iosr-JDMS   Volume-19 ~ Issue-6 ~ June 2020

Abstract: Purpose: Our aim was to investigate and compare the efficacy of free conjunctival autograft and rotational conjunctival flap techniques in terms of recurrence, complication, and time surgery rates after primary pterygium surgery. Materials and methods: 24 patients who underwent pterygium surgery by free conjunctival autograft or rotational conjunctival graft for primary pterygium surgery admitted to the Pediatric Ophthalmology Department of the Casablanca University Hospital between August2018 and January 2019 were examined prospectively. Patients were categorized into two groups according to the surgical technique applied. The conjunctival defects after pterygium excision were repaired in 10 eyes with free conjunctival autograft and in 14 eyes with rotational conjunctival flap. The two groups were compared in terms of, complications, pterygium recurrence and surgery time. Results: Mean surgery time was...

Key words :free conjunctival autograft, rotational conjunctival, primary pterygium surgery

[1]. Ayse Dolar Bilge. Comparison of conjunctival autograft and conjunctival transposition flap techniques in primary pterygium surgery. Saudi Journal of Ophthalmology (2018) 32, 110–113
[2]. Alpay A, Uğurbaş SH and Erdoğan B (2009): Comparing techniques for pterygium surgery. Clini Ophthalmol., 3: 69-74
[3]. Zheng K, Cai J, Jhanji V, Chen H. Comparison of pterygium recurrence rates after limbal conjunctival autograft transplantation and other techniques: meta-analysis. Cornea 2012;1–6
[4]. Ozkurt YB, Kocamıs O, Taskıran Comez A, Uslu B, Dog˘an OK. Treatment of primary pterygium. Optom Vis Sci 2009.
[5]. McCoombes JA, Hirst LW, Isbell GP. Sliding conjunctival flap for the treatment of primary pterygium. Ophthalmology 1994;169–73..

Abstract: Objective – Current study aims at studying the cerebroplacental ratio in pregnant females with preeclampsia and its role in predicting perinatal outcome. Material and Methods - This study included 93 pregnant females>28 weeks of gestation diagnosed of having pre-eclampsia in routine Obstetric and Gynecology OPD which were sent for fetaldoppler.Doppler evaluation was carried out to measure the CPR.Pregnant females were followed for adverse perinatal outcome such as intrauterine death and neonatal death, cesarean delivery for fetal distress, admission to neonatal intensive care unit, Apgar score below 7 at 5minutes and IUGR fetuses. Results – Studied pregnant females were divided into...

[1]. Baumwell S. Pre-eclampsia: clinical manifestations and molecular mechanisms. Nephron Clinical practice 2007; 106:c72–c81.
[2]. Cunnigham FG, Gant N, Leveno K, Gilstrap L, Hauth J, Wentrom K (2001) Hypertensive disorders in pregnancy. In: Cunnigham FG, Williams JW (eds) Williams obstetrics, 21st edn. McGraw–Hill, New York (NY), pp 567–618
[3]. Harrington K, Carpenter G, Nguyen M, Campbell S (1995) Changes observed in Doppler studies of the fetal circulation in pregnancies complicated by pre-eclampsia or the delivery of a small-for-gestational-age baby. I. Cross-sectional analysis. Ultrasound ObstetGynecol 6:19–28
[4]. A.A. Baschat, U. Gembruch, The cerebroplacental Doppler ratio revisited, Ultrasound Obstet. Gynecol. 21 (2003) 124–127.
[5]. R.O. Bahado-Singh, E. Kovanci, A. Jeffres, U. Oz, O. Deren, J. Copel, et al., The Doppler cerebroplacental ratio and perinatal outcome in intrauterine growth restriction,Am. J. Obstet. Gynecol. 180 (3 Pt 1) (1999) 750–756..

Abstract: The aims of this study were to review the value of ultrasound in evaluating the characterization of acute cholecystitis , to point ultrasound finding which related to it and to explain the risk factors which increase the susceptibility for this disease. Methodology: This study was carried out during A period from January 2019- April 2019 . A total of 50 % patients were investigated by ultrasound machine whom presented to Al- Mostaqbal Hospital Department of ultrasound Radiology Jeddah , Saudi Arabia, admitted to hospital with complain of right upper quadrant pain , Fever bloating , Nausea ,Vomiting and Jaundice. Results: Out of 50% examined samples ,the most affected age group was(older than (60) 36% while the age group ( 50- 60 ) represented the lowest percentage ( 18%). Female patients more affected than Male patients with percentage (60%) and (40%) respectively . The most common symptom was right upper abdominal pain , fever bloating , nausea, vomiting and jaundice (48%) (18%) (16%) (12%)...

Key Word: Acute cholecystitis , Murphy's sign ,Ultrasound

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Abstract: Ossifying Fibroma, a tumour rarely found in long bones and never reported in lower end of Fibula as in this case and when left it grew to large size compared to the thin profile of Fibula. En-block resection done and the unstable ankle addressed with Primary TibioTalarArthodesis using Charnley's compression clamps. This method provided stable joint avoiding donor site morbidity instead of using proximal Fibula or Iliac bone graft with acceptable range of movements.

[1]. Goergen TG, Dickman PS, Resnick D, Saltzstein SL, O'Dell CW, Akeson WH. Long bone ossifying fibromas. Cancer. 1977;39(5):2067‐2072. doi:10.1002/1097-0142(197705)39:5<2067::aid-cncr2820390524>3.0.co;2-4
[2]. Nakashima Y, Yamamuro T, Fujiwara Y, Kotoura Y, Mori E, Hamashima Y. Osteofibrous dysplasia (ossifying fibroma of long bones). A study of 12 cases. Cancer. 1983;52(5):909‐914. doi:10.1002/1097-0142(19830901)52:5<909::aid-cncr2820520528>3.0.co;2-#
[3]. Goergen TG, Dickman PS, Resnick D, Saltzstein SL, O'Dell CW, Akeson WH. Long bone ossifying fibromas. Cancer. 1977;39(5):2067‐2072. doi:10.1002/1097-0142(197705)39:5<2067::aid-cncr2820390524>3.0.co;2-4
[4]. Puri A, Agarwal MG. Current concepts in bone and soft tissue tumours. (chapter 6):53–54.
[5]. Yasui Y, Hannon CP, Seow D, Kennedy JG. Ankle arthrodesis: A systematic approach and review of the literature. World J Orthop. 2016;7(11):700‐708. Published 2016 Nov 18. doi:10.5312/wjo.v7.i11.700.

Abstract: Background- The amniotic fluid that bothers the foetus is necessary for proper growth and development. Oligohydramnios associated with meconium staining of the amniotic fluid, fetal heart conduction abnormalities, poor tolerance of labor, lower Apgar score and foetal acidosis. Objective-To find out if Oligohydramnios is associated with: - High incidence of adverse pregnancy outcome and adverse foetal outcome if possible.Material and Methods:- A descriptive prospective study carried out over a period of 6 months(July 2018 to December 2018) on the patients admitted and delivered at our MDM hospitalDepartment of obstetrics and gynecology, Dr. S.N. Medical College, Jodhpur....

[1]. Roland L Boyd, Brian S Carter. Polyhydramnios And Oligohydramnios - E Medicine Journal Sept 2001; Vol . 2: No 9.
[2]. Brace Ra, Resnik R. Dynamics And Disorders Of Amniotic Fluid. In: Creasy Rk, Resnik R (Editors) Maternal Fetal Medicine, 4th Ed. 1999; 632-643
[3]. Phelan Jp, Ahn Mo, Smith Cv. Amniotic Fluid Index Measurements During Pregnancy. J Repord Med 1987 Aug; 32(8): 601 -4 (Medlin).
[4]. Ghikesunita, gayathrireddy, nwghike, (2013): increasing severity of oligohydramnios: a risk factor for outcome. Journal of south asian federation of obstetrics and gynaecology, january-april 2013;5(1):8-10.3
[5]. Hanafy M., (2003): Impact Of Isolated Oligohydramnios On Maternal And Fetal Perinatal Period And Out Come. Assuit University; 2003

Abstract: Background: Soft tissue which is embryologically derived principally from mesoderm functions as a supporting tissue of various organs. Soft tissue tumors (STT) are a group of highly heterogeneous tumors whose diagnosis has posed quite the challenge to pathologists, especially cytopathologist. Despite the challenges, Fine Needle Aspiration Cytology (FNAC) has proven time and again to be the basic initial mode of diagnosis of Soft Tissue tumors. Our study aims to evaluate various Soft Tissue Tumors and their diagnostic pitfalls we have faced in our institute. Materials and Methods: This is a retrospective study conducted for one year from March 2018 to March 2019. A total of 956 cases were referred to department of cytology of which 117 patients with suspected soft tissue tumors were included in the study and their various cytological features evaluated. Wherever possible, histopathological, clinical....

Key Word: FNAC, Soft tissue tumors, Cytological evaluation, Histocytological correlation

[1]. Enzinger FM, Weiss SW. Soft tissue tumors. 3rd ed. St. Louis: CV. Mosby Co.; 1995: 491-508.
[2]. Tailor H J etal. Diagnostic accuracy of fine needle aspiration cytology in soft tissue tumors : Our institutional experience. Int J Res Med Sci. 2013;1(4):443-447.
[3]. Roy S, Manna AK, Pathak S, Guha D. Evaluation of fine needle aspiration cytology and its correlation with histopathological findings in soft tissue tumours. J Cytol 2007;24:37-40.
[4]. Simon MA, Finn HA. Diagnostic strategy for bone and soft tissue tumors: J Bone and Joint Surg 1993; 75-A: 622–31.
[5]. Khalbuss WE, Teot LA, Monaco SE. Diagnostic accuracy and limitations of fine-needle aspiration cytology of bone and soft tissue lesions: A review of 1114 cases with cytological-histological correlation. Cancer Cytopathol 2010;118:24-32..

Abstract: Background:Bacterial vaginosis is the most common type of vaginal infection among women of reproductive age group and accounts for one-third of all vulvovaginal infections.The aim of present study is to review clinical evidences available regarding efficacy of probiotics in treatment and recurrence of Bacterial Vaginosis. Material and methods:A total of 160 vaginal swabs were collected from patients clinically diagnosed to have homogenous, copious, white mucoid vaginal discharge. Based on Amselcriteria 100 out of 160 cases confirmed as Bacterial vaginosis. An appropriate oral dose of probiotic supplement for 3 weeks given along with routine antibiotic therapy for 50 patients. The remaining 50 patients were taken as control group. Follow up was done after a month for patients of both the groups. Results:Among the 100 positive cases,44....

Keywords: Bacterial vaginosis, Amselcriteria, Clue cells, Whiff test, Vaginal Discharge

[1]. R. C. R. Martinez, S. A Franchesini, M. C Patta, S.M, Quintana, B. C. Gomes, ,. E. C. P De Martinis, G Reid. ‖Improved cure of bacterial vaginosis with single dose of tinidazole(2g), Lactobacillus rhamnosus GR-1,and Lactobacillus reuteri RC-14:a randomized, double blind ,placebo-controlled trial‖. Can. J. Microbiol. ,2009;55:133-8.
[2]. V Marcone, E Calzolari, M Bertini, . ‖Effectiveness of vaginal administration of Lactobacillus rhamnosus following conventional metronidazole therapy how to lower the rate of bacterial vaginosis recurrences‖. New Microbiol,2008;31(3):429-33.
[3]. G Donders, G. Gilbert, E Bosmans. , A Deekermaker, A. Veerecken, B Pharm. B. B Van, B Spitz. ‖ Pathogenesis of abnormal vaginal flora‖. Am. J. Obstet. Gynecol. ,2000;182:872-8.
[4]. G Reid. .J,Burton. ―Use of Lactobacillus to prevent infection by pathogenic bacteria. Microbes‖ Infect,2002;4(3):319-24.
[5]. R Amsel, P. Toten, C. A,Spiegel, K. C Chen, D,Eschenbach, K. K,Holmes. ‖Nonspecific Vaginitis:Diagnostic techniques and microbial and epidemiological associations‖. Am. J. Med.,1983;74:14-2..

Abstract: Résumé :La scléromalacie correspond à un amincissement dégénératif de la sclère qui devient transparente et ectasique permettant de visualiser l'uvée pigmentée sous-jacente. L'origine post traumatique représente une des causes rares de la scléromalacie. Nous rapportons le cas d'un jeune de 26 ans, adressé en consultation pour une suspicion d'un mélanome uvéal de l'oeil droit devant l'apparition d'une masse pigmentée sous conjonctivale rapidement évolutive. Une anamnèse minutieuse a révélé un antécédent de traumatisme contusif négligé remontant à 9 ans. L'examen ophtalmologique a objectivé une lésion sclérale saillante pigmentée paralimbique, située entre de 6 et 10 et mesurant 8mm sur......

[1]. Sims J. Scleritis: presentations, disease associations and management. Postgrad Med J 2012; 88 (1046): 713-718.
[2]. Watson, P.G., Young, R.D. Scleral structure, organisation and disease. A review. Experimental eye research, 2004, vol. 78, no 3, p. 609-623.
[3]. Almaliotis D, Zakalka M, Gerofotis A, Chatzicharalampous K, Efstathiou M, Daniilidis M, et al. Ocular manifestations in Rheumatoid Arthritis. Open JOpthalmology. 2016;6:170–5
[4]. Lamba N, Lee S, Chaudhry H, Foster CS. A review of the ocularmanifestations of rheumatoid arthritis. Cogent Med. 2016;3:1243771
[5]. Reddy SC, Tajunisah I, Rohana T. Bilateral scleromalaciaperforans and peripheralcorneal thinning in Wegener's granulomatosis. Int J Ophthalmol. 2011;4(4):439–42...

Abstract: Résumé: L'aniridie congénitale est une affection bilatérale très rare caractérisée par une hypoplasie de l'iris. Elle peut être isolée ou associée à d'autres désordres oculaires et/ou systémiques. Nous rapportons un cas rare d'aniridie congénitale bilatéraleassociée une cataracte ectopique illustrant l'aspect clinique de cette affection rare et nous soulignons la difficulté de prise en charge....

[1]. Hingorani M, Hanson I, Van Heyningen V.Aniridia. Eur J Hum Genet. 2012 Oct;20(10):1011-7
[2]. Lee H, Khan R, O'keefe M.Aniridia: Current pathologyand management. ActaOphthalmol. 2008 Nov;86(7):708-15
[3]. Burk SE, Da Mata AP, Snyder ME, Cionni RJ, Cohen JS,Osher RH. Prosthetic iris implantation for congenital, trauma-tic, or functionnal iris deficiencies. J Cataract Refract Surg2001 Nov;27(11):1732-40
[4]. Roman S,Cherrate H,TrouvetJ.P, UllernM, Baudouin C. Artificial iris intraocular lenses in aniridia or irisdeficiencies.J Fr Ophtalmol. 2009 May;32(5):320-5.

Abstract: The penile carcinoma is a rare uncommon presentation. We here are reporting such a case in a 65 years old male presenting with a fungating mass covering whole of the penile shaft for which total penile amputation with bilateral orchidectomy with uretheral reconstruction was done.

[1]. Bailey and love's short practice of surgery, 27th ed., 2018. 1492-1493

Abstract: Introduction: Diseases of skin and mucous membranes are common clinical manifestations of acquired immunodeficiency syndrome (AIDS). Cutaneous disorders are not only associated with terminal immunodeficiency, but also occur throughout the course of human immunodeficiency virus (HIV) infection. Materials and Methods: Study was done from 1st January 2019 to 30th September 2019 for 9 months. HIV patients coming to D.V.L. Department, MBNR Govt. Medical College, with different skin and STD problems were registered. They were evaluated taking history symptoms and signs. HIV patients present with skin manifestations and STD infections at various stages of the disease. Results: Most of the skin infections occurred when the CD4 count 50 to 150.Skin manifestations & STD infections occurred with 6 months to 3 years of taking ART treatment.72% are agricultural laborers with extramarital history....

Key Words: AIDS, HIV, CD4, STD

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[2]. Tschachler E, Bergstresser PR, Stingl G. HIV-related skin diseases. Lancet. 1996;348:659–63.
[3]. Kumarasamy N, Vallabhaneni S, Flanigan TP, Mayer KH, Solomon S. Clinical profile of HIV in India. Indian J Med Res. 2005;121:377–94.
[4]. Francis N. Non-neoplastic, cutaneous and mucocutaneous manifestations of HIV infection. Histopathology. 1993;23:297–305.
[5]. Kaplan MH, Sadick N, McNutt NS, Meltzer M, Sarngadharan MG, Pahwa S. Dermatologic findings and manifestations of acquired immunodeficiency syndrome (AIDS) J Am Acad Dermatol. 1987;16:485–506

Abstract: Background: Helicobacter pylori residing in antral mucosa often found associated with gastroesophageal reflux disease (GERD). Objective : Investigating prevalence of H. Pylori in GERD patients in South Bengal by serology and histopathology. Material and methods : 100 cases selected with 50 controls. Serology done by demonstrating serum IgG . Endoscopic biopsy tissue divided into three portions and subjected to testing for rapid urease test, hematoxylin & eosin stain, Giemsa stain and scanning electron microscopy. Results : GERD commonly found in 26-35yrs with male predominance. H.Pylori was positive in rapid urease in 38/ 100 cases followed by IgG Elisa positivity ( 34) and modified Giemsa (27). 23 cases showed positivity by all three methods. 30 males ,9 females with GERD showed H.Pylori infection. Conclusion :Prevalence of H pylori is low in patients with GERD with statistical significant association with age, socio-economic status but since H. pylori infection considered a pre neoplastic condition; determination of its presence is mandatory.

Key words: H. pylori, GERD, urease, serology, giemsa.

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