Immediate Loop Electrode Excisional Procedure for High-Grade Cervical Cytology: One Size Fits All?

Vieira‐Baptista, Pedro; Lyra, Joana; Melo, Cláudia; Almeida, Filipa Tavares; Lima-Silva, Joana

doi:10.1097/lgt.0000000000000452

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…La implementación de sistemas descentralizados ha sido financieramente factible en residencias estudiantiles, hoteles, unidades residenciales y viviendas unifamiliares [7], [9], [12], [13], [14], [15], [16]; no obstante, se observan mejores indicadores financieros cuando se reutilizan mayores volúmenes de agua [10]. En Portugal, de acuerdo con diferentes referencias [17], [18], cerca del 50 % de los usos del agua en las residencias no requiere agua estrictamente potable, por lo que se podría emplear agua alternativa de menor calidad en esos usos. Sin embargo, Portugal no cuenta con una normativa completa sobre reutilización de AG en el ámbito doméstico y restringe el reúso de las AR exclusivamente a lavado de pavimentos, riego, combate de incendios y fines industriales no alimentarios, lo que excluye usos domésticos, como la descarga de inodoros.…”

Section: Introductionunclassified

Reutilización de aguas grises domésticas para el uso eficiente del recurso hídrico: aceptación social y análisis financiero. Un caso en Portugal

Meléndez-Pérez¹,

Lemos-Lima²,

Domínguez³

et al. 2019

revuin

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La reutilización de aguas grises (AG) contribuye a la preservación del agua y a disminuir la demanda de agua potable. En busca de potenciar esta alternativa en Portugal, se diseñó y evaluó financieramente un sistema hidrosanitario con reutilización de AG, en un edificio multifamiliar, considerando la aceptación de los usuarios y los sistemas de tratamiento del AG para cumplir con los estándares de calidad para reúso. Los potenciales usuarios aceptaron el reúso de AG provenientes de la ducha, lavamanos y bidé, en la descarga de inodoros y riego de jardines. El sistema propuesto incluye el tratamiento del AG con reactores biológicos de membrana (MBR). Se presentó un periodo de retorno de 24 años y un valor presente neto de 14.775,18 USD, con lo que se demuestra la viabilidad del sistema y se logra una reducción anual en el consumo de agua del 33 % (i. e. 3.351,92 m 3) y se contribuye al uso eficiente del recurso en el ámbito urbano.

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Section: Introductionunclassified

Reutilización de aguas grises domésticas para el uso eficiente del recurso hídrico: aceptación social y análisis financiero. Un caso en Portugal

Meléndez-Pérez¹,

Lemos-Lima²,

Domínguez³

et al. 2019

revuin

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“…In the last years, we have seen many changes in the screening and management of human papillomavirus (HPV) infections and cervical dysplasia-with a marked tendency toward more conservative approaches. 2 In line with this, medical options to foster the elimination of HPV infection are welcome.…”

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confidence: 96%

“…We read with great interest the article by Serrano et al, 1 on the use of a Coriolus versicolor– based gel, for the treatment of cervical lesions. In the last years, we have seen many changes in the screening and management of human papillomavirus (HPV) infections and cervical dysplasia—with a marked tendency toward more conservative approaches 2 . In line with this, medical options to foster the elimination of HPV infection are welcome.…”

mentioning

confidence: 99%

Cytology Is Not Reliable to Evaluate Cervical Disease Regression

Vieira‐Baptista

Lima-Silva

Sousa

et al. 2021

J Low Genit Tract Dis

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“…Early detection and treatment of high-grade squamous intraepithelial lesion (HSIL), encompassing cervical intraepithelial neoplasia (CIN) 2 and 3 leads to a decrease in the incidence of invasive cervical cancer. Although expectant management can be offered in selected cases, transformation zone excision (TZE) still is the mainstay of management of HSIL 2,3 . The aim of the procedure is to remove the whole transformation zone, including the lesion(s).…”

mentioning

confidence: 99%

“…Although expectant management can be offered in selected cases, transformation zone excision (TZE) still is the mainstay of management of HSIL. 2,3 The aim of the procedure is to remove the whole transformation zone, including the lesion(s). Incomplete excision, recognized by the presence of positive margins in the surgical specimen, is an important determinant in the course of the disease and postprocedural guidance.…”

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confidence: 99%

Risk Factors for Positive Margins in High-Grade Cervical Intraepithelial Neoplasia After Transformation Zone Excision

Aguiar

Valente

Figueiredo

et al. 2022

J Low Genit Tract Dis

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ObjectiveThe aim of the study was to evaluate risk factors for positive margins on surgical specimens of patients submitted to transformation zone excision (TZE).Materials and MethodsWe conducted a retrospective study evaluating women submitted to TZE in our center, between 2012 and 2020. Our study population included only women with the diagnosis of high-grade intraepithelial lesion (HSIL) in the pathologic examination of the TZE surgical specimen. Positive margins were defined as the presence of HSIL in the endocervical and/or ectocervical margin of the specimen. Factors evaluated included demographic characteristics, pretreatment Pap smear and human papillomavirus test, colposcopic findings, TZE indication, and pathologic features of the surgical specimen. We performed univariate analysis and logistic regression modeling including variables associated with the outcome of positive margins in the univariate analysis.ResultsOur sample included 264 women, with a 15.2% positive margins rate (40 patients). In the univariate analysis, patients with immunocompromised status, HSIL Pap smear, and higher number of quadrants involved in colposcopic examination were more likely to have positive margins. After multivariate analysis, only immunocompromised status was found to be an independent risk factor (odds ratio = 4.94; 95% CI = 1.43–17.15; p < .05).ConclusionsImmunocompromised status was the sole significant predictor for positive margins in TZE surgical specimens. To our knowledge, this is the first report of immunodepression as a risk factor for positive margins in cervical excisional procedures.

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Immediate Loop Electrode Excisional Procedure for High-Grade Cervical Cytology: One Size Fits All?

Cited by 5 publications

References 2 publications

Reutilización de aguas grises domésticas para el uso eficiente del recurso hídrico: aceptación social y análisis financiero. Un caso en Portugal

Reutilización de aguas grises domésticas para el uso eficiente del recurso hídrico: aceptación social y análisis financiero. Un caso en Portugal

Cytology Is Not Reliable to Evaluate Cervical Disease Regression

Risk Factors for Positive Margins in High-Grade Cervical Intraepithelial Neoplasia After Transformation Zone Excision

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