iosr-JDMS   Volume-20 ~ Issue-9 ~ Sep. 2021

Abstract: Introduction: Bone marrow examination is an important diagnostic tool to evaluate various hematological and non-hematological disorders. The two most important techniques used for the diagnosis are bone marrow aspiration and bone marrow biopsy which play complementary role with each other when performed simultaneously. Aims and Objectives: Study was done to compare the results of BMA and BMB and by that to prove the complementary role of both techniques to each other. Material and Methods: We evaluated total 74 casesin central laboratory, department of pathology, at tertiary care centre. All aspirations were stained.....

Key words: Granulomatous inflammation, MDS, Flow cytometry, IHC

[1]. Bain BJ. Bone marrow aspiration. J Clin Pathol. 2001;54:657–63. [PMC free article] [PubMed] [Google Scholar]
[2]. Bain BJ. Bone marrow trephine biopsy. J Clin Pathol. 2001;54:737–42. [PMC free article] [PubMed] [Google Scholar]
[3]. Riley RS, Hogan TF, Pavot DR, Forysthe R, Massey D, Smith E, et al. A pathologist's perspective on bone marrow aspiration and biopsy: I. Performing a bone marrow examination. J Clin Lab Anal. 2004;18:70–90. [PMC free article] [PubMed] [Google Scholar]
[4]. Bates I, Burthem J. Bone marrow biopsy. In: Bain BJ, Bates I, Laffan MA, Lewis SM, editors. Dacie and Lewis Practical Hematology. 11th ed. China: Elsevier, Churchill Livingstone; 2012. pp. 123–37. [Google Scholar]
[5]. Atla BL, Anem V, Dasari A. Prospective study of bone marrow in haematological disorders. Int J Res Med Sci. 2015;3:1917– 21. [Google Scholar].

Abstract: Background: Diabetic Foot Ulcers remain a major health care problem and is challenging to the health care professionals who attend them.These create a major cause of morbidity,mortality and/or disability being the commonest cause for lower limb amputation.In recent times, biological dressings are becoming popular and gaining importance but none of them have become gold standard for treating diabetic foot ulcers.Collagen dressings have many advantages when compared to conventional dressings in terms of ease of application and being natural. We compared the Collagen granule dressing with conventional dressing in treating diabetic foot in terms of number of time taken.......

Keywords: Diabetic Foot Ulcer, Collagen granule dressing, Conventional dressing

[1]. https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/India-is-the-diabetes-capital-of-the-world/articleshow/50753461.cms
[2]. http://atlantaheartassociates.com/wp-content/docs/edu/What-is-Diabetes-How-to-Control-It.pdf
[3]. Microvascular and Macrovascular Complications of Diabetes Michael J. Fowler, MD Clinical Diabetes 2008 Apr; 26(2): 77-82.
[4]. Management of Diabetic Foot Ulcers Kleopatra Alexiadou, John Doupis Diabetes Ther. 2012 Dec; 3(1): 4.
[5]. Trehan Munish, Garg Ramneesh, Singla Sanjeev, Singh Jasdeep, Singh Jaspal, Garg Nikhil. "Comparative Study of Collagen Based Dressing and Standard Dressing in Diabetic Foot Ulcer". Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 21, March 12; Page: 3614-3621 .

Abstract: Résumé Objectif : Rapporter les aspects Épidémiologiques, Cliniques, Thérapeutiques et Evolutifs ostéomyélites/Ostéites observés au CHU de Brazzaville -Congo. Matériels et méthodes : étude descriptive, rétrospective sur 13 cas, conduite 1er Janvier 2017 au 30 Septembre 2020(3 ans et 8 mois). Le diagnostic des ostéomyélites/ostéites a été retenu sur la base des données anamnestiques, cliniques, para cliniques et évolutives sous traitement. Résultats :13 patients (30,9%), dont 6 cas (46,2%) d'ostéomyélite chronique, 2 cas (15,3%) d'ostéomyélite aiguë et 5 ostéites (38,5%). 7 patients de sexe masculin (16,7%) et 6 féminins (14,3%).Le sex-ratio était de 1,2. L'âge moyen était de 38,5 ans avec des extrêmes de 18 et 77 ans.4 patients (30,8%).....

Keywords: Osteomyelitis, Osteitis, adult, Brazzaville, Congo

[1]. Massin P, Legrand E, Chappard D, Audran M. Diagnostic et traitement des ostéomyélites chroniques de l'adulte à pyogène. Rev Rhum 2006 ; 73 : 380 – 386.
[2]. Traore O, Vilboudo J, Reyes G, Rouamba A, Ouiminga RM.L'ostéomyélite chronique: aspects cliniques et thérapeutiques à propos de 38 cas au centre hospitalier national (C.H.N) de Bobo-Dioulasso. Médecined'Afrique noire : 1997, 44 (3) ;170-4.
[3]. GrammaticoGL, Baron S, Gettner S, Lecuyer AI, Gabout C, Rosset P et al. Bone and joint infection in hospitalized patients in France, 2008: clinical and economic outcomes. J Hosp Inf. Sept 2012; 82: 40-8.
[4]. Grammatico GL. Epidémiologie des infections ostéoarticulaires en France. Novembre 2016. WWW.criogo.fr.
[5]. Monka M, Mboutol MC, Massamba MD, Note MM, Ngatsé OA, Moyikoua A. Ostéomyélites chroniques de l'adulte à Brazzaville. Health Sci Dis. April – May – June 2018 ;19 (2) : 127-30

Abstract: Conventional Tracheostomy tubes have a disadvantage of stagnation of tracheal secretions above its inflated cuff. These Secretions act as a medium for microbial growth and increases the incidence of Ventilator Associated Pneumonia in ICU Patients. A modified Tracheostomy tube with additional above the cuff suction channel prevents the stagnation of such secretions and can help to decrease the incidence of Ventilator Associated Pneumonia in ICU Patients.The Aim of Our studywas to Compare the incidence of Ventilation Associated Pneumonia between two groups.40 patients were equally divided in two arms. Randomization was done beforehand by the principal investigator. Arm 1 – Patients with Conventional Tracheostomy tubes (without suction aid).Arm 2- Patients with.......

Keywords: Ventilator associated Pneumonia, Suction aid tracheotomy tube, Subglottic secretions

[1]. Coffman HMS, Rees CJ, Sieves AEF, Balafsky PC, Proximal Suction tracheotomy tubes reduces aspiration volumes. Otolaryngol Head and Neck Surg 2008:138:441-445.
[2]. Ledgerwood LG, Salgado MD, Black H, Yoneda K, Tracheotomy tubes with suction above the cuff reduce the rate of ventilator associated pneumonia in intensive care unit patients. Ann Otol Rhinol Laryngol 2013; 122:3-8.
[3]. Kollef MH, Skubas NJ,Sundt TM, A randomized controlled trial of continuous aspiration of Subglottic secretions in cardiac surgery patients, Chest 1999;116,1339-1346.
[4]. Damas P, Frippiat F, Ancion A, Canivet J-L,Layios N, Prevention of ventilator associated pneumonia and ventilator associated conditions: A Randomized Control trial with Subglottic secretion suctioning. Crit Care Med 2015;43:22-30.
[5]. Leasure AR , Stirlen J, Lu SH. Prevention of ventilator associated pneumonia through aspiration of Subglottic secretion: A systemic review and meta-analysis. Dimens Crit care Nurs 2012;31:102-117

Abstract: Background: surgical site infections (SSIs) are among the most common healthcare associated infections (HAIs). Post Lower Segment Cesarean SSI result in maternal morbidity, longer hospital stays, repeated admissions and greater healthcare costs to both patients and the healthcare system overall. These are preventable through infection prevention control measures and good surgical practices. Materials and Methods: In this prospective study conducted by the Department of Microbiology and Department of Obstetrics and Gynecology all patients undergoing Lower Segment Cesarean section were observed for postoperative wound infection for 30 days period. Samples were collected by sterile cotton swabs and processed by standard microbiological techniques. Surgical site infection rates both in emergency as well as elective cases were calculated...

Keywords: Post Lower Segment Cesarean SSI; SSI rates;SSI.

[1]. Magill SS, Hellinger W, Cohen J, Kay R, Bailey C, Boland B, Carey D, de Guzman J, Dominguez K, Edwards J, Goraczewski L. Prevalence of healthcare-associated infections in acute care hospitals in Jacksonville, Florida. Infect Control Hosp Epidemiol. 2012;33(3):283–91.
[2]. Allegranzi,B.,etal.,Burdenofendemichealth-care-associatedinfectionindevelopingcountries:systematicreview and meta-analysis. Lancet, 2011.377.
[3]. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG Infect Control Hosp Epidemiol. 1992 Oct; 13(10):606-8.

Abstract: Background/Aims: In developed country coronary artery disease (CAD) is considered as the major reason for occurrence of death. Acute coronary syndrome (ACS) comprise of STEMI, NSTEMI as well as unstable angina. The risk factors leading to ACS includes diabetes Mellitus, obesity, smoking cigarette, high blood pressure, dyslipidemia and insulin resistance. Diabetic patients are prone to have coronary artery disease that later result in the form of widespread atherosclerosis. Acute Myocardial infarction and Diabetes Mellitus are considered as bad prognostic factors leading to increased heart failure incidence resulting in higher mortality in hospitals. This study is conducted with the aim to determine the prognosis of patients with ACS comparing admission blood sugar and HBA1C values..

Keywords: Acute coronary syndrome, Diabetes mellitus, HbA1c, Random blood sugar

[1]. Burke JP. Willians K. Rapid Rise in the Incidence of Type 2 Diabetes from 1987 to 1996. Arch Intern Med .1999:159: 1451-1457.
[2]. Haffner SM, Lehto S: Mortality due to Coronary Artery Disease in people having type 2 diabetes and in non diabetic people with and without previous episode of Myocardial Infarction. N Engl JMed.1998; 339: 230-235.
[3]. Goraya TY, Leibson CL, Palumbo PJ et al., Coronary atherosclerosis in diabetes mellitus. A population based study. J. Am Coll Cardiol 2002; 40: 947 - 52.
[4]. Garcia MJ, NcNamara PM. Morbidity & mortality among diabetics in Framingham group. Diabetes .1974; 23:106- 115.
[5]. Barbara V, Howard, William Mitch. AHA Scientific Statement. Circulation. 1999; 100: 1135-1147.

Abstract: Background:The appendageal tumors of skin encompass a wide variety with histologically distinct features, commonly seen in head and neck. The aim of this study is to determine the pattern of appendageal tumors in skin biopsies. Materials & Methods:This is a one-year retrospective study of patients of all ages and both sexes who attended OPD in department of DVL, SMC, GGH, VIJAYAWADA who were diagnosed to have skin appendageal tumors andconfirmed by histopathology. Results: The total number of cases in the study was 25 - 10males and 15 females. Tumors with eccrine differentiation constituted the maximum, 15 cases (60%); followed by tumors with hair differentiation, 5 cases (20%); tumors with sebaceous differentiation......

Keywords: Appendageal skin tumor, Syringoma, Trichoepithelioma, Nodular hidradenoma, Eccrine spiradenoma, Nevus sebaceous

[1]. Elder D, Elenitsas R, Ragsdale BD. Tumors of the epidermalappendages. In: Elder D, Elenitsas R, Jaworsky C, JohnsonB Jr, editors. Lever‟s Histopathology of the Skin. 8th ed.Philadelphia: Lippincott Williams and Wilkins; 1997. p. 747-803.
[2]. Mehregan AH. The origin of the adnexal tumors of the skin: A viewpoint. J CutanPathol1985; 12:459-67.
[3]. Wong TY, Suster S, Cheek RF, Mihm MC Jr. Benign cutaneousadnexal tumors with combined folliculosebaceous,apocrine andeccrine differentiation: Clinicopathologicaland immunohistochemical study of eight cases. Am JDermatopathol1996; 18:124-8.
[4]. Brownstein MH. The genodermatology of adnexal tumors. JCutanPathol1984; 11:457-65.
[5]. Kaur K, Gupta K, Hemrajani D, Yadav A, Mangal K. Histopathological analysis of skin adnexal tumors: A three-year study of 110 cases at a tertiary care centre. Indian J Dermatol 2017;

Abstract: Background: Intestinal obstruction is a common cause of acute abdomen worldwide. It is the leading cause of morbidity and mortality from all causes of acute abdomen17. In spite of tremendous advances in medicine, bowel obstruction still remains a question of good clinical acumen. Bowel obstruction poses great dilemma in both diagnosis and management. The pattern of intestinal obstruction varies between communities and in different age groups1. Materials and Methods: This retrospective study is conducted on the cases presented with pain and distension of abdomen with constipation/obstipation to K R hospital for a period of 1year from June 2020 to May 2021. This study includes patients with intestinal obstruction managed......

Keywords: Etiologies, adhesions, sigmoid carcinoma, obstructed inguinal hernia

[1]. Pillai V, Benjamin RK, Chisthi MM. A Pattern of Intestinal Obstruction Cases – A Tertiary Care Centre Study. Ann. Int. Med. Den. Res. 2017; 3(2):SG41-SG45.
[2]. Thampi D, Tukka VN, Bhalki N, Sreekantha, Remya, SSA. Aclinical study of surgical management of acute intestinalobstruction. Int J Res Health Sci. 2014 Jan 31; 2(1):299-308.
[3]. Foster NM, McGory ML, Zingmond DS, Ko CY. Small bowelobstruction: a population-based appraisal. J Am CollSurg. 2006 Aug;203(2):170-6. Epub 2006 Jul 7
[4]. Kössi J, Salminen P, Laato M. The epidemiology andtreatment patterns of postoperative adhesion induced intestinalobstruction in Varsinais-Suomi Hospital District. Scand J Surg 2004; 93: 68-72.
[5]. S. J. Tiwari, R. Mulmule, and V. N. Bijwe, ―A clinical study ofacute intestinal obstruction in adults-based on etiology, severityindicators and surgical outcome,‖ International Journalof Research in Medical Sciences, vol. 5, no. 8, pp. 3688–3696,2017.

Abstract: Mucormycosis is a devastating infection with high mortality rates despite recent advances in diagnosis and treatment. It caused by zygomycetes infection by a filamentous fungi of the murales class. This is preferentially affecting patients with diabetes, neutropenia , malignancy ,chronic renal failure , AIDS ,it can affect the immunocompromised hosts. It occurs mainly through skin, trauma ,with contaminated soil or intravenous drug administration. Lipid formulations of amphoterecin b are the mainstay of its treatment with aggressive surgical therapy.....

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