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Biomedical subjects

R Marrs

Publications and source records attributed to R Marrs.

9 recordsLinked to original sources

Advanced-stage ovarian carcinoma presenting during infertility evaluation.

Fecundity has been extended to the menopause by advances in assisted reproductive techniques. The incidence of ovarian cancer increases with age, and an increased risk of ovarian cancer has been associated with incessant ovulation and infertility. The increased risk of ovarian cancer in older infertility patients must be kept in mind when evaluating these patients so that this diagnosis is not overlooked or delayed.

Adenocarcinoma, Papillary

Coping with psoriasis.

Psoriasis can vary in severity from being a mild nuisance to a debilitating long-term condition. Sufferers need practical help to cope with the condition and minimise its effects on their lives.

Adaptation, Psychological

Vitiligo--the loss of pigmentation in skin patches.

Vitiligo is a condition in which patches of skin lose their pigmentation. By offering emotional support and practical advice, nurses can help minimise the physical and psychological effects of the disease.

Humans

Management of unexpected ovarian dermoid cyst during laparoscopy for oocyte pickup.

In conclusion, management of unexpected SDT during OPU include the following therapeutic goals: (1) complete eradication of the tumor to eliminate the remote possibility of malignancy and recurrence; (2) performance of adequate peritoneal lavage to prevent chemical peritonitis; (3) conservation of the maximum amount of functional ovarian tissue; and (4) exclusion of the possibility of dermoid cyst in the contralateral ovary. If laparoscopic drainage of a SDT, marsupialization, and adequate fulguration of cystic wall provide a low incidence of recurrence, the risk of oophorectomy and the necessity of laparotomy will be avoided. The aspirate contents should be examined and histopathologic confirmation of the clinical diagnosis and exclusion of a malignant process should always be performed. The laparoscopic approach must be investigated further to determine its efficacy compared with the conventional approach.

Adult

Pituitary gonadal function in diabetic male patients with and without impotence.

Assessment of pituitary function was undertaken in diabetic male patients with and without impotence, and in normal subjects, using a combined gonadotropin releasing hormone (GnRH) and thyrotropin releasing hormone (TRH) test. Basal plasma levels of testosterone, gonadotropins, PRL and TSH were similar in the diabetic patients and controls. Following the administration of I.V. GnRH 150 microgram and TRH 500 microgram, diabetic patients with impotence demonstrated a lower LH response at 30 and 150 minutes and an increased PRL response at 20 minutes, which was statistically significant when compared to controls. FSH and TSH were similar in the diabetic patients and controls. The GnRH and TRH test was repeated in impotent diabetic patients while receiving 0.8-1 mU/kg/hr of insulin through an infusion pump. No difference in LH and PRL response could be demonstrated. These results demonstrate that following GnRH and TRH test, diabetic patients with impotence have a significantly different LH and PRL response than controls. In these patients acute control of hyperglycemia using an insulin infusion pump did not reverse the abnormal response.

Adult