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BMC Women's Health Feb 2024In polypectomy with mechanical hysteroscopic morcellators, the tissue removal procedure continues until no polyp tissue remains. The decision that the polypoid tissues...
BACKGROUND
In polypectomy with mechanical hysteroscopic morcellators, the tissue removal procedure continues until no polyp tissue remains. The decision that the polypoid tissues were removed completely is made based on visual evaluation. In a situation where the polyp tissue was visually completely removed and no doubt that the polyp has been completely removed, short spindle-like tissue fragments on the polyp floor continue in most patients. There are no studies in the literature on whether visual evaluation provides adequate information at the cellular level in many patients in whom polypoid tissues have been determined to be completely removed. The aim of the present study was to analyze the pathological results of the curettage procedure, which was applied following the completion of polyp removal with operative hysteroscopy, and to evaluate whether there was residual polyp tissue in the short spindle-like tissue fragments that the mechanical hysteroscopic morcellator could not remove. The secondary aims of this study were to compare conventional loop resection hysteroscopy with hysteroscopic morcellation for the removal of endometrial polyps in terms of hemoglobin/hematocrit changes, polypectomy time and the amount of medium deficit.
METHODS
A total of 70 patients with a single pedunculate polypoid image of 1.5-2 cm, which was primarily visualized by office hysteroscopy, were included in the study. Patients who had undergone hysteroscopic polypectomy were divided into two groups according to the surgical device used: the morcellator group (n = 35, Group M) and the resectoscope group (n = 35, Group R). The histopathological results of hysteroscopic specimens and curettage materials of patients who had undergone curettage at the end of operative hysteroscopy were evaluated. In addition, the postoperative 24th hour Hb/HCT decrease amounts in percentage, the polypectomy time which was measured from the start of morcellation, and deficit differences were compared between groups.
RESULTS
In total, 7 patients in the morcellator group had residual polyp tissue detected in the full curettage material. The blood loss was lower in the morcellator group than in the resectoscope group (M, R; (-0.07 ± 0.08), (-0,11 ± 0.06), (p < 0.05), respectively). The deficit value of the morcellator group were higher (M, R; (500 ml), (300 ml), (p < 0.05), respectively). The polypectomy time was shorter in the morcellator group (M, R; mean (2.30 min), (4.6 min), (p < 0.05)).
CONCLUSIONS
Even if the lesion is completely visibly removed during hysteroscopic morcellation, extra caution should be taken regarding the possibility of residual tissue. There is a need for new studies investigating the presence of residual polyp tissue.
Topics: Pregnancy; Female; Humans; Retrospective Studies; Morcellation; Hysteroscopy; Uterine Neoplasms; Electrosurgery; Polyps
PubMed: 38378558
DOI: 10.1186/s12905-024-02978-4 -
Frontiers in Plant Science 2019The radial growth of pedunculate oak (), a species often ecologically dominating European deciduous forests, is closely tied up with local environmental variables. The...
The radial growth of pedunculate oak (), a species often ecologically dominating European deciduous forests, is closely tied up with local environmental variables. The oak tree-ring series usually contain a climatic and hydrologic signal that allows assessing the main drivers of tree growth in various ecosystems. Understanding the climate-growth relationship patterns in floodplains is important for providing insights into the species persistence and longevity in vulnerable riverine ecosystems experiencing human-induced hydrology alteration. Here, we use 139 years long instrumental records of local temperature, precipitation, and water levels in the Dnipro River in Kyiv to demonstrate that the implementation of river regulation has decoupled the established relationship between the radial growth of floodplain oak and local hydro-climatic conditions. Before the river flow has been altered by engineering modifications of 1965-1977, the water level in the Dnipro River was the key driver of oak radial growth, as reflected in the tree-ring width and earlywood width. The construction of two dams has altered the seasonal distribution of water level diminishing the positive effect of high water on oak growth and subsequently reversing this trend to negative, resulting from a seasonal ground water surplus. The decrease in the correlation between oak growth indices and the river's water level in April-June was unprecedentedly rapid and clearly distinguishable among other changes in the growth-to-climate relationship. Our findings further demonstrate that trees growing in areas exposed to urban development are the most susceptible to downside effects of river regulation.
PubMed: 30804967
DOI: 10.3389/fpls.2019.00096 -
Zoological Journal of the Linnean... Feb 2016A cladistic analysis of 23 extant species of the deep-sea pedunculate cirripede family Scalpellidae was undertaken, based on 61 shell plate characters, and taking the...
A cladistic analysis of 23 extant species of the deep-sea pedunculate cirripede family Scalpellidae was undertaken, based on 61 shell plate characters, and taking the Jurassic-Cretaceous scalpellomorph genus as an out-group. The consensus tree shows progressive morphological change from basal to more derived taxa, but a derived group is marked by major morphological innovation, including 27 character state changes that permit subdivision of the family into two sharply demarcated clades - the more basal group is here placed within a redefined Scalpellinae ( , , , , , and ), and a more derived group named that shows numerous progressive trends in morphology, permitting the recognition of three genera ( , , and ). The phylogeny is independently supported by a recently published multiple DNA marker-based molecular phylogeny. The more basal Scalpellinae appeared in the Aptian (Early Cretaceous, 120 Mya), and derived Amigdoscalpellinae were already present by the Campanian (Late Cretaceous, 78 Mya), represented by and from the UK Chalk. Specialized receptacles to accommodate dwarf males in the apical interior of the scutum evolved at least three times during the history of the scalpellids. © 2015 The Linnean Society of London.
PubMed: 32336790
DOI: 10.1111/zoj.12321 -
Plants (Basel, Switzerland) Mar 2023We compared climate-growth relationships (1956-2013) of two natural pedunculate oak ( L.) stands with different water-holding capacities growing at the species...
We compared climate-growth relationships (1956-2013) of two natural pedunculate oak ( L.) stands with different water-holding capacities growing at the species distribution limit of the Mediterranean Region in NW Iberia. For this, tree-ring chronologies of earlywood vessel size (separating the first row from the other vessels) and latewood width were obtained. Earlywood traits were coupled to conditions during dormancy, whereby an elevated winter temperature appears to induce a high consumption of carbohydrates, resulting in smaller vessels. This effect was reinforced by waterlogging at the wettest site, whose correlation to winter precipitation was strongly negative. Soil water regimes caused differences between vessel rows, since all earlywood vessels were controlled by winter conditions at the wettest site, but only the first row at the driest one; radial increment was related to water availability during the previous rather than the current season. This confirms our initial hypothesis that oak trees near their southern distribution boundary adopt a conservative strategy, prioritizing reserve storage under limiting conditions during the growing period. We believe that wood formation is highly dependent on the balance between the previous accumulation of carbohydrates and their consumption to maintain both respiration during dormancy and early spring growth.
PubMed: 36904045
DOI: 10.3390/plants12051185 -
Folia Parasitologica Apr 2017Based on light and scanning electron microscopical studies, two new species of parasitic nematodes are described from marine perciform fishes off New Caledonia:...
Two new species of nematode parasites, Cucullanus epinepheli sp. n. (Cucullanidae) and Procamallanus (Spirocamallanus) sinespinis sp. n. (Camallanidae), from marine serranid and haemulid fishes off New Caledonia.
Based on light and scanning electron microscopical studies, two new species of parasitic nematodes are described from marine perciform fishes off New Caledonia: Cucullanus epinepheli sp. n. (Cucullanidae) from the intestine of the brownspotted grouper Epinephelus chlorostigma (Valenciennes) (Serranidae) and Procamallanus (Spirocamallanus) sinespinis sp. n. from the intestine of the silver grunt Pomadasys argenteus (Forsskål) (Haemulidae). Cucullanus epinepheli sp. n. differs from its congeners mainly in possessing a unique structure of the anterior, elevated cloacal lip with a large posterior outgrowth covering the cloacal aperture and in the presence of cervical alae and two small preanal papillae on the median dome-shaped precloacal elevation. This is the second known nominal species of this genus parasitising fishes of the family Serranidae and the second representative of Cucullanus Müller, 1777 recorded from fishes in New Caledonian waters. Procamallanus (Spirocamallanus) sinespinis sp. n. is mainly characterised by 10-12 spiral ridges in the buccal capsule, the presence of wide caudal alae, three pairs of pedunculate preanal papillae, two unequally long spicules (465-525 µm and 218-231 µm) and by the tail tip with a knob-like structure in the male, and the broad, rounded tail with a terminal digit-like protrusion without cuticular spikes in the female. This is the fifth nominal species of the subgenus Spirocamallanus Olsen, 1952 reported from fishes in New Caledonian waters.
Topics: Animals; Ascaridida; Ascaridida Infections; Female; Fish Diseases; Fishes; Intestines; Male; Microscopy, Electron, Scanning; New Caledonia
PubMed: 28402282
DOI: 10.14411/fp.2017.011 -
Scientific Reports Nov 2018Floodplain forests are the most rapidly disappearing ecosystem in the world, especially in temperate regions of Europe where anthropogenic influence has been pronounced...
Floodplain forests are the most rapidly disappearing ecosystem in the world, especially in temperate regions of Europe where anthropogenic influence has been pronounced throughout history. Research on primeval forests is crucial to further our understanding of their natural dynamics and interaction with climate but is limited by the lack of such preserved forests. The aim of this study was to investigate how a primeval floodplain forest in Southeastern Europe has responded to climate variability during the last 250 years through comparison of tree growth and climate, canopy disturbance and recruitment dynamic of two dominant tree species with different tolerances to flooding/drought. Our analysis revealed induced stress caused by several consecutive severe drought events in the 1940s, which led to a significant increase in sensitivity to increasing temperatures and decreasing river water levels. This trend is particularly pronounced in pedunculate oak. Age structure analysis revealed one larger episode of oak regeneration culminating after periods of intense growth release. Such period co-occurs with summer drought, which is part of a complex system of natural disturbances and a significant natural driver of the cyclical regeneration of primeval oak ecosystems.
Topics: Climate; Droughts; Ecosystem; Europe; Floods; Forests; Geography; Seasons; Trees
PubMed: 30405173
DOI: 10.1038/s41598-018-34875-w -
Folia Parasitologica Jan 2015A parasitic nematode from the stomach of Japanese eel Anguilla japonica Temminck et Schlegel in western Japan, previously identified as Heliconema longissimum (Ortlepp,...
Heliconema anguillae Yamaguti, 1935, a physalopterid nematode found in Japanese eels: taxonomic resurrection with a note on the third-stage larva from intertidal crabs in western Japan.
A parasitic nematode from the stomach of Japanese eel Anguilla japonica Temminck et Schlegel in western Japan, previously identified as Heliconema longissimum (Ortlepp, 1922), was morphologically re-examined and compared with the previous descriptions. In addition, the third-stage larva of this nematode is described, based on the specimens of encapsuled larvae found in musculature of two crabs, Hemigrapsus sp. and Perisesarma bidens (De Haan), caught from the upper-intertidal zone of the same locality. As a result of the morphological observation, seven pairs of postcloacal papillae in adult males are confirmed. This matches with the character of H. longissimum, but the shape of the fifth postcloacal papillae differs between the present material and H. longissimum; the former possesses pedunculate papillae in the fifth pair whereas the latter has sessile papillae. Since the pedunculate papillae can be found in the original description and the syntype specimens of H. anguillae Yamaguti, 1935 that has been synonymised with H. longissimum, we thus here resurrect H. anguillae as an accepted species. For the life-cycle of the present nematode, littoral crabs, including the two infected species, are likely to be the source of infections for Japanese eels, acting as intermediate hosts.
PubMed: 26040330
DOI: 10.14411/fp.2015.028