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Institution

British Hospital

HealthcareMontevideo, Uruguay
About: British Hospital is a healthcare organization based out in Montevideo, Uruguay. It is known for research contribution in the topics: Population & Lung cancer. The organization has 445 authors who have published 358 publications receiving 7878 citations. The organization is also known as: British Hospital.


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Journal ArticleDOI
TL;DR: The laparoscopic treatment of complete gallbladder torsion is feasible and obviates the performance of unnecessary and nonspecific tests and offers a favorable and rapid postoperative recovery, in addition to the other well-known advantages of the minimally invasive surgical approach.
Abstract: Complete gallbladder torsion is an unusual emergency that requires immediate surgical treatment. Since it was first reported in 1898, <400 cases have been described in the literature, and only three of them were diagnosed and treated by laparoscopic cholecystectomy. Our objective here is to describe an approach that allows a definitive diagnosis and treatment. First we present the case of a febrile 81-year-old woman with acute right upper quadrant pain. Ultrasound showed an alithiasic distended gallbladder with a multilayered wall and a transverse orientation. When exploratory laparoscopy was performed, a gangrenous gallbladder secondary to a 360° clockwise cystic pedicle torsion was found. Laparoscopic decompression, detorsion, and cholecystectomy with an intraoperative cholangiogram were completed. The patient was discharged 72 h later. Next, several preoperative diagnostic methods are reviewed. We conclude that the laparoscopic treatment of this entity is feasible and obviates the performance of unnecessary and nonspecific tests. It offers a favorable and rapid postoperative recovery, in addition to the other well-known advantages of the minimally invasive surgical approach.

24 citations

Journal ArticleDOI
TL;DR: The English version of the Neurologic Depression Disorders Inventory in Epilepsy (NDDI‐E) is validated and translated into Spanish as a screening instrument for major depressive episodes (MDE) for patients with epilepsy from Argentina and Uruguay.
Abstract: Summary Objectives To validate and translate the English version of the Neurologic Depression Disorders Inventory in Epilepsy (NDDI-E) into Spanish as a screening instrument for major depressive episodes (MDE) for patients with epilepsy from Argentina and Uruguay. Methods One hundred fifty-five consecutive outpatients with epilepsy participated in this study. The module of MDE of the MINI International Neuropsychiatric Instrument (MINI Plus version) was used as the gold standard against which the translated version of the NDDI-E was validated. Results Among the 155 patients, 25 (16%) met Diagnostic and Statistical Manual, Fourth Edition (DSM-IV) criteria for MDE according to the MINI. With a total score of >15, The NDDI-E identified MDE with an 80% sensitivity, 90% specificity, 60% positive predictive value, and 95.5% negative predictive value. Significance These data indicate that the Spanish version of the NDDI-E can reliably identify MDE in patients with epilepsy from Argentina and Uruguay.

24 citations

Journal ArticleDOI
TL;DR: A 41‐year‐old man with a diagnosis of chronic myeloid leukemia presented with several elevated, small, soft, yellow papules, disseminated over the face and upper trunk, which had developed 5 years after transplantation.
Abstract: A 41-year-old man with a diagnosis of chronic myeloid leukemia presented with several elevated, small, soft, yellow papules, disseminated over the face and upper trunk. The cutaneous lesions had developed 5 years after transplantation (Fig. 1). Figure 1. Sebaceous hyperplasia on the upper trunk presenting as yellowish, dome-shaped, asymptomatic papules, 1–2 mm in diameter. The lesion is umbilicated, with individual lobules growing out from the center; lesions may occur individually or in groups Download figure to PowerPoint In December 1991, he was examined in Israel, where an allogenic bone marrow transplantation was performed, after immunosuppressive treatment with high doses of chemotherapy and lymphoid and total body irradiation. In spite of being on cyclosporine as a preventive medication, at a dose of 3 mg/kg body weight per day, he had a graft-vs.-host reaction. Later, he presented with diverse clinical complications: hemorrhagic cystitis; disseminated herpes zoster, with encephalic commitment; pneumonia and sepsis; and chronic graft-vs.-host reaction whose manifestations were controlled with decreasing doses of cyclosporine and prednisone. A skin biopsy specimen was obtained, with the diagnosis of sebaceous hyperplasia (Fig. 2). The histopathologic findings consisted of several enlarged sebaceous glands containing several small ducts, with sebaceous lobules grouped around each of them. The sebaceous gland lobules appeared fully mature, with a single peripheral row of generative cells in which there were few or no lipid droplets. Some of the sebaceous lobules were closed up to the lower portion of the epidermis, from where they extended downwards into the dermis. Figure 2. The sebaceous gland lobules appear fully mature, with a single peripheral row of generative cells in which there are few or no lipid droplets Download figure to PowerPoint

23 citations

Journal ArticleDOI
TL;DR: The findings support the introduction of supplemental immunization activities targeting adolescents and young adults to prevent congenital rubella syndrome and measles outbreaks over time.
Abstract: To assess rubella and measles susceptibility among women of childbearing age we conducted a cross-sectional seroprevalence study in four cities and one rural area in Argentina. A convenience sample of women aged 15-49 years seeking care in public health-care institutions was selected (n=2804). Serum specimens were tested for rubella and measles IgG antibody titres. The overall susceptibility to rubella and measles was 8.8 and 12.5% respectively. Seroprevalence differences were found for both rubella (P or=40 years than in younger women (P=0.04). Measles seroprevalence tended to increase with age (P<0.001). Approximately 15% of women aged 15-29 years were not immune to measles. No risk factors were associated with rubella seronegativity; however, age (P<0.001) and having less than four pregnancies (P<0.001) were factors associated with measles seronegativity. Our findings support the introduction of supplemental immunization activities targeting adolescents and young adults to prevent congenital rubella syndrome and measles outbreaks over time.

23 citations

Journal Article
TL;DR: The clinical manifestations of GVHD markedly improved with TLI treatment and the experience with total lymphoid irradiation (TLI) in three patients with GV HD which had failed to respond to standard drug treatment.
Abstract: We report our experience with total lymphoid irradiation (TLI) in three patients with GVHD which had failed to respond to standard drug treatment. The clinical manifestations of GVHD markedly improved with TLI treatment.

23 citations


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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202140
202031
201926
201821
201726
201616