bluuebunny/crossref_metadata_2025 huggingface dataset:
African experiences of laparoscopic hysterectomy about a continuous series of 52 cases by the same practitioner: indications, surgical procedures and complications
Authors: Koffi Koffi Abdoul , Aka Kacou Edele , Fomba Minata , Seni Konan , Horo Apollinaire , Kone Mamourou
Published: February 2018

Background: Laparoscopy is a modern surgical technique that began in 1940 with Raoul Palmer. The present study aimed to analyse the results of a fifty-two-laparoscopic hysterectomy performed.Methods: A prospective study over a period of seven years from 1st January 2010 to 31st December 2015. A total of 52 patients who underwent a laparoscopic hysterectomy were recruited at the teaching hospital of Yopougon-Abidjan.Results: The mean age was 50.2 years (±3.9 years) (36-62 years). The average parity was 3. Few patients had undergone anterior pelvic surgery for either myomectomy or caesarean section. Uterine fibroid was the major surgical indication with a rate of 61.54%. The average size of the uterus was 12 cm (8-18 cm). Total hysterectomies type II and III with or without adnexectomy were essentially performed with rates of 28.85% and 32.69%, respectively. Sometimes it was associated with a lymphadenectomy or a colpo-suspension. The average length of a hysterectomy is 170 minutes (87-385 minutes). Four cases of laparo-conversions have been noted. Blood loss was approximately 95 ml (±12 ml) with a maximum of 300 ml. The complications were mainly two digestive wounds and a bladder fistula. The average length of hospital stay is three days apart from any complication.Conclusions: The laparoscopic approach is less painful, is associated with less blood loss, shorter hospital stay, faster recovery, fewer complications, and better care. A training period of surgeons associated with the equipment of the health structures is necessary to popularize this procedure surgical.
Proportion of pregnancy associated asymptomatic bacteriuria in a tertiary care hospital
Authors: Bose Semanti , Revankar Vijaya Manohar
Published: February 2018

Background: Urinary tract infections are a common occurrence in pregnancy. The physiological and anatomical changes associated with pregnancy predispose to UTIs. Main aim of the study is to determine the prevalence of asymptomatic bacteriuria in pregnant women, to identify the commonest microorganisms and antibacterial susceptibility of the isolated organism and to study the adverse maternal and fetal outcome.Methods: Prospective cross sectional study, conducted between July 2016 to July 2017 in a tertiary hospital. All pregnant women without the symptoms of UTI attending prenatal checkups were included, they were evaluated with urine microscopy and culture sensitivity.Results: Out of 250 pregnant women, 24 urine samples were contaminated and were excluded from the study.165 pregnant women had sterile culture. 10 women had insignificant bacteruria. 30 women had significant growth on culture. 2 of the culture positive women and 21 culture negative women lost for follows. So total number of culture positive women were 28 so incidence of asymptomatic bacteruria is 13.7%.Conclusions: Routine urine culture sensitivity even in asymptomatic women should be offered during antenatal visits so that adverse maternal and fetal outcomes can be prevented.
A study of the outcome of pregnancy complicated by obstetric cholestasis
Authors: Medda Samik , Sengupta Sibani , Palo Upasana
Published: February 2018

Background: Obstetric cholestasis is one of the most common causes of liver disease in pregnancy. Present study was carried out to study the incidence of Obstetric Cholestasis and its feto-maternal outcome in a tertiary care hospital.Methods: It is a prospective epidemiologycal study during a period of one year (2014 to 2015) over 100 pregnant ladies suffering from pruritus and detected as having Obstetric Cholestasis. They were followed up and maternal as well as fetal-neonatal outcome recorded. Appropriate statistical analysis done as applicable.Results: The incidence of Obstetric Cholestasis in our hospital was 9.9%. Majority of cases (43.0%) are diagnosed in late gestational age, mostly during 28 to 32 weeks period of gestation. Maternal morbidities are due to sleep disturbance (60/100), dyslipidemia, coagulation abnormality, PPH (10.0%) and increase chance of operative delivery (66.0%). Neonatal morbidities are mainly due to fetal distress, prematurity (22.0%), low birth weight (32/100) and meconium staining of amniotic fluid (42.0%). Maximum number of patients are delivered at 37 to 38 weeks, due to active and early intervention.Conclusions: Early diagnosis and active maternal and fetal surveillance is of utmost importance to avoid adverse outcomes.
Comparative study of surgical results between total abdominal hysterectomy and total laparoscopic hysterectomy in a tertiary hospital: a 2 year retrospective study
Authors: M. Kanmani , Govindarajan Mirudhubashini , Selvaraj Vishranthi
Published: February 2018

Background: Since the introduction of Laparoscopic hysterectomy by Reich in 1989, it has become a widely accepted technique worldwide. The aim of the study was to compare the surgical results between Total Laparoscopic Hysterectomy (TLH) and Total Abdominal Hysterectomy (TAH).Methods: We conducted a retrospective study at Women’s center and hospitals between June 2014 to May 2016, 32 patients who underwent TAH and 55 patients who underwent TLH, were included.Results: We observed that there was no significant difference between the two groups in respect to patient's demographic characteristics, indication of surgery, uterine size, or with history of previous pelvic surgery. Duration of surgery was found to be longer in TLH than TAH (124±39.7 min vs. 104.7±39.8 min). The length of hospital stay was less in TLH than TLH (P-0.0001) and the amount of blood loss were also less in TLH than TAH (103±149 ml versus 243±210 ml). There was no significant difference in view of intra and post operative complications. Hemoglobin change was statistically significant and is more with TAH than TLH (1.57±0.7g% versus 1.12±0.7g%).Conclusions: This study showed that TLH can be safely performed by the experienced surgeon in order to reduce the blood loss, duration of hospital stay and the quality of life.
Causes of stillbirth according to different gestational ages
Authors: Jindal Aditi , Thakur Rama , Minhas Santosh
Published: February 2018

Background: Stillbirth is one of the most common yet the most poorly studied adverse outcome of pregnancy. Objective of present study was to determine the risk factors and prevalence of stillbirth at Department of Obstetrics and Gynecology, Kamla Nehru State Hospital, for Mother and Child, Indira Gandhi Medical College, Shimla, Himachal Pradesh.Methods: A prospective non-interventional study was conducted with effect from 1st August 2015 to 31st July 2016, during which all the intrapartum and antepartum stillbirths were enrolled.Results: During the study period total number of stillbirth were 94 and the total number of live births were 6412, giving a stillbirth rate of 14.66/1000 live births. The perinatal mortality was 22.1/1000 births. The most common cause of stillbirth as revealed in the study was hypertensive disorder.Conclusions: The stillbirth rate in the study was higher than the stillbirth rate of developed countries. Improvement of socioeconomic conditions, literacy and health education among women will definitely be important to curb the staggeringly high stillbirth rate, but the need of the hour is to deploy adequate number of dedicated skilled providers.
Study of prevalence and factors associated with Maternal Near Miss (MNM) cases and maternal death at Rajiv Gandhi Government Women and Children Hospital, Pondicherry, India
Authors: H. J. Rakesh , Diana Valsa
Published: February 2018

Background: Maternal mortality is a critical event to assess the quality of a health care system. Analysing the maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in that area. The objective of this study was to study the clinic-etiological profile of severe maternal morbidity/near miss case in a tertiary public maternity hospital using criteria from maternal near miss review operational guidelines Ministry of Health and Family Welfare, Government of India (2014).Methods: A prospective observational study included patients admitted to Rajiv Gandhi Government Women and Children Hospital, Pondicherry between August 2016 and July 2017. The patients who met Near Miss Criteria (a set of Clinical, Laboratory and Management based criteria) given by MoH and FW, Government of India (2014) were enrolled; their clinical and investigation parameters were recorded.Results: Out of 9583 live births, 27 (0.281%) were near-miss cases. The maternal near miss incidence ratio was low 2.81 /1000 live births, because of strict criterion of labelling near-miss cases. Maternal near miss to mortality ratio was 13.5:1, and mortality index was 6.89%, lower the index, indicates better quality of care. The mean age of the near-miss patients was 27.75 years. Most of the patients of near-miss were of multipara n = 17 (62.96%). Majority n = 16 (59.25%) of patients were at term gestation. The major causes of near miss were severe haemorrhage n = 11 (42%), Hypertension n = 9 (35%) and rupture uterus n = 4 (15%). Major intervention peripartum hysterectomy was needed in n = 7 (27%) and stepwise devascularisation only in another n = 5 (19 %) of near miss cases.Conclusions: Haemorrhage was the leading cause of near miss events. The study of maternal near miss provides an insight into the causes of maternal mortality in this region. The maternal morbidity and mortality can be reduced by providing proper antenatal care at primary and community health centre level and good intensive care and using maternal early warning system (MEWS) at tertiary level. Maternal near miss ratio is worth presenting in national indices.
Low platelet counts in pregnancy: an alarm signal for abruption!
Authors: Mundkur Anjali , Nambiar K. P. Murali Krishnan , Rai Lavanya
Published: February 2018

Background: Thrombocytopenia, defined as a platelet count less than 150 million/mm3, affects 6% to 10% of all pregnant women and other than anemia is the most common hematologic disorder in pregnancy.Methods: We studied all patients with thrombocytopenia in pregnancy from June 2012 to May 2013. There were 86 patients recruited into the study. Pregnant women with preeclampsia and suspected connective tissue disorder were also screened for thrombocytopenia. All women with platelet count of <1.50,000/µl during the study period were included.Results: Patients were grouped in to mild thrombocytopenia (platelet 100,000-149,999/µl), moderate thrombocytopenia (platelet 50,000-99,999/µl) and severe thrombocytopenia (platelet <49,999/µl. Pregnancy specific cause of thrombocytopenia was in 63 (73.2%) women and non-pregnancy specific were in 23(26.7%) patients.Conclusions: Preeclampsia and HELLP syndrome is more common cause of thrombocytopenia in pregnancy. Abruption can occur in patients with severe thrombocytopenia. Though platelet count is not routinely done in pregnancy it is advisable to do so as it may help in detecting gestational thrombocytopenia or other immune related condition.
Maternal outcome in cases of severe anaemia in labour
Authors: Singh Shalini , Kaur Khushpreet
Published: February 2018

Background: Anaemia is the commonest medical disorder in pregnancy and severe anaemia is associated with poor maternal and perinatal outcome.Methods: The study was done to analyse the characteristics of hospitalized pregnant women with severe anaemia (Haemoglobin < 7gms %) at the time of delivery and to find out maternal outcome. It was a prospective study done at Rajindra hospital, Patiala, Punjab, India over a period of one year from February 2016 to January 2017.Results: Results were analysed; out of 3784 deliveries 210 (5.54%) cases were severely anaemic at the time of delivery. Out of 210 women with severe anaemia 184(87.6%) patients belonged to low socioeconomic category, 177 (84.2%) were unbooked cases, 152 (72.4%) cases from rural area and 119 (57.6%) cases were multi gravidas. The maternal complications were Pre-eclampsia and eclampsia (16.1%), intercurrent infections (3%), abruptio placentae (3.3%), heart failure (1.4%), preterm labours (42.8%), intrauterine deaths (10.9%) and postpartum haemorrhage (10.4%).Conclusions: Severe anaemia during pregnancy is associated with maternal and perinatal morbidity and mortality so effective preventive measures in the form of regular antenatal check-ups and iron supplementation will prevent complications of anaemia in pregnant women.
Spontaneous pregnancy after prepubertal haematopoietic cell transplantation
Authors: Tan Eek Chaw , Rajesh Hemashree
Published: February 2018

Spontaneous pregnancy after haematopoietic cell transplantation (HCT) is rare due to an increase incidence of premature ovarian failure resulting from pre-transplantation conditioning regimes. Increased number of long term survival of HCT patients has brought forth their fertility into focus. In this article, we reported a 34 years old woman who underwent HCT at prepubertal age and had a spontaneous pregnancy. In addition, we reviewed literature on fertility outcome in HCT survivors and the associated risk factors.
Prenatal diagnosis of congenital megalourethra: a rare anomaly
Authors: Singh Neha , Bansal Vandana , Damania Kaizad R.
Published: February 2018

Congenital megalourethra is a rare urogenital malformation characterised by pathological elongation and dilatation of penile urethra. It is a form of functional obstructive uropathy which is associated with significant urological and sexual dysfunction secondary to hypoplasia or absence of corpora cavernosa and spongiosa. We report a case of megalourethra in one of the dichorionic diamniotic twin diagnosed prenatally in a young primigravida. Initial ultrasound report suggested two different diagnoses i.e. omphalocoele and gastroschisis. Later, diagnosis of congenital megalourethra was made on detailed ultrasound examination by our fetal medicine consultant. Postnatal gross and ultrasonographic examination confirmed the prenatal diagnosis. In the present case report, we have emphasized proper perineal anatomical ultrasound examination which revealed a megalourethra. Although this anomaly is not lethal in isolation, but it has worse prognosis in presence of other associated structural anomalies. This anomaly also raises the controversy regarding disclosure of sex of foetus in countries like India where sex disclosure is prohibited by law. As this condition typically affects male foetuses and significantly affects sexual function, it may be necessary to reveal fetal sex for appropriate counselling and prognostication to prospective parents. Ethical dilemma arises for practising clinicians while dealing with isolated forms of megalourethra whether to offer termination of pregnancy on the grounds of having significant impact on sexual life due to erectile dysfunction. Anorectal malformation is often associated with megalourethra, although suspected in the present case, can be difficult to identify antenatally prior to 20 weeks (the time limit up to which legal termination can be performed in India). These issues have been highlighted in the present report.
Ureteral endometriosis: a rare and underdiagnosed cause of renal dysfunction
Authors: Yaramareddy Swapna , Shankar Kundavi , Kurien Abraham , Varma Thankam
Published: February 2018

Ureteral endometriosis is a serious localization of disease that can lead to urinary tract obstruction, hydroureteronephrosis and potential kidney loss. We describe three cases of ureteral endometriosis where there was documented renal function loss with subsequent workup and surgical intervention. Clinical suspicion and preoperative assessment may help with diagnosis and allows for a multidisciplinary pre-consultation. Surgical technique to treatment varies, but the goal is to salvage renal function and decrease disease burden. Laparoscopic surgical approach can be carried out successfully in the hands of an experienced laparoscopic surgeon. These cases illustrate varying surgical approaches tailored to management of ureteral endometriosis. Women in reproductive age presenting with pelvic pain diagnosed to have hydronephrosis must be adequately evaluated for ureteral endometriosis.
Laparoscopic bilateral gonadectomy in a case of turner syndrome with 45XO/46XY genotype
Authors: Shah Nitin H. , Shah Riddhi J. , Kshirsagar Swapnali
Published: February 2018

Turner syndrome is one of the common chromosomal aberrations which manifests in a female as multiple phenotypic disorders usually presenting as a case of primary amenorrhea. Many of these patients display mosaicism on karyotyping and a presence of Y chromosomal material indicates high risk of gonadoblastoma and gonadectomy is indicated which is best achieved by laparoscopy. This is a case of 21-year-old female phenotype referred as a case of primary amenorrhea diagnosed as Turner syndrome with 46XY mosaicism. Laparoscopic bilateral salpingoophorectomy was done. In patients of primary amenorrhea karyotyping should be evaluated and if Y chromosome detected these patients should be subjected to gonadectomy after proper risk counselling about malignancy.
Etiology and complications of perforated peritonitis: a retrospective study
Authors: Balamaddiah G. , Ravindranath G. G.
Published: February 2018

Background: Peritonitis caused by perforation of the gastrointestinal tract is one of the most common emergencies in surgery and therefore required immediate recognition and management. The spectrum of this disease if different in India compared to the other parts of the world. Thus, this study was undertaken to assess the risk factors and outcome of this condition in the area.Methods: Forty-three patients, between 10-70 years, who had undergone treatment for perforated peritonitis either as an emergency or as an elective procedure were included into this retrospective study. Records of the inpatients were obtained from the medical records department of the hospital. Abdominal X-ray and abdominal and pelvic ultra sound was done for all the patients. Metronidazole and cefotaxime were given intravenously for all the patients. Records of the inpatients were obtained from the medical records department of the hospital.Results: Out of the 43 patients under study, 79% were males and 21% were females. The most predominant age group to be affected was 41-50 years followed by 51-60 years. 72.1% of the patients were alcohol users, 58.1% were smokers and 18.6% were on NSAIDs use. All the patients presented with abdominal pain and tenderness, followed by nausea and vomiting, presence of free fluid ad constipation. The most common cause for perforated peritonitis was peptic ulcers (58.1%), followed by enteric fever (16.3%), Tubercular peritonitis and ischemic bowel syndrome (7% each). Wound infections and electrolyte imbalance were the most common complications observed.Conclusions: Surgical peritonitis is one of the most common surgical emergency procedures performed. Since there is no way to prevent the peritonitis, the most effective treatment would be with the help of efficient and prompt surgery, with modern anesthesia and proper post-operative care. This would help to reduce the morbidity and mortality among the patients.
Incidence of post-operative pulmonary complications following emergency laparotomy in tertiary care centre in Vindhya region of Madhya Pradesh, India
Authors: Gangwal Mohit , Singh Brijesh
Published: February 2018

Background: Pulmonary complications after abdominal surgery, including pneumonia, atelectasis and respiratory failure, are significant cause for patient suffering, prolonged hospital stays and increased mortality rate. There are well documented cases of atelectasis, pneumonia, aspiration pneumonitis, Acute respiratory distress syndrome, pleural effusion, empyema, tracheobronchitis etc. Present study aims at studying the incidence of pulmonary complications following emergency laparotomy.Methods: A total of 271 patients who got admitted through SOPD, casualty or transferred from other departments and underwent emergency laparotomy during the period of study were included in the study irrespective of the age and sex. Post operatively patients were regularly monitored and with advent of clinical and investigative findings post-operative pulmonary complications were recorded and incidence was calculated.Results: The mean age of the patients in present study was 36.1 and standard deviation of 15. Out of 271 patients, 219 were males 52 were females. Most common etiology of peritonitis was Peptic perforation (35.4%) followed by ileal perforation (23.6%). Incidence of post-operative pulmonary complications in present study was 30.2%.Conclusions: Post-operative pulmonary complications continue to be a significant morbidity following emergency laparotomies. Preoperative risk factors include smoking history, pre-existing lung disease and cardiac dysfunction. Emergency nature of the procedure, long duration operation and midline incision are the other factors that can increase the risk of PPC. Early identification and aggressive treatment goes a long way to tide over the progress to a life-threatening state.
Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India
Authors: Mir Iqbal Saleem , Rashid Tajamul , Mir Irfan Nazir , Nazir Suhail , Ali Imtiyaz , Haq Mansoor Ul
Published: February 2018

Background: Inguinal hernia repair by laparoscopy is gaining acceptance worldwide. A flat mesh used in laparoscopic inguinal hernia repair is associated with more complications especially early and late postoperative pain owing to the need of mechanical fixation of this mesh. A three-dimensional mesh in this context is an emerging alternative which needs no or minimal fixation.Methods: A retrospective study of 123 patients was carried out from July 2012 to August 2017. All patients who underwent TEP by a single surgical team using three-dimensional mesh were included in the study. Data collected was analysed retrospectively.Results: Out of a total of 123 patients, 114 patients had unilateral hernia and 9 had bilateral hernia. A total of 132 laparoscopic hernia repairs were done using three-dimensional mesh. All the patients were male aged 29 to 75 years with a mean age of 51.5 years. Indirect hernias were more common comprising of 87.7%. The mean operative time was 46.9 minutes. The average mesh fixation time was 12.6 minutes. No major intraoperative complications were noted in any of the patients. Three patients (2.45%) experienced severe postoperative pain. Most of the patients 117 (95.12%) were discharged within 24 hours of surgery. Mean hospital stay in our study was 1 day. The mean length of follow-up was 12 months. Mild persistent groin pain was found in four patients (3.25%). Seroma was noted in five patients (4.06%). Hematoma and wound infection was noted in none. One patient (0.81%) had recurrence after completion of follow up. We found use of 3D mesh costly.Conclusions: Laparoscopic inguinal mesh hernioplasty using 3D mesh is a viable alternative of hernioplasty with minimal post-operative pain and recurrence and using 3D mesh has a technical advantage of easy insertion in an anatomically correct position with minimal fixation.
Mesh repair versus mayo repair for paraumbilical hernia: a comparative study
Authors: Naik C. Shashidhara , K. Seshagiri Rao , D. M. Abhinava , Manangi Mallikarjuna N. , C. S. Santhosh , Nagaraj Niranjan
Published: February 2018

Background: Para umbilical hernia is a multifactorial and complex process they are most commonly found along the midline linea Alba. This study aims to assess the efficacy of mesh repair in comparison to Mayo Repair and to analyze the morbidity associated with the management.Methods: The study was conducted in Victoria Hospital and Bowring and Lady Curzon Hospital attached to Bangalore Medical College & Research Institute, with clinical features suggestive of Paraumbilical Hernia (Minimum 30 cases each) from October 2010 to September 2012. Pediatric age group and those patients requiring emergency surgery have been excluded. 30 patients underwent Mayo’s repair and 30 patients underwent Mesh repair. Follow up period ranged from 2 months to 24 months.Results: paraumbilical hernia was found more commonly between 4rd and 6th decade of life with female: male 2.3:1. Most common presenting symptom was swelling with cough impulse (36.5%) and reducibility present. Commonest predisposing factors were multiparty and obesity. Percentage of early postoperative complications in Mayo’s repair was 13.6% and in Mesh repairs 6.6%. No statistical difference was noted. Percentage of recurrence following Mayo’s repair was 10% and following mesh repair was 0%. Postoperative complications like seroma, infections were similar in both procedures (Mayo’s repair and Mesh repair).Conclusions: Prosthetic mesh repair is a technique with good post-operative outcome, low recurrent rate and excellent patient satisfaction. It could become the gold standard in adult umbilical and paraumbilical hernia repair, in the future.
An uncommon case of intraperitoneal urinary bladder rupture in an adult with pelvic bone fracture
Authors: Gupta Rekha , J. Vivek
Published: February 2018

Injury of urinary bladder can occur due to blunt, penetrating, or iatrogenic trauma. Here, author present an uncommon case of Intraperitoneal bladder rupture in an adult patient with associated pelvic bone fracture. Following a fall from his house, a 40 years old male patient presented with haematuria and abdominal pain. CT scan of abdomen revealed Intraperitoneal bladder rupture with pelvic bone fracture. Intraoperative findings revealed intraperitoneal rupture of bladder with a defect in dome region. It was repaired with Vicryl 2-0 suture. So, a high degree of suspicion of intraperitoneal bladder rupture should be kept in mind even though it has associated pelvic bone fracture in an adult patient.
Spontaneous infarction in fibroadenoma of breast: a rare pathological finding in a common pathological entity
Authors: Agarwal Puneet , Badkur Mayank , Dausage Chirag
Published: February 2018

Fibroadenoma is one of the most prevalent benign tumour in adolescent women. It accounts for 20% of all benign breast tumours. Spontaneous infarction in fibroadenoma is very unwonted and mostly, it is associated with gravidity or lactation. Infarction can additionally occur as a complication of antecedent fine-needle aspiration biopsy. At the institution during 2-years period we incidentally found three such cases of spontaneous infarction of fibroadenoma over varied age groups which surprised us. So, reviewed the literature and presented our findings. Three fibroadenomas with features of central necrosis were diagnosed on excision and biopsy. Spontaneous infarction within fibroadenoma is a rare occurrence. It causes diagnostic difficulties, hence conscientious search and possibility of this entity should be must during the evaluation of breast lump.
The Scorpionism in the Metropolitan Region of Goiânia, State of Goiás (2007-2011)
Authors: Silva Patricia Morais , Moura Wanessa Masson , Pessoa Anita Moura , Pinto Raimundo Nonato Leite , Silva Jr Nelson Jorge
Published: February 2018

This study describes the scorpionism profile in the Goiânia metropolitan region (RMG), between 2007 and 2011. In Brazil scorpionism answers for 57,8% and in Goiás for 71% of the venomous arthropod’s accidents. There was no noticeable seasonal variation with the accidents almost uniformly distributed between the sexes and within the 20 to 49 age group. The sting region prevailed on the upper limbs with noticeable episodes on trunk and pelvis. Pain and vagal symptoms were the main symptoms. Most of the cases did not require serum therapy, with the use of support medication and anesthetic blockage. There were 586 ampoules of SAEs used in an average of 4 ampoules/patient. Information on laboratory tests, reactions and treatment to reactions to serum therapy, pre serum medication, and anesthetic blockage are detailed on the medical records. The majority of the cases had a benign outcome with no deaths. There is a strong correlation of the scorpionism with the urban expansion, especially in the RMG, with four cities presenting the highest percentages of urban area and scorpion accidents.

O Escorpionismo na Microrregião de Goiânia, Estado de Goiás (2007-2011)

Esse estudo descreve o perfil do escorpionismo na região metropolitana de Goiânia (RMG), entre 2007 e 2011. No Brasil o escorpionismo responde por 57,8%, e em Goiás por 71,0% dos acidentes com artrópodes peçonhentos. Não existe uma sazonalidade definida, os acidentes são quase que uniformemente distribuídos entre os sexos e na faixa etária entre 20 e 49 anos. A região da picada prevaleceu em mãos e pés, com uma ocorrência importante no tronco e pelve. Quanto à sintomatologia prevaleceram dor local e sintomas vagais. A maioria dos casos não requereu soroterapia, fazendo apenas uso de bloqueio anestésico. Foi utilizado um total de 586 ampolas SAEs, em uma média de 4 ampolas/paciente. Informações sobre exames laboratoriais, reações à soroterapia, medicação pré-soro e bloqueio anestésico foram detalhadas nos prontuários médicos. A maioria dos casos teve evolução benigna e sem óbitos. Existe uma forte correlação do escorpionismo com a expansão urbana, especialmente na RMG, com quatro cidades que apresentam as maiores porcentagens de zona urbana e acidentes.
Stress, Leadership Style and Internal Communication Among Teachers of a Higher Education Institution
Authors: Valadão Maurício Benício , Do Prado Júnior Valdir Inácio , Costa Neto Sebastião Benício
Published: February 2018

This article aimed to understand the relation stress, leadership style and internal communication between management and teachers of a higher education private institution in the city of Goiânia-GO. To achieve this, the exploratory method was used, relying on the contribution of such teachers in a focal group. Through the results found, it is understood that the institution must elaborate a number of considerations towards the relation stress and internal communication. To do so, it is highlighted: the comprehension that the lack of a well structured internal communication fosters stress; and the use of strategies that contribute to the implementation of an effective internal communication.

Estresse, Estilo de Liderança e Comunicação Interna entre Docentes de uma Instituição de Ensino Superior

Este artigo buscou compreender a relação estresse, estilo de liderança e comunicação interna entre chefia e docentes de uma instituição de ensino superior privada na cidade Goiânia-GO. Para a sua consecução foi utilizado o método exploratório, contando com a contribuição dos docentes em um grupo focal. Por meio dos resultados encontrados, entende-se que a instituição deve elaborar um conjunto de considerações acerca da relação estresse e comunicação interna. Para tanto, destacam-se: a compreensão de que a falta de uma comunicação interna bem estruturada fomenta o estresse; e a utilização de estratégias que contribuam para a implementação de uma comunicação interna efetiva.
Dekonstruksi paradigmatik pengembangan zakat: analisis kritis pemikiran Yusuf al-Qaradawi
Authors: Aziz Jamal Abdul
Published: February 2018

The construct of the argument for the development of zakat treasures in the thought of Yusuf al-Qaradawi can be divided into two general and special ones. The general argument is based on the theory of qiyas and maslahah, while the specific argument is based on the theory in the jurisprudence of zakat itself, that is with respect to the criteria of zakat property. From the six criteria he mentioned he then developed one of them is a productive (growing) property. On the basis of these criteria then many new types of treasures that can be covered into zakat property, such as the treasures obtained from company stock, honey, and profession. Of course the new treasures he mentioned just as an example only. In the future it can continue to grow in accordance with the development of Muslim life. The argument for the development of zakat property can be contradicted by three arguments: ambiguity in placing the doctrine of zakat between the teachings of mahdah worship and the teachings of muamalah /'adah (worldliness); tend to separate the study of zakat from the historical context in which the obligations of zakat in the time of the Prophet and the caliph after him are always related to the life of the state / government; and stressing that the zakat is different from the taxes is basically a result of its ambiguity in looking at zakat.
KESADARAN TRANSENDENTAL SEBAGAI PILAR UTAMA PENDIDIKAN BERWATAK DALAM UNTAIAN NASEHAT LUQMAN AL HAKIM
Authors: Hikami Muhammad Waston Al
Published: February 2018

Luqman the Wise, one of man who is mentioned in the Holy Qur`an, is not a prophet neither messenger of God. He is just an ordinary man like us. What differing between us and him is the noble idea of this man regarding the way he educates his children. Luqman educated his children by planting the consciousness of God in the heart of his children. By this awareness, children will raise not only with strong intellectual ability but also beautiful manners, respecting values of humanities and coloring their live with high values of moralities. This article explores Luqman wise words that were recorded in Surah Luqman verses 13 until 19 and evaluates the key success of Luqman’s education system. Compared to modern concept of character education, Luqman method was in accordance with its spirit and goal. Furthermore, the writer found that the core value which is always exists and building all Luqman’s wise words is the consciousness of the existence of God. In Islamic perspective, this transcendental awareness is the basic value for all process of character building in creating good habituation and manner known as akhlaaq al kariimah.
Prevalencia del riesgo de trastornos de la conducta alimentaria en una población de estudiantes de secundaria, Bogotá - Colombia
Authors: Fajardo Bonilla Esperanza , Méndez Carolina , Jauregui Alfonso
Published: February 2018

Objetivo: Describir la prevalencia de riesgo de trastornos de la conducta alimentaria, estado nutricional y consumo de alimentos en una población escolar de secundaria de colegios públicos y privados.Materiales y Métodos: Aplicación del cuestionario SCOFF, toma de medidas antropométricas y encuesta de frecuencia de consumo de alimentos a 671 estudiantes de dos colegios públicos y dos privados de la ciudad de Bogotá.Resultados: Se encontró una prevalencia del 30,1% de riesgo de presentar TCA; de ésta, el riesgo en las mujeres es de 41,3%. En cuanto al estado nutricional se observó mayor frecuencia de riesgo en la clasificación normal y en instituciones públicas con un 31,3%. Del total de la población 7,6% presenta talla baja, 16% exceso de peso y 5,1% bajo.Conclusiones: La prevalencia de riesgo de trastornos alimentarios es mayor en las mujeres, con clasificación nutricional normal (73,7%) y en instituciones educacionales públicas.
Diarrea pos colecistectomía, enfoque diagnóstico y terapéutico
Authors: Jaramillo Rubén Guillermo , Yurgaky S James , Otero Regino William
Published: February 2018

La colelitiasis es una enfermedad muy prevalente en la población general. El tratamiento de la colelitiasis, cuando se torna sintomática, es fundamentalmente quirúrgico. Una de sus complicaciones es la diarrea pos-colecistectomía que se define como la presencia de 3 o más deposiciones diarreicas por día por más de cuatro semanas en pacientes con el antecedente de colecistectomía, en ausencia de otra causa que explique la sintomatología. Debido a la incidencia reportada en la literatura alrededor del 15%, esta revisión presenta la epidemiologia, fisiopatología, diagnóstico, clasificación y tratamiento de esta patología. Adicionalmente se plantea una nueva clasificación de la patología que se correlacione con la fisiopatología.
Comparación de sensibilidad y especificidad de dos técnicas de diagnóstico directo: Kato–Katz-Saf y Ritchie–Frick (formol-gasolina) en examen coproparasitológico para la identificación de estadios infectivos de geohelmintos en población infantil en edad preescolar y escolar
Authors: Giraldo Forero Julio César , Guatibonza Carreño Andrea Milena
Published: February 2018

Introducción: Las parasitosis intestinales causadas por geohelmintos son consideradas un problema de salud pública que afectan principalmente a países en vía de desarrollo y son proclives a presentarse en población infantil. Los métodos diagnósticos para identificar estas entidades parasitarias son el coprológico directo y las técnicas de concentración. El método establecido por la Organización Mundial de la Salud-OMS para identificar y cuantificar geohelmintiasis es el Kato-Katz; sin embargo, este no permite realizarse en trabajos de campo con periodos de tiempo prolongados, debido a que su análisis debe llevarse a cabo en las primeras 48 horas de toma de la muestra de materia fecal.Objetivo: Implementar el uso del fijador SAF (Acetato de sodio – Ácido acético – Formaldehído) en la técnica de Kato-Katz-OMS y evaluar la estabilidad de las estructuras de las entidades parasitarias, después de un periodo de doce meses de toma muestra y realizar comparación con la técnica de concentración Ritchie-Frick modificada (formol-gasolina), para determinar los valores de sensibilidad-S, especificidad-E, valor predictivo positivo-VPP y negativo-VPN y determinar la prevalencia del parasitismo intestinal  y sus posibles variables asociadas en la comunidad infantil en edad preescolar y escolar del municipio de Chaguaní Cundinamarca. Materiales y  Métodos: Se analizaron 67 muestras correspondientes a toda la población infantil en edad preescolar y escolar del área urbana del municipio de Chaguaní Cundinamarca, las cuales fueron valoradas por los métodos de Kato-Katz-SAF y concentración de Ritchie-Frick modificada (formol-gasolina) y posterior análisis microscópico.Resultados: La prevalencia de geohelmintiasis fue de 46,3%, la técnica de Kato-Katz-SAF presentó valores de S, E, VPP y VPN del 100% y la técnica de concentración de Ritchie-Frick modificada (formol-gasolina) S 60,8%, E y VPP 100% respectivamente y VPN 62,1%; la prevalencia para protozoos por este método fue de 65,7% hallándose agentes etiológicos patógenos y de carácter zoonótico. Se identificó que las variables onicofagia, consumo de agua sin proceso de cloración o hervido, presencia de vectores mecánicos, convivencia con animales domésticos como caninos, hacinamiento en la vivienda y uso poco frecuente de calzado, son variables de posible asociación estadística con la presencia de entidades parasitarias. Se determinó nivel de parasitemia por geohelmintiasis leve para esta población.Conclusión: El estudio reveló que el uso del reactivo de SAF puede implementarse en trabajos de campo prolongados conservando los estadios infectivos de las entidades geohelmínticas como: Ascaris lumbricoides, Trichuris trichiura y Uncinarias por un periodo de hasta doce meses.
Study of various clinical and microbiological patterns of onychomycosis in western Rajasthan
Authors: Khuraiya Dr. Sandeep , Naseerudin Dr. , Chandra Dr. Kapil , Khullar Dr. Rajiv
Published: February 2018

Background:-Onychomycosis is invasion of nail plate by fungus, caused by both dermatophytes & non-dermatophytes. In this study, the main aims & objectives are identification of various clinical forms, microbiological agents & epidemiology of onychomycosis as well as its association with various dermatological conditions & systemic diseases in western Rajasthan.
Materials and Methods:-The study involved a total of 150 cases of onychomycosis which was suspected on clinical basis. Subsequently KOH examination & culture was done for identification of microbiological agents causing the disease. Patients were also looked for other skin & systemic diseases.
Results:-In our study, the incidence of onychomycosis was 1.8%. It occurs more commonly in men between age group of 20-50 years, accounting for 80% of total cases. Housewives, office workers, farmers & cattle workers were more commonly affected. Distal & lateral subungual onychomycosis (DLSO) was seen in 85.33% cases. Toenails & fingernails were affected in 55.9% & 34.6% cases, respectively. KOH was positive in 48.6% cases. Culture showed growth in 37.3% cases. Trichophyton rubram was the most common etiological agent. Associated Keratoderma, asteotic eczema, psoriasis & raised blood sugar was seen in 5%, 2.5%, 2.5% & 6.66% cases, respectively.
Conclusion:-The present study concluded that onychomycosis has an incidence of 1.8% & occurs mainly in age group of 30-40 years of housewives, office workers, farmers & cattle workers. DLSO was most common clinical type affecting toenails more commonly than fingernails & T.rubram was the most common etiological agent.
Apresentação: Dossiê Questões Socioambientais e Etnobiodiversidade
Authors: Barros Flávio Bezerra , Barboza Roberta Sá Leitão , Saraiva Luis Júnior Costa
Published: February 2018

Apresentação do dossiê
Polemizar para persuadir: análisis de las estrategias argumentativas del procurador Alejandro Ordóñez
Authors: Espitia Cifuentes Laura Camila
Published: February 2018

Desde el inicio de las negociaciones de paz entre las FARC y el Gobierno de Santos, varios representantes de la oposición han puesto en funcionamiento una serie de estrategias de deslegitimación. Tomando como base algunos estudios del análisis del discurso que abordan la destinación múltiple de discurso político, este artículo analiza la estructura argumentativa que pone en escena el entonces procurador Ordóñez, en cuanto representante de la oposición, en una misiva dirigida a Iván Márquez, jefe de la delegación de las FARC. Se observa que las objeciones del procurador tienen múltiples destinatarios; se dirigen al destinatario explícito a la vez que emiten actos ocultos al presidente Santos, quien figura en buena parte del documento como destinatario encubierto e indirecto. Por otra parte, Ordóñez intenta hacer la transición desde su intención inicial de polemizar, hacia una postura más conciliadora, lo que lo habilita para proponer el Pacto para la Paz.
Editorial
Authors: Bustamante Vélez Blanca Lucía
Published: February 2018

La Maestría en Lingüística de la Universidad Pedagógica y Tecnológica de Colombia(UPTC) presenta el número 31 de su órgano de difusión, la revista Cuadernos de LingüísticaHispánica, correspondiente al período enero-junio de 2018.
Alteración de Adipocinas Inflamatorias después de 4 Meses de Abstinencia de Fumar en el Programa de Intervención Multidisciplinario
Authors: Toffolo Mayla Cardoso Fernandes Toffolo , Arthur Arthur da Silva Gomes , Keta Henriqueta Vieira van Keulen , Maíra Maira Barros Louro , Flávia Flávia Márcia Castro e Silvad , Sheilla Sheila Cristina Potente Dutra Luquetti , Aline Aline Silva de Aguiar , Ana Paula Ana Paula Ferreira
Published: February 2018

Antecedentes: Muchos cambios endocrino-metabólicos involucrados en el tabaquismo. Objetivos: Evaluar las concentraciones séricas de adipocinas inflamatorias en fumadores al inicio y después de 4 meses de tratamiento para dejar de fumar. Métodos: Se evaluaron las concentraciones séricas de citocinas inflamatorias en fumadores y abstinentes. La evaluación nutricional se basó en las mediciones del peso corporal, la estatura y la circunferencia de la cintura (CC), para calcular el Índice de Masa Corporal (IMC), Índice de Adiposidad Corporal (BAI) y Relación cintura-altura (WHtR). Se analizaron los parámetros bioquímicos: colesterol total, LDL-c, HDL-c, triglicéridos, glucosa, cortisol e insulina. Los niveles séricos de leptina, adiponectina y grelina se determinaron mediante el Ensayo de inmunoabsorción enzimática (ELISA). Se calculó la relación leptina / adiponectina (L / A). Resultados: Se incluyeron un total de 29 sujetos, 22 mujeres y 7 hombres. La edad media de los participantes fue de 50,7 ± 10,47 años. Los valores medios de WHtR y BAI mostraron arriba del punto de corte propuesto, indicando obesidad abdominal. Los parámetros bioquímicos no presentaron diferencias estadísticamente significativas al comparar los valores inicial y final. Al final del tratamiento, el abstinente tenía niveles más altos de adiponectina cuando se comparaban los que permanecían fumando (p = 0,024). Hubo un aumento en los niveles de leptina, L / A y reducción en los niveles de adiponectina después del tratamiento en abstinentes y fumadores (p <0,05). Conclusión: Este estudio ha demostrado que el abandono del hábito de fumar mejora los niveles de adiponectina cuando se compara con. Los niveles de leptina y L / A aumentaron durante el tratamiento en ambos grupos. El aumento de los valores de leptina y L / A en abstinentes puede indicar el riesgo de eventos metabólicos asociados con el tabaquismo historia que debe ser investigado.
The Effect of Students’ Knowledge about Environmental Pollution (High Knowledge Vs Low Knowledge) to Critical Thinking
Authors: Izzaty Atiya Mustawli
Published: February 2018

Environmental pollution has become a serious problem compromising human health. It is believed that providing knowledge about this matter, particularly for high school students, will improve their critical thinking by which participation to solve the problem increases. The purpose of this study was to determine the effect of students’ knowledge about environmental contamination to students’ critical thinking. This study was conducted in SMAN 54 Jakarta on May 2012 using ex post facto study method with post-test only control group design. Samples were taken from grade 10 students selected by simple random sampling. The result of prerequisite tests performed by t-test and the Kolmogorov-Smirnov test showed that data were homogenous and normally distributed while hypothesis testing by t-test at α = 0.001 it was found that students’ knowledge about environmental pollution has an effect to students’ critical thinking.
The Effects of different Counseling Method toward Housewives’ Knowledge about Processing of the Household Waste
Authors: Rahmahdini Rani , Vivanti Diana , Heryanti Erna
Published: February 2018

A serious environmental problem has occurred due to the negative impact of household waste. Lack of knowledge and awareness of waste processing must be improved through an effective counseling method provided for housewives. The aim of this research was to determine different counseling methods about garbage toward housewives’ knowledge about processing of the household waste. This research carried out on Kampung Pulo, Jakarta Timur on April 2013. A quasi-experiment method with a randomized control group pretest-posttest design was used. Counseling methods of demonstration and movie display were given in two different groups as the treatment. Instrument of knowledge test was used to collect data. The normality testing of Kolmogorov-Smirnov test and the Homogeneity testing of F-test at α = 0.05 resulted a normal distribution and homogenous data. The hypothesis testing of t-test showed t count > t table on 3.34 > 2.03 which rejected the H0, meaning that different knowledge level about processing of the household waste obtained from different method of counseling. It is concluded that, demonstration method was more effective than movie display to increase the housewives’ knowledge about processing of the household waste.