iosr-JDMS   Volume-15 ~ Issue-6 ~ June-2016

Abstract: Blood transfusion is the mainstay of treatment for Beta thalassemia, an inherited blood disorder and a major public health problem. Such treatment leads to extensive iron-induced injury in the heart, liver, pancreas and endocrine system. Paediatric tribal population receiving multiple blood transfusions for treatment of β-thalassemia has been studied to evaluate the relationship between iron overload with AFP and CA125 and to predict early liver damage. Information pertaining to demographics, blood transfusion and the nature of chelation therapy etc. was obtained on thirty-two patients, attending Bankura Sammilani Medical College, Bankura, and receiving multiple blood transfusions...................

Keywords: AFP, β-thalassemia major, CA-125, early liver damage, serum ferritin,

[1]. Gamberini MR, De Sanctis V, Gilli G. Hypogonadism, diabetes mellitus, hypothyroidism, hypoparathyroidism: Incidence and
prevalence related to iron overload and chelation therapy in patients with thalassaemia major. Pediatr Endocrinol Rev. 2008;6:158– 69.
[2]. Thein SL. Genetic modifiers of thalasemia. Hematologica.2005; 90: 649-60.
[3]. Verma IC. The challenge of genetic disorders in India. In: Molecular genetics and gene therapy- the new frontier.Scientific
Communications, Amsterdam.1994; 1-20.
[4]. Bashyam MD, Bashyam L, Savithri GR. et al.Molecular genetic analyses of beta thalassemia in South India reveal rare mutations in
the beta globin gene. J Hum Genet. 2004; 49: 408-13.

Abstract: Objective: To find whether placental laterality as determined by ultrasound can be used as predictor for the development of pre-eclampsia. Methods: This prospective study was conducted in the Department of Obstetrics and Gynecology, R.N.T. Medical College, Udaipur from 2014 to 2015. 100 pregnant women attending antenatal clinic both OPD and IPD at 20–24 weeks of gestation without any high risk factor were subjected to ultrasound examination, and placental location was determined. These cases were followed for the development of signs and symptoms of pre-eclampsia............

Keywords: Placental laterality, Pre-eclampsia , Central placenta, Predictor

[1]. Walker JJ. Current thoughts on the pathophysiology of preeclampsia/eclampsia. In: Studd J, editor. Progress in Obstetrics and
Gynecology. Edinburgh: Livingstone- Churchill; 1998: 177–88.
[2]. Kiran LS. The role of the placental site in the aetiology of breech presentation. J Obstet Gynecol British. 1983; 70:795.
[3]. Hoogland HJ, deHaan J. Ultrasonographic placental locatization with respect to fetal position in utero. Eur J Obstet Gynecol
Reprod Biol. 1980; 11:9.
[4]. Harris VG.Relation between placental site and length of gestation. British J Obstet Gynecol. 1975; 82:581.
[5]. Davydov SN, Orlov VM, Samorodinova LA, Khrustalkov SV. Location of placenta and clinical course of labour. Acta Chir
Hung.1987;28:3

Abstract: Elevated leucocyte count is marker of inflammation. Atherosclerosis has been increasingly recognised as complex and multifactorial inflammatory disease. Inflammation plays a key role in the initiation, progression and complications of atherosclerosis. So there is need to study relationship between leucocyte count and atherosclerosis. Objective: to determine the relation between Neutrophil to lymphocyte ratio and severity of atherosclerosis in coronary arteries. Material and methods: prospective observational study, done on 200 patients, presented with angina or angina like symptoms. Evaluated by blood investigations and coronary angiogram............

Keywords: Neutrophil Lymphocyte ratio, Coronary angiography, Gensini Score

[1]. Zazula AD, Precoma-Neto D, Gomes AM, Kruklis H, Barbieri GF, Forte RY, et al. An assessment of neutrophils/ lymphocytes ratio
in patients suspected of acute coronary syndrome. Arq Bras Cardiol 2008; 90: 31-36.
[2]. Ross R. Atherosclerosis—an inflammatory disease. N Engl J Med 1999; 340: 115-126.
[3]. Hansson GK. Inflammation, atherosclerosis and coronary artery disease. N Engl J Med 2005; 352: 1685-1695.
[4]. Kuyumcu ME, Yesil Y, Ozturk ZA, Kizilarslanoglu C, Etgul S, Halil M, et al. The Evaluation of Neutrophil-Lymphocyte Ratio in
Alzheimer's Disease. Dement Geriatr Cogn Disord 2012; 34: 69-74.
[5]. Gensini GG. A more meaningful scoring system for determining the severity of coronary heart disease.Am J Cardiol. 1983;51:606.

Abstract: A prospective study conducted in SSKM hospital over a period of 4 year in the urology department The incidence of transitional cell carcinoma noted by various method .Also the blood group was noted. A comparison was made. It had been found that transitional cell carcinoma is more common in B positive blood group patient.

Keywords: Transitional cell carcinoma, bladder, blood group

[1]. Datta A. K, Essential of human anatomy (thorax and abdomen), 9thed, 313
[2]. "SEER Stat Fact Sheets: Bladder Cancer". NCI.Retrieved 18 June 2014.
[3]. World Cancer Report 2014. World Health Organization. 2014. pp. Chapter 1.1. ISBN 9283204298.
[4]. "Bladder cancer Key Stats". Cancer Research UK. Retrieved 29 November 2014.
[5]. Zeegers MP; Tan, FE; Dorant, E; Van Den Brandt, PA (2000). "The impact of characteristics of cigarette

Abstract: Objective: To determine the difference in mean of 25-OH-D3in different groups of asthmatic children ( i.e. mild, moderate and severe). Study design:A hospital based observational, descriptive and comparative analysis. Setting: This study was conducted in the Department of Pediatrics, S.P.M.C.H.I, attached to S.M.S Medical college, Jaipur,from May 2014 to April 2015. Methods: This cross-sectional study included 75 (25 severe, 25 moderate and 25 mild asthmatic children) children aged between 6 and 15 years. Serum 25-hydroxy vitamin-D levels were determined and compared between the three groups. The association between vitamin-D levels and lung function was studied in the asthmatic children...............

Keywords: Bronchial asthma , vitamin-D, FEV1

[1]. Global Initiative for Asthma [GINA] (2015): Global Strategy for Asthma Management and Prevention (2015 update)
[2]. The Global Asthma Report 2014
[3]. Mahmoud T. Abd El-Menem, Manal M. Abd Al-Aziz, Waleed M. El-Guindy,Nihal A. El Banna et al. The frequency of vitamin D
deficiency among asthmatic Egyptian children. Egypt J Pediatr Allergy Immunol 2013;11(2):69-73.
[4]. Kleigman, Stanton, ST Geme, Schor, Behrman. Nelson Textbook of Pediatrics 20th Edition; Part XV.
[5]. Longo, Fauci, Kasper, hauser,Jameson, Loscalzo. Harrison's Principles of Internal Medicine; 18th Edition

Abstract: Study Question: Etiological Factors for Squamous Cell And Adenocarcinoma Of Oesophagus With Reference To Blood Groups Objective: To Assess and Compare The Etiological Factors of different histological subtypes of oesophageal cancer (squamous cell and Adenocarcinoma) with special reference to blood groups. Methodology: .The Institution based, comparative observational cross sectional study was conducted in R.N.T. Medical College on 50 patients diagnosed as cases of squamous cell and adenocarcinoma of esophagus according to endoscopic, biopsy and its histopathological report, admitted in In –patient department of General medicine............

Keywords: Oesophageal cancer (squamous cell and Adenocarcinoma ), blood groups.

[1]. Kamangar F, Dores GM, Anderson WF. Patterns of cancer incidence, mortality, and prevalence across five continents: defining
priorities to reduce cancer disparities in different geographic regions of the world. J ClinOncol. 2006; 24(14):2137–50.
[2]. Parkin DM, Bray F, Ferlay J, et al. Global ca
[3]. Cancer Statistics, 2002. CA Cancer J Clin. 2005;55(2):74–108.
[4]. Craver LF. Clinical study of etiology of gastric and esophageal carcinoma. Am J Cancer. 1932;16(1):68–102.
[5]. Watson WL. Cancer of the esophagus: some etiological considerations. Am J Roentgenol. 1939;41(3):420–4.

Abstract: Nephrotic Syndrome is one of the common kidney disease in children. This condition is seen mainly in children between 2-6 yrs of age. Infections are one of the major complication of Nephrotic Syndrome. AIM: The aim was to study the incidence, etiology and clinical features of urinary tract infection in children with Nephrotic Syndrome.............

Keywords: Nephrotic Syndrome, Urinary tract infection, Urine culture, E. Coli

[1]. Srivastava RN .Pediatric renal problems in India .Pediatr Nephrol .1987;1(2):238-44.
[2]. Gulati S,Kher V,Arora P,Gupta S,Urinary tract infection in Nephrotic Syndrome .Pediatre Infect Dis J .1996;15(3):237 -40.
[3]. Pryles C.V.Diagnosis of urinary tract infection in infants and children Pediatre 1964;82:441 -449
[4]. Haymmann W Lund HZ Pead 7 ,691,1951.
[5]. Drummond KN ,The Nephrotic Syndrome ,Nelson Text Book of Pediatrics vol.

Abstract: 30 cases of abdominal tuberculosis were studied between November 2013 to November 2015 in different surgical units of Government General Hospital, attached to Guntur Medical College, Guntur and affiliated to NTR University of Health Sciences, Vijayawada, AP. The different surgical procedures which were undertaken for established abdominal tuberculosis with failed conservative therapy were analysed. The results were compared with previously published studies, with respect to objective. Most common procedure that was done was Limited Segmental Resection. Post-operative wound infections responded well to anti tubercular
treatment with reasonable low mortality.

Keywords:–Abdominal Tuberculosis, ATT, Limited segmental resection

[1]. Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
[2]. Prakash A. Ulcero-constrictive tuberculosis of the bowel. Int Surg 1978;63:23
[3]. Anand, B.S., Nanda, R., Sachdev, G.K.: Response of tuberculous stricture to antituberculous treatment. Gut 29:62, 1988.
[4]. Kapoor VK. Abdominal tuberculosis. Postgrad Med J 1998;74 : 459-6.
[5]. Bhansali S.K.; Abdominal Tuberculosis: Experience with 300 cases; Am. J.Gastroenterol; 1971; 67; 324-337.

Abstract: Preeclampsia and eclampsia are important cause of maternal and perinatal morbidity and mortality in the developing countries. The incidence of Pregnancy induced hypertension (PIH) in India ranges from 5- 15%. The incidence of PIH in primigravidae is 16% and 7% in multigravidae. Primary pre-eclampsia occurs in 70% of PIH cases and secondary pre-eclampsia occurs in 30% in all PIH cases..........

Keywords: Preeclampsia, eclampsia, gestational hypertension, Pregnancy induced hypertension, pregnancy

[1]. Singhal SR, Deepika, Anshu, Nanda S.Maternal and perinatal outcome in severe Preeclampsia and eclampsia. JSAFOG.
2009;1(3):25-8.
[2]. Walker JJ. Preeclampsia. Lancet.2000;356:1260-5.
[3]. SC Robson. Hypertension and renal disease in pregnancy. In: Dr. Keith Edmond, editors. Dewhurdt's textbook of Obstetrics and
Gynaecology. 4th edition. Orient Longman ltd., London. 1986;4:203-9.
[4]. RaddiSA,Nayak BS, RatnaP,Stress, Coping Strategies, Quality of life and Livid Experiences of Women With Pregnancy induced
Hypertension. JSAFOG. 2009Apr;1(1):65-8.
[5]. "40". Williams obstetrics (24thed.). McGraw-Hill Professional. 2014. ISBN 9780071798938.

Abstract: Focal Hepatic Lesionsare common findings as a result of the ever increasing use of imaging techniques in patients with nonspecific abdominal complaints. This study was undertaken to compare unenhanced ultrasound versus computed tomographyin evaluation of patients with focal hepatic lesions. Methods: In this study, 100 cases of focal hepatic lesions were studied with USG and CECT abdomen. Imaging findings were evaluated and tabulated and correlated with the clinical findings, histopathological findings and follow up. The findings were checked and statistically tabulated............

Keywords: Focal hepatic lesion, CT, USG

[1]. Pons F, Llovet JM. Approaching focal liver lesions. Rev EspEnferm Dig 2004; 96: 567-577.
[2]. Kumar PB, Hegde P, Kumar BNK et al. A Comparative Study of Ultrasound and CT findings in Focal Liver Lesions. Int J Biol
Med Res. 2014; 5(3): 4362-4369.
[3]. Gupta DK, Carachi R. Paediatric Oncology (Surgical and Medical Aspects). 2007: 28-29.
[4]. Wilson SR, Jang HJ, Kim TK, Burns PN. Diagnosis of Focal Liver Masses on Ultrasonography Comparison of Unenhanced and
Contrast-Enhanced Scans. J Ultrasound Med 2007; 26:775–787
[5]. Foucher J, Chanteloup E, Vergniol J et al. Diagnosis of cirrhosis by transient elastography (FibroScan): a prospective study. Gut
2006;55: 403–8.

Abstract: Objective: This study was done to evaluate the changes in haemoglobin levels in moderately anaemic primigravidas and multigravidas after oral ferrous sulphate therapy. Materials and methods: 100 moderately anaemic antenatal subjects were selected which consisted of fifty moderately anaemic primigravidas and fifty moderately anaemic multigravidas respectively. All of them were prescribed with oral ferrous sulphate therapy and changes in haemoglobin levels were noted prior to and after the period of oral ferrous sulphate therapy.............

Keywords: Anaemia, antenatal, haemoglobin, ferrous sulphate, primigravida .

[1]. WHO (1996) Revised 1990 estimate of maternal mortality. A new approach by WHO and UNICEF. WHO, Geneva,
Switzerland.
[2]. Aung-than-Batu, Thane-Toe, Hla-Pe, Khin-Kyi-Nyunt. A prophylactic trial of iron and folic acid supplements in pregnant Burmese
women. Isr J Med Sci 1976; 12:1410-1417.
[3]. Charoenlarp P, Dhanamitta S, Kaewvichit R, et al, A WHO Collaborative Study on Iron Supplementation in Burma and in
Thailand. Am J Clin Nutr. 1988;47: 280-97.
[4]. Kalanda B, Verhoeff F, le Cessie S, Brabin J. Lowbirth weight and fetal anaemia as risk factors forinfant morbidity in rural
Malawi. Malawi medical journal : the journal of Medical Association of Malawi. 2009;21(2):69-74. Epub 2010/03/30.
[5]. Stoltzfus RJ, Drey fuss ML, Guidelines for the use of iron supplements to Prevent and Treat iron Deficiency Anemia, Washington ,
DC: International Nutritional Anemia Consultative group, International Life Sciences Institute; 1998.

Abstract: A female child aged 8 months presented with features of infantile spasms, partial corpus callosal agenesis and chorioretinal lacunae. She had early onset infantile spasms from 2 months of age. This patient responded well to vigabatrin used over 2 months at our center, after failure of many antiepileptic drugs. This case is reported for its rarity and the classic clinical, electrographic and radiological features particularly in Indian context.

Keywords: Aicardi syndrome, split-brain EEG, Infantile spasms, corpus callosal agenesis

[1] Kroner BL, Preiss LR, Ardini MA, Gaillard WD - New incidence ,prevalence ,and survival of Aicardi syndrome in 408 cases. J Child
Neurol. 2008;23(5):531-535.
[2] Donnenfeld AE, Packer RJ, Zackai EH, Chee CM , Sellinger B, Emanuel BS – Clinical, cytogenetic and pedigree findings in 18 cases of Aicardi syndrome Am J Med Genet. 1989 Apr ;32(4):461-7.
[3] Jean Aicardi – Aicardi Syndrome - Eponyms in Child Neurology. Brain and Development Volume 27, Issue 3, April 2005, Pages 164– 171
[4] Aicardi J, Levebre J, Lerique-Koechlin A - A new syndrome: spasms in flexion, callosal agenesis, ocular abnormalities.
Electroencephalogr Clin Neurophysiol 1965; 19: 609-10.

Abstract: Restricted mouth opening is a definite prosthodontic hindrance to carry out treatment successfully. Various methods and attachments have been used to design sectional dentures for such patients. This clinical report describes a combination and modification of previous methods using three different attachments (dual die-pins, press-buttons & Nd-Fe-B magnets) for fabrication of sectional complete dentures in a patient with oral submucous fibrosis. The technique described is simple, cost-effective and does not require any special devices or complex locking joints.

Keywords: Microstomia, sectional denture, magnets, die-pin, press-button, oral submucous fibrosis

[1] Luebke RJ. Sectional impression tray for patients with constricted oral opening. J Prosthet Dent 1984;52:135-7
[2] Conroy B, Reitzik M. Prosthetic restoration in microstomia. J Prosthet Dent 1971; 26:234-7.
[3] Suzuki Y, Abe M, Hosoi T. Kurtz KS. Sectional collapsed denture for a partially edentulous patient with microstomia: a clinical
report. J Prosthet Dent 2000;84:256-9.
[4] Mirfazaelian A. Use of orthodontic expansion screw in fabricating section custom trays. J Prosthet Dent 2000; 83:474-5.
[5] Baker PS, Brandt RL, Boyajian G. Impression procedures for patients with severely limited mouth opening. J Prosthet Dent 2000;
84:241-44.

Abstract: Small Blue Round Cell Tumors (SBRCT) include a heterogenous group of neoplasms most commonly seen in paediatric age group. With the advent of specific treatment protocols, pathologist must thrive to categorise SBRCT into a defined diagnosis. 56 cases of SBRCT were studied over a period of two years and differentiated histologically by Fine needle aspiration cytology (FNAC) and Histopathological examination (HPE). In some cases accurate diagnosis was possible by special stains and Immunohistochemistry (IHC

Keywords: Small Blue Round Cell Tumors (SBRCT), Fine needle aspiration cytology (FNAC), Histopathological examination (HPE), Immunohistochemistry (IHC)

[1] Gregario A,Corrias et.al (July,2008)"Small blue round cell tumors":Diagnostic & prognostic usefulness of B7-H3 surface
molecule". Histopathology 53 (1):73-80.doi:10.111/j.1365-2559. 2008.
[2] Rathi AK et al; Epidemiology of paediatric tumors at a tertiary care centre. Indian j Med Paediatr Oncol.2007;28(2);33-5
[3] Arya L.S. Childhood cancer-challenges and oppurtunities. Indian j.of paediatrics.2003;70:159-62.
[4] Breslow N et al; Epidemiology of Wilms‟ tumor. Medical paediatric oncology, vol-21,172-181, 1993.
[5] JenniferA et al. Fine needle aspiration cytology. Blackwell scientific publications, Oxford. 1st edn,1993.

Abstract: Incisional hernia is defined as a hernia occurring through defect in the operative scar. The incidence of incisional hernia in literature is 2- 11% following all laparotomies and it is a source of morbidity and requires high healthcare costs. As a result of high recurrence rate in the repair of incisional hernia, various types of repairs have been used both anatomical and prosthetic. But high recurrence in anatomical repair(2). So, there is introduction of prosthetics(mesh) in hernia surgery with the concept of tension free hernia repair.

[1] Michael Zinner, Stanley Ashley, Maingot's: Abdominal operations. 12th ed, Vol. 1, chapter 7.
[2] Vikram Kumar, Gabriel Rodrigues, Chandni Ravi, Sampath Kumar. A Comparative Analysis on Various Techniques of Incisional
Hernia Repair. Indian J Surg 2013;75(4):271–273.
[3] Bhat MG, Somasundaram SK. Preperitoneal mesh repair of incisional hernias: A seven-year retrospective study. Indian J Surg
2007;69:95-8.

Abstract: Objectives: The present study aims to identify the prevalence of dyslipidemia among healthy females and analyzing the significance between hyperlipidemia and anthropometric indices including WC, WHR and BMI Methods and Materials: A prospective hospital based cross sectional study was conducted in 100 female subjects approaching outpatient department. Information was collected about demographics ( Age, gender and occupation), anthropometric measurements (body weight, height, BMI, WC,HC,WHR),personal habits of dietary pattern,alcohol,tobacco use and clinical parameters- BP(Blood pressure),FBS(fasting blood sugar ),ECG, lipid sub fraction analysis using automatic analyzer.............

Keywords: BMI-Body mass index, WC-Waist circumference, WHR-Waist hip ratio.

[1] Chaturvedi V.Bhargava B.Health care Delivery for coronary heart disease in india - Wheare are we headed. Am heart hosp j
2007:5:32-37.
[2] Hyman Levy, M.D. ; Ernst. P.Boas, M.D Coronary Artery Disease in Women. JAMA.1936; 107(2): 97-102. Doi:10.1001/jama.
1936. 02770280007002.
[3] Findlay,IN,Cunningham.D,Dargie HJ.The RightS of Women.Br .Heart.J 1994;71:40/-3
[4] Executive summary of the third report of the National Cholesterol Education Programe (NCEP) Expert Panel on Detection.
Evaluation, and treatment of high Blood Cholesterol in (Adult Treatment Panel III) [Special Communication].JAMA
2001:285:2486-2947.

Abstract: The buccal fat is an important anatomic structure intimately related to the masticatory muscles, facial nerve , and parotid duct.while anatomically complex , an understanding of its boundaries will allow the surgeon to safely manipulate this structure in reconstructive and aesthetic procedures . Technically, the buccal fat pad is easily accessed and moblized . It is does not cause any noticeable defect in the cheek or mouth, and it can be performed in a very short time and without causing complication for the patient. The pedicled BFP graft is more resistant to infection than other kinds of free graft and will result in very success...........

[1]. stuzin JM , Wagstrom L, Kawamato HK, Baker TJ ,Wolfe SA.The anatomy and clinical application of buccal fat pad. J Plast
Reconstr Surg 1990;85:29-37.
[1]. Wolford , D.G, Stapleford R.G, Fort, R.A&Health, M.(1981) .Traumatic herniation of the buccal fat pad: Report of a case .Journal
of the American Dental Association ,103,593.
[2]. Tideman,H,Bosanquet,A,and Scoftt ,J.use of the buccal fat pad as a pedicaled graft.J.Oral Maxilloface.Sury.44:435,1986
[3]. Ho KH. Repair of palatal defects with in clined buccal fat pad graft. Oral sury 1988:65:523
[4]. Vuillemin T,Raveh J,Ramon Y:Reconstruction of the maxilla with bone grafts supported by the buccal fat pad. J Oral maxilla sury
46:100,198.
[5]. Fleming P:Traumatic herniation of buccal fat pad:Areport of two cases. Br J Oral Maxillofac sury 24:265,1986.

Abstract: Background: The frequency of gastro-esophageal reflux disease is rising, and there has been a real spread of the disease as a consequence of modernity, lifestyle, dietary and behavioral norms, stress, work conditions and life in general. It is usually diagnosed with radiographic methods that employ contrast dyes, endoscopes, catheters and capsules to measure the intra-esophageal pH, impedance measurement.The purpose of our study was to highlight the relationship between gastro-esophageal reflux disease and chronic rhinitis using salivary pH measurement with indicator strips............

Keywords: Allergic rhinitis, GERD, Nasal cytology, pH determination

[1]. Garcia-Compean D., Gonzalez M.V., Galindo G., Mar D.A., Treviño J.L., Martinez R., Bosques F., Maldonado H. Prevalence of gastroesophageal reflux disease in patients with extraesophageal symptoms referred from otolaryngology, allergy, and cardiology practices: a prospective study Dig Dis 18(3), 2000,178-182

[2]. KatleE.J., Hatlebakk.J.G.,Steinsvag S. Gastroesophageal reflux and rhinosinusitis. Curr Allergy Asthma Rep 13 (2), 2013, 218-23 [3]. Hanna B.C., Wormald.P.J..Gastroesophageal reflux and chronic rhinosinusitis Curr Opin Otoryngol testacollo Surg 20 (1),2012, 15-8.

[4]. Lin Y.H. , Chang T.S., Yao Y.C., Li Y.C. Increased risk of chronic sinusitis in adults with gastroesophgeal reflux disease: a nationwide population-based cohort study. Medicine (Baltimore). 94(39) 2015,e1642.
[5]. Kahrilas.P.J., Lee T.J..Pathophysiology of gastroesophageal reflux disease Thorac Surg Clin 15,2015,323-333

Abstract: Myxomas are common intracardaic tumours. These lesions are friable and easy to embolise. We present data of surgical excision of this tumour in 8 patients,2012 to 2016. Patients data regarding age, sex, clinical presentation,size of myxoma, bypass time ,cross clamp time, postoperative course were noted. All patients were operated for removal of myxoma. Care was taken to ensure that minimal handling of the heart is carried out during the conduct of cardio-pulmonary bypass (CPB) Of the 8 patients operated. 5 of the patients presented with LV inflow obstruction............

Keywords:Atrial myxoma ,embolisation ,right atrial approach

[1]. Calcified left atrial myxoma with osseous metaplasia. Singh SK1, Kumar A, Tewarson V, Rani AK, Chandra S, Puri A; Indian J
Chest Dis Allied Sci. 2012 Jul-Sep;54(3):201-3
[2]. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine
(Baltimore) 2001;80:159.
[3]. Percell Jr RL, Henning RJ, Siddique Patel M. Atrial myxoma: case report and a review of the literature. Heart Dis
2003;5:224–30
[4]. Kamiya H, Yasuda T, Nagamine H, et al. Surgical treatment of primary cardiac tumors: 28 years' experience in Kanazawa
University Hospital. Jpn Circ J 2001;65:315.
[5]. Mustafa Buyukates, MD, Erol Aktunc, MD. Gaint left atrial myxoma causing mitral valve obstruction and pulmonary
hypertension. Canadian journal of syrgery; Aug;51(4):E97-E-98.

Abstract: Aim : To study the efficacy of pre-incision intravenous single dose of cefazolin versus multiple doses of cefazolin for antibiotic prophylaxis for caesarean section. Materials and methods: This was an interventional, open label, two armed, randomized study conducted in the Department of Obstetrics and Gynaecology at PGIMER, Chandigarh from July 2013 to October 2014. Two
hundred women were enrolled in the study and randomized into two groups. Group A received single dose of cefazolin whereas Group B received multiple doses of cefazolin. Primary outcome of the study was occurrence of SSI and secondary outcomes included the incidence of febrile morbidity, UTI, endometritis and neonatal outcome.............

Keywords:Surgical Site infection, Urinary Tract Infection.

[1]. Abou Zahr C. Global burden of maternal death and disability. British Medical Bulletin 2003, 6:1-11.
[2]. lu S, Liston RM, Joseph KS, Heamen M, Sauve R, Kramer MS. Maternal mortality and severe morbidity associated with lowrisk
planned caesarean delivery versus planned vaginal delivery at delivery at term. CMAJ 2007; 176:455-60.
[3]. Burrows LJ, Meyn LA, Weber AM. Maternal morbidity associated with vaginal versus caesarean delivery. Obstet Gynaecol. 2004;
103:907-12.
[4]. Perencevich EN, Sands KE, Cosgrove SE, Guadagnoli E, Meara E, Platt R. Health and economic impact of surgical site infections
diagnosed after hospital discharge. Emerg Infec Dis.2003; 9:196-203.
[5]. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY: Puerperal Infection. In Williams Obstetrics. Edition
2010, 23: 661-71.

Abstract: Desmoid tumors are uncommon benign neoplasms but they aggressively invade the surrounding tissue, making it difficult to remove them surgically. Even after an apparent complete excision they often tend to recur but have no metastatic potential.They arise from fibro aponeurotic tissue and present as a slow growing mass. Most common symptom is pain. Other signs and symptoms are caused by the growth of the tumor in to the surrounding tissue. Intra abdominal desmoids may result in an intestinal obstruction. Extremity desmoids can restrict the movement of affected joints and cause limping or difficulty in arm or leg movements............

Keywords:Desmoid tumor, aggressive fibromatosis, familial adenomatous polyposis

[1]. Economou et al.: Desmoid tumor of the abdominalwall: a case report. Journal of Medical Case Reports 2011 5:326.
[2]. Sabiston Text book of Surgery 19th ed. 2009,ABDOMINAL WALL, UMBILICUS, PERITONEUM, MESENTERIES,
OMENTUM. Chapter 45 1095 – 1096
[3]. Chalapathy D. V. et al. Rare case of desmoid tumor of urinary bladder , J of Evidence Based Med & Hlthcare, Vol. 2/Issue 33/Aug.
17, 2015 Page 5078
[4]. Bernd Kasper et al. Desmoid Tumors: Clinical Features and Treatment Options for Advanced Disease. The Oncologist. 2011 May;
16(5): 682–693.
[5]. Jones IT, Jagelman DG, Fazio V et al. Desmoid tumors in familial polyposis coli. Ann Surg 1986; 204:94–97.

Abstract: Background. Hypothyroidism is considered as one of the most common of all endocrine diseases. The risk of cardiovascular disease is markedly increased with hypothyroidism. Garcinia cambojia (GC/HCA) is one of the commonly used natural products for losing weight and correcting lipid profile. Goals. To investigate the efficacy and safety of GC/HCA in minimizing risk factors and histopathological changes of cardiovascular system related to hypothyroidism..............

Keywords: Hypothyroidism, Propylthiouracil (PTU), Garcinia cambogia (GC), Cardiovascular system (CVS)

[1]. S.Singh, P.Dey Sarkar. Serum lipids, tHcy, hs-CRP, MDA and PON-1 levels in SCH and overt hypothyroidism: effect of
treatment. Acta Biomed. 85, 2014, 127-134.
[2]. M.Lu, C-B.Yang, L.Gao, J-J.Zhao. Mechanism of subclinical hypothyroidism accelerating endothelial dysfunction (Review).
Experimental and Therapeutic Medicine 9(1), 2015, 3-10.
[3]. A.Squizzato, V.E.Gerdes. Comment: does L-thyroxine prevent or cause stroke in hypothyroidism? Neurology 82, 2014,1650.
[4]. J.V.Hennessey. Historical and current perspective in the use of thyroid extracts for the treatment of hypothyroidism. Endocr
Pract. 21(10), 2015, 1161-70.
[5]. L.O.Chuah, W.Y.Ho, B.K.Beh, S.K.Yeap. Updates on antiobesity effect of garcinia origin (-)-HCA. Evid Based Complement
Alternat Med. 2013, 2013, 751658.