scholarly journals Iatrogenic Genitourinary Fistula: A Rising Trend

2017 ◽  
Vol 32 (1) ◽  
pp. 10-13
Author(s):  
Taufiqua Hussain ◽  
Afrina Begum ◽  
Nasrin Akhter ◽  
Tabassum Ghani ◽  
- Noorjahan ◽  
...  
Keyword(s):  
Physical Examination ◽  
Prospective Study ◽  
Developing Country ◽  
Recent Issue ◽  
Vaginal Route ◽  
Detailed History ◽  
Iatrogenic Injuries ◽  
Genitourinary Fistula ◽  
History Of ◽  
Day By Day

Background:Obstetric fistula (OF) is not very uncommon in our country. But recent issue of increase in iatrogenic fistula (IF) creates a field of interest. Objective:To find out the frequency and the cause of iatrogenic genitourinary fistula admitted in National Fistula Centre (NFC), Dhaka. Methods:This prospective study was conducted in NFC, Dhaka from January, 2010 to December, 2012. All cases admitted during the study period were included in this study. All patients were evaluated through detailed history, physical examination, relevant investigations and examination under anaesthesia (EUA). Repair was done through abdominal or vaginal route based on the findings. Results of repair were noted and analyzed. Results:On an average more than 20% cases of genitourinary fistula (GUF) were due to iatrogenic causes. Among them about 90% cases had history of hysterectomy as an offending procedure. A rising trend of iatrogenic fistula is observed with 19.04% in 2010, 15.68% in 2011 and 30% in 2012. Conclusion:This study shows that iatrogenic injuries in women under 40 years of age form major share in the aetiology of GUF. Iatrogenic fistula are increasing day by day. It is the time to check the experience of surgeons doing the gynecological and obstetrical surgeries in a developing country like ours. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 10-13

scholarly journals Intestinal perforation caused by fishbone in a child with the misdiagnosis of acute appendicitis: A case report

2021 ◽  
Author(s):  
Sang Ngoc Nguyen ◽  
Tuan Nguyen ◽  
Lam Vu ◽  
Cuong Hoang
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Diagnostic Imaging ◽  
Physical Examination ◽  
Intestinal Perforation ◽  
Accurate Diagnosis ◽  
Severe Complication ◽  
Detailed History ◽  
History Of

Fishbone perforation, a severe complication causing damage to nearby organs, is difficult to diagnose because the patient and family cannot remember the history of fishbone ingestion exactly. A detailed history of eating, as well as a thorough physical examination and diagnostic imaging, are needed to make an accurate diagnosis.

Historical Representations and Recent Changes

2018 ◽  
Author(s):  
Jürgen Schaflechner
Keyword(s):  
Comparative Analysis ◽  
South Asia ◽  
Oral Histories ◽  
Detailed History ◽  
Modern Times ◽  
History Of ◽  
Historical Representations ◽  
The Rich ◽  
Many Sources ◽  
Over Time

Chapter 3 introduces the tradition of ritual journeys and sacred geographies in South Asia, then hones in on a detailed history of the grueling and elaborate pilgrimage attached to the shrine of Hinglaj. Before the construction of the Makran Coastal Highway the journey to the Goddess’s remote abode in the desert of Balochistan frequently presented a lethally dangerous undertaking for her devotees, the hardships of which have been described by many sources in Bengali, Gujarati, Hindi, Sindhi, and Urdu. This chapter draws heavily from original sources, including travelogues and novels, which are supplanted with local oral histories in order to weave a historical tapestry that displays the rich array of practices and beliefs surrounding the pilgrimage and how they have changed over time. The comparative analysis demonstrates how certain motifs, such as austerity (Skt. tapasyā), remain important themes within the whole Hinglaj genre even in modern times while others have been lost in the contemporary era.

Religious Architecture in Latium and Etruria, c. 900-500 BC

2015 ◽  
Author(s):  
Charlotte R. Potts
Keyword(s):  
Iron Age ◽  
Central Italy ◽  
Archaic Period ◽  
Comprehensive Treatment ◽  
Archaeological Evidence ◽  
Detailed History ◽  
Religious Buildings ◽  
Religious Architecture ◽  
The People ◽  
History Of

Religious Architecture in Latium and Etruria, c. 900-500 BC presents the first comprehensive treatment of cult buildings in western central Italy from the Iron Age to the Archaic Period. By analysing the archaeological evidence for the form of early religious buildings and their role in ancient communities, it reconstructs a detailed history of early Latial and Etruscan religious architecture that brings together the buildings and the people who used them. The first part of the study examines the processes by which religious buildings changed from huts and shrines to monumental temples, and explores apparent differences between these processes in Latium and Etruria. The second part analyses the broader architectural, religious, and topographical contexts of the first Etrusco-Italic temples alongside possible rationales for their introduction. The result is a new and extensive account of when, where, and why monumental cult buildings became features of early central Italic society.

Progressive Law, Activism, and Lawyering in an Age of Preemption

2021 ◽  
Vol 46 (1) ◽  
pp. 252-267
Author(s):  
Rashmi Dyal-Chand
Keyword(s):  
Working Conditions ◽  
Local Level ◽  
Global Supply Chain ◽  
Environmental Movements ◽  
Improve Working ◽  
Detailed History ◽  
History Of ◽  
State And Local ◽  
Core Questions

Preemption is one of the most important legal doctrines for today’s progressives to understand because of its power to constrain progressive policymaking and social movement lawyering at the state and local level. By examining the detailed history of a decades-long campaign by the labor and environmental movements to improve working conditions in an industry at the heart of the global supply chain, Scott L. Cummings’s Blue and Green: The Drive for Justice at America’s Port (2018) provides a case study about the doctrine and impacts of preemption. The study also inspires lawyers and activists alike to reexamine core questions of factual relevance, representation and voice, and precedent.

Follow-up after inguinal hernia repair. Questionnaire compared with physical examination: a prospective study in 299 patients

2003 ◽  
Vol 164 (7) ◽  
pp. 533-536 ◽  
Author(s):  
Patrick M. Vos ◽  
Maarten P. Simons ◽  
Jan S. K. Luitse ◽  
Dick van Geldere ◽  
Mark J. W. Koelemaij ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Physical Examination ◽  
Hernia Repair ◽  
Prospective Study ◽  
Inguinal Hernia Repair ◽  
A Prospective Study

Prospective study of infective endocarditis from a developing country

2011 ◽  
Vol 162 (4) ◽  
pp. 633-638 ◽  
Author(s):  
Ravi S. Math ◽  
Gautam Sharma ◽  
Shyam Sunder Kothari ◽  
Mani Kalaivani ◽  
Anita Saxena ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Prospective Study ◽  
Developing Country

DIAGNOSIS AND TREATMENT: RECURRENT ABDOMINAL PAIN IN CHILDREN—A SURGEON'S VIEWPOINT

PEDIATRICS ◽  
1967 ◽  
Vol 40 (6) ◽  
pp. 1024-1026
Author(s):  
Donald G. Marshall
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Recent Article ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Subsequent Paper ◽  
Organic Disease ◽  
Detailed History ◽  
Psychogenic Pain ◽  
Complete Physical Examination

MUCH has been written in recent years about the importance of psychogenic disturbances as causes of abdominal pain in childhood. Yet, by no means all recurrent abdominal pain is so caused. A recent article in Pediatrics on nonorganic abdominal pain therefore promised this subsequent paper on pain of organic origin. I would like to caution the reader that his "surgeon's viewpoint" tends to exclude consideration of organic abdominal pain not surgically treated. Perhaps a third paper is indicated. Abdominal pain of whatever origin requires a planned approach to diagnosis. While it is only too easy for the clinician to submit a patient to innumerable investigations of varying degrees of unlikelihood of revealing disorders of differing degrees of rarity, a detailed history and searching interview with the parents, together with a complete physical examination, will go very far to reduce the number of cases submitted to any but quite simple tests. The diagnosis of psychogenic pain, no less than that of organic pain, must rest on positive findings. To make a diagnosis of psychogenic pain, there must be something more than the absence of demonstrable organic disease. There must be significant psychopathology. If there is evidence of neither this nor organic disease, one must resolve to be irresolute and decide to be undecided. One must not make a diagnosis of psychic disease simply because one can find no organic cause. One must also remember that psychic disturbance does not confer immunity from organic disease. A neurotic, psychotic, or brain-damaged child can have appendicitis.

EMBRYOMA OF KIDNEY (WILMS' TUMOR) IN CHILDREN

PEDIATRICS ◽  
1949 ◽  
Vol 4 (2) ◽  
pp. 197-200
Author(s):  
LLOYD B. DICKEY ◽  
L. R. CHANDLER
Keyword(s):  
Survival Rate ◽  
Physical Examination ◽  
Wilms Tumor ◽  
Left Kidney ◽  
Bottle Feeding ◽  
Postoperative Radiation ◽  
History Of ◽  
The Right ◽  
Infants And Young Children ◽  
Careful Physical Examination

A series of 12 cases of Wilms' tumor, in which the diagnosis was confirmed in all instances by examination of the gross or microscopic tissue, is reported, with a survival rate of 33.3%. Four patients are living and well, 4, 8, 10, and 15 years, respectively, after treatment. All recurrences appeared less than 10 months after treatment. The sex incidence, and the sex survival incidence were exactly equal. Six tumors were in the left kidney, and six in the right. Eight of the patients were under 2 years of age when first diagnosed and treated, and all were under 7 years. The history of breast or bottle feeding was irrelevant. In a large number of these and reported cases, the presence of the tumor was the first symptom, and in a considerable number the only symptom. This fact stresses the importance of careful physical examination of infants and young children, regardless of complaint, or of lack of it. The finding of calcification in the tumor is possibly a good prognostic sign. All three patients in whom calcification was noted in the tumor are living and well. Immediate removal of the tumor by transperitoneal nephrectomy, with postoperative radiation to the area, seems to be the advisable treatment.

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