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3篇 您的检索式:作者名="Joshua Halpern"
    题名 作者 年代 出处 被引量
1Percutaneous embolization of varicocele: technique, indications, relative contraindications, and complications显示文摘为精索静脉曲张的处理有几种选择,也包括外科的修理由开或 microsurgical 途径, laparoscopy,或通过内部精子的静脉的经皮的 embolization。精索静脉曲张处理的最终的目标依靠排干睾丸的扩大静脉的吸藏。经皮的 embolization 提供快速的恢复和罐头成功地在约 90% 尝试被完成。然而,这种技术要求 interventional 放射线学的专家知识并且有 pampiniform 的潜在的严肃的复杂并发症,包括的脉管的穿孔,卷迁居,和血栓丛。这评论讨论与精索静脉曲张的经皮的 embolization 联系的普通指示,相对禁止徵候,技术细节,和风险。Joshua Halpern Sameer Mittal Keith Pereira Shivank Bhatia Ranjith Ramasamy 2016Asian Journal of Andrology2016,18,2:5
2Sperm retrieval success and testicular histopathology in idiopathic nonobstructive azoospermia显示文摘Prior studies have investigated sperm retrieval rates in men with non obstructive azoospermia(NOA)secondary to specific etiologies,yet most cases of NOA are idiopathic.We compared sperm retrieval rates and testicular histopathology in idiopathic NOA(iNOA)and nonidiopathic NOA(niNOA).We performed a retrospective review of men with NOA who underwent microdissection testicular sperm extraction(microTESE)between 2000 and 2016.Men with no history of malignancy or cryptorchidism and negative genetic evaluation were considered idiopathic.Multivariable regression determined the association between idiopathic etiology and primary outcomes of sperm retrieval and active spermatogenesis on histopathology.Among 224 men,86(38.4%)were idiopathic,75(33.5%)were nonidiopathic,and 63(28.1%)did not undergo genetic testing.Median age and serum testosterone were higher among iNOA or no testing versus niNOA.Median follicle-stimulating hormone(FSH)was lower among iNOA or no testing versus niNOA.A higher proportion of iNOA or no testing versus niNOA had a clinical varicocele.Sperm retrieval rates were similar between iNOA,niNOA,and no testing(41.8%vs 48.0%vs 55.6%,respectively;P=0.255).Active spermatogenesis was seen in a higher proportion of iNOA or no testing versus niNOA(31.4%and 27.0%vs 16.0%,P=0.073).On multivariable analysis,iNOA was not associated with sperm retrieval or spermatogenesis(P=0.430 and P=0.078,respectively).Rates of sperm retrieval and spermatogenesis on testis pathology were similar in men with iNOA and niNOA.These data will be useful to clinicians in preoperative counseling for men with NOA and negative genetic evaluation.Arighno Das Joshua A Halpern Annie L Darves-Bornoz Mehul Patel James Wren Mary Kate Keeter Robert E Brannigan 2020Asian Journal of Andrology2020,22,6:3
3Spot sign score predicts rapid bleeding in spontaneous intracerebral hemorrhage显示文摘Javier Romero Jeremy Heit Josser Delgado Almandoz Joshua Goldstein Jingjing Lu Elkan Halpern Steven Greenberg Jonathan Rosand R. Gonzalez 2012Emergency Radiology2012,,3:1
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