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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: A 67-year-old male with a history of a conventional right colectomy and hypertension was referred to the department for an incisional hernia and abdominal discomfort and a supraumbilical defect was found.
Abstract: A 67-year-old male with a history of a conventional right colectomy and hypertension was referred to our department for an incisional hernia and abdominal discomfort. Physical examination also showed a supraumbilical defect that was confirmed with a computed tomography scan. Laparoscopic Rives technique repair was done to repair the defect avoiding direct contact of the mesh with the intra-abdominal viscera.

1 citations

Journal ArticleDOI
TL;DR: Watch a video presentation of this article: The next generation of smart phones will be able to recognise each other's voices and provide real-time information about the person they are trying to communicate with.

1 citations

Journal Article
TL;DR: The involvement of the WM microstructure in patients with ADD was evidenced through FA and MD measurements, at highly relevant pathways for cognitive performance.
Abstract: OBJECTIVE: Using Diffusion-Tensor Imaging by Magnetic Resonance Imaging (DTI-MRI), to assess the involvement of the Corpus Callosum (CC), the cingulum, and other nerve pathways, both in healthy individuals and in patients with Alzheimer’s Disease Dementia (ADD). BACKGROUND: In its natural course, Alzheimer’s disease involves the brain’s White Matter (WM) microstructure, and the WM of pathways carrying highly relevant information for cognitive performance. DTI-MRI enables the measurement of the WM microstructure through Fractional Anisotropy (FA), and Mean Diffusivity (MD). DESIGN/METHODS: Thirty-three patients were included in the study: 16 healthy controls [age: (mean±Standard Deviation) 73.31±6.48 years; education: 12.06±4.15 years, MMSE: 29.56±0.62], and 17 patients with probable ADD (NINCDS-ADRDA) [age: 75.06±8.84 years; education: 11.65±4.47 years, MMSE: 20.65±6.42], right-handed, paired by age, education, and Beck’s inventory. A full neuropsychological test battery was administered, and DTI-MRI was taken (21 directions, 3-mm slice thickness). FA and MD findings were analyzed at the level of the CC, the cingulum, and of other selected pathways. Demographic data and findings of DTI-MRI were analyzed by ANOVA among the groups. RESULTS: Regarding FA, patients with ADD presented with lower values than healthy controls at the left cingulum (cingulate-gyrus area=p:0.001; hippocampus area=p:0.001), and the right cingulum (cingulate-gyrus area=p:0.023), and at the left CC (genu=p:0.003; corpus=p:0.022; splenium=p:0.005), and the right CC (genu=p:0.005; corpus=p:0.011; splenium=p:0.002). In terms of MD, patients with ADD presented with the highest values at the left cingulum (cingulate-gyrus area=p:0.001; hippocampus area=p<0.001), and the right cingulum (cingulate-gyrus area=p<0.001; hippocampus area=p:0.004), and at the left CC (genu=p:0.006; corpus=p:0.016; splenium=p:0.006), and the right CC (genu=p:0.019; corpus=p:0.018; splenium=p:0.001). CONCLUSIONS: The involvement of the WM microstructure in patients with ADD was evidenced through FA and MD measurements, at highly relevant pathways for cognitive performance. Disclosure: Dr. DEMEY has nothing to disclose. Dr. Ventrice has nothing to disclose. Dr. Rojas has nothing to disclose. Dr. Zubiri has nothing to disclose. Dr. Somale has nothing to disclose.

1 citations

Journal ArticleDOI
TL;DR: The authors suggest that the procedure should be limited to experienced and qualified medical staff, and circumcisions should be performed by trained personnel, experienced in carrying out the procedure, in post-operative care and in handling its complications.
Abstract: Eke and Eke [1] investigated the prevalence and significance of renal disease in the eastern part of Nigeria. We were impressed by the high prevalence of obstructive uropathy secondary to circumcision in this study: 8 of 17 cases. All male neonates are circumcised at birth in this region, the majority by non-medical staff. The authors suggest that the procedure should be limited to experienced and qualified medical staff. At present, this is not feasible in the least-developed countries. Firstly, behaviour in these communities is greatly influenced by culture and religions beliefs and it is highly improbable that even with easy access to medical facilities people will deviate from their customs. Secondly, the Sub-Saharian Africa hospital capacity is of the lowest in the world [2] with the fewest physicians and nurses of any region. The population per doctor and nurse was 35.860 and 8.160, respectively, in 1990 [3]. This would make the practical implementation of the suggestions of Eke and Eke [1] very difficult. We consider that an educational approach, taking into account the culture and beliefs of the communities, must be the central line of action. Involvement of community leaders is crucial to achieve changes in people's behaviour, which fit in with local culture and resources [4]. The most cost-effective health interventions involve primary care providers, a category that can include physicians and nonphysicians. In Kenya ophthalmic clinical officers, who are not physicians, have performed cataract surgery on a pilot basis, with acceptable results~ Africa has only one ophthalmologist per 1 million people. Without the use of the services of non-physicians many patients would not be able to have cataract surgery [2]. Extrapolation from this experience to ritual circumcision practices are certainly valid. Circumcision should be performed by trained personnel, experienced in carrying out the procedure, in post-operative care and in handling its complications [5]. Due to choice or shortage of physicians, the majority of circumcisions will be performed by non-physicians in poor countries. The tiny population described by Eke and Eke [1] is certainly indicative of a large population with renal diseases with no access to medical facilities. The educational and cultural approach is valid to emerging paediatric specialities. To face the challenge of the tremendous shortage of health professionals in poor countries, we need to adapt health care to the existing resources in the framework of the community's culture and beliefs.

1 citations


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