scholarly journals INCIDENCE OF ENTEROBIUS VERMICULARIS INFESTATION IN APPENDICECTOMY SPECIMENS WITH CLINICAL DIAGNOSIS OF ACUTE APPENDICITIS.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Hena Tabassum ◽  
Manoj Kumar Ray
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Careful Examination ◽  
Age Group ◽  
Histological Findings ◽  
Enterobius Vermicularis ◽  
Younger Age ◽  
Abdominal Colic ◽  
High Index Of Suspicion ◽  
Office Software

Objectives: This present study was to evaluate the incidence and clinical infestation of Enterobius vermicularis in acute appendicitis patients. Methods: A total of 62 appendectomy specimen with a clinical diagnosis of acute appendicitis of patients with age group 1year to greater than 50 years with irrespective of sexes were enrolled in this study. Results: Data was analysed by using simple statistical methods with the help of MS-office software. Majority of patients 34(54.84%) were belonged in age group of 21-30 years. Second common age 20(32.26%) group was 11-20 years. Most of the patients were females 49(79%). Histological findings of specimen shown that specimen had 28(45.16%) acute with periappendicitis, 10(16.13%) acute appendicitis. 8(12.90%) Vermiform, 7(11.29%) receeding appendicitis, 5(8.06%) gangrenous appendicitis and 4(6.45%) oxuyriasis. Conclusions: Enterobius vermicularis infection was commonly seen in second to third decades of life. Females were more preponderance than males. Acute with periappendicitis was the commonest histological findings of specimen. And hence, E. vermicularis infection can be controlled by anthelminthic treatment, yet very unfortunately patients undergo an appendicectomy. An awareness and a high index of suspicion is required since these patients generally have multiple previous visits to the hospital with abdominal discomfort before an acute abdomen that requires surgery. Careful examination and symptomatology awareness, blood examination especially in younger age group should aware surgeon of possible cause of abdominal colic. Keywords: Enterobius vermicularis, Acute appendicitis, Appendicectomy, Age group, Gender

scholarly journals A study of surgical profile of patients undergoing appendectomy

2017 ◽  
Vol 4 (4) ◽  
pp. 1360 ◽  
Author(s):  
Kamlesh Dhruv ◽  
Sunita Meshram ◽  
Sujan Narayan Agrawal
Keyword(s):  
Acute Appendicitis ◽  
Abdominal Mass ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Institutional Ethics ◽  
Younger Age ◽  
Common Operation

Background: The most common cause of acute abdomen in surgical is appendicitis. Among the surgeries of abdomen performed all over the world, appendectomy is the most common operation performed. Many studies have shown variations of age, gender in acute appendicitis as well as the seasonal variations in the occurrence of acute appendicitis, although the cause is not found yet. Objective was to study the surgical profile of patients undergoing appendectomy.Methods: A total of 302 patients who have undergone appendectomy were included in the present study which was hospital based cross sectional study. The study was carried out for two years at Osmania General Hospital, Hyderabad, India. Permission from Institutional Ethics Committee permission was obtained. From each and every patient included in the study, initially Informed individual consent was taken.Results: The incidence of appendicitis is much more in females i.e. 60% compared to only 40% in males. Appendicitis was most common in younger age groups of below 30 years of age. As the age increased the incidence of appendicitis decreased. From 83.2% at 30 or less than 30 of age it drastically dropped down to 15.9% in the age group of 30-49 years and in the age group of 50 and above, the incidence of appendicitis came down to less than one percentage. Only three cases were recorded above the age of 50 years.Conclusions: Present study revealed more rates in females. The disease was more common in younger age groups. The most common presenting symptom was abdominal pain. Presence of abdominal mass was absent in the present study.

scholarly journals Torsion of the Omentum: A Rare Cause of Acute Abdomen in a 14-Year-Old Boy

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Chijioke Chinaka ◽  
Shahbaz Mansoor ◽  
Mohamed Salaheidin
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Age Group ◽  
First Line ◽  
Omental Torsion ◽  
Younger Age ◽  
Remarkable Recovery ◽  
Rule Out

Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis. Laparoscopy revealed torsion of the omentum. Omentectomy and appendicectomy were done, and the child discharged four days after following a remarkable recovery.

scholarly journals Incidental Enterobius Vermicularis infestation in surgically removed appendices with a clinical diagnosis of acute appendicitis: A retrospective analysis

2015 ◽  
Vol 5 (9) ◽  
pp. 720-722 ◽  
Author(s):  
P Upadhyaya ◽  
AK Sinha ◽  
M Agarwal ◽  
P Paudyal ◽  
A Shrestha
Keyword(s):  
Acute Appendicitis ◽  
Retrospective Analysis ◽  
Histological Examination ◽  
Clinical Diagnosis ◽  
Acute Inflammation ◽  
Enterobius Vermicularis ◽  
True Nature ◽  
Histologic Evidence ◽  
Histological Data

Background: Appendiceal parasites can cause symptoms of appendicitis. Although the symptomatology imitates acute appendicitis clinically, the true nature of disease is diagnosed through histological examination. The aim of this study is to therefore determine the prevalence of E. Vermicularis in appendicectomy specimens to relate this to acute inflammation histologically.Materials & Methods: Histological data on all appendectomy specimens with a clinical diagnosis of acute appendicitis were retrieved from the archives of department of pathology, B.P.K.I.H.S, over the period of  five years (January 2004- December 2008) and was analyzed retrospectively.Results: There were a total of 1528 patients. M:F ratio being 1.2:1.Inflamed appendix constituted for 94.24% of all cases. There were a total of six (0.39%) appendicectomy specimens  which showed presence of oxyuriasis appendix. Though all patients with oxyuriasis presented with appendicial colic only one (1) out of the six cases of oxyuriasis showed histologic evidence of inflammation. Conclusion: We conclude that enterobius does not frequently cause inflammation of appendix though it may clinically mimic acute appendicitis. Since it represents a disease curable without necessitating surgery, symptomatology awareness is stressed upon.Journal of Pathology of Nepal (2015) Vol. 5, 720-722

scholarly journals Adenocarcinoma of the Appendix

1989 ◽  
Vol 82 (1) ◽  
pp. 28-29 ◽  
Author(s):  
P Burgess ◽  
H J Done
Keyword(s):  
Acute Appendicitis ◽  
Histological Examination ◽  
Recurrent Disease ◽  
Colonic Neoplasms ◽  
Vermiform Appendix ◽  
Right Hemicolectomy ◽  
Age Group ◽  
General Hospitals ◽  
Younger Age

Patients presenting with adenocarcinoma of the vermiform appendix at the Royal Preston and Chorley District General Hospitals were reviewed for the 15 year period 1972–1986. Eleven cases were identified, representing a rate of 1 in 956 for all appendicectomies performed. A third of the cases presented as acute appendicitis. However, of 8 patients who initially had an appendicectomy, only 4 subsequently underwent further surgery (right hemicolectomy). One patient died of recurrent disease. Five of the patients presenting were under 60 years of age. During the same period, the total number of appendicectomies performed annually declined by 50%. The study highlights the need to subject all appendicectomy specimens to histological examination, and that the disease presents in a younger age group than commonly seen for malignant colonic neoplasms.

Intimate hygiene of an adolescent girl: principles, modern opportunities and problem of introduction

2014 ◽  
Vol 5 (3) ◽  
pp. 42-45 ◽  
Author(s):  
Nadezhda Anatolyevna Kokhreidze ◽  
Elina Georgiyevna Anufriyenko ◽  
Irina Vasilyevna Bobrova ◽  
Anna Valeryevna Mironova
Keyword(s):  
Clinical Diagnosis ◽  
Adolescent Girl ◽  
Quality Criteria ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Personal Hygiene ◽  
Ovarian Cysts ◽  
Age Group ◽  
Neutral Ph ◽  
Younger Age

30 girls aged from 11 to 17 years were surveyed in order to research the use of gels for the intimate hygiene containing xylitol, alginates and allantoin combined with chamomile extract or quince that have a neutral pH and do not contain perfumes. The average age of pa-tients was 15.2 ± 2.8 years (11; 17). Surveyed patients used to have the following clinical diagnosis: ovarian cysts - 8 patients , ovarian apoplexy - 8, acute salpingo-oophoritis - 1, abnormal uterine bleeding - 13. Patients were asked to evaluate the following quality criteria according to the scale from 1 to 5 scores: simplicity of use, comfort after hygienic procedures, the feeling of freshness, the perfume. Mean score for simplicity was 4.5 ± 0.7 (2; 5), comfort after the procedure - 4.5 ± 0.7 (3; 5), feeling of freshness - 4.6 ± 0.5 (3; 5) and perfume - 4.1 ± 0.9 (2; 5). 7 of 30 patients (23.3 %) estimated the perfume as scores 2 and 3. Lowest score 3.7 ± 1.2 was given by youngest girls aged 11-13 years (n = 6). Girls aged 14-15 years (n = 9) gave the higher score that equaled 4.1 ± 0.8 and girls aged 16-17 years (n = 15) gave the highest mean score of 4.3 ± 0,7. 22 (73.3 %) of 30 girls almost over 15 years old said they intend to use this hygienic agent in the future. 8 (26.7 %) younger girls found this difficult to assess. Thus, attractiveness of this agent for personal hygiene was lower in girls from younger age group (11-13 years) due to the absence of perfume and in spite of numerous assets.

TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ca 125 ◽  
Care Hospital ◽  
Serum Samples ◽  
Roc Curve Analysis ◽  
Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

Breast carcinoma in young females below the age of 35 years - histopathological and prognostic significance

1970 ◽  
Vol 2 (3) ◽  
pp. 198-202
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
OP Talwar ◽  
R Narasimhan
Keyword(s):  
Breast Carcinoma ◽  
Young Women ◽  
Early Stage ◽  
Prognostic Significance ◽  
Age Group ◽  
Breast Cancers ◽  
Young Females ◽  
Younger Age ◽  
Grade 3 ◽  
Group Grade

Background: Breast cancers rarely occur in young women but are known to have more aggressive behaviors and poorer outcome. We here compare the significance of breast carcinoma in female below the age of 35 to the age over 35 whose specimens were submitted to Manipal teaching hospital, Pokhara. Materials and Methods: All cases of mastectomy with carcinoma from January 2000 to September 2011 were included in the study. Clinical and histopathological datas of all cases were reviewed and collated. Results: A total of 148 mastectomy specimens were received, among which, 23 cases (16%) were below 35 years; whereas 125 cases (84%) were above 35 years of age. In both groups, Stage II was the commonest stage but stage III was much more common in older group (33% versus 9%) and stage I was more common in younger age group (39% versus 27%). Bloom Richardson grading showed that in the older age group, grade 1 is the commonest grade (50%) while in the younger group; grade 3 is the commonest (39%). Patients were followed for a varying period of 6 months to 5 years. Two cases (2% of followed up cases) in older group and 3 cases (15% of followed up cases) in the younger group showed recurrence. Conclusion: Breast carcinoma in the patients younger than 35 years though presented at an early stage has higher grade tumor and poorer outcome. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6021 JPN 2012; 2(3): 198-202

scholarly journals Even Pacing Is Associated with Faster Finishing Times in Ultramarathon Distance Trail Running—The “Ultra-Trail du Mont Blanc” 2008–2019

2020 ◽  
Vol 17 (19) ◽  
pp. 7074 ◽  
Author(s):  
Daniel Suter ◽  
Caio Victor Sousa ◽  
Lee Hill ◽  
Volker Scheer ◽  
Pantelis Theo Nikolaidis ◽  
...  
Keyword(s):  
General Linear Model ◽  
Performance Level ◽  
Age Group ◽  
Younger Age ◽  
Pacing Strategies ◽  
And Performance ◽  
Group Sex ◽  
The Impact ◽  
Trail Running ◽  
One Way Anova

In recent years, there has been an increasing number of investigations analyzing the effects of sex, performance level, and age on pacing in various running disciplines. However, little is known about the impact of those factors on pacing strategies in ultramarathon trail running. This study investigated the effects of age, sex, and performance level on pacing in the UTMB® (Ultra-trail du Mont Blanc) and aimed to verify previous findings obtained in the research on other running disciplines and other ultramarathon races. Data from the UTMB® from 2008 to 2019 for 13,829 race results (12,681 men and 1148 women) were analyzed. A general linear model (two-way analysis of variance (ANOVA)) was applied to identify a sex, age group, and interaction effect in pace average and pace variation. A univariate model (one-way ANOVA) was used to identify a sex effect for age, pace average, and pace variation for the fastest men and women. In our study, pace average and a steadier pace were positively correlated. Even pacing throughout the UTMB® correlated with faster finishing times. The average pace depended significantly on sex and age group. When considering the top five athletes in each age group, sex and age group also had significant effects on pace variation. The fastest women were older than the fastest men, and the fastest men were faster than the fastest women. Women had a higher pace variation than men. In male competitors, younger age may be advantageous for a successful finish of the UTMB®. Faster male runners seemed to be younger in ultramarathon trail running with large changes in altitude when compared to other distances and terrains.

scholarly journals 229 Sleep-wake behavior, meal timings and digital media duration of Indians during COVID-19 Lockdown

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A91-A92
Author(s):  
Babita Pande ◽  
Meenakshi Sinha ◽  
Ramanjan Sinha
Keyword(s):  
Digital Media ◽  
Sleep Duration ◽  
Sleep Onset ◽  
Therapeutic Management ◽  
Daily Routine ◽  
Age Group ◽  
Younger Age ◽  
Gender And Age ◽  
Delayed Sleep ◽  
The Impact

Abstract Introduction Lockdown and stay home order has been imposed on people in many countries including India to prevent the community transmission of COVID-19 pandemic. However this social restriction led to disturbed daily routine and lifestyle behaviour that is needed to be attended for proper therapeutic management of overall health during such crisis. The impact of lockdown on the most apparent behavioral changes viz. sleep-wake behaviour, major meal timings, and digital screen duration of Indians were investigated. In addition the effects of gender and age were explored. Methods After seeking permission from Ethical Institution, an online questionnaire based survey was circulated within India in the first week of May, 2020 for which total 1511 male and female (age ≥18 years) subjects participated. The sleep-wake behavior observed were sleep-wake timings, sleep duration, mid sleep time (MST) as function of lockdown, and social (lockdown) jetlag (SJL = MST before lockdown-MST during lockdown). Results The sleep onset-wakeup and meal times were significantly delayed during lockdown, which was more pronounced in younger age group. The sleep duration increased, specifically in young individuals during lockdown. Females showed more delayed sleep onset-waking times and first meal timing with longer sleep duration during lockdown. Increased digital media duration was observed in all age groups, primarily in males. The younger age group and specifically female reported higher SJL and delayed MST. A positive association was obtained between sleep duration & first meal time, and SJL & major meal timings/screen duration, and a significant negative relationship of sleep duration and SJL with age. Conclusion The study shows delayed sleep-wake schedule, meal timings and increased digital media duration among Indians during COVID-19 lockdown compared to before lockdown. Also, gender and age emerged as important mediating factors for this alteration. The pandemic has given opportunity to sleep more and compensate for the sleep. In spite of that, the higher social jetlag in young age group and female showed the compromised sleep and maladaption with societal timing. These findings have applied implications in sleep health during longer social isolation conditions and for proper therapeutic management. Support (if any) No

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