LSG seems to have a better safety profile in the short-term compared to LRYGB. However, at 2 years, LRYGB patients achieved a significantly higher EWL compared to LSG patients. Randomized clinical trials are needed to better elucidate our findings.
Background. Desmoids are benign tumors, with local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated. Case. We described the rapid growth of an anterior abdominal wall mass in a 40-year-old pregnant woman. Due to its close proximity to the enlarged uterus, it was misdiagnosed to be a uterine leiomyoma by ultrasound examination. Final tissue diagnosis and radical resection were done at the time of abdominal delivery. Conclusion. Due to the diagnostic limitations of imaging techniques, desmoids should always be considered when the following manifestations are observed in combination: progressive growth of a solitary abdominal wall mass during pregnancy and well-delineated smooth tumor margins demonstrated by imaging techniques. This case emphasizes the importance of entertaining uncommon medical conditions in the differential diagnosis of seemingly common clinical manifestations.
INTRODUCTION: Elective abortion is a widely performed procedure in the United States. The number of physicians who perform abortions however has decreased due to diminishing availability of training. The purpose of this study is to identify the factors associated with residents’ attitudes about providing elective abortion and whether personal beliefs influence residents’ willingness to be trained and perform these procedures. METHODS: Anonymous surveys were sent out to all obstetrics and gynecology residents. The survey included demographic information and rated factors influencing their decision to perform abortion using a Likert scale. Multivariable logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI). The factors associated with abortion provision were compared using chi square analysis. RESULTS: Of the 201 respondents (67% response rate), 83% planned to perform elective abortion. In a multivariable analysis; religion, age, gender, ethnicity and marital status were found to be not statistically significantly associated with plans to provide terminations. Residents’ attitude regarding providing abortion was dependent on the reasons for abortion with the most influential being “pregnancy has potential medical risks on the mother” (OR 8.2; 95% CI 6-14.3) followed by “fetus with congenital anomalies” (OR 6.7; 95% CI 3.7-11.6) and “gestational age” (OR 2.3; 95% CI 1.6-7.9). “Recent laws regarding abortion” and “maternal age” were the least influential factors. CONCLUSION: Providing elective abortions is an important element of women’s healthcare. In order to optimize integration of abortion training into residency programs it is important to identify resident attitudes and obstacles to providing elective abortions.
The study of exotic mesons such as gluonic hybrids gives a greater insight into how quarks and gluons bind to form such states and hence increase our understanding of the fundamental strong force. Furthermore, the double pion photoproduction is known as a ideal tool for the investigation of nucleon resonances, especially the exotic meson states. Hereby, to study the interference of meson resonance production and meson-baryon rescattering effects, we focus on the reaction → + − . Aiming at the description of the latest data collected at CLAS12 and GlueX experiments, we used Deck model with a virtual pion exchange to generalize the moment extraction formalism with a linearly polarized photons. We compute the moments of the + − angular distribution with = 8.5 2 for = 0, 1, 2, 3, 4 in the helicity frame i.e the rest frame of the with the direction opposite to the recoil nucleon defining the axis.
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