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Enterocolite da malattia di Hirschsprung: due case report
No full textEnterocolitis is a serious complication of Hirschsprung's disease. The high-risk onset periods are before diagnosis of Hirschsprung's disease and after pull-through operation, but it can
occur in every moment during the clinical history of the affection. Enterocolitis is characterized by the presence of fever, abdominal distension and explosive diarrhea. It is a lifethreatening
disease which treatment is based on electrolytes and water restoration, antibiotic support, total parenteral nutrition and intestinal surgical decompression obtained by colostomy.
However the best treatment is an early diagnosis that is based on the suspect of the disease from the symptoms. The Authors report on 2 babies (respectively lO and 5 months old) with an
acute abdomen that were urgently submitted to surgery which confirmed the clinical diagnosis of enterocolitis. The first baby was affected by Down's syndrome and persistent constipation
since birth, the second one had an history of constipation, short growth and a previous hospitalization for gastroenteritis. Both babies were submitted to surgical decompression by
colostomy before the following operations for the correction of the main affection (Soave-Boyle pull-through) and for the recanalization
Abscessation of Bartholin's gland in children: two clinical case studies
No full textAn abscess of Bartholin's gland is extremely rare in pre-pubertal age. Literature reports only few cases of this abscess in children younger than 10 years of age. The Authors have thought it interesting to describe the two case reports of abscess of Bartholin's gland in children of 3 and 4 years of age. They were admitted to the Paediatric Surgery section of the Department of Paediatrics, Obstetrics and Reproduction Medicine because they presented a painful mass located on labia majora. These children underwent surgery to drain the abscess. On discharging they were prescribed a course of antibiotic. The function of Bartholin's glands is to lubricate the introitus and external genitals with fluid and mucosal secretion. The abscess can cause the destruction of the gland and the loss of its relative function. Although the loss of only one of the Bartholin's glands is well tolerated, it could cause disability due to the reduction of vaginal lubrication. Nevertheless, since long term studies in literature on the consequences of the loss of the gland in paediatric age do not exist, there are still doubts about the possible "gynaecological uneasiness" of adults who presented this pathology at a pre-pubertal age. © Copyright 2005, CIC Edizioni Internazionali, Rome
CISTI OVARICHE: approccio videolaparoscopico
No full textLe masse ovariche sono rare in età pediatrica, costituendo un unico gruppo che comprende un ampio spettro di patologie, con netta predominanza delle masse cistiche, di tipo proliferativo. Nel caso di cisti ovariche diagnosticate prima, o subito dopo la nascita, l'atteggiamento migliore è il monitoraggio clinico ed ecografico,
poche c'è un'alta percentuale di risoluzione spontanea e
basso tasso di complicanze. Diversa è la condotta terapeutica
in età infantile o adolescenziale, essendo il quadro
clinico subdolo con sintomatologia sfumata e quadri ecografici
non patognomonici. Sono queste le caratteristiche
che devono porre l'indicazione ad un laparoscopia diagnostica.
L'intervento chirurgico si impone in tutti i casi
complicati per torsione, rottura o sanguinamento, ed è
consigliato nelle forme silenti per prevenire l'insorgenza
di complicanze. Gli Autori descrivono la propria casistica,
comprendente 5 casi di patologia ovarica benigna, tre torsioni
e due casi di cisti ovariche trattate per via videolaparoscopica
presso la Sezione di Chirurgia Pediatrica del
Dipartimento di Pediatria, Ostetricia e Medicina della
Riproduzione dell'Università degli Studi di Siena
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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