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Showing papers by "Bethesda Hospital published in 1993"


Journal ArticleDOI
TL;DR: The incidence of abnormal results increases with age beginning in the early 30s, occurs with a higher frequency in patients who would otherwise be diagnosed with unexplained infertility, and prognosticates decreased long‐term pregnancy rates.

134 citations


Journal ArticleDOI
TL;DR: This treatment regimen is well tolerated and very effective for the eradication of metronidazole-sensitive H. pylori strains and non-ulcer dyspepsia patients reported significantly more side effects than patients with peptic ulcer disease.
Abstract: One hundred consecutive patients with Helicobacter pylori infection, as proven by culture, were treated with 120 mg colloidal bismuth subcitrate (CBS) four times daily, 250 mg tetracycline four times daily, and 250 mg metronidazole four times daily during 15 days The patients were amply instructed in how to take the medicine and strongly urged to complete the prescribed course In 66 of the 100 patients pretreatment metronidazole susceptibility was determined Endoscopy was performed 3 months after cessation of treatment to check for H pylori eradication by culture, urease testing, and histology Side effects of the treatment were registered and classified into five groups on the basis of severity Eradication was achieved in 93 of 100 patients (93%), in 61 of 62 patients with a metronidazole-sensitive strain (984%), and in 2 of 4 patients with a metronidazole-resistant strain (50%) Eighty-two per cent of the patients experienced no or just minor side effects; 15% had moderate side effects, and just 3% had severe side effects Non-ulcer dyspepsia patients reported significantly more side effects than patients with peptic ulcer disease With proper patient instruction, this treatment regimen is well tolerated and very effective for the eradication of metronidazole-sensitive H pylori strains

72 citations


Journal ArticleDOI
TL;DR: For patients with generalized carpal arthrosis or unsuccessful previous reconstructive surgeries, total wrist arthrodesis is the most reliable procedure for pain relief and PRC is an acceptable alternative to TWA for stage IV disease.

49 citations


Journal Article
TL;DR: The statistical comparison between the two treatments showed a significant difference in favour of DHEP, however a comparison of the results, according to the different diagnoses, did not reveal any statistical significance.
Abstract: In this clinical study the efficacy and the tolerability of a new topical formulation, DHEP plaster, have been evaluated. The plaster consists of an auto-adhesive medicated gauze pad of standard dimensions(10×15 cm) containing 180 mg DHEP. The reference drug was a well-known topical drug, diclofenac diethylammnonium (DDA) emulgel at 1.16%. Treatments were applied to the affected area for 14 ddays: DHEP plaster b.i.d. and DDA emulgel q.i.d. A total of 190 patients, affected by various inflammatory diseases, participated in this clinical study

28 citations