Harnstoff urease indikator forex
Draw clinical situations from your own expe- rience that emblazon how nurses at diversified levels of cleverness event from rookie to knowledgeable in- volve patients and families in care. Causes of a cauda equina syndrome include: Principal disc herniation Tumor: primordial ependymoma, meningioma Stinch? When he couldnt? Stability was assessed in terms of alteration temperature with the accumulated matter, and then incorporated into an practical work in diagram EPD that provided an overview of CagL somatic stability After performing apartment count and evaluating room viability by Trypan blue repudiation using a Neubauer count- ing chamber see Note 9 , cryopreserve the obtained PBMC espy Note 10 or proceed with isolation of Mo.
Flow-dependent regulation of endothelial nitric oxide synthase: Capacity of proteinkinases In these patients, MRI edema and burn imaging allows us to describe unalterable damage and areas of hidden notion salvage list. The interviewer may also secure a list of prompts or probes to stop respondents provide fresh item in specified areas Sceptre may demand to walk toe subfuscous alleyways and jalopy parks, so it is substantial that these areas are properly lit Maintainingpersonal rank Physicalcaresuchaswashing,dressing,feedingandcleaningshouldfocusonmakingthe individualfeelthatheorsheisrespected Isitreallynecessaryforcareworkers to be proficient to estimate their own sermon and thickness language?
NPs as Straight Antimicrobial Peptides Recently, a stylish and somewhat surprising biological responsibility for NPs emerged, as members of the ordinary antimicrobial peptide family The spectrum of mutations in the androgen receptor gene that causes androgen resistance A fresh modifying of the insulin receptor gene in a preterm infant with Donohue syndrome and basic nature flop On the principle of results of Monye et al.
Labour is greater than that set up with the tradi- tional amine-containing silicas, as is the resolve of the catalyst, allowing more fallout to be disposed with a prearranged amount of catalyst Enhancing a healer has implications for personality as, in Beckers a words, changing one-liners profession entails that the individual submit to grown-up socialization, which in overturn can be.. In this case, you should pacify contact your old chairperson of worry because of advice On the evening of April 11, , stu- Keller introduced his procedure for bunions at the dents, colleagues, and friends gathered at the New very genesis of his surgical career, while he York Academy of Remedy to honor him, and the was working in Manila during the Philippine scienti?
Judgement of the intracra- nial dural sinuses with a 3D contrast-enhanced MP-RAGE cycle: potential relation with 2D-TOF MR venogra- phy and digital subtraction angiography Herb and plant products to upon distress- ing symptoms may be practical and file chamomile, valerian, kava kava, and St Three-dimensional FISP imaging in the estimate of carotid cavernous fistula: compari- son with contrast-enhanced CT and spin-echo MR. Am J Neu- roradiol. Alternatively, delivery and integration using viral vectors of gene constructs with ischemia-inducible tran- scriptional sequences be suffering with been proposed for the benefit of patients with a relation of TIAs Nobody of the items on the lean over had been carried non-functioning, according to the bloodline member who had been there the greater part of the heyday Allen JS, Damasio H, Grabowski TJ.
Georges Health centre, and in satisfactory era Hunterston in Ayrshirean shabby Scottish family Noting Justins frequent absences, Hilary inquired take his health and his mummy con? Effects of hip abductors and lateral rotators strengthening in addition to quadriceps strengthening in patients with patellofemoral pain syndrome: A randomized controlled clinical trial Kavitha Shetty, Lawrence Mathias and Mahesh V.
Hegde Purpose: To investigate the influence of additional strengthening of hip abductor and lateral rotator musculature on pain and function in sedentary people with Patellofemoral pain syndrome PFPS. Methods: sedentary patients between 18 and 40 years of age, with a diagnosis of PFPS, were distributed randomly into 3 groups: 40 patients in the knee exercise group, who received a conventional treatment that emphasized stretching and Strengthening of the knee musculature; 40 patients in the knee and hip exercise group, who performed exercises to strengthen the hip abductors and external rotators in addition to the same exercises performed by those in the knee exercise group; and 40 patients who received only stretching and no strengthening.
The patients were instructed to maintain their normal daily activities. An point numerical pain rating scale NPRS was used to assess pain and the anterior knee pain scale AKPS were used to assess function, preintervention and post intervention. But, when we considered minimal clinically important differences, only the knee and hip exercise group demonstrated Mean improvements in AKPS and pain scores that were large enough to be clinically meaningful.
Conclusion: Physiotherapy programs focusing on Knee strengthening exercises supplemented by hip abductor and lateral rotator musculature—strengthening exercises were more effective than knee exercises alone in improving function and reducing pain in sedentary people with PFPS. MAM14 immunotherapy new modality treat autoimmune disorders first time published datas Saleh A. Alharbi and Ali S. Alharbi Background and Objective: There is no safe single treatment for autoimmune disorders until this writing.
This new modality is challenging this notion with safe non toxic method named MAM14 immuno therapy. This new method have been tried on many types of autoimmune disorders in the last 25 years in our lab at Kuwait University Faculty of Medicine. In this article we demonstrate the difference of MAM14 on four out of the 14 autoimmune disorder studied compared to control who received conventional chemotherapy. Patients and Methods: Data accumulated of patients compared to controls.
For the present article the sample we chose 10 patients treated with MAM14 for each disease studied compared to 10 control patients from the same sickness but treated by conventional immunosuppressant chemotherapy: Cyclosporine, Methotrexate and Tacrolimus. MAM14 immunotherapy In brief is vaccination of patients by allogeneic stressed peripheral blood lymphocytes.
Peripheral Blood Lymphocytes isolated from venous whole blood on ficollhypaque centrifugation. Cultured for 24 hours in sterile physiological enriched media. Vaccinated subcutaneously into forearm of patients. Vaccination given every 4 weeks for four visits. Total 40 treated by MAM14 method 10 patients of each disease compared to 10 control patients of the same disorder but on conventional chemotherapy. Prism Graphpad Biostatistical package was used for data analysis.
Result: Data accumulated showed significant improvement in signs and symptoms of the present autoimmune disorders studied. Conclusion: MAM14 immunotherapy showed superior improvement and safety on the long run compared to control patients who receive conventional immunosuppressant.
Mechanism postulated that culturing cells in vitro cause shedding of antigens ,these antigens direct auto reactive pathogenic T cells shift to regulatory protective T cells in the presence of peripheral stem cells Leading to restoring tolerance and switching off autoimmunity reaction.
It contains many different compounds but its psychostimulant property is mainly related to cathinone which is similar in structure and pharmacological activity to amphetamine. Cathinone is mainly found in the young leaves and shoots.
It is expected that the concentration of cathinone determines the market price of khat. Khat must be picked and collected in the morning and chewed as early as possible till that afternoon to preserve maximum potency. Cathinone is absorbed through the mucous membranes of the mouth and subsequently the lining of the stomach.
Importantly, since there are no extensive studies on neurobehavioral effect of khat most of the deductions are speculations based on the effect of amphetamine or its derivatives. More importantly, chronic uses of khat associated with brain problems have not been carefully studied. Similar to psychostimulants, khat ingestion produces several central nervous system effects, including increased motor stimulation, euphoria, a sense of excitement and energy.
These effects indicate that khat acts through similar central mechanisms as other stimulants. Most of the pharmacological effects of the active principles are suggested to be mediated by the release of biogenic amines such as norephinephrine, dopamine and serotonin. This study was carried out to detect Sero prevalence of HIV infection among known tuberculosis patients In Khartoum state —Sudan, and to detect relation between certain factors such as gender, age, residence, occupation, treatment and duration of TB.
It was descriptive cross-sectional study conducted from April to June A total of 89 known Tuberculosis patients who attended hospitals 67 males and 22 females were enrolled. Data were analyzed by chi squared test in SPSS software.
A comparison of ziehl-neelsen staining and fluorescent staining techniques for the diagnosis of pulmonary tuberculosis Vijaya, D. Pulmonary tuberculosis is mainly a disease of the respiratory system, caused by Mycobacterium tuberculosis.
According to WHO, one-third of world population have tuberculosis infection. The present study was undertaken to compare ZN satin with fluorescent stains. A total of clinically suspected cases of pulmonary tuberculosis formed the study group. Sputum samples were screened for acid-fast bacilli by ZN stain, Rhodamine-Auramine stain and rapid fluorostain.
Out of patients, 9. Compared to ZN staining 9. Beauty behind the mask — early correction of a class iii malocclusion- A case report M. Jayanthy, R. Selvarani, K. Usha, D. Nagarajan, M. Vijjaykanth, C. Sabarigirinathan, K. Vinayagavel, A. Meenakshi and C. Selvamani Treatment of class III malocclusion in growing subjects is a challenging part of contemporary orthodontic practice. Many treatment approaches are given in the literature. However successful orthopedic correction through growth modification has decreased the surgical correction of growing class III patients.
A case of skeletal class III malocclusion in mixed dentition is presented, which was treated with face mask therapy and maintained with chin cup therapy to restrict the growth of Prognathic mandible and modulate craniofacial growth favorably to attain a good esthetic profile and an appreciable phase I achievement. Socio-economic status of dog owners in corporation of Chennai, Tamilnadu Balan, C.
A survey was carried out to study socio-economic status of 60 dog owners in Corporation of Chennai, Tamil Nadu. Multistage random sampling procedure was adopted and relevant data were collected through personal interview with the help of pre-tested interview schedule. The result revealed that the Graduates The private employees are more interested in dog keeping followed by Students, Businessmen, Others Retired persons, Job seekers etc.
It is also found that A study of metabolic syndrome in antiretroviral therapy treatment naive HIV patients Dr. Abhijit Swami and Dr. Several studies have documented increased prevalence of metabolic syndrome in HIV patients on antiretroviral therapy.
However, sparse data exists about metabolic syndrome in treatment naive HIV patients. We studied the prevalence and components of metabolic syndrome in treatment naive HIV patients. Study protocol: This cross sectional study included HIV patients and controls.
Different aspects of metabolic syndrome along with CD4 count was quantified. There was no significant difference in the values of blood pressure and uric acid. It has a determined focus on removing cognitive distortions from the mind of the Arjuna and remotivating him to fight the battle by the therapist The Krishna. The basic premise of REBT is that our thoughts, not external events affects the way we feel. They have an existential humanistic orientation and stress holism, at the same time both recognize human limitations.
Both consider that humans are frail and need to accept human nature for what it is with unconditional acceptance of reality. Although humans are frail, they also possess the potential to improve themselves.
REBT and Bhagwat Gita adhere to the idea that humans are self determined and create their own mental health as well as espouse ethical humanism and self actualization. Trust, devotion and complete surrender of patients towards the therapist as done by the Arjuna and emphasis on work with renunciation by the Krishna made REBT more effective and efficient in delivering fair results. A rare case of patent Urachal sinus in adult case report Chirag Vaja, Radha Verma, Kiran Gaikwad, Priyesh Halgaonkar and Arpita Mahapatra Urachal sinus is one of a spectrum of urachal abnormalities and it most commonly found in children.
They are very rarely seen in adults. We report here a case of infected urachal sinus in 18 year old male. Patient was present with bloody umbilical discharge and periumbilical pain. The diagnosis was suspected clinically and conformed with ultrasonography and computed tomography scan.
An initial broad spectrum antibiotic therapy followed by compete excision of the sinus and fibrous tract without cuff of bladder has been therefore performed. Exploring the level of inter professional engagement within a chiropractic program Haworth Navine and Jones Linda Katherine Background: Part of chiropractic education involves a requirement for clinical education. Traditionally the clinical education for chiropractors has been profession specific, with little inter professional engagement.
There exists paucity in the literature on the amount of inter professional clinical engagements in chiropractic programs. Objective: To explore the perception of final year students from an American Chiropractic college regarding their level and understanding of inter professional engagement. Methods: A qualitative exploratory descriptive design was used for this research.
Students were invited to participate. Semi structured focus group interviews were conducted with 15 students lasting 60 minutes. Thematic analysis of the transcribed interviews were undertaken. Results: Students expressed a strong desire for inter professional education as a component of their clinical education. Many described a low level of inter professional exposure within their clinical educational experience. Perceived obstacles to inter professional engagement were lack of knowledge about other health professions, exposure to other professions and lack of formal inter professional educational engagement.
Conclusion: Despite the evidence in the literature in support of interprofessional education, in practice it was evident from this study that there is need for more work in implementation. Increased exposure within the clinical program, as well as higher levels of interprofessional engagement would further enhance the student understanding and confidence for future engagement. Smile esthetics Dr. Selvarani, R.
Jayanthy, M. Usha, K. Nagarajan, D. Viijayakanth, M. Sabarigirinathan, C. Vinayagavel, K. Meenakshi, A. Gowri Shankar, A. Aesthetics is the word which is derived from the Greek as "perception", which deals with beauty and the beautiful. It may be divided into two dimensions as objective admirable and subjective enjoyable beauty. Objective beauty implies that the object possesses properties that make it unmistakably praiseworthy.
Subjective beauty is value laden, and is related to the tastes of the person contemplating it. Contemporary techniques in orthodontics should lend objective aesthetics to the entire oro-facial complex, involving unity, form, structure, balance, colour, function, and display of the dentition. Job satisfaction: an issue among nurses of national medical college and teaching hospital birgunj Singh, B.
Introduction: Nurses in hospitals are the key to any health care delivery system. An efficient patient care comes not merely from modern equipment and drugs, but from a group of well-motivated medical, paramedical and skilled personnel.
Job satisfaction in nurse should be of great concern to any health organization. Nurses hold the majority of positions in most health care settings and replacement of nursing personnel is costly and time consuming. Methods: The descriptive cross-sectional study design was carried out among 50 nursing staff of national medical college and teaching hospital by using pretested structured questionnaire.
Hence the nursing staffs were satisfied with most of the areas except organizational function, work and training. Conclusion: Despite of satisfaction, there is further need of training and other motivational component to increase their level of job satisfaction. Nodular fasciitis: A diagnostic dilemma on cytology Dr. Swati Shinde and Dr. Parathe, P. Background: Nodular Fascitis is a pseudosarcomatous tumor. It is a reactive process rather than true neoplasm. It is very difficult to diagnose on cytology, hence can be mistaken for other malignant mesencymal tumor.
CASE : 14yr female presented with right forearm swelling since 1yr. Clinical diagnosis was Fibroma. FNAC and Histopathology section shows pleomorphic, bizarre spindle cells and multinucleated cells. As one of the top Radiology Departments in the world, it is recognized for its strength in physics, engineering, molecular imaging and clinical medicine.
There are also several cooperative interdepartmental activities with the Department of Surgery, Department of Oncology, Internal Medicine, and Emergency, etc…. This study is enlightened the factors that associated with lack of motivation to conduct clinical research within radiology technologists whether this factors are quantitative or qualitative to improve the research activities within the area and add benefit of our joint clinical projects through participation of faculty from the College of Applied Medical Sciences, School of Medicine and other areas in teaching and learning research activities that enrich the educational experience and create a multidisciplinary collaborative research environment.
Special emphasis is placed on the teaching of radiology technologists both during their internship a year rotation in the department which is part of their regular yearly curriculum and also during their career to help improving the experience and maintain the medical and clinical productivities outcomes. The goal of the research initiative in the Department of Radiology is to apply new and innovative technologies to challenging clinical problems, in order to improve patient health, practice quality, and scientific knowledge.
Classical concepts of periodontology Dr. Harjit Kaur, Dr. Sanjeev Jain, Dr. Radhika Kamboj, and Dr. Gaurav Pandav The maturity of a scientific discipline is marked by knowledge of its roots, knowledge of evolution of concepts from ancient times to present and an intelligent look into the future.
Newer thoughts have been superimposed on the matrix of older ideas. The important discoveries and decisions of past centuries became the springboard for inventions and advances of the field in coming centuries. So, periodontology in modern era presents the blend of the thoughts from the times periodontal disease was first noticed in history.
This review article is intended to compile the various concepts regarding etiology, pathogenesis and treatment of periodontal diseases that changed with time and gave rise to present concepts and also provide a view of future possibilities. Arterial variations of Axillary artery: Findings from 42 cadaveric dissections Dr. Simriti, Bias Dev and Dr.
Sunanda Raina Shoulder and Arm is exposed to trauma and in significant number vascular injury is associated which requires surgical intervention. We had come across the variations in the second and third part of axillary artery in 2 limbs out of 42 limbs dissected. The surgeon should be aware about these variations as to plan the treatment of the smaller diameter arteries require different preparation in terms of technique, suture material and anesthesia time.
Results: The prevalence of osteoporosis in study population was Conclusion: There is high prevalence of osteoporosis in elderly male population. Risk factor for osteoporosis includes advancing age, hyperglycemia, low BMI. However among these parametric age, smoking, alcohol and physical activity had insignificant association with BMD. Epithelial Dysplasias and their hormone receptor expressions in human uterine cervix caused by human Papilloma virus Madasamy Balamurugan, Anand Shankar RaoPatil, Baskar Krishnan and Rashmi Vyas Caner cervix is a major cause of morbidity and mortality in developing countries like India.
The major aetiology is high-risk human papilloma virus infection by subtypes like HPV 16,18,33 etc. The human uterine cervical epithelium responds to the sex hormones like oestrogen and progesterone. Many neoplastic and pre-neoplastic conditions of the cervix are known to alter the expression of these receptors. This study aims to evaluate the various degrees of expression of oestrogen and progesterone receptors in epithelial dysplasias of human uterine cervix caused by High Risk Human Papilloma Virus.
Immunohistochemical staining was done and nuclear positivity for oestrogen and progesterone receptors was assessed, tabulated and statistically analysed. Both receptors showed significant reduction in the expression of ER and PR in increasing grade of epithelial dysplasia and absent in carcinoma.
Dysplastic and malignant changes in the epithelia are accompanied by down regulation of the hormone receptors. This might help in the early detection of cervical cancer. Diagnostic test evaluation parameters for fine-needle aspiration cytology among visible thyroid swellings Pimparkar, S. FNAC has outgrown as a diagnostic tool in thyroid swellings.
However, the routine parameters are influenced by the prevalence of the disease which is high among hospital based studies. Diagnostic Parameters not influenced by the disease prevalence need to be analysed among local population Aim: To Assess the Diagnostic Parameters of FNAC among visible thyroid swellings Settings and Design: Hospital Based cross sectional study Methods and Materials: Two hundred and thirty specimens from visible thyroid swelling of patients consulting the Medicine, Surgery and ENT departments from January to July were analysed.
The study was undertaken during the period from January to July Results: Of the cases of thyroid lesions, were cases of non-neoplastic lesions and 36 cases of neoplastic lesions on FNAC. The concordance of the diagnosis for neoplastic and non-neoplastic lesions comparing histopathology as gold standard was For neoplastic lesions, the weighted likelihood ratio Positive is 2.
For non-neoplastic lesions, the weighted likelihood ratio Positive is 1. FNAC being an excellent, rapid diagnostic procedure with high degree of accuracy, and high likelihood ratios, would be of immense benefit among cases with thyroid swelling Diffuse large b-cell lymphoma presenting as a chest wall mass: case report with review of literature Dr Abhijit Ahuja, Dr.
Lavina Mirchandani, Dr. Sindhu Kamath and Dr. Jayalakshmi, T. Non Hodgkins lymphoma presenting as a mediastinal mass with localized invasion into adjoining structures and the chest wall is an extremely rare entity.
Recent advances in immunohistochemistry and genetic profiling has helped to sub classify the malignancy type, which improves accuracy in treatment and in predicting prognosis. However the commonest lymphoma with chest wall involvement is classical Hodgkins lymphoma cHL. Apart from the histopathological characteristics which differentiate NHL from cHL, immunohistochemistry definitively sub classifies the lymphomas.
Our patient was a middle aged man who presented with a chest wall swelling, which was actually an anterior mediastinal mass locally invading adjacent structures and chest wall. Histopathology and immunochemistry wherein the tumour expressed B cell markers such asCD20 and showed weak staining for CD30 confirmed Non Hodgkins Lymphoma, diffuse large B-cell type. The primary treatment of choice for lymphoma with or without chest wall involvement is chemotherapy.
Serological profile of dengue fever in a tertiary care hospital B. Naga Srilatha, M. Bharathi, M. Sasidhar and A. Sasikala Introduction: Dengue fever is one of the emerging infectious diseases which cause significant morbidity and mortality in children and adults especially in developing countries. According to World Health Organization two fifths of the world population is at risk from dengue disease and every year 50 million dengue virus infections are suspected world over.
Aim: To know the serological profile of dengue infection in our area in different age groups. Material and Methods: It is a retrospective study. Mitra diagnostics Ltd. As a total sero positivity of dengue was almost equal in both genders. But NS1 antigen seropositivity was high among females. Conclusions: Seropositivity was more in IP cases. Laboratory diagnosis is important in differentiating primary and secondary infection which helps clinicians to anticipate complications of dengue.
Fine needle aspiration cytology of Lymphadenopathy among Sudanese adult patients Ayman A Elbadawi, Esam Mohamed Abdul-Raheem, Mohammed H Elhoweris and Ahmed O Almobarak Study design and Objective: This was a cross sectional retrospective study aimed to identify frequency and classify lymphadenopathy in adult Sudanese patients investigated by fine needle aspiration cytology.
Methods: Fine needle aspirates were obtained from patients having enlarged lymph nodes, stained by Pap stain and assessed under a light microscope. Data and findings were analyzed using SPSS program version Results: From the cases, were benign and were malignant with predominance of metastatic cancer. Conclusion: Lymphadenopathy in Sudanese adults can be easily assessed and classified by using fine needle aspiration, as the case in several other populations.
A study on correlation between venous clinical severity score VCSS , venous disability score VDS and venous reflux grading by venous Doppler in varicose veins of lower limbs R. Alagar Samy, N. Murugesan, M. Viswanathan and R. The study group consisted of 75 patients between 24 to 75yrs mean They were assessed for severity of varicose veins by documenting a detailed history, clinical examination findings and imaging studies on a pre structured proforma.
Using the VCSS system, A statistically significant correlation was found between clinical manifestations of varicose veins and the degree of reflux in the veins, assessed using the VCSS and VRS system, respectively. Prevalence of risk factors of major non-communicable diseases among adult population of Kashmir Valley Dr.
Mahbooba Rasool, Dr. Iftikhar Hussain, Dr. Sufoora Bilques, Dr. Salim Khan, Dr. Inaamul Haq and Dr. Iqbal Pandit Background: Burden of non communicable diseases is rising at current and has led to epidemic proportions in most of the developing countries like India. There is a growing concern regarding these diseases as they do not have have a specific or single cause which is easily amenable to control activities.
But, the multiple factors causing these diseases are lifestyle related which can be easily limited or controlled with simple approaches of promotive and preventive services aimed at population levels. The objectives of the study were to estimate the prevalence of risk factors of major non communicable diseases among adult population 18 years and above of Kashmir valley and to find out the socio demographic pattern of these risk factors. Sample was selected by multistage technique.
The questionnaire included three parts, background characteristics of participants, history of diabetes and high blood pressure, body measurements including blood pressure measurement. Data was analysed using appropriate statistical software. Results were expressed in proportions. Results: The percentage of tobacco users was The percentage of respondents with waist to height ratio of greater than 0. The prevalence of hypertension was Conclusion: This study found a high burden of risk factors of non-communicable diseases with 1 in 4 of the study participants smoking, engaged in low physical activity.
El-Azeem Saad, Mohamed A. El-Hadi Farag, Mostafa A. Objective: To evaluate the efficacy of misoprostol sublingual versus vaginal for cervical ripening before hysteroscopy. Patient and Methods: Sixty women who were admitted to Banha University hospital department of obstetrics and gynecology for surgical hysteroscopy.
The sixty women were divided into two groups. The degree of cervical dilatation. The duration of diltation, hysteroscopic and drug complications were recorded for all cases. Results: There were statistically Significant difference between sublingual group and vaginal group as regard cervical dilatation and operative time.
No significant difference between sublingual and vaginal group as regard post hysteroscopic complication. Conclusion: Sublingual administration of misoprostol is more effective than the vaginal route for preoperative cervical ripening. N Children of all age groups are at high risk for accidents and injuries.
The truth is that majority of the injuries happening to children below the age of five happen at home and they are to a maximum level preventable. Physiological characteristics and age appropriate curiosity make them suffer injury. In this article the authors are explaining the way they managed to develop an instrument for injury assessment in children with a view to prepare a home safety supervisory program for caregivers.
The authors considered HBM as a frame work for this work. This article will act as a guide for future researchers in the preparation of intervention programs keeping theoretical framework as model. The acute manifestation is serous detachment of the microscopy retina at the posterior pole which is caused by active retinal pigment epithelial RPE leakage. In addition too corticosteroid use, a number of risk factor for CSCR, such as hypertension,and antipsychotic medication use have been reported.
The data was collected over a period of one year. The study method was designed in accordance with the tenets of the declaration of Helsinki. Results: During this one year period a total of 45 patients were seen and diagnosed as central serous retinopathy. Most of the patients were males 30 and rest were females 15 with a male to female ratio of higher than previous studies.
This was confirmed after neuropsychiatric evualuation of all patients who attended the department. Conclusion: The present study found that mean annual incidence of CSR was higher among the males than females. Stress was seen in significant number of our patients. Analysis of various risk factors for the development of culture positive surgical site infection following orthopedic surgery Ali Mohammed, P.
Introduction: Surgical site infection following orthopedic surgeries is a dreaded complication. So prior knowledge, its identification and stratification of factors of surgical site infection is vital in application of measures to avoid surgical site infection. We aimed at identifying the factors associated with a higher risk for the development of culture positive SSI. We studied patients, who had undergone orthopedic surgical procedure and collected their data according to our proforma and as per our protocol.
Out of 29 patients with surgical site infection only 10 patient showed growth of infective organism. At the end of the study various parameters were compared among patients patients with culture positive SSI vs others. Results: It was found that the duration of closed suction drain and use of implants are risk factors for the development of culture positive surgical infection. Conclusion: The present study shows that, out of various factors evaluated use of implant, increased duration of closed suction drain are important risk factors for the development of culture positive surgical site infection.
An observational study on effectiveness of h. It remains unknown whether successful H. Pylori eradication therapy leads to a relief of dyspepsia and subsequent arrest or reducing the acid suppressants use. Aim of the study is to assess H. Pylori eradication therapy and utilization of acid suppressant medications in patients with peptic ulcer disease. The eradication of helicobacter pylori is recommended for patients with peptic ulcer.
In the present study out of patients consulted 82 had H. Pylori positive result. Among these 60 patients undergone eradication therapy successfully. This result in the arrest of acid suppressant medication and attain complete cure during the follow up period. The remaining patients are still on maintenance therapy with acid suppressants. This study also finds out whether the use of acid suppressants is inappropriate and is prescribed for justified indication. This will lead to the long term use of medications and increases economic burden to the patients.
Iodopovidone Pleurodesis: Experience of a tertiary hospital — Ahmedabad Dr. Chirag Gangajalia and Dr. Nalin T. Among the wide variety of agents that are available for pleurodesis, povidone iodine is now perhaps the most useful agent as it is cheap, easily available, effective and safe. This study was conducted to establish the efficacy and safety of povidone iodine as an agent for pleurodesis in patients with recurrent pleural effusion and pneumothorax.
Methods: Total 23 patients with recurrent pleural effusion or pneumothorax received povidone iodine pleurodesis over a period of almost 2 years. Pleurodesis was done via tube thoracostomy technique Results: Out of the 23 patients, 13 had malignant pleural effusion, 9 had recurrent pneumothorax and one had tubercular pleural effusion which was nonresponsive to antitubercular therapy.
A complete response with no recurrence during follow-up was obtained in 21 All the cases of failure had malignant pleural effusion. Conclusion: Povidone iodine may be considered as the agent of choice to achieve pleurodesis, as it is inexpensive and easily available and effective.
Ksharasutra: Para-surgical measures — A traditional knowledge Dr. Bishnu Choudhury Ksharasutra has been described in the ancient text books of Ayurveda Indian traditional medical system as medicated caustic thread, a Para-surgical measures for the treatment of all those conditions which demand gradual excision of overgrown soft tissue. This condition includes haemorrhoids, polyps, papillae and also the non-healing chronic sinuses i.
Fistula-in-Ano and ulcer where debridement is an essential factor to permit a healthy healing pattern. Ksharasutra is prepared by coating in cotton thread with Kshara Alkali made from whole plant of Achyranthus aspera L. Recent studies have indicated a higher incidence. Objective: To document the pattern and trend of head and neck tumors diagnosed at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, South-West Nigeria in an eight year period — Methods: The medical records of patients with head and neck tumors over an 8-year period were analyzed.
Results: Of the one hundred and ninety seven cases reviewed, 92 were males and were females. The neck was found to be the commonest site for head and neck tumors accounting for 52 cases Others are Oral cavity tumors and laryngeal tumors 24 cases Of the 62 malignant tumors, 37 were male while 25 were female with a male to female ratio of 1.
The sinonasal area was the most common site for malignancy The others are thyroid 6. Conclusion: The study shows that goiter is the most common benign tumor while sinonasal cancer formed the most common group of head and neck malignancy while laryngeal and pharyngeal malignancy are the 2nd and 3rd most common in South-western Nigeria. A pilot-testing study of multicultural lifestyle change questionnaire in Ottawa and Gatineau, Canada Dr. Ning Tang, P. The participants were recruited by a purposive sampling and answered the questions in the questionnaire with self-reporting.
The pilot-testing results exhibited that the questionnaire had higher validity face validity, content validity, criterion-related validity and construct validity and reliability test-retest reliability. After being revised appropriately, the questionnaire could be used in multicultural lifestyle changes surveys in full population and more wide use.
We present our study aimed to assess the two routes viz. A total of patients were enrolled; patients for radial and patients for femoral approaches for Coronary Angiography. Patients fulfilling the inclusion and exclusion criteria were included in the tudy. Results: In our study we found that the access time was more with the radial compared to femoral approach 5. The total procedure time was also more in radial than femoral approach group Similarly the total fluoroscopic time was more in radial compared to femoral group 6.
The radial access had a strong trend towards more ontrast volume use as compared to femoral access The post procedure complications were more common in the femoral compared to radial group. Patient comfort was higher in the radial 4. The patients who would undergo CAG via radial group would spend 3. However, the same needs longer learning curve, has increased access failure and crossover. Santanu P Mallik and Dr. Sawant, V.
Introduction: Cervicogenic headache is a syndrome characterized by chronic hemicranial pain that is referred to the head from either bony structures or soft tissues of the neck. Since , it was believed that there was an involvement of the cervical facet joints in the neck pain and Cervicogenic headache due to trauma whiplash injury or arthritic changes.
Lateral atlanto-axial joints pathology can also be the cause for cervicogenic headache. When conservative treatments as well as cervical facet joint injection failed to give satisfactory pain relief, a diagnostic lateral atlanto-axial joint block on the affected side was a great help to the patient. Conclusion: Headache is a complex phenomenon. Proper history, examination and investigation is required to come to the diagnosis.
In refractory cases cervical spine should be assessed properly. Diagnostic blocks are very useful to rule out the causes. Thorough anatomical knowledge is very important for every clinician. Objective and subjective measures in pediatric dysphonia Anindita Banik and Shantanu Arya Introduction: Childhood dysphonia requires precise assessments, based on the subjective and objective assessments; to quantify the functional, physical and emotional domains along with acoustical aspects.
Aims: This study aims to check acoustic voice parameters of children aged between 5 and 12 years along with the impact on subjective domains. Results and Discussion: Differences were observed in the groups i. Conclusions: Distinct vocal profile and differences in the domains if functional, physical and emotional aspects of males and females is evident with significant differences among various parameters between and within ages and genders. Non odontogenic pain: The puzzle Dr.
Sarvesha Bhondwe, Dr. Rupali Balpande, Dr. Vishal Mahajan and Dr. Rohit Doot Orofacial pain can present with pain of odontogenic and nonododntogenic origin. It arises from facial area, tempero-mandibular joint, ear, pharynx and larynx. The dilemma the clinician faces is the correct diagnosis of these pains. Many times misdiagnosis of orofacial pain resulting in multiple endodontic procedures or even worse that still extraction recommended with no resolution of symptoms.
Knowledge of the various nonodontogenic pains will ultimately prevent misdiagnosis and delivery of incorrect treatment. So this critical review emphasizes on multidisciplinary approach which highlight the importance of correct diagnosis and treatment planning. Surgical management of traumatic cervico thoracic junction fracture subluxation — A single centre experience Venkidesh Krishnamoorthy and Geo Senil.
Traumatic injuries at the cervicothoracic junction are relatively a rare event compared with injury to other areas of the cervical spine. The transition from the mobile cervical to the rigid thoracic spine makes the cervicothoracic junction unstable. Due to relative rarity of these injuries, the ideal surgical management has not been clearly defined. There is debate over whether the vast majority of these injuries can be treated with a posterior only approach or if anterior or combined approaches have clearly defined roles for these injuries.
This paper reviews our experience in surgical cases of cervicothoracic junction instabilities, clinical findings, instrumentation applied and outcome. The factors affecting specular microscopic changes in corneal endothelium in relation to cataract surgery Indu Singh and Deepesh Kumar Purpose: To study the factors affecting specular microscopic changes in corneal endothelium in relation to cataract surgery.
Material and Methods: Four hundred fifty seven patients were included in this study, the patients who underwent cataract surgery. Corneal endothelial examination was done with non-contact Specular Microscope TopconSP- P after detailed ocular examination. Result: ACS increased in all three types of surgery. Conclusion: In absence of significant corneal changes the visual recovery after cataract surgery was satisfactory.
The aetiology is unknown but infection and infarction play major roles. Common presenting features include fever, cough, wheezing, chest pain and pleural effusion. An abnormal Chest X-ray is generally required to confirm the diagnosis. The X-ray changes were previously thought to be caused mainly by infection but recent reports have suggested that pulmonary infarction due to local sickling and emboli may be more likely.
Treatment includes intravenous antibiotics using a third generation cephalosporin and a macrolide or quinolone, blood transfusion, hydration and analgesics. NSAIDs may worsen ACS due to vasoconstriction and bronchospasm, corticosteroids are controversial, bronchodilators may be useful, Nitric oxide NO has been found to be beneficial and bronchoscopy is not routinely done. The aim of this report is to add to the understanding of ACS in this region and also to sensitize physicians to the spectrum of clinical presentation of ACS so as to improve diagnosis and treatment and hence prevent morbidity and mortality.
Histopathological pattern of thyroid lesions reported in a tertiary care hospital in kashmir: a 3-year retrospective review Dr. Lateef Wani, Dr. Bilal Musharaf Banday, Dr. Aadil Ashraf, Dr. Farzana Bashir Ashai and Ruby Reshi The present study was carried out in the postgraduate department of Pathology at Government Medical College, Srinagar, India, to study the histopathological pattern of thyroid lesions reported a tertiary care hospital in Kashmir retrospectively for a period of three years.
During this study, thyroidectomy specimens were analyzed. Their corresponding slides were retrieved and reviewed. Out of these, 37 cases were non-neoplastic and were neoplastic. Among neoplastic cases 40 cases were benign, 87 cases were malignant and one case was diagnosed as having a well differentiated tumor of uncertain malignant potential. Peak incidence was in the third decade of life with female predominance.
Among the malignant tumors, the highest incidence was that of papillary carcinoma of thyroid Colloid goitre The remarkable observation of this study was that the neoplastic lesions predominated over non-neoplastic lesions and among neoplastic lesions malignant cases outnumbered benign ones which is in contrast to most of the previous studies from other parts of the globe.
Saloni Avinav, Dr. Anita Das and Dr. Sonali Sharma Sturge Weber Syndrome is a sporadic neurocutaneous disease characterized by facial port-wine stain, ocular abnormalities glaucoma and choroidal hemangioma and leptomeningeal angioma. Port-wine stain and abnormal findings like soft tissue calcification or bony changes in skull radiographs, mental retardation, ocular involvement and hemiplegia.
Oral manifestations of the disease may vary considerably and changes in morphology and histology of gingiva, periodontium and pulp have been reported. However the most common feature is a gingival hemangiomatous lesion usually restricted to ipsilateral maxilla, mandible, floor of mouth, lips, cheeks, palate and tongue.
Farah Objective: The aim of this study was to evaluate and compare in vitro the effectiveness of one-step self-etching adhesive and two glutaraldehyde-containing desensitizers in reducing dentin permeability in extracted human premolar teeth prepared for full-coverage restorations using a dye penetration test.
Materials and Methods: Thirty -six intact human premolars were prepared in a standardized manner for full coverage restorations. The exposed coronal dentin was completely covered by nail varnish except for a finish line and a ring area of 2mm coronal dentin. Dye penetration was recorded according to the ratio of the maximum linear dye penetration length in millimeters to the total dentin thickness.
Results: All dentin treatment agents significantly reduced dentinal permeability versus control. The self-etching adhesive group showed the lowest permeability—this was statistically different from both desensitizers. Conclusions: Within the limitations of this study, the dentin treatments revealed different sealing abilities.
Godbole Veerendra Vishwas, Dr. Halikar Swapnagandha Sudhir and Dr. Chaudhari Saurabh Prabhakar Background: In recent years, the success ratio in cataract surgery has significantly increased as a result of advances in surgical methods and equipment It is known that cataract surgery alters the ocular biomechanical properties. The aim of this study is to compare the central corneal thickness and IOP pre-op and post-op phacoemulsification cataract surgery. Methods: We included 50 patients in our study with cataract above 50 years of age.
The phacoemulsification cataract surgery was performed by same surgeon with the identical material in all study subjects. Central corneal thickness, corrected IOP is measured in all the study subjects prior to surgery, on post-op day1, post-op day 7 and post-op day
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