bluuebunny/crossref_metadata_2025 huggingface dataset:
Características dimensionais e ponderais dos pulverizadores hidropneumáticos brasileiros
Authors: Alonço Pablo Do Amaral , Alonço Airton Dos Santos , Francetto Tiago Rodrigo , Carpes Dauto Pivetta , Costa Otávio Dias da
Published: January 2018

Com a evolução da mecanização agrícola, passou-se a ter uma gama muito grande de pulverizadores hidropneumáticos disponíveis no mercado brasileiro, visando atender as mais diversas culturas e biomas presentes no país, permitindo ao produtor selecionar e utilizar a tecnologia mais adequada às suas necessidades. Dessa maneira, objetivou-se analisar as características dimensionais e ponderais dos pulverizadores hidropneumáticos fabricados no Brasil. Para isso, fez-se um levantamento de 18 informações técnicas dimensionais, ponderais e relações destes, disponibilizados pelas empresas, como potência por capacidade de depósito (kW l-1) e potência por comprimento de barra (kW m-1). Obteve-se um total de seis fabricantes que englobam 71 modelos, com variação no tipo de condução de ar (sem direcionamento de ar, unidirecional, vertical ou superior). A potência requerida variou de 5,00 a 62,50 kW; a capacidade de depósito de calda, de 200 a 4.000 litros; a massa total, de 130 a 1.350 kg; as relações de potência por capacidade de depósito variaram de 0,00715 a 0,073 kW l-1; e a relação entre a potência e a massa, de 0,0158 a 0,204 kW kg-1. Além disso, também se observou uma variação na bitola máxima, de 0,92 a 2,20 m; na bitola mínima, de 0,92 a 1,84 m; no diâmetro da turbina, de 540 a 900 mm; na quantidade de bicos, de 4 a 60 bicos; e uma relação diâmetro de turbina por quantidade de bicos variando de 24,19 a 70,31 mm bico-1. Assim, existe a necessidade de o produtor realizar uma avaliação criteriosa, obtendo o que mais se adéque às necessidades de sua propriedade, dentre todos os disponíveis nessa gama de produtos.
Remoção de nitrogênio e fósforo de efluente industrial através da precipitação de estruvita
Authors: Gerhardt Rafael , Reisdorfer Gustavo , Cardoso Manuela Gomes
Published: January 2018

A crescente preocupação com os problemas ambientais, aliada às legislações vigentes e às fiscalizações ambientais, impulsionou o cuidado com o meio ambiente, obrigando as empresas a reduzirem ao máximo o potencial poluidor de seus resíduos. Dentre os poluentes que mais se destacam nos efluentes líquidos estão o nitrogênio e o fósforo, nutrientes muitas vezes difíceis de serem removidos nos tratamentos convencionais. Um método alternativo de remoção destes nutrientes dos efluentes, com elevada eficiência e baixo custo operacional, é através da precipitação de estruvita, MgNH4PO4.6H2O (fosfato de amônio e magnésio hexa-hidratado), um composto inorgânico cristalino de coloração branca. O objetivo deste trabalho foi avaliar a eficiência da remoção de nitrogênio e fósforo de um efluente de uma indústria frigorífica de suínos através da precipitação de estruvita, avaliando os parâmetros pH, relação estequiométrica e tempo de reação para este efluente. O efluente bruto foi coletado na entrada da Estação de Tratamento de Efluentes (ETE) da empresa. Foram realizadas análises de fósforo e amônia em todos os experimentos realizados, além de cálcio e magnésio no efluente coletado. Observou-se que os melhores valores para pH, concentração dos reagentes magnésio, fósforo e amônia e tempo de agitação foram, respectivamente: 10, 1:1:1 e 10 minutos. Com estes valores obteve-se uma eficiência de 84,58 % na remoção de fósforo e de 80,85 % na remoção de nitrogênio. Esses resultados demonstram uma boa eficiência deste tratamento para remover estes nutrientes e uma possível utilização deste método, pela empresa, para melhorar seu tratamento de efluentes.
Composition of the Kirsten Skeletal Collection at Stellenbosch University
Authors: Alblas Amanda , Greyling Linda M. , Geldenhuys Elsje-Marie
Published: January 2018

The Kirsten Skeletal Collection is curated in the Division of Anatomy and Histology, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. It comprises the largest documented cadaver-derived South African coloured skeletal collection in the world. Our aim in this paper is to present an inventory and characterise the identified skeletons in the Kirsten Skeletal Collection as well as provide a descriptive indication of what researchers can expect to encounter at the anthropology unit at Stellenbosch University. The skeletal material was derived mainly from the cadaver donation programme of the Division of Anatomy and Histology over a 58-year period (1957–2015). All pertinent information for each individual skeleton is entered into a database and a full skeletal inventory is established. The skeletal database registry was analysed to demonstrate the distribution of age, sex and population affinity of individuals in the collection. Currently, this collection consists of 1161 skeletons with known records. Despite differences in the age and sex composition, the skeletal profile in general reflects mainly the profile of the Western Cape population. Most individuals were born between 1920 and 1950, placing the Kirsten Skeletal Collection in the early to mid-20th century. The age at death for the greatest proportion (41.8%) of individuals was between 40 and 60 years. Current biological profile techniques in age, ancestry and sex estimation can be improved and, among others, new regional and ancestral specific standards for the biologically unique and diverse South African coloured population can be developed.
Significance:

We present the largest documented skeletal collection of the South African coloured population in the world.
This work contributes to the skeletal reference database for use by physical anthropologists and others.
eye movement biometric recognition v2
Authors: Li Chunyong , Xue Jiguo , Quan Cheng , Yue Jingwei , Zhang Chenggang
Published: January 2018

Protocal for eye movment biometric recognition
INTERDEPENDENCE, INDIVISIBILITY AND THE SOCIAL RIGHTS OF PERSONS WITH DISABILITIES IN THE LAW OF QATAR
Authors: BARRANCO AVILÉS MARÍA DEL CARMEN , AL ALI KHALID , CUENCA GÓMEZ PATRICIA , DE ASÍS ROIG RAFAEL , RODRÍGUEZ DEL POZO PABLO
Published: January 2018

Based on the description of the situation of some social rights of persons with disability in Qatar, this article is aimed to highlight the need to address the protection of human rights from interdependence and indivisibility. The analysis of Qatar Law reveals that social protection alone is not sufficient guarantee of dignity, as would not be a system based exclusively on freedom as not interference. Although providing noteworthy resources for persons with disabilities along with a good level of social protection and health care, Qatar does not base its system on autonomy and inclusion and this is a shortcoming to move towards a human rights-based approach.
LEGAL ANALYSIS OF ARTICLE 7 OF THE CONVENTION ON THE RIGHTS OF PERSONS WITH DISABILITIES: CHILDREN WITH DISABILITIES
Authors: CAMPOY CERVERA IGNACIO
Published: January 2018

The aim of this article is to carry out an in-depth analysis of Article 7, “Children with disabilities”, of the Convention on the Rights of Persons with Disabilities. First of all it is explained how the Article 7 is the result of two different models of human rights: the “renewed” protectionism in relation with the children’s rights and the social model in relation with the rights of persons with disabilities. After, it is explained how was the development of the creation of Article 7 within the Ad Hoc Committee which was created for the elaboration of the Convention. In an extensive section it is analysed the wording of Article 7, particularly taking account of the General Comments of the Committee on the Rights of Persons with Disabilities and the Committee on the Rights of the Child. Finally, the analysis of the meaning and scope of Article 7 is completed, taking into account other articles of the Convention and the jurisprudence of the European Court of Human Rights
Épületekben használandó mérőműszer megvalósítása Arduino mikrokontrollerrel
Authors: Agonás Ágnes Fruzsina , Sarvajcz-Bánóczy Emese , Husi Géza
Published: January 2018

Ezen kutatás keretein belül egy épületekben használandó mérőműszer készült el, mely alapját Arduino Mega ADK mikrokontroller adja. Az elkészült műszer épületek különböző paramétereinek mérésére alkalmas, melyek számítógépes adatbázisban kerülnek eltárolásra, ahol különféle Python nyelven megírt programokkal feldolgozhatóak épületenergetikai számítások megkönnyítése végett.
Ukrainian Scenic Painting Of The 20th Century On The Basis Of The Archival Data Of Personal Provenance From The Central State Archive Of Literature And Arts Of Ukraine
Authors:   Taras Shevchenko national University of Kyiv, Voytsekhivska Iryna , Sukalo Alevtina ,   Central state archive of literature and arts of Ukraine
Published: January 2018

The paper surveys the exhibition “Ukrainian scenic painting of the 20th century”, which was held in the Central State Archive of Literature and Arts of Ukraine from December 2015 to March 2016.
Siegfried In The Interpretations Of The German Film Directors Of The Early 20th – Early 21st Century (Fritz Lang's "The Nibelungs" And Uli Edel`S "Ring Of The Nibelungs")
Authors:   Sobinov Saratov State Conservatory, Zolnikov Mikhail
Published: January 2018

Film experts and art historians studied German cinema in detail, however, movies based on “The Song of the Nibelungs” as well as on the German and Scandinavian heroic epic have not yet been investigated by means of modern interdisciplinary approaches. The author pays attention to Siegfried, one of the most important heroes of the German and Scandinavian epic, according to Fritz Lang's (1890 – 1976) and Uli Edel`s (1947) interpretations, divided by almost a century (1924 and 2004). The author analyzes various means of expression: visuality, scenery, actor's performance, credits/dialogues. As far as the Lang's movie is concerned, he concludes that one can interpret the figure of Sigfried on two levels of interpretation. The first is the visual one which includes the actor's performance and the work of support staff (e.g. dress makers, set dressers). It describes him as an extraordinary strong hero. The second one is the semantic level which is formed of credits and music. It creates a myth about Siegfried as the national hero. In Edel's movie, the dialogues between heroes and actor's performance are used as the main means of expression. In Lang’s interpretation, Siegfried is described as the neo-romantic superhero, the person possessing a special force. Uli Edel’s Siegfried obtains dialectic nature – he is the prince, the king, and he is also the commoner; courageous soldier, dragon slayer, and obedient vassal, servant; son of Christian parents, pagan's stepson. The author assumes that Fritz Lang and Uli Edel reacted to inquiries of the time. In the 1920s, Germany suffered a difficult period between the two World Wars, the German people were oppressed by military reparations. Powerful Siegfried, as the national hero and embodiment of the German people, was urged to remind Germans of their great heroic past, to return their self-confidence to them. In our era of globalization and multiculturalism, the idea of association, peaceful co-existence of various ideas and religions was embodied in Siegfried.
Alexithymia Characteristics and Subjective Evaluation of Interpersonal Relations in Cancer Patients
Authors: Avdulova T.P. , Ter-Ovanesov M. , Yagudina O.P.
Published: January 2018

Results of empirical research of an index of satisfaction with life, an alexithymia and value judgment of the interpersonal relations are described and analyzed. Results at two groups are compared: oncological patients and somatic healthy sample. Interrelations between vital satisfaction, manifestations of an alexithymia and value judgment of the interpersonal relations are considered. An empirical research was carried out involving a sample group of 41 persons aged from 25 till 80 years old. There were 24 respondents in group of oncological patients and 17 people in group somatic healthy respondents. Significantly lower index of vital satisfaction is found in group of oncological patients, significantly higher level of an alexithymia and significantly higher level of intensity of the interpersonal relations.
The Girls in Sport and Ballet: Eating Behavior, Attitude to Own Body, Interpersonal Interaction and Understanding of Themselves
Authors: Zyazina N. , Nikolaeva N.O.
Published: January 2018

Research is devoted the study of features of eating behavior and of personality traits in four female groups: of professional players of the basketball (N=14), of figure skaters (N=6), professional dancers (N=7) and control group (N=10). In total 37 girls aged 11–15 years participated in the study. The results showed that professional factors affect eating behavior: Girls from sports teams have had a tendency to bulimia, Dancers and figure skaters showed restrictive eating behavior. The both experimental groups showed higher scores on a scale of «Asceticism», compared with the control group. For basketball players and partly figure skaters were also characterized by such personality traits as «Dissatisfaction with their own body», «The difficulty of interacting with other people», «Poor understanding of their own feelings» and «Fear of maturity», players of the basketball, figure skaters, professional dancers.
Psychological Characteristics of Mothers of Children Conceivedwith Use of In Vitro Fertilization
Authors: Kocherova O.J. , Pykhtina L.A. , Gadzhimuradova H.D. , Filkina O.M. , Malyshkina A.I.
Published: January 2018

The article is devoted to the study of the psychological characteristics of mothers who gave birth to children conceived using in vitro fertilization. The results of a comparative study of personality characteristics, gestational dominant psychological component, and parent-child relationship 105 mothers of infants conceived via IVF children and 89 mothers who conceived naturally. The methodology used MINI SMIL L.N. Sobchik, test for pregnant I.V. Dobryakova and methods of E.S. Schaeffer, R.K. Bell revealed that mothers of children conceived via IVF, characterized hyperthymic, anxiety and ambition, at least – masculine traits and deliberately. Women often anxiety related to pregnancy and child euphoric attitude towards childbirth. After birth, they are often too much care of their children. Mothers who gave birth to premature babies are more likely than mothers of full-term children, are original and hyperthymic traits. During pregnancy, they often «gipognostichesky type» (little conscious) of relationship to leave, depressive attitude towards yourself and your child, anxious attitude towards strangers. These factors are risk factors for premature birth, therefore, require psychological treatment.
Individual Psychological Characteristics of Children of Primary School Age with Various Manifestations of Tuberculous Infection
Authors: Martusova E.V.
Published: January 2018

We investigated the individual psychological characteristics of children of primary school age with various manifestations of tuberculosis infection who are treated in tuberculosis centers. There have been also studied the parenting styles in their families. 200 respondents participated in our research: 100 parents (44 parents of children with no symptoms of tuberculosis infection, 41 parents of children with various manifestations of tuberculous infection, and 15 children diagnosed with tuberculosis. Age of parents varied from 24 to 34 years. The sample of children included 100 people from 6 to 10 years (44 children with no symptoms of tuberculous infection, 41 children with its manifestations and 15 children diagnosed with tuberculosis). No sex differences were taken into account in connection with the non-uniformity of the sample. We used the Anxiety Scale (CMAS), R. Cattell’s Personality Factor Questionnaire (CPFQ) and the method of Analysis of Family Relationships by E.G. Eidemiller and V.V. Yustitskis (DIA), correlation analysis and analysis of the differences. It was found that children with tuberculosis infection is more difficult to adapt to society, than representatives of other groups studied; in children with various forms of tuberculosis infection level of performance anxiety is very high and linked with parenting style.
State and Perspectives of Studying of Psychological Determinants of Volunteer Activities
Authors: Palkin K.A.
Published: January 2018

The article discusses the most common in the world fields of study of the factors that, according to scientists, in varying degrees, are able to influence the participation of people in volunteer activities. The review running characteristic of such research areas as the theory of "human resources" and related theories of democratization, the welfare state, social background; theory of individual personality characteristics of volunteers; attachment theory; identity theory; motivational theories, etc. The focus is psychological components of the personality of the individual, which presumably can be the most important predictors of volunteering. The analysis of a number of studies, made by reputable foreign authors devoted to identifying key determinants of participation in volunteer activities, allows to select among the topical areas one of the most promising – a comprehensive study of psychological characteristics of personality with the goal of creating the most accurate representation of the collective identity of the modern volunteer.
IMPLEMENTASI QUALITY OF WORK LIFE DAN KETERLIBATAN PEKERJAAN BERBASIS TRANSGLOBAL LEADERSHIP SEBAGAI UPAYA STRATEGI PENCAPAIAN OPTIMALISASI KINERJA KARYAWAN (STUDI KOPERASI BERPRESTASI DI JAWA TIMUR)
Authors: Hermawati Adya , Mas Nasharuddin
Published: January 2018

ABSTRACTHuman resource is an element determining the success of the organization. Because of that many effort to improve the performance of the organization are started the good performance of the employees. It has an important value to improve the individual performance that will give a contribution toward the organization’s performance. The aims of the study are to analyse, to get the empirical evidence, and to explain the effect of mediation of quality of work life, the involvement of work on the influence of transglobal leadership toward the performance of the employee in all cooperatives in East Java Province. The study is exploratory research trying to find the new relationship and explanarory research explaining the symptom caused a research. The study with quantitative approach uses purposive sampling of the cooperatives employee in several cities and regents in East Java Province. The analysis used is Generalized Structural Component Analysis (GSCA) with Sobel Test Approach to test the mediation effect on the relationship between the variables. The research result finds that the development of human resources management science especially the quality of work life, and the involvement of work on the influence of transglobal leadership toward the performance of the employee in all cooperatives in East Java Province will provide a recommendation as an useful information to the management in managing the human resources.It will accelerate the success of the organization especially the cooperatives in East Java Province.The conclusions of the research results are 1) Quality of work life fully mediate the influence of transglobal leadership toward the employee performance; 2) The involvement of work fully mediate the influence of transglobal leadership toward the employee performance. It is concluded that the optimalization of the implementation of quality of work life and the involvement of work will achieve the performance of the employee if the strategy of transglobal leadership in managing the human resources in the sucess cooperatives in East Java Province.
Approach and management modalities in Esophageal Perforations
Authors: Desai Rajendra , R. Srivastava , C. Chitrapu , Kaleemuddin Mohd , Amenha Chandramala
Published: January 2018

Esophageal perforation leads to increased morbidity and mortality. Treatment of choice is debatable. In adult cases of esophageal perforation, the important causes can be due to trauma, or due to foreign body or due to iatrogenic and sometimes it may be spontaneous. The rate of morbidity and mortality is increased among those who fall prey to delayed diagnosis and delayed treatment. Even after the proper treatment started within one day of diagnosis, the death rate can be 10-25%. And it increases to 40-60% among those who receive treatment after two days. In case the diagnosis of perforation is made within 24 hours, the treatment of choice is “primary closure of the perforation site and wide drainage of the mediastinum”. On the other hand, if the diagnosis is delayed for more than 24 hours, then the treatment of choice is questionable. Now a days conservative method of management is more or less adopted especially patients with small size perforation and minimum involvement of extra esophageal part. Mortality rate is determined by some factors like cause, the injury site, pre-existing disease of esophagus, treatment method used and the timing of the diagnosis. Hence multi-disciplinary approach is recommended for proper outcome. Timing of intervention is extremely critical in ensuring low mortality. Diagnosis is difficult, and a high degree of suspicion is required, especially in pediatric patients. As Endoscopic therapists play an increasingly “important role in the management of upper digestive disease”, a proper understanding of this complication of therapy is required by the therapist and the attending surgeons. Management of such perforations are both non-operative and operative. Nonoperative management used for limited perforations without sepsis, while operative management is reserved for more florid perforations and those in whom obstruction distal to the perforation exists. Endoscopic intervention may save some patients from being operated upon.
A comparative study of fine needle aspiration cytology versus non aspiration technique in thyroid lesions
Authors: N. Sasikumar M. , Mammen Sam Christy , Thomas Jacob P.
Published: January 2018

Background: Fine needle aspiration cytology (FNAC) is regarded as the gold standard investigation in the diagnosis of thyroid swellings. But often unsatisfactory specimen, especially mixed with blood, poses an obstacle in proper cytological interpretation. To overcome this problem, an alternative method of fine needle non aspiration cytology (FNNAC) technique was developed which, relies on the capillary pressure only to suck the cells inside the needle bore.Methods: Patients presenting with thyroid swellings from July 2008 to January 2009 were included in the study. 91 patients treated for thyroid lesions entered a prospective comparative evaluation of fine needle cytology with aspiration and non-aspiration techniques in thyroid. The thyroid swelling in every patient was sampled by both the aspiration as well as the non-aspiration technique by a single operator. Both procedures were done using 23G needles. Aspiration was done using a 10ml syringe. Both dry and wet smears were made and stained. All smears were interpreted by a cytologist without knowledge of the technique employed. Apart from the diagnosis, comments were made on the quality of the slides and three qualitative categories are created as unsuitable specimens, diagnostically adequate and diagnostically superior.Results: Non-neoplastic lesions accounted for 92.3%. They comprised mainly of nodular colloid goiter 53.84%, colloid nodules 29.6%, thyroiditis 8.79%, and one case of suppurative lesion. Out of the 7 neoplasms, 2 were follicular neoplasms, 1 was papillary carcinoma, 2 cases of Hurthle cell neoplasm and 1 cellular nodule in an MNG. Diagnostically superior material was obtained in 42 cases (46.15%) of the non-aspiration samples, as compared with 18 cases (19.78%) of aspiration samples which was statistically significant.Conclusions: The FNNAC produces better results in the form of a better quality of the cellularity and less field obscurity by blood. This technique should be used alone or in tandem with FNAC for better diagnostic yield.
Cervical spondylosis: analysis of clinical and radiological correlation
Authors: K. RoseBist P. , Peethambaran Anil Kumar , Peethambar Gowri Anil
Published: January 2018

Background: Cervical spondylosis is a chronic degenerative lesion of the cervical intervertebral discs causing axial neck pain, cervical radiculopathy and myelopathy. This study was undertaken to study the clinical and radiological correlation in cervical spondylosis with respect to clinical and radiological findings.Methods: A prospective observational study was done on 100 patients with cervical spondylosis treated in a tertiary care centre of South Kerala. The sociodemographic details, clinical and radiological findings were recorded. Nurick’s grading and Modified Japanese orthopaedic association cervical spine myelopathy scoring was done. Data collected was analyzed using Microsoft Excel 2010 and results expressed in proportions.Results: Maximum prevalence was seen in 40-49 years group with male predominance. Majority of the patients had neck pain, sensory numbness and motor weakness. Spurling’s sign and Lhermitt’s sign was positive in 60% and 47% patients respectively. Complete paralysis was seen on both sides in 12% patients at wrist joint and 9% each in elbow and knee joints. Grade II cervical spondylosis was seen in 43%. Modified Japanese orthopaedic association score was less than 18 in all patients. Canal size was reduced in many. The clinical and radiological findings were consistent.Conclusions: Cervical spondylosis is seen in those above 30 years of age with male predominance. Clinical and radiological findings are consistent with each other. Further studies are advised for better correlation.
Prevalence and risk factors of hemorrhoids: a study in a semi-urban centre
Authors: Ravindranath G. G. , Rahul B. G.
Published: January 2018

Background: Hemorrhoids, also called piles are masses or clumps of tissues which consist of muscle and elastic fibers with enlarged, bulging blood vessels and surrounding supporting tissues present in the anal canal of an individual. This condition is a common ailment among the adults. The actual burden of the disease remains unknown. Hence author had undertaken this study to assess the incidence and the risk factors of this disease among the patients in the area.Methods: 63 patients between the ages 20 and 80 who had come to the outpatient ward with hemorrhoids were included into the study. The demographic details from all the patients were noted. Their dietary habits, bowel habits, amount of physical activity, smoking and alcohol use as well as over the counter medication use were noted in detail.Results: Out of the 63 patients under study, 66.67% were males and 33.33% were females, with the most common age group affected was below 40 years of age. Less than 40% of the patients were vegetarians, with more than half of the patients having a mixed diet. More number of women history of hemorrhoids in their family (47.6%), while the history in the males was only 26.2%. Straining and constipation was seen in majority of the patients while many of them also had chronic cough. Bleeding and mass through the rectum was seen in majority of the patients (96.8% and 93.7% respectively) while 76.2% of them had pain during defecation. Few of the patients (33.3%) soiled their clothes.Conclusions: Hemerrhoids are one of the common diseases observed in patients below 40 years of age, especially if they are under stress. Proper diet, which is inclusive of adequate quantities of fibre as well as with less spice is essential to prevent this disease.
Breast tuberculosis: clinical spectrum, diagnostic dilemmas and management
Authors: Kaur Manmeet , Kumar Saurabh , Mathur Alok V. , Kumar Rajnish
Published: January 2018

Background: Tuberculosis breast is a less known form of extrapulmonary tuberculosis. It poses diagnostic difficulties and confused with breast carcinoma and pyogenic abscess. Objective of the study was to determine the varied presentations of breast tuberculosis, diagnostic difficulties and surgical treatments.Methods: Study was conducted in Department of Surgery at Shri Guru Ram Rai Institute of Health and Medical Sciences, Dehradun, Uttarakhand, India. 651 patients with breast diseases over two years from September 2015- August 2017 were seen at the institution out of which 31 clinically diagnosed patients of breast tuberculosis, confirmed by laboratory work-up, were included in this study. Information regarding demographic details, clinical presentation, cytology, histopathology and management was noted.Results: All patients were females with mean age of 32.5years and out of them 15(48.38%) patients were having breast abscess, 10(32.25%) presented with lump breast and 6(19.35%) with lump with multiple draining sinuses and scars. 27(87.1%) patients had primary breast tuberculosis. Histopathology and TB-PCR reliably helped in diagnosing the disease.Conclusions: The presentation of breast TB is variable, and diagnosis is usually delayed. It should always be kept in mind as differential diagnosis of breast lump and pyogenic abscess. The disease can be diagnosed through pathological tests and a high suspicion. The definite treatment is adequate anti-tuberculosis chemotherapy and surgical excision or drainage especially in recurrent abscesses.
A study the burden of carcinoma gall bladder in Hamidia hospital of Bhopal, Madhya Pradesh, India
Authors: Tekam Vijay Kumar
Published: January 2018

Background: Gallbladder carcinoma is not an uncommon clinical entity in the Indian scenario, unlike western countries. It is predominantly a disease of females. Therefore, a female especially in forties and fifties with a history of recent onset of constant pain in the right hypochondrium or change in the character of pain should be thoroughly evaluated. Though the association between gallstones and Gallbladder carcinoma is strong. Therefore, every gallbladder should be subjected to routine histopathological examination because with identification of an early gallbladder carcinoma a curative resection may be possible, and these patients have a good survival rate.Methods: This study is comprising of all patient consecutively admitted for Gall bladder pathology, at Hamidia Hospital, Bhopal, MP during June 2012 to May 2014 on the basis of clinical assessment, USG, FNAC, CT-scan, tumor marker, blood investigation etc.Results: Present study showed that gallbladder cancer is predominantly a disease of elderly females. Commonly, symptoms are related to associated gallstones. In present study, abdominal pain (91.66%) followed by abdominal mass (79.19%) and anorexia (60.16%). In present study, preoperative imaging of the abdomen (both US and CT) showed the presence of gallstones in 38 (79.16%) cases and a mass in the gallbladder was evident in 44 patients (91.66%).Conclusions: Though the association between gallstones and Gallbladder carcinoma is strong, the causal relationship between them is not clear. In spite of the advances made in the field of gallbladder imaging, the detection of carcinoma of the gallbladder in early stages remains low.
Mass closure versus layered closure of midline laparotomy incisions: a prospective comparative study
Authors: Deshmukh Santoshkumar N. , Maske Audumbar N.
Published: January 2018

Background: The ideal method of abdominal wound closure remains to be discovered. It should be technically so simple that the results are as good in the hands of a trainee as in those of the master surgeon. The best abdominal closure technique should be fast, easy, and cost effective while preventing both early and late complications. Present study is undertaken to compare the two methods (Mass closure and Layered closure) of laparotomy wound closure in relation to post-operative complications, time for wound closure and cost effectiveness in both groups and also to decide the most effective method among the two.Methods: This prospective comparative study was conducted in department of surgery at a tertiary care teaching hospital at Solapur (Maharashtra) from January 2006 to January 2009. On admission, patients suspected of having intraabdominal pathology, a thorough clinical e and general assessment was done. Necessary radiological and biochemical investigations were done to support the diagnosis. After confirmation of diagnosis patients were subjected for exploratory laparotomy. The laparotomy wound was closed with either by Mass closure or Layered closure technique. Patients were followed up for 6 months in post-operative period for detection late complications.Results: Total 60 patients of were studied. Majority of patients were in 61 to 65 age group. Male outnumbered the females. Incidence of early complications like seroma, wound infection is more in layered closure group as compared to mass closure. Mean wound closure time is more in layered closure group. Mass closure technique is more cost effective than layered closure group.Conclusions: Mass closure technique is less time consuming, more cost effective and safe for closure of midline laparotomy incisions.
Endoscopic thyroidectomy-axilla breast approach: the experience of 26 cases
Authors: Bodade Ritesh M. , Dhoran Amol P. , Dhurve Asmita S. , Mangam Nilesh P. , Gajbhiye Raj N.
Published: January 2018

Background: Conventional thyroidectomy results in transverse scar formation on neck. These scars are uncomfortable and cosmetically unacceptable. Endoscopic thyroidectomy is widely accepted technique in specialized centers. The potential advantages of endoscopic technique include better cosmetic result, decreased hospital stay and better patient comfort. Author started performing endoscopic thyroidectomy at the centre to demonstrate the feasibility of operating thyroid gland endoscopically by axilla breast approach.Methods: Author performed 26 cases of endoscopic thyroidectomy by axilla breast approach from June 2014 to July 2017 in patients presenting with indication for surgical thyroid excision. Author did hemithyroidectomy in 19 patients, total thyroidectomy in 3 patients and near total thyroidectomy in 4 patients. All patients underwent endoscopic thyroidectomy by axilla breast approach by creating subplatysmal space with carbon dioxide insufflation at the pressure of 8 to 10mmHg. Results were compared with the recent studies with comparable number of patients.Results: Author did hemithyroidectomy in 19 patients, total thyroidectomy in 3 patients and near total thyroidectomy in 4 patients. Mean Operative time was 88.19 min. But last 6 cases were completed in 49.60±4.20 min. Thus, as experience increased we tend to complete procedure in progressively lesser time period. Mean blood loss in the series was 21.88ml. Mean Hospital stay was 2.88 days (range 2-5 days). Scar satisfaction on visual analogue scale after 3 months of operation was 9.11. Histopathological examination revealed adenomatous goitre in 24 cases and follicular adenoma in 2 cases.Conclusions: Endoscopic thyroidectomy via axilla breast approach is safe, feasible and minimally invasive surgical method for thyroid diseases, with good post-operative results. Surgeons having adequate training in endoscopic surgery can perform endoscopic thyroidectomy with short learning curve.
Port site complications following laparoscopic surgeries: a prospective study
Authors: Mudgal Madan Mohan , Kothiya Pradeep Kumar , Kushwah Naveen , Singh Raghvendra
Published: January 2018

Background: Port site complications are bothersome complications which undermine the benefits of minimal invasive surgery, not only does it add to the morbidity of the patient but also spoil the reputation of the surgeon. Aims and objective of the study was to determine the morbidity associated with the port site complications in laparoscopic surgery and to identify risk factors for complications.Methods: Three hundred patients having age between 15-50 years admitted for elective laparoscopic procedure were studied. All the patients had preoperative workup and general anaesthesia was given with endotracheal intubation. The patients were observed for any port-site complication during operation and in the immediate and postoperative till three months.Results: Female preponderance (77.34%) was observed with maximum patients belonging to age group of 41-50 years (31.7%). Majority of the patients were in the BMI range of 18.5-25kg/m2 (53.33%). In 54.66% and45.33% patients Verres needle and Hasson’s (Open) method was used to create pneumoperitoneum. Cholecystectomy was the indication in 80% patients. Port site morbidity was observed in 8.67% patients. As an early port site complication, bleeding, surgical site infection, emphysema and visceral injury was observed in 6, 8, 4 and 1 patient respectively. As a late port site complication, 4 and 3 patients developed hernia and hypertrophic scar respectively.Conclusions: Port site complications are least in elective laparoscopic surgery.
Hydatid disease: a 2 years retrospective study in a tertiary care center in South India
Authors: Illuri Haren Reddy , Souza Caren D. , Dias Erel A. I. , Das Prashanth Philip
Published: January 2018

Background: Hydatid disease (HD) is a common parasitic zoonosis and its mortality, morbidity, and socioeconomic burden makes it a significant public health problem. Though a primary disease of liver (55-70%) followed by the lung (18-35%) it is now found to affect various other organs like spleen, kidney, peritoneal cavity, skin and muscles (2%) heart, brain, vertebral column, ovaries, pancreas, gallbladder, thyroid gland, breast, and bones (1%). This study is done to describe the spectrum of presentation of hydatid disease in India. Author also discuss the rare cases of soft tissue and bone hydatid disease and peritoneal hydatid disease in this study.Methods: It was a retrospective observational study done in a tertiary care center in India. Data was collected from patients admitted with diagnosis of hydatid disease from the patient data files and included patient profile, area of residence, occupation, history of exposure to farm animals or dogs, investigation findings and management given. Special emphasis was given to cases of extrahepatic hydatid disease and their management. The collected data was tabulated.Results: Author found 17 cases of documented hydatid disease in the two years period. This included 11 case of hepatic hydatid disease and 6 cases of extrahepatic disease with unusual locations of bone and soft tissue, lung and parietal peritoneum. The majority of patients were in the age group of 30-50 yrs with history of exposure to sheep and farm animals. All patients received 4-6 weeks of 15mg/kg/day albendazole preoperatively. Five patients showed regression in size of the cyst and were hence continued on medical management.Conclusions: The remaining patients underwent surgical drainage procedure. Albendazole was continued post operatively for next 6 months.
Posterior rectus sheath variations: surgical significance and clinical implications for laparoscopic hernia surgeons
Authors: Ansari Maulana M.
Published: January 2018

Background: Laparoscopic hernia surgeon needs accurate knowledge of not only of target inguinal region but also of adjacent access areas, but he/she is severely constrained by absence of research work on laparoscopic live surgical anatomy in literature.Methods: Prospective study in patients who underwent laparoscopic total extra-peritoneal preperitoneal (TEPP) inguinal hernioplasty through 3-midline-port technique at Jawaharlal Nehru Medical College Hospital, Aligarh between 2010 and 2015.Results: Sixty-eight TEPP repairs were performed in 60 adult patients. Overall incidence of conversion to Open/TAPP hernioplasty was 4% of all cases, but conversion secondary to the anatomic variation of short PRS was seen in only 1.4% of all cases. The endvision and ease of procedure (EOP) were 8.20±1.33 and 7.27±2.05 visual analog score respectively, and both of them were adversely affected in presence of variant PRS anatomy. Average operation time (OT) for unilateral TEPP hernioplasty was 1.9 hours and it was adversely affected in presence of variant PRS anatomy. Overall incidence of surgical emphysema was 16%, and its development was significantly more in presence of variant PRS anatomy. Overall incidence of peritoneal injury, postoperative seroma, infection and chronic pain was 28%, 10%, 6.7% and 1.5% respectively, but they were not affected by variant PRS anatomy.Conclusions: Posterior Rectus Sheath Variations had significant impact on the intra-operative working but did not affect post-operative clinical outcome. Keen observation, timely recognition of anatomic variations and judicious dissection are essential keys for smooth conduct of the well-organized TEPP hernioplasty with ease, safety, rapidity and better results.
Compare the effectiveness of early versus delayed laparoscopic cholecystectomy in acute calculus cholecystitis
Authors: P. Madhu C. , R. M. Senthil Kumar
Published: January 2018

Background: To compare the effectiveness of early versus delayed laparoscopic cholecystectomy in acute calculous cholecystitis.Methods: 30 Cases each in early group and delayed group were selected according to their time of presentation of their first symptom. Parameters were recorded intraoperative complications, timing of surgery, postoperative morbidity, days of hospital stay, days of antibiotic coverage, conversion to open and readmissions. In addition, author estimated the direct cost savings of implementing an ELC programResults: The overall morbidity and complications are less in ELC compared to DLC. Mean number of hospital stay is less in ELC (4.90%) whereas DLC (6.30%). Mean number of days of antibiotic coverage less in ELC (3.9 days) to DLC (5.30 days). Mean operative time is less in ELC (60 minutes) and DLC (82 minutes). Overall the complications, morbidity, mortality, ICU admissions, readmissions are less in early laparoscopic cholecystectomy.Conclusions: ELC is safe in patients with acute cholecystitis and could lead to a reduction in the direct costs of treatment.
A study of association of H. pylori infection and cholelithiasis
Authors: Athavale Virendra S. , Khandalkar Shivmurti N. , Bhide Prachi C. , Shetty Iresh , Lad Aditya
Published: January 2018

Background: Aims and objective of the study was to study the association of H. Pylori infection and cholelithiasis.Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 years and is a descriptive cross-sectional type of study using 100 patients.Results: In this study 26 % of total patients were seen in the age group of 21-30 years. The mean age of the patients was 26 years. 78 patients in present study were male (78%) and only 22 were females (22%) male predominance was seen. male to female ratio is 3.5:1. 18 % patients show association with cholelithiasis and 84 patients were detected positive by RUT method.Conclusions: H. pylori infection has a positive association with cholelithiasis and if eradicated, may lead to prevention of gallstones.
Clinicopathological study on patients presenting with obstructive jaundice
Authors: Shukla Samir , Kharat Prashant R. , Kumar Krishna
Published: January 2018

Background: Obstructive jaundice is frequently encountered surgical disease in the practice. This study is aimed to analyse age and sex distribution and incidence of malignant or benign causes in patients presented with obstructive jaundice. Author thoroughly documented various clinical presentations in these patients, evaluated them for stage of disease and appropriate management modality available for that particular stage.Methods: This is observational study carried out in Department of General Surgery, Hamidia hospital Bhopal on 100 patients over period of 18 months from January 2016 to July 2017.Results: Obstructive jaundice is more prevalent in 5th and 6th decade of life and male to female ratio of 2:3. Abdominal pain (97%) and jaundice (81%) are two common presentations. Malignancy (68%) tends to be more common than benign disease (32%) and among malignancies periampullary carcinoma and advanced GB carcinoma occurs with equal frequency of 32 cases. 46% patients of malignant aetiology presented in stage IV disease. Curative resection for periampullary tumours by whipples procedure was possible in 14% patients. Operative palliation by triple bypass was done in 11% and others were managed by appropriate another palliative modality. Adeno-carcinoma is most common histopathological variant. Choledocholithiasis (28%) is most common benign aetiology and was managed successfully by choledocholithotomy and T-tube insertion.Conclusions: Awareness of common presenting symptoms of obstructive jaundice should be done so that the patient present early for diagnosis and curative surgery and thereby prolonged survival rate. Palliative procedures are commoner than curative resection due to late presentation.
Ruptured inferior mesenteric artery aneurysm in a patient with neurofibromatosis type I and its management
Authors: Sheth Srushti , Kansakar Nirajan , Agarwal Premnarayan , Singh Rajdeep , Mishra Anurag
Published: January 2018

Inferior mesenteric artery aneurysm is very rare and are usually asymptomatic. A high mortality is associated with aneurysmal rupture. The purpose of this paper is to report occurrence of a rare disease and its treatment options. A 64 years old woman presented with complaints of lower abdominal pain radiating to back for 1month, with non-passage of stools for 5days, and had decreased appetite. She had features of Neurofibromatosis type I. On examination, she had tachycardia and had pallor, and abdominal examination showed lumps in right and left iliac fossa which progressively increased in size. Computed tomography scan showed features of leaking inferior mesenteric artery aneurysm with perianeurysmal hematoma. The patient was taken up for surgical exploration wherein after checking the bowel viability, the inferior mesenteric artery was clipped at its origin, ligated and divided followed by hematoma evacuation. Post-operative stay was uneventful, and the patient was discharged on post-operative day 10.
Obstructed giant right paraduodenal hernia presenting as an abdominal mass
Authors: Zachariah Sanoop Koshy , Rajeeve Sridevi
Published: January 2018

Internal hernias are rare cases of small intestinal obstruction of which Right Paraduodenal hernias through the Fossa of Waldeyer occur only in less than a quarter of all cases. A high index of suspicion and a good understanding about the pathological anatomy is pertinent for the detection and successful management of this condition which has non-specific symptomatology. The gold standard of diagnosis is computed tomography scan, which shows characteristic findings. Surgical correction is often necessary as mortality rates hover above 50% in unintervened cases. Here we present very rare case of an obstructed right paraduodenal hernia which presented as an abdominal mass.