Office hysteroscopy and hydrosonography have long been viewed as competitive methods. This study was aimed to find out whether a combined approach of hysteroscopy followed by hydrosonography could provide more accurate information about the uterine lumen. Consecutive patients referred for diagnostic hysteroscopy were recruited to the study. Each patient had a transvaginal ultrasound scan, hysteroscopy, and immediately thereafter hydrosonography. Additional information retrieved by hydrosonography was recorded. When hysteroscopy revealed a normal uterine cavity, no further information was gained from hydrosonography. However, in 80% of the cases where hysteroscopy showed an abnormal uterine cavity (e.g., septum, adhesions, fibroid, endometrial polyp), hydrosonography added significant information regarding the size of the lesion, degree of fibroid encroachment, or luminal contour. We conclude that a combination of diagnostic hysteroscopy and hydrosonography could serve as a simple "one-stop" approach for full evaluation of the uterine cavity.
For the prevention and rehabilitation of fall-related fractures, not only functional status is important. It is necessary to describe the level of help and care needed at the time the fracture happened and its changes after a certain period. Investigations of the changes in the need of help and care after a fall-related fracture hardly exist for the Federal Republic of Germany. The first step in the present investigation was to analyze the changes in the need of help and care. In a second step, different developments of changes in the need of help and care after a fall-related hip fracture should be identified. Data for the present analysis were taken from a prospective 12-month observational survey (Fractures in late life). A total of 332 people aged 65 and over were assessed at two timepoints (T1-within the first 4 days post-fracture and T2-six months later by phone call). The assessed aspects were formal and informal support, financial support, ability to walk, cognition (only at T1) and form of housing. After the fall-related fracture the strain of formal and informal support increases. The strain of financial support and institutional care also increases. 20% of the patients achieved for the first time the criteria for the lowest level in the legal care system of Germany which indicates a higher level of need of care. 5% of the patients achieved post-fracture a higher level in the legal care system. Six different groups of patients could be identified by cluster analyses. They show differences in the changes in the ability to walk, form of housing, mortality and level of care and help. The different health status before and after the fall-related fracture leads to different developments post-fracture. In prevention and rehabilitation of patients with fall-related fractures, the individual needs of the subgroups should be taken into consideration.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.