bluuebunny/crossref_metadata_2025_split huggingface dataset:
A kommunikáció nehézségei daganatos gyermekek szüleivel a palliatív ellátásra történő áttérés során
Authors: Nyirő Judit , Hauser Péter , Zörgő Szilvia , Hegedűs Katalin 
Published: July 2017

Abstract: Introduction: Adequate communication by medical personnel is especially important at certain points during the treatment of childhood cancer patients. Aim: To investigate the timing and manner of communication with parents concerning the introduction of palliative care in pediatric oncology. Method: Structured interviews, containing 14 questions, were carried out with physicians working in pediatric oncology (n = 22). Codes were generated inductively with the aid of Atlas.ti 6.0 software. Results: Interviews show a tendency of a one-step transition to palliative care following curative therapy. Another expert is usually involved in communication, most likely a psychologist. Regarding communication, there are expressions utilized or avoided, such as expressing clarity, self-defense and empathy. The communication of death and dying was the most contradictory. Conclusion: This was the first investigation regarding communication in pediatric palliative care in Hungary. Our results show that a modern perspective of palliative communication is present, but necessitates more time to become entrenched. Orv Hetil. 2017; 158(30): 1175–1181.
An Analytical Network Process on Financial Access of the Small and Medium Enterprise in Sharia Banking in Tasikmalaya City
Authors: Suryanto Asep , Nasution Fatimah Zahra 
Published: July 2017

Small and Medium Enterprise (SME) is one of the significant roles in national economic development. It is seemly followed by the rise of employment absorbent and equity in income distribution. The capital constraint and the impedance of banking financial access have become the main problem to the Small and Medium entrepreneurs. The objectives of this research are to identify the main factors as problems of Small and Medium Enterprises in having access to the financial institutions, and also to find out the solutions of the research problems. This research uses qualitative approach i.e. Analytic Network Process (ANP). Through applying this method, it is expected to help the researchers in making measurement and synthesis of some factors regarding on the topic analyzed as well as finding the solution for problems faced by the SMEs. The resources of the data is derived from questionnaires and in-depth interview with experts, practitioners, SMEs and regulators which then analyzed by the structure and hierarchy into homogen clusters of the SMEs problems and solutions, measuring into ratio scale and building synthesis. As the result, it becomes clear what factors impeding the financial access of the SMEs to banks. The results of this research show that the difficulties of SMEs in accessing financial support in Islamic financial institutions are internal problems of Islamic banking i.e. lack of financial assistance given to the SMEs, the functions of Islamic banking as business partners for SMEs is not optimal. Whereas the external problems in the SMEs are the disability in meeting the financial requirements asked by Islamic banking that are collateral and business history. The internal solutions are Islamic banking must give business mentoring to SMEs that have received financial supports to minimalize the bad credits level. The external solution is the government must also socialize Islamic financial mechanism to SMEs as part of education efforts.
“Islamic Moderation” in Perspectives: A Comparison Between Oriental and Occidental Scholarships
Authors: Islam Tazul , Khatun Amina 
Published: July 2017

‘Islamic moderation’ has received a great deal of academic and media attention both in the West and in the East. Yet, the denotation of the very term still remains abundantly paradoxical as different regions and contexts provide different sheds of meanings. In the western scholarship, Islamic moderation is concerned with liberal social norms, hermeneutics, political pluralism, democratic process, organizational affinities, and views of state legitimacy over the monopoly of violence, some kind of adaptation, willingness to cooperate or compromise. However, it is by no means exhaustive as its definition in Islamic scholarship provides some unlike constituents. To define moderation, Muslim scholars, firstly explores to lexical meanings of its Arabic substitute “wasatiyyah”. Secondly, they explore the textual meanings of the word “wasatiyyah” used in the orthodox text i.e the Quran and traditions (Sunnah) of the Prophet Muhammad (pbuh). According to them, moderation is a best suited, justly balanced or middle position between two extremes i.e. extremism and laxity. Their use of the term, is contextualized in terms of counter-extremism, modest socio-religious behaviour and temperate legal position. This research finds out a considerable textual and contextual difference in the use of the term ‘Islamic moderation’ between the East and the West. Hence, this study aims to explore the lack of integration between both scholarships in this issue.
Delayed appendicectomy in patients with non-perforated acute appendicitis
Authors: B. N. Anandaravi , S. R. Krishna , H. D. Pradeep Kumar , Garg Mayank 
Published: July 2017

Background: Appendicitis remains one of the most common diseases encountered by the surgeon in practice. Appendicectomy is the most common urgent or emergency general surgical operation performed. Emergency appendicectomy is believed to be the standard treatment protocol for patients with acute appendicitis. This study was conducted to verify whether acute non-perforated appendicitis requires immediate surgery or can be delayed to be taken up on elective basis.Methods: This is a retrospective study of all the cases undergoing appendicectomy for acute appendicitis over the period of January 2016 to December 2016 in K. R. hospital, Mysuru, Karnataka, India. The cases were divided into two comparison groups: emergency group (operated within 12 hours of admission) and delayed group (operated between 12-72 hours). Parameters like age, sex, duration of symptoms, total leucocytes count, temperature, haemoglobin, radiological investigations, operative procedure, operative time, length of hospital stay, length of post-operative stay were collected and the end points for comparison were: Operative time, perforation rate, post-operative complication, length of hospital stay, readmission rate. Cases of perforated appendicitis in preoperative diagnosis, interval appendicectomy and appendicectomy done in association with other abdominal conditions were excluded from the study.Results: During this one-year period 283 patients have undergone appendicectomy. Out of this 189 (66.8%) patients have undergone surgery within 12 hours of admission and 94 (33.2%) have undergone surgery between 12 to 72 hours of admission. There was no significant difference between the two groups in operative time, per operative perforation rate, post-operative complication rate, readmission rate. Length of the hospital stay was greater in delayed group as compared to emergency group. But there was no significant difference between the post-operative length of hospital stay.Conclusions: Acute appendicitis can be treated surgically in a delayed elective basis without increasing morbidity.
Treatment for hepatocellular carcinoma in the caudate lobe: a report of 13 cases
Authors: Zhang Wei , Wu Yakun , Li You , Gong Jianping , Long Hao 
Published: July 2017

Background: To investigate therapies of hepatocellular carcinoma in the caudate lobe, surgical approach and method, surgical outcome of hepatic caudate lobotomy.Methods: Clinical data of 13 patients with hepatocellular carcinoma in the caudate lobe who received surgical treatment in the Department of Hepatobiliary Surgery of the Second Affiliated Hospital of Chongqing Medical University from Jan 2010 to Jan 2014 was retrospectively analyzed.Results: Two patients selected TACE therapy. However, tumor metastasis was observed on them in short term, and the therapeutic effect was poor after several times of treatment. Nine patients received surgical treatment. Surgical approaches included left approach, right approach and combined approaches from the left and right side; surgical method was part or complete caudate lobe resection combining with other liver segments. The operation time was 220.0-350.0 minutes, with the average value of 259.4 minutes. The vascular clamping time was 21.0-45.0 minutes, with the average value of 30.2 minutes. The bleeding volume was 400.0-1800.0 ml, with the average value of 844.4 ml. In all patients, there was no perioperative death and no postoperative liver failure happened, and 4 patients who suffered from interrelated complications were cured or got better by conservative treatments. All patients were followed up for 24 months. The recurrent rates of 1 and 2-year were 44.4%, 88.9% respectively, and the survival rates of 1 and 2 year were 66.7%, 44.4% respectively after surgical resection.Conclusions: Resection is still the preferred therapeutic method for hepatocellular carcinoma in the caudate lobe. However, long-term outcomes of the therapy for hepatocellular carcinoma in the caudate lobe need further improvement.
Clinico-bacteriological study of vesical calculus: a prospective study
Authors: Tekam Vijay Kumar , Choube Abhishek 
Published: July 2017

Background: The incidence of primary bladder calculi in developed countries has been steadily and significantly declining since the 19th century because of improved diet, nutrition and infection control. In these countries, vesical calculi affect adults. However, bladder calculi remain common in developing and less developed countries. Despite the presence of several studies in countries with a high incidence of the disease, no complete uniformity in the reporting of data exists.Methods: The present study was carried out in 76% admitted patient of vesical calculus, investigated and treated by spcl. Some stones were subjected to bacteriological culture.Results: Incidence of vesical calculus was 1.01% of the total surgical admission and 14.87% out of total genito-urinary disease cases.Maximum number of patients were in the age group 0-10 years. Males predominated the females with a 12:1 ratio. E.coli was the commonest organism covering 22.3% of infection. All the cases were managed by spcl.Conclusions: It was concluded from our study that were common in children with low socio-economic status. Metabolic, infective, stasis and vitamin a deficiency (MISA) remained the important factor in its formation. They are usually single and commonly of mixed variety.
Sutureless, bloodless, safe new circumcision technique
Authors: Mohamed Wael Barakaat Ahmed , Ahmed Ahmed Eisa 
Published: July 2017

Background: Several techniques of circumcision are available such as conventional surgical technique, the device (Gomco, Plastibell), mono and bipolar diathermy and sutureless methods such as fibrin glue. Our knowledge, the first report of using harmonic scalpel in circumcision was published by Peng et al, in the Asian journal of andrology but the study was done on dogs, this one of the little studies describe the use of the harmonic scalpel in male circumcision in humans. Aim was to describe the technique of the harmonic scalpel circumcision and report its outcomes in the term of safety and efficacy.Methods: This was a prospective observational study performed in the general surgery department at Sohag university hospital, Sohag, Egypt from 1st January 2015 to 31 December 2016.Results: 90 male patients were included in this study. Their age ranged between 3 and 18 years. The most common indication was religious circumcision 50%. No intraoperative blood loss or a postoperative bleeding. One case of wound infection and three cases of a postoperative edema respond to conservative treatment. No injury to the surrounding structure.Conclusions: The result of this study determines that the harmonic scalpel circumcision not associated with intraoperative blood loss or postoperative bleeding and a good postoperative cosmetic result, with a minimal complication. So, it is an appropriate alternative to the traditional scalp and suture technique.
Changing trends in elective splenectomy at a tertiary hospital in North India - a 10year study.
Authors: Rehmani Babar , Kumar Navin , Pathak Priyank 
Published: July 2017

Background: Spleen is the meeting ground of medicine and surgery and most patients for elective splenectomy are primarily evaluated by physicians and then referred to the surgeons. Both physicians and surgeons need to be aware of the utility of splenectomy as a therapeutic option in various medical conditions. This study looks at the indications for elective splenectomy and the outcomes over a decade at a tertiary care centre in North India. It also evaluates the adherence to protocols recommended for prevention of OPSI in adults.Methods: A hospital based prospective observational study was conducted at a tertiary care hospital situated in Uttarakhand, North India, over a duration of 10 years from October 2006 to October 2016. The inclusion criteria for the study were all the patients undergoing splenectomy for the non-traumatic indications.Results: Sixty-one patients underwent splenectomy in the 10 years’ duration. The age range of patients was from 17-79 years with twenty-six males and rest females. Hypersplenism was the commonest indication for splenectomy. There were eleven cases of primary hypersplenism and there were twenty-five cases of secondary hypersplenism. Portal hypertension was the main cause of secondary hypersplenism requiring splenectomy.Conclusions: The major indications of elective splenectomy were hypersplenism secondary to portal hypertension due to EHPVO and haematological disorders mainly ITP. Mortality is 2.4% and morbidity is 21.4%. Vaccination rates of 75% were seen in planned splenectomy however, no case of OPSI recorded in this series.
Effective diagnosis for the management of gall stone: a clinical study
Authors: Rathod Vinod , Chavhan Nishant , Dahake Tushar 
Published: July 2017

Background: Gallstones also known as cholelithiasis, is one of the most occurring and costly gastrointestinal disorder. Management of acute biliary cholelithiasis mainly involves pain control with non-steroidal anti-inflammatory drugs or narcotic pain relievers. However, surgical procedures like laparoscopic and mini-laparotomy cholecystectomy is also use for the management of it.Methods: Present clinical study gives an account of the diagnostic criteria for the effective management of acute biliary cholelithiasis, the diagnosis of gallstones was done by ultrasonography (USG).Results: Present study indicated females more (73.33 %) prone to occurrence of gallstone compared to males (26.67 %). Abdominal pain was the common feature in all the patients, with majority complaining (40 %) pain in right hypochondrium and epigastrium. Dyspepsia along with Nausea and vomiting was associated in 70 % and 66.66 % patients respectively. Tenderness and tenderness of hypochondrium were reported in 70 % and 30 % patients respectively. Ultrasonography served to be the major technique in diagnosing gallstones in the present study with success rate of 98.33 %.Conclusions: The present study concludes male-female ratio for occurrence of gallstones 1:2.75. Pain in the abdomen with nausea/vomiting and dyspepsia is the major clinical feature along with the occurrence of tenderness with elevated leucocytes count as one of the prime diagnostic criteria’s. Present study concluded ultrasonography (USG) as the correct technique in diagnosing gallstones.
Role of FNAC in soft tissue tumors and its histopathological correlation
Authors: Jain Veenu , Agarwal Tarun 
Published: July 2017

Background: Soft tissue tumours are very rare. They are diagnosed initially by Fine needle aspiration cytology (FNAC). The present study was conducted with the aim to study the acceptability and diagnostic accuracy of cytodiagnosis in soft tissue lesions, to evaluate the reliability of cytodianosis as compared conventional histological paraffin section and to assess nuclear grade in various soft tissue lesions.Methods: The present study was conducted on 140 patients of soft tissue tumours during the period from August 2002 to July 2003 in the Department of pathology and microbiology, LLRM medical college, Meerut. FNAC was done in 132 cases and histopathology was conducted in 86 cases and correlation of those results was done.Results: Diagnosis of STT by FNAC was done in 132 cases. In benign tumours maximum number of cases (28) was in the age group of 20-29 years and in malignant tumours maximum number of cases (7) was in the age group of 40-49 years. 110 (83.3%) cases were benign and 22 (16.7%) cases were found to be malignant. Maximum number of STT was observed in trunk followed by limb extremities. Male preponderance was observed in the study. The overall accuracy of the present study was 97.7%. Accuracy for diagnosing benign soft tissue tumours was 100% and for malignant STT was 94.5%. The sensitivity, specificity and predictive value of the present study was 100%, 98.6% and 93.3%.Conclusions: FNAC plays a very important role in initial diagnosis of soft tissue tumours. It provided acceptable diagnostic accuracy when supported by histopathology.
Comparative evaluation of laparoscopic versus open appendicectomy in cases of acute appendicitis
Authors: Gupta Atul Kumar , Chawda Vishal , Gupta Shalabh , Goel Apoorv , Bhagat Tripta S. , Agarwal Ayush 
Published: July 2017

Background: Conventional open appendicectomy is a common emergency surgical procedure being used for more than a century. Despite continuously increasing popularity of minimal access surgery, laparoscopic appendicectomy has not gained enough popularity.Methods: A prospective randomized study to compare laparoscopic and open appendicectomy for the treatment of appendicitis was carried out from April 2015 to October 2016. Thirty patients each were randomized to two groups. Decision to operate was taken on clinical grounds.Results: Twenty-five patients in each group were confirmed to be suffering from appendicitis. While alternative diagnosis could be established in 4 out of remaining 5 patients in laparoscopic group, in only 1 out of 5 patients from open appendicectomy definitive diagnosis for pain could be established. There was no significant difference in operative time between two groups. Patients in laparoscopic group had lesser postoperative pain scores and wound complications. They also got discharged and returned to normal activity earlier than those in open appendicectomy group.Conclusions: Laparoscopic appendicectomy has lesser postoperative morbidity and improves diagnosis in nonappendicitis patients.
Is hypothyroidism a risk for gall stone disease? a study to assess the association
Authors: Watali Yawar Zahoor , Jain Rahul , Bali Rajandeep Singh , Mittal Ankul 
Published: July 2017

Background: Gall stones are one of the most common problems affecting the digestive tract requiring hospitalization. The disease frequently occurs in young, otherwise healthy people with a prevalence of 11-36 % on autopsy report. Thyroid diseases are, arguably, among the commonest endocrine disorders worldwide. In the present study, we have tried to determine an association between gall stone disease, and previously diagnosed and undiagnosed hypothyroidism in patients presenting to our hospital for treatment. The aim of this study was to determine association between gallstones and hypothyroidism and to study the prevalence of previously undiagnosed hypothyroidism in all patients of gallstones.Methods: The study was a hospital based cross sectional, observational study conducted on 200 patients with upper abdominal pain attending the Surgery OPD and Emergency over a period of 1 years. Patients were divided into 2 groups: Case group (100 patients) with gall stones on ultrasound and Control group (100 patients) without gall stones on ultrasound. Thyroid profile along with other biochemical investigations was done and both the groups were compared for the parameters.Results: Both groups were comparable for age and sex of the patients. On considering the thyroid profile of the patients in both the groups we observed that 14% of patients were hypothyroid in case group and 8% of the patients in control group. On comparing the two groups, there was no statistically significant difference in the prevalence of hypothyroidism (p value 0.175) between the two groups. There was a significant difference when serum cholesterol and bilirubin levels were compared between the two groups. 7 patients out of 100 cholelithiasis had Choledocolithiasis too, these patients had significantly raised cholesterol and deranged liver function tests.Conclusions: No significant relation between gallstones and hypothyroidism was found in this study (p value=0.175) and need further evaluation. Among the hypothyroid patients the incidence of gall stones was highest among 51-60 years of age so we recommend that TSH level should be measured for every patient with gallstone disease in this age range.
Thoracotomy and decortication in chronic empyema (fibrothorax), in the era of video assisted thoracic surgery
Authors: Nichkaode Prabhat B. , Agrawal Rajendra , Patel Sachin Kumar 
Published: July 2017

Background: Traditionally, open thoracotomy and decortication with or without pleurectomy is the treatment of chronic empyema in the stage of fibrothorax. Some recent reports have claimed similar clinical results by video assisted thoracoscopic surgery (VATS) with less morbidity and mortality than open surgery. Our experience with thoracotomy and decortication with or without pleurectomy for fibrothorax is reviewed, in this study. Aim was to evaluate results of the results of open thoracotomy and decortication with or without pleurectomy in patients with chronic empyema in the stage of fibrothorax.Methods: From September 2007 to March 2012, 126 patients with diagnosis of empyema thoracic were treated at institute. Diagnosis of chronic empyema was based on-duration of signs and symptoms before definitive treatment and imaging findings- such as constriction of thoracic cage and lungs. 56 patients fulfilled the criteria for chronic empyema and then underwent open thoracotomy and decortication.Results: 39 patients (69.6 %) were males, 17 patients (30.35 %) were females. Mean age of study group was 31.4 years. Etiology was synpneumonic effusion in 49 patients (87.5 %) sub pleural malignancy in 3 patients, traumatic haemothorax in 2 patients and ruptured hydatid cyst in 2 patients. The mean duration of symptoms and signs before definitive treatment averaged 42 days. All patients had chronic empyema (Fibrothorax), as confirmed by imaging and operative findings. There were 3 patients (5.4 %) with complications and one mortality. The postoperative length of stay averaged 11.2 days. There were no recurrences of empyema. Complete expansion of lung was confirmed by imaging in 53 patients at the end of 3 months on follow up.Conclusions: Treatment for chronic empyema thoracic with Fibrothorax can be achieved with open thoracotomy and decortication with low complication rates and low mortality with satisfactory results.