Jejunogastric Intussusception: A Rare Complication of Gastric Surgery

Jejunogastric intussusception is a rare complication of gastric surgery. It usually presents with severe epigastric pain, vomiting, and hematemesis. A history of gastric surgery can help in making an accurate and early diagnosis which calls forth an urgent surgical intervention. Only reduction or resection with revision of the previously performed anastomosis is the choice which is decided according to the operative findings. We present a case of JGI in a patient with a history of Billroth II operation diagnosed by computed tomography. At emergent laparotomy, an efferent loop type JGI was found. Due to necrosis, resection of the intussuscepted bowel with Roux-en-Y anastomosis was performed. Postoperative recovery was uneventful

The cientificWorldJOURNAL Research Article Diffuse Alveolar Damage of the Lungs in Forensic Autopsies: Assessment of Histopathological Stages and Causes of Death

Introduction. Diffuse alveolar damage (DAD) is a morphological prototype of acute interstitial pneumonia. Hospital autopsies or open-lung biopsies are used to monitor common alveolar damage and hyaline membrane (HM) development histopathologically. The aim of this study was to detect histopathological profiles and frequency of DAD and HM in adult forensic autopsies. Materials and Methods. In total, 6813 reports with histopathological samples in 12,504 cases on which an autopsy was performed between 2006 and 2008 were investigated. Sixty-six individuals >18 years of age who were diagnosed with DAD were included. Hematoxylin-and eosin-stained lung preparations were reexamined in line with the 2002 American Thoracic Society/European Respiratory Society idiopathic interstitial pneumonia consensus criteria. Results. Histopathological examination revealed that 50 cases (75.7%) were in the exudative phase and 16 (24.2%) were in the proliferative phase. Only the rate of alveolar exudate/oedema in exudative phase cases (P = 0.003); those of alveolar histiocytic desquamation (P = 0.037), alveolar fibrosis (P = 0.017), chronic inflammation (P = 0.02), and alveolar fibrin (P = 0.001) in proliferative cases were significantly higher. The presence of alveolar fibrin was the only independent variable in favour of proliferative cases (P = 0.016). Conclusion. The detection of all DAD morphological criteria with the same intensity is not always possible in each case. Forensic autopsies may provide a favourable means for expanding our knowledge about acute lung damage, DAD, and interstitial lung disease

Case Report Jejunogastric Intussusception: A Rare Complication of Gastric Surgery

Jejunogastric intussusception is a rare complication of gastric surgery. It usually presents with severe epigastric pain, vomiting, and hematemesis. A history of gastric surgery can help in making an accurate and early diagnosis which calls forth an urgent surgical intervention. Only reduction or resection with revision of the previously performed anastomosis is the choice which is decided according to the operative findings. We present a case of JGI in a patient with a history of Billroth II operation diagnosed by computed tomography. At emergent laparotomy, an efferent loop type JGI was found. Due to necrosis, resection of the intussuscepted bowel with Roux-en-Y anastomosis was performed. Postoperative recovery was uneventful

Remission of Ulcerated Necrobiosis Lipoidica Diabeticorum after Bariatric Surgery

A 32-year-old woman with type 2 diabetes mellitus suffering from morbid obesity with BMI 45,14 kg/m(2) was operated on. Not only the type 2DM but also one of its complication known as necrobiosis lipoidica diabeticorum remitted postoperatively. Obesity should no longer be regarded simply as a cosmetic problem affecting certain individuals but an epidemic that threatens global well-being. It causes or exacerbates many health problems, and in particular, it is associated with the type 2 diabetes. Necrobiosis lipoidica is a granulomatous skin disease of unknown etiology, associated mainly with diabetes mellitus. We presented in this paper a morbid obese case of necrobiosis lipoidica diabeticorum with dramatic good response to bariatric surgery

Border Feature Detection and Adaptation for Classification of Multispectral and Hyperspectral Remote Sensing Images

Effective partitioning of feature space for high classification accuracy with due attention to rare class members is often a difficult task. In this paper, the border feature detection and adaptation (BFDA) algorithm is proposed for this purpose. The BFDA consist of two parts. In the first part of the algorithm, some specially selected training samples are assigned as initial reference vectors called border features. In the second part of the algorithm, the border features are adapted by moving them towards the decision boundaries. At the end of the adaptation process, the border features are finalized. The method next uses the minimum distance to border feature rule for classification. In supervised learning, the training process should be unbiased to reach more accurate results in testing. In the BFDA, decision region borders are related to the initialization of the border features and the input ordering of the training samples. Consensus strategy can be applied with cross validation to reduce these dependencies. The performance of the BFDA and Consensual BFDA (C-BFDA) were studied in comparison to other classification algorithms including neural network with back-propagation learning (NN-BP), support vector machines (SVMs), and some statistical classification techniques

Femicide in Turkey between 2000 and 2010

Although intimate partner violence (IPV) is an important problem that threatens women's health, very few studies focus on the victim-perpetrator relationship or examine this relationship across Turkey. The aim of this study is to contribute to a better understanding of femicide cases in Turkey and to describe the socio-demographic, clinical, forensic, and criminological characteristics of femicide victims and offenders. This study analysed 162 femicide cases that occurred in 12 cities in Turkey from 1 January 2000 to 31 December 2010. Eighty women were killed by their partners (classified as intimate partner femicide, IPF), and 81 women were killed by one of their relatives, friends, or strangers (classified as non-intimate partner femicide, non-IPF). According to our results, the typical IPF victim is of child-bearing age, does not have a paid job, is married or divorced, is killed in a domestic setting due to injuries to the thorax or abdomen produced by an edged/pointed weapon or firearm, and is possibly a victim of overkill. The typical IPF perpetrator is close to his victim's age, has a paid job, has no mental disability, owns a gun, and has threatened his partner or ex-partner previously because of jealousy/infidelity/honour or separation. The typical non-IPF victim is very similar to the IPF victim; however, her marital status can be single, married or divorced, and she is commonly killed by a relative. The surveillance and screening of femicide and IPV is an important step when analysing and attempting to prevent femicide. Second, the training and sensitization of health professionals are important. Moreover, health staff should be encouraged to participate in advocacy interventions. Third, gun ownership must be brought under control

A survey study in diabetic subjects on the general information about diabetes mellitus, its social aspects, complications and treatment

Diabetes mellitus (DM) is a metabolic disorder affecting many people worldwide, and its complications have become a global public health burden. Most diabetic patients are not aware of their conditions and the importance of the disease until complications develop, despite education programmes. This study was conducted to evaluate the general information level of diabetic patients about DM, its social aspects, treatment and complications. Patients with type 1 and 2 diabetes were enrolled in the study. A face to face questionnaire was applied to obtain patients' general information and diabetes awareness. To evaluate the overall knowledge, 40 questions were asked. In the assessment of the total scale scores (TSS), each correct answer was scored as 1 and incorrect as 0 point. The mean age of 120 participants was 42.5±15.4 years, 60.8% were females, 75% were married. The information level about the complications were statistically significantly higher in female diabetics than males. Information level about treatment of diabetes was higher in single diabetics compared to married ones. Married group had significantly higher scores concerning complications compared to single group. The results for the general information level, social aspect of diabetes, treatment and TSS were found to be statistically significantly higher in high education level group compared to low. In conclusion, education level of a patient seems to be the most prominent contributor of level of knowledge of diabetes, its complications, treatment and social aspects. [Med-Science 2017; 6(2.000): 249-54

Case distribution by cause of death.

<p>Case distribution by cause of death.</p