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Ahmad Fariz Malvi Zamzam Zein,Rabbinu Rangga Pribadi,Uswatun Khasanah,Muhammad Begawan Bestari,Ari Fahrial Syam 대한소화기내시경학회 2021 Clinical Endoscopy Vol.54 No.3
Background/Aims: The coronavirus disease 2019 (COVID-19) pandemic has necessitated modifications to allow the safe practice ofclinical gastroenterology and gastrointestinal endoscopy. This study aimed to investigate the characteristics of clinical gastroenterologyand gastrointestinal endoscopy practices during the COVID-19 pandemic in Indonesia. Methods: This cross-sectional study enrolled physician members of the Indonesian Society for Digestive Endoscopy. We used anonline self-administered questionnaire disseminated via social media. The 32-item survey determined the baseline characteristics ofthe participants, characteristics of clinical gastroenterology and gastrointestinal endoscopy practices, involvement of the physiciansin the management of COVID-19, and overall impact of the pandemic on practice. All collected data were analyzed using descriptivestatistics. Results: The 200 participants in this study had a median age of 50 (34–76) years. Modifications in clinical gastroenterology practice werefrequently reported in the outpatient (95.5%) and inpatient (100%) settings. All participants reported changes in the gastrointestinalendoscopy practice patterns. Of the participants, 86.0% were working in high-risk zones, and several of them reported inadequateprotective personal equipment (34.0%). The median overall impact score of the pandemic on practice was 9 (2–10). Conclusions: Physicians practicing clinical gastroenterology and gastrointestinal endoscopy in Indonesia work in high-risk settings. Modifications in clinical gastroenterology and gastrointestinal endoscopy practices are prevalent during the COVID-19 pandemic.
( Francesca Ambrosi ),( Costantino Ricci ),( Deborah Malvi ),( Carlo De Cillia ),( Matteo Ravaioli ),( Michelangelo Fiorentino ),( Massimo Cardillo ),( Francesco Vasuri ),( Antonia D’errico ) 대한신장학회 2020 Kidney Research and Clinical Practice Vol.39 No.4
Background: We report the findings of a single Italian center in the evaluation of renal lesions in deceased donors from 2001 to 2017. In risk evaluation, we applied the current Italian guidelines, which include donors with small (< 4 cm, stage pT1a) renal carcinomas in the category of non-standard donors with a negligible risk of cancer transmission. Methods: From the revision of our registries, 2,406 donors were considered in the Emilia Romagna region of Italy; organs were accepted from 1,321 individuals for a total of 3,406 organs. Results: The evaluation of donor safety required frozen section analysis for 51 donors, in which a renal suspicious lesion was detected by ultrasound. Thirty-two primary renal tumors were finally diagnosed: 26 identified by frozen sections and 6 in discarded kidneys. The 32 tumors included 13 clear cell renal cell carcinomas (RCCs), 6 papillary RCCs, 6 angiomyolipomas, 5 oncocytomas, 1 chromophobe RCC, and 1 papillary adenoma. No cases of tumor transmission were recorded in follow-up of the recipients. Conclusion: Donors with small RCCs can be accepted to increase the donor pool. Collaboration in a multidisciplinary setting is fundamental to accurately evaluate donor candidate risk assessment and to improve standardized protocols for surgeons and pathologists.
Improved Survival of Cervical Cancer Patients in a Screened Population in Rural India
Jayant, Kasturi,Sankaranarayanan, Rengaswamy,Thorat, Ranjit V,Muwonge, Richard,Hingmire, Sanjay J,Panse, Nandkumar S,Shastri, Surendra S,Malvi, Sylla G,Nene, Bhagwan Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.11
Objectives: To describe the survival experience of cervix cancer patients in a screened rural population in India. Methods: Included 558 cervical cancer patients diagnosed in 2000-2013 in a cohort of 100,258 women invited for screening during 2000-2003. The primary end point was death from cervical cancer. We used the Kaplan-Meier method to estimate cumulative observed survival and Cox proportional hazards regression to assess the effect of patient characteristics on survival after diagnosis. Results: Of the 558 cases included, 143 (26%) and 114 (20%) were diagnosed in stages IA and IB respectively; 252 (45.2%) were dead, and 306 (54.8%) were alive at the last follow-up. The overall 5-year observed survival was 60.5%. The 5-year survival of stage IA patients was 95.1% and 5.3% for stage IV patients. All surgically treated stage IA patients, 94.1% of stage IB patients receiving intracavitary radiotherapy, 62% of stage IIB, 49% of stage III and 25% of stage IV patients receiving radiotherapy survived for 5 years. Conclusion: Higher 5-year survival in our study than elsewhere in India is due to the high proportion of early stage cancers detected by screening combined with adequate treatment, resulting into a favourable prognosis.