scholarly journals Current inconsistencies in the reporting of cases of intraabdominal retained textile foreign bodies

2021 ◽  
Vol 64 (4) ◽  
pp. 45-49
Author(s):  
Serghei Gutu ◽  
Keyword(s):  
Work Experience ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Final Diagnosis ◽  
Legal Aspects ◽  
The Real ◽  
Real Frequency ◽  
Anonymous Questionnaire ◽  
Legal Implications

Background: It is assumed that the incidence of textile foreign bodies (TFB) unintentionally left in abdominal cavity is underreported, mostly due to the legal implications of their detection. Material and methods: One hundred thirty-five responses were received to a specially developed anonymous questionnaire on the TFB problem, including medico-legal aspects. Of the total number of respondents, 81 were surgeons and 54 – gynecologists. Results: Over 80% of respondents consider that if TFB was removed from abdominal cavity during the surgical intervention, it should be indicated in the final diagnosis. At the same time, the fact of detecting and removing TFB retained in abdomen in the real cases known by respondents was reflected in the surgical report and in diagnosis in only 49.1%. False description in case of detection and removal of intra-abdominal TFB admits 29.6% from total number of respondents, but only 24.5% with a shorter length of work (<15 years), and 40.7% – with a work experience over 15 years. Conclusions: Surprisingly, about 20% of respondents consider it justified not to indicate retained TFB in the final diagnosis. Moreover, the real frequency of TFB diagnosis concealment is 1.6 times higher and sharply contradicts the declared intentions about the need to report the true cause of pathology. Almost half of surgeons with a long lasting work experience allow a false description of intraoperative findings and, as a result, the official diagnosis.

Improvement of Jain’s algorithm for frequency estimation

2020 ◽  
Vol 65 (1) ◽  
pp. 115-122
Author(s):  
Andrea Amalia Minda
Keyword(s):  
Frequency Estimation ◽  
The Real ◽  
Real Frequency

In this paper we propose a procedure to correct Jain's algorithm, which in certain situations fails in correctly estimating the frequency by indicating frequency values that are very far from the real frequency. It happens because the two points considered for the method proposed by Jain are not on the same lobe. Thus, a method is proposed according to which these points are chosen so that the results are improved.

Experiential Learning in Graduate Archival Education at the University of Botswana

Mousaion ◽  
2019 ◽  
Vol 37 (1) ◽  
Author(s):  
Olefhile Mosweu
Keyword(s):  
Experiential Learning ◽  
Work Experience ◽  
Real Life ◽  
Opportunity To Learn ◽  
Theory And Practice ◽  
Records Management ◽  
Archival Theory ◽  
Snowball Sampling ◽  
The Real ◽  
The University

Most curriculum components of archival graduate programmes consist of contextual knowledge, archival knowledge, complementary knowledge, practicum, and scholarly research. The practicum, now commonly known as experiential learning in the global hub, is now widely accepted in library and information studies (LIS) education as necessary and important. It is through experiential learning that, over and above the theoretical aspects of a profession, students are provided with the opportunity to learn by doing in a workplace environment. The University of Botswana’s Master’s in Archives and Records Management (MARM) programme has a six weeks experiential learning programme whose purpose is to expose prospective archivists and/or records managers to the real archival world in terms of practice as informed by archival theory. The main objective of the study was to determine the extent to which the University of Botswana’s experiential learning component exposes students to real-life archival work to put into practice theoretical aspects learnt in the classroom as intended by the university guidelines. This study adopted a qualitative research design and collected data through interviews from participants selected through purposive and snowball sampling strategies. Documentary review supplemented the interviews. The data collected were analysed thematically in line with research objectives. The study determined that experiential learning does indeed expose students to the real world of work. It thus helps to bridge the gap between archival theory and practice for students without archives and records management work experience. For those with prior archival experience, experiential learning does not add value. This study recommends that students with prior archives and records management experience should rather, as an alternative to experiential learning, undertake supervised research, and write a research essay in a chosen thematic area in archives and records management.

Nursing the uroabdomen patient

2021 ◽  
Vol 12 (3) ◽  
pp. 131-138
Author(s):  
Sam McGaw
Keyword(s):  
Metabolic Acidosis ◽  
Urinary Tract ◽  
Diagnostic Imaging ◽  
Urinary Diversion ◽  
Nursing Care ◽  
Postoperative Care ◽  
Surgical Intervention ◽  
Urinary Catheter ◽  
Abdominal Cavity ◽  
Patient Presentation

Uroabdomen, the presence of urine in the abdominal cavity, commonly occurs in dogs and cats, particularly following a trauma. Initial stabilisation of the patient is essential to treat the multisystemic effects of electrolyte and metabolic derangements, including hyperkalaemia, azotaemia and metabolic acidosis. Diagnosis is confirmed by comparing laboratory analysis of abdominal fluid and serum. Urinary diversion is required, often via placement of a urinary catheter, to prevent continuing urine accumulation. Once haemodynamically stable, diagnostic imaging may be performed to confirm the location of the urinary tract rupture, with several modes of imaging available. Surgical intervention may be necessary to repair the urinary leak, this is dependent on the location and severity of the trauma to the urinary tract. Registered veterinary nurses play an important role in the management of the uroabdomen patient, from initial triage and stabilisation, to assisting with imaging, anaesthetic monitoring and postoperative care. This article will discuss the aetiology of the uroabdomen, patient presentation and how to effectively treat the critical patient. Nursing care is vital for ensuring patient welfare and identifying complications that may arise.

Suturing the Open Veins of Ecuador: Debt, Default and Democracy

2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Wade Mansell ◽  
Karen Openshaw
Keyword(s):  
Economic History ◽  
Sovereign Debt ◽  
Legal Aspects ◽  
Debt Burden ◽  
Legal Implications ◽  
Audit Commission ◽  
Obvious Benefit ◽  
The Government ◽  
Large Discount ◽  
Interest Payments

In 2008 the Ecuadorian government received a report on the legitimacy of the country's sovereign debt from an international audit commission appointed by Ecuador's current president, Rafael Correa. This concluded that much of the debt was tainted by illegality and illegitimacy and consequently did not merit repayment. Citing the report's findings as justification, the government stopped making interest payments on certain of the country's bonds, but, rather than repudiating them altogether, engineered a successful buyback at a large discount. Having thus reduced Ecuador's external commercial debt burden by about a third, the government is now planning to address multilateral and bilateral loans also adjudged unlawful by the commission.This article examines the robust approach adopted by the Correa administration to tackling Ecuador's public debts, placing it in the context of the country's troubled economic history and contrasting it with previous defaults and debt workouts which largely worked to Ecuador's disadvantage. In doing so, it considers the use which the government has made of the increasingly prominent concepts of odious and illegitimate debt as a means of combating the indebtedness of the South. The conclusion reached is that, regardless of the final position suggested by international law, the realities of international relations are likely to limit the practicality of legal remedies. Nevertheless, the case of Ecuador provides a new chapter in the continuing academic debate regarding unlawful debt.These, of course, are the legal aspects of Ecuador's endeavours to curtail expenditure desperately needed for other purposes. Underlying the legal implications is the reality of an impoverished nation called upon to continue to service or redeem 'debt' that brought no obvious benefit to the overwhelming majority of its people. Debt repayment has promoted impoverishment and also, if indirectly, facilitated devastating environmental degradation.

Tracheobronchial Foreign Bodies: The Impact of a Postgraduate Educational Program on Diagnosis, Morbidity, and Treatment

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 96-98
Author(s):  
Marc Puterman ◽  
Rafael Gorodischer ◽  
Alberto Leiberman
Keyword(s):  
Educational Program ◽  
Foreign Bodies ◽  
Final Diagnosis ◽  
Physician Performance ◽  
Postgraduate Educational ◽  
Before And After ◽  
History Of ◽  
The Mean ◽  
Hospital Days ◽  
The Impact

Aspirated foreign bodies (FBs) may remain undetected and cause serious complications. As part of a postgraduate educational program, results of a local survey were presented to the local medical staff in order to increase its awareness of this diagnostic possibility. The present study was carried out in order to evaluate the management of children with tracheobronchial FBs during two 2-year periods, before and after teaching sessions held in December 1976. In comparison with the previous two years during the 1977-1978 period, the percentage of cases in which a positive history of aspiration was obtained increased from 47.6% to 84.0%; the mean number of hospitalizations due to tracheobronchial FBs decreased from 1.9 to 1.04 per infant, and the mean number of hospital days required for final diagnosis decreased from 17.6 to 5.3. The postgraduate educational program had a positive effect on physician performance and patient care.

Clinical and occupational rehabilitation of patients after removal of foreign bodies from the abdominal cavity

1986 ◽  
Vol 67 (3) ◽  
pp. 176-178
Author(s):  
N. G. Gataullin ◽  
A. F. Vlasov
Keyword(s):  
Foreign Bodies ◽  
Abdominal Cavity ◽  
Occupational Rehabilitation ◽  
Intestinal Lumen ◽  
Case Histories ◽  
Bashkir Assr

We studied case histories of 125 patients with various foreign bodies in the abdominal cavity left during surgeries according to materials from the Bashkir ASSR from 1938 to 1981. 88 patients had foreign bodies extracted during repeated surgeries, 11 patients - through a wound or a fistula at bandages, 21 patients - at autopsy. In 5 patients gauze foreign bodies due to bedsores penetrated from the abdominal cavity into the intestinal lumen and came out during defecation.

scholarly journals The Diagnostic Shift of SIDS to Undetermined: Are There Unintended Consequences?

2017 ◽  
Vol 7 (2) ◽  
pp. 212-220 ◽  
Author(s):  
Laura Gould Crandall ◽  
Laura Reno ◽  
Barbara Himes ◽  
Deborah Robinson
Keyword(s):  
Infant Death ◽  
Final Diagnosis ◽  
Sudden Infant Death ◽  
Unintended Consequences ◽  
Sudden Infant ◽  
Legal Implications ◽  
Negative Perceptions ◽  
Health Communities ◽  
Death Investigation ◽  
Mental Health Effects

Over the last two decades, a diagnostic shift in regards to the certification of sudden deaths in infancy has emerged with reassignment of deaths previously certified as sudden infant death syndrome (SIDS) to a trend utilizing the classification of undetermined or asphyxia. The consequences of this shift outside the medicolegal death investigation (MDI) community is unknown. We surveyed US organizations working in the field of sudden infant death as well as bereaved parents to understand their perceptions of the current diagnostic trends. Two online anonymous surveys were utilized. Sixty-seven organizations and 55 parents with an infant death diagnosis of SIDS, sudden unexplained infant death (SUID), undetermined, or asphyxia participated. Just over 50% (34/67) of the organizations perceived the shift had an effect on their organization including barriers to bereavement support and education. Forty percent (22/55) of parent respondents stated they did not understand the final diagnosis of their infant's death. The highest frequency of themes elicited from parents were frustration that the diagnosis (regardless of terminology) did not fully explain the death, detrimental mental health effects, and negative perceptions towards the medical and public health communities. However, parents of children whose death was classified as SIDS were spared from negative perceptions towards the medical field, described the least amount of confusion, and reported the most instances of positives effects. Legal implications, perceived social stigmas, and research obstacles were also described. Recommendations from this study include the integration of collaborative efforts to combat sudden infant death with all stakeholders, in and outside of MDI, to achieve better understanding and eradication of these tragedies, improved public education, and effective care of all bereaved.

scholarly journals Rare complications of intrauterine contraception with formation of foreign bodies in the abdominal cavity and urine bladder

2004 ◽  
Vol 53 (4) ◽  
pp. 86-88
Author(s):  
V. М. Subbotin ◽  
М. I. Davidov
Keyword(s):  
Foreign Body ◽  
Female Patient ◽  
Foreign Bodies ◽  
Abdominal Cavity ◽  
Complete Recovery ◽  
Uterine Wall ◽  
Intrauterine Contraception ◽  
Trophic Changes ◽  
Urine Bladder

2 rare cases of intrauterine contraception are presented. A 53-year old female patient had been having a Lippas intrauterine contraception device (IUCD) in the abdominal cavity for 19 years before it was occasionally revealed on cholecystectomy. The next female patient who had had a T-type IUCD for 6 years developed trophic changes of the uterine wall followed by the migration and penetration of IUCD into the wall and then the urine bladder cavity. Laparotomy and cystotomy with the evacuation of the foreign body and dissection of the walls of cystouterine fistular were performed. Both patients made a complete recovery.

scholarly journals Method of spleen reduction in laparoscopic splenectomy in children with hereditary autoimmune hemolytic anemia

2020 ◽  
Vol 10 (4) ◽  
pp. 429-433
Author(s):  
Vyacheslav G. Svarich ◽  
Ilya M. Kagantsov ◽  
Violetta A. Svarich
Keyword(s):  
Surgical Treatment ◽  
Hemolytic Anemia ◽  
Autoimmune Hemolytic Anemia ◽  
Laparoscopic Splenectomy ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Operation Time ◽  
Spleen Tissue ◽  
Surgical Department ◽  
Large Size

Purpose. This study aimed to improve the results of surgical treatment of children with hereditary autoimmune hemolytic anemia by laparoscopic splenectomy. Materials and methods. In the period from 1991 to 2020, a total 47 patients with hereditary autoimmune hemolytic anemia were treated in the surgical department of the Republican Childrens Clinical Hospital of Syktyvkar. Splenectomy was performed by the open method in 25 children, and laparoscopic method in 22 patients. Since 2019, the method of spleen reduction during laparoscopic splenectomy has been used in 3 patients when the large size of the mobilized spleen does not correspond to the size of the endoscopic container. Results. On average, surgical intervention using the above-described method of spleen reduction lasted for 19 2 min lesser than with laparoscopic splenectomy without the above method, due to the possibility of removing a significantly smaller volume of spleen tissue from the endoscopic sac outside the abdominal cavity. However, the most important achievement was the almost complete elimination of the risk of getting free fragments of a pathologically altered spleen with its possible replantation and recurrence of the clinic of autoimmune hemolytic anemia. The postoperative period was smooth, and all patients were discharged at their place of residence 7 days after the laparoscopic splenectomy. Intra-abdominal complications and relapses of the disease associated with the above-described method of operation did not occur in any patient within 612 months postoperative. Conclusion. The proposed method of spleen reduction during laparoscopic splenectomy made it possible to avoid relapses of the disease, reduce the operation time, as a result, improved the results of surgical treatment in children with hereditary autoimmune hemolytic anemia.

scholarly journals Unusual Case of a Missing Vibrator Device in the Pelvis

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Greg J. Marchand ◽  
Katelyn M. Sainz ◽  
Ali Azadi ◽  
Alexa King ◽  
Sienna Anderson ◽  
...  
Keyword(s):  
Emergency Room ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Traumatic Injury ◽  
The United States ◽  
X Ray ◽  
Sexual Stimulation ◽  
Emergency Room Setting ◽  
Careful History

Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff in the United States are commonly skilled in the detection and removal of some of these frequent occurrences. Occasionally, surgical intervention can be warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. We report a case of a vibrator which was lost during sexual activity and appeared on flat plate X-ray to be in the abdominal cavity. A careful history showed that the device was of an unusually narrow diameter, and surgical intervention showed the device ultimately ended up in the bladder without traumatic injury. Following laparoscopic confirmation of the device’s location in the bladder, cystoscopic removal was performed and the patient recovered uneventfully.

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