bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estudio citopatológico en 100 casos de varicela y su valor en el diagnóstico diferencial con la viruela
Authors: Castro García Jorge , Cuadra C. Manuel 
Published: January 2017

Se dan a conocer las características citológicas de un tipo celular con valor diagnóstico en la varicela, llamada Células Gigantes Características, Células Gigantes Multinucleadas, Células Atípicas o "Pseudotumorales" . Estas células adquieren particularidades cito lógicas diferenciables en lo morfológico, tintorial, cuantitativo, porcentual y micrométrico, según la fase en que se encuentre el exantema variceloso. En la fase de vesícula transparente son generalmente redondeadas u ovaladas, con uno o dos núcleos gigantes, de afinidad tintorial discretamente acidófila. En la fase de vesícula turbia u opalescente hay la tendencia de deformación irregular de las células y multisegmentación nuclear (multinucleados) y adquieren coloración mucho más acidófila que en la fase anterior. En la fase de pústula son frecuentemente esféricas con núcleo gigante y toman una coloración francamente acidófila con el Leishman. El citoplasma de estas células en general es escaso y toma coloración basófila en las tres fases del exantema variceloso. En todas ellas hay pérdida de la relación núcleo-citoplasmática. Casi la totalidad de estas células presentan un halo perinuclear claro, perfectamente destacado en el citoplasma celular. En ninguna de estas células ha identificado el nucléolo. El tamaño de estas células es igualmente variable (40 a 60 micras). El promedio del tamaño standard, el promedio del tamaño núcleo-celular máximo, el promedio del tamaño núcleo-celular mínimo, son mayores en la fase de vesícula turbia u opalescente que en la fase de vesícula transparente y pústula; en esta última considerablemente menor que en las anteriores. La apreciación cuantitativa porcentual de estas células respecto a otras también varía según la fase de la vesícula varicelosa, encontrándose 100% en la vesícula transparente, 40 a 60% en la vesícula opalescente y 2% en la pústula. Estas células no han sido encontradas en los tres casos de viruela que se han estudiado desde el punto de vista citológico, siguiendo el	mismo procedimiento técnico empleado en la varicela. Estudios anatomopatológicos complementarios de casos representativos en la varicela y en los tres casos de viruela, confirman la presencia de estas células en el primero y el corpúsculo de Guarnieri en el segundo.
Nivel de pobreza y estado nutricional asociados a parasitosis intestinal en estudiantes, Huánuco, Perú, 2010
Authors: Berto Moreano César Gabriel , Cahuana Aparco Judith , Cárdenas Gallegos Jesús Kevin , Botiquín Ortiz Nataly Ruth , Balbín Navarro Claudia Angélica , Tejada Llacsa Paul Jesús , Calongos Porras Esteffany Jennifer 
Published: January 2017

Introducción: Se ha encontrado una prevalencia alta de parasitosis en escolares de la amazonía; pese a ello, no hay estudios realizadosque revisen su asociación con el nivel socioeconómico y estado nutricional. Objetivos: Determinar la relación entre nivel de pobreza yestado nutricional con la presencia de parásitos intestinales en estudiantes escolares del caserío Venenillo, Huánuco. Diseño: Estudiotransversal-analítico. Lugar: Caserío de Venenillo, Huánuco. Participantes: Estudiantes escolares de la única institución educativa delcentro poblado. Intervenciones: A 42 estudiantes se les realizó examen coproparasitológico mediante observación directa con lugoly técnica de sedimentación rápida de Lumbreras. El nivel de pobreza fue determinado mediante el índice de necesidades básicasinsatisfechas (NBI); y el grado de desnutrición, por medio del índice de Waterlow. El análisis estadístico fue realizado mediante elcoeficiente gamma de Goodman y Kruskal. Principales medidas de resultados: Relación de parasitosis intestinal con pobreza y estadonutricional. Resultados: Los parásitos intestinales estuvieron presentes en 97,6%. Se encontró asociación significativa entre el nivelde parasitismo y el nivel de pobreza (p=0,02; gamma=0,82). No se encontró asociación significativa entre nivel de desnutrición yparasitismo (p=0,77). Conclusiones: La parasitosis intestinal se asoció al nivel de pobreza, no así con el nivel de desnutrición en lapoblación de estudio.
Clínica Quirúrgica del hospital "Dos de Mayo"
Authors: Gastañeta Guillermo 
Published: January 2017

Lección inaugural del curso de 1922 de Clínica Quirúrgica del hospital "Dos de Mayo" por el Profesor Dr. Guillermo Gastañeta, Decano de la Facultad de Medicina de Lima y Catedrático de Clínica Quirúrgica.
Caracterização do perfil e complicações intra-hospitalares dos pacientes submetidos ao cateterismo cardíaco em um hospital terciário
Authors: Braga Débora Ferreira , Silvano Gustavo Paes , Pereira Thainá Ferreira Furtado , Schuelter-Trevisol Fabiana , Trevisol Daisson José 
Published: January 2017

DOI: 10.15448/1980-6108.2017.1.24806 Aims: To evaluate the profile of patients undergoing cardiac catheterization and in-hospital complications associated with the procedure.Methods: Cross-sectional analysis of baseline data of a retrospective cohort study conducted in a tertiary care hospital in southern Brazil between 2007 and 2013. The study included patients undergoing diagnostic or therapeutic cardiac catheterization. The data were extracted from electronic medical records using a standardized form and stored in a database for further analysis.Results: Out of 994 assessed patients, 584 (58.8%) were male. The mean age was 61.4 years. Hypertension was the most prevalent risk factor, followed by dyslipidemia and diabetes mellitus. Regarding clinical presentation, 550 (55.3%) patients had acute coronary syndrome, 402 (40.4%) had stable angina, and 42 (4.2%) were asymptomatic. Cineangiography was normal in 152 (15.3%) patients and abnormal in 842 (84.7%). Of these, 251 (29.8%) had single vessel disease, 190 (22.6%) had double vessel disease, and 401 (47.6%) had triple vessel disease. The overall incidence of complications was 15.6%, and 1% of the patients suffered some kind of major event (death during the procedure and neurological complications during their hospital stay). Other complications included acute kidney injury (1.4%) and local vascular complications (13.2%), mainly hematoma at the puncture site. Fifty (5%) patients died during the hospital stay, 46 (92%) of them from cardiac causes. Conclusions: The patients undergoing cardiac catheterization were predominantly male, with mean age of 61.4 years. The most frequent risk factors for cardiovascular disease included hypertension, dyslipidemia, and diabetes mellitus. Most of the patients had triple vessel disease. The main indication for the procedure was acute coronary syndrome. The overall incidence of complications was 15.6% with predominance of hematoma at the puncture site.
Role of bedside sonography in the assessment of patients with chest trauma in the emergency department of Suez Canal University Hospital
Authors: Salama Khaled Morsy , Elshaboury Islam Mohamed , Huissen Walid Mosallam , Eldomiaty Hany Anees , Elghoboshy Karima Ibrahim 
Published: January 2017

Background: Chest trauma is responsible for more than 20 to 25% of all traumatic death. Chest trauma is the second leading cause of traumatic death in each year. In order to keep the prognosis of patients with chest trauma relatively good, the patient should be diagnosed rapidly & managed adequately. Chest ultrasound is a safe, rapid and accurate method in diagnosing chest trauma.Methods: A total of 50 patients were enrolled in this study. Objectives were to assess the accuracy of bedside chest US in detection of either haemothorax, pneumothorax or lung contusion in chest trauma patients. All the patients underwent chest US, CXR, and chest CT. The data from ultrasound and CXR were compared with the gold standard CT. Then the accuracy of which were calculated.Results: Showed that Motorcar accidents are the most common cause for chest trauma and most patients were presented by chest pain and dyspnea. Chest ultrasound specificity in diagnosing pneumothorax was higher than sensitivity, 100% and 81% respectively, with over all accuracy 88%. Supine CXR showed sensitivity (75%), specificity (88.9%) and accuracy (80%) which are good numbers but still lower than chest US. Chest US Detection of haemothorax by chest had showed 100% sensitivity, 90% specificity and 96% accuracy.Conclusions: Chest ultrasound is highly accurate tool for detection of pneumothorax, haemothorax and less lung contusion in chest trauma. Chest ultrasound is a useful tool for the emergency physician for bedside rapid and accurate diagnosis without interruption of the resuscitation and without transferring the patient for the radiology unit.
Abdominal symptoms and its outcome in gallbladder diseases following routine and emergency cholecystectomy
Authors: Giridharan Bhanumati , Madhivadhanam P. 
Published: January 2017

Background: Gallstones constitute for the most common causes of biliary tract diseases in the adult population. The study thus aims to describe the persistence rate of abdominal symptoms in patients after elective cholecystectomy and to understand which symptoms, improve after cholecystectomy.Methods: This observational study is based in Melmaruvatthur Medical College and Research Institute where 69 patients were a part of the study. A pre and post structured questionnaire was used to assess the decrease in the rate of symptoms. After fully informed and written consent the study participants were interviewed questioneired, examined according to the preformed and pretested proforma, patients with a clinical and ultrasonographic diagnosis of gallstones filled out a structured questionnaire on abdominal pain symptoms and functional gastrointestinal disorder before and at six months after cholecystectomy.Results: From the observed chi square value of 9.315 and p value of 0.002 which is less than 0.01 so it is declared that there is an association between the cholecystectomy and symptoms in the post-surgical group.Conclusions: The findings of the study thus suggest that while much of the findings lean toward ELC being better than DLC, the significance values show that no difference exist between the two. The study therefore states that more research is required to ascertain whether ELC or DLC is better at reducing the symptoms associated with gall bladder disease.
Efficacy of prolene hernia system in comparison to Lichtenstein mesh repair
Authors: P. K. Hota , S. V. Mahesh 
Published: January 2017

Background: Inguinal hernia repairs consume an important part of health care resources because of the high incidence of the problem. It is estimated that 20 millions of inguinal hernia repairs are performed globally every year. Every recurrence after a primary repair will add an extra cost to health care economics. Moreover, secondary or tertiary operations after previous repairs carry higher risk of re-recurrence and specific complications like testicular atrophy. Therefore, every surgeon should know and perform a current repair method successfully in his/her daily practice. The aim was to compare the efficacy of prolene hernia system with that of lichtenstein mesh repair in terms of early and late complications, operating time, time of return to work, chronic pain and recurrence.Methods: 200 patients reporting and found eligible for the study were selected. They were divided into two groups. One group of 100 patients underwent the prolene hernia system type of surgery. Other group of 100 patients was operated by using Lichtenstein mesh repair. VAS score was used to assess the pain among the patients post operatively. All patients of both the groups were followed for a period of 10 years from August 2006 yearly to assess the occurrence of complications and recurrence among them.Results: It was found that mean duration of surgery was lesser in PHS group of 25 minutes compared to 35 minutes in other group. On comparison of post-operative pain assessed by VAS score, it was found that the PHS group patients experienced only mild pain compared to mild to moderate pain in other group patients. Patient compliance was excellent in the PHS group compared to the other group. Patients in the PHS group were able to return to their work within 15 days compared to 30 days in other group.Conclusions: Reports of this device (PHS) are encouraging, operating time is shorter and there is quick recovery. PHS provides all advantages of a tension - free repair, provides a stable anterior repair with added benefits of a posterior as well as plug repair. The high risk group of patient may be a good target as superior primary repair.
A retrospective study of management of diabetic foot ulcer in tertiary care hospital in North Karnataka
Authors: Kalburgi Eshwar B. , Lamani Yamanur P. , Goudar Bheemanagouda V. , Bhavi Bheemappa K. , Kharkazi Mohammed A. , Aggarwal Siddarth 
Published: January 2017

Background: Foot ulcers and amputations are a major cause of morbidity as well as emotional and physical disability for people with diabetes. A cumulative life time incidence of diabetic foot ulcer (DFU) is as high as fifteen percent making it a leading cause of non-traumatic amputations worldwide. The objective of the study was to assess the outcome of diabetic foot ulcer based on Meggitt-Wagner classification system.Methods: It was a retrospective review of 130 patients with diabetic foot ulcer managed at a tertiary care teaching hospital from January 2010-August 2016 in Bagalkot, North Karnataka, India.Results: In this study most of the patients were in the age group of 51-60 years, most of them being male 85%, 49.23% of patients with ulcers were over the plantar aspect of the foot and 40% of ulcers were Grade 2. 11.53% of patients required disarticulation of toes. 3.07% of patients required below knee amputation and 2.30% of patients require above knee amputations. 42.30% of the patients had peripheral neuropathy and 12.30% of the patients had associated peripheral arterial disease.Conclusions: Even though Meggitt-Wagner classification system is considered Gold Standard it has many disadvantages. The neuropathic changes, charcoats osteoarthropathy and associated vascular pathology has not taken into consideration, hence the outcome of the ulcer cannot be predicted.
Clinical study of varicose veins of lower limbs
Authors: Shankar H. Kiran 
Published: January 2017

Background: Varicose veins of the lower extremities are one of the most common peripheral vascular diseases and calls for treatment due to the morbidity and economic impact due to loss of productivity and work hours. Therefore, the present study has been undertaken evaluate the various clinical aspects of varicose veins of lower limb of the patients.Methods: The clinical study and observations in this study were based on a clinical proforma which included the determination of Ratio of varicose veins to the total number of cases with vascular complaints, type of vascular complaints, The relationship between the age of the patient and the disease, The sex ratio, The relationship of occupation and the disease, The different presenting complaints, The venous system involved, The limb involved and predisposing factors in the Patients with Varicose Veins.Results: Out of the 382 patients admitted with vascular complaints, only 42 cases were afflicted with varicose veins of the lower extremities. Maximum incidence was in the age group 21-40 years (61.9%). Male preponderance was observed. The most common presenting complaint was pain which varied from dragging pain to night cramps associated with heaviness of the limbs.Conclusions: Our study reveals that the disease is most prevalent in the 2nd and 3rd decades of life. Most of the patients had long saphenous vein involvement while short saphenous vein was involved in 3 cases and 4 cases had involvement of both venous systems. Many of the patients had perforator incompetency indicating advanced hemodynamic malfunction. Therefore, it was concluded that occupation involving prolonged standing and/ or violent muscular contractions contribute to or precipitate varicose veins if not actually cause them.
Risk factors for 30-day unplanned readmission among patients undergoing laparotomy for perforation peritonitis
Authors: Marwah Sanjay , Singla Priyanka , Singh Mahavir , Sharma Himanshu 
Published: January 2017

Background: Unforeseen re-admissions are a consequence of natural course of patient’s disease or results from sub-optimal care during first admission. Apart from causing increased expenditure, readmission immensely adds to the distress of the patient as well as his relatives. The aim of the study was to assess the incidence and risk factors for 30-day unplanned readmission following emergency laparotomy for perforation peritonitis.Methods: This prospective observational study was conducted on 145 patients undergoing laparotomy for perforation peritonitis in over a period of two years. Various pre-operative, intra-operative and post-operative parameters were studied to identify the risk factors for readmission.Results: Overall readmission rate was 8.96% and in majority of the cases it was due to post-surgical complications. Various factors found significant for readmission were American Society of Anaesthesiology (ASA) grade (p = 0.014) hypoproteinemia (p<0.001), diabetes mellitus (p = 0.001), immuno compromised status (p<0.001), stoma creation (p<0.001), blood transfusion (p = 0.022), renal complications and UTI (p = 0.027 each). On multivariate analysis, hypoproteinemia and stoma creation were found to be significant.Conclusions: Risk factors for readmission among surgical patients are multi-factorial. Taking appropriate steps can reduce the burden of readmission. Moreover decreasing the rate of surgical readmission represents an opportunity to improve patient care.
Gastroscopic evaluation of patients with dyspeptic symptoms with incidental finding of cholelithiasis
Authors: Gadahire Minakshi , Pai Ashwin , Joshi Mohan 
Published: January 2017

Background: Patients with dyspeptic symptoms are subjected to ultra-sonography by many practitioners and post for Cholecystectomy, if there is a finding of cholelithiasis. Many of these patients continue to have post operatively similar pain which they experienced before the cholecystectomy surgery. This made us think of doing upper gastrointestinal endoscopy to find any upper gastrointestinal disease in oesophagus, stomach or duodenum. So that if we get any positive endoscopic finding we can treat those conditions before posting the patients for cholecystectomy. Aim of the study was to study outcome of upper gastrointestinal endoscopy in patient with dyspeptic symptoms having gall stones, to evaluate whether there is any other cause of dyspepsia apart from cholelithiasis.Methods: This study was conducted at a single teaching hospital in Mumbai over a period of 3 years. Prospectively, 60 patients were studied for upper endoscopy findings associated with dyspepsia in a patient of cholelithiasis.Results: Abnormal findings of upper gastrointestinal findings on endoscopy were seen in 65% of patients.Conclusions: All Patients with dyspepsia should undergo upper gastrointestinal endoscopy before subjecting to any other radiological investigations.
A comparative study between Mannheim peritonitis index and APACHE II in predicting the outcome in patients of peritonitis due to hollow viscous perforation
Authors: Kumar Pawanjeet , Singh Kundan , Kumar Amarnath 
Published: January 2017

Background: The identification and early assessment of peritonitis patient is often required in surgical emergency to select the high risk patients for intensive management for better outcome. This is a comparative study of efficacy between Mannheim peritonitis index and APACHE II in predicting the outcome in patients of peritonitis due to hollow viscous perforation.Methods: Comparative and prospective study in 50 patients of hollow viscous perforation admitted and operated in surgical emergency, Patna Medical College and Hospital from year April 2014 to April 2016 was done. Mannheim peritonitis index and APACHE II score of each case was calculated and the prediction of outcome was compared with the final outcome.Results: In this study with MPI score >25, 22.8% patients expired. MPI score between 25-15, 6.6% patients expired and with score ≤14 none of the patient expired. According to APACHE II system with APACHE II score less than 10, 8.6% patients expired. Between score 11 -20, 36% expired and With APACHE II score above 20, none of the patients survived I.e. 100% mortality.Conclusions: MPI score is easy to apply and easy to calculate but APACHE II score obviously shows more accurate prediction of mortality.
Clinical profile of infantile pelviureteric junction obstruction
Authors: K. L. Venkatesh , Raghu S. R. 
Published: January 2017

Background: Pelviureteric junction obstruction commonly present with antenatal hydronephrosis. The aim was to report and analyze the clinical spectrum of infantile pelviureteric junction obstruction.Methods: Retrospective descriptive study of infants operated for pelviureteric junction obstruction (PUJO) during 2013- 2016. Clinical presentations, management and follow up were analyzed.Results: There were 44 infants involving 48 PUJO renal units of who were nine girls. The sex distribution was 1:3.8. Mean age of the presentation was three months. PUJO was bilateral in four patients. Two patients had unilateral PUJO of lower moiety of duplex system. Median of anteroposterior diameter (APD) and differential function of kidney on EC was 2.5cms and 28% respectively. Three patients had poorly functioning kidneys (PFK) (<10%).Conclusions: Good antenatal counselling and appropriate postnatal evaluation detects PUJO early. Early infantile pyeloplasty is safe and effective. Routine micturating cystourethrography is debatable in pelviureteric junction obstruction.
A comparative study of the incidence of pain and infection in gall bladder extraction via umbilical and epigastric port
Authors: Shakya Jugendra Pal Singh , Agrawal Neelabh , Kumar Arun , Singh Akash , Gogia Bhupesh , Yadav Charu 
Published: January 2017

Background: In laparoscopic cholecystectomy, gall bladder extraction via different ports has always been a matter of concern for the surgeons. This study is designed so as to determine the difference in the rate of pain and infection in gall bladder extraction via umbilical and epigastric port.Methods: A prospective randomized study was done from January 2015 to December 2015 at S. N. Medical College, Agra in which 200 patients of cholelithiasis were considered. The patients were randomly selected in the operation theatre for gall bladder extraction via epigastric port (designated as Group-A with n = 100 patients) and gall bladder extraction via umbilical port (designated as Group-B with n = 100 patients).Results: Post-operative pain at 24 hours, in terms of VAS was 3.67±1.42 in Group-A while 2.47±1.17 in Group-B with 10 being the worst pain. The p-value was calculated as .000048. The result is significant at p< .05. A total of eight patients out of two hundred patients suffered port site infections amongst which five were from Group-A (5%) and three were from Group-B (3%).Conclusions: This study thus indicates that in laparoscopic cholecystectomy, gall bladder retrieval through the umbilical port is a better alternative to gall bladder extraction via epigastric port in terms of post-operative pain and port site infection. Our study recommends gall bladder extraction via umbilical port rather than epigastric port.