A thoracic surgeon's tale of two cities

International audienc

Clinical presentation of abdominal tuberculosis in HIV seronegative adults

BACKGROUND: The accurate diagnosis of abdominal tuberculosis usually takes a long time and requires a high index of suspicion in clinic practice. Eighty-eight immune-competent patients with abdominal tuberculosis were grouped according to symptoms at presentation and followed prospectively in order to investigate the effect of symptomatic presentation on clinical diagnosis and prognosis. METHODS: Based upon the clinical presentation, the patients were divided into groups such as non-specific abdominal pain & less prominent in bowel habit, ascites, alteration in bowel habit, acute abdomen and others. Demographic, clinical and laboratory features, coexistence of pulmonary tuberculosis, diagnostic procedures, definitive diagnostic tests, need for surgical therapy, and response to treatment were assessed in each group. RESULTS: According to clinical presentation, five groups were constituted as non-specific abdominal pain (n = 24), ascites (n = 24), bowel habit alteration (n = 22), acute abdomen (n = 9) and others (n = 9). Patients presenting with acute abdomen had significantly higher white blood cell counts (p = 0.002) and abnormalities in abdominal plain radiographs (p = 0.014). Patients presenting with alteration in bowel habit were younger (p = 0.048). The frequency of colonoscopic abnormalities (7.5%), and need for therapeutic surgery (12.5%) were lower in patients with ascites, (p = 0.04) and (p = 0.001), respectively. There was no difference in gender, disease duration, diagnostic modalities, response to treatment, period to initial response, and mortality between groups (p > 0.05). Gastrointestinal tract alone was the most frequently involved part (38.5%), and this was associated with acid-fast bacteria in the sputum (p = 0.003). CONCLUSION: Gastrointestinal tract involvement is frequent in patients with active pulmonary tuberculosis. Although different clinical presentations of patients with abdominal tuberculosis determine diagnostic work up and need for therapeutic surgery, evidence based diagnosis and consequences of the disease does not change

Фармакологія

The textbook for students of higher medical establishments of the 4th level of accreditation has been written according to Pharmacology syllabusand addressed to English-speaking students.The textbook contains main chapters of Pharmacology, outlines the characteristics of medicinal drugs based on modern data concerning their mechanisms of action and usage. Підручник для студентів вищих медичних навчальних закладів III-ІV рівня акредитації складено згідно з програмою з фармакології та адресовано студентам англомовною формою навчання. В підручнику викладено основні розділи фармакології, наведено характеристику лікарських засобів з урахуванням сучасних поглядів на їх механізми дії та застосування

International Journal of Medical Students - Year 2015 - Volume 3 - Supplement 1

International Journal of Medical Students - Year 2015 - Volume 3 - Supplement

Anatomy and Embryology of the Colon, Rectum, and Anus

A deep understanding of anatomy is mandatory for proper care of patients whether it is for diagnosing pathology, determining treatment options, or having meaningful discussions with other providers. In this chapter, we review the anatomy and embryology of the anal canal, pelvic floor, colon, and rectum. Special emphasis is placed on clinically meaningful concepts for the practicing surgeon

Pathological Anatomy. Lecture course

УЧЕБНО-МЕТОДИЧЕСКИЕ ПОСОБИЯАНАТОМИЯПАТОЛОГИЧЕСКАЯ АНАТОМИЯPATHOLOGICAL ANATOMYLECTURE COURSEЧАСТНАЯ ПАТОЛОГИЯПАТОЛОГИЯВ пособии представлены наиболее важные темы, охватывающие полный курс патологической анатомии

Aerospace medicine and biology, an annotated bibliography. volume xi- 1962-1963 literature

Aerospace medicine and biology - annotated bibliography for 1962 and 196

Medical-Data-Models.org:A collection of freely available forms (September 2016)

MDM-Portal (Medical Data-Models) is a meta-data repository for creating, analysing, sharing and reusing medical forms, developed by the Institute of Medical Informatics, University of Muenster in Germany. Electronic forms for documentation of patient data are an integral part within the workflow of physicians. A huge amount of data is collected either through routine documentation forms (EHRs) for electronic health records or as case report forms (CRFs) for clinical trials. This raises major scientific challenges for health care, since different health information systems are not necessarily compatible with each other and thus information exchange of structured data is hampered. Software vendors provide a variety of individual documentation forms according to their standard contracts, which function as isolated applications. Furthermore, free availability of those forms is rarely the case. Currently less than 5 % of medical forms are freely accessible. Based on this lack of transparency harmonization of data models in health care is extremely cumbersome, thus work and know-how of completed clinical trials and routine documentation in hospitals are hard to be re-used. The MDM-Portal serves as an infrastructure for academic (non-commercial) medical research to contribute a solution to this problem. It already contains more than 4,000 system-independent forms (CDISC ODM Format, www.cdisc.org, Operational Data Model) with more than 380,000 dataelements. This enables researchers to view, discuss, download and export forms in most common technical formats such as PDF, CSV, Excel, SQL, SPSS, R, etc. A growing user community will lead to a growing database of medical forms. In this matter, we would like to encourage all medical researchers to register and add forms and discuss existing forms