The aim of this study was to evaluate the safety and postoperativ

The aim of this study was to evaluate the safety and postoperative course of patients who had received BAY 63-2521 chemical structure bevacizumab before debulking surgery for AOC.\n\nMethods: In 2012, we identified all patients with AOC who had received neoadjuvant bevacizumab before debulking surgery. We recorded patients’ characteristics, surgical course, and postoperative complications.\n\nResults: Five patients were identified, of whom 80% were International Federation of Gynecology and Obstetrics stage 4 at diagnosis. All patients underwent surgery after 6 courses of neoadjuvant chemotherapy with carboplatin,

paclitaxel, and bevacizumab. The median number of bevacizumab injections was 3 (3-4), and the median time between the last injection of bevacizumab and surgery was 54 days (34-110 days). One patient had a grade 3 complication (lymphocyst with puncture under computed tomographic scans).\n\nConclusion: In this preliminary study, debulking surgery after neoadjuvant chemotherapy that

included bevacizumab did not increase the rate of postoperative complications when there was a reasonable interval between the last bevacizumab injection and surgery. Larger studies are warranted to assess surgical safety after antiangiogenic treatment in the neoadjuvant setting for advanced ovarian cancer.”
“OBJECTIVE: To report 2 cases of spuriously elevated testosterone measurements caused by contamination of blood samples by testosterone gel applied near the phlebotomy site.\n\nCASE SUMMARIES: A 21-year-old male with primary hypogonadism and a 67-year-old male with secondary hypogonadism were prescribed standard replacement doses of testosterone selleck screening library gel. The patients’ symptoms SNX-5422 concentration improved without adverse effects. However, their measured testosterone levels rose above the target range and paradoxically increased further despite decreasing the testosterone dose. In both cases, the gel had been applied near the site of venipuncture on the day of blood sampling. Subsequent testosterone measurements from blood obtained after the gel was applied away from the upper/mid arms were in therapeutic range.\n\nDISCUSSION: To our knowledge, falsely elevated testosterone concentrations due to contamination

of blood samples by testosterone gel have been reported only once (PubMed search, 1966-September 2012). In the cases we describe, application of the Naranjo probability scale suggests a probable likelihood that sample contamination caused the falsely elevated testosterone measurements. Health care professionals should recognize and take measures to prevent this problem, which could lead to inappropriate dose changes in hypogonadal patients.\n\nCONCLUSIONS: The application of testosterone gel at or near the site of venipuncture can markedly increase the measured serum testosterone concentration.”
“Published data on oxalate poisoning in domestic animals are reviewed, with a focus on tolerance and performance. Oxalic acid is one of a number of anti-nutrients found in forage.

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