Tumores uroteliais localizados no trato urinário superior: análise retrospectiva

Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina. Curso de Medicina. Dapartamento de Clínica Cirúrgica

Consensus on prostate cancer treatment of localized disease with very low, low, and intermediate risk: A report from the first prostate cancer consensus conference for developing countries (PCCCDC)

PURPOSE A group of international urology and medical oncology experts developed and completed a survey on prostate cancer (PCa) in developing countries. The results are reviewed and summarized, and recommendations on consensus statements for very low-, low-, and intermediate-risk PCa focused on developing countries were developed. METHODS A panel of experts developed more than 300 survey questions of which 66 questions concern the principal areas of interest of this paper: very low, low, and intermediate risk of PCa in developing countries. A larger panel of 99 international multidisciplinary cancer experts voted on these questions to create the recommendations for treatment and follow-up for very low-, low-, and intermediate-risk PCa in areas of limited resources discussed in this manuscript. RESULTS The panel voted publicly but anonymously on the predefined questions. Each question was deemed consensus if 75% or more of the full panel had selected a particular answer. These answers are based on panelist opinion not a literature review or meta-analysis. For questions that refer to an area of limited resources, the recommendations consider cost-effectiveness and the possible therapies with easier and greater access. Each question had five to seven relevant answers including two nonanswers. The results were tabulated in real time. CONCLUSION The voting results and recommendations presented in this document can be used by physicians to support management for very low, low, and intermediate risk of PCa in areas of limited resources. Individual clinical decision making should be supported by available data; however, as guidelines for treatment for very low, low, and intermediate risk of PCa in developing countries have not been developed, this document will serve as a point of reference when confronted with this disease.Versión publicada - versión final del edito

Consensus on prostate cancer treatment of localized disease with very low, low, and intermediate risk: A report from the first Prostate Cancer Consensus Conference for Developing Countries (PCCCDC)

PURPOSE A group of international urology and medical oncology experts developed and completed a survey on prostate cancer (PCa) in developing countries. The results are reviewed and summarized, and recommendations on consensus statements for very low-, low-, and intermediate-risk PCa focused on developing countries were developed. METHODS A panel of experts developed more than 300 survey questions of which 66 questions concern the principal areas of interest of this paper: Very low, low, and intermediate risk of PCa in developing countries. A larger panel of 99 international multidisciplinary cancer experts voted on these questions to create the recommendations for treatment and follow-up for very low-, low-, and intermediate-risk PCa in areas of limited resources discussed in this manuscript. RESULTS The panel voted publicly but anonymously on the predefined questions. Each question was deemed consensus if 75% or more of the full panel had selected a particular answer. These answers are based on panelist opinion not a literature review or meta-analysis. For questions that refer to an area of limited resources, the recommendations consider cost-effectiveness and the possible therapies with easier and greater access. Each question had five to seven relevant answers including two nonanswers. The results were tabulated in real time. CONCLUSION The voting results and recommendations presented in this document can be used by physicians to support management for very low, low, and intermediate risk of PCa in areas of limited resources. Individual clinical decision making should be supported by available data; however, as guidelines for treatment for very low, low, and intermediate risk of PCa in developing countries have not been developed, this document will serve as a point of reference when confronted with this disease. © 2021 by American Society of Clinical Oncology

The Alternative of Drainage Construction Technology Selection by Using Analytical Hierarchy Process Method

Abstract: The drainage channel is one of the complementary buildings on the road segment in requiring one of the technical requirements for road infrastructure. The road drainage channels in general are open channels using gravity to drain surface water or inundation to the channel. The distribution of flow in the drainage channel to this channel follows the contours of the highway so that the water will flow easily following gravity. The Several alternatives selection of drainage development technologies include elbow drainage, parallel, grid iron, natural and radial. The problem found that some factor considered in selection the right technology are the construction budget, construction period, material supply, and construction process affecting the selection process become complicated. The purpose of this study is to determine the dominant criteria required in considering the selection of drainage construction technology in Banda Aceh and to determine the proper alternative using Analytical Hierarchy Process (AHP) method. After distributing questionnaires to 16 respondents, the research found that the dominant criterion is the construction period as the score of 0.66. According to the respondents, the construction period become the most vital criteria since the assessment of criteria variable relate to the limitation in complete all drainage proposed. This study founds that the best alternative in selecting drainage construction technology is "parallel drainage" as the score is 4.96. Therefore, this study recommends the use of "parallel drainage" as a priority in the drainage construction Banda Aceh by considering construction budget, construction period, material supply and construction process.Abstrak: Saluran drainase merupakan salah satu bangunan pelengkap pada ruas jalan dalam memenuhi salah satu persyaratan teknis prasarana jalan. Pada umumnya saluran drainase jalan merupakan saluran terbuka yang menggunakan gaya gravitasi untuk mengalirkan air limbah ke outlet. Distribusi aliran di saluran drainase ke outlet ini mengikuti kontur jalan raya sehingga air limbah akan lebih mudah mengalir secara gravitasi. Beberapa alternatif pemilihan teknologi pembangunan drainase antara lain adalah drainase elbow, parallel, gridiron, natural dan radial. Persoalannya, beberapa faktor yang perlu dipertimbangkan dalam memilih teknologi yang tepat, biaya pembangunan, waktu konstruksi, ketersediaan material, dan proses pembangunan sehingga pilihan menjadi rumit. Tujuan dari penelitian ini adalah untuk menentukan kriteria dominan yang perlu diperhatikan dalam pemilihan teknologi pembangunan drainase di Kota Banda Aceh dan menentukan alternatif yang tepat melalui metode Analytical Hierarchy Process (AHP). Setelah menyebarkan kuesioner kepada 16 responden, penelitian menemukan bahwa kriteria yang dominan adalah waktu pengerjaan dengan bobot tertinggi (0,66). Menurut responden, waktu konstruksi merupakan kriteria yang paling penting karena keterbatasan dalam menyelesaikan seluruh usulan pembangunan drainase perlu dipertimbangkan. Studi ini menemukan bahwa alternatif terbaik dalam memilih teknologi pembangunan drainase adalah “drainase paralel” yang memperoleh nilai kinerja tertinggi sebesar 4,96. Oleh karena itu, penelitian ini merekomendasikan penggunaan “drainase paralel” sebagai prioritas dalam pembangunan drainase di Kota Banda Aceh dengan pertimbangan biaya, waktu konstruksi, ketersediaan material, dan proses pembangunan.</jats:p