Ascariasis presenting as Acute Abdomen: A Rare Case

2016 ◽  
Vol 1 (2) ◽  
pp. 75-78
Author(s):  
Ranjan Agrawal ◽  
Parbodh Kumar ◽  
Nitesh Mohan
Keyword(s):  
Acute Abdomen ◽  
Low Socioeconomic Status ◽  
Rare Case ◽  
Intestinal Tract ◽  
Surgical Intervention ◽  
Intestinal Parasite ◽  
Age Groups ◽  
Low Socioeconomic ◽  
Lethal Complications ◽  
Small Intestinal

ABSTRACT Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications. We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child. How to cite this article A grawal R, K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.

A rare case of acute abdomen: spontaneous rupture of degenerated fibroid

2021 ◽  
Vol 14 (3) ◽  
pp. e238010
Author(s):  
Nidhi Goswami ◽  
Aderemi Alalade
Keyword(s):  
Ct Scan ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Rare Case ◽  
Surgical Intervention ◽  
Elective Surgery ◽  
Fluid Collection ◽  
Emergency Laparotomy ◽  
Rare Presentation ◽  
Large Uterus

A 29-year-old nulliparous woman presented with an acute abdomen. She had a large uterus with multiple fibroids and was on the waiting list for elective surgery. An urgent CT scan demonstrated an extensive intraperitoneal fluid collection suspicious for fibroid rupture. She required an emergency laparotomy which identified a rupture of the largest degenerative fibroid. There was 2 Litres of pus in the peritoneal cavity. This case was a rare presentation of spontaneous fibroid rupture due to degeneration and necrosis, and acute abdomen from peritoneal irritation. Imaging was vital in making the diagnosis, and urgent surgical intervention was essential to reduce morbidity and mortality.

scholarly journals The Prevalence of Tooth Wear in the Dutch Adult Population

2016 ◽  
Vol 50 (6) ◽  
pp. 543-550 ◽  
Author(s):  
Peter Wetselaar ◽  
Jan H. Vermaire ◽  
Corine M. Visscher ◽  
Frank Lobbezoo ◽  
Annemarie A. Schuller
Keyword(s):  
Low Socioeconomic Status ◽  
Adult Population ◽  
Age Groups ◽  
Tooth Wear ◽  
Older Age ◽  
Socioeconomic Class ◽  
Low Socioeconomic ◽  
Grading Scale ◽  
Stratified Analysis ◽  
The City

This study aimed to assess the prevalence of tooth wear in different age groups of the Dutch adult population and to determine this tooth wear distribution by gender, socioeconomic class, and type of teeth. Results were compared with the outcomes of a previous study in a comparable population. As part of a comprehensive investigation of the oral health of the general Dutch adult population in 2013, tooth wear was assessed among 1,125 subjects in the city of ‘s-Hertogenbosch. The data collected were subjected to stratified analysis by 5 age groups (25-34, 35-44, 45-54, 55-64, and 65-74 years), gender, socioeconomic class, and type of teeth. Tooth wear was assessed using a 5-point ordinal occlusal/incisal grading scale. The number of teeth affected was higher in older age groups. Men showed more tooth wear than women, and subjects with low socioeconomic status (low SES) showed on average higher scores than those with high SES. Tooth wear prevalence found in this study was higher in all age groups than in the previous study. The present study found prevalences of 13% for mild tooth wear and 80% for moderate tooth wear, leading to the conclusion that these are common conditions in the Dutch adult population. Severe tooth wear (prevalence 6%) may however be characterized as rare. A tendency was found for there to be more tooth wear in older age groups, in men as compared with women, in persons with lower SES, and in the present survey as compared with the previous one.

scholarly journals CARCINOMA OF CERVIX

2005 ◽  
Vol 12 (04) ◽  
pp. 392-396
Author(s):  
MUHAMMAD IKRAM ◽  
Roohi Saeed ◽  
WASIM TALIB ◽  
M. Saeed ◽  
SADIA CHATHA
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Age Groups ◽  
Primary Treatment ◽  
Low Socioeconomic ◽  
Delay In Diagnosis ◽  
Carcinoma Of Cervix ◽  
Radiotherapy Alone ◽  
Post Menopausal ◽  
One Year

Objective: To study the risk factors, clinical presentation and outcome ofmanagement in patients of carcinoma of cervix for one year. Design: Retrospective descriptive study. Place &Duration of Study: Department of Obstetrics and Gynaecology, Sheikh Zayed Federal Postgraduate Medical Instituteand Hospital, Lahore from January 1998 to December 2000. Subjects & Methods: All the patients of carcinoma ofcervix diagnosed during the period of study were included. Relative information were filled in a proforma. Out of 32cases, 30 cases were selected for study as 2 patient did not report back after initial diagnosis. Results: There were80% patients above the age of 40 years. 90% patients were married below the age of 20 years. There was obviouscorrelation of carcinoma cervix with low socioeconomic status and high parity. Foul smelling bloody vaginal discharge,post-coital bleeding, post-menopausal bleeding and irregular periods were the most common symptoms. Most of thepatients presented late, so 57% patients were referred for radiotherapy alone. Surgery alone was possible in only 5patients and combination of surgery and radiotherapy in 7 patients. Follow up attendance of patients was extremelypoor and there was 1 recurrence after primary treatment with radical surgery and radiotherapy. Conclusion: Lack ofeffective screening programme and awareness of patients have led to the delay in diagnosis. All women of reproductiveage, peri-and post-menopausal age groups, para 5 and above, low socioeconomic status and teenage marriagesshould undergo regular screening for carcinoma of cervix at their own locality.

scholarly journals Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status

2019 ◽  
Vol 11 ◽  
pp. 175628721988259
Author(s):  
Basri Cakiroglu ◽  
Ali Gozukucuk ◽  
Ersan Arda ◽  
Tuncay Tas
Keyword(s):  
Low Socioeconomic Status ◽  
Local Anaesthesia ◽  
Surgical Intervention ◽  
Absorbable Suture ◽  
Drug Reactions ◽  
Undescended Testicle ◽  
Low Socioeconomic ◽  
Poor Countries ◽  
Rapid Healing ◽  
Mucosal Oedema

Objective: The objective of this study was to evaluate the reliability of thermocautery-assisted circumcision performed voluntarily in patients of poor countries. Material and methods: Between 2016 and 2019, 32,000 children aged 7 days to 17 years were circumcised in multiple countries. The patients’ urological examinations were done before the administration of local anaesthesia. Patients revealed to have undescended testicle, inguinal hernia, hypospadias, varicocele, penile rotation anomaly, epispadias and infection were not circumcised. All procedures were performed under local anaesthesia by using thermocautery. Afterwards, mucosa and skin were sutured using absorbable suture and the circumcised penis was dressed. Patients were instructed to remove the dressing after 3 days. Results: Bleeding, requiring surgical intervention and drug reactions were not observed. The most observed complication was mucosal oedema, which occurred in approximately one-quarter of patients (26%, 8320/32,000) and continued for 3–5 days after the surgery. The most serious complication was a trapped penis, which occurred in 25 patients (0.078%). In six (0.018%) cases, meatal stenosis developed. Wound infection developed in only 10 (0.03%) cases, through the formation of an aseptic environment. Penile adhesion was seen in 35 cases (0.1%) and improved with anti-inflammatory treatment without any surgical intervention. Conclusion: Thermocautery-assisted circumcision can be used as an effective, safe and useful technique with few complications and rapid healing rates.

scholarly journals Dental caries in Uruguayan adults and elders: findings from the first Uruguayan National Oral Health Survey

2015 ◽  
Vol 31 (8) ◽  
pp. 1663-1672 ◽  
Author(s):  
Licet Álvarez ◽  
Judith Liberman ◽  
Soledad Abreu ◽  
Carolina Mangarelli ◽  
Marcos B. Correa ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Oral Health ◽  
Dental Caries ◽  
Health Survey ◽  
Low Socioeconomic Status ◽  
Age Groups ◽  
Dental Services ◽  
Low Socioeconomic ◽  
Final Sample ◽  
Using Data

This study aimed to assess dental caries status and associated factors in Uruguayan adults and elders using data from the first Uruguayan National Oral Health Survey. Data were representative of the country as a whole. Socio-demographic information was collected with a closed questionnaire. Dental caries was assessed by clinical examination using the DMFT index. The final sample consisted of 769 participants. Mean DMFT was 15.20 and 24.12 for the 35-44 and 65-74-year age groups, respectively. Mean number of decayed teeth was 1.70 in adults and 0.66 in elders. Multivariate analyses showed higher prevalence of dental caries associated with age 65-74 years, low socioeconomic status, use of public dental services, presence of gingivitis; for decayed teeth, age 35-44 years, low socioeconomic status, use of public dental services, infrequent tooth brushing, need for oral health care, and presence of root caries showed higher severity. Uruguayan adults and elders from disadvantaged backgrounds concentrated a heavier burden of dental caries.

Low Socioeconomic Status Patients Willing to E-Mail

2008 ◽  
Vol 39 (10) ◽  
pp. 66
Author(s):  
ROBERT FINN
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
E Mail

Adolescent Suicidality as Seen in Rural Northeastern Uganda

Crisis ◽  
2011 ◽  
Vol 32 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Eugene Kinyanda ◽  
Ruth Kizza ◽  
Jonathan Levin ◽  
Sheila Ndyanabangi ◽  
Catherine Abbo
Keyword(s):  
Low Socioeconomic Status ◽  
Sub Saharan Africa ◽  
Psychosocial Risk ◽  
Psychiatric Nurses ◽  
Health Concern ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
Low Socioeconomic ◽  
Dsm Iv ◽  
Sub Saharan

Background: Suicidal behavior in adolescence is a public health concern and has serious consequences for adolescents and their families. There is, however, a paucity of data on this subject from sub-Saharan Africa, hence the need for this study. Aims: A cross-sectional multistage survey to investigate adolescent suicidality among other things was undertaken in rural northeastern Uganda. Methods: A structured protocol administered by trained psychiatric nurses collected information on sociodemographics, mental disorders (DSM-IV criteria), and psychological and psychosocial risk factors for children aged 3–19 years (N = 1492). For the purposes of this paper, an analysis of a subsample of adolescents (aged 10–19 years; n = 897) was undertaken. Results: Lifetime suicidality in this study was 6.1% (95% CI, 4.6%–7.9%). Conclusions: Factors significantly associated with suicidality included mental disorder, the ecological factor district of residence, factors suggestive of low socioeconomic status, and disadvantaged childhood experiences.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

Audio Stories as Incidental Language Teachers

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Ute Ritterfeld ◽  
Timo Lüke
Keyword(s):  
Language Learning ◽  
Low Socioeconomic Status ◽  
Language Teachers ◽  
Control Group ◽  
Low Socioeconomic ◽  
Migrant Families ◽  
Populations At Risk ◽  
Grammatical Skills ◽  
Entertainment Value

Abstract. Audio stories offer a unique blend of narrative entertainment with language learning opportunities as a user’s enjoyment is dependent on their processing of the linguistic content. A total of 138 third- and fourth-graders from low socioeconomic status and migrant families recruited from a metropolitan area in Germany participated in a randomized pre–post follow-up intervention study with a control group. Children listened to a tailored crime story of approximately 90 min over a period of 3 days within the classroom setting. Entertainment value for the age group was established in a pilot study. Outcome variables included semantic and grammatical skills in German and were administered before (pretest), shortly after intervention (posttest), and 2 weeks later (follow-up). We used nonverbal intelligence, reading, comprehension skills, age and sex as control variables. Results indicate a strong positive effect of media reception on language skills. The effectiveness of the intervention is discussed with reference to different linguistic domains, entertainment value, and compensatory effects in populations at risk of language learning deficits.

Tomorrow never knows: Paradoxical effects of a future prime on performance among low socioeconomic status college students

2014 ◽  
Author(s):  
Sarah Dayle Herrmann ◽  
Jessica Bodford ◽  
Robert Adelman ◽  
Oliver Graudejus ◽  
Morris Okun ◽  
...  
Keyword(s):  
College Students ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Paradoxical Effects
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