Reasons for the prevalence of acute pancreatitis in medical students

Vestnik ◽  
2021 ◽  
pp. 61-65
Author(s):  
Ж.Б. Турлыгазы ◽  
Д.Ж. Байдиллаева ◽  
Р.А. Бакриев ◽  
А.Б. Канатаева ◽  
А.Г. Шымырбай ◽  
...  

Острый панкреатит за последнее десятилетие занимает лидирующие позиции в практике абдоминальной хирургии, уступая место лишь острому аппендициту. А так же имеет ряд осложнений с неблагоприятными исходами. По данным литературы определено около 120 факторов, способные привести к развитию острого панкреатита. В данной статье преведены статистические данные социологического опроса, указывающие на ряд факторов способных привести к развитию данной патологии, частота их влияния, гендерные особенности а так же связи их между собой. Over the past decade, acute pancreatitis has taken a leading position in the practice of abdominal surgery, giving way only to acute appendicitis. It also has a number of complications with unfavorable outcomes. According to the literature, about 120 factors have been identified that can lead to the development of acute pancreatitis. This article presents the statistical data of a sociological survey, indicating a number of factors that can lead to the development of this patho logy, the frequency of their influence, gender characteristics, as well as their relationship with each other.

2021 ◽  
Vol 27 (1) ◽  
pp. 69-79
Author(s):  
Evgenia I. Gromova

The article is devoted to a comparative analysis of gender characteristics of social mobility in the power structures of Russia and other countries. By “peculiarity” we mean the fact of the possibility and the very presence of women in power structures in comparison with men. Among the “other countries”, this article primarily examines the leading economies of the world, and also provides interesting examples of gender characteristics of social mobility in the BRICS countries and developing countries. Within the framework of Russia, not only those power structures that are federal, but also those that govern the regions are analyzed and compared. Gender frames are considered in the article not only in the international and domestic Russian context, but also in the historical paradigm. So the first part of the article is devoted to the historical stages of the development of the women's movement in Russia and in the world. Considering the concept of Pitirim Sorokin about the sources of vertical social mobility in certain territories, the article tells about the solution of issues of equality regarding the political rights and freedoms of women in the dynamics of their development. The article also shows, using statistical material, how gender equality in Russia has lost its leading position in the world over the past 30 years. Comparative analysis with a number of European countries clearly demonstrates that the levels of power for women's social lifts in Russia are still “broken”, and the effects of gender inequality in political careers have found not the most pleasant metaphors: “sticky floor” and “glass ceiling”.


Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.


Author(s):  
S. V. Kozin

As you know, the study of the past, present and such a vague future of society (and its number of classes) still attracts the gaze of many representatives of the scientific academic society (including colleagues in the sociological workshop). This article is a review of the monograph of corresponding member of the Russian Academy of Sciences Zh.T. Toshchenko “Precariat: from the proto-class to the new class”, published in 2018 by “Nauka” publishing house. The monograph allows the reader to feel how rapidly the socio-class structure of foreign, Soviet, and then Russian society was changing. In it, Zh.T. Toshchenko clearly reflects the historical aspects of the development and functioning of a new social class — the “precariat”. The conclusion is proved that the precariat does not have a clear vision of its future, confidence in the security of its personal life and the guarantee of a quiet old age at the end of employment. An impressive number of foreign and domestic statistical data further confirms the conclusions of reasonable Zh.T. Toshchenko. In the future, the author of the monograph explores the consequences of the existence and functioning of this new social-class phenomenon.


2012 ◽  
Vol 3 (2) ◽  
pp. e146-e150
Author(s):  
Donna L Johnston ◽  
Janelle Cyr

Background: Children with leukemia often have hepatosplenomegaly present. This can be diagnosed with physical examination and confirmed with ultrasound. We sought to determine if level of training influenced the ability to detect hepatosplenomegaly. Methods: All children diagnosed with leukemia during the past 5 years were reviewed. The training level of the examiner, the documentation of hepatosplenomegaly, and the ultrasound findings were collected and analyzed. Results: There were 245 examinations of the spleen and 254 of the liver. Splenomegaly was correctly diagnosed by medical students 54% of the time, by residents 81%, and by staff 79% of the time. First year residents diagnosed it correctly 68% of the time, R2s 64%, R3s 76% and R4s 86% of the time. Hepatomegaly was correctly diagnosed by medical students 44% of the time, by residents 73% and by staff 68% of the time. First year residents diagnosed it correctly 77% of the time, R2s 54%, R3s 81% and R4s 75% of the time. Conclusions: Pediatric residents had the best ability to detect hepatosplenomegaly, and were better than staff and medical students, although this was not statistically significant.


Author(s):  
Laura Kelly
Keyword(s):  

The conclusion collates the key findings of the book and parallels between the experiences of medical students of the past and medical students today.


2012 ◽  
Vol 46 (2) ◽  
pp. 190-199 ◽  

Are Western Muslims integrating? Can Western Muslims integrate? Over the past 20 years, significant attention has been invested in examinations stimulated by the extensive public commentary addressing such questions. This brief review aims to demystify the examination of Western Muslims’ integration in the interest of re-embedding this subject matter in the broader scholarship about immigration and settlement. Within this expanding field of study, Western Muslims can (and should) be examined at the community level, where specific ethno-cultural groups represent but case studies among hundreds of Western Muslim communities that differ in their immigration context, countries of origin, sects, and ethno-cultural backgrounds. Simultaneously, the collection of statistical data should be used to test hypotheses that are developed in studies of such communities. The dialogue between qualitative and quantitative approaches provides research openings to more rigorously push the state of knowledge in this area, and I describe some of these openings below.


2020 ◽  
Vol 49 (6) ◽  
pp. 1028-1033 ◽  
Author(s):  
Joaquim Prud’homm ◽  
Aline Corvol ◽  
Aude Aguillon ◽  
Marine Olivieri ◽  
Valentine Rousseau ◽  
...  

Abstract Since 2017, geriatric medicine has been available as a postgraduate specialty to French year 7 medical students. We investigated the incentives of the 171 French medical students who opted for geriatric medicine as a postgraduate specialty subsequent to year 6 national qualifying examinations in 2017. A prospective quantitative survey-based study was conducted by means of a questionnaire compiled online and sent by email between December 2017 and May 2018. The questionnaire comprised 43 questions, including 14 single or multiple choice questions, 28 scaled questions evaluating factors of influence using a 5-point Likert scale, and one open-ended contingency question. Of the 171 students, 139 responses were received. The national response rate to this questionnaire was 81.2%. One hundred fourteen students (82.6%) had previous experience of training in geriatric medicine, which for 95 (84.0%) students took place between years 3 and 6 of medical training. This training influenced the choice of 102 respondents (90.2%). Factors reported as having exerted a strong or very strong influence were in particular the rewards of working with older adults; positive personal encounters with older adults in the past; the appeal of interprofessional teamwork; the challenge of cases involving complex diagnostic and therapeutic decisions; the challenge of patients with chronic conditions. The present study is the first to focus on the reasons why French students choose to specialise in geriatric medicine. The results emphasise the importance of training programs in geriatric medicine to promote enthusiasm for this specialty.


2005 ◽  
Vol 94 (2) ◽  
pp. 130-134 ◽  
Author(s):  
J. Werner ◽  
W. Hartwig ◽  
T. Hackert ◽  
M. W. Büchler

Management of acute necrotizing pancreatitis has changed significantly over the past years. Early management is non-surgically and solely supportive. Today, more patients survive the early phase of severe pancreatitis due to improvements of intensive-care-medicine. Pancreatic infection is the major risk factor with regard to morbidity and mortality in the late phase of severe acute pancreatitis. Whereas early surgery and surgery for sterile necrosis can only be recommended in selected cases, pancreatic infection is a well accepted indication for surgical treatment. Surgery should ideally be postponed until four weeks after the onset of symptoms as necrosis is well demarcated at that time. Four surgical techniques can be performed with comparable results regarding mortality: necrosectomy combined with (1) open packing, (2) planned staged relaparotomies with repeated lavage, (3) closed continuous lavage of the retroperitoneum, and (4) closed packing. However, closed continuous lavage of the retroperitoneum, and closed packing seem to be associated with a lower morbidity compared to the other two approaches. Advances in radiologic imaging, new developments of interventional radiology and other minimal access interventions have revolutionized the management of many surgical conditions over the past decades. However, minimal invasive surgery and interventional therapy for infected necrosis should be limited to specific indications in patients who are critically ill and otherwise unfit for conventional surgery. Open surgical debridement is the “gold standard” for treatment of infected pancreatic and peripancreatic necrosis.


2019 ◽  
Vol 64 (3) ◽  
pp. 195-207 ◽  
Author(s):  
Yoshiaki Norimatsu ◽  
Kenji Yanoh ◽  
Yasuo Hirai ◽  
Tetsuji Kurokawa ◽  
Tadao K. Kobayashi ◽  
...  

The adoption of endometrial cytology as a diagnostic procedure has been hampered in the past by difficulties arising in interpreting the cellular findings due to a number of factors (such as excess blood, cellular overlapping, and the complex physiology of endometrium). Recently, the use of liquid-based cytology (LBC), with its ability to remove blood and mucus and to distribute cells uniformly in a thin layer on the slide, has provided an opportunity to reevaluate the role of endometrial cytology. LBC samples are easier to screen compared to conventional ones, due to a smaller screening area and an excellent quality of cell preparations. LBC by using peculiar cytoarchitectural features is a useful tool in the cellular diagnosis and follow-up of abnormalities, which, however, remains complementary to histopathology and to the emerging molecular diagnostic cytopathology. This review discusses these various entities and takes into consideration the ancillary techniques that may be useful in the diagnostic procedure. Herein, we also summarize the process and rationale by which updates were made to the standardized terminology in 2018 and outline the contents of the new Bethesda-style classification (the Yokohama system) for the endometrial cytology.


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