1,720,969 research outputs found
Foreign bodies ingestion: what responsibility?
No full textThe ingestion of foreign bodies is one of the most important and difficult emergencies for a
physician to diagnose.
Accidental ingestion is more common in children, in patients with dental implants, in individuals with
mental disability and in drug users. Voluntary ingestion is found in patients who are psychologically
unstable, in prisoners or those who attempt suicide. Foreign bodies may be divided into food as fish
bones, chicken bones, food bolus, meat, etc. or real foreign bodies such as orthodontic implants,
needles, pins, glass, coins, etc.
The authors present a case of management, from the medicolegal point of view, of a female patient age
80, who complained, for some weeks of modest pain in the left iliac fossa, and afterwards the
endoscopy showed a toothpick into the wall of the sigmoid colon. Assessed of the clinical status of the
patient presented severe cardiac comorbidities so that before processing the patient to a second
resolutive endoscopy, it was necessary to obtain the hemodynamic stability.
However the management of cases of accidental ingestion of foreign bodies is particularly difficult.
Medical errors can arise from the very first contact with the patient resulting in delays in appropriate
treatment. The doctor to avoid compromising its position on medical liability, must use all the
knowledge and diligence known by the art and science of medicine
Etilismo e HCV–anticorpo positività associati: effetti sul decorso e la gravità delle epatopatie croniche.
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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
Quadro endoscopico ed istologico della mucosa gastrica e prevalenza dell'H.pylori in pazienti con epatopatia cronica.
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Il dolore addominale acuto in chirurgia d'urgenza. Studio clinico-epidemiologico su 450 pazienti
No full textA retrospective study on 450 patients admitted in emergency with acute abdominal pain in a general surgical unit of the Ist Institute of Surgery of the University of Rome "La Sapienza" was carried out during a 7 years period. The aim of the study was to identify the most frequent causes of acute abdominal pain correlated with age, sex, onset of pain and other conditions in order to improve diagnosis and reduce mobility for mortality. Appendicitis was the most frequent diagnosis (75 pts = 16.4%). Non-specific abdominal pain (NSAP), found in 71 pts (15.5%), cholelithiasis in 57 pts (12.5%), abdominal malignancy in 47 pts (10.3%) were other frequent conditions. The largest number of admissions occurred in the age groups 60-70 years (16.6%) and 20-30 years (14.2%). Surgical operations were performed in 206 patients (45.7%). The overall mortality was 4.2% (19/450 pts) and the rate increased significantly in patients aged > 60 years. Postoperative mortality was 5.8% (12/206 pts) while mortality rate in non-operated patients was 2.8%. The causes of perioperative death included perforated peptic ulcer, abdominal malignancies (15.4%) and urgent colonic resections (9.4%). The duration of inpatients stay increased significantly with the age of the patients, including those with nsap. The results of the study indicate a need to review the methods of diagnosis of appendicitis and to obtain a better clinical performance in patients with nsap
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