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Abstract: Background: Fine needle aspiration cytology (FNAC) is a simple, rapid, cost effective and reliable technique tool for the assessment and diagnosis of lymph node enlargement.Lymphadenopathy is of great clinical significance and the underlying cause may range from a treatable infectious aetiology to malignant neoplasms. Their frequent involvement in regional and systemic diseases and easy accessibility make the cytomorphological study of lymph nodes a regular activity for pathologists. Materials and methods: This was a retrospective study. The data pertaining to the details of the patients who underwent fine-needle aspiration (FNA) evaluation of superficial and deep lymph nodes from the period 1stJune 2020 to 31st may 2021 at Silchar Medical.....
Keywords: FNAC, Reactive lymphadenitis, Granulomatous lymphadenitis, Lymphadenopathy, Metastatic lymphadenitis.
[1]. Darnal HK, Karim N, Kamini K, Angela K. The Profile of lymphadenopathy in adults and children. Med J Malaysia. 2005;60:590-8.
[2]. Pandit AA, Candes FP, Khubchandini SR. Fine needle cytology of lymph nodes. J Postgrad Med. 1987;33:134-6.
[3]. Pavithra P, Geetha JP. Roe of fine needle aspiration cytology in the evaluation of the spectrum of lymph node lesions. Int J Pharm Bio Sci. 2014;5(4):377-84.
[4]. Ajmal I, Imran A. Comparison of FNAC vs. excision biopsy for suspected tuberculous cervical lymphadenopathy. Ann King Edward Med Coll. 2003;9:216-8.
[5]. Shrivastav A, Shah HA, Shrivastav G, Santwani PM. Utility of acid-fast staining and re-aspiration in tubercular lymphadenopathy - 3 year study at tertiary centre. Int J Med Sci Public Health. 2013;2:875-9.
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Abstract: INTRODUCTION: Chronic kidney disease is a prevalent health problem worldwide, affecting millions of people. Dyslipidemia has been identified as an independent risk factor for the progression of renal disease. In chronic kidney disease, the most prevalent lipid abnormalities which have been noted are increased triglyceride levels and decreased HDL concentration. The LDL levels are usually normal or increased. MATERIAL& METHODS: The study was conducted at King George Hospital(KGH), Visakhapatnam from May 2018 to April 2019. It was an analytical, observational, cross-sectional study conducted in non-diabetic chronic kidney disease patients of age group 18 to 65 years admitted in medical and nephrology wards.A total of one hundred and twenty patients were enrolled in.......
Keyword: Chronic kidney disease, Dyslipidemia, non-diabetic
[1]. Di Angelantonio E, Danesh J, Eiriksdottir G, Gudnason V. Renal function and risk of coronary heart disease in general populations: a new prospective study and systematic review. PLoS Med. 2007 Sep 4;4(9):e270.
[2]. Locatelli F, Pozzoni P, Del LV. Epidemiology of chronic kidney disease in Italy: possible therapeutical approaches. J Nephrol. 2003;16(1):110.
[3]. Mathenge RN, Mcligego SO, Mutua AK, Otieno LS. The spectrum of echocardiographic finding in chronic renal failure. East Africa Med J. 2003;70(3):97-103.
[4]. Moronkola OA, Ojediran MM, Amosu A. Menstrual disorder in chronic renal failure patients attending renal clinics in Ibadan, Nigeria. African Health Sci. 2006;6(3):155-60.
[5]. Riepponen P, Maniemit J, Flanwlya AC. Immunoturbidimetric determination of apolipoprotein A1 and B in serum. JJ Clin Lab Invest. 1987;47:739-44
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Abstract: Background- Anorectal malformation is considered to be one of the most common anomaly to be faced by paediatric surgeons. It could be easily missed and the patient present later during infancy or even childhood, more often so when the child is not suffering from severe constipation . The patients might have bowel control with or with out surgery. But, they may have problem in later life if the stool is loose or during athletic activities To provide a measure of the rate of missed anorectal malformations in the newborn period ,we have tried to review all new cases of anorectal malformation presenting to our institution after neonatal period over the past years........
Keyword: low anorectal malformation, training traditional birth attendants ,perineum
[1]. Levitt MA, Pena A. Anorectal malformations. In: O'Neill JA Jr, Grosfeld JL, Fonkalsrud EW, Coran AG, eds. Pediatric Surgery. 7th ed. St Louis, MO; 1998:1289.
[2]. Sinha SK, Kanojia RP, Wakhlu A, Rawat JD, Kureel SN, Tandon RK. Delayed presentation of anorectal malformation. JIAPS Apr-June 2008, Vol 13, Issue 2.
[3]. Mikko P. Pakarinen , Risto J. Rintala. Management and outcome of low anorectal malformations. Pediatr Surg Int (2010) 26:1057–1063 DOI 10.1007/s00383-010-2697-z
[4]. Cho S, Moore SP , Fangman T . One hundred three consecutive patients with anorectal malformations and their associated anomalies . Arch Pediatr Adolesc Med 2001 May 1 ; 155 ( 5 ) : 587 – 91 .
[5]. Dasgupta A, Deb S. Intranatal care practices in a backward village of West Bengal. J Obstet Gynecol India 2009;59:312-6
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Abstract: Young patients with skeletal Class III malocclusion due to maxillary deficiency are treated effectively using combined Rapid Maxillary Expansion (RME) and Protraction Facemask therapy. The aim of this cephalometric study is to evaluate the skeletal, dental and soft tissue changes following six months of RME and facemask therapy in skeletal class III patients of 8-12 years........
Keyword: Class III malocclusion; Maxillary deficiency; Rapid maxillary expansion; Facemask; Maxillary protraction.
[1]. Bills DA, Handelman CS, BeGole EA. Bimaxillary dentoalveolar protrusion: traits and orthodontic correction. Angle Orthod. 2005 May;75(3):333–9.
[2]. Tan TJ. Profile changes following orthodontic correction of bimaxillary protrusion with a preadjusted edgewise appliance. Int J Adult Orthodon Orthognath Surg. 1996;11(3):239–51.
[3]. Karthi M, Anbuselvan GJ, Kumar BP. Early correction of class III malocclusion with rapid maxillary expansion and face mask therapy. J Pharm Bioallied Sci. 2013 Jul 16;5(Suppl 2):S169–72.
[4]. Sung SJ, Baik HS. Assessment of skeletal and dental changes by maxillary protraction. Am J Orthod Dentofacial Orthop. 1998 Nov;114(5):492–502.
[5]. Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop. 1998 Feb;113(2):204–12.
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Abstract: Background: The rapid and extensive spread of the COVID-19 pandemic has become a major cause of concern worldwide which raising global public health concerns. The healthcare workers are at great risk of infection with this new infectious virus, whereas the radiological examinations have a crucial role in the primary diagnosis and follow-up of COVID-19, the radiological workers as other staff who worked in the medical field have a risk of infection with this virus when they are in close contact with patients who have COVID-19 or suspected COVID-19 during medical imaging procedures. Objective: this study aimed is to assess the awareness of COVID-19 disease and related infection control practices among the workers in the radiology departments in Khartoum hospitals........
Keyword: COVID-19, Infection Control, Medical Imaging, Radiology
[1]. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506.
[2]. Cucinotta, Domenico, Maurizio Vanelli. "WHO Declares COVID-19 a Pandemic." Acta bio-medica : Atenei Parmensis vol. 91,1 157-160. 19 Mar. 2020.
[3]. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Available at Coronavirus Disease 2019: pdf (https://www.who.int).
[4]. WHO Coronavirus (COVID-19) Dashboard. Available at: https://covid19.who.int/. (Accessed on 5th June, 2021).
[5]. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020 Apr 7;323(13):1239-1242.
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Abstract: Congenital glaucoma is a major cause of blindness in children .It is a surgical disease and the surgery should be performed as early as possible. Here we report a neglected case of late onset primary congenital glaucoma which was bilateral with extensive corneal changes , raised central corneal thickness, long axial length and a vertical CDR of 0.9 who underwent trabeculectomy with adjunctive subconjunctival collagen implant. On follow-ups we found that IOP decreased with no improvement in best corrected visual acuity, axial length, corneal diameter and vertical CDR.
Keyword: Congenital glaucoma, Collagen implant ,vertical CDR.
[1]. Singab, A., Mohammed, O. A., Saleem, M., & Abozaid, M. A. (2017). A Comparative Study: The Use of Collagen Implant versus Mitomycin-C in Combined Trabeculotomy and Trabeculectomy for Treatment of Primary Congenital Glaucoma. Journal of ophthalmology, 2017, 9241459. [2]. Mandal A. K., Netland P. A. The Pediatric Glaucomas. 1st. Amsterdam, Netherlands: Elsevier; 2006. Primary congenital glaucoma
[3]. Dickens C. J., Hoskins J. R. H. D. Diagnosis and treatment of congenital glaucoma. In: Ritch R., Shields M. B., Krupin T., editors. The Glaucomas. second. St. Louis: Mosby; 1996. pp. 739–749
[4]. Essuman V. A., Braimah I. Z., Ndanu T. A., Ntim-Amponsah C. T. Combined trabeculotomy and trabeculectomy: outcome for primary congenital glaucoma in a West African population. Eye (London, England) 2011;25(1):77–83
[5]. Waheed S., Ritterband D. C., Greenfield D. S., Liebmann J. M., Sidoti P. A., Ritch R. Bleb-related ocular infection in children after trabeculectomy with mitomycin C. Ophthalmology. 1997;104(12):2117–2120. doi: 10.1016/S0161-6420(97)30051-7.
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Abstract: Introduction : The onset of CSOM is early in life and the condition represents one of the most common infectious diseases during childhood. The prevalence of CSOM in urban school children is 2.32% and in rural children it is about 5.11%. The prevalence of CSOM in adults varies according to the geographical location though its exact prevalence in India is not known Aim and Objective: To study results of type -1 tympanoplasty in wet ear interms of graft uptake, hearing improvement and recurrence. Material and Methods: This study is a prospective type of study done at Narayan Medical College and Hospital, Department of ENT during October 2020 to April 2021 on 100 patients of CSOM undergoing wet type-1 tympanoplasty. Patients.......
Keyword: Tympanoplasty, wet ear, CSOM, AB Gap
[1]. Maiti AB, Sinha R. Tympanoplasty for Wet and Dry Perforation: A Prospective Comparative Study. Bengal J Otolaryngol Head Neck Surg. 2021;28(3):260–5.
[2]. Mane SB, Shrivastava SS, Oswal SN, Jarandikar AA, Satav SS. Tympanoplasty using wet temporalis fascia graft at tertiary care hospital. IP J Otorhinolaryngol Allied Sci. 2020;3(1):23–5.
[3]. Shankar R, Virk RS, Gupta K, Gupta AK, Bal A, Bansal S. Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: A prospective study. J Laryngol Otol. 2015;129(10):945–9.
[4]. Pothala H, Shukla S, Khan W, Ramalingam R, Ramalingam K. A Prospective Comparative Study between Dry and Wet Tympanoplasty. Ann Otol Neurotol. 2018;01(02):083–8.
[5]. Governments S. Chennai Declaration. 2007;(May):14–5..
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Abstract: COVID-19 is a systemic infection with a significant impact on the hematopoietic system and hemostasis. Mild thrombocytopenia has been shown to occur in patients with COVID-19, usually noted on admission to hospital. We report a case of a severe thrombocytopenia in a patient in the recovering stage of COVID-19. We conclude that an immune mechanism was responsible as common causes were excluded. The patient were successfully treated with intravenous immunoglobulins and steroids. This report highlights the need for vigilant monitoring for complications associated with COVID-19.
Keyword: Immune thrombocytopenic purpura, thrombocytopenia, COVID-19, Intravenous immunoglobulins
[1]. Rahi MS, Jindal V, Reyes SP, Gunasekaran K, Gupta R, Jaiyesimi I. Hematologic disorders associated with COVID-19: a review. Ann Hematol. 2021 Feb;100(2):309-320. PubMed
[2]. Lippi G, Plebani M, Henry BM. Thrombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: A meta-analysis. Clin Chim Acta. 2020 Jul;506:145-148. PubMed
[3]. Rinaldi M, Perricone C, Ortega-Hernandez OD, Perricone R, Shoenfeld Y. Immune thrombocytopaenic purpura: an autoimmune cross-link between infections and vaccines. Lupus. 2014 May;23(6):554-67. PubMed
[4]. DiMaggio D, Anderson A, Bussel JB. Cytomegalovirus can make immune thrombocytopenic purpura refractory. Br J Haematol. 2009 Jun;146(1):104-12. PubMed
[5]. Kitamura K, Ohta H, Ihara T, Kamiya H, Ochiai H, Yamanishi K, Tanaka K. Idiopathic thrombocytopenic purpura after human herpesvirus 6 infection. Lancet. 1994 Sep 17;344(8925):830. PubMed
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Abstract: Mucor coupled with Diabetes with deranged HbA1c levels and use of steroids poses unique threat of difficult airway on the operation table, a challenge to anaesthesiologists. Critical airway incidents are arguably the most severe and feared complications to anesthesia practice. This is a retrospective analysis of treatment outcomes and analysis of severity of Diabetes Mellitus in correlation to HbA1c levels and difficulty in securing airway in post covid 19 recovered cases of mucormycosis. Study was conducted on patients admitted to King George Hospital, Visakhapatnam who were admitted during the period of May 2021to July 2021. All of them underwent FESS surgeries lasting 3 hours under general anaesthesia for debridement of mucor tissue. The average age of the patients.......
Keyword: Type 2 diabetes, Prediabetes, Hyperglycemia, Hypoglycemia, Hemoglobin A1c
[1]. Steinbrink, J. M., & Micheli, M. H. (2021). Mucormycosis. Infectious Disease Clinics of North America 35(2); 435-452. doi:10.1016/j.idc.2021.03.009.
[2]. Al Hassan, F., Aljahli, M., Molani, F., & Almomen, A. (2020). Rhino-orbito-cerebral mucormycosis in patients with uncontrolled diabetes: A case series. International Journal of Surgery Case Reports 73; 324-327. doi:10.1016/j.ijscr.2020.07.011.
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[4]. Rammaert, B., Lanternier, f., Poiree, S., et al., (2012). Diabetes and mucormycosis: A complex interplay. Diabetes & Metabolism 38(3); 193-204. doi:10.1016/j.diabet.2012.01.002.
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Abstract: Background: As we all know along with general population, COVID 19 also affected pregnant women. According to recent data By CDC 1,00,472 cases has been reported among pregnant women for COVID 19 infection (dated July 12,2021). There is general consensus that breastfeeding should be encouraged because of its many maternal and infant benefits even during COVID 19 infection with strict precautions. Although the first priority for infants feeding is to encourage the use of breast milk when this is not possible, donated breast milk from human milk bank is second best option. Human milk bank is functioning in BJ Government Medical College (BJGMC) and Sassoon General Hospital (SGH), Pune since November 19 in 2013 with an average milk collection of about 415 litres per year.....
Keyword: Human milk banking, COVID 19 infection, infant feeding.
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Abstract: Objective: The purpose of the study is to estimate the correlation between myocardial performance index (MPI) and global left ventricular function (both systolic and diastolic). Background: In the diagnosis of patients with left ventricular dysfunction, prediction of both left ventricular systolic and diastolic functions are vital elements. Because systolic and diastolic function frequently coexist, it is hypothesized that a combined measure of left ventricular chamber performance may be more reflective of overall cardiac function than systolic and diastolic measures alone. Traditionally, assessment of left ventricular function is focused on measurement of left ventricular ejection fraction (LVEF). But it is load dependent and sensitive to the alterations in preload and after-load. However, myocardial performance index (MPI) demonstrates supremacy........
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