Spontaneous pneumoperitoneum in pediatric patients: Dilemmas in Management

Conclusions: A high index of suspicion for spontaneous pneumoperitoneum must be present when dealing with pediatric patients, especially neonates with pneumoperitoneum and without clinical signs of peritonitis. A comprehensive clinical evaluation with sepsis screen must be carried out to supplement the diagnosis. Pneumoperitoneum in pediatric patients, especially neonates, is not always an absolute indication for surgery.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research

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The objective of this study was to assess the clinical and radiographic outcomes of surgical management in a multicentre cohort of paediatric patients with burst fractures, in order to devise an optimal therapeutic strategy.HypothesisA therapeutic strategy for burst fractures in children and adolescents can be devised based on data from a patient cohort and on previously published information.Material and methodsPatients younger than 18 years who were managed surgically for one or more burst fractures (Magerl A3) were included in this retrospective multicentre study. Clinical, radiographic, and surgical data were collected...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Authors: Pandit A, Gupta N, Madan K, Bharti SJ, Kumar V Abstract Pulmonary alveolar proteinosis (PAP) is an uncommon lung disease characterized by excessive accumulation of pulmonary surfactant that usually requires treatment with whole-lung lavage. A 47-year-old female presented with history of dry cough and breathlessness for past 6months. Chest radiograph demonstrated bilateral alveolar shadows and high resolution computerized tomography thorax showed crazy paving pattern. Broncho-alveolar lavage (BAL) and transbronchial lung biopsy confirmed a diagnosis of PAP. Due to worsening hypoxemia and respiratory failure...
Source: Ghana Medical Journal - Category: African Health Tags: Ghana Med J Source Type: research
Publication date: Available online 20 November 2019Source: Indian Heart JournalAuthor(s): Shaimaa MostafaAbstractBackgroundFew studies have evaluated right ventricle systolic function in different categories of heart failure despite its effect on outcomes.Methods and resultssingle-centre, cross-sectional study included 150 patients, 50 patients in each category of HF: group I, preserved; group II, mid-range, group III reduced ejection fraction. Left ventricular systolic function was assessed by 3D echo, and right ventricular systolic function was assessed by fraction area change (FAC), tricuspid annular plane systolic excu...
Source: Indian Heart Journal - Category: Cardiology Source Type: research
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Source: Indian Heart Journal - Category: Cardiology Source Type: research
This article provides a contemporary critique of design types, evidence base and existing limitations of this nascent technology.
Source: Indian Heart Journal - Category: Cardiology Source Type: research
Publication date: November 2019Source: Mammalian Biology, Volume 99Author(s): Sameer B. Bajaru, Amol R. Kulavmode, Ranjit ManakadanAbstractHuman-dominated ecosystems are characterized by three main processes, viz., habitat degradation, habitat loss and habitat fragmentation, these posing a great threat to biodiversity. However, the relationships between these processes are not clearly understood. Moreover, habitat loss and habitat fragmentation occur at landscape-scale and their effects depend on the spatial scale. We trapped small mammals in a human-dominated area in the northern Western Ghats, India, at 23 sites in three...
Source: Mammalian Biology - Category: Biology Source Type: research
This study aimed at performing and comparing third molar development staging in extracted teeth (EX), panoramic radiography (PAN), and cone beam computed tomography (CBCT). Extracted third molars (n = 158, 95 maxillary, 63 mandibular) from 102 patients (36 males, 66 females) having at least one preoperative PAN and one CBCT were studied. Third molar development staging was performed in PAN, EX, and CBCT using Gleiser et al. (1955) technique modified by K öhler et al (1994). A polytomous logistic regression model was used to compare the staging performed in EX and CBCT with the gold standard staging in PAN. The pair-wi...
Source: International Journal of Legal Medicine - Category: Medical Law Source Type: research
Source: Indian Journal of Pediatrics - Category: Pediatrics Source Type: research
Publication date: Available online 19 November 2019Source: Clinical Epidemiology and Global HealthAuthor(s): Imran Kazmi, Muhammad Afzal, Muhammad Shahid Nadeem, Fahad A. Al-Abbasi, Firoz Anwar
Source: Clinical Epidemiology and Global Health - Category: Epidemiology Source Type: research
Aug 5 - 9, 2020. Tacoma, WA. Sponsored by Association of American Indian Physicians
Source: Rural events via the Rural Assistance Center - Category: Rural Health Source Type: events
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