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简介：镇静可以在指导的transrectal超声(TRUS)期间疼痛地导致减小前列腺活体检视。我们试图在在护理费用的指导TRUS的前列腺活体检视和相关增加期间评估propofol和remifentanil注入的联合的功效和安全。从1月到2010年9月，经历transrectal前列腺活体检视的100个人被使随机化进二个组。在组1，50个病人收到了propofol和remifentanil的联合注入；在组2，50个病人收到了lidocaine果冻。在指导TRUS的活体检视被执行以后，疼痛和耐心的满足被一个10点评估视觉模拟规模(管)，和一张费用相关的耐心的满足问询表被所有病人完成。病人们也被问他们是否将愿意由一样的方法经历重复活体检视。在1看了显著地更低的管的组的病人在组2比那些得分(吝啬的管分数：0.9±；1.1对6.3±；2.5；P<；0.001)。另外，耐心的满足规模在组1是显著地更高的(P=0.002)。尽管全面费用在组1是显著地更高的(P=0.006)，就费用而言的耐心的满足规模在这个组(P=0.009)也是更高的。propofol和remifentanil的联合在指导TRUS的前列腺活体检视期间是到减少病人疼痛和增加病人满足的一条安全、有效的路。尽管费用在收到了镇静，期望的组是更高的，病人展出了提高的满足和心甘情愿由一样的方法重复活体检视。

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简介：Aim:Tostudytheadvantageofexcisionofthedistalsymptomaticuretericstumpswiththeretroperitoneallaparoscopicapproach.Methods:Fourpatientswhohadfailedtosettletheirsymptomswiththeinitialconservativemanagementwereincludedinthestudy.Allunderwentexcisionofthedistalsymptomaticuretericstumpswiththeretroperitoneallaparoscopicapproachandthenreceivedprophylacticantibiotics.Results:Wehaveachievedbetterresultsthanthosereportedintheliteratureintermsofoperatingtime(mean1h45min),bloodloss(＜10mL),postoperativerecovery(within12h)andhospitalstay(＜48h).Conclusion:Retroperitoneallaparoscopicexcisionisasafe,simpleandeffectivemethodinthemanagementofsymptomaticuretericstumps.

简介：Studiesdemonstrateadeclineinandrogenswithageandthisresultsintheandropause.Theobjectiveofthispaperistoreviewtheliteratureonhormonalchangesthatoccurintheagingmalesanddetermineifthereareassociationsbetweendecreasedtestosterone,dehydroepiandrosterone(DHEA)anddecreasedcognitivefunction.Trialsofandrogenreplacementanditsimpactoncognitivefunctionwillalsobeanalyzed.MethodofanalysiswillbebyathoroughsearchofarticlesonMEDLINE,theIntemetandmajorabstractdatabases.Resultsoftheauthor'sownresearchin302menoftheassociationofmemorylossasasymptomintheandropausewillbepresented.Inaddition,theauthorsopentrialoftestosteronereplacementinhypogonadicmenwithAlzheimer'sdiseasewillalsobepresented.Theresultsoftheauthor'strialwillbecomparedwithotherinvestigators.Highendogenoustestosteronelevelpredictedbetterperformanceonvisualspatialtestsinseveralstudies,butnotinallstudies.Likewise,testosteronereplacementinhypogonadicpatientsimprovedcognitivefunctionsinsomebutnotallstudies.Testosteronehasalsobeenshowntoimprovecognitivefunctionineugonadalmen.SeveralstudieshaveshownthatdeclinesinDHEAmaycontributetoAlzheimer'sdiseaseandtheresultsofdoubleblindstudieswithDHEAreplacementanditseffectoncognitionwillalsobepresented.Insummary,thereisstillnoconsensusthatandrogenreplacementisbeneficialincognitivedeclinebutthisoptionmayprovepromisinginsomepatients.

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