 30 hands had mild CTS, and 39 hands had moderate CTS. Patients with moderate CTS were more obese (p=.011), had more females (p=.044), and were older (p= <0.
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