scholarly journals Dr. James Murphy. — Abdominal Section during Pregnancy .— (Lancet., 1895, 19 / i, p. 148). - Gluttony during pregnancy.

2020 ◽  
Vol 9 (9) ◽  
pp. 818-819
Author(s):  
M. Ginzburg

A 22-year-old woman with a left ovarian cyst, which caused her considerable pain, considering herself to be 2 months pregnant, turned to Dr. Murphy for advice; he did not find a reason for the immediate production of the operation. After a short time, the patient suddenly developed a collapse, a liquid was felt in the abdomen. Murphy immediately made a cut in the abdomen with chloroform, at which up to 20 ounces of liquid blood had escaped from the last day, and rinsed the peritoneal cavity with boron solution. The uterus turned out to be enlarged, the tubes and ovaries were healthy, but near the right ovary, a bleeding place was found in the ruptured pseudo-membrane, by which the ovary was attached to the Douglas space. When the pregnant uterus was lifted up, the membrane ruptured and gave profuse bleeding, probably not long before the operation. After bandaging the bleeding membrane, the operation is over; recovery is smooth. Pregnancy continued and the patient was destroyed in time by a living child.

2020 ◽  
Vol 7 (2) ◽  
pp. 175-176
Author(s):  
Ф. Кюнъ

Married, 40 years old, mother of 8 children, of which the youngest is 5 years old. All labor is urgent and normal. Two years ago, she covered up a mobile tumor in the right half of the abdomen, which caused pulling pains and irregularities in the intestines. When examined on January 13, this tumor was recognized as a right mobile kidney; but on the left side of the retroverted uterus, another very sensitive tumor was palpated from a pigeon's egg, which was mistaken by the author for the left hyperemic displaced ovary.


2020 ◽  
Vol 7 (4) ◽  
pp. 355-356
Author(s):  
A. Hermonius

The patient, 32 years old, came to the author at the end of May with suspicion of some abdominal tumor. She has been married for 6 years, was not pregnant. Since the end of last year, she began to suffer from bleeding and pain in the lower abdomen. On examination, the patient turned out to be a well-fed woman. In the abdomen, a swelling is felt that goes 3 fingers above the navel and resembles a pregnant uterus when examined; dorsum of the fetus to the right, small parts to the left. The heartbeat could be heard only for a very short time, to the right of the navel, and upon repeated auscultation, it was not heard at all. The vaginal part is soft and loosened. Resistance is felt in the anterior and posterior fornix, which is softer than the fetal head. Diagnosis: pregnancy, complicated by presentation of the child's place or endometritis.


Author(s):  
Yudai Tamura ◽  
Tomohiro Sakamoto

Abstract Background Platypnoea–orthodeoxia syndrome (POS) is an uncommon condition characterized by dyspnoea and arterial desaturation in the standing or sitting position that improves in the supine position. Case summary We report two cases of POS caused by an atrial septal defect (ASD) and a patent foramen ovale (PFO). Both cases reported a recent decrease in body weight of more than 10 kg in a short time period. Transoesophageal echocardiography (TOE) with agitated saline bubble study revealed and a large amount of contrast bubble through the ASD (Patient 1) or the PFO (Patient 2) from the right atrium to the left atrium in the sitting position. Both patients were diagnosed by the finding of positional dyspnoea and the results of TOE using agitated saline bubble contrast. Discussion Taken together, their presentations suggest that weight loss in a short time period could be a pathogenic factor for POS.


2005 ◽  
Vol 20 (5) ◽  
pp. 347-352 ◽  
Author(s):  
Alberto Goldenberg ◽  
Jacques Matone ◽  
Wagner Marcondes ◽  
Fernando Augusto Mardiros Herbella ◽  
José Francisco de Mattos Farah

PURPOSE: Compare, in a rabbit model, the inflammatory response and adhesions formation following surgical fixation of polypropilene and Vypro mesh in the inguinal preperitoneal space. METHODS: Fourteen male New Zealand rabbits, weighing between 2.000 to 2.500 g were used. A midline incision was made and the peritoneal cavity was exposed. The 2,0X1,0 cm polypropylene mesh was fixed in the left flank and secured to the margins with 3-0 prolene in a separate pattern. In the right flank, a 2,0X1,0 cm Vypro II mesh was sewn in the same way. After the post surgical period, the animals were again anesthetized and underwent laparoscopic approach, in order to identify and evaluate adhesions degree. Both fixed prosthesis were excised bilaterally with the abdominal wall segment, including peritoneum, aponeurosis and muscle and sent to a pathologist RESULTS: Operative time ranged from 15 to 25 minutes and no difficulties in applying the mesh were found. From the 14 polypropylene meshes fixed to the intact peritoneum, 11 had adhesions to the abdominal cavity (78,6%). Concerning Vypro mesh, 12 animals developed adhesions from the 14 with mesh fixation (85,7%). Histological examination of tissues harvested revealed fibroblasts, collagen, macrophages and lymphocytes between the threads of the mesh. CONCLUSION: Polypropylene and Vypro mesh, when implanted in the peritoneal cavity of rabbits provoke similar amount of adhesions. Vypro mesh tissues had higher fibrosis resulting in better mesh incorporation to the abdominal wall.


2018 ◽  
Vol 22 ◽  
pp. 01021 ◽  
Author(s):  
Bilgin Şenel ◽  
Mine Şenel ◽  
Gizem Aydemir

One of the most important function of human resources is personnel selection process. This process should be done professionally, in a short time and with minimum cost. After personnel selection process, performance of the hired person is very important for the permanence and success of the company. From this point of view, the aim of this study is to select a personnel among the candidates efficiently, with minimum cost and within a short time in one of the leading companies of Turkey in automotive sector. In order to select the right personnel all criterias which has great impact on blue collar worker selection was decided and these criterias are weighted. From the candidate pool of automotive company, appropriate candidates were selected by using TOPSIS AND ELECTRE method which are multi-criteria decision making methods


2014 ◽  
Vol 20 (1) ◽  
pp. 35-39
Author(s):  
Cambrea Simona Claudia ◽  
Ilie Maria Margareta ◽  
Carp Dalia Sorina ◽  
Ionescu C.

ABSTRACT Necrotizing fasciitis is a life threatening condition that can be quickly spread through the flesh surrounding the muscle. The disease can be polymicrobial, or caused by group A beta hemolytic Streptococci, or by Clostridium spp. We present a case of a 7 years old girl, which was hospitalized in Children Infectious Diseases Department in a 7th day of chickenpox (hematic crusts all over the body), high fever, asthenia, vomiting, oligoanuria, and tumefaction, pain and functio lessa in the right thigh. In a very short time in the right thigh swelling, edema and congestion have increased gradually, and in the third highest middle thigh the ecchymotic areas appeared evolving towards bubbles and blisters which included the right thigh and calf. After excluding the diagnosis of thrombophlebitis was raised suspicion of necrotizing fasciitis. CT pelvic scan evidenced pelvic asymmetry by maximus and medium right gluteal muscles swelling with important inflammatory infiltrate extended laterally in the subcutaneous adipose tissue. In blood culture was isolated Eggerthella lenta, and from throat swab was isolated group A Streptococci. Treatment consists of a combination of antibiotics associated with intravenous immunoglobulin administration. Despite medical treatment evolution worsened and required transfer in a pediatric surgery department where emergent surgical debridement associated with intensive antibiotic therapy was done. After this intervention evolution was slowly favorable without major limb dysfunction. Polymicrobial necrotizing fasciitis is a severe disease, which if recognized early can have a favorable outcome.


Author(s):  
Heni Sulistiani ◽  
Ahmad Ari Aldino

In pandemic era, almost everyone struggles for their life. College students are such example. They have difficulty in paying tuition fee to continue their study. Based on this problematic situation, Universitas Teknokrat Indonesia grants the students who have good academic performance with tuition fee aid program. Many variables used for determining the grant made it hard to make a decision in a short time or even takes very long time. To make it easier for management to decide who is the right student to get grant, it needs classification model. The purpose of this study is the classification of grant recipients by using decision tree C4.5 algorithm. That can determine whether a potential student can be accepted as an awardee or not. Then, the results of the classification are validated with ten-fold cross validation with an accuracy, precision and recall with the score of 87 % for all part. It means the model perform quite well to be implemented into system.


2020 ◽  
Vol 11 (6) ◽  
pp. 710-711
Author(s):  
M. Ginzburg

To the Vorrat l. a woman was brought in a state of collapse with a diagnosis of an ectopic pregnancy; pulse 144, barely perceptible. The rupture occurred in 18 hours, there were fainting, vomiting. The abdomen is not distended, soft, the tumor cannot be felt from the outside, and per vaginam examination is not done to speed up the operation. When the abdomen was opened, the tissues were found bloodless: none of the vessels showed blood; a few pounds of liquid blood spilled out of the peritoneal cavity; clamps were placed on the stretched right fallopian tube and broad ligament, and the fallopian tube was excised along with the ovary; the rupture was near the uterus. The operated woman recovered, although W. did not count on it.


2020 ◽  
Vol 15 (2) ◽  
pp. 43-49
Author(s):  
Sukartini ◽  
Firman Surya ◽  
Welsi Haslina ◽  
Yusnani ◽  
Ulfi Maryati

This study aims to create a database application program that is able to process data on lecturer course activities and generate reports on the calculation of teaching fees periodically during the pandemic which requires lecturers to report lecture activities online. The system design method approach used is prototyping, namely by creating a program that most closely resembles user needs in a relatively short time. The prototype was generated using the Microsoft Access 2010 database application. The selection of microsoft access to create a prototype was based on the availability of complete facilities in Microsoft Access to design table relations, input forms, query processing, reports and the visual basic programming language for applications. Google Forms used to receive lecture data input online. The application development stages consist of design, testing and implementation stages. This application has succeeded in providing the right solution for the Padang State Polytechnic Accounting Department during the pandemic in calculating and reporting lecture activities and lecturers teaching fees.


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