Both race and insurance status were associated with performance of oophorectomy. From 2001 to 2006, there was an 8% absolute decrease in the performance of oophorectomy at the time of benign hysterectomy for women of all ages, with a 10.4% decrease in women aged younger than 55 (P for trend <.001).
CONCLUSION: Age, route of hysterectomy, and concomitant gynecologic diagnoses influence oophorectomy rate. From 2001 to 2006, a significant decrease in the performance of oophorectomy at the time of benign hysterectomy was noted in women aged younger than 55 years. Recent studies of complications of hormone therapy
and selleck compound prophylactic oophorectomy may have influenced patients’ and physicians’ decision-making, leading to lower oophorectomy rates. (Obstet Gynecol 2011;118:1280-6) DOI: 10.1097/AOG.0b013e318236fe61″
“Acute otitis externa is a common condition involving inflammation of the ear canal. The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa presents with the rapid onset of ear canal inflammation, resulting in otalgia, itching,
canal edema, canal erythema, and otorrhea, and often occurs following swimming or minor trauma from inappropriate cleaning. Tenderness with movement of the tragus or pinna is a classic finding. Topical antimicrobials or antibiotics such as acetic acid, aminoglycosides, polymyxin B, and quinolones are the treatment of choice in uncomplicated cases. These agents come in preparations
with or without topical corticosteroids; the addition of corticosteroids may help resolve symptoms learn more more quickly. However, there is no good evidence that any one antimicrobial or antibiotic preparation is clinically superior to another. The choice of treatment is based on a number of factors, including tympanic membrane status, adverse effect profiles, adherence issues, and cost. Neomycin/polymyxin B/hydrocortisone preparations are a reasonable first-line therapy when the tympanic membrane is intact. Oral antibiotics are reserved for cases in which the infection has spread beyond the ear canal or in patients at risk of a rapidly progressing infection. PD173074 nmr Chronic otitis externa is often caused by allergies or underlying inflammatory dermatologic conditions, and is treated by addressing the underlying causes. (Am Fam Physician. 2012;86(11):1055-1061. Copyright (C) 2012 American Academy of Family Physicians.)”
“In this study, the effect of the extraction processes (infusion, infusion followed by spray drying, ethanol extraction and supercritical extraction) on the total content and profile of phenolic compounds, antioxidant and antimicrobial activities of extracts of pecan nut shell were studied. The extract obtained through infusion followed by atomization in a spray dryer showed significantly higher (p<0.05) contents of total phenolic compounds (590.