Estudio descriptivo y analítico del "Formulario cirujíco para uso del Hospital del Militar de Mahón" / Surgical Formulary for use at the Military Hospital of Mahon

El "Formulario cirujíco para el uso del Hospital Miliar de Mahón" fue redactado por el director del hospital y cirujano mayor el Dr. Manuel Rodríguez Caramazana el 25 de marzo de 1808. Este artículo recoge el estudio descriptivo y analítico realizado en la edición facsímil del formulario publicada en 2014 por la Fundación Uriach en colaboración con la Fundación Hospital Illa del Rei. El Hospital de la Isleta o Real Hospital del Ejército y la Marina fue considerado el más relevante entre los hospitales militares de la península ibérica, por su situación geográfica y por las aplicaciones terapéuticas, quirúrgicas y medicamentosas realizadas. El estudio contextualiza el texto original y describe los preparados farmacéuticos utilizados en la asistencia a los heridos de este Hospital de Menorca durante la Guerra de la Independencia Española y que, un siglo más tarde, todavía fueron utilizados en hospitales europeos de renombre como el de París

The Surgery Formulary for the use at the Military Hospital of Mahon was critten by the hostpial director and surgeon-major Dr. Manuel Rodríguez Caramazana on 25th March 1808. This article includes the descriptive and analytical study carried out in the facsimile edition of the formulary published in 2014 by the Uriach Foundation in collaboration with the Hospital Illa del Rei Foundation. The Isleta Hospital or Royal Army and Navy Hospital was considered the most relevant among the military hospitals on the Iberian Peninsula, for its geographical location and the therapeutic, surgical and clinical treatments aplied. The study contextualizes the original text and describes the pharmaceutical preparations used in the care of the wounded of this Menorca Hospital during the Sapnish War of Independence and that, a century later, were still used in renowned European hospitals such as that in Paris

Zinc deficiency in patients with persistent viral warts.

OBJECTIVE: To determine the association of low serum zinc levels with persistent, progressive or recurrent viral warts. STUDY DESIGN: A comparative study. PLACE AND DURATION OF STUDY: Dermatology outpatient department of Combined Military Hospital, Abbottabad in collaboration with Department of Chemical Pathology, Army Medical College, Rawalpindi, from June 2006 to May 2007. METHODOLOGY: Seventy five patients having warts of more than six months duration, more than 10 in number, who either not responded to or had recurrence after previous treatments for viral warts and not having other chronic dermatological or systemic illness were included in the study after informed consent. Seventy five age and gender matched healthy individuals were taken as control. Serum zinc analysis was carried out by atomic absorption spectrometry using Perkin elmen (USA) apparatus. Independent sample t-test was used to compare mean zinc levels in microgram/litre with significance at p < 0.05. RESULTS: Age of the patients as well as controls ranged from 12-65 years with a mean of 25.88 + 8.90 years. Serum zinc level was low in 42 (56%) patients and 24 (32%) controls (p=0.003). Among the patients, serum zinc level ranged from 695-1090 micro-gram/litre with a mean of 804.38 + 100.60, whereas the level ranged from 690-1100 microgram/litre with a mean of 836.17 + 91.04 among controls (p 0.044). CONCLUSION: Zinc deficiency is associated with persistent, progressive or recurrent viral warts in the studied patients. Randomized controlled trials with careful dose adjustment of oral zinc sulphate may be helpful to formulate guide lines to manage such patients.

[Warts and molluscum contagiosum: practical point of view]. / Verrues et molluscums contagiosums: mise au point pratique.

Warts and molluscums contagiosums are two benign viral skin diseases that commonly affect children. Contamination occurs by autoinoculation or during skin to skin contact. Molluscums contagiosums are more frequent in immunodeficient and atopic children. Swimming-pool practice and contact sports favour warts transmission. The choice of treatment depends upon the age of the child and the number and location of the lesions. Natural resolution can be awaited when lesions are limited. In first intent, curettage of the lesions under local anesthesia for molluscums contagiosums, salicylic acid preparation or cryotherapy according to location for warts, are the treatment of choice. In neither affection school ousting is necessary.

Primary care treatment approach to nongenital verruca.

Nongenital verruca is a common ailment frequently encountered in the primary care setting. Although greater than half of verruca resolve spontaneously within a 2-year period, many have a propensity to spread and cause considerable discomfort if untreated. This characteristic makes it vital for the clinician to become competent in assessment and treatment of verruca. This article discusses etiologic and epidemiologic factors, diagnosis and prevention considerations, folk remedies, and common treatment options for the management of verruca. Included is a patient-teaching handout to offer the patient when dual office and home therapy is chosen. This article also reviews the newest treatment option, Cimetidine (Tagamet). Current research with this H2 antagonist offers hope for easier and less costly management of recalcitrant verruca.

Anogenital warts: epidemiology, treatment and association with cervical atypia.

In Northern Ireland in 1984 anogenital warts were diagnosed in 592 (352 male, 240 female) genitourinary medicine clinic attenders. Of these patients, 561 were heterosexual, 28 homosexual and three male bisexual. In the male patients 290 had penile warts, 67 meatal warts, 59 perianal warts, 25 anal canal warts and five rectal warts. In the female patients, 193 had vulval warts, 27 vaginal warts, 25 cervical warts, 107 perianal warts, 30 anal canal warts and one a rectal wart. Sexual partners were brought to the clinic by 345 patients and of these 93 male and 100 female partners had genital warts.The mean time from exposure to development of warts was 17 weeks SE +/- 1.5 (range 1 week - 12 months). As treatment, podophyllin 25% was used alone in 218 patients, and 132 were known to have had clearance of warts. At least one other sexually transmissible infection was found in 407 (69%) of patients. Cervical smears were taken in 164 women and were abnormal in 40 (24%). Cervical cytology was recorded in 89 regular sexual partners of male patients and was abnormal in 23 (26%).